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834 Bear Paw Tr?j! 2005 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 Remodel/Repair Requirements C?ffr?e 11?e Dtlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cett 6i Survey Reed Y N:.. (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Pfan Recd 1' N' 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addiiions & decks 7ree Pres Required _ Y N 1 set of Energy Calculaiions Addition - indicate if on-site septic system 0h-0[e:SepticSysiem. ..;;, Y N! 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Deiail Options selection sheei (buildings with 3 or less units) Date 0??" -un - / 2tc_5 Construction Cost ?-? • dU Site Address Unit/Ste # Description of Work Multi-Family Bldg _ Y?c. N Fireplace(s) _ 0 2 ? , Property Owner r'' ?"?5 , c?U ?,?t ?p Ze."t°- t k Telephone #((-6- k Contractor 1C.?2 042? U?lpA" Address (pz rj lA. ?jtzx.?,. kj!, u - c.ao, to %k City S pc3Y (c State Zip ? ?? L (,n Telephone # P)?5Z) (Ddc (p 3EY1 ?e COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (? 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%a plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the inform ' urate; 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. L,CVn8 ?C5,? ???--- _ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types . ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg X 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 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 [1 25 Miscellaneous Work Types 0"'?'"? W ° ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair p 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors /ML, 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 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 Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ? Final/No C.O. _ Footings (addition) Plumbing _ Foundation JX 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 -71 Insulation _ Retaining Wall Approved By: Building Inspector ---------------------------------------------------- ----------;.a---------- Base Fee ",)- S ---------------------------------------- ---------------------------------------------------- Surcharge Plan Review 0 11`"77 MC/ES SAC Cit SAC ? ????? ?? ??' y , Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? ?, viceMaster / Total Service Companp Disaster Restoration Services MN Lic # 3903 6314 Cambrid e St St Louis Park ? MN 55416 Phone 612 71-3885 Fax 952-928-9857 03/07/2005 Estimate: 030705-00001 Claim Number: 23-L235-674 Insured: GRZEBIEN, CHARLES Policy Number: 23-EA-4852-7 Home: 834 BEAR PAW TRL Type of Loss: Water EAGAN, MN 55123-2461 Deductible: $ 1,000.00 Property: 834 BEAR PAW TRL Price List: MNMN5F4D1 EAGAN, MN 55123-2461 Restoration/Service/Remodel with Service Charges Broken Out Business: Date of Loss: 1/18/2005 Home: (651) 905-1989 Date Inspected: 3/7/2005 Summary for Water L'me Item Total Material Sales Tax @ 6.500% x Replacement Cost Value Overhead @ 10.0% x Profit @ 10.0% x Replacement Cost Value (Including Overhead and Profit) Less Deductible Net Paytnent 1,021.71 4,846.51 4,846.51 4,780.10 66.41 4,846.51 484.65 484.65 5,815.81 (1,000, 00) $4,815.81 LINDBLOM, TODD ALL AMOUNTS PAYABLE ARE SUBJECT TO THE TERMS, CONDITIONS AND LIMITS OF YOUR POLICY. .,erviceMaster / Total Service Compa_ GRZEBIEN, CHARLES 03/07/2005 030 705-00001 Room: Upper Level LxWxH 14'6" x 13'7" x 8'0" Subroom 1: Offset 1 LxWxH 4'3" x 1'9" x 8'0" Missing Wall: 1- 413" X 8'0" Opens into 0 Goes to Floor/Ceiling Subroom 2: Offset 2 LxWxH 13'0" x 5'3" x 810" Missing Wall: 1- 13'0" X 8'0" Opens into 0 Goes to Floor/Ceiling Subroom 3: Window Areal LxWxH 510" x 4'0" x 8'0" Missing Wail: 1- 410" X 8'0" Opens into 2 Goes to Floor/Ceiling Missing Wall: 1- 214" X 3'10 Opens into E Goes to neither Floor/Ceiling Subroom 4: Window Area2 LgWxH 5'0" x 4'0" x 8'0" Missing Wall: 1- 410" X 8'0" Opens into 2 Goes to Floor/Ceiling Missing Wall: 1- 214" X 3'10" Opens into E Goes to neither Floor/Ceiling 703.44 SF Walls 312.65 SF Ceiling 1,016.09 SF Walls & Ceiling 312.65 SF Floor 34.74 SY Flooring 90.17 LF Floor Perimeter 334.00 SF Long Wall 228.67 SF Short Wall 90.17 LF Ceil. Perimeter DESCRIPTION QUANTITY UNIT COST RCV Remove 1/2" drywall - hung, taped, floated, ready for paint 15.65 SF 0.28 4.38 1/2" drywall - hung, taped, floated, ready for paint 17.25 SF 139 23.98 Detach & Reset Window blind - horizontal or vertical 2.00 EA 27.19 5438 Detach & Reset Window blind - horizontal or vertical - Large 1.00 EA 27.19 27.19 Detach & Reset Window drapery - hardware - Large 1.00 EA 31.43 31.43 Seal then paint the walls (2 coats) 703.44 SF 0.53 372.83 Room Totals: Upper Level 514.19 Room: Garage Missing Wall: 1- 13'0" X 10'1 Missing Wall: 1- 16'0" X 7'0" 694.67 SF Walls 540.50 SF Floor 236.96 SF Long Wall DESCRIPTION QUANTITY LzWxH 2316" x 23'0" z 10'1" Goes to Floor/Ceiling Goes to Floor 1,235.17 SF Walls & Ceiling 64.00 LF Floor Perimeter $0.00 LF Ceil. Perimeter UNIT COST RCV R&R 5/$" drywall - hung, taped, floated, ready for paint Opens into E Opens into E 540.50 SF Ceiling 60.06 SY Flooring 231.92 SF Short Wall 520.50 SF 1.72 895.26 030705-00001 Page: 2 GRZEBIEN, CHARLES .jerviceMaster / Total Service Compa_ ? 03/07/2005 CONTINUED - Garage DESCRIPTION QUANTITY UNIT COST RCV R&R Batt insulation - 12" - R38 540.50 SF 1.51 816.16 R&R 5/8" drywall - hung, taped, floated, ready for paint 81.17 SF 1.72 139.61 DRYWALL FOR WALLS THAT WERE DAMAGED R&R Batt insulation - 6" - R21 81.17 SF 1.04 84.41 Detach & Reset Porcelain light fixture 1.00 EA 19.02 19.02 Detach & Reset Overhead (garage) door opener - High grade 1.00 EA 126.57 126.57 Detach & Reset Overhead door & hardware - 16'x 7'- High grade 1.00 EA 329.09 329.09 Detach & Reset Shelving - 16" - in place 4.58 LF 5.07 23.24 Seal then paint more than the ceiling (2 coats) 1,00938 SF 0.53 534.97 Content Manipulation charge - per hour 4.00 HR 34.18 136.72 GARAGE HAS LARGE AMOUNT OF CONTENTS THAT WILL BE REQUIRED TO BE 1VIOVED - FOR DEMOLITION, CONSTRUCTION AND PAINTING Room Totals: Garage Room: Miscellaneous LxWxH 0" x 0" x 8'0" DESCRIPTION QUANTITY UNIT COST RCV Taxes, insurance, permits & fees (Bid item) 1.00 EA BID ITEM ACTUAL COST OF PERMIT WILL BE INSERTED WHEN PERMIT HAS BEEN OBTAINED Dumpster load - Approx. 12 yards, 1-3 ton of debris 1.00 EA 273.80 273.80 Room Totals: Miscellaneous 273.80 3,105.05 030705-00001 Page: 3 - ? ,erviceMaster / Total Service Compa. ? GRZEBIEN, CHARLES 03/07/2005 Room: Photos LxWxH 0" x 0" x 810" DESCRIPTION QUANTITY UNIT COST RCV Room Totals: Photos 0.00 Line Item Subtotals: 030705-00001 3,893.04 Adjustments for Base Service Charges Adjustment Carpenter - Finish, Trim/Cabinet 109.16 Drywall Installer/Finisher 227,72 Electrician 115.02 Hardware Installer • 108.50 Insulation Installer 124.80 Overhead Door Installer 114.84 Painter 87.02 Total Adjustments for Base Service Charges: 887.06 Line Item Totals: 030705-00001 4,780.10 0.00 4,780.10 Grand Total Areas: 1,39811 5F Walls 853.15 5F Floor 570.96 SF Long Wall 0.00 Floor Area 0.00 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length 853.15 SF Ceiling 94.79 SY Flooring 460.58 SF Short Wall 0.00 Total Area 0.00 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 2,25126 SF Walls & Ceiling 154.17 LF Floor Peruneter 170.17 LF Ceil. Perimeter 0.00 Interior Wall Area 0.00 Total Perimeter Length 0.00 Area of Face 1 030705-00001 Page: 4 ? GR'LEBIEN, CHARLES O&P Items CONTENT MANIPULATION GENERAL DEMOLITION DOORS DRYWALL FINISH CARPENTRY / TRIMWORK INSULATION LIGHT FIXTURES PAINTING WINDOW TREATMENT Subtotal Base Service Charges Material Sales Tax Overhead Profit O&P Items Subtotal Subtotal Less Deductible Grand Total 5.,. viceMaster / Total Service Company Trade Summary Total Dollars 136.72 273:80 455.66 1,063.23 23.24 900.57 19.02 907.80 113.00 3,893.04 887.06 @ 6.500% 66.41 @ 10.00% 484.65 @ 10.00% 484.65 5,815.81 5,815.81 (1,000.00) 4,815.81 03/07/2005 % 2.35% 4.71 % 7.83 % 18.28 % 0.40 % 15.48 % 0.33 % 15.61 % 1.94 % 15.25% 1.14% 8.33°/a 833% 100.00 % 100.00% 030705-00001 Page: 5 ?_. viceMaster / Total Service Company Disaster Restoration Services MN Lic # 3903 6314 Cambrid e St St Louis Park MN 55416 Phone 612 ?71-3885 Fax 952-928-9857 03/07/2005 Estimate: 030705-00001 Claim Number: 23-L235-674 Insured: GR2EBIEN, CHARLES Policy Number: 23-EA-4852-7 Home: 834 BEAR PAW TRL Type of Loss: Water EAGAN, MN 55123-2461 Deductible: $ 1,000.00 Property: 834 BEAR PAW TRL Price List: MNMN5F4D1 EAGAN, MN 55123-2461 Restoration/Service/Remodel with Service Charges Broken Out Business: Date of Loss: 1/18/2005 Home: (651) 905-1989 Date Inspected: 3/7/2005 Summary for Water Line Item Total Material Sales Tax @ 6.500% x 1,021.71 Replacement Cost Value Overhead @ 10.0% x 4,846.51 Profit @ 10.0% x 4,846.51 Replacement Cost Value (Including Overhead and Profit) Less Deductible Net Payment 4,780.10 66.41 4,846.51 484.65 484.65 5,815.81 (1,000.00) $4,815.81 LINDBLOM, TODD ALL AMOUNTS PAYABLE ARE SUBJECT TO THE TERMS, CONDITIONS AND LIMITS OF YOUR POLICY. ? ?erviceMaster / Total Service Compa_ ? GRZEBIEN, CHARLES 03/07/2005 030705-00001 Room: Upper Level LxWxH 1416" x 137" x 8'0" Subroom 1: Offset 1 LxWxH 4'3" x 1'9" x 8'0" Missing Wail: 1- 413" X 810" Opens into 0 Goes to Floor/Ceiling Subroom 2: Offset 2 LxWxH 13'0" x 5'3" x 8'0" Missing Wall: 1- 13'0" X 8'0" Opens into 0 Goes to Floor/Ceiling Subroom 3: Window Areal LxWxH 5'0" x 4'0" x 8'0" Missing Wali: 1- 4'0" X 810" Opens into 2 Goes to Floor/Ceiling Missing Wall: 1- 214" X 3'10" Opens into E Goes to neither Floor/Ceiling Subroom 4: Window Area2 LxWxH 5'0" x 4'0" x 8'0" Missing Wall: 1- 4'0" X 8'0" Opens into 2 Goes to Floor/Ceiling Missing Wall: 1- 2'4" X 3'10" Opens into E Goes to neither Floor/Ceiling 703.44 SF Walls 312.65 SF Ceiling 1,016.09 SF Walls & Ceiling 312.65 SF Floor 34.74 SY Flooring 90.17 LF Floor Perimeter 334.00 SF Long Wall 228.67 SF Short Wall 90.17 LF Ceil. Perimeter DESCRIPTION QUANTITY UNTT COST RCV Remove 1/2" drywall - hung, taped, floated, ready for paint 15.65 SF 0.28 438 1/2" drywall - hung, taped, floated, ready for paint 17.25 SF 1.39 23.98 Detach & Reset Window blind - horizontal or vertical 2.00 EA 27.19 54.38 Detach & Reset Window blind - horizontal or vertical - Large 1.00 EA 27.19 27.19 Detach & Reset Window drapery - hardware - Large 1.00 EA 31.43 31.43 Seal then paint the walls (2 coats) 703.44 SF 0.53 372.83 Room Totals: Upper Level 514.19 Room: Garage Missing Wall: 1- 13'0" X 1011" Missing Wall: 1- 1610" X 710" 694.67 SF Walls 540.50 SF Floor 236.96 SF Long Wall DESCRIPTION Opens into E Opens into E 540.50 SF Ceiling 60.06 SY Flooring 231.92 SF Short Wall QUANTITY LxWxH 23'6" x 23'0" x 10'1" Goes to Floor/Ceiling Goes to Floor 1,235.17 SF Walls & Ceiling 64.00 LF Floor Perimeter 80.00 LF Ceil. Perimeter UNIT COST RCV R&R 5/8" drywall - hung, taped, floated, ready for paint 520.50 SF 1.72 895.26 030705-00001 Page: 2 • GRZEBIEN, CHARLES DESCRIPTION CONTINUED - Garage jerviceMaster / Total Service Compa_ 03/07/2005 QUANTITY UNIT COST RCV R&R Batt insulation - 12" - R38 540.50 SF 1.51 816.16 R&R 5/8" drywall- hung, taped, floated, ready for paint 81.17 SF 1.72 139.61 DRYWALL FOR WALLS THAT WERE DAMAGED R&R Batt insulation - 6" - R21 81.17 SF 1.04 84.41 Detach & Reset Porcelain light fixture 1.00 EA 19.02 19.02 Detach & Reset Overhead (garage) door opener - High grade 1.00 EA 126.57 126.57 Detach & Reset Overhead door & hardware - 16'x 7'- High grade 1.00 EA 329.09 329.09 Detach & Reset Shelving - 16" - in place 4.58 LF 5.07 23.24 Seal then paint more than the ceiling (2 coats) 1,00938 SF 0.53 534.97 Content Manipulation charge - per hour 4.00 HR 34.18 136.72 GARAGE HAS LARGE AMOUNT OF CONTENTS THAT WILL BE REQUIRED TO BE MOVED - FOR DEMOLITION, CONSTRUCTION AND PAINTING Room Totals: Garage Room: Miscellaneous LxWxH 0" x 0" x 8'0" DESCRIPTION QUANTITY UNIT COST RCV Taxes, insurance, permits & fees (Bid item) 1.00 EA BID ITEM ACTUAL COST OF PERMIT WILL BE INSERTED WHEN PERMIT HAS BEEN OBTAINED Dumpster load - Approx. 12 yards, 1-3 ton of debris 1.00 EA 273.80 273.80 Room Totals: Miscellaneous 273.80 3,105.05 030705-00001 Page: 3 ? GRZEBIEN, CHARLES Room: Photos -.,erviceMaster / Total Service Compo_ ? 03/07/2005 LxWxH 0" x 0" x 8'0" DESCRIPTION QUANTITY UNIT COST RCV Room Totals: Photos 0.00 Line Item Subtotals: 030705-00001 3,893.04 Adjustments for Base Service Charges Adjustment Carpenter - Finish, Trim/Cabinet 109.16 Drywall Installer/Finisher 227,72 Electrician 115.02 Hardware Installer • 108.50 Insulation Installer 124.80 Overhead Door Installer 114.84 Painter 87.02 Total Adjustments for Base Service Charges: 887.06 Line Item Totals: 030705-00001 4,780.10 0.00 4,780.10 Grand Total A. 1,398.11 853.15 570.96 0.00 0.00 ,reas: SF Walls SF Floor SF Long Wall Floor Area Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length 853.15 SF Ceiling 94.79 SY Flooring 460.58 SF Short Wall 0.00 Total Area 0.00 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 2,251.26 SF Walls & Ceiling 154.17 LF Floor Perimeter 170.17 LF Ceil. Perimeter 0.00 Interior Wall Area 0.00 Total Perimeter Length 0.00 Area of Face 1 030705-00001 Page: 4 e GRZEBIEN, CHARLES 5... viceMaster / Total Service Company Trade Summary O&P Items Total Dollars 03/07/2005 % CONTENT MANIPULATION GENERAL DEMOLITION DOORS DRYWALL FINISH CARPENTRY / TRIMWORK INSULATION LIGHT FIXTURES PAINTING WINDOW TREATMENT Subtotal Base Service Charges Material Sales Tax @ Overhead @ Profit @ O&P Items Subtotal Subtotal Less Deductible Grand Total 6.500% 10.00% 10.00% 136.72 273:80 455.66 1,063.23 23.24 900.57 19.02 907.80 113.00 3,893.04 887.06 66.41 484.65 484.65 5,815.81 5,815.81 (1,000.00) 4,815.81 2.35 % 4.71 % 7.83% 18.28°fo 0.40 % 15.48 % 0.33 % 15.61 % 1.94% 66.94% 15.25% 1.14% 8.33% 8.33% 100.00% 100.00 % 030705-00001 Page: 5 s.0- ?1 3 ? J ?? ???? . , '. c.. ?..:.:: ? . .. •. ..:: ... ..? 4 ?'.t ... ?':,i`i;;'.;}`ii•,.? ... ,... . .,. '';:??'.?`.,. ,?. _, :;:i. .t;:t;' i?:;i:.,' i^'j:i??t.! "'"'?' ?..? ?: ?°>'r,•;`:.•j ?: ???t':? i ., ,?_t ? . , ?'•`?.t.•? .. - . .. , , . . ... . . ... .. ,.. , . . ., ?t .. . . . ? .. ;... .:..t. . . . .. . .. ? I .. ,..?.:. -. ,E: ? t ? ?:• ?.. , 1 ?{ ? - ._ ?. w ; CITY? OF EAGAN ? 38301P1ut Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 6 SITE ADDRESS: P.I.N.s 10-28800-060-06 I DESCRIPTION: 834 BEAR PAW T'R Lq7: 6 BLOCK: 6 GARDENWQOD PONDS PERMIT TYPE: Permit Number: Date Issued: srRucT ENGR FouND ermit Type SF DWG ik(,k Type NEW 11, n?+ x..,., R-3 U-1 cs?t "C°??,e VN 82 44 3,096 161 1 - FAM. C1ETACH PERNIIT ? k; , REMAFiKS: 5&W PLUMBER - M&W SEWER & WATEFt FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % 5AC Units Subtotal VALUF1TIQtV $1 9 $47. 25 $1,200.71 $146,60 $950.00 10@ 1 $4,143.96 $292,000 MISC FEES Total Fee BUILDING 030320 06/30/97 1 539.50 $5,6$3.46 CONTRACTOR: - A p p 1 i c a n t - S T. LI C. pWNEF3: MORTON INC QF MN, D R 14544663 2000565 JOE MTLLER WDMES 59 WASNING'TQN OR 204 3459 WASNINGTQN pR AC,AN MN 55122 EAGAN MN 55122 612) 454-4563 (612)454--4663 I hereby acknoWle+ infarmation is 'co Statu"tes arte! Ci.ty APPLICANT/PERMITEE SIGNATURE lSSUED BY Sl TU 204 . ti 1997 BUILDING PERMIT APPLICATION (RESIDENTtAL) CITY C?F EAGAN 3(j b 3830 PtLOT KNOB RD - 55122 881-4675 ? E76 ? Nevr Construetion Requiremerds Remode epair Rea,uj,Mnerts ? 3 registerod site survays ? 2 copies of pian ? 2 cxpies of plans (fndude beam & window aizm; poured fid. design; etc.) ? 2 ske surveys (exterior add'stions & dedcs) ? 0 snergy cafwiations ? 1 ertergy cafcuiations for heated additions ? 3 copies of troe preaenration plan # bt p{atted after 7/1/93 required: , Yes „X No ' 6 ?au / ? DATE: G-,20 ' 9Z CONSTRUCTfON COST: 7,71 DESCRIPTION OF WORK: e? t-dh.S?-uGt?Lh STREET ADDRESS: -;?4" LOT ? BLOCK lo SUBD.iP.1.D. ??.? ? 2 c4l??s? ... ,?._ PROPERTY Name: Phone #: OWNER LW ,.8. Street Address: City: State: Zip: CONTRACTOR Company: _0? ?s Phone #: Street Address: 3V5"l? e*i'License #: e22oQS"C57 City: _ ?44i,7 State: Zip; ARCHITECT/ Company: Phone ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construcction onty): Igd- WaL?c.fal?- , Penatty appiies when address change and lot change are requested once permit is issued. I hereby acknowiedge that t have read this application and state that the infiormation is correct and agree to comply with ail appiicable State of Minnesota Statutes and City of Eegan Ordinances. Signature of Applicant: OFFICE USE ONLY ,K,E ?; .t? Certificates of Survey Received ? Yes No J u vZ o las? firee Preservation Plan Received Yes Na Not Required $Y; OFFiCE USE ONLY , BUILDtNG PERMiT TYPE n 01 Foundation ? 06 Dupiex ? 19 Apt./Lodging o 16 Basement Finish X 02 SF Dwelling o 07 4-plex o 12 Muiti RepaiNRem. ? 17 Swim Pool o 03 SF Addition o 08 8-piex o 13 Garage/Accessory ? 20 Pubiic Facitity o 04 SF Porch o 09 12-piex a 94 Fireplace n 21 Misceflaneous ? 05 SF Misc. a 10 = plex a 15 Deck WORK TYPE ? 31 New o 33 Alterations o 36 Move n 32 A d d i t i o n o 34 R e p a i r o 37 D e m o l i t i o n GENERAL INFORMATiON --?? F?.?? f??+P? ???? . Const. (Acfuai) Basement sq. ft. MC/WS System ------ (Allowabie) Main ievei sq. ft. City Water -6 UBC accupancy sq. ft. Fire Sprinkiered Zor+ing sq. ft. PRV # of Stories ? sq. ft. Booster Pump LeRgth f32. sq. ft. Certsus Code. t0 i Depth _ ?Faotprint sq. ft. SAC Code h} Census Bidg Census Unit APPROVALS Planning f3uiiding Engineering Variance Permit Fee Vatuation: $ Surcharge Plan Review l.icense MCNVS SAC cfty sac WaterConn. Water Meter ? Acct. Deposit StW Permif S/W Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Other Copies Total: °!o SAC SAC Units 'G2L41 X ?? "r Ir?Z } ?-Sti,Do ????? 7-9) / 92),W CTTY USE ONLY LOT C.? BL ? RECEIl'T #: ( o6 SUBL?.;_ RECEIPT DATE: c Datet ? Complete this section only if you are installing HVAC in single family, tawnhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U ADDTTt-ONAL 50 M P'Y'LJ • Gas outlets (minimum of one required @$3.00 ea.) • Sta.te Surcharge: • TOTAL: .50 ?,e S Sd Complete this section onlv if you are remodeling. addin,g to, ar repairing existing sing,le familv dwellings, townhomes, or condos. Add-on furnace Add-on air exchanger, i.e. Vanee system, etc. Muumum fee applies to all remodel or add-ons of existing residences Sta.te Surcharge Add on air conditioning Other $ 20.00 .50 r4tal: $ 20.50 SITE ADDRESS: 23 V 9'°4, - P k L-1 ??'c,,, Z OWNER NAME: 'Zbe_ ?'Lt `??y' L7?s +n. P S PHONE #: INSTALLERNAME: Co,4612en( PHONE #: .9t;D -4"02"z STREET ADDRESS: 21o2 /D 6k 7'7's.-c -An - CITY: STATE: ZIi': ? SIGNATURE F PERMITTEE 1997 MECHANICAL PERMIT (RESIDENTIAL) CTTY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612)681-4675 $ 24.00 6.00 s 1S-,60 ? s•-- ?' t CtTY USE ONLY L BL RECEiPT #: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY 4F EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: A$25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 A State surcharge of $.50 per $1,000 of ep rmit fee due on afl permits. CONTRACT PR1CE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPRovEnnENrs ONLY) tNSTALLER: ADDRESS: CiTY: STATE: ZIP:. PHONE #: ? all commerciaVindustriai buiidings. ? muiti-family buildings wtien separafe permits are not required far each dwelling unit. SIGNATURE: SIGNATURE OF PERMtTfEE CITY INSPECTOR 10 t? ? p??a ?'`? ? ? Kertificat¢ af Cccupa-nCv wtf? 0f WQgtltt Zeoartmeut af Zuitbing 3u6pection This Certificate issued pursuant to the requirements of the Uniform Buildfng Code certifying that at the time of issuance this structure was in comptiance with the various ordinances of the City regulatrng building construction or use. For t/ie following: Use Ciutificatiorc 'S' ?DWG Bldg. Permit No. 30320 o-pa-y rype Rr3 U~i Zoning District Type Consc. Vn Ovmcr of Building 30E MILLER HOMES Aeanss 3459 WASAINGTON DR., EA[s'A11 MN Building Addrcss 834 BEAR PAW TR L6 !$6 , GARDEAIW4QI3 PONDS `` ;. Dam. ,?idiogOff" POST IN A CONSPICUQUS PtACE Address $34 BEAR PAW TR , . , Lot 6 Blk 6 Sub Zip 5512 GARDENWOOD PONDS THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: /Q aQ 9??"f Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) t/ Permanent steps (main entry) ? Permanent driveway ? Permanent gas ? Sod/Seeded grass Trail/curb damage ? Porch r/ Basement finish ? ot? ? f Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shut-aff of water sapply 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 ? 9 r 1 ? 6 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construc6on Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20°/a maximum lot coverage ailowed) 1 Soils Report if proposed building is to be piaced on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculafions 3 copies of Tree Preservation Plan if lot piatted after 7J1193 Rim Joist Detail Options selection sheet (buildngs with 3 or less units) Minnegasco mechanical ven6lation form (/??' ?)r . * FF K RemodeVRepair Reauirements Office Use Onlv 2 copies of plan showing footings, beams, joists Cert of Survey Recd _Y _ N 1 set of Energy Calculations for heated additions Soils Report _ Y__ N 1 site survey for addiUons & decks Tree Pres Pian Recd :: _ Y._ N. Addifion - indicafe if on-site septic system TreePres Required _ Y_ N On=sife Sepbc System'' Y_ N oll,.,o nro rnncirlararl niihlir infnrmatinn ?iniQqs vnu state thev are trade secret and the reason ? ?uuv w?a. Date 0-7 Construction Cost Site Address ?? L/ /???-/?-- J`"/tit?? ?- Unit/Ste # Description of Work d ? Multi-Family Bldg _ Y? Fireplace(s) 0 _ 1 _ 2 t 111 P O ? ?%?: Z Tetephone # ?7 (T? y wner 7 roper , , Contractor Z?f/1, t?u Address ? ?% ? /? ?r,?r ?•? l /i-? ? City ,?`?,.???,?L?a-? C State 14-, IJ Zip s' c tJ-!J Telephone #(?: 4 t) ? ?Z,?? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 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 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( 7elephone # ( 7elephone # ( 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 Statufies; 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. !!?l 12 Applicant's rinted Name .--- icant's Si DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bfdg ? 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-piex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) CJ 36 Multi Misc. ? 05 03-piex ? 11 10=plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 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 D2SCI'Ipt1o11: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 2 5% Census Code Zoning Ciry 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) _ FinaUC.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 . P;pproved By: , Building fnspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? . ? -Vk? INSPECTION RECORD' C1TY:OF EAGAN . ? PERAOT irit'PE: 3830 F?iFat 4Cnob Road Permit Number; Eagaq, Nfinnesota 55122-1$97 Date lssued: (612) 681-4675 ? . SITEAC3DRESS: APPLICANT: . :? ? 0.34???AR PMs Us=a va?)p??.?? ??t4 C A.f 14N, 1) R i????or ""oof) 1 4 f,,4'._..4 v??;.:a SUBTYPE: TYPE C3F WC3R,fi: { •??? JA; f"a t_ rt 11a 3" I? (114 "!" wic T c: m (? ? 4W?40t) , 0 O't T " _t? S 0W11+i EM t I ON ? ?) r 1 H G ? ?iilki A$ iON f` t#:t'i'I A(:t' ' !" x' 1mt ` p t, IA[i #` I NFt t ' .. :&W V14MI#f:!'Z M r,L# fd S'r liffk"? i c P u ? ,..._ :. -? ? ? , I I Pertnit No., ' PeMit Htsider tow I T-eW ph*" #I EI.ECi'R#G FLliME3iPJC3 /"'? ? (?Z;lf le N?t? ?`J?5 '1 ?. fl? hmp"momm ?ep. Cc+mse?sr?ts FOO??$ 71,/? c/? . ?a ?-?--?? ,46- 72, Fh3AN14l1G '1?1-1 FfOOFING PtUROUGH6aBtNt3 _ 4 ? $T k ? ROLfW H j? 1 ? -! G1'?1 ? G j?f T?EST? k ?l «SU? ?//f f ?l ?4 GYPBOARD . FiREPtAGE FtFiEPiACE AIR TEST ?n FiNati PLeG FINAL HrG t ? t I a?-r ?p? i• ? f? BLDG FINAL r? G?O BSMT R.I. BSNtT FINAL DECK FTG DECK FINAL / ?= . ? CITY USE ONLY L ? BL SUB '(,{ytt!/Yu?tl?-?? ? 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? singie family dweilings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES gA ,CH NO. Shower 3.00 x / . _ ? Water Cioset 3.00 x = 1--5 7 Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 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 = Water Tum Around 20.00 = Private Disposal System * Dak cry iic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE TOTAL RECEIP7 #: RECEIP7DATE: ?7//1-7 .50 I hereby adcnowledge that 1 have read this application, state that the information is comed, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicanYs responsibility to notiy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal operational and maintenance activities to the faalities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: GENZ-RYAN PLUMBING TELEPHONE #: 423-1144 STREET ADDRESS: 14745 So Robert Trl CInr; Rosemount STATE: MN ZIp; 55068 ?" klw4l SIGNATU OF PERMITTEE ? 152 Q RESIDENTIAL MECHANICAL v Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomes and Condos when permits are required for each unit 4-3p ,-<Z Date 09 / 23 / 2003 Site Address 834 BEAR PAW TRA IL Unit # PropertyOwner CHARLES & JULIE GRZEBIEN Telephone#(651-1?05-1989 Contractor RON' S MECHANICAL, INC. StreetAddress 12010 OLD BRICK YD RD City SHAKOPEE State Zip 5 5 3 7 9 Telephone #( 9 5 2-) 4 4 5- 8 5 8 5 Bond #: Expires: The Applicant is Owner X Contractar Other Add-on, modification or alteration to existing dwelling unit $ 30.00 Y furnace replacement . , _ air exchanger ? air conditioner _ New )5?L Replacement other State Surcharge $ .50 Total $ ?u •? I hereby apply for a Residenrial Mechanical Permit and acknowledge that the information is complete and accurate; that the wark will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a perxnit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 6doL ?'kYla.Y1CjPX C?'i r?Q 6 _ Applicant's Printed Name Applicant's Sigra ure COMMERCIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: commercial/indusMal buildings multi-family buildings when separate pernuts are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner _ Tei.p..r,ne N ( f Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type _ New construction _Install _ Remove Underground Tank _ Interior Improvement Schedule inspection during instatiation or removal of tank _ Processed Piping Nature of Work: Permit Fee $50.50 Minimum Fee (includes State Surcharge) Contract Value $ x 1% _ $ Pernut Fee • If perxnit fee is $1,000 or less, add $.50 => $ State Surcharge If perxnit fee is over $1,000, add $.50 per $1,000 Pernut Fee $ Total Fee I hereby apply far a Commercial Mechanical Pemrit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ardinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pernut, but only an application far a permit, and work is not to start without a permit; that the work will be in accardance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: - . . . . ~~~'r~.~~:+~'~ ~ B~BI . . . . ~ ~"~,r:~- z~ ~ . ~~~:7.Y ~ M32-1577-- 97 ~ . ~..~..6 . y~ 0 v~ ~ , r ~l~ r ~ ~j;~ ° ~ ~ "M r ~ ~ ~ 368.3C „ N 31, R , , ~ ~t -s> = 30 20 33 ~ , ~ ~ ~~~~t~ ~ ~ N ~ ~ 195. 3 ~ ~ , w N ~ i r ~ ~ a~ ~ ~ , n / ~ '1 - ~ ~~~E~ a , ~ _ -~`!Rtl y+' ~ ' / ` - _"'G = ~ - 1~0 5~y~i - ---Q____ ~ ~ i ~ ~ ~ ~ ~ i ~ ~ (~`7~ _ - ~cr ~ ~CJ C) / ~ - - --t~ v c: ~ ~ y:~.-.p,.., ~ Q U ~ ~7~~6~ ~ ~ ~ ~jA ~ J / ~ \ ~ ~s~~ j % 1' ~ o~ ~ r~7 ~ .ry~ r , ,~r, ti5. ` V~ `6j ~ ~ ~ ~ ~p A ~ ~ ~ 1„ ~ ~ ~~~'t 7a~ ~0 1ti' ~ ~ ~ , ~ ~ k~< ~ 4 b ~ r#~tr ~ , ~ ~t ' ~ ~ ~ ~ + w~r~~; _ ,30 q ~ . ~ ~n E i I'' ~ . f ~ ~7.~LI j~> / ~ ~ r ~ ~.,4.'- ~ ~ ~ ~ . ~ ~ ' . ~ . , 1 ~ / \ ~ ~~k~3°' ~ ~ ~C~. ~r ~ ~~0 i r' i ~ ~ r . pb ~ ~d ' ; ~ ~ r„ ~~j i ~ 5~ ~5 ` gj~~ w \ ~ ~ / \ f . ~t ;1 ~ 1 _ ~J ~u s ~ ~ c~ G 0~ 2 i, 1 k~ ~ ~ ~ t ~ ~ . ~p ~ ~ ~ ~ P a , ~ ~ 'V ~ ~o• , l ~ ~ 1~ . _ - a ~ 'G g qJ , ~/~v` ~w ~ ~'~s pQ ~M~s~ p p4 a ` ~ l~Q~. ~J,,•~ ~ 9 . F'. ~r . ~ `7A .U ti~. ~ ~l / i ~ p o a ~ g5 E ~ c~t>~ f c, ~jA~ ,~o 'g : r`~ , G~Q u ~ P,~~; J a Q . . . p r~Z~ 7~ ~1 ~ ~ s ~ ~6 ~ ~ I~~j t' ~ / ~ ~ 6 ? 'v14~1, ` o, ~ ~ ~ V ~ /5Q1~ ~ i ~ ~ ~ 53 :`~i , ~ t~ c / ~ ~i ~ ~ 1 ~ ~ ~ c~ I ~ ~ . - - ~v ~ ~ ~ , ~ L ~ ~ i ,~°°'Z a o LF , ~2 ~ ~ t~ v ; ~ > , ~ ~ ~ ~ ~ i \ Q ,.4~ l - ~g ~ ~ YJ ~ ' ~ J 1 ,~c/ ~ \ @ tJ'~ , ~ / N 0 N ~ v~ ~ / N^~ ~ ~ ~ ~ , ~ p oN ~ ~ ~ ~ ~ ~ ~ _ _ _ _ ~ ~ ~-_e. ______r~- _ ~ ~ ~ _ _ . _ r,,.~~,__ _ _ _ _ ~ ~ ~ _ ~ % = ~Q. ~;,-r, - Top curb to Gcr slab ~ ~ ~~I o~, Top block = .°~~t~t~3 ~ , , , ~y Lowest bsmt flr = ~7~s 3~. 3~. r n . , : r{ . ~ Tl ~C'~ ~j `'i , ~ ~,v ; ~ ~ L ~ - a ~ ~ 9~, ~ ~ ~ , v~, S , ~ 7. , 0~ ~ - r Y'I e' ~ BEar Paw T, ai~ ~ , ~ ~ C ~ ~ T r ca I I ~ ~ ~ ~ ~o ~ ~ - a~, ~l DESCRIPTION ~ ~ ~ ~ c~~ L.oi 6, Block 6, ~ GARDENWOOD PONDS Dakota Count , Minnesota Y ~ Plat bearings shown o Denotes iron monument it / - - - ~r ` Existing~ Uroposed , _ ~ ~ ~ J `t,~ ~ ~ ~ ~ ~ ~ ~ I hereby certify that this s~rvey, ple report was pre~ared by me or under my , survey, plan, or )r under my direct ~ su ervision and that I am a dul Re ' P Y 9i a duly Registered Land Surveyor urrder the l.qws of the ~ aws of the State ~ of Minnesota. ~ ~ ~ ~~.~s,. ~ ~ GE~~ , - - Date ~ ~ ~ Re . No. - 9 Reg. No. 8140 » , Scale: 1 = 3G w ~ ~ N I~. ~ ~ ~ 6~o e ~ ~ s e 43rd ~ t ~e~ ~u ~ ; .a ~ o B -eet, it ~ ~G urnsvol~ ~ a : ~ ! z a : ~ ~ ~ ~ ~ 9b~ ~ i l Ui32-1517.-97 LOT SURVEY CHECKUST FOR RESIDENTIAL BUI ING PERMIT APPUCATION PROPERTY LEGAL: ' I / a DATE OF SUR : LATEST REVISION: ? a ? w N DOCUMENT STANDARDS d 0 ? ? ? • Registered Land Surveyor signature and company O • Buiiding Permit Applicant Q,""'13 o • Legal description 0-'0 0 • Address 0--'o ? • North arrow and scale P--o 1:1 • House type (rambler, walkout, split w/o, spiit entry, lookout, etc.) 0-'? ? s Directional drainage arrows with slope/gradient °k er- ? ? • Proposed/ebsting sewer and water services & invert elevation ??Q ? e Street name O o • Driveway ELEVATIONS Existina w'o ? • Sewer service (or Proposed) ?? ? • Propeity corners 0 • Top of curb at the driveway 0 0'?0 • Elevations of any existing adjacent homes Proposed ?? ? • Garage floor ?? ? • First floor 0--'0 G • LoNesi Exposed elevation (walkoufiwindow) ?/ o o • Property corners CY ? ? • Front and rear of home at the foundation PONDING AREA fif applicable) ? ? ? s Easement line ? E!f' O • NWL O ra, o • HWL o Er` ? 0 Pond # designa6on ? ? CZf? • Emergency Overtlow Elevation DIMENSIONS • Lot IinesBearings & dimensions ? ? • Right-of-way and street width (to back of curb) f? o o • Proposed home dimensions including any proposed decks, overhangs greater than 2', / porches, etc. (i.e. all structures requiring permanent footings) ?f ? • Show ali easements of record and any City utilities within those easements ? ? s Setbacks of proposed structure and sideyard setback of adjacent existing structures 0 0'" o • Retaining wali requirements, if any Reviewed: WFu N e / Date January 1996 CRAIG1998/BLDGPRMT. FM `?a -sav ENERGY CODE WORKSfiEET FOR I & 2 L'AZiTLY DWELLINGS SITS ADDRESS[i/4 ?j ? CITY COMpLETED DYs p? ??? _PFIOPJH u AATL HQILDI27G CLASSIFICATIOII: ? catagory 1(atandard) or ? category 2(muat includa vantilat-ion) MIttIMUM CRITERIA ? ' Fotindation Insulation-R1o Plalla & Windown Roof Attio Ineulation; (See tab7.e an reverse side Siab on Grade Inoulatj.on-R10 Eor allowable percentagea) R44-1•7iCh Atti.c P7o Heel Floor over unlieaLed epacec-R24 R3E3-11itli AL-tic Raised lieel Eoundation YJindowe 1/2" R38 & R5-Solid Rafters insulated Glass. -4Jood or Vinyi Frame BTSP 1 Window & Door Area STQP 2 Calculata ar4a an a pereent oE Wall A. Total Window & Door Area in Sq. Feet WI14D0I9S (Including ['ou»datioti Windows) : YtI2lDOW MA2tiJFACTURE NAMS:' C. From Sl•ep 1 divide boX A(I9ihdow & Door WI2tD0{Q MA2liJFACTORE TXPE: ' Area) by box B(l•oL-al wall aiea) timea 300 equalU tho WiI7dOW and door a WTtiDOY/ M112tIIFACTURii U F7ICTOR: rea as a percent of wall area (box C), R. O. QuanliCy uq. f:l.Riea E30X A J?30 X 100 = Dimensions . C? ? Box E3q `1?.a571 . ` N x z? X jd ,TEP 3 D i bl 9 Pf- en gn FeaEuren - x A5SCit•iBt.Y Z! Q? X,S-6 }}??1??11 Z,. FRA21Z1JG TYPg: . X ?--lpN v ' , sl nriDnan raAr-uNc x st a 1 11 ? j1 « e 6 o. c. X "`? ADVAPICGD FRhMIIdG etudo 2411 o c . . x CA.VTTY IP7S[3LA'PIdN R'Jil X 3EiHATiiItiG TYPI3: X I,ESS TlIAtJ < R-5 X I2-5 > 02 htORG X U- FF1CT0[i U DOORS; From the table, (reverse side) determitie the maximum percent w3.ndow & door a f ' X rea or the design optiona sel.ecl-ed and enter l-he t- valiuc in Qox D below Uaned on the window mEg. [7- factor: ? "z X n T C l u a Area oE Pii d nq ft ' n owe & Doors - B. Total 4ia11. Area in Sq, p'C. 1'he i value from I:ho Cai>le in i3ox L7 shall Ue eyual to or greaL-cr tlian the t- iii pox C Wall Total Ileight Rrea j perimeter , ?. 9 z. ° i. ?-` -- s-? `'1'otal Area oE Walls [1=' (A?;` [t F. Tile buiiding niust not exceed the ritaximum cvindow and door area as a percentage of overall exposed waU area listed below for tfle comUination of fcaming technique, R-value of insutakion Nvirhin ttie insulateci cavitc, ' sheatlling It-value, and ivindocv U-fackor. Otlier components mList meet the reqtiirements oE this subpart. MAXIMLIh4 WINDOIN AND Ta00R AItFA AS A PIiIZCEN7' OF OVL-RAI.I. rXPOSFia WAT_I. , Cavity, . 1'Vindow [;-Factor Fcaming • tnsulation ' Sheathing? 0.49 • 0.36 0.31 0.'1; _ _ `_ _ •_- STANDARD R-13 %R-7 13.76% 17.8% 21.3% 24.300 STANDARD R-15 zR-5 12.9%4 17.1% 20.1;0 33,9°l STANDARD R-18 11.1°/a IG.Q°o 18.80/ 22.0 STANDAItD R-l8 ;?R-5 13.5 18.6000 31.8°S 25.300L ApVANCEp , R=la <It-5 1I.10110 17.1°!0 20.10a 23.90/ AQVANCED IZ-IS ?R-5 13.5;b 19.20/o 22.5°?? 26.1 I STANDARD f{-21 <IZ-5 11.8°? ;I7.0`,? 19.9;0 23.1`;'U STANDAItD It-21 _it-5 I1.0°10 19.31% 22.5`;'o 26.1 ? AUVANCGD R-21 <R-5 11.8°0 1$.1% 21.2;? 2•1.6°/o ' ADVANCCD It-21 >(:-5 , 19.d°10 199;10 23.20. 26.90,o Stibp. 3. I'erforinance cr:teria. Tlie conlbinecl .l-ternia1 transmittance (Uo) factors for walls, raoF/ceilings, anri floors aver unlieated spaces miist be less tlYari or equa) to: A. 0.110 T3tu/h f12 °F for wails; B. 0.026 T3tu/h ftz °P for roof/ceilings; and C. 0.04 T3tii/h Et2 °F for Floors. STA7' A ItTH: MS § 216C.19 FIrsr: 18 SK 2361 7670A480 Repented, 18 SR 2361 .? Minn. I6,10s CIiapter 7670 26 jt in(> 19") 1 Use BLUE or BLACK Ink --------------, � For OfRce Use I � / /--7 I (�} �� n� �„ I Permit#: C �G� `7 / � � � ,/ 111b 1J � 11 � Permit Fee: �i'�� - �� I 3830 Pilo#Knob Road i � Eagan MN 55122 i Date Received: � Phone: (651)675-5675 i i Fax: (651)675-5694 � Staff________ ��J 2015 RESIDENTIAL PLUMBING PERIMIT APPLICATION Date: � 23 � SiteAddress: �J`-� ��C �C�..� �\` TenaM: ��e.� ��C��.�'1 Suite#: ��IC�#� Name:��c�� f��e.� Phone:�9�� ' �,�UI Address/City/Zip: ��y C�c Qk �U.� fiC`Q�� f� �'J��Z� � � � ,+ { � �" ' Name: ��C�5 '��.,� ��1.�\�1 License#: ��t4�1��0 �1 �� ` ` �� ' �� Address: _�� J� � NC _City: �1��'�� ' � � �� L��I��I , ,� � State:��\ Zip: ��43 � Phone:�� `-1Z� �� : � ; Contact ��5 ��'C'� Email:bt��r � 0., � ti�fi �� _New �,Replacement _Repair ,Rebuild _Modify Space _Work in R.O.W. � �� `� Description of work: �.C� W\� \�.�0�� ' �� > �� RESIDENTIAL � .� � ��s Water Heater � � Water�Softener � Lawn Irrigation(_RPZ!_PVB) �� Add Pl�.�mbing Fixtures(_Main/_Lower Level) 4 Septic System � k >: _New Water'Turnaround � ' Abandonmerrt RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Tumaround*(includes$5.00 State Surcharge) 'Water Tumaround(add$200.00 if a 5/8"meter is required) $115.00 Septic Svstem New{$10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES 5 CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for p�rotection against underground u6lity damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this infortnation is complete and accurate;that the work will be in conifortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is� not to start without a pertnit; that the work will be in accordance with the approved plan in the case of rnrorlc which requires a review and approval of plans. X �,�(1'C�S�I�UI �� C�.�`c� X ApplicanYs Prin Name Applicant's�Signature -yg f � � ��. �, t��r � � ,.�s" *� � , � x �. �F � i . r�, .. ,s..a . `� � �a iF'��y�� r i � a r^ �.. `� }�: e �Y �� '�'��^ � � � � �s�� `� �`� �� +��' � � + r - �. x . a � �.. ,: _� r. 7 i. '� � f�, � �` �. � � -� ,o-5 '4� '`.R�4MiFf�r�i1�� ,, �W F��+�4Y.'��4�� e�:y�.i.�,�Y�� 'v.'_��"�y�.s'�f �r�� .,c� � �� 1 {: �., ��` � ��'$. . : � � � � �� .,•� 4 �,E ` r� j .z � v # ,. �r :,, � � .$� �y;� t � g"� .�"�" �.��. . i , ��`� .- �` ��''�s'� �'� � � -:.�. n, ,,..r '� , , .. �-� � ; :s� . �4,.. ,. .. _ . ., F.�.._..�.. .._.,z_w. � .. ,. �,.,.,, .�, �:�� . .,. �' - . ,. p P '�*5 t ^. � �, � .�� ' . �?`t � i..e.�,i. § .de_s, i��, .,..., . ... . .... a Cw+'�+�ww.�.:_r, v x,ti�x, . PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA146091 Date Issued:10/09/2017 Permit Category:ePermit Site Address: 834 Bear Paw Tr Lot:6 Block: 6 Addition: Gardenwood Ponds PID:10-28800-06-060 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Charles Grzebien 834 Bear Paw Tr Eagan MN 55123 (651) 905-1898 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA146573 Date Issued:11/01/2017 Permit Category:ePermit Site Address: 834 Bear Paw Tr Lot:6 Block: 6 Addition: Gardenwood Ponds PID:10-28800-06-060 Use: Description: Sub Type:Residential Work Type:New Description:Garage Heater 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 - Charles Grzebien 834 Bear Paw Tr Eagan MN 55123 (651) 905-1989 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170038 Date Issued:06/17/2021 Permit Category:ePermit Site Address: 834 Bear Paw Tr Lot:6 Block: 6 Addition: Gardenwood Ponds PID:10-28800-06-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Charles & Julie A Grzebien 834 Bear Paw Trl Eagan MN 55123--246 (651) 905-1989 Centerpoint Energy 1240 W River Pkwy Minneapolis MN 55454 (763) 512-2765 Applicant/Permitee: Signature Issued By: Signature