1150 Bald Eagle Ct
Use BLUE or BLACK Ink
MM 1 A 2010 I For Office Use I
City of EaEd
Permit Fee: -3 L~'67^ 9D
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received:°
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: - j
2 010 RESIDENTIAL BUILDING PERMIT APPLICATION e1c'
Date: r' Site Address: I/O /'ftW.&-'LL L7
Tenant: Suite M
RESIDENT I OWNER Name: l~ btitOs,, j Phone:
Address/ City /Zip: /5D QAU) EA6.6 1 ST10 3
Applicant is: Owner _4 Contractor
TYPE OF WORK Description of work: Sft%~7 C /C A4sV111 rF ItMk d6t] A412 Lido/~ CT~,Q.
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: f6g&aML t R4z ~tl+l j ~u~t,~G'' LGC License* :26j:WZ'1
Address: J~!t l C 4AV V i-6 L-T City: --X-ft
State: MA) Zip: 6016 Phone: C57 -0 J ~
Contact: ZM L f}LJr_WCA, Email `700 0/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-publ.p if you provide specific reasons that would permit the City to
conclude ;hat the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
1 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
; that the work will be in
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit,
accordance with the approved plan in the case of work which requires a review and approval of plans.
xl7iOAk-S E, LJhJkbVC_L XQLML', E
Applicant's Printed Name Applicant's Signature
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Stone Damage
Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool _ Miscellaneous
_ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
9$ 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 13 a~la Occupancy - Z MCES System -
Plan Review Code Edition ~,a2 SAC Units
(25%_ 100%-,I-f Zoning / - City Water _
Census Code h13q Stories - Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction 1/8 Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation -,~4r HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final - Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES ~ L r, 6: Ar' /G 9~ v
Base Fee 3,
Surcharge
/yam
Plan Review 153 y-° ?firC,
MCES SAC ,D6pIL~~~
City SAC
Utility Connection Charge / d Vol
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
I HE 200 % 11 I,NL~OTA NTATE tSt"ILDI%G LODE.
a
IFGC Appendix E, Worksheet E- I
Residential 00., cum.ace, Boiler, ♦ f.
Step 1: Cumpleia vented ce ~bustion apaliance infornatian
FurnacerBoiler.
4 Draft Hci d Far, 4ssrsizd Cirec' Input-. LO aw Btu'hr
(Nut far. assisted; & Powe, 'ie '
Water Heater,
Draft'-lood Fan Ass:step b'ert nput:~~G+' B1u~hr
(Not fan assisleo) Po:'We,'v'ea:'
Step 2:_ Calculate the volume of the tIJ Ap^ a: SzaGe AS, ccrta ning =ornbustion appliances.
The CAS includes al' spa3es c. ecteJ to cnp 0%e „imp tar .,pe ngs. CAS volurne: yR/fo
Step 3: Determine Air Changes per h~ ACH;
Default ACH values have ba- n I°corpora:eC late 7a.-!e E-', fcr .;se vr,'h hielh-ad =b IKAiR t.lethodl.
lithe yea, of Co^slP coon Of.4C 1 45 SnvWr~- sE rye _'ardard tnvCi
Step 4: Dete-m.ne ReQaired v ume fc cr^oust:o~ Air
da. Standard Method
Total Btulnr Input of aR combus'1t: -,p-'antes {DJ NC` COUNT DIRECT VENT APPL ANCES) input: Btu
Use Standard Method column in Table _-1 io `m Total Required '.'olu^ e TR-' TRV- ft'
If CAS Vclu'"ie from Stet 2) is greater than R1, t. e^ n outc.c-npe^; .4s are needed
If CAS 'voiume fr pro Step is less than -a v then c~ to STEP S.
4b. KnoNnAi, tra`:jz,, Ra?e:KAIF %Iel"
Total Blwtr rz : of air far,•assist --C a~ vert aoD: an;.es
{tat? NOT COUNT :~=C . ✓Et T. PN~ ',',CES, input: B;u'hr
Use Fan-Assisted Appliances co',,, mr a Tab!e E-, tc f:rd
Required Volume Fan Assss'e; i; `W=A,' RVFA: W
Total Bu hr ~np; of al' non-far-ass 'sted appliances Input, BtUrhr
Use Non-Fan-Ass s -d ;rc r es c , r 'able E! to fiord
Required Volume Non-Fan Assls'ed Rv'v=A RVNFA: ~e C
Total Required Vr rie 'K = R'.` A RitJ~A T~`J = + 7d 17~d~
If CAS V `erne i'-orr_ Step 2, is greater than d t-er , ~~tcoa ^ ~cs are needed,
If CAS Volume (from Step 2'~ is less than 7R1 ;ner STEP 5.
S_ tep 5: Ca dte :he ,arid ct available I?te c' I ,c a' equ~,ed r e 00 34 7p
Ratio =CAS :'c (om Step , divided by TR.. S, »a Stea 4~ Ra _
Step 8: Ca cu a'e Recuct n
RF = 1 minus Ratio RIF = 1 #
Stop 7*.. Calcu~ate single outdo:,, o:3en~nd as if a ar is fro, outsice.
Total Btu hr inpu: of alt Cornbusticn App;ian--es r t^e same CAS .EXCEPT DIRECT VENT) npu= ! ~Bluthr
Combusfi n Air 0, e mg AFea t,,AO~
Total Btu .:r divided by 30' Bt_: hr per,in CAOA 13000 Stuihir pet ins _ ~inz
Step 8: Ca Mate Mir 'mum CA3A.
folio mu-T CACA = CAOA multiplied by RF M',mmim CAOA= x wn
Step.9:_ Coicu!ate Cornbust!c^ r. r Cpe i
;a t
nn C`
~C
CAC--' =1.1-3 multiplied by the square root of t4nir CAC;.; CACD = '.13 x f iinir um CA[}A= ► In . e2 y
If desired, ACh can be deer nired using ASHRAE cal,, wa: or c- blower door test Fo'iot; p^ocedures in Section 304, /
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INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: "
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR.
11 „f r r rill
L
h
l
I
Permit No. Permit Holder Date Telephone #
i S/W
PLUMBING
HVAC
ELECTRIC Q / 9Q~
ELECTRIC
Inspection Date Insp. Comments
Footings 1
Foundation 7~ v /q ns . ,
Framing
Roofing
Rough Plbg. w4 -jA
Rough Htg. Iva
Isul. //We, 3
Fireplace cf//Cy J
Gv J
Final Htg.
Orsat Test
Final Plbg.~3 Plbg. Inspector - Notify Plumber
Const. Meter % ~JC►'
Engr./Plan
Bldg. Final ~ 2
Deck Ftg. 7
Deck Final
Well
Pr. Disp. L
?~27 ~
I
. j
Wemf irate of cccupanc~
j of Wagax
of exibl" 3majoectilow
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structurh was in compliance with the various
ordinances of the City regulating building construmon or use. For the following:
Use classificadon: SF DWG Bldg. Permit No. 21510
O-Parwy Type R3/M1 7mizg District R1 Type cons[. VN
Owmet of BuiMing WILLIAM Hnmm iniEs Address q60 WAMWM MTN W, F.ACM
Building Address 1150 BALD FAQE OM L-,,yL 1 , B2, ST P?tAMIS W OM IH
o~►
POST IN A CONSPICUOUS PLAGE
Address 1150 BAIL) EAQE COURT Zip 5512 3
L.dt Blk 2 Sub ST FRANCIS WOOD 6TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) v
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish ✓
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
KO 549
Re est Dal Fire No Rough-in Inspection
Required, ❑ Ready Now p Will Notify Inspector
_Ves C,NO When Ready?
1 -1 licensed contractor s owner hereby request inspection of above electrical work at.
Job Address (Streal. Box or Route No I City
Secimn No Township Name or No Range No County
Occupant INT) Ph aNo
Power Supp ier Address
Eleclncal CCOnr~rt(gr,.tr'n MANU
ContragtpC,s ~~µSGJtlo
DALE F {1F~I41G iiH DOL
7 ding AdiL Making installation) APPLE VALLEY MN 55124
2803
Authonzen Sgnature ,tw IuaOwnsr Making Installaaonl Phona @}ygb~„~
MINNESOTA A OARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave , St Paul, MN $5104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0600 ENCLOSED
y j <13 REQUEST FOR ELECTRICAL INSPECTION EB-0oodt-0a
► See instructions for completing this form an back of yellow copy k
d
906549 _X" Below Work Covered by This Request
ew dd Rep Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 -Amps Above 100 _ Amps
Signs Inspectors Use Only TOTAL /
Irrigation Booms a V
Special Inspection lJ
Alarm/Communication THIS INSTALLATION MAY BE O E EDblSC NECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oat p
certify that the above inspection has Final • ! Date
been made.
OFFICE USE ONLY
This request void 18 months from
0 5 3 i
Request Date File No Rouyh- n Inspection Required In pechoantly N Other Than Rough-In
(YOU must call inspectorrwhen ready) 'Reow Will Notify Inspecto!
D Ves [$NO Dale Read
I 6 licensed contractor Downer hereby request inspection of above electrical work at:
Job Address (Street, Box or Route N/a I City
115-0 /34-[ /J 4 c f
Section Nn Tovnsnip Name or No Range No County Dakota
Occup 1(PRINT) Phone No
Power Sup liar Address
Dakota Bectrla A68o0. FamdnMon
Electrical Contractor (Company Name) Contractor's License No
Dale Frarft Electric Inc. CA00682
Mailing Address (Contractor or Owner Making Installation)
12800 Florida Lane Apple Valley MN 55114
Authorized Signature ( ntracmr/0•.v r Making Instal on) Phone Numljai.,3, REQUEST WILL INNESOTA STATE BOARD OF ELECTR
Phone nive s ty Ave., St. Pau, MIN 51 pq ICITV II SIN NIN NIA N N NII VIII o EUNLESS NICLOS PCROPIER NSPECTIONFOEE ST
REQUEST FOR ELECTRICAL INSPECTION EB-00001-0/9
, See instructions for completing this form on back of yellow copy
"X" Below Work Covered by This Request K~,~•~`
014 -118 075
Nev, Add Rep, Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specfyl Contractor's Remarks
CYC LM AIR
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Am s 0 to 100 Amps
Transformers Above 200 Amps j Above 100-Am s
Signs inspectors use only [TOTAL qq
Irrigation Booms Qj) ) Orb
ti
Special Inspection
Alarm/Communication THIS INSTALLATION MAY B ORDEREq_DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
IS-
I, the Electrical Inspector, hereby Rough in Date
certify that the above inspection has Final to been made
OFFICE USE ONLY
This request void 18 months from /1 ? /
PERMIT cK
CITY OF EAGAN ---7-
3830Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 021510
(612) 681-4675 Date Issued: 07/19/93
SITE ADDRESS:
1150 BALD EAGLE CT
LOT: 14 BLOCK: 2
ST FRANCIS WOOD 6TH
P.I.N.: 10-65905-140-02
DESCRIPTION:
B,tltildin Permit Type SF DWG
$Building Work Type NEW
UB•C Occu;paniyN, R-3 M-1
Construction fyp-e VN
/ 'Zoning R-i
I Building Length. 83
Building Width 40
REMARKS:
S&W CONTRACTOR - STAR PLBG.
FEE SUMMARY:
VALUATION $150,000
Base Fee $814.50 MISC FEES $1,744.50
Plan Review $529.43 Total Fee $3,913.43
Surcharge $75.00
SAC $750.00
SAC % lee
SAC Units 1
Subtotal $2,168.93
CONTRACTOR: - Applicant - ST. LIC. OWNER:
HUTTNER CONST, WILLIAM 14523088 0001653 HUTTNER HOMES WN
960 WATERFORD OR W 960 WATERFORD DR W
EAGAN MN 55123 EAGAN MN 55123
(612) 723-4161 (612)452-3088
I hereby acknQwled'ge that I have read thls:lappllication and state that the
information is correct and a#gres to comply with all applicable State of Mn.
Statutes and Cit of Baga Ordinances. ti
AP LICANT/ RMITEE SIGNATURE ISSUED ; SIGNATURE
INSPECTION RECORD
CITY OFEAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 021510
Eagan, Minnesota 55123 Date Issued: 07/19/93
(612) 681-4675
SITE ADDRESS: LOT: 14 BLOCK: 2 APPLICANT:
1150 BALD EAGLE CT HUTTNER CONST, WILLIAM
ST FRANCIS WOOD 6TH (612) 723-4161
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: S&W CONTRACTOR - STAR PLBG.
F
L
REACTIVATE Utls~~~® CITY OF EAGAN
PERMIT 4 1993 BUILDING PERMIT APPLICATION
J U L 0 9 1993 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not pickediup by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 7 / pp J Valuation of work
Si Address: TjSD 02~j /I I
STREET SUITE t
Tenant Name: (commercial only)
LOT A' BLOCK Z SUBD . 6j/ P:I.D. N
Description of work: (fJ S a
The applicant is: ❑ Owner Contractor ❑ Other (oescIribe)
Name Phone
Property LAST FIRST _
Owner Address
STREET li STE /
I
City State Zip
I
Company fUw= Phone ~T2
Contractor Address 9Ga ZIWeI oYd/ W License # 4 Exp. 9~
City State Zip
Company Phone
Architect/
Engineer Name Registration #
i
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been proved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicabl State o Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: "T
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
®°02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck 0 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
Ar 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) V-N Basement sq. ft. MWCC System y 3
(Allowable) V - N 1st F1. sq. ft. City Water y FS
UBC Occupancy R_3 rn i 2nd F1. sq. ft. PRY Required
Zoning R-I Sq. Ft. total Booster Pump
of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code /o/
Depth O On-site sewage SAC Code n/
I
APPROVALS 7
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
O Site ❑ Footing ❑ Framing ❑ Insulation
❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace
Permit Fee valuation: $ Std DUO
Surcharge -T
Plan Review G4R44E' 32 X 2y _ 76S Po7P cJ11
License Z Y 12= (ZU)
MWCC SAC Zx6= i2 121/,= (32'.
City SAC
.M71 '73z xl6 - /x712 X3x'f? ^ (y)
Water Conn
Water Meter 61 k3o, 1~3o
Acct. Deposit Z / 23 _ yb 12i(Xzr--
S/W Permit 12 X 3
S/W Surcharge i
Treatment Pl. Z -14 /r - 12
Road Unit
Park Ded. ~o7S18 = lBo Z
Trails Ded. 22y C. 132_
Copies 3x3x'/p
Other Zq /mo~
Total: 19yoX IS'-_
I 5T Fi~w2
SAC % l00 'f Igyo
SAC Units 2x1Q za
1~16~ x 5 tl =001,5`10
TO BE SUBMITTED WITH BUILDlitc PERUfIT APPLICATION
KXTECIOR Ia9VF.LOPE AVERACE "U" CMfPUTATION
01:9ER: ~/,~j ~yC'
SITE
• ADDRESS:
CANTRACTOR: .D~A~TE~ I~~tl?u-C_/s S4r15A
~9jn3 PHONE: l?~,.y~
Determine working square footage of each
1. Total exposed wall area........ ~ 5/3 sq.ft. x 3 ~,p6
2. Total roof/ceiling area......... /q/ 6 0 sq.ft. X - 026
3.-Total exposed wall area calculations:
Total exposed wall area above floor 3 Z 8
a. Total wall window-area z
b:" Total door area S 7
c. Total sliding glass door area F3
d. Total fireplace wall area
e. Total wall framing area (average 107.) 3 Z8
f: Total net wall area above floor 23
g. Total rim joist area /`f0
Total exposed foundation area r
h. Total foundation window area
i. Total net foundation area above grade /S S-
Determine "U" value of each wall segment
a. J J X hurl A 1 " 3
/1.7 Tt 7
X 94' b. )7 u
C. r, 3 X Itull SI~ r ~7 6
d. X uUn -
r
e. 3 2$ X ,oUtl '07 _ 2Z,
96
lull S
X hull / / U r
3. TOTAL
If item 03 is the same as, or less than item 01, you have met the intent of
SBC 6006(c)2.
4. Total exposed roof/ceiling calculations:
Total exposed roof/ceiling area 70 C)
J. Total skylight area
k. Total roof/ceiling framing area (average 10%)......... 00
1. Total net insulated roof/ceiling area X7/0
Determine "U" value for each roof/ceiling segment
J. X „Ue,
q _
X 11U11
_ 3 y, z
1. l 7/0- X slue,
4. . =TOTAL
If total of C4 is the same as, or-less than G2, you have net the intent
of SBC'6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by
the sum of items 03 and 34 shall not be greater than the sum of items 41
and C2.
1. + 2.
3. + 4.
C E R T I F I C A T I 0 N
I hereby certify that I have calculated the "U" factors and R values
herein and that the building hero described meets or exceeds the State of
Minnesota Energy Conservation Act.
(signature).
9 9J
(Date)
Cities Digital Quality Control
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1. Interior air film 0.68
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: ' . Total.. I J G 3
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NOTEz Indicate typo, 1'r" valun, depth and
~r''.':':~-'~ :•r ~ placement of insulation.
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FIr,. ET
i LOT SURVEY CHECKLIST FOR RESIDE-.:.AL
BUILDING PERMIT APPLICATI
m
w PROPERTY LEGAL:
W
W y Date of Survey: G~~,g3
DOCUMENT STANDARDS
Q'• ❑ 0 Registered Land Surveyor signature and company
E' 0 0 Building Permit Applicant
0' 0 ❑ Legal description
0 E- 0 Address
W 0 0 North arrow and bar scale
C~' 0 0 House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
e'• ❑ ❑ Directional drainage arrows with slope/gradient
0 9' ❑ Proposed/existing sewer and water services
Q'• 0 0 Street name
Q.- 0 0 Driveway
ELEVATIONS
Existing
0 Lr~❑ Sewer service
0' Q 0 Lot corners
D- 0 0 Top of curb at the driveway
0 D Q Elevations of any existing adjacent homes
Proposed
0~ 0 0 Garage floor
@" ❑ 0 First floor
D- 0 ❑ Lowest exposed elevation (walkout/window)
6' ❑ 0 Property corners
00 0 0 Front and rear of home at the foundation
PONDING AREAS of applicable)
Er ell Easement line
V 0 NWL
Dr*Q HWL
zr pa~'0 Pond # designation
0 Cr Emergency Overflow Elevation
DIMENSIONS
tT ❑ ❑ Lot lines
0 0 Right-of-way and street width (to back of curb)
0 0 Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e.. all
structures requiring permanent footings)
0 Show all easements of record and any City utilities within
those easements
~ti ❑ Setbacks of proposed structure and setback of adjacent
existing homes
0 C'El Retaining requirements, if any
Reviewed:
N e / ate
October 1992
. 3 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
l L 3830 PILOT KNOB RD, EAGAN MN S5122
651.681-4875
New Construction Reaulremenre RemodeyRebair Reauiremante
• 3 registered she surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • l set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 she surrey for exterior additions & decks
• 1 set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan I Iot platted after 711W
• Rim Joist Detail Options selection sheet (burgs with 3 or less units)
DATE VALUATION l O ODD
SITE ADDRESS O G C MULTI-FAMILY BLDG -Y /-NOM
TYPE OF WORK V FIREPLACE(S)-0-1-2
APPLICANT 1,
STREET ADDRESS 5ui. CITYI' TATEr 7n, LPJ~
TELEPHONE # - ff E-& T CELL PHONE # i61-2-_;U - M90 F #924W-1(11'C
PROPERTY OWNER ` , 7'l LZIJ/QL i TELEPHONE# lOr~/- 170-!~rx0
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
P2I2C
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MIN
(d submission type) • Residential ventilation Category 1 Worksheet Submitted • Ne y d beets ad
• Energy Envelope Calculations Submitted JUN 0 7 2t10G
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener - Lawn Sprinkler ee: 0.00
Water Heater _ No. ;of R.I. Baths
No. of Baths
I
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor. Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or e .
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
a.Rtta...~... ~j;;fi'
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...yu,~ 'S:t:`-:
;':RaRl:: ru.`;.i .\JCT
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i. n.za'.:A:ALiM iXik« 't A:a'.eaw.. : ,.n....v a..a
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 Pn OT KNOB RD
EAGAN MN 55122
(612) 681.4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - - -
NO. FIXTURES EACH
SHOWER 3,00 3 . o o
WA rER CLOSET 3•~
l BATH TUB 3.00 3 • o 0
LAVATORY 3.00 a
KITCHEN SINK 3.00 3 ao
LAUNDRY TRAY 3.00 3 6 )
HOT TUB/SPA 3.00
WATER HEATER 3.00 -C)
FLOOR DRAIN 3.00 2
GAS PIPING OUTLET • minimum - 1 3.00
3 ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry. ifc. 15.00
U. G. SPRINKLER • home under cont. 3.00
ALTERATIONS • to eAsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: II
SITE ADDRESS: I l S O ~w d 1~ a -C$
OWNER NAME:`
INSTALLER:
ADDRESS:
CITY:STATE: ZIP CODE:
PHONE (~)i2-) ~1z 3 373a
SIGNATURE OF PERMITTEE
, yy
::f ~:t.~..'. ;..5.'A h K'., i .VC `yx $»i:: c 3.: ' C Y
i. ll.
<"°-ib!i Y :?:;s:~:,b2aF :;i~ L>. E} r..~' . y x~.. `e;74S:3:. ' •S: ...x?;. £ ~.x(+;p~;;. ~.:.~i:Y'~•i"`::E:i;<.
' <,:,1 .g a3a.< '~ks:.N.~:Fa Y3.,~"g~.,~,y „a~j'rz>;:~,..:a.s..z 5,:~~sE:
~~~`ye: ~iEfi~. 7x <.b ;~:;~y;•.h qmx £j, s'wk,.,r ?E.. `•:F ~'.E'i i'`D avxG::Vi:
a:
i
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OFEAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- -
NEW CONSTRUCTION _
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM I Oa $3.00 EACH) -3.09
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL ?.Sd
SITE ADDRESS: / /I S D A ] of e CT ~i
OWNER NAME: lylla Jt Ye /Vow e "S TELEPHONE 4-152- - 3 6 8 b
INSTALLER: G~DIC~ S /~T4 rf' ~jJ 12 o ~O • ~c .
i
S~ GU
ADDRESS: 3,~Sr -71,S r
1
CITY: )A)r" STATE: ZIP CODE: ~~66
TELEPHONE 4a.3- 3 ?c)2
l
a
giGNAT-UR 0 F ERMITTEE
1
/ , , . `VED For OffceUse //
, , .I , E AGA Ni __ ,APermit#: /-5--5 W /
•_-- MAY 20 2019 /07�.�°�
Perak Fee:
4„,..—'1 II
Date Received: 11
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 f FAX:(651)675-5694 Staff:
146
buildinainsaectiiortstatcitvafeastan.com ,t,,ts_V
2918 RESIDENTIAL BUILDING PERMIT' APPLICATION
Date: 5/Z ? Site Address: / 50 �&hI a�h
- �i e- Unit*:
Name: Pay;(J `f n r S-11.67-7-7 Phone'02:3(11
Resident/
Owner Address/City/Zip: 0 ' a ,. a; 1 A ,
Applicant is: Owner f/Contractor
T WorkDescription of work: 4�� '-'"Cur ti IC eAr'� 4 )si) �e
Construction Cost: 221V.®O Multi-Family Building:(Yes /No
Company: ,. Lt .,.e...' d .� / Contact
��;,��
Contract Aadre6s: �Z�O l 5i City: ASe eelY
State4p: ne('j5J%J(,7 6A/ZEmail: Afid 0-cr7,0 77 h r,7jGT n aT
License#:14Z1-22"5-4,0 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
/?d/4/r/i'll/ ” 0,....,\
• , ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer a Water Contractor Phone:
Fire Suppression Contractor:
Phone:
NOTE:Plana and supporting document*Mut you submit are cwrrid ted to be pubic h,f rmaUfoe. of the6rkwraalion'mag~bi
cassentrdas norroublie if you provide specific reasons that would porn*ele CNy b conclu*thatae tads aeon*.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.dtvofeaaan.comisubscrlbe.
Exterior work authorised by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Cal Gopher State One Call at(851)454-0002 for protection against underground utility damage. Cali 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecau.orrt
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance -, the ord' : .- - and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit, • work is n'., to , • **hat the work will be In
accordance with the °ved plan in the case of work which requires a review and • of• - /
xiff--617ht
7rie,,5 J. //�.� ./ice '.v4
Applicant's Printed ;
• icarrCs Sign re
DO NOT WRITE BELOW THIS LINE /`5 &fel & C-11- /S S-4 _j
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace 4 Repair Egress Window Water Damage '
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION 4.4,
Valuation Aao Occupancy ,7 / MCES System —
Plan Review / Code Edition ,.jta SAC Units
(25%_100% Zoning R-1 City Water
Census Code L,/341 Stories — Booster Pump
#of Units / Square Feet — PRV
#of Buildings I Length Fire Suppression Required
.--
Type of Construction A Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan -/J Other:
Reviewed By: di►i!. , Building Inspector
RESIDENTIAL FEE
Base Fee *73 "f-
Surcharge
Plan Review /l 7 "
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156315
Date Issued:06/25/2019
Permit Category:ePermit
Site Address: 1150 Bald Eagle Ct
Lot:14 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-140
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 J Lindstrom
1150 Bald Eagle Ct
Eagan MN 55123
(202) 302-2805
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature