4581 Cinnamon Ridge Tr(grrti#iratt of Orrupttury .
F:.
Citp of Cagart
BPpMI`tIliPtt# 1Tf BLitlbtllg 3118,pPtftittt
Thu Ccrti f icatc iuucd pxrsuont to the requircmtnu of Sation 306 o f the Uni f orm Building
Code urti fyiag that at the tiwu of issuunu thr.r structure was in conipliaau wrtb the varioru
o?dinantet of the City rtgulating buildi?tg conttrxction or ute. For the f o!lowing:
u„cbmwmada SF DWG/GAR ? Pamr,N, 7890
?-_-------?-- R3 --- ._ .,V NA .._ ....... (PD) Rl
7760 Mitchell Rd., Eden P
hV (? _ Trail ?,: lst
??LBumma„c,, We. August 25, 1983
?
IOn IM ? O0008IIC4Ap610 /{AC[
cmr oF EAGAN 78110
• '• 37lS Pilet Knob Raed Eayon, MN 55122 .•. :?
PHOHE: 454-8100
BUILDING PERMIT Receipt
Te be wod Mr D'r;c:/GAR Est.Volue $ 55, 000 pate P?pril 4 191-,L_
?
Site Addrcss 4581 {n amnn Rid$e Trail Erect R-?3
? Occupancy
Lot ' Block2-_ Sec/Sub. Cinnamon Ridee lst AIter p Zoninp (PD) R- i
porcel # 10 17400 020 02 Repoir p Fire Zone liE`
Enlarpe ? Type of Const. v
W Na„e Chri?ttiansen Construction Mova ? p # Srories
z
Addroas 18423 Italy Avenue Derr,oltsh ? Length49'8?
ri..,l.akevil l e M ..__ 4'i5--57(17% Grode rl Deoth-36_Sa. Ft.
? N? Uwner
-?
u? Nddress
( hereby acknowledfla that I hove reod this opplicotion and state thot
the inlormotion is correct and ogree fo tomply wifh oll applicoble
Stote of Minnesoto Statutes and tity of Eogan O?dinonces.
5iynoture of Permittee
A Bu(idiny Permit Is Issued to: Cll
oll work shall be done in acoordance
Buildinp Offltial
Asseument
Water & Sew.
Police
Firo
Ery.
Planner
Councf I
Bldp. Off.
APC
Surchorgs 27.50
Plon check 14 9 . 00
SAC S"S.OU
Water Conr6 5n _ 11 (1
Wcter Meter 6 0 - C,i?
Rood Unit 257 r)(%
Total $17 5t) _ 5'l
on the expreu condiNon thnr
Statutes and Ciry of Eepan Ordinances.
Parmit No. Pwmit Holdsr Mise. Permit No. Holder
Plumbiny
w
H.v.ac. 3 55 DCCVi£ ?l' ?=27 3
w.n
.n?
w
.
Disp.
Ss"r
EMctric
Impeetion Date Irap. Other
Footinpa y) ? .
Founelatfon
Freminp
Rouph Plbp.
Rouqh HV - ? ?
Insulatfon
Final Plb¢ -?.
Finsl HVAC 3 f (
Final
Wstsr D"cribe Location:
YWII - •
Sewer .
Pr. Dhp. -
?
,
_ ,._ Ii
Receipt MECHANICAL PERMIT Permit No. -
CITY OF EAGAN
, . Fee ?-
Fill in numbered spaces S/C
Type or Print /egib/y Tot. '
1. Date /`?+??? ?13 2. Installation Cost
3. Job Address"' Lot Z Blk. 2- Tract
,
t
4. Owner
5. Contractor „? T;"', ?"c , i Phone
? -
6. Address f'
7. City^ - ? State ? JJ ?J Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New Cl- Add O Alter ? Repair ?
I 10. Describe
! 11.
Type.', ;, ' ;.?.?
No.
= Eouinment BTU - M. Ea.
Forced Air No. Equipment CFM
i
Mfg. A
r Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
5igned : ,. . - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt _rr,f
l'J T ( v
PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
TypB or Prini legib/y
Permit No.
Fee 2-O
S/C ?c7
Tot
1. Date ',• ?,C 1 2. Installation Cost
`1?J?1 1_?rJNh..-??..-W?L T;? ? C_ '• /
3. Job Address U?f ,..? ,?N • LotBlk, z Tract
? .
4. Owner 1'I A :iC_ P-t4u?<.r.n.,..-r ---
5. Contractor Phone ?1 77- 55v? I
I
6. Address ;; ? ?, rJt,j,., 5, uJ j
7. City State M ..j Zip '-?, %1'> ?
8. Building Type: Residential fl,
9. Work Description: New I
10. Describe
11.
Commercial ? Institutional El
Add ? Alier 11 Repair ?
No. Fixtures
Water Closet No. Fixtures
CesspoollDrainfield
I Bath tubs Septic Tank
I Lavatory Softner
I Shower Well
? Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
t Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certity that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks ?'f !
Addition Cinaemoa Ridge Lot 2 Rik 2 Parcel 10-17400-020-02
Owner , L1'V 'I' Street 4581 CINNAMON RIDGE TRAIL state
?? IAIl m4 n ?,4? = c,/n.. .,U,....s m? Acul?/
!L JJ"
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
-WC
], 4
1324.19
264.84
5
1443.37
A012573
8-5-83
STREET RESTOR.
GRADING FMY 1984 383.48 76.70 S 417.99 A012S73 8-5-83
? SAN SEW TRUNK 1973 101 22 27.08 A012573 8-5-83
• SEWER LATERAL 1984 3329. 03 665.81 5 3628.64 it it
.
* WATERMAIN 1984 5
WATER LATERAL
WATER AREA z 1973 130.10 34.73 A012573 -- 3
* rvic 1984 5
STORM SEW TRK qOl 1979 377.85 18.99 20 283.40 A012573 8-5-83
*STORMSEW LA7 1984 5
CURB & GUTTEFi
SIDEWALK
STREET LIGHT
250.00 ' 35105 k- -83
WATER CONN. 2150.00
BUILDING PER.
SAC
PARK
I
. . . , . .. ' '_ . .e x . . ' .. .
CITY OF EAGAN A0 1 6983
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for DECK Est. Value $1 •000 Date wUG ZS , 1989
Site Address 4581 Cl?RAMdhi xIUG$ 'LR
Lot 2 Btock 2 5ec.? . Sub. CINNPJON RIDGE
OFFICE USE ONLY
Parcel No. occupancy - FeFs
Name `T?S d?Y BKILI.l? Zoning
(Actuai) Const
Bldg. Permit 2b•?
W
o AddreSS 4?1 CINNAMOti RIDGE TR -
(Allowable) - ?
Cily EAGAN Phone 722-JA23 # ol Stories Surcharge •
24X13 Plan Review
Length
o Name CHARLI6 ERICK30N ??n lZxZa snc
cit
= ,
y
ou
U Address ??UST S.F. Total 6x11
x City pn?? Phone (715 262-5076 S.F. Footprints _ SAC. MCWCC
W
t
C
r- On Site Sewage - a
er
onn
W W Name On Sile well M
W
r? _
ater
eter
? AddfeSS MWCC System _
u
i W Clfy Phone City Water _ Acct. Oeposit
PAV Required _ S/W Permit
I hereby acknowlege that I have read this application end state that the Booster Pump - SrW Surcharge
information is correct and agree to comply with a,ll applicable State of
Minnesota Statutes and City oi Eagan
auces
'
.
/ Treaiment PI
Signature of Permitee P M?--- APPROVALS Road Unit
A Building Permit is issued to: CHARLiE ERICKSON Ptanner - park Ded.
on the express condition that all work shall be done in accordance with all Council
appiicable State of Minnesota Statutes and City of Eagan Ordmances. gld9 pff, _ Copies
Building OHicial
Variance -
TOTAI Zb. ?
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.VAC.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Hoofing
Rough Plbg.
Rough Ht9.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plhg. Inspedor - Notify Plumber
EngrJPlan
Bldg. Final
Oeck Flg.
oeck Finai 9' 9 S - alO
weli E' 3 2 JPU -XQ
Pr. Disp.
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, ivlN $5122 DATE:
Zoning: No, of Units:
Owner; - tt'iRti?ncnr,
Address:
51te Address: r,,
Plumber. - .. . , "
Meter No.: Connection Chnrge:
Size: Acoount Depos+t:
Reader No.; Permit Fee:
1 agree fo wmply with the City of Eayon Surcharge:
Qrdieoneos. Misc. Chorges: "
Totcl:
BY Dote Paid:
Date of Insp.: Insp,;
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pllot Kno6 Rosd PERMIT NO.:
Eogan, MN 55122 DATE:
Z4?ing' No. of Untts:
Owner.
C'niq:.
Address:
Site Address:
Plumber. t?lE • ?
1 ayres M aeaeply wilh lha Gtq of Eagon
Ordiaanee:.
By
Date of Insp.:
Conr?etfion Chorge:
Account Deposit:
Permit Fee: '
Surcharge:
Mist, Charges:
Totol:
Date Peid:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN O - C) ?
3830 PILOT KNOB RD - 55122
651-681-4675
??? - -
New Constructian Reauirements RemodellRewirRequirements
. 3 registered sile surveys showing sq. A. of lot sq. fl. of house', ancAll roofed areas • 2 cropies of plan
(20°k maximum loi cnverage albwed) • 1 set of Energy Galcula[ions for heated addiGOns
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for extenor additions & decks
• 1 set of Energy Calculations . • Indicate if home served by seplic system for additions
• 3 copies oi Tree Preservation Plan if lot platted aker 711193
• Rim Joist Detail Oplions selection sheet (61dgs with 3 orless units)
DATE JDI/ ]/O/ VALU/iION ?1;,?W2%_?.
JOBSITEADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER TCCi?'h°S A. a?h d /TIG?7L?? ?• S?l ???-.
TYPE OF WORK YJ6??V rd 0 7^ ?
APPLICANT SK,11M
ADDRESS
PAGER #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Cate9ory _ MINNESOTA RULES 7670 CA'PEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULLS 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing Sys[em Includes:
Mechanical Contractor:
blechanical Systein Includcs:
Sewer/Water Contractor:
All above information must be submitted prior to processing of application.
Phone #:
I.awn Sprinkler Fee: $90.00
No. oF R.I. Baths
Phone #
Fee: $7Q00
Phohe # r ? ? nn;M i
- II _?" 111!
,
I hereby acknowiedge that I have read this application, siate that the inform&ion is co?recf, ar?id? agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf
CELL PHONE #
Water Softener
Water Heater
No. oF Baths
:1ir Condiuoning
Hea[ Rccovery Systcm
FIREPLACE(S) _A?V 1 _ 2
PHONE#
ZIPCODE
_ FAX # (9l,)-_o47`I
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 1/01
This raquest A fl,'aC J CL I?.l? e/4,-(SG
lR n ntAc {rnn? _?
. _ ..._....._ .. _... '- O
qD iCac?
Reuest 2te Fire No._ Rough-lu Inspectlon
Q F:]Required? ReatlY Now SQ,'WiII NotHV Inspec-
r- . [or Whan ReaAY
7 ?Vis ?No
(Z Llcensed ElecVical Coniractor 1 herebV request inspecnon ni aoovn
I,.... elechical work installed at
ess, 6ox ar Route No. Citv
L?
Township Nama or County
IPRWTI f?qt?E'
r pIi. ilF Ne.
?
°
?
plier ' AtlAress
i c
c
'
2
?
...
.
at
Contractor lComGany Namel Cr .nvactor's Liconse No,
r or Owner Making Ipstailationl
Mailing AAJress (COnVactn
?J
?-2-G- ?6-'tirYh't?r
4+
1 .
Y+-
C?
uthorized $'?9olure (ConVaotor Owner Making ?ristalla[ion)
A Ph'oLn'e Nuniber?y
n +u?e ?nicoer N C[llI1FCT WII 1 N(1T
"NNESOTA STqTE eOANO OF ELECTflICITY BE ACCEPTED BV THE STATE BOAAD
--MitlwaV Bldg. - Aoam N-191 UNIESS PPOPEfl INSPECTION FEE IS ,
-,sity Ave., SL Paul, MN 55104 ENCLOSED.
'^7-21I1
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
?,.
(j 7 ' See insvucclons lur camplelin9 ihis form on hack ot yellow capY?/? f?y
Ral? ? U? k!'nvs?rarl hv Thi c Randia.cf
New AAd Rep. TVpe ot Builtliny ApOlainces Wired EquipmeM WireA
]C Home Rznge Service
Duplex Water Heater ixtures
Apt Building ?ryer e2tinc
Coinmerclal Bldg. Fumace ader
R
Industrial Bldg. Air Conditioner Tank
BUlkMilk
Farm ??her Su? ciNl
Othnr l5uerlv O thor tt Fee Service EnVanceSixe tt Fee Feetlers/5ubfeaders k Fee Circuiis
Otol00qin-s 0 to30Amps i -} ato3DAm)s
101 20 200 qmps 31 to 100 Amps ( ,j 31 to 100 Am
Above 200 Amps A6ove 100-Amps Abe?ve 100-Amiu
Transrormers Reinote Control Circ. Partial-'Other Fee
Signs Special Inspection g ,
??
Z TOT L FE
j
Re ?rks S fQ.Q
[
Raugh-in ?° j ?e'` , ?
YLI ?r{? D"1e
_Z7y , the Elee nwl
sGeoto,, ha.BbY
erlily that the above
p??,,, I
. . L"s iP
?. ' i inspection hes been
made.
This requcst vc
18 nronths hom
BUILDING PERMIT
To be used br DECK
CITY OF EAGAN ?0 16983
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 Receipt # v
( 3Lif;? I
Est.Value $1,000 Date AUG 25 , 1989
Site Address 4581 CIwrAMON RIDGE TR
Lat 2 81ock 2 Sec/Sub. CINNAMON RIDGE
Parcet No.
w Name JAMES & NANCY SKILLE
3 Address 4581 CINNAMON RIDGE TR
° City EAGAN Phone 722-4425
a Name CHARLTE FRIGKSON
g? Address 480 i.OC ST
City PRFSCOT Phane-(715 h- 07b
Name _
Address
City -
Phone
1 hereby acknowlege that I have rethis applicatioryaq d state that the
informalion is correct and agree , comply with Yappiicable State of
Minnesota Statutes and City f an Id s. '
Signature of Permitee df?
A Builtling Permit is issued to: CHARL E ERICKSON
on ihe ezpress condition ihat all work shall ba tlone in acwrdance with all
applicable State ol Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial
OFFICE USE ONLY
OccupanCy - FEFS
Zoning -
(Actual) Consi _ 61dg. Permit 26.00
(Allowable) - Sumharga _ 50
k of Stones
Length 24 c13 Plan Review
Depih 1 9xl? SAG City
S.P. Total 6X11
SAC, MCWCC
S.F. Footprints -
On Sita Sewage _ Waler Conn
On Sile Well - Water Meter
MWCC System -
Aect. Deposit
City Watar _
PpVRequired _ S/WPermit
Booster Pump - S/W Surcharga
Treatment PI
APPROVALS Road Unit
Plannar - park Ded.
CaunCil
BIdg.Off. _ Copies
Variance - 70TA1 26.50
czTSC CF EAcArr
? BUILDING PERMIT APPLICF
? ? ?
To Be Used Fbr S' ?'"jk f+fto ly ?„ ell ,' ?a ?tion
Site Address 458 ) C"NN9 MOALTra;
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
_ Date -pp r.1,
OFFICE USE ONLY
rAt ?&locx al sec./sUt. C.'Aw,_ ,.,,w ?2•dT I?r?Ce _..?:ocoupar,cy
Parcel #: t7 qO c) D20 CJ Z- A1ter Zoning
/? Repair Fire Zone A
l?h. S?? nN se?J ar4SfVuei:ary En7.arge _Type of Const.
Owner: ?.
Address: /8 4,v3p I+*I v AY't",
City/zip Code: Lr,Ke,, 'l! e 5504'4/
Pnone #: Lf 35" -5705
Contractor: ? -54 M ?L a y Above
P,ddress:
City/Zip Cocle:
Phone #:
Arch. /F,hg. :
Address:
Nbve # Stories
Demlish Fmnt - $ ft. 'IV Grade Depth 36 ft.
T9ater/Sewer
Police
Fire
Surcharge
Plan Checlc
SAC
gYg, Water Conn. -?
planner Water Meter li1O
Council Rnad unit g,S7 ?
Bldg. Off.
APC
city/Zip Code: l/(i/ -? ! p
TdI'AL /i 7S ! ^527
Phone # : / ? t;> , I 0 9 ?7 O- _
CITY OF EA6AN
9795 Pllof Kno! Raed Eogae, MN SSl]!
PHONFs 454-8100
N° 7890
/
BUILDING PERMIT Receipt # ._DS/d. ?
T. 6s wad fer SF DWG/GAR Est.Value $55,000 pOte Ap ril 4 _ 1983
Sue Addreu 4581 Cinnamon Ridge Trail Er"t
- ?
OCtuponCy R-3
Lot 2 BI«k 2 Sec/Sub. Cinnamon Ridge lst qlrer ? Zoninp (PD) R'1
parcel # 10 17400 020 02 Repoir ? Fire Zone NA
Enlarga ? Type of Const. V
W Name Christiansen Construction Move ? # Srories
9 z Address 18423 Italy Avenue Demolish ? Length4918"
c; Lakeville phom 435-5705 Gmde ? Depth 36 Sq. Ft.-
p Nume Owner ApPrerols Feas
?
?? Addresf
? ri«,
Nnme _
Addreas
1 hereby ock"wledge that I have read this opplication and state that
fhe information Is wrrect and ogree to comply with oll opplicable
Sfate of Minnewta Stofutes and Cify af Eogun Ordirwnces.
$Ignofure of Permittee
A Buliding Permit Is issued to: Ct
all work shall be done in acwrdante
Buildirg Offfclol
Assessment perm{t
Woter 8 Sew. Surcharge 27.50
Police Plon check 14 9.00
Fire SAC 525.00 .
Enp. Water Conn450.00
Clonner WarerMeter60.00
Councll Road Unif 250.00
Bldg
Off
.
.
APC
Torol $1759_50.
on t ha express condition thm
wto Stotutes ond City of Eaqan Ordinonces.
CALVIN H. HEDLU? • 7726 MORCAN AVE, so.
, SIiIPPED r'`'i?i`rZ ? a 3?$? MINNEAPOLIS, MINN. 55423
Lond survyof Clvll Eopineer PHONE NU. 866-2523
Survqors G'ert?,f "?cate
JOB N0. 441t7 458
SURVEY FOR: Zachman Homes
DESCRIBED AS: Lot 2, Block 2, CINNAMON RIDGE. City of Eagan, Dakota County,
Minnesota and reserving easements of record.
?
9169-0
?' - -
1
i
i
i1
1-- I
(-_ ?.CI ? i
10 ?QSTAKF S
Top of b/xk = 468.9
Basement f/ooi •765.7
;Gara9a f/oor ?968.5 %
?Proposed e(evat:orxs CD ?
Exlstin
'9 ekva7tons ?
birection of drain q? -? N1
Denofes /o-i' iron o
.? ? _-
?
?
Np,e Ty
-_ ?
i
, --?
•-- -
?
?10'(J) S7AKES
113 2O 2
2
L o q- 4
1 Q i
m
? p(D .14 9?'1
.00? RIDC?E TRA1L-- ?
CNAMoN _
i9bb.3 ? ' b47 3 )
CERTIFICATE '
I hereby certiTy that on Fe,6 17, 1983 I surveyed the propeny descriped above ond thot
the oDove plat is o correct represeetotion of sald survey.
Colvin H. Hedlund, Minn. Req. No. 5942
MINtJESOTA STATE BUILDING CODE DIVISIOPt -
EXTERIOR ENVELOPE AVERAGE "U" COP1PUTATION ?
OFJNER
SITE ADDRESS EL NGUDOO /yy4STE/t ?/L E
CONTRACTOR Z19Cf/A/HN H?NES -7-A/C DATE 2_17 $3 PHOtdE `?J37- 9Sz?
Determine working square footage of each.
1. Total exposed wa17 area ... 0 6• 6 S sq. ft. x,?8? ?2
' 2. Total rooF/ceiling area ... ? 7 2 sq. ft, x;'O,_¢ = 3 B- ?8
Total exposed wall area above floor =
a. Total wall window area . . . . . . . . . . . . . . //*• Z ¢ + 6-0
b. Total door area. . . , , , . . . . , . , , , , 37 , g
., c, Total s7iding giassdoor area. . . . . . . . 46, 6 z- .,?S -
d. Total fireplace wal] area. . . . " . . . . . . . o "
e. Total wall framing area (average 10% ). ... .... 131 . 3 9
f.
• Total
T
t
l net wali area abov,e flo r. -tG7
?
i
i . . . . . . . . /ISz , s3
g. o
a ,
r
m jo
st area.
CA
T? . . . . . . . .
N z.? .
00
_
Total exposecl foundation area = 88 . o ?r
h. 7otal foundatfon vrindow area . . . . . . . . . . . ?
i. Total net foundation area above qrad e. . . . . . . . . Yg , a ¢
' Determint "U" value.of each wa9 1 segment. -
a. ! I?. 2¢ g??U" , SO = 5- 7• (2
b. X "U" 137
c. o. 0 2 g%11
d. Q Xliuli 0 _ a
e. /3 / . 3 7 g ??U" /a . ? r-
SL.5_3 gIIUgk
f 6 2- , G7
.
g: ? 8, o¢ X,'U.1 , o g y = 4- . 3/
2 4 6 x 1>UH .76 Y / 7 , y 3
;. ?. o¢ X 11v . ?7S = 5-0, S`?
/70G.og-
3 . . . . . : . . . . . . . . . . . . . . .To tal = 2-3I- 7`f-?(13S?.fgS
If item
1#3 is
the same as, or less than item
#1, you /2 0 6 -6S ?
have met the intent of
SBC 6006(c)2.
i
_ ._..._. _ ... . _ _ _ _ __ ._? _.__, .. . •?.
. . ; . - . . ' . .
Totai exposed roof/ceiting area = 9??
j. Total skylight area. . , ,.. 6
k. Total roof/ceiling framing area (Average 10%). . y 7. 2-
7. Total net insulated roof/ceiling area. ....
Determint "U" va7ue for each raof/ceiling segment.
?. d X ltuti
k. 9 7• ?- X„uti , o?
l. XISUSI . 02 G = 2 2• 7¢
4 . . . . . . . . . . . . . . . .7ota1 = Z s. ?? =( 02
9 ?z _
If totai oT item ;:4 is the same as, or less than item ;2, you have net the intent of
SCB 6000'{01.
Alternate Building Envelope Desiqn To uLilize the total envelope system method,•the values established by the sum _
of items #3 and r4 sha?1 not be greater than the sum of items #1 and #2.
7. • + 2. - : --
3. + 4. --
.
FRADiIrG ADJllSTMENT
109. lb" O.C.
7% 24" O.C.
TOP VIEW
OF WALL
BASIC WALL
PERIPHEFi.AL
FLOOR
a ? a
FOUNDAT ON a
:4ALL °
FO( OPAQUE WALI, ? ? ? ? ?
CONST'RUCTIOK R-VALUE
,
? 2
?I3
°I4
Y 5
~
? 6
?
If ir
r 7p
N O
G 9
0 10
+ 11
; 12
n to 't
G
N, 13
14
0 15
; 16
„ eu 17
ul
v
c 18
0 19
y 20
au 21
tn
e
52
?
K 22
.0 23
-p 24
La') 25
LO
L
%0
0 2 6
, 27
U 20
.
v? 29
r q
?
?'U° Q53
INTERIOR AIR FIL*i .
3k+
? sottwooa F?3/4" Foam 6.0
E}CTEi IOR A IR F ILM .1
TOTAL R T?.4
uUn .U.049
.
INTERIOR AIR FILM
19"-Fonc--Hlock----- a :-49- _
??
EXTERIOR A R FILM
TOTAL R 1.73
"U" 0.578
INTERIOR AIR FILM 0.92
3k" Frirtinn {it _1,1..00
'? h
EXTERIOR AIR FIL?i
TO'TAL R 17.76
5
uUtt (1. 78Q
E%'ft-RTOR AIR FIL*4 STII:L 0.61
ro'r' wn n ur ion • ?
sj6l yp um n ra .o
I;ITE-azOR AIR FILM n_A 8
TOTAL R 38.98
o'U° 0.026
/ljf" fyfwfNe 2 = :7/, oc
4 ? o3Z .
O
ROOF/CEILIN
30 EXTERIQR AIR FIL*f 0.17
31
32
" 33
34 A R SPACE ST LL 0.97
0 35
; 36
cu 37 N ERORARFIL*t .
v? TOTAL R
°U"
. °
SINGLE FAMILY IIi1EI.LIRGS
1989 BBII.DIPG PEAMIT APPLICAlIOH
CTfY OF EIGAN
I 49 IULTIPLE
GCOl?84ERCIAL
SETS OF PLlNS 2 3ET5 OF PGaN3 2 SETS OF IRCSITECTURAL
REGI3TERED SITE SDRYEYS SEGfSTSRED SITE $ElR9E2S - 8 STEDCTUAAL PLiNS
5 ggf pF ENEpGg CALC3, ovi= pRTg BS= DZQ,J 1 S8T OF SPECIFIC9TIONS
1 SEf OF ENERGY CALt:S. 1 SET OF F•NERGI CALCS.
MULTIPLE DxELLINC3 RENTAL QNIT3 FOR 3ALfi DBItS # w aBIT3
'OTSt iDDRFSSffi FOR COAIiER LO?3 - COATAlGTOR/BWOiiAEA l?iST DESIGAIiS 11HiCB ADDAFSS
IS DESIRED. AO CHANGFS iiILL BE ILLOWED OACE BQZLDING PERHIT IS ISSQED..
SEIiER i N9TfiR PERMIT FSES lAD ACCOUIiT DEPOSIT F6ES iiILL Bfi INCLiJDED IiITH THE BUILDIN(i
PEAtiIT FEE. PAOGESSING SIME FOR SEViER EAD RATER PEBMIiS IS 3'i10 IIAYS ONCE A PERMIT $AS
BE£R COMPLETED IIiDICATING A LICEN3ED PLt1!ffiER.
PENALT.Y 6PPLIFS WfENs PERMIT IS NOT PAID FOR IN 39ME MONTH IT IS REQUESTED.
LOT CAANGE IS REQUESTED ONCE flERMIT IS ISSUED.
?2'r im
To Be Used Fort 4OpAk ?
Site Address '<58/ drhl1Ql970f1
: C? Block a
Parcel/Sub C.iNu,a-fa9r,rJ 2JD?
Owner,J'ames iNancy s-IS7 llP?
Address 4-5'ej e?ii4?UW[OH ?4e-Mf
City/Zip Code La2? ?I?S-slZ?
D o?
Yhone }f?'1 (o cl l?"?/S?aS
Contractor
Address
Citp/Zip Code >X-1AIu
Phone
?NT?df?0,7; I
Ar-oh,-fE?'. C=H_.42 .t? ?42r?ic?a1J
addi'es9.
City/Zip Coae ??S- 2GZ- ?o7C? ?4La?l
Phone 9
Yaluation?_?? -?-.-? Date: '? 'o? 7 - o /
/ voa
Oceupaney
Zoning
Actual Const
Allosrable
# of stories
Length ?yxi3
DepLh ? Z x 10
S.F. Tota2 ,;x If
Footprint S.F.
On siie aewage
Qn aite well ?
MCe system
Citp vater ?
PH4 rgqeaired _
BooaEer Fmp -
lPPROVALS
Planner
Council ?
Bldg. Off.
Yarianee
FFF4
Bldg. Permit
Sureharge
Plan Review
SAC, City
SACp MIWCC
Nater Conn
ltater Meter
Acet. Deposit
3lii ?ermii
S/il Surebarge
lreatment P1.
Road Dait
Park Ded.
Copies
SDBTOTlL
Penaltq
TOTdL
?
? EXI57%NG- F?TINS>
.. ' ~ 7726 NORGAN AVE. S0.
' CALVIN M. NEDLU, 1 MINNL-APOLIS, MINN. 5542
hIONL N0. OGG-Z523
Land Survoyor Civll Lnqlneor P
J0E) NO. 4"?? 458
SURVEY FOR; Zachman t-Iomes
DESCftIBED A5: LoL- 2, Block 2. CTNNIIMON RIDGL, City of Lagan, Dakota County,,
Minnesota and reoerving easements of record.
? ? ?/pR T.H
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~ ? ? 1
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' !
? ,. I ....
1 V ? 1
• !?
4.
'--
,._. Li , ?, bA.2 v.Ls
' !O 'QsTFltiE> >
7oP of block ° R68.9
c?a:.ement •F/oor -5165•7 t 113 2D ?
v ,.2
Gara.yc •F/ooi^ =4b8.5 .al_ _-
Proposed elevat%or?6
?xr;;?ing elc?ra-7ions a• ? ?
Direc-h?on of dra.?? a?e - ? ? '
~
Dcno?cs /o't rron ° p
? b
9 cn (o.G.
---y-
?
/
r . ?? . .
co 2 4' ? N
?I `
IO 'v ?-r,a1:ES . .
;lif
° q" 24- t cuc
. 6$,7 10' f . •+...
M - -? ?l-
1
1
14
?
TRAf L ' .
Gtr?NA?°r--- 9 04.3 .
9 b6.?
TIFI T OF --
T hcrcby ccrrity Ihat on F'cb 17, 1983 T aurvoyad Iho proparfy dcscribad abova and thot
ihc obovu Floi is a corrcct rcpraa¢ntotion ot sold nurvay. ,. Colvin H. Hcdlund, Minn. Roq• No. 5942
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan \
3830 Pilot Knob Road, Eagan MN 55122 ?? p 0 J
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructlon ReauiremenLs RemodeVReoair Reauirements Olfice llse OnN
3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies ot plan Cert of Survey Recd _Y _ N
(20%mazimum lotcoverage allowed) 1 set of Energy Calculations for heated additions Tree Pres PlenRecd . Y N
2 copies of plan showing beam & window sizes; paured found design, atc. 1 site survey for additions & decks Tree Pres Reqtiired ': .... Y _ N
7setofEneqyCakuW6ons AddNion-indicatei(on-sdesepticsystem On-sdeSepS"stem _Y _N
3 oopies of Tree Preserva6on Plan if lot pWfled after 711/93
RIm Joist Delail Options selection shcet (bldgs with 3 or less units
Date / :3 0 /(/ / Construction Cos Xr? ?, ?
' R
Site Address i
/7/J d,f?7 d-j']
i ?/ q? UniUSte #
/P?? c?, eKi s7?i?, y 1 v r np?' 6an? i n cgw , i nj ct? r
Description of Work f,Jl -fh N.2 L__
Mu?ti-Family Bldg _ Y VIN Fireplace(s) ?e_lo _ 1 _ 2
Property Owner ? es ?/VDhC 14, Telephone #((p s/ ) 8/ O -3 fo (0 9
Contractor
Address City
State Zip Telephone k ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #( ?
Telephone #(
I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work wluch requires a review and
approval ofplans. _ ? -,I n
0?T??'?s ?. '//Z?7
.
ApplicanYs Printed Name canYs Signature
OFFICE USE ONLY
Sub Types
, ,
? 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 Ent. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N 7 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
0 33 Alteration ? 37 Demolish Building* ? 43 Reroof 46 Windows/Doors
? 34 Replacement •Damolition (Entire Bldg) - Give PCA handout to appliwnt
Valuation a[ C) 0,0 ' Ge, Occupancy 12-3 MCES System
Census Code q 3 q _ Zoning ? ? City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const X IV Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundarion
Drain Tile
Roof _ Ice & Water _ Final
?Framing
Fireplace _ R.I. _ Air Test _ Final
K? Insulation ^
-C
Approved By: f0?!/(
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaVC.O. ,?4 FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas TeaTs
_ Siding _ Stucco _ Stone _ Back
_ Windows
_ Retaining Wall
Inspector
F71 v?T i-e e- c?, o°a -
lob Sitc AdJress:
• ' -' ENERGY CQDE WORKSHEET FOR
ONE & TWO FAMILY DWELLINGS
"Cookbook" Worksheet
INSTRUCTIONS ?
5kp I. Chcck item(s) that de
i
s
gn meets on Uinrniirni Require»ieli1s ?
list io thc ri
ht
Must
ll
g
.
meet a
i[ems to use Cookbook option. ?
Step _'. lndicaic proposed wall t
ype on iable below. p
Ste, :. lndicate Window U-val
d
ue an
source. p
Sicp J. Vcrify total window
i
l
di
(
nc
u
ng arca of all foundation win- ?
dwvs) S., door area is cqual or Icss than aUowable percentage
TABLE FOR DETERMINING >L>XINIUNI
Maximum AUowable Total Window and Door
Arca as a pcrccntaec (E
iyIIYLvIUM [tEQUIREJIE\'TS
m clticicncy: Mini
1'/." solid wood or
0
ation windows: %i' insulatcd .-lass in wood or
or ma;cimum U-valuc of 0.51
o Xposed Wall --r 10% 12OU 14% 16"/a 18% 20"/0 22% 2•1% 2 ? ? o
lVa II T\ x ( R-5 u to R-IO Foundation Insul.); Masimum Averaee Window U-value excet (lundation windows •-'? 5.6 sf ):
J 2':a. R-13 insulation < R-5 shcath? ?
??
_'.\J. ?n_
R-13 insulation. 0 R-5 sheathine 0.37
0
37 0.,6 0.30 0.26 0.2
Li
_'NJ.
R-13 insulaiion. a R-7 shcathine .
37
0 0.37 0.37 0.37 0._
L1
'sG.
R-19 insulaGon
< R-i sheathi . 0.37 037 0.37 0.3
r7 ?xG. ,
ne
R-19 insulation. 0 R-5 shcathine 0.3 i
0
37 0.37 037 0.37 0.3
_U
2s(.
R-? I insulation, < R-5 sheathine .
0
37 0._7
0
?7 037 0.37 0.3
O
2xG.
R-21 insulation, 4 R-5 sheathine .
0
37 .
037 0.37 037 0.3
` . 0.37 0.37 03
kk'a ll T? c(wiih R-10 Foundatio 1 I
3 0.20 0.13 0.16 O.IS 0.14
5 0.31 0.23 0.25 0.23 0.22
7 034 0.31 0,23 016 0.24
4 031 0.23 0.'S 0.23 0.21
7 0.37 033 0.?0 028 0.26
7 033 030 0.27 0.25 0.23
7 037 0.35 0.31 0.29 0.27
n nsu anon). Maximum Averase Window U-value (ex
? ce t foundation windo?vs p 5.6 sFl:
.'..?J. IZ - 13 insulaiion. < R-5 shcadiing 0 37 0"
J R5..12.13 insulation. 4 R-5 shcathine
K-1? insulatiun. 4 RJ shcatliin.
R-19 insulation. < R-5 sheathina
-? 3xG. R-i9 insulation. 0 R-5 shcathine
-.1 's6. lt?_' I msulation, < R-5 sheathine
-1 _'.eG. R-21 insulation. 4 R-5 sheadiine
'Vall T c f«ith R419 Foundation [ I'
037
0.37
037
0.3 7
037
0.37
037
0.37
0.37
0.37
0.37
037
0.33 0.23
0.37 0.37 (
0.37 0.37 C
037 0.37 C
0.37 037 G
037 0.37 0
0.37 0.37 0
.zs o.u o.zo o.is o.» 0.15
1.37 033 030 127 0.25 0.23
1.37 0.36 0.33 030 0.27 0.25
37 0.32 0.29 0.27 0.24 0.2;
.37 0.37 0.35 0.32 029 0.27
.37 0.35 0.31 0.29 0.26 0.24
.37 037 036 0.333 0.30 o
0.23
J nsu ahon):
'\-I. R-1? insulation. < k-5 shcathi rvlaximum Averaee Window U-value exce t foundation rvin(
C1 ne
:xd. R-I' insulation, 4 R-5 shcathing 0.37 0.37
037 0.34 0?9 0.26 0.23 0.21
U
'xJ. R-13 msulation. 4 R-7 shcathine 037
0
37 0
37 037 0.37 0.37 0.34 031
U
-sG. R-19 ;nsulahon.
< R-5 sheathine .
.
037 0.37 037 037
0.37
0.34
C)
_'sG. R-19 insulation. 4 R-) shemhin¢ 0.37
0
37 037 0.37 0.37 0.34 0.30
L1
?Xb. R•21 insulation, <R-i sheathin .
0.37 0.37 037 0.37 0.37 0.36
L1 s
=X ci. R-11 insulation. 4 R-5 sheathin, 0.37 0.37
037 0.37 0.37 0.37 036 0.32
0.=7 0.37 037 037 037 0.37
Windnw U-value: Source: _ p VFRC O Code De(ault Table (sce Part
., i
oo??18?
a1
°ro?<?
°o;
winduw fi duor area gross e:cposcd wall area ? I
DCS[GN
ALLOWABLE, (fi
INS'fRUCTIOiS: Compictc Parts (, (I and III. Clearly mark plans wiUv insulation R-valucs; window and skylight U-valucs; sizc and
t)Pr of cquiprncN; equipmcnt controls; and location uf intcrior air barzier, vapor rctardcr and windwash barricrs. Morc dctailcd
iulurmatwn can bc found in lhc ?Llinnesota Energy Code Sunurtmy Slieels availabic &om the Minnesota Dcpartment of Public Scrvice.
Par-t I. BUILDING ENVELOPE
Chcik opfion used: ? "Cookbook" Nlethad (complcre worl:sheet below
) ? MnCheck method (attach rcport)
? Buildine Component methud (attach calculations) ? Systems Analysis method (attach analysis)
ws p 5.6 sf1:
0.19 0.17 I 0.1
OZ9 0.27 0?5
0.34 10.31 0?9
table abovc)
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1 t J Use BLUE or BLACK Ink
For Office Use
j Permit 1 L~
I
City of Eap
Permit Fee:
3830 Pilot Knob Road I w ` (3 I
Eagan MN 55122 I Date Received.
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: r I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
I II V
Date: ` I J Site Address: S9 I ~~11 Unit
Name:
AV\
~J Phone: (05 Q~ ~oq
Resident/ ,
Owner Address/ City/ Zip: H5 ~v> I a~.. t !M N S5 i a
Applicant is: Owner Contractor
j Description of work: S _ X tULO- A)O AlXkZ" Cx&&,-QQw
Type of Work
~ II ~1
Construction Cost: LP I S cx 00 Multi-Family Building: (Yes / No
Company: Lujl~ ~n Contact: 6-LM
r ~I
Contractor Address: `t_,4Q 1. ~ City: (~1 LAA-t',
State: Zip: 5~D1 `f Phone: to Sl `7 S4 2m-W4
License C/2601-7 `4 O Lead Certificate A L ~1D -
If th project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
r
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classed as non-public if you provide speciflc reasons that would permit the City to
conclude that they are trade secrets- w.
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.uooherstateonecall.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.
Exteriorwork authorized by a building permit Issued in accordance with the Minnesota State Building Code mus be completed within 180
days of permit issuance.
x x
Applicant's Printeld N me Applican Signature
Page 1 of 3
Use BLUE or BLACK Ink
r-----------------+
I For Office Use �
� � Permit#: � ���'" � �
Clty Of ���aIl ; . �,a ;
Permit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
` Name:��r`'�`►—���'l ������ Phone:
��SIC�e�Iti /�
� ��tyti��` : Address/City/Zip: ��S'=�� ����'��.����A�,��G� �4s�.Z�
�.� ,;. ,� �
�: Applicant is: Owner Contractor
Descri tion of work: � S�� � �{(�� � ���� ���(��/�L,.
T�r.#�of'Work , �y� ��� S TZ j'I��-
Construction Cost: � Multi-Family Building: (Yes /No
Company: �E��� �������W�L`��onta� � �'.Elll�C�f,�"�L7 1'U.S Z- � �i
�Ufl��'��'�O�'.
Address: ����7v ��� � �o �City: .r`�J��'�...�
1d
� , ,
� � � h'° ' � y���� State f��Zip:� Phone: ti �' Email:
, � �s°c�.3
�'���'�� License#: � � �� Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
�r����t--` s.� l�g�
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:
N�TE:Plans�nd sujap�rting tic�cumen#s th�t you subrr�i#are��nsitler�d t�bs publi�informativr�. PQr�ions�f
the irrfarmatic�rr.may be ctassit`ied as%a�irrt pubf���if.y���ro+ride�specit`i�.r�asc�r�s thaf wc�uld permi#the C�ty tv
con�lua►e�tf���;,h� �are fr�de secr�ts�,,'
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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_1f�r���� C � l�o�� X C�f ��
Applicant's Printed Name ApplicanYs Si ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130965
Date Issued:05/26/2015
Permit Category:ePermit
Site Address: 4581 Cinnamon Ridge Tr
Lot:2 Block: 2 Addition: Cinnamon Ridge
PID:10-17400-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James R Skille
4581 Cinnamon Ridge Tr
Eagan MN 55122
(651) 890-3669
Custom Remodelers
474 Apollo Dr
Lino Lakes MN 55014
(651) 784-2646
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
---------,
� For Office Use �
cl�y of�a��� � �3 iq��- �
� Permit#: �
� I
� Permit Fee: �
3830 Pilot Knob Road � I
Eagan MN 55122 . , I �
Phone:(651)675-5675 � Date Received:�-a�� �
Fax:(651)675-5694 �
JUL 2 0 2015 � StaffS� '
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2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of pla�s with all com ercial applications. ,./� �,.�
Date: (5� %�b� �,lJl�Jl.J�1�(�Kl / 1 , '�///�„ ,
�/ �� Site Address: J�� �/ ��O�Z
Tenant: Suite#:
� �� (�� `1 �(O(a
Resident/Owner Name: 1��IG I Phone: �-
a � ,
Address/City/Zip: � � �� � I rJ � ��,, , �� ��
� �� �- Name: �v ��� �, �icense#:
� � � � Address: � �t�l� City: �Cl���
�Corrtractor e � � �� �
State:�_Zip:��7�/7 Phone: �� � � " (a�
�, � /' /
`. Contact: � �! EmaiL• lG GJ ���b-C�if� �Q,Tlr� ��QyY/
New R placement Additional Alteration Demolition
T�pe,of Work ; Description of work: � � (.f ��L°(:,� T � �-
';, 'NOTE:Roof mounfed and,ground mounted mechanicaF equipment;is required to be screened by City ',
Code��Pl�ase cflntact the.Mechanic',al lnspector,for informa#ion,on permitfed,sc'reening methods:.
_.
_ . . _ _. -
, ..
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5 RESIDENTIAL COMMERCIAL
''� _Furnace New Construction _Interior Improvement
P£rml�T�/��' � �Air Conditioner �L�{���' _Install Piping _Processed
� ; � � �_Air Exchanger � Gas _Exterior HVAC Unit �
'S _Heat Pump Under/Above ground Tank �Install/_Remove)
Other
RESIDENT/AL FEES
$60.U0 Minimurre Add or alteration to an existing unit(includes$5.00 State Surcharge) �
$100.00 Residential New(includes$5.00 State Surcharge) �i4 y �5-�' �� _$ f TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.Q0 Underground tank installation(removal =$ Permit Fee
*If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge"
*"If contract value is GREATER than$10,010, Surcharge=ContraCt Value x$0.0005
'"*If the project valuation is over$1 miliion, please call for Surcharge =$ TOTAL FEE
I hereby acknowledge that this�nformation is compiete and accurate; that the work wili be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit;but oniy an application for a permit;and work is not to start without a permit that the work wiil be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x � ���1.- �/� X �,,,.�,'"'�''�` � �,,�°>
Iv
Ap lica 's Printed Name Applicant's Signature
F,QR'OFFIGE USE �` K y` �
Requ�reri Inspect�ons " Re��ewed By � Date:
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�'l�nti�rground r�. Rough kn ; Air Test � Ga��eriiice Test :°. Llrt=floarl-�eat ; Final. HU�IC Sc�eening ,, „ '