4778 Galaxie Ave. HOUSE "HEATING TEST RECORD
ADDR ESS y 7 74? &42 /Q? X? e AP T
OCCUPANT nwu
HEAT LO55 DATE HTG. INST
SOLD BY
Elsefrieal Work By
TYPE OF HEAT GA
. FLOOR CITY SUBURB IfO00 ?
ER
ALLED BY
L ine By
FA H1M STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
MAKE • MAKE QF BURNER
µOdQl Model
Model
Ssrial Max. BTU Rating _
INPU7 MAKE OF FURNACE
CONTROLS
THERI?O?;R `.t Plvg Vsnt $ize
Yolve w KIND QF LINER
Limit
Limit Sstting
Fan Setting -
Drait Hood
CONVERSION
SIZE NONE
Regulator
Filters Sixe Num6er
Chkmney Location Inside Outaide
Pilot Type - ?r Chimnsy Conatruction
Pilot Make l?"TC^ ? ?
Pilot Model Smoke Bomb Wiring
Pilot Timing Draft Test Top -
L.W. Cut Off Door Presswe ? Lighting Inst.
Pressur + Percent CO
2 Date Tested
Input CFH
Percent 02
Company Testing r l?hlt?,?
Srock Temp. Percent CO 14* 4 1illtol Name of Tester
Form 235
CITY OF EAGAN Remarks 4;t.t5.1.Xj - %
Addition PARK RDIGE 1ST ADDN Lot 7 Blk 1 Parcel 10-56750-070_01
owner street 4778 GALAXIE AVENUE stace EAGAN MAJ 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 10V I04.44 A013433 1-11-84
STREET RESTOR. •
6f?4B+fd6 rQ t '
SAN SEW TRUNK 1982 147.21 9.81 1 117.78 A013433 1-11-8
* SEWER LATERAL 1985 626.16 41.74 626 . 16
WATERMAIN
* WATER LATERAL 1985
WATER AREA
STORM SEW TRK ` 7 1985 370.93 24.73 15 370.93
* STORM SEW LAT 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UAIIT 250.00 38906 9-28-83
WATER CONN. 450.00 it of
BUILDING PER. 8524
SAC
PARK
PERMIT #
•y??: .E ?%/,/?R ?,%L `' MECHANICAL?ERMIT RECEIPT #
CITY OF EAGAN
3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE: _
PRICE: / Z r/ PHONE: 454-8100 '
ddress •1 re07 fi X! "'- Af`', BLDG. TYPE
7 ? BIQck r - Sec/Sub Ftes. ?
'4&i - y .?
Name ^ 4.-'; : c?.' =? C'y' f< ? Mult
Address -4 + !1J ! Comm.
42 r, Other
Ciry Phone
Name /_
c Address
? p City
:lE OF WORK
ced Air M BTU
ler M BTU
t Heater M BTU
Cond. M BTU
it CFM
5 Piping,Qutlgts #
t ?
er I%.
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFNIIT)
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE:
? -
S/C: - ?IL ?? ?E
TOTAL: •' i -?-?'"
WORK DESCRIPTION
New
Add-on
Repair
.?
- $24.00
- 6.00
- 1.50 EA.
- 12.00
- 20.00
- .50
;,ITY OF EAGAN
CITY OF EAGAN 8.54
3795 tilot Knob Road Eagen, MN 55122
PHdNE: 454-$100
BUfLDING PERiVllfl'? Receipt #
?-(? - - r.
To be used fur S i l4v ., CAR Est. Vol ue '; l` Oate 19
5ite qdress 4//ts GalBxle 1?venue E?ct
?? F:- 3
Occuponcy
7 ?'ark . dge
Lot Bjo?k
?6/S
u¢.
Alter
? .-
Zoning
?0
?
U 1
Porcel # Repuir ? Fire Zone
?f
m e a
'II
Enlorge
?
Type of Const.
Name ?'?O"e p # Stori
W
Be 1. R.oad
Z /lddrcss 1766 Si ver
-55122 l:agan - 0
Demolish p
Grode f1 3
Length?, ?
Depth Sq. Ft.
°C Name
z° 1000 E. 146th St. Assessment
o? Address
UF Cilt tzrnsville Phane 432-1413 Water & Sew.
Police
°C Name
W W Flre
r
Address Enp.
<W Ci Phone Plunner
XK
Council
I hereby acknowledge thot I have read this opplication ond state that gldg. Off,
the information is correct and ogree to tomply with all opplicable AR
Stote of Minnesoto Statutes ond City of Eagan Ordincnces.
Sipnoture of Permittes , f ric . I
Permit Lu-J.vv
Surcharge 25•00
Plon check 141.50
5ziSAC •'
4,51j.
' .
Water Conn.
v
Woter Meter
zyj-.7 J u-
Rood Unit
Total Y .
A Building Permif is issued M: f? on the express condition that
oil wark shall be done in accordarxe with all upplicabie Stote pf Minnca? ?tetutes und City of Eapan Ordinances.
?
Buildin9 Officiol `' '
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing ??. Q^??
v /?? KZ?
v ?b'7-?
H.V.A.C. qC? L ? ?S3
w.n
Water
Disp.
Sewer
Electric 4001l z L?1 I-4 4S 3
Inapection Qate Insp. Other .
Footings y?
Foundation
Framiny 1'f 3
Rouph Pibg.
i ?
Rough HVAC
Inwlation
Final Plbg.
Final HVAC
Final ?3a dr
Water Describe Location:
Wall .
Sewer
Pr. Ditp.
Reoeipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly
Tot.
1. Date I ? . 2. Instaliation Cost - 1. • .
3. Job Address l.ot?Blk. Tract '
4. Owner i
,' .
5. Contractor Phone
6. Address Z 7
7. City ? IState 4 2i
P ! '/. r 1
8. Building Type: Residential i0 Commercial ? Institutional O
9. Work Description: New (0'" Add O Alter ? Repair ?
10. Descri be
11
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Se
tic Tank
Lavatory p
Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
r Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed . for ? • . . ! `?fj?
Rough Final f ?
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt
MECHANICAL PERMIT
CITY OF EAGAN
Permit Na ?
Fill in numbered spaces
Type or Prrnt legibly
1. Date/t 2. Installation Cost ?- ?
3. JobAddress`?? -a--3r Lot 7 Blk. ?
4. Owner
Fae
s/c ' -
Tot
Tract r'c+'-A_
PH6ne
5. Contractor ( ? -- ? • -
r .
6. Address - C i' " %r? ? .-*_ _ r . - . ,? ? ; f. • , • ?'
?
7. City State / i Zip
8. Buiiding Type: Residential ? Commerciai ? Institutional ?
9. Work Description: New ? Add 0 Alter ? Repair O
10. Describe A- Fuel Type -Tz
'
11.
No.
? Enuipment BTU - M. Ea.
Forced Air . ?? ` No. Equiament CFM
Air Handlin
:
Mfg, g
Boilers !
Mfg. -
_ Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
-7
Inspections: Date Irisp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-$100
CITY OF EAGAN
• 3830 Pilot Knob Road, P.O. Box 27-198, Eagan, MN 55121
PHON E: 454-8100 r?.
SUILD?IG PERMIT Receia ?
DECK
11000
? %
?
5ite Addrets -
lot 7 81ock ' Sec/Sub.
Pa?eel Na.
W Name -
? Address I?' A
City Phona ?-
Name _
Address
Name
Address
City Phone
Erect lul
Remodel ?
Repair ?
Enlarqe ?
Move ?
Dsmolish ?
Grode ?
Install O
Occupancy
Zoni rig
Type of Const.
No. Storia
Lengih
Depth
Sq. Ft.
Fees I
/\ssessment
Water 3 Sew.
Polip
Fin
Enp.
Plorxw
Council
Permit 1 / . .> .
SurcFarqat • ? ?
Plan Review,
5/?C
Water Conn.
Wcter Meter
Rood Unit
I hereby ackrwwledye that I hovt road this opplicction ond state that Bldg. Off. Parks
fM inlormotion is correct and ogree to comply with oll applicable APC Total Stotf of Minnewto Stotutes and City of Eayonjdrdinoncaa.
f Var. Date
SiQnofun of Pemwttee
N Buildinq Pertnlf Is iuued to: on the exprass condition tf+oi
dl work sholl be dorw in occordonce with oll oppitooble State of Minnesota Stotutp wd City of Eoqan Ordlnoncits.
8vildinq pifitial i
Permit No. Pormit Holder Date 7ele hone it
Plumbiny
H.VA.C.
Ehctric
Softsmr
Irqpection Dats Insp. Other
Footinqr
Foundation
Framinp
Roofln9
Rouph Pibq.
Rough HVAC
Inwlation
Final Pllq.
final HVAC
Final
Grt/Oce.
Water Detc?iba Loeation:
Well
Sower
Pr. Dap.
3830 "ri6at KnQb Road WATER SERVICE PERMIT
P. O. Box 27199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No, of Units: 1
d+vnsr, --
Addl'ess:
Site Address: 4778 alaxie Ave !.7 v1 ;'q:n. ';ic!,e
Plumber: St 1T ?: LXC
Meter No.: Connedion Chorge: 45 0..; ? i
Stze: Account Deposit:
Reoder No.: Permit Fee: - . ^
i prm h eo04* with !1N City of EeYap Surchorge: .,? , i ta
Ordlnenea. Misc. CFwrpes: - ?''? •???.i t_^. c? t e 1
7otal:
ey Date Poid:
Oate of I nsp.:
I
- nsp.:
-
1
CITY OF EAGAPI SEWER SlRVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: ?'•*'
Eagan, MN 55121 pATE•
zoning: I;2 No. of Units: 1
O4Yner: Ruscoit i = e 5
Address: ^
Site Address: -_77" ' 1v .7 1 Ygrk Rid^ e
Plumber:
`.?-?5-;33 j';9t'„
109tee to eomplr w1Nh tha Ciryr of Eagen
Ordinanees.
By
Dote of I nsp.:
1 nsu,:
Connection Chorpe: 425.00 nd
AccouM Deppsit:
Permit Fee: 10.00 k)t?
Surchorga: • 54
M'rsc. Charpes:
Total:
Dote Paid:
CITY,OF EA(iAN NO 852?
9795 Pilof Knob'Roed Eagen, MN 55121
PHONEs 454-8100 ? !?
BUILDING PERMIT Receipt # y
Te M uud for SF DWG/GAR Est. Value $50,000 oare September 28 ,1q 83
Site Address 4778 Galaxie Avenue Erect Xg Occupancy R-3
Lot 7 elock 1 kc/suy Park Rtdge Alter ? Zoning R-1
parcel # 10-56750-070-0I Repoir ? Flre Zone NA
Enlarge ? Type of Const. V
w Name Tim Heikkila Move ? # Stories
= Addross 1766 Silver Bell Road
? Demoiish ? Length 35
C; Eagan 55122 phom 452-0640 Grode ? Depth 43-6 gq, Ft.-
o Nome Ruscon Homes, Inc. Apv.orals Feea
v? Addresa 1000 E. 146th St. Assessment Permit 283.00
p
? t Burnsville Phone 432-1433 Woter & Sew. Surchorge 25.00
Police Pbn check 14-50
Ww Name Fira SqC 52$.00
`z
x? Address
Erg. 450.00
Water Conn.
<W Ci Phone Planner WarerMeter 60.00
Countil Rood Unit 250.00
I hereby ocknowledge thot I have read this applicotion ond sta[e that Bldg. Off.
fhe informotion is correcf and ugree to comply with all opplicoble $1734.50
$tate of Minnesota $tatutes and Cify of Eagon Ordirwnces. APC Total
Signature of Pertnittee
uscon Aomes, nc.
A Building Permif is issued fo: on tha express condition ihnt
oll work shall be done in accordence with all oppliwble Statef inneso es und iry of Eaqon Ordinances.
il
o
Build{nfl Officiol A
BUILDING PERMIT
r. L. ....a &.. DECK
CITY OF EAGAN N° 10208
3830 Pilot Knoh Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 4548100 ?{ ? /
Receipt ?,f ??^'?
1.000
SiteAddrea 4778 GALAXIE AVE
Lot 7 s1«k 1 Sec/sut. PARK RIDGE
Percel No.
? Name ____
? Addm9 4778 GALAXIE AVE
c;ty EAGAN pho„B 452-0640
y Name _
?G Address
? City -
Phone
?W Neme
i Addresa
l
ts
`sw City Phone
1 hereby acknowledgs thot I haw road this opDlication und store thoe
tM inlormotion is wrcect and agree to eomply with all applicuble
Stata of Minnewta Stat A of Epq O _jdmancas.
Erect {iSl OccuPenry _
Remodel ? 2oning _
Repair ? Type of Const.
Enlarye ? No. Stories _
Mwe ? Length _
Oemolish ? Depth _
Grode ? Sq. Ft.
Assessment
Water 8 $ew.
Polica
Firc
?11aa
Pnner
Council
BIdB.OH. S fi 5
APC
Var. Date
Permit
Surchatye .50
Plan Review
SAC
Woror Conn.
Woter AAeter
Road Unit
Perks
Total 18.00
Sipnofum of PermiMae - I
A Buildinq Permlr is issued ro: TIM HEIKKILA on Ma exprcn caditlon tho+
all work shall ba dona ip?accordanee Ith cll appliccbla State of Minnesoro Stotutes ond City of Eupon Ordiwncas
BWWfnp OffiGol ?'< ?
880 SP-LEV aTy pF gAGAN Include 2 sets of plans,
. 1 i 5ite gian W,elevation5 a
BUILDING PERNIIT AFPLICATION 1 set of e.ner?qy calculations.
?? ? ??p? p o a
Zb Be Used For F?m i i,, aluation Da? 0
` Z?? ??
?
Site AddreSS ?7,,R?3a1 a.,}a OFFICE USE ONLY
Lot :7_ Block 1-_ Sec./Sub• n;,,,. Erect K Occupancy
Parcel #: S fo `l SO - d 70 - ol Alter Zoning
Repair Fire Zone `/d
m;??;Ukila Enlarge _ Zme of Const.
Qaner: zre
Address: 1766 Silver Bell Rd. Move # Stories
Degnlish Fxont ft•
City/Zip Code: Eaqan, MN 55122 Grade Depth y- ft.
Phone #: 452-0640
Contractor: R scon Homes
Address: 1000 E_ 146th St_
City/Zip Code: g, nsvi 11 .. MN 5337
Phane * : 43 2-143 3
Arch-/En4•:
Address: ,r
Clty/Z1D Ci?: _RtIYTIQIll??4??.MN
Phone n: 432-2044
?qater/Seaer Surcharge P,5- °g`
Police Plan Check /y/ ,'m.
Fire 5AC '" S`M
Eng. Water Conn. ,s D
Planner Water Pleter /?6
Council Road Unit ,?
Bldg.. Off-.
AFC
7OTAL
9?' (?kr e?d ?- ti1 a? € ( s ?a r? f n ?? ?c~F- /u?
?Q ? 0),01
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE; ALL CONTRACTORS 14UST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: DECk Valuation: tpoo°%? Date:
Site Address; I
-f
lY G^IqY?tv- .JVC,, OFFICE USE ONLY
?) P
Lot;
Blo ck ? Sect/Sub
a4 Erect x Occupancy
Remodel Zoning
Parcel 1? Repair Type of Const
--
' ?
Ow I Enlarge !I of Stories
ner ? Move Length
Demolish Depth
Address t{` ?'?? Axic Av Grade _ Sq Ft
City/Zip Code A.7, Y?j v.7 --------------- --------------
Phone `J S APPROVALS
Contractor K?,S CJce.? Assessments Permit
Water/Sewer Surcharge
Address ' Police Plan Review
Fire SAC
City/Zip Code ' Engr Water Conn
Planner Water Meter
Phone - Council Road Unit
Bldg Off,t s f Parks
Areh,/Engr. - APC Treatment P1
Variance
Address " TOTAL
City/Zip Code ` `
`
rlso
-
?
/G7 ' n
Phone 1l
L
L.cr 71 I3Lne..r- 1 PA%ri14. RlDVE I
DP.KOrx. ".W4 1 Mi a?lVS a r4 .
o - DWvT£S 1ko-J me.JJmEr.1r
?3o.oJ DEyercS E+c?sri?lv. E?-EJAT'lo?.l -
Cq3e.o) I?•.?oi-e.s PRoPoSEO E?..C-Jhne.J ?`? OF?.1er£S V?RR1Tts.1 !?p SJ0.FI?GE D?bt
RWAOAE coNSUiriHa (HOIHIIll1
ENGINEEAING PLaNH(ns erie IAHD iUAVfYOIIi
'COMPANY, INC: ?f000 WT 1140k STIIC[T, EURH3VILLC, lIIHMCSOTA 53]]7 1'}1 472-3000
ccr-l }'fcar,??JF %4?;[? z•-cy
jet9at Qe-,C?{ort -.
'Alo R r1.(
?xe.LE 1 "
0
Y j
?I?
Q
g
iV
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loeL?C6-)
ID (
a
N ? f
? .?
a I
N ?
u
?• io
,1 ?-.-
, w ?
pRA1an[.t "D
unur-( r:^s&m&xr
?J89°49, Il"w
e.RA6.C
Fo.Jt S4ED 6,
E?f?/hnu.J a 9°i4•?
Lv? t
F?.eeR
.
r \? '
.18.0 9 3
3, b)
C
LvT
? 93s, j ---¦? '? ??f tfi u rv FAx-mf?Jr
zo_1 ?--- --- - -?.
7-74. (cb
5 6f1° 49' 2L. " E .
i.5)
Sa1
40' FAoyr ga?www,.
sE.TeacbL L-,ae
?.. ? v
I hereby certify that this is a true and correct representation of a tract of land as shourn and
described hereon. As prepared by me on this zz-v day of SFSrvmoer- , 19 83
Minnr.sota Registration No. /LogS
PIAOBE COHSUCTIHO 1H61Htll1S
NGINEEAING PLANNtAS end IAHD ?URV[YORS
COMPANY, INC: - L .1000 CA.ST 1441h STRCCT, EIMkSVILIC, 1tIHHC30TA 7333T tH .432-7000
1.?srat nr.?r- ???fo?x • L-or -7, a?c?v- ,j
Dn.w-0rA c.ev?Jry I
O - DCw?c7£S
?3o?tiJ DENO?S
(fe3e.o) LEaetEs
??? GE,.1et£S
i?
i?
Q
W?
S
?
i,
/Vo R rrl
SGa?E ! " ° Q.O t
jozl'-S?
L931,o?
N _
IO '
?
? I
-1
?
N ?
?
.M ?
e f ? ?
N ,
a a -?-??- -
? lo
1.5)
pajt"J .t.E A..a D
vnuTr E?sq--++wr
AJ89°49' Il" "/
PA0.? R1D?aE y
M t •.i ^4 r--S a 1-4 .
i aUa Me..h.1mct.IT
E+ciSrrJ(,. E?EJqT1e?.l
PRoPoSEO FiEJhne.J
Ui4EcneJ ot 5j0.FAtE DRAMNbC
f??,s?Fen v,awc
Eib/ocnv.J c 9'S4.e
F?-oo ft
Lao 9'??l.oJ ? ? / 2-
33,?)
? o LUT
J 7?? j??eE.n ?.1D ?
.
E1+SGmfv.?r
_ we.i M,..ea J, 9"•S
4zo_ ? z - - - -- - - - - - ? .
? ?+ N
27 4.1eb
5 210 49' z(o" E .
SErHiRG?L ?.?..1E
L- ?-? I C J
L/ Minnr,soto Itegistration No. 1(,og5
I hereby certify that tliis is a true and correct rr.presentation of a tract of land as shown and
described hereon. As prepared by me on this z2-+D day of 5eprra+4ex- , 19 83
-. - ? - ' l l1lLLLC J L LC\l\ J1iA T Y\rJ:/
- RiltlsPS`PLAN SERViZE
,' ` ? -:` `'. . ?. ?_ - ' ': ?-, ? .? ' ? •_,
, j. ..
EXTERIOR ENYELOPE AVcRAGE ?"U" COMPUTATION
' " . . u?i._ " ..
r ::__. ,?.- ..?....-n. r- ...i ..._.- • _. -?.-. . ._,;.. . _. . . wnCt -? A ? ?9??5"L
1A
ADDRESS
1.
2.
a. Total wa11 window area ............... :........... 13Z
b. Total daor area ................................. 3 8 ?
c. Tatal sliding glass'door area .................... . 4m
,_ _ .;.....
d: Total fireplace wall area .................'.:..... -
e. Total wall framing area (average 10%)...:........ IILo3Lo ?.
, ..
f. Total net wall area above flaor ................. Io47.2q
g. Total rim joist area ..:.....:........:.......... U4•3B
Total exposed foundation area = 63 .Il.Q
h. Total foundation window area.....................
i. 3aa1 net foundation area abpve grade ............ 3?Iln
Oetermine "U" value of each wall segment.
a. 13Z Xbluit . 5? = 92.Lo
b. 38 X tiu" 139 = 5.28
c. yd X siu" .S ? ZZ
d. _ X "U" --' °
e._ x "u" ? ?Z = 13•9Co
f. ID42Zq x„u" .0 9 = Ivi.78
9• 104.?8 x ,tu„ •DS = S.ZL
y ?
h. X „ull
;. 83.I1o X teut, ?`?Co4 = 3?I.v
s . ......:..............115.LO.`J.'3!{...Total = 2iq.8
If item 1473 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2.
' / ` •. •
Total exposed roof/ceiling area =' SB?
? -? Total gross roof/ce9ling area = 88C
?- • j. Total skylight area .;.. .. . --
; .? k. Total roof/ceiling framing?area ...... ... 8 . d
1. Total net insulated roof/ceiling area....... ?q2 ,
Determine "U" value for each roof/cefling segment.
_.. ;:.... . . ... .. x liuli
' k: X „u" .?35 = 3.oa
i. ?9Z X .,U„ :03 = 23.17to
a...................8.8??.......... rocai = z?.
If totai af #4 is the same as, or less than #2, you have met the intent of
SBC G006(c);.
To utiifzed the total envelope system method, the values.established 6y the
sum of items #3 and #4 shall not he greater tfian the sum of itens 01 and ffi2.
. '_: . ....
3.
MATERIAL3
Sxterior 61r
5lding 1laterial
5heathilig
Insulatioa -
ShaetroCk
Interior Air
$tud8
Rim
Coric. BlkS.
+ 2. _
+ 4.
Therm. Resistance "R"
.) r1
.45
1?-
•KS
.fsS
A. 3 5
I.ZS
/.'q, b/, A Ag-??
POWER SUPPLY TRACKING SHEET
, ?aatetat*atat?t?t*ac?c-?t?t+r+t?aaet-?r?t+E+*+b*?t?+r+tatatat?tau?tatjt-?t?r?ritatit
QOWER SUPPLY LOCRTIOIV Z ?y?yy?,________ MAP#
POWER CO. 'DNTRC7 -------- a-------- PHOIVc*
?? ?y•
ELECTftICIAN CONTACT '??'-?________________ pHONE#
ELECTRICAL INSRECTQR
PHONE#
?
_?(??
xjt+t9t7kitiFjtatit?t?lFjtitatiFat7tat?fratik?r?tat?t+tjt+F+6ik*9tatdtitifriF?kiF7F?F?1FitiFit;tjt-7fat?lrit+t;t*9t;t;E?it;E;r;batatar;tatac;eiF?t;F9tlFat;e?;aGOWER'SURPLY SFOTTIPtG
ARPROVE!? _3_z3_g2
--------------°------------------
F04lER SUPPLY MOUN7E,7 _____________
PfJWE3 SUPPLY Ei.ECTRSCAC. COMPLETED _____________
ROWER SUPPLY SfVSrEC;ED _____________
F'OWER SUPPLY FOWER CJ. f7C7IVCaTED _____________
'ROWtR SUPPLY REiEASED TO TECH. DEPT _____________
ADDITlLINAL IIVFORMATIOIY _____________
}..11.¢2e??
-------------
? CITY USE ONLY
L ? BL
sUao. ParK R?daci
RECEIPT #: f a-Ms
REGEIPiDA7E: ?I"O§ •a0
PERMIT# 40521
2000 PLtJM$INfi PERMIT (RES1!}ENTIkL)
crrY oF F-wsnx
3830 PaoT Kvos [tn
gasxx, auv 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
eivTliocc
SMITH, TIM
4778 GALAXIE AVENUE
EAGAN, MP! 55122
(651) 4523391
TOTAL
Alterations to existing tlwelling - minimum fee
Describe:
$ 30.00
6ath tub $ 3•TQ X - $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - t 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 X - $
Laund tra 3•Oo X - $ '
Lavato 3.00 x = $
$B tic S stem newlrefurbished ' requires MPC lic. 75.00 X = $
$e tiC S Stem abandonment 30.00 X = $
RpZ new installationlrepair/rebuild 30.00 x = $ ?
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under rounds rinkler ifdwellin tsunderconswction 3.00 x
Under rounds rinkler ifexisun dweuin 30.00 x = $
W ater closet 3.00 x =
= $ I
Od
$ 30
Water heater 3.00 x .
Water softener if dwelling underconstructlon 5.00 x = $
Watersoftener ifexistin aweuin 30.00 x = $
Waterturnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ---> $ .50
Totai --> --> ---? ----> $ 0 •50
Reminder: Cali for inspections of alterations, i.e. water heaters, water softeners, etc.
--- ----..
------------------••---•------------------------------------•---------...--------------------------------------------• •-------•-
I hereby adcnowledge that I have read this applicabon, state that the informatlon is cortecC and agree [o comply vrith all applicable City of Eagan ordinances.
It is the applicant's re5ponsiCilily to nolify Me property owner tha[ the Cily of Eagan assumes n0 lia6ility for any damages caused by the City dunng ifs nortnal
operational and maiotPnance @L4vi6s5lg S?i ?riliU??_CAOSt[UUe?urtder fttis-pe.I mil within City propertyfright-of-wayleasement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NA .
STREET ADDRESS:
CITY:
FACH #
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
(a.REA cooe)
(892t827-4U'0'O?? STAT ' ZIP:
M?w v??ccnic. ffiB?
MIMNE/1POLIS, MN ?Oi
,..,:.?.
SIGNAT OF PERMITTEE
Q?3/? : REQUEST FOR ELECTRICAL INSPECTION ee-oooo/iry-os
1 See"`:y.mlions tor comoletinq lhis lorm on beck ol vellow cooV. 8& ?
/
~
E 2"NM`l 1 •- "x" Be/ow Work Covered by lhis Request
Nea /idd NBp. TyOa Of 8u11tlinB App1iDOCB! Wi,OE fQuipmBnt WIr¢d
Home ftange Temporary Service
Duplex Water Heater Lightiny Fixturev
Apt. Building Dryer Bectric Heatrn
Commercial Bldy. Fumace Silo UnloaAer
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm tnxr peci v nihcr ISnar.,fyl
t r.r Vecify iher Oiher
Compute Inspection Fee Below
p Fee ServiceEntmnceSize M Fee fexders/5ubfenders u iee Circuits
0 to 200 qm ps 0 to 30 Am s 0 to 30 Am os
Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100_Am s
Transformer5 Irrigation 8ooms A'G WOther e
Signs Special Inspeclion J TOTAX FFF?/fI{/?
iy?
Xem?rks S I Q, $+ p
? /n
cerlify that lhe above
inspection hes been
mede.
mis requeal voia
ihis request void O/?/??
18 months from O bJ
E 2 7 5 71.t -)? /v I (,jr ,z? "4ic) "o
Request Date Fire No. Nouph-in Ins ecnon
Requiretl? `+
*eady Now QWill Nfy InsOec-
-- ??es ?No tor When fleady
-?Lmensed Elecuiwl Contractor I hareby request iospaction ot ebove
Owner electrical work installetl ei:
Sveei Address, Box or Route No. City
ecl on o. Townshio Name or No. Range o. Counly
OccuVAnl (PflINT) Phone No.
`Tl ?na"r!
Power $upDliar Address
Electrical Contractor ICompany Namel Contra[tor's License No.
?c.??c,/ac.
Mailing Atldress ICOntractor or O. ner Makind Instailationl
4 33 Pac,r? witi,n rt?? E???-% rr?N s.s"laz
Autho.c zed Sipnature 4COnptor/Owner Making Installationl Phone Number
x0- ` ?ss1-? 3
MINNESOTq STAT BOAPD Of ELECTPICITY TNIS INSPECTION pEQUEST Wlll NOT
C+riees•Midwev Bitle. - Xoom N•197 BE ACGEPTED 6Y THE STATE BOARD
1821 Universitv Ave.. St. Peul. MN 55104 UNLESS PqOVEH INSPECTION FEE IS
o.....e 1e1m ano_nonn ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ea-ooooi-oa
' See instructions for completi?g this fwm on back of yellow copV.
?,?? n 1•.q [? X'" Below Work Covered by This Requesf ?",?Q ZZ,3
d Nap. Type of Builtling Appliancee WireA EnuiPment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heaun
Commercial Bldg. Furnace Silo Unioader
Industrial Bldg. Air ConAitioner Bulk Milk Tank
F2r(Il Other oeu y Olher (5uecily)
ther Snecify Other 01hi;r
Comoute lnsAection Fee Below
p Fee ServiceEMrenteSize A Fee Fanders/5ubteeJars % Frte. Circuits
1000 0 to 200 qm s 0[0 30 qm s 0 to 30 Am s
A6ove 200 qmps 31 to 700 qmps 31 to 700 Am s
Swimming Pool Above 700_Amps Above 100_Am s
Transformers Irrigation 6oom5 Partial'Other Fee
i. melnmTri-cai I
InsDector, heraby
carlity that the abova
Final ? Daie ( inspec[ion hes baen
n _ /irw /7'.71'0 made.
voitl 18 monlRS Irom
ihis request wid
18 months trom
Annil?
L7 ? d3 I, Po?rk ?c?'d? 34?z3
Nequest Date
A$r !9 Y> Fire No. Houeh-in?Inspection
flequ etl
?y s 0 No I ,-,,'?+ri' ?
?Ready Now L-?ii Notify InsPec-
tor When Readv
[]1,ieHRSed Electrical ConVacmr t herebv reuuest inspection ol above
? Owner eleclrical work ins<allad at:
Street Atldress, Boz or Route No. CitY
`f 7 ? r E ? ? CC.?Kn
ecUon o. Towns?ip Name or No. Range No. County
Occupant (P INT) r Phone No.
W-t
Power $upDlier Adtlress
/D4 =?t_ e ?vYItN l9?'?
Elect al Conv/acior (Compan
y
Nam
e
l yj ac(mr'sI.icense No.
Comr
?
?
?
?
? C._- ??CQ n: ? L ? L- ?
? L ,'?
Mailing Address (COntractor or Owner MakinB Inslailation)
! ? c.-7`77c4 Ar/E
tho?iae 'g ?ure ontrac d0 er Mak' Installati/op/ 1 Phone Number
/-?44-- /
-99'47.//` g
MINNESOTA STATE 8040D OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwav Bltlg. - Noom N-791 gE ACCEPTED eY THE STATE BOARD
1821 Univarsity Ave., St. Peul, MN 55104 UNI.ESS PROPER INSPECTION FEE IS
Phnne 1612) 297-2111 ENCLOSED.
This repuast void
18 months tmm Q")h/ ? -
D & 8 0 1
Renuest oate ? ' Fire No. Fnuph-in InsVect
Feqviredl
?Reatly Now?W?ll Nntity InsOec-
?Ves W.
[ar When RmtlY
Xicensed Elecvical Contrnctor 1 hereby requast insoection ol above
? Owner electricel work inslalled at:
Svee[ Address, Box or Route No. COY
I
?
4 14 X ?
A
ecuon o. Townshio Name or No. ATnBe No. Covmy
Occupam (PRINT) Phune No.
Power SuOPlier
?071-4 AAdress
Elecvi 1 Contractor IComuany Name!
roT/fEi? f Conhacmr's License No.
Mailin0 Atldress lCOntroctor or Ownar Makine ?"slallatioN
3 s C?-d r fl ? S. "/s GL? ? SS/o
natwe (Co racto pwn r kiny Ins a'on)
Autho 7l Phone Number
2
V
. -
MINNESOTA STATE BOARD OF ELECTRICITY TMIS INSPECTION REQUEST WILI NOi
0E
Gri09e-Midway Bldg• - Noom N•191 ACCEPTED BY THE STATE BOAND
7821 Universitv Ave.. St Paul, MN 56106 UNLESS PflOVEN INSPECTIDN FEE IS
Phn.,n IR»16A2-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-06
Sae inshuctiens br completine this torm on Eack oi YellOw cOFV
"X" Below Work Covered by 7his Request ?
Type of Building AOCliancea WireC Equiument WireA
Home ftange Temporary Service
Duplex Water Heater Liyhtinp Fixtures
Apt. Building Dryer Elecvic Heatm
I M Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Butk Milk Tank
Farm Other Speci y ihcrl5uccitvl
? P U?`tl(y O111Cf 111h1;!
ompute lnspectFee 8elow
p Fee ServiceEntranceSixe It iee Faxders/Subteeder Circults
D U to 200 qm s 0 to 30 Am s to 30 Am s
Above 200 qmps? 31 to 100 Amps to 100 Am s
Swinaning Pool Above 100-A U bove 100-Am s
Transrormers Irrigation Boorcis rtial.'Other Fee
$igns Sueclal Inspectio TOTA
E
p"?`?S. s P .nn/?/n /1/1?_w//?n ??I.M'i
W- / ? / VeZ v i
flou h-in Date
I, tha E crric
IpspecN, ereby
Ceftily thPl LhB 9bOVB
Final U^te inspecfion has Eeen
/ / 1 ?Li! 7 mede.
rbl. ronuws? aMA tfl monMS flOln
REQUEST FOR ELECTRICAL INSPECTION y. EB-00001-06
? See inahuctions for completing xhis torm on back ol vallow coCV•
13=8 O 16 "X" Be/ow Work Covered by This Request
AAd fleo. Tyoe ol Building Apoliaacea Wired Equipment WirerJ
Home Range Temporary Serviw
Duplex Water Heater Lightiny Fixtures
Apt. Bwlding Oryer EleCtri.; Heatin
Commercial Bldy. Fumace Silo Unlonder
InduStrial 6idg. Air Contlitioner Bulk Milk Tenk
Farm Otner Peci v Otner ISneciiyl
IP.? NCCI Y O1fICf 0IhL!
ompute Inspeciion Fee Belaw
M Fee ServiceEntmneeSixB H Fae Feaders/Subleetlers % Fep Circoits
D 0 to 200 Am s 0 to 30 qm s 0 m 30 Am s
Ahove 200 Ampy 31 to 100 Ainps 31 to 100 q j
Swinuning Pool Above 100_Am s Above 100_
formers Irrigation 8oort?s Partial.Other P
Signs Special Inspection S
?
TOTAL FEE
p = a/ r S / ?J ? .9G?e /0
Nou h-in
Final ?nte
DAte I, the Elecbical
Inspeclar, hereby
cartiiv Ihat the ahova
insDection has been
maeo.
This repuast vo1C 18 montha Irom
?Thi,q repuesl void
18 months from
D 8a9'1s?
8P /1 /
Q,Y
Rxquest Oate
J / n fire No. Rouph-in InsVeCt(
Hepurted? gfi ?
Ready No--XWill Noti?y InsPec?
F? X? Qyes tor When Feadv
Ucensed Electrical Contracmr 1 herebv requast inspection oi ebova '
Owner elec4ical work installed at
Streei Address, eox or floute No. City
4 /' / V)
ecUOl+ o. Township Name or No. Range No. Counry ..
Ottapanl (PqINT) Phone No.
POwer Supplier Adtlress
?O
EIeGr 1 Cont,acmr 1 ompany Name
?
?
T l - Conlrac( r's License No.
ro
/
?i?"?
Mailing AdJress (Contrector or Dwngr Making Inshiilation)
-
-,S?
Ce-d r ?
AuMO ' - na ,mra (CO racto ?king Ins a-onl Phone'N
¢
?
?
J
' MINNESOTA STATE BOABO OF ELECTRICITV TMIS INSVECTION PEOUEST WILL NOT
Grig9z•Midway BIEB. - R.O. N•197 _-BE AGCEPTED BY THE STATE BOARD
1821 UniveraitvAve., St Paul, MN 55104 UNLESS PqOPER INSPECTIpN FEE IS
ENCLOSED.
- . . . 1 Phone (612) 644-0800 . . . . _ . . ' . ,? .
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143859
Date Issued:06/29/2017
Permit Category:ePermit
Site Address: 4778 Galaxie Ave
Lot:7 Block: 1 Addition: Park Ridge
PID:10-56750-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James R Schweickhardt
4778 Galaxie Ave
Eagan MN 55122
(651) 468-9889
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146912
Date Issued:11/21/2017
Permit Category:ePermit
Site Address: 4778 Galaxie Ave
Lot:7 Block: 1 Addition: Park Ridge
PID:10-56750-01-070
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 -
James R Schweickhardt
4778 Galaxie Ave
Eagan MN 55122
(651) 468-9889
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature
For Office Use ,K�
,,% � e +�v Permit#: /-/7 �/
EAGAN
{////�)
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections@cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: J am e...5 J c\l‘,,,, e.i ,\,c \44,,,,, ,c'. Phone: b51"..'lip g` 1 g s7
Resident/
Owner Address/City/zip: `7 3 &e,A,0 c vc A Vi 4 c(i ra
I Applicant is: Owner h Contractor
p
I R. .--9{J
Type of Work Description of work: 7
Construction Cost: 0 4 0 vl Multi-Family Building:(Yes /No .. )
Company: F9/ -%'-.r ' :)(+ 1bf Contact: )h q(.):/ ) L
i'b'
Contractor Address: I:tel 3 G,�i.e(�('c Co is c--- City: [��'�f tf t��t
State: rnNZip: 5-75'30 L Phone:147-35y-O4S3tImailcF.G l+J 4. -- J iii., ,,in
License#: C...lo 6 Z3 Lead Certificate#:
If the project is exempt from lead certification, please explain why: ei
.ao ON l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
1 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:
1
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
I
Fire Suppression Contractor: Phone:
I,...,
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-.ublic if ou provide specific reasons that would ennit 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.comisubscribe.
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 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's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153054
Date Issued:11/16/2018
Permit Category:ePermit
Site Address: 4778 Galaxie Ave
Lot:7 Block: 1 Addition: Park Ridge
PID:10-56750-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
James R Schweickhardt
4778 Galaxie Ave
Eagan MN 55122
(651) 468-9889
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
_tit 1\14
For Office Use
r EAGAN
:::( � "
ECE1VE0 Date Received: �C c
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56 MAY 2 9 2020 Staff: tai j
buildinginspectionsacityofeagan.com
BY:_
2020 RESIDENTIAL BUILDING IT APPLICATION
Date: Site Address: Unit#:
'1)1410 Name: �)� .14—�� �� INS I l' Phone: -q8
Resident/
Owner Address/City/Zip: LI 77g (a._(0.y((e 1 '✓Gt secri
Applicant is: Owner > Contractor D fL7 r) k)'l/16'
r ^ F
Description of work: (k, c-e G 9,(,( I CI,
Type of Work
; I�
i—
Construction Cost:It S(COO Multi-Family Building: (Yes /No
Company: keS2 M L/__ Contact:
AITV\Ttr
Contractor Address:' ' 1 LA 93.k.V3-(z�1 City:
State:mN Zip: 7'3 Phone:(q`SZ)7-497-0Z- mail:yvLG hacftm ceieoSi(tg)ieL6U,C714-1
License#: f5Ci7/42/ L Lead Certificate#:fV4 -J I [ `'i i 7
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the Cityof Eagan issued apermit for a similarplan based on a master plan?
9
Yes Klo 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 maybe
I'I classified as non-public if you provide specific reasons that would.permit the City to conclude that they 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.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work ' 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 ns. rt
x ! ricA L Ste
Applicant's Pfinted Name App icant's Signature
•
DO NOT WRITE BELOW THIS LINE47 7 6 /9",$K `6- � /‘17/0
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Singh Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
r AccessoryBuilding
Lower Level Pool
01 of Plex
WORK TYPES
New Interior Improvement Siding _ Demolish Building*
f,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 5140 Q Occupancy 1144 MCES System
Plan Review Code Edition 0 9„0/0 SAC Units
(25%_ 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 15 Width
REQUIRED INSPECTIONS
I
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing ,( 30 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: it. , Building Inspector
RESIDENTIAL FEES
Base FeeO0 ther �r1
Surcharge 4
Plan Review , r'
MCES SAC5
City SAC
Utility Connection Charge
3 S&W Permit&Surcharge 710( /5 -eTreatment Plant / D
Radio Meter Read
Copies
TOTAL
Page 2 of 3
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COMPANY, INC. - -
1000 LAST i41 $TRC T, n m 43vlttC , WI ffif OTA 953]7 tH 432'3004
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z L•."' io rt : L..o r 7 , 13Lacrt— 1 Ph0.1L. lzki W0E. r
DAV—en—i. �ov,.,rkt)! mi...) ..t+E4sa r .
J\ 0 - Dc,.lcr -s t a u.4 ry'o•.J..J r i Et-1T'
(2,o.aJ DEaor�S E.-41srt-6. 0-t:JA-m..1
030,0) DE•1et•E.5 PRoPoEE
C .Le./A )o•J
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Al o R r-i
Fi
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.J•syteu Vo.R/wc Fico.
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I hereby certify that this is a true and correct representation of a tract of land as shown and
described hereon. As prepared by me on this 2.2--,0 day of 5epr n'&3ez , 19 83 .
--1-4-:-/L Minnesota Registration No. /(aog�
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174582
Date Issued:02/04/2022
Permit Category:ePermit
Site Address: 4778 Galaxie Ave
Lot:7 Block: 1 Addition: Park Ridge
PID:10-56750-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
James R Schweickhardt
4778 Galaxie Ave
Eagan MN 55122
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature