4468 Lynx Ct
Use BLUE or BLACK Ink
r
For Office Use
)1
V v ! V
Permit
City of EaEd I Lo. 0
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Receiv : ;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: (.2Q.- 4 s/1 4 J Phone:
RESIDENT /
OWNER Address / City / Zip: L f~~ L n w .
Applicant is: Owner Contractor
TYPE OF WORK Description of work: R q__ - 1~ oo
00
Construction Cost: 76?a d Multi-Family Building: (Yes / No
Company: cJ , i, ~~2ra c o L C Contact: 3J__0_ J t 2q
III' C C
Address: A tJ City: D s e- eto
ONTRA TOR
State: d 4 - Zip: 4~* cq Phone: rs ~ ( ~ a sZ g
License C 3 `1 78 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:
I 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
L conclude that YLey 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.aoi)herstateonecall.org
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 with permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval
x pqeAlelll x
Applicant's Printed ame Applicant's Signature oOp'
Page 1 of 3
CITY OF EAGAN
Remarks
Addition FAWN RIDGE ADDITION Lot 10
Owner
1 Parcel? n z.,cann 100 pi
screet 4468 i.ymx Court Stace Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1981 229.35 - 11.47 20 172. OS
STREETRESTOR. 1984 499.46- 49.95 10 S
GRADING 1981 61.26- 4.08 15 8b
SAN SEW TRUNK 5 1981 205.44' 10.27 20 HII 09
SEWER LATERAL C . 1981 33.07- 1.65 19 ,07
Sewer Lateral 1981 23.57, 1.18 20 17. a'
WATERMAIN
WATEFLATERAL 1981 43.67-/ 2.1$ 20 ,77
WATER AREA . 1981 205,44- 10.27 ZO 41?
Water Lateral 52 1 27.68' 1.38 . y
STORM SEW TRK Pp 3 1985 557. 79? 37.19 15 0 6
SEVHAT1;agP - ? 1984 222.51- 22.25 10 /
171,0. 33
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
4
3830 Pilot Knob Road
P.O. Box 21-199, Eagan, MN 55121 ?2366
,
PHONE: 454-8100
BUILDING PERMIT Receipt p
7obeusedtor SF DWG/GAR Estvalue $104,004 Date JU7.Y 29 19 236
SiteAddress 446$ LYI`7X CT Erect 0V* Occupancy
Lot10 elock 1 Sec/Sub. FAWAI RIDGE Remodel ? Zoning
Parcel No. Repair ?
? Type of Const.
Addition No. Stories
Na me CoRPO?TE CONSTf2UCTI0AT INC Move ?
Demolish ? Length
Depth
Address 4466 WEDGWUOD DR Int. Impc ?
j Sq. F[.
.
Ciry EAGAN phone 454-0644 instau ?
o Name SARE ApprovF
$ Q Address Assessment _
~ Citv Pnone Water & Sew.
U¢
W W
?_
U?
a=
` W
Name-
Address
Police
Fire
Planner
Permit $ 443.00
Surcharge ''° • V"
Plan Review 221.50
saC 575.00
Water Conn. 500.00
Water Meter 63.50
Council Road Unit X. 90. U0
;
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off-?? Tr.PI. 156.00
;
information is correct and agree to comply with all applicable State of j
Minnesota Statutes and City agan O inances. APC Parks ?
! Signature of Permittee ?7 -^ 1 Var. Date Copie0
f Total a? .s v 1 ?
?
A Building Permit is issued to: CORPORATE CONSTRUCTION on the express condition that
all work shall be done in accordance with all applicable State o1 Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial
- .:i
II _ I Permit No. I Permit Molder I Date I TNaphone 7i I
Plby.
Htg.
Ditp.
' . . 41,
PRICE
? Lot
3830
Block ? Sec/Sub
? Name Kleve Heatinn & P.i
°-' 13075 Pioneer Tra
c? Address
c City Fden Prairie phone
MN 55344
Name k-vrwrace ?_onscruc
Address 4466 Wedgewoafl D
CiH F.agan, MN 55123 phone
; TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater
? Tt? M BTU
Air Cond. - M BTU
Vent CFM
Gas Piping OuUets # ? - ? -t
Other Venting on 1 bath fan
FEE
S/C:
_ TOTAL•
PERMiT #
4L PERMIT RECEIPT }f
EAGAN ,
1D, EAGAN, MN 55121 DATE: -
154-8100
PE WORK DESCRIPTION
B
G
T
LD
.
Y
d. In 'Res. J-' New "
Mult Add-on
i
C
4212 r
omm. Repa
Other
FEES
RES. HVAC 0-100 M BTU '. -$24.00?
0644 ADDITIONAL 50 M BTU --G00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00) -
SIGNATURE OF PERMfTTEE
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
1 3830 PILOT KNOB ROAD, EAGAN, MN 55121
PHONE:454-8100
SRe Address
LotI () Block
0- Name
?§ Addre
c City
c Add
p City
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT #
RECEIPT #
DATE: 8 J4 - C5 (?;'
BLDG. TYPE WORK DE3CRIPTION
/ ?/
Res. ? New
Mult Add-on
Comm. Repair
Other
,.tjlQ. FIXTURES TOTAL
AzLWater Closet - $3.00 -. UU
' Bath Tubs - $3.00 ?, . vv
? Lavatory - $3.00 °. 0 Q
5C7Shower - $3.00 7_7077-
T_-Kitchen Sink - $3.00 U U
Urinal/Bidet - $3.00
?Laundry Tray - $3.00 •T
_F__
Floor Drains - $1.50
I Water Heater - $1.50
_Whirlpool - $3.00
-Gas Piping Outlets - $1.50
-Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
FEE ? ? • --U
STATES/C: Su
GRAND TOTAL• ? Z• ? J
PLUMBING PEHMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55127
PHONE:454-8100
Site Address
Lot Block
m Name
m Addre
c City L
Name
c Addre
0 City -
FEES
COMM/IND FEE - 19b OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00) .
?. / "?--
s?,
PERMIT #
RECEIPT #
DATE: -%F 7
BLDG. TYPE WORK DESCRIPTION
Res. New _
MuR Add-on
Comm. Repair ,
aner
NO. FIXTURES TOTAL
Water Closet - $3.00 $
_Bath Tubs - $3.00
_Lavatory - $3.00
-Shower - $3.00
_Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
Laundry Tray - $3.00
_Floor Drains - $1.50
_Water Heater - $1.50
_Whirlpool - $3.00
Gas Piping Outlets - $1.50
/ Sottener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE I FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob Roed
Box 2":19
P
O PERMIT NO.:
.
.
Eagan, MN 55127 DA7E:
Zoniny: No. of Units:
Ownar. ":?i:: Cor,•._
llddren:
$ib Mdress: ' Iv*1zS voQ''r
Plunber. -
AAeftr No.: Cannection Charpe:
Siu: Acoourd Depoatt:
•
'
Reoder No.: Permit Fee: ,
1 Nne h eN* vN6 !Ir CNf' of Eww Surcharpe:
CFnryes:
Mitc .
Or/IMaam .
Total:
Dote Paid:
gy
Dote of Insp.: Insp.:
CITY OF EAGAN SEWER SBtVlCE PERMR
3830 Pilot Kmb Road
P. O. Boz 2`199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zordr+0: No. of Units:
OwrNr: ?tC;?',:;5t..e. `e?,•:cz ':.cc;';?_:::!
llddreu: ?
Site Addrcss: 0011 r t
Plumber: :dII:.* n' - ?
1 Nm N esthr wi1M IM Clqr d fwo CorxrcNon (}arpr. ()C;u+ ?
OdIMKN. AaoUnf DePOSIh
PemAt Fes:
ri?wrgo:
By Misc. Choroas:
Date of Insp.: Totol:
Insp.: Date Pnid:
OF EAGAN WATER SERVICE PHtMR
Pi!at'Knob RorJ 77 . ?,
Box 21'W9 PERMIT NO.: 011
i, MN 55121 DA7E:
7? 1 No. of Units:
„ Corporate onst. • ?;'
Addnn: 440ti Lynx Gourt L10 BI Fawn Ridge
No.:
No.:
:) .L,p
P.. r....ply ..kh eh. per'i?IONE SPl+?6i?lC • GIIS Etc. .?upu
iMmaM.
?iluk? REQ ?? 53 .5ni?d
oat. Paw:
e of Insp.: Insp.:
CITY OF EAGAN ?
3830 filot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 12366
PHONE: 454-8100 rX f ZU
?
BUILDING PERMIT
Receipt #
To be used for SF DWG/GAR Est. Value $104,000 Date JULY 29 19 86
SiteAddress 4468 LYNX CT Erect 12? Occupancy
Lot 10 Block 1 Sec/Sub. FAWN RIDGE Remodel ? Zoning
Parcel No Repair ? Type of Consi.
. Addition ? No. Stories
¢ Name CORPORATE CONSTRUCTION INC Move ? Length
= 4466 WEDGWOOD DR Demolish ? oepth
o Address Int Impr. ? Sq. FI
Ciry EAGAN Phone 454-0644 Install ?
?
=
o¢ Address
~ City Phone
W W Name
?
? ? Address
a W Name SAME Approvals Fees
o
Cily Phone
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Oft. ??28?8E
information is correct and agree to comply with ali applicable State of
Minnesota Statutes and Ci f Ea an rdinances. APC
Signature of Permittee_!?! Var. Date
A Building Permit is issued to: CORPORATE CONSTRUCTION
all work shall be done in.accordance with all applicable State of 'fy,ljq1nesota St?
Building Officiai /? 4 9=mnc
Permit $ 443.00
Surcharge 52.00
Plan Review 221- 0
SAC 575.00
Water Conn. 500 . 00
Water Meter 63 . 50
Road Unit 290. 00
Tr.PI. 156_00
Parks
Copie 2 301.00
Total ?
on the express condition thott
an Ordinances.
,
r REQUEST FOR ELECTRICAL INSPECTION EB-OOWt-0<
1 See instructions Tor comvleting this form on back ot yellow covV• 0
'/
? 3'[' g O O X'" Be/ow Work Covered by This Request ?'6 7Vv
New .Addl Rep. Type of 8uilding ApDliancea Wired Equipment Wired
klome Range Temporary Service
? Duplex Water Heater ightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Afr Conditioner Bulk Milk Tank
Farm Other Spec- y ther(Snocify)
t r.r Suecity t er Other
Compute lnspectron Fee Below
p FBa SBrviceEntfBnteSize R Fee Fexders/Subfeeders 71 Fee Circuits
11,2202 Am s 0 to 30 Am s •UD 0 tn 30 Am s
Above 200 qmp5 31 to 100 Amps 31 to 100 qm s
Swimmin Pool Above 100_Am s Above 100_AmPs
Transtormers Irrigationl3ooms Partial-"Other Fee
Signs Special Inspection
$?
TOT
Rema
rks AI,.FfE?
f ,a
Rough-in
t Date / 1, the E ical
. ? Inspactor, hereby
c
tif
th
t Ih
b
Final ?
s er
y
a
e a
ove
.nspection has been
de.
ThisreQuestvWd78monthatrom --O
This request vofd 1-3 r 1 r-kz
78 months from .
t-3A800
?L qct y
Re st Date
? ? ? ? Fire No. Rough-in Inspection
Required?
?Ready Now ?-WTII Notify, InsDec-
t
Wh
P
Wes ? No or
en
eady
Q„"censetl Electrical Contractor 1 hereby request insoeetion of above
? Owner electrical work installed a<:
Stre t?A drRss6 0 x or RoyteNo. y
\U V li Citv'1pI
ecUOn o. Township NamaJ6r No. Range No. Coun
O cypa/nt (iNT)
/ "' N? ? Pho e o. /
Power upD??e , Address
Electrical Coniractor (COmpany Name) 47
? Contractor's License No.
Mailir1aq/A3l
r,A O.?GIO
o-uFbJo a in91n ti on)
L1?'•.S?IOCK L?
Ruthorize
Mg,
a ur (?pn te t n)
= V
Phone Number
MINNESOTA STpTE BOARD OF ELECTNICITY TMIS INSPECTION REQl1E5T WILL NOT
Griggs-Midwey Bldg. - Hoom N-791 BE ACCEPTEO 9Y THE STATE BOARD
7821 University Ave., St. Paul, MN 55104 UNIESS PROPER INSPECTION FEE IS
Phonw 16121 297-2111 - ENCLOSED.
REQUEST FOR ELECTRICAL lNSPECTION
/ ? See instmcnons for completing ihis lorm on back of yellow copy
"X" Below Work Covered by This Requesf
FN
EB-00001-OB
? z
ewlAdd Rep, Type of Building AppliancesWired EquipmentWired
_r _
_
Home
Duplex
Apt. Building
-----
t0omm./Industrial
rm
her lspecifyj -j Range
?Water Heater
Dryer
Fumace
Air Conditioner
Gontrador's Ramarks'
1 S Temporary Service
Electric Heating
Other (Specify)
,
C)
Comput
e Insp
ection Fee Below: y
A
# Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool ? 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs Inspector's Use Only TOTA
Irrigation Booms ?
? •? p
Special Inspection ?
Aiarm/Communication THIS INSTALLATION MAY BE ORDER NECTED IF NOT
her Fee COMPLETED WITHIN 18 MONTHS. r
I, the Electrical Inspector, hereby
tif
h
h Ro?9n=?? Dace
y t
cer
at i
e above inspection has
been made. F?nai oae f?
OFFICE USE JNLV
ThiS reGues[ v0'id 18 months tfom
??d
?
4
2 8-
?4
3
?
Request Date
52J Fire No. Rough-i Insp on
Re ire .
? Reatly Now ?1^lili Notify Inspector
? ' es No When Ready?
-
9
I= licensed contractor „
.Qwner hereby request inspection of above electrical work at:
1
Job AtlUress (Street. Box or oute No.I
y6
'
(Y City
.?x
8
.
Section No. 7ownship N me or No. Range No. County
OccyInt (PRMT)
V Ar S'? ? v Phone No.
Power Suppher Atltlress
Elecmcal Coniraaor ICompany Name7 Contractor's License No.
(tiq-0760 w6r- r
Meding Adoress (Gonlractor or Owner Making Installatian)
O Ui
Authori etlr5ignature iCOrnr'acto???,p ner kinc Installation) Phone Number
MINNESOTA SOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwa BI - Room 5173 BE ACCEP7ED BY THE STATE BOARD
1821 University ve.. SL Paul. MN 55104 - LINLESS PPOPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
? 651-681-4675
New Construction Reauirements
• 3 registered sile surveys showing sq. ft. of Ict, sq. fl. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing heam 8 window sizes; pouretl found design, elc.)
• t set of Energy Calculations
• 3 capies of Tree Preseroa6on Plan if lot platted after 7I1193
• Rim Joist DetaN Options selecGon sheei (bidgs with 3 or less units)
DATE :?Z - ?
RemodeURaoair Reauirements
• 2 copies of plan I
• 1 set of Energy Calculations for heated additions
• 1 site survey for extenor additions 8 decks
• Indicate i( home served by seplic system for additions
VALUATION !i?? 2G?
SITE ADDRE55 .4izA7J? L.C MULTI-FAMILY BLDG -Y (/N
TYPE OF WORK_ FIREPLACE(S) _ 0 J1 _ 2
APPLICANT 6.
STREET ADDRESS '?yE- 4
TELEPHONE # 65-1- a?''''/-Sds?ELL PHONE #
? CITYSTATEA/ ZIP
FAX #
PROPERTYOWNER 4Finu/ TELEPHONE#
---------------------------------------------------------- --------------------------- -.........
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINvESOT:1 RliLES 7670 C.A"I'1.GORY l MINtiESOT:A Rt;LN;S 7672
(v submission type) • Residential Uentilation Gategory t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalculaGons Submitted
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Contractor:
Mcch.uiical systcin includeti:
Sewer/Water Contractor:
Air Conditionin;
_ Heat Rccovcil, SSstrm
Fee: $90.00
o??lvu
Phone 112002
---------------------------------------------------------------------------------------- -°------ ---------- -------
I hereby acknowledge that I have read this application, state that the information Eect; n agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinpnces.0 c
Signature of Applicant
OFFICE USE OtiI.,Y
` Water Softener
Water Hcater _
No. of Baths
_ Phone #
I.awn Sprink.ler
No. of R.I. Baths
Phone #
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
' Updated 4102
,
1986 BIIILDIHG PBRNIIT APPLICATION - CITY OF EAG9N
NOTS: ALL CONTR6CTORS MOST BS LICENSED iTITH THB CITY OF EAGAN
SINGLE F9NQLY DWEI.LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS - RFSIDENTIAL RENT9L DNITS FOR SALE QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVE4 - CHSCg iTITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONalExCIAT.
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
& STRUCTURAL PLANS,
SET OF
/ov .
To Be Used For: !J?^Ualuation: Date: 07? ZO" f-t-
Site Address 4q6% Ly?.,t C-b
Lot )0_ Block
Parcel/Sub r'iz&.. f4delr
Owner CQ?Qp.%'i C04 -':rW
Address -1qL&WPjQ(#,wia
City/Zip Code ?dd. w
Phone qSq4 6q4
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone 4P
OFFICE D5E ONLY
"
Ereet Oceupaney
8emodel _ Zoning
Repair _ Type of Const
Addition _ # of Stories
Move _ Length
Demolish Depth
Int.2mpr. _ Sq Ft
Install _
APPHOYALS FEES
Assessments Permit yvs
Water/Sewer Surcharge wm?
-^
Police Plan Review 22
56
Fire SAC 573^
Engr Water Conn -500
Planner Water Meter CU, $?7
Couneil Road Unit 2910
Bldg Off f Treatment P1
APC Parks
Variance Copies
TOTAI. ?
NOTE: ADDRESSES FOR CORNER LOTS - CaNTRACTOR/HOMEOWNEB MIIST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGFS iiILL BE ALLOitED ONCE BQILDING PERMIT IS ISSUED.
? a
ONA
? -- .__ _ __ ?_ . ? - - y------ -?- -
? ? s
17
.?, V. `1?jt c1. 0...? S
4'1' `x.
Phone ^ntwali?ij
1??+e?
;i c• aadres:
:ontraCtor C-i:n ?Z- ? o rc?? ? ? o c?. ?? C?Jc?: orChOn$
?
luitdlng Clafsifttatloa: Type A1 (Single Fa:nfty 6 Duplex) Type A2 (Residential
----- (3 stories or ess ;
•(Other) (Over 1 stories)
'aENEAAI IMFORMATION
1. Building Perlmeler ? S.Co ft. - ?. Wall height (ground to eave) ft.
2
3. 1. x 2. (abovs) 9ross wall ft.
(_?_ 9 4.5
3. 8uilding dimensions (l) 40 x(W) 3_c? ¦ l?`t4.5 ft. roof sftoor area
i. Square fcot area ot rim joist - Floor joist slze (2 x lo ? ? ft2
?.O? x Perimeter = Rim o st area ¦?
. ,2-- ,
6.Doors • Area Th/e neas v-" n. attor
Yypt ot Construct on ForinNter 3z.,-E-\S.9 a ft:
Menufacturer e a s e ? '
'i
7. Totdl doar's periineter ?z.. zsb ft
State approved
S. Wt ndows: Miitutacturer t-- c o
u tacwr . 5 0
2
TYPE SIZE ARE 2? 4uUNTT50F TOTAL FEE7
EACH
7% 4
.So4? ? . -7 A
? r ? 0 3 O 5. S'9 =__==?
'?io. o v
g. Total ft.2 Glass
1? Flreplace area: Width x heiaht ¦ -?-x _`?-' ? Ft.2
11, Exposed founattion: Height x Perimeter ? x \\,? ' ?-$ Ft.2
:)MiPlETION OF THIS FORM IS REpUIRED FOR All NEW COfISTRUCTION. MAJOR REMOD£LING AMO BUILOI4GS 1.EI
13VE0 MNERE EttER6Y. OTHER THAY THE MINIMAI LODE AIIONANCE. IS USED.
...,_. . . . _
Z?.(? oc:5
.
roai wal l area Wi ndow area A f t. 2
Rim Joist area A ft.2
Ooor area A
Fireplace area A -ED?- ft.2
Exposed.foundation A Framing area A ft.4
Net wall area A p, o\ `t.
. j ':•?4,'' R,!' h y, r a - 7 yn 4+ Ysi?
9
.,
l: wlndows = _ 5Ca 'J x A •
? +' • ?'
.
U rim joist n •04 U x A = ?. Z.n
:J doorarea ¦_ ?3 U xq s_?
U rireplaCe ? 4W,-?4-
--------- U x a =
?'"' `
U foundation • V\ U x A ?
°,1 frani ng area =, O`i U x A¦ ?q .%'1;
'j wa 11 = e O Q 3 U x%+
P 3a; -;;AL . . . . . . . . . . U x .1
4. Gross ?+all area x0.11 (A-1 singie famil,y S d6:,;=x a allowable Ux A/Code ?
(13. above) . ;
x 0.23 (a-2 other resiCentia'.;
x .23 ,Other buildings' .?
.c ,'8 {pver ; sto?•?e:)
UH Must be larger
A ? ZC? S x l' Ccde .. - ?? --- ?'g? ?? . 138 above ' ----.--?±
5. Cailing framing area (Af) aquats 10': of ceilina area or the same as)
2 ;
:,?,t- Gross ceiting area ¦(L) ?? x(w) 30 = 1Zqf!.
N
Joist area (Af) = 10. ceiling area Z
{t.
yet ceil ino area (.4c) (15A - 158) p 5 ft,
4 U teiling x A c¦ _ a x_???.n5= ??.40
U f rami ng x A f¦ . o Z Co ? x-
•
?SQ. TQTAL U x A ........................................ y
l t ; ?? ' ' <h
i.eiling area (15A) x 0.026 (A-1 single `amily i Cuplex - code ailoNable U x A
? ??.. . • r ?
x 0:03 (A-2 other residzn'ial) '
? ., x O.C6 (o,ther) y
?a' • BTUN Must be larger than t50 (above)
A (15a) ? 7?.c?'? • s x ?fcodel" ?F (or the same as)
?.. "s
'.
NOTE: Use U and a values obtained f••om nps l, 3 and 4. ?
;
.
`
F, u
?
$n.'D ?
SLCTION . ?
(
.?
. ' ' ,??.. J •
2ND uALL
SLG'f I%'
,
w11
, ' : ?MII . . i ? rY ?T .'. e • . .
_ p 1({?? ' ; ? .r 4??
. . ? I ?. ..? . , .
IONTt{Il' Mai?? ,Nisll,) l! s 4;, f?<
.. , b0 . ll ? ,..
?'?l.
t1lLL::tCiun
?t?aChin?i z. ? ? ?
Sidtng Q'[?
•i_i
'? ..---------;; '::
Jutside atr Eilm .17
F TOTAL Zo? O 'i
._?
inside air f i1M
t[1Cu: tOC a111 45
a -ud 6 ?
F' (Framing) U• k • `'"'
r
??h ta th i n g ''a,, . oG,s ?
Sidfnj . !.?'l.
QIJCsidf itT 11 Ln .17
?
70TAL ?
5? •? ' ?."`?
_ .
.?.,._. . ? ? ?
_r
?
Lnstae air f:im R• .68
• ?
Incer ior va i 1
.45 ?
f*?
insulatlon +i
ti
(Wall) .. ¦
?
Shsathing Z oa z
?
Exter i or vi1 1 .ovq-e i nj
?
Extartor air Iilir. n w.1 7
R TOTAL
lntrr iur air (i i-n ?' .63
%g•?fl
JOLST •'_i l? ir,ch Sulc •.ruud R:1 .a8 (R1A1 V s.R' r
? JOiSt).
?'. Shea[`h t ng
•.?:
?'?.'i[?eiqor va l l cuveri ng • ?O? ° ?
%aterioc air fllm tio .17 4
? a rorAL
. • i . r-?• , ; 'k{?
lnt«riur air C:ln R' .6?i ?t?,
lnsula:tan '?.np ?
kF
Cero?a? ounJat'tun Z-`ta (Fdqi) U + ?
.Y
?b?_ xttTtor air film aw.,17
F rorxL _?...?:5 ?-L= •
3luck ?
r.raGe ? • ??
• . ?. ? , 'V,
?„„,-; • ^ ?????
. ..w..?, ?y.? ?MA r +m?fr•;,'.,• ..
. _. .. _. . . . . .. .. .. .. .. ,x- .t' N'. u. wr i y
jq " F t +
'
?
? . ;}? . . ? , • . ? ??!.??!
Ar ma
; .;
t'
,
<
3.? -I s Insulation 44 .0
3 4n,
.;o t s t
,.
? . 5: g ceittnq
?
0.61 Air Fitm
3'T .9,3 rotal R ,
1
U = 1f
fLAT ROOF OR CATHER?L C IlIING
R'YO1ue
f R"AM I Nfi
0.61 In51de air fi
Ceiling
Joist (stud
? Insulation
Air spatf
Roat dstkinq
? Insulatlon .
8u11t-yP roof
0. 7 Out;1dt air f
,
/ Total R_,_,_
-'--7-'---4 R " U
i
R YALUE
CEILING
0.61
4Sndow lnfiltra N cn .5 ctm/lineal foot of crack
tqtickntial door infiltratian 0.5 cfm/square foo: or Ocor and minlnur Gode requirement
on-resfdential door inflltration 11.0 chi/lineal .°oct of crsck
!b 12" concrete block no insu'lation - .47 R 2.1
lb 12" concreLe block insutated cores s.26 a 3.8
block =:32 R 3.1 ?.
,b 12" ]igntr+eight block Wsuldted cores ?.12 A 8.3
J. siogle glass • 1.13; With stori, window .54
,?.doubl? illass
) triple glass • .41 ?
1 (.
111 exterior r+alls and cellings must have a vapor barrier (C.10 perm rcaX.)•
4por barrier mst 0e on the inside (heated side) of wa11. ?
'4"pY barrtert oftfle polYQthtleno thfn film have no Rvalue.
?? umx?l ,
I,?'e iy.?,1..
?V Q
f CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, Mi 55122
PHONE: (612) 454-8100
$??7;";??
.. ......... ... . . . . . ,.
FOR CITY USE ONLY
PERMIT #
RECEIPT # 0/ b 8 '7'
DATE : / -/,
#TUU PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ciRE REQUIRED FOR EACH UNIT.
--------------°-_-..__--
WORK DESCRIPTION ---- ------°---- °-°-----------------------°------
COMPLETE THE FOLLOWING:
?- N0. FIXT[TRES EA.
NEW CdNST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR . °WATER CLOSET
? 3.00
BATH TUB 3.00
/ LAVATORY 3.00
OWNER NAME: SI KITCHEN SIN7{ 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS: =IN fo c' f,.n ? G HOT TUB/SPA 3.00
WATER HBATER 3.00
LOT: IQ BLOCK L SUBD. FLOOR DRAIN 3.00
GAS PIPZNG OUT.
INSTALLER: D?x,P.,etcr,r? str. . _ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: x_ OTHER
WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE 7 -
?
-?--i?N-A-_
aruxE tir' PEiir[iTitt
.e4.d P-4. / 46, i?y,??
TOTAL
/5 °-°
cs n
SUBTOTAL S ? s
ST. SURCHARGE .50
. $ / S. Sv
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUZLDINGS 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:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.SO FOR
EACH $1,000 OF PERMZT FEE_
$25.00 MINIMiJM FEE.
CONTRACT PRICE x 1$ $
STATE SURCNARGE $
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
.,
.
CITY OF EAGAN
APPLICATION FOR PERMIT
.,
SEWER AND/OR WATER CONNECTION
*******?****************************
? .
y*. *IOT?': PA3WW OF F.EE AT TIME OF
? APPLICATION DOFS NOT CONS'rIZiTiE
APPROVAL OF PF.RNIIT.
zrtsPECTIort oF sEWM Arm/ox MTM
TJ.ATTONS WII,L NO'P SE SC;1IID-
ULID UNfPZL PEE2MIT HAS BEEN
APPR()VFFD.
_.. -xx:?.:xx?=xxxx=x:x?==x?x???x:x=?xx:?
. Please Print)
? 1) PROPERTY ADpRESS : Lk,?L
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID )
IF FxIST2NG S"rRCCIURE. DATE OF pRZGINAL BLILDING PE.M.IT ISSI'ANCE: "
(Nbn Yeaz
PRESENP 7ANING/pROPOSID L'SE:
q ca',1MERcIAr.,/RErAir./oFF=cE
Q IDIDCSTRIAL
n INSTITi'TZONAL/CypVERNMENT
2) ?
R-1 SINGLE FAMILY
F-I R-2 DUPLEX (Two C?nits )
? R-3 TpWNHOLSE (Three + Units)
? R-4 APARTMENT/CONIDOMINILfi1
IVAME:
ADDRESS: .
CITy, STATE. ZIP:
PHONE:
3) NAME_ RaY? -
D E Me cG 0166, I;'c.. ADDRFSS:_ 7226 Cedar Ave c,.
i CITY, STATE. ZIP:
PHONE:
MN.
- L,OG} ,1_, MASTER LICENSE#
4) •a
N11ME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
i
( Units)
( Units)
Plumbers License:
Active
Expired
Not recorded
Sta 7nitial
•5) ? u r• . ? a: • ?• : ? • a? - ??
Ey'60NNECTION TO CITY SEWII2 ? ION TO CITY WATER Q aTfEt ' 6) ? '?•?? PLF.ASE HOLD APPROVED PERMIT FC)R PICK-UP BY ONE OF ABOVE ----- -- -
PLF.7ISE MAIL APPROVID PERMIT 10 1. . 3, fABOVE ?
? n • (Cir re one j
.
r ,
FOR C{TY USE ONLY
PERMIT # ISSL'ED
f /7/74( ?
Pd w/Bldg. Permit FEES:
$ $ fd - 5-b
$ $ s-b
$_ $
$ $
$ $
$ $
$ $
$ E6 0 • crZD $
S U--D $
$ $
$ $
$ $
$ $
$ ??? a-z) $
S $
..
SEWER PERMIT (INCLtiDE St'RCHARGE)
WATER PERMIT (INCLLiDE St'RCHARGE) .
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLODE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOL'NT DEPOSIT - WATER
WAC
SAC
TRONK WATER ASSESSMSNT
TRL'NK SEWER ASSESSMENT
LATERAL BEIVEFIT/TR['NK SEWER
LATERAL BENiFIT/TRLNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:-
TOTAL
? .5`/ ?- a ' ? soz 9?
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PLBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK 6+IITHIN PUSLIC
Q
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY;
TITLE:
DATE : 2S /.LIMP
?
I _
Nwam?
PNGINEEAING
C?MPANV, INC.
:1000 CAST 146tlh STREE7,
COHSUtTINO fNOINEEfli •
1'LRlit1EAS cnd LANp iURVEYOfIS
aUHNSVILIE , NINNESOTA 55337 PN 432'3000
Cer? z}?Z c uZ
LgQ4I cr4p2 iort: LOT /O , SA OGK / .1 GAWN R/OGE? ?AKOT'A
c D ulv e y, ?11.v1vE5O r,a
?° ???° • ?12.?1
? f*? y?' ?' ? (yoz.l?
. l°e
?9oz•6? 5 ? ? \
j2•
(-9
?..?00
i
0
O ? PROUSE O 1 O/J1 \\
yrb.° ?' s
? (11 C3 0
p 0)
r
(?j/?.0? OE.VOTES .?X/ST/N?r
E.C EY?J T/?i(/
( 9A! -d? .f?E?/DT?S PRo?dSEo
r < E v,4 -rio1V
i?voicAr-ES _ DiRECrio.?i
?w- ..SU,?CACE DRA/NAGE
F/.?/Sf/EO 6-A??AGE F??-4:
.?<Ee%vTi?N = 906.33
?
W;
D?
. y .
T
?
?
?KA ?NAGE ?' ? ?
?/riL/T)' d4SE/?7EN?
. -_?--?-
A r r)
L-
IvDRTh?
SC.qLE.' /"=3?'
iqz.05
A1890 2Z ' 04" w
?
J_
Df
I hereby ce?+tify that thie ie a true and correct repreeentation of t tract of
lind as sho?w?n' and dencribcd hereon.. 11a preparad by me on this ??? day of
AAe ?? , 19
- . ?..y , /?-t?...- inn. lte6. lz4t-
Z ?9Z OT /0 ?
?H
?
? .
30' ?=RoA/-r ,8uf /- niNG
.SE r,yAC lZ. L iNE