4580 Lake Park Drj•. CASH RECEIPT ?
CITY OF EAGAN
3795PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECBIVEG
FROM
AMOUNT
..? ?. • '-
& DOLLARS
too
E] CASH Q CHECK
POR ? \ ? ?CJ ?+n .• ?i!? ,?' / _ frrYA?J??
.?Y
FUND COD6 AMOUNT
?i ? ? j' ? i/
. ^
? J
J
J
?
? I
Thank You
e v
63691
' White-Payers CoPY
Yellow-Posting Copy
Pink-File Copy
? .. s 3830 Pflot Knob Road,.P.O. Box 21-199, Eagan, MN 55121 120 15
PHONE: 454-8100
6UILDING PERMIT Receipt 1? : E
?
Site Addcass 4580 Y u L3-A-RX nn Erect R( Occupancy ti2
lot2_Block a Sec/Sub. r_avE DA AY rkna i':?A? model Zoning
Parcel No Repair ? Type of Const
n
. Addition ? No. Stories
Move ? Length
? Name Ii1[' 58
; 3 h0Fi S I I3L ^=
`l ::,•:Mt:R T A
Add }{ Wy Demoiish ?
T Depth
o .
ress - .
Int. Impr. ? Sq. Ff
Ciry ":: +GL11 Phone 4-``- 4- l b 4] U Install ?
a
Ov
UQ
I-
Name „sAoLb; ^rr•-
Address Assessment
Phone
F W Name
? z
r3 Address
i W City Phone
I hereby acknowledge that I have read i
information is correct and agree to co
Minnesota Statutes and City of Eagan
Signature of
A Building Permit is issued to:
all work shall be done in accordance with all
Building Official
Water & Sew.
Police
Fire
Planner
Council
appliceble State of Bldg. Off.6712iCa6
APC
• Var. Date
Permit $ 435-50
Surcharge 50 - 50
Plan Review 217 - 75
SAC 575. 00
Water Conn. 5na - 00
Water Meter 63 _ Sf
Road Unit 29(1- (
Tr. PI. 15 F, _0p
Parks
Copies
Total S2{ 288.25
on the express conditlon that
Ciry of Eagan Ordinances.
I ,' IPermit No. I P..mH Hade. I Dai. I T.l.pnor,. N I
Date
Hty.
ock Ftq.
-k Frmp.
Dkp.
CONTRACT PRICE:
Site Address
Lot - Block
PERMIT #
MECHANICAL PERMIT RECEIPT # C,0 L??? / I
CITY OF EAGAN ?? ?, U"
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
PHONE:454-8100
? Name r t?LUit1?.J.?.7Vt+1
m 4030 i3eau
m Address
c City ?'aqan
Name civrtr.s ts z rr iic Address 4555 LaS;e
0 City L'agan
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent?
Gas Piping Outlets #
Other
100, OUO M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
BLDG
TYPE WORK DESCRIPTION
: r .
R
? N
IN`' es.
ew
on
lt Add
M
-
u
R
i
C
775 omm.
epa
r
Oth
er
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
24• 00 ADDITIONAL 6 M BTU
GAS OUTLETS
COMM/IND FEE - 1% OF CONTRACT FEE - 6.00
- 7.50 EA.
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
; 4.Oi) "
.5(1 SIGNATURE OF PERMITTEE
.'4 .
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site Ad ress -4u
Lot Block
? Name ?1''?YGLL ::r.uf'
S2 3600 k 71,t,b.:C IJh
?c Address
? City Phone
? Name -'Y
,
c Address 39U 4, c /? , • ; ? f c: ?J .
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
PERMIT
RECEIPT #
DATE
BLDG. TYPE WORK DESCRIPTION
Res. x New k.
M ult Add-on
Comm. Repair
Other
NO. FIXTURE3 OTAL
?
Water Closet - $3.00 • C ?-'
?
f Bath Tubs -$3.00
3 Lavatory - $3.00 ? • ?- ?
? Shower - $3.00
Kitchen Sink - $3.00 -
UrinallBidet - $3.00
f Laundry Tray - $3.00 ?-
Floor Drains - $1.50 i ° -
L_Water Heater - $1.50
Whirlpool - $3.00
Z Gas Piping Outlets - $1.50
-Z-Softener - $5.00
Well - $10.00
Private Disp. - $10.00
3 Rough Openings - $1.50 G
FEE: -?I• G C.
STATE S/C:
GRAND TOTAL• • ' ?
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Krrob Aoad
P. O. 8cx 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
a+ino: No. of Units:
ner.
resa:
te Addrcss: 'ar.]:; r:r,
urnber i_C L. ]_
er No.: 3 2 /57 7 34 ? Qhaqe: ' `' '? • ALO xfl:
IN1t '
der No.:
prw is eowplp wieU !h0 ?.??; • s'??d
Mwe?. x??1? 1 56. C?!)Pc
REC?U1?iE`?°'
Z?J Dote Poid:
e of Insp.: Irop.:
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knou Rosd
P. O. Box 29199 PERMiT NO.:
Eagan, MN 55121 DI1TE: ?? F' •'
Zoning: No. of Units:
Owner. _
llddress: -
Site Address:
Plumber: _
Meter No.:
Yzc}ian ica:
Size:
Reader Na..
1 prN !o emplp wkh 1M Gtg of EMP¦
OerlMnaL
By
Date of Insp.:
Connecl'ion CFwrpe:
Account Deposlf: _
I
Permit Fee: •?-
Surcharoe: 53
Miac. CFwrpes: -
Totol: ' `": - i • _
Dota Pcid:
? CITY OF EAGAN SEWER SERVlCE PERMIT
t 3830 Pilot Knob Road
,
? P. O. Box 27199 PERMIT NO.:
.
? Eagan, MN 55121 DATE:
Zoninp: No. of Units: .i
? O?+,Mr: Tiberon, InC.
/lddross:
! 45$0 Lak,e 1^ark Drive I-:' 7,12 ':.ake ?'arb Shores
? Sits Address:
Plumber. WP.tir,el 'iec;`:a?iSCRL
6 2-'2,6 r32'14 100.00(d
I.on. to earpyr wiw f4. Citi af Mys. Conn.ctian Charps: 4 7 5. OOn:I
Of?IMACM. ACWNP1t DEpcflt: 1 5.00r)ii
Permit Fee:
SurCfiotge:
By
I l ?usc. Cl+oroe?
cte of Insp.:
V Total:
Jrnp.: Qaro Paid:
CITY OF EAGAN Flemarks
Addition j,AKE PAjj,K 6DDITIONLot_ 2_ Rlk- 2 Parcel #10 44200 020 02
oWner Street 4580 Lake Park Drive state Eagan, NIlV 55122
Improvement Amount Annual Years Payment Receipt Date
STREETSURF. 2 2529. 2 505.90
STREET RESTOR. !
]
GRADING /
SAN SEW TRUNK 1976 Se s I,
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1991
WATER AREA
STORM 5EW TRK 5
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
RESIDENTIAL
? `4?5 ? 0 BUILDING PERMIT APPLICATION
CITY OF EAGAN ? '`70_0?
3830 PILOT KNOB RD - 55122
651-687-4675
New Construction Reauiraments RemodeUReoah Reavirements
• 3 registered sNe surveys shovnrp sq. IL of lol, sq. @. of house; and all rooled areas • 2 copies o( plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculatiore for heated addiGans
. 2 copies of plan showing beam & wifMow sizes; poured found desqn, etc.) . 1 site survey for exterior addNons & decks
• 1 set of Eireigy CalculaGons • Indicate it home served by septic system for addiGans
• 3 copies of Tree Preservatlon Plan A lot platted aRer 711193
• Rim Joist Detail Options selection sheel (Gdgs with 3 or less uniGs)
DATE ?I Vl
JOB SITE ADD SS 46
IP MULTI-FAMILY BUILDING, HOW MANY U
PROPERTY OWNER ,?.?.1 I r (DaMA
TYPE OF WORK c&sfA I1 Cc n
APPLICANT ?dL?/`YlLY
ADDRESS I./?. 17?h/q _
PAGER #
el
VALUATION
? n-SEr7??/Y?t? ? ???' -FIREPLACE(S) _ 0 kll _ 2
PHONE#
nvrnnF
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contracfor: _
Plumbing System Includes:
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #:
Iawn Sprinkler Fee: $90.00
No. of R.I. Baths
Mechanical Coniractor. 1`II? ?S `11L?LdNwL?Y'l/?l?I?PIX f l? i^L?Sjk) Phone #OV' ?2Ld '759
Mechanical System Includes: - Air Condiri ning Fee: $70.00
_ Heat Recovery System
SewerJWater Conlractoe
Phone #
All above infortnaGon must be su6mitted prior W processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi nces??
Signafure of Appltcant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1l01
Loc??0(pi; _ iI -ag
5O-4 `43F ?
C ?-r0 2v
RESIDENTIAL
BUILDING PERMIT APPLICATION
CI7Y OF EAGAN
3830 PILOT KNOB RD • 55122
4g 5TS 651-681-4675
NewConsWcdon Reauirements
. 3 registered site surveys showing sq. R of lot, sq. ft ot house; all mofed areas
(20%mazimum bt coverage albwed)
. 2 cropies of pWn shaxing beam 6 window sizes; poured found desgn, etc.)
. 1 set of Breryy Calaktions
. 3 mpies of Tree Praservation Plan if lot platled afler 711A3
. Run Jast Detail Options selectlon sheet (bWgs with 3 w less units)
DATE I V6n r `1 -
JOB SITE
IP MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNE
,I L?73 . as
? }2 /Z,
RemodellReoairReauiremeMs
. 2 oopees of plan
. t set W Energy Calalafions for heatetl additions
. 7 site survey for exteriw additioris 8 decks
• 6Wimte N home served Dy eePtlc system for additlns
vaLuaioN ( e
L
l
TYPE OF WORKJ 9r,c MdQt:) ,A.D??Q-i'am? Q4QPffvnql(tEPLACE(S) _ 0_ 1_ 2
APPLICANT WINDQWLITE C13?1krin/,?cLvs 0l PHONE?163 )30I1-R.?l?
ADDRESS Crosstawn North Business Center # 4- ZIP CODE ?l(/YYU ???? ?w
PAGER # Brooklvn RNBt1MM0100 PAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check ona)
_ MINNESOTA RULFS 7670 CATEGORY 1
• ResidenHal Ventilation Category t Worksheet Sut
- Energy Envelope Calculations Submitted
MINNF50TA RULES 7672
Plumbing Conhactor: _
Plumbing System Includes:
Mechanical Conhacior. _
Mechanical System Includes:
Sewer/Water CoMractor.
_ Air Condirioning
_ Heat Recovery System
Phone #
Phone #
---- ,
l5
i
u?
=J
Fee: $90.00
Fee: $70.00
All above information must be su6mitted prior W processing of application.
I hereby acknowledge ihat 1 have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga Or 'nances. ?
Signature of Applican
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
, Updated VOt
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener _ lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
No. of Baths
CITY OF EAGAN
_ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12035
PHONE: 454-8100
BUILDING PERMIT Receiptp
7obeusedfor SF DWG/GAR Est.Value $101,000 Date JUNE 2 19 86
SiteAdBress 4580 LAKE PARK DR Erect L? Occupancy R3
lot 2 Block 2 Sec/Sub. LAKE PARK SAORE$lemodel ? Zoning Rl
Parcel No Repair ? Type ol Const. ???
. Addition ? No. Stories
TIBERON INC Move ? length FQ
w Name
z SIBLEY MEMORZAL HWY Demolish ? Depth54_
Addre I
I
t ? Ft
S
o EAGAN - n
.
mpr. q.
City Phone Install ?
o Name SAME
i
$ ¢ Address
? Ciry Phone
s
w w
? Name
Address
z
a w Ciry Phone
I hereby acknowledge that 1 have read this application and state that the
information is correct and agree to comply with all applicable Slate of
Minnesota Sfatutes and Ci Eagan Ord na s.
Signature of Permitle
A euilding Permit is issued to: T?ON INC
all work shall be done in accordance with all applicable StatAoi Minnesql
Assessment
Water & Sew.
Police
Fire
Planner
Council
Bldg. Off. 6 /2 /8 6
Var. Date
Feas
Permit 435.5(
Surcharge 50.5(
PlanReview 217.7c
SAC 575.0(
Water Conn. 500.0(
WaterMeter 63.5(
RoadUnit 290.0C
Tr. PI. 156.0(
Parks
Copies
Total $Z , 288•2!
-on the express condition that
of Eagan Ordinances.
Building
O O C?6 2 8 REQUEST FOR ELECTRICAL INSPECTION
110, Sea Instruclions lor completing this brm on beck al yellow mpy
1 .41111111- ")f;' 6stlow Work Covered by This Request
ee-oooot-os
Ne Add Rep. Type of ding
Buil Ap liances Wired Equipment Wired
Home Range Temporary Service
Du lex Watei Heater Electric Heatin
Apt. Buildin D er oad Mana ement
Comm./Industrial Fumaca Other S eci )
Farm Air Condltloner
Other (speclry) Coniranors Remarks:
Compute Inspection Fee 8ebw:
# Othar Fee N Service Entrance Size Fee # CircuitslFeeders Fee
Swimmin Pool 0 to 200 Am s 0 to 100 Amps
Transfortners Above 200-Am s Above 100 -Am s
Si ns inspecors use oniy TOtALJ
Irrigation Booms
S ecial Ins ection "
AIaiMCOmmunication TFIIS INSTAlLAT10N MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 PAONTHS.
I, the Electrical Inspector, hereby
cartfiy thet tha above inspecNOn has
been made. Rough-In Date
et a?L,. ?I11
Finai
42
OFFICE USE ONLY ?
This request voM 1B montha fmm
i1! /CiL
l? '] /
"
b 0 28 a /9 ? ?.
?
?90
Requesl Oete Fra No. ough-ln Inspeclion Requiretl Ins ec' n OtherThan Raugh-In
(VOU m st cell inspector '? reatly)
? eatly Nopo fl ? Notity.ln_syector
?
Yes ?NO Date Read
I icensed contractor ? owner hereby request inspection of abova electrical work at
Jo0 AGdress (Streel Box or RoWe No ) CITy
24;? ' `
?W ? N
Secimn No Township Name or No. Range No Counry
Occupe (PRIN'p Phone No.
Power Supplier Atltlress
actncel Contrector (Compnny Name) Contmctor's Lkense Na
(oe he VIt , e o- -2 7
Melhng Atltlrase (COntrecmr or wner king Installetlan)
' ^ A4 ?
FNhonzetl SI re(COntractodOw Making Installation) Phone Number
` 8'q a ?o
MifiNES&A STATE BOA?OF ELECTRICI7V p I
GrlpBa-Mitlwey Bltlg.- Ro 5-128 QP
1841 UnlvereMy Ave., St. Paul, MN 85704
Phone (812) 842-0800
THIS INSPECTION REQUEST WILL NOT
HE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION PEE IS
ENCLOSED.
.?
RESIDENTIAL +
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 551Y2
651-681-4675
NewConetruclhn AeauhemeMs
• 3 registered stle surveys ftwing sq. ft. of bt, sq. tl. of house; anA ?II roofed areas
(20% m"mum bt coverege albwed)
. 2 copies ol plan showing beam & window s¢es; poured found design, etc.)
• lsatofEnergyCalculetbns
. 3 copies of Tree Preservaibn Plan 8 bt plattetl after 711193
• Rtrn,blst Detail Optbns selec?n sheet (bldgs wah 3 or less un'AS)
DATE 0(D-13`02-
_ Water Softener
_ Water Heater
_ No. of Baths
Z N
PIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT AYJtCrLGGdqN PU./GG?NG ( pw?K?r7?4S "7?'ll'
STREETADDRESS IZ1N}- "l,blfe??? •S CIN&N« STATE "?LP
TELEPHONE # CELL PHONE # FAX #
PROPERTYOWNER nEGGy ¢ 7'h'¢,e!24 UJ(/iyOvWL-/f TELEPHONE#
----------------------- -------------------------------------- ----------------- -°---------°---
COMPLETE THIS SECTION FOR °NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submittetl • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contrac}or:
Plumbing system includes:
Mechanical Conhactor: _
Mechanical system includes:
Sewer/Water Conhactor:
---------------------------------------°---------------------------------
I hereby acknowledge that I have read this appiication, state that the
wim all applicable State of Minnesota Statutes and City of Eagan Ord
Signature of Applicant
Fee:
and agree to comply
OFFICE USE ONLY
zfs 80 G4K6?/I,ell LY' • MULTI-FAMILY BLDG _Y
pamodeVHenelr Reauirementa ?
. 2 copies of plan
• 15etofEnergyCabulatqnsforheffieOadCAions
• 15itesurveylorextedoraddBbns&tlecks
. Indiqte N home served by seplic system lor adEBbns
?6 ,")'S
VALUATION
Phone #
_ Lawn Sprinkler Fee: $90.00
No. of R.I. Baths
- nTT9
_ Air Conditioning
_ Heat Recovery System
Phone 1f
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
My 0? ?alaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
_________________i
I
I Permit
I ?
I
? Pertnit Fee: u I
j Date Recerved:
I ?
? StaB_ --- ?
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: J? 0( SiTe Address:
Tenant:
L
Suite #:
RESIDENT/OWNER Name:__???Q Phone:/6S-?P
Address 1 City / Zip: (s 1
CONTRACTOR Name: Chamnfon License #: (0 t 7-? Pm
651-365-1340
Address: ..?-,,, r._.d na .,! nn
-?v?
City CCd9an, MN 55123-1338 State: Zip:
Phone' Contact Person: -6I_'? l J )'ev
TYPE OF WORK _ New lReplacement Repair Rebuild Modify Space Work in R.O.W.
Descri tion of wark: c`i'zf- a--tcr LLIDl PJVYI A-
PERMIT TYpE RESIDENTIAL
? Water Heater _ Water Softener
Lawn Irrigation Add Plumbing FiMUres
L-- RPZ /_ PVB) (_ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RE5IDENTlAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Sottener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
`Water Turnaround (add $136-00 it a 5/8" mzter is required)
$100.50 Septic System New ($10.00 per as built) (includes Counry fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $SO State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will 6e in conformance with ihe ordinances and codes of ihe 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 pertniC that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X 0 X
App icanYs Printed Name Applicants nature ?
FOROFfICE USE REV10Wed Bp M ?in I)3?1?
?•
? R uired-ln tco?s =Clnder ?r?nd ,? iy
?eg4
= a 77, Sfrv, 19,4 o I -I 0=
ss
?
7986 BDII.DING PEAMIT APPLICATIOH - CITY OF EAGAN
NOYE: ALL COATRACTORS M[TST BE LICSNSED IiITH THE CIT7f OF EAG9N
3INGLE FAMLY DfiELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MIILTIPLE DiiELLINGS - RESIDENTIAL RENTAL 09IT5 FOE SALE ONITS
INCLUDE 2 SETS OE PLANS, CERTIFICATE OF SORV&Y - CHECH ftITH BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
C019MRCIAi:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Osed For: ? &}, ?"?}yy????_ Valuation: Date:
Site Address 1004-[X. fu?k I OFFICE OSE OD1L]
Lot 2 Bloek 2
Parcel/Sub l/a.a- R+?kxczes-
Owner 7? i3bfl,n ? I&iC
Address 3Qoss' S(?Lv7?A,i1?7N uwi
City/Zip Code 919lv 5372-Z
Phone '-r - ! GoIQ..
Contraetor "rf rv t.
Address ?qO {?'j SII?[?TI }NL7n.k<N
City/Zip Code }j'WWC,, ) 5 S"/ 22
Phone ?S(> p e) Arch./Engr.
Address
Ci'ty/Zip Code
Phone #
1
?
Erect ? Oecupaney 93
-
Remodel Zoning XT
Repair _ Type of Const T?
Addition # of Stories
_
Move Length
-
Demolish
Depth ?
Int.Impr. Sq Ft
Install
APPROVAIS FSES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Couneil Road Unit
Bldg Off illtl" Treatment P1
APC Parks
Varianee Copies
SY)'fAI.
?) f --
AOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MDST DESIGN9TE AHICH ADDRESS
IS DFSIRED. NO CHANGES iiILL BE ALLOiiED ONCS BUILDING PEHNIIT IS ISSIIED.
??,?; ?2 = 832 ?/2 = 9?'c?3?
Zc= G?? x 5?4?- /? ??a
,z
56
37 3 52
/y?/ oe ?-? //52
/-?? 27= ?/o. ? x ?/y= 1762
Zv? ?o ?w z141 ? l7z?a
,
)wner
• ` ' H[NtIESOTA STATE E:IERGY l:QDE CAICULATI0N5 40
A
MUutL EyERr,Y CODE - 1983 EDtTtON
Aduptlun E[fr.et.ivr, 1/1/84
;ite Address
;ontractor
?o $.W*
('atP
luilding Classification: Type A1 (Single Faaily & Ouplex)?Type A2 (Residential
(3 stories or ess
(Other)
(0•rer 7 stories)
;cNERAL INFORMATION l. Building Perimeter-'7(E l=,,?!-/Tft.
,
?. Wall height (ground to eave)?51?,LUOLkS& ft. '
p
3. 1. x 2. (above) gross wal lorgg. ft.
1. Buildiog dimensions (L) %9, thld21LN) ¦?0?j- f ft.2 roof S floar area
S. Square,fcot area of rim joist - Floor joist sise (2 x??) Z
/OT x Peri meter ? Rim joist area ¦?ft
12
6. 'Joars - Area Thic nesc? --in. Il factor__?4 7 4?
7ype of Consiruct an 7 rimeLer ft.
' Manufacturer
1.
8.
7YPE
SIIE- -
'%/t?'%. 1l) fIR.JL!5;Z?=
AR:A (F;,2) "IUMBER OF TOTAL FEET 2
EACH UNITS ,
. .g, Total ft.2 Glass
10t-Fireplace area: Nidth x heiaht = x = Ft.2
11. Exposed foundatlon: Hei9ht x Perimeter , x =
-1? ? ?ZCP Ft.Z
;)MPLETION OF THIS FORM IS ReqUIRED FOR ALL t1EW COPISTRUCTiON, MAJOR RE140DEL1NG AND BUILDiNGS BEING
UV:D 'ANERE ENERGY, OTHER THAY THE MINIMAL CODE ALLQWAtICE. IS USED.
Total door's perimeter ft
Nindows: Manuf}cturer J?(i State approveA
U factor i ?} (D
,
t
i
?
s
..; .
? 12. F."aming area • lOX of gross wall area.
13. Gross Nall area
Ntndow area A ft.2
Rim Joist area A ft.2
Doo??rea A ?j L?- Ft.Z
,F_trxptace area A ft.Z
Exposed foundation A l Z•0 ft.2
, Framing area A 7i? qyq ft.2
Net wall area A 14q zj ft.
74- 84P-4240
ft.2
U wlndows ¦ A0 U x A ¦ l30,1??
U rimJoist ¦ U XA a Si
U door area •, ?9- U x A n 11,
U fireplace a ,4l U x A ¦ I(p.Li ?
U foundation ¦ i08Z U x A ?
U framing area ¦,,0(el U x A¦Lb, (6
r-
Uwall=_?rJTUxAa Z
, . (138) TOTAI . . . . . . . . . U x A a Z O,,f1.
14. Gross wall area x 0.11 (A-1 singie family 5 duplex ¦ allowable U x A/Code
(13. above)
x 0.23 A-2 other residentlal)
x .23??Other buildings)
. x .28 (Over 3 stories) Mus A "? 1-7_ x U?Qd?, . ?? • 5•9 Br°F. 138tabavearger t
15. Ceiling framing area (Af) eQuals lOS af ceil9ng area ?. o? the same as)
ISA. Gross ceiling area ¦(L) 5er L(b2y-Sj/(W) ¦ ft.2
156 Jaist area (Af) • lOS ce111ng area ¦ ?(O -2, ft.Z
15C.. Net ceiling area (Ac) (15A - 158) •_ ft.2
U ceiling x A c4 _ i 619 x `C(0 • Z7,
U framing x A pa OZ' - x_ /(p3 • 3, Z(D
15D. TOTAI U x A ........................................ a 1,15 •-
16.- Ceiling area (15A) x 0.026 (A-1 single family 5 duplex - code allowable U x A
x 0.033 (A-2 other resldential)
x 0.06 (other)
BaUH Must be larger than 150 (abovi
A(15A) IrD?f x U(code)= 4Z,49 f (or the same as)
, azrv ? -
NOTE: Use U and A values obtained from ops i, 3 and 4.
i -.
O WYaN JwM1s OoMrANT OltOs 011[eN 1o0d DYII •1oOgQ COVIIILas• MAOI IM Y.@.A.
. ;,_ 2X(p
. .• .
,
WALL
SECTION
STIJD
SECTION
,
2ND WALL
SECYION
WA?C. - N?G? • f?
Sl??.qTN ING
U rNLUt l.NLLULNIIUNb ow
ALUE U VALUE
Instde air tilm .68
Isiteriar vall .9 j (Nell) U. a .
Insula[1on ?? pp
Sheathing
r
S td Lng
Outs[de air Eilm .17
R TOTAL 2&,q7
Inaide air film
Interior wall
4" tcud
Sheathing -
S[ding
Outslde alr. filrr
.68
•`I'
R' 44P*6.5'0 (Framing)U. R '
(p.b0
.l7 f
& TOYAL _ l4,47
Instde air [Lim Ra .68
In[erlos rall
-. . R .
14sulati (Nall ) U
- z
Exterio[ vsll co ng
Extartar air film' a .
6 'fOTAL
• ' Interlor air film R¦ .69
RI21
T .
tnsulation
I /uCJ
l
•
?
JOIST ?-? lk lnch soft woud (Zs1,$e (Rim U a? a
. Joist)
? ' Sheathing
.
t Extetioe val l eovering 4(v"' '
Exterior air ftlm Ra ,17
? R TOTAL '18,4p
Interior air film R=,.68
? Insulatlon
• ?_ Foundatton (Zg (Fdn
) U ¦ ? ¦
Extertor air Eilm R' .17 .
?
f R TOTAL
? 12,r3
xposed 9lue k
F
` •? `
_
CEILI7IG a[?H VEMT"-.D ATTIC SPACE A80VE tv
. • R :AIUE '! lUE
FRAt4ING CEILING ,
0.61 Air F11m 0.61
•00 [nsulation 50E60
. Joist
•
.5(a Cei11n9 , S(o
0.61 Air Film 0.61
4-$.I(o Total a
1
,?Z U • A ,019
F!AT ROOF OR CA7NEDRAL CEILItIG
Ya ue R YALl1E
i n &w .. FR,114IMG CEILING
o= 0.61
0.17
Inslde air film 0•61
Ceilina
Joist (stu
Insulatian
Air space
Roaf decking
insulation `
8uilt-up roof
Outslde air film 0.17
Total R
1 ¦U
R
4indow lnfiltration .5 cfm/lineal foot of crack
tesidential door infiltratian 0.5 cfm/square foot or door and minimum code reauirement
Icn-residential door infiltration 11.0 cfm/lineal foot of crack
Jb 12" cancrete block no insulation - .41 R 2.1
!b 12" concrete block insulated cores =.26 R 3.8
lb 12" liglitweight block •?.32 R 3.1
Jb 12" ligntweight hlack insulated cores =.12 R 8.3
1 single glass = 1.13;
1 double glass - .55
1 triple glass a .41
with storm s+indow .54
111 exterior walls and ceilings must have a vapor barrier (0.10 perm m3x.).
;apor barrier must be on the inside (heated side) of wall.
iapor barriers of the palyethelene thin f11m have no R value. ?
;
?
?
?.... ... 1
i?
CITY OF EAGAfV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*AT:': PAYMf;TLP OF FEE AT TIME pF
APPLICATION DOES D702 CODSTI7Llii:
APPROVAL OF PERhILT.
imspECrzort oF sEKM Arm/Ot WAMEt
II T r.ATTONS WIIS. DA7r ?', SC1M>-
ULID UNTIL PERMIT AAS BFEFZQ
APPROVID.
P e ??=?,.xxx
ase Print xx,??xxx?,.x,.xx,.fxxxx?x===x=
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STRtiCiL?FtE, DATE OF ORIGINAL BLILDING PERMIT ISSL'ANCE: '
PRESENT ZONIDIG/PROPOSID L'SE: (mn Year
F-I COh24E12CIAL/I2E,TAIL/OFFICE
Q IrIDL'STRIA:,
? INSTITUTIONAL/GOVERN?T
2) ?
h
R-1 SINGLE FAMILY
? R-2 DT-IPLEX (ZDA C?nits)
? R-3 'IOFINiOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIIIM ( i.7nits )
AvnREss: 39DB S; b/ec?
CITY, STATE, ZIP:_E?j? n
PHONE:
3) ?
NAME:
ADDRESS: 3600 1(!:NNEuEC DRIVE, EAGAN, M1NN.557rZ
CITY, STATE, ZIP: °
PHONE: MA.STER I,I(EN5E# 001445M2
4) .•. 0 a
iVAME: % I ? er-nYl Zo7C
_ ADDRESS: •
CITY, STATE, ZIP:
PHONE:
ACt1Ve
ExQ1rE'd
Not reCOrded
St 7n1tEa1
'S) '? i i a• • ?• : ? • ?? - ??
?C CONNECPION Zb' CITY SEVIER I?it CONNECTION TO CITY WATII2 ? p7I"M '.
61 nt2n](t: u C] PLEASE HOLD APPROVID PERMIT FY)R PICK-UP BY ONE OF ABOVE -?-- -- -_
? PLEASE MAIL APPROVID PERMIT 1U 1, 2, ? 4. P.BOVE
(Circ?e one)
7) r. r? u•- t
P'
?
'•'1: • Y I'
I ? r.
?
?? ' 1}
' "• U' 1 I' •? • •^ D Iu• . I? p Y91' . y .,
'JI• ? • ?? • ??
,
? : i M
I• •,tl?? I 1 1 ' Of' ? •? :A' • ? .
•?.
FOR CITY USE ONLY
.
PERMIT ,r ISS[:ED
/J`.51 Z ? / , n
Pd w/Bldg. Permit FEES:
$ $_ ?G- SU SEWER PERMIT (INCLUDE SLRCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE )
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ I S UZ% ACCOUNT DEPGSIT - SEWER
$ $ 6" ? ACCOONT DEPOSIT - WATER
$ ?5 -GC. L% C, $
WAC
$ S 7?' <.-? O $ SAC
.
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SE
V,IER
$ $ LATERAL BENEFIT/TRONK
WATER
$ A" "- $ WATER TREATMENT PLAN
T SURCHARGE
$ $ OTHER:
S % yS U $ SJOo
TOTAL
RECEIPT ' RECEIPT # .
DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIV ISSDED BY THE ENGINEERING
ISION. LIST AS A CONDITION.
SL' BJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
?
810MA
? \
\ 3? \
\
9i
SUFtVEYINO
AVICES
SE
3908 Sibley Memorial Highway
E Minnesota 55122
aga n,
Phone: (612) 452•3077
Top 918.61
2,u. 9ot.13
-N-
Scale: 1" _
L . o :
House Certificafe For:
Homes by
PARRANTO
?
L07' 4
?
\.41.43 S8103.R1A.
?Acb,
LOT 2?
? --.,
/ •a;??9? ? Ofll:/y .
?k Eas<?ryent
, qL4.Z
7?!1
X-? zto 460 .1? ?/1r q?R Li?Q<Q???4F'\ ?9?9 I r
oti?`
?? / I \???\G 112o a?? I I
? ' N?\Q,a,?\e oy o i 1
'r ?' M ISO ?ZO\0? \ItA _ _ _ x -ZS.o -
?? --- ,
o WQ?' (I p? (`3?9A? ?s q\69+x ,?1
` ?\
1 9/A?.??ao L9/A
"" iN 89°R3?0 i600014
oyg, v ?,4yK?
4-
I
WAYNE D.
40' CORDES
- 14675 -
J, GE ENO -
O Qenotes Iron 1lorMm?.°nt
a Oenotes Woai Ni,b Set
xyie.ss Derwtes Existirg Spot Elevatian
(?SNemd ?^Dtes Proposed Spot Elevation
,,?Opnotes Orainage Direction
-PHOPEERIY OESC:RIPrIUI-
lAi ? ,BLGCK 2
LAKE PARK SHORES
accordirg ta the recarded plat thereof,
DdltOtd Lantv. YiIVYSOfd
i..0i" :
D
+ GPR.
? \\
>•5
\
PARK _ ?'?s'¢ pR?VE41 ? ?
i o\\
i M
i ?
PROPOSED 6ARA6E FLOOR ELEVAT70N= ?ZO,O
PROPOSED Top of 81ock ELEVATlON@ `jLOPROPOSED BASEYENT FLOOR ELEVATfON=
NOTE: Verify all floor heights with Final House Plans.
-Xaffivo tFftTIFICATI?I-
1 hereby tertify that this surveY. Pla^ a' reP°ft
was p'epared by me a' u"ider my direct supervisicn
ard fhat ! am a duly Registered Leni SurveYor
er the laws of t?fe of Minresota.
X
? Date:
Wayne . Lordes. Yinn. keg. No. 14575
/
(ZE??4E0 ; tB?M. Ne?.e Novse Pla"
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4580 Lake Park Dr
Lot: 2 Block: 2 Addition: Lake Park Shores
PID:10- 44200 - 020 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Fee Summary:
Valuation: 3,000.00
Contractor:
Gopher Company
2701 36th Ave S
Minneapolis MN 55406
(612) 331 -1555
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Comments: Permit closed without required inspection(s). Letter & correc
$90.00
Owner:
Kelly D Wunderlich
4580 Lake Park Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA085639
08/28/2008
ePermit
on notice sent to applicant on 8/21/09. (pf)
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133408
Date Issued:10/12/2015
Permit Category:ePermit
Site Address: 4580 Lake Park Dr
Lot:2 Block: 2 Addition: Lake Park Shores
PID:10-44200-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Kelly D Wunderlich
4580 Lake Park Dr
Eagan MN 55122
(651) 994-1639
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature