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786 Hay Lake Rd NSEWER & WATER PERMIT cmr oF EaGAN 3830 Pibt Knob Rd. Eagan, MN 55122-1897 OFFICE USE ONLY METER #?-35rO? 9EO PERMIT DATE Z f% I5/&9 CHIP # J PERMIT # z 1096 METER SIZE ? C?i B.P. RECEIPT #'l ISSUE DATE - Z2f B.P. RECEIPT DATE K2L PRV _ BOOSTER PUMP SITE ADDRESS 114,/ 1,4l4? tou r /k,P LOT ' BLOCK SEC/SUB ; ?)AJIJ Ri%` I C_ -Z'J ? APPLICANT. ADQRESS: / , 1) . 1 -:- a CITY, STATE . 5 ?4: .Ih ZIR?? PHONE: 7 <;' : 2 ?-`- -` PLUMBER: IJ ? f•- ?.- f" !A i ADDRESS: ' :r' /r Z, CITIr, STATE - '... .? , , ? ? ;• ; : ? : . . ? ZIP -? PHONE: laG OWNER: ADDRESS: .f • ?? ?.? CITY, STATE ZIp PHONE: ' PERMIT REQUESTED ?SEWER --k-`WATER _ TAPS `COMM/IND kf? 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. ,?..;?j ? I AOREE TO COMPLY Wlj?l CITY OF EAGAN ORDINANCES i SIGNATUREqAlHEN METER ISSUED PIEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR (NSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. r . INSPE R-I:-?i-C-URIY------- CITY OF EAGAN PERMIT TYPE: '"' ' 3830 Pilot Knob Road Permit Number: 04 1 ff o Eagan, Minnesota 55122-1897 Date Issued: ''''IQsi /`'?{ (612) 681-4675 : »- SITE ADDRESS: ' rv.i o r: :t,H ;,,tiY l.AKE RD N h f1iJN tt.liit;f : MA PERMIT SUBTYPE: 1)1 -4 r 1 Ni1 '; I "kKSs.,,_p) AN ftf VfFI,#F11 BY RY1 1 f1I1AM'; TYPE OF WORK: 1NA1 --, F L ? APPLICANT: i?? !-• 1 1 ti ?! 4 Pertnit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUNO FRAMING ROOFING ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BDARD FIREPLACE FIREPLACE AIR TEST FINAL PLE3G FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH PAAINS corvoucnvm TEST HYOROSTATIC TFST BSMT R.I. BSMT FINAL DECK FfG ,? l7 - DECK FINnL I l! • I7 - 4$ , y?- o_C? - lj'?E C70?c'?r?/d/CJ /vvT/GL !1 • f2,?P? ? . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ? . . . 0 SITE ADDRESS: I Ar I p ' PERMIT SUBTYPE: AMIN+ I M [illi,ll IN f'I.Fii PERMIT TYPE: Ilu i i io r Ne Permit Number: Y y Date Issued: 3/ 4 F, APPLICANT: i „?. • ' ?, ? , I?i, TYPE OF WORK: ) ff',111 A I I t}N P t N hI ?ftfMAl1M:',- q`..t„P"AF+A7f 11 RM 1 1f', !<f't?!lTkf(i I u0? ANY E11111411 Ihlto C?k hIC1'Tlilt'A1 IJrI k) F I , L . ?I il i?r Parmit No. ELECTRIC PLUMBING HVAC FOOTINGS FOUND FRAMINQ ROOFINC3 ROUGH PLUMBINO PLBG AIR TEST GAS SVC TEST INSl1L GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FT(3 DECK FINAL . , >;+TJ . ..?K, _ ; 'y+y!?y";aS;rJf •..,:w??+? . . , . 7zF6'a.?A?rF;•-7Rep?;.y*r""?'?,+_. CITY OF EAGAN 17302 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 I BUILDING PERMIT ' To be used lor SF DWGf CAR Site Address tf D° Lot 1 Block _ Parcel No. W Name ' a Address P ? ciry BAYA, o Name SAME OV ?a Address ? City ? WW Name Address Phone I hereby acknowlege that I have read this applica6on and state that the inlormation is correcf and agree to comply with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Signature of Permitee A euilding Permit is issued to: G 3 M 1KMS ? on Ihe express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry o1 Eagan Ordfnances. Buiiding Ofticial ? Receipt # J OFFICE USE ONLY Occupancy Rp3 M- FEFS i Zoning -T-K 332,00 (Actuai) Const v N Bidg. Permit (Allowable) Surcharge 38'00 # of Stories ? • Plan Review 266.00 length • 1 ? 00 DeDth - SAC. City 0 S.F.Total - 575.00 SAC,MCWCC S.F. Footprints _ s?•? On Site Sewage _ Water Conn On Site Well -? Water Meler 90•00 MWCC System ? Acct. Deposit 30,? Ciry Water ? 20'00 PRV Required S/W Permit Booster Pump - SiW Surcharge 1'00 228.00 ? Treatment PI APPROVALS qoad Unit 340'00 Planner Council - Park Ded. BIdg.OH. ? _ Copies Z ? ??.00 VarianCe - TOTAL Est. Value f76,000 SeclSub Phone Phone Permit Na. Permit Nolder Date Telephone # WATER ?lC ? r C[I?l_ ed-i.Ck[-. SEYYER PLUMBING ; H.V.A.C. EIECTRIC n W/j ?,?. ??-??!s? ?•?? Inspsction Date Insp. Comments Footings I ii .?O Famdation Frarning i r Roofing Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Fnal Plbg. Consl. Meter Plbg. Inspector - Notify Plumber EngrlPfan Bldg. Final Deck Ftg. Dedc Final Weil Pr. Disp. (Itr#ifiratit of (Orrupanry Citp of eagart llrpttrtmpni n# luflbtM JWPrtiun This Certifrcate issued pursuant to the requirerrren[s of Section 306 ojthe Uniform Building Code cerlifying that at the time of issuance this structure was in compliance with the vurious ordinances of the Ciry regulating building construction or use. For the followrng.• use class;rx.uon SF IJWG/C& Bift. yt,m;, ro. 17302 Occupancy Type R3/"1 1 Zooing pisuicy PD/Ri TyPe C,omt, VN 0,m,1.r Bvaaiqg G& M E13CS Add. P.O. BO}C 152, SAVA(E Bw7aing d.ess 786 N'Xt'IH HAY i.AKR %]An 14cWy i.l . A5, FAWN $TTYF. 2M ( p„e APRII.25, 1990 ? Bu?didg Ofl' POST IN A CONSPICUOUS PLACE PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ??' f? •, CONTRACT PRICF- aWnuF• aae_nlnn ? Name tiY J? ? Address c City Phone Name ; ?e• -` ,•;" ?, 3 Address p City Phone FEES COMM/INO FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/INQ FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES t OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYE WORK pESCRIPTION Res. New -X Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES JOTAL Water Closet - $3.00 4 T_ ? Bath Tubs - $3.00 -/-Lavatory - $3.00 T_Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 / Laundry Tray - $3.00 "Floor Drains - $1.50 ? Water Heater - $1.50 Whirlpool - $3.00 ?Gas Piping Outlets - $1.50 ? ? ' (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 -?Rough Openings - $1.50 ?a l FEE: . :. STATE S/C: J )1 GRAND TOTAL: ` ? ? `? m ? c m c 3 O PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 'RACT PRICE: r PHONE: 454-8100 For Office Use Only: ddress ' - - , ? , BLDG. TYPE WORK OESCRIPTION ? Block Sec/$ub;, Res. New Name Mult Add-on Address f Comm. Repair ,, - - Other City Phone Name City TYPE OF WORK Forced Air Boiler Unit Heater Gas Piping Outlets # Other 1C/ M BTU M BTU M BTU M BTU CFM FEE S/C: TOTAL• FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 k c (RES. HVAC INCLUDES A/C ON NEW MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 {AQD $.5Q S/C IF PERMIT PRICE GOES BEYOND $1,000) ? SIGNATURE OF PERMITTEE CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE "APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADO-ON & REMOOELS - r FII FOR: CITY OF EAGAN 12.00 1NSYECrl,iVl \ REV VRD CITY OF EAGAN PERMIT TYPE: 11 , 3830 Pilot Knob Road ?gan, Minnesota 55122-1897 ? Permit Number: 0 0 Date Issued: (651)681-4675 SITE ADDRESS: APPLICANT: ' PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .• - . DATE INSPTR. 7 F L ----------------- ? 1??? ? ------------------ Permk Flolder 00e Telephone • SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING RODFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCnvirr TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Q-Il O?J? REQUEST FOR ELECTRICAL INSPECTION 0?` , ee-00001-09 ??6 ? See instructions for completing this brm on back of yellow copy. y€? ?/ ?/e "X" 8elow-;vork Covered by This Request ? Ne Add Rep. Type of 8uilding IW 9.p"pGances Wired Equipment Wired Home ange Temporary Service Du lez ater Heater Electric Heating Apt. Building l ryer Load Managemenl Comm./Industrial urnace Other (Specify) Farm Conditioner Air ecii ), Conlraclor's RemarW: . i Compute lnspection Fee 8elow: # Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above200_Amps Ab _?,-Am s SignS ' Inspector's use Ony: T ? Irrigation Booms . S eciai Inspection Alarm/Communication . THIS INSTALLA710N MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLE7ED WITHIN 78 MONTMS. I, the Electrical Inspector, hereby if Rou9n;n • oale y that the above inspection has cert been made. F.??ai oa?e OFFICE USE ONLV ' This request voitl 16 months kom iiisn-i. ? ? j3P19=1 5 3 0 j"d ? ?? / PeQUe Dale j ? Flre N, R ugh-In Inspection Requlred Inspec6on OtherTOan Roogh-In (VOU u carl inspector when atly) ? Featly N. C] Will Notify Inspector Yes ? No Oate Reatl I licensed contractor ? owner hereby request inspection of above electrical work at Job Atldress (Sheel, Box or Route No.) ' Ciy ? M Semion No. Township Na e or No. Pange No. C ounI n 0 r'icNT, 5 . v I n? P R-aI DL Powgr upplier 1 _f Atltlress Elec ical Contracbr (Company Name) ? (?-rr( c Conimctor's License No f1a f Meiling AOdress (ConV or or Owner Making Installation), I k-?o l?r?.. -n v (.Q_ Mti lss_? ih zetl Si naNre (COnVactonOw Making Inslalletion) - e,?. c?teirtaer1 _ ? PhoneNVmber q 1 13 B GB 99VNVe s?y Ai e,St. Peu S MN B%1041C1TV NLSS T 11111111111111111111111111111111111111111111111111 UNCEOSE ROP ER INSPECTIONFOEER3 Phone (812) 842-0800 . l„2/Y ? C'?// d' °'' ? •r "-- f? 4 6 8 70 Request Date G-- f? ??? Fire No. Rough-in Insp ion " Fequlred9 ? ReaAy Now LQAJill Notify Mspectw /? When Ready? J pc?s ? No I icensed. contractor ? owner hereby request inspection of above electrical work at: Job Atldress (Slreet. Boz rn RMe No.) G!-''ritfc` City i4 vJ Seclion No. Township Neme or No. Range No. Coun{?y ,,? ^ ? 1-?ITLCU 'j?/'T Occupflnt(PRINT) /-?'G1 , 9 a.f? ilf?'-_ Phone No. v`J-0/6?5-' Parer S pptiar Go7`?i"' Adtlress ?4'hi^1G ?4A) ElecVical Conimclor (GOmparry Name) CoMractor?§y cense Na. ees-;? 3 O f Mailing Atltlresa (COntreclor or Owner Making Irvstalletion) ?("',e .1';-- G f?97.?y'SeE; Authorizetl naNre (C orrowrier irg Ins?allafion) ? ? c PFwne Number 7 /J Y "R1INNESOTA STATE BOARD OF ELECTNICffY ? THIS INSPECTION REOUEST WILL NOT GrMgge-Mitlway Bldg. - Raom &173 BE ACCEPTEO 6Y THE STPTE BOARD 1821 Univenity Ave., St. Poul, MN 55104 UNLESS PFOPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION / lo See inetructians br cpmplsting thls tarm on beck ot yellow wpy. 0 46870 ? -X" Belaw Wor1c Covered by This Request Ee-0OpD1s e A ep. - TypeolBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm.llndustrial Furnace Farm Air Conditioner Olher(specify) Contractor§ Famaiks: Compute lnspection Fee Befow: " # Other Fee # ServiceentranceSize Fee # CirouitslFeetlars Swimming Pool ;KJ O to 200 Amps 0 io 700 Amps Transformers Above 200 _ Amps Above 700 _ Amps I y SigflS InspeclorB Use Only: TOT L Irrigation Booms Special Inspec[ion AlarmlCOmmunica[ion Other Fee I, the Electrical Inspector, hereby certifythattheaboveinspectionhas been made. flough-in ? Finei oei%7 0 oa ? oMce use oNLr This reQUest wiC 18 monihs hom K 9999E iod r Request Date ? Fire No. Rough-in I specl Requiretl? ? ] Heatly Now {yWill Notity Inspectar R d ? ? ?Wh (s? ? Ves en ea y Iklicensetl contractor ?] owner hereby request inspection of above electrical work at Jo0 Adpress sVeet Box or RoNe No.) -7o, 116)?. Lk d Ciry C .a Sedion No. Towns?ip Name or No. Range Na County ^ ^ Occupant IPRINTl Phone No. Power Suppber T?/4KojA Atldress Eieclric vecror IGompan Name? / . /1 ? ?? -? Convactor'§ JL'cense No.C C?G7Y/ G l A ro Y Mailing aadre ( iractor or Owner Making Inslallation) Aumorizetl tre ICOtnr mnOw r ak?ng I uation? ____ .ii> _ Pnor?e Number //? / -?tlG /O MINNESOTA STRTE BOARD OF ELE RICITY Gtlgga-Mitlway BIEp. - Room S173 1821 Univercity Ave.. SI. Peul. MN 55100 Plwne (613) 642-0800 y- ---V Tv - THIS MSPECTION HEOUEST WILL NOTf Wp?j ? BE ACCEPTED BV TNE STFTE BOARD 4µP ? UNLESS PROPER INSPECTION FEE IS? Cb`? ENCLOSEO. `y? REQUEST FOR ELECTRICAL INSPECTION °'"""h? eaooom-oa 6 See inskuctians lor campleting this lortn on back ot yellow copy f7 8226 K 'JF' Below Work Covered by This Request ?? . ew Atltl Rep. TypeofBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other-(Specify) Comm./InduStrial Furnace Farm Air Conditioner y? Other?syealyl GantractorsRamarks: •7lNe pQG,VCY' S(/,/-/'f?? ,??•, T,L ?ll??? ?L / (/ ?? Compute Inspection Fee Below: NOY/ !T ?L/uTri9"I ?bc- a Other Fee # ServiceEntrenceSize Fee # Circuds/Feeders Fee Swimming Pool 0 to 200 Amps o to 700 Amps TranStormers Above 200 _ Amps Above 700 _ Amps SigflS Inspettor§ Use Only: ? -. TOTAL 5-O Irrigation Booms IJ •OCJ : Special Inspection Alarm/Communication THIS INSTALLATION MAV BE OR DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Finsi ? i OFFlCE USE 9NLY _ ITnis repuest void 18 monihs Irom V ?? _ , . - - - '- - CITY OF EAGAN NO 17302 3830 Pilot Knob Roatl, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDINGPERMIT Receipt# e Llwl Tobeusedtor SF DWG/GAR EscValue $76,000 Sile Address 786 N HAY LARE RD Lot 1 Block 5 Sec/Sub. FAWN RIDGE 2ND Parcel No. w Name G& M HOMES a Address P 0 BOX 152 City SAVAGE Phone 890-2523 to Name S? I g? Address • City Phone ?w Name ?= Address <W City Phone I hereby acknowlege that I have read this application and state Ihat the inlormation is correct and agree to comply with all applica6le State of Minnesota StaWtes and Ci Eagan Ordinanc s. Signature ot Permitee A euilding Permit is issued to: G 8o M HOMES on the ezpress condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry ot qagan Ortlinances. Buildinq Official OFFICE USE ONLV Occupancy R-3 M-1 FEES Zoning PD R-1 (ACtual) Const V-N Bldg. Permil 532.00 (Allowable) V-N Surcharge 38.00 # ot Stories - 266 00 Length 46 ' Plan Review . Deplh 48 ? SAQ Cily 100.00 S.F. rotai - SnC. MCwCC 575.00 S.F. Foolprints _ On Sile Sewage _ 'Nater Conn 580.0 n On Site Well - Water Meter 90. 00 MWCCSystem XX Acct. Deposil 30.00 City Water -M PRV Requi(ed XX SiW Permit 20.00 Boasier Pump - SiW Surchar9e 0 1.0 Treatment PI 2 98- nn APPflOVALS RoadUnit 340-0 n Planner - park Ded. Council _ BIdg.Ofl. _ Copies Variance - TOTAL 2, ? 800.0 jq& 5y Phone #: New Conatruction Reauirementa • 3 registered site surveys showing sq, ft. ot lot, sq. ft. of house; and all roofed areas (20% mazimum lot coverage allowed) • 2 copies of plan showing heam & window saes; poured found design, etc.) • 1 set of Energy Calculafions • 3 copies of Tree Preservation Plan 71of platled afler 7fl/93 • Rim Jaist Detail Options selecfion sheef (bldgs with 3 or less units) DATE 'Y I ` JOB SITE ADDRESS ~I IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE OF WORK L32N APPLICANT ? ADDRESS SS PAGER # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Sut - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical Syslem Includes: Sewer/Water Contrqctor: Air Conditioning _ Heat Recovery System Lawn Sprinkler No. of R.I. Baths _ Phone # Phone # ? ll T APR 1 5 2002 4!?p Fcc: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabie Stote of Minnesota Statutes and City of Eagan Ordinances. Slgnature of Applicant Crs%?rY- Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAIY 3830 PILOT KNOB RD - 55122 651-681-4675 CELL PHONE # Water Softener Water HcaCcr No. of Baths RemodeUReoair Requlrements • 2 copies of plan • 1 sei W Energy Calculalions for heated additions • 1 site survey tor exlerior additions & decks . Indicate if home served 6y seplit system foradditlons VALUATION 3 RD mnAl. rn ri FIREPLACE(S) _ 0 _ 1 _ 2 PHONE# 41I?G ? ZIPCODEs..?c).2, OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 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 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) ? 44 Siding ?' 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement •Demolitian (Entire Bldg only) - Give PCA handout to appllcant Valuation Occupancy MCIES System Census Code Zonir?g City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) , _ FinaUC.O. Footings (deck) • • ? _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile ,., Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Ftaming _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By 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 Building Inspector -? EITY• OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: e2o .4?Z/i?- BUTLDING 028979 07J13/95 SITE ADDRESS: P.I.N.: 10-25801-010-05 DESCRIPTION: PERMIT 786 HAY IAKE Rp N Ltl7c 1 6LOCK: 5 FAWN RICIGE 2ND B?.lc?,xngz4Permit Type BUilding W'o*k Type s ^ ?. ?'SF a"'' n ¢ BASEMENT FINISH ALTERATION o- ? 1 L I&L ?? q 6 L rq ? 5 ? t9t& ?q ?. w'33 ry? s G SR .? 'L?? 9p tsi °,,, REMARKS: A SEPARATE PERMIT IS REQUIREtl FOR ANY PLUMBIPdG OR ELECTRICAL WORK FEE SUMMARY: Base Fse $35.00 5urcharge $.50 Total Fee $36.50 CONTRACTOR: - Applicant - sT. Lzc. QWNER: CONCEPTS IN LIVING 18902106 20011265 EMERSON .7AY 13108 GRANp AVE 786 HAY LAKE RD N BURNSVSLLE MN 55337 EAGAN MN 55123 (612) 890-2106 (612)952-5023 I hsreb,y acknowledge ttrat°T'h?Ve t?o atl tMks appiloatian and'st?t?,tYt?? t;he infc?rma;tio?r is carrsct ancll agrae_;tn ?com;ply with ali'app3.ic=?bk? 5??at? a? M?","' ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICraTION (RESIDENTIAL) 681-4675 New Construetion Reouirements ?? Zo rjR ff;,°! r/e rj ? 3 regisMred siM suneys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes: poured fid. design; etc.) ? 2 sde surveys (exterior additions 8 dedcs) ? 7 energy calculations ? 1 energy calculations for heated additions ? 7 tree p2servadon plan if lot plattetl after 7/1/93 required: _ Ygs _ No DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT I_ BLOCK ? CONSTRUCTION COST: 1 ? e?Dd ' SUBD./P.I.D. #: PROPERTY Name: C_Y,ne25G?1 Phone #: 252` S023 OWNER 5treet Address, ?Q N,\j City: 2.G?QrAi-l 5tate: Zip: CONTRACTOR Company: 01) nc% J? :nj--? Ni i?! \,N i?rl C, Phone #: Street Address: f\v-e- License City: at16Z?1?U ARCHITECT! Company: Phone #: ENGINEER Name: Registration #: Street Address• City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that 1 have read this application and state that the informa' ? rrect and ag e to comply with all appiiqble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No J U N 3 0 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ?G-16 ? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 ? 05 SF Misc. ? 10 Muki (additional) ? 15 Deck WORK TYPE ? 31 New =43-33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Metar Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building ? Basement Finish. Swim Pool ' Public Facility Miscellaneous MCNUS System City Water Fire 5prinklered PRV Booster Pump Census Code. f?Y SAC Code oi Census Bldg / Census UnR 0 _ Engineering Variance Valuation: $ /S" % SAC SAC Units ?kY??C?t ?tks?C?C?tXt Xt # X?Yd?k????%?k?XXtktYF9F?X??:K ??k:Bk;YF%t?%Xt ?C CITY pF EAGFlN CA8N'f.FR? S T[FMSNAI... NO;; 861. iATE: 03%08/98 TTMEi 1.4;;53a47 ILi e NAME: 300 9001 706 Hr1Y I...AF:C RD 50.00 ^C.I.JJ `'?iJO:I. 7136 HAY LAP(F= F:ri Qe`.'i0 'fotal. Receip+, Ama.:ri+,. 50.50 CfiQ9 i 1;37 I.ISER ID: hANCY %? M -0??'FSk?kXtYFxokMXi?k«C?FW?iX?kW.B<?k?'?k?XX?W?k?K?XM%rX??XN?XXok PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan,Neinnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE Permit Number: Date Issued: 786 HAY LflKE RD N 1-01': 1 BIOCK: 5 FAWN t2TLlGE 2N0 P.I.N.: 10-25801-010-05 DESCRIPTION: ermit Type iQ,rk Type £? ,•& ie m"€ ^s "6 e a r? :u- ` DECK NEW 484 AL1`. RESTDENTIAI s i a xra 7r 1 e? ?.? ? cs ,o i 'kv di i. i qa ??E t? S" ?a.ia"Yt.la, ? qLvTiY"? u`+ BUILDIN6 033150 09/08/98 REMARKS: PLAN REVIEWED BY BILL ADflMS. FEE SUMMARY: Base Fee $50.00 Surcharge _.? $•5m Total Fee $50.50 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) " Ci i Y OF EAGAN , II.OT KNOB RD 55122 3830 P ? ? ? -,b 681-4675 . New Construction Reauirements RemodeVReoaii Reauirements ci - e?-n x?J ? 3 registered site surveys ? 2 wpies of plans (InGude beam 8 window saes; poured fid. design; etc.) ? 1 energY ealeulations ? 3 copies of tree preservation plan 'rf lot plattetl after 7/1193 required: _ Yes _ No o,aT: '? -d- - 9 8 ? 2 copies otplan ? 2 site surveys (exterior aAOdions & decks) ? 1 energy calalations for heated addkions CONSTRUCTION COST; DESCRIPTION OF WORK: JJetlk- STREE DRESS: 13E IJ. (W\ Lsk-4e M'() LOT: I BLQCK: ? SUBD./P.I.D. #: YROPERTY OWNER CONTRACTOR ARCHIT'ECT/ ENGINEER Ct91(-- 8?t?-o3oq? Nazne: ?Vvfd''sa'v --1A 1 Phone #: Last First Jxeel 'T8b N, csri _ EkSk-k) City Company: Phone #: Name: Street. City . Sewer 8 water licensed plumber (new construction anly): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiica6l State of Minnesota Statutes and City of Eagan Ordinances. ?? Signature of Applicant: _fV 'r.rarara nMfR P,\ OFFICE USE ONLY Certificates of Survey Received Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Registration #: a State: M",-/ Zip: Phone#: License # State: Zip: scau: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 5F Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE X 31 New ? 33 Atterations ? 32 Addftion ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 O 12 O 13 ? 14 RI, 15 ? Apt./Lodging ? Multi Repair/Rem. ? Garage/Accessory ? Fireplace ? Deck ? 36 Move 0 37 Demolition Basement sq. ft. Main level sq. ft. ? sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building fl/? Engineering Variance ? ? Permit Fee 5urcharge Pian Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies s1 Total: Valuation: $ 7 16 Basement Finish 17 .5wim Pool 20 Public Facility 21 Miscellaneous MGWS System City Water Fire Sprinkiered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit °k SAC SAC Units ^ 4J'V.V" . ` ICUNSUlTINO ENUINffRS ',EN?3??VE6fl1?VG rL nrurEns niid ?nnu duriuEVOns soo,? +34 . Pa? 53 - comrFlNy, irrc. IUUU LA9i I4e01 6TflEET, l1URN6VILLB, MINNE801A 6633i PH 4at-80U0 cerliricate of SLu-vey Leyu1 llescriIltioti: LOT / BLoCK S, FAltiiV R142'aE ZA/D ADD/T/cYV, DA,L'oTi} G?UA17Y, M/NNESbT.Q C9--0? DENOTC-S EXISTING ELEVATION ' (927•0 ) UENO'PES PftOPOSEU ELEYATION ? INUICA'f ES DIftEC7'ION Of SURFACE URAINAGE ?I Q ? ? 25. oo 1('94613) .• - -. 3. ? ii /p F ? ,, I I r ? !°`I IN? (NI \°?1 1 9Z7•33 - PINISI-IEU GARAUE PLQUR ELEVATION 924:3l = BASEMENT FLOOR ELEVATION 9z7.66 =.TOP OF BLOCK ELEVATION N 850 47' 17"W p-- DENOTE5 RIGHT OF ACCESS DEDICATED TO DAKOTA COUNTY / Ic ? Q26,9: 26,00 10 (9z;.oj D w - (yz7.o) v? ?.oo zz,ao R?' a tl- "? b.o3 / w • o N 64R46E ? I Z6, oa I/ ° ii g v o J 0 7.0) (927.a4 27,0) iE j V I ? '-3 1 :DNc t L--- I LO T ? ro I 15 ?-----? O o ?' '- ?-95.00-? p Q?3'?' NB9° 22' o4"!N (9Z3.4) k , W ^?? ? O m [?f \ v ? 2 J , r k, ,, (;e. 5CAZ45 : / // _ .30/ 6"" A??, r-t??? , ,. , . u ? ?.1./. ?? 4d.?./.,? L_`_'? . . , ? Ro !D I lieraby cerlify Ihol Ihis fs a bue aud correct reptesanlallan ol u iroct ot land as ehown and dascribed h•r.on, As poeparad by me on tlda Z.!L day ot DG7D&554?- ,1y?ft2 , D ? Mi„tt, R . eg. rio. /3bao \ PERMIT CtTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: P,zoiv.: 10-25801-01.0-0 S L or: I B, LOci<: i=Ft..iN f-I 1?0 (A ? zivo er o ?v 8 u1:l.[) irdr,• n34EiL7%9 43`si492 ig4 DESCRtPTtON: , ., rFr? (.,o;- din^"`+Ferm;it Tyrae idincl WI bt-k J yp a ti E' L# 9 l. t7 /] P , r PERMIT TYPE: Permit Number: Date Issued: STCf2i6 lJtlhil-1GE a:s4 a1- 7. ?r[0?-rd'rJ:A! U REMARKS: FEE SUMMARY: CONTRACTOR: - nno 1 icarrt - sT'.. OWNER: r?zowFST cEoaa rtrieL r?tooFie0 8 17.?s z??1??m?asC?v .?F',v ,0 <a:s ci,irF r;) A c e. 786 Hnr t rr•.i. itu N LiURiVSb'SI.LE ivlid 553'3 7 _1: f'SGF1N M N S 512 3 ( hl"L} 80 S -1 :l4 1, (':;;1.)45 2 - 5 0 :':, I Picrebv acknowleclqs that I hav2 rBad this aRp L`zc::etian and stia.e t'n4i 1? tkic .intormatiun ;.s cqrract and aqree t? compl;v wa.th nJ,l app1.i.cc.b,3e ;'.,t,:it.2 Qi' lyin. S:aCuf,r3e and C;iYp at"' ?aqart €7rdanances . L- APPLICANT/PERMITEE SIGNATURE (-)SSUED BY: SIG/N URE I 7989'HIIILDIHG PERMTT APPLICATION CTTY OF EAGAN SINGLE FAMILY DWELLIIiGS 2 3ETS OF PLANS 3 EEGISTERED SITE SURVEYS 7 SET OF ENEAGY CALCS. !lULTIPLE DWELLINGS RENTAL QNITS COMMERCIAL 2 SETS OF 9RCHI2ECTURAL 6 STHDCTIIRAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALC3. FOR SALE DNITS • OF IINTTS DiOTEs ADDRES3F3 FOE CORNER LOTS - CO1PfAACTOR/HOMEOIiNER MQST DESIGNAlE WHICH dDDEFSS IS DESIRED. NO CAANGES WII.L BE ALLOiIED OACE BDII.DING PERMIT I3 I53DED.. SEWER & iiATER PERMIT FEES 9ND ACCOQNT DEPOSIT FEES WII.L BE INCLIIDED iTITH THE HUILDING PERMIT FEE. PROCES3ING TIME FOR SEWER AND WATER PEAMITS I3 TWD DAYS ONCE 6 PEAMTT HAS BEEN COMPLETED INDICATING A LICEN3ED PLUMBER. PENALTY APPLIES liH1:Ns PERMIT IS NOT PAID FOR IN SiME MONTH IT IS REpDESTED. LOT CHANGE IS REQIIESTED ONCE PERMIT IS ISSDED. To He Used For: = S/ Site Address 76-4. n Hrw 14A 191301 MOLTIPLE DWELLINGS 2 3ETS OF PLANS HEGISTERED SITE SORVEY3 - (CHECS ilITH BLDG DIV.) 1 SET OF ENEAGY CALC3. Valuation: 619 Lot / Block -!,? Pareel/Sub F4eAJsJ Owner /V/ 6ddress 6. & a( City/Zip Code S9'?. t r, /'7?.? ,S.? ?9CT f x t??s Date: 74 ?ti,yi vrri?.r+ wu vwa.a 1 VvV Occupaney -R 3 M-1 FEES Zoning PD R-1 Actual Const V- N Bldg. Permit 532,00 Allowable V-N Sureharge 38,00 0 of stories Plan Aeview 2 66.oa Length yL SAC, City OO. oO Depth yg SAC, MWCC Sr)S, oD S.F. Total Water Conn SSD, m Footprint S.F. Water Meter 901 ? Phone SJ% o_i2 _r9S--0-29Y I On site aewage ?p On site well Contractor MWCC System ? City water 6ddress 2. D PRV required ? Booster Pump _ City/Zip Code 5&?q, 5-SS'74- APPROV9LS Phone ??aSa73 °? ?y?'6a9X Planner Areh./Engr. Address City/Zip Code Couneil Bldg. Off. Variance ?ro?i 3 Aeet. Deposit DiO? S/W Permit Z.o,oo S/W Surcharge l,oo Treatment P1. ,oD Road IInit 401G+a Park Ded. Copies SOHTOTAL Penalty TOT9L ? Phone 9 v,.A?up.Ttio?1 , aax??s lt:ous F, a6 x tifl = ?oWfl Li x-7 106e x?y= da3sz ?SP612 ?flosE . ' ?[VG1?1?EflI(YG COMPAN'f, IfVC. ?..??IUUU EA9i 1461h BiREE?, p=DENOTES RIGHT OF ACCESS DEDICATED TO DAKOTA COUNTY Celliricate of su14vey LEgill D85C1'll)LIUAI: LoT /, BGoCK 5, F,4ltiN R/LYe ?wA ADD/T/oiU, D4iLOT.1 C,00417Y M/NNESbT.4 CEZED DENOTES EXISTING ELEVATION (9Z7,o) UENOTES PFlOhOSED ELEVATION -+ INUICATES Ulf'iEC7'ION OP Sl1RFACE URqINAG6 927•33 = fINISI-IEU UARA(aE FLUOR ELEVATIDN 9?4'',LI = BASEMENT FLOOR ELEVATION 9z7. 66 =:TOP OF BLOCK ELEVATION 25• .? ? Q QC I ? e ? ? ? (m% 1°?i ' 1 (9Z6 3) 850 47'/7 - ? 9s /9 'O I I " ' ? z,,o 5 sZ?, i oo P,t- ' I C9z7,o? Q^ Q???t 8 ?L6. I ? r ? O . ?N Q ? o /7.OOI 3o.oc Z2,? m o 1 ?ll 6.o3 / N ti 64RA6E Zb,oo ?27.Ji?I ? gzSS? ??u.o, ,927.n ? p (f27,?? (9L7,o? I ? ?. m I L D T 1 ? 10 I I5 O o ?`I L1-95.00-? p- Qz3,?? N6 9° (9za.4) 10 s {?` O . ? .?in #omES kk? # 2s 7s. ol . 5G4LE : /" _ - ;?O' PoRoVo ?E n-, U ? R E D rp,PA/N,46E AND ? UrTl,G./?Y EfJSEMENT s? t' \ h Ed`aGAIU EN?GINE RI D 1 1 Iierahy certily lliut ibis is a lrue and correct repteaenlalivn ot a itacl of land as shawn attd described hvrson, As prepnted by ma on this 2 7V day ol ?2G72)8,C-AL .19 ?ftl . f /3600 Minn, Reg. Pio. . CoNSU?TINQ 1N0NfERS PlflNf?6RS aid LRND ?URV6YOfli Baorc P4? 53 OURN6VILLF:, MINhE801A 6633i PN 43Z^3000 v ? ?l1INNESOTA 52ATE'E:7ERGY rODE CALCULATIONS BAS?D OS ':NaPTEA -? OF TkE MO NERGY CODE - 1 $DL'fION pdoptiun Effecclve l(1/84 lwner Phone ^arn >ite Address L--OT 3Lcx.iC 17 FAwN RInsE Z?.n A-mN :ontractor ?hone ;uilding Classification: Type A1 (Single Family 8 Duplex) Type A2 (Residential (3 stories ar ess (Other) (Over 3 stories) iENERAI INFORMATION J. Building Perimeter f u?° ft. ?. Wal] height (ground to eave) 13 ft. 2 3. 1, x 2. (above) gross wall arga /R'Z ? ft. a. Building dimensions (L) Z G, A x(W) //B ?^ ft.Z roof S floor area i.5quare fcot area of rim joist - Floor joist size (2 x/o_?) 2 ? x Perimeter = Rim Joist area =/ Z a ft 7 2 6. Dacrs - As°ec 37, 7 ? 7hic ness ? 3 ? i?ctor . / {-/ , Type of Construction >yep / Perimeter 3/F ft. Manufacturer a-,a s C 7. Total door's perimeter ?-7. 73" ft 8. Windows: Manufacturer /e State approved :?%•. U factor 5 ? ? •? ? TYPE SIZE ARcA (F:.Z) !JUMBER OF TDTAL FE:T 2 EACH UNITS ?FNc,- Sl??;? aucr? ?333 ? '?.HE _ ? ye /33 ? a ,? ?• F? -- .?c/3a. /G G? 3 _ _o/ aC3Z g.r?, Z.:>• 47 7 y. Total ft.2 G1ass //7•3p ? ?5 ?ireplace area: Width x heiaht = x = Ft.Z 1 7. exposed foundation: Height x?erimeter Px y- Ft.z :)MPLETION OF THIS FORM IS REQUI3ED FOR ALL NEW CONSTRUCTION, MAJDR REMODELING AND BUILOINGS BEING 1:.VED WNERE EkERGY, OTHER THAN THE MINIMAL CODE ALLOW;"ICE, I5 USED. i?,' framing area = 10% of gross wall area. • , ', . ` 13. Gross wall area z j, //7• 3 3 Z . 5? E?•?I Windo« area A 9S ft. U windcws = . cl-7 U XA ? Rim joist area A /Zo,o„ ft.z U rim ioist =??+c/ J x A= Door area A 3-7. 77 rt.L :J door area =U x A, f^.z U rireplace = U xA _ Exposed foundation A 96 •b> ft.' 0 foundation =GS U xA = 7. 6 1 framing area A /1;4 Z . c::= fr,2 F , rarin na area =c8 U x A= het wall area A /.2 7 S. oo ft. U Wall _ , - 3•75 ? 7 U z n- (?'c; -,'"L . . . . _ •7? • . . . . . U x A D :4. 6ross wall are x 0.11 -1 single famity ; du:.;=x = allowable U.c A/Code (13. above) . x 0.23 (a-Z other resiCentia'.j x .23 ;Otner buildings; x .23 (Ove,• 3 stor•;o-) A ??.a? 6TUH Must be larger :han x U Ccde ..._ .--- ° o??4E? 0F. 138 above i5. Ceiling framing area (.4f) equals 10°; of :=i1;rio area ( or the same as) ;SA. G.*oss c=iling zrea = rL1 t10 t/p 6 = cG ft.2 .56 Joist area (Af) = 10" ceilir.g area = ?t.2 ISC. ye*_ ceilinc area (AC) (15A - 158) = 9 90 ft.2 uceilingxAc= 99o x ,Ea25_= ??c/•75 U framing x A f` /O x_ ' D 3=, -3 p :SD. 'OTAL U x A ............ ............................ , 16. Ceiling area {15 =x,.0.026 sinyle `ar.:ily S duolex - code aliowable U x A x 0.033 (A-2 other residential) x 0.06 (other) BTUH Must be laraer than lED (above) '? (I 5?) x U(code)= C oF (or the same as) NOTE: Use U and A vzlues obtained `,•o^ nps 1, 3 and 4. 3 UALL , SECTION ?c C-n i•. ?S' 66 R VALL'E Ins:de atr film ,68 .nterior va :L ?;75llidCluR Sheethink 31,F Siuinq Jutside air :ilm .17 R TOTAL ? O ` u 'JaLuE (Uall) I R ' STUD SECTION lnside sir f:lm c9 ?ntc:ior %+:i1 41, s_ud k= 4.38 Sheathing Siding Outsice air liln .17 (Franing) U = F = ,c "DTAL o C F 2YD «1ALL SECT;?N' Insiae air film R= .68 Interior vail L insu!aC:on (Wall ?.: = R = Sheathing ? Exterior wal] .over.ng Ex[erior air fil:r, n =.li R TOTAL . 6?' !nterior air :iiT P.= .63- s1*t ?y.mo !n 5.:1,:.i o:, 1 / r .IOIST lk ir,ch soft .roud R=1.88 U ? JO75L) 6-OOSheaihing ' Exte-for vail covering Exte:!or ai: film F= .17 R TQTAL •? , b ? incerior a:r fi1? R= •EC ? ?i l0 • ?'=- Znsuls:ior. ? Founcia:ion (Fdn.) U = P, - Exte:ior air °i'.rt R=_.17 ?-\ 55' -7 R TGThL r J ? i ---Y.XpU52d 31uCK 1 ?--? Grade ?. - 1a.oy =E'.Liur WI;H V'cNTED nrIC S?ACE AB^:E R ;"LUE , '+ALUE FRAMIN6 CEILIN6 , 0.61 Air Film 0 ?6• q ? Insuiatior: 3 So J•>.?' jo;5t ' Sa Ceilina So O.EI Air Film 0.61 3305 rotal t ?03o u=R R 39•7?)_ - ooZs FLAT ROOF OR CATHEDRAL CEILING R Va ue R 'lALUE FR;;MING CE?LING ? 0.61 I ? ? I I ! ? I i I ? 0.17 Inside air film 0.61 Ceiiina Jo;st (stud) Insulation Air soace Rocf decking Insulation Built-up roof Outside air fiin 0.17 Tota1 R U R - Jindow infiltraticn .5 cfm/lineal foot of crack tesidential door infiltration 0.15 cfm/squar2 foot or deer and mininuf- code requirement ;on-residential door infiltration 11.0 cfr/lineal `oct of crack Jb 12" concrete block no insulation =.47 R 2.1 !b 12 concrete bleck insulated cores =.Z6 ; 3.8 1S 12" l1yhtw2iahL b1oCk =.32 R 3.1 ;b 12" lightweight block insulated cores =.12 R S.3 J single glass = 1.73; with storn window .54 J doubie glass = .55 ! triple glass = .41 ;il exterior walls and ceilings must have a vapor barrier (C.10 perm r:ax.). :apor barrier must be on ihe inside (heat2d side) o` wa'i. ,apor barriers o` the polyethelene thin film have no R value. A - HZNIMUH "U" VALUL AND R-FnCTOR Ai uuUF, 11ALL. ??-rl ns.y ?um.accll yLULr. , ' . .. ` Typa A-I 6ulldin9 p.-TolYe 4e0ufr F119984 ' . . "'. . . ' , 1s7e coe• Elewent Metro +1rea/ j?? roo/lce11in4s O.W /100rs Ovtf unnt+ted so+cn O.- MlniAVS R v&lue¦ lor Ceilinq.-pall. aM iloor Sections od , , / - TYlpf A-2 euildiaqs . . ., ?./n ' J .• ? Ceilinqs Mslls Tloon Mindora Slidinq Glua Loora Ooors U (1) , 42) (7) See See See ae 20 20 lbt• • )IOt• S Nott i •' . • • .Y • • ? ' • • • MOtef to T&D1• . • , , -. ,T.? I?• .• ? .' I11 Cel11nq7 vhfch meet one e! !M le3lovinq criterla sacisfr 4' • . . • thii roqulresents . /.•.. $ ' . . •, , ' A. x-78 throuyhout the snelre uiling. ,- ? ? • ; l. Sf a portlon oi the esilinq is lsss tMn R-36, the ••" ? lnsulatSen in the rwlnder ef th* colling oust be laereaseQ to i• - '. , • • ? yield an ovenll &v*rAg* theoal rasisunee ot not lesa than : ?., ' . . R-78 uslnq the tollaviny equacion. . ' ? . • • • . at - (AO - A11 / fro/ae - AI/rtll ' ' ?0 • ' . ' rhere: ?1•.: . '. R ' R value of the insulation in the reaainder r of the eailiey. A - total area of the ceilinq,ft2.• . ai - area o[ the eel]ing vith lezs 2han 1=76. ' . , itl • A value o! the eeiling vhieA I. leas than R-78. C. GBe.z Eh: zwi as Ene ptriuter of the eeiling prevmts . 1 ti • installation of insulasion to lull depch, the tnsulotion in the • Rrafi = faCed reaainder of the eeiling 'ust De iaereased to reduce the ovesall . ? eeiling Aeat loss so ao eore tban it R-38 6ad been installed ' insulation, paperchrouqnout the encice aeilinq. . ?. Sidfl tO hEBt (Z) For the insulatad aavity ot opaque vall and r3¦ joists, but - not taundation valls. ? •.... ,. (3) For the instilated eavltr ol floors of Aestsd spaces over , ' - unheaced spsces. - • • ?• . (4) Ma:imust qlass erea uy not e:ceed 12 pereent et the •rea of • • • esLerior valla nos inaludiny iwndation valls. wll vindova shall •' . _ o " • De double qlased or Aavc stoss vindova. ' .' . •• '(5) Naxlaus qlasa 'Beea aay.nat exeeed ten yereent et tAe +ree of ? esteriet-valls, not includinq taundation valls, vhen a sllding , •? 0 •• •, ' qla:s door ia inssalled. Al1 qlass zAall M douLle glazed or V • 00 ? •. nave storn vindovs. . . ? D • I61 a 1-3/4 iner +netal taced door systee vith an Snaulased core ' . providing an R velue eqwl to or qteaser, eMe 3.0 or a . conveniional door end stors door. All pri"ry doors muss Aave durable r:asAerscsippinq. • ' ? . I Foundatfon riit tnsulatfon. /The 1984 !od! sDe[11f-+ ?6 ' • l. ' taliy reaWres ounEt[ on r? lnsulatton ?e*e tloprs s?vt the taundatfon 1 Q a• 11 are not fnsulated. fltner the foundatfon wit 1++ve R-10 lnsul?tlon q o aDV11eE trm the to9 of the toundattm to the frott llne er N-5 fnsulatlon ' • A' A ? • +pD11ed orer the entfre rait. Kote that the R vilue sDKitied Ss I°f the ..•) . lnsulation ateN?l only . 7 ? • O ' SLD-on- ?dt f1oDrS. ht leoWred Lher*a1 reSiSUnC! Of tne inSUL- tfon 'roun tne oer?neter ai nrated and unne+ted floor: are soec1t1t0 In TaOIe 5-1. The Iniulatlon must tstend dornrard /rm tht toD Of ine stab Ln ' '• • the irast line or ao.n+ard co tnt Dottem of the s14C tnen horttont&lly ' (°•a . beneatn It for an eauiralent afscanee. 7bis reoulremen['M tne 3984 code . . J ts fdentical to the 1978 code. D F?oors ovar unhea[ed spaces nust have minimuT A-factor of A-20 (tue.l•-under ca=ages)-. flOOLS ovcr outdoar air (ovcthangs) nust liave a ninimum P,-fac[or of R-33. ,, ... S 3 4??-? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?? 3830 PILOT KNOB RD - 55122 (651) 681-4675 ? New Cons[ruction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes: poured fnd. design; elc.) ? 1 energy ralculatioos ? 3 copies of tree preservation plan if lot platted after 7/1l93 required: _Yes _ No DATE: DESCRIPTION OF WORK: STREETADDRESS: ?s(o 11) . LOT: ?. BLOCK: ri SUBD%P.I.D. #: ? ??& -e_, aV\-& IV P20PERTY OWNL12 Nimic: Yl ? ---------- Phone ? t?,sc r't?s? Strcct ;\ddress: NO tJ . City -???'?-------------- S[ate:--rK?tJ ----- Zip' -S-.S ?Z ? t cornp2uv-._"_L??.?is?,_+3?cs?? ---- rl,oilt c?---- co-vrxAcroiz 1 •/?? Street Address:_1 QQ ?«! _?? • _____ License # 2 rp. citv tr"---------- st:,Le: ---.Y_1'?_P_J --- z'P: 33 ? ARCHITECT/ ENGINEER Compuly.-------- --- --------- Yhone fk: Street Citr Remodel/Re air Re uirements ? 2 copies of plan ? t site surveys (exterior additions & decks) ? 1 energy calculations tor heated additions CONSTRUCTION COST; State: Zip: ? , 1 l Sewer & water licensed piumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applica6le State of Minnesota Statutes and City of Eagan Ordinances. 1 n r -I)• Signature of Applicant: OFFICE USE ONLY 0 ` '^Y ???- ---- _ Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required I??? OFFICE USE ONLY BUILDING PERMIT TYPE ?? 1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish Q 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ??3 Alterations ? 36 Move ? 32 Addition C??34 Repair ? 37 Demolitian GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Census Code SAC Code Census Units Census Bidg MC/WS System City Water Booster Pump PRV Fire Sprinklered APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS SAC Ciiy SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded, Other Copies Total: Building Engineering Variance Valuation: $ ?sla-L{--? % SAC SAC Units CITY USE ONLY ????? L ? BL ? RECEIPT #: 11,x2.L SUBD. , `?`LLr.cn? /?c?a?? 07 ? DATE: ?? ?95 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Plping OUtl2t * minimum - 1 Rough Openings Water Softener Private Disposal * Dakota Cty. iicense U.G. Sprinkler * home under const. Alterations ` to eAsting Water Turn Around EACH NO. 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 20.00 3.00 20.00 20.00 x x x x x x x x x x x x TOTAL ? = 3 STATE SURCHARGE TOTAL SITE OWNER NAM Z .50 s? ao ? INSTALLER NAME: ,//C-' SJ+'4^ ?? y? Se?c•'<e J STREET ADDRESS: ] -2> / CITY: 2 G•Ne i,.s 4 4'r STATE: /?7-' ZIP: '3 `Sd -7 l PHONE #: ((v)? (c?0-.FD SL ? / .i r? OFFICE USE ONLY L _ 8L _ RECEIPT #: SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681-4675 Please complete for: . all commerciaUndustrial buildings. ? multi-family buildings when separate permits are pQt required for each dwelling unit. DATE: WORK TYPE: _ NEW CONSTRUCTION DESCRlPTlON OF WORK: CONTRACT PRICE: ADD ON _ REPAIR IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL . SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: SIGNATURE: OFFICE USE ONLY METER SIZE: ' DATE STE. # STATE: ZIP: APPLICANT _ INSPECTOR: CITY OF EAGAN 3830 PILOT RNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 YpblNGAm FOR CITY USE ONLY PERMIT # RECEIPT # /D DATE: ?7018' 9/ PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERHZTS ARE REQIIZRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR OWNER NAME: -,IAY c-m'C`n.5vij SITE ADDRESS: ?fe- N • /`1.4?L/9? LOT:BLACK S SUBD. 1. INSTALLER: 1"fiL6?? ?b ADDRESS: ?0'0/ AllccCITY' ? ) • / A'+-J ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 TOTAL SUBTOTAL S ST. SURCHARGE .50 TOTAL: g S• 5 cp COMMEkf?IAfiNDUPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND ? MULTI-FAMILY SUILDINGS 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: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) COMPLETE THE FOLLOWING: N0. FIXT[IRES EA. ADD-ON MINIMUM 15.00 _ SHOWER 3.00 _ WATER CLOSET 3.00 BATN TUB 3.00 LAVATORY 3.00 _ KITCHEN SINK 3.00 _ LAUNDRY TRAY 3.00 _ HOT TUB/SPA 3.00 _ WATER HEATER 3.00 _ FLOOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 OTHER _?V WATER SOFTENER 5.00 CITY OF EAGAN CITY USE ONLY L ? BL RECEIPT #: 691010 2 SUBD. ? DATE: A7` -9 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: -7- a - `) (o FEES ? Minimum Fee: Add-on/Remodel (existing residence only) 20.0 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge 60 TOTAL aD ? Sll'EADDRESS: 78& Norfh T?Q?/ LGike RCt OWNER NAME:?/YY? G a? Ouv' V PHONE #: I7" <O INSTALLER NAME: wOMerS Sbl,?f'`7S1G?? ?fq ?/}/G ?{?c • STREET ADDRESS: 7&c3b W 14-5 fI) Sf- cirr: dr,iQle Va IletL_ STATE: MN ziP: ss/a¢ PHONE #: l' brUNATUREaF PERMrrr 12-ZI-r? ?? CITY USE ONLY L 8L _ 3UBD. RECEIPT #: DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are = required for each dwelling unit. QATE: CONTRACT PRlCE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ? $25.00 minimum fee gl 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ CITY: PHONE #: SIGNATURE TELEF'HONE #: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ ? I j Permit #: ? c/ 22 j ? PermitFee: j Date Received: j i i i stan: I i I ---------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SRe Address: Tenant: Suite #: RESIDENT ! OWNER Name: -3-G y Phone: Sc> 2 3 Address/Ciry/Zip: 7?6 ii"V /IkY Gc eC l? D Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: Izc /70e, F Consiruction CosC (e) -5- 7 3, DO Multi-Family Building: (Yes _ I No ? CONTRACTOR Name:T?e.5 at,o 1 cCs ?&I-10 D-/Ef- 5 License#: 2 6 4 36 I411 Address 'i?Z09 i ov C-t- Sa Ciry: lA±te?a r° j<"bt/i- State: ?N ZiP; S5 0/ 6 Phone: 65-1 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worlcsheel C8t2g01'y Submitled Submitted (4 submission type) • Energy Envelope Calculations Su6mitted In the last 12 moMhs, has the Clty of Eagan Issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Llcensad Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contrector: Phone: NOTE: Plans snd;supparting do L-%'-'-ts tl?st y'4GGm " c0-ftldbred to barpt! lhformation;7 the 1nlormAHan irfay be clasaBJ'ed as non pu6llc lf you prov/de so&Ci?icrea?sons ih?'rwouid permft the Ctty t? -` , t+dnClualB fhat the ere trade aqcfs. I hereby acknowledge thal this irrformation is complete arxl accurate; that the work will be in confamance with the ordinances and codes of the Ciry of Eagan; Ihat I understand this is not a permit, but only an application for a permit, and wak is not to starl without a permit; that Ihe work will 6e in accardance with the approved plan in tha case oi work whlch requlres a ravlew and approval at plans. X'FX yP4 0 N G? S?L1 N f 2!- IC ApplicanYs PNnted Name A pl nYs gnature Page t of 3 øÿ ÿþ ýüü ûþúûúþ ùüü øÿîèí øéÞÿ ýüõ ýüûúù÷ä ÷úùãé ù÷ä åýÙåúùåüëüýãüïûÞïãüïûýÙ ü æð óß Þ ÿþïó ç í íô ß ôù ýüÿøêçí í ó÷÷ò õñð ùù õïù âõ ï óß ÞíþÚ ßäÞã ÿåãó ÿåãó áàóóô ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA107445 Date Issued:10/12/2012 Permit Category:ePermit Site Address: 786 Hay Lake Rd N Lot:1 Block: 5 Addition: Fawn Ridge 2nd PID:10-25801-05-010 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jay C Emerson 786 Hay Lake Rd N Eagan MN 55123 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use /^_ / f nn Perm: e:' C641) City 1111 A ` 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 buildinginspectionsc )citvofeagan.com Staff: J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10/12/2017 site Address: 786 N Hay Lake Road Unit#: Name: Mike Povolny Phone: 612-720-2970 owner Address/City/Zip: 786 N HAY LAKE ROAD Applicant is: X Owner Contractor Description of work: Replace Shingles, Siding & 1 Skylight Type ofWei X Construction Cost: Multi-Family Building: (Yes /No ) Company: Contact: Contlr'�or` Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE Pians and supporting documcinta that,you submit arilt`considerect to b#Pabile information. fort tt s Of-the formation may be classified non-public , Proves ific s�that� *wain.th a C` r t0-4001110 1�t e are tradesecrets You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. 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. 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.aopherstateonecall.orq 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 wo 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,pf ITS: X X Applicant's Printed Name Applicar s Si ature C------- Page 1 of 3