4506 Alicia Dr?. W --44 ?-4
, 2000 BUILDING?ERMIT APPLICATION (RESIDENTIAL) ,
` CITY OF EAGAN
3830 P1LOT KNOB RD - 55122
New Construciion ReauireffeMa 651-681-4575
C'? ?- ?3 J r % -?/
? ?A
? 8 registered aite wrveys stwwing aq. A. ot lot, sq. tt. of hous+r 2 copios otpian 'I R? ?
cnd g1 rooted areaa =96 ma41mum lot coveraae a8owgcl) ?C)D t aet of eneryy cclcWattoria for hoated additions
> 2 copies ot pians (show beam & window sizea, pou?ed frtd. closign; etC.) t a3te survey for exNrior addfffone & decks
? 1 aet ot energy c.alculations
A 3 Copies ot tree presetvalion plcut if bt Platted altsr 711/98
DATE: 7 '' / 2 ..- b c-) ? CONStRUCTION COST: 4 a
DESCRIPTION OF WORK: r 0-C' if muiil-family bidg., how many unft?
STitEET ADDRESS:
l0?: _.? BLOCK: SUBD./P.I.D. #: AVrY1 t449 Q
Ncrme: A? v? 12,1 Phone #: c/- /Z -Ys' 3-3 s f'P
PROPERTY tost Fi
OWNER `?d
Street Address• 17 3 / / `f
City Stcte: .. Zip; 5/2 ?` .
?-
Compcny: , Phone #•
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CONTRACTOR ? - (area code)
a
a?
?
Street Address: License # Exp.
? Ciry Stcte: , Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Street Address: Regishahon #:
City State• Zip•
?Q`?`? ?7 -
.?_C? & ? a
?
Sewer/water licensed plumber (if instailins? sewerMrater): 'P Phone #:
I hereby acknowledge that 1 have read this appNcation, state tMat ths information Is corcect, art ta wllh o8 applicableStclo
of Minnesota Statu#es cnd City of Eagan Ordinances. ?
Signcture of Appftan
OFFICE USE OfitLY
Certifcates of Survey Received Yes No
Tree Preservation Pian Received Yes No kA?Not Required
???A•
OFFICE USE ONLY
,
,
BUILDING PERMIT SUBTYPES ,
0 01 Foundation ? 07 05-plex . O 13 16-piex ? 21 Porch (3-sea.) ?` 31 Ex#. Ait - Muiti
UP 02 SF Dweiling ? 08 06-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF
? 03 01 of _ piex ? 09 07-piex d 18 Deck [3 23 Porch (screened) ? 36 Mulfi
C] 04 02-plex ? 10 08-piex ? 19 Lower Levei ? 24 Storm Damage '• :
:? 05 03-pfex D 11 10-plex Prog _Y or _ N [3 25 Misceilaneous
? 06 04-piex ? 12 12-p4ex ? 20 Pool ` ? 30 Accessory Bidg.;
WORK TYPE
? 31 New ? 36 Nove 5i?. 0 43 Reroof
32 Addition ? 37 Demotish (8ldg)" ? 44 Siding
? 33 Alteration ? 38 Demolish (lnterior) ? 45 Fire Repair
E3 34 Repair p 42 Demotish (Foundation) ? 46 Windows/Doors
I Give PCA handout to aPpticant for demolition permit .
GENERAL INFQR.Mr4TIflN ,
SAC Code # of Stories ?- sq• ft•
, No. of Units Len9th ?_.._ Sq. ft•
No. of Buildings Widtfi Footprint sq. ft.
7-
Const. (Actual) Census Code
Basement sq. ft. Y?z,
(Allowable) ? Main level sq. ft. _/ZU MC/ES System
UBC Occupancy sq. ft. 't5e_ City Water
Zoning Garna s4. ft. (vgC-) Booster:Pump
PRV
' Fire Sprinkiered
MISCELLANfQUS INSPECT1t?NS
13 ` Stucco/S#one
APPRQVALS
Planning ,p
Building !f ?L_ Engineering Variance
,
Permit Fee Valuation: $
Surcfiarge
Pian Review Ra- s &Xe
?7` _
License
-
MC/ES SAC
Cit
SAC
y
W
t
n 1
-
a
er Con
. , S?
l9
-0 5 f- T
, Water Meter
Acct. Deposit ,2 ''` .?d ,p-
S/V1/ Permit
/W Surcharge
?
,,..
33
t'
Treatment PL
Park Ded. • ?ar-ag e-
TrailsDed.
Other
Copies 0
Tot
l:
a
SAC Units
% SAC
?
"
f
J LOT SURVEY CHE£KLiST FOR RESIDENTIAL
BUILDING PERM17 APPLICATICNV
? PROPERTY LEGAL: Loj"" Sou ttiERd LA,rt'?:S ?EST
h DATE OF SURVEY: 6° Z^l -00
N
?
W
IATEST REVIS{ON: '
?
p
DOCUMENT STANDARDS
Q
Y. n
4 ?4
Q?y ? • Registered Land Surveyor signature and campany
cy? n • Budding Perrnit Appiicant
? o • l.ega? d?cription
? o • Addre?
? • Nonh aROw and ?e ,
.?
'? • House tyPe (ramt?r, walkout, s?t w/o, spk entry, lookaut, etc.)
,,e a • Directicsnal drainage a? wi? s1opeJgr?eM %
Aa?' p? • Proposeci/ebsting sewer and waW services & invert Nevation
aY? ? • Street name
c;l o ?
1 • DfirewaY
aa
,o ? • Lat 3quare Faotage
?? ? ? • lot Coverage
ELEVATIC}NS
/ Exis?nst
o
d
P
W ? a • }
Sewer service{ar
rop
se
w, ? o • Propeny comers
? • Top of curb a# the. driveway
? ,p • Elevatlons of any eiiisting adjacent hame,s
o?'" o Adequate footirtg depth of strueburss due to adjacent utity trenches
P;rooased
R/? o . Garage floor
P?o a • First floor
? ? ? • Lowest exposed elevation (walkoutlwindcw)
?? o
: • Propert?r comers
' o? • Frorrt and rear of home at the bundaiion
Pl'7NDiNG AREA (if audicabto)
/
o
?
-' • Easement llne
NW
o W
? • L
o lv/ a
? • HWL
o r
?ra • Pond # designa?tiaon
a?' o • Emergency Owertlow Elevatlon
DIMENSIflNS
? p • Lot tinesJBearings & ciner?sions
o' ? a • Right-af-way artd street width (to back cf curb)
&-'o o • Propoaed home dimersians indudin9 any proposed decks, ovefiangs greeW than 3', Pc?rdtes, etc.
/ (i.e. al atruduroe requiriny permanent foodngs)
? o o •' Show al easements of record and any Cityy utlNtles wfthin those easemants
?o ?o • Setbwks of proposed,structure and sidey?ard s?ck ot adjacent e?ci?ling structu?
o Lr? • Retaining weH requirements, tf 8RY
Reviewed:
Name 1 Date
Mwch 1969
caAKIret.oOPRMr.aM
,
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• . . . ? . . . . .. . ?
Mchocac coMPLIArtcE REpoRT
Minnesota Energy Code ? Pertni.t # (
bIllchock Software Versicn 3.0
t 1
i checked byfDate 1
t 1
COUNTY: Dakota
3TATE: Minnesota
ZONE: Z
CUTIBTRUCTZON TYPE: Single Family
DATE: 7-1$-2000
PROJECT INFORM&TZON:
4506 Alicia Drive
Eagan, Mn ,
COMPANY INI'UFiMATION •
M.R. Hebert & Axsociates Snc.
8439 143 stxeet
ApPle Va1iey, MN 55124
COMPLIANCE: PASSES
Required UA - 629
Your Fiame - 472
25.0$ E3etter Than Code
Area ar Cavity Cont. alazinglDoor
Peri.meter R-Value R-Va2ue V-Va1tte UA
-------------------------------------------------------------------------------
CEILINGB 1316 44.0 0.0 36
WALLS: Wood Faraume, 16" O.C. 3325 19.0 0.0 196
8SMT: Conc. 9.01 ht/7.0' bg/9.01 insul 752 10.0 4.0 50
GLAZZNG: Windows or poors, Abave Grade 407 0.350 142
DOOR3 42 0.350 15
9LA8 ELOORS: Unheated, 42.0" insul. 48 10,0 33
HVAC EQUIPMENT: E'urnace, 90.0 AE'UE
-------------------------------------------------------------------------------
COMPLIANCE STATEMMT: The proposed buildi.n?g design desaribe?d here is
aonsistent with the buil.ding plans, "cificat3.cns, and other calcsulations
suiamitted with the permit application. The propased building hais leen
designed tc meet the requirements af the Minneascta Energy Code.
Bu.'tldarlDesigner Date
Aggregate Make-Up Air Alternative and Ventilation Documentation
• (Can be Used as a Suppiement to Permit Appticatian)
?
Btd Address: 45? Alicia Drive Date: 6/28/2000
Ci : Ea an Zi Cade: 55122
Compieted Sy: Mark Hebert TC0_ Name: M.R. Hebert & Assocotates tnc.
Path 1, Aggregate Altemative Exhaust Devices cFM
Space Heater: Sealed Gombustian Ctothes Drysr 150
Water Heater: Power Vented Kitdhen Exhaust 250
Gas Hearth: Direct Vented Master Bathrvom S8
Solid Fu41 Hearth: None 2nd Fl Bathroam S0
CO Alarm: Not Required 1sk F1 Bathroam SO
Allake-Up Alr Requi rements Centrat vacuum None
Exhaust Devices Dryer K'rtchen Larges
OthQrt Totai
Exhaust Capacity 150 250 50 450
2Wbutian CFM
Passive Infiitratian 175
Passive Opening(s) Rigid Flex Direct
275 9 10 8
Powered Make-Up
0
Ventildtion Minimum Required
3q. Ft Bedrms Totat Yentilation Peapk Ven131atic?n Supptemeatai VentHatidn
3734 4 187 75 112
Peapie Supp#ementai
HRV or ERV 1 66 cfm. HRV or ERV 1 76 cfm.
Master Bathroom fl cfm. Master Bathroom 50 cfm.
Peopie: 86 cfm. 5uppfementaic 126 C#m, Total: 212 cfm.
Ventilation Measurement Documentation
Btd Address: 4546 Alicia Drive Date:
Ci : Eagan Zip Gode: 55122
Completed By: Mark Hebert Co. Name: M.R. Mebert & Ass4coiates Inc.
Path 9, Aggregate Alternative
Ventilation: Measured Pertormance
Peopie Ventiiation Supplemantal Ventiiatian To#al Ventilaiion
Minimums --? 75 142 487
Measured Measured
Peopie Designed lntake Exhaus# Supptementa! Designed ' Intake Exhaus#
HRV or ERV 1 86 cfm. ? HRV or ERV 1 76 cfm.
Master Bathroom 0 cfm. Master Bathrcom 50 cfm.
People: 86 cfm. Supgfementat: 126 cfin.
Note: Air flow for bafanced ventitati on systems must be balanced within ten percent.
Total Dasigned Ventilation: 292 cfm, Total Measured Ventilation (people + supplerrwntat):
CompNance 3tatement: Mstalled ventilation system is in compliance with the MN Energy Code and aized tc provide the desiQn air flow.
.. _.. _. _ _.... _.. _,..
APPikat (PdM name) Signature Qate Phons nwnber
Site Addcess 4506 Alicia Drive Lot5'Black 1
Subdivision Southem Lakes Permit #
This structure is canstrueted to meet minimum requirements of the Mn Energy Code, Chspter 7870.
X This atructure wit constructed to mee more restrictive requirements of Chapter 7672, ar 7674.
at 1
A liance Gas Electric Manu#acturer Model BTU's 1/entin T
Water Heater Gas Brad#ord White Mit 50 20,000 Direct power vent
Furnace Yes Carrier 68 MVP-08Q or = 80,000
seaw ???
D er TBD TBD TBD TBD TBO Tsp
Exhaust System Location Type Madei GFM's Vented
Yes Na
Kitchen
Kitchen Over the range
micro nrervL Ainana MVH280 WH.lE ar o
250
Yes
Bathroam # 1 Main floor'/s bath Ceilin Broan # 688 or m 60 X
Bathroom # 2 Master Bath Ceitin Broan # 688 ar = 50 X
6athroom # 4 i_aundry room Cei1in Braan # 688 or 50 X
Other
Fire lace s Location t3as Wood Manufacturer Modet BTU's Ventin
Direct Atrnos
Fami1 room Yes Heat N Gio 6000 TR or = 30, Yes
Make-u air Model To CFM'!
Summer Aire Pro Ventar SHV-1$0 or = HRV 85-225
i hereby acknowledge that the above information is correct and agree to compiy
with the Minnesota Energy Code.
Signature
Company Name M. R. HeberE & Assaciates lnc. Ucense # 57Q0
Window and Doar 3chedule • 4508 Alicia Dr„ Lot 5
Ty Count Series Size Locatian Width Hei ht Uatatue
Mndoars
A 2 201 6ax4a Basemnt 72 48 6912
B 1 201 8ax50 ' dinin 72 St1 4320
C i 701 24-44-2f1 kit 49.25 49 2413.25
t3 1 201 8ox50 family rm 96 60 S760
E 1 701 24-36111 taund icls, ri ht a ate 29 41 1189
F 1 201 &ax5o ' livin ds 72 64 4320
G 1 201 5ox4o back bed 60 ' 48 2880
H 1 701 24-361l1 main bath, left o rafie 29 41 1189
1 1 201 5ox4o m bath temp 60 48 2880
J 7 201 6ox50 mastet bed 72 60 4320
K 4 701 24-44 111 front bed rids, teft o rate 29 49 1421
L 1 701 24-32 2/0 frant bed round top 57.25 65.25 3735,583
M 1 201 60x40 front bed "ds
" 72 48 3456
N 2 SGD Breakfast #ower tevet 72 80 11520
Q 2 Front Door glass Entry 14 82.25 2308
48 Totat Sq. fn. 58618.81
Tvtai Sq. Ft. 407.0751
Qoors
AA 1 3141 SG door basement Left operate 72 80 5760
BB 1 3101 SG door Dining Ri ht aperafie 72 80 5760
CC 1 e-10 ont door and side li entr door, hinge right 69,25 82.5 5713.125
QD 1 2-8x6x8 Garage fire door garage, hinge left 34.25 82.5 2825.625
Total S . tn. 14298.75
Low E Totat Sq. FiL 99.29&"
White vinyl
Jamb 61/2 ine
, y
Wind4w and Door Schedule
Type Count Series Size Location IMidth Height S" U Value
Windows
A Z 207 6ox4o Basement 72 48 6912
B 1 201 BoxSa? dinin 72 8Q 4320
C 1 701 20-44-2/1 ki# 48.25 49 2413.25
p 4 201 8ox60 family rnn 96 60 5760
E 1 701 24-361J1 taund rids, right aperate 29 41 1189
F 4 201 6ax50 Hvin grids 72 SO 4320
G 1 201 Sox4o back bed 60 48 2880
H 1 709 24-361f9 main bath,left operate 29 41 1189
I 1 201 5ax4o m bath temp 60 48 2880
J 1 201 6ax50 master bed 72 60 4320
K 9 701 24-44 9/1 front bed grids, left o rate 29 49 4421
L 1 701 24-32 210 front bed raund top 67,26 65.25 3786.563
M 1 201 6000 fror?t bed ids 72 48 345e
N 2 St3D Breakfast lower tevet 72 80 94620
p 2 Frnnt Door glass Entry 14 82.25 2303
18 Total Sq. in. 58618.81
Total Sq. Ft. 407.0751
Doors
AA 1 8101 SG doar basement Left operate 72 80 5760
BB 1 3101 80 door Dfning R' ht operst+e 72 80 $760
CG 1 e40 ant door and side t' entr door, hin e ri ht 69.25 82.5 5713.425
DD 1 24x6x8 Garage fire door garage, hin e tett 34.25 82.5 2825,825
Total 8 . In. 14298.75
Low E Total Sq. ft 99.28688
IMhite vin 1
Jamb 6 1/Y ine
4506 Aticia i3r., Lat 5
Mr.hoc.k cortgLIANcE REPORT
Minnesvta Energy Code
MNaheck Scftware Versiari 3.0
CC)iJrTT7C : Dakt>ta
STATE: Minnesota
xONE: 2
Ct3N9TRUCTION TYPE: 3ingle FamiZy
DATE: 7-1$-2000
PROJECT INF0PIA&TION :
4506 Alici.a Drive
Eatg2?a, Mrt
COMPANY INFORMATION :
M. R. Hebert & Asscctiateac Inc.
8439 243 3treet
Apple Valley, MN 55124
CCMPIaIAtQCE : PASSES
Requa.red UA - 62$
Yvur Svaire - 472
25.0% Better Than Code
I I
1 t
} Ferm,i.t # ?
1 I
! 1
I crxooked by/Date (
I 1
Area or Cavity Cant. Glazing/Door
Perimeter R-Value R-Yalue U-Vaiue UA
-------------------------------------------------------------------------------
CEILINGS 1316 44.0 0.4 36
WAM8 : Wood E'rame, 161t 4. C. 3325 19.0 0.0 196
asarr : conc. 9.01 htt7. o 1 vg/s. o ? insuul 752 10.0 0.0 so
GLAZING: Windows or poors, Above Grade 40'7 0.350 142
nooas 42 0.350 15
sz,As FLOxaRs : vnheatea, 42 . o nin?ul. 4e 10.0 33
HVAC EQUZPlriENT: Fuznace, sa . aArUE
-------------------------------------------------------------------------------
COMPLIANCE STATLMENT: The proposed, builda.nq desigri describeeci iaere is
consistent with the bu:i.lding plans, specifications, and other cai.lau].ations
subanitted with the pexm.x.t application. The prcpcsec3 building has been
designed to meet the requirements af the Minnesota Energy Ccde.
Bua.lderjl?esigner Date
Aggregate Make-Up Air Altemative and Ven#iiation Documen#ation
(Can be Used as a Suppiement #a Permit Applicatian)
Bi Address: 45os aiic?a arive r?te: 6/2812t?}
City: Ea n Zip Code: 55122
Compteted By: Mark Hebert Co. Name: M.R. He1ett & Assocaates Inc.
Path 1, Aggre9ate Attemative Exhaust oevices CFM
Space Heater: Sealed Combustan Clcrthes Dryer 150
Wat$r Heatier: Ponrer Verrted Kitchen Exhaust 250
Gas Hearth: Direct Vented Master Ba#hraom 50
Solid Fue1 Hearth: None 2rtd FI Ba#hroom S0
C4 Alarm: Nat Required 1st F! Batttroam 5Q
Make-Up Alr Requi remetlts Centrat Vwuum Nane
Exhaust Devices Dryer Ki#chen C??th?ert Tota!
Eachaast CaPacnY 1 SO 250 5Q 450
Distribution CFM
Passive 1trt`iNration 175
Passive Qpening(s) Rigid Flex Direct
275 9 10
8
Pow+ered Make-Up
0
llentilation Mintmum Rsquimd
Sq. ft Bodrnns Total Ventifation Peaple Ventilation 8upptert?mta! Venrtiia#ion
3734 4 1$7 75 112
People SuppNmeirtal
HRV or ERV 1 86 cfm. ' HRV or El4V 1 76 dm.
MWer Bathroom 0 cfm. Master Battteaom 50 cfm.
People: 8f? cfm. 5uppiernental: ' 126 cfit?. Tcai. 212 efim.
Ventilation Measurement Documentatian
Btd Address: 4506 Alicia Drive Date:
Ci : Eagan Zip Code. 55122
Gampletecf By: Mark Hebert Co. Name: M.R. HebeCk & Assocaiates Inc.
Path 7, Aggregate Alternatirre
Ventiiation: Measured Pertt,rmance
• People Ventiiation Supplemntai YEn#ils#ion Tatal Ventilatic?n
Minimums --? 75 112 187
Measured MeaSUred
peopi+e Designed tntake Exhaust Swpplementat Designed lntake Eachsust
HRV or ERV 1 86 cfm. HRV or ERV 1 76 cfm.
AAaster Bathroom 0 cfm. Master Bathrcom SO cfm.
Peopte: 86 cfm. SupplementaL 126 cfm.
Mote: Air flow for balanced verttitati on systems must be balanced wifihin ten percerrk.
Tofiaf Resigned Venti?ttian. 212 cfnt. Total Messurec! Ventilation (peaple + supp#emental):
Compitancm Statement: installed ventgatFon system is in compliance w9th the MN Energy Gode and sized to provide Ms dasign air flow.
Applicant (Print namer) Stgnmftne aate Pltane nwtber
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gt1?1L0106, 49A= I 1a;76 4? , searings axe assumed
Sub,ject to easements of record it any
, v .
?jEWVQ 't 11) WtEQ PF.RC?N Pt,APS C) Denates set or found iron pipe monuments
'k1Jl).'? 0?3?.?'a . _
Denaxes se t wood hub and tsrck :.
Propoao,d:garage iloor elevation ,..
'r&(.,p Denotes existing elevation
C?6r3.90 FDuUDkrloa
Proposed top of -b-leck elevation (19?b Denotes proposed iinish grade elevation
; ("'? ?? w?D Denotes direction of surtace drainage
?..r,
Proposed lowest #loor elevation 21Q
?O?tTL? ?tutOkJ `?u2t?tSt-?A To ?Jc?-c?. Q/u ? ?? , I hereby certify that thie fe a true and correct representation of a gurvey of the boundariee
DA-JK4TR
I ai Lat 5, Block ?,?,J11UT??N 'a A? ?W?T County. Minnesota aa on iileand of record
? ? . a ,? t.-? , . ..
in the Ofiice of the County Recorder in and for said County, slso showing the proposed location
of a houae as staked thereon.
,.
,
That I am a duly Regfstpred Land Surveyor under the Laws of the Btate of Minneaota.
' natea: J4,F- 27 200O ; ti
, ?.. . ? ? . . .. ? ?? ?. ?.. ? .? k . . . . . .. ?? : .. . . ? _ ..
Allan R. Hastix?gs ?
MinneaAta Registxation No. 17069
212 Flrst Avenue E.
r.,
Date '' '` ? Suite No.; C
? ? EAGAN ENGI1vE?Ci' DEP'I: Shakopee, MinneBota 58379
phone 612 . 445 4027
? _.. .:. . .
a?eu3W ,z , --e?t
S CiTY USE ONLY
L v BL RECf IPT*
;
'SUBD. RECEIPT L7ATE:
_ PERmiT#
. ?/Ilull .
2000 PLtJMBING PERMIT (RESIDENTIAGj
C=Tr oF EAGAx
3$30 PILOT EaT08 RD
EAGAN. MN 55122
651-681-4675
Please camptete for. ? single family dwellings
A townhomes and condos when permits are required for each unit
? backflow preventer for underground spdnkler system
, FIXT(IRES Fn[^W A 1r1%Te2
Atferations to existing dwelling - minimum fee
Qescribe:
' $ 30.00
Bath tub $ 3.00 x ? - $ ?
Floor drain 3.00 x - $
Gas pipin outlet * minimum =1 3.00 x = $
Hot tublspa 3.00 . x = $
Kitchen sink 3.00 x _ $, 3.,
Laundry tra 3.00 x = $
Lavatory 3.00 ' x - I s !ff ! 5
Septic System new/refurbished * raquires MPC lic. 75.00 X = $
SeptiC System abandonment 30.00 ' X = $'.
RPZ new installatiorUrepair/rebuiid 30.00 X = $
Rou h o ening 1.50 x = $
Shower 3.00 x = $
Under round sprinkler if dwelling is'under construction 3.00 x = $
Underground s rinkler if existiny dwelling 30.00 x = $'
Water closet 3.00 x = $
Water heater 3.00 x = $
Vllater SOfteneC if dwelling under construction 5.00 x = $
Water softener If existing dwelling 30.00 x = $'
Water turnaround 30.00 x $
State Surchar e .50 $ .50
TOta( ->
Reminder: Call for inspections of alterations, i.e. water heaters, wafier softeners, etc. 53 • r
_.._.,.
i hereby ackn ----------------------------------------------------------=--------------------------------•-'---------=_----------- - --=-- ---=
owledge that I have read this applicaUon, state that the information is corred, and agree to comply with aA applicable City of Eagan orclinanoes.
it is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normai operationaP and maintenance activities to the facilities constructed under this permit within Ciiy property/right-ot-way/easement.
S{TE ADDRESS: <_ "7 ? ?l .i C.l.a ^DYl ir-G-
OWNER NAME: : TELEPHONE q1.??
(AREA CODE)
INSTALLER NAME: Dlaq-t4fa TELEPHONE#: NqAD
STREET ADDRESS: I (aREa coDE) "
CITY: D STA ?'???2 P.
'?
- SIGNATtiRE {3F PCRidliTTEE
BY:
?CITY U5E UNLY
?
LOT ? BL PERMIT #: ? -?)
SUBD. RECEIPT #: C
RECEIPT Dt1TE: `oo
2000 rEcHAx=cAL PERMIT (REs=aErrrrAL)
CITY' OF EFrG1N
3830 PTLOT KNOB RU`
EAGAtI MN 55122
651-681-4675
Date:
Complete this section onlv if you are instailing HVAC in a single family dwellin$, townhame or eondo under
construction and not owner/occupied. • HVAC: 0-lOQ M B T U . $ 30.4(}
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required Qa $3,00 ea.)
< State Surchazge < .50
.. , . .. . .. y... Z'Otal: $
Comptete this section onlv if you are remodelins, adding to, or r? airin an existing single-family dwelting, `
townhome, or condo. Please indicate if it is a new item, aiteration, or, repair. '
New Alteration Repair flther
Furnace Air conditioning
Air exchanger Other
.
Fee $ 30.00
State Surcharge ' .50
Tota1 ' $ 30.50 '
Reminder: Catl for inspections
SITE ADDRESS:
. OWNER NAME: ?- PHONE #: -
(AREA CODE)
INSTALLER NAME: PHONE #: `
(AREA C4DE)
STREET ADDRESS: L(? `"' F . _
Ho in? ' ' Mlillilg
? CI1"Y: 209 08 Calgary Tr. STATE:
' ?.;,.. .m "^bi rting.4 A
I NA'
.,r.z,..-•• '. ? ? ?,,., ?*".- a ??"?'- k , ;? '?F. . a a' ?^?a :? ?re ;??'c a x- xt ` AJO
. 12.-x .
. . . . ... . . .'i- ?
CITY USE C3NI.Y "
. L BL FSR#IMT #:
SUBD. RECElPT#:
APPRf3VED BY: , iNSRECTOR RECEiFT DATE:
2000 MBCBANTCA,L PEMTT (C4MSRCIAL}
CITY OF EAGAN
3830 PILOT RNC?8 RD
EAGAN, MN 55122
651-681-4675
Please complete f+Dr aN cammercial/industrial buildings =
rnuiti-family buildistigs when separate perm'sts are not cequired fior each dweliing unit
DATE:
WORK TYPE: New constcuctian Instail U.0. Tank
Interior Improvement Remave U.G. Tank ;
Processed Piping
When installing/removing rindergraand tank, call 651-6$1-46 75 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimam fee, whichever is greater.
' Underground tanlc removaUkishallation = minimum fee .
Contract price: $ x 1% =$ (Bast Fee)
State surcharge caleulate at S:50 far each $1,400 Base Fee
TO'TAL
------------- $
SIT'E ADDRESS:
OWNER NAME: PHtJNE #: -
(AREA CODE)
TENANT NAME (IMFROVEMEI+iTS ONLY):
... .
WAS THERE A PREVIQUS TENANT IN THIS SPAGE? _ Y_ N. NAME:
TNSTALLER:
. ADDRESS: PHONE #> -
(AREA CODE)
CIT'Y: STATE: ZIP:
SIGNATURE QF PERMITTBE
CITY USE ONLY L4 _2'S
• 1
?
PERMIT RECEIPT DATE:
fYXM?? PEPJU iif"ICikMCE
972-z CffYOFfASM
36M PUM KNOB RD
01_?
?
?
lNCOMPLETE. APPLICATIONS WILL NOT BE PROCESSE?D ,? q,? v?,?"
Date:
l
WORK 1YPE New Bldg Add-on Repair RPZ _ PVB • Irrigation system
* Must comp te revem side of applicarion alsa Required meter size is 2" turba gaigi smaller siae permitted by Public Wodcs
DESCRIPTION OF WORK
To inqulre if Pressure Reducing Valve is required on new service, call 651-6814646
METERS - Ca11b51-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed urior to nickYn¢ uu meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" , diaplacement $149.00
Domestic Size & Type Avg GPM -
Does this include high demand devices? _ Yes _ No
FLUSHOMET'ERS 0_ Yes _ No PRV REQUIRED _ Yes _ No
site Address: ? ? (o /ALI C.1A ?
Tenant Name: Telephone #:
(Area Code)
Was there a previous tenant in this space? A N. If Yes Name:
? n p C?Installer Name: C fl-VM(3 W(S""'Telephone #:
(AreaCode)
Installer Address:
City: e ld p,
State:
FEES Contract price $ z 1% ($50.00 minimum)
Required on all new buildings & boulevard irrigation systems (Acct # 9220-4509)
Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at Fn??
SO cents per $1,000 contract fee.
Total From Reverse
I hereby sclmowledge that I have read this application, state that the information is
ordinances. It is the applicant's responsibility to notify the property owner that the City
during its normal operarional and maintenance activities to the facilities constructed u
Zip Code
Contract Fee $
erxtTad , v v
APP! W'ft
Total
, and aaee to comi
l?
$
$
' a1T applicable City of Eagan
:or any damages caused by the Ciry
rr?FP v/1 iah4_nf_wav/Pacrme!nt.
FERMITTEE
REQUIRED INSPECTIONS: _ U.G.
PLANS SUBMITTED
CITY USE ONLY
_ Air Test ` Gas Test
_ Rough In Fina1
APPROVED BY: , BUILDING INSPECTOR
. , ? lilTY V SFi? ONLY . . . ? . . . . ? r ?.
PERMIT RECEIPT DATE:
CiQIMUCiIAL PLUM?G PERMT AMICi14TIQR
CITYOF$i46m
S$W PI1rOr[' BNOB ltD
RA6", liR !'flf188 _
651-014675
INGOMPLEIF A.P?YJGAIIONS WIL-NOT BF
Date:
WORK TYPE NewBldg Add-on -_ Repair RPZ -_ PVB * Irri$atian system
* Must complete reverse side of application also. Required meter size is 2" turbo uxless smaller size permitted by Public Works
DESCRIPTION OF WORK
To inquire if Preasure Reducing Valve is required on new service, call 651-6814646
METERS - Ca11651-681-4340 to verify that hydrostatis, conducrivity, and bacteria tests passed nrior to nfcking un meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" displacement $149.00
Domesric Size & Type Avg GPM
Dces this include high demand devices? _ Yes _ No
FLUSHOMETERS _ Yes No PRV REQUIRED _ Yes _ No
Site Address:
TenantName: Telephone #:
(Area Code)
Was there a previous tenant in this space? _ Y_ N. If Yes, Name:
Installer Name: Tekphone #:
(,4rea C«ie)
Installer Address:
City: State: Zip Code
FEES Contract price $ x 1% ($50.00 minimnm) Contract Fee $
Meter(s) , $ ?
Required on a11 new buildings & boWevard irrigation aystems (Acet# 9220-4509) Radio Meti e?
Surcharge: $.50 Minimum. If contract fee exceeds'$1,000, calculate at State Surcharge $
SO cents per $1,000 contract fee.
Tota1 From Reverse New Service $
Total o ?
I hereby ackaowledge that I have read this application, state that the information is conect, and agree to comply with a11 applicable Gity of Eagan
ordinances. It is the applicant's responsibility to norify the property owner that the City of Eagan asaumes no liability for any damagea caused by the City
during its normal operational and maintenance activities to the facilities constructed under this perrnit within City property/right-of-way/easement.
$IGNATURE OF PERMITTEE
CITY USE ONLY
REQUIRED INSPECTIONS: , U.G. Air Test _ Gas Test _ Rough In _ Final
PLANS SUBMITTED APPROYED $Y; ,-BUILDING INSPECTOR
Address 4 5 0 6 a 1 i c i a D r Zip 55123_
Lot 5 Blk 1 Sub Southern Lakes F]est
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ? Yes No Inspector.
Final grade (6" from siding) '
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trai1/curb datnage
Porch
Basement finish
Deck
Please verify with the builder the removal of roat test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before fceeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing uaderground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor CoPY
Site Addrgss 0?..?,'` Lot 5 Block 1
Subdivision Sauthem Lakes Pemut #
This structure is cons#ruated to meet minimum requiretreents af the Mn Energy Code, Ctapter M8.
X 7his structure wit# be conatructed to meet more reswctive requi?ements of Ghapter 7672, cr 7674.
at 1
Appliautcce Gas Electric Manufacturer Model BTU°s Ventin Type
Water Heater Gas Bra+dfard WMite Mit SQ 20,400 DiEect power rrew
Furnace Yes Carri+er 58 MVP t38A c?r ?* 80,t?D0 ???'
Dryer TBD TBb TBt3 TBD TBD Tep
Eachaws# Sysfiem Lacation Type Modei CFM's Vonted
Yes Na
Kitchen
Kitchen ova Um rww
mkro tveVL amana Mvtt2s8 WNE or =
??
Yes
Bathroom # 1 Main floor'/: bath Ceiling Braan # 688 or = 50 X
Bathroom # Z Master Bath Ceili Broan # 688 or = 50 X
Ba#hroam # 4 Laund room Ceiti Braan # 68$ or SQ X
Other
Fireplace s Location Gas Wood Manufacturer Modet BTU's YerOng
Direclk Atmos
Famii raoin Yes Heat N Glo 6004 TR ar = 30,000 Yes
aAake-u air Model Type CFWs
Summer Aire Pro Ventor SHV-1$0 or = HRV 95-22S
i hereby acknowledge that the above informa#ion is correct and ag+ree to camplX
with the Mlnnesota Ene
Signature
Company Name ?M R. Hebert & ,Assaciatess 1nc. ,___ Ucense # 570,0
RESIDEWTIAL
1. BUILDING PERMIT APPLICATIQN ?
ciTV oF Eac.AN ? p.e) C?
3830 PILOT KNOB RD, EACAN MN' 55122
651-681-4675
G . .?.r?
New CanstrucHan Reauiremertta ReniodigRosir ' Requirenwft
• 3 regiskered site surveys showing sq. ft. of tot, sq. ft; of house; and ?II roofied areas + 2 copies of pian (v
(20% maximum lot coverage aNowar!) . 1 set of Energy Caiculation.s for heated addWm
• 2 capies of pian showing bem 8 window sizes; poured found design, etc,) • 1 site survey for ezterior addhions 8 siecks
. 1 set of Energy Calculations . Indicate if hane serveci by septic system ftx addbons
• 3 copies af Tree Preservatim f'lan if lot piaaed after 7i1/93
• Rim Joist De#ail Options selection sheet (bidgs with 3 or less uruts)
DATE iq - 0? VALUATI4N ?5V0
SiTE ADDRESS ??O D 1 MULTI-FAAAiLY BLDG - Y ? N
TYPE OF WORK Qf-c K. FIREPIACE(S) _ Q_, 1._,. 2
t
APPLiCANT trev?± b dtrr O? 5 T0-u l? oan
STREET ADDRESS Wot Ab CITIf STATE MA" ZIP SS `fj`/
TELEPHONE # XCELL PHONE # FAX #
?
PROPERTY OWNER L(J?'! nl,c LC "h Kc TELEPHONE #AI R?S qqq?
COMPLETE THIS SECTION F4R "NEW" REStDENTIAL BUILDINGS 4NlY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MI
(q submission type) • Residential VenGiation Categary 1 Worksheet Submitted • r C?.e sh t gii mitted
• Energy Envelope Calculations Submitted JuN y hZ002
1 ?7
Plumbing Contractar. Phone #
Plumbing system includes _ Water Softener _ I.awn Sprinkler
Water Heater _ No. of R.I. Baths
? No of Baths
Mechanicat Conhactor: -- ? Phone #
Mechanical system includes. Air Conditioning Feec $70.00
Heat Recovery System
Sewer/Water Contractor ` Phone #
i hereby acknowiedge that i have reatl this appiication, state that the information is correct, and agree to comply
with all applicabie State of Minnesota Statutes and City of Eagan Ocdinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received Not Required _
Updated 4102
'
oFFicE usE orvLY
? 01 Foundation ? 07 05-piex ? 13 16-piex ? 20 Pooi 13 30 Accesscbry Bldg
? 02 SF Dwelling ? 08 06-plex 13 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Mu1fi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex A 18 Deck 0 23 Porch (scceened) ? 36 -Mufti
? 05 03-piex ? 11 10-plex ? 19 tower Levei ? 24 Storm Darnage
? 06 04-plex ? 12 12-plex Plbg_Y or N ? 25 Miscellaneous
? 31 New CI 35 Int Improvement ? 38 Demolish (Interior) 0 44 Sid'+ng
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
0 33 Altera#ion p 37 Demolish (Bldg)* 0 43 Reroof ? 46- Windows/poors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to, applicant
Valuation Occupancy MC/ES System
Census Code Zonin9 City Water
SAC Units Stories Booster Pump
Nbr. f
o U
nit
s
Ft.
q• PRV
Nbr. of $Idgs Length Fire Sprinklered
TYPe of Const -?k..L_ Width
? REQUIRED INSPECTIONS
Foohngs (new bldg)
I FinaUC
O.
Footings (deck) .
X FinaUNo C.O.
_ Footings (addirion)
'
?
Plumbin
g
Foundation ' HVAC
_ Drain Tile Other
Roof - Ice & Water ? Final Pool _ Ftgs
Air/Gas Tests Final
Framing _
Siding Stueco Stone -
_ Fireplace _ R.I. _ Air TeSt _ Final Windows (new/replacement)
_ Insulation Retaining Wall
_
----- -- ---- _ _ --- Approved By, ?
--- ------ -
- Building Inspector
Base Fee ---- --
- ---
-- - ---- - --- -- -
- ----------- --
r
Su
char9e
Pian Review
MC/ES SAC
?
170
, City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Ptant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total ,
Gez- 93Z?- .
?. .
i
? "'? FDJNORTIOxJ ?V= cArJ,(o
..•
w
' . 613ERT4 ??mo,
.o& H {0 -I"°P ?AoaeR.-?S 4?. CJ%r-t = A D(p NLt CtA DviVE -?....,
K.A",'q41•qJq NoT&, tJo "uuow !10 V1uwtc?ms ?
'f ?"C?oP •t?..l
wV. REQUIR
°)?i • ¦ •?
- +co /b 45t T ?U¢13 . .
Lo
dQ i? 9?9.7 _,;, _ - ??! 1 a14t .44 _
9
? .
? g?:?I-1
-2 oc .
24Z
7 ? 3.o
o
???;e?: ?~ -- ---
c? 2,0 l?D ,• ?
"."
? U? °
14l'4' ?
? !,? ?""'?---..._ ?` 3 ??) ' C? ° t`?'' ? ? ? :43s5 ?, l ' \?n,?,?? r ,?.?,5
f?? ? ? .s ? ????' ?.,?'p? S'' ??' •
?Q._
, . ?
.CQ9 J
??, ? ?
qUR 'roe? 1tz.0a o ?
. . . f .1??Y ?` ???•`-' . l.+?Y" l??.r / f.. . ?r•w ... . . .. . . .
. ? R•"
L.aT c t5
t?U,11,ot11?i, Bearings are sss?ed
1 010 CUOE`Z 3ubjeat to easeiaents of record if any
vaATte P?.? N NPLA*.?s
??. ?+Z4 . Ca Denotes set or iound iron pipe monwanents
CS' cf4t.'? $ Denotes eet wa?oc! hub azid tack-
Proposed,garage iloor elevstion .
?84p Denotes exist9.ng elevation
Proposed top ol-4eck elevation Denotes praposed t'inish grade elevation
Q'"](') benotes directian of surlace dralnage
+??.1Vproposed lowest iloor elevation ,
?
??`, ?Q?tT?? ?PItJ?0? ?l?(Z1Jt5t-??0 A,,) -
'To 21Q .
I hereby eertity that this is a true and carrect representation 4t a eurvep of the boumlarie"a
N?GOTA
of Lot ?j, Bloak ?, SWR?? County, Minneaata as on iile and of record
?, .
in the Oftice of the C4unty Recarder it? and for said County, also showing the proposed location
of a house as staked thereon.
That I am a duly Registpred Latnd Sarveyor under the I,aws of th4 Sttto of Minr?esota,
?
*E' r??,UW
Dated. JG
? FV Hastings
Mfnnesota Regiatratior? Na. 17009
? Ti
212 First AVet1ue E.
:???te Swite No. C
; lAGAN El']'GMERMG 1) 1a17. Shakopee, Minnssots 55978
.,
.. .. .. .... . tx . . ? . . . ? . . .. . . . ? . . ? ? . . .
. .?... . . ,.., ? :.r... .' .. .,n,.:.,..:. : Phone 612 445 4027 ,
?ECEIvED
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161204
Date Issued:05/12/2020
Permit Category:ePermit
Site Address: 4506 Alicia Dr
Lot:5 Block: 1 Addition: Southern Lakes West
PID:10-71300-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Lonnie L Lemke
4506 Alicia Dr
Inver Grove Heights MN 55077
(612) 799-8806
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature