4771 Burr Oak StCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4771 Burr Oak St
Lot: 6 Block: 2 Addition: Oak Cliff 2nd
PID:10- 53551- 060 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
PERMIT
City of Eaan
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Myron L Anderson
4771 Burr Oak St
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA083902
06/30/2008
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 with all applicable State
Issued By: Signature
? CITY OF &,?GAN
; 3810 Pilot Knab Road WATER SERVICE PERIIAIT
i P. O. Box 21199 PERMIT NO.:
Eagsn, MN 55121 DATE:
Zo+Ing:- No. of Untts:
Owrnr: ' T'-
I
? Addrsss:
:
?=?;
Sits Nddress: ? irr ' '' -
- -
-
-- - -- -
{ Plumber. ? `? °- '1 • ? i:?q - - - - -
Meftr No.: ConnecNon Charpe:
Size: /lcoount Deposit:
Reodsr No.: Permit Fee:
1 peM to es?pigr wieb 1w Ckp rf bp• Surcharoe:
Ordiweper.
Mist. Chorpes: ,
-- -
Totol: -
By Dote Paid:
Dote of Irup.: Inap.:
?
CITY OF FAGAN SEWER SERVICE PERMIT
3630 Pilot Knob Road
P. O. Box 21199 PERMIT IVO.:
Eagan, MN 55121 p,1TE;
Zo^i^0: - No. of Units: '
Ownsr: *? _ - -
Address: ?
$ite AddfE95:
Plumber.
1 pne io empip wNi 16o Cihr of Eepw Connection Charpe:
OI+IMIIOp. ACOOUI1f DlpOsif: •
Perm1t Fee:
Surcharya:
Bv Misc. Charpes:
Qate of Insp.: Totai:
I^sP.: Dote Pald:
• CITY OF EAGAN
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT R«eipe
04,000
Site Addresa '
Lbt (' BIoCk c8ClSub. (l r`i'i `T
Percel No.
? Name CU
z
? Address ,
City - Phone Cl 0
? Name
Address
? City Phone
Name
Sipnotum of Pemuftee Erect t{1 Occupancy , . 3
I hereby acknowled9e thot 1 have reod this applicction ond stote that
the inlormotion is correct ond cgree to comply with oll applicoble
Stata of Minnesoto Stctutea ond City of Eapon Ordinqncea.
{
Remodel ? Zoning
Repair ? Type of Const.
Addition ? Ne. Storiea
Move ? Length
Demolish ? Depth 3 n
Int. Impr. ? 5q. Ft.
Install ?
Apoeorals Foee
Assessmenr
Woter b Sew.
Pofice
Fire
PEIo ner
Councii
Bldg. Off. t
APC
Var. Date _
Permit 4 4 J -
Surcharge 5 2 -
Plan Review ?...??...?
Sp,C
Water Conn. ' iA) •
Water Meter -() K
Road Unit 230.
Tr.PL 3?'
Parks
Copies
' Total •,-" 4 r 4. 1 v .
A Building Permit is issued to: ``;"•. ' -'' `•`'?i ' an fhe express tonditlon lhot
oll wo?k sholt be done in occordonte with oll opplicoble State of Minnesota Statutes and City of Eapon Ordinances.
Buildinp Officiol - -
;'.14-731
PKmit No. Pwmit Holdar Osu Tslepbane ?
Plumbinq
H.v.a.c. ` d712.5 3S?G 9 ?
Eloetric
Softamr
Isupaetion DaM Insp. Other
Footings 1 S w $
Footings 11
Foundation
Framing
aooring 9 ?c.a
Rough Plbg.
Rough Htg.
Inaul.
Flreplace
Final Htg.
Flnal Plbg.
Flnal
cervocc.
wete? o.c?ine Loc.eion:
Ws11
Sewer
Pr. Dlsp.
Ropipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
FM
Fill in numbsred sqvmser S/C
Type or Prl?rr /eyib?y Ta.
1. Date 2. Installation Cost
,
3. Job Address ' Lot Blk. Tract '
?
4. Owner ?
?
5. Contractor Phone ;
6. Addreu
7. CitY ? State 2ip "' ?
?
8. Buildinp Type: Residential ? Commercial ? Institutional D
9. Work Description: New O Add ? Alter O Repair O
10. Describe
11.
No• Fixturea
Water Goset No. Fixtures
l/p
C
i
fi
ld
Bath tubs esgpoo
rs
n
e
i
S
T
k
Lavatory ept
c
an
S
h
Shower ner
o
W
ll
Kitchen Sink e
Urinal/Bidet Oth
Laundry Tray er
Floor Dreina
Drinkiny Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codsa governing this type of work.
Signed :
for
Rouyh f inal
Inspections: Date Insp. Date Insp.
This is your permit when numbemd and approved.
Approved CITY OF EAGAN 454-8100
Raoeipt
.
hIIECHANICAL PERMIT
CITY OF EAGAN
Fil1 in numbered spaces
Type or Prinr legib/ y
1. Date 2. Installation Cost
3. Job Address : Lot Blk.
Tract
4. Owner - ? < -
5. Contractor Phone ? . ; ,- • , '- r
6. Address
7. City . - • • ?, t State ? •? , - Zip -?
8. Building Type: Residential 0 Commercial O Institutional O
9. Work Description: New 0- Add ? Alter ? Repair ?
10. Describe Fuel T i -'?
YPg ' +?,
11,
No. EquipmaIIL 8TU • M. Ea.
Forced Air No. Equiument CFM
Air Handlin
:
Mfg. y
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
.? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and oodes governing this tYpe of work.
SI JI)ed : r .'r l,r ? f for
Rouph Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Permit No.
Fes
s/c
Tot ?
CITY OF EAGAN Aemarks
Addition nQK CLTFF M _Lot 6 Bik 2 Par,;4a 5 3551 Wo 02
Owner Street 4771 Burr Oak Street State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1 ?1 312.76 - 1".2 •
' STREET RESTOR.
GRADING
SAN SEW TRUNK
,
SEWER LATERAL
WATERMAIN
WATER LATERAL
N?: 1981 191.1 1 .11 A ?C. a S
/ 9 7
WATER AREA 182 1$ .Q 12,27 1 3,l• S-&
STORM SEW TRK ' O 1979 399-97 20.00 20 6 7 ?
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road
WATER CONN. 500-00 11 19
BUILDING PER, w7m n n
SAC
525
00
PAR K -
CITY OF EAGAN
3830 PASt Knob Rosd
P. O. 13ox 21199
Eagan, MN 55121
Zonirg: .
WATER SERVICE P
PERMIT NO.:
DATE:
No. of Units:
Dete of Insp.: Inap.:
9 ,? y 8 ?
BUIIDING PEI[MIT
SF
104,000
SihAddrep 4771 BURR OAK ST
La 6 elxk 2 seclSub. OAK CLIFF 2ND
Parcel No.
? IName SUNSHINE CONSTRUCTION CO
? A?rmS TH ST W
city APPLE VAL phone 431-2200
oV
V?
Neme SAME
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55127
PHONE: 4548100
PhOn@
Receipf $
No-y,
8S
erect 91 Occupancy R3
Remodel ? Zoning RI
Repair ? Type of Const. V
Addition ? No. Stvries
Move ? Length - 50
Demolish ? Dep[h 38
Int ImOr. ? Sq. Ft.
instau o
Aoorovals F•es
Assessmenr _
V?Oflf b Slw.
Police -
Neme ? 7AP7ES R. HILL INC Firo
pddress 8200 HUMBOLDT AVE SO E„a,
City B LMTN Phone 884-3029 planmr
_
1 hercby ockrwwladpa tFwt I hova reod this opDlication and
the inlormotion is correcf and a9ref.-tP wmply with o?l ,
State of Min?uwta Stotufes and QRyibf Eagon Ordirq3?E
Sipnotum of Permittea
A Building Permie Is Isaued ro: _
dl work shall be doro in ocmrdonee
Bulldinp Offidal
Council
BId9. Off. 8/7/$ 5
APC
Permit $ 443.00
SUfCh8f98 52.r00
Plan Review 221 1d/ O
SAC 5291-00
WaterGonn 00.00
Water Metar ? O a
Road Unit
Tr.PI. 132.010
Parks
Var. Deta I Copies
TION CO rofal $2.216.50
on fha aryreaf eorditlon Ihat
aota Srotutea and Ciry o£ EaOOn Ordinances.
in. s re0uesl voitl 5 5- / 6
?Q 0 6 3 4 59 lfl
Req t Dale. /
?/ Fire No. Rouyh-in Insoection
1
Reeu rod?
ReaAy Now?t"lill Nntity Inspec-
?-....E] ryo When ReadV
Licensed Electrical Convactor , I hereby raquest inspec4on of above - '
? Owner '
t
i
elec
r
cal work instelletl aY
Street Address, Box or floute
%?U.42 City
ecbon o Towns ip Name or No. Range No. County
Occ t(PqINT)
7 Ph
6
Pawer plier Atldress
EI triya
l`?
1in.rac or 1 mpany Namel C)nva .tor' .ice se N=.
?
/
SI % / ?
ling nAddress ICon ctor or Owner MakinO Instnaila?tiojN { r'?
? / ? CJ? /
AuN e SiBnature IContracto /Owner Makinp 1 sta latiun P umber
=e? 0- 3?0
MINNESOTA STATE eOAFD OF ELECTflICITY THIS INSPECTION PEQUEST W(LL NOT
Grip9s-Mitlway Bldg. - Room N•191 gE ACCEPTED 9Y THE STqTE BOAND
1821 UniversitV Ava., St. Peul, MN 56106 UNLESS PPOPEN INSPECTION FEE IS
Phone (612) 297.2111 ENCLOSED.
5 ?C?-Z- REQUEST FOR ELECTRICAL INSPECTlON EB-°° "":`°
.a. , -/?
See instruetions for completin9 this torm on baek ot Yellow copy. 9
?
"X" Below Work Covered by This Request j
ew LAddj ReO. Typa of 6uilding Apoliancea Wired EV?iipment Wired
Home Range • Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heann
Commercial Bidg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm otneF Ver.ifv "er (SVer,ify)
ther peci y Othcr Othi.r
ompute Inspection Fee Below
p Fee ServiceEntrenceSize # Fee eders p Fen Circuits
- 0 to 200 qm s- ?- 0 to 30 Am s
Above 200 qmps --? ps 31 to 100 Am s
Swimming Pool Am?s
=00- A6ove 100_Amps
Transiormers ms l:'Other Fee
Signs ction
TOTA
F
?E
Remarks
L
E
. i L7 r (/ 1
I-L
Noueh-in ( Da??. th ...E'
, a lecvicgl
?spectoq heraby
I r ?.. • ths, Final /rJ ?j r(.??? •
N?dectionhas been? I
fhis repuest vold 18 months trom
- ----------i
? For Offieg ?1se
? Permit#
I ?j1 1
I Permit Fee:
? Date Received:
I C ?
I Staff: I
I ------I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: l Site Address: -7
Tenant:
Suite #:
RESIDENT/OWNER :
N
76Ph
l
o b9EK
1"l
one
ame:
c
.
L
Address / City / Zip: AD ( dJ Uf-P, 64 t? ?-S?
A
li
t i
t
O
C
t
pp
can
wner _
rac
or
s: _
on
TYPE OF WORK Description of work: ?
Construction Cost: Multi-Family Building: (Yes No ?
CONTRACTOR Name: 7L441`"1"64z7j wc. License #: Z0 17 iO Z!!E
Address: LI:A6 F[nN 5r
&
a
E State: Zip:
City:
_
Phone: jo L Z- `d L Z ?`j7 7aontact Person: ! ?OAPQ K
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 su6missiorl type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are, considered fo be public,information: Portions of
fhe informafion may be classified as non-public' if you provide specific reasons that wo61d permit the Cityto
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and wdes of the Cfty of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start itho t a perm@; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of lans.
X i , r R? ?"A41125 t??C? X ? C
Aj5pIicanVs Pri*d Name f Applica Ys Signature Page 1 of 3
- . 1
Clty of EaiaIl
3830 Pllot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (ssy) 675-5694
F ---tf ic-e--Use -----------
? For O I
I
j Percnit #:
? PermR Fee: ?y 7• ? I
? Date ReceivedY6'/28 -UCJ ?
i i
I Staft: L I
2008 RESIDENTIAL BUILDING PERMIT APPUCAT1oN CA l( E6 J
oete: 8 28 74?5 Site Address: LI-7-7I Bv¢xi. OA%c- S'r , Ea?R,a nn,J
Tenant:
Sulte N:
RESIDENTlOWNER Name: MY2oO A+JD7gJI.S00 Phone: Id371 ' "Z' 516-7
Address / City / Zip: 4-111 B U QC, O14'lL- ?•
Applicant is: _ Owner ","Contractor
TYPE OF WORK Description of work: C.o ')apar? 'S'R?G'S ! pRT?O
ConsUuction Cost: 3 i aab t •! Multi•Family Building: (Yes No ?
CONTRACTOR Name: {1)m &VA/tG6S License #: 2_6bZ12_Slo
Address: I ?31a3 L'1/GJI.ti'ST nFR'TYi
Cily: State: mt3 Zp: 55oZ'
Phone:6S1-2A0-OZEO ContactPerson: ?-IQAFP
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy COde . Residerrtial Ventilation Category 1 Worksheat • New Energy Code Worksheet
Category Submitted Su6mitted
(4 SUbmi531o11 type) • Energy Envelope Calculations Submitted
In the lest 72 months, has the Gty of Eagan Issued a permit for a simllar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contrector: Phona:
NOTE Plans and supporting documents that you submlt are considered to be public In/ormation. Portlons of
the /n/ormaHon may be classified as non-public if you provide speclflc reasons thaf would permlt the Clty to
conclude that the are trade secreta
I hereby acknowledge that this iMormatlon is complete and axurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will ba in
accordance with the approved plan in the case of vrork which requires a review and approval of plans.
x `,`'pK_- Ti R+mPP
ApplicanPS Pdnted Name
X ?
App 's Sig e
Page 1 of 3
r
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 76-plex ? Accessory Building ? Pool
? Single Family ? 06•plex ? Fireplace ? Porch (3season) ? Ext. Alt. - Multi
? 07 of _ Plex Q 07,plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebolpergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex rA Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Bu ilding ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water pamage
' Demolition (entire building) - give PCA har'dout to applicant
DESCRIPTION:
Valuation Occupancy L. 19C'- ? MCESSystem
Plan Review Code Edition lrllrl 2 ec?' -7 SAC Units
(25°/a_ 100%? Zoning City Water
Census Code .?? Stories Booster Pump
# af Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
Footings (deck) FinallC.O.
_?4 Footings (addiNon) ? FinallNo C.O.
? Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
Insulation . Retaining Wall
Reviewed By:??????i'? , Building Inspector
RESIDENTlAL FEES:
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
lZC'Pli9C'i^rj t 2?nt 5?0??
Fa
. ?71
Page 2 of 3
Li -1"1 I 1? o 2?Z CIt k.
URVEYOR'S CERTIFICATE SUNSHINE CONSTRULTI0\1
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DENOTES PROPOSED SURFACE DRAINAC,E
SCALE: 1
INCH =
30
FEET
p
- • DENOTES
DENOTES IRON MONUMENT SET
iRON MONUMENT FOUND PROPOSEO GARAGE FLOOR = 970.o FEET
X000.0 DENOTES EXiSTING ELEVATION PROPOSED L01•7EST FLOOR = 963•0
4 FEET
FEET
(000.0) DENUTES PROPOSED ELEVATION PROPOSEU TOP OF 6LOLK = 970-
I I1ERE6Y CERTIFY TO SUNSHINE COIJSiRUCTION TIiAT TIi1S 15 A TRUE AtVO CORRECT
REPRESENTATION OF A SURVEY OF THE 60UNDARIES Of:
Lot 6, Block 2, OAK CLIFF 2NO ADDITION, according to the recorded ptat
thereof, Dakota County, tlinnesota.
IIPIU OF TIiE LOCATION OF ll PROPOSED 8U[LDiNG. IT DOES NOT PUf1PORT TO 51104I IPIPROVEMENTS
OR EtVCROACHMEPITS, IF ANY, TIfERE0t1. AS SURVEYED 8Y ME, OR UNUER MY DIRECT SUPERVISION,
THIS 2ND DAY OF AUGUST , 1985.
SIGNED: J?61, R. ILL, INC.
?
BY:
HAP,OlO L. PETE SON, IAND SURVEYOR
P1INNESOTA LIGENSE t10. 12294
PROJECT N0. BQOK / PAGE JAMES R. HlLL, INC.
85 766
9y/'Z Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenus 6oulh
FO L D ER Bbomington, Mn. 65431 012-004-3029
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0.8 180/ 9?]1160Y2
49 403011d? R1 11.6 10.d4
1.0.0
PROBLFM.
This [niss original ID'. A needs to be stubbed 5-6-0 on
ihe righl eritl es shown. All otherjoints antl metal
conneGOC plates are'mtaot antl nol disNrbetl unless
notetl.
REPAIR:
1.) Restore ihe original camber to IYre tmss antl
support as required.
2.) CerehJly eut back huss 5G0 on the nght ehW as
shown. Remaining p1e1es must be fully iMact and
not dlsWi
3.J Accuralely mt, fl, and inser12x8 SPF C1650FL5E
equal or better new web as shown.
4.) Apply ? ssel metanel to bolh faces o( the truss
with 9d box nails at 2° o.c, sta89eretl In all membeta'N"
intlicales the mintmum number of nails requiretl per
member on eachface. Unless rvtetl othervuise cenfer
gussets about Ihe)olnt.
5.1 ApPly nails per NDS requirements.
. 1 herelrycertifylhatthis plan, specificafion,
18-&0 5-6-0
Z? or report was preparetl 6yme or undef my
5 6 7 6 9
STUB tlirec[ supervision and lhat l em a dury
61 Licensetl Professional Eneneer under
W506 The Laws otihe 5tffie aF Minnesala.
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Read all notes on this sheet and give a copy of it to the Erecting Contractor, cusi: LAmPears LnKe eLmo
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eremce?mnmeyme?po?a?em.?m.a?ra?.?ao?w?ie?yaa?,P;o,ioiama:eo?.metwamvamo?rmustasa+wmmatmemaa .
g
:
TRUSWAL
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m
TCLive 3500 psF
LiveDur L=715 P.15
isimereipasmWmeroaor noo, .e..mmaanaueeommaomsiat:r:ovaawe Wanpaneea?ninqmxt ermny:rhamee,umastmner-
TCSnoi O.OOpst
SnowDUrL.15P=1.15
?SYSTEMS maee. a?mna.nonn m ror ?.ine? auvnon ot com?aruMn memwrs mlvm rmuce buaumq leno. mle comwnemsns? na ne qeo.a In eov
are,ro^memmat wocausememoixurewmamutnevrooetoevreeate% enaorcauaemnnenorprtaPo,nemnFeamm,hrnaie,instarv
TCDead 10.00 ps(
RepMbrBntl/COmplTens
enenxeuicwccinaaomanmwimmeiaw..?mra.,m .Jmm.?acumna?l R•w?'?i?+uez+oayr,nomiruiwaicmmare, . BCLive O.OOpsf 1.15/1.10/1.10
/? I?BuildiOgCOmponenleGroup, lnt. ?qry51rtP11lMGAi-WOWTewLOUntlldAmeiiceSUnEarCChsian RapanvdlNa.'BURfANGCOMGONEMSKEIYMFORM4ilOrv'- 0(]DCBd 10.00 p5( O.C.Spaeing 2-0-0
]MWaYwayFNCqSUTe]90, ArXryfm.TX.1B me51)enOBL515VMIMPRYSHEEiS'[yNRCAentllPl.ilieT?es%a?eI?M1M'utB?TPI?ISICCeh?eI319N,1e¢$b¢et5ure312, _
7RUSPWS6AVER:T6.5.7 aa..nde.e,vansoe r?wmenw?raRra?npaperauoasta???vqii:io.?manmianse..rvw.s.e.,w..ai,xzm. BltlgCotle:IRG2006 OEFLR4TIO:LR4DTGL7180
waeerao?aF e" +?wcniocaemsnow'
? saa?neac?mesaua?rnmoeromm?,a?i.
ow?? ? nu sina aazu? aewr
rNe?ere?eam`iom??a?imrbo ?ane?om
oa aa??for`t?rv 1'a??
een.'4aIor?taco?.nsn?iwr
Mad ROrationyTdemna uceE
wcnecem uss pe' ?aw? are o,??a a"
mti? amwa+u..,wu??mwieci7aa
eoaP1 e? °e?a.ieoi?e ss?e-ina:d`
AlL GUSSETS ARE: 7/16in. OSB APA 5 an Rafed 24/16 Ex osure 1
SHIM JOINT SOLID.
12N
1 N
12N 5X7
a.eo 16"x36"
g 9N
7-11-4 B. D
4X10 BN SHIP
6N fiN
1.SX3
4X8 3X4 5=4X4 4X4
9N
ZO?X4Z?? REPAIR#3
30"x20"
I
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
?-? CLUD 2 ETS OF PLANS
?? 3,CERTIF CATES OF SURVEY
S??OF ENERGY CALCULATIONS
LJ
To Be Used For: 6z&?Valuation: ? p4-,?j. ?`Date: ?
/
Site Address: °90'Y-'1 O-U?U
Lot: ? Block d"-' Seet/Sub
Pareel li `
Owner
Add
CityJZip Code
Phone
Contractor .j /
Address ?
Phone 0 (7(7 ?M,_ OFFICE USE ONLY
City/Zip Code
1'
Phone
Arch./Engr.i_? l.
Address
CitylZip Code
i
rect x
Occupancy
R-3
Remodel Zoning ?-?
_
Repair Type of Const ?
Enlarge # of Stories
Move Length 50
Demolish Depth 38
Grad
eJ Sq Ft
'
_
"
'
?
.?1?Y
eaaunver s
Assessments Permit
A43.
1
°O
WaterJSewer Surcharge 5Z. '=
Police Plan Review yl s°
Fire SAC SZS. ?
Engr Water Conn 5op. `=
Planner ter Meter
? a
Council . 1
ad Unit Zgo, °-°
Bldg Off Parks
• APC rT? Treatment Pl ? 3Z . =
rYariance
?J • TOTAL kp' ? C?
?? t??
2?Y? Z? ? 12?? 54-= 3?13i2
14-- x 22 ' 3a? ? s?- 1??52
22 x 22 = g?4 x 1? - 5324
2?,? 2? = 7 z? ?? t= z? n q-v
1(D 3`? 4?
.,
,
SURVEYOR'S CERTIFICATE SUNSHINE CONSTRUCTIO?
?
?
1 ? ?? -- qµ.5 4
Z ?
?. n Igs 333 ° A
? 09 r
c ? N14°46148
30, - p
pY-, : ? i
O
? s` LOT v
I h ? ? f ?11M WA ?
3 ? `` ?'AF? ?'Y9 6 U)
? ?' ?0!3 \>?* -1 ,
o h. a _ ?o ? 70
o \? ?. p63; m
z y sF?? rr''???
r
STO y ? 1? ? _ zI1.,z ; ? 41.51
40-02 9j73 a
_ N 79 Z I
_ I 30
?
i
r
?._ DENOTES PROPOSED SURFACE DRAINFtGE
O DENOTES IRON MONUMENT SET SCAIE; I lNCH = 30 FEET
• DENOTES IRON MONUMENT FOUND I'ROPOSED GARA6E FLOOR = 9-7o.o FEET
X000.0 DENOTES EXISTING ELEVIlTION PROPOSED LOWEST FLOOR = 96 3•0 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF DLOCK = 97o,4 FEET,
1 I1ERE6Y CERTIFY TO SUNSHINE COIVSTRUCTION TI1AT TIiIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE UOUNDARIES OF:
Lot 6, Block 2, OAK CLIFF 2ND ADDITION, according to the recorded plat
thereof, Dakota County, Hinnesota,
AND OF TAE LOC/111DN DF A PROPOSED 6UILDING. IT DOES NOT PURPORT TO SH041 IhiPROVEMENTS
OR EIJCROACHMENTS, iF ANY, TfIERE0P1. AS SURVEYED BY ME, OR UMUEI2 MY DIREC7 SUPERY1510N,
THIS 2ND DAY Of AUCUST , 1985.
• SIGNEti: djW, R. ILL, INC.
?
8Y:
I{qPOLD C. PETE SOW, LA17D SURVEYOR
MINIVESOTA LICENSE P10. 12294
PROJECT N0. 900K / PAGE JqMES R. MILL, INC.
85766 9y/7z Planners / Engineers / Surveyors
FILE N0. 8200 Humboidt Arenus 6outh
FOL DER Bbominpton, Mn. 66431 612-BU4-3029
. CITY OF BUILDIN(3 DEPAR7MENT
EXTERIOR ENVII,OPE AVERA(}E l'U ti COMPUTATION
(To be subr4itted with buildittg permit application)
One or Two Family Dwelling Owner
All Other Site Addreas
Contractor Jvlwl.? oNST Date Phone
LINEAL FEET OF
EXPOSED V1ALL 5iF'?
?ee
?S?S
?
Pt. abov e grade =
•?
a TOTAL E}L°OSED VVALL AR^.A SQ, FT.
l
0?AqUE WI:LL COb:STRU:TIOPi: "Ull Value
x Area
Detail NmMt "Ull
•?-3 x SQ Z
o99
FT
56
90
Z$(U)(A)
- . ,
•
.
•
i.
re:erence 661de- ' •098 x
"U" SR FT
20/
84
19
753 (U) (A)
_ . .
,
=
-
from P-l "" "u" . o4,d x SQ zis
FT
so
g
[
z(U) (A)
. ,
.
=
.
-
attached ??U?? x SQ FT
(U)(
)
. , _
A
sheets ?rU" x SQ FT
(U
(
)
. . _
)
A
U
(
)(A)
ArINDOSVS: "Ulf Value x Area
Make & TYpe
n IHSrx• CS,wfT npn . 4$ x SQ. F"P. '/S
7•$P= 75.7 M(A)
n
n n nUn
X
S@. _
FT. = IU)(A)
njj??
x SQ, FT, _ M(A)
nun x SQ. FT. _ (U)(A)
DOORS: "IIll Value x Area
.rIa:te & Type
n
_
S7P-•
uUn
s SQ
.
00 -
FT.
49 (U) (A)
n
„ „
?
_ '47 x
SQ.
FT. 04, 39.4i?(u)(A)
u n ??
ll
x
U 8@. FT. _ (U)(A)
n
n
x SQ, FT. _ M(A)
TOTALS Z$O$,vo SQ, FT. Z40_77 (U)(A)
AVERAQE "IIlf
TOTAL (U) (A) VALUES 7]
DII/IDED BY TOTAL 6'iAI,L AREA Z •O?'jS
AYFRA(3E "Un ?S•Oa
15 r less for 1&2 family dwellinga
ROOF/CEILINQ:
TOTAL AREA: I03(o ?
Detail reference ? _iiUff ,OZ3 x SQ. FT. /03(0 = Z3.SZ(U)(A)
from
attached sheets. nU??
??U?? x SQ. FT. . (U)(A)
Describe openings
nuti x
x SQ. FT. a
SQ. FT. _ (U)(A)
(u)(p)
in roof, nIIn
x
Sq. FT. _
(u)(A)
TOTAL M(A) VALUES DIVIDED BY Z7?.gr
? TTdtl.4j 103ro Z3.8ZCVYA>
t
TOTAL R00?/GEILITIC3 AR=,A fO3(p -OZ3
AVERAC}E "U' .025 or ventileted roofs.
?
11 IJoKK
C9Ros5 E Pose Wi*-L
/7. S X (24,tZ6+LS+ZF,)-
9•s x (,zz*zz? -
8•o x so =
S.v X (lo+lo? _
Codc..
. (oT X (SO t5o t ?(otZCo? _
so x (rotIo) _
5k- eT //
!t 89v.c?
400.?
) oo. oa
Z$oS: oc? ?
ror.$4
rca.o0
Zo1.84 ?E-
?'?r,s+ 5ot5T
•S3X ($lot5lat52+52+4¢?
w1NDoWS
I?nX 3Cv = +.o X Z= S, o0
14x 4z = r.o x 4=L rs•oo
Zo x 9-S = lv. 7 X !o = 40. ? o
ZvX !oo = $.¢ X 4 = 33.?oD
t4x 48 = g.o X (a = 48.00
Dcc,RS
3° S7C.• W/S.C.
(o° Px-n o c 2
Z ? Srz- . s---,e
= Z$.oo
= 84 00
? Zt,on
I57 Sa ?F-
gET FX,?? Eqopk,S
??6-5??- toRt-f-- 1,90s.?
GEs"" code-, zo1. s?-
?t ?',•s7. z1s. so
n YIDw'S 157. $O '"7?$.?'
? bOOR?S 133.00
?o99s? ?-
7F
Z6 XZ8 =
/4X Zz =
7zg.oa
309. oc7
1 ,03&.00-tv
? , • ' --WALL SECTIO --
Determ;ining ??U?? values at Roof, Wall, Rim, and Conc. Block
ROOF/CEILING S,R1 VALUE
1.) Interior Air e'ilm 0.61
2.> 5/8?? ayp. Ha. .56
3.) Insulation 4p op
4.1
5.) Exterior Air Film .61
tSTILL)
uUu = 1?R= .023 iOTAL ?R)= ?'?-7Pj
WALL
6.) Interior Air Film
7.1 ?" GY1?. Bd.
$,) Insulation
9. ) ZS/;z'? 8v?cT-'?-rTE
10. ) I?Insonite Siding
11.) Exterior Air Film
(R) V{'iLjJE
o, 68
.45
19, o0
Z?b?
.17
,?II?? = t/R= •O`?z? TOTAL (R)= z3.o(
?
RIM
12.) Interior Air Hilm
13.) Ittsulation
tq.) 2'? Fir Rim Joist
15.) z?3Z?? g???-r-K?r?
16.) Masonite Siding
17:) Exterior Air Film
(R) VALUE
0.68
lg.oa
1.88
2•?4-
.67
.17
nIIn = i/R= .O?G? '1'OTAL ?R)= Zg.RiLj.
FOUNDATION
18.) Iaterior Air Film
t9.)
20.)
2i.) 12" Coacrete Block
22. ) ?? ?i? INS?•
23,) Exterior Air Film
?} VALUE
0. 6$
1.28
00
:17
??U?? _ ?IR= .oqs ToTa?, ca>= )0./3
???2q3
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
$w. u-o
New Canstrudion Requirements RemodellRepair Reauirements CNf? Use (3nCti
3 registered site surveys shaxing sq. if. of lot, sq. it. of house; and all roofed areas 2 copies of plan ?&rlatSuHey ReGd ?: V..._ N
(20'k maximum lot coverage allowed) 1 set of Energy Calcula5ons for heated additions TrOE PFES FMen Reaf :;, Y_ N;
2 copies of plan showing beam & wintlow sizes; poured found design, etc. 1 site survey for additions & decks Tree P[eS ftpWpitEd !-: 1€ N
isetofEnergyCalculations Addfi'on - indicatei(onsitesepticsystem D?-silCSepti?SySEe?h ._Y,:..,N'
3 capies of Tree PreseNation Plan if lot platled afler 7l1193
Rim Joist Delail Options selection sheet (buildings wilh 3 or less units)
Date 3 ?
a? 4^
Construction Cos 0
Si
Add
te
ress UniUSte #
,
Description of Work
Multi-Family Btdg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 1? Telephone #(6 5(
Contractor -?? 8 ?? a a a 10 ??/
Address
ss ?a
Citv
'
State Zip,5-.5417 Telephone # (26 -3)
COMPLETE Tt11S AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Rules 7670 Cazeeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope CalcuiaCtons Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If SQ, 25% plan review
fee applies.
Licensed Plumber
Mechanical Confractor
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 plan in the case of work which requires a review and
approval of plans.
Ke ?? ,?-
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plpac ? 16 Fireplace ? 21 Porch (3-sea. ) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 OB-plex ? 18 Dack ? 23 Porch(screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New Q 35 Int Improvement ? 38 Demolish IMerior ? 44 Siding
? 32 Adddion ? 36 Move Building 0 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Ooors
? 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
REQUIItED INSPECTIONS
_ Footings (new 61dg) _ FinaUC.O.
_ FooGngs(deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundalion HVAC
Drain Tile Other
Roof _ Ice& Water _ Final _ Pool _ Ftgs _ AirlGas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ RI. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connedion Charge
S&W Permit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
? ?- 3830 Pilot Knob Road, Eagan MN 55122 ?3b 5 U
',?: e-7 Telephone # 651-675-5675
,. ,
Please complete foc single family dwellings & rownhomes/condos when perrivts aze required for each unit '-'Date // / 65/ cy ,
Site Address Y771 IgUYr 0 QlC ??• Unit #
Property Owner y' *t? -ru n Telephone # ( (o SI ) ?Z+ S) -7
Coutractor ? c
A ?'
Street Address ?
? Z ?..? ??? u //-? 4lr J • _ City 11 U'"nsv
12 1
/)'j A? Zip SS337
? Telephone #(?JS Z-) 7 YG?- s7?'J
State
g.? yc?? ? Ea ires: I 2 Z. a S
Baod #: p
The Applicant is _ Owner ? Contractor _ Other
Add-on or alterat ion to existing dwelling unit $• 30.00
? furnace _Additional ?Replacement
S' \
_ air excha nger 41011
4
air conditioner New Replacement
\ ?
Z0nQ
other
- \
`
ti
? .50
State Surcharge
3?
$
Total
I hereby apply for a Residential Mechanical Pernvt and aclmowledge that the informa6on 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 tUis is not a
permit, but only an applicarion for a permit, and work is not to start without a pernvt; that the work will be in accordance with the
ap in the se oF work which requires a review and approval oFplans.
2?w1 `,07?11 ?? ?---;
pplicant's Pnnted Name Applicant's Signature
. • 2004 RESIDENITAL BUII.DING PERMIT APPLICATION
City Of Eagan
(p'?jg IT91 3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
A '-?O.c) (-New ConsUudion RflauiremanLS RemodeUfieoaQ Reauiremenis
3 reg'iste2d site surveys showug sq. it of bt, sq. R of house; and J roofed a2as 2 capies of plan
(20% maximum lot coverage allowed) 1 sel of Energy Calalations for healed additions
2 copies of plan slbwmg beam & window sizes; poured found desgn, efc. t stte survey for additions & decks
1 set of Eneigy Calculetions Addi6on -indicafe d onsite seybc sYstem --
3 top'res WTree Preservation Plan B bt platled afier717l93
Rfm Joist Detail Opfions selectlan sheel (bldgs wllh 3 or less unifs
Date '6 / I -? / (J"1 ?
Construcnoa Cost 3`(c20
SiteAddress Fr5i UnfflSte #
t
Description of R'ork
M
ld
Bld
F
il
Y? 2
u
-
am
y g _
N Fireplace(s) _ 0
Property Owner M-1 I0 >D•Aj Telephone # ( (Q??) ?Z' S?J7
Contractor
Address Cily Bll? lu
State Zip S6l ) Telephone
COMPLETE THIS AREA ONLY IF
Energy Code Category - r`4wnesota Rules 7670 Categorv 1
. Residential Ventllatlon Category 1 Worksheet
(J submission type) Submifled
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Y_ N If so, 25% plan review
Licensed Plumber Telephone #{
Mechanical Contractor Telephone #(
Sewer/Water Contractor Telephone #(
I hereby apply for a Residential Building Permit and aclnowledge that the informa
that the work will be in conformance with the ordinances and codes of the City o
5tatutes; I understand this is not a pernut, but only an application for a pe t, and
permit; that the work will be in accordance with the approveAplan(i?Ahe c e, woi
approval of pl
7WJ * w! 5 d
ApplicanYs Prin ed ame Applic t's Signa ' e
A NEW BUILDING
Mivnesota Rules 7672
• New Energy Code Worksheet
SubmiUed
?, Al,!4 1 8 2004 I?
ig is complete and acLate;
Eagan and the StateMN
`out a
which requires a review and
RESIDENTIAL
BUILDING PERMIT APPLICATION a-?
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
, 651-689-4675
New Construction Retiuirements RemodallReuair Reauirements -
. 3 regis[ered sile surveys showing sq. ft. of Ic4 sq. N. ot house: and ail roofed areas ,•2 copies of plan . :
(20% mazimum lot coverage allowed) • 1 set of Energy Catculations far heated adtlitions
• 2 wDies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for e#enor addifions8 decks .
• 1 set of Energy Calculations . Indicate if home served 6y sepGC 5ystem for additions
• 3 copies of Tree Preserva6on Plan if lot platted after 711193
. Rim Joist Delail Options seieGion sheet (hldgs wiN 3 or less units)
DATE 10 1311?2 VALUATION#I Z.1.Q00 Ou
yn?, J UIrI- OA k ft• '?OAGYl SMULTI-FAMILY BLDG _Y _N
SITE ADDRESS f3
TYPE OF INORK !\Z'SI d-e WI'F{'1 YI YI?I I. FIREPLACE(5) _ 0_ 1_ 2
APPUCANT ??y??`$kUn
11lRaG198d- Ddvo
STREET ADDRESS Apple Valby' MN "124
CITY STATE_ZIP
TELEPHONE # M Lk'al2"HWHONE # FAX #
PROPERTY OWNER k?I Y 4ki ?J UI e r14'4Cvim TELEPHONE #?P"5
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NfIVNL:S(YI':1 RL'I.1:S 7670 CA"CEGnRI' I MIVNESOT.1 Rl'LES 7672
(d suhmission rype) . Residential Ventilation Category i Worksheet Submitted • New Energy Code Worksheel Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: __
PlumUing system includes:
Mechanical Contractor:
Mcctiviic;il ,N•slcm includrs:
Sewer/Water Confractor:
Water 5oftener _
_ Water Heater
N0. oF Baths
Air Conditioning
Hkal Rccovcry Systcm
Phone #
Fee: 590.00
Fcc: 370.00
.1 ?1 n rl?r.
Phone # 7^^'7 ?
u?! ?iI hereby acknowledge that I have read this application, state that the information is'correet-Qnd ogree-tq comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appltcant v ` -
------ _------- --------------- __---------------------- __------ --------------------_.._--------__.-°-
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4l02
_ Phone #
Lawn Sprinkler
No. oF R.I. Baths
RESIDENTIAL
' ? ? ? BUILDING PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILOT KNOB RD, EAGAN MN 55122 ?
651-681-4675
o?
New ConsUUCtian Reuuirements
• 3 regislered site surveys showing sq, k. ot lot, sq. R. of house; and ali roofed areas
(20% maximum lot wverage allowed)
• 2 copies of plan showing 6eam & window s¢es; poured found design, etc.)
• 1 set of Energy CalcNations
• 3 copies of Tree Preservalion Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 arless units)
DATE CI J?? ??
RemodeVReoair ReouirernaMs
• 2 capies af plan
• 1 set of Eneqy Calculadons for heated additions
• 1 site survey for eztenoraddifions 8 decks
• Indiwte if home served by septic system tor additions
VALUATION ? (0060-t
DLTI-PAMILY BLDG _Y ?N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS ?-t,.L`i ' J iN); zri11,?4
TELEPHONE CELL PHONE #
PROPERTY OWNER TELEPHONE #
---------------------------------- ---------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'I'A RULES 7670 CATEGORY I MINNESOTA RULES 7672
(J submission type) • Residential Ventilatioo Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contraetor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Wacer Softener
Wa[er Heater
No. of Baths
Air Conditioning
Heat Recovery System
Phone
Phone #
in h?P _ r?33 ?
Fee: $90.00
?T (? 1? [,T 1?"
-----------------°---° °-...------° °----°------------------°--------------------° °-------°-- °------------...-°-
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Stptutes and City of Eagan Ordinances
Signature of Applicanf lu"4L
.._..._____----------- _---- -------- ------ _-------- ------ - - -----..___.__..._W.__-------...__ •-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
_ Phone #
Iawn Spnnkler
No. of R.I. Saths
1
Jt ?
C "`r ,k
C ,? ? ? 2/8?
CITY OF EAGAN
APPLICATION £OR PERMIT
-` SELJER AND/OR WATER CONNECTIO:•i
(PIEASE PRIHi)
1) PF?JPE2T`! P,DpRESS:
rFr=Z D S"RIT_'TT_GN: -?
(In, t iock/Sutxiivision or?TaY P ei I.D. Ntamber)
i: E-:IS:':]:i, S'?"RtiC?IURE, D,= G" CRT_Gi:AL ;iiIi.DL`iG
!
P:'?50' 2^.;Iiib:/^?;nOSD
?- Trv
?'::: ? R-1 Si.ICZz' .. rP?t_i.,?
- _' -
__-,
? R-2 DUPLE{ ('IS;KD L'NITS)
? R-3 `IC?v1NIIGYJSE (TF= + [NITS) ( UVI':S)
? R-4 ApAR'!I"=?T/CCLt??1LVIli,%1 ( LTIITSi
? COMM'4C2AL/RETAIL,/OFFICE
? INDL'STRIAL
Q INSTIT[,TI0IVAL/GOV??n1ENT
2) t;PPLICA'NT _ (PLEAS -PRINi)
'
ADDRESS:
CI'I'Y, ST2TE, ZIP:
PHONE-:
,
r
3} PLi,:L.°L?
? ASE PALNi) FOR CITY USE ONIY
NA?
SE: ^
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ADGRESS:
.
12?tY n 1XvtS ?R/? PW?!9ERS L.ICE4SE:
[?l -A'ttve
CI'1"Y, STATE, ZIP: ,T
0 E ired
? ?i?,
PHODIE: c ?,?}fy--Lg%?C??l pLUM6ER LICENSE N 3 3 `,?g]yy? ? t of Reco d
? ,=
arr initta
4) CCCUPP-N7/GSviIIER NAME _
ADDI2ESS :
CZTY, STATE, ZIP:
PHO:IC:
IPLEASE-PflINIJ
S) INDIC=,TE LVEIZCH PEP`-1IT IS BEING RIQUESTID:
? CONC]ECI'ZON 'Ih CITY SEi^7f.i2
? CCNT,v'EX_'PICN To CI11' tJATEFt
? C7I'fEEt (PLI'.ASE DESCR2PE)
f3) L':DiG':E C::::
7) S?=?LRE:
? PI.:ASE I?OLD APPP,OVED PERMLIT FOR PICh-UP Y O:VE OF T,BC%T
4 11E(7VE
??L.EaSE NfAIL APP 4VEp PIIZMIT 'IU 1, Alne)
(Ci Drl'I'E: 8-6? 8-6
.... ? a[ ??asa-a?:r? ar s? r:aca?:a im.s Ma p.ot?m:.eea:?sr? s? sf aei ?Qarsaac sa
F O R
PE??%iIT = ISSUED
C I T Y [l SE ONLY
FEES : $
s L3??
S
$
$ ?
$ %(C?
$
$ ?.zS- lL
S
$
$
$
$ ??2•?'ci
$
S°:^iED n?o,ITT (I`iCI.-jDE Su?CH:-: G3)
WATER PERf1IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSID=- REhDER
WATL° TAP (INCi,UDE COR?ORATICV 5':CP)
S°;9E° TA?
ACCOUNT uLPOSIT - SEP:ER
ACCOUNT DEPOSIT - WATER
WAC
sac
TRuVic WarER ASSFSSME:IT
TRliNK SE?JER ASSESSMENT
LATEP.AL BENEFIT/TRUNK SESVER
LATERAL BEA]EFIT/TRUNR WATER
i
OTHER
TOTAL
ANiOUNT PAID/RECEZPT
DOES UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGI3T OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
' PUSLIC ROADWAY" MUST SE ISSUED SY THE
?NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJEC'S TO TIIE FOLL0:9IING CONDITIONS:
APPROVED BY:
L- '
TIT?,E:
DaTE :
Ue i?w
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION *?!o '?-LD
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete £or. single family dwetlings &[ownhomes(condos when permiLS are required for each unit
Date--?/?!
Site Address y? ?? 4?U?Q ? ?O/?. U r• U nit #
Property Owner Zo r! r Telephone #(?/ L- s/ m'
Contrsctar ANGFI
I AiRF nur
..
12233 Nicdd AveiWe S" .
Street Address ? e, ?(" ?$?7 ? I _ City
.
7Me? 552-746-5206
State Telephone # ( )
Band #: 91? y g? y Expires: Zi 01
The Applicant is _ Owner ? Contractor _ Other
Add-ad or alteration ro existing dwelling unit $ 30.00
furnace _Additional _Replacement
' air exchanger
air conditioner New R eplacement
? other ?it.e ? Gad?uyp
?
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 onty an appGcation 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.
/?%D' ?f?,.i ?---
Applicant s 13rintedName Applican Signature
-- ------ -
? Permit#: •?
I PermitFee:
I
? Date Received: -
? c
? Staff:
L ----------------
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:
Tenant:
Site Address:
/
Suite #:
?
S /
RESIDENT I OWNER Name Phone:
Address ! City / Zip: ? 7 7/ 6,??
CONTRACTOR Name: License#: /'P'''i
Address:
City: N 0-t? r3r ?a ? vU9 d? ' State: bl-t ? Zip ?_?/ ! -Z-
Phone: 3aU Contact Person:
TYPE OF WORK _ New _ Replacement _ Repair ,?_ Rebuild L/ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTlAL
Water Heater _ Water Softener
Lawn Irrigation \z Add Plumbing Fixtures
? RPZ /_ PVB) (_ Main _ Lower Level)
SepticSystem _WaterTurnaround
New
Abandonment
RESIDENTlAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
'Water Tumaround (add $147.00 if a 5!8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this informatlon is complete and accurate; that the work will be in conformance with the ordinances and codes of Ne City of
Eagan; that I understand this is not a permit, but onty an application for a permit, and work is not to start wifhout a permik that the work will be in
accordanc th the approved plan in the case of work which requires a review and approval of plans.
x
plicanYs Printed Na e ppplicanYs Signature
,r NY`?v'y
FOR OFFICE USE RevieWed,By ?` ?ate
Reqwredlnspections; UnderGround Rought€r R Aii???'st?,,(? i Gas`Test§j
•?-:? ?,??? :a?.,i v. .' . .s`?fi?,i.__ ,-'-.15I._,.'?k.r?.s?rt.ii. _ i.'.talH?ik4'?t??:7„ ..__ atY?.aix.PS,. ...?.. ?' _
-------
I For Of6`t;e Usa
? PermR#: 4"'?? 1 I
I PermitFee: O,`t ?
I ?
? Date Received:09 - // . 08 ?
I Staff: I
I ------------------
2008 RESIDENTIAL
Date: ? 08 Site Address: _tj?
Tenant:
Suite #:
RESIDENT/OWNER Name:1"1Y'(W Phone:4?Jl??37_`-.a6_7
Address / City / Zip: st ?
Applicant is: _ Owner 4!? Contractor
TYPEOFWORK Description of work: hA& tL?j
'?kJ??l?v:L?°f'??1?
B I
_
_
Construdion C
ildi
??
lti
F
il
B
Y
N
?
i? 16r?
?1 M
os
-
am
y
u
ng: (
es
o
?
u
o
?
CONTRACTOR Name: 4/TLA461i65, INlC-r License#: -] Ie)
Address: J? ?' ? L.•? n
l ?
City: St te:
Zip:
Ph
l L- ?I ?
y L? ?
? lz-K
one: Ics
-
Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
C8Y@gOry Submitted Submitted
.(? submission type) • 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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submii_are considered to be public informafion. , Portions oi
the irtformafion may be classified as non-public if you provide specific reasons thaf would permifthe Cify to °'
condude thaf the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in wnformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a pertnit, and work. is not to staR itho a permR; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval o plans. '
XI (? 11ZARk ZJVJI7EY"PW! I'\L? 7C I
plicanYs Pri d Name Applicar?Ps Signature /
? ( Page 1 of 3
BUILDING PERMIT APPLICATION Caeec?
I 'i:? . .;n n An v ??? r°"-7" C? `;'-3
,
DO NOT WRITE BELOW THIS LINE
sug rvPes
? Foundatian ? 05-plex ? 16•plex ? Accessory Building ? Pool
Single Family ? 06-plex ? Fireplace ? Porch (3-season) . ? Ext. Alt. - Multi
? 07 of _ Plex ? 07-plex ? Garage ? Porch (4season) ? Ext. Alt. - SF
? 02-Plex ? OS-plex ? Deck ? Porch (screenlgazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES 6&N' 0.(:Moi.(i I 6?6n(7fJnt GZi??
? New ? Interior Imp rovement ? Siding ? Demolish Building'
? Addition ? Move Buildi ng ? Reroof ? Demolish Interior
'Sa, Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
" Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation
Plan Review
(25%_ 100% -41
Census Code
# of Units
# of Buildings
Type of Const. ?
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Occupancy / t iliY MCES System
Code Edition SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Sprinklers
Width
Fireplace:_R.I. _AirTest _Final
? Insulation
Reviewed By: I ?
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
Copies
Total
Sheetrock Meter Size:
Final/C.O.
? Final/No C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
?•? ???
1?t ?00
Page 2 of 3
Use BLUE or BLACK In , (�
r For Office Use
My
t�- ! _ .LPermit#: 111 f W of EaRall �,� -o
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED Date Received: /
Phone: (651)675-5675 !U
Fax: (651)675-5694 MAR 3 0 201 ' Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
C � 5 Q'7
'fi 1Name .1(iA ,� xJ 'lA-/1 ci(�„QSo� Phone:
V J /� / n/�
owner U Address/City/Zip:[ 77 ( iJ t 1 k�'� ) j 'eye S ��
i 0,
iA li n i
pp cats: �� Owner Contractor JOE:) ,
Type of Work
iI
Description of work: F/'\77)thi y��, SO co t
1 1 Construction Cost:02 a0 y 6 l Multi-Family Building: (Yes /No )
�, 1
-; Company: � �i<%(j S /CC )CU-L I r Contact:136
1
Contractor 1 Address0 - $ �j/c( ` ill ` e- g City: 6- 0_ '/
State/ Zip: > '7 Phone: 6 //% Email (/Q/'' , eA cm e q f('�`aj �G l
1
...........,
..! 1 License#:r 71 / g Lead Certificate# /' 6 /� '
If the project is exempt from lead certification, please explain why: C e/ '
1
....__ _ .."... _
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 yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
' Fire Suppression Contractor: Phone:
I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
1 the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets. ;
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.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin. 'ode st be completed within 180
days of permit issuance.in/
`
x itrialt— > Al x i 2
Applicants Printed Name A.• ant :nature
Page 1 of 3
0----771 e,,,,,4 OA Do NOT WRITE BELOW THIS LINE /Lit -62 S
SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration (Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex y Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building _ Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 1 / CID 0Occupancy MCES System
Plan Review Code Edition i ,// ' SAC Units
(25%_ 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction VAWidth
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/ No C.O. Required
Foundation Foundation Before Backfill ic HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
X., Framing yr 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows /141-7
Sheathing Retaining Wall: _Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 1 Leof , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge '",
Plan Review
lir
MCES SAC ,'l r
City SAC — , 'r, ;?'
Utility Connection Charge r -W
f:3- 69 0
S&W Permit& Surcharge ~ i 5 ) / t
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142522
Date Issued:05/08/2017
Permit Category:ePermit
Site Address: 4771 Burr Oak St
Lot:6 Block: 2 Addition: Oak Cliff 2nd
PID:10-53551-02-060
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Myron L Anderson
4771 Burr Oak St
Eagan MN 55122
B&d Plumbing & Heating
4145 Mackenzie Court NE
St Michael MN 55376
(763) 497-2290
Applicant/Permitee: Signature Issued By: Signature