4328 Hamilton Dr
Use BLUE or BLACK Ink
I
For Office Use I
j Permit 1
1
City of Wan I Permit Fee: 'Co
/3830 Pilot Knob Road
Eagan MN 55122 14ECEIVED I Date Received:
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 ~ 13 2010 staff-
O CT
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address: _L~a M. Q ~
Tenant I~..CA P Suite #
RESIDENT / OWNER Name: Phone:
i '
Address City/ Zip:
CONTRACTOR Name: B RNSVILLE HEATING & A/C, INC. License (0) S °~r~ 7/ 3
3451 W. Burnsville Parkway
Address City: Suite 128 _
State: Zi Urnsville, MN 55337 Phone:
Email:
Contact..
~
TYPE OF WORK New Z Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods,
RESIDENTIAL COMMERCIAL
PERMIT TYPE A Furnace _ New Construction ^ Interior Improvement
X Air Conditioner _ Install Piping _ Processed
_ Air Exchanger _ Gas Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank C_ Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other q- Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) _$;55.~L0-TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
$ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge).
TOTAL FEE
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.goaherstateonecall.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 permit; that the work will be in accordance
with approved pl n in the case of work which requires a review and approval of plans.
x Cc-~ xl fia
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed 8y: Date:
Required Inspections: -Under Ground Rough In -Air Test Gas Service Test -tn-floor Heat -'Final
Exterior HVAC Screening Inspection
r
For Office Use
Permit 170
City of EaD~
d Ed I Permit Fee: /
3830 Pilot Knob Road
Eagan MN 55122 Date Received: - j
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: Ly I
I I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L4 Site Address: -SS r
Tenant: Suite
RESIDENT / OWNER Name: e"'/ G/ i ce Phone: '4' Address/ City /Zip: /fir ~2rr'4_ 'e!y .s -S 1-7
Applicant is: ✓Owner Contractor
TYPE OF WORK Description of work:r~c a~~tIvseso 5 -5
Construction Cos - -;;F COG Multi-Family Building: (Yes / No
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans -
x
Applicant's Printed Name Iicanrs Signature
Page 1 of 3
? . CASH RECEIPT ?
v •
CITY 4F EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
OATE ' 19
rECEiveo
iAOM
. AMOUNT a - -
j -
8 DOLLARS
lm
E3 CHECK
eY
C . . ?, ? W,ke--P.,ws Copy
Yellow-Posang Copy
Pir*--Fiie Copy
Thank You
DATE: 3I9/89
RE: 4328 HAMILTON DR.,.L7, B3, LEXING'fON POINTE 2ND
XX Your Sewer & Water Permit for the above property has been completed. It will be held at the
Pubfic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBI.IC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be oompleted for the following
reasons:
(?r Sewer & Water Permit for the above property has been completed, but the meter cennot
O be issued or occupancy ailowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuanCe.
WARNING: 9EFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 3/9/69
? -_!. t 14328 HAMILTON QR., L7, 113, LBXINGT0W POINTB 2ND
XX Your Sewer & Water Permit for the above property has been compieted. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above properiy cannot be completed for the following
reasons:
F#our Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
6MMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for Est. Value ??? -()`lX
16175
Receipt # '
Site Address 4328 HAMIL'10N DR
Lot 7 Block ' Sec/Sub.UXT?`2(,"f'aH PO1 fii:
Parcel Na 7-'
W Name TKOsSON HOlES
o A?ldress `"????6 uEiDC?EMDOD DR
City T'AGAN Phone 423-3733
, o ?lame SA'.s}.;
?Q Address
? Ciry Phone
U¢
W W Name
U? Address
q W City Phone
I hereby acknowlege that I have read this application and state that the
information is corcect and agree to comply with all applicable State of
Minnesota Statutes and Cfty of Eagan Ordinances.
SignaWre of Permitee
'
?''N?'.??0.?
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicabl&State of Minnesota Statutes and City of Eagan Ordinances.
Buikling OffiCial
OFFICE USE ONLY
Occupancy R" 3 t" 1 FEES
Zoning pp R-1
(Actual) Const Bldg. Pe?mit 5$2•00
(AUowable) V-ti
Surcharge 43.50
# oi Stories
42'
Plan Review
291.00
Length
DePth 48' SAC, City 100.00
S.F. Total - SAC, MCwCC 575.0?
S.F. Footprints - ?
580
On Site Sewage _ Water Conn •
on Site well water Meler 90.0
?
MwCC System XX 30.00
Ciry Water xx Accl. Deposit
PRV Required - S,'W Permit ZO. OG
Booster Pump - S/yy Surcharge 1.00
Treatment PI 228.00
APPROYALS RoadUnit 340•00
Planner - Park Dad.
Council -
BIdg.Off. _ Copies
2? g?'? • SO
Variance - TOTAL
BUILDING PERMIT
To be used for
CITY OF EAGAN
Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
$$7
Site Address 432fi it.!"1 Wit
Lot Block ? SeciSub.s-T'?? •???? +? NTB
Parcel No.
m Name s nuaas?r ;:• ??.:
3 Address ? !:66 Wf !'?
0 City t? - " Phone
s
Zo Name
?Q Address
'C
City Phone
Name _
Address
Clty -
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all applicable 5tate of
Minnesota Statutes and City of Eagan Ordinances.
Signature ot Permitee
.: •. ?, . ?..:.... : ;! :; 'R c.
A Building Permit is issued to: '
on the express condition that all work shall be done in accordance with alt
applicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Occupancy FEES
(Actual) Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
S.F. Fooiprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Building Official ? Variance
5
Bldg. Permit
V' 43 . 50
Surcharge
Plan Review I ^
? ? • ?
SAC,Ciry 100.i?C
- SAC. MCWCC c ^ =' • ?1?
Water Conn
Water Meter
? Acct. Deposit
S.,'W Permit
- S+W Surcharge ?
Treatment PI
Road Unit
- Park Ded.
Copies
2
' J ? ?
-
TOTAL
Permit No. Pe?mit Holder Date t'll Telephone #
WATER IG? 'rJ ?l, ?'7.
s1? ?.
Le? ?
PLUMBING CyOZ? yy '? !
? 7
.? ?_` i
U/I i?t.
H.V.A.C.
ELECTRIC
inspectlon Date Insp. Comments
Footin9s i ?
Foundation
Framing /1 ?
/ Clc-.?1 ,c.
Roofing
Rough Pibg.
Rough Htg.
Isul. ?/ .
Fireplace
Final Htg. ' 3-
Final Plbg.
Const. Meter Plbg. Inspector - Nolily Plumber
Engr./Plan
Bldg. Final
Deck Fig.
Deck Final
Well
R. Disp.
' PERMIT # "
MECHANICAL PERMIT ""' •' ' CITY OF EAGAN RECEIPT # '
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?39
Site
Lot.
m Name _
? Address
c City EA
? Name _
i ? Address
i O City _
Phone
TYPE OF WORK
Forced Air Ldnnox 75,000
I *A BTU
? Boiler C1603- 73 M BTU
Unit Heater M BTU
; Air Cond. M BTU
?Vent CFM
?
Gas Piping Outlets #1 5urr.,ce
only.
, Other
FEE
S/C:
TOTAL:
BL
G
T
Q
.
YPE WORK OESCRIPTION
y,
Res. New
?
Mult Add-on
Comm. Repair
Other
FEES •
RES
HVAC 0-100 M BTU $24
00 '
. .
-
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A1C ON NEW
CONSTRUCTION) !
GAS OUTLETS
MlNIMUM
1 PER PEFitlll 1
50 EA
?
-
(
n -
.
.
COMM/INO FEE - 196 OF CONTRACT FEE
?Q APL BLDGS. - COMM_ RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RE5IDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00 '
- STATE SURCHARGE PER PERMIT - .50 V
/C IF PERMIT PRICE GOES
,040)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
.
j/
/?-;
.
4
• q
•?,?14.? 4 n
j ???? • ?
4 ` • 1 } ?f. ' _
CONTRACT PRICE
Site Address
Lot Block - ?
- Name `
d
? Address
c City ??tka Phone 933-2b?l
Name
3 Address
o City EaQan Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. FiATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMMIIND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
PERMIT # ?G' - - `-
PLUMBING PERMIT RECEIPT # ?7 Z 7? 2
CITY OF EAGAN
3930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100 -?
BLDG. TYPE WORK DESCRIPTION
Sec/Sub Res. ? New -
Mult. Add-on
Comm. Repair
Qther
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
_Water Closet - $3.00 $ -
_LBath Tubs - $3.00
? Lavatory - $3.00 - '- ?
=Shower - $3.00
_LKitchen Sink - $3.00
Urinali8idet - $3.00
Z Laundry Tray - $3.00 `
? Floor Drains - $1.50 7, --``
?Water Heater - $1.50
Whfrlpool - $3.00
=Gas Piping Outlets - $1.50 ?
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Weli - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE ' `
' IV
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: - /` ,
, .?.r..??.?... .?'?
I
I -.
(ger#i#irafe o# (Orrupanry
Ctp of (tagart
Eppar#mmi af BuildWg Jtt,s.pprtion
This Certificale issued pursuant to rhe requirements of Sectian 306 of the Urriform Building
Code certifying thar at the time of rssuance lhis structure was in compllance with the various
s ordinances of the Cuy regulating building co»struction or use. For the foUowing.•
ux aksgrntion .x L.tiI ?
occ„a„cy rype R-3l THORSM
owner ar eUMM43
&almng Addresg
Building
Ag Bklg. pn,,;,, No. 161iM tC l4
M 1 zo,,;ng Dbuicc PD/R 1 T?ya c-VN
BM Aaarm 4466 [+1EDgM IIR, F..AGAN
GLTONT DRiVE ?ty L7, B3, LFXaU1ICN POItM ?
;,L tj.. , - rtAY 26, 1989
POST IN A CONSPICUOUS PLACE
aaM
SEWER & WATER PE,RMIT
CITY OF EAG111V "
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE ' % ? • '
WATER PERMIT # - ?2Y6 SEWER PEFiMIT #
METER # B.P. RECEIPT # " ? ^? ?
READER # B.P. RECEIPT DATE
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
SITE ADDRESS ' J ?' ; -` - ? 4 ` • ? -'
LOT -BLOCK --` SEC/SUB
APPLICANT: i j I
ADDRESS: !
CITY, STATE ZIP ?
PHONE:
PLUMBER: , ? ??,.c ? L.' . { _? _
ADDRESS: T,
CITY, STATE •?- ZIP '
PHONE: 3 3
OWNER: -f,
ADDRESS:
CITY, STATE ZIP
PLEASE ALLOW TWO WORKING DAYS FbR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
----?--
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFlCE USE ONLY
PERMIT DATE
WATER PERMIT # SEWER PERMIT #
METER #?/-qLa gV4" B.P. RECEiPT # C 108''
DAEA0EFI_#_ D/d/ 7ff3 `J B.P. RECEIPT DATE 38189
PERMIT REGIUESTED
SEWER ? WATER -TAPS
_ COMM/IND `- RESIDENTIAL
_ NEW - EXISTING
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
?.
SIGNATURE WHEN METER ISSUED
METER SIZE
15SUE DATE
_ PRV - BOOSTER PUMP
j
SITE ADDRESS 1 ` A
LOT_7BLOCK ? SEC/SUB 1
t--
APPLICANT:
ADDRESS:
CITY, STATE F-A, ?-? ZIP ` - -% - ?
PHONE: 7 3 ?
PLUMBER: e..lr-.,cl
ADDRESS:T=•??!
CITY
STATE '. •? '.?- ZIP `"`
,
PHONE: 3 3-' a- 5 ? f
OWNER: { -t-'-?,.,
PERMIT REQUESTED
x SEWER X WATER
- COMM/IND x
x
- NEW
TAPS
RE5IDENTIAL
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN.ORDfNANCES:
, ?.
ADDRESS: SI /PR HE ER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORIA SEWER PERMITS, CONTACT
ENGINEERING DEPT. ,r• : i.r-? % ,?? "'
, CITY OF EAGAN N? 16175
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt # +
To be used for SF DWG/GAR Est. Value $87, 000 Date MAR 8 , 1989
Site Address 4328 HAMILTON ?R -
Lot 7 Block 3 Sec/Sub.LEXINGTON POINTE oFFICEUSEON?v
Parcel No. ZND oauPancy R-3 _AL1 FEES
PD R
7
Zonmg _
m Name THORSON HOMES (Actuaq const ?!-I`1 Bm9 Permit 582.00
w
;
Address 4466 WEDGEWOOD DR
(Allowable)
V-N
h
S
43
50
o urc
arge .
City EAGAN Phone 423-3733 M of Slones -
91
42' Plan Review .00
2
Length
o Name SAME Depih 48' saGCiry 100.00
;i
¢
O Address S.F Total - 575
00
U SAC, MCWCC .
)- Ciry Phone s F. Footprmts -
Water Conn
0
580.0
On Site Sewaqe _
S. Name On Site Well - Water Meter 90.00
?? AddfBSS MWCCSystem ?
30
00
XX Awt DePO51t .
aw City Phone arywater
&W Permit 20.0
?
PRV Required -
I hereby acknowlege that I have read this application and state Ihat the Boos(er Pump - S/W Surcharge 1.00
inlormaaon is corcect antl agree lo comply with all applicable State of
2z8
00
Minnesota Statutes and C ty
iot Ea an inances. Treatmenl PI •
l
SignaWre of Permitee' ?` pPPROVALs Road Unrt 340.00
A euilding Permit is issued to. THORSON HOMES Planner - park Ded.
on the ezpress condition that all work shall he done in accordance wdh all CouncA
apphcable Stale of Minnesota Statu
tes an
dCiry
ot Eagan Ortlinances. Bltlg OH _ CoPies
t
?y
v?
Bwlding Othcial rl ??1.LGl ? 1 i lCl Vanance - TOTAL 2,880.50
BLDG PERMIT NO I L` ? ? ?5
L ?t -I ?"JaocG? 3
01-3210 Bldg. Permit
91-3422 Plan Check
01-3445 Surch./Adm.
l
? 01-3446 SAC/Adm.
01-2155 Surcharge
Y 75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
Z 20-3716 Water Meter
20-2252 Acct. Dep.
;? 20-3713 WaterPermit
co
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
in ?-L zr
ii Co
Cfl I
J2S??? 00
zZ ?' 00
?i D o 0
C> b C
? C U C+
I ? o0
c;
TOTAL °-?
REQUEST FOR ELECTRICAL INSPECTION 'J- eeooom-m
? See iretrudbns for competmg this torm on back of yellow copy. ' (?'
?,?-?i 395 Y % X" Below Work Covered by This Requesl -I ?
e Atld Rep. Typeoteuilding AppliancesWred EqmpmentWrtetl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air CondRioner
OUer (spaciy) CoMracta5 flemerks:
F,N?SM a?s?an?-?r
Coigpute Inspection Fee Below:
# Other - Fee # ServiceEniranceSize Fee # Qrwfts/Feeders Fee
Swimminq Pool 0 to 200 Amps 0 to 10o Amps
Transformers Above200_Amps Abovetoo_Amps
Siyns Inspetlor5 Use Onty. ?
Irrigation Booms , SO
Speaal Inspectlon ?
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Fnal
' oate
oa?e -
, 3•o76?D
OFFlCE USE ONLY ' i~jF
This ,equest voM 18 months Imm
? 66395.?2,?;?
Reques[Date (.
1
i' ZZ' I?
V Fire No.
l Raugh-Inlnspeceon
??
R?i ?.?I
?
?ReadYNa" `A'Wh
nNm/ R ?tl
l Ves
? No y
B
10 licensed coniractor Igowner hereby request inspection of above electrical work at:
,bb Pdtlreps (Sireet, Box w Roula No )
4
6 '
y3 City
F
?
1
?
e y4?
SecOOn No. Townshlp Name or No. Range No Counry
• .Dyka?
Occu t (PRMT) Phone No.
Prnver Supplier Aatlress
D4ko?6 Lr?c'<?IG
EleMCal Conirac[or (Comparry Name)
ConvaCOYS Ixense No
Mailing tlre/ss (COn,r?or or Owner ing I/nstalletion)
[f / JJ?c
Au1lqnEeO (COnt rlOwM aki lio Plpne Nurtiper
NINNESOTA STpTE BOAqD OF ELECTPICRY THIS INSPECTION REQUEST WILL NOT
GrigpaMltlvay Bkig. - poom 5193 BE ACCEPTED BYTHE STATE BOARD
1821 Unlverelry Ave., SL Peul, MN 55101 UNLESS PROPER INSPECTION FEE IS
Phwre (612) 6424800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? 6 4 6 ? , See msIm Xclions for wm0leting Ihis torm on ?ack ol?ellow mpy.
- " Be/ow Work Covered b This Request
a?K
? EB-00001-08
???? ?o s
??
ew Atltl Re'p Typeofeuiltling AppliancesWiretl EquipmentWlred '
Home Range Temporary Service
Duplex Water Heater EleCtric Neating
Apt Budding Dryer l.oad Management
Comm.lindustnal Furnace Other (Specity)
Farm Av Conditioner
Other (syxdyi ConVxlor's Remarks_ U1 Qc ?
f Srn?. ,?.,j {?evw.ld
Compute Inspection Fee Below.f'(a 4345 &joL
h Other Fee q ServiceEmrance Sae Fee # Circuns/Feeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above; _ Amps
Signs inspectorguseoniy:
?(J 7OTAA
IrngaUOn Booms O
? ?
Special Inspechon ?
AlarmlCommunicauon TNIS INSTALLATION MAY BE O ER DISCONNECTED IF NOT '
Other Fee COMPLETED WITMIN 18 MONTHS.
I, the Electrical Inspector, hereby
if RougRm ? oate ,
cen
y that the above inspection has
been made F,nai , Qy
? ^?
' /? ?
OFFICE USE ONLY '
Thrs reque5t vaitl 18 monfis iram
C?6 2
RaQUest Oate '
/_ ?/? `
rF?
??c! 7 Frte N. Rough-ln Inpsec??on Repwretl
(VOU must c911 mspec hen ready) Inspetlwn Ofier TM1 n ugM1ln
? qeaEy Now Wili NoOiy InspectOr
e ? ves No
oate Reatl
I O licensed contrector Pkowner hereby request inspection of above efectrical work at
Jo0 Atlifress ($ireg}r Box or Ro 1
?3 05 U Ciry
n
Seclion No Township Name or No Range No Counry '
Occupant . k IPRW? Phone No.
PowerSvppLer Atltlress
Electnca Comractor fCOmoany Name) Contractor5lmense No
a?eo?n
Matlmg AOtlress?actor or Owner Making InstalleLOn) .
V
A oniatl5 aW?e nVacto -wnerMInstel onl P?oneNUmDer
S '
MINNESOTA STATE BOARO OF ELECTPICITV/ THIS INSPECTION fiEQUEST WILL NOT
Griggs-Midway Bltlg - qoom 8473 BE ACCEPTEO 9VTHE STATE BOARD
1821 Unlvers0y Ave, 5t PoN. MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone (612) 642-0800 ENCLOSED
i/* /9i
a 3f?3'94
REQUEST FOR ELECTRICAL INSPECTION
? See inslruclions for compleMg iNS brm on back oi yellow copy
"7(" Be/ow Work Covered by This Request
Ea-DOOO,.oa
f
ew Abd Rep ^ Typeof6uiltlmg AppliancesWved EquipmentWired
,X Home Range Temporary Sernce
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (Specity)
Comm/Industrial ' Furnace
Farm Av Condrtioner
Ottier (speaN) Convaqor§ RemeMS-
??/iS<' ?j4St°.4?/G?.iT
Compute Inspection Fee Below.
8 Olher Fee # ServiceEntranceSrze Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o 7o 100 Amps
Transformers Ahove 200 _ Amps 100 _ Amps
Signs Inspectws Use Only TOTAL
Irrigauon Booms
Speaal Inspecaon
Alarm/Communication THIS INSTALLATION MAY B DER D CQNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 S.
I, the Electrical Inspector, hereby ROUen;n • ,???
ceniy that the above inspection has
been made Fira,
OFFICE USE ONLY
This repuest voiE 18 monlhs Iram ' o p
J'
.--'f
?
?
???
P 04744
REQUEST FOR ELECTRICAL INSPECTION
? See msvuctions for complebng this Mrm on back of yeilow copy.
'JC" Below Work Covered by This Request
M% E8-00001-07
" ql 7/?/
e Add Rep. TypeoiBuilding AppliancesWired EquipmentWired
Home Ranqe emporary Service
Duplex Water Heater Eledric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
c Other (specAy) Coritractor9 Remarks.
Compute Inspection Fee Be/ow:
# Olher Fee # ServiceEniranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector5 use ony: ]TO
Irngation Booms
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
tit
th
h Rough-in Dale
cer
y
ai t
e above mspection has
been made. Final
, ie ?.
OFFICE USE ONLY
TMs request wld 18 manihs fmm
y
31'a27
/? l??1/?
/
p
?'?
? o-'+7'+4 7 d
..J
Req Da1
e Fi No. ough-in Inspection
? equlred'+ ? Reatly Naw ? Wll NoGy Inspecta
`
[??/ " ? Ves ? No When Peaey7
I ' ensed crontractor ? owner hereby request inspection of above electrical work at:
Job A ( r R e .) ?
? Gly ??
JL_
LJ
5 ionNo Township ame or No Renge No CouMy
Occ an PR / ?j /?
_O
S
POwer upplier pddn"g
Electi n tor (COmpany Rfte)
Lm ae No
contELAA
IC ol
r 'or Ow?f kiqg IRst 1
rl! ` 1?L'1
'{??U.?,
sa+-
surmnal
gny IOw 'n n atbn)
Phone Number
tC ?/ /
J?L ?
MINNESOTA STATE BOIIHD OF ELECTHICRY THIS INSPECTION REQUEST W ILL NOT
GrlggsNitlway Bltlg. - qoom S1]3 BE ACCEPTED BY THE STATE BOARD
1821 Universlry Ave., SL Paul, MN 55104 UNLESS PpOPER INSPECTION FEE IS
Phem (812) 642.0800 ENCtASED.
i?/0
P 04654
REDUEST FOR ELECTRICAL INSPECTION
? See inrtniciions br complaGng this form on back oi yallow copy.
'X" Below Wark Covered by This Request
F: E&00001 .0s
J 9AU?
ew A Rep. TypeofBuiltling Applianceswred EqwpmentWired
,, - Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specdy)
' Comm./Industrial Furnace
Farm Nr Condinoner
Other (specity) Contraqor5 Remerks
Compute lnspection Fee Below:
# Olher Fee # ServicaEntranceSize Fee # CircuNs/Feeders frea
Swimming Pool 0 to 200 Amps o to 100 Amps
Transiormere Above 200 _ Amps Above 0_ Amps ,.
Signs Inspector9 Use Only: ? TQ L
Irrigation 8ooms
Special Inspection i.?
Alarm/Communication
Other Fee (
I, ihe Electrical Inspecior, hereby
f Rough-in ? oac ?
i
certi
y that the above inspection has
been made. F??ai e
?.
OFFlCE USE ONLY
This requesl witl 18 monihs hom
y?a5?/d" 7 9?a 35
? 0 4 6 5 4
Reque e?e Fue N. fl -In Inspecnon '
I R rtetl? G Ready Now ? Will Nony Inspector
? O Ves ? No WM1en ReaEy9
If?nsed contractor ? owner hereby request inspection of above electrical work at:
Job AAtlr ( re;, x or te N. Ciry
Se n No To nahip Name r No Rarge N. Counry
Occ (P(il / Pfwre A
? ?
T
Power Su er qpd?
Ekarical Conlradw (COmpeny Name) a9 Lce o.
M r AA I albn)
14540 PEIVIVOCK LANE
MINNESOTp STATE BOIIXD OF ELECTHICRV THIS INSPECTION REOUEST WILL NOT
Griggs#Iitlwey Bltlg. - poom 5-113 BE ACCEPTED BV THE ST.ATE BOARD
1827 Unlvanity pva., 31. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phace (612) 6424800 ENCIOSED.
??9621 2007RESIDENTIAL BUILDING rERMiT arrLicnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX 4 651-675-5694
New ConsWCtion Reauirements
3 regmtered site surveys showing sq. ft. of IoC sq H. of house; and all roofed areas
(20% maximum lot coverage allowed)
i Soils RepoA if proposed building is to be placed on disturbed soil
2 copies of pian showing beam & window sizes, poured found design, etc
1 set of Energy Calculations
3 copies of Tree Preservafion Plan if lot platted after 711193
Rim Joist Detail Opfions selecdon sheet (bwldings with 3 or less unils)
Minne3asco mechanical ventilatbn form
RemodeUReoair ReauiremeMs
2 copies of plan showing footings, beams, joisGs
1 set of Energy Calcula4ons for heata7 additions
1 site survey for additions & decks
Addttion - indicate Non-sife seAGc system
?o- o6
office use on?v
CeAofSurveyRecd _Y _N
SoilsRepon _Y _N
TreePresPlanReoi _Y_N
Tree Pres Required _Y_N
On-siteSepficSystem _ Y _N
____r _..?r„ :.,.s........,F:.... ...,lo?? %rr,n arafp rnPV arP trade secret and the reason.
rians are cona?uC??u u.,??.. ---
Date. ConstructionCost
Site Address UniUSte #
Description of Work
Mul[i-Family Bldg _ Y ? Fireplace(s) c-"?O_ 1 _ 2
Property Owner Telephone # li?i
Contractor 4?/
Address
State City
Zip Telephone !f ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope CaIwlaGons Submitted
In the last 12 months, has the City of Eagan issued a permii for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply For a Residential Building Permit and acknowledge that the information is complete and accurat
..C LA
e;
that the work will be in conformance with the orumances ana coaes ui uic ?I!Ly V? Las.? .._N
Statutes; I understand tlus is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name
,4??
Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demotition (Entire Bldg) - Give PCA handout to applicant
DesCflptiOn: WaterDamage_ Yes
Valuation Occupancy MCES System
Plan Review _ 100% or _ 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) Sheetrock
_ Footings (deck) FinaUC.O.
_ Footings (addition) Final/No C.O.
_ Foundarion HVAC
_ llrain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Au/Gas Tests Final
_ Framing _ Siding
Smcco Lath Stone Lath Brick
_ Fireplace _ R.I. _ Air Test Final _
Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
7?gaD
2006 RESIDENTIAL BUILDING rERmrr arrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshudion ReauiremenGs
3 registeretl site surveys showifg sq. ft. of l06 sq. fl oi house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils RepoA if proposed building is to be placed on disturbed soil
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 setof Energy Calwlations
3 copies of Tree Preservation Plan iF bt platted aNer 711193
Rim Joist Deteil Options selectbn sheet (buildings wt 3 or less units)
Minnegasco mechanipiventilationform
?? ?
RemodeVReoair ReauiremenGS Office Use OnN
2 copies of plan showing foohngs, beams, jois6 CeA of Survey Recd Y _N
1 set of Energy Calculafions for heated additions Soils RepoR _Y _ N
7 srte survey for additions & decks Tree Pres PWn Recd _Y -_ N.
Adddron - indicafe ilon-s8e sep6c system Tree Pres Required ' Y _N
On-siteSep6cSyslem _Y _N
Date s? l L ? l.-,oo Coostruction Cost 0 0
Site Address ? UniUSte #
Description of Work
Multi-Family Bldg _ Y ? N Fireplac e(s)
Property Owner Telephone #(6 si
Contractor f?4_
Address CitY
State Zip Telephooe # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the wark will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name
Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 64 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 08 06-plex ? 16 Fireplace ? 21 Porch(3sea.) ? 31 EM.AIt - Multi
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex ? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
'Demolitlon (Entire Bldg) - G ive PCA handout to appiicant
D05CfIpf10I1: Water Damage _ Yes
Vaiuation
Plan Review 100% or
Census Code
SAC Units
# of Units
# of Bidgs
Type of Const
25%
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
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
Surcharge
Plan Review
MC/ES SAC
City SAC Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheetrock
FinaVC.O.
FinallNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector
-4q b42
50
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
Naw ConeYUCtbn ReaulremeMs
• 3 registered sge surveys showing sq. ft. of bt, sq. tt. of house; arM ?11 roofeU areas
(20°/ m2smum bt ODVBiege allowetl)
. 2 copias ot plan showhg 6eam & window saes; poured found despn, etc.)
. 1 set ol Energy Calculations
• 3 copias of Tree Pre&ervatWn Plan 8 bl platted afler 711193
• Rfm JoISI Detail Opibns seleciion sheet (blUgs with 3 or less uniLC)
DATE 6- -4 -
SIT DDR???``??``S
TVDA W^)D
MULTI-FAMILY BLDG _ Y Lf(V
_' FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT tq MCrr?X-) 2 u1 ( ci r nv? G/w'1/JF'ST?/r s
STREETADDRESS /494) PlCo((e'1 CcuC ?d CITY?trNC?c11e. STATE .*? ZIPSS337
TELEPHONE#95a'7b7-fySq CELLPHONE#l'!5???gy-?3 FAX#?/524'??-'Ff
(4j- G/;) -6ds-
PROPERTY OWNER ?1"'?k a eL yk ?-?L I? TELEPHONE # GS/ - 1-16y
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 _
(4 submission lype) • Residential Ventilatian Category 1 Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Conhacfor.
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone 1i
Phone #
Fee:
$70.00
-------------°---°--------------°----------°--------------------
I hereby acknowledge ihat I have read thls application, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SignatureofApplicant 0?^ML Q?-
v
OFFICE USE ONLY
pemodeVHeoairHeauhemems
. 2 copies ol plan
• 1 setofEnergyCalculationsforheatedatltl0bns
. 1 sAe suney for exterior addltbns 8 decks
. Indipte'rf home serve0 by septic system Por a0ditions
VALUATION s-s?73•07
Phone #
_ Water Softener ?
_ Water Heater
_ No. of Baths
Lawn Sprinkle
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
uadacaa aro2
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
0 OS O3-plex
? 06 04plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorcNAddn. (4-sea.)
? 23 Poroh (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 Multl
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Reptacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code 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) FinaVC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tilc Other
Roof _ Ice & Water _ Final _ Pool
Ftgs
AidGas Tests Final
_ Framing _ _
_
Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retauilng Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Suroharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Totai
1989 BUILDING PEfMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3
14 • 1!5
_?Ir_ 1.
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEt ADDRESSFS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MOST DESIGNATE WHICH ADDRESS
IS DFSIRED. NO CH9NGFS iiILL BE ALLOWED ONCE BOILDING PERMIT I3 IS30ED.
MOLTIPLE DWELLINGS RSNTAL ONITS FOR SALE UNITS # OF ONIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SU&VEY - CHECK WITB SLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COPAfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
. p
To Be Used For: Valuation: p?, oa0- _ Date:
Site Address ?/3?-?'/?ti??? OFFICE OSE
Lot -7 Block i
Parcel/Sub?.,ZQi,;.,?,q?ivC??jY?,,(a .? ?
Owner
Address aV#ti 4 ?Ua ?JA'a ?„s,lrr?al ?ic i
m ?.
City/Zip Code 40A
Phone 12 3 - .3 7 R v?
Contractor a J
Address
City/2ip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone #
Occupancy - M - )
Zoning PD 'R-I
Actual Const
Allowable v -?
# of stories
Length
Depth y8
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System -.7
City water ?
PRV required _
Booster Pump `
APPAOVAIS
SJR 0 21089
FEES
Bldg. Permit 5$2 , CO
Surcharge G . 5-0
Plan Review 291,00
SAC, City 1 p0#00
SAC, MWCC 5`?S,N
Water Conn Sgp.OJ
Water Meter 90,00
Aeet. Deposit 30,00
S/W Permit ZO.oo
S/W Surcharge 1.00
Treatment P1. OD
Aoad Unit
D
314010
Park Ded.
Copies
TOTAL ?f. 0
Planner
Council
Bldg. Off. "-=3
V
Varianee
Couneil
NOTEs Sewer & Water Permit fees and aecount depoait fees irill be ineluded in the building
permit fee. Processing time for sewer and rrater permits is two days once a licensed
plumber has applied for a permit at City Hall.
Y, 1 LUMO
Ga R A6E
ZO X Z'Z..•=
3sm=
?
yNrsXls? ?Goo '
??K`?Z-? It??
1 L3o X ??r = i??z.?
I S -?
X=
ze t_
?-°-
i? 4em K,S?: G z 30?
2 4 / z°
Witdtng Classitlution: Type A1 (Stngle Pa:n11y 6 Duplex)
±l
Type A2 (Residential
(3 stories or ess
.(p???) ..? {Over 3 5torles}
;ENEAAL [NFORlNTION
1. Bu11d1ng Perimettr
Na11 height (ground W eave) vas? eS ft.
2
1. x 2. .(abow) 9ross wa11 area Z??? fc.C,- e.Kq) +?ZK1t
Building dimenslons (L) 4-? x(W) 2?$ ft.Z roof S floor area
SQuarye fcot area of rim jotst - ??? rxjPerimeter `zRiml 0'ft area ?? ft2
T-f
m- ? ,
15 a$ ft._
Total door's periarotar 3? ft
ftnufacturer
TYPE 512E AR:A (F:.Z) "lUMBER Of T07AL FEET `
EACH UNITS
3LJ 36 2z-`6b
?LJ44?- - ?.?Z ,_ 3
5040
„ 50 3.? , 12 _S9 _ ? -.
-74
.. ? 030
+???x `e 4. 30 0 ? ?O . ?O _
-------
y,_ Total ft.2 Glass \q0_ 5\ ,--- -
1? flreplace arN: Midth x heiaht ¦ --- x -- --_ ` Ft.2
Helght x Perlmeter?x Ft.Z
il. Exposed foundatlon:
13Y OE?ERE ENER6Y FOT?HERSTNA?TMEDMIFOR NiMAL?C0NEW 0E RILONANCEI?IS U?SEpR REMOOELING ANO BUILOI!1G5 !E
? ' a ..,
' ,j? tia11 irw z z ?O ??•
y' NtndOa.ar'Nt A \q0 . 5? ft.2 4 wtndowt • . 50 'J x A ' q?. 2
Qim j01ti arH A 00 ft.1 U rim jolst • . 0 4 U a A -
poor area A 3-7 .-7 -7 ft.? :J door area • .? Z••-'t_ U x A -
Fireptace arta A -?- f:.Z U r'ireplace U x a -?
Exposed foundation A S?. O ft.- i1 foundation ¦ .\l U r A • G,. 6
Framinq arN n o ft.? J franing area *.C9 U x A - O o
ket wali area A I Z •`t • J wall = _04'3 U x %+ ¦
, . (110: 7,7.. 1. . . . . . . . . . . U x A 'Jq9_l
-4, Grosi wsll area x 0.11 (A-1 single family SJ6;.:=x ' allowable U.c A/COde
(13. above)
x 0.23 Sa-2 other resiEent?a
, • . x .23 ^ther builAing:` ,
R .28 (Over 71 star;e:.) ^_
' TUN Must be larger thao
A Z z 3? x l' Ccde °i?' .30 . 138 3beve
:5. Ceiling framing area (Af) aquals 100: of c:iling rea - or the same as)
? $ z?
:SA. Gross ceiting area • (L) -4 Z x (a . Z ft.2
15E Joist area '(Af) - 101 cetling aree q6 ft•Z
,15C. Net ceiling area (Ac) (15A - 158) Z o ft.2
?; -
'U ceiltng x F c¦ ,O?1g x_1'k??T?O'
U f rami ng x A f- or, 6 Q z_
', ? .. .?
:SD. ;QTaI U x A ............................. ..,.......
!6. i.eiling area (i5A) z 0.026 (A-1 single `amily S Cuplex - code a11owaDle U x A
_....-
- x 0:033 (A-2 otAer reside^tial)
• x 0.06 (other)
80 H Must be larger than 15D (abov!),.
A(ig) $ z?fcodel=_. ozF (or, the same es)
;: ? 3?.'?\
NOTE: Use U and A vatues aDtained f-or^ nps 1, 3 and 4.
,
...
. ' . toi,?
• ,;? ? ' VAL1.
? SECTLOII
sTLc
secrtoN
2ND uALL
SECT:"?K
str
JOL57
4 -,_ I r `(Z "
?
J I
Tnitd* 41! ills
[ocerior rait •45 (Wall) C , ? • 'i
!asu:+ctvn ?q.oo `
aeathtn¢
i ;
• ?°? 04?
1?
=
s??
t?R . .
,
Jucside air film .17 '
Q rornc -4Q .O ?
.?9
Instde str film
ln[a:ior +3i1 •A%?
? stud k= 71=MX? (Framtng) U
?hea[hing Z •o?
Slding • (..-I
OutafCe air iiln •17
.
,: '"OTAL \ (z) . C\ O
Instae air film R' •bs
Intetior wail .45
inaulatlon
,C{i.a?o
(Ua11 1
Sheathtng Z .° a
Excerlor v4ll cove ring
E%[CTtOt ilT fIli?. n
Q rorAL 2'3 . 0 3
Interiur air lfiT ?' .63
? o
?r 'r.salocton ?
---;,,? ' I ' ° 1
t? ir.th su[t wuud R=1.88 (Rim (f s?•
-
? • . Joist) 3Jy 'sn. 'Ei i e ? . o C.
?'• ???, 1-ti[er-41or vall covPrtng •?O?
Exteelor +1r film Ro .17
c..(,- , 0 4
I d TOTAL Z4 ? 4?0
i
I ? Inc«rlur si: [:1? R' .6E :?
insula:tor. ?•?n ?
?va-???FounJatiun ,Z•%? (FdR.) U ' R ¦
„ ?b..-°""Esterior air :tln R•,.17 . `1
?--
e roraL 4`2? _Cl 5
I
? ? \?fxposed 3tuck
' • - ---?7--j'.` `?=
r,raGe 3.
FA
eN
..,--.
?. ?
i.
F ;
? ,?•
e iM.99.:. . rt: vAtua
iMNINC , flf"
, ' CRIl1NG
0.61 A1r F11m 0.61
3\.`t5 Insulation 44 .O
3$ Joist .,
. s Q, Ceilinq
0,61 Air Film 0.61
,
3-? .g 3 Total R 4 al . 0.C?
,oZ(.4 U=A
?
F:.AT ROOf OR GATHEORAL CEILING
-R' Va ue
fR;,MING
Inside air fil,
Ceiiino
Joist (stud _
Insulatton ?
Atr space _
Roaf de:kinq _
Insulation
8uilt-u0 roof
Outside sir f1
Total R
- - _ 1 U
R VALUE
CEiLItIG
0.61
%
lindow lnfiltraticn .5 cfm/lineal foot of crack
tesidential door infiitration 0.5 cfm/square foo; or dcor and mininur code requlrement
:on-residentiai door infiltration 11.0 cfn/lineal `oct of crack
)p 12" conct•ete biotk no insulation =.4I R 2.1
)b 12" contrete block insulated cores =.26 4 3.8
1b 12" 1 ightweioht btock =.32 R 3.1
!p 12" lightrNight black irisulated cores =.12 Q 8.3
J single glass = 1.13; wlth sto m xindoN .54
1 double glass • .55
1 triple gtass • .41
Ail exterior walls and ceitings must have a vaaor barrier (C.10 perm icax.).
;ipor barrier must be on the inslde (heated side) af wall.
iapOr barrfers of the polyethetene thin film have no R value.
s
,.
f?f/qI o
/ L BL CITY USE ONLY RECEIPT#: -1
SUBD Lcyino?ovl OI ' ) RECEIPT DATE: 3-I D? G C?'
PERMIT# ? I ?lJ/l
2000 PLUMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, D47 55122
651-681-4675
Please complete for: ? single famity dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
ARerations to existing dwelling - minimum fee
Describe: $ 30.00
Baih tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet " minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavatory 3.00 x = $
Septic S stem nawlrefurblshed • requlres MPC lio. 75.00 x = $
SeptlC S StEm abandonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkier rf dwelling is under construdion 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater. 3.00 x = $
Water softener f dwelling under consWCdon 5.00 x = $
Water softener if existlng dwelling 30.00 x = $
Water tumaround 30.00 x - = $
State Surcharge .50 -> -> -> $ .50
TOt81 --> -? -> --> ?
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----••------ ----------------------------•---------------------------------------------------------------------------------- -
- ordin -
-
- ances.
I hereby adcnowledge fhat I have read this applieafion, state thet the infortnation is correct, and agree to comply wdh all applicable- Ciry-of - Eagan -
N is the applicanPS responsibility to noti(y the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during Rs
normal operational and maintenance aGlvRies to the facilities wnstruded under this pertnit wfthin City property/right-of-wayleasement.
SITEADDRESS: ilst%g ???7Z7i? aaa?/e f'?gAw A` L/2/
OWNER NAME: : A7C f- iOL--nn£de- TELEPHONE #: 4570 Vpy'
(AREA CODE)
INSTALLER NAME: /L?j /d/? • 16"?r4,e-- TELEPHONE #: C01170 5?/-C6?
?/J
STREET ADDRESS: ??? ?PuS ,%X-`1Z7,re (AREA CODE)
CITY: STATE: ZIP:
SIGNATURE OF PER TTEE
%
V A=T?
?
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LDTS - CONTRACTOR/NOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWQ DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ?jyZar.ws+?Valuation: Date: 4'?.?e.+ /'r`??
Site Address 4318 /fy„yd/+o-? v/?
Lot q Block ?_
Parcel/Sub ?° p,{1,y?n? -Qp(n2 ?t?
Ocaner ?l-'-fer
Address
City/Zip Code EqAsr.r Sf/.73
Phone .?if4-
Contractor s"i.,e
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE USE
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
?Footprint S.F
On site sewage_
On site well _
M41CC System _
City water _
PRV _
Booster Pump _
APPROVALS
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
Planner
Council
Bldg. Off.
Variance
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTT.
NO. FIXTURES EACH TO
? SHOWER 3•00 co
WATER CLOSET 3•00
BATH TLJB 3.00 /
LAVATORY 3•00 3•06
-
KITCHEN SINK 3•00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3•00
WATER HEATER 3•00
FLOOR DRAIN 3•00
GAS PIPING OUTLET •minim= - i 3.00
ROUGH OPENING3 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • oek.cry. tic. 15.00
U.G. SPRINKLER • eome unaer wnst. 3.00
ALTERATIONS • to adsling 15.00
WATER TURN AROUND k. 15.00
?
?
S
(;(?`
STATE SURCHARGE ?j5 / 5 • .50
75
TOTAL:
s c7
5. --L--
SITE ADDRESS: LI3cQ$1 N wM ?< <+d n1 L)t r
OWNER NAME: (YI ic,h6e? 4- pa'1' P2??'?cr
WST
ADDRESS: & 5? I I y 7?~ S+ i-J
C1TY: Pr?a,- LRr.e . STATE: 0/? ZIP CODE: 5y-3?3-
PHONE #: (Gla ) N`lq- ?SoatS
SIGN-AT E OF PER ITTEE
1993 PLUMBING PERMIT (RESIDENT7AL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL CODMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MLTLTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
NEW CONSTRUCTION
? ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE 1°k OF CONTRACT FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
TENANT NAME: S"I'E. #
OWNER NAME:
INSTALLER:
ADDRESS:
CI1'Y:
PHONE #:
STA1'E:
ZIP CODE:
FOR:
CIT1' OF EAGAN
APPLICANT
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
11 Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
I ----------------i
I F,orQf€ice,Use
? Permit#:
I Pertnit Fee:
? 1 I
? Date Received??_ ?
i ?
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ?971 /?4?v? ? Site Address: 43.2g 14, /_7" v Y?go,,, '&/t/ 1-t?!
Tenant:
Suite #:
RESIDENT I OWNER Name: Phone:
Address 1 City / Zip:
Applicant is: ?Owner _ Contractor
TYPE OF WORK Descriptionofwork:G -N ,f L?,o
, ?
Construction Cost: Multi-Family Building: (Yes No ?
CONTRACTOR Name: License #:
Address:
City_ State: Zip:
Phone: Contad Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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 Contrector: Phone:
NOTE: Plans and supporting documents that you submit are considered,to be public information. Portions of `
'
to .
the information may be classified as non-public if you provide,specific reasons, that would permif the City
conclude that the are trade secrets. . "
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit, that the work will 6e in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X???%E??/?' Xi'/Il??//'
A'?pplicanYs Printed Name ?plicanYs Signature
Page 1 of 3
?
89-015
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR•
THORSON HOMES
LEGAL DESCRIPTION: LOT-I-,BLOCK3, I FXINCTOIy POINT 2nd
ACCORDING TO THE RECORDED PLAT
THEREOF D,4KOTA COUNTY,MINNESOTA
?
?, _ Li ? F7 9e! .
A f / \
a -F pc
?
. 0 ,k9 ?9 / se 2 7
S , / 2e
9g-\'? o ?Nt^O?t`?O 9e`?$2
\
(?'?? ?
By '--==s.?
na re ??R `-----------
------??
AGAN
LEGEND
o DENOTES IRON MONUMENT
? DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
' ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereby cerfity that This survey,plan or
report was prepared by me ar under my
direct supervision and that I am a duly
Reqistered Land Surveyor undsr the
Laws of the State of Minnesoto.
v ?.
50
\
\ '?/??2 OO
9?
.
°?
6\e`9 p?9
o ?
° L t; "r r?
SCALE: I"=30'
PRUPOSED SPLIT LEVEL W/ WALKOUT
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED CaARAGE FLOOR ELEVATION = 988. 25
PROPOSED FIRST FLOOR ELEVATION = 9156.75
PROPOSED BASEMEIVT FLOOR = 484? 75
ELEVATION
NOTE ' VERiFY ALL FLOOR HEIGHTS WITN
FINAL HOUSE PLANS Af . 11?)
. L'?
Bradloy J.I wen'son
Date
Mn. Req. No. 15235
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113332
Date Issued:09/03/2013
Permit Category:ePermit
Site Address: 4328 Hamilton Dr
Lot:7 Block: 3 Addition: Lexington Pointe 2nd
PID:10-45071-03-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Pelant
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 -
Michael A Peltier
4328 Hamilton Dr
Eagan MN 55123
(651) 454-9159
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature