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3917 Danbury Tr? « • BUILDING PERMIT To be used for - F C/Ua Site Address 3Q1 7 vAN$O-RY TR. Lot 1 Block I Sec/Sub. DANBURY "PLACE Parcel No. W IName BLILSE CCINSRRUCTIQti i Address 64+4 STF^E??70?, c1T 0 City E A(;A." Phone 454--143r; Name _ Address CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Phone ? W Name w ?-W ? ; Address a W City Phone Receipt # OFFICE USE ONLY Occupancy FEES Zoning (Actual) Const Bldg. Permit - 3 2• CK-) (Allowable) V - Surcharge 3:i.(T(j # oi Stortes Length 3e ? Plan Review ? Jb • 00 Depth 7 ' SAC, City 100•% S.F. Total - SAC. MCWCC K7S•? ~ S.F. Footprints - 00 On Site Sewage _ Water Conn . On Site Well Water Meter 91)•00 MwCC System xx 31). 00 Ciry Water 7iX Acct. Deposit PRV Required _ S!'W Permit ? V•oc Booster Pump - SM/ Surcharge 1• L0 Treatment PI a 2.). 00 APPpOVALS Road Unit ? 40•', Planner il C Park Ded. ounc BIdg.OH. _ Copies Variance - TOTAL wo ' co Building Official ?- i •' Permft No. Permit Holder Date Telephone # WATER lr?, ?, 6U'-L??'9")i;tcC?Cc?':+( Sj-:WER PLUMBING ?' • ..c ? >' ?Gc ? "i,Cv ? ? /?-J? / ? H.V.A.C. ELECTRIC 774I7 a2i7 -? L,? -a-L, b^- Inspectfon Date Insp. Comments Footings I Foundation Framing rJ Roofing Rough Plbg• f -/ - Rough Htg. [sul. Aw Fireplace Final Htg. Final Plbg. Const. Meier Plbg. Inspector - Notity Plumber Engr./Plan Bldg. Final S p,s Deck Ftg. Deck Final Well Pr. Disp. . .?, _ ,., . . . . . . ... . 1 , PERMIT # i MECHANICAL PERMIT RECEIPT # `•' ? CITY OF EAGAN ;;?;' `??_?• ,F'?y, 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE ,??,?t1 n PHONE: 454-8100 ForOffice Use Only: Site Address ` `? ? `' ' ` ? • - 4? " BLDG. TYPE WORK DESCRIPTION Lot ? Biock Sec/Sub ? Res. New F' - Name L ?E's Mult Add-on °-' - Comm. Repair ca Addres?`"' ' 7,o 4L't E `- • ? c City A ; Q ? ?'ft 1 9 PhOne ? • / ? ? Other 'ti''? ?"5?2 •. ? Name L -,m r! 5 T c Address • '.. {,=% ' o Ciry,: Phone` . FEES RES. HVAC 0-100 M BTU NEW %.v1vimn1'fu rcF_- i%ro u APT. BLDGS. - COMM. - $24.00 - 6.00 - 1.50 EA. `.. TYPE OF WORK Forced Air M BTU Boiler M BTU ? Unit Heater M BTU Air Cond. ?- M BTU Vent CFM Gas Piping Outlets # Other FEE s/c: TOTAL: 8 ?I FOR: CITY OF EAGAN I . ..? . _ _ , ? >> ?-- ' "-' " . . • PLUMBING PERMIT PERMIT # '•- RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 ? Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New Mult. Add-on Name ` Comm. Repair ? [11Kar Ciry nw. rL.ou. vnL.r -%.vmra.c 1 cI nc rv1.L.vmnaa: A10. FIXTURES TOTAL Water Closet - $3.00 ' Bath Tubs - $3.00 TLavatory - $3.00 Shower - $100 Kitchen Sink - $3.00 - r UrinaliBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 ? Water Heater - $1.50 ? _?Whiripool - $3.00 Gas Piping Outlets - $1.50 ' (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - 510.00 T_Private Disp. - $10.00 ? Rough Openings - $1.50 FEE: STATE S/C: ? GRAND TOTAL: - ? Name 3 Address p City Phone . FEES COMM/IND FEE -1°/o OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $2U.00 STATE SUFiCHARGE PER PERMIT - .50 iADD $.50 S/C IF PERMIT PRICE GOES I SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 3?7/4 Q 3830 Pilot Knob Rd. wATER PERMIT # 10 ` SEWER PERMIT # P.O. Box 21199 METER %1 B.P. RECEIPT # ?11 1033 Eagan, MN 55121 ER # QO ? 2'R43B.P. RECEIPT DATE 316/8 g METER SIZE ISSUE DATE PRV _ BOOSTER PUMP ! SITE ADDRESS 3 n 17 PERMIT REQUESTED LOT -1--6LOCK __-SEC/SUB ? tJ b w"L L'F_ ?"f1 -x?.SEWER '-WATER -TAPS T c' APPLICANT: ADDRE85: c-" COMM/IND - RESIDENTIAL CITY, STATE 1 1 ' ZIP 1.2 >:? EXISTING .4 - 4 i PHONE: y ? NEW - - ? PLUMBER: I I AGREE TO COMPLY WITH CITY OF ADDRESS: 3750 KNOLLRIQQE DF EAgAN ORDIMANCES: • ' CITY, STATE ZIP 55122 .? ? PHONE: i OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE IP Z ' ? r <,,4-1438 PHONE: , z_' ?G.<< =' . PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMRS, CONTACT fNGINEERING DEPT. " ROOL•'/CEILING VF1:T Venced ?.. , • ' . - ?. •'..?•? . '?}, . ? . . + .. ? . ' , :..:: . , . , , • .. ? • ? ;,. . . . ,? . ? , . .. Cons:.ruction .. ? ?-'%aluc l 1. Intcri t, air film 0.61 J 2. i ? 3. /4 ! FGLfiLllf j8• ??O 1 4. Ext(-zior air film ti?i 0.61 Total -? ? aeac fiow -` up . FIG. IFS • . l. Interior ai fiim 0.61 I 2. 3. 4. Er.tezior air lm sti II-Y , ?- Tutal ? 1. 2. 3. 4. Note: ' Use additional shects i!` more space is aeoclecl for cictails s»d cnlculaCions. . , r [Heat floa) up .; vented, r ic. #s . . s•va-s a:c? a r.?I , . Elov uP ,. . ? ., . • • ?' • ?. PTn. 47 • CITY OF EAGAN N? 1616 9 3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121 g? PHONE: 454-8100 BUILDING PERMIT Receipt # 0- . To be used for SF DWG/GAR Est. value $76, 000 Date 7) "?-f , 19 89 ? " Site Address 3417 DANBURY TR Lot 1 Block 1 Sec/Sub. DANBURY PLACE OFFlCE USE ONLY 1 Parcel No Occupancy R-3 M-1 FEE8 . Zoning R-1 W Name BLILIE CONSTRUCTION (Actual) Const V-N Bldq. Permit 532.00 E Arirlracc 644 SUPERI4R CT (Allowable) V-N Su 38 00 Clty ? i ...M,..?I ?u Minneso Signature ? q ZY done in accordance with all y of Eagan Ordinances. ???ZX Z4 = ? ?• - . Name _ Address Phone Name Address City Phone rcharge # of Stones 1e? 38' Plan Review 266.0 0 D?m 4' sa,c, c?y 100.00 S.F. Total - SAC, MCWCC 575.00 S.F. FootpriMs On Site Sewage _ Water Conn 0 580.0 on sne weii - wate? ?cer 90.00 MwCC System ?X ? Acct. Deposit 30.00 Ciry Water PRV Required _ SM1 Permit 20.00 Booster Pump - gryy ?rqh?? 0 1.0 Treatment Pl 228.00 APPROYALS Road UnN 3 40 _ nl? Planner - park Ded. CounCil - BIdg.Of1. _ CaPies 800.00 2 Variance - TOTAL , ? ? _ C ... ??., ?._....' .? . . .. . , _ - ± ' er#t#ir?t#t of (?rrupa?try ?Citp of ?agan I,'7 ? ry• DppY?lUPttt Ud ?lt?? ?PtttDit f • This Certificate issLed pursuant to the requiremenls of Section 306 of the Unifornr Building Code certifying that at the tbne of issuanee this structure was in complrance wuh the variolrs ordinances oj the City regulating building construction or use. For rhe jollowing.• ? ux a?I SF DWG?GP?R mag. ft?t No. 16169 ??, Tra R3/P'!1 ?;? ?, R1 Ty? ? VN o? or euaat- NII. IE ?JCiVS'T. A? 644 SIIPERIO£t ?UUIRT, F?hC?1N ? 8??? ddrm TRAII, ?y L. B 1, HAI?ID[JKY PL?CE ' o.u: MAY 30+ 1989 oa?; POST IN A CONSPICUOUS PLACE acknowlege that I have read this application and state that the an is correct and agree to comply with ail applicable State of ta Statutes and Citv of Eaqan Ordinances. ^ ^ Aff 1989 BOILDIPG PE APPLICATIOH - CITY OF EAGAN .? SIINGI.B FAlSILY DWELLINGS INCLUDE 2 SETS OF PLANSP 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS aOTEs I?DDRFSSFS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNBR MO.ST DESIGNATE WHICH ADDRESS IS DF.SIRED. NO CHANGFS WILL BE ALLOWED Oi+TCE HLiILDING PERMIT I3 I33DED. M[1LTIPLE DWELLINGS aSN'lAI, i1NITS FOa SALE ONIT3 # OF UNIT3 SETS OF PLANS, CERTZFICATE OF 3URVE1' - CHECK WITH HLDG. DEPT., 1 SET OF ENERGY INCLUDE 2 SETS OF ARCHZTECTURAL & STRUCTURAL PL,ANS, 1 SET QF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For : «2 ? Z? fr u.r L Site Address Lot ? Block ? .f_E8 2 8 1989 Valuation: Uate: 2 l Z J9^? Parcel/Sub a Ug,¢,/ Owner Address City/Zip Code Phone Contractor t- i d=. 6ol-i Z7'; Addresa (o L{''i 5?.• p?e.? . v-? ?rn,?.?r' City/Zip Code Phone ( '( 3 Areh./Engr. Address City/Zip Code --L r? 67/ vr r ivr+ weX0 ! Occupancy Zoning ?-t Actual Canst V- N Allowable ? # of stories Length ' Depth y-??? S.F. Total Footprint S.F. On site sewage On site well riwCC System ri City water ? PRV required Booster Pump APPRODAIS Planner Council Bldg. Off Variance Couneil F'E$3 Bldg. Permit 532,Qo Sureharge 3 8, ao Plan Review 2" . Oc? SAC, City j OD , o0 SAC, MWCC ", :)J Water Conn S sRv, fti: Water Meter 190-00 Aeet. Deposit O.o S/W Permit Z p, d.a S/W Surcharge v J I. Treatment P1. z .ov Road Unit 3 ti 0, pu Park Ded. Copies TOTAL ? t2n::313 ?/ s F` a/ Phone # pOTS: SeweT & Water Permit Pees and acaount depoait fees xill be inoluded in the building permit fee. Processing time for sewer aad Water permits is txo days onoe a lioeneed plumber haa agplied for a permit at City Hall. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauiremants • 3 registered site surveys showing sq. N cl lot, sq 1. of house, and all roofeA areas (20°6 maximum lot coverage allowed) • 2 ropies of plan showug 6eam d wmdow ;rzes; poured found desgn, etc ) • 1 set of Eneryy Calculations • J copies ot Tree Preservation Plan d lof piatted after 711i93 . Rim Joisl Detail Options seledion sheet i6ldgs with 3 or less umtsl DATE -1 - Its - C) Ch fIREPLACE(S) _ 0_ 1_ 2 SITE ADDRESS?9 1-1 MULTI-FAMILY BLDG _ Y ? N TYPE OF WO APPLICANT I l.?hC.O STREET ADDRESS -aGk5q T-.!L)Ltr")?.lla-? TELEPHONE k(0561}5a -1`I2a.CELL PHONE # . ?s RemodeVReoair Requirements • 2 copies of Dlan • 1 set of Energy Calculations (cr heated aaditions • 1 sde survey for extenor addrticns 8 decks • I(wiCale rf home served 6y septic system far addi6ons ?4 ? qo VALUATION ` O ?:)• a01 rirr?ci n n.+'`. STATM Ai ZIP J?> FAX ?c? s i> ?45a - U ?a3 PROPERTYOWNER ?c"-'4J"1/ TELEPHON??S I )?PBO-'9, 7? S ---------------------------------------------.-------------------._....--------.--------------- COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNF:5(Y1'A RULES 7670 C.Cr1:GORY I _N[IV\ (v submission type) . Residential Ventilahon Category 1 Worksheet Submitted • New • Energy Envelope Calculations Submitted IUI 1 5 2002 Plumbing Contractor; ____ Plumbing system includes: Mechanical Coniractor: Mcch:uiic.il systcm includes: Sewer/Water Contractor: _ 4Vater Softener Water Hea[er No. oC Baths Air CondiUouin, Hcal Rccoccn Svstcm Phone # Phone # Pcr. $%0.00 -------°------------------•-----------°--....--------...----------------------.........._.._....._..__.....-----...----- I hereby acknowledge that I have read ihis application, state ???t t the information1 ragree t? with all applicable State of Minnesota Statutes and City of Ordinances. Sfgnoture of Applit3n - - -------------------------------°-------------------._...-------°---------------'---°-------°--- ---°------°-----------'---°- OFFICE USE ONI.Y Cer[ificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ updated 4102 _ Phone # I.awn Sprinkler iVo. of R.I. Baths ?J 'JP.A'?,Vl . ? . ? . . ' .. _. • ._.. .?. ???? ??t? ."? . . _.. . ?. ,. . _ .'?' ' . ? ?31 ,-.. , ? •. -?¢ , . '? . EXTEf?I4,17 .£t1YfLOPE AVEP,AGE "W" COtIPUfATI{IN 01•1NEW . ' ' . ti.....,_. . . - ? • M... . , ?;,. . SI7E.ADDRESS? CONTR14Cl'OR ' e & - r ' J , lL/E DA7E P}IONE. ?,? s ? determi'Oe wrorl;ing square footage of each. ? 'It 1. Total exposed 14a1i area ..... .2252•33 sq. ft. x•} 96 ?P 2. Total roflf/cei}in? area... /,3Dy sq. ft, x.A6• ? ?- . TQtal expciaed wall arsa above floor a. Total o1a11 wipdo,.q ;%24 b. c. Total door area... :.... . Total slfding glass.door ?rea ........ .. .. . d. Total fireplace,laal.3 area :......... . ... ....... ? ..-. • e. Total wdi] framiirg are-{average 10%).:.:........ f? f. Total net,wa]1 area 3botie floor ................ ? g. Tota? riar3oist area . ....................... 3 ' - r ;.. 7otal eicpos2d founda#;on area = 90,33 h. Total foundation window area ............ I 'y : i, Toa] net foundation area abcve grade ............ ? ? . . Detcrnine "U" value of each wall segment. a• x Iiult , / ? I.?' • 6. X l'U„ ,123 = Y?S" c: yQ •x ?v- - d. a? X tiull e. X "U„ i0 `? _ !Pi29 f. /SOS.a3 X HU° Af? _ ?a-29 g. 13O X liu„ •Ar! = 5,29 h. - X .,U,: ;; , 9e.•33 x,iu„ . i?! = f2.,6 s_ R 3.........:;y..,......................... Total = ,127 3 , If item A3 is the same as, or less Yhan item L.*1, you have met the intent of SIIC 6006(c)2. .. :" e•L ;Y ;.I r , s ?, . . . ? ? r • . q! 4 •, Total exposed roof/ceilino area j. Tetal skylight area ............................. - k. Total roof/ceiling framing area (average lflA)... /?p, y 1. Total net insutated roof/ceiling area........... 417 3, G Determine "U" value for each roof/ceiling segment. ?. < x „u„ _ z"u" , osG = 3 39 x „u„ 4 .................. ................ Total If total of n4 is the same as, or less than ;2, you have met the intent of SBC 6006(c)1. - ' Alternate Suilding EnvElope Design . io utilize the total envelooe systen rzthod, the values:established by the surn of it2ms 13 and 04 shall not be greater than the sum of items ;l and n2. + 2. 3390 = ??.G? 3. ?27, -TS + a. - , ? , r.'?J,'/.',yO -' .?LO? C t-'A' yrr,.f '?'fi ? / t $ ? ? _....-? ... ..:? ' .' : • ?_ x??: Us? 15t of ??14_a wali'",c`r???r'.µ' _ ' • frame cozistFUC[ion - , _ . . _., .... . . _. . -'.. - . _ ... • ?.. . ?. _ ? ., Conatruct4on ,?. SifLm • 3. 4. 5. 6. Extcri-'-r n:r Pilm = 0•17_ ----- T:L3 1 1. Intcrioc air filR, 0.68 2. 3. ; r p +. Z 7 a>lill ?. GoL 6. Sxterior ir film . 0.17 'rotaT 23,D3 i. z. s. a. 5. 6. .01. 7w Q'= , oy 1. 2. 3. 4. S. 6. V GRADE Intcrior air fil.m 0.68 iy 77sArpy c7 S, zc /-2 1a-!ql/•i.' Exterior air film 0.17 'rotal 737 ev= •/y ? ? ?. • ? ?? ?F • ? . ' ? : . ? ??? J 1 e ' • ? ??) -.? ?ri • ', iri - ? . . r . •??? ; . = f(l d ? •, o '//I ? ,•f X «?irl c ?rr = i?r ? . . Indicate tyoo, "^" value, denth and:: . placenent of insulation. --• ;'-r FIG. Md .?,!o-'?:'f'• _;'_3 .. ? : ?? CITY U5E ONLY L _? BL _L RECEIPT #: SUBD. DATE:_?--r w/g75/s a,1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace x Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: z .29-95 FFFC ? Minimum Fee: Add-on/Remodei (existing residence only) $20.00 ? HVAC: 0-100 M BTU 24.00 Additionai 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL S9n Sn SITE ADDRESS: 3917 nanbury Tra> > _ OWNER NAME: Glenn Bjoraker PHONE #: 688-8345 INSTALLER NAME' Apole-Lake.Heating & Air Conditioning STREET ADDRESS: 17100 xamilton vriVe CIN: Lakeville STATE: MN ZIP: ssoaa PHONE #: ( 612 ) 431-4328 2007 RESIDENTIAL BLJILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfion Reouiremenls 3 registered site surveys shoxAng sq. tt. of lot, sq. R of house; and all mofed areas (20 k mawmum bt coverage allowed) 1 Soils Report if proposed buildin9 is to he placed on tlisWrhed so?l 2 copies of plan shovnng beam 8 window sizes, poured found desgn, etc 1 set ot Energy Galcula6ons 3 copies of Tree Preservatlon Plan if lot platted after 711193 Rim Joisl Detal Opfions selec0on sheet (bwldrigs with 3 or less units) Minnegasco mechanical ventilation form are CJ / 6 Date_?/ -z . Site Address 391-7 - Construction Cost 3 !1 :Vl(e_.?- Uuit/Ste # Description of Work l4S{vYc.,6uk ?r ?, r e' Muiti-Family Bldg _ Y7< N Fireplace(s) Z^0 2 Property Owner ?Bn0., YJ • k?ei ? Telephone # ((A'j^) Contractor Address State _ '37&. 3? C6--- pifice Use On RemodeVReoair Reauirements 2copiesofplanshowingfoo4ngs,heams,joists CedatSurveyRecd ' _Y =N 1 set of Erier9y Calcula6ms for heated additions ?!e P? ? n Reo? - _ Y _ N 1 si[e survey for addi6ons & decks Addi6on - indcafe d on-sife sepfic system Tree Pres Required' __ Y_ N Oo-sileSePticSYstem -_Y _N ?a 4ne unless you state they are City ZiP Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Cateeorv 1 New Energy Cade worksheet Energy Code Category , Residential Ventilation Calegory 1 WoAcsheet Submitted (4 submission type) Submitted . Energy Envelope Calculalions Submitted In the last 12 monihs, has the City of Eagan issued o permiT for a similar plan based on a master plan? y _ N If yes, date and address of masTer plan: Licensed Plumber ? r? ? Telephone # ( Mechanical Coniractor ` Telephone #( Sewer/WaterContractor Telephone #( I hereby apply for a Residential Buiiding 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 ill be in accordance with the approved plan in the case of work which requires a review and approval of plans. c',1 AppUcan s Printed ame Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvqes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 02 SF Dwelling ? 08 06-plex ? ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi O 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 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 Foundation X 45 Fire Repair ? 33 Alteration , . ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA hantlout to applicant D@SCflpt100: Water Damage _ Yes Valuation (." ?? OcCUpancy MCES System Plan Review o or o U , Census Code ? -? - ? Zoning City Water SAC Units Stories Booster Pump' - # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const I r,,?L Width REQiJII2ED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) FinaUC.O. _ Footings (addition) ? FinaVNo C.O. _ Founda[ion ? HVAC Drain Tile Other Roof _ Ice & Wa[er _ Final _ Pool Ftgs Air/Gas Tests Final ?t Framing Siding _ Stucco Lath Stone Lath _Brick 7Firepface _ R.I. _ Air Test _ _ Final _ _ Windows ? [nsulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC ? City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies , Other Total 7173o` City Of Eagan 3830 Pilot Knob Road, Eagan N1N 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction ReauiremenLs 3 regisleretl site wrveys shovnig sq. R. of lok sq. R of house; anA aB roofed areas (20%mazimum lotwverageagawed) 1 Soils Reporl A proposed 6uilding is ta 6e placed on disturbed sdl 2 copies of plan showing 6eam 8 vnndovrsizes; poured fwnd design, etc. 1 set M Energy Calculatlons 3 wpies of Tree Preservatian Plan i( lot platted after 717193 RimJoistDeWilOptimsselectlonsheet (W1dingswAh3orlessunits) %3D.00 C44A__.) RemodeUReoalr Reauirements Offce Use Oniv 2 copies of plan showmg foofings, beams, joisLS CeR ot Survey Recd _ Y_ N 1 set of Energy Calcula6ons tor hea[ed additlons Shcs Repat =_Y _ N 1 site survey for additions & decks Tree Pres Plan Recd _ Y_ N. Addih'on - indicafe 6 on-sife seplic system Tree Pres Required _ Y_ N On-siteSepficSystem _Y _N A4nnegasco mechanical venhla6on form / ? Plans are considered ublic information unless ou state the are ?ade se caret aide reason. Date -7 Site Address y 3 ?? Construction Cost ?- b6i? i/ Unit/Ste # / Description of Work T'1 Kv Sk 3? 1 ??.1C' ? 'T C +Ln'yP- - L loeAfi0o" Multi-Family Bldg _ YXN Ptireplace(s) /S 0 _ 1 _ 2 Praperty Owner 43 r« w Telep6one #&12-) Contractor SG l? Address State Zip Cih' Telephone # ( ) ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the Cify of Eagan issued a permit for a similar plan bosed on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby apply for a Building Permit and Telephone #( Telephone #( Telephone #( that the information is complete and accural e; that the work will be in conformance with the ordinances and codes of the City ox r;agan ana me arate oi rviN 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 re u' • ' d approval of plans. ? n 2007 RESIDENTIAL BUILDING PERmiT arrLicaTiox _3n?m _D I,sa Applicant's Printed Name ?- Applica 's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OSplex O 73 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext All - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebWpergola) ? 36 Multi Misc. ? OS 03-plex ? 11 10.plex W 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair )? 33 Alteretion ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement •Demolitlon (Entire Bldg) - Give PCA handout to appiicant , DBSCfIptI0I1: Water Damage _ Yes V l ti MCES S t O / a ua on ys em ccupanc y Plan Review ? 100% or _ 25% Census Code ?A.? Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIItED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) _ FinaUC.O. _ Footings (addition) -)C FinaUNo C.O. _ Foundation HVAC Drain Tile Other Roof _ Ice & Water F Pool Ftgs AidGas Tests Final inal ? Framing _ _ _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace _ R.I. _ Air Test _ Final _ Windows ? Insulation _ Re[aining Wall , Approved By: - ------------ -------- -' ? Building Irispector ------------------------------ ----- ---------- - ` Base Fee _ -------- - -- Surcharge Plan Review MC/ES SAC City SAC l Utility Connection Charge S&W Permit & Surcharge Treatment Plant License.Search Copies Qther i - TAtal ; TRI-LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55126 SITE PLAN FOR: BLILIE CONSTRUCTION LEGAL DESCRIPTION: LOT I,gLOCK I, DANBURY PLACE ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA N n- ? PROPOSED IT HOUSE ? II By f1 OAR a) 41 N0 5 Z ?^o - N87°50'27"E 75.00 0°3?92 'n -::--T< CD FLOT I ? Go 5I ? I ? I 09 0°j?,??.`L g9?*g2 26.61' Q I I? za2s'O iMI - in N S89°QO'00"W 75.11 N 0 It I ? ? ?i ? M o dl ?o 5 N Z LOT GAR FLOOR 893.22 52 DANBURY TRAIL / ?jG n - 09?0 992g _ .? ' ?? ?i L? ? '??11 ?? 9 IDaie ? 3-?g?, EAGAN E ?'''--- W''b?RI1VG AEPT o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELE VATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hereby csrtify that ihis survey,plan or report was prepared by me or undar my direct supe?vision and that I am o duly Reqisfered Land Surveyor under fhe Laws of the Stote of Minnesota Brodley J. IR*ryson, Mn. Req. No. Date - ? ? N Scale: I"=30' PROPOSED SPLIT ENTRY NO WALKOUT INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION= 894.7 PROPOSED FIRST FLOOR ELEVATION = 895.2 PROPOSED BASEMENT FLOOR = agi2 ELEVATION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS 2 FIRE STOP SOFFITS AND ALL OTHER DEAD SPACES. „e Ny EARRIER INSTALLED ON THE WA R ;o. $E M SIDE OP Cutting Edge Adjusting, Inc. 8390 Timberwood Road Woodbury, MN 55125 Office: (651) 730-6278 Claim No. 67-697-07 Date of Loss 04/06/2007 Report First Report Date 04/23/2007 Adjuster Jim Edgell Asi` CALLS AND ATTIC CEft.f1r. Office Home FAX Loss Address 3917 Danbury Trail Eagan, MN 55123 Contact Address SMOKE DETECTORS ARE REQUIRED ON EVERY LEVEL OF THE HOUSE AND IN EVERY SLEEPING ROOM @� IN EVERY HALLWAY LEADING TO A SLEEPING ROOM FAX Claimant Address FAX Dwelling Limit: $247,500.00 Deductible: $1,000.00 Master Bedroom Floor 24 SY Wall 473.61 SF Ceiling 215.98 SF Floor Perim. 59.2 FT Ceiling Perim, 59.2 FT Room -standard Length 12.90 FT; Width 14.00 FT, Height 8.00 FT Offset -standard Width 13.10 FT, Depth 2.70 FT, Height 8.00 FT Operation Remove Replace Remove Replace Remove Replace Seal Seal Remove Replace Remove Replace Remove Replace Remove Replace Remove Replace Remove Replace Paint Paint Mask Remove Replace Remove Replace Remove Qty Unit 215.98 SF 215.98 SF 473.61 SF 473.61 SF 12 LF 12 LF Description 5/8" Drywall, with machine texture 5/8" Drywall, with machine texture 1/2" Drywall, with machine texture 1/2" Drywall, with machine texture Closet shelf brackets, shelving and rod, Standard Closet shelf brackets, shelving and rod, Standard 215.98 SF Framing, Wall, for odor control, smoke-stained, 1 coat 473.61 SF 215.98 SF 215.98 SF 215.98 215.98 225 225 225 SF 225 SF 1 1 EA 1 EA 215.98 SF 473.61 SF 59.2 LF. 215.98 SF 215.98 SF 1 EA 1 EA 1 EA Framing, Wall, for odor control, smoke-stained, 1 coat Fiberglass batt insulation installed in ceiling, attic, or floor, R38 (12" deep) Fiberglass batt insulation installed in ceiling, attic, or floor, R38 (12" deep) R/r vapor barrier R/r vapor barrier R/r vapor barrier R/r vapor barrier Note: Walls Fiberglass batt insulation installed in wall, R19 (6" deep) Fiberglass batt insulation installed in wall, R19 (6" deep) Vinyl sliding window Vinyl sliding window Vinyl sliding window Drywall or Plaster, 1 coat Drywall or Plaster, 2 coats Mask room, per If of wall Acoustic ceiling (cottage cheese) texture, heavy coverage Acoustic ceiling (cottage cheese) texture, heavy coverage Ceiling fan with light, standard grade Ceiling fan with light, standard grade Interior doors, hardboard smooth or wood -textured Cost 0.21 1.74 0.21 1.69 1.70 24.92 0.92 0.92 0.48 RC 45.36 375.81 99.46 800.40 20.40 299.04 198.70 435.72 103.67 1.80 388.76 0.15 32.40 0.15 32.40 0.15 33.75 0.15 33.75 0.00 DEP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ACV 45.36 375.81 99.46, 800.40 20.40 299.04 198.70 435.72 103.67 0.00 388.76 0.00 0.00 0.00 32.40 32.40 33.75 33.75 0.35 78.75 0.00 78.75 1.00 225.00 0.00 71.09 196.05 90.71 331.53 55.06 69.11 0.93 200.86 EAGAN EVI ash,! 0.00 71.09 196.05 0.42 0.70 0.93 0.32 Created using PowerClaim (TM). 1-800-736-1246 0.00 ' 225.00 0.00 0.00 0.00 18.14 66.31 0.00 13.82 0.00 71.09 196.05 72.57 265.22 55.06 55.29 Estimate Claim No. 67-697-07 File No. 0759 Policy No. Date of Loss 04/06/2007 Report First Report Date 04/23/2007 Adjuster Jim Edgell 8.74 1.04 8.78 1.50 Replace 1 EA Remove 1 EA Replace 1 EA Interior doors, hardboard smooth or wood -textured Jamb & casing for interior door, ash or oak veneer Jamb & casing for interior door, ash or oak veneer Remove 4 EA Bypassing door (per section), hardboard smooth or wood textured Replace 4 EA Bypassing door (per section), hardboard smooth or 88.83 355.32 35.53 319.79 wood textured Remove 75 LF Casing, Clamshell, 2-1/2", red oak 0.76 57.00 Replace 80.25 LF Casing, Clamshell, 2-1/2", red oak 2.84 227.91 Remove 59.2 LF Base Molding, Clamshell base, 2-1/2", red oak 0.70 41.44 Replace 63.34 LF Base Molding, Clamshell base, 2-1/2", red oak 3.08 195.09 Stain and varnish 1 Window, Average size , 3 coats 0.00 0.00 Stain and varnish 75 Casing, 3 coats 0.99 74.25 Stain and varnish 59.2 Base molding, 3 coats 0.99 58.61 Stain and varnish 2 Door, Interior , 3 coats 40.00 80.00 Stain and varnish 17 Door jamb & casing, 3 coats 1.05 17.85 Remove 1 EA Lockset, Interior door , standard grade 7.56 7.56 Replace 1 EA Lockset, Interior door, standard grade 35.58 35.58 Remove 215.98 SF Sheathing, Oriented strand board (OSB), 5/8" thick, 0.35 75.59 replace Replace 224.62 SF Sheathing, Oriented strand board (OSB), 5/8" thick, 1.75 393.08 0.00 393.08 replace Remove 215.98 SF Carpet pad, urethane rebound 0.09 19.44 3.89 15.55 Replace 215.98 SF Carpet pad, urethane rebound 0.63 136.07 27:21 108.86 Remove 215.98 SF Carpet, high grade 0.16 34.56 6.91 27.65 Replace 237.58 SF Carpet, high grade 3.12 741.25 148.25 593.00 87.39 10.43 87.84 3.74 87.39 10.43 87.84 14.96 78.65 9.39 79.06 13.46 5.70 22.79 4.14 19.51 0.00 7.42 5.86 8.00 1.78 0.76 3.56 0.00 51.30 205.12 37.30 175.58 0.00 66.83 52.75 72.00 16.07 6.80 32.02 75.59 Master Bedroom Totals: 7,355.72 536.56 6,819.16 Master Bathroom Floor 5.26 SY Wall 220.79 SF Ceiling 47.36 SF Floor Perim. 27.6 FT Ceiling Perim. 27.6 FT Room -standard Length 7.40 FT, Width 6.40 FT, Height 8.00 FT Operation Qty Unit Description Cost RC DEP ACV Remove 47.36 SF 5/8" Drywall, with machine texture 0.21 9.95 0.00 9.95 Replace 47.36 SF 5/8" Drywall, with machine texture 1.74 82.41 0.00 82.41 Remove 220.79 SF 1/2" Drywall, with machine texture 0.21 46.37 0.00 46.37 Replace 220.79 SF 1/2" Drywall, with machine texture 1.69 373.14 0.00 373.14 Remove 112 R/r vapor barrier 0.15 16.80 0.00 16.80 Replace 112 R/r vapor barrier 0.15 16.80 0.00 16.80 Remove 220.79 SF Fiberglass batt insulation installed in wall, R19 (6 0.35 77.28 0.00 77.28 deep) Replace 220.79 SF Fiberglass batt insulation installed in wall, R19 (6 1.00 220.79 0.00 220.79 deep) Framing, Wall, for odor control, smoke-stained, 1 coat 0.92 43.57 0.00 43.57 Framing, Wall, for odor control, smoke-stained, 1 coat 0.92 203.13 0.00 203.13 Fiberglass batt insulation installed in ceiling, attic, or 0.48 22.73 0.00 22.73 floor, R38 (12" deep) Fiberglass batt insulation installed in ceiling, attic, or 1.80 85:25. floor, R38 (12" deep) Created using PowerClaim (TM). 1-800-736-1246 Seal Seal Remove 47.36 SF 220.79 SF 47.36 SF Estimate Claim No. 67-697-07 File No. 0759 Remove Replace Paint Paint Mask Remove Policy No. Date of Loss 04/06/2007 Report First Report Date 04/23/2007 Adjuster Jim Edgell' 0.00 0.00 0.00 0.00 0.00 0.00 47.36 47.36 47.36 SF 220.79 SF 27.6 LF 47.36 SF Replace 47.36 SF Remove Replace Remove Replace Remove Replace Remove Replace Stain and varnish Stain and varnish Remove Replace Remove Replace Remove Replace Remove Replace Remove Replace Remove Replace Remove Replace Remove Replace Remove Replace Remove Replace Remove Replace Remove Replace Stain and varnish R/r vapor barrier R/r vapor barrier Drywall or Plaster, 1 coat Drywall or Plaster, 2 coats Mask room, per If of wall Acoustic ceiling (cottage cheese) texture, heavy coverage Acoustic ceiling (cottage cheese) texture, heavy coverage 1 EA Interior doors, hardboard smooth or wood -textured 1 EA Interior doors, hardboard smooth or wood -textured 1 EA Jamb & casing for interior door, ash or oak veneer 1 EA Jamb & casing for interior door, ash or oak veneer 17 LF Casing, Clamshell, 2-1/2", red oak 18.19 LF Casing, Clamshell, 2-1/2", red oak 27.6 LF Base Molding, Clamshell base, 2-1/2", red oak 29.53 LF Base Molding, Clamshell base, 2-1/2", red oak 17 Casing, 3 coats 27.6 Base molding, 3 coats 1 EA Toilet, standard grade 1 EA Toilet, standard grade 1 EA Toilet seat, plain round 1 EA Toilet seat, plain round 1 EA Bathroom mirror, with wood frame 1 SF Bathroom mirror, with wood frame 2 LF Cabinet, Bathroom vanity, high grade 2 LF Cabinet, Bathroom vanity, high grade 1 EA Strip light, standard grade 1 EA Strip light, standard grade 1 EA Sink, Bathroom, Self -rimming stainless steel, oval 1 'EA Sink, Bathroom, Self -rimming stainless steel, oval 1 EA Toilet paper dispenser, standard grade 1 EA Toilet paper dispenser, standard grade 1 EA Shower stall, acrylic fiberglass 1 EA Shower stall, acrylic fiberglass 1 EA Faucet, Shower, standard grade 1 EA Faucet, Shower, standard grade 1 Cement backer board, Using 1/4" or 1/2" backer board, per 100 SF 1 CSF Cement backer board, Using 1/4" or 1/2" backer board, per 100 SF 40 Ceramic tile 40 Ceramic tile 1 EA Shower door, solid glass 1 EA Shower door, solid glass 2 Door, Interior , 3 coats 0.15 7.10 0.15 7.10 0.42 19.89 0.70 154.55 0.93 25.67 0.32 15.16 0.93 44.04 0.00 5.84 5.84 0.58 87.39 87.39 8.74 10.43 10.43 1.04 87.84 87.84 8.78 0.76 12.92 1.29 2.84 51.66 5.17 0.70 19.32 1.93 3.08 90.95 9.10 0.99 16.83 1.68 0.99 27.32 2.73 9.32 9.32 0.93 244.70 244.70 24.47 3.74 3.74 0.37 34.94 34.94 3.49 1.10 1.10 0.11 24.49 24.49 2.45 7.27 14.54 1.45 136.28 272.56 27.26 4.04 4.04 0.40 48.86 48.86 4.89 9.87 9.87 0.99 372.89 372.89 37.29 8.75 8.75 0.88 47.01 47.01 4:70 32.88 32.88 3.29 501.17 501.17 50.12 9.59 9.59 0.96 262.41 262.41 26.24 0.00 0.00 0.00 73.73 73.73 0.00 7.10 7.10 19.89 154.55 25.67 15.16 44.04 5.26 78.65 9.39 79.06 11.63 46.49 17.39 81.85 15.15 24.59 8.39 220.23 3.37 31.45 0.99 22.04 13.09 245.30 3.64 43.97 8.88 335.60 7.87 42.31 29.59 451.05 8.63 236.17 0.00 73.73 Created using PowerClaim (TM). 1-800-736-1246 432.00 431.64 11.74 283.28 72.00 Estimate Claim No. 67-697-07 File No. 0759 Policy No. Date of Loss 04/06/2007 Report First Report Date 04/23/2007 Adjuster Jim Edgell Stain and varnish 17 Remove Replace Remove Replace Seal Remove Replace 1 1 47.36 EA EA SF 49.25 SF 47.36 47.36 53.04 SF SF SF Doorjamb & casing, 3 coats Lockset, Interior door , standard grade Lockset, Interior door , standard grade Sheathing, Oriented strand board (OSB), 1/2" thick, replace Sheathing, Oriented strand board (OSB), 1/2" thick, replace Framing, Wall, for odor control, smoke-stained, 1 coat Tile floor, high grade Tile floor, high grade 1.05 17.85 1.78 16.07 7.56 7.56 0.76 6.80 35.58 35.58 3.56 32.02 0:35 16.58 1.66 14.92 1.34 66.00 6.60 59.40 0.92 2.15 13.58 43.57 4.36 101.82 20.36 720.28 144.06 39.21 81.46 576.22 Master Bathroom Totals: 6,235.46 551.21 5,684.25 Hall Floor 4.95 SY Wall 299.19 SF Ceiling 44.51 SF Floor Perim. 37.4 FT Ceiling Perim. 37.4 FT Room -standard Length 15.90 FT, Width 2.80 FT, Height 8.00 FT Operation Remove Qty Unit 44.51 SF Replace 44.51 SF Paint Clean Paint Mask Remove Replace 44.51 SF 299.19 SF 276.8 SF 37.4 LF 44.51 SF 44.51 SF Remove 35 LF Replace 37.45 LF Stain and vamish 35 Remove Replace Remove Replace 44.51 SF 44.51 SF 44.51 SF 48.96 SF Description Fiberglass batt insulation installed in ceiling, attic, or floor, R38 (12" deep) Fiberglass batt insulation installed in ceiling, attic, or floor, R38 (12" deep) Drywall or Plaster, 1 coat Drywall or plaster, wall Drywall or Plaster, 2 coats Mask room, per If of wall Acoustic ceiling (cottage cheese) texture, heavy coverage Acoustic ceiling (cottage cheese) texture, heavy coverage Base Molding, Clamshell base, 2-1/2", red oak, Base Molding, Clamshell base, 2-1/2", red oak Base molding, 3 coats Carpet pad, urethane rebound Carpet pad, urethane rebound Carpet, high grade Carpet, high grade Cost RC DEP ACV 0.48 21.36 2.14 19.22 1.80 0.70 0.27 0.70 0.93 0.32 80.12 31.16 80.78 193.76 34.78 14.24 8.01 72.11 3.12 8.08 19.38 3.48 1.42 28.04 72.70 174.38 31.30 12.82 0.93 41.39 4.14 37.25 0.70 24.50 2.45 22.05 3.08 115.35 11.54 103.81 0.99 34.65 3.46 31.19 0.09 4.01 0.40 3.61 0.63 28.04 2.80 25.24 0.16 7.12 0.71 6.41 3.12 152.76 15.28 137.48 Hall Totals: 864.02 86.41 777.61 Linen Closet Floor 0.84 SY Wall 92.79 SF Ceiling 7.6 SF Floor Perim. 11.6 FT Ceiling Perim. 11.6 FT Room -standard Length 3.80 FT, Width 2.00 FT, Height 8.00 FT Operation Clean Clean Paint Paint Remove Qty Unit 92.79 SF 7.6 SF 7.6 SF 92.79 SF 1 EA Description Drywall or plaster, wall Drywall or plaster, ceiling Drywall or Plaster, 1 coat Drywall or Plaster, 2 coats Interior doors, hardboard smooth or wood -textured Created using PowerClaim (TM). 1-800-736-1246 Cost RC DEP ACV 0.27 25.05 2.50 22.55 0:27 2.05 0.20 1.85 0.70 5.32 0.53 4.79 0.70 64.95 6.50 58.45 5.84 5:84 0.58 5.26 Page 4 Estimate ai Q(0 Claim No. 67-697-07 File No. 0759 Replace Remove Replace Stain and varnish Stain and varnish Stain and varnish Remove Replace Policy No. Date of Loss 04/06/2007 Report First Report Date 04/23/2007 Adjuster Jim Edgell 8.74 1.04 8.78 7.42 8.00 1.78 0.76 3.56 1 EA Interior doors, hardboard smooth or wood -textured 1 EA Jamb & casing for interior door, ash or oak veneer 1 EA Jamb & casing for interior door, ash or oak veneer 75 Casing, 3 coats 2 Door, Interior , 3 coats 17 Door jamb & casing, 3 coats 1 EA Lockset, Interior door , standard grade 1 EA Lockset, Interior door , standard grade 87.39 10.43 87.84 0.99 40.00 1.05 7.56 35.58 87.39 10.43 87.84 74.25 80.00 17.85 7.56 35.58 78.65 9.39 79.06 66.83 72.00 16.07 6.80 32.02 Linen Closet Totals: 504.11 50.39 " 453.72 Northwest Bedroom Floor 15.6 SY Wall 398.4 SF Ceiling 140.4 SF Floor Perim. 49.8 FT Ceiling Perim. 49.8 FT Room -standard Length 12.50 FT, Width 10.40 FT, Height 8.00 FT Offset -standard .Width 5.20 FT, Depth 2.00 FT, Height 8.00 FT Operation Clean Clean Paint Paint Remove Replace Remove Replace Stain and varnish Stain and varnish Stain and varnish Remove Replace Remove Replace Remove Replace Qty Unit 398.4 SF 140.4 SF 140.4 SF 398.4 SF 1 EA 1 EA 1 EA 1 EA 75 2 17 1 1 140.4 140.4 140.4 EA EA SF SF SF 154.44 SF Description Drywall or plaster, wall Drywall or plaster, ceiling Drywall or Plaster, 2 coats Drywall or Plaster, 2 coats Interior doors, hardboard smooth or wood -textured Interior doors, hardboard smooth or wood -textured Jamb & casing for interior door, ash or oak veneer Jamb & casing for interior door, ash or oak veneer Casing, 3 coats Door, Interior , 3 coats Door jamb & casing, 3 coats Lockset, Interior door , standard grade Lockset, Interior door , standard grade Carpet pad, urethane rebound Carpet pad, urethane rebound Carpet, high grade Carpet, high grade Cost RC 0.27 107.57 0.27 37.91 0.70 98.28 0.70 278.88 5.84 5.84 87.39 87.39 10.43 10.43 87.84 87.84 1199 74.25 40.00 80.00 1.05 17.85 7.56 7.56 35.58 35.58 0.09 12.64 0.63 88.45 0.16 22.46 3.12 481.85 DEP ACV 10.76 96.81 3.79 34.12 9.83 88.45 27.89 250.99 0.58 5.26 8.74 78.65 1.04 9.39 8.78 79.06 7.42 66.83 8.00 72.00 1.78 16.07 0.76 6.80 3.56 32.02 1.26 11.38 8.85 79.60 2.25 20.21 48.18 433.67 Northwest Bedroom Totals: Southwest Bedroom Floor 12.95 SY Wall 361.6 SF Ceiling 116.48 SF Floor Perim. 45.2 FT Ceiling Perim. 45.2 FT 1,534.78 153.47 1,381.31 Room -standard Length 10.40 FT, Width 10.20 FT, Height 8.00 FT Offset -standard Width 5.20 FT, Depth 2.00 FT, Height 8.00 FT Operation Clean Clean Paint Paint Qty Unit Description 361.6 SF Drywall or plaster, wall 116.48 SF Drywall or plaster, ceiling 116.48 SF Drywall or Plaster, 2 coats 361.6 SF Drywall or Plaster, 2 coats Created using PowerClaim (TM). 1-800-736-1246 Cost 0.27 0.27 0.70 0.70 RC DEP ACV 97.63 9.76 87.87 31.45 3.14 28.31 81.54 8.15 73.39 253.12 25.31 227.81 Estimate File No. 0759 Claim No. 67-697-07 Policy No. Date of Loss 04/06/2007 Report First Report Date 04/23/2007 Adjuster Jim EdgeII 0.58 8.74 1.04 8.78 7.42 8.00 1.78 0.76 3.56 1.05 7.34 1.86 39.98 Remove 1 EA Replace 1 EA Remove 1 EA Replace 1 EA Stain and varnish 75 Stain and varnish 2 Stain and varnish 17 Remove 1 EA Replace 1 EA Remove 116.48 SF Replace 116.48 SF Remove 116.48 SF Replace 128.13 SF Interior doors, hardboard smooth or wood -textured Interior doors, hardboard smooth or wood -textured Jamb & casing for interior door, ash or oak veneer Jamb & casing for interior door, ash or oak veneer Casing, 3 coats Door, Interior , 3 coats Door jamb & casing, 3 coats Lockset, Interior door , standard grade Lockset, Interior door standard grade Carpet pad, urethane rebound Carpet pad, urethane rebound Carpet, high grade Carpet, high grade 5.84 87.39 10.43 87.84 0.99 40.00 1.05 7.56 35.58 0.09 0.63 0.16 3.12 5.84 87.39 10.43 87.84 74.25 80.00 17.85 7.56 35.58 10.48 73.38 18.64 399.77 5.26 78.65 9.39 79.06 66.83 72.00 16.07 6.80 32.02 9.43 66.04 16.78 359.79 Southwest Bedroom Totals: 1,372.75 ' 137.25 1,235.50 Living Room Floor 21.93 SY Wall 521.6 SF Ceiling 197.33 SF Floor Perim: 65.2 FT Ceiling Perim. 65.2 FT Room -standard Offset -standard Length 13.70 FT, Width 13.40 FT, Height 8.00 FT Width 2.50 FT, Depth 5.50 FT, Height 8.00 FT Operation Clean Clean Paint Paint Clean Seal Remove Replace Remove Replace Qty Unit Description 376 SF Drywall or plaster, wall Note: Includes window 197.33 SF Drywall or plaster, ceiling 197.33 SF Drywall or Plaster, 2 coats 376 SF Drywall or Plaster, 2 coats 197.33 SF Flooring, wood 197.33 SF Framing, Wall, for odor control, smoke-stained, 1 coat 197.33 SF Carpet pad, urethane rebound 197.33 SF Carpet pad, urethane rebound 197.33 SF Carpet, high grade 217.06 SF Carpet, high grade Cost 0.27 0.27 0.70 0.70 0.58 0.92 0.09 0.63 0.16 3.12 RC DEP 10.15 101.52 53.28 138.13 263.20 114.45 181.54 17.76 124.32 31.57 677.23 5.33, 13.81 26.32 11.44 18.15 1.78 12.43 3.16 67.72 ACV 91.37 47.95. 124.32 236.88 103.01 163.39 15.98 111.89 28.41 609.51 Living Room Totals: 1,703.00 170.29 1,532.71 Bathroom Floor 4.55 SY Wall 204.79 SF Ceiling 40.96 SF Floor Perim. 25.6 FT Ceiling Perim. 25.6 FT Room -standard Operation Clean Clean Clean Paint Paint Remove Length 6.40 FT, Width 6.40 FT, Height 8.00 FT Qty Unit Description 204.79 SF Drywall or plaster, wall 40.96 SF 1 EA 40.96 SF 204.79 SF 1 EA Drywall or plaster, ceiling Bathroom hardware, complete full bath, fixtures and hardware Drywall or Plaster, 2 coats Drywall or Plaster, 2 coats Interior doors, hardboard smooth or wood -textured Created using PowerClaim (TM). 1-800-736-1246 Cost 0.27 0.27 80.00 RC DEP 55.29 5.53 11.06 1.11 80.00 8.00 ACV 49.76 9.95 72.00 0.70 28.67 2.87 25.80 0.70 143.35 14.34 129.01 5.84 5.84 0.58 5.26 Estimate File No. 0759 Replace Remove Replace Stain and varnish Stain and varnish Stain and varnish Remove Replace Clean Policy No. Date of Loss 04/06/2007 Report First Report.Date 04/23/2007 Adjuster Jim Edgell 87.39 8.74 10.43 - 1.04 87.84 8.78 16.83 1.68 80.00 8.00 35.70 3.57 7.56 0.76 35.58 3.56 16.38 1.64 1 EA 1 EA 1 EA 17 2 34 1 EA 1 EA 40.96 SF Interior doors, hardboard smooth or wood -textured Jamb & casing for interior door, ash or oak veneer Jamb & casing for interior door, ash or oak veneer Casing, 3 coats Door, Interior 3 coats Door jamb & casing, 3 coats Lockset, Interior door standard grade Lockset, Interior door , standard grade Flooring, and wax vinyl floor 87.39 10.43 87.84 0.99 40.00 1.05 7.56 35.58 0.40 78.65 9.39 79.06 15.15 72.00 32.13 6.80 32.02 14.74 Bathroom Totals: 701.92 70.20 631.72 Dining Room/steps Floor 36.12 SY Wall 694.4 SF Ceiling 325.1 SF Floor Perim. 86.8 FT Ceiling Perim. 86.8 FT Room -standard Length 15.60 FT, Width 18.90 FT, Height 8.00 FT Offset -standard Width 3.40 FT, Depth 8.90 FT, Height 8.00 FT Operation Clean Clean Remove Replace Paint Paint Remove Replace Remove Replace Qty Unit 694.4 SF 325.1 SF 1 EA 1 EA 325.1 SF 694.4 SF 325.1 SF 325.1 SF 325.1 SF 357.61 SF Description Drywall or plaster, wall Drywall or plaster, ceiling Light fixture, Hanging, high grade Light fixture, Hanging, high grade Drywall or Plaster, 2 coats Drywall or Plaster, 2 coats Carpet pad, urethane rebound Carpet pad, urethane rebound Carpet, high grade Carpet, high grade Cost RC DEP ACV 0.27 187.49 18.75 168.74 0.27 87.78 8.78 79.00 2.69 2.69 0.27 2.42 74.81 74.81 7.48 67.33 0.70 227.57 22.76 204.81 0.70 486.08 48.61 437.47 0.09 29.26 2.93 26.33 0.63 204.81 20.48 184.33 0.16 52.02 5.20 46.82 3.12 1,115.74 111.57 1,004.17 Dining Room/steps Totals: 2,468.25 246.83 2,221.42 Foyer Floor 8.53 SY Wall 294.4 SF Ceiling 76.8 SF Floor Perim. 36.8 FT Ceiling Perim. 36.8 FT Room -standard Length 12.00 FT, Width 6.40 FT, Height 8.00 FT Operation Clean Clean Clean Paint Paint Clean Foyer Totals: Qty Unit 294.4 SF 76.8 SF 2 EA 76.8 SF 294.4 SF 76.8 SF Description Drywall or plaster, wall Drywall or plaster, ceiling Door, standard flush Drywall or Plaster, 2 coats Drywall or Plaster, 2 coats Flooring, and wax vinyl floor Cost 0.27 0.27 10.98 0.70 0.70 0.40 RC 79.49 20.74 21.96 53.76 206.08 30.72 DEP 7.95 2.07 2.20 5.38 20.61 3.07 41.28 ACV 71.54 18.67 19.76 48.38 185.47 27.65 371.47 Created using PowerClaim (TM). 1-800-736.1246 Estimate File No. 0759 Policy No. Date of Loss 04/06/2007 Report First Report Date 04/23/2007 Adjuster Jim EdgeII Kitchen Floor 17.08 SY Wall 396.81 SF Ceiling 153.73 SF Floor Perim. 49.6 FT Ceiling Perim. 49.6 FT Room -standard Length 12.20 FT, Width 12.60 FT, Height 8.00 FT Operation Qty Unit Description Clean 396.81 SF Drywall or plaster, wall Clean 153.73 SF Drywall or plaster, ceiling Clean 1 EA Appliances, range Clean 1 EA Appliances, side-by-side refrigerator Clean 1 EA Appliances, microwave Clean 1 EA Appliances, dishwasher Clean 1 EA Appliances, cook top Clean 22 SF Countertop, solid -surface Clean 22 LF Cabinets, lower Clean 22 LF Cabinets, upper Paint 153.73 SF Drywall or Plaster, 2 coats Paint 396.81 SF Drywall or Plaster, 2 coats Clean 153.73 SF Flooring, and wax vinyl floor Cost RC DEP ACV 0.27 107.14 10.71 96.43 0.27 41.51 4.15 37.36 38.51, 38.51 3.85 34.66 45.05 45.05 4.50 40.55 12.14 12.14 1.21 10.93 24.95 24.95 2.50 22.45 21.87 21.87 2.19 19.68 0.97 21.34 2.13 19.21 11.17 245.74 24.57 221.17 10.40 228.80 22.88 205.92 0.70 107.61 10.76 96.85 0.70 277.77 27.78 249.99 0.40 61.49 6.15 55.34 Kitchen Totals: 1,233.92 123.38 1,110.54 Basement -Family Room -LR Floor 101.27 SY Wall 985.6 SF Ceiling 911.44 SF Floor Perim. 123.2 FT Ceiling Perim. 123.2 FT Room -standard Length 24.70 FT, Width 36.90 FT, Height 8.00 FT Operation Qty Unit Description Clean 911.44 SF Joist system Clean 985.6 SF Paneling, panel wall Clean 911.44 SF Concrete, floor Cost RC DEP ACV 0.50 455.72 45.57 410.15 0.20 197.12 19.71 177.41 0.20 182.29 18.23 164.06 Basement -Family Room -LR Totals: 835.13 83.51 751.62 Exterior -East Exposure Area 264 SF Exterior wall Height 12.00 FT, Width 22.00 FT, Qty of Walls 1.00 Operation Qty Unit Description Cost RC DEP ACV Charge 525 SF Scaffolding, per sf of wall covered by scaffold 0.20 105.00 10.50 94.50 Charge 525 Prep for paint and scrape 0.25 131.25 13.12 118.13 Paint 525 SF Siding, 2 coats 1.30 682.50 68.25 614.25 Note: Includes fascia Exterior -East Exposure Totals: 918.75 91.87 826.88 Garage Floor 0 SY Wall 0 SF Ceiling 0 SF Floor Perim. 0 FT Ceiling Perim. 0 FT Room -standard Length 0.00 FT, Width 0.00 FT, Height 0.00 FT Operation Qty Unit Description Created using PowerClaim (TM). 1-800-736-1246 Estimate File No. 0759 Remove Replace Charge Charge Remove Claim No. 67-697-07 Replace Seal Policy No. Date of Loss 04/06/2007 Report First Report Date 04/23/2007 Adjuster Jim Edgell 256 SF 5/8" Drywall, hung & fire taped only 256 SF 5/8" Drywall, hung & fire taped only 135 R/r vapor barrier 135 Rough Carpentry 135 SF Fiberglass batt insulation installed in wall, R19 (6" deep) 0.25 64.00 6.40 1.40 358.40 35.84 0.30 40.50 4.05 0.53 71.55 7.16 0.35 47.25 4.72 57.60 322.56 36.45 64.39, 42.53 135 SF Fiberglass batt insulation installed in wall, R19 (6" 1.00 135.00 13.50 121.50 deep) 135 SF Framing, Wall, for odor control, smoke-stained, 1 coat 0.92 124.20 12.42 111.78 Garage Totals: 840.90 84.09 756.81 Misc. Operation Qty Unit Description Remove 1 EA Replace 1 EA Clean 125 LF Charge 1 Remove 4 EA Replace 4 EA Clean 8 SF Charge 1987.9 Fee 2 EA Fee 1 EA Furnace, Gas forced -air, 75,000 btu Fumace, Gas forced -air, 75,000 btu Note: Per bid HVAC, clean and deodorize ducts (per If of duct) Outlets, switches, furnace hook up, fixtures Interior light fixture allowance, replace, high grade Interior light fixture allowance, replace, high grade Final construction clean-up Deordorize building Dumpster, 20 cy, rental per week Building permit Cost RC DEP ACV 119.83 119.83 11.98 107.85 2,775.17 2,775.17 277.52 2,497.65 3.90 2,400.00 6.25 73.75 30.00 0.06 400.00 450.00 487.50 2,400.00 25.00 295.00 240.00 119.27 800.00 450.00 48.75 0.00 2.50 29.50 24.00 11.93 80.00 45.00 438.75 2,400.00 22.50 265.50 216.00 107.34 720.00 405.00 Misc. Totals: 7,711.77 531.18 7,180.59 Subtotal Tax RC 34,693.23 835.80 R DEP 2,957.92 80.08 NR DEP 0.00 0.00 ACV 31,735.31 755.72 Dwelling Loss: 35,529.03 3,038.00 0.00 32,491.03 Totals: 35,529.03 3,038.00 0.00 Maximum Recoverable Depreciation Total Loss Less Deductible Applied Total Claim Less Recoverable Depreciation ACV Claim 32,491.03 3,038.00 35,529.03 1,000.00 34,529.03 3,038.00 31,491.03 Notice: This is a repair estimate only. Created using PowerClaim (TM). 1-B00-736-1246 31.1401`.03 tirpoc 03i/gcti. t)3 Page 9 0 4 k 0 MC_ 1_440vicncER3iE DETECTORS ARE REQUIRED t'\d LE -VEL er THE He EVERY SLEEPING ROOM AND) IN EVERY HALLWAY LEADING TO A SLEErING ROOM as- k 1 2_ ..•11•••••., QAM, I, ROD 144 (ifveLD) ENCLOSED USABLE SPACE I.2.-77.71 STAIRS MUST VE • FINISHED WITH 01'4 BOARD 1 coDivi EY1ew) °LA -Lek — q735 tnpsire. mewl, Re C. L. -MIN. 24" NET CLEAR OPENAB WIDTH -MIN. 20" -T CLEAR OPENABLE HEIGHT -MAX. OF 44' FROM FLOOR TO HIGHEST PORTION OF SILL NOTE: HEIGHT OR WIDTH (OR BOTH) WILL BE GREATER TO Ci LSCA - (0 -1 ec.,..) co a, s BEV EV e BY: l/ THE IMMEDIATE VICINITY OF THE TOP LANDING. DATE. 0-4 'EC( S+leette6GE,n 00(5 CA.t, 1 1 lAccue, cae(pc*--- BUILDING INRECTIONS 0 ISI 1 N c o 41101 City of Eapll Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Jc;-°1 �- 1 Permit Fee: / *, Date Received: Staff: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 39/ 7 am & •�i')1 Name: Vl e wr. 0--e -1-E, /So," Address / City / Zip: 21,454A_ 144/"w 5-5-/a3 Applicant is: Owner ,, Contractor Unit #: Phone: / - SSU -A $ 7 Description of work: C ,v5 Construction Cost: 0 '72 Multi -Family Building: (Yes / No ) Company:& 5 ) Contact: eV Address: 91( y14* tiL 5I)) 2 City: State: N Zip 7c' Phone: &,/,)--„,2/ 7 -.O3Emaii:<:i tf:t License #: '4,3S-317 Lead Certificate #: 2060 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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.aopherstateonecali.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl s. Exterior work authorized by a building permit issued in accordance with the Minnesota S to Building UOd, + -st be completed within 180 days of permit issuance. / x dSu& Applicant's Printed Name x Applicant's Signature Page 1 of 3 r City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /o2 q (7 Permit Fee: t!/O CCS CC Date Received: Staff: L 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: J a i1.% a 1 A.01. Site Address: 31170 DE;uw►aaK�,��'t c 5-57 2 3 Tenant: Suite #: Name: )14-6, NC( Address / City / Zip: Gt. v iI Phone: �' S gS-9.--9k---Z. &- Name: g L t= License #: Address: City: State: Zip: Phone: Contact: Email: ...V New Replacement Additional Alteration Demolition Description of work: !NS -Fa (1 7�, WOT Y ' a g k .�- RESIDENTIAL Fumace Air Conditioner Air Exchanger _ Heat Pump Other Qa V L COMMERCIAL. New Construction _ Interior Improvement Install Piping Processed Gas _ Exterior HVAC Unit Under/Above ground Tank (_ Install / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 _$ $ =$ Permit Fee Surcharge* TOTAL FEE 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 permi ; 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 Pri( nted Name Applicant s Signature �nE 1�9a/7 3765 Denmark Trail W, Eagan Gas Heater Installation Permit Application submitted Jan 15, 2015 by owner Ray Larson Heater Unit: Beacon/Morris BRT075N, 75,000 BTU Input Separated Combustion installation using Beacon/Morris Combustion Air Inlet Kit ASRX7-4 Heater to be piped into existing 3/4" black iron through an additional pressure regulator, transitioning to 1/2" copper (flared fittings) for a total run of less than 30 feet. The existing meter is rated at 425 BTU. The existing total potential maximum draw is 327 BTU, with the additional 75,000 BTU bringing the maximum draw to 402 BTU. Reference previous permit # EA108812, January 14, 2013, for the installation of a tankless gas water heater.