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3678 Cardinal Way Use BLUE or BLACK Ink r For Offce Use of 1 r~ City of Ea aPermitI Permit Fee: q62 LL 1 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -zq- /e Site Address: 3 L°-7 ~r- C Tenant: -K'~) JC- 1 0Se- Suite RESIDENT/OWNER Name: --'Sc>~\v\ "i) c-1 0Sc Phone: -7~-IZ Address / City / Zip: 3L? L-~!:l Applicant is: Owner Contractor TYPE OF WORK Description of work: L'-) o" e. f Construction Cost:* Z5-00. Co Multi-Family Building: (Yes No,,<) CONTRACTOR Name: 4G v&&Vne~ A -cc-. 10 lAVS 'T~t License 201.3.IFS Address: j~a-' C i City: /Yy1-44r It State: -M Af Zip: <-3 S-? Phone: Contact: Email: ('yam h~d+tw~~~eac~ bvdla-c-dmn, co" 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 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.goi)herstateonecall.org 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. Applica is Printed Name Applica t' ignatu Page 1 of 3 CITY,OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road J , P. O. Box 21199 PERMIT NO.: Eagan, MN 55,11 DATE: No. of Units: Zoning:. Frontier Midwest Owner: : Site Address: AY't_ t ;r I .1. k Plumber: aatiP L'IlG ~7'~?1aSs1 - Meter No.: Connection Charge: Size: Account Deposit: • If Reader No.: Permit Fee: f I some to eomply With the Qty of sown Surcharge: 5Cr L) i f Oedtnonees. Misc. Charges: - ` Total: Clr`r;r ...o ter By Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWM SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: R. r, No. of Units: Owner:3 e1i7 1. R7 . ; Address: Site Address: 3 :7 Ca.~dinal 36 < i Plumber: - %T ° ~ i. '+TP_ ".11+aP; ~ F 6 eyes to emply Wuh the CMy of 16940 Connection ChaW: r, r ordim"Ges. Account Deposit: Permit Fee: 'nd Surcharge: r.i? BY Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: IVATED FOR Jt ECR 6/86 CITY OF EAGANJi 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be wed for chi ? Est. Value Dote 19 Erect ~ Occupancy Site Address CA-; ID r. \i r% . e Remodel Zoning Lot Block See/Sub. I, + ❑ ` Repair ❑ Type of Const. Parcel No, Addition ❑ No. Stories Move El Length W :OcTTIL. Name Demolish ❑ Depth ~ Address )8 SYL a1' I , + Int.lmpr. ❑ Sq. Ft. City fGAN Phone Install ❑ Approvals Fees Name r At Address Assessment Permit uj City Phone Water & Sew. Surcharge Police Plan Review 6 7 • 50 ~W Name tixili,. Fire SAC `~t_i . (3 {u W n Address - ' i Eng. Water Conn. W City ° V ° -Phone a " ri 4, Planner Water Meter Z' Council Road Unit 0 I hereby acknowledge that I have read this application and state. that Bldg 13:c 9'.. Off, _ Tr. PL the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances- Parks Var. Date Copies Signature of Permittee 01 ~ • _i 150 . ~ . y.', Total r A Building Permit is issued to: ,,...ti1-:1 Li{ C~ . ' on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone # Plumbing g g H.VA.C. Electric Vc). CZJ Softener Inspection Date Insp. Other Footings I Footings 11 6 Foundation oz_ Framing Roofing Rough Plbg. - J Rough Htg. Insul. Fireplace Final Htg. Final Plbg. Final CerVOcc. OAD Water Describe Location: Well Sewer Pr. Disp. Receipt MECHANICAL PERMIT Permit No CITY OF EAGAN - Fee fill in numbered spaces S/C Type or Print legibly Tot. 1. Date "AAA 2. Installation Cost 3. Job Address" rdt nal Lot Blk. Tract 4. Owner t Ct~;e~r• , - 5. Contractor ' taa:~4xX Phone l.4b { 6. Address 4 7. City T, State Zip = 8. Building Type: Residential G] : Commercial ❑ Institutional ❑ 9. Work Description: New LY, Add ❑ Alter ❑ Repair ❑ 10. Describe v t : „ Fuel Type 1 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air - Air Handling: Mfg. Boilers Mech. Exhaust Mfg. 1 Unit Heater Mfg. Other Air Cond. Mfg., Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and 1 agree to i comply with all ordinances and codes governing this type of work. Signed for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt % r PLUMBING PERMIT Permit No. CITY OF EAGAN Fee ' - Fill in numbered spaces S/C - Type or Print legibly Tot. 1. Date d,r 2. Installation Cost n ;w 3. Job Address; ' 1:J ! Lot i Blk. Tract 4. Owner 'in1,c 5. Contractor ; Phone.. 6. Address xa~ll t-, 7. City State Zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New D Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool /Drainfield Bath tubs Septic Tank Lavatory Softner r' Shower Well t Kitchen Sink Urinal/Bidet Other „ ( Laundry Tray f _hc Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 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: --f;;T~~ for f i Rough Final Inspections: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 a CITY OF EAGAN Remarks Addition Lexington Place South Lot 2 Blk 6 Parcel 10 45060 090 06 Owner Street 3678 Cardinal Way State Eagan, MN Improvement Date Amount Annual Years Payment Receipttf Date STREET SURFPVo U~.o2 OIL / do /~CO l STREET RESTOR, GRADING SAN SEW TRUNK I G SEWER LATERAL 101 1 8 1 3 .00 3 2 0 o ~O ~'Q Services 1015 1986 729.39 145.87 5 55-3.5 - b WATERMAIN S9.toS' 6-1 1 ~5 7&1:4 6 5 WATER LATERAL 10 2- 1986 873 .4 3 17 .68 5 f g8, ?S WATER AREA 101+x' 1986 243.73 48.74 5 74. 77 (9 WAT LAT BEN 1013 1986 111.98 22.39 5 ff,~ / Sb STORM SEWTRK 101`1 1986 426.54 .85.30 5 J n2 Sa ~c~f STORM SEW LAT 101b 1986 803 .3 4 -16-0. 6 6 5 a• L CS S2) CURB & GUTTER SIDEWALK STREET LIGHT S WATER CONN. o of BUILDING PER. SAC PARK CITY OF EACAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ' Zoning: _ No. of Units: Owner' _ . Address: , I 4.7 Site Address b !3I° 'b1,~ tlf.+~XL!~~{11 Plumber: 'f `'biz]~denzeT'Fiec aF cal. Ch~lfg: r e, , '';p• . Meter No.:3k 6' Size: Gc~ Account Deposit: 15 • )p" Rea No. ld 9 9 7 Permit Fee: 1') . L r r1 1 yrae to eeewly with the City of Even Surcharge:` Ordleeneee. Misc. Charges: 132. •J _ k d Total: BY Date Paid: Date of Insp.: insp.: CITY OF EAGAN N°- 10 9 8 9 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 CS BUILDING PERMIT PHONE: 4546100 Receipt # 'I To be wad for SF DWG/GAR Est Volue $64,000 Date SEPTEMBER 17 19 85 Site Address 3678 CARDINAL WAY Erect SI Occupancy R Lot 2 Block 6 ~eclSub. LEX PL SO Remodel 11 Zoning R1 Repair ❑ Type of Const. V Parcel No. Addition ❑ No. Stories Name FRONTIER COMPANIES Move El Length C1 Depth 40 Address 3908 SIB MEM HWY., #E Demolish 47 City EAGAN phone 454-0433 Int r. ❑ Sq. Ft. Install ❑ Approvals Fees Name SAME Address Assessment Permit .00 City Phone Water & Sew. Surcharge 32.00 Police Plan Review 162.50 w Name RICHARD CHARLIER Fire SAC 525.00 UI Address 14103 GARDENVIEW CT Eng. Water Conn. 500.00 <W city A.V. Phone 432-5492 planner water Meter 63.00 Council Road Unit 280.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. 9/16/85 Tr. Pt 132.00 the information is correct and agree to comply with all applicable APC Perks State of Minnesota Statutes a City of agon Ordino ces. - Var. Date Copies Signature of Pan.....-- FRONTI R COMPANIES Total $2,019.50 A Building Permit Is issued to: on the express condition thoi all work shall be done in accordance wfi~fr~p[Ji' limable~ St of Min - yto Statutes and City of Eagan Ordinances. Building Official ~h C REQUEST FOR ELECTRICAL INSPECTION - s.s Sea instructions for completing this form on peek of yellow copy. 0! ) B 081 g X" Below Work Covered by This Request i w- K Nev4A,ddl Rep. Type of Build mo Appliances Wired Equipment Wired ? Home Range Te porary Service Duplex Water Heater ighting Fixtures Apt. Building rye, Electric Heating Commercial Bldg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other ISm•ci1y1 t er Spec y Other other omPute Inspection Fee Below M Fee Service Emience Siae k Fee feeders/Subfesders 4 Fee Circuits 1j) f) U to 200 Amps 0 to 30 Amos 0 to 30 Amos Above 200 qm s 37 to 100 Amps dG 31 to 100 Am Swimming Pool Above 100-Am s Above 1()0_Amps Transformers Irrigation Booms a Parttal.'Other Fee Signs Special Inspection ,rV t 7~ TOTAL FEE Remarks 'I'll Q Rough-n D, to the-Ele U-l3 b1 _ el Inspector. , h hereby certdy that the above Final f vat= ~J ns pectwn has been a r made. This request void IS months from TR1 months from id h-) 565 //-/V- K -081329 5 1,16. 6 d I Req st Date & Fire No. Bough-m pecuon Requir ❑Ready Now g~N+R Notify Inspec- (,(1 I ~ es ❑No for When Ready roensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: S t Atldr z Route No. City ecuon NO. Township Name or No. Range No. County Oc pant (PRINT) ® 1 Pm P w r upuuer Addres r Electrical Contractor ICompany Name) C rant 's Li ns No. CTRIC , Ma, a tmnl 14540 Pc or r~F] i 124 :pig it AN 5 Authanzedi$ypa a{nre(4C r - wnP mg Installation) Phone Number A~IkJ r+ VV , MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Uyers9..'S[. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 2977-21-21111 ENCLOSED. - D ~ r~ r ~ `l ~ D i For OfficeUs(e~---/-~----- mom !~3 -7 ~ I Perrnit#: J~ I J I City of Ea ja SEP 1 1 2008 I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff. I `-----------------1 c/ 2008 MECHANICAL PERMIT APPLICATION Date: U a Site Address: 36 7,f OA-'A06 rL c~0 W 9~ Tenant: Suite RESIDENT / OWNER Name: Z df 7to f e Phone: l -be?? 7 Address / City ! Zip: S~ sf- y p _ CONTRACTOR Name: BUR_N_I M4LUFATLNG & A/C, INCticense 3451 msv a air (way Address: t Suite 120 City: _ Burnsville,, 55337, state: zip: Phone:-191)_k"9V 000 C Contact Person: TYPE OF WORK .-New _)~_Replacement -Additional -Alteration _ Demolition Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods, PERMIT TYPE RESIDENTIAL COMMERCIAL _ Furnace _ New Construction - Interior Improvement Air Conditioner _ Install Piping - Processed Air Exchanger - Gas - Exterior HVAC Unit HVAC units must be screened _ Heat Pump _ Under / Above ground Tank Install / _ Remove) _ Other " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Impactor RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) r~ 1 $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE I hereby acknovnedge that this information is complete and accurate; that the work will be in conformance with the ordinances a s 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 wi a that the work will in a rdance with the approved plan in th case of work which requires a review and approval of plans. x l.t40-v, Saz ~O x Applicant's Printed Name Applicant's Signature FOR OFFICE USE' Reviewed By- Date: Required Inspections: -Under Ground Rough in -Air Test Gas Service Test In-floor Heat Final C~ ( s 1 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 1°tQ~/ I Z(a I zoo S• 1Q Site Street Address 1I3678 Car01tyla' WV Unit# Property Owner J"ji j UYJ4 wG.IOs Telephone # (49 689- 781Z ( ) Contractor Telephone # Address city State Zip The Applicant is: Owner _ Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If you are installinst only a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ N!(_PVB new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 30 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. 306 l7vc (05 ULM / Applicant's Printed Name App ant's Signature 1 f r I' ~ L BL t0 CITY USE ONLY RECEIPT M I SUBD. ` _yA X01/1 RECEIPTDATE, ,3a -R i PERMIT # 1999 PLUMBING PERMIT (RESIDENTIAL) CITY of EAaAN 5830 PILOT KNOB RD EAGAN, MN .55122 (651) 681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 < - $ Floor drain 3.00 x = $ Gas i in outlet ` minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x - $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x - $ Private Disposal System new/refurbished ` requires MPC tic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x - $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ closet 3.00 x = $ Water eater 3.00 x = $ a er softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x - $ Water turnaround 30.00 x = $ State Surcharge 50 > $ .50 Total > > > S o7i~. SO Reminder: Call for inspections of alteratloas, i.e. mater heaters;,water softenerE, etc. I hereby aGcnowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Ciry of Eagan ordinances. 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 normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: DUCLOS, LINDA 3678 CARDINAL WAY OWNER NAME:: EAGAN, MN 55123 TELEPHONE (651) 688-7812 (AREA CODE) INSTALLER NAME: -MRSLOM-PLumm-TELEPHONE (sjr ) i,:'7-4033 (AREA CODE) STREET ADDRESS: 296ii 1~RFIEEE) AVE. SO. CITY: [vaIN EAPBL'IaS, MN '554 9 STATE: ZIP: SIGNA U F PERMITTEE C i~ •u 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: (p g Ca t LEGAL DESC.4IPTICN: a (P L& Tl n ICtCP . (Lot/Block/Suzciiv icn or Tax Parcel I.D. NL.=er) ' I STRUCTUME, DATE OF ORIG~".AL `UILDL:G ISS.;?,:C.: PRESLT C^`II r/~?DPOS~ USE: X R-1 SZ;GLE FA-%'=Y ❑ R-2 CUP.-^_.i (7NO UNITS) ❑ R-3 TC1.,.%-M1CUSE (T= + LNITS) ( UNIT S) ❑ R-4 tic t ' t T/CC Z•tr IP ~l ( UNITS) ❑ CCt^2IEP.CI-PLI,/REIAIL,/OFFIC ❑ ENDUSTRLAL - ❑ M7STI-,LT.TCNAL/GGVE RA ^ "T 2) APPLIC v'T (PLEASE PRINT) W-IE: Frontier Midwest Homes Corporation ADDRESS: 3908 Sibley Memorial Hwy. Bldg. E CIT"l, STATE, ZIP: Eagan, MN. 55122 PHONE: 454-0433 3) PLC-SEP NAME: Star Plumbing (PLEASE PRINT) FOR CITY USE ONLY / MBERS ADDRESS: 1018 Mound Springs Ter. PLU ctiv SSE: e CITY, STATE, ZIP: Bloomington, MN. 55420 E: 'red, HaJcr. of of Record PHONE: 884-4149 PLUMBER LICENSE N 3329 ' ur 4) OCC7jPA,NT/Or.ZTT (PLEASE PRIN NAME: n lA* d \ u r N24's-kd ~ ADDRESS: 8(oM _a Lox Fey-s'- -11=304 CIT'l, STATE, ZIP: 00 IMt1. 55 IZ-D PHONE: $5 2 5) INDIC=E WHICH PEFIIT IS BEING REQUESTED: ® 0013dECPION TO CITY SDIER Please mail gold copy to CONNECTION TO CITY WATER Wenzel mechanical 3600 Kennebec Dr. ❑ 07TR (PLEASE DESCRIBE) Eagan, MN. 55122 6) IP:DIC;:. ONE: ❑ PL.--ASE HOLD APPROVED PER%IIT FOR PICT:-L'P BY ONE OF ABOVE ® PLEASE ~'AI APPRCnIED PEP_•LIT TO 1, 2 3, 4 ABOVE (Cir a one) 7) SIG:,?TGRE: / DATE w w aatwss~e s rr a E~aae~:...+.v~rar as s s.RS~:~ s r. naura.+t:a s:sss.r - F O R C I T Y U S E O N L Y t PER..MIT ? ISSUED FEES: q ~0 }-v S ::iER PERMIT, (2`ICL.; SURCHARGE) $ /D•SCi WATER PER11IT (INCLUDE SURCHARGE) $ 6_j WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - WATER $ 5 c"~ WAC $ ~lrcy SAC $ TRUNK WATER ASSESS11ZNT $ TRUNK SEWER ASSESSMIENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ o '~~'SZ AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE Q NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: wa~s~ aw.cs~owarauwm w,mwa/wwwmove w+otwww." wM w + MW. sa ==PM R40 w +MQ sn1 w . , 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ~TAFFcp INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS c (,~4,occ~ To Be Used For: ` r Valuation: Date: 9-13-95 _ _ Site Address: l_AAdfIQ~ Ur OFFICE USE ONLY Lot: o+, Block Sect/Sub Erect K Occupancy IZ-3 I Remodel Zoning 2 I Parcel U ~Xi g`to'y Nt p Repair i Type of Const f Addition U of Stories Owner ~tA1j q, om u- S4L Move Length 40 T' f~ Demolish Depth 4_ Address R~61~ (0 1~l}Q. ,'~()4 Int.Impr. Sq Ft Install City/Zip Code OU in 5 ~ZU ''rr Phone `Y- 9 a~~ APPROVALS FEES Contractor Assessments Permit FRONTIER COMPANIES Water/Sewer _ Surcharge, Address M8SjbjeVMemnria114*-hutw.ndE Police Plan Review . ESW, MN 551U Fire SAC 57-9 City/Zip Code Engr Water Conn 500. Planner Water Meter (03. Phone ~sq-o433 Council Road Unit 2gp. r( ~(1 1 Bldg Off Treatment Fl Arch./Engr. Aic wd \aAl f APC Parks Variance Copies Address x}11 03(~~o,,, r~~`~en,,;eu, TOTAL S O City/Zip Code yyy 4 (~Q' ~~~U(p~ . Phone # so3'~- ~ SS 12,q yc I up v - EXTERIOR ENVELOP[ AVf.RAGr "II" COMI'UTA'fl(lN - OWNER: DATl":-__~!~?y' SITE ADDRESS: Pi[ONE : CONTRACTOR: Determine working square footage of each 1. Total exposed wall area 1 41( V4.Ssq. ft. X 2. Total roof/ceiling area..... 101 &M sq. ft. x .026 = Z . Total exposed wall area above floor= a. Total wall window area L b. Total door area T Z _ c. Total sliding glass door area A 2. d. Total fireplace wall area e. Total wall framing area (average 10%) 5 f. Total rim joist area 0_ 9. net wall area above floor ...Z 4LA. ~C' :Y............ h. wall area above floor t. wall area above floor j. frame wall area at foundation Total exposed foundation area= j k. Total foundation window area 1. Total net foundation area above grade ; Determine "u" value of each wall segmenL (e.g. window, door, each separate wail section) a. I ZS X "U"_ - - q'~ h. G( 7_ X „U .45 i . C. Z X „u" za = it X u 5 d. e. X ..Ull C) f • ~O X „u" 0 3 = g• rX „U„ 03 h. X U. _ i. X U., _ j . X u If item k3 is the sari k. X "U" as, or less than iten _ R1, you have met, the.' 1 CPS X "U'_ 1.75 intent of SSC.600 c .Total Iatj,rloz I nvclopo Average "U" Coin) utnt:ion Page 2 of 4 Total exposed roof/ceiling area in. Total skylight area n. Total roof/ceiling framing area (average 10%)... (a o. Total net insulated roof/ceiling area........... X19 Determine "U" value for each roof/ceiling segment in. x .,U.. _ n. t O f, -lD x o. -ILLI, A - x .-D.. i 0 = (,5,7-7 4 Total = If total of "4 is the same as, or less than 412, you have met the intent of Srir_ 6006 (c) 1. Alternate Building rnvelone Design To utilize the total envelope'syste<n method, the values established by the sum of items 443 and s4 shall not be greater than the sum of items ,441 and 412. 1. Z 1 ~o . 09 + 2. Z(O. = Z4 Z t 3. + 4. Zy, 7 3 = Co , WU` :TALL :.laC l'IbttO ~A M s,- I!.•~••U:•r l;t uh rl~m nu) unrl nrcl fut' t - bl+:•l rwcl lUO C+.u .liui'i~.i~ Vn lu•; ! L cry to 7. c4c) 3:C 6. }:,.lt t it.r it i i t l-,; U.j~ FIO. d] TOUVIEM OF FIWIh WALL inlrn++r air ilm p, Ell 3. olspc~. ' S. G. E>;LrtIo, ,ttl liI$.1 __..---(l. l7 FIG. 02 St. l ]nlrttur n:r f'ilro o. (VI 2 ,tom -l A. vC~ lffAC rJ( I:_ KI ~_-_(1 r'~l ~~.-b7~,.lt ..~~~.~/r/~•.-__ ---!tot G. }:xtr,vior nit' film ----0.]1 F • IDIS 1 1, -1) ^ " - % 1 V L CCo W~r (1 ! . n . - ka a.. . (T •n' r G. 1:;(I+_r irt_.••-ir-. i_t- 17 • slrcn ctrl ~:l(nol: t% / l ~ F1G, ilA I(I ~ \ art C. 13 rcr-- I 1 tutllt:ut•: l.y 'rt° \•elua clepth nn(1 R rI'C: a. o 'I t"• pl.r.rnatc of i+r:nl.tlina. ¢F , Construction • y 1 Interior air film 0.61 . ICI 3. Iti15UL. 44.20 - - T ill) -OTifp `(1~~~y{IILL Exterior air film (st ~'~'I I I``~~1'~~Ill ~1•Itl\ R 4-80 Yr;rT Total r-"^l Heat flow 1. Interior air film _ 0.61 :rated 2. 379" G aQ 5$ 3. s N,(SuL, 38.35 T • Q. ::xtctior it Li In (st_.lij~6T - - Tota1 2 - 9 P. rS ric. 15 CoLSrK✓<.ri m_ 0.61 Inside air film - -r 3_ 4- • nc~ m Cutsidc air. film 0.17 'r1TIT I<< i1()I~ Total 1 3 1_ Inside air film 0.61 P 3. d Feet flov up • J vented 4. outside air film 0.17 FIG. Total Fo' 2. Inside air film 0.61 1v ~r.~•-'~•,.::;;:'::'-~ J Ghtsidr. oi.r film 0.17 Total &0I-VT~'i Rate: use additional sheets if more -Paco i! needed for details and calculations. Uen= floe up 41A1.L t,r.^:1M~Ir~ ~jRlcK - ~{REFLAV,--E ~ OI' P lallgQ 1;:111 arch IOC Uo'~,t I;r w< C'an•tlt nrl inn I:-Vn lu?'"0' •!ii0.'"`4 1•rnfi: conrt'rt+cl,fun _ . i., . 1. 1L 'L ".'t.~\I, I i Iu', I)t.ri2) U. 17 SIC j'. Qom; ~ •~Yi .%L lr FIG. .M1 TOPVIFIr OF .L' °IINLE WALL; 7uCrr t,r_:~irilni _•----"-------O:GII :::i -'"''r „ iL' Exterior Ili, l'ilE., -D.11_,'.'',tj.•Y;•-~ ~.Ir FIC'.'to2*i vuWl ?{r~< ~;;CC Int.crlur nir_film -tl:G.l~ ~ c 1v... _ J 2. , s . - - •'',~,s.~a, air: t;xt rinr Air film _ 0. ).'1' r,; i•~~A 1•,C dl l- (II' O.li l1 t: ,"C'{1~'t~i+'`.a ~14,--•-~ Intel 2. (.(v ,n, r,.~~• 6. I:xl r.rit•[ .Eir !n _-U.II E., TO L, I FIG. , . slrlu ctrl (_ilnul_ - p , t}!~hP• • i.' ~ ~ pis, k h"' ..;Cii' l k II I. ,•S. R4 / I. -,-V .$i'.x~'}'' . IJ~ 111rrC: acuuC n lndirncr, ty'rc, t" va,ut k 106U1dC 19i1. :r~.-g' ~YR'1 b! 2=E ti•):~na•1C Of PL.AW f` Urv EA L. FT. EXPOSED WALL aLoe-k : ca S . FU L 130 Scz . FT, E,~/--PoSED WALL AZEA t'3LaGsC', GS X, S = 5 kNF~; 1_30 X S = 6rw W.O, 1::ULL I (3~ X 8 !to°q G1~.1 '_1 ' , rs ~ v 421, RIM 1 '~,c~ 1C ~ = 1 3 O T4 7A L. = I IC044 5 Elm SQ..F* , F-KPo51=D GEt L(Uq o !(,D _ 4l(D111S Ih DaoP...S ~ ~ _ S413G lL. Ca v 7.011 Cp7= Is5 11 I* Go ~iacT! O DRS f ~4 = 4 W Z~ - gsM~+ U ~i+ rage 1 OT 4 - .t EXTERIOR CNVELOPC AVCRAGC "I)" U)MVIITATION OWNER: OAT[ SITE ADDRESS: PHONE: CONTRACTOR: F:9GV-Y"%__Fr. Determine working square footage of each 1. Total exposed wall area..... I(C4. S sq. fL. 2. Total roof/ceiling area..... lC)~f~ _ _scl. ft. x .026 Z Total exposed wall area above floor= ~~1e r a. Total wall window area b. Total door area Z _ e. Total sliding glass door area., . Z4 d. Total fireplace wall area e. Total wall framing area (average IO%) 5 f. Total rim joist area g. net wall area above floor ...ZVI TE`t b - h. wall area above floor . wall area above floor j. frame wall area at foundation Total exposed foundation area= ~`j k. Total foundation window area 1. Total net foundation area above grade _C= S Determine "u" value of each wail scynicnL (e.g. window, door, each separate wall section) a. ZS X IV.- b. X , U„ 45 d. ~U X V. I-7~2-~ e. (~(a"45 X V, U8 IS~ t. I ~O X ~hull 0 3=- 1 g• 13~1r x „D„ C) = ~r1 ~t3 h. X U.. _ i . X , U., _ j• X ..U.. _ If item f3 is the sam k, X "U° = as, or less than item #1, you have met, the` 1 • ~P S X "U" 1,75 intent of SS C. 600 ..(c 3. .Total `_j~ Ia tjtrior. Envelope Avernge "U" Computation Pago 2 of 9 Total exl)oscd roof/ceiling area in. Total skylight area n. Total roof/ceiling framing area (average 10%).... I OI (.0 o. Total net insulated roof/ceiling area........... ~f4,y Determine "U" value for each roof/ceiling segment M. X IV, o._ x U.. pZ - = B Z 4 Total If total of ;;4 is the same as, or less than 112, you have met- the intent of SBC GOQG (c) 1. Alternate Building Envelope Design To utilize the total envelope 'system method, the values established by the stun of items $3 and 44 shall not be greater than the sum of items ,S{1 and U2. 1. Z I , 09 + 2. ZG. 4 = Z4 Z S t~ 3. _~c~5. (a`1 + 4. Zy, 7 3 = &(9 IA, -.rCTIOIJ(1 F.. U:•r lyt..oh rl~anu. u,til Alen full r:rn,:.trucl lun c_~~r.l • • vnlu.! PP 9 _.......4S 4.36 p w e a..~ay 7. 7 3. Lj rr1$ . FIG. pl T011VII.14 OF FIINtE WALL lul_rrinr Air Alin f). Gl1 2. 4. _7 5 _ G. F.xl.rri„r ei: ii!-ij ~ 0. 17 FIG, f12 C 1 V J. ~Srxt~~ Y{_ --C~ ^ s. C~-{r rn,..SLV f Cie •-i.71 tir--d>. •----1J G. }:xtc rl or A v l i lm d, 17 1•,,11--•-- ~yrJ-~\- ---.~o'.-,i 511%11 ON I;Ilt,Uli r , f r~ 4 l r FIG. ild r - - rt1:; ludt,:nt,: t "!1" v., tua, rb.nth And . o r.` 1«_ 1,1.:_rnd•tt n( in:ul.ttio:t. Construction R-Value y r 1, Interior air film 0.61 2. 5/f` In"-fP SID - TA 3. Iti~SUL. 44 I yir file (still) GI /~1'II1~1 I` T1ill Exterior 2 4s8o N\N; 7 Bear floe 1. Interior nir film 0.61 sled i 2_ u PAD P 3• _Z ll,(SuL. 38.3$` 4_ -Xtclio : it f In (st:.l .6T - Total 2 = 9 P. is SIC. 15 oZ4.. _ .~r• 0.61 rt.•`.-~ ~ ~ 1_ Inside ❑ir film r ------r 2_ 4. Outside air- film O. i7 Total O 3 Y_ Inside air film 0.51 f 2. E 3. gear floe vp - J vented 4- 5, outside air film 0.17 FIG_ i6 Total -3 . - o.61 ~r{u5 v 1. Inside air film :.•..r..~ J 0.17 er.~••.::; Cvtside air fiLn Total , h~I_yT _ Rote: Use additional sheets if more spaeo is - - needed for details and calculations_ Bent - flow v? rxr- #7 o)nl.u ~rcrmla~ ~jR(CK 1RE L.'A~ _ U::r.ibt :of t'I!o!lun wall nren for :.~~-~;,.,,-•a,;r YYtllllr; C,GtIlilY4C1,]uq C'<,r,_ltnclir~n ..r•+=="j'~6'~+1~ ..$-LdGK i 4, AIR- P?!-E.... sic ALL~!i; I,( 1:, J _ ---"~S, 't:rt,~l Z."15 - F1C.".MI TCA'V1114 OF ,•I''i ~F1WtE WALL, 1. Lttrrtnr,ai; :ilm _•----°-,-'----q_:f,11 Exterior air tilts FIC.102 7'U(.al t}xG. ~urP4 Jnteviur nir film O. GO - : ~••+•'F;°=''_`^x~" i - - - - a: ;,r. 71. 3 . »it: yj~, a•. -Qi ~ _...----••----....---"'r'ag 16A t l~.ral!, t': }:Xtcrlpr Air film ll, ].'1~' ,~°~•~'«""'/*~1~' at ~1• •~-T-•- _~l 1. ln[I:i !n[ nl r (l L) C 17 ToWl ' S1✓+lI curl larnue r err - z~., a j r F I c, . 114 a 'y~P•jr`., "i ;4 _ t(I IM, ' a - Iln'I'C; indlcaLC LY01Y. " valtitC,4110pt1i. nncC . :i.nn: ,s,•..::; .9,q?.%:. Its}~1"b1~ \ , r PIo•trnwlt of trcail,i' r t r i-`• 42 f PLA N r9 L w FAA L FT. EKpoSEC) WALL BLOB-k- ; G S ~ iCu~E t 30 W , 0', ~:u L L (3d 1ZIM{ sole lE-*kPoseD WALL.. AR-EA V.N EE ; l- 30 K S= iS~ v _ W.O. It FULL I 13~ )C 8 - tlo~ F, P, = 42 EZi M 1C 1= l 3 o Tor-A L = I ~~95 SG-,F*, F-XP05E--D C,EI LIUq 101(o W DWG I~ Doo~S i2 4 7.-..:_ 24/36 ~Ls = 3~ Zo ~A-71 o Z-7 55 M'+ U Ui-f-l P-4 She'e@ . r or 2 Names ve-O."r~rdz t) 16, Address: STA PlisimofZ-0 HEAT LOSS CALCULATIONS DEPARIMEN 1' OF LN,P[-.c I[ON - -%catherstfLa A.S.H.V.E.I P Gwde ~ Construction No. ( Insulation W endows 1 _ Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I Kind How Applied Ies--No - 1 }'es--No ; 19 ll FFI_ [7thj , Room Length/2' Width HeightE5° I F1.1 t Room lLength/$", Width 11 Height Wlnduw,s and Doors-Crackage and Area c1. Windows and Doors-Crackage and At a 1 ~\_'u. nnant -or Llneal ft A - - fl Llmal AM1a t I..." n( ors. h ~ No ~N'laln f{elYnt %nrat .f t+anr 1 Vanr 1. of crack aq 1.t. t pr (t r I or uane or pane lt sG y ; 1.2 2L Nil 1z.Pi 4• cn<F. Btu j Coef. Btu Infiltration L d _ al 3 I 1280 Infiltration - ZS, 4n 10 2 ass 140 20(=0 Glass Lxp wall / f Exp. wall Net exp. wall /~{O 1.0 8y0 it Net exp. wall zoo (0 1. 2,00 Int wall Jnt, wall i _t r : K '1 LS 5 ( to2- ,5' crllln8 ! 5 r S I ~ ~ Floor C'otal Btu F y7y5 Total Btu. yOgc' Required sq. ft. ED R. or sq. ins. W.A. Leader area ( Required sq. Ft. E.D.R. or sq. ins. W.A. Leader area t E7..1.` 1S- Room Length t. Width// Height 45 1~ FI,1 [~An f Room Length J ° Width Height 8 Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area R'latn HnYat Na of Llneal tl Area II V w{af{t HUtrat No. of Llneal ft Area N'n of vane of Dans Ianu or crack ev r1. ill No. of Dane or DaM IitkU of crack p ft. I .f- COIF. Btu ef. W Infiltration I 2q-1, q0 GJ Infiltration - Glass taerLD 1.V 1,aQ i~ Glass Lxp. wall iTI- LI ExP• wall r1'~ Net exp. wall 7 1 fa h 7y Net exp. wall y L_& Int. wall 7 11 int. wall __l rJmg LLB 15 ^ Crihrig Z-7 Floor total Btu. _ Z$70 r~ II Total Btu. Required sq. Ft. E.D.R. or sq. ins. W A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 FIB CSR Room!LengthlO- Width/Io Heigh 111.I Roomllength /1I Width Height Windows and Doors-Crackage and Area L&P "I Windows and Doors---Crackage and Area I I O I \\•latn Hrl(nt Yo oTlne' Ir~ Afea y W Jt HelY rat No O[ Llnaalrft Area ]'u I ..f Iran a(nan -IX rata u(+ k q ft No tYae na of Wna I 'lanl• It l k I a_V [t /rte =eye uy f Iz.B Lvyl!-? 7-P T8 1~,8 :'",404 1- T3 193 252{ Alf o I - - Cott. Stu `Co<f. Btu Infiltration LSM 46~jOr f-/ Infiltration .78 , 0 1J~ZO Wass Fy~~'t7 _Class_----- 137•pJ /1?J90 Lap wall Net exp. wall : 14'Cj r(o r ' J Q[II %'c[ exp. wall- . l9 / +Fa It 4 10 +.t wall IInt. s,Il 1 . 1 , ~,,IIK Ij ~ ~U dlt'~• 112, I ..+~r ( I IO I 1 4 I otal Btu. d ~ Total !3;u. Rrqu+red sq ft ED P or sq. ins. W.A. Leader area _ Required sq. ft. ED R. or aq ins. W.A. Leader area - Aetiw~Z of Z Naga t ,a Address; NEAT LOSS CALCULATIONS DEPARINENT OF INSPE( IION Weatherstrips A.S.H V, Construction No. Insulation Guide Inflows Door I Reference i Out. Wall Int. Wall Ceiling Roof Floor I Kind How Applied es-No Yes--No i 19_ i I FI. L-t V Room Length /`f - Width /-5- Height 0° II F1.1 Room Length Width Height_ Windows and Doon-Crackage and Area Windows and Doors-Crackage and Area N Llllt Ilegnt No of Llnril h A'.. N'IJt11 M- Yl N. w[ Llnul ft. ArP .[-0 ul pane IgnLt nl truY YV It Na o[Len• o[Vane 11(nIr orcock ep [t. 1 Cot f. Btu ~I Coef. Btu Infiltration '11-q[140 17-7 Infiltration Glass 3a-. L ~ Gla» Exp. wAll Pilo Exp. wall Net exp. wall f 11 ID~ Net exp. wall I Inc wall I ~I Int. wall (r•1r~g ja.[O o 5-0 11 CalmK Floor Cotal Btu 7` ~I Total Btu. 1 Required sq. ft. ED R. or sq. ins. W.A. Leader area Reyuirtd sg. ft. E.D.R. or sq. ins. W.A. Leader area BFLI Room I Length a Heigh- tE-5 i'I FLI Room I Length Width Height Windows and Doors-Crackage and Area 140 Windows and Doors-Crackage and Area Arta ~~N'ISta Hr1Yal No Of Llnul rl Area •j Width Hey at No of Lt. .1 it Nn I o[ pane of Dans II(NU of ,.,it ra ft, it No. of Dan• 1 or pane lieata of cucx aG ft. j0 Z Y 6 f 8.0 ~ 2p . b 6.8 ~ Coef. Btu f. to Infiltration 14$'7- I Infiltration _ 17-vt Glass J •2 I Glass Exp. wall 1 li Exp. wall Net rap. wall 16 S-1?A Ce 11 Net exp. wall Ina. wail 1 I Int. wall Cr11,1Ig - II Ceiling c4-0 5 ! $ L.cU Floor Tonal Btu. I Zpr.T 7'7y ii Total Btu. _RN trod sq. ft_E.D.R_or sq. ins. W.A. Leader area i Required sq* ft. E.D.R. or sq. ins. W.A. Leader area Fl Room I Length Width Height II Fi.~ Room I Length Width Height Windows and Doors-Crackage and Area II Windows and Doors-Crackage and Area N'1.Itn He1(nt No [ Ll ne I fl. Area WIJIn Hellr nt No of Lineal fl. Area No ~.t [nnete of track eo [t No. of pV.e' of no Ilpnle o, VatY Ya It l ~I 1 Coef. Btu Coef. Btu Infiltration 1 Infiltration Glass 1 'II Glass Exp. wall I ~T !I ap. wall Net exp. wall 1 Net exp. wall Int. wall Int. wall Crllmg ceding 1-luar 1 ' Floor Total Btu. Total Btu. Required sq. ft. ED R or sq. ins. W.A. Leader area j 'II Required sq. ft. E.D.R. or sq. Ins. WA. Leader area _ I , URVEYING e For. ]3908 MA 7House SERVICES F~idN►es1 Sibley Memorial Highway Eagan, Minnesota 55122 'p®s°®~1®n Phone: (612) 452.3077 25 .`j om c hCALE: IiI=40' 11 to 124,05 S Q - 30,0. ~03 ~ 02 F . J k9 k 4~ of 4t o N 6v1st P - s"Ir IV 0 (4 N / F 0 7/ All a ill 32/9 ! 0 W 9fl - - \f` ~ UT V ~ J .ISIS A,`'%i ir! WAYNE D. i CORDES 14675 - LEGEND _ PROP05ED GARAGE FLOOR ELEVAT ION= g5yl-5_ O Denotes Iron Moment PROP05EO Top of Block ELEVATION= 010 1- 8 C Denotes Wood Hub Set PROPOSED BASEMENT FLOOR ELEVATION= 104, a x gol.y Denotes Existing Spat Elevation NOTE. Verify all floor heights with Final House Plans. (n51+DwW Denotes Proposed Spot Elevation - Denotes Drainage Direction SogjyM CERTIFICATION- I hereby certify that this survey, plan or report -PROPERTY DESCRIPTION- was prepared by me or under my direct supervision and that I am a duly Registered Lard Surveyor Tw . under the laws of the State of Minnesota. ~►r~X 1 MJGa'(t+~t~AG~°d~f1d`T I~ I / according to the recorded plat thereof, 6d~e._Date: e/f4 1$S ytapCO'(A County, Minnesota Wayne D. C ides, Minn. Reg. No. 175 r RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodellRemir Requirements • 3 registered site surveys showing sq. R of lot, sq. fl. of house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indrcate't home served by septic system for additions . 3 copies of Tree Preservation Plan if lot platted after 111193 ~.1 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) 90c)0_ Cl DATE VALUATION SITE ADDRESS 3 g C ' •"~i MULTI-FAMILY BLDG k Y _ N TYPE OF WORK ~C`h9 ~b " 9 FIREPLACE(S) 01/10 _ 1 -2 APPLICANT STREET ADDRESS -Q3 t✓ ~~e C CITY AItr, C'"-dc,STATE ZIP 5 L 7 TELEPHONE #651- .5.-9795 CELL PHONE # 171400 WL5 FAX # (o5( 795 ~g _N PROPERTYOWNER I>" DbtL`as TELEPHONE# 0051" C,$8--7C/Z COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINK (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted New E o rk a • Energy Envelope Calculations Submitted FJUNl 0 2002 Plumbing Contractor: _ Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # _.----°---------°°-------I hereby acknowledge that I have read this application, state that the info is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O des. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 b3b-R3 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION ~3 0 P City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date ~ / / cl - Site Address On )1 d l 12a 1 (K X L-- Unit # Property Owner Telephone # (GS-1) 62 6 b -D iS 12- Contractor Burnsville Heating Street Address 12481 Rhode Island Ave. So. City Savage, State ~j Zip Telephone # F i S? ~ - (x)1 Bond SO `7 Expires: S~ I (1 (4- The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional Replacement _ air exchanger air conditioner Ne Replacement other I ,l Tl C t i ,f State Surcharge $ '50 Total iAR } 7 11'14 $30, ~ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plan,,, Applicant's Printed Name p icant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118436 Date Issued:10/31/2013 Permit Category:ePermit Site Address: 3678 Cardinal Way Lot:2 Block: 6 Addition: Lexington Place South PID:10-45060-06-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Kelly Meyer Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - John W Duclos 3678 Cardinal Way Eagan MN 55123 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA122908 Date Issued:05/22/2014 Permit Category:ePermit Site Address: 3678 Cardinal Way Lot:2 Block: 6 Addition: Lexington Place South PID:10-45060-06-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - John W Duclos 3678 Cardinal Way Eagan MN 55123 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature