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972 Kettle Creek RdPERMIT City of Eagan Permit Type:Plumbing Permit Number:EA128503 Date Issued:11/17/2014 Permit Category:ePermit Site Address: 972 Kettle Creek Rd Lot:3 Block: 2 Addition: Lexington Square 7th PID:10-45081-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Troy Good 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Rick D Anderson 972 Kettle Creek Rd Eagan MN 55123 (651) 231-6239 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature ? CITY OF EA GAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT ' Receipt # Tobeusedfor r;>i'G/GF1, Est.Value Date 19 SiteAddress 472 LiETT'Lf. CRcEK Lot Block 1) SeGSub. SEXINCTflN SQ 7TH OFFICE USE ONLY Pareel No occupancy i'- 3 b-1 FEES . PD Zoning ¢ Name KEYI.AND H(k9E5 (,4cmaqConst V-?l Bldg.Permit 600•00 W ; Address 14450 BURidSVTLLE PKWY (Allowable) v-N h S 45.5a 0 • 3URNc.?Y I1.LE 894-2 City Phone 63? +v of srories - urc arge 00 00 (yQ+ PlanFeview . ?9th o Name SAl`iE Depth 50 , sac ary 300.00 ? Z 0 04 Address S.F.TOtal - , 575.00 0 ¢ City Phone S.F. Footprints - SAC.MCWCC $C 04 ° water Conn ? . . On Site Sewage _ W w Name On Sde Well - Water Meler ??0•? W _' Addf2S5 MWCC System xx 30 00 Xy? Acct. Deposit . aW Gty Phone cirywaier S/W Permif 20.00 PFV Required _ I hereby. acknowlege that I have read this application and state that the Booster Pump - SIW Surcharge 1.00 information is correct and agree to comply with all applicable Slate of d 2?8 ? Minnes ta Statutes and City of Eagan Ordinances. 7reatment PI • Signature of Permitee APPROVALS Road Unit 3140.130 KFl'i,:\ND' HV7fE?' A Building Permit is issued to: Planner - parkDed. ' on the express condition that all work shall be done in accordance wilh all Council applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Bidg. pry. _ Copies 'L , 9CL; . 50 Building Official Variance - TOTAL CASH RECEIPT `CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 _ ?. '- DATE 11ECEIVEO FPOM ?f AMOUNT $ & DOLLARS?-„ ? CASH p CHECK ?K ?-- FUND OBJEC7 AMOUNT ? ?x 1 1 -..d I ? Thank You - BY I C WhttrPaYers CaPY Ya,???Copy viok-FOe copy I SEWER & WATER PERMIT ? CITY OF EAGAN 3830 Pilot Knob Rd. c? P.O. Box 21199 Eagan, MN 55121 ? r , SITE ADDRESS LOT?- _BLOCK - - SEC/SUB OFFICE USE ONLY PERMIT DATE 7121 18v WATER PERMIT # _ 0' L SEWER PERMIT # METER # B.P. RECEIPT # % 1200 READER #t B.P. RECEIPT DATE METER SIZE ISSUE DATE - PRV - BOOSTER PUMP 'I-40, PERMIT REQUESTED T.h?SEWER --?WATER -TAPS - COMM/IND - RESIDENTIAL APPLICANT: ADDRESS: _ CITY, STATE ' PHONE: ADDRESS:_ CITY, STATE PHONE: - ?-r•? owNER: ADDRESS: ? CITY, STATE ZIP PHONE: ?, NEW EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: .P' = df ?' ? ? SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 SITE ADDRESS -1j APPLICANT: ADDRESS:_ CITY, STATE OFFICE USE ONLY PERMIT DATE -?12? 15`1 WATER PERMIT # SEWER PERMIT # METER 1113 6 B.P. RECEIPT# ER # ? tO 3 ? 7 B.P. RECEIPT DATE ii 9 ETER SIZE _ o ? ISSUE DATE 5- ?? '8? - PRV _ BOOSTER PUMP PERMIT REQUESTED PHONE: PLUMBER:..t-- ADDRESS: iZIP - - '? OWNER: ADDRESS: CITY, STATE ZIP PHONE: ;-,ViSEWER WATER -TAPS _ COMM/IND = RESIDENTIAL XNEW - EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: j , , .. ? ?` Si E WHEN M R ISSUED PLEASE ALLOW TWO WOHKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ?? For Offke Use On ly: MECNANICAL PERMIT / h J PERMIT # ,o _?.. ' CITY OF EAfiAN RECEIPT # 31130 PILOT KNOB ROAD, EAGAN, MN 55122 ' DATE: CONTRACT PRICE . ? •?-< : ? ? PHONE: 454-8100 Site Address gM TypE WORK DESCRIPTION Lot Block Sec/Sub , Res ??- New :4 - . ,rr{ <<_ '? -L Mu1t Add-on m Name . Comm. Repair ? c Address - City Phone Other FEES ? Name '? "' " '` ' '• RES. HVAC 0-100 M BTU - $24.00 c Address ADDITIONAL 50 M BTU - 6.00 p Ciry ''V' ^• Phone "= (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) ' GAS OUTIETS (MINIMUIII - 1 PER PERMI T) - 1.50 EA. TYPE OF WORK COMMIIND FEE -19'o OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Unit Heeter M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Air Cond 7 M BTU REMODELS - 12.00 . MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping OutleTS # (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) Other ? PERMIT FEE: f ?. • ? " , ; ? '' ? S/C: . S?' , ' J ITTE?/ / _ ?i Lr1 1(f r ? TOTAL: '•'" ?'' ' y FOR: CITY OF EAGAN L . . .. , .. ? a CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for' "F [?r /GAK Est. Value 49 1, 090 SiteAddress 't7` !'FTTLL ChEEk Lot Block ? Sec/Sub.?EMtiCTu?t SQ %Tii Parcel No. w Name `°'Y?? 1??ES o Address +`' ,?'' ?t ``.HN4VFl.? .: ---------- City "`' ?'' -. Phone Address Receipt # pq.....? N. 1621.2p ., 7 911- Phone 1-05 Name ??? -, Address aw City Phone I hereby acknowlege that I have read this application and state that the intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee ` - A Building Permit is issued to: ^° "+''"'tt on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Oflicial OFFIC E USE ONLY Occupancy R"j K' 1 FEES Zoning pD (Actual) Const V-V Bldg. Permit 6W•00 (Allowable) Y-r Surcharge 45.50 # ot Stories Length 8 ' Plan Review 300.00 500 100 00 Depth SAC. Ciry 1 S.F.Total - SAC,MCWCC 575•00 S.F. Footprints - ig?.? On Site Sewage _ Water Conn On Site Well Water Meter 90•00 MWCC System xx 30.00 City Water xS Acct. Deposit PRVRequired - SiWPermit 20•00 Booster Pump - SiW Surcharge 1•00 228.00 Treatment Pt APPROVALS RoadUnit 340•00 Planner - park Ded. Council - Bldg. Off Copies 2 ,,9a9. 50 Variance - TOTAL Permit No. Permtt Holder Date Telephone # WATER ?SEWER • PLUMBING H.V.A.C. ELECTRIC ' ??? ??0 0 ? ?? i bC? L`t 1 ?`' -'? ?', '? ?O 6 ?'?, O•? Inspeetlon Date Insp. Comments Fwtings I Foundation Framin9 Roofing Rough Plbg. Rough Hlg. ?& i Isul. / ?4 ?Q . . . Fireplace Final Htg. Final Plbg. 5, 7-- ? Const Meter Plbg. Inspector- Notify Plumber Engr./Plan Bldg. Final ?z f! Deck Ftg. Deck Final Well Pr. Disp. ? .... , ?..??. (Itrfifirair nf COrrupttnry Citp of (Eagan Er}rttrtntrut u# luilDing Ittspertimt This Certificate rssued pursuant to the requrremenu af Secdon 306 of the Unijorm Building Code cenifying that at the time of issuance this structure was in compliance with the vanous ordinances ojrhe City regulating building construction or use. For the following: ux cuuJnuoo SF VX7GAR Bidg. Porntil No. 16212 OccWeory TYPe R3/MI zon* usu;n PD rya Cm-,L VN Building- '?•AND Ha-ES Ad? I4450 BIIRNSVII.i.fi PIdJY, B?VII7.F awiahng naa? 972 KErIIE CREW ROAD ?hty 13, S2, IEMIGIaV SVRE 71i n„e: MAY 24, 1989 B Offi ? POST IN A CONSPICUOUS PLACE . , .. s . .:.?? "A ? ..... • . ... . x_- _.... .?e??..._.... , PERMI PLUMBING PERMIT RECEII CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site Address Qe Lot Block ?- Sec/Sub _ -r City Name `f.{?.h.,.!'/?*u?•._._.. c Address ' p Ciry Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S1C IF PERMIT PRICE GOES SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN ? BLDG. TYPE WORK DESCRIPTION Res. ^ New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE F OLLOWING: d0. FIXTURES TOTAL ?-Water Closet - $3.00 -Bath Tubs - $3.00 S '- ?. ? " ?-Lavatory - $3.00 Shower - $3.00 LKitchen Sink - $3.00 -Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 ? Floor Drains - $1.50 1 Water Heater - $1,50 Whirlpool - $3.00 Z Gas Piping OuNets - $1.50 (MINIMUM - 1 PER PERMIT) ; -Softener - $5.00 j -Well - $10.00 ? Private Disp. - $10.00 ?Fough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: 3 ?7 • 5 G CONTRACT PRICE: , Site Address PERMIT # ' MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 For Office Use Only: .- m Name ?-: ? 3 , •` ? '_ m Addf&ss ,`' ; S F?Jn 1 r.• a"c)1 c City Phone BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other Name `-' ., FEES RES HVAC 0 100 M BTU , $24 00 ; Address . - - ADDITIONAL 50 M BTU - . 6.00 O City -- Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PEit PERMI 1 50 EA TYPE OF WORK w ( - n - COMM/IND FEE - 19'o OF CONTRACT FEE . . ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLJES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM R STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ' i BEYOND $1,000) ? Other ? FEE: ? SIGNATURE OF PERMITTEE S/C: I ? '? TOTAL• FOR: CITY OF EAGAN ? - r? • u i ? 8 578 8 Requesl Date Fire No. 4- 6- 8 9 h-in InspecUOn uired? ? Ready Now Will Notiry Inspector Yes ? No When Ready? IX licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Raule No.) Ciry 972 Kettle Creek Road Eagan Section No. Township Name or No. Range No. Counry Dakota. Occupant(PRINT) Phone No. Key Land Homes 894-2636 Power Supplier AUtlress Dakota Electric Farmington, MN 55024 Electncal Coniractor (Company Name) Contractor5 License No. Midland Electric Inc. 041610 Meiling Address (COnhactor or Owner Making Instailalion) 14055 Grand Ave So, Suite F, Burnsville, MN 55337 Authorizetl Si naWre (COntractoUOwner Making Insfallation Phone Number _?. ?? 892-6688 MINNESOTA STATE BOAflD OF ELECTRICITY ? THIS INSPEGTION REQUEST WILL NOT Griggs•Mldway Bltlg. - Room 5173 BE ACCEPTED BY THE STATE BOARD 1827 UniversiTy Ave., Si. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. _..oi FOR ELECTRICAI WSPECTION . ? Sea instructions tor completing this fortn on back of yellow copy. ? 85788- "X" Be%w Work Covered by This Request ?? &00007-07 w F e Add Rep. TypeofBuiiding AppliancesWired EquipmeMWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (speCify) Contractorg Remarks: Compute lnspection Fee Below: # Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 411 0 to 100 Amps Transformers Above 200 _ Amps °' 1?Amps SignS Inspector5 Use Only: ?a( 0? TAL Irrigation Booms Special Inspection Alarm/Communication Other Fee I, the Electrical tnspector, hereby c rtif th t th b i ti h Rough-in o 7 ? ac y e a e a ove nspec on as been made. F;mi , oate?-^ OFFICE USE ONLY This request void 18 months from . BLDG. PERMIT NO. - (_ 0 A- I 1-??) I c cJ2 4t 01-3210 . 01-3422 013445 01-3446 U 01-2155 ? 75-3860 a \ 20-2275 v . 20-3865 ? ? 20-3868 ? Y 20-3716 ? 20-2252 ? T 20-3713 u - 20-3743 79-3866 28-3855 Bldg. Permit Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permit Sewer Permit Sewer Conn. Park Ded. TOTAI 1 ?-? - 2 1 c, C[ z G-- 3 I ,? oc. °i C1 5 75 S Cl• ?1 ?S ?. ?, C-, r, t ? CO I c:?b z%c SIISC BLDG. PERMIT NO. C•cJ2 Z.??-i I r?c itd?, ?`•'I , 01-3210 Bid Permit (-c t) C C?C = 9• . 01-3422 Plan Check 01-3445 Surch./Adm. J! 01-3446 SACJAdm. J 01-2155 Surcharge ? 75-3860 Road Unit ? za2275 20 3865 sAc W t C 4- - er onn. a ' •i ? 20-3868 WaterTrmt. 20-3716 Water Meter ? 20-2252 Acct. Dep. ? v 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL v c> rc 93 ? 7J C! .?2c; 5: c c? ??j'D Uc •. I C CX? BUILDING PERMIT To be used for SF DWG/GAR Fqf vAiijP $91,000 Site Address 972 KETTLE CREEK RD Lot 3 Block 2 Sec/Sub. LEXINGTON SO 7TH Parcel No. W Name ?YLAND HOMES o Address 14450 BURNSVILLE PKWY City BURNSVILLE phone 894-2636 o Name SAME I ;i¢ Address ? City Phone ? W wQName I-w ? ; Address a W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree ro comply with all applicable State ot Minnesota Statutes and City of E Or?lnances. Signature of Permitee ? A Building Permit is issued to: ? on the express condition that all work shall be one in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # 11T? 16212 C l ? Cr Date MARCH 20 , 1989 OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning PD (Actuaq Const V-N Bldg. Permit 600.00 (Allowable) V-N surcharge 45.50 # of srories - ' 300 00 Length 60 ' Plan Review . Depth 50 ? SAC, City 100.00 S.F. Total - SAC, MCWCC 575.00 S.F. Footprints - 580 00 On SRe Sewage _ Water Conn . On Site well - Water Meter 90.00 MwCC system _CX 30 00 Ciry Water $$ Acct. Deposit . PRV Required S.M! Permit 20.00 Booster Pump - S/W Surcharge i_ nn Treatment PI 228.00 APPROVALS Road Unit 340.00 Planner - Park Ded. Council -_ , BIdg.Ott. _ Copies 2 909 50 Variance - TO7aL , . ??- . ? 459764?- ?. , 2e Request Date Fire N. b ugh-in In pe ion equired? Ready Now ? Will Notify Inspector ? Yes No When Reatly? I icensed contractor ? owner hereby request inspection of above electrical work at: Jo address (Street. Box or Route No.) la City 9_AT?n Section No- TOwnship Name or No. qarge No. Cour/fy? ?_ ?? ??n .1?LlJ OCCUpant IPRINT?/'\ ? i..! v?? ? Pho ? ? - Power Supplier Address Elearic I Contractor (Qomp ny Name) ` Contractor's License No. M ilin B AtltlreS (Coniracbr r Owner Making Installalion) I? w ?. P6 . ? rn rl 5s OGJ Au h d Sianature 1 n cl I n aking Ins211ation) Phone Number MINNESOTA STATE BOARO OF ELECTRIqT1U THIS INSPECTION REQUEST WILL NOT Grlgga-Mltlway 91dg. - Room 5-173 BE ACCEPTEO BY THE STA7E 80AR0 7821 University Ave., St. Vaul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0B00 ENCLOSED. REQUEST FOR ELECTRICL INSPECTION ? See inswcnons !ov completing ihis form on back of yellow copy. C? . 4E9 7 6 "X" Below Work Covered by This Request r? Ea-aoooi-a? ? 990 tt?'? p ??;; ew Add TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating 1 Apt. Building Dryer Other (Specify) Comm.llndustrial Furnace Farm Air Conditioner 0ther (speclfy) Contrector5 Femarks: Compute Inspection Fee Below: # Other Fee # Service Entrance5ize Fee # Clrcuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 700 _ Amps SignS inspeaor's use Onry: TOTAL Irrigation Booms ?J oo Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee o COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspecior, hereby f Rough-in Date certi y that the above inspection has been made. Final Date ^ J "4 ? OFFICE USE ONLY This request void 18 months irom D3 -7`) (? ?----------------- i i j Permit ? Permit Pee: 4 j Date Received: j I I I Staff: I L J ---------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATIOIV Date: () Site Address: QJ4 i Q l_,??V4- Tenant: Suite #: RESIDENT/OWNER Name: c.L Ainj'erzscu Phone: Address / City / Zip: Applicant is: _ Owner X Contractor TYPE OF WORK Description of work: ?12?Ctr Ot=\ ? 0 (-CK3C Construction Cost P?6 • BU Multi-Family Building: (Yes_/ NoX CONTRACTOR Name: License #: 901?)199 -I ?vl Address: _ JG91 I i If Morial T'CVP N. City: ?S?H??(?•n E;r State: 1??tV Zip: Phone: GJI " L139 • "i 3?0 Contact Person: K[X(?en COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category i Workshee[ • New Energy Code Worksheet Category Submitted Submitted (4 submission typB) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Nd7f Plans arEd suppQrt?r?g rfG?,?{ri?r?#s tha0 j±o?r 5ub!?%r??8r? csYrrsrdereda s E?' pu(?ee+?`ortr??rP? ?Rffins theorma?4onmar.ctha? 'n -Jpu?lro44s,?hi*wtwo?r/?p??f?? o . ? ? {x y?- y wQ.?.?. 10 w 1 `4 - ? •?.. f'^t, I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of ihe City of Eagan; that I understand this is not a permit, but only an application ior a permit, and work is not to start without a permit; that the work will he in accordance with the approved plan in the case o( work which requires a review and approval of lans. X???? i ?e r?l??an X ' ? E d ?-- ApplicanYs Printed Name Applicant s Signature Page 1 of 3 2004 RESIDEIVTIAL BTJII.,DING PER11'IIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 70 °G New Construction Reauirements RemodeVRepair Reauirements ? 3 registered site surveys showing sq. ft of lot, sq. fL af house; and ail roofed areas 2 cop?es of plan (2045 mauimum lot coverage ailowed) 1 set of Energy Caiculations fw heated addiflons 2 cop'?es of pian showirg beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks 1 set of Eneigy Ca?ulations Addition -"mdicafe if on-sde septic sysfem , - 3 copies of Tree Preservation Plan H lot platted after 711193 Rim Joist Detal Optiona selection sheel (bldgs with 3 or less units Date Site Address 4?" CMAJ ILf- Construction Cost 30),D- UniUSte # Description of Work c_(Ztc-ES Multi-Family B(dg _ YkN Fireplace(s) _ 0 _ 2 Property Owner P` W Telephooe #G;?]) C0?-OcoJ r- ? r Contractor ?? lL? ???.J? ? ? Address , 76-5b State Zip S?? S 7 City /J V?(g Telephone #(°I?.-) COMPLETE THIS AREA ONLY IF CONSTRUCTING A N I 1uf ? Minnesota Rules 7670 Cateeorv 1 MiT 7 ZOO4 Energy Code C ategory • Residential Ventilation Category 1 Worksheet rksheet (?I submission type) Submitted • Energy Envelope Calculations Submifled Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and aclrnowledge 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 the State of MN Statutes; I understand this is not a pemut, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved pl in the case work which requires a review and approval of plans. 4, 0 w Applicant's Printed Name Appl ant's Signa e OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 5F'Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units # of Units # of Bldgs Type of Const _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search CopieS ather Total ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? ? 30 Accessory Bldg ? 31 Ext. AR - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors "Demolition (Entire Bidg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS _ FinaVC.O. _ FinaUNo C.O. _ Plumbing HVAC Other _ Pool Ftgs _ AidGas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conetrucdon ReauiremeMs • 3 registered sfte surveys showing sq. k. of bt, sq. ft of house; and II roofed areas (20% maximum Wt wverage allowed) • 2 copies of pian showing beam 8 window saes; poured iound design, etc.) • 1 set ol Energy Cakulations • 3 copies of Tree Preservation Plan if bt platted atter 7l1/93 • Rim Joist Detail Options Selection sheet (bldgs wMh 3 ar lass unds) DATE 511 (o I ba SITE ADDRESS q ? °? TYPE OF WORK APPLICANT I STREET ADDRESS TELEPHONE #V)l -610 PHONE # LU?_STATE ???ZIP l-? FAx # M1' 2 PROPERNOWNER / I( dacYIn TELEPHONE# L6 "1A ? " b0 ------------------------------------- ------------- ----------- ---------------- ----- ------------- COMPLETE THIS SECTION FOR NNEWN RESIDENTIAL BUILDINGS OPILY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY i MINNESOTA RULES 7672 su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • New Eneryy Code Workshest Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanlcal Contractor: _ Mechanical system includes: Sewer/Water Conhactor: _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $90.00 Fee: $70.40 --------- --------- -------------------------- ------------ -------------------------------- - TMT- I hereby acknowledge that I have read this application, state that the information i rr"?C with all applicable State of Minnesota Statutes and City of Eagan Or 'Rances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 t IS- "`_? RamodeVReoatr ReauiremeMs • 2 copies of plan • t set of Eoergy CaVCUlatons tor heated additans • i site survey for eMerbradditbns & decks • Indicate ii home seroed by septic System for additions VALUATION GW) Qd MULTI-FAMILY BLDG _ Y ? N FIREPLACE(S) _ 0 _ 1 _ 2 _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # OFFICE USE ONl.Y ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool [3 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) Q 31 Eut. Att - Multi ? 03 01 of _ plex O 09 07-plex d 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water 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 (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Perrnit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Searoh Copies Other Total Building inspector ? • . : GY ' 1989 BIIILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLIHG5 ? INCLUDE 2 SETS OF PLANS, 3 C TIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOiiED ONCE BIIILDING PERMIT IS I33UED. MUI.TIPLE DWELLINGS RENTAL IINITS FOR SALE ONITS # OF UNIT3 ZNCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECK WITH $4DG. DEPT.? 1 SET OF ENERGY CALCULATIONS CONA7ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 To Be Used For: Site Address Lot ? Block Zi Pareel/j Owner Address / & STRUCTURAL PLANS, 5ET OF ENERGY CALCULATIONS tion: J/ 000 Date: A ? %P- . OFFICE OSE ONLY City/Zip Code Phone ? Contraetor Address City/Zip Code Phone Areh. /Engr. Address City/Zip Code Phone # Oecupancy 2-? 3 4-/ Zoning P,D Actual Const Allowable I// # of stories Length ? d)epth SO_ S.F. Total Footprint S.F. On site sewage_ On site well MWCC System ? City water ? PRV required _ Booster Pump _ APPROY6LS Planner Council Bldg. Off. is Varianee Council FEI'sS Bldg. Permit L-v Surcharge --L?So Plan Review 300 SAC, City p0 SAC, MWCC S9S Water Conn S (} Water Meter Aeet. Deposit 3 O S/W Permit 2 O S/W Surcharge / Treatment P1. 22 Road Unit 3y0 Park Ded. Copies TOTAL. NOTE: Sewer & Water Permit fees and accouat deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber Yias applied For a permit at City Hall. Y`. , • . u?p ?? ?? - -2 -2 /)ZS, ; -z ???!- -z G = ? z ? 5)Z 7 z k 130° k /`/ = (.qGcr ? ? p0 (9 ? . , c } I ., j MAR-68-'89 WED 15:53 ID:SAhiES R HILL INC TEL N0:612 884-9518 #305 P04 Q79 KF'I'71 F f`i7GG{! LiAA11 aoaI I _ uoo SURVEYOR'S CERT1FlCATE KETTLE CREEK ? N (889 . G ? ?V O in N v z i1 t J o N 9 Rr A , . ? l? ? .? J 75.00 S 47°45'00"E ?I ?% /--N I i n ??r- By G? L_ L_ I`I V ?.7 I\J I V ?1 la( l?-\ I? L_ Date i-I l-\LiLi i i EAGAN ENGItdTEERI?.VC DEPT EAGAN R E V I E W ED 8Y ? ? DATE 3 5 'f- DENOTES PROPOSED SURFACE DRAINAGE Q DENOTES IRON MONUMENT SET SCALE: 1 fNCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED QARA(3E FLOOR - 8$6 $ FEET XOOO.U DENOTES EXiSTING ELEVATION PROPOSEb LOWEST FLOOFI - FEET (000.0) DENOTES PROPOSEO ELEVATION PROPOSED TOP OF BLOCK - FEET N1IE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS tS A TRUE AND CqARECT REPHESEN7ATION OF A SURVEY pF THE BOUNDARlES OF: lot 3,'Black 2,LEXiNGTON SpUARE 7TH ADDITION, cccordinq !o the recorded plai lhereof, DakotoCounty. Mlnnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURYEYED BY ME OR UNDER MY DIRECT SUPERVIS14N 7HIS 9TM DAY OF MARCFt , ,1999. P94W5ED c;WAGES SNOwr.i W£RE_ 'ffvcEU Faonl -n+E. 4wA0wy PL?N fOR LJExIN'A POr1 soyqRE 5TH ANO 'ITH A001'(10W5 FREpARscO e+`i PfOAiEER fAt[?I??EtRl?ll? A?aD LA?i OnrED SIGNED: JAy4f???LL, INC. BY: ?//??G????'?iC..G HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LECENSE NUMBER;2294 T 00 7? ? 0 1 D n F ? o ? ? ? D ? m Gc 1 z O ? Z ? oD t0 Z Z ? James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTQN, MN. 56431 • 612-884-3029 KEYLANp HOMES Roao ? ? 75.00 S 47°45'00" E i Q '1 ?-_------- ? i ti i{ M v 01 9 1 00 ki ! ?1 Q i FROPOSED S ? c DRIVEWAY K (886 5) I? ? oaaace N ;? ? \ \N i ROP SED\ \ HOU3\ ? e ? % O '' ? O in e N ? z '.[I o N i ? LOT 3 ? "- g I? 7aa,oinrAcF e u77ur G I EASEMENT PER PLAT S ---------! /I - K) ? ' • • 11 11 ?? ? ' ' EXTERIOR ENVELOPE_AVERl?GE. COMFI1TA:fION OWNER : nnTr : _ I SITE ADDRESS: PF;ONE: CONTRACTOR: r? PLAN # 2? 3? u Determine working square footage of each 1. Total exposed wall area..... oy,Zs sy. ft. x .11 = z,oci, 2. Total roof/ceiling area..... lz-?'1}S- sq. ft. x.026 = Tctal exposed wall area above.floor=_ ...... l ,Z a. ' Total wall window area ..................................... ............ 3?S b. Total door area ....................................... ...... c. Total sliding glass door area .............................. r d Total fireplace wall area ........................................ ? . ................... e 10%) (? '$ e Total ......... wall framing area (averag . .......... '?? ? - f. Total rim joist area ................................... •• ? S 61 '7° g. net wall area a6ove floor............... ••••••- ••••* ••• .• h. wall area above floor ..................................... ................... l i. oor.................. wall area above f ? J• frame wall area at. Toundation .................................... • Tota i exposed foundation ai°ea= -7 o7, i r k. Total foundation window area ....................... 1. Total net foundation area above grade .............. 717,r-` Determine "u" value of each wall segment (e.g. window, door, each separate wail section) a. x ]lul,_ b. X Iz?l(.P c.X ltull ?21. r.._ X n U ii ,,,,,.... _ ...-- . . d. . . e. 14crS X ltuit , oCa? = II? I? f. ? s??? S' X i,ui, , a3? = s?sy g. I f0I Z.. Xllu„ , b37 = S"Sk h. X liuii _ X ltuti _ i. - X "U" - j. - r.. x l,u„ _- 1. 1'7,"1S- x l,u,l l0t 3 . .................................Total = 1-77, If item f3 is the ! as, or 1 ess than i 1 #1, you have met ti intent of SBC 6006 ,r __ Total exnosed roof/ccilinq area . ? . ?,. --o::al skyl5.ght area ............................ ?q :;. ='Oi.dl TOOc/CCi 1 { Rg .-f.rtJil131CJ dre2 (aVCS'dgC' 10%) ; I 7-u c. _otel net insulatc3 rocf/cezling rirea... Determi^e "U" value fo): each roof/ceiling segnent . • rn X r.. f ?'7 ?r a -L" <O?-`f _ _ ? ? 0? , •. . . 0. X lfUll ........ ................. .. ?tal '= to`a2 c= -4 is the same as, or less i_han #E2, you have met the intenL- oP . 5"7C 'S'Ji:S ;c) 1 • ' e?lternate BuiZding Enve7.ope Desiqn _o _tiiSze t^e total er.velope'system method, the values established by the sar•i of " itAms =3 and -'_ shall not be greater than the suin of,itens i1 and n2. . ' + 2. 3z19(00 7-yZ?y3 . ... 3. + 4. ??,-,?y? = Zn3'?? : : . PrArr # tZ ? 3 S I i * LINF.FIL FEET EXPOSID WALL sLOCx - Z z.-r- 7- + 7 c, -r Z ? -r 4- ZCo 'r- 4? + ? ?# l3 ; ?"f z cp = 1S?S, ?- KNEE: Z. eo?? ? + Zc? - g? w.o.. FULL. 1: ??.'f'?tZlro 4-- 7-57, 5'4- 134., t f3. 'f Cs+-l- ko+jZ,,57+ ZGo =! S'8.,s- FiJLL 2: FIREPLACE: * SQUARE FEET E}POSID WAL,L AREA ' BLOCK: t S`S , ds- x .5 KNEE: 56 0 x 5 W.O.. x 8 = FtJL,L 1: .!g' x 8= t Z?? F'IJLL 2: X g = FIREPLACE: X = RIM: ? g` tS S x 1= 1$` FS 5?". TOTAL * SQUARE £Ef.T EXPOSID CEILING ? ?. cA'1 * W t Nl C6\V S dQ ?- ?-<•?,?,n-t?.?? 5-? ? ill---Z Co?.. t-233? sH 7 1 - 73y7 ?'7,S-i -7 ,lb _ Z3 •3 1-1 t? A i?,?? Lc?? 4.0 ?4 Ll v G? L:: I I ? Z. C.P * DOORS 1 g. -S`a x p Z? PATIO DOORS 1 - G °- ? BASIlMIId'f UNTTS CONSTRUCTZON ` R-VALUZ, l. INTE.RIOR AIR FILM 0.6& 2. SIStt . . 3. 4• 1Vll^L ' U = .02 V ! ? I ? U 1 I-?FAT FLX)<<i, 'Lip rTG. # S FRAME l. INTE,TtIOR AIR FIilm 0:61 3. 4. - AL U = 0.024 CONSTRUCTIOtd AT FLQW, IJP . , :/,.t,.,? , VF.NTED EIG. # E ? ?' • ' r V ? ?, , ,,?? ?,?,?? • ?., ? ? .,,.y .?r ? ' ??....=/?'?' ?J ? ' i ! ? ,i. . ? ? . .?•._•1 I-FEAT FLOW UP 1, INSIDE ATR FILM 0.61 2. 3. 4. 5 . .' " ?AL U _ FRAME ------- 1. INSIDE AIR FI124 • 0.61 2. 3. u. . . 5. OUT TO'L'A.L U INSIDE AIR FILM 2. 3. 0.61 4. 5. 'TO lAL U = NOTE : USE ADDITIO-NAL SHEETS ZF tT-?RF ?G S IS NEEDED FOR DETAILS PND CA-?-'CJL?'--- • "TG. ; 7 ° I - ROOF_CEILING 'f NON-V?'TED ' 'WALL SECTIONS NOTE'USE 10$ OF OPAQUE WALL ARF,A FOR FRAME CONSTRUCTION ? O. ? _ Q -- ? SIC j ? 41 WALL ; ; FIG. #l TOPVIEW OF FRAME WALL i; i? .? c; FIG. #2 .? / ? u• o ? ?!? u•^ i A• ?p, . ? t-- ? / _...(T) ..? -? _ .__... ? =-- /ii SLAB ON GRADE si .? ~- iy . ? yq tU p -` i r tl ,f r FIG. # ? I 6,s t --, 1 V L I`? ? ° ``' ?•? -Z-eio ,1. INT'ERIOR AIR FIIM 2. 3. D S Y? SOFT WOO (a . 8 7 4. ? ?•.yc 5. ? I b Z 6. R AIR I .l To'raL 14,79 V l. INTERIOR AIR FTIM 0.68 2. '/z ".,yp s• 4 s 3 .. ? ? L- 4. 814 I-'c4ei,wn? 'z- 6. EXTERIOR AIR rILM TOTAL Zca 9 . Z . ? ? m y - ,03? 1. INTII2IOR AIR FIIM 0.68 2. 3. 4. 5. ? , toZ 6. I 0.1 TOTAL Z8.3Co R-VALUE a L-&=Ir? l. INTERIOR AIR FILM 0.68 2• Z$ 3. 4. ? 5. 6. EXIEKOR AIR F LM 0.17 TOTAL -Z - i 3 t__k -, • 1 `f' ? --• ?1tr- _t ?i j • f r ? ? {il FIG. #4 : NOTE: INDICA TYYE OF INSUTATION i VALa,-DEPTH AND PLACII-ff'NT V ? ?J- ?i 1 ? k'z..`F?4t HtJll LVJJ CALCULATIUNS ? ?? DEPARTMF.NT OF 8UlLDINGS N eri s A.S..V.E. ? Weat h slr ? P _ Guide Construction I?lo. ; lnsulation ???adKS Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied 'cs-No ? Yes-No 19_ I I I T- -f ,1.1 1-oyc/1 Room(Lengih /(o Width Windowi and D„?...a A.._ No. 1Cldth nf pane IIiIRht 0( pTDP Kn. of IiKhtn I.Ineal /t. o( crw.k Ares ?q Il. • Coef. Btu Inbhration Glae> Fap. wall / x q(o N et exp, wal) 5 a t? ! ?n1,-?•ail Rim - 1 7 Ceiling 1 q Floor_, j Y- Fl .1 L I I f.i?& Rmmlltnolti /'7 U/;deh E!y "oiaht Windows a d Doore-Crackage and Arca No. wldth oI pane Ilelpht ,ot Pnne No. of IIRhI¦ I.Ineal ft. of craek Arca eq. 11. t) o Go N4, rl Y. 11 Coef. Btu Infiltration ?fl dt JD(o 6 Clsaa Exp, wall Net eap. wall 1(, '?nt7"Nwa?{+ ?'1l1: / 'f %. L;a 7 Ceiling " J( /0 -r-laaw ? vtal piu. ? r. 1,? q Required aq. [t. E.D.R. or sq. ina. W.A. Leader area '_ ?•?/(r¢• l?kFj t'Room Length /(o Width / y Height Wmdowe An? nnnra_?`rneL... --.1 A_ No. Width of Da"e He16A[ of oane No. o[ Ilghts ?Llneal fl. of cnck Area eQ. [t. 1 ? (a 1 /1,5 ? 6 -!J c) H.(1 l4, tI I I ,J )0121 Coef. Btu In6lttation 44 q, y d(i PL Glaa? Exp. wall t 1 1 Ill, 1144 x 334 u / (R,?C) Net exp. wall '? Int-yvnll re, rv . s t.1 ro 20q Ceiling (o J _ 4 F4eer-- Total Btu. Required sq, ft. E.D.R. or aq. ins. W.A. Leeder area _?•? 1•1 Velyna noum IL-en¢th fU Width ci H.iehl 4 ?Windowe e nd Doora-Cracksge and Area No. Wldth of Da"• Heltht o[ Dans Ne. et Il. ?t¦ Wnael ft. of erack Area p, ft. ?iG ?,• ? ? Coef. Btu Inhltration .l.l .7 s73 fap. wall t: ! U .? - Net exp. welill fnt wal !/ f1 = I eiliag 0 J( ; (3 ? ") G7 `tL'r'7? ?70 ,oe.1 Biu. 3??a .,.a? I;:« ? ?r , r;I > ? jr j; 1? p , , ..1 i ,• ':' !! ? r?,lri ar•n _ _. _ r, _ ... + Required sq. ft. E.D.R. or aq. ine. W.A. l.eader aren r?n "?•? CSA?AS-NAliRoom ( L.ength /11 Width / fe Height OZ Windows and Doors--Crackaae snd Area No. WfAlh of pan• Hefght o[ Dane No. of Ilghls Llneal fL of crack Mea. W. It. d ao ' f? r Coef. Btu In5ltration 5° , ( Glaas np „7 „ Exp. wsll '" ! Net e:p. wsll l-liah-wiaN 116 16 ?o (s 9 Ceiling It) I 1(, -? !1- 3 )a, --F4eer TotalBw. ? (. Required sq. ft. E.D.R. or eq. ins. W.A. Leader sres ??4l.1 , A- -%-Ar Rcom ! Length / (e Width Heeg6t Windows end Doors-Crsckage snd Area No. WldLh et pans Ne1gTt of pane No. of 6 ghu LIneaI tt. of eraek Area sa• !t• Coef. Btu fn6ltration ?t (70p Glass Ezp. wsll i(, Net exp. well CI, ? 1DD -"'WQW p f - t 10 ? Ceiling /: 11 16 1 ota! 131u. ?''? ?+ii rd •-?. 1?. 1_ I?.f?. in-. V,' . 1 ?p .A. [..adcr ,FcOL ___..._..-- ,? HEAT LOSS CALCUL,ATIONS DEPARTMF.M' OF BUILDiNGS 11 Weathrntrips A•S.H.V.E, Construclion No. ' Guide dow? Daors 11 Re(erence Out. Wa11 lnt. Wall Ceiling Roof Floor -No •) Yes-No 11 19_ 'Ij'Sesk ?l RoomjLength j3.(,, Width Neight Windows and I)nnn-f....L- .....1 n_ tClAth n( pane IIe1Rht nl pwnr No. of IiRhla Llneal f1. n[ crmk Arew eq. tt. • Coef. Btu iltrotion a 1. .211 <-I l iss `_D p. wall } I f f K I exp. wall all ilbso) ..wall l ' ,. I ling , I( I" ? (. ief" cal D[u. 'pQ quired sq. (t. E.D.R. or sq. ins. W.A. Leader area 1.1 Room I Length 1?i Width lal Height ? Wmdews and n,,,,.._r....?.. ...a A___ Wld<h or vans IIeIRht of oana No. ot Ilghu Llnrnl ((, o( eraek Area 6v. tl. CoeL Btu Dq S /( N m ; ro w rwsll M ors { , ' t '? ilin6 !. aor.... iai niu. a quired sq. ft. E.D.R. or sq. ins. W.A. l.esder srea 'l•I(RndNl 5pN??m ?L.ength ? Wid?h 7?i HeiBheeg Wmdows ana Denr?__('o?4as. ....! A.__ Wldth ot pan• Helght e[ Dana Ne, o! IIthU Llneal ft. t enek Are¦ sq. tt. Coef. Btv Jtration ia$ , p. wsll '" ??. I ; trs 4 et .1 ,e I ,J o t etp. wsll p r 4)o 'walE. ?ing ,or w 4A ias oiu. ? 'luirrd sq. iL E.D.R. or tq. ias.1V.A. Leader area Windows and I WIJIh 11 No. of oane o( ..... ,,, ........,...?.? Insulation Kind How Room I Length aI W ideh ors-Craekage and Area T?t No. o[ Llnetl fl. Area ne I Il?hl• o[ cratk tn. tl. I Coef. Btu lnfil?ration 75' py /$'Ob GJau 7*7.4 O 4a10 Ecp. wall )(*f }. (p o Net e:p. wall 6k --ielrivaA Floor 'a (i 1(d G Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader aree Fl.l Room I Length Width Height _ wmaows eno voora-a,raera ge ena rires NO. Wldth Of D\e• Helghl Of Dan• No. ot Ilihb Llneal It. D! craCk Area sq. Il. CoeF. Btu In6ltralion Glass Exp. well Net eip. wall Int. wall Ceiling Floor Total Btu, Required sq. it. E.D.R. or eq, ina. W.A. L,eader sres I Fl. Room 1 Length Width Height Windows end Donra-[ rwrlcaeP enrl Ar.w No. WIAth at pam HdgAt oT Dan• No. of Ilshb Llnoal tl. o( eraeM Area sq. ft. Coef. Btu 1n61tralioo Glesa Exp. wall Net e:p. wall Int. wall Ceiling Floor !olal tftu. Requind sq. 1t. E.D.R. or sq. ins. WA Leader arca 61q g1`? Permit Application (?, ? QT FCity Of Eagan Ii I RESIDENTIAL BUILDINf?;_1675-5674 3830 Pilot Knob Road, Eagan ff ZC03 ?) Tetephone # 651-675-5675 FAX # New Conshuclion Reauirements RemaleVReoair Onlv 3 registered site surveys showing sq. R of lot, sq. ft of house; and all roofed areas 2 oopies of plan -- _ Cert of Survey Recd (209'o rtiaximum lot coverage allowed) 1 set of Energy Calcula6ons for heated addibons _ Tree Pres Plan Recd 2 copies oi plan showing beam & window sizes; poured found design, etc. 1 site survey tor addi6ons & decks Tree Pres Not Reqd t sel of Energy Calculations Add'rtion - indicate il on-site sepG'c system _ On-site Septic System 3 copies of Tree Preservation Plan if lot plaried after 711193 Rim Joist Dehaii 0p6ons selection sheet (bklgs wiUi 3 or less units Date e9A SiteAddress 1!6,g 7'T'[, Construction Cost ??e 4?0 Unit/Ste # Description of Work S/l)JN&? -3 L, ki?!° ?QOLI.s Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2 Property Owner d eICI? Telephone # & n zaa" zj?,ke) 9 Contractor Address State G 6/)*ff Zip City I Telephone # (??p '?.:; COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . ResidenBal Vendlatian Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the infoicnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of Mti Statutes; I understand this is not a permit, but only an application for a pernut, and yvork 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. Applicant's Printed Name A licanY i re OFFICE USE ONLY ` Sub Types ' ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex , ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteradon ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to appiicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs 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 & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Pian Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment PIanY - - - - License Search . _ _ _ . _ - • Copies Other Total Building Insoector          ÿú ÿ þ þýý  üû îûú      ùýý ìúçè ðèÿýîü  äð  þýö  ýüûúùø÷ö õ   üúùø ÷ ÷ö õ ôöõóø ò   ñü   ü ðìüø ù ïÿ ýîü  òø ëò ò îü  ò  û ò êé  ÿööøÿ þ é é òÿ  ý  øê é é  ø é    ê  ûòè   îü ûù ö ÿé òùò ê  íæðåæääêäêä õù  ýü  æêãêã ç ü ðþê  ôó ö òñ øø  á ó  âá  ãå ó øøç ù ô ÿ  ôð àãßäãð  ûù öÿ  ë    øø     é ò     ÿ òøùö  øø ûý  é   ý ü  ùé ÿ ì   ê øø õ òýÿ ü  üùýÿ ü  PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA178573 Date Issued:08/24/2022 Permit Category:ePermit Site Address: 972 Kettle Creek Rd Lot:3 Block: 2 Addition: Lexington Square 7th PID:10-45081-02-030 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Ricky D & Cheryl R Anderson 972 Kettle Creek Rd Eagan MN 55123 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature