804 Golden Meadow RdCASH RECEIPT
CITY OF EAGAN - ?
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
C
DATE 19?J
RBC FIRV6?_'? --
aNf-
e '
AMOUNT $ I
+ t
81 DOLLARS
?oo
? CASH ? C}i.ECK
J
FoR
BY " ft?)
6 v,ca ""Air'
White-Payers Copy
Yellow-Posting Copy
Pink-File Capy
Thank You
BT,DG. PERMIT NO_
., ?{ , ? .. .
01-3210 Bii?n.
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
02-2155 Surcharge
17-3$60 Road Unit
2Q-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt,
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 P2rk Ded.
I
I
TOTAL
? ?
` CASH RECEIPT
. ? CITY OF EAGAN `
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE /7 19 p
RECEIVED ., ? .
FROM -- - - ' - J?
AMOUNT
?
? CASH Q.-CHECK
FOR
?
FVND CODE AMOUNT
.. .;.
Thank You
e v
%
. , ?-
White-Peyers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for r"`'?".
,19
Est. Value $1,000
Receipt
Site Address 8c)4 `'3EAwW ii.D
Lot I Block i Sec/Sub. KING AuI.N ?(? ?-RGA
Parcel No.
cc Name C???? K BZMMM
= Address ?? ?LIA?'? NUMV RD
? City EwGA-4 Phone 681-581-^ 661-1'i32
.o Name SM.
°C
? ` Address
P City Phone
Name
City
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 5tate of
Minnesota Statutes and City of EAgan Ordinances.
Signature of Permittee
A Building Permit is issued to: __ ??•Oci?? il ?tN;1i?F
on the express condition that all work shall be done in accordancewith all
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Building Official___
OFFICE USE ONLY
On Site Sewege Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # oF Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 34.00
Planner 5urcharge • 30
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1 _
Parks
TOTAL ?'?
Parmit No. Permit Holdsr Date TNephons it
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insv. Comments
Footings I
Foatings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Pibg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg. ';?;;L , l/ 37 9? •?; (j '11! 8 L e-
Deck Final
Well
Pr. Disp.
CITY OF EAGAN n
3830 PNat Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 12444
PHONE: 454-8100
BUILDING PERMIT Receipt # '
To be used tor Est Vaiue $134,000 Date AUGUS'P 13 19 ci 5
Site Address 804 GOLUE?V MEADOW RD Erect C? Occupancy i<3
Lot 1 Btock 1 Sec/Sub. KING ADDITIOjI Remodel ? Zoning ?-'?3
Parcel No. Repair ? Type a( Const 49-n
Addition ? No. Stories
¢ Name GFtZ'4LD BROS CON3T IiVC Move ? Length 56
= P. O. BOX 12 t3 Demolish ? Depth 46
o Address Int. Impr. ? Sq. Ft.
City PhOn@ _ InStBil ?
Z ? Name 5?E
? ¢ Address
Ciry Phone
V?
W W
f, W
U0
? W
<
Assessment Permit ?
Water 8 Sew. Surcharge
Police
Plan
Name Fire
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all appiicable State of
Minnesota Statutes and Ciry ot Eagan Ordinanpep.
.
Signature of Permittee ? ? ?Ct„??????
Eng. Water Conn.
Planner Water Meter
Council Road Unit-
Bldg. Off. 01 0/°° Tr. PI. tJ° • L
APC Parks
Var. Date I Copies
Ti.MI -'2* • 0
A Building Permit is issued to: LVLicvl,u ntcv5 4VLV.'11KU%.1 11J1V 1tVl- pn the express condition that
all work shall be done in accordance with all applicable Stale of Minnesota Statutf!? and City of Eagan Ordinances.
PormH No. Porndt Holda Da1s Tslephone K
PlumbMy / ,;?-? ?
r
?
/C /' 74
H.V.A.C. ?
Eloea+c z ? - ?-
Soflsna
Inspectioe Dnb Insp. Commenb
FootiAgs I 4'/ ?
FooHnys 11
Foundatlon
Frsmin9 F
Rodln9
Rouyh Plby. ? .j 13,e
Rou9h Hty.
Insul. u( ,
Ffreplaoe
FMsI Mty.
Flnsl Ptby. -Te--
Mdg. Fx„l ? t t? E?/- ?? ?? ?
c.n. oa. Y- t-87 C`• d- i/ -.2 1 - 6c,)
' G . d k y!-J
Deck Fty. C• Q •
Doek Frmy.
WNI
Pr. Dbp.
. . . - , _ - . ?' . . 'f 7 . . .' , . , . , _ , ?4 . . . . n .. . . 1 , . . .. .
-17
. ,
PERMIT #
MECHANICAL PEliMR
• RECEIPT #
GTY OF EAGAN
3830 PILO T KNOB HOAD, EACaAN, MN 55121 DATE:
CONTRACT PRICE: PHONE 454-8100
Site Address - -? ?? BLDG. TYPE WORK DESCRIPTION
.
Lot Block ' Sec/Sub
`
R
es. New
m Name •
l
Add
M
-on
u
t
? Address " C
omm. Repalr
c City
.' Phone " - p
, , ther
Name FEE3
?
c Address ? '- -?^• RES. HVAC 0-100 M BTU -$24.00
p City:' i<<=? Phone'???" ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK
? ? iC GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 146 OF CONTRACT FEE
Boiler M BTU MINIMUM - FiESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMMIIND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent
G
P
i
#
O ? CFM BEYOND $1,000.00)
utlets
as
ip
ng -
Other
FEE
^?F
S/C:
?
SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
? PERMIT #
PLUMBING PERMIT RECEIPT # ,
CITY OF EACiAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE: 454.8100
Site Address
Lot Block
m Name
ao Addre
c City
? Name
3 Addre
O City _
FEES
COMM/IND FEE - 196 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,OOQ.00)
SIGNATURE OF PERMITTEE
BLDG. TYPE WORK DESCRIPTION
Res. - New
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
- Water Closet - $3.00 $
?_.Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
1-Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
1 Water Heater - $1.50
Whirlpool - $3.00
?Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL•
FOR: CITY OF EACaAN
CITY OF EAGAN
3830 P"ot Knab Road -
P. O. box 21199
E4an, MN 55121 ,
Zoninp: _
Owner: -
llddrcas:
Site 1lddross:
Plumber.
Meter No. ? 7?4- T,(o 3 3 s
s,:e: !V " ffo'ck
WATER SERVICE pERMIT
PERMIT NO.:
DATE: ?
No, of Units:
RS [- ,
P.oad LI El K
0
' ?.om to oomny wiM eh. c.*m=?.?. --- ?
•
; B Total: ?metez
y Dote Poid:
Date of Insp.: Inop,.
_ ?/- ?--?
CITY OF EAGAN
3830 Pilot Knob Road • - WATER SERVICE PERMIT
P. O. Box 21199 PERMIT NO
:
Eagan, MN 55121 .
DATE:
Z°ninp: _
O
. .
- NO. of Units:
wner,
? S .
Addross:
Sita Addrcss: '!; .U i: i,,
Plumbar. 7 t47
Meter No.: ConnecTion Chorye: `
Size: Ilccaun# Deposit: '
Reoder No.: Permit Fee:
I yrw 10 complr whh !iw Ciy of Easse Surchorge;
OrdtMnpr. Misc. Cho
rges:
Totol:
B
y Doce Paid:
Date of Irsp.: I.,....
CITY OF EAGAN
. 3830 Pilot Kr?ob Road ?yy? S?y?E PERMIT
P. O. Box 21199
Eagan, MN 55121 PERMIT NO.: '
Zoning: DATE:
Owner. No. of Unita:
` Address: -
Site 1lddress:
' Plumber. . - : r •
111, complf wilh !i C
; ?
N ily of tosem Conriectlon Chorpe;
. Aocourrt Depo:it:
----- -------
Penni+ Fae:
BY 5urchorye:
Dote oF I
? Misc. Cho?pes;
"
Insp
;
Totol:
, Date Pafd:
CITY OF EAGAN '
- 12444
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 Np
BUILDING PHONE: 454-8100
PERMIT Receipts
Tobeusedfor SF DWG/GA$ Esi.VaIue $1341000 Date AUGUST 13 7986
SiteAddress 804 GOLDEN MEADOW RD Erect C} Occupancy R3 Lat 1 Bbck 1 Sec/Su6. KING ADDITION Remodel ? Zonin PD
g
Parcel No. Repair ? Type of Const Wl
Addition ? No. Stories
56
? GEROLD BROS CONST INC Move ? Lengtn
= Name . Demolish ? Depth 46
o Address P• 0• BOX 128
Int. Impr. ? Sq. Ft
CiryNEW PRA?'pM 758^2842 mstall ?
a 5AM?.' APPrarals Fees
i o Name -
? ¢ Address
CiTy Phone
?w
F W Name
um ? Address
i w Ciry Phane
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applica6le State of
Minnesota Statutes and ?City of Eagan OrdinanF? /7
SignaWre ot Permittee ?. !l.l-z<-?r ' c ?/?v+.?""'?-
Assessment
Water R Sew.
Police
Fire
Planner
Council
BIdg.OR. $/8/86
Var. Date
Permit Y Jl V. V V
Surcharge 67.00
Plan Review 254 . 00
SAC 575.00
Water Con n. 5 0 0. 0 0
Water Meter 63. 50
RoadUnit 290•00
7r. PI. 156 . 00
Parks
Copies
T,,,,, $2, 423.50
A euilding Permit is issued to: GEROLD BROS CONSTRUCTION INC on the express condition that
all work shall 6e done in accordance with all applicable St f Minnesota tat t a ' oF Eagan Ordinances.
Building Official - ? y?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NO 15616
BUILDING PERMIT PHO HE:454-8100 ReceiPt# ? ?
i SC -7
To be used tor DECK Est. Value $1, 000 Date SEPT 20 ,1 g 88
Site Address 804 GOLDEN MEADOW RD
Lot 1 Block 1 Sec/Sub. KING ADDN TO EAGA]
Parcel No.
a Name GEORGE K BEHNKE
zAddress 804 GOLAEN MEADOW RD
° City EAGAN Phone 681-5813 681-1972
? Name_
0
oa Address
? City_
Name
GitY
I herehy acknowledge ihat I have reatl this application and state that the
information is correct and agree to mply with all applic 61e tate ol
Minnesota Statutes and City of n Ordina{n?
g Permit is isSUeA to:---Si$
on the express condition that all work shall 6e done in accordance with all
applicable State of Minnesotna Stfltutes and City of Eagan Ortlinances.
Building Ofticial-?"_L`?
OFFICE USE ONLY
On Site Sewage _ Occupency
MWCC System 2oning
On Site Well _ (ACtuel) Const
City Water _ (Allowable)
PRV Pequired # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bidg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SA4 City
SAC, M WCC
Water Conn.
Water Meter
Roatl Unit
Trealment P7
Parks
TOTAL
24.00
.50
24.50
7988 BUILDING PERMIT.,ApPLICATION - CITY OF EAGAN
3INGLE FAMILY DWELLING3 tff ? f ?
INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALWLATIONS
NOTEs ADDRESSES FOA CORNER LOTS - CDNTR6CTOR/HOMEOWNER MUST DESIGNATE WHICA ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED DNCE HIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENT6L ONITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECR WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
??P ? 5 ?gg8
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ? Valuatio?Jd0 Date: SCPT, 15, /78or
Site Address ?4?/ ?,y?p??? Azall? /C?/ OFFICE USE ONLY
Lot j Block
Parcel/Sub
Owner l9 EO?-?7E. ??. Ke. I
?
Address QD`l (?,olde,.? V?ler??/aul /?cl
City/Zip Code ZczG4K S.5-/23
Phone Ntlvl
Contractor
Address
City/Zip Code
Phone
Arch./Engr. ,se/t/-
Address
City/Zip Code
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
Booster Pump _
APPROVALS
Oecupancy
Zoning
Actual Const
Allowable
S of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
59C, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copiea
TOTAL
?y
Engr/Assess
Planner
Council
Bldg. Off.,(-=jq
Variance
Phone !1
RESIDENTIAL
BUILDING PERMIT APPLICATION
?/ ??? JC) CITY OP EAGAN
1 3830 PILOT KNOB RD, EAC+AN MN 55122
651•681-4675
New Conetructbn ReaulremeMa
• 3 registeietl site surveys showinq sq. fl. ot bt, sq. iL of house; an0 gLl roofed areas
(20qo maximum bt oaverage allowetl)
• 2 copies of phan showhg beam & wlndow s¢as; poured lound desgn, etc.)
• 7setofEnergyCakulatlons
• 3 copies of Tree Pre&ervatlon Plan tl bi plattetl aXer 7l1193
. Rfm ,blsl DetaJ Options selectbn sheet (bags wNh 3 or less unfts)
DATE Co(O'OZ
SITE ADC
TYPE OF
ULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
SELA ROOFING & REMODELWC
APPLICANT dinn ExCELSIOR aLvC
STREET ADDRESS ST. LOUIS PARK, MN 5541? . CIN STATE_ZIP
..,.,..,,?„
TELEPHONE #(.(Z-123-ge)Y(„ CELL PHONE # FAX #
PROPERTIlOWNER ?? Rk?D unU TELEPHONE# C?? l- ?"ID Z
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNI
(4 submission type) . Residential Ventilation Category 1 WoAcsheet Submitted • New
• Energy Envelope Calculalions Submitted
Plumbing Conhacfor:
Plumbing system includes
Mechanical Conhactor:
Mechanical system includes:
SeweUWater Confractor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
L,awn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $70.00
-------------------°-----------°------------------------------------------------------------------------------°-------
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 Ordinances. ?
Signature of Applicant
OFFICE USE ONLY
?5?`' Z-S
pemotleVHeoalr Reauirements
. 2 mpies M Dlan
• lsetofEnergyCalculatqnslorheatetlatlditions
• tsitesurveylarexterioradditrons&decks
• Indicste tl home served by septc system for additbns
VALUATION ? -?CrD d • 0--C>
JUN 1 0 2002
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updatad 4/02
1986 BUII.DING PERlIIT APPLICAITON - CITY OF fiAG9N
NOTS: ALL CANTRACTORS MOST BE LICBNSED WITH THE CITY OF EAG911
SIAGLS FANIILY DiIE[.LINGS
INCLODE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
HOLTIPLS DiiELLIBGS - RSSIDENTIAL
INCLUDE 2 SETS OF PLANS, CIiA'
1 SET OF SNERGY CALCOLATIONS
RENT9L IINIYS FOR SALS ONITS
OF SIIRVEY - CHECH IiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET.OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
?"C?00
To Be Used For: New Home Valuation: 64;9E3?U'.00 Date: 7/9/86
?64
Site Address :V-w- Gclden Meadow
Road
Lot 1 Bloek 1
Parcel/Sub KING ADDITION TO EAGAN
Owner George Behnke
Address 4850 Dodd Road
City/23p Code
an, MN 55123
?Phone (612) 423-3591
Contractor Gerold Bros. Const., Inc.
Address P.O. Box 128
? City/Zip Code NEW PRAGUE, M[V 56071
? Phone (612) 758-2842
Areh./Engr.
Address
City/Zip Code
Phone #
Ereet Oceupaney iolt
Remodel Zoning
Repair _ Type of Const ?
Addition # of Stories
Move Length ?
Demolish _ Depth ?
Znt.Impr. Sq Ft
_
RInstall `
I -
APPR09AL4 FEES
Assessments Permit olb
Water/Sewer Surcharge TT_
rolice Placx Review ?
Fire SAC
Engr
Water Conn -?
?
Planner Water Meter
Couneil Road Unit
Bldg Off . . Treatment P1 ?
APC Parks
Varianee Copies
mru.
? 0i
NOTS: ADDRESSES FOR CORNER LOT3 - CONTRACTOR/HOHEOWNER MIIST DESIGNATfi HHICH ADDRfiSS
ZS DSSIRED. NO CHANGES iiILL HE ALLOiiED OHCE BIIILDING PERlII2 IS ISSUED.
0 0 ,
Vc W?-a 9 7,4 'm ? A 1;1 (:B,3 ID
67A ?g
S't
____?--- -
?
SIGMA
SURVEYINO
SEAVICES
3908 Sibley Memorial Nighway
` Eagan. Minnesota 55122
Phone: (612) 452•3077
?'?Gp? ?EN
-? r
,_ .
936;1 x `
u,.6
r
HOUSE CERTIFICATE FOR:
Mr. 8r Mrs. GEORGE
BEHNKE
EAGAN , M?NNESOTA
???''`?PN s• e
? 6?oP N? q o
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4
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+y
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//
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?
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_ yo ,o ?
%k?'.c 0
oN ?+y?• /i . ?%?
I J'? ?? aQ
?a
Po n ? + IMSL.
IJaku Elm.=89o - 1odwry
i
?
i ? -LEGEND'
• Avwfies lron Yonimnfi Foumd
m Denotes Woai Nub Set
X932.0 penotes Existirg Spoi Elevation
sn N) Qenotes Proposed Spot Elevation
,,?Derwtes Orarnage Direction
-PROPERiY LESCRIPf I fIV -
Lor l .eta?c 1
KING ADDITION TO EAGAN
accordirg to the retorded plat thereof,
Dakota CoLAi}y, ,yimesota
WAYtUE D.
CORUES
- 14675 -
\\ \\
I
PROPOSED GARAGE FLODR ELEVATION= 937.0
937.3
PfdOPOSED Top of Block ELEVATfON=
uPPe?
PROPOSED?BASEMENT FLOOR ELEVATION=929.5
Proposed lower Basement F1oor = 924.1=
&OTE. Verify alf floor heights with f'inal House Plaru.
_a1&Ivrrts =rIFICAfIpJ-
1 hereby certify thet this surveY. Plen or reP°r't
We3 p-Bp?red py me or urder my direct supervisim
ard thet 1 am a dufy Itegistered Lerd Surveyor
under the Iaws of the State of Yinnesota.
_J//1f o
Wayne . Cordes, Minn. fteg. ka 14575
w/o
E%TERIQR E?OPE AYlWACE "il" COMPUTATIOM 0, CD?
WER:
;ITE ADDRESS: '-L-} L. U--.!L1 Ki+[,%e *0irla.5 Tt??tAfaM3 ONTMCTOR: uArE: ? -So Pxa+e: 758-29,..yZ-
10' UETERMINE MORKING SQUARE FOOTAGE OF EACN:
. TOTAL EXPOSED 1IALL AREA, , , , , , , , 9 qq(e sq ft x "U" • I 1 ? ??
,. 7a7A1. ROOF/CEILING AREA........ sq ft x"1!"
.
1. TOTAL FXPOSED NALL AREA CALCUtAT10MS: '.
Total exposed aall 4 i
area above floor,,,,,,,, a41 ?f?r sq ft
• t .
a) Total Ns11 wlndow area:
An@ev4n (o glazed..:... Zd q sq ft x?"U"
...,---I glazed...... sq ft x "Un ?
b) Total door area ,,,,,,,,, ? sq ft x"U" ?'/.3 °?•„?,
c) Total sllding glass daor aree:
.12 sq ft x"U"
A40rr.r !'LP 9lazad...... y
glazed...... sq ft x "U" ?
.- ?-. r--
d) Total fireplace wall area -- C> sq ft x"U" -- o • L`'
e) Total wall framtng aroa
(Avcrage lOR)... ........ Z 5? yq ft x"U" , dG $ ? 17
f) Total nst aall area above
floor (Insutated) ..... r,?2 sq ft x"U" . Q3 -7' m ??
g) Total rlm Joist area...... z sq ft x"u"
Total foundattoe
area (Exposed).......... ? ZO sq ft
h) Total foundatloe
.---
retodo?r area ............. -?- sq ft x"U"
t) Total net foundation
area above grada....... . 32 0 sq ft x"U" „t /
13 1 ' A7,
TOTAL a) thru 1) If item A'; [s the same as, or less than item pl, you have met the Intent of
2 MCAR 1.16008 A and 0.
Page 1 '
4., TOTAL E%POSED ROOF/CEi0G CAICULATIONS:
+ 7.
totai exposed
mof/telling.area:.,..... 5S' sq ft
J) Tota1 skyllght aree....... - 2_ sq ft x"U" .31 k) Tota1 roof/ceilinq framing
o ,
A •rea (Averaqe 1f1R)..... E)_sq ft x "U" .CJl7 a ?O?
1) Total net Insulated ,r
roof/ce111nq area......._ l112 1n , sq ft x"U" f 0/°J 0
4. 70TAL j) thru 1)
If total of Ob Is the same es, or less than 02, you have met the (ntent of
2 MCAR 1.16008 A atd 0.
ALTERNATE BUILDING ENVELOPE DESfGN
To utillze the tota) envelope system method, the values established by thC stan
of items 03 and #4 shall not be greater than the sum of Ttems NI and 02.
1.
3.
?
a
+ 4. m
C E R T I F i C A T 1 0 N
i hereby certlfy that I hsve calculated the "U" factors and "R"
values herein and that the buil.dinq here.described meets or exceeAs Ehe Stata
of Hinnesota Eneray Conservation Act.
?
tSlqnature)
(oace)
Page 2
?
1?0
.
WALI
SECTION (INSULATEO)
dl InterFor air fllm 6•611
{? • 3,S
{;
{y .G_1
{5 _ .8!
{f, Ext?or air f11m n•17
TOTAI R m ,&2$
RIM JOtST SECTIQfi:
-(1 Interior
FOUNDATION INSULATI0N REQUIRED:
Min. R-5 on entire wall OR
Min. R-10 down to frost d'epth
FOUNOATI0H SECTION:
-?1 Interior air film ?•RR
--(2 f,ruavn E• D
---( 3 '?
-(4 Exter?t' air f m n, 17
(S
lR
TQTA4 R ?
SLAR ON GRADE
,•-,, ti?:•4 ' ?,-4,•.Q•
, a
?qI ,?. ?'.?4 .?'a',..`?•'
, :p • „
?• ? t? • ,i _, . ?' _ •. ? ;. .. .
Unheated Slabs:
Minimien R = 6.2
• CMlSTRUCTION • R YALUE
NAII FRAMING SECTION:
----{1 Interlor air flim O.6S
2
; nc s so t wood /..09
.
? ?g
6 Exter or a r film
OT - .
:?rV a IIR ° ??
0
G
cw+s TI oN s vaLuE
CEILtNR SECTIAN (INSULATED):
1 Interior air flim D.61
2 ,Se?
3 LV, eo
4 Exterlor air film setll n.f+l
TOTAI R - .6ej;j
U a 1/R ' .61,97
f.E1LING FRAl11NC. SECTION:
1 Intertor air'film
2
3
4 Intertor a r m st
5 3- ?%z. inches so t woo
.
U - 1/R.. ,0/7
?
:?
I 2 3 4 5
VEIVTED
CEILINf SECTION (INSULATEO):
1' loterior air ftlm 0.61
Z
3
q Exterior a r im (still) 0. 1
TTAL R
U- 1/Rp
CEILINr, FRAMINR SECTION:
1• Intertor air film Q.R1
2
3
4 Extertor a r m st 1 o.fil
5 Inches so t wood .
TOTAL R ?
U- 1/R-
H
1 _Inside air film n.FI
2
3 .
b
S Outs Ae a r m ?.
TOTAI R
U? 1/R- __
Page 4
6UIDElINE ?(R) FACTQRS FROPf ASHRAE MANUAL•
Of PICALLY USEp PROD!lCTS
AIR FILMS SHEATNI NG W
Interlor Air Film Nalls) 0.68 3/4" Nood Subfloor or Sheathing 0.94
Exterior Air Film Walls? 0.17 1/2" Plywood Sheatbing 0.62
Interior p1r Film Yented Ce111ng 0.61 1/2" Farticle Board 0:66
Exterior Air F11m Yented Ceilingi 0.61 Gypswn or Plaster Board 3/8" 0,32
Interior Air Film Plon Yented
; 0.61 f?ypsum or P7aster.Board 1/2" 0.45
Exterior Air Film Non Yented 0.17 Gypsum or Plaster Board 5/8" 0.56
Plywood 3/$" 0.47
Plywood 1/2" 0.62
BLOWIN Plywood 3/4" 0.93
Approx. 9 Q? SheatM ng, Reg. Oensity 112"_
" 1.32
0.pprox. 4 7/2" 13 ? Sheathing, Reg. Density 25/32 2.06
Approx. 6 1/4" 19 00 Nail-Base Sheathing 1/2" 1.14
Rpprox. 7 1/4" 24.00
Approx. 14"- 30.00 ROQFS
Rpprox. 18" 40.00
guitt-up Roofs 0.33
All other insulation materials must Asbestos-Ceinent Shiagles 0.21
be verified (R Factor) Asphalt Roll Roofing 0.13
Asphalt Shingles 0.44
[NSULATION
Insulation: 2-2 3/4" Fiberglass 7.00 $I?
Insulation: 3 1/2" Fiberglass 11.00 qluminum Siding 0.61
Insulation: 6" Fiberglass 19.00 qlumjnum with Backer 1.82
Insulation: 3 5/8" Flberglass 13.00 pluminum with 9aicker 8 Foited 2.96
Insulation: 9" Fiberglass 30.00 112 x$ Lap Siding (dbod) 0.81
[nsulatfon:.12" fiberglass 38.00 7/16 x 12 Nardboard Siding 0.67
Insulation: 8" Cellulose 29.00 ' Asbestos Sidings 1/4 Lapped 0.21
Insulation: 10" Cellulose 37.00 Stucco (Brown and Finish Coat) ----
[nsulation: 12" Cellulose 44.00
Insulation: 1 1/2" Thermax 12.00
Insulation: 2" Thermax 16.00 ppORS (U)
7 3/4" Solid Core Door .46
r00DS
? w/Storm, Wood .31
'ir, Pine & Similar 5oft Woods w/Storm. Metal .26
1 1/2" 1.89 Pease Steel Door Insl/N/6L 7.45R .13
p 1/2" 3,12 Sliding Glass Door, Wood .65
3 7/2" 4.35 Iletal .72
5 1/2" 6.87
;ONCRET?E BLOCK WI?
I" Concrete Block (S 8 G Reg,) 1,11 A11 Windows
(w/Storms 7" to 4" Space)
.56
(F111ed wlth Vermiculite)
" 1.93 Doubte Glazing (RD6)
Rearovat .55
2
Concrete Block (S 8 6 Reg.) .
(Fitled with Vermiculite) 1.28
3.15 .
Thermo or Melded 3/16" Air Space
" .69
{° Light Weight 2,18 Afr Space
1/4
" .65
(F111ed with Vermicutite)
" 5.03 Air Space
1/2
(Other windows specifically tested .58
2
Light Weight
(Fitled with Vermicu7lte) 2.48
5.82 can use better ratings)
Page 5
0 OPTIONAL OESIGN METH00 0
As an optlon to comPleting the Exterlor Envolope Average "U" CanpuLation where
"U" vatues'ha've to,be calculated, the following method may be used.
NOTE: All of the folloaing s1x items must be accompl9shed in order to
utilize this metlad.
mww? 1. Ceilings which meet one of the fot1owing criterfa satisfy thls requfrertent:
A. R-38 throughout the entire ceiling. Indicate on plan section drawing haw
this will be accanpiished. Complete appropriate diagrmn F, G. or H.
B. If a portion of the ce111ng is less than R-38, the insulation in the
renainder of the ceiling must be tncreased to yield an overa]1 average
thermal resistance of not 1ess than R-3$. '
C. Where the roof at the perimeter of the ce911ng prevents installation of
. insulation to full depth, the tnsulation in the renainder of the ceiling
must be increased to reduce tfie overatl ceiling fieat loss to no more
than if R-38 had been installed throughout the entire ceiling. (Submit calculations if thls method is used).
20-0- 2. For the insulated cavity of opaque wall and rim joists, but not foundation
walis, a minimum R-20 is required. Canplete diagrams B and C.
00? 3. For the insulated cavity of floors of heated spaces over unheated spaces,
a minimum of R-20 is required.
00-01- 4. Maximum glass area may not exceed 12% of the area of exterior walls nat
including foundation walls. All windows shall be double giazed or have
storm windows. Canplete the following equation using daCa fram the
first page: .
3(a) + 3(t) = ?,,,_.
x
i =
x
(x) must be tess than .12 to meet requirements of this 1tem.
nmm*? 5. Maximwn glass area may not exceed 10% of the area of exterior walls, not
includirng foundation walls, when a sliding glass door is instatted. All
glass shall be double glazed or have storm windows. If sliding gTass
doors are to be installed, canplete the foltoaing equatton ustng daW from
the first page:
[3(a) + 3(c] s 3(t) = r„(y,) ._
a =
Y
(y) must Ce less thap .10 to meet requirements of this iYem.
mmw*? 6. A 1 3/4" metal faced door system with an insulated core provlding aa R value
equal to or greater than 3.0 or.a conventlonal door and storm. Alt primary
doors must have durable weatberstripping.
Yage 7
CITY OF EAGAN
APPLtCAT10N FOR PERMIT
SEWER AND/OR WATER CONNECTION
.*lOT';: PAYMFNP OF FF.E AT 1ZME pP
: aPPLscATIorr noES Nar CONSTITUTE
APPROVAL OF PERMLT.
INSPDGTION OF SEWII2 ADID/OR WN'IER
a rsamrONS WIIZ. NOT SE SCIIIED-
UUD UNrIL PERNIIT HAS BEFSI
APPFOVID.
----------------- --------------------
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: "•-
IF E7QSTING SiRC=]RE, DATE OF ORIGINAL BP.ILDING PERMTT ISSL'ANCE:
?
PRFSENP ZONING/PROPOSID L'SE: (tbn Year)
Q CG1tiNERCIAL/RETAIL/OFFICE
r7 IPIDL'STRIAI,
n INSTITL'TIONAL/GOVERqMENT
2) ?
ADDRESS:
CSTY. STATE, ZIP:
PHONE:
? R-1 SINGLE FAMILY '
Q R-2 DL'PLEX (1t,o Cfiits)
? R-3 10WNHODSE (Three + Units) ( tini.ts)
R-4 rPaRTMErrr/cormorurn[.M ? onits)
• 3) u i: a• ?. ? Fbr City Dse .
'- (l KQQUQt'l , Plisnbers License:
ADDRESS:_ (n.?(l (} ? i (-? R('? • . Active
CITY. 3TATE, 2IP: c^ ? ?Pis'ed
i `Q ? rnn, Not recorded
PHoNE: (0 a (o MASTER r.icENss# OUI 9 a ?
s af?intial
4) ?.r • o iaA-
NAME:
_ ADDRESS:
CITY. STATE, ZIP:
PFiONE:
•g) i ,. v ? d• • ?,•
• ' ' ? • ??
U:?.tiY??
. .
' b-?CONNECPION 1o CITY SEhM Cp?,TION 1t7 CITY WATII2 pTHER ' .
6) '? ??- ?'• ? PLEASE HOLD ApPROVID PEE2I,ffT FOR PICK-C?P BY ONE OF ABOVE
? PLF.ASE MAIL APPROVID PERMIT TO 1.(E?' 30 4, ABJVE ,
? (Circle one) .
7) r r u• • ?
S'.T.t-nTA I/S =/ 7_ (7/
. F4R C1TY USE 4NLY .
PERMZT # ISSL'ED
re 2_ S`Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLL'DE SL'RCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE) ..
$ $ ' WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ fS •L? ACCOUNT DEPOSIT - SEWER
$ S ACCOC'NT DEPOSIT - WATER
$ ?Z U • 0-0 $ wAC
$ ?i 7S 0`0 $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ $ WATER TREATMENT PLANT SORCHARGE
$ $ ' OTHER:
S $ :? /• '0 0 TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK i4ITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSUED SY THE ENGINEERING
DIVISION
LIST AS
ITION
. .
A COND
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
REQUEST fOR ELECTRICAL INSPECTION ee-ouan-oa
IP Sea instrucliona /or compleqnq this form on back of yellow cooV.
46826 "x" Below Work Covered by 7his Reques7
AIewIFn ran. Tvoe af BuilEinoI Aooliancea Wirwd EOUipment Wiretl
I I I I Dirolex 1 I Water Heater 1 I Liohtinu Fixtures I
I I I I commerd Bldg. Fuace 1 1 Sno unloader J
IndustrialalBldo. AirmConditioner Bulk Milk Tank
Y Fee ServiceEntranceSize d Fee Featlere/Subfeeders N e Circuits
04'D Oto200qms Oto30Ams Oto30?1m
Above 200 qps
m 31 to 700 Amps 1 to 100 A
Swimmin Pool Above 100-Amps Ahove 100_Am s
Transiormer5 - Irngation Hoorris Partial-'Other Fee
LL I Signs iSpeciallnspection $Tiemarks ?6 TOT
I the ETleir'vEnl
.n,.y ,nsae?,o.,
cerGly that the a6ova
r, inspection hes been
Riis repuest voia 18
This neqaest voitl Z' p(vv
18 months Imm .
C 46826 ZA, i,
(PC 4t6
Pe uest Oate
?
?? Fire No. Rou h-id ns ection
Re urt .
9.
?Ready Now hlYNOtifY. InsDec-
?' ? ? es ?NO ?orWhenPeadY
licelnsed Elecvical Convactor I herebv reQUest insoection oi ebava
? Owner ?blf/ electrical wark installatl at:
Sveet Atldress, eo or Route No. C
eciwn o. ownsl+ip Name or No, qange o. Co y
Oc<upani IP?N?? ? ??
! Phone No.
Po r uODIe Address ?
EI=ac[or y ? on[rnetor's 1.icen No.
?3
2
0 od
? .
.
MailinB AdJress IConiractor or Owner Makine Instailati nl 4 ?
Authoriz re 1 q,/0W.df` akirq Instal a[ion Phone Nvmber
etl al
`-
5
?
775' -,3S 0
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION HEQVEST WIIL NOT
Gri09s•Mitlway BICg. - Noom N-797 BE ACCEPTED BY THE STATE BOARO
1821 VniversitY Ave., SL Peul, MN 56104 UNLESS PXOVER INSPECTION FEE IS
Pn.nw 18121 297-2111 ENCLOSED.