Loading...
630 Atlantic Hill DrCITY- OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address, Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I ogre, to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CATWY OF EAGAN ,?3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: and nson Address: Site Address: Plumber. I ogre to comply with the City of Eagan Ordinances. By Dote of Insp.: Insp.. SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: Permit Fee: Surcharge: - Misc. Charges: - Total: Date Paid: MECHANICAL PERMIT DATE: 5/3/91 RECEIPT: 101270 SITE ADDRESS 630 ATLANTIC HILLS DRIVE Unit # Permit # 12980 L 1 1 B 2 Sect./Sub. LAKESIDE ESTATES RUMPCA SERVICES, INC. - 459-2896 (JASON) INSTALL A/C INSPECTION INSPECTOR DATE COMMENTS G owe 4 i/ t Alf ?-j 51(woh, 3795 PIkf Ku Rood Eagan, MN 51122 PHONES 454-9100 BUILDING PERMIT Receipt # To be wed for Est. Value Dote , 19 Site Address _? rect ? Occupancy Lot - 1?-t- Block Sec/Sub. Alter ? Zoning Parcelt Repair ? Fire Zone Enlarge ? Type of Const. Name Mo qk St i W ve ? a or es Address Demolish ? Length city P hone Grade ? Depth Sq. Ft. a Name uu Address ?- r'u., Nome - Address I hereby acknowledge that I hove 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. Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total Signature of Permittee A Building Permit Is issued to: 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 Per it No. m Permit Holder Mice. Permit No. Holder Plumbing 2 r ) 1 ?(C??? Ir ' -? ?D? H.V.A.C. 3( r << ? < ( Well Water Disp. Sewer Electric u)Z7 5$? ??ft r' fG-(D-$ Inspection Date Insp. Other Footings r-?7-gZ ALL M Foundation Framing Rough Plbg. Rough HVA Insulation Final Plbg. Final HVAC Final Water will DVaibe Loco on: Sewer Pr. Disp. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee • Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address CJ ! ?Cv+r? Lot Blk. Tract 4. Owner " ;1?, •5?-tw1 i F?l' ' i -iG? 5. Contractor Phone ! .2 s 6. Address "4 7. City State i X Zip 8. Building Type: Residential El\- Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 1. No. Fixtures Water Closet No. Fixtures Ces o fi l/D i ld Bath tubs sp o ra n e Se nk ti T Lavatory p c a ft S e Shower o n r W ll Kitchen Sink e Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and 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 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address k3 o LotB/Ik.. Tract - 4. Owner /f'/ f t/I!? i11 R - -d v D`?g 4 R . 11?Yrt c/ . 5. Contractor Phone 95 - 53T 3 6. Address / 3 t? CLte i - y t C. 7 Sa - / s` ? 7. City State- Zip 8. Building Type: Residential P( Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe Fuel Type F 11. No. Equipment BTU - M. Ea. Forced Air ui No. Equipment CFM Ai H dli Mfg. r an 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 ordinance an co es governing this type of work. Signed : CI / `for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY CtF EAGAN Remarks I)i L-4A I c Addition .LAKESIDE ESTATES Lot Pt, 10$x11 Blk 2 Parcel 10-44300-111-02 Owner " . '' ' street 630 ATLANTIC HILLS DRIVE state EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1981 1690.16 84.51 20 STREET RESTOR. 5(05 1981 1409.71 70.49 20 GRADING SAN SEW TRUNK 1981 279.99 14.00 20 It SEWER LATERAL 513 1981 5191.30 25 20 WATERMAIN * WATER LATERAL 1981 20 WATER AREA 1981 279.99 14.00 20 STORM SEW TRK 3 1985 0 47.40 * STORM SEW LAT 1981 20 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 240.00 31348 B-11-82 WATER CONN. 420.00 n It BUILDING PER. 7437 SAC 525,00 a 11 PARK CITY OF EAGAN Remarks Z.- ,Zo7//O Addition Lakeside Estates Lot 10 Blk 2 Parcel 10 144.300 10? 02 Owner .1) Street State Eagan,MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF.3 1 97 STREET RESTOR. 51 r 1981 465.20 23.26 2-0- GRADING SAN SEW TRUNK S62. 1981 93.33 4.67 20 3.99 *SEWER LATERAL 1981 1717.14 85.86 20 yam' WATERMAIN * WATER LATERAL 1981 WATER AREA %!y 41M 1981 x.99 STORM SEW TRK * STORM SEW LAT 1981 CURB & GUTTER 1 - , SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK .CITY OF EAGAN Remarks Sold for Taxes Addition Lakeside Estates Lot 11 Rik 2 Parcel 10 Owner ?,,, I '',, - I ` ; _? I ? + Street 630 Atlantic Hills Dr. State Ea Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. S6 Imp. 1981 1132.41 56.62 20 q3 STREET RESTOR. cif 1981 944.51 47.23 20 59 GRADING SAN SEW TRUNK 1981 186.66 9.33 0 3 * SEWER LATERAL 1981 3444.16 3Y WATERMAIN * WATER LATERAL WATER AREA * STORM SEW TRK 1981 STORM SEW LAT CURB & GUTTER 0- 2-SIDEWALK STREET LIGHT ROAD UNIT 240.00 31348 8-11-82 WATER CONN. 420.00 to to BUILDING PER. 7437 SAC SP5 ()n to it PARK ?-7 c9U/Y/ /1/X'60 47482, 1,6 AZ3/s°O Request Date - Fire No. Rough-in Inspection Required? Ready Now ? Will Notify Inspector ? Yes When Ready? l y'? licensed contractor 0 owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No) city 6,3 0 k- - a? Section No. Township Name or No. Range No. County Occupanl(P INT) Phone No. Power Prier Address EI Coniraclo (Comps emel Contractors License No. Ma ng Address (Contractor o I 162a-'77 ner Making Installation)?t Clscc ?t?4/5'?t7/ Authonxed Sig re (Contractorl er aking Installation) Phone Number r f'r/ J MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlgga-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Unlverelty Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 4612) 512-0800 ENCLOSED. S0/g? REQUEST FOR ELECTRICAL INSPECTION . See instructioee for completing this form on back of yellow copy. H 4 7 4 8 2 X" Below Work Covered by This Request ew Add Rep... Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial F pace - Farm it Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 Amps Ab Amps Signs Inspectors Use Only: TOTA Irrigation Booms '0 L Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final - to OFFICE USE ONLY This request void 18 months from This request volol1U/? 18 monttr from 27583 Llli Bad LasL??Esl ?23OZ 3-7foo Request Date Fire No. Rough-in Ins pectins Required? Ready Now VWill Notify Insnec- h. Yes ?No x C4 m, When Ready 11 Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street A dres', Bo x or Route No i o . ' City E - Ia 1 c i l l I ,. mh action No. Township Name or No. Range No. County t \ r U Occupant [PRINT) ti . Phone No. ^? 3 U Powe Supp ier n . , Address Y Electrica Con r e c to r (C pany Name) Contractor's License No. 1 om or l ?r? Mailing Address (Contractor or Owner Maki 6 " Install a`on) r l 35` rm ,. Authorized S nature (Contractor/Own Mak ing Insta llationl Phone Number L l F" Y50 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 or,....e 19111 1q7_7111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION +a EB-00001-03 .',., See instnwtiona for completing this form on back of yellow Copy. 27?"83 "X" Be/ad Work Covered by This Request 3Z30 Z N Add Rep. Type of Building Appliances Wired Equipment Wired Home Range - Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pec' tv Other (Specify) Other Specify Other Other Compute Inspection Fee Below It Fee Service Entrance Size N Fee Venders /Subfeeders # Fee Circuits Oto100Ams Oto30 Ams .0 to 30 Amos 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 Amps Above 100Am s Above 100_Am s Transformers Remote Control Circ. -' Partial./.Other Fee Signs Special Inspection r? $ 3 TO L FE Remarks E © _ Hough-in .te, D aI ` Inspector, hereby certify that the above Final D tf [ tion has been made. This request void 18 months from CITY OF EAGAN 3795 Pilaf Knob Road Eagan, MN 55122 N ? 7437 PHONE* 454-8100 BUILDING PERMIT Receipt # To be aced for SF DWG/GAR Est. Value $80, 000 Date August 11 _ 19 82 Site Address 630 Atlantic Hill Drive Erect Occupancy R-3 Lot E.32 of Black 2 =9c/Sub. Lakeside Estates Alter ? Zoning R-1 Parcel # 10 & All of 11 (10 44300 102 02 & Repair ? Fire Zone NA Enlarge ? Type of Const. V W Name Willard T.- Hannon & .srry ? Move ? # Stories Z Address 6965 Carmen Ave. East, Demolish ? Length 62 Ci Hues Grove HtsphO118 455-5 563/4 52-4 5 38 Grade ? Depth 86 Sg. Ft._ Approvals Fees Name Owners 0 Address Assessment - CI Phone Water & Sew. Police - fw Name Fire R O u Address Eng. <'2" City Phone Planner Council - I hereby acknowledge that I have read this application and state that Bldg. Off. _ the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee A Building Permit Is issued to: Wiliest all work shall be done in accordance with all Building Official Permit 373.00 Surcharge 40.00 Plan check 186.50 SAC 525.00 Water Conn.420.00 Water Meter 60,00 Road unit 240.00 Total 51844.50 & J:errv Smith - on the express condition thin City of Eagan Ordinances. 70 °1" 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan g5"7O ,O 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Requirements Of e.Ose Only 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan of Suiv .heat Y N (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions P Cd x 1r ,.,.1 2 copies of plan showing bear n& window sizes; poured found design, etc. 1 site survey for additions & decks Pies am -1 1 set of Energy Calculations Addition-indicate ifon-site septic system ate' 3 copies of Tree Preservation Plan If lot platted after 7/1/93 Rim Joist Detal Options selection sheet (bldgs with 3 or less units Date / 0 14 Construction Cost 11 1 q 4 S Site Address 3 d tV L& \? (' N \ ?? S 13c LlR_ Unit/Ste # Description of Work Q ?Q 1 Ol ?L1??J LJ-? l l N t I Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 - 1 - 2 Property Owner -J.1. ` ?1? La--Yv\.V 09 Telephone # (tOS\) 4s a- saO T RENEWAL BY ANDERSEN Contractor 1920 COUNTY RD. "C" W. Address ROSEVILLE, MN 55113 City State 651-264-4777 lephone # LICENSE #20130983 COMPLETE THIS AREA ONLY IF A NEW BUILDING Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature °a tea. i., •.i ><uv L4.JV raa 104 oil .4400 KtSrt4IaL bP4NUat im WOU: re aJ June-7, 2001 City of Eagan 3836 Pilot Snob Road Bagan, MN 55.122 To Whom It May Concern: Elder Jones is authorized to pta building permits for Renewal by Andersen- Please allow Elder Jones to provide this service for us in Eagan. This authorization is valid for any date beyond 616/01; until a R"onewai by Andersen manager y revokes it in writing to the City- I request this autliorizehon be our building ponmita any further. e Ifth, as to not delay the processiTig of Y further. Please can can me me If thm am any questions.. I o can an be e contacted at 763-502,4706- Your immcdiato attention to this matter is adpmciatgt- sin6eraay, oad R'Rau tistallation Manager Renewal by Andersen Corporation C v: Karn-PTder Jones Mirm" tok" .1k attea Received Time Jun. 7. 1 :07PM -5-q b La L) MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date 05 / 06 / 03 SiteAddress 630 Atlantic Hills Dr Unit# Eagan MN 55123 Property Owner Jeff Lathrop Telephone#( 651 ) 452-5673 Contractor Rumpca Services, Inc. Street Address 1048 Hastings Ave City St Paul Park State MN Zip 55071 Telephone# (651 ) 459-2896 The Applicant is Owner X Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 X furnace replacement air exchanger air conditioner other 50 State Surcharge $ 6y Total $ 30.50 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 permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wish [lit approved plan in the case of work which requires a review and approval of plans. Jason A Rumpca G_ Applicant's Printed Name Applicant's Si Lure RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 LJ -)- '7 S New Construction Requirements • 3 registered site surveys showing sq. It. of lot, sq. ft, of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detal Options selection sheet (bldgs with 3 or less units) DATE ` IS - as SITE ADDRESS bra RTl LC. TYPE OF WORK NkC'f v-5 APPLICANT A STREET ADDRESS V:>7_4 -26 t c''W= k ` TELEPHONE #L ITzi CELL PHONE # MULTI-FAMILY BLDG _Y _N FIREPLACE(S) - 0 - 1 - 2 _STATEYM) ZIP St1I'i FAX # j -q7-t1( , PROPERTY OWNER ?? l htU f .s TELEPHONE # ($ N 4t -Co_13 COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: --- Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Fee: $90.00 Phone # AUG 1 5 2002 I hereby acknowledge that I have read this application, state that t nformafion is L erect, and-agree to comply with all applicable State of Minnesota Statutes and City of Eaga i ces. Signature of Applicant ------ ---- ------------------------ ----------. ---------------------------------------------- --------------- -_--------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION ??5? ?' CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 630 Atlantic Hills Dr. itES DEt?TIT, PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE 1 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. --------------- WORK DESCRIPTION FEES NEW CONST ADD ON REPAIR OWNER NAME: Jeff Lathrop SITE ADDRESS:_ LOT : BLOCK ng SUBD M 5 12 3 INSTALLER: Rumpca Services, Inc. ADDRESS: 1048 Hastings Ave. CITY: St. Paul Park, ZIP: Mn. 55071 PHONE #: 459-2896 4t___,,,,) FOR CITY USE ONLY PERMIT # RECEIPT # O o I DATE: .3 q ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $15.00 24.00 6.00 3.00 $15.00 .50 $15.50 SIGNATURE OF PERMITTEE QOMMERCIALjNDUSTRIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: STATE SURCHARGE TOTAL: (SIGNATURE) FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ FOR: CITY OF EAGAN CERTIFICATE or SURVEY r'oR MR, q- MRS, W I LLkRD H tkSON PROPERTY DESGRIPT IOU LOT 11, BLOCK 2, 4- THE EAST HkLF OF LOT 10, BLOC.tC 2, LAKESIDE, ESTATES, bkKOTA COUNTY MINNESOTA, ,:? -'??A?!?aNrlc m 9829 _ 1 ; - !p 003`2? W ,W I N ?. ha T Q zr j,,, 35, 5g IN T.o "8,z ' rY t%t° _ $ i 47.E ! J ' m,L1 ' a Q In Jtb a° ? f N 80a, I p3' 5' DRAItdA.C?E W % 7 f k U?IUTY EAS!~ME'N T. C. T SCALE. V=40 INbtGATES IRON FOURb O-tNDIGstTES '=? T tLE.LAT10N ?Ek1?TtNV? ALL SEP-R b GS kSSt.uP1rb B. P4\. T(P OF kYb,,(ELEV. Ioo.Oa) LYING NQRTAFRL`l OFTHE RORT4IWEST LOT CORNER Z ILL rDRI IF-- i? V (tu li ``i ? !z'? ° W F'? ? dO? CID EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energ y calculations. To Be Used For S but GoA 'r Valuation y ), 0 0 0 // 11 Date g Ay g 2 lc 3O Pry`avt C c kkC k t tVs Site £ s: b OFFICE USE ONLY 1 Lot ock a Sec./Sub. Ls ESi Erect Occupancy Parcel #: 1 b 4 15 c o I Oa 02 . i jD 0 Alter Zoning Repair Fire Zone ///?? Owner: '?)/ AAffT )4&",O-c6 /4 J kA /At tL Enlarge The of Const. ????F love # Stories Address: rp?(o? Ca tg z iq c Av V De mlish Front 2 ft. n ade Cit /Zi Cod 9 l ' e r Depth ft. ?/ y p e: wit c , 2 ?h i n ?a o?S W Phone #: 'JOSS- 55(0'3 - y,5 a_- y S 3 $4 --1) Contractor: Address: City/Zip Code: Phone #: %3- S Arch./Eng.: Address: City/Zip Code: Phone #: 0 7? Planner Council Bldg. O. APC i. Permit ffi Surcharge y3 70 Plan Check SAC Water Conn. '/ Jn Water Meter lo ?o Road Unit ;(z 'D -- TOTAL ` 1!3 y" _Q EXTERIOR ENVELOPE AVERAGE "U' COMPUTATION OWNER SITE ADDRESS CONTRACTOR DATE PHONE Determine working square footage of each. 1. Total exposed wall area .... /57S sq. ft. x .i9 = d9? ?S 2. Total roof/ceiling area .... / 5"o sq. ft. x .04 = S F Total exposed wall area above floor = ?'fnc? a. Total wall window area ................ /3.b' b. Total door area ....................... L45, c. Total sliding glass area .... ........T-1. d. Total fireplace wall area ....... 11 - e. Total wall framing area (average 10%)... IS7 f. Total net wall area above floor ........ /o q g. Total rim joist area ................... Total exposed foundation area = /75' h. Total foundation window area .......... 9 i. Total net foundation area above grade . Determine "U' value of each wall segment. a. /a-s x "U,: ..37 = W7, 34' b. N$' X r"U:, 07i _ .'_ c.^ X "U`; s 79 = 7s, D D. c3 X "U' _ e. /5- X ?.U,i f.__loa0 X '"U': O3 39•$ g• X ,"U" /1- h . <? X ;1U ,' 3-7 = 3; 3 1. 1?0q X "U' 7E? a /o47.9 3 ............................................Total -O 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 = l?So J. Total skylight area .. ...... ... O k. Total roof/ceiling framing area (average 10' (yS- 1. Total net insulated roof/ceiling area 13o-5-- Determine "ui value for each roof/ceiling segment. X 1 VT kX'`U" 1. 13o5 x rul- z 07.3 = /o. S8 . 0 9.a- = -4 91,5 4 .........................................Total e Ye•-?2 3 If total of #4 is the same as, or less than 112, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope systen method, the values established by the sum of items #3 and #4 shall not be greater than the sum, of items #1 and i;2. 1. + 2. _ 3• + 4. _ Use BLUE or BLACK Ink I ,Ilk fifin i For Office Use I ~j I Permit City of Ea Permit Fee: 3830 Pilot Knob Road I C t, of Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: l I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 Site Address: (2l __13V 41~ ` l C r r' 5 rq q Unit t Name: ~e4lilyle- Phone: Resident/ Owner Address / City / Zip: l,:a56 AAAyA t c 4,0--s V r Applicant is: Owner ✓Contractor Type of Work Description of work: a,I 6!LC'i nq Construction Cost: 't 00 Multi-Family Building: (Yes / No ~ Company: 9 C,-' e62 e~` iefIQC SContact: S(~Z ~s G2~"Vyl t V\G Td Contractor Address: 2 3 $ \ city: State: M&) Zip:J f' Phone: `ICJ ~r2 l ~S` License `h3LI Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) i 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? 4 fi _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.aopherstateonecall.ora 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. x S G 6-0 ~t (R ~f V-'-\ x Applicant's Printed Name Applicant's ignature Page 1 of 3