4766 London Lane
Use BLUE or BLACK Ink
Permit City of Ea~dn 1
Permit Fee: I
3830 Pilot Knob Road I t
Eagan MN 55122 RE C E I E® i Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 i Staff:
I
DEC 15 2010 !
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address: 41-W ~ ~ " LAN
Tenant: Suite
RESIDENT/OWNER Name: Phone:
Address / City / Zip: 34N 'Still
tCY-
CONTRACTOR Name: k e
C cI
Address: ty:
, & 4INg-ca
Stater -zip: Phone: Contact:
TYPE OF WORK New Replacement Additional -Alteration Demolition
Description of work:
r~ r(t a e~p . eqr Fe c ed'
etlio
eas s_ c ? ephanibali"ns.pec, Oikittnriica rifortnat on,ork:pet`i'r`2tte ;40 0.11 9'..
RESIDENTIAL COMMERCIAL
PERMIT TYPE 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 (includestate Surcharge) f'
$90.50 Fire repair (replace burned out appliances, ductwork, eta) (includes $.50 State Surcharge) $ `rg6 dJ`-' TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit fe-1 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. a. 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 aopherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will. be in conformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with th approved plan the f work whi wires view and approval of plans.
X x 100- ul~,
Applic rinted Name Applicants Signature
...Y •.--Sv-'L. 'T.:r •~Tj'•N•.t l~ ~sjXt".^.i/liGi+i=
,.:ExteriorHVAC•Screening lnspectron~::i:c::°:, i'_;":..-,:.:.~`~~~:_-:...: .
INSPECTION
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
;., ? ...
CCORD
PERMIT TYPE:
Permit Num6er:
Date Issued:
, APPLICANT:
TYPE OF WORK:
r-ruri n a
wA 1.?9 a
{ 2i 311f9F
ni ta r-,A F i,?N
Permit No. Pertnit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
InspecNon Date Inap. Comments
FOOTINGS
FOUND
FRAMING
W
ROOFING
PLOUMBING
PLBG
AIR TEST
AOUGH
HEATING
?Y r
GAS SVC
TEST
INSUL ?
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST (.( U
FINAL PLBG
FINALHTG
ORSAT
TEST
BLDG FINAL
%
BSMT R.I.
BSMT FINAL
DECK FfG
DECK PINAL
-?: - ---x--
_ .
? CASH RECEIPT •
?
CITY OF EAGAN
.,; 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?
DATE 19
f l., ?-?C>".
AMOUNT
& OOLLARS
? CASH -i7 GHECK
.
Thank You
eY
C 1 2534 ??,
) Rd.
22-1897
? DATE L'!AR 15, 1991
METER # -
CHIP # -
METER SIZE
ISSUE DATE
SITE ADDRESS L 7': ?J LUNildP' Llt
LOT 25 BLOCK 3 SEC/SUB 'L• 'I OTh
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
' ?
? , ? ? ?1 /
PLUMBER: -C dN
r, r
ADDRESS: ,
^ 1018 MOUND SPRINGS Tc.RR
CITY, STATE BLOOMINGTGN MAi ? 71p 55420
PHONE: 884--4149
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
,"M
iE ONLY
PEFMITDATE 03/18/91
PERMIT # 11$62
B.P. RECEIPT #, -- 1 ; '
B.P. RECEIPT DATE 06 1 S 91
X PRV _ BOOSTER PUMP
PERMiT REQUESTED
X SEWER X WATER - TAPS
COMWIND
x NEW
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Instailed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be giyen fo,r,.Deduct Meters.
7?- (
`- . . . `SY<. l Y?1 1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
or? `llw DATE: MAR 189 1991
dr. REwa 4766 LONDON LN (WILLIAM HllT"fNER CONSTRUCTION)
I X Your Sewer & Water Permit for the above property has been completed. It will be heid at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
I _ Your Sewer 8 Water Permit Yor the above property cannot be completed for the following
I reasons:
Your Sewer & Water Permit for the above property has been compieted, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEWER & WATER PERMIT FFICE USE ONLY
CITY OF EAGAN ?
METER #q 7 0? PERMIT DATE 03??
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 cHIP # C) 13 S 3o' 83 PERMIT # 11862
METER SIZE 2ZE? B.P. RECEIPT #= I r-' S 1
DATE MAR 15 , 1991 ISSUE DATE B.P. RECEIPT DATE
X PRV _ BOOSTER PUMP
SITE ADDRESS 4766 LONDON LN PERMIT REQUESTED
LOT 25 BLOCK 1 SEC/SUB BRITTANY l.U'PH
X SEWER x WATER _TAPS
APPLICANT:
ADDRESS: _
CITY, STATE
PHONE
COMMiIND - RESIDENTIAL
ZIP X NEW - EXISTING
^ Lawn Sprinkler Meters are to be Instalied
PLUMBER: 1 ? u u- J* 4 < Ahead of Domestic Meters on Water Line.
ADDRESS: 1018 MOUND SPRINGS TERR Credit WI NOT be giyen fo,r, Deduct Meters.
CITY, STATE BL?MIhGTON MN ZIP 55420 i??
PHONE: 884-4149
I AGREE TO COMPLY WITH CITY OF
OWNER: k=LLIAM HUTTNER fONSTRUGTICN EAGAN RDINANCES
ADDRESS: 960 WATERFORD DR W ,
CITY, STATE EAGAN MN ZIP 5';122
PHONE: 2-303E OR 723-4iei , SIGNATURE WHEN METERISSUED
PLEASE ALLOW 1YY0 WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
S152iNER PERMITS, CONTACT ENGINEERING DEPT. .
. . ,_ ? . .
•. CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
eR 112 Ml?s/+"f1Crf\mIT
$Y DWC/r0U Est. Value 5:600000
Site Adil?ess 4766 L?OP LN
Lot ?S Block Sec/Sub. BR
Parcel No.
W Name idILL?.lll4 Ht11'fQ1ER COIlSTRLfC'[ION
; Address '
0
Citv Phone
Name bium
Address
City Phone
Name _
Address
City -
Phone
I hereby acknowlege that 1 have read Ihis application and state that the
information is correct and agree to comply with all ap licable Stale of
Minnesota Statutes and City of Eagan Ordinance's. ----
;.,.. .--.;(_.;"i (
Signature of Permitee '
XILLIAM HUlTNEI CWtBY
A Building Permit is issued to:
on the express condition thal all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building Official
Receipl #
18793
lfAR 13 1991
OFFICE USE ONLY
Occupancy B-'3?i FEES
zoning
850.00
(ACtuaqConst ? BIdg.Permit
I (Allowable) - Surcharge 80000
M of Stones *?
ss2
Lenglh a? Plan Review 100000
Depth - SAC.City
S.F. Total - SAC, MCWCC 650.00
S.F. Footprints _ 660,00
On Site Sewage _ Water Conn
90.00
On Site Well Water Meler ?
MWCCSystem ??? Deposit ?•?
Ciry Water ?- ???
PRV Required S/W Permil ? 50
Booster Pump - S/W Surcharge
276.00
Treatment PI
370.00 -
APPROVAIS Road Unit
Planner - Park Ded.
Council
BIdg.Ofl. - Copies 3* •
Variance - TOTAL
. Permk No. Permit Holder Date Ta"hone M
WAiER /
SEWIER
PLUMBWG
3 ?D
49
H.V.A.C.
ELECTFi1C ?A,1191 L,1i, 00
Inspaclion Date Insp. CommsMs
Footirgs I '3/?S G[,/
Foundation '
Framing 'S (? Z
Roofirg
Rou9h PI6g•
r?9h ?n9.
??. ? S OS e ua - e/.?,? /
Fre{Nate
Final Htg. -Z ?
Fnal Plbg. -2 • - y y/
Consl. Meter LO&bg. Inspector - Notily Plum r
Ergr.lPlan
Bklg. Final fp o2 S-? ?y?
Deck Flg.
Detk Final
WNI
Pr. Disp.
e j
(grr#i#iratr n# (Orxupanry
Citp of (eagan
ap}twdUPtIY itf W1timUttJ iII8pP1fWtt
This Certifraale tssued pursuant w the reqrdremena of Sectiort 306 of the Unifornt Building
Code cerlifyin8that at 1helinre ojistuana this.mucture xasin avmpliana with the various
ordinaxoet of the Gyty regulaff?tg building construcdon ar usz For the joUawing:
uQ c,=m,,6o. SF_DWGIGAR ekt. Phma rw. tR793
O=V-77* %/Ml ZDoiog oia;a RI rya?c=U VN
o?,re.ar.K WIId.IAM HIJTIIM OONST. A&i„. L9[9 WLMRotn Igtr_vF'g EArm_
&uWwg Md? 4766 IOM IAt? Locaty I25, B 1, BRIITANY 101H
n.ic 6/25/91
RmldingbfficW ?-
POST IN A CONSPICUOUS PIACE
Address: 4766 LOfIDON TANE Lot 25 Blk 1 Sec/Sub BRITPANY lOIH
These items were/were not complete at the time of the final inspection.
?
D
Yes
No
Final grade (6" from siding) f?
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway ?
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of watar supply to tha outside lawn faucet before
freeza potential exists. ?
xccrcuowrcx
White - City copy Yellow - Resident copy Pink.- Contractor copy
w CITY OF EAGAN Np 18793
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
C J?3L'
BUILDING,PERMIT PHONE: 454-8100 Receipt #
Tobeusedfor SF DWG/GAR Est.Value $160,000 Date AR 15 , 1991-
Site Address 4766 LONDON LN
Lot 25 Block 1 Sec/Sub. BRITTANY lOTH
Parcel No.
W IName WILLIAM HUTTNER CONSTRUCTION
o Address 960 WATERFORD DR W
City EAGAN Phone 452-3088
Z? Name SAMR
g¢ Address
? City Phone
1-¢
wW Name
?
Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all ap icable State of
Minnesola Statules and City?an Ordi n _
Signature oi Permitee ?
A Building Permit is issued to: WILLIAM HUTTNER CONST
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ol Eagan Ordinances.
Building Official ? 1IY f1,91I?. ? rn,?
OFFICE USE ONLY
Occupancy R- 3 -M--l FEES
Zoning g-1
(Adual) Const V-N Bldg. Permit 850.00
(Allowable) V-N Surcharge $0•00
# ot Stories
67 '
Plan Review
0
552.0
Lengih
Depth 50.? SAC, City 1 nn - nn
S.F. Total - SAC, MCWCC
0
650.0
S.F. Foolprints -
On Site Sewage _ Wa1er Conn
0
660.0
On Site Well - Water Meter 90. 00
MWCC System X 30
00
X Acct. Deposit .
City Water
PRV Required
X
S/W Permit
30.00
Boosler Pump - S/W Surcharge .50
Treatment PI
0
276.0
APPROVALS Road Unil 370.00
Planner - park Ded.
Council
BIdg.Oft. _ Copies
3
688.90
Variance - TOTAI ,
REQUEST FOR ELECTRICAL INSPECTION
fU1 ? See instmqions lor completing this form on back ol yellow copy.
V?1 1_7J?y?,?6 X" Below Wark Covered by This Request
EB-00001-Q08
o? .d.=e"? /?O ? / 7
?
e &dd . TypeafBuilding AppliancesWired EquipmentWired -
F. ,me Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (SpeciTy)
Comm./lndustrial ' Furnace
Farm Air Conditioner
Olher (specify) Coniractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders fee
Swimming Pool 0 to 00 Amps / 0 to 100 Amps
Transformers Above 2W Amps Ab 0 Amps , f p
SignS InspecWrS Use Only: ?„ ?. TOTAL
Irrigation Booms J
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NTHS.
I, the Electrical Inspector, hereby Rough-in _yl
certify that the above inspection has
been made. pinyl
f oare
-l Ir 'y
OFFICE USE ONLY
?
This request wid 18 months Irom
?
? ?
?
406
17
?
/?? ? ?
?
?s'
Request Date
" . , Fire No. R -in Inspedion
red?
? Ready Now d[VgjLLMotity Inspector
s ? No `S?`en Reatly?
I ' ensed contractor ? owner hereby request inspec[ion of above electrical wo k at:
Job Atltlress (Sireet, Box or Route No.) CiTy
L
?„ ,...
Section No. Township Name or No. Ranga No. County
4
Occupant (PR / Phone No.
!
lnoo
vwr
P
ower SupDlier ? Atltlress ?
Elect ical Conhador (Company Name) Contracbr5 License No.
0
4
5
Mailing Address (Contrector or Owner Making Install?tion)
z g o 3 f`i, e,,
A thorized Si ture (Coniractodpwner Making Insla ation) Phone Number
3/--G
MINRE'SdrA STAiiE 3'OARD OF ELECTRICITY THIS INSPECTION REQUEST WILL'NOT ?
Grlgga-Midway Bldg. - Room S-173 BE ACCEPTED BV THE STATE BOARD
1821 Unlversity Ave.. St. Paul, MN 55104 UNLESS PqOPER INSPEGTION FEE IS
Phonp (612) 642-0800 ENCLOSED.
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
X,fa...s,°-
nere !y / OS
SiteAddress 07?)(o LUNcIdy) L'n • Unit#
PropertyOwner W??????V)qLL?/ DDugI Telephone#( (p5J )?OS3-?T3S J
Contractor TobW COWifOv"t
StreetAddress y0C0 WiV\n2tK/A Ave. N. f)UQ City NC4t1 ADOc
State u f? Zip 59 Z`7 Telephone #( 7 b3 )S13 -$333
Bond #• Expires:
The Applicant is _ Owner X Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
X air conditioner _New X Replacement
other
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
Jessic? Cavpe,v?e?? ?,_}y_a5 i! '' !'' ? ?;
Applicant's Printed Name
Applicant's Signature
N: 2 9 2005 ?
? L.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
j(?? ? 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. il. of lot, sq. ft. of house; and all roofed areas
(20°lo maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculalions
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joisl Detall Options selection sheel (bldgs with 3 or less units)
DATE 65?2
R
SITE ADDRESS qZ& I-191J)Da /J 6??? ? MULTI-FAMILY BLDG _ Y -!N
TYPE OF WORK 9-5?_ - /26 6 F FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS lSo2S CITY ST
TELEPHONE #f.Sd CELL PHONE # FAX
PROPERTY OWNER 1)4'u& IA.fll977'I71J6"7-D A) TELEPHONE #? S? - lii ?3 - 9.??YI
COMPLETE TH15 SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNES01'A RULES 7670 CATEGORY 1 MIIVNF,SOTA RUIT.S 7672
(q submission type) • Residentiai Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes
Sewer/Water Contractor:
Air Condilioning
Heat Recovery Systcm
I hereby acknowledge that I have read this application, state that the infc
with all applicable State of Minnesota Statutes and City of Eagan OrdiX
Signature of App{icant
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Lki 36 RemodellReoair Reauirements
• 2 copies M plan
. 1 set of Energy Calculations for healed addilions
. t site survey for exterior addi6orts & decks
• Indicate if home served by septic system for additions
???i sas p?f ?
VALUATION Ll 40
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
I?'ee: $90.00
ree: $70.00
Phone #
: a T -? ?_? - -------------
--
m n jg ?ppr?Gt,,? a? e to comply
ziP SS337
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
METRO 1875 PLAIA OR.
SURVEYORS SUITE 200
EAGAN, A4N. 55122
1NC. Certificate of Survey for: (612)452-7e50
HUTTIVER COIVSTRUCTION
LEGAL DESCRIPTION: LOT25,BLOCK -i-, BRITTANY IOTH ADD.
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
:?
c_
.?
q?e
,??,
?O
o'P C?
20
0?
? J
?O - O
430
? o:.
9 +
/p / ?1d
y ? ?-
? \? r fe
?
. ,
%op\.o
\ •pos,, ? ?
\ ? `/ \ \ !
? DRAINAGE 8
?
eO •
3? ?&
? UTILITY EASEMENT ?
F?0J D ELE,?/
A( `e 311191 937Ze_5e0t,yi? -7
4700? 99.03 ?
I
jjD uSg'
.
. ,
• ? ? / ?C,
J,
2 -J
o p
ek?i
/ i??
2 s? a
,
, •,- ? ?.,
?
- y .? -
SCALE : I" = 40'a.
?
<
V
LEGEN
o DENOTES IRON MONUIMENT
o DENOTES WOOD HU8 SET
DENOTES EXISTING SPOT
ELEVATION
OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
reNoVa RE\a5???ED
FIPoQa??'? SLF.vF.(.SPuT- ?? 4'T?L?u
?'??
INVERT ELEVATION AT SERVICE EXTENSIONa
PROPOSED GARAGE FLOOR ELEVATION ¦ 7WE
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMEMT FLOOR • ?'
ELE VAT I ON
NOTE ? VERIFY ALL FLOOR MEIGHTS WITH
FINAL HOUSE PLANS
k'EV1sED 3/4f 9) - &,r- ?RTlotiJS
l hrebsr certify fhat fhi• aurvey,plan or
report va prepand py nw or undWr mr
direct suprrwsion and thaf I am a duly
Repistered Land SorveYor undw tM
Laws of tM Stafe 01 Minnesota
,
iv-
Brodley 4/Swenson, Mn. Rea No. 15235
Date
i .? ,
:. -
' ?;, . •.
? l.
r
(?'o:a Dcvcloped by cic Sta:c of ::inncsota :.uilc:i:g (:occ i)ivlsio:l)
TO EE SIJB.`SI?irD I;ITiI BUILDIi.C Pi:R2'fIT A3'PLICATIO,J
EXTE?'.IOR F*IVF.LOPE AVERAGE "U" C(1.`PUTATION *
Oi::iER: / I I(?-S
S£TE ADDRESS: L c.?i 257, 'u LOCk I j2jAjll . l02t?I AIZ' ;
, CONTRACTOR: &) \ ?W a2St DATE: 3-/5 `/ / P}IONE-
Determine vorking square faotage of each ,
1. Total exposed wall area......... 3q f? sq.ft. x
2. Total rooflceiling area......... 1%3 sq.ft. x? ? Z6 ° 4S`?8_3
3.• Total exposed Wall area calculations: . Total exposed wall area above floor ? 3.3 17
s. Total Wall vindou-area .............................. 3 34
b:' 2ota1 door area .....................................38
c. Total sliding glass door area ....................... /2,4
d. Total fireplace wall area ...........................
e. Total wall framing area (average 107.) ............... 3 3 Z
f: Total net Wall area above floor ..................... Z3 Z-r'
g. Total riri joist area ................................ /6S
• Total exposed foundation area ? ?80
?
h. Total foundation vindoW area ........................ ,
...?
i. Tota1 net foundation area above grade ............
Determine "U" value of each wall segment
8. 33 (o x „u,. A i - - 13 7e 7,?
b. 3?s X„U„
C. 12,0 X„u.,
a. x "u" v' -
3 3 z XfoU,$
. e.
?z
- f 2- 32- g x „U„ ,ny _ L31
. . g. X„U„
?
- h x flU"
• .
g uUn
36 • TOTAL . • « ???
If item 03 is [he same as, or less than item 01, you havc met the inten[ of
sac 6e06(c)2. •
?, .
.
r
b
4. Total cxposed roof/cciling calcula[ions:
Total e:cposed roof/ceiling area = r 7?3
^
J. Total skylight area ...................................
k.'Tota1 roof/ceiling framfng area (averap,e 107.).........
1. Total net insulated roof/ceiling area .................
Deteraine "II" value for each roof/ceiling segment
j•
X nun
_?.
k. I 7? - x liuse 3,SZ,
M1
?. 15V- R.,U„ 3/ 7? .
4. - :TOTAL 3Jr. Z ?
If total of 04 is the same as, or•less than 42, you have aet the intcnt
of 5BC 6006(c)1.
Alternate Building Envelope Design
3.
+ 2.
+ 4.
C E R T I F I C A T I O N
?. '.•. . . : . • • .
To utilize the.total envelope s . ystem methodo the values establislied by -
the sum of itens 03 and #4 shall not be greatet than the sum of items #1
and #2.
1.
r
I hereby certify that I have calculated the "U" factors and R values
herein and that the building hera described meeta or exceeds the State of
Minnesota Energy Conservation Act.
(Signature)_
7 :// __ ?/ .
, (Aa[e) '
.
'?.? : .
wn1.L
IYV ]U". of 011-iyu^ wa11 arca for
;r.amc con::trucciun
4)ALL
FIG. #1
TOPVIE:4 QF
FW`.2:E %T.LL
1
FIG. f2
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Construction R-Valuc
Al L
1. Intcrior air film 0.6Ct
2.
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. ? '-
.
9.
. , a..,
,
5
.
6.
Exterior
air film
= 0.17
Total
r,?'??'.1..:_}: .
-?"_? ,
' . ?
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?. _!;
? • ...
,
1. tcrior ai--
In filn 6E3
0.
2. ,
3. .,
-
4.
.
5.
6. Esterior air filn 0.1.7
Total
/ ^. ?? `5
?? j ,
??
•
1. Interinr air film 0.68
2.
4.
5.
6. Ertcrior air f-ilm 0.17
Total A_
-
, ?
.>.l. Interior air film 0.68
z. r?,?.,?• -,??: . _ .?
. 3. 1 • . '>
5. G. Exterior air film 0.17
Total
.
SLAB OEJ GP.Alli?
r '
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? ?• y ??A
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FIG. $4 I(( k 't?• '• • o ? ,r!
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NOTE: Zndicata tyne, "F" valun, denth and
. placenent of insulatiosi. .
• , ROOl'/CEILI2:G
r • .
' . ? COllrtr.uCtion R-Valiie
Interior air film 0.61
2. Y" ?. • r--
?? 3. !:"' -.,,V •, ???'.,,, ?`^ ; ,
4. T•.'xtcrior ir film (??f.ill) O-G
• VII'T ??ll Il '.T?il?il?.??.11??.,??? - ToCal
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FIG. 05
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,.- ,?? y •
!A . ..?1 : .'.?: f :? .....
i r...._ -/...? '
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2. l;r,,? ;-??:•?r-.r.l! . y -
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3.
9. £r.teriar air film sY.ill 1•61
. Total
J
l. IriGide air fil.m O.G1
2.
's.
4. 5. outside air film •0.17
Total
?? . . :
? t:?.i-VL•2?
.. . , .
.. , . .
. Hent
flov up
Frr,. ?p7 ?
Nntc: Us:c additional ::hcets if morca spar_c i,
needed for details aiid calculations.
. . '
. vented.
.
CI7Y f1F FAlsAh!
("AaN.T.EC'rd S 7EERi`5.7.14F1i.. N0° 661
UATE^ 12/30/97 T'IMG-.a 1441.8:23
IU-
NAhfEa LAI:EI400Ii CqN5TRUCTION :[MC
3210 3001 4766 U7NDON l..N 50.00
2155 9001 4766 L_UNIrt7h! Lt4 0.50
3430 3001 4766 L_ONDC1N LN 5<00
7oi:a1 Feceipt Amaunt,- 55.50
Cf'i0C3`.:5i°.i4
l1SF'R IDo NANCY
PERMIT ? ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
?6123&?1-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031294
12f30/97
SITE ADDRESS:
4766 LONDON LANE
LO7s 25 BLOCK: 1
BRITTANY 10TH
P.I.N.: 1@-15009-250-01
DESCRIPTION:
Qiai3.tling-«?ermit Type
sBuilding WaAr.?k Type
,=?Cen?u;s Cod2 ?'
? . ?? ,; ' ?? ?,
?
.?
`
?
` ,H,.? ? ?, ' ??x
- , ? „?.:g't z . ??ra ?.'???
u , ?
^.? Y ?r. ' a '"' . ? .
? ?a m?? > ..* ???r
rY "' 3
? ?a?v ?r,w, ..,. ?,;F*?,:. ?,+?i..??'.?'?"^??
BASEMENT FINISH
ALTERA7ION
434 A'LT. RESIDENTIAL
??a? ? °@??? ?tt ° ? ??? ??? ??? ?,?''? ? ?? ?"? ?ag ?
?x
REMARKS:
FEE SUMMARY:
Base Fee $5@.0?
Surcharge $.50
Lic. Search Fee ?5.@0
Total Fee $55.50
CONTRACTOR: - Applicant - ST. ??c OWNER:
LRKEWOOD CONST 18816452 2009775 WORTHINGTON ALICE
R@1 LAYMAN LN 4766 LONDON LANE
BLOOMTNGTON MN 55420 EA6AN MN
(612) 881-6.452 (612)683-9381
_ ,.., ? ? ? .
as,:?.? s.i ¢: . PE.'???? ?i .a? l{?e rc ?,h? 4 ?j?i ?a i?1? 4?e*Y? 2,5i I 3t ??i?i ,`s?',?.
I hereby acknowledge that ,z t?ave rsad this? appl;?sat??n ani?sta?e that the:
? .infqrm??ion i??<?.;can?~e,ct?,?:nct ?=g??? ?:?r ?v?itp,??? `+?+?.s??t?k??,l°r???a1x?R??s,??????tat?',a?? M:ri y z'
„ ?, • , .
_ ? . . , :. s ? ? ' .a .? i i ??y ?n '^CI i?d??'-? ? ?, ? ? iat ?? m u ?? na?bl krcrw ?a u!.i .s sl a' ?t?i i:
??? ? ? « ? ,
? 5tatute? and City oF ??gari 0rdi?n?nce? $ , ?; k ? # ?y ? ' § _'?'_._ ??? _ ..?
= ? ? ' ?,
_?e?___.r.. _..._ ._ ?.. ?. , ?
__ ,..?_ . _ ,__.____?? . ?... M.._?? .. __._,e_?? .?._ ___ ???_ . ?:?-
?
PPLICANT/PERMITEE SIGNATURE ? -?ISSUED B: S NAT E
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
/ I cinr oF eacaN
\3.-? 3830 PILOT KNOB RD - 55122
? 661 -46T5
New Construction Reauirements
QNSe- F\ N i s?t
ca.???'r?-19
? 3 registered aite surveys ? poopie$ of plan
1 2 copies of plans (inGude beam & window aizes; poured fid. design; etc.) ? 2 site surveys (exterior additions 8 dedcs)
• 1 energy calculations ? 1 energy calculations for heated edtlitions
? 3 eopies of tree preservatian plan 'rf lot platted after 7/1/93
required: _Yes _ No -
DATE: CONSTRUCTION COST: zT S
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT `3 S_ BLOCK
A--? IV (!,?
RemodeUReoair Renuirements
L-AN E
SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
Name: Wnc?'-i 1aJ A.t-?e_c__ Phone #:
US, .,p.,
Street Address: 32LL L-,11,2120rJ v?c
City: 0,'C?AN State:tAti Zip:
Company: _ Lr???_C-wC)oD cc>njsT, Phone #: 0 SZ
Street Address: yb\ LAlYMAN L-PSNC License #: Zoo3-7 7s9
City: 3 7-00 Mw'C?-?CJ State: t'W Zip; 5S?(zo
Company: _
Name:
Street Address:
City:
State:
Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
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
Registration #:
Phone #:
Certificates of Suroey Received _ Yes _ No KC 0, 7 097
Tree Preservation Plan Received _ Yes - No _ Not Required M12
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ?
0 03 SF Addition o 08 8-plex ? 13 GaragelAccessory ?
a 04 SF Porch ? 09 '! 2-plex ? 14 Fireplace n
0 05 SF Misc. ? 10 _ plex ? 15 Deck
WORK TYPE
n 31 New
0 32 Addition
?( 33 Alterations
? 34 Repair
? 36 Move
? 37 Demolition
GENERAL INFORMATION
Const. (Aotual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Planning Building
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
rTotal:
% SAG' ? •
SAC Units ` t
;
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MGWS System x
City Water ?
Fire Sprinklered
PRV
Booster Pump
Census Code. N3 /
SAC Code o!
Census Bldg ?
Census Unit 0
_ &8Engineering
Valuation: $
? j
1991 BULIGI'IEPffIT?PPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWELLINGS
• . r'
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - 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.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ?,e- F2??Cr? Valuation
Site Address /Lvt,
Lot 2-? Block ?
Parcel/Sub 0 / JV.
Owner
Address
City/Zip Code
Phone
Contractor
Addre s s 9?C? ????r? ?(l?? ?•
City/Zip Code 2,2-
Phone ?J C%.30foO 7 G.-'-?
Arch./Engr.
Address
City/Zip Code
Phone #
I?dt00 0 0-Date:
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Bldg. Permit go,c7"J
Surcharge $0,0.4
Plan Review 2,00
SAC, City 10r7,t)?
SAC, MWCC $6 0, 00
water Conn. 660,oo
Water Meter '10,470
Acct. Deposit j
S/w Permit ?
?.A?
S/W Surcharge ,?"p
Treatment P1. 2 (0,0?
Road Unit [7"00
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
OFFICE USE ONLY
R-3 M-I
?i
-N
v_
r.9 ?
On site sewage_
On site well ?
MWCC System
City water
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. US 3-/y_x/
Variance
Z??6- l _ agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?AUe,. ?,? , , ?
G ?Y2artrc
?-.._.-
ZZ ? ,y = ?I-7G
z Y? ( q
k 15
59$ X 15= S,q?o
RS R?.`(' °
? y ye zc. = & z?(
3' u 33? rbZ3
ll
5 X r 2. - C` o)
1441 X it+ = Zo z5$
I a r 13 $ ry ?= s 14 47 X S 3='-?
PavZc,,4.?
Z. 3$ yc26'= arl? n
aaxGli =
a??a?= jy
3 X z- ?
?
9b z? s 3: sc??S??
6 ? S
1591
6AD
CITY OF EAGAN
-? 3830 PILOT KNOB ROAD
#'EAGAN. MN 55122
PHONE; (612) 454-8100
:....
:.? :.:;>::;:;.:..,.........,....,...., ................
FOR CITY USE ONLY
PF.ItMIT # `_1 9 C?
RECEIPT # /?/
DATE : ?`
Et;?S?t?E?xTP+L::i PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
? TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----- ------------------°---------------------
WORK DESCRIPTION FEES
NEW CONST V"
ADD ON
REPAIR
OWNER NAME: _ OvM - F-cu tt"etl ( "v)A ?-,4- 0,0
SITE ADDRESS; 4 I(,v(.o LL`J?L2„n? l--pc:
LOT:GX9-? BLOCK / SIIBD. D t,
INSTALLER:
ADDRESS :
CITY: C 4PLJ 17Di p. N(-F:r. ZIP: SS120
PHONE #: - ?Z
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
DWELLINGS &
$15.00
24",0
6
6
3.00
?g 33.
.50
?
TO$ZS OF PERMITTEE
C4??4??iCSAt/APLEt::SE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL 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: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
S
$
, C1'1'Y UH' EACAN
3670 PTLOT KN013 ROAD
F.AGAN, u:: 55122
PHONE: (612) 454-8100
BUIt C1'PY U5L UNLY
PERMIT # 1112
RECEIPT # /U $
DATE: &
li?SIDF.NTZAL:! PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNNOMES/CONDDS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCftIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST x ADD-ON MINIMUM 15.00
nDD ON / SHOwER 3.00 360
REPAIR 0 WATER CLOSET 3.00 IX
I BATH TUB 3.00 &,C0
LAVATORY 3.00
OWNER NAME: 17?1'a -,l/ W?'JST{?L(?j?J 7 I KITCHEN SINK 3.00
?76p 4 = LAUNDRY TRAY 3.00
SITE ADDRESS:_? L?/?yd/ /
7 l?t?!'1f_' ? HOT TUB/SPA 3.00 3.t;O
?}
S
?
? ( WATER HEATER 3.00 3•r-D
LOT : O?
BLOCK ? S JBD . Q I FLOOR DRAIN 3.00
GAS PIPING OUT.
1
00
3
INSTALLER: )
(MINIMUM - .
ROUGH OPENINGS 1.50
ADDRE55: ISI a? ?'Yy(X./S*? Wlt l/ _ OTHER
WATER SOFTENER 5.00
CITY: ZIP;- PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE tt: ! ,/
SUBTOTAL $ `fnp -_
AAe" A , ST. SURCHARGE .50
SIGNATURE 0 PERMITTEE
TOTAL: s !5? 6D
COmERCIAL/INDU5TRIAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,AND
PfULT2-FAMILY BUZLDINGS WHEN SEPAR.ATE PERMITS ARE NOT REQUZRED FOR EACH
DWELLING UNIT.
- - - - - - - - - - - --
CONTF{ACT PRICE:
OWNER NAME:
SITE ADDRtiSS:
LOT: BLOCK _
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CI1'Y OF EAGAN
.SUuD.
ZIP:
FEES
18 OF CUNTRACT FEE. '
STATE SURCHARGE @ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARG£ $
TOTAL:
:
(SIGNATURE)
. .,.
/ ? BL I CITY USE ONLY RECEIPT #:
?? !
SUBD. RECEIPT DATE:
1998 PLUbMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 P=LOT IINOB RD
EAGAN, 1•Il1 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES - - --
EACH --- - -------- - ----------- - ----------------
# TOTAL
Shower 3.00 x =
Water Closet 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 ' for dwellings under construction 5.00 x =
Water Softener " for existing dwelling 20.00 x =
U.G. Spflnkler * for dwelling under const. 3.00 =
U.G. Sphnkler * forexisting dwelting 20.00 =
Alterations 'to existing residence 20.00
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL .'
•--------------------------------------------------------------------•--------------------------------------------• -----------------• ---------
1 hereby acknowledge that I have read this application, state that the infortnation is correct, and agree to compiy with all applicable City of Eagan ordinances.
It is the aoplicanYs responsibility to notify the property owner that the City of Eag2n assumes no liability for any damages caused by the City during its
normal operational and maintenance adivities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: 76?i7 ? ?? ? t? r'??• i? L?ra--vz ?_
OWNER NAME:
lNSTALLER NAME: D I< r_Lt?? TELEPHONE #:
STREET ADDRESS: i 1 ?-CITY: I? i c_I.N-? t<?Jrl STATE? r'/,1 L1 ZIP:
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
SIGNATURE OF PERMITTEE
'For Office Use
Permit C
City of EaRd~ I -
I Permit Fee:. A
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
-lo -0 -7jG L_on
Date: Site Address: / 1(-62
Tenant: A_rl
Suite
RESIDENT/OWNER Name: l l Uy~~ l Phone: il`4 "
Address / City / Zip: 7 2,214 ~
Applicant is: Owner contractor
TYPE OF WORK Description of work: 9 "P - r U
Construction Cost: A;', Multi-Family Building: (Yes / No
CONTRACTOR Name: )C~2 t'l yY S License a 00 D yl
Address: , 4A9,54VI
City: `y h ct State: Pill Zip: !5_5 37~
Phone& ~ 2 ,3 64,/; ?~Fo Contact Person: 2 0 t
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pen-nit fora 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 submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application fora permit, and work is not to star i out 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
21 n
X
X `
Applicant's Printed Name Applicant's ature
Page 1 of 3
Use BLUE or BLACK Ink
I For Office Use
Permit V T7 v
Myof EaRd RECEIVED , s-3
Per mit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Mi~~ 2 211 ; Date Received:
Phone: (651) 675-5675 j Staff:
Fax: (651) 675-5694 I I
2012 RESIDENTIAL BUILDING PERMIT APPLICATIONS
U
Date: Site Address: Unit
Name: yt- (O4 C'o i Phone:
RESIDENT I
Cl -7
117
j f1 J~
OWNER Address / City / Zip: &
Applicant is: Owner Contractor
Description of work: tf (l` ~f Z-l
TYPE OF WORK
Construction Cost: Multi-Family Building: (Yes /No Y )
Company: ld! r~~~ Contact:
CONTRACTOR Address 2~~ ~Jr l City:
cA/
State: Zip: ~ Phone: VlC/~ 5V
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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 submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.goaherstateonecall.or-q
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Bu' must be completed within 180
days of permit issuance.
x w x
Applica is Print 4d Name Applicant' natur
Page 1 of 3
( L-6ndov-)
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
C Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex _ Lower Level Pool _ Miscellaneous
Accessory Building
WORK TYPES
- New Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy - L MCES System -
Plan Review Code Edition a2 SAC Units
(25%_ 100%_Ze:::~j- Zoning 12 - l City Water
Census Code hr3y Stories - Booster Pump
# of Units i Square Feet PRV
# of Buildings / Length Fire Sprinklers _
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC - Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: za~ Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review j
MCES SAC
City SAC
Utility Connection Charge
S$W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158680
Date Issued:10/25/2019
Permit Category:ePermit
Site Address: 4766 London Lane
Lot:25 Block: 1 Addition: Brittany 10th
PID:10-15009-01-250
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Martin R Godfrey
4766 London Lane
Eagan MN 55122
(651) 795-5547
Smart Exteriors Llc
332 River Woods Lane
Burnsville MN 55337
(952) 451-4200
Applicant/Permitee: Signature Issued By: Signature
For Office Use
Of\ ;),Cj0
+y i rr ::::ev
1E Date Received:-s'
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 M w
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56948 Staff: j
buildinginsoections(a�cityofeagan.com Z ZQ�o L.
2020 RESIDENTIAL BUIL T APPLICATION
Date: 03/02/2020 Site Address: 4766 London Lane Unit#:
•
ti*,„ a r Name: Martin Godfrey Phone: 612-810-6115
4766 London Lane Eagan, MN 55122
Address/City/Zip: g
,".040•;4111,� , Applicant is: Owner Contractor SNOW IIKAnkt
A--
/ )/1
1.1Demo two decks. Build two decks. Screen porch remodel.
e Description of work:
:r n 4.
r Construction Cost: 51 '000 Multi-Family Building: (Yes /No )
'a Smart Exteriors LLC Matt Smith
,� Company: Contact:
2516 Allen Drive Burnsville
Address: City:
MN Zi . Phone: Email:55337 952-451-4200 smartexteriorsllc@gmail.com
BC634283
;' License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
Home built 1990
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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:
Fire Suppression Contractor: Phone:
<. €..<dmc.�-.dva ._ 1`, .. �".._ � a ,� a;^�tt . ` '� t F e` d� r ., �,a d ya
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaqan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.goaherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
xMatthew Smith
Applicant's Printed Name Applicant's Sign ur
•
DO NOT WRITE BELOW THIS LINE yl 76,E Le9l rft Z� . /ae9
SUB,TYI'ES
'Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi)
Multi x Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 15,280,00 Occupancy ':'/2C-/ MCES System
Plan Review Code Edition 20'.5-014,v-tee- SAC Units
(25%_ 100% '( ) Zoning , - ) City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Y'T Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
X' Footings (Deck) Final/C.O. Required
Footings (Addition) )( Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof: Ice &Water _Final Pool:_Footings Air/Gas Tests _Final
X Framing 30 Minutes )( 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_ EFIS
Insulation Windows
Sheathing Retaining Wall:_ Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ,Yrs JJ h Soil/ , Building Inspector
RESIDENTIAL FEES -* A(1d i+ion- (,)(
Base Fee
Surcharge 4- ALL A)cud �-c o ,v.S s rro
Plan Review Act 7c c-1✓5 -(' �C rr L'"
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
• q7b 1cni,), /, /2
1 . METRO 1875 PLAZA DR.
SURVEYORS SUITE 200
INC. (612)452-7850122
Certificate of Survey for:
HUTTNER CONSTRUCTION
LEGAL DESCRIPTION: LOT2., 3LOCK 1 , BRITTANY IOTH ADD.
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
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REVIEWED /..-----
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LEGEND INVERT ELEVATION AT SERVICE EXTENSION .°
0 DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION• A-
O DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION a .O
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR • =1 —
ELEVATION ELE VAT I ON
DENOTES PROPOSED SPOT
ELEVATION
ge.,-- DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
eei/t6EL) 31419/ — ✓A-rie. J5
I KWON certify that this survey,plan or r' // ` v
report was prepared by me or under my 1i;` ,- _, ' (`f i '""J
direct supervision and that I am a duly Bradley 4 Swanson, Mn. Rig. No. I5236
Registered Land Surveyor under the
" Laws of the Stole of Minnesota. Date: / 0! `