4613 Manor Dr?ry-_1E,e,w,r,r,?,a•- . ._ ... .. _ . ,. . .. . .._.,; .? ?.?. _? ...,._. ,- , . .,.. . .., _ ... . . , .,...- - --w?.--'- . . ' ^ ?f#sefoFw?R'r"°"
? .
CITY OF EAGAN 40 1 7?64
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,
PHONE: 454-8100 , 7-7
6UILDING PERMIT Receipt # ? i " ,
To be used for DRCK Est. Value $1,000 Date APg 26 . 199
Site Address ?13 !lAW8 UR
Lot 4 Block i Sec/Sub.. NANOA LAKE
Parcel No.
W Name MICHAEL J JACODaOti
3 Address 4413 MANOK aR
0 City EAGAN Phone 687-440b
=o Name S?
OU Q Address
p- Clty PhOne
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all appliCable State of
Minnesota Statutes and Ciry of Eagan Ordinances.
5ignature of Permitee
A Building Permit is issued to: MICHA$L J J'ACO$SON
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building Official y
OFFICE USE ONLY
Occupancy - FEFS
Zoning _
(Actual) Const - Bldg. Permit 25.00
(Allowable) - Surcharge • ?
# of Stories
Length 23' Pian Review
Depth SAC. City
S.F. Total - SAC, MCWCC
S.F. Foofprinfs -
Qn Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System _
Cify Water _ Aoci- DePosit
PRV Required _ S!W Permit
Booster Pump - S/yy Surcharge
Treatment PI
APPROVALS Road Unit
Plannar - park Ded.
Council '50
BIdg.Off. _ Copies
26.00
Variance - TOTAI
Permit No. Permit Holder Oate Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
EIECTRIC
Inspetlion Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Pibg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
DeckFinal TD
Well /-aZ;r 7,-*QW*Wt 2?
pr. oisp. d u.?•v?,r72 -- 1- ? 4? f?o
%011 T vr CHUhrv ?
3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 551 21 ?.~'? ?_?'
' PH ONE: 454-8100
BUILDING PERMIT Receipt #
To be used for S? pt,K;/(;A;, Est. Value ;t-(;
!?;? Date ,19
K
Site Address 4=1 :% 1'1AA01 "Atw, OFFICE USE ONLY
Lot ' BtoCk ? Sec/Sub. ??U LAKg ??" • On S8e Sewage Occupancy J,?
MWCC System Zoning ?--1
Parcel No. On Site Well (Actuap Const
A)ii^` ,Y qi'KTOfit CityWate? ?- (Allowable)
cc
W
z Name
3216 S:{}n,JlVr r??;?y±?
Address PRV Required X- # of Stories
+
0 City '''liR''SVI LI f: . phOn@ ?? Booster Pump Length .
- `
Depth
, p Name SI A4 c S.F. Total
? 6 Address Footprint S.F.
?1_1 City Phone APPROVALS FEES
1,- ¢
-
Engr./Assess. Permit ' ;? r' • f?
W
W
r-W Name
Planner
Surcharge
40,?
_ g Address
Pl
R
i -
?
', ? r
a
n
Q W City Phone Council _ an
ev
ew ?
.
Bldg. Off. _ SAC, City
I hereby acknowledge that I have read this appiication and state that the Variance SAC, MWCC ?`o• L)?
information is correct and agree to comply with all applicable State of WaterConn. ".•'1.GQ
Minnesota Statutes and City of Ea an Ordinances. Water Meter ' 7.n't:
Signature of Permittee
. . ) I , S Road Unit
A Building Permit is issued ta _ Treatment P1 : nf:. r?
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City o( Eagan Ordinances. -•- i
Building Official-- TOTAL
Permit No. Permit Holder Date Telephone ft
Plumbing
H.V.A.C.
Electric
Softener
Inspsction Comments
Footings I ? n
Footings II
Foundation 0 z? IVpj tie?-
Framing /• / Ca-n ^I
Roofing
Rough Pibg.
Rough Htg. ? J S J/-/ - dpS 6 A' t?'^
Isul.
Fireplace ?-
Final Htg.
Final Plbg.
Bldg. Final / 2-2
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY QF EAGAN
3830 Pilot Knob Road
Eagan, Minnesata 55122-1897
{612} 681-4675
SITE ADDRESS:
t.0 T :
P9 F1 Ff fl R L] k
MAIVCItt i AK F
PERMIT SUBTYPE:
. i W , ij ; .I . .,
O
:CORD
PERNIIT TYPE:
Permit Number:
Date Issued:
1;11 1 1 ri I ro(I
H..' 1 1a•a:)
A6; !?I lt.t6
fn-.nna APPLICANT:
4 Nf(}i; ?
;.it.11 14 ;01r11 r ? ?? rl• t
(hi.Z) H49 3tl'3
TYPE OF WORK:
k E F} /i ! ?i
( kt?ioF i Ne ?
Ftalr.li 1 }dI"t
Permit No. Permit Holdar Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTI NGS
FOUNO
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIF TEST
ROUGH
HEATINQ
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FfNAL
BSMT R.I. ,
BSMT FtNAL
aECK FTG
UECK FINAL
CITY t1F'EAGAN
3830 Pilot Knob Road
P.O. Box 29199
Eagan, MN"5,4'121
Owner.
Permit No: 4 Date: 11 / L 8/ R8
B/P No: Date: 10 l l
J0RN SR]CTdN
Site Address:
4613 !lANOR OR., L
HB1ERlCE TREtlCH:11G
MWCC: 50. QO Dd
City Chg: 100.00 p: ,
Acct Dep: 15'00
Permit Fee:
?
Surcharge:
R1
No. of Units:
1 agree to comply wRh the CHy ot Eagan
Ordinances.
SEWER SERVICE PERMIT
ITY 6F EAGAN Permit No: 1 U i t)i pete, 18 / 88
1
30 Pilot Knob'Road Meter No: !V c3 ;2 2 7 3 Size: S/S'? IQac if
.O. Box 21199 Reader No: tPQ I 0 I SAw 9 Date: 13- ZO ' F 6
agan, MN 55121 ?L?f-?
' `?tii*J S ?!?'f N
wner.
.
iteAddress: 4613 MAWUR URIVE. L4, Bl, r4ANOR L^,hE AnI).
lumber. WELERKE TRENCHING
. onn. Chg: $550.00 pd Zoning:
Acct Dep: 15.00 pd No. oi Units: 1
Permit Fee: 10.00 ad
Surcharge: .50 2d I agree to complp wRh the CHy ot Eagan :
Tr. Plant-
Meter. 204.04 od Ordina ces.
67.00
Misc.: rRV RR n112RRtl
WATER
CITY OF EAGAN
3830 Pilot Kno6 Road, P.O. Box 21 •199, Eagan, MN 55121 N? 15700
PHONE:454-8100 '?3 XC?`
cl
BUILDING PERMIT Receipt # `n
Tobeusedfor SF DWG/GAR Est.Value $$0 000 Date OGTOBER 11 ,19--BB--
Site Address 4613 MANOR DRIVE OFFICE USE ONLY
Lot 4 Bbck 1 Sec/Sub.MANOR LAKE ADDN.
On Site Sewage
_ Occuvancy
R- M-1
MWCC System X Zoning t-1
ParcelNO. VN
OnSiteWell _ (Actual) Const
a Name 10HN SEXTON City Water x (Allowable) VN_
z
W Address 3216 SKYVIEW DRIVE PRV Required _? x ot Stories
° City BURNSVILLE phone 895-5968 eoaster Pump _ Length 4A
Depth 49
0 Name SAME S.F.7otal
.
? Q Address Footprint S.F.
0? City Phone APPROVALS FEES
w W NamB EngrJAssess. Permd _$?4?3"On
?= Planner Surcharge _ ?J.? Q0
i- Address
a W City Phone Council Plan Review 747 _ 00
BIdg.Off. SAC, City _100-0.0
I hereby flcknowled9e that I have read ihis ap0licatwn antl state that the Variance SAC, MWCC S SO _(1f1
information is correct and aqree lo comply wdh all applica6le State of Water Conn. 590 QQ
Minnesota Statutes and City f Eagan Or ?nances
Water Meter
_6_7,00
Signature of Permittee c - _ Road Unit '! 50Q
A Budding Permit is issu 10; JOHN XTON _ Treatment P1 -204.,.00
ontheezpresscondition atallwoBShall edoneinaccordancewithall
Parks
applicable State ol Mmn s a Statutes an dy of agan Ordmances S2577.00
?
Building Otficial
?--
TOTAL
? •CITY OF EAGAN Np 17764
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
a .
-7
4-
BUILDING PERMIT ,
Receipt # ?
s
7obeusedfor DECK Est.Value $1,000 pate APR
Z_
26 ,1920
Site Address 4613 MANOR DR
LOt ?+ BIOCk 1 SeGSllb. MANOR i.AKF. OFFICE USE ONLY
P8fC01 NO. Oaupancy - FEES
Zoning -
c Name MICHAEL 7 JACOBSON (Actual) Const _ Bldg Permit 25.00
?
o Address 4613 MANOR DR (Aibwable) - 5
n
Surcharge .
City EAGAN Phone 687-0406 # of stories
231 Plan Review
Lenglh
o Name SAME Dep[h 141 Ciry
SAC
i
0
04 AddfBSS S.F.Total - ,
, SAC.MCWCC
? City Phone S.F. Foolpnnis -
Water Conn
on Stle Sewage _
?
W w
Name
On Sile Well -
Waler Meter
i? Addf85S MWCCSystem -
, i
aW
City Phone
arywaier _ AccL Deposit
SMI P
PRV Required _ ermil
I hereby acknowlege ihat I have read this application and s[ate that ihe Booster Pump - gryy Surcharge
mtormation is correct and agree lo comply with pII appli able State of
Minnesota Slatules and C of E gan dina e l Treatmenl PI
SignaWre of Permrtee APPROVALS Road Unit
A Building Permit is issued to: Planner - park Ded.
on ihe express contlilion that all work shall be done in accordance wrth all Counctl -- 50
applicable State of Minnesota Statutes and City of Eaqan Ordinances. Bldg OfL .
Copies
yyyyyy???
Building Oflicial ? &U I?? Vanance _ TOTAL 26.00
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-47275-040-01
PERMIT
PERMITTYPE: BuiLorNG
Permit Number: 0 2 T 9 9 9
Date Issued: 0 6(19 / 9 6
4613 MANOR DR
LOT: 4 BLOCK: 1
MANOR LAKE
DESCRIPTION:
(R00FING)
O'uildinq?Permit Type STORM DAMAGE
Buzlding W'o,r,,k Type REPAIR
C2nsu6 Cbde ? 434 ALT. RESIDENTTAL
,.-
.
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - s7. I.IC.OWNER:
HULKONEN HUNTER CONST 18943113 2000922 JACOBSON • MICHAEL
1004 KNOB HILL Rp 4613 MANOR DR
BURNSVILLE MN 55337 EAGAN MN
(612) 894-3113 (612)687-0406
?
I hereby eoknowledgop. that i;taave. rea&?,thi:s appliaation, and etate CFuat the
informatian is cnrrect and agree to comply with all applicable State of Mn.
Statutes and City of Eagan 0rd3nances.
? ?r ? APPLICANTlPERMITEE SIGNATURE IS D BY: IG TURE
qq" CITY OF EAGAN
l 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reauirements RemodeVReoafr Reavire ments
? 3 registered site surveys ? 2 coples of plan
? 2 copies ot plans (include beam 8 window sizes; poured fnd. dasign; ete.) ? 2 site surveys (exterior additions 8 decks)
? t energy calculations ? 1 energy calculations for heated additions
? 3 eopies of tree preservatlon plan 'rf lot plalted eRer 7/1/93
required: _ Yes _ No
DATE: \Ti,,.V,d_ / ?. /ml. CONSTRUCTION COST: _Is, zo d ?
DESCRIPTION OF WORK: ry"'ed n i(- " ?STOR?kI ?? R--/y(14r ?
STREETADDRESS: /r'ir D/r
LOT ? BLOCK SUBD./P.I.D. #:
"D/1"
"WkZO hf}E L
MIl' Phone #:
PROPERTY c
Name: ?
owNeR ".,.
Street Address, ?A/OR"'D R
City: State: Zip:
CONTRACTOR Company: ???KirA1sN,??N7?e.R C!f .TI?C? Phone#:
Street Address: License
.
City: 4t uRIJ,g 11//./.,9°, State: 14 Ll_ Zip:C?31?
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #•
Street Address,
City: State: Zip:
Sewer 8 water licensed piumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information i correct and agree to comply with aR
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes No
_ Yes _ No
BUILDING PERMIT TYPE
OFFICE USE ONLY
n:
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 5wim Pool
0 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
0 31 New o 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair o 37 Demblition
GENERAL (NFORMATION
Const. (Actual)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Pian Review
License
MCNVS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
_ Basement sq. ft. MC/WS System
_ Main level sq. ,ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bidg
.. , Census Unit
Building Engineering Variance
Valuation: $
% SAC
SAC Units
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHI7ECTUBIL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTUR:IL PI<..'iS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGT C.tiLCS-
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST 120B::I?:G DA1
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE idHICH ADDRESS IS
DESIRED. NO CHANGE5 WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEES C0:'PLGTED.
PERMIT MUST SHOW A LICENSED PLUMBER.
APR 1
To Be Used For: ALc,/t Valuation: 701?- o- Date: y 0
Site Address qL/S /Nanof Di 'Ilf-
Lot q Block I
Parcel/sub fVtAN9R LAKE 9gTAT?
Owner A.G6d .Tlq,LO630A
Address Q, 13 p1q?k0/ OI./L
City/Zip Code Ce.3,an 1?9Al S.sl2 3
Phone 6 87 -0yoto
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
/000- OFFICE USE ONLY
FEES
Occupancy
Zoning
Actual Const Bldg. Pennit
Allowable Surcharge
# of stories Plan Review
Length .25- SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV _ Park Ded.
Booster Pump _ Copies ?$A
SUBTOTAL
APPROVALS Penalty
-
Planner
TOTAL ?
Council
Bldg. Off.
Variance
_ .?
' - PETERS, PRICE & SAMSON
LAND SURVEYORS, LTD.
?2400 PRINCE7'ON AVENUE SOUTH, SAVAGE, MINNESOTA 55378 • 612-890•9201
Certlilcatb Of Survey
N89°24'4T"E
103.90
/
/ O
i ?
/
i
N? 2 S
/VB/°,
?
ti
P.R.V. REQUIRED
CL /FF MpAO
R= 2939,7
d =2°02?p"
_ /04.4T
i
?DRAINAGE,??
EASEMENT ?/ Dro/nops ond uN&y aammsn/-'
. ?
oo? N
o ? N. ztloO
LEGEND
o penoles iron monumeM set
• Denoles iron monitneM found
suo6 Denofes exisl/ng e%vaf/an
wzN Denoles proposed e/evotlon
9eorings aie assumed
l?
.
EAGAN
REVtEWED
BY ,ff-Ub&, y
DATE) 10•7-88 _
DESCR/ PTION
Lo? 4, Block l
MANOR LAKE ESTATES
Dokoto County, Minnesofa
'-
1'.t1Ff???., u
?a
? 921s qBo
? \W,-, ?yo
. --
\
93L9
cor.
?
?
;*40'
A.._ -
0xd
1
? ?
1
s3o.s
9 1
'
? 1'0i?I?
1 .7 4?z?'9ga DR?VE
?o
We hereby certlly Ihat thla la a Irue end correct repreeentation ol a aurvey ol the Dounderlee o1 IM above deeorlbed land, and of iM locatbn ol ell
hulldinga thereon, and ell visible encroechmente. II any, trom a on seld lend. nGhvtCiL{? ?
71? ?,S
?- dayof0C/ 0h2r 198t5
As aurveyed by us 1?I
. Mlnneaota LMenee No./4890
•?
7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
STNGLE FAMILY DWELLINGS
/\J s?0?)
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICA ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 41 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIlyIERCIAL
IVCLUDE 2 SETS OF aRCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
& STRUCDURAL PLANS,
SET OF ENERGY CALCULATIONS
SUI Oap
To Be Used ror: Valuation.
Y6,[? 3 /F'la.w
Site Address[c?l I OFFI
Lot -?-/ Bloek ?
Parcel/Sub / J47?ci.,
Owner 4yi G? c J?c?,?o So1.?,
Address
City/Zip Code
Phone s-
Contractor j ?`7 ? Sc2X-?ot?
Address 3 °2A
City/Zip Code
,3,
Phone
Arch./^nngr.
Address
City/Zip Code
Phone ak
Date: 16 - ?/-y?
On site sewage_ Occupancy -3 -/
MWCC system ? Zoning R-/
On site well Actual Const f/N
City water Allowable I/N
PRV,required ?7k of stories
Booster Pump ? Length ?
Depth Y?
S.F. Total
Footprint S.F.
AYPROVALS
FEES
Engn/Assess
Planner
Council
Bldg. Off. Io II
Variance
Permit 5'95-
Surcharge yO
Plan Review '292
SAC, City / D Q
SAC, MWCC S"SD
Water Conn A;$'G
Water Meter ?(,?
Road Unit 3 ZS
Treatment Pl -209,
Parks
Copies
TOTAL ? o?
S "•Oa
.
a
Lpa?er ?e`g/
:
___--
L/g?
?-
rz?vk?9= ?29?6
?- .
?szBk?y-
PETERS, PRICE & SAMSON
LAND SURVEY4RS. LTD.
12400 PRINCETON AVENUE SOUTH, SAVAGE, MINNESOTA 55378 • 612•890-9201
Certl(icate Of Survey
N89°24'471E
%
/ O
i ?
/
/
?
?
,
i
?
?
?
R"2939.7?
2 /O QD
4 '2°0"
/04.47
P.R.V. G°EC?MIRCD
CC /FF ,q0
N
? 7-f . -`DRA/NAGE,-? 1
EASEMENT Orolnoge ond ulplry eoxmsm-%
?p? '? j• -• `? ` ??
^T , `1 <
B?_.
? , ,?,-• ,l
<: r•:_..Y ?7t:
?
?
?y
'V
LEGEND ? .? x"1
o Denofes iron monument sef Qe o o 1.? ?
• Denotes rmn m?onianent found ;) \ 1??,,- o ?d
s3o6 Denofes existing e%votia? ? • ?•
wzw Denofes proposed e%vot/on 9W24•O
Beorfirgs ore assumed 9301
EAGAN y
REVIEWED
BY ?=& -
DATE' 0-7-96
DESCR/PTION
?Cot 41 Block l
i19ANOR LAKE ESTATES
Dokofa CoUnty, Minnesofa
? 93¢Bi (9'?-3'61 J ?5
9.#L9
?
?12?g?a tpRIVE
?N'
We hereby certlly Ihal thle IB a true 8nd COrreCt repreaeMBNOn W a eurvey o1 the DourMerles 01 the above descrlbed land, and W the loCetbn o/ ell
buildinga thereon, end ell vlslbb encrpechmente, N eny, trom or on sek IarW. ^Gti=W?i' ???
L ?
As surveyed by ua thl? - day otOC 0,02/ ?g 88
" Minneeote Licerree NB ?Y"o 9D
_ • EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
: /
OWNER: `?C??y?/J DATE:
SITE ADDRESS: <<,`sE E;?tRTLFT? PHONE:
CONTRACTOR: ,?oT ?I ZLotd6 I ?
Oetermine workin9 squnre footage of each
1. Total exposed wall area..... .q. ft, x.11 = ?? ?• q 7
2. Total roof/ceiling area..... /3sq. ft, x.026 =
Totalexposed wall area above floor=/7/0
a. Total wall window area ........................................... zr G 7
b. Total door area . .. . ...........................................
57.
c. Total sliding glass door area .................................... e 0
d. Total fireplace wall area.........................
...............
e. Total wall framing area (average 10%) ............................ , 0 Q
f. Total rim joist area .............................................
O
?
g. net wall area above floor .................................... ,
h, wall area above f.loor ......................................
?
i. wall area a6ove floor ..................................... ?
j. frame wall area at foundation .................... ....
.? ....
Total exposed foundation area=
k. Total foundation window area.......................
;
l. Total net foundation area above grade .............. 7 :
?
Determine "u" value of each wall segment
(e.g, window, door, each separate wall section)
?
a. ?Z?s?. 5o 7 X ltuti _ b-9
e. 37.9d x „u-, . , / =1Z
/.? / ?
c. ,DO X --ull , T ?
lP
d. X [lull
e. /7 1•4fO X ?luII "
f. ?60 s d o x „u„
9. ?33?S3Jc „u„
h. X fluii ?-
i, ?
3
- , 39
_ Z
X "U"
X Is U,l
k, ? X
1. . X
uUu
Hull_?,?Cl" -?-
.................................7ota1
If item 03 is the sai
as, or less ±han itei
81, you have met the
intent of SDC 6006 (1
Lx?;::riur Ehvci?l,u .>.... .ja "U" Compul•ation Yaggt 2 of, 4
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' ;'
' , '
. T
t l
d
f
li ; ,
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o a
expose
roo
/cei
ng area
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?
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M. 'ibtul skyli.yllt uren ........................ ... ..
'
I ,I
n. Total roof/cciling framing area (tivcragc 10%)...
o. Total net insulated roof/ceili.n9 area........... ? _Z /f? • d Q' • •
,
Determine "U" value for each roof/ceiling segment
M. X „U.,
n. X l.ull
0.1z/ x „ul,
Alternate Building EnveJ.ope Design
9 ........................... lbtal. = r
Tf total of 1I4 is the sume as, or less t:han 112, you have met the intent of
SHC 6006 (c) 1.
Lb ur.iliza tlie total envelope 'system merltod, the values established by, t]te s••,un of
i.tems if3 and 49 sha].1 not be greater tlian the sum oP it•ems IIl and I12.
l. Z14-0 / 7 + 2. 7e Q? /
3. 17 + 9. Z . 5'
?
pLAK.c ?
FT, expos? o WAL L
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1?7 u L L ?! I . ---
?,
?
3Lac,k: ?
1?t1 EE ?? ?
,
w.a, -?-;
1'- u L
Fu ?,L?I,I2
? (v .$oo,
SC2. . 1P'1-, 0zs F--- t-,?
??'?: S? K , 5 =
WA L(... AzEA
7y..ZS0
. 7X. S = 3?0•?0
x o ? / 3ZG.oQ
.._ k - .?- .
r
/6"s,
-ro,rA L - i 9sy- zs?
m?..?ao?c
/ Z •? 3 ?
?rru L??f
/35?0
w DWs r?
= y1,?7
C ¢-U.ob
. ; . ?.G?
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? Doo?S ?
3` 26
?ATl O DZS
.
! 600 40
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CITY USE ONLY
sueo. BMUtnOY 4AO
0
RECEIPT#' llgqqW
RECEIPT DATE:
PERMIT #
1999 PLU11+loINfi PEiMIT (F.E.SIDENTIAL)
C11'Y OF EAfiAN
S$SO P1LOT ISNOB iiD
EAflkN, MN 55122
(651) 6$1-4675
Please complete for: sinqle family dwellings--7
? townhomes and con os when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3 00 x = $
Floor drain 3.00 x = $
GaS i in outiet ` minimum - t 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC rc. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water s if dwelling under construction 5.00 X = $
ater softener if existin dwellin 30.00 x = $
und 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
Total --> --> ----> ----> $ D
Reminder: 'Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------------------------------- - -- --- -------
I here6y acknowledge that I have read this application, state that the information is cortect, and agree to comply wi[h all applicable City of Eagan ordinances.
It is the applicanPS responsi6ihty to nohfy the property owner that the Ciry of Eagan assumes no lia6ility for any damages caused by the Cdy during its
normal operational and mamtenance actroities to the facildies construc[ed under this permit within City property/right-of-way/easement.
SITE ADDRESS: !//„ J t? A19aU'D119 IPQ. IeWG
OWNER NAME: : ?d? /rJis TELEPHONE #: ?L `Jc2f - o x 7 7
(AREA CODE)
INSTALLER NAME: Sh?/L?4lJ L.J?? Cae? TELEPHONE #?4
(AREA CODE)
STREETADDRESS: 73JA- /CoJ ? /?? ?C?J.
CITY: ;g9yYJSF?% STATE: ?AV ZIP
SIGNATURE OF PERMITTEE
?I ???
Use BLUE or BLACK Ink
1
for Office Use I
I H1®5
of Eajan ; Pennila: I
My I
I Permit Fee: 105-as
I
8830 Pilot Knob Road I & Ij I
Eagan MN 66122 i Date Received:
Phone: (661) 676-8676
Staff.
Fax: (651) 675-6694
j
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _ ~T Site Addrese: W"&V- Or-. Unit Name: Phone: loll .(of~~ (i6'
Address /City /Zip: / Of-, C_44=" MIA) or
Applicant is: Owner Contractor
Description of work- R* Q 7'7 tc~c.6G l4aye-r 6XV O•C- Aura ,*Htu~l~
TyR:
Construction Cost (obi Ca Multi-Family Building: (Yes / No
Company: (200Y%C IG ~ 5 C+A-.4'*! kt-e_y oMontact: 1M ikc VIO.\o.r\
City: 1A S4 ft)
d ; ~IJ;:;:I,i,;;!!i ~l' j Address: VS FnbrAkc's
al State: zip; sa ~ Phone: _ G, !5i-
a''! ~L17 JD! ~l?!~
License 16C46 S-9 6~4,r Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Vf_
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:
.
,,:,,,~T' ~f,7:..::^. r.,:,:. ,r r ...r r`~ ,:r.r r i, q;,:• , ~.:i:i:,.l ~ f I /i: I ::x:,i p` .:r[IT ,:I:ir., .!r C,r.,~,,,
r r.n r
, ....~~r .5.... . . `f!SRIr.~ r , r:. . .r. r,ar. 1',. , . /R. - ; r~. ;i!. ';L~. 1~ :r r r;,:l~:: ..,../,d , ,
.r.l.~. lr.....~rn,.:.i.^.I. r,!,~. N .....rl..,.,,., ,~r. T1 , ,r, .If..~r~'';,:. ~ I y, ~ n. :~i;;• ..Jr'~,~ ,fir ...r,i, , ':.q;~•~::~~{;•,:Lj.Ii,y~,,.:~It:~'.~s'~~II
r ,
r•i,...:.,rr ~'4,~'r., i^I yJhu~;rt 1. rl,;i::.r;ll,;r:~ r;r-?ri:r:;.,.r,..~,•,.;,I:I-,rli•,;~r::~:::!1,1,
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 464-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive.localee of underground utilities. www_gaaherstaf onecali,org
I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan: that I understand this is not a permit, but only an application for a permit, and work is not to start without a peritlt; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plarw.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 100
days of permit Issuance.
Applicant's Printed Name Applicants Signature
Page 1 of S
L0/Z0 39Cd 31X3 WO1Sf10 S-1-13NNOD T06Z8EbT99 9Z:60 ETOZ/LT/60