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664 Bridle Ridge Rd Use BLUE or BLACK Ink ------------i I I Permit I Cat of E a it, i0i n I I I ~ Permit Fee: l 3830 Pilot Knob Road 1 Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 WIG Staff: j /y 2010 MECHANICAL PERMIT APPLICATION Date: 0' 1s~ t~ - (o Site Address: 6 6 `f 1~ J 1 d G, ~_OC_J Tenant: 7,9 ~f C_ C,n c, Suite RESIDENT / OWNER Name: Phone: A 17- CoO6 (7) '(_7 Address / City / Zip: 6 CONTRACTOR Name: License Address: bgwngs inn-City: t g 15 ',-ast 41 ~ Street z _ t State: Zip: b IZ--l del-f'1 tviinn dP7 ~ P~ 44 Contact: (61 y) bii1:699 TYPE OF WORK New Replacement Additional Alteration Demolition Description of work, ~ Q11 FLt~ acs - L NOTE: Roof mounted and ground mounWrnechanicaf equipment Is required to be so-reeved by.City ,Code. Please contact the Mechanical~f spectbrfdr informatPtin on pert;ttitteld screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace 56 r+ N cp O New Construction Interior Improvement Air Conditioner 2- `rt A PA756 Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) _ o $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5 TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,01011,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateon ,all.or I hereby acknowledge that this information is complete and accurate; that the work will be ' conforma wi t 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 to start t p rmit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x x Applicant's Printed Name Appl a s Si ature FOR &f4CE`f13E IZev»ewed By: Dow. R~uired lnspectioi ~Under ;Ground Rough iq Air Test. Gas Service Test Re* Exterior HVAC Sc ing Inspection.. . Tertifirate of (Orrupattry Citp of (f agan Mpp rtmmt of VWbing Inapprtion 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 follouft: Use Clanifintion Bldg. Plrmit No. Occupancy Type Zoning Diana T)Te Ctmst I Owner of Building Addrem L Budding Addrm Locality I i. Date. Building Offciaf POST IN A CONSPICUOUS PLACE -ATY OF EAGAN Permit No: Date: 5 .9_.` ' 3630 Pilot Knob Road Meter No: Size: P.D. Box 21199 Reader No. Date: Eagan, MN 55121 Owner. Site Address: iI Plumber. Conn. Chg: Zoning: Acct. Dep: No. of Units: Permit Fee: Surcharge: I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. Misc.: By WATER SERVICE PERMIT CITY OF EAGAN Permit No: Date: 3830 Pjlos Knob Road B/P No: Date: P.U. Box 21199 Eagan, MN 55121 Owner. Site Address: Plumber: MWCC: Zoning• City Chg: No. of Units: Acct. Dep: I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. ''IDLE jdG4 1On Site Sewage Occupancy MWCC System Zoning Parcel No. V-N On Site Well (Actual) Const rc Name "F~~gtu City water (Allowable) -N Z Address ' 7 PRV Required # of Stories o City Phone Booster Pump Length Depth 36 1 c Name S.F. Total o a Address Footprint S.F. P City Phone APPROVALS FEES Engr /Assess. Permit u L 2 • 00 L) Name 57.50 -Z Planner Surcharge F3 Address 311.00 W City Phone Council Plan Review 00 Bldg" Off. _ SAC, City 100' I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550'00 ~SQ.OtI information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter 67.00 Signature of Permittee - Road Unit - • , A Building Permit is issued to: (AL C1 LQN Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL ' Building Official------- _.T REACTP'WAD FOR, DECK - 5/89 CITY OF EAGAN JOHN P. GlWANA3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 681-0277 PH ON E: 454-8100 BUILDING, PERMIT Receipt . I To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System Zoning Parcel No. On Site Well (Actual) Const cc Name City Water (Allowable) W PRV Required # of Stories 3 Address o City Phone Booster Pump Length Depth p Name S.F. Total 0 a Address Footprint S.F. P City Phone APPROVALS FEES ~ WWNam Engr./Assess.. Permit e y, , ~ Planner Surcharge _ z' Address 0= Council Plan Review a I City Phone Bldg Off. SAC. City } I hereby acknowledge that I have read this application and state that the Variance SAC. MWCC ` information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter ° Signature of Permittee Road Unit A Building Permit is issued to: _ Treatment P1 on the express condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL Building Official- Permit No. Permit Holder Date Telephone # Plumbing u / r_ ~C' `%i/, H.V.IIC. Q 7G~ Eiectric -2&-gC3 Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. ~t Rough Htg. Isul. 7 P {~iY~'H ~LtiS /LoT ~G4GG+ Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. y . Temp. LP Deck Ftg. GS 9 Deck Final Well Pr. Disp. PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address _ BLDG. TYPE WORK DESCRIPTION Lot Block Sec/S 4 r ~ Res. New - Name ^ Mult Add-on Comm. Repair 76 Address Other c City .F Phone - . 1 FEES Name RES. HVAC 0-100 M BTU -$24.00 C Address " ADDITIONAL 50 M BTU 6.00 3 (RES. HVAC INCLUDES A/C ON NEW p City Phone CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air{~ M BTU D APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent CFM $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # v BEYOND $1,000) Other $ FEE: o+'~S L_ S/C: S V SIGNATURE OF PERMITTEE TOTAL - FOR: CITY OF EAGAN PERMIT # 4 PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block T Sec/Sub Res. New Mult. Add-on Name Comm. Repair Address Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO, FIXTURES TOTAL Name Water Closet - $300 S Bath Tubs - $3.00 c Address Lavatory - S3.00 3 O City r Phone Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - S1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1 50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES / Softener - $5.00 BEYOND $1,000.00) Well - S10.00 Private Disp. - $10.00 Rough Openings - S1.50 r SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: CITY OF EAGAN Permit No: Date: :LA4 Pilot Knob Road Meter No: -Vo-3 0 9-1 Size: P.O. Box 21199 Reader No: d C& 31 Date: Eagan, MN 55121 Owner. Site Address: Plumber Conn. Chg: Zoning: Acct. Dep: No. of Units: Permit Fee: Surcharge: I agree to comply with the City of Eaga Tr. Plant Ordinances. Meter. Misc.. By WATER SERVICE PERMIT ~~5 18~ months from ld //1d/8'Je E 2 6 90 ,5- i Repuest 08te Fire No. ROVAh-in spection ,.y G R netl7 ❑Ready Npw L/J Will Notify Inspec- ~-Q Yes ❑No for When Ready Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address. Box or to No. n City action o. Township Name or No. Range No. Cou ~ kofc:j, Occup' rt (PRINT) Phone No. /)S U}i e 'YJ r L. cn, Pow r Su liar ~ Address cpt<o fe car Ele/c}~~)cal Contractor (COmpa/y~Namel Contrnr.-,t/or"s License No. J Mailing Address (Contmctor or Owner Making Installation) 7~-1 S Ll. C--~L 1. - girl - Autho ed Signature IC raeIor Own eking Installation) Phon Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT 436996-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Pool. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone 16121862-11ROD ENCLOSED. BLDG. PER IT NO. A k a 1-3210 Idg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC T~ 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 22 20-2252 Acct. Dep. 3 C 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL CITY OF EAGAN N0 1513 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 T PHONE: 454-8100 244 -7V BUILDING PERMIT Receipt# J`t To be used for SF DWG/GAR Est. Value $115,000 Date JUNE 7 -19 88 Site Address 664 BRIDLE RIDGE RD OFFICE USE ONLY On Site Sewage _ Occupancy R-3 M-1 Lot 5 Block 1 Sec/Sub. BRIDLE RIDGE 1ST MWCC System X Zoning PD R-1 Parcel No. on site well (Actual) Const V-N x Name SUNSHINE CONSTRUCTION City water X (Allowable) V-N i 2121 CLIFF DR #224 PRV Required # of Stories Address_ City EAGAN Phone 452-0995 Booster Pump Length 56' Depth 36' o ¢ Name SAME S.F.Total ou Address Footprint S.F, City Phone APPROVALS FEES Engr./Assess. Permit 622.00 Ww Name 57.50 i Planner Surcharge X5 Address 311.00 aw City Phone Council Plan Review 100.00 Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00 information is correct and agree to comply with all applicable State of Water Conn. 550.00 Minnesota Statutes and Cily f in a 96 e s. ,f Water Meter 67.00 Signature of Permittee +'~~~jC",✓C~' Road Unit ~5~0 A Building Permit is issue to: SUN INE CONSTRUS..TION_ Treatment Pt _204-00 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official tl~~ -f 11 1 r_ - TOTAL 2,786.50 I _ REQUEST FOR ELECTRICAL INSPECTION EB-00001--e6 Ilf, c See instructions for completing this form on back of yellow copy.; 5 O E `Z& M 3 "X" Below Work Covered by This Request 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 peci y Other IS panty) t er Specity Other Other Momoute Inspection Fee Below 8 Fee Service Entrance Size it Fee Feeders/Subteeders a Fee Circuits rb 0 to 200 Ames 0 to 30 Amps 1 4 0 to 30 Am Above 200 Amps 31 to 100 Amps cm 31 to 100 Am Swimming Pool Above 100 Amps Above 100 Am s Transformers Irrigation Booms r+fZ Partial, nthor Poo Signs Special Inspection $ c 02' TOT Remarks ff '0 f Rough-in I, the c rice) J i Inspector, hereby tastily that the above Final \ O inspection has been made. This request void 18 months from 70q03 ~D. t 1 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New CanatQJdDn Requirements Remade[Repair Reouirements office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd -Y -N (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Soils Report _Y._N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y -N, 2 copies of plan showing beam 8 window sizes; poured found design, etc. AdOon - indicate if on-site septib system Tree Pres Required _ Y _ N 1 set of Energy Calculations On-site Septic System'"" ' y'_ N 3 copies of Tree Preservation Plan 0lot platted after 711193 Rim Joist oetail options selection sheet (buildings with 3 or less units) Mnnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date 1 / Lf / 110-- Construction Cost O 6C Site Address (o ID"1 Unit/Ste # Description of Work Multi-Family Bldg - Y x N Fireplace(s) 0 _ 1 _ 2 Property Owner yolno 1 q C,A h) A Telephone # ( ) Contractor C,0 tY t 1 Address ~~b YJ ~j ~ City \ \ F A), nS l~, State ~1 VV , Zip Telephone # 3 63' 4S S~ 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 (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) J Mechanical Contractor Telephone Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signa r RESIDENTIAL BUILDING Permit Application City Of Eagan //3830 Pilot Knob Road, Eagan MN 55122 7~, 7-1 , Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas 2 copies of plan Cart of Survey Recd -Y -N (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd -Y _N l set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System -Y -N 3 copies of Tree Preservation Plan it lot platted after 111193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Jca^ ' /0,5 Construction Cost ~t^p Site Address b 7 e✓ Unit/Ste # Description of Work /51~re 'Vl, c e qg S Multi-Family Bldg - Y ~X N Fireplace(s) _ 0 _ 1 - 2 Property Owner JOIAi (rigr1 C9 u41 Telephone Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential ventilation Category 1 Worksheet • New Energy Code Worksheet (J 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 Telephone # ( ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pllaans../ ~4.7 / V ~'~~?cgK~'1 Applicant's Printed Name plicant'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 EM. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 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 /--0 "'eTZ IeUP-- - ( g) 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code ~j Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof - Ice & Water _ Final - Pool _ Ftgs - Air/Gas Tests - Final _ Framing _ Siding _ Stucco _ Stone Fireplace -P R.I. PAir Test 4 Final - Windows (new/replacement) Insulation - Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total city of eagan PAT GEAGAN June 17, 2003 Mayor PEGGY CARLSON PERFORMANCE POOLS 1890 WOODDALE DR CYNDEE FIELDS WOODBURY MN 55125 MIKE MAGUIRE MEG TILLEY RE: 664 BRIDLE RIDGE RD Council Members TO WHOM IT MAY CONCERN: THOMAS HEDGES A review of building permits for the month of May 2003 found that you were incorrectly charged a plan review fee for the pool permit at 664 Bridle Ridge Road. A check in the City Administrator amount of $163.31 will be sent to you under separate cover sometime within the next month. If this fee was charged to the owner, you may want to reimburse them this amount. Municipal Center. We apologize for this overcharge. If you have any questions, please do not hesitate to 3830 Pilot Knob Road contact me at 651-675-5671. Eagan, MN 55122-1897 Phone 651.675.5000 Sincerely, Fax: 651.675.5012 TDD: 651.454.8535 Janice D Severson Office Supervisor Maintenance Facility: 3501 Coachman Point JDS/Js Eagan, MN 55122 cc: John P. Giancana, 664 Bridle Ridge Road, Eagan MN 55123 Phone: 651.675.5300 Dale Schoeppner, Chief Building Official Fax: 651.675.5360 TDD: 651.454.8535 w ..cityofeagan.cam THE LONE OAK TREE The symbol of strength and growth in our community CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: PERFORMANCE POOLS ADDRESS: 1890 WOODDALE DR WOODBURY MN 55125 LOCATION: 664 BRIDLE RIDGE RD RECEIPT #/DATE: 45617 5/12/03 REASON FOR REFUND: INCORRECTLY CHARGED PERMIT 59049 VALUATION: TYPE OF REFUND: Plumbing Permit 9001.4087 $ Mechanical Permit 9001.4088 $ Building Permit Fee 9001.4085 $ Plan Review Fee 9001.4222 $ 163.31 SAC (MC/WS) 9220.2275 $ SAC (City) 9379.4681 $ SAC (Admin) 9001.4246 $ Water Connection 9220.3865 $ Sewer Permit 9220.4532 $ Water Permit 9220.4507 $ Account Deposit 9220.2252 $ Water Meter 9220.4509 $ Water Treatment 9220.4685 $ Water Supply & Storage 9220.4680 $ Surcharge 9001.2195 $ Overpayment 9001.2250 $ Curb Box Deposit Refund 9220.2253 $ Construction Meter Dep Refund 9220.2254 $ Other $ TOTAL $ 163.31 I declare under the penalties law that this account, claim, or demand is just and that no part of it has been paid. 6/18/03 SIGNATURE DATE 6J~G~ `L RESIDENTIAL BUILDING r~ ~I J Permit Application City Of Eagan 0,LU eels 1-1103 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RamodeVReoalr Requirements Office Use Only 3 registered site surveys showing sq. fL of lot, sq. fl of house; and all roofed areas 2 copies of plan -Cen of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions _ Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-ske sepfk system _ On-site Septic System 3 copies of Tree Preservation Plan ff lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units J 'S D p Date - / 3 0 / Q-a- Construction Cost )5tx~ Site Address WtA -,-Bpz N r qp Unit/Ste # Description of Work sn't .I 3(a A-~ca4--BTU-"yJ Multi-Family Bldg - Y _~3 N Fireplace(s) - 0 _ 1 - 2 Property Owner 523 14 n) SA~ 0h jAMC,4r,)A- Telephone # 1) 169 I"022-7 Contractor }r37k6A&3c Address ~U rJ W©o6pALE 4--~'Rmygr City ~oda8 C~~ State MAC Zip 4:-~( 25 Telephone # ((C5 ( )-73) ' y 0 L rn.51 -5= -39 .c.{.6 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 (J submission type) Submitted Submitted • Energy Envelope Calculations miffed Licensed Plumber ~9 Telephone # ( ) ~n Mechanical Contractor Ql, TV Telephone ) P Sewer/Water Contractor Telephone 0`J 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 approve plan in the case of work which requires a review and appr val of plans. ` Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex X 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 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 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Yor- w ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PC/A~ handout to applicant Valuation Occupancy L4GJ~ MC/ES System Census Code_ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const I/h! Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ FinaVNo C.O. Footings (addition) - Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests (Final Framing - Siding _ Stucco _ Stone - Fireplace - R.I. _ Air Test - Final _ Windows (new/replacement) Insulation Retaining Wall Approved By Building Inspector Base Fee - Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies a$ Other Total POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS v m GENERAL INFORMATION u a O z a U/ ❑ ❑ Applicant - name, address, phone & fax numbers, signature ® ❑ ❑ Property owner name ❑ ❑ Legal description and address of property Q1~ ❑ ❑ North arrow, scale (1" = 30' or 40') and date flJ ❑ ❑ Location and name of all streets adjacent to property ❑ ❑ Site Plan drawn to scale showing location of house, pool and other existing or proposed structures a ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS / Existing 0/, ❑ ❑ House corners I~ ~ ❑ ❑ Property corners lsd' ❑ ❑ On property lines at point of measured dimension to pool (see below) ❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed l/ ❑ ❑ Finished pool deck corners d ❑ ❑ Top of retaining walls (if any) and at each different elevation (if it changes) ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing 3❑ ❑ All property/lot lines Proposed d ❑ ❑ Pool ld ❑ ❑ Pool plus integrated deck/patio 5 ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house Reviewed: 2 Nam Date G:/rECFVJR 2002/Pw] Pamir Chmklist 1969 BUILDING PERMIT APPLICATION J } t/~ CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS ' COt41ERCIAL 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 CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. !MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER !LUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. ~cK / To Be Used For: Valuation: Date: / Site Address OFFICE USE ONLY Lot S Block Occupancy FEES Parcel/Sub 1 g:DLER: ~ IsrA 1D1~ Actual Const Bldg. Permit "/C- p Allowable Surcharge Owner ~p I / K1142 yc.o, N q a of stories Plan Review Length --7-(7-- SAC, City Address y Iv,~✓(~ { Depth /T SAC, MWCC S.F. Total Water Conn City/Zip Code 2 c G 4~ 7~/SS'1a -aa Footprint S.F. Water Meter / Acct. Deposit Phone Doi 72 On site sewage S/W Permit On site well S/W Surcharge Contractor MWCC System Treatment Pl. City water Road Unit Address PRV required Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council 5~in Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone 9 ;AVEYORJS CERTIFICATE SIENNA (,ORPORATION '•REVISED 5-25-88 TO SHOW A I PROPOSED HOUSE FOR Y SUNSH64E CONSTRUCTION / / ~ZT/v yam&Frgla .7 922.3 y^ TJ?V j ~ 9.00 A922S -19922.99 a/, ~ a _ =h 3633 $ T6 c H \{:Z.~.B.OD /e o \ 919.9 3e h h ..J:B,.;?:1✓::r. ?266 91s.z ~Iti•''6.Cb t to ,N i K RNewAy:a C CqR. 136T ■ 91906 761 O ` M t.... ,;.;...1 A I Inn. 1 a O 10) a3 ff / f PROP O b • O~ M tl.i C) I I T HOUSDp ~.I ~{P 922.9 T tv) YI I N1f 26.33 \h Q. Sl t~ r J I 10 f 1 a 916.3 tfl{~J7 -`J N1 J71 W \ f Nf to (r? 1 Q gyp 1921aL- ,1 9iz.ai M \ 35.06 36.96 918A 156.45 25 S 87 a02'47 1 E - ~ a [~`N 923.5 / x917.0 3./ d E, A U N EXISTING 0USE7I R I- E VVr E D r _ _ ~ "l If ~ ~ \ F-; CD AN DATE / ATE Eprl DENO'fIlll nRgNSpE&I TIQNS DEPT. ACE DRAINAGE 0 DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 92V3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 9/6. 6 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK 97 y.7 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 5'. Block /I , BRIDLE RIDGE I ST ADDITION, according to the recorded plat thereof. Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SH W SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2I ST DAY OF O.RNUI9Ry 1 Se APPROVED FOR SIENNA SIGNED: JAMEER l NC. CORPORATION v BY: z 'C' ~ BY: - HAROLD C. PETERSON, LAND SURVEYOR DATEDf MINNESOTA LICENSE NUMBER 12294 CIO ~ ~o 0 ~o U O~ D James R. Hill inc, Z W " 0 ° m z PLANNERS / ENGINEERS / SURVEYORS -n r\ Z c •o 01 O m y < 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 P N all O O SURVEYOR'S CERTIFICATE SIENNA CORPORATION REVISED 5-25-88 TO SHOW PROPOSED HOUSE FOR SUNSH14E ODNSTRUCTION Q ?S 0-7 0 / • OO 9223 /1' x9228 -,922.0 . 8 \R y 36.33 S ?e p n / .00 Or$6` 919.9 v 3e C .h t' to re!7.. ?ZS6 2.7~-1~:•g 918.2 ~ n, o , ,trtp+,ra~..AY c GAR. J36) . 919 4,,01 Oil 10.0 Q / ~'J /'RaP o 1 b A7 f a M ~l / f ? M Hat, ~P h • $ 4Q] J 922.a gt,` fuzg a 0)• I ~ 26.33 n~ ® 2~W/ M Q% N 1 0.4)I "I l-~J I /r^'j^~~ r r,1 r V I 10 L~ NJ/ ~f x 919.3 J l NJ e/ ~'•V4 10 A l LOG x821.3 h f 922.41 \ 35.06 36.98 x 9I4.4 9198 : Q) W 156.45 S 87002'47"E a 25 923.5 x917.0 T EAGAN j%ISTING 01;7 DATE l D PT DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9143 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 414. 6 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED :TOP OF BLOCK 92y. p ;FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot Z' , Block /I . BRIDLE RIDGE I ST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED SY ME OR UNDER MY DIRECT SUPERVISION T~HI~S 2457 DAY OF JANun9y 1988. APPROVED FOR SIENNA SIGNED: JAMEER„WI NC. J CORPORATION v C' BY" lLeya~ BY: HAROLD C. PETERSON, LAND SURVEYOR DATED MINNESOTA LICENSE NUMBER 12294 X -71 --a cu ~ ° r'0 Z0 ~ u oD D James R. Hill, inc, rn -4 Orrl ~ a 4 PLANNERS / ENGINEERS / SURVEYORS O^z °p> Z~ m~ W O in 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884.3029 P O • tl APPLICATION FOR PERMIT :NOTE: PAWOM OF FEE AT TIME OF' ` : APPLICATION DOES NOT CON- r* : MTU E APPROVAL OF PERMIT. SEWER AND/OR WATER-CONNECTION : INSPDmcN OF mm AND/cR wATER - INSTALLATIONS WILL NOT BE SCEDUL[•D : UNTIL PERMIT HAS BEEN APPROVED. : s>++ffrri+f+ir++itt»tit>rrtifrf»>ftr dtV of Cagan (PLEASE PRINT 1) PROPERTY ADDRESS: 62j.6LE621AGE .QC%ALI LEGAL DESCRIPTION: 6 QLK / Q/1iazE Lot Bloc S vision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Month/Year) Q COMMERCIAL/RETAIL/OFFICE ~R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVERNMENT Q R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: _~U/✓SN/A/L <'O^NCT ADDRESS: ,Z C t , F~ !J/1 d 2.2 CITY, STATE, ZIP: ~p ~Rn/ /yn/- rS/ 2 PHONE: 'Y S-7 - ©9 9 For City Use 3) _u: NAME: Q L - EQ P1 rume s License: ADDRESS: _ ' yD© 13 i'u T GT• I Active Expired CITY, STATE, ZIP: _ 14OPLE //ALe E r/ Not recorded PHONE: c/ ..90 '7 MASTER LICENSE # 3 (0 /1 f ~j St Ia n£ itial 4) Ef rit NAME: ~i4~fs E ~S Z ADDRESS: CITY, STATE, ZIP: PHONE: 5) n y . ao- . i a~ FS-el CONNECTION TO CITY SEWER CONNECTION TO CITY WATER O OTHER 4 k THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS To FACILITATE METER PICK-UP. e PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM TfjE CITY WILL CONTACT YOU IF THERE ARE ANY PROBLEM. + + 1 FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ r) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ ~r ( $ ACCOUNT DEPOSIT - WATER $ /"~•e!-D $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER oo $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ nn $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: A~J Lr~ { t/ ~czaJ72.' TITLE: DATE: !F• ZZZFr ~~z~ss C~4aNC~E LDT 5LCC♦; ~~IDLE ~IDUC I Sr OLD QDDP-ESS Co Co CoIDLC ~~0.~~ PP. NEC. ~aprL~s _ 4 1321 aLE ~1 ~c P.o. • ' 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 15134 INCLUDE(t SETS OF PLANS, CERTIFICATES OF SURVEY, SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: ,y ,q Valuation: 1iYDate: 2 Site Address /z e,atEki0 iQogrJ OFFICE USE ONLY Lot _,5' Block / On site sewage Occupancy S f MWCC system Zoning PD, R-t Parcel/Sub Z9RiaL6Q Ih4f On site well Actual Const V-N City water v Allowable y-N Owner Sunisf/in/E CoNST PRV required # of stories Booster Pump Length 56'-0'1 Address -2/ 2/ L4/LFP /n,Zo Depth S.F. Total City/Zip Code E-46R/V ~-/-2Z Footprint S.F. Phone yg1 -Qry~ys APPROVALS FEES Contractor .siq h~ Engr/Assess Permit Z 4 0 0 Planner Surcharge Address Council Plan Review 3 / , me Bldg. Off. W&SAC, City 0 o City/Zip Code Variance SAC, MWCC 55010 Water Conn 5S`o,o0 Phone _ Water Meter 6r), an Road Unit W) ao _ Arch./Engr. ShES iQ.di~t ro'o Treatment Pl 2wa,oo Parks Address rlyd/ TAKES/yd Copies TOTAL City/Zip Code /3<c-ewiN6-"w' ,5 S y,3 / Phone # y .302'9 SURVEYOR'S CERTIFICATE SIENNA CORPORATION REVISED 5-25-88 TO SHOW PROPOSED HOUSE FOR N SUNSHWE CONSTRUCTION 922.3 14,9 11`, 1 szz9 `•92z_9e 00 3933 STS o j'Q r.a 6'` 919.9 3801 F X266 ~I•r:•6,oc 919.2 / d v nl o € d iw,,,, n4 .,AY -,tr O GqR. l36> r<9194 q A Cam' f0.0 O ll / If PIMP vp~ v J 4 tl-f ho 0 922.8 % Av 0 I ' 26.3 V0' % J I e ~O 10 v ~1 / ~-.J l 3 1191e.s T `I 4} of f a I . 92 \ 921D 921.3 10 T0 922.41 35.06 - 914.4 a 1 36.98 "9194 ,n 25 156.45 S 87 °02147" E a r 923.5 1917.0 EXISTING ?(O)SE . A PRO ED fay pates _G 19ACAN ENGINEERING DEPT DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 924.3 FEET XOOO.O DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 9/6.6 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 92y.7 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 5- , Block /I , BRIDLE RIDGE I ST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. 1 IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 21 TT DAY OF JANUARY 1988. APPROVED FOR SIENNA SIGNED: JAME I C. CORPORATION BY.. BY: HAROLD C. PETERSON, LAND SURVEYOR DATED, MINNESOTA LICENSE NUMBER 12294 .21 o o o D JamesR. Hd inc. m W f1 ~2~ cn a D g o m o^ Z a m z PLANNERS / ENGINEERS / SURVEYORS g, O m y { 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 , N M _ 1,.-r..1.1~ ~ 'COI'L CITY OF E,4f~p~ BUILDING DEPARTM7 EXTERIOR ENVELOP AVERAGE "U" COMPUTATION (To be submitted with building permit application) One or Two Family Dwelling Cl Owner _'~r.tn/St/in/d All Other Site Address A666 ~z AnL62lA1,E' "d-4 • - LG17t`3 84 dc "E2I&te Contractor <"-4SP(L~- Date 6 -~2 -BB Phone LINEAL FEET OF EXPOSED VJALL i ft. above grade ~ E TOTAL EXPOSED WALL AREA SQ. FT. ft, ~oPAQUE WALL CONSTRUCTION: "U" Value X Area' 'Detail "U" X SQ. FT. 2 \46s 23.00 (U)(A) reference "U" X SQ. FT.:.. (U) (A) from "U" X SQ. FT. G711 h (U)(A) 'attached r "U" X SQ. FT.~ I (U)(A) sheets. "u" X SQ. FT. (U)(A) rt IIU$# X SQ. FT. (U) (A) W01DOWS: "U" Value X Area ke 6 Type 1 -suL "U" , x SQ. FT. 2.41. °or4,7~4(U) (A) ke 6 Type "U" X SQ. FT. (U)(A)' ke 6 Type "U" : X SQ. FT. (U)(A) . ke 6 Type X SQ. FT. (U)(A) RS: "U" Value X Area . A ke b Type ` :ITC I 0 J5+ L - X SQ. PT. 2-:l-7,L° r'~. (U) (A) , ke b Type "U" X SQ. FT. (U) (A) ke 6 Type "U" X SQ. FT. (U)(A) ke 3 Type X SQ. FT. ° (U)(A) TOTALS Z~ra~1 04 SQ. FT. (U)(A) AVERAGE "U" M AL (U)(A) VALUES ' 0,,~ 1 IDIVIDED BY TOTAL WALL AREA ZS. y AVERAGE "U" .11 or less for 1 6"1 family dwell n h10F/CEILING: A ( . TAL AREA I OO~ rDatail reference "U" . X SQ. FT. g(U)(A) from "U" X SQ. FT. (U)(A) attached sheets. "U" X SQ. FT. (U)(A) Describe openings "U". X SQ. FT.. (U)(A) I'in roof. "U" X SQ. Fr.. (U)(A) TOTALS Q. FT. 'Z 7 I ) (A) iTOTAL (U)(A) VALUES DIVIDED BY Lr~~ ° n j ~ L i{(TOTAL ROOF/CEILING AREA 1 OO8 %A.VrRpGF, "U'..025 for ventilated roofs. --WALL SECTION Determining IrU+l values at Roof, Wall, Rim, and Conc. Block ROOF/CEILING R VALUE S Interior}~A~irr rilm 0.~6-1~, . .3.)Insulation 4D,GAO 4.1 5.) Exterior Air Film 061 t 2 3 (STILL) - 6 "Ulf = 1/R-- . TOTAL (R)= $ WALL R VALU 6.) Interior Air Film o.68 8.) Insulatio l4rOO 10.) h+ ms;f ~ SMGQ (o t~-7 to 11.) Exterior Air Film .17 4 uUn TOTAL (R)=ZS,O t'L RIM (R) VALUE t3 12.) Interior Air Film 0.68 • 13.) Insulation IG~, G75) 1 t} 14.) 1~~2~ SST. 17.) Exterior Air Film .17 - n e 4 Ue = 1/R= i 040-TOTAL (R)=24,4 60 ' FOUNDATION (R) VALUZ 18.) Interior Air Film 0.68 • 21 _ t$ 19.) 20 r2, e7 A n . 22.)°t~-Maw" FD~M S o0 ry 23.) Exterior Air Film .17 . o , 8a , uUu c 1/R= i I O TOTAL (R);=-l ~07j .3~c!M sots-r' cc k RESIDENTIAL BUILDING PERMIT APPLICATION 70,60 L~ r /C-q5 CITY OF EAGAN S_ay-0~ f 3830 PILOT KNOB RD - 55122 651-681-4675 v Construction Requirements RemodelfReoair Requirements 3 registered side surveys showing sq. it of lot, sq. R of house; and all rooted 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 saes; 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 Slot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) kTE VALUATION A SITE ADDRESS ~ ° l P IfL fl R ~O a (/SL MULTI-FAMILY BUILDING, HOW MANY UNITS? `ACV (OPERTY OWNER -d k}1 r9- / x e. a N / pp ers ix~ PE OF WORK 1 1r,0 M0 0-t ' e c a FIREPLACE(S) _0 0`-1 _2 _3 'PLICANT l~ t P rw S1 40 OI^!l -l^ PHONE # )DRESS ~B~O GU 6~10 Ce ~3 ~Ui°i1SU/~ ~I ZIPCODE SS~3~ \GER # CELL PHONE # FAX # NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1~2 M " (check one) - Residential Ventilation Category 1 Worksheet Subm ® I!n I ~J D U - Energy Envelope Calculations Submitted `"Z4Zoot _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths n p4r Mechanical Contractor: [P4 7' eSJQ /IVQSI'O'F. Phone # ~Sa U YU- a / P Mechanical System Includes: - Air Condition' g Fee: $70.00 - Heat Recovery System Sewer/Water Contractor: Phone # above information must be submitted prior to processing of application. ereby acknowledge that I have read this application, state that the information is correct, and agree to comply with applicable State of Minnesota Statutes and City of Eagan Ordinances C Signature of Applicant :rtificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 PERMIT City of Eagan Permit Type:Building Permit Number:EA142982 Date Issued:05/26/2017 Permit Category:ePermit Site Address: 664 Bridle Ridge Rd Lot:5 Block: 1 Addition: Bridle Ridge 1st PID:10-14996-01-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - John P Giancana 664 Bridle Ridge Rd Eagan MN 55123--168 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168155 Date Issued:04/12/2021 Permit Category:ePermit Site Address: 664 Bridle Ridge Rd Lot:5 Block: 1 Addition: Bridle Ridge 1st PID:10-14996-01-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - John P Giancana 664 Bridle Ridge Rd Saint Paul MN 55123--168 Tacheny Exteriors 49 S Owasso Blvd W Little Canada MN 55117 (651) 481-1466 Applicant/Permitee: Signature Issued By: Signature