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4759 Burr Oak St Use BLUE or BLACK Ink, -----------------,I For Office Use I i 1 Ina i City of ~1 L(j~~ U U~ Permit#: I T I Permit Fee. I 3830 Pilot Knob Road I Eagan MN 55122 1 Date Received: i Phone: (651) 675-5675 1 l I Staff: Fax: (651) 675-5694 1 - - - _ - - ' i 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Q -4- Date: t~ Site Address: h JAA 1 ,6C- i Tenant: ff ,,Suite RESIDENT/OWNER Name: a~ Phone:Lp_ ► a` ~S Address /city / Zip: - t -75 1; oD CONTRACTOR Name:' License _NT Address: 'Aq City: 41'~(~I 1 Stat Zip, Phone: 1 j) i Conta : 1 Email i TYPE OF WORK _ New X Replacement _ Repair _Rebuild _ Modify Space _ Work in R.O.W. Description of work: i PERMIT TYPE SIDENTIAL ' Water Heater Wat~r Softener I Lawn Irrigation RPZ / _ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: i $55.00 Minimum Water Heater, Water Softener, or Water Heater and. Softe er (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnar und* (includes $5.00 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.011 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.01 State Surcharge) TOTAL FEES $~J 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.aopherstateonecall.org 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 ~iplan ~ in~the~fcase of work which requires a review and approval o an . Applicant's Printed Name Applic is gnature FOR OFFICE USE Reviewed By: Date: i Required Ins' ections: Under Ground' Rough-In _Air Test -Gas Test -Final j CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 2!6199 PERMIT NO.: Eagsa, MN 55121 DATE: Zoning: No, of Units: Owner ` i iia'_ • L .I f ^ O'. i Address Site Address: Plumber r Motor No.: Connection Charge: Size: Aoonsra Deposit: Reader No.: Permit Fee: 1 elm to osoplf gild the City of Ewa Surcharge: ordiooaem Misc. Charges: Total: I,• By Dote Paid: Dote of Insp.: lnsp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 2-199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: OZ mu n -T1 C('- o Address: 4759 EwrT , _ Site Address: Plumber. Feine n', :^ii; ':nCor ;r_a.va ~-7 it ? 1 worse to eoeePlq with the Cllr of aspen Connection Charge: 5 . 0-1 VC; Onn"ases. Account Dept: Permit Fee: Surcharge: BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN r 3830 Pilot Knob Road, P .O. Box 21-199, Eagan, MN 55121 N2 11817 PHONE: 454-8100 BUILDING PERMIT - Receipt # To be used for SF DWG/GA ~ Est Value r$110,000 Date kikR I L 17 19 6 Site Address 4759 BURR OAK Sl' Erect ~ Occupancy R3 Lot 4 Block 2 Sec/Sub. OAK CLIFF 2IND Remodel ❑ Zoning ill Parcel No. Repair ❑ Type of ConstT Addition ❑ No. Stories m OZ U:1-PFDERSOA INC Move ❑ Length S7 Demolish ❑ Depth 3 9 i 15136 GALAX I E AVE [Address ame o Int Impr. ❑ Sq. Ft ty A.V. Phone 431-5000 Install ❑ = 0 Name S rL'2 i: Approvals Fees 014 Address Assessment Permit 4 58 . 0 0 r city Phone Water & Sew. Surcharge 55.00 ~Q Police Plan Review 229.0() LOU W Name Fire SAC 575. O U c) z Address Eng. Water Conn. 500. U U W City Phone Planner Water Meter 63.5(: Council Road Unit 290.00 1 hereby acknowledge that I have read this application and state th t he 15 6 - 0G- Minnesota information is correct and agree to comply with all applicable State of Bldg. Off. 4/16 (Tr. PI. Statutes and City of Eagan Ordinances. APC Parks ' r . Var. Date Copies Signature of Permittee ; l,' Total 42.326.50 A Building Permit is issued to: O&MUN-PEDERSON 114C on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official 1 i Permit No. Pendt Holder Daft TeNphone # Plurpbing 7' n r H.T.A.C. s J - Electric Row / 19 (Ta~ (IT Salttn*r Inspection Da" Imp. Comments Footings I ~S Footings 11 Foundation Sl ,s kqM Framing f lrL b JOSE- MS A4 454L- Roofing Rough Plbg.~~- l Rough Mtg. 7 S(rc !~C/ Insul. 30 $ Fkneplaee Final Htg. Final Plbg. 09 Bldg. Final Cert.Occ. Deck Fig. Deck Fang. well Pr. Dktp. LLI PERMIT # O S MECHANICAL PERMIT RECEIPT # Q CITY OF EAGAN cJ _ n 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 4548100 U4q Site Ad ress BLDG. TYPE WORK DESCRIPTION Lot Block Sec/S Res. New m Name Mull Add-on R Add r _ c Comm. Repair City Phone Other it - % " . . Name ~ FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City Gk - ` Phone c c c) ADDITIONAL 50 M BTU - 6.00 -7 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 -It ` Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 SIC IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # ` Other FEE SIC. SIGNATURE OF PERMITTEE TOTAL- FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # ' - - / CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Ad ess BLDG. TYPE WORK DESCRIPTION Lot Block Sec/ Res. New m Name L NIUF-- Add-on Address Comm. Repair U) City Phoneme -7 - Other Name NO. FIXTURES TOTAL Water Closet - $3.00 $ 3 Address Bath Tubs - $3.00 p City Phone Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 MINIMUM - RESIDENTIAL FEE -$10.00 Laundry Tray - $3.00 MINIMUM - COMM/IND FEE - 2000 Floor Drains - $1.50 STATE SURCHARGE PER PERMIT - .50 Water Heater - $1.50 (ADD $50 1S/C ,0 IF PERMIT PRICE GOES Whirlpool Gas Piping - $3.00 Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Welt - $10.00 i - Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL- CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road .P. O. Box 21198 PERMIT NO.: Eagan, MN 55181 DATE: Zoning: No. of Units: Owner: zn ~sn-^e: erson Address: Site Address: 4 ttrr Oil: 7,_, - q rr Pe ne lu 3i - J3 ~ "-n1- Plwnber. fir) i - VW MWIM, Meter No.: Q ion p - Sim: n o Before 111176111 No.:0.3N[~~~D?TI:IPHONE-I~e: P,,d,k 1 apw to eoway w" the Ciy 9ftTJ I R p i w w - A+Nwa.ees. V RIISC. Qwrpes: { Total: et _r BY Date Paid: Dote of Insp.: Insp.: 6-IS~B~ CITY OF EAGAN Remarks Addition OAK CLIFF 2ND Lot Blk 2 Par 0 53551 01x.0 02 X M 55122 Owner Street 4759 Burr Oak Street State Eagan, STREET SURF. 312.7 31.27 1 Improvement ;191.ic Amount Annual Years Payment Receipt Date STREET RESTOR. GRADING SAN SEW TRUNK 1973 118-79 7.92 15 SEWER LATERAL WATERMAIN WATER LATERAL 1981 WATER AREA 1962 184-07 12.27 -L) STORM SEW TRK -1979 399-77- 20.00 -2G- STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK This request void F-o 18 months from E1 084 1 Lea - Request Date Fire No. Rough-iInspection Raqu "o'1? 1 ❑Ready Now Will Notify Inspec- p( Ves ❑NO tnr When Ready K Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City y7S"9 qv k- ection o. Township Name or No. Range No. County 01 Occupant (PRINT) Phone No. 4y' 31 - Sboa Pow Supplier Addimss Electrical Contractor (Company Nomel Contractor's License No. L44-~ dy~Z;LDG O Mailing dress (Contractor or Owner Making Instailetipn) Authorize Signature ( Conuactor/Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECT ITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwey Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. d~/g I REQUEST FOR ELECTRICAL INSPECTION b Sea instructions for completing this form on back of yellow copy. '9 Q841 19 " X" Below Work Covered by This Request 4 Aa Type of Building Appliances Wired Equipment Wired ome 91 Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building X Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank INK Farm Other pea y the, ISnecilyl t w.r Specify Other Otha~ ompute Inspection fee Below N Fee Service Entrance Size k Fee FeedersrSubfeeders # Fea circuits 0 to 200 Amps 0 to 30 Amts b fro 0 to 30 Ant Above 200 gmps. 31 to 100 Amps /p, 31 to 100 Amps Swimming Pool Above 100_-Amps Above I00_Amps Transformers Irrigation Booms O Partial, Oth ee Signs Special Inspection $ _ (p Remarks `C TOTA EI i Rough-in Data I the E ctr' tP cactor• hereby V rtifv that the above Final D.a3 inspection has been r U rtre de. This request void 1S months from CITY OF EAGAN 9, Eagan, MN 55121 N2 - 11817 3830 Pilot Knob Road, PHONE 454-8100 BUILDING PERMIT Receipt# To be used for SF $DWG/GAR Est.Value $110,000 Date APRIL 17 tg 86 Site Address 4759 BURR OAK ST Erect :l Occupancy R3 Lot 4 Block 2 Sec/Sub. OAK CLIFF ND Remodel ❑ Zoning Rl Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories Name OZMUN-PEDERSON INC Move ❑ Length 57 15136 GALAXIE AVE Demolish C3 Depth R9 BI; Address Int. Impr. ❑ Sq. Ft City A.V. Phone 431-5000 Install ❑ o Name SAME Approvals Fees c Address Assessment Permit 5 0 City Phone Water & Sew. Surcharge 55.00 Police Plan Review 2v 0 a w W Name ~ i Fire SAC z~ Address 500.00 Eng. Water Conn. <w City Phone Planner Water Meter 63.50 Council Road Unit 290.00 I hereby acknowledge that l have read this application and state that the Bldg. Off. 4/16 6Tr.Pl. 156.00 information is correc=oaga with all applicable State of Minnesota Statutes aances. APC Parks Var. Date Copies Signature of Permitte Total $2,326.50 A Building Permit is issued to: OZMUN4EDERSON INC on the express condition that all work shall be done in accordance with all applicable Stat o innesota St`atu_tes an agan Ordinances. Building Official +~k \ • ' t • ' • / • I • ' • 171' I• 71' ' 71• •71• ! N • • • 711 1 11 71 • • • •1 1 • CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (Please Print) G 1) PROPERTY ADDRESS: 7- LEGAL DESCRIPTION: z o 74 5l /a c Z Z M Q cL (Lot/Block/Subdivision or Tax Parcel I.D. Number) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month Year) PRESENT ZONING/PROPOSED USE: -1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 4 APARTMENT/CONDOMINIUM ( Units) COMMERCIAL/RETAIL/OFFICE INDUSTRIAL INSTITUTIONAL/GOVERNMENT 2) ~ / NAME: .J d //q fJ S a t /zXc-cc *--a ADDRESS: / ap e S ~ic✓~ ~2I~.r N CITY, STATE, ZIP: rie r ~y ibry~ "6zrr, /1/1at S S-'y 73~ PHONES/ -d~ 9 S1~ 3) t:7 For City Use NAME: Pe is ~~i~ m dsi4~ Plumbers License ADDRESS: h'I ,y 794 Q Active CITY, STATE, ZIP: rm c•n 5 / Orl 171 SS O z~ C7 Expired PHONE: V6 3 -P,}'_3 A MASTER LICENSE # e)o z - d p S/M O Not Recor( Std Initial 4) •~•"s.x r..at71• ^ NAME: C/Z~YIK~7 d J E~~rf yim,iI c ADDRESS: _/S /.36 CITY, STATE, ZIP: S-i-/ Sl PHONE: V-?/ - S-0 6')0' 5) It • 71• • a• 7i1 ~(-EONNECTION TO CITY SEWER ~NNECTION TO CITY WATER 0 OTHER (Please Describe) 6) n • ❑ PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,0 4, ABOVE (Circle one) 7). •T 1 . . F O R C I T Y U S E O N L Y PERMIT ISSUED 773 7 F FEES: $ /G-S L SE"IER PERMIT (INCLUDE SURCHARGE) $ ~L J U WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ OZ nCCO ::'T ?CSI - c_.:?R $ /S•O~ ACCOUNT DEPOSIT - WATER $ G C' • rJ 73 WAC $ 57,5 • a-v SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SETER $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ AMOUNT PAID/RECEIPT 9 /3 j oz ~zz35 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C] YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION - LIST AS A CONDI-. TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ~ o 1986 BUILDING PERMIT APPLICATION - C OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.9 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF . ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: SFD Valuation: Date: April 11, 1986 Site Address 4759 Burr Oak St. OFFICE USE ONLY Lot 4 Block 2 Erect Occupancy P 3 Remodel Zoning RZ• Parcel/Sub Oak Cliff 2nd Addition Repair Type of Const _]Z Addition # of Stories Owner Ozmun-Pederson, Inc. Move Length SZ Demolish Depth _ 31_ Address 15136 Galaxie Ave Int.Impr. Sq Ft Install _ City/Zip Code Apple Valley, MN 5512 Phone 431-5000 APPROVALS FEES Contractor Ozmun-Pederson,Inc. Assessments Permit 4. Water/Sewer Surcharge S Address 15136 Galaxie Ave. Police Plan Review Z 2 5. Fire SAC S?S, City/Zip Code Apple Valley, MN 55 24 Engr Water Conn sbo' Planner Water Meter G-3,* Phone Council Road Unit 290 Bldg Off fZWfa Treatment Pl I S(o. Arch./Engr. APC Parks Variance Copies Address TOTAL 12 30 City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. 14x 3z = ~4P s~ = 2s~84 2l " 5q~ x S-E> 30 K 22 12 ' ~qZa 0x33 - 4~>z x 44 ZD32S 2~ - Sq(o q4 2 2 4024 0 472° 4112° CO + ✓ X13° 00 290+ 742° -C 0 '5°~0+ ✓ x317- 00 °.C+ e817° 00 ~3°-30+✓ 1: 8^=NCO 29 °,0+✓ 2)17:°`00 156°'0+✓ .:Y326°C00 _70 0 IV / _ g7. 4-o I ~Vn A ~1 ~ M I I• d I \ N to L) Q Lih QAGE FL R'.tS'.O" v II.S tz.5" l a' f - z z. 5 \ fLq'DRIv~ 0 0 M ~8.~o G4 0 - e• FL-VT P L-P t J OzMUrJ-- PEDE~' Lo-T Q.., OAK GL1Ff= 2NO APpr-7-'Ionl S6AL-Eg ! "=ZO' MARL-- 14 198 y EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION ner,~.~[~[~C~S~/1G,Address _ Phone 3 gal Description of Property: Lot-4--Block Z Addition_.4a4j G Z' Date i to Address `s AVERAGE LINEAL FEET OF EXPOSED WALL AREA ABOVE GRADE .in level p _ Z ~y~ Lineal ft. of fram~~all above grade x height of wall , ( 080 do ZcrU7L m joist area a) Lineal ft. of rim ~J~IJ G~~ x height of rim Z +wer level Lineal ft. of framed wall above grade x height of wall / Lineal ft. of masonry wall above grade)5a x height above grade_ ~S~ C*`~ TOTAL wall area above grade including windows and doors ZC 7iCrL'' ENDOWS: Area x "U" value „U„ (U)( ake & type G-A'12 ' sq. ft.~x x U, _ (U) n n '1741 f~C F li LAZ/~G sq. ft..--_--_-.___ It sq. ft.~ x „ it 3036 - Z 7. Z sq. ft.__I4__afl x ,U„=~ T(u) !C/ Z - ~ 3 sq. ft. 'lull = (U) it ft. .5 A ~00 x u _ Z3.6l~ 11 it Z06o 9 sq . q. ft. 60 x lull - SE8 (tt) O Z x lout, „ u - L r s ft. _ E± 4- „ -7- 1 7 sq. ft. X „Uu (UU)+ I it Z 4 u .xry, $P (U) s - 3 7• k - sq• ft. U „ n 7n 3 sq. ft. 765,!Z 42 x x nU,t (U) s ft q• x nUn a (U) n if sq. ft.______--~---- nUu (U)is sq. ft. x x „u„ it sq. to x "u" is n - Sq. ft._.-------x nUn a sq. ft.._ x „U„ _ (U) „ „ - sq. fta iOORS: Area x "U" value x „U„ _ (U) take & type ~r,{cHTQFE SN5 srC_. sq, ft.`_ t llull „ s q. 27 x 17--2 3 5- Z'- ( ) it 2,'0 sq. rr, 11 „ J-3° Lv~tZ ~TDECIT~ q• z "U" ! Gz (U) x ,3 = q• 2o,1J ft. q 2. $ x „U„ B pEZ~a ~LlO~R Gf3.z7 low )PAOUE WALL CONSTRUCTION; Area x "U" value s 3 z x "u" , 08 Z sq. ft. Za z 73z (u) Ff4AMt /Al Ai to g:Wl n s ft. x „U„ )etail refer ~fZfiiIIGYJ auAL 5 sq. ft. 0b x "u" (U) ance from fLlNri ?7)6 q• =TL x "u"= /l, YO (P) n~ e h n 1 411A"_ sq. ft. x fluff (t.!) attached sq. ft.~_ f„ (t,) sheets s ft. q • --max "U" q. ft: x U (U) Z i~ r l' j 1~Y.> TOTAL Wall Area Including 9 TOTAL (u) (A) . 'Z7- -1ko Windows & Doors 7~7 AVG. TOTAL (U)(AI VALUES DIVIDED BY TOTAL WALL AREA AVERAGE "U" Minimum .0 or less for 1 & 2 family dwellings minimum .22 or less for all other buildings NOTE: If average "U" values as calculated above do not meet the Energv Code requirements, th< "Alernate Envelope Design" as indicated on Page 5 may be used. R-Value _ FRAMING MEMBERS IN WALLS WALL SECTIUNS Exterior _air gi,~g__......_........__._ 17_..__._ NOTE: Use 10% Sidin reta_ u! of opaque g 5 ?14i?~! 8.Z wall area ' . „ for framin I( Sheathing _-Z. P 6 members { _ 6. $7S soft wood -4r.38 dry wall .45 in P, AN Interior air film .68 I" TOTAL R Z • d S U=1/R U FRAMED WALL Exterior air film 17_ Siding 5 T45EL"4'rCAM l • 6 Sheathing Z S~3 2.~ 2. G " batt insulation / 9' On " dry wall _ .45 Interior air film .68 • T(1TAT R Z4, / Y- U = 1/R U - _ RIM. JOIST A~d~ Exterior air film -1-7---- Siding $ TAG `vlr-vw.-n l • ~ z 2.06 Sheathing ZS~3a 1.88 1L" soft wood Insulation .68 Interior air film TOTAL R = Z f 7 U=1/R U= .039 _ MASONRY KAJLL__ Exterior air film _ '17 12" concrete block --?i - 0-0 Insulation H(- D R104 I P '1-~ Interior air film .68 TOTAL R = q,_ 3 (2) U= 1/R U= •~07 ROOF CEILING Outside air film .61 rl Insulation rl14'z ` - - - ~_~ILL~L~~S SJ i `01 Drywall j45 \ Interior air film .61 TOTAL R 4' ~1r U = 1/R U _ Z.- .61 Outside air film Insulation hil Drywall 45 .61 Interior air film TOTAL R = U=1/R U= Outside air film 17 I_nsulation Wood decking Interior air film .61 TOTAL R = U = 1/R U ROOF/CEILING: TOTAL AREA: sq. ft. _ (U)(A) Detail reference " "U" x sq. ft. (U)(A) from above. U" x sq. ft. (u) (A) Describe openings U~~ x sq. ft. (U)(A) in roof U x sq. ft. _ (11) (A) uuu x sq. ft. x ft. _ (U.) (A) „Uo q. s uU„ x (A) sq. ft. _ (L) TOTALS sq. ft.______ _(l~) TOTAL (U) (A) VALUES AVG. "u" DIVIDED BY TOTAL ROOF/ CEILING AREA AVERAGE "L'" .05 for ventilated roofs .10 for all other construction 1(j'fF.: If average "L'" values as calculated above do not meet the Engerny Code requirements, tl "Alternate Envelope Design" as indicated on Page 5 may be used. (3) RESIDENTIAL BUILDING PERMIT APPLICATION 13 .Jj CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodellReoair Requirements • 3 registered site surveys showing sq. ft. of lot. sq. ft. of house; and all roofed areas • 2 copies of plan (20°'o maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions . 2 copies of plan showing beam S window sizes; poured found design, etc.) . 1 site survey for exterior additions S decks • 1 set of Energy Calculations • Indicate f home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) ~o DATE VALUATION S 00,9 SITE ADDRESS 4:7 4 00 St. MULTI-FAMILY BLDG _Y )CN TYPE OF WORK Xoef FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT C)OsCa DSiG-/J Qu~c STREETADDRESS 695S St. UJ. CITY A2p/e- a STATE Ml) zIP SS'/ TELEPHONE #gsd-g9;~-aa16 CELL PHONE # 61 L-859 3939 FAX # ~jS2 qGl- 3~2 PROPERTY OWNER '~aL1GP~✓cL3svt TELEPHONE# COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ %[[\\FS0'FA RUUS 7670 C.\"i'E(.ORY l ~[I~\ESO"f:\ 12i L1;5 7fii`_> submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone Plumbing system includes: Water Softener Latin Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: P rone Mechanica l system includes: .fir Condiuouing :S70.00 Heat Recoven. System l Sewer/Water Contractor: P I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances, 0 Signature of Applicant y/` ~ YQ/(.y`CS~' OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4102 W 1-----------------, For Office Use _ City of EI Permit I ® V L Permit Fee: j 3830 Pilot Knob Road I I Eagan MN 55122} 111 L I Date Received: Phone: (651) 675-5675 1 I Fax: (651) 675-5694 i Staff: I 2009 MECHANICAL PERMIT APPLICATION Dater"- I Site Address: Ock Tenant: Suite RESIDENT / OWNER Name: PhZi 3L' 0 71 Address / City / Zip: 4~ 7 t' ( ~ n l CONTRACTOR License #:~i~ OS` -7 q 8 -7 Dan Wohlers Southside Htg. & A/C 6950 W. 146th St., #106 Apple Valley, MN 55124 State: Zip: (952) 431-7099 t Person: JW If--, TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods- PERMIT TYPE RESIDENTIAL COMMERCIAL V Furnace _ New Construction _ Interior Improvement 14- Air Conditioner _ 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: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ S© 4 So TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 plant. x 0bacL ht er x C Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In Air Test Gas Service Test In-floor Heat --Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA073544 Eagan, MN 55122 . Date Issued: 05/26/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4759 Burr Oak St Lot: 4 Block: 2 Addition: Oak Cliff 2nd PID 10-53551-040-02 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 11201 80th Street Suite 211 Bloomington, MN 55420 952-345-6047 sarah@elderjone s.com Fee Summary: Surcharge - Based on Valuation $2K $1.00 9001.2195 BL - Base Fee $2K $69.00 0801.4085 Valuation: 2,000.00 Total: $70.00 Contractor: -Applicant - Owner: Pella Windows & Doors Turnkey Sales Lynn J Richardson 15300 25th Ave N #100 4759 Bun Oak St Plymouth MN 55447 Eagan MN 55122 (763) 745-1400 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink, For Office Use I , 1 Permit `7 1 Ron City of Ea-' I 1 I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 RECEIVED I Date Received: ":.Phone: (651) 675-5675 ~ ~ Staff: j I Fax: (651) 675-5694 DEC 14 2011 2010 RESIDENTIAL PLUMBING PEF,RMIT APPLICATION oa- '5t Dater l Site Address: Tenant: t Suite RESIDENT I OWNER Name: Phone: UC Address / City / Zip: qTZ-'-' E2UJT- 014 5f 62&0 l l' t CONTRACTOR Name: License uc`4q97 hZ/ Address: City: State: Zip: t Phone 1 ,15 ~301 6"1 Contact: Email: I ' AW y b~' TYPE OF WORK -New _kReplacement -Repair . Rebuild _ Modify Space _Work in R.O.W. Description of work: D , PERMIT TYPE RESIDENTIAL ,i<^ I Water Heater Water Softener Lawn Irrigation RPZ / PVB); Add Plumbing Fixtures Main' Lower Level) Water Turnaround Septic System New Abandonment I I RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnar und* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.Oq State Surcharge) ! $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.Oq State Surcharge) TOTAL FEES CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 fogy protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. w hAf gopherstateonecall.org 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 o tans. I , vod, x App t~rinted Name App t' nature FOR OFFICE USE Reviewed By: Date: i Required Ins `ections: Under Ground Rou h-1n Air Test Gas Test Final - 9 - R - ! l PERMIT City of Eagan Permit Type:Building Permit Number:EA113852 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 4759 Burr Oak St Lot:4 Block: 2 Addition: Oak Cliff 2nd PID:10-53551-02-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Elizabeth Hess 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 - Lynn J Richardson 4759 Burr Oak St Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA158669 Date Issued:10/24/2019 Permit Category:ePermit Site Address: 4759 Burr Oak St Lot:4 Block: 2 Addition: Oak Cliff 2nd PID:10-53551-02-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Lynn J Richardson 4759 Burr Oak St Eagan MN 55122 (651) 283-7040 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature