1002 Danbury Ct-t .- , CITY OF EAGAN . 16559
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PHONE: 454-8100
BUILDING PERMIT Receipt # f• '" :
To be used for Est. Value Date
Site Address 1102 t?,4 ?:9l: KY CT
LOt i 5 BIOCk 3 Sec/Sub. LEXIKx'OXA $Q 7T1
Parcel No.
W Name eCEYLAND p?
o Address -1?+4? ??'I3,I.E PiCil7
City DUMVILI.E Phone 944-277is
ZF Name B.1t iF.,
g4 Address
? City Phone
Name
Address
City Phone
I hereby acknowlege 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 Permitee
A Building Permit is fssued to: "1- ?. L''•' `' =tn" t 3
on the express condition that all work shall be done in accordance with all
applicabte State of Minnesota Statutes and City o( Eagan Ordinances.
Building Official ?
E USE ONLY
Occupancy R'?3 %-1 FEES
Zoning PD
(Actual) Const 3L?X_ Bldg. Permit S?+ a G ?
jAllowable) V?N
Surcharge ?.I?
# of Stories
h
L 501 Plan Review `75• 00
engt
DePth SAC. City ILU. LC
S.F. Total - SAC, MCWCC S7s•N
S.F. FootQrints - S84 0?
On Site Sewage _ Water Conn
On Site Well Water Meter 90•00
MWCCSystem ? 30"?
City Water ? Acct. Deposit '
PRV Required _ SNV Permit 14 •00
Booster Pump - SrW Surcharge i•00
Treaiment PI iZ? loo
APPROVALS Road Unit 340*00 I
Planner - park Oed.
Council -
Bkig.OH. _ Copies
2,829.00
Vanance - TOTAL
Permit No. Permit Holder Date Telephone #
WATER y?ic , u rY' f?l.
SEWER ?
PLUMBING
H.V.A.C:
EIECTRIC
/
Inspectlon Date Inap. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. 7 /)
Isul. 7 / ,7 f?
Firepiace
Final Hig.
Final Plbg.
Const Meter Plbg. Inspector - Notify Piumber
Engr./Plan
Bldg. Fnal
Deck Ftg.
Aeck Final
Well
Pr. Disp.
.,.
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site Addres:
j Lot
? Name
? ro Addre
k c city i.
?
i ? Name
i c Addre
p City -
OF WORK
d Air M BTU
M BTU
eater M BTU
nd. M BTU
CFM
iping Outlets #
FEE:
sic:
TOTAL•
BLDG. TYPE
Res.
MuH.
Comm. -
Other
PERMIT #
RECEIPT #
DATE:
For Ofiice Use Only:
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDiTIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMM
COMM/IND FEE - 146 OF CONTRACT FEE
APT. BLDG5. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIaENTIAL FEE - ALL ADD-ON &
REMODELS
$24.00
6.00
1.50 EA. ?
- 12.00
MINIMUM COMMEFiCIAL FEE - 20.00 j
STATE SURCHARGE PER PERMIT - .50 ,
(ADD a.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) s
?
'
?
?
S`I?'f? P MI??
?
FOR: CITY OFYE,AGAN ...,, . ?
;,.
, PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
31RICE: ? PHONE: 454-8700 For Office Use Onl
aae Haaress I - ' ' 1 `` ? Y BLDG. TYPE WORK DESCRIPTION
Lot Block
Sec/Sub .
Res. New ?
?
? • Mult Add-on 3
? Name ?
? ~ ?- Comm. Repair
?
c Address
City
Phone
Other
N FEES
? ame RES. HVAC 0-100 M BTU -$24.00 r
c AddreSS
d "" ADDITIONAL 50 M BTU - 6.00
p Cit
- ?' :'% Phane ' (RES. HVAC INCLUDES A/C ON NEW
y CONS7Rl1CTIOM)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & COND05 - RES. RATE APPLIES
Boiler
M BTU
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 ?
Unit Heater M BTU REMODELS 2
.?
Air Cond.
M BTU $ MINIMUM COMMERCIAL FEE ?
0
? 2
STATE SURCHARGE PER PERMIT - .50
Vent
Gas Piping Outlets # CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) ?
Other
FEE:
; .:
SIGNATURE OF PERMtTTEE
?
S/C:
? TOTAL: =a ? ?? FOR: CITY OF EAGAN
?:,, . ., - ? , . . .. . PERMIT # ? _ . ..
PLUMBING PERMIT RECEIPT
CITY OF EAGAN ,
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
BLDG. TYPE WORK DESCRIPTION
Res. New ?
Mult. Add-on
Comm. Repair
nf?,o.
City
Name
3 Address `
o Ciry Phone
ccr_e
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHDUSE & CONDO - RES. fiATE APPLIES
MINIMUM - RE5IDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
- ,- ?
?- :
SIGNATURE OF PERMITTEE
FOR: CITY OF
nc?. rr.vv. vn?- vvnVr??I cI nc rv?P-v.•nV?.
IyQ. FIXTURES TOTAL
°^L W
t
Cl
t
$3
00 $
er
ose
-
a
.
? Bath Tubs - $3.00
7 Lavatory - $3.00 ? ,• .
-?5hower - $3.00 '
?Kitchen Sink - $3.00
UrinallBidet - $3.00
? Laundry Tray - $3.00
? Floor Drains - $1.50
,/_Water Heater - $1.50
Whiripool - $3.00
fGas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.Q0
?-Rough Openings - $1.50
' ?`
FEE: , -? e ?
STATE S/C:
-, ? •? .?
GRAND TOTAL: ' -'
CONTRACT
PRICE
m`
?
N
c
0
C Add
8 cay
PLUMBING PERMIT For
ERMIT #
CITY OF EAGAN [RECEIPT
3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE 4548100
Phone
Phone
FEES
COMM.AND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
DATE:
Res. New
MuR. Add-0n
Comm. Repair
Other
RES. PLBG. DNLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
7 Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whidpool - $3.00
Gas Piping OuUets - $1.50
(MINIMUM -1 PER PERMIT) ov
Softener - $5.00
wen - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
PERMIT FEE:
# 00c-?+(o 7 e- I
STATES S/C:
GRAND TOTAI: ?.?.
INS
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
I (612) 681-4675
SITE ADDRESS:
{-t. ?t;tat?ui.v ? ?
+ f 1141,11;ii •,(i1tAki ; IW
I PERMIT SUBTYPE:
uII i INw.
?
--------------
PECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF 1NORK:
t i WAt
,( I I I i I I I
N. A1!,`1
Nti/Ni!'r1l
Permfl No. PermR Holder Date Telephone li
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspsction Dats Insp. Comments
Footings 1
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Conat. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final ?
weli
Pr. Disp.
, OFFlCE USE ONLY •
METER # y z ? 260 G 2 PERMIT DATE
CHIP # a 'r av y WATER PERMIT # 10492
METER SIZE g oC B.P. RECEIPT ?CL 23G5
ISSUE DATE - D? B.P. RECEIPT DATE 61 5/ 89
SfTE ADDRESS _
LOT ?-BLOCK
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
ADDRESS:
CITY, STATE ZIP
PHONE: Z-
? ?
_ PRV - BOOSTER PUMP
' 7, JvI PERMIT REQUESTED
_:,'<SEWER ,? WATER _ TAPS '
_ COMM/IND ? RESIDENTIAL
-`'JI NEW - EXISTING
1 A4REE TO COMPLY WRH CITY OF
?qGA? ORDINANGES:
i '
t\?
OWNE .
ADDRES SI RE WHEN MET6R UED ;
,
CITY, STATE ZIP
PHONE: .
PLEASE ALLOW TWO WORKING DAYS FOR PROOESSING. FOR STORM SEWER PERMRS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMI7IS PROCESSED.
PLAN #
x
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,. -
' ' ?-,
j s
.
•
.
? LniEAI, F'EEZ' EXPOSID WALL
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?
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,
s', ? Zo
3
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Z
I=34a
PATIO DOORS
I
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?-z33r ? S•Sy .
.
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,+ f j «
- i ry 7 _ L-I BASIIMEN'T UNITS
? ? ? 1457 =1•7 $ : Z?i?3 .?
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?3
CITY OF EAGAN NQ 16559
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # m CPZ-3O?
To be used for SF `DWG/GAR Est. Value $80,000 Date JUNE 1 , 7 g.89--
Site Address 1002 DANBURY CT
Lat 15 81ock 3 Sec/Sub. LEXINGTON SO 71 OFFlCE USE ONI.Y
? Parcel No. acuPancy R- 3 M=1 FEES
Zomng PD
w Name KEYLAND HOMES (ndual) Const V-N Bldg. Permil 550.00
o Address 14450 Bll NSVI .i F PKr.rv (qllowable) V=N surcnarge 40.00
? Clty BURNSVTiT.F phOne 894-2778 xofSmries -
Lengih 50, Plan Review 275, ?o
iF Name $AMR Deplh 48? SAC,City I00.00
Address
°r s F Toiai
-
SAC,MCWCC
575.00
Clty Phone S F Footprints -
On 9te Sewage Water Conn 5$0. 00
F
? ? W Name On Ste Well - Water Meter 90.00
?z Address MWCCSystem 3C7C
Acct Deposit
30.00
aw City Phone GTy Water XX
PRV Reqmred _ 5/W Permit 20.00
I hereby acknowlege [hat I have read this application and state that the Booster Pump - S/W Surcharge 1• n0
informahon is conect and agree to comply wnh all applicable State of
Minnesota Staw[es and Ciry f?agan Ordma e Treatment PI 228_ 00
Signature Ot Permtlee APPROVALS ROad Unil 340_ np
A Building Permit is issued toKEYL D HO • S Planner - Park Ded
on the express condition that all work shall 6e done in accordance with all CouncA
apphcable State of Minnesota Statutes and City of Eagan Ordinances. Bidg OIt _ Copies
I1{
Building Ofiicial
I U
-1 ?
Variance
-
TOTAL
2 ,829 • ^n
1989 BIIII.DIAG PfiElIIT 9PPLIC9TI08 - CITY OF EAGAN
SIIPGLE FAMII.Y DWELLI9GS
1(066q
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATFS OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
HOYEz ADDRFSSES FOH CORBEA LOTS - COPTRACfOE/HOMEOi1NER MQST DESIGNATE WHICH ADDHS35
I3 DFSIRED. HO CHANGFS iiILL BE ALLOiiED ONCE BIIILDI6G PSHMIT I3 I330ED.
MtJi.TIPLE DWEI.LIDiGS HEAT6I, pgITS FOH SALS 09IT3 • OF 08IT3
INCLODE 2 SETS OF PLANSp CERTZp'ICATE OF 3URYEY - CHECB WITH BLDG. DEPT.9 1 SET OF ENERGY
CALCULATIONS
COI+AfERCIAL
INCLODE 2 SETS OF 6RCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
"AY 2 Q 1989
To Be Osed For• Valuation: gV,?0 C) Date:
Site Address /??
Lot ILS Bloek 3
Parcel/Sub
d
Owner ?
Address S o
City/Zip Code 6e?
Phone 2'e
Contractor \1?p-Lp
Address
City/Zip Code
Phone
Areh./Engr. 1
-74
Address
City/Zip Code LeLr-?^*?
Phone S 'r-j / - /p 7-S
Pceupaney R- 3 N!-/
Zoning
Aetual Const
Allowable V/y
S of stories
Length SO_ _
Depth ?/001 3 3
S.F. Total
Footprint S.F.
On aite se*aage
On site well
MWCC System i
City water _
PRV required _
Booster Pump _
APPHOQAI.S
Planner _
Couneil
Hldg. Off.
4arianee
09LY
?ss
Bldg. Permit rs0
Surcharge ?
Plan Review z %r
SAC p City /O G
SAC, MWCC
Water Conn ?
Water Meter 90
Acet. Deposit 30
S/W Permit zo
S/W Sureharge /
Treatment P1. zz
Road Unit s?
Park Ded.
Copies
TOT9L ?
,?? ? ?
NOTE: Sewer & Water Permit fees and aecount deposit fees vill be ineluded in the building
permit fee. Processing time for sexer and water permits is tvo days once a lieenaed
plumber has applied Por a permit at Citq Hall.
LOT: 15 BLOCK: _(3 SUBD./P.I.D #: [A'XI nq IOYI ?d IQrG 7k)
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? ???? ? CITY OP EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements
? 3 reglstered slfe surveys showing sq. ft. of lot, sq. R. of house
and all roofed areas (20% maximum lot coveraqe allowedl
? 2 copies of plans (show beam 8 window sizes; poured tnd. design; etc.)
? 7 sef of energy calculations
? 3 coples of hee preservation plan if lof platted after 7/1/93
? Rim Jolst Detail Options selection sheet (buildinas with 3 or less unMs)
DATE:
4 3Y 86
Remodel/Reoair Requirements
2 copies of plan
1 set of energy calculations for heated addltions
1 sRe survey for exterior addltions 8 decks
CONSTRUCTION COST:
7 . aoo
DESCRIPTION OF WORK: frDD ScR?r? JnORcFF ABa?E rf BELOrnI If multi-family bldg., how many unih?
e`F(STnJG aF-C K-
STREETADDRESS: /00? D?a cl-A! 1 69o9L7-
PROPERTY
OWNER
CONTRACTOR
ARCHRECT/
ENGINEER
Name: Oa? 5Co 7-7- Phone #:
Last Firsf
Street
City State: I ? I/v Zip:
Company: Phone #:
?- (area code)
Street Address: Ucense # y? y r Exp. 61?
city 47k) state: zIp:
Telephone il: (
SheM
Cfiy
- Name:
_ Regtstralfon #:
State: Zip:
Sewerlwater licensed plumber (if installina sewer/water): Phone #:
I hereby acknowledge that I have read this applfcafion, state that the information is correct, and agree to
comply with all applicable State of Minnesota Statutes andrCity of Eagan Ordinances.
Stgnature of Applicanl:
OFFICE USE
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No Not Required
- - - ocr 3 c 2avo ?
"l? _
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck X 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
A 31 New ? 35 int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
? 33 Alteration ? 37 Demolish (Bldg)" ? 44 Siding
? 34 Replacement ? 38 Demolish (Interior)
" Demolition (Entire Bldg only) permi t - Give PCA handout to applicant
VALUATION ? 00 f Occupancy ? MGES System
Census Code 2oning P-n City Water
SAC Units z Stories Booster Pump
Nbr. of Units _L Sq. Ft. PRV
Nbr. of Bidgs / Length Fire Sprinklered
Type of Const Width
INSPECTIONS REQU IRED
_ Footings: New Bldg _ Insulation _ Windows - ne w/replacement
Footings: Deck FinaUC.O. Siding
y
Footings: Addirion -:1 FinallNo C.O. Stucco/Stone
Foundation Fireplace: r.i. air test _
fmal Roof:
ice & water
fmal
?J Framing Pool: _ ftgs _ air/gas tests _
_ final _
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
Building 4?d-- Engineering
Variance
?cvrv?r-- `lv
f,zo 0 mm
EXTERIOR ENVELOPE_IIUFRIIGE '.U"_ COMPIITA'f_ION.
f... ..
.
f
OWNER;
SITE ADDRESS:
2V fo
nnrr :_
PHONE:
CONTRACTOR: P1AId # (Z-3?I I?'?? '
Determine working square foota9e of each
1. Tota] exposed wall area..... sq. ft. x.11' = Zoz.?73 :
2. Total roof/ceiling area..... IZsq. ft. x .026 = 3 Z,af q
Total exposed wall area above.floor=_ lLo?$ ,
..:
............. r
a. Total wall window area .................. . ........... ? 3??1 `?
_
b.? Total door area .......................... . . . .....................'. '18
c. Total sliding glass door area ....................................
d. Total fireplace wall area ........................................ -
e. Total wall framing area (average 10%) ............................ 1lat,g "?
f. Total rim joist area ............................................. k 5 1 •.
g. net wall area a6ove floor ...................................... I4 S? 2
h, wall area a6ove floor .....................................
i. . wall area above floor ...............:..................... _
j. frame wall area at foundation...........
7otal exposed
-
foundation area= -74
k. Total foundation window area ....................... -'
_
l. Total net foundation area ab ove grade .............. -7 ' FT
Determine "u" value of each wall segme nt -
(e.g. window, cioor, each separate wail section)
a. x 'lull , 417 = 4It,Lf sl_ .
b ??6 X lluii ?3z = IZ, ? co
C. X ,lu„ , y9 = r s'?$7
d. X ilul. ,,_._. _ .._..
e. ti 4 z ttuit ,0?7 = ?o ? ?`? . . ._ .
. X l,ul, .o3SS = S?Z? .
9. 1 14 sc, ? z z „u„ ? 37 = 53 ,?'1
n. z „u,i
, , ,. .
,
; X Itu„ _ .
. :,
J-
X "U"
r., z ?lull
1 . ? y x 'lull
3 . .................................Total
If item #3 is the f
as, or less than i?
#1, you have met t?
intent of SBC 6006,
PERMIT
? CITYOF EAGAN PERMIT TYPE: ?
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 024259
(612) 681-4675 Date Issued: S g/g 1/g q
SITE ADDRESS:
1002 DANBURY CT
LDT: 15 BLOCK: 3
LEXING70N SQUARE 7TH
P.I.N.: 10-45081-150-03
DESCRIPTION:
BGilding,Permit lype ?ECK
'8uilding Wo,rk Type NEW
i
?
? l
r.
?fL J ij
REMARKS:
FEE SUMMARY:
8ase Fee $30.00 COPY $.50
Surcharge $.50 Total Fee $31.00
Subtotal $30.50
CONTRACTOR: - Applicant - sT. Lrc. OWNER:
MCCARTY CONS7 CO 16901898 0008221 OWENS 3C0TT
1220 WELLESGEY AVE 1002 DANBURY CT
ST PAUL MN 55105 EAGAN MN 55123
(612) 690-1898 (612)452-1386
I hereby acknowledge that I have read this
information is correct and agree to camply
Statutes and City of Eagan Ordinances.
?
S
A LICA /PERMITEE SIG JVURE
application and state that the
with all applicable State ofi Mn.
?
'--flma ft.#1AI U
ISSUED : SI NATUR
?
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surv ys, 1 copy o ene y
calcs. J;jL 2 5 ja,,y
COMMERCIAL 2 sets of architectural & structural
specifications, 1 copy of energy calcs.
Pena 1 ty applies: 1) when permit is typed, but not picked up by last working day of month
[
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Ul Valuation of work
i n r
Site Address: IODa ?JArdDatRV C'f'
STREET SUITE I!
Tenant Name: (commercial only) ,d,: ?
LOT ?L BLOCR FSUBD..i P.I.D. #
Descri tion of work:
The applicant is: ? Owner N) Contractor ? Other (Describe)
Name Sd,?ff °R Phone !VT?
Property LAST FIRST
Owner qddress il/4fo Lav C?
STREET STE #
City ? State Z i p
Sr/?3
Company m,J Phone
Contractor Address /a'Za0 X
r7vt License #, ?'?,16- Exp.Gw?l
,
City &p 1"A?(? State -tew __ Zip 5'?;7206'
,
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to compl ' h all plicable State of Minnesota Statutes and City of
Eagan Ordinances.
7)
Signature of Applicant
..
e
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 Sf Dwg. ? 07 4-Plex ? 12 Mult1. Misc.
? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 Sf Misc. 0 10 Multi. Add'1. m 15 Deck
WORK TYPE
?T 31 New O 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? s;te
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd Fl. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
Q Footing
EY Final
? Framing
? Draintile
0 Insulation
? fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
-.zo_
vstuas;on: $
r
',r.. ?. •?,..,
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code %3y
SAC Code o?
Census Bldg i
Census Unit o
Assessments
SAC q
SAC Units
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
'
3830 PILOT KNOB RD - 55122 Q. S?
?t)9 q 1? 851-681-4675 Cn 4 ?t 3- 13 -?6
s:t.Xk -?[1J
New ConthucHon Reaulremenh Remodel/Reoalr Reauiremenh
D 3 replsteretl slle wrveya fhowlny aq. fl. d bf, aq. H. ot h0us8
and yl roofetl areas (2076 maxlmum bt covemae allowed)
D 2 COPieS W PkmS (f110W b6N11 a WI11dDW llL9E: POUfBd hNL dBflQll; 91C.)
D 1 tet d awrpy cdculatlorri '
n S copies of hee preservation plan H bf phifed afler 7/1/93
DATE: 3-.42-- )cO 0
4 eopfes of plan
1 sef of energy cdaAaHOns !or heated adtBMOns
1 site wrver ror exrenor addlnons a aecka
a?
_CONSTRUCTION COST: F f , cB o
DESCRIPTION OF WORK:
STREETADDRESS: 160 ep, ffNBu f?L>
LOT: ? S BLOCK: 3 SUBD./P.I.D. 41: vk 5J=LLa?
PROPERTY
OWNER
Name: 065?ouS SIGo 7-7- Phone #:
loat Flrst
Sheet Address: ?Q
Ciy f??A7J ? State:
Zip:
. Company. V A'LG??Lf ,+V t/.E?M,FiJ?'S ?alJSi Phone ?: a
S?
(area code)
COMRACTOR ?P•
Sireet Address: ?? # a
cnr AA-6A-fj stafe: rrp: s--a 3
ARCHIiECT/
ENCINEER Company:_
Telephona i: (
Sheef Address:,
CMy
Name:
RegisfinHon N: _
Stafe: Lp:
Sewer/water licensed plumber (if irretatlina sewer/waterl: Phone #:
I herebY acknowledpe that I have read Hds appitcafbn, siate 1haT Ihe infortrwlion is correct. cnd agrme fq comPN wHh aA appifcable Stale
of MinneaoM Stahutes and Cily ol Eagan Ordinances. /p ?
Signafure of Applicant ? "`?"????-
OFFICE USE ONLY
Certficates of Survey Recetved _
Tree Preservation Plan Received _
Yes _ No
Yes _ No
_ Not Required
1 ?---
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 05-plex
? 02 SF Dweliing p 08 06-plex
? 03 01 of _ plex O 09 07-plex
? 04 02-plex ? 10 08-plex
0 05 03-plex ? 11 10-plex
? 06 04-piex 0 12 12-plex
WORK TYPE
O 31 New
O 32 Addition
,13?- 33 Atteration
0 34 Repair
p 13 16-plex
? 17 Garage
13 18 Deck
? 19 Lower Level
Plbfl Y or,)g- N
0 20 Pool
? 21 Porch (3-sea.)
p 22 Porch/Addn. (4-sea.)
0 23 Porch (screened)
O 24 Startn Damage
0 25 Miscellaneous
O 30 , Accessory Bldg.
O 36 Move Bidg. O 43 Reroof
O 37 Demoiish (Bldg)* E3 44 Siding
0 38 Demolish (Interiot) O 45 Fire Repair
E3 42 Demolish (Foundation) [7 46 Windows/Doors
* Give PCA handout to appiicant for demolition permit
GENERAL INFORMATlON
SAC Code 01
No. of Units
No. of Buildings ?
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
W idth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEQUS INSPECTiONS
0 StuccolStone
APRROVALS
Plannirtg Building
O 31 Ext Alt - Mufti
0 33 Ext. AtR - SF
0 36 MuIG
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code ?l3 ?!
MC/ES System
City Water
Booster Pump
""` ?'f n-1?'f.:?::q q'.;..,.-?;h ..,,,'t-.t<.riq1??1•???+??7??h????
CA$?lf?_!?;; iNAL. ???
?
Permit Fee
Surcharge
Plan Review
License
MCIES SAC
City SAC
Water Conn.
Water Meter
Acct. DepQSit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
? AM
Total:
SAC Units
% SAC
ID„ NAME4. - VALI_E:Y TNVl=STMEN1'S C.(JNSTFti)C' -
Valuation: 1002 L??NBURY r.r ?
2i?;5 JC}Cl:l. i. t .?(7.?3q
3210 9.001 49A"5
21W ; 90Qi 4-249 L_()xiGEPL ErR 7 . 00
}ce.'i.?_?t 3i?4. ?r`5
???
:? ic''4492
lSE:.k J.I:I: .7AN.
?lr?k???k#???K1K3??* **?CkC:XR:???:#>P: ?k ?K ik?IclK??k?k?K ?iC?K??K?K ?d
SECTIONS
USE 10$ OF OPAQUE WALL ARFA FOR
FRPME CONSTRUCTION
rz? -
src ; f 2<74
'riALL. ' ! 1
t-------?
FIG. 01 TOPVIEW OF
FF+AME WALL
F2?
1. INTERIOR AIR FILM
2 , /"v P,rcf
3. S yL ? SOFT Wa
4. mau `
5. ?? ???
6. R AIR FILM
1.
2.
3.
4.
5.
6.
1.
2.
3.
4.
S.
6.
1.
2.
3.
4.
5.
6.
, lvr.w I y .-7 9 :.
?j ? . ato'7
INTERIOR AIR FILM 0.68
r.VP ti t "M Palu PS-"}'S
?r `
0 R FILM Z-
Z;9
'e.tim y
INTERIOR AIR FIIM 0.68
?._••-• 2.,r? .Lo?S?T 1 A9
3/ "-r1-lF12w.ar,c ( ?O
I ?
TOTAT• , ZS
.?
*
? Z,?i,•i.l: .n': ..'S?. .3Y^Yht?n
:
??
?
?
'
, ',?
? '?
'
;
'
(?)A
_ '
,Y :, •,i.
,:'
?
'
V
ZNIERIOR AIR FIIM 0.68 ,
c? K C`. F3 L?oC ?G. 1 Z-g
-
? _
EXTMOR AIR F LM 0.17
TOTAL
:?:.?
?.
1 `+
- '..°;,.
4
7- .
..,
L.t
?
t ? ? ;`•.., `\
i
SLAB ON GRADE
ii
,•. ? , .
?
u
r
t
/ 'f • ??
I ( t --.
',
.
-.? (D -4)
? -> 'L
? ? ? " ? ' ?. 1?' y ` I,1?c,'?.`?:y ??i,?...
FIG. #4
lll 11 = I ?. ? ? -,
NOTE:
OP INSUL4TION
VALM; DEPTH AbID PIACEMf]J'P
-
?----- ? -
. ? ? ---- - ----
ROOF_CEILING
.
VEYP
yII,Tj?F----?r ? A I-'.EAT FIX1iri
.? ?_ u UP
FIG, #5
t
FIG. kE
i'7G, f7
CONSTRUCTION R-VALUE
------------- -
?
FILM
1. INTERIOR AIR D . 68
7
?
3.
4.
TUrAL
? u
r ,.
, . . _ . . -..- ?,.:?cy::: ? ? ? ? ? = ? • -.t
?
' . ?
FRAME ed,•
•. :'?i?:Y}pi`? ?.d.?
?
61
0
1. INTERIOR AIR FIIM . .
2. STS?GYP- , „ ..,,.
4.
0. 021
: °
•
? .
- - . ?
;'-:?: ::;+
z,
?
, . ' r i . c'i.41 ?.
?
? .?tr>•.'v??'?b??h??.
CONSTRUCTIOid
INSIDE AIR FILM
1.
__ . . . , _ ,., .. . ,. . , .
2. , ., .
3. ..., ?. .. ,
,,.
4. ..
.
5 . 77777777
L'-t : .,
. ...., . U:.Jqq:
?
. . . ;
.,? t.' - .
FRAME ? . • ? a ? " .
_ .
61
? 0
??
.
_ , _ . •
.
l.
2.
3.
4,
5.
1..
2.
3.
4.
5.
INSIDE AIR FILM.
NOTE: USE ADDITIONAL SHEE'PS' IF' M0RE SPA(._.F I
NEEDED.FOR DETAILS AND-CALCUI.FITIONS:.:
" ? .. ?.y7 t i rjYd?j:, q??;?? ??Yr ;,ZEr I
. „`:?;;.,s.?;u:?•,`?. ?A.:
h?T FIAW UP VENTED
IVU1V-YCAVILL ?
i-IFAT F1AW
UP
HEAT LOSS CALCUI.ATIONS
A.S.H.V.,
E
Wea?hen?rips
Guide
lindows `I Roors I Re(erente II OuL Wall Inl
es-No Yee-No 19
Fd
' F?•? er Room? Lengih /(a Width ?
Windowe and Daors-Cra,kaop a...7 A..,
/C?'0? ?)??vbve y ceu v f '
DEPAR7TIENT OF BUfLDiNGS
Construclion No.
all ('eiling RooF Floor
q Room ] Lenqth /.;
JO ??'IJUi
nf{Snc IleiRht
u/l'T??f An of
IiNht? Vl.ineal It."
k ' Ana
!7 ft
•
'JOk i' 1 19,6
a ` ? 1
CoeF. Btu
n6hration ?
'.ap. wall arL ?a -
4et eap. wall
ne-,.ell ??h
:ciling r ?
? ???_
orl
=1eor-^
ioiai uIu. r
teqwrcd aq. (t. E.U.R. or aq. ins. W.A. Leader area == I??
]
:' .? ??} ?k'nI •?'?I'??m ? Length J?. Width / l? Height $,
Wmdows and Dnnra--_C..A.,.. ,..a n.__ T'
lo. K'idtti
of D?ne He16M1?
of p?ns No. o(
Ilfhb - y1neOtt
Of lt?ek Are•
p. (l.
1
n6ltration '('
Jsaa
.,3. Coef.
?t'
`d Btu
?
p
:xP.Wau 11141bt•yK X?x
kl exp. wall
nF,-we11 ?t?ris ? R
3!L
:uling , k ?I -
day
aeer--.
alai utu. 'r c?Db-
tequired aq. (t. E.D.R. or aq. ine. W.A. L.eader aree
Rocm I L.ength /) Width 4 N.:e6,?
Windowa and Doore-Cracka
- ge snd Ar ee
e. Wldth
ef 0??• Helg
ht
ot D%n! Ne. o!
?thI• Llnenl [e
ot crack Area
p. M
G 6 0 _ 35 ? ?
i6hration
laaf ,
4 Coef.
,;1y
?
U Btu
00
"?oo
xp. wsll ' /5.1
'et exp. wsll
rt?Mell (d??ti? f
eiling p lJD
/1
0 3 a
?t
tSoi
?Ias olu. 3(a5
-_i Total Btu.
0 a
^^Iirr.! s.l . k. f.f?.R. ol q. ine. W.A. ( ta•lrt arce IZ•quii <<( e ? ?t r
- - - E,.1t S
.or.-I ini.R1.A.I.taArruu
-- --- - - ?t
r? 3`I7Q `f .? . Zt) ? ?
?
0,' CITY OF BURNSVILLf
Insulation
How
Width / O
Wi ndows A d Doars -Cracka ge and Ar ea
No. WLIIh
of oane llelphl
ot fane No of
IlRpls Llne.l fl.
ut crsck Ares
eq ft.
Q o 3
i
Coef. Btu
Infiltration L/y,y
Gls» ' <I SD /6aD
Exp. wall /2 X $ /,r,
Net exp. wall 96
i+el?-wal1- f9r r> l 7 -9
Ceiling I X lO 30 390
.klaas._.
lolel Htu.
Requirtd sq. ft. E.D.R. or aq. ine. W.A. L.eader aree
Roomll..ength /L, Width S( Heiahte
Wi odows en d Doots-Ctacka ge snd Area
Ne. WIAIh
af Dan• 17e1N+1
e[ Dam No. ot
Ilfhb Llned fl.
o[ eeack A,e.
?O. fl.
O O
Coef. tu
Inbltration /O, • .?.?` ?759
Gle» ?n td 3qO
Fsp. wall (oXtD 611"411 o
N<< <:p. W.u 406
3nt..wal1 W,.Y7 'i (O tl
Ceiling jf?,K eA
.Flner•--..
1 otsl tltu.
Required sq. ft. 6D.R. or sq. im. W.A. Leader erea I
3r' F1.1 P?i,lct? RoomlLen¢th !? Width U, HeiahtSl
end
snd Arew
No. WIOI?
at p?na Helgpt
o[ 0 No. et
IIMIe Lln.. t [L
ef eraek Are.
?p• fl.
CoeL Btu
Infiltrslion ,i 0?
Clege
E:p. wall * f I(e
Net up. well Z
am,wsu- ir„>1 2,411
3?+
4
• o
Ceiliog !Y,'xll? ^ {„c
r?ee'-•e
V
HEAT LOSS CALCULATlONS
Weathcrslrips A.S.H.V.E,
Guide
Amdows .'Doors Reference II
res-I`fo? I Yes-No 19_
t "..J RoomILength /a.
DEPARTIVIENT OF BUILDINCS CITY OF BURNSVILLF
Conslruclion No. Insulation
Wall Inl. Wall Ctiling Roof Fleor Kmd How Apolied
Width / ? Heiaht
Wi ndowa and Doon-Crackage and Ar ea
4o R'IJ111
M nane IItIRM1I
nl panc Nn DI
hRh(• I.InuI Il.
of crnl k Artt
eq h
•
?? d- .213 / .
Coef. Btu
Inhltration
Glaee
Fxp. wall ?• ?
Ne! exp. wall r .
•IRt.'Aefl I?1 rYl ?....) ?
Ceilmg
F1oer-
A oiai n[u. ra 523
ERequired sq. (t. E.D.R. or eq, ina. W.A. Leader arca
' e }I 'a Room Length / Width p Height
Windows and Doon--('r.111r.e. ...a e...
No. w1e?n
of Darye xelent
ef pane No ot
IIfhU Llneal «,
at <nek A,e.
p. fl.
Coe(. Btu
InRltration
Glese 1 ,°) Sv
exp.We?l G,?? i3? ya} o /
Net eap. wall
Jn6-wal1 IC1011)
Ceiling x
210
.EkaF..
I ocai n1u. a? -
Required sq. (t. E.D.R. or eq. ins. W.A. Leader aree
_FI.FV?iyCkk4 Room IL.enRth .'.)1. Width -n Ft.;el,P e?
Windows
wo.l A...
No. WIAIh
ot Dane H?Ight
of Dan* Ne. o!
Ilfhte LlneRl tl.
Of craeM Arra
fip. H.
?
Coef. Bw
InRltration
Glaee ,
Eup. wsll • b
Net eap, wsll ?" ?•- ' a0
lelrwsll
Eeiling
rloo' S )a P ! ?l6
.oial om. ( [lG/I .
Required sq. (t. E.D.R. or sq. inr. W.A. Leader aree
Fl.j&t6ft,,vp+- RoomiLength ??4. Width
Windows and Doors--Cracka¢e and Area
No. K9iLA
af D.?• /1e1KM1l
of pan! No, of
IIahU Line.l tt.
of tr¢t Arta
eq f1.
3 { ? bo 4S?b
Coef. Btu
In6ltretion ((.p t) / q0
Glasa
Exv. Wall G} 6? 4 x G?'
Net exp. wall 5?'iy a?9
a+M.-weiF•-
-c-eilirtg
rioor
Total Bw. g [/p
Required aq. ft. E.D.R. or eq. ins. W.A. Leader ares
Fl.I Room I L.ensth Width Heieht
Windows sn d Doors-Cracka ge and Area
Ne, wtdth
of Dan• HNght
of pane No. eI
IIfhU Llnesl fl.
ef vwk Area
8Q ft.
Coef. 13iu
Infiltratian
Glssf
Eap. wall
Net e:p. wall
Int. wall
Ceiling
Floor t
lotsl Htu.
Required sq. ft. E.D.R. orteq. ina. W.A. Leader aree
F1.1 Raom ( Length Width Neight
Windows and Doon--Creekaae end Ares
N0. WIEth
0[ Dane HeICM
ef pane Ne. ot
11[Ms Llnetl tt.
e[ craeY Arc,
g0. (l.
Coef. Btu
Infillrslion
GI¦??
Esp. wsll
Net exp. ws11
Int. wall
Ceiling
Floar
I oal oiu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader arc?
-I Q-SS9 2006 RESIDENTIAL BITILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX N 651-675-5694
NeorConshudion Reauiremenis
3 regstered sAe surveys shamng sq fl ot lot, sq ft M house, and all roofed meas
(20%marimum bt mverage aOovRd)
2 wpies oi plan showng brsm 8 vnnrbw sizes, poured found design, elc
1 setofEnergyCalculatwns
3 copm M Tree Presxvatan Plan A bt platted after 711183
Rm Jast DeNail Ophons seledpn sheet (bwlQngs wAh 3 a less units)
Minnegasco mechanical ventilarion fo}m
?
RemodeVReoau ReQUirements
2 mpies o1 plan shwnng toohrigs, beans, psis
1 sgt of EnarpY Calculalwrs tor heated adddpns
1 sde survey lor addtwns 8 decks
Additiun- indicate if wi-sife sepfic syskvn
??0'cx-:?)
OH"m Uae Only
Cert ot Survey Recd _Y _ N
Tree Pres Plan Racd _Y _ N.
TreeR'asRequred _Y _N
On-sile5ephcSysiem _Y _N
Date 'T / b /
Site Address onago
be+n u c...r ?-+ C Constructiou Cost
? UniUSte #
Description of R'ork r
r?-?.vL?ctX\?
Multi-FamilyBldg _ Y_% N Fireplace(s) _ 0 2
PropertyOwner Telephone#((eS1 ) (e'S$- ??ZI
Contractor
Address
5tate CitY
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NENf BUILDING
- Minnesota Rules 7670 CateQOrv 1 _ Minnesota Rules 7672
Errergy Code Category . Residential VeMilation Category 1 VNorksheet • New Energy Coda Worlaheet
(Jsubmissionrype) Su6mitted Submitted
• Energy Errvelope Celculatlons Submitted
In ihe last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernilt, and work is not to start without a
pemrit; that the work will be in accordance with the approved pl in the case of work which reqirires a review and
approval of plans.
AA-&o? ?oJlll? '
Applicant's inted Narne Ap lic Ys Sign e
RPR-21-189 FRI 15:43 ID:JRMES R HILL INC TEL N0:612 884-9518 #449 P05
IW2 UANBURT CT.
? SURVEYOR'S CERTIFICATE
? ?ANevR
? CT Y
R
as?'?200
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/
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P ROPOSE/
/ Hous
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LOT 15
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1 $ N
aaio• a ELEV. C
K1rLAND FiOM[Y
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REVIEWED
, N DATE
ti
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DEPl:
=
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James R. Hill, inc.
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t0 ?
? m ? PLANNERS / ENGINEERS / SURVEYORS
, m i
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0 { .
9401 JAMES AVE. S. ? BLOQMINQ70N, MN. 55431 9 812-884•3029
N#\o
F
.?
AFR-21-'89 FRI 15:43 ID:JFll1E5 R HILL IIJC
' 1002 DAN9URY C7.
TEL 110:612 884-9516 4449 P05
154URVEYOR'S CERTIFICATE
KtY1.AND HOM[i
? ?ANevR
GT Y
. R /
4%5? .00 p ,
.? s?•62 ? ?
$ sr\ _' 9qS s) ?
(U I? s A
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('897.0
oA /g 1 ?20A •;?'?; ? .
aAR. n? ? 1
2CD 3 p ? 2 N r,.
I?/ - 1 o N ''.
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i HOUSE
r?`8g 49A
?- 1 KEVIL•.WEC)
- ? \ I ? LOT 15 `?c
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9401 JAMES AVE. S. • BLOOMINaTON, MN, 55431 9 812•864•3028
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131996
Date Issued:07/20/2015
Permit Category:ePermit
Site Address: 1002 Danbury Ct
Lot:15 Block: 3 Addition: Lexington Square 7th
PID:10-45081-03-150
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Anthony J Novak
1002 Danbury Ct
Eagan MN 55123--156
Craftmasters Remodeling Inc
2495 Maplewood Dr, Suite 314
Maplewood MN 55109
(651) 757-4100
Applicant/Permitee: Signature Issued By: Signature
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Use BLUE or BLACK Ink \ '
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3830 Pilot 101013 ROad RECEIVED 1 1
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Eagan MN 55122 1 Date Received: I
Phone:(651)675-5675
Fax:(651)675-5694 APR 0 7 2017 I staff: I
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2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/1).g/17 Site Address: 1001 1)041/.47 644 unit#:
Name: A-rott AiPhone:
it_ 6Ia- .R34- 7771
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Address/City/Zii): I&) b.tw1-7 ,.....64.71- ivq..., ,-4-0.1•3
Applicant is: Owner X. Contractor
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.:747.,. -i,,,z1.;:,7:f- Description of work:i 011. tersiF Amp.i 4iiad ir.vel laic ivkt. Au Lc vet iri,....ilswt.,4.4.4.....6..it.471.;05641144
ConstructionOP lz--4' Multi-Family Building:(Yes ./No
Cost:
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State: AA) Zip: 95111.6 Phone: 412-123-$04 Email: 11.10-0 C-4) t&r9.4i•Gm
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Lead Certificate#: Ai,.AT-.425-03,1-2
If the project is exempt from lead certification,please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the lest 12 months,has the City of Eagan Issued a permit for a similar plan based on a master plan?
Yes _No If yes,date and address of master plan: •
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 40 hours
before you intend to dig to receive locates of underground utilities. www.nonherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be In conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit but only an application for a permit.and work Is not to start without a permit;that the work will be in
accordance with the approved plan In the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
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AppliCadt'S Printed Ibirte Applic 's SignItare---
Page 1 of 3
, .
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t bilt\bali-6( +DO NOT WRITE BELOW THIS LINE /4/ ` s "SUB TYPES
_ Foundation —
Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level _ Pool _ Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
— Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation raw = Occupancy ,p,e.,.. / MCES System
Plan ReviewCode Edition .t.o/9— SAC Units —
(25% 100%___L/, Zoning P City Water --
Census Code !-f 3 Lr Stories — Booster Pump
#of Units / Square Feet — PRV ,--
#of Buildings / Length %ow.. Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
t Roof: JC-Ice &W�ter *Final Pool: Footings Air/Gas Tests _Final
Framing 0,30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: G , Building Inspector
RESIDENTIAL FEES /,�A� .rte
Base Fee /1 r,-- '7
Surcharge �� .21 -
Plan
Plan Review 2 G tt D P k�Poe/\z Ago 4-74"-k;
�10e,-.04.7,../t iW4406
MCES SAC JJ
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies 9 a 2.5./
TOTAL
Page 2 of 3