4404 Hamilton Dr--?---
,
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KN06 ROAD
EAGAN, MINNESOTA 55122
---.,?--
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OATE
aEcE? t \ ? r ?' ? ?? W ? • i " ? ' }
AMOUNT
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8 DOi.LARS
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CASH kCHECK ?
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C 11711 Yellow--Poslin0 CaPY
Thank You
.
sv : % ?
SEWER $ +41ATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd',
Eagan, yIN 55122-?597
s•
DATE JAI'a 22. 1991
SITE ADDRESS 4444 3",AlfILTM
LOT 7 BLOCK 2 SEC/SUB -
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER:
ADDRESS: 1018 Mt1ND SPRINGS TRRR
CITY, STATE BLAONIpGTQN MN Zip 33420
PHONE: $84--4149
OWNER: DAHLE IRMERS IKG
ADDRESS: 9306 LYHDALE AVE S
CITY, STATE ?LOOMIIK+TON MN ZIp 55430
PHONE: 888-6866
METER #
CHIP #
METER SIZE
ISSUE DATE
_ PRV _ I
- COMM/IND X RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
C di +ILL NO T be giv or Deduct Meters.
17L /?r?,,
IACREE TO COMPLY WITH C1TY OF
EAGAN ORDINANCES
ONLY
PERMIT DATE 01 /ZZ /5 i
PERMIT# 11784
B.P. RECEIPT # C 11711
B.P. RECEIPT DATE 01 1 S 41
PERMIT REQUESTED
X SEWER X WATER - TAPS
SIGNATURE WHEN
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-i'897
DATE JAN 22, 1991
OFFICE USE ONLY
METER#I-J/& ;Z-3?019' PERMITDATE 01/22/91
CHIP # -02 1 3d ?/ S" PERMIT # 11784
METER SIZE7 ge '" 691?. RECEIPT # C 11711
ISSUE DATE B.P. RECEIPT DATE 011151 91
_ PRV _ BOOSTER PUMP
SITE ADDRESS 440L' HAYIT_I.T016 DR
LOT 7 BLOCK . SEClSUB LEXINGT(3N POINTB 6TH.
APPLICANT:
ADDRESS:_
CITY, STATE ZIP
PHONE:
PLUMBER: STAR PLUMBING ?
ADDRESS: 1018 MOUND SPHItiGS TERR
CITY, STATE LLOOMINGTON MN ZIP 55420
PHONE: 884--4144
OWNER: DAHLE BROTHLRS INC
ADDRESS: 4304 LYIIDALE AVE S
CITY, STATE BLOOMZIiCfOx MN ZIP t5420
PHONE: 88$-686
PERMIT HEQUESTED
X SEWER
_ COMM/IND
X NEW
x WATER - TAPS
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
t edit IeL NOT b,e giv ,or Deduct Meters.
IA6fiEE TO COMPLY WITH CITY OF '
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCES5ING. CALL 454-5220 FOR IMSPECTIONS. FOR STORM I
SEWER PERMITS, CONTACT ENGINEERING DEPT.
!
?(grr#i?ira#t nf (Orru?aury
(Citp of Cagan
Erparbnnd nf %iiding jwrrtiutc
This CerlrJ`rcale r.uued pursuant ao the rrqrdrementr of SwAion 306 of 1he Unifonri Building
Code ?fJ'inS lhet at the &nw ojissuairce this sliucture uas in conrplianoe wirh the warious
ordikawes of the G1}' regulailn8 build'W canmruaion ar rrse. Fnr !he following.
u.a.m.o. SF I]WG/GAR DkIg. ft rkL 18650
O-W&--YTYPC R3/A'Il yo@,c o4Wa PD/Kl rype cow _ VN_
2/28/91
POST IN A CONSPICUOUS PLACE
``,•- , CITY OF EAGAN 18650
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUII?ING P'ERMrT PHONE: 454-8100
° Receipt #
To be used for SF DWGlGAR Est. vaiue $78'000 Date JAN 15 19 91
cJitB A if@SS
Lot Block Sec/Sub
Name ..?...... ............,.. _...,
Address
Citv Phone '
City Phone
Address
Phone
I hereby acknowlege that I have read this application and state that the
informafion is correct artd agree to comply with ali applicable State ot
Minnasota Statutes and Citv oi,Eaaan Ordirtances.
Signature of Permitee uAxLX.*WHERs xNc
A Building Permit is issued #o:
on the express condition that all work shall be done in accordance with all
applicabie State ol Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
R
Occupancy Pp?i FEES
Zoning
?? ??
(Actual) Const .? Bidg. Permit
(Allowabie) - SurCharge 99.?Q
# of Stories -46i 351.00
Length
-44-y Plan Review
i0o•?
Depth . City
SAC
F. Totai
S - 650.00
. SAC, MCWCC
S.F. Footprints - ?? .00
On Site Sewage _ Water Conn
90.00
On Site Well ? Water Mefer
MWCC System -? Acct. Deposit 30.00
City Water - 30.00
PRV Required _ S/W Permit
.50
Booster Pump - 5/W Surcharge
276 . 00
Treatment PI
370
00
APPROVALS Road Unit .
Planner - park Ded.
Council ?
BIdg.01f. _ Copies
SO
?1'37
Variance - TOTAL .
?
1
sEVMER .'
PLUMBING
?
Isul.
Rnal
Address: 44p4 HX.gL-fON DPXIE Lot 7 Blk 2 Sec/Sub LEfCIICICRI POINIE 6TH
These itams were/ware not complete at the time of the final inspection.
DAIE:' 2/28/91 Yes No INSPECTOR• ?.
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas ?
Sod/seeded grass ?
Trail/curb damage ;
Porch
Basement finish ?
Deck ?
Please verify vlth the builder tha removal of roof tast caps from the plumbing
system and tha shut-off of water supply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink.- Contractor copy
CITY OF EAGAN (d0 ? 8650
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
?p
! I'i I 1
BUILDING PERMIT Receipt # ??
/ ?
Tobeusedfor SF DWG/GAR Est.Value $78,000 Date JAN 15 , 7g91
Site Address 4404 HAMILTON DR
Lot 7 Block 2 Sec/Sub. LEXINGTON POINT OFFICE USE ONLY
ParC01 No. T Occupancy R-3 -H--1 FEES
PD R-1
Zoning
w Name DAHLE BROTHERS INC (ACtual)Consl V-r1 BIdg.Permit 541.00
; Addres5 9304 LYNDALE AVE S (nllowame) V-N
O
e 39.0
Surchar
° City BLOOMINGTON PhOn@ 888-6866 ?olStories g
D
35
46, 1.0
Plan Review
Length
o Name SAME DepN 44 ? SAC, City 100.00
,
?. Address S.F. Total - 650
00
? City Phone S.F. Footprints - .
SAC, MCWCC
0
'Nater Conn 660.0
On Site Sewage _
?
ww
Name
On Site Wall -
Water Melar 90.00
zs
5 Addf85S MwCCSystem -?
30
00
u ? .
Accl.Deposit
`a W City Phone ary water
SiW Permit 3n _ nn
PRV fle9uired -
I hereby acknowlege thal I have read Ihis application and state ihat Ihe Booster Pump - SM/ Surcharge - SO
information is correct and agr to comply with all applicable State of
Minnesota Stalutes and Ci o ? an Ordi Ances. T(eatmeM PI 976• nn
Siynatufe ot Pefmitee APPpOVALs Road Unit 3 70 _ f)n
DAHL7?? OTHERS INC
A Buildinq Permit is issued Planner - park Ded.
on the ezpress condition t al all work shall be done in accordance with all Council
applicable Siate of Minnesota Statu
t
es and City ol Eagan Ortlinances. gldy, pff. _ Gopies
,
I
Buildin90Nicial ,N%9Qi/A•l ??SI variance - roTaL 3,137.50
//IVREOUEST FOR ELECTRICAL INSPECTION
M W See insVUttions br completing ihis form on back of yellow wpy,
w ?? 1 q 9 "X" Be/ow Work Covered by This Request
ee.ooaoi-oe
? o,yd
ew kiltl Rep. TypeoiBUiltling AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eledric Hea[ing
Apt Building Dryer Other (Specify)
Comm./Industrial 'FUrnace
Farm Air Conditioner
Other (Spacify) CoMractor$ Remarks:
Compute /nspection Fee Befow: ? SCS
8 Other Fee # ServiceEnirance5ize Fee # Circuils/Feeders Fee
Swimming Pooi 0 l0 200 Amps fj?OC+ ' 0 to 100 Amps - a
7ranstormers - Above 200 _ Amps _ Above 100 _ Amps
Signs inspector§ Use oniy: 70TAL
Irrigalion Booms E??
4 ?, S'?J
Speciai Inspedion
Aiarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITXIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouqm?o oare ??? - Y
certity that the above inspection has
been matle. F;nai nam ?
OFFlCE USE ONLY
This rBquost witl 18 moMOS Irom
?
m
12199,/
.
? ?& -2 o0
Request 091e tc
;yi ugRin Inspeclion
tla
fR In?sPecfa
? ReetlY Now AWilh
l ? No
V a an
I$licensed contractor ? owner hereby request inspection ot above electrical work at: .
Jo0 Pdtlre?s(s /(S{ireet, Box or RoN?e?p .) Cily
7Cd [ ! "Z?K4
SeCtian No. Township Name or No. qenge N0. Counly
OcCUpaM NT) Phone W.
' ?Ci A ?
V
Power up0?ier Atltlress
" ?'
'
.?Gb O
S .
Eled
ny@I Contracla (Company Neme) . CAnhaclwh LkenSB No.
?V
/ /C U - kG / L CO. IIVL_ oSJl? ?? ,E3
Mailing PdOress(COnVaqM or Uvner Meking 1alWibn?
_/.5 d J?' ? o?,(' ./r a e/? , s3?
Aulnorizetl S' natu (Conhactor/Owrier Makirg Installation Plrona NumCer
- ? 6?22
MINNE60TA SL1TE BOAflD OF ELECTf11CT' A THIS INSPECTION FEOUEST WILLNOT
GrlqqtrMitlwey Bltlg. - Poom S773 BE ACCEPTED BV THE STATE BOARD '
t021 UnWersiry Ave., 31. Vnul, MN 55104 ?? VNLESS PROPEii INSPECTION FEE IS Phone (612) 8024800 ENCLOSEU.
5 9? Y3
RESIDENTIAL BUILDING
. Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
70 a?
/
NewConsWdionReauiremenb RemodeVReoairReauirements OfficeUseOnN
3 registered site surveys showing sq. ft. af lol, sq. R, of house; and all roofed areas 2 mpies of plan _ Cert of Survey Recd
(2094 maximum bt mverdqe ailowed) i set of Energy Calcula6ons (or heated additions Tree Pres Plan Recd
2 copies of plan shoWing beam & windax sizes; poured (ound design, etc. 1 site survey for additions 8 decks _ Tree Prns Not Reqd
isetofEnergyCalcula6ons Add'N'on - indicateifonsiteseptksysfem _On-stteSepticSystem
3 copies of Tree Preservation Plan rf bt platted after 111/93
Rim Joist Oetail Options selection shee! (hldgs with 3 or less units
Date ZG l 2Gti3 Construction Cost 8??O oa
Site Address 4-I y o U H A M 1 LTQN D (l Unit/Ste #
Description of Work 1/ ECaf A o 1) 1-1?Gl\,
MutG-Family Bldg _ Y VN Fireplace(s) _ 0_ 1 _ 2
PropertyOwner Dkw RNp MRQy CQouc N Telephone#(GS?
Contractor THE DtCk AwD Dc+ovR C6,
Address t_ Ctty 4A&?
State ll-? Zip S ? 123 Telephane # ( G 5) ) '3 '22 - y`jGt
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residentlal Ventllation Category 7 Worksheet
(J submission rype) Submitted
. • Energy Envelope Calculadons Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the
that the work will be in conformance with the ordinances and codes of tY
nA tle and accurate;
, and the State 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 ofplans. ??Z/ 'a
,
M I C HALL ?CvDI'A .
ApplicanYs Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - MuMi
? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex X 18 Deck ? 23 Porch (screen/gazeba) ? 36 Multi Misc.
? 05 03-plex ? 17 lo-plex ? 19 Lower level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
x 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (Entire Bidg) - Give PCA handout to appllwnt
Valuation ? 060
CensusCode L13?
SAC Units -
Nbr. of Units -
Nbr. of 81dgs -
Type of Const ?
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ RI. _ Air Test _ Final
Insularion
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Occupancy /?` 3
Zoning ?/)
Stories -
Sq. Ft. -
Length "-
Width -
MC/ES System ?
City Water -
Booster Pump -
PRV
Fire Sprinklered '-
REQUIRED INSPECTIONS
FinaUC.O.
Fina]/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ tlir/Gas Tesu _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By
,;t5-
Buiiding Inspector
Total
?
? . ?
i..-?
/aA ?4
,
:DQ,,/15
Survey for:
DAHIE BROS., INC.
,
98zY
? - ZS, ?roi
ge+j j
C
,
?.. o
?
?79 z'
DESCRIPTION:
Lot 7, Block 2,
LEXINGTON POINTE
SIXTH ADDITION
?
973r
Proposed Grades:
Top of Blocks 99,61 Garage floor 99S ? Basement floor 9.6 z L
NOTE: Circled elevations are proposed, others are existing
ArrNws denote direction of drainage
We hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any, thereon
and all visible encroachments, if any, from or on said nd. Dated this 10th day
of January , 1991 ? ? 1-17 "'? -?
Z7/-.35
CERTIFICATE OF SURVEY
AIIL= ?
.,y
LAND SURVEYORS
Z"R. eoatw, Pscs.
8713 DUPONT AVENUE SOUTH
BLOOMINGTON, MINN. 66420
888-1084
.
?-.. ?....
?B9°59 %7"W
S 3 3 3`? RESIDENTIAL
BUILDING PERMIT APPLICATtON
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651•681-4675
New Construction ReauiremeMs
• 3 registered site surveys showirig sq. fl. of lot, sq. fl. of house; and all roofed areas
(20% marzimum lot coverage allowed)
. 2 copies of plan showing beam & winMow s¢es; poured found design, elc.)
. 1 set of Energy CalcWations
• 3 copies of Tree PreservaUOn Plan if lat pWtted aker 711193
• Rim Joist Detail Options selection sheet (6idgs vrith 3 ar less units)
DATE 7 - 4S - v Z--
j 4a ')5'
RemodeVReoair Reauirements
. 2 capies of plan
• 1 set of Energy Calculations for heated addAions
. 1 sAe survey for extenor additions & decks
. Indicate rf home served by septic system far addNOns
VALUATION (? J 3,2. y_s?
SITE ADDRESS '-&O Ll #AMi 1/o.4) MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK rS- @aoif FIREPLACE(5) _ 0_ 1 _ 2
APPLICANT
STREET ADDRESS
TELEPHONE # 9,Sa7-99N•c.fO35 CELL PHONE #
PROPERTYOWNERQ4ifl CKDvC.? TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category b1INNFSOTA RULES 7670 CA'fL'GORY 1 MINNLSO'P:1 RUI.LS 7Fi72
(J submission type) • Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet SuBmitted
• Energy Envelope Calcula[ions Submitted
Plumbing Contractor: _-
PlumUing system includes:
Mechanical Cantractor.
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
?Df.?lPR.sieiE STATEy+N ZIP&5 <
FA7C#fSa-S?y-/SB4[
Phone #
By
Phone #
----°---------- °------------°------° °---------^--°-----------------------°-----------------
I hereby acknowledge ihat I have read This application, state that the intormation is correct, and agree to compiy
with all appiicable State of Minnesota Statutes and City of Eagan Ordinances.
SignafureotApplicant
OErICE USEONLY
Phone #
WaterSoftener LawnS l?t,i, (? ? ?ip I
?
VVater Heater ?
No. of ?
$aths
No. of Baths ?.II II 1 9 2002
$90.00
$70.00
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-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 Plbg_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 fteroof ? 46 Windows/Ooors
? 34 Replacement •Demalition (Entire Bidg 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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
Footings (addition) _ Plutnbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tes[s _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT
PHONE (612) 454 8100 RECEIPT #--Y!dlar?
mm;wf ,? DATE:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
?Y .:::..........._? ..;:
TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT.
------------------------ -------------------------------------------------------
WORK DESCRIPTION FEES
NEW CONST 7
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS: yy'31-? `1-\r•
IAT : ?I BIACK oZ SUBD.?
INSTALLER: 1-lJ ?.
ADDRESS: vy) S?
CITY: ZIP:
PHONE
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ ;n' ba
STATE SURCHARGE: .50
1 OTAL : $D?i ' ??
SIGNATURE OF PE TEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUIL?INGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: 2IP:
PHONE #:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
it2uGE:iSnD P1YliIG = j25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
FOR:
CITY DF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN MN 55122
PAONE (612) 454-8100
FDR CITY USE ONLY
PERMIT #
RECEIPT
DATE: 91
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?L
ADD ON
REPAIR
OWNER NAME: ?l1p/'D S40-3
SITE ADDRESS: L??/ ?V/1????(f?'Gl ///'!?/P
LOT:? BLOCK _2 SUBD.
INSTALLER:
ADDRESS: //l94Gll /T /4N?
CITY: ZIP: SS I ? ?
PHONE #: b O d ? G 2? v
SIGNATUEtE OF PERMITTEE
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
/ WATER CLOSET 3.00 •DJ
? SATH TUB 3.00 3.00
L LAVATORY 3.00 3.00
? KITCHEN SINK 3.00
_T LAUNDRY TRAY 3.00 i.llID
HOT TOB/SPA 3.00
? WATER HEATER 3.00 ?.vv
? FLOOR DRAIN 3.00 9.OD
GAS PIPING OUT.
? (MINIMiIM - 1) 3.00
? ROUGH OPENINGS 1.50 ? o
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. gPRINKLER 3.00
SUBTOTAL
ST. SURCHARGE
S ci
.SD
$??
TOTAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/IN?USTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OTdD?E_u N9ME: _
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PNONE #:
18 OF WNTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$ $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
FOR:
CITY OF EAGAN
? u ? T
541•OU+
39•OOti
351•OU+
2,206•50+
3,137•50;:
541•U0+
39-00+
55"I•00+
2,200•50+
3, 137•50*
1991 BUILDI? PERM?ATPLICATION
SINGLE FAMILY DWELLINGS
CITY OF EAGAN
MULTIPLE DWELLINGS
.
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
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.
IAT CHANGE IS REQIIESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LQTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED 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. FiAH 1 0 Dz„D
To Be Used For: Valuation: Date:
Site Address
Fi?? 1?//Ii ??'/h kfi
Lot ? Block
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor 7,1,-
Address
City/Zip Code
Phone w4fa
Arch./Engr.
Address
City/Zip Code
Phone #
rN / 000
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE DSE
R-3 M-I
Po R_ 1
V-N
v -N
W
4 y'
On site sewage_
On site well
MWCC System ?
City water jlle?
PRV _
Booster Pump _
APPROVALS
Planner
Council ?
Sldg. Off. I//r
Variance
FEES
Bldg. Permit '541,00
Surcharge "8?00
Plan Review 351.00
SAC, City 00.00
SAC, MWCC 65D,?o
Water Conn. n QU
Water Meter 90,00
Acct. Deposit 3a.OD
S/w Permit 3D,00
S/W Surcharge ',1;0
Treatment P1. ?D
Road Unit Da?i
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
id? 44 agrees that all work shall be done in accordance with
(Signature of Con ractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
. . . Vf1 L LA? N'•
r 5
C?ARG E
ZZXZL= 48?f X 15='12,?0
,
QSMT.
ZZU 34= `lurb
5x??.
-
718 X N= lo,osz
H ?u,sc
3?l K 22 - '? 4 ?
G x ,12 _ ? Z
1C> ? I %z = IS
i2kzy ?
/2= !?-
?j133 X51= 577?3
_-----°°
?X(2? `? lo XZD = ???I 2,0
?_.
i
02, ri 7 ) OOO'
CERTIFICATE OF SURVEY
-e";e eoudm, Psea.
? 8713 DUPONT AVENUE SOUTH
LOOMINGTON,MINN, 56420
' 010:= xc. B
eas-soea
. LANDSURVEYORS . ' "
Survey for:
DAHLE BROS:, INC.
?? ?8¢s
L - -?"
z4, • ???Q. ?
i
98 Ra l?5 BL? T??? / I°•
?0 1
9az? ° . .
1 ? a N1. _ lvovr
N??'? ?? P? 9?5 30 5k i 9833 DESCRIPTION:
'b ?SSM Is ? lot 7, Block 2,
98zT? I,? m I ? LEXINGTON POINTE
SIXTH ADDITION
- z8,g81?
?m a
a ?
o
, pl p I ,d Y? r9 sk
qgl a+? I
. ? . . ? , " i .
?rai?g?!(fi -96,? .
I .•.? •
/voH $ h /rcy = _ ...
9731
-?- 8? 50 975-' ',
, :1-890639 i7"W
Proposed Grades:
Top of Blocks 9851 Garage floor gs? Basement floor 98Z=
NOTE: Circled elevations are proposed, others are existing
Arrows denote direction of drainage
We hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any, thereon
and all visible encroachments, if any, from or on said nd. Dated this 10th day
of January , 1991
? pY
+ Min sota Registration Na. 9018
EXTERIOR ENVEtOPE AVERAGE "U" COMPUTATIDH
CVNER: 1,Jldt H LIE, OZl./ J. IKIG • L'_r 91 ?i..o(yK Z i Ley-I1-i6--TC7,J
siTe ADitRE55: _ ?1AM.\t:vbN -pRao6 t-i-r? L? A-r.>i'K) ;
CON?RACTCR: DPiHLE5005. Ik IG• DATE: ,I%O 14PAIL PHONE:(?)p
DETERHINE NORKING SOUARE f00TAGE OF EACH:
1. TOTAL EXPDSED UALL AREAsq ft x"U" _•I ! - I?L;"
2. TOTAL RODFMILiNG AREA,,.,.. 11?_ sq ft x'"U" I D? .?,ZS
3. TDTAL EXPOSED kALL AREA CALCULATIONS:
Total exposed wall
erea above floor,,,,,,,. 2 Q,Q? sq ft
a) TotaT Nall window area:
9lazed...... s4 ft x"U" rTA 2 A
• 5 .
glazed,,,,,, Sq ft x "U" _
b) Total door area ,,,,,,,,. gQj sq ft x"U" •2'? ? 8•7
c) Total slidtnq gtass door area:
.
, qlezed...... 40 sq ft z ??U" _ .59 ? 23.tGo
qlazed......
sq ft x "U"
?
d) Total ftreplace wall area sq ft x"U"
e) Total wall framing area n ?n
(Averaoe 10`')........... 2L.c) sq ft xIlull
f) Total net wall area above
floor (Insutzted)........ 19 2!4 Sq ft x "U" .04
g) Total rim Jotst area...... ?' , Sq ft x"U" •o4
Tota1 foundation
area (Exposed)........... 79,g'j5 sq ft
h} Total foundatlon ?S c ?3•?
Wlndow area............. sq ft x"U". •
i) Total net foundation p?
area above grade....,,, 5?•?..7 sq ft x"U" ??o ?
TOTAL a) thru i} L?•5?
If ftem f3 is the sane as, or {ess than ftem 1"1, you have met the intent of
2 1SCAR 1.16008 A and 0.
Page 1
A. TOTAL EXCQSED ROOF/CEILING CALCULATlDt15:
Tota1 expased «n c
roof/ceiling erea........ ?[.,..? sq ft '
J) 7ota1 skylloht area....... "- sq ft x"U"`
k) Total roof/ceilinq framTng R
area (Averaoe It19,),,,,, sq ft x "U" •?2 (6 ? ??? ?
1} Total net Tnsulated ?y
5 ? f-
roof/celfinq area.....,. 101 2. sq ft x"U" .02
TOTAL J} thru
If total of t4 Ts the same as, or less [han f2, you have met the intent of
2 MCAR 1.16D08 A and 0.
ALTERNATE BUILDING EhVELOPE DESIGN
To utillze the total envelope systerc method, the.values estabtished by the sum
of Ttems f3 and AW shall not be greater tAan the sum of items 01 and 02.
3•
+ 4. ?
C f R T 1 F 1 C A T I 0 N
1 hereby certify that I have calcuTated the "U" factors and "R"
values herein and that the huildinq fiere describ ets or exceeds the State
of Minnesota Eneroy Conservation Act. ??_ ? / --2 , w
qnature
/-/o -9/
Date)
L.a a_ % L ' 'i i:tt :GI
. traac eor.stzuction ?
?-?-- -
i
i
i
i
:c
:i
'; FIG. fl
FIG. 12
, -
?
Cc-struction _ R-Valuc
l.
z. „z.. L;)211 Wp4L a5
a. ?KVz lpcne: sorr ..ooa Ce,,L
1. 2i4EP7MtwG i,pG
5. 5 iv I uG ,G1 '
6. Extezioz air fila a 0.17
Toiel te.i5
sj=.10
1. Intezior aiz film 0.68
2. -?/;L" GLYWGIL •45
o
, j• 5'l1' %WsuL.. 141,0
4• '5NC6TF1lHC+ 2.OG
5. S?vt0 4
6. £xterior air film 0.17
Total z;,03
f Uz.o4
•
••r' ?
?-0 I. Interior air film 0.68
Z. ??su?, 19,00
t/z" w noo 1.88
??
;rc[!J( , ???'? 4• ?H EGT NI?.iCi .oG
=a1 -_ ? 5. SLD??.?4 • .G7
? ^ b. £xterior air film - 0.17
};`?.\i-,
A
';i
? {
? 1?.?_._, "__?•
• Total
' 24.4G
v:
o4
• }
?.• n
?o „ .
l .
.
?. ]. Interior air film ' 0.69
s. i?+euL, a.,n DCyW,&LL
r. n.
• . 3, 1Z• b? oct ?.za .
? ??
?
• 4.
'
. ? ? rT,???
?
'
•• ? J.••
! ', S. Exterior air film 0.1 7
?/? . . Sotal ? o . + q
• V
? SS.AB ON GRADE ' •
. . ? ??
• ?, ? ,: r?? ,
t' • • . `. _ .?
? . • ? - //? /
r
.3 • ' •
e-
.
' o . ' .
. ??
. ? ?
- ?. • ?..?. '? '
? • r • • ? •
? / ? - ' '
J(!-- • • • s
? •
?r r ? • . • _
i?i . • . . .. .
. if? ,
f 1G. 94
IIi 6 • o
- \
?
N0'i'E: Zndicate tyne, "R" value, denth and,
placenent of i nsulat.io:+. _
FRAOSE IiAI.I.
• . • ??" . .
'• '' -?RDOF/CEILIltG
i
Ventcd
lIC. ?5
f Aeat flov vp ,. vented•
FIG. !6 . '
Conatrvctio>> (Use for Itea L) §?-Veltiie
1. Interior air film 10.61
Z. SfC.5?aEEtB.ect. ,cr,
3, u7vL . S£.oc
4. Extcrior air filn, t6ci]1
snul ?9.'78
' tlx.oz5
QG. FFv.HIN; (Use for Iter• 1C)
i. Interioz Air film 0.61
Z. 5/e" 3?fL£.TRoGK .S(
3. Inches soft wood s3 1/Z" 5 b
1. Inches insul above fran.inc SO.oO
5. 711z film 0.61
l.
So2erior eir #6tL]
iilm ' ?G . ? L
O.bl
2.
3. ;
4. Extezior afz film (still)
O.E1
Total
1
1. Insidc air film " 0.61
2.
's.
4.
' S. Outside Dix film D.17
Total
W)tc: Usc n3ditional shcL:ts if mor? cp?co ic.
? ):OedrO foz.r3rtai2s and eaieul:,tions.
Seat flow
yp
. Heat .
. , flev uD .