4658 Bristol Blvd.
.
INSP ECTIUN RECORD
_
3
CITY OF EAGAN PERMIT TYPE:
- 3830 Pilot iCnob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
f PERMIT SUBTYPE: TYPE OF WQRK:
INSPECTION .. .A
. ??i! i t ili, ?;.•1'?hl j?'?
; F'2 ,t11 r,t ?, ( irll i t ii;?
i t lt!1'.r'F . I?" ? 1f i q 1!;
„ ..
? ?
Permit Na. Permit Holder Oate Telephone #
S/W
PLUMBING " l,fg• ??90
HVAC
ELECTRI
ELECTRIC
Inspectlon Date Insp. Comments
Footings I ? V/?? z,?
Foundation
Framing
Roofing Vfl a-
u AltA. KkYw
Rough Plbg. q
Rough Htg. 1 3 ?[ n - ???
. o -/ ` ? GY w
Isul. /a
Fireplace D.
Final Htg.
!U
Orsat Test
t
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr.lPlan
Bidg. Final
t
Deck Ftg.
Deck Final
Weil
Pr. Disp.
K,
--J
_?
W-trflfiCQte of cCClipliltC?
,
?i#?j o f ?agan
Teparttueuut
This Certificate issued pursuant to rhe requirements of the Uniform Building Code
certi.fyiRg that ut the titm of issuance ihis structure was in compliance with the various
orrlinances of the City regulating building construction or use. For the following:
llseClusification: SF DWG/GAR B(dg_PertnitNo. 22025
pccupancy Type R- 3 M-1 7nning Distritt R-1 Type Const. Vn
ownerorftiiding KDONA D;;ONST nadress 1 R IfFRtLj• RAT RD _ _ BURNSVILLE
BWMi.g Address 4658 BRISTOL BLVD Locaj;ry L4, B3 WLST61N R1LLS
6 ng Olficial
POST IN A COtJSPICUOUS PLACE
Address 4658 BRISTOL BLVD Zip 5512_
.
Lot 4 Bik
Sub
WESTON HILLS
THESE ITEMS WEP / WERE NOT COMPLE'TE AT TfE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector: z
Final grade (6" from siding)
Permanent steps (gazage) ?
Permanent steps (main entry) ?
Permanent driveway r/
Petmanent gas
Sod/Seeded grass
Trai1/curb damage
Porch ?
Basement finish
Deck IL/
Please verify with the builder the removal of roof test caps from the plumbing system and the s6utoff of water supply [o
the outside lawn faucet before &eeze potential exisis.
Contac[ engineering division at 681-0645 before working in right-of-way or instaRing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy ?
//i 9/Y-i-
fleq es ate . Fire No HougRm speclwn
Reqwredl
L+P'es ? No NOTICE: You Must Call Electncal Inspedor
It A Rough-In Irrspectiaq
? Is Requiretl.
y?T???- - - ,
I fj]Jid9nsed contractor ? owner hereby request inspeclion of above electncal xrork.at:=? ""
.be ?aqFe (S mElyol ????? ???y"? c?.
rf ? CJ Qry
Section No. Township Name or No. Raige No Coun
' I •, f?n ? A)/ ! i,V ? ? ? f Phon p9 ? _ / ? ?/
?.J
P(YwerS
X. Addreas
Ele 1 BI Contractor (Camparry Namel
? Contr r9 en No.
Mail' g re on c r Own aking Inslellation)
Futhor e SignawrB (Co rac rlO rier Makinq Instellatron) PO a ber
MINNES01i BOAflD OF ELECTFi1CT' I` I THIS MSPECTION REQUEST WILL NOT
Griggs-Mitlway eltlg. - Room 5773 V BE ACCEPTED BV THE STATE BOAFD
1821 Unlveralty AvB., St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
???9?3 REQUEST FOR ELECTRICAL INSPECTION
? See instmctions br wmplehng this form on back of yellow copy
X" Below Work Covered by This Request
?? EB-00001-08
•' ?? ?
e Add FTep TypeoBuilding AppliancesWved EquipmenlWired
HomB Range Temporary Service
Duplex Water Heater Eleclric Heating
Apt. Bwlding Dryer Load Management
Comm./IndUStrial ufnaCe Olher (Speafy)
Farm Air Conditioner
piher (spectly) Contrnpor9 Remarks.
Campuie Inspectian Fee Below:
# Olher Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Po01 0 ?0 200 Amps 0 ta 100 Amps
Transformere Above 200 _ Amps Above 100 _ Amps
SIg05 Inspec(or5 Use Onry:
U T A
IrrigationBOOms y,`'O
?d(,i q7'S ?J
i
Speciallnspection .f. p? i
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby R0°9n-'" - oate /6 ??0 3
? f
certiry that the above inspection has
been made. F,nei oaie /? p
OFFlCE 115E ONLV
This raquest wid 18 moMhs irom
? _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ -
? Permit#:
I ?? I
? Permit Fee: I
? Date Received: ?
I I
I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite #:
RESIDENTlOWNER Name: i Wl J-SUSA? I<K.rjJEK,T Pnone: 6 S1 ?5?3 Y rI75-
Address I City I Zip: '[G b-9 CAC,I S7-ci L.. t-S L.y Y.
A
li
t i
O
`?
pp
can
s: _
wner
Contractor
TYPE OF WORK Description ofwork: NE-t•? (Z046 T
Construction CosY. Multi-Family Building: (Yes _/ No ?
CONTRACTOR Name: C--Ap1TAk C lTJ ?JC.?IZ1otL5 License#: 9L04 02 661
Address: I6,+ 3&) • O 0 0 Lh p cSf
No
5-?-Ioo
S
-
"
t
City:
State:
Zip:
I
1
A ")
Phone: 3 6? Contact Perso . !a 1'"? G??.??A ?rlf
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy CoCe Worksheet
CatBgOry Submitted Submitted
(+I submission 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 Contractor: Phone:
Sewer 8 Water Contractor: Phone:
; NOTEs Plans armi srrpporting docufnents tha;,you'sGbrpit are consialereb=to be pubfic infonriaGon. Partion°s of ?i
the inforntafion May be c/assWiedas non'public if you proyfd `e, apeciric reasons that "would `perrhit the City to
? trade.secrets:°.conolude that the are
I hereby acknowledge that this infortnation is complete and accurate; that the work will be in conformance with
Eagan; that I understand this is not a permk, but only an applicatwn for a pertnit, and work is not to rtaccordance with the approved plan in the case of work which requires a review and approval of plan
X &k"p 5 6:111L1312A 113f (S?L
ApplicanYs Printed Name anYs S' ure
and codes of the City of
tMithe work will be in
Page 1 of 3
"ACITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
4658 BRISTOL BLVD
LOT: 4 BIQCK: 3
WESTON HILLS
C?/2 /??e3
UILD?IZNG?
022025
09/22/93
SITE ADDRESS:
P.I.N.: 10-83750-040-03
DESCRIPTION:
FB ' [1dirY Permit 7ype
ilding rk Type
E.OCOU=pan.c
Canstruction F e
Yohing
Bulrd"ing Leng
th
B.uild.ing Wid'th •
j'
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
62
48
d
REMARKS:
PRV 3 & W PLBR -
FEE SUMMARY
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Subtotal
VALUATION
$723.50
$470.28
$62.00
$750.00
100
1
$2,005.78
SF OWG
NEW
R-3 M-1
V-N
R-1
$124,000
MISCELLANEOUS $1,744.50
COPY $.50
Total Fee $3.750.78
CONTRACTOR: -
MCDONALD CONST INC
7601 145TH ST W
APPIE VAIIEY MN
(612) 432-7601
Hpplicant - ST. LIC. OWNER:
14327601 0002376 MCDONALD CONS7 INC
1212 BLUEBILL BAY RD
55124 BURNSVILLE MN 55306
(612)432-7601
I E hereby acknowl,2dge_thax I hav? read ttris applieatitin••e?d state•t14at the I
informatinc? is correct and agr.ee .tq,4ompl,y with aY1 appliycatile S•tate ofi Mn. ?
' StaCates and City ofi Eagart Ordinances,.
APPLICANT/PE TEE SIG AT E ISSU D BY TURE
IN5PECTION RECORD
CITY OF EAGAN PERMIT TYPE: B u r Lo i H G
3830 Pilot Knob Road Pertnit Numher: 022025
Eagan, Minnesota 55123 Date Issued: 0 9/ 2 2/ 9 3
(612) 681-4675
SITEADDRESS: Lor: q BLOCK: 3 APPLICANT:
4658 BRISTOL BLVD MCDONALD CON5T INC
WE5TON HIILS (612) 432-7601
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
INSPECTION
FOOTING .. •
FRAMING .A
INSULATIQN FTNAI
FIREPLACE
REMARKS: PRV S& W PLBR -
? - •-- - - --- - - -
r-- ---- -- - - _- . _ _ ___._,_ .r_ _.__? ?_.._ ?. _- - - - 7 • , , . . , , t
REACTI!(ATE _ ? CITY OF EAGAN
PEnMIT`e ?c???I?? 993 BUILDING PERMIT APPLICATION ?'9??Q• ?'b
??O -- 681-4675
rnQQd4-2!
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permfit
is issued.
Date 9 93 Val uation of work 0
Site Address: 'y(a5 ? &o \
SiREET SUlTE /
Tenant Name: (commercial only)
LOT - 4L BLOCK ? SUBD. W85 o?
M
P.I.D.
Descri tion of work:
The applicant is: O Owner Contractor ? Other coescr;be>
Name Phone
Property LAST FIRST
Owner
Address
STREEi STE Y
City State Zip
Company Ae mA v, S? T w, c- Phone ?? 3? , ? 6 0 1
Contractor Address fal2 fl(.,e bM 84X License #6Od23>G Exp. $4
City liup nJs ?..??F State 94r" Zip SS 3 a Co
Company Phone
Arch(tecU
Engineer Name Registration S
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply ith all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ? ?.h??
OFFICE USE ONLY
BUILDING PERMIT TYPE I .
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
K 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 Sf Porch ? 09 12-Plex ? 14 Fireplace
0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
.
??(rBase?nt,?igf sh
[!t17 Swim Pool
? 18 Coimn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public facility
? 21 Miscellaneous
WORK TYPE
A 31 New 0 33 Alterations ? 35 Tenant Fin ish ? 37 Demolish
0 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) y_ N Basement sq. ft. MWCC System Yc3
(Allowable) v_n? lst F1. sq. ft. City Water YC'S
UBC Occupancy 3 M_1 2nd F1. sq. ft. PRY Required ES
Zoning R-I Sq. ft. total Booster Pum P
N of 5tories Footprint Sq. ft. Fire Sprinkl er
Length -6-Z7' On-site well Census Code 161
Depth y Bl On-site sewage SAC Code oL
APPROVALS `
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
? Site ? Footing 0 Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee I v.w.cion: $ 1044,00
Surcharge
Plan Review GA?so.??t 3Z X 22 c 7pLJ
---?
License Z ? t2 c ?2y?
MWCC SAC
City SAC Zk Z?
6• ,? }p ._. 1ti
?
?
Water Conn.
Water Meter .
.
.?
-
)k/ tD S 14
Acct. Deposit 2y K 24 = S?L x 1V
S/W Permit
S/W Surcharge
IS7 F%. *an;
Treatment P1.
Road unit
6p $-F 63k = 12°!7 X 54 = 70 0349
Park Ded. 2Nfl R,on;
Trails Ded.
Copies Zy x 3 ZyZ y rj?p
Other
Total :
Y2 ---
N 2 14 v ?t
?
SAC % o
SAC units
?
Ze
_L ? 23'
j
* PIONEER
* engineering
* * * *
2422 Enterprise Drive
Mendoto Heights, MN 55120
612) 681-1914•Fax 681-9488
ARCHIffCTS 625 Htghway 10 Northeast
Bloine, MN 55434
(612) 783-1880•Fax 783-7883
Gertificate of Survey for: McDonald Construction, InC.
House Address: 4658 Bristol Boulevard. Eagan. MN
( ! .' Mndr+l NnmPr
I
?
/
/
NOTE: CONiT2ACTOR MUST VERIFY ALL DIMENSIONS AND DRIVEWAY DESIGN
¦0=o Denotea Exlating Elevatlon pROP05ED HOUSE ELEVATION
• ? Denotes Propoaed Elevation Lowest Floor Elevation:939.75
- Denotes Drafnage Ec Utility Easement To of Blodc Elevation:947.86
-? Denotea Drafnage Flow Directfon „ P
-- Denotes Monument Garage Slab Elevotfon:946.83
-e- Denotea Offset Hub Bearings shown are assumed
LOT 4, BLOCK 3 WESTON HILLS
DAKOTA COIfNT`/, MINNESOTA
1 hereby certHy that this zurvey, plan or report waz prepared by me or under my direct supervislon aml that I am duly Repislered Wnd Surveyor
undK the laws ot the State oi Minnesota. Oated thh9071daY oF A.D.
19?,
/? p ? . - / ?• v
S\/Ql\/: 1tn -ch- -30fe-d ROBERLJa. IC L..REG.N0.34891
m sa212.o0
m ?
a
? a
s?
LOT BORVEY CHECRLIBT FOR RESIDENTIAL
BUIL
PROPERTY LEGAL•
DOCIIMENT BTANDARDB
e0? • Registered Land Surveyor signature and company
? ? 0 • Building Permit Applicant
fl 1 • Legal description
? 0
0 • Address
?
ID' 0 0 • North arrow and bar scale
[3?0 0 • House type (rambler, walkout, split w/o, split
lookout, etc.)
? • Directional drainage arrows with slope/gradient t.
? • Proposed/existing sewer and water services
?
?¦ 0 • street name
D 0 • Driveway
ELEVATIONS
Exiatina
0 e 0
? • Sewer service
0 ?
0 • Lot corners
p
P • Top of curb at the driveway
0 • Elevations of any existing adjacent homes
Prooose8
P?? ? • Garage floor
? 0 ? • First floor
2' ? ? • Lowest exposed elevation (walkout/window)
0 0
V • Property corners
p? • Front and rear of home at the foundation
PONDING AREAS (if applicable)
fl 8' ? • Easement line .
0 H? ? • xwL
? Q?? • Pond # designation
p P"p • Emergency Overflow Elevation
DIMENSIONB
[7 ? 0 •
Er 13 .
0 ?
0" 0 ? •
;a' ? o •
p q,- ?13 .
entry,
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
Reviei
OCtober 1992
?, 3
Date of 8urvey: _ V
.: .... . ,::?;.. .
.......,.,.:.:. •-
, ?.;.; . • _
' . , ? '?s ?IN1lFqOTA ??TE EHERGY CODE CJ,[LCULATION4
? ? • • BaSEU GH CIiAPTER 5 OF TIIE
. ?DEi, F,N?.ciy_CO?t? - 19,8? FnTmroN
, ' . 1ldoptlon Effective '.
te
Type A2 (Reeidentiel, 3 etorias or lees) (over 7 stories) (Other)
NOTEt Gomnlete Raae4 ? and 4 Eiret. ,
GPHERAL INFORM?TION
1. Building Perimater
• U
2. Wall height (qround to eave) ft. •
]. 1. X 2. (above) gross wall area eq.ft.
4. Buildinq dimensione (L) t.roof S tloar area
5. Sq. foot area of rim jolst - Floor joiet eiza (2 X
'.• • ._.f.,0 X 1JI-_(Perimeter) _ • 22&sq.ft.
12
.
6. Doore - area
Thicknese in U. factor
Type ot Constructlon Perimetar ft.
. Manufacturer
7. Total doorte perimeter it.
B. Windowss HanuEacturar????L State approved
U tactor
TYP& - 9IZE 11REA (Sq.Ft.) . NUNBER OF • TOTAL
.??? EAC1l llNIT9 SQ FEET
9. Total sq.Pt. Glaea
lo. Fireplace area: Width X tieight ? X a sq.ft. ,
ht X Perimeter
Hei
ti e) e
ft
11. &xposad Youn g
ont .
da q.
.
COMPLETIOH OF TilI9 FORM I9 REQUTAED FOR ALL NEW CON9TRUCTIOli, FIAJOR
REHOOELIIIG 1+tID BUILDItIGS BEING HOVEO WIIERS E1IERGY, OTI fER T11Ai1 T11E HIIITMAL
CODE ALLOWANCE; IS USED. • ,
Bullding ClaeeiPication3 Type al (9inqle Family 6 Duplex) 4
•_..yy..,.- . ..,.ec : fv „ . . . . . -- -
•.;....
i
Y?
ni.;'..'. •
-:•:. -`J,wc.P .. _- __ -
.::..? `
. .
'
• . .
.. i . - ?u... -
.
`,
•.
-_
._n. . , . 'f6t nii...e , :.: .- . .
.f .
-
..:
.. . '.. _ - . . ' . .
.. . .
12, Framingetea a lo} oP groae Wsll srea,
17. Groea wall nrea sq.ft,
Wlndow area a?sq,ft, U windowg ? r-12? UxA = R3
Rim jolet area a?eg.ft. U rita Joiet=o4i UxA A _
Door.area J? 5- eq.it. _
U door area= uXA. - _ ?D
'•.other doors aras T eq.[E, ll other doore= , UxA - t?
Exposed fndit 11_?eq.tt, . /
U foundation= . 4!7
Uxa
= r?
Framing area A 115 eq.lt, U trnming area= ,!? -UxA -
Net wall area a(O?e
ft U w
ll?
.
q.
. a UxA - ?
(178 ) TOTaL. . . • - - . . UxJ! = ZZ- 5 ---
14, Grose wall prea x 0.11 (A-1 eingle family 6 duplex) ? allowable Uxh/Cade
(13, above)
x 0.23 (A-2 oEh er raeidential) • .
, x .23 (other b uildinge)
? x .28 (OVer 3
Z5? etorie )
BTUtI must be larqer
than oY eame
a
x u coae #- (.i °F
. ae 13B above
15. Ceiling fraiainq area (Af) equale 10} of cellinq area
15b. Groes ceilinq area - (L) sq,ft.
158. Joist area (AE) A lOt ceilinq area • 1? ?Z`" ey, ft,
15C. Net ceiling area (Ac) (1511 - 18B) eq.ft.
U cailing x Ao
U Lraming x A
f A?0? ' x•p2? 4 )
15D. TOTAL l1 x A ..............
.??......?.... ? 1 . .
16. Celllnq aren (15A) x 0.026 (11-1 elnqle temlly & duplex)
? allowahle UxA/ ?ode
x 0.037 (a-a other reeidential)
x 0.06 (ather)
?? ?'f?Z ?BTUIt muet be lnrger than or eame
ll(15A X U COde? ? °F. HB 15D abOVe
NOTEs Use U anil A valuae o6tained fram paqee i, 3 and 4.
CEflTIEICATIONt I hereby certily that I have calculated the "Ulf Pactore and
"R" Valuee tterein and that Ehe 6ulldlnq here deearibed maets or exceede the
state ot Hlnneeota tnergy ConeervaEion Act.
Date . signature
_?,
W
- --
8.?3x?Z4?-Z?-t33?33)_!?4
- --- - - - -
-- ------ -- _. -- - ------ --?.s3 s _
------------------ - - -
;-??;?°Z------------- . _ --
------------------_
IJD?I?s -------------- ----
?fh'!1-?'-``-?? --'---ItZ6-x_ (Z,_Z
---
??I__.
----------------- --------------??
-
- - -- - ------ ------------ ----
----
-- - -
s°AMWI -_Zg--Sfc 5??--,D?-- - ?- -`Il- -- - -
7 ?--
,..r. ,..
'WALL
SECTION
STUD
5 ECI' ION
SECTION.
R1M
JO1ST
inaiiie a
??' ..
ia
iide
U YRLUE
•Eilm` ' :68 '
+• ? ? .:
• 45 ?;.(u8ll) u - R :
.. . • •'% i y7
.. Z:oco
• : ,P.?
.r film ? .17
R YOiAL z ..3 , O ??' , '
:i.. •
Instde.air ftlm ? .68 '
Intetior ''vall . . 4fj'
4" stud : . R= 40g. (p -?j (Framing) U - R .
Sheathing ? Z.O(O •
Slding
Outaide air filn ' ,17 .
R TOTAL
;
Inteclot.uall
Inaulation ?all ) U ? R
Extecior:vall cover n 1
ExterLoialr Ellm' K ..11
" R TOTAL ?
ln[eclor:alr film R= .68 •
? insulatipn
tnch ;SOE[ wnod R=1.98 (Rim '
? :: • •: ': = Joist) .
. $heathing Z..olO •
? . Exteiior?Wa; 1 covering ?i (01
. Ex[etlor?:alr fitm q= ;IV ]
.. x _ .
• " 4 R TOTAL 4(p
Interlor_aic fllm 'R=.;68
Fnavlaelon
? FoundaCl,on . I ? Za ; (Fdn. )
? I Exteriar:aii ftlm R= :17
F TOYAL '?;. I 3, I 3
? ?Exposed';Bluck
?,GradeJ - 3. . . .,
?
U?A=
?
U=R=
:
, 07(p
M73,ING WITILYEdTER-ATTIC SPBC-F,-LD-OYE
R VALOE
FRAMING
R VALUE
CEILTNG
0.61 AirFilm 0.61
Insulation 417-
4.39 Jo1st
0.56 Ce111ng 0,56
0.61 AirF11m 0.51
, v23 U _ I,R , 02 I
Window intlltration 0.5 cPm/lineal Yoot oE crack
Reaidential door infiltration 0.5 cPm/square foot or door and minimum code
requirement '
Non-residential door inEiltration 11.0 ctm/lineal foot of crack
Uq 12" concrete block no lnsulation = .47 R 2.1
Up 12" concrete block lnsulated cores = .26 R 3.8
Ub 12" lightweight block a .32 R ].1
Ub 12" lightweight hlock insulated coree = .12 R 8.3
U eingle glass ? 1.131 wlth etorm wlndow .54
U doubla glass .55
u tripla glass a .41
All exterlor walle and cailings must have a vapor barrler (o,lo perm max.).
Vapor barrier muet be on the lnslde (heated elde) of wall.
Vapor barriera of tha polyethelane thln P11m have no R value.
,
? •'?
1993 MECHANICAL PERMIT (RESIDENT7AL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLIIVGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE lo 'l I ? -_?
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @IS3.00 EACH) cD_
ADD-ON/REMODEL (EXISTING CONSTRUCr'ION)
3TATE SURCHARGE
TOTAL
3ITE ADDRESS: 4?S
OWNER NAME:?
INSTALLER:
ADDRESS:?
CITY: ?A C'M,\
TELEPHONE #: _?
FEES
$ 24.00
6.00
(o Oc)
$ 15.00
.50
= '!?;o
TELEPHONE #: '4'z?ca- ? b() (
STATE: m?n f-) ZIP CODE: SS6 a
-' ?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNIT.
NO.
?
SHOWER
WATER CLOSET
BATH TUB
LAVATORY
KTTCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET ? ?. m - i
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • nercty. lic.
U.G. SPRINKLER • nome una« ?nst.
ALTERATIONS • w cdsting
WATER TURN AROUND
STATESURCHARGE
TOTAL:
EAcH To a?,
3.00 00
3.00 ;
D 0
3.00
3.00 1 a. o 0
3.00 3. n n
3.00 'k 0 0
3.00 ;z. o 0
3.00 3, 60
3.00 -T o
3.00 a. fJn
1.50
5.00
15.00
3.00
15.06
15.00
.50
STTE
OWNER
WSTALLER ( V E' ?Ol r mb? h
annuFSS- 10 / 3 (XC?If/P ? U(?I S?CTTY:
STA
ZIP CODE:
PHONE #: (
. ?
?
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDEIV7'IAL)
CI1'Y OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
, � (�r��-" �
�, ��t- �
Usa BLUE or BLACK Ink
�__----------------,
� For Office Use �
t f I � ����_ I
C�4 Ol �� �� i Permit#: � I
� � �
� Permit Fee:(Q[� • (�Q I
3830 Pilot Knob Road
Eagan MN 55122 I �ate Received: — �I' �5 I
Phone: (651)675-5675 � I
Fax: (651) 675-5694 � Staff:S� �
. ����������������J
2015 RESIDENTIAL PLUM��NG PERMIT APPLICATION
Date: _Site Address:
Tenant
,���� ���`�"�.� ��'� Suite#: �
� ,��������`�� �}���
;��F��SId�:11�1�W11�� Name: �L�
Phone:
�-�� ��F�3� ���� �� � .
� ������ � � �`�� � ' Address/City/Zip: ,��� �'� � � �.�� �
�� ������k ������
'��� ��� � ��� ��� `�� Narrie: �bert Corr�pany Inc dba Culligan Water �WC6�1376�.
3'' ��;� °��'� , �� � License#: � � �
������` � � r: �
� a � Add�ess: 1801 50`h St East Inver Grove H ts.
;�a� �orltra�or City: b
� � ��� �� p 55077 651-451-2241�
,� �_ r��� ° �� State: Mn Zi : Phone: �
° ��,� � r � � �
� ��� �� � � Contact: Wllliam R Mllbert �
��;��:�� _
EmaiL
�� . A� �� . . � -. .
��T��"����"� k �s�� �New _Replacement Repair Rebuild Madify Space � � Woric��in�R.O.W. ' �
��/� Af_ (�� — — — _
` ��,- �a � � �
Description of work: .
r°� `� �� RESIDENTIAL �
� � �
��� H
�"' Water Heater
�� a �(' - �
�;� Lawn Irrigation(_RPZ/ PVB) �'r—water Softener
�� TS::� _ � �
N��� , p �'� , Septic System Add Plumbing Fixtures�Main/_Lower Level)
� �,.� � �
� '�.��-� ��n �� � _New � Water Turnaround
_��� �f � �" Abandonment
i�E�if�EN71AL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
��0.�0 Add Piumbing Fixfures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge)
*Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge) /�
TOTAL FEES$ V � O
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.qopherstateonecall 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.
�
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X • � _
Applicant'�Wrinted Name Applicant's:Signature
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