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4126 Blueberry LaneCITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P O. 6ox21199 PERMIT NO.: S0 32 Eagan, MN 55121 DATE: $- 31-83 Zoning: R1 No. of Units: 1 Owner: DeyelOj)e?S Const Address: Site Address: 4126 Bluebo= Li ne L& B7 Hilltop Est Plumber: Wet erke Trench E xc Meter No.: Connection Charge: 450 - 00 pd Size: Account Deposit: Reader No.: Permit Fee: 10.00 pd I agree to comply with the City of Eagan Surcharge: . 50 pd Ordinances Misc Charges: 60.00 pd deter . . Total: By Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 6119 P. O. Box 21199 PERMIT NO.: Eagan, MN 551 A DATE: Zoning: No. of Units: Owner: Developers Address: 4126 Site Address: u Plumber: i. eierke ec Exc 6-24-50 36240 . 425.00 pal I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: 1 Permit Fee: Surcharge: . so p 0 [ By Misc. Charges: Dote of Insp : Total: . Insp.: Dote Paid: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 53145 `x'42 PHONE: 454.8100 BUILDING PERMIT Receipt To be used for SF DWG/GAR Est. Value $76,000 Date August 24 Iv 83 Blueberry Lane Site Address Erect 3 R--3 Occupancy 7 iii top Estates Lot Block Set/Sub. Alter ? Zoning Parcel # 10--33000-080-07 Repair 0 Fire Zone eve opers onstruc on Enlarge ? Type of Const. W Name 11 3 Cliff Road Move Q # Star* e 5b . z Address b F urtic f ll 890-6194 Demolish p Length ? V . e Phone City Grade ? Depth Sq. Ft. i-Wer Name Approvals Fees 8o1 Address Assessment Permit Water & Sew. Surcharges city Phone k Police Plan chec 525. Nome Fire SAC 000 C n Address Eng. Water on . Ci Ph ne Planner Water Meter 00 2 Council . Road unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total0 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee - V opers ons u on De A Building Permit Is issued to: on the express condition O V41 all work shall be done in accordance with aU'pplicable State' of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc.4Permit No. Holder Plumbing 3 l ? l t>d AV` L ft '1 ?y 743 H.V.A.C. 3Cz dA`i Q-??- 4:5.777 Well Water Disp. Sewer Electric WDgzO%q /i'o r-E(w ?-r'-$3 J Inspection Date Insp. Other Footings Foundation Framing f Z' Rough Pibg, ,,_ Vj Rough HV .. Insulation 0 Final Pibg. Final HVAC h7i Final 12 Water Describe Location: Well Sewer Pr. @isp. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Qd Fill in numbered spaces S/C Type or Print legibly Tot. a?? ' 1. Date 7 2. Installation Cost 3. Job Address ui , Lot Blk. ! Tract 4. Owner 5. Contractor Phone 11 ti 6. Address 7. City State i1. Zip ?r 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner _ Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray _ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 'k2, I hereby certify that the above l:nforrnatioo is true and correct, and l agree to comply wit all ordir`rZb, and codes governing this type o4 work. Signed : - a? !1 ~,. o fem. Rough Final Inspections: Date Insp. __ Date Insp. This is your errnit hen numbered and approved. Ap=ed TY OF EA AN 4S44100 MECHANICAL PERM1l s i Permit No ; Receipt , CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legibly Tat. 1. Date 2. Installation Cost ALL 3. Job Address ??' ?(`#{?.{.Lot Blk. 7 Tract 4. Owner ft f f .? /`}r• .-, , !` erect 5. Contractor 6. Address 7. City State fi Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe Fuel Type 11. [.7111.1 No. Eouioment BTU - M. Ea. Forced Air C" eR ! 1 rt c's No. Equipment CFM Air Handling: ,• ,r ?_-rj Mfg. Boilers Exhaust Mech Mfg. . Unit Heater Mfg. Other Air Cond. Mig? Gas, Piping Outlets tl int true e I sgw!ee to Cities Digital _ Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATA r ra ??19 +?_J r - , R£CR'IV?D i - ' Foom . AMOUNT $ l 4 - .? _..... ,. . & DOLLARS 100 ? CAS'H FUND .-0006. tA'OU Wr C-J 4 ? ? r ? A ` INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ?? ? f I r ,, ,, ''I 1 f 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: f 1 o (612) 681-4675 SITE ADDRESS: ti f . fa a_ ?„ 7 APPLICANT: '1 f , r # f. Ali 1:E H ' t (?I?1€ f' 4 .,,. i i ?!_ f''> 3 tf E ! ¢ f ftf. 1 . 1 ii f f f i I fit' PERMIT SUBTYPE: TYPE OF WORK: #? F ) t 3 $ d ?. '# A `'r '114'; 1 1 I ? 1 ? s INSPECTI()N RECORD CITY OF EAGAN PERMIT TYPE. lr `? { F 3830 Pilot Knob Road Permit Nufnbiw Eagan, Minnesota 55122-1897, Date Issued: (612) 681-4675 SITE ADDRESS: LICANT: PERMIT SUBTYPE: TYPE OF WORK: FNA14 `tdtt t?tiQ.lfi i# ' t',# t' t°i{'t f)I(ztt iN ttfi, t t4t°ii R p s t i 9 1 i 1 #' 3 t"At a,? ?} Cam! V ?yl j f ff 4' 1. NI k F k,! 141 IIIIIIIIIIIII?"IIIIIII t' ; INSPECTION RECORD CITY OF EAGAN PERMfl TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 LICANT: SITE ADDRESS: i I st I a I t =1 a J APPLICANT: 0 1 r ' ? I 1 k l f 1? 1 ll P Y CAME :.. l C? k. 1 II rel I t t4 M A 1 I IT gUBTYPE TYPE OF WORK: T« 1. I NEW r,e k I r, 1 P AIli I, WAIIA1trip I'14I tAai 11?ft , 0 i t 11 #'?1i?t?:3l G{lWF- 1ai.t fsKi s i`Fyl?)tEa i E i 1`'; t t'9 i) 4:. x'() I' t1 } tf tti( di 0 I+ r , " MULL - Am t PNWA WNW S/W PLUMOM *Aposom D fsmhvsl Pft }klClut Myt. f FA?t'?t R" FIB. PRA. COIAL MAW At? Deck me Deck RnW WON Pr. Dsp. CITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot 8 81k 7 Parcel Owner Street 4126 Blueberry Lane State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. -, 668..37 A013302 12-14-83 STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.41 8.61 20 68.94 A013302 12-14-83 SEWER LATERAL 1980 3131.16 313.12 10 15655.61 WATER MAIN * WATER LATERAL ' * WATER AREA * STORM SEW TRK 1980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT ROAD WIT 250,00 9-24-93 WATER CONN. 450.00 it of BUILDING PER. 9421 SAC It PARK N.: d11y a t t1 +sE? - d! y s{ ? $lf:S..e' .. ? ?i\.. .. -- ? ,.._ , ...., ; -:. ?S4fr,' ?? S?? .t f. ssf,E-z ?: _ ?i'?l! _ _ r. ?L.? ?:£Bt4??aG' . •. .? C ;r iftrztte of (?rrujittnr Citp of (Eagan Drpartntrnf of luilhing 3nw.prrtion "? 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: U cladfl, SF DWG /GAR Bldg. Permit No. 8421 Pa-7 Type Ty R 3 ps coaauuct on ' Fire Zwro NA Zoning District R1 o,a,c di,g Developers Const. Add. 1101 Cliff Rd, Burnsville A BYaamgnda. 4126 Blueberry Lan t.acality L8, Blk.7aHilltop Est. e =? s Dy: December 2, 1983 .?. Building Official Date: I. 'pT IM A CONE?ICYOYf KAG( 4 _ 40- iie St3ia V m '` Y .h, ?rV+ sa+?f.Y'rrre' ` 13r9.O+'sl '''-?` r,?tf 1 r1`.?a,J' +3raaF3 A uc, . i a76, • 478.1 '4?v?°d '?1a? ?9ta - ? - S ?.. ? 949 S. ii'? /Jktn cro ? Request Date Fire No. R ` h-Iri m section Required Inspection Other T n ough-In (Ydu u all inspector when ready) ? Ready No Will Notify Inspector Yes ? NO Date Ready I Lnsed contractor D owner hereby request inspection of above electrical work at: oute N 1 City le lr 1,A , Name or No. V Range No. County Phone No. I as Address Electrical Co ractor (Company Contractor's License o ??r f Mailing Address (Contractor or Owner M don; Authorized Signature acto ner Phone u er Z _;?2 MINNESOTA STATE BOARD OF ELECTRICITY / THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. N 5.3949 REQUEST FOR ELECTRICAL INSPECTION jp? See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request EB-00001-0 New A:d Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Re a s: Compute Inspection Fee Below: G' l Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps ove 100 Amps Signs Inspector's Use Only: TOTAL, Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Finsl ,? Date OFFICE USE ONLY This request void 18 months from 0 4 16 JOB #1135 ? , 999 5 Re est D die ire or I Fo' -In Inspection Required Inspection Other Than Rough-In (You must call inspector when ready) Ready Now )a Will Notify Inspector 4/13/95 Yes ? No Date Ready I £licensed contractor Downer hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 41 2f Rl i i Ray-r-,7 T.anc T a n Name or (PRINT) my Phone Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractor's License No. Hilite Electric, Inc. 040445 Mailing Address (Contractor or Owner Making Installation) 195 hawnee Roa ; gan,Minnesota 55122 Authorized Sin ure (Contra r wn ing Inst on) Phone Number 452-8886 MINNESOTA STATE BOARD OF EL ICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION y 9 S 1 0016 oo. See instructions for completing this form on back of yellow copy "X" Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired X Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner I Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 5.00 8 0 to 100 Amps 0.00 Transformers Above 200 Amps a 100 Am s Signs Inspector's Use Only: TOTAL 55.00 Irrigation Booms j • .50 Special Inspection 55 50 Alarm/Communication . THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date, certify that the above inspection has been made. Final Date Jr OFFICE USE ONLY This request void 18 months from REQUEST FOR ELECTRI , INSPECTION ' See instructions for completing this form on back of yellow copy. "XX' Be /o W r7C'ove4 red by This Request EB-00001-04 sr; lei dd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify _ Other(Specffy) Other (Specify) Other Other Compute Inspection Fee Below # F ice Entrance Size # Fee Feeders/Subfeeders # Fee f Circuits - 111 Oto200Am s 0 to 30 Ams to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above 100-Amps Transformers Irrigation Booms Par ' r Fee Signs Special In S ---? Remarks /,- 1, a- r r-) j M , TO AL FEE Rough-in D ie V cal 1112 ,x 'r ? ereby the above Final t O/ as been ( This request void 18 months from A a_ This request void 18 months from !! TT 092084 so Request Date Fire No. Rough-in Inspection Required, Ready Now l Notify, Inspec- Yes No for When Ready Licensed Electrical Contractor /ffOwner Street A dress, Box or Route No. Section No. Township Name or I hereby request inspection of above electrical work installed at: City Fah Range No. County Obc ant (PRINT) Phor? No. Power Supplier Address A Electrical Contractor (Company Name) IF Contractor's License No. ailing A dress (Contractor or Owner Making Installation) w 4w s Aut rized Signature ( ontrac r/Owner Making Installation) Pho Number of' MINNESOTA ST TE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTIONFEE IS Phone (612) 297-2111 ENCLOSED. Mar 06 08 10:38a p.2 •HHOUSE HEATING TEST RECORD ADDRESS fl r K f fj i l't L . r? APT. __ Ft f CT( w OCCUPANT ?F' Pe •• OWNER HEAT LOSS DATE HT niST. S[Y.D BY INSTALLED BY Elaetriaoi War$ By Q= Line Sir TYPE OF HEAT GA - FA -4 RW STEAM SPACE HTR. UNIT HTit. OTHER GAS DESIGN CONYERSIO$ FAKE $"KE OF BURMER Serial ©U CG 7 ! { Mex. STU Rwtiop INPU I' ? MAKE OF FURNACE Model CONTROLS THERMOSTAT Heat Plug Vent Size - - ` -- - - Valve KIND OF LEI R SIZF_ NONF Draft Hood Regulator Fi[tacs Sims Liew! Setiiag Pau S10tl1114 CE, iisngy Lacw$iea Inside Outside Pilot Type Ci iaoma?r Cos.stn ctton Pilot maim Pilot ilodei smoke BoewS whim Pilot Timing Draft Twat Tag L.W. Gut 09 _ Door Pressure J f Lighting Inst. Pressure _ 3 • 5 Peraaet CO _ ?= 3 Dote Tested J,' . / 3 C -4 input C ? Percent 02 Costparry Testine d F 3' C' b t Slack Temp. Percent CO`_.` Nelms of T'sstar Farm 235 " 6Kqj 9 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 Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. I set of Energy Calculations 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) Remodel/Repair Requirements Office Use Only 2 copies of plan Cert of Survey Recd - Y - N 1 set of Energy Calculations for heated additions Tree Pres Plan Recd - Y - N 1 site survey for additions & decks Tree Pres Required - Y - N Addition - indicate if on-site septic system On-site Septic System - Y - N Date .S Construction Cost Site Address ' i? 02 ?! v ,? Ei2? Y ZV/t/E nit/Ste # Description of Work 0 Or* Zoas Multi-Family Bldg _ Y N Fireplace(s) Ilk- 0 - 1 _ B Property Owner ASV Alf G C OT,cC //Y S Telephone # (%? Sa) 4_3 O Contractor Address /O ?V0 14 YVi s1<F_ City 0.0..7/.vGT-off State /77,V Zip S'Syo? 0 Telephone # (93'"4 ?? 8 /4"O Li'C_3- P-4/ y / (/ 2 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 ('I submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? 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 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 pla ' t case of work which requires a review and approval of plans. ?,19 t1,6 rlflCHSO.J Applicant's Printed Name App icant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 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 ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg Y or - N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move 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 Valuation Occupancy MCES System 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) _ Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other Roof _ Ice & W ater ^ Final - Pool _ Ftgs _ Air/Gas Tests Final _ Framing - Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. - Air Test -Final _ Windows _ Insulation Retaining Wall Approved By: , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 0 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---------------- Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Sc Copies Other Total _ " ` PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 CUIL1LO PERMIT TYPE: BUILDING Permit Number: 0 2 5 0 0 4 Date Issued: 01/17/95 SITE ADDRESS: 4126 BLUEBERRY LANE LOT: 8 BLOCK: 7 HILLTOP ESTATES P.I.N.: 10-33000-080-07 DESCRIPTION: Euiidinq Permit Type SF ADDITION C?u 1dinq I,Jork Type NEW .qu ,oo Feet 504 4 9 REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION $41,000 Base Fee $356.00 COPY .50 Plan Review $231.40 Total Fee $608.40 Surcharge $2.0.50 Subtotal $607.90 CONTRACTOR: - Applicant - ST- L I C . OWNER: CUSTOM HANDYMAN 15521599 0007765 BOTKINS RANDY 1317 SOUTHVIEW BLVD 4126 BLUEBERRY LN S ST PAUL MN 55075 EAGAN MN 55121 (612) 552-1599 (612)686-9177 I hereby acknowi.ndge that I have read this app] i_cotion and state, that the information is correct and agree to comply with a I J appiicable StdLe of Mn. Statutes and City of Faq,on Ordinances L APPLICANT/PE E ISSUED 131. SI ATU E INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 5 0 0 4 Eagan, Minnesota 55123 Date Issued: 01/17/95 (612) 681-4675 SITE ADDRESS: LOT: 8 BLOCK : 4126 BLUEBERRY LANE HILLTOP ESTATES PERMIT SUBTYPE: SF ADDITION 7 APPLICANT: CUSTOM HANDYMAN (612) 552-1599 TYPE OF WORK: NEW INSPECTION TYPE FOOTINGS DDATE INSPTR. INSPECTION TYPE FRAMING DATE INSPTR. INSULATION FIREPLACE FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK L_ .' f _V45 1 15nn WW4 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site 'urn'Mys, 1-copy e nergy calcs. COMMERCIAL 2 sets of architectural & structura plans, 1 set of specifications, 1 copy of energy ca ----._-- -.w--- Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 12 / / Valuation of work 24',5 7. - Site Address: 4'Z(0 /awe c2 ? 14,y6 STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD.,{ P.I.D. # Description of work: 4 ???r?CAJ The applicant is: ? Owner 0 Contractor O Other (Describe) Name IN 4N'4 PPFTeIcIf4- Phone t'%"'?/17 Property LAST FIRST Owner ,,tt Address " 12o 5we,3 Lp?1)E - STREET STE # City 6--A+-) State MN Zip 55 12 Company E.l.STLm H nl?pq NC' Phone 552-15 _ 1 1 Contractor 1 Address I F? a? tiCp(L1? ?(c License # (0, ?YExp.1l S City . S-r. ?A',) L_ State MQ zip 5S ?Tl Company '' ?..? 10Z-Si? Phone 4S4 - S•542 Architect/ Engineer Name T?G12'U ?/1 Z_Jsl? Registration # Address IRA L A-WCr C• LAO City CAC& State IV11J Zip 5512- _ Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: ?? „?_ , OFFICE USE ONLY BUILDING PERMIT TYP E ,.; D 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool g03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish fi?32 Addition D 34 Repair ? 36 Move GENERAL IN FORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pumpp # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code o L Census Bldg t APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site Foot ing 4ff4rami Insulation D Wallboard OFinal ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies . 5 Other Total: SAC % SAC Units valuation: $ % ?i d00 FL/' ??c a cr,,'ape- - St/IS c1 4 \ Zz.ob X lL - z? s iifeX 2-39 x lZ,?j'01_ pQ' G?.?yx iz Z39 -??y, gaGo d _.Lopers Conet., Inc. 1101 Cliff Road Burnsville, Mn' DELMAR H. SCHWANZ LAI4Q *UP VEYOA $, Inc. R. st.rad Untlar t- fw0 of The $tat* of MInnasota 2972 - 145TH STREET W. - SOX M RQNM USfl. MINNOOTA /NS8 $URVHYORIN CI WICAT* ,. zz . 83 11, V , "pt" E_ W x r Z N b y 1 4 Z im j p Q ' _ c ?p o I t ``?_ m G - --- _ o Tim r' y q14-00- Ile 5E ? LLo I ? ?}til.ty eas.?nt 9 9/? • s 9 A mv o Drainage & X 4O!p L?c r Fc? W-SI N 1' 11`52"E- jy? ?-op?R6 ?3Lu F-B ..Rtz r Ko o LL- IHON1 812 423.1728 gllD SCALE t 1 inch • 30 feet Elevations showie are existing O Denotes sirt wood hub N 0 Denotes iron pipe Y -*---Denotes proposed to drainage 7 i Proposed, gar4,ge ekes olovetta't 2P ,ef I hereby certify that this Is a true qnd sorreat representation of Lot 8, Block 7, HILLTOP RSTATB3 aooerda?p$ to the reoorded plat thereof, Dakota County, Minnesota. Dated: October 10, 1979 Approved for Dunn & Curry Real Sstate Mangestent, Inc. by: Revised to show the location of a propo!+ed house as staked August 19, 1983. X SOTA GON NO.8626 MINNE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4126 BLUEBERRY LANE LOT: 8 BLOCK: 7 HILLTOP ESTATES P . I . N .: 10--33000--080-07 DESCRIPTION: Building Permit Type SF (MISC.) Building Work Type REPAIR c:p3gngq BUILDING 025341 04/06/95 REMARKS: WORK WAS STARTED UNDER PERMIT #25004 (CONTRACTOR WAS FIRED) SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION $3,000 Base Fee $54.00 Surcharge 1.50 Total Fee $55.50 CONTRACTOR: OWNER: - Applicant -- BOTKINS PATRICIA 4126 BLUEBERRY LN EAGAN MN 55123 (612)686-9177 I hereby acknowledge that I have read this application and state that r;Fle information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L \ pax tvq?,,? A S APPLICANT/PERMITEE SIGNATURE 1 =ED B SIG TURF INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 025341 Eagan, Minnesota 55122-1897 Date Issued: 04./06/95 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 8 BLOCK: 7 4126 BLUEBERRY LANE BOTKINS PATRICIA HILLTOP ESTATES (612) 686-9177 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPAIR INSPECTION TYPE FRAMING .DATE INSPTR. INSPECTION TYPE ROUGH IN PLBG DATE INSPTR. ROUGH IN HTG FINAL I REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK P WORK WAS STARTED UNDER PERMIT #25004 (CONTRACTOR WAS FIRED) LL 7 CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 022431 (612) 681-4675 Date Issued: 11/02/93 SITE ADDRESS: 4126 BLUEBERRY LANE LOT: 8 BLOCK: 7 3,? HILLTOP ESTATES P.I.N.. 10-33000-080-07 DESCRIPTION: (GAS INSERT) Pudding Permit Type FIREPLACE Niji.l.dinq Work Type ALTERATION REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: FIREPLACE SPECIALIST 14511970 0003924 TRANKA JOHN 1200 9TH AVE 4126 BLUEBERRY LN S ST PAUL MN 55075 EAGAN MN 55121 (612) 451-1970 (612)452-8745 I hereby acknowledge that I ve read t:hl.s application and at.r?te that the information is corect and/ggree to comply au.it.h all applicable State of Mn. Statuten_n and (;i?t rat ?agr?tr?(?I°c finance .., L APPLICANT/PERMITEE SIGNAT ISSUE BY. SI NATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 022431 Eagan, Minnesota 55123 Date Issued: 11/02/93 (612) 681-4675 SITE ADDRESS: LOT: 8 BLOCK: 7 APPLICANT: 4126 BLUEBERRY LANE FIREPLACE SPECIALIST HILLTOP ESTATES (612) 451-1970 PERMIT SUBTYPE: LTYPE OF WORK: ALTERATION DESCRIPTION (GAS INSERT) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. ROUGH-IN FINAL M41 CITY OF EAGAN rl 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements Remodel/Repair Rea uirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: Yes No DATE: c r(- i L J CONSTRUCTION COST. 3 DESCRIPTION OF WORK: \ U STREET ADDRESS: 4L I LOT BLOCK LC-( L-'v 11 , n , .4- -1- SUBD./P.I.D. #: PROPERTY Name: t \ \ \J, S Phone #: b ' t ? R - P) OWNER L45T FMST Street Address `,-u City: State: _6 V Zip: 3 CONTRACTOR Company: Phone #: Street Address: License #• City: State: Zip- ARCHITECT/ Company: Phone #• ENGINEER Name: Registration Street Address City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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. Signature of Applicant: V.4-t f +\', C - ? C' \ --i? OFFICE USE ONLY Certificates of Survey Received Yes ' No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex C 05 SF Misc. ? 10 = plex WORK TYPE ( r7i!Gl E ? 31 New ? 33 Alterations ? 32 Addition I ( 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? 16 Basement Finish 12 Multi Repair/Rem. ? 17 Swim Pool O 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous a 15 Deck / o 36 Move ? r m ?7- ? 37 Demolition (,?-7,772-4e-'t?&rz Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code ¢f Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 3 d®® Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SIW Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units REACTIVATE PERMIT A;B I CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION I I 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy caics. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy talcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date N?`''? Valuation of work / SZ?O Site Address: Q C i STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. ' pp P.I.D. M Descri tion of work: Gc?, The applicant is: O Owner 1A Contractor Cl Other (Describe) . Name -7r r;," of )" Phone I Property LAST FIRST Owner Address ID 6?_) ivy-('"v L N STREET STE S City Z CA State Zip Company & c? r L: 1 Phone Ll / - / G! 7 o v r Contractor Address /_')00 ?°} I v? So License #06c) ?-iDLJ Exp. City > f 6?%,L State w\( Zip £ So Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have reed/this ap l' ation and state that the information is correct and agree to comply with a.;l-?applicab S: a of Minnesota Statutes and City of Eagan Ordinances. ? a -. Signature of Applicant: BUILDING PERMIT TYPE O 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE D 31 New O 32 Addition OFFICE USE ONLY 0 06 Duplex ? 07 4-Plex O 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS 0 11 Apt./Lodging .w ? Ba*emeait. Finish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory 0 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 36 Move Basement sq. ft. 1st Fl. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Bed. Trails Bed. Copies Other Total: SAC % SAC Units Valuation: $ CITY USE ONLY r BL RECEIPT #: 3 19,5 SUBD. Zidli?2 ( DATE:/7 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air cond;+ioningLL Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-o Remodel existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 Gas Outlets (minimum of 1 required @ $3.00 each) ? State Surcharge .50 TOTAL SITE ADDRESS: l ? 6 3 / ?ee OWNER NAME: 136 l l "-- PHONE #: INSTALLER NAME: /Z-"F o 12-! c 1«Y. STREET ADDRESS: s3 (S-Z' lz ' - CITY: -?-- STATE/ `rC 1' 2-` ZIP: 2 Z__ PHONE #: ( )? 7 ),S' ,? , CITY USE ONLY L BL RECEIPT #: SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. multi-family buildings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY L BL RECEIPT #: 2$' SOD. 7LW.p z&ekY DATE: //// 0-5 5 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater ,a' Floor Drain Gas Piping Outlet * minimum - 1 Rough Openings Water Softener Private Disposal * Dakota Cty. license U.G. Sprinkler * home under const. Alterations * to existing Water Turn Around STATE SURCHARGE TOTAL SITE ADDRESS: Q ', -&kLk41. a 3.00 x 3.00 x 3.00 x 3.00 x 3.00 x 3.00 x 3.00 x 3.00 x 3.00 x 3.00 x 1.50 x 5.00 x 20.00 3.00 20.00 20.00 / 300 = 3,a0 : 00 .vD .50 for so OWNER INSTALLER NAME: 11 STREET ADDRESS: CITY: STATE: /12W ZIP: g5/°2 PHONE #: (?/a-)5a7 -/?, CITY USE ONLY L BL RECEIPT #: SUED. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings. ? multi-family buildings when separate permits are DDt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE #: SIGNATURE: APPLICANT CITY OF EAGAN CITY OF EAGAN , i NO 84`2 8715 Pilot Knob Rood Eagan, MN 55122 , • PHONE: 454-8100 ?7 BUILDING PERMIT Receipt # °x`30 To be used for SF DWG/GAR Est. Value $76,000 Date Au gust 24 _ 19 83 Site Address 4126 Blueberry Lane Erect U Occupancy R-3 Lot 8 Block 7 Sec/Sub. Hilltop Estates Alter ? Zoning R-1 Parcel # 10-33000-080-07 Repair ? Fire Zone NA Enlarge ? Type of Const. V oc Name Developers Construction Move ? # Stories 1101 Cliff Road Address Demolish ? Length56 C; Burnsville Phone 890-6194 Grade ? Depth 44 Sq. Ft. cc Owner Approvals Fees o Name uU Address City Phone WL Name F _ Address X I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit JU.L. VV Surcharge '38.00 Plan check 180.50 SAC 525.00 Water Conn. 450.00 Water Meter 60.00 Road Unit 250.00 Total $1864.50 Signature of Permittee I Develop s Constrti tion A Building Permit Is issued to: on the express condition that all work shall be done in accordance with 1 1/1 bI Stat f to Statutes and City of Eagan Ordinances. Building Official ??' " CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. r - ' To Be Used For 5 'bw% / 6CCC" Valuation Date Site Address q I OFFICE USE ONLY Lot Block I 3 sec-/sub-4,'t(4 ?544 - Erect )( Occupancy. Parcel #: 0 0 C) O Alter Zoning Repair Fire Zone IVA Owner: Enlarge Type of Const. Address: I tp ( C\J (La Move # Stories Demolish Front ft. City/Zip Code : LJ C k t E 5 .3 3 -7 Grade Depth yam/ ft. Phone #: S' 9 0 - tatqc( _ Contractor: ()U0 t2 ? __ Address: City/Zip Code: Phone #: Arch./Eng.: Address: City/Zip Code: Phone #: APPROVALS FEES Assessments Permit 3l0/ Water/Sewer Surcharge Police Plan Check 2p Fire SACS Eng. Water Conn. fS'V Planner Water Meter _ Council Road Unit 2? s _4 24' Bldg. Off. APC TOTAL 1 9 ` b 10 Certificate for: .Dunn & Curry Developers Conet., Inc. 1101 Cliff Road Burnsville, Mn. DELMAR It SCH AN LAND SURVEYOR r , Inc . Ryittssd UnMM L Of TM It ft of Min . ota I" a 2978 - 145TH STREET W. - sox M Rte. A S NIONII 612 426.1749 ??f f1Ng 30 '- o SCALE: N 10 Z ;? M M Elevations sh are 4-f--0 ' existing 1 q -'? 0 Denotes set wood J ri ab o, A' hub 10 % v E SP ? ? 1724?4o sFA 0 Denotes iron pipe .*-Denotes proposed 1- ) o VD, drainage t ? t 6° --a N b Proposed 9ar,ga f l tic 24 3 •l vati Ito*% 3 9t•s9 `? 3O c? 0 Drainage & utility easommt T c I N. BT N -fee 3Iz' qt* ti I hereby certify that this is a true and correct reprogentation of Lot 8, Block 7, HILLTOP RSTA , according to the re ed plat thereof, Dakota County, Minnesota. Dated: October 10, 1979 Approved for Dunn & Curry Real Istate M gsosnt, Inc. by: Revised to show the location of a proposed house as staked August 19, 1983. A?om "4'o?? MINNESOTA RlEGISTRA ION NO. 8M EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION SITE ADDR ESS: CONTRACTO R: DATE: PHONE: DETERMINE. W ORKING SQUARE FOOTA GE OF EACH: 1. TOTAL EXPOSED WALL AREA,,,..... .? 2. TOTAL ROOF/CEILING AREA....,.,. sq ft x "U" O a 'y 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposedwalY area above floor........ (:::7 s q ft a) Total wall window area: glazed - .?-- sq ft x "U" glazed...... sq ft x 11U11 b) Total door area ..... . sq ft x "U" .. . c) - Total sliding glass door area:' glazed...... sq ft x "U'' bo < glazed....., Sc, ft x "1U11 d) Total fireplace wall area sq ft x "U" e) Total wall framing area (Average 109;) ........... _• / 2 (,> sq ft .x 11U'1 f) Total net wall area above floor (Insulated)........ s q ft x "U" _ ?J q g) Total rim Joist.area...... L? sq ft x "U" Total foundat-ion area (Exposed) ......... sq f t h) Total. foundation window area............ (r? sq ft x ..U.. i) Total net foundation area abo ` d ' ve, g r a eti ....... sq ft x "U,, 3. T OTAL a) thru 1) If•ite m N3 is the same as, or le ss than item fl, yo u hav e met the Intent of S.R.C. Section 6006 (c) 2. ti 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceiling area....,... sq ft _ J} Total skylight area......'. sq ft x Mull k) Total roof/ceiling framing area (Average In o ...... sq ft x "U" 1) Total net insulated roof/ceiling area,... ..,,G..?? .. ;2..,,..,.. sq. ft x "U" 4. TOTAL j ) th ru If total of !1 is the same as, or less than P2 you have met the intent of S.B.C. Section 6606 (c) I. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method,_the values established by the sum ,of items #3 and #4 shall not be greater than the sum of items #1 and #2. YN sI r•' C E R T I F.1 CAT 1 O Pl I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. S1'gnature C()IISI' RUCT I DM R VALUE MALL FRAMING SECTION:, -- - I Interior. air film 3r° r.__i nc'hes soft wood G./ lei . fi Exterior air film . 17 TOTAL, R U 1 / R WALL SECT1011 (INSULATED) f r I ? 1 Interior air ilm MR T "? r' c o 6. Exterior air fi 1m D, 17 TOTAL R U 1R RIM JOIST SECTION: 1 Interior air film 0 6, 8. .42 I ---(6 Exterioh air film O; 17 TOTAL;R = 7 - U- FOUNDATION SECT I ON ' -{1 Interior air film O•fif3r 'A 2 1 E i ai 'f i l 1 xter or r m 0.17 _ a• % ??%? (h _ ?' ?? j .?• , ? • TOTAL R ?•/." U= 1/R =,?- SLAB ON GRADE ? a 66 ' ? . ?' " ~ ' ' • y ' , t. fit , r / // / r,n•i• , • /? ,t 1 -?• ? 7; Q ?• oil AIR. FLOW VENTED 2 3 4 Exterior air film (still n.hl 5 inches soft wood TOTAL R.= • U- 1/R ''•` :':> 1 Inside air film n.?l 3 & At 2 5 Outside air film n,1? '?!'J TOTAL R Nov 15 06 10:58a p.2 HOUSE HEAT5NG TEST RECORD ?r ? / ' ADDRESS - --/2 APT._.,,., Ft nnR CITY OCCUPAhi7 ?+ f r to OWNER 14i=AT LOSS DATE HTc INST. SOLD BY INSTALLED BY Electrical Work By Gas Line 8y TYPE OF HEAT GA FA_HW` STEAM SPACE HTR. tUNIT HTR. OTHER GAS DESIGN CONVERSION MAKE y y ?, Cl - MAKE OF BURNER modoL-?'7. ` - 5eriol "? G ( , J 6 < 7 d Mew- BTIJ Rating 'NPUT - d MAKE OF FURNACE Modal Ci-lERMOSTAT CONTROLS Heat Plug Yont Size - - a _? 07 f 'I Valve K114£1 OF LFN R SIZE NONE ..!snit Droft Hood Reguiamr ` ,limit S*Ming Falters Sim Nare6oe °sn Setting Chimney Location inside Outside 'iiot Type - - Chim C i ney on onSirnct N1ot Molco Mot Model Smoice Bomb Wir;rtg "iiot Timing D F T T rC t est ag _.W. Cut Off Door Pressure Lighting inst. 'rossure Pareant CIO .. 3 _ Dote Tested C...? t cFH_ S%t Percent "?-?- r ] 2 I t Company Testing ) ,?-y • 2 .1 71- tock Tamp.. Percent CO Harrm eF Tester - -235 if City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4126 Blueberry Lane Lot: 8 Block: 7 Addition: Hilltop Estates PID:10- 33000 - 080 -07 Use: Description: Sub Type: e - Fumace Work Type: Replacement Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector, 952- 445- 2840Dave Blaha 1053 109th ave NE Blaine, Mn 55449 763 -572 -1515 dvapex @yahoo.com Fee Summary: Contractor: Discount Appliance 1061 - 109th Ave NE Blaine MN 55434 (763) 572 -1515 Surcharge -Fixed ME - Permit Fee (Replacements) Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $0.50 $30.00 $30.50 Owner: Scott Burhans 4126 Blueberry Lane Eagan MN 55123 -1432 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Issued By: Signature Mechanical EA075734 11/01/2006 ePermit 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