565 Chapel Lane
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f GITY "OF EAGAN WATER SERVICE PERMIT
3795 Pifot Knob Road PERMIT NO.:
Eaqan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
.
Plumber: i
l
Meter No.: Connection Charge:
i
Size: Account Deposit:
Reoder No.: Permit Fee:
1 agree !o aomplr with the City of Eagen Surcharge:
Ordinanoes. Misc. Chorges: ?
Total:
By Date Paid:
Date of I nsp.: I nsp.:
CITYI OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: _
Eagon, MN 55122 DATE:
Zoning: _ No. of Units:
Owner:
Addreu:
$ite Address:
Plumber: - '
1 ogree M comply with the Citr of Eagoe Connection Charge:
Ordinances. Account Deposit: _
By
Date of Insp.:
Insp.:_
Permit Fee:
Surchorge: -
Misc. Chorges:
Totol:
Dute Puid:
crnr oF EaGAN
3795 Pilot Knob Rood Eagan, MN 95112 N° 4781
PHONE: 454-8100
BUILDING PERMIT - ? Receipt #
To bs umd for ` ?"? 1 `?. ' ?• ? ?: ? Est. Volue Date `;? }' ' • , 19
Site Address `' f?S rhappl Ln Erect & Occupancy
L.ot Block S ec/Sub. Burrvi4w ? Alter ? Zoning
Parce) # Rapair ? Fire Zone
Enlarge ? Type of Canst.
W Name '?'? ?? arn x Move ? # Stories
z Address 10'.`" `. !{tr St. Demolish p Front ft.
Cit t ? t i?• S Phone '~Grade ? Depth ft.
? . . : 1_ _ _ ti , . .. ._ ?, ?. ? r AoDrovals Fees
t 8
Name _
Address
I hereby ocknowledge that I have read this opplication and stote that
the informotion is torrect ond ogree to comply with all applicable
State of Minnesota Statutes ond City of Eagan Ordinances.
Signcture of Permittee
?a''?z [:d j)8C?0?
A Building Permit is issued to:
all work shall be done in accordance with,:cli applicoble State of Mir
Building Official
Permit ?
Surcherge
Picn check
SAC
t _7
Water Conn.
Water Meter ?Q
.
1 ...
Total
on the express condition that
Statutes and City of Eogan Ordinances.
,
Pennk # Dofe IarM PW=ttfN
Plumbing
_Mechonicol 7 - / S'-
INSPECTIONS DATE INSP. Rough-In Final
Footings .-? Dcte Insp. Date lnsp
Foundation Plumbir?g
Frome/ins. Mechanicol
Finol x i
?
Remarks:
- cirr oF EAGAN
3795 Pilaf Knob Rosd
Eogan, Minnesofa 55122
Phone: 454-8100
PLUMBiIC
Date: 6/2?7$
Site Address:
Lot _ __ __
565 ChapPl
PERMIT
Block Sub/Sec.
Burrview Acres
Name Ralph Fix
? Address 1(130 ir. 4th :?t.
City Phone: ?;_3'1'074 ;.
Nome Todora Plumbing
a -
g 1429 Rando 1 ph Av o.
« Addreu
a
0
V '?-. ; . . _. _ .. " .
City Phone:
This Per is ?ssued on the express condition thot all work shol) be
Minne Statutes and City of Eogon Ordinances.
No.
1148
Receipt No.:
Single I
Residentiol ^
Multi Res., Comm./Ind. I
t,: ? a•t
New/Alter./Repair. Cost of Instollation
20.00
Permit Fee
.??
Surcharfle
2C: . ? .,
Total
done in accordonce with all applioable State of
Officiol
• " ` CITY OF EAGAN
? •
3795 Pilaf Knob Roaa
Eo9en, 11Ainweoota 55122
Phoee: 454-8100
HEATIAIG _ PERMIT
'7/ I4/78
1232
No
10$4F3
Date: Receipt No.:
Site ^ddress: 565 Chapel ;.ane Single I
Residential •
Lot 7 Biock 5ub/Sec. Multi Res., Comm./Ind. I
Name AQ?ph Fi:. .
air
New/Alter
/Re
.
p
1030 W. 4th at.
3 Address Cost of Instollation
r:astinys -?: ; -7436 Ci
City Phone: Permit Fee
,
:,burban Heating °'%
Na^'e Surchar
e
`
? g
4"0,0 white Bear P.ve.
Address
?
City ..?, ... .
Phone: , ..
Total
This Permit i s issued on the express condition thot all work sholl be done in accordance with oll applicoble 5tote of
Minnesoto Statutes and City of Eagan Ordinunces.
Building Official
CITY OF EAGAN Remarks
Addition B'u.rrvi.ew Acres Lot 7 Bik 1 Parcel 10 15600 070 00
Ownerq, ('?a ??(?-- MbFra Street 565 Chapel Lane 5tate Eag2a1, MN 55123
,
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. Lir 1974 1300.00 130.00 10 Paid
STREET RESTOR.
GRADING
SAN SEW TRUNK 0
2
Paid
SEWER LATERAL 1972 20 P3"LCl
WATERMAIN
WATER LATERAL 1972
O
WATER AREA 1979 280.00 56.00 5
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
r 75.00 9847 5-4-78
WATER CONN. 250.09 98.47 5-4-78
BUILDING PER. 74781
SAC 500.00 - '
PARK
This reqiest void 18 months from
/ e 99a
Dat o this Request _ ? 2 Q - /JJP 6 6 6 8 4
I, asLicensed Electric Contractor ? Owner, do hereby inn, spection of the above electri-
cal iring installed at: ?.17 ?"'
J?
Street Address or Route No.
Section
Which is occupied by
Range County ?
Is a roughin inspection required on this joh? No ? Yep?2, Ready Now ? Will Cal
PowerSupplier? Address
Electrical Contractor (•(?i?l--!? ??? Contractor's License No. -
(.CyOm?pany Name) /?-
Mailing Address
Authorized Signature
Contrector or owner
I:In:tallatlon) /??? -
- Phone No. ?p3
SIM SUaD COPY
king This InstallatiOn)
This inspection request will not 6e accepted by the
State Board unless proper inspection fee is endased.
Minnesota State Hoard of Elec[ncity
_.1953 University Ave., St. Paul, Minn. 55104-Phone 645•7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOAK COVERED BY THIS ItEQUEST
/ 4tv 99°
P 66684y
Type ot Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Fu:
Home ? ? Range ? Tempoxary Wiring ? ?
Duplex ? ? ? Water Heater ? Lighting Fixwres ?
ApL Bldg. ? 0 ? Dryei ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
lndustxial Bldg. ? ? ? Air Conditioner ? Bulk MJk Tank ?
Fa:rm List List
ther ? ? ? p
the rs?
)
ere
H
?e e
hrs#
COMPUTE INSPECTION FEE BE? ? M ff"'i
Smice Entrance Size: # Fee s # Fee Ci[cuits: # Fce
D to 100 Am s. to 3 m 0 to 30 Am eces
]Ol to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Am s.
Transformers RemoteControlCirc. Partialorotherfee
Signs Special lns ection Minimum fee $5.00
Remazks TOTAL FEE
I, the Electrical Inspector, hereby certify
(Fina?)
This request void 18 months
?2
beenmad ,? ,oo?.?
e ?
e
cirY oF EAcaN
^ 3795 Pilot Knab Rood Eagan, MN 35123 N2 4781
PHONE: 454-8100
Receipt .#
BUILDING PERMIT APPLICATION _ _9847
$58p000. _
_
To bo med for SF Dwlg, d GBig. Est
Volue Date Ma V 4. 19 78
.
Sita Addreu 56S ChAi.el T++ Erett []c Octupancy I
Lof 7 Burrview Acres Alter ?
Blo
k S
/S
b Zoning T27 .
c
ec
u
.
Repair ? Fire Zone ?
Parcel .#
E
l f Con
T
t v
n
orge ?
P8m ' x
a ype o
s
.
w Nome p
Move p # Stories
Z
3 Addreu 1030 W 4th St. Demolish p Front 7 4 fr.
°
Cit
Hsstings Phone 437-7438 Gmde C]
Depth
26 ft.
p
p Name
?? Address 1643 Lilac Ln Assessment Permit 1???5? S?
Men Hght 5
r
454-4612 Water & Sew. Surchar9e 2Q 00
Phone
ci
G police Plan check
--500-. D6
w
Name Flre SAC
2
50
00
-?
Address Eng. .
n
'
Water Con
iW G pFq?e plonner Wat Met;r?p?p?
r c? -Unlt -75
OU
Ro
Council .
a
1 herc6y acknowledge thot 1 have read this application and state that gld Off.
the information is correct and agree to comply with all applicable
State of Minnewta $tatute a City of, Eagan rdirwncei APC Total
??
`
Signmure of Permittee
?
•"'r-
.
A Building Permit Is fssued M: - ar0-' 2c c o . on the express condition that
ull work sholl be done in acw ce wit alliappl ble State of Minnewto Statutes and City of Eogan Ordinances.
Buildirg Officfcl ., 4?.4 ecktor Avvrowle Fees
Halold S
Olil (I
nAxE
BUILDIEG PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of enexgy calculations.
To be used for Valuation
site Addresc; -?(,s(''?rw)/
Lot Block See. Sub. Parcel Number
Owmer i L ./. Telephone 7r %?J b
Adclress l,'l!1?4' /.1
Contractor
Address
Arch./Eng.
Addresa
Telephone
Telephone
OFFICE USE
Ezect ?
Alter
Repair
Enlarge
Move
flemolish
Grade
OFFICE USE
Date of A roval & Initial
Assessment ,6C
water/Sewer
Pollce
Fire
Enq.
Planner
Gbuncil
Rldg. Off.
A.P.C.
Occupancy ?
Zoning ?- _
Fire Zone ?
Type o£ Oonst. f/
t? of Stories
Front 7
pepth
FEES
PBTIDlt
Surctearge
rlan Check
SAC SO 0
P!ater Conn, e1 S"O
[dater Meter _ GO
TOTP.L
W?v
35-`
A. 7
- - ,?..L
'.' ?.??._..L??.` w.?..,...?...y..,?....?
February, 1976
Shaw Lwnber Co. ? ?s? 1 l
WORKSHEETS FOR ? ?)
EXTERIOR ENVELOPE AVERAGE "U" COMPUTpTION
7 , .n 41V ,
OWNER
SITE ADDRESS
CONTRACTO Rkd,j?? OATE --% PHONE
Determine working square footage of each.
3 if
1. Total exposed wall area ......-. Aaz& sq. ft. x .17 =
2, Tqtal roof/ceiling area .... ?Y 6? C? sq. ft. x .05
Total ezposed wa11 area above floor #
a. Total wall window area ...........................
b. Total door area .................... ?
c. Total sliding glass door area ...................
d. Total fireplace wall area....... .. -^
e. Total wall framing nrea (aVerage IOX? at'j.
a?nael Q>
f. Total net wall area above floor#.J.esa(a?..thxu.(e)
g. Total rim joist area ............................
Total exposed foundation area = _ 7L}__
h. Total`foundation window area.....................
i. Tdal net foundation area above grade
Determine "U" value of each wall segment. This ia 1fR - U.
R is the total of all R values £or all segnents of wall(or ceiling),
including interior and axterior sir film R factors. Divide total of R
Total Wall Window Area a. 1S`7,75- X "U" into 1 for "IP'.
Total Doox-Area b. ?3. :7 X "U"
Total Sliding Door Area C. X"U"?
Total Fireplace Wall Are31. - X"uil
Total Wall Framing area e. X"U" ? rL ___ i?
(area at, stud) ! ?/ ?
Total Net Wal7. Area f. 17,3L/. 3 X"U" / ' _ / J rl J
Total Rim joist area. 9• ? A A- X"U"
Foundation Window Area. h. tp X"U"
:Zet Found. Area less X "U"
windows.
g. ,(,Total, U,v,alue of exposed xall areaTotal
If item #3 is the same as, or less than item #1, you have met the intent
Of SBC 6006(C)2. If not, include answer above into Alternate Building Envelope Design
along with answer for ceiling in #4, to see if average of both is same or less than
of #1 and #2 above.
Total exposed roof/ceiling area = 15,3 l?/ o ?
j. Total skylight area .............................
k. Total roof/ceiling framing area (average 10%)... ?
1. Total net insulated roof/ceiling area...........
(-` total less J. and k, )
Determine "U" value for each roof/ceiling segment.
Total skylight Area j, --- X"U"
Total ceiling framing k. X11 U??,?
Area.Joist or bottom cho
Idet irssulated area 1. // 742 X"U" i(??5 ? = 37' 74,.Tota1 U.valuesi.roo£/ceiling.,,,Total
If total of #4 i?s the same as, or less than H2, you have met the intent of
SBC 6006(c)1.
Alternate Building EnvelQpe Design
To utilize the total envelope system method, the values established by the
sum of items #3 and #4 shall not be greater than the sum of items #1 and #2.
Maximum permi.ssible J
Total, Walls + 2. ?? I?? _ /e??
Plus cPiling /
Total er tnis 3. + 4. @
work-sheet.
@ If this total is lsss than tha line above, you have met the intent of SBC 6006(c)1.
tdote:- lverage ItU" is .17 or less £or 1& 2 family dwellings, for e.xposed wall surfaces.
11 " " .22 or less £or all other buildingsp ° ° °
Average °U" is .05 £or ventilated roofs.
11 11 " .10 £or all other construction.
??-?t't'? ? ?G-L?. '--C-'?`- ? ? U
I-yc
to
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1SaC
L- = l?- ?tt/l ? Z/ g-
7.7.5` ?? ?:
17; 7 ?
??X 6 g = zlG'
5? ? r76 ,
axy.?+? ?/.3S"
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3/I ?71 /
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT
51-68/465 - 55122 '--' c?
?-t Y
New ConshueTion ReaulremeMs Remodel/Reoah Reauhemenh
? 9 regisfered sMe surveys showing sq. B. of lot. sq. fl. of house
and,go roo(ed areas (20% ma)lmum bT coverage allowed)
?2 coplesof plans (ahow beam S window sizes; pourcd ind. design; etc.)
? 1 sef of energy cakulolbm
? 3 coples of hce preservatlon plan B fof plalfed dler 7/1/93 ,
DATE:
. n
DESCRIPTION OF WORK: Ix-
?
STREET ADDRESS
LOT: _-7-BLOCK: SUBD./P.I.D.
r
PROPERTY
owNeR
CONTRACTOR
ARCHITECT/
ENGINEER
Name: 1' l ' (". Phone #:
Lasi Firsf
Street Address:,???
Ci1y ? ? ? Sfafe: ? Iip:?y??/
Company: Phone #:
(area code)
Sfreet
City
2 coplea of plan
1 sef W energy eWCUlaNOns iw heated addNions
1 sHe survey for exlerior addlHons 3 decb
CONSTRUCTIONCOST:
State:
?
Company: Name:
Telephone #: area code ( )
ShedF
City
Sewer !, water Iicensed plumber (reaulred for new conshucflon onlvl:
State:
Penally applies when address ehange antl lof change is requested once permM is issued.
' I hereby acknowledge that 1 have read thls appllcoHon, state fhat the IMorrrwlfon is conect, and
State of MlnnesWa Sfatutes and CfFy of Eagan Ordinances.
Stgnature of AppllcanY.
OFFICE USE ONLY
Certificates of Survey Received - . Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
Regisfration #:
License # Exp.
Zip:
Zip:
to comply wffh all appllcabl
Auc 2 0 19,919
r-' 4
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
0 02 SF Dwelling ? 07 5-plex ? 12 12-plex ?17 Garage ? 22 PorchlAddn. (4sea.
? 03 1 of _ plex ? 08 6-piex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
woRK nrPe
?/ 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffts/Fascia
?
32 Addition ? 36 Move Bidg. . ? 40 Gas Insert ? 44 Windows/Doors
33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handaut to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
5urcharge
Plan Review
License
MC/ES SAC :
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
Basement sq. ft. Census Code y3?
Main level sq: ft. SAC Code m?
sq. ft. No. of Units ?
sq. ft. No.'of Bidgs 0L
sq. ft. MC/ES System
sq. ft. City Water
Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
Building Engineering Variance
Valuation: $ 24?DC?
3 (?Q
l6 Y?Z. I : 38W x /? = 6/"0'
l ?7 J
:
. - N
?
?l
3s'
a9--
??...
TdAIVER OF HEARItdG
REQUEST FOR UTILITY IMPROVL'PIENTS
I/F7e hereby request o£ the City Council, City of lagan,
Minnesota, utility improvements on and over property owned by me/us as
followse (Mention type of improvement, e.g, water, sanitary sewer, etc.)
WATER AREA ( Watermain Oversizing)
The Location of said utility improvements sha11 be generally as follows:
Lot 7, Burrview Acres, Parcel #10 15600 070 00
565 Cfiapel Lane
I/Ve hereby waive notice of any and all hearings necessary for the
installation of said improvements and further consent to any assessments
necessarily levied by the City of Eagan for such improvements.
I/is'e further agree to grant to the City of Eagan any easements nec:s-
sary for the installtion of such improvements.
It is further understood that this request shall be reviewed by the
City Council of The City of Eagan or its agent and I/we will be given
reasonable notice as to whether this request is possible under present
utility planning as to timing, location, c. '
Datedo May 4, 1978
- -- IGNATUf;E ^ --
'
'-t""'
? ADDRESS /
le?uest accepted by Date
City of Eagan
Request referred to "'-t3' Engineer: D te
Copies: 1. City
2. C=-tY Engineer
3. Applicant
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150545
Date Issued:07/13/2018
Permit Category:ePermit
Site Address: 565 Chapel Lane
Lot:7 Block: 0 Addition: Burrview Acres
PID:10-15600-00-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Herbert Tste C Ahlberg
565 Chapel Lane
Eagan MN 55121
(651) 452-7179
Home Pro America Llc
15301 Edinborough Ave NE
Prior Lake MN 55372
(612) 470-6677
Applicant/Permitee: Signature Issued By: Signature