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636 McFaddens Tr`ClTi( OF EAGAN , 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I fikf i'It11 PERMIT SUBTYPE: ;coRn PERMIT TYPE: Permit Number: ar .' 4a fi .10 Date Issued: t. / APPLICANT: ' . . . . . , . . ? . 1 , . ' , . TYPE OF WORK: .li? . I fl't . rMt.N •: i F INSPECTION TYPE . . . . ? , . . . D• O . ?.: , . 1 A It'1 II) !1 t I 1 i I" I t I ft ?? ? f ME?EtV,$e S b!-4 P{ ktP+ foC M? f+YAN Pl Afi f`F -1 J Permit No. Permlt Holder Dete Talephone N S/1N PLUMBING HVAC ELECTRIC ELECTRIC InspecNOn Dste Insp. Commerrts Footings I +Z'?,' 93 Foundation Framing Roofing Rough Plbg. -7J v Roug" Fttg- y I?3 3 l8ul. ? •???. Lai Firep'ace y z-; y s Final Htg. '-z;lHS ? Orsat Test /c Final Plbg. (9 A?s `f'u Pibg. Inspecfor - Notity Plumber Conat. Meter EngrJPlan Bldg. Flnal Deck Ftg. Deck Final Well Pr. Disp. ??` IV 0' 0" ys3 ? C?? ei.fificate nf cccuvanc4 (fi? ? ??? ?? ? VKW64 3UNotetim T6is Certifrcau issued pursuant to the nequirements of the Unifonn Building Code certifying that at dee time of issuance this structune was in compliance with the various or+dinances of the City negulating building construction or use. For the following: use cbmsificafio.: SF DE BW& Pamit No. 204W O-OP-Cy 1Yro R-3/14-1 zoning nasn;a R I 7ype const ? Ownw of BWI"g HQ?F'S Addmn 18133 iMAR AVE S, FAiaffL-NN . . / Add?a oaw 06/22/Q3 POST IN A CONSPICUOUS PLACE Address 636 hL:FADDF.NS TRAII. Zip 55123_ I.ot '' '19 Blk ] Sub i.AKEymw rxAn, THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 06/22/93 Yes No Inspector: Final grade (6" from siding) V Permanent steps (garage) ? Perntanent steps (main entry) Permanent driveway V Permanent gas ? Sod/Seeded grass T[ail/curb damage ? Porch ? Basement finish Lll Deck pl i Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze porential eacisis. Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy d 26987y?y?y? a Repues[ Date re No Rough-in InspecLOn M a r c h 29 1993 I Aepurtetl? o eaaar Now ' ?jNouty Inspeclor , ,'aABS ? N. WOen Rei I?'ficensed contractor ? owner hereby request inspection of above electrical work aC Job AOtlress sVeel Box or Route No I Ciry 636 McFaddens Tra31 EA an Secuon No TownsM1ip Nama or No Range No. Counry Dakota Occupant(PRINT) Phone No oe Miller Homes 454-4663 Power suppner Aaarass 4300 22Q t}1 $ t. $. W. akota Electric Farmington,MN 55024 Electncal Gomractor (GOmpany Name) ConVaclor's License No Midland Electric CA 01236 Maihng Aaoress IGontratlor or Owner Mekmg Installabon) 22691 Red Foa Drive Lakeville MN 55044 Authonxe re IG .i rier' aning Insiallation? Phone Number 461-1444 MINNESOTA STATE BO O CTPICITV THIS INSPECTION REOUESi WILL NOT Grlggc-MlOway Bldg. Raa -173 BE ACCEPTED BY THE STATE BOARD 1621 UnlversMy Ave, eul, MN SStOa UNLESS Pf10PER INSPECTION FEE IS Phone(612)662-0B00 ENCLOSED /y/,J(??„ REQUEST FOR ELECTRICAL INSPECTION -0w;o? ? Sae inshuctions for completing ihis lorm on beck al yellow copy ?7 s " Be/ow Work Covered by This Request d 26987 X " `'? ew A ep. ,. TypeoiBmldmg AppliancesWired EqwpmeniWuetl Home Range Temporary Service Duplex ater Heater Electric Heating Apt Buildmg ryer Other(Specity) Comm /Industrial j umace Farm Condilioner Air Olher (syaatyi Coniractors Remarks Compute Inspecbon Fee Below: # Othar Fee # ServiceEmranceSize Fee # Crtcmts/Feeders Fee Swimming Pool ? 0 to 200 Amps f$ ? 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspector5 Use Only ,aG TOTAL Vngation Booms ga $a •50 Speaal Inspechon Alarm/Communication THIS INSTALLATION MAV BE ORDEflED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN NTH . ! I, the Electrical Inspector, hereby Rouyn-rn oac r? certify that the above mspection has been made. F,nai oa<e, J OFFICE USE'JNLV This re0uest voitl 18 monihs frpm ' 2004 RESIDENTIAL BUILDING PERMIT APPLICATION - City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 ?(o Ql 2-2- 6? 1440 ? Telephone # 651-675-5675 FAX # 651-675-5694 C-AA?1? New GonsWcfion Reoui2menls RemodellReuair Reouirements Office Ne Onlv 3 registered sde surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd .Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addiUOns $ez!Pres Plan Recd .:;Y,;;.:: ?. 2 oapies of plan showing beam & window s'rzes; poured found design, etc. 1 site survey for additlons & decks iij?`&:P[es,Reqi04,-' "_'\ prN 1 set of Energy Calculetions AddRion - indicate i(on-sife sep6c syatem Oi5-site Septlc $ysfem 3 copies of Tree Preservafion Plan if lot plaried aRer 711193 Rim Joist Defail Opfbns selection sheet (61dgs with 3 or less units Date Construction Cost ?j?, BtSL^?? Si[e Address UniUSte # Description of Work 11 X Z'q L.JO Le-,le. L Multi-Family Bldg Y 177 , Fireplace(s) _ 0 _ 1 _ 2 JeN O t ???, 9 T l hone # ( ) roper y wner e ep Contractor A?\ or? ? 'P`i.SC ? I Address 151-11_S'o y-o y'cA City _ 411 State Telephone # ( ) n 1 ?? i?° r.i.?h? S F? ?1 rt ?? S d;' ?n C e ? G ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Venhlation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted ,. • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone Telephone # ( I hereby apply for a Residenrial Building Permit and acknowledge that the information that the work will be in conformance with the ordinances and codes of the City of Es m Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a perrrtit; that the work will be in accordance with the approved pl the cas of work which requires a review and approval of plan . f ?c ApplicapYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ?- , ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage X 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 DS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding x 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 48 WindowslDoors ? 34 ReplaCement "Demolition (Entlre Bldg) - Give PCA handout to applicant Valuation !2z o o o Occupancy ?•.T-_ 4(4. MCES System Census Code -ew 5! 1 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Lengthi LA % Fire Sprinklered Type of Const Width ot ? _ ? X 7y- Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Fina] Framing Fireplace _ R.I. _ Air Tes[ _ Final Insulation REQUIRED INSPECTIONS Final/C.O. ? FinalMo C.O. _ Plumbing _ HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: I L? , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC ciry sa,c Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total q'S 36s1f, 2 to ri . `l'7 ? 3 ? / „1--r= ,?; 4'00 fil? 33 ,?2- ?j S-ygg Permit Number REScheck Compliance Certificate 2000 Minnesota Energy Code RESchcckSoftware Version 3.5 Kelease lc Data filename: C:\7ASON\Personal\DONNIH\calcs.rck COUNTY: Hennepin STATF: Minnesota ZONE: 2 CONSTRUCTION TYYE: Single Family DA'fE: 05/06/04 COMPLIANCE: Passes Maximum UA = 202 Your Home UA = 197 2.5°U Better Than Code (UA) Ceiling 1: Ftat Ceiling or Scissor Tmss Main Level Walls: Wood Frame, 16" o.c. Wmdow 1: Above-Grade:Vinyl Frame:Double Pane with Low-E Uoor 2: Glass Lower Level Walls: Wood Frame, 16" o.c. Wi?dow 2: Above-Grade:Vinyl Frame:Double Pane with Low-E Door l: Glass Floor 1: Slab-On-Grade.Heated Insulation dep[h: 4.0' F'urnace i: Forced Hot Au?, 90 AFUE Air Conditioner L• Electric Central Air, 10 SEER Proposed and Maximum U-Factor Averages Checked By/Date Gross Glazing Area or Cav?ty Cont. or poor Perime[er R-Value R-Value U-Factor UA 360 38.0 2.0 10 520 19.0 2.0 19 132 0310 41 56 0330 18 470 19.0 2.0 20 60 0.310 19 56 0330 l8 76 10.0 52 Proposed Maximum Avetage U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0317 0370 Includes Poundation Windows > 5.6 ft2 COMPLIANCF. STATEMLNT: Tlie proposed building des?gn described here is consistent with the building p(ans, specifications, and other calcula[?ons submi[[ed wrth [he permit applicalion. The proposed building has been designed to meet the 2000 Minnesota Energy Code requiremenh in REScheckVersion 3.5 Release lc (formerly MECcheck) and to compty wi[h the mandatory requirements listcd in the R? S checkIns•pection Checklist. Builder/Dcsigner ?? Date ? __ i??? - 6 ?/ /? L ? REScheck Inspection Checklist 2000 Minnesota Energy Code REScheckSoftware Version 3.5 Rclease ic DA"I E: 05/06/04 PLAN REVIEW AND INSPECTION ISSUES This list of items may be helpful for Ylan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential dwellings. The items marked with * apply only to detached one- and two-family residential dwellings. PL,AN REVIEW ISSUES FOUNDATION INSPECT'lON [] foundation wall insulation R-5 minimum [] foundation insulation extends from top of wall down to lop of the footing [] exterior foundation insulation is covered by a protective coating finish CONCREI'E SLAB OR UNDER-SLAB 1NSPECTION [] slab on grade perimeter insulation R-5 minimum [] slab insulation extends from top of slab to design frost line or top of footing [] floors over unheated space R-30 minimum WINDOWS / DOORS / SKYLIGHTS [] average U-value is 0.37 maximum for windows and glass doors (excludes foundation windows) [] window U-values consistent with building plan and REScheck CeRificate [] window and door areas consistent with 6uilding plan and RES check Certiticatc MECHANICAL VENTILATION 1SSUF.S [] residential mechanical ventilation system provides adequate ventilation per code requirements* [] furnace efficiency is consistent with RES check Certificate or building plan [] protection against excessive depressurization is installed per codc requirements* ENVELOPE INSULATION P'OR PLAN REVIEW [] interior basement insulalion R-5 minimum (if no exterior insulation) [] ceilings with attics R-38 minimum or consistent with building plan and RES check Certificate [] wall framing and insulation level is consistent with building design and RES check CeRificate INSPECTION ISSUES CONCEALEDINSULATION Framing und Sheathmg [] wind wash barrier installed at attic edge f 1 exterior wall comers framed so that insulation can be installed after exterior sheathing is installed [] intersections of interior partition walls and exterior walls framed so that insulation can be installed between the partition and exterior sheathing after exterior sheathing is installed [] gaps be[ween framing Iess than onc-half inch are eliminated by sccuring framing [ogether or are insulated at the time of assembly * [] all penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed * . lnterior Air Barrier all fire stops are air sealcd pipes, ducts, wires, cquipment and flues and chimneys through the interior air barrier are sealed a sealed continuous interior air barrier is installed on the warm side oC the building envelope at ceilings, walls, and floor rim joist areas * air barrier behind tub and shower is sealed and protected recessed light fixmres are sealed Envelope Instelatian [ J basement insulation R-5 minimum [] wind wash barrier on wall separating house and garage is sealed [] loose fill insulation is prevented from entering the eaves [] insulation on skylight shafrs and walls exposed in attics is supported on the unconditioned side Attic Insu(ation [] attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel [] attic card attached to framing near access opening [] notification of attic R-value and date of installation posted near building permit inspec[ion card This is a summary only. O[her requiretnents may apply. See the Minnesota Energy Code. Questions? Call the Department of Public Service Informalion Cen[er at 651-296-5175 or 1-800-657-3710. .. NISL - I`il - Yj y CERTIFICATE" OF SURVEY 79 ?v ?• r ?'S,''.? ?? 3.??,46 ?3? 2: o .. 0O? V ?j . , ?, •r????,' \ ?' ? ? 9 I 3T (9 g! ? ??oo ?\o ? $ r0p0sta 9Z, b ? ?o??i. \ 0k9363 I•L?1 y?19 ,,A??1•`?ya \? ? i\?1? (3; ? 1 \J ?s ? 5? ? ? e e? ? By OM A]A.l??Al\ 4?ti7.319GERXftG iJG??r7, o t0 Scale: 1" = 30' 0" ZAJC 36 addens Traii DEPmQO I ? EQUIRED I hereby cartify ihat this au ey, plan, or ? B1 report was prepared by me or und r my direci Lot 19, Blo k 1 supervislon and that I am a dul Reglatered LAKEVIEW AIL ADDITION Land Survey?or under the Laws o the State Dakota C nty, Minnesota Of MIM89ota. Plat bea ings shown o Denot s iron monument Data -7 9'? 9 93 R g. No. 8140 (Existin ? Proposed BRANDT ENG NEERING SURVEYING 1600 West 1 3rd Stree , Suite 206 --Burnsville, M 55337 (612) 435-1 66 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION , City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshucrion Reaut2ments RainodeUReoafr ReauirertienLS 3 regis[e2d si0e surveys shawfng sq. R of lot, sq. ft of iause; and all rooted areas 2 copies of plan .,?,,, (20% mazimum lot cove2ge allowed) 7 set of Energy Calculations tor heated additiora _ 2 cnpies W plen show?ng 6eam & window sims; poured found design, efc. 1 slte survey for addtions & decks t set of Enetgy Cakuhtions Add'dMn -indica[e il wrsRe sepGc system ? . 3 copfes of Tree Preservation Plan Yf bt platted after 711193 Rim Joist Delail Options selection sheet (bldgs with 3 or less units Date Construction Cost Site Address UniUSte # Description of Work G"? YJ L° L' '? ? y k/ c, I Multi-Family Bldg _ Y _ N Fireplace(s) _ 0_ 1 _ 2 Properly Owner G 6 i? Telep6one # ( (-/Z 'Y> /S? Contractor ? ?ov??_? jU Address 7,6 1 ?:E7 City State 1L12 /l Zip Telephone #(G2 ) 703'8 3'7 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - tvlinnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 EnOrgy Code Category . Resldential VenHlation Category t Woricsheet • New Energy Code Worksheet (4 submission type) 5ubmitted Submitted . Energy Envelope CalculaGOns Submitted Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residential Building Pernut and aclrnowledge that the informa on is co and urate; that the work will be in conformance with the ordinances and codes of the City o agan and e State f MN Statutes; I understand this is not a pemut, but only an applicarion for a permit, and worc is no- ? out a permit; that the work will be in accordance with the approved plan in the case of work wkrich requires a review and approval of plans. pplic t' 'nted Name ApplicanYs Si ahxre OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 OS-plex x 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-piex O 72 12-plex Plbg_Yar_ N ? 25 Miscellaneous Work Types ? 31 New „Q? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units # of Units ? # of Bidgs ? Type of Const ? ? 30 Accessory Bldg ? 31 Ext. AR - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding O 36 Move Building ? 42 Demolish Founda6on ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors •Demolition (Entlre Bldg) - Give PCA handout to applicant Occupancy ? - 3 MCES System - Zoning City Water - Stories "- Booster Pump ? Sq. Ft. PRV " Length ? Fire Sprinklered '- Width z4i Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee V " Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS ? FinaVC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool Ftgs _ AidGas Tesu Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector ?22? /vi--.)c-1 7 1 -/?> CERTIFICAR"OF SURVEY MGF d '? •Z912 ? 93J; f36? 4 9^? ?' ?W,A3' o5e6 9Z? b? o (93?_$; 5? .-Noo? 090136 3 m ?e•?D j ` `?/ ` ? e?/?,?. ? c / \ v ? e J?9M e?en?s eos ? SJ?Jey ? ?• 3y \s?\2p, ,?.?UAriI P LO qz?. Scale: 1" = 30' °"' N?36? I hereby cartify ihat thia su y, plan, or report waa prepared by me or und r my direct eupervielon and that I am a dul Reglstered Land Surveyor under ihe Lawa o the State of Minneaota. Date BRANDT ENG 1600 West 1, Burnsville, MI (612) 435-1 No. 8140 . .e a. Lot 19, Blc LAKEVIEW Dokota C Plat bea ir o Denot s w ?• ? IdGIlKEERING D,EPf addens Trail ' o ????? EE) 1 41L ADDITION :v. Minnesota gs shown iron monument Proposed NEERING 3rd Stre 55337 )66 ; SURVEYING , Suite 206 - - M 32 74-7 -93 RESIDENTIAL 53 <S 2Z BUILDINC PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauiremenb • 3 registered site surveys showing sq. R. of lot, sq. R. of hause: and all mofed areas (20% maximum lot coverage allowed) . 2 copies of plan showing beam 8 vrindow s¢es; poured found design, etc.) • t ut of Enefgy Calculations • 3 copies of Tree PreservaUon Plan if IW platted aRer 711193 • Rim Jaist DeUd Op6are selection sheet (bldgs with 3 or less unrfs) DATE '7 'Z't° 1 0 Z SITEADDRESS t°3? rtlC'- TYPE OF MINNFSOT:1 RULFS 7670 CA`fEGORY 1 • Residentlal Ventilatlon Category t Worksheet SubmiUed • Energy Envelope Calculations Submitted APPLICANT ` k-?fa ?YMZ ZSrP??S ` - - - - •--- 1-._. STREETADR?)ESS??n. /-`!`-/? ??`K? -?Y?t°1?`?% CITY ?? ?TATE ? TELEPH?# ?43S OoZ.? CELL PHONE #(??15) -J(?7-22(v I FAX # ?aSl-?o3? ?? ?{ PROPERTYOWNER &rPN LUIII,R'n?? TELEPHONE#1??? OSO COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category (J su6misslon type) Plumbing Confractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor. RemodellReoair Renuiramenh . 2 cropies M qan . 7 set af Eneqy CakailatWns Iw heated adEitbns . 7 srte wrvey fa extenor additioris & decks . IMicate if home served 6y sePbe system foi atldNam VALUATION I ?? _ Water Softener _ Water Heater _ No. of Baths _ Air Conditioning Hcat Recovery System MULTI-FAMILY BLDG?" Y V N _ FIREPLACE(S) ?b - 1 _ 2 MINNESOTA RULES 7672 • New Energy Code Worksheet 5ubmitted Phone # Lawn Sprinkl . .00 No. oE R.I. B s -? Phone # Fee: $70.00 Phone # - ° - °--°--° ° °---°-----°-------•----°----°------------------------- I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Or< Signature of Applicant --°-----------°---°-°------°-- i is correct, and agree to comply OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 OFFICE USE ONLY ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplaca ? 21 Porch (3-sea.) ? 31 EM. Alt • Multi ? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Coda Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs A'u/Gas Tesu Final - FrammB _ _ Siding Stucco Stone _ _ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Buiiding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OT Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 ? Telephone # 651-675-5675 Please complete for: single famdy dwellings & townhomeslcondos when permits are required for each unit Date / ? /JCJ / 67 Site Address U3Lf' Unit # Property Owner Telephone # (LQ??) ! Y?-??5? Contractor StreetAddress /„X.LXI Kj-Z',11 VJ L12/1'/7- f7-tX _.? ciry ? State % J' (_./` /Zip S_ 5 7 Telephone #(??- q`7 Y? Bond Expires: The Applicant is _ Owner )( Conhactor _ Other Add-on or alteration to esisting dwelling unit _ furnace _Additional _Replacement air exchanger air coi ? other State Surcharge Torai 50 30.00 ? JAN 0 3 2005 ? I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a pemut, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerctal/industnal buildings multi-family buildings whcn separate permits aze not required for each dwelling umt Date SiYe Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Conffactor Other Work Type _ New Construction _ Underground Tank _ Install _Remove **see below _ Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: '*When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector PerRVt FOes: $70.50 Underground tank mstallationhemoval $50S0 Misirnum (mcludes SFete Sureharge) or Conh-act Value $ x 1% Permit Fee • If ep rmit fee is $1,000 or less, add $.50 => $ State Surcharge If eD Tmit fee is over $1,000, add $.50 for every $1,000 pernut fee $ Total Fee I hereby apply for a Commercial Mechanical Perntit and aclrnowledge that the inFormation is complete and accwate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pernut, but only an application for a permit, and work is not to start without a perrrnt; that the work will be in accordance with the approved plan m the case oF work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: PERMIT x CITY OF EAGAN ` 3830 Pilot Knob Road PERMIT TYPE :? tJ I [yj N s Eagan, Minnesota 55123 Permit Number: 0204 80 (612) 681-4675 Date Issued: 93/ 1 (i / 9 3 SITE ADDRESS: 636 hiCFAIi(.lENS T}"t LOl': 19 RLOCK: 1 LAI<EV[EW T'RAJI_ P.1_PI.: 10-44330-190-01 DESCRIPTION: f. uiidiP2rmit Type SF DWG " - n;'F; Type j, Euiidang'W MEW UBC Occupar??sy R-3 M-1 CDliST.Y'LlCI.].Uli (J8 ? ?1--n! 2onsng ? ?- ? k-1 / 6uilding Langth 70 ? '6ua,ldirag WidGh. 28 'r yx j i ? 4XIF4?? , REMARKS: S& UI PL6R - GENL-f2YAN PLB6 PRV = FEE SUMMARY: VflLUflTION $159,000 Base Fee $814 .60 NlS f,cl.L,91VEU115 ,$ 5,7411 .50 Piz,n p iD v.iew 1,b2 9 .43 TnP.a ) i=e e $3,913.43 Siirchar•ge $75.00 (tA(' $7S 0 0 0 °'iAC n 100 SRC 'Jnits 1 Swbtct:al ? :C,2,168~.93 ? CONTRACTOR: - A pp 1 i ca n t- s i. LI cOWNER: MZII.ER HOMES, JOE 14544663 47002431 JCIF MILLER HOMES 3459 WASMZNG'T'OIV UR 3159 WASHTNG70P' Oft 201 [AGAN MN 55122 [AGFlN MN 55122 (612) 454-4663 (612)464-4663 . .. . , .. , _ . , • • I, I hereby acknowledga that I liave reae this applicatinn enc1 state thaT tha infarmat3on a:a cc,rr+ect rand agrer, to comply wir.h -A11. o{aplv'catt•lc? :3;taGe crf, lYlrt. Stetutets and City af Eagan Orciininces. T ? ?IHifi ??oi?? ? ? APP ANT/PERMITEE SIGNATURE 1 ISSUED B: SI NATUR REACTIVATE ? PERMIT i? , CITY OF EAGAN 413, 40.43 1893 BUILDING PERMIT APPLICATION ? 681-467 5 RM Pr,;if? ?-11f SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, c py of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. 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 permit is issued. Date Valuation of work Ol? °? :? & 3 ( -M i __ P t Site Address: STREET SUITE M Tenant Name: (commercial only) IAT BLOCK ? SUBD. P.I.D. It Descri tion of work: The applicant is: ? Owner ontractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE t' City State Zip Company P h o n e -z' Contractor Address 3459 WASHINGTON DRIVE License # Exp.3--?14! City EAGAM. MK55122 State Zip Company Phone Architect/ Engineer Name Registratlon # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two da s once a ha een approved. I here6y acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable Sta of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ' OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 foundation p 02 SF Dwg. 0 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. N ??. O 11 Apt./Lodging O 12 Multi. Misc. ? 13 Garage/Accessory 0 14 Fireplace ? 15 Deck ? 1*Ba e nt'Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous 0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair O 36 Move GENERAL INF ORMATION Const. (Actual) 1!- N Basement sq. ft. MWCC System 163z_ (Allowable) N lst F1. sq. ft. 1 f City Water ? uired PRY Re UBC Occupancy -K 3r?n-I 2nd F . sq. t. q Zoning Yt-I Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length N: On-site well Census Code I6/ Depth T -20 On-site sewage SAC Code „L ? APPROVALS - . e ? v-?b r Planning Building Assessments Engineering Variance REGIUIRED IN SPECTIONS ? Site ? Footing ? framing ? Insulation ? Wallboard 0 Final ? Draintile ? Fireplace Permi t Fee veiuat;a,: g IS?, o 0 0 Surcharge Plan Review license GsF?2sr?c` 7S"G X/6:- r?-O'G MWCC SAC Ci ty SAC afap?T =! l l(-f X Water Conn. Water Meter 15 T rc-.,,A = 1/36 YSU - 61 pL?, Acct. Deposit S/W Permit ZwoF'wo?2? d/iy )e 5U.. 6 S/W Surcharge Treatment P1. Road Un i t / y9 9? 2 Park Ded. , Trails Ded. Copies Other Total: sac % L SAC Units I SL- !yl-yS CERTIFICATL" OF SURVEY a ders ?C ?'??y'R' 6 ????jQa? \°`i R? 15• 0 93-? ? f ????? 5 ?.?? \? i??? ,o•_ e ? ? ? ,.,+?A? 3'.?,ES ss $ g .r° b \ Ar?. ose 9 (93 /$! 5\6D ?? f\t yqO ?`?o, 3S' ? ? t 09 q')63 ?•?' .?. '???? ? ?4?? z.r,l y ? ,s u; rn ?A; o ` ?o ? ? eo w ,- ?y `r . 60o,,, ??20„ ?AGAPd 'RTGIRTEERIRTG DEPT o ? ,? ,o \F scaie: 1" = 30' N"' No; 9,4-16536 addens Trail DEflIuu?O - I I hereby cortify that thia su ey, plan, or Lot t9, Blo k t repwt wae prepared by me or und r my direci LAKEVIEW AIL ADDITION aupervlslon and that I am a dul Regfetered Dakota C nty, Minnesota Land Surveyor under 1he Lawa o the State of bllnneeota. Plat bea mgs shown o Denot s iron monument Date -7 rLt.w. 9 9-7 R g. No. 8140 (Existin ? Proposed BRANDT ENG 1600 West 1, Burnsville, MI (612) 435-1 IEERING 5rd Stre 55337 66 : SURVEYING , Suite 206 - - /032 74-? -93 ? ? ? ? LOT BIIRVEY CSECRLIgT 80R REBIDENTIAL BIIILDING FBRMIT PROPERTY LEGAL Dato of survep: a'?'6 0 [3 D? 0 • • Registered Land Surveyor siqnature and company Buildin Pe it H? 0 0 • g rm Applicant ' Leqal description 0 Er 0 • Address Er 0 8' 0 ? 0 • • North arrow and bar scale ? House type (rambler, walkout, eplit v/o, split entry, lookout, etc.) 0?t1 8" 0 a 0 ? • Directional drainaqe arrows with slope/qradient g. ? ? 0 • Proposed/existing sewer and water services ?13 ? Street name • Driveway SLEVATIONS 0 0? 0 ? • Existinc Sewer service ? ? ? • Lot corners [ 0 5-1 0 • Top of curb at the driveway 3 ? • Elevations of any existinq adjacent homes Proposed ? 0 • Garage floor Er 1) 0 • First floor E' 0 0" 0 ? 0 • • Lowest exposed elevation (walkout/window) ? Property corners Cd ? 0 • Front and rear of home at the foundation PONDING AREAB lif anoiia blp) ? ? • Easement line f NwL 0 0 , HWL l] • Pond # desiqnation ? 13 • Emergency Overflow Elevation ? ? ? • DIMEN8ZON8 • Lot lines ? o 11 • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decka , overhangs greater than 21, porches, etc. (i.e. all H0 0 • structures requiring permanent footings) Show all easements of record and any City utilities within ly? 13 ? • those easements Setbacks of proposed structure and setback of adjacent existing hom 11 Er 0 • Retain' wa qui ents, ff any - Reviewe . ? Q October 1 992 Na me / Date LidIll1E?5?AA?S.'?:Ii1J;?!!l,7?S?lC??SJZF c?I:ct1.A'llc? ?-?? ? -( % 7 ' UASED Otl Cl1AP'fEft 5 OF TItE MObEL E?jpi[;„CXtL QD?'?=? 983 EbITION Adoption Effective site Address LoT 19, BL.ocoE L4aev,er.v79 aiL- ContractoQ61F,::- Phone: Building C1asslEications Type A1 (8lnqle Family 6 Duplex) ? 9'ype A2 (Residential, 3 etoriea or less) (over 7 stories) (Ot?ter) NOTEe Complets pages ] and 4 tirst. l 1. Bullding Perimeter 2. Wall lieiqlit (qround to eave) 11 ft. 3. 1. X 2. (above) qrose wall areaEt. d. Buildinq dlmenelone (L) ? X(W) aq.ft.roof 6 Eloor erea 5. sq. Eoot area of rim jalst - F oy?r o e siie l2 X ? ?v X(Parimeter) ? ??'tAq.ft. ,?'] , Iy?l? 12 i 6. Doors - Area"?!? V I Q Thlckness ln U. factori Type oE Conetruction Perimeter Et. FIatt4tacturer 7. Total door'e perl.tneter Et. e. winaows: tt nuf? cttirariN?-tL? U Lactor?? TYPE . 3I28 AREA (Sq.Ft.) EACII Y`+ `7ti?i4^J? tate approved NUIIDER OF TOTAL UHiT9 9Q FBBT 9. Total sq.ft. Glase ? • ? lo. Fireplece areas Width X Ileiglit = X = sq.[t. il. Exposed [oundation: Ileight R PerimetertX?? =1??eq.ft. COIIPLET1011 OF TIt29 FORH I$ RE(2UIitEO FOR ALL lIEW 120118TitUCTI011. NAJO(t REHOUELIRO AHD BVILDIflaB BEZNO HOVED W!lER6 ElIERdY, OTHEA T11Afl TIIB HININAL CODE ALLOWANCE, I9 tl9E0. -1- Y ' 12. Framloiy or'e¢ = 10% of grose wall area. 13. Groes wall area?`7a/ :/? i Wlndow area eq.ft. Rim joist ares AWL(Plsq.ft. Door area Aj?1?``+' eq.ft. Otlier doore erea Et. Exposed fndn A\0405S sq.ft. Framinq area AS0`21eq.ft. Ilat wall area A! Lleq. Et. sq.ft. U wlndows ?? J? U rlm Joiet= U door area= U qtliar doors=,4`1 ll foundation=ld (0 U framinq area=loqc?? ll wall= ( ? :?_P UxA = UxA = I? UxA-? = ! ((?1`?. UXA UXA c UXA a UxA - (138) TOTAL . . . . . . . . . UxA 14. Crose wall area x 0.11 (A-1 slnqle family 6 duplex) = allowable UxA/Code (13. above) x 0.29 (A-2 other reeldential) x .23 (other bulldlnqs) x .28 (OVer 3 etorlae) I BTIJIi muet, be larger theh or eame io Code j` °F• a9 13B aboVe 15. Ceiling framinq area (AE) equale Lot of aeilinq area 15A. Gross ceiling area =(L) '? x(W) °?gq•It. 158. Joist area (AE) = lOt ceilinq area =?1S?gq.ft. 15C. Itst ceiling area (Ac) (15A - 158) U ceillnq x Ac _- 00 I x tm? U Eraming x A E ? kll?l x % 0 °•?j? ? - 15D. TOTAL U X A... ......................... .l??1? 16. Celling area (15A) x 0.026 (A-1 slnqle lamlly & duplex) = allowable uxA/COde x 0.013 (A-2 other residential) x 0.06 (other) n BTUII muet be• larger than or eame A(15A)I?'`It x U Code 10 °F• ae 15D aboVe NoTES use U and A valuas obtained Erom pages 1, 3 and 4. CEfiTIEICHTI4Ht I hereby certlEy that I liave calculated tlie "Ull faotore and "R'I values lierein and tliat tlie buildlnq here deBaribad meets or exaeede the state of tfinnesots Energy Conservatian Act. Date 9ignature ' -2- -t ' 4<?!:j 2- ??)-7 ?5p (p; o, ? 1 C ?v ? ?5.c? 11?,Z# \l?l 1 ?1 llll ly? F ? (40= CPt 01 l- l2 ? j4 ?I 6?4°- Y CQ?O t l?Z ?2? T s?. ?l I? 'lilt6tlur uall ? •'?5 (Il.lll U ? ? 4 Stcl tuU ,. ?` l?uul?tlu?? ??, o• ` . V'•? ---- ?l ? -. , sluu : stc11o11 uut?ld?;?lt lllm ' ,1) . • . .? R lulAL 117? r7 xj . ? e lldln? ? ,?-? ? cqj5 . ....- I` . ??a???` . , , ?e I . • C? Out!lde alK Illm .?1 • . ' ' Il lolAL Z?, o?'j . ' i . lililds.alt'lllm ? .6U ? : , lutetlvc uill ??'?j 4'? ?tud . h• ..fredj? In,? ll t 8111113`1 u -? . L z 'orv -•o?? --- --- --- - -- -- ----- -.? ?? ? lutittlot vall' scc?ICU. . f?_ In?ul•tldn 11.11 )?U .. ? « ? , r--i ?nmeLltl .? --?_ xlatloc vall earet ll r?--' • . --?'?Cal?tlnt ¦IY, lllm' k . ?,?I . ? ` I? 1utAL ? • . Intitlot mIr Illm Il• .68 oo . _,?. J0151 '_ 'Iti Inel? ?alkunoU 'JI•?.UO (pIM ' ? ? ?[ ? . Jnlll) . ? . ehulb(ue 2,bla o? I J,IY , tRtetlot u?Jl cn?e?ln{. ??d?l • ?-? • tnl?tlut ?Ir Illm n• ,?? ' , 11• lUlA6 (D . ? . • , , , • ? lntatlnt ¦It lllm 4+ .68 ? I?nul?tlnh ???d . ? ?_ •IbunJitlnn ???-? • ?r??l.) ? • R ¦ ?It (tim A IOIAL ._ tapn?ed eluek '? ?,??••??';??r?Ja . l? • ?W . . • •••,•???•?? p?l"1:1(' SPACE All09E R VALUE FW11IN(3 R VALUE CEILIII(i , n 61 AirFilm o.61 1j(O. O Insulation 44 .0 4,311 Joist ------- 0 56 Ceiling 0.56 0 61 AirFilm o.61 1-2- ,I(4 Tota1R A!2'Jv .OU e 1/R .022-. Window infiltration 0.5 efm/lineal foot of arack Residential door infiltration 0.8 ofm/equare foot or door and minimum code requirement Non-residential door infiltrstion 11.0 efm/linesl Eoot oE crack Ub 12" conorete block no insulation _ .47 26 R 2.1 R ?.8 Ub 1211 concrete block insulated cores e , ?2 R 3.1 U6 12" liqlitweiqlit block 12" liqlttweiglit block lnsulated cores ? =.12 , It 8•9 ub U single glass = 1.13i with storm window .54 U double glass = .55 U triple q1A66 = .41 . All axterior walls andceilinqs must have a vapor barrie'r (D.lo perm max.). Vapor barrier must be on the ineide (heated side) of wall. Vapor barriers of tlie polyethelene thin filro have no R value. A Y 0 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WF-EN PERMTTS ARE.REQUII2ED FOR EACH UNTT. NO. / ? -L T ? • SITE OWN SHOWER WA.TER CLQSET BATH TUB LAVATORY KTTCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OLJTLET • minimum - i ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • nex.ay. lic U.G. SPRINKLER • Iwme under wosG ALTERATIONS • ca adsunq WATER TURN AROUND INSTALLER: GENZ-RYAN PLUMBING & HEATING C0. INC. EACH TOTAL 3.W 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 15.00 3.00 15.00 15.00 -? ADDRESS: 14745 South Robert Trail CTT'y; Rosemount STATE: MN ZIP CODE: 55068 PHONE #: ( 612 ) 423-1144 SLGNATUI?l OF PERMTTTEE STATE SURCHARGE .50 TOTAL: `7-•J ? 1993 MECHANICAL PERMTT (RESIDENITAL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ? NEW CONSTRUCTION ADD-ON AJC ADD-ON FURNACE DATE sl? FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@$3.00 EACH) ? 1?.) C?C) ADD-ON/REMODEL (ExisnNC CoNSTxucrtox) $ 15.00 STATE SURCHARGE .50 TOTAL 3 ? ?' SITE ADDRFSS: OWNER NAME: '? Oe , CTI'Y: V A?-' STATE: . , 0 ZIP CODE: S? TELEPHONE #: 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF ?pNT,17;A,GT FEE $_ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF MlUvUT FEE. TOTAL $ STTE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRFSS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CTTY INSPECTOR / G&, ; S ??de--', 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 675-5675 PERMIT Permit Type: Building Eafl(IdR Permit Number: EA065897 Cite? ? 0f Date Issued: 08/20/2004 P= Site Address: Lot 19 Block: PID: 10-44330-190-01 Use: Description: Sub Type: Deck WorkType: Replace Description: Census Code: 434 Occupancy: Construc[ton Type: Zoning: Square Feet: R-3 V-B Single Family (Res) Remarks' Plan reviewed by Jeff V?heelec (Id) Fee Summary: Valuation: $2,000.00 Surchargc - Based on Valua[wn 1.00 9001.2195 BL - Base Fee 69.00 0801.4085 Total Fees: S70.00 COIItI'8Ct01': - Applicant - OWReI': Dreams to Reality Custom Design gRIAN P WILLIAMS 5859 3rd Sheet NE St. Lic.: 20385240 636 MCFADDENS TR Fridley, MN 55432 (612) 703-8377 EAGAN, MN 55123 612-940-5158 I hereby acknowledge that I have read this application and state that the informarion is wrrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ApplicanUPcrmitee: Signature Issued By: Signature 636 McFaddens Tr I Addition: Lakeview Trail 2004 RESIDENTTAL BIIII,DING PERNIIT APPLICATION ? City Of Eagan -l 3830 Pilot Knob Road, Eagan MN 55122 B TJ ?, vCJ Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeUReoair Reauirements 3 reggtered site surveys showing sq. fl o( lot sq. ft of house; and all roofed areas 2 copies of plan - (20% maximum lot coverage albwed) 1 set oF Energy Calculations for heated addifrons 2 oopies of plan sfwwkng beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1setofEnergyCakulations Addition•indicatei/on•sdesepticsysfem 3 copies of Tree Preserva0on Plen'rf bt platted afier 711193 Rim Jast Deta0 Oplions selection sheet (bldgs wdh 3 ar Iess units Date / / Construction Cost SiteAddress i UniUSte# Description of R'ork ? `?f ? oi Mutti-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Properry Owner ? t t`w-\ 7c'l/'i Telephone # ( (?/Z Contractor 7U R{Jc"I JL? Address 7 (y ? / City ? State 144 Zip Telephone #(Giz ) 7 o3 `3 3 7'7 ?on / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Pvlinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VenGlation Category 1 Wwksheet • New Energy Code Worksheet (d su6mission [ype) Submitted Su6mitted . Energy Envelope Calculations SubmiHed Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( N If so, 25% plan review I hereby apply for a Residential Building Permit and aclmowledge that the informa on is c and ?tequrate; pplicY l1C,/ oU? / d? vs y-/ / /'nted Name that the work will be in conformance with the ordinances and codes of the City o agan and e State f MN 3tatutes; I understand this is not a pemut, but only an application for a pernut, and wor is no o s out a permit; that the work will be in acwrdance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Si ature \ Sub Types 1 ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 03 Ot of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex A 18 Deck ? 23 Porch(screen/gazebo) ? OS 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New g 32 Addition ? 33 Alteration ? 34 Replacement ? 30 Acce. ? 31 Eut. Alt ? 33 Ext. Alt - SF ? 38 MultiMisc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors •Demolition (Entire Bldg) - Give PCA handoutto applicant OFFICE USE ONLY Valuation Occupancy /2-3 Census Code ?z 5 `/ Zoning /L - I SAC Units Stories - # of Units ? Sq. Ft. # of Bldgs = Length ? V Type of Const ? Width ? Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: _ Base Fee ? u Surcharge Plan Review MC/ES SAC Ctty SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total MCES System - City Water Booster Pump PRV `- Fire Sprinktered - REQUIRED INSPECTIONS FinaVC.O. ? FinaVNo C.O. Plumbing HVAC Other Pool Ftgs _ Air/Gas Tesu Final Siding _ Stucco _ Smne _ Brick _ Windows Retaining Wall Building Inspector ?v ??`