916 Curry TrCITY OF EAGAN - -
• 3630 Pilot Kno6 Road, P.O. Box 21 •199, Eagan, MN 55121 NQ _ 13311
PHONE: 454-8100 Receipt N ?/43?
BUILDING.PERMIT
Tobeusedlor SF DWG/GAR Est.Vaiue $67,000 Date iXARCH 6 ?87
Site Address 916 CliRRY TRAIL Erect 14 Occupancy R3
Lot Z Block Z Sec/Sub. NORTHVIEW Remodel ? Zoning Ri
Parcel No. MEADOWS 2ND Repair ? Type of Const. y
Addition ? No. Stories
W Name ?YLAND HOMES Move ? Length 42
3 Address 14450 BURNSVILLE PKWY Demolish ? Depth ?Q
° B' VILLE 894-2636 Int. Impr. ? Sq. Ft.
Ciry Phone Install ?
a
o Name , SAME APProvals
i
$ ? Address Assessment
? City Phone Water 8 Sew.
Police
? i Name RALLQUIST Fire
nddress En
aw ciry BLMGTN phone 831-1875 Planner
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and CiNDyEaqan Ordinances.
Signature of
Council
Bldg. Off.
Var. Date
Permit $ 388.00
Surcharge 33.50
Plan Review 194.00
SAC 625.00
Water Conn. 525.00
Water Meter 67.00
Road Unit 305.00
Tr. PI. 180.00
Copies?
Tnlol ?
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicab g`t of Minnesota S tes an/d/City of Eagan Ordinances.
Building ORicial ???.1 L..c_ ?di .IC
? M
(Itrti#iratit a# 09rrupanry
titp of (tagan
a4mrtrnrat nrf lutlbing JWrrttnn
This Cer[ifcate rssued pursuant to the requirements of Section 306 of the Unijorm Building
Code certijying thal at the time of issuance this structure w+us in compliance with the various
ordinances of the City reguTating burlding co?rstrrrction or use. For the following:
use clamficauon SF BW/C"AR Mdg. Rrmit xo. 13311
O-UW-Y TYM R3 Zoomg Disuict Type ConA, v
Oxmer of Building, i'Vi,4`ID How?, Address ? j ) B i v I i : ?? ?73"alIE
BmbiM Addrcs ? 16 CIFW Lomfiry B1. ISMTW. 71M
Drte:
BuOding OHerial
POST IN A CONSPICUOUS PLACE
? . CITY OF EAGAN . . ? fl ????
? 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 !
BUILDINGi PERMIT PHONE: 454-8100 Receipt #
•F :±',-?:Ii:Aac
To be used for Est Value abi,o()() Date 4r1RCu b ,19 87
Site Address 146 G['RftY TE,.o f L Erect C? Occupancy
Lot 'i Block ? Sec/Sub. NONZHVI9110 Remodel ? Zoning ?Z
Parcel No. MEAU.)WS Repair ? Type of Const L'
Addition ? No. Stories
kMUX'() 30"iLS
¢ Move ? Length 42
Name
z 14450 Sl'RNSVILL? P?(i;Y Demolish ? Depth ?
o Address ?
8 V1L' Int. Impr. ? Sq. Ft
City
- Phone Install ?
o Name SAt4€.
? i Address
~ City Phone
8 W W¢
W
r
v0
a=
` W
l1AW.XIST
Water &
Police _
Fire
k. i=31-IA1S tng.
Phone Planner
Council
I hereby acknowledge that I have read th is application and state that the gldg. Off.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC
Var. Date
Signature of Permittee
tfFY'rJ1riD ?U??F5
Surcharge "• "'
Plan Review $'??
SAC S' ,, Water Conn. 25.00
Water Meter 61.W
Road Unit
Tr. PI. ??•?
Copie
Total , .
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
• PermR Na PeonMt Ho1dK Dafe TN"h"w M
Olumbiny
H.vAA.c.
EbcMc ? /
SolhnK
Inspectlon Dtte Insp. Commenis
Footlngsl ?
Footlnye11
Foundatbn
Framiny 416?DS 3?ir+S
fiooHny cJ?Gr?i2. -1 s - ? v-? -
Rouyh Plby. G
Rouph Hty. ?
Imul.
Finplacs
FInN Hta•
Final Plby.
81dp. Flnd S'?j.j=fn ?If .
Csrl. Oee. Sf f_ r ??
Oock Fty.
Doek Frmy.
Wsll
Pr. Dlsp.
?;-.?
? ? F ' ' • MECHANICAL PERMIT
CITY OF EAGAN RECEIPT # •
' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
, CONTRACT PRICE I 1?? PHONE: 454-8100
_ .. _ „
Name
Address
` c City Pr ; A f j,1... Phone y-81 '
?:.
Name
Addre
? p City -
Phone
OF WORK
d Air 7? M BTU
M BTU
eater M BTU
nd. M BTU
CFM
iping Outlets # ?
i. TYPE WORK DESCRIPTION
)14 New ?
Add-on
n. Repair
FEES .?
'j
fiES. HVAC 0-100 M BTU -$24.00 j
;ADOITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIn
- 1.50 EA.
COMM/IND FEE - 146 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MI4MUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
- ,, - ?
FEE
S/C: SIGNATURE OF PERMITfEE I
TOTAL• •
FOR: CITY OF EAGAN
,.? ,`xa,a:'.?-_ ---------?--?-?
' ' + • PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
i C?NTRACT PRICE: PHONE: 454-8100
Site Address 9 ' n
Lot ? Block 7 SeciSub ' ' 'l f i
Name ?21
?o Address
c City l?Ltiiu `1Phone '•,:.lu'-7 i)
Name - Y ?
3 Address
O Ci?Y Phone
FEES
CQMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE ?
k-:•? ?'.
BLDG. TYPE WORK DESCRIPTION
Res. X__ New x
! Mult. Add-on
Comm. Repair
Other
' RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
_1_Water Closet - $3 00 t
f Bath Tubs - $3.00
--/_Lavatory - $3.00 .; - 4r-*-%?
Shower - $3.00
/ Kitchen 5ink - $3.00 ?• ??= Urinal/Bidet - $3.00
LLaundry Tray - $3.00
/_Floor Drains - $L50
_/LWater Heater - $t 50 i? C
Whirlpool - $3.00
-,LGas Piping Outlets - $1.50 (- ? C.
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - 510.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: ?- ?
STATE S1C: - ,?
FOR: CITY OF EAGAN GRAND TOTAL: 2"• }"
CITY OF EAGAN Permit No: 8634 Datec 4"14 --R 7
3830 Piloll'lCnob Road Meter No: 76 lv Size:
P.O. Box 21199 Reader Na iD9 3?ss Date:
Eagart, MN 55121
Site
II
Conn. Chg: 222 . ultnd ? a • -- - ? utiiities RL
Acct Dep: 15. n0n%$jnTa dig 1?CoU 1
Permit Fee: '?"• u??*??h?? ??uni,;F . ELECIR?C •?? '
Surcharge: •? ??? ? t?Wwith the Clt?r oi Eagan
Tr. Plant -- L.. 'Urdlnanc
Meter. ca?, E:'.;4;04 ' ?
Misc.: gY
WATER SERVICE PERMIT
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pllal Knob Road
P.O. Box 21199 PERMIT NO.:
Esgan, MN 55121
P
1 DATE: ~
-
Zoning:
" Key2and Hames No. of Units: Z
Owoer.
Site Address;
Plumber. -
I agree to co
Ordinances.
BY
Date oi Insp.:
Cfty ol Eagan
Connectian Charge: 525 - ()(1nc3
Account Deposit: 1
Permit Fee: 10 - dQPd
Surcharge:
Misc. Charges:
Total:
Date Paid:
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
Recerven
$
i
19
& - DOLLARS
- IOD
? CASH ? CHECK
?
Thank You
White-Payers CopY
? Yellaw-Posting Copy
Pink-File Copy
I
BLDG. PERMIT ti0. 33
? a ?
r
01-3210 Bldg. Permi*_ ?
01-3422
01-3445
01-3446
01-2155
17-3860
20-2275
20-3865
20-38b8
20-3716
20-2252
2o-37i3
20-3743
79-3866
11-3855
Plan Check
Surch./hdm.
SAC/Adm.
Surcharge
Road lJnit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
7his request void
'8 mon[hs (rom
? Owner
Streei A,
Occupnm
/ Fire No. Rouph-i
Re n Inspection
quired? E]Ready Nuw
? ?N nCty In p ,-
ica. _ _.......,...r o Wh fl dv
I hereby requesi inspection of above
y - elactrical work instelled at
Address
^ , or
'j- r
?
GriB9e-?awe BIO ?pqD OF EIECiRICITY
7821 Univera 1 9. - Foom N.191
v Ave., St. Peul MN 5510A
Phtlne f6121 842-Og00 ,
nouBn-in
iH15 INSPECTION qEQUEST WILL NOT
BE qCCEPTED BY THE STqTE 9pqqp
UNLESS PpOPER INSPECTION FEE IS
ENCLOSED.
REQUEST POR ELECTRICAL IN5PECTION ee-ooaoi-os
? See instructions (or completiep thia form on bnck of yellow eopy.
"X" 8C/OW Wnrk Cnvnred M. Th- a.,,..,.._.
Thb rapuest vo1018 monihn irom
?I. the Electrical
?nsaectoq hereby
certify that the above
'nspection hea baen
mede.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
:*RYi'': PAYMF.NT OF FEE AT TIME OF
:APPLICATION DOES NCYr CONMTUM
: APPROVAL OF PERMffT.
: nusPDCrsox oF sENx Arm/oR MM
. TJ.ATTONS WIIS+ b7D1' BE SCfIED-
; ttt,ED vrrrII. rERMIT Fms Bffiu
: r.pPxovED.
P P.iCP Drinfl ^^-FF F^^ ^ -`Fi`iFF-
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF E7QSTING STRCCSLIRE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: .
i
PRESENf ZONING/PROPOSID LSE: (hbn ear
? ?+'TOERCLAL/RETAIL/OFFICE
Q IAID[,'STRIAL
n INSTI'IS;TIONAL/GpVfRNNNN=
2) ?
NAME:
ADDRESS:
CITY, STATE, ZIP:
?PHONE:
3) • i. ?
- NAM:
ADDRFSS:
i CITY. STATE, 2IP:
MK'R-1 SINGLE FAMILY
Q R-2 D[:PLEX (1wo L?nits)
C] R-3 TUUWNHOC?SE (Three + Units) ( Lnits)
? R-4 APAR7MENP/COAIDOMINI[T7 ( Units )
MASTER LICENSE#
9) k= ?-
NAME:
_ ADDRESS:
CITY. STATE, ZIP:
PHONE:
i
ActiVe
- ? E7cpired
Not recorded
i
Sta?f?Initial
?
5) :? ?? ? r: •?• : a • o? - x?
CONNECPION T0 CITY SEWER Ga"'CpNNECpION 1U CITY WATER a pR'HER '. .
6) u •' ? r PLEASE HOidl APPROVID PERMiT EY)R PICK-UP BY ONE OF ABOVE .-- -_
? PLEASE MAIL PROVID PII2MIT TU 1, 2, 3, 4, ABOVE .
7j r ' ? (Circle one) .._ ? cl{.? / ?_ ?'7
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES: •
$ $ /D -`,?D SEWER PERMIT ( INCLODE SCTRCHARGE)
$ $ ?O •S?? WATER PERMIT (INCLODE SORCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ / ei ACCODNT DEPOSIT - WATER
$ ln'? $ WAC
$ CJZi' $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ " LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ J3 7 $ '3i D i? TOTAL
r333 _ y63
RECEIPT ? RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PL'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLIC
Q
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
3
13
I
1987 BIIILDING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
INCLODE 2 SETS OF PLANS, 3
OF SIIRVEY, 1 SBT OF ENERGY C6LCOLATIONS
NOTE: ADDRESSE$ FOR CORNER LOTS - CONTR9CTOR/HOMEOANER MDST DESIGHAYS WHICH ADDRESS
IS DESIRED. NO CH9NGES WILL BE ALLOWED ONCE BUILDING PEAMIT IS ISSDED.
M[ILTIPLE DfiELLINGS - RSSIDENTI9L
INCLUDE 2 SETS OF PLANS, CES
1 SET OF ENERGY CALCULATIONS
COPMERCIAL
RENTAL IIAITS FOR S9LE UAITS
OF SDRPEY - CHECH WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE SOND'
& STR[ICTURAL PLANS,
SET OF
(?7tCIJC)
To Be Used For:.? ?'Qc(,rr P Valuation:
Site Address 9146 OFF:
Lot L. Block ?Z-
Pareel/Sub Ozak,6 °J;L
Owner &4 ?? /4jy?,rs
_
Address 4y,SO
City/2ip Code
Phone e 9 v -
Contractor
Address
City/Zip Code
Phone
Areh./Bngr.
Address
C1ty/Zip Code &iy?,'64 Phone Ik R,71 -
Date: 3' Y"- 8/
On Site Sewage_
MWCC System
On Site Well
City Water ?
APPROV9LS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off
APC
Varianee
Occupancy
Zoning
Type of Const
(Aetual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
-3
?
T-
qZ
48
Permit 38g
Sureharge h?j.sa
Plan Review Iq 4,
SAC, City IDO.
SAC, MWCC SZ5
Water Conn SZ$,
Water Meter (o? ,
Road Unit 3cc?.
Treatment P1 I1?1-0' '
Parks
Copies
TOT9L
? ? .
ZD K 22 "
g oc?
= ?oo ?` ? ? --------- .
f o x (c)
C ??;?00
'-; rage i or ti
.-=•. l EX RIOR ENVfLOPE AVERlIf,E "11° COMPII7A"ffpN
OwNE R:
---?--------- nnir:
-----?'- '? oc
?=-o-?
SITE ADDR ESS: PIION(::
CONTRACTO R:?IQIND
Determine working square footaqe of each
1. Total exposed wall area.....
--LV4`_
sq. Ft. x .11 =
z
2. Total roof/ceiliny area..... I p
-1-?---- sq, ft. x.07.G
--- 71.
Total exposed wall area aNivc I'loor=_ _17*,
a. Total wall window area ...................... ..
.
Total
door area ............ .............
. .............
..... ?
.
c.
Total .
..
sliding ylass door area ............... ....................
.
....
..... .
d.
Total
fireplace wall area................... .
.........
........ .
,
e. Total wall framing are,a (averaqe 10%) ....... ................
f.
Total
rim joist area ........................ ....
..
......... .
, g. net viall area above fioor ........... ......... .
h• '
.....
wall area above floor................
....................
.
..
.
? ?-
1
?• wall area a6ove floor....;? .......... .
................
............. .
J.
fram
e wall area xt foLvidation. " ............ .......
.......:............ .
.
Total exposed foundation area= _L0F(Q__
k. Total foundation window arca
1.
Total ................
net foundation area above grade ....... ....... .r
.......
__ /s[O
? Determine "u" value of each wa ll segmenC
(e.g, window, door, each separ ate wall section)
a.___--?-?-I---- X „u„ ,
b. 38 .31
?. 4o X U', _!9-e
--- `? ?-- --
d. X ,.ull _
i :
!' x
--- _- ----?`?--
f. ! 3z
-
? x ,lu„ 9?}= --s----
i ?? r31s x
- °u°
- •05
-? __??_
I h
I
, - x I??, -
-.
- „u,l _
-
J .
' ? X ,lu,l
--
-
k.
I' x „u„
- _
X 5.3
3 . ........................ ..... ....Total
Tf item R3 1s the sani
as, or less than item
H1, you have met the
lnlent of SDC.6006 (c
r Lnvelopo Average "U" CoinputaCion
1ol•al exposed root/cciling area =
m. Total skyli.yht area ............................ ?
n. Total roof/ceiling framin9 area (nvcraye 108)... n?
o. ToL-al nct insulaL-ed roo.E/ccilinq ;ir.ea........... q
Pa9e 2 of 4
. Determine "U" valuc for each roof/ceilin9 segmenC
M. g "ul. _
n. ?-?-F-- ? ????? b?4, - _ 2•?
o, - q3(2- x„U„ . OL = l8''?
9 ........................... 1bt-aI = ZI, Z
If: total 'of ;k9 is L-he same as, or less 1;han 112, you have meC L-he intenl- of SHr.60Qfi
Alternate IIuildin F,nvel.ope Desiqn
'ib ut.ilize the total enyelope'systGn method, the values established by Clie snm of
i.tems 113 and 49 shall not be greater than tlie swn of itelns Ikl and I12.
?'• ?,_?0 ? •F 2. Z.7 7.J . . .
3----1-?? + n._ 21.2 ?_I lo. g
...._.?
;
?
arn?,r, r,rc•r;nr+:?
.r J?q of ??l"imm vall aren foi•
frnm: connl rucl 1un
ALL
? _ . ----- `td
?
F1G. pl 7'(JPVIEI4 OF
PItAltE IJALL
,
FIG. 02
ISFAL .rA
yc.-al
r^
c
.
?zzcir L
.
- •?---•?_?,
?^ •?"?'li? ? ' 3 ?J
-----
,,? ? ?_??..` '?. ly ?•
? ?'_.. , 1.... ,
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., .
}. . <<. , • ..__ --?-----?-{?
." r1 •/??. ti
-?1?----??, - • . .
! ,i4 11 t ':'1;I )
C(WrI iac?l .i?n?ii? ?
_. _. .. 1 F.°W\l? I;?-vnluo
-. .... .
:. ._? ..?aYP $
_ A-
,. 3.?•????:??,, , ??? ..,, -__ .. .. ...
a?
;. _`?j.?.D./r-!.lO. ..... .. ... _ _. .... . . .(oZ„
?. }:r.lcriur ,al[ ti:m ?. .. U.17
rz.z7
u=,oa
i
z
?
a
s
G
1.
z.
3.
4.
S.
b.
1.
2.
3.
n.
J.
6.
INSuL..
Intvr)nr_nir .'ilm (1.G0
_Y.Z'_Cr_Y.f?._?8P_.•.. ?_.. ___...__ .._ ..?_? 45
_........._._.._. .
...-
k:xCcrior_ai,r 1ilr.?- •--
p
?
'PaCil
Zd??
lJ"'?5
l
?
lc
?i?nlr film U.Cff
_IL?'as.t1......3 ----
_2?J?.-----_..._.. _...- ---? --------_.--- -?•89
--?'-v-r?L?_------ _. -- -------G-?a
F;xL'crlpr nir
-
?,?ea i
U=.o9
r-. k-'
[i ?! L , ?oc I. riu:, _ 0_Gn
. .. .._..... . . . '_ . .. . . . .._..
-- -- -- -? --- --------- --
'POl:i1?
C.
U='"A
of
St.11U orl (J=Uh:
.?
' • ?; ? " ' -r R,?r
y? r/ • .. .?,?? ??1?? /?? '
r4. `??' r
? +'3? ?; • ? Y.
• ,?.
tl ? ???. J 1
._' ? : • ? ? . i
?.?a.
_. _...,..._._..._ ._._'.........._ ._....-_". ....
? . . • `' .._-,. ,
?. n?.? F, ? ? " ? • ?
•t ? fl
• .. e ...
ir? ? • . , ' / /' I
irI
I14 =.. ?, • . • ' ' •? l?l
f f l ?? • :> ?
rir
i?? ._ ?•'r • ??, ;
IlU'I'6: ? IndlcaLC ly,ic, "R" valui!, iJ?.pth nnci
? pl.icrnent o( in:;ulalton.
" '? .?`..?'..-+vvwxa¢9r,pIl i^2?TOCT,'u"r"•'. "
PLAc`( *k 33zS
¦ LirvFAL FT, F-XposEp
?LOGICIii' Z(v+9o-+2-tc44p-= 13Zr
4,.??E ; ?3Z
ULL I'll'' ?32
!!;'
=vLL2: ; ?--
_
- i R..Et?L?G.E
21M: ii ( 3z
3LocIC'
1CN EE
W.O. PuLLI;I ;
FuL'I-
F,
WALL
T:7?"r. ?t?r?oSED wALL AZEA
? 3z K , S = tece
I 3 Z 1C. 5= G?o
x 8
/3z
K -
?3L X J = 13z
, TotAL. = f 9 r?
F-KPoSE--D GEI LIIJq LGx4o = l ogo
?
?
? W D W15 1? D oo sz5 Li1
39
? Z?4q it , s
?oGo 11 , Z S ??ATl O DR.S ,
. ?I 7,844
?? • ?? f35 M-+ U? i+5
...,,,.?.?....,. ?
?
?
' I L ,.._
?or/cezLi?c . •
const_ ruct?oTI ?-vnluo
y, Intcrior air film
i 3.
(I ?
I?`;?? ?? 4• Extcrior air filn. (still ? 0.
Vu1T Total i1spO,
.. . Oz .02 .
r • . . , ,
• ? ' FM4+?t a ' ' .
tnted Hea[ f.low ? 1. Intorior nir P.ilm O.Gl.
u .
p 2' -"' -'??•t? --? -?
. 3. L46uL 38, 35'?
. • 4, I:xtecio=a_1i tiln (sri?---- (I -,GT-
TotaL 2 . il P.,s" :
_j
Fzc. p5 ? . ,
. . , . ? U=.oZ4...
' _ _ . .? ^ • Cotiyr,.xvcri
.,,._.,...-,-.?,,.?,?ti'. .,ti.. ,.......r?? ?.'..... 0.61
- -=-?--•- =_---? 1. Tnsidc air filtn
,7- (--r
4.
. .
?• S. putsidc air filcn 0•11
`, • ?? ? 3 . 4- ? ? i. Tnside air Eilm. . 0:61 •
b • • . . . 2 - -
?S Y.cc[ flov uy • j'vented 3-
.
• ? ' ' ? ' ' S. Outsidc air filin 0.17
. _?_-._---
• . YTG. 66.? . _. ? . ? ... . . : _. aotai
.. •. ?3 -A I v ,v 1. Ynside air film ... . • -' 0.61
2.
? ,s,ei ?1'=:.. ?: ?:.:•.•;? 3_ - ? _
•.?-
, a.
? .. . . : ? • , . ... ? ; ?• ? ---1 . 0.17
air fiLn
TotaL
?c' < 1 .? ? / • .: . . ' . .
. ? . `: . ' • ' .
• HO'7-VII:TZD ••,? ? Yautc: Usn additional sheets if morc spaco i
Aeeded for details and calcu?atians.
' . ? Hcat ? ' ' •
- ; . flov up • • ? ' ?.
' ttzr. 27 ', • ' • • r• . .
HE.AfftOSS CALCULATIONS
WeathEnlrips A.J.t1.V.t,
Guide
Windowi Doors Reference
Yes-No ( Ya-No 19_
I Fl•I $.aA2ev+? Room Len¢th '7
Out. Wall I Int.
W;deh i/
INSULATION
/(,,' Wideh
aad Ares
?
Y DEVELOPMENT 2215
IOMIN6TON, MIN?E50T
CoasWetioe No.
bll Ceiline Roof
Wi ndows and Doora -Crackage and Area
Ne. {Vlath
of oane Helsht
of nane No. o[
IIiTb LIne11 ft.
o[ eraek Arca
tp. [t.
-L a-S 30
.
Coef. Bw
Infiltration c/p.5 a N a
Claaa 30,1 O 15y j-
E=p. wall a48
1Jet exp. wall l7 /S D
.I°erw.H- 3
Ceiling Ok I 01,20 S O
-fiaa?
iomi ntu.
_ Hequired sq. ft E.D.R. or sq. ina. W.A. Leader erea ?---
IS'F7•? "jy,q,,,°y oom Length aD' Width Height$1?
Wmdowe and Doors--Crsekave end A...
Nao Wldth
of Dane weIgh<
ot pan0 Ne. et
IIcMa yln?yl t(,
of enek Ar?a
M. fl.
//, f
? g vv a3,? n
Coef. Btu
In6ltration 35,? Z? 4 gL $
Glau
Exp. wall o f 8
Net e:p. wsll ot59 I 7 /$/ ?/
-lne:well- ,m do*?6 3 ? IG
Ceiling px / (o O 00
rTRNf- -
iacat Ccu.
Required aq. ft. E.D.R. or eq. ins. W.A. Leader sna -?--
/3T1.I Room lLenath Widih li ? 14e66e Cl
Windows an! Doon-Crockage end Area
-
tta. Wldt
h
of p.n. xdght
of pan. Ne. ot
IigAp Lln..l tt.
et eneR Area
p. }(,
1 0 o N 3.7,
Coef. Btu
Infileretion yyy 5 7 l06(,
3.2 4 0 ? o
Eap. wall ' /A
Net e:p. wall qSL 6(o
Ire....ll- i 6 fo 9 6
Ceiling k/ 56 1 2.51 b
'F1oar--
aoial nIu.
Required p. ft E.D.R or p. ing.
kyw y7v9q .=
Ne. WICth
a[ pane XoIght
e[ pot, N0. e[
14pb Llnul tL
otrnet Ana
q. It.
U.c ? So s' v.;?
Coef. Btu
1n61erstion 3 ya
Glen ya Sa ?
Exp. wall + O a °9 _
Net elp. waU 166 6 a
-]nt_wall ,-M 6 L / 6
Ceiling / O L1oD
Floor
Total &a y/o$,
Required q. h. E.D.R. or sq. ies. WA. I.esder arca
16"F7.I RoomlLenath a'dth /o HeiBhe iF
?
wmaom ana uoors--a.rseu ge ana nrea
Ne4 WIGt
et paee, 8e1g?t
ot puu Na ot
IfghU LIeHI fl.
ot emcY A,n%
q RL
l aa. ? i
av 4, i ii,s v
?
i
coef. W
[nfilention 4 8 a I
Glsu G,
Fsp.well Jq- (. + ib x MI,rd
NN exp. wsll / 70 / ! q
.lwrwsll R.)n lLl-(o4 io 4,1. ? y
Ceiling I C/_ L I 0 ?q -2, S (o
l"100?
Total6tu. $y?
Requircd p. k. E.D.R. or sq. im. W.A. Leader srea
1.54 Fl. Fo t iz Raom I Leegeh D' Width (d ' Height b"
Windowa sod Doora-.Cnelcsve end Area
N0. mu
et 0?ee F-HYSI-gh-I
et ao? Na Of
tl,
ihb LInsH tt.
ot orselc Am
M. [!.
peR -4? /f(.7 i7 !j
U m i i 4. 3 0
Coef. Btu
Infilttation a y 17AR
Cl.a 7. o 0
&p. well 6 c?
Net e:p. wsll L,
4ne-walh /I,rn ?/8
Ceilin8 7/ O $ p ' ? O 0
Floor
U? I at.l euu. 3a 3 _
A. Leader arca _ Requind q. h. ED.R er p. ins. WA. Luder area
?--_MDN_ ITJ L
"OMb?v riPF/l€FJY"1213?4VESTELQ"SR%CR6
H§A.T'LOSS CALCULATIONS ROAD, BLOOMINaTON, MINf4E50TA 55431 681-5871
Weatheratrips i GUj? Conetruction No. INSULATION ?
Windaws I Doora II Reference II Y es - 0 19 Out. Wal] Im. Wall Ceiling Roof Floor II Kiod How
Yes-No _ ?-
Windows and
a wiath
and Area
wiatn
winaowe sna uoors--a.racca ge soa nres
Ne. wmtn
et pan* He4ht
of "ne No. al
IIgEIs Llenl tL
ot enek Area
W. [t.
Coef. Btu
1n61tntion
Clus
Ecp. wall
Net exp. wall
lnt. wall
Ceiling
Floor
No. Wltllh
of Dnne Ne16ht
of Dsne No. e/
Iu Llnaal It.
of enck Arce
?p. (t.
i q
a 36 a No o,q •
? a yy a aa,? i,3
? a y 3 Yo,s 30,9 Coef. Btu
Infiltratioe ! 1 ?/, a 753
Glaas 87 (> So q 3$0
Fxp.wall tld+ (o+ 4a+2 i. = 1 $
Netexp.wal! lv00 000
-Int-Wa11
-c7m-ng
Floor ya ? a e ?o4d 7 7?y?1
7otal Btu.
ft. E.D.R. or
ins. W.A. Leader area
ngth Wideh
kax and AreaI
Windowe and
N. Wlatn
ot Dane Nelini
o[ pane No. o[
IIgTN Llnul f{,
of enelt Aroa
p. [4
Coef. Beu
In6ltratan
Clsa
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
lata: 8tu.
puired sq. ft. E.D.R. or aq. ina. W.A. Leader arca
Fl•1 Roum I L,ength Width
Windows and Doors-Ceackaae and Area T
Ne. Wldth
of Da^e Ha1sAt
ot pane No.a!
Ilchln I.1naa1lt.
a[ eraek Are?
p, ft.
Coef. Btu
Infiltration
Glaas
Exp. wsll
Net exp. wall
Int. wall
Ceiling
Floor
lotal tStu.
Required aq. ft. E.D.R. or sq. ini. W.A. Lesder arca 1
'fotal Btu. ?
Required q. h. E.D.R. or p. ina. WA. L.eader area
F7.1 Room ( Length Width Height
wmaovn aoa voon--a.neea ge ana nrca
Na WIEth
of psva ReIgS!
ot V?ne Ne. et
Ilgbts LIneN .
ot cnek Aroa
w. f4
C.Def. tu
InSkration
Glaa
Fsp. wall
Net ezp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required q.ft E.D.R. w aq.iee. WA. Leader srea
F7. Room I L.ength Widt6 Height
Wiodovw sod Doon-Cneksae and Ares
Na Wlelh
atWw NNist
otae? Ne. of
Il?ht? L/nwl tl.
etanc¢ Am
p.f6 ,
Coef. Btu
Infiltration
Glaa
Enp. wall
Net e:p. wsll
lnt. wall
Ceiling
Floor
lotal Htu. "
Requircd aq. h. &D.R er sq. ins. WA. I.eader area
-?„
, ,,
? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 i
651-681-4675
New Construetion Reauirements
. 3 regislered site surveys showing sq. tt. of lot, sq. ft. of house; antl all roofed areas
(20 h mazimum lol coverage allowed)
• 2 copies of plan showing 6eam 8 window s¢es; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservatbn Plan if lol platted afler 711/93
• Rim Joist Delail Options seledion sheel (bldgs wilh 3 or less units)
DATE (OlWp I g t_
RemadellReoair ReauiremeMs
. 2 copies ol plan
. 1 set of Energy Calculations for heated additions
• 1 site survey for extenor additions & decks
. Indicate if hwne served by septic syslem foraddilians
VALUATION ?d
SITE ADDRESS f?j6 (1_„- ?v :'YZ XA-l,( , MULTI-fAMILY BLDG _ Y _ N
TYPE OF WORK R Q -IRll.,'?- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREETADDRESS ?_ CITYC?r-- STATE?ZIR3j.J2.?
TELEPHONE #(,.?I-
YS2.-Qcjt-L- ELL PHONE #?o?D -1(,l- FAX #
6b s-
PROPERTYOWNER-tV?j=jo.. TELEPHONE# 1?7$6-7YS7
-------------------------- ----------- ----------- --------------------------------------°-------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'CA RULF-S 7670 CATEGORY 1 MINNLSOTA RULES 7672
(J submission type) • Residential Ventilation Category 7 Workshee[ Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalCUlations Su6mitted
Plumbing Conhactor: ____
Plumbing system includes:
Mechanical Contractor:
Ylechanical system includes:
Sewer/Water Contractor:
Air Condilioning
Heat Recovery Systcm
Phone #
JUN 2 '? 'L0?2
Fee: $90.00
#
Phone #
P'ee: $70.00
-------°-----------------------------------------------------------------------°------------------------°--------------
I hereby acknowledge ihat I have read this application, state that ihe information is correct, and agree to comply
,-Ordinances. ^
with all applicable State of Minnesota Statutes and City of Eagan
Slgnature of
OFFICE USE ONLY
_ Water Sottener
_ Water Heatcr
No. of Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
RESIDENTIAL BUILDING
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements RemodeVReoair Reauirements Office Use Onlv
3 registered site surveys showifg sq. ft of iot sq. fl. of house; and all roofed areas 2 copies of plan CeA W Survey Real
(20% mazimum lot cove2ge allowed) 1 set of Eneryy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addi6ons & decks Tree Pres Not Reqd
1 set of Energy Calculations Addi6on - indicete iPon-site sepfic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detsil Options seledbn sheet (61dgs wtlh 3 or less units
Date --5__ / -g)- /
Site Address ? Construction Cost ? ZvyT)OO
Unit/Ste #
Description of Work 6a p yy,A4z?4
Multi-Family Bldg _ YX N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ttj?Ann.?}j'?a6ijo : Y ,vev }1p{t N qy, Telephone # ((pfl) Gg (o --7 V,97
Contractor AzOL' ff1+ef )t,4`n K? OJIo r'nN?
Address q Z,Q c? l^ 1- V?` 14
State ? N A City ?? /?-??
Zip S71-,1_72,gTelephone # (G? )
v , • J
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Submi@ed
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Su6mitted
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which
approval of plans.
pplicant's Printed Ne
i
:(hX,' 2 7
?
and
RESIDENTIAL ?
BUILDING PERMIT APPLICATION <gA`
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Constructian Reauiremants
• 3 registered site surveys showirg sq. ft. of lot sq. R. of hause; and all roofed areas
(20qo masimum lol coverage alloweA)
• 2 copies of plan showing yeam 8 vnndow sizes: poured found desgn, etc.)
• 1 set of Energy Cakulatians
• 3 copies of Tree Preservation Plan if lot plaped after 711l93
. Rim Joist Detail Optiore sHection sheet (hldgs with 3 or less units)
DATE ?-.oc? . oa
_ Water Softener _
Water Heater _
No. oFBaths
SITEADDRESS MULTI-PAMILYBLDG _Y _N
TYPE OF WORK . i Q?;
APPLICANT RMA HOME SERVICES INC.
Home Depot Installed Sales
$TREET ADDRESS 3200 Cobb Galleria Pkv?y., Ste. #200
- Adanta, GA 30339
TELEPHONE # 763-542-8826
BC-20268257
RemodePReoair Reauirements
. 2 copies of plan
. t set of Energy Calculations for heated additions
• 1 sile suroey br extenor additions 8 decks
. Indicale i(home served 6y sep[ic system for additions
2 /? On
VALUATION J,IUQO?
? FIREPLACE(S) _ 0 _ 1 _ 2
U?t1?f?
_CITY STATE_ZIP
FAX #
PROPERTY OWNER ??'M ?OhC\SO'(?1 TELEPHONE #ICEI • SG&^ 14S?
COMPLETE THiS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSOTA RULLS 7670 C:ITEGORY 1 MINVESOT:1 R(iLLS 7672
(J submission type) . Residential Ventllation Category t Worksheet Su6mitted . New Energy Code Worksheet Su6mitted
. Enerqy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Conhactor:
Mecf?anical system includes:
Sewer/Water Contractor:
Phone #
Phone #
_ Fee: $90.00
???
?-- - ? 7
I'ee: Si0.00
--------°--°-•----------------------------------°°----•----•---•---°°---------------°-------°---------------------
I hereby acknowtedge that I have read this application, state that t information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan rdinances.? 2
SignatureafApplica
OFFICE USE ONLY
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
- .1ir Conditioning
Heat Recoven' Systcm
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Installed
Siding andhqffff"spOWER OF ATTORNEY
OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales located at 660 Mendelssohn AvenuE North, Golden Valley, MN
55427, having a licensenumber of BG 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("AgenY') as my true and lawful
attomey-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be requirad by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers comeyed to-the Agent by this Limited Power of Attomey aze
liinited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attorney shall expire and automatically be revoked on the 30th
day of May, 2003, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the PrincipaPs death,
disability, incapacity or incompetence.
IN WITNESS WHEREOF this Limited Power of Attorney is executed this
30TA day of f+/1/h`f , 2002.
David . z
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
30`h day of May, ?
Notary blic in for the Stat o eorgia
My Commission Ezpires: 7anuary 21, 2006
i96615.v3
Proudly sold, fumished and installed by RMA Home Services, inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atianta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984•0709 • Toll free (800) 79•DEPO
PERMIT # `s S S o S
RECEIPT DATE: ?, V -O ? u ?
2002 RESIDEN'Il'IAL PLIJMBINfi FEftM&T APPI.IlCATION
crrY oF EAsAv
3830 PILOT KNOB RD
EA6AN, MN 5512E
651-681-4675
Please complete for:
SITE ADDRESS:
single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
OWNER NAME: :JD hnSf-o. a I oYj? TELEPHONE #: 997^7
(AREA CODE)
INSTALLER NAME: ?f r • I't O??O/VD'?l?? TELEPHONE#: ro?'' ?IaS I2>!j6
STREETADDRESS?fOT? (AREACODE)
CITY: Fl.l(31U. STATE: ???il ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
RPZ: new installation/repair/rebuild 30.00
_
lawn irrigation system ? FF S
_ _
SEP 1 9
ReplacemenUadditional: _ water softener ' water heater [E?y
State Surcharge $ 50
g
Total
I hereby acknowledge that I have read this application, state that the infortnation is correct, and agree to complywith all applicaGle Ciry of Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City ofEaganassumesn Iia6iliTyforany i 9escausedbytheCityduringitsnormal
operational and maintenance adivities to the §cilities wnstructed under this permit ? hin i? npylright f vay/ me t.
Jvl
51 AT RE OF PERMITTEE 1 02
CITY USE ONLY
PERMIT #: ? ??; 714 RECEIPT DATE:
RXSIDENTiihL MECH4IVICAL PERM1T APPLICATION
crrY oF easniv
3830 Paar aPOS sn
gasnx IOasY 22
e51-661,4e75
Please complete for: D single family dwellings
townhomes and condos when permits are required for each unit
Date: l ? o
l
SITE ACDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
STATE:
Plara a rhar4 marir nart tn Thn normi} wnrlr tvna
TELEPHONE #:
(AREA
I
TELEPHONE #:
(AREA CODE)
ZIP:
New residential dwelling unit under constructionand not owner/occupied $ 70.00
X Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace repiacement
• air exchanger
• air conditioner
• other
Nature of work:
.?-
State Surchar e $ 50
2
T
t
l
o
a
Reminder: Cal[ for inspections.
01
5rANbARO HpAfiiNtl & AIR CtlNbI7itlNiNO C0.
410 +NEST LAKE STREET
R1 ?-P?.<!..?,55R
SURVEYOR'S CERTIFICATE
N
?
N>?o5?,3\
W
i?
i
li
?
?
REVISED 2-02-87 TO SHOW PROPOSED HOUSE
BY KEYLAND HOMES
REVISED 3-04-87 0'
?- DENOTES PROPOSED SURFACE DRAINAGE
O QENOTES TRON h10NUMENT SET
• DENOTES IRON MONUMENT fOUND
X000.0 DENOTES EXISTING ELEVATION
(000,0) DENOTES PROPOSED EIEVATION
` J
v
SCALE: 1 INCH = 30 FEET
PROPOSED GARA6E FLOOR = 970-¢ FEET
PROPOSED LOWEST FLOOR = 967• S FEET
PROPOSED TOP OF BLOCK =970•7 FEET
WE HEREBY CERTIFY TO SIE NNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF 711E BOUNDARIES OF:
Lot 2, Block 2, NORTHUIEW MEADOWS 2ND.AD[lITION, accord,ing to the recorded
thereof, Dakota County, Minnesota. (THIS'LEGAL DESCRIPTION WILL QE VALID
UPON THE FILING OF TNE PLAT.)
IT DOES NOT PURPORT TO SHOW 1MPROVEMENT OR ENCROACHMENT, IF'ANY. AS SURVEYEQ BY ME OR
UNDER h1Y DIRECT SUPERVISION THIS 140"DAY OF 43'js{ , 1986. '
APPROVED FOR SIENNA
CORPORATION
aY:
DATED THIS DAY OF
19
aROJ6CT N0.
86543 (87051)
FILE NO.
' FOLDER
SIGNED: JAMES R. ILL, INC. /
0
. /
?-
aY:
HAROLD C. FETERSON,'LAND SURVEYOR
. MINNESOTA LICENSE NUMf3ER 12294
BOOK / PAQE JAMES R. MILL, INC.
Planners / Englneers / Surveyolp
8200 Numboidt Avenue 8outh
Blootnington, Mn: 66431 812-e84-3028
SIENNA CORPORATION
3p
/
Use BLUE or BLACK Ink
I For Office Use I
I
City ofEap Permit I ! I
3830 Pilot Knob Road Permit Fee:
~j I
Eagan MN 55122 Date Received: (0-1
Phone: (651) 675-5675
Fax: (651)675-5694 1 I
I Staff: I
Q 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date`! 1'3 Site Address: L./Vfr
Unit
Name: ~sVS i,
~ f 1 Cal)C:? - ~S °.55~
Phone:
Residentl
Owner Address / City / Zip:
Applicant is: Owner .contractor
i
Type of Work i Description of work (
Construction Cost:
14 Multi-Family Building: (Yes _/N
Company: a y1~(g L^ rr1 CC)'~S°~ -~-„C Contact: 1 1 G~
I Address: 5(~o q 1 Min ~1 ~~,~11~1 i
# Contractor City:
i State: !LnN Zip: Phone: (03 1 W 29 `Ll ~3 . 0
r
License ~ N Lead Certificate #:NPT•-
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:
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 i
_ 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-h-o-u_rs-~1
before you intend to dig to receive locates of underground utilities. www.qoi)herstateonecall.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.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169138
Date Issued:05/17/2021
Permit Category:ePermit
Site Address: 916 Curry Tr
Lot:2 Block: 2 Addition: Northview Meadows 2nd
PID:10-52101-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Jesus & Carmen Rodriquez
916 Curry Trl
Saint Paul MN 55123--198
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature