4884 Knottingham CirCITY OF EAGAN Remarks
Addition RRTTTANY $th Anntu _ Lot 9 Bik 2 Parcei--1Q 15007 090 02
owner street-?$$4 Knottingham Cr. State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 19 7 6 ILAMMM 12.23 1 aaZ?E, - T?
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1 536.00 35.74 15
STORM SEW TRK 67SD 186 942.00 62.80 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET IIGHT
WATER CONN, 500.00 n n
aUILDING PER. 10659 if it
SAC n ir
PARK
0 CASH RECEIPT ?
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
,
DATE 19
wcenvIto ?
rnowt -
AMOUNT $ I
7
a DaLLAas
?oo
[] CASH ? CHECK
roR
- - . ,•?• , ?
? i
l I_Y
. , ?-
PVNO CODH AfAOUNT
.-'?.
`
i .
..
. ) • ?
. .
? ?
1
Thank You
,
,BY •?
1Mhite-Payerc CopY
Yellow-Po6ting Copy
Pink-File Copy
,# , . •
(gerti#ira#e of (IDrrupanry
Citp of (Eagan
oP#turtritPltY Af lltdbttt J jwPttiDrt
This Certifrcate issued pursuant to the requirements of Section 306 ojthe Uniform Building
Code certi)ing that ar the tenre ojusuance tlus structure wa.s in compliance with the various
ordinances of 1he City regulating building consrruction or use. For the following:
use ctueifiouai Sf DWG' 91ag. Prrmh No. 52
Oceuprcy Type R3 Zaning District TYpe Coost.
owner ora?aai-I TOI.LEFSUN Addrm 1655 f.;R:;AN
4864 KNOm. .??. L 9, h , i P. `•'.' c?, Tl'
euddini aaares iouncy
APRI! atc
smiaing offictW
POST IN A CONSPICUOUS PLACE
, ? .
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipf
Slte Addrea - - - Erect Ll Ooeupency
Lot " Block S+c/Sub. Remodel ? 2oning
Parcel No. Repeir ? Type of Const.
Additlon ? No. Storiea
Move ? Length -?• 7R.
W Name - - ? - Demolfsh ? pepth -?? -3 ?
Z Address Int impr. ? Sq. Ft.
5 - -- ----.?
?' ? f ' ? 1 ? U ..pP.vwo rws
9 Name
jb Addren T Assessment Permit
ul Water b $ew. Surcharye
City Phone
Police Plan Review
?W Name Firo SAC
Address Enp. Water Conn.
' W City Phone Plonnt? Water Meter `
CouncN Roed Unit
I hereby ockrawfedpe thot 1 how road this opplication ond state that Bldg. Offl /}'' Tr. PL
the intormotion is correcf and agree fo comply wifh a11 appliccble
A? Parka
Stah of Minnesoro Starut•s ond Ciry of Eogan Ordinonus.
Var. Date Copies
Sipnofuro of Permitte?
Total
A Buildinq Ptrrnit Is issusd to: ' on the txpress conditiwn Ihat
oll work sholl be dorw in accordann with a!I opplimbl• 5tote of Minnesoto Statutes ond City of Eapon Ordinonces.
etglaino officioi
10652
Pwmit No. Pwnh Holdw Dsft TNephone *
w??t,i?w 9 G ?= -? ,.
H.?VA.C: 7' 1? -
eNee.??
i ?. ? ? • 7
?,,; , '`?,". .. f'
??2 .??j81,
?? ; ? : -
sote.nK
Irqpection Dsta InsP• Othw
Footinys 1 Av
V2gG ?
Footinqs 11 . .
Foundatlon
Framiny
Roofing
Rouyh Plbg.
Rough Htg.
Inaul.
Fireplscs r
?
Ffnel Htg.
Fin.l Pibg.
Finsl
Cert/Oca
Water ?'?? ?oe io ;
w?i
t?
?, --? - 17 ?-
Sewar
Pr. Disp.
PERMIT #
MECHANICAL PERMIT RECEIPT #
GTY OF EAGAN
3830 PILOT KNOB ROAD, EACiAN, MN 55121 DATE
CONTRACT PRICE PHONE: 454-6100
Site Address gLpG. nPE WORK DESCRIPTION
Lot Block Sec/Sub
' '
R
? N
?
ew
es.
Name
M
lt Add
m u
-on
Address ' ?'
•' ?' "? %`- ' C
R
i
s _ r
omm.
epa
c City i /: •" Phone Oth
er
? Name 7 ik FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p City ?'? •' ?? Phone"'?y ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADQITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air ?L2_ M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.Sd S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping OuUets # ? -
Other _:-•'
? .
FEE ? ,?
• f
? SIGNATURE OF PERMITTEE
S/C: • --
ToraL
FOR CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB RQAD, EAGAN, MN 55121
Site
m Name
? Addr?
c City _
PERMIT # r? y r'
RECEIPT #
. -;
DATE: /i
Sec/Sub
? Name i I r-( jS?N vv _
3 Addres5
o City J t. Pnone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMi1M - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
New
Add-on
Comm. Repair
Other
1?. FIXTURES
- Water Closet - $3
00 TOTAL
i?
.
L-Bath Tubs - $3.00 Lavatory - $3.00
.?__Shower - $3.00
I Kitchen Sink - $3.00 '
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
-
?
Floor Drains - $1.50
?
Z ?
'
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50 '
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50 4 -' -
FEE
STATE S/C:
GRAND TOTAL• ? ''??
CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS '
Correction Notice
.,
Located at
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
?
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector City of Eagan
DO NOT REMOVE THIS TAG
Pilot Knob poad
Box 21199
i, MN 55121
SEWER SERVECE PERMR
PERlv11T NO.:
DATE:
No. of Un(ts:
- ! . _.?.? RI -'?•?
h @aw* wm !w Cilf of fo"n
Dote of Insp.;
Corx»ctlon Chorpe; ' -
Aooount Depodh
Permit FM:
Surcimrpo:
Miso. Chorpss;
Totol:
Duh Pold:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoninp: ` No. ot Units: -
Ownsr: - - - %- ' .
Addrom
Sih Mdresc •? ' - ?- - - 'i l-tti,nY c
Plumber.
Meftr No.: Comection Clwrpe:
Size: Aocaint Deposit:
Ra°de* No.: Permit Fee:
1mow to eowpip nMA !IM Citir of BOWN Surcharye:
? MitC. Chorpes:
Totol:
BY Doh Potd:
Date of Insp.: Irm.:
ITY OF EAGAN WATER SERVIC
P
0 Pilot Knpb Road E
ERMIT
. O. Bcx 21199 PERMIT NO.:
agsn, MN 55121 DATE: j`
Ing' . nits: -
ress:
tr /kidrom i *?c?3 ? ?, ,: ? , ? ?; ? • t? ? ? - •,
c.<« ^ •±? !?,? ?
un+ber
?
r N
/lcoourn Depoatt:
r No.: 6 ?, S S Permit Fee: ?
Mme to eo?plr N!6 !IN Citi of IMPw Surcharfls:
Mitc. Charyes:
ol:
e of Insp.: Dats Paid:
Inm_.
r7- - 3 -gG
RESIDENTIAL
BUILDING PERMIT APPLICATION Ob
CITY OF EAGAN
3830 PILOT KNOB RD - 55722 22
? l9 i r ei 651-681-4675
New Construction ReouiremenU RemodellReuairReauirements
• 3 registered sRe surveys showing sq, ft al bL sq. iL W house; an?p iooled areas • 2 copies of plan
(20%mauimum bt coverage albwed) . 1 set of Eneigy Cakulatloris for heated additions
• 2 copies of plan showiig beam 8 window alus; qwred tound design, ek) . . 1 sfle survey far exterior addNOns & derJca
• t set of Energy CalaWtions . IrWicate fl home served 6y septic system Iw additbns
• 3 copies of Tree Preservation Plan if lot platled afler 7/1193
• Rim Joist Detail Options selectlon sheet (Mdgs wilA 3 w kss wig)
DATE 'S -l 9- ^ 2-CX?? 1 VAW/[ION 40 C900
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWN
TYPE OF
le n } L00?5 L -0E+ [?f50?
?
l?7h?5 ?11rrl S4
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT S?sSi,L Core ar.r+-koy, ??,1? ?8 x?iWag PHONE#
ADDRESS (?O 5L( Teq^s??
i.Z S-t• ea,3 f Wtr+ VN• {
Ss-?+ y
l(c,B
ZIPCODE S`5-'14
PAGER # CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Ener9y Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential VentilaGon Category 1 Worksheet S?
- Energy Envebpe Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Confractor. _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Conhactor:
Phone #
Phone #
Fee: $90.00
Fee:
$70.00
All above infortnation must be subirtfitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the info tiq is rrect, I agre ply
with all applicable State of Minnesota Statutes and City of Eagan Ordf?e <
Slgnature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updared 1101
_ Water Softener
_ Water HeaYer
_ No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
.?
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex 'K 77 Garage ? 22 PorchlAddn. (4sea.) ? 33 EM. Alt - SF
0 04 02-plex ? 10 08-plex 0 78 Deck 0 23 Porch (screened) ? 36 Multi
? 05 03-plex O 11 10-plex O 19 Lower Levei ? 24 SWrtn Damage
? 06 04-plex O 12 12-plex Pibg Yor_ N X 25 Miscellaneaus 5P0lt,7--iS A-?'Lr,i}-
?7 31 New O 35
? Int Improvement ? 38 Demolish (Interior) O 44 Siding
i
? 32 Addition O 36 , Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
A 33 AlteraGOn ? 37 Demolish (Bldg)" O 43 Reroof O 46 Windows/Doors
O 34 Replacement •Demolftion (Entire Bldg only) - Give PCA handout to applieant
Valuation 0 (7(..o Occupancy 114, MGES System
Census Code Zoning City W ater
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
TypeofConst 'jn.L Width
? REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundarion IiVAC
Drain Tile
Roof Ice & Water Final
? FrammB _
Fireplace _ R.I. _ Air Test _ Final _
Insularion _
?rF}o'P.cP-6r?? wG7t+ t9L4
Q?,.•?- mrvda". -zA.,7ta f}- 5 Roart
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit 8 Surcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
License Search
Copies
?. Other
Total
Other
Pool Ftgs Air/Gas Tesu _ Fina]
Siding Stucco Stone
Windows (new/replacement)
Approved By T Z , Building Inspectar
? irnot'--t ? ?,) )? / / ? -_ ) 31 3 l ?,
? i 7"'r!0 r f 7
?
? 5 ?/57'"fua? -1- G?R?LS+ipvost.
? ?? ?? ?
r-
• CASH RECEIPT •
. . CITY OF EAGAN
? 3830 PILOT KNOB ROAD
EAGAN,MINt?{ OTA55122
.6itTe ? ?" -7 +9 iz
RECEIVEU
/`?G ()
AMOUNT V I$"' ! !
Occ-v
??
FUNO CODE
lo OUNT
'
3r r?
?
a? o
Thank Yoa
?
Nc-I 68200
White-Payers Copy
Vellow-Posting Copy
- Pink-File Coov
& ?DOLLARS
?CASH CHECK 'ao
REQUEST FOR ELECTNICAL INSPECTION Eep-oooo1-os
i Sea inatmc2ians lot completing this form on back o1 vellow copy. ?/6G°2
7 "X" Below Wak Covered by 7his Request
nl Builtlina 1 Aooboncea WireC 1 Equiumenc Wired
lectr
p Fee ServieaEntranceSi:a q Fee b/anders b Fee Gircuits
?i 0 to200qm s s Otn30Am s
Above 200_qmps mps
E ? 31 to 100 Amps
Swimming Pool _Am s
Above Above 700_Am .?
Transiormers ooms Pertial'Other Fee
Ae Signs Special Inspection
$? TOTA EE
marks ?
( ...V„ 4 ?I 1. the V
? /?S 0 ? Insoector, he.aby
Final y? ? certily thet Ihe above
/? msoecLOn hes eaen
?d meda.
requastvol0
.h/??/??
This ruquest void /.
18 mon[hs fmm ?
C 7 7 5 8 7ky. l?.2 s,
Co rYlO G oZ
pe,,i??a3O _i? ' Fire No. ;q?h-?,I nsoc?,o. ?qeatly N?w?ya?w•.•, ill Nnl?ty InsPec-
? `'ar Wh
R
Yes No en
eady
t icensed ElecVical ConUactor I hereby reqvent inspecbon ot abovewner electrical work insGlled at:
I
Streat A re,is, ax o, fl e No.
? ? ho .
?t CE rY? it
u-
ecuon o. ownship Name or No, ange o. Counly,
t (
74 INT) ?
.SUxJ
Phan No ?S73
?
Po SuOD??er AAdress
I cvroal Conaact r pany ame)
? M ?- C tr» t r Li ense No.
?? 5-
Madm. Address ICOn ra tor or Owner Meking In ailauonl
Authonze natura 1 ra tor O er king Installano Pl?uqa mber
U `?
Jt
?.a a
?,
o
MINNE$OTA STATE BOARD OF ELECTPICITY TMIS INSPECTION PEQUEST WILL NOT
Gri99a-Midway BItl9• - Aaom N491 BE ACCEPTEU BV THE STATE BOAND
1827 Univernitv Ave.. St. Paul. MN 65104 UNLE55 PNOVEN INSPECTION FEE IS
Phone16121662-090D _ ENCLOSED.
CITY OF EAGAN N_ 10 6 5 2
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
t3 yC/?
BUILDING PERMIT PHONE:4548100 Receiot * ? /
SitsAddrees 4884 KNOTTINGHAM CZRCLE
La g elock Z Sec/Sub. BRITTANY 8
Parcel No.
W I Name TOLLEFSON BLDRS
? Address 1655 NORWOOD DR -
City EAGAN phone '3? `-?4-QO-+ 3-
?o Name _
? Address
(`;rv
Phone
1- llU"U
Name _
Address
Ci2y Phone
Erect X.l Occupency R-3
Remadel ? Zoning R-1
Repair ? Type of Conrt. V
Addltion ? No.Stories
Move ? Length _ 7
Demalish ? Oepch 54- c1
Int Impr.
?
Sq. Ft. J
Install ?
AOM"ak iees
Assezsment -
Water 8 Sew.
Permit sA st _ 00
SurChflrge 71 _ flf)
Plen Review 96 Q 00
SAC 529; _ (1(1
watercooo. 5n.f1 - nn
Water Meter FI n n
RoedUnit 7R(1 nn
Police
Firo
Erq.
Plannar
Gouncil
I hereby ackrowfadga that I have read rhis application ond ztote tMt Bldg. Off.?/16/H S I Tr. PI. 1'37 f1(1
the Information Is correct and ogree to Comply with oll apPlicobla A? Parks
StaN of Minnetoto $tatut ond Ciry f Eogon Ordiro s.?
Var. Dete Coples
$ipnaturc of PermiMee
TOLLEFSON BLDRS 7otal 2•378.00
A Building Permfe is luued M: on tha exprem condiflon tlwt
oll work shall be done in accordanee wij11 cll a,pplimbld)State of Minnesoto $tatutes ord City of Eaqon Ordinancec
BuHdirq Offidol
£;
{'
{
t .
1985 BUILDING PERMIT APPLICATION - CITT OF EAGAN
NOTE: ALL CONiRAC'fOR3 MU3'f BE I.ICENSED IRTH T6E CITY OE EAGAM
INCLUDE 2 SETS OF PLANS
,3 CERTIFICATES OF S URVEY
1 SET OF ENERGY CALCULA TIONS
U
To Be Used For: SFf)
Valuation: 14 Z,ocxD- 00
Date: ti?`I)L,y I
G
j
GByS
,F,
,
Site Address: 4p, KINEIL i IC,E}iqM jWLLe7- OFFICE USE ONL7
Lot: r Block 7- Sect/Sub Fr?MMY 8'N=Erect X Occupancy ?-3
Remodel Zoning 2-f
Parcel p Repair _ Type of Const S-L
Enlarge d of Stories
Owner Move _ Length LQ,2
Demolish Depth 54
Address Grade _ Sq Ft
City/Zip Code
Contractor
Address _f L?5S I4bp3ArY'117 nl/lV
City/Zip Code EAr.AN
Phone 0
Arch./Engr
Address
Phone 0
APPROYALS
Assessments Permit cJ-? 8.
Water/Sewer Surcharge -7 1?
Police Plan Revieu 2b`1.-
Fire SAC
Engr Nater Conn Soo.
Planner Water Meter (03. °°
Council Ro Unit 2ao. ?
Bldg Off ? Parks
APC Treatment Pl I 32. °`
Yariance
SOiAI.
s
?.
?
B
__`'?
2 V JC C_U y' ?& -T 1< S 4- ? `i ? 3?J ?o
?&c) x ?a = 3St?4o
zo x 3z = ?a? ?s4 ? ??sc??
Zo ? 32? (?40 x <<_ ^ ?040
It? ?2 7 Z-7 cD ZI(oC)
14 x ?q- - ??? x Zo = ??20
Z Z x 1 2 ` LQ, 4 -
x- 8 Z I I 2
--
141 544
I
l
--WALL SECTIO --
Determining "0's valuee at Roof, Wall, Rim, and Conc, Hlock
ROOF/CEII.INO
1.) Interior Air r'ilm
z.) 5/8's ayP. aa.
30 Ineulatiou
4.)
50 Extefilor. Air Film
(STILL)
(R) VALUE
0.61
.56
44-o0
.61
IOUIO a IIR= •pZr abTAL (R)=9.5.7if
l
1
WAI.L
6.) Interior Air Film
7.1 1" QYp. Bd.
8.) Tnaulation
9.) LsAz" Sv,ca=Pim-7
10.) MASOnite Siding
11.) Exterior kir Film
(R) VALUE
0,68
.45
19• C,o
204
•b7
.17
npll a 1/R= .O`}3 TOTAL (R)=Z3.ol
._---
?-
RIM •
12.) Intarior Air Kilm
130 Ineulation•
14.) 211 Fir Rim Joiet
15.) ZS/3z'' Bon-r-R,rls-
16.) Masonite Sidin6
17:) Extorior Air F11m
(R) VALUE
0.68
l9.00
1.88
Z. 04
.67
.17
nUn = 1/R, TOTAL (R)=Ztf ?
..r•
FOUNAATION
18.) Interior Air Film
19.)
zo.)
21.) 1211 Oonarete Hlock
22.) ??`Ia lwsvc..
23.) Exterior Air Film
(R) VALUE
0,68
1.28
g •60
.17
nIIu z 1/R= . 098 TOTAL (R) = I0.
?-
;
J;
One or Two Family
All Other
CITY OF BUILDIN(3 DEPART1dEIJT
EXTERIOR EIZVF3,OPE AVERA(iE "Ull C01•iPUTATION
(To he submitted with building perroit application)
Dwelling ziz Owner
Contractor ,?,;,??? ?7?1 8ite pddress
Date
Phone
LINEAL FEET OF #
^
EXPOSED 4rALL .?Q5 lClrQ.K- 5445e5T ft. above grade = ?iCjC10r
TOTAL EXPOSED 4VALL AREA SQ. FT.
OPAQUE l4ALL CONSTRUCTION: "Utf Value x Area
j.??nE 04.3 x s .
Deference ) o" nA92 x SQ.
from r'iej? [xFC) x SQ.
attached ux SQ.
sheets npu X SQ.
iiUu X SQ
VJINDOWS: "Ult Value x Area
FT. ` .Zl?. q3--'110 (U) (A)
FT. '2i6,,"L1.= L.1..1 ?(U) (A)
FT. LLY.r =cl, i2_(U)(A)
FT. - (U) (!g)
FT. _ (U) (A)
FT. _ (U) (A)
Pfake & Type _bk't+L' Ls.n"T. rrUff • 90 x
n SQ. FT. K 'O- 7.3,?;Z (U) (A)
u uUu
X
SQ.
FT. -
_
(U)(A)
o n
x
"U"
SQ.
FT. _
(U)(A)
n n
upn
x
SQ. _
FT. _
(U)(A)
DOORS: "U" Value x Area
t•Ia';e & Type ?L, ??U° .?4 X SQ.
?? u PATIV ??c "7 x SGZ,
n n - upu x 5q.
n n nUn
_ x SQ.
TOTALS ZY90, ! i?, SQ.
AVERADE "U"
TOTAL (U) (A) VALUES 2eol, o3 _
D3-1
IVIDED BY TOTAL 4'IALL AREA 2
??
AVLRA(1L "U" ,? t5 br less for 1&2 family dwellinge
ROOF/CEILIN(3 •
TOTAL AREA: •_JLx]. Th
FT. 36,OCJ = 7, F
:±_(U)(A)
FT. CaC.? = St?;?i'Z (U) (A)
FT. _ (U) (A)
FT. _ (U) (A)
r'T. 2 1. (o:? (U) (A)
Detail reference flUll _x SQ. FT.?I?
__ .3?;5 (U)(p)
from 51UII • x SQ. ,
FT. a (U) (p)
attached sheets. IIUII x SQ. FT.
-
(U)(A)
Describe onenings itUot x
, S9. FT. - (U)(A)
in roof. IIUlr
x SQ. F'T. _ (U)(A)
ToTAL (U) (A) VALUES DIVIDED BY 2 7? 3n = TT1?L?j .?•? N,ft_ Z7. 3fi CUY?>
C
TOTAL ROOF/C AREA /&I- '' pZj
AVERAGE ?? .025 for bentilAted roofe. -_
A kloM e?E ,) _T ?l
C
4i 4?w_? ?
8.89X (41t11t-¢Zt¢z) = 14?5.78
t3'8;;x (?-z t?o+zz+z7) - y?' ?=?
S, W7x ?! - 3sS.97
ito7X (42t¢zt41) = 83,75'
Lao X !.S = /05?•Co
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CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NOl'f,: PAYNit:TI.P OP FL•'.E Id TDSE OF
APPLICATION DOES NOT CONSTIIVIE
APPR0VAL OF PERNIIT,
TNsencrzort OF sEWER Arro/ox Mxm
TusmAr.ramrONS WiLL NOT SE SCfIIED-
UIED UNi7L PERNIIT HAS BFEN
APPROVID.
P ease Printl 1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING SIRL'CiL?RE, DATE OF' ORIGINAL BPILDING PFRA7IT ISSC'ANCE: .
(Nbn Year
PRFSENf 7ANING/pROPOSID USE:
0 CODMERCIAL/RETAIL/OFFICE
Q IbIDL'STRIAL
0 INSTI'Ii"PIONAL/GOVF?2NMEdP
2) ?
NAME: TOIS,EFSON BUILDERS, INC.
ADDRESS: 12617 Fairgreen Avenue
CZTY, STATE, ZIP: Apple Valley, MN 55124
PHaNE= 431-1100
3) • u c ?• - -
NAME: GENZ-RYAN PLIIMBING & HEATING COMPANY
ADDRESS: 14745 South Robert Trail .
CITY, STATE, ZIP:
PHONE:
Rosemount, MN 55068
423-1144
? 1 SINGI.E FAMILY
Q R-2 DDPLEX (Zt.o CTnits)
? R-3 MWNHOL?SE (Three + Units)
? R-4 APARTP'EN'p/CODIDUMINI['m
MASTII2 LI(£NSE# 1849M
( C?nits)
Units)
[] Active
H F7cpired
4_1 Not recOrded
St Initial
¢) .oae • e i?-
NAD7E:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
.5) ? V' ? a• • ?: a • a. ?.
? CONNECTION ZC} CITY SEWER CONDIDCi'ION 7U CITY _WATIIt ? p2'FIERR_
nn?•
6) '' '' °?• [] PLFASE IIOLD APPROVID PERMIT FOR PICK-t-IP BY ONE OF ABOVE
PLF.ASE MAIL APPROVED PEI2NLiT TO 1, 2 ABOVE
? (Circ e one) ?
7) r i• u' ` ?,?%zFlif3.ur.'91
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ / O• SZ? WATER PERMIT ( INCLODE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ o IS ACCOL'NT DEPOSIT - WATER
$ d $ WAC
$ U--O $ SAC
$ $ ' TRUNK WATER ASSESSMENT
$ $ TRL?NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFZT/TRUNK WATER
$ I.l Z_LJ O $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:.
$_ (Z Zo -.yn $ 6 Z) TOTAL _
-- '?J '3 ?/
% G C?
RECEIPTf
' RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION. LIST AS A CONDITION. ?
SUBJECT TO THE FOLLOWING CpNDITIONS:
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I NERE@Y CERTifY TNAT THIS PLAN WAS PREPARGD FOR : ~ ~~~~~~R~g0~~ EN~ONEE~S, FREPARED 8Y ME OR UNDER MY DIRECT ' Qp fl .
a~~.~~sR&~~ ~BiS~ L~~D ~EJ~SUEVOE~$ SUPERVISION AN THA7 I AM A OUI.Y _ DAAWN DATE ~ - REGIS'tERED ~-'p ~•'?"'"'`Z(~ ~ T
UN~EF THE LAWS OF THE STATE ~ ~ TOLLEFSON ~ . . ,W- SCALE TSON
OF MIWN~ATA. . . . ~ . : ir '1 1~ , ,i <,,.; , . , - , / - a~` ° ~oB N°. ~UILDERS
~ ~ ~ ~ ~~t . . ` NO- DATE. 8Y . REMARNS ~ I ` DATE~~~RE6 NO ~ • . )ERS OF
~ . . . . . . . . . , : , a„:. Y l~iV:..~~+' a ?~pd. ~`s_~L ~ ^~~i~; REVISION$'~ . , . . , , . w . - ~ -
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132391
Date Issued:08/12/2015
Permit Category:ePermit
Site Address: 4884 Knottingham Cir
Lot:9 Block: 2 Addition: Brittany 8th
PID:10-15007-02-090
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Glenn Detlefsen
4884 Knottingham Cir
Eagan MN 55122
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature