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4372 Hamilton Dr? CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE WCE? AM0UN7 S '? I.?^'] r f 1 i ? & DOLLAR5 lm O CASH ? CHEGK L 1 } f .?; ? ,? _ f;'7 , C 1219 5 Ye„""" ?' „ ?FHO Copy Thank You BY ? , ,:;,_ ?? . . . CITY OF EAGAN ; j? 18724 9 E MN 55121 , 3830 P ot Knob Road, P.O. Box 21-1 9, agan, PHONE: 454-8100 BUILDING PERMIT Receipt # To he used tor SF DWG/"R Est. value ;78,1000 Date nD 19 . 19 91 ""° -Y'S°° /S L t Bl k S b OFFICE USE ONLY ? ec o oc u . O&A ? ? ?? PBrCeI NO. Occupancy D -9;;i FEES P JUSEMI MMI=R CM3TAIK'+TION zoninq Fal 341,00 ¢ Name (Actuaq Const Bldg. Permit W y? r ? Addres (?ulowa?e) - surcr,ar9e 39.00 - 0 City Phone 431-2001 # otStories 3si.? ? p?ynReview ? Length 100.00 o Name ?ptn SAG City o? 650 00 ? -C Address S.F.Total - CC . o ? Cit}I Phone S.F. FootpriMs - SAC. MCW 6W.? Water Conn On Site Sewage _ ??? Name On Site Well Water Meter t ? = 6 Address MWCCSystem 30e00 = ? Acct. Deposit i W City PhOne Ciry Water - S/W Permit ?? . PFV Required _ I hereby acknowtege that I have read ihis applicatian and slate that the Booster Pump - S1W 5urcharge .50 information is correct and agree to comply with all applicable State of 276.00 Minnesota Statules and:City ot Eagan Ordinances. Treatment PI Signature of Permitee .? :, ? ,., -` APPROVALS Road Urnt 370•OO _ JOSEpN M!!'II.i,Bx 0M$? Planner - A Building Permit is issued to: park Ded. on the express condition that all wtl?k shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. g?, pff, _ Copies 137.50 3 Building Official Variance - TOTAL , , r permit N0. pertnit Holdsr Date Tebphone # WATER ? SEWER PLuMSwc NMA.C. ELECTRIC Mspeetion Date Inap. Commwnts Footings I '1e l / U-Ile Foundatian Praming ? / ?'- l I? • Roofing Rou9h Ptbg• Rou9A Htg• Isul. Fveplace Final Ntg. -W ? Fi,,ai Piey. Const. Meter Plbg. Inspector - Notify Plumber Engr./Pian Bldg. Final ? .p Deck Ftg. Decls Fnal weu Pr. Uisp. ?-I t ? FEB 20, 1991 aDATE: -- .. } 4372 HAZiETON DR (JOSEPH M MILLER CONSTRUCTION) RE: • -- - x Yaur Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the aboue property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed untii further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Oept. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PECTION RECORD PERMIT TYPE: Permit Number: Date Issued: ra1l 1 I Ii I Nf; 0.' 1 ' 11 ti Nti/.'F, jcl f ? SITE ADDRESS: ,„l• ; JF, 11i t 01 ! Ilr,M 1 I + t,N Itlt i'll1 N i t i,111 i PERMIT SUBTYPE: N r- , I f f I; Nl I 1y+3 I I I i! i`i'I.N(f . APPLICANT: TYPE OF WORK: I-i ,1 ii); I I u1V } I Nri1 I P1 MAkf `;: .`iEPA1:'AfE: F'I IlhilillVtj tr f l it' ff21t:A1 F'f kMl l'-i RE:Qllrlil 11 IiiNN 41 41 i N, 1t1?? '; F 1 RC. p! A+ I 7 ? Permft No. Permk Holder Date Telephone N SNV PLUMBING HVAC ELECTRIC ELECTRIC Inapection Dete Inap. Comments Footings I Foundation Framing VwA Q Roofing Rough Pibg. Rough Htg. L Isul. Flreplace Fnal Htg. Orsat Tes1 Final Pibg. Plbg. Inspector- Noti(y Plumber Const. Mater EngrJPian Bldg. Fnal Deck Ftg. Deck Final Well Pf. Disp. • ? ? (grx#ifiraft uf (Or?upaury Citp of tagari Erpwbnrai o# Wuitdittg 3ti,vrrtimt ?his Catifiaate &sued pursuanl lo the noquire"nts oJSwtion 306 of 1he Unifonri BuildiRg Code cerAifyinglhal at the tinie of iuumm tliisstruclure Kws in rnmplicuroe wiih the wrious ondirrmrcrs of tJre CitY +e8uk&tg buffdinS corsirudnon or use For thefollowing: cseam;sodo. SE.ME/CAR ew& fkxm: Na 18724 ? o.., 'na -B3,jjj _ zouius oaa;a PD/Rl ryv. cq" vN ? pwner oc gu,7diog MMH M1T 7 ER nMl.RT _ Add,,m 181'3l f'El_AR A.. . FATdIM:iTN 5/31/91 POST IN A CANSPICUOUS PLACE •??_?.. , . :WER -& WATER PERMIT OFFICE USE ONLY TY OF EAGAN' , METER # PERMIT DATE 02/20/91 30 Pilot Knob Rd. „ gan, MN 55122-1897a CHIP # PERMIT # iisi6 METER SIZE B.P. RECEIPT # C 12195 1 ISSUE DATE B.P. RECEIPT DATE 02119191 1TE FEB 19. 1 ?91 _ PRV - BOOSTER PUMP 'E ADDRESS 4372 HAMILTON UR PERMIT REQUESTED T 15 BLOCK Z SEC/SUB LMNC' = pUTNT£ 6TH i X SEWER X WATER TAPS . STATE BER: TOM HBSSIAN P'l.U"IAiG ? ESS: 121 REDWQOD DR STATE APPLE VALLEY MN ZIP 55124 IE: 1+32-689A STATE ZIP - COMM/IND X NEW _?X_ RESIDENTIAL EXfSTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE,710 COMPLY WI7'H CITY OF EAGAN,ORDINANCES SIGNATURE WHEN METER ISSUED ? PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ? SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pikot Knob Rd. Eagan, MN 55122-1897 DATE In 'sc OFFICE USE ONLY ?{? PERMIT DATE ? `'?l L +Y^? I rI-,l - , METER # ` ??- CHIP #?-?' ?? b rO PERMIT # METER SiZ£ S?X ??.P. RECEIPT # ISSUE DATF B.P. RECEIPT DATE - PRV - BaOSTER PUMP SITE ADDRESS ' LOT BLOCK SECJSUB APPLICANT: AQDRESS: CITY, STATE ZIP PHONE; PLUMBER: ADQRESS: IP ' PERMIT REGIUESTEO ? SEWER `- WATER - TAPS _ COMM/IND ' - RESIDENTIAL - NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. CITY, STATE Z _ . PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: ' CITY, STATE Z'P PHONE: SIGNATURE WHEN METER ISSUED i; pLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM EWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN ?p 1 g?24 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55127 ? PHONE:454-8100 BUILDING PERMIT Receipt # ?? ?? S- Tobeusedfor SF DWG/GAR EscValue $78,000 Date FEB 19 , 1g-9j.._ Site Address 4372 HAMILTON DR Lot 15 Block Z Sec/SubLEXINGTON POINTE Parcel No. TH w Name JOSEPH M MILLER CONSTRUCTION ? Address 18133 CEDAR AVE S City FARMINGTON phone 431-2001 o Name S? g? Address i- City Phone r? wW Name ?? Address aw City Phone I hereby acknowlege thal I have read this apphcation and s'tatit,that the inlormaUon is correcl and agree to compty with a11 applicable State of Minnesota StaWtes an iry oi Eag rdinany es. Signature of Permitee A eutlding Parmit is issued t. JOSEPH M MILLER CONST on the express cOndition ihat all work shall be done in accordance with all applicable State ot Mmnesota Statutes and Crty ol Eagan Ordinances. Building OHicial OFFICE USE ONLY Occupancy R-3 ILL FEES zoning PD R=1 (ACtual) Const V-N Bldg. Permn 541_ nn (anowable) V=N Surcharge 39 _ On 8 0l slories - 46' Plan Review 351.00 Lenglh Deplh 44' SAC,City 100.00 S.F.ToWI - SAC,MCWCC 650.00 S.F. Fwtprints _ 660 00 On Ste Sewage _ Watar Conn . On Sile well - Water Meler 90.00 MWCC System X A?cl Deposit 30.00 Qty Water X PRV Required _ SM! Permit 30.00 Booster Pump - S/VJ Surcharga .50 Treatment PI 276.00 APPROVALS RoadUnit 370.00 Planner - park Ded. Councd Bbg Olf. _ Copies Variance - TOTAL 3 ? 137. $0 REQUEST FOR ELECTRICAL INSPECTION ???,? eemom-oe K45072 •$ee±nshuqmns lor compleLng thrs form on back oi yellow copy m- "X" Below Work Covered by This Request ?'?•?.y ew A tl Pep Typeofemltlmq AppliancesWrted EqwpmentWvetl Home Range Temporery Service Duplex Water Heater Electric Heating Apt. Building Dryer Olhec (SpecAy) Comm./lndusinal Furnace Farm Air Contlitioner Otner 1s{+ecilyi Comractor's R r s M ? .S ?? •? Compute inspection Fee Below: H Other Fee N ServiCBEniranCBSze Fee # CirCUdstFeetler5 Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspecmr5 Use Onty - TpTAL s'fJ Vrigation Booms ?? '? Special Inspechon AiarmiCommunicalion THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Othar Fee COMPLETED WITXIN 16 MONTdSi" I, the Electrical Inspector, hereby certify that Me above inspection has been made. R°u9n,n `.y,. F,nai ? oare Date O f i OFFICE USE ONLY This repuest voiE 18 months hom .. rn?7n CWi 7s ? T? ? L i w i v Req est Dele?/ a Fre No Rough-in Inspedion Re 0, ? Raetly Naw A1 NoLty InSpettor h R tl ? es G No en ea y ? I=1 licensed contracror O wner hereby request inspection of above electricaf work at: JW Atltlrew (SVeeL Box or Rome No ? Qry I lc4 MI 1 7 ?c,- ?^ Section No Township Name or No. fiange No Counry --j'' L)?, OccupanlIPRINT, ? - PAOne No. y h,-. <, e? S o y3 Power Suppber Atltlress EleMrical ConVacror (COmpany Namel Convecror5 Lrcensa No omeoav il(2 r MaJing ADOr ss ConVacror or Owner Making InslallaLOn) Aothonxetl S? aWr IConiratlorrOwner Ma Inst t?o Pliorie Nomber " 45L153oa -_ X X X MINNESOTA STATE BOAND OF ELECTRICITY 1 THIS INSPECTION REQUEST WILI NOT GnggrMitlway BWg. - Poom &173 BE ACCEPTED BYTHE STATE BOARD 1821 Unlverslty Ave., St Paul. MN 55104 r? UNLESS PFOPEF INSPECTION FEE IS Phone(613)WIAB00 S+n?S ENCLOSED -3/s/f i N 39152 REQUEST ?F7R ELECTRICAL INSPECTION ?$ee?nslrucpons?Wr complellng ihis brm on baCk of yellow copy "X" Be/ow Work Covered by Thrs Request aT'? ? i ?°s 6976 e Attl Rep 4 TypeofBuiltling ApphancesWrted EqwpmentWired Home x Range Temporery Service Ouplex Water Heater Electric Heatinq Api 8udding Dryer Other (Specify) Comm./lndustrial ' Furnace Farm An Conditioner Other (specAy) Caniracror5 Remarks' Compure Inspection Fee Below: # Other Fee S SemceEntrenceSize Fae 8 CirouitslFeedere Fee Swimming Pool / 0 to 200 Amps /S.OU !d o to iao nmvs $/.00 Tansformers Above 200 _ Amps bove 1 Amps Signs Inwecror5 Use Only: r TOTAL Irriganon Booms Special Inspedion Alarm/COmmunication THIS INSTALLATION MAY BE ORDE D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspeciion has been made. Rouyn,n r- Final oare _? y oa?e ? OFFICE USE ONLY Tnrs reQwst wm 18 monms ?rom al,51 5 / i uu.s540 a 3 915 2 ; • ? ? ??? °° y L Request Dale ]. 9 91 M a r c h 4 Flre No Fou n Inspeclbn R ? ? ReeEy Now e will nwny m?aor , , A ras ? Ho wnen aamv Ia licensed contractor ? owner hereby request inspection ol above electrical work at: Jop Atltlrass ($Ireel, Box ar Route No.) Cny 4372 Hamilton Dr. Eagan Secnon No. 1ownslri0 Name w W. flamge No. CouMy I I Dakota pccupenl (PRIM) vmne no. Joe Miller Construction 431-2001 PONBr s"°°"a` Dakota Electric 300 2 2 0 t h S T. SW. AddfB89 lEarMiDgtcin, Elac1r¢al Comrociw (COmpany Nany) CoMrector9 ?ce?ae No Midland Electric 4]610 Mailing AEtlre55 (rAnimdor m Owrier Making InstallBlan) 7630 145th St. W. Suite 214 Apple Va11ey,MN 55124 Authoraetl SpnaWre ontractor/OwMr M n atron) Phone NurtWer ? 32-6688 STATE BO0.R0 OF E CIT' BMg. - Hoom 173 .. SL Pwl, MN 55104 THIS INSPECTION REOUEST WIL{ NOT BE ACCEPTED BV THE $TATE BOARD UNLE$$ PROPER INSPECTION FEE 13 ' ,,.r ENCLOSED. 'Addr'ess: 4372 HAMffI,TON DRIVE Lot 15 Blk y Sec/Sub LEXrN= ppINM 6TH These items were/were not complete at the tiroe of the final inspection. Date:' 5/31/91 Yes No Tnspecrnr, Final grade (6" from siding) Permanent steps - garage Y Permanent steps - main entry ? Permanent driveway Permanent gas L,-- Sod/seeded grass Trail/curb damage ? Porch Basement finish ? Deck Please varify vith the buildar tha removal of rooP tast caps frora the plumbing system and tha shut-off of vater supply to tha outside Lawn faucat before freeze potential exists. ? acmEOxr?x White - City copy Yellow - Resident copy Pink - Contractor copy . • o•* 541•00+ 39•UU+ 351•00+- 2,?_Jo•50F 3, 13'1•50* ? 5+1•ODF ?P3N-00+ 351•OU+ 2, 200•50+ 3, 137•50* , 1991 BUILDING PERMIT PLICATION CITY OF EAGAN , SINGLE FAMILY DWELLINGS MfJLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LDT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: ? Valuation:?ZZ? Date Site Address '±--j OFFICE USE Lot AE Block c? Parcel/Subd:Qk? Owner Address City/Zip Code Phone Contractord- Address ?X / r)3C:g'c? C/.LJ S(l0 City/Zip Code Phone -J 31 Arch./Engr. Address City/Zip Code Phone # 78, na0 Occupancy Z-3 M -I Zoning R-1 Actual Const Y-N Allowabie # of stories Length ? Depth 1414 S.F. Total Footprint S.F On site sewage_ On site well ? MWCC System City water ? PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. z•IV / Variance _ 1EB 13 Recu FEES 0? 5??? Bldg, Permit ? Surcharge '39, L, J Plan Review 351,ov SAC, City 0010? sAC, riwcc 5 ,On Water Conn. DD 660. Water Meter 0,00 Acct. Deposit 3010'a S/w Permit 30,00 S/W Surcharge IS`D Treatment P1. C) Road Unit D?Oo Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL ajp4'e- ???Vv?''?-?C4:- agrees that all work shall be done in accordance with (Signature of Co t actor) ail applicable State of Minnesota Statutes and City of Eagan Ordinances. \? 41. " N? es ~ GArzAG,E 22xz?.= y6?lx?s? '?2?0 , ?SM Z 2y 3`I = rl L-I g Iz x2z ? Z(a t-I IZ?LI? 4tta ?- ?06o x ?Li = 1?1,4syo IsT F?OL*L 0SPwT =- rca64> 33 1093 xs?= s??y3 ' f3 y3 o rL 000 , #121/4 MINNESOTA STATE ENERGY CODE CALCULATIONS BASED ON CHAPTER 5 OF TNE f?`?? J?r r MODEL ENERGY CODE - 1983 EDITION Adoptlon Effective 1/17' Owner Phone Date' rSite Address (.,-F 15. <.6-t,4' Contractor Vd??h'1' / I??? LL?'? GG/UST Phone Building Classification: Type Al (Single Family E Duplex)• Type A2(Residential) (3 stories or less NOTE: Complete pages 3'and 4 flrst. ? (Other) • (Over 3 storfes) GENERAL INFORMATION 1. Building Perimeter?GG ft. 2. Wall height (ground to eave) \A ft. , 3. 1. x 2. (above) gross wall area i t. I Z 2 4. Butlding dimensions (L) X(w) r--"- _ g7 ft.2 roof E floor area ? 5• Square foot area of rim joist - Floor Joist size (2 x X Perimeter = Rfm oist area = ZZiOI ft2 12 I?? . . . 6. Doors - AFea fhickness in. U factor ? ? i • Type of Constructlon Peri?meter ft. Manufacturer ' 7. 7ota1 door's perimeter ft. 8. Windows: Manufacturer 5YY1State approved U factor TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2 N • EACH UNITS , . . 9• Total ft.Z Glass 10. Fireplace area; Width X helght = I' X Ft.2 11. Exposed foundation: Height X Perimeter ?i (Q? X ?I "/f/• I Ft.2 COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW GONSTR CTIU ON, MAJOR REMODELING AND BUILDINGS MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALIOWANCE, IS USED. BEID 1,2. Framing area = 10% of gross wall area. 13. Gross wall area ( Q7, ? ft.2 Window area A /go ft. 2 U windows U x A = g0 Rim joist area A ? z Z?? ?• ft.Z U rim Joist = 'n U x A= C7 • 2 Z? ft. U door area = U x A= t?Door area A' 4 O ',p?QpJ,,ac(F area A ft.2 Ua$O'dve = . 1 U x A= I 1 Exposed foundation A ft.2 U foundation = ?07(0 l} x A= ?? I I Framing area A) q(p J) ft.2 U framing area =1 ? U x A= , WL Net wal l area A I Z i/ I 1 0(/ ft. U wal l= + ? 2J U x A= ? (138) TOTAL . . . . . . . . . . U x A 14. Gross wall area z 0.11 {A-1 sin9le family & duplex = allowable U x A/Code (13. above) • x 0.23 (A-2 other residential) x ..23 (Other buildings) x .28 (Over 3 stories) ?? BTUH. Must be larger than J.?L1Z_• 136 above A Iq l? 7i ? 3v x l! Code. .? ?_ ' `? I 15. Ceiling framing area (Af) equals 10% of ceiling area ?. or the, same as) . 15A. Gross ceiling area =(L) t--- x.(W) ft.2 i58 Joist are0 (Af) = 10% ceiling area = ft,2 15C. Net ceiling area (AC) (15A - 158) _ ft.Z U ceiling x A c= x?? =?1, 3 U framing x A f= x? 15D. TOTAL"U x A ........................................ 16. Ceiling area (15A) x 0.026 (A-1 single `amily & duplex - code allowable U x A x.0.033 (9-2 other residential) x 0.06 (other) " 1o.? ? BaUN Must be larger than 15D (above) A L15A1 X U??ode)= Lgl??7 F (or the same as) NOTE: Use U and A values obtained from pages 11,•3 and 4.' CERTIFICATION: I hereby certify that I have calcuiated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. ' Date - STign ature 2. 49a- 341 ??xc ? +3?+ zz-??z? = ?Coo J?oz C!1? I I v2, , I o ? _ . .... . _ XI 11117aX3? = ,?X 4= Z?•o f ? IIII ??x?S = A enL (0 g?- ? WALL' ' SECTION STUD SECTION SECTLQN. R VALUE Ineide air film .68 ? 45 Intec ior wa 11 • Insulatlon j0j, O Sheaching 0(0 ' Stding .(01 Outelde alr film .17 R TOTAL U VALUE (Nall) U - R + . o4:5 Inslde.air film ? .68 ' Interior wall •?7 4't stud . R= 4W$ (p, -?j (Ftaming) U - R - Sheathing ? Z.O(O . . ' .` .?? . S l d i ng Outalde ait film ' .17 • R TOTAL ? ? • ?J aJ Interlor xal! Insulation all ) U ° z R ? Exterior wall eover179-?-? Exterlor air, film' R ..11 R UI JOIST - JOiSC) . . Sheathing _ Exterior va?l covering Exterlor air fllm Fh .17 • R- TOiAL ?q'• Interioc air Ellm R= .68 , I sulation 1 J,a lnterlor alr film R° .68 Insulatlvn ? ?q• 00 ? inch soEt wood R=l.88 (aim U ? n ? Fnundatlan (Fdn.) U = ? = Exterlor a1r ftlm R' .11 ? ?Ixposed F T01'AL Bluck -- ` \.??':-•\?C,rade 3. l.tlllNli W11H YEN a VA UE FRAMIHG ,• ? 0.61 3Co, o 5ce 0.61 IEU RHIC SPACE ABOVE Y UE • CEILiNG Air Film 0.61 Insulation Joist Ceiling . ?JCO Air Film 0. Z ?EO total 1 U R -4 t5- 7g , o ZZ fLAT ROOF O{t CATHEURAI. CEILING R a ue R YAIUE FRAFIIN6 CEII[NG k 0.61 [nside air film 0.61 • Ceiling Joist (stu ' Insulation Air space Roof decking ' Insulatlon Built-up roof 0.17 Qutslde air f11m 0.17 ' Total R I i R = U Jindow lnfiltration .5 cfm/lineal foot of crack tesidential door infiltration 0.5 cfm/square foot or door and minlmum code reQulrement . •lon-residential door inFiltration 11.0 cfm/lineal foot of crack )b 12" concrete block no insulation =.47 R 2.1 !b 12" concrete block lnsulated cores =.26 R 3.8 15 12" ligiitweiglit block =.32 R 3.1 Jb 12" lightv-+eight block insulated cores =.12 R 8.3 1 single glass = 1.13; with storm taindow .54 J double glass = .55 J triple glass = .41 all eaterior walls and ceilings must have a;vapor barrier (0.10 perm max.). ;apor barrier must be on the inside (heated side) of wall. iapor barriers of the polyethelene tliin film have no R,value. 4. CITY OF EAGAN 3630 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 , mq??xcax:w;??i;t?r -------------------- FEES PLEASE COMPLET$ UPPER PORTION ONLY FOR SINGLE ] TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ? ADD ON REPAIR OWNER NAME: J('ie? n?l ? I?r CCnSt • SITE ADDRESS:45Id lW n ])Me LOT: it) BIACK ? SUBD. Lexio? Pl Rid2. (o? INSTALLER: eOf)lrC IIed Ar ADDRESS: T.D' -&X )ZrI CITY: FC ? Nt?, ZIP: ?J5? PHONE #: ?DIZ L}(?- `pCaa ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS fi $15.00 24.00 6.00 3.00 g 97.00 .50 $27. se SIGNATURE F E TITTEE ?OMI4ERG.IAL??lbUS''itTA'f:: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRI.IL SUILDINGS, ,.?. : ...,- ,., APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: _ PHONE #: FOR: FOR CITY USE ONLY PERMIT # gwE RECEIPT # DATE: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 DWELLINGS & PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE ] >..?<,: :: :: :....:...... TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. --------------------------------------------------------------' WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: y Zd 7?ldzlnt? / LOT: BIACk --2-- SUSD. ? PHONE # COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 ? WATER CLOSET 3.00 3 SATH TUB 3.00 -T IAVATORY 3.00 3 F KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 ? FIAOR DRAIN 3.00 GAS YIPING OUT. ? ? (MINIMi1M - 1) 3.00 73 ROUGH OPENINGS 1.50 _ OTHER _ _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUSTOTAL S 3/•? ST. SURCHARGE .50 TOTAL: S >?+ &D FOR CITY USE ONLY PERMIT # 14`?1?2 11 RECEIPT # ? ?/ DATE: ? !CnMMSR?3AI;;ITIDUSTR?AI::: PLEASE COMPLETE THIS PORTZON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND ... .... ... -,.. , ,? .:... MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. --------------- CONTRACT PRICE: _ OGTNEi NAh:E: SITE ADDRESS:_ LOT: SIACK . INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN ZIP: SUBD. FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.SO FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) INSTALLER: TUM SSIAN PLUMBING, INC. ADDRESS: 121 REDWOODDR Y, MN 55124 CITY: ZIP; C. ? PERMIT 6 CITY O?EAGAN 3830 Pilot Knob Road PERMIT TYPE: s u x Lo i N e Eagan, Minnesota 55123 Permit Number: 021313 (612) 681-4675 Date Issued: 0 6/ 2 5/ 9 3 SITE ADDRESS: 4372 MAMILTON DR LQT: 15 BLOCK: 2 LEXINGTON POZNTE 6TH P.I.N.: 10-45090-150-02 DESCRIPTION: p ?. U? , f` ?i INCUDES FIREPLACE Bifildniq;Permit Type BASEMENT FINISH 8uildin§ IWork Type NEW ? REMARKS: SEPARATE PLUMBING & ELECTRICAL PERMITS REQUIRED FEE SUMMARY: Base Fee ;35.00 5urcharge $.50 Total Fes $35.50 CONTRACTOR: OWNER: - Applicant - NIEBERLE JOHN 4372 HAMZLTON DR EAGAN MN (612)726-2707 I hereby acknowledge that I have read this application and state that the information is correcC and agree to cotnply with all applicable State of Mn. Statutes and City of Eagan Qrdinances. ? - , ? a r APPLIGANT/PERMI EE SIGNA URE , ISSUE BY: SI ATURE IN5PECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LoT : 15 BLOCK: 2 APPLICANT: 4372 HAMILTON pR NIEBERLE LEXINGTON POINTE 6TH (612) 726-2707 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINZSH DESCRIPTION ? L tcl4'Il:H 1?1?_f;llF:' 4 il;1 LI o'Cf n I " - (0' di'i1':0 - I 20 h? ; 4E , '7y?NIN u011111: ? ?!I fti ?. f, ui rlf ?': IiNW I I :.fIV Ulj BUILDING 021313 06/25/93 JOHN NEW INCUDES FIREPIACE N T I ,. k3 I 1! I? U.f PI t' ? ? REMARKS: SEPARATE PLUMBINCa & ELECTRICAL PERpIITS REQUIRED REACTIVATE _ PERMIT # `SE`,ENED . , ?13t 3 J uN 16 1993 ------------ CITY OF EAGAN 1993 BUILDING PERMlT APPLICATION 681-4675 ??? sc) SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty 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 6 / Yaluation of work Site Address: 4137d 64aMt L'f'on -D f STREET - SUITE N Tenant Name: (commercial only) T15 BLOCiC y SIISD. 0 e L? 'K. P.I.D. M rDescription of work: S F?? n c1 r c e applicant is: ? Owner ? Contractor ? Other (Describe) ? Name /1/?v?orl? ?'o? n Phone?? ),)6 ?707 Property LAsT fIRST NamC y5.y 53v2. Owner qddress t437n1 H GM1 l t'on 17r STREET STE M Lity rrAGa^ State ?1f1 Zip SSlc?3?- Company Phone Contractor Address License # Exp. City State ZiP Company Phone Architect/ ' Engineer Registration # Name Address City State Zip Sewer & water licensed plumber Processing time for sewer 8 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 comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: v OFFICE USE ONLY BUILDING PERMIT TYPE I O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ? 31 New p 33 Alterations ? 35 Tenant Finish 0 32 Addition O 34 Repair O 36 Move GENERAL INFORMATION )W16 Basement Finish O 17 Swim Pool ? 18 Comm./Ind. 0 19 Comm./Ind. Misc. ? 20 Public Facility 021 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWLC System (Allowable) lst F1. sq. ft. Lity Water UBC Occupancy ? 2nd F1. sq. ft: PRV Required 2oning Sq. Ft. total Booster Pump ?k of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Lensus Code ? Depth On-site sewage SAC Code APPROVALS ? Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site 0 Wallboard O Footing IF Final ?X Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Traits Ded. Copies Other Total: 15000 vaiLas;m: . o SAC % SAC Units 53? L`? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction ReauiremeMs • 3 reqislered site surveys showing sq. ft. of lot, sq fl. of house; aM all roo(ed areas (20% mazimum lot coverage alloWed) . 2 copies of plan showing beam 8 window s¢es; poured found desgn, etc.) . 7 set of Errergy Calculatwns • 3 capies of Tree Preservation Plan H lot platted afler 7/1/93 . Rim Joist De[ail ODtions seledion sheet (bldgs vnth 3 orless unds) DATE ? ? r l'r!/A- OY- MULTI-FAMILY BLDG _Y .!4 FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANTAMerlo¢v'&rl'A" G°.?w7?u??rS STREETADDRESS/-"-Y7. P«al'IQT k& ` 5;° CIT1rBw,ra'w!l- STATE4'1` ZIP5533Z TELEPHONE # y5'' _'09`CeF61 CELL PHONE # FAX # _-1:1Z [?D?" `PX%)l _ PROPERTY OWNER lJ?RA?i 5?(,( TELEPHONE # ILqI' ?1?7)'-L7? ------------------------------------------- -............................................ ------- COMPLETE THIS SECTION fDR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNI:SOTA RLJI.ES 7670 CATF.GORY 1 Mh fflll`FUG rtJ submission type) • Residen[ial Ventilatlon Category 1 Worksheet Submitted Node Work heet Sut • Energy Envelope Calculations Submitted 0 2 2002 Ii I I Plumbing Conhactor: __ Plumbing system includes: Mechanical Contractor: Ylcchanical systcm includcs: Sewer/Water Contractor. _ Air Condilioning Heat Recovery Systcm Phone # Phone # Pcc: $70•00 _....---°-----------------------------------------------------°--°-----------°----.._..-------°-------°---°°------ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinancos. Signature of Applicanf &C' OFFICE USE ONLY _ Water SoFtener _ Waler Heatcr No. of Baths / °EF- oc__! RemodeVRenair ReauiremenAs • 2 co0ies o( plan • 1 set of Eneyy Calculalions for heated additions • 7 site survey br exterior additions S decks . Indicate'rf fwme served by sephc system for addi6ons VALUATION __-tY??? _ Phone # L,awn Sprinkler No. ot' R.I. I3aths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 porch (3-sea.) ? 31 Ext. Ait - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) p 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appl(cant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC O _ Footings (deck) . . Final/No C O _ Foo[ings (addition) . . Plumbing _ Foundation - ?AC _ Drain Tile Other Roof I _ ce & Water _ Framing _ Final Pool Ftgs Air/Gas Tests Final _ Fueplace _ R.I. _ Air Test _ Final Siding Stucco Stone Windows (newheplacement) _ Insulatio? _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector s 3 1 c? T RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 New Construction Reuuiramenb RemodeVReoaii Reauiremenh • 3 registered site surveys showing sq. ft. of lol, sq. ft of house; and all roofed areas • 2 copies of plan (20%maximum lot coverage allowed) • 1 set of Energy Calculatians for heated addihons • 2 copies of plan showing beam & vrindow sizes: poured found design, etc.) • 1 site survey for erienor additions 8 decks • 7 set a( Energy CalcWatioru • Indicale A home served by septic syslem for additions • 3 copies o1 Tree Preservation Plan if lot platted after 711193 • Rim Jaist Detail OpUons seleclbn sheet (Gldgs wiN 3 orless units) DATE iJA -02, VALUATION ? SITE ADDRESS "l.Sa T" MULTI-FAMILY BLDG TYPE OF WORK Q9. S(GQQ, I?SCI?? FIREPLACE(S) _ APPLICANT Y 'kN _1 _2 r?;In-r?'utI?YZ SA,C.IY? CITY, STREET ADDRESS I 12'[I TELEPHONE XZ??-!6?1 CELL PHONE # i?/I ?STATE ?ZIP "rJ53_>_7 FAX #q5?2-_'6061 22'fif ?P PROPERTYOWNER N"") TELEPHONE# ? ----------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CA'CEGORY 1 MIi O [1 RUL'.C9•7672 (J submission type) • Residential Ventilation Category 1 Worksheel Submitted • N Ft e Agy, Eoc?g V?o26h?g?et • Energy Envelope Calculations Submitted U U G ( Piumbing Contractor: Plumbing system inclucies: Mechanical Contractor: Mcchanical system includes: Sewer/Water Conhactor: Air Condilioning HeaL Recovery System Phone # Phone # Pee: $70.00 -------------------------°°-------------------------------°------------°------°------°-----------------°----------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc Signature of Appllcant lJ"'""'Ye? Y fG )? -_____ __._...____-__---______________--"---------° OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4f02 Phone # _ Water Softener _ 'Water Heater _ No. of Baths Lawn Sprinklcr No. of R.I. Baths Fee: $90.00 OFFICE USE ONLY . ? 01 Foundation ? 07 OS-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 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex P16g_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of 81dgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ p(umbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (uew/replacemeat) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector METRO 1e75 Pcaza oR SURVEYORS surrE 200 INC. EAGAN, MN, 55122 Certificate of Survey for: (612)452-7e50 M I LLER CON STRUCTION LEGAL DESCRIPTION; LOT;15_,BLOCK2, LEXINGTON POINTE 61h ADDN. ACCORDING TO THE RECORDED PLAT THEREOF D4KO7A COUNTY,MINNESOTA I HAMILTON DRIVE ? SCALE:i"_30' - _ _t_ N89059'17"E $ 22. 0 g --- -- _°t9?z N ? 1?j/62) I 4? Av??yQ 0 M I iUj? ^) ----? L=10°I8'I8" "N ^ ?286.16 ?t825??' / 0 -- ? j5 N ? Lo I m 9 M 7'C) ?T. I M j--' _ I p LOT 14 0 ? `L0 T 15 ? . z I I I DRAINAGE 8 UTILITY EASEMENT I 5L- __ __ ? JO 14 n ? 60 N 89° 59' 17" Z_..E>. . 77.75 LEGEND o DENOTES IRON AIOtiUMENT a DENOTES WOOD HUB SET ? DENOTES EXISTING SP07 ELE VATION DENOTES PROPOSEO SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I Mnby certlfy fhat thit survey,plan or reporf ww prspond by me or undar my direet supwvision ond ihat I am a duly Reqi:tered Lond Surveyor unde? the Laws of ths State af Minnesota. 3 n a- 'D y1 Zy 0 R?br 0 0 z ? _.. P?2aPosEL - rr?.E?c'? SG??r- tib ?.lRcxour INVERT ELEVATION AT SERVICE EXTENSION= PRQPOSED GARAGE FLOOR ELEVATION¦ PROPOSED FIitST FLOOR ELEVATION = •3 PROPOSED BASEMENT FLOOR = ' ELEVATION NOTE * VERIFY ALl FLOOR HEIGHTS WITH FINAL HOUSE PLANS > Brodley J.Gpsnson, Mn. ReQ. No. 15233 Datt : S - - - - - - - - - - - - - - - - - - For Office Use j Permit C ity of Eap Permit Fee. 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: D Site Address: 1-1,37-.2, Ax 0*,0, 40-.? Tenant: ,X C Suite RESIDENT 1 OWNER Name: Phone: 1i3~ ~aD~- 97D Address / City! n Applicant is: Owner Contractor 414 TYPE OF WORK Description of work: Construction Cost: SoJ' 7a, 62n6-) Multi-Family Building: (Yes / No 1 CONTRACTOR Name: l!~ ~.fc.~ ~Clki~~h~ Co LLG License#: -2~D.fG d'P7 Address: f elf / K J4X/Lei' ~/"~i / City: 27-A// 4~;nye /f State: ^ell' ~ Zip: SSD77 Phone: 4s~ !lid "d25D ~r CC o~ act Person: J/m 1.14 Z I;1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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. 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. xJofte5 zC:5,-f;, Z40,1~ Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous 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 1~,j Valuation Occupancy j," & MCES System Plan Review Code Edition pj171`11 r o 01 SAC Units (25%_ 100%~[) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required oint 4 Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water Final Pool: Footings -Air/Gas Tests -Final Framirrg Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation . p Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee ~ ,l..dt"),""`~P Surcharge V ' p {1,G?i2m Plan Review MCESSAC F City SAC t},i~~N Utility Connection Charge IV'' S&W Permit & Surcharge - Treatment Plant Copies TOTAL r r L =f r~ Page 2 of 3 LEGAL DESCRIPTION-* LOT; l5_., BLOCK -2-, LEXINGTON P 10 NTE 6th ADDN. ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY, MINNESOTA V~ q372 SCALE:I"=3o.._ HAMILTON DRIVE,_._.._.,- J~"'L~'~~••~. ~ to ,,,,,••"~'~`Og 22. L=10018118" 55.9 r r r+ its C4 c\j :zj Z6 1 I -V ~ r s ~ In•r C-Q~ Q RFC LOT 14 0 LOT 15 ~ z z wAmrar a ul-LrrY ANT 1 N 89° 59' 17" s 'R . ~ - JUN 1 9 2009 77,75:n; LEGEND PeaFa$FD - 4Lgviu- 6ftjr- A-& I,,J uca~ INVERT ELEVATION AT SERVICE EXTENSION- * DENOTES IRON WONUMENT PROPOSED GARAGE FLOOR ELEVATION r 9,44-A a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ELEVATION ELEVATION ~0184~} DENOTES PROPOSED SPOT K•-•- DENOTES DR INAGE ID RECTI ON NOTE'.-VERIFY ALL FLOOR HEIGHTS WITH C===== FINAL HOUSE PLANS x I her61) certify that this survey, plan or , report ryas prepared by me or under my : dlaje4' A'4"Z" irect supervision and that I am a duly Bradley J enson Mn. Reg. No. 15235 X Realitered Land Stirvatiwr tanAav ok- For Office Use 1 • I I Clt 0 tna no Permit C I Edfl 3830 Pilot Knob Road Permit Fee:~' I Eagan MN 55122 j Date Received: (7-- 3 J Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: -7 / 3 I -09 Site Address: y /Ta c1 Q r Tenant: Suite RESIDENT / OWNER Name: pee q S A e r y Phone: 651- Ye- -21709 Address / City / Zip: q 3 7u ; I ~or, d tr CONTRACTOR Name: ~ dlc r P/11 License 6o l o 9q p M Address: l0 ill $D AA Ave City: l~n d e r7 S State: W Zip: S#0.23 Phone: 71 5 - 74 3 3 11 Contact Person: 6,zv x 6 ~I e r TYPE OF WORK -New -Replacement _Repair -Rebuild 2~LModify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures C__ RPZ / _ PVB) l- Main - Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) `Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 pl ns. x ~a r 5{ e i n x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: _ Date: Required Inspections: Under Ground Rough-In Air Test -Gas Test -Final • F-of. Office Use rT I 1 I Permit City of Ea E Permit Fee. / 3830 Pilot Knob Road Eagan MN 55122 I Date Receiued: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff.. - - - - - - - - - - - - - - - - J 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: z2hv~f-ite Address: 17137;- A/ o~w,~~oK ,Ur, vX~ Tenant: Suite M RESIDENT /OWNER Name: ~/?S ~C ~PPhhfone: ,,.J 7,2- l /wr . Address / City / Zip: 1-3-' P Applicant is: Owner contractor TYPE OF WORK Description of work: a ov Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: 1"' of 19 9 4r.~ h C LGLicense &jD~ / fj 7 Address: l6 t l / 11cl1' City: i rG y&).^ 6;029Ve. Ile, State:41.Zip: 6J -2 77 Phone: (o~~ J~©+v Contact Person: ~;-ti COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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 maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 a6;;cj l ox Vltr~S ~J~►~h'n x .11,10 Applicant's Printed Name APp lican na ture Page 1 of 3 M DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi Deck _ Porch.(Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of - Plex :zLower Level - Pool - Miscellaneous 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 6100 Occupancy _;cltc- 2 MCES System - Plan Review Code Edition Awl SAC Units (25%_ 100%_) Zoning Pd City Water Census Code 1~3y Stories Booster Pump - # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction- Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) -1--4iinal / No C.O. Required Foundation _,.,-HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final _L Vindows k-'rnsulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review / MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA089819 Eagan, MN 55122 . Date Issued: 06/22/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4372 Hamilton Dr Lot: 15 Block: 2 Addition: Lexington Pointe 6th PID 10-45090-150-02 Use Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 CRAIG ANGELL 12253 NICOLLET AVE. S. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Angell Aire Douglas J Sheely 12253 Nicollet Ave S 4372 Hamilton Dr Burnsville MN 55337 Eagan MN 55123 (952) 746-5200 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA092637 Date Issued: 01/21/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4372 Hamilton Dr Lot: 15 Block: 2 Addition: Lexington Pointe 6th PID: 10-45090-150-02 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Gary Butler 1091 80th Ave. Roberts. WI 54023 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Butler Plumbing Douglas J Sheeli 1091 80th Ave 4372 Hamilton Dr Roberts WI 54023-0000 Eagan MN 55123 (710 749-3311 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA093818 Date Issued: 05/06/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4372 Hamilton Dr Lot: 15 Block: 2 Addition: Lexington Pointe 6th PID: 10-45090-150-02 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: Garage Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Ace Garage Door Companc5 Douglas J Sheeli 3709 County Road 42 West 4372 Hamilton Dr Burnsville NJN 55306 Eagan NJN 55123 (952) 890-728 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature 411° CityofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#:(q ia5 ] q a Permit Fee: 1 tis Date Received: 1. 1l (0 Staff: J I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l 1Site Address: "/ 3 7 � 1 -1a -p".1 j p/l D(_ Unit* Name: DOC -13 105 nS' 2'e tiy Address / City / Zip: '7 r Phone: 6,(1--9,1---803-91 � Applicant is: Owner Contractor Description of work: S) e. on fro t 1 o F gAr-A5— Construction Cost: 9 V Multi -Family Building: (Yes / No ) Company: El je S -4 Z C g:2 -e_r) 'J Contact l -eLJ LTA , e Address: 1 0/ C_,lne-f r Y �* State: Ai Zip: ...5-5-3e7 Phone: tv 1;-- 5-3 gr - License License #. F k ; s 9 9'3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) City: 1312r -A5-1..)7/ 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: and sppportin on may he c e npublic If provide "Ley ai 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.000herstateonecall.oro 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 f permit issuance. x Q01( iTh5 x Applicant's Printed Name A liicanrs Signature pP 9 r*"..6,..............,.. Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA136833 Date Issued:06/01/2016 Permit Category:ePermit Site Address: 4372 Hamilton Dr Lot:15 Block: 2 Addition: Lexington Pointe 6th PID:10-45090-02-150 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Douglas J Sheely 4372 Hamilton Dr Eagan MN 55123 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176486 Date Issued:05/18/2022 Permit Category:ePermit Site Address: 4372 Hamilton Dr Lot:15 Block: 2 Addition: Lexington Pointe 6th PID:10-45090-02-150 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Kathryn & Jeff Halemeier 4372 Hamilton Dr Eagan MN 55123 (651) 260-2610 Superior Builders Inc 6361 Sunfish Lake Ct Ste 400 Anoka MN 55303 (651) 615-0065 Applicant/Permitee: Signature Issued By: Signature