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3667 Cardinal WaycirY orSEAGAN WATER SERVICE PERMR 3830 Pilot Knob Road P.'O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: - ZoninO: - 7.1 No. of Unita: '- Owner: Address: Slte /1ddress: Plumber. ?;•FE,,r T ?-:it_^? f'}'? ? '' fi ?+r?"a:. +r??:?,. Metar No.. Connection Chorge: Size: Acaount Deposit: 15•L'Up d Reader No.: Permit Fee: ?• ?'?''' 1aqrM M aoinolY rNM Hw Ciry of Ea9aw 5urcharge: • 50+`r:i Ordr..nem M1sc. f.Farpes: j 3?_ a C;I",rou Toto1: BY Dote Poid: Date of Insp.: Inap.: CITY OF EAGAN 3830 Pilot Knoh Road P: O. 6ox 27199 Eagan, MN 55121 Zonirg: Ri Owner. _ Address: Site Addi Plumber, 1ayew !o eaaply wifb !M Cily of EagsM ordIMNEl& ay Dnte of Ir?sp.: I nsp.: SEWER SERVICE PERMIT ?:1 {•y ' PERMIT NO.: DATE: No. of Units: ? ConneCtiOn Charpe: '0' °% 1('m ACWU/Yt DEp031f. 1 r? -,aoa'j PenriFt Fee: Surcharpe: - "??r•r? Misc. Charges: Totol: Dote Poid: _ , ??, ;? ?.r ? r ?r ?r+?r?i? , ?? ? ? ?.,. 3830 Pilot Knob Road, P.Q. Box 21-199, EMN 55121 4 ? PHQNE: 681-4675 BUILPING PERMIT Hece?t"? f . ?•? f ' ? To be used for 4-SEASQN PORCH '. Est. Value $11s000 Date ?.? r?°?? ?J v , 19?? F S4te Address 3667 CARDtNAL WA.Y OFFICE U5E ONLY ? Lot 16 61ock .7 Sec/Sub. LGT_ FeES a Parcel No. occUPancy 126.00 Zoning _ Bldg. Pertnit ; TV WIJF"1?SCH N2fpe (Actual) Const - Surcharge 5.50 LL1 AddT85S 3667 CARDINAL WAY (Albwab4e) Plan Review 82.0 ?i3 ? Cfty EAGAN MN Zip 55123 # of 3tories th L - ?? j O Phone 920-0942 OR 452-3408 eng oePm - A , ccy 5 Name SANE ' S.F. Total 1? ? ??ac, nncwcc Q ? Addi855 S.F. Fooiprints -. On Site Sewaga _ waier Conn cil}I Zlp On Site well water Meter ? Pho11E MWCC System = Acct. oepos?t ?a O Cit water y _ U License # PRV Required - S1W Permit .' . ! heteby acknowlege that I have read ihis appfication and staie that the Booster Pump - SIW Surcharge information is correct and agwee to Comply with all applicahle State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI ;s Signaturq of Permitee APPROVAI.5 Road Unit A Building Permit is issued tot ??? ???SCH Planner --- park Ded. T on tne express condition that ali work shall be done in accordance with a44 Couneil Copies applicable State of Minnesota Stafutes and City of Eagan Ordinances. Bldg. 01f. _ 213`50 BuildingOfficial _ Variance - TOTAL Permit No. Permit Molder Date Telephone # SNV PLUMBIIVG HVAC ELEGTRIC ELECTRIC Inspection Date Insp. Comments Footings I ?$=9;? Foundatian Framing r5 rJ ? Q6, 2-112- Roofing - SU? 5'T Rvugh P1bg. Rough Htg. 7 r ? • ? Isul. ? Fireplace Finaf Htg. OrsBt Test Final Plbg. Plbg. Inspector- Notify Pfumber Gonst. Meter Engr./Plan Bldg. Final 1 2e L ?D Deck Ftg. Deck Final Well Pr. bisp. BU$LDING PERMIT Receipt # -To 6o wrd for FIF 1QVJG/ r,iAR Est. Value •`.'6 8 0 0 4y Date &_P"?• ??R ? 14 d:3?i Slte Address - ?: ue?v ,?7 C'?i.Fi1?. ?` T` e r'lf r ?v,-s? Erect ? ,,. Occu anc P v Lot Block i Sec /Su6. T a D%? I. I•j `3C? Remodel ? Zoning Parcel Na Repair ? Type of Const. ?j . Addition ? No. Stories ? Name ;? ,.J 1't' ,s4. a Move L, J,h ? Length c? ?t W ? Address 1",N I1T i' Demolish I Im c t ? ? Oepth ?. p n . Sq. Ft. City Phone Install ? ? Name Approva Is Fess u? Addresa City Phone a Neme ? ?F3?*?i.r?w:i•t??L.?;F-' WW ?? Address 5 Z. City " Phone Assessment _ Water & Sew. Police Fire Enfl. Plonne? Permit Sureharge _ Plan Revlew _ SAC Water Conn. _ Water Meter _ Countil Road Unit = 0'-' • u v , 1 hereby ocknowfedge thot I hove read this application ond stote thai gldg. Off. ?2?? 'I ? Tr. Pi. fhe inlormation is torrect and ogree to comply with oll applicoble QP? ` Stote of Ahinnesotc Stqtutes and City of Eagan Ordinonces. Parks Var. Date Capies ? Sipnoture of Permiftee ? O Y-. T.;.'. i.,i.v`s'?.? r.l.' 0 " t?,? ; TOtel U 4 .D? N Building Pertnit Is issued to: on the express Ga+dition that otl work shall be done in vecordnnte wlth oll applicohle State of MlnnesoCo Statutes ond City of Eapen Ordinancea. ? Bulldirp pff(Nal _ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-81 QO Psrmit No. Psrmit Holder Data Telephone # Plumbirg H.VA.C. IN?r.? r Ulo?l?S Eactric Jc- Safterber Ird"ction Date Inap. bther Footingsl ?B Footings 11 Foundatfon 3d Framing l2? ? Roofing ?y w? Rouyh Plbg. -8 Rough Htg, ZY/ir Inaul. Fireplace Finel Htg. Final Plbg. Finel cqfuocc. ( 3 Water Describa Loeation: Well Sawer Pr. Disp. CITY OF EAGAN Remarks Addition Lexington Place 5auth Lot 16 elk 7 Parcel 10 45060 160 07 Owner Street 35b 7 Cardinal Way State EaQan, MN Sr? I!;L ;3 Improvement pate Amount Annual Years Payment Receipt Date STREE7 SURF. I735, eO IO.J SS 3/i , STREET RESTOR. GRAOI.NG SAN SEW TRUNK / 1985 247.64 16.51 15 15 ?-?L - SEWER LATERAL 1011 1986 16 3 1.00 3 26• 2 0 5 130 -FO Q J/ ? n-Ap (c Services 101.6 1986 729.39 145.87 5 593-5-2- C` oll 17-z-,- -J/,??- ler. WATEANfAIN 1985 65.81 13.15 S '. b5 ?".2 _ UVqTER LATERAL 101 1986 873 . 43 174• 6 8 5 ?p q P, C?FJ .,2 </-2-%6 WATER AREA 101+ 1986 243 . 73 48. 74 5 e- o WAT LAT B N 10 1986 111.98 .22•39 5 STQRM5EWTRK lol 1986 426.54 85.30 5 Z7 S7dRMSEWLAT 10 1J? 1980 803.34 1E3G•66 5 CUR6 & GUTTER ' SIDEWALK STREET LIGHT Road Unit $280.00 55141 9 5$5 WATER CONN. 500. DO 8UILDING PER. 109 SAC PARK ? PLUMBING PERM1T CITV OF EAGAN Fi11 in numbered spaces Type or Prini legibly 1. Date -:; ?, 2. Installation Cost .'? ?.?`.Irrr 3. Job Address ?„c,. rf i.•`%;^;?r; :,? J L`ot Blk. 4. Owner - `O•-i TaE:2: i , Tract 5. Contractor •-•E?d Permit No. Fee SIC Tot. Phone 6. Address ;sratf(; ' 7. City - 5tate Zip 8. Building Type: Residential Y 9. Work Dascription: New P 10. Deseri be 11. Commercial ? lnstitutional O Add ? Alter El Repair ? No, ?.? Fixtures Watsr Claset No. Fixtures GessAoollDrainfield ; Bath tubs , 5eptic Tank Lavatory Softner ; ? Shower Well ? Kitchen Sink Uri nal/Bidet ather ae Laundry Tray ! Floar Drains prinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the atsove information is true and correct, and I agree to comply with all ord+nances and codes gaverning ttiis type af work. Signed : -?'.rr for Rough F inal Inspectfons: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY QF EAGAN 454-8100 -`? Raceipt MECHANICAL PERMIT Psrmit No. CITY OF EAGAN _ Fas 20_ C'i0 ? FiJI in numbered spaces S/C •50 Type or Prin[ /egiWY T'ot. _% u. :,:'.: .r ry ?- ? r. y•r, a,?.?;W 1. Date 2. Installation Cost 3. JobAddress-'!'67 Cardin.a2 kJatot Io Blk. 7 Tract 4. Owner 'r'?c??:?ti.?:c Companies S. Contractoo4enxpi Mechanic_r.1 Phone 452--156`_? 6. Address -'_:1:` t??7Tr•.?i,??• E]rivp 7. City ?:L:,:aState t°-:y Zip 8. Building Type: Residential Commercial D Institutional ? I 9. Work Description: New ?. Add O Alter 0 Repair D 10.17escribe Fuel Type I 11. No. a'iA Equogmpn* 8TU - M. Ea. Forced Air T=a-ne No. EQUiament CFM A H Mfg. ir andling: Boilers Mfg , Mech, Exhaust Unit Heater Mfg, : Other Air Cond. Mfg. Gas, Piping Outlets ; 12. 1 hereby certify tha# the above information is true and correct, and I agree io oomply with all ordinances and codes govarning this type af work. Signed : for Rough Final Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ' CITY QF EAGAN 3830 Pilot Knab Road : P. O. gax 21199. ? Eagan, MN 55121 Zoning: _ ? Owner: TI.'CyFt¢ 1€ ? ` Addresss: ; Site Ilcldress: -?? .? 0 Plumber: i WATER SERYICE PERMIT PERr4t9T° Ida.: ?'`' i= ?UT? ilf"c.: ? Meter Wa: _5&eL_I La ! v ? Connectian Charge• V..? ?:; r Size: ? .. Account Deposli; 1? . t??"?• ::: ? Rea r No.: 0_KM_ ??0 4?' Pe?mit Fee: :,i , t} 1s4me #o aorwply wiTh !he Ciry of Eegan 5urchorge: Ovdi?esrs. Mise. CfwrQes: ? Aff Totnl: an'_ sY Dcr1'e Poid: Date of Insp.: f Ti !/' ,?S Insp.; • CITY OF EAGAN I? IO 01 45 3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55127 I C / PHONE:681-4675 W a BUILDINGPERMIT Receipt# C _01 76 Tobeusedfor 4-SEASON PORCH Est.value $11,000 Date FEB 2 5 igm_ Site Address 3667 CARDINAL WAY Lot -16 Z Block 7 Sec/Sub. LEXINGTON OFFICE USE ONLY FEES Parcel No. O°c"pa"`y - 126 0 Z i . 0 Bbg. Pertnit ng _ on N8f118 TIM WIJENSCA (nctuaq Const - Surcharge 5.50 I w /lddreu 3667 CARDINAL WAY (aoowabla) - pM RZVIOy Rq.o? ? EAGAN MN Tjp 55123 ? h?ories = L ? 0 e Phone 920-0942 OR 452-3408 Depth _ SAC, Cily Name SAME S.F,7otal - SAC,MCWCC ? S.F. Footpnms - F {1ddf2SS On Sil wa e S Waler Conn ? _ g e e Cjty ]jP On Sile Well Water Meler ? Ph0118 = MWCC SYslem qccl Deposil O Ciry water _ . V Ucef1S8 # PRV Required _ S!W Permrt I hereby acknowlege ihat I have read this application and slate thel ihe eooster Pump - S/W Surcharge information is correcl and agree to comply wilh all applica6le State of Minnesota Statutes and Ciry of Eagan Ordinances. Treatment PI Signature of Permitee /^ APPROVALS Road Unit A Building Permit is issued to: TIM WUENSCH Planner - park Ded. on Ihe express conddion Ihat all work shall be Oone in accordance with all CouncA applicable State of Mi n n e s ot a Statutes andC ity of Eagan Ortlinances. Bmg. OH. _ Copies ( . ? ? ? ? 7 p ? Building OffiClel IXIII 11.0/ I I y y! 11 ? ? varia^ce - TOTAL 213 . 50 CITY OF EAGAN N°_ 109 O 2 3630 Piiot Krrob Road, P.O. Box 21•199, Eagan, MN 55721 PFIONE: 4548100 BUILDING PERMIT ReceiPr Te be wed fer SF DWG/GAR e?_ vni.,. $68, 000 f,,,e SEPTEMBER 5 1e SS SlteAddren- 3667 CARDINAL WAY Lot 16 slock 7 Sec/sub. LEX PL SO Pazcel No. W Name FRONTIER MIDWEST HOMES CORP ? A?ms 3908 SIB MEM HWY #E Chy EAGAN phone 454-0433 89 Nane SAME Phone erect fR occupaney R3 Remodel ? ZAninq RZ Repair ? Type of Const. V Addltion ? No. Stories Move ? Length 40 Demolish ? oepth 48 Int Impr. ? gq. Ft. Install ? ApOw"ols Faaf Assessment _ Water & Sew. Police - Name RICHARD ('HARr.T .R Firo Address 14103 C.ARDF.NVTF.W (`T Eng, CitV A-V- Phone 479-5497 Pianner_ Council 1 hereby ackrwwledga thot I hova read thls oPDlication and stere that Bldg. Off. 9 3 8S fM inlormotion is corre[t and ogree to tomply with oll opOi"able APC Srota of Minnewta Stotutes arip Ciry of an Ordmonce . Permit zo 33 / . V U Surcherge 34.50 Plen Review 168.> 0 SAC 525, 0 WeterConn. 500,90 weter Meter 6.3,9 0 RoedUnit 280.00 rr.vi. 132_00 Perke ? Var. Date C . Slprwturc of PermiMee A Buliding Vermit is issuad ro: PROMIFAZ MIDWEST HOMES CORP oll work shall be dona in occordmKe with all oppli?cople Sfo1e of Inneso Stol?e? or opies Taai $2.040.00 _ on the ezpres conditron that Ciy o4 Eopen Ordirwnces. 8uildinp OffiNol ?e / y Y=L C'O/ 930 ;2- 2 97 r? ,g Repuest Date F No oug i^ I^epecnOn G// g/9? i?? [) ReaCY Now III NoM1ty InsOector ?§s G No When ReatlY? I O hcensed contractor Aowner hereby request inspection of above electncal work at: Job Atltlress (Streel Box oufe No Ciry 3669 k2a- pZ $ectron No Township Name or No enge No- CouMy Occupan. PRINT) PYrone No. m sl Power Supplier Adtlress Elecincal ConVactor ICompdny Name) Conhactor5 L¢ense N. Qvn.?OW?Itir MaJinq AOOress fCOntteciw o? Qxner Making Installation) aJ Authonze0 Si na? re hactor/O ner Meking InsWllatron) Phone Number 0/ °/ s?-3?Ve MINNESMR STATE BOAHD OF ELECTRIdTY TMIS INSPEQION REQUEST WILL NOT Griggs-MlEway Bltlg. - Roam S173 8E ACGEPTED BY THE STATE BOAflD 1821 Univeraity Ave., Sl Paul, MN SS104 UNLE55 PROPER INSPECTION FEE IS Plrone, (612) 66241800 ENClOSEO (P? '`J/Q,2 REQUEST FOR ELECTRICAL INSPECTION eeo0001 -0e A ? --? ???^?, ? See insVyclions lor compleM1ng this form on bedc of yellow copy. ?? 'y' V =X" Bilow Work Covered 6y This Request ?1 9, r'?•??°ew Ad Rep. Typeoleudtling AppliancesWired EquipmemWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bwlding Dryer Other (Specity) Comm./Industnal FurnaCe Farm Air Conditioner Other (syeary) Convanws Hem tr?, 1E.?L.•Li:i?? ? Compute Inspection Fee Below: # ' Oiher Fee # ServiCeEntranceSize Fee # Circuits/Feetler5 Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps hansformers Above 200 _ Amps 100 _ Amps Signs Inspectws Use Onty 0 TO TA L? ? Irrigation Booms ?' s ? p ?J Special Inspecnon Alarm/COmmunication THIS INSTALiAT10N MAY BE OR ED DISCONNECTED IF N0T Other Fee COMPLETED WITHIN 18 M DFTAS. I, the Electncal InspecWr, hereby flp°9""" certify that the above inspection has been made. oe?eg OFFlCE U3E ONLV This request voiC 18 montks irom REQUEST FOR ELECTRICAL INSPECTION es-oaooi-oa See instmctions ior completing [his form on back of Vel low copy. 05,49 2 4 " X" Below Work Covered by This Request N1es Wdj _Re9,j rvoe of euneing Aoaiianca. wirae Equipmen[ Wired Home Range Te porary Service Duplxx Water Heater ! ightin,y Fixtures Apt. Bwlding D"er Electnc Heabn Commercial Bldg. , umace Silo Unloader Industrial 81dg. Air Conditioner Bulk Milk Tank Farm OthNr pecs v Otherl5uecilvl t.r Suecify t or ' Oth.r Compute lnspectipn Fee Belaw # Fee serviceemrencesize a Fae Faeders/SUEfeeders » FeP circusis ? 0 to200qm s 0 to30Am s ? 0 to30Am s ! A6ove 200 qmE?s 31 to 100 Ainps 4' 31 to 100 Am s Swimmin Pool Above 100_Am s 5"'0 Above 100_Am s ? Transtormers Irrigation Booms Parval.'Otber Fee Signs Speaal I s ction $ $ OTA F emarks ? fl EE ? ? flooBh-in Final WWF y 'f y p ?ate ? q b. p ? /?//? ?// I, t e Elactri 1 In6Pd . e?aby c rty that the above ?nsDection has been matle. Thie repuest voitl 1B monlhs from This reqaest void L, ? ?? 18 momhs from B Q 5 2.?9 2 4 , L Hequest Date 7? S [?' / ? Fire No. flouph-in svecUOn liequ r O ,es No ?Ready Now ill Nobty InsOec- «er When p¢?dy Oa??n5¢d EIeCIliG31 CuOtfFiCtO! I hBleby IequBS[ IOSpBCtion Of 86ove ? Owner elecvical work mstelled aY Street QtldreSS, Box or aute No. Y f? Qty ?? 0/,,V7 cLOn ownshi0 Name or No. flange No. County Occu ant/9NTI ? Phone No. Power ?POliar Atldress Electrical Conttacmt ICompanv Name) Co trector's License No. C7- Ma,l,n r r staila[ion) ' AUthot,=???E(V?ALLEY, ' rVIniiiii '°"' MN 55124 Pho^e Number MINNESOTA STATE BOARD OF ELECTNICITV THIS INSPECTION HEQUEST WILL NOT Griggs-Mitlwey Bltlg. - Noom N•181 BE AGCEPTEO BY THE STqTE BOAPD UNLESS PPOPEN INSPECTIDN FEE IS 1821 University Ava., St. P.W. MN 55104 Phone (812) 297-2111 ENCIOSED. 1 ' , ? C . I z/aa 0 CITY Or EAGAN I1411 AP?LZCATZ0N FOR PER?AIT SEWER AND/OR WATER CQNNECTION (PLEASE PRIHL) 1) PROP= ACDRSS: 3667 Cardi nal Wav T.FrAr. D°-=CRI°TTCv: 16 / 7 xington Place south (LotBlock/Si:.^,atvisicn or Tat Parcel I.D. Nuroer) E:il=:G ST.°.CC^? ti. DAT:' 0° GZIGZAL `;Ii.^l`:G -'S: ZS P•D4SL:: .,4^.:7T.r'/??0PG-SM- LS: At ?-1 Si:GL:. FP`.ffyY . D R-2 Di1PI.?i (n':O U:IITS) II R-3 ZC7.%,*1MT-QE ('!= + L77IT5) ! WI'='S) D c-4 e;c:.?'r*?c-;I•/CC:IJii•+?II;J?S ( UiiI.S) ? CC!•!ME??CT_AI,/RE^.AIL,/OFPICc: Q ?1Di:Si:RL.II, Q l?STIT„TIC?IAL/Cx?"Vf..'?`^?"T 2) AP?T_,Ii=.Nv'P (PLEAjE PRINT) NAt•'E: Frontier Midwest Homes.Corporation ADDRESS= 3908 Sibley Memorial Hwy. Bldg. E CIT"'. ST?'?', ZTP: _ Eaqan, MN. 55122 PF =-: 454-0433 - - 3} PIJL.TEP, (PLEASE PRINT) FOR CITY I1SE OVLY NP +`?= Star Plumbing PLUNBER IL:ASE: ADDRESS: 1018 Mound Springs Ter. nccive ' CITY, ST2.TE, ZIP; Bloomington, MN. 55420 Expire PhOVE: H?iLr. 884-4149 PLUflBEF LFCEOSE # 3329 Q N r Reeord tE) OCCT?-pjuNTIOr.y-t,.M IPIEASE PRLNTJ NAL"E: Tim and Christv Wuensch ADDRESS: 740? Rlgomington Ave. S CTTY, STATE, ZIP: Richfield, Mn 55423 PMNE= ?66-7134 5) II9DIG'lTE :,7EIICH PER•IIT SS SEIhG RDQUESTL•D: ? CO.IIVEC'rloN 2b CITY SD7IIt Please mail gold copy to ? CUNNFx.TIGN M CITY cvATEFt Wenzel Mechanical 3600 Kenne6ec Dr-: ? c717T'R (PI,GlSE DFSCF2IBE) - Eaaan, MN. 55122 ? PLr%SE I?OLD F1PP?,OVEa pg;,'?IST £OR PICi:-L'P BY ONE OF ABGVE ?°L.EiSEPROVID PEP_•lIT TJ 1, 2 3, 4 AE(n7E ?- - - ? ? (Ci.r e one) 71 SICZ:%'IL'RE: - v ? A _ DATE. ! R al:?lanf??.a y? a a??:aau a? s r+?oaRra a s s ssaa?:? a?e r??i?+?sa+n f? ??s=acata?a? . F O R C I T Y U S E O N L Y ° PERMIT '-` T_SSUFD FEZS: $ /v-SLt $ /G;S`v $ 63 S $ $ I S•GU $ 'S'GG c'n 'S S?-S.riC, 5 $ $ $ $ o ' $ S $ S::lLR PERt1T'y* (INCT.'.:uE STJD.?'.?217.r'iG) WATER PET.2t?1I; (IPICLliDE Si;RCHA2Gc.) Wr1TER METER/COPPE4HORN/OUTSZDE REi,D: R WATER TAP (INCLCSDE CORPORATION STOP) S :;vER TAP : _..??::_ ?..=c•s?= - ?_.,?? ACCOUNT DEP(?SIT - i•IAT.^F wac SAC TRli'VK WATER ASSESS:?::1T TFli:1K SEtdER ASSESS:i°NT LATE°,AL BENEFIT/TRUNK SE::?R LA;ERr1L BENEFIT/TRU2IK WAT°4 WATER TREATMENT PLANT SURCHARGE OTHER: TO;aL Ab+.OII::T PAIDjREC°ZPT # =/?? DOES UTILZTY CONNECTION REQUZRE EXCaVATION IN PUBLIC RIGiiT OF [dAY? ? YES IF YES, THEN A"PEaMIT FOR 'r]ORK WITHIN PUBLZC ROADWAY" MUST BE ISSUED BY THE Q NO ENGINEERZNG DIV:SION. LZST AS A CONDI- _ TION.- _ SUEJECT TO THE FOLLOWING CONDITIONS: •- APPROVED BY: • TI:LE: • DATr : ww w?a wc+? w ?w? w*sg w*? ? m se ??r R? Scm rm ?.i+ m ? . , . . .. . .._.. . _ :...........:.?..,. .._... ?..._.._.?_.,_.,,.,..'?• --. _.._ .w 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRAC?ORS MUST BE LICENSED 4IITH YHE CITY OF EAG6H CXM6W-lo(aE INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS C0S,ooc7 To Be Used For: Si p Familv Valuation: Date: 8-29-85 Site Address: 31;r,7 rarrl;nal W; Lot: Block ,7 Sect/Sub Parcel U I avi nntnn P7 ara Snii1 Owner Tim and .hris y Wu nG h Address 7400 RloominqtQn Ave. S City/Zip Code Rir.hfield. MN 5,5423 Phone _ 866-7134 Contractor Frontier Midwest Homes Corp. Address 3908 Siblev Memorial Hwv. #E City/Zip Code Eaaan. MN 55122 Phone 454-0433 Arch./Engr. Richard Qharlier Address 14103 Gard,enview Ct. City/Zip Code Aople VAllev. Mn 55124 Phone ll 432-5492 OFFICE USE ONLY Erect X Occupaney Remodel Zoning CZ-I Repair ? Type of Const g_ Addition li of Stories Move _ Length 4c, Demolish ? Depth 48 Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit 3 ?1 Water/Sewer Surcharge 34, s' Police Plan Review Fire SAC Engr Water Conn 5L70, Planner Water Meter C.3. Council Ro Unit 2SD• Bldg Off q-? -&'}7'reatment Pl 132• APC Parks Variance Copies mrAL D?i b, f EXTER " Pa9e 1 of 4 p IOR ENVELOPE AV[RAGE U" ---- -- - COMPUTIITION CGM.??.C2 K,??e. OWNER: n,17f; _ SITE ADDRESS: PiIONE: CONTRACTOR:_ Pr.ON mEx„ Determi ne working square fo s ... otage of each 1. Total exposed wall area.... . _1!9 ??_sq. Pt, x.11 2. Total roof/ceiling area.... . 191 C) sq. ft. x.026 = Z 7. Q9 Total exposed taall area abovr. floor (Jc?+ a b c d e f 9 h i .1 Total wall window area ................. .......................... Total door area ..................... - ..... ............ Total sliding glass door area ....................... ............. - Total fireplace wall area ......................... - ............... otal wall framing area (average lOb) ............................ Total rim joist area ............. - ............................... net wall area above floor.?.,)•c.1 '-` . . . . . . . . ..... .. .............. wall area ahove floor ..................................... wall area above floor .............. - .................... frame wall area et rot:ndats "' _on ................................... Total exposed foundation area= G` k, Total foundation window area................. ...... l. Total net foundation area above grade,,,,,,,,,,,,,, G Determine "u" value of each wall segment (e.g. window, (loor, each separate wali section) a._13'7 • X ,lu„_? 5 _= ? L t b._ 3_ .c-_Z.- x - „u„`. 45 ..- -- -- C. 4 z x d. q-t.) _ x ilu,l-- 3-?'--- . S? r r' ? e. X - - „?„ , o o = - - t S 2 3 . f. _ t32 Z ? ??U" 9._ l 3 t 4. 9e,_ X _-o-7.__._ n 1. x „U', _ X 11 u I, _ j, X ?lull _ k. X ,1 ul. 1 . ?n(a X =--L- 3 . ....................... .......... Tota1 ?1'.iF ?•. . ?;rti': If item q3 is the!same as, or less tham;`item; , ?...., N1, you have met,-,?:the?;? intent of SBG..,6,00 ;iz4? ? :"4 ,,? , Ex f,rior tinvolopx nvm-nqo °U" Computnt:j.an Pago 2 oP. 4 • Totul cxpoued roof/cciling nrca a ?U 4CD M. 7oCa1 skyli.ght nrefl ?----• ' ............................ n. Total roof/cciling frar,iing area (nvcragc o, Total net insulated roof/cciling area........... L , . Determiiie "U" value for each roof/ceiling segsnent ; M. x 'lUll _ +?>----- ' n, ? aOct ,; U. o. X „U„ ,?Z _ _ ?• 7Z 4 ........................... lbtaz If total of ;19 is the same as, or less Chan 112, you have met the int-ent- of SHC 60Q6 (c) l. Alternate Buildin Enve].one Desiqn To utilize the total envelope 'system method, the values established by tlte s:un of itens N3 and j{9 shall not be greater than the sum of items #l and 412. 1. 209 .q 9+ 2. 27?04 = Z3?.q8 3. + 4_ ??,; F_ UCr ????1,:•V1l t???0?id?? w.111 nCvA jUC fcrimv: e:c.nr, t ruci Ic.+n i; V.il _:._...,._ ?'^' ----?I? 1. dlilr; ?.,? ?ICAI+'I?1 - ---._ . ?(? I? ?-_? • .?? '• yg`.'. .CryP f??p . _ . . ,?4 S 7.sx? --? ;. !?.lO??j. . ALvM... .. . _. . . ? fQ 1 ?:C _J >tlriivr ili ._. _._---- .'- "._ . ..'-.--_....-'--'-•. (J'17 'lul ?i l ' ?• ?? y 8 . a PIC. 91 T011VIf1i OF ? FIIAHE NALL Ascn?,?•g.._ ._._._..... ...,.61 FIC. ./ i'J'rAC'!? ( '?•? ?? . P . ?• ?: ?; ? :•.. . A °? ?.l:T.ClI . .e . c??<<•. i :? , i?, . •Q. ?\ • u . I 'q ("'k . 1 15 ---- --? o - '----•--(•? \? pC u? ?? . 4. s. Jnt_criur ?iir film Ei.i?}esrn,..?.l.g.lN(,?---. (7 ADO GlC3 -•- -----•-LDl G. };xtrrlor n ir I i Im ..-----?- -'----'-------- ?iot,?l z1 ._.p_ _.. p -'--" -- . . 7 S`A` - 0 3 i. `??,?ir ?:i•? n.r.,n s. .. 1.'- -$. L!Y 1L9... ...5.-.??...-•---- 4. ...._.....-- 5. -°--'-"--""'-- ?. I::<l?'?'inY ir I i?r? 0.17 rol,ll ' (b• 9 ! S[.AB Opl (MNUIi .? ? .'.? ?.. " . . , r ?--.c RA ? I ) ? ?l?'-?? . <<r ? ? ?.. _. . . .% ., ..?-? \ ?y-... .'. - !rr-=- , , • ' • -{ -_-. e •- r•ic. un rri ? ?: • :> ? ? ?' ? ._ • --- ', // f ? G. 13 ' I ? Y I ? ? ? ,y•+O , ,+ +1 ? 1 ?'? ly"-1, "!t" v,iluc, d'_iiCli nn(I ' pl.r:rn??•ic nf in?:iil.)Linn. ?or%cezLi?c znCed Sea[ flov - Lp FZG. BS ? • T ?rt ?hr?????I?IM1\24•41 .-iT-- _ ?? ? l?? ?0 11 l Construc ti on R-Valtic Intcrior air film .0.61 ' z. B? _ F3D _ - , sg s. 1,u5Uc.. • 44.C0 4. Extcri.or air filn (still) O.G - TotaLl 2 4s8o • = . . ?_ .oZ .. FM+rt w • . 1. Interior air Film 0.61 2. G? . 'F3D s. _Z_c ? l?,(SuL, 38.35 4. I:xtetlor rir L'iln (st1 .b Total 2 _ i1O ts [otisT.evcri o? . , 1_ Inslde air film 0.61 z. . • 3. , , ? 4. ?$. Outsidc air filin 0.17 Total LU ? . . , , ? Yecz flov vp • j-vented . • FIC_ i6?._. • . •-. . '. -3 I v ' , •_? -;,!=''°,? , ? .:?>?. ? ? ?1?1 - r?:?GC1?•-%r;.. ..?-.:?: ??+ , .?.. vy ?-, . '. : . : : • .?.??-7 ?1 ?? fl'?i?-•:1'.''.•'.:'.l? / i ? : , .?._.... ' ?.? L-U2-• ' . ? Heat ? . • ; . flov up • • ? l. 'Insidc air filin 0.61 2. . 3_ 4. U. 17 5. Outsidc . ir filin Totvl • 1. Ynside air £ilm ? 0.61 2 - 3_ 4_ Outsidc air filin 0.17 TOtal _ .. • . ]7otc: Use additional sheets if morc sPace i: neeclecl for cletails and calculations. . . . i { I . .... r...?+r-. ?....... juf '4+I+Dcjun u;tll arcn tur ? framq Cvnr,i ruct !un '\?l I ? ?U J ; ., `. , , • FIG..flI '`CGt'VI[:I?' OF ii FIW1E IJAL1,: E; ? I ? I , .?..:? .._?._._........? FIC. f?p2 ' ?! ; ? ? • ?'--`? -•?T?? ?l? 1??j ? ,•S6nL'? ?#???s" "??Y?? , ? . ^_,?.?(?J ?.'? ?.'._::_ •. t^ /"'?? -{''? ? `? ?, t?•? ` ' Q •, F ?y ' I ? `O . r, 17 ? ? • ??? y ? ? ? ? ?A ? y •?'" • , `" l ( ?r. 17 j • _'_ a ?7?.,. r ?' .?. ? ?n??• ??rn ?.a,?,n.??s.;^<m r.? r " n ?y IrJ!U •'• ? j:1RT- . a . . Atrz ?E?? ? • . ?' ; : , __ . . _.._.... . . ; . , „•',? _,, ?,,; 1. TnCrrlnY air -- - ° - -• ; 2. ? ' ' 5. -_.?_.?_...._ .. .?___. _ ?•_•- _ , ?,.:,;:y. ???' ,j G. Extcriur a i i . ._-___. ? 17 .67 __ ? . 'I'ul.nl_.. 4. ? / ? . `}: • ? wa ? : ..F ,, ,? , . :'r?,.e"'s'?qMqy • ._--._^...._ S. };xtCC10Y rt: (I IPt / . 1 0 2. ' ' ' _ ,... 3 • ? ? q,L?Y A :,. _ ?------ -- - -- - •---?-•--- •--- -'_ _ . .- ' ".': ' 1?!' , ti . -• _t ;,. , _ ?Tul. 1 V - n :R?IY stAn 1 ) 1 1.? ?)u• -{?1?;?? v/?? /? . .. ' ? .- . ',`???q?•`'.'I:tJ ' !I/ ' , , • ?it. ??.;.n-ft?'a" 7•ra FiC. Ilh I(I S • :r ? ? "?rti??: • lf? ...••??'? , l?? ?,>-- '','??r:e-,.??',?.i,:??:?ti,?`s indlcaCC lyc, valu", ?Icntli'nnci:?±^??^ •. ' p 1.r.rrn?'it. o( iii:;nl.ilton. _ . ., L, rjE,.4 L FT. J?XPosEp gi_.oG k. ;?+- ZcDrz s f- / = t 3 Z. + z. s= r 3 0 , ?T ?:ULL i 13 Z ! ?l ?.Et?LACE ; ?• 1Z 1 M='' t 3 z.. PLA&J # WALL S(Z. T7T, Etc.t!?oSED VvALL.. Aiitl.EA t3Loc.K.', t? z X, K.N EE : t_?? x S= co Sc) , v-?- 1:: UC.L X 0 ? IvSG» ?- . r - e. rt7 ? 46 I To -t-^ L. ? . 1915 Z Scz,Ft , F-YP055--D CE1 LlUq 1040 1N D vll5 L? ??6= I = S ? : z??q4= ` = q9 ??/?n:- ? w Z 5 S = 42) 137 ?° z? -- , ?XT! O D2.S , ~^? t? ot i 'NENLEL MECHANICAL 3600 Kennebec Drive t•? ' ZddreQBi Ca-A) CO?D _ Eaqan. MN 55122 . HEAT LQSS CALCULATIONS DEPARTMENT Or !.,?DEcTJon' Weathentripi A•S.H.V. , Guide Corilnutiop No. I + (wulatioa Windows I Doors Reference I Out. Wall Snt. Wa11 Ceiling Roof Flooz I Kiad How Applied Yu-No Ye- ?- l,?0 19_ ? ? I - and Area u, \Cidtrt o r o+?. HH er w?. No. ut nrn?. Llntbl fL. oi An? y Coef. Btu {nhltratioo 7i Vol )0a,4 Gl_ss 19 950 F.xp. wall e g Nel cxp. wail F^g ?9 4 Int. wall ce;ling r e?5 5 R a 5. Floor Tetal Btu. Required :q. ft. E.D.R. or aq. ina. W.A. Leader arca 4095 fl.I Room Length // Width ? Height ° Windowa and Doors -Ctackage and A rca Y" Ne- WiGtR of pan• H.Ifht et D?n. Ne. e[ Ilfhu Llnul tt. of critet A'u N. tt. 9. Coef. Btu Inbltration 7,5?' o Glais 9 56 E:p. wall 7(0 Net esp. wsll [nt. wall Cnlmg Floor Total Bw. I Required sq. Ft. E.D.R. or sq. im. W.A. Leadec area a,S (D (o 'j Room ' Length ?/ e Width_ f 7 9 Heigh$'? W n??dows and Doon-Craclcarte and Area Ne. w?e?n of pan? H.isni of p?n• No. o[ ?ItM• Lin.•l n of cock w... ?01t. ? 7' - 3 to '° z O Coef. Btu ]nfiltration Z. O 1 0?.. Gla,s 'Di.3 EsP. wall Net e:p. wall 8 { $ Int. wall Ceiling 0 Floor Total Btu. E2eouired ip. ft. E.D.R. of tq. inf. W.A. Leader ares 16 a„p C) Room I Leaat6 /N "W ors-Crackane and Atea No. wman et w.0 NNfEI of wn, No. e[ Urht. Llnu! fL oS enak Aea w. f?. 3 20 (ao ( / , s zj Aa ? ? 4 ?O CoeF. Btu Infileratioa ' k eJ0 ? 1 ~? 's CJus Fsp. wall Z 6 Z Nee e:p. wau ' 2o h I?- c b ine. w.U Ceiling 21C -? I O S O Floor lotal tltu. Required sq. R. &D.R. or aq, ins. W.A. L.eader uea ? FI.I r<-,y°z2, Romm I Length t c7 ° width 8° Heisht c,-- • W mtlows an a uoon -1.raeca ge aea nrc a Ne. WIQIn a! panS X?I(?t e[ Pan? Ne. eL litht, Sdout ft. et craek Atw ap. tL t zer ls-7 17,8 1C/.3 LO • Btu in6ltration v ru' '? ? 0 Glaat q ? Exp. wall G?l I?c 1 Net ezp. wall ^ ^ L Int. wall Ceiling Floor TotaMtu. Required ?q. ft. E.D.R. or sq. ina. Q+.A. Lcader area ? oi 7?•_._- I FQ -1 &-f'j RoomlLength 10` Width j 4 Fieisht "3 ....7 Axa wm?n x.isn? ef 9ene r+o. et IIrAU NA??I Il. ol ene4 Ae?? .a. «. ? s Coef. Btu 1n61tntion Glass Exp. wall Net ezp. wall tnt. wall Cmlmg ? Floor I Total Stu. Repvired sq. fi. E.D.R. oT sp. ins. W.A. Leadcr axa ??9 st Z or'? ? sam: iddreae: C21r1t'C.` a?-' 0 ? riZAT i.OSS CALCULATIONS DEPARTMEN'T OF !\SPECTiON Weat6erstrips . A'S• ' Construction No. I Guide I Wmdows (-i Doon ?4 Refaeate I Out. Wall lat. VJall C.eiliog Roof F1oor ''es-No Ye? 19_ ? FlJ T;ijT'.?- Room L Windo.n and Doon-Cra - tC{Otn HHfn? No.?e et w-• et wn. urn > 2?! k 1 / : and Area .Inul ft. An{ ? e/enek -p.[t. i i. 6 9.S !i ?Z4 Infiltrotion .? D 1 0 2 Cfass ? a .5 O E,xp. wall ( 4'b' N« <:P. ,,..u ? ? 9 t Int. wall Ceilin8 FVoor - - Required sq.:ft. E.D.R. or aq. ina. W.A. l.eader are: 'z $ t 0 ? Fl•l 2y-.E prjj' Room Length 24p WidthHeight A!?; Windowa and Door?Crackave :nd Area NO Ne. wleen ot o.n. Hlltnt et 9ano Mo. a[ Ilfhu LIn..1 U. ot e"ek wre. M. ft. 3fD I I I 5 5. D 1% 2u L4 ?'D Ca ? p• (O • '??' ?J Cocf. Btu In6ltration l.2 V 4 b b Glua ]yt. 'v 8 '1 (m 0 fsp. wall lo ti Nct cxa• wall °1$! (p .$ g $ 6 Int. wall Ceding Fioor ? roya .,5 a o O Tohl Bm. _ I Rcquired sq.#t. E.D.R. or sq. ins. W.A. l.eader area F1.1 Room I l.en8th Width Wiedows and Door?-Croekaee snd Area No. wmtn o( p?n? xMSnl o! pane Tln. oc Ilt?l• xJn..1 n. of cr. Ck wn. ?0 tL Coef. Btu 1n6l[ration Cilets Exp. wall Net exp. wal!"" Int. wall ' Calmg "'- Floor Total Hw. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1_ 'WEKLEL MECHANICAL 3600 Kennebec Drrve Eagan. MN 55I17- iasulatioa wmaows aaa uoon--a.racwgc ¦na n« No. WIatA e! C+n. HeISLt Of yan, No.ot IIfftl4 Lmolll. ot etack A[u q. f4 i caef. 8m Infilcration Glaat Ezp. wall Net up. wall ' Int. waU Ceiling floor Total Btu. ? Required sq k E D R or sq. ies. W.A. [.e+der arca ? F1,1 Room I Length Width Heieht W mdows sa a Uoon ?.caeca 8e ana r+r u Ne. Wtetn af He1/rt af n N. et llikt. l.tnnl tl. at ttaeY Aru Wt4 . ? {a6ltration Glui Fsp. wall Net ezp. wall Int. wall Ceiling Floor _ Total Btu. Requited sq. Et. ED.R, or sq. ins. WA. Lesdcr arca A.1 Room I Lengeh Width Heieht v1:-.7.,.... ...i Il.....--.Crarksve and Atts No. wm?n o! Pu.? ri?ti?t et 9??? No. o! ??i??? Llnul tt. et erael[ A?u ?P t0. Coef. Btu Infiltration Glsu Esp. wall Net exp. wall Int. wall Ceiling • Floor Ton1 8tu. ? Required sq. ft. E.D.R. or sq. ins. W.A. Lea&r arca ? ? SBGMA suAVevaniG SERVICES 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone. (612) 4523077 ? -N- ? OXALa? 'Ny4'OI \ I?T I3 W ON ogl ? ? House Certlflcote For: Fd'Od1-larja-0' M[dW@Sf Corporatlon mOD ?L-: - Con)co+'p - 9oY,Zx \ p? ?- \ ? ,0° / 'u , Q?:vty+ l 1? T• p ? i 1 9oY.oh ?/'WE/??`??/,?1? o. • ` O x LD?1 ln f- '? , m` o _ ,op V It ?.ryry 16 Oco o / ?o 07. o'7 ' LvT :7 WAYNE D. CORDES - 14675 - _ ?EGENO ' O Denotes Ircn Monument m Denotes Woa1 Nub Set x 40Y0 Denotes Exrstirg Spot Elevatron ?„?NJ Denotes Proposed Spot Elevation ?----- Denotes Drainage Directiori -PfiOPEKfY DESCRI PT !pV - LOT 1(?_ , &CLK 'I_ L-P,x1K1GT0rJ pj?6 evouTW according to tFi- recorded plal thereof, County, Minnesota PROPOSfD GARAGE FLDOR ELEVATIDN= I06J PROPOSED Top ot Block ELEVATION= 6Z,0 PROPOSED BASEYENT FLOOR ELEVAT 10N= 04.0 l'`i O NOTE: Ven ty all flcor heights with Frnal House Plans. St1fbpQRS CERfIFlGJTION- ! hereby cerfify ihat thrs survey, plan or report was prepared by rre or under my direct supervisi ori ard that 1 am a duly Registered Lart1 Surveyor urder the laws of the State of Alirnesota. Oate Wayre . Cordes, Almn. Reg. No. 14575 ?} . 2014.5 cirr oF EacnN 1992 BUILDING PERMIT APPLICATION 681-4675 ! R SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specificat ions, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made lat chan e is re uested once ermit is issued. Date a / /7 / 19e?? a a Q:`_ Yaluation of work - - - ?? - Site Location:??-? C?hji/1 q? V9V STREET STE Y Tenant Name: e175C ? LOT BLOCK Z SECT/SUBD. ?evols-I-?r P.I.D. # . Descri tion of work: x « $e4Sun cv The applicant is: , Owner ? Contractor 13 Other (Deacri6e) s ? l- -? w 9? ?0 4 ne k Ph uen Name c o /in-? Property LAST FIRST Owner 7 Address STREET ' STE City ?55?Ih State Zip Company Phone Contractor Address License # City State ZiP Company Phone Architect/ Engineer Name Registration # Address City State ZiP Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowtedge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesata Statutes and City of Eagan Ordinances. Signature of Applicant: • ? .,. EYI NG RVICES 3908 SiGley Memorial Highway ? Eagan. Minnesota 55122 Phone: (612) 452-3077 ? -n- i ?? 4'? ?1GlLL' . I? \\ \ \\? . o O? -? N`O` 31GMA SUFtV SE M ? z? 5 u sti . ' : 1?- , ",?? 1 °"? ? •?w .? •d- ? y? ? - ?o oti Se House - Certlflcote For: Frontler Midwest Corporctlon MOD?L: - ?, li-k x+ocs ?' priJtNa ??`,?/i1 ° " °• / ? ? , x.o ? ? 0, > 1 Lv' I7 -LEGEND- O Denotes Iran YawmeM m Denotes Woai Hub Set : 9ox0 Denotes £xistiry $pot Elevation („?W Denotes Proposed Spot Elevatian _,?lknotes Drainage Oirectiai -PAaPERIY DESCRIPfIlOW LOT...((e , BL0.'K -1_ LEXI?JCj70t-1 PLAG6 eiOU'fN accordirg to the reccrded plaf ihereof, Yirnesota Lv'Ir I 5 I EAGAN 9Y?.. . PROPOSED GARAGE FLOOR ELEVAT ION= 1616; i PROPOSED Top of Blxk ELEVATlON= 01-0 PROPOSED BASEMENT FLDOR ELEVATiON= 0`f.0 AfOTE: Verify all floor heights with Final House Plans. S(1WEYpiS CERfIFICATIQN- 1 hereby certify that thrs survey, plan or report was prepared by rte or urder my direcf supervision ard that 1 am a duly Regisfered Lard Surveyor under tre.laws of the State of Yirmsofa. al-? b- cey? Date: ?/24.?y 'M'ayne D. Cordes, Yim. Reg. No. 14575 ??a?a RESIDENTIAL a% BUILDING PERMIT APPLICATION CI7Y OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConaWetion Raauiremenb RemodeVReoair Reuulraments • 3 iegistered sRe surveys showirg sq. N. of IoL sq. ft. of hause; and all roofed areaz • 2 capres of plan (20% mauimum lot wverage allowed) . 1 set of Energy CalcWations for heated additions • 2 cropres of plan shawing beam & wiMOw sizes; poured found design, etc.) . 7 site survey for eztarior adAitions & decks • i set of Eneyy Calwlations • Indicale if home served by septic syslem for additiona • 3 copies of Tree Preservation Plan if bt plalted after 717193 • Rim Joist Detail Options selection sheet (Ndgs with 3 or less units) DATE VALUATION SITEADDRESS MULTI-FAMILYBLDG _Y _N TYPE OF WORK '?ti.rol? kL Cvn-? ?? cr?4?2--t FIREPLACE(S) _ 0_ 1_ 2 d'- APPLICANT SELA AOOFING & REkIODELING, ING ??ye-- - -lMS?,(? v?-c?t ?i (urnr"ctvr.Yl STREEf ADDRESS ST. LOUIS PARK, MN 55416 CITy STATE_ZIP TELEPHONE #Ca1 ZJ6t'rRG (f(, CELL PHONE # FAX # PROPERTYOWNER?i TELEPHONE# O?`I ------------------------------------------------------------------°--------------°----------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULLS 7672 (J submission type) • Residential VenUlabon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Confractor: Plumbing system includes: Mechanical Contractor. Mechanical system includes Sewer/Water Contractor. Water Softener Water Heater No. of Baths Phone # _ Iawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 1 hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or 'nances. Signature of Applicant c 4M ....._--°-------------__....----------- -- OFFTCE USE ONLY Certiflcates of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updated 4102 ñ þ úõ ÿ þ ÿÿ þýý ûþþÿÿúõõþ î ìä ãÿ ýüï ìäì ÿø ýüûú ù øô è÷ ÷üú ù ø÷ú ù øô è÷ õ ôèñ ù ÷ùöü ü íàüù Ýÿ ýÜü ÷ ë ù÷á ï ï ÷ Üü÷ ÷ û ÷ å ÷ÿôôù ÿ þ ÷÷ ÿ ÿ ù å ÷ ù ÷ å ÷û ã ÷ ÷ ÷ Üü÷ û ô ÿ ï å ë æÚæíåå ÷û ýü÷ï ÷ÿ Û ü æÚæåâåâ Û ü þå öíôí øóò ùù õ ôøô ÷ ü ð÷û ìâøü ñíììä ÷ ø ýï÷ á ôóõì ÿ óõí êìçíâ ï ÷ û ô ÿ ï ï á ÷ ï ùù ï ï ÷ ÷÷ ÿ÷ ù ôï ùù û ý ó ý ü ÿ à÷ å ùù è ÷ ü ýÿ ü÷ Use BLUE or BLACK Ink r For Office//Yoe Use �,r'� /'� Permit#: C e 'I *. City of Eaan Permit Fee: /Z)S--" 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2016 RESIDENTIAL BUILDING PRMIT APPLICATION Date: Site Address: 3 C 7 Cccr a c iia Watt/ Unit#: 1TCvName: Phone: ij~ _ We Z3 y Resident/ Owner ' Address/City/Zip: 66 7 C�I t 1a 10 4/ Applicant is: Owner ,l'K Contractor Description of work: re lid , Type of Work Construction Cost: /</©a0 Multi-Family Building: (Yes /No .......... Company: lk �./N j vi,t, �,9y1� f A/c Contact: 7Gj'4 et- C/18 I44 ( t p di4k- Contractor Address: c City: + State r" Zip: 5 6D Phone: 5 ail: 1'47 -15-.6y. y2& El License#: C 6,369 W Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets, 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 I 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 S to Building o must be completed within 180 days of mit issuance. x p 4�50a, x ; /,✓ Applicant Printed Name Applic ignature Page 1 of 3