1010 Danbury CtPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA111860
Date Issued:07/16/2013
Permit Category:ePermit
Site Address: 1010 Danbury Ct
Lot:17 Block: 3 Addition: Lexington Square 7th
PID:10-45081-03-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Holly Flood
1408 Northland Dr #310
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brian J Kempa
1010 Danbury Ct
Eagan MN 55123
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1010 Danbury Ct
Lot: 17 Block: 3 Addition: Lexington Square 7th
PID:10- 45081- 170 -03
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
Quesetions regarding electrical permit
952- 445 -2840
Mary Kivi
8910 Wentworth Avenue So
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
Owner:
Brian 1 Kempa
1010 Danbury Ct
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA087972
01/14/2009
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
3830 Pilot
BUILDING PERMIT ?
To be used for
Site Address
Lot Block Sec/Su
Parcel No. ? Name ' z Address
3
° City Phone '
hi$ -
?W
W,u Name
?
? Address
0 i W City Phone
1 hereby acknowledge that 1 have read this application and state that the
informetion 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 ta `'` 'z'1''''vt ?j`'?•!)?' `t"
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
b Road, P.O. Box 21-199, Eagan, MM 55121
PHON E: 454-8100
Receipt #
Est. Value • Date ,19
OFFICE USE ONLY
On Ske Sewage Occupancy
MWCC Syatem 2oning
On Site Well (Actual) Const
City Water {Allowable}
PRV Required * of Stories
Booster Pump Length
Depth ?
S.F. Total
Footprint S.F.
APPROVALS FEES I
Engr./Assess. Permit
Planner Surcharge
CounCil Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
, Permit Na. Permit Holdsr Date Talsphona ?
PlUrribing
L - , -
C? • .?' ,
/:1 ?,3
H:r'.flC. S
Electric
.?
??.1. ..[._
?
?
?' , - . ? '1
? .3?? ;,n• ? ?
6afEeuer r K'?
r
Inspection ' Date Insp. Comments
Footings I
Footings II
Foundation
Framing U ?vN C?L - o -
Roofing
Rough Plbg. _ , ? -?'
Rough Htg.
lsul. r.
Fireplace
_ ?.
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
weu
Pr. Disp.
?
? ??
{.
i ' rY
Rr
.
PERMIT #
I?
M ECHANICAL.PEftM
. .
• .: . ' . RECEIPT #
CITY OF EAGAN
po 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address 'a ' BLDG. TYPE WORK DESCRIPTION
Lot Block -? Sec/Sub
?
r
. Res. ? New ?
, ,.
. L A, Mult Add-on
? Name !? , , .,r . Comm. Repair
Address , 71 .;2 Other
c Clty Q" Phone
FEES
?
c Name RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU
6
00
Address - .
-
3:
p City 4
Phone (RES. HVAC INCLUDES A/C ON NEW ?
CONSTRUCTION)
?
GAS OUTLETS (MINIMUM - 1 PER PERM17) - 1
50 EA
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
-
Gas Piping Outlets # f BEYOND $1,000)
'P 1
FEE:
S/C: SIGNATURE OF PERMITTEE
i
TOTAL:
FOR: CITY OF EAGAN
..??____ __ -- . ?_y,__? ?... _ _ . -- ? ---- - - .._ .. -? ?• -- -- . ..._ - ------•._._..v.,.___ .
PERMIT
• + PLUMBING PERMIT
RECEIPT #
'
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 85122 DATE: L2
CONTRACT PRICE . PHONE: 454-8100
Site Address %• BLDG. TYPE WORK DESGRIPTION
Lot Block -Z'_ Sec/Sub Res. ?t New
Mult. Add-on
? Name Comm. Repair
?o
... Address, • ? Other
c Ciry Phone ^- 21-21- RES
PLBG
ONLY - COMPLETE THE FOLLOWING:
.
.
NO. FIXTURES TOTAL
"
` Name _ f 1
-,Z_Water Closet - $3.00 4 : '<
l
'
C
--./-_Bath Tubs - $3.00 ;e- e
Address La
at
r
$3
00 c
3 __,z__
y -
v
o
.
y
O City ?1e.r1t?r-,:&Phone Shower -$3
00
? .
--- /_Kitchen Sink - $3.00 e'
FEES Urinal/Bidet - $3.00
COMM/IND FEE -19io pF CONTRACT FEE Z Laundry Tray -$3.00 -?'- e^n
APT. BLDGS - COMM RATE APPLIES -,/-Floor Drains -$1.50 `; -
TOWNHOUSE & CONDO - RES. RATE APPLIES -4--Water Heater -$t.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 __,4__Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINfMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1
000
00) Well - $10.00
,
.
Private Disp. - $10.00
?
' ,?Rough Openings - $1.50
SlGNATURE OF PERMIT EE FEE:
STATE S/G:
FOR: CITY OF EAGAN GRAND TOTAL:
?
SEDGWICK HEATING 8 AIR CONDITIONING CO. l??J 4-
HOUSE HEATING TEST RECORD
-. - r
CITY
OWNER
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEAT
INST.
GA_ FA_ HW_ STEAM SPACE HTR. UNIT
41) GAS DESIGN
MAKE
Model = C 7 S
Serial
INPUT
THERMOSTAT
Valve
Limit =
Limit Setting i-
Fan Setting
Pilot Type
Pilot R4ake
Pilot Model
Pilot Timing ' - V y
L.W. Cut Off
Pressure ? ' ??' ' Percent COZ ?? ?y?'
Input CFH ` Percent O2
Stack Temp. Percent C0
MAKE OF BURNER
Max. BTU Rating -
MAKE OF FURNACE
Madel
Vent Size
KIND OF LINER SIZE NONE
Draft Hood « ' ' 1 Regulator
Filters Size Number
Chimney Location Inside Outside
Chimney Construction Smoke Bomb Wiring
Draft Test Tag
Door Pressure Lighting Inst.
Date Tested
Company Testing
Name of Tester 1 ? N '
Form 235
CONTROLS
Heat Plug
'
CONVERSION
ICl C?
r/
• V??`• ? (U . ?
SEDGWICK HEATING 8? AIR CONDITIO ?T
NING CO.
HOUSE HEATING TEST RECOFi D
if
.
K Y
(".
. ?
l
ADDRESS
.
CITY
OCCUPANT i1" OWNER
HEAT LOSS - DATE HTG. INST. '
SOLD BY ;' f,{=''! ?'. -INSTALLED BY: ???, "•
Electrical Work By Gas Line By ?-
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER
-> GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model Model
Serial - Max. BTU Rating
INPUT MAKE OF FURNACE
Model
/? CpNTROLS
r
THERMOSTAI?'?? 1?-leat Plug . Vent Size -
Valve % KIND OF LINER SIZE NONE
Limit {e M1'' ' U Draft Hood L' LL r Regulator
Limit Setting Filters Size Num,Jher !
Fan Setting Chimney Location Inside Outside
Pilot Type Chimney Construction ?_ ?-?` i' !`? :
Pilot Make - ?"? - Te' N !-T r `
Pilot Model Smoke Bomb Wiring
Pilot Timing Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
_
1 -, 1
._ , ;
Percent CO
Pressure Date Tested
Z
Input CFH Percent 02 ? "
?? Company Tes*i++a p r? ?; -
Stack Temp. Percent C0 ??
? Name of Tester ?J 1
?-?
Form 235
SEDGWICK HEATIMG & AIR CONDITIONING C0.
6910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9004
ADDRESS 10) DOft (3 u? S-7-
OCGUPANT
SOLQBY- DY•1,_l L ?V
MAI(E L& v)'!rI C))L-
SERIAL NO. J `ng"
THERMOSTAT
VALVE
LIMIT ?
LIMIT SEITING l SS ?? C7
FAN SETTING
PILOT TYPE
IGNITION MODEL
PILOT TIMING
PRESSURE C1 PERCENT CO2 U
INPUT CFH ?_ PERCENT OZ ?
STACK TEMP. PERCENT CO C
PORM 235 (REV. 11189)
?ITY
HEATING jos No. ? 4 cE
TEST RECORD
? 1 ; J ? I-__. ,.. • . _ -
owNeR
i
INSTALLED 8Y
MODEL O
INPUT
VENT SIZE
TYPE OF UNER
S r?
LINER SIZE ?
FILTERS: SIZE NUMBER
WIRING ?i? ? V'?' ? `'?
TEST TAG
LIGHTINCa INST.
DATE TESTED I CI` 1) I
COMPANY TESTING
NAME OF TESTER
FORM DiSTRlBUTION: WHITE COPY - JOB FILE YELIOW COPY - CiTY
MWCC: - 52 5.0f1jx,'
City Chg: '_tltil,?n„ .
Acct Dep:
Permit Fee: iO• OCpd
Surcharge: --- 0 13j
Zoning• rI ?
No. of Units: ?
I agree to comply with the ?
City of Eagan ?
Ordinancss.
I misc.: BY
SEWER SERVICE PERMIT
CITY OF-bAGAN Permit No: '•- 1 p8? !:? -- 2 4-87
3830 PJlot Knob Road Meter No: .3,9.7 O g 6 7? gizQ: ???oCfC
P.O. Box 21199 Reader No: Date:
Esgan, MN 55121
Owner. ':=rvin G?cr_re. i:?.drs.
SiteAddress: 10I0 Danburv Cour?_La.7 i;iqton Sa 7t11
Conn. Chg: 525.002d °"" Rl
' Acct Dep: 1?, dlU'il
Permit Fee:
° Surcharge: l0.ti? ? /?
} gqgri?R??mplr wRh the Cit?? of Esqan
u?
Tr. Plant jr
Ordinances.
Meter.
Misc
:
g
?
. y
6
WATER SERVICE PE
_^ n
,
CITY OF. EAGAN PermR No: = ' 4`• ? ? ?
Date: i ._ _^_4 _ ; :
3830 Pildt Knob Road B/ P No: Date: !1- t1._,4 7
P.O. Bo?21199 .
Eagan. ?Y1N 55121 t
Ifl,e 1//r1 G?? ?
.. .
HEAT LOSS CAICULAI
"S NEATING &AIR
/o iv
7/i
CONDITIONING C. • MINNE LIS, MINIJ.
Weethsritlips A.S,N.V.E. ' CorWtrucllon No. Insulotlon
Windows Doors Guide
Relere 0ut. yyal) IM. Wsli Celllnp Rool Floor Kind How Appiied
Yes-No
Yaa-No ?e
1g`_
•
'
•
/ 20, p pO°'^ Ltinath /? Wldth He{phl F1, Roan LeMplh WWth 1{eiV4l
Ylind ws and Doors-C?ackape end Ares Wfndows and Doors-Crackafle and Area
Ne. ?+???A
0 Nor pht
0l on• NQ. ol
Ii hl? L?neal 11.
1 r Aren
s. It. .
.
No. yyiA?h
el •n I?oiphl
o ang Nn. ol
11 hls linenl 11.
ol r •ron
sa. 11.
?/
- ? D 9 2? .
Coel B tu C0e1 B tu
Infi11ra1ion ' ? Inf{itreNon
Glass Glsss
Exp. wall Exp. wall
Nal eKp. wsll Ne1 eHp. wall .
Int. wall . ' Int. wsll
Csltlnq Celllnp • •
Floor • Floor •
To1al Btu. ?ctel Btu.
Nequlred cq, It. E.O.R. or sq. Int. W.A. Leader area Nequired sq. tt. E.D.R. or eq. In4. W.A. Leoder aee
/ FI. /r E Fioom isnpth a Width / Height Fi. Room Lenpth Witlth Heiyht
Ylindows and Doors-Crackage and A?ee r(o Windows end Doors-Creckage end Area
r,dr1,
o n Ile?pht
1 in. Na. ol
1? ht?• LineaI h.
ot r Ann
o. 11. No. y,rh
ol ?n 1 ,;,phl
n? nn? N?. of
1i his 1ine+?1 U.
ol cr k Aroe
s./1.
/ / c- (o /5
d / /L
Coe1 6 tu Cool D lu
Inllltr etlon '/ ? a Infiltratfon
Glssa Class
Exp, wall Exp. wall
Net exp. wall 20 / o?J? Net eHp. wall
Int. wall Int. wall
Cellinp • 5 Ceillnp .
Flow Floa
lotsl Btu. Total Blu.
Raquired sq. IL E.O.R. or sp. iris, W.A. Leadar area Required sq. tt. E.D.A. or sq. ins. W.A. lcoder eroa
FI. PI Ropr length rG Width Helpht . Fi. Room Lsngth Widlh floiglil
YJindows ar;d Doors-Crackage end Area Windows and Doors- Creckage end Ar ea
NO. i?r ildtA
of ? Neiphl
• 1 eM No. ol
H hl• linea) 11.
ol r* Aloq
•. fl.
No•
ul sr 11??plil
ul ena Nn. ol
b hu l, n?nl (1.
ol aa k Aten
¦. 11.
?
' CoBI 8lU Coef B tu
Infill?alion ? InlillrpllOn I
Gtess S/p ,9
Glasa
Exp. wall Exp. wnll '
Ne1 exp, wall ? Net exp, wall
Int. wsll Int. wnll
_ Cailinp 20 Ceilinp '
F loor !
p _
r• I «x
lulal6tu. , 0 ? iolel8tu.
Requi?vd sp. IL E.D.R. or Sa, fns. W.A. LuodAi oiau R:+uii:rl Ry. ?t. E.D.R. oi sy. ins. W.A. Lo::dur o,ou
1iA1_uArInN
6Ar
ZL
z%
SA54.
Zy
1y
1Z
N bu
1.?
Bl
Ci
On S8e Sewege
MWCC System X
On Site Well
Ciry Water X
PRV Required
Booster Pump
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
er#i#iraft uf (Orrupanry
Citp of eagan
loPpa1'#riiP1Lt Of %tfilibling jIS}iP[ftaIt
This Certifrcare issued pursuant to the requiremenu of Section 306 of the Uniform Building
Code cerhfying that at the ame of issuance this structure was in rnmpliance with the various
ordinances of the Clty regulating building conslruction or use. For the foUowing:
uftckuifime.o " DWG.' ; K eMg. nrmic nro.
o-up.-Y rya R 3 yowng Dwim, R 1 rype co„
POST IN A CONSPICVOUS PLACE
CITY OF EAGAN N°_ 14481
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454•8100 Receipt # ?C! 'J??
/
To be used for SF DWG/GAR Est. Value $76,000 Date DECEMBER 9 19 87
Site Address 1010 DANBURY COURT
Lot 17 Block 3 Sec/Sub. LEXINGTON SQUARE
7TH ADD.
Parcel No.
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 ot g n Ordin ces.
Signature of Permittee -1
A Building Permit is issued to:_M"VIN GEORG UILDERS
on the express condition that all work shall be done in cordance with all
aoolicable State of Minnesota,Statutes and CityAf Eagan drdinances.
17
4 V4
INCLIIDE 2 SEYS OF PLANS, 3 CERTIFICATES OF SDRVSY, 1 SET OF ENERGY CgI.CQLATIOHS
AOTE: IDDRESSES FOa CORNEE LO?S - CONTRACTOR/HOMEOWNER MQST DESIGNA?E WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED.
MIILTIPLE DWELLINGS - RFSIDENTIIL RENTAI, IIAITg FOR SALE IIHI?S
INCLUDE 2 SETS OF PLANS, CERTIFICAT6 OF SURVEi - CHECg iTtTH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
1???
To Be Used For: ?ij,(f' Valuation: 7? Opp °?' Date: REC'D DEC Z
Lot J 2 Block 3
Parcel/Sub ,?t'r..?,T?? ? ??•?_
Owner fJ??N.,v°?6eix-b!E- 8w/d.S.
Address r?oX
City/Zip
Phone
Contractor
Address
--1
City/Zip Code
I
Phone
Arch./Engr. ?
Address CitylZip
On Site Sewage Oecupancy
MWCC System ? Zoning
On Site Well Type of Const
City Water ? (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
APPROYALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off (Z 4
APC
Variance
Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
R-3
R ^) --
V- N
Y -1?1
4 6AO,
L16.33'
sv
073-6--.-'
s1
Phone #
53s?'?9 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Conshuction Reuuiremenla
• 3 registered site surveys showing sq. ft of lot sq. fl. of house; and all roofed areas
(20% max'unum lat coverage allowetl)
. 2 copies of plan sfwwirg beam 8 vnndow sizes: poured found design, etc.)
• 1 sel of Errergy Calculafions
• 3 copies of Tree Preservatlon Plan if lot platted after 711193
. Rim Joist Detail Options selecGon sheet (bldgs with 3 or less uniLs)
DATE R - W2.,- 02..
RemodellRewirReauiremeMS
• 2 copies of plan
• 1 set of Eneryy Calculations for heated addidons
• 1 site survey for er1enar additions 8 decks
• Indicate if home served by seDfic system for additions
-I S
VALUATION # 5,000 ?"'
SITE ADDRESS \4\ 4' Op???wR-"C C? MULTI-FAMILY BLDG _ Y K N
TYPE OF WORK \.A2 4S?c '?ZrA4S'e FIREPLACE(S) _ 0 _ 1_ 2
APPLICANT
V-oAx\ aJ ?+-
STREET ADDRESStl53% WV% CITY4L STATEtIIf ZIP_5'54f dj
TELEPHONE#n(o3 S046iM CELLPHONEFAX#hla3-Ry1\-Q?04rl
PROPERTY OWN ER'V>V \\'A, W k?rA?4 TELEPHONE# kAI- 1i521-9Ab5
---------------------------------------------------------°------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOT:, RUI.ES 7670 CA"CF,GORY 1 MINNESO'1?1 RULES 7672
(J submission type) • Residential Venlilation Category 1 Worksheet Submitted • New Energy Code Worksheel Submi[led
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor:
Nlechanical systcm includes:
Sewer/Water Contractor:
Phone #
Phone
Fee: $90.00
Fce: $70.00
olr?R ?r „
-----------•------------------ _ - ----------- -°-----?.
_...-------°-°--------°-------------- -
I hereby acknowledge that I h a v e read ihis application, state that the information ??orrec-t, and agree to omply
with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. -
Signature of Applicant
.._.__________._
OFFICE USE ONLY
CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4f02
Water Softener
Water Heater
Vo. of BaLhs
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
Air Conditioning
_ EIcat Recovery SysLem
V"4
19$8 BUILDING PERMIT APPLICATION - CITY OF E9GAN
SINGLE FAMILY DWELLINGS
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCOLSTIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MU[.TIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 41 OF UNI.T.S
INCLUDE 2 SGTS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENEPGY CALCULATIONS
COMhIERCIAL
INCLUDE 2 SE'PS OF ARCHITECTURAL & STRUCTUftAL PLANS,
1 SE'P OF SYECIFICATIONS AND 1 SET OF ENERGY CALCULATIOPIS
Trn c'i:"'.!Q;:., :rJ Uf?.i•,.:-! ' ---
To Be Used Por:.`C ? 7/ /v/ Sll Valuation: _
Site Address
Lot / '? Block c5
Parcel/Sub
Owner fi7,C . /?, J.
Address /0/0 J0,51t% Ou"'?/
City/Zip Code fIttl
Phone
Contractor
Address
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone It
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
Booster Pump _
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Date:
?atr v
Occupaney
Zoning
Actual Const
Allowable
ii of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Ruad Unit
Treatment Pl
Parks
Copies
TOTAL
?
t}
* Pion
? engir
?
¢b'oo°E
2422 Er:e,nvt?e D,,ve
? L?na.;Hrm".ts_ N1N70-
i! l6121 681 1914
?
NoRi N
r 900.0 Denofes exr"sfir? Elvvafron PROPDSED NDUSF EeEVArloNs
?°?yesf Floor fleva{ion =
, soo-o Denofes Proaosed flrvafr'oo ---- -- Dtnoles Drprno ei Ulilif CpSPmeRI
---r-DenolesDroino?e?F(ocv`yArrow Top oi 08lock Elevafion
6 f,
o Denoles monumenf (7 aray SIo Eleva ion
8ear,n?s shotvn pre assumed
L0 r / 79 BLOCk 3 , LEvAla Toiv SPuA RF 7r# AoDrrlaN
DAKOTq COUN7Y, MINNESOTA $UE3JECT TO EASFMENT,q OF RfCORp ?
? ?.4 :C? r Cl'? ?? 11: . 5 ' J ? ? C ' (? ? ? itL??'. ?' l' (' d i ? r ? ??i ?
r ::?i . "1 . 1 ..? . .1?.r ' ? • . . . ?
L,i 'I ny f If.ou..'. r?r' n • : l Y ? ? CI . n L5 t..
. . ? 1.?? . ?. ? Y? !? . ? ? I ? r ? . • - ? r - L' r C'
I
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= k-- F"4 . . .. .-. E- .F.
!ering . 1 1,1-. ' , .. .. .
Certificate of Survey for: MARVIN GEORG E
DANBU,py CoU,e7-
KH?aLF+ hhKIJl`jua
MINNESOTA STATE BUILDING CODE DIVISION
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER M? /v C-? r'() R (, f= d l) I I Cl P('.. (.:?
SITE ADDRESS 1.0T 17 ,C]_ L,pc LEk/w,TdN SQUAIQE I TH }}DAAI•
CONTRACTOR M#?V\1i-1U E?A 14.0P-S DATE PHONE
Determine working square footage of each:
1. Total exposed wall area..... f-7 'SG sq, ft. x,)I = I G 3. y?
2. To[al roof/ceiling area...., r(? 912 sq, ft. x.Qpl(7 =;; F.
Total exposed wall area above floor = /(0(p C)
a. Total wall window area . . . . . . . . . . . . . . I-7 q
b. To[al door area. . . . . . . . . . ?
c. Total sliding glass door area. . . . . . . . . . . ?
d. Total fireplace wall area . . . . . . . . . . . . .
e. Total wall framing area (average 10%). . . . . . . ?-
Totai exposed foundation area = 99
h. Total foundation windov area . . . . . . . . . . . . --
i. Total ne[ foundation area above grade. .......?
Determine "U" value of each wall segment:
a. X?,U,, 3?f (OVp
b. ya X ??U?? 96 ?
C. ya x„U„ Gq
a. `-` x „U,l ---
e. X ??Uti (? -t = ? I • 1 `?
f. ? 1 too'1 X„u.. yg
f. Total net wall area above floor. . . . . . . . . . : //[o'o?
g. Total rim ?oist area
. . . . . . . . . . . . . . . ?L_
. g. X„U„ p ?l D
h. g aUlt ? --'
i. gU., h?,.,`y e (o ,? 3
3. TOTAL . . . . . . . . . . . . . . ' P-7
If item S3 is the,same as, or less than item Ill, you have met the intent of SBC 6006(c)2.
Total exposed roof/ceiling area = /(D ? 6
J. Total skylight area . . . . . . . . . . . . . . . . Lq
k. Total rooF/ceiling framing area (Average lOti) ...:?
1. Total net insulated roof/ceiling area .......
Determine "U" value for each roof/ceiling segment:
? y X,,,,.,
k. 99 X -.U„ .oa(0 a•s-7
1. G9 5 X„U„
4, TOTAL . . . . . . . . . . . . . . = as ? $
If total of item 114 is the same as, or less than item l12, you have met the intent of
SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the [otal envelope system method, the values established by the aum of items ,
li3 and ll4 shall not be greater than the sum of items Ifl and /12.
+ 2. a?.55 a aaa.oy
? lD.b
3. r?-7 +4. ?5 ??;-
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
? NOTE: PA3@4Nf OF FEE AT TIME OF ?
? APPLICATi@1 DOFS NOT (.'IXV- .'?
Sf21SflE APPFMAI. OF PERt4T. ?
•
i INSPh7LTI0N OF SUIM AN7/Wi WA1IIt ?
t It1STALiATIOt1S WILI. N07' BE Src7xrtsn i
?[!NCIL PFIiMT HAS 8ffii APPAOVID. x
-citV •yttf+xM+r+?tfft?++fftMe4tffr?lty4f#?«
oF ecicjcsn
(PLEASE PRINT
i) PxoPmTSr AnnxESS:
TFY;AT DESCRIPTION`
Lot B ock S vision or Tax Parce ID
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERNLLT ISSOANCE:
Mon Year
PRESENT ZONING/PROPOSID USE:
Q COfM'lEE2CIAL/REPAIL/OFFICE I-tA R-1 SINGLE FAMILY
u INDUSTRIAL R-2 DLPLEX (Two Unics)
a INSTITUTIONAL/GOVEf2NNENT Q R-3 TOWNHOUSE (Three + Dnits) ( Lnits)
Q R-4 APARTMENT/CODIDOMINIUM ( L'nits)
2) ? NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: e1q,2 - /
3) i :F NAME: I
-?s?1
ADDRESS:
CITY, STATE, ZIP:
PHONE:
MASTIIt LICENSE #
?lUR1U('r5 L1C2I352:
ACt1V2
Expired
Not recorded
St Ia?n i- tia=
4) 5164*1U:R a iriolffl 151
NAME:
iu.DR.^..SS :
CITY, STATE, ZIP:
PHONE:
5)
n CONNECTION 'IY) CITY SEWEE2 f'?U CONNECTION TO CITY WATII2 F] OTfER
^r
6)
**??********.?,r***********?****+***?********??**,r+**?*****?*,r**********?*********************??****?
* THE GOLD COPY OF 7HE PERMIT WILL BE SEPTP DIREC.TLY TO PIIBLIC WORKS 1U FACILITATE MEtElt PIQt-IIP. *
?*. PLF.ASE ALi.OW 1W0 WORKING DAYS FOR PROCFSSING. SONIDONE FROM TfIE CITY WILL CONPACf YOU IF THERE *
* ARE ANY PROB11201S. +
,?***??+r*??**?*******??***?**?:?**,r*****+****+*****?********+?**?***?*****+*?*+e«********+******?***?,?
FOR -CITY USE ONLY
PERMIT # ISSUED .
I?/O I
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SORCHARGE)
$ WATER PERMIT (ZNCLUDE SORCHARGE)
$ ? ?J•? dI $ WATER METER/COPPERHORN/OLTSIDE READER
$ I S WATER TAP (INCLLDE CORPORATION STOP)
? $ SEWE;R TAY
$ $ I S^o-? ACCOUNT DEPOSIT - SEWER
$ ACCOL'NT DEPOSIT - WATER
$ C-0 $ WAC
$
sAc
$ I S TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRUIVK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ C
$
TOTAL
. .7?73? . '' ?,6 113
RECEIPT RECEIPT
DOES UTILITY CO NNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
71 YiS IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MLST BE
DIVISION
LIS ISSUED BY THE ENGINEERING
.
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: I ??-,_?
TITLE:
DATE: I / ??-,l 1//?
CLAIM VOUCHER - REF[IND REQUEST
CITY OF EAGAN
CLAIMANT BRIAN S. KEMPA
ADDRESS 1010 DANBORY COURT
EAGAN. MN 55123
Location 1010 nANBitRY COURT
? I.17 R7 T EX7NGTON 0 ARE 71H
Receipt No./Date g1418/7_74_88
Reason for Refund PT1pT.7('ATF PFRMTT
Type of Refund Electrical Pennit 01-3211 $ 20.00
Plumbing Permit 01-3212 $
Mechanical Permit 01-3213 $
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 , $
Account Deposit 20-2252 $
Utility Account Over-Rayment 20-2250 $
Other: $
$
TOTAL $ 20.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of iC has been paid.
(?)_' MARCH 3 198$
Signature Date
,C/, a; Zon e Galc c,p=d `
MEMO TOO JIM BTORM, CITY PLANNER
STEVE HAN80N, ABSISTANT BOILDING OFFZCIAL
JOE MERCHAR, CONSTRUCTION ANALYST
DALB WECiLEITNER# FIRS DEPARTMENT
HILL ARI1Q8t SLECTRICAL INSPECTOR
PIIBLIC WORRB/SNGINEERING DEPARTMENT
IITILITY HILLING CLERR
FROM: DOIIG REID, CHIEF BIIILDING OFFICIAL
DATE: a21-211962
SUHJECT: FINAL INSPECTION
The Protective Inspections Department will be performing a final
inspection of ?IpOO 1,0hE oaK?o?n ? on
nI)„ w;nr?
A Certificate of Occupancy will be issued following our approval.
If you are requesting that the Certificate of Occupancy be held,
please fill out the proper hold request form.
DR/mg
, t SedgaL"
MEAT LOSS CAICULATIONS •
HEA7ING&A1R COONING CO.
MINNEAPOLIS, MINII.
• Weatharculps A,S.H.V.E. . ConatrucUon No. tnsulatlon
„0nde„„8 pws Guide
Neferenca Out. Wall Inl. Wall Cefllnp RDOf Floor Ntnd How Appliad
Yes-No Yes-No ?g^_ • , .
FI. CA/?-Room lenplh 3? Wldth Hslphl' FLGt„p ? Roan 4enplh Width ? Hei861
Vlindows and daors -Cracks pe end Ar ea Wi ndows end Doors- Crackage and Area
ol sn Ne?phl
ol •na Na. ol
li hts l1n9 N 11.
1 r?ck Anq
?. t?.
No• wItlih
el m ? moM
o? ane Nn. ol
11 M1u Unsel 1?.
ol rs A.on
Coel B W Coal B W
Inlillrot{on (c,V y!7 On InlNlretlon -,/Z
Gless 5U / QO Gleaa So
Exp. well EHP. well
Nat exp. well Net eKp. wall l?
Inl. wall . Int, well
Calllnp Celllnp • ?? ?
Floor • ' ? S cl/ Floa
Tolel Blu. ? Talal Blu. ' /l0
Requlred sq, It. E.D.R. ar sq. Ins. W.A. Leeder erae flequired sq. It. E.D.H. or sq. Ins. W.A. Leader erea
I M/ Roorn Lanpth ? Width / Halpht FI. /YJ. ? Noan Lenglh ? Witlth Helyht
YJi ndows e nd Doors-Crackepe nd Ar ea Wi ndows e nd Doors- Creckage and Area
Ne.
p? sne DI 1{ eipAllna No. 01
h h?? lonorl 11.
ol r ?nn
0. 1t. •
No: WuUF
DI eM Il???qhl
el nnr Na. ol
b AI? L?nOnl It.
el r 4 A?en
a. 11.
C24 4-0
Coef BN Coof B?u
InfUtreUon L7 , Intiltration &{ /D
Gless Class 60 550
Exp. we11 Exv Well
-
Net exp. wa11 ' Nel erp. well o;bf Aa3A2
In[. WBII Inl. WAII
CBN{np CBlllnp U ?
Floor 5 Floa S '
iolel 8tu. ? To1al Blu. ?
Reyuired ep, IL E.D.R. or eq. fn4. W.A. Leader areo Required sa• IL E.D.i1. or 6q. ins. W.A. Leeder area
floom lengih Wldth Helpht ? FI. ?q->/f ptwm Lengtb 0 Widlh y Noipht 8
Yrindows and Ooors-Crackage n Area Wlndows and Doorg-Cracka ge end Area '
No.
o ¦n 11.'
. ol ehl n? N
n el
II hli
noel h.
U
ol re
Aien
s. II.
•
No.
W?ni??
al nn
H???p??l
ul nnx
r+n. ol
h ht?
l anl 1?.
DI ua k
4?en
•. It.
.
• ceai stu coai aw
Inlillretion ? ? Inliltrntlon I '17
Glase
Exp. walt l/ O 55c) Clase
Exp. wnll 50
Nal ezp. well 3 (? ? Nel eHp. well
Inl. well Inl. wnll
ceirn9 ., Y-57 a- ceiii„d o 2r?lo
Fioo, ritux
1Wa16W, ' 1 iotnlUtu. _ ZVI
Nequiretl ca, Il. E.D.H. ot SU. ins. W.A. LauJei a, uu rt. E.U.r., ui sy. Ins. Y1.n. Luadw moa
2004 RESIDENTIAL BUII,DING PERMIT APPLICATION
City Of Eagan ?
3830 Pilot Knob Road, Eagan MN 55122 Qj ?y a-Sf
Telephone #t 651-675-5675 FAX # 651-675-5694 ?
New Conslmction Reauirements RemodellReoairRequiremenls µe Onl
6tfi ;
3 registered site surveys showing sq. fL of lot, sq. fl of house; and all rooled arees
2 copies of plan
cett of5uney
PUa
(20% mazimum lot coverage albwed) 1 set of Eneigy Calculations Por healed additions 3cee P[es Plan Recd Y= N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey (or addNOns & decks ?Ttee Pr'p5r Requ'?1-??rj. ;Y: ??:N
7 set o( Energy Calcula6ons Addifion -indicate ilonsde septic system ?nsite Septiq System __ Y N
3 copies of Tree Pre5erva6on Plan if lol platted after 711/93
Rim Joisl Defail Options seleclion sheet (bldgs with 3 or less uniGs
Date 72-
Site Address /0/0 ,0//3 /vh Construction Cost t6 "I ? U c)
U R?/ PD U 2 f Unit/Ste #
i?
Description ot Work 9?-?' N d0 uJ e ftC /YI EA?T ?
Multi-Family Bldg _ YX N Ftireplace(s) _ 0 2
Property Owner Telephone #(?? ) ySy?07
Contractor
Address
State
Zip City
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . ResidenUal Ventilatlon Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiantype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone
N If so, 25% plan review
Telephone ??2 " p m 0 T f?2C
"
I hereby apply for a Residential Building Permit and aclaiowledge that the info ation is complete an accurate;
that the work will be in conformance with the ordinances and codes of the Ci y- te of MN
Statutes; 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.
41gq/ tT, , E
Applicant's Printed Name
Ap licant's gnature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143338
Date Issued:06/13/2017
Permit Category:ePermit
Site Address: 1010 Danbury Ct
Lot:17 Block: 3 Addition: Lexington Square 7th
PID:10-45081-03-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ronea C Kempa
1010 Danbury Ct
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature