4385 Lex Pointe PkwyCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
oN RECORD
PERMIT TYPE:
Permit Number:
Date. Issued:
? SITE ADDRESS: I , ' t' :
( 1+ i rl?? i??il I?? i fV I 1 ;1?11
1
?r w•r ` '
? PERMIT SUBTYPE:
I I 7 (1-1) I I Nli
?
TYPE OF WORK:
11E'?i R11'1 1 (1N
nl ifhATrnM
r i NAI
? ?
Permit No. PermR Holder Dete Telephone X
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectbn Dats Insp. CommeMs
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspectw - Notify Plumber
Const. Meter
EngrlPlan
I-W
Oedc Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
? SITE ADDRESS: , , ',
. . ? ? , ?°r?rtiz
, ;i:, ?.?•? „ l il if +F?1?
? P?T SUBTYPE•
? , r? ?t, I ; , P.r I 'Int',?
I I ''9 i tM
r M 1'f fril
I Bt ,?I
APPLICANT:
TYPE OF INORK:
1 PJ'-111 I1 I f IlW
t M PlEti!
1 I I I
1 ;, . - 2 . I t, /t?, A ii !'}?;fWl t 1, ? i i. ., I j, I I Pi? I I'1, il;) t't ,
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
s
A t I I F:A ?1 0 N
1'If4 .1 11 1 1 rll Wtit,P
I
PermR No. Permit Holder Date Telephone #
S/W
PLUMBING f ?9
HVAC
ELECTRIC
ELECTRIC
inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Piumber
Const. Meter
Engr./Pian
Bidg. Final
Deck Ftg.
Deck Final
weu E?p I},G? Gr S f-
Pr. Disp. y'?F? ?-?x • • W''?.
Pftl
_ _ _ ?: .?. ...•?_a! vr_
-':?(" _ . - -• r fi?;'•?.??5;``? %?'' - . .
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Piiot Knob Road Perroit Number:
Eagan, Minnesota 55123 Date Issued:
SITE ADDRESS:
1 0 w: I t, th: ` APPLICANT:
4i38 '? 1! A H(11Nfh F'K61Y li3i?KttUI;= , CHIiI !,
11-.Xl.Wi.lllltd i'+elhilU 3f7U ;.i49
PERMIT SUBTYPE:
tilli •
t3; tr?t: .
TYPE OF WORK:
rf r R.a
00 1 1 Nr, I . I I 1 F- 1 MA I
PermR No. Permlt Holder Date Telephone #
SNV '
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Oate Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Piumber
Const. Meter
Engr./Plan
B1dg. Final
Deck Ftg.
Deck Final
weli
Pr. Disp.
? CASH RECEIPT
?.
CITY OF EAGAN `
3830 PILOT KNOB ROAD %
EAGAN, MINNESOTA 55122
DATE 19
?rvEO j i
iROM ?._ ? • . ? /''_ ? ?
C
AMOUNT $ O CASH
N CHECK
raR
8Y
& DOLLARS
too
C 016271 Whde-Payws
?y
re?eqco? ?
Pink-FAe Copy
Thank You
SE1Q(ER.& !NATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE ' NOV 19, 1991
? ; .,.
OFFICE USE ONLY
METER # PERMIT DATE 1 1 i 22/91
CHIP # PERMIT # 12396
METER SIZE
B.P. RECEIPT # ' ` % ? ?'?' -•"? ? ?
'
ISSUE DATE B.P. RECEIPT DATE 1 1 ?1
_ PRV - BOOSTER PUMP
I SITE ADDRESS 43$5 1.EXINGTON POINTE PKWY
LOT 1 BLOCK i SEClSUB LEXINGTON POIiv'TE 3RD
APPLICANT:
ADDRESS: _
CITY, STATE
PHONE: -
ZIP
PLUMBER: TOM HESSIAN PLUMBING INC
ADDRESS: 121 REDWOOD DR
CITY, STATE "PLE VALLEY MH ZIP 55124
PHONE: 432-6898
OWNER: SRARQN SWENSON
ADDRESS: 734 SUMMER PL
CITY, STATE EAGAN MN Zip 55123
PHONE: 687-9593
PERMIT REQUESTED j
x SEWER X WATER - TAPS ?
COMM/IND
X NEW
x RESIDENTIAL
_ EXISTING
Lawn Sprinkler Meters are to be Installed ?
Ahead of Domestic Meters on Water Line. '
Credtt, l(VILL NOT be given for Deduct Meters. ,
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGMATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER &?OIATER PERMIT
CITY OF EAGrN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE ` NOV 19, 1991
_ PfiV _ BOOSTER PUMP
SITE ADDRESS 4385 LEXINGTON POINTE PKWY
LOT i BIOCK I SEClSUB LExIP1GTON POINTE 3RD
APPLICANT:
AODRESS:_
CITY, STATE
PHONE: _
OFFICE USE ONLY
METER # ?Q a PERMIT DATE 11 /22/91
CHIP # IOISOZ PERMIT # 112396
ME7ER SIZE B.P. RECEIPT # (?O I (o 271
ISSUE OA7E B.P. RECEIPT DATE _UJIU,91
ZIP
PLUMBER: TOM HESSIAN PLUMBiNG INC
ADORESS: 121 REDWOOD DR
CITY, STATE APPLE VALLEY MN Zlp 55124
PHONE: 432-6898
OWNER: SHARON SWENSON
ADDRESS: 734 SUMMER PL
CITY, STATE EAGAN MN ZIp 55123
PHONE: 687-9593
PERMIT REQUESTED
R SEWER X WATER - TAPS
_ COMM/IND X RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead af Domestic Meters on Water Line.
CredA?yY1LL NOT be given for Deduct Meters.
fi
I AGREE TO COMPLY lTH CITY OF ?
EAGAN ORDINANC
?. ?
,
GNATURE HEN METERISSUED
PLEASE ALLOW TWO WORKING DAYS F4R PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWrEEt PERMtTS, CONTACT ENGINEERING DEPT. _ a
- _ _-- `' - -
CITY OF EAGAN ? *7r?
t, , • 3830 Piloi Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING,pERMIT
To be used for S? ?/GAR Est. Value
Site Address 4385
Lot i Block 1
Parcel No.
W Name SHAWN S
o Address 734 S?I
City EJ1CAN
=o Name SAM
Address
? City
?
W W Name
Address
Q W Clty
I hereby acknowlege that I have
information is correct and agree
Minnesota Statutes and City of Ea
5ignature of Permitee
Phone 687-9543
Phone
read this application and state that the
to comply with all appllcable State of
Receipt #
19u-
OFFICE USE ONLY
ancy R? ?
cu
p FEES
r
? 321
00
(Actual) Const Bidg. Permit .
(Allowable) r ?
Surcharge
17.00
0 ot stories
Plan Review
"0•00
Length
Depth 404 SAC, City 100000
S.F. Total _
SAC,MCWCC a???
S.F. Footprints _
On Site Sewage _ Water Conn 6•00
On Site we11
x Water Meter 95.00
MwCC System Acct. Deposit 30,00
City Water
PRVRequirad _ SlWPartnit 3ooo
BOOSter Pump _ gryy Surcharge • 30
Treatmenl PI 276.00
APPROVALS
Road Unit 370.00
A Building Permit is issued to: $MARON SVLNSdN Planner - Park Ded.
on the express condilion that all work shall be done in accordance with a11 Council --
applicable State of Minnesota Statutes and Ciry of Eagan Ordlnances. gldg. pn. _ CoPies
,I
Building Oflicial _" ` Variance - TOTAL 3,111.50
' Permit No. Permit Holder Date Telsphone #t
WATER
SEWER
PLUMBING
H.VA.C.
ELECTRIC
Inspsction Date Insp. Comments
Footings I
Foundation
Framing Z - !? S
Roofing
Rough Plbg.
Rough Htg.
Isul. Z- 7' 2
Freplace 'L; -'/,?L
Final Htg. Y.)
Orvat Test it
Final Plbg. Plbg. Inspector - Noli(y Plumber
Corst. Meter
EngrJPlan
Bidg. Final ?_ SZ
Dedc Ftg.
Dedc Final
WNI
Pr. Disp.
J
? .0
E . .?
?
(Ser#i#iratt of (Orrupaury
titp of Cagart
arporimrni of suaing jwrrtimt
This Cerlificate issued pursuant tn the requirenients ojSection 306 ojthe Uniform Building
Code cern; fying that at the time of issuance thts structure was in compliance wilh ihe mrious
ordinances ojlhe City riegulaling building conslruction or use. For the fo!lowixg:
un n.wevwn SP DW?GAR elas. rtnw tro. 19896
o-Awar rMC R3/141 zooioe aauicc PD/Rl rya cowt. VN
oW,a ot? S+lF1d90N1 Add„,. 734 S[MEEt PL, EACAA1
.Am,,. 4385 IEi C_POIlM Pfqhty L 1, B 1, IMMUIM F1E 3RD
;
8/lq/q2
?
POST IN A CONSPICUOUS PLACE
Address: 4385 LEXDVGION pOINTE p[&13Lot I Blk I Sec/Sub I,EXINGM ppyNTE gttp
These items wera/were not complete at the time of the final inspection.
ilate: 8/19/92 Yes No ? Tnsppctnr,
Fina1 grade (6" from siding) ?
Permanent steps - garaga ?
Permanent steps - main entry ?
Permanent driveway P'l"
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish ?
Deck
Pleasa varify with the builder tha removai of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ?
x?cmronren
White - City copy Yellow - Residant copy Pink - Contractor copy
CITY OF EAGAN No ? 9896
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt s 2'o f?a7 i
To be used lor SF DWG/GAR Est. Value $74,000 Date NOV 19 , 1991
Site Address 4385 LEXINGTON POIN'rE PKWY
LOt 1 BIOCk 1 SBClSubI.EXTN TON PT . 4RI
Parcel No: '.
w Name SHARON SWENSON
o Address 734 SUMMER Pi.
City EAGAN Phone 687_9593
F Name SAME
?
O Address
? City Phone
?
W w
Name
E? Address
'
a W City Phone
I hereby acknowlege th ave read this appiication and state that the
mtormation is correct n ree to comply with all applicable State of
Minnesota Stalutes an Eagan Ordina
Signature of Parmit
OFFICE USE ONLV
Occupancy R-3 M=1 FEES
Zoning PD R-1
(ACmaq Const V-N Bldg. Permit 593_ fl(1
(Allowable) V-N
M ol Stones
Lengih
Oepth
S.F. Total
S F. FOatpnnfs
On Site Sewage
On Sile Well
MWCC System
ciry water
PRV Peqwwd
Booster Pump
APPROVALS
A Building Permit is issued to: RAARON $LTFNR(1N Planner
on the express wndition thal all work shall be done m accordance wilh all Council
applicable State ol Minnesota Statutes and Cny of Eagan Ordinances. BIdg.On.
Building Oflicial I Vanance
surcnarge 47 _ nn
501 Plan Review 340 _ 00
40 SA0. City 100.00
_ sac,MCwcc 650.00
WaterConn 660.00
WaterMeter 95.00
X
X Acd. Deposit 30.00
S/w Parmil 30.00
- SNJ Surcharge .50
Treatment PI 276.00
Road unii 370.00
- Park Ded.
_ Capies
- TOTAL 3,111.50
REQUEST FOR ELF.CTRICAL INSPECTION EB-00001-08
? See mstmctions foi lorm on beck oi yellow copy 71 Z4
d0 9 9 5 2 'X" Below Work Covered by TMs Request 51a(h3
ew Add ep TypeofBwltling AppliancaSWired EquipmeniWiretl
Home Range Tamporary Service
Duplex Water Heater Electdc Heating
Apt Bwlding Dryer Other-(Specify)
Comm./lndustrial Furnace
Farm Air Conditioner
Other (syebly) ConVactar5 Femerks
Compute Inspechon Fee Below.
fl Other Fee # ServiceEniranceSrze Fee # Cvcuds/Feeders Pee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers A6ove 200 _ Amps Above 100 _ Amps
SIgnS Inspecim5 Use Onty, \ TOTAL
-
IrrigaLOn Booms SJ
d
Special Inspechon r ?
Alarm/Communication TIi15 INSTALLATION MAY BE ORDERE CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elechical Inspector, hereby R°°9n-,n oe?e
certify that the above inspection has
been made. F,nai oate p
OFfICE USE ONLV
This request voie 18 monihs fmm
d 0 9 9 5 ,?'. `` ' ?,?= 3?`?`. ("j//Z??,?
Requesi Date Fire No Rougb-m inspechon
Reqmretl
eetly Now ? WAI Notily In9peaor
Wh
d
,
A
= Yas o y
an
aa
I
li
d
t
t
?
h
b
i
i
f l
l
i
k
t
?
_•
cense
con
rec
or
owner
ere
y req uest
nspect
on o
abov e e
ectr
ca
wor
a
:
G
JoD A40ress (Streel Box or Route No ) City
3P?? /-0>c/ .vi N r rc?v G?
Seclion No Township Name or No Renge No. Counry
01 IPRINTI Phone No
PowerSuppber
p" Atltlress
Elxvwal Gonvado• IGOmpany Name) / /,?p
/Y/ /AC+ /v ( ? Gontractor5 License N?/-o
Maihng Address l nt ctor or Owner Making Ini
;--
Av etl SS^aWr o ctor ner Memng InSfellaLOn) POOne Number
MINNESOTA STATE BOAFD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Grlpgs-Midwly Bltlq. - Room S113 BE ACCEPTED BY THE STATE BOAAD
1821 Universiry Ave., 51 Peol. MN 55104 UNlES$ PROPEfi INSPECTION FEE IS
Phone(612) 642-0800 ENGLOSED
ii ar/y/ /039l??
?
p 2206 • 3"_
? ?,59?
Reavest DaW
Fre No Rougn-in Inspection
Reqwretl?
G Ready Now CLNhM'Nl Insp¢ctor
NovemBe? ZU 1991 i.?s GNO whenReatly+
Iensetl contractor 71 owner hereby request inspection of above elecincal work at
T. Atlaress (SVeet Box or Raute No ? Qry
4385 Lexin torz l oiat P¢Akeo¢ Eagan
Se0ion N. Township Name or No Range No Caunry
Dakota
OCCUpanIIPPINT) PhOne NO
5hazon SWeahoa 687-9593
Power Suppiier lAtldress
I 4300 22
0th St. S
O
v¢kota E2ectrctc u/Azmirz ton, .
.
(?N 55024
Eiec.tnr,al Comranor iCOnpany Name1 Comrectors L¢ense No
(7idLancL Uect2ic 041690
MBilrng AdtlrBSS ICOnVaclOr Or OWn2r Making Instdllation,
7630 945tfz St. U. #214A?PEe V¢LLe u,11N 55924
?AUtlbor2etl S? Wr IGont pl . wn MdPnq Insi611alion, Phona Number
432
6688
-
-
MINNESOTA STATE BOARD 0 flICITY THIS INSPEGTION REOUEST WILL NOT
Griqgs-Mitlwey Bltlg - qoo 473 BE ACCEPTED BY THE STATE 80AR0
1821 Unrverstly Ave, St Paul MN 55104 , UNLESS PPOPEF INSPECTION FEE IS
Phane(612) 642-0000 ENCLOSED
0 y/C?? ? REQUEST FOR ELECTRICAL INSPECTION ?'.-??=??'? EB-00001-08 See msvucYiors tor cempienng ihis (? rm on back ol yellow copy i°-A:
? r
Q (? "X" Below Work Covered by Tbis Request ?? ?.': ? 7173
ew Adtl Rep TypeofBwldmg AppliancesWired
E EquipmentWued
Home Range
E
Temporary Service
Duplex Water Heater Electric Heating
Apt Bwlding Dryer Other (Speclty)
Comm /Industrial rnace
Farm Av Condilloner
Other(suedfy) ConVeaor's Remarks
Campufe Inspection Fee Below.
> Other Fee # Service EnfrenceSize Fee # Circwts/Feetlers Fee
Swimming Pool 0 to 200 AmpS S ?( 0 to WO Amps
Transformers Above 200 _ AmpS A v 100 _ Amps
Slgns Inspecmrs Use Only TOTAL
Irngation 8ooms
Speaal Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Pee COMPLETED WITHIN 18 MONTHS ; ?
I, the Electncal Inspector,,hereby Roui t`?? .
L . .
?LL oate ?
certify that the above inspection has
been made. F,o,? o e
OFFICE OSE BNLV
This requesl void 16 months Irom
REQUEST FOR ELECTRICAL WSPECTION ?o"?' ?-?.pp ee-ooooi-os
? See inslmclinns for compleling iM1is lorm on back oi yellow copy x,y'
??9(s "X" Below Wgrk_CSvered by This Request ?,?;;°'
Ne Ad Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Bwlding Dryer Load Management
Comm./lndustrial Furnace Other (Specify)
Farm Air Conditioner
Other (sOecifY) ConVactoLc Hemarks
?s,n? ?in?sh
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircwtslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Above 100 -Am s
SIgnS Inspector's Use Only.
7QTAL '
Irrigation Booms
Special Ins ection ?
Alarm/Communication THIS INSTALLATION MAY BE RbERED DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN.]8_MONTHS.
I, the Elecincal Inspector, hereby
dif
th
t th
b
i
i
h flough-i )
? Date
ce
y
ove
a
e a
nspect
on
as
6een made. F' ai 7 '??? Date ,.`
OFFICE USE ONLY
This request voitl 18 monihs imm
.si7a?
Reduesl ate
(y C/ Fire No. ough-In Insp Oon Fequrted
V
t call
n
Nr
+rhen read
) In Oiher Tnan ugh-In
?clion R
Ins
r
tl
N
JM1?III Ndd
t
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_
Q ?«? (
i
?
y
OU?
spec pec
y
ow
y
o
ea
Ves Ll No pe?e Read
I? licensed contractor jdowner hereby request inspection of above electrical work at:
Job Atltlress Sireet, e ox rRoute No ) Ciry
? eX • w
Secbon No Township Name or No Range o. Counry
Occupa ? RINT) I
A
- Phone No
?I J
e/1 i ,
Power Supplier AtlOress
Elecmcel Convador (COmpany Name) Contradofs Lcense No
O Yl9
Maihng ress (Contrzctor or Owner Making Inslallabon)
D ae---
Au nzetl 5ignature (COntracrodOwner Makmg Instellalion)
? Phone Number
7- ?t?
6,
fsb
BOARD My I T
Griggs-Midway
I
e
R?
S
B II II I I I I ( I I I II I ?
I I I I I P
R
O
E
T
v
,
P u
MN
%104
782i U Iversity A II I II R INSP C
ON
EE
I
S
UN E
E OP
Phane16141fiC2-0800 A 11 SOS
,4
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatruction Reauiremants
. 3 registered sde surveys showirg sq. k, o( lot, sq. R of house; and all mofed areas
(20%maximum lot coverage allowed)
. 2 coples of plan showing beam & windaw srzes; poured found design, etc )
. 1 set of Eneigy Calculations
. 3 copies of Tree Preservation Plan il lol platted after 711193
. Rim Joist Detail Opifons seledion sheet (61dgs w$h 3 or less units)
DATE 6D_ 1310_
` ?0 U(D
RemodeVReuair ReauiremeMs
. 2 copies of plan
• 1 set of Energy Calculations for heated addNons
. 1 site survey forexterior additions & decks
. Indicate A home served by septic system for additions
=
VALUATION $ 2}DDOD
SITE ADDRESS 4?t5 W(YIO?M ?? 96LCULY-? MULTI-FAMILY BLDG '?)Y z1% &N
TYPE OF WORK W ?0&I0S FIREPLACE(S) _ 0_ 1_ 2
APPLICANT T ll 9.A lpc`
STREET ADDRESS
TELEPHONE
CELL PHONE #
FAX #
PROPERTYOWNER TELEPHONE#llG51' 4???`'
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RLJLES 7672
(4 submission type) • Residential VenElation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations 5ubmitted
Plumbing Contractor: ___
Plumbing system uicludes:
Mechanical Contractor:
Mechanical system includes:
Air Conclitiorung ree:_ $7Q.00
Heat Recovery System
L
i - -
Sewer/Water Contractor: Phone #
------------------------------•-------------------------°-•---------°---------°---=---°-----------°-------^---------
I hereby acknowledge that I have read this application, state that the informatiorvis carrect-,arad agreecto comply
with all applicable State of Minnesota Statutes and City of Eagan (p'?rdinances.
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
No. of Balhs
_ Phone #
Iawn Sprinkler
No. of R.I. Badis
Phone #
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated M02
,,
':?-b -10 ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-881•4675
NawCOneVUCtbn RaauhemeMs
• 3 registered stte surveys showing sq. ft. of bt, sq. tt. of house; arM II roofetl areas
(20% ma)imum bl coverege albwed)
• 2 copies ot plan show6y beam & window slzes; poured found Oesign, elc.)
. 7 set ol Energy Calculetans
• 3 copies of 7ree PreseNatbn Plan il lot platle0 a8er 7M193
• Rim JoiSt Defeil Optbns seledbn shaet (hlUgs wth 3 or less unRS)
DATE Z ? ? o 3?-
r
AULTI-FAMILY BLDG _Y V--W
FIREPLACE(S) _ 0 -0- 2
STREETADDRESS Io29Y7 /(//c:017e?- /J? So?'A cmrOcr^yvrl?4 STATEldivZIPSS ?
TELEPHONE # 70?"G CELL PHONE #??Z-Z`??-06 P-6 FAX # 707
PROPERTYOWNER TELEPHONE#yy?-
e?
---------------------------------------------------°---------------------------------------°-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS aNLY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: ___
Plumbing system includes:
Mechanicai Conhactor.
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditionuig
_ Heat Recovery System
Phone #
Fee: $90.00
? (? ? II L'1 ?
Fee: $70.00
I hereby acknowledge that I have read thls application, stote mat the
with all applicable State of Minnesota Statutes and City of Eagan Ord
Signature of Applicant
comply
oFTIcE usE
_ Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. of M. Baths
) Li a .
RemotleUReosir HeaulremeMs
. 2 wpies ot plan
• 1 set of Energy Calculations lar heated adtlftbns
• lsftesurveyforeMerlaradditions&decks
• Indicate if hane served by septic system for edtlitbns
VALUATION C / S ? . IC)
Certificates of Survey Recefved _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
APPLICANT A" t7 L
_?CIT1G OF-EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT gog°
PERMITTYPE: auiLoINe
Permit Number: 021198
Date Issued: 06 J14/93
SITE ADDRESS:
P.I.N.: 10-45072-010-01
4385 LEX POINTE PKWY
LOT: 1 BLOCK: 1
LEXINGTON POZNTE 3RD
DESCRIPTION:
DOOR/WALLS/UNDERPIN
qu'ildiirg Permit Type SF (MISC.)
Building Work Type ALTERATION
?
, -?
C
J\?\???- (?2?"l ^
1
` ? %•
O
?UFC? ?? ?(7
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Subtotal
VALUATION
$35.00
$.50
$35.50
$1,500
MISC FEES „ $1.50
Total Fee $37.00
CONTRACTOR:
aqlffaRz
4385 LEX
EAGAN
(612)683-5349
cHeis
POINTE PKWY
MN
I hereby acknowledge that I have read this appliaatian and state that the
information is correct and agree to comply with all applicable 9tate of Mn.
Statutes and City of Eagan Or-dinances.
I
APPLICANT/PERMITEE SIGNATURE
I
fiow
ISSU 51 NATU E
REACTIYATE _
PERMIT #
????o??? cinr oF eaca.N
1993 BUILDING PERMI
J U N 0 8 1993 681-4675 OW
APPLICATION
X'5?
d'??
SINGLE ff MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluation of work
Site Address: q3$6' L?X?ny{?rt PKnle Pky
STREET SUITE
ienant Name: (commercial only)
T? BLOCK l susn. 1-4"15 /on ?6rn?G 3rp P.I.D. N
Descri tion of work: COltVP/'?Oon 7b /ocue/- /940e/ &la/kou7'
The applicant is: Ed Owner 0 Contractor ? Other (Describe)
Name irlC !'PS hCz/` Phone 697 9096
Property LAST FIaST Wk 6F3-
Owner Address '13gr GJ5;?ifz'i107 Pa/4k Pk,y.
STREET STE #
CitY 6?vn State /tIA/ Zip
Company Phone
Contra ctor Address License # Exp.
I City State ' Zip-
Company Phone _
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the 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
BUlLDlNG PERMIT TYPE
0 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
F 05 SF Misc.
WORK TYPE
0 31 New
? 32 Addition
O 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
;9 33 Atterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
O 15 Deck
? 35 Tenant Finish
? 36 Move
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public facility
? 21 Miscellaneous
? 37 Uemolish
Const. (Actual) 9asement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy ? 2nd fl. sq. ft. PRY Required
Zonin9 Sq. Ft. total Booster PumP
# af Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ?
Depth On-site sewage SAC Code
_,..-
APPROVALS ?
0
Plannin.g Building Assessments
Engineering Variance
REQUIRED INSPECTIONS EtC740?104 DoaI2l,¢,QE9 u/EU-kis+t,LS?, uNDEaoiN FDN ,
? Site 12? Footing ? Framing 0 Insulatian
? Waliboard $( Final ? Draintile ? Fireplace
Permit Fee D o
Surcharge . qy
Plan Review
License
MWCC 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies AMN, /,,ru
Other
Total:
vaLmc;m: g /SO o -
SAC %
SAC Units
PERMIT ??3 41? ?
y. CITY OF EAGAN 1?1?IG5
3830 Pilot Knob Road PERMIT TYPE: s u L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 5 0 4 0
(612) 681-4675 Date Issued: 01 / 17 / 9 5
SITE ADDRESS:
4385 LEX POINTE PKWY
LOT: 1 BLOCK: 1
LEXINGTON POINTE 3RD
P.I.N.s 10-45072-010-01
DESCRIPTION:
; •__
B,uilding..Permit 7ype
Bu9.lding Work Type
i
i ?..
.??,?,?+`L % /- ?"".. r
?
BA5EMENT FINISH
ALTERATION
?r`?C\
REMARKS:
A SEPARA7E PERMIT IS REQUIREb FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - Applicant -
BTRKHOLZ CHRTS
4385 LEXINGTON PTE PKWY
EAGAN MN
(612)683-5349
I hereby acknowledge that I have read this application and state that the
in'formation is correct and agree to comply with all applicable State of Mn.
Statutes and City ofi Eagan prdinances.
L I?
APPLICANT/PERMITEE SIGNATURE ISSUED BV: SIG URE
?
CITY OF EAGAN
3830 PILOT KNOB RD - 55722
1995 BUILDING PERMITAPPLICATION (RESIDENTIAL)
681-4675
New ConsWction Reauiremenfs RemodeVReoair Reauiremenfs
? 3 registered site surveys ? 2 capies W Plan
? 2 copies of plans (inGude beam & windaw sizes; poured fid. deaign; etc.) ? 2 site surveys (exterior adddions 8 decks)
? 1 energy plculations ? 7 energy calailations for heated additions
? 7 tree preservation plan if bt platted after 711l93
required: _ Yes _ No
DATE: 94 CONSTRUCTION COST:
DESCRIPTION OF WORK: Sc wl C r)-}- ? n5 I'1
STREET ADDRESS: ???mfiA Pk(,I,),V
LOT BLOCK ? SUBDJP.I.D. #:
I
? PROPERTY ' Na1712:&4ACrF-i Phonef#: 6?3
OWNER '""
Street Address, sa"""''e
City: State: Zip:
CONTRACTOR Company: S qYy1 e- Phone #:
Street Address: License #:
City:
ARCHITECT/ Company: Phone #-
ENGINEER
Name: Registration #Street Address•
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
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.
7, Signature of Applicant: '
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes
Tree Preservation Plan Received Yes
_ No 'L f
No ---------------
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging Q< 16
? 02 SF Dwelling o 07 4-plex ? 12 Multi (Misc.) ? 17
? 03 SF Addition o OS &plex ? 13 Garage/Accessory ? 20
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21
0 05 SF Misc. ? 10 Mufti (additional) ? 15 Deck
WORK TYPE
? 31 New 6Q? 33 Alterations o 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft,
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
?
' » ...,,_ lont;•,..o.,
Basement Finish
Swim Pool
Public Facility
Miscellaneous
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
y3y
oi
0
Permit Fee
5urcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
?
Valuation: $ ? Sao ?
% SAC
SAC Units
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
4385 LEX POINTE PKWY
LOT: 1 BLOCK: 1
LEXINGTON POINTE 3RD
P.I.N.: 10-45072-010-01
DESCRIPTION:
.
Building
'Building
PERMIT CR 1`103
PERMIT TYPE:
PermitNumber: BUILDING
023885
Date Issued: g 6 J 14 / 9 4
Permit Type DECK
Work Type NEW
=?? • " :; ?
it
"4
;i.
?
?
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
BIRKHOLZ CHRIS
4985 LEXINGTON PTE PKWY
EAGAN MN 55123
(612)683-5349
I
I hereby acknowledge that I have read this application and state that the
inPormation is correct and agree ta comply with all applicable State ofi Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PEPMITEE SIGNATURE
?
ISS ED BY A7URE
-i
- •,
1'5
CITY OF EAGAN
1994 BUILDING PERMIT APPUCATION 130ZO
681-4675
..?,._ C!I,(?rr? ?,-j?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, co y of energy
calcs. J{%?'+ 0 9 1994
COMMERCIAL 2 sets of architectural & str ctural_R1dfLs?_1 se of
specifications, 1 copy of energy . -
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 4?; / _9 / 9ZI Valuation of work
Site Address: ?3gJr G8X!n07?rir' Poin4e. pky
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK ? SUBn.4Eki17g21Vl 7<(' P.I.D. #
Descri tion of work:
The applicant is: E7 Owner ? Contractor ? Other (Describe)
Name 8i1-kh01e , ?'Lj?is?oPhE'r- Phone 687-90?6
Property LAST FIRST w4' 6$3'573$1g
Owner qddress 113g5' Cex!???h Pai4e
STREET STE #
City Eaqah State z;P s?/a3
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
5ewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Ea9an Ordinances.
Signature of Applicant: ?
auc-:c-32 rNU in:ne YRC-L3tlD
7`R'i oLAND
E4OAN,
P.02
5124E29e94 m-oi
0. JG. tPast4lr- +axufln stnittelmomo707t ?a?p:p.., '
S F'l ' a ? vV. les-a
TION; LOT?-L ?BLQCk-L, LES(lNG1Ou PGNYE 3Rfl
ACCOFt01N0 70 TNE REWRDEO PLAT
TFIEREtlF hAJ(pTA COUN7Y,MlNNESOTp
-,L,f-Xlhia"rOPi S3OIIVTE
Sta;a= !"-30'
i?
?
P OENOtE?
a OENOY?B
473. 'EwoTg9
() pENOTE8
,r DEVOTES
tna1
E nwobo.n?tr,
r?DRr! xw p?spqre0
dueN xuparv;44n oA
Rtulctered Land Sw
Lg.n vtth¦ 5tofg a}
/^ • V nd
A,
r?
/
/ `b ys ?
i
^ a
N
,•
"
? '? W
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ti. /
? `• ??
S r
i\.
• 1Z' kl
? 1?
,? ? u `
+ /
•\ ? /
'7?j. 00
LOT f.
ihvERr e?noN a'r s?vIcE Exr?on.
MT
? PRO?OSED GAPIACE KLOOR ELlVATtON•
T ?
PROPOSEC FIRS7 FI.OOR E4EYpT10N •
??PQT PNOP08E0lAiEMtNT FLOOR •
ELEVATIOM
SPOT
?
p111RCTtON
N6TE: YlRIFY ALL FtpON blLtsMT9 WITH
.r ° RiMAL MOIBE PLAMS
IWXW071 W
or undv my
am a Ouiy prmHy J. ' wn, Mn. R@p Na. t6233
YIWeI }IN
YA4 D01? ? -'fc1jri A)
, 1991 BIII ?PLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
li[TLTIPLE DWELLINGS
. ;
COMMERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1,SET DF ENERGY CALCS
OF RENTAL UNITS
# OF FOR SALE UAIITS
PENAI.TY APPLIES NNEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHAIVGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
YERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ff5,do1C'c- Valuation: ?_ Date: 11- F/-qI
Site Address
tAt L siock _L
Parcel/Sub L.Pk?Y?j'?h YOI? ?/11Y?Of
Owner ??h _?111P.1'1CCl?"?
Address
City/Zip Code Ca6rk y1
Phone 94.3
Contractor l$'Q,J')')e
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE IISE ONLY
Q 1
FEES
Occupancy R-3 M-I Bldg. Permit 523, OC
Zonfng PD R_i Surcharge 37,Do
Actual Const V-N Plan Review ?yO,D?
Allowable V-N SAC, City 040
O
D
se of stories SAC, MWCC 650'0
Length O? Water Conn, bbO.ob
Depth ? Water Meter 5.00
S.F. Total Acct. Deposit 30.00
Footprint S.F. S/w Permit 30,00
S/W Surcharge ,Sb
On site sewage_ Treatment P1. .'276,00
On site well Road Unit 31D,oD
MWCC System ? Park Ded.
City water V" Trail Ded.
PRV Copies
Booster Pump _
SIIBTOTAL
APPROVAIS Penalty
Planner I.ot Change
Council TOTAL 3 1I ?.? 1L
Bldg. Off.
Variance
?
Sew r. ater Licensed Contx. 1-6n V\fSS?CxY-? PkaLi'VNbs 116
agrees that all woTk ahall be done in accordance with
? (Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
.., . ?
V,4LUATION
1
GAQA GE
o-Zo X22= L/y0 X 15= ?600
,
RSM T,
s
?26x3o= `78a
z xq= (IS)
! 3X 14? 2- 311
9 q? x l?= 189yy
I sr FLnogt.
3sofT: C?q?
1xiO c,
Idolo Xs3 = 5331$
.
? 3? sb Z on 1 y, o?? `
TRI-LAND C0.
SURVEYING
SERVICES
EAGAN, MINNESOTA
Scale= I"=30'
SITE PLAN FOR:
.
SHARON K. HOMES
DESCRIP710N; LOT --L,BLOCK I, LEXINGTON POINTE 3RD
ACCORDING 70 THE RECORDED PLAT
THEREOF DAK07A COUNTY,MINNESOTA
976.1
^I?
.??
LEGEND ' j
o DENOTES IRON MONNDAENT
o DENOTES W000 FIUB SE?T
973, ^ENOTES EXISTING SPOT
ELEVATION
(. ) DENOTES PROPOSED SPOT
ELEVATION
? OENOTES DRAINAGE DIRECTION
{ ' i ..
1 hersEy certify that thia swvey,plan or
rsporf was preparad by me or under my
direct supervision and that 1 am a duly
Reqisfered Land Surveyor under fhe
Laws of fhe State of Minnesofa
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HQUSE PLANS
8radlay J. $AilM(son, Mn. Req. No.15235
Datt - IrffC,? /k i
? v
h
?
?a i L^-r " cqe.
„o r
ToN
;". DRI VE1.HY
\
2
\?1 j n
/ T/I \
iN:7 i OAN
M
L? ? ?d
\
\
\
Q
/
.............
\
A
R
?k?qr
\
? /.?
?W
F10Ihi I E
sp`? p0
60
.
I'?! %
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION =
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR = 974_00
ELEVATION
LEGAL
r, .
-- ? BASED ON CNAP7EROFVTNEV?nV"J ItT VV
• . HODEL ENERCY CODE - IqBj EOITION Adopt on EFFect ve 1/84
Owner
Slte Address
I= 1c1=?__
?bate:-
yMs"
Contractor_ ?Aryp v Phone
8uliding ClassiFicatlon: Type AI (Single iamlly 6 Duplex)'_Type A2(Residentlal)
NOTE; C?m lete I (3 storles or ess '
P pages j and 4 Flrst. •
• . (Other) (Over 3 stvrles)
GENERAL INFORNIITION
N 10
1. eul lding Perlmetet??/{` ;,e?,? ft.
2. Wal) helglit (ground to eave) u ft. •
3. I. x 2. 2•
(above) gross wall area W Z?IU ft. • '
4. Bullding dlmenslons (L) --^ X(W) • t.? tooF 6 floor area
_: ,... .. .---
_ .,.__ _ ._......_...._..
. Square Foot area oF rlm Jolst - Floor Joist slze (2 x 1/U )
. ?a X Perlmeter - Rlm o st area Ft2
T I? .
6. Doors - AFea ? 1, 0
tliickness • tn. U Factor f
Type oF Construct on Verlmeter
HanuFacturer .
. ? .
7• Total door's perimeter ft. . ,8. Wlndows: Hanufacturer I/A(,.[ , 0)fam-rls? State approved
U (actor
TYPE 512E AREA (Ft.2) NUHBER OF TOTAL FEE1 2
1.{ EACH ' UNITS _
9. Total ft.2 Class
10. f.ireplace area; Width X helght - X . . pt. 2
11. Exvosed fbundatlon: Helght % Perlmeter_1(0 X Fl.Z
COHPLETION OF T1115 FORH IS REQOIREO FOR ALL NE17 cpFI?TRUCT(pN-9-ArTJOR ItEMODELIHO TFD BGIL'DTHGS BEIN(
i 40VED 41HERE ENERGY, 01HER TNAN TNE HINIHAI CODE ALLOWANCE, IS USEU.
12.4ramin9 area - 10% of-gross wall area.
13. - Gross wal l area ?'z1;? I lIJ ft.2
Nlndow area A ft.2 U alndows ? . 7jCDU x A?
R1m Jo1st area A 1 7i ft.2 U rim jo1st ¦I u4-1 U x A(o •
Door area nft.2 U door area ¦ U x A¦ 60,8C.0
Z
-P O13cb area A ft.
U?irr¢?lace =. 7 U x
A= ?
: Exposed foundat?on A ft.2 U foundatlon ?-•?? U x A-
Framing area A ?(7 (oq Lft.2 ' U framing area ?4Z_7 U x A¦.??
Net wall area A 45(0 1 60 ft. U wall n_ U x
, A-
(13B) .TOTAL . . . . . . . . . , U x ¦
? .
14. Gross wall area 1 0.11 {A-) single famlly 8 duptex ? allowable U x A/Code`
(13. above) - ---
x 0.23 A-2 other resldential)
x .23 Other buildings) •
x .28 ( Over 3 stoi•1es) .
A Z? (L x U Cod ? 1
g.._ 1
BTUII
138tebovearger thar
15. Ce111ng framing area (Af) equals 10% oF ce111nq area •C, or the' same as) .
,
2
15A. Gross celling area • (L) ? x (41) ?' ¦ pOC ft.
o
-
158 Joist areA (Af) - lOX ce111ng area u /Op ft.2
15C. Net ce111ng area (Ac) (15A - 158) • •/. ? ft.2
U ceil ing x A c- •OTi7? x 9qu7 ¦' ? I g7p U framing x A f= • OTiZ7 x ?tJG7
150. TO1AL'U x A.........................
............... Z Z? ? '-
16. Ceiling area (15A) x 0.026 (R-1 single famlly 5 duplex - code allowable U x A
x 0.033 (4-2 other residentlal)•
• • ?
x 0.06 (other)
• ?p??p BaUll Must be larger than •15D (above)
A(15A) x U Icodel= O.Dijto F (or the same as)
NOTE: Use U and A values obtained from pages 1,-3 and 4.''
CERTIfICATIOM: ( hereby certlfy. that I have calculated the "U" Faetors and "R" values'
ere n and that the bulldlng here descrlbed meets or exeeeds the State of Minnesota
Energy Conservation Act. ?
Date -
S gnature
2.
r57,0 7,s4n (,131 -1?1} I
zoZ?,?
I ao u f'txsro)
? CCZX`?' = 7 z-4S'X2-
=
c?:.) v,7sXz = 1'71 5
i ?? 3X?"= ?FI??jC? = ?}I?Z?'
ZX3= 1115x Z, = 35,0
??= ?,?c 3= Z(o? z5'X 1.01 7-S"
?I 1u61 o
_n- Pp
3` t-17_, w/ ???_ = Z?f??ra
f3 4`1,O
2 r ':-,( t-? ?A?F-t 02.1 = Z ? i U
l01
?.
?
,
t
illSLL •
SECIIoII
,. .
SiUU
sccuon '
ZIn uALL •
stcilvn :
Rlll
Jol9t
_ •
..
? lneerlor alr [Llm Ily
? l!! lncli, #o[t•++uud 11•1;88 (Rlm ? ? ? ?
. 91?aathing ' x 0(&
.
? txtetlor rall eavertng fo'T
1 •O?-' ?
_ E:etarlor ale [llm R+_?? ' • '
r
. ' R totAl. 'J?? ?{o . ' • .
,•
. , .. . •;
? [neailar alt [llm Ro
? .'
_ ra?na?etd? I.zB ' .
_ Extattor alr illm n• , ' ?Fdn.) ?•? ?' w .
. .. . . R torAL_ '?' (3 '• ' , ? ??`?.
?t:cpo?ad 8luek • ??? •
. ' .
. •• • .
-' Y ?AWC
[nelda Alr tllro .68 Ldtetloc rikll 0
• 1j; . (Nalll •U
lnoulallon , • (?,?
Slieatl?ing . Z,p(D .O?_,?
3tding
Outltda alt tlLm
,. .
.. ' K toraL Z3,a3 ..
. ,
lna lde- slt Itla .68
Lntatlar vall 6.?.?t' . w •tua (V9 n, ,c,.sa, ?
/.50(fcamin?)U. ?. .
Sl?a?ehing ?A%,
Sldlns ? ' (or _ ' .Q9s'
Qut?lde atr tllrr..ll "+, -
. , , . ' , •
, , . t toteL lb,q .
. In2ld '. • . .
4 aLr Lllm Ra .68
tnearlac «.ll :
? IneutAtelnn . ' .(Nall ?U ¦ ? .
Shia?liFn `
_?? fatl?tlat Ye?t p tlna
Extmrlor alr Illm R.,l . ? .
a totAL ?
, ? . .
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CEILIiIn '.11i11 4EIIIYaATTIC SPACE Ap04E
`-P1ACOE 111RUE
FMfilll6 CEILIIIR
O.fil* Air Fllm 0.61
, 36rbb Insulattan
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Cellln9 ?tio
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A1r Fllm 0.81
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FLAT ?q7elue c i???gnAl. C L111a
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• ?•_ 61 , Inslde alr film 0.61 - --
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IlndoH inHltretlon ,5 cfmlllneal foa! af crack ? ?--
--_? :::._.. tesidentlal door Infiltratlon 0.5 cfm/square Ioot vr door enJ mtnlmum code•requlrement.?1--•- ?
lan-resldential doar Inflltrallon 11,0 ;fm/lineal faot af creck ,
1b 12" cancrete block no Insulatian ¦:47•R 1.1 . ?
!b 12" cancrete 61ock lnsulated cares '¦ .26 R 9.8 ' 15 12" llglitwelalit block '¦ .]Z R3.1
1b 12" 1lgliti+elglit black lnsulalsd eores ¦.12 p 8.3
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1 single glass ¦ 1,!3; Hith storm mlndaw5A ) dauble glass • :55 • • • .' . .
1 trlple glass • .41
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• , . • ; .
411 exterior walls and.cellinys must have a vapar barrler (O.ID parm m?x.). , • :apor barrler must be on tha Insfde (licated slda) af rrnll. • .'
rapor barrlers oF tlie polyethelenfl thln Film have na R relue, ' •' ?
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• __ CITY OF EAGAN
r? 3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
#ECwCA7:: `""
FOR CITY USE ONLY
YERMIT #
RECEIPT
DATE: ?
?tES1DE?1Tx;qI:F PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS &
.. .. .. .. ...: ..
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-----------------------
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
OWNER NAME:
SUBTOTAL:
SITE ADDRESS: U)?-'STATE SURCHARGE:
d
IAT:? BLOCK ? SUBD. TOTAL:
$15.00
24.00
6.00
? - 3.00
$ 0 I -DO
.50
L
INSTALLER:
iLC-?
ADDRESS :?. C? .,?? c O CI- J-? C`- ? TG ATURE ?tOF PERMITTEE
CITY: LG. J?J ZIP: ?.?
PHONE #: ?__o
CAh@iERC2AT.JZVpUST%TAL',, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH•DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
[R^v^.u.°i.°iP.i PIPI2:C = y25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
( S IGNAIITRE )
, CITY OF EAGAN
? 3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # /O
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
----------------------
WORK DESCRIPTION
/
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: SeL? S t
SITE ADDRESS: D I?
zcT:B*.oc:: ? s•,an.?L.
INSTALLER:
- --- . _, .. ---
121 REDWOOD DRIVE
ADDRESS : e,,oo1t5 e A.l_4_E*...?T24
CITY:
--------------------------°---
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLASET 3.00 .3 --
BATH TUB 3.00 3 ?
LAVATORY 3.00 ?
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00 3 -
HOT TUB/SPA 3.00
? WATER HEATER 3.00
? ?L^OR DRPIN 3.00 ?3 -
GAS PIPING OUT.
? (MINIMUM - 1) 3.00
? ROUGH OPENINGS 1.50 ?
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE b ! 0 >
J ? ?
SUBTOTAL $
ST. SURCHARGE .50
..
SIGNAT RE OF PERMITTEE 7
TOTAL: $ 3+?. elo
?03•4fEAGZAFi,iP1TfCISTRIAL;, PLEASE COMPLETE THZS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
.. .. .....?. .,.....
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OGNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
1s; OF CQNTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
L-L BL / CITY USE ONLY RECEIPT #:
SUBD. ? DATE:
7996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH tLQ TOTAL
Shower 3.00 x =
Water Cioset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler " home under wnst.
" 3.00 -
Alterations
to existin9 20.00
Water Turn Around 20.00
STATE SURCHARGE
TOTAL .50
s9
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: JL?e
CITY: a,l, STATE: 1"'ti?I ZIP:
PHONE #: ( ?\L ) 667 "'%? P ERMITT-EE
Y5o7 z
L ? B ? CtTY USE ONLY
SUBD. ?
RECEIPT#:
RECEIPTDATE:
PERMIT #
1999 PLUM$IRG1 PEftMIT (F.E.SIDENTIAL)
crrY oF EAraatH
3830 Paor [cxoa sn
EAfiRN, MN 55122
(651) 6$1-467$
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
: backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.UU x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $ , po
Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/repair 30.00 x = $
--
Rou h o enin ------
1.50
x
= ---
$
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x l = $
Water softener if dwellin under consVuction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ 50
Total --> --> ----> ----> $ SO-50
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------------------------------------•-••-----------------------------------••---------------------•-----------------------------
I here6y acknowledge that f have read this application, state that the informa6on is cortect, and agree to comply with all applicable City of Eagan ordinances.
It is lhe appficanCS responsibildy to notify the property owner Nat the City of Eagan assumes no liabihty for any damages caused by the Qty durmg ds
normal ope2tional and maintenance activities to the facilities constructed under this permit within City propeny/right-of-way/easement.
SITE ADDRESS: &4?365 l_,e_Kinr+rsn Yoint "FarktjY-q
OWNER NAME: : Rohe.rt 4-l-u aq TELEPHONE #: ((051) L15?1- o88a
-?T (AREA CODE)
INSTALLERNAME: Tims Qt.lCdi+?j ?tumL?tr? TELEPHONE#: c(aia) 888-CoB6-7
(AREA CODE)
STREETADDRESS: Y,6• $61C a`ZRG?
CITY: 055e.6 STATE: Mtq ZIP: 553C2G7
SIGNATURE OF PERMITTEE