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4250 Beaver Dam Rd
This request void 1, '? `- I tea" ?) 1 y' 18 months from ` ? A 066835 ?-? r C ;?? (?r 5 Request Date $?-$4 Fire No. Rough-in Ins ction equired? ?Ready Now (Will Notify, Inspec- [Yes ? No for When Ready g] Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 4250 Beaver Dam Rd. Eagan Section No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Dale wolslayer Power Supplier Address Dakota Electric Associat on Electrical Contractor (Company Name) Contractor's License No. Robbinsdale Electric Company 39642-6 Mailing Address (Contractor or Owner Making Installation) 3 54 west oadwa Robbinsdale, MN 55422 Au eri ed Signa)turQ (Co for Owner Making Installation) Phone Number f/ rte' '?U?1 333-6930 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-oooot:or/ /? ' See instructions for completing thin' form on back of yellow copy. A nri P P ? t ""X"" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home 3 C 1 Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ter (Specify) Other (Specify) r'mmnrdp Incnertinn Fa,- Rplnw # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 1 1• 0to200Amps 0 to 30 Ams 7 17. Oto30Amps Above 200 Am •, 31 to 100 Amps $ 0 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_Am s Transformers Irrigation Booms .5( Partial•'Other Fee algns apeciai inspection $33,00 1 rlcaI 1S' Inspector, hereby certify that the above Final gA?e7 inspection has been ?( ( made. This request void is months from _ .. as.?.-...m r'., E a -?.:..,.-, .'? ?w-zs-?-..R+°r?r.?•a:gr7r?-?-... . „-,.z+?°n1r'?.? - ^a- CITY OF EAGAN U / 3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # %-I ! w ..? To b* wed for SF DWG/GAR Est. Value 70, 000.00 Dote JULY 17 19 JAL Site Address 4250 BEAVER DAM ROAD Erect 19 Occupancy R-3 Lot 19 Bl ock --1-Sec/Sub. SUN CLIFF 1ST Remodel ? Zoning R'-1 Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories Name DALE WORLSLAYER Move ? Length, 56 Demolish ? Depth AA Address Grade ? Sq. Ft. City Phone Approvals Falls Name M. RLYN COAST., INC. Address 7340 130TH ST W City APPLE VALLEY-Phone-432-4298 Name - Address City - Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Assessment Signature of Peltrtittee A Building Permit is issued to: all work shall be done1kn accordance Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Var. Date Permit .74.9 • VV Surcharge 35.00 Plan check 171.50 SAC 525.00 Water Conn. 421-00- Water Meter 63.0fl' -- Rood Unit 260-00 Parks Total 1,867.50 MC KLYN CONSTRUCTION, INC. an the eel cartdiflon Owl wJfh all applicable State of Minnesota Statutes and City of Eagan Ordinances. f/ I / J CT Permit No. Permit Holder Dab Plumbing Q l? .e Z b H.V.A.C. tk (1 S 3 I g Electric nS U __ ?' C 1? Y Softener Ineplion Date Insp. Other Footiwps . /1: Foundation Framing Rough PIbg. .2/. f Rough HV limitation IWV Final Plbg. 7.. Final HVAC Final Cart/On. water Describe Location: Well Sewer Dim. ,or. Receipt MECHANICAL PERMIT Permit No. 0 CITY OF. EAGAN Fee 01 Fill in numbered spaces S/C Type or Print legibly U I Tot. y . ? 1. Date 8 Z _ S 1 -2. Installation Cost 1 00 ' 00 3. Job Address 4 ZSO r3 fol 9Lot' Blk. Tract U 4. Owner Y1'?cK) Cory5I Co y --r 5. Contractor 1-7x1115 H eaT,•"g Phone 8'69 3$9 7 6. Address 7Zy4 13I ae5dQif 4Ve So 7. City RIck F/t 1 d State mW tip SS 2 3 8. Building Type: Residential R Commercial ? Institutional ? 9. Work Description: New A Add ? Alter ? Repair ? 10. Describe 11. Fuel Type No. 1 Equipment BTU - M. Ea. Forced Air g21 000 No. Equipment CFM Handli Ai Mfg. L Qiv '0l' r ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed 5-0 / 1940A) for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 I U P W ? IT ,?Parmi [: PRt?AB1INMG _„ A , - CITY '' b 1 d ??? - Fill in numbered 4w ? '' Type or Print legibly Tot 1. Date 2. Installation Cost '7 y z V 1&r ?t=r2 3. Job Address i f) h Lot 17 Bik.. Tract 4. Owner is t Cr L ? ) G?i?S TA TJ1)t 5. Contractor t?.1`' ? Phone 6. Address I ' 7 y-'5- SU . l b e f -7r ?- 7. City C t J State , :. ZIpd 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter'? Repair ? 10. Describe 11. No. Fixtures Water Closet 2- Bath tubs Lavatory Shower. Kitchen Sink llrinal/Bidet Laun Tray- 0.51eV er"0* e Floor rains . Drlnk g FtTi. Sop No. Fixtures ol/Drainfield Septic Tank Softner Well Other r EAGAN, MINNESOTA 55121 FUND CODE AMOUNT P V dii= Thank ou Y B ___ :fir 4781 G,' White-Payers Copy Yellow-Rating Copy .Pink-File Copy CITY OF EAGAN Remarks A Addition - S CLIP! 13T Lot 19 Blk 1 Parcel ?01 OwnerArY,ttai7tGCJ fi".f;"a.&-/ Street 4250 BEAVER DAN ROAD State PAGAN $5122 Improvement I Date Amount Annual Years Payment Receipt Date STREET SURF. 6 1970 690.05 69.01 10 -- STREET RESTOR. 1981 2030.40 203.04 10 d! .aV C 008793 7-24-84 GRADING SAN SEW TRUNK 1971D 76.54 3.06 25 3D. C 008793 7-24-84 SEWER LATERAL z.,g2 1974 44.21 2.95 15 7 C 008793 7-24-84 * Sewer Lateral S 1981 4419.74 441.97 10 -)651,8,6 C 008793 7-24-84 WATERMAIN * WATER LATERAL 1981 10 WATER AREA 7_,Q 1973 93.55 6.24 15 /91-117 C 008793 7-24-84 STORM SEW TRK 0 - 1971 322.29 16.11 20 96, 7S C 008793 ---7---2-4--84 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260-00 #44761 - WATER CONN. 470.00 tt tr BUILDING PER. tt et SAC 525 00 it tt PARK . CITY OF EAGAN 9&0/ 3830 Pilot Knob Road, P.O. Box 21-199 Eagan MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value 70, 000.00 Date JULY 17 , i 9_14 Site Address 4250 BEAVER DAM ROAD C R-3 Erect Occupancy Lot 19 Block 1 Sec/Sub. SUN CLIFF 1ST Remodel ? Zoning R- Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories Ted me DALE WOHLSLAYER Move Length 55 dress Demolish ? Depth !0 Grade Sq. Ft. y Phone ,o Name MC KLYN CONST., INC. u1 Address 7340 130TH ST W I- City APPLE VALLEYPhone 432-4298 uW Name SAME U q Address <W City Phone 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. Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Var. Date Permit 343. UV Surcharge 35.00 Plan check 171.50 SAC 525.00 Water Conn. 470.00 Water Meter 63.00 Road Unit 260.00 Parks Total 1.867.50 Signature of Permittee I A Building Permit Is issued to: MC KLYN CONSTRUCTION, INC. on the express condition thai all work shall be done j t accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official t' CA?SI C 7 ?' ? VVV CITY OF EAGAN Include 2 sets of plans, 1 Certificate of S y & BUILDING PERT,= APPLICATION 1 set of energy culations. To Be Used For -{ Valuation '7 o a a Date TL Ai--! 17- I `i 4- Site Address : 4Z Iio &a--E- L A . OFFICE USE ONLY Lot L 1 Block 1 Sec./Sub. :Sui.v+ u r I Parcel #: Owner : Z 1. L. 5 L A . z_L Address: City/Zip Code: Phone #: Contractor : Yn L,A ILc..qj Cus _ 1?.e.: . Address : 1134 13 a S t v/ City/Zip Code: ,1, U LM- \Jd4-i-.Li 1 S I L4- Phone #: 43z-- 42_i g Arch./Eng.: .LL wn ;-- Address: City/Zip Code: Phone #: Erect )<\ Occupancy R-'J Alter Zoning (_ - 1 Repair Fire Zone Enlarge Type of Const. Move # Stories Demolish Front S(p ft. Grade Depth 4{] ft. APPROVALS FEES Assessments Permit 1?14 13mo Water/Sewer Surcharge Police Plan Check 7'7 I i, Fire SAC ??- Eng • Water Conn. '"-° Planner Water Meter =° Council Road Unit 2 cP b • =' Bldg. Off. APC TOTAL J.1?b?" 50 •1 1 ' EXTERIOR ENVELOPE AVERAGE "U11 COMPUTATION OWNER _{ )?L UkL.nitLi t11 qE P, SITE ADDRESS 4 Q 3 - C CON ACTOR S ON Si _ J LEI C DATE PHONE 4 Z == 4 1 < 1 Determine working square footage of each. .?t Z 1. Total exposed wall area ... [ -L sq. ft. 2. Total roof/ceiling area ..... .. sq. ft. . , c?2Co A. Total wall window area ......................... Z-Az-.cam S" B. Total door area ................................ 44. C. Total sliding glass door area .................. D. Total fireplace wall area ...................... E. Total wall framing area (average 10%).........., , 32 F. Total Rim joist area ............ .............. o n C. Total Net wall area above floor . . .............. 14-1... d Total exposed foundation area - Ip H. Total foundation window area ................... 1. Total net foundation area above grade........... . Determine "U" value of each wall segment. a. 2A7-,©S X "U" .!51' = 133.15 b. ?..? x "U" c., 0 X 11U11 -3? 1 O a. X 11{T" s N/A e. 15 . 35 X 11U11 ?Oel = t 4-.o B f. / 3 O x "v" 004- = t Z.. g. 14-10Ab X "U" . s243 = ....20. ' 1 h. X 11u11 3 ...................................Total = Ls?E1 If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = it 3 J. Total skylight area ................................ X. Total roof/ceiling framing area (average 10%)...... 1750 1. Total net insulated roof/ceiling area .............. 44-.'lilt Determine "U" value for each roof/ceiling segment. x "U„ 4/A k. the 3o X "U" 0 = 1. t9 (Q4 . c ) X "U" e O Z . _ 2-3. 41., 4 ........................ ............Total If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3-and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. 3. + 4. 4 WALL SEeTIIONS NC T" . Os? i5% of opaque wall area for frame construction Construction R-Value i r air film 68 2. 3, inches soft wood 4. z. -3 L p Z._ o 6. Exterior air film = 0.17 WALL W.ag FIG. #: FIG. #2 Sai Peripheral . .01 700"LATICN VALL :? .` - 2L)C Total I I. Z-1 ii• 1. Interior air film 0.68 2. L L? At..c ... 3. 15,00 4. 7- zsts- 5. ?fl4hlfi loo ?? 6. Exterior air film 0.17 Total Z3.4 1. Interior air film 0.68 2 .oo 3. "S ,.8g 4 . 2 S tt 2.c? 5. S, -0 t r-tL? l? J 6. Exterior air film 0.17 Total A. aQ, a 1-.0 A- 1. Interior air film 0.68 2. / `• C t?1 l FoA IVY • 00 3. LZ. 4. 5. 6. Exterior air film 0.17 Total O, t SLAB ON GRADE F e , s. (rr V i . '' i r r a FIG. #4 !rt •, o Pr tit NOTE: Indicate tync, "?:" value, depth and placement of in sulation. FRAME WALL FIG. #3 • o ? ` e? iJALL SFrTIGNS cY!•?'. UG(, 15% of opaque wall area for frame construction BASIC WALL FIG. #] SILL IS.=AL. Poz? 7,eral FGG`; DATICN Vr'_7.L µ'e. f 03 • a ? Construction F-Value 1. Interior air film 0.68 2. 3. inches soft wood 4. 5. 6. Exterior air film = 0.17 Total 1. Interior air film 0.68 2. 3. 4. 5. 6. Exterior air film 0.17 Total 1. Interior air film 0.68 2. 3. 4. 5. 6. Exterior air film 0.17 Total 1. Interior air film 0.68 2. 3. ' 4. 5. 6. Exterior air film 0.17 Total SLAB ON GRADE t L t lit , .. rri W _ •.- /,t FIG. fl4 _- ? x ? ? qtr NOTE: Indicate type, "?t" value, death and is?cerient of iu.u)n'. ion. FRAME WALL v ROOF /CEILING t4D Vented 1Heat flow up FIG. #5 Heat flow up vented Construction (Use for Item L) R-Value 1 Interior air film 0.61 2. . f .?•.3aL? n,? 3. ?.?t LcS2 ALLY ao 4. Exterior air film (still) •61 Total 44 r,16 u.- . Ozz CLG. FRAMING(Use for Item K) 1. Interior Air film. 0.61 2. z 3. Inches soft wood - '1a 4. Inches insul above framing 26,3'a 5. Air Film 0.61 #a1 3 • L3 ysOZq) 1. .Interior air film 0.61 2. 3. 4. Exterior air film (still) 0.61 Total 1. Inside air film 0.61 2. 3. 4. 0.17 5. Outside air film Total • NQy-VI'TED Heat flow up rTr,. *7 Note: Use additional sheets if more space is needed for details and calculations. FIG. #6 lwl?4 - C/ 9" For: McKlyn Construction 0O C. R_ WINDEN & ASSOCIATES, INC. LAND SURVEYORS Tot $45-3646 1381 EUSTIS ST., ST. PAUL, MINN. Ss106 N 4. Scale: 1" = 30' 4 Denotes Iron /O' N Monument ado .J o s 01 90 a A? oG 0 r ry ?o sF o ??a1 4 O OO NOTE : 9,. \ o Denotes Wooden Stake Proposed Garage Floor El _901.23 ? 500.9) Denotes Proposed W/10 Finished Ground El. of Denotes Direction Of Surface Drainage Vertical Datum - N.G.V.D. 1929 /?q?• Lot 19, Block 1, SUN CLIFF FIRST ADDITION, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS. IF ANY, FROM OR ON SAID LAND. Dotal thi. 297'l doy of L77//?e A.D. 198'/ C. R. WIN DEN & ASSOCIATES, INC. bw ?0 ? a &,/ """' Svr, vyor, Mtnnosoto lopu,retiow No 7 72,4 NTyy 19 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knb Road 5626 P. O. Box 21199 PERMIT NO.: Eagan,. MN. 55121 DATE: 8-2-84 Zoning: Ri No. of Units: 1 Owner: Address: ite Address: Plumber: - Meter No.: Size: Render No.: 'd2/= r% agne to comply with the City of seven Ordure By 2b?%? . 49102 Dote of Insp.: 4z 4 p cvW c ,on chaff: 470.00 pd nt Deposit: 15.00 pd Permit Fee: 10.00 pd Surcharge: .50 Dd Misc. Charges: 63.00 p d meter Total: Date Paid: Insp.: CITY ,OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: 5626 Eagan, MN 55121 DATE: 8-2-8 4 Zoning: R1 No. of Units: 1 Owner: McKlyu Const Address: Site Address: 4250 Beaver Dam Road L19 B1 Suncliff' 1st Plumber: Paine Plbg Meter No.: Connection Charge: 470.00. pd Size: Account Deposit: 15.00 pd Reader No.: Permit Fee: 10.00 pd I agree to comply with the City of Eagan Surcharge: . 50 , pd Ordinances. Charges: Misc 63.00 2 d motor . Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. 0. Box 21199 Eagan, MN 55121 Zoning: RL Owner: MCKlyn Const ,SEWER SERVICE PERMIT NO.: DATE: No. of Units: PERMIT 6816 1 Address: Site Address: 4250 Beaver Dam Road L19 B1 Sunc if st ne Flbg Plumber: 7-17-84 44761 100.00 pd I agree to com will the PIf City of Eagan Connection Charge: - 425.00 pd -..,. '._.,..._.,_ Ordinances. Account Deposit: 15 ? Permit Fee: 5.00 pd Surcharge: .50 R By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: 84 CITY C EAGI' 1 APILrc'AT C FOR PERMIT SEWER AND/OR WATER CONNECTION PLLA E PRINT, PROPERTY ADDRJ SS Ste? 2 K- r r a- LEGAL DESCRIPTION : n e T , (Lbt/Block Subdty sjan or Tax Parcel I.D. NLutter) IF EXIST rl STPJJCItIRE, DATE OF ORIGINAL PUILDING P=,tIT ISSU ,I'' PRES.alT ::CNItr,/PRQPOSED USE: R-1 S1i1C E Fr1 LY R-2 DUPLEX (TWC), UNITS) '. :.. - -. T !Fr te. TC• f.1 T ;':' ": Tyr% Q R-4 AF .'>'/."T F, ( w U I T S) [ CU14ERCIAL/'RL7AIIJ?ICE p IISTRTAT, Q INSTITUTIGNALf 2) . (PLEASE PRIM) APPLICA'+lT / P „ NAME ?11 rr> ADDRESS: cr, STATE, ZIP r dO J2 L. V PHOM: Ift 3) PLCJ /PLEASE PRINT NAME: L ! Y? ? lt vr7? r _ ?' u n- FOR CITY USE ONLY ? L ? ADDRESS PLUN ERS LICENSE : u? I Pit ?p qp , Active CITY, STATE, ZIP: Ll Expired t., Not of Racard PLUMBER LICENSF # a ni ra -) 4) OC?t1PAI 1 /c NER (PLEA. E PRINT) - NAND:' 7L ?_?_??h LL! ADI RJ?SS 3 o , 3 & .C .T CITY, STATE, ZIP: 3f INDICATE WHICH PEFMIT IS BEThr1 RJXUESTE'D: L3--CONNECI'I0N ` CITY SF^!ER 9 C(3NNM-tION TO CITY WATER sr -P (P=- DEsc Pa, ; E' r UTJJ P PPC7'J F FTR.','!I"' F'OP PI * -if ?Y (t O a'T ?" '•1AIL APPRU} TD J"'F XLT 'ZC_) 1, 2, 3, (Circle cme) 7) DATE I 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPER'L'Y ADDRESS : LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel I.D. Number) IF EXr STRUCTURE, DATE OF ORIGINAL BUILDING P :MET ISSUANCE: t-io =?/ year) PRESET -_^1n-_9,,(-,/PROPOSED USE: 13 R-l SINGLE FAMILY ? R-2 DUPI (7,1O UNITS) ? R-3 TGWNHOUSE (THREE + UNITS)( UNITS) ? R-4 APARTMENT/C0NDOMINIUM ( UNITS) ? COMMERCIAL/REI'AII,/OFFICE ? fl DUSTRIAL ? INSTITUTIONAL/G(VERNME r 2) APPLICANT NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 3) PLUMBER NAME : (PLEASE PRINT) FOR CITY USE ONLY PLUMBERS LICENSE: ADDRESS: Active CITY, STATE, ZIP: Expired MASTER Not of Record PHONE: PLUMBER LICENSE # Staff nitia 4) OCCUPANT/ate NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: . PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: ? CONNECTION TO CITY SEWER ? CONNECTION TO CITY WATER ? GTHER (PLEASE DESCRIBE) 6) INDICATE ONE: ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ? PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4 ABOVE (Circle one) 7) SICIATURE: DATE: M! ?l aloe a 3s .3r .?,+a c „ran Vii! w ir+t iI je u as ii:E i.F ?i.:iFas .jai !r! • r . err il.e l ik ! a... FOR CITY USE .O N L Y PERMIT # ISSUED FEES: $ / o ,-o' SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE-SURCHARGE) $ -L WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP-) $ SEWER TAP $ /.5' "-d ACCOUNT DEPOSIT SEWER $ ACCOUNT DEPOSIT - WATER $ -7a, a-o WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER t $ TOTAL $ d ?• ?-O AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE E XCAVATION IN PUBLIC RIGHT OF. WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- _.TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: c 'f ) TITLE : ' DATE: ?! sl? MOM:" wls? lkrl?! ?tl? ?!#!E P4 -. . -. ?k+?!E?? ?k?'!Nt• fJ?/ 2007 RESIDE NTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651=675-5694 New Construction Requirements RemodeWReoair Reruirements Office Use Only 3 registered site surreys showing sq. ft. of lot; sq, ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd Y _ FJ (20% maximum lot coverage allowed) I set of Energy Calculations for heated additions Soils Report _ Y N I Soils Report if proposed building is to be placed on disturbed soil t site survey for additions & decks Tree Pre. Plan Recd --y N 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate i/on-site septic system Tree Pres.Required T Y N 1 set of Energy Calculations On-site Septic System _ Y 14 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information. unless you state they are trade secret and tne. reason. Date /T 1 07 -Construction Cost 3+ .? Site Address S+e'arl r I?aw. t !o- # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 . Energy Category New Energy Residential Ventilation Category 1. Worksheet - 9Y Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation. ? 07 05-plea .13 13 16-plex ? .20. Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ?' 2.1 Porch (3-sea.) D 31 'Ext. Alt - Multi: ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Adds. (4-sea.) .0 33:. Ext. Alt - SF ? 04 02-plex ?. 10 08-plex ?. 18 Deck ? .23 Porch (screen/gazebo/pergola) © 36' Multi Misc. ? 05 03-plex ? 11 10-plex ? 19. Lower Le vel ? 24 Storm Damage ? 06 04-plex ?. 12 12-plex ? 25 Miscellaneous Work Types O 31 New 0 35 Int Improvement ? 38. Demolish Interior ? .44 Siding ? 32 Addition 0 .36 Move Building , ? 42 Demolish Foundation . ? 45 '. Fire Repair ? 33 Alteration 3T- Demolish Building* '43 Reroof 0--.46 ' WndowslDam, ; ? 34 Replacement *Demolition tEntlre Bldg) - Give PGA handout to applicant Description: Water.Damage Yes Valuation Occupancy .: _ MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units' Stories Booster Pump # of Units Sq. Ft: PRV # of Bldgs Length ,.Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock Footings (deck) _ Final/C.O. Footings (addition) Final/No C.O. . Foundation HVAC Drain Tile Other , Roof Ice & Water Final Pool Ftgs - Air/Gas Tests _ Final . Framing Siding _ Stucco Lath Stone Lath -Brick _ Fireplace _ R.I. - Air Test Final Windows Insulation _ Retaining Wall Approved By: 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119755 Date Issued:12/17/2013 Permit Category:ePermit Site Address: 4250 Beaver Dam Rd Lot:19 Block: 1 Addition: Sun Cliff 1st PID:10-72975-01-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Ashley Orman 130 Plymouth Ave N Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Dale J Wolslayer 4250 Beaver Dam Rd Eagan MN 55122 (651) 452-3316 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature Date: City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: ('--- "� Unit#: Applicant is: Owner X Contractor Description of work: f Q` -- ^9 Construction Cost: /-7 7C - Company: Multi -Family Building: (Yes / No 6/7/R- e%(rcn Contact: Address: -76'-":0 A/ City: VIA State: yW Zip: -573---1// Phone: e<`2 —2.2 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: 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 may be classified as non-public if you provide specific reasons that would permit the City to conclude; that they 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 State Building Code must be completed within 180 days of permit issuance. L' /Lr Applicant's Printed Name x Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA146643 Date Issued:11/06/2017 Permit Category:ePermit Site Address: 4250 Beaver Dam Rd Lot:19 Block: 1 Addition: Sun Cliff 1st PID:10-72975-01-190 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Dale J Wolslayer 4250 Beaver Dam Rd Eagan MN 55122 Riverside Mechanical Inc 12460 Zinran Avenue Savage MN 55378 (952) 894-7600 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use M�� ( j:'j'j? Permit#: 4 I a Permit Fee: /02..' ‘✓ la o cis oto Date Received: 3830 Pilot Knob Road I Eagan MN 55122 Staff: Phone:(651)675-5675 I Fax:(651)675-5694 4_ buildinoinspections(a cityofeaoan.com 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I I/7/2-011/ 011 Site Address: `I 2S l ec wed Dam Rot Unit#: Name: DO I� �W OI plc( e r Phone: 02 118—0/)..Z. Address/City/Zip: 11)-50 ea ver Pcien't Rd. Applicant is: !<t-Owner contractor f2p Description of work: Wooer Savia c lr'epoi() ICOuc.e vaysi-Fy,'}0ile 5{1pt4,-Qgr ,,,,, ,..e-wiovia,,..,: Construction Cost: ' 5 00 C) Multi-Family Building:(Yes /Not-7) Company: I\ �G�t U�1 ��c%IG�r�1 Contact: L c41 grow- i A Address: 17�0 Yorie4 fc,i A V e / City: —5ta°-rsfU4 t` r State:/�_NZip: 5535A Phone:719-"&l-285 6 Email: Heol� CDn+cctc1 gMa1 I,covy1 `� x License#: 13C- 700 19 Lead Certificate#: /16/ i -F 1 50 17 2 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: v4-1.,,, -,44/„.-1„1.4.,..)„.:.!:. S •-ty,:..t �'w,a4:£. may "` . e,4„.'u%4 , '3,,s y h„4c-"R .• '' ..: n+ ...k ...r,_,iw.w. ... ..,.,....0..,.m,.-,.u.S...�.£.`«..:4'" �.,ti�.crc.-��...+w...wTJ..1c:..w,..�.'t,` m.rux....u..«. �k..k...... .. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.qopherstateonecall.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. x V c ut Cl I3 Rot.-0 x Applicant's Printed Name Applicant's Signature Page 1 of 3 4., 6 .fieamu,, b,,,tl /L/ 77 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding _ Demolish Building* Addition _ Move Building — Reroof _ Demolish Interior Alteration Fire Repair _ Windows Demolish Foundation Is Replace '""t 4' Repair Egress Window Water Damage Retaining Wal ;c,9 1� . *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation ! ) Occupancy - MCES System Plan Review Code Edition ,,,AA,---7 —,..17-0 p(ce SAC Units (25%_100%4,) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) V Final/No C.O. Required Foundation Foundation Before Backfill T' HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS )C Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control XShower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review , MCES SAC r City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant 2 1)* 0 t/T Copies \ '' �' TOTAL ,416t1, Page 2 of 3