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642 Atlantic Hill DrCITY OF EAGAN Remarks Addition Lakeside Estates Lot 9 lk 2 Parcel 10 44300 /p/ 02 Owner Street 642 Atlantic Hills Dr. State Eagan,MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. -641 Tmp 1690-16 Rd - 51 211 STREET RESTOR. s 1981 1409.71 70.49 20 GRADING SAN SEW TRUNK 1981 280.00 14.00 20 SEWER LATERAL fl, ? 1981 4281.24 214.06 20 WATER MAIN * WATER LATERAL 1981 WATER AREA 1981 280.00 14.00 20 STORM SEW TRK 1989 711-00 47-40 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit Charge 75.00 10467 6-15-78 WATER CONN. BUILDING PER. SAC rl()O 00 10467 6-15-78 PARK - CITaf OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning; No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: -_ _ Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Dote of Insp.: Insp.:-_ CITY OF EAGAN 3795 Pilot Knob Road 'Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Ordinances. SEWER SERVICE PERMIT PERMIT NO.: - DATE: No. of Units: D(1.00 Pd Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesoh 55122 Phone: 454-8100 LUMkU ii Date: June 21, 1978 PERMIT Site Address: Lot 642 Atlantic Hills Dr. Block Sub/Sec. Lakeside Estat$s Name nlasing Address 1s. 55406 City Phone: Nam sriae Address e City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. No. 114 Receipt No.: Single Residential Multi Res., Comm./Ind. fjn: New/Alter./Repair. Cost of Installation JU Permit Fee `` o .JV Surcharge rc.J: Total done in accordance with all applicable State of Building Official CITY OF EAGAN 3795 Pilot Knob Road Eayen, Minnesota 55122 Phone: 454-8100 E_T11% _ PERMIT Dote: June 21, 197E 442 Atlantic Hills Dr. 10 Lareside Estates Lot Block Sub/Sec. _ Name Address J V L: o City `J54JE Phone: 7 Nam la. ?OCi y 1 ; - l ar ttve. Address t. City V y Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. 1201 No. Receipt No.: Single Residential Multi Res., Comm./Ind. New /Alter. /Repair Cost of Installation _ Permit Fee Surcharge Total done in accordance with all applicable State of Building Official Dote CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454.8100 1, 1978 PERMIT No. - 31; Receipt No.: Single ri!li l C t'. J- ! Site Address: i't Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. I Name New/Alter./Repair Address Li ?tivP. Cost of Installation 1u. .15V.)6 .C? City Phone: Permit Fee ?r.ran ?laz;i? r? N e Surcharge J. JAddress City ' Sn. yU. Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official y t _ --14 CITY OF EAGAN 3795 Pilot Knob Road • Eagan, Minnesota 55122 Phone: 454-5100 PERMIT Dote: June 21, 1978 42 :,t' antic ills I)-r. Site Address: Lot Block Sub/Sec. Name ` • _ _ U c l :'. Address City Phone: No li Address 0 V City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. No. _ Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter./Repair Cost of Installation _ Permit Fee Surcharge Total done in accordance with all applicable State of 314 Building Official CITY OF EAGAN 3795 Pllat Kwo6 Road Eagan, MN 55122 N2 4846 PHONE: 454-8100 )4Q i BUILDING PERMIT Receipt # To be used for .Est. Value Date 19 Site Address z --r.: Erect ? Occupancy Lot Block Sec/Sub. L.akPS d states Alter ? Zoning Parcel # 1 4 4 300 090 02 Repair ? Fire Zone E l e of Const T n arge ? . yp Name R? ?$ Move ? # Stories W Address 26th Ave _ ',n . Demolish ? C Front ' ft. 727-Snk1 Grade rl Depth ft. Name •-,,r.......» - --- u Address one Assessment Permit F Cit Phone Water & Sew. Surcharge y Plan check Name W 3 ,hnson ire Fire SAC Address Eng. Water Conn. P City Phone Planner Water Meter Council tin I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable -' APC Total State of Minnesota Statutes an d City of Eagan Ordinances. Signature of Permittee A Building Permit is Issued to: ` =r `= on the express condition that oil work shall be done in accorda nce with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Penult # Date Issued PersIMae Plumbing f 4a (o al - 7 & 1 tJLILAJI? Mechanical lo1o(o !n -a I -IS, ?• c? ? 3/s- (,-- --it - 7 o-'L ram„ ! 3 f - -)- _ (Lu g INSPECTIONS DATE - INSP. Rough-in Final Footings ? Date Insp. Date Insp. Foundation Plumbing Frame/ins. -7p Mechaniw Final qJd - Remarks: . ?. ?' 7 q yam :, -q:?v /} ed qs-l jQA D.TIA,r1C Mils CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT & DOLLARS IDD ? CASH ? CHECK BY • C NUMERICAL FILE COPY ,/ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ; q `?w Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I ,> 1 1 0 1 r.1 ,,, 1, APPLICANT: Mi IC H11-11 DR Ink.t`-1UL L'..IAIfS (61,') 4v,4-/741 PERMIT SUBTYPE: TYPE OF WORK: Al I ERAT t(3N r+t" R00V (IIIl 1 146 L ---------------------- Permit Holder Data Telephone k PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING y-? V tee s ,:[ ROUGH PLUMBING / cot ?pw PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL This request void 18 months from e -c/ 4 7 Date of this Request G- /-V?- - g U o 2 7 1, as ? Licensed Electrical Contractor [Owner, do hereby request inspection of the above electri- cal wiring installecj Street Address or Route No. Section TownshIp_ Which is occupied by r Range County -? Is a roughin inspection required on this job? No ? Yes Ready Now ? Will Call Power Supplie f c ?(L& .. cAdd ress- - --•-! Electrical Contractor. _a -G- Contractor's License No. Company Name) Mailing Address3 6 tiegp cir ontrr Making Is Installation) y a1 - Authorized Signature Phone No. S t' d Itlectrical e;omraeterOr Owner Ma ng his installation) SUM ?? jam] •0 ?? ? 0 OR ei Boar spection request not accepted the State Board unless s proper inspection fee is enclosed. Minnesota state tsoara OT tiectricity - 19$4 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST /p-dl'lo7 P 68257 Type of Building New d. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range ? Temporary Wiring ? Duplex ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? LList LList Other ? ? ? _ p Hehers C;5X p Others eye COMPUTE INSPECTION FEE BELOW r 1 H H J 1 101 to 200 Amps. ?II 31 to 100 Amperes I II 31 to 100 Amperes I I J Above 200 Amos. Above l? 00 Amps. Above 100 Amps. 1 I TOTAL FEE 1, the Electrical Inspector, her ebtifya!{ pTjg a5ove inspection has been made. (Rough-in) Date (Final) Date ? This request void 18 months h om CITY OF EAGAN 3795 Pilot Knob Read Eagan, MN 55122 N9 4846 PHONE: 454-8100 10467 BUILDING PERMIT APPLICATION Receipt # $70 000. , 78 June 15, To be used for SF Dw1g. & GArg.Est. Value Date 19 Site Address 6/-2 Atlantic H1.1 t t T 1r.Erect ?r Occupancy i Loo nfBi&.& 2 Sec/Sub. Lakeside Estates Alter ? Zoning R}' parcel # 10 44300 090 02 Repair ? Fire Zone 3 E l ? e of Const T V n arge . yp W Name Paul B BBiasin Move ? # Stories = Address 3634 6th Ave_Sn. Demolish ? Front 62 ft. .Mnl c n.___ 722-5081 Grade f1 Depth 36 ft. p Name iU Same 6? Address t- ri.., Phnn„ ~? Ww Name C W Johnson ii I mr Address <w City Phone I hereby information t I d j read this l y with and information is correct nd g e to om p I Iw the with all applicable State of Minnesota Stotut a C?K of n Or Signature of Permittee?-#k A Building Permit Is issued to: all work shall be done in ac o Building Official K. Approvals Fees Assessment Permit 171.00 - Water & Sew. Surcharge 35_50 Police Plan check Fire SAC 500-00 Eng. Water Conn. Planner Water Meter Council Road Unit 75.00 Off Bld . g. APC Total 781.50 as ing on the express condition that State of Minnesota Statutes and City of Eagan Ordinances. PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: gyj14gJNG Permit Number: Date Issued: 07/09/98 SITE ADDRESS: P.I.N.: 10-44300-101-02 642 ATLANTIC HILL DR LOT: 101 BLOCK: 2 LAKESIDE ESTATES DESCRIPTION: REMARKS: SF (MISC.) ALTERATION 434 ALT. RESIDENTIAL Li 1, u. ..J REROOF u ldfhg,,Permit Type utlding 'cork Type ensus Code :.. FEE SUMMARY: VALUATION $3,000 Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 CONTRACTOR: I OWNER: - Applicant - BLASING PAUL 642 ATLANTIC HILL DR EAGAN MN 55123 (612)454-7747 hereby acknowledge that I have read this i formation ifs correct and agree to comply S a ut. s\and[ ity of Eagan Ordinances,, application and state that the with all applicable State of Mn. U DBY: N C7Y E17 E,AN °a ?c3r 7ERMWA. 4O+ 7aa DATE : 6Z/-IC/`3? , IME., : _ i6.QF?rt]a Tn - NAME '- P4UL.B 7SLASINNt. 3YNQ'9Q ?642 ATLANTIC W. 2S x,:1Cf '. 642 ATLAt l.C aL a Tntai. 'vicei 2t Atr'Q'r '` 25 t'SEI' TP• NANCv 301 BUILDING PERMIT APPLICATION (RESIDENTIAL) t7 (o ? ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured find, design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: 1 ` `} ? 81 DESCRIPTION OF WORK: L4Cl}U C' -tZOZJC)C_ STREET ADDRESS: TYitj I Ic ° LOT: 1 U i BLOCK: SUBD./P.I.D. #: Remodel/Repair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) 4 1 energy calculations for heated additions _3 MID CONSTRUCTION COST I Name: t -'t-A I I3 6 }' N Phone #: PROPERTY Last First OWNER e /. n _ . , _ 11 n . / Street / City AJ'fJY`_ State: MA /' V . Zip: lcz-/69 CONTRACTOR Street City ARCHITECT/ ENGINEER Company: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Phone #: License # State: Zip: Phone #: Registration #: State: I hereby acknowledge that I have read this application and state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required Zip: applies when address Chang and agree to comply with all applicabi OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) _ (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance % SAC SAC Units ,ATE ? Mr-- 8, I7 q BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for 1 r? Site Address; /,.4Q. ,? 1he?- QkctLC S. Valuation Yd dcc Lot Block Sec. Sub. q yz Q to 1, 2 L AIC?,t b ?S a; Owner GAOL ?. 3iASttE. Address 3 , 3 3 3E r `f` Sco 'vU1OLS - S5AGam, Contractor Address Arch./Eng. C, u3 ,o Fkiv S07v Address Erect Alter Repair Enlarge Move Demolish Grade Parcel Number /Q .jqt D 09D D. Telephone 72,d- L8 Telephone 7) Z - cos Telephone W - M? 2-6 OFFICE USE Occupancy Zoning Fire Zone Type of Const. # of Stories Front G2 Depth Tf- OFFICE USE Date of A al pproval & Init i Assessment Water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. FEES Permit j ?>/ the Surcharge $.T Plan Check SAC S'Aa Water Conn. Water Meter ??--' lie TOTAL ?au= - w ?E Qktr Eo G 0 ?{o3 (4tt?Se LOC?ATtet1 ?c £ecvst- ??o rntC s?- i1 sc e ACIL ?? L wc?t Go td ?2cn.1T tKW(Ce SQTcc LJtLI (be i A Soutik,???'r C AS Survey for: Paul '31asin 3633 !6th Ave. Sn. fFpl3., "u1. 574)6 DELMAR H. SCHWANZ LAND SURVEYOR Registered Under Law, of The State of Minnesota 2878- 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 SURVEYOR'S CERTIFICATE W fn 80*03 30 1 1 /? .6? a O?OSEU L111 w HWSE ?.61 ' /S 5( ..? I n I „w v S L.c : 34"'. PHONE 612 423-1769 w SCAj'3: 1 inch 4:1 f.'c a to Denotes irr-)n .3otra. 1. In LOT g 10 0 U) I horoby certify that thin io a truo and carroct a ouivcy of the boun(:.rios of: Lot 9a and tho tkot Half of lot 10, Block 2, L•'1Kf?SU1^ F,STA?EE, accordin,' to the rscor,C.2d pl:Gt thcrcof, Da:kJta Count, r, P1S na;;oL ., Also showing the loc lticn of a propcso6 house as stared th,-,n cr.. Ao ou:voycd b;' me t:'i' )th 0.7j of MLy, 1-17 '1. J' 1 MINNESOTA REGISTRATION NO. 8625 If you own the lot The cost of making a poor lot adequate for an onsite sewage treatment system may exceed the purchase price of a more suitable lot. If the lot does not have suitable soil for a soil treatment system and you cannot haul suitable soil to the lot, your only alternative may be hauling away the collected sewage. At a cost of3 cents agallon, this is an expense of $2,400 a year for a typical 3-bedroom home. • Be .conservative with your use of water. Each gallon of water used must be treated and disposed. Repair all leaky fixtures and reduce the amount of water used in laundering, bathing and toilet flushing. • Wash only full loads in the washer and spread the washing out during the week to avoid overloading the sewage system in a single day. • Each bath or shower uses up to 30 gallons of water. Filling the tub not quite so full and not turning the shower on all the way could save 5 to 10 gallons with each bathing. • Routinely check the toilet float value to be sure that it isn't sticking and the water running continuously. Be sure the toilet is not flushed unnecessarily. Don't use the toilet to dispose of house cleaning water or ciga- rette butts. Have the last person to wash up in the morning and evening flush the toilet after everyone else has used it. This could save 20 to 30 gallons a day for a family of four. • Water softener wastewater will not harm septic tank action. However. the additional water will need to be treated and disposed of by the soil treatment system. If the softener wastewater overloads the soil treat- ment system, the wastewater can be discharged to the ground surface since it contains no pathogens. Other sources include: Care and Feeding of Your Septic System e A "starter" is not needed for bacterial action to begin. • Additives should not be used (additives are of no benefit and some may do great harm if they cause the sludge and scum to be flushed out into the drainfield). • Discharge all sewage wastes from the home into the septic tank. Don't run laundry wastes directly into the drainfield. • Normal amounts of detergents, bleaches, drain cleaners, toilet bowl deodorizers and other house- hold chemicals can be used and won't harm the bacterial action in the septic tank. • Don't deposit coffee grounds, cooking fats, wet- strength towels, disposable diapers, facial tissues, cigarette butts and similar nondecomposable materi- als into the septic tank. Avoid dumping grease down the drain. It can build up in the tank and plug the inlet. Keep a separate container for waste grease and throw it out with the trash. • Use a good quality toilet tissue that breaks up easily when wet. •-Remove the sludge and scum by pumping (every Ito 3 years for a 1000-gallon tank serving a 3-bedroom home having four occupants). • If you must use a garbage disposal, you may need to remove the septic tank solids every year or more often. Ground garbage will frequently find its way out of the septic tank and clog the soil treatment system. It is better to compost, incinerate or throw out garbage with the trash. ADDITIONAL INFORMATION More information about onsite sewage systeri is in three publications of the University of Minnesota Agricul tural Extension Service. • Bulletin 304-Town and Country Sewage Treatment o Bulletin 394-Shoreland Sewage Treatment • Folder 261-How to Run a Percolation Test They are available from your county extension office or by writing to the Bulletin Room, 3 Coffey Hall, University of Minnesota, St. Paul, MN 55108. • Your county extension director • Your county zoning administrator • Extension agricultural engineers at the University of Minnesota • Your local office of the Soil Conservation Service • Minnesota Pollution Control Agency • Minnesota Department of Natural Resources o Minnesota Department of Health • Minnesota On-site Sewage Treatment Contractors As- sociation Issued in furtherance of cooperative extension work in agriculture and home economics, acts of May 8 and June 30, 1914, in coopera- tion with the U.S. Department of Agriculture. Roland H. Abraham, Director of Agricultural Extension Service, University of Minnesota, St. Paul, Minnesota 55108. We offer our programs and facilities to all persons without regard to race, creed, color„sex, age, or national origin. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER ?) AOL z ?o''?'J LASct,?G- SITE ADDRESS ??5+?? L S? iCS CONTRACTOR SA-A E DATE PHONE 1 Determine working square footage of each. 1. Total exposed wall area ...... 2 ¢59•D sq. ft. x .17 2. Total roof/ceiling area ...... //7& iO sq. ft. x-. x.05 .e:, Total exposed wall area above floor = 2 3 3/o.O a. Total wall window area ............................ b. Total door area ............. ................ c. Total sliding glass door area ............. ... d. Total fireplace wall area ........................ e. Total wall framing area (average 10%)...:........ f. Total net wall area above floor ................. q. Total rim joist area .................. ....... Total exposed foundation area = / 2 3.0 h. Total foundation window area ..................... 1b.0 i. Toal net foundation area above grade ............ Determine "U" value of each wall segment. a. 30/.9 X "U" . 55 = 16 ?• O b. 37, 5 X "U„ • S5 = 201 C. 40,0 X "u" 2-2.0 d. 30.0 X "u„ e. /92.1' X ,,u,, f. /733.7 X "U" .07 = l2/. 4 9. 292.0 x ,u-- . /8,O x h „u„ SS = 9,9 i. .105,0 X „U„ .0/ _ /,0 3 .....................................Total = ?, If item #3 is the same as, or less than item #1. you have met the intent of SBC 6006(c)2. CITY OF EAGAN EARLY UTILITY CONNECTION PERMIT 642 Atlantic Hills Drive Lakeside Estates L9 B2 Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet completed, inspected and/or accepted the sewer and/or water.lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- ment to cap the sewer service to prevent any unauthorized use. In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until the City utility system has been declared operational by the City Engineer. Signed by - Plumber: or Blaylock Plumbing Co. Owner: Developer _ Builder: Dated: November 5, 1979 ------------------ For Offiraa Ose n V?ri I Permit # Permit Fee: Date Received: ? I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t?J 11 06 Site Address: 64l A \L4P3 \ IL 4' ?L1- Tenant: ?Y-I0L `(?(' r3z,?s146 Suite #: RESIDENT / OWNER Name: I U L I h' l AS ) &Y Phone: 65 au 77t{ " ? Address / City / Zip: ?0 4a r'\1LA V I Icy t L?_ ?ri_1J, Applicant is: 7\ Owner Contractor TYPE OF WORK rr Description of work: LAuC I,Li.VhmJ 161. Construction Cost: Multi-Family Building: (Yes / No X CONTRACTOR Name: SL2 -'-- License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 _ Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public informations Portions of the information maybe classified as non public it you provide specific reasons that would permit the city to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the or finances and codes of the City of Eagan; that I understand this is not a permit, but only an application fora permit, and' rk is not to start ithout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval f plan X `AJL . - sIi6, x Applicant's Printed Name Appl ant's Signature Page 1 of 3 Total exposed roof/ceiling area M61 0 J. Total skylight area ............ ....... ... -0 - k. Total roof/ceiling framing area (average lO%),I.? 3.?T 1. Total net insulated roof/ceiling area........... /O92• Determine "U" value for each roof/ceiling segment. J. X "U" -0- _ $3.3 x "U" k. 1. X092.7 x "u" ,04 4 43.7 4 ............................. ..Total If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l.. Alternate Building Envelope Design To utilize the total envelope system method, the values established.by the sum of items #3 and #4 shall got be greater than the sum of items #1 and #2. 1. + 2. -Tr 3. + 4. I A City of Eaaali Mike Maguire Mayor Paul Bakken Cyndee Fields Gary Hansen Meg Tilley Council Members Thomas Hedges City Administrator Municipal Center 3830 Pilot Knob Road Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD Maintenance Facility 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com The Lone Oak Tree The symbol of strength and growth in our community. May 7, 2009 Paul Biasing 642 Atlantic Hill Dr Eagan, MN 55123 JUN 16 = PERMIT # WORK TYPE ISSUE DATE SITE ADDRESS 86967 Windows/doors 10/17/2008 RE: Dear Permit Applicant: Our records indicate that the permit(s) listed above have not received the required inspections or final inspection as required by Section 1300.0210 of the Minnesota State Building Code. Inspections are necessary to ensure that the work for which the permit was issued meets all life safety requirements of the Minnesota State Building Code. Please call (651) 675-5675 within the next 30 days to schedule an inspection. Be sure to provide the permit number at the time of scheduling. Failure to schedule the required inspection(s) will cause the permit to be voided. We want to thank you in advance for your anticipated cooperation in this matter. Please do not hesitate to call if you have any questions or concerns. Sincerely, Protective Inspections Division P' 1 LL ©T e' Q ?LY & W1r h?CXA ?? l?? ? 5?,pin1? c??u. ?? po?? Cc?a?l v?I u. Poi,. ?=- (i S tit t?J `. ?M4rAL- CAU- S1,'QT,119T- ?P Tt BSS. P?: -ro - o??s LA I AL F 4 G:\Building Inspections\FORMS\Lette Bui i Permits City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 642 Atlantic Hill Dr Lot: 101 Block: 2 Addition: Lakeside Estates PID:10- 44300 - 101 -02 Use: Description: Sub Type: Work Type: Description: Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 6,000.00 Contractor: Krech Exteriors Corporation 5866 Blackshire Path Inver Grove Hgts MN 55076 (651) 688 -6368 e- Reroof & Siding Reroof & Siding Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $6K Surcharge - Based on Valuation $6K - Applicant - Construction Type: Occupancy: $132.75 $3.00 $135.75 Owner: Paul B Biasing 642 Atlantic Hill Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Building EA090446 08/03/2009 ePermit Permit closed without required inspection(s). Letter & partial inspection remarks sent to applicant on 2 -5 -10. (pf) 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. 0801.4085 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature