4790 Beacon Hill Rd41? City otEap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
--------------
I fir Offic,lY I
Permit #:
?
Permit Fee: Q
Date Received:
I Staff: I
----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: o +--OLE- Site Address: ! 1U R }Pc` , L11 1 -11' I.-M.
Tenant:
Suite #:
RESIDENT / OWNER Name:.fnd f('fl. L cir- Phone: (.Q5 1 40S. (`'1`"[3
Address / City / Zip: l .' ft,? (' )\
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Z CO Multi-Family Building: (Yes /No Xj
CONTRACTOR Name: t u r 0? License #: A0111 ? t.o r
Address:
City: W bilk V State: Zip:
Phone (Q 14 13 Contact Person: I I
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
Cate
or
Submitted
g
y
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 information. Portions of
the information maybe classified as non-public if 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;
Eagan; that I understand this is not a permit, but only an application
accordance with the approved plan in the case of work which requires
x?? W re nay P
Applicant's Printed Name
that the work will be in conformance with the ordinances and codes of the City
for a permit, and work is not to start without a permit; that the work will be
a review and approval of plans. },?
x . ?cjt 1Qnc p
Applicant's Signature
Page 1 of 3
(PCI t? 41 a76
2005 RESIDENTIAL BUILDING PERMIT APPLICAY4_?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5 New Construction Requirements RemodeVReoair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas - 2 copies of plan Cert of Survey Reed Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pies Plan Reed _Y -N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required -Y _N
1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _ N
3 copies of Tree Preservation Plan If lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date /
? Construction Cost O O O - (Z
x
Site Address t (p k 1 1:) _ Unit/Ste #
Description of Work OWt.-A P, AL _?CM(i 26k I
Multi-Family Bldg Y N Fireplace(s) - 0 - 1 _ 2
Property Owner ?y?? V (`i(( (?(`?? Telephone # (lj i) 14 Q°C'l`t
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
('1 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? - Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work 1 ? ev;te nd
approval of plans.
?% kea ".? 11? ? __?X Ldea ,
Applicant's Printed Name Applicant's Signature
L
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex , 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or - N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
t1 , 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
A 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code C 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) _ Final/C.O.
_.,,X Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & Water Final - Pool Ftgs ` Air/Gas Tests _ Final
_ Framing - Siding Stucco - Stone - Brick
Fireplace _ R.I. -Air Test -Final _ Windows
_ Insulation - Retaining Wall
Approved By: r , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
0
oURVEYOR'S
CERTIFICATE'
SUNSHINE CONSTRUCTION CO.
?- 1 1 cf 0
N 86044'1311W o
155 34 A9
M r- 930.7
it) 7.51 -
.r) CO
/ LOT
J- / 48
V- / V DRAINAGE AND UTILITY
75 EASEMENT PER PLAT
x918.1 1
1n
x932.I
37.33 30.00-
to ? 01
OT
N N1 1 10
1x935 2 1 4)(3 I
9
37.33
\ U,
Sao a I
C,j
APR \A 5?\N 1a' W
8.00 7.00 1 o I
x9 9.4
O\ O T-- I
\
CID . [- 1 DR POSED
nl PR, N DR IVEWAY
VEWAY
M
(q V °'9a 0 110
22.33
-3733' -J
N 86044'13"W
N
o DENOTES IRON MONUMENT SET
0 DENOTES IRON MONUMENT FOUND
? DENOTES WOOD STAKE
X000.O DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
171.51
I -7
?Y I
R - - 0
9
30
m
o JI
W
T
Cr'
=?n
0
ro
z
0
U
a
w
m
0
SCALE: 1 INCH = 30 FEET
PROPOSED GARAGE FLOOR = 940.2 FEET
PROPOSED LOWEST FLOOR = dl32.( FEET
PROPOSED TOP OF FOUNDATION
= 94^.1 FEET
I hereby certify that this is a true and correct representation of a
survey of the boundaries of:
Lot 48, Block 6, BEACON HILL, according to the recorded
plat thereof, Dakota County, Minnesota.
And of the location of all buildings, if any thereon, and all visible
encroachments, if any, from or on said land. It also shows the location
of the stakes as set for a proposed building. As surveyed by me this
4th day of August, 1981.
SIGNED: JAMES R. HILL, INC.
J 1`'
!! f
BY:-
C. Peterson, Land Surveyor
Harold
Minnesota Registration Number 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
81205
Planners / Engineers / Surveyors
FILE NO. 22/17
8200 Humboldt Avenue South
FOLDER Bloomington, Mn. 55431 612-884-3029
This request void 51? ( LC( ?( ! t ?CLCC?/? r ?7 ?y
8 months 5 5 7 1 6 4C/
TT ?r7 Q S-
Request Date Fire No. Rough-in Inspection
Required?
QReady Now,Q Will Notify Inspec-
El Yes ? No for When Ready
IVCicensed Electrical Contractor I hereby request inspection of above
? Owner electrical-work installed at:-
Street Address, Box or Rout o. .i
90 City
aectio No. Township Name or No. tinge No. County
'
Occupant (PRINT)
tj I=
'0 Phon No.
Power Suppl Address
Electrical Contnlnel nom Con etor'sLicenso.No.
Mailing Address (Con! 6 4 0 4 ;N,--,y". •Itw to}1atiSon 1-r'?; _ - - - - - -
ARPT.P.
e
Authorized Signature ' Contractor/Owner Makin Ins
tallatron
`` Phone Number
x
? KENDRICK 432-5036
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs.Midway Bldg. - Roorir N-191 BE ACCEPTED BY. THE STATE BOARD
1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
rr ?? t l V See instructions for completing this form on back of yellow copy.
':,71'" Below Work Covered by This Request
EB-00001-03
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Healing
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Specify Other lSpucify)
Other Specify Other Other
Compute Inspection Fee Below
Is Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits
0to100Amps 0 to 30 Ams 0 to 30 Ams
101 to 200 Amps 31 to 100 Amps 31 to 100 Amps
Above 200 Amps Above 100-Amps Above 100_Amps
Tra _OMrs Remote Control Circ. Partial,,`Oche
? Special Inspection S
[Q
TAL FEE
Remarks
Rough-in Date
I the Electrical
Inspector, hereby
c
tif
that th
b
Final
Date er
y
e a
ove
i,ns.pection has been
?.- - made.
This request void
18 months from
This request void 1q'iq- 10 c
T $„ months 599
Request Date
df .Fire lo., Rough-inlnspection
Requi d.
es ? N.
Ready Now gal ilk Notify, Inspec-
for When Ready
LffLicensed Electrical Contractor, 1 hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route o. City
ection No. Township Name or No. Range No. County
Occupant (PRINT) Phone No.
Power Supplier t
fdectrical Contracto ii
b me) T`: ??
TTJ++ Y
* ?
f
Cant etar's License No,
. ?' t
?y
Mailing Address- (,Contracto or Qw r a st
'Authorized Signature (Coma - r Making Installation) - - -- Phone Number-
-MINNESOTA STATE BOARD OF'ELECTRICITY ,THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg..- Room N-191 BE ACCEPTEDBY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104, UNLESS PROPER INSPECTION FEE.IS
Phone (612) 297-2111 ENCLOSED.
?r REQUEST FOR ELECTRICAL INSPECTION
`Wa. ) See instructions for completing this form on back of yellow copy
. s a.% 1 tJ a?
%. Below"Work Covered by This Request
EB-00001-03
a-7 New ,Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. urnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Specify Other (Specify)
Other (Specify Other Other
Compute Inspection Fee Below
# Fee Service Entrance Size # Fee Feeders /Subfeeders # Fee Circuits
0 to 100 Ams 0to30Amps A0 0 to 30 Amps
101 to 200 Amps 31 to 100 Amps g a Q 31 to 100 Amps
vjeL )s Above 100 -Amps Above 100-Amps
j .? Remote Control Circ. Partial?'Other Ep-e
%
Af Special Inspection
$
1
T
T
a
-1
Remarks
:
7
O
AL FE /
i
ooo
Rough-in 2
t
e I. the Electrical
. >
-
lJ Inspector, hereby
if
h
h
a
Final ( - `?? { G
D /lJ ?0
J 0
cert
y t
at t
e above
nspectton has been
made.
This request void ,
18 months from
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122 N? 6 8 0 6
PHONE: 454-8100
r!
t
BUILDING PERMIT Receipt 'v
#
To be used for SF DWG/GAR Est. Value $57,000 Date August 11 19_x_
Site Address 4790 Beacom Hill Road Erect i Occupancy R3
Lot 48 Block 6 Sec/Sub. Beacon Hill Alter ? Zoning R1
Parcel # 10 13500 480 06 Repair ? Fire Zone
Enlarge ? Type of Const. __
W Nome Sunshine Construction Move ? # Stories
Z Address 1507 Clemsen Ct. Demolish ? Length 54
city Eagan 55122 Phone 454-r74 5 Grade ? Depth 38 Sq. Ft.
p Name Owner Approvals Fees
uu Address
Nome -
Address
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 (City of)Eagan Ordinances.
Signature of Permittee`-1-.1011
A Building Permit Is issued to:
all work shall be done in a cordon
Building Official +
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit 3tJ4.UU
Surcharge 28.50
Plan check 152.00
SAC 525.00
Water Conn. 335.00
Water Meter 60-00
Rood Unit 185_O8
Total $1589-50
Construction on the express condition that
icable State of Minnesota Statutes and City of Eagan Ordinances.
Trrti tratr of Mrrnianrq
Qitp of Cagan
39rvartmrnt of inithing 3nstrrrtum
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
SF DWG/GAR 6806
Use Classification Bldg. Permit No.
Occupancy Type R3 Type Construction VTl Fire Zone Zoning District
Owner of Building Sunshine ConstruC. Address 1507 Clemson Ct., Eagan
Building Address 4790 Beacon Hill RdE,ociyLot 48,Block 6, Beacon Hill
'cb? Ely:
November 13, 1981
Building Official Date:
POST IN A CONSPICUOUS PLACE
?% ,?rfi,?c9 iv S[,+t+ araTr'
All
tA
1.1?NOiN U.S.A.
CITY OF EAGAN Remarks'
Addition BEACON HILL ADDITION Lot ' 48 BIk 6 Parcel 10 13500 480 06
Owner iiie{/i1) 6- ' DA U, J. ti- Street 4790 Beacon Hill Road State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. &" .r. 1982 1848 205.51 9 1643,27 A010999 -25-82
STREET RESTOR.
GRADING 1982 537.84 59.76 9 478.0L A010999 ..3-25-82
SAN SEW TRUNK 1976 135.97 9.06 15 72.55 3-25-82
* SEWER LATERAL 1982 3182.83 353.65 9 2829.19 A010999 3-25-82
WATERMAIN
* WATER LATERAL 1982 9
WATER AREA 1982 202.00 22.44 9 3-25=82-
• Stubs 1982 9
STORM SEW TRK 1982 367.77 0.86 9 326.91 A010999 --3-25-82-
• STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 1981 185.00 26238 8-11-81
WATER CONN. 1981 335.00 26238 8-11-81
BUILDING PER. 6806
SAC 1981 525.00 26238 9-11-81
PARK
PERMIT
CITY OF EAGAN
3830.Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
4790 BEACON HILL RD
LOT: 48 BLOCK: 6
BEACON HILL
P . I . N .: 10-13500--480--06
DESCRIPTION:
Building Permit Type SF (MISC.)
Building Work Type ALTERATION
Census Code 434 ALT. RESIDENTIAL
BUILDING
032320
06/22/98
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$137.25
4.00
$141.25
$8,000
CCCIITRACTOR: - Applicant - ST. LIC, OWNER:
M NESOTA EXTERIORS INC 13915514 0002877 UNDERDAHL BRUCE
8600 JEFFERSON HWY 4790 BEACON HILL RD
O9SEO MN 55369 EAGAN MN 55122
(612) 391-5514 (612)405-1948
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE It ?j ISSUED BY: SIGNATUR
-- -- - - - - - - - - - - -
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
,?-- ILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For Valuation ,5-2 000 Date Ct-' 7 / % fI
Site Address s
a' V
Lot
Block Sec./Sub.e_c,..
Parcel #: O / d \ (-u c ' (0
Owner: A"_L?' I-v-
Address: /5v`?- j-
City/Zip Code: i? Ss/
Phone #: r f'?;f
Contractor:
,,
Address:
City/Zip Code:
Phone #-. Arch./Eng.:
Address: -74 _?,6 _ 4.s C
City/Zip Code: C9l4, V )
Phone #: -U
OFFICE USE ONL
Erect --?6?- Occupancy
Alter Zoning
Repair Fire Zone
Enlarge Type of Const.
Move # Stories
Demolish Front ft.
Grade Depth ft.
APPROVALS FEES
Assessments ,
Permit _ 0
d 0
Water/Sewer _
9.
C3
Surcharg"e -? - -As
Police Plan Check 4tt p 0
Fire SAC (?C1
Eng. Water Conn. a? 0 0
Planner Water Meter 0, too
Council Road Unit ._.? .g _
Bldg. Off.
APC
TOTAL ? S _
SURVEYOR'S: CERTIFICATE
SUNSHINE CONSTRUCTION Co.
' -r-
L_ ?
N 86044' 13"W
75r - n _ 930.7
I/ LOT
do• /
48??
O gs
19-1 / DRAINAGE AND UTILITY
5 EASEMENT PER PLAT
X18. x932. I
I55.34 A'?9' --,
N- 37.33 - '"=30.00 -
Io ? 001
N N I 10
IXy3g 2 I h°?? 1
37.33 I I
O ?? I C
C,j D QpSE? o i e
(I
PRp pv5? ;
8.0 N 7.
I g ?? O ? x 9 9.4 I
m \ O PROPOSED
S ( Oar N R, N vi I DRIVEWAY
00"' t 00 110
- -\N--" x 22.33
3 -7 ':uz -
N 86044'13"W
- I-l I
0 DENOTES IRON MONUMENT SET
DENOTES IRON MONUMENT FOUND
? DENOTES WOOD STAKE
X000.O DENOTES EXISTING ELEVATION
(000.O) DENOTES PROPOSED ELEVATION
30.00-
30
M
4j 9?? o
O
LO ca
00 M
O
N)
V)
171.51 e ? - ?+ g34
9
-1 -7
?r I
Z
O
U
W
co
L7??'
SCALE: 1 INCH = 30 FEET
PROPOSED GARAGE FLOOR = 940.2 FEET
PROPOSED LOWEST FLOOR = 932.<o FEET
PROPOSED TOP OF FOUNDATION
= 940.1 FEET
I hereby certify that this is a true and correct representation of a
survey of the boundaries of:
Lot 48, Block 6, BEACON HILL, according to the recorded
plat thereof, Dakota County, Minnesota.
And of the location of all buildings, if any thereon, and all visible
encroachments, if any, from or on said land. It also shows the location
of the stakes as set for a proposed building. As surveyed by me this
4th day of August, 1981.
SIGNED: JAMES R. HILL, INC-
% rF 1
BY!
Harold C. Peterson, Land Surveyor
Minnesota Registration Number 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
81205
Planners / Engineers / Surveyors
FILE NO. 22/17
8200 Humboldt Avenue South
FOLDER Bloomington, Mn. 55431 612-884-3029
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide -.
Windows Doors Reference ? Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
s-o _ -Yes---No 19__ I? -
YeN
Fl.? 5:-, Room Length Width 15 `C Height t~ ^c Fl e46 `'l' Room Length , L- Width; tt -;7 Height'?'
Windows and Doors-Cracka a and Area Windows and Doors--Crackage and Area
No N'Idth
of ['inr IIrIK ht
.1 pal- No. of
1, 1. LlnCal ft
of rra, k Area
eq ft.
Coef. Btu
Infiltration 41 ,S
00
2 2 S
Glass ZS 00
F.xp. wall Z.l C.
Net exp. wall tl 2 (. 2
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I
Fl.( Room ( Length Width
Windows and Doors-Crackage and Area
No. Width
or pane Height
of pane No. of
lights Lineal ft.
of crack Area
sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .
Fl.4 Room I Length Width
Windows and Doors-Crackage and Area
No. Width
of pane Height
i of pane No. of
lights Lineal It.
of crack Area
sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
No. N'Idth
or Dane Nrlght
of 1':U,e No. of
lights 71 ee1 It.
orrak Area
eq ft.
20
a
?.
! .:-
Coef. Btu
Infiltration 3 t?°5 'yC7
Glass
Exp. wall
Net esp. wall
Int. wall
Ceiling
Floor
Total Btu. v` 151<.-
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l Room I Length Width Height
A -
Windows and L)oors---4-racKa ge and area
No. Width
of pane Height
of pane No. of
lights Lineal ft.
of crack Area
sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors--Crackage and Area
No. Width
of pane Height
of pane No. of Lineal ft.
lights of crack Area
sq. ft.
Coef. . Btu
Infiltration
Glass
Exp. wall
Net exp. wall -
Int. wall -
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips 11 A.S.H.V.E. I Construction No. Insulation
Guide ! . -
Windows Doors Reference ; Out. Wall t. Wall Ceiling Roof Floor I Kind How Applied
Yes-No_ Yes-No 19?
F1•I Room I Length ?• e. Width I 5• L Height
-- ? ? - - - -- --- - ---? ht
Windows and Doors--Crackage and Area
No t\'b11h
of pan? 1Ie.ght
,.1 t•a u,• Nn of
I.Khty Llnral ft
k Area
eq ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall i4 (,
Int. wall
Ceiling
Floor
Total Btu. I (Ss{-
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area -A
F1.1 Room I Length Width j-(, Height 8' O
Windows and Doors.--Crackate and Area
No. Width
of pine Height
of pane No. Of
lights Lineal ft.
of crack Area
eq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall 4•-
Int. wall
Ceiling ?4 ( ,
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
'L Fl. Cot I. J 1-_? Room I Length 12 -'' Width 3 Height 15 -0
Windows and Doors-Crackage and Area
No. Width
of pane Height
of pane No. of
light, Lineal It.
of crack Area
sq, ft.
2- AS
Coef. Btu
Infiltration 5 ' _ S
Glass C,3
Exp. wall
Net exp. wall Z (o
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
'y Fl.1 Room1 Length t', •j Width Height 3'
Windows and Doors-- and Area
W ldth Hetght No. of Lionel ft. Area
No. of pane of V:un• lights of rrack eq ft.
4 Q .f
Coe f. Btu_
Infiltration 2%-
Glass to
7 /
1 2 '
Exp. wall 2 c7 "?
Net exp. wall
Int. wall
Ceiling 'Lo' ?•?" 1 -
Floor
Total Btu. ' ' . Z1.-
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
2 FLI ITc:t' }. in I Length Width ±!?-":'. Height 95
Winrlnwe and Doors-Crackage and Area
No, Width
e
of pa Height
of pane No. of
lights Lineal ft.
of crack Area
sqft.
n
Coe to
Infiltration 55
Glass 5:• _
Exp. wall l?-•' '"?
Net exp. wall 1 t.• R? L
Int. wall
Ceiling (, - .? ?OZ
Floor
Total Btu. ? 44.2
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.I ' ° Room I Length i-` Width 'L• Height
Winetnwe and bnors.-Crackage and Area
No. Width
of pane Height
of pane No. of
lights Lineal ft.
of crack Area
sq. ft.
20 U '= 3? . V 32
Coef. Btu
Infiltration
Class 32 I C.:"11
Exp. wall ?•-t
Net exp. wall
Int. wall
Ceiling ?6- ,4-
Floor
Total Btu. -I _"j -14'
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
RESIDENTIAL
BUILDING PERMIT. APPLICATION
CITY OF EAGAN 1 `'f 5
3830 PILOT KNOB RD, EAGAN MN 55122 Z
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE
SITE ADDRESS L \ 1 < A? c - ` 1 i
TYPE OF
APPLICANT
MULTI-FAMILY BLDG -Y N
- FIREPLACE(S) 0 - 1
?Le3 ?+? R:h S CITY STATE Anr) ZIP SS a3
STREET ADDRESS
TELEPHONE CELL PHONE # Cv I a a%3- 2-31 FAX # 7 <A a
PROPERTY OWNER l\ h ? kfi r ola _d ' S TELEPHONE # (,l_19t/)
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category I Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: -
Mechanical system includes:
Sewer/Water Contractor:
Remodel/Repair R trements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION
Water Softener
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
JUN 0 5 2002
----------------------------------------------------------------------------------- -- - - - - - - - - -
I hereby acknowledge that I have read this application, state that the information is rrect, anal ree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc
Signature of Applica t
OFFICE USE ONLY
Certificates of Survey Received ..- Tree Preservation Plan Received _, Not Required _
Updated 4/02
3232.0998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
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 fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
DATE:
DESCRIPTION OF WORK:
cf:co?A.
STREET ADDRESS:
LOT: I BLOCK: SUBD./P.I.D. #:
Remodel/Repair Requirements
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST;
Name:_kacCl??t-^ Phone #:
PROPERTY Last First
OWNER
Street Address:
City State , Zip:
Company: W C-- _-. Phone #:
CONTRACTOR
Street Address:C> G icense #
City 6) S State: _ Zip:
S S
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
City
Phone #:
Registration #:
State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address char>Ig
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applica"
State of Minnesota Statutes and City of Eagan Ordinances. 9 '
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Regi
7C MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5 14
u r,?
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit Date
Site Address Unit #
`
Property Owner elephone #( 6 ?05
Contractor
Burnsville Heating Inc.
Street Address 12481 Rhode Island Ave. So.
Savage, MN 55378-1122
State Zip
City //
Telephone #
The Applicant is Owner Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
_ air exchanger
t- air conditioner
other
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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.
Applicant's Printed Name licant's Sign t re
CITY or EAGAN WATER SERVICE PERMIT
3795 A)w Knob Road PERMIT NO.: 4847
Sego MN $3122 DATE:
Z i n g ' RIII No of Units
Sunah lAtt Con t ru ct ion
Owner:
Address:
'
-
-
Site Address' 4796 eWiZE6
1'i
uilli
Rd
.Plumber: saae
Meter No Connection Charge:
.
Size: Account Deposit:
rt Reader No.: Permit Fee: 10200 pd
1 *oft* to comply with the City of Eagan Surcharge
dir?one Misc
Charges: 60,00 sat or
.
Totot:
B tie Pail:
Dote of inep.: Insp y
Of EAGAN SEWER SERVICE PERMIT
3793 Pilot Knob Road
4847
PERMIT NO.:
Eeg $s MN 55122 DATE:
Zq Mng: Pill No. of Units:
Owner: Sunshine Construction
Address:
IKKIA-
Site Andress: 4790 Beacon Hi71s Pd L48 36 Beacon
Plumber:
8/11/81, 26238 10O.D6
agree to own* with t$e City of Eagen connection charge: 425.00 lad
• Account Deposit:
Permit Fee: 10 00
.5f
Surcharge: pd
By Misc. Charges:
Date of Insp.: Total:.
4nsp,: Date Paid:
Receipt Gt c, c tt - j
PLUMBING PERMIT
CITY OF EAGAN
Permit No.
Fee
Fill in numbered spaces S/C
Type or Print legibly ,
Tot.
1. Date 2. Installation Cost W- 4
3. Job Address (t ?zAfLo4 Y K pct
4. Owner
5. Contractor Phone
?,?-?
6. Address c:> .\ "
7. City State Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New '19 Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
C
l/D
i
fi
l
Bath tubs esspoo
ra
n
e
d
Se
tic Tank
Lavatory p
Softner
Shower W
ll
Kitchen Sink e
Urinal/Bidet Othe
Laundry Tray r
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 cgdes governing this type of work.
Signed : fy^ i
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved l _ ?? CITY OF EAGAN 454-8100
Receipt.. :. ?? ... -,
MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
Permit No.
Fee
S/C
Tot.
1. Date 2. Installation Cost
3. Job Address 79D r ?rrf Lot 1k. 2 Tra
4. Owner U P4Z
5. Contractor 'r ," i ; dry ,n/C Phone
6. Address
7. City State / ' Zip
8. Building Type: Residential I ' Commercial ? Institutional ?
9. Work Description: New [a'
10. Describe
11.
Add ? Alter ? Repair 0
?'j?/?7
Fuel Type
No. Equipment BTU - M. Ea.
Forced Air No. Equipment CFM
A
Mfg. ir Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Othe
Air Cond. r
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply witkarail or 1i9ances a i codes governing this type of work.
Signed : J-. t_ for
Rough Final
Inspections: Date Insp. Date Insp.
This is your.permittwhen numbered and approved.
_ d,
Approved a f _-d CITY OF PAGAN 484-8100
CITY OF EAGAN
3795 Pilot Knob Rood Bogen, MN 55122
r v PHONE: 454-8100
BUILDING PERMIT
To be used for ?? . `' ` ' !L'. Est
Receipt #
Date.
Site Address OOE:C,
Lot Block L Sec/Sub.?c?t?corl t'`' ?1
Parcel (Y"
a Name `;t?." }l:i_ne ':o 1 t uct ,pp
W ,.
Addre
a :4. .f..l.
Zo Name
00 Address
Name -
Address
± 11 10 -'i_
Erect jj Occupancy 7ti?
Alter ? Zoning
Repair ? Fire Zone
Enlarge
? VT)
Type of Const.
Move ? # StoriFs
Demolish ? Length )f`
Grade ? Depth Sq. Ft.
Approvals Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Permit "'• "`
Surcharge
.50
Plan check 1?`?•`??t
SAC F1fi
`
Water Conn.
Water Meter '' ) •'??'
Rood Unit 1 ' • gr
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
°' • r ?,
APC Total 15
State of Minnesota St and "Citjof Eogon Ordinances.
Signature of Permittee .*--
/ _;3i1 4111'1'? JT:' ruet c':
A Building Permit Is issued to: 1-01 1 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
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing r '5 Z t _ V q- a -$
H.V.A.C. 2(d?? D?n? 1k 5 4-Z3?
Well
Water
Disp.
Sewer
Electric 7 156-716 U-c
C`\cK
-2?-
Inspection Data Insp. Other
Footings 2
Foundation
Framing
Rough Plbg.
Rough HVAC
Insulation 3d-? f
Final Plbg.
Final HVAC /,J3 Sw
Final
Water Describe Location:
Well
Sewer
Pr. Disp.
INSET
CM- (W EAGAN
k 3M ftoiftob Road
Om, AAianesota 55122-1897
(01.581-675
OWAOMESS: LOT 4R BLOCKS
?i7g0 OEM OM Hll.l. RD
0-IAir 614 141 L L,
41,
N RECD
Lf
Gate Wtmd:
PUCA
(612) 39-1--%614 r??a#
TYPE OPX:
.e.
t-
i ?xa ?
i 1 ^I a'f ??-- N
?
_ rt
?
1h .._ r .?
v,. v a
tom'
Pam* a
iVA
la*pecfitna Dam Msp. n e f
FOOTINGS
FOUND
FRAMING
AOOFING
ROUGH
UMBSNG
PL
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
AIR TEST FIREPLACE
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