4660 Cambridge DrCITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Kno6 Road PERMIT NO.: '
fagon, MN 55122 DATE: -
Zon+ng: No. of Units:
Qwner:
Address:
Site Address: ar;+ibricl -r- ?. = i.,.i R5
Piumber.
Meter No.: ConnecHon Charge: -
Sixe: Account DeposiY:
Reader No.: Permit Fee:
1 agree !o wmply with the City of Eogon Surcharge: •-?
Ordinanees. Misc. Ckwrges:
Total:
8y Dnte Paid:
DQte of (nsp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilat Knab Road PERMIT NO.:
Eogan
MN 55122 OATE:
,
Zoning: No. of Units:
Owner: - - ' ' ? -
Address:
Site Address
Plumbsr: -
- ?? ?r
1 og?ee !o eomply with the Citp of Eagan Connection Chorge:
Ordinanees. Acwunt Deposit:
Permit Fee:
Surchurge: '
By Misc. Charges:
Date of I nsp.: Totnl:
Inso.: Dute Peld:
BUILDING PERM IT
To bs uaed for
Slta Address
Lot Block
Parccl
oc Name
W
3 Address
o Ci
°f Name
0
??
I\ddress
F ri..,
I hereby ocknowledge that I have read this opplicotion and state that
the information is correct and ogree to wmply with oll applicable
State of Minnesoto Stotutes and City of Eo9an Ordinonces.
Slgnoture of Permittea
/1 Building Permit is issued ta:
oll work shall be done in accordonce with oll applicable Stote of Mir
Building Offfciol
CITY OF EAGAN
3795 Pllot Knob Rood Eogen, MN 55122
PHQNEs 454-8100
Receipt #
0 0 n
Erect ? Occuponty ,
Niter ? Zoning
Repoir Q Fira Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Length
Grode ? Depth Sq. Ft.
Approvals Fees
454-I4 3F?
Assessment
Woter & Sew.
Police
Fire
Enp.
Planner
Counci I
91dg. Off.
APC
Permit
SurcFa rge
Plan chetk
SAC
Water Conn.
Woter Meter
Road Unit
Totol
on the express condition thal
?ta Statutes ond Ciy of Ea9an Ordirancea.
Permit Ido. Permit Holder Misc. Permit No. Holder
Plumbing ? U &h`'kt u ?
H.V.A.C.
f???.
Well
Weter ?
Disp.
Sewer
E??.?? q9?S .?.k-
Inapection Date Insp. Other
Footings ??c?jU ! ? % l .? ?- ?S /
Foundation
Framing A ?
-?r t e c e
Rough Plbg• ? i-
Rough HVAC
Insulation
Final Plbg,
Final HVAC .?.. 9A)
Final ?
Water Describe Location:
wAn ?GIc- .?if/_I/
`
Sewer
!
Receipt PLUMBING PERMIT
CITY OF EAGA1d
Fill in numbered spaces
Type or Print legibly
Permit No.
Fee -
S/C _
Tot
1. Date 2. Installation Cost
3. Job Address Lo1?J, Tract
4. Owner
5. Cpntractar . ' Phone
6. Address r
7. City J_ State Zip .
8. Buitding Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New ? Add ?
I 10. Describe
1 11.
f
Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
r Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12, I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date InsP.
This is your permit when numbered and approved.
Approved CITY UF EAGAN 454-8700
i ,
Receipt ' MECHANICAL PERMIT Permit No. -
CITY OF EAGAN Fee ?
Fill in numbered spaces S/C
Type or Print legib/y
? Tot. ,' . .
1. Date 2. InStallation Cost
.a
3. Job Address - LoTract
1 4. Owner
1 5. Contractor
; IV .
Phone '".; .
7. City ` 1 ' ' f, ' `- L t State
/11&.
Zip ?
8. Building Type: Residential L?1 Commercial O Institutional ?
9. Work Description: New ET"' Add ? Alter ? Repair ?
Descri be
Type
No.
? . Eguioment STU - M. Ea.
Forced Air •? %' -y? `? No.
- Equiament CFM
Ai
H
dli
Mfg. an
r
ng:
Boilers `
Mfg. Mech. Exhaust
Unit Heater
Mfg. Dther
Air Cond.
Mfg.
f Gas, Piping Outlets
12. 1 hereby certify that the abave information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY UF EAGAN Remarks
,4ddition BEACON HILL ADDITIQN Lot 5 elk 5
(vpvh Dwner ` 5treet 4660 Cambridge DT'iVe
J
Improvement Datig Amount Annual Years Payment Receipt Date
STREETSUFiF. ? 2 1848,67 205.41 9 1643.27 A011023 4-8-82
STREET RESTOR. K
GRADING $5 2 537.84 59.7b 9 478.0 023 4- -8
SANSEW TRUNK 1976 35.97 9.06 15 7•55 A011023 4- -82
*SEWERLATERAL ?j 1982 3182.83 353.65 9 2829.19 A011023 4-8-82
WATERMAIN
*WATER LATERAL 19$2 9
WATER AREA ? 1982 202.00 22.44 9 179.56 A011023 4-8-82
* Stubs 1982 9
STORMSEW TRK ?7- 1982 367.77 40,86 9 326.91 A011023 4-8-82
*STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 1981 185.00 27839 1- 7-8
WATER CONN. 1981 335.00 27839 11-17-81
BUILDING PER. 01
sac lggl 525.00 27839 11-17-81
PARK
T.rrti#iratp n# (Orrupttnry
Citp nf Cagan
EPP8x1111Prit Df Blttlmno jri6}1PCftD2t
Tba CMifiutc irrwed prrJrqrrt to tbe nqaisrmrnrr of Sutiorr 306 of the Ueiform BuiGling
Code arei(ying tbat ar r& tr+AC o/ iuwnce rbiJ nnrnwe war in cam pGanrr wi:b the wadau
ordinanas o f the Citr regulatixg bui/ding ronrt+urtion er au. For the /o!lowing:
?? ? ?/C.AR m??tNo 7013
0=.w,r'n" R 3 *rrc?me Vn Fu.r? 148 zoaaua?xI R-1
Blilie Construction,,,_.644 Superior Ct, Eagan
?? 3-30-82
mmeu?oreaa wa:
u,nb?.os.
BUILDING PERMIT
Site
cirr oF eaG?N _
9795 Pilet Keeb Raad Fegan, MN 55112 NO ^? 013
PHONts 454-8100
Receipt #
Lot _L 81«k S_ Sec/Sub. 21SAIM1111 H'-ll
parcel g ?[1-1350f' O50 OS-1
W Name autt.e wnsuucuvn
; Address 644 St7perior O:?t7L't
a _ --- erw 1Aeo
g I Name OWrer
it Mdress
Nome
I hereby acknowledge that I have read this aOPlication ond stote thaf
the inlormofion Is correct and agree to wmply with ali nppliGable
State of Minnewto Stotutes and City of Eogon Ordinonces.
Sipnature of PermiMee
A Building Permif Is issued to: BLll7.@ 03S13tY'l'
ali work sholl be done in aaordance with oll appliwble tatc of
Buildinp Officlul ?
Erect (a Occupancv R--3
AIMr ? Zonirp 1?-1
Repoir ? Fire Zone NA
Enlarge ? Type of Consf. Vn
Move 0 # Stories
Demolish ? Length 46
Grode ? Depth 50 Sq. Ft.-
Aoorovals Faet
Assessment _
Water 8 Sew.
Police -
Fire
Erq.
Plnnner _
Countll -
Bldg. Off. _
APC
Permit -IIU.UU
Surcharye 34 _ 50
Plnn check 170_ nn
SAC 525.00
Woter Conn. 335.00
Water Meter 60.00
Rood Unit ? ss _nn
rorol $1649.50
_ on the express wnditlon thm
ond Ciry of Eopen Ordfnoncee.
This request vaid ICJ ?'D fkt (?
T 75
,8 t91ro5
Request Oa[e Fire No. Rough-in InspecLOn
.2-S3 VO
q 7 ,aci)
I]equyed> ? IUReady Now ?Will NnLfv Inspeo-l
?es No r1?r When Ready
?Licensed Elec[ncal Contr»ctor , I hereby request mspacUOn of above
? Owner electncal work installad at
SV¢et dress ax or Route No.
466 V Gty
ecUOn o. Township Name or No. Fange No. nry
Occap t,(PHINTj t
u ? Phone Ne.
wer 5 pph r ? Atldmss ?
EIe ?`rica?l C?QQn[rac[or (i ompany dmel
VC?v?--- n onerartor*s License No.
MailmB ?+tlJress ICO ractor or Owner M
Nio a
mg Instailano
Authonzed tu Contract /O er =Uon)
-
Phone Numtrer
-3 t
MINNESOS STATE BOAPO OP ELECTflICITY ' THIS INSPECTION PEaUEST WILL NOT
Gtiggs-MidwaV gldg. - Noom N-191 BE ACCEPTED BY THE STATE BOARD
1827 Universrty qve., St. Paul, MN 55104 ' . UNLE53 PROPEft INSPECTION PEE IS
p.- IpI 1 947_9111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
^ F ,r
, -7?^.,q J ?,p 50 See instructions for completing this torm on back of yelluw copy
J ?!
"XBeluvs Work Covered by This Request o
N Aad Nep. Type of Bmlding Appliances Wired Equipment Wired
Home Range 7omporary Service
Duplex Water Heater Lightin Fxtures
APt. Buildiny Dryer Electric HeaLn
Commercial Bldg. Rrtnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm ome, Speu V Otlier Isnecitvl
,hcr SuccIfy Ot er Other
Compute lnspection Fee Below
N Fee Sarvice Envance5ixe t! Fee Feadors?Sabfeetlers # Fee Circuits
0 to 100 Am s 0 ro 30 Am ?s .' `J 0 to 30 Am s
_._.? 101 to 200 Amps 31 to 100 Amps / 31 [0 100 Am s
Above 2iju Amps Above 100-Amps Above 700_Amps
Tra T mer RemoteControl Circ. Partial%Ot
Sig Special Inspection 47 J 107
TOTAL F E
Bc?rurks
pO°g ° U/,° (
' I, the Electncel
? ? Inspector, hereby
Final
i
O ? ?
'J?? ?°• cerlify tha? the nbove
nspection hes been
. ma e.
Thls repuest void
18 n.nths Irom
City of Eapn
3830 Pilot Knob Road
Eegan MN 55122
Phone:(651)675-5875
Fax: (657) 675-5694
-------
For Off_ic'e Use
j Permit #: 7J 3 5 ! ? j
? Permit Fee: ?-/?. ov ?
j Date Received:
i t
I stan:
I
-----------------?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Uate: L -- D- v _ Slte Address:
Tenant: --Ra,Y
RESIDENT/OWNER Name: &"v`k4 ia"g t?x,,lf Phone: qS'? -aA '
Address / City / Ziq: qp (o
Y
Applican[ is: - Owner -)? Contrac[or
TYPE OF WORK Description of work: ??('96T
oy
Construcdon Cost: 0 t0660 Multi-FemilyBuikling:(Yes_/NoK)
CONTRACTOR Name: L? ?1E w-sk C1r-b`?? license #: c?.D?o ?3 i 064)-
Addr855: bI o 1
+ 1
City: ?.??Lil ? t Lt State: Al?j Zip: 6)q
95d-98S- OS$? i ?sr- as
P
hone: ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUC7lNG A NEW BUILDING
Minnesota Rules 7670 CateoQrv 1 Minnesota Rules 7672
Energy Code • ResitleMial VeMilation Category i hVorksheet • New Energy Code Worksheet
Cetegory suemacea sunmrtea
(J submission type) • Energy Erwetope Calculaiiops'3ubmitted
In the Iast 12 moMha, has the City of Eagan issued a permit for a simllar plan based on a masier plen?
_Yes _No If yes, date arM address of inester plan:
LlCensed Plumber: phone:
Mechanical CoMractor. Phwre:
Sewer & Water Contrector: Phone:
1VOTE: Plans and supporting docwments that you submit are considered to be pubUc In/ormatlort. Portions of
the fnformatlon may be classlfied as non-publlc if you provide speclflc reasons that would permit the City to
conclude that the are trade secreis.
i hereby acknowledga that this inforrnation is complete and accurale; that Me work will be in conformance with the ordinances arM codes W the City of
Eagan; thffi 1 understand thfs is not a permit, but only an apptica6on for a permit, antl work is not to start without a permit; that the wark will he in
accordance wifh the approved plan in the case of work which requires a review and approval of plans.
% M-P rl 5 z
AppRCaM s Printed Name Applicdnt's Slgnature
Page 1 ot 3
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan ?
' 3830 Pilot Knob Road, Eagan MN 55122 S
(,9 C,? Telephone # 651-675-5675 FAX # 651-675-5694 10 -I!S-
New Comirudion Reouirements RemodellReoair Rawirements (5tfi¢e4J&?bt$d
3 registered site surveys shaving sq fl of lot, sq ft. of house; and all mofed ereas 2 copies of plan ? 9F'S?X':.??.eGS1''?^; ??;',•'?`..'_t?1
(ZO%maximumbtcoveregealbwed) lsetofEnergyCakulahonsforhealedadNtbre It6C;Fte91Pt9t+?R?Ctl:t;;:
2 capies of pWn shvxing beam & window sizes; poured found design, etc . 1 site suNey for addtiom & decks IiCe:P.r¢s:ke[pnr'Cd;?:;,??::::'-
,_.... , ..
isefofEnergyCalculatwn,a Add'rtron-indlcateifons8esePticsYstem DtesilES`8?
3 copies of Tree Preservalion Plan i( lot plafled afler 7l1f93
Rim Joist Detatl Opfwns selecfion sheet (bldgs wifh 3 or less unils
Date Constructian Cost
Site Address ywlio Ga m hY?^G YC? dI'/ JC?
i UniUSte #
Description of Work
Multi-Family Bldg _ Y_ N Ftireplace(s) _ 0 _ 1 _ 2
Pmperty Owner ??+`.I? ?J? ? ? h ? ? ? ¢ ?'L Telephone # (d V
Yl? o
Contractor
Address //q City
State .?79iV Zip 07 Telephone #(bS1 ) 95y 90 8?-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residentiai Ventilation Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissiontype) Submitted Submilted
. Energy Envelope Calculations Submitted
Have you previousiy constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Confractor
Sewer/Water Conhactor
Telephone #(
Telephone #(
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the informatil8y+c co*•+nt'an"cc rate;
that the work will be in conformance with the ordinances and codes of the City of agan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernvt, 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 requues a review and
approval of plans.
//en
Applicant's Printed Name Applicant's Signature ?
OFFICE USE ONLY
Sub Types +' .
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 27 Porch (3sea.) ? 31 Ext Alt - Multi
? 03 01 of_plex ? 09 07-plex O 17 Garege ? 22 PorcNAddn. (4-sea.) ? 33 Ext Nt-SF
? 04 02-plex ? 10 08-piex X 18 Deck ? 23 Porch(screen/gaaebo) ? 36 Multi Misc.
? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Pibg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
, 32 Addition
'M F
? 36
Move Building ?
42 Demolish Foundation ? 45
Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitfon (Entire Bldg) -Give PCA handout W applicant
Valuation l '(9 1 7 Occupancy MCES System
Census Code ? Zoning City Water
SAC Units Stories Boaster Pump
# of Un'Rs Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const vil Width
Footings (new bldg)
? Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice& Water Final
_ Framing
_ Fireplace _ RI. _ AirTest _ Final
_ Insulation
REQUIRED INSPECTIONS
Final/C.O.
_eK FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Approved By. Z ( , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnft 8 Suroharge
TreaUnent Plant
License Search
Copies
Other
Total
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hius7 shriw locn[ion nP streets, Iot and proposed buildingti, givv lot dimenr;ion.. (Lnc r, ::'nrr, ,..l:: u.-lr,;
arc to iw stnkeci before appraisal is requested.) .
/--
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?* -qb?? CITY CF EAGAN Include 2 sets of plans,
« ? i 1 site plan w/elevations &
? BUILDING PE13OffT APPLICATI?i 1 set of enerqy calculations.
'Ib
Be Used For Valuation C 7 D CJ D Date
site Pddress q (.06 0 Cc,- w?- 6??? b -6N i
Lot L slock ?-- sec./sub. d//Erect
Parcel #: ?Z?_ ??SoO OSO o-S-7 Alter
/ OFFICE USE ONLY
f/ Occupancy
Zomng -
Fire
ZyPe
# Sto
Fzont
??
?.r
?Jwner: 61cft t+?9pa?e -
AC?I'255: ??
Datnlish
City/Zip Code: Grade
Phone #: J?? I5?3 ?
Contractor:
P,cldress:
City/Zip Oode:
Phone #:
/
Addressc?
City/Zip Cale:
Phone #:
t?7ater/Sewer
Police
Pertnit a
Surcharge
Plan Checlc
Fise ?
?q. Watex Conn.
planner Water Meter
Council RDad Unit ?
Bldg. Off.
APC
70'I'AL ?-I ?P `t 1 SC?
Zorie
of Const.
ries '
-? ft.
ft.
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r
.
_
_ .
-----
Determine working Syu;lrP footage af each.
1. Tota1 exposed, wall area ...... ?36y33 sq. ft. x
2. Total roof/ce4ling area ....... __ /eT_--- sq. ft.. x_,C?- _,=(?'?rs6 ?
Total exposed wall area above floor =`g//v(L ,.
a. Total wall window area .........................
.....
b
Total door
.
area ........................
,?777
c. Totai sliding glass door area
?--
........
..,........
,.
d. Total fireplace wall area'..........'
.. ---` - --- `
...........
e. Total wall framinn area la ve;ra9e
) ............ ..?/?,?? `
,.
f. total net weil area above floor
2G
?
?
_
.
j?
g. Total rim joist area ........................ . .. .-J
_?33_. ; •
Total exposed foundation ai-ea = /ofj '
h. Total foundation window area ...................
- .-
. Y _ ••
;,
..
.
i. Toal net foundation area abcwe grade .......
. . . . . .. .
Determine "U" value cf each «all segment.
a.?---?5Q,3? _ g 11??, 8=2 .7J
X liU" 3
----- - -'--- - ----.?
C. 3? X DWI
Se`J
.'
d. 11?14 K 1.01,
_ .
2-
e. -:/o.CuW X „UH , /.2 = 75,?? ? '. •
x „U„ 29
- ,w
X $,Olt
h. '- X "ul,
i. 68 X „0„
---- -=- - - --?, _ ? _
3 ..................................... Tota1 = [?.:
If item #3 is the same as, or less than item kl, you have met the interit
of SAC 6006(c)2. `
: ? py•1 . - ' a,c.? . ?. ?:`i 3 r+ ? ? . ? t?'??P.?yM.9tt+'j`C
9 ? . - TIIY?I r?l?i???w?l '•< ? ' ? ? ? ? F b f
E: t1?e 15? of
OPS,90 v411 *preft:._xbr
.,
-crau?e`constructlon?; ? C6nstri?r;tian S-Va7ue
...;....w_..__..,-
?r
3.
? ?".?
a, z
6: £xkerir "air film?-~? r 0.I7?
? Total
1.
s.
a.
4.
5.
6.
1.
2.
3.
4.
S.
6.
GRADE
1.
2.
3.
4.
5.
6.
T rior air tilm 0.68
?9
?.Gjz icT ??f . v
Sxterior air film 0:I7
? ., ,
7btal°' _%?/
?
. ., :.'cfi
' .-(J(O '
• ;.
,
,
,
Intesrior ati film " 0.68
Exterior nit Pilm
Total /3
• . . ? , .. , . , ?
? . , ... ?? %L
•
f
l ????
`? • ? ?•
? ???
? N ', ? ?` .
..•
A? " • ,
,
, f
?
FIG. "Nd
•
!fl d • ca
? lu ??
Irf ? tGr : nr :
NoTEs Indicate tyoe, °!:" value'. 'dePth and
plaeenent of insulation.'
r
II1
?k..
:?a;i '^?'? "s'??'S°_; y i;y?.;..;:'y': ``eEfp ?kr' ',ro'T,?.y :?'?"> g,? +.?'?,?i;'r:• >_'y;'ii.;?¢:,?^;.;.":n??,?#j'M.f-S-ti,^:??+i'``?'>_';°'?s::,'.?'?5:?lF?y?.W?s'?"';'t`' '?
W?:?Y
wk n ?ti
?\
Coiis'truction ? °R-Yalue?.
• f' J! "' _ . . ? ? _
In!crior air film 0.61
2.
??/''?%? (? ?,i?]??",? 3: / y ?U?. 3% v •.,
4. Sxtciior air,71l7n (etill_-
vE1rr
. . "???? ? ? •? ' . ? , . ? -i,?, ? '" ?
1 L
Vented? ? fi¢at? £lowr;
. ? up . ;
- ;.
P7Ci. ' #5
?;;..
?`.
y?.
,FIC. #6
1.
3.
4.
5.
?
i
;
NoL•c: Vse fldditional shects iP'awrn epaco ia `
needed for c3etails- q1ui calc4latiens. ?
, ? ? ? ' . " , , •? _
nY S4
- ?...'
' : ., ,: . : • . _
Neat floa up •vented
,. ,^ t?'
?U ?.'F sn? £? .; ? Y J?? S ..'? ' ?y ib$? ' g t?• 2 Q ?e . ? '+'@ ?,d r i? ?'`,?`t3
4 ? yt, , y ?. • '' '';y v .? i±.e ..
??-'? ??? "? • Tota9 exposetl roof%cei 1 ing area - ? 134 Tota] skylight area............ .....
k. - Tatal .raof/cei?ing framing area (average?TO`X)...?
? l. Totat net insulated roof/ceiling area.........
Oetetinint.!'U' value for each roof/ce,iling segment. .
?
X Nu .__ ` _ ..
x ,.U„ , a?
x ,tu.t ? , D3 = 36,
4 • .•.?..?.s , • .• ...• ) •
`.??.
? . a .rs.r. ....TQ-tai • ?
F C????
If totai of #4 i,g ?tlie-satae hs, or, less than #E. yoU have?p*t the.tfitent?of.
S8C 4006{tt)Y.
A1ternate 8uilding Enve7ope Design
? To ut1li.Ze the Lotal envelope system method, the values establisheQ,by the F
- sum of items ?3 and 1?4 shall not be qrenter than the sum of items°01 8nd 42._.
?t + 2.
. .. 3. + 4.
?4.. ? ? ??....??? ? . •
fg+.
i
l; .
??..
}fGi
fv
4A
.{?-7q o
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PiLOT KNOB ROAD - 55122
651 681-4675
Date: ? ?/-OYJ
(area code)
I 3
State: & Aj Zip: 5?~33 7
Description of Work: Construct new fireplace _Gas _Masonry _ Alterations to existing
? Install gas insert onlY _ Install gas lixe onlv
Other
Job address:
Lot: ? Block: r Subdivision/P.I.D. GOI'l lr? l/
Applicant (circle one only): Owner Contracto Permit Fee: $60.50
PROPERTY
OWNER
FIREPLACE
INSTALLER
Name:_?ec"V nqm?'1 Phone #:l!/5/-&8?07C/
Street
City , State: 0 7 /*,, )_ Zip: fjeVc:)2;;?
Company: Phone #: 67SI?P-bz
Street
c,ri
Comp
GAS LINE
INSTALLER Sheet
City
v
I hereby acknowledge that I have read this ap,?lication and state
comply with all applicable State of Minnesoo StaAeWd C*y (
Phone #:
(azea code)
k ?o}6c)
State: Zip:
the
q
5EP 13 2000
is conect and
agree t
?
?2 ?
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
96,33
Use BLUE or BLACK Ink
For Office Use
Permit #: 1. 1 )130
Permit Fee: b 5. c)5.'
Date Received: 1O) -k113
Staff:
447
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
10 ) 1 i3 Site Address: (OG V C:C,vkl iI ki 1J r
,n^ � Unit #:
Name: Q� " " 1� ` Phone: G0I'G
Address / City / Zip:
Applicant is: Owner
}Contractor
Description of work: I--e'1i' 0C -C- 2.-e C
Construction Cost: / 6-, co Multi -Family Building: (Yes / No,
Company: (,�(� 1P C. 14 CO . -nit" _ Contact: I I,C(,�
Address: 5Vs J Aellyhfricki nve, N City: S-1-; I k
State: MN Zip: 551:1• Phone: c51 W 29 - N 90
License #: aid ps� % y Lead Certificate #:14/4T— ( ()SSS5 —
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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.orq
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
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 State Building Code must be completed. within 180
days of permit issuance.
x 4. Ci n -
Applicant's Printed Name
Applicant's Signature
Page 1 of 3