4349 Beaver Dam Rd?` r
GAN?
; SEWER'°SER«Y_I.CE PERMIT?':f ? E ?= ?
A
CI? « F?E
374?30Pd`ot 'Knob Road PERNIIT NO.: ?; ?'} n , •
I? ? 1 ?,? •,^,. .
Eagan, MN 55122. .. . DATE,:.
rT?
Zoning:
No: of Units:: 1
..
Owner
..
Address:
Site Address: ;; . .. '.'O3' T ,. .. r ?. ; ,er•_c'.nttl:??r? ?
Rlumber:
_L' i fl) 0 t?_p6. :
f E e
ction Chor
C
bgon
1 ogree to wmply with the City o g
onne
Ordinances: Account Depositt
Permit Fee•
:.
. . , Surchcrge: • , 5C! va
?, .
. Char
es
Mi
gY . „ g
.
sc. r r
`
Date 'of Insp: ,Total
- ,?i- - -
? WATER 'S'ER?HICE?=?iPE"MiIT
crrir v?`°?eacaN 3FS?'i .
'? I
37fg Pilot Keob Rood NO.:
PERMIT .
I / rn
Fagan, MN 55122 DATE:
--7
Zoning:
No. of Units:
?
Owner.
Address:
,. Z /. r ?, „
Site Address: _... 2
.,V . ., r ? o • _ a -? ..
. _ .. ,_? ___._ . --._ .,.. •.
Plumber: ev
Connection Cherge:
Meter No.: '
Account Deposit:
Size: Permit Fee:
Reader No.:
I agree to aomply with the Cify of Eagan
Surchnrge:
00 rd MeCeY
Misc. Charges: ?
Ordinanees.
Totol: '
Dote Paid: •
B
Y , .
' Date o,f Insp.: ' Insp:: - , , ,
y j. . '• ? ?, ` . ?ilrY YF rLA".'f 1
' - + 37" WN* ItEIob ROGrI EflgdRyUN S87n
., - ' .. . . P?Mi'a +434-SVOO -
Tb be wad #w ?xF T? e"a?(', fCAR Esf.lrcloe 41,000, ?
' . .,
10-1
Site Address ?.9?eaver Dam Rd
?
Lot ME3&C?OWl87?G?ffi
2? ?
--
Bto?1c SeclSub.
?1Fter
t3
ztsn
nD
Paccet 10 4M50 22Q 03 FteRair p Fire Zcm
Fxilarge 0 Tp" *f Gonst.
a No?? Johnson-?dc3bnald Cortst. ?+n4ve ? # Swries .....?._..,?
z ?? 15513 I,Qgsx"tO I.ix. Demvlish ? Framt 60 iR:
_8
C BLIPI3BYillB M?
435
Grode Q
C7'raO
Nams APP+mYOls
? Addrem - - 8SII1G? Assess _
?
-, Pertat ?
~ Wuter & Sevv: Su?!c?
Ci PFone Roliee Plan d"w1k-
?Lu Plotne Fire SAC ? ?. ; .
1
uz Addroess - -- - - Eno. 0
Yb'atew
<W G Phcene PIQrrmr . Wrar mow f;??,..... .0-0 .'.
Courttil Ftoad LJn-I' -1't'. 5. 00:
I Fereby ackntawledge that 1 have eead rhis application ond state that g}dg. Off.
the infomao#ian is correct prui agreer M comply with all applicable
5rofie of Minnesata Srsa€eites a City of E 4rdinances. APC Tatal
5ignature w$F PermFtir.e
A Building Permit is issus tx ?'nhr??aor? ?!?I1D1'lald CQ 8t • an H, :3 ?
afl work ?p be +?ne in accardq?ice witE?.nEI ap?alicable State of MinnesaFa St+?t?i? erad Gii?t nfi Etr?
t3w7dim Offisioi
_y ......, _,. ? f
i?
- iNarWrioW
Finad
Ran-iarks: of_A r_A r/
&do b=W
3? - 60
I u?r. ? f
t - -
w
? a
Raupt?-In Fi"ad
w, ? cwote fn?a
P. . -_o .
;
nb, ' 215.9
CI'1"Y 4F EAGAN
8795 lNdr Kwob Raod
iogew, MimawFs l3124 INSPECTOR NOTIFICATt
Pho.: 45441e0 REQUIRED BY LAW
Heating PeRAAtT
Date: 11-12-80
Site Address: 4349 Beaver Dema Rd.
I.ot 22 eixk 3 sublsec. Meadowlende
Name Johnson-AdcDonald Const.
Address 15513 Lorarto Lt1.
? CitY Fjumaville, ]V(T1. Phone: 435-E1+43
Name T'j1e Heating Co.
?
Address 2016 zootn st, w.
?
City Fe.xminp,ton, Mn. 55024 Phone: 463-7213
-.-?
This Permit is issued on the express eondition`that, oll work shall be
MinnesoM Stotutes ond City of Eogon Ordinonces.
FOR ALL IN5PEC7tONS-_
-..??
218'P8
rtecelpt No.: ?;
Single
Residentiai
x .?
.
`.j
Multi Res., Comm./W.
nm
New/Alter./Repoir
,
Cost of fnstcltotion -
II Permit Fee
•
`
: e?
5urchorge
20 • 50
Total -- - -
done in ateordanoe wih dl apipliaable 5'USiI!`
,.;?".
., .
No. ' 21»
.r.
c.mr oE FI?C"
' 8795 Pikt linob Reod
leso». ?anneft 35122 INSPECTOR NOTIFICATIt?Nf?,?
P6eaes 434-e109 REQUIREO BY LAW
Plurnbin.Q PERlrLiT
Deft: 11-19-80
Sim /lddreu: 4349 Beaver ])em
Lot 22 Bl«k 3 sub/see. 1:,ieadrnviande
Nome Johnso1-Mcl?onsld CGttetrt1e.
Addrcss 15513 TAPaI'to Lri.
City
BiLT'l19Yi11.@ , M1
Phone:
435-8443
Nome ??eville P & fi
?
? Addrcss Rt. 2
? I?akevill 'Ki-
l?61 22S
FOR ALL INSPECTIONS
?? a 31
Receipt No.:
Singie
Residentio! R
;
3
Multi Res., Comm./Ind. ?,
m
New/Alter.JRepair -Im- "
Cost of Installotion - ?_
20' 00
Permi! Fee ,
`?? 4 ;
Surcharge - - - -
?
r
2N?
2
ciry e, . Phor?e: - ? ITorai
This Permit is issued on the sxpress condition thot oll work shoH be dane in xoordance wkh all appJiCpbie 30604.?r>
Minnesoto Statutea and City of Eogon Ordinances.
i•
Bulidinp C>FRr3ol '?",?"
.a?? w? a i h: +? ?9P? .:: - . T ` - ???? ?.?.
. ??
_ . _ a??& 6,*>?' • r? ?:
Orr
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MIN1+1ESOTA 55122
DA`I'E
Yt6CE1VED _,
PRQM
AMOUNT
& CQLLARS I
?oo
? CASH ? ci-i r.CK
FOR
? . ?
This request void 3 ?w
18 montaas,from
Date of this Requestl t. ? O'?0 Fire No. T 2830
I, as IEKLicensed Electrical Contractor O Owner, do hereby request inspection-of the above electri-
cal wiring installed at: •
Street Address or Route No ? ?? .6
Section
Which is occupied
Range County _
Is a roughin inspection required o this job? No ? Yes e Ready Now ? Will Call R'
Power Supplier Address AA.38.''?17 's"?i
Electrical Contractor t
' ontrac o La¢ 2 o.
? - c 17 (co -
MailingAddress i, `?= : ? ?'?7' !`,??z
.? ? .
:??g? i ??'?t?n?'§Q4?[i?to?,af;9?wner Mak ng This Installatlon)
Authorized Signature Phone No.
(Electrical Contractor or Owner Maklny Thls Installatlon)
STATE BoARD CORY This inspection request will not be accepted by the
S#ate Board unless proper inspection fee is eodosed.
nninnesota State Board of Electricity ?
Griggs Midway Bldg. - Room N191 f
182; University Ave., St. Paul, Minn. 55104 - pfwne 297-2119
. MOUEST FOR ELECTRICAL INSPECTION ,?'c"
CHECK BELOW WORK COVERED BY THIS REOUEST
EB-00001-02
283ri
Type of Building New Add. Rep. Check Applian ces Wired For Check Equipment Wired For
Home ? ? Range ? . Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures FR?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? El Air Conditioner ? Butk Milk Tank ?
Fazm ? ? ? List List
Other ? ? ? p
Heheis? f ! ' .'F?eieis?
COMPUTE INSPECTION FEE BELOW
Service Entrance 5ize: # Fee Feeders&Su6feeders: # Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to 1Q(1 Am res 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Pattial or other fee
Signs Special Ins ection Minimum fee $5.00
Remazks
s
TOTAL FEE
I, the Electrical Inspector, hereby certify that ?
(Rough-in)
(Finat)
This request void 18 months from
' h?L9a? e?
Date
This request void
T8 cnQniks from
f ? (%
3 i ?' %
?.
Date of this Request ' .." 1? Fire No. V v
I, as MUcensed Elec rical Contractor 0 Owner, do hereby request inspection of the above electni-
cal wiring installed at:
/,??
Street Address or Route Na Cit
Section Township Range County ?.z?
Which is occupied by
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call O
? -
Power Supplier ? Address 4 6?
Electrical ContraKEND?LCCK? FLECTRjC A,38'974 Contractor's License No.:.4;L7_
7 ??.?J1tLi !' ???: }'? ?`' 'y,?'L-
?.,= `•,1-
Mailing Address
APPLE F. nt'U oRlb^ 9 Thls installation)
Authorized Signat T ?1 _ Phone No.
r ?I tailation)
This inspection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
minnesota state tfoarq ot tlectrlcity
Griggs Midway Bldg. - Room N191
7821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111
' "REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOItK COVERED BY THIS REQUEST
EB-00001-02
96948
Type of Bulld1mg New Add. Rep, Ch¢ck Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporazy Wiring
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryei ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm List List
Other ? 0 ?
rs?
ie
?e e
thcsi
COMPUTE INSPECTIO N FEE B ELOW
Se:vice Enttance Size: # Fee FcedecsdtSub e4h: Circuits: # Fee
0 to 100 Am s. 0 to 30 Am e s 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Am '` s 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partiat or othec fee
Signs Specia] Ins ection Minimum fee
Remarks . `
??..li?`??a??--'C?'?',X ? ? ?,? ? r?-1'' TOTAL F
I, the Electncal Inspedor, he4t'Sy certify that the above inspection has been m-a-de: -
(Rough-in) Date
(Final) ate G' - - 5C1
This request void
18 months from
3795 Pilo!
BUILDING PERMIT APPLICATION
CITY Of EAGAN
Knob Road Eogan,
PHONE: 454-8100
MN 55122 N2 6207
Receipt # ?M ?)6
To be used for SF DWG/GAR Est. Vulue 41,000 paYe
. 10-1 , 19 $0
Site Address 434 9 Beaver Dam Rd. Erect gy Occupancy R3
Lor 22 Block 3 Sec/Sub. Meadowlands Alter ? Zonin9 Rl- -
10 4 $050 220 03 Repcir p Ftre Zone 3
parcel #
Enlarge p Type of Const. v
?
W
3
?
?
Z?
o?
u
Nnme Johnson-McDonald Const. Move ? # Stories
Address 15513 Logarto Lri. Demolish ? Front 60 ft,
City Burnsville, jklphone.4'35-$L.43 Grade p Depth 24 ft.
Name Approvuls Fees
Address S&me
Phone
Name
Address
Water & $ew.
Pol ice
Fire
Eng.
Pionner
Council
Permit 116 . uu
Surcharge 20.50
Plan check 59 . 00
sAC 525.00
Water Conn. 05.00
Water Meter 60. 00
Road Unit 185.00
1 hereby ocknowledge that 1 hcve read this opplication and state that Bldg. Off.
the information is torrect and agree to tomply with ell applicoble APC Total l, 272.50
5tate of Minnesota Statut s a d City of Eo n Ordinances.
Signcture of Permittee ??
A Building Permit is issue to: Jsa??p??11IrD?11?? d (;ong . on the express condition thot
oll work shcll be done in accor e with nli gppliwble 5tate of Minnesota Statutes and City of Eagan Ordincnces.
/ -? ?----
Building Official ?? -?
Qltr#if tratt of (Orr??aurij
Citp of (Eagan
Vrpttr#ntpn# of BixiIb-ng Jmpriian
Thir Certi f icatt i.uued pur.rtrant ta tbt requirernents o f 5ection 306 o f t he Uni f orm Builrling
Code rtrti f ying that at the time o( is.rWarxe t$is ttrrutxre was in com pliancc wrtb thc vctriotrs
oruiinrana.r of the City regulating bxiJding a»nst+wtron or rue. For rhr follawing:
vp chumomam SF DWG 214 h,,,,n No. 6207
o??..?y ry?e R3 V 3 z?;? nne?? Rl
or?, ? ? oxl-Mc3]on?a Cuor?t?I?--I,og?to I?n?Vi:
buftim „?*- 9 349 Beaver Dan fAca,, L22 B3 MeadcYalands
? ?2/27/81
?
IQWT IM A OOMVICYOYf RAGi
O4Jl5 a&1 LlTMOIN 11.S.A.
CITY OF EAGAN Remarks
Addition IiReadawland lst Additfon Lot 22 Blk 3 Parcel 10 48050 220 03
Owner Street 4349 BeAv@L' DDUR ROad State Ea9ahr mn 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. Illp.' 1589.99 158.99 10 319180
GRADING
SAN SEW TRUNK 970 77.95 3.12 25
* SEWER LATERAL =
WATERMAIN
WATER LATERAL
WATER AfiEA 4 1973 95.27 6.35 15
STORM SEW TRK 1971 282.92 14.15 20
* S70RM SEW LAT 10
?
CURB & GUTTER
SIDEWALK
STREET LIGHT
1 0 21156 1 8
WATER CONN. 305OO 21156 10 1 0
BUILDING PER,
SAC
PARK
4b? City of Ea?d
?3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651) 675-5694
2008 RESIDENTIAL BUILDING PE
Date: Site Address: 40
Tenant:
? 13ev-"Ie?
Suite #:
RESIDENT I OWNER
?00
Name: ` -l/? Phone:
! Zi
p:
Address ! City
Applicant is: 00Owner Contractor
TYPE OF WORK tion of work: J2,!5 10.9cv F
Descri
p
/ N
K
-
0-
o
,)
1??
?U Multi-Family Building: (Yes
Construction Cost:
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 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 may be classified as non-public if you provide specific reasons that wou/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 with the ordinances ana coaes or me ?-!!y ul Eagan; that I understand this is
no a permit, but only an apptication for a permit, and work is not to start without a permit; that the work will be in
accordanc ' the ap r ed pl the case of work which requires a review and approval of plans.
x X
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
r-_____.-
---------i
I For Qfrice Use ?
? Pem'iit #:
I Permit Fee: ?
I
? Date Received: ?
I Staff:
?----------------?
T APPLICATION
1? ??
?
CITY OF EAGAN ? Include 2 sets of plans,
?1 site plan w/elevations &
BUILDING PERMIT ApPLICATION \ 1 set of energy calculations.
To Be Used For
my-Z Valuation site Address: u •
Lot ? Block ? Sec./Sub. ? Xc Erect
;.
Parcel # : ?? ??pSO ot?(7 O ? Alter
? Repair
Owner: Enlarge
Move
! w
Address : Demlish
City/Zip Code: ?Grade
Phone # : 3 APPROVALS
Contractor: _ ./? ? ? ,, ,?,{ • Assessments
0y /?Perm
i
t
- .
l/?
.
Address : Water/Sewer Surcharge ?Zo tv-
Gity/Zip Code: Police Plan Check ? 9
Fire SAC as'
Phone # : En9 • water Conn.
Planner Water Meter 60 .?
Arch./Eng.: Council Road Unit J91 Is-
Address: Bldg. Off.
ppC
City/Zip Code:
Phone # : TOTAL d 7 Date
OFFICE USE ONLY
OccupancY
Zoning
Fire Zone 3
Z'ype of Const, v
# Stories
Front (s 0 ft.
?P? ?1 y ft.
r• j . •
? A Durtn & Curry Community
?I
,,? ? • ?'?l'';c•;h;,±'%.
?. ,,. ?„ ,_? ? ? ? . • '
DEVELOPER'S CERTIFICATION
---
? - --_
__ _
,
?Block:
`i
Subdivisivn:
This is to certify that
has complied with the Seller's requirements necessary to obtain
Seller's approval for a building permit.
This Approval is by Seller only. Builder must comply with all
city requirements and must secure his otitn building permit.
Approved by Seller, Dunn & Curry Real Estate Management, Inc.:
By
Accepted by Buyer:
By ate
.
,. -0 401CP' gM=jj.'?'I'
4540 Viking Drive
Pentagon Orice Park '
- MenReapolis
: MN 55435
(612) 835-2808
•O9'"' ef -A e4d,b? NEAT LOSS CALCULATIONS
a r: o
Guide Coaarvction No. InsWatioa
Windowi Doon
I Referenu Out. Wap tae. asn Ceilin` Roof Floor Kind IHtow Applied
eo
es- 0 19- O
/?F7j Room I Length/6' Width iy' Height Room I l.ensth ,je ' Width ' Heigbt
Windowe and Door}-Cracltate and Area Windowi and Doors--Cracka=e and Area
N?. Wlet•
?t ww? llNSat
s! tae? a o
IItAt? Lu?al tL
?t traek An.
M. ll. wiata H•Isnt xs a LIONI L{. wr..
1a51tratioo
Glaa -
E?[p, wsll = 2 p
Net e:p. waD z 40 -
lat waq 17
Clillp= /
Floo?
Total Btu.
Required p. k. E.D.. er sq. inti WA. Lead
?', $T(?-•?: 68.:7= ??`? ?t7?
Roan ?.ew?1 ?i
?l'ndews and Doera--?rackaee ?ad Arta
/ LL=a" I / =
Ie6ltratiss
cl...
Btn
=Kt
h ? d ?
?
?
i Coef. Bh
rjp. ...w - ?
Nee e3p. Nsll
Iat wa .
Ceai.s ?D
Floor
Total &o.
Reqrwed sq. h. EDR or sq. wa. ?IJ1. Leader arsa
Rooa R.eeed+ ' VV'?dtb o
1N?adows aad Dnors--Gatka=e and Area
x l . .e sr...? wre.
M? ?f wM IISYt. ?! antY M. ri.
_I I
&u
Glaa
Na
et oan?
ot p?n? .
Ilfhu
?t eract
?t. t4' '
.
.O
Cee£ Bta
lnftltratioa
Glass
Ecp. wall
Net e:p. waq ,z/ -,Z Z . 3
Int. wal) •
Ct1i111` / ? •
Floor
Tota1 Bta
Required sq. ft. E.D.. er p. ms. W.. Leader :rea
•
?. akk • _ ??f 7t CAW
/S ROOA LlO? / X?1? //' H6i#A A"
nds111011 ?d uaAtea
Wm
N?. N ?f M? NtM+ K ?radt w. 14
&M
IafJtratioi i
. Exp. wd -
Net acp. wd - ? e9G
IaG wa
Ce&s r/
Floor
hy ,
Tota! $& _ . !
Requina p. h. E.D.R. er p. au. W.A. L.eader ara
? ? = 68. 7 = Czz+?!! •F'?' '
•.srRl ?z;&C Owns t?? 7z 'TrAh ec' tOW 8'
Ql:n.L.,r. ,wd Dee..-Crarlum aed Arsa •
?fw ta?
?t p" usibi
K Vas* N..c
IIfYU .ul
Ot en+lt wn.
w. R
.s .v
, ,. ? •• ,
,
Coef. Ba
tn6ltratioo
Cdau ?l
Elp. w / ?
Net e:p. waU? ,Z _ 3 8 / 4-
Int. waA
Ceiling
Floor - ? 7.Z. . 3
FsP• waU -
Net ap. wall $ d . 3 InL wa11
Ceiliag ? 11
blow
Total Btu. ?oal &u. Required sq. fL E.D.. or sq. inL W.. Leader aroa Required sq. h. E.D.R. or sq. in.. Leade* area
.?YU 1- 68. 7s a- Tll r (oa 7 = CF""1
? 7-- ACa.V574 A1T .QAS.ED O.V SN/°ll Y Ai.i[ ? f'";?,e•Wa.cA ?,r AAUEa DN Ar-r&At A-frvN ACS-47" '
T.?,vi,?ie.a ra.e.? O+? /3S ?F. # RC'r?/-!'N ?p?j? ,(OSS P.cUS /D I Sf?TY ?G?R
?
f ` ?Pe?et?eipa , +pr0?
?V'/i?lrw?a Deen ReferaM Or1. w?.11 i&
a--lqw- {4 '
Rooai LanO , V?idtl •
rodo+.i and Deeri-Gaakap ard Am
wimuk Ne. ot feM o[ fawi Ioibb 2t 52
/ r .
t . COtE ?
?a?ltnb00 f?!t . _
(2aa
Fxo. -
4? wa
Cetlin
FUw ?
Total Btu.
Required sq. h. E.O.R or sq. ies. WA Leader ma
?- BT?i-•T 68:7 ?. ?r.? r??c,v.e?o
-E1 Room Lea=tA ' Width '
Wiadows aad Deon--rCrackqe aad Area
t Nubl w K LiNai wfN
ot uk ot saw? 11ehu ?t ene4 84 . ft
Btu
CALCUI.A'tl0O;
.....r.?.... .?
, W.
KW
1 . flU :. . it.o. [
" oW Ma
. Mw ?
N ww.
K
C Me
?
??tib
OR
CJaa •
ExR w+ll .
Net CqL WA
IAt wa11
Ceding
Floor Tetal Bu.
r Requircd aq. h. E.D.R. or sy. iaL W.A. L.eader area
F •
•? - Fl. Room I Len=th W'dh HeWt
Ql:..A,.re and Deerr-Craekan aad Atea
' Iubltration %t 77.3
Clan / .
EsP• wall
? - . wa x - o-Z2 937
?rall ? z o .t o
u,=
Flow z.
Tetat Bew
Requured sq. h. EDR or sq. iim alA Lesder ares
Rom Tnth ?? Hei&
?
arr&....a oow.--cr.cwze . a uea ,
x..
Bta
w...
Exp. wA .
Nd a0. wall .
uL wa
C.elis9
)Floor
NIL ai
at pM K.sstit
*t oage piL c
K sraek wna
w. !L
.
Ceef. &u
Inbltr&tion '
Glaa
Ecp, wd s?
Net esp. wal .z
InL wal)
-
Ceiling
[::::
T-
1-7oor D4D .J
Tocal *Bta
Required o4 ft. E.DR er sq. iw. W.A. Leader aiw
_' ?,1? ' , ?7 = C.?! •? .EG.a
`M F i?YYR ?? .... RA?R HeisM
W{AdOWs ind YOm-GaChtvt illd Am
'
tia
ot OaM
KV..
11 Au
et aNet AeM
m!• h-
?
Coef, Bda
'
illratioa
Id
Glaa
Esp. w+l
Nd e:p. wJ ?
Int. waU
Ceilias
•
Ftoor '??+ li_ii .
'I
Teed 9tr. Total &?t. . . . ,'
Reqaw'W p. I!. E.D.R. or p. ios. W.A. Leader uea Rcquired p..k. ED.Jt or p. ias. L,sa?er a?a
.. ,
.?'TU s GaB'7?= C?1-! r?? ?k ?'rJ :6Q7= CSy ATWCJWA-D
Co•VST?N7' ?QAs,sa aAu Suptt yAi•g ..a'fE+fl OJN e?GT61AZ AM/!f ' ?' T
T.er??i?•e ra?e? ex i3s?F: ?f ?¢>'iv.tN AA .Cos.r p.eas io % S.e?rY ?rrtc?
T?r?.?IlII w..n...?I+ .. .- . r ?e? • r ,?? /? ? ._ ? ? ? I?. 1 ,. . ._ ._.
, ? ? .r ., . • ' ' `? ??- ?l '" r- ?,; , . ? ?vft?ri. ;c- - a . • ?
:? ar ' - ? / r-" _ f -?+ --! ?'•?- /i:?:?
-- - - - .? ? . _
'Weathcrstrips A • Constraction No. ' InsplationJ
Cuide
Windows Doori Referena Out. Q/all Int. Q/aH Ceiling Roof Floor i kind Now A
es-- o? Yc` s-`-iVo 19____. --
( F7.I l.Qi 0'ec+;,oom Length ($o' Width,?A-1e%• Height 8?p"
LVtndowa ancl ...A d.?..
No. W1dUl
ot Dano Helaht
of Dane No. ot
Ilrghts Llnql !L
of crack Aer?
p. iG
? 3' o" 4' 8" O 2s? 20
L1 t' „ , o• H
Coef. Bta
Inhltratioa b O
Glaas 4 Ej
F.xp. walt 232
Net exp. wall 114 '1 ga8
Int. wall
Fl°°T Zc? 3 c?2
Ceil.
, otal tita.
Rcquired sq. ft. E.D.R. or sq. ins. W:A, l,eader area
Fl.I h1 R L1. Room I Length (Z 6* Widt6 V
Windows and Doors-Crackaae gnd Area
1
Heig6t B' 0
Na WIQtA
ot pane Heleht
ot yans No. of
l1;Ats Llneil !G
Ot CI'aCR ArN
qi ft
Coef. Btu
lnfiltration
Glaat
Exp. walt
Net e:p. wall
lnt. wall
Floor 3 ?
Ced. ' 3B ?t ?CJZ
Tota! Etu. ' .
Requued sq. ft. E.D.R. ar aq. ins. QIA. L.eader arca
?Fl•lOR. KtT Room jLength loeO W;deh\j'1n" Ne:sh?$O
Wind w and Doors--CraelcaQe and Area
No. wiatn
of pana Helght
of pane :vo. of
Ilshu Linsat tt,
o[ ersck wre.
R• tt.
, w
WW„
0
I
?
%,y v8.•
` " y, • ? ? y
'
I Coef. &u
lnfiltration ?j p ll{ p
CJa•• 41 SO ZO
F.xp. wall ZS
Net eup. wall ?
Int. wall
Floor Z 3 6bQ
Ceil. 22,p
Total B;u.
Required s.l. fi. E.D.R. or sq. ina. a/.A. Leader ares
'r-o-c At L- 14/L- _ I I I Wb t 0-T u, h
1 Fl.? ?'L N Room ( l.ength 9`to' Widch
Ql?ndnw. and Deers-Craekaae end Area
r
lvo. Widtb
ot D?n• Hdcbt
of psa? No. oI
llrhts 1+Josal tt.
ot cnek Area
?a. !t.
? ' g" b I l to
C«f. Btu
lnfiltration 1 yo y00
Glau to So
Exp. wall %
Net eap. wall S
!nG waU
Floor 5g 1
c-1. 8 4 Z32
Total Btu. 1
Required sq. fL E.D.R. or sq. eas. W.A. Leader area
L Fl.1 McT A Room ( Length 1'Z`b" Width ' 1o HeightV b
Winaows ana uoors-i.racra ge ana nrea
No. Wldth
of Dans He1tAt
o[ pane No. ot
11SRts Llnea! !t.
of eraek Area
-0. ft.
2."0" We t 1l?
Coef. Btu
Infiltration -2AD O
Glaas \ b Jo
F,xp. walt
ret e=p. W8u
Ine. wall
Floor
Ceil. 121 ?
'r ---a n.--
VfinAnw. anrl nnn.s_I rarlcnee wnrl Area
Ns Width
ot pane Heleht
of.yan• No. of
Ilrrts Llneal tt.
of erack Area
sp. !t
Coef. Btu
Inb(tration ? Q 1,120
Glass
E7cp. Wdli 2041
Net exp. wall ?',t, ? 3yy
Int. watl '
Floor y53
cd: ( gi b o
Total Btu.
Req;:ired sq. ft. E.D.R..or sq. in:. Q/.A. Leader area
n
? Waathcrstrips A •
Guide Coastrnctioa No. Ininlation '
:'indows ? Doon Refarence
11 Out. WaII Int. Wa11 Ceiling Roaf F1oor kind How Applied
'es- o Yes-No 19_
Fl.( Room Length le Width ` {p" Ekight Vo" Fl.1 Room Length Width Height
VJindowa and Doora-Craclcage and Ana Windows and Daora--CrockAge and Area
o. WIAth
ot pano Hefsht
ot D??e
No. ot
Il!hl?
LlnYtl !t,
ot craek
Aqa
W, tt. w'Idtb He1gLt
lhil IQ .^
Infiltratioa ?
G1ass
Exp. wall
Net exp. wall C?
Int. wal)
Floor '
Ceil. I
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W:A. L.eader area
??KT Q?y„ Rooml Length'?`Q Widtltt
Windows and Doors--CrackaAe and Area
&o
`
!_L.e.
No. WIdtA
of p?ns Netght
of Dane No. of
ilaht¦ Llneal tt.
of eraek Area
q. tt.
2`4" 2
'
1
Coef. Btu
Infiltration 14
Z{
cJ? I2 So boo
Fsp. wall 1 p'Ly
rret ?p. Wa,i o 1 4?? 1 491
Int. wa11
Fl?r 3b Z.So a
Ceil.
Total Btu. . ?j yq
Required sq. fL E.D.R. or aq. ins. W.A. Leader arca
E7. Room I Length Width Heeght
Windows and Doors--Craekage and Area
Na Wl1th
of Dans Hefght
ot paas No. of
t16hts Llneal [L
of eraek Area
eV. tt.
Coef. &u
?In6leratioo
Gla»
fap. waU
Net acp. wall
Int. wall
F7oor
il.
olal $iu.
equired s?. ft. E.D.R. or sq. ias. alA L+eader area
No. Daos
ot
of p?n?
No. o!
11?Ll?
1.1nw1 ft.
of enelc
Are?
?C• t!•
Coef. Btu
In5ltratioa
Glass
Exp. wall . .
Nec esp. rvsli '
Int. wall
Ffoor
C•1. Total Btu.
Required sq. fL E.D.R. or sq. ins. W.A. Leader area'
Fl.) Room IUIIBth Width Height
Windows and LJOOra-t-racKa ge ana nrca
No. WIdtA
of pAne Hefsht
o! Daw No. o!
lliAts Llntal tt.
Of erack Area
Sq. tt.
Coef. Bw
- Infiltration
Class
Exp. wall ?
Net ezp. wa11
lnt. wall
Floor
Ceil.
Totat Btu.
Requued sq, ft. E.D.R. or sq. ias. W.A. Leader area
F(,) Room I (,ength Width Heishe
tv:...t,. ..,a a.,a A"a
Nw A'Idth
o[ Dane Hal[nt
otyan• Na o[
Ilirhts Llneal tt.
ot erack Area
aq• tt.
Coef. Btu
Inhltration
Glass
E7Cp. Wali
Net exp. waU
Int. watl .
Floor
CA:
Total Btu.
Required aq. ft. E.D.R.,oc sq. ins. W.A. Leader area 1
n
GLERTIFICATE OF SURVEY -?
a
9 S Tc)? 39 S3 ?
O
o DRA I N A6E Sg' Q
0 Ek UTILITY
EASEMENT ? .
4u 4t
?D
A. ti O a /01 ?
a LO T 40, 92' oQ
rv 22 Q o o 4, ' ?
'n 41 30, o?. 9,L , 3
51, ? y}??'?1 r co ? O 2
Q - - _ " • ' '•? tfl . ?r ' J
1fI ._ -. S ,? . ?
? z
S ?e° ?? _ _? _J?lp' ? ?.
9
_ 145 38 9? g ,
Q
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m
. .., ,
, , ?? .. .. ? .. . ,
? a
.???t ??.?`?
.?>, . . ..
.. - ? T . .. , _ . , ,
. ?, , . . , ? .
OR. BY GRJ SCALE - I= 40' a DENOTES iRON MON
i?- _. , _ • . .
?... .. . . .
BEAR1N'3S ARE ASSUMED DATUNI
JAC08SON SURVEYORS
LAkEVtLLE, MINN. 55044
PHONE 469 -4328
a
PERAMT 0 ?
- _
?
.
#
? ??'? VMiii. Y PEF
?
,
.,? Vil i FJT al'Yfi" ?u
?
? .? .
? ?,
• .. ? - ?f
- fl'iA4p[i?? ? ?i71 iiiq`... r
. ?.
. ??
Please corriplete for: sirgle fiamft dw~,'*wnhonnes and cwndos when
bac?kibw pwoonW #or *rigation sysfiern
SITE ADDRESS:
TEk
EPHt?? ?-
;
;
NAAAE:.
'
O?Vh1ER
INSTALLER NAME: 6
??Z
• . .
SfiREET ADDRESS: , ? ?
5f T ?
CITY: STA1'E: s
:-T?
Y:
SEPTIC SYSTEM, newlmkaWhed (r*ires bNro seft aF plans and APC DOOR)
includes $40.00 Courdy fee
f; r q
r
IRJIQ. f1G1{ANUnal constdtwt fm-tney apply - - , ' ? - ,•? t ??'- ? ? _.' }??+
'S.k
q S e??y
?,
ay ?i
• MODIRICATI?UA?.TER/1TIOIV TO Eft TING dV1ELL? tJNIY; IN1?l?t?:
Adding fixhrres to lomr levela or roortradcWor,s, wtkxbg waw wnena? sod wew hmderi 5t?.O
` Abandonmerd of septic eysiwta.
Water tumaround - exlsdnq dwOft uMt (+.6d6" mdeF if "Dided - s'fls)
?ti{?.Ry?
Vr.
? . . .
.?G .. j
?
.
J']
<
a ?` ??
?c
RPZ: new irsMIlationJropaifftbuild ° :aUG Q° 2100Z
_ ? ? E ^
_ lenm irtigation system ?
r . ?. :
<
, 5
K?
RepiamrneWsddilfvmei: ? vrSliar sobnsr heaW
w
- ?
J':
'
.. .
' . . S .
.
. .
. . V7, I
^
?
State Vurcrharge ' ` ' " ?. . ?t
?a .-e? •? <?
?. ?
: ;?r.h'.
.
.
T
fti .. } ? ?. ?
?
a ?
?
°.t
. .
1 hersby adcnoieAadge &at i haW raed Mis aWaation, eiaftit*Ve WOurnaOf?3toonect, arrd ?Iw?1
is the sppliarrs re,sponslbOYha nM* tM p mp Ot Y awnsr #! t " C i t Y af Eoto assunwa
operatlonal and meinNnance acrNIieo b thi boilftirs conaolec4bd uddsr ftis'pAnnit
.,?
- .. s? ? G
?GG.'. . . 'T?? .. ?3.
"
. . . ..
. . ' - , ? '144
,. CITY USE ONLY
PERMIT #: RECEIPT DATE:
2002 i$ESIDEN'fIAL 14IECHANICAL PEi;14IIT APPLICATION
CITY OF Ek6AN
S$SO i'ILOT KNOB RD
EAsAlv MN 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 9
SITE ADDRESS:
e?
o C>-
OWNER NAME?c1? ,(?? V?C e! C? ? ?+.-? ? TELEPHONE #:
-?
INSTALLERNAME: ?A TELEPHONE#:
,.
STREET ADDRESS: Ae? -
CITY: ?C'_?'(V\', STATE: ? ZIP:
Place a check mark next to the permit work type
? Add-on, modification or alteration to existin dwelling unit $ 30.00
• furnace replacement _..?----'
• air exchanger
air conditioner
other 0 8 ?002
WFA
?
Nature of work: ?- Y ?tio- '
Qy . _. , - - - -- . - -
State Surchar e $ .50
,
Total
$ ?? • ??
S r OF PERMITTEE
vo2
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2002 COIVIIVIEftCIAL bIECHANICAL PERMI'f APPLICATIOIV
CITY OF EAfiA1V
3$30 PILOT KNOB gD
EAfiAN, Mv 551 2$
651-68 i -4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP:
WORK TYPE: New construction Install U.G. Tank
Interior Irriprovement Remove U. G. Tanlc
Processed Piping
Specify Nature of Work:
When installinglremoving underground tank, ca[I 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Undergound tank removaUinsta.llation = minimum fee
Contract price: $ x 1% _$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNA'TIJRE OF PERMITTEE
Updated 1/02
c
Date:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r �
For Office Use
Permit #: I I 0 I (p
iZZ
Permit Fee: I .J. t4
Date Received:4--(
Staff: ( %
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: Unit #:
Resident/
Owner
Name: `14/ S/ / /-/? -6-04 OL O/U/7 Phone: 7‹,?.- y5�7-9 oo
Address / City //ZZiip: Y.s 5/% /5764I/J /2 DAn'7 /' 2 £,9 g,) , MSI,_/
Applicant is: 1� Owner Contractor
Type Of Work
/U%RSO��J�il_= SiDi�J6
Description of work: PAIT`iy /ny� ` iC/ _' - �- X/o A� 2E itis eco
,4/_
00
Construction Cost: /ACS 0 - Multi -Family Building: (Yes / Noy )
Contractor
Company:L /f E /16n/A) £ Z 3 /C
Ti=?/o,S .,lContact: 3-i Xe2LRta/'e
Address: .S -NS ' / // rC%vF &LY City: .,&.&.) 8 r; JA..
'
-
�!
State: v//k.../ Zip: ._`� 5c/ Ion Phone: A72 e t2r; %? 2.
License #: /RC 6 _7736 Lead Certificate #:
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
PD Daii: /A') ? i
In the last 12 months,
Yes
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
_No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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 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.qopherstateonecall.orq
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 S to Building Code must be completed within 180
LZ
days of permit issuance.
Applicant -Is -Printed Name • R cant'
ature
Page 1 of 3
L+34°1 Bezoiti Dam �d
DO NOT WRITE BELOW THIS LINE
IIOt
SUB TYPES
Foundation
AL Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
pl&
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
,ARG^ 1
.2a1%
Po
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
/t O/t t,v/;•bJ
'73
y744
.240
Page 2 of 3