4379 Kaufmanis WayCities Diizital Qualitv Control
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CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RLCEI V qD
FROM
19
AMOUNT $ I
? OOLLARS
ioo
? CASH ? CHECK
?
Thank You
aBY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
, ?:_.. .
,.
, .
BUILDING PERMIT
Te be ased foe ?
Site Address ?
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122 N9 M8
PFlONE: 454-8100
Reteipt #
70.000
Lot Block Sec/Sub.
Porcel # 1. ?fl C??
of Name
W 7
Z Addreu
0
Ci '
p Name
ZU
o? Address
u
F^ rs«,
Name _
Address
00 Brooklqn Blvd.
I hereby acknowledge that I have read this applicotion and state that
the information is correct and agree to comply with oll applicoble
Stote of Minnesoto Stotutes and City of Eagan Ordinances.
? . . • ? ?-,? n---'?-
Signoture of Permittee
Erect p Occupancy ?
Alter ? Zoning ?
Repoir ? Fire Zane -
Eniarge ? Type of Const ?•
Move ? # Stories
Demolish ? Front ff.
Grade ? Depth ft.
Appwvols Fees
fAssessment Permit
Woter & Sew. Surcharge
Police Plon check
Fi re SAC '
Eng.
Water Conn. < <, ..
Plonner Wnter Meter '
Council - •, ;-,
Off.
Bldg -
.
APC ?. .
Total .
A Building Permit is issued. to: 'J' `S`'zta-? r{?'"'? '' on the express condition thot
qll work shall be done in occordance with qll applicoble State of Minnescta Statutes and City of Eagcn Ordinonces.
Building Official
i,
Remorks:
q-?-v, -7q
# I oote rssuaa
??f?,?? ????•
Date
&U, oo, r-wl
Insp.
, CITY OF EAGAN
' 3795 Piloe Kno6 Road
. • Eogon, Minnesote 55122
Phone: 454-614G
PERMIT
Dote: 1 ?1-20-713
Site Address: "sr-t KM1&W1iB my
Lot ! () Block 3 Sub/Sec. ?m ;x _
I Name R3rt7M 03ii18tnuct`m
.
m
e
O
Address 1-21790 Doffl S1vr;'
City
?
0
M
?
Phone:
423-2601
Nume Cenz-Ryan
Address 14745 SO• PObert 'Ira3'1
City Phone: 421-1144
is Permit is issued on the express condition thot oll work shall be
nnesota Statutes and City of Eagon Ordinances.
?
0
u
Tf
M
CIIRMS1RON AT'R Rw
No
lml
Receipt No.: IA34
Single
Residentiol
ivlulti Res., Comm./Ind. I
New/Alter./Repair
Cost of Insrollation
Permit Fee
20.00
Surcharge .50
Tota I 20.50
done in accordance with all applicable State of
Building Officiai
cirY oF EAc,AN
3795 PiloR Knob Road
Eeyaw, Minnesote 56122
Phone: 454.8100
PERMIT
Site Addreu:
43W, ICfiuf"T'mm18
Lot `! Block 3 Sub/Sec.
c,> "P. a--
Ncme
.
? Address
CIty Ph0nE:
Nome
?
? Address
City Phone:
This Permit is issued on the express condition thot all work sholl be
Minnesota Statufes and City of Eogan Ordinances.
No.
Date: 1=
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residentiol
Multi Res., Comm./Ind. ?
New/Alter./Repair. Cost of Instollotion _
Permit Fee
Surchorge
Totul
done in occordance wlth all appliwble State of
Building Official
, CITY OF EAGAN
' 3796 Pilot Knob Road
, • Eogon, Minnosota 55122
Phone: 454-8100
PERMIT
CosT of Instaliation
Date: ?'?'??'?70 Receipt No.: 3'3-7 2
Single
Site Address: 4379 r"3tifl?,,'- Way Residential X
Lot Block ? Sub/Sec. Multi Res., Comm./Ind. I
? Name `' • ? ?CxtS't. CO. IZ1a.
New/Alter./Repair. /I 17M rOW BlVcl.
Ibe?m3lt 55068
Phone: 423-1459
I Name (1-n`?/*RYa"
? Addre ss 11745 So' ?? "Ttail
e
0
? Cit L,:?? CTIT:t' Phone• ?.?'?. ;? tF
Y •
This Permit is issued on the express condition thot oll work sholl be
Minnesota Stotutes and City of Eogan Ordinances.
Permit Fee
No. 1277
20.00
? Surchorge
Totol
done in accordance with all upplicoble 5tcte of
Officiol
INSPECTI4N REC4RD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: '``"
, t'3 wA?
l..itl.i?t f.td! `.. 1 f,l:t .'Cd11 PERMIT SUBTYPE:
F t1v1tii
,ill I , 1+sN
tt,,{??,? ?
?..
PERMIT TYPE:
Permit Number:
Date Issued:
; APPLICANT:
, t•s ? , ??; ? .:i rd?
(trl:'? .633-104.
TYPE OF WORK:
Permit Na. Permk Holdsr Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inepection Date Insp. Comments
FOOTINGS
FOUND
FRAMfHG
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE ? ' -
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TES7
BLDG FINAL
BSMT R.I.
SSMT FINAL
DECK FTG
QECK FfNA!
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ` ? „ .4 •# 'r,'
t?f: l
,. . I . I , , .
ON RECORD
PERMIT TYPE:
Permit Number: ? ? ? ? ! ? • ?
Date Issued: 4J q 7
040 APPLICANT:
fil.Ilf i
IKEs[oE roRNfR TNi
lil:') 6 3 3•:4.)fsI
?
PertnR No. PermM Holder Date Telephone #
ELECTRIC
PIUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
RdOFING
ROUGH
PLUMBING
PLBG
AIR TEST
_
ROUGN
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
r...?J
FIREPLACE
AIR TEST
!
LG(??
FINAL PLBG I
FINAL HTG
OHSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FrG
DECK FINAL
CITY OF EAGAN WATER SERVICE PERMIT
2795 Pilot Knob Rood PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: _ No. of Units:
Owner, 3(' -
Address:
Site Address: •?"<- ??••?r ?sf s t?'trv :,_ 'p - -
PI umber. - -? ? . -
Meter No.: Connection Chorge: -G(] Qd
Size: Account Deposit:
Reader No.: _ Permit Fee: Tui
I agree fo eompty with fhe Crty of Eagon 5urcharge: •• ?" t=?:.l
Ordinances. Misc. Chorges:
Totol:
?
BY Dote Paid:
Dpte of Insp.: Insp.:-
CI'rY OF EAGAN
3795 Pilot Knob Road
Eogon, MN 55122
Zoning:
Owner: "' .
Address: ,
Site Address:
Plumber: _____
1 agree to eomplr wilh ehe City of Eagon
Ordinanom
of Insp.:
SEWEtt SERVICE PERMIT
PERMIT NO.:
?
DATE:
No. of Units: ?
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Chorges: -
Tota I:
IOD.Qa pd
CITY OF EAGAN Remarks
WILDERNESS PARK 2ND ADDITION 10 3 10 84251 100 03
Addition Lot Rlk Parcel
Own441,`.} }I ? `''?j\ ? pt .. 4379 Kaufman•js Way State Eagan' NW 55123
'?. L??; i Street
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK l -)
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA jgQV= 1979 626.58 62.66 10 626.58 9 1- -78
!E STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit Charge 5.00 12117 10-18-78
WATERCONN. 250.00 12117 I0-18-78
BUILDING PER. SOZ
SAC -00-00 12117 _78
PARK
cirr oF EncaN
8795 Pilot Knob Rood Eagan, MN S5712
PHONl: 4548700
BUrLDING PERMIT APPLICATION
N2 5028
Receipt # - •4r-111 7
-
000
Value 70
Te ba used for SF Ihalg. Est Dote 10-18 19_7-8-
.
, ,
Site Address 4379 Kaufmanis Way Erect EM occuponcy 1
Lot 10 Block 3 Sec/Sub. WP Z Alter ? Zoning Rl
J Q$!
2$1 100 03 air ?
Re Fire Zone 3
parcel #
y p
? Enlar
e ? e af Const
TY V
g .
P
a
c Name J Bartott Const Co Inc Move ? # Srories
w
z Address 12790 ?odd Blvd. Demolish ? Fmnt ft.
Ci Rosemount phwie 473-3459 Grode ? Depth ft.
? c?Te pvpeovalt Faea
p Name
??
I u Addre
?- rin.
Nome FlPP*wOOd HOIDAS
Address 5600 Srooklyn Blvd.
I hereby acknowledge thot I have read chis
the informMion is mrrecj„ond ag? c
State of MlnnesoM SMWte? and of
Signuture of Permittee .
A Building Permit is issue
all work shall be done i?n}
Buildirg Officiol _L
and stote that
all applicable
Assessment _
Water & Sew.
Potice _
FIre
Eng.
Planner -
Cquncil _
Bldg. Off. _
APC
Permit 169. SO
Surchorge 35.00
Plan check
S,e,C 500.00
WOter Conn. 250.00
Water Meter 60,00
Rd. Unit 75.00
Totai?-
.('o. on the expreu condition that
State of Minnesota Statutes and City of Eagan Ordirnues.
uest void 18 months from
Date of this Request // - c
I, as ?Licensed Electrical Contrac
cal wiring installed at:
7
Street Address or Route No.
Section Township
Which is occupied by
I
/a ??-P,
R34594
inspection of th above electri-
;L ..,.Jdi
Range County
(Name oi OccuOanq
!s a roughin inspection required on this job? No ? Yesg Ready Now ? Wil] Call,$
Power Supplier Address
Electrical Contractor ?r,?/^'+?'? ??'? Contractor's License NoS74/
Mailing Address D
(E t cal nt?act r or Owner Makinq Thls Instdllatlon) Authorized Signature??.cf Phone No. ?3?
(EI rlcal Contractor or Owner Ma 9 Thls Installatlon)
((?? /? ?i'I L ?O /j ?? ?j+;??/J This inspection request will not be accepted by the
E'J t,? ll L?, ? U,s ? ?, ? 11 State Board unleu proper inspection fee is enclosed.
Minnesota S2ate Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHOK BELOW WORK COVERED BY THIS REQUEST
/ a 6 4/,=;:z
R 34594
Type oi 6uilding New Add. Rep. Check Appliences W'ved Foc Check Fquipment Wrted For
I-IFine ? ? Range 19 Temporary W'uing ?
Duplex ? ? Water Heater ? Ltghttng Fixtures
Apt. Bldg.
?
?
?
Dryer
0
Electiic Heating ?
Commercial Bldg. ? ? ? Fumace 5d $ilo Unloader ?
[ndustriai Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Lvs List
Othe o o ? p
HL p
Hehe13I
COMPUTEINSPECTION FEE BEL
Service Entrance Size: # Fee F ers
J-Fee
r
Cucuits:
#
Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
lOl to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transforme[s RemoteCon[[o1Cuc. Par[ialurotherfee s
Signs Special lnspection Minimum Cee E5.00
Remacks 9'?l eLIC h ??
r 'IOTAL FEE
I, the Electrical Inspector, hereby ceJ? ?y hat t a ver inspection has heen made.
(Rough-in) ?G??e,?•- Date
(Final) Date
This request void 18 months from ?c'??
RESIDENTIAL
BUILDING PERMIT APPLICATION
6a
CITY OF EAGAN
' 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewCOnsWelion ReauiremeMs
• 3 registered site surveys shmvirg sq. R. of lot, sq. ft, af houu; aM aII roofed areas
(20% manimum lot coverage allowed)
• 2 copies of plan showing beam & wiMow s¢es; poured fourid design, etc )
• 1 set of Energy Calculations
• 3 copies af Tree Presenation Plan H lot platted after 71/93
• Rim JoislOetad Optiore selection sheet (bldgs with 3 or less units)
DATE 72 - 6 3 ' U ?2-
SITE ADDRESS
TYPE OF
APPUCANT
STREETADDRESS 17 L--H'lz' TELEPHONE #A?' CELL PHONE #
PROPERTY
TELEPHONE #
--------°---------------------------------------------------------------------------°--------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNL:SOTA RiJLF.S 7670 CATEGORY 1 MINNESOTA RiJLFS 7672
(J submission type) • Residential VenUlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Suhmitted
Plumbing Contractor:
PlumUing system includcs:
Mechanical Contractor:
Mechanical systcm includes:
Sewer/Water Contractor:
Air Conditioning
Hcat Recovery System
Phone #
?
Phone #
Fee: $90.00
Fee: $70.00
-------------°---------------°------------------------°------------°-----------------------°---------------°--------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' a ces.
Signature of Applicant
OFFICE USE ONLY
_ Water Softener
_ Water Hcater
No. of Baths
_ Phone # _
I.awn Sprinkler
No. of R.I. Baths
aS
RemodellReuair Reauiremenb
. 2 copies of plan
• 1 sel of Energy Calculahons for heated addltions
• isilesurveyforexlenaraddNons&decks
. Indicate if home served 6y seplic system for addiliom
VALUATION ?
W
MULTI-FAMILY BLDG _Y Q
_ FIREPLACE(S) _ 0 (Z 2
_ Wudi S7a?c-
lJjv.cCATATE InNZIP
FAX # 7K/i
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
5
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Parch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 MuIG
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 AlteraGon ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolltlon (Entire Bldg oniy) - Give PCA handout to applicant
Valuation Occupancy MCJES System
Census Code Zoning CityWater
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ plunibing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Ftgs
Pool
Air/Gas Tests Final
- FrammB _
_ _
_
Siding Stucco Stone _
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Insularion _ Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Piumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By , Building Inspector
.;A- •
RESIDENTIAL ?
BUILDING PERMIT APPLICATION ?
7 CITY OF EACAN 0
3830 PILOT KPIOB RD, EAGAN MN 55122
651-881-4675
New ConsW ction ReauiremeMS RemodelfReoair Reauirements
• 3 re9istered site surveys shrnving sq. ft. of lot, sq, ft. of Iwuse; and zll roofed areas • 2 copies of plan
(20°k mazimum lot coverage allowed) . 1 set of Energy Galculatiom for heatad additions
• 2 copies of plan shawing 6eam & whdow saes; paured tound design, etc.) . 1 site survey for exlerior addi6ons & decks
• 1 set of Energy Calculations . Indicate if home served 6y septlc system for addiGons
• 3 copies of Tree Preservation Plan if IM platled after 717193
• Rim Jaist Det2il Optians selec0on sheet (61dgs wAh 3 or less unils)
DATE i'hO-(Q l?(rA , c/A VALUATION 12MI
L?
SITEADDRESS ??i'?IT NLr"1('1w'1S &lj-PI MULTI-FAMILYBLDG _Y _N
-d FIREPLACE(S) 2_
TYPE OF WORK aleSW[ C, paLdjVr*r- d Qu. ,?ue (YYt
?J rawt a4aS llrfAPPLICANT `.? ? ? irD0, (li? v`u? A-,? 1.411 1`P? F?`?'?.ci`???
STREET ADDRESS S' g'?Z J?
dLU 3 CITY,
TELEPHONE #?`5?-TAS ?o-('lJCELL PHONE #
t
FAX #
ZIP S
PROPERTYOWNER ('?I J4(L'm TELEPHONE# 72IS?
--------------------------------------- ------ -................ ----------------------°------°-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNI:S {? (
(Jsubmission type) • Residential Ventilation Category l Worksheet Submitted • New EnfB r t 811br?'?
• Energy Envelope Calculations Submitted MAY ]. 6 CUU1
Plumbing Contractor: __________ Phone # __ Plumbinm systcm includes: _ WaYcr Softener _ Lawn Sprinkler ,^.f9fY"?? '
Water Heatcr No. of R.I. Baths
No. of Baths
MechanicalContractor. r-iL??k 1-2000L12Phone# <?`? ?7?`????
Mcch:uucal system includes: _ Air Conditioning ree: $70.00
Heat Recovery System
Sewer/Water Contractor.
Phone #
-----------•------°--°----------°------------------------•-----------°----------°°-------°•------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Ciiy of Eagan Or?nc? ??1?/ •
Signature of Applicant ?
OI'FICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY ' .
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4-sea.) '? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ?` 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows(Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zor?ing City VVater
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (ad(hhon) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Iasuiation _ Retaining Wa11
Approved By , Building Inspector
Bass Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
.
'-, q ? 1? 3
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN \
3830 PILOT KNOB RD, EAGAN MN 55122 ?-? o U\
651-681-4675 Q? ? V
RemodallReoalrReauiremeMS '
• 2 copies of plan 1 set of Eneyy Calculations for heated additions
• i sRe survey for exterior additions & decks
. Indicate M home served by seplic system for additions
New Constructlon ReuuiremeMs
• 3 registered site surveys shovring sq. ft. of lot, sq. ft. of house; and £II roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing 6eam 8 window s¢es; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted aRer 711193
. Rim Joist Delail Oplions selection sheet (bldgs with 3 or less units)
DATE C3 '-
VALUATION
SITE ADDRESS T317I 7?A4?/v/A.?.'/' lif?Ati MULTI-FAMILY BLDG _Y N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS GUA., CITY ALA .laR?J STATE /l(N ZIP
TELEPHONE #G-r/- YSo1• 70fCELI PHONE # FAX #
PROPERTYOWNER ?/?I/c.E /!',q"I'., TELEPHONE# 4 S? 'S?S?- '7?"Sd
-----°------------------------------------------------------------------------°--------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'1'A RULES 9670 CATEGORY 1 MINArESOTA RULES 7672
(J submission type) • Residentlal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mcchanic:il syslem includes:
Sewer/Water Contractor:
_ Air Condilioning
Heat Recovery System
Phone #
Phone #
P'ee: $70.00
-------------------------------------------------------------------------------------------------°----°°°-------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' ces.
Signature of Applicant K -
OFFICE USE ONLY
Water Softener
Water Heater
_ No. of Baths
_ PllOllC # .
Lawn Spriiilcler
No. of R.I. Barhs
P'ee: $90.00
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updaled 4/02
OFFICE USE ONLY
s ,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex `%18 Deck ? 23 Porch(screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg onM - Give PCA handout to applicant
Valuation tv LA 3 Occupancy 123 MC/ES System
Census Code ? 3 N Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of BId9s Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
? Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool
Air/Gas Tests
Ftgs Final
_ Framing _
_
Siding Stucco Stone _
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulafion _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
?
$70
.
b
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DpTE /? ' / i ' 76
BOILDING PERMIT APPLICATION
Include 2 sets oi plane, 1 site plan w/elevations and 1 set of enezqy calculationa. _
To be used for Valuation
Site Addresc: , y3 =7 cf
s?
Lot '6 Block j Se.e, Sub. Parcel Number
?
Owner Teleptrone
Address
9?a i
Crontractor R/. !7A/L-Td,a) 1MSi. o • -ZA1G, Telephone 4/23
nedress iz-j'zo Dvd.9?2 ,e3iuG •
?sns.T. /{1: w/rJ
Arch./Fhg. ?L?ertJon? ?> Telephone ??tl S 3 2d
nddresa ,?ftt&???
OFFICE USE
i
EYect ??`-???'??? ? ?S4' •
Alter
Repair
Prtlarge
lbve
nerolish
Grade OPFICE USE
Date of Appmval 6 Initial
Asaeasment
Nater/Setve! •
Police
Fire
?9 •
Planner
Oouneil
Bldg, Off.
A.P.C. --.-
.?ycee
OCNPBncY
7aning
Pire Zone ?
Type of Const. ?
; of Stories
Front
Oepth
-0
Pesmit
Surclaz4e
'pian Check
SAC
F!IIt2! COM. 2 CD ° --
wa t:ri,
TOTAI.
h f3,1
Y .
i ? E> s? Cl
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:,
14745 Sou[h Robert Trail Rosemount, Minnesota 55068 Area 612 423-1144
-2,0 15' -4,1_7
September 13, 1979
Mr. Doug Reed
Village of Eagan
3795 Pilot Knob Road
Eagan, MN 55122
RE: 4379 Kaufmanis Way, Eagan, MN
Dear Mr. Reed:
•
i '
? ..
Genz-Ryan will accept responsibility for a period of one year,
for any defect in underground plumbing that was caused by our
Company, at the following address:
4379 Kaufmanis Way
Eagan, Minnesota
Legal: Lot 10 Block 2
Wilderness Park
2nd Addition
The general contractor for the job is J. Barton Construction.
Sincerely,
GENZ-RYAN PLUMBTNG AND HEATING COMPANY
Timothy . Hamilton,
?
Business Manager
TTH/zl
',;Wy;u.#• f ;'WMAXi:. .P':t}'<??•?;:i1?:Y:8(?:$?Y,:sX>Yvti'?.
Ci_rv ilp '`d'AN
..f'r.. Di2/24/97 M!:: 1050M
VA"^S° ALI:'I"'Il F1:Ii:=S:I:T..', :[N^
;=c;!l Jl?fJl fi;;%'`a, f•F+U"inPAiIS Mfl')
9. '-- r)Prt.
f.L`t?]
_?
(27.:) r
I
Fifi.:'?ri"t9?}UT.i t?
O)(1
320 9001 7
'f'E}G
?
C DiVNC' Li?i J1?I,I?i?
???)?' ?ll?0.. ?
t
(
^F?•\?'Il? PY'WiA,T t•'Ai (' q1
?
'r,_.r._'_ R*7plp9: Fnrrc,i.,t-T..
210e 24F?
_i} 1.1''r 4At'1C'1
u:1k+,. .. ?;{?"^'}$`mYtY"R:?O;:)'<'$; i %n", :. _.,- ,:?Y,(rJi'?nv,R; . •a{:'L ,_
A PERMIT
X C1TY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: s u z Lo z rv s
Eagan, M'innesota 55122-1897 Permit Number: 029521
(612) 681-4675 Date Issued. g 2/21 /g 7
SlTE ADDRESS:
4379 KAUFMANLS WAY
LOT: 10 BLOCKs 3
WILIJERNESS PARK 2ND
P.I.N.: 10-84251-100-03
DESCRIPTION:
ermit Type
k?c Type
?
4?
FTREPLACE
NEW
434 RL'f. FtESIDENTIAL
?
&a ? ?
?e?'??.1
?»-
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Swrcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LTC OWNER:
FIRESIDE CORNER INC 16331042 0001068 HALLIGAN PAT
2700 N,FAIRVIEW AVE 4379 KAUFMANIS WAY
0SEVSLLE MN 55113 EAGAN MPI 55123
•rr19l 6'2.2-1042 (612)452-7050
f • _ . a . g .. i. I Wi-ere•by ack,n owPed,g e CEe?t. S h'- J,rrf6.rin&Uicr? 'is ??n??ec?a?tci ag
? 5taGUts% aCro-Caty,a"E „QP.?
L } ..f. •'a
?,,ryq Xy p ? ?,y y
? ?+PY`h?.AY:1 (? 4.} ?iq?IJr4Y.?B.?'1 .i? ?rW N'Swy? .W 4afFW???If? ?• ?t
-11-' opF- 'X''QiwkF?;4? :-
s
?
,..
APPLICAN7/PERMITEE SIGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1997 FIREPLACE PERNIIT APPLICATION
681-4675
DATE:
?- ??5 ?
DESCAIPTION OF WORK: ?O CONSTRUCT FIREPLACE
_ INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OT'fER:
STREET ADDRESS: 37c
?
LOT _a BLOCK 3
Name: P A ,-L ! 4 Ao.J / A?ZsphM Y Phone #: a SM
APPLICANT: (c'vcle one only) OWNER CONTRACTOR
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.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Signature:
q cJ 1=f MA nJ / S
.65o_sv
PERMIT FEE: $50.50
ALTERATIONS TO EXISTING
SUBD./P.I.D. #: w.A44,? O.6 -
?
Street Address:
City: &DO G Ati JtatE. R/lJ r
g ".?.t ? 'f2L 12c5 ( 06C
Company: `?YLx.? ?pcC- eA 2nJ97'L
St?ee Address3$So- W-?`?? ( 3
City8j`QQ.1 S`?l State: 'Kl tJ
Company:
Nazne:
Signature:
Street A
City:
G?'A
Zip:
Phone #: 8P'O-o7.s` 6?3 ZS?
/r33f0?z-
License #: L0 6 '8
zip: 3",;?
Phone #:
State: Zip•
OFFICE USE UNLY
BUII.DING PERNIIT TYPE
0 14 Fireplace
WORK TYPE
? 31 New o 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS
4 ?•? . ,
,? .
.,
Chimney/flue must be inspected before concealing.
-FRAP"cING AD3USTMENT FOR OPAQUE WALL
iox • -is O.C.
7% r2a1? O.C.
TOP VIEtJ
OF WALL
,
LA
? PERIbriEF.f`_L - --
FLOUR - -
--
p U
I
'??iNDAT?ON o
.lALL °
4
i
?
3
4
5
6
7
g
9
1J
)1
l2
13
14
15
16
17
1Q INTER7.OR Atx fflu't "•?"
l9 - ?
2I ',?:{TERIOR AIR FILM •
TOTAL R Z- 3 a-
"U" o • 4Z-l
22 INTEP,IOR AIi? FIL.?1 0.92
b
23 3`1z° FF ?NSU? 11.00
24 Rywoo,o
25 EXTERIOR AIR FIIM 0.17
TOTAL R 1'Z • s'?
flUn
"5
?7
3? EXTERIOR AIR FILM 0.17
.',1
37.
33
34 AI:t SPACE STII.L
35 ?
36
37 NTERIOR A R FILM
TOTAL R
uUn
THIS FORM DESIGA'ED AiVD FURRI3HED BY: ??T}?ESHD1IVISIONC.
6500 BROO::LYN BLVD.
BROOKL7lN CENTER, MINCO. 55429
612 560-5330
CUSTOM COMPONENT PARTS FOR COCIVENTIOT.?AL COPTSTRUCTIOti 9/77 REV.
9/77 REV,
r .-?
EXTERIOR EhVELOPE AVLRAGE "U" CODiPUTATIONS
(to be submitted with building permit applications)
Type "A" Buildingsr ? .
Type "B" Building5__-
Contracror
J. SpRTON CONST,
Site Address?atLo,P,x.r; w?uotiKUtx Pa?e1c 2kA-
ilate 22 rr\+ta- Phone Other PLAN it 11- 2°o`b
LINEAL FT. OF
EXPASED 'dALL l?o(u '?'? a X °?• S FT. ABOVF GRADE= t'? L5Z . 31
TOTAL EXPOSED 4ALL AREA SQ. FT.
OPAQUE WALL
Detail
reference
f x'om
attached
SL1Blt8
WINDOWS : "lJ"
Make & type
n u
n n
u u
n n
u u
CONSTRUCTION: "U" value x area
(z" 40v? P.x.K- "U"o•4'L"t x sq.
Zl'."c' SoIHT IIU110•? X Sq•
GaNT,Levee. "U"o.oqb. x sq.
Vj7g'l\G W Rl.l- 11UII(?.p) X sq.
10°/o VQ.rA.QyD?• nUuo•?bK x sq.
C,AvAi,e w 1.U1:O•o4(jx sq.
100i0 vz?v!. Roi • uUu .Q oS5 x aq.
,
? uUu x sq.
aUn x sq.
value x area WEpTN??-sH?a?v orz
U x sq.
G?l.?0ER?2 _ u11?? (1? X sq.
Lhm-C'-i uU° D S4 x sq.
1o wo• Peno Az. "Uu x sq.
uUu x sq.
uVu x sq.
IOUu x sq.
uUv x sq.
ft• ?OVI•?O°P = 4CP•-)Z (U) (A)
ft. (U) (A)
ft.31.4-4- = z•5z (U)(A)
ft. °cf.o.-II = 41.(n47 (U)(A)
ft. °f4•'c?z = °c?.0 3
? (U (A
ft. ts?.'?°> _ ?1 • '1?
L (U (A
ft. t
j• sCv =_l 4°? (U (A)
ft. - (U) (A)
ft. _ (U) (A)
E4zutq? '5/03? ?w7SuL.
f t
. _
(U) (A)
ft, a3.-7z = sl.c?l (U) (A)
ft. 12•5L = 3`9•%? (U) (A)
?.oa = I5.o2?
ft. kU) (A)
ft. _ (U) (A)
ft. _ (U) (A)
DOORS: "U" value x area
° TNz¢"^"'" T?`?
"
0
(U)(A)
Make & type 3 .O Ol.fa x
"U sq, ft. 70•
1 (U)(A)
a uUuo oS x
- sq. ft. •
" (U)(A)
i
°
u n 2 0 11U11p.o(,fo x sq. I o1 =
ft. ? .?
o
u u uUII
x sq, ft. _ (U)(A)
u u ,
IOUOf x sq* ft. _ (U)(A)
n u uUu x sq. ft. _ (U)(A)
TOTAIS W3.Z?i' Sq.Ft.Z26.G°0 (U) (A)
TOTAL (U)(A) VALllES DIVID:D BY 7ZL•4 p AVG. "U"
TOTAL WALL AREA 140 13
ROO?'/CEILING: REQUILtED AVG.
TOTAL ARE_4: y-4- sq. ft.
Detail CE1?.tNC,
' x
„U"o n2;
sq.
ft.124°l.`?Z = 31.25
(U)(A)
reference ?°Io ??zv.?. ?0.0? . "U"o.oz x sq. ft. 0)4.0°0 = 2•'1's (U)(A?
from ---' "U" x sq, ft. _ (U)(A)
attached "U" x aq, ft. _ (U?(A;
sheets "U" x sq. ft. = U A
TOTALS 134 Sq.Ft 3'?°?4? (U)(A)
TOTAL (U) (A) VALUES DIVID;:D BY 33 •?`?' = AVUJ. "U"
TOTAL ROOF/CEILING AREA 1-z?44- O•o24'2°03
REQUIRED AVG. "U" C)• 04-
TOTAL ENVEIAPE CALCULaTION METHOD '
DESIGN:
WALLS = x TOTAL 744LL AREA
ROOF/ = x TOTAL ROOI'/CEILIyG ARLA =
CE ILIP!G TOTAL
ACTUAL:
[JALLS x
ROOF/CEILING x
?
TOT4L
ACTUAL = DE5IGN
71 -3?E>
TOP
OF
• q•
ROOF/CEILID'
1
?
3
4
5
6
7
4
9
10
].1
]. ?
13
14
15
16
17
1Q
79
22 I??TEP.IOR AIR FILM 0.92
73 3`I " F'F tv+s??- it.oc?
24 '• " oo qc>
25 EXTERIOK AIR FI
TOTAL R IZ•?'?
nUu o.oR?
37
3,'?
3]
32
33
34
35
36
37
CONSTRUCTION R-VALUE
b
EXTERI6R AIR FILM 0.17
AI:t SPACE STII.L _,-___._ .93
'VTER OR A R
TOTAL R
uUn
THIS FORM DESIGh'ED AND FURnI3HED BY: FLEET'JOOD q0',[rS, INC.
MPLS SALES DIVISION
6500 BROO::LXN BLVD.
RROOKLYN CS:dTER s MIN21. 55429
612 560-5330
CUSTOM COMPONENT PARTS FOR COfIVE!VTIO'.`?AL COPTSTRUCTION 9/77 REV•
,'.`CTERlOR AIR FILM 0.17
TOTAL R Z-34
"U" o • 4Z-I
FRAAtING ADJUSTMENT FOR OPAQUE WALL
10%• 16" O.C.
7%' 241tiO.C. ?_? ?
9/77 REV.
EXTERIOR Eh'VEIAPE AVGRAGE "U" COMPUTATIONS
(to be submiYted with building permit applications)
J. BARTON CAMST,
Type "A° Btlildixlgs__?,., CnntracT.or
Type "B" Huilding9,?_4 ?_
ilate 22 m?acL "1? Phone
LINEAL FT. OF
EXPCISED'.?ALL l?etesd X °)•? FT. ABOVE GRADE= l`5 ?Z. ?\
TOTAL EXP03ED `dALL AREA SQ. FT.
OPAQUE WALL CONSTRUCTION: "U"
1z" G
P value x area
nUnp.4Zj x
sq.
ft. 1o?i.°v°o = 4Cv•O?Z
(lJ)(A)
Detail .x.l-
oti? uUuo•c??5 x Sq. ft. S. ?°)
5z (u)(A)
(U)(A)
reference c.aN-r,?evee
wa?
?
- "U"o-o°o x
uUu .o ?°? x sq.
sq. ft.?1.44 - z•
ft.°cs?•-Il = 41.cc4? (U)(A)
from
attach ed -
-
t?a5?c
io°/o +F?,e,k,a?• "U', °•?S'Sx sq. ft. °?4•'Sz : o.oy
=-l
1?
°
' (U (
A
(U?(A
sneet6 C.,ReR?E wR?.?- °U"ep.04°Lx sq. •
1•
?
ft.ly
5t
= 1 4q
- (U)(A)
in0/0 z?,n?. Ao?•
- uUu .p ?SS x sq. 1•
p
ft. ? (U)(A)
nUu x sq. ft. -
uUa x sq. ft. ? (l1)(A)
41INDOWS: "U1' value x area WEpTN?? sw??Q oR,
i
tt E?vq?
_
(U)(A)
Make &
11 type
u
G
?h lU
x
co\ x
??Uu sq.
sq. ft.
ft. a3.?z = 51.01
(U)(A)
n ° ???oEr
GhmTy Q
uU° .p s4 X sq. ft. ?Z•5L = 3y??
o-b
' (u)(A)
(U (A)
u u (o wo• Pnr? Dz. ??Uu .b 53 x
l sq. _
?G.oo = iS.
ft.
_ kU?(A)
u u uU
# x
?? eq. ft.
_ <U)(A)
u u ???
x
u
n sq. ft.
_ (U)(A)
u n U
x
It
n sq. ft.
_ (U)(A)
u n U
x eq. ft.
DOORS: "U" value x area Tuesw.w- Te?
ff
?'
= 1.3z
0
0
(U)(A)
Make & type
u .D oc,(o x
U
?'U??
8 x sq.
s .
ft. 2
1
ft
_? (U)(A)
u
n u Z°a o 0
-IIU°p
of,(v x q.
sq, .
ft. 1"l.01 (U)(A)
u u .
x
°Ljn sq. ft. _ (U)(?'+)
u u ?
??Uu-" x sq. ft. _ (U)(A)
u u uUnx sq. ft. _ (U)(A)
TOTAI,S ICa13."l?i Sq.Ft.ZZG.U°o (U) (A)
TOTAL (U)(A) VALUE3 DIVID:D BY ZZL.C. a AVG. "U"
TOTAL WALL AREA I ? is j?
IO
91 ?
U
REQIJIRED AVG.
ROOF/CEILING:
TOTAL ARE_A: I?4-4-- s9•
t .
-- W?
Site Address?oT ?o, P,x.?c; wiuocKwtx P?er 2`
Other PLAN ll ?1- Z? o?
ft.
Detail r&1L-tr-jv "U"°. ozy x sq. ft.124?1."17- = 3l•ZS (U)(A)
reference 7°lo cz? "U"o.oz x aq. ft. °?4•0°0 = 2•?'?s (U)(A)
from "U" x sq, ft. - U A
attached "U" x aq. ft, _ (U)(A)
aheets "U" x sq. ft. _ (U)(A)
TOTALS ?34 Sq.Ft 33 °>? (U)(A)
TOTAL (U)(A) VALUES DIVIDiD BY 33 •O>`b = ?
O•o2?iZ?o3 AV3. "U"
TOTAL ROOF/CEILING AtEA 1344
REQUIRED AVG. "U?' ? • 04-
TOTAL ENVEIAPE CALCUL4TION METHOD
DESIGN:
WALLS ? x TOTAL "dALL ARE4 = _.
ROOF/ = X TOTAL ROOL'/CEILING Pu2:A °
CEILIP?G TOTAL
ACTUAL:
WALLS x °
ROOF/CEILING x =
J TOTAL
ACTUAL ? DESIGN
7 "7 - -'5,
FRAMING ADJUSTMENT FOR OPAQUE WALL
10% 16" O.C.
796. ,24." O.C. 11
.
TOP VIEW
OF WALL
,
BA .. ,
;--- - - ---
` PERIYriEEf_L ,
FLWR
a o
^rUNDATtON n
.JALL ?
. 4-
ROOF/CEILIP
i
?
3
4
5
6
7
4
9
10
71
). ?
13
14
15
16
17
13 INTERiOR 4ix r'11r1 ?•??
]9 -
21 '--XTERIOR AI-R FILM ?•j?
TOTAL R Z -3a-
oUu o.4.z1
22 IVTEP.IOR AIR FIL?t 0.92
b
?.3 F'F JNSu? Il.oc?
24 315?" Rvwoo ?.a
25 EXTERIOR AIR FILM 0.17
TOTAL R 1'Z•q-7
IOUll o.o°ca
? .,
.o
n?
30 iXTERIOR AIR FILM 0.17
.',1
32
33 ?
34 AI2 SPACE .93
35
36
37 ^ITERIOR AIk FILM
TOTAL R '
uUn
THIS FORM DESlGh'ED A2dD FURNI3HFD gy; ??T^?OODSND?IVI3IONC.
6500 BROOI:LYN BLVO.
RIt.00KLYfd CE:1TERs MINNi. 55429
612 560-5330
CUSTOM GOMPONEiVT PARTS FOR cOCrVENTior?AL CorlsTRUCT1oN 9/77 REV.
COitSTRUCTION R-VALtJE
9/» asv.
EXTERIOR ENVELAPE AVERAGE "U" COMPUTATIONS ' •.
(to be aubmitted with bNilding permit applications)
Type "A" Buildings` Contracs.or J. BARTON CQNST.
?
.?._ ..
W? .
Type "Bt' Buildings_- Site Address?aT ?o, P.x,?c. 3 wcuosK?tx Paeti 2?
uate 22 moQ Phone Other PLAN #
LINEAL FT. OF
EXPASED WALL l??•?a X °>•? FT. RBQVE GRADE= tf ?--Z, 31
TOTAL EXP03ED +JALL AREA SQ. FT.
OPAQUE WALL CONSTRUCTION: "U" value x area
flUll0.4'Zl X sq.
Detail "U"o•r? x Sq.
reference GR?AT1l.6VBQ- "U"o o°o x sqo
fsom Fjw"%c w Rt-? uUu .??x sq.
attAChed ,
10°Io FQ.M. ADA• x sq.
sfieets c21Vu-AL?G uUu?x sq.
,
tnoin vo m . qp?.
- uUn .C? aS5 x sq.
uVu x sq.
"U" x sq.
WINDOWS: "U" value x area NjEqTN?Q.-sH???9 oR
Make & type U x sq.
u n LtOFCth nUu! 1 X sq.
u u c.hmrti nUn ?p 5'4 x sq.
u 4 ??u.?• Ri10 5?2. nUu b $3 X Sq.
u IS upn x sq.
u u npu x sq.
u n u(Jn x
__ sq.
n u nUn?"
x eq.
DOORS; "U" value x area
Make & type "U" .D ou(o x sq.
11 11 ?a?OEl..?se nUllO Oe- X SCI.
u u 2°o nUn p.oU(o X sq.
u o upn
x sq.
n n -
utJii x sq.
n u nUu x sq.
ft. 1oy.?n°d = 4cQ (U) (A)
ft. S. (U)(A?...
ft. 7.57--
?
(U)(?+)
(U)(A)
ft. 41 .to
ft. ?4•Sz s o.03
- (U (A
ft. ks-1 ."?G? _? (U (A
ft. n. s(v = l4°> (U (A)
ft. - (U)(A)
ft. _ (U) (A)
E Gt.xA,\-
ft. _
(U) (A)
ft. a3.12 = Sl?c?l (U) (A)
ft. lz. 5Z = 3-t.• ? L4P (U) (A)
?.oo = t9,o2-,
ft. (U) (A)
ft. ? (U) (A)
ft. _ (U) (A)
ft. Z0.01 = (.3Z (U) (A)
ft. ?.`b = D- 96 (U) (A)
ft. I'l ol = I.1°o (U) (A)
ft. _ (U) (A)
(U) (A)
ft.
ft. _ (U) (A)
TOTaLS ICo13.?s sq,Ft.Z26•L00 (U) (A)
TOTAL (U)(A) VALUE-D DIVIDED BY AVG. "U"
TOTAL WALL AREA
REQUItiED AVG. "U"
ROOF/CEILING:
TOTAL AREA: ?'-?44- sq. ft.
Detail "U"QU2e; x sq. ft.124y.yZ = 31.25 (U?<A)
reference 3°/0 ??.?o\ . "U"o.oz x aq. ft._°)4-0? = Z•?'3 (U)(A)
from IDU11 x sq. ft. _ UA
attached
"U" x
eq,
ft.
= )
U)(A
(
shQets "U" x sq, ft. _ (U)(A)
ToTALS 1344- Sq,Ft 3'-°?%? (U)(A)
TOTAL (U)(A) VALUES DlVID;:D BY 3'? •O>`?' = AVS. "U"
TOTAL ROOF/CE.ZLING AREA 1344 O•o2
? •
TOTAL ENVEIAPE CALCUTATION METHOD REQUIRED AVG. "U" C)4-
DESIGN:
WALLS = x TOTAL '4.4LL ARE4
ROOF/ = x TOTAL ROOI'/CEILING ART-A =
CEILIPtG TOTAL
ACTUAL:
tJALLS
ROOF/CEILInG
;
,
x =
x -
TOTSL
ACTUAL ? DES Iu'N
v ~
Use BLUE or BLACK Ink
r
r----------------I
I For Office Usq
~lQ
OT Eap ~ Permit
City w _ I
I Z-f
I Permit Fee: I
3830 Pilot Knob Road r I
Eagan MN 55122 L Date Received:
Phone: (651) 675-5675 MI 8 t 130 C`~ 1 'staff:
Fax: (651) 675-5694
I I
0BA13038
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10!13110 SiteAddress: 4379 Kaufmanis Way Eagan, MN 55122 ~1ESS~ZC-
Tenant: Patrick & Sandra Halligan suite
RESIDENT I OWNER Name: Patrick & Sandra Halligan Phone: 651-452-7050
Address/ City/ zip: 4379 Kaufmanis Way Eagan, MN 55122
Applicant is: X Owner Contractor
TYPE OF WORK Description of work Bathroom remodel
Construction Cost: -~5by • Dd Multi-Family Building: (Yes 1 No
CONTRACTOR Name: Brandl Anderson Home, Inc. License#: 2°004388
Address: 4555 Erin Drive, Ste 120 city: Eagan
State: MN Zip: 55122 Phone: 952-898-0230
Contact: Peg Cowart Email: t~CQW0.+~>Iv4'alnc~l~doVl, (.D)`)'1
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 su pp+ortfng doc**u* that you submit are considered to' the public intorrnatr+oit. rtidns
the information maybe 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.gopherstateonecall.orct
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 nwith the approved plan in the case of work which requires a review and approval la
Applicant's Printed Name Applicant's Signature
Page 1 of 2
• -7 ~atcCpv~-n Ls- DO NOT WRITE BLOW THIS LINE q~6
-z -E
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
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 mo Occupancy i 4 MCES System
Plan Review Code Edition (b? SAC Units
(25%_ 100% V) Zoning A City Water
Census Code LEI?4 Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
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
Meter Size: Radon Control
Erosion Control //7 rv::~ ~M7 Reviewed By: Building Inspector
RESIDENTIAL FEE
Base Fee ~.3 A1006 ao
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA104325
Date Issued: 05/16/2012
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4379 Kaufmanis Way
Lot: 010 Block: 003 Addition: Wilderness Park 2nd
PID: 10-84251-03-100
Use:
Description:
Sub Type: e-Sidina Construction Type:
Work Type: Sidin,
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: When installing ventilated soffit material, remove existina material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S4K $103.25 0801.4085
Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Craftsmans Choice Inc Patrick K Halligan
26219 Fremont Drive 4379 haufinanis Wad
Zimmerman NIN 55398 Eagan NIN 55123
(763) 633-1390
I hereby aeknowledae 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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA104736
Date Issued: 06/07/2012
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4379 Kaufmanis Way
Lot: 010 Block: 003 Addition: Wilderness Park 2nd
PID: 10-84251-03-100
Use:
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Insert
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimnev flue must be inspected prior to
concealin,.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Heath and Home Technologies Patrick K Halligan
2700 N. Fairview Ave 4379 haufinanis Wad
Roseville MN 55113 Eagan MN 55123
(61)638-3309
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
1 For Office Use • I 1' 1 ~Q I
I Permit I
It o a I Pent Fee 1 y~ a S
3830 Pilot Knob Road 1 1
Eagan MN 55122 Date Received
Phone: (651) 675.5675
I I
Fax: (651) 675-5694 1 Staff
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: f Unit
Name: P ~yk ot- 4
,1 N v -6 it a t " Phone: ~ 5-1 ^ '-f 9b ~w
Resident! ry
~ K 4 t,,, _V A
Owner Address / City! Zip: Z
Applicant is: Owner / _6o t actor
Type of Work Description of work: v- 2 e K G ra - 'P- C, c2- 4
Construction Cost: Mu d-Family Building: (Yes _I No
Company: C~ f✓ I5 / --I i,\ _ p.,,!5 1_ Contact: r ' 1 -e- l
Contractor Address: 95-12, f< A_c&t4_PV1-4 V-qi W aT City: E: , e, G
State: k-%- Zip: S Jl•^~ Phone: 6 '5/ - - 1st !5- "7 C,
License C Lid Certificate h ( ! (;i 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE IRIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a sirrillar plan based on a nester plan?
_Yes ,No If yes, data 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 Cify to
conclude that they are trade secrets.
CALL BEFORE YOU DIG, call Gopher state one call at (651) 4664002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby admowledge 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 appication for a permit, and work is not to start without a permit; that the work will be in
acc nce 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 Stab Building Code must be completed within 190
days of permit Issuance.
x MA, i r~"g x
Applicant's Printed Name Applicarfris S nature
Page 1 of 3