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4124 Beaver Dam Rd Use BLUE or BLACK Ink 1 For Office Use lio c o 1 ; Permit ~s ~ I City of Ear s VE0 Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 1 I Phone: (661) 675-5675 I I Fax: (651) 676-5694 1 Staff: 2010 RESIDENTIAL BUILDIN =MIT APPLICATION Date: Site Address: ~/Z 7 ~~4yP'~ Tenant: _ 4_ .SCLlJ S~-,Jc &O-Z G Suite RESIDENT I OWNER Name:z? iS0'/ T~~Q Phone:67r-7 9V V "Y-7-7-7 Address/ City / Zip.'r-aT PiI~,f'lT /YI~ Applicant is: Owner Contractor 6/ TYPE OF WORK Description of work(,wiw 4LAI ,T//zV77.'1 1,2y61 Construction Cost: "7 0 % Multi-Family Building: (Yes' / No CONTRACTOR Name Tar/ )ad icense Address: City: Jr7_ z 4X State/14/ Zip: Phone: Q rL Contact: '4 ~X0 77 mail: 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.goaherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and !Ve~,57' Cit y 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 permih II be in accordance with the approved plan in the case of work which requires a review and approval of plans. ® i x Applicant's Printed Name Applicant's Signature Page 1 of 2 ~94`qq -1 1~ I, ~ 5 2005 RESIDENTIAL BUILDING PERMIT APPLICATION C City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Reauinements 0016,61 UQATQ 3 registered site surreys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cent: St vey Ridd K N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Free f'~es Ptah E cd Y 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks free #?res Rsg3 e{ Y N I set of Energy Calculations Addition - indicate if on-Me septic system t5ras'it iSepWe Sim Y _N 3 copies of Tree Preservation Plan if lot platted after 711x53 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date l ! oostructon Cost e)o Site Address v2 ~:-~,~aouge Ir 211 Unit/Ste # Description of Work Multi-Family Bldg Y _ N Fireplace(s) _ 0 _ 1 - 2 Property Owner jA, CZ Telephone # (Cs/) SI/O 3F?;~y Contractor Address / City ' C ai s~ State 0.74 f Zip S S 3/7 Telephone # (j jam) Nz~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota. Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Cade Category Residential Ventilations Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted Energy Envelope Calculations Submtted Have you previously constructed a building in Eagan with a similar plan? Y N If so. 25% plan review fee applies. Licensed Plumber Telephone J Mechanical Contractor Telep rhn,-e~OR Sewer/Water Contractor Telep 1) -1 )Mng, -73 I hereby apply for a Residential Building Permit and acknowledge that the and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN St u rstand this is not a permit, but only an application for a permit, and work is not to start without a ermit; that the ork will be in accordance with the approved plan in the case of work which requires a review and approval of pl s. nt's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plea ❑ 20 Pool ❑ 30 Accessary Bldg 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 PorchlAddn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch (screentgazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plea ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or- N ❑ 25 Miscellaneous Work Types ~ r # 'r-T 13 y + - ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors x 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ?6 Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V/ Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding -Stucco -Stone -Brick Fireplace , _ R.I. _ Air Test ^ Final _ Windows Insulation ry _ Retaining Wall Approved By: Building Inspector - Base Fee - Surcharge G Plan Review Y -d" ~ MC/ES SAC City SAC ell Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL BUILDING] Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Recuirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cent of Survey Recd (20% maximum tot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Rood 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet '(bldgs with 3 or less units Date ! I _ l v3 Construction Cost 4 cv Site Address ! -Vnn A( Unit/Ste # 2 L~uyd Description of Work Multi-Family Bldg - Y Fireplace(s) - 0 - 1 - 2 Property Owner ZNnAW Telephone # ( ) ~ f } r Contractor &5-Pi~' 5Cj Address Ap. City 57' State ~M 4Z Zip Telephone # (2;67 ) V~~Z G F31r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted Energy Envelope Calculations Submitted Licensed Plumber - Telephone # ( I Mechanical Contractor Telephone #I I DEC 1 S 2003 Sewer/Water Contractor Telephone # ( I I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 a Ian in the case of work which requires a review and approval of plans. l ~ Applicant's Printed N e Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or- N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width 4 REQUIRED INSPECTIONS - Footings (new bldg) _ Final./C.O. Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco _ Stone Fireplace _ RI. - Air Test - Final - Windows (new/replacement) Insulation - Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total * l~ 2422 Enterprise Drive Mendota Heights, MN 55120 * PIONEER (612) 681-1914•Fox 681-9488 y LAND SURVEYORS • CIVIL ENGWEERS - engineering LAND HERS • LANDSCAPE ARCHITECTS 625 Highway 10 Northeast Blaine, MN 55434 * (612) 783-1880•Fex 783-1883 Certificate of Survey for: The R o t t i u n d Company, _ Inc. 8 UNIT ALLA DETAIL Scale 1"=30' 112.25' P1&67 24.p83 _ 24.083 - 32.042 0 1 06.67 8 87 ° rl' 8.67 7.40 eo ai 6.75' 6.75 0 1.D' ' n PR(}P0SED n ICU cd CONDOMINIUM 'm ry A B B A r7 5.75' 6.75' 7.40' 6067 a °6 6.67 Q vi 0 6.67' w 6.87' a 18.67' o a ' 10.38' .o O rM N 32.042' 24.083' 24.083' 32.042' N 112.25' i ~O N. r ~~.~1 ' 4 s _ ~ rt{ ~ 6 09 b M m 24 d = ' Al'. • _ ?r8: JC . 1 Z71.67 N 83 ~~e a yt, BEAVER pAJ1ft • O-a Denotes Existing Elevation 190A • Denotes Proposed Elevation Denotes Drainage & Utility Easement PROPOSED HOUSE ELEVA110N Denotes Drainage Flow Direction -o- Denotes Monument slab 9Elevation: io889.9 Is Denotes Offset Hub Bearings shown are assumed LOTS , BLOCK 2 DI EFFLEY COMMONS DAKOTA COUNTY, MINNESOTA 1 hereby certify that this survey, plan or report was pr +ered by me r and r MY direct supervision and that 1 am duly Registered Land Surveyor under the taws of the State of Minnesota. Dated this day of A.D. 19 9Z oe ,rg.SiK, t..>_~. o.t Scale: 1'0~ -60 1mt 91123. 29 Control No. t PERMIT CITV OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: R u _r L D i N G Eagan, Minnesota 55123 Permit Number: 0 0 "I 5 6 :3 (612) 681-4675 Date Issued: 1.0/05/92 SITE ADDRESS: 41.24 BEAVER DAM RD LOT. 1.9 BLOCKz 2 OIFFLFY COMMONS DESCRIPTION: Buildinq Permit Type 8-PLEX Building Work Type NEW UBC Occupancy R-1 M-1 Construction Tyoo V--1. HR Zoning PO R--4 Building Length 112 Building Width (")9 building stories 2 Square Feet 11,700 REMARKS: v Z.1 ]'NCI UDES 4126, 4128, 4130, 4132, 4134, 4136, ~ 4138 BEA~6? DAM RD FEE SUMMARY. VALUATION $307,000 Base Fee $1,364.00 CITY SAC $800.00 Plan Review $886.60 WATER CONNECTION $5,400.00 Surcharge $153.50 S to W PERMI`r $30.00 SAL' $5,600.00 S F W SURCHARGE $.50 SAC o 100 TREATMENT PLANT $2,400.00 SAC Units 8 ROAD UNIT 13,040.00 Subtotal $8,004.10 'Total Fee $19,674.60 CONTRACTOR: - Applicant - ST. L I OWNER: THE Ro,rrLUNO CO INC 15710304 000133 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RO FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 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 Mn. Statutes and City of Eagan Ordinances. L- APPLICAN PERMI EE SIGNATURE ISSUED BY SIGMA IUR INSPECTION RECORD Control No. ~ - h ` CITY OF EAGAN PERMIT TYPE: B U 1 ! 01 N G 3830 Pilot Knob Road Permit Number: 0 01 b 6 3 Eagan, Minnesota 55123 Date Issued: 10/OS/92 (612) 681-4675 SITE ADDRESS: LOT: 19 BLOCK > APPLICANT: 4124 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: 8-PLEX NEW INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. f=DU l i.iit~ FRAMING; INSULATION FINAL FIREPLACE REMARKS: INCLUDES 4126, 4128, 4130, 4132, 4134, 4136, & 4138 8FAIR DAM RD - - - - - - PERMIT CITY OF EAGAN,! v 0 1992 BUILDING PERMIT APPLICATION 681-4675 -SEP 3 0 R~Cj SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is re nested n e ermit is issued. Date Valuation of work 9094000 ill 2 1"t/I'3~~y1 4/,3~DSite Address: -~l ~4- 7' JJ LL STREET /I STE Tenant Name: ---1ot,,T -7'un d ~wL LOT BLOCK r, Wo. P.I.D. # Descri tion of work: The applicant is: LLOwner (Rf Contractor O Other Wescrlbe) Name - -h e- A ?<,1114(4,1 6 Phone S"~l/-a3a Property LAST FIRST f~ Owner . Address Sam/ P4s ry~ r Kd. guile, -'~301 STREET STE # City r- State A22ft1 Zip Company 111k,4 o 112e- Phone Contractor Address 5w/ esT/z've►2. ~a License # DC~l33S Exp. -31-9 City State /W& Zip s54?1 Company Tic_ Phone a3G Architect/ Engineer Name Registration Address City State Zip Sewer & water licensed plumber f l~~t Processing time for sewer & water permits is two days once area as been appr ved. 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. Signature of Applican vrrivc warm vna-T • 1 BUILDING PERMIT TYPE r ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish 913 b c. ❑ 02 SF Dwg. ❑ 06 Garage/Accessory E3 10 Swim Pool 1 c ral A$ ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch 01 Miscellaneous P`04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind. WORK TYPE ~,D 31 New ❑ 34 Repair ❑ 37 Demolish ❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move GENERAL INFORMATION Const. (Actual) - l flies Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy r\ 1 ~t-i 2nd F1.. sq. ft. PRY Required Zoning PT) R-1 Sq. Ft. total Booster Pump #E of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee (-1. C v.lu t9m: s ~ C r)} Surcharge 6736T, Plan Review License MWCC SAC 5 c- c , City SAC Water Conn. Water Meter Acct. Deposit. S/W Permit co, S/W Surcharge Treatment Pl. Road Unit 1 Park Ded. Trails Ded. Copies Other Total : SAC % SAC Units vii Ut4l EXTERIOR EVELOPE AVERAGE "U" COMPUTATION SITE ADDRESS CONTRACTOR DATE PHONE Determine working square footage of each.. 1. Total exposed wall area. . . sq. ft. X 0, - _ l 2. Total roof/ceiling area sq. ft. x O~ 192~o _ ~ 3. Total floor/.ei=t area _!7 sq. ft. x O•ce'l = r• a~ Total exposed wall area above floor = 4 a. Total wall window area . . . . . . . . b. Total door area . . . . . . . . . . c. Total sliding glass door area 3 d. Total fireplace wall area e. Total wall framing area (average 10%). f. Total net wall area above floor . . . g. Total rim joist area.. . . . . . . ° - Total exposed foundation area = h. Total foundation window area . . . . . i. Total net foundation area above grade... Determine "U" value of each wall segment. a. X t,UVO O. b. 3.7 ( x ICU" p G a 3:!~ C.- x itUto O.~ I7, p 2-- d. x If ult _ e. IFPA-, 6 X :,U~~ p = I . f . ~_L38 A'4- X 11U,t q. - r q. Co S "U't n o l- b' I g. x - h. _ x t,U.l _ i. X iiult - SUBTOTAL - 4. TOTAL = r -7' 1 ` If item 14 is the same as, or less than item J1,-you have met the intent of SBC 6006 (c) 2. n ~'~f 2 Total exposed roof/ceiling area 3. Total skylight area . . . . . . . . . . . k. Total flat roof/ceiling framing area . . . • • • 1. Total net insulated flat roof/ceiling area ~ m. Total vault roof/ceiling framing area . • n. Total net insulated vault roof/ceiling area . Determine "U" value for each roof/ceiling segment J. x k.- x fluff 4 17 1 x "U„ d L_° 4, S x fluff = r.~.-. n x ,Intl , V .Total= 2.. 5. If total of #5 is the same as, or less than "2, you have met the intent o_'' SBC 6oo6(c)l. Total exposed floor/e aRt. area _ 0. Total flo~~ framin re (average .10%) - v. Total net insulatedarea . • • ( '-7 - Determine "U" value for each floor/cant. segment 2 q-. 3 x „U„ 0. o ~R = 4-3P. _ x ,.U., , p . . -7,77 6 Total= If total of a6 is the same as, or less than #3, you have met the intent of SBC • 6oo6(c)3• ALTERNATE BUILDING EWELOPE DESIGN To utilize the total envelope system method, the values established by the su.i of items A, #5, and #6 sh Ol not be greater than the sum of items #11 #22 and #3• 2. 24,4` 3. -1.0 = 228.GS 1 6. 4. 13 5 • o,E.: d ~ 1 i _ t[ EVAU -Q -~~:~-4 Y~ 10, t~x i 1 - -rf1 . , ;t 1 It IV ~I i os- 3 + : 5 01. r /`-_J. 2 ~Pf Imp o i 0.rv22 VA LUG 6ALeUATIo N-.,:;? (GONT,) ~AMr,- WAIJ, Ge I N l-ATI~ T LoM(~O N Lt~~ . ~ - ~lALU 2 4 /L lNSULA~'1 19.0 ~roll~ AMA W4L LoMPvN~N j~ ~-VALU5 FLA 1112 3' 05AV1Nis. 2 •OU _ cf- Tic (r- P~w - 5 Cz.~'~P, PAD. 0~4 -y I INhi D1; fM~ Fi LA1. - p1,~N• View. U ~ o• coq . L G;omF-5. 11W (o,12 x o o,,L9) t(o.ax- Xo.04~~ = O. 04-7 _ u-VA W 2 SLY. Sub F~~ 1.~~ - ql_ nz- ¢ ,u 00 3 ~ 2 4- c Iy 1 REF"OPT r' 1t !'~~:t HLt1 •r ktIl, L: cyfa caav : ~ ESE"7 ; : 6'+ t Tr~o-trr t'+C~L.L~E s ~ I~•i T .'Ir T ? I* Jr..f{ • .rr .ar .P n M T r 4 i•{ ? T F T M +F +A •A r1+ •Y. ene .T, .h :1: h•.:! h +F +14 i1'{ .j. T T .T+ fi .t+ T -T +7+ u G.,1 ul,l j ~~?.J~~~l ~ P•'tr..'lJi.a~•t 'SLJMIMIL. wiN,k'i G}i i':3L MI'll E W IEI°~ B 15 I a 3 i 'y Fi >r: LL%ci Fud -44 F I is •✓:a ~..Lfi11 ~+ay 9: I< * ~ ~k k ~ ~6 A~ fi 5t R : , ~ c ~ ;N l~ k 3 k :i~ # a ~5 s x hiarlc, B i U H En L y -1 17 Living Room - -2 6~ it7 I J-77 ,'disc} f l i s I<•. L i New, 2 44 La.t t.o'!iLIMG LEL .I.A ..r' i,) i:C ~..c91G1.1:._+w G~ ill"1 t1+n+ JL i:'dl+_+•~C:t lipwl kE':c~'•','~ ""r:'L~I.t.: r`f„ttfxf•'F.ii._~:, til rli'J l:.l'~~f1. w~: YriCtVd tWet~{~1+.~ 1' c-t.l i5 4 ~!rri !;::'i.;iui with C~~le:s"t.f~~U ~+q~.t~.~rur=n F; 1r~s~i.a:iC't~+r~,•.:r, 1.!:=. ~-~.p t V i • rr L. 1 - ,J f - L- I~1 1 ~ V 1 • • v ~ -+c r, . • ~ - - _ . DETAILED REPORT FOR EW,riREr HoufsE 1=i-epared For-a. Prepsarl~n uyc ? It,~ Ru't :un~l Ct,:~l;"rty hw-tn,~'~ F } N' Htg. & pr-, Job Name: un i k A i' T 7 •1 t~A\.1+T .T?•i.M TT4TT ~i1 T•I~ T T•I~? K ~T R+ P •l~ •1~~T.'R TT TT~I+M A+T ~p 71 T"1TTTT T TtFA. AST*"h .F T.F J\/~ I~/hT ~7. L: PUrlurit. aLi SS NORTH F' GRZ . Tlj-rAL c .....t{ 11 v7i nn 1~ r~ y l..t0 1-. a NS' : / 11; 565 0: 6. 622 1r1~"l..~t;l N.--- ~It4 F_P" cl,1x ± 1-1 S U. lc3W WEUT C.'r (lr+l D i f r fZCi:[:-y 1 r Ml::l 1 1 1 . 1 1 1! . 00.6 3 I-rl C) 6_781 H w t'a'i' 'i hl la 1 DODRa Ni31=t'FH NE /;NW >»-AS Z ALL" SW l~ll::al" TOTAL AREP i i 0: i 0 1 (51, 710, i v+i:3 s rCcJL +fG 1+ i .-Y 68 K AT I1'+ O A;~ CL 17, '2.7 4~,337 . `E: t t_ 1 P;r r•-tr<EA r„ot.)r...: r•Ir; 17 A + r 1 tq rlr=oplp erlsit-le tx( r. i s77 L~ttt`.• L t_C`IC] ? ! .->.d•rXa't.t 3-i'.ttll t. i g!I t s J_L Jti h ! ,1.. t~ 1 y. s i l E.. i kcrt; Hr„at Gr1in t.t IoiiItr-ation Lod 9 gin _ible a+ ty Ptuh 4"1~rIL ~(fv`.'aIl~1, # (]!`y~1 1 i.1%1 Ti.,ffvl. !,f'sTE ;hl°!' Air chy nges/Ha;.tr- i, ].=E 1rotyp. sv4inc, 1°Iui t. 1 .00 !`:It3GEl_Ll~I'1Ff~~+~3 11t= ,753~•Ita Lbt:w:> I;ifiItrati.ort Load 40-2 Vent:i laticm Lund DU t. HIF- at LOSS rl E;e:t-F ty E:ctuoh 2;,502 f ~ (3~ UN EXTERIOR EVI ELOPE AVERAGE "U"-COMPUTATION OWNER l ! AG SITE ADDRESS t 1 CONTRACTOR DATE PHONE Determine working square footage of each. , 1. Total exposed wall area . . sq. ft. x 2. Total roof/ceiling area . . 12- sq. ft. x_ 3. Total floor/j-- area sq. ft. x 2 Total exposed wall area above floor a. Total wall vindov area . . . . . . . . -i 2 (P.7 b. Total doom area . . . . . . . . c. Total sliding glass door area . . d. Total fireplace wall area . . . . e. Total wall framing area (average 10%). J +te.7(G f. Total net wall area above floor . . . 1--.5 g. Total rim joist area . . . . . . . . . Total exposed foundation area = h. Total foundation windo:: area . . . . . i.. Total net foundation area above grade. . Determine "U" value of each wall ~I segment. a. R G..., 7 x IlTtll o. 1 = 4 2- (a IL b. 36. 71 x "U" Cat I'~~ . 3Q C. x elLn = d. x ,lull f x "Utt 4erJ•z~ h. x ttUtt = i. x Ilu" r = S WOTAL = 4. T_OTAJTJ = 12 3. -75_ If item „4 is the same as, or less than item #1, 'you have met the intent of SBC 6oo6 (c) 2. J Total exposed roof/ceiling area -7)2, J. Total skylight area . . . . . . . . . . . . . . . k. Total flat roof/ceiling framing area . . . . . . 1. Total net insulated flat roof/ceiling area . . . m. Total vault"roof/ceiling framing area . . . . . . n. Total net insulated vault roof /ceiling area . Determine "U" value for each roof/ceiling segment , J. x Dull k. '71 x ttUtt C~. 027 = 1 , Z 11UTt Z = 4•.041 M. x hurt = n. x "Ult = 5. . . . . . . . . . . . . . . . . . . . . . Total= . If total of #5 is the same as, cr less than n2, you have met the intent o :.BC 6oo6(c)l. Total a boo s e d -fi-e+er/ee~{~,-... are a 0. Total . fr-r,, a ea (average .10%) . . p. Total net insulated.' area . . . . . . ! 3 G, cJ- Determine "U" value for e_c :lour/cant. segment o. x tlUll G. r1' 0, P. 1 38 c x "U" LiOf _ r 6 . . . . . . . . . . . . . . . . . . . . . . . . Tot a1= . If total of "6 is the same as, cr less than #3, you have met the intent of S--C • 6oo6(c)3. AT,T_^.i'i r= ^UILDING EYVELOPE DESIGN To utilize the total envelope s-_rsten .m.ethod, the values established b t^e s= of items nL, #5, and r6 shall _ ' be greater than the suns of Items al, r-.2, and -3. 1. l . off- 2. 3. 4. t 2 72, - S 5. j (o, o 6. . - i ~ 2 . 01. T F" k Cv a!z =--.1 -,-s- D3 v a 7-7 F 10 r--- P o~ 051 TFT,-~klfz --PI-L~M. (3 9- s - i - e- .3~ _ I I f ~ o, 027 2 Dlt' C-i, Z" 4 cs. co 0.022 ~~~M~ hlP~LL @ I N~ LA~iU~ IfOMf'ON~N~a . 12-`!AUA5- 5~1 oirp~-iM Aliz f9LAA l 12 _ v -~{~ATHIN~ - - 2► o~- - - - 5~L i N SULA'~lcN 19.0 &IP G _ rz~,~ Z~.ol = ~ff- LC4 jv'tA L A0 WA~L LaMPvN~NT~ F--VAL,U5 ! O-U Yt~ioF- AiP PILA. 0,S l • - - - 06 _ 3` j}a1Neo 2 •OC~ 3 - X tO ;O~ ll. (F lue) - I - - MR FI L,&t - 0= Imo/ - p►,.~N. ~l~ki. U : ~ ~ o. 089 . =lei P5. ur = (0,121c o.otk9) t(o. X 0,04 ( J-VA WL , Z~M RP-R! -fP51Drl Ai r2- LM 12- O '%2 i~l D9 Al C Iz it, L~o 7 C4- c5l y 1 F IV -7 0, 0. /X~. ooz 9).0.4, c 'r h.'rr rn lrGd F-u lr~_ Ruttlond Ccunpariv Ftik~ll+iy Mri Unt. t C~ 4 T ;reral~, +,1 , OlJ'fT i:3OR .t Y•I UUUI . , c'lkt attJtlflII,.,€r11 iii i EIR 7 Mr g~: tL Rang i ...p.. k , V1, nv r w :g ~ :4' ~ ,x h ~m a • • ~ .r ;Y ~::p : .;i ` :{::th 4: •b4 k~ ~ ~ 'K ~ ~t ~ 3_+ f. { t .k ~irt•i11~. r)f- E.,'firP CF."! ' En try 2 171 2 l,. vingj I'L::7umrn 4, 2i: } J.r sir #`r~~'t 1 -74 5 4 D:rlLrlg Mzcm 21 IS 17 1'I,J S'#:~Y' 3:1 i'u I'.. i,;)t`7i~i f J ~ ...~.w` 1 rp. ~ - • ~ w H l±..1 V 7 1 U l i.+ E"iticuL.'Ir 27 l'€ I INI0 DELTA T 6 5 . 0 Iw~t~€.. I NG 1.:1E TA I N1:i"iG ; *'f C::.1 auLrrt.DIj (-4lY--o- L) w i:5 l)rauL-d ula rari ! c.:.t! r 414L.lir teII ran Ver•i-F,/ -that: airf:law i a ll.:u.l Late .i t :S~.IE"~~'Iw~C3 t:.•~~~.t~.[~ra~•~~fi r°~c~ts.e.r~frsle:rll.~~•. P TA I LF:D Rf_--PQRI' FOR ':;SIT I RL: 4-IUU.:iL :t- I:, k l.I.~ar~fi Crsrn4aanv R,a n d y E./ is P'{~:.IIIL• : L~t i '1 t 1 04`71 ~ i',I:.rl_'.-:~ ~x~ ~ ' Mn ~~c°r'~T:X~:'3<~m`3c~~:k•ii?~~.k~~~'~~;rat~;c~~k~~~~~~~.~'~:k~%~~M~'KT%i:%~:~ - C't_f4qS ~ NUR'f!•-1 NIrl1VIi4 l;r=,-~ ~ • F. A AR i tta 1i<J i L„i , ' ~ a •4 , :1 t' oil '•~'l',L1_ hl!74? 1 Fa -NE.-!I'dw_.. >--A!; 1 t-C.?UT'H _._$..,.E' "->tM •..._.wl:: S,rl GR r.E:.._..»... ~-r7~.~_....... 0 A. 49- 4" ST _t7tJ~i'_...,..T.»~1`71Tii_....h}~::~I~IW.... Fr~1 TaI~IJTH_..,~a"E:/SW...._IrJI.»._31-.. :1.n t MG c2 rf 1 y 64-5 ' 1 F'Lt;JIJ) i rtREtr : .0L. 1 I',i'5 .-y I NO - i,Gil...i1•~113 rf-'ikEA 0 ..Ir+~i» 1~ r .i r;:a 'I :.:-i.~r.».....i~•li.?~Vll,.~_J 4L..Jl 1~1.~7~:.1 (...~li-5i:r C3.7, ci I. .91 i:j.lCl DL Q: Q t {{~:(:^''ty ~~•.S!'r.L!~+ 7~ t.,..r ~''_..~1`~.~".°i.{:j 6:.. F-..4~C't ~.l .i. l-'~~?~~': i~}7 it%_ t_.1", i~~:.~'I i• L Gl;`-1 L. ~a 1'r.`! Air' E..r•I.::r'li t=.:!.a~1'~QLIT' P . _)t•1.Li.:'J MU. I t 1 ~I. ! i l..l l'1' ~1~ rf+•.~~•i I., 1..1 C;11J 1.7 ~ l.37U."A Dr, I-'1[cl^-1l JNI:: 14i an Load an Load lli~.l.lt''t:11.~.f?ll 1.C?<:CI _`J. Vflilfi I l. ~il'i_•Q ~'1i?.:t't t,~}r.''-+ri :?.%t•:!•..r.~/ r:'i.lfl t:''2 &I'TY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 9 2 8 (612) 681-4675 Date Issued: 06/17/96 SITE ADDRESS: 4124 BEAVER DAM RD LOT: 19 BLOCK: 2 DIFFLEY COMMONS P.I.N.: 10-20450-165-04 DESCRIPTION: STORM DAMAGE Building Permit Type STORM DAMAGE Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL REMARKS: INCLUDES: 4126, 4128, 4130, 4132, 4134, 4136, 4138 BEAVER DAM RD FEE SUMMARY: CONTRACTOR: Applicant - ST. LIC.OWNER: DU ALL SVC CONSTR INC 17889411 0003178 HOMEOWNERS ASSOCIATION 636 39TH AVE NE 4124 BEAVER DAM RD COLUMBIA FITS MN 55421 EAGAN MN (612) 788-9411 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 Mn. Statutes and City of Eagan Ordinances. 1 APPLICANT/PERMITEE SIGNATURE UED B . IGNATURE CITY OF EAGAN C / 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reagir m ents Remodel/Fteoair Requirements 3 registered site surveys 4 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design: etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711193 required: Yes No DATE: N (0 CONSTRUCTION COST: DESCRIPTION OF WORK: F VV 47 ST EET ADDRESS: I2~, IZ$ 130 4132,~~y~, b. f 3$ LOT I I BLOCK SUBD.IP.I.D. PROPERTY Name: Phone OWNER uq, FIRST Street Address City: State: Zip: CONTRACTOR Company: WJ ALL WL Phone sw 3M 00lU4AI3Ur H i, V a$ 5421 Street Address: License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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. , Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging o 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch o 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE ❑ 31 New o 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCIWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units s. : Y , ff` _ l CITY OF EAGAN CASHIER: KH TERMINAL NO: 187 BATE: 02/05/93 TIME: iO.Oi:43 ID: NAME: VALLEY PLUMBING CO. 3716 9220 in WATER METER 165.00 Total Receipt Amount: 165.00 CR001434 USER ID; KAREN r••J CITY USE ONLY L I q BL RECEIPT SUED. DATE: - 3 1 6 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ► all commercial/industrial buildings. ► multi-family buildings when separate permits are aQj required for each dwelling unit. DATE: _ 3 " CONTRACT PRICE: s~ RUCTION INTERIOR IMPROVEMENT WORK TYPE: NE CON DESCRIPTION OF WORK:' 40 FEES: $25.00 minimum fee 2[ 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of gond fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: c'/~•ZG , G/~3 _ 13'c~' Am- OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) - INSTALLER: d ce Z-L~L ADDRESS: 5~2 lip e--., i STATE: .hw~,,,. ZIP: Mrle- CITY: ot-~~ / PHONE ,.2L- - P-r-~o SIGNATURE: -ff Ir ~/~L Qq4t RE OF PERMITTEE CITY INSPECTO CITY USE ONLY L BL RECEIPT SUED. DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required d@ $3.00 each) ► State Surcharge .50 TOTAL SITE ADDRESS: OWNER NAME: PHONE* INSTALLER NAME: STREET ADDRESS: CITY: STATE: ZIP: PHONE ( ) SIGNATURE OF PERMITTEE BL_ CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD. ) - (612) 681-4675 RECEIPT l G"` i DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 i_ BATH TUB 3.00 n LAVATORY 3.00 OWNER NAME : LN KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS : y HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: C I ~J C C't : OTHER _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 PHONE U . G . SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNA F PERMITTEE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OVINER NAME : CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN L r B MECHANICAL PERMIT RECEIPT # -'J 5 SUBD. (612) 6814675 DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: ADD-ON A/0 ADD-ON FURNACE SITE ADDRESS. ADD ON/REMODEL (EXISTING $ 15.00 CONSTRUCTION ONLY) INSTALLER: HVAC: 0.100 M BTU 24.00 PHONE ADDITIONAL 50 M BTU 6.00 ADDRESS: GAS OUTLETS - MINIMUM 1 @ $3 EA. CITY: ZIP: SURCHARGE: $ .50 SIGNATURE: TOTAL: $ NO PERMIT REQUIRED FOR DUCTWORK ONLY! COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ p2/(o.Go PROCESSED PIPING - $25.00 $ MINIMUM FEE .$25.00 , SS-O OWNER: -!/mod j TOTAL.: SITE ADDRESS: f~E G i =C>) TENANT: SUITE INSTALLER: ILARE MO. A/C, $ INC. ADDRESS: 9303 r AYd IRL CITY. ZIP: PHONE CITY SIGNATURE: SIGNATURE: ~ X 34P ~_3F -0&4W io~3y~ P 217 Request Date Fi ugh-in Inspection 1 D squired? 7 Ready Now [J Witl Notify Inspector s G No ( When Ready? L Ilicensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box o ouuts~No.) City Secti n No. Township Name or No. Range No. Coun~ 0... C..d Occupant( INT) Phone No. Power Su er Address Electrical ntractor (Company Name) Contractors License No. Madmg Address (Contractor or Owner Making Installation) n 6 Authorized Signature fContracton er Making In all ion) Phone Number - 3M/C MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. EB REQUEST FOF} ELECTRICAL INSPECTION" -00001 -0e ► See inst10ctions for completing this form on back of yellow copy. ~K 55217 X" Below Work Covered by This Request ew dd Type of Building Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm. /industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks Compute Inspection Fee Below: # Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps S 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only. / TOTAL Irrigation Booms xlk Special Inspection if Alarm/Communication THIS INSTALLATION MAY BE ORDERED ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. t I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. Y47 OFFICE USE ONLY i j rc. t~.y This request void 18 months from K5S?~13 Z ,Q~ CA-) Req est Date Fire gh-in Inspection en) wired? ❑ Ready Now ?Witl Notity Inspector ~t Yes No When Ready? I r licensed contractor p owner hereby request inspection of above electrical work at: Job Address (Street. Box or ute No.) City "4 / '-~2 4-'j Section No. Township Name or No. Range No. Cou Occupant RINT) Phone No. Power Su Irer ~ Address Electrical ntrador (Company Name) ^ Contractors License No. Mailing Address (Contractor or Own r Making Installation) Authorized Signature (Contrado ner Xz ation Phone Number 1 ~ 3~ Ml z) MINN ESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~ EB-00001 -00 5 , v~ J ^ ► See instrg0ions for cwpleting this form on back of yellow copy. s 1 `!F X" Below Work Covered by This Request U New Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range -f 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: # Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TOTALf Irrigation Booms W Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT . r ateE t'~ JY I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Final D been made. _ y~ OFFICE USE ONLY This request void 18 months Irom K 55212 35.q Req est Dale Fi ugh•In Inspection wired? ❑ Ready Now Nill Notify Inspector 1( 3 R 2 as No When Ready? /licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Boz Route No.I City 4 t,- pal-111- 4-A-4 2-t~' Section No. Township Name or No. Range No. Cou:D Occupant RINTI~['_,~ Phone No. Power Su slier rress Electnca ntractor (Qompany ame) Contractors License No. Mailing Address (Contractor or Owner Making Installation) Authorized Signature (Contracto Owner king Installation) Phone Number ,4445 MINNESOTA STATE BOARD OF EL CTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ne EB-00001-08 REQUEST FOR ELECTRICAL INSPECTION S _ fco`Z ► See instructions for completing this form on back of yellow copy p8'3 55212 "X" Below Work Covered by This Request New 'Add Rep- TypeofBuilding 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) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps v 0 to 100 Amps C] Transformers Above 200 Amps Above 100 Amps Signs Inspector§ Use Only: TOTAL 1 Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT Rough-in D to I, the Electrical Inspector, hereby a-j(a Y certify that the above inspection has Final Date been made. it OFFICE USE ONLY This request void 18 months from K 11 /v 6~~ r Y 19, Reque t Dale Fire o gh-in inspection wired? Cl Ready Now Will Notify inspector t7 Z es G No When Ready? I /licensed contractor 1D owner hereby request inspection of above electrical work at: Job Address (Street. Box or oute No.) City Section No. Township Name or No. Range No. Counp~y Occupan PRINT) Phone No. Power S leer Address Electnc ontractor (Fompany Name) contractor's License No. Mailing Address (Contractor or Owner Making installation) O) - 1.21.'t14-- Authorized Signature (Contractori caner Mak I stallation) Phone Number -3,? MINNESOTA STATE BOARD OF ELECT ICITV THIS INSPECTION REQUEST WILL NOT Grigg"Idway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD IB21 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB 00001-08 111,5' 5 211 • See instructions for corn eting this form on back of yellow copy. 16)K3s s I(" Below Work Covered by This Request : New Add Rep. TypeofBuilding 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) Contractor§ Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuitsTeeders Fee Swimming Pool 0 to 200 Amps S L) 0 to 100 Amps ¢ b Transformers Above 200 Amps Above-i-00, Amps Signs Inspector's Use Only: TOTAL Irrigation Booms ba Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OFIDE ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. 7_yL I, the Electrical Inspector, hereby Rough-in atA . ~d~7 certify that the above inspection has Final ; r Date O been made. 9"x- OFFICE USE ONLY This request void 18 months from KrIp 10 /d 831919 R q est Date F o /Jpough-in Inspection Re fired? [D Ready Now ;KWII Notify Inspector I ~C~ Yes G No When Ready? 14 licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Sttre~~ et. Box Route No.) (J'~ City 41 Section No. Township Name or No Range No. Coyfl~ Occupa (PRINT Phone No. Power plier Address Electrical ntra ®rtCompany Name) Contractor's License No. C , oo 1'r klailrn Address (Contractor or Own r Making Installation) .rb Authorized Signature (Contract rOwne a 'ng Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 642-0800 ENCLOSED. I/ REQUEST FOR ELECTRICAL INSPECTION EB-ooool-oa ~Wabl_ ^ / See instruct ons for completing this form on back of yellow copy ` 3 S 9 i _ X" Below Work Covered by This Request 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 Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps r 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL S-~ Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED"DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 AJONTHS., I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from K5 16 "151 R Date Fir eughedd?nspection 0 Ready Now Will Notify Inspector 4 3 l Z Yes _ No When Ready? I licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or RoZ"', 7 ~ Section No. Township Name or No. Range No. Cou ' Occupa (PRINT) Phone No. Pow Suppk Address Electrical tractor (Company Nam Contractor's License No. 0 31 Mailing Address (Contractor or Owner along Installation) 1Nl /✓~i Authonzed Signature (Contractor; er Makin ns Ilahon) Phone Number 'kA MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 4gA Ea-00001 0-08 K LJ ^ 16 ^ 1,, See nslruct,.. for completing this form on back of yellow copy. -"X" Berow Work Covered by This Request e dtl 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 Farm Air Conditioner Other (specify) Contractor's Remarks Comptite Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps j Tran§formers Above 200 Amps Above 1 Amps Slgrls Inspectors Use Only. TOTAL r Irrigation Booms Special inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE9-DavCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS , t f I' the Electrical Inspector. hereby Rough-in Data certify that the above inspection has Final + D e been made. FFICE USE ONLY This request void 18 months from K 5 5215 / (off Request Date Fire No. Ro n Inspection O y l 7 Re Yesd? r_ No Ready Now//Will Notify Inspector / an Ready? Wh I licensed contractor p owner hereby request inspection of above electrical work at: Job Address (Street. Box or ute No.) City Section No. i I - Township Name or No. Range No. Cone'A-eltz Occupa (PRINT) Phone No. Ll( ";A' Power Su tier Address Electrical ntra for (Company Name) Contractorls License No. C oo 3 Mailing Address (Contractor or Owner Making Installation) Authorized Signature (Contractor ner M m Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S•173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTIONEB-00001-08 K 5 215 ,See instructions for completing this loan on back of yellow copy. -'yam! f L X' Below Work Covered by This Request ew Add Rep.^ TypeofBuilding Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor§ Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps If Transformers Above 200 Amps Above 1Q0 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD~RIED-IJISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONtH I, the Electrical Inspector, hereby Rough-in s^ P Date Q certify that the above inspection has Final • ' / ? been made. Da/ 3,0 T OFFICE USE ONLY 4• This request void 18 months from Req f. ~ io83 5 s Ku 5 14 Date Fire No. P-Y. Inspection 2 ? ❑ Ready Now Will Notify Inspector O .J G No ' When Ready? 1,'7-licensed contractor owner hereby request inspection of above electrical work at: Job Address (Street. Box or R to No.) wO i C4 c y.~ 4 2- Section No. Township Name or No. Range No. CouZC.+fL J`.LS'-17 Occupan RL~T) Phone No. R Power S li ~.E'. Address i L~- Electrical ntractor [Company Name) Contractor's License No. e&_" , f D ® .3 I? ) Mailing Address (Contractor or Owner Making installation) Vs_^ Authorized Signature (Contr torrOwne kmg Installati" n) Phone Number /a MINNESOTA STATE BOARD OF EL CTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED, REQUEST FOR ELECTRICAL INSPECTION °F~18 EB-00001-08 ` 10- See instructions for coihplebrib th s form on back of yellow copy. 55214 D c7 "X" Below Work Covered by This Request New Add Rep TypeofBuilding 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 (specityl Contractor's Remarks. Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps s / 0 to 100 Amps 411 Transformers Above 200 Amps A 0 Amps Signs Inspectors Use Only: / b TOTAL Irrigation Booms! n S-0 Special Inspection lY Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 NTHS Rough-in f ` ,oat 16 r I, the Electrical Inspector, hereby ~/L.i►(J certify that the above inspection has Final -4 1•^ Ga7/-3,-, gv been made. OFFICE USE ONLY This request void 18 months from 74A A,;,I. Request Date Fire Rough-in Inspection Required? Ready Now When Nobly Inspector Yes hen Ready? I/ licensed contractor ] owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No$ Q w . li w City Section No. Township Name or No. Range No. CcL Occup t(PRINT Phone No. Power S plier M•AUA Address Electric Contractor (Company Name) Contractor's License No. c19 00 3QJ Mailing Address (Contractor or Ow er Making Installation) Authorized Signature (Contract wn 101king Installation) Phone Number ~ 3~ 3 g!a MINNESOTA STATE BOARD OF ELECTRICITY - THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED. ` / +l EB-00001-OS REQUEST FOR ELECTRICAL INSPECTION ► See instructions for ccmpletin is form on back of yellow copy.' X° Below Work Covered by This Request_ Ck rJOg~~~ ,159773 ew~dd Rep TypeofBuilding Appliances Wired Equipment Wired Home Range X Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specito 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 S Irrigation Booms / S Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. f I, the Electrical Inspector, hereby Rough-in to certify that the above inspection has Final Date been made. OFFICE USE ONLY i. This request void 18 months from INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: Nu x L 0104 3830 Pilot Knob Road Permit Number: 7~ 9'> 06/1 Eagan, Minnesota 55122-1897 Date Issued: 76 (612) 681-4675 SITE ADDRESS: rt 0'r r K fiE o c K i APPLICANT: 4111'4 HF AW N 1)AM RD tm Act svc CONSTR -INC 1.)1 1 f~1 E Y c rt"N o N+ (612) 100-9411 PERMIT SUBTYPE: TYPE OF WORK:. ' . l (?R1i1 fIAMArit" RPPAIR Cif".:,t:l~ IF+TI+GtN S~`UAK flAIIAC~E Rf" OGN IN 11'16 F INIII.. REHAW-i : I NCI 1)I)E 41.26 , 4 i ,r*1~~ , 4 1 30, 4-13.7'. 41 34 , 4130, 41 -48 8FAVFR flAM RD tl i J Permit No. Permit Holder Date Telephone II ELECTRIC PLUMBING HVAC hospeallon Date Insp. Comnwft FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLSG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. SSMT FINAL DECK FTG DECK FINAL -1-NSurIjmudCTI0N RECORD crty OF EAGAN PERIL` TYPE: 3830 Pilot Knob Road t wmk,Nwnbor Eagan, Minnesota 55123 C keamd: (1912) 88141975 4 SITE ADDRESS: LOTS I! SLACK t 2 APPLE: 4 I24 NEAVER o" Ito TM~I SOY0 0 PE tSPJMPE: TYPE OF W ! . tl~t!~Ii1..A7 J GiM ~ aP MIMAii. . • . ~ ~ n„" ~ ~,k D / 5 A(/'220 09*fk iK A IMCLUDFS 4126. 1MS,' 4130. 41A9t: 4134„ 41003 0 G - i ac ~MF~t `y~ yL Y [ _ . rwou Na ftw a Homes Gait 7Meptmo f PLUMSM €LEGTRC 9IEGTM COWANWO l~! 741f j- foundalbn ' FMO" 12& .3 aoo~rg , Fhplaf19 iai ray f 3 Or" T" it Find P". f. - No* Ptr Corot mew Bide. Final 4 3 A Deck PC. v Do* Final wolf SITE ADDRESS ?V Unit # Permit # L B Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS P iJ 1~ Y3 ~ 2 c -ZY 3d 2 _C A.Me U 12g Hag 3 30 4VI3 2-- o /y 'Y 1J- - A -.3 f GIs o /g-3 5~. F Akr/ INSPECTION INSPECTOR DATE COMMENTS (n. 5 c1L ~ i z 3 - ~ -jY 04 -.3 i~ If rt 4 It s o- C~;e~ii~icate v~ ~ccu~anc~ This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification: Bldg. Pmt No, 1563 Occupancy Type Zoning Dist Type Const Owner of Building IM RUT UM OD IW- 5201 E RIM FRBM Building Addrem4124 EFAVER DRAM ROAD terry L19, B2, DIFFM rOMM DaW 02/09/93 AIM Il I~JE,S$° + W,-S,30, 32, 84, 36, & 38 EEAVER DAM MM POST IN A CONSPICUOUS PLACE Address 4124, 26, 28, 30, 32, 34, 36, & 38 BEAVER DAM ROAD Zip 5512 3 Lot. • .19 Blk 2 Sub DUTLEY 00*MS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 02/0c)/94 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NMI 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Reguirements RemodellReair Requirements Offitip, use 0 3 registered site surveys showing sq. ft. of lot, sq. L of house; and all roofed areas 2 copies of plan showing footings, beams, joists Oart of 86nrey Reed _ Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Tres flan Recd Y N. 2 copies of plan showing beam 8 window sixes; poured found design, at. 1 site survey for additions 8 decks Tree pros Rtcluired -Y N 1 set of Energy Calculations Addition - indicate N omstte sepf7e system on-site S1J* Sy m _ Y N 3 copies of Tree Preservation Plan tf lot platted after 711183 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanicsl ventilation form Date I 1 Construction Cost - Site Address ~(~-`f r.~ I ~(a 4 V Z W. k3rJ 4 i 3(E, q t 1 ~ Unit/Ste 'EA ~r -Fe- b , Description of Work TkAf- A-D Li Multi-)Family Bldg `c Y - IN Fireplace(s) - 0 - 1 2 IS. r- OTT Property Owner ~0 pL l C c. Telephone #(v~.~ l ) S-s~- ! 7 Contractor Address ~Z~ Lrs4y~® ~p City ' State , J rte Zip _ ELI /Y . Telephone # (I~SI) Z 57l - U O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeaory 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted Submitted • 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? Y - N if yes, date and address of master plan: Licensed Plumber Telephone # Mechanical Contractor Telephone #I ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is t to start without a permit; that the work will be in accordance with the approved plan in these ork w ' requires a review and approval of plans. Applicant's Printed Name s 'gnatu r DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock - Footings (deck) _ Final/C.O. - Footings (addition) _ Final[No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco Lath Stone Lath -Brick Fireplace R.I. _ Air Test _ Final _ Windows Insulation Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 16 JLA 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Read, Eagan MN 55122 Telephone # 651-675--5675 FAX # 651-675-5694 New Corrstruction Reeuirements RemodellReoairRenuirements Otce Use'Ordi 3 registered site surveys showing sq. ft. of lot, sq, it. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd -Y : _q (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pies Plan Recd -Y -_N; 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required -Y N I set of Energy Calculations Addition - indicate if on-sb septic system 9n~sile. ?tic system Y N 3 copies of Tree Preservation Plan if lot platted after N1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date I I Of FFL&Y Construction Cost Site Address Vvq?- ' cW qa q6179 9I y y 1 q b q ! y V y f 5-0 univste # Description of Work A,4) lLt-= Mufti-Family Bldg `C Y - N Fireplace(s) - 0 _ 1 - 2 S C- G 1,17 Property Owner "-OC 1Z TY Cdr Telephone # (VtiJ Contractor 40C, (Z(^j (3 Address "zZ-7 ~.46P City S 7- ' L- State /V1 A.W Zip S`1 Telephone # U C p COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDINGS - Minnesota. Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category I Worksheet • New Energy Code Worksheet submission type) Submitted Submitted • 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? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone # Mechanical Contractor Telephone # Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is t to start without a permit; that the work will be in accordance with the approved plan in the_P~Ase ork w ' requires a review and approval of plans. ey(,C- Applicant's Printed Name Otis gnatu r a DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 43 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plea ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock - Footings (deck) _ Final/C.O. - Footings (addition) _ Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final - Framing _ Siding _ Stucco Lath - Stone Lath -Brick - Fireplace _ R.I. -Air Test -Final _ Windows - Insulation _ Retaining Wall Approved By: Building Inspector - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA093933 Date Issued: 05/13/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4124 Beaver Dam Rd Lot: 165 Block: 04 Addition: Difflev Commons PID:10-20450-165-04 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Champion Plumbing Jason W Staebell 3670 Dodd Rd., =100 4124 Beaver Dam Rd Eagan NIN 55123 Eagan SIN 55122--212 (651) 365-1340 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 Citv of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature 06/17/2014 15:08 Les Jones Roofing,Inc. ffAX�528817009 P.0201020 Use sL.U�or BLACK Ink � For Oifice Use^ ^ ^ ^ � • ; Pa�,��#: �3�� ; C�� Pertnit Fee: � � I 3830 Pllot Knob Road I I Eagan MN 55122 j Date Recelved: j Pho�e:(s��)sy�-�sy� i � Fax:(661)675�694 . ' I SIeN: I I I ��--��J 2014 RESIDEN7IAL. BUILDING PERMIT APPLICATION , o�te. �a y- �riaG ��a8��r3o- yi3�--�r�� i�6 � ��7 � SIEe Address: /3 S' L3Eht�.Q pA�9 ,�D/!O Unit#: I _;-,,:.�;;:�; �.,,�. :;•;t�r-:,, ;:r.>�:_; � "'`�,, �'�, ,, ; �r °`� ", Name:,fio P2o��Ty G•4-�E. 6NG. ---- ---Phone: �05l— 5"S"�/- 99'�/q � ��;�:;��t side' �'";%;; ;.;, , • ;r4�,,, •-. ,,; .,r ;��`.�,�n�gl',.;�;:'.+..,... Address/City/Zp: �P O. Bp 7C 2►� 5 �N�/�7Z�7�✓� ��j; b',��67 '1�o ;:cti=':��w:yr{cl;7.�".•+•�ii ,�:p�1,�'�Y, � ;'��: ^?•�,�'.�'yra:j1`F;`''; ` '��:�.'�'�, „?a, ;.i'%`�;�.,::=.;;;,;;;;'�7' Appllcentls: Owner X Contractor ,,..., 'r:.,,,;':':.'��.�.; .> a�;< .�.'"� ,'1� .A:��(J 1..'..t'•'%1l j '�� i�� I":: �5��!i�y�..,��' ^�.1';�.r i��:�a�e . � ,^,:A' r,","��::��"`°` Deac�IpUon of work: l��Q� �/y ��P�� l�O!/1/�-� Y<° ��;, f. �,,......�. � � ^; ;,"�y eE"��:: pC ' r7 _;:,Q�� . ,+.!!YI`�:,Ik�.` . '';;;�-;��:��";�' '' ;;` �onstrucnon�ost: a�3 , d� Multl-Femlly Buliding:(Yes X /No� :,.: ;�,�;;'�;.�:�;:::,�;;,;:� `•'/i�,l`1t�..:.,��'11�:'. '':�.i". .�.. � r� '�, ' ''�:��'�.n"'; ,.1: <`.i��1;�%'.�:;�,' ;,"�;��`''��c, Company: �E�S .TQ,y�RtaDfs�/lr. /�vG Contect:Css�er s �04��0 �n��' i�u'� ��i.��"P°;i'��3..�i.,-ir �;��y;:a�`�'C��.'.,:.�.�y�q)��.%•;`'1�::1<�l ; �z�� ,,;< Aad�ess:9�� w 8o r''' s°i-�' aty: ,,Bcaa�u�.�rr�.�/ %�;��,i��l'ai�t��'.-�::.; •,�� :l.�:�::I � �:Q'... �:�..�'!'��:' � .�: ..:Au�..•'(�'.. . ;.":l.i ,.:: ;��;>.•�:�,�� ...;��>.,;?;:��:t-. State:_�Zip: .�.i�4�2D Phone: 9'SR- 76 7-a8/9 :d:�<, '.�"' r r,,:;�x�.,� :.a�3';:,,4�'•:�'�`.,,;'�e;;`:��;t��,:;�:`1*.'1/;: �'i11:..!T.,�H:,I;'`';:;:;: �-,�;:; '::�;;� Licensa#: �S7o� Lead Certiflcate�i: .U.47^ �O 3 9R�-/ `?,:-' •�.v; ;':r,::;,,; :;,'r:':::>�.i If the proJect(s exempt from lead certlflcatlon,pieeae explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONL.Y IF CONSTRUCTINO A NEW BUILDING In the laat 12 monfha,has the Clty of�agan issued a pemlit for�simllar plan based on a master plan9 _Yas _No If yes,date and address of inester plan: Llcensed plumber: Phone: Mechanical ConEractor. Phone: Sewer&Water Contractor: phona: .. ..>.,._,.- e y./ y� - y� :.p . ,�. ,� .� , .�.,..�„ � . , •��'�.'�r; ��,o ,'�'$ Ai�l�'Ib'�'��'.�n s� ��i�iF�'��s:;ha;y'�iu�su�, ��,aie;a�q�s�i��Y��,'�:'`b��/rU�'ll,�_rlf�3►7Y1� l��fr..a �'Nr" ,�`.bf �: ��;i,��c<� .r;�.� �,�i: .r.:��.�,T .r�„ �'•1�3(>, .�� 'T�'1,,,� .:y:.,,.. ,��+...�.L.. >•• �„�� ,,..��rr�.,.,,�r,`: ,,,�� •�...,•. ,X: ,. Q,, ,�. .. �/ �:� �I �� :t 'j 'i 'S"'�.5�'� 4 � i d t �y .ry,� '�'• {� °,;y�ft�`FI.fo' �It. ►1R' ,r _�IS' s d''' ' �1.: �j c=,1, /�:� `o�i�de;�<.,ea u�.�.�a +#�ia,�'V�ul�1: e e�lE'':'`�3':��':': �::�?! .C. .,�4�,..�!��!�...i�. .::r�._/,�4�.,n.��`� Q. p'�b�_ fJ!g,..P�' ..,P .,r. ..te.,_�QAI��.,�, �1.�...!'i�lt�;;�...:,,. -.y. ,.,., _ y'��.' °,<% �. .d._,�,; �.. '.t o ,�_� !1,. n� .na `� �n,.1. ,.�,h;,.!.. .1xi�V.�:' ,.h. �. p�� •��,.:•.r�;-d;,E',.� .x, x;�: }n.°iT �r ' •U .f'rl„ ,/[�� , r„ �'�'��S.s11��t�: �r.�.°,;�:'S ;3.. �t.:�:!�:'.,�.;�F`I.i;:�;•i1 �ti r':�.:,ar�n::`:;;1;. .�1�* �F��`i�:.lr�. �p� :��'i.r, .S.,. �..i,:� ��-.'.i..�n ti . ..,�,� �'e'�' at: e`.';a, d,,, e �:s, ;..; '-s� , -, .. :., �1 , ; ., ..., ., . �..;:�f-�:�.i, � ,i':,`!q:. F..;,.a:•:�•,..),... ' ,::1';�5��1`aY '�i,� ./..s.. .Q.n..P...�..,. :'L1e Jf; rr.. r4+.;. h'�.`i;��;�� ' � _ , +....�:. "' ' u`'..�..�:>:' � ,� V 1 .�... . .�.r.-•1:... ,.•�..a. ,..� , ..: ��. .. .. ..__•__ . !:i'1:::. ��. 1..:�C�. CAI.�,S��OR�YOU dIG, Call Gophar State Ona Ca11 at ig61)464•0002 for prolecllon against underground utllity damape. Call 48 houre b0foro you Intend to dlg to recelve locales oi underground utllfUea. w�vw.pooherstateonecaU.om I heroby acknaMedge that this Iniormetlon Is complete and accurete;that the work will be In coMormance wllh lhe orcllnancea and codeo of(he Clty of Eegen; lhat 1 understand lhls le not e permlt, but only an appllcaUon for e pertnk,and wofk le nol to etart Without a permit;that the worlc wlll be In eccordance wllh the approved plan In the caee of wak whlch raqulres a revlew and epprovel of plene. Exlerior work authorized by a buliding permit 156ued In aecordence with the Mlnne9ota State Buildlne Code muet be completed within 180 aays of permlt issuance. x G�2ts �4tiD�I2S'o,�I x �� G��4 Appllcant's Printed Name AppllcanYs 8lgnature Pege 1 Of 3 02t19/2014 12:38 Les Jones Roofing,Inc. ffA��9528817�9 P.0201020 Use BLUE or BI.ACK Ink ' � �or Office usa---- I I C• � Pertnitii: ��" ' j �ty Of�a�� ; � ��-��-� � Pemtll Fee: � � 3830 Pilot Knob Road �agan MN 66122 �� 1 91�t4 � Date Received: i Phone:(651)675-6676 � S�� I Fax:(661)676-6694 . � � ��___��.....rr��J 2014 RESIDENTIAL BUIL.DING PERMIT APP ICATION ��f, y�a�, y��g, �t«o� �f/32 Date: � � ` 31te Address: yi 3 S' � V� a� Unit�: .,,�_;�, , :ti•E;�w,,., . .. �.. ., 1;: . ,r'i jj . =r`'i,";�.' �,�,.� . .:.:r' �� Gs'�� ss-�J- 99� :�;.;� ,.,,..::.: I Y�'.. c, �;1�;�;;,};_ :F.,�,; �.��, ,,:�a,. Name: �10 P�opE+2Ty C.A-�.� 6 NG.. Phone: � t� ��.i`�c: .�,�;:. :, ' "'.� "�;�Cieh �^' ;:..,..�,�,t� ��'';:.:; '�r'''�y� 4 ' "� '"`i'��'�'" Addres8/City I Zlp: 'P O. �k 212 5 /Nv�z C-r�2o✓d %�: /Llit/ 5,�� L� y, ,�,4Y��;,,i � �, �y,.':�'..v , �x ,�;,;'S,;'. �J� .,:1 i �dL.�1 �.:ci� t�'��"'�;��:�>-' � �Jm�r "��'��'i Applicant is: Owner x Contrector y;�'��„ .e.�r'. ��,..a ri::5:. ;�:.N.,�..y ;rri,�R?�•i�, Y�r,. 4'�. � ": ...\1� '��1�ti1!.I� '.�t... :'.'::-r �`� "!'� Description of worlc ��t6//b �iSecG,c. , i r.�_...�!v :..„. �'I✓� UO� „..T�rFp��;:��;��`:<� � ..�i �.ywy •;: � )i.. J;��r�" �� o �' a �� B��d� Yes x �No .fe,, `.� ;'��' ,;,,.';�,�;�., nstructlon Cost: �� • � Muld-Fam y ri9-( � :,>.••.r;:;_;:;~�=��'�A,-,`"!;<,,..,...�.. �;±` , 71`'r wR' { %,�;�;:' �. �,a�.1.'�r.; , ?r. :°�. :s,.;�,�;�;�a�>ry;�;�eN ,,' ..,5�� Company: �E,S �TaNE3' fi Fs�/lr /NG Contact Css�s ��t�2so ; i �,S ;�s' ,;�;._,:�:,..��...�;''�'��°•rr�"�4��:i 77+1 ,,,;°�'`�.� �. . �.J �,r:�� Address: ! City: BiaQiul.�.r� ;= :>:,(�'.�� ('7� ��`:;,Y,r �,.�! ,,.�.��.,�.; ;;4? F'f"�,-,��,',�..yr'`,;�>.`.;�=ir�' State: Ml� Zip: .�,��20 Phone• 9' A 7rv 7-a8/9 ,n;:';�;��!'rY>�,.,�,3a✓'`r:,;:E"`�6'�'�.`r! r I 1'-'k��' �a C y�:��'��.. .,:.,�.��( �'�t:r� ��:t�:�-.�;.;,�:�:,;"�'" ,�,: Llcense�: ��/v� Lead Ce�tiflcate#:�UA�7� �f0 3 7�—/ f,l....::1Q�w ::.i.�'?/f If the proJect is exempk from lead certificatlon, please explain why: (see Page 3 for additional Information) COMPLE'1'E 7HIS AREA ONL.Y 1F CONS7RUCTING A�BUILDING In the laet 12 months�has the Clty of Eagan issued a permit for a slmllar plan based oh a maeter plan? �Yes No IF yes,date and address of maeter plan: L(censed Plumber: Phone: Mechanlcel Contractor: Phone: Sewer�Wate�Contractor; Phohe; ,�.��.��-. �ws... .��r�r•. �. o`v , N"` •' 1• i :e �h ,v ��. k;,. 1�!�� '�i�•:d�"bl��" �S�• �Q►d� VN �.._. ,�' '?"�pnslal,��d�.4�,�,.e ��.' ,�/C1�i� 'a '�1�r'�?��°�� js�f��'; , �.a: �.�p�y��°,� �i:..�� :,.k � r :r`., )• Y��yr �/ ,,.., M� �.4T ��t ��.�,a s �J,�, y �.�,�: �,�� .� 1.'��ry�'' :fA;C1c' �6. ., 0I) •t1�.14�/,f� t'�.N• ,:�/ '6�S'j'� ,Ij/,�,f�p O' 3�uJ ;a .l�� .��..��1,�:±'%��j/y'f�r '+ �g. C.� !��S!F�1��5,?.!;'�•�Y 6.:��, •��r �•V�� .71:yr / � � `!I,..f'!.".• ..J:e" (•.^.F:�;; � ,;��if.'1;r.e� �.�' �1. "��¢ :i�.J A�;� r;,�i:;,,� ,;�,�±s; �1, s�.,;Cb. ��. a � �,,r � .a: °� � ap , �•S' �� .<ry�r �.. ,a�. �i• �':.' cH.a. .,7 �., . , _ .<;... � .. 'E;, , .., :.. _..•. � ' .. 'i?'i.: �`n e�� 1. . ;....�.��C'.�.:t,..: :.:1.�h�:.,�. �O'..,,wi�,::a�u:Fik�,ee:�.,."+i�:.m e� �;CF�O ll'}�,PT,��I,i> ? @. .��s a'a.��'Il.,.��.° �:'S�i� •bi•9�n:,.. a4 .,,r...;w .�i�'as :�;Y�Gi.�i.,r ��. CAI.I. B '�ORE YOU DIG. Call Gophar Stato Ono Cell el(661)464�OOOZ for protection againat underpround utlllty damage. Cell 48 houre before you Intend to dig to receive(oCetas of undergro�md utlllUee. m�vw.aonherstaleonQ�all.or� I hereby acknowtedge that thls InformaUon la compiete end accurete;thst the work will be m conforrnance wlth the ordlnences and codes ol the Clly ot Eepen; thet 1 understend tF�e le not e permit, but onty en eppllCallon fo�a permit, and work le not to efati viAthout a permit;that lhe wortt wlll be In eccordance wtth the epproved plan In lhe ceae of work wtikh requlrea a rovlew and approval of plens. Exterlorwork authorized by a buliding pArmlt Isauad In accordance wlth tho Minnosota state Building Code musf ba completed wlthin 18� days of permlt Issuance. . X Gµ2is f�MD�Rso�1/_ X GG'�� Applicant's Printed Name Appilcant's 8lgnature Pege 7 Of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA136220 Date Issued:05/02/2016 Permit Category:ePermit Site Address: 4124 Beaver Dam Rd Lot:165 Block: 04 Addition: Diffley Commons PID:10-20450-04-165 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 - Darrell R Feela 4124 Beaver Dam Rd Eagan MN 55122 (651) 797-3088 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature