4082 Baffin Bay N
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 tn~
xecfrvFO %}ut1,dJ 6 ; L e
FROM
AMOUNT $ 3L/ °'7
DOLLARS
CASH CHECK 100
❑
'
Fox / I.. /
L2 L4
i /
iG
FUND OBJECT AMOUNT
Thank You
BY )
White-Payers Copy
698 Yellow-Posting Copy
Pink-file Copy
D~11B"(MEN 291-708E10~~~~ CITY OF EAGAN 0
.4, 17627
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value 144,000 Date H" 23 t9 90
Site Address 6082 BAFFIN BAY N
Lot 17 Block I Sec/Sub. HILLS OF OFFICE USE ONLY
R-3 itif4-1
Parcel No. Occupancy FEES
Zoning PD R-I
W Name THE ROTTLUND CO, INC (Actual) Const V_P Bldg. Permit 794.00
o Address 5201 E RIVER RD (Allowable) V-111111
Surcharge 72.00
City FRIDLEY Phone .571-0304 # of Stories
-7641 Plan Review 5I6*40
Length
=o Name SAM Depth ~ snc, city 100.00
Z ~ Address S.F. Total - 600.00
SAC, MCWCC
r City Phone S.F. Footprints 625.00
On Site Sewage Water Conn
W W Name on site Well Water Meter 90• 00
s z Address MWCC System 30.110
a = XX Acct. Deposit
w City Phone city water 30.00
PRV Required S/W Permit
1 hereby acknowlege that I have read this application and state that the Booster Pump . 50
S+W Surcharge
information is correct and agAee to comply with all applicable State of 252.00
Minnesota Statutes and City o§Eaganrdirtanceq t Treatment PI
Signature of Permitee ' ` I ) N ' APPROVALS Road Unit 353'04
A Building Permit is issued to: THE ROWIAW CO, INC Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off, Copies
Building Official Variance TOTAL 3.4• SO
Permit No. Permit Holder Date Telephone #
WATER ! aft
SEWER
PLUMBING ~l~ - r l 3 yQ
H.V.A.C. ~ocD7
ELECTRIC 0`1 D s"
Inspection Date Insp. Comments
Footings I ~C
Foundation y v
Framing
for-
Roofing
Rough Plbg.
Rough Htg- s G
Isul. S 3 O
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notity Plumber
Engr.lPlan
Bldg. Final
Deck Ftg. r 0 /d ~S~o Ds
Deck Final ((J
Well L-MAOL
Pr. Disp. .
/{lo ~/!ia/fJ ~T O
PLUMBING PERMIT For Office Use Only
CITY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
PRICE PHONE 454.8100 DATE: 75 C,
Site Ads U a I~ ` V "1 BLDG. TY$E WORK DE~GRIPTION
Res. \ New
Lot e b Muff Add-on
I I' ' 6 Comm. Repair
Name
Other
Lr i v L al. c t IC
Address
c City " ' 8A Phone 1) ' ' RES. PLBG. ONLY -COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
L Water Closet - $3.00 $
Name i~a a c O~ - Bath Tubs - $3.00
Address Lavatory - $3.00 I
City Phone " ' Shower $3.00 -T-
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
FEES T- Laundry Tray - $3.00
COMMAND. FEE -1% OF CONTRACT FEE ` Floor Drains - $1.50 '
APT. BLDGS. - COMM. RATE APPLIES ' Water Heater - $1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 `
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00
Private Disp. - $10.00
- Rough Openings - $1.50
SIGNATURE OF PERMITTEE PERMIT FEE: y
STATES SIC:
FOR: CITY OF EAGAN GRAND TOTAL: y
• PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec /Sub Res X'. New
Name Mull Add-on
m Comm. Repair
Address '
Other
c City Phone
FEES
Name RES. HVAC 0-100 M BTU -$24.00
c Address r ADDITIONAL 50 M BTU - 6.00
p Ciry Phone " (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 'M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE:
SIC: SIGNATURE OF PERMITTEE
TOTAL: FOR: CITY OF EAGAN
t DATE: 03/29/90
RE: 4082 BAFFIN BAY N
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
x Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Ili -
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
•
t COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 03/29/90
RE: 4082 BAFFIN BAY N
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
X Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
-6 COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Trrftftrifr of (fir vonry
Citp of eagan
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure mw in compliance with the various
ordinances of the City regulating building construction or use. For the following:
vN cimsmaoo SF DW/GAR ewg. Ptrmit No, 17627
O«upncy Type R3/M1 Toning nisi PD/R1 Type CM9 VN
OwwroFBuildingUE WrAM 0D., INC. Add,,. 5201 E. RIVER RD., MUDLEY
Building Addn x4082 BAFFIN BAY NORM L..h y L 17, B I , RU IS OF S7>OfMMUDGE 2M
Dupe J01, 13, 19%
r Building
POST IN A CONSPICUOUS PLACE
' a
SEWER W WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE
3830 Pilot Knob,Rd. WATER PERMIT # SEWER PERMIT #
P.O. Box 21199
MN 55121 METER # B.P. RECEIPT #
Eagan, READER # B.P. RECEIPT DATE . 03L-'s
METER SIZE
ISSUE DATE PRV -BOOSTER PUMP
SITE ADDRESS PERMIT REOUESTED
LOT BLOCK SEC/SUB F 1I
APPLICANT: X SEWER WATER - TAPS
ADDRESS: _ COMM/IND RESIDENTIAL
CITY, STATE ZIP
PHONE: = NEW , EXISTING
PLUMBER:
ADDRESS: I AGREE TO COMPLY WITH CITY OF
CITY, STATE ZIP EAGAN ORDINANCES:
PHONE:
OWNER:
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE ~,)r
P.O. ` f'
3830 Pilot Knob,.Fid. ± • WATER PERMIT # SEWER PERMIT # 21199 1
P.O. Box METER # 4 17. p 7 ~ - B.P. RECEIPT #
Eagan, MN N 551 55121 GLtfAEAM1r#Q.j iJO `T/- B.P. RECEIPT DATE 03/23/,-
METER SIZE S/ Xr-
ISSUE DATE da PRV _ BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT BLOCK ` SEC/SUB 'Ac . f- VhvrvGa jX
: 1~Y_ ,D c 1ic~C. SEWER X WATER TAPS
APPLICANT: -77 X
ADDRESS: T n ► t TI yc , r i?c At', _ COMM/IND X RESIDENTIAL
CITY, STATE ZIP
PHONE: j J c: J X NEW - EXISTING
PLUMBER:
ADDRESS: r~ = C V« C r~ L.ya I AGREE TO COMPLY WITH CITY OF
CITY, STATE Zip EAGAN ORDINANCES:
PHONE: 2I7I
OWNER:
ADDRESS: SIGNATURE WHENMET ISSUED
CITY, STATE __k Ir s7 ZIP
c I Y11
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
CITY OF. EAGAN NO 17627
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ill! gQ-Cj
BUILDING PERMIT Receipt x L-l0 L O I
To be used for SF DWG/GAR Est. Value $144, 000 Date MAR 23 1990
Site Address 4082 BAFFIN BAY N
OFFICE USE ONLY
Lot 17 Block 1 Sec/Sub. HILLS OF
Parcel No. Occupancy R-3 MM1 FEES
Zoning PD RR1
X Name THE ROTTLUND CO, INC (Actual) Const VV-N Bldg. Permit 794.00
Address 5201 E RIVER RD (Allowable) V=N Surcharge 72.00
0 City FRIDLEY Phone 571-0304 a of Stones
Length 64, Plan Review 516.00
tF Name SAME Depth 36'r SAC, City 100.00
00,04 Address S.F Total SAC, MCWCC 600.00
City Phone S F. Footprints
On Site Sewage _ Water Conn 675.00
r
$w Name On Sde Well Water Meter 90.00
XX
x3 Address MWCC System
Q2 v Acct. Deposit 30-00
aw City Phone City water .+X
PRV Required _ SIN Permit 30.00
1 hereby acknowlege that I have read this application and stale that the Booster Pump S/W Surcharge .50
information is correct and a ree to comply with all applicable State of 252.00
Minnesota Statutes antl Qty Eagan Or 'nanoQ4. Treatment Pi
Signature of Permitee x 5--- 131J. APPROVALS Road Unit 355.00
A Building Permit is issued to: THE ROTTLUND CO. INC Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City ty of Eagan Ordinances. Bldg. Off. Copies
Building Official , a I A I ~a .I~ 1 r 11. Variance TOTAL 3,464.50
AI/as/s 0 96 Sao
0 379-8 5
Request Date Fu No. Rou -m Inspection
q Js R aed? ieatly Now 0 Will Notify Inspector
_ I - 1 V Ages G No When Ready?
I [ Itcensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street, Box or R to No) Qty
ors y-
Secnon No. Township Name o Range N. Cpnyty
Occup IfPRINTI Phoneee1No-
Power S her dress
Electrical Contractor"r (Company Name) Coniraclor5 Ucense No.
Mailing Address (Contractor or Owner Making Installation)
Authorized Signature (COnttaCtO" er g Installat, • Phone Number a ( Q
!v 3
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Orlggs-Midway Bldg - Room S-170 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St Paul, MN 551116 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-001I ENCLOSED
n REQUEST FOR ELECTRICAL INSPECTION N EB-00001-07
7 Oc~ / See instructions for completing this form on back of yellow copy
X' Below Work Covered by This Request ~.,b..
0 37985
New lllldid~ RBp I Type of Building AppliancesWlred EqulpmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Coatraaor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A Amps
Signs Inspectors use Only TOTAL
Irrigation Booms h
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-rl Date
certify that the above inspection has Final Dale `
been made. f
OFFICE USE ONLY
This request vod 18 months from
o , 9108a v
@ 37984 ,I,
Request Dale a Fine No ugh-rn Inspection 1-1
/ V eR,gm(retl' Ready Now Cpv'' Inspector
7 G No When en Ready?
/i res
I Vricensed contractor 11 owner hereby request inspection of above electrical work at!
Job Address (Street, Box dr ute N i City
6 8 7~
Section No Township Na r No. Range No County Qa44. t'&
Occupant iPRIN Phone No
6,1 Power Su er Atltlress
Electric ontractor (Company Name) Conlractor5 License No
te-. - 3
Marhng A dress ICOmmcror o?Ow r Making Installatwn)
Aumonzetl "rd's ICondecto Ow r along Inslanarion _ - Phone Nu3mber
1 6, - 3g/o
MINNESOTA STATE BOARD OF ECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-rAlaway Bldg, - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 Universlry Ave , St Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 114124800 ENCLOSED
y/, //rye REQUEST FOR ELECTRICAL INSPECTION Ee-00001-07
I: See instructions for completing this form on hack of yellow copy.
,~a`t`R~
3 7 9 8 4 X' Below Work Covered by This Request
New Add Rep.l 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.
is Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps t 100 Amps 14
Transformers Above 200 _ Amps 100 Amps
Signs Inspeclora Use Only. TOTAL
Irrigation Booms / / rO
Special Inspection tO 1O
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough,, f oa l
certify that the above inspection has
Final ate r
been made. f ✓ r
OFFICE USE ONLY
This request void 16 months from
K 1 i g 7 Aa tr
Request Oate ve No han Inspection
egwretl1 Ready Now ❑ Will No81y Inspector
9-21-92 ❑ Yes X No When Ready'
I ~ licensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Acd.xs (Street. Box or Roule No ) Cry
4082 Baffin Bay N. Eagan
Sedwn No Township Name or No Range No County
Dakota
Occupant (PRINT) Phone No.
Donald Geyen
Power Suppler Address
Dakota Electric Farmington
Elecmcal Contractor (Company Name) CoMratlor§ License No
Roehning Electric CAO 1557
Mating Address (ConVactor or Owner Making Inslahabom
14811 Endicott Way Apple Valley, Mn. 55124
AuIM1 azure IConiractor(Ow along Ins lahonl Phone Number
423-4328
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Origga-Aiidway Bldg. - Room &173 BE ACCEPTED BY THE STATE BOARD
1821 Unwersity Ave., St. PwI, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 842-0800 ENCLOSED
I a 9/ REQUEST FOR ELECTRICAL INSPECTION EB-00001-08p~
► See instructions for completmg lhis form on back of yellow copy ~3''•7
1618 7 X" Below Work Covered by This Request N `
New Add 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 Al Off pea meter
Farm Air Conditioner
Other (spec,ly) Contractors Remarks
Compute Inspection Fee Below
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 -AMPS
Signs Inspector's Use Only TOTAL p
Irrigation Booms 5
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERE CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ropgh-,n Dare
Certify that the above inspection has Final
been made.
OFFICE USE ONLY
This request and 18 months from
D
1990 BUILDING PERMIT APPLICATION BAR 2 1 M
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG, DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: CJIr,: r=j!jj2n Valuation: cAEc}t`~~ Date: 3-riCj
Site Address 4Ca'Z 136 FRk) RAY ( f L-l Ll 007' OFFICE USE ONLY
~
Lot k''-l Block L FEES
Occupancy R' 3 M-1
Zoning QD R_ 1 GG
Parcel/SubkAi(-.S OF ~to2 3QI°p(aEa Actual Const V-N Bldg. Permit ?/y'o0
Allowable V-N Surcharge W-00
Owner -r"e ,Z-rr7f_.oAjp I/OC, # of stories Plan Review -5~00
Length (ay SAC, City 12D-1-0-0
Address GS(n/ C. 121yE2 QCpoqp Depth U01 SAC, MWCC (000,00
S.F. Total Water Conn
City/Zip Code ~pL~Y 4;4.4z.l Footprint S.F. Water Meter 0100
Acct. Deposit 30,00
Phone X71-CRCD On site sewage- S/W Permit 3040
On site well S/W Surcharge I
Contractor = MWCC System y Treatment P1. Z52.00
City water V Road Unit 35s00
Address PRV _ Park Ded.
V Booster Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone it Planner TOTAL
Council
Arch./Engr. f1 Bldg. Off. $/Z2 1~
li Variance
Address
it
City/Zip Code
11
Phone #
VALqATTUO
Ga?A
Zak ZZ= 5_06
X48 xl5. II22c~
BsmZ-
5bx Iy = nob
IL.I x
11?_3 YC III - IS630
H Dw5
'f3S~'~'I T = 1 ~ 2p
14, B
i
"a .
j
EXTERIOR . E..VLLOYE AVERAGE "U" COMPUTATION
OWNER T./& IC 0 GXi/K~ s~
SITE ADDRESS ~~y2Y~~1CL I Z f
CONTRACTOR M F DATE ~I() PHONE 5 -7
Determine working square footage of each.
1. Total exposed wall area 2 88 sq. ft. x •~~1 =
2. Total roof/ceiling area . a~ sq. ft. x o0 b _ O.6
Total exposed wall area above floor = 2~
a. Total wall window area
b. Total door area
c. Total sliding glass door area
d. Total fireplace wall area
e. Total wall framing area (average 10%). * ............2-~
f. Total net wall area above floor ...................../~T
g. Total rim joist area
Total exposed foundation area =
h. Total foundation window area "
i. Total net foundation area above grade
Determine "U11 value of each wall segment.
a. 2 5 3 x "U" 1.39,62
b. 3"6 X dU„ *0 = 2.GG
C. 0 X „U" , 44 6 _ 2 7.60
d. X „Uu
f. 1430 X.,,U„ , 0~2 I~ .p6
g 3/2 X „U„ 12,4T
h. 7 X „U„ 8
3 ......................................Total C s/ 2 x.79
If item 11 3 is the same as, or less than item 111, ave met the intent
of SBC 6006(c)2.
Total exposed roof/ceiling area
Total gross roof/ceiling area
j. Total skylight area
k. Total roof/ceiling framing area
1. Total net insulated roof/ceiling area
Determine "U" value for each roof/ceiling segment.
j X Ull _
k. -71 x -U,, /.,?-L
1. X "U" .42-5 - 2-7.73_
4 Total
If total of 114 is the same as, or less than 112, you have met the intent of
SBC 6006(c)l.
To utilize the total envelope system method, the values established by the
sum of items 113 and 114 shall not be greater than the sum of items 111 and 112.
1. 32 0.3 S + 2. 3a'. 6 g 3S/,Q3
3. 2-90, 79 + 4.
ROOT/CEILING
i
Construction R-Valuo
r ' 3 1. Interior air film
.0.61.
2. EY" C•_Y1~ '13 Rn oS~i
II l I~ ~l~~ln~ 3. BLOc<- .v ~IrSV~. O0.~
4. Exterior air film (still)
V Z1T Total
Vented
4- Heat flow
up
i
FIG. $5
1. Interior air film 0.61
_ri.•~ ',u~:~._~_I~L '~'_c~ea 2. C7YT' 1-;~N~ D o 5 S
4. Exterior ail: film st13l) 6I
• , iii///
Total 3kae7.`f
Ok
11i1~,
UgUE
1163
1 Hear floor up • -vented
FIG. #6..J., : i
3 tv 1. Inside air film 0.61
aS".t.• ".~y..•.."'7 2.
t1at 95;+'x•'' _J ,
4.
S. Outside air film 0.17
Total
1 2
_ H02i-~q$U Note: Use additional sheets -if more space is
seeded for details and calculations.
Heat
flow up
PT.G f7
WnL,L SL'l: •i•lv,.., "ayu J of 4
10TE. 6se-10% of 'opaque wall area for
frame construction
i Construction R-Value
T Interior air film 0.68
.2. 1z L)
3 3. zx~ s~c~dS 6088
4. 2 5-/3 2 S H r~
:ASIC
WALL 5. =eC-r
l• 6. Exter.ior air film 0.17
Total
FIG. #1 TOPVIEiP OF ~ PPI E WALL
rOc3-7
1. Interior air film 0.68
2. VL" C> r r;;,
f3 aG D o y
~•t 3. FUGLG!/~)L4'/.LSLC bU
2- G
FIG. $2
I_ _Q 5. 5/G/tie- ova e F~~r i a2 6
~I ~ 6. Exterior air film
l 0.17
Total 2 3, 6 Z
U 1, Interior air film 0.68
?Seral 2. / SVL /yaOU
1 ~ I l' J• 3 '2 X_ f21 t` A t p
4. 2 5/3 2 S t -I r(::,
- II r• 2 m0~
J1~.. p 5. S/O/ vl~ li~f2 / E2T / d 2 0
6. Exterior air film 0.17
~YJJ
I" `_l d C+ ~3 { - Total 2 S•O S
)1TIC1 i
4 `~f rt Q. rn ~J ' v; .O etU
no
p 1. Interior air film 0.68
' 3• 2x4 FUR 2 r N v
4. )2 t1
G 0.wr( /3000 fL
5.
6. Exterior air film 0,17
Total 13.13
1// U 7L
1 II X11
_ 6 / 111
113 r FIG. 04 ttl ! / rl
/N
Ic`''y ~ ~ !!c ` ~ o
ttr /r f =x t,, fir/
~ ~ 2422 Enterprise Drive
PIONEEFI LANDSURVEVORS.CIVILENGINEERS Mendota Heights, MN 55120
* engineering.. LANG PLANNERS. LANDSCAPEARCHITEC S (612) 681-1914
Certificate of Survey for: Tw QO I T L UN(L Co. M`
NORTH
1 ,al; 09
1
<y
Al 71o
3g•
. ~ /6S w
m / /a 3434 ti
4 X10
n m / It
a., 'f a j
CID A.
I 6 ~
oft
so C1 'h ~ ~ X69 g 5 3 ~ ~goo.o Denoles exislin4 Elevation PRQPOsED MOUSE LEVartoN
. ,t0 Denotes propdd9ed flevafion Loves Floor E eva ion ss4,. z6
1Jhnoles OrainaleUfifily Easement Top o; 8fock flevafion 893.-76
- Denotes Drainc~e now Arrows Garae Slah flevafion 893.43
D Denotes monumenf o Denore 5 0, ff set Nub
Bearins shown are assumed Su Jecl fo Easements o1 Record
LOT 17 , BLOCU I , MILLS OP STONEBRIDCE PLAT 2
04KO7-/1 Coul4ry
I hereby certify that this is a true and correct representation of a survey of the boundaries of the above de cribed land and of/ra location of all
buildings, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this day OfJll8aa1I A.D. 19-fla.
Scale :1 inch, ~D,~eet . cz~z
Q ' O ROBERT B. SIKICH L.S. R G. NO. 14891
RESIDENTIAL]
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
d O
(to i
651-681-4675
New Construction Requirements Remodel(Reoair Requirements
• 3 registered site surveys showing sq. R of lot sq. R. of house, and all roofed areas 2 copies of plan
(20%mmimum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exterior additions & decks
1 set of Energy Calculations . Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan Slot platted after 7M93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
qq,,
DATE CQ-ZO-d2- VALUATION Y7t Z08 a-0
SITE ADDRESS MULTI-FAMILY BLDG _Y _ N
I,
TYPE OF WORK q FIREPLACE(S) _ 0 _ 1 _ 2
I
SELA ROOFING & REMODELING. ll~I,
APPLICANT 4100 FXl SIOR B6VD
STREET ADDRESS ST. LOUIS PARK, MN 5541P
CITY STATE-ZIP
gE) #060 1050
TELEPHONE #CaIZ4~Z~-$pc~(p CELL PHONE # FAX #
PROPERTYOWNER~ 1P (t~~' TELEPHONE#roFC3 ~(Z3~
-
COMPLETE THIS SECTION FOR NEW RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System I
Sewer/Water Contractor: Phone #
.information is correct, and agree to comply
. -
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant 6A
-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
1990 UILDING PERMIT APPLICATION
CITY OF EAGAN l l
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
t CT C 5 RECD
To Be Used For: ~Valuation: Date: ~G/5/SQ
Site Address rfd$0~ XiN /39~ N OFFICE USE ONLY
I Lot Block FEES
Occupancy
Zoning
Parcel/Sub 11,'L(5 oP 611PA)EB1 1 DZ Actual Const Bldg. Permit
A Allowable Surcharge
Owner ~po OALD L • GgvE,v # of stories Plan Review
p Length !2x30 SAC, City
I Address yO~oC &IfriN RAY ~ Depth 12Xl~ SAC, MWCC
I S.F. Total Water Conn
City/Zip Code ~ q 9 ArJ //ini SSl 3 Footprint S.F. Water Meter
111-7068 Acct. Deposit
Phone (P L) - On site sewage- S/W Permit
\ On site well S/W Surcharge
Contractor MWCC System Treatment Pl.
City water Road Unit
Address PRV Park Ded.
Booster Pump Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
4 2422 Enterprise Drive
* PIONEER LAND suRVEYOM.CIVIL ENGINEERS Mendota Heights, MN 55120
engineering.. LAND PLANNERS. LANDSCAPE ARCHITECTS
* * (612) 681-1914
11 1
Certificate of Survey for: TNL ROT~~D CO. jr
NORTH
.y
1 1 ~r
C .V. e
ti 71
3 ,
3'a
V l I N w \o. .(aE _ 4-
4 I's 2g.j
ti e ~ ~ 1p
A.
M~ ~ aaJr e/t3{~ /.2 ~ / q fi
`rl
o ~ ~~=884.3 ~
s Tio 5/„ (?Q~
3a l <
goo.o Denotes exis4in4 Elevation ER9226EQ HOUSE LEVATION
. 900. o Denotes prop ed Eleval'iori Lower Floor Elevation as&,. zle
-Denofes Draina¢f UfrlA Ensemenf Top o; Block Elevation 893,6
Denotes Draincle pow 4rrows Gara0e Slab E/evatton 693.4'~,
Denotes monument o Deno es Ottrsef Nub
Bearin* shown are assumed Sued to Easements or' gecord
LOT 17 , SLOCU I ,14I LLS CAE STONEBRI X E PLA-r 2
04K07-A COVNry'
I hereby certify that this is a true and correct representation of a survey of the boundaries of the abo~ve~~dd~,e//ttcribed land`',,and of a location of all
buildings, thereon, and all visible encroachments, If any, from or on said land. As surveyed by me this::;Xay of~A.D. 19-Q..,
Sca/e : l;neh_ 4011 et
O ROBERT B. SIKICH L.S. R G. NO. 14991
r
For Office Use
City Oj Evan Permit I T 1
I Permit Fee: ~U . ( l
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
L -----------------1
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 49 Site Address: qO E3Z JR0 t- 0140 1~ it `t' r✓
Tenant: i r r"^ CAL,.- 150 Suite
RESIDENT / OWNER Name: Jim 02 )(1 6gm Phone:
Address / City / Zip:
CONTRACTOR Name: ~W - 0/ r-" r"'► License SCI 13 2 - Pm
Address: ( 3
City: ~m/k"L- SoW State: Zip:
Phone: 5-0 -2& Contact Person: 1703
TYPE OF WORK - New /X Replacement _Repair CC Rebuild _ Modify Space _ Work in R•-.-0_ .W.
Description of work: K' T ` O WU X1 1 L
PERMIT TYPE RESIDENTIAL S
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / - PVB) Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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.-
x G ~ e x zky C'~'~✓~~
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections. Under Ground -Rough-In -Air Test -Gas Test -Final
For Office Use
j Permit
City of Eajan I I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 j bate Received: j
Phone: (651) 675-5675 I I
I Staff: I
Fax: (651) 675-5694 ® 1 I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4 w/ r e7~? Site Address: 70 Q 0<4' -L cx
Tenant: r ~-%w C f'/S" ` Suite
fi
RESIDENT / OWNER Name: L.~, ~S•>~- Phone:
Address / City / Zip: ~f rrf 2-
Applicant is: ✓Owner Contractor GIM
TYPE OF WORK Description of work: P" r f/ cd~ a «®J le '
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: /qe (~r lc~ CrS{i+~c1/,i e . License -1
Address: N" f 5~f` 6Y
City: 1/ State: Zip: 5-5,1V
Phone: Contact Person: d y.~
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
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 may be classified as non-public if you provide specific reasons that would 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 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.
x _ U rt -Xr /i c x
Applicant's rinted Na 'Applicants na ure
D C ! Page 1 of 3
2009
jiJ% 9
DO NOT WRITE BELOW THIS LINE ,
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm 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
WORKTYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation v Occupancy MCES System
Plan Review Code Edition SAC Units
(25%-100%---) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation 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
Meter Size: Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES Base Fee 60ffrT
Surcharge
Plan Review
MCES SAC
City SAC P~~t yvll~s
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
k~„
JUN-25-2009 14:19 FROM:AIR MECHANICAL EAGAN 6514526925 TO:6516755694 P:2/2
I--- -
r
ILI
~l W(In Permit st:
City
u1 /y ~j~ 1
1 Pamlit Fee; -"22. -56
1
3830 Pilot Knob Road I 1
Eagan MN 55122
1 Data Received;
Phone; (651) 675-5675 I
1 1
Fax: r
(651) 675-5694 I Ssaff_ _ I
} Tl
2009 MECHANICAL PERMIT APPLICATION
Date: 02- 5 a Site Address: <4 fs [ t+► Y t
Tenant:
Suite
RESIDENT / OWNER Name: ChA,`n Oa Phono:
Address / City / Zip:
P
CONTRACTOR Name:- License
Address: "+c (
City: Zip State: S
Phone: _:Z~2 ~R60- tact Person: V
TYPE OF WORK _L New Replacement Additional Alteration Demolition
escrlptiorii of work.
NOTE: Both roof mounted and 9 found mounted mechanical equipment Is required to
be screened by CNy Codo. Please contact the Mechanical Inspector or one of the
Planners for information on rmiHed scrmwe method&
PERMIT TYPE RESIDENTIAL COMMERCIAL
New Construction - Interior Improvement
Furnace -
Air Conditioner - Install Piping _ Processed
_ Air Exchanger . Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank t_ Install/_ Remove)
When installing/remov4ng tank(s), cal) for Inspection by Fire
V' Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) -CD
$ - TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation:/removal OR Contract Value $ X1%
$50.50 M_I_nI_mum (includes State Surcharge)
- If Egr=t f= Is less than $1,000, surcharge is $.50. Permit Fee
- If Permit M.. is P. $1.000, surcharge increases by $.So for each State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTAL FEE
I hereby Acknowledge that this information is complete and accurate; that the work will be In conforman th the ordinances and codes of the City of Eagan; that
I urrdr rotund this is not a permil, but only ran application for a permit, and work is not to start without a t; that the work will be in accordance %fth the approved
plan In tho cow of work which requires a revlcw and approval of plans.
ApplicantV Printed Na s ph ant's afure
FOR OFFICE USE
Reviewed By: Daft:
Required Inspections: -Under Ground Rough In ---Air Test _Gas Service Test _In-floor Heat -Final
Extefiar HVAC Screening Inspection
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA081742
Eagan, MN 55122 . Date Issued: 01/22/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4082 Baffin Bay N
Lot: 17 Block: 1 Addition: Hills of Stonebridge Plat 2
PID 10-32991-170-01
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen Timothy P Carlson
1920 County Road C West 4082 Baffin Bay N
Roseville MN 55113 Eagan MN 55123
(651) 264-4777
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
I For Office Use I
1
Permit#:
City of Ea Ed~ Permit Fee: 6, (1 I
3830 Pilot Knob Road I 1
Eagan MN 55122 ;Date Received: G
Phone: (651) 675-5675
Fax: (651) 675-5694 CP i Staff:
L - - ~(J_ - - - - - - - - -
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: i G, Unit
Name: _ 1 ti rte. r v' ~SvY . Phone:
RESIDENT / U r~
OWNER Address / City / Zip: LU l~', + >ht t
Applicant is: Owner Contractor
L ~
TYPE OF WORK Description of work: C C_~Z_
Construction Cost: I-~L Multi-Family Building: (Yes / No.
Company: Ls L, L L Contact:
CONTRACTOR Address: L 1 -I (c"C~'A City:
State: N Zip: 3 Phone: ~%l t~~~T S 1 Z
License 1 ts?r ~ 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 provide specific reasons that would permit the City to
conclude that 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
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 1case of work which requires a review and approv f of\`plans. f
X ~~~V 1 Gk
x
Applicant's Printed Name Applicant's Signat re
Page 1 of 3
Use BLUE or BLACK Ink
^-----------------
� For Office Use �
' j Permit#: � l� j
Cit� of ���a� � b d� �
3830 Pilot Knob Road RECEIVED � Permit Fee: �
Eagan MN 55122 ��qF j Date Received: j
Phone:(651)675-5675 �UL � � �-��� I I
Fax:(651)675-5694 I Staff: I �
�----I I �
----------��tl L
�
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
�-7 � � 8� � �
Date: / Z� � Site Address: �c�� �c� �✓� ci ,��+ Unit#: �
` ��,j� • ..v � �� '�W.� � �1 Z��P
,� _ � 1 Name: Z..,1�t� s �, JGG�� ���b� Phone: �a
' � f� .
- �` � � Address/City/Zip: �;G' � IJa ,"'n � �L'�.cc �
�� �
� �.
,�; ,
,,;, �; Applicant is: Owner Contractor
= j,
. . , � �., / � J��JJ�/�/f/'�/� �C79i:� � ��,i
' _
" � E '" ° Descnption of work: '��''a �� c-' � � � �r• �'�
������:
_ ,u °_= Construction Cost: ���`''` `�`� Multi-Family Building: (Yes /No
,��:i:,:.:
i iu : f
Company: �.iGi+�+;�.� 1•Sc{r�i�n ��,5��on ���,�'�� Contact: ��+wt�s !�'�a cl�„�
�
,°�� Address: � ��ZC� fy� �a -t"�. Gt,? ��1GfJ City: :�P��11��(.rt,,v,�
� ' t� State: I°�I�'V� Zip:�S 2 Phone: `/SZ-L131•���7(�Email: �avv�,�5 �3 J b r�'� , �i,"z_
` License#: ��°oy�V�"-'� Lead Certificate#:
If the project is exempt from Jead certification, please explain why: (see Page 3 for additional information)
c�✓.-�1',�i�v�E�i/ ��,>"c.r� /J���' (��� ��� �
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a pertnit 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:
���:� �� �`����I� ��1��i� � � ���; � *� `� ;� E
'� P ,�' ��#"��I�+����'n _ ��i#f i=tii#�_�",�� '" � � I� ,t� ����. � �
$ .,(i a .,:� ;i i ; �,# � F �;� �' , i..� ��:. iEi��ktF� � E� ��F._
� t.': - , �[E� 4 .7.. ,�..�„tt6E �j7i��`�h�` „-�_ "_t.
CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gonherstateonecall.ora
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 of permit issuance. '
_—____—� �—�-----______—��
x X 'i
Applicant's Printed Name Applicanfs Signature I
.—�'� /J�c E•��•— Page 7 of 3
����� �
� `
� a�� , �
l ���� �✓ C�
DO NOT WRITE BELOW�HIS LINE �'� � l �
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 _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ���'�_ Occupancy (L'T C .1 MCES System
Plan Review Code Edition 1�� �SOC. SAC Units
(25%_100%� Zoning � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction � '� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control '
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: �� , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S8�W Permit�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126479
Date Issued:08/26/2014
Permit Category:ePermit
Site Address: 4082 Baffin Bay N
Lot:17 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-170
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Christopher A Lebo
4082 Baffin Bay N
Eagan MN 55123
Highmark Exteriors
11237 Nicollet Ave S
Burnsville MN 55337
(952) 882-8904
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142478
Date Issued:05/04/2017
Permit Category:ePermit
Site Address: 4082 Baffin Bay N
Lot:17 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-170
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.
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 -
Christopher A Lebo
4082 Baffin Bay N
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149604
Date Issued:05/30/2018
Permit Category:ePermit
Site Address: 4082 Baffin Bay N
Lot:17 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Christopher A Lebo
4082 Baffin Bay N
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162548
Date Issued:07/20/2020
Permit Category:ePermit
Site Address: 4082 Baffin Bay N
Lot:17 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-170
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
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 -
Christopher A Lebo
4082 Baffin Bay N
Eagan MN 55123
(651) 493-4296
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168273
Date Issued:04/15/2021
Permit Category:ePermit
Site Address: 4082 Baffin Bay N
Lot:17 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-170
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Christopher Allen & Joleen Nicole Lebo
4082 Baffin Bay N
Eagan MN 55123
Kremer Brothers Construction Co.
516 Second Street, Suite 202
Hudson WI 54016
(715) 554-2600
Applicant/Permitee: Signature Issued By: Signature