3729 Cardinal Way Use B�UE or BLACK Ink
r________________�
i For Office Use �
� � Permit#: / ���l� /p� �
Clty of ����� � /� � �
� Permit Fee: V'� '� �
3830 Pilot Knob Road � (� �
Eagan MN 55122 � Date Received: -1 � . �
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
`�' j l J�� -��Q' ,vL
Date: `J Site Address: Unit#:
Name: �'L � Phone������� J� �j
Resident/ `
'Owner ' Address/City/Zip: 1 rQ 1�
Applicant is: Owner Contractor
Type of Work Description of work:
- Construction Cost: %O �'� Multi-Family Building: (Yes /No�
Company:��s.�,CS�•.— ��,--,Si Contact:�� _
C011tCaGtOC Address: �� �° g��fj�� � City: c�i" �.PL'i`,S iG
' State: Zips,f%Z k? Phone:�Sri? �����0 Email: �O/z-%��E`�� 4�v2��..r✓f- .`-,(�_
' License#:d� �����U Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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&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-public if you proviale specific reasons fhat would permit.the City to �
' conclude that they are trade secrets, i
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours I
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 'i
I
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 �I
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 .2attitdin'g"p�errrritti d in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuanc . ��
tr'
x x 0 G✓` ��1 �
Ap c s Prin d Name � Appl canY Signature
"------- Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3729 Cardinal Way
Lot: 7 Block: 1 Addition: Willbrook
PID:10- 84375- 070 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Absolute Concrete & Construction
4176 Plum Creek Road
Elko MN 55020
(952) 461 -2093
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Sandra R Hinkley
3729 Cardinal Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA080764
10/29/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
TI?T C? nL? !'? TTl11?T 17 T!'? l171 Tl
` :C1 TY .OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 6$1-4675
I!I! I III'll??f
JIIT SUBTYPE:
r
8k &3i Y h? N A R 1,1A V
PERMIT Tl(PE. ' ? y? I It J E'II
? Permit Number: • ?:t 4 ' •
Date Issued•
APPLICANT:
`??;??? ? i , ? p.t•?.;??, ,; I?I? ..? ? ?? +. uirr?. i
TYPE OF WORK:'
I -
I.I ?'?f;?, ?' ? . I! I''; •.s?_'. ?dt ?',I:'I i I'f i;i, „ ?
, ...
;. ?._
Permit No. Permit Holder Dffie 7elephone #
S/W
PLUMBING (( j /? ? 5
HVAC
ELECTRIC
ELEGTRIC
Inspecfion aate Insp. CommerNs
Footings I ?
Foundation
Framing
[.
Roofing '
Rough Pibg.
Rough Htg. ?
lsul.
Fireplace ?
Final Htg. r _ ^
C? ?
Orsat Test
Final Plbg. Pibg. Inspector - Nofrfy Plumber
Const. Meter
EngrlPlan
Bldg. Final 3
?
Deck Ftg.
Deck Final
Well
Pr. Disp.
?? /Y 49'g
?b'- ?J
°417- y 'W
`°
?, ?
Re uest D e Fire No Rough-in Inspectwn
Reqmretl,
G ReatlY Now f?'Nill Nonry InsP?a
Ves G No When Reatly?
Iglicensed contractor O owner hereby request inspection of above elecirical work at:
Job Atlaress IS1reeL Box or Rout e No )
3 7z ..?, l> ;,?
1"i City
Ea,,.'
Secnon No Township Name o. No Rerge No. Couny I"
0¢upant (PRINT)
61dM: l?
Sn?esk,?. ?.?'s PYrone No.
+5111- SI ti I
Power SupOiter
? ? 1/? AtlOress
?OO Cl ? )
ZZO*JT K/
Electncal Conhacmr COmpany Nemel Conirecmr§ License No.
SI- ` 7" .
A-A lO
C
Atl
Maih1 dre55lConhactor or Owner Making Installationj , I .
?
?
4 4?
13
? s c NkS
?^ r' SSo33
AufionzeG Si nature iCOM?orvOwner Making Inslallation' Phone Number
?f3G -?G4
MINNESOTR STATE BOAHD OF ELECTRICITV THIS INSPECTION FEOUEST WILL NOT
Grigga-MlOway BIOp. - Xoam &173 BE AGCEPTED BV THE STATE BOARD
1811 Unlverelty Ave.. 31. 7au1. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 802-0800 ENClASEO
REQUEST FOR ELECTRICAL INSPECTION ¢m"?• ea-ooom.oe,
? lP 9? _
K 30417 See inshuZtions lor compleling Mis lortn on ?ack ol yellow copy.
'X" Below Work Covered by This Request
e Adtl qep- Typeof Bwlding ApphancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt 8wldinq Dryer Olher-(Specify)
Commllndustrial Furnace
Farm Arc Conditioner
Olner tsyecity) ConVaclorS RemeMS'
COmpute Mspeclian Fee 8e/ow:
# Other Fee # ServiceEntranceSiza Fee 8 CircWtslFeeders Fee
Swimming Pool 0 to 200 Amps o ta 100 Amps
TranStormers Above 200 _ Amps Above-100 _ Amps
Signs hisPectar§ Use Only. TOTAL
IrngationBOOms 7-1 ?- 7 3rS1
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NTHS.
I, the Electrical Inspector, hereby Rouen?tri DateciG
certify that the above inspection has
been made. Fiiie1 ( Date
f -Q
OFFICE USE JNLY
This repuest voitl IB monIDS irom '
« 3p ?
0413
s
? ?s d
/
Repws Date p Fre No Fough-in Inspeciron
Reqmretl'
? Reatly Now ?II NaOy Inspactor
3-I 5-?13 ?Yas 410 anAaadYl
-
I? licensed conhactor ? owner hereby request inspection ot above electrical work at:
Job Atltlre
(Sireet. Box or qoute.) , ? ?
C Ciry
,3721
SecOOn No TownsM1ip Name or N. ange No. Coun?y
B ?
Occupa?nt(P{RlVT) Phorie No
S ` 519
I
Pawer Sup er
?
i- Atltlresa
43D0 220 W'
w
o
ElecVkal Conlractor ICOmOany Name) COnirattw5 Licensa No
?. O'
Maning AUtlress ICOMracror or Owner Makrng InslaliaLOn,
01 0?
f-
3
t-
I`A o
? si- S
4„
t
0
i
a ?-s
Autnonzetl Sig re bacrovOwner a g Instaliaoon) Phone NumOer
`'
? !/ /
I
?? ?J
dLl.?
?? Q
?D
NINNESOTA STAiE BOANU Oi ELECTIiICITY THIS INSPECTION REQUEST WILL NOT
Griggf-Mltlway BMIg. - Room$-1]3 8E ACCEPTEO BY THE STATE BOARD
1821 University Aw., St. MW. MN 55104 UNLESS PPOPER INSPECTION FEE IS
Vhona (612) 60Y-O800 '1: ? ",??. ENClOSED
3 REQUEST FOR ELECTRICAL INSPECTION eaoooma
7
/ 1y ? See insimclions !ar complebng Mis lortn on back M yellow coOY
0?P 13 "X" Below Work Covered by This Request
ew 7dd R& TypeofBuildinq AppliancesWired EquipmentWrted
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt.Building Dryer Other.{Specify)
Comm./Industrial Furnace
Farm Air Conddioner
Other spenyl ConVatlrnS Remarks'
Compute lnspectian Fee Below:
# Olher Fee # SerwceEntranceSize Pee # Cirwits/Feetlere Fee
Swimminq Pool 0 to 200 Amps 0 ro 100 Amps
Transformers Above 200 _ Amps Abo 100 _ Amps
SignS lnsPecmrS Use Onry. TOTAL
Irngation Booms Ov I C?. S(J
Special Inspection
Alarm/Communicanon THIS INSTALLATION MAV B DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspectoc hereby R,"9h,n oata
certiry that ihe above inspection has
been made. F,nei oa
OFFICE USE ONLY
This repuest voitl 18 monihs iro.
??Y3Y
"? • _ - ^ OUSF7HEATING TEST RECORD
ADORE55 ?? "'al APT.-FLOOR CITY SUBURB__?
OCCUPANT
HEAT LOSS DATE HTG. INST
SOLD BY
OWNER
INSTAILED BY VOC?r L i
Elschical Werk By Gos Lin• By !+{-+?
TYPE OF HEAT GA -FA HW -STEAM -SPACE HTR. ,UNIT HTR. -OTHER
GAS DE IGN CONVER ION
MAKE k o MAKE OF BURNER _ --
Modsl Modd
Sarial ? Ma:. B7U Rarino
INPUT MAKE OF FURNACE
Modal
ONTROLS Q
THERMOSTAT 'P-4 ot plug Vsnt Sise
Valve KIND OF LIN SIZ NO E_
Limft " sa Droh Haod UL t k,\ Rapuloror I?..?f
limit Setting Piltsrs Size _ Ku?y er ?
Fun Setting Chimney Locafien InsidaOutside ?
Pilot T
pa Li Chimney Cons}ruefion
y
Pilot Make
Pilot Model Smoka Bomb wirin9
Pilaf Timing Draff TesT Taq
cl__?
L.W. Cuf Off Dow Pressure Liphlj{iy?inst.
Preasura_ PercentCO2 Data Teatad ?
Input CFH ? PertsnT 02 Company Teating
Stock Temp. 7+??-Pncsnf CO Nama ef Tssfar 7
Ferm 235
Address 3729 CnRUINnt. waY Zip 5512 3
Lot ', 7 Blk t Sub WTF T RRrrrr
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No
s
Inspector-Ti
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass
TraiUcutb damage
Porch
Basement finish Q '
Deck
Please verify with [he builder the removal of roof test caps from the plumbing system and lhe shutoff of water supply to
the outside lawn faucet before fteeze potential exists.
Contad engineering division a[ 681-4645 before working in rigM-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
__-?,CIT+-Y- 06 EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT .
PERMIT TYPE:
Permit Number:
Date issued:
suti.o1 Nr
0 :'6f397
0 3±0 njv3
SITE ADDRESS:
P.7..N,: 7s-843iFi-y1@-0 1
DESCRIPTION:
REMARKS:
s; 29 r.r,rao r.ivnt wnv
LO'i: ? HLOGK: ] ,
I,J71.!_E;RDOh.
'Huildi'n,q P??im:?t Typ= SF DWC,
? UEiC Occupanay
?
R--1
m-t
j ConsGruction Yyipe V--'I
2oriing
? R--1
f
8ui.lding Lenqth ? 46
3ui.lding Wzdt.h 48
tt
^1?,
?
i?7
7
,
Y
`v
s r, i?i p 1- (3 R - 11deivzr1, Pi.F10
FEE SUMMARY:
[3asF! t':e
I' i an R:>vi ew
Sll1idYQL
SNC
5/1C o
SHC Uiiits
Subtotal
VAl.UATIi7N
N 17 a 00
t?y7s)m.@P;
1r,qVi
I
T,9 s,0 mG)
P1ISC1_I IWA l,!EOIJS
tpYo I 'eP
?174Q.647
$3 ,'360e0 5
, 4? ?-
y6 , )3--
CONTRACTOR: - app l[con r 5 r. i_ r. ?OWNER:
VnLLi:v TnivFSrrnEnirs coNsr 145?IL1Ia1 000 ?124 i vhi_LeY zuvt;?Mer?YS co,vsr
21101 -L:xiiv(.roiv c,Ve s znV) I L ExrNCruP AvI, s
hIEIVU0TA i-ITS N P! 5512b7 MENDOI"A I-IE1f311 "("S P4N 65120
(Siz) 4 54-S 1 st (b 12, )'srs n-,i i') t
I hureby d cknowledge that S have read tha5 a{ip 15,r.ati.on atid sL`a te Lhat the
infqrmd L'(on is r,nrr-ert anci agree to comply w39iii alk applicJhla Stuts 0 t Mrl
STUtutes ?nd City af Eaqan Ltrdirrarrs:es.
L ' ?
"'
*APPLrA l'/ T/PEFiMITEE SIGNATURE '- ISSUEDq : SI NATUFtE
? INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ri u T? o i ri r;
3830 Pilot Knob Road Permit Number. 0 z O' 97
Eagan, Minnesota 55123 Dace Issued: m 3/ o q ; 9:s
(612) 681-4675
SITE ADDRESS:
372')
ll l I I tiItUOK
LU)a 7 i3lPCh
C(4ftOJ.INFlL WRY
PERMIT SUBTYPE:
Sf` UlJ6
APPLICANT:
1
VALLFY INVCSI"hIENI'S ±:ONST
( ?1 7i:) I :a'1 --Ei19 1
TYPE OF WORK:
C°b -235)--
NLW
INSPECTION
FOGI"1M1!G D. .
F Rlai'4i?Jt, .•
1 NSW.Ii"I"1 ON FlN AL
(' iRF I' L 7-l G'
nEMARKS' S& W PLOft - WI_iVLEI WLG'G
IF-
I L-
REACTIVATE _
PERMIT , 260-594
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
$ 341 40. n.6
MAR 0 ' RM
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 picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested ooce permit
is issued.
p
Date :3 Valuation of work
Site Address: 370 ialA-L Le - 7,.B?oC K
STREET SUITE M
Tenant Name: (commercial only)
LOT BLOCK SIIBD P.I.D. k
Descri tion of work: 6,,(,J A/C 1'Pi ?
The applicant is: ? Owner Contractor ? Other <ues«+be>
Name Phone
Property LAST FIRST
Owner qddress
STREEi STE M
City State ZiP
Company b S)dFS GnJ5`- Phone ?7/- `/ ?
C011t1'BCtOf Address --94(61 gX??'?? License #41 Exp.
City MWZ0 774- State ?J Zip .M L9 C)
Company Phone
Architect/
Name Registration #
Engineer
Address
City State ZiP
Sewer 8 water licensed plumber I??NZ?IYIF??fi42?J«f]-Z. . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
State of Minnesota Statutes and City of
bl
li
ll
e
ca
app
correct and agree to comply with a
Eagan Ordinances.
Signature of Applicant:
v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
,g 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
E3 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
0 31 New
O 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? ? ?• ? ? ?4. -
`,?: "`
? 11 .
Apt./Lodging -- 0 16'Ba§emen£ Finish
O 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
O 35 Tenant Finish
O 36 Move
Const. (Actual) V- N Basement sq. ft.
(Allowable) V- N lst fl. sq. ft.
UBC Occupancy R-Z M_t 2nd F1. sq. ft.
Zoning R-I Sq. Ft. total
# of Stories Footprint Sq. ft.
Length ? On-site well
Depth 14 8 On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
0 Framing
O Draintile
0 Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
sac % )00
SAC Units /
Yalutim:
Gan?; 18 z = 39(0
I d K Zo = Zon
BSMT: 39?c.?.? ? ?8g59(o Y.
9053(0
IL X fy= 22y
N x G = ?z q?
2 k 14'? =r,2?_
!21 ? K rs'- l8? ZS,,S'4 s __._T
B?SMT= 12t'1
Zxbs l?-
I 2zq x sw: 66, 3`G
? 37 Demalish
MWCC System YE5
City Water 705
PRV Required
Booster Pump
Fire Sprinkler
Census Code 101
5AC Code al
Assessments
Cettificate for: Bk: 163/56
Jim Williams
,'Jalr4y Indestmertts Construction N
1 2901 South Lexington ]lvenue
llendota Heights, Minnesota 55120
' DELMAR H. SCHWANZ
LAND SURVEYORS. INC
RpisixeE UnNr lews O/ ?* 91Ne of MlnnNOt@
14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55088 812/423-1789
SURVEYOR'S CERTIFICATE
--?,?qiu/AG,c f l?7iurY EASlME??T
s g9?'? 03? E Scale: 1 inch = 30 feet
I15. 15o A?V,o
h
? p Denotes iron mommment
b 5
?o LD?Gj? tiN ? • Denotes setback sPike
? .?_.L??1_.t7 O???I•? •
y •A qo5'D /?j 55 Denotes existing elev.
r ?
z 0 I M 9rn?os?? a I Q Denotes proposed elev_
??p I j" I?au?e -- N I I o??
2 6
?11G1'D
?, ?CG isr 4
? • ` ` U
z
w
n B
? 30.Ob ?--- ' m ' - f
EASr Io '
41?p9j1 Rz ss.'? 1y1.8 EAGAAi EPdCINEERIATG DEF`
q
b
V o; Pr6posed garage £loor elevation
?
Proposed top of block elevation
V V\ _
Q, Proposed lovest floor elevation
.. f?11.q ? nQ ?y .
r
z,oL G? q?l ? Aench Mark: Top hydrant Lot A and 5, Block 1,
S 89'3o'o3"E ?? ti7ILI.flROOK
Elevation= 908.84
Description: Iqt 7, lilock 1, WIIS.AROOR, according to the tecorded llat thereof,
Dakota County,. Minnesota_
Also shoving the location„q,f,,,,,ay„propnsed house as staked thereon.
I hereby certify that thb eurvey, plan, or report was ?.?.i
prepared by me or uneer my eiraet superviaion end = Df_LMAR H.
tAat 1 em a duly Regiatered Lend Survayor under _ SCHYVAIVZ
Me lawa of the State ot Minneaota.
-8625-
February 29• 1993 ?.'y'•.. .
DateA 'p?."?e?.m••.._ .: = ;?
A
Delmar H. Schwanx
Minnssote Replstretlon No. 8825
. .?
?
f ?
t7 J1 ?
B?D 0
0'0-0
@' 0 0
" 0
0' 0 D
?0 0 13
? 0 0
?13 0
LOT /QRVEY C8EC1CLI8T TOR 228IDENTIIIL
aaie o! Survep: <1 ,93_
DOCVMENT 8T xnAnna
• Reqistered 7.nnd Burveyor signsture and eompany
• Suilding Permit 1?pplicant
• Legal description `
• 1lddress
• North arrow and bar scale •
• House type (rambier, vaikont, split w/o, split antry,
lookout, etc.) '
• Directional drainage arrows vith slope/qradieat =.
• Proposed/existing sesrer and vatez ssrvices
• street name
• Driveway
• Sewer service • Lot cozners
• Top of curb at the driveway
• Elevations of any existinq adjacent homes
prooosee
t? D 0
D D
ID ?
D D 13
• Gnraqe floor
• First floor
• Lowest exposed elevation (valkout/vindow)
• Property eorners
• Front and rear oP home at the loundation
P9NDIlIG xREAB (if tociicable)
D D • Easement line
D ? • rrwL
0 • xwL
13
D .0?jp , Pond #? desiqnation
B Emerqeacy Overilow Elevation
L? D D • Lot lines
0" 0 0 • Riqht-of-vay and street xidth (to back of eurb)
0 0 • Proposed home dimenaions includinq any proposed decks,
overhnngs qzeater than 21, pozches, etc. (i.e. all
2-I0 struetures requ3rinq permanent lootinge)
0 • Show all easements of record and any City ntilitiea vithin
? D those easements
k
f
p s o
• Setbnc
proposed strueture and setb ack of adjacent
existing homes
D Q?6 • Retainin
?nts, if any
- ?
Reviewed:
OCteber -100?
„ MINNESOTA STh'('F BNUBOY CORE CALCUI.ATIONS ?^
6ASEU ON CIIAPTER 5 OF TIIE (if
MODEL• ENERGY CODE - 1983 EQITrON ?
Adoption Effective
Owner Phone Date
Site Addrese Lo'r_7, pL,pGK 1, w1Li.,8t2po9,
vE??AVTS
euilding ClaseiPicetions Type A1 (Single Family & Duplex
Type 1?2 (Reaidential, 3 stories or lese) (over 3 stories) (Other)
NOTSt Complete Rages and 4 first.
?ENERa IHFORMATION gt
L
W
1, Building Perimeter ft.
1)
2. Wall heiqht (ground to eave) ` ft.
3. 1. X 2. (above) gross wall area ? ` f2+ _7 q.ft.
4. Building dlmensione (L) ' X(W) sq.ft.roof 6 floor area
5. Sq. foot area of rim joiet - Floor
Jd joist eize (2 X^ I
X(Perimeter) _ `?, V sq.ft.
/1.?( 12
6. ' ?
Doore - Area ?J1'
Thicknese
in
U. factor 4,
Type of Conetruction Perimeter ft.
. , "Manufacturer
7. Total door0s perimeter !t.
?
e. Windowst Manufac,turer (?!5l1L. L3F? ? 3tate approved
U factor iy+`
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
1 , )6,L kS 811CH UNITS SQ FEET
? ?1 [JN
9. Total eq.ft. Glass
lo. Fireplace area: Width X fleight = X = sq.ft.
11. Sxposed Eoundation: fleight X Perimeter_.L.?X_JU?__= 110 sq.ft.
COMPLETION OF TNI9 FORM I3 REQUIREp FOR ALL NEW CONSTRLCTION, FIAJOR
REMODELING AND BUILDINGS BBINti MOVEp Wf1ER6 ENERGYI OTEIER THAN TiIE HINTM?.G
COpS ALLOWANCE* IS U3ED.
-1- -
ia:
1].
Framinq area - log of grose wall srea.
Gross wall area 7iiil J sq.ft.
Window area A69j _sq. ft. U windows =A.?
Rim joiet area A104,O eq.ft: U rim joist=
Door area 1? 4157 sq.ft.
other doore sre$ A4C! sq.ft.
Exposed fndn A 110 eq.it.
Framinq area r'2? 4,ti eq. Pt.
Het 'wall area A 5sq.ft.
U door area= - AT
U other doors=
U Poundation= D? (D
U framing area=.,0557-
U wsll=
(13B) TOT?.L . . . . . . . . .
-;#- I'1I' I ZZ
UXA = be)'??
UxA = C1_
UxA =
UxA = I 6
UxA = ,4
UxA = (/?• 1?7
UxA
UxA =
14. Groes wall area x 0.11 (A-1 aingle family 6 duplex) = allowable UxA/Code
(13. above )
x 0.23 (a-2 other reeidential)
x .23 (other buildings)
x .28 (over 3 etorias)
1 ? ?/y?, BoUfi must ba larger than or same
a `'?",jL!A. ?!?x U Code ? = C?lJ41 F. ae 13H above
15. Ceiling frawing area (Af) equale lOt of ceiling area
151?. Groes ceiling area =(L) ? x(W) _ ?_L ! aq.ft.
15H. Jolst area (Af) ? 10$ ceiling area sq.ft.
15C. Net oeiling area (A.) (157? - 15B) a--UIVyGi sq.ft.
U ceilinq x A. x?
U Praming x A f ? ?? `J x • ??? _
15D. TOTAL U x 1?...• ......................... ?
16. Ceillnq area (15A) x 0.026 (A-1 single family & duplex)
= allowable uxA/ Code
x 0.031 (A-2 other resldential)
,/ x 0.06 (other)
?Q? ,'n HTUH must be larger than or same
A(15A)IV '? x O Code idW ?? ? °F. es 15D above
NOTEt Use U anil A values obtained from pages 1, 3 end 4.
CESTIEICBTIQH= = hereby certify that I have oalculated the "U" Pactors and
"R" valuea herein and that the building here desaribed meets or exceeda the
State of Minneauta Snerqy Coneervation Aat.
Date
Siqnature
?o x
9, 6? u
C?
?c Z?, ? . -
(?0?4o t 4Zr42b4
1?
--- - -- -
IZ ?S - --
s? q?r IZZ
= ,
Z' ?
? ? Jl
_??2?A2??
?k l 17 S - - - - --
?--?
? 4? = g
x - o
n Zoto a = _e%q- x Z . _ _ _ (o? h . _
I ;?Zoe? = 1,72, 4 7714
I p xZ ?°
T?Orl - rzs.
G" PATtn ')Z.-
???LS?,?Dlt-
?n
1
???'
HALL '
SECTION
v Inwn U1U.wLni iurv3
R YALUE
tnslda alr film .68
Intarlor vall • 45
Insulation O
Sheathing Z p(p
Slding , co1
Outslde alr fllm .17
fl TOTAL Z-3 • c > ?
U YALUE
(Nell) V . ? :
STUD ,
6ECTION
Slding cq,5
r--
Ou[elde alr Ellm ' .ll
?
Inelda.alr Ellm ? .68 '
Intetlor wall •47
4" stud . R° 4W3$ (p-rj (Framing) U . R ?
Sheethln
R TOTAL ? C>. C5 ?j-
?
SECTION.
atn
JOIST
Intetlor wall
In?ulatlon all ) U . R ?
?
xtertor vall cover n •
Extatlor air. Etim' R ..17
intctlor ¦!r tllm R¦ .68
lnsulstlon ?q. DO
'ly lnch eoEt wood R=1.88 (R1m '
Joist) '
Sheathing 2•?
Extetlot wall covettng .101
I
Exterloc alr Ellm Ra ,17
R• TOTAL 2-.1 4o
[nterlor alr Ellm R= .68
P
?.1? '??rade
3.
Ineuletlon
Foundatlon
Extetlor ali Ellm R° .17
? R TOTAL I 3? ? 3
?Bluck
t
U ¦ k ?
?
(Fdn.) U a F =
. 0-k4
' ;...
. •
. .
. ,
: •=
ini.ua
?IhUU ' '---._._,
•
' ': n vn?.uu
`
. r: ?:B?I,?u?l
.Al AltPllm ?'A?bl_
l?,p 'I
IIIU111pI:In11 _?I .?
--
+-afl aulnl• ?--.
?•pe ?ulllug Q,d4_._,
l?.al' tilrPllm p.b?
P
l7-
r
'Ccilpll?
L `I_?
? J .
1111iJq11 (lillikraklal n.q ajnJlll?aal IanL• at arank .
b.rldrnllol douK lpllllrnllal? O.p qlp?dy??arr loi?4 ar Annr a?ul nl??inau nndr
r4qulrua?4??4•
IIo11-Cpuldul?l?pt danC (1?llll•tallall Il,q nlp/IIIInaI lan4??[ nrnah . .
Ilj? I7N aa??orakr I'laak Iiu Il?n?llqk?all ' H ??
Ih? (?u.ao??Qrul• (?lank Iliaiilaluil aorap «. :3e 11 3.8
liu 11(il1t{16?9I1L IiiOp?(
9 .
(iI1Uq ghL Iilunk luaulatrd pU!'Oq ?? ? ? ? (? B ? a .
0
11 rlu?r1 I? glnaa •. l?Ill itIlli akura ulu?lnu ?p1 '
() 1iUUIII a (JiNllq N ?bd
u ttIpIA 9IIIpp N 4 41 ' .
? ' i • •
l,11'rMkorlor u¦lla nudlaA111ude
V??or ??rr •r nuak ??• o??"ll?? I r=?? }??vr ? Vrpa harrlul• (o.lo pora anN.?.
V?,?OC? ?lMk't'YtM Q /1• ?• 1?11 ¦ 1?Y? l1? ?14? ?•
t l?o pulyulhulollr k??lu ltt„ Iiavo lin 11 valua, •'
? . . , ?
t I !
I
/
' ' • , ', .
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i ,
• I .
? ? ?•?i`! ?..? ? , .
?
i ?
. .
.
PLUMBING PERMIT (RESIDENTTAL)
CITY OF EAGAN
3830 PILOT 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 UNTT.
NO. FIR1'IJRES EACH TOTAL
? SHOWER 3.00 3. 0 0
WATER CLOSET 3.00 ? ??o oa
BATH TUB 3.00 3.60
LAVATORY 3.00 !o -60.
KITCHEN SINK 3.00 .3,00
LAUNDRY TRAY 3.00 3,00
HOT TUB/SPA 3.00
? WATER HEATER 3.00 _31 00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • mwmum - i 3.00 D
?3 ROUGH OPENINGS 1.50 .SD
WA'IBR SOFTENER 5.00
PRIVATE DISP. • rne.ay. uo. 15.00
U.G. SPRINKLER • nome unaa consc. 3.00
ALTERATIONS • m edaft 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE
STI'E
OWNER
TOTAL:
.50
39,00
INSTALLER: wimhd/)'I.f.?
C1TY•
STATE: 11;2'il ZIP CODE: PHONE #: ( /P/02) 459- /S(o S
Gg?n W rj&?-
GNATURE OF RMITTEE
1993 MECHANICAL PERbIIT (RESIDENI7AL)
CITY OF EAGAN
3830 PII.OT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
X NEW CONSTRUCTION
_ ADD-ON A/C
ADD-Ol•i Fr rRNACE
DATE Jr 1 ? 9 3
? 7
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMlIM 1 @ $3.00 EACH)
ADD-ON(REMODEL (ExisrtNG CoNS7xvc17toN)
STATE SURCHARGE
TOTAL
$ 24.OOf
6.00
3. D
$ 15.00
.50 ?
STTE ADDRES3: 3-7 a q ??
OWNER NAME: TELEPHONE #:
INSTALLER: VO 7H eTINC & AiR CONDITIONIPIQ -
3260 GORHAM AVE.
CITY:
STATE: ZIP CODE:
TELEPHONE #:
tY-
n4 ?-?-?--?-
SIGNATURE OF PERMITTEE
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129054
Date Issued:01/05/2015
Permit Category:ePermit
Site Address: 3729 Cardinal Way
Lot:007 Block: 001 Addition: Willbrook
PID:10-84375-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Sandra R Hinkley
3729 Cardinal Way
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149629
Date Issued:05/31/2018
Permit Category:ePermit
Site Address: 3729 Cardinal Way
Lot:007 Block: 001 Addition: Willbrook
PID:10-84375-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Sandra R Hinkley
3729 Cardinal Way
Eagan MN 55123
(612) 865-1534
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156474
Date Issued:07/01/2019
Permit Category:ePermit
Site Address: 3729 Cardinal Way
Lot:007 Block: 001 Addition: Willbrook
PID:10-84375-01-070
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Jerome Blatt
3729 Cardinal Way
Eagan MN 55123
(651) 329-2607
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature