4081 Baffin Bay N
Use BLUE or BLACK Ink
I For Office Use I
1
j Permit
City of EaEd~
PC/o ermit Fee: -
3830 Pilot Knob Road AUG 1 I' REtD
Eagan MN 55122 1 Date Received: I
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 ~o I staff`----------- I
y --J
4 2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT/ OWNER Name: 2 ffdse Phone: 016G u
Address / City / Zip:
Applicant is: Ovvh- r contractor
TYPE OF WORK p d v ~/J a c~t,7s'
Descri tion of work: lf C 1~CG' e~T O
Construction Cost: ado Multi-Family Building: (Yes I NqA
CONTRACTOR Name: We / s v l.(JC/1 O ~c1 S License ~~Cl~/LIn
Address: /City: E-1,
State: "/V Zip: -5- ~ Phone:
Contact: _a_V.1 Email
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 A-4o If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
1 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
accorl th the approved plan in the case of work which requires a review and approval of plans.
X ~
Ap is 7inted Nam App 1 re
Page 1 of 2
PERMIT
City of Eagan Permit Type: Plumbing
Eaaan. Permit Number: EA094256
Date Issued: 06/03/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4081 Baffin Bay N
Lot: 22 Block: I Addition: Hills of Stonebridae 2nd
PID: 10-32991-220-01
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:
Amy Volby
2905 Garfield Ave S
Minneapolis. MN 55408
Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: - Applicant - Owner:
Norblom Plumbing Rod C Hosek
290 Garfield Ave S 4081 Baffin Bad N
Minneapolis NIN 55408 Eagan MN 55123
(612) 827-4033
I hereby aeknowledae 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 Cite of Ea-an Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
I
i Use BLUE or BLACK Ink
-----------------i
1 For Office Use
City of Eap I Permit se / j
~ Permit Fee: ~ 17/ ~ I
3830 Pilot Knob Road
Eagan MN 55122 i Date Received: C-,)Cn CU N 1 v Phone: (651) 6754675 Fax: (651) 675-5694 1 staff: I
L l
2010 RESIDENTIAL BUILDING PERMIT APPLICATION C~ l t? S
Date: I / 0 Site Address: "7 d~ R ~1i
I
Tenant: Suite
RESIDENT / OWNER Name: K2, / G~~✓ 1 ~c 5 Phone: ~ 37a' / 6 G
Address / City I Zip: 40el ~ft ~F/>`7 ~Ct Y A e7G. t M/V,53-120
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work: Rf~-D,
~k- Ki~ - 141 L. >C t 5 ~(N(r l ~
Construction Cost 9 45 ~ Qa Multi-Family Building: (Yes _ / No
CONTRACTOR Name: be'c I Jta f r" e t License # 154157
Addressn~l►QQ Sr ~Jr G~1 City: 1,` ~
State: I T d Zip: 101 Phone: Q ° 453 - q 8,
a .
Contact: 1 t i t re r Email: I A rX S Q i+) eAeXk5+0 CC , _O P-+
v
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 Cali 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.golherstateoneQall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a pen-nit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Tet n S-9-I I I h p e t- x A ~ ~a /-V~
Applicant's Printed Name pl ant' nature
Page 1 of 2
- - - - - - - - - - - - - - - - - - - -
- - - -
DO NOT WRITE BELOW THIS LINE 1
SUB TYPES
_ Foundation - Fireplace _ Porch (3-Season) _ Storm Damage
- Single Family _ Garage _ Porch (4-Season) - Exterior Alteration (Single Family)
- Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of _ Plex Lower Level _ Pool _ Miscellaneous
_ Accessory Building
WORK TYPES
- New Interior Improvement _ Siding ` Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall `Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation ~Oc) Occupancy MCES System
Plan Review tom`- Code Edition SAC Units
(25%_ 100%__) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final I G.O. Required
Footings (Addition) Final I No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: _Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: -T7. . Building Inspector
RESIDENTIAL FEES
Base Fee f,. fa
Surcharge of ff a
Plan Review l
MCES SAC '
City SAC ( cd~'
Utility Connection Charge 9 f / r
S&W Permit & Surcharge O ( z/ ( b
Treatment Plant
Copies
TOTAL
Page 2 of 2
- - - - - - - - - - - - - - - - - - - - - - - - - -
y
dffi~
2422 Etttettuis4 Drive
E Mtntdota Willits. MN 5512Q
* * * (6121681-1914
8nFgI n Ong n~g
iiicl
CENT[x 1-101"[,
Certificate of Survey for.
~ /ql~ c,d 747 A
•
1 0. 'V7
1 a~ a~ " f I nr;~ r 0
r
5;
Tj
~S~ar G
NWNalfffl DEPT
. 0&0 Denotes exi5fip4 flevalior, eazwg E ~t~y ITIL+
9eo•o Denofes prop ed levafran Lower oar Mallon a ob
Denotes Drains (I lih Fgsemenf Ttp o~ BJock Elevafion $I vq(y
es Drai Flow Arrows Gcrra Slab Elevation gmLam.
benoles monumed o Deno of llt~'sel flub
& a►rinli$ drown are assumed Su yed to Easements of Record
L
OT Z2 , BLOCS I 4ILLS OF STONEBRI E PLAT
U.1Kom Covmrr
1 hereby comfy Ihet ItoW survey, Dyn or report vas D grad by +r I under my direct stwm- kloe and drat 1 am duly Registered Land Surveyor
under the taws of the Watt of Mlnnaots. Doted thb day of - AA. 19
60 le IL"6 4
0 113. o RA ER 1 0. SIKICH LS ROES. HO 14491
INSPECTION RECORD
f CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: " I
(612) 681-4675
SITE ADDRESS: APPLICANT:
i
PERMIT SUBTYPE: TYPE OF WORK:
TV I?Al 111 hi ~
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
I!,. l
2~~-2
Permit No. Permit Holder Date Telephone 8
i ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING ~S
GAS SVC
TEST
INSUL
J
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
1
BSMT R.I.
I
BSMT FINAL
DECK FTG
DECK FINAL
9VCfPA=1) FOR DECK 10/11/91
~UM4ASM 890--6587 OR 751-9729 CITY OF EAGAN ~ H. a 1$075
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/"R Est. Value $118,000 Date J111111111111 29 1990
Site 401 >IiIN SAY
HI
Lot ZZ Block Sec/Sub. OFFICE USE ONL
Parcel No. Occupancy 2.3 M•-1 FEES
Zoning tD -W;1
703.00
W Name caw= (Actual) Const Bld ermit - 5929 C ddress EA1aR (Allowable) urcharge 59.00
City 111100Mr0NJKA Phone 9 783 # of Stories X57.00
Length Plan Review
c Name Depth SAC. city 100.00
o0 Address S.F. Total 600.00
V < SAC, MCWCC
City Phone S.F. Footprints 623.00
On Site Sewage Water Conn
Hil ' Name On Site Well Water Meter
5 . Address MWCC System 30.00
City Phone City Water Acct. Deposit
PRV Required S/W Permit
. 30
I hereby acknowlege that I hove re¢d this applicatign and state that the Booster Pump SNV Surcharge
information is correct and agree td comply with a~ applicable State of 232.00
Minnesota Statutes and City of Eapn Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit 335000
COTly am
A Building Permit is issued to:s Planner Park Ded•
on the express condition that all work s4l be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 3,301.50
Building Official I Variance TOTAL
Permit No. Permit Holder Date Telephone N
WATER v o0o
SEWER
PLUMBING O
H.VAC.~/~ / h l)
ELECTRIC
wnzll
Inspection Date Insp. Comments
Footings l Foundation PS h,, -e4,0Framing - p S
I
Rooting ,
Rough Plbg. sn" - - 9d , ct
Rough iltg.
Isul. a~- ° Q S d. A. - d
Fireplace
Final Hig.
Final Plbg. -
Const. Meter Plbg. Inspector - Notify Plumber
EngrlPlan
Bldg; Final -
D" Fig.
Deck Final 1212,3,4Z-, OL,O C'A
Well
Pr. Disp.
l
r PLUMBING PERMIT I For Offi Use Only
'r CITY OF EAGAN ~T S
• PERMIT
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # 7
PRICE PHONE 4548100 DATE: ~ %/7S O
Site Ad e s BLDG. TYPE WORK DESCRIPTION
Lot lock Sac/Sub Res, New
d-on
Namwo"lavv-71 70 ,9 . Ad
Comm. Repair
m
a Addre Z-. o- Other
c City GrrlOd PhonRES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES TOTAL
Water Closet - $3.00 $ Cl
Name Bath Tubs - $3.00
Add ms ' 5~~ Lavatory - $3.00
Cit 7a+w~•9 Phone '7 3 - Shower - $3.00
L Kitchen Sink - $3.00 3y
Urinal/Bidet - $3.00
FEES Laundry Tray - $3.00
COMMAND. FEE - 1% OF CONTRACT FEE ~ Floor Drains - $1.50
APT. BLDGS. - COMM. RATE APPLIES 1- Water Heater - $1.50
TOWNHOUSE & CONDO - RES. RATE APLUES Whirlpool - $3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 / 5 U
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM - 1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD $.50 C PER EACH $1,000 OF PERMIT FEE) Well - $10.00
/ Private Disp. -$10.00
Rough Openings - $1.50 l7 r~
SIG E OF PERMITTEE U. G. Sprinkler System - $12.00
PERMIT FEE: }L~ 5U
STATES SIC: :y
FOR: CITY EAGAN
GRAND TOTAL:
MECHANICAL PERMIT For City Use Only 'F
CITY OF EAGAN PERMIT
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECOPT# 91]'719
DATE PHONE 454 100 DATE: 5
Site Address- BLDG. TYPE WORK DESCRIPTION ~
Lot Block Sec/Sub Res. New Const. ,.9
Mult. Add-on
--V hT Comm. Repair
ame Other
Address
c ofty Phone FEES M1
RES. HVAC 0.100 M BTU $24.00
Name ADDITIONAL 50 M BTU 6.00
(RES. HVAC INCLUDES A/C ON NEW +
3c Address CONSTRUCTION)
O City / Jl Phone TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
TYPE OF WORK REMODELS (INCLUDES GAS PIPING) - 12.00 J
GAS OUTLETS (MINIMUM - 1 PER PERMIT-
Forced Air M BTU $ NEW CONST.) - 1.50 EA.
Boiler M BTU $ COMMAND FEE -1% OF CONTRACT FEE
Unit Heater M BTU $ APT. BLDOS. - COMM. RATE APPLIES
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
Vent CFM $ STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Gas Piping Outlets # $ - a
Other $
CommAnd. Contract Price x 196 $
PERMIT FEE:
SIC: OR: CI OF AGAN
TOTAL:
SE~tJER. HATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 07/03/90
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT # 1145
METER SIZE B.P. RECEIPT #
DATE JUNE 29, 1990 ISSUE DATE B.P. RECEIPT DATE 06 29 9`
PRV - BOOSTER PUMP
SITE ADDRESS 4081 BAFFIN BAY N PERMIT REQUESTED
LOT 22 BLOCK 1 SEC/SUB HILLS OF STONEBRIDGE 114)
X SEWER X WATER TAPS
APPLICA,
ADDRESS_:' - COMM/IND X RESIDENTIAL ,I
CITY, ST111TE ZIP X NEW EXISTING
PHONE:
^Ef7Z-itYP'j P;,' Lawn Sprinkler Meters are to be Installed
PLUMBER: UMBING Ahead of Domestic Meters on Water Line.
ADDRESS: 14745 S ROBERT T't Credit WILL NOT be given for Deduct Meters.
CITY, STATE ROSEMOUNT, 14N ZIP 55068
PHONE: 423-1144
I AGREE TO COMPLYWITH CITY OF
OWNER: CENTE:X H0MLS EAGAN ORDINANCES
ADDRESS: 5929 BAKER RD
CITY, STATE 211FNE'TONKA, MV ZIP 55345
PHONE: ;36-7833 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
JULY 3, 1990
DATE:
RE: 4081 BAFFIN BAY N (CENTEX HOMES)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
`(our Sewer & Water Permit for the above property has been completed, but the meter cannot
he issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
~~x#t#tr~#~e of (~xr~t~~nr~
Citp of Cagan
Ilepwhow of Wart o -%W"tim
This Cerdfc" issued pursuant to the regrdne nm& of Section 306 of the Uniform BwUng
Code certifjdreg that at the time of issuance this swumm was in compAvwe with the carious
ordUumes of the City regulating building mnsouc ion or use. For the following:
u, cm.m=e.. SF M?GAR w4r, % r 4m 18075
O=w a-7 Tya R3AII zo.i.j Demo PD1R 1 rya G=m VN
O.OW 0 B.1df., !fix RRES Adieu 5929 BARD RM, MIKA
BwV,%Addm% 4081 W HUB BAY NORM Uwjw L22, B1, HILLS OF SI»IDCE 2ND
25, 19%
S&IMM
Dac
POST IN A CONSPICUOUS PUKE
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
DATE 19
AMOUNT S
& V V DOLLARS
'ea
~x
O CASH CHECK
las;.
gyp:.
8Rs 1 -711
~wH' D
395 &D /do
17-
A Au'll
Kdov"A a__
~ ~ l 5 ~f08
' FUND OBJECT AMOUNT
fWk You
BY
C ns,~n
vftw-pm~- COPY
Yel -P-" copy
Pink-File Copy
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # q3r/ / S~ u~ PERMIT QATE 07/03J'90
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP 6~ tP PERMIT # 114x:;
METER SIZE B.P. RECEIPT #
r
ISSUE DATE B.P. RECEIPT DATE 06 2) r)o
DATE ~t~~;ts ' 1990
PRV -BOOSTER PUMP
SITE ADDRESS 4081 BA,FFTN BA % PERMIT REQUESTED
LOT 22 BLOCK 1 SEC/SUB IIILLv '.)r ST0NEBR,1L)C,i; 2N11
X SEWER X WATER TAPS
APPLICANT-
ADDRESS:- COMM/IND RESIDENTIAL
CITY, STATE ZIP K NEW EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: rl?142- YAN PLIJHBINy ; Ahead of Domestic Meters on Water Line.
ADDRESS: 14745 S ROBERT T~' Credit WILt NOT be giveri for Deduct Meters.
CITY, STATE ROSEMOUN7" MN Zip 55(!68
PHONE: 423-1144
1 AGREE.TQ C MP4Y WITH CITY OF
OWNER: CENTEX HOMES EAGAN R , NANCES
ADDRESS: 5929 BAYER RD
CITY, STATE MINNETONKA, t4t.' ZIP 55345
PHONE: SIGNATURE N METER
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
4 SEWER PERMITS, CONTACT ENGINEgRING DEPT.
&/2-7/5 v 5.7& / 2
@ a 5 912 / zrcL $ Owl
Request Date Fire No R hen inspection
cored? ❑ Ready Now "'MII Noay Inspector
r+ ' V 1 Vas n No When Ready?
I )j licensed contractor D owner hereby request inspection of above electrical work at:
Job Address (Street. Box Dr Route No I Qty
~{6~1 tti~ A (~iod
Section No Township Na r Na Range No County
Occupant (PRINT) Phone No
~ky1t (~o~
Power Supplier Address
Electrical Contractor (Company Name) Gontractorg Lv:ense No
Mailing Address Contractor or Owner Makmg slallatmn)
9393 uy, ~,d NL,, i5• r'nnJ y3a
Authorized Signature contracto Owner Making 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
1811 University Ave., St Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (611) 661-0800 ENCLOSED
5 REQUEST FOR ELECTRICAL INSPECTION Ea-00001.0
O P, SeeislrucLOhs~im completing this form on back of yellow copy ~',.q -7
lG
0 6.5 Q~ 2 "X" Below Work Covered by This Request
New Add Rep Typeof Building AppliancesWlred EqulpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Abo Amps
Signs Inspectors, Use Only TODTA~L ~7,r
Irrigation Booms y~• L110.O" ~ W
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-m r oet .
=Y~
certify that the above inspection has Final ate
been made.
OFFICE USE ONLY K..
This request void 18 months from
6D
-19"b 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date I -7 1 V
Site Street Address u iT r 00r Unit#
Property Owner Telephone # ((q~) 4 Ua
% q
~a9 jG~~ 1
Contractor Df-D-A , I XM Telephone # (O(
Address $21s S-4 W c cy t---C,-K csj ILn State -0 K) zip
The Applicant is: _ Owner contractor -Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener and/or water heater-complete next
section if installing these appliances).
-Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
- new _ replacement
Lawn Irrigation _RPZ >--<,.PVB 'Xnew -repair -rebuild $ 30.00
State Surcharge (a II $ .50
Total MAY 0 4 200o J $,3j60
I hereby apply for a Residential Plumbing Perr'aanr -actmovGle"ttge 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Applicant's rinted Name pp IcanVs Sign
2004 RESIDENTIAL BUILDING PERMIT APPLICATION ! 1
City Of Eagan X70 , r~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office UseOniv
3 registered site surveys showing sq If of lot, sq fl of house, and all roofed areas 2 copies of plan Cart of Survey Recd Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan-Recd' ` _Y N,
2 copies of plan showing beam &window sizes, poured found design, etc 1 site survey for additions & decks Tree Pres Recytifed Y N
I set of Energy Calculations Addron - indicate if on-site septic system On-site Septic System Y N
3 copies of Tree Preservation Plan if lot platted after M193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date / I / ZZ /U ~ Construction Cost lJ"~
Site Address qbe /1) Unit/Ste #
C/1U"t
Description of Work / Cl)l (/',1JJ/) Lli £ bl t-G 6A-5 !I~j ! 3 r GI d _
Multi-Family Bldg - Y &N ~Fireplace(s) - 0 f C 1 - 2
Property Owner R)k_j f It15~ Telephone#((pD) CIA-616L
n r f
Contractor 14~H
Address 3~~j H-f-t 13 City /3'tlcul
State Zip s Telephone # oil ) cc?1J o?M
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Cade Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone 1
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 not to start without a
permit; that the work will be in accordance with the approved pl iIthcase ork which requires a review and
approval of pl s Applicant's Printed Name Ap licant's ure LV I
5Y
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 1 a
Telephone # 651-675-5675 FAX # 651-675-5674 y , a- G25
New Construction Requirements Remodel/Repair Requirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. IL of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd
(20% maximum lot coverage allowed) l set of Energy Calculations for heated additions -Tree Pres Plan Reod
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 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date r4 / / 31 r nn Construction Cost CD b
Site Address y(5 s 13s, t y) l ok Unit/Ste #
Description of Work lq Q ae~}- !,{els( )-P 4QoWd--AH,51C11'PO ~Ql~Cf~r~
e
Multi-Family Bldg p_ Y - N Fireplace(s) _ 0 - t - 2
Property Owner C) t C C) S C' Telephone # ( ( S j)
Contractor SELA ROOFING & REMODELING, INC.
Address ST- LOUIS P1ARK~ MN 5MI6 City
State ID#0001050 Zip Telephone #(~;(a )k23-g6`
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber I n I i' ` ~1 Telephone # ( )
Mechanical Contractor 9 1 20m I II I Telephone )
Sewer/Water Contractor Telephone # ( )
B _
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 approved plan in the case of work which requires a review and
approval of plans.
SC C~,tf- eo l,Xj e -
Applicant's Printed Name Applicant's Signature
CITY OF EAGAN
CASHIER: MG TERMINAL NO: bi5
DATE:;; 0:1./06/98 TIME 1`:5:38:50
ID.
NAME;; VA1._I..EY IN'V CONST CO
50.00
:7210 9001 4081 BAFFIN DAY
2i`:,5 ^001. A081. BAFFIN BAY 0.50
Total Rc:.,c=iM Amount' 50.50
CR08`:i? i
USUR TD; MARI.YNN
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031327
(612) 681-4675 Date Issued: 01/06/98
SITE ADDRESS:
4081 BAFFIN BAY N
LOT: 22 BLOCK: 1
HILLS OF STONEBRIDGE PLAT 2
P.I.N.: 10-32991-220-01
DESCRIPTION:
.Q (NO BEDROOMS)
B~ua'141n#q~,ermit Type BASEMENT FINISH
#S.u,tiZ`_d:"ii==g;»Gi€srh Type ALTERATION
1'{Ge~hstis~=l;e;:;a~ 434 ALT. RESIDENTIAL
p ~ aauu
fc lab to J ~t§Ci'€
~ m
e2.
h
~414~ h 3
A
fi
i yA q diS `y P w$by wR g 9@i& FE4 -
39 GIQ 39 & 9~ %vtefi a tm4
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
r
CONTRACTOR: - Applicant - ST. LIC OWNER:
VALLEY INVESTMENTS CONST 14545191 0004241 HOSEK ROY
2401 LEXINGTON AVE S 4081 BAFFIN BAY N
MENDOTA HTS MN 55120 EAGAN MN 55123
(612) 454-5191
"1 1;4
n rzi srr rt. ,apc gsvr "g'~fa ~i .a. sng r Jp rx'2 $ii
I hereby ack~nowl0a 9 ttt' 4t, 1,nav ~d i s r P I c t~ t' ,Y ~ s C~ k ~
~oCmxt~btr..t19 aorjvGt g ag t Y to the a ~ pq ft ,a f9
sr a. ° a t s Ply, ' x,~. s z., p i L a s- ase'v 4 `r "i"i% 4u
x _ - 5tau+nc)'C,i ty, G„~` -EH~'$tl Or d#Y$Lt Tres 'si ' r2" s F-,t->-?e~ aeiaex>ks x9 *srcx
c - a p' t t ~ ' is -~~c~ r' i „ni i a . x Pa m~ y ~t R ri x t ` 7
~ u....i ♦ - ain w _ t. ~~.c. n.a . _ 5+.... 'S -.t .L rv 1t& eet+~.i:E.. _ 1Tu2u'..e.xt &4...k Lw2 rv
t
t
APPLICA T/PERMITEE SIGNATURE ISSUED : SIGNAFLIFfE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4 r1 31511 CITY OF EAGAN
3830 PILOT KNOB RD - 55122 x (,f' l _
681-4675
New construction Reauirements Remodel/Repair Reouirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured Md. 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: / _ 26 -9 /-7 CONSTRUCTION COST:
DESCRIPTION OF WORK LoL~ ~vEc- f /~lS~ - ~771a
STREET ADDRESS:
LOT Oj BLOCK SUBD./P.I.D. I(pCrtllr.~T9-~At -
PROPERTY Name: KOY Phone
OWNER u. ~Street Ad"dress: qo sy ✓J/l a Al
City: i 46 AL State: Zip:
CONTRACTOR Company: t)igf-t;e- ~iJ L)e-57 ,4-: ✓is 4,1 Phone 9 I
Street Address: z)L(CJf zjex/ D kf-AJ License
City: ILN,Oi state: N~ Zip: /~C1
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licerned plumber (new construction only): Penalty applies when address change
and lot change are kequested once permit is issued.
rrect and agree to comply with all applicable
I hereby acknowledge that I have read this application and state that the inform 74se,./I
State of Minnesota Statutes and City of Eagan Ordinances.
n
Signature of Applicant:
D C~OdC~
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Req
OFFICE USE ONLY "t
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ,r 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 ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck
WORK TYPE
❑ 31 New .d 33 Alterations ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water T
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. y3~
Depth Footprint sq. ft. SAC Code 01
Census Bldg I
Census Unit 0
APPROVALS
Planning Building m Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC.
SAC Units
V R£
1991 B G PERMIT APPL TION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
S REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CAL.CS
OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ~CCI~ Valuation: Date: /a
OFFICE USE ONLY
Site Address I/ G' yez ee~FCjml
Lot _LL Block _I FEES
Occupancy Bldg. Permit N
1 q Zoning Surcharge
Parcel/Sub ~Alhtor]AO, LM r, Actual Const i Plan Review
Allowable SAC, City
Owner 1?4V # of stories SAC, MWCC
p Length 'd Water Conn.
Address ef'It/ A," Depth (0i 1f E3' Water Meter
S.F. Total Acct. Deposit
City/Zip Code ~ffyr/ Footprint S.F. S/w Permit
S/W Surcharge
Phone On site sewage, Treatment Pl.
On site well Road Unit
Contractor jC~ff/ASTCL~ MWCC System Park Ded.
City water Trail Ded.
Address ~$6 ~5- e6,7'~r /2/J, #~rFov PRV _ Copies /.O0
Booster Pump _
City/Zip Code ~~'rrrv SUBTOTAL
r~ P0~er4'fcC APPROVALS Penalty
Phone 3'~(q -GSy~ '-?.T/-17yLg Planner Lot Change
Council TOTAL
Arch./Engr. Bldg. Off. S le~-/0,9/
Variance
Address
City/Zip Code
Phone #
Sewer/Water Licensed C r.
agrees that all work shall be done in accordance with
r - tracto) `
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
2422 Enterprise Drive
* PIONEER Mendota Heights, MN 55120
* eng* eering•.
* # (6121681-1914
Certificate Of Survey tor: CEIVTIX Nolmlr
PA✓ Z
NOPT"
hfopt c 745 A
1 i a ~Sr z
417
1 ' 8a N v~ n 1 lI 00
I M Q PTO c
(l Y 11
\ M aY ~ d N 0. 1
zc.a3 a 1.4 09
jr2 14 00
C ~s \
9 ` ~ r 99~~rryy ~ ~
f~
ficitivIN UEFf
Poo.o Denotes exisfino Eleva}ion PROPOSED /-louse yartQN
900.o Denotes prop ed Elevation Lowest Foor eve ion es4,~
Denotes Drarnae Uf+li~ Fcrsemenf Top of Block Elevation 391.56
Denotes Drain Flow Arrows GaralWe Slab Elevation i, L3
U Denotes monument u Deno es Ott sel Nub
Bearins shown are assumed Sued to Easements oi~'gecord
LOT ZZ , BLOCU 1 , MILLS OF STONEBRIXE PLAT 2
04KOTA CouNry
I hereby certify that this survey, plan or report w=asp ared by me or under my direct sup7-01,10
n and that 1 am duly Registered Land Surveyor
under the laws of the Stale of Minnesota. Dated this day of A.D. 19 Scale: l •40 tljcf L.
RO ER7 B. SIKICH L.5 REG. NO 11891
OII .0
CITY OF EAGAN NO 18075
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT - PHONE:454-8100 Receipt # ff S(io -30
To be used for SF DWG/GAR Est. Value $118, 000 Date JUNE 29 192
Site Address 4081 BAFFIN BAY N
OFFICE USE ONLY
Lot 22 Block 1 Sec/Sub. HILLS OF
Parcel No. occupancy R-3 MM1 FEES
Zoning PD RR1
W Name CENTEX HOMES (Actual)Const 3t--N Bldg. Permit 703-00
Address 5929 BA_nR RD (Allowable) AL--N Surcharge 59-00
° MINNETONKA Phone 936-7833 a of stories
City Length 461 Plan Review 457.00
o Name SAME Depth 50, SAC, City 100-00
u< Address S.F. Total SAC, MCWCC 600.00
S.F. Footprints -
City Phone On Site Sewage Water Conn 625- 0
ww Name On Site Well Water Meter 90.00
Ei Address MWCCSystem X2L gccl Deposit 3D
u~ .00
<W City Phone City Water ]C7L
PRV Required SroV Permit 30.00
I hereby acknowlege that I hav d this applic li and slate that the Booster Pump SAN Surcharge - 50
information is correct an ree t comply wj applicahle State of
Minnesota Statutes an Ity of Ea n Ordin ces. Treatment PI -252-00
APPROVALS Road Unit 4 55 - 00
Signature of Permitee
A Budding Permit is issued lo: G ' 4b HOMES Planner Park Ded.
on the express condition that all work s II ne in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official pJJ I -M Variance TOTAL 3, 301 . 50
1 5, lrl
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS-,PS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
8,4,j?ze JUN 1 9 RE12
To Be Used For/:,~&APR Valuation: /r 6i~ Date:
Site Address oD/ .34rC-/AL E549' OFFICE USE ONLY
Lot Z y Block FEES
H1u!s O F D\ Occupancy RD M-1
Q Zoning _1
Parcel/Sub ~7_ oti/Ea~2G~L~E'1' Actual Const V-H Bldg. Permit 9 03. GO
//0 Allowable y. N Surcharge
Owner (_E.cLTEfL ME5 # of stories Plan Review 45~Z,CZ`1
Length 14&1 T SAC, City fOOi
Address Depth- SAC, MWCC 600,00
S.F. Total Water Conn Z OD
City/Zip Code /,~~~T/, l(~~ Footprint S.F. Water Meter 00
Acct. Deposit -9-O LOO
Phone ~,j / 3 - 7 13 32S On site sewage- S/W Permit -13QJQO
On site well S/W Surcharge ps-
ContractorjyJE MWCC System E/ Treatment Pl. Z100
City water _IC Road Unit 366,
tJo
Address PRV Park Ded.
Booster Pump Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL , ~oi•~o
Council
Arch./Engr. yo/p Bldg. Off. W?.o /S fi
Variance f
Address
City/Zip Code
Phone # (p d z °
~SYd'1 ' 1
e2-~° X Z`~ 2-16
IS
-Act
ST ~LaO(~ ~
JAD
)08'0 X y = 15t
N X 19 = Z6(,
30kAi6= ~c(O
) K 1
zy 13
/0`6') X 5f ~sv~so
Ztia ~t-no~
~g`~x51 = ydi~~
►17 6 q.8,`
2422 Enterprise Drive
* PIONEER Mendota Heights, MN 55120
n91 Bering,. (612) 681-1914
Certificate of Survey for: CENTEx NOMES
1 / oea.✓ NORTH
~6?)B NOVEL 4 745 A
J 1 \ 26
~ 1 I m ~sz 2
1 / Se;i NI ~le a ~~tr
0.00
00
i
~03gQ S~ ~ ~ -r.
ti-
Mi&WIN DEPT
. 9oo.o Denotes exisfin Elevation PaovosEO tj usE LEV4TION
. 900.o Denotes prop el elevation lower Floor eva ion _ B04,
Lknotes Drarna Uldi~ Easement- Top o; Block Elevation r.sb
Denotes Drgince Flow Arrows Gara,We Slab Elevation i, L3
0 Denotes monumeof o Denotes Ott sel Nub
Bearings shown are assumed Su Je f to Easements of Record
LOT ZZ I BLOC-9 I , MILLS OF STONEBRIDCE PLAT 2
DAKOTA CouNT y
hereby certify that this survey, plan or report was p~ r~eyared by me r under my direct supervision and that I am duly Registered Land Surveyor
under the laws of the State of Minnesota. Dated this a day of A.D. 19
Scale:
0 ii , D RO F_RT B. SIKICIi L.5 REG. NO. 14891
94-
`~o
COMM. NO.
Planning Design Inc.
1611 Highway 10 N.E.
Minneapolis, PIN 55432
612--780-1920
Minnesota State Energy Code Calculations
Based on Chapter 5 of the Model Energy Code
1983 Edition Adapted 1/1/84
Owner: CENTEX HOMES COMM. NO: 890251
Site Address: MODEL 745
Contractor: CENTEX HOMES Phone:
Bldg. Class: Al Al for Single Family/Duple:;
A2, residential 3 stories
Over - stories
Other
GENERAL- INFORMATION
Note: The section designations ("Section A", "Section B" etc.) are for
convenience in r_alculAtions only, and are not related from one set of
calculations below to the next.
1. Bldg. Walls Perimeter x Wall heights, = Area
ground to eave
Soct i on A . 54.8 9.67 - 529.916
SeLrion B : 89.6 18.58 = 1664.768
Section C C) CI - o
Section D b 0 _ 0
Gross Wall Area = 194.684
2. F+ui lding dimensions Floor or
Ceiling
Length Width - Area
t r
Section f~ : .F v.J ,vQ. 67 = =41.0 5
J
Section 8 .29 27 = 756
Section C : rI C) 0
Sec Lion D U i1 =
Tutal floor or coiling area = 1097.055
Rim :foist Perimeter 14.4,di
.
Floor. -foist by (8", 10", 12" or 164): 1n
Rim Joist Area = 120.3333
4. Doors
Area: 37.8 Thickness (inches): U
Perimeter ( Fp eeat) : 1
Type of construction;
Tot-:al dnor'_; perimeter- 0
6. Wei ndnN:s
Manufactur'er% WE-1THERSHIELD U factor: 0.47
State approved: YES
Type Height A Length Number = Total
(inches) (Inches) of glass SgFt
units
BASEMENT SASH 14 27 = 7.88
DOUBLE HUNG 16 16 4 7.11
DOUBLE HUNG 20 16 2 4.44
DOUI-K-E HUNG 28 16 6.22
DOUBLE HUNG :4 24 6 24
DOLJBL.E HUNG 28 24 6 28
DOUBLE HUNG 16 28 2 6.22
DOLIL-s!_E HUNG 24 28 18 84
DOUBLE HUNG 28 28 4 21.78
DOUBLE HUNG 32 26 4 24.89
DOUBLE HUNG 16 36 2 8
SKYLII'E 48 24 16
C) 0 (D C)
7. Window glass area CSgFt) = 233.5/1
TYp(-' Height x Length x Number = Total
(feet) (feet) units GgFt
Patio Door: 0 0 C) 0
9. Atrium: 6.85 l 0.55
Q- Finyplace area
Width: 6 Height. 5
Total Sq Ft 0
11. Exposed Foundation
Height area A: 0.67 Perimeter- area A: 145.3
Sq Ft area A = 97.351
Exposed Foundation
Height area 0 Perimeter area L-(: 0
Sq Ft area P. - 0
12. SgFt 1.1 factor U .x A
Gross wall area 2194.684
minus
4linduw area 236.54 0.47 112.11
Patio door area n 0
Atrium area 20.55 0.44 9.04
Rim joint area 120.333333333 0.035 4.21
Door area 37.8 0.14 5.29
Fireplace area iii 0.17 5.1
Exposed Found. 97.351 0.14 13.63
Framing area 219.4684 0.069 15.14
pqua.l:>
rt iiq" .•u wall: vVJ.iy:'.V 0. 037 5._. Jam.
Totais for gross wall. :area;
:_'17.4.°
Framing area is 10% of gross wall area
13. gross wall area % factor below = U x A per code
Factor is .11 for A-1 single family & duplex
.23 for A-2 and other residential
.23 for other buildings
.28 for over 3 stories
Factor is: 4.11
B i UH = 241. 41524 MUST BE ? OR
17. 4v
(calculated above)
14. Gross ceiling area =
It. Ceiling framing area (10% of ceiling area) = 1097.055
149.7055
16„ Joist Area (14% of ceiling area) 109.7055
17. Hut coiling area (Gross coil. area - Joist area) = 967.3495
18. U ncil.ing- 0.423 r, Net cei.l. area =22.74943
19. U +r _imi. ng. 0.026
Joist area = 2.852343
20. Total of ii:.gym IS item 19 - 2°
.,.561.38
..,.J. Gros, ce1J in.g area x factor below = U A per code
Factor- in .02to
- for A--1 single family ',.duple::
.033 for A-2
and other residential
.06 for other- buildings
Factor i c 0.026
BTUH = 28.S2343 MUST BE OR = - \
25. ~ ~ u 1 v~;
(calculated above)
_ SIG N f~ SEli~71 Jr1 ICr ALUE U VALUE
Inside air film .68
WALL Interior wall •45 (Wall) U 1
SECTION Insulation R
19.00
tl Sheathing
Siding .67
Outside air film 17
R TOTAL 9 03`f
r Inside air film .68
STUD Interior wall .45
SECTION ~
XM scud - 61r R= 6.50(Framing)U. R
Sheathing (a p
Siding ,67
OuC31de air film ,17
~f J
R TOTAL
Inside air film R= .68
210 WALL Interior wall
SECTION Insulation 1
(Wall ? U & .
Sheathing
Exterior wall covering
Exterior aLr film R ..17
R TOTAL
RIM Interior air film R= ,68
Insulation 19.00
JOIST 1§ inch soft wood R=1.88 (Rim 1
l Sheathing' Joist)
t
Exterior wall covering .67
Exterior air film R= ,17
R TOTAL GU q-0
Interior air film R= .68
InsulatLCr,
5.00
J------~ Foundation 1 .28
(Fdn.) U .
Exterior air film R= .17
.14
R TOTAL '7.13
xpased 31uck
R '''ALCc 1W, UE
FRAMING CEILING
0.61 Air Film 0.61
•~2 Insulation 40
4.38 Joist
.56 Ceiling .56
0.61 Air Film 0.61•
'I8,*Totai R I •7B
Opp U - R
FLA7.R00F OR CATHEDRAL CEILING
R Value R VALUE
i FRAMING CEILING
0.61 Inside air film 0.61
Ceiiirt9
Joist (stud
Insulation
Air space
f Roof decking
Insulation
Built-up roof
0.17 Outside air film 0.17
Total R
1 U
R
O ndow infiltration .5 cfm/lineal foot of crack
Residential door infiltration 0.5 cfm/square foot or door and minimum code requirement
on-residential door infiltration 11.0 ;fm/lineal foot of crack
lb 12" concrete block no insulation =..47 R 2.1
lb 12" concrete block insulated cores = .26 R 3.8
IS 12" lightweight block = .32 R 3.1
Jb 12" lightweight block insulated cores = .12 R S.3
J single glass = 1.13; with storm .window .54
J double glass = .55
J triple glass = .41
III exterior walls and ceilings must have a vapor.barrier (0.10 perm max.).
Apor barrier must be on the inside (heated side) of wall.
,apor barriers of the polyethelene thin film have no R value.
L Ch)a /r,BQ BL I CITY USE ONLY RECEIPT#: S5✓.a F
SUBD. RECEIPT DATE: 1 I S 1
1998 PLUMBING 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
backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x _L =
Bath Tub 3.00 x f =
Lavatory 100 x
Kitchen Sink/5AP- 3.00 x _
Laundry Tray 3.00 x _
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener *for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations ' to existing residence 20.00 = 20. Q0
Water Turn Around 20.00 =
Private Disposal System ' MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL 70.60
I hereby acknowledge that I have read this application, state that the information is coned, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITEADDRESS: 0 I &FFIA) All
~,/~//s
J ~/t / 6&-6 Ek- ~'-S
OWNER NAME: & ) &La -T/ V .
INSTALLER NAME: N/ avZEL- TELEPHONE M 4$z`
STREET ADDRESS: I9s9 61,W WA) JeO
CITY: L4&-AA) STATE: N ZIP: ' 1-z
SIGNATURE OF PERMITTEE
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA088739
Eagan, MN 55122 . Date Issued: 04/15/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4081 Baffin Bay N
Lot: 22 Block: 1 Addition: Hills of Stonebridge 2nd
PID 10-32991-220-01
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Repair
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Excel Roofing Roy C Hosek
700 Bunker Lake Blvd. NW 4081 Baffin Bay N
Anoka MN 55303 Eagan MN 55123
(763) 712-0757
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112036
Date Issued:07/24/2013
Permit Category:ePermit
Site Address: 4081 Baffin Bay N
Lot:22 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-220
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:BACK LOWER LEVEL PATIO DOOR
Perry Firkus
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Roy C Hosek
4081 Baffin Bay N
Eagan MN 55123
(651) 456-0166
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675'
Fax: (651) 675-5694
Use BLUE or BLACK Ink
F�3O#tce Use
Permit #:
Permit Fee:
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLITI
7-13 Site Address:, r
Date: / � E® 134- 4
Tenant:
RESIDENT / OWNER
TYPE OF WORK
CONTRACTOR
Name:Roof h0 S €k
Address 1 City 11/Zip:'O(•% 6a -g, 6.._7 /1/4/
Suite #:
Applicant is: Owner x Contractor
Phone: COSI-431-,33
Description of work: 1-4-311 JO LA) 4Ac .e_rn -44-9 -
Li
v
Construction Cost 4e Multi -Family Building: (Yes
Name: i t,eIh i7 -n Jofae,Z 1)4o IMe5 License #:
Address: 3m meaclorJbr k AO city: S2' 44,14, .5
State: N'l Zip:,, 54 3 Phone: 95-02.--- 933 —430c7
Contact: ,'iy+, 1's"-5 Email:
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: Ptans and suppoal`ing documents that you submtt are cans dered to be
the information maybe classified as non public if you provide specific reaso
conc/ude;thatth 'are~'trade°secrets F..,
rile in
io
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.gopherstateonecalLorq
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.
i N+ 4.4-64 6/1'5
Applicant's Printed Name
.®sites
cant's Signature
Page 1 of 2
To Page 1 of 2 2015-03-'13 20:47:57 (GMT) 16124656190 From �amon Lee
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Eagan W1N 55122 _ � :Daie Ftec��v�d; � i �?'_��. I
Phqne;(6S9j675-5675 _ � � I
Fax:(6511 678-5694 � Staff: -- —_ ------� � �
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2Q�5 RE�IDE�IT#�lL Bl11LC11NG P'EFtMIT�PPLICATIOIW C-� �'1r�
Qate: t'� f.'� Site Address: ''�T�-' ,�'d ��a��e��5 �'r,�°�fV Unit#: �� ��
Name i'�o� ..'�'�4�-�M �Phone �.��°�a� ��C�
Resic�ertl'1' {���j ^�,��w b°�' /l� �Q,� �� ,�J`�/o`�,�
°��Att1E3� �Address l City 1 Zip: � , i
S . . y
� �PPhcant is: Owner ��antra�tor � .
'�' ;.,,. Qf Il{��1k'k '¢�Descripkion nf wr�rkWm ��At"C t�l� .�I�t,GW� �l �t/ "��t}�l��„���v M.�'�` ,�'
Yp� , _
Consfrucfian Cast �3'��7 �� tvtui[�-Famtly Bwiding (Yes /Na� F
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��' �
� �'� ��� �Si Contact.,_ G�tMOeti +�
Compar�y: � � �
�Cl7tf1C�Q�' Addrsss:�{Q ��L�.t, �_�ity: �l 1'�+ldu
� State �Zi �o�. .3a�+�+ . K.� �sG�v►c�. /� ��.Cr�hl,
� p•.���� Phone:l2.,��, ail: �'°�
�;�M1Lic�nse#.��S� g�1�� Lead C�rtificate# �!�''1� t��1�3 �
!f the,praject is exempt#rom lead certification,ptease expiain why: (see Page 3 for additionat information}
,..,.,._......._...,,�,.�,..�.�,..,.......,.,a,.,..w.,,�.,.,�....��_,.._......��.....�.�........,...v.. _.,,.,.., .,.�_.,�...� �.�..P.,. ..,..
,..
COMRLETE TNIS 1kREA GhILY f�CONSTRUC7'Ih1G A NEW BUILQIhMG
In#he last 12 monfhs,has the Cfty of Eagan issued a permlt for a similar plan based on a master plan?
� Yes M1lo if yes,date and address of master plan.
_.
Lic�nsod Plumber: _ . _ . .Plione:
- � Mechanical Cantractor:. Phone. ` --
_
_:
_ � Sewer&Water Contractor: Phone: --- --
� NC7T�' Pfans arrd srr�tperrfJn;�dacumer�ts that y�tu.submi#ar�c���idereif#a be puhllc enfarmafian.;Pvrttarta�„of��
� . �1�8:lltfOt'ft18UOtt II18,�/b8 G18��1��d d�t►li[i:piG1fl/C ff yDU aIt}Y3d@ S'�@£�G�SOI#5 ,l�f�i YM'QfYI��#�"ft►7ft�f��''!#jr xt'#
cunclude�f�af i�he�are[r�ci�sec�et� ,.�
��
CALL BEFORE YOU QIG. Call Gopher State One Call at(6S7}454-Qp02 for protectit�n against urtderground utility darnage. .Caii 48 haurs
: `betU.te you inten�J to dig to feceive focales of undeCgrouRd utilities: wvrw.pf�pnerstalr_onecai(cyrq
I hereby acknoovledge that this u7formatian is complete and�ccurate;that the work will be in conformence with the ordina�ces and codes of the City af
Eagan;that 1 understand#h.is:is hot a permif,but anfy an apptication for a permit,and.work is nqt to start witl�out a permit;ihat the.4vark will be in
accord3nce with the approyed plan in the case of work which requires a re�iew and approval ot plans, _.
F�cterlor work authorized hy s building permlt issued in accordance wFth ihe Mlnneso uilding Gode must.be campleted within t8Q� ,..
days of permit issuanca.
� 1..��. —�„"'" —w—..._'_
x �Mrl`d�t
Applicant's Printed Name � cant's Signakure
_ _ Page 1 pf 3
_ . . _ _ _ ____ ____. _ ... _ _... _ _ ... _..... __.
_ __.. __.. _ _ . _ __ __. _ _ ___ _ _. ... .. __
,. . __ __ _ _.... _ ..... ..... _ _ _ ___ _._ __ _ _.. _
__ __ __ _ _ .
__ _. _. __. _ _ . _ _ __ __ _ _ _ _.
_.. . . __ _. _ _ __ ___ _____ _ __ ..
_ . _ ._ ___ _.._. ____ ___. _ _ _
___ _ __ __.._
_ __ _ _._ _ _ __ _ __ .. __ ____ ____. __ __ _ __. ....
__ __ __ _ . .__ ___._ _..__ _ ___. ...
_ _ _ _.. __ ____. ____ __ __ __ _ _....__ ___
' DO NOT WRITE BELOW THIS LINE
SUB TYPES �� 0 I �`���7'1 ��`�
_ Foundation _ Fireplace _ Porch(3-Season) _ Storm Damage
� Single Family _ Garage _ Porch (4-Season) _ ExteriorAlteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of_Plex _ Lower Levei _ Pool Miscellaneous
_ Accessory Building �(A Dn . �
W O RK TYP ES '�2� [�t �-�-- S l�a u..t� � SL1Ot�.d (iN�l�S 7✓� ��fMl� C.�.t hr� � 1�`v✓ W w1� ,
�
_ New _ Interior Improvement _ Siding _ Demolish Buiiding*
Addition _ Move Building Reroof Demolish Interior
� Alteration _ Fire Repair _ Windows Demolish Foundation
_ Replace _ Repair _ Egress Window . _ Water Damage
_ Retaining Wall "Demolition of entire building—give PCA handout to applicant
DESCRIPTION �-
Valuation ttJ��` Occupancy '��L� MCES System
Plan Review Code Edition 'LrJ�s�^�►Sa� SAC Units
(25%_ 100%� Zoning -�_ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction � Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: Ice &Water _Final Pool: _Footings �Air/Gas Tests _Final
Framing Siding:_Stucco Lath Stone Lath Brick
Fireplace:_Rough In _Air Test _Final Windows
Insulation Retaining Wall:_Footings____ Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee ��(�� �
Surcharge M� ������
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
City o(Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: (lU
Permit Fee: /05" P-5
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4- Oet, - t Site Address: 4 O L ' c.--1 SiYay 'tom - Unit #:
Name: stiscps eV-, - Phone: L b3\7" --S3
Address / City / Zip: 4O? c -t _j 1-4.4- : j Sr' J
Applicant is: Owner Contractor
2.x-1 Cc1.CM
Description of work: 1, ) Lct `4 ksiiS
Construction Cost: (114 5 Multi -Family Building: (Yes / No )
Company: 3 Contact: i t y�r.
Address:Fl3°bks City: S*-.Sa,A
0.5
State: i't'g\N„ Zip: _SSAat, Phone: b Email:}
License #:(49-141(1 Lead Certificate #: 1.0.16177,0 -
If the project is exempt from lead certification, please explain why:
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:
Phone:
Phone:
Sewer & Water Contractor:
Fire Suppression Contractor:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portiionso
the information may be classified as non-public if you provide specific reasons that would permit#ho City
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.00pherstateonecalLorg
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 X11 Buildin • •
days of permit issuance.
x /x ► rt Ik.pM�y ee,
Applicant's P nted Name
e must be completed within 180
App . r:(4''"s S a ure
Page 1 of 3