4395 Clover LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4395 Clover Lane
Lot: 3 Block: 05 Addition: Eden
PID:10- 22750- 030 -05
Use:
Description:
Sub Type: e - Fumace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
Fee Summary:
Contractor:
Pronto Heating & Air Conditioning
7501 Washington Ave. S
Edina MN 55439
(952) 835 -7777
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Fazly Alahi
4395 Clover Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA092148
11/24/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
3830 Pilot Knob R d! P.O. BoFx 2G-A1 9, Eagan, MN 55721 N2 12014
a ' PHONE:454-8100
BUILDING PERMIT Receiptp
7o be used for SF DWG/GAR Est Vaiue $ 63 ,0 0 0 Date MAY 2 7
SiteAddress 4395 CLOVER LN Erect CN Occupancy R3
Lot 3 Block 5 Sec/Sub. EDEN ADDITION Remodel ? Zoning R1
Parcel No.
Name BURR OAK BLDRS INC
Address 11473 GOLDENROD ST
ciry COON RAJ?JW 757-8157
Repair ? Type ot Consl Vn
Addition ? No. Stories
Move ? Lengih
Demolish ? Depth 38
Int. Impr. ? Sq. Ft
Install ?
. o Name SAME APProvi
zr
$ ¢
Address
ASSesSment _
` City Phone Water & Sew.
Police _
F W Name CRADIT & ASSOC Fire
? a Address En
g.
a W City MPLS pnone 379-4947 Planner-
I here6y acknowledge that I have read this application and state that the
information is correct and agre i all applicable State of
Minnesota Statutes and City of r ces.
Signature of Permittee
A Building Permit is issued to: R OAK BLDRS INC
all work shall be done in accordance wiqr? cable State f e¢c
Bldg.
Permit ?•
Surcharge 31.50
Plan Review 161.00
SAC 575.00
Water Conn. 500.00
Water Meter 63 . 50
RoadUnit 290.00
Tr. PI. 156.00
Var. Date I Copies
Total $2.099.00
on the express condition that
Statutes antl CiTy of Eagan Ordinances.
Building Olficial
Thix rnQaest void &-C
18 ?my onths hom
{1 IqQ/? 1 I 7
CnJ???U
RequeEt Date ~ Frre No. Rough-in InsVectwn
HeqwredP
?Reatly Nuw?1Mi11 Noufv, InsDee-
_ - ?
-7 7 ?.?es ?No ?m When Neadv
?Lmensetl Elec[ncal Conlracmr I hereby mquast insDectmn of above
?wnar electncal work installed aC
Slreet Atldress, Box or Noute No. CitY
L
ecLO o. Towns .D ame or No. HanBe o. Counly
?
OccuGant(MilNT) Phone o.
? i '757-8157
Power $upplier Address
20 ST
2
Ctaw<o-r^ ? 1 .-
D O
'
Elec«ical Condactor ICompany Namel s License No.
Conhactor
Mailmg Address (COnvactor or Own¢r MakinB InstailaUOnl
?
R?Oc? A
ffi
ationl Phone Number
Authonzed SignaturCOnVactor Owner Makine i
MINNESOTA STATE BOARD OF ELECTHICITY TMIS INSPECTiON NEQUEST WILL NOT
Griggs•Midway Bldg. - poom N•191 gE ACCEPTE? BY THE STATE BOARO
UNLESS PNOPEN INSPECTION FEE IS
1821 University Ava., St. Peul. MN 65104 ENCLOSED.
PAone (612) 297-2111
, CITY OF EAGAN N 0- 1 4 8 O 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55727
PHONE:454-5100
BUILDING PERMIT - ° Receipt# 2S LIJ
Tobeusedfor DECK Est.Value $1,000 Date APRIL 11, ,19 88
Site Address 4395 CLOVER LANE
Lot 3 Block 5 Sec/Sub
EDEN ADDITION
Parcel No. _
? Name MARGARET JOHNSON
z Address 4395 CLOVER LANE
? City EAGAN phone 452-2347
o Name MIDWEST FENCE I
?a Address 525 E. VILLAUME AVE.
=? City SO.ST.PAUL Phone 451-2221
w Name
W
z Addre
a
W CitY_
I hereby acknowledge [hat I have read this apphcation and state ihat the
iMOrma6on is coirect and agree lo comply wdh all applicahle State of
Minnesota Statutes and Cit Ea
O dm ce
Signature of Permittee _
?
A Bwlding Permd is issued ib
on the ezpress condition that al I work shall be done m acwrtlance wrth all
applicable State ol Mmnesota Statutes and City of Eagan Ortlinances.
Building Otticial4/677 4f I Ez?lr I -/ fl/
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ (ACtual) Const
Ciry Water _ (Allowable)
PRV Required _ # of Stories
Boosler Pump _ length
Depth
S.F. Total
Footpnnt S.F.
APPROVALS FEES
Engr./Assess Permit Z4.00
Planner Surcharge -50
Council Plan Review
Bldg Off. SAC,Ciry
Vanance _ SAC, MWCC
Watei Conn
Water Meter
Roatl Unit
Treatment P1
-ft.kscopies .50
TOTAL 25.00
. .
nt(lUtSi FUN ELECTRICAL INSPECTION - -'? ee=ouooi.no
1 See instrueUOns for complebnp this lorm on beck oi Vel low copy. /_ j?C) "
^
(? 3 3 401 ??X" 8elow Work Covered by 7hrs Requesl ?L?
AAd Peo. ? TyDe of Bmltlme AoPliontea WiraE Equiument Wrted
Ho Range Temporary $ervice
wrLTLiplex Water Heater Lighuny Fixtures
Apt BuilAfn9 Dryer Bectnc HeaLn
Commercial Bldg. Fumace Silo Unloader
Industnal BIAg. qir Conditioner Bulk Milk Tank
Farm 0tn11 per,i v iN, ISpnnivl
[ P,( UCCI V Oj C'f Olhl'?
N Fea ServiceEnhanceS,xe tt Fee Ferttlers/Subfextlers N Fae Ci«uits
!• 0 to 200 qm s 0 to 30 qm s 0 to 30 Am
Abave 200 qmpsi 37 to 100 qinps 31 to 700 Am
Swimming Pool Above 100_Ainps Above 100Am
_
Trans*ormers Irrigation Booms Pdrtial• Othe
r Fee
Sig?s Special InspecLOn
$
Nemarks ? TOTALA 7 Q0?
flouBh-in V ,
?J
7,
I. the E pl
? Insoector, heraby
Final certdy Ihat the above
ins0ection hes been
C%f ' d(ft ?aa.
fhi8requasivoitllBmonthafrom -
-CITY QF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt ?
To be used for Est. Value F•?' Date
Site Address
Lot Block ? Sec/Sub. E.3E?! 1nnltior?
Parcel No.
ac Name .,•,.,.,,... , ,..:..,,.?.
Z Address
; L..,.:--' 3'' ?'
?
° City Phone
¢ 0 Name
o ` Address
U ? City Phone
V W
j Name
y
? W
u g Address
Cc W City Phone
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 af Eagan Ordinances.
Signature of Permittee
,f, ,,,,.. ?`f F" ??i:.
A Building Perrnit is issued to:_
on the express condition that all work shall be done in accordance with all
applfcable State of Minnesota Statutes and City of Eagan Ordinances.
6uilding Official ??: ???' ?t,G?ilC. ? ?
OFFICE USE ONLY
On SRe Sewape Occupancy
MWCC System 2oning
On Site Well (Actual) Conat
City Water (Allowable)
PRV Required * of Stoties
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge '
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
-parii§
;
TOTAL ' '
Permit No. Permit Holder Date Talephons ik
Plumbing
H.V.A.C.
Electric
Softener ,
Inspection Date Insp. Comments
Footings I
Footings II
Fou ndation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isui.
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
.?T. ,,,?- . ? . . . . .
--• ' CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDINC PERMIT
Receipt # ' X ?12014
To be used for SF ????GAR Est Value $63,000 Date •4AY 2 7 , 19 86
Site Address 4395 CLOVER LN Erect ? x Occupancy R3
3 EDEN ADD
5 ITION Remodel ? Zoning R1
Lot
elock Sec/Sub. ? T
C
L «
Parcel Na. Repair ype ot
ons
n
Addition ? No. Sfories
W
Name
BU:'.r? OAK BLD12S INC
Move ?
Demolish ? 413
Length
Depth 38
; Address 11473 GULUE?VROD ST Int Impr. ? Sq. Ff
0 COO
City N ft?' S 7 5 7-$ j?j ]
'io?? Install ?
Z o Name AI
?°, L)
Address ' Assessn
? Citv Phone Water &
Police
? W ?vame CRADIT A ASSOC Fire _
00 Address Eng. _
? W city NiPLS phone 379-4947 plA,,,,,
I hereby acknowledge that I have read this application and state that the B16
information is correct and agree to c?ply Y%ith,all applicable State of •
Minnesota Statutes and Ciry of Eagab OrdirrapEes. AP<
Signature ot Permittee Var.
- -
A Building Permit is issued ta flURIZ OAK BI.DKS INC
all work shall be done in accordance with all aR icable 5tate of Mirlpesota Steti
and City of
Permit y a&& • vv
Surcharge • SO
Plan Review 161.00
00
SAC '
,
Water Conn. 500.00
Water Meter50
Road Unit 290.00
Tr. PI. 156.00 .
Copi
Total . • 00
the express condition that ?
I ' I POM* No. I ftrnM Haa.. I Dal. I TW.uhoo. If I
Plbq.
Finsl
Oce.
#
' PLUMBING PERMIT RECEIPT #
' CITY OF EAGAN q
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ?-/
Site Address ` Z tZ - U'` ' I BLDG. TYPE WORK DESCRIPTION
Lot -`? Block Sec/Sub Name Lk- A- •5 ??t 4L L
m ,
? Address
c Ciiy ? iti?' c ??• Phone
L Name
c Address
p City Phone
FEES
COMM/IND FEE - 146 OF CONTRACT FEE
MINiMUM - RESIDENTIAL FEE - $10.00
TiAINIMUM - COMM/IND FEE - 20.00
STATE SURCHAFiGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND a1,000.00)
OF PERMITTEE
FOR: CITY OF EAGAN
Res. New
Mult Add-on
Comm. Repair
Other
N . FIXTURES
Water Closet - $3.00 TOTAL
$
Bath Tubs - $3.00
ai
Lavatory - $3.00
Shower - $3.00
ZKitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
loor Drains - $1.50
??
Water Heater - $1.50
Whiripool - $3.00
ZGas Piping Outlets - $1.50
Softener - $5.00
Wetl - $10.00
Private Disp. - $10.00
% Rough Openings - $1.50
FEE
STATE S/C: '
GRAND TOTAL•
' , :'? ,.. ..,, . . . ' • . . . ' r f .: ?j `
• ? PERMIT
MECHANI CiIL PERMIT RECEIPT #
CITY O F EAGAN .
3830 PILOT KNOB RO AD, EAGAN, MN 55121 DATE: --
CONTRACT PRICE PHONE : 454-8100
Site Address BLDG. TYPE WORK DESCRIPTIQN
Lot Block Sec/Sub
New
R
Name es.
lt Add
o
M
8 -
n
u
? Address Comm. Repair
c City Phone pth
er
Name FEES
-
c Address RES. HVAC 0-100 M B7U -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ARD-ON AIR GOND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond M BTU STATE SURCHARGE PER PERMIT - .50
. '(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM
BEYOND $1,000.00)
• Gas Piping Outlets #
Other
FEE:
S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
CITY OF EAGAN
Addition Eden Adddition Lot 3 elk S Parcel #ln 22750 030 05
Owner Street- 4395 Clover Lane State Eagan MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, 19$2 2271.15 454.23 5
STREET RESTOR.
GRADING (LIL lg ?2 .22 ?.O . 84
SAN SEW TRUNK / 19']4 62.93 4 20 15
• SEWER LATEFiAL 19 2 3'T 1. .
WATERMAIN
* WATER LATERAL 19
WATER AREA 1977 62.93
• Services 1982 5
STORM SEW TRK 1982 48T.61 97.52
* STORM SEW LAT 19
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN 11VATER SERYICE PERMR
3830 P
-ilot Knob Roed
.
P. O. Box 21189 PERMIT NQ.:
Eagan, MN 55121 DATE:
?; No. ofUnits:
r;
1
Addrcss:
urn
ber:
r No.: 37a21 :? 2 7 D _. a & CF;qr .
(r No.: 0 " - ??.J%mW • - ,
. t. ao?a.r, .ft ere aer .t
M? Date Pald:
of Irqp.: inap.:
i CITY OF EAGAN SEWER SERVECE PERMR
3830 Pilot Knob Road ?? ? ;
P. O. Box 21199
? Eagan, MN 55121 DATE-
Zoninp: I No. of Units:
. Ownar• f;a k. 3
:Addrcss:
'3tte Addron:
? Plumber:
1 pn? N esylf wM% !IM Cft of Mlvs"
0?dIsemses.
By
Date of Inap.:
Irop.:
Connectlon U+arps:
ak:
+t De
A
p
ooo+s
Permlt FM:
Suni+a+:
_ Misc. CharOea: -
_ Totoi:
_ Doty Pold:
n
? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showng sq R. of lot. sq. ft. of house; zr.tl all roofed areas
(20°h mazimum lot coverage allowetl)
. 2 copies of plan showing beam 8 window szes; poured found design, etc ?
• 1 set of Eneryy Calculations
• 3 copies of Tree Preservahon Plan if lot platted after 711193
. Rim Joisl Delail Oplions selechon sheet (bldgs with 3 orless um4s)
DATE ly
1?/O a
RemodellReuairReauirements ? a • ? ?
. 2 copies of plan
• 7 set of Energy Calculations tar heated addrtions
• 7 site survey for exterior addifions & decks
• Indicate rf home served by septic syslem for addltions
VALUATION ? ULTI-FAMILY BLDG Y ?N
FIREPLACE(S) jf10 _ 1 _ 2
APPLICANT /i 9 C ) -i'lC,
STREET ADDRESS 12 4 N7 A&t oI%'f .41e . s CITY Su/'ns?_W2 STATE MO ZIP $533?
TELEPHONE #(1S0)7 07 -49S4CELL PHONE # FAX # Sa. 910(6-Qftp
PROPERTYOWNER_ -J'Q,wiGS Mc /l/anev TELEPHONE# 66S1)?61= 7491
------------------------------------------------------------°---------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ VIIYNI•:S(YG\ RtiLE:S 7670 CA'1'1;CORY I VINN'
(d submission type) . Residential Ventilation Category 1 Workshee[ Submitted • N ?qp ?N4 el
. Energy Envelope Calculations Submitted
? JUI. 10 2002
Plumbing Contractor: ____
Plutnbing syslcm inchules:
Mechanical Contractor:
Vlcclltmiril systcm includcs:
Sewer/Water Contractor:
-- :\ir CottdiUOning
Hcat Rccovcr}' Systcm
Phone #
Phone #
Pcc: :570.00
---------------------°---------------°----------------------------------------------------------------.....-------------
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 Eogan Ordinances.
Signature of Applicanf
OFFICE USE ONLY
_ \Vater SofLcncr
NVater Heater
No. ol'Baths
_ Phonc #
Iawn Spiinkler
No. oI'R.I. I3aths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Upda[ed 4f02
. ARO/ .
7986 BIIILDING PERlIIT AP CATIOH - CITY OF EAGAN
NOiS: ALL CANTRACTORS M[TST BS LICEASED WITH THE CITY OF EAGAN
SINGLE F61+IILY DiIELLINGS
INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCIILATIONS
MOLTIPGE DWEI,LINGS - RfiSIDENTiAL REN'!9L DHITS FOR SALS ODIITS
INCLUDE 2 SETS OF PLANS, CEA
1 SET OF ENERGY CALCULATIONS
COPRlERCIAC
OF SIIRVEY - CHECg SiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANSt
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
?^ le' d?dt7'C?-
To Be Used For: Ji,,,. Valuation: :5, oca&
?
Site Address ?3qr ?Wvc.? ??„ ?? OFFICE U
Lot -?? Slock
Yareel/Sub F dr-?, Owner BdlRR OAK BUILDERS, ENC.
11473 GOLDENR00 STREET
Address COON RAPIDS, MINN. 55433
City/Zip Code
Phone
Contractor BURIR OAK BUBLDERS. INC.
11473 GOLDENROD STREET
Address COON RAPIDS. MINN. 55433
City/Zip Code
Phone (gal 75 7 -8lS 7
Arch./Engr. (_/L.J, I y [?f55a?
Address
-T
City/Zip Code
Phone # 371 - 4Y9v-)
Erect p Oecupancy
Remodel Zoning
Repair ? Type of Const
Addition # of Sf;ories
Move ? Length ?-
Demolish _ Depth 5t5,-
Int.Impr. _ Sq Ft
Install
APPROVAIS FEFS
Assessments Permit ZZ
Water/Sewer Surcharge / O
Police Plan Review ,a/
Fire SAC STs-
Engr Water Conn So b
Planner Water Meter 63. d
Couneil Road Unit 2_
Bldg Off 1 /jr Treatment P1 /-2?,
APC Parks
Varianee Copies
iOTAI.
Date:
1QOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOHEOftNER MQST DESIGN9TB AHICH ADDRESS
IS DESIRED. NO CHANGES iiI[.L BE ALLOWED ONCE BQILDING PEEtPffT I3 ISSQED.
X 7!
•C2 Z ?. t3 = ? ??
, S 557? ??g?
zx /o=?J
, ____?ertificate for:
Tim ,7awor
, 11461•Golden Rod Street
Coon Rapids, Mn. 55433
DEILMMIf"! W. SCY-9W!'?NZ
14N1151IPVEYpR$INC
+? nrnar„rn u011r„ -an. oi rnr gWi• ni n?rnrsoia
? 14750 SOUTH HOBERT TRAIL f105EMOUNT. MINNESOTA 55068 PNONE 812 423-1768
hU
?
?
V
,' ?a11 bj
4 I \
s
t'
k? v
?
F: .
SURVEYOR'S CERTIFICATE
a?ti? /oq. ?z N89- So. ob
?n o 0 3s, ? o". ---
?_.
2 1 Drainage & utility
b
z ,
easement ?• ' - C=A,Q . N
0
t?v G/7/L/7l'
; t
? - - ( - - -- - - - - - - ? -- ?ik'?
?6.3) /94. /S NL'e_ ?o- Uc e:
SCALE: 1 inch = 30 feet
Denotes proposed elevation from development plan.
I hereby certify that this is a true and correct representat,ion of Ldt 3, Block
S, EDEN ADDITION, according to the recorded plat thereof, Dakota County, Minnesora.
Also showing the location of a proposed house thereon.
Dated: May 12, 1986
MINNES07A REGISTRATION NO 8625
6'.
--
, ` • J791OY7
cradll 8 assoclaees, Inc.
IIh A?IDlqn? mpb.mMn 66413
"erchibclunl Mqomn ot oulsbn na o"e
E7CTr??SOR ENVEIAPE AVERAGE "0" COMPIITATION -rLaN+ SPLIT
owc+tttt PLnN No.'ou,N La+J
SITE ,4DDRESS namW -7 1 1 d 1 o...i _
CONTRACTOR ?1V2? r?f?IL- FwIL.DLJZS PiiONS
Determine caorking square footage of each
1. Total exposed wall area..... . 7.? sq.ft. x,L =
2. Total roof/ceiling area..,,,, )O 5 sq.Yt. x•0247=
3.
Total floor/cant. area....... sq.Ft. z`_
Total exposed wall area above floor lcql +4ho
8• TOt,BS W8ll WSIYlOW 8P88... I .............. • IeO,45
b. Total door area .............................. 57-sr
.'?
c. Total sliding glass door area ................
d. Total fireplace wall area ....................
0. Total wall framing area (average 109d)......eo ?
Y • TOt.31 T38t W8l1 81'98 8bOV6 f'lOOk' * .... ? r ? ? ? ? ? ? • ....CC?
g. Total rim joist area ....... ...... ........... .•
Total ezposed fourdation area 7M17
h. Total foundation window area .................
i. Total nat fovndation araa above grade........
Determina "II" vaZua of each Wall segment
a. - x "U" ? ?7,
b. ?° z "U" , 41140
Q• eo x °0°
d, x "II"
s .? x "U" _
n n
6?? x nQ" ?0 -
h. x "Q" _
x "U"?= ,
4 . ................................... Totail = p0
If item ,$4 is the same asp or less than item #19 you hane met
the intent oP SBC 6006(c)2.
?
? Total exposed roof/ceiling area
3. Total skylight area .....................................
k. Total roof/ceiling framing area (aver. (.10016"o/e) „„.
(.0625324"o/c)... ME=
1. Total net insulated roof/ceiling area.................. qT1-(0'9
Determine "U" value for each roof/ceiling segment
3o X flUel _
, X foUst
k.
1. % uU^ .Cn.O
5 . ................................................. Tota1 = ';Z
If total of #5 is the same aso or less than #2, you have met t
intent of SBC 6006(c)1.
Total exposed floor/cant. area
m. Total floor/cant* framin area (average .10%)..........
n. Total net insuli,ed floorgcant. area ....................
Determine "U^ value for each floor/cant. segment
M. x "II" -
n. E nUn =
6 . ................................................. Total
If total of #6 is the aame ast or less than $3, You have met the
intent of SBC 6006('0)3.
aI.TfftNATE BUILDING ENVELOPE DESIGN
To utilize the total envelape system methai, the values established
by the sum of items #4, #5 arxl $6 shall gg& be greater than the sum
of items 019 $2 and #3•
1. ?4°b. ??J 2. 27- 17 3.
4. Il?f?o?b 5. 21?Zti 6.
Preparea by ?? ? L&
?
ngts ? ? t4p
.
• 0
THEiD STOD • .
; •wl S.R. & SIDIN4
int. Air .68
i/2" s.a. .4g
stua (y,oo1s
25/32" Bild. 2.06
Sidittg Co?
EXt. Air •17
Total "R" = I 0. ? I
1 IR = "U" _ . Qcj z
THF2II INS. WALL Int. 4ir .68
w/ 3R. & 3IDI310 1/2" S.R. ,y.s
s In8• I'I ,Q0
2-5/32" Bild . 2.06
Si,didg
C ?
(07 --
Sst. Air •17
. Total "R" _ -?,ZjeO7j
lIR=Nv= .o
THRQ RIM
JOIST
Int. Air .68
Opt. Styro.
1 1 /z^ Woal 1.89
25/32" Biia. 2.06
Siriing .C07
Est. Air Sy
Opt. Brick
Total "R"
1/R = "D" _
THRU CONC'HIACff Int. Air .68
C.B. ( •) k
Opt. Itte .
a. Y Ekt. Atr ?17
--__-?=
opt. S.R.
o Opt• Sid•
/ Total "&" _
1/g = "U" =
TfIIiII CL6. Int.
Air -
--.61
TS&Q CI+G. --
Int. -----
Air .61
MEMBM S.R. ( ") , ?4o INSUI,ATIODI S.B. (. "). ,S?°
Clg. Memb. L??S Ins. ( ") I°O
IIIS • ,
?? 0);
$t.ill
AiT .61
Still Air .61 Totgl "RN = `?,J?
Total "R" _ ?j j• -?f (0
'
1/R =
"D" _ . OZO
1/$ - nUn = .? J?
1988 BUILDING PERMIT AP-PLICATION - CITY OF EAGAN
SiNGLE FAMILY DWELLINGS
Iq oeo F
?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESZRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLZNGS RENTAL QNITS FOR SALE UNITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.0
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ,Q? Valuation: ?/ v Date: O_ 4?- IV-1
Site Address y,29? 642? y4r-r4z-e
Lot ? Block
P3CCe1/Sub I r, n n 1). I , 0 , nl
Owner MA#"z- a•yvK4-0-'Ci
Address y3 9J (' eg? ;;? c
City/Zip Code EC::?za-0"?
T
I
Phone y5?9, a3 y7
Contractor /14/dltl6?5f zQ?L
Address ? gc; 3-. U/O.&l.,," et?-C City/Zip Code -z.,,&'41(". -x_1SS07y
Phone I.rS? ;'4'12 /
Arch./Engr.
Address
City/Zip Code
/Ovvr' vcr,
On site sewage_
hEJCC system _
On site well _
City water _
PRV required _
Booster Pump _
APPAOVALS
Occupancy
Zoning
Actual Const
Allowable
IF of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment Pl
Parks
Copies
TOTAL
Engr/Assess
Planner
Couneil
Bldg. Off. ?g
Variance
,so
.2S,Ob
Phone #
c
or
?' Golden Rod Street '
' oon Rapids, Mn. 55433
?l DELnAAR H. SCi-11A?ANZ --
a
X 1?.1
? . '"D$URVEYOPS INC ?
OPq.clPip?l Un?rv Ldw[ PI LI,P Slat, PI M.nnNSPIA I
14750 SOUTH ROBEHT TRAII ROSEMOUNT. MINNESOTA 55068 PNONE 812 423-1769 i
I
I
SURVEVOR'S CERTIFICATE '.
A /?q.7z NB9- So, 06 E
?o. o 0 3a ° P - I' ;i
'1• _ ? ,o.?
ili
ZZ ? \'
ty
• Drainage & ut
easement .
,I
V `^
•1
I
A` I
?
i V`/rO?JSEv .
?
? '.
n I
//D:I?i E ry ? i
;
^
N ? I o rao?-o ?
\
I? Decrc ..
? 3? ?
- ----
-
?'
?? -
- --- --
?_ y
--?
at? I
- y ?
4 ? ?
0
I ?
? ? ? ;:
- - - - - - -? - - - - G-, - - '
lyk?
30
16,7 /94, is Nsv- Sa- oc E ti?,
SCALE: 1 inch = 30 feet ?
? Denotes proposed elevation from development plan. `
• s
I hereby certify that this is a true and correct representat,ion of Ldt 3, Block
5, EDEN ADDITION , according to the recorded plat thereof, Dakota County, Minnes ota.
a
hz
Also showing the location of a proposed house thereon. ' .
Dated: May 12, 1986
MIINNESOiA fiEGISTRATION NO. 8625 ?
i.???•+'?; ,.,.T'?^T"`TTPf 0?? 1?:?:i?::"F`i?i!-'`?l ?T.h,i3„ni'^,a?ly*....k •'$'?m,a?Y?} l:?l'ii? W W' _?.•qF?
a ?"_'_ a:. _:??;'s'a:.a U• .a:'?td???:.x= sp,d?? ?.?:'?r .?.:'.rii--k?.a?e:. r??r,??.??
I
CITY OF EAGAN
APPLICATION FOR PII2MIT SEMRR AbID/OR WATII2 CONNECTION
i) PRoPEaTsr ADDxFSS: W395
T•FY;AT• DFSQ2ZPTION:
(Lot Block Subdivision or Tax Parcel Z.D. Number)
IF EXISTING STRCCT[]RE, DATE OF ORIGINAL B()ILDING PERMIT ISSLANCE:
(Nbn Year)
PRESENT ZONING/PROPOSID USE: -1 SINGLE FAMILY
rRR -2 DL'PLEX (Trro ['nits)
3TOW[?II-IOL'SE (Three + Lnits) ( Lnits)
-4 4 APARTMENP/CONDOMINICM ( Lnits)
COMhtEE2CLAL/RETAIL/OFf'ICE
IbIDL'STRIAL
INSTIZ[:'TIONAL/GO\7ER14NNENT
2) I,"..';
ADDRESS: . N,y?j, 5530
CITY, STATE, ZIP: AMMA, '
PxorE: %53-
3) • r.a?•
NarE:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
'!?q G c ?7?PUNC'GL 4-t-
o*icldleuJ Lsc)
?.C S//hoU7`h?1 /?'I/IJ SSSI?/
/,5;737 MASTER LICENSE # z .95 4
For City L?se
Plumbers Licensf
C= Active
C7 Expired
O Not Recor(
Staff Initial
4 ) • • i?•
ruME: (li'?.E:?-5 'dis
ADDRFSS: ? .3 ?O :EJ.PCi
CITY, STATE, ZIP:
PHONE: ?f -5 7 B?5 ?
5) n • ?• • o• ?,?
(f'CONNECPION TO CITY SEWER V§-6NNECTION TO CITY WATEE2
Q OTI-IER (Please Describe)
6)
7)
I
? PLEASE HOLD APPROVID PIItNIIT FOR PICK-L'P BY ONE OF ABOVE
U, PLEASE MAIL-APPROVED PERMZT TO 1, 2, 3, 4, FIHOVE
; , / (Circle one)
? ?7- //-fi
F O R C I T Y U S E O N L Y
PE2MIT °- ISSUED
F°ES: $ ll,- 5-6
$ ff>- SZ
S ?3-,s-D.
$
S
$ $
_i.?c¢d
$
yTQ o . o?D
$
.?? 75- A?
l
4 .
S..F.:':L.v. 8E4MT_T (I`IC_L;:CE SU?Ct:?RGE)
WATER PERN'fIT (INCi,IIDE Sli:2CHARGE)
WATER METER/COPPERHORN/OUTSZDE RErIDER
WATER TAP (INCLUDE CORPORATION STOP)
SP.TdER TAP
ACCOliNT D,F,P[iSIT - 47ATER
WAC
SPC
+? TRliNK WATER ASSESSi1E.1T
S .• .. . ? KL §EWER ASScSSbIENT
BE:IEFIT/TRUiIK SE:•i.-^,R
$ I.ATERAL SENEFIT/TRUNK i4AT°R
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
S TOTAL
$ 0?3 ANIO[J\T PATD/RECEI?T
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR `AORK WITHIN
PUSLIC ROADWAY" MUST BE ISSUED BY TFIE
F-7 NO ENGINEERING DIV:SION. LIST AS A CONDI-
TiON.
SUSJECT TO TfiE FOI.LOSJING CONDITIONS:
APPROVED BY:
TZ:LE:
DAT_°:
oF eaga
3830 PILOT KNOB ROAD. P.O BOX 21199
EAGAN. MiNNESOTA 55121
PHONE. (612) 454-8100
DATEe June 17, 1986
SPECZAL ASSESSMENT SEARCA
Aequested by:
Walsh Title
RE:
Fden Acldition
Lot 3, Block 5
BFA &OM9UISf
mal?
7lIOAAlB EGlW
44MES A Sbll1li
VIC ELLISON
7FiEODORE WACHTER
CounN Memnes
1HOM45 HEDGES GN Pawuoaw?
EUGENEVPN OVERBEKE
GN aelt
Enclosed herein is the search which you requested made on the above deseribed
property.
Kind of Improvement Years Beginning Original Amount Balance Due
5'EE ATPA= S=
I further certify that according to the records of said office, the following
improvements are contemplated or pending after having been approved and are
now in the process of planning or completion. ,
Kind of Improvement Approximate Date of Completion Approximate Cost
ANY PEPIDIIQGS 47ILL BE LISTID ON TI-IE ATTACFIED SFIEEP.
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy of the
above information whieh was requested by the person or persons indicated.
Nor does the City or 1ta employees assume any liability for the correetness
thereof. In eonsideration for the aupplying of the indicated information in
the above form and for all other consideration of any nature whatsoever, any
claim against the City or its employees rising therefrom is hereby expressly
waived. Levied assessments to be paid to the CITY OF EAGAN, 3830 Pilot Knob
Road, P.O. Box 21199, Eagan, NIId 55121.
Yery Truly yours, ?
?
SPECIAL ASSESSMENT DIVISION
THE LONE OAK TREE...iHE SYMBOL OF STRENGTH AND GROVVfH IN OUR COMMUNITY
i
,
TRANSACTION ID: ft76S SF'EC.IAL ASSESSMENTS
SPEC.Iflt ASSESSMENTS SEAIiC.H SUMMARY
, F'ROF'ErTY I.D. TODAYS DATE: 06/17/36 ---SPECIAL FLAG5----
1-:.'-3-4-S-b-7-3-9-IG
I O-L.C /lJ0-UJ0-IJJ r
S.A.# ASSESSMEMT DESCP. Yi YRS IiATE TOTAL ANN.PrIN. PAYOFF COMMENT
100245 SAN 5N TRk.
Ynti;,4;; 6tATER flREA
104638 S,W,SS-287
100639 SS-7'1i-287
I00640 6P-287
100650 sr-287
?e?r?'r?r*?F SUMMArY OF ACTTVE
THIS YEAR'S TOT F&I
73 YS 8. 04'/, 62.97 4.25 8.49
76 15 8. 00`/. 62.97 4.21 21.06
61 5 8,00% 377I.50 754.30 .nU
SI S b'.GG'/. 487.61 97.52 .00
91 S 8. C70% 524.22 104.84 .00
81 J I1.00% 217I.15 454.23 .170
7180.42 1419.35 29.55
1549.92
F'res_, FY or F<^ (Header Form) oi- F7 (Restart R768) L
------------------
?
C', I
j Pertnit #: /.' ? ^?_7?7 ?J I
I ?
? Permit Fee:
I /? ?
? Date Received: t.%? i
I Staff:
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:lO'O/`r'OJ' SiteAddress:l7?.395 G/v(/07' L1c ?ws-"7 SS/2-2
Tenant:
Suite #:
RESIDENTlOWNER Name: L_? ?' T?SrlCP/Y? Pnone:
Address / City / Zip: y39S ??o vd7' `-4+--
Apphcant is: _ Owner ? Contractor
TYPE OF WORK Description of work: dep;?
Construction Cost: Muiti-Family Building: (Yes No ?
CONTRACTOR Name: License #: ? O/SSS66
Address:
City:? State: !rs h Zip:,5iSyW
Phone:?Gg ?yI D30y Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Ca[egory 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Su6mitled
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: P(ans and supporfing documents that you submit are considered to be public lnformatlon. Portions of
the information may be classified as non-public if you proyide spec'rfic reasorts that would permit the City to =
conc%de that ihe are trade secrets:: -' `
I hereby acknowledge ihat this information is complete and accurate; that ihe work will 6e in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application tor 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.
DS?"O
ApplicanYs Printed Name ApplicanYs Signature U
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