Loading...
512 77 St WJAN 6, 1992 DATE: RE: 512 77TH ST W (PEDERSON HOMES INC) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. SE R & TER P RMtT CITYE'tAN 3830 Pilot Knob Rd.. Eagan, MN 551224g , DATE DEC enny4iyy? SITE ADDRESS 51.E 77Th _ j LOT 7 BLOCK 1 SEC/SUB OFFICE USE ONLY PERMIT DATE 01/06/92 I f 7- PERMIT # 12469 1 R' I??F.._ ?? i s B.P. RECEIPT # C 016675 t n 17 B.P. RECEIPT DATE 12/31 91 j r PRV BOOSTER PUMP PERMIT REQUESTED APPLICANT: ADDRESS: CITY, STATE ZIP PHONE: X SEWER X WATER __ TAPS COMM; IND X NEW X RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed PLUMBER: PINE PLUMBING Ahead of Domestic Meters on Water Line. r ADDRESS: P 0 BOX 23 Credit WILL e given # t Nleters_ CITY, STATE VERMILLION MN' ZIP 55085 PHONE: 437-9532 AG EE TO COMPLY WITI-I CITY OF OWNER: PEDERSON HOMES INC EAG N ORDINANCE ADDRESS: 3511. 143RD ST W CITY, STATE ROSEMOUNT MN ZIP- 55068 PH NE: 423- !,? d 9 SIGNATURE WHEN METER ISSUED ??)? ALLOTWDAY FOR PROSES*NG. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PMITS, CO,NTAC ENGINEERING DEPT. SEWER,& WATER PERMIT CITY dE'EI GAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE DEC 31. 1991 OFFICE USE ONLY METER # PERMIT DATE 01/06/92 CHIP # PERMIT # 12469 METER SIZE B.P. RECEIPT # C 016675 ISSUE DATE B.P. RECEIPT DATE 12/31/91 PRV BOOSTER PUMP SITE ADDRESS 512 77TH ST W PERMIT REQUESTED LOT 7 BLOCK 1 SEC/SUB BUR OAK HILLS 1ST X SEWER K WATER TAPS APPLICANT: ADDRESS: COMM/IND X RESIDENTIAL CITY, STATE ZIP K NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: PEINE PLUMBING Ahead of Domestic Meters on Water Line. ADDRESS: P 0 BOX 23 Credit WILL f e given f e t Meters. CITY, STATE VERMILLION MN ZIP 55085 PHONE: 437-9532 AGREE TO COMPLY WITH CITY OF OWNER: PEDERSON HOMES INC EAGAN ORDINANCES ADDRESS: 3511 143RD ST W CITY, STATE ROSEMOUNT MN ZIP _ 55068 PHONE: 423-3086 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 9 a g 6 ? 2,9 Request ate Fire No. Rough-in Inspection Required? eady Now E) Will Notify Inspector When Ready? Ll Yes No icensed contractor D owner hereby request inspection of above electrical work at: Job Address)(Street. Box or Route o.) cites Section No. Township Name or No. Range No. tf Oc nt (PRINT) nak Phone No. Power Sup er Address Ele a1 Contractor ( ompany N me) ontractor''s License No. Mailing Addr s (Contractor Owner Making Insta tion) C?--? Auth i Sign ture (C tr ctor/Owner Making Installation) Ph N tuber MINNESOTA STATE B RD F EC ICITY THIS INSPECTION REQUEST WILL NOT Griggs•Midway Bldg. Roo 173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., S UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. y. _ f C .rtifirati of Mriuvanij (ttp of (Eagan spa stunt of lU1thU g ,J"prtioa 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: Use Ou amion p/`= Bldg. Permit No. 200()R Occup..cy1 R?1MI Zoning Dimsict RI Type Cc?tst VN owner of pod" IMIM HT'S 1W-"- Add=, 3511 143RD ST W, RR41rMI1NT Budding Add= 512 771H SUx,ury W. B 1. BUR Q HITS' 1ST s 5161,42 ??: Building offiga) POST IN A CONSPICUOUS PLACE REQUEST FOR ELECTRICAL INSPECTION 10 !e 7? K `? 90 03 9 F, ? See instructions for completing this form on back of yellow copy. `°° X" Below Work Covered by This Request EB-00007-OS New Ad Rep - Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Cntractor's e((m??arkks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A ve 00 Amps Signs Inspector's Use Only: OTA T irrigation Booms um Special Inspection 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 OFFICE USE ONLY This request void 18 months from y? 4 86 121, xl?_ NJ xk?L / A. Request Date ... e? I Fire No. Rough-in Inspection Required? ? Ready Now Wiil Notify Inspector Wh R d ? J L es ? No en ea y I yX licensed contractor []owne r hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) 7.7 571 1 Al City f`w &q-Al Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. &d c As 6 n 1 M wiz c. 2? --,p o d'b Power Su plier Address Electrical Contractor (Company Name) Contractor's License No. Mailing dr s (Contractor or Owner Making Installation) /02 Y2.1- 104 6IVAt' 444 c.~ 1` Authonz SWature (Contrac /Owner M In tallation) Phone Number d yz-9-_/,3 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. /,//REQUEST FOR ELECTRICAL INSPECTION See inslruclims for completing this form on back of yellow copy. J VAT-tv 6 "X" Below Work Covered by This Request EB-00001 -08 ?rjdgrNew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps .pu 0 to 100 Amps $ Cft Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms I «,rt? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date rte/ 6 ?, certify that the above inspection has been made. Final Date OFFICE USE ONLY This request void 18 months from Address : 5 12 77TH ST W Lot 7 Blk I Sec/Sub BUR OAK HILLS IST These items were/were not complete at the time of the final inspection. D at : ° Yes No Ins ppctor; Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass ,0 Trail/curb damage Porch Basement finish Deck 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. L White - City copy Yellow - Resident copy Pink.- Contractorcopy ,. ., r?x '. 1'?-gmnB+a.?Maxvrss+- >'nr. ,,?rm,tr t.:,-l„erwyq y^'.z M3!!B``?IN.HlKf't?n??g ?.'?}•^pPBZ?, r?°;mr vrvv :'S!Ft.m.s..;.: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box-21-199, Eagan, MN 55121 BUILDING PERMIT O PHONE: 681-4675 Receipt # To be used for SF Dt G/ A £ Est. Value 4140,M Date 13E' 31 X03 Site Address 512 77TH S7 W I I BUR OAK HILLS 13 Lot Block Sec/Sub. OFFICE USE ONLY FEES Parcel No. Occupancy R1-3 LAI-It R-1 Bldg. Permit • Name PZMSOW 1'S Zoning , (Actual) Const Surcharge low LLJ Address 3511 143RD St V (Allowable) Plan Review $7•x' Z O ROSWOM 1! _71p 3308 City L htories License Phone 423-31M Depth SAC, City o N?'ne S.F. Total SAC, MCWCC !".to S.F. Footprints C O CJ Address On Site Sewage Water Conn City Zip On Site Well Water Meter Phone MWCC System Acct. Deposit Woo License # City Water PRV Required S/W Permit 3Asai_ I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge • information is correct and agree to Co ply with allcabl tale of all, 270.00 Minnesota Statutes and City of E dinnces. ZVI Treatment Pt Signature otPermitee APPROVALS Road Unit 370 - Man" A Building Permit is issued to: L INC Planner Park Ded on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Oft. Copies 3 366.30 Official Variance TOTAL * ,. . Permit No. Permit Holder Date Telephone # v ?? $ 9 ILUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. ? Fireplace Final Htg. Orsat Test Final Plbg. PIbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. 7/,/9 . Deck Final Well Pr. Disp. CASH RECEIPT CITY OF EAGAN,, 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ?t 19 1 RECEtYE. FROM Q*t-ey, in AMOUNT $ ' C c', 3Jed" (}?? ? ?t? 4 J fhr(efoc o0nC. j { ' ?1 d t LARD 100 0 CASH CHECK -7 -7 L-)-f- Lo 1 -7 f3)OC) I -c cam 1 FUND OBJECT AMOUNT Thank You BY 0 16675 White-Payers Copy Yelbw Posting Copy Pink-Fde Copy CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT PHONE: (612) 454-8100 RECEIPT # a I r ' 1T DATE : 9 EH PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------- WORK DESCRIPTION --------------------------------------------------------- FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME• • 4!'" ?"'" (T -,, SUBTOTAL: $y?? SITE ADDRESS: / 77 57, ?t,eG STATE SURCHARGE: .50 L ,y LOT: BLOCK I SUBD. TOTAL: $ 027 a /ll?' _°" SO INSTALLER: ADDRESS: ?J7 A ,L-• SIGNATURE OF PERMITTEE CITY: v .0 ZIP: PHONE ! 3 7- 7 3 #: T SCHRCALDG'HI„ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ----------- ------ --------------- CONTRACT PRICE: -- ----------------------------------------------- FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE = $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE #: (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # ..,.?{ :.?.?......DATE PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNUOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------------------------------------------------------------------------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 3 LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS ` 7 HOT TUB/SPA 3.00 WATER HEATER 3.00 3 LOT: / BLOCK I SUED. FLOOR DRAIN 3.00 3' c / GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 OPENINGS 1.50 ADDRESS OTH ! ,, .r WATER SOFTENER 5.00 CITY:1? ZIP: t? S PRIVATE DISP. 15.00 j U.G. SPRINKLER 3.00 PHONE #: SUBTOTAL S CO ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: $. 5 0 3 QO RCZ DUS PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. --------------------------------------------------------------------------------- CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUED. $25.00 MINIMUM FEE. INSTALLER CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE #: (SIGNATURE) FOR: CITY OF EAGAN 2 000 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ) 1-40t To Be Used For: Single Family Valuation: t'Tt-,"J ti Date: Dec 30, 1991 rftw?m Site Address 512 7-7th Lt. West OFFICE USE ONLY Lot Block 1 FEES Occupancy ) 1 Bldg. Permit _$ 0, 00 Zoning (? - 1 Surcharge 70.e?o Parcel/Sub Bur Oak Hills lot. Actual Const ?/..)•( Plan Review 501,400 Allowable V"1j SAC, City 100, n_ Owner Pederson Homes, Inc. # of stories SAC, MWCC ,_ Length N Water Conn. 0,a Address 3511 143rd St. West Depth 3''? Water Meter 00 S.F. Total Acct. Deposit 00 City/Zip Code Rosemount, MN 55068Footprint S.F. S/w Permit 5/W Surcharge s+ Phone 423-1p86 On site sewage_ Treatment Pl. 01'76,0 On site well _ Road Unit 320. o 0 Contractor Pederson Homes, Inc, MWCC System Park Ded. City water Trail Ded. Address PRV Copies Booster Pump _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL 35 50 Arch./Engr. Pederson Homes, Inc. Bldg. Off. Variance Address City/Zip Code Phone # £ Vl L???. agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. &A nA& 3Z vat boy l&x3 GGsx? lo,ozn Sty-, 3 Z x 3-Z 1 b 2 ?r 12x 3.= 5 Xtp? 1118 u IW 1S'o t 2 &6x fry 7 5r c) kt Z 3` ?, ) o 3. 5 1,v-i z 13q, 2?3 ore l`?ai?' Certif i.cat For Pederson Homes, Inc. Rosemount. MN 55068 155/33 DELMAR H. SCHWANZ LAND SURVIVORS. INC. ReI Under Lawn of The State of Minnesota R E-`'? 14750 SOUTH R013ERT TRAIL ROSEMOUNT, MINNESOTA 65068 612/423-1769 SURVEYOR'S CERTIFICATE Scale: 1 inch = 7bN` y8 Bg3 O = I:s:i: on ip1e14ONG p;RMlr 3830 Pilot Knob ClT ?jF • = usedfor Road,PO E,q*A of f sF Site Adar III- SF P/ ON .eon 21. Lot ass 1 1 -46?S' forti AQV Existing Parcel N Block 7. Value 27 11 1ltp: Recei / /3 p E t =Proposes Secl- b. $ OQp At IIIIII ?e? C?Kte I t141 A I LS ts9 1 Proposed ga ° City 1j, E' H onrng fActua!) ?nst 1 $ FEES Proposed to 21p 5 (Altow}.lgrnt ;. Add -? ''- 68 of s V ms' VN Chy t eqgth, Proposed Phong S.F Total S.F. F SAC, l her # ZJp ootprints City inf eby ack on Site SA 16 C Mir° o1a St p eat a at t have r® ?? On Site were ?go 4ya Cr CG atutes ad ter and and agree to this a MWCC System City of Corn lyn t Signature of P Conn wit and state t Hy Water wafer Afef, ennits, it . • " ^Buil "I Perm all abl ate he gquired pct. the fr i of tester Pump 0-posit applca s ssu bie Stateco, 5woneh tO E g?V Perms i of Mi at alt Des s c. x euildin8 0tfici nnesota Slat u rk shaft be APp S/W Sur ar es and C- of to armor ROygLs r charge Lot f- aE+an da"tte with Planner `sratar ertt pf according to the F?.__= Ordnar>ce$ all council pU , thereof, Dakota County, 0 PIt rt==_??_ ? Btdg, Off. 0 Variance coiwes Also showing the location of a proposed house- TO s a :,? "*+.r DEPT N tutu,,,,,, j I hereby certify that this survey, plan, or report was a °; prepared by me or under 0 i DELMAR H. my direct supervision and t that I am a duly Registered Land Surveyor under I SCHWANZ / the laws of the State of Minnesota. -8625- 12-23-91 Delmar H. Schwant Dated MWamots Registration No. 8825 `°?ni?f S U R??c?a 1P/1 1W ?lJPIlAiO _ _ r. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: ' r ter i t. J 4 1 :1 i Pt INSPECTION TYPE I i=.r? I rsx'? DATE INSPTR. INSPECTION TYPE ?, ffttV}it 4 3 lft DATE INSPTR, q 1 11F;p, IPA E li`io Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date tnep. Commence FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST HHNG 2Z3 GAS SVC TEST INSUL '%o/97 GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG !1llfr ORSAT TEST BLDG FINAL Al6G'f, f BSMT R.I. BSMT FINAL DECK FTG DECK FINAL PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING .,_ ?.aga.,innesota 55122-1897 Permit Number: 031,176 (612) 681-4675 Date Issued: 12/02/97 SITE ADDRESS: 5'12 77TH ST W LOT: 7 BLOCK: 1 BUR OAK HILLS P.I.N.: 10-15500-070.01 DESCRIPTION: INT FINISH - BEORM buildi ng Permit Type SF (MISC.) Buildi ng Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: VALUATION $8,000 Base Fee $137.25 Surcharge $4.00 Total Fee $141.25 CONTRACTOR: OWNER: Applicant WINKELMAN JOE 512 77TH ST W EAGAN. MN (612)688-7344 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 Mn. Statutes and City of Fagan; Ordinances. 4cANT/PEREESIGATURE 1 .SIG 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) c CITY OF EAGAN 3830 PILOT KNOB RD - 55122 6$1.4675 1 New Construction Requirements URe it Reguiraments ?I0 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (Include boom & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) I energy calculations ? 1 energy calculations for heated additions 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE: + I ` g -9 -7 CONSTRUCTION COST: DESCRIPTION OF WORK i !t3 122010 > ©U t„ A -V--f-i" 1511 EET ADDRESS: 5) a- 7??-, LOT BLOCK / SUBD.JP.I.D. #: PROPERTY Name: W lw y vvt A-rj aO e Phone #: 73 y r OWNER Street Address: 5 L2 City: F0.__ State: _n zip:- S CONTRACTOR Company: Phone #: Street Address: License #: City: State: Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licermed plumber (new construction only): . Penalty applies when address change and lot change are equested once permit is issued. I hereby acknowledge that I have read this application and state that the info rrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Q-- ?4 ?y OFFICE USE ONLY Certificates of Survey Received Yes No NX am 1W j MI Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE a 01 Foundation a 06 Duplex o 11 Apt./Lodging a 16 Basement Finish o 02 SF Dwelling ? 07 4-plea a 12 Multi RepairlRem. a 17 Swim Pool o 03 SF Addition a 08 8-plex ? 13 Garage/Accessory a 20 Public Facility o 04 SF Porch a 09 12-plea ? 14 Fireplace o 21 Miscellaneous 05 SF Misc. a 10 _-plex ? 15 Deck WORK TYPE ?? ? 'S'? A&v e- 41 y - l c trd? f3 c? 31 New , ' 33 Alterations 0 36 Move a 32 Addition a 34 Repair a 37 Demolition GENERAL INFORMATION 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. _-14 _F_ Depth Footprint sq, ft. SAC Code _t Census Bldg I Census Unit 0 APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAW Surcharge Treatment Pt. Road Unit Park Ded. Traits Ded. Other Copies i}°% SAC RESIDENTIAL 5 7 Z5 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Con ruction Requirements RemodellReoair Requirements • 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 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 home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE D VALUATION 4 Z 5c c SITE ADDRESSr?`? MULTI-FAMILY BLDG __Y >?N TYPE OF WORK ` OrfJi/1-? G, FIREPLACE(S) 0 - 1 T 2 0 6r- APPLICANT l C STREET ADDRESS CITYO ATE MAI ZIP 5G7020 TELEPHONE # CELL PHONE # ID/ _-b5-7'7 FAX PROPERTY OWNER - OY)Y} n S TELEPHONE # __ __ __ 1 __ COMPLETE FOR 'NW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 ('J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy EnvelopeCalculations Submitted Plumbing Contractor: _ Phone I r= 7Pjg n, i )o Plumbing system includes: Water Softener Lawn Sp- ll L+: .00 Water Heater No. of R.I. FAUG 3 0 2002 No. of Baths Mechanical Contractor: Ph llf # Mechanical system includes: Air Conditioning ® .e: 70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the informatt'pKi is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ` n s Signature of Applicant ------ -------- ------- --------------- ..........._................ _...... OFFICE USE ONLY. Certificates of Survey Received Tree Preservation Plan Received ` Not Required Updated 4/02 Energy Conservation Supplement to Building Permit Application BUILDING AND SAFETY DEPARTMENT This supplement is provided to assist the applicant in computing the EXTERIOR ENVELOPE AVERAGE FACTOR INFORMATION. This information is required so the-BUILDING OFFICIAL can determine that the submitted plans eoaply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6001). It is the APPLICANT'S responsibility to accurately and completely compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specification. as needed to support the 'R' and 'U' factors used; and to assure that coavtruction isac oapliviied per the approved plass. JOB LOCATI t ? 2- 7 7 OWKER(S? Y • l33'1? 5 pB0!{E CONTRACTOR ?? 3__ _ ''?7 ?• T ! Z t C^, PBO? ? _, . A. Determine the Total Exposed Mall Area as-follows: 1. Total wail window area 7- 60 2. Total door area 1 , 3. Total sliding glass door area 4. Total fireplace wall area 5. Total wall framing area (average 10%) Z Q 6. Total net wall area above floor 7. Total rim joist area t . Subtotal: Total exposed wall area above floor ------ ----- -- ---- -------- z- 5'Z_0.,0 8. Total foundation window area 9. Total net foundation area above grade tt 14t Subtotal: Total expand foundation area ------------- ------- ------------ ---------- 1 4-`t ' o GRAND TOTAL EXPOSED MALL AREA ------------------------------------------------------ ---------- 4, B. Multiply the GRAND TOTAL EXPOSER VAU. AREA X .11 IM 1 -z q 3, 04- C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area , l7 li. Total roof/ceiling framing area (average Sit `J r J 12. Total net insulated roof/ceiling area 1 a 3 , GRAND TOTAL EXPOSED ROOF/CEILIiN`: AREA ----------------------- --------------------------- I J ,I, Cl) D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .026 = ITEM 1I r Determine the tU' -value of each sequeut (1-9) and sultipiy by the are to Callow: 1. z 6 g, jy X •u. 2. I VIM 3. I •u• 4. X *u• 5. ,?z- I I Z, g7 I'u' , Off/ = 7? Z, Z1' 3 6. x oug 04-3 7. 1 gut qr @us 9. i t, b I'u' i /0 7 /?5 ADD 1-9 FOR TOTAL VAU. SEGItUTS = ITEK III 4:F1 Detersive the 'U' value of each sequent (10-12) and multiply by the area as foltms: 10. X'a' 11. AV tr1'4 I •U•' - • t ADD 10-12 FOR TOTAL /CEIU SE6!(EJ TS = ITEM IY f , fa G. If item No. III is the same as, or less than Item No. I, you have met the Intent of State Building Code 6006(c)2. H. If Item No. IY is the same as, or less than Item No. II, you have met the intent of State Building Code 6006(c)l. I. Add Item No. I ..3, QE + Item No. Il Z ?• 3. Add Item No. III + item No. Iv ?z/_Z K I It i. e sum of Items III and IY are less than Items I and II, you have mPt the intent of the code for total envelope system. In addition to the above items you may have to add for such items as floors over unheated spaces, such as cantilevered areas, etc. To arrive at 'U' value divide the total of the R values for each segment (as above) into 1,000. Answer you have is the 'U' value for-that segment. Example: A total 'R' of 35.08 divided into 1.000 .028 'U' Z-5'Z,b T PERMIT City of Eagan , Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA159860 Eagan, MN 55122 �= - = = E Date Issued: 01/23/2020 (651)675-5675 Permit Cate o ePermit g ry: www.ci.eagan.mn.us Site Address: 512 77th St W Lot: 7 Block: I Addition: Bur Oak Hills PID: 10-15500-01-070 Use: Description: Sub Type: Residential Work Type: Alteration Description: Venting of the bath fan. Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota Fee Summary: ME- Permit Fee(Replacements) $59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Franek Construction Inc John M Berns 11550 Halstad Ave 512 77th St W Lonsdale MN 55046 Eagan MN 55121 (612)232-9294 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. Applicant/Permitee: Signature Issued By: Signature