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
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MAR
Q w P Ir i
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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