4562 Kirkwood CirReceipt MECHANICAL PERMIT
CITY OF EAGAN
I Fill in numbered spaces
Type or Print /egibly
Fee
S/C
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. ? Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New L] Add ? Alter O Repair ?
10. Describe
11.
No. Epuiument 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
dli
H
Mfg. _ r
an
ng:
_ Boilers
Mfg. _ Mech. Exhaust
Unit Heater
Mfg. Other
_ Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rouqh F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
Permit No,
Type _
111?1
Rewipt PLUMBING PERMIT
CITY OF EAGAN
Permit No.
* Fee
9( " F!ll in numbered spacea S/C
TYpe or Print legibly Tot.
? 1. Date 2, Installation Cost
3. Job Address !! ????2 '.trktaor- ? Lot Blk. Tract ?
4. Owner •Joe '411er Construct
5. Contractor :C ." r;nical ; r",'.Phone
6. Address ?0''30 i:olt Ava.
8. BuildingType: Residential 0Commercial ? Institutional O
9. Wark Description: New ?_ Add O Alter ? Repair ?
10. Describe
11.
a
?
:
12. I hereby certify that the above information is true and correct, and I agree to
. comply wiM all ordinance;_and codes governing this type of work.
' Signed : i', ? . , Nr - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Dr
infield
? Bath tubs p
a
$e
tic T
nk
G Lavatory p
a
Softner
I Shower Well
Kitchen Sink
_ Urinal/Bidet Other i)
Laundry Tray - ,,
! Fioor Drains
Drinking Ftn.
_? 51op Sink
Gas Piping Outlets
_ ,.. . ,
PERMIT # ?
- ' PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55127 DATE:
Site Addre"ss ''`--) t- ` 11"162'7-w °m
Lot 1?1.- Block , f_ Sec/Sub
? Name F aNf" r?P
m Address l?oAN T HA/4
c City JNC!//l/c phoner_E'?L?'
? Name _
c Address
O City 1^i
a
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 SIC iF PERMIT PRICE GOES
BEYOND $1,000.00)
CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
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 T-
=oRener - $5.00 ,S , O o
_weu -$yo.oo _
Private Disp. - $10.00
-Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
..& a r UF EAGAN Remarks
' Addition l.ot 6 Blk 3 Parcel 10 17150 060 03
Owner Street 4569 A? Circle State-Eagan, MN 55122
k?t
Kwo,>Cz?
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1982 2622.14 524.43
STREET RESTOR.
GRADING
SAN SEW TRUNK S 112.00 Ao1168 12-2-82
AEWER LATERAL 1358.09
WATERMAIN
:tWATER LATERAL
WATER AREA 112.00 AOZZE)S 12-2-82 ?
STORM SEW TRK G` 140. 44 Ao11685 12-2-82
*STORM SEW LAT
?
CURB 8i GUTTER
SIDEWALK ?
STREET LIGHT
ROAD UNIT 240.00 31716 9-3-82
WATER CONN, 1120.00 11
BUILDING PER.
SAC
PARK
ciTr flF En,GAN WATER SERVICE PHtMIT
3795 Pilot Kno6 Road PERMIT NO.: ,
kugan, MN 55122 DATE:
Zoning: No. of Units: _
Owner:
Address:
Site Address: _ t`.'.rnoc' ?trl i
Piumber:
Meter No
: Connection Charge:
.
Size: Account Deposit:
Reader No.: Permit Fee:
I agrea fo wmplr wlfh Hhe Ciry of Eagan Surcharge:
Ordinanaes. Misa CFwrges
By
Date of Insp.:
Total:
Dote Paid:
citr uF EAGAN SEWER SERVICE PERMIT
3495 Pilot Knob Rosd PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No, of Units:
OwneC
Address:
Site Address: f;,j.;1".}pn.' ('irrl P'- PnY rzsr
Plumber: ?•i.i't' ?`FC:?dillCfi?.
1 ayres fo eomply wilh the CiFy of Eagan
Ordinaneet.
Bv
Dote of 1 nsp.:
I nsp.:
_ '.'.?r ..
Connedion Charge:
Account Deposif:
Permit Fee:
Surchcrge:
Misc. Charges:
Totol:
Dote Paid:
BUILDING PERMIT
Site Addrcss
Lot
Parcel # -
cirY oF
3795 Plld Rseb Roed
PHONEs A
?
+ 53122
Receipt #
$57.O(10
Block See/Sub. ..a°t lst
W Name .
; Address
U a._--
o I Nome
2?'
O< /??reSt
ud
F e"'tw, n?'__
Erect ? Occupancy
Alter ? Zonirq
Repoir ? Fire Zone
Enlarpe ? Type of Corut.
Move p # Stories
Demoliah ? Length
Grode p Depth Sq. Ft.-
Assessment
Water & Sew.
POlIC!
Fim
Enp.
Planner
Council
1 hereby acknowledge thot I have read this application and state thnt Bldfl. Off.
the information is correct ond ogree to comply with oll applicable
State of Minnewto Stotutes ond City of Eogan Ordinances. APC
Sipnoture of Permittee -
A Building Permit Is issued ro:
all work sholl be done in occordance with oll applioable Stote of MinnesoW
Buildirp Official
Permit
SurcFwrpe
Plan check
SAC
Water Gonn.
Water Meter
Rood Unit
Total
on ths exprcas conditlon thnt
Statutes and City of Eupan Ordinances.
Pxmit No. Psrmit Holder Miac. Permft No. Holder
Plumbing ?) C) Z 3 /1'lCG u.i V?t 4-2 $-tZ
N.V.A.C. 3z(P$ tFi r, ?I-Z-$2
Well
Watar
Disp.
Sewer
EMdAe W 31t(a7?0
Irnpsetion Dete Inzp. Othar
Footinps
Foundatlon
Freminq -
.56
Rouyh Pibp. rem aj
Rougoh HVA »C? ?
Inwlation
Final Plbp.
Final HVAC . ?. ? ;
r?.
Fiml g 'x)
Water DsaeriM locrtion:
VYell ,
Sewer „ '
Pr. D'ap.
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 _
RECEI V ED
AMOUNT $ I
& DOLLARS
1 oo
E] CASH El CHECK
FOR
FUND CODE qIADUNT
Tha You
?BY
White-PaYers Copy /
Yelloa-Posting CoW?
. Pink-File CopY
CITY OF EAGAN
• 3795 Pilof Knob Road lagcn, MN 55122 NO 7483
` PHOHEt 454-8100
BUILDING PERMIT Receipt
To bs uted for SF DAC"i/GAR Est. Volue $57000 Date S eDtemhez' 3 , 19-A2_
sire Address 4562 Rirkwood Gircle
Erect
Qg
Occupancy R-3
Lot 6 Block 3 Set/Sub.Cheg MaY' Eaet 18t Alter ? Zoning R-1
Percel # 10 17150 060 03 Repair ? Fire Zone MA
V
Enlarge ? Type of Const.
s Name Joeeph COnst.. 1riC.
H. M311e='
Move
?
# Stories
?
Z Address 14115 Gut}t!i@ Ave. Qo. Demolish ? Length 52
Ci Ap pl@ VS11Cy phone 454-4753 Grode p Depth 38 Sq. Ft.-
p Name owner Approrals Fees
?
?? Address
1- ru..
Nume _
Assessment _
Water 8 Sew.
Police
Fire
Permit 304.00
Surcharge 28.$0
Pian check 152.00
SAC 525.00
Water Conn.420.DA
WaterMeter 611-An
Road Unit 24n-nO
?o Address Eng, _
<"' I City Phone Planner _
Council _
I hereby ocknowledge that 1 have read this opplitation ond state that gldg. Off.
the informotion is correct and ogree to tomply with oll opplicable
Stote of Minnesota Stotutes ond City of Eagon Ordinances. APC _
Signoture of Permittee
A Building Permit is issued to: JOSBPh M. Mj.l
oll work sholl be done in accordonce with all opplitoble
rotol $1729.50
on the rpress conditlon that
v 9f F6gcn Ordinonces.
Building Officiol
_. :..: ;
? ?•,:_
Yf. :.f. . . ` ..?. . ? . i
o! piaw ?
L}?1 CM'Y f? EAL'??N
n alwatians i ;
1 site pIm ?V
`
aR
BIJIIDING PII 3i0?
T Nt of wnssipY ??
11P'P'I.ICA TiQi - . ? .-- •
7F b W,?°)-?
Valuation Dab 7/13f.92 y
Zb 8B Used fbr ?.._. H%me Q"'ICB LSE cwz
?
SiLB AadieSSi 4562 Kirkwv..;,..
pC?( 'I $BC. .?LIb. C}1PS Mar 1ct
$]
t
T
.
'? ?.Mw?M?fR?
"`sr. ?•''i
,
A
6 ?aif?w?
Pael 11: 10 !??? p o (a c) c? ?r zone N ;
, .
qYrps ot Oornt. ,
pnlar"
Joseph M..M's11er Const. Inc.
`]4115 GvEhxie Ave. So -?? #
' APPbe Valley MN. 55124
.
Pity/z' 1p Coa6' ?,.
...
;. .
Pp??Vl1IS
. Pt?one 1.
. ? A
64
?'? :
--- ?
AsOAio 1Mb
. . Q7[ittaCtOZ: ? : Same ?.?-
Water/Sewsr
?l
. . , z ,
Plan Clhec,k
Police
cbae:;-
;city/zip ?re gc
Wab?ac oann•..,?a ?
""?'
• ?
Hx
,
I ;
Phone t : f . ? i
?
J
Plannps - 1111:3W itiat
_ Ccuncil
•' -
Of
Bid
Arch./&W.: .
g.
Addresse `
?:CitY/ZiP ?ec
, -Plyocie
,
?6,
?, G 76
This reques[ vofd rQ'[Z9-
18 month s from ?;;q 13?6626
Lc?t B33z-(a(0
a-7 , sa
Request Date
? Fire No. Rough-in Inspection
Req ired?
?Ready Nuw?Will NotifY. Inspec-
to
Wh
R
Ycs ?No r
en
eady
jg LicenseA Electrical Contractor I hereby request inspection of above
? Owner electrical work inslslled at:
Street Address, Box or,ROUte o. ?1 - ' -
?e erx C r
?
Slc N
A
` City
z"
g
'
s
c
,, Q c n
'i
ecuon o. Township Name or Na. Range No. Count fV' /
Ocant (PRINT) ' ?v . • Phone No.
pe
Power Suppli r Addr ss ?
062 Q
Electrical C tractor (Company Name) Contractor's License No.
Mailing Addr?esas C ontra or or Ow?r Making Instailation)
?03N Y / _"? ? /- K.f/j ??V ?Ct ??!?C/
Authon d SiBnature (Contr to Owner Making Ins[allation)
1 Phone Number
. s'3-r3 9 `7
MINNESOTA-STATE BOAflD OF ELECTRICITY - THIS INSPECTION REQUEST WILL NOT
Griggs-Midway BId9• - Room N-797 8E ACCEPTED BV THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 . UNLESS PHOPEfl INSPECTION FEE IS
Phnne 1612I 297•2171 ENCLOSED.
REQUEST FoR ECECTRICAL INSPECTION EB-oooo1_oa
"2 6 ' See instructions fur wmpleting this formon back of yellow copy.
Selow Work Covered.by This Request 32-?? b
Ne Add Rep: Type ot Building Appliance5 Wired' ' Equipment Wired
T Home Range Temporary-Service
Duplex Water Heater Lighting Fixtures
Apt. Buildiny Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Indiistrial Bldg. Air Conditioner ' BulkMilk Tank -
F3rrp . Other Specify Other lSUer.ifyl ..
therlSPecify Other Oiher . .
Compute nspection Fee Below
# Fee Service Entrence Size -# Fee Feeders/Subfeeders 4 Fee ' Circuits
l. /. ti'1.? 0 to 100 Am s 0 to 30 Am s 7-50 0 to 30 Am s
101 to 200 Amps 31 to 100 Amps fi O 31 to 100 Am s
Above 200_qmps Above 100_Am s Above 100_Amps
Transformers RemoteControl Cira S(} Partia6'Other Fee
Signs Special Inspection S34 Q pT
L
A
Remarks - . ,
?EE}?
?
v
Rough-in ey` ?f? / . ...
` peCtor, here6y
' certify that the ahuve
Final ection has 6een
made. '
This request voitl
18 mnntFc frnm
. (I.erfifiratP of COrrupttnry
?#tp of (eagan
, ,.<y., :: :,,,':? 1 ; DF}tm`httPlt2 ttf llttftg 3WPtfiitit
Tbrs CMi ficare inurd purruant ro the .equiremenrr of Sation 306 o f thr Uniform Bni4ling
Codc urtifying that at the tims of iitrwnn thii uructurs wa.r in rompliancr with the vafioxr
ordinana.c o f the City ngulating buildieg wrrnruction or u.rr. For the following:
?cla=ificetwe SF DFIG/GAR ????t xo. 7483
omJwa•r 7rw R3 Tvwcon.hwsm V riA Ze. NA zmft wuw Rl
a?of?"?Tos. Miller Const. A&u=18I33 Cedar Ave., Fare?3ngt
&aaw„&„4562 Kirkwood Cir. i,..,;,,,LOt 6,Block 3,Ches Mar Eas
& ft: lst
Due_ November 23, 1982
ron Ir. eonv? ruei
•81 4T?fOIN Y.9.A.
.•
,yy5
RESIDENTIAL , I u ::,I
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft of lot, sq. ft. ot house; and a0 rooted areas
{20°k ma)imum lot coverage allowed).
• 2 copies of plan showirg beam & window s¢es; poured found design, etc.)
• 1 set of Energy CalcLAations
• 3 copies of Tree Preservation Plan 'rf lat platted after 7H193
• Rim Joist Detail Optbns selection sheet (bldgs with 3 or less unils)
DATE _(d
JOB SITE AD
if MULTI-FAMILY BUILDING, HOW MANY UNITS? _
PROPERTY OWN
TYPE OF WOR
SF
RemodeUReoair Reauirements
. 2 copies of plan
• 7 set of Energy Calculatians for heated additions
. 1sb survey for exterior additions 8 decks
. Indicxte if hane served by septic system for additioris
O • UD
/8,?(P
VALUATION
APPLICANT IYIk KUS" :?1'1C • PHONE# I?.?r/?v h0ADDRESS 5EJE)a 5Mi2AA.. LAIUib, MkLt-- IYINI efs-343 ZIPCODE ?
PAGER # 6RL-PHONE # a? • 9?J ' i?2?? FAX # 21 '-)yy
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1
( c h e c k o n e) - R e s i d e n t i a l V e n t i l a t i o n C a t e g o ry 1 W o r k s h e e t S u t
- Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor.
Mechanical System Includes:
Sewer/Water Contractor.
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
No. of Baths
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
'f- % T 0 d?
A PR 0 8 200 D
.S ?
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the informatio is correct, and agree to comply
with a14 applicable State of Minnesota Statutes and City of Eagan Ordinanc s ?
1-
Signature of Appllcant ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Req red _
Updated 2002
OFFICE USE ONLY , •
.
? 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 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 O 18 Deck ? 23 Porch (screened) ? 36 Muiti
? 05 03-plex 13 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 (Interioh ? 44 Siding
13 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof 0 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units 5q. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) FinallNo C.O.
Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stoae
Insulation _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water 5upply 8? Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
FinaVC.O.
HVAC
Cities Diaital
ity Control
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Every effort was made to capture the content
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EXTERIOR ENVP:LOPF AV£RAGr "U" COMPL1Tn7?iora ? 9'.?D35
?? ?? ± ,bWNER s _ AA'tl ?? - I 0 " 8 Z. _.._? ;
, .,BITE?ADDRESSs PISONE:
nH ? !,Ia? 1' • ' - , ' , , ,,? ' ' j
R:
DJ.nc ti+orking gquarq footage of each i
ro
s t, , ' , „ r
IG?iP Bq• ft• X .1'?
ea ? i
« 3?
, ialfi j ]. expQ?,?1 106 --= ° ? •q ,?;
,
4 ? , , ?? 53 9
• ??*, I,?a?+? roof/??? 1 D"7A) sq. ft. x .05 a ;
e?p?ed Fwall area above floor m
?wa?y;?u?; ?,,,,;.!. • . ,??? ????? i?,?,, ??
a. 7btul-wall window area?................................
?..
N7'hr?,. .......
Totar aoor erqp'.',•'• `. ---3?-
?:Total sliiliny giass .zr"................ .....
„ •
WFr t!;d.;?'fotal fireplace wali azea ................ ............ 1-10
e:Total wall framinq azea (average 10%) ..................
?f. 7rotal rim jofst area .................................. !4 1
??' i'. 9• uE'r h?all. area above floor .......................... I3?U
h. wal.l area above floor ..........................
? .
wall area above f.loor .......................... _
wall urea ubove floor. ...:.....•............
?. -
': ;j,. • ?°I
9bta1 exposeu foundation area =
, k. `.bL-al fn,u:datfon window area ...........................
l. Total net £our.dation area above grade ... ...............
R0 ` Determina "L" value of each wall segment
(e.g. wtndow, door, each separate wall sectipn) ?
t
x nvst
120 ?
d'
' 3? X „ui. Z0.9
'
• S5 °
?
«.? '40 x „u„ .55 . 22,
FI 1i ?? ;? d.. .. _ ' x „Uol
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e. J-10 X ?oull ----
}
f I4 ? x 0V
.041 ,.
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4
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9 ! ?o X „u„ .o4g No _ ?g-4-
h. h flu.. _
X IOU 11 o
j . X „U.,
}. . $ upu -
--------
1 ? x ,,?,? , qL_;?,_ = 3?•9 = .,.
' ...t_...r• , ?1-7.`5
lf itcm #3 is the same as,
or less L-han itcm #l,.you
huv? met the lntenC of
SiiC 6006 (c) 2.
?::
) .
sw D«?:rior Envelope Average "U" Computation Page 2 of 4
Total.exposed roof/ceilinq area = m. Total skyliqht area` ,................:......... -
n. Total roof/ceiling frar.dnq area (avcrage 10%)...
, o. TotAl net insulated roof/ceilinq area..:........ S470
Determine "U" value for each roof/ceiling segment
M. - X : U" - - -
.. . n . ' 0 Q X uvll ? Z72-1
CJ
o. °I"70 X SlU° .OZ3 m ZZ.3
4 ........................... Total = Z?. 2
If total.of #9 is the same as, or less L•han 02, you have met the intent of
SBC 6006 (c) 1.
;,.
,
Alternate Suildinq Envelope Design
Rb utilize the total erlyelopa 'sysbeci method, the values established by tlie s:un of
items #3 and 44 shall not be greater than the sum of items #1 and #2.
1• 324.4 + 2. 3'78.3
- 3, + a. ?S.z = 2qz,?1
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PLAt..! #? <13o-3S'
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?jLOGfC-!?;, zCo4 38+2c.Q+ I o= ?38
1 -t 2 co + 3-Z>+?z.ca-+ c.a = 1 ? q
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?KpoSeD WA LL AR-EA
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.; 3Loc ?iC', ? 3g K, S
,
5?0
k?rE.E. ?C.
W.0 ? I<< X $ = -' ??as ?
. Vuc.L I x S = ? ?zs ,
FuLL
, .-
_ --
: F, P, ? ? -
`ZIM :', o !4t yC ? = l?1
;
To tA L
¦SQ.?f .
'I
? W Dv??S
?'.43[v
' ; Zq4 b
,
a I? 3?
z?$
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i
EKpOSE:.D GEi LtUq 1$8? Z.z..S k(ol-5 = I0-75
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f, ? ?• 3 ?} s. ?*-?c-?i? PrIMP-?_.,,. ?,
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l . ? ? l??? 111?? (' - Tota1
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Certificate for:
? Joe Miller Construction
14115 Guthrie Avenue KIINU
' Apple Valley, Minnesota
55124
DELMAR H. SCNWANZ
LAMOSURVEYOi1 -
RaOiRerM Unpw Law} Of The Stats of Minmso4
2978 - 145TH STREET W. - BOX M ROgiMIXpIT. M1NNESOTA S6m
SURVEYOR'8
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Plan No. 93035
wHor+e 61: 42+1769
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Proposed ga.rage floor 93zsf .
Proposed basement floor Z$, .
.
Proposed top of foundation 93Z*9
IZq,q Denotee existing elevation
(9)Denotes proposed elevation
,,,..,-^Dsnoteq surYace drainage
T hereby certify that thia is a true and avrreet repreeentation of
Lot 6, Block 3, CHES MAR EA3T FIIRST AI)DITION, accordin6 to the
recorded plat thereof, Dakota Cvunty, Minneevta.
Also showing the locatlon of a proposed building as not staked thereon.
Dated; June .29, 1982
-, - .
s
MINNESOTA RE(
ficate for:
r Miller Construction
4115 Cuthrie Avenue
Apple Valley, Minnesota
55124
SURVEYOA'Y CERTIFICATE
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Proposed garage floor 93?01 .
Propos3ed basement floor Za, .
Proposed top oP foundation 9,3Z19 .
"jZ9•4 Denotes existing elevation
0E)Denotes proposed elevation
ff^Dsnotes surface drainage
I hereby certify that this le a true and correct repreeentation of
Lot 6, Block 3, CHES MAR EA3T FIIl3T ADDITION, according to the
recorded plat thereof, Dakota Coutnty, Minneeota. ?
Also showing the location of a proposed building as not staked thereon.
Dated; June.29, 1982
.
MINNESOTA REGIS ATION N0.8625
i /
DELMAR H. SCHWANZ
tJ1NO SUR V EYOR
RKitUrW UntlN Lawt e1 TM StaN o1 Minniawta
2978 - 146TH STqEET W. - BOX M RO{EMOIiMT, MINNESOTA 660" PMON[ {12 4=3-7789
y
RESIDENTIAL
` BUILDING PERMIT APPLICATION v 0
CITY OF EACAN
LA WA S?A 3830 PILOT KNOB RD - 55122
651-681-4875
NewConstructionReauirements RemodellRepairReauirements 1 y ' ?
• 3 registered sile surveys showing sq. ft of lot, sq. ft. of house; anll roofed areas • 2 copies of plan
(20% maximum lot coveraqe albwed) . 1 set oi Energy Calailations tor heated additlons
• 2 copies o( plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set of Energy Calculations . Indipte if home served by septlc system for addiGons
• 3 copies of Tree Preservation Plan ff lot platted after 7/1l93
. Rim Joist Detail Options selection sheet (bldgs with 3 or less un'rts)
DATE f lg /O / VALUAIION ?50(W_
JOB SITE ADDRESS
?_?G? ??i'?cvo[1? Ci?•
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER4Q mt S T E4iri'v1Acc131.
TYPE OF WORK Sfa rA q 1? S,04r6 ?'o ?A??jr FIREPLACE(S) _ 0_ 1_ 2
APPLICANT A6 14 ;,r J. FAri hsrcc PHONE# 6S? "qS?/ /6
ADDRESS 4U4 Xi`rlcwooW eir• ZIPCODE S.I-123
PAGER #
CELL PHONE #
_ Phone #:
Lawn Sprinklcr
No. of R.I. Baths
NE1V RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
Mechaiucal System Includes:
Sewer/Water Confractor:
_ Water Softener
Water Hcater _
No, of Baths
Air Conditioning
Heat Recovery System
FAX #
Fee
?Wo,i 13, ?
$90.00
$70.00
All above informafion must 6e submitted prior to processing of application.
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree t comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
? 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 1< 17 Garage
? 10 OS-plex O 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or _ N
? 31 New
)K32 Addition
? 33 Alteration
? 34 Replacement
Valuation ?00
Census Code
SAC Units (9B
--?
Nbr. of Units
Nbr. of Bldgs j
Type of Const
?
?
-?`
Footings (new bldg)
Footings (deck)
Footings (addifion)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insularion
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
O 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
c-
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning ? City Water
Stories Booster Pump
Sq. Ft. ? PRV
Length (E? Fire Sprinklered
`
0
Width ?,?
r?
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By TZ, , Building Inspector
----- ------------------------- --------------------------------- --------- -------------
?:?r
1
Use BLUE or BLACK Ink
1 For Office Use - - - - - - -l-- -
• I l I
j Permit ~ S I
City of E n w"~f I Permit Fee: ! ! 2 `3 I
v
3830 Pilot Knob Road
Eagan MN 55122 JUL 0 2 '1Q1~ 1 Date Received:
Phone: (651) 675-5675 1 I
I staff.
Fax: (651) 675-5694 1
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit X
% Name: 1- 014 is (-I dl G C G 1 Phone: 651 aZI" -I
RESIDENT t ~ ~Z ~Q
OWNER Address / City 1 Zip:~ s r K W ood if i it C le,
Applicant is: 'X_ Owner Contractor
TYPE OF WORK Description of work: )q _t_fAe- A 1 N q w Wood deck-
Construction Cost: Multi-Family Building: (Yes / No X-)
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Fagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-ON2 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.ooaherstateonecall.orp
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x Loafs ~~olr~lnu~w, Jr• x
Applicants Printed Name Ilcant`s Sig ure
Page 1 of 3
f DO NOT WRITE BELOW THIS LINE ~J r
SUB TYPES DD C-
- 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
T` Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition I Vvg SAC Units
(25%_ 100%-~) Zoning 0 City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
C Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests Final
Framing Siding: !Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By:~ , Building Inspector
RESIDENTIAL FEES 06zk
Base Fee Surcharge Plan Review ~f
MCES SAC /
City SAC
Utility Connection Charge
S&W Permit & Surcharge
..s
Treatment Plant
Copies
TOTAL
Page 2 of 3
PHONE df! ~9-118E
Zi78- 146TH STREET W. - SOX M A • wWWWA NOM
SURVEYOR%
F01( (A-
off` ~
tK.Ib
•Q° O
C-1 L
Cli
1 9
Ipc~ 4,
1 t 2CI. coo
IMA Denotes OXieting elevation
Proposed garage floor
Proposed basement floor °Z ,t,~,_• tea proposed 'elevation
Proposed top of foundation Denotss surface dra,ago
I hereby certify that this is a. the gyp, I t representatiox Of
I,ot 5, Block 3, CRffi MAR UST PAST dim to the
recorded plat theraofe Ilakota CO*tye r!ti.ruC~ a,
Also showing the location of a proposed building as not staked thereon.
Dated; June 29e 1982