818 Hidden Meadow TrINSPECTION RECORD
` CIY'Y OF EAGAN PERMIT TYPE:
J 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS:
N Iee. n?i I 1 14
'`?i tr
I IIi tzr+r .Iff 13h l 1Yl:?f 6.tA I f ?: Nli
", . r • . 4
PERMIT SUBTYPE:
: Y ' ?.
A . •
APPLICANT:
TYPE OF WORK:
:?': •. ?.G.:
INSPECTION TYPE D• ON TYPE D•
s !?I'.I?! •, I 1 . i? ? ,
; t1,•,! , !, !.•f ViltR t'Oi.AR P1 fifs
-1
IL
PsrmR No. Permk Holder Date TNsphone M
S/IA/
PLUMBING
HVAC
ELECTRIC 6,31 . // 93
ELECTRIC
InspecUon Wta Insp. Comm?nts
Footingsl y Z ?j ?S ?7cvSC S?j,f(' OnL? ?t fC
?O UX C
Founclown
Framing
Roofing
R°"gh PIb9• h?
Rough Ht9 ii?? S f. ? TtJ ?r. .
,5ul. p 0
Fireplace ? IV
Fnal H[g.
oma?Test ?_z .y3 p s ,?? ? 4; ?
Fnal Pbg. Plbg. Inspector - Notity Plumber
C? Meter
Engr.lPtan
BNdg. Rnal 3 ?
Dedc Ftg.
Deck Final
Well
Pr. Disp.
241
0
c .
Wertificate nf cccupanc?
Witv of Cfagatt
Zqartuent of 13wiIbing 3"Oatio»
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in co?rrpliance weth tiie various
ordinances of the City regulating building corestruction or use. For the foUowing:
SF DGlG 20573
Use C7assification: /? Btd& Pemrii Na
?Y ?'Pe ?/l~I Zoning Distrin , ?VZS? RUL?OUIC:?- .
Qwner aF Building ? an ? Address ?
818 ?? ?? IRAM [.ocality s isi,
Addcess
auaaiog oerk?
POST IN A CONSPICUOUS PLACE
Address 818 ttrEnFar MEaoow TRnrr, Zip 5512 3
Idt • 7 Blk ] Sub IlHE oAxS ob' ERInGMAIER 2TID
THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECTION.
I
Dat L/,q /qq?. Yes No Inspedor:
Final gr e(6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage LI/
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy ?
?_i r?e 06k5 of 2--d
HEATING TEST SUMMARY
ADDRESS SI ? Fhnog?ti; Vl1ew-m.&, 4re2CITY, SUBURB OR TWP. FAC-4N
OCCUPANT OWNER
DATE HEATING INSTALLED INSTALLED BY Scib?2bmv ?
TYPE OF HEATING GA. FA X? HW STEAM UNIT HTFI.
MAKE LX_,v,,a,e MODEL &200V?/F- /co-a
SERIAL 5,?'i3G 1 r9os INPUT
THERMOSTAT 1Z?bercas?w...? HEAT ANTICAPATOR SETTING -?
GASVALVE ?-Iokeuwe,CQ LIMIT jfl-js?o SETTING ?i:r-?o
FAN SETTING <; ?o ON r:•x.ioOFF PILOT TYPE
IGNITION MAKE MODEL TIMING
GAS PRESS. -3 5" PERCENT C02 7: 02 ? CO O
CFH INPUT !oo STACK TEMP - 4M_ VENT SIZE F." DRAFT o'45-
FILTER SIZE rb CHIMNEY LOCATION _)e- IN. OUT.
CHIMNEY CONSTRUCTION tnwlnt G'A4?6 I
WIRING OlL- TEST TAG INSTALLED LIGHTING INST.
DATE TESTED 7? 9 3. TESTING PANY__SUBURBAN HTG. & A/C
NAME OF TESTER ?-?,?? ?`_F?m -
REQUEST FOR ELECTRICAL INSPECTION
? See rty',irulnons'i? compleLng Ihis form on beck of yellow copy.
d 35631 "X" Below Work Covered by Thrs Request
EB.00001.08
ew Atld Rep. Typeof8uilding ApphancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwlding Dryer Other (Speafy)
Comm./Industnal Furnace
Farm Air Condtlioner
Otner?apecAy) ConVaqork Remarks
Compute lnspection Fee Below:
# Other Fee # ServicaEntranceSize Fee # Circuds/Feedars Fee
Sw+mming Pooi 0 to 200 Amps 0 to 100 Amps
Tr@nsformers Above 200 _ Amps Above too _ Amps
Siqns mspeceors Use Oniy. TOTAL v
Irwgation Booms / )p eo
O? ?
Special InSpeCiion
AiarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 78 MONTHS.
I, the Electrical Inspectoc hereby Rough-in . oat
eS /( ?,?
?
Z
certity that the ahove inspection has
been made F??ei oei
r7
(? /Ip
OFFICE USE ONLY
Tnrs request witl 18 mon(hs lrom
Req estD te
? _?? Fire No. Rovg?. spedlon
Raqmre ? ReaEy Naw 12NJill Nobry Inepedar
R
tl
'+
Wl
an
y
ee
Ve5 G No
;
I/Ikcensed contractor ? owner hereby request inspection of above electrical work aC
Job Atltl,zss (Streat Box or Route No, Qry
• /
Secimn No TawnShip Name or No Range No County ??
'Dr, lti
Occupant(PRINT,
Gu? ?
' Ppone No
l'/ 71,f J
er
. ?
Power SaFG??ar ntltlress
Y300 a.ao/4
Eleccncal Cor.vacmr ICOmpany Name) ? ConttetNrS L¢ense No
Manbng ACtlress IGonlraclor or Owne, Making Installalionl
'
ue
uJ
AulrionxeC igna re ICOnhatlor?Owner Makmq Instellalion P?one Number
MINNESOTA STATE 9 AP OF ELECTFICITV THIS INSPECTION REOUEST WILL NOT
Gri89e-Mltlway BIUg om S173 BE ACCEPTEO BYTHE STATE 60AR0
1831 Onlvercity Ave.. St. Peul. MN 55100 ONLESS PROPER INSPECTION FEE IS
Plrone (612) 692-0800 ENCLOSED
,s/?20lqa
,1 413753
REQUEST FOR ELECTRICAL INSPECTION
ji? See in$INGirons tor completmg this form on ba[k of yellow copy
"X" Be/ow Work Covered by This Request
0?71-088s-
i ?
?.?.?
ew Ado Rep Typeof6udtling AppliancesWVatl EqmpmentWiretl
Home Range Temporary Service
Duplex Water Heater Electnc Hea6ng
Apt Bwldmg Dryer Other (Specify)
Comm /Industnal Furnace
Farm Air Conditioner
ONer (specdy) Canhactor5 fiemarks
Compute Inspection Fee Below.
# Other fee # ServiceEnlranCeSize Fee # Qrads/feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ab 00 Amps
Signs Inspector5 Use Only ' TAL ?Q
Irngation Booms ??
Special Inspection J
Alarm/Communication THIS INSTALLATION MAY BE ORDER ONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby Rough-in oere
certiry that the above inspection has
been made. oa?e 7
?
OFFICE USE ONLY ?-
This requasf voitl 18 monlhs trom
C: ?/ /O O?
Request?alel ? '
? Fne No. Rough-m In ction
Reqmretl?
XReatly Now ? WAI NMity Inspector
wn
R
?
tl
G ves X?[Ja en
ea
y
Xhcensed connactor ? owner hereby requesi inspection of a6ove electncal work at:
Job Atltlregs p($treet, Box or Rput No I
Seclmn No Township N9me or No Range No. Counry
Occ anu) t (PRINT
)
^
?? Phone No.
Q
5
u
Power/Supp/liEr / -/? ,?? Atltlrass
ElecVmal Comracbr cOmpany Name?
? ConVac?or's Lkensa No
Vo l
Matling Atltlress CoNracfor or Owner MeWng Installa?ion
Nmnonzee gnaWre IConvacrouOwne ak?n9ln Ila n) Pnone Numeer
?? `790
MINNESOTA ST?OARO OF ELECTPICITY I THIS MSPEGTION REOUEST WILL NOT
Grigga-Mitlway - floom S-173 BE ACCEPTED BY THE STATE BOARD
1821 llnrveniry Ave, St Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-OB00 ENCLOSED
, P S?..
,
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
$ 20°°
ov ALW I 61(alo3
New Conslruction Reauiremenls RemodeUReoair Reauirements 9ffice Use Onlv
3 registered sile surveys showing sq. N. of lof, sq R of house; and all roofed areas 2 copes of plan Cert of Survey Recd _ Y_ N
(20%maximum lolcoverage allowed) 1 setof Energy Calculations for heated addNOns Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window s¢es, poured found desigq etc. t site survey for additions & decks Tree Pres Reqd _ Y_ N
1 set of Energy Calculations Add'rtron - indicate itonsde sepNC system On-site Seplic System _ Y_ N
3 copies of Tree Preservation Plan d lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs wifh 3 or less unils
Date t`v' 102 /?20???3 Construction Cost
C? !'t? G?eOA M ?
Site Address Q ?R-A? C_ UniUSte #
Description of Work Su?Z MGN T (N
Multi-Family Bldg _ YA- N Fireplace(s) _ 0 /-l _ 2
Property Owner P'g-6 fl26 f->-VP-N Telephone # ((j5( ) L15 °P, ` S?Y ? 6
Contractor ? ??t ib
Address 15On ( P/ut1G???Pr??
State Zip S?D,3??)ce City ?A?)A-C`c
Telephone # ( fsR)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesob Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(4 submission type) Su6mitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. ' n rn ?
??
Licensed Plumber II °1 T ?.I Telephone #( ?
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
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, and work is not to start without a
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
?/??-? ?' I*vGU
?
ApplicanYs Printed Name
?
Ap ricaxt`s Signature
OFFICE USE ONLY
Su6 Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex 19 lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg,ZY or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
)1 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46
? 34 ReplaCem @nt •Demolition (EMire Bldg) - Give PCA handout to applicant
Valuation _ 90G0 Occupancy A-3 MC/ES System _
Census Code 1-1311 Zoning /2- ! City Water -
SAC Units - Stories -'- Booster Pump -
Nbr. of Units - Sq. Ft. - PRV _
Nbr. of Bldgs - Length ?- Fire Sprinklered
Type of Const zi-r Width i
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
Framing
? Fireplace _f R.I. I AirTest ?/Final
Insularion
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
W indows/Doors
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
Plumbing
?- I-IVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Wmdows (new/replacement)
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
29
c=
Building Inspector
RESIDENTIAL PLUMBING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
Date l0 l 2V l 03
Site Address ?20 ?da-7 U nit #
Property Owner DO?A Telephone # ( )
Contractor
Address ,77 0J- ? f 8214-? CiTy
State `L,-- Zip 5S? 2S' Telephone #((51) `f6 O--;r V z ?
The Applicant is _ Owner ---Conuactor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County, fae. Additional consultanf fees may apply.
Alterat"j to eaisting dwelling $ 50.00
Add fxtures to lower levels or room additions, excluding water so8ener and water heater
_ Abandonment of septic system
_ Water tu?rnarou?nd (+ 5/8" meter if needed -$121.00)
-
9
Other. WL1 'V?
(- Yl f-1-
?
_ RPZ _ new _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
$ 50
State Surcharge
Total $
I hereby apply for a Residential Plumbing Permit and aclmowledge on is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an ap licarion for a pemut, and work is not to start without a ermit; tUat the ork will be in accordance with the
approKed plan in,these of work wluch requues a review and approval of plans.A ?
c/'ir- 1 V`o'Yy?`)J?
Name ?- /
5 a? ? 3 RESIDENTIAL (? -7 -7
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 k7X1i3'
851-881-4875
New Construcdon ReaNremante BemotleVHeoah Heauirements
• 3 reglstered sde surveYS showing sq. ft. of bt, sq. it. of house; end all roofed areas • 2 coples of plan
(20qomaximumlotcoveragealbwed) • 15etotEnergyCalculation5forheatetlatlGitbns
• 2 coples af plan showing Ceem & window sizes; poured fountl deslyn, etc.) • t stle survey for exterbr addttbns & decks
• 1 5et of Energy Calculatbns • Indicate iI home servetl by septic syslem tor etltlAions
• 3 wpies M Tree PreseNatbn Plan'rf bt plattgd atter 711/93
. Rim Joist Detall Options selectbn sheet (bldgs wBh 3 or less units)
DATE v3 VALUATION % ??/ -(
SITE ADDRESS ?! l l L'd'e? 19U? TL MULTI-FAMILY BLDG _ Y _)?_N
TYPE OF WORK n9- FIREPIACE(S) _ 0_ 1- 2
APPLICANT
STREET ADDRESS
TELEPHONE # ?Z`)"?CELL PHONE #
PROPERTY OWNER
&' 6 &"
FAX #
TELEPHONE# 2_S7Y6
--° ---------------------------°----------------------°-°-----------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RUI.ES 7670 CATEGORY 1 MIIVNESOTA RLJLES 7672
(J submission lype) • Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations SuDmittetl
Plumbing Conhactor.
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/WaFer Contractor.
Air Conditioning
Heat Recovery System
--------------------------------------------------------------------------•
I hereby acknowledge that I have read thls application, state that me
with all applicable State of Minnesota Statutes and City of Eagan_014
Signafure of
OFFICE USE ONLY
Water Softener
Water Heater
_ No. of Baths
6??1-3
_ Phone #
I,awn Sprinkler
No. of R.T. Baths
Phone Ii
Fee: $90.00
Fee: $70.00
?rr
, 1111 0 1 2002
and
Gertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Paol
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New
? 32 Addkion
? 33 Alteration
? 34 Replacement
Yaluation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 30 Accessory Bldg
? 31 6ct. Alt - Mufti
? 33 Eut. Alt - SF
? 38 Multi
? 35 Int ImprovemeN ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDaors
•Demolkion (Entlre Bldg only) - Give PCA handout to applicant
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ $iding SNcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
Cities_Digital
itv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
?
-Ar CITY OF?aEAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675 PERMIT "41-qct3
PERMIT TYPE:
Permit Number:
Date Issued: c/?c03 g"?7
F; ?, ?, ?, ,;? ?;
SITE ADDRESS:
. • ' ,q ; ?, ;, ". ,-., ._ 49 ! ?7 - a') '.
DESCRIPTION:
zi.i:i"1GLYLli; hYal l i?y?:
.? U i'! k El t? . . 1
st?nn i sanci F9
',ef ,tlt±aI „l Wt.?th
, r
REMARKS:
FEE SUMMARY:
,
? . „i. • __--"--?-
; r,. ? ?,
CONTRACTOR: , • ' OWNER:
}".Gi'1cl oppI of?i 01}tl GLis`..Q? 1"("41 IiN
Cf?v t' F (St"cl.icr<3rtCC??,
? -
o 9 rr ??l
fi
?
°
?a
n?
?
R E GN
T?
ISSUED W.SIGNAT RE'
Cities Di itg al Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
?
?
INSPECTION RECORD
PERMIT TYPE:
Permit Numher:
Date Issued:
APPLICANT:
TYPE OF WORK:
r I
, , ?, , i ? ?' ,,. , • ,
REACTIVATE _
PERMIT I f
I 4105
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION '
681-4675
MAR 2 4 RECO
rl, 01r1_3-14
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, I copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ZX!Z?AIXCAI/ 23 / ct? Valuation af wurk ?yq5-4/`/
Site Address: i-l-iLneN M e?tlJce? 'frt,a-i t-
STREET SU1TE #
Tenant Name: (commercial only)
IAT 7 BLOCK I SUBD. ;ENO AtftttA . P.I.D. M
Okl?S F`-C? f
Descri tion of work: ?
The applicant is: ? Owner Contractor ? Other coeecctee>
Name b'Rp1Feti/5oa/ (?'/•?we- Phone
Property LAST F:RST
Owner Address 818 h-,??P_P4 w?.L=yk-z?u"i
STREET STE N
City 9:? A A/ State o-a.rA• Zip
Company c-u br? Phone '?31-3 t s"3
Contractor Address /So . oor?aR _.-t>P_ive License #oao3145? Exp.-3/3i4;
City lf/duD73u= State MA'• Zip 5'
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber ?oLar2, 'j>k_ur-?.tsiw? . Processing time far
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this a lication and state that the information is
correct and agree to comply with all applic e State of Minnesota Statutes and City of
Eagan Ordinances.
`
Signature af Applicant:
?-- -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
WORK TYPE
12(31 New
O 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 6arage/Acces:
? 14 Fireplace
? 15 Deck
? AL _' ,#4;,. 'x % I ,
? 17 Swim Pool
;ory ? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
13 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
? 36 Move
Const. (Actual) V- N Basement sq. ft. MWCC System Y S
(Allowable) V- lst F1. sq. ft. City Water YES
UBC Occupancy I 2nd F1. sq. ft. PRV Required
Zoning R_1 Sq. Ft. total Booster Pump
d of Stories Footprint Sq. ft. Fire Sprinkler
_
Length g p On-site well Census Code 7 5T
Depth ? On-site sewage AC Code 0/_
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing O Framing O Insulation
? Wallboard ? Final O Draintile ? fireplace
Permi t Fee v.ha.c;on: S 04.b.DA
Surcharge
Plan Review 32?cZ2?'7Dy ZNDfl-00K ?
License
MWCC SAC
Z X ?2= (Zy)
3bx 3o =- la8o
City SAC &StAT; G X 12 ? rR]Z 2?c 2,3 =
Water Conn.
Acctr Deposit 2$ X3f° = l008 952 X fb =/2, D3Z I f Z6 XS'4=
S/W Permit ZX Z3:- 46
S/W Surcharge ? i} X 12 = 168 rob ?6n ?
Treatment P1,
Road Unit
T/2X3- 22 i
Park Ded.
? j$q
3 Z0
Ded.
Trails 'J'N Xq?j, /$? /p
f Z '
b0
Copies F`
iOfZ•
Other -
Total : ,$SMT= I ? 4?1
sac % ?DO Gut - ?-- 6?g 2?
SpC Units
zoz BQR?PLY CZ3,?CILIlT t0A RZBSDLNTZ7?L
sIISLDxxa nwczr srss.=cnT x
?
ZROPLRTY •L+eiL= ?
?
nate er susv•y: .4L9
DOMENS fTA1dDL4na
8'0 D
?0 0 •
• ReqistsreC IanC 8urvayor siqr?ature and oompany
S
D
1-- uildfng Bermit 4plicsnt
D?/
Q • Lagal deseziption '
0 ?f o
pKD 0 •
• Addres8
H
0' 0 D
• orth anow and baz scal• •
x
ouse type (rambiaz, yalkout, spiit v/o, split antry,
0r 0 0
• lookout, etc.) '
D Q' 0
• Directionel draiaaqe anows rith slopit/qradisrst 4.
F
K 0 0
• zoposed/axistinq sewer sna water services
Stroet name
? D 0 • Driveway
sLtvATZOxe
D Er"'D
• EYisl3nc
Seuer service
VD 0 • Lot corners
? D ?
? 0 ? • Top of eurb at the dzivevay
• Elevations of any sxisting adjacent homer
? D D
?
• pseaosed
Garaqe floor
0
0 D
? 0 0 •
• Firat floor
Lowest exposed alevation (valkout/vindow)
• Pzoperty corners
Pf D D • Front and rear oi home at Lhe loundation
n D
• PONDING 71REA8 fif aDDlieablel
Easement line
n a
0 ?
0 • ,
?L
'
f • xwL
0 O?
D • Pond / dsaiqnation
C1 0 • Lzergeacy Overllow Zievation
? DS?!LN6ZONS '
D D • Lot 13nes
?D 0
01? 0 • Right-of-vay and street width (to bsek of eurb)
0 • Proposed home dimensions SncluCing any proposed dtcks,
overhnnqs qreatcr than 21, poreh*s, eto. (i.e. all
? D structures requirinq permanent lootinqr)
0 • shov all tacemenLS of record and any City uti2ities within
those •asementa
Setbacks of proposed strueture and stLback of adjacer,t -
exicting homes
Rctaining v qu snts, iP any _
? -
• Revieved:
_ Name ?
ENER6Y LONSERVti"(IDN EYALUATION
Si*e Adtlress
owner / // Contractor G/? l.li?rp CO
f
Calculations aone ny Phene-23/-3/S3 Date"3 2yl?t
7YOe a` buiidin91,Gr
t
f
Assem6i . fShow calculations on worksheets (SqFt) U-Value U x A
( 0. of Total Ceiiing rea, ess •y ig t
I nsulated Area: Area, See Fi . I) Z, 24
Framin Area:(10% af Totaf Ceilin Area, See Fi . 2) F
Sk li hts (From Pa e 7) *'?****
oc
?
°' ther: (Oescribe)
? 1 rowls 32Z ****,:* 2G `l!
2 Avere e U-Value, (UxAI/fA) (rom Line 1 ****** -:- ?**
3 Required U-Value (for ane and trro fami7y Mrel7ings only)
(°J, of Total Wa rea, Less Window and u
Insulated Area: Door Area See Fi . 3)
ramin Area C16'Y. of Total Wall Area See Fi . 4) 3g ./ ,!a
indows:(From Pa e 7)
3L?
?* }
'9S,9H
Uoors (From Pa e 7) ,$?? =***** _, ??
_ im Joist Area: (See Fi .. 5)
3 ireplate WatY:
d
° aundatian WaII:(Above Grade Less Window Area See Fi . 6) 'J e- `_ZZ
x
W
oundation Windows:(From Pa e 7) - --- -?-- -----"
?
ffier. (Describe) "
ther: (Descri6e)
a TawlS !60 ,?***t* .2G 7,.`/?Q'
5 Avera e U-Value, (UxA)/(A) (rom Line 4 *****k *'t*'?*'k
6 Required U-Value (For one and trro family dwellings oniy)
If line 2 is less than liae 3, and line 5 is tess than line 6, pruposed assemb7ie5 meet code
requirements. If line,2 is greater thah line 3, ar line 5 greater than line 6, complete the
follawiag to determine alternata U-Yalue for total exterior envelape.
v
0
? 7 UxA (Line 1) + UxA (Line 4), +
d
0
9
qrea (Line 1) x U-Value (Line 3) x -
?*
u
?
w
9
Area (Line 4) x U-Valte (Line 5) x
-
=
0 "8ud et", Line 8-t Line 9 S *?'?*'rh
r
IF Line 7 is greater [han Line 10, alter assemblies as required so Line 7 does nat exceed Line 10
. ?
If Line 7 is less than Line 10, proposed assemblies meet code requiremenLS. I
r
1
FiQUre 1 Ceiling/Roof Iasulated Area: //0 0 Sq. Ft. .
(with attic area)
R-Value
Interior Air Film .61
Insulation SO. a0
Contiauous Vapor Barrier 0.00
Interior Pinish . ff-
Iaterior Air Film .61
Total Assembly R-Value
Assembly II-Value (11R) .02
Enter on Page 1
Figure 2 Ceiling/Roof Eraming Area: ?'>Z Sq. Ft.
(with attic area)
R-Value
t
Interior Air Film ` • . _ '.61
Insulation
? Wood Member y 3?
Continuous Vapor Barrier 0.00
Interior Finish e SZ
Interior Air Film .61
Total Assembly R-Value
Assembly U-Value (1/R) .a2
Enter on Page 1 .
For additional roof assem6lies, see pages 3 and 8.
'k
2
Figure lA Ceiling/Roof Insulated Area: Sq. Ft.
(without attic area)
R-Value
Veated Air Space
Interfor Air Film .61
Iasulation
Continuous Vapor Barrier 0.00
Interior Finish
IaEerior Air Film .61
Total Assembly R-Value
Assembly-II-Value (1/R)
Enter on Page 1
Figure 2A Ceiling/Roof Framing Area
, (vithout attic area)
R-Value
Sq. Ft.
Exterior Air Film .17
Roofiag .
-Roof Sheathing ,
Wood Member
Continuous Vapor Baxrier 0.00
Interior Finish
Iaterior Air Film .61
Total Assembly R-Value
t.
Assembly II Value (1/R)
Enter on Page I I¢
For additional roof assemblies, see pages 2 and 8.
3
I
Figure 3 Exposed Wall Insulated Area: .c?I`4' Sq. Ft:
R-Value
Interior Air Film .68
Interior Finish e yS/
Continuovs Vapor Barrier 0.00
Insulation f 9. od
Sheathing o G 2
Exterior Finish
Eaterior Air Film .17
Total Assembly R-Value ?t• L?
Assembly II-Value (1/R) . D?
Enter on Page 1
Figure 4, Exuosed Wall Framing Area: a 38 Sq. Ft.
R-Value
t
For additioaal wall assemblies, see page S.
.V
r
4
Assembly U-Value (1/R)
Enger on Page 1
FiQure S Exposed Wall Rim Joist Area: /?L Sq. Ft.
R-Value
Interior Air Film .68
Vapor Barrier 0.00
Insulation l °l, UO
Wood Member i 4-r
Sheathing .? Z
Exterior Finish e `!7
Exterior Air Film .17
Total Assembly B-Va1ue 7-2
Pssemblq II-Value (1/R)
Enter on Page 1
Notes: 1) Floors over unheated,spaces. For floors of heated ar mechanically
cooled spaces over uaheated spaces, the ovesall II-Value
for the floor shall not exceed 0.05. For floors over outdoor
air, snch as overhanqs, the overall II-Valne for the floor
shall meet the same reqnirement as for roofs, II-Value of
0.04. •
2) Slahroa-qrade floors. For slab-on-grade, the insulation
around the•perimeter of the exposed floor shall have a
mir:mum g-paine oE 6.4. The insalatioa mnst extead downward
i from the top of the slab a mi.nimum of 316' or downward
to the bottom of the slab thea horizoatally beaeath the
slab for an eqnivaleat distaace.
3) Vapor harriers. The maximum pezm rating for the vapor
barrier is 0.1. A mi.nimma of 4 mi.l polyetheline, or equal,
is required to achieve this. The vapor barrier must be .
coatinnous with all joints ooe=lapped aad made over f=aming
members ar blocking_
4] For notes oa fonndation wall see page 6.
5) Eor additional assemblies not illustrated nse worksheet
oa Pa4e S. '?
$
Fiqure 6 Exposed Fovndation Wall Area
Coacrete Block or Poured
Concrete Fouadation Area: ! 7G Sq. Ft.
Wood Foanda 'on Insulated
Area: Sq. Ft.
R-Value
Interior Air Film .68
Con[inuaus Vapor Barrier 0.00
Foundation Wall ?• 5"?7
Insulatian S'. °d
Exterior Aiz Film _ •17
Total Assembly R-Value
Assembly U-ti7alue (1 jR)
Enter on Page 1
t-
!
1) 0¢lY the abave gsade axea af the foundatian wsll is
co !e included in rhe enexgy calculacions.
2) The Eneryy Code tequires chat, if the floor abave the
Ealeveat oz envl spue is nat insuiased, the fouada-
Lion vall nusL be insulated. Eithar the fovadation
aust have a minimum R-LO iasulacion applied zrom the
cop o£ the £omdisian ta the frasc line oz a miaimum
0.-5 3asnla2io¢ applied over the entire fou¢dation
vall. 'Che A-Value speci£ied is £or the insulacioa
.acerial onlr-
S) If Hdgid faam iasulaiioa is Lo be applied co the
erteriar o£ the fauadatiaa wall, the above qrade
portioa sus= be protected fram the sun, the veacher
and physical abase.
?) I£ ridgid fou intulation is to be auplied co the
iaterior, it musx 6e protecced by minimwo 1/2" M-
- 6aazd ar eqaal [as specified ia sectian 1:12 of the
Uaifoim Suildiag Gode)-
S) Fouadatioa wall insulstioa for xood foundatiorts musi
6e inssslled ss spacified by the Vacional Foresx
Produen Association's Uesign Manual.
Flood Founda ' n Framed
Area: Sq. Ft.
R-Value
Interior Air Film .68
Con[inuous Vapor Barrier 0.00
Fovndation Wall (Ply1+ood)
Wood Memher
Excerior Air Film -17
To[al Assembly R-t*alue
r
Assembly U-Value (1/R)
Eater on Page 1
. b
?
I
SKYLIGHT, WINDOW AND DOOR ASSEMBUES
Used
x
Maiwfacytre Na, No. Used Toeal Sash Am (A) R-Vaiue tJ=1/R U x A
Z (2 '3- ? .?
G/
G25 C? ? 3 ?? ( I - . .
2 G ? I
S?GZ
3f- Z Z 3? I
30G2 Z 3Z
2Ss2 ? ??
3YS"'L ?i 2U
laa Area (A) R-Va1ue
Oaa? SW'm Daa Door U-Value
Assembi U=1/R
(If Use?
r 3 I
7
Z
d„
a
ncn rea
? cru
iaasns - a ue
?veria
'ar w' m
ir i m - a ue ee e
- altte ee ae
esistatrce.
?
.
ssemo - a ue on
ssaM
maunai
m or
rcmas a ae
rrcriar ir
ssem
s.<.?nn v Fi m - a ue
i m - a ue
• n
a ue U/KJ ee aae
ee 3
esistanee -
tltC CII a
Stl110
ye a ?
Inicy1m s? - awe
I
I I
I I
ntaia Air
'v ir
o Ass
ssem
Fi m
? m
- a ue I I ?
-Value ee e
- ame c ee e e» ?
cma ai3flsxe 1'
urcv en ae i
Assemaly
U=ariai tlei U auea um-u
wxnessl - d ue
I
I I
I I
Mertor Air t m -Ya ue
-a ir i m - atue
ssenro i erma
ss v- a ue I ?
en aae 1 1 ?
ee aae ?
cisMrce= t
Q on aae i ?
8
. _,
CITY OF EAGAN
L rI B MCHAIVICAL PIItMIT RECEIPT #SS`:5-
SUBD. (612) 6814675 DATE
RESIDENTTAL
PLFASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMII Y DWELI.ING3. AISO, COMPI.ETE FOR
TOR'NHOMFS/CONDOS WHEN SEPARATE PERMIIS ARE REQUIRED FOR EACH DR'ELLING NVIT.
ORNER: ADD-ON A/C ADD-ON FURNACE?
SITE ADDRFSS:
, ADD ON/RF.MODEL (EJIISTING
CONS1'RUCPION ONM $ 15.00
INSTALLIIi: HVAC: 0-100 M BTU 24•00
PHONE #: ADDTI'IONAL SO M BTU 6.00
ADDRFSS: 8i16iIRBAPiAl3COND1Ti0NII4GC0. GAS Oi7TLET5 - hiINIMUM 1@ $3 EA. ?
CI11': SURCHARGE $ so
SIGNATURE: TOTAL: S 7
NO PERMIT RE UIkED FOR DUCTWORK ONLY!
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MUI.TI-FAMILY BUII.DINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRID FOR
EACH DR'ELLING UNTI'.
WORK DESCRIPTION: , CONTRACT PRICE
l% OF CONTRACP FEE. FEFS
STATE SURCHARGE LS $.SU FOR EACR
$1,000 OF PERMTf FEE.
$
PROCESSED PIPING • S25.00
MINIMiTM FEE • $25.00 $
OWNER: TOTAL: $
SITE ADDRFSS:
TENAIVT: ` ..
SUITE #: „
INSTALLER:
ADDRESS: ,
CI1'P: ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE:
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AI,SO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIFtED FOR EACH UNTT.
NO. FIXTURES EACH TOT?'
? SI-IOWER 3.00 3
3 WATER CLOSET 3.00
-
2 BATH TUB 3.00 ?
q LAVATORY 3•00 12
? KTfCHEN SINK 3.00 3
i LAUNDRY TRAY 3.00 3
HOT TUB/SPA 3•00
? WATER HEATER 3.00 3
1 FLOOR DRAIN 3•00 3
2 GAS PIPING OUTLET • mi,imum -1 3.00 G
3 ROUGH OPENINGS 1.50 4.5
WATER SOFTENER 5•00
PRIVATE DISP. • Dax.cty, iic. 15.00
U.G. SPRINKLER • bome uneer mnsi. 3•00
ALTERATIONS • to ?t+ng 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
53' 00
TOTAL:
srrE
8118
eapf"o w
7ru`I
nWNF.R NAME: P. STc d ei, SD_w
INSTALLER: QU +rP ? P ???, ?j??a
ADDRESS: 10 4! ?D { z ? ,QvP -
CTTY: f 1 o b e P, T S ?? STATE: SZIP CODE: 5 02 3
PHONE #: ( 7I5 ) 79 9- 3311
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMi"1' (KralUr:tv tuu.)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
„._ .
PLEASE COMPLETE FOR ALL CONMIERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS VVFEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH
DWELLING UNT.
_ NEW CONSTRUCfiON
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
£EE: 196 OF CONTRACf FEE
STATE SURCHARGE $.50 FOR EACH $1,000 OF .. ?' FEE
MINIMUM FEE: $ 25.00 ? "`
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
S
a
$
TENANT NA111E: - STE #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
ST'ATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
1993 PLUMBING PII2MIT (COD'MItCIAI.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
?2LI ? O 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Construction Reouirements
3 regislered site surveys showing sq. fl. of lot, sq. ft. of house; and all mofed areas
(20% maximum lot wve2ge aIlowed)
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 set ot Eneqy Calculations
3 copies of Tree Preservation Plan if lot platted atter 711/93
Run Joist Defail Opfions selection sheet (buildingswith 3 orless unrts)
Minnegasco mechanicai ventilation form
RemodellReoair Reouiremenfs
2 copies of plan showmg foo6ngs, beams, joists
7 set ot Energy Calculations for healed additions
i site survey for addRions 6 decks
Addition - ind'aate i( on?sde septic system
. - 7o.1--o
Offke Use OnN
CeROfSurveyRecd _Y _N
Tree Pres Plan Reoi _Y _ N,
TreaPresRequired _Y _N
Oo-siteSepl'wSyslem _Y _N
Date 31 I / b G Construction Cost
Site Address Unit/Ste #
Description of Work ?- SJti kD? v, L
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 2
Property Owner 5-?jpL4-',yt^ Telephone #( 651 )qS 7-?F FS(e
Contractor
Address City
State
I Zip Telep6one # ( )
?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submided Submitted
. Energy Envelope Calculations Submitied
In the last 12 months, has the City of Eagan issued a pennii for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contracior
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
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, 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.
? a? ?n t.rr c 1, cl l?C+.v.
Applicant's Printed Name
??- tApplicant's Sign Are
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? DB OCrplex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuM Misc.
? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •DemoliGon (Entlre Bldg) - Give PCA handout to applicant
D@SCriptlon: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width •
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
_ Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC1E5 SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheetrock
FinaVC.O.
FinaVNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tesu Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Suilding Inspector
q5o?
-? i
0 1 13-75
2006 RESIDENTIAL BUILDING PERMIT APPLICATION &,,PU tp/Z? *J
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements 3 registe2d site surveys showing sq. ft of lot sq. ft. of house, and all roofed areas
(20% maximum lot covera9e allowed)
1 Soils RepoR if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
7 sel of Energy Calculafions
3 copies of Tree Preservation Plan if lof platted after 711193
Rim Joist Dehdil Oplions selec6on sheet (buildings with 3 or less unik)
Minnegasco mechanical ventilation form
RemodeUReoair Reouirements
2 copies of plan showing footings, beams, joisfs
1 set af Energy Cakulak'rons for heated additions
i site survey for additions S decks
Add'dion - indicate Bon-ske sepfic system
Dff"'" ?1 e (?nn .
C2f?0?Roq'Rdcd 3.
7UeePrea`'?IaiiR?cd ?i?.,£,.??I
3iee'P„re5'?-k qi?.tl.?'i?-
Date 1,4 / //
SrteAddress grg, I 0t- Constructiou Cost J D-/ 2,O-D"'a
UniUSte #
Description of Work
Multi-Family Bldg
_ Y ? N ?
Fireplace(s) ? 0 _ 1 _ 2
PropertyOwner Telephone#(bSi) `I57_-S?iSS?
Contractor ? S?u?i?5??-SorS
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Cate9ory I Worksheet • New Energy Code Worksheet
(4 submission type) Su6miked Su6mitted
• Energy Envelope Calculations Submitted
In the lasi 12 monihs, has the CiTy of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
I?
Licensed Plumber 2 z V n ?
Mechanical Contractor acT___1_ 1 ?wn
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the inforxnation is complete and accurate;
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, 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.
?C??Jc-fcA, SWo-?
ApplicanYs Printed Name ApplicanYs Signature
DO NOT WRIfE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ pfex ? 09 07-plex
? 04 02-plex ? 10 OB-plex
? OS 03-plex O 11 10-plex
? 06 04-plex ? 12 12-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 18 Deck ? 23 Porch (screen/gazebolperola) ? 36 Multi Misc.
? 19 Lower Level ? 24 Storm Damage
.
r
x7z:/!j?) W ? 25 Miscellaneous
?n Dl2 y Zon.-Y?
? 35 int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof O 46 Windows/Doors
"Demolitian (Entire Bidg) - Give PCA handout to appliwnt
DesCriptian: WaterDamage_Yes
Valuation ocrK) ?
Plan Review 100% or 25%
CensusCode
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy 4 - 3
Zoning
Stories
Sq. Ft.
Length
Width
_ Footings (new b)dg)
_ Footings (deck)
_ Foo[ings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
)6 Framing
Fireplace _ R.I. _ Au Test _ Final
Insulation
'-Z
- J
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Sheehock
_ FinallC.O.
?• FinaUNo C.O.
!0 HVAC
Other
_ Pool Ftgs Au/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Bcick
_ Windows
_ Retaining Wall
Building Inspector
?; X ?? ?(?`I• oa, -2?`%Z. -
j'Ze?VYlvI1e' ? ?Z, t7c.;? -
--?-•- -----? --
ys?z -
1%
o ,
pAmer°Can m cusroMEa C.tJ?TC?/?f ?X.7E?? f?S
Pao,iecr ? 18 F? t VP?tJF-tERP0u.J 'T?R i L
! .
Engineering Services, LtCI. SHEET SK1 oF l DATE 10 2OCo
19840 Red Wing Blvd. cnLcuL,e.-reo er?'?E?I?'?'? F1. I?RU f_
Hastings, MN 55033 CF4ECKE0 BY
Phone: 651-437-7731 ? u= r± O
Fax: 6511137-5570 scn?
?---- -? ?0-t --- --- ?
,c_sT ?, ? x ?CiN?pCt"
T4 Z?6 r
? • (??P,?/l?C.l ?'9 ?i'C.p ?--?
I
?
c? EAGAN
REVI EWED
i %' • ? BY:
DATE:
BUILDING INSPECTIONS DIVI
,uA,V" VF47• I ?
I
r +
„ r2-r q ?
P=GTORS N.
au!REooaeLL LEVELsoFrHE
IL SLEEFIN(i R90a9S
ON LR
.
L.
hAw?
LrY?- i NG SLEEPING AREAS. CENTii,
i
/ ;
`r r O ?} IL?.kb ?
M0KE D?= IN KAlLfVt
?---- ?'
A VAPOR
BARRIER
NiUST
1NSTALLED ON THE W
?cgrr? ? HRM SIDE,
ALL WqLLS AND ATTIC CEILING
3?tv? ? ?° r g'- o
:
i
?
_3 Z) -FIooX
? .
lZ_1 19 - wV%.I ?s
_um_v OV,--ra f?6 - ----
u•0
/- ?bc.EDGep .0?2-rlS3 s:??!r
??x7JC3S7Sw?F1y?S• ?-?X$=
!o
? trY?? ?. -? gy
!51g'?.' °/FrjzE rErpE 66 L00?
-- ... p:
R '3 ° "_
ccr6fiy that this plan, sYeci-
?r rePort was prep2l6d by me or
r;? d: MuCt supenriston atd that i am
? c:::y R^3ist3red Professiona! Enginmunder
Uye laws QKbg StatB, */jIN{nrtesota
I Date 40'0-°f-;V RedshaUon Ma 00 ;
. 03",25-1gWd3,-' 93 T HV 14212 l 73 JpM?ES e R H l LL IMC ?s
rwH 1,0; 612 899-6244
SURVEYQR'S CERTIFICA7E CHARLES CUQD CO.
NOYEi lUI.CINO DIMEIVSION$ SXOWN ARE: FOR
4 VE/ffICAL LOCA7'IOM OF 87?iYCTUqE oNL?? uou. ?'
'
SID . PLANS i'OR lUILDIN6 9 PCW1CAiYQ1
NOTE: HO 84?'FIC 9pn,S INVpTGAT10M NAS BEET! COMp.E7Cq
bN Y1118.'LOT 8Y 7N! 9uRVEYOR. 7tE SYITABILt7Y OF
NO?T s7H?E pElP4p?Hg1 THLr
TY pFr NE uRVE?OR 8? f5
? DENOTES pROPpSED SURFACE DRAINAOE
d DENOTES IqON MpNUMENT SET
• DENOTE5IFOM MONUMENT FOUND
XOOD.p. DENOTES EXIS71NCi EL511ATIpN
((100.0) l7RNOTEB PRppOSEp ELEyAYION
&CALE; t IMCH - 80 FEkT
PROPOSEO GARAGE FLOOR - jap%do pEP-T
PROPpSEO LDWEST FLQOR - git.83 FEET
PRQPpBED TOP OF BLOCK »O9N?Se FEET
WE HEREpY CERTIFY 70 CHARLES CUDD CQ TJiA7 TM3 ($ A 7RUE AND CpRRECT
REPRESEN7ATION OF A SU1iVBY OF THE BCIUNOAAIE3 OF:
Lot 71 @lock It THE pA1(S OF BRIDGEyYAI`ER 2ND ADdIT10N, oceartlinp 10 1he
reaoreed plol therooi, Dokota County, Mhfooa,
IT DOES NaT PURPDRT 70 SHpW IMWiOVEMENTS OR EN0140ACHMEN7S, EXCEPT AS SHpWN. AS
suRVEYflo BY ME OR uNDER MY DIRECI' SUPEqVISIpN THIS 4T H OAY OF MARCFi ,1993,
51GN : R. MtLI, INC, ?
B ? • .
?OHN C. LARSpN, LAND &URVEI?R
MINNESO7A LICENSE tVLINlBER 19928
James R. Hill, inc.
PLANNERS / ENGINEERS ! SURVEYpRS
4800 W. GTY. RD, 44 ¦ aUHNSVILLE, MN, 66337 • 872•890-8044
P.03
11656 PBi
ay
b
-----._
PSktGAgfi ]Z-RTCaIpF?`EING,
&=95°k 612 731 4869 03-25-93 10:01AM P003 1i35
@3r25-1993 10: 52 612 731 4869 CHAFiLES CIM CO. P. 02
PYaR-04-, 93 THIJ 14 i22 1 p e JFlM5 R H! LL 1 NC TEt. 110: 612 M'6244 0$56 P62
ia
I SURVEYOR'S CERTIFlCATE CHARLES CUDD co,
lbe4mL
6db.7L
1'?'r
L?v. 1
SCALE: I INCH ¦ 30 F'EET
'
/_?py4
N
o
b
o
'?
wo
wy
z ?
? O m y w ?
N
,
AICdOw n1w?11u.
?
q'O1.00
cp-
X
0
?f l
?
CJ
UI
M
d=
i?
c?
c.
C D
?9
?
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYC7RS
2500 W. CTY. RD. 42 a BURA?SVIII.E, MN. 55887 • 612-880•6044
R=9596
612 731 4869 03-25-93 10:01AM P002 #35
PIAR-04-'93 TFIU 14:22 ID:JAhiES R HILL IFIC TEL 1-10:612 850-6244 pE56 P02
556433
SURVEYOR'S CERTIFIC AT?E ChIARLES CUDD Co.
d?4 ?j .
v
i-'..' r ??
1
I ,
? US
? -to? 126.58
so.ov
Top[?Rg '
/-.;,v 880.7 L ? '" i ?
M1ry /
,o
(((??? !1 Paoposco =e
w. ?
?r` DR?vE e°
?V `??• ?1 J?? M?'M \v ,_ ?
?q ' ? •,
/ Y
? ?eoP.oces_ ? `?i
\ Ipuse ?40 88.9Y6
s
N88°481 07"W I
41.ao+-, ' ?
&99.?
10 1
i/
x
i I W
, I Z.
.o ao p I
? -O `. ?M1' . Y I
\???? . e ze oo • '? .
I L!?i
ub
4 I
/ °vQ
0o/ ` v
y I
\ LOT 7 ?
?
, ?
MACE ?
J NT PER?PLA7l ?o
? 5 ? N84 3,01 -'?
l?° g 7Z
?' ...` O
; - . ? _ r-
O`
? N
s
??
\
' \BBaaf 59.00
N8W4 A'0T'' W ?-
I
I
SCALE; I INCH=30 FEET
? ?
?A
? p r W O
N W O ? ?
ro 6'" O? =` Ou' ay f?
? Z
p -? ? O i m z Z
? p m v, W W
?
FD
=n
U
rn
.'r
'v1
rr?
C,
c?
Cl
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
....,
2500 W. CTY. RD. 42 • BURNSVIILE, MN. 55337 * 612-890-6044
l
19NP,-04-"33 THU 14:21 11):7Flf9ES fi HILL II-IC TEL 1,10:612 890-6244 q655 F91
suue
SURVEYOR'S CERTIFICATE CHARLES CUOD C0.
NO7E: BULDING DIMFNSIONS SHOWN ARE FOR HORQONiAL
9 VEStTICAL LOCATION OF STRUCTURE ONL7 SEE
ARC:FIITECfUAL PLANS FOR BUILDING fi FpUNDATICN
DIMENSpNS.
NOTE: NO SPECIFIC SOILS INVESTGATION HAS BEEN COMPI.ETED
ON THIS 'LOT 8Y THE SURVEYOR. TtE SUITA8ILRY OF
SOILS TO SUPFORT THE SPECIFIC HWSE PROPOSEU IS
NOT THE RESPONSIBILITY OF THE SURVE'!OR
- DENOTES PFOPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEEf
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR s B83.3V FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - $7553 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK FEET
WE HEREBY CERTIFY TO CHARLES CUDD CO THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 7, Block I, THE OAKS OF BRIDGEWATER 2ND ADDITION, occording to the
recorded ploi ihereof, Dakota County, Minnesotu.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. A5
SURVEYED 8'I ME OR UNDER MY DIRECT SUPERVISION THIS 4T H DAY OF MARC H , 7993.
SIGN R. HILL, INC. ?
e: ?
JOHN C_ LARSON. LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
cn ?
m
-n T
? O m
0
p
?
-+ p m u, m O < w p ? D
r n - y Z
O p Z O 0 ? m ?
p
;0 ? m cl) w ?
.
James R. Hi , inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890•6044
igilu
__(‘, .
t For Office Use ,{b
a t # /...5.00 9-741.X��
.. Permit#:
" " Permit Fee: / 7, 7
ir
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810sir,
RECIEV '�'�, Date Received: ,� f
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: iw
buildinginspections(a�citvofeagan.com JUN 0 6 ?(J1 L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 06/05/2018 Site Address: 818 Hidden Meadow Trail unit#:
Name: Paul Stephenson Phone: 651-452-5986
Resident!
818 Hidden Meadow Trail
Owner Address/City/Zip:
Applicant is. Owner X Contractor
Type of Work Description of work:
New Deck
Construction Cost: 9'000 Multi Family Building:(Yes /No X )
Company: The Deck & Door Company Contact: Alex Mencke
6900 151st St W Apple Valle
Contractor
Address: City: pp y
MN 55124 952-432-1888 alexm@thedeckstore.com
State: Zip: Phone: Email:
CR005457 R-1-19420-15-00067
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
Post 1978 p0/47- 1,;) .71
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 Plans and supporting documents that you submit are-considered to be public information. Portions of the information may be
z classified as non- ublic if u Ovide specific reasons that would mit the C to conclude that the are trade secrets
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.citvofeagan.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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the •rdinances 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 w: ut 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• -ns. w� - -
Alex Mencke x `' /z if
Applicant's Printed Name Ap 4 'tiers Si• ate. e `
DO NOT WRITE BELOW THIS LINEe f g 1 E`l (J/ 4oc<) i 2 . /56e)cici
'SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) _ Exterior Alteration (Multi)
Multi f 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 34J Occupancy , jjC-J MCES System
Plan Review Code Edition Agee SAC Units
(25%_ 100% y ) Zoning tj, -1 City Water
Census Code #y 34 Stories — Booster Pump
#of Units j Square Feet -- PRV
#of Buildings f Length Fire Suppression Required
Type of Construction Ai t Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice 4..Water _Final Pool: Footings Air/Gas Tests _Final
4 Framing V30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEE f 7"0 ,9400# 0 /PO .1.7,0%
Base Fee 8`8` ----
Surcharge
Plan Review 5?
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies ‘7,..) X , ' -.5--
TOTAL 5--TOTAL
Page 2 of 3
s u-siN-,0ti- J.J. u .I'4.CG i L)J)Hl1t) K HILL 1I IL ILL i IIJ:b12 8':3C-6244 11656 Pet
3511433 / _,?- t6„) -( 9
SURVEYOR' S CERTIFICATE CHARLES CUDO CO.
4;gra:: 2,./1.07'
4„ef "4 &. ' � '/ , ' /, 6›" ) 1 0
_ 30.6,
/ , 0.03Lo"= /'
b?f/Ate-lediairA.)-e-t-
Iy '= 7//`”
_ i X' = 3�''
'�
r
i_'.:
1
(levi)
/ TopC,
9.90..7
? /
° b Ji 126.58
S
1V
5....,,,
r 41.
v
a
+N8
-,
8°48'or"w
/, !:! 0
099.5
k� ° ! , '
po �cIV 2
,z,
<z- `.
V ��cti x
!d
AN,
fz.
lc) Fsrl
° p� 8846 = ==
I S'..-----
Bcre1_ "rfs,‘ ! I s_. CI
_ ....T _ ,
4.
.' . \ . -. ,..71. - -14:"Je'C
ej
P Il P
vv: gg4;"69
C. )
/$4: \i-8 'cl ?AA
V.
It
Ci
141
' /:J . � 141e0 4/ n�
F
N)
Q pO �p a/ i
` \ C 1
_____621 \
-.32 t) I
LOT----7 eizi//r-7---e4
-1- l's.,.; (74.-; \ )
L_.. r
11"1Z i* `J 0Ra'1F �T PER IUPti- v 10 _'�
y 'Cao 9 _�.. —_� fva4 3,°i E~ -4 c'
!L'�� -'tJ 92.7'5 ` ti
fo-1
vo
cv
N s)
$ \ 0
$
\ I
\8ga.,;s•-} 59.00 _...1 c'o3.,1
r
N88 e'ow
I
SCALE; I INCH=30 FEET
w, w i
[:. 0 Li L QJames R. Hill,
.r= w � o w cn � n D D
Mz 0° m X z PLANNERS / ENGINEERS 1 SURVEYORS
O z D ciy O m W m La W .. .,,
2500 W. CTY, RD. 42 • $URNSVILLE, MN. 55337 • 612-890-6044 h
.
SURVEYOR'S CERTIFICATE CHARLES WOO CO. L
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL
et VERTICAL LOCATION OF STRUCTURE ONLY. SEE
ARCHITECTUAL PLANS FOR BUILDING 6 FOUNDATION
DIMENSIONS.
NOTE: NO SPECFIC SOILS INVESTIGATION HAS SEEN COMPLETED
ON THIS 'LOT BY THE SURVEYOR. THE SUITABILITY OF
SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS
NOT THE RESPONSIBILITY OF THE SURVEYOR r
j : 309. 7
- DENOTES PROPOSED SURFACE DRAINAGE PO-- ✓'v re,,o, i
O DENOTES IRON MONUMENT SET -'SSALE: 1 INCH— 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 6B3-37' FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR m 975-.53 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - ,(0'gty,s-V FEET
WE HEREBY CERTIFY TO CHARLES CUDD CO. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 7, Block I, THE OAKS OF BRIDGEWATER 2ND ADDITION, according to the
recorded plot thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 4T H DAY OF MARCH , 1993.
SIGN •• - #4, R. HILL, INC. j.._....)
B : r
JOHN C. LARSON. LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
rr, . ,
m
James R.
a o a 0 n z 4" - z PLANNERS I ENGINEERS I SURVEYORS
m X
al
hf 2 m W
-c
2500 W CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044
a
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152329
Date Issued:10/10/2018
Permit Category:ePermit
Site Address: 818 Hidden Meadow Tr
Lot:7 Block: 1 Addition: The Oaks Of Bridgewater 2nd
PID:10-75836-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Paul W B Stephanson
818 Hidden Meadow Tr
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature