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645 Hillside Dr?3 ? ?, ++ • Wertificate nf Cccupanc? G?it4 of Cfagan zeowrtwcat of 8un* an#pcctiou This Certifcate issued pursuant to the riequiremenrs of the Ureiform Building Code certifying that at tfte time of issuance this stnrcture was in compliance with the various ordinances of the City regulatireg building construction or use. For the following: usecimiticat;a?: SF DWG Bwg. eermit ro. 22026 O-q-cY IYve ?L3/M 1 zonmg asbia R 1 Tya const. VN 0.= of 8,,;kk,,@MM & S HQvES Addmss 812 E 14 STfi ST, B' VILLE 8,,",,g Address 645 HILSIDE DRIVE Lacali?yL 15, B3, B[]R QAK HII.LS ZND / o„, I1/29/93 euiW,g ar'idW , POST IN A CONSPICUOUS PLACE INSPECTION RECURD ? CITY OF EAGAN PERMIT TYPE: 0' ' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: "' '' ?"• (612) 681-4675 SITE ADDRESS: APPLICANT: ii ? t i. i i?E t?i, ?? : Iti??tt •. t' UAIK IM 1`.. .'ML1 PERMIT SUBTYPE: TYPE OF WORK: I iNSPECTION .. i+, ? ? ? ! I ??rt i tJri? I I t i%1 A( i I i,I Afrf , ., N L W Pt NH irllitPit I F -1 Permit No. Permit Holder Date Telephone S S/W PLUMBING ?, O /? ? 32-9DrJ9 HVAC ELECT C ELECTRIC Inspectan Date Insp. Comments Footings I Foundation ? Framing l? r 93 Roofing f / /? ? Rough Pibg. fo Rough Htg. •??.s Ft•i, isul. ?o ?-g3 S Fireplace F??l Ht9. o?sac rest Fnal Plbg. , Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final 04h ? Deck Flg. Dedc Final Well Pr. Disp. Address 645 HnLSIDE DRivE Zip 5512 I L.ot ' 15 Blk 3 Sub sm oax Raas 2m THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: ?J aq 9 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanentdriveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish ? Deck Please verify with the builder the removal of roof test caps from [he plumbing system and the shut-off of water supply to the outside lawn fxucet befote freeze potential exists. Contact engineering division at 6814645 before working in righFOf-way or installing underground sprinkler system. ? White - City Copy Yellaw - Resident Copy Pink - Contrecror Copy ?M 0 3 912 61j k15 3 Raquesi Dete ' ? Fi e No Rouglt-in Inspedion eqmretl9 NOTICE: Vou Must Call Elecmcal Inspeclor Ii A Rough-In Inspeciion O^/ ?? Ves ? N. Is Reqmred. I licensed contrac[or ? owner hereby request inspection of ahove electrical work at: Job Atlaress ( iree6 BTax or floule 7o/` J / ,///??K. /f IVI'l City /?/,? /./f7 4fIl Section Na Township Name or No. Range No. Couny ^ /Ja /to «??p?MIPR, ? ?mes r!; Phony 1133 Powa?/ysy?Poa/ ?5n ? ,?Y/V ?? naare? ?O I?9xUe?? ? on, ? Electncal C actor (Compeny N d X Conireclor5 Lice e No ?33 ? CA .Q ,? e? G . Mailing AtlCress (COn[ractor or Owner Making InstallaUon) 180.26 /l7Cdoza 4,e ss35.:2 Aulhonzetl S re(COnlraciopOwner Maki tallalion) ? ? ,`? Pho e Number ?tia-a MINNESOTA STATE BOARO OF ELECTRICITV THIS INSPECTION REOl1EST WILI. NOT Grlggs-Mitlway Bldg. - Hoom S173 , BE ACCEPTED eV THE STATE BOARD 1821 UnirersiTy Ave, SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 862-0800 ENCLOSED REQl1EST FOR ELECTRICAL INSPECTION ? ? ??- /e/a-oo/oo/i-oe O ( 7 ? See insimc[ions for completm9 this form on back oi yellaw copy e M 03912 _ x" Below Work Covered by This Request .:+ ew Add ? TypeafBUildmg AppliancesWired EquipmentWired Home Range 7emporary Service Duplex Water Heater Eleciric Heahng Apt Building Dryer Load Management Comm.(Industrial Furnace Other (Speciy) Farm Air Conditioner Otnar (speciry) onVacror's Remarks Compute lnspectian Fee 8elow: # Other Fee # ServiceEntrance5rze Fe # CrtcwGS/Feeders Fee Swimming Poal 0 to 200 Amps o 7o io0 amps Trensformers Above 200 -.4mps Above 100 _ Amps SignS Inspector's Use Only ?? TOTAL Irrigation Booms hR S?Arc ? Special Inspection i AlarmlCommunication THIS INSTALLATION ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby RO09n-,n ' oau`-? ? certify that the above inspection has been made. Finai o OFFlCE USE ONLV This request voiG 18 mantM1S hom RESIDENTIAL ? BUILDINC PERMIT APPLICATION C, CITY OF EAGAN ? 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Canstructioo Reauiremanis • 3 regis(ered site surveys shovnng sq. ft. of lot, sq. fl. of house; and all roofed areas (200/6 maximum lot coverage allowed) . 2 coµes of plan shomng beam & window s¢es; poured found desgn, etc ) • 1 sel of Energy CalculaGom • 3 copies of Tree Preserva6on Plan rf lot platted after 71153 + Rim Joist OetaA Ophons seleIXion sheet (bldgs with 3 orless units) DATE G- r7 -c__I? SITE ADDRESS r,-- TYPE OF APPLICANT RemodeUReoair Reauirements . 2 cropies of Plan • t sei oF Eneryy Calculations for heated additions . 1 sAe survey for extenor additions & Aecks • Indicate A home serred by sephc system for addRions VALUATION s? 1zS0 MULTI-FAMILY BLDG _ Y // N FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS T 7?Od 13' /9?' -?C TELEPHONE # -2-- 3 Sy/ d36yCELL PHONE # FAX # PROPERTYOWNER Pir/Ce TELEPHONE#?S/- ysy 1088 ...................... -------------------------°^-------------------------------------...---- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MI.VNESOTA RULES 7670 CA1'EGORY I MINNESOTA RULES 7672 (J submission type) . Residentlal Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculatlons Submitted Plumbing Conhactor: _ Plumhing system includes: Mechanical Contractor: Mcchanical systcm includes: Sewer/Water Contractor: Air Conditioning _ Hea[ Recovery System Phone # Phone # Fee: $90.00 I'ee: $70.00 ---------°------•-------------------------------------------------•--.....----°---------------°----------°------------ I hereby acknowledge that I hdve read this application, state ihat the information is correct, and a re ply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. ?? IIII Signature of ApplicanT OFFICE USE ONLY Wa[er Softener _ Wa[er Heater No. oFBaths _ Phone # Lawn Sprinkler No. of R.I. Baths r-, - ••- - - Certificates of Survey Received , Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 EM. Alt- Multi ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. qlt - SF ? 04 02-plex ? 10 OS-plex O 18 Deck ? 23 Porch (screened) ? 36 Multr ? 05 03-plex p 11 10.plex ? 19 Lower Level ? 24 Storm Oamage ? 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) Ci 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings(new bldg) FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) Ptumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Fi nal Pool Ftgs AulGas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ A ir Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC Ciry sac Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector ?\/ PERMIT -?P ?C., CITY OF EAGAN ?? 3830 Pilot Knob Road PERMIT TYPE: a u i Ln i N Eagan, Minnesota 55123 Permit Num6er: 022026 (612) 681-4675 Date Issued: 0 9/ 21 / 9 3 SITE ADDRESS: 645 HILLSIDE DR LOT: 15 BLOCK: 3 BUR OAK HILLS 2ND P.I.N.: 10-15501-150-03 DESCRIPTION: 81u"ildin Permit Type SF OWG ?uilding i+`rk Type NEW F Be ocaupanR-3 M-1 Constructipn ?f4p' e V-N Zoning R-1 Building Length 48 Building Width 94 ???? ?? a(moun REMARKS: S & W PLBR - OLBERG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Un3ts Lic. Search Fee Subtotal VALUATIQN $741.00 $481.65 $64.50 $750.00 100 1 55.00 $2,042.15 $129,000 MISCELLANEOUS $1.744.50 Total Fee $3,786.65 CONTRACTOR: - Applicant - s-r. LIc B p& S HDMES 14312429 0004919 812 E 146TH 5T BURMSVILLE MN 55337 (612) 431-2429 L _ M B D& S HOME3 812 E 145TH ST 8URN5VILLE MN 55337 (612)431-2429 I hereby acknowledge that I have read this application and staCe that the infarmetion is correct and agree to comply with all applicable state o'F Mn. Statutes and City of Eagan Ordinances. ????.???.?..-?'- --- APPLIC /PERMfTEE SIGNANRE ACY14 -I$UED .5 GNA? ? ? REACTIVATE CIIY OF EAGAN 993 BUILDING PERMIT APPLICATION ?-MiL-L5 PERMIT•N ' P 1 2 V!in 7 1993 681-4675 _--?.- -- SINGLE & MUL7I-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, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- uested once permit is re h l q ange ot c in which request is made, 2) address is changed or 3) 1s issued. Date _'? / !? l 93 Valuation of work l?O,OA4.uJ _ Site Address: ???? fT/?LLS/OG-? v2ruV 45? Gf,?.-I SiREET SUITE y Tenant Name: (commercial only) C.? LOT BIACK 3 u?.J ?CS SUBD. N/ ?,v? AdJiT? I.D. M P Descri tion of work: The applicant is: D Owner Contractor ? Other (Deacribe) Name Phone Property LAsT FIaST Owner Address SiREET STE M City State ZiP Company j fS l*?Di?96'S Phone ?3i?2?a9 Contractor Address License # 40/9 EXP3/ City ?4..r,?SV?c?d State Zip 5??337 Company Phone AI'Chit@Ct/ Name Registration Y Engineer Address City / State ZiP Sewer & water licensed plumber ??=? ??????'?' ? • Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the infarmation is licable State of Minnesota Statutes and City of ll h app a correct and agree tn comply wit Eagan Ordinances. , Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging IR 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Mist. ? 03 SF Addition ? OS S-Plex ? 13 Garage/Accessary ? 04 Sf Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE g 31 New ? 33 Alterations ? 35 Tenant Finish O 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION .?"".* ?7% Baseme? t.. fipJ,sh ? 11 Swim-Pool ? 18 Comn./Ind. O 19 Comm./Ind. Misc. ? 20 Public Facility O 21 Miscellaneous ? 37 Demalish Const. (Actual) V-N Basement sq. ft. MWCL System YE5 (Allowable) ? lst F1. sq. ft. City Mater y65 UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning ? Sq. Ft. total Booster Pump Y of Stories Footprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code /o/ Depth 34, On-site sewage SAC Code APPROVALS ? Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Insulation 0 Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit. Park Ded. Trails Ded. Copies Other Total: SAC 76 100 SAC Units _L st% r?-= 96, IX$: g _r-- ?q o x ,Sy = Z8x 26= I28 2 y? 12 = -z `1 .20 ?c !2 = 2 Ll o q 9'z XrSO: I ti,sa 0 53y(oo 0 5. ?..? wwact«r. $ 00c) ?AR?6E; g' SM1'? ? Framing ? Draintile 2-0 YZZ = 4`+o Y. 4. = 70N0 2Gx28=72g 12?t 20- Zy0 IsT-rL.oo2; ?I 68 I zNo 09,21/93 09124 Cartificale oE Houae Locntion Fore H.B.D. i A. UOEIi!9 812 linat 145th Streat eucnsville, 1R 55337 2 612 423 2243 CHNS NOVRN HRCt1T 01 y- _51/ • %y Lbe!-II"brendTnxtrnnsmitlaimemo7671 Yalp?qes• ? aE1.MAR N, LANO 01q1VlY0Ri IMC. bNNed Uqn LM M Tb SLLY N Yln.?.mo 14760 80UTH ROBEFT TMII. p08EMOUNT. MINNE801A 6E088 ui P V 9 rl ? ? d C W d51 A sJU11vEY0 n !??'??gl gz?`y? y,' - / ?Ti?nr F?tse.srs:t,,. • Y?:F' ? I / -? vt S ? ' rl I I LOT ?r? I I I I I ? I ? +,s I - zG-?I •a+ ? zc ----?-- 46 ze 9 A o I m - ;e 0 NA9• 3B•?n? ,--?-- M ;?r l.,, ?1 4e? llvb ._?___. ......__..._.. __ _. CERTIPICATE e?vaaa•?ieo 'tp?_ Srrlee 1 inrh = 30 feet O = Iron pip3 monument p ? Set mood hub ?9?p = extsiiny sfot elevutiun Q = PCOfwaed eleVation Profxssed gacaye floor elev. SS•i.?? Proposed cop oL bluck eelv. w PYOposed lonmst level elav. 14?,3.,... j Q AHe 4bp nut of hydYent 2wtmeen Lotc 15 and 14, nlock ] m 856.56 ? rlaA e'• s."'` f,F Iwe nescription: l.ot 15, Block 3, Bur Oak Ilills 2ND ADOITIqN, accord3ny Lo l.he recorJad plot Chereof, Dakbta Caunty, Hinnc-sota_ 0:4 36 ` T r iF+d O; t 4 aK,.a?• k y'??• G..b .?. ?---- 1 MraAr nrllly tlip lhq WMy. Pltn, Or repod Mo ? pis{ursd br ms et undN my dMW aporvhlon iknd In•11 am a duir nopluH•d I.Rraf Buntyor undu IIN Nws e11M BNN ol MpiMsoto. on4d 09-14-93 M/? oq-ai-93 M L ? G LK eew ' C7C ? ?'t' L ? peP? ex R ax Also shoaing the lwcation of a prolzised lwusu sl.nkad Uhesaan. R E V 0 E W FZ?'D) By Date S?a-) I 9 q3 EAG11Pd ENC;IIVEEI3IR1G DE1'T i palmu N, Bohw?ne ' Mlnnm?oti Roqlahetlan Ha. C62S ? R-93% 612 423 2255 09-21-93 09:49AM P001 fi13 LOT BiTRVEY CHECRLIST FOR RESIDENTIAL GRp16 94 i- zC iY W ? BIIILDZNG PERMIT APPLICATION PROPERTY LECaAL: ptpc Q/-1 K N; /(S ;ZN cl Date of Survey: ?T14- 14`13 2 1 DQ90MENT STANDARDS 0 0 • Registered Land Surveyor signature and company p' ? ? • Building Permit Applicant @K0/ ? • Legal description ? Q" ? • Address ?ro AOD KE55 V 0 ? • North arrow and bar scale No /??FK scR (? 0Ev ? 13 • House type (rambler, walkout, split w/o, split entry, ? lookout, etc.) t di h l i t 0 ???/ ope/gra en s t Directional drainage arrows w . t9' ? [9"b?C• Proposed/existing sewer and water services [d? ? ? • street name ? ? • Driveway ELEVATIONS Existina ? " ? p.Vi. • 6Y Sewer service Cr ? ? • Lot corners p/ ? ? • Top of curb at the driveway D P/ C • Elevations of any existing adjacent homes Proposed p'Z ? • Garage floor C3' ? ? • First floor Cil/?? 0 • Lowest exposed elevation (walkout/window) ? EK' 0 • Property corners IY ?? • Front and rear of home at the foundation PONDING AREAS (if_applicable ? C-3'/ 0 • Easement line ? Q ? • NWL 0 V0, ?• HwL p Pond # designation ? 6/0 Emergency Overflow Elevation DIMENSIONS p-' ? ? • Lot lines i0o 'V. • Right-of-way and street width (to back of curb) q' O . 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) [9e ? 900.6? • Show all easements of record and any City utilities within those easements L?? 0 • Setbacks of proposed structure and setback of adjacent existing homes ?[4-"p • Retaininq wall requirements, if any Reviewed: U2/W4 ??L./? w ? J2 0 1 2 0 1 Name / ate ? OCtober 1992 ' a?N srBDB$iceNs?e e 4919 ' 812 E. 145TH SL •' • EXTERIOR ENVELDPE AVERAGE "U" COMPUTATION BuRrvsvIUE...MN 55337 ' OWNER M$ 6 4- S4-6 rnsS ( h? c?t crc.c ?fFSCr+t-? SITE AOURESS `aG A"`'? oJ1~'• CONTRACTOR M(3b -+-5 DATE 911YI13 PNONE ? betermine working square footage of each. , sq. ft. x„ 1. Tatal exposed wall area ....... 2. Total roof/ceiling area .... '19I0 sq. ft."X .021,° Total exposed wall area above floor a. Tota1 wall window area .................... ...... Z.C7 ? 6. Total doar area ................................. c. 7ota1 sliding qlass door area .................... . 4 4 ...... '.d: 7ota1 fireplace wall area................... ...... ? .. e. Total wall framing area (averagel0%)....... f. Total net wall area above floor ................. I? . ZI 4 _ g. Total rim joist area ........................... _z- Total exposed foundation area = 9 Z -"'- h. 7ota1 foundation window area...... .......... i, Toa] net foundation area above 9rade ............ .?. Oetermiae "U" value of each wall segment. a. Zalo x iiuli b. X„u„ 1''? = 5. Z a , c. L/ x iiutl Z.2_ d. -_" X "U" e._ 185,88 X"u" f. ILor1z ,9 z x"u" R, 3 9 zrj X $Au„ 10 1 ? 8.91 n. x „u„ ._..-,.- x „u„ 62, ;., az??l 3 . . . .. . . : . . .. . . . . . . . . . . : .Tata1 ?i , l03 If item #3 is the same as, or less than item 01, he intent of SBG 6006(c)2. ._i i m Boas NoMes ' MN STATE LICEN3E 0 4919 812 E. 145TH ST. • BURNSVILLE, kIN 55337 Total exposed roof/ceiling area D ' '?? • - - . Total 9ross roof/ceiling area = qOa . ., j. Total skylight area ... .:.................. --- k. Total roof/ceiling framing area .......... 1. Total nQ't.insulated roof/ceiling area....... . Determine "U" value for each roof/ceiling segment. . ?: ... .. x „u,. k, . c3 r7X i,uto z,3Z- 1. ?i?3 x"U" t OZZ. a Iq,Z 4................... ..?7 .......... Total / 21? • , . . If total of #4 is the same as, or less than #Z, you'have met the intent.of • SBC 6006(c)1. To utilized the total envelope system method, the values.established by the sum of items #3 and q4 shall not be greater than the sum of itens B1 and N2. 1. . ... + Z. + 4. ? MA2ERIALS Therm. Heeistance "R'^ Exterior Air a7 _ Siding ataterial q as. Sheathing 2,OLn__ Insulatian . ? Sheetrock Interior Air Studs ? RinL Conc. Blks. '! . : , . . . • . ?) • • •. ?l MN?BDESCENM$EC4819 812 E. 1457H ST, BURNSVILLE, MN 55337 MBD&S Homes 645 Hillsicle Dr. Eagan American Htg, A/C 13166 Floral Ct. Rpple Valley I job ad.dress , MN, . & Refriyeration MN, 55124 Tuesday, September 7, 1993 Jub #1006 Zone Summary Load Report (Btuh) HEATING ZONES: Total Env Zone NamE Heating --------- Load ------ ------------------ Zone 1 91118 -- --------- 69118 ------ ---------------- Total 91118 69118 Vent Req. Flow Load Tset CFM / GPM ------ ---- --------- 22000 68 1381/ 3.0 ------ ---- --------- 22000 1381/ 3.0 COOLING ZONES: Total Env Vent Sens Lat Req. Flow Zone Name Cooling Load Load Load Load TSet P.H CFM / GPM ------------------ --------- ------- ------ ------- ------ ---- ---- --------- Zone 2 37325 28690 8635 27285 10040 78 55 1127/ 2.5 Total 37325 28690 8635 27285 10040 1127/ 2.5 M 15 BD&S HOMEg 4919 BURNSVILLE5A V 55337 MBD&S Humes 645 Hillside Dr. job address Eagan , MN, Ametican Htg, A/C, & Refrigeration 13166 Floral Ct. ' Apple,Valley , MN, 55124 Tuesday, September 7, 1993 Job #1006 Room Summary Load Report (Btuh) Required Required Total Total Sens. Latent Heating Cooling Room Name Heating Coolitig Cooling Cooling CFM/GPM CFM/GPM ------------------ Livingroom/FOyer ------- 11880 ------- 3559 ------- 2735 ------- 824 -------- 180/0.4 -------- 113/0.2 Kitchen/Dining 7158 6820 6206 614 108/0.2 256/0.6 Family Room 3353 663 538 125 51/0.1 22/0.0 Bedroums 1& 2 5475 5021 3931 1090 83/0.2 162/0.4 Bedroom 3; Bath 3953 3645 3061 584 6010.1 126/0.3 Mstr Bedroom/Bath 4833 2140 1514 626 73/0.2 63/0.1 Basement 31859 6750 6243 507 483/1.1 258/0.6 Mdx Required CFM/GPM 180/0.4 256/0.6 51/0.1 162/0.4 126/G.3 73/0.2 483/1.1 tol'rx vr raueuv rutt lrl'1'I ubn unLx 3830 PIIAT RNOB ROAD ' - EAGAN, !Ql 55122 PER?SIT # PHONE: (612) 454-6100 % ?6C RECEIPT # BIAiG:tP?? ?? - DATE: OO ?§.IAEt73'IfiL:: PLEASE ,?< .... .........: •...: COMPLETE IIPPER YORTIDN ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH QNIT. °-------------------- LTORK DESCRIPTION -- -------------------------- ----- ------------------__ COMPLETE THE FOLLAWING: --____ N0. FIXTURES EA. TOTAL NEW CONST ? ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 •3"? REPAIB WATER CIASET 3.00 °_w ? BATH TUB 3.00 j.? LAVATORY 3.00 3a.? OWNER NAME: KITCHEN SINK 3.00 1 LAUNDRY TRAY 3.00 , ?.W SITE ADDRES S: G,45 11.I L ?-S? D? (} (Z,.?r?-c HOT TUB/SPA 3.00 ? ? ? ? _ IAT: SiACK SUBD . FLOOR DRAIN 3.00 l,m INSTALLER: GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ? ? ADDRESS :? ?-J- IA _ OTHER WATER SOFTENER S,OD CITY: iPP L`E.- 1/'d L.L "I ZIp; PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE #: ? 43 a ? G ? ! ? _ SUBTOTAL u S T ?.? D (-y- ?--?---_. ST. SURCHARGE .50 " SIGNATURE OF PERMITTEE 7 w TOTAL: ?bP4SERG?ALjiNDIISTRIAI PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND u..>. ... . .. . . .. MULTI-FAMILY BUILDINGS i1HEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: 2IP: PHONE FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.SO FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN ?w• ? RF?....??.: ?. ??vn PLEASE COMPLETE FOR SINGLE FAMILY DWELLINC:S. AISO, FOR TOWAIHOMES AND CONDOS WHEN PERMTTS ARE REQUII2ED FOR EACH UNIT. ?C NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE /°II /f3 HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (Exis-rtNG CoNST[tUCnoN) STATE SURCHARGE TOTAL SITE GT6 FEES $ 24.00 6.00 `j,OO $ 15.00 .50 33.?? e..,, Q& QWNER NAME: ftpo-M?? TELEPHONE #: SIGNATURE F MITTEE 1943 MECHAHICAL PERMIT (RESIDENTIAL) CT11' OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CITY: 3?'ll STATE: ZIP CODE: 55 Iq TELEPHONE #: 'F32^ 0076 • n-"M. Y:... v: ?F• •.: 1993 MECHANICAI, PERMTf (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDIlVGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQLJIRED FOR EACH DWELLING UNTT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: CONTRACT PRICE: $ FEES 1% OF CONTRACT FEE PROCESSED PIPING: MINIMUM FEE: STATE SURCHARGE TOTAL S1TE ADDRESS $25.00 $25.00 $.50 FOR EACH $1,000 OF PIAM FEE. $ OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLl) INSTALLER: ADDRESS: CITY: TELEPHONE #: STATE: ZIP CODE: SIGNATURE OF PERMITTEE CITY INSPECTOR For Office Use Ci of E nQ n n I Permit !J~ I ty I I Permit Fee: J~ 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: j - - - - - - - - - - - - - - - J 2009 MECHANICAL PERMIT APPLICATION Date: J&- /7, Site Address: Tenant: Suite G RESIDENT / OWNER Name: fl Phone: lpSl~~-~d~a Address / City./ Zip: ,6 T J/'LLd~ !/jam CONTRACTOR Name: / E e',I--exo License ID E ,Q,Q Address: City: CI 'ti! [s State, Zip: Phone: Contact Person: ECG TYPE OF WORK New x Replacement Additional Alteration Demolition Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL X Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ ~Q TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a it; that the work will be in accordance with the approved plan in the a rff work which requi es a review and approval of plans. X ~J X Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In Air Test Gas Service Test In-floor Heat -Final Exterior HVAC Screening Inspection - C 1~1AR 11' 2010 5P 4~ ~q -7 1 March 09, 2010 To: City of Eagan-Inspection Dept. This letter is in response to a HVAC install I did at 645 Hillside Dr. The inspector questioned if I had used a primer on the PVC fitting on the furnace intake and exhaust piping. I attest to the fact that I did prime all fitting with clear PVC primer, as I do on all installations. I have removed and replace the leaking 2" PVC elbow at the above-mentioned address. Thank you, ete ecker P7 Owner, Becker Heating LLC 651-402-0944 EAGAN REVIEWED DATE. BUILDING INSPECTIONS DIVISION For Office Use / I Permit eq'r'-) 1~ I City of Ea 's t -00 Rd Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: P j Phone: (651) 675-5675 C '(v C I staff: f I Fax: (651) 675-5694 I I C 2009 RESIDENTIAL BUI//' DING PERMIT APPLICATION Date: 6 /Site Address: //-,f." e- ~r~ Tenant: Za- ~~'t (T'~~? /J Suite RESIDENT / OWNER Name: ':~:R -t_~ ~ J_P_~ ? , e~ Koee ~0X Address / City / Zip: dji /•l/ •y Q' 04 2 Applicant is: Owner 42<Contractor / /t TYPE OF WORK Description of work: e, M d 17 e- l e-Xf `4-- ~ 9 ~e e.i~ 67, Construction Cost: OY b,, 'd- O d Multi-Family Building: (Yes / No~ ) CONTRACTOR Name: ~C 6l" ~CYetCT/"Ct-W; ~'1. cense#: ®2 y ~6 Address: , /0.2 S.{- &1 •1C T1Owe/~ 6Q,17-t_ City: State._;W, 46 Phone: _ic/.J _ 5'__Cy ontact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (q submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant' tinted Name 0 ~0 E lica ignature \ Page 1 of 3 JUN ~ 2009 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Multi < Deck _ Porch (Screen/Gazebo/Pergola) _ 01 of Plex Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof _ Demolish Interior _ Alteration _ Fir,4'f2epair. Windows _ Demolish Foundation Replace Repair Egress Window Water Damage _ Retaining Wall *Demolition of entire buimding - give PCA handout to applicant n DES&iiiP110N° Valuation Occ;vPaI? rvY MCES System Plan Review Code Edition r - t? a SAC Units (25%_ 100%) Zoning City Water Census Code' $tgries' Booster Pump # of Units * Square Feet PRV # of Buildings Length ire Sprinklers Type of {Cgnstruction Width REQUIRED INSPECTIONS, Footings (New Building)' • Sbeetrock z - Footings'(Decky Final / C:OF; eqoaired Footings4Addition)• Final / No, C.CL.Requirej Foundation' HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies • TOTAL Page 2 of 3 COO 4iII&C C>\ in 11 I~po % 0 ~m SOQ° 2E ~ ..1 ~ -4 P \41 MAR Q w P Ir i SO el~471 E fu ins . 00 ~ ti a.~ cn 0 A/ /04 -P Rl SOOP2i"47t'E ~ 301 L _ - X20 I I-.bL -a -A ;7 JW-&MAft",b W,,~ t%%. PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA092949 Date Issued: 03/02/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 645 Hillside Dr Lot: 15 Block: 3 Addition: Bur Oak Hills 2nd PID:10-15501-150-03 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Zachary E Pierce 1920 County Road C West 645 Hillside Dr Roseville NIN 55113 Eagan NIN 55121 (61)264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163334 Date Issued:08/27/2020 Permit Category:ePermit Site Address: 645 Hillside Dr Lot:15 Block: 3 Addition: Bur Oak Hills 2nd PID:10-15501-03-150 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael P Lavine 645 Hillside Dr Eagan MN 55121 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature