4696 Fairway Hills Dr
Use BLUE or BLACK Ink
I forOffice UI
I ~ I
O1 ~n Permit
City R I Permit Fee: V--'57-5
3830 Pilot Knob Road f I I
Eagan MN 55122 1- I Date Re ved:
I I
Phone: (651) 675-5675 I I
I Staff: I
Fax: (651) 675-5694 1
-
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: _E rio- 1.tM1(\t4C(L Phone: 605 -~~5 -77c1
RESIDENT / _
OWNER Address/City/Zip: 14lo-l(o fGitirwctu = S Of f_QAg au iAN SS 12-S
Applicant is: X Owner Contractor
TYPE OF WORK Description of work: 51011 y G.r~(`, r,A ~s V'AWdoUD C Z, - fVu/Y12~ We "CA3 ~+~s
Construction Cost: Multi-Family Building: (Yes No ll
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
Does this project require Lead Remediation? 0 Yes XNo (see Page 3 for additional information)
If no, please explain:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateoneGall.org
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 withhtthe approved plan in the case of work which requires a review and appro I of plans
x Ef 1 C x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
BUILDING PERMIT
To be used for SF I
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
Value
17394
Receipt # - ?;? ?• ??
vnc.,uuioaa -- - - -------- - ----- -^
Lot 23 elock 1 Sec/Sub. FAIRWAY HIL44
OFFICE U
5E ONLY
PerC21 N0. Occupancy R"3 H"1 FEFS
R- 1
Zoning
W Name ? t?R?? C4NSTRtfCZI0?1 lActual) Const y'l'? Bldg. Permit 6???
; Address 535 STONE RD (Albwable) V-N
S
51.00
° urcnar e
9
City t?N?A u'['S Phone 891-I100 ?r or scories - 32'
???
Plan Review .
00
Lenglh
o Name SAME Depth 540 City
SAC =00•00
Z ,
O
? Address S.F. Total - OQ
575
L
) SAC, MCWCC .
'- City Phone S.F. Foolprints -
Water Conn 5???
On Site Sewage _
?
? W
Name
On Site Well
W
ter M
t
r
?,?
XX a
e
e
_= AddfeSS MWCC System 30.00
U_
a W
Gity Phone
ciiy water ? Acct. Deposit
S/W P
i 20,00
PRV Required erm
l
I hereby acknowlege that I have read this application and state that the Boosfer Pump XX `SiW Surcharge 1•00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ot Eagan Ordinances.
Treatmenl PI 228.00
Signature ot Permitee •- APPROVALS Road Unit i.+?
A Building Permit is issued to: p+I• HERRMANN CONST Planner - park Ded.
on the express condition that all work shall be done in accordance with all Couricil --
applicable State of Minnesota Statutes and City of Eagan Ordinances. g?. pN. _ Copies:
BuildingOffiCial Variance - TOTAL 2•984•00
Permit No. Permit Holder Date Telephone #
-WATER
.
SEWER
PLUMBING S0
H.V.A.C.
ELECTRIC l9 V ?r?cy
Inspection Date Insp. Comments
Foo,irvgs I
Foundation A 7
Framing /O^'s c,?r
Roofing
Rough Plbg. 626 • C ' L , ? h
_
Rough Ht9•
44, l
Isul. P,?
Freplace 7? f?' V S ? S 90 ? S
Final Htq.
ti
Final Plbg. ? Q
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Oeck Flg.
Deck Final
Well
Pr. Disp.
. ' .
IMECHANICAL PERMIT PERMIT #
CITY OF EAGAN RECEIPT # - ?
3890 PILOT KNOB ROAD, EAGAN, MN 55122 ?
CONTRACT PRICE: . PNONE: 454-8100 DATE: -
Site Addregs
Lot Block t a ?' '?L 'f
Sec/Sub BLDG. TYPE WORK DE,Sqi1PTIO N
Res. New
't Mult Add-on
?
° Name
Addr?¢s
,
, Comm. R r
epei
Other
S Ciy rt f I. .t? . Phone L:V7 r; -:. ?
FE
ES
y
? Name RES. HVAC 0-100 M BTU - $24.00
Address -'nu ADDITIONAL 50 M BTU - 6.00 ?
3
p City ??= ?' - -" `• Phone ? (RES. HVAC INCLUDES A/C ON HEW
CONSTHUCTION)
TYPE OF WORK GAS OUTLETS (MINIMUAA -1 PER PERMIn - 1.50 EA.
COMIYVINQ FEE -196 OF CONTRACT FEE
ForCed Air n M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Air Cond. M BTU REMODELS - 12.00
Vent
CFM MINIMUM COMMERCIAL FEE - 20.00
?- STA7E SURCHARGE PER PERMIT - .50
Gas Piping Outlets # ?-? (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
.
Oth8r ?
PERAAIT FEE: ? ,c,i . ? ,..tla..? + !. ? I ,.. % '.?•
- -
,
51GNATURE OF PERMITTEE
S/C:
TOTAL: FOR: CITY OF EAGAN 'j
J
CITY OF EAOAN PERMIT #! _
CONTRACT 3830 PILOT KN09 ROAD, EAQAN, MN 55122 RECEIPT #
PRICE PHONE 4548100 DATE: G
Site Address
Lot Z-3 ,
? Add
c City
F I Add
8 City
Block SeGSub Res• ? New r-
e : Muit. Add-on
(Ifa P? I ? Camm. Repair
• . , _ . Other
Phone
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - CAMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCNARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
RE8. PLBG. ONLY - COMPLETE THE FOL LOWING:
NO. FIXTURES TOTAL
a Watiar Closet - $3.00 $
? Bath T - $3,00
? Lavator $3,00
? Shower - $3.00
? Kitchen Sink - $3.00
UrinaVBidet - $3.00
? Laundry Tray - $3.00
? Floor Drains - $1.50
+ Water Heater - $1.50
Whirlpool - $3.00
t Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIn
So(tener - $5.00
Well - $10.00
Private Disp. - $10.00
Raugh Openings - $1,50
U. G. Sprinkler System - $12,00
PERMIT FEE:
STATES S/C: • :? U
GRAND TOTAL: a' ` r • co
1? ? • ?
(gtr#i#iratp uf (Orrupttnry
titp of (Eagan
aPp1'htlPtl# of I1T[Ntto 3wPrtiDIt
77us Cerliftcate tssued pursuant to the requiremerrtr of Section 306 of the Uniform Building
Code certiJying tJrat at the tince of issuance this structure was in compliance wilh the various
ordinances of the City regulating building corrstsuction or use. For the following.•
ux cwsurw.ooo SF D''?/GAR ews. Permi( rw. 17394
00-V&-r Trx R3/M I zoiing norict R 1 Type CDWL VN
ow=411Miaing AL HERNAM flQ%T. AM,.. 535 SM RfaAD, MCOrfA HT5
SWk?W.Addnw 46% FAIW HU,S IJRRIVE L=fity L 13, B 1, FAIladAY EMIS
n.,e: MARCH 29, 1990
POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT
CITY QF EAGAN
3830 Pilat Knob Rd.
P.O. Bax 21199
Eagan, MN 55121
PERMIT DATE 12
WATER PERMIT #?- ' 1166
METER #
METER SIZE
ISSUE DATE -??
SITE ADDRESS
LOT BLOCK , SEC/SUB
APPLICANT: - .: . •,•,,,, :" ? 1..,,: ?.?!'J; ??
CITY, STATE
PHONE: ''->•
/
PLUMBER:
ADDRESS:
CITY, STATE
PHONE:
SEWER PERMIT #
B.P. RECEIPT # ". 5438
B.P. RECEIPT DATE ? ry__/.?f' 4
- PRV XBOOSTER PUMP
PERMIT REQUESTED
? SEWER -A+WATER _ TAPS
`" - COMMlIND -2-k RESIDENTIAL ?
..`ZIP '_`
NEW _ EXISTING
I AGREE TO COMPLY WITH CITY OF
,4f Z,P EAGAN ORDINANCES:
OWNER:
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIp i'(/?G•(i ?ist. y?
PHONE:
PLEASE ALLOW TWO WORK(MG DAYS FOR PRUCESSING. FOA STORM SEWER PERMITS, CONTACT
ENGINEERING QEPT.
, _;?. _ /• r ?° :rt.-?.! /,f h ? ? f ? i -
II I
CITY OF EAGAN N0- 17394
, 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
, . + PHONE:454-8100
BUILDING PERMIT Receipt # C S 7? ?
To be used for SF DWG/GAR Esc Value $102,000 Date DEC 18 , 1989__
SiteAddress 4696 FAIRWAY HI L DR
Lot 13Block _L Sec/Sub. FAIRWAY HILLS
Parcel No. _
I o I Cddre?Nf]535
(1TASHTSFNRphOneGTRR91I?1100 I
o Name 5?
gQ Address
? Cily Phone
w .w Name
Address
a W City Phone
I hereby acknowleqe that I have read this application and state that the
inlortnation is correct and agree to comply with all applicabie State of
Minnesota Statutes and Cit?ofa an Ortlin . ces,
l ?
Signawre ot Parmitee _
A Building Permit is issuetl to; Ai. HF.RRMANN C(1N. T
on Iha express condition that all work shall be done in accortlance with all
applicable Sfate oi Minnesota StaWtes and City o( Eagan Ortlinances.
Building O(licial
OFFICE USE ONLY
Otcupancy R-3 14-1 FE ES
Zoning R=1
(ACfual) Const V=N Bldg. Permit 646.00
(Aliowable) V-N
Surcharge 51.00
F ol Slories -
Length 39, PlanReview 323.on
Deplh SAO SAG Ciry 100.0?
S.F. Total - SAC, MCWCC 575 _ 00
S F. Foolprinis -
On Site Sewage _ Water Conn 990_ O(1
On Sile Well Waler Meter Qn _ nn
MWCC Syslem XX 30
00
City Water x]{ AcCL DepoSit .
PRVRequired SIWPermi[ 20•00
BoosterPUmp xx_ SiWSurcharge 1.00
Trealment PI 228.00
APPROVALS Road Unit 140_ nn
Planner - park Ded.
Council
BIdg.Ofl. _ Copies
VarianCe _ TOTAL 2,984.0
?
/,z
? 64706
Reque9t Date
1- - Fire No. Ro h.in InspecMion
R, uired7
? Festly Now GWill No1ity Inspeetor
? When Ready?
es ? No
Ilicensed contrector ? owner hereby request inspection of above electrical work at:
Jou AOtlress (SYreet, x o L.Foute No.,, Ciry /-?
Seclion No.
Twm9hip Neme ar No.
Range No.
Caunly
I
O
Occupan P NT) n/'
/
V/ Phone
T
Power Supplb( Atltlress
Eleclriral Vaclor. (COmpany Nama) ,
.L r/c nc. rador§ Licenae No.
o o SSS
Mai6ng A(ttlress (Contraclor or ar M'ng Installatbn) 14A /
?
.G.L
??qq
la Si
.^
u( eclar frer M
nsl letion) one um
KJ
'
??
?
?
/ ?
/LAM
AUNNESOTA STAfE BOR F ELECTRICfTY THIS INSPECTION flEQUEST WILL NOT
Gtlggs-Wtlway Bltlg. - oom 5193 BE AWEPTED BVTHE STATE BOARD
1821 Unhreniry Ave., SC Peul, NN 55109 UNLESS PROPEFl INSPECTION FEE IS
Phane(8f4)602-0BOU ENCLOSEP.
REQUEST FOR ELECTRICAL INSPECTION . ee ooom o7
? Sae instructiona br completing this form on back af yellow copy.
7"?l vf =?'
C?' . 6? 7 0 6 "X" Below Work Covered by This Request
ew BVdd? , ep. TypeofBuiltling AppliancesWiretl EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.Mdustrial Fumace
Farm Air Conditioner
Olher (specity) Cantrador5 flemarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEMrenceSize Fee # CirouitslFeetlers Fee
Swimming Pool 0 to 200 Amps J 5 p0 a to 700 Amps o 0
Transfortnars A6ove 200 _ Amps Above 100 _ Amps
SIgnS Inspecmr5 Use Only: 7Q7pL s0
IRI]31i0f1 BOOrtIS
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rou9n-in
certifythatihe above inspection has
been made. F;,w o,?e .
4
OFFICEUSEONLY
This requesl wid 18 moMhs from
Aii ,
? ??"? 111MA\1A\\?
CONSTRUCTION•INC
February 28, 1990
Joe Merchak '
City of Eagan _
3830 Pilot Knob
Eagan, MN 55122 -
Dear Joe,
This letter is to confirm to you that we will install 42" frost.
footings under the cantilevered fireplace at 46016 Fairway Hills Drive
this spring.
Sin rely, f
Ray H mann
AL HERKMANN CONSTRUCTION, INC.
535 5tone Road
Mendota Heights, MN 55120
(612) 891-1100
r
SINGLE FAMILY DiiELLINGS
`- 1989 3UII.DIAG °EliMTT ePPLICATIOY
CTTt OF EdGAN
Ill-544
l?JLTIPLE DiiELLINGS CO!@'lERCIAL
2 SETS OF BL6RS 2 3ET3 OF PLlNS 2 SETS QF IRCHISECTURAI.
3REGISTEiEII SITE SURVE7S BEGI3TfiRED 3ITE SORVEIS - i 82HOCTIIRAL PLAN3
1 SET OF EpEHGS CALCS. (GMM YITH BLDG DIY.) 1 SET OF 3PECIFIC9TIONS
tSM 0F EN88GI CiLCS. 1 SET OF F.IIEAf3I CALCS.
MULTIPLE D1tELLINGS EEHTIL DNITS FO& SILfi 062TS t OF DRITS
NOTEo IDDRESSES F08 CDRNER LO'!S - COATRACTOR18WOi1NEA tlQST DESIGNITE IiHICH IDDAFSS
I3 DESIRED. BO CSINGFS iiILL BE iLLOiTED DPCE HOII.DING PERHIT IS I330ED..
3ENER 3 li9TER PEAMIT FEES AliD ACCOIINT DEPQSIT 1BE3 WII.L Hfi IACLODED 1TITH i8E SUILDINO
PERKIT FEE. PAOCESSING TIME FOA SEfiER !ND WATEA PEIpSIiS I3 TfiO DAYS OIiCE A PEAMIT HAS
HEEN COMPLElED INDICBTING A LICENSED PLOIEER.
PENALTY APPLIES HMNs PEflMIT IS NOT PAID FOA IN SAME MONTH IT IS AEQQESTED.
[.OT CHAPTGE IS REQUESTED ONCE PERMIT IS ISSUED.
DEC q 5 4989
To Be Used For:/y/&,CI44ltL-/ Yaluatiod• 'L?8- Date:
Site Address
o t ? Bloek
Parcel/Su ?
Owner
_ ??2?12G?/?•
Address
City/Zip Code
Phone
Contractor O/ca/-
Address(?'YhoaC
Citp/Zip CodeV&k:1!0CL '
Phone
Arch./Engr.
Address
City/Zip Code
Phone 4
Io3 ooa'°
oecupancy R-3. M-I
Zoning 'f2'(_
Actual Conat V-N
Allowable V-N
• of atories
Length
Depth S4?
S.F. Total
Footprint S.F.
On aite sewage
On siEe well
MHCC 3yatem ?
City vater
PAY required
Booster Pump
APPROYALS
Ylanner
Couneil
Bldg. Off. ?12?8
Variance
DiEl
Bldg. Permit
Sureharge
Plan Reviex
SAC, City
SAC, l4WCC
Nater Conn
Water Heter
Acet. Deposit
S/Si Permit
S/W Surcharge
Treatment P1.
Road Onit
Park Ded.
Copies
30BS0'!AL
Penaltq
lOSAL
,Oa
5?.Co
Do
323.
0?]
100,
Y249,0
Teoioo
q0l00
30,00
=,00
('oo
2 Z8,00
3go,oD
/5I W
, .
__-----?-
3o
L?srnT, 6??x?s? r01640
2? x 52? = I ?l ? o
2k??? ?zo
I 38o x?4 = I? 3Zo
"tSrr PLnok
1-6 ?-v
2x?
?Z?C vf
Iu??- ?e
Iq so x?j a e? 2 5bO
r -
?bl `t G°
i
. ,. .
~ '77F.
? Owner.
Site Address
, Contractor ?
,. MINNESOTA S7ATE ENERGY CODE CALCULATIDNS
BASED ON CIIAPTER 5 OF THE ?
HODEL ENERGY CODE - 1983 EQITION
, Adoption Effective 171/84
? Phone Date
`YYO?Io /.iSlr,c?Jis ?1'?O? /?eii.r .• Buliding Classiffcation: Type Al (Sing)e Family 6 Duplex)?
NOTE: Complete pages 3 and 4 flrst.
. (Other)
' GENERAL'INFORMATION
Bul,7ding Perfineter/±a hWav?Lj15ft.
2. Wall height (ground to eave)-?;Ir__5
?i . v •; . . , z "" 3. + 1 x 2. (above) gross wall area Z4 iZ f t.
Phone
L Type A2(Residentlal)
(3 stories.or ess
I '
(over 3 stories)
k.. Buildtng dimenstons (L) --- X(W) ft.2 roof S fToor erea
:..5.• Squara foot area of rlm Jolst - Ftoor Joist size (2 x
`s /0Y X Pertmeter = Rim oist area ) •? l? . ft2 ,
12 le?o
' 6. Doors. ' A'rea 4T41 15 ? ? . .. ' .'
,.'.. 7hic6 ness in. U factor,
: ? ??.
Type of Construct on -' Peri'meter
' . Manufacturer '
:TotaT door's perimeter ft. '
.y.?.? '. .N 1.
. .
ft."
(
8: Windows: Manufacturer_LN? 60?_?r State approved•'' U 6cl:or
- TYPE. SIZE AREA (Ft.Z)
EACH
9• Total ft.Z Glass
NUMBER OF
UNITS
10. Ffreptace area; W(dth X height = --- x
Ft.2
COMPLETIONe0Ff7HI5aFDRM?IS HREQUIREDPFORm ALL rAI -CIN TRUCT-0 MAJOR REIO E? G D BUILD NGSZE
MOVED WHERE ENERGY, OTNER THAN THE MINIMAL CODE ALLpWANCE, IS USED.
TOTA? FEET 2
?
??II
I
I
`
?zLo+2Coi-
C?5f 32) = 1111 1 zw- 2oX?8 = I? X i= I?,o ..
2-IcoX? - ?n??XI - In,S
1:0 -24 X(oo
.
, , ?..
,2W"Z?Xc?P" (11?Jh.Z. J?J?a _.._.' ... ........... . ............
- ?
. ,.
.
.. .__ ..__::.:._...,,...?....
' •c.5?'??
Z:8 s?, s?, ?, =?21 d
l?" ??r?b ??, = z, o c??f? ; ? ?>
,
U VALUE
S'CVO .
SLCTION ?
.•
B•IN•
:" _?ots
• % t \
Inslda alr ILlm .68 ,
It[teclor va11 . 0`}?s • (K;il) •U
[naulatlon • ?q?? ' ,
Sheething . 2,p(o
•Q
"
' ?
Slding . •'
_ ???
, .(e'] .
OuCflde alr [Llm .17 ' .
• R 70T?L Z3.Q3 , •.
Inntda•i[r fllm .68 •
[ntnrior wall ??-?" • ,
.w .tud (6f)
/a.$OlFramin6)U.
3hnathing
??y(d A '
Slding ? .
?7
?a9s
autslde atr Eilra' ,t? . ., ?-
R TO?AL L.ga . ' • ,
Inslde aIr [ilm 11m ,68 • ' '
InCecior vall • , ,
t`ttLon V
Sh?at1[fn ? . f Z .
Extarlor vall ring : . •
Exeerlvc alr Elim ' A .__1? •
?
. a 20?.1L .
Interlor alr tllm a,
LnsulatLan ???? . •
lS tnch.soEt-wuud R.I,gB (Rim
V ?
s
¦ R'
Joist)
Slteatliing ' z,p(o
• •
, o9-I .
Exteclor uall eovering ,l07
Exertcloz att Eltm R' .17 . '
R ToTAL
Inte'rlor a[r Eilm. R° .68 ' .
InauLatlon
Foundaelon , .I
Z Q ' •?
extnrlor Alr C[Im, .
A. ' (Fdn,) (J s A' ¦
, R ?OTAL ?. f"?i . ' , • t ??
Expaeed 9luek
. .
' • ?, ?•
nuny arca • IOX of gl-o5f ka11 aree? ? ' ' ?• '
_ al'OSS Hall dl'ea_ 24.?'j?
• .
. Nlndost area A'. •7? -7 --?j ft,2 U Hindows ;'•
U x* A • -11q1V
Rim Jolst area A ft,Z
- • U ?_
rim Jolst - U
i v"f? ??Ji
(
'
Ooor area ll 1 i2 Ft.2
a
U
.
_
door area ¦4- U x
x A
A
?
¦
?
¦??
area A 4- Z 2
ft.
U
Ylran?@ ¦?i9'(,rU
X
A
Exposed foundatlvnA
U
foundation ¦? ?? . U
p
¦
Framing "area A ''LD
' x ?
llet.wall area A I
Z?7
-7 c
? U framing area +i-)G
U, x A a Z?i
i
tPI
j ft.
.. U wnll •' , D
?F? U
x
A
'.
. .
' , • (13E1) .
TOTAI . . ? . . . . . . .' U
x
A .-?-.--
??.
24
14. Grvss wall area A=1. single fam11A i 1 .
•03. above} ?Up ex ¦ allowa6le U x AJCode
• x 0.23 (A-2 atlicr resldentlal) . • x .23 (Other bulldings} •
• x .20 ?Over 3 stories) • ' ' .
I I 2- BTUII Must be targer
z U G4.?P. ' ?. ¦ •Z ?i ?--o?. 138 above .
?.5• Ce111ng framing area (Ao) equals•lOX of celling area' ? oM thit same es)
; 15A. Gro;s cell Ing area ¦'{L) xL ) ,_?- ? rLe Z
; 158 . Jolst area (Af) ¦ 10% catling area ¦ _ ' (p?}- ' ' .
:.. . . ft.Z
15C: Ilet, celling area (Ac) (15A -.158) ¦_' IAE
fl.x .
U cetl Ing x A c¦ 2Z
.
U framing x A f. ? oZ3 x. ? ;5 77Z , .
TotnL u x n..:......... 33Z,
.............................
. . . ? V
16. Ca111ng erea (15A --x 0.026 (:1 single family b duplex - code allowable U.x.A
• x 0,033 (A-2 other residentlal) ,' ' . •
x 0.06 (other) . • ? ,
. 5A / • x IL[cv?!?1= v1_'?`rdUil Idust be larger than 150 (abov
. F . (or tlie same as}
• ?d? . '. • .
, , ', •{ ::, .. . : . . . . • .
?h IIOTE; Use U arid'A'values abtalned f rom nps 1, J and 4. S ? . . • ,' • . , ,
? .. , .
..,, ?.r. ? .
:i
_ ? 1 • ?
,
CEILiit?i 'a[T}I 4EIIigp ATT C, SpACE A90Y? '
F?f{lriG
CEtt,tHc
Air Film 0.61
j
Insulatlon
------- _? ,db
. ? 3S jat:t • ,.
? • .' ?.
p Ce111ng
4•61 A1r Film
. 4Z, l(o.
Totat R
U , U O ?----?
'
,
FLAT RQQF OR?? Up? CE l.ftiG
?t?7aTue R '/AI,UE .
FA,tIIItIG '. . CEIIJN(i
• O.bl Inside a1r ftlm 0.61
' C?Ilin
• • JolaE ?s u .
. (rs i11 4 tI nn
- hlr jp4c@
Nanf Jocking
tniutaNon
Bui1t-up roof
, ?• » Outside a.ir fllm O.lj
• ?.r• . . , Jotai R .. . ' .
a•u
H+?lindow 1nf11tratlan 5 cfm/ltneal foot af crack
yvle3identla! door 1nf11trati
lan-residenNal daor 1 an U,g cfm/square foot or door and minfmum code•reautrement
nf11traNon ll.p cf;n/llneal foot of crack
Ib 12". concrete block nu lnsulatfan , 'Jb 12 " toncrete 61ack insulated coras .47 R 2'1
]b 12a 11gllt,ueivht block .26 A 3,8 ?
'16 12 lightWeight block lnsulated cores ' •32 n 3•1
. • , ; '
a,12 R 8,? ' •
'J 31ng1@ glass ? 1.1J; wlth storm .ta(ndax'.5q
J dou6le gla'ss • :5; ' ? • •
J. trlple glass ? .41 • . • • A11 exlerior wa11s and ceilings must have a • ,
;aPar barrier must 6e on the lnside (lieated slaor ide) a frt,,all, •
-iapor•'barriers'af the ??'?? PQ? ma
,. polyethelene thin H lm hav9 no R valua. • .•' ' ,
. . . • ' .
, .
qo? of 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) j60, ?'O
3830 PILi T OKNOB RDN 55122 CQlle4 Y///f/00
651-681-4675 yip
New ConshueMOn ReauiremeMS RemodeUReodr Reauire
menl5
n 3 replatered aite wrveys slwwlnp aq, fl. of lof, aq. B. of house 2 copies of plan
and gD rootetl areaa (20% maxlmum Iot covemae ailowed) 1 sat of energy calculaXOns for heated admMOro
> 2 coplea of plane (alww beam & wlntbw slzw; poured fnd. deslgn; etc.) 1 site survey lor exfeAor pddlNOns & decks
D 1 set of energy calcWaHona
? 3 coples of kee Preservotlon plan If lol plotled alfer 7/1/93
DA1E: 4/I 3 I00 CONSTRUCTION COST:
DESCRIPTIONOFWORIG _ DECK
STREET ADDRESS: 44o`% I'R i P-w Y4 T' 141 LL5 .D?LOT: BLOCK: SUBD./P.I.D. #: Fi9 I RLAY H(LLS
Name:_ ?-iNr) (,)Z C?.1 JCFF Phone#: foSl- ¢5 2-5e'f7q--
PROPERTY last Flrst
OWNER
Sheet Addreas: 4>% Fai PJ-JqY 4L-1-S bl2
CONTRACTOR
ARCHITECT/
ENGINEER
ay Ee4 Q A-t,-) srate: P1 N zip: 5S i Z 3
company: SA vl G Phone t: (area code)
Sheet Address: License # Exp.
qry
State:
Zip:
Compprry: S 'l-el c- Name:
Telephone #: ( )
Sheet Addresa: Regishnflon N:
City
State:
Zip:
Sewedwater Ifcensed plumber (ii installirw sewer/waterl: Plwne it: (_I
I hereby ackrwwledge 1?qt I have recd this application, state that the Infortnafion is cortect, and agree fo comply wtlh aB apPficoble State
of Minnesola Stalutes and City of Eagan Ordinances.
.
Signalur6 of Applicant: ?
.?
OFFICE USE ONLY
Certificates of Survey Received Yes No `
Tree Preservation plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-piex
? 02 SF Dweliing ? OS 06-piex
? 03 01 af _ plex ? 09 07-plex
? 04 02-plex ? 10 08-piex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-piex
WORK TYPE
;15?- 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex
? 17 Garage
eb?- 18 Deck
? 19 Lower Level
Plbg _Ya_N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Poroh (screened)
? 24 Stortn Damage
? 25 Miscellaneous
? 30 Accessory Bldg.
? 36 Move Bldg. O 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 61
No. of Units _0
No. of Buildings )
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
P,PPROVALS
Pianning Building
Permit Fee ?60,50
Suroharge
Pian Review
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: -k G. 6
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
f) Ci Engineering Variance
Valuation: $ a,?70.
CITY OF EAGAN
? 31 Ext. Alt - Multi
O 33 Ext. AR - SF
? 36 Mufti
ysy
CASHIER: JS TERMINAL NO: 761
DATE: 04/17/00 TIME: 14:04:01
ID: I
NAME: JEFFREY LINDGREN
3210 9001 4696 FAIRWAY HL 60.00
2155 9001 4696 FAIRWAY HL 0.50
i.
SAC Uf1itS Total Receipt Amount: 60.50
°/pSAC i CR126530
USER ID: SAN
.'
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
3830 PILOT
651-68/46 5- 55122 A I ( ?,. --1?
- ? 07
New Conshucflon ReaulremeMs Bemodel/Reoair ReaulremenTS
D 3 regMered aHe suneys showing aq. H. of lot, sq. R. of houte
and gu roofed areas (20% maximum laf coveraae allowed)
? 2 copies of plana (show 6eam a window slzes; poured Md. design; Mc.)
? 1 set of energy calculctbna
D 9 caples ol hee preservaf(on plan H IW platled aHer 7/1/93
2 copies ol plan
1 sM of energy calculations for heafed addMfons i'
1 sHe survey lor extedor addiHons & decks
DATE: 46- -30 "'x79 CONSTRUCiION COST: z CUG?i`
DESCRIPTION OF WORK:
STREET ADDRESS: rLQ? F?
LOT: -L,? BLOCK: ? SUBD./P.I.D. #:
41
Name: -6A'tLj Phone #: (&!02q57J- R 0a 7
PROPERTY Last Fint
OWNER
SheetAddress: Y?c y(e Ed?Ih? ,6/cD? Le2i1
City ??crirr_ state:
Company: Phone#: & /Z J?9S e3tf70
(area code)
CONTRACTOR
StreetAddress: 116?3 E 014 P-Q. IJeense#ZOI61?6S3 Exp.3:3-W-0
City GP? State: /L//V Zlp: 15?57
ARCHITECT/
ENGINEER Company: Name:
Telephone #: areo code ( )
Street Address: Regishation #:
City State:
Sewer a wafer Iicensed plumber (reaulred for new construcflon onlvl:
Penally applles when address change and lot change is requesfed once permM Is Issued.
Zip:
I hereby acknowledge that I hrne read ihis appltcaHOn, sfaFe thaf Ihe Informalion Is cortect, and agree fo comply with all applicabl
State of Mtnnesota Statufes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECEIvE 7!
Certificates of Survey Received _ Yes _ No ?
JUL 0 8 1999
Tree Preservation Plan Received _ Yes _ No _ Not Required
1\
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 ApaRments ? 18 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demol ition permit
C7CNEKl4L tl"irVFi'IYI/y111 ?'JN
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
P
i
F
erm
t
ee Valuatl r.ITY OF f:AGAN
Surcharge
Plan Review [:af3HTEr:; S TI?Rt1INAL N0: 6$3
License ? PA'fk:;; 07/03J33 'T'IMI:a 15e49:31
MC/ES SAC
City SAC I II' °
WaterConn. 1 NAMF? AF5 CON7hACTQR TNr
WaterMeter
Acct. Deposit 3210 ")OOi. 4696 FA7f:41AY i.ii..P5
RV55 900J. 4696 FarFtiAiav 2.50
I
S/W Permit ?3210 9001 ,4750 CYF'RES5 F'T 125.25
?
S/W Surcharge 2155 9001. 4750 CYF'RFCSS F"i 3a110
Treatment PI.
Park Ded. j
Trails Ded. !
Other
Copies
Totdl'
? ?1 ? 'it?+,i:L Ftec.?ipi: An,oijnt: 'c'4i?.00
I
fR113002
SAC Urllts USE:fi LTi: NANCY
% SAC I
?%c?ka?Xc?**Xc?k?k?%%?##?X?k?#?k%??k?k??k??k?k kcdcXtXc*%?Xc?X%ckc#
? -- - -- ---- ??._- __r_,?
??
Sa-, aa
RESIDENTIAL
BUILDING PERMIT APPLICATION
cirv oF EAcaro
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
New Conebuctlon Beaulremente
• 3 regisleretl sAe surveys showing sq. fl. ol b4 sq. R of house; erW gll roofeU areas
(20% mattunum Wt coverage albwed)
• 2 copies o1 plan showing beam & window sizes; poured fountl design, etc.)
. isetofEnergyCafculatbns
• 3 coples ot Tree Preservatbn Plan M bt platted atter 711193
• Run Joisl Defeil Optbns selectiwi sheet (bldgs with 3 a less units)
DATE 2
/ - 0 r9 -.2 009L
SITE ADC
TYPE OF
IULTI-FAMILYBLDG?_Y vN
FIREPLACE(S) 3[0 _ 1 _ 2
APPLICANT ?u c
STREET ADDRESS /L -.4,ha& 4ue CIN STATE jk-/ZIP S1,qL1
TELEPHONE # 95,? 88/- Sa3Q CELL PHONE #
PROPERN
FAX# 910?'r'8/-FSS//
TELEPHONE # laV-`/42- 6S,2 S?
------------------------------------- ------------------ ----------------- ----°----------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI ES 7670 CATEGORY 1 MIA'NFSOTA RULES 7672
(d submission type) • Residential Ventilation Category 1 Worksheet Submined • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing system includes:
Mechankal Confracfor.
Mechanical system includes:
Sewer/Water Conhactor.
_ Air Conditioning
_ Heat Recovery System
Fee: $90.00
Phone tl
Fee: $70.00
(?
pf?C?(?0?1I
Phone # I U
I hereby acknowledge that I have read this application, state ihat me information Is
wiTh all applicable State of Minnesotq Siatutes and CiTy of Eagan Ordinyfices. ?
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
_ No. of Baths
_ Phone #
Iawn Sprinkler
No. of RI. Baths
41229
? 1,12 e, ,9, 6
NamodeVHepalr peauirements
• 2 copies of plan
• lsetofEnergyCalculatbnsfarheatedaddAions
• lsttesurveylorex1eraradditions&decks
• Indicate M fwme served by septle system for adtlilbns
VALUATION t 6 c2 `?J 7- d C'>
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
?ROSe .
F[VGI?V??fl1NG
COMPANY, 1(VC.
JODU EAST 1461h STREE7,
# Z692.o/
CONSUlTINO (NDINEfflS
PIfINNEflS and ifIND ?URVEYqRS
9UflN5YILLF:, MINNE80TA 6638T PH 432'5900
Gertificate of SLnavey
Legal Descripliou: 60T/3, BLOG/kf /, GAIRWAY y/GLS,
04,Ka74 GOVN7Y, M/NNESDTs}
(/039-.8) DENOTES EXISTING ELEVATION
C1a35.8) UENOTES PROPOSEU ELEVAfION
? INDICATES DIRECf`ION OF SURFACE DRAINAGE
166•13 = FINISI-IEU (UARAUE fLUUR ELEVATION /OZB.¢z= BASEMENT FLOOR ELEVATION
/O36•4-61 = TOP OF BLOCK ELEVATION
5C4 L?5 • /"' = .30'
Q
?
?ml
oOOSTER PLJMP
RC ONJ 0 IRED
30' ?2orv7' 1901GO/116
.S?78AG.e ? iniE OR.4/NSk?E ?l.uD
uT/G/TY EA,SEiy/ENT
? ?
00
L _, / ? / - /C_
?033, 3? N 88 ° ¢7' 59 ? /N
(2030.0)
ul Ln
lo ..
034.8?
. o ?lo3S 8 N PI N ??- p
? 2L.33
\ I5.86Y \D 8 ? I t4:' Z? yc?? o° ? ? \ J I ? ?
2 ?T%1m Q 1 o? N H ` I?J ?
a ? ? g I 9.67 0
? ? ZZ. 33 d' •i 22. 3 ? . ??(1 , 0
(1030, z)
ICi?34:s N 88°.4759".W ,
' -': ??-?.?:-.?•-
r?at?
qq?y ? w
I Iieraby cerllfy tbal lhis is a true and correcl repiesentation of a irocl of Innd as shawn
and described h@roon. qs prepated by me on 11vis ?.? ?day of OECE/?1QEK ,19ff- .
?A?'
Use BLUE or BLACK Ink
For Office Use I
I I
5
of Eajan I Permit 1 p I
C_G I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 MQR p'l 2 1 Date Received: z
Phone: (651) 675-5675 j
Fax: (651) 675-5694 I Staff:
2012 - - - - T J
RESIDENTIAL PLUMBING PERMIT APPLICATION
Da Site Address: q(0
Tenant: Suite _
RESIDENT/ OWNER Name:[ Phone:
Address / City / Zip: 40 _
{ Name: Appftme Cieftfl~CtOI1~11C------ License #:o~0 L__----
I '
CONTRACTOR Address: 313_D_an1ta_Cu_---------- City:
4 State: -----S opee, MN SJ,Vhpne:
Contact: Email:
- - - -
TYPE OF WORK New Replacement Repair - Rebuild Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Water Softener
PERMIT TYPE _ Lawn Irrigation RPZ / PVB)
i Septic System Add Plumbing Fixtures Main Lower Level)
I
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) ,,,3
TOTAL FEES
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org
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
acc rdance with the approved plan in the case of work which requires a review and app Val of plans.
c ~
-Y1=11-~-~1 _
Applicant's Printed Name' Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _-Under Ground ---Rough-In -_Air Test ---Gas Test
__-_Final
Use BLUE or BLACK Ink
For Office Use I
I Permit
I
I I
Cif of Eap I-
Permit Fee. I
3830 Pilot -Knob Road I
Eagan MN 55122 I Date Received: a
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: y~(f~g I rln(G1V f1
Tenant: Suite
Resident/Owner Name: (/K Pam i n f GI G K Phone: ,.Le (OR--
Address / City / Zip: ( g
Name: Wenzel-Plymouth Plumbing, LLC License#: 061555
Contractor Address: 1710 Alexander Road City: Eagan
State: MN Zip: 55121 Phone: 651-452-1565
Contact: Carl Michels Email: cmichels@wppmn.com
Type of Work -New _Replacement -Repair _Rebuild - Modify Space _ Work in R.O.W.
Description of work: Demo Pressure Booster
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation RPZ PVB)
Permit Type Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
X Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ N/A
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.org
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 pla
x Carl Michels X
Applicant's Printed Name Appl ant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In -Air Test Gas Test Final
I
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162258
Date Issued:07/06/2020
Permit Category:ePermit
Site Address: 4696 Fairway Hills Dr
Lot:13 Block: 1 Addition: Fairway Hills
PID:10-25600-01-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Eric Dominiack
4696 Fairway Hills Dr
Eagan MN 55123--215
(612) 759-9671
Built Strong Exteriors Llc
2215 Quebec Ave S
Lakeland MN 55043
(651) 702-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162258
Date Issued:07/06/2020
Permit Category:ePermit
Site Address: 4696 Fairway Hills Dr
Lot:13 Block: 1 Addition: Fairway Hills
PID:10-25600-01-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Eric Dominiack
4696 Fairway Hills Dr
Eagan MN 55123--215
(612) 759-9671
Built Strong Exteriors Llc
2215 Quebec Ave S
Lakeland MN 55043
(651) 702-1300
Applicant/Permitee: Signature Issued By: Signature