3935 Clippers RdCITY OF EAGAN Na- 18399
.8830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? D?
PHONE: 454-8100
BUILDING PERMIT Receipt it ?
Tobeusedfor SF DWG/GAR Est.Vawe $137,000 Date SEP 25 ,1g9k__
Site Address 3935 CLIPPERS RD
Lot 12 Block 2 Sec/Sub. SHERWOOD DOWNS
Parcel No.
I w IName .TOE MILLER HOMES I
I Address 18133 CEDAR AVE S
Ciry FARMINGTON Phone 431-2001
o Name S? I
ga Address
? City Phone
Name _
Address
City _
Phone
I hereby acknowlage that I have read ihis application and state Ihat the
mtortnahon is correct and a e to comply with all applicable Stale of
Minnesota Stalutes and Cit Eagan rdinance
Signature of Permitee ?A euddmg Permd is issued to: .IOE MILLER HOMES
on tha expres5 condihon that all work shall be done in accordance with all
applicable State oi Mmnesola Statules and Ciry ot Eagan Ordinancas.
Building Oflicial
OFFICE USE ONLY
Occupancy R-3 M=1
2oning R-1
(ACtual) Const V-N Bldg. Permit
V N
FEFS
769.00
(Allowable) = Surcharge 68• 50
# ofSlones
Lenglh 60' Plan Review 5(1(1 _(1Q
Deplh SAG City 10n _ np
S.F. Toial - SAC. MCwCC 600, 00
S.F. Footprin(s _
625
00
On Site Sewage _ Water Conn .
On Stle Well Water Meter 90.00
MWCC Syslem X
Accl. Deposil
30.00
Ciry Water _g
PRV Re9uired _ SNJ Permil in- n0
Booster Pump -- S/W Surcharge - 50
Treatment PI 7 57 _ !lp
APPROVALS Road Unit 4 5 S_(1Q
Planner -
CouncA
BIdg.Off. _
VananCe -
Park Ded
Capies
TOTAL 3,420.00
Kr,Pi .rl V'Ka_hu r[R mx 1ri/0.i/91
BRAT) woLFFf, 688-7128 CITY OF EAGAN ,?.
' ,/ 0830 Pilot Knob Road, P.O. Box 211-199, Eagan, Mh155i21 "
J (.' ?....
r3UILDING PERMIT? PHONE: 454-8100 ? Receipt #
To be used for Sg pWG/(;Ak Est. value Date
Site Address 3
Lot lZ Block
Parcel No,
¢ Name
o Address ^City Phone
co Name SAME
;¢ Address
? City Phone
I a W I City Phone
I hereby acknowlege that l have read thls application and slate that the
intormation is correct and agree to comply with all applicable Slate ol
Minnesota Statutes and City, of?agan Ordinances: '
Signature of Permitee
A Building Permit is issued to: JQE MIZ'!''aR ROWS
on the ezpress condition that all work shall be done in accordance with all
applicable Siate of Minnesota Statutes and Ciiy oi Eagan Ordinances.
8uiiding Officiat F .
Sec/Sub
19 $C
?
OFFICE USE ONLY ?
Occupancy FEFS t
Zoning ?
(ACtual) Const Bldg. Permit 769.
iAllowable) -?? Suroharge 68.50
?
# af 5tones Sm? ?
Le ? th Plan Review • ? Depth ?i SAC, City 100000
?
S.F. Tota1 _ ?QQ. QQ I
SAC, MCWCC
S.F. Footprints - 625.00
;
On Site Sewage ? Water Conn ?
On Site Well Water Meter 90• ?
MWCCSystem ?- 30.00 ?
City Water X Acct. Deposit ?
PRV Required .- S/W Permit 30•00 ?
8ooster Pump - S/W Surcharge .50
TreatmentPl 252'00 ?
APPROVALS Road Unit 335.00 ?
Planner -
Councl park Ded. ?
BIdg.01f. ? Copies J
Variance TOTAL 3,420•00 9
18399
Permit No. Permit Holder Date Telephone #
WATER
.
SEWER
PLUMBING
H.V.A.C. /% D
ELECTRIC eD
Inspection Date Insp. Commenls
Footings I
Foundation
Framing
Aoofing
Rough PIb9. /O
Rough Htg.
Isul.
FireplaCe
Fnaf Htg.
Final Plpg.
Const. Meter Pibg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
DeCk Final
Well
Pr. Disp.
I
I
t •
Address : 3935 CI,IPPE_RS IiIJAD Lot 12 Blk 2 Sec/Sub SHM-pp DOWNg
These items were/were not comglete at the time of the final inspection.
DATE: iE!"'FNM 19, 1990 Yes No INSPEY-'TpR:
Final grade (6" from siding) ?
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway
Permanent gas ?
Sad/seeded grass
Trail/curb damage
Porch ?
Basement finish V
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-aff of water supply to tha outside las,m faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
r * ? ? .
r ? _ ? ' • --n-..n
.t; a, '?,.
? • ? is . ?
?
(g.ex#ifirafe uf (Orrupanry
Citp of (gagan
lormrbuuln# a# Ntxildim -3wrtivn
Thir Certificate issued pursuanc to die raptranents ojSwlion 306 of the Unijor?n Building
,
Code ceriifying lhat at (!te dxe of iauance tlus strucwre xw in complimtce wi!!t the marious
ordinaxors ol dse Cfty +r8uladn8 bugdin8 caruuuaion ar use- For tlre following. ,
uK aoaficauoe -qp n,r,"R ewP. P,.?a w tRw9
pMWR-7 Type R3N] 7oeiag piwict Ri Type Cmn.? VN
v,,,..fS.W., 7FJ2 HOMES Add= 181 M C1?l?R A'Vj+: S? FAitMUYI1T Irt
3935 aXnWS ImAD L-aq, L l2. ffi. =WOM DOd4S
PO5T IN A CONSPICUOUS PIACE
r1mo
: r .t . . . ., .
, ,. , PLUMBING PERMIT For Office se O
. ' ' . CITY OF EAGAN PERMIT # //
`?
CONTRACT 3830 PILQT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
PRICE ' PFIONE 4548100 DATE: ,??
M1 Site Addres Q1WE/eS f 0?0 BLDG. TYPE WORK DESCRIPTI(
Lot ? a elodc c? sec/sub aes. ? New ••''''
?- tl s Mutt. . Add-on
Comm. Repair
? Name •-e n 1v ?r
? .q ? ...?
FEES
COMMJIND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLI
' MINIMUM - RESIDENT+AI FEE
MINIMUM - COMM.IND./FEE
STATE SURCHARGE PER PERMIT
(ADD $.50,$IC PER EACH $1,000 OF PERM
..
?'•
ES ` $12.00
$20.00
.50
' FEE)
•.?(p -`J' 0
r Closet - $3.00 $
Tubs - $3.00
:ory - $3.00
rer - $3.00
9n Sink - $3.00
VBidet - $3.00
Iry Tray - $3.00
Draine - $1.50
r Heater - $1.50
(MINIMUM -1 PER PERMI'1)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00 ?
?Rough Openings - $1.50 ?
U. G. Sprinkler System - $12.00 ?
PERMIT FEE: ?
STATES S1C: ' S0
GRAND TOTAL: ? ?
.'{_ ).x . . . ... . . .
• ' ' MECHANICAL
5, ' • CITY OF El
Jr 3830 PILOT KNOB ROAD,
DATE PHONE 454
Site Address ?
, Lot r _ Block ??Sec/Sub ?
N PERMIT # A?
aAN, MN 55122 RECEIPT #--?
10 DATE: -Z?
BLDG. TYPE WORK
Res. ,25? New C(
MuR_ Add-0n
S Comm. Repair
Other
FEES
P
Forced Air .1.) Cu1 BTU ?
Boiler - - - M BTl!
Unit Heater M BTU
' Air Cond. ? M BTU
? Vent CFM
'•' Gas Piping Outlets # -?
s
.
Other
CommJlnd. Contract Price x 1%
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
TOWNHOUSE & COND05 - AES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 3
REMODELS (INCLUbES GAS PIPING)
GAS OUTLETS (MINIMUM -1 PER PERMIT-
NEW CONST.)
$24.00
6.00
- 12.00 ?
- 1.50 EA.'!!
COMM/IND FEE -1% OF CONTRACT FEE
APT. BLOGS. - COMM. RATE APPLIES
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50 ?
(ADD $.50 S/C PER EACH $1000?Q OF PERMIT FEE) ?
-?
I?
SEWER & WATER PERMIT OFFICE USE ONLY
CIT'll OF EAGAN METER # PERMIT DATE I 1-??•?'0
'
3830 Pilot Knob Rd.
...6 q 5?t+, PERMIT # 11720
Eagan, MN 55122• 1897 CHiP #Q?a.1
METER 51ZE ?- B.P. RECEIPT # C 10102
DATE I`j 1'`-"? / ISSUE DATE B_P. RECEIPT DATE ?g 2 5 90
_ PRV - BOOSTER PUMP
SITE ADDRESS 3935 p= r s Ite ad pERMIT REQUESTED
LOT BLOCK ` SEClSUB '°@ r wo o? D o wn s ,
A SEWER _X_ WATER _ TAPS
APPLICANT:
ADDRESS: ? COMMiIND A RESIDENTIAL
CITY, STATE ZIP ? NEW _ EXISTING
PHONE:
. ! Lawn Sprinkler Meters are to be Installed
PWMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: CFf?qit WILL NOT be given for Dedyct Meters.
CITY, STATE VAYQ."' ZIP `7)UU: :.)
PHONE:,,
I AG 'EE TO COMPLY WITH CITY OF YT
ADDRESS: ' -?" "- ? } •
CITY, STATE ' 't?'?". ?•!^ ', '`? I? IP
PHONE: i, 'U k. R ISSUED
., ,
PLEASE ALLOW TWO WORKING DAYS/FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR 5
SEWER PERMITS, CONTACT ENGINEERING DEPT. -
,
;
: . ?
or
OCriCI'S Qc WA 1 CI'S 1"GI'SMI 1 VFfIGt U5t UNLY
CITY OF EAQAN METER # PERMIT DATE 1 1/1 S/9O
3830 Pilot Knob Rd. • { 'Eagan, MN 55122-1897 CHIP # PERMIT # 11720
METER SIZE B.P. RECEIPT # C 10102
'
DATE ISSUE DATE B.P. RECEIPT DATE ..St9L?L?
?T? ?
_ PRV _ BOOSTER PUMP
SITE ADDRESS 393% L 1 i p p e r s ke a d PERMIT REGbESTED
LOT "BLOCK ` SEC/SUB Shervood Downs .?
ASEWER .? WATER - TAPS , ,
APPLICANT:
ADDRESS: - COMM/IND A RESIDENTIAL
CITY, STATE ZIP _x
NEW - EXISTING ?
PHONE:
rLawn Sprinkier Meters are to be Installed
PLUMBER: --,?• _ 1?',ti? E? ='-r 'r`? ???,;t ?r k?? ? Ahead of Domestic Meters on Water Line.
ADDRESS: 1:..? ??? ?? ? S : . ?1 . '? 't } _ ?, ? (? . t Credit WILL NOT be given for Deduct Meters. ,
CITY, STATE :.ZIP ?` ?' ? ?? ? , ' , _ s•,'
PHONE: ?-?
? I AG EE TO COMPLY WITH CITY OF
OWNER: EAGAN ORDINANCES
_ ?. . ?
ADDRESS:
r
CITY, STATE - _ _ '"` ? ??',??L..ZIP ? = ?,t? u ` E •;
PHONE: '' ! + l ? SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
_ _ . _ . .... . . . _ . . - . _ _.. . , ._ ??r,c. ". ., ..__ s
G 65772 i??? ?-1-21 °a
Request Date Frce No . RInspectlon
1 ?? 1 7?(? ? red? ? Reatly Now Will Notily Inspector
es ? No hen Ready?
I licensed contractor p owner hereby request inspection of above etectrical work at:
JoD Address (Streel, Boa or Raute No.) city,
3935 Clippers Road Eagan
Secbon No. Township Name or No. Range No. Cqunry
Dakota
OccupaM (PRINT) Phone No.
Joe Miller Homes 431-2001
PowerSuppher Adtlress
Dakota Electric Farmington, MN 55024
Elecvical Conlraaor (Company Neme) Conhacror's License No.
Midland Electric Inc. 1 041610
MaOing Address IComractor or pwner Making Installatqn)
14055 Grand Ave So, Suite E, Burnsville MN 55337
Autho Contractor;p?yner Makl Instaliat, Phone Number
C
MINHESOTA STATE BOARD OF ELECTRICITY ? TMIS INSPECTION REOUEST WIIL NOT I
Grlpps-Midwsy Bldg. - qppm 5173 BE ACCEPTED BY THE STATE BOARD '
18Yt UMversRy Ave., St. Paul, MN 55104 UNLESS PAOPER INSPECTION PEE IS Pho^e (612) 642'aB00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTtON eB-oooo+-07
? See mslructions for compteting Mis form on back of ye110w cOpy.
QR:) 7 72 X" Be/ow Work Covered by This Request
ew, .,L3d Rap. TypeoFBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Ofher (specity) Contractor's Remarks
Compute lnspection Fee 8elow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps YZA 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspecso.s use oniy:
OTAL
Irrigation Booms ? e
f
Special Inspecfion
AlarmlCommunication TNIS INSTALLATION MAY BE ORO CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON S.
I, the Electrical Inspector, hereby Rough-in oafe.?, ?
cenify that the above inspection has
been made. Final oat$;_?
/
OFFICE USE ONLY
This requast voitl 18 months Irom
t nanK T ou ?
?
? C 10102 ?Q*T
??
RESIDENTIAL
BUILDING PERMIT APPLICATION
} S-j Q b CITY OF EAGAN
? 3830-PILOT KNOB RD - 55122
651-681-4675
New Construetion Reaulrements
. 3 registered sde surveys showing sq H of lot, aq. ft of house; and all roafed a2as
(20% maximum lot coverage allowed)
. 2 copies of plan showing 6eam 8 window saes; poured found design, etc.)
. 1 set of Energy Calculations
• 3 capies of Tree Preservation Plan if lot platted after 7!1l93
. Rim Joist Detail Dphons seledion sheet (bldgs with 3 or lebs units)
DATE I 7-/ bI O I
JOB SITE ADD
IF MULTI-FAMIIY BUI
PROPERTY OWNE _
TYPE OF WORK '
APPLICANT I
ADDRESS
PAGER #
3935 (i?;,?
ING, HOW MANY U
WOl-
s.e?t so ?'1
J? ? ?{. I pYI?.V
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includcs:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge ihat I have read this application, state that the information is correct, qnd agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
RemodellReoafr Reauirements
. 2 mpies of plan
• 7 set of Erceryy Calculations for heated additiom
• isitesurveyforectenoraddNons&decks
• Indicate'rf Iwme served by seplic system for additiorx
„ ^ VALUATION
r?, ,
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE# GrS?'? ?? ?/ZO
S ZIP CODE ??ZZ
CELLPHONE# i? Iz--g6 9- 9 5`6 ? Fax#
Water Softcncr
Watcr Hcatcr
_ No. of Baths
Phone #:
I.awn Sprinkler Fee: $90.00
No. of R.I. Baths
Phone #
_ Air Condirioning
_ Heat Recovery System
OFFICE USE ONLY
? 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 Ext. Alt - Multi
?0 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type of Const
?
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Smcco Stone
_ Windows (new/replacement)
Approved By I L , Building Inspector
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings(addirion) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding
? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish(Bldg)* ? 43 Reroof ? 46 WindowsJDoors
"Demolition (Entire Bldg oniy) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Fina
_ UC.O.
_ FinaUNo C.O.
HVAC
FvK- pvh-CAI- 19I)IJ,
FO?t- l0 0 a2 Ll / f
4f 3O' S?
??ODW16- ?D
C?, I r `-U `,
r-O urtyv-5
(/?o FLN,4)
??? L?
55/33 BUILDINC P RESIDENTIAL
RMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
NewConrtruction ReauiremerAa
• 3 registered stte surveys showing sq. ft. of lot, sq. ft, af house; and all roofed areas
(20% maximum'lot coverage allowed)
• 2 copies of plan shovririg 6eam & window saes; poured tound desgn, etc.)
• 7 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 7/1193
• Rim Joist Detail Options selectlon sheet (bldgs with 3 or less uniLs)
DATE
i /
3 31. 2 - '?
RertrodellRaoair Reauiremenls
. 2 copies of plan
• 1 set of Eneyy Calculatbns kr heated addilions
• 1 s'rte survey for e#enoredditions & decks
. Indicate if home served by seplic system for addNOns
VALUATION 4p?d
SITE ADDRESS S Cli
TYPE OF WORK S/O.nti lvi.r
APPLICANT
MULTI-FAMILY BLDG _ Y 4/N
_ FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS 27 7s' /e l4° ,?/v1} CITY Sf aOSTATE NZIP SJS?a
TELEPHONE #GS/-7j9 -fs7o CELL PHONE # 66/-d "Z6 - S31( FAX #77B-O 5'9 S
PROPERTYOWNER GVo/? TELEPHONE# --,(2 9'S'712- S
---------------------------------------------------------------------------------°------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLJLFS 7670 CA'I'EGORY 1 MINNESOTA R[JLFS 7672
(J submission lype) . Residential Ven6lation Category t Worksheet Submitted • New Energy Code Worksheet Submltted
• Energy Envelope CalculaUons Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor:
Mcchanical system includcs:
Sewer/Water Contractor:
Phone #
Phone #
? l ln e";e: ? ?,01? 1
nl SEP 3 4 2002?c
--------------------------------°---------------------°-----------------------°-----------°-°--------°--------------
I hereby acknowledge that I 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 Ordin ces.
Signature of Applicant
OFFICE USE ONLY
Water Softener
_ Water Healer
No. of 13altis
_ Phone #
Lawn Spiinklcr
No. of' R.I. Badis
Air Conclitioning
Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
1999 HUILDING PERMIT APPLICATION (RESIDENTIAL) O°
CITY OF EAGAN 0
3830 PII.OT KMOB RD - 55122
(651) 681-4675
New Construction Reawremenrts
• 3 registered site surveys
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 wpies of tree preservation plan if lot platted atter 711t93
raquired: _ Yes _ No
DATE: ' I,o ' 1p
DESCRIPTION QF WORK: (C? Wa>`
RemodeUReoair Reauirements t -' I ?--( ' ? 7
? 2 copies of plan
? 7 ske surveys (exterior addkions 8 decks)
? 1 energy celwlations for heatetl additions
CONSTRUCTION COST:-# oDv ?
AW? b"e
STREET ADDRESS
LOT: ) -';-
3-1 ?5 cuPP??-s I"Qo . .
BLOCK: -a SUBD./P.l.D. #: 5?-P Y 0U CC) C°J ? C? W ??15
PROPERTY
OWNER
?
Name:_ '41 Phone #:
Last First " Street
Cs-IAro- P.
?
City _'"6JC 0 Stare:
taki
Zip: ??1 r/2--
Company: CVIkc cz' Phone#: ?PLV
CONTRACTOR A-O??,'`' Q
Street Address: ? m/'R.F.? W 9'e-• License # dt'i1
"? Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address: '
coly Ciw State: 2ip:
? te
?l
Sewer & water licensed plumher (new construction only): . Penalty appiies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that 1 have read this application, state that the infortna' n i rre t?,ar??i,ag:ee comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. ? ??
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT 5- 55122
651
New Conshudion RecuiremeMs
D 9 registered sMe furveys showing sq.11. d lot, sq. tt. W house
and gg rooted areaa (20% mmdmum bf coveraae allowed)
? 2 copies ol plans (show beom 3 window sKes; poured fnd, deiign; elc.)
D 1 aM ol energy calculaHons
? 3 eopies d hee prefervcHon plan M lof platled affer 7/1 /99
DATE: gI Gr /qg
DESCRIPTION OF WORK:
3`
STREEf ADDRESS:
35 CtiVn-c,vs ?
LOT: ? BLOCK: -D^ SUBD./P.I.D. #:
PROPERTY
pWNER
-lo ??
Remodel/BeoaG ReaukemeMs?
2 coples M plan
1 set M energy culculaNons for heated addiHons
1sMe survey for exferior addkbns a decks
?
CONSTRUCTION COST:
v,? kAS4ur{-rck-.
Name: Phone #:
Wst Fkft
.,
City ?a- State: Zip:
35 ('Jli,
snest
Company:?"E
CONTRACTQR
Sheet
Cffy
ARCHITECT/
ENGINEER Compi
Telephone #: area code ( )
Phone #:
(area code)
4551a--a--
License 1k Exp.
State: Zip:
Name:
Stree4 Address: Registration #:
City
Sewer 6 water Ilcensed plumber (reaulred for new conskuction onlv):
State:
Penally applles when address change and lot change is requested ance permff is issued.
.
Zip:
I hereby acknowledge fhat I have read this appliculion, atate thal the informatlon is cortect, and agree to compiy wilh all applicabl
State of Mtnnesota Statutes and City of Eogan Ordinances.
Signature of AppllcaM:
? Y
OFFICE USE ONLY '
Gertificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. {4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 18-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments A 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool 0 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
[] 32 Addition ? 36 Move Bldg. ? 40 Gas InseR ? 44 Windows/Doors
X_ 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) ? Basement sq. ft. Census Code ?
(Allowable) 5• Main level sq. ft. SAC Code D_!
UBC Occupancy R• sq. ft. No. of Units ?
Zoning sq. ft. No. of Bldgs -?
# of Stories sq, ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engin eering Variance
Permit Fee
Valuation: ?-
$?
Surcharge - -- -
Plan Review
License t:? rY nr- r.::?;r,AN i
MC/ESSAC , r.,Fl,w:crE•:: :Is ri:rMtNnt
r.O, 692 j
CitySAC [iA TF; 081/1 i7 .
?':3?: 13o01 . 40
Water Conn. i
Water Meter ? T.n
Acct. Deposit r<f%Mf.-'„ FtRAt3 R. 14,1I..1"F
S/W Permit '
S/WSurcharge 32a.p 900i. 3935 .r,L:[rPr.-.F?; r, 60.00
?
TreatmentPl. 2i55 9001 3535 f:i..:fTPt:FaS R 0.5o
Park Ded. i '
Trails Ded. ?
Other
Copies I •
Total: • ' ?
SACUnfts i 7'crh,:,:t Amcaunt,e bOn;50
% SAC ; cF,:M.1.141
' USC.f,: :CI+c :7Aid
- - _J
1991 UNWGRA)LICATION
CITY OF EACAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH SLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET DF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
DF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: AODRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER M7ST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUYLDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: btC.?- Valuation:
Site Address
Lot _LL Block I _
Parcel/Sub Aalu-{yD/ti
Owner 3raA d" ?15U? w0 l+`-4??
Address 3935 ('iliPp.ers ?? .
City/Zip Code aoa'n
N ?/a3
Phone (n nj' WgR
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Sewer/Water Licensed Contr.
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length ZZ-A/lo
Depth 4y2X„ d0
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. ?-?JS
Variance
FEES
Bldg. Permit ??;ivu
Surcharge iSn
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
4!;?z Z_ agrees that all woik shall be done in accordance with
(Signature of Contra tor)
Date: F ' 3n - / /
all applicable State of Minnesota Statutes and C1ty of Eagan Ordinances.
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFSCATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
SEP 18 RECO
Valuat
To Se Used For: 111
ion:?Fk` q-vv
U Date
:
%
Site AddressJ`1.?J rin
I 3'7
ooo-'
OFFICE USE
ONLY
i ,
Ia Bl
L
?
ot
ock
R 3 M-1 FEES
Occupancy
?
? Zoning R -f
r7
p
Parcel/Sub
?QJZAk
T'n? Actual Const V-N Bldg. Permit lioo
/6
Allowable V- N Surcharge 6g1$0
Oc•mer # of stories Plan Review ,SDD' Op
Length SAG, City 100 100
Address Depth 8 SAC, MWCC 60009.0
0
S.F. Total Water Conn -
O
City/Zip Code Footprint S.F. Water Meter
t9
!?0142
Acct. Deposi t 30,0
o,
Phone On site sewage S/W Permit
oe
30,
• On site well _ S/W Surcharg e .Sa
Contractor MWCC System ? Treatment P1 . 252,0
C?
City water ? Road Unit 35s•no
Address PRV Park Ded.
I Booster Pump _ Capies
City/Zip Code SUBTOTAL
SS APPROVALS Penalty
Phone Planner TOTAL
Council
Arch./Engr. Bldg. Off. 'j(?J #&j
Variance
Address
City/Zip Code
Phone #
V,a._.-L-LV-P°N-
GARA?? : . z? ?.
1Z x22= Z-(Oy
ZuxZ4 - y?°
Clz x 4 = (Z(? )
918 X +S= 1D770
9SMT_ ,
28
?? 2 S
?uY zX Ll = ?Z
= l2
IX X ll = Z
IOr)y ? 1U= 1503?
??--
?S+?vi7 ) u?y X S 1= Sy??y
Z +v D
_---
?m i ' to7y
? 1G
_-----
?o?3xsl=
SS?`?3
., . .
I z ?, 323
'? .?c yF
2422 Entarprise Drive
Mendota Height5, MN 55120
(612)681-1914
CertificateofSurveyfor:VO5i-Plr M.Mll L Er, COr•" T CO.
NORTW
d ' 4na
,-sz.z W
- ?1' a e °-11 v
?-
\15
b-o`?
V ?
-? :-
??
.d
50.00 1 ,00F, 3
,
?:?? -? e ? ? •?? ? ? ,
.. 1",
, ?r??.??
x 900.00 Denofes Existrnf Elevatrons PAtlpt75£D NOUSEELEVATIONS
, oo•oo penofPS Proposed Vevofions Lawrst tloor Elevqtiair s39t , z
-- ?-- Otnotcs L7rama e Ufilffy fasem¢nf 7?p" oOB1oclr Elevalion 89,7. s<,,
Dtno}es Drair?o elow xlrraws Gora?e 5/ob Elevafion 859.53
o pcnole5 Monunf
Beal'rnls shown dre pswrned o Denolis If sef Nub
LOT IZ , BLDCAIL , SNERwoon UOwNs
naKOr,a covNrY, MINNj?sorA •„ 5ubject I'o easemrnfs o,^record
I hrrebV ceriify that thia s,rWy, pla.+ ar r¢pnrt wa'o `p,t? ar'cd by m¢?` d,?cr my dlrect supervisipn and thet 1 em duly Regl3Sered Land SUrvvyor
undar the fews af the State of Mlnnesote. DPted th.s-C?. dey af 19,1a,/')
? A
. 5l.l.1lG - I rnd) : 40Ae?
2G6o. 3y
='
,
HINNESOTA STA7E ENERGY CODE CALCULATI0115
?ASE? ON CI'I?P1ER S OF THE
MODEL ENERGY CODE - 1983 EbI110N
Adoptlon Effective 1
Ovm e r
Slte Address
Con[ractor ? J
12 , EL.or,K 2,
Phone
ll 1? l? ?
Date'
hone
Dullding ClassAflcatlon: Type A1 (Single famlly G Duplex) ype A2(Resldentlal)
. (; storles or lessF-
IIOTG: Complete pages 3 and 4 f(rst. (Otlier) (Over 3 storles)
GENERAL INf01ttIAT1011
1. Bul lding Perlmeter-2GG?wD?•?` ft.
2. Wall lielylit (ground to eave) \t- ft.
J. . 2` 2
.
I. x 2. (above) gross wal l area ,?{J3 ? i%7l ft2
,
/
2
4. Dullding dlmenslons (L) X(W) roof G floor area
<rj,5 ft.
5. Square foot area of rlm Jolst - Floor Jotst slze (2 x /(_? ) I .
f t2
q ?
Z
X Perlmeter = Rim
?Q =
JoFst area
I
_
12 15(o . . . - .?
6. Doors - Ai-ea
lhickness In. U factor . I i
Type oF Constructlon Perimeter ft.
Hanufacturer
7. Total door's perlmeter tt•
. ?
8. WlnJows: Hanufacturer lfJ?jU(? C•1?1??('(j?6 State approved
U factor . •
TYPE SIZE AREA (Ft.Z) NUI411ER OF TOTAL fE,€T 2
• EIICII UN I TS . ,
?
?
5
l rt
2 G,
T
9. a5
.
ota 10. Flreplace area;' Wldth X helglit = x = F[.Z
11. Exposed founda[Ion: Ilelght X Perlmeter, ( ?? X .. °__? ?,J ? Ft.z
C014PLETIOt? 0F 11115 FORH IS REQUIREO FOR ALL W?CO?iSTRUCT1017, 11RJOR REHOUELII?C Al1U BUILUIIIGS HI11(
110VED 1JI1EflE EIIERGY, OTIIER 711nt1 TIfE IIIId111AL CODE ALLOWAIJCE, IS USED.
-I I cJ I `I l I
12, framing area = 10% of gross wall area. 2
? r?
13
14
Gross wall area
ft.2 - '-- ??-U x A'
Nindo•.i area A U wlndov,s = -bi
ft.' U rim Joist = L U x 11' ?!= 1-
R1m joist area A A • Q
x = i,
Door area A??IC? ft. U door area = U ?? ------?`
_ ?=
2 U f?F-epl ?Ze• _ ? ?''7 u x n
F1?e)?ld?e'area A 0 ft.
? Q•I?j L- ft.Z U foundation = 10 ? U x n=
--? ? --
Exposed foundatlon A
Framing area A ?I ^ ft.2 . U framing area U xA° Lv' c.?7
? r? Z CJ L
?7 ? Uwall = ? U xA=
11et wall area A v 1 ? I'T f t' ? z?L?1 c
' (138) TOTAL '. . . . . . . . . . U x A
!
Gross wall area x 0.11 (A-1 single family & duplex
(13. above) I residen N al)
= allvvrable U x A/Code
x 0,23 (A-2 otier
x .23 (Otlier buildings)
•
x.23 (Over• 3 stol'ies) ?, )L pTofl, hlust be larger tiian
?
?x L C
de
?
" J-? i33 r• 136 above
,
?
o
n
- -
or the. same• as)
(
15. Ceiling framing area (Af) equals 10% of ceilin9 area ,
2
15A. Gross ceil9ng area = (L) ' ?W? fC.
z
'
f p
ft.
154 Joist area (Af) = 10'' ceiling area
15C. Net ceiling area (11c) (15A - 15[l) ft.
?7
?.z •? x
U ceiling x A C= I
l? _
n?
'Z
?•I ^
i
] x_
U fraining x A f= e
15D.
T07AL'U x A ................................'....... !i?
16. Celling area (15A) x 0.026 (A-1 single family S duplex - code allowable U x A
x 0.033 (A-2 other residential)•
x 0.06 (other)_?? 4aU11
r Must be.larggr than •15D (above)
(or the same%as),
I
A (154) `? 1? x U (codel-
HOTE: Use U and A values obtalned from pages 1,-3 and 4.' CERTIFILATION: I hereby tertlfy tha[ I have calculateJ the "ll" factors and "R" values
h-ereTn and tliat the bullding here descrlbed m0ets or exceeds the State of t1ln"esota
Energy Conserva[ion Act.
[e
gnature
?
?.
--- ----- ? ? - - .- _.
? ; c? ?? w -_? ???a?a `i ?:'_ ._ ? _ . _ . ._.. . __. -----
--?-----
_ _- ;; I°,?4xC x? ??? f z?-r-? ??- . •- ? ?o?l??? _. .. __..--? --- - ----_. .
? -- ?
--------- ? , 3b.?? ? . ---
; g
3. _._._....--?-
, ---
...----
__-_
? __.-?----------
--
...... _ -
? --- - -. _ _. _:?_--- ._ -.---------- .
---...__^..----
I
' D . [7 . . - -- -?• --. .
---
, -.-- -- - -- - -- .. . _
_?-- ,
; _. ,, g ?
..__?...
--
-- ' ? ?.?? ?-` - t_-... ?Q--•
-- --..?---
? ---?-----. -------_--.
? _. . - - -. _ ---?I I,.o- - - --- --. .
; .:.- ------. .. .
?- --? -- _ _
? -- - -----. . .
---- ,; -- .._ ._..-- -.- ---
.
?I . _ .._... . _. .. ..- -- . ....---?---- ............._._. .._--- ---------?-- ,
i ?-- - - - ---- ---?-- _ ._ . .
? _ ----
I _.._ _..
, _,?. ...... __._ .
. .. .... . . .. . .
: _..........---?-_ .
. _,._ _---- ?- -- ----..
------- I - , .
?.I
, ._ .
_.
? ----------?-- - ------?- ......__ ----- - - -?----?:-----
- ----
,
.
; .._ ._.._._. .. . .. .. .. .
. ... ...
------- ? .
, .
, ._... _ .. _. - ---
, _... _. .._ .._.
?
., . _._... .._
. ---------- ,
I ------- -
. ? - -- ---------......
i . •
D.61 Alr Fihn U.61
'7i• I Cl 1 o ta 1 R ?', 7Z7
• 1 OZ-3p U= fC I ?ZZ
fLAT RUOF 0{i CR111EOftAL CEILIIIG '
r-vri-6e n vnLuE
WHuic cEiLInc _
U.G1 tnslde alh f11m U.61
d o.lT
Ceilln
Jolst
Insulatlon
AIr spaCd
_
Iloof decking
lnsulatlan I
bu11t-Up roof
Uutside A1r f1_1,m 0.1T
lotal h
? U
11ndoH ?nflltrativn 5 cim/llneal foot of crack '•
tesldentlAl door Inf11ti-allon 0.5 cfm/square foot or door dnd rciinlmum code YequlremenE ;
kn-tnsldentlal Juor Inflltrat.fvn 11.0 cim/1lneal toot ot Crack „
)I) I2"'toncrete block no Insulatlon =.41 R 2.1 '
Jb 1211 Cvncrete block lnsulated eores ?.26 R 3.6
1b- I2' Ilght,welght block °:32 R 3.1 . .
1b 12" 11yhh,elght block InsUlate&cores - 112 R 813 .
'
1 91n IA glass = 1.13; ri1Eh storm wlndo?++ .54 . '
1 doU?lp glass ? .55 , ..
1
) trlple glass = .4
•
'
'
. i
,
n n i ? ? , , . .. . . . ? .
. • fl `IALU • R 9AlUE
• tM1411IG : • '? CElLU13
? 0.61 llir Film , U.61 . •
. ? ? ,1(Q f7 . liisulatlon ?1•?0
. . .
doist
? . i 1r Ceiling •??
A11 ExEerlor aralls and ceillnys must liave fi vipor 6arrier (0.10 perm mAx.)& ,
lapor barrier must be on the lnslde (heated slde) vf oialli ?
lepor barrlers of Lhe polyethelene Eh1n film IiaJe no R value. ,
? '..
' .. . I
?. ? .
? i
'1-i l V (, )
RESIDENTIAL
BUILDING PERMIT APPLICATION
3830 PILOT KNOB RDN 55122 &???
?',!C9.RSM-AA75
ccjQ" a
New Cons6ueNon RsauiremeMS RemodellReoair Reauirements
. 3 registe2d sile surveys showing sq. @. of lot, sq. fl. of irouse; and adi raafed areas • 2 copies W Wan .
(ZO% maximum l01 coaerage allawed) . 1 set of Eneigy Cakulalions for heated additions
• 2 copies of plan showirg beam 6 windaw sizes; pourecl touM desgn, etc.) . 7 site survey far a#edor add'itions 8 decks
. 7 set of Eneqy CakWatloha . IMicafe if home served 6y sepdc syslem for additias
• 3 copies of Tree Preservation Plan if lot plaGed after 711/93
. Rim Joist Detal OpdOns seleCtiOn Stceet (Gdgs wilh 3 or less uniLa)
DATE 1/16 /0
JOB SITE ADDRESS ?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY <
TYPE OF WC
APPLICANT
ADDRESS
PAGER # _
CELL PHONE #
=?--
z0 _ 1 _ 2
FIREPLACE(S) ?'
xzw RESIDENTIAL BUILD(NG ONLY - FILL OUT
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY
(check one) - Residential Ventilation Categary 1 Worksheet SL
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Warksheet Submitted
Plumbing Conhaetor: Phone #:
Plumbing System Includes: _ WaYer Softener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Confractor.
Phone #
Phone #
Fee: $70.00
All above information must be submilted prior to processing of application.
I hereby acknowledge that I 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 Or in ces.
Signafure of Applicant ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Req ' e _
Updated 2002
_ Air Conditioning
_ Heat Recovery System
?? VALUATION
S 1:7" a.
5??5 T RID
FEB 2 5 2002
Fee: $90.00
OFFICE USE ONLY
•?
? 01 Foundation ? 07 05-plex ? 13 16plex O 20 Pool ? 30 Accassary Bldg
? 02 SF Dwelling O OS 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage X 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 Multi
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plsx Plbg Y or_ N 0 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
OK 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation / OZ9 L? Occupancy ??. MC/ES System
J
Gensus Code ?
Zoning City Water
SAC Units L) ( Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs f Length Fire Sprinklered
Type of Const v N) Width
REQUIRED tNSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) Plumbing
_ Foundation ? HVAC
Drain Tile
Roof Ice & Water Final Other
Z( Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucw Stone
?t Insulation _ Windows (newlreplacement)
Approved Sy Building Inspector
Base Fee
Surcharge ? . C1 ?
Plan Review
MGES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Pennit g1?"_
O' i
License Searcfi
Copies ?
Other
Total
Ju6 Site Addresa: .31ql 3.5
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY DWELLINGS
INSTROCTiOYS: This alternative may 6e used for one- and rivafamily dwellines built to meet che Category l requiremen[s uf
b(innesota Ru2es, Chapter 7670. Complete Parts A, B, and C. Clearly mark p(ans with: insufation R-values; window and skylight U-
values; size and type of zquipment; zquipment controls; and location of vapor retarder and windwash bartiers. Mom de4ailed
mformation can be found in tha :LLn»esora Energy Code summary sheets availabfe from the ktmnesota Departrnent of Commerce.
Part A. BUILDING ENVELOPE
Check pmposed envelopejoint sealing opdon i ? Prestnpnve (cadking, gaskecs, etc.) ? perfortnance (test per 7670.0470 subp. 7.C.)
Check thecmal energy qlculadoo option used 4 ?"Cookbook" (compktz worksheet below) ? btnCheck mechod (attach report)
? Perfortnance (attach U-value calculazions) ? Syscems Aualysis method (aetach analysis)
"Cookbook" Worksheet
L\sTitcrnovs
Srep i. Check irem(s) dhat desi3n meers on.Winimum Requirements list
to the right. Must meet all i[zms ta use "Cookbook° op[ion.
Sczp ?. Indica[e proposzd wall type on rablz Helow.
Stzp 3. Indicare Window li-ualue and source.
S.zp 4. Vznfy r.otai window (including azea of al] foundanon wmdows)
and door area is zqual or less chan allowabfe percentage.
T.aBLE FOR DET ERMIN4YGM:UNDlirnI WINDOw q.rvn nUUR a.xt:A "
.VUxmum Allowable ToW Window and Door Atea as
a Percenn e of E sed Wall
12%
14% 16%
18% 20°/,
22%
24°/. 26°/. 28% .
Wall T e(Standazd Frunin : Maximum Avetaoe Window U-value exc t foundation windows : `
? 2x-t, R-13 insulauon, R-7 shta[hin 0.55 0.47 0.41 036 033 0.30 027 025 013
? 2x4, R-15 insulanon. R-5 shea[hm 0.52 0.45 0.39 0.35 031 128 0.26 024 022
2x6. Rd9 insulation. <RS shta[tun 0.48 0.41 0.36 032 039 016 0.24 0.22 0.21
? 2,6. R-19 insulation, R-5 sheat}ting 0.56 0.48 0.42 0.37 0.34 0.31 0.28 016 014
? 2c6, R-21 insuladori, < R-i shaachin 0.51 0.43 0.38 034 0.30 0.28 0.25 0.23 0.22
? 2x6, R-2t insulation. R-5 sheathin 0.58 0.50 0.44 0.39 035 032 0.29 017 015 '
Wall Type Advanced Framin : Macimum Avenute Window U-value exe t foundatioo wiada ws): +
? 2x6, R-l9 insulation. < R-5 shcachin 0.52 0.45 0.39 0.35 0.31 018 0.26 0.24 0.22
? 2x6, R-I9 insuiation, R-5 sheathin
1
0.58
0.50
0.44
039
0.35
032
0.29
027
025 ?
? 2x6. R-21 insWarion, <R-5 sheathin 0.55 0.47 0.41 036 0.33 0.30 0.27 025 023 .
? 2x6, R-21 insuisuon, R-5 sheathin 0.60 0.52 0.46 0.4t 036 0.33 030 0.28 026
ip' 4joc" Sourcc
W indow U-value'
NERC O ASHRAE .
1993 Handbook 'tx.?t'?'?a?..
iooX L .3 a = a i 0 ? < 1 1O1
window & door a_ gross exposed watl azea DES(GN AI.LOWABLE (from rable a6ove)
MlNNESOTA ENERGY CODE - WHICH RULES MAY 1 USE ?
hILYIAI[TNi REQiJII2EbIENTS '
Cor "Cookbook° o tlon onl
Ceiling Insulation: ib(]nimum R-33 with 7%2'rnagy heel; or
blinimum R44 with low [ru.ss hzel; or
Minimum R-38 wi[h R-5 sheathin when no attic.
' intry Doors: Mac. U-value of 0.30 or l'/.° wlid wood with storm
O Rim Ioist Insulanon: bGnimum &I9 Floors over uncondiqonzd s aces: Ntinimum R-24
? Fomdanon Insulation: N[uumum R-10
O Founda[ion windows: ':" msulaced dass. wood or vin I@ame
41cliltV oF eagel
--- ?- _?
TYPE OF RESIDENI'IAL BUILDING APPLICABLE RULES
Detached R-3 oecupaocy t- aad 2-famtly dwelliugs Chapter 7672; or
Exun les: sm e famil , iwin homes, du lexes Cha ttr 7670 "Care o f" with siatuto de ressuriarion and ventilauon reqUitSmnts
Attached R3 occupancy dwellfnga Chapter 7674; or '
Exam les: [rilez townhouses aad row houses Cha ter 7670 with either "Cate orv I" or "Cate o 2" rovisions
R-I occupaecy 6ulldinp,s of 3 atodn or las Chapter 7674; or .
Exam les: condominiums or a artrnen[s Chapter 7670 with either "Cate o l" or "Cate o 2" rovisions '
R-1 occupancy bulldinge over J storla Ngh Chapter 7676 .
Exun les: hi rise condos or a en[s
Li`sa Wv l Ff=
e....linant fnr{nt namel
?y
Si¢nature
I)ate Teleahoae Number
NEW COIVSTRUCTION ONLY
Part B. DEPRESSURIZATION PROTECTION
Chcck optiun used: O Fuel buming equipment (wmplete schedulzs 6alow) 0 No fuel6urning equipment
IASTRIfCT[ON5
Scep I Compiere the Combusuon Equzpment Schedule below. Only equipment
with a Y(Yzs) may be selzcted under [he "Category l° altemate.
Step ?. Complete E.xhaustablake-up dir Schedule on the right if direct or power
vented or solid fuel atmospheric vent space heating zquipment
selected.
EXHAUST / ivIAKE-UP AIR SCHEDULE*
Exhaust devices over 300 cfm Flow
cfin
cfin
cfin
COMBUSTION EQUIPNIEYT SCHEDULE
check all es roosed
Space hea[ing - nonsolid fuel ? Szaled combusfion Y Heazth - nonsolid fuel ? Sealed eombusrion Y
? Direct or power vented
Y' 0 Direct or power vented Y
Atmo hericall ve¢ud N Atmo hericail venced N
Water heating- nonsatid fuel D Sealed combusfion Y Space heating - solid fuel ? Atrnospherically venkd
Y.
? Direct or owcr vrnced Y Water heatin - solid fuel ? Atmos hericall vented Y
Atmo hericad vented N Heacth - solid fuel ? Atrnos hericall vented Y
* If atmospherically vented solid fuel or direct or power vrnted nonsolid fuel space heating is installed, then make-up air ro match
flow is m uired for each individual exhaust device wIrich esceeds 300 cubic feet er minute.
Part Ci. VENTILATION
VENTILATION QUe4NTITY
.
(Mechanical vrnrilarion must be provided per ffie larger quantity catculated below)
-? cubic feet z 0.00583 lminute =E= cfm (r z 15 cfmlbedroom) + 15 cfm cfm
volume oF habitable rooms number of bedrooms
Check method(s) proposed 4 VFIYTILATION F?uY SCHEDUGE
? Exhaust onl O Balanced eat recove venplaror, air exchan er, etc.)
Fan descrition or location 4 TOTAI.S
VENTILATION Intake cfin cfrn cfm cfm cfm
AS DESIGNED Eachaust cfin cfin cfin cfin cf°
Stateroent of Compllance: The proposed building design rcpresented in these documents is consistrnt with the building plans,
specifications, and other calcu(ations submitted with the permit application. The proposed building has been designed m meet ehe
requiremenu of the Minnesota Energy Code.
Applicant (print name)
Signature Date
Telephone number
Part C2. VENTILATION (Submit Part C2 upon compleHon ot system veritica6ont)
x ---------------------------------------------------------------------
1ob Site Address: Pecmit Number
Fan descri tion or ixadan TOTALS
MEASURED [ntake cfrn ofm ?? ?? cfin
PERFOILMANCE Euhaust cfin cfin cfrn cfin cfin
t Ventitatioo rate must be measured and verified when the performance option is used in lieu of the prescriptive option for the
sealin of'oints in the buildin conditioned envelo (from Part A).
Compliance Statement: ]nstalled vrntilation system is in compliance with MN Energy Code and is sized to provide the design air
Elow.
Applicant (print name)
Signatute
Date Tzlephone num6er
1- 2'S '; 2
4i5 5°
2006 RE5IDENTIAL PLUMBlNG PeRmtraPPLicarion?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ? / !
?
{?
Site Street Addres
i yy???5 i4i
Unit #
Property Owner k-gsA wu tr {- Telephone #( )
Contractor Z Q?iu V`l.c` Telephone #( )
Address City State lt ? 5U Zip • SL
The Applicant is: _ Owner ? Contractor _Other
Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water soften er and/or water
heater at the same time. !f you are installing only a water softener and/or water
heafer, do not complete this section; move to the next section and check the
appliance(s) you are installing. ?-
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
X
Water Softener
Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
? ?
5 ?
Total $
•
1 hereby apply for a Residential Plumbing Permlt and acknowledge t the mfor atfon is
work be in conformance with the ordinances and codes o the City Eagan e
ur?derstan this is not a rmi ut only an application for a per , work is t to start t
accord ce wit?he a rov d?? inle nt a plan is reqwr?to?b iewed and
CJ? ?
e and accurate; that the
plumbing codes; that I
=.rmit and work will be in
,
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122198
Date Issued:04/29/2014
Permit Category:ePermit
Site Address: 3935 Clippers Rd
Lot:12 Block: 2 Addition: Sherwood Downs
PID:10-67670-02-120
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Brad R Wolff
3935 Clippers Rd
Eagan MN 55122
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129010
Date Issued:12/26/2014
Permit Category:ePermit
Site Address: 3935 Clippers Rd
Lot:12 Block: 2 Addition: Sherwood Downs
PID:10-67670-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brad R Wolff
3935 Clippers Rd
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
!"
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(??$*%-+ S/9.F* 99 ':*G+- ;.9188;9)'#> ':*G+- ;.9
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147961
Date Issued:02/26/2018
Permit Category:ePermit
Site Address: 3935 Clippers Rd
Lot:12 Block: 2 Addition: Sherwood Downs
PID:10-67670-02-120
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brad R Wolff
3935 Clippers Rd
Eagan MN 55122
Huber Plumbing Co Llc
2751 Lamphere Dr
Golden Valley MN 55427
(763) 231-0295
Applicant/Permitee: Signature Issued By: Signature
For Office Use
e + Permit#: /4 i7d y
EAGAN
RECIEVFO
Permit Fee: 49 s.
sVr
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
FEB 14 2018 Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: z;"
buildinginspections(&cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: -
Name: P one: 65 / - 87- -?1 d-S
yl/ltrt Address/City/Zip: 3735 c_h Pe f/),Cefr� /
Applicant is: � Owner Contrac r ., 4-2
Call fh,`�
Type:of Work Description of work: V �.m.S .54 - 13 ,e w\deer(
Construction Cost: '6J Qdb Multi-Family Bqilding:(Yes /No /
Company: R L.t�.v�.b st Confect: ,. b
ct� Y tar
‘11111111
Contractor Address: 1567 90 9y .. `
City: Q ej O
State: WI 1 Zip: • 'hone: Ln. --_ -a " 'email: Cw rf "h uh t t o1 t4 l);7.
License#: If 6 3 6 Lea. ertificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
MOTE'Plans and supporting ocuments that, u ;cit arre consideredau r 000A` oat;, R
classified asPOO-pubikitYou provide specific idditePa that would
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval f plans.
x rski
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE 393 S. Q i pp?l,S K'd y
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
)40 Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
—
WORK TYPES
New p Interior Improvement _ Siding — Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
—
DESCRIPTION
Valuation •Z1 DM.. Occupancy IAC — / MCES System
Plan Review Code Edition WO-2, 1S---. SAC Units
(25%_100°4Q) Zoning - I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings f Length Fire Suppression Required
1V
Type of Construction ,( Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) p Final I No C.O. Required
Foundation Foundation Before Backfill `�D HVAC Gas Service Test Gas Line Air Test
Roof: Ice &Water Final Pool: Footings _Air/Gas Tests _Final
' Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath _Stone Lath Brick_EFIS
) Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: � a)::�e � , Building Inspector
RESIDENTIAL FEES
Base Fee d < /> >t x // ,16 it
Surcharge `/
Plan Review
MCES SAC
2;fI;09 4/01 Fe e. C, fly').. �—
City SAC /' '
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178337
Date Issued:08/11/2022
Permit Category:ePermit
Site Address: 3935 Clippers Rd
Lot:12 Block: 2 Addition: Sherwood Downs
PID:10-67670-02-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Brad R & Lisa L Wolff
3935 Clippers Rd
Saint Paul MN 55122--380
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178593
Date Issued:08/24/2022
Permit Category:ePermit
Site Address: 3935 Clippers Rd
Lot:12 Block: 2 Addition: Sherwood Downs
PID:10-67670-02-120
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Brad R & Lisa L Wolff
3935 Clippers Rd
Saint Paul MN 55122--380
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature