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4283 Dodd Rd
CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED AMOUNT $ I C?d _??a?D ?? DOLLARS 100 CASH F-1 CHECK FUND I CODE I AMOUNT Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy f 5L v CITY OF EAGAN .3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r PH ON E: 454.8100 BUIkDING PERMIT Receipt # To be used for r^? f Est. Value Date ,19 Site Address Lot -Block Sec/Sub. 'A?')LE rlORN Parcel No. Name `TEVLN I?Ub{I'IV4 Z Address '83 rx)UP rP c City '''' <• Phone 454 3i4[? c Name °4F 0 a Address I" City Phone Address City 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. OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required * of Stories Booster Pump Length D th ep S.F. Total Footprint S.F. APPROVALS Engr./Assess. _ Planner _ Council _ Bldg. Off. _ Variance Signature of Permittee i n1 7 f 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. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL I ?' Building Official__ ______ Permit No. Permit Holder Date Telephone ik Plumbing H.V.A.C. Electric tZ.A >UC- Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Mg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN ' 3830 Pilot Knob Road,' P.O. Box 21-199, Eagan, MN 55121 s PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value 316M Site Address Lot Block Sec/Sub. ?E HORN A=`;' Parcel No. Q W 3 o Name Address city o Name 0 < Address city W W Name F _ V Address a W city 1 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. Signature of Perm ittee A Building Permit is issued to: N on the express condition that all work shall be done in accordance with all r applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OF FICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) l PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks - TOTAL Permit No. Permit Holder Date Telephone it Plumbing HMA.C. Electric Lr ??C: w t. Softener Inspection Date Insp. Comments Footings I KI3 Footings II Foundation Framing ?S Roofing ?? Rough Pibg. Rough Htg. Isul. S Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN - ' 3795 Pilot Knob Road Eagan, MN 55132 No 4 915 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address sd Jodd load Erect Occupancy Lot Block T;-SeFJ.Sub. >addlmorn Alter ? ' Zoning 4 Parcel # Repair ? Fire Zone Enlarge ? Type of Const. Name `.' , i u ry Move ? #' Stories W zz Address ?ci i:oad ? Demolish (3 Front ft. CI 4,::-4-.3 Phone Grade ? Depth ft. °C Nome -1anP i° 0U Address u? ri.., ati,,.,e Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan check SAC Water Conn. Water Meter 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. Signature of Perrnittee A Building Permit is issued to: all work shall be done in accordance with all applicable State of Mir Building Official 5. bt Total on the express condition that Statutes and City of Eagan Ordinances. Penult # Date Inow ?emittee Plumbing Mechanical INSPECTIONS DATE INSP. Rough-in Find Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. Mechanical Final Remarks: No. CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota $5122 Phone: 454-8100 PERMIT) INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Date: Receipt No.: Single Site Address: ( Residential Lot ;2- Block Sub/Sec. sR `? ^ Multi Res., Comm./Ind. Name New/Alter./Repair. `t1rn-alic?t Address Cost of Installation C r, , City Phone: Permit Fee Name Surcharge g Address City Phone: Total This Permit is issued 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 CITY OF EAGAN Remarks Addition Saddlehorn Lot 2 Rik 2 Parcel _ O 020 02 Owner Street _4283 Dodd Rd. State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. AM Imp 1981 1865.30 93.27 20 STREET RESTOR. - GRADING SAN SEW TRUNK ?r 1981 280.00 14.00 20 *SEWER LATERAL S& 7 1981 3359.51 167.9 0 WATERMAIN *WATER LATERAL 1981 WATER AREA SL 1981 280.00 14.00 20 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250.00 18806 S/S/80 BUILDING PER. SAC 525.00 18806 5/5/80 PARK CIT. OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood 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: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning; Owner: Address: Site Address: Plumber: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: Connection Charge: Account Deposit; Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: CITY OF EAGAN N°_ 14 8 6 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 e BUILDING PERMIT PHONE: 454-8100 Receipt #T 30 2_)D To be used for Re-roof Est. Value $600 Date APRIL 20 _1988 Site Address 4283 DODD RD Lot 2 Block 2 Sec/Sub. SADDLE HORN Parcel No. a Name STEVEN POMPLUN W Address 4283 DODD RD 0 City EAGAN Phone 454-3740 o Name_ o0 Address U< H City W z u z W Name- Address City- 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 o agan Ordi1n,.ancz5 Signature of Permittee A Building Permit is issued to:_S.TEVER_POMPLUN__._._____ 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_ ' jt _w PAC- OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess Permit 16.00 Planner Surcharge .50 Council Plan Review _ Bldg. Off. SAC, City Variance _ SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 _ Parks 16.50 TOTAL CITY of EAGAN BUILDING PERMIT Owner .... .,1......?-??..?.. .. •... .. ............ Address (present) ...................3... .................... ..?.,............ Builder ......- .................................. ......°. Address ....'n.7?4'0..... _?j.n?`cu.._--. r.tr' r..- ?/ ns•ernro N2 .3327 3795 Pilot Knob Road Eagan, Minnesota 55122 454.9100 Date ......0A.417.3/ ............... Otories To Be Used For Front Depth Heigh! Est. Cos! - Remarks a Permit Fe I l y { `[,?' IV LOCATION ?. Fti Street. Road or other Description of Location I Lo! Block I _ Addition or Tract Q I J-ftmu This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, thal..........has permission to erect a............P.?.._ ................. _upon the above des ibed prorn.ise subject to the provisions of all applicable Ordinances for the City of Eagari. .............. ..... ."........... Per -------- u? -------- Mayor Building Inspector ?-- EAGAN TOWNSHIP BUILDING PERMIT Owner .--..... °..L`.. '..% :.....!" ..... ------- J ......................... Address (Present) ?---..5-}---........_- Builder ........1St C".I . ;t ..................................... Address .............................................................................................. DESCRIPTION N° 2583 Eagan Township Town Hall Dale ............. Stories To Be Used For Front Depth Height Est. Cos! ermit Fee Remarks /G1Ge4 ?SY-S W /°/ ?? LOCATION 4.,2- 8 --3 ax--,e XW, I oZ I o`1 16'? This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON 'WE PREMISE WHILE THE WORK 15 IN PROGRESS. , This This is to certify, that ...®.?..'..:....?.?.5!5:! ^^ :^ ------------- ....-..has permission to erect a..-- -t.'. ----........_.,------------...._upon the above described premise subject to the provisions of the Building Ordinance for Eagan ownship adopted April 11. 1955. !` ".`"."`? ........................ Per 1Q11-Z4 .. .. :..... ............... .. .................-'-- -........................................ ... : .. Chairman of Tnwn Hoard Build In.. Ins p actor TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55121 /Q .!a ? ADD ?dD PERMIT No. 95 The Board of Su ervisors hereby grants to Bisaon Well Go. 1955 of cShawnee Road, Eagan 55122 a WELL Permit for: (Owner) Harvey Kirchner at 11283 Old Dodd Road , pursuant to application dated 5/17/72 Fee Paid: $10.00 Dated this 17th day of May , 1972 ..') V a7'd Building Inspector TOWN OF EAGAN VUC]?YC???? 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. 101 The Board of Supervisors hereby grants to Ron Kissling of highway 3, 9735 so. Robert Trail, IGH 55075 a Eesapool Permit for: (Owner) Harvey Kirchner at 4263 Dodd Road, Eagan 551213 pursuant to application dated 6/12/72 Fee Paid: - $10.00 Dated this -13th day of Jane 197 2. Building Inspector TOWN OF EAGAN 3795 Pilot Knob Road 176 Eagan, Minnesota 55122 Complete Air Heating & Cooling 15267 Forest Blvd., Hugo, MN. PERMIT NO. HEATBJOThe Board of Supervisors herejlK.g&ypnftr6__, 4283 Dodd Road Eagan 5K121 81/24/72 Permit for: (Owner) at 20,00 22nd, pursuant pftpaaj,cation dated 2 .50 s/o Fee Paid: Dated this day of , 197_ Building Inspector !0 ??/?G6 GtG ?'? Saclcd/?hai'?7 TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO., 178 The Board of Supervisors hereby grants to 4tihnzel Plumbing &e Hea. $ap, of 1955 shamiee Road.. Eagan 55122 a PLMIBING Permit for: (Owner) H. Kirobner at 11283 Old Dodd Road, Eager pursuant to application dated 1/4/72 Fee Paid: 20.00 Dated this 12th day of January , 197. O e/0 Building Inspector CITY OF EAGA14 3795 Pilot Knob Road Eagan, MN 55722 N2 4915 PHONE: 454.8100 / 11/4e BUILDING PERMIT APPLICATION Receipt # To be used for deck & sliding glM5VApors 650 Date 7/31 -193-8-- 1 Site Address 4283 Ol d Dodd Road Erectj Occupancy - 2 B Lot lack 2 Saddlehorn ub. Alter ? Zoning ? 10 Parcel # 65800 020 02 Repair ? Fire Zone Enlarge ? Type of Const. M Name Steven Pomplun Move ? # Stories - - Address 4283 Old Dodd Road Demolish ? 1? Front ft. E agan 454-3740 Grade ? Depth ft. city Phone M Approvals Face - o Name - 013 Address Name _ Address Assessment Water & Sew. Police Fire Erg. Planner Council.,..?._}..,? Bldg.OffHH ?'??? APC I hereby acknowledge that I have mad this application and state that the information is correct a d agme to comply with all applicable State of Minnesota Statutes nd of Eagan grelliRances. Signature of Permutes T A Building Permit is issueff to: all work shall be done IR a2corda with II pliwble State of Ming Permit - Surcharge ?- Plan check SAC Water Conn. Water Meter Total 0. on the express condition that Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 t') BUILDING PERMIT To be used for Est Value $8, 600 Site Address 4283 DODD RD Lot 2 Block 2 Sec/Sub. SADDLE HORN ADD Parcel No W Name QWMVMH & DONNA POMPLUN 3 Address 4283 DODD RD T 0 City EAGAN Phone 454-3740 Name- O 00 Address City_ r Fw Name x? Address UZ gw City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to corn ly with all applicable State of Minnesota Statutes and City Eag Ordi ances. Signature of Perm ittee A Building Permit is issued to:_ _.. "OMPLIIN_ 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_LA Receipt N_ 14722 aaa9 Date MARCH 24 ,19811 OFFICE USE ONLY On Site Sewage Occupancy R-3 MWCC System Zoning R-1 On Site Well (Actual) Const V-N City Water (Allowable) V-N PRV Required u of Stories Booster Pump Length is $ Depth 161 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 98.00 Planner Surcharge 4.50 Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. _ Water Meter Road Unit Treatment Pt Parks TOTAL 102.50 REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 /v / see instructions for completing this form on back of Yellow copy. 66 2 Q 3 ."X-- Below Work Coveted by This Request ldtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heath Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other neo fy ether ISoor.ifyl ihor pacify other Oth, omoute Inspection Fee Below J11 Fee service Entrance Size s Fee Feedersrsubfeeders ft Fen Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 An >s Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amp- Above 100_Amps Transformers Irngatmn Booms Partia L'Ot her Fee Signs Special Inspection S ? \ P0? TOT Remarks p7(?, , -, .D?t Rough-in Date 1- th Electric ? , Insas reby artily that the above Final inspection has been • made. This request void to months from This request id / IB months from 66203 1 hereby request inspection of above Owner electrical work installed et: Street Address, Box or Route No. City J.,l J E N ecu on o. Township Name or No. gauge No. Coo y Occupant (PfllNT) Phone No. Sy'E.KN 1 m l?N y - ?J?/U Power Supplier Address 1)'- r( li'MI Electrical Contractor Kampen, Namel sN ldd' Contrartor's License No. Mailing Address (Contractor or Owner Making Insta ilation) Author- ed Sipwetb{e (Cortumctor/Owoer Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs•Midwav Bide. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681.4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of -ol, sq, fl. of house: and 911 roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) I set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 7/1!93 Rim Joist Oebul Options selection sheet (bldgs with 3 or less units) DATE Water Softener Water Heater No. of Baths c9'0 SITE ADDRESS 42 3 D, d,_1 Tcl MULTI-FAMILY BLDG _Y ?(N TYPE OF WORK 'R?_ 12,-c) -P FIREPLACE(S) 40 _ 1 -2 APPLICANT 5??? a ^t 1m-r STREET ADDRESS Y_?93 0o c?z 94? CITY P7 a STATEPI-n. ZIP?'fi/23 TELEPHONE ?45-0 Y5?1--57yo CELL PHONE # FAX # PROPERTYOWNER e? ?g-r r2 (6?4zl''J TELEPHONEloS/) "-37c/ , ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY l _ "I f ill (v submission type) . Residential Ventilation Category 1 Worksheet Submitted Ft??Iijly rks e Energy Envelope Calculations Submitted 09"2002 Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # Fcc: $70.00 -------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan Signature of Applicant - -_ ------ _----- -'--------- ------ ------------------------------------ ---------- -------------------------------- -- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 5102 ('7 q 1'10 RemodeVReoair 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 /9 S _ Phone # Lawn Sprinkler No. of R.I. Baths J' 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN -:07 SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS U OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG, DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS -t- To Be Used For: Valuation: Date: ey PR Z o 7040 Site Address Igs3 17,.JJ W Lot 2 Blocky? Parcel/Sub nr? Owner ue'L> / Address/g3 City/Zip Code I 6-%z Phone ??5y-37UC? Contractor s?C r aim Address Na e 2 D. •J ) ij City/Zip Code. 7y;ga Ina . SIT-12 3 Phone y5y->yu Arch./Engr. Address 666) OFFICE USE ONLY On site sewage - Occupancy MWCC system Zoning On site well Actual Const City water Allowable PRV required # of stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit 6,0 Planner Surcharge tso Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC _ _ N? Water Conn Water Meter Road Unit Treatment Pl Parks Copies TOTAL City/Zip Code Phone # ;dew!? ?fuS:la?o? "'aY+fis4`.'.3?.'.:t-PAR--''FI.'a.l,4.:-3='TewalRs'ca.:>,s><sb .+ v'ws-m `fir s .Y;v,+.,_es .r!:4aF.a• .m ert :h:usa ,?:w:.-s,.s/'u?w,'sa-serv?'?ts'!? '8?yrc #« '771314 A r i 3 9 dY p Tt Woo S ow ?r ate:.. r '!?s'?a»-?€0c.,"?zii ?w?''?,``?60.' ? ? n°J?-ip''€+''-0??3143Y,:?<z'?'"""-?'*„'"-?`'?T"tut??"' ,'b@?-'??.0.t'L'i't .: r ? ; ?+. ??...?. .? _.. ? .. ?. ... r_. -._vi:?..} .:'. .. ... .n..J„?_ .y il.:..ts??.arv r .... .".: ..i?.?....?a.. '..w r.... . 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATION NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: .4 Date: .3101/IZAA J Site Address "/.'m )j t 7J Lot Block Parcel/Sub// was p rSt?Q Owner Address '?a28.z ?,, JrJ ?? City/Zip Code ,7/, _ 5 S / 2 Phone t/S _ _-7 t?lJ' Contractor Address JAM City/Zip Code Phone 7 Arch./Engr. Address City/Zip Code Phone # On site sewage, MWCC system Occupancy pl-3 Zoning I2 On site well Actual Const City water Allowable V- PRV required # of stories Booster Pump Length /g Depth /G S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit Planner Surcharge ?4• -- Council Plan Review Bldg. Off. J 322 SAC, City Variance - SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 102. ? VAt--t-.A-t o1.3 A? O)DoN3 ?? refit - r(,v - ;A--9 :r- :7=b6)OC 6PZL = -14$vw l ?, x t & = Z65 x 36 = g(?,40 CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: SITE ADDRESS: 1413 3 J Rri 4 ?:,I- s-?:Z7o CONTRACTOR: DATE: PHONE: Determine working square footage of each: ?t 1. Total exposed wall area .. ?p 7 sq. ft. x .11 = ?QT, S2 2. Total roof/ceiling area .. 334 sq. ft. x x.026 = 8,? 3 Total exposed wall area above floor = -4^%,'j, a-) 23?7G ?. ---°- a, Total wall window area ............................ b. Total door area Vic. Total sliding glass area ........................... x_-16 -d --Total--fireplace'wall area ......................... e. Total wall framing area (average 10$) ............: f. Total net wal-1 area above floor ................... g. Total rim joist area .......... ................... Total exposed foundation area = tz(J,J 0-79 "h: -Total-foundation..window--ar-ea :...................... - i. Total net foundation area above grade .............. /:?f3 a Determine 'U' value of each wall segment: a. 7G x 'u' 3Z = 761 b. X 'u' - c. ?4R x 'U' ??4 d. .------ x ' u' r- - -r- e. 6G7 x ' U, 00 7 v h. x, ' U ' - -- '_" - ?-- i. erg x ' u' = ?%,? ? LI• L`+' ` 3 . ........... ................. ... .......... ......... Total If item p3 is the same as or less than item 01, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = 3rd j. Total skylight area ............................... k. Total roof/ceiling framing area (average 10%) ..... 1. Total net insulated roof/ceiling area .............. OVER Determine 'U' value for each roof/ceiling segment: i. x 'U' k. 32. x rut 1. 2'7 -1 x 'U' 4 . ...................................................... Total If total of 114 is the same as or less than 112, you have met the intent of SBC 6006(01. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items 113 and 114 shall not be greater than the sum-of Items U1 and 112. 1. + 2. 8, 's - LJ 3, d 3. 7?D + 4. , 7'Z = 2 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U = 0.025 Average 2. Exterior walls & rim joists -` R-20` U = 0.11 Average 3. Floors over unheated spaces - R-20 U = 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. • GUICELIIIE TO (R) PACFURS FROII ASNRAC hnNUAL OF TYPICALLY USED PRODUCTS (R) (R) Interior Air Flim (Walls) 0168 Gypsum or plaster board 3/8" 0.32 Exterior Air Film (lla ll s) 0.17 Gypsum or plaster board 1/2" 0.45 Interior Air Film (Vented Ceiling) 0.61 Gypsum or plaster board 5/8" 0.56 Exterior Air Film (Vented Coiling) 0.61 Plywood 3/8" 0,47 - Interior Air Film (lien Vented) 0.61 Plywood 1/2" 0.62 Exterior Air Film (Ilou Vented) 0.17 Plywood 3/4" 0.93 Sheathing, reg. density 1/2" 1.32 Aluminum Siding 0.61 Sheathing, req. density 25/32" 2.06 Aluminum with Backer 1.62 Nall-base sheathing 1/2" 1.14 Aluminum with Backer L Foiled 2.96 112 x 8 Lap Sidinn (Wood) O.B1 Built-up Roofs 0.33 7716 x 12 hardboard Siding 0.67 Asbestas-cement shingl,s 0.21 Asbestos Sidinns 1/4 Lapped 0.21 Asphalt roil roofing 0.15 Stucco and Finish Coat) Asphhlt Shingles 0.44 3'4" Wood Subflaor or Sheathing 0.94 Insulation: 2-2 3/4" Fiberglass 7.00 1/2" Plywood '. hoathinl 0.62 Insulation: 3 1/2" Fiberglass I}.00 ' 1/2" Particle Bu:rd 0.66 Insulation: 6" Fiberglass 19.00 WOODS: BLOWING 14COL_S_ - Fir, pine E similar soft Uaods 1 }12" 1.89 Approx. 3' - 9.00 2 1/2" 3.12 Approx. 4 1/2" 13.00 3 I/2" 4.35 Approx. 6 1/4" - 19.00 5 1/2" 6.87 Approx. 7 1/4" < 24.00 Approx. 14" 30.00 Approx. 18" 40.00 All other insulation materials must be Filled verified (R Factor) (R) Vermiculit e 8" Concrete Block (S L G Reg.) 1.11 1.93 .. 12" Concrete Block (S L G Reg.) 1.28 3.15 8" Light Weight 2.18 5.03 12" Light I:elght 2.48 5.82 . NOTE: (U) x Area Square Feet -oo u All Windows . (w/Stores I" to 4" Space) .56 Removal Double Glazing (ROC) .55 Thermo or welded 3/16" air space .69 1/4" air space .65 1/2" air space .58 (Other windows specifically tested can use better ratings) 1 3/4 Solid core door .46 w/storm, wood .31 - w/storm, metal .26 Pease Steel Door Insl/IVGL 7.45R .13 Sliding Glass Door, Wood .65 metal .715 r ROOF I CEILING, (?} VAL IISTEI I?(z F'?- Flu m zQ 5?3' GYP ED. Q ?NSULA?IaN ® EX TEIZIo? AtR FILM (S-ILL) . + ttUn = I f IZ =..ozS TOTAL (IZ)= WALL (T?) HALL © 1It ict IMP- Atrz FILM V GYP." -BD.' OO ' It It SULATION 511z' )I J1 Q ZS?3z $aJ%7-}J?c MA ?ONITc SIDtrG G EY JEInr- ATz FILM '. 11U'l= TOTAL (IZ)= l vaL.U Iz IIITLIloR N FIL11 i3 51 f?" INSUL?77tcI?I .. 2 Flf? R1C'j JpIS`( . 55 G, (SFiS?r'lTE slplt ?G Q . Z XTFEtc1DR A17- FILrl "?f = ??R=._,! TOTAL (tz)- f61jNDATID0 0c) VFlw i3 10 jd?-[DI- Allf, F?L -A 103 O i" h t'P???t?I`1 R.5 - 0, zo r=XT?( lag Alts FILM - Floors over unheated spaces must have minimum R-factor-of R-20 (tuckunder garages). Floors over outdoor air (overhangs) crust liave a minimum F.-factor of R-33. CITY OF FAGAN MINIMUM "U" VALUE AND R-FACTOR AT ROOF, WALL, RIPI AND CONCRETE BLOCK s y? DATE BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. ?" To be used for G / 5cg ? L GC6 ? Valuation 6c?L Site Addrest; Lot Block See, Sub, Parcel Number ?r cJ 5yOG Owner S {? J ) relechone ?/S "37 O ..o n .J n ; Address of 7 7 Contractor _ Address Arch./Eng. Address Erect Alter Repair Enlarge Move Demolish Grade OFFICE USE Occupancy _ Zoning Fire Zone _ Type of Const. # of Stories Front Depth OFFICE USE Date of Approval & Initial Assessment Water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. FEES S Permit Surcharge _ -- Pian Check SAC Water Conn. V7ater Meter TOTAL Telephone Telephone SITE PLAN Q i. ?i I I Feet N 7S-/ ?.Poorrv Live . I i 411 F1 Q? LINE ELV Garage LoT C] I BLoc k STREET ADDRESS 1 ?QnfT'„?Rpi?Ef?.TY , LI N E ELV. 100 GSp'cc -OV0^aa L 4-- BL o)- CITY USE ONLY SUBD. R A"L,, RECEIPT DATE: 1 1996 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 x Add-on furnace replace existing furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. ------ - ---- - - Date: 10-7-96 FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) ? State Surcharge .50 TOTAL $20.50 SITE ADDRESS: 4283 Dodd Rd. OWNER NAME: Steve & Donna Pomplun PHONE #: 454-3740 INSTALLER NAME: Fredrickson Heating & Air Conditioning, Inc. STREET ADDRESS: 3650 Kennebec Dr., #1 CITY: Eagan STATE: IN ZIP: 55122-1003 PHONE #: ( 612 ) 452-2775 SGN???? ? ?? J?3 W ? Lot 2- 13 / Cll? 4P- y1, 36 ?? g3 Jj- F; le FzoT P: / < o,.( ), TEMPORARY CONSTRUCTION EASEMENT in connection with Project No. 659 THIS TEMPORARY CONSTRUCTION EASEMENT, made this Y814 day of MAY , 1994 between STEVEN E. POMPLUN and DONNA M. POMPLUN, husband and wife, herein referred to as "Landowners" and the City of Eagan, a Minnesota Municipal Corporation, organized under the laws of the State of Minnesota, hereinafter referred to as "City". WITNESSETH: That the Landowners, in consideration of the sum of One Dollar and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, do hereby grant and convey unto the City, a temporary construction easement situated within Dakota County, legally described as follows: That part of Lot 2, Block 2, SADDLE HORN ADDITION, according to said plat on file and of record in the office of the County Recorder, Dakota County, Minnesota, which lies within the following described area: The North 32.00 feet of the South 43.00 feet of the East 40.00 feet of Lot 2, Block 2, SADDLE HORN ADDITION, according to said plat on file and of record in the office of the County Recorder, Dakota County, Minnesota. Said temporary easement to expire: December 1, 1996. See also Exhibit "A" attached hereto and incorporated herein. The grant of the foregoing temporary construction easement for site grading purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct and inspect site grading and the further right to remove trees, brush, undergrowth and other obstructions. After completion of such construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it was found prior to the commencement of such actions, save only for the necessary removal of trees, brush, undergrowth and other obstructions, subject only to permanent easement alterations. And the Landowners, for themselves, and their heirs and assigns, do covenant with the City, its successors and assigns, that they are the fee owners of the lands and premises aforesaid and have good right to grant and convey the easement herein to the City. IN TESTIMONY WHEREOF, the Landowners have caused this easement to be executed as of the day and year first above written. STE N E. POMPLUN Lc""' A( L DONNA M. POMPLUN STATE OF MINNESOTA COUNTY OF On this /?4k-day of , 1994, before me a Notary Public within and for said County, personally a eared STEVEN E. POMPLUN and DONNA M. POMPLUN, husband and wife, to me personally known to be the persons described in and who executed the foregoing instrument and acknowledged that they executed the same as their free act and deed. O D TO Ci Public Worl Dated: 6-10h? THIS INSTRUMENT WAS DRAFTED BY: THE CITY OF EAGAN PUBLIC WORKS DEPARTMENT 383o PILOT KNOB ROAD EAGAN, MN. 55122 (612) 681.4646 ry Pu lic JUDY M. JENY.!MS NDTAgY PUBf1C - MINNESOTA DAKOTA COUNTY MY 00war4WWI OXPWW 7-22-97 No 60 g _ ? ?.psso 4 3 f I 1 ij ? I HACKMORE DRIVE EASEMENT PARCEL NO. TAX PARCEL t10. 10-65800-020-01 PERMANENT E4SEIAENT SF AC. TEMPORARY EASEMENT 1.280 SF AC. DATE 4/YS/94 REWSION DATE FILE NO. II -007-53 SHEET EASEMENT EXHIBIT J<? city of aegan 9 P. PHONE 454.8100 CITY OF EAGAN 3705 PILOT KNOB ROAD EAGAN. MINNESOTA 55133 February 20, 1981 Dakota County Government Center % Auditors Office Hastings, MN 55033 Attention: Peg Dear Peg: This letter is to make a correction for the following legal Lot 2, Block 2, Saddlehorn Addn Parcel # 10 65800 020 02 The Assessment in the amount of $1210.00 for D.P. #570 should be deleted from the 1981 tax roll. Call me if you have any questions. Thanks for you help in this matter. Ann Goers Assessment Clerk City of Eagan MASTER CARD LOCATION , OWNER STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING /o 7 PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING / SEPTIC FOUNDATION CESSPOOL FRAMING ' TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: 4;z 8" 3 MASTER CARD 0 • • Permit No. i Issued I Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK 21] V ? 0,., 7/ 1 WELL -/ C1 4, ELECTRICAL HEATING O GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING FOUNDATION FRAMING - to D pi SEPTIC 6 , CESSPOOL y(? TILE FIELD FT. FINAL ELECTRICAL HEATING rf DEPTH OF WELL _ GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING ? ?f f? WELL rI?L SANITARY SEWER fAlm Old 661 Violations Noted on Back COMMENTS: 0oG OWNER / [ m e. fWrwM STRUCTURE AND LAND USED AS 11 AIJ WELL ADDRESS WELL RECORD DRILLER'S SIGNATURE DATE PERMIT NUMBER e /l z- 96 BISSON'S WELL & PUMP CO. PHONE SIZE OF WELL T" INCHES WELL DEPTH /9/' - FEET CASING DEPTH / /1/) FEET DEPTH OF IMPERVIOUS FORMATION SAND POINT FEET 67 INCHES/8Y MAKE AND TYPE_ MATERIAL: h WATER LEVEL FEET DRAW DOWN FEET CAPACITY GALLONS PER/HR. CASED WITH ?J FEET WELDED JOINT ? INCHES SCREWED JOINT REMARKS: KNOX ENERGY WORKSHEET 1. Insulated Area between Studs .68 Interior Air Film Q?S f2 rfvr Wallboard Insulation - Insulation O G y %s? cTFti N Sheathing © W /7r.Urtyr4tJ?-s Siding .17 Exterior Air Film IR=zz.Z? I IU=a.os 3. Insulated Area between Studs (Wood Foundatlo .68 Interior Air Film 2 Stud/Framing Area .68 Interior Air Film -r ? I U < Y Wallboard q? X 4 e In. - softwood 911-r lLf Sheathing O f/LUf Siding .17 Exterior Air Film R=/t). /ifs I IU= 01/o Ing Area (Wood Foundation) .68 Interior Air Film Insulation I Y lation Insulation In. - softwood s Sheathing Sheathing Siding Sik#ing 17 Exterior Air Film Exterior Air Film R= I lu= 5. Rim Joist Area .68 Interior Air Film Co r Insulation In. - softwood Z d s?? 131Z-71Z17C Sheathing /? /1 elV"I Siding .17 Exterior Air Film / I R= I j u= i. Block Area (Above Grade) .68 Interior Air Film - Wallboard - Insulation 1 /I y?r CacPC !?6e?G Block / _ /?j2? ?%?I nsulation .17 Exterior Air Film IR =24.41. I I U 7. Roof/Ceiling Sections Exterior Air Film .17 /. Insulation ?Z I%, t' ice mswauon Wallboard Z.l?Ofl1 r (? ?? Interior Air Film .61 R= 7%k U =01 .17 Exterior Air Film 428 /- " /?'fJ I T Insulation /,05 Z X G In. - softwood Insulation Wallboard .61 Interior Air Film R=3,f u=boa R41.12 u=d.o3 8. Floor Sections InteriorAirFilm •61 .61 Interior Air Film - Flooring Flooring Subfloor - Subfloor Insulation In. - softwood Sheathing Sheathing Exterior Air Film .17 .17 Exterior Air Film U=1; R FORM K-YO-319 (Rev. 1184) Use BLUE or BLACK Ink r For Office Use ( r , Permit (Ion City of Ea Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: gtP.l~ .Dc~~n t PO(Yl ID►a Phone:.//I1l-LJ Sy -3 -r`o Resident/ p Owner Address/ City/ Zip: )121I G' P-0 0/,C-PiLQJ A) BSI L Applicant is: Owner Contractor Type of Work Description of work: R ~ 1C I ~I olks e 12)~ e e Construction Cost: 10,()03 Multi-Family Building: (Yes / No K-) Company: US - Contact: Contractor Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 122 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes ~No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only.an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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' ) Yl A u m o )IM's x Applicant's Printed Name Applicant's Signature Page 1 of 3