703 Hay Lake Ct? INSPECTIUN RECURD Control No. 0806
CITY OF EAGAN PERMiT TYPE: t rwo
3830' Pilot Knob Road Permit Number: A a l M:3 T
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: i. oT : z 81_ ?11-Ax; 1 APPLICANT:
re'i NAY i.AKE CT BUtlFR HAUSiNA 4:+OPV
rAl"Fr;[t:K (612) 432--6866
PERMIT ?,?JPTYPE:
TYPE OF WORK: NLrW
INSPECTION
1 r? r? i i? r; .. .
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. .. . .. . ,. .. . . . __ _ J'?.
IL
Pecmlt No. Permft Halder Date Tahphons #
S!W
,PLUMBING
HVAC
ELECTRiC
ELECTRIC
tnapection Dats Insp. Comments
Foot6ngs !
Foundadon
Framing ib3 2 "
Roofing
Rough Pibg.
Rough Htg.
laul.
Flreplace -92
Final Htg. 1?
L
orsfltTast
Flnal Plbg. !1
N PIAp. Irssp?ectcu- Notity Pkxnber
Const. Me4er
EngrJPlan
Bldg. Firtal
Deck Ftg.
G r?A2-
d
6
aeak Finai
weu
Pr. Disp.
JI 4?.4V ~ (y,I -/yf / ?i l-vci
y`
• ,i? ?E .,
. .cate Of CccuPanc?
? ? pagan
Tova«aW •f lanising a»doedion
Tleis Certif?cate issurd pwrsrwnt to the requiremerets of the URiform Building Code
certifying tliat in the timeof issrrance this stnuctun was in complrance with the various
ordinances of ttre City regulating bui/ding construction or use. For the following:
SF DW 1037
u? c??? s?. ?t ?.
RI VN
O-OP-y TYK ?.?u Hn[r??? P.O. E? 245 7 Cow.
APPrE vAiiEY
-
B?-na? ?.mutr
/ °I.:_
' ftilangOffid.l
10/23/q2
P06T IN A CONSPICUOUS PLACE
/?' /?c rC?e.dz H4Y
k e- H 5 HEATING TEST RECORD
ADDRE55 APT.-J4,OOR CITY SUBURB
OCCUPANT? OWNER 4--?Ufi
MEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY?
Elsctrieel Work By ? Gas Lfne By -
TYPE OF HEAT GA FA HW STEAM SPACE HTR. _U T HTR. OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model"??? Modsl v' ' Trn LIRA'Im z
Serial ? G? ? S y `•S v Maa. BTU Roeiny
INPUT ??? ' T?? ?MAKE OF FURNACE
Model
! CONTROLS 15?_ /(
THERMO;T/ AT Heae Plup Vent Size -
Valre KIND OF LIN _ SIZE NONE
Limit 1,' Drak Hood Repulamr
Limif SaMing FilTers $isa Nu r
Fan Seflin9 Chimmer Locafion InsiM Outaide
Pilet Typa /?'?l?tr" f7N ??? Oh{mnsy ConsfruNion
Pilat Make
Pilot Model ? YC ' Smoks Bo 1 Wirin9 ,
-?f ,
Pilot Timing Draft H?? C?j Tast Taq V
L.W. Cuf Off Dow Prasaure Liqhtinq Insf.
Prossuro 1120C' Peresnt CO ?i 7` DTii Toafsd
Inpuf CFH 12--a Pvcsnt 6?7' G 7'6 7'6bmpany Testing ? r'
,( i
Smck Temp. 3?( G Percent CO <270 Name of Tesbr
Form 235
REQUEST FOR ELECTRICAL INSPECTION ''-•`?'?? ee-o}ooo,+,a/
? SBe insVUCLOns lor , mpletina this torm on back of yeltow copy ????'
y
K 31405 ,X? 8e/ow Work Covered by This Fequest
ew Add' Re{t TypeofBudtling AppliancesWired EqmpmentWrted
Home Range Temporary Servwe
Duplex Wate? Heater Elechic Heating
Apt 8wlding Dryer Other-(Specify)
Comm./lntlustrial Furnace
Farm Air Condiuoner
Ofher(syecity) ConVactors Remarks
Compute Inspection Fee Below.
# Other Fee # Service EntranceS?ze Fee # Cirans/Feeders Fae
Swimminq Pool 0 to 200 AmpS ? 0 to 700 Amps
hanstormers Above 200 _ Amps Above 100 _ Amps
Sgns Inspectar's Use Only: TOTAL ?
Irriganon Booms if Uc? s ?
Special Inspection r
AIarMCommurncation THIS MSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT S.
I, the Electrical Inspector, hereby Rough-m oace
certily that the above inspection has
been made.
?
OifICE USE ONLY ?
Tnts requesr wid 18 montns lrom
?
\
K3q 5
°
s rr s?- / `
Request Oate Fre No Rough?in Inspecaon
??qo i'
? Reatly Now
Wdl NoOfy Inspeciw
+
'
5 Yes ? No Nhen Resdy.
Ixlicensed contractor ? owner hereby request inspection of above electrical work at.
J D Adtlress IStree1, or Route I
??r Qty ?
Secbon N. Township N e ar No Range No Govn
?
upa?i(PRI 1 Phone N.
T?Ltr U
Powerl up her ?
1 Paa .
al C mr lor ICom an
slit:
meq
Con ctor5 Lwense
N.
` , ?
? Z6 '
Maili d ress (CO r or Own r Makin In I imn"
Autnoraetl Si Wr ICO nOw er M ing Inst u
on)
h n u
33
MINNESOTF STATE BO OF ELECTRICITY THIS INSPECTION REOUEST WIIL NOT
Griggs•Mitlway 81E Foom S173 BE ACCEPTED BV THE STATE BOAFD
1821 UniversMy Ave.. SL Paul. MN 55106 UNLESS PROPER INSPECTION FEE I$
Phone(611)601-0800 ENCLOSED
Address: 703 HAy TauE r?-r L,ot 2 Blk ] Sec/Sub pA7.'[uaC
These items were/were not complete at the tima of the final inspection.
Date: 10/23/92 Yes No TnspPrtnr,
Final grade (6" from siding) l?
Permanent steps - garage ?
Permanent steps - main entry ?
Permanent dtiveway ?
Permanent gas
Sod/seeded grass
Trail/curb damage ?
Porch
Basement finish
Deck I.?
Please verify with the bu32der the removal of rooF test caps from the plumbing
system and the shut-off of vater supply to the outsida lavn faucet before
freeze potentlal exists. ?
ucmEOnxn
White - City copy Yellow - Resident copy Pink - Contractor copy
q p c
PERMIT Control No 0806
x CITYd'F EAGAN
3830 Pilot Knoh Road PERMITTYPE; BUILDING
Eagan, Minnesota 55123 Permit Number: 061037
(612) 681-4675 Date Issued: 0 7/ 15 f 9 2
SITE ADDRESS:
703 HAY LRKE CT
LOT: 2 BLOCK: 1
PATRICK
DESCRIPTION:
Buildiing Permit Type
? Buildin§?',Work Type
UBC Qccupiit9cly
' Constructiqn=-Type
Zuning
Butlding Length >
Building Width
?
jr
SF DWG
NEW
R-3 M-1
V-N
R-1
64
35
"s .? ":. ?'
?.,ti:al.a?_a ?d
REMARKS: C oLCtGI r}?o
/
PRV S& W CONTRACTOR - WELTER BLAYLOCK PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC $
SAC Units
Subtotal
VAIUATION
$825.00
$536.25
$76.50
$700.@6
100
1
$2,137.75
$153,000
MISCELLANEOUS $1,,610.50
Tptal Fee $3,798.25
CONTRACTOR: - Applicant - ST. 1.ICpyyNER:
BUTLER HOUSZNG CORP 14325665 0001715 BUTLER HOUSIN6 CORP
P 0 BOX 24597 P 0 BOX 24597
APPL£ VALLEY f9N 55124 APPLE VpILEY MN 55124
(612) 432-5885 (612)432-5885
I hereby acknawledge that I have read this appXleation and staCe Chat the
information is aorreot and agree to comply witfi ali appi3cable Stata of Mn.
Statutes and City af Eagam flrdinances.
0ot,n IrAr,l I n1ll
A ICANT/P ITEESIGNATURE I UED Y: IGNAT AE
PEruMxT # CITY OF EAGAN
eEncTtvArE _ 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILV 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work
Site Address:
STREET SUITE N
Tenant Name: (commercial only)
LOT 2_ SIACK I SUBD.PATRick AtiD;T7onJ p,I,D. iF
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other cueg«tbe>
Name Phone
Property LAST FIRST
Owner
Address
STREET STE M
City State Zip
Company , Phone
Contra ctor Address License # Exp.
City State Zip
Company Phone
ArchitecU
Engtneer Name Registration #
Address
City State Zip
Sewer 6 water licensed plumber . Processing time for
sewer 8 Nater permits is two days once area as een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree ta comply with all appticable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
pg 31 New
? 32 Addition
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
O 08 8-Plex
? 09 l2-Plex
? 10 Multi. Add'1
O 33 Alterations
11 34 Repair
GENERAL INFORMATION
O 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
Const. (Actual) v- N Basement sq. ft.
(Allowable) v-?i lst F1. sq. ft.
UBC bccupancy _R 3 n _I 2nd Fl. sq. 'ft'. '
Zoning R-1 Sq. Ft. total
/ of Stories Footprint Sq. ft.
Length TY--a I+ On-site well
Depth 35, On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REGIUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
O Framing
O Draintile
? Insulation
? Fireplace
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Mater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Tra11s Ded.
Copies
Other
Total:
SAC 96 100
SAC Units I_
RSM7 = I 04 ?-I
1X?? `6
IYZx?7= ,2S
..r
??o3?C 53= S8y51
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
MWCC System YEs
City Water ?Y611
PR4 Required ?
Booster Pump
Fire Sprinkler -" -
Census Code
SAC Code 61
Assessments
zNa Ft.o?R
abx3u=884
15660
I'/Zx i 7= 2c?
1$Xl3.?_ a3?
I ?L4
&n, 63s'
-T-W7A(? 157-1
I V.tmtio,: s l53I oa o,
GARA60, 3 a Y Z2 = G ro? Pota
(2-0) ?2x?y=166?: `I,s.6o
I 3 X I)
(A G)
g'snnT, 6141 x16= 982.y
3 a.(,-7 x 2y ? b75
i3n?3= 169
Iou4 x Is=
1ST rrLObl?
?l
?
?
?
O
?
3
t; r 1992 BUILDING PERMITAPPUCATION '4 3,'??:?,
OW3 #1 CfTY OF EAGAN
REQUIREMENTS:
SINGLE FAMILY 4SETS OF PLAN93 EGISTERED SITE SURVEYS 1ET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE DB LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDiPJG PERMIT IS ISSUED.
e fp
To Be Used For: /; aluation: ? Date:
Site Address ? ZA9x-F (?O-OP-T
OFFI(
Lot a Block / ,
l W
Address ?11- p,
City/Zip
Phone
Address
avty/Zip
Phpne License
Arch./Engr.
2 ?
I
Occupancy
Zoning
Actual Const
Allowabie
# of stories
Length
Depth
S.F. Totel
Footprint S.F.
On-site sewage
On-site well
MWCC 5ystem
Ciry water
PRV
Booster Pump
7- 7-9?
APPROVALS
? Planner
' Councii
?? BIdg.08`.
Address 61Z/
City/Zip Code ?//ff//7`J 1U/'? /flry,
?-
Phone #
5ewer/Water Licensed Contr.
for sewer/water permits is tv
/
/bn? U/? i /
'l.
Bldg Permit
Surcharge
Plan Review
Ucense Fee
SAC, Ciry
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
FEES
Processingtime
agrees that all work shall be done in accordance with
all applicable Sra'te of Nlinnesota Statutes a6d Ciry of Eagan Ordinances.
. ?
n 1
Page 1 OF 6
OWNER: BUTLER HOUSING CORPORATION
SITE ADDRESS: 70 _Ha ' L? ??'?. EADAfi-,_ MIME$Q?'-A
LEGAL: LOT 2, BLOCK 1, PATRICK ADDITIOIV
CONTRACTOR: BUTLER HOUSING CORPORATION DATE: JULY 6, 1992
---------------------------------------------------------------------
DETERMINE WORKING SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED WALL AREA: 3076 SQ. FT. X.11 = 338.36
2. TOTAL ROOF/CEILING AREA
1143.5 SQ. FT. X.026 = 29.73
A. TOTAL WALL WINDOW AREA: 316.10
B. TOTAL DOOR AREA: 37.80
C. TOTAL SLIDING GLASS DOOR AREA: 80.00
D. TOTAL FIREPLACE WALL AREA: 0.00 GAS LOG
E. TOTAL WALL FRAMING AREA (AVG. 10$): 307.60
F. TOTAL RIM JOIST AREA: 240.00
G. TOTAL NET WALL AREA ABOVE FLOOR: 2,094.50
' TOTAL EXPOSED WALL AREA: 3,076.00
H. TOTAL FOUNDATION WINDOW AREA: 0.00
I. TOTAL fIET FOUNDATION AREA ABOVE GRADE: 75.50
J. TOTAL OVERHANG AREA: 33.50
"U" VALUE OF EACH WALL SEGMENT:
a. 316.10 X "U" 0.367 =
b. 37.80 X "U" 0.066 =
c. 80.00 X "U" 0.367 =
d. 0.00 X "U" 0.074 =
e. 307.60 X "U" 0.090 =
f. 240.00 X "U" 0.041 =
g. 2,094.50 X "U" 0.043 =
h. 0.00 X "U" 0.367 =
i. 75.50 X "U" 0.140 =
j. 33.50 X "U" 0.024 =
3 ....................... TOTAL "Ull _
116.01
2.49
29.36
0.00
27.79
9.76
90.51
0.00
10.59
0.81
28?
IF ITEM #3 IS THE SAME AS, OR LESS THAN ITEM #1, YOU HAVE MET
THE INTENT OF SBC 6006 (c)2.
Page 2 OF 6
TOTAL EXPOSED ROOF/CEILING AREA = 1,143.50
k. Total skylight area: 0.00
1. Total roof/ceiling framing area (avg 10$): 114.35
M. Total net insulated roof/ceiling area: 1,029.15
DETERMINE "U" VALUE FOR EACH ROOF/CEILING SEGMENT:
k. 0.00 X "U" 0.367 = 0.00
1. 114.35 X "U" 0.025 = 2.85
M. 1,029.15 X "U" 0.021 = 21.96
4 ....................... TOTAL ??U": - __ _24.8==
IT TOTAL OF #4 IS THE SAME AS, OR LESS THAN #2, YOU HAVE MET THE
INTENT OF SBC 6006(c)1.
ALTERNATE BUILDING ENVELOPE DESIGN:
TO UTILIZE THE TOTAL ENVELOPE SYSTEM METHOD, THE VALUES ESTABLISHED
BY THE SUM OF ITEMS #3 AND #4 SHALL NOT SE GREATER THAN THE SUM OF
ITEMS #1 AND #2.
11. 338.36 '+2. 29.73 = 368.09
---------- ----------
'3. 287.33 '+4. 24.81 = 12.13
---------- ----------
I HEREBY CERTIFY THAT I FIAVE CALCULATED THE "U" FACTORS AND "R"
VALUES HEREIN AND THAT THE BUILDING HERE DESCRIBED MEETS OR EXCEEDS
THE STATE OF MINNESOTA ENERGY CONSERVATION ACT.
BUTLER HOUSING CORPORATION
a ----- --? - -- ------------
SIGNATURE: NNIS F. BUTLER, PRES.
DATE: JULY 06, 1992
-------------
Page 3 OF 6
-------------------------------------------------
WINDOW AND DOOR SCHEDULE
-------------------------------------------------
QUANTITY TYPE SIZE FACTOR WINDOW
OPENING
-------------------------------------------------
0 BASEMENT 27 X 14 2.60 0.00
2 PATIO DR 6 X 6 40.00 80.00
0 CASEMENT 20 X 36 6.80 0.00
0 CASEMENT 20 X 48 8.50 0.00
0 CASEMENT 20 X 60 10.80 0.00
1 CASEMENT 24 X 36 8.00 8.00
0 CASEMENT 24 X 42 9.00 0.00
0 CASEMENT 24 X 48 10.30 0.00
0 CASEMENT 24 X 60 12.60 0.00
6 DBLE HUNGS 32X24/36 17.00 102.00
0 DBLE HUNGS 24 X 36 7.62 0.00
3 DBLE HUNGS 22 X 22 8.50 25.50
10 DBLE HUNGS 32 X 26 14.70 147.00
2 DBLE HUNGS 24 X 24 10.20 20.40
2 SIDE LTS. 1 X 1.3 6.60
------- 13.20
----------
------ --
26 ----------- -----------
TOTAL GLASS --
AREA: 396.10
------ -- -----------
DOOR ---
SCH --------
EDULE
--- ---------
--------- ----------
----------
--------
QUANTITY -----------
TYPE --- -----
SIZE FACTOR DOOR
OPENING
-------
------ --
1 -----------
THERMATRU ---
3' --------
-0" X 6 ---------
20.00 ---
20.00
1 THERMATRU 2' -8" X 6 17.80 17.80
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
---------
----- --- ----------- ---
TOT --------
AL DOOR ---------
AREA: -
37.80
TOTAL WA LL WINDOW AREA : 316.10 U-VALUE
TOTAL PA TIO DOOR AREA: 80.00 U-VALUE
TOTAL BA SEMENT WDW AREA: 0.00 U-VALUE
396.10
TOTAL DO OR AREA: 37.80 U-VALUE
0.367
0.367
0.367
0.066
Page 4 OF 6
THRU EXTERIOR FRAME WALL:
INTERIOR AIR - - - - - - - - - - - - - - - - - 0.68
SHEET ROCK - - - - - - - - - - - - - - - - - - 0.45
THERMO-BREAK - - - - - - - - - - - - - - - - - 0
STUD - - - - - - - - - - - - - - - - - - - - - 6.93
SHEATHING - - - - - - - - - - - - - - - - - - - 2.06
SIDING - - - - - - - - - - - - - - - - - - - - 0.78
EXTERIOR AIR - - - - - - - - - - - - - - - - - 0.17
TOTAL "R" VALUE - - - - - - - - - - - - - - - - 11.07
1/R = "U" VALUE - - - - - - - - - - - - - - - - 0.090
TARU INSULATION WITH SIDING & S.R.
INTERIOR AIR - - - - - - - - - - - - - - - - 0.68
SHEET ROCK - - - - - - - - - - - - - - - - ' 0.45
THERMO-BREAK - - - - - - - - - - - - - - - - 0
INSULATION - - - - - - - - - - - - - - - - - 19
SHEATHIMG - - - - - - - - - - - - - - - - - - 2.06
SIDING - - - - - - - - - - - - - - - - - - - 0.78
EXTERIOR AIR - - - - - - - - - - - - - - - - 0.17
TOTAL "R" VALUE - - - - - - - - - - - - - - - 23.14
1/R = "U" VALUE - - - - - - - - - - - - - - - 0.043
THRU CEILING MEMBER
INTERIOR AIR - - - - - - - - - - - - - - - - 0.68
SHEET ROCR - - - - - - - - - - - - - - - ' - 0.58
CEILING MEMBER - - - - - - - - - - - - - - - 4.35
INSULATION - - - - - - - - - - - - - - - - ' 33.92
STILL AIR - - - - - - - - - - - - - - - - - ' 0.61
TOTAL "R" VALUE - - - - - - - - - - - - - - ' 40.14
1/R = "U" VALUE - - - - - - - - - - - - - - - 0.025
THRU CEILING INSULATION
INTERIOR AIR - - - - - - - - - - - - - - - - 0.68
SHEET ROCK - - - - - - - - - - - - - - - ' - 0.58
INSULATION - - - - - - - - - - - - - - - - - 45
STILL AIR - - - - - - - - - - - - - - - - - - 0.61
TOTAL "R" VALUE - - - - - - - - - - - - - - - 46.87
1/R = "U" VALUE - - - - - - - - - - - - ' ' - 0.021
' • `Page 5 OF 6
THRU CONCRETE BLOCK
INTERIOR AIR - - - - - - - - - - - - - - - -
CONC. BLK. - - - - - - - - - - - - - - - - -
INSULATION - - - - - - - - - - - - - - - - -
SHEET RK. (OPT. )- - - - - - - - - - - - - - -
EXTERIOR AIR- - - - - - - - - - - - - - - - -
TOTAL "R" VALUE - - - - - - - - - - - - - - -
1/R = "U" VALUE - - - - - - - - - - - - - - -
THRU RIM JOIST
INTERIOR AIR - - - - - - - - - - - - - - - -
INSULATION - - - - - - - - - - - - - - - - -
RIM JOIST - - - - - - - - - - - - - - - - - -
SHEATHING - - - - - - - - - - - - - - - - - -
SIDING- - - - - - - - - - - - - - - - - - - -
EXTERIOR AIR- - - - - - - - - - - - - - - - -
TOTAL "R" VALUE - - - - - - - - - - - - - - -
1/R = "U" VALUE - - - - - - - - - - - - - - -
THRU CANT. @ MEMBER (ENCLOSED)
INTERIOR AIR- - - - - - - - - - - - - - - - -
FINISH FLOORING - - - - - - - - - - - - - - -
UNDERLAYMENT- - - - - - - - - - - - - - - - -
PLYWOOD - - - - - - - - - - - - - - - - - - -
JOIST - - - - - - - - - - - - - - - - - - - -
SHEET ROCK- - - - - - - - - - - - - - - - - -
STILL AIR - - - - - - - - - - - - - - - - - -
TOTAL "R" VALUE - - - - - - - - - - - - - - -
1/R = "U" VALUE - - - - - - - - - - - - - - -
THRU CANT. @ INSULATION (ENCLOSED)
INTERIOR AIR- - - - - - - - - - - - - - - - -
FINISH FLOORING - - - - - - - - - - - - - - -
UNDERLAYMENT- - - - - - - - - - - - - - - - -
PLYWOOD - - - - - - - - - - - - - - - - - - -
INSULATION- - - - - - - - - - - - - - - - - -
SHEET ROCK- - - - - - - - - - - - - - - - - -
STILL AIR - - - - - - - - - - - - - - - - - -
TOTAL "R" VALUE - - - - - - - - - - - - - - -
1/R = "U" VALUE - - - - - - - - - - - - - - -
0.68
1.28
5
0
0.17
7.13
0.140
0.68
19
1.89
2.06
0.78
0.17
24.58
0.041
0.68
1.23
0.93
0
11.88
0.58
0.61
15.91
0.063
0.68
1.23
0.93
0
19
0.58
0.61
23.03
0.043
?Page 6 OF 6
THRU CANT. @ MEMBER (EXPOSED)
INTERIOR AIR- - - - - - - - - - - - - - - - - 0.68
FINISH FLOORING - - - - - - - - - - - - - - - 1.23
UNDERLAYMENT- - - - - - - - - - - - - - - - - 0.93
PLYWOOD - - - - - - - - - - - - - - - - - - - 0
JOIST - - - - - - - - - - - - - - - - - - - - 11.88
SHEATH I NG - - - - - - - - - - - - - - - - - - 0
SOFFIT- - - - - - - - - - - - - - - - - - - - 0.47
EXTERIOR AIR- - - - - - - - - - - - - - - - - 0.17
TOTAL "R" VALUE - - - - - - - - - - - - - - - 15.36
1/R = "U" VALUE - - - - - - - - - - - - - - - 0.065
THRU CANT. @ INSULATION (EXTERIOR)
INTERIOR AIR- - - - - - - - - - - - - - - - - 0.68
FINISH FLOORING - - - - - - - - - - - - - - - 1.23
UNDERLAYMENT- - - - - - - - - - - - - - - - - 0.93
PLYWOOD - - - - - - - - - - - - - - - - - - - 0
INSULATION- - - - - - - - - - - - - - - - - - 38
SHEATHING - - - - - - - - - - - - - - - - - - 0
SOFFIT- - - - - - - - - - - - - - - - - - - - 0.47
EXTERIOR AIR- - - - - - - - - - - - - - - - - 0.17
TOTAL "R" VALUE - - - - - - - - - - - - - ' - 41.48
1/R = "U" VALUE - - - - - - - - - - - - - - - 0.024
FILE NAME: ENERGY.BHC
? HFk(* K:;'.?nAC.;iri*3',:.'4, :{tY,:mn:R<'ikY,i
C?TY 07 I-AGAN
C6rSK:lFIi- S T-RM?t+'P.'_ isL'; 992
0AfE' 06/0099 ''tM 59.4009
tn,:
06rir;: DAFII._.ri'rFil)M LtIES7:CNLf-: NI'NESO
??i.0 7P01 703 i-'AY !_AW C''
,55 9nC1?. 703 NpY Lti ir- CT Cl..:':;fJ
?
?y
'fetal Fierraypt 4nmur'r.p i;f:l.`:iD
M1A0'=,i -
ll8i:i"t 70 NO"IY
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 Q_':?-o
9 C4 ? 651-681-4675
L'_
New Conshuctlon ReaulremeMs Remotlel/Reoair Reaulreme
? 3 regisfered affe surveya ahowing sq. tt. M lot, sq. k. of house 2 copies ol plan
and Q( roofed areas (20% maximum loT eoverqge allowed) 1 sef of energy calculaHons tor heafed addfttons
? 2 copies of plans (show beam 8 wfntlow aizes; poured ind. design; etc.) 1 sRe survey for exterior addXions a decW
D 1 sef ot energy calculrnlon:
? 9 copies of hee preservcifon plan M IW ptolFed affer 7/1/93
DATE: CONSTRUCTION COST:
DESCRIPiION OF WORK:
STREET ADDRESS:
CT
LOT: ',?- BLOCK: I SUBD./P.I.D.#: flo-?
PROPERTY
OWNER
Name: 1&6ll?°?f?/? =7djC
:f::: -r ?? phone #:
Lasf f(rsT
Street
3
City 44929'"? State:
/041v
Zip: -12i3
Company: L)?7nV.AL 4t lG?CJ? 1/ Ph e#: ??el
/JH?
(area code)
CONTRACTOR
Street Address:??pS License # 17 ?? Exp. 3 2°ZI"
Cffy l?l7d ?2 ?•?av?- ?TJ State:. /410, Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Sfreet
City
Sewer 8 water Ilcensed plumber (reaulred for new conshucTton onlvl:
State:
Penalfy applies when address change and lot change is requested once permff is Issued.
Zip:
i'hereby acknowledge that I have read ihis applicaflon, state that the informa is ansl.ngr o comp4KwR appilc?bl
3tate of Minnesota Statufes and Cify of Eagan Ordinances. / ?L
?? -,?-?
Signature of Applicant:
Certificates of Survey Received _
Tree Preservation Plan Received _
OFFICE USE ONLY ,
Yes No
Yes _ No _ Not Required
Registration #:
o v,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dweiling ? 07 5-piex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments 5 ) 19 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 Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. [3 40 Gas Insert ? 44 Windows/Doors
? 33 Aiteration ? 37 Demolish Bidg.• ? 41 Wood Stove ? 45 Fire Repair
34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
_ Basement sq. ft. Census Code 2
_ Main level sq. ft. SAC Code
_ sq. ft. No. of Units Z)
_ sq. ft. No. of Bldgs
_ sq. ft. MC/ES System
_ sq. ft. City Water
_ Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
Building 4L Engineering Variance
Permit Fee
5urcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
1
r
SAC Units
% SAC
L ? gL ? CITY USE ONLY RECEIPT #:
SUBD. ? RECEIPT DATE: -f
PERMIT# ?? ?X)I-
Y 999 PLUM$INH PEiMIT (RESIDENTIAL)
crrY oF EwtiArr
S$SO PILOT KNOB ftD
E4fiAcN, MN 55122
(651) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventerfor underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x ( _ $
Laund tra 3.00 x = $
Lavato 3.00 x ( _ $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal 5 stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x f = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwellin underconstruction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
TOt81 --' --> ----' ----> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------ - ------------------------------------------------------ ------------ ------------------- ------------- ..
I hereby acknowiedge that I have read this application, state that the information is wrrect, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the app6canPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the Ciry during ds
normal operahonal and maintenance activi6es to the facilities construcfed under this permit within Qry propertyinght-of-wayleasement.
SITEADDRESS' 2D s 4 C?? i-.Gj ?, (?r
OWNER NAME: : GL kU'E?? TELEPHONE #:
(AREA CODE)
INSTALLERNAME: TELEPHONE#. 3C/4E
(AREA CODE)
STREET ADDRESS. o
CITY: W-e.,5-r PCPL(I STATE: A`'k ZIP:
?-
SIGNATURE OF PERMITTEE
,
" CITY OF EAGAN
L o? B? ,q MECHANICAL PERMTf RECIIPT # O? 5
SUBD. (612) 6814675 DATE 8 9 9a-
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. AISO, COMPLEl'E FOR
TOWNHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQUIItED FOR FACH DR'ELLING UNTT.
OR'NER: ? FEES
STfE ADDRESS: ADD ON/REMODEI. (EXISTING
CONSTRUCI'ION ONLI) $ 15.00
HVAC: 0-100 M BTU / O?? 24.00
INSTALLER: ADDTI'IONAL 50 M BTU 6.00
ADDRESS: G (? Gr+S JUTI.E1'S - J4INIL.iUAt i C' $3 EA. la°S'
CTTY: ZIP: SURCAARGE: $ .SO
SIGNATURE: TOTAL: $ ?i
COMMERCIAL
PLEASE COMPLETE TFiIS PORTION FOR ALL COMMERCIAUINDUSTRLIL BUILDINGS. ALSO COMPLEfE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WfIEN SEPARATE PERMTIS ARE NOT REQUIItED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION: CONTRACT PRICE
I°6 OF CONTRACT FEE. FEFS
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE.
$
PROCFS5ED PIPING • $25.00
MIPiYMtiM FEE - $25.00
a
OR'NER: TOTAL: $
STl'E ADDRESS:
1'ENANT:
SUITE #:
INSTALLER:
ADDRFSS:
CI1'Y: ?IP:
PHONE #: CITY SIGNATURE.
SIGNATURE:
L 2 BL CITY OF EAGAN
SUBD.P?tritk dd O PLUMBING PERMIT
/ai t%n (612) 681-4675
R&SIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME : BLf ( LFp? 1404S I NC- C or{,
SITE ADDRESS: 'T t) 3 I-f a. y ?- ?LK41 Court'
INSTALLER: YVFLTEIZ r- 6L4y Lock (Nc
anDxESS: 8/ 9t<_'? QSr ro6 t-h- S7`
CITY USE ONLY
RECEIPT ? r'- 0 Zv1v
DATE '7 - 2 ? - 9 Z
AL50, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
N0. . FIRTURES EA. TOTAL
REPAIR/ADD ON 15.00
( SHOWER 3.00 3 ?
3 WATER CIASET 3.00
?- BATH TUB 3.00 ? °"
?i IAVATORY 3.00 .a-
l KITCHEN SINK 3.00 3.0--
IAUNDRY TRAY 3.00 3 c-
HOT TUB/SPA 3.00
? WATER HEATER 3.00 2,
/ FLOOR DRAIN 3.00 3.°?
GAS PIPTNG OUT.
? (MINIMUM - 1) 3.00
3 ROUGH OPENINGS 1.50 L
oTHEx
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
STATE SURCHARGE .50 f;-v ?
TOTAL: S S 3 b?
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COIR4ERCZAL/INDUSTRIAL SUILDINGS. ALSO POR MULTI-FAMZLY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNEK NAME:
SITE ADDRESS:
TENANT NAME:
SUITE $:
INSTALLER:
ADDRESS•
CITY:
PHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE a $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURC1iARGE
TOTAL:
$
(SIGNATURE)
CITY: t3 Co o m r n q?,.. ZIp;
PHONE #: ? U - 3 I7 ?
J5?(p ?-
City OF Eagan
3830 Pilot Knob Road, Eagan NIlV 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructian Reauiremenls
3 regislered site surveys shmny sq. R. of lot, sq fl of hase; and all rooted areas
(20%maximum lot coverage allowed)
1 Soils Report 'rf proposed building is to be placed on disWrbed soil
2 copies of plan showing 6ffim & vnndow sizes, poured found design, etc
1 set of Energy Calculetlons
3 copies of Tree Presenalion Plan if lot platted after 711f93
Rim Joist Detail Optlons seledion sheet (buddmgswith 3 w less units)
Minnegasco mechanical ventila6on form
RemodelRienair Reauiremenls
2 copies of plan showing foofings, Deams, joisls
1 set of Energy Calculations far heated addilbns
1 site survey for addihons & decks
Addi6'on - mdicate tloo-sRe seph'c sysfam
6`mce use o?dJ
CeRWSuroeyReW _Y _N,
?Sw'ls RepM _Y
TreCPre5P1en,Hecd -Y_. _°N,
Ttee Pfes'Re9uv8tf. R°'. 3.?cTYi`
tRf,? S? Syst_ein'_`?.:;,???^.'?Y ?tJ
Plans are considered oublic information unless vou state thev are trade secret and the reason.
-7 " (3 51- 7 ?
I (°
Date
/ / G )
Cons truction Cost
SiteAddress ?v3 / Y ?f+k-l C-T
4,1 Unit/SteJ!
Description of Work o/?= 4,n IZ c 2o L" 0=
Multi-Family Bldg _ Y fN Fireplace(s) Z-1?0 _ 1 _ 2
Property Owner 61+14,24,e s Iiz I Tlt=-- Telep6ooe #(?'?
Contractor (/A, S j W ? ? ?, 7-,!? -? t 6"e 't
Address 2Z7? ??p X,0 City Si
State n^^? Zip Telephone # (61 ( ) 2 ?- I - ° 9"0
COMPLETE THIS AREA ONLY IF CON$TRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 9672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Suhmitled Submitted
• Energy Envelope Calculations Submitted
In the last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a mnster plan?
Y _ N If yes, daTe and address of masier plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
avnlv
Buildine
Telephone #(
Telephone #(
Telephone #(
that the
complete and accurat
e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, andis not to start without a
permit that the work will be in accordance with the approved plan in the case- ar ich requires a review and
approval of plans.
?rL--C ?vltiti
Applicant's Printed Name
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
(UU(
ID
tzu zs3_/
?I
Srrrve?ors G?er??f?cate
SURVEY FOR: Butler Ilousing Corp.
DESCRIBED AS: Lot 2, Block 1, 1'ATRICK ADDITI
Alinnesota and reserving easernents of record. /
!Y
E•?st Ilnm78.: 921.2
'11SJr
9183
0^
h
ti
.?
tio
2
r)RT
,` .
P
?
PHOPOSEO ELEVATIONS
Topolroundallons e 4Z4.9
Garege Floor e q7-4.S
Basemenl Floor a y'4 ,7
Approx. Sewer Service E lev. a N/a
Prvposed Elevalbns e Q
Existing Elevallons s
breinege Direcllons e.?.,_.
benoles otfset 51ake = O
ity o.[ F:agan, llakota County,
SC1. FODTAGE
21, 746-L
SCALEs 1 Inch = 30 FtEf
lifEDLUND
Planning Engineering Surveying
9201 Eeal Bloominpjan Rvtewe . Btoomi lom. Minnetolt 55470
ieieorwoa ?ir aeeoz?a
son mH on ?
r
V, -- ?
MIN. SE76ACK HEQUIREMENTS
Front - ao
? Rear -_,,._ .
1 HE RE BY CE RT IFY THAT TNIS IS A TRUE AND CORRECT REPRESENTATION
oF TFIE BOUNDAAIES Or THE ABOVE bESCRIBEO PqOPERTY AS SUR-
VEYED BY ME OR UNDER MY bIRECT SUPERVISION AND DOES NOT PURPORT
TO SHOW IMP{IOVEMENIS OR ENCROACNMENi3, E%CEPT A3 SHOWN.
oaia 7 r/, 92- 0• . .
J E , LINDGREN, LA D SURVEYOR
MINNESOTA LICENSE NUMBER 14378
House Side - io
_ Garape Side -s
? IiIM
JOB NO.:
qzR-287
BOOK: I PAGE:
CADD FILE: I DWO. CHK.
F3utler92
t-
a?o .
O
is
' - - - - - - - - - - - - - - - -
-For Office Us@
1
Permit 7 I
I I
City of Ea I
Ed Permit Fee: V~
I
3830 Pilot Knob Road
I
Eagan MN 55122 i Date Received: l
Phone: (651) 675-5675 1
Fax: (651) 675-5694 Staff: j
2009 MECHANICAL PERMIT APPLICATION
Date: v Site Address: L C-4=
Tenant: Suite
Phone:
RESIDENT /OWNER Name: C
u ( 1( :T f 1+ Er 0
Address / City / Zip:
CONTRACTOR Name: /r License Y~
Address: GO (/Z)
City: S- \ 4k.&-l State: AA Zip:."M10 J
Phone: io!s N-1"C t06 Contact Person: A, A f (+L-t,6-r
TYPE OF WORK New _,2~ Replacement Additional Alteration Demolition
Description of work: eiQ 14-(!C C( J tl a.e C_
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner _ Install Piping _ Processed
_ Air Exchanger Gas Exterior HVAC Unit
Heat Pump - Under / Above ground Tank Install / - Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
= $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformanc 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 p t; that the work wil be in ac dance with the approved
plan in the case of work which requires a review and approval of plans.
X in A ~ f x
Applicant's Printed Name Applic S n ure
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: !Under Ground _ Rough In -Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
.
tom.
. ~ 4..
w. , ;
9 _
°t ' _
...4~~,, ? . ~ s * •r ; 1.
# ` i
•1
.11 • r ~ ~ '1
e r
f ~ ~
. ~ • ~ i
i
~ t '
r
t ~ t ~ ~ i ~ ~ ~s~.
Use BLUE or BLACK Ink
I
I For Office Use I
n~ n Permit IV. y tot EaV I I
I Permit Fee:
3830 Pilot Knob Road r
Eagan MN 55122 I Date Received:
I I
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 L
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address: v ~1 Lq C~t
Tenant: Suite
Name: t~~l1GYl 1 ~t Phone:
RESIDENT /OWNER t( ~,h NI ~ 55 I L3
Address / City / Zip: 703 `s.~ lam- Cr
Name: GrA License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
DESCRIPTION Description of work:
FEES
q2-
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ 0
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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 accordance with the approved plan in the case of work yvhich requires a review and approval of plans.
x Chalts Tv;4- x 0"A&t~
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
Use BLUE or BLACK Ink
r
For Office Use l
I I
Permit 1
n(I
City of Eagan
Permit Fee:
I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 ! i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: (e ` Z.l. t3 Site Address: 703 -KY L'AVE eT Unit
Name: C.kAVR LC-S -fKLATi m f:°:_r, Phone: (pS 13 o"128OVI
Resident/ Z0 3-tAMLAVZ- C,1- -15~ AN 5517,3 (t2--'\9(0 Devuu
Owner Address / City / Zip
Applicant is: Owner Contractor
Description of work: RL~Irc iln~ aczUtm av%A yGNLtovt &tcAe_
Type of Work
Construction Cost: Multi-Family Building: (Yes /No x)
Company: ScA Contact:
Contractor Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
U
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 they 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.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
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
t
x 6+tAV-LrS U l'AIN x Gi~jk
Applicant's Printed Name Applicant' Signature
Page 1 of 3
70-3 /h,, y &4kicf
NOT ELOW HIS LINE ///5 07
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) _ Exterior Alteration (Multi)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of - Plex _ Lower Level _ Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building Reroof _ Demolish Interior
_ Alteration Fire Repair _ Windows _ Demolish Foundation
Replace Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation - Occupancy ;AZ MCES System
Plan Review Code Edition -,x4r? SAC Units
(25%_ 100% Zoning A City Water
Census Code l~3 Stories Booster Pump
# of Units / Square Feet PRV
# of Buildings ! Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
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 Windows
Insulation Retaining Wall: _ Footings _ Backfill Final
Sheathing _ Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee 73 76_
Surcharge
Plan Review
07 ty-
MCESSAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies 3 b'
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155217
Date Issued:05/03/2019
Permit Category:ePermit
Site Address: 703 Hay Lake Ct
Lot:2 Block: 1 Addition: Patrick
PID:10-56790-01-020
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 -
Charles A Trittin
703 Hay Lake Ct
Eagan MN 55123
(651) 307-2897
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature