3939 Clippers Rd
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CITY OF EAGAN ND 18811
1 1 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454-8100 /C I ?/ „
BUILDING PERMIT Receipt # < <? ?(?
for SF DWG/GAR Est. Value
$103,000
Site Address 3939 CLIPPERS RD
Lot 13 Block 2 SeclSub. SHERWDOD DOWNS
Parcel No.
=IName JOSEPH M MILLER CONSTRUCTION
o Address 18133 CEDAR AVE S
City FARMINGTON phone 431-2001
o Name _
?a Address
a
,- f:itv
Name _
Address
City -
Phone
Phone
I hereby acknowlege tha[ I have read [his applicatwn antl state Ihat the
information is correct and agree to co ith all licable Siale ot
Minnesota StaWtes and City o?Ea di ces. ?
Signature of Parmrtae
ABuildmgPermitisissuedto: jutix7rn M M11.1 F:K cun?-r
on [he express condiuon thal all work shall be tlone m accordance with all
applicable State of Minnesola SptaWtes antlC?iry of Eagan Ordinances.
8wlding Offiual h??l Il01.('? I .?y I 11 ?
OFFICE USE ONLY
Occupancy R-3 M=1 FEFS
Zonmg R_7
(ACtual) Const -V:.[a Bldg. Permit 650.00
(Allowable) -V-- N Surcharge 51.50
M ofStanes
I Len9lh 68' Plan Review 423_ no
? DeD? 48' SAC, City 100.00
Sf.TOtal - SAC,MCWCC 6$0.00
S F. Foatprims _
On Site Sewage - Water Conn 660_ nn
On Site Weli Water Meter
0
90.0
MWCCSystem X
?. Deposil
30.00
Ciry Water x
PRV Requirea _ SAN Permn 30.00
BoosterPump - S/WSurcharge .50
Trealment PI 276.00
APPROVALS RoadUmt 370_nn
Planner - Park Ded.
Council --
Copies 1.00
e1a9 Qff _
Varience - 70TAL 3,332.00
5830 Pi
?
BUILDING PERI
To be used for S
Site Address
Lot ? 3 Block
Parcel No.
W Name
o Address"A
OMiC/GAR
39 CLIE'tEilI
?- Sec/Sub.
SEPH H bI W
Knob Road, P.O. Box 21
PHONE: 454-81
Est. Value =103,000
RD
Phone
, Name S?
o
pU
u< Address
City Phone
?
W W Name
?
? ; Address
< W Citv Phone
I hereby acknowlege that I have read this a lication and state that Ihe
information is correct and agree to co ith all icable State of
Minnesota Statutes and ;Cy ag rdi ces.
Signature of Permitee
A Building PermR is issued to: JOSUH NMI I.1.LR COl1ST
on the express eondition that all work shall be done in accordance with all
s
!? 188 i 1
Eagan, MN 55121
: .i Receipt # MAR 26 .,, 91
OFFICE USE ONLY
R-3 M-
Occupancy i FEES
Zoning 6 ? ? ?
(ACtual) Const ?? Bidg. Permit
51.50
(Allowable) - Swcharge
# ot stories
i
R [123.00
L?th Plan
ev
ew
? 100.00
Depth SAC, City
S.F. Total - SAC, MCWCC 6?`?
S.F. Footprinis - 660.00
On Site 5ewage _ Water Conn
90600
On Site Wel1 ? Water Meter
MWCC System
acct. Deposit 3o.oo
City Water 30•00
PRV Required -
S/W Permit
Booslet Pump - g/W Surcharge * 50
276.00
Treatment PI
APPROVALS 370.00
Road Unit
Planner - Park Ded.
CWrsc1l -' 1.00
BIdg.Off. _ COpieS
?0
??
Variance - TOTAL •
• Permit No. Pertnit Holder Date Telephone
WATER ! I 0 ?
SEVYER •
PLUMBING
H.V.A.C.
ELf&RIC 9 / -2
Mspsction Date Inlp. Comments
Footing5 I ?, ' ' ?' 1
Foundation '
Framing - Z _
Roofirg
Rou9h PIb9- - ?
Rou9h Ho9• ?
ISUL b5
Fireplace
Finad Htg.
Firwl Wbg. -b? r
Const. Meter Plbg. Inspecta - Notity Plumber
Engr./Plan
Bldg. Final S- 2`• D,S'
Deck Ftg. ??p LLJ?
Deck Fnal ?
weu'
Pt Oisp.
(grx#tfira#t uf tO.rrupanry
Citp of (l9a0an
EpprtatettY nf luitDing inspdinn
7his Cadfiaate icuudpursuae! 1o the rrqrdrmew ojSeaion 306 ojthe Unijorm Buildi?tg
Code cerlil!ins duu at the linu ojisuranae thisslnuarur xas in conipliance with the variour
on{ireanars of de Cu}' re8'ulatin8 builft consvuaion ar usa Fnr lhe foQowing:
UW CIRSUTgatiou SF DWG/GAR ??Nm 18811
oamp„-y Type R3 Z=4 Dimb? R1 T*Cma Vn
OWE" of Bacrot JOS. MILLER :;ONST Adymo 18133 :;EDAR AVE S., FARMINGTON
Ba&mAddm 3939 CLIPPERS ROAD LOW4 L13, B2, SHERWOOD DOWlVS
;
; Dum MAY 24, 1941
g S
Posr w A co?rsa+cuous Pu?ce
Address: 3939 CLIPPERS RD Lot 13 81k 2 Sec/Sub SHERWOOD DOWNS
. .
These items Were/were not complete at the time of the final inspection.
Date: Yes No
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway ?
Permanent gas
Sod/seeded grass ?
Trail/curb damage ?
Porch 11?
Basement finish ?
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. r?
PEl1SlEDMRl1
White - City copy Yellow - Resident copy Pink - Contractor copy
SEWER S WATER PERMIT
CITY OF EAGAM
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE +:'la r ch i i.199
METER # q5?.,Xd7a q°Z- PERMIT DATE
CHIP # 0 a .3 0 / 41o d'3 PERMIT # L
METER SIZE SeAJf1 5 B.P. RECEIPT #
ISSUE DATE -q f' 2/ B.P. RECEIP'f' DATE C) 3 2 6 f 9?
_ PRV _ BOpSTER PUMP
SITE ADDRESS , - z )n a ,?
LOT ' BLOCK SEC/SUB - ?. = :w o o d , s! 15
APPLICANT: g A}"erm r-
ADDRESS: ia.r- ;+u S ;?
CITY, STATE mu 21P ? `y =- 2 !
PHONE:
+ , _ . 4..
PLUMBER:
ADDRESS:
CITY, STA41? ZIP
PHONE:
L . 1
OWNER: _
ADDRESS:
CI'fY, STATE ZIp
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING.
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWEF3:&WATER PERMIT
CITY OF EAGAN 3830 Pilot Knob Fid.
Eagan, MIy 55122-1897
DATE '°iarch 21 , 1991
PERMIT REQUESTED
Y SEWER ?? WATER -TAPS
? COMM/IND
^. NEW
x
-;o- RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit Wll,l NOT be given for Deduct Meters.
I AGREE
EAGAN(
WHEN METER ISSUED
CALL 454-5220 FOR INSPECTIONS. FOR 5TORM
METER # PERMIT DATE C3/2 7/ y t
CHIP # PERMIT # t ` 684
METER SIZE B.P. RECEIPT # C 12638
ISSUE DATE B.P. RECEIPT DATE{'3 f 26 y 1
- PRV - BOOSTER PUMP
SITE ADDRESS 30 32 4I =-,, +, :; d s Tto a d
LOT ' 3BLOCI( 4 SEC/SUB 5h e rrao a d D a st ns
APPLICANT: Iosopis Ji Mi 11p T ??. ., na r• T n c
ADDRESS: 1A 1 13 .^. a_' .a I A v Sa
CITY, STATE 'Earmi n4t o rl, Mn Zlp `i 502«
PHONE:
PLUMBERc.. , .-. s _ ad a ?
ADDRESS:.
CITY, STATE ra 1 ZIP
?? e :s o ti:: ; n .
PHt)NE :
.' F
OWNER:
ADpRESS:
CITY, STATE ZIP
PHONE:
PERMR REQUESTED
?.` SEWER ? WATER _. TAPE,
? COMM/iND ? RESIDENTIAL
? NEW - EXISTING
Lawn Sprinkler Meters are to be Installec
Ahesd of Dorv+estic Meters on Water Line
Credit WI4.J_ NOT be given for Deduct Meters.
I AGREE 1Th COMPLY WITH CITY QV
EAGAN OROINANCES
SIGNATURE WHEN METER ISSUED
PIEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR
SEWER PERMITS, CONTACT ENGINEERING DEPT.
DATE: MARCN 27, 1991
a
RE:,•?3939 CLLPPExS RD (J03EPH M MILLBR CONSTRUCTIOR INC)
X Your Sewer & Water Permit for the above property has been completed. It will be heid at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
C+4LL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
. be issued or occupancy allowed until furZAer notlce.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REpUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMEMT DEPARTMENT FOR WATER TURN ON POLICY
.
r.
• CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
9
:j I
,vMouN'r
? CASH
a
a, oauRs
ACHECK 1m
J ? -
./ ? ? i• ?s ? ,` _ /? I
R1ND OBJECT ? AMOUNT
Thank You , ,)
sr --k
C 12638
?/?n?yi /oog3?
9
H
3917
Request Date Fire No. Hougll-in Inspection
A p r i 1 16 , 19 91 `?'"'°°' °R.«°r "°"' Ww"' "oeq''"?'°'
•r+as 7, nb wnw PAaay?
I& licensed coniractor p owner hereby request inspection of above elecVical work at:
.loA ACdress (Stree1. Box a Route No.] eftY
3939 Clippers Rd. Eagan
Secoon No. Township Name a No. Range No. Coury
Dakota
OccupaM (PRINn
Joe Miller Construction PhoM No.
431-2001
Porver SuPPFer
Dakota Electric Addreas . . .
armington,MN 55024
EleclmW Conhacla fCompany Name! Contrsetorls Licertse No.
Midland Electric 041610
kUinV naorou (c«macW w ow,.. MOdng i,stWier«,)
7630 145th St. W. Apple Va11ey,MN 55124
Authonzed ' n8clure (CondaCta/Owner ing In tallatbn) Phone Number
1 432-6688
MMOSOTA STATE D.6F ELECTRICfTV
O?I?MWw?y 8 Room S173
Nt1 Unlwrslty A.. St. Voul, MN 561M
rherM (611) 642-0800
,?/18'/gr REQUEST FOR ELECTRICAL INSPECTION
( ( ? See msiructions for completing tbls form on badc of yeNOw copy,
H ,? 9 X" Below Work Covered by This Request ?I? 700?
79
We% Add Rep. _
TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary
Senrice
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speciiy)
Comm./lndustrial ' Furnace
Farm Air Conditioner
??r (SPecAY) CqntraCtOt§ Fl9merkS:
Compute lnspection Fee Below:
Other Fee ? ServiceEntranceSize Fee ?Y CircuitslFeeders Fee
mi
ng Pool
0 to 200 Amps /?,ps 0 to 100 Amps 5'6
Z
Transformers Above 200 Amps Above t00 qmps
Inspector5 Use Only: TaTAL
Irr
ion Booms '??•O 71
50
Special Inspection ,
Alarm/Communicafion TMIS INSTALLATION MAY BE ORDE
h
O RE DISCONNECTED IF NOT
t
er Fee COMPLETED WITHIN 1 NTM ?
I, the Electrical Inspector
hereby Ro"g".'" o?e
,
certify that the above inspection has
been made. F?
o -
OFflCE USE ONLY
This requast wid 78 montAS hom
THIS INSPECTqN REQUEST WILL NO'f ? 8E ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
?y? -??_? ? 3?.
%?
,?_. -.
.
, j
/
'n V) RESIDENTIAL
BUILDING PERMIT APPLICATION
\ CITY OF EAGAN
3830 PILOT KN06 RD, 487? MN 55122
681
n y_Iremgn?
• 3 reg'stered stle surveys showing sq. ft. of bt, sq. ft. ot house; end aR roofe0 areas
(20% mezirtwm lot coverage albwed)
. 2 copies af plan shawing beam 8 window sizes; poured tound tlesign, etc.)
• 1 set oi Energy Cakulatbns
• 3 copfes of 7ree Preservatbn Plan M lot plaried aAer 711193
• Rim ,bi31 Detail Options selectbn sheet (bl0gs wiN 3 or less unAS)
DATE l(JTI V J ??
SITE ADDRESS ;..?
NPE OF WORKI
APPLICANi Ii?
STREET ADDRESS
TELEPHONE #lC?l.
7 (. 1J
pemodeVNaoelr tieaulremenb ?
• 2coplesWplan -??-
• 7setofEnergyCalculatbnsforheatedadditions
. 1 sne survey for eztenor addiuons & decks
• IrMlcate 8 home servetl hy septic system for additions
VALUATION -1 OOv
PROPERTYOWNER?1??,vw CC 1n{lA 11 TELEPHONE46 (-UR - LiJSb
- °---------°-----------------°-----------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDIN6S ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor. `
Plumbing system includes:
Mechanical Conhactor.
Mechanical system includes:
Sewer/Water Conhactor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
_ Phone #
Lawn Sprinkle
No. of R.I. Baths
Phone #
Phone #
Fee: $70.00
°°-----------------°------°------------------------------------------------------------
I hereby acknowledge that I have read fhis application, state That the information is correct, and agree to comply
with all applicable State of Minnesota STatutes and City of Eagar, inances.
Signaiure of Applica ` izat
._._...__..____.._______.--------- ...-------- -??-__w_s.....r...?.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
1991 BUILDING PERTIIT APPLICATION
CITY OF EAGAN
SZNGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MITLTIPLE DWELLINGS
COMMLRCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUI.ATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT 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.
To Se Used For: UeCk
?
Valuation: ?i ? Date: e7 /V I It
Site Address 313`I C,L(Q e,Y'S PA
Lot 16 Block oC
Parcel/Sub SkcrWood oou+nS
Owner Df41/IQ e hfOVA-AJ
Address 3q 37 0-Ltppcrs P-d
City/Zip Code L- JFGHN .44 N, Z Z.
Phone 03 S?T
Contractor
Address 37 31 ?.Lk pp -e- cs
City/Zip Code F31%av? 1lAAi- ss 1Z-Z--
Phone (? FS' - O 3 .??
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE USE ONLY
FEES
Occupancy Bldg. Permit
Zoning Surcharge
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System _ Park Ded.
City water Trail Ded.
PRV _ Z Copies 11?2 O
Booster Pump _
SIIBTOTAL
APPROVALS Penalty
Planner ?
Lot Change
Council TOTAL
Bldg. Off.
Variance
i `
T7Ragrees that all work shall be done in accordance with
(Signature of Contractor)
? { ?. c fi?t!°?'? -
l
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
N i or?c.=.r tr?a i nEer ? ns E81548t: . F'. 02
2422 Enterprise Di ive
'? PIONEER Mendota Heighu, MN 55720
??engi* esring.. (612) 681-1914
Ce,t;f;cate of $urYeY fo,:JOSEPN M. MICLER CQNST. C0: ?
NoarN
,
x
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\
' , ? ?., • ' '? f? tina
? - 25?' ?o ? 9&
, -
V? Aik? k
00 oi ???^< 3
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n°?? / ? ? 6R1? 1°?'
? 7.pf3o ? i,'y q ;?'
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"'s; G7.. \ ?? Esj J? ?••"'?
?_ ?? 7o f 6avK 884. y?. ? 3?j
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0
? Sy7?9P t+
\ C? ?'° 'p
897 y \ ?, W , ,, ,?
r. .r.
?
o. ,
?
I z9
?
i
x 900.00 Denohs fxisfing E(evafi0ns PfIDG25EI1 /;OUSf fLEYATIONS
F oo•oo Qenofez Proposed Elevafions Cowrst F7oor Elevotion 89l. C;_
----- •- Denofcs Orol no e Ufrli!y fasem¢nf T??p q,,'6/ock flevo/ion 899. ey
Drnales Drainoe ?low xlrrows Gorcile S1ad E(evofion gqq, ¢3
o Denofes Monumenf
Bearlns shawn ure asjumad 4 Deao{es o{rsef Nu6
LOT l3, BLOCkZ SNt'Rwooa D4wrv5
DaK07',4 CoUtiry, hIiNNESOTR - M ? 5ublect to eaiemenfs of^record
1 hereby wrtify Ihat thi: survey, ptan c+r rEport was pr ared hy me or undeppny direct avparvision end that I am duly RpgisterVd Lend Surwyor
under the Ipws of the Swe of Minnesaig, 09teJ thlsday of rr A.O. 194,.. ' olfll? ?...? r
e2J: 31ZL?9/ c??ISf ?/P?. Rdoep. . 2/?ue/ 1 9o?e/ ?
I Cl 07, p U, 4,9 ROBERT 6. SiKIGN L5. REG. NO. 14891
CITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
p;; ?:,.. .. ........<C?
.
FOR CZTY USE ONLY
PERMIT # / Va ? ?-
RECEIPT #?OO,
DATE: JAAS% 9/
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT.
----------------------------------------------------------------------------------
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: L-p- 7YI4."_e4
SITE ADDRESS: V3739 l"LhQ.PNJ ?
.? _n LOT:? BLOCK ? SUBD. c?.KOIjJ
INSTALLER: GENZ-RYAN PLUMBING & HEATING COMPANY
ADDRESS: 14745 South Robert Trail
CITY: Rosemount ZIP: 55068
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
3?D
1 SHOWER 3.00
? WATER CLOSET 3.00 le??D
Q?
? SATH TUB 3.00
? LAVATORY 3.00 .6D
1 KITCHEN SINK 3.00 3- JD
L LAUNDRY TRAY 3.00 3•JD
HOT TUB/SPA 3.00
?T WATER HEATER 3.00 3 . (fD
? FLOOR DRAIN 3.00 ?
GAS PIFZNG OUT.
? (MINZM[7M - 1) 3.00 3 • ?
.? ROUGH OPENINGS 1.50 N• 5'O
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S y 3 S ?
ST. SURCHARGE .50
TOTAL: S 7 7' ?
,?'r,QMMERCIALf?iNDU$TR?AI:;s_ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRSAL BUILDING A
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
A?DRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMi1M FEE.
CONTRACT PRICE x 1% $_
STATE SURCHARGE $_
TOTAL:
(SIGNATURE)
PHONE #: 423-1144
? CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # O
DATE: S
p.PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ]
. <..,., , ..>.<..
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - - - - - - - - - - - - - - - - - - - - - 4 ---------------------°----------------•
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: ZlRe_. `l ?111\`P lr-
SITE ADDRESS:3q34- CAF_-F?riero '\?Qa'
LOT:? EIACK
INSTALLER
:
A) O
?-) 9 ?
• 1
ADDRESS J '
CITY: '( ZIP:
PHONE #: ?Y lCilJ' COO ? ?
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
TOTAL:
DWELLINGS &
$15.00
24.00
6.00
3.00
$ 33.CiZ1
.50
S GNATURE OF PERMITTEE
CQf+Q4$ft?????NTlI1STKXAT:"'. PLEASE COMPLETE THIS YORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILAINGS,
,.
APARTMENT SUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME:
SITE ADDRESS:
',.^.,.: ^nIACK - ji1Bll.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 'riINIi7"L"ii rEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
.
1991 SUILDING P IT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
M[TLTIPLE DWELLINGS
fMAft 2
i
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SUAVEYS - & STRiICTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MtIST SHOW A LICENSED PLUMBER.
To Be Used For:
Site Address 1-W1-5
Loc /,) Block a
Valuatio ?? Date:
Parcel/Sub J&4,(,U-becc 08?-c.?
Owner
Address
City/Zip Code
Phone
Contractor t - ? Llig).
A d d r e s s ?'2?j
City/Zip Code ? JrS?
Phone ''t,:? / ` 7-"?
Arch./Engr.
Address
City/Zip Code
/ 03, a oo gFFZCE USE ONLY
FEES
Occupancy R-3 NI-I Bldg. Permit 660,00
Zoning .?.? Surcharge 5J.5v
Actual Const Plan Review 412.3,
Allowable 1/-N SAC, City 100,00
# of stories SAC, MWCC 6 0.00
Length $ Water Conn. 660,00
Depth L/g' Water Meter 90,00
S.F. Total Acct. Deposit 30,M
Footprint S.F. S/w Permit 30,?
S/W Surcharge 5?0
On site sewage_ Treatment P1. 2 6'00
On site well Road Unit S?V'00
MWCC System ? park Ded.
City water ? Trail Ded.
PRV _ Coples I,Q(j
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL 3q42.)
0
Bldg. Off. 47S-3- ZZ
Variance
Phone #
` eAL agrees that all work shall be done in accordance with
(Signature of Contracto ;
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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Ptonoor Ensineorins 6919488 P.02
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pIONEE
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Certificate af SLrvey for:VOSEPI"7 M• Mf LLER CONST CD. ?
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Denoks fxisl`in Elevations R7SiD l,bl.Ii4 fLE?AT•FO 5??
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Denofes Ar-goazed Elevatibns Lowrst Flocr f/rvatian_ ?91. ?7_'.? 4 •
- Dmofes Droincje U1ilIfyfasernmf rq Ce/ock E'/evofion a99. gL
Deqoies Droinotrlaw TJmows ap S/ad Elevaficn 8t9• 4a
o ptnoles Monun}'ent
Benlti?s shown are cwwr?? o Deno%c qNaf Nub
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pauora C»uN7Y, MiNNES07'A •n 5ubjtct Mtasemrnft o^recnrd
i hereby nnity d,se e?u our?,?, plen or rapart wn pr red by m? r undo d1roet supervlslon cnd that 1 am duiY hlpbtered Lnd Suweyo,
arder tha law? ol ths Stata o1 Mlnntnm. Cnld dthdey of a,s.?? A.U. 79?.
SCale ? 1 r? ? ?' . ;
qd2p (? 90 Q q09EAT B. Sil[ICM L. R60. NG. 1?09
A121/4
' MINNESOTA STATE ENERGY CODE CALCULATIONS '
.
BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDITION G7Q 47?5'
Adoptton Effective I/l/84
Owner G pU , Phone D te
- r
Site Address ??-C-T ?LCC.-r. Z ';5 FfE-K(q-wo ly(,),(7j
Contractor
Phone
i
Building Ciassification: Type Al (Single Family 6 Duplex)ype A2(Res{dential)
(3 stories or less
NOTE: Complete pages 3 and 4 flrst. 1 '
(Other) (Over 3 stories)
GENERAL INFORMATION
!
1. Bui lding Perimeter ? u,KK?ft.
2. Wall hei ht
g (ground to eave) ft.
2•
3• 1. x 2. (above) gross wall area2014 f[.
4. Building dimensions (L) X(W) _9 ft.2 roof 6 floor area
5• Square foo[ area of rim Joist - Floor )oist slze (2 x1li 1 )
??1 X Perimeter = Rim Joist area ftZ
12
'?
6. Doors - Aeea
Thickness in. U factor
Type of Construction Perimeter ft.
Manufacturer
7. To[al door's perimeter ft.
8. Windows: Manufacturer State approved
U factor
TYPE SIZE AREA (Ft.2)
' ERCN 9. Totai ft.2 Glass_
NUMBER OF TOTAL FEET 2
UNITS
10. Firep)ace area; Width X helght = X Ft.Z
Il. Exposed Foundatlon: Neight X Perimeter /Cf/611 X/?v Ft.2
COMPLETION OF TNIS FORM IS REQUIRED FOR ALL EA-W LONSIRUCTION, MAJOR REMODELING AND BUILDINCS BEINf
MOUED WHERE ENERGY, OTH ER T H A N T NE MINIMAL CDOE ALLOWANCE, IS USEO.
l2
13
Framing area = 10% af gross wall area.
Gross wall area 4-
Nindow area A ??(Q ft.2
Rim ,joist area A ft.2
2
Door aa A ' 5; '> ft.
+-i-rep}atE area A /(' 5- ft.z
?
Exposed foundation A 15 ft.2
Framing area A ?Lg?_ft.2
Net wall area A ft.
4
4 90_ 43s
ft,2
u windor,s = 140 u x A = J? ID, l6?
U rim joist = ,D U x A > Z
U door area =U x A =
U fireplace = ,?7 U x A =
U foundation = i? (S U x A
lJ framing area U x A =
U wall = ss ? ux A =
(138) TDTAL . . . . . . . . . . U x A(?
14. Gross wall area z 0.11 (A-1 single family 5 duplex 4= allowable U x A/Code
(13. above)
x 0.23 (A-2 other residential) .
x .23 (Other buildings)
x .28 (Over 3 stories)
BTUH Must be larger th
A d14 x U Code. ??F. 136 above
15. Ceiling framing area (Af) equals 10% of ceiling area ? or the same as)
15A. Gross ceiling area =(L) x(W) = CUa-,_;? 6? ft.2
158 Joist area (Af) = 10? ceiling area =?j ? ft.2
15C. Net ceiling area (Ac) (15A - 15B) _ ft.2
U ceiling x A C_ ,dZZ x
U framing x A f= ? 04 3 x_?_
150. TOTAL'U x A ........................................ .
16. Ceiling 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)
,07?{4 BaUH 14ust be larger than 15D (above
A(15A) f?v ? x U code = iD F (or the same as)
NOTE: Use U and A values obtained from pages 1, 3 and 4.
CERTIFICATION; 1 hereby certify that I have calculated the "U" fac[ors and "R" values
herefn and that the bullding here descrlbed meets or exceeds the State of Minneso[a
Energy Conservation Act. I
te
gnature
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VAv LT s ?'?:7
lygo
9?-- Fb- ?-Z6--
CWL'I7.S (,(/AL(„-,
wlMtJaWs.
/g
Zw-T.?x3? ? I X l f? - /8
?w -T?x?oo 1 I X 3°o = 30
Z?jC?$ T?rrt? 1 J X 12 = 12
110
Zw-ZvX3tp I ? x 14 = )4
ZoXr?v If Z ? I! = Z?
????? ?a? . = .? ..?
C?'?Pv. R Z
2 ?oti Z I
?S?
U YHLUL LHLLULHIlUNS
...
NALL '
SECTION
STUD
SECTION
SECTLON.
R YALUE
Inalde air film .68
Lnxerlor xall • 45
lnsulation 19 , o
Sheathing L p(p
Slding .(01
Outelde air fllm .17
R TOTAL z-3 . O 3
U VALUE
(Hall) U . R :
----
Inside.ait film ? .68
Interiar xall .45
411 stud . R= .Op (D,15 (Framing) U. R .
Sheathing ? Z .o(D
Slding
r-
Outslde air film ' .ll
R TOTAL IO . 'r7 ?j-
?
:,ntotlor wall atton Jall ) U .. t
? R ?
?-?s .
Ex[etlor wall coverUnr??
Exterioc air flim R -.17
AL
Riri
JOIST
Interlor air film R= ,68
lasulatlon ?q. 00
?k inch eoft wood R=1,88 (Rim
Joist)
Sheathing 2•b(o
Exterlor wall covering AD-l
1
Exterlor air Ellm R- ,17
R• TOTAL Z.?'. 4(O
Interlor air Ellm R= .68
?
I \ `
rade 3.
Insulatlon
Founda[lon ? . Zg
? Exterlor aIr film R° .17
< F TOTAL
?xPosed Btuck
1
U=R=
1
(Fdn.) U
1
CEILING W[TH VENTEU ATTIC SPACE ABOVE
? R `lALUE k VFiLUE
FRAMitIG CEIL[NG
o
0.61
• .023
Air Film 0.61
Insulation 44 - v
Joist
Ceiling . -rj(p
Air Film 0.61
Total R
i
U=R 3 ,oZZ
FLAT ROOF OR CATNEDRAL CEILIPIG
R Va ue R YAIUf
FRAI•tING CE1L[NG
0.61
0.17
[nside air film 0.61
Ceilin
Jotst ?stu •
Insulation
Air space
Roof decking '
Insulation
Built-up roof
Outside air film 0.17
Total
R=U
dindow infiltration .5 cfm/lineal foot of crack
lesidential door inflltration 0.5 cfm/square foot or door and minimum code requirement
•!on-residential door infiltration 11.0 cfm/lineal foot of crack
Jb 12" concrete block no insulatlon =.47 R 2.1
!b 12" concrete block insulated cores =.26 R 3.8
Jy 12" lightweigfit block =.32 R 3.1
16 12" lightrjeight hlock insulated'cores =.12 R 8.3
J singie glass = 1,13; with storm taindow .54
J double 91ass = .55
J triple glass = .41
all exterior walls and ceilings must have a vapor barrier (0.10 perm max.).
;apor barrier must be on the inside (heated side) of Nrall.
iapor barriers of the polyethelene tliin film have no R.value.
4.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116071
Date Issued:10/02/2013
Permit Category:ePermit
Site Address: 3939 Clippers Rd
Lot:13 Block: 2 Addition: Sherwood Downs
PID:10-67670-02-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder, flat bar and printed
pictures of ice and water protection.
Carbon monoxide detectors are required by law in ALL single family homes .
jackie terrell
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 -
David F Chovan
3939 Clippers Rd
Eagan MN 55122
Walker Roofing Company
2274 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137401
Date Issued:07/01/2016
Permit Category:ePermit
Site Address: 3939 Clippers Rd
Lot:13 Block: 2 Addition: Sherwood Downs
PID:10-67670-02-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
David F Chovan
3939 Clippers Rd
Eagan MN 55122
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature