845 Great Oaks Tr' Ct-T4 OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
0 11 :t r41 f ii s 4 <;
PERMIT SUBTYPE:
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
1.'t 1?1'?
0 4
INSPECTION .. . ..
INSPECTION
I ror? .. 1.
f AI f.1At.', 1U
?? ?
Permit No. Permft Holdar Date Telephone •
S/W
PLUMBING
HVAC /? j 'J DO
ELECTRIC
ELECTRIC
Mspectfon Date Insp. CommMts
Footings I
Foundatlai S/
Framir?g ? ?.
Roofing
Rough Plbg. 6- ?
Rough Htg.
la,l. 44ih3 1?/ 1? ??.?.•? '
Fimpla°a 61, ,?19.?
Fnal Htg.
o?sac Tesc J-?- S 3 ?-S P ecQ. ' ? Al
Fnal Plbg. Plbg- lrqpector - NWiiy Plumber
CofisL Meter
Engr./Plan
Bidg_ Final p? 7?p?
Deck Ftg.
Deck Fnal
weli
Pr. oisp.
Address RLS f.RRAT nAKS nn Zip 5512 3
Lot ., 26 Blk I Sub GREAr oAKs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON.
Date: 91,10 91J!-- Yes No Inspector: .
Final grade (6" from siding) v
Permanent steps (garage)
Permanent steps (main entry)
Permanent dtiveway ?
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage L"l
Porch
Basement finish ?
Deck
Please verify wit6 the builder the removal of roof test caps from the plumbing system and lhe shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Ycllow - Resident Copy Pink - Contractor Copy
d ??6?3 9
REQUEST FOR ELECTRICAL INSPECTION
Po Sea insVUCiwns lar complenng this brm On back ol yellow wpy
"X" Be/ow Work Covered by This Request
?EB-00001 .08
'?' ? .?"? 9a2/lv
??
.?
ew Atld Rep ? TypeofBmlding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwldmg Dryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Condrtioner
O:M1er (syeury) Comracmr's Remarks
Compute Inspechon Fee Below
# Other Fee k ServiceEntranceSrze Fee # Circuits/Feeders Fee
? Swimming Pool 0 to 204 Amps 0 to 700 Amps
Transbrme?s Above 200 _ Amps AOove 100 _ Amps
SignS Inspeclor's Use Onty
-1
TOTAL ?
IrngafionBooms .
Specialinspection ??
Aiarm/Communicavon THIS INSTALLATION MAY BE O DIS NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO r
I, the Electncal Inspector, hereby AO°9n'e
certify that the above inspection has
been made F,n, oa?e
• /T-
OFFICE USE aNLV
This requestvoitl 18 montns Irom
9c??1lv
9
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6
99
?`aa
-- a.6?. ?
?
ReQUesl Oale
/r F e No Rough-in InspecLOn
Reqmretl9
? Aeetly Now * Will Notify Inspector
/?
1
- Ves `: No
Wnen Peady?
IIhcensed contractor El owner hereby requesi inspection of above electrical work at:
Job Atltlrass (Sheel, BoK or Route No I Gly
Sec[ion Na Tawnsnip Name or No Range No Counry
Occupant(P INT) / Phone No,
?l ?!
7
,
J
Power SuODlier Atltlress /
Elettrwal nvacmr?GOnOany Name)
k Contracmr'sLmense No
Ieloo
ule
Ma fivg ?Ac?are`ss" (COnhactor ar Owner Maxmg Inslallauon) , y,'
/)-/GJv Gt?
Awnonzetl Siqnaw e iConlramor,Owner MaNinq Inslall tror.? Phone Numb7ar/
MINNESOTA STATE 90A OF ELECTPICITV TMIS INSPECTION REDUEST WILL NOT
GrlggaMitlway eltlg oom 5413 BE nCCEPiEO 0Y THE STATE BOARD
1821 Umveraity Ave. SL Peul. MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone(61Y)66Y-O800 ENCLOSED
?2(a-_ 1- ?ve„fi=baks
HEATING TEST SUMMARY
ADDRESS
OCCUPANT
DATE HEATING INSTALLED
TYPE OF HEATING. , GA._ FA_
SERIAL `) n /? L?
THERMOSTAT
GAS VALVE a1z;4, k
FAN SETTING Y-ed ON
IGNITION MAKE Ze-A-,x-?x- a
GAS PRESS. or" PE CENT
CFH INPUT1-50 STACK TEMP
FILTER SIZE CHIMNEY L
CHIMNEY CONSTRUCTION?-?
WIRING ?T TEST TAG INST
DATE TESTED ? 27-`3
NAME OF TESTER
CITY, SUBURB OR TWP5 ? s¢ti
OWNER l'er?cy
INSTALLED BY
HWSTEAM UNIT HTR._
MODEL_-
INPUT
HEAT ANTICAPATOR ETTING p 7
LIMIT SETTING
PILOT TYPE
-MODEL TIMING _Z`S?c.
02 CO C?
SIZE DRAFT
. OUT.
LIGHTING INST.
Y
;
C02?_
? r{O VENT
OCATION IN
? CITY OF E,4GAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
p p! , 0 1 69S60 - 1 6 41- 0 1
DESCRIPTION:
PERMIT
PERMIT TYPE
Permit Number:
Datelssued:
ini Li t_o?i;e L
Qfl?IL? i n?_P-, rrn.ii ivp^ SF I7LJ;
r?su ;Qn,r'
U^i' t3 c c ,? r; ??y`'?,
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I l9
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0400
f5 FJ -
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REMARKS:
FEE SUMMARY:
t
CONTRACTOR: OWNER:
N'/ i -1:1r' , .
?i '? ii•i,' i Il ? ? IJullliil ?I ( I;::
T i7?eby erNni)wtecigr: 1:h.iC :1' 17e.,n r^,+,i `:his ,4 rapr„at ib'i o 11 k1 r,`.?t?•
,i . , ?. V i S.?' ?. i ??• 1 .: i. , . ,, , . •? ii??
ty oF '"?Jan u.^c', •.,? ?ic?i »,
? / -? -
?
APP ICANT/PERMITEE S NA7URE ISSUED Y/SIGNA iE -
CIT?OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
PERMIT SUBTYPE:
, r,-;t
?
?
APPLICANT:
11; <,i:,
TYPE OF WORK:
. •
REACTIVATE _ I_C ?Q??? CITY OF EAGAN `? j?? tfa 7, 7j/
PERMIT # 1993 BUILDING PERMIT APPLICATION
A?R tb 1993 681-4675
NGL MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i 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 4 / ?? / 93 Valaation of work AO? Z/o 3-70
-Site Address: 8415-
STREET SUITE
Tenant Name: (commercial only)
IAT ? BIACK / SIIBD. G?Etr OAr-S P.I.D. k
Descri tion of work: 5.i-c- I / Me"`'aA"`s I
The applicant is: ? Owner ?f Contractor ? Other (oecorine)
Name ScHEQBMt-TT? -5-7-2E: rE Phone 4SZ- 9ss7
Property LAST ?,RST
Owner Address 9 s z ?./A-.?.FO?-D De E
STREET STE Y
City State .c4Zip SS/23
Company Cc?oa 6a. Phone -73/-3r5-3
Contractor Address 1,902 tJoaDOA-t-E PAe. License # ooos?4s Exp. 331
City k/mopa?ey State MN. Zip s51zs
Company Phone
Architect/
Engineer Name Registration 1f
Address
City State Zip
Sewer & water licensed plumber 1':e P?11w•eIAJU . 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: 1121 W /?,.,?
?
OFFICE, USE ONLY
BUILDING PERMIT TYPE I
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
R 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
O 05 SF Misc. 0 10 Multi. Add'1. ? 15 Deck
WORK TYPE
19 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) V-N Basement sq. ft. MWCC System -(gS
(Allowable) V-N
_
_
_ lst F1. sq. ft. City Water ?
UBC Occupancy A I
R
-Ft
- 2nd F1. sq. ft. PRV Required
Zoning PD R-I Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length _7fz_)? On-site well Census Code
Depth SG, On-site sewage SAC Code oi
6
APPROVALS 441;"4
(::rN?j 6t;d k+4N41 =-
?
Planning Building Assessments
Engineering Yariance
REGIUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
0 Framing
? Draintile
? Insulation
0 Fireplace
Permit Fee v.imc;«,: g 2?2? Uo0°'
Surcharge
Plan Review
3Z k 22= ?Or.
t ?2x 3B ? 12l L
zn 2kI = 4%
License
MWCC SAC ? 2,c l? s 32
Zo
Ib
City SAC k
32.v
Water Conn. GBo ?C(? p'??p
'9SrWTv
!
Water Meter
Acct. Deposit •
98 X 3Z : 1536 Z X???,
12)
S/W Permit ZyX2 : ? ,
y?8'/z - 3U
S/W Surcharge
Treatment Pl. t43
z,gY
?b
f 8 K? 2r
Road Unit
Park Oed. g?lZ?4!
I ; :3?y ?. •
r =
•- (?S'K?S4'= .
Trails Ded.
Copies ?
38 K IS- ?7 7???3?y,••
Other Ssrm? 193f3
Total : ZA 7 14
?
14
J4r2? ZO ?3?`I
G
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? ,
X .
1
SAC Units ? wXyy'2`???
iNPR-16-'93 FRI 14:32 ID:JRMES R HILL INC TEL N0:612 990-6244 #071 P01
SURVE.YOR'S CERTIFICATE
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82.00 S 89°52` 56"W
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L DRAINAGE 9 l/TILl7Y?? ?
-?If ?EASEMENT PER PLQT ?
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CHARLES CUDD CO.
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)ames R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044
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" RPR-16-'93 FRI 14:30 ID:JRMES R HILL INC TEL 1,10:612 890-6244 9070 P01
SURVEYOR'S CERTIFiCATE
N07E: BULDING DIMETLSIONS SHOWN ARE FOR HORIZONTAL
9 VERTICAL LOCATON OF 5T(SlJC7VRE OW.T. 9EE
AR61fTERUAI MNS FDR BUILpN(i 9 FOl1HWAT10N
DIIiEN5UN5.
VOTE: NO SPECFIC SOILS INVESTGATION HAS BEEN COAIR.ETED
ON THIS lDT BY TME SIMVEYqi. T!£ $UfTA01lRY OF
SOILS M SUPfVi+T THE SrECIPIC 1pU9E PqDrplED IS
NOT THE RESP'ONSIBILITY OF THE SURVEYOR.
CHARLES CUDD CO.
OENOTES PqOPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEEf
• OENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 49 93_3 FEET
X000.0 DENOTES FJCISTING ELEVATION PROPOSEO LOWEST FLOOR - g85.b FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - g 9 4.¢ FEET
WE HEREBY CERTIFY TO CHARLES CU00 CO. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 26, Bloc k I, GREAT OAKS, accordinq to the recortled plat ihereof,
Dakoto Cou`»y, Minnesoto.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS. EXCEPT AS SHOWN. AS
SURVEVED BY ME OR UNDER MY DIRECT SUPERVISION THIS 16T7-i DAY OF APRIL . 1993.
PaovoSEO oaaoES Sr+OwN wEnE TAKEN SIGN : J R. HILL, INC.
FRpM THE ORADINO 0 D!V[LO?MENT ?i
PLAH PIOVIDED SY BRW , INC,
BY:
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 79828
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James R. Nill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY RO. 42 - BURNSVILLE. MN. 55337 • 612-890-8044
LOT S4AaL7 CnC=Lt/T !CA SXiSDZII'!'M
aIIZLDIII 92302T a!'LSC'&'lib .
?]tOPLATY .enXr.=
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nas• et snrs•r:
?4l?RNT fT t++'+A4ne
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Reqistered LnQ furveyor aiqnaturis an0 empany
a
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ldinq Permit Applicant
L IAgel deuriptioa
D 8?C • Addrasc
V 0
8'O D
D •
• ttorth azrow and bar scai• •
8
ouse typo (ramDiar, walkout, spiit v/o, split sr,try.
9?D
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0
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• IookouL, etc.) '
Direetionai drainaqe arrovs vitb stope/qraQisnt •.
D
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• Propoasd/sxistinq sever and wier sarviess
, Stseet aame
9? D D • Drivevsy
tLrvxTi eNs
? ZYifLinc
fl Lt O • iever serviee
? Lot corners
P D • Top of eurb at Lhe driveway
13 D • Elevations of aay existiaq adjacent Aomes
?reno,se
S D 0 • Garaqe iloor
?D D • Fizst iloor
0 • Lovest exposed •levation (valkout/vindov)
D • Pzoperty eorr,ers
D" D D • Front and zear ot home at the ioundation
D 6??
• PCa-nzxc hRIkB rit Spniieani.i
Fasement liae
a eir' °a
? ; N`,L ,
HS+L
D D
? p • 8ond # desiqnation
D? D • 1'merQeney Ovsrtlov ZlevaLien. ,
9?D
8? D
D
• ?ir.?xsioxa •
Lot linss .
- D • Riqht-oi•vay aaE street vidth (to bsek et CurD)
? a 0 • Pzoposed bome dimeasions inciudinq any proposs0 d*cks,
overhanqs preetez tAaa =1, porchss, eLc. (i.e. all
? structures requirinq permsnent lootinqs)
D
0 0 • Shou e11 easements oi soeord and any City vtilitits vithir,
? D those •nsements
p • Setbacks of proposea strueturo arid setbaok of aGjaeent
D existing Aomes •
'
Retain
vall izemeats, ii aay
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RlV ieved: C_
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ENERGY CONSERYATION EVALUATION
Site Address 846- GP-e+n+ O<cr Ta,c.
Gwner S+?/E +- Ck+2a? S,? ?ca,ersi Contractor C,.t,.r.z?es Cc?DD ?o,
Calculations done ny JEyF f??LGEr.?.w.? Phene 73/-3iS3 Date 4114,,193
Type 0 buiiii
Arez C41
Assem6lv. (Show calculations on Horkshee*s ) I (SqFt) I U-Value U x A
(907. or Total Ceilina rea, ess :y ignt
Insulated Area: Area, See Fia. 1) I 1629 I . oi9 I 50,9
I
F2mina Area:(10% of Total Ceilina Area, See Fia. 2) . oZy ,O
o Skvliahts: (From Paae 7) --
C
\
° Othec (Destrihe) - - -
v ll Totais g/o I ?T 34-1
9
2 Averaoe U-Value, (UxA)/(A) 6om Line 1 I°°'?•'-"` I . a/ ''?xd"
3I Required U-Value (For one and twa family dwellings only) I'?-?^yT .026
I (90„ of Total vVall Are3, Less Window and I
Insuiaced Area: Door Area, Se^ Fia. 3) I 234°f,?l , o S 7 S
I
Fremina Area (10% of Total Wall Area, Se_ Fi . 4) 387, ¢I 412,(a I
I indows:?From Pzae 71 /oI I 170,2,
I
i
Doors (From Paae 7) I /oG.4-]
_ Rim .loist Area:(Se_ Fia. Si I 36o I .O¢ ,¢ I
3
Fir=olace Wall:
° Foundation WaiI: (A6ove Grade, L=ss Window Area, See Fic. 6) I /Z/ I ?/3 I /% 7 I
X
w
Foundation Windows:(From Paoe 1)
i ther.(Descri6e)
[her=(Descri6e) I ^ I I
a 7otals I 3?"?¢ i**'-?' I 374, 7
5 Averaoe U-Yalue, (UxA)/(A1 from Line 4
6 ReQUired U-Value (For one and two familv dwellinas only' I'?`?-T I .11 I ?*
If line 2 i5 less than line 3, and line 5 is less tnzn !ine 6, proposed assemolies me_t coae
requirements. If line 2 is greater than line 3, ar line 5 greater than line 6, complete the
followina ta decermine alternatP U-Yalue for total exterior enveiope.
a
o
?
J
UxA (Line 1) + UxA (Line 4), + _
******
I I
^
o 8 Area (Line 1) x U-Value (Line 3) x -
-
- _ I ****Tr
?
w 9 Area (Line 4) x U-Value (Line 6) x -
- ?*
=
0 "Budoet", Line 8 t Line 9
N
If Line 7 is greater than Line 10, alter assemblies as required so Line 7 does not exceed Line 10
. '
If Line 7 is less than line 30, proposed assem67ies meet code requirements.
Figure 1 Ceiling/Roof Insulated Area:
(with attic area)
R-Value
Interior Air Film .61
Insulation So.oo
Continuous Vapor Barrier 0.00
Znterior Finish . 6'?.
Interior Air Film .61
Total Assembly R-Value SZ139
Assembly II-Value (1/R)
Enter on Page 1
Sq. Ft.
Fieure Z Ceiling/Roof Framing Area: Sq. Ft.
(with attic area)
R-Value
Interior Air Film .61
Insula*_ion 3 9,oa
i ?vcod Member ?i•38
Continuous Vapor Barrier 0.00
Interior Finish . SG
Interior Air Film .61
Total ?ssembly R-Value 4S /?
Assembly U-Value (1/R) .O Z Z
Enter on Page 1
°or additional roof assemblies, see pages 3 and 8.
2
Figure 1A Ceiling/Roof Insulated Area:
(without attic area)
R-Value
Vented Air Space
Interior Air Film .61
Insulation
Continuous Vapor Barrier 0.00
Interior Finish
Interior Air Film .61
Total Assembly R-Value
Assembly U-Va1ue (1/R)
Enter on Page 1
Figure 2a Ceiling/Roof Fraaing Area:
(without attic area)
R-Valua
Exterior Air Film .17 I
Roofiag
Roof Sheathing
Wood Member
Continuous Vaoor Barrier 0.00
Interior Finisn
Interior Air Fi1m .61
Total Assembly R-Value
Assembly U-Value (1/R)
Enter on Page 1
? Sq. Ft.
? Sa. Ft.
For additional roof assemblies, see pages 2 and S.
3
Figure 3 Exposed Wall Insulated Area: Z SZS? (? Sq. Ft.
R-Value
Interior Air Film ,6$
Interior Finish .aS
Continuous Vapor Barrier 0.00
Insulation ? q , o0
Sheathing , 6y
Exterior Finish ,¢7
Exterior Air Film .17
Total Assembly It-Value 2/.40
Assembly II-Value (1/R) ,06?
Enter on Page 1
Figure 4 Exnosed Wall Framing Area: 3s -?.4- Sq. Ft.
R-Va1ue
Interior Air Film .68
Interior Fiaish ,¢S
Continuous Vapor Barrier 0,00
Wood Membez L,gg
Sheathing , 62
Exterior Finish .47
Exterior Air Film .17
Total Assembly R-Value 9.27
Assembly U-Value (1/R) .//
Eager on Page 1
For additional wall assemblies, see page 8.
4
Fiqure 5 Exposed Wall Ri.m Joist Area:
?t-Value
Interior Air Film .68 I
Vapor Barrier 0.00
Insulation /q,oo
Waod Member ?,8g
Sheathing .6 Z
Exterior Finish
Exterior Air Film .17
Total Assembly R-Value ZZ.$ Z
Assembly U-Value (1/R) , o¢
Enter on Page 1
36o Sq. Ft.
Nates: 1) Floors over unheated spaces. For floors of heated or mechanically
cooled soaces over unheated snaces, the overall U-Value
for the floor shall nct escae3 0.05• For floors over outdoor
air, such as overhzr.c=, the overzll II-Value for the floor
shall meet the szrie r_cuirement as for roofs, II-Value of
0.04.
2) Slab-on-grade flcors. r'or slab-on-arade, the insulation
around the perimeter of the exposed floor shall have a
minimum R-Value of 6.4. The insulation must extend downward
from the top of the slab a minimum of 3'6" or dowaward
to the bottom of the slab then horizontally beneath the
slab for an em:ivalent distance.
3) Vapor barriz-s. The mzximum perm rating for the vapor
barrier is 0.1. A minimum of 4 mil polyetheline, or equal,
is required to achieve this. The vapor barrier must be .
continuous with all joinLS overlapped and made over framina
membezs or 6lockinc.
4) For not°s on foundatioa wa11 see paae 6.
5) For additional assemblies not illustrated use worksheet
on page 8.
5
Fivuse 6 Exposed Foundation Wall Area
Concrete Block or Poured
Concrete Foundation area: Sq. Ft_
Wood £oundati Insulated
Area: ?Sq. Ft.
R-Value
Interior Air Film •68
Coacinuous Vapor Barrier 0.00
Foundation Wall A 1917
Insulacion S.oo
Exterior Air Film •17
Total Assembly R-Value 7?4'
Assembly lJ-Value (1/R) .13
Eniez on Page 1
1) Only che ahove gTade area of CSe founda2ion wa!1 :>
to be included in the energy calcula2=ons.
2) the Energy Cade requires :hac, if t4e iloor a6ave :ie
basement as Craw1 space i5 not insula2ed, t4c Eounca-
tiaa xall mus2 6e insulaced. Eith<r che Foundacion
eusc have a miaimnua A-10 insulaLion aoplied 'roa :ae
tap of che fouadacion co the f:asc liae or a asnin„-
A-5 insulatiaa apolied over c4e enci:e caunda:ioa
.all. The A-Yalue speciEied is for th< insulatian
aiLerial aaly.
SJ If ridgid foam iasulation is co 6e applied to :he
ezcerior of the faundativn vall, the a6ove grade
pozcion musc b< protected Eraa che suz, 2he veac4er
and physical abuse_
Y) If ridgid foam insulatian is co 6e an?lied -o :ne
iaserior, it muss be procec:ed by minimca 1/3" ¢yp.
boud or equal (as specified in sec:ian 171Z o= :ie
UniFarm Suilding Cade).
5) Fa+SIIdatian vall insulaiian fot vood faundatians ou5:
be installed as speci£ied by the Va2ianal Foresc
Praduccs Association'z D<sign :4anual.
idood Foundati cr>:ned
Area: s^ ....
R-Value
Interior Air Film .68
Continuous Vapor Barrier 0.00
Foundacion Wall (Plyvood)
Waod Member
Excerior Air Film •17
Total Assembly R-Palue
Assembly U-Value (1/R)
Enter on Page 1
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3
CITY OF EAGAN .
LQ?lD B / MECHANICAL PERMIT RECEIPT #
SUBD. (612) 681-4675 DATE
RESIDE1V17AL
PLEA5E COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLEfE FOR
TOWNHOMFS/CONDOS R'HEN SEPARATE PERhII1'S ARE REQUIRED FOR FACH DWELLING UNTf.
OR'NER: ADD-ON A/C ADD-ON FU?tNACE ?
SITE ADDRESS: ADD ON/ItEMODEL (EIQS1'ING
CONS1'RUCPION ONM $ 15.00
WSTALLER: 6 HVAC: 9-100 M BTU 24•00
PHONE #: - ? ADDTI'IONAL 50 M BT[7 6.
ADDRFSS: j? GAS OUTLEfS • AIINIIYIUM 1@ $3 EA. 4?' &42
C1TY: ZIP: SURCHARGE $ J"
SIGNATURE: ? TOTAL: $
NO PERMIT REQUIkED FOR DUCTWORK ONLY!
e
COMMERCIAL
PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCWJINDUSI'RIAL BUII.DINGS. ALSO COMPLEl'E FOR
APARTMENT BUILDINGS OR OTfiER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTT.
R'ORK DFSCRIPTION: , CONTRACT PRICE:
196 OF CONTRACf FEE. FEES
STATE SURCHARGE IS $.SO FOR EACH .
$1,000 OF PERMIT F'EE
$
PROCESSED PIPING • $25.00
MINIMUM FEE - $25.00 $
ORRVER: TOTAL: $
SITE ADDRESS:
TENAIVT: r
SUITE #:
INSTALLER:
ADDRFSS:
CITP: ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE:
?
1993 PLUMBING PERNIIT (RESIDEIVTIAL)
C1TY OF EAGAN '
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
COND03 WHEN PERMITS ARE REQUIFtED FOR EACH UNTT.
NO. FIXTURES EACH
? SHOWER 3,00 3
-
-
WATER CLOSET 3•00 ?
? BATH TUB 3.00 6
LAVATORY 3•00
i KITCHEN SINK 3•00 -?
1 LALJNDRY TRAY 3.00 ?
HOT TUB/SPA 3•00
? WATER HEATER 3.00 3
FLOOR DRAIN 3•00 '3
3 GAS PIPING OUTLET • minimum - t 3.00 9
3 ROUGH OPENINGS 1.50 H ..50
1 WATER SOFTENER 5.00 5
PRIVATE DISP. • oeLcty. iic. 15.00
U.G. SPRINKLER • eome uneer conai. 3.00
ALTERATIONS • to cdsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: oo
kr il
?d rai
SITE ADDRESS: 05 6?re'•? T
OWNER NAME: `Sc%? e r b a, > f4
WSTALLER: 8 i/ 1/e r e Iv m
ADDRFSS: fb ?I f B A?" 4ve
CITY: Jobr rfj STATE: V ZIP CODE: ?
PHONE #: ( 7 IS ) 7? cl 3 3!1
SIGNATURE OF PERMITTEE
%
.%
------------------
? q Pf?'e1i5e ' I
? ?M ?;_
,
?
?? Permit #: I
I ?
i Permil Fee: ?
? Date Received: j
I ?
I StafF: ?
I
------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
?iF
Site Address:
O Ll J?
r c- c? O U G<<
? r c/l
Tenant: if ? rQ 1-- ?- fIc (fc 4c.^ 1"tl _Suite7l:
RESIDENT / OWNER Name C c r o l S'1c t cr 1Z_ Phone: l.S? `?lJ'? ` gSJ??
Address ! City / Zip: A- 4.S- ?? c? m 4 tc j
Applicant is: _ Owner 4-?`Contractor
TYPE OF WORK Description ofwork: /L o R0 n?-
Construction Cost: 6 b D- Multi-Family 8uilding: (Yes _ I No f
CONTRACTOR Name: L'1 LS c.r lc c? ?/r/, r.2.j c^ License #: L 6?2 Y
Address: ?O ? `? o
City:A r_ ? I S . 2 : // State /h+1 Zip: _?;7.?L,? ?
Phone:"i6J-YJYd' _ContactPerson: I-rG -A«,J
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CetOgOry Su6mitted Submitted
(V Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submrf are considered to be public information. PoKions of.
the informatian may be classified as non public it you,provide specif+c reasons that would permit the City to -:-
.
,. . y ..r.,
:
.;
,
. . ,, .;.
condude lhat the are trade secrefs. `t
I hereby acknowledge that ihis irrfortnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X 4 ' L-Pe 1
AppllcanYs Printed Name
X ?o? ?
ApplfcanYs Signature
Page 1 of 3
Use BLUE or BLACK Ink
j Permit
City of Ealan I Permit Fee:-
3830 Pilot Knob Road I I
I
Eagan MN 55122
I Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff: nor 4: 1
2009 MECHANICAL PERMIT APPLICATION
Date: /A 'I Site Address: ~ ~PEr9T i~7
Tenant: rA.Pg ~x(//S" Suite
RESIDENT I OWNER Name: Phone:6;2 ~ Address / City / Zip:
CONTRACTOR Name: Jl~ License / L/-710:2 I
Address: l 7
.7~ Zip:-S3C~
City: State:
Phone: C - 7-7Contact Person:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: "2=- cZ
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for'.information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Y Furnace - New Construction Interior Improvement
Air Conditioner Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
Heat Pump _ Under/ Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
= $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.om
I hereby acknowledge that this information is complete and accurate; that the worts will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By Date:
Required Inspections: -Under Ground Rough In -Air Test Gas Service Test _In-floor Heat-„Final
Exterior HVAC greening Inspection
Use BLUE or BLACK Ink
For Office Use I
I Permit
/0
City of Eaunii 1
~ Permit Fee: ~ J I
3830 Pilot Knob Road I 1
Eagan MN 55122 1 Date Received:1 4 2009 ~
Phone: (651) 675-5675 1 Staff: 1
Fax: (651) 675-5694 L - - - - - - -
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: a A5741 1 Site Address: !f yS v~ 9T 0~ t 1 ~ ~y
Tenant:-91e=dL 5i11/gr'~t/~~A /Q~77 Suite
RESIDENT / OWNER Name: 5;4/'7-7zC Phone: 47-4;3~-7
Address /,Ciittyy / Zip:
CONTRACTOR Name: 17h7//d//~GY~✓/l~GV1License i r I ~G i
- L14
Address: f 5?~ 7 s /'M
City: State: Zip:
Phone: - Contact Person: „~*9C%✓d? S
TYPE OF WORK -New replacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
X Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
C_ RPZ / _ PVB) Main - Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (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 $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
O, S O
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gol)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168238
Date Issued:04/14/2021
Permit Category:ePermit
Site Address: 845 Great Oaks Tr
Lot:26 Block: 1 Addition: Great Oaks
PID:10-30950-01-260
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steven R & Carol Scherbarth
845 Great Oaks Trl
Saint Paul MN 55123--243
Les Jones Roofing Inc
941 W 80th St
Bloomington MN 55420
(952) 881-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174380
Date Issued:01/21/2022
Permit Category:ePermit
Site Address: 845 Great Oaks Tr
Lot:26 Block: 1 Addition: Great Oaks
PID:10-30950-01-260
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steven R & Carol Scherbarth
845 Great Oaks Trl
Saint Paul MN 55123--243
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174652
Date Issued:02/09/2022
Permit Category:ePermit
Site Address: 845 Great Oaks Tr
Lot:26 Block: 1 Addition: Great Oaks
PID:10-30950-01-260
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steven R & Carol Scherbarth
845 Great Oaks Trl
Saint Paul MN 55123--243
(651) 955-4950
Heating & Cooling Two
18550 Cty Rd 81
Maple Grove MN 55369
(763) 428-3677
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174653
Date Issued:02/09/2022
Permit Category:ePermit
Site Address: 845 Great Oaks Tr
Lot:26 Block: 1 Addition: Great Oaks
PID:10-30950-01-260
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steven R & Carol Scherbarth
845 Great Oaks Trl
Saint Paul MN 55123--243
(651) 955-4950
Heating & Cooling Two
18550 Cty Rd 81
Maple Grove MN 55369
(763) 428-3677
Applicant/Permitee: Signature Issued By: Signature