837 Bald Lake Ctw -4 `-f U 01 3 °j
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. CITY OF EACAN
r3830 PILOT KNOB RD - 55122
? U g 1 y C R 1300?? 651-881-4875 ?
New CoixlnucNon Raauiremanh Stib( o 0
D 3 repitteied sIte wneYS ahowlnp fq. IL of loi. W. M. W houte
diW SM lod6tl arsos /20% nwximum lof coveraae dlowetn
a 2 capiei ot Wmn (show beam S wintlow slzas; Poured W. dealpn; eM.)
D 1 tet ot eneryy caleWcMona
? 3 coples of Iree PrepervaMon plan M bf pluHed oRer 7/1/93
DA1E:
DESCRIPTION
STREET ADDRESS: rJJ l / J f-Z' /(.l" /
LOT: -LL BLOCK: `/ SUBD./P.I.D.
c_?? C?-- 1s oo
2 copiea d plan
1 set ot energy cdwlaMOns 1or heaftd adc9tlau
i me wryey ror exaeeor aamnons a aeckx
Cosr: 4202- 1324
Name: Phone i:
PROPERTY lat Flmt
OWNER
Street
City
State:
Lp:
. Company. U ?Z"ln Phone M: 1,961 25e'-7127
CONiRACTOR (crea code) ??5?°O
s+reet ndar?: r?. 2G4- ucense # 2?Ew.3
CNy .(?4.r+....n Stafe: Lp: ?l , ? 2Z
ARCHIiECT/
ENGINEER Company: Name:
Telephone N: (
Sheet Addreas: RegishaHon M:
CHy
Sfate:
Lp:
SewerAvater licensed plumber (if installlna sawar/water):_? rL lA? ?'PD i l,F? Phone #: (/?nl? 1?l J?"7"XJ ?i
I hereby acknowledfle ihat I have read ihis applicaNon, dale ttwt the Inlomwtbn and agree to compy wNh aA oaGle State
of Minnesofa Stalufes and CHy of Eaqan OMinances. ?? ?
Sigrwlure W AppfieanY.
OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No ' ,.' 14
Tree Preservation Plan Received _ Yes - No -.IV/. Not Required tb
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation O 07 05-plex ? 13 16plex ? 27 Porch (3-sea.)
,ilY02 SF Dwelling O OB 06-plex O 17 Garage O 22 Porch/Addn. (4-sea.)
0 03 01 of _ plex ? 09 07-plex O 18 Deck O 23 Porch (screened)
O 04 02-plex 0 10 08-plex O 19 Lower Level O 24 Stortn Damage
? 05 03-plex ? 11 10-plex Plbg _Yor_ N O 25 Miscellaneous
? OB 04-plex ? 12 12-plex O 20 Pool 0 30 Accessory Bldg.
qRK TYPE
31 New
9 O 36 Move Bldg. O 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding
? 33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair
O 34 Repair ? 42 Demolish (Foundation) O 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ux # of Stories ? s9• ft•
No. of Units (o _ Length 6 k sq. ft.
No. of Buildings I Width Nz Footprint sq. ft.
Const. (Actual) - t/ _ Basement sq. ft. » u G Census Code
(Allowable) -V.d Main level sq. ft. » NY MC/ES System
UBC Occupancy 2-3 - 1), t,? sq. ft. 201Z City Water
Zoning {? ?! L?14 sq. ft. 6'/0 Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
0Stucco/Stone
APPROVALS
Planning Building (R C7 Engineering Variance
Permit Fee Valuation: ._?
Surcharge
Plan Review
License ?
2`? ? x 25 ?' y pU
MC/ES SAC
C.Ity .SACi j
WaterConn. ,Srs -?21166G
WaterMeter mN;y. 17 4VXSN = C1`1,j52,
Acct. Deposit
S/W Permit 1ad I<?a wiz ?sN flurs, 6Ny
S/W Surcharge
?
?
TreatmentPl. G?rG r
iy lozq G
Park Ded.
Trails Ded.
Other
Copies
Total: s ?'6S°I. d
.?
? 31 Ext Alt - Muld
? 33 Ext. Aft - SF
? 36 MuRi
ot
" &,
SAC Units
% SAC
`� �\�� - �4.��� v� �LL � __ Use BLUE or BLACK Ink
�1� �" i
� For Office Use I
• �:IJ� �t� ,�-�,�f ���- � ��/� �
�� � , � Permit#:J�/ /
�� �����I� , � , C! LJ '
, �
3830 Pilot Knob Road � �'�""/ � Permit Fee: j
Eagan MN 55122 ' "`�—� j �
Phone: (651)675-5675 'I � Date Received: �
Fax: (651)675-5694 i � I
I Staff:
' L----------------�
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets o�plans with all commercial applications.
` k-- '1�-t
Date: � i � � Site Adc�ress: ��� ���'� �- L' '
Tenant: ' Suite#:
' ����e. Name: Phone:
���a�i���� �
��� ' Address/ICity/Zip:
���.
,
Name: G���1 ����h �'�� License#: �'����J 1
i�
... �D.II$f�C'�DC :. Address: '����i ���i�� G"uU( �°`�'� City: �la i�'�- �GfG l�hh� ✓
State:�J�,__�Zip: ��.�`�`�� Phone: �tiJ�� �'`��"�'�G G� �+'� G. il
, :...... . r
�r—
� � �,�.... ����� Contacfi '� EmaiL � �
� � � ;, �New Repl�ment Additional Alteration : Demolition
�, � , .
` T `�"�� Descri tion of work• tin �.� G 0 � '' �. E'" y► " �!f° r- C1� U
�
' � ��� �1�T� R�ca���ur�����������t�+�������ii����r���,�e� " ���
� ��„� � �?��� � �c��n��,�� � t�r f�r'���t���l����'nit�������r��r�� �
�_., .�:. __ Y..-__ T�.�., �... 5..� -
� ,�
y����'� I RESIDENTIAL COMMERCIAL
�
� ce -'r:;�u�� �Y �
Furna New Construction Interior Improvement
'. �Air C nditioner �'� �'�(- �� Install Piping Processed
��.�`�������r � -t-�+NV`�tX.�T1�!
R = changer{� ��� .�„�a , Gas Exterior HVAC Unit
Air E
" ' Heat ump J Under/Above ground Tank (_Install/_Remove)
�� "r —
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to�lan existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$ .00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES �i, Contract Value$ x.01
$55.00 Permit Fee Minimum '
$70.00 Underground tank installatiqn/removal =$ Permit Fee
"If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge"
"*If contract value is GREATER than�10,010, Surcharge=Contract Value x$0.0005
"""If the project valuation is over$1 mi tion, please call for 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 permi�,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 yvhich requires a review and approval of plans.
X �.j.�����l�i � X �� �
i
ApplicanYs Printed Name I, ApplicanYs Sign ture
� ,-:- �Y�e
.����������ia ._ '���9L �i- :: \ � '• 1 WY : .
,
£ x �..
.'-.: . ", �':�: � £ F��n� . . �'�. .....:, � Cx �� /'/. �\ �a , i'��i,�i;
I�Si��l�����Rii�%�'�I��^��` lC ����:: �f' v�`�^� ' U � ���:^�kYt�fi�'3�'a?Ya :�,�/ �C� ���..
,� .�,{ . ��� � ,: ... g � .
�:' :d:� '��d�"����U ��������, „ »:::rra»i�w������'r��`� ����`����..:�,,,��t�7�� ��'��
x�.�;
,,, , .„ .' ' o-„ .. ...�.,.,�...<,, ''..��.
Address 8 3 7 s a 1 d T. a k c Zip 55123_
IAt 15 Blk i Sub Gardenwood Ponds 4th
THESE ITEMS WERE / WERE NOT COMPLETE AT'TFIE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exisu.
Confac[ engineering division at 681-4645 before working in rightof-way or installing underground sprinklet system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
9?-soo
ENERGY CODE WORKSEiEET POR 1& 2 rADSILY DWELLINGS
I. SITB AF:JRESSGfjf
SA
P
,
GN t-G _ CZTY
` /
COMPLETED BY: s,?vllt,l.e PIIOiig p DATII
BOILDIIiG CLASSIFICATIOti: ? catagory 1(utandardl or ? category 2(munt include ventilatlon)
tlI27IHUM CRITERIA
Foutldation Inaulation-Rlo i•lalle 4 Windown Aoof Attic Inaulation:
Slah on Grade Insulation-R10 (See l:able on reveree side
for allowable percentages)
R44-With Atti.c No Ileel
Floor over unheated epaces-R29 ' R38-WiCh Attic Raised Iteel
Foundation 47indowe 1/2" R38 4 R5-Solid RaEters
itieulated Glass.
-4lood or Vinyl Frame
STHp 1 Windaw & Door Area ST6P 2 Calculate aroa ae a percent of Wall
A. Total Window f Ooor nrea in Sq. Geet -
WINDOWS (Inclqding G'oundation Windowe):
WIi7DOW MAN[7PACTURE NAMSi C. From Step 1 divide UoX A(4lindow & Door
. Area) by 6oX D(COtal wall area) Cimeo 100
WIttDOW MAt7UFACT?RB TYpg? equaic the wlndow and door area as a
percene oE wall area (Uox C).
WZ27DOW MAS7UPACTURB U FACTOR: ,
R. O. QuanCiCy r,q.f:C.Aeea BOX A5? X 300 =
-
Dimensionc
Box [iA,7C.R5! 1 I??? •
F
-b"
Z ?-Co" x ?1??' ?I
. ST6P 3 peoign Featureu
A
? ?
x P.SS[ihiDLY
2+ Qu X PRAMING TYPE:
? N
?`0 X ?/
'
51
ANDARD FRA19ING ?` otuds 16° o.c.
21"? A
ADVANCGD FRNIING r.CUde 24" o,c,
x CAVTTY INSULATION R-M
X
9tiSATitItIG TYPB:
x LESS TIIAN < R-5
X R-5 > OR h1oRL
X U-FACTOR ? .
DOORS: FCOm Che [able,
(reveree side) determine the
maximum percent wl.ndow 6 door area for
the
?p .
deeign optionn ae].ecCe3 and enCer the t valuc
in Dox D below bar,ed on tbe window mEg. U-
f factor:
Z?
X U
Total Area of - pFt
Yli
d
jJCfJ
-
n
ows 4 Doors
H. Total Wall Area in Sq. Ft. The i vulue Erom Che Cable in t3ox D shall bo
cyual to or greaecr than the } j? Dox C
Wall Total Iiei.ght IIrea
Perimeter
?- 3
zI[a IO??? -2.??
'I'otal Area of Walls
_------ ---- [1=tj' 14
4 cq.ft
- ' _-_---'
---__ ------
P. The building must not exceed the maximum tivindow and door area as a
percentage of overall exposed wall area listed below for the comUination
of framing technique, R-value of insulation tvilhin tlie insulated cavity,
sheathing R-value, and window U-fac[or. Otlier components must meet
the requirements of this subpart.
MAXIMIIM WINDOW A14D DOOR A[tEA
AS A PGRCENT OF OVERALl. CXPO SCD WALI.
Cavity tNindow L'-Faclor
Framing InsiJation ' Sheathing 0.99 0.36 0.31_ 0.27
STAN1]ARD R-13 =R-7 73.96/6 17.80/6 21.3% 24.3°0
STANDARD R-75 2It-5 12.9?b 17.1% 2(].1°b 23.4%
STANDARD R-76 dt-S ,. . . d1J% ;16.000 .18.8°t 22.0°0
STANDARD R-18 2R•5 135% 18.60b 21.60% 35.3%
ADVANCED . R-18 <R-S 11.1010 6 17.1% 20.70/. 23.40"
ADVANCED R-18 ?R-5 . 13.59. 1920/ 22.5% 26.1%
STANDARD R-21 <R-5 71.8°. r' 17.0%. 19.9;0 23.10
STANDARD R-31 ?R-S 14.0% 19.3°0 22.596 26.1°1.
ADVANCED R-21 <R-5 11.80"o 18.1% 21?0L 2•1.6°/
ADVANCED R-21 2f<-5 . 14.00. 19.900 23.2°16 26.90,;,
Subp. 3. Perfnrmance crileria. Tlte mmbined thermal transmiltance (Uo)
Factors for walis, roof/ceilings, and Aoors over unheated spaces musl be less than or
equal to:
A. 0.110 I3tu/h ftZ °r for walls;
B. 0.026 i3hi/h f12 °r fnr roof/ceilings; and
C. 0.04 Dha/h ftz °F for floors.
STATALf7'H: MS§216C.79
HIST: 18 SR 3361
7670.0480 IzepealeA, 18 SR 2361
0
Mirui. Rides Chapter 7670 26 1 ,..,,. 1011.+
?
?
:
? LOT SURVEY CHECKLIST FOR RESIDENTIAL
. ' ? BUILDING PERMIT APPLICATION
n PROPERTY LEGAL: LoT /d?DM6/GYJ6 pavo.s Fuar.se
DATE OF SURVEY: q _Zq "oU
? LATEST REVISION: 5 -IO -Od
?
C
0 DOCUMENTSTANDARDS
Q g Q
n
k? ? - Registered Land Surveyor signature and company
111/o ? • Building PermitApplicant
a Legal description
p' o ?
Address
? ? • North arrow and scate
? • House type (rambler, walkout, split w/o, split enVy. IookouC etc.)
?/o ? ? Directionai dreinage artows with slopelgradient °?
?? ? Prapasedleristing sewer and water services & imert elevation
? Streetname
EB ? •
Driveway
,m o • Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
Ew'stina
/
2
0 ? • Sewer service (or Proposed)
?
y? ? o
? • Property carners
• Top of curb at the driveway
?o ? • Elevations of any exissting adjacent homes
?er ? Adequate footing depth of sVUCtures due to adjacent utiliry trenches
/ Prooosed
t5 0 ? • Garage fioor
v?
? ? • First floor
lk
U
i
d
? ? ou
w
n
ow)
• Lowest exposed elevation (wa
? • Property corners
o ? • Front and rear of home at the foundation
/ PONDING AREA (if aoWicaWel
d/ ? ? • Easement line
ef ? ? • NWL
trl-o a • HNlL
p/?o ? • Pond # designation
? q/? • Emergency Overflow EievaUOn
9'p ?
m? ? ?
?? o
a o ?.
a '
? o
DIMENSIONS
• Lot Gnes/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. aii structures requiring permanent footings)
• Show all easements of record and any City u6lities within those easemenis
• Setbacks of proposed structure and sideyard setback of adjacent exiatlng structures
• Retaining wall re
Reviewed:
Mareh 19W
caAuuaLocvnnir.FM
15
SUBD.
CITY USE ONLY
BL ?
(!7ardenwood hndS
RECEIPT#: CK I24 70 )
RECEIPT DATE: 7 M
PERMIT# ? Q Il 3 /
2000 PLUNBING PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, D41 55122
651-661-6675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x 3 = $ a?
Floor drain 3.00 x $ Q2-
Gas piping ouUet ' minimum -1 3.00 x = $ °°
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x 1 = $ 3°l
Laundry tra 3.00 x = $
Lavato 3.00 x = $ 15°-
Septic System newireturbtsnad • requlres MPC Ile. 75.00 x = $
Se tIC SyStem abandonment 30.00 X = $
RPZ new instanatianlrepaidrebuild 30.00 x = $
Rough o ening 1.50 x = $
Shower 3.00 x = $ 3°`=
Underground sprinkler 'rf dwelling is under construMion 3.00 x = $
Underground sprinkler ifexisting dweiling 30.00 x = $
Water closet 3.00 x y = $ 12 -
Water heater 3.00 x $
Water softener If dwelling under consVUetion 5.00 x = $
Water softener if ewsnne awewne 30.00 x = $
Water tumaround 30.00 x $
State Surchar e .50 -> -> -> $ .50
TOt81 _> $ o0
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------------------------------------------------•------------- ------•-------- ------•--•--------------------- ----- ------------
I hereby adcnowledge that I have read this application, atate that the iMormation is wrtect, and agree to comply with all appliwble City of Eagan ordinances.
It is the applicanYs responsibility to notiry tha property owner that the City of Eagan assumes no liabiliry for any damages raused by the City during its
nortnal operetional and maintenence activdies to the facilities constructed under this pertnd within City properly/rightof-way/easement.
SITE ADDRESS: R 37
OWNER NAME: : TELEPHONE #: (.OS? qeA -
(AREA CODE)
INSTALLER NAME: ( rV!/1"/_-
TELEPHONE?1 Lr2-?5 - ?t L4 L-4
(AREA CODE)
STREETADDRESS: ?L4' f L-('] - V7 V-U?f (T :1 L!fF1( ,
CITY: Lbu I/?)!'Tl k B'lT STAT E ? N ZIP: S5?
SIGNAT E OF JMITTEE
CITY USE ONLY
LOT i? BL I PERMIT#: 03
suBD. Gqtdev)wezd pondS 4&?_ RECE[PT #: /J?961
RECEIPT DATE: 5- 3 ?00
2000 MECHANICAI, PERMIT (RESIDENTIAL),
CITY OF EAGAN
3830 PIIAT PQIOH Rn
EAGFIN NQ1 55122
??r ?? 651-681-4675
Date: ~7Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.D0 ea.)
State Surcharge
Total
30.00
6.00
0
9.0
.50
Complete this section onlv if you are remodeline, addin?toor re airin
townhome, or condo. ?lease indicate if it is a new item, alteration, or repair.
New _ Alteration _ Repair
Furnace
_ Air exchanger
Reminder: Call for inspections
SITE ADdRES5
an existing single-family dweliing,
_ Other
Air conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
O WNER NAME: PHONE il: C, ?f
(AREA WDE)
INSTALLER NAME: ???t? PHONE tl: G? -?,c'> - .Oc`?i 2.
(
STREET ADDRESS: ?1a/C`1 0 n}_.p , '4?A CODE)
CIT'Y:
_ STATE: ?L ZIP:58?0.;?72/
S GNI ATURE OF P RMITTEE
,Tul 27 2006 9:06FM
I q L4q (o
612 927 7192
612-927-7192
2006 RESIDENTIAL MECHANICAL PER141TT APPLICATION
City Of Esgau
3830 Pilot Knob Road, Eagan MN 55112
Telephoae # 651-675-5675
Yleasc oompleic L'or: single fatnily dwellings dL townhomes/condoe wtwn pcrnute ate requiroci 1br eauh unit
p. 1
t ?:Q 1?6
Date
Sitc AddrCSS_. llnit M -------
---- v
Tclephanc #
Prupcrty Owncr ? ? (n
paul stafford electric. I nc.
icnncac aVe SO
ContMMOr 5004
?
minneapOlls, mn 55410
Sh•ee.t Address City
w?1
State Zip Telep6oneM (
--
Bood#:
?Q P, ? ???? ?"'WfJf Expirea: ?
I The Applicunt ie ? Owner Coturdctor _ Other
? v
Add-oo or aticration to ezistinZ dwelling unit $ 3?W
? fumace _Additional _Replacement _ New
air exchanger
afr conditioner
heat pump
other
State Sureharge -- --T- ? 50 I?
I
'C
F
t S Q .JZ
O
a
I herehy appiy for u Residential Mechaniccil Pcrmit and aclaiowledge that the infonnation is oomplcm and accuratc; iliat the work will
be in confomiance wiih tlu orelivances :md codes of the City of Eagan and with the lViecha:rica[ Codes; thnt I understand this is nat x
pemut, but onty an application for a pernut, and woik is nnl to s4ut without a pesmit; tL;tt the wodc will 6e in accordance wittt the
appr ved ptan itt tLe case of woxk which raqnires a review and appraval of pl
App icant's Frinted Name ? Appli t's Signature ? 13,
36? ?
2006 IiESIDENTIAL iVIECIIANICAL rExnuT arrt,icATiorr
City Of Eagan
3830 Piiof Knub Road, Eagan MN 55122
Telephone # 651-675-5675
Yleuse complele loc single Camily dwrollings N lownhomes/condos when permils are requireJ tor ea.ch unit
Dutc ? 1
Sit
Add [Initft
e
ress
PropertyOw'ner Telephone#( )
paul staffordelectric, inc.
Cuntractor 5004 YCncesave so
? minneap0lis, mn 55410
I Streef Addresx Ciri
` State Zip Tcicphouc # (w Cz
I Bond#: ?ao cK.qq ?Expires: _U?0107?
Thc Applicuit is _ Qwner ? Cont rnctor _ Othex
Add-on or xtteration tn existing dwellinc unit I
$ 30.00 ?
? furnace _Additional _
air exchanger
Repfacement _ New ?
air conditioner
heafpump
other
Statc Surcharge $ 50
1'
l $ 0
ota
I lierebF appty for a Residential Mcclumical Peruut and acliiowledge thdt the informarion is conVlete and aecuratc, that thc work will
bc in conformance with the ocdinanees and codes of the Cih of Eagan and with the Meclianical Codes; tltat I understand this is not a
nut, but dv an applicatiun for a pennit and i;?ork is not to start witkout a pecinit; tliat Ihc work e?lll he iit accurdance with flie
ap?roved pl, i in e case vork F hich requps a revieGV aixi approval of plaus.
iVame
Appiicant's Signature
I`?0 ?' `? 2006 RESIDENTIAL BUILDING rExMtT arrLicATiorr
City OfEagan
3830 Pilof Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsVUC6on Reauirements
3 registered sKe suroeys showing sq. R. of IoL sq. ft. of house; and ali roofed areas
(29% marzimum lot coverege allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 setof Energy Calculalions
3 copies of Tree Pmservation Plan if bt platted aker 7!1193
Rim Joist Detail Options seledion sheet (buBdings wifh 3 or less un'rfs)
Minnegasco mechanical ventilation form
RemodeVReoair Reoui2men4s
2 copies of plan showing footin9s, beams, joists
1 set of Energy Calculatlons forheated addNOns
1 site survey for addHions & decks Add'rtion • indicafe if on-site sepEc system
A
Date ? l t3 //9? ConstrucGonCost
Site Address Unit/Ste #
8 ?' ?
Description of Work S L6¢
Multl-Family Bldg _ Y? N Fireplace(s) _ 0 1L 1 _ 2
Property Owner r P? 4- Telephane # (651 ) W2- - Z--150
Contractor lV:Ut l??I?- L 1"ao? ?I-u'ALo-t-? ?
Address A-t9P_ City
State
{?l.t,•v? Zip
? ? Telephone# (,I?`a ?
Z-
?. ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy CAde Category . Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• Eneryy 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 # {
?)' ?I1 i'??'i;
I r ir 1? I? 1!
Mechanicai Contractor ?' I Telephone #?
?' ?; I J L' N 1?'t'(;06
Sewer/Water Contractor f 11 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 pemut, and work is not to start without a
permit; that the work will be in accordance with the approved in the case of work which requires a review and
approval of plans. ?
Applicant's Printed Name pplicanYs Signature
? aaaC) 3h
OH2e se nl `
Cedof$UN0Y?6ctl _i1' ,'I?
treePtes??IanRecd ?-X '=N
7reePresRegul2d .'.,,...Y ='N
On31te5ePhcSysiEm ._`.Y?;_N
-
v
DO NOT WRITE BELOW THIS LINE , i
Sub Tvaes
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage /E:? 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 ? 25 Miscellaneous
r
WorkTvpes
? 31 New ? 35 Int Improvement ? 38 Dem5lish Interior ? 44 Siding
x 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bidg) - Give PCA handout to applicant
DBSCript1011: Water Damage _ Yes _
Valuation l S'? r t1(h 7 Occupancy MCES System
P4an Review 100°l0 or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const V6_ Width
REQUIRED I NSPECTIONS
_ Footings (new bldg) Sheetrock
Footings (deck) FinaUC.O.
Footings (addirion) ? FinaUNo C.O.
Foundation ? HVAC
_ Drain Tile pther
Roof _ Ice & Water Final
! Pool Ftgs Air/Gas Tests Final
? FraminB Stone Lath
Siding
Stucco Lath Brick
Fueplace _ R.I. _ Au Test _ Final ? _
_
Windows _
?I Insularion _ 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
i?f 'A) K)'P+ ??
? ?()r?F0V--)
??7F??Z:?'tr
(?.??r3t1?S
6/oQ
?
3un 26 06 01:13p Reuter Const 612 823 7059
' TUN-26;2966 12:27 SHP"L5TEWRR7 LUM9ER 5514889779 P.02
' . •rr??vw .....?vl+. ...c?vyv .. ???uu.r?w• . ,
OMR9=. C?SOA R"C iL(y}LC . ' •
site aaare68 937&1l1.Jt ?.,,.? E•?., ?1.?/ SsIZ3 .
,
oontractor Revdev' C.,?440yv4,fioH nate phone 61Z•8?3•309
Deternine working square foota4e of each
1 1l7t&1 ex[aoaed wall atea 3625 sq. ft. X, ll - YL2.9S
Z'Ibtal zopf/ceilkng azea foop sq, ft. X.oy(, = HL:BO
A 16ta1 wall window area 537:$D '
H 1btnl door area l6G,%r%
C 4bta1 siiding glasa door area
n 70Ca2 fireplace wa11 area -
9 Zbtal wall framinq area
F Total rim joist area L 7,50
G Tbtai net wall area a6pve floor
1bta1 exposed £3u7nc7ation atea 19A??
H Total £oundation windw area
I Zbtal net founc9ation area ahove grede
DeteaRine °U° ValUe Of EBCh Wa11, 6CCpmnt
A 5 7.AD x •'o" .32 = 172,1D :
H I4L,l+j` X "U" .33 F 5N,07
C X
'•.1
flV
'
D - x uun ^.
? 2eZ.5B x °u° .197
F 297.SD x "U" oMS' _ 13.3
G 2925.7A X "o„ ,oY = 24.
H ?
• I 1
5? X
X "u"
•U" .32 c ?.aA
.
3 Total ,n7S
If itan 13 is the same ns,pz less than itam Al,you have met lf+e intent-of
SBC 6006 (c) 2.
1btal exposed roof/cei2ittg area
S Tqtai skylight araa u,,..
K 1bta1 zoo£Jceiling Pranunq area (106) !60
7. Tbta1 net zoof/ce311ng area lGRD
Detexraine "U" value for each xoof/ceiling secpnetlt
X .rUel
K ISo. x .,U.. ,026 a
L_
4 Total
y5,5Y
If totai of A4 Ss the same as,or less than 92,you have met the intent o:E
SeC 6006 (c) 1. '•
p.4
Jun 26 06 01:14p Reuter Const 612 823 7059 p.5
' JUry-et?-e0Uu 12'28 SHAWiSTEWRRT Lllh1BER 6514889779 P.03
Alternative Building Fnvelope 6esign
To utilize the total envelepe system method,tt,e ?aiues estsbliaheg by t,he
sm o-t items #3 and #4 SMll npt be qteater than t},e s1Rn of itpns #1 and 02.
i ?sv + Z
3 y'I .tb' + 4 __?_ _
Jun 26 06 01:14p
, ,SL9N-26,-2BO6 12:26
Reuter Const 612 823 7059
SHFlWiSTELJRRT Li1MBER 65148843779
WALL SEC'1'IONS
COttstruction
1 1 Interior air film
2 2 ?" drywall
3 3 5?" soft wood
4 4 ?/j "rl ?.sd
s s ?ibPrw
6 6 Extenor air film
Figure #1 'rop view of
frame wa}.1
2
? 3
9
6
Fiqure #2 Side view of
frame wall
1
2
3
4
5
6
Figure #3 Rim jflist area
1
2
3
4
S
6
Figure #4 Foundation wall
Slab on grada
- I
?•
i
1 Interior air Pilm
2 k" drywall
3 R-14 46rr,1.45
4
5 yzuf? wsrl
6 Exterior air film
1 Interioz air film
2 R-t'Jf;b61/,rr
3 1 %z'? sof?t?'oI
4 ?It" r/yw?c?
5 F•*a b•.??
6 Exterior air film
1 Interior air film
a 1z JYyW,i/
3 8" concrete block
9 R-11 f•bar'fi?f
5 Fass d..?.
6
? . . •; -
. .
•? ?'
. . ..
•,. `` `?%
P.04
R-value
.68
.45
6?67
.17
9. a8
_68
45
?Q. LR
. s9
2i.Sf
.6B
r9.0o
! .8?
. /!
.17
zz,yy
.17
.68
.yS
1.11
•f!
+'3.33
?-
p.6
Jun 26 06 01:14p Reuter Const 612 623 7059
'.IUrE-262G)06 12*26 SHf?WiSTEGART LLN-tBER 6514869979
. -• . ._-f. ?.:-..
• - .?-:- unoF sscTioms
3 4 Constructlon R-value
J" 1 Interior air fi3m .68
` 2 R•Tg 14e?jd.?j H. an
3 5/8" drywall .SL
' 4 Exterior air film (st111) _61
Ceiling framing 1 Interior air film .68
2 5/$" drywall ?b
3 3'/y " soft wood H•:1S
4 R';tf ba4d! insu2ation 30,00
above framing
5 Exterior air film (9ti11) _ 51
31,10
FLAT ROOF SECTIONS
1 Inteliol aJ.r £ilm
z
3
4 Exterior film (still)
1 interior air film
2
3
9
5 Exterior air film
68
61
.68
.17
P.05
p.7
TOTqL P.05
'7?76 7
2006 RESIDENTIAL PLUMBING PeRnniT aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Pfease complete for modifications to existing residential dwellings.
,a). 5D
Date ? I I 6 (?,
Site Street Address ? 37 i-_12 C f' Unit #
?
Property Owner ?? ?r's o ?,
Telephone # ( )
Contractor 6-?5 ?v Telephone #( 6? f) 7 7 3 5 7 Y ?
Address ? Ciry L State_rf Zip S - z
The Applicant is: _ Owner = Contractor _Other
Septic System
New
Refurbished Submit 2 sets of plans and MPC license Incfudes County fee
_
_ $ 100.00
Per as-built $ 10.00
Aiterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a watef, softe ner and/or water
heater at the same time. If you are installing onlv a water soken er and/or wafer
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be re ? .and approved.
?
ApplicanYs Printed Name A4jp1lEanYs Signature
Fax Trasismittal Form
TO
Name: Ryan Fish
Company. AlbeRsson Hansen
Phone: (612) 823-0233
Fax: (612) 823-4950
CC: Ken Witt
u,yene
For Rerievr.
Please CammanP.
Please Reply:
ForYOUrUSe: YJ(
From
Dave Wagner
Phone: (715) 426-4930
Fax' (715) 426-4899
Date sent: 17 August2006
Time sent: 12:00 p.m.
Numher of pages including cover page: 1
Message: (Iverson Remode{)
It is my understanding that the 3-11 7/8" LVL beam above the living room bears 2" onto the buitt-up col-
umn. As Iong as the LVL is in direct contacl with the column (no wood plate between LVL and column)
this conditfon is satisfadory.
The three deck floor beams are designed to cantilever approximately 3'-6" beyond the column toward the
house. The beams do not need to 6e hung from the house.
It is my understanding that ihe 2-2x8 beam at the new basement bump out has a 1" high x 3° long slot
drilled mid-heighl into the beam approximately 3' from one end. This condition is satisFactory.
Please call me if you have any quesfions.
Sincereiy,
0
?j A1,.
David P. Wagner, E.
MN Reg. No. 25420
952 440 5627
DEC-01-2006 04:13 VIERECK SRLES
_ ?-
952 440 5627
16151 Main Avenue SE
Priar Iake, MN 55372
Phone: 952 "- "M
Fax: 952-140?5627
www.hotfireplaces.com
P.01i03
ro: Eagan lnspectior5 / Atm_ Scolc Fr? Steve RNera
Faac 651.675.5694
Pages: 3 7ota1
plwnee Gaeee 01 Dec 2006
Rft Inspeclion Infortn8tion M.
a w9.nt xIFor Rwiaw o rlmse conrnent 13 Pime Rear 0 wsass 06cyu.
+ Conanents:
SeOtt,
Here is the infortnation you requesNed iegmd'mg the inspetion you per4omx.d at 837 Bald Lake Court.
in your cily_ Please review my mmiced up drawings and contact me if there are arry quesfims a iF you
require mpre informdljon.
T{?
?
Steve RiverA
Our Customer Relationshlp Uoes Not Siop After The S2le, rt Unly Begins
,DEC-01-2906 84:13
VIERECK SALES
NO7E: When usjng flex vent, the opening wiH have to
be measured accflrding tothe 1!2" (13 mm) rise in 12"
(305 mm) vertical run_ CombusGble Walls (Fig. 21): Cut a 10a/e•H x 9W" W
(264 x 240 mm) hole through the exterror wa(I and
frame as showrl.
Nonoombustible Wafls (Fig. 21): Hole operting must
be 7Yd" (190 mm)'rn diameYer.
? Zero clearanCe sleeve is only required far
combustible walls.
S7EP 2
Measure vratf Yhickness and Cui zero Clearance sIeeve
Rarts to proper length wAXttuFUM 12"l3p5 mm). qr,sem_
ble sleeve and atWCh to firestop with #g sheet metaf
screWS (SUPPlied). (Fig. 22)
STEP J
Measure the horizohtal length requirement for the vent-
ing incfuding a 2° (59 mm) overtap, i.e. tiom the elhaW
to the outside wall face plus 2' (51 mm). (Frg. ZQ)
952 440 5627 P.02i03
STEP 4
Instalt the 4' (102 mm) vert to the appliance collar and
secure with three (3) sheet metal screws. InstalE the 7"
(178 mm) verrt pipe tot he appiiance coilar and secure
With three (3) sheet metal sCfexs_ 1t is not necessary
to seal this conneCtian. Ef a 45° efboW is being usecl,
attach the elbow to the appliaRce in the same martner
then aHach the Venting to the el6pw_
4a It is Critical there is np dpwnwaro sk>pe
away ftom the aPPlianCe when connecying
the vent or elbvw.
STEP 5
Guide the veMing ihrovgh the vent hole a you piacn the
appliance in its instaifed position. Guidethe 4' (702 mm)
and 7'(178 mm) coilar of the verit termination into the
auter ends of the venting. Do not force the termination H
the venF pipes do not align with the fermination, remove
and realgn the venting af the appliance flue colWfs.
(Fig, 23) At(2ch the termination W the waH as putlined tn
the insfruct{on sheet supplied wi[h the termination.
70009383 ' '?1? cr?/?`' CClY 77_> F"
P44Z?S? /!1L 77"/E W'AZe ? ?5
C4.a?
XDV.iJirere Vent Gas Fimplace
. DEC-01-2006 04:14 VIERECK SRLES
952 440 5627 P.03i03
•"? XDV Direct Venr Gns Fireylau
% .'.
FniShedVlal1?`
vent
yK???
.
. F¢mtinafion
? /l
S7LlGO ?i'?:v%i
..---
l4+v0
?? ------
cvtoos
rfy, 44 Siqt yew aT hnaf unrt IOCatiOn.
Rear Wall Vent , I
Follow Steps 9 and 2 on Page 15.
Step 3
Install the 4" (102 mm) flex vent pipe to the appliance
Collars tlescri6ed in "General Informatlon Assembiing
Vent Pipes", Page 11. If the installat(on requires a 450
angle, grasp the vent pipe dose to the appliance collar
and bend to 450. DO NOT exceed 450. (Fig, ZA)
Install the 7' venf pipe in the same manner a5 Step 2.
F1ex
APpliance <
Fig. ?A Grasp the vent pipe cbse to the collar and bend w
45° angla- Oo not exeeed 45°.
NOTE: There must be a 112°(13 mm) rise in a 12"
(305 mm) length of flex vent.
Step 4
Assemble the flex vent to the collare on the termirtation
as you did on the appliance.
16
Risc
FPta71
Fig. 26 ThBre must ba a S12° 115e per foot lengih. Applicatioris
Since it is very important fhat the venting system
maintein its balance between the combustion air
iMake and the flue gas exhaust, certain IFmifa6ons
ae tu vent configurations appy and must be stricpy
adhCtEd t0.
The Vent Graph shows the relationship petwcen vertical
and horizoMal side wall veMing and wi31 help to [teter-
mine the various dmensions aitowabie.
Minimum clearance between vent pipes and com-
bustible materials is 1 "(25 mm) on top, boriam and
sides unless otltatwise noted.
When vent termination exits through foundatlons less
than 20' below sidirtg outcrop, the vent pipe must
ftush up with the siding. It is slvrays best to locate the
fireplace in such a way that minim¢es the number of
offsets and hor¢ontal ren[ length.
The horizontal vent run refers to the total length of vertt
pipe ham the flue collar of the flreplace to the face af
the outer wdll.
Hor¢ontal plane means na verFical rise exists on this
portion of the vent assembly.
when insfalling the appliance as a rear
A vent unit, the 90° w 45' transition elhow
attached direetty to the reaz of the unit is
NOT IMCLUDEO in the toUawing critpria
and calculatlons, and unless speclTlcally
rt+entioned shou[d be fgnored when calcu-
lating venting fayouts.
,A11c;;5H rZ--YyQ ..
10009383
TOTAL P.O3
-7`/C-/ 7-;?--
2007RESIDENTIAL BUILDING rIIawarrucnnoiv
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWcfion ReauiremenLs
3 regisfered sile surveys showing sq. ft. of Iot, sq. ft o( house; and all rooFed areas
(20°b maeimum lot coverege allowed)
t Soils RepoA'rf proposed building is W he placed on disturbed soil
2 copies o( plan showing beam 8 window sizes; poured found design, etc.
7 set of Energy Cakulations
3 copies of Tree Preservafion Plan d lot platted aiter 711193
Rim Joist Defail Options selecfion sheel (buildings with 3 orless units)
Minnegasco mechanical ventilation form
RemodellReoair ReQUirements
2 copies of plan showing footings, 6eams, joists
1 setof Energy Calculalions forheated add'Aions
1 site survey for adtlitions & decks
Addifion - indicafe iionsde sepfic system
9,() _t ?
OKce Use OnN
Cert 9fSurvey,Recd _Y N
SoilsRepad -, _Y N
TreePresPlanReW _Y N.
Tree Pres Required _Y N
OnsiteSeplipSystem _Y _N -
Plans are considered public information unless you state they are trade secret and the reasnn.
Date _7 /
site Address 0 / 0 7
4f .7 7 1a lcC Lc A L Construction Cost 7`t
Uniuste #
Description of Work +'`
Multi-Family Bldg _ Ye?? N Fireplace(s) / 0 _ 1 _ 2
Property Owner Mi° ? lVe? Jo Telephone t! (4W )02- L? $ 8
Contractor ?? 4" C
Address
State 2''/ City H^v?aAt L-'•a
Zip -S S/,rg, Telephone # ( 6J?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy CodeWorksheet
(dsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for o similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
?/t/? 'oE tn?? ? u tr so ?
/?--
ApplicanYs Printed Name Applicant's Signature
2007 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do rrot combine inside and outside
aluinbina on the same application: separat2 Goolications and permits are required.
Date ) &'? 1 02 ? 1 0 ?
y7
Site Street Address ??7 fI-gG/C/4qkP C7' Unit#
Property Owner Telephone # ( )
Contractor Telephone # (??a)38?° ?° °93
Address Sd 0 QakClLvec? 64e`C City /7K'"'`ft-' State zip
The Applicant is: _ Owner & Occupant !" Licensed Plumbing Contractor
Refurbished Submit 2 sets of plans and MPC license
Septic System
New Includes County fee
_
_ $ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildn .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level ? lower fevel. This fee includes
installation of a water softener and/or water heater at the same time. If you are
installing onlv a water soffener and/or wafer heafer, do not complete this sedion;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_WaterTurnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ ,_PVB _new _repair _rebuild $ 30.00
State Surcharge E$.50
Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be
in wnformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but
only an application for a perinit, work is not to start without a permit and vork will be in ccordance Nith the pproved plan in the event
a plan is required to be reviewed and approved.
llNU 0 (-fPCf,Se ( 'o
Applicant's Printed Name Applicant's Signature
k -3 ('?, s
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reuuiremenls
3 reqistered site surveys showing sq. ft. of IM, sq. R of house; and all rooted areas
(209'o mayjmum lot covera3e allowed) 1 Soils Report if pmposed 6uilding is to be placed on disturbed soil
2 copies of plan shovring 6eam 8 window sizes; poured found desgn, etc.
1 sd of Energy Calculalians
3 copies of Tree Preservatlon Plan if lot plalleU after 7/1193
Rim Joist Detail Options selecfion sheet (buiidings wifh 3 or less unirs)
RemodellReoair ReQUirements
2 copies of plan shovring footings, beams, joists
1 set of Energy Caiculafions for heated additions
1 sitesurvey foraddifiom & decks
Additlon - indicafe if on-sife sepfic sysfem
?? iv? i 1
OfficeLse OnN
Ceft of Survey Rectl _ Y^ N
SoilsReport _Y _N
Tree Pres Plan Recd _Y _ N.
TreePresRequiretl_. . _Y ?N
Oo-siteSepbcSysfem _Y _N
Minnegasca mechamcai ven6lahon form
old'aJ 1?11G 7
Pians are considered ublic information unless ou state the are trade secret and the reason.
Date 01 Construction Cost
Site Address Unit/Ste #
S
Description of Work
Multi-Family Bldg _ YV`N Fireplace(s) _ 0 Y1 , 2
Property Owner Telephone # ( )
Contractor KIWV,
Address rvwa ? City
B
State
_IIAQ ?y
?) ??'? ? 3 l
Zip 5?. Z2 Telephone #(
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilafion Category 1 Worksheet • New Energy Code Worksheet
(V submission type) Submitted Submitted
. Energy Envelope Calculatlons Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan?
_ Y _ N If yes, date and address of masier plon:
Licensed Plumber o7v-?-2" RV-C'b{ VAP Telephone #&(2J. uCJI'/ `?v 13
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 Ciry 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. ? n???n n ? ,
_ n
??-
ApplicanYs rinted Name
Applicant's
l
DO NOT WRITE SELOW THIS LINE
Su6 Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
,<_ 02 SF Dwel ling ? OS 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 E#. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
f I 1?k
0° s/YGt'?R.fR?}?dM?i?'l
?
WorkTvpes !j r j
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
/121- 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/0oors
? 34 ReplaCement `Demolition (Entire Bldg) - Give PCA handout W applicant
D83CrIbtl011: WaterDamage` Yes
V
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i ? c_ -o O MCES S
t
a
uat
on ccupancy em
ys
Plan Review ? 100% or _ 25%
Census Code Zoning ? City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
Faotings (new bldg)
Faotings (deck). o? I t) ?
? FootingsFadr)? Se?
_ Foundation
Drain Tile
Roof Ice & Water Final
Framing
? Fireplace V; R.I. ?Air Test ?Final
x Insulation T
REQUII2ED INSPECTIONS
Sheetrock
Final/C.O.
_g Final/No C.O.
? HVAC
O[her
Pool Ftgs Air/Gas Tests Final
Siding _ Stucw Lath Stone Lath _Brick
? Windows f}-t-L bf-0y{,4!y?.f
_ Retaining Wall_
Approved By: I-1- , Building Inspector
Base Fee
Surcharge
??'?rJ1?1 S
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
r
Treatment Plant
License Search
Copies
Otl1e? ?..-
To1m
3,?(70t?
`Aaxy,;-- ( 7,5-50
? . .. :f . ?,.+
?3r?I Ilk
112 E. Maple Sveet Phone: (715) 426-4930
River Fa1is, W[ 54022 Fax: (715) 425-4999
Fax 'FaasosmiElal Fesren '(? ? 7 15#iYD
TO From
Name: lan . Dave wagner
Company: Albettsson Hansen
Phona: (612)823-0233 Phone: (715) 426-4930
Fax '(612) 823-4950 Fax: (735) 426•4809
CC: File
wnenc
Fol Revimv:
Date sent 21 becemher 2007
PIWP6O C°mmam:
Pleeee Reply Time sent: 1:10 p. m.
ForVOUrLIsr wc Number of pages including covar page: 1
Message: (Iverson Ramodel)
It is my understsnding the 4' X 4' pad footing can not be installed under the center of the column. The contrac-
- tor may install a 3'-6" x 5'-6" x 12" deep footing with the column 3" off center.ott [he footing In the 3'-6" direction.
Provide #5 reinforcing at 12" on cenker, each way, 3" clear from the bottom of fhe toottng.
Please cail me if you have any quesfions.
Sincerely,
oi p .!r//1??
David P. Wagner, P E.
MN Reg. No_25420
EAGAa?
??? ???ELDV
DATE: D -2
BUILDING INSPECTIOfVS 6IVIStON
?Fiaw r i' #' ?JCe
Dee,21. 2007 1:25PM A•M, STRUGTURAL 12e, 0 Y /OV, 7 Na,1608 P. 1
ppog
¦
¦
112 E. Maple Sireei Phone: (715) 426-4930
RiverFalls, WI 54022 Fas: (715)426-4899
&'asz Taaasmettal Fosm
ro
Namei Ryan/lan
Company: Albertsson Hansen
Phone: 1612J 823-0233
Fax: (612)823•4950
CC: File
Fiom
Dava Wagner
Phone: (715)426-4930
FaX: (715)426-4899
UyeoG
FOY RBYi_W.
Plea-e Cemmmc
PIB66B R9DIY.
% v,., u?' XX
Date sent 20 Ueceinbar 2007
Timesent: f6:909-it?a.m.
Numeeroi pages includingcover page:3
Message: (Iverson Remotlal)
See attached for revised first ftoor framing required to remove the column south of the bathroom wall. Also, fhQ
existing footing along the east wall is 22" wide. Theretore, the 3' x 3' undeYpinnad footing a4 the north end of
the W10x22 is nat required.
'. Please call me i{ you have any quesfions.
Sinceroly,
01
[7avid P. Wagner, P,E.
MN Reg. No. 25420
104 4M, r
lec.20. 2007 I1:O1AM A•M• STRUCTURkL ????? /
0Na.1?38 P. I
DEC.2G• 2007 l, 0iA?4: A,,if. SIRuCi!?RA1 Nei4GB
??
Ge;c.20, 20011 11:?W 4d4. STRUCiURAE??c•1Y?? ? P. 3?
. {
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?---------- ??, ?,? ,
wo,yoo
Ab? City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
- -----------,
? ?or otfice?l7se ?
? Permit # !J ! ??.J ? ?
I PermN Fee:
? DateReceived:
i
I statf:
L----------------?
2008 MECHANICAL PERMIT APPLICATION
Date: Df SlteAddress: J5,70 alZ ?-?",4 `-'(-,
Tenant:
Sulte #:
RESIDENT/OWNER Name: _z !/e/LSu.-7 Phone:
Address / City ( Zip:
CONTRACTOR Name: ?NQELL"UqE, INC• License #:
Address `?d1msv11k,MN 86857
"
dwasOfia7464200
{
Weu: 9S2.7464M=
City: :::>>u:a engMWra@mcModusa.nat State: Zip:
Phone: Contact Person:
TYPEOFWORK -New _Replacement _Additional l` Alteration Demolition
Description of work: -s ?nw/zc:3 ` /etAe'r ?s
NOTE: Both rooi mounte attd ground mounted mechanical equipment Js reqUired fo -
be screened by City Code. Please contact fhe Mechanical lnspector or one of the
Pfanners ior informatlon on rmitted screenin methods:
RESIDENTIAL COMMERCIAL
PERMIT TYPE Interior Improvement
New Construction
Furnace _
Air Conditioner - Install Piping - Processed
_ Air Exchanger Gas _ Exterior HVAG lJnit
" HVAC units must be screened
_ Heat Pump Under / A6ove ground Tank (_ Install /_ Remove)
_>C Other " When installing/removing tank(s), call for inspection 6y Fre
Marshal and Plumhin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FifB rBpair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x i%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is >$7,000, surcharge increases by $.50 for each =$ State Surcharge
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$7.00 surcharge).
$ EE
I here6y acknowledge that Ihis information is complete and accurate; that the work will be in coniortnance with ihe ortlinances t i e ? ?
I understand this is not a permit, but only an application for a permil, and work is rrot to start wilhout a permit that the work wil m acc da e'th e
plan in the case ot work which requires a review and approval ot plans.
JQ N
2
2 2 008
x x /
ApplicanYs Printed Name ApplicanY Signature o
FOR OFFICE USE
Required
Ground _ Rougfi In
Reviewed By:
Test _Gas Service
Test _In-floor Heat
A
LEGEND •
7 L T CITY A A A C tT T IN ' a ? ~ 'IN TA, ~ 23
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. o, DEJdOTE51RE~ AND BRUSH l,~9Pf'S sae.a ~ ~ { LB' 8A ( ~ 87a, ' 0~8 ! . 872,4 p~'~/ o~ ~ i~ti / RECORD IN TME QFFICE OF TNE ~OUNTY R~CORRER, q~OTA CQUPdTY, 6~INNESQTi~,
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~ \ I PiERE~Y CERTIFY THAT THIS SURVEY ~AS PREPARED ~YY ME OR UND MY DIRECT SUPERVISION
0 ~ .m.. ( ~ ~ AN6 THAT I~9 A DULY LIC~~SED L~ND SURV~YOR UNDER ThOE lAW5 THE STATE OF ~INNESOT~.
I C~ ' / , I
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~ J O ~ ~ 51GN~ THE 29th OF OCTO~ER, 200~. ~
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~ ~ ~ ~ ~o ~ S L BN ET ~ DENNBS M. W4NSA I MINNESOTA LICENSE Na. 22
I I e~zb. FOR BD~/HONSR I
I ~084,3~p ~ ' / I 1 ~ ' ~ I
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~ ~ r e ~ AB~~4ior~ ~O fhU dra~in an rohib~t~ wi~hou~ #he ex r~~ ~ ~ eaa.s ~J r~ 9 p P I Oa ~ ~
~r porm~ion of ~DM Oonau~inq En~ r~ and Sur~royore s i~' '
Copy~gh# 20Q4, M Con~ulting Eng9n rs and Su r~ I ~ 6,,~ N i ~ I I Q ee~.s ~
I s -"--'~r / N 0
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I a~oBBable 4rorit anbulR drawln~, Th~ w r ena no guoront~e tho! #iPe I
under~round u~~lt~a ehown camp~~ a66 aucfa u@ili~lo~ in tho ar~c, ai4h~r ~ f 0
in ce or abandoned, ~urv ffu~ not ~anty #hat tho undar- ~ 9roued u411Hlee ahown ar~ le ~ho exac4 locatloe i~dlc , al#Prough he do~ 0
certP~ that th~y a~ b n~ accurato~ a~ pa~~ibie frnm Intarntatiae I I
av~labloo Th~ ~u r h~ not ph~l~lly iooated underground ut1 > ~ 1 i ~ r--_------~_.f_~_________v
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~ sout~ o~ocEe
3470 W~SFiINGTON DRIVE, SUITE 200, EAG~PI, MN 55922 (659) 256-0109
~ NORTH OFFICEe
I 4975 ELL R, SU~fE 192, LIXI N, R~N 1~ (76~) 7-4580
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120127
Date Issued:01/21/2014
Permit Category:ePermit
Site Address: 837 Bald Lake Ct
Lot:15 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Renae Frienwald
2200 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David G Iverson
837 Bald Lake Ct
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
CERTIFICATE OF OCCUPANCY EA040874
City of Eagan
Department of Building Inspection
This certificate issued pursuant to the requirements of Minnesota Rules Chapter 1300.0220 of the International Building
Code certifying that at the time of issuance this structure appears to be in compliance with the various ordinances of the
City regulated building construction or use. For the following:
.Business Name Permit Number _ EA040874
Construction Types: VN Zoning R -1 -
Code Edition.
Occupancy Groups R-3 Building Address 837 Bald Lake Ct
Building Owner DR Horton Inc
Owner Address 3459 Washington Drive
.'.Sprinkler System No
10/18/2000
Building Official Issued Date
Use BLUE or BLACK Ink
. --------�
r____-___ �
I For Office Use ���
'.; I
• i /.��`�5 I �,
CltV of �ao�� , Permit#: � � �� ��
J 6 � Permit Fee. �` � / �
3830 Pilot Knob Road
I
Eagan MN 55122 � Date Received: � ������
Phone: (651)675-5675 I �
Fax: (651)675-5694 I Staff: i
I I
2015 RESIDENTIAL BUILDING PERIMIT APPLICATION
Date: Site Address: Unit#:
Name: �AVI� � ��liw� /�V�C`rS�, ��—Phone: (������ ��
Address/City/Zip: ;la37 1�t-�t� � L_Gl,�.�G ��t�%f� ��6t�11,, � 1V �,7�oZ�
Applicant is: Owner �Contractor �1 `'�
Description of work: �,c�n,�i ��Df�21+b�i
Construction Cost: ���� Multi-Family Building:(Yes /No�)
Company: IC�e..� �J�l.Cj �_„LG _Contact: �v� �P,�
Address: �l�� �tl'��'�`� ��►L�1�� _City: �j�►.Q. �NI"�1
State:�Zip: 55(��3 Phone: b, ��`1$��(�'r(�EimaiL• ��i�263II�I'�Mi�j' .Csn
License#:J'� l-�3�C�� Lead Certificate#: A
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
��� �� ���(" I� �5�
COMPLETE THIS AREA ONLY IF CONSTRUCTIING A NEW BUILDING �
In the last 12 months, has the City of Eagan issued a permit for a similar plan t►ased 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:
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection�against underground utiliry damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qooherstateonecall.orc�
I hereby acknowledge that this information is complete and accurate;that the work will be in c�onformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
�X � ��� ��� �� � X
ApplicanYs Pr nted Name Applica t's n re
Page 1 of 3
� �� T ��i�-�1 La�'c �f- s `
DO NOT WRITE BELOW THIS LINE J ��G'`��'J .
SUB TYPES
Foundation _ Fireplace Porch (3-Season) Exterior Alteration (Single Family)
� Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi _ Deck Porch (ScreenlGazebo/Pergola) Miscellaneous
_ 01 of_Plex Lower Level Pool Accessory Building
WORK TYPES � ti� 6��.-c�+ll"`�, �'��,���t��l,,,E,�
_ New _ Interior Improvement Siding Demolish Building*
_ Addition _ Move Building Reroof Demolish Interior
� Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall 'Demolition of entire building-give PCA handout to applicant
DESCRIPTION
� Valuation ,�° ' 4� Occupancy �,�,,%.� MCES System
Plan Review Code Edition � �'°r SAC Units
(25%_100%�) Zoning ������ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ���;1, Width
�''C�
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation � HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
x Insulation Windows
TT Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: � , Building Inspector
RESIDENTIAL FEES (�-/ t �F"��
Base Fee � n� �
�
Surcharge �
Plan Review
i'�1�-g�",��t,
MCES SAC ��°'� ���°���� �
City SAC
�� fi������ �����
Utility Connection Charge � � C/ :�- � � �� �
S�W Permit 8�Surcharge ,,,�,......��""""`
Treatment Plant ��,�,�r�, � ��
Copies �
�� . �,� �
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131195
Date Issued:06/08/2015
Permit Category:ePermit
Site Address: 837 Bald Lake Ct
Lot:15 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-150
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David G Iverson
837 Bald Lake Ct
Eagan MN 55123
Ed Brown Plumbing Llc
328 County Road E
Houlton WI 54082
(612) 328-0827
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136423
Date Issued:05/11/2016
Permit Category:ePermit
Site Address: 837 Bald Lake Ct
Lot:15 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David G Iverson
837 Bald Lake Ct
Eagan MN 55123
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature