4676 Cambridge Dr? cIrY oF eaGaN WATER SERVICE PERMIT
? 3795 Pifbt Knob Rood
r PERMIT NO.:
Eayan. MN 55122 DATE:
Zoning: No. of Units: '
QW1iBf: (:£l`- •? Tai. .- - •
Address:
Site Address: '1'.7
? r?,M'-,•+r
T-r
Plumber:
Meter No.:
Connettion Chorge:
Sixe: Account De
osit
p
:
Reader No.: Permit Fee:
I e9roe b eanply wilh the City of Eagan Surchorge:
Qedinpneea. Misc. Charges:
7otal:
BY Date Paid:
Daie of lnsp.: ?nsD,;
CITY QF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1`' =•
Eagon, MN 55122 DATE:
Zoning: No. of Units: '
Owner.
Address:
Site Address. 4:676 CS:tbZ'ics;;e rr A-R .''eacUP_
Plumber:
- ,, -,
i ogres Fo eemply w(th Hhe CiFy of Eagan Connection Chorge:
Ordineneea. Account DeposiY:
ey
Dote of Insp.:
I nsp..
?
Permit Fee:
Surchar9e:
Misc. Chorges:
Total:
Dote Paid:
lr??. .t.. ? .
?: ? . .
.
BUILDING PERMIT
Ta ba umsd
Site /lddreu
Lot
CITY Qf EAGAN
3799 Pilot Knob Rwd Eogon, MN 55122 `
PHONE: 454-8100
',' 6 2 , 0, 0 "
Parcel #
"mmw
ae Nome
_ ,. . _. _.. ? . v
? Addrcss
?
Ci PF,one
? Nome
??0
Address
F ri... ? o?....._
Name _
Address
1 hereby ocknowtedge that I I
the information is Correct a
Stote of Minnesoto Stotutes
3tion ond state that
with all applicable
Ordinances.
Receipt #
Erect p Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlorge 0 Type of Const.
Move ? # Stories
Demolish ? Length
Grode ? Depth 5q. Ft.
ADDrovafs Fefls
Assessment
Woter & 5ew.
Police
Fire
Erq.
Planner
Countil
Bidg. Off.
APC
Permit '
SurcFarge
Plan theck
SAC
Water Conn.
Woter Meter
Rood Unit
Total
Sipnature af Perrnittee I
/1 Building Permit Is issued to: on the express condition thai
oll work shall be done in accordance with all opplicoble State of Minnesota Stotutes and Ciry of Eagen Ordinanees.
Buildinp Officiol
-A
Permit No. Permit Holdar Misc. Permit No. Hoider
Plumbing
H.V.A.C. ?.? [ ??oti oY, ?p `?7
w?u
Water
Disp.
Sswer
Electric ?'q? (3-?Z C'??,rv? •
T ? 9 (0`1
Inspection Date Insp. Other
Footings ?? .
Foundation
Framinp ?t /7
? G ?a-
Rou Plby. . ? ?
Rough HVAC
Insuletlon ?
Final Plbg. ??? ?
Final HVAC
Final
Weter Describe Locetion:
?????
tf?
?'?
?
'
Well r
a?v`?'
li"
?
,
Sevuer '
Pr. Disp.
6
RecotipS
1. Date 2. Installation Cost
3. Job Address ?•??' `_-> ?? 1 ?'?_. Lot?
4. Owner
5. Contractor
6. Address
7. City, J) ' /-1 _ ? i State i i? Zip
8. Building Type: Residential C?-7 Commercial ? Institutional ?
9. Work descriptian: New ?
I 10. Describe
11.
. .. . . , ...? .?1 . . . ._.. ? ? ! ?
Permit No.
Fee
S!C
Tot. ?
4
f
Add ? Alter ? Repair O
No. Fixtures
Water Closet No. Fixtures
CesspoollQrainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
51op 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 454-8700
- -- - : ?
Recgipt :.?_` -?' MECH1
CIT'
Fill rn
Permit No. - -
Fee
S/C
? L Type oi Print legibly ? Tot.
1. Date 2. Installation Cost '-
a
? =d I
3. Job Address to# ract ?
4. Owner
6. Address
7. City
1-9
r
Zip 7
8. Building Type; Residential U'z Commercial ? Institutional ?
9. Work Description: New l?Add ? Alter ? Repair ?
?
`
j - r
10. Describe Fuel Type
I
No. Eauipment STU - M. Ea.
Forced Air No. Enuipment CFM
Air Handling:
Mfg.
Boilers
Mfg. Mech. Exhaust :
' . "
Unit Heater
Mfg. Other
Air Cond.
Mfg.
! Gas, Piping Outlets
12. I hereby certify that the above infarmation is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ` for
Rough Flnal
Inspections: Date Insp. aate ? Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
?
CITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Lot g Blk 5 Parcel 10 13500 080 05
?Owner screet 4676 C:amhridgP Drive 5tace _Eaizan, Mbi 55122
Improvement Date Amount Annual Vears Payment Receipt Date
STREETSURF. (6<0 1982 1848.67 205.41 9 1643.27 A011330 8-9-82
STREET RESTOR.
GRADING 4 1982 537:84 59.76 9 478.08 n rr
SANSEW TRUNK 3 1976 135.97 9.06 15 72•55 " "
*SEWER LATERAL
1982
3182.83
353,65
9
2829.19
rr
te
.
WATERMAIN
* WATER LATERAI. 1982 9
WATER AREA (p? 1982 202.00 22.44 9 179.56 " "
* Stubs 1982 9
STORM 5EW TRK (p$ ? 1982 367.77 40.86 9 326.91 " "
* ST4RM SEW LAT 1982 g
CURB & GUTTER
SIDEWALK
STREET LIGHT
RQAD UNIT 240.00 #29 $5 -8
WATER CONN. 420.00
BUILDING PER. 7241
SAC 525,00"
u
u
PARK
?
BUILDINCs PERMIT
Te M wad hr SF M
CITY OF EAGAN
3795 Pilof Knob Raed Eegan, MN 55122
PHONEs 454-8100
Sit9 HddreSS 40/O 1cmuL1agE UCiVB
Lot 8 Blxk 5 Sec/Sub. BeaC'? Hill
Pareel * L10_13606 Q86 05
W I Name Vhda C,OIIStYUCClOII
? nddress 9449 Upton Fnad,
,.:.,. Bloominwon o.,.__ 881-4666
g Name _
r
?? Addresf
? ri...
Nome _
Addresa
I hereby ocknowledge that I have read fhi: application ond state thot
fhe fnformation Is correct ond agree to comply with oll npplicoble
Stata of Minnesoto Statutes ond Cjty of Eagan Ordirwnces. _,
Sipnoture of PertniMea-? n•A2?
v'?'j,
A Bullding Permif Is issued to: %Sley ?[1StLlY
oll work shall be done in ocmrdonce with oll oppliwple Staro of
Buildirg Officlal A?D,? ??
N9 7241
Receipf # _D
Erect ? Occuponcy
-
Alfer ? Zonin9 ?
Repoir ? Fire Zone
-
Eniarge ? Type of Const. v
Move 0 # Storie?{-
Demolish ? Length `^
D
:2T_
F
Grode ? epth
Sq.
t.-
Avora•als Faes
Assessment
Wafer 8 Sew.
Police
Fira
Enp.
Planner
Council
Bld9. Off.
APC
Permit ,?I •-
Surcharge 31•00
Plan check 159.50
SAC 525-00
Water Conn. 420_.00
Woter Meter 6o _on
Road Unit 74n ()(I
Total $1754 - sn
_ on the exprcu cordttlon thai
Ciy of Ecgan Ordimnces.
(ttxttfirttte of (Orrixpttnry
Citp of Cagatt
Drpbrtment of luilhing Jnsprrtimi
Tbii CertitJfQil IffHLA pllfJ114W 10 !GL I[!'t1iIMKAtJ of StttWN jOG of IIJt U777/orm 6uilding
Codc tati(Jrng that at tix tinu of ittaanct tbit rlrnctan wat in rorrsplianrr witb tbc variout
ordinarua o f the Citr+tgulating Inilding tonrtrucrion or ux. Far tlx fo!lowing:
U. cbdficm? SF DWG/GAR Nd, ?, Na 7241
O.-P-wr'rrpe R3 rywcw?n. V Fe.z NA zodnn?, R7.
o.o.oramaaeWPSIny (`nnatruntien.e.+..- 9549 UpWA Rd.r B1o0IDit1g
eWdle Aaa? '-'I ` -
IV& '?2&a. ?
T amonoroaa Q?
By:
D? July 28, 1982
.a.. I. . ? ...a
Th,s rrquest „aid F>S1 jgE4 con 30c(07
?
Ti8mlt9.96.7a
?q ' SC)
Reques[ Data Fve No. Rou,,h-in Invuection
q reA? ?Ne,aAy Now ?Will Notity.InsUec-
_ es ?NO When fleady
U(Licansed Electncal Convactor . I hereb e
?-? y r queat mspechron of above
? Owner . electrroal work installed a[.
Streel Addres , eo r Route Nn. Citv
?w'U
• ?
e mn o. Township Name or No. RanHo Nu. Coun ?
'Owv m (P INT) PhoneNo.
?
t
(J
Po e S pher ( . . AAdress '
V Z
Etectr I C vactor (?wIep'Jny Nayqpel
^ C???? ?actpr'sicen.?.
J J
.
MaJmg AtlJrass (COnVactor r Own
5,2 Makmg st. 11 Lonl
?? .
? /'- J3
Auffio ¢e S?gnaWre o rac orT ner a g Install.iUOn) Phone mber
i -1
MINNESOT TE 80AHD Of ELECTflIC1T? / - TMIS INSPECTION PEQUEST WILL NOT
Gri9ga-Midway el fioom N-181 gE ACCEPTEO BV TNE STATE BOAflD
1821 UnivarsitY Ave..St. Paul, MN 56104 UNLESS PXOPEH INSPECTION FEE IS
oh..... 16121297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?? ee-ooo???
u
J o9C 7' See instruUions tor compl 9 thls folm o. hack of Yellow copy.
t ? -7;
"XBeldw N1GrkCovered by Thrs Requ 30q o
Ne Add Rep. Tyoe nt 6u0Aung Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater lightin Fixtures
Apt Bwlding Dryer Electnc HeaUn
Commercial 81dg. urnace Silo Unloader
InAustrial Bldg. Air Conditioner Bulk Milk Tank
Farm Dther aecitv ther(SUecify)
lher l5uacify Other Othor
Compute lnspectiort Fee Below
p Fee ceEn[raneeSixe k? Fea Fenders/Subfeeders N fee Cnewts
100 qm s 0 to 30 qm s 0 to 30 Am s
r to 200 qmps 31 to 100 qmPS ? 31 to 100 Am s
:Above
200 Ainps Above t00Amps Above 100_Amps
siormers RemoteControl Circ. Pariial%Oiher Fee
Speciai Inspection g T
Aemerks OTAL
t
Rough-in Data
L y , the Electncal
--2
? J Inspec[or, hereby
cart?ty that the above
final ( Dfie?y? inspection hes been
? o roraa.
rn- ,,,,A
18 montns from
This reque!it wid /'?)
Ya?79r9?
? 65 ?
LS r ,? S? $ £G1co^ '{? ?' l ( 3GDO(4 (O
??„-- ---? 16, o d
Feques?Dat?/ k^
/ /
? ? G
?
F
ire No.
I fluuph-in I nspecUOn
Feywred>
?ReaAy Now •Will Nobfy Inspec-
Wh
R
S
` ,
ElyeG
r
en
eadY
Licensed Electncal Contrac[or 1 hereby request inspection of above
? Owner eleclriwl work inetalled at'
Street•Atldress, Bo.,?p? Route No.
. E v Gty
T
L
ec ?7i . Towns fp Name or No, flanye No. Coun
:?
Occupant
IPfll Phone No.
? ?i
Pawer u plier /1
f' Address
?4 /
EI c cal tractw
/iCoTiOany mel Vur.tor's License No,
r ?
ailingAAJress (Con[rflc or O ner Ma kin Instai
Aut ¢etl Si amre (C nhactor O er k I stalla fioN Phone Numbe?r)
THIS INSPECTION REQUEST WILL NOT
MIN • TE BOAND OF ELECTftICITY BE ACCEVTEO BV THE STATE eOAND
Griggs-Midway 91dg. - floom N-191
1821 University Ave., St. Paul, MN 55104 UNLESS PqOPEfl INSPECTION FEE IS
.
e1__' IcHo, no o.11 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ,? ee-ooooi-os
See mstmctions for complehng thi torm on back o( yellow copy, ? / / ?
T--79965 ..:
'"X'" Below Work Covered by This Request 360 `t ?o
N Add Rep. Type oi 8wlding ApPlmnces WireA Eympment Wired
Home Range Temporery Service
Duplex Water Heater LiyhTing Fixtures
Apt. BuilAing Dryer Electnc HeaUn
Commercial 81dg. Fumace Silo Unloader
InAustrial BIAg. Air Conditioner Bul --rdnk
Parm ot e. a??c?W orher uenfyl
ther Sufcify Otner othe
Compute Inspection Fee 8elow
aN Fee ServmaEntranca52e p Fee Feeders/SUbfeeders k Fee Circuits
0 to 700 Am s 0 to 30 Am s 0 tn 30 Am
101 to 200 qmps 31 to 100 Amps 31 to 100 qm s
Above 200 Amps Above 100_Amps Abuve 100_Amps
Transtormers Reinote Control Circ. Partial."Other
Signs Special Inspection ,? •
Reinarks - TOTAL FE /A,
? ?
Rouph-in Da[e
I, the EtolPCtrical
Inspecr, hereby
•erLfy thac the above
funal ? e/?? chonhas baen
? naae .
This raquest vaitl
1 R ,..?..m? b,....
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?{-pYW1 0-1"1
651-681-4675
New Conshudion Reaulrements
? 3 reglstered sMe surveys showing sq. M. 01 loi, sq. M. oF house
and aIl roofed areaa (20% maximum lof eoveraae allowed)
> 2 copies ot plans (show beam 6 window sizes; poured fnd. design; etc.)
> 1 set of energy calculatlons
> 3 copies M free preservatlon plan H lot platted affer 7/1/93
DATE: DI ?_l to I of Cl
DESCRIPTION OF WORK:
STREETADDRESS: 'I V) I l// l Yl P'I!/K.l
LOT: ?3 BLOCK: _C-:5 SUBD./P.I.D. #:
Remodel/Reoalr Reaulrements
2 copfes of plan
1 set of energy calculatlons for heated addttions
1 sMe survey for exferlor addHlons 3 decks
CONSTRUCTION COSi: q 8 13 •ZS
Name:??`V??? Phone#:
PROPERTY Las1 ? First
OWNER Street Address: 0L01 (D l.AWor^Q??_?)
City EAhl'16 _ State: M 1?1 Zip: tfz) I ZZ
Company: J?k MW L W q WHA?:P Phone #: Lu«
(area code)
CONTRACTOR /.,?
Street Address: 1l? 0 1 G•CILl CT F-'t-J License # Zd I"I'133(o Exp. Z_21Z5'il'v
ARCHITECT/
ENGINEER
ctty y3U,vwSUIut state: M N zip: C-633-7
Telepnone #: area cocfe (
Street
Ctty
Name:
l
Regishation #: _
State: Zip:
Sewer 8 wafer Iicensed plumber (reautred for new construction onlvl:
Penalry applies when address change and lot change Is requesfed once permit Is issued.
I hereby acknowledge that I have read thfs applicatlon, rtafe fhat fhe tnformatlon iz conect, and agree to comply with all applicable
State of Minnesofa StafWes and CMy of Eagan Ordinances.
Signature of Applicanf:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
CITY OF EAGAN Inclucie 2 sets of plans,
1 site plan w/elevations &
V/ BUILDING PERMIT APPLICATION 1 set of energy calcu7_ations.
2b Be Used Fors = Valuation D610 Date
Site Address ?67V 2 wt b'? ?`?? ?'r'
Lot ? Block S- Sec./Sub. u Erect ?
Parcel #: Alter
_ n - Repair
Owner: ? (?ous% ?%ou Enlarge _
Address • MO`?
• ???°"J J?' Demlish
City/Zip Code: 6? 1S5-y1V Grade
Phone #: Aplf/6G ('
Contractor:
Address: _
City/Zip Code:
Phone #:
Arch./Fng..
Address:
City/Zip Cale:
Phone #:
OFFICE USE ONLY
a=cuPancy_ _ IAO
Zoning /
Fire Zone
Type of Const.
# Stories
Front (y ft.
Depth a(o ft.
APP120VPS,S F'EES
Assessments Pexmit 3/.g °O
iaater/Sewer Surcharge
Police Plan Check-
Fire SAC
Eng. Water Conn.
Planner Water Meter (oo ?
Council Road Unit ?Ho ='
Bldg. Off.
APC
TOTAL ??? ? ??
?ym D?_ ? , t i z 1 ? 4rin? L?` [ bi£?``??3 ?3`.} ? .r •` -C.S ? i ??f _ Sn" ;' t? v?`??J' ?
MAR'lH SCwwra-NV,`
IPtMDSURVEVOR
tRlplftNitl 11?tlv L1Wf u/ 711eSdb oi Mmqft6ta
?
?s= 14? Y! ' BC)t M _ ROBEMOUNT. ININNESpTA 560r8_ .? ' -.. PHQNE BiT12S1*'Y
?t7 ,. ? ? . { : Af
Sl1RMEYOft'8 C?RTkFICATE ` > ? ?
' 47 8, e` f° r ? a , a x C i4 a '.
00
?
w71
' ? A ? ly' S? a• +
?,. ??• ? ? (? y,'?' . . ` ?.. 4 . , . I Y .
NM• 7
I?4? ? vv.
Q
9e 40.>1 g
?b
Peo?
?e'
yi
A"I
4 .
f,?? 1,r ?l 1
4i 1A
A
"v
y? mP
l
F \ t t ?-' . pi ? '
"
%
?. ?? '? ?" A? [ ? ?V• . , ?tl
'?` . . . ' x n p ? ?? ? ` . ' t 1 ' s k ? ? ,?y? • .
t
!ro ! 4 . A ?
A\
tr I hereby cc?rtfPy tha? k,ixl?st 3? a trtie`ar?fl ciorreot repr?aen?atlon of, ,??pb ?8, s;?a't;
Block 5, BERC?tty?xHl?,'5+?.???o??91t? ?to? ?he ?record?`d? plat ?hereAlY,,
A 141????L?•
?y 3? strua}YIlr {? '
?r ?.n?? 'Y ? ; 'S?4.!( ?ih}Y•?. i ( . .
. v 7 s 1 .. ?` r
C 't
n '
'?"? • ' ? <?`? ? ' 1 F ? .r.' .t , , ? ? ' . , j
?f
i ?; xc( t t ? n
iit ?' S 4
WVW dyy,r+,i }y .( ; e (r ? n? ?s rN 11t, 5 ' ,W' w, r ? / .
??'?, ? ? A# p ?xp'4 ?yt » f'? ? r , ? ? .? ? ? f ? i ', k d? , ?n
r?'1;11
1?Y JXnti l ? ? ?r •? -+??n , %
2'+ TA R$.IP16TRATiQNl??8d2?F,j{,' x4? 4 ,t.
?'i??,ri } '?f?'j$?Ar?i^1 ????Id1F+?i?? ?M j ? Yb???f'?)?r?.?G?Y`?(??.} ?' ??,x?nf;?'1.? "3 {"'? ??qt?°
,?r?^'Ntb..
? • ?
k ? r ?, S ht
° r ? 3 r>i,i,
` ?
?
'
?
?
: , .
rv
?,Vlt „W.
%TFft1:UR'
E?JV
E PF A?:k.;
?
E L
0
,
.
,
,
i
, ...' ''
_
?
. ?1,Y;_ a
Urj ke CC a?
> - - - - - - - -- - _ _ -- - ------? --- -
Ct.ACT.OR
- - - a
Determ?ne working squ-are fooY.aqe of each.
.?
° 1. Total exposed wall area ..... sq. ft, x
3.5? ?
?l$___ ' ?33 •??=
_
.
2. Total .roof/ceil.inl3`area?
/p?8
, sq. ft: x
,?t
= (-?3,jz )
? _
_
R_
_
? ? ? ? ? ? - ? • - ? ?:?
_ Ttital 'exposed wali, area above .flobr
?
?
' .? ? ? • :?A
/7? ?
a. Total well window ?area .... ....................
.
.. !:.
b. Total door area ........................... --37,?77
? -
c. Total sliding glass door area ...................
?r
d., Total fireplace wall area:........................ ?
=
e. Total walJ framing area (averagc 10%)............
.
'., f, Total net wall area above flcor ..................
g. Total .rim;joi.st:arca .. ........... .....:....
.l-2_
'Totat- ezpoaed foundaCion area. = je
? h. Tota;l foundatintt wind'ow area.....'... ::..
?.'."
_ ?
•
'?
... ..
? i.?Toa1 -net f.oundationarea atrcve g?ade s,
•
_
.
Uete`rniirte' U value cf each ivall segment:?.??',.?
?
" a. . /27 X „u„ ss
?
?"7,?7 ? X (.u„ 3
x 55 = 23•20
d, -- x ?.Ull
e. X, ,,u-- . ',%2?
t: X „U„ . o6 ?3-7/
>.; _
,..
.
S'
`..
r
-? ?
/
9 x '?V- , aS' - S.FS
. ? ----- ' -- ? --'- - '--- ? . . ,
, b,h? `x uuu
- _, , . _ , . ? . '_ " "'__ , ._-_ , ,. • ?p
X ?su,t.
?
-
. . .. . . .. . .. .. ' . . . . .. . .. . . . . . .Total
3
.
i?.`• ? If item 93 ?is the?sartie?as, ?or` less than item pl, yoii?have niet the inteht
of 58C 6006(c)2?.?
'
??
Y
4 ?
t-•-
+?
- - i i
y,? "? Y f t d ?tf` LR b?? ? W ? k
? N+1 't
?i ?
-`?: iOR@ l?t O? nISa944 W?T'tiIIE?,??'?OX?''C' °- t?? x ? ,• ' ,_ , i?y ?...
!x'ame constructiiA
IIlL! ? n?'..?:.T? r.3st''- -- ..,_.?.Y__ ??c6?
4• -T??-j1?U?
? . 9. 3?.Z tr,r•hcs s•?ft?ar?an ?`? 3? 'r
.?; ?'?? .. . . ' . . A;?'
•
? ??+4SIC ? , ? ,,,? , 5'• ?/Z/CN/1? ;,
?a.
WALL ? - ? ?6. 8x?.???i? airSi1m 0.,1:J ,??
? TPtAl
y rybt
N(
FIG. Ml ., TOPV2E14 OF ' 75
8w?tfe .wnr.i. L ,
3.
. . E
,+i' ' • ,
67
6..
Tota?
PIG. k2 ???
1.- interior eir film 0.68
C='? ...._ '•• '?c ? '? 2. .? , ` 3i8iA.liGrlf ? ? /3• 00 ? . :k";??1
3.
?IL? 4.
i?,lr:al ?? s`• _'._'""rQ 5. ?l/?1f?A,^t firr?a?i.??Na" . ?
??.,,t ?_ .'•" i' '""-0' 6. Sxterior nir film a 0.17
_, V'``i;.` .-r ?,"""'_""? '?. Tota1 /b, ?/b k ??':
,.?,,. I.?; ?. v • p?
?• ?,)• ." .n Ji _
1. Interior air film O.GB
'..
?•• ? .it)lT7CN t'? • A p 2,
?AIS. • ? n ? ' 3. ".? ` P.rY'.•z' ?:rfl! P-?f7 .
• ?? • •Q ? , 4:
n ? i ?n0c? S.
'•
ip
, .N •i , , 6. Extarior ais film 0:17 '.
(?_ •?'/'
t ,
?.
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City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reouiremen4
3 registe2d srte surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas
(20% maximum bt cove2ge allowed)
i Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window saes; poured found design, etc.
1setMEnergyCalculations -
3 mpies of Trea Pmserva6on Plan if lot platted after 717193
RimJoislDetailOptionsseledionsheet (Wildingswith3alessunils)
Minnegasco mechanical ven6lation Torm
RemodeVRenair Reouirements
2 mpies ot plan slrowing footings, beams, joisls
1 sel of Energy Calculations for heated add'Nons
i site survey for additions & decks
Addftion - indicafe i/onsife septic system
?5%
-I-o+C?
c
C41.5o D
a
(3ffice tlse Onlv
Cert of Survey Recd__ _
SoitsRepoA- ---
On-siOeSepticSys4em` ,ID
Tree Pres Plan Recd TreePresRequired=,_ _
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o!....? ?.e .....,?GelaroA .,iffhlir infnrmatinn iinipGq veu state thev are trade secret and the reason.
. ???.? ..... .................. ......_ ...._...--° -•• -•----- -- - -
Date d? IT-l0 7 ConstructionCost
SiteAddress q6?ls ? nt UniUSte #
.v .-?
Description of Work j" a '"'
Multi-Family Bldg _ Y a? N Ntireplace(s) ? 0_ 1 _ 2
Property Owner Iqa?l?' i Arn•'Yw Telephone # ( )
Contractor u-r-4 a- 1±!!? %C-e
Address CiTy ? -
State /Lf rt/ Zip S-S-C?2Telephone #(L,Sj ) 4lei 7-Gy?G
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential VentilaGon Category 1 Worksheet • New Energy Code Worksheet
(J 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:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
T horrhv annlv fnr a
Telephone #(
Telephone #(
Telephone #(
Buildine Permit and acknowledge that the informafion is.complete and accutat
that the work will be in conformance with the ordinances and codes of the City of
Statutes; I understand this is not a permit, but only an application for a permit, and permit; that the work will be in accordance with the approved plan in the case of worb
approval of plans. ?
2007RESIDENTIAL BUILDING rExnuT arrLrcnTioN
e;
and the State of MN
q? ut a
and
6 112007
ApplicanYs Printed Name Appt canYs Signature
. :
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 77 Garage IZ 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 MuIG Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Founda6on ? 45 Fire Repair
? 33Alteration ? 37 '-DemolishBuilding* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entlre Bldg) - G ive PCA handout to applicant
DBSCriptioll: WatarDamage_Yes
Valuation 1)/1,000 Occupancy MCES System
Plan Review ? 100% or 25% Code Edition
Census Code A I;_ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width •
_ Footings (new bldg)
?,. Footings (deck)
? Footings(addition)
IL FoundaHon
Drain Tile
Roof Ice & Water Fina]
?C Framing ?
Fireplace _ RI. _ Air Test _ Final
?c Insulation
REQUIRED INSPECTIONS
Sheetrock '
FinallC.O. 4
? FinallNo C.O.
? HVAC
Other
Pool Ftgs Au/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Approved By: 1/ , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
city sac
Utility Connection Charge
S&W Permij; & Surcharge
Tre,atment Plant
License Search
Copies
Other --. -
Total
?S6"'"-
P,yL.U4-
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Project Title: Taverna
Report Date: 08113/07
Data filename: Untined.rck
Energy Code:
Location:
Construction Type:
Glazing Area Percentage:
Climate Zone:
Construction Site:
4676 Cambridge Dr.
Eagan, MN 55122
2000 Minnesota Energy Code
Dakota County, Minnesota
Single Family
10%
2
Owner/Agent:
Designer/Contractor:
Jason Mahowald
Hearthstone ConsWGion
Ceiling 1: Flat Ceiling or Scissor Truss 1308 44.0 0.0 35
Wall 1: Wood Frame, 16' o c. 1424 19.0 0.0 71
Window 1: Above-Grade:Vinyl Frame:Double Pane with Low-E 160 0.350 56
Door 1: Glass 42 0.370 16
Door 2: Solid 20 0.350 7
Wall 2: Masonry Block with Empty Cells:lnterior Insulation 1088 19.0 0.0 60
Window 2: Above-Grade:Vinyl Frame.DOU61e Pane wifh Low-E 39 0.370 14
Door 3: Solid 20 0.350 7
Floor 1: All-Wood JoisUTruss:Over Outside Air 216 19.0 0.0 70
Compliance Statement: The proposed building design described here is consistenl with the building plans, specifications, and othar
calculations submitted wifh the permit application. The proposed building has been designed W meet the 2000 Minnesota Enerqy Code
requirements in REScheck Version 4.1.0 and to comply with the mandatory requirements listed in the RE heck Inspaction Checklist.
",/, 2-C
Name-Title Si ure D e
Taverna Page 1 of 3
Maximum UA: 316 Your Home UA: 278 = 12.7°/, Better Than Code
r4 REScheck Software Version 4.1.0
REScheck Inspection Checklist
Date: 08l13/07
Plan Review and Inspection Issues
This list of items may be helpful (or Plan Reviewers and Buiiding Inspectors to use as a 9uide for enforcing the Minnesoha Energy Code.
The items apply to Group R. Division 3 Occupancies, one- and N+o-family residential dwellings. The Items marked with' apply only to
detached one- and lwo-hamily residential dwellings.
Plan Review Issues
Foundation Inspection:
Ll Foundation well insulation R-5 minimum.
F-i Foundation insulation eutends from top of wall down to top of the footing.
ci E#erior foundaUon insulation is covered by a protec6ve coa[ing finish.
Concrete Slab or UnderSlab Inspection:
Fl Slab on grade perimeter insulation R-5 minimum.
Fl Slab insulation extends from top of slab to design frost line or top of footing.
Fl Floors over unheated space R-30 minimum.
Windows / Doors / Skylights:
? Average U-value is 0.37 maximum for windows and glass doors (excludes founda[ion windows).
? Window U-values consistent with building plan and REScheck Certificate.
C3 Window and door areas consistent wilh building plan and REScheck Certificate.
Mechanical Ventilation Issues:
Li Residentlal mechanical ventilation system provides adaquate ventilation per code requirements'.
L] Fumace efficiency is consistent with REScheck Certificate or building plan.
L] Protecfion against ezcessive depressuriza6on is installed per code requirements•.
Envelopelnsulationfor Plan Review:
Li Interior basement insulation R-5 minimum (if no exterior insulation).
Lj Ceilings with attics R-38 minimum or consistent with building plan and REScheck Certificate.
F-1 Wall framing and insulation lavel is consistent with building design and RESchack Certificate.
Inspection Issues
Concealed Insulation
Framing and Sheathing:
0 Wind wash barrier inshalled at attic edge.
Li Exterior wall corners framed so that Insulation can be installed after e#erior sheathing is installed.
Li Intersections of interior partition walls and axtenor walls framed so that insulation can be installed behveen the partition and
exterior sheathing after ezterior sheaNing is installed.
Fl Gaps between framing less than one-half inch are eliminated by ucuring framing Wgether or are insulated at ihe time of assembly
F-I All penehations between conditioned and unconditioned spaces made prior to framing inspection are sealed'.
Interior Air Bartier:
Tavema Page 2 of 3
,
? n NI fire stops are air sealed.
E] Pipes, ducts, wires, equipment and flues and chimneys through the interior air barcier are sealed.
r-i A sealed continuous interior air bartier is installed on the warm side of the building envalope at ceilings, walls, and floor rim joist
areas'.
n Air barrier behind tub and shower is sealed and protected.
(3 Recessed light fiRUres are sealed.
Envelope Insulation:
El Basement insulatlon R-5 minimum.
Li Wind wash bartier on wall saparating housa and garage is sealed.
[3 Loose fill insulation is prevented from entering the eaves.
Lj Insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side.
Attic Insulation:
? Attic access panel insulated to R-38 for ceiling panel and R-79 for wall panel.
Fi Attic card attached to framing near access opening.
Li Notificetion of attic R-value and date of installation posted near building parmit inspecfion card.
This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call Ihe Depariment of Public
Service Information Center at 651-296-5175 or 1-800-657-3710.
Tavema Page 3 of 3
Qt S lq
. Qf?M'AR H.qSCHWANZ
LANDSUVEYOR
' RplttvW Untlv Law, of TMStata of Wnrlosota
. ' . '. ? . ?,:.?
2976 - 149TN $TpEE'1"y1:•- 8OX M ROSEb10UNT. MINqEeA 66f168 ., PHONE 812
429-1769
=? 30 ? ' _ ? ,)!)
R(/ ? SURVFYOR'S CERTIptm4.Tf
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I hereby certiPy •that; thl.s,ls a true• and correat representation of T.pt $, , •;,;'?
-AloCk 5, BEACdH, IiTT?,$?$:iacc?srdirig: to ths`, rec.ordeci, p1•at therepP; Dakota
County,, MinnesOta.
;Febru:3ry.3;'
? ,.
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MINNESOT/+REGISTAAT10NN0.86Y5? +,.
«?,.. .. , ? ?.. ? _ .. t r:. , , ,. ' ' _ . - - •
?-----------------
? /' ?
? Pertnit #: V r6 7v j
I Perrnit Fee:
? Date Received: / -9 ?
1 Staff I
I
------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: q6,Z&
Tenant:
Suite #:
RESIDENT / OWNER Name: Rf}-0 k Q- d(A?^c.ti ? r4vrrµ.t Phone: ?? S ? ??SZ -3Z3G
Address I City I Zip: Yln T?e C?•--y+??? //"
p
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work: ?-r /za ?
Construdion Cost: Multi-Family Building: (Yes _/ No _6--
CONTRACTOR Name: LFdirt2 $T?F ??-sf. Lv? c- License#: 7_GLv 36A6 S'!?
Address: ?fS1?3?' L?«6 A+c
City: State: 'sy/ Zip: SSGZ`/
Phone: LoS 1 4f`, 7 Gyv4 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Su6mitted Su6mitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 72 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer 8. Water Contractor: Phone:
`NOTE Plans and supporhng d4euments thaf yau subr?}?# are?cons?dered to,?ie pttb/rt,?? affu?rr":? Pomoosvf
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et
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I hereby acknowledge that this information is complete and accurate; that the work will be in confoimance with the ordinances and codes of the City of
Eagan, that I understand this is not a pertnit, 6ut only an appliration 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 -S /hr?-? v, ??i?rl,?t?riz?? x
ApplicanPs Printed Name Applico ts i ia
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4676 Cambridge Dr
Lot: 8 Block: 5 Addition: Beacon Hill
PID:10- 13500- 080 -05
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Brian Welke 122 W 3rd St hastings, mn 55033 651- 437 -0338 bwelke@haleycomfort.com
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Mark Tavema
4676 Cambridge Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA076430
01/17/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156883
Date Issued:07/23/2019
Permit Category:ePermit
Site Address: 4676 Cambridge Dr
Lot:8 Block: 5 Addition: Beacon Hill
PID:10-13500-05-080
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
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 - RPZ/PVB/Lawn Irrigation $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 -
Mark Taverna
4676 Cambridge Dr
Eagan MN 55122
River Valley Rpz Llc
1623 210th St E
Farmington MN 55204
(515) 210-2094
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169734
Date Issued:06/08/2021
Permit Category:ePermit
Site Address: 4676 Cambridge Dr
Lot:8 Block: 5 Addition: Beacon Hill
PID:10-13500-05-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Mark & Karen Taverna
4676 Cambridge Dr
Saint Paul MN 55122--278
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172316
Date Issued:09/24/2021
Permit Category:ePermit
Site Address: 4676 Cambridge Dr
Lot:8 Block: 5 Addition: Beacon Hill
PID:10-13500-05-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mark & Karen Taverna
4676 Cambridge Dr
Saint Paul MN 55122--278
(651) 452-3230
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature