1338 Ches Mar Lane. ?,.
(Serfif tratt af (Orrupanry
Citp of eagan
ioepwftumi of luning inwptrtinn
This Certificate issued pursuant to the requirements of Secuon 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the Ctty regulating buiTding construction or use. For 1he fallowing.Ux Classifiptioi
Oocupancy Type iU Zaning District _
Owner of Bw'idiog
Permci No. _:%
. Type Const. tF:t
7K3RUARY E2. 1S,,sz
mts:
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 PIlot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT
To be used for ' F'`WGf GAR
Site Address _
Lot 12 Block
Parcel No.
2 Sec/Sub. CH«S MAN 2ND
a Narile PAT 3Rt70LIN
z Add(ess 23 1NNF!? fIYZVE ;'.- 7
° City ?'. PAUi Phone
. o Name ?TZLEA &EtV()VAT10N IKC
?Q Address ?y? ?`1AClBIIv ST
? City 5I P.WL Phone 227-9609
?
W W Name _
r W
Z Address
x?
U
¢Zw Cilty-
a
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.
Signature of Permittee
A Building Permii is issued to: HG 1'1.I.EA h°3OVATION INC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
.
8uflding Official '
Est. Value $1 02' 0W Date
1338 cHZs M" i.N+?B
???8(;
; ., ---
tUYEMHek G ,19 87
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Weil (Actual) Const
City Water X (Aliowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
BIdg.Off. _
Variance
Receipt #
FEES
Permit
Surcharge
Plan Review
SAC, City
sAC, rnwcc
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
x3
11
Yn
Vn
74
24
? 509.50
S1.W
254.75
100.00
525.00
- S_?,00
57.00
305.oU
180.00
i7-,I7.-2 5
CITY OF EAGAN
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value Date ?'?t? l1.ii8Ll1 ? 19
Site Address ' ' •• • ' `?' `?'' ? •
Lot Block ` Sec/Sub.
Parcel No.
a Name ' ^• • ". ` •. ?
3 Address .
° Ciry ? Phone
Name `'t, -• -:kVAT10N t i .1.
? ? ? Address •-1 , ? T
1- City Phone
Name
City
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.
Signature of Permittee
A Building Permit is issued to:
on the express cond ition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial
OFFICE USE ONLY
" S
On Site Sewage
MWCC System Occupancy
Zoning
On Site Well (Actual) Const
City Water ' (Allowable) '
PRV Required * of Storfes
Booster Pump Length ' `
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAG City ?
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
. ' Permit No. Parmit Holder Date Telsphone
P umbing - ?
?? ?.:
/. ri; ?.z %
,,?. ?-' ?:?
H.V.A.C. r-
Electric C !!7 '/?? : ?.__ ,-? t -'?? ?'7 `? ??z;
Softener
Inspection Dats Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing .41
Rough Plbg.
Rough Htg. '?.? ! i ?} ? ?7N?/r/ •
Isul. ? Lt.?? I t-.L2-;r'7 -?D
Fireplace
Final Htg.
Final Plbg. •-
Bldg. Final
Cert Occ. ?
Temp. LP
Deck Ftg.
Deok Final
Well
Pr. Disp.
CITY OF EAGAN N° 14 3 8 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, _
MN 55121
BUILDING PERMIT PHONE: 454-8100 Re
t #77 FQ
i
1
p
ce
To be used for SF DWG/GAR Est
Value $102,000 Date NOVEMBER 6 19 87
.
:e Address 1338 CHES MAR LANE OFFICE USE ONLY
t lZ Block 2 Sec/Sub. CHES MAR 2ND
On Site Sewa9e Occupancy R3
rcel No. MWCC System X Zoning R1
Vn
On Site Well (Actual) Const
PAT TROOLIN City water x (Allowable) Vn
m Name
= PRV R
i
d f S
i
Address 23 INNER DRIVE M-27 re
equ tor
# o
es
? City ST PAUL phOne Booster Pump Length 74
Depth 24
o Name HOTZLER RENOVATION INC S.F. Total
?
a Address 193 MACliBIN ST Footprint S.F.
?m- City ST PAtiL Phone 227-3649
APPROVALS
FEES
$
50
509
? Engr./ASSess Permit .
W Name . 51
00
z
Add Planner Surcharge .
?
Z ress
City Phone
Council
Plan Review
254. 75
W BIdg.Off. SAC,City 100.00
ereby acknowledge that I have read this application and state that the Variance SAC, MWCC 525.00
ormation is correct and agree to comply with all applicable State of WaterConn. 525.00
nnesota Statutes and City of Eagan rdi a ces.
Water Meter
67.00
3nature of Permittee Road Unit 305 . n0
3uilding Permit is issued to:
the express condition that all work shall be done in accordance w'rth aN Treatment P1 180.00
plicabie State of Minnesota?tatutes and City of Eagan Ordinances. Parks
?2 ?5
ilding Official C?k TOTAL
?
• . , PERMfT #
, PLUMBING PERMIT RECEIPT # - •
PI CITY OF EAGAN
DATE
T K
R
M
?
3830
L :
O
NOB
OAD, EAGAN,
N 55121
CONTRACT PRICE PHONE: 4544100
Site Address BLDG. TYPE WORK DESCRIPTION
?
Lot BIoCk
Sec/Sub
.
'
X
?
.
? New
Res.
? Name ' ' FN z L_ ? ' k Mult Add-on
m
? Address ' ' • Comm. Repair
c City Phone Other
OT
L
?
, • N?O. FIXTURES A
T
?
r
Name ' ' ,T?? ' Water Closet - $3
00
,
?
.
T
"'
? Address Bath Tubs -$3.00 •
c
'
^
0 city _:7 riIU? Phone 2 7-An Lavatory -$3.00 .
.
?Shower - $3.00 - 3 • C =
Kitchen Sink - $3.00
FEES
COMM/INO FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE -$10.00 ,,Urinal/ Bidet -$3.00
undry Tray - $3.00
Floor Drains - $1.50
- ^
MINIMUM - COMM/IND FEE - 20•00 ?
yyater Heater - $1.50 • ? `?f
STATE SURCHARGE PER PERMR - •50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES =Gas Piping OuUets -$1.50 f-'-
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
_ .
Private Disp. - $10.00
Rough Openings - $1.50 '
SIGNATURE OF PERMfTTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: '
7_,
MECHANICAL PERMIT RECEIPT # -
CITY OF EAGAN ?
3830 PILOT KNOB ROAQ, EAGAN, MN 55122 DATE:
a?
?
?
c
""' C" ` - BLDG. TYPE
/ ?- Block ? ?._ Sec Sub Res. U_
Name 0 Mult
Address Comm.
CiN _ PhnnP ;L' I4. - 5 Other
5Name Y •
Addres5 ? - lT-
Ciry Phone-
I TYPE DF WORK
Forced Air
I Unit Heater
? Vent
Gas Piping Outlets #
-7 -F M BTU
M BTU
M BTU
M BTU
CFM
A
?iia
? 1'a
FEE
$/C: _
TOTAL: _
WORK DESCRIPTION
New %/_
Add-on
Repair
FEES
RES
HVAC 0
100 M BTU - $24
00
.
- .
ADOITIONAL .:56 M BTU - 6.00
(RES. HVAC tNCtUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMI 5
EA
(
-
n - 1.
0
COMM/IND FEE - 1a/o QF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C lF PERMIT PRICE GOES
BEYOND $1,000)
-'
t ;
SIGNATURE OF PERMITTEE
_ .....r.
?
? FOR: CITY OF EAGAN ;
?
CITY OF EAGAN
Addition Ches Mar 2nd Addn. Lot 12 81k 2 Parcel 10 17101 120 02
Owner ??!?• ??.f?'A•' ' Street 1'i19 ('hPG Ma_r T.anp State EagSri, NN 55123
N$-7 Si(ve.r ?'?,'ri Krt 3' zntc
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN 5EW TRUNK 1 1
* SEWER LATERAL jQ'JS
WATERMAIN
• WATER LATERAL
WATER AREA
* STORM SEW TRK 1978
• STORM 5EW LAT 1978
CURB & GUTTER
SIDEWALK
5TREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
I Permit Na_
Road Meter No: _
Reader No:
fi?s ?•
t ian
Lli rd
Date:
Size:
Date:
nn. Chg: 525.70pc? Zoning: -?
at Dep:
' 15•00Pci
1
'JQ
1'-` No. of Units:
mit Fee: pi:
.
'char
9e:
l
? ?L?
'
?'?
?`?
I agree to comply with the Cify of
P
ant •
-
' Ordinances.
ter.
n?a
67
By
WATER SERVICE PERMIT
Road B/P No:
55121
? Date:
- Date:
112 Ches ?Sa.r
MWCC: 525.00pd Zoning•
Ciry Chg: 100.0ppd
Acct Dep: ZS. No. of Units:
Permit Fee: y•-' Pu I agree to compty wfth the City ot Ea9s
Surcharge: pd Ordinaoces.
Misc.: BY
SEWER SEAVICE PERMIT
CITY OF EAGAN Permit No: ='• pate. ! l-:'. ', '
3930 P"tiKnob Road Meter No:?? Size: i o?
P.O. B»c 21199 Reader No: 0 -3 Date: - S`- Y
Eagan, MN 55127
Owner. ?.otz2er Renovation
Site Address: 133c' ^ ' ;? I atiP 1;1'' C' .:; ' 'n Plumber. 1 .-,enze
Conn. Chg: ?vp! "'w ng Ca{l IOCal Ukbkft;
Acct. Dep:?Xy'*- E - -'Tf?Ifi??• gfLUnib:
Permit Fee: Opctr-arAwto Surcharge: comply with thi
Tr. P{ant ? ?-'?? • 00pd Ordinances.
Meter. r 7
By
/1-
of Eagan
WATER
~This request void /h
18 months from pc?7' O/
D 7341 ; ?.?. ?.
.Z/
O li Atr 1_1??_
OWill Notify InsPec-
tor When Ready
,?Llcensed Electrical Contrector I hereby repuest inspection of ebave
Owner electrical work installed at:
Street Address, Box or Route No. City
3IF C s ? A1
ecuon o. Township Name or o. Range No. County
.0R1(oTA
Occupant (PRINT Phone No.
Fr4T Ra o 4-9 Av 481-.S' 7.z 7
Power Supplier Address
o rA F4fc rC,tC ?l30-0 .220 ? . w FRM G TiV
Electncal Contractor ICompany Name) Contractor's License No.
#xg-TFF v cEC rKL G Yo ? y Q- I
Mailing AdJress (Contractor or Owner Mak
77YJ' L/?v,f ing Instailation)
Fr 2 C?
/f&v
Authoriznature lC9ntract r/Owner M akin Installa[ion) Phone Number
` f 'Y.l^.S --//7 J-
MINNESOTA STli7E BOARD OF ELECTRICITV
Griggs-Midway Bidg. - Room N-191
7621 Universitv Ave.. St. Paul. MN 55104
Phone (612) 642-0800
7N15 INSPEGI IVN KtLLUGJI Wlll IVUI
BE ACCEPTED BV THE STATE BOAHD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-ooooi-os
n,/?/?7 'r' ,
? See instructlons 1or completinp this form on back of vellow coDV•
r1 ? 7?/I 1 "X" Below Work Covered by 7his Request
V
Il'ilaw
Add 1
Rep. "T 1
Type of Building
APPliances Wired
Equiument Wired
Home Range Temporary Service
Duplex ater Heater Lightfn,y Fixtures
AQt. Buildinc} U ryer Electric Meat,n
Commercial Bldy. umace Silo Ur7loader
ndustrial Bldg.
Farm ir Conditioner
in??t vPci v Bulk Milk Tank
_iner (suer.itv)
t er SVecity iher OthLr
p Fee ServiceEntrenceSize Fee Feeders/Subfeeders ?t Fee Circuits
2 e' • U to 200 qm s ff 0 to 30 Am s ??.? 0 o 30 Am s
Above 200 qmp 31 to 100 Amps 31 to 100 A
rry
s
Swinmiing Pool Above 100_Amps Above 100_Amps
Transtormers Irrigation Boorr?s .,y'b Partial. Oth
Signs Special Inspection S:C-- TOTA E
Rems?rks ,
•
Rough-in Daie
I, tfie Ele al
? ( 7 Inspectar, he•eby
ceriify that 1Ne above
Final ? = • : ( ? . Dale //J?
r inspection has been
mede.
This requesl void 18 months trom ? 41
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
tAAtt 1 t?Nf
! 'Mi-tia .fN 6 r iih I ! ,!!'. n 1,;lst I
PERMIT SUBTYPE: TYPE OF WORK:
s y aIs ?
INSPECTION .. . ..
. ?
I rl
I F
l?
K?> i t?l A1V 17F V t F 4.tFf) EiY ?:!'t141 ri ?1(?VFb+:
tiE'4f!'tiATI P FP M t'I' R 10 11 1 k ft1 #"'4i
CAr.f 44±,- 1'-18410 Mtt 0A001"NG f l l
IN ,
.1?. ?'?
7
I
?
Permit Hoider Dete Tetephone #
SEWER/
WATER -
PLUMBING
HVAC
Inspection Date lnsp. Comments
FOOTINGS
FOUND
FFiAMING
?-
ROOFING
ROUGH
PLUMBING ?
PLBG
AIR TEST,
ROUGH
HEATIfdG
?_-
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
cANDtSCT1VITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?
i -
7 y..? • • ?.1 •e?l •ri ?
.
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F
CASH RECEIPT ? CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNE50TA 55122
DATE 19
aaceivEn ,
FRGM
AMOUNT
& oaLuRs
1 oo
? CASH ? CHECK
R O R . . _ _ . . ?. . .. . . .
AY? 7 1
I
RECE1vED
CITY OF EAGAN
3830 PILOT FCNOB ROAD
EAGAN, MIMNESQTA 55122
DATE 19
pMOUNT $ I
& COLLARS
oo
7
? CASH r? CNECK
BY BY
White-Payer$ Copy N
Yellow-Posting Copy Y
Pink-File CoPY P
CoPY
ig Copy
Thank Yau
Thank You
RESIDENTIAL
BUILDING PERMIT APPLICATION
I
3830 PILOT KN B RD - 55122
651-681-4675 rq
IewConstructionReauirements RemodellReaairReauirements ? I? /1 ??
3 registered site surveys shauing sq. ft of lol, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot cwerege allowad) . i set of Energy Calculalions Wr heate(i addNons ?? I( e 11 ?. ??io ?
2 copies of plan showing beam 8 window sizes; poured found desgn, etc.) • t site survey for exterior additions & decks ?I
1 set af Energy Calculatiorts . Indicate'rf home served by septlc system Por addiGons ?
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist DetaB Optbns selection sheet (Wdgs with 3 ar less units)
)ATE 4 0 / d ? ? VA"LUATION P2, 6TD
IOB SITE ADDRESS / 33 F
F MULTI-fAMILY BUILDING, HOW MANY UNITS?
'ROPERTY
'YPE OF WORK FIREPLACE(S) _0 _1 _2 _3
4PPLICANT PHONE #F,52-9a 9 -o ope
kDDRESS E) i-?' ZIP CODE
'AGER # CELL PHONE # 60 - 2d G' gy53- FAX # .?75_2- aF-E-s2?
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
? (check one)
_ MINNESOTA RULES 7670 CA1`EGORY t '? ?g
- ResidenGal Ventilation Category 1 Worksheet itted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Conhactor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
111 above information must 6e submitted prior to processing of application.
hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith
A applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant
;ertificates of Survey Received
- New Energy Code Worksheet Submitted
Phone #:
Water Softener _ Lawn Sprinkler
Water Heater _ No. of R.I. Ba4is
No. of Baths
Air Conclitionuig
Heat Recovery System
Tree Preservation Plan Received _ Not Required _
Updated 1/D1
OFFICE USE ONLY
] 01 Foundation
] 02 SF Dwelling
] 03 01 of _ plex
] 04 02-plex
7 05 03-plex
7 06 04-plex
? 07 05-plex ? 13 16-plex
? OB 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ?V 18 Deck
? ti 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Pool
0 21 Porch (3-seaJ
? 22 Porch/Addn. (4-sea.)
w 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi
ly 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
] 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
] 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors
] 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
dJ
/aluation `,D 00
? Occupancy
MC/ES System
?' 3
:ensus Code y Zoning _k-L City Water
iAC Units ? Stories Booster Pump
Jbr. of Units j Sq. Ft. PRV
Jbr. of Bldgs ? Length Fire Sprinklered
"ype of Const W idth
Footings (new bldg)
Footings (deck)
\Q Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
3ase Fee
iurcharge
Ilan Review
AC/ES SAC
;ity SAC
Nater Supply & Storage
i&W Permit & Surcharge
-reatment Plant
llumbing Permit
Aechanical Permit
_icense Search
;opies
)ther
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
_ Plwnbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
. .
Approved By tz$ , Building Inspector
------------------------------------------------------------------------------------
sGAEE??'sD DaR? /?
lQ? c?.)'O = S?SO BC?
y ?.
ce ? _
t? ?--G K. ? r o
fotal
? .. `
7987 BQILDING PERMIT APPLICATION - C2TY DF EAGAN
SINGLE FAMILY DWELLINGS
IACLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SDRVEY, 1 SET OE ENERGY CALCQLATIONS
HOTE: ADDRESSES FOR CORNfiR LOTS - CONTRACTOR/HOMEOiiNER MDST DESIGAARE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HS ALLOWED ONCE BDILDING PEAMIT IS ISSIIED.
HULTIPLE DWELLINGS - RFSIDENTIAL
INCLUDE 2 SETS OF PLANS, CEft
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
$ENT9L IIP7IT5 FOR SALE DNITS
OF SIIRVEY - CHECK iiITH BLDG. DEPT.t
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
? $2,000 LANDSCAPE BOND
To Be Used For: Valuation: Date:
w/
Site Address J'g3A ('fjpa /yjQ'-
Lot -ja_ Block ?
Parcel/Sub (??j.p,g
Owner -27t
Address ?73 ,Tnnp?• ,?iiip ?yj.a?
City/Zip Code
Phone
Contractor
Address ?3 i?tan.?i?6?,aJ <¢•
City/Zip Code
Phone
Arch./Engr.
Address A4. 414 A,y Aj'--
City/Zip Code s?AV/-. ?jj„
On Site Sewage_
MWCC System
On Site Well _
City Water _
APPRO4ALS
Assessments
Water/Sewer
Police
Pire
Engr
Planner
Council
Bldg Off ?
A.PC
Varianee
Occupancy R-3
Zoning IZ- 1
Type of Const
(Aetual) V-N
(Allowable) V- N
# of Stories
Length
Depth Z y'
S.F. Total
Footprint S.F.
FEES
Permit
SC
5071
Surcharge 51,OG
Plan Review 2514,
SAC, Ci1;y O 0-D O
sac, Mwcc 25100
Water Conn 2 .DD
Water Meter ,pJ
Road Unit D ,DQ
Treatment Pl 000
Parks
Copies
TOTAL 5/'l.?5
Phone # ?? • yS,z/
vqLUAT?o , ,. .
- -' r
GARNGE
24x24=5`?(, ?C t?= 691t
HOusc:
i8' XSO = 90 0
x 2?z ? 16
?j/?O X fb2 = ? 3y32
1003e-1q
I4T
?2r.D `?ove? ARcAI
16 14
J b I 0
I
a
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER ANQ/OR WATER GONNEC710N
*IOT?': PAYWNTC OF FEE AT TIME pF
APPLICA7ZON DOES NOT OONS'C'S1V=
APPROVAL OF PEEtI-IIT.
irrseE.-rzorr oF Mx Arm/tt MMER
TNm'AT TATTcN$ waL N(rr $?',. sbm..
UIM UNTIL PII2MLT HAS BM"
APPROVED.
^rr* *: * *,+xx** * ***x x ***,e****,t*,t*:*,rw,??
Please Print
? 1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
. Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STftL'CILTRE, DATE OF ORIGZNAL BCIILDING PE2MIT ISSL'ANCE: .
?
PRESENf ZONING/pROPOSID LSE: (A7on Year
El COMMEiCIAL/RETAIL/OFFICE
Q IbIDL'STRIAL,
? INSTITi'TIONAL/GpVmNMENT
2) ?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
15ZI R-1 SINGLE FAMII,y
? R-2 DC?PLEX (Two L?nits)
? R-3 7.pWNHOUSE (Three + Uni.ts) ( Units)
p R-4 APARTMENT/CONIDOMINIC'M ( [klits)
• 3) • c?•
NAME' cni7Fi 6+1ECHANICAL
AMRESS: 3800 tiEyryEuEC DRIVE, EAGAN, YItNN.55122
? CITY, STATE, ZIP: _
PHONE: MASTEEt LZCENSE# 001445M2
4) ?•.y• a e ? i?•
. ADDRFSS: CITY. STATE, ZIP:
' PHONE: .
rltuc¢erg L1CEI152:
Actlve'
Ecpired
Not recoi'ded
Staff U=t1al
'S) ' «• • ?• : a • o? - a?
CONNECPION TO CITY SEWII2 Pq'CpNNECTION TO CITY WATIIt C( pTFE[2 .•' • ..
6) '? • •?" C] PLEASE HOLD ApPROVID PERMIT F'OR PICK-OP SY ONE OF AHOVE ---- ----
? PLEASB MAIL APPROVED PERMIT TO 1, 2,? 4. ABpVE ..
(Circle one)
7^^r?'?--'r ? ?QfIJ_1J? ?=? .J.'t? O//?1 v--• ) ? . /?'
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ 10.50
$ g /D o
$
$ $
$ $
$ $
$ $
$ a Z S o ? $
$ ?Z $
$ $
$ $
$ $ .
$ $
$ ? h cr? $
$ $ .30 . C10
$ OQ
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/ODTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOONT DEPOSIT - WATER
WAC
SAC
TRLNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRLNK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
??s 7
RECEIPT RECEIPT #? DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
E-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY;
TITLE:
DATE. ,?
PERMIT
CITY OF EAGAN
?3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
P.I.P4,e 10 -:171 m1-12 0-0
2
PERMIT TYPE: g u r. LDz NG
Permit Number. 034289
Date Issued: 12 ,t 2 9/ 9 8
J 3;. ?,
C 1 i f 1:,
?ura l> Si 0 CK: 2
L ki I: ? tn A, R;? rJ h
DESCRIPTION:
Biatt'?dinp`?i'errnit i duo
801dinq t46'MI°, t"vos7
(."f7J'f5U5 CO£!@ ?
?
.
z
i,RSEt4F-NT i=IN75H
iA Ll t?R AT.IOfd
113A rLT . £?F:SI0 PiV'rSA L
REMARKS:
PLAN Rc`JIEWtp 13Y CIrA'CG
S EPERf,1-iL FE R7+9I7 ftEWUIFIECI F UR A r!Y Pi_UhiFTiq G 6.lUFF;e
CAI_t. d45-23 AN REGr1R D I N G i=l_r'_t:(:ldl_ fFFtY°iTT h Pan Iii:-,pf_C r?LlIN S _
FEE SUMMARY:
Rasa Fe??
i.arcl-ial?
l- o t Ei 1 F a e :i, 50 . 6 0
CONTRACTOR:
.
OWNER: -
61fl.L1`!FI'k0
13 3 81 f:i-I
c A G fIPJ
(B51)4 b 4-F?4R7
F16p1iCdn r. ^
N.Ri2EN
L'-S hifift Ll1NF
IhIV 5512t3
.[ herebv acknnwledtIe that i havo read this
infoi°matiqn ,is carrect anti aqree tct comply
STaxutas and City af €#qen Or d3.nanceb.
L
APPLICANT/ R I SIGNA U
sWnaieatapn arrd state that the
wit? sll aARla.cahle StatE oT mn.
I
1c?-?.? t?l ? `ael
ED BY SIGNATURE ?
ENERGY CALC. WORKSHEET, Troolin, page 1
STANDARD WORKSHEET
EXTERIOR
JOB ADDRESS OWNER
1338ChesMarLane Ea anMinnesota PatTroolin
CONTRACTOR Horua.e s.voaw.4cv, A?r- PHONE 7y,?.3b0y DATE
8/31 /87
Building Type(check one)
( X) 1& 2 Family Dwelling O Other
CEILING/ROOF ASSEMRLV
Asembly (Describe type from Table 3 or show calculaGOns on
e 2 A r e a (A)
S . Ft. U-Value U x A
#1 Insulated Area 860 s. ft. 0.0216 18.5585
#2 Framin Area 57 s. ft. 0.0262 1.4914
#3 Sk li hts T e 0 s. ft. 1.2821 0.0000
#4 Other Ceilin Roof Assembl #1 Ba window floor 12 s. ft. 0.0303 0.3712
#5 Other Ceilin Roof Assembl #2 0 s. ft. 142821 0.0000
1 Totals 929 s. ft. xxxxxx? 20.4211
2 Avera U-Value x A/A from Line 1 xzxxxx?x xxxxxxxx
3 R uired U-Value from Sfate Buildin Code xxxxxxxx 0.0260 xxxxxxxx
EXPOSED WALL ASSEMBLY
#6 Insulated Area 1541 .fr. 0.047 72.043
#7 Framin Area 277 s. ft. 0.107 29.626
#8 Windows T : Trile laz.ed fixed, double hun slide-b 378 s. ft. 0.276 104.420
#9 Doors T e: Insulated Metal Face doors 38 s. ft. 0.299 11343
#10 Rim Joist Area 236 s. ft. 0.088 20.848
#11 Fire lace Wall 0 s. ft. 1.176 0.000
#12 Foundation Wall Ahove Grade 88 s. ft. 0.099 8.687
#13 Foundation Windows T e 0 s. ft. 1.176 0.000
#14 Other Wall Assembl #1 thru Insulationl Stud wall in Basement 196 s, ft. 0.048 9360
#15 Other Wall Assembl #2 thru framin of stud wall in basement 29 s. ft. 0.114 3.299
#16 Other Wall Assembl #3 PATIO DOOR 40 s, ft. 0.351 14.035
4 Totals 2823 . ft. xxxxxxxx 273.661
5
6 Avera e U-Value x A/ A from Line 4
R uired U-Value finm State Buildin Code xxxxxxxx
xxxxxxxx 0.097
0.1 xxxxxxxx
xxxxxxxx
TOTAL ENVELOPE METHOD
If Line 2 is greater Ihan Line 3, FALSE
or Line 5 is greater than Line 6 FALSE
com lete the followin to determine altemate U-Value for total exterior envelo .
7 Roof Area (Line 1+ Ex sed Wall Area (Line 4= 3752 . ft. zxxxxzxx
8 U x A (Line 1+ U x A ine 4= Xxxxxmcx xxxxxxex 294.082
9 Area (Line 1 x U-Value (Line 3= xxxxxxxx xxxxxxxx 24.161
10 Area (Line 4 x U-Value (Line 6= xxxxxxxx xxxxxxxx 310.530
11 "Sud et" Line 9+ L'rne 10 = xxxxxxzx xxxxxxxx 334.691
12 Alterna[e U-Value Line 11/Line 7 xxxxxxxx 0.089 xxxxxxxx
if Line 8 is greater than Line 11,
atter assemblies as r uired so Line 8 dces not exceed Line 11. FALSE
Carlsen Frank Architects, Printed: 112/87
ENERGY CALC. WORKSHEET, Troolin, page 2
ENVELOPE STANDARD WORKSHEET, page 2
ASSEMBLY: 1
CPIIinR RnnF Aaewmhlv fhrnnah
EXTERIOR
ASSEMBLY: 2
!`a:l:..nlRnnf Accn...61., khwn..nM C.ominn
Material (description) Thiclrness R-Value Material (description) Ttuckness R-Value
Blown Glass fiber Insulauon 18 45 Blown Glass Fiber Insulation 12 inches 30
G um Boazd 0.625 0.56 G um Board 5 8 inch 0.56
Truss Wood bottom la[e 5-1 inch 6.88
In[erior Air Film value 0.61 Interior Air Film value 0.61
Ex[erior A'u Film Value 0.17 Exteriar Air Film Value 0.17
Total Assembl Thennal Resistance 34
46. Total Assembl Thermal Resistance 38.22
Assembl U-ValueenteredonPae l 0.02158 Assembl U-ValueenteredonPa el 0.026164
ASSEMBLY,- 3
RooF Windnw/Skvlinht
ASSEMBLY: 4 Bay Window
(llhar Rnnf/!'ailina Accamhlv !fl Fvnnd Til? !nl Tn
Material (description) Thiclrness R-Value Material (description) Thiclmess R-Value
Glass Fiber Ba[t Insul 12 30
Pl wd. sub floor & underla ent 1.25" 1.55
PI wood Soffit Boazd 5 8" 0.67
Interior Air Film value 0.61 Interior Air Film value 0.61
Exterior A'u Film Value 0.17 Exterior Air Film Value 0.17
Total Assembl Thermal Resis[ance 0.78 Totai Assembl Thermal Resistance 33
Assembl U-ValueenteredonPae l 1.282051 Assembl U-ValueenteredonPa el 0.030303
ASSEMBLY: 5 ASSEMBLY: 6
Other Roof/Ceiline Assemblv #2 Flnnr ra) Framin F.vnnead w911 tti?.,,,. H 7nmilokinn
Material (description)
Thiclaiess
R-Value ----- -- ----- - ---
Material (description) ----
Thiclness
R-Value
G m Board 1 2" 0.45
Glass Fiber $att Insulation 5-1 " 19
PI ood sidin 3 8" 0.62
PI ood sheattiin 1" 0.47
In[erior Air Film value 0.61 In[erior Air Film valae 0.68
Exterior Air Film Valve 0.17 Exterior Air Film Value 0.17
Total Assembl Thermal Resistance 0.78 Total Assembl Thermal Resistance 2139
Assembl U-Value entered on Pa el 1.282051 Assembl U-ValueenteredonPa el 0.046751
I
ASSEMBLY: 7 ASSEMBLY: 8
Exoosed Wall Throueh Framina WGndow. r?.,o
Material (descripdon) Thiclmess R-Value Material (description) Thiclmess R-Value
G sum Boazd 1" 0.56 Double Glazed window 2.77
Hem Fir Framin 5-1 " 6.85
Pl wood Sheathin 1/2 inch 0.62
Pl wood Sidin 3 4 inch 0.47
Interior Air Film value 0.68 Interior Air Film value 0.68
Exterior Air Film Value 0.17 Exterior Air Film Value 0.17
Total Assemhl Thermal Resis[ance 935 Total Assembl Thermal Resistance 3.62
Assembl U-ValueenteredonPae l 0.106952 Assembl U-ValueenteredonPae l 0.276243
Cazlsen Frank Architec[s, Printed: 11/2/87
ENERGY CALC. WORKSHEET, Troolin, page 3
ENVELOPE STANDARD WORKSHEET Page 3
ASSEMBLY: 9
?nnrc
ASSEMBLY: 10
D7m in:cf
Material (description) Thiclmess R-Value Material (description) Thiclmess R-Value
Steel Face Soft Wood Rim Joist 1-1/2" 1.88
w/Urethane Foam Core 1-3/4" 2.5 St foam Type Sm 1-1 " 7.5
Pl wood Sheathin 1" 0.62
Pl wood Sidin 3" 0.47
Interior Air Film value 0.68 InCerior Air Film valoe 0.68
Exterior Air Film Value 0.17 Exterior Air Film Value 0.17
Total Assembl Thermal Resistance 3.35 Total Assembl Thermal Resistance 1132
Assembl U-ValueenteredonPa el 0.298507 Assembl U-ValueenteredonPa el 0.088339
ASSEMBLY: 11
Firenlarn Wall
ASSEMBLY: 12
Ah....o C......A..at,... IxL.n
Material (description) Thiclrness R-Value Material (description) Thiclrness R-Value
Pl wood/Cement Bd Cover 1/2" 0.5
St ofoam Type SM 1-1 " 7.5
Concrete Blcek Mason Unit 12" 1.28
Interior Air Film value 0.68 Interior Air Film vaiue 0.68
Ex[erior Air Film Value 0.17 Exterior Air Film Value 0.17
Total Assembl Thermal Resistance 0.85 Total Assembl Thermal Resistance 10.13
Assembl U-Value entered on Pa e 1 1.176471 Assembl U-Value entered on Pa e 1 0.098717
ASSEMBLY: 13
Windows in Fnundatinn_
ASSEMBLY: 14
(1f6nr W.11 ecehlo ?!1 /nli..e.,1 R?..?r cr..d Woll
Material (description) Thiclrness R-Value Material (description) Thiclrness R-Value
Glass Fiber Batt Insulation 5-1 " 19
Pl wood sidin 3/8" 0.47
P1 ood sheathin 1/2" 0.62
Interior Air Film value 0.68 In[erior Air Film value 0.68
Exterior Air Film Valoe 0.17 Exterior Air Film Value 0.17
Toral Assembl Thermal Resistance 0.85 Total Assembl Thermal Resistance 2D.94
Assembl U-ValueenteredonPae l 1.176471 Assembl U-ValueenteredonPa el 0.047755
ASSEMBLY: IS ASSEMBLY: 16
nfhPr Wall Accamhlv 8? !nl xxr..n ?....,.,...?.i_. ua o?mr? r??n
Material (description) Thicla?ess R-Value Materi
al (description)
Thiclrness
R-Value
Double Insulaun Glass Pauo Dr. 2
Hem Fir Framin 5-1 " 6.85
Pl wood Sheathin 1/2 inch 0.62
PI wood Sidin 3/8" 0.47
Interior Air Film value 0.68 Interior Air Film value 0.68
Exterior Air Film Value 0.17 Ex[erior Air Film Value 0.17
Total Assembl Thermal Resistance 8.79 Total Assembi Thermal Resistance 2.85
Assembl U-Value en[ered on Pa 1 0.113766 Assembl U-Value entered on Pa e 1 0.350877
Cazlsen Frank Architec[s, Printed: 11/2/87
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? . CITY OF EAC"
3830 PILOTKNO'RD - 56122
B ?
lb 50 . So
New Construdion Reauiremente Renrode ir Re uiremenb L??S_LIl.J (1L40?
_/ti
? 3 regislered site surveys ? 2 copies M plan -
• 2 copies of plans (inGude beam 8 window saes; poured GM. design; etc.) ? 2 site surveys (exterior add'aions 8 dedks)
• 1 eneryy aleulations ? 7 energy akulations for heatetl atiditions
? 3 copiea of tree preaervation plan if bt piatted after 7/1/93
iaquired: _ Yes _ No nATE: lZ' 4' ''f?'S CONSTRUCTION COST;
DESCRIPTION OF WORK: _r/Al/S {? c6A;°ii5! Mtc- /C17-
STREET ADDRESS: LU$_(` 11LS Ybl A (Z. d,A, I , 4??AG-fA-TI /M Jlf SS/o1f2
??
LOT: _bo? BLOCK: ?. SUBD./P.I.D.#: C-I?tS W,r'? ';Z N.D A-1)QAI
,(f1_ 7
Name:???'? ?--??OPhone#: ?-
PROPERTY 1.avt Firac
OWNER L?
Sueet Address: I?.35 LtTF?'J MA-12 Aj
City L lTl7' ? I V State: M N Zip: ?5!s
CONTRACTOR
Phone #:
Street
City
ARCHITECT/
ENGINEER Company:
Phooe #:
Name: Registra6on #:
Street
City State:
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
PenaRy appiies when address chang
I hereby acknowledge that I have read this appliption and state that the iniortnation is correct and agree to
State of Minnesota Statutes and City of Eagan Ordinances. - /
Signature of
OFFICE USE ONLY
CeRificates of Survey Received _ Yes
?? •??
1
_ No
License #
State: 2ip:
Tree Preservatlon Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILOtNG PERMIT TYPE
s . I!r
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging g 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _ plex 0 15 Deck
WORK TYPE ?
? 31 WJew )(33 Alterations ? 36 Move
G 32 i,?U-Miiur? ^u .i4 Repair u 31 Uemoiition
GENERAL INFORMATION
Const. (Actual)
^ Basement sq. ft. MCNVS System
(Allowable) S' Main level sq. ft. City Water
UBC Occupancy ^3 sq. ft. Fire Sprinkiered
Zoning f?--? sq. ft. PRV
# of Stories - sq, ft. Booster Pump
7
Length - sq. ft. 7
Census Code.
Depth - Footprint sq. ft. SAC Code o
Census Bldg ?
Census Unit ?
APPROVALS
Planning Building 4 Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Permit
SJW Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
?
CITY USE ONLY
L gL ' RECEIPT#: ?SO3
SUBD. RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN 3630 HZLOT IINOB RD ?
EAGAN, hIN 55122
(612) 681-4675 Please complete for: ? single family dwellings I
? townhomes and condos when permits are required fo'r each unit
? backflow preventer for underground sprinkler system ?
FIXTURES' EACH , # TOTAL
Shower 3.00 xl
VVaker Glos_t 3.00 x,
Bath Tub 3.00 x - " _
Lavatory 3.00 x, _
Kitchen Sink 3.00 xj =
Laundry Tray 3.00 xi =
Hot Tub/Spa 3.00 xi
Water Heater 3.00 xl = -
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum -1 3.00 x = 3 0 0
Rough Openings 1.50 x; _
Water Softener ' for dwellings under construction 5.00 Xi _
Water Softener ' for existing dwelling 20.00 X, _
U.G. Sprinkler "fordwelling undarcronst. 3.00 i _
U.G. Spnnkler ' for existing dwelling 20.00
Alterations ? to exisGng residence 20.00
Water Tum Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' a,handonment 2000
=
STATE SURCHARGE
i
TOTAL ?
1 hereby acknowledge that I have read this application, state that the iMortnstion is corted, and sg2e to comply with all applica6le City of Eagan ordmsnces
---------------
It is the appliwnYs 2sponsibiliry to notify the property owner that the City of Eagan assumes, no liability for any damages causetl 6y the City dunng 8s
normal operetional and maintenance activitiea to the facil@ies wnstrueted under this permit wRhin City property/right•of•wayleasement.
SITE ADDRESS: L A,? ? i
OWNER NAME: V ua K e4t K.3 "FO1j,- ol i
INSTALLER NAME: TELEPHONE # Y S7 3--I ?? :;e
STREET ADDRESS:
CITY: [.??, No STATE: D? ZIP: 375-/ a-Z
?
.50
JS/FORMS BLDGfPLBG PERMIT (RESIDENTIAL) 1998
rw..,,.s..•.i iuu 86.JV rm ?oo Otl 44g0 t(N.l'UI(hL ffiYBMI/tStfi7tflM
j
renal .? . .
runa 7, 200? C* of Hagaa 3836 Pilcrt Snob Roaid '
Eagaa, M1+I 55222
To Whom 7t May Gonocrn: -
Elder Jones is anthortzed to ptzII buiIding perm;ts Por ResewaI by Andezsem_ PIeasc altow
F1dcr )oncs to provide this Service for na in 8agan. 'ITeia eutharizatitm ig valid for any
date bcyond 616101; uatiI a?'ouewa! by Auctersen msnam oWessIY revakes it in avridng
to tha City.
I request this authoxizetian bc acccpted expadidously, av to noE detay in the grocessinq af
ovr bailding Pmnita any fidzthcr. Pfcasc caII mc I£ thccc acc nny qqesttona.. I can Un
r contacbed at 763-5024746.
Xour immqdiate attention to @gS matter fs alreclated. Q
Sincekaly,
ond R Rau
tistallatian Managor
Renowal by Anderstn Corporazic3n
C'r.: Kma_F.irter 7?nec
M2L 4,57
C?H D? ?(?q?qAL
??0"? nzoos
cuu
Received Ti?e Jun. 1. 1:01pld
RESIDENTIAL I
BUILDINC PERMIT APPLICATION
CITY OF EAGAN I
3830 PILOT KNOB RD, EAGANjMN 55122
651-681-4675 ;
New Construchan Reuuiremenb
• 3 registere0 sde surveys showing sq R. ot bt sq. fl of house, and all wofed areas
(20%maximum lot Coverage allowed)
• 2 copies ot plan showmg beam S windcw ;izes, poured found desgn, elc )
. 1 set of Energy Calcula[wns
• 3 copies o( Tree Preservation Plan if lol platted aker 7/1193
. Rim Joist De[ad Optwns selec6on sheet (bldgs wdh 3 or less uni45)
DATE g?2`I '0 z-
i'j4,0, ?k5
. 1 set of °_neryy Calculations for hea[ed adGiOons
. 1 sde survey !or exterwr addihons & decks
. Indicate d home served by sep6c system for addrtrons
VALUATION V ` 6-0
I -
SITEADDRESS t'?3 a UIIP,S OCcit- ? i MULTI-FAMILYBLDG _Y _N
TYPE OP WORK
APPLICANT
SELA ROOFMG & RENiODELING, IN,
4100 EXCELSIOR BLVD_
FIREPLACE(S) _ 0 _ 1 _ 2
ar.sJ4 r-? %cs?S
ST. LOUIS PARK, MN 55416 i
STREET ADDRESS in #nnrnnan CITY STATE
TELEPHONE CELL PHONE # I FAX #
--t-
PROPERTYOWNER TELEPHONE# 7 S`1 -7
'??
?
COMPLETE FOR "NEW" RESIDENTIAL B IILDINGS ONLY
Energy Code Category
?1IV\kS0"l'.\ RULI;S 7670 CA'1-1•:GI
l
(d su6mission type) . Residential Ventilation Category 1 Worksheet Su6mitted •
. Energy Envelope Caiculahons SuGmitted I
Plumbing Coniractoe
_____________ I
?
_ Phonc #
Plumbiiig systecn includes: Water Soltener _ I.awn Sprinlder
_ Water Heater No. oF R.I. Baths
No. oF 13atlis
Mechanical Contractor: I Phone #
N[ccli.uiiral syslcin indI Air Condiuoniiig I
HC'lt Rl'COVI'ly' S}'SLl'lU ?
Sewer/Water Contractor. ? Phone #
I hereby acknowledge that I have read this application, state ihat the
with all applicable Sfate of Minnesota Statutes and City of Eagan Orc
Signature of Applicant
and agree to compiy
OFFICE USE ONLY
ZIP
AUG 2 9 2002
Pcc: 370.00
Certificates of Survey Received _ Tree Preservation Plan Received _ No[ Required _
, Updaled 4102
?l? r RESIDENTIAL ?UILDING ,-ff
? Permit Application 4r--?g. `5
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX 9 651-675-5694
New ConsWCUon ReauiremenGs RemadeUReuair Reauirements Office Use Onlv
3 registered site surveys showing sq. R of bt sq. ft o( house; and all roofed areas 2 copies of plan Cert af Survey Recd
(20% maximum bt coverage allowed) 1 setof Energy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
lsetofEnergyCalculations Adddion-indicatei/arsdesepNcsystem _OnsiteSeptic5ystem
3 copies of Tree Preservation Plan'rf lot platted after 711793
Rim Joist Defail OpOons setection sheet (bldgs with 3 orless uniis
Dete ` , ,3 a / 03
Site Address
Descrip[ion of Work
Multi-Family Bldg _ Y L,) N
Property Owner
Contractor
REYEWAt, SY ANDERSEN
Address 1920 COUN'fY ROAD "C°" WEST
StaYe ROSEVILLE, MN 55113
-651-264-4777
L1CF.NSE #20130983
Construction
Unit/Ste #
Fireplace(s) L-1 0 _ 1 _ 2
Telephone # &J () /?J `t - ,J '7 b-l
P
City
Telephane # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #( )
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
3tatutes; I understand this is not a pernut, 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
app oval of plans.
fA 766nsoo,)
Applicant's Printed Name
l.or 12. IILor-
eS McLr Secon8 iQc\?_%'
"I'm planting a haycom, Pooh, So that it
can grow up into an oak-tree, and have lots
of haycorns just uutside the front door
instead of having to walk miles and miles,
do you see, Pooh?"
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GENERAL SITE PLAN NOTES:
1. Property lines on Site Plan are establishe ? Q?,
from information o6tained from plat
drawing for CHfS MRR SECOND
ADDlTION to the city of Eagan, Minnesota
by Delmar H Schwanz, land surveyor ?-
dated December 20, 1976.
2. Topographical information was gathered • ? I c.yc ?„?, ?
by Carlsen & Frank Architects using hand
` held eye levels. Contours should be held t46?
ro represent general conditions at the site.
3. A bench mark of 100 was established the `%
top of the curb at the intersec of
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--v- ~ ?? ? \00 _%0
\?' '\
northerly extension of -th
tern
property line.
4. Existing contours are shown dashe nd a a-_-?
g
proposed changes as solid lines. -
6. Protect indicated trees duri
construction. Do not allow gradi
stockpiling or movement of hea
e ui ment under the dri
q p A I'
?
y
C
designated trees. .
Seal as soon as possi with appropriate
i
l
re
d
d
d
f
f
ma
r
s. expose
or
a
amage
sur
aces o
tree i( limbs, trunk or roots are cut or
injured during construction . I
Do no[ allow roots of oaks to remain
uncovered.
7. Provide positive drainage for a minimum of \\??J f r'? 1 GN
ten feet from 6uildina.
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, I m pianwig a ,y?....., ..,.. . ,,., .... ..
can grow up into an oak-tree, and have lots .
--- of haycorns just outside the front door
instead of having to walk miles and miles,
do you see, Pooh?"
N 7. '
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GENERAL SITE PLAN NOTES:
1. Property lines on Site Plan are establishe ?? Q?, e? ?? ! ?' 4v?????? J _?? ??_ •
from information obtained from plat
drewing for CHES MAR SfCOND \,n\?
ADDITlON to the city of Eagan, Minnesota
by Delmar H Schwanz, land surveyor
dated December 20, 1976. 2. Topographical information was gathered
by Carlsen & Frank Architects using hand t ? "
held eye levels. Contours should be held i tk?
to represent_general conditions at [he site.
3. A bench mark of 100 was established the /11/
top of the curb at the intersec' ot a
northerly extension of tern
property line.
4. Existing contours are shown dashecl' nd
proposed changes as solid lines. ` ? , _ _ 1 - -' `: ?? j \1 ''
6. Protect indicated trees duri I ? erA%
construction. Do not allow gradi
stockpiling or movement of hea
equipment under the drip lim?, k
me
designared trees. yf
Seal as soon as possi with appropriate
materials. exposed or damaged surfaces of
tree ii limbs, trunk or roots are cut ar
?njured during construction . , ? ? ;-? •' ?? ? ''? / ???
Do not allow roots of oaks to remain
uncovered.
positive draina e for a mum of
a?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159993
Date Issued:02/04/2020
Permit Category:ePermit
Site Address: 1338 Ches Mar Lane
Lot:12 Block: 2 Addition: Ches Mar 2nd
PID:10-17101-02-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Joseph R Boler
1338 Ches Mar Lane
Eagan MN 55123
(763) 286-9362
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature