4654 Manor Dr?INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3834 Pilot Knob Road Permit Number: ?
Eagan, Minnesota 55 1 22-1 897 Date Issued:
(612) 681-4675 ?
SITE ADDRESS: ' APPLICANT:
11AVl.h ?
iqElNOb: i A! ? f1 I 11 1 e, i.:' ) f •Fit, 4 t.41. -
PERMIT SUBTYPE:
i ')il"i t Pdri
{ N tl t
TYPE OF WORK:
i Ni o (.?t r. i
f td A4R l N ti
I14 M1l?rF:, " h''1 1'lit:lllt 1'E f?fMi I 1-1 I;i (?i1f1?[ ii II14 olNY 1 1 kl IPAI'Al 140 1t1
f
,
- ?
?I
L
PertnR No. PermR Holdor Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inapection Date Inap. Comments
FOOTINGS
FOUND
FRAMING ?
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
F1NA1 HTG
ORSAT
TEST
BLOG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG `?? ??, ;
OECK FINAL
? ,em
???q? ?/ ?G,
` CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
?tI???a
SITE ADDRESS:
htr?Yl??l? f t?f•{
1, r) 1
PIANi.)!r Ult
4111 ;
Hl1iC1
kt1 Mt Ft CfJN`? I' I W(' t?M
( h'I .'. ) 4'e'0 qN•.'•i!
? PERMIT SCJBTYPE:
TYPE OF WORK:
INSPECTION ., . ..
Afi Il ? i
j 'j4) IfIN i kAl
wt?V
?
?
Permit No. Permit Holder Date Telaphone ?f
?S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. CommeMa
Footingsl ay??3 ?
Foundation
Framing
Rooflng
Rough Pibg.
!
Rough Htg. ? 33
I5ul.
Fireplace 13 ''`Q tc =
! GrT? e7 '3 7•?' r
Flnal Htg.
Orsat Test
Fnal Plbg. Pfbg. Inspeclor - otify Plu r ?
Const. Meter
EngrJPlan
81dg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
if
?
?
_ +.
. :?
Wei.?iffcate of ccrujpanc?
Whj of ftgan
?? ? gumi" 34"Iedim
This Certificate issaed pursunnl to the requiremertts of the Uniform Building Code
certifyueg that at the timc of issuance titis structwe was in compliance with the various
ordinances of the City regulating building constnrction or use. For the foldowing:
use classfficafi.:ASF DW, say Pennk rra 20427
0ocupa-9lype R3' Zaniog District Type Const. VN
Owner d &did'mg EAVE ,? ORM. 13C. Addim 13750 WWR DR, MAR.j: GM
Baildiog Adbess 4654 MM DRIVE L-ality LS , ffi, MAMR IAM 41R
Building OffkW
POST IN A CaNSPICUOUS PLACE
Address 4654 KnrroR D[t1vE Zip 5512 3
T.oh ' ss Blk 2 Sub KWR LAKE 41E
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass i/
TraiUcnrb damage v
Porch r/
Basement finish ?
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply ro
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righhof•way or installing underground sprinkler system. ?
White - City Copy Yellow - Residenl Copy Pink - Contractor Copy
? 71 6 3 y? 70
ov
17`85
Felt uest Da Fire No. R gh-in Inspeclion
R etl?
? Reetly Now ill No4ty Inspeclor
Wh
R
tl
'
s G No en
ea
y
censed contractor rJ owner hereby request inspection of above electrical work at:
Job Atltlre (Street. Box or q ute o ) Cily
W ? D? ?-N
Se mn No wnship Name or No Range No Cou? 4r.
ant IPqINT
Occu
p
? Phone No
y
?
/
Power SupOlier AtlEress
L'G
Eiecu?cal omracmr(Company Name? Contrector5 Lkanse Na
Matling Atltlress onhaclor or Owner Makmg InStalla0on) ?
C
6
O K ?. .
Autnoraeo 5 na? e ?Contrecto wner kmg Installa0o Pnona Nu er
Z"
MINNESOTA STFTE BOARD Oi ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Gdqga-Mltlwey Bltlg. - floom S173 6E ACCEPTEU BVTHE STATE BDARD
1821 Unlvenity Ave., Sl. %ul. MN 55100 UNLESS PROPEfl INSPECTION FEE IS
Phona (Btx) 642-0800 ENCIASED.
REQUESTFORELECTRICALINSPECTION ?°°-'=?a esaoom-os
lructi
See insons for comOlaLng this form on back oi yellow copy 9/ ?U
K 1263 Be/ow Work Covered by This Request
e Add Rep. TypeoiBUdding AppliancesWiretl EqwpmeniWvetl
Home Range Temporary Service
Duplex Water Heater Electric Heafing
Apt Building Dryer Othec(Specity)
Comm./Industnal Furnace
Farm Av Conditioner
Other (syeaty) ConVatlOrS Femarks
Compuie Mspection Fee 8elow-
# OMer Fee # Ser ntranceSae Fee N Grcmts/Feeders Fee
Swimming Pool 0 2 ps 0 to mps
Transformers Above 200 _ Amps Above Amps
Signs Inspecror§ Use Only TOTAL
?.?
Irrigation Booms g f ? .
Special Inspec0on
Alarm/Communication ONNECTED IF NOT
TMIS INSTALLATION MAY BE ORDERED ISC
Other Fee r
COMPLETED WITHIN 18 *QNYHS.
I, the Elecirical Inspector, hereby Rougn-?n ? ? ? ??
certify that the above inspection has
been made. F,?ai le
OFFICE USE ONLY
This request mia 18 monihs fmm
i5-i,2S
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-681-4675
New Construdion Reouirementa
. 3 registered sde surveys showing sq R. of lot, sq. fl. of house; and all rooled areas
(20% maximum lot cove2ge allowed)
. 2 copies of plan showirg beam 8 window s¢es; poured found design, elc.)
• 1 set of Eneqy Calculatbns
• 3 wpies of Trea Presenation Plan'rf lot plat[ed after 711/93
• Rim Jaist DeWil Oplions seleccAOn sheet (bldgs with 3 or less uniLS)
RemodellReoairReauiremenh 5 ? ?
. 2 copies of plan ,
. 7 set of Energy Calculations for heated additions
• 1 5ite survey for exterior aAditions & decks
• Indipte if home sened by sepGc system for additions
00
DATE rI? I- OQ VALUATION 900 ?
SITE ADDRESS MULTI-FAMILY BLDG _ Y, __- N?
..... .. ._y. ___._r ? .r_.. ? ?. . ? . . ,?-.',,_.. ... . . ... - . ' "'
TYPE OF WORK 'RZ. - ffiC1OF FIREPLACE(S) _ 0_ 1_ 2
, ---------?
APPLICANT I?&dQ?? ??ogag goag' doo• ?
49 Sou14 Owasso B1rU.
STREET ADDRESS Littie caMaa,1MN 55117 1 STATE_ZIP
TELEPHONE # fo51 - qPX{ - ly 0(a G_ __ J_ FAX #
PROPERTY OWNER u1nr (?7vt,a?0.?1 TELEPHONE #(OS I?q'S9 - l0001
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ V[INNESOT:\ RULES 7670 CATCGORY 1 MINNESOTA RULES 7672
(J submission type) • Residentlal Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: _
Plumbing system includes:
Mechanical Contractor:
Mechanic:il sys[em includes:
Sewer/Water Conhactor.
Phone #
----------------------°°------°--------------------°--------------------------°----------°--------------------°----
I hereby acknowledge that i have read this appiication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature oF AppllcaM aVtA1J ?, alfLM(pl
OFFICE USE ONLY
Phone #
_ Water Softener Lawn Sprinkl F?:I? •00
Water Heater No. of R.I. B u IS
_ No. of Baths ?.?UI 0 5 200Z
_ Air Condilioning
_ Heat Rccovery System
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updaled 4/02
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
025837
06/16/95
SITEADDRESS: P'I'N.: 1e-47278-e50-e2 APPLICANT:
LOT: 5 BLpCK: 2
4654 MANOR OR WISEMAN
MANOR LAKE 4TH (612) 686-4646
PERMIT SUBTYPE: TYPE OF WORK:
5F PORCH
DESCRIPTION
?
?
DAVID
NEW
(INCL DECK)
7
I
REMARKS: A SEPARRTE PERMIT IS REQUIRED FOR ANY ELEC7RICAL WORK
PERMIT
CITY OF EAGAN
? u-Wzo
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 8 3 7
(612) 681-4675 Date Issued: 0 6/ 16 / 9 5
SITE ADDRESS:
4654 MANOR DR
LOT: 5 BLOCK: 2
MANOR LAKE 47H
P.I.N.: 10-47278-050-02
DESCRIPTION:
(ZNCL DECK)
&uilding-Permit Type SF PORCH
6uilding Wis,eJ< Type NEW
?
A
-- ?
?
Tp'
i It
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $7,000
Base Fee $124.75
Surcharge $3.50
Total Fee $128.25
CONTRACTOR: OWNER: - Applicant -
WISEMAN DAVID
4654 MANOR DR
EAGAN MN 55123
(612)686-4646
I hereby acknowledge that I have read this apPlication and etate that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and Cit of Eagan (lydinances.
?
/PE TEE SIGNATURE ? ISSUED B: SIG TUR
CITY OF EAGAN 16 7<
Ifi-.5f1995 3830 PILOT KNOB RD - 55122
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New CansfruGion Reauiraments Remodel/Reoair Reauirements
? 3 registered ske surveys ? 2 copies M plan
? 2 copies W plans (indude beam 8 window s@es; poured fid. desipn; etc.) ? 2 site suneys (exterior additions & decks)
? 1 energy calwletions ? 7 energy calwlations for heated additiona
? 3 copies oT tree Pieaervation plan if lot plaqed efter 7/1193 ?
required: _ Yes _ No
DATE: ?e I`b I?S CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
T?-
LOT ?5_ BLOCK SUBD./P.I.D. #:
PROPERTY Name: Phone#: ??? 5???
oYMER w. Mtt ,.,) K* 7% ?U y?2
StreetAddress V _-R
City: ?A&4\-r?,? State: Zip:
coNTRncTOR Company: Phone #:
Street Address: License #:
City: State: Zip'
ARCHITECTI Company: PhOne #:
ENGINEER
Name: Registration #-
Street Address,
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penatty applies when address change and lot
I hereby acknowledge that I have read this application and state that the iniortnat' is correct d agree to compty with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ?' / ?/?r I
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Signature of Applicant:
_ Yes _ No
_ Yes _ No
???ENED
.i ti N 13 1995
---------------
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
0 02 SF Dwelling o 07 4-plex
0 03
cW 04
0 05 SF Addition ?
SF Porch o
SF Misc. 0 08
09
10 8-plex
12-plex
_ plex
WORK TYPE 4?Af -f-13 °
c==B?-31 New o 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
OFFICE USE ONLY
? 11 Apt./Lodging o
0 12 Mutti RepaidRem. ?
? 13 Garage/Accessory o
.13 14 Fireplace ?
? 95 Deck
? 36 Move
0 37 Demolition
4* ---
?
."
,
?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq, ft.
sq. ft.
sq. ft.
sq, ft.
Footprint sq. ft.
Planning Building
Permit Fee
Surcharge
Plan Review
License
MCNV:; SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. ?
SAC Code
Census Bldg
Census Unit O
_ Engineering Variance
Valuation: $ Da ?
/?fk/Y ? 15'6 K 30 = S; 841 d
.?-
7? D?o
% SAC
SAC Units
Surveyor#s G'?
?
SURVEY FOR: Uavid Reimer Construction
/ / DESCRIBED AS: Lot 5, Rlock 2, AIANOR LAKE 4?PI1 00
Eagan, ?akota County, Dlinnesota and reservinyreasem
930.9
s o
i '
i / • / ?a
/ V O (V ? ?/V
, ?0? app •/ / /f / I ?
933? ??933R i I
i ?
$q ?
A •'?o ??
p p. O /
4 s /
V
\ vg•', \
'170N, City Of
record.
? ?1a9
933.1
N
?
m
9.? ?a ?•
y 3?i ? I
?
?
?
J?
l?
? Eds! Tkm.
r. g.- 935.9
\ a. ' --------
qQ, • 9) o
35? 46- 932.5
? ,. 589 24' 47' X 31. !B -
\ ODD 93,.s
'?- --
LOT SQ. F00 GE = 14,4691
PROPOSEDELEVATIONS BENCHMARK -?H?
Alk.+la?e
Top ol FoundetWm . 933.9
GeiegaFloor •933.5 ?
Eleu.93V.1u
BaeameM Fbor . 925•6
Approx. Saww Servko Elav. . MIN SETBA CK REWIREAA?11T3
Proposad Elwelbns ' Q I
Eaklhq ElevMkne Fmnl • 3o Housa Sida - 30 ?
Drdnape Ohedbm .+.-? Pear -lo Oerage S?a •'Yn ?
o.?i.smisal siaxa - e scate? i iiph • 30 Feet c
JOB NO.: p
IIIEPEBYCEIITFY 71IATT11181911TRUE1INOCOPRECTPEPIESEN111IION
M "M ODUNO^pIEe Of THE AeOVE DEBQRRED Vi1d'EpIY A3 6Uf4
00ESNOf PVIIV011t
M 93?1 150
V?
a
lifEDLUND 1
VEYEDBYMEp11ReRRMY0111ECi BUPERVISM11
E CEPi Ae &qWN.
l ENCROApIMENt9 gpp?(: PA(iE:
.
i0 811DW PAORWEAENB d
Planning Engineering SuneNn9 p
J D. DOPEN,UNO VEYOR CRDDFRE: OWIi.GIK .
MNE9 ALICENSEM1A18EP1487B m.??4
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687-4675
SITE ADDRESS: LoT :
. 4654 MANOR OR
MANOR LAKE qTH
6 BLOCK: z APPLICANT:
REIMER CONS7 INC DAVE
(612) 420-4050
PERMIT SUBTYPE: TYPE OF WORK:
SF OWG NEW
suiLpzNG
02@927
05/28/93
INSPECTiOU
FOOTING .. .
FRAMING .A
INSULATION FINAL
FIREPLACE
REMARKS: S&W CONTRACTpR -
r- -
? ?.
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
PRV
- - - _- --?
- : .- -_ --_ .?
,-CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
4654 MANOR OR
LOT: 6 BLOCK: Z
MANOR IAKE 47H
?
Building?Permit Type
SF DWfa
)Building lJqrk Type NEW
BC Occupancy?
? R-3 M-1
onstruction Typ,e VN
? Zoning
Building Length ? R-3 M-
74
Building Width 26
?
t
\
'
BUILDTN6
020927
05/20/93
P?;
REMARKS:
5&W CONTRACTOR -
FEE SUMMARY
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Lic. Search Fee
Subtotal
VALUATION
$772.50
$502.13
$69.00
$750.00
100
1
$5.00
CONTRACTOR:
REIMER CONST INC
13750 REIMER
MAPLE GROVE
(612) 420-4050
$2.098.63
PRV
$138.000
MISC FEES
Total Fee
$1.744.50
$3,843.13
- AppliCant - ST. LIC
DAVE 14204050 0001958
DR
MN 55311
OWNER:
OAVE REIMER CONST INC
13750 REIMER DR
MAPLE GROVE MN 55311
(612)420-4050
I hereby 'acknowledge that I have rtad tMis appiicatian and state that the
informati'on is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L
APPLICANT RMITEESIGNATURE
-nog &
ISSUED Y: IGN E
REACTIVATE _ R??ENED CITY OF EAGAN
PERMIT _9 ' • 1993 BUILDING PERMIT APPLICATION
--,,, C?a7 MAY 0 6 1993 681-4675 l?
?-??// -------- ?q?'` 7
----------
SINGLE & MULTI-FAMILY ----
2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERLIAL 2 sets of architectural 3 structural plans, 1 set of
specifications, 1 copy of energy ca7cs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once perniit
is issued.
Date 3.3 / Valuation of work
A"'
Site Address:
STREET SUITE t
Tenant Name: (commercial only)
LOT S BLOCK ? SUBD. Y.I.D. M
Descri tion of work:
The applicant is: ? Owner 0Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner Address
STREET STE #
City State Zip
,
Company x? ?e? 6gOwj Phone yad- y0s0
U
COntl'8Cto1' 3 3r?
Address /375o-z?on,.J ?Ov License # 19 ?? Exp.
City State Zip
Company Phone
AfChiteCt/
Name Registration M
Engineer
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this a plication and state that the information is
ica le State of Minnesota Statutes and City of
ll
app
correct and agree to comply vi a
Eagan Ordinances.
Signature of Applicant: ??
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duptex ? 11 Apt./Lodging
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
0 04 SF Porch D 09 12-Plex O 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck
WORK TYPE
X31 New ? 33 Alteratians ? 35 Tenant Finish
? 32 Addition ? 34 Repair p 36 Move
GENERAL INFORMATION
? 16 Basement Finish
O 17 Swim Pool
? 18 Comn./Ind.
? 19 Comm:/Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) V-u Basement sq. ft. HWCC System YEZ
SAllowable) v_m lst F1. sq. ft. City Water
UBC ccupancy
k-3 1?1 -1
2nd Fi.
sq. ft. ?
PRV Required
Zoning R-I Sq. Ft. total Booster Pump
!? of Stories Footprin t Sq. ft. Fire Sprinkter
length -7y• On-site well Census Code AV
Uepth 26, On-site sewage SAC Code ?
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED IN SPECTION S '
O Site ? Footing ? Framing ? Insulation
0 Wallboard ? Final O Draintile ? Fireplace
Permit fee v,aac;,,,: g 138, 000
-
Surcharge
Plan Review
License GACVasE', 3z X aLI_ '768
MWCC SAC z X l2= ?2y)
City SAC
Water Conn.
`?yy x/0 = 1 r1 `7d`4
Water Meter a6 X'4Z= J ncj 2
Acct. Deposit z x$_ ?16)
S/W Permit
S/W Surcharge
? px 16 /y o
i
Treatment Pl. IsT ?ioa2;
Road Unit
Park Ded.
Trails Ded. BsrnT =
'7)4 11/z= 107(,
CoPies
Other
ZX?yZ= /O
?
Total : ^
1 IO! >(S) = 3-171 qSy
SAC % pQ zNAFLOt>(Z y
SAC Units
9 3S K s?l ?
3 4=
p
.S"b y
f37.9??
, ' . L.cT 5) bLcL,C'Z. PlANO< LAKE %?-i AbD'N ,
Planning Design Inc.
4797 Highway 10 N.E.
Arden Hills, MN. 55112
612-636-6889
COMM. NO.
Minnesota State Energy Code Calculations
Based on Chapter 5 of the Model Energy Code
1989 EDITION
Owner:
Site Address:
Contractor:
WISEMAN RESIDENCE
COMM. NO: 920503
Bldg. Class:
DAVE REIMER CONSTRUCTION Phone:
A1 A1 for Single Family/Duplex
A2, residential < 3 stories
Over 3 stories
Other
GENERAL INFORMATION
Note: The section designations ("Section A", "Section B" etc.) are for
convenience in calculations only, and are not related Yrom one set of
calculations below to the next.
1. Bldg. Walls Perimeter x Wall heights, = Area
ground to eave
Section A: 19 9.54 = 181.26
Section B: 120 18.37 = 2204.4
Section C : 0 0 ?
?
Section D : 0 0
Gross Wall Area = 2385.66
Floor or
2. Building dimensions Ceiling
Length x Width = Area
Section A: 27.5 34 = 935
= 192
Section B: 24 8 = 14
Section C: 2 7 0
Section D : 0 0
Total floor or ceiling area = 1141
3. Rim Joist Perimeter = 139
Floor joist 2 by (8", 10", 12" or 16")): 10 115.8333
Rim Joist Area
4. Doors
Area: 57.8 Thickness (inches): 0
meter (feet)' 0
P i •
er
TyAe of construction: 0
5. Total door's perimeter:
6. Windows
ManufTCturF?r SCHF.RER BkOS. li f'ar,tor: 0.45
State approved: YES
Height x
Length x
Number _
- Total
Type (inches) (Inches) of glass SqFt
units
CASEMENT 60 24 9 90
CASEMENT 42 20 6 35
CASEMENT 48 24 2 16
CASEMENT 48 20 1 6.67
CASEMENT 60 20 4 33.33
CASEMENT 60 16 2 13.33
CASEMENT 36 20 1 5
7
CASEMENT 36 2$ 1 7
CASEMENT 42 24 1
0 0
p p
0 0 0 0
0 0 0 0
p p 0 0
Type
8. Patio Door:
9. Atrium:
10. Fireplace area
Width:
Totai Sq Ft =
11. Exposed Foundation
Height area A:
Sq Ft area A =
Exposed Foundation
Height area B:
Sq Ft area B =
12
Gross wall area
minus
Window area
Patio door area
Atrium area
Rim joist area
Door area
Fireplace area
Exposed Found.
* Framing area
equals
Totals for net wall:
7. Window glass area (SqFt) _
Aeight x Length x Number
(feet) (feet) units
p p 0
6.85 3 1
5 Height:
20
0.66 Perimeter area A:
89.76
0 Perimeter area B:
0
SqFt U factor
2385.66
213.33 0.49
p 0.47
20.55 0.44
115.833333333 0.041
57.8 0.14
20 0.17
89.76 0.14
238.566 0.095
1629.8206667 0.043
213.33
= Total
SqFt
0
20.55
4
136
0
U x A
104.53
0
9.04
4.75
8.09
3.4
12.57
22.66
70.08
Totals for gross wall area: 235.12
* Framing area is 10% of gross wall area
13. Gross wall area x factor below = U x A per code
Factor is .11 for A-1 single family & duplex
.23 for A-2 and other residential
.23 for other buildinge
.28 for over 3 stories
Factor is: 0.11
BTUH = 262.4226 MUST BE > OR = 235.12
(calculated above)
1141
14.
15 Gross ceiling area =
Ceiling framing area (10Y of ceiling area) = 114.1
.
16 Joist Area (10% of ceiling area) = 114.1
.
17 Net ceiling area (Gross ceil. area - Joist area) = 1026.9
.
18 U ceiling: 0.021 x Net ceil. area = 21.5649
.
19 U framing: 0.024 x Joist area = 2.7384
.
Zp Total of item 18 x item 19 = 24.3033
,
21. Gross ceiling are a x factor below = U x A per code
Factor is .026 fo r A-1 single family & duplex
.033 fo r A-2 and other residential
.06 for other buildings
Factor is: 0.026
BTUH = 29.666 MUST BE > OR = 24.3033
(calculated above)
U vNWt UHL(-ULHI WN?)
WALL
SECTION
STL'D
SECTION
2SiD WALL
SECTION
R VALUE U VALUE
Instde atr film .68
Interior wa1L (ua11) U. 1 .
R
InsulaCion ICI,OD
Sheathing
11 2 :6Lo ? Qy-3
Sidirtg
Outa[de atr Eilm .17
R TOTAL 23i?3
Inslde air f11m .68
Intetior wall , -j 5
?
ECUd R= AM 6,540 (Framing) U ? R .
Sheathing
Siding
Oittside atr filrr .17
R TOTAL ?p, ?i ?
Inside air film R= .68
Intetior vall
1
Inaulation (uall ):U = R =
.
Sheathing
Exteriar vsll covering
Ex[ertoc air film R - .17
R TOTAL
RIM
JOIST
Interior air EiLm R= .63
Insulation 1q'00 1
lh inch soE[ woad R=1.88 (Rim
Joist) U= R=
Shea[hing 0(.0 ,C}+?
Exterior va1 1 covering ,6-7
?
E<terior air film fr .17
R TOTAL
Inter tor a:: -Irtsulatior.
Founda[ion
Exterior air
; ,.
??-
,
1
?
U = R '
-- - -?
??
?_ _.-_ - - . ? 4
, CBr.i.tNC; wrru vrrrrr.o IVrrLC :;PncI. IOUvI;
R VALUG R VALUL
FRAMING CGILING
1.61 Aic Film 0.61
16.00 Insulation 94.00
4.38 .7oist
.56 Ceiling .56
0.61 Aic Film , 0.61
41.55 Total R 45.78
1 .021
.024 u - R
CpTHGpRAL CEILING
R VALOE
R VALUE
CEILING
ERAMING
0.61 Inside air film 0.61
.56 Ceiling .56
14.375 Joist(Spacer) -
.- Insulation 33_J85
.- Aic Space _50
.67 Roof decking _67
.py Celt .06-
.qq Shingle -44
0.17 Outside air film 0.17
16.88 'Lbtal R 36'86
t = U .027
.059 a
Window infiltration .5 cfm/lineal foot of ceaf?
do or and minimum code requirement
Residential door infiltration 0.5 t or
cfm/sqaar
fm/lineal foot
0
oi- crack
Non-residential door infiltration c
11.
W 12^ concrete block n52insulation =.iul i< 1.4°
double glass =
triple glass = .31
All exterior walls and ceilings nnist have a vapor bacrier (0.10) pe? i?-?•
Vapor barrier must be on the inside (heated side) ot wall_
Vapor bariers of the polyethelene thin film have no R value.
LA?eilarjI G'ert?ficai e
SURVEY FpR: David Reimer Construction
/ / DESCRIBED AS: Lot 5, 131ock 2, AIANOR LAKF. 4,'Pli 3°
Gagan, Dakota County, Alinnesota and reservinX ?easem s
/
/
F00 GE = F
F
?
10
? m
433+e ? ?433.z I m
q29.5 /„? / oo .°' ao in
9
b ? ?0 43e
1 434 ° I o
, O?ep?y OO 309/ 33. 933 I
e I
ma?+e?'% ?
?S'`.
C%a
Ca tia? q3
4
J A o? ? ?` ? 263 ,ti ? I I
` 933.
92i r a 0\ ? ? ? ? '
,;,, p. J I
9p3 `9 (
Aag 9• 6 __ ------ Js
\ d ° B• 97
40•
35"46.
\
poF1oMo H [E QMOG°C?L?'-?--
LOT SQ
PROPOSEO ELEVATIONS
Topolfoundellons - 933.9
Gerage Floor - 933.5
Basemenl Floor . q25?8
Approx. Sewer Service Elev. e
Proposed Elavalbns e C?l
Exisllrg EIavMlons
Drainege Dlracllona a.,.,??.
Denoles ollsel Slake = O
IAIEDLUND
Planning Engineering Surveying
1t0?E?HBbeM•ptanF.aew?r B?aomMaivn.uimw?o1?5?70
1e1?0?? RIT [!l91T9
?
SCALE: I Inch = 30 Feet
930.9
llUiTTON, City of
of record.
931`j
«
t ?
-+ Exist Nemr
TB.°435.9
--LZna?iG DEPT
BENCHMARK, TMH @ marorpr, &
Allm L4ne
Q,?QJ= 93lp,lU
MIN. SETBACK REQUIREMENTS
Fronl - so Housa Sida • 30
Rear - io Garage Side -'YA
IIIEREBYCEIITIFY TlIATTIIIS13A1RUE11NDCOAl1ECTf1EPfiESENTATION
OF 711E BOUNOAAIES OF TNE ABOVE DESVAIBEb CIIOPF.RiY AS SUII-
VEVEOBY ME ORUNDER MY DIREC7 SUPERVISION IINDDOES NOi MlnPp11T
TO 5110W IMPROVEMENi9 Oq ENENTS, E CEPT AS SHOWN.
Dals l / S / 7J ? -
J DOREN, U1ND VEYOR
LICENSE NUMBER 14378
JOB NO
`13R-15o
BOOK: IPAGE:
CADD FILE: I bW(3. C11K.
m-scq3
,
0
932.5
24' 47' N 31. 48
-
931.6
O
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w .
¢
ti °w
m N
a >
m -J ?
w
a e m
w N
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Q Z 2
LOT SURVEY CHECRLZST FOR RESIDENTIAL
f1F??7 ? : Registered Land Surveyor signature and company
p??7 ? Building Permit Applicant
CT ?
? • Legal description
?
0 8'" ? • Address
2--'? ? • North arrow and bar scale
p?p ? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
CY ? ? • Directional drainage arrows with slope/gradient %.
?2-" 0 • Proposed/existing sewer and water services
0' ? ? • Street name
p, ? ? • Driveway
ELEVATIONS
Existincf
? ?? • Sewer service
$' ? ? • Lot corners
yy ? ? • Top of curb at the driveway
? ? • Elevations of any existing adjacent homes
Proposed
[? ? ? • Garage floor
Br ? 0 • First floor
@- ? ? • Lowest exposed elevation (walkout/window)
?- ? ? • Property corners
jy ? ? • Front and rear of home at the foundation
PONDING AREAS (if anplicable)
0 C? ? • Easement line
? ? • NWL
? ? • HWL
? @' ? • Pond # designation
? ca- ? • Emergency overflow Elevation
DIMEN3ION3
? ? ? • Lot lines
40r ? 0 • Right-of-way and street width (to back of curb)
jy ? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
J
E1 ? ? • Show all easements of record and any City utilities within
those easements
? 0 13 • Setbacks of propo structure and setback of adjacent
/
? Q` ? • existing home
Retaini e,ire?ts, if any
Reviewed:
October 1992
DOCUMENT STANDARDS
pLEASB COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIl2ED FOR EACH UNTT.
--------- - - -
NO. FTXTURES EACH TO
? SHOWER • 3.00 3• 00
? WATER CLOSET 3.00 1?. o a
BATH TUB 3.00 4. b r?
S LAVATORY 3.00 ? ?. °C'
! KITCHEN SINK 3•00
1 LAUNDRY TRAY 3.00 '3
_
_ HOT TUB/SPA 3•00
WATER HEATER 3•00 3 °n
f FLOOR DRAIN 3.00 3.60
GAS PIPING OLTTLET • min+mum • i 3.00 ?nn
ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • n,ecry. uc. 15.00
U.G. SPRINKLER ' home under const. 3•00
ALTERATIONS • to aesong 15.00
WATER TURN AROUND 15.00
STATE SURCHAFtGE .50
TOTAL:
SITE ADDRESS: ? ? ? 6 yz? D'n ^
OWNER NAME: !1'1 x3 ,'J
INSTALLER: RG' 1 02 P? 73G ?--??
ADDRESS: -790 5t ? (2L5-URZ1A/0D A-Vi? 5 tt 17 -;?> o S?
CITY: ?Jt Pd+',l L-. STATE: kV n ) ZIP CODE:
PHONE #: (,?/,7 ) t", Q g ° CZA02 I
1993 PLUMBING PERMIT (RESIDEIVTTAL)
CTfY OF FAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
_Y_ NEW CONSTRUGTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
?D, ooa s?t
HVAC: 0.100 M BTU 6 ro $ 24.00
ADDITIONAL 50 M BTU 6.00
CsAS OUTLETS (MINSMUM 1 C$3.00 FACH) ? 1a• 00
;urt.v. - W.H. - oRYell - PonePMct
ADD-ON/REMODEL (EXIS7TNG CONS7RUCI10N) $ 15.00
STATE SURCHARGE
TOTAL $kl.?
SITE ADDRESS: 1n*A)0P a>P,
OWNER
INSTALLER:
TELEPHONE #: rI 71 "lPoWIS4
ADDRESS:
CITY:
TELEPHONE #
1993 MECHAPIICAL PER&IIT (RESIDENTIAL)
CTTY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
STATE: ZIP CODE:
??qz3
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date t2 I S I -
e??,f
Site Street Address TbJr `I MQI? D I? ?7
?
I-? Y:
Unit #
PropertyOwner ctre) DDa-vi iCk Telephone# (4sI) ?I51.-CP4UI
H.P. PIPEWORKS
Contractor 3670 DODD ROAD Telephone #( )
EAGkN
23 Address (aal),aaG 33nn City
State
Zip
The Applicant is: _ Owner )<Contractor _ Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes putting in a water softener and/or water
_
heater at the same time. If you are installinu onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ZvWater Heater $ 15.00
_ new replacement
Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00
State Surcharge $ So
$ 15. ?
Total
I hereby apply for a Residential Plumbing Permit and acknowledge 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 plumbing codes; that I understand this is not a permit, but only VLo ?r[? D
permit, work is not to start without a permit and work will be in accordance with t roved plan in
the event a plan is required to be reviewed and approve 2 7
?? an„r. IA?a,vfF'fr
Applicant'i Printed Name WqEAft Sig ture
I5• Sc) *ra
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4654 Manor Dr
Lot: 5 Block: 2 Addition: Manor Lake 4th
PID:10- 47278 - 050 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
New Windows for America
609 W County Rd E
Shoreview MN 55126
(651) 203 -0149
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
Owner:
Dylan T Danich
4654 Manor Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA081014
11/09/2007
ePermit
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
/'O)/
(2,o
Date Received:
Staff: /h C
INFLOW & INFILTRATION PERMIT APPLICATION
._Plumbing / i/Sewer & Water
1
Date: 11— Site Address:
Tenant: Suite #:
RESIDENT / OWNER
Name: (\ K1 VLtti CAN kby teal Damiu iphone: G� I f o '1111OI
I fA M
Address / City / Zip: 4(e 5 4 1. Ito( b V
CONTRACTOR
Name: kM11, O V YW.,/ License #:
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK
PLUMBING (Within the building envelope)
Sump Pump Repair
SEWER & WATER (Outside the building envelope)
Repair
Other:
(
/Other: 5441: \ Ci'wa •1, l`,�
DESCRIPTION
Description of ettp ski/Id/aycAuwe'
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
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 appl'cation 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 ofrk which re • uires a review and approval of plans.
frk/�94,111Gh
Applicant's P 'nted Name
x
Ap
gnature
Required inspections:
Reviewed By: Date:
Rough -In
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116418
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 4654 Manor Dr
Lot:5 Block: 2 Addition: Manor Lake 4th
PID:10-47278-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
William Krech
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Dylan T Danich
4654 Manor Dr
Eagan MN 55123
(651) 452-6601
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA125823
Date Issued:08/05/2014
Permit Category:ePermit
Site Address: 4654 Manor Dr
Lot:5 Block: 2 Addition: Manor Lake 4th
PID:10-47278-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Craig Angell
12253 Nicollet Ave. S.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Dylan T Danich
4654 Manor Dr
Eagan MN 55123
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144155
Date Issued:07/14/2017
Permit Category:ePermit
Site Address: 4654 Manor Dr
Lot:5 Block: 2 Addition: Manor Lake 4th
PID:10-47278-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Dylan T Danich
4654 Manor Dr
Eagan MN 55123
(651) 452-6601
Capital Construction Llc
406 Gateway Blvd
Burnsville MN 55337
(855) 766-3221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157581
Date Issued:08/27/2019
Permit Category:ePermit
Site Address: 4654 Manor Dr
Lot:5 Block: 2 Addition: Manor Lake 4th
PID:10-47278-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Dylan T Danich
4654 Manor Dr
Eagan MN 55123
(651) 323-4831
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157879
Date Issued:09/13/2019
Permit Category:ePermit
Site Address: 4654 Manor Dr
Lot:5 Block: 2 Addition: Manor Lake 4th
PID:10-47278-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Dylan T Danich
4654 Manor Dr
Eagan MN 55123
(651) 728-0470
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(641) 670-7051
Applicant/Permitee: Signature Issued By: Signature
ley
r For Office Use•
0 Permit#:EAGAN
Permit Fee: /
0Date Received: r�(o_�c
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E C E 1�/E
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)6 6r Staff:
buildinuinspections s 2019(c�cityofeagan.com I
2019 RESIDENTIAL B MIT APPLICATION
Date: Site Address: Unit#:
Name: 1 f d Phone:
Resident/
Owner Address/City/Zip: 4 r- A I r�,
�d' /1/�(�'0 4Vv
Applicant is: Owner Contractor (
Type of. Work
Description of work: ` E/� �6�f�/il�{� 1 i c
Construction Cost: 60XMulti-Family Building: (Yes /No) )
Company: d-2- Zetcrit_ ( DEC, Contact: 1510....- de6/
Contractor Address:Zi7 ) U 17A
� L. £ AA/ City: ri. 4'0
State:)Zip:'•C Phone: %J//p 1 mail: 61ct n de,/`, b 7qLce£&/ v' I
License#:15c6ow Lead Certificate#: /S 1 - / —
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeacian.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this ire, ation is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I un•-rstand th' is t a ermit, but only an application for a permit, and work is not to start without a permit; that the work will be in
:cc0rdt
aa • p: in case of work which requires a review and Vii/ / X 0)!w m 4441e6
Applicant's -}r t-,!Na 'e Applicant's Signature
DO NOT WRITE BELOW THIS LINE —r6 sc7/) oa D , /� i /
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
—
Single Family Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
Multi / Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level Pool _ Accessory Building
WORK TYPESt
New _ Interior Improverrerit _ Siding _ Demolish Building*
Addition _ Move Building Reroof Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building–give PCA handout to applicant
DESCRIPTION (? 106 ° /
Valuation Occupancy MCES System
Plan Review Code Edition is ` .I ((SAC Units
(25%_100% lk) Zoning f City Water
Census Code Stories Booster Pump
#of Units _ Square Feet PRV
#of Buildings Length _ Fire Suppression Required
Type of Constructionvb Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) $ Final/No C.O. Required
Foundation Foundation Before Backfill // HVAC Service Test Gas Line Air Test_Hood
Roof: Ice &Wa'er _Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding: Stucco Lath Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall: Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: - II , Building Inspector
RESIDENTIAL FEES
Base Fee i
,e,
Surcharge 0 Ve4L"
11/ L telt
Plan Review /9-W VI
MCES SAC 1 k 019
City SAC
N
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant (1,c(0 y (51, ' ,,, -v LI 0
Radio Meter Read
Copies
TOTAL
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