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1868 Bear Path Tr For Office Use Permit Cit of Ea y Ed I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 ► Staff: I I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ' 3 6,3 r P, ~ t%~ Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Qto Construction Cost: J -o o 0+~ Multi-Family Building: (Yes / No CONTRACTOR Name: m 0 f License --z,o z Address: 7Z9 City: -M!2 fi wmA -State: Zi : Phone:6 12 Z_q 3 T 6 L Contact Person: Y e~ , r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • 'Energy 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? 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 maybe classified as non-public if you provide specific reasons th ou/d permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance i the r ' an and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, an tt to rt ermit; that the work will be in accordance with the proved plan in the case of work which requires a review and app Q~A7 ~6~ x ~ ~ x App ant's Printed Name Applrcanlrs Signature Page 1 of 3 This request void - t Rte(, month Q 8-8 from 8 ` Reque t D Fire No. Rough-in Inspectio 1~ Required? Ready Now ill Notify, Inspec- {p s ❑ No Fire when Ready Licensed" Electrical Contractor I hereby request inspection of above 0 Owner electrical work installed at: Street Address, Box or Route No. City ection- o. ownship Name or No. - Range No. County L Occupant (PRIN 1 Phone No. ~cc c, ~y-o s 9 3- 4 7 5 , Power, Supplier Address Da ~IeJ Electrical Contract r (Company ame Contractor's License No. z 6 0 Mailing A dress (Contractor or Own r Making Installation) Authorized Signat re (Contr ctor/Owner Maki In tallation) Phone Number ~6- 35 MINNESOTA STATE BOARD F ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL. INSPECTION - Ee-oWot as See instructions for conPtatirg this form on back of yellow copy. B BU49 "X" Below Work Covered by This Request l4ew d Rep. Type of Building ApptZee. 1Mirerl Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unioader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Cher (Specify) ter- Specify Other Other - ompute Inspection Fee Below , # Fee Service Entrance Size # Fee Feeders/Subfeeders # . Fee' Circuits 1". :011 J 0to200Amps 0to30Ai ApA-Ls Above 200 Amps 31 to 100 Amps 04E 31 to 100 A Swimming Pool Above 100-Amps Abov 100_A Transformers litigation Booms /5a Partial/Other Fee Signs Special Inspection $ S TOTAL Remarks O &EF i Rough-in Date, 1; the ectri lnspecto . ereby certify that the above Final D p@ction has been Mlade. This request void IS months from M . CITY OF EAGAN r F 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 R 1 i t yak ~ I' BUILDING PERMIT PHONE: 454-8100 Receipt # ~ f j To be used for SF DWG/GAR Est, Value $60"000 Date 'JANUARY 6 '19 Site Address 1868 BEAR PATH TR Erect C~ Occupancy it3 Lot 4 Block b Sec/Sub. BUN CLIFF 2ND Remodel ❑ Zoning, Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories J3:Address ZACHMAN BRO`T`HERS Move ❑ Length 36 e 4620 W 77TH ST. * #104 Demolish ❑ Depth Int. Impr. ❑ Sq. Ft. irDZN~1 Phone 893-0755 Install ❑ i o Name SAME Approvals Fees ¢ Address Assessment Permit $ 313.00 City Phone Water & Sew. Surcharge 30.00 W FRED PAGENKOPF Police Plan Review~~.50 F z Name Fire SAC 575.00 Address U MILBERT RD W A1T 331--2784 Eng. Water Conn.S1 00: a City hone Planner Water Meter, 63s58 Council Road Unit 2811.00 I hereby acknowledge that l have read this application and state that the Bldg. Off. Z31 Tr. Pi. 132.00 1 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Fapnrdinarlces. APC Parks Var. Date Copt Signature of Permittee--~! $2.05 ~ I} A Building Permit is issued to: ZACHAff BROTHERS on the express condition that all work shall be done in accordance with all applica~ State of Minnesota Statutes and City of Eagan Ordinances. Building Official - 1 y Permit No. Permit Holder Date[ / Telephone # PlumbMg ` ! T ~3 Oho H.V.A.C. -i o Electric Softener Inspection /Date Insp. Comments Footings I Footings 11 Foundation Framing 171-6 Roofing Rough Plbg. (s leg Rough Htg. ~.-7; b°G az v Insul. -ke r. Fireplace i Final Htg. Final Mg. AX I 8idg. Fina! ✓ Carl. Occ. Deck Ftg. Deck Frmg. Well Pr. Disp. Receipt ' MECHANICAL PERMIT Permit No. ' CITY OF EAGAN Fee. -~,a Fit/ in numbered spaces S/C Type or Print legibly T { f 1. Date Installation Cost 3. Job Address Lot Bik._ Tract 4. Owner 5. Contractor ~Phone 7 6. Address 7. City State Zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: Newyb Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Contd. fg.- - - - PERMIT # ` CITY OF EAGAN FEE 2- ~j PLUMBING PERMIT ~ l S/C .50 RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL A _31 DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res X Comm Inst 2. New X Add Alter Repair 3. Total Bid Price 5700 4. Job Address 0 Lot Block ~g Sec -)4!/~/ l~rc 2114 A& 5. Owner cIta /11 605 (2D/J57, 6. Contractor A P f1 14'4TO/~6 OkI dF Q 110 5S 3'73 (Name)- _ (Street) (City) (zip) 7. Contractor Phone # 4 T7, 5-50,5 NO. FIXTURES NO. FIXTURES NO. FIXTURES Water Closet - $3.00 Laundry Tray - $3.00 .Well - $10.00 Bath Tubs - $3.00 Floor Drains - $1.50 Private Disp Syst - $10.00 Lavatory - $3.00 =Water Heater - $1.50 Rough Openings w/o Shower - $3.00 -Whirlpool - $3.00 Fixtures - $1.50 ll =Kitchen Sink - $3.00 -Gas Piping Outlets - $1.50 -Urinal/Bidet - $3.00 -Softener - $5.00 COMM.lI ATE - 1% OF Tt3TA BID PRIC PLUS $.50 STATE C,HA GE OR EACH 1 00 OF EE Signed: 22: _Z?;' t2- t L•.." for y Approved Inspections: Date Rough Insp. Date Final Insp. PERMIT # PLUMBING PERMIT RECEIPT # r J CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot CLI Block -0 c/Sub Res. New Name ~'r? C,- _;t Mult. Add-on Moore ss~~' Comm. Repair co City Phone 3 3 - C, ° Other NO. FIXTURES TOTAL Name Water Closet - $3.00 $ Address, / t t ! i~ Bath Tubs - $3.00 p City Phone Lavatory - $3.00 J Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 MINIMUM - RESIDENTIAL FEE _$10.00 Laundry Tray - $3.00 MINIMUM - COMM!{ND FEE - 20.00 Floor Drains - $1.50 STATE SURCHARGE PER PERMIT - .50 Water Whirlpool - Heater r - $ $1.50 (ADD $.50 S/C IF PER PRICE GOES Gas Piping Outlets - $1.50 BEYOND $1,000.00) ~-Softener - $5.00 ' Well - $10.00 LA 0- 4 f Private Disp. - $10.00 c f ' sr ''t Rough Openings - $1.50 SIG URE OF P MITTEE FEE: T STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: CITY OF EAGAN N2 11411 " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # To be used for SF DWG/GAR Est. value $60,000 Date JANUARY 6 19 HL Site Address 1868 BEAR PATH TR Erect Occupancy R3 Lot 4 Block 6 Sec/Sub. SUN CLIFF 2ND Remodel F-1 Zoning R1 Parcel No. Repair ❑ Type of Const. VV Addition ❑ No. Stories ZACHMAN BROTHERS Move ❑ Length 36 °C Name Demolish 11 Depth ` z 4 6 2 0 W 7 7TH ST,#104 3: AddresEDINA -0755 Int. Impr. El Sq. Ft. City Phone 893-0755 Install ❑ = o Name SAME Approvals Fees 00 Address Assessment Permit $ 313.0 0 City Phone Water & Sew. Surcharge 3 . 00 6 .50 FRED PAGENKOPF Police Plan Review 156.50 W W Name 575.00 I- W R3 505 MILBERT RD Fire SAC 0 0. Address 500-00 Eng. Water Conn. a W city MTKAI,none 331-2784 Planner Water Meter 63.50 Council Road Unit 280.00 1 hereby acknowledge that I have read this application and state thatthe Bldg Off. 1 / 3 / 8 6 Tr. PI. 132.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci a din ces. APC Parks Signature of Permi Var. Date Copies tte Total $2F050-00 A Building Permit is issued to: ZAC BROTHERS on the express condition that all work shall be done in accordance with all zppt'ca State of Minn sofa St to es and City of Eagan Ordinances. Building Official FF ~c-a~. i . e 1. • -I- 1985 BUILDING PERMIT APPLICATION - CITY OF EA( NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CIT! + COMMERCIAL SINGLE FAMILY D1 INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS C,& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY: - SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS T $2,000 LANDSCAPE BOND (00,0©o To Be Used For : Valuation: _ Date: jZ cC' Site Address ell L PL°k,rQ~ f OFFICE USE ONLY Lot Block Erect X Occupancy 9,3 Remodel Zoning Parcel/Sub Repair Type of Const Addition of Stories Owner Move Length 3(o Demolish Depth ~}Cv Address Int.Impr. Sq Ft Install City/Zip Code I Phone - APPROVALS FEES Contractor Assessments Permit 3r3. Water/Sewer Surcharge - 30, Address , 2 4- t6 y Police Plan Review 15(t, Fire SAC City/Zip Code. Engr Water Conn SW. Planner Water Meter ~'3, Q Phone/ Council' Road Unit Bldg Off/--T 6 Treatment Pl 132. Arch./Engr. APC Parks r~~ 9 Variance Copies / Address I TOTAL O , " Cl City/Zip Code Yv~y-Kra ~~2~3 -Mph Phone sal . - s €"...»~..i~,.,:.x,~..~s. c.~..~a:,.:,.+....:. -.b.~.}rww. .ode ...-..ia _ .a ,..:,=a:., -:,3. s _ _ « _ . . _ .Y..... ..i•.~~ t~44 ...i2,.:.~tl.Y. '..i7 r f ~ _ r C. i2. A~ {!•?DCfd r.S~(.~C.(1".1-~S II~C. i Er`,:D SUGYEr('-QS rCl C,:3 >G a 6f 1311 EUS115 ST., ST. PALAP 551013 , I-,oR: ZACEIIAN 7iOX)"S i 0 001 /9 Scale: 1" = 30' f f a O ~Z/ a 0 Denotes Iron Monurlent NOTE: c Denotes Wooden Stake Pry!posed Garage Floor E1.=913.3 v ti (9130) Denotes Froposed o a. Finished Ground E1. L, L)~~~ Quo , j - Denotes Direction Of Surface Drainage X913 ` 4 cVertical Datum - N.G.V.D. 1929 J G 9\ < 1 S 6G Lot 4, Block 6, SUN CLIFF SECOND ADDITION, Dakota County, Minnesota WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doled this-f-ke dor of Noye-Le! A.D. 19135 C R. WINpEN ASSOCIATES, INC. Sur.aror, Mimmoaofa Rogiflrofion No 772 N T2,1I~ _ _ ) li~'~~ i_1l ul lUlii~~ ~•L1;.,. C 3~.}~llt .~tlL IS t ~ ~ - 1_ r.1r f. P.r f_XIf:RICR f.:~Vf_i Gl ..ra„E U CU 1111 ON SHE /'-.DURESS _rH 7-12 I- f_(j';1 P.NCTOR 7 c f.• :~.i r ~~--s'~ --1'r~ I E P"iO"tE- D.tet-mine working sgt,.,r-e footar?e of car-h. - - ~ 0-11 1. total eyposcd r:all u,ra -----1.__J-1d sg- ft. x - Total roof/ceiling area ----_sq. ft_ x - - Total cxposed :,all area above floor - ~l~': a. Total -.-all window area - - - - - - - - - - - - - - - - - - - - - - - - - - - _ /a 9 -15- b. Total door area • - _ V e Total sliding glass door area ,/n d- Total fireplace :,,all area • e. Total .-:all framing area (average l0%)------------- __-_/-7=~-- f:. Total net ..,all area above floor g_ Total rim joist aria - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Total exposed foundation area = f d _ h.- Total foundation window area i_ Total net foundation area above grade - - - . - - - - - - - - X30 Determine "U° valve of each wall segment. f a. X ,lull b. V• X I,ull O, /37= `yam C. x ,lull p. SS = Z z- - - d- r X ,lull _ f _ - X „u„ -Total ' r area = - - - - 1 • j ;oi.l s':~li•_t~t .~r~~ ..--~2 i fr,_I::is~y a.-ea U'versue 102)...- - --L 1. Total net in-miated ioof/ceiling ,lrea D,tc•rf-,ine "U" Value For 10 x -lugs .lust O~ ✓ i__ C'-~--- 1. d7. 0, x .,U.. 14 -------------------------------------r,,"AI If t-metal 0~ 4 is })e s._::- s, or less t_7,an2, °ou have t :lie ?n;;nt of S3C ~•00'~ (c) I. 7,ltr-rr,<>te 3t~i'ti~ir:s Envelope Desif4n 37 7:,•> }rpr3 o U i0 v;.3:1 E -:)C' ;-Ot..1 :101 2 Sy Sir, , ;_re sL_a of _c~.--S .:1 na r2. C) --e great ~_7 / - - - f S-~ - 1' / 9 2- - 27 lop T ~ - - OJI9 2 U O fi]tn - -n lT - - Total -f, 0-(18 film - - - • - J1~_. _ - ~ . _ 3,y_ ~_~~~~.~~r-;r S'~_~-4_4 ,r: --G, Grp 0.17 iiln G_ F. L C f or r 1~ ~ - Total - c]_ 1. 7r,~t~r~or .sir fil;n air film--------- n _17 air-f; lm _O_ 68 1 • - ii 40 2_ _N/.4 - ~ t'~-'~ ~`1t 5 _ lS1y-, fQ~or~•.,s ~r~li' (~.l-t'r' )~1" ; - G= Exterior air ; ilin _ O/_1~Zy L - SLAB- ON G >sDE 14 - - - . 11 Ift 1, ln~._•-ic»_-_.iY film _ U.G9 67 4V& OJ7 A LL j 1 l t G of 3 1 t ~i; ! C}s CU;_- O-b1- ~ ~ ~ - - - ~ L Q - - -spa G O, 6.9 2 --~~J- 7;,c;,es 5_ ?,ir Film _ 7 y 1 3 - zy = o, o z a i = 1771 - I"'i lit cs: X11) ---=61-- ~,1 Fx,erJOr a_Y ; ] Iota! o, r _ v FC st t ~ d - n17 U~ _ F ~r fa fil In,; oe \ n• _ - , VZA Vote: L1==~ jai?_ -aytc: c..lca_-Jt A M VRO , DATE: F Owner. - Bros. t F 8 A +niter: Eldon F. "Utz Mfet r ido z Cmnftfron-Chdr96 .0004 Sire: Accow° 1' . Q 10. O Rader Nc+. Ferwro fie:, 'fa . . pow t to Sary►~r i f6 C*Y of vomit 5uge: . MWr- Charges: 132. 00pd TOW: soe. Dal* fWd-. Daft of, trdp.: IMP. I 04Y 3W Nit* K 'Pa"T N6,: 81 241 ta,5121. 1-_-~~ r_ PATE:;- tFvCe, NQ. of Units, - i Site Address, 8f $ $ t :Piyttb Tr. L :33b Cliff 2ud ! PLumba• Ild M F. ~tt~sa~pt = i 8b "803 I j r .t:w ~`P- w~ tIK ~r`o~° +~►nnedfort <~~ge: t Dpeatr _ lOT-~ ` Perratf fee: l . By Misc. *mom [fie of ,too*- - - Deft Raid;,: CITY OitUGAN # lldAlrW SE"OPI Pg 19g PERMtT No.: 1-15-86 5512? E~1T$:' ; Zonir►q. E ~Y . ~0~ ~ ~ ,tlt►, trF'lJni~s: `Owner. Address: Ske Addr e" ?a-t-h--rr.-L,4 B6 ' S.u if f 2a Ptumher:. Eldon F.. Kathmm l~leter ado : 5 Chase: Size:S rr= as ppsit: p 10 ~ Reader No.: yS 88' . 00pd 500 I 09M to, COT* W10 Oedin~nv~. 132. J p TP flcals &3. Ometer by Dote Poid: Dote Of JMW: insp.: CITY OF EAGAN Remarks -151 Ui Dn lSto3~~~ Addition SUN CLIFF 2nd Lot 4 Blk 6 Parcel 10 72976 040 06 U Owner Street 1868 Bear Path Trail State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1985 369.3 24.62 1 STREET RESTOR. 4494079 1986 3+.. 3 5 GRADING r,S 56, 0 1 too ,3 SAN SEW TRUNK 1970 48.64 1.95 25 10 7 Z SEWER LATERAL 12- 1 r SEWER LATERAL 999 1 6 829.62 165.92 5 3 /k(. WATERMAIN WATER LATERAL 1000 1986 942.60 188.52 5 -15 41, co / z dr6, WATER AREA 197 62.34 4.16 15 4 - 0-e4 2-/fC. 0 9 L3o .z r /e4 STO M S w p 1 1 1' . 2 8.09 20 •4~ 114a a2., / t 6 STORM SEW LAT 2, RB SIDEWALK STREET LIGHT Tii~ ,tqQn nn 5220 -A /6/86 WATER CONN. BUILDING PER. SAC 575.00 PARK yL • 'JI• • • • • ' • we • • y • • { M CITY OF EAGAN a _ APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION f Please Print) PROPERTY ADDRESS : l `p 0E,_ ~Q ~}T N T Fi L IBGAT• DESCRIPTION: N T N (Lot/Block/Subdivision or Tax Parcel I.D. Number) IF EXISTING STRUCmRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon ear ) PRESENT ZONING/PROPOSED LSE: R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) ' R-4 APARTMENT/CONDOMINIUM ( Units) COMMERCIAL/RETAIL/OFFICE QV- INDLSTRSAL INSTITUTIONAL/GOVERNMENT ,2) NAME: x' ADDRESS: ~(9I 1 W QO ~TE6EX h CITY, STATE, ZIP: PHONE: (oa a~• For Cit Use 3, ® NAMEz (~TNr M Plumbers License: z; ADDRESS: (orb i N~ 0 1 p0' -7 Ac CITY, STATE, ZIP: ~oCLEO2-6 M N SSS3r C= Exp PHONE : MASTER LICENSE #-a 09t9 _ Records S NAME: t: ADDRESS : E T. a-CITY, STATE, ZIP: P-, -h I N A 124 S~ l PHONE: CONNECTION TO CITY SEWER jg/CONNECTION TO CITY WATER p OTHER (Please Describe) 6) _ i• • iy PRASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL PROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) F O R C I T Y U S E O N L Y hs~ PERMIT ISSUED FEES: $ SEWER PERMIT (I`JCLUD SURCHARIG ^ WATER PERMIT (INCLUDE SURCHARGE) r' $ v~1 WATER METER/COPPERHORN/OUTSIDE READER L $ WATER TAP (INCLUDE CORPORATION STOP) $ SESdER TAP $ ~v ACCOUNT DEPOSIT - WATER $ S a WAC $ :51 SAC +4 x , TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER ----T $ WATER TREATMENT PLANT SURCHARGE $ OTHER: Y~ $ TOTAL $ rt AMOUNT PAID/RECEIPT c .._D.OES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: °-APPROVED BY. f T TILE: r t DATE: HE T LOSS C LAT N ° TEMP. DIFF. lCU Customer Name Type Construction LqT JIM r~ City Windows Storm Sash Dealer Name.I)F2FNjDa-Ri-9 HEATING_18~_ Walls _ Ins. Street AIR-CQ~{¢1jNyPdE3 }pie. Ceiling Ins. City min nnnN Floor IN , F1.1 Room 1 Length ' f (/Height /F1.1 Room i L h /1 Width He' t Windows and Doors-Crackage and Area /y Windows and Doors-Crackep and Area W,Oth HO.ght No. of Lineal ft. At" U Width Height No, of Lineal ft. A/N No M pane of pone Lights of crack p. h. r No' of pone O/ M l- to of crack p• /t. 5 0~ 3 Z. /v G~ SZ> Coef. Btu Coef. Btu Infiltration D Z/ Infiltration 7 Glass So .;t Glass _ S~ 3a Exp. wall Exp. wall Net exp. wall 41,;L /O O Net exp. we 11 $ ~Q Int. wall Int. wall Ceiling Ceiling 9 a~~ F loor F loor Total Btu. Total Btu. / Q _ 1F1.1 Zi . Room ILength Width f Height g F1.~ RoomILength Width 5 Hoot Windows and Doors-Crackage and Ara Windows and Doors-Crackage and Ara W~Atn He.gnt No. of Lineal ft. At Width Height No. Of Lineal h. Are No of a he of Pane Lights 0f crack p. ft. No. of pane of ens L to Of crack p. ft. ~7 ! T C Coal. Btu Coef. Btu Infiltration / Infiltration Glass 3-'? 8-A ~ Glass Exp. wall 0;./0 Exp. wall Net exp. wall ~p $ Net exp. wall Z70 1 2-346 Int. wall Int. wall Ceiling --~L-A. 3 ? Ceiling o 3 a D f loor Floor Total Bt Total Btu. (01~ I'll ~ Room I Length a r Width le Height 6 j F I.I -,c/RoomlLongth ~ Width ~ t Windows and Doors-Crackage and Ara Windows and Doors-Crack sod Ara Height Nn W'Ath Hrrght Na. Of LtnN1 11. aArea . / 9o Nn. Width a No. of to Lineal ft. fee llNk p• ft. d nine nl pine L eghts Of crack p. h. ys?~ a ate, . ~ 6 9~8 Coef. Btu COO. Btu Infiltrat ion Infiltration oZ7 d 5~ G lau Glass E3 11916 Exp. wall Exp. wall 9a- Net exp. wall (o o Net exp. wall S (o /063 Int. wall Int. wall Ceiling 3(? "j sp D Ceiling 3 1/3 1-), Fkw Floor Total Btu. 0377 Total Btu. 3 I HEAT LOSS CALCULATION ° TEMP. DIFF. Customer Name Type Construction City Windows Storm Sash Dealer Name Walls . Ins. Strad Ceiling Ins. City Floor - FLI Room i length Width .2- Height FI.1 RoomI l h Width He t Windows and Doors-Crackage and Ara Windows and Doors-Crackage and Ara Width He.ght No. of i Lineal ft. At" Width Height No. of Lineal ft. At" No of pane of Pon* Lights of crock q. ft. NO. of pens of M Lights of creek q. 1t. _2 "Z, D as Coef. Btu Coaf. Btu Infiltration a 11-71 10 3 K Infiltration Glass Glass Exp. wall pQ Exp. wall Net exp. wall g6 Net exp. wall Int. wall Int. wall Ceiling Ceiling F loor F loor Total Btu. 3 Total Btu. , _ f F1.1 Roomll.ength d Width Height F1.1 Room lL h Width H ' t Windows nd Doors-Crackage and Ara Windows and Doors-Crackage and Ara Width ei nt No. of Lineal ft. At" 3 Width Height no of Lineal h. Ave* No. 01 end Nof in{ L U Of Creek q, ft. a )"-i~ No. of M Of M L b Of erKY on. /t. 37 ~ ~47 37 Coef. Btu Coat. Btu Infiltration Inf iltration Glass Glass 9 S It/ ze~ Exp. wall Exp. wall r7 7 5 Net exp. wall 3 e- Net exp. tfiralI Int. wall Int. wall GL Ceiling j D Ceiling F loor Floor Total Btu. r~ Total Btu. F1.1 Room I Length Width Height F1.1 Room I l h Width t Windows and Doors-Crackage and Ara Windows and Doors-Crack and Ara Nr. W'~/h ht No. of Lineal h. A/ea No. Width Neighs NO. of LineN h. Area w e1 /la l OI peek q• h• q, ft. nl I-nri of pane L ighis OI creek of nit h Coef. Btu Coaf. Btu Infiltration Inf iltrat ion G lass Glass Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wall _ Int. wall Ceiling Ceiling Flo/a Floor Total Btu. Total Btu. Use BLUE or BLACK Ink r For Office Use / Permit I / 5q f / City of EaI Permit Fee: ~0 S- 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: b(i 113 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name:(' 1' YS Q I S Phone: Resident/ j Owner Address / City I Zip: a. A4cm t S [ - Applicant is: Owner Contractor Description of work:, e) yle- A' C fJ21 OTC C_' © o-- Type of Work Construction Cost: r J 0 C? Multi-Family Building: (Yes / No Company: Contact: Contractor Address: City: State: Zip: Phone: License 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: . ~w.... . a 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 provide specific reasons that would permit the City to conclude that they 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 I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days rmit issuance. x ~erzfsQ We 91~5 Applicant's Printed Nam Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119213 Date Issued:11/19/2013 Permit Category:ePermit Site Address: 1868 Bear Path Tr Lot:4 Block: 6 Addition: Sun Cliff 2nd PID:10-72976-06-040 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. Andrea Preusse 4145 Sibley Memorial Hwy 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 - Bret R Regis 1868 Bear Path Tr Eagan MN 55122 (651) 686-7348 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature