4340 Hamilton Dr? CASH RECEIPT 9
CFTY DF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
aecervEn
FROM
AMOUNT $
& DpLLARS
iao
•'? D CASH C? CHECK
' ?,/ f ,
JL w+," L?. /:j SCL -r I; i i i I;@rr-?
Thank
_ 1?,
wnila--Peyers coav
vellow Posung copy
Pink---Mle Copy
- - BY
PERMIT NO.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
?0-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
?
TOTAL ?''?,
CITY OF EAGAN # r
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 "PH ON E: 454-8100 ,
BUILDING PERMIT Receipt # t? -
To be used for , .. Est. Value Date ,19
Site Address '}34? ,
Lot Block
`?rrr?,
Sec/Sub. - - ? n
?
Parcel No. . .,
oc Name S(3L'S ?•. `-:11 ? :l- ,, .>
Address 1311 `=g Ai??D'r 14
3
? City ; F' c;` Phone 452 .:35..
°Co Name
.
z
o Q
AddrRss
? City • Phone
?Q
? W NarAe
W y?
f
? ? Address
cc zW City Phone
a -
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.
Sipnature of Permittee
A Building Permit is issued to: L;.:
on the express condition that all work shall be done in accordance with ali
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
OnSite5ewage Occupancy H-3 tf-f
MWCC System Zoning Pl7 R-1
On Site Well (Actual) Const V-j''
City Water (Altowable) V-N
PRV Required # of Stories
Booster Pump Length 53 #
Depth ?3 ?
S.F. Total
Footprint S.F.
APPROVALS FEES
? LU'00
Engr./Assess. Permit
42.00
Planner Surcharge
25'"00
Council Plan Revfew
100.00
Bldg. Off. SAC, City
553'00
Variance SAC, MWCC
Water Conn, 5, 50• 00
Water Meter 0• 00
Road Unit 125.00
204'OU
Treatment P1
Parks
TOTAL 2' JF
Building
CITY OF EAGAN • r :
»
?
• ' 3430 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ..
{
,
PHO N E: 454-8100
BUILDING PERMIT Receipt ?
To be used for Est. Value Date ,19
Site Address OFFICE U5E ONLY
R? 1'f`, i;•','_
Lot Block Se
/S
b On SNe Sewape Occupancy
.
c
u
Z ' MWCC System Zoning
ParCel No. i
l l
t
On S
te Wel ) Cons
(Actua
City Weter (AllowaWe)
m Name
W PRV Required # of Storiss
Address •
;
0 a
City Phone Booster Pump Length
Depth
o Name d' S.F. Total
,
? ? Address Footprint S.F.
? City Phone APPROVALS FEES
? a Engr./Assess. Permft
W W Name
y,
?
_ z
Address Planner Surcharge
a
`W City Phone Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree 4o comply with all applicable State of
Ordin
nce
Mi
t
St
t
t
d Cit
f E Water Conn.
s.
nneso
es an
y o
agan
a
a
a
u Water Meter
Signature of Permittee _ Road Unit
A Building Permit Is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
TOTAL
" Permit No. Permit Holdar Dste Telephone #
Plumbing
H.V.A.C.
Electric
Softener
Inapaction Date Insp. Comments
Footings I
Footings II
Foundation 12,- . -S-
Framing
Roofing Z_??
Rough Plbg. •/d-l ? - L•• ? ? - ??
Rough Htg.
Isul. ? 44, ,f?/O,r.t: f 7CSSwGc
Fireplace `7-c- - - S .. ?
Final Htg. O1l ,?? l?' ; t? $ .? o?/' F .• ? sa vi,
Final Plbg. ??`_ QA?
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
. . . . _ . . . . ., r . . _- . % / ' ?.. .
PERMIT # " =7 .
- ~ • MECHANICAL PERMIT
,?
_ . . CITY O F EAGAN RECE{PT #
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: AYJ'UST 2-2, 1988
GONTRACT PRICE: PHONE : 454-8100
Site Address ? '
" ? ve
BLDG. TYPE WORK DESCRIPTION
Lot
Block ,g Sec/,?St1b .
, ?_ ?
_
Res. ??' New ?x
C c -,..
enz-Ryan P& H Mult Add-on
? Name .
? ? er„t ? Comm. Repair
ic Address
IYII+I
:to?oun 23 Other
c o
.
City
Phone
8 - 'l
5506
Son s Constr uctibn FEES
Name
370
h RES. HVAC 0-100 M BTU -$24.00
c n Ro
Ra
Address ad ADDITIONAL 50 M BTU - 6.00
?
9.? Ra5sn 1?9
City., ? 452
Phon
J -5355 (RES. HVAC INCLUDES A/C ON NEW
_CONSjflUETFON)
GAS QUTLETS (MINIMUM
1 PEA PEkMIT
-
) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
' Forced Air 75 M B7U 2'?'•?? APT, BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE & CONDaS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BYU REMODELS - 12.00
Air Cond. M B7U $ M1INIMUM COMMERCIAL FEE - 20.00
STATE SURC4IARGE PER PERMVT - ,50
Vent. CFM (ADD $.50 SiC IF PERMIT PRICE GOES
, Gas Piping Outlets # 1 1.50 BEYOND $1,000)
Other
FEE: 2'?. 50
50
S/C: ? SIGNATU E OF PERMITTEE
TOTAL: 26.00
• FOR: CITY OF EAGAN
, . . PERMIT # y
. . - , PLUMBING PERMIT RECEIPT # g?
CITY OF EAGAN ,?
• 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
VTRACT PRICE PHONE: 454-8100
m Name
? Addre
c Ciry _
- Name
? Addre
0 Cib -
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCAIPTION
Res. New
Mult Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES TOTAI
Water Closet - $3.00 s ?
?Bath Tubs - $3.00 -? ?
Lavatory - $3.00 1--1 '
i Shower - $3.00 3 -'
KitChen Sink - $3.00 '
UrinaVBidet - $3.00
? Laundry Tray - $3.00 -
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
' Gas Piping Oudets - $1.50 ?
(MINIMUM - 1 PER PERMIn
Softener - $5.00
well - 5t0.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: - STATE S/C:
GRAND TOTAL:
y r J
(Urtiftrate uf COrrupanry
Citp of (Eagan
aPpa1"bttplt# Df I11i1ding 3ItB.pPtYtDt[
TI?is Certifrcare issued pursuanr to the requiremenls of Section 306 of the Uniform Buildirrg
Code certifying that at the time of isseeunce this structure was [n compliance with rhe various
ordinarrces of ihe City regulating building construction or use. For the following.usc c.saGUOn ,?r M/GAR eiag. Paniie tao. 7 541'r
,? ;r,- •
Owuwmcy Trve R3/M1 ZnauiB DiNiu Type C- y;,
o,wm or sWiaing =!E7N.5 0ONSIRJM.70N Aaarm i `
o..,.:? ...._ +0 FiAt,fl.iW IIIIVE f E;' . A3. iF.UR1Mtu R7INM 2Iv1)
Dau: 'r,,TOM
POST IN A CDNSPICUOUS PLACE
_ , ,, .. : - --- - -- -
p
F EAGAN 'ermit No: 11006 Date: 8- t 9-88
lot Knob Road B/P Na "656,5$- Date: ' "K 21199 ,
MN 55121
Site Address:
Plumber:-
4340
CC: 550.OOvd
Chg: 100 . OOpd
:. Dep: 15 .OOpd
nit Fee: i ?' ?,'? p d
RI
Zoning•
No. of Units:
I agree to comply with the City of Eagan
Ordlnances.
j
Misc.: By ;
SEWER SERVICE PERMIT ?
' CITY OF EAGAN Permit No: 9? h? Date:
3930 Pilot Knob Road Meter No: !/-0- UQ a- 4Z l Size: !?/g /4dGK
P.O. Box 21199 Reader No: 41 '7 z? Date: 10
Eagan, MN 55121
Owner. Snnc CnaRt.
I,4 n' Poi??*e 7
SileAddress: l tnn '':-rive
Pfumber._ , j- rl , ??- •-?g
Conn. Chg: 550_ (lClnj
AcCt. Dep: 1 5_ i)l1--T
Permit Fee: ? •? . n'lr,d
Surcharge: _ _'ifln:l
Tr. Plant__ 704 _ Qf}Etri
r
Meter -
Zoning: _
No. of Unils:
1 agree io comply with the City o1 Eagan
Ordinances.
nnisc.: er gak' AYT?,(Re PIhy)
WATER SERViCE PER{IAIT????`
CITY 0p EAGAN
3830 Pilot Knob Road
P.O. 8ox 21199
Eagan, MN 55121
Conn. Chg:
Acct Dep:_
Permit Fee:
Surcharge:
Tr. Plant_
Meter. _
Permit No: ?0164
Meter No: _
Reader No:
Zoning: _
No. of Units:
Date: ' -
Size: ?
Date: ?
t
Al
I agree to comply wilh the City uf Eagan
Ordinances.
Misc.: By
WATEA SERVICE PERMIT
_.J
lot Knob Road
z 21199
MN 55121
Permit No:
B/P No: ". z;
ier. Sons Const.
Address: ? ?iltc?a Drive 9 B .ez gt:)n o.r,t:.:
nber Johnwn C . .. g
?t?.MFd
CC: Zoning•
Chg: 100 """p No. of Units:
Fee:
1 agree to comply with the City of Eagan
Ordinances.
By
SEWER SERVICE PERMIT
CITYOFEAGAN No ? 5448
3830 Pflot Knob Road, P.O. Boz 21-749, Eagan, MN 55121 /
PHO N E: 454-8100
BUILDING RERMIT Receipt?
To be used for SF DWG/GAR Est. Value $84,000 Date AUGUST 15 ,19 $$
Site Address 4340 HAMILTON ?R
Lot 4 elock 3 Sec/Sub LEXINGTON POINTE
Parcel No.
QlName SONS CONSTRUCTION CO I
Address 1311 ST ANDREW BLVD
City EAGAN phone 452-5355
p Name_
oa Address
?0 City-
Name
Address
City Pho
I hereby ecknowledge th I have r this ication and state Ihat the
information is correct a d agre o o p i all applicable State of
Minnesota Slatutes and ' y of n es.
Signature of Permittee _ -
.4 Building Permit is issued to ONS CONSTRUCTION CO_
on the express condi4on that all work shal I be done m accordance wdh al I
applicable State of Minnesota?S?t-Iatutes and Ciry of Eagan Ordinances.
ewlding Official?.l?d6?.? ??_r
OFFICE USE ONIY
on Sita Sewa9e - occupancy R-3 M-1
MWCC System X Zoning PD R-1
On Site Well _ (ACtuaq Const V-N
City Water x (Allowable) V-N
PRV Required - # of Stories
Booster Pump - Length 58,
Depth 33 ?
S.F.TOtal
Footprint S.F.
APPROVAL5 FEES
Engr,/Assess. Permit 510.00
Planner Surcharge 42.00
Council Plan Review 255.00
Bldg. Off SAC, City 100.00
Vanance SAqMWCC $50.00
Waterconn 550.00
water Meter 67.00
Roatl Unit 325.00
Treatment P1 204.00
Parks
603.00
2
TOTAL ,
Ee?-o/poooFo)s
REQUEST FOR EIECTRICAL INSPECTION J?W
See ms<ructions tor completing this torm on beck oi Vellow capV.
•?/
E ?'coraan 8 "X'" Be/ow Work Covered by 7his Request
Adtl Xep- TVPe ot 8uiltlm9 Aaolmnces Wnretl Equipmant Wved
Home Fiange Temporary Scrvice
DuplFx Wa[er Heater Lighbny Pixtures
Apt Bmldmg Oryei Electnc Heatui
Commercial Bldy. Fumace Silo Unloader
Industnal Bldg. Air Conditioner Bulk Milk Tenk
Farm Otner nea v OthFr (SUri_ify)
? ,r SncufY Other O, h,r
Compu[e InspecUan Fee Be/ow
p Fea ServiceEMrance5ize fl Fee Fenders/SuGieaders N Fee Grcwts
?08 0 to200Ams 0 to30Ams 0tn30?ms
A6ove 200 qmps? 31 to 100 Amps p 31 to 10 0 Am s
Swinttning Pool Above 1 W-Amps Above 100_Am ?
Transtormers Irngavon Booms , SQ ParLalOthe e
Signs Specialinspection ' TOTAL
)
?rks
A j
?o
0
EF?
ICY
h
\ n
flough-m 1, tha Elec
I -
V Z-?` Insoecio., nereev
certify that the above
Fnal P DIdte ?nspection hes baen
meAe.
n L? ay
'rhla reauest voitl 19 months imm
This request void/?/?/??
18 months fmm
E 2,78_8_.8
F791.vZ-
Street A dress, Box or Route No.
3 O I44VI`I I+d'U 1) K. Gry
ectwn o. Township Name or No. Fange No. Count
y
?
a '/ -?•e
J.? `?' 1 1?"'?' ! l/7
OccuOant (PRINT) Phone No.
S O/l?. C D- Sj'
Power $upplier Atldress
'
'
/
??
?
A?-or A ? ? e m?
•e
6
r
?•9?
Electn`?Contraclor (Campany Ndmel Cnn'raciqr s Lmonse No.
l?„ ., w?ae '_?P?.?-?r; ? r?-S os o
MailinB Ad ess (CoMractor or Owner Makmg Installation)
8 8l (Scaf Pa.v I, E__a?
Authon eA S,grtature ICo ractor/Owner Making Installation) Phune Number
4rZ-41?f 7
MINNESOTA STATE 60APU OF ELECTNICITV THIS INSPECTION REQUEST WILL NOT
Grig9s-Midwey Bldg. - Boom N.197 BE ACGEPTED BY THE STATE BOANO
I821 Universitv Ave.. 5t. Gaul, MN 55104 UNLESS PFOPEN INSPECTION FEE IS
ENCLOSED.
pF??e19,,, .a,-..n
`?Licensed Electncal Contractor I hereby mquest ine0echon of above
? Owner elecvicel work installed at
? CITY USE ONLY
L? BL d RECEIPT#. So?(pQ?
SUBD.C?'G, RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. . singie family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES FAM N4. TOTAL
Shower 3.00 x =
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
o Water'Heater 3.00 x = 1
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - t • 3.00 x =
Rough Openings 1.50 x =
WatBf SOftBnef ' for dwellings under consVudlon 5.00 x =
Water Sottener ` tor existing dwelling ? 20.00 X =
U.G. Sprinkler ' for dwentng under const. 3.00 =
U.G. Sprinkler ' for existing tlwellirg 20.00 =
Alterations ' to exlsHng residence 20.00 =
Water Tum Around 20.00 =
Private Disposai System • Dak Cry iic. 75.00 =
(new antl refurblsM1ed syxtems)
Private DiSposal Systems • AbarMonmeM 20.00 =
STATE SURCHARGE
TOTAL
.50
?• ??.; ;
1 hereby adcnowletlge that I have read this eppllcadon, stale
of Eagan ordfnances. k is the?
damageseausedbytheCityc PETERSON,GLEN
City propertylright-of•way/e? 4340 HAMILTON DRNE
EAGAN, MN 55123
SITE ADDRESS: (612) 687-0453
OWNER NAME:
INSTALLER NAME:
STREETADDRESS: 17H1v-I
cirr: NIPLSI
rmd, and agree to eompy with sll epplieable Clly
hat the City of Eegen assumes no Ifabilfty for any
to the hedfts constnKted under this permG wRhin
TELEPHONE #: 67,74033 ? , ;
=_ ??(Il?'N , ,
--trJ r /?G, RESIDENTIAL BiTILDING
.5 ?? `t? ? Permit Application oo c f C5_2
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Conshudion Reauiremen4s RemodeVReepaair Reauirements Otfice Use Onlv
3 regisfered site surveys showing sq. ft of bt sq. R of house, and all roofed areas 2 rnpies of pWn ' Cert of Survey Recd
(20%a maximum lot coverage allowed) 1 sel of Energy Calculatlons for heated addlUons _ Trce Pres PWn Racd
2 copies oi plan showing beam & window sizes; poured found design, etc 1 site survey for additions & decks _ 7ree Pres Not Reqd
1 set of Energy Calculations Add'NOn - indicete if onaife septic system _ On-sde Septic System
3 copies ot Tree Preserva6on Plan if lot platted after ll1153
Rim Joist Oefail Options selection sheel (bldgs with 3 or less uniGs
Date D? 9_ /-a 6- /-0-a -?-- Construction Cost i k7,C?J
Site Address? g y? ?1 r? 4 /p , ? I6 &}-1:)k i y' Q, UniUSte #
Description of Work I fJ d , V
Multi-Family Bldg _ yj/ N Fireplace(s) _ 0_ 1 _ 2
Property OwnerTelephone # (??) (Z' -7 ? DyS .3
Contractor 1679 University Ave
aadress t• aU , 55104 ?ity
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residen8al VentitaUon Catagory 1 worksneet • New Energy Code Worksheet
(J submission type) Submittetl Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #( )
Telephone #(
"' accurate;
I hereby apply for a Residential Building Permit and acknowledge that the infok'm?,tion 't?s ?oj
that the work will be in conformance with the ordinances and codes of the ?ity g??agan te of MN
Statutes; I understand this is not a permit, but only an application for a permitp?and work is without a
that the work will be in accordance with the appmved plan in the case o??ork wh* eview and
permit;
approval of plans.
-7
4tr
?plicant's Printed Na11e
v cc y A- rv d?f' S o+J
A ic' a?ture
UFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-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 Garage ? 22 PorchlAddn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
0 OS 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Remof ? 46 WindowslDOOrs
? 34 Replacement 'DeMOlition (Entire Bidg) - 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) _ FinaUC.O.
? Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Dxain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ F'ueplace _ R.I. _ A'u Test _ Final _ Windows (new/replacement)
_ Insulahon _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
Ll ?-ya?
?.-
?? tirr oF Eacau
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
New ConeVUCtlon Reaulrememe Namoaeuxepeu xeamremema
• 3 registered sBe surveys shawing sq. fl. of bt, sq. tt. of housa; and all roofed arees • 2 cnpies of plan
(20°/< maximum bl coverage albwed) . 1 set ot Energy Cakuhatlons br healetl addkions
. 2 coples of plan showing beam 8 windax sizes; poured founC design, etc.) • 1 sBe survey for exlerbr a00dions 8 decks ?y ?S-
• 1 set of Energy Cakuleffiais • Indicate'rf home served by septic syslem lor atl0itions ?
• 3 copies of Tree Preservafron Plan if Wt platled after 717i93
. Rlm,bisl Detail Options selec[lon sheet (bWgs wilh 3 or less unMS)
s-/ 3'0 Z VALUATION 3f g°O ?
DATE
SITE ADDRESS qj 40 MULTI-FAMILY BLDG _ Y _&
NPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT R?'k C?? ?GT oCi
STREET ADDRESS ?'?O w?, - 6,14100, CITY STATE _"tqIP
TELEPHONE # Ys2 - 707 /2'r& LL PHONE # 0'12 FAX fi %S z` 7d -7
PROPERTY OWNER TELEPHONE #i 6 87-
----------------------------------------------------------°---------------------------°------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS OIdLY
Energy Code Category _ MINNES01'A RULES 7670 CA1'EGORY 1 MINNESO'1:A RULFS 7672
(4 aubmission type) • Reaidential Ventilation Category 1 Worksheet Submitled • New e y Code Worksheet Submitted
• Energy Envelope Calculations Submittad
Plumbfng Coniracfor: ___
Plumbing system includes:
Mechanical Contracfor.
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
U ?
?MAY 1 3 eag,?
Fee: $30.
Fee: $70.00
---------------------------------------------------
I hereby acknowledge that I have read ihis opplication, state that the information is correct, and agree to comply
with all applicable State of Minnesota StaTUtes and City of Eagan Or e?s.
SlgnalureofApplican?`!?
--°-------°----------°-------°--------------------?. _...r._ ?..._.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
? Updated 4102
_ Water Softener ?
_ Water Heater _
No. of Baths
Phone #
Lawn Sprinkler
No. of RI. Batk
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex O 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 07 of _ plex ? 09 07-plex O 17 Garege 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mulli
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous
? 31 New O 35 Int Improvement O 38 Demolish (Interror) ? 44 Siding
O 32 Addi[ion ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolkion (EMire 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 W idth
REQUIRED INSPECTtONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addirion) _ Plumbing
_ Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Finai
_ Framing _ Siding SNCCO Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Pertnit
License Search
Copies
Other
Building Inspector
Total
Cities Di gital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
U • :;:
`_?!U•U.j +
?. ;> . J U -,-
? 2a!'UU ?
,l'
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?IU•U'.) *
U Ij +
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I ? ?1 ? ?' ' •? i +
:? ? ?,'1 -: • ? i i; .
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3 I 544%
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MOLTIPLE DWEI,LINGS RENTAL UNITS FOR SALE IINITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECR WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATZONS
COf41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
? ? !Y SF.DGst P., : .. To Be Used For: 1 famlv Xtad-jed Valuation: Date: 7-18,gg
Site Address AW n.-;,,,
Lot 4_ Bloek ?
Parcel/Sub iarirgr„ q.,;,,i.A ,cnoyva A+-h_
Owner Sa-0 Ca-ot,m,
- -?----lddress 13ll St.?a ffi?x3.
?
City/Zip Code Fagn N1n- 55123
?
??
'
O
si
s
ewage_ Oceupancy R 3 M-1
MWCC system _?/ Zoning ?
On site well Actual Const V-N
City water Allowable v-N
PRV required _ Ik of stories
Booster Pump _ Length 5 = "
Depth
S.F. Total
Footprint S.F.
Phone 452-5355
Contractor Sans anst• OD•
Address 1311 St•An:1w ffi.d-
City/Zip Code EbgE1 M'i• 55123
Phone 452-5355
Areh./Engr. Brian Amtin3 (&aft41A1')
Address 1311 St•A'Elw Blvd-
City/Zip Code Eaga't. Nn. 55123
Phone # 95215355
9PPROVALS FEES
Engr/Assess Permit 5/0,00
Planner Surcharge 20
Couneil Plan Review
Bldg. O£f.
Variance SAC, City
SAC, MWCC fon, 0
5s0,60
Water Conn ` 6L1
Water Meter 67T
Road Unit 32S,oo
Treatment P1 7 cAj.no
Parks
Copies
TOTAL 2,Ln.00
AVA?u}?t?o ?
G ! ? IR A -G-c-
3ox Z2?;: (,O(so
c+2)
?48 x?yw 90?2
Bsm-r
3ok2?= ??St?
SG K13 L q 828
IsT FLnOTe,
----?_...
h't • I I _
f'.? • - _i
4
z"lx Z? -= r754
??'?2 X ly = 2- 99
i oz5 x 4q ? 5az2?
z N D ?L oop,
z 8 >c2'7 = `7?.6
z X <y = z- y
z9SY yi= ?y45s
8 35Yo
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION` "
C •
Our![R: WIL_4_IAM A r/-EB2A 1PSEo
i` TE ADDRESS: 4346 IaGtMI1?T01.1 1221yE FAC44 Mtj J5123
tONTRALTO
1. TOTAI
2. TOTAL
3• TOTAL
a) Total wall wlndow area:
glazed,,,,,, 232,0 sq ft x"U" ,50
'- glazed,,,,,, - sq ft x"U" - e ^
b) Total door area ,,,,,,,,, 210 ,2,5 sq ft x"U" ?}Lo ?
, G•3
c) Total slidtng glass door area:
.
- qtezed.:.,:. .40 , 7S hq' f.t x-f,u"
`.?
- 9:lazed....... - sq, ft xy.???l!f_
d) Tota?i f;l,riep,l;aae ;waal?l, a?ea. '
; ?
?
?
? ?
T"
• .. -
e1 To,t_ail, waV111, fna
tefn,War[ea-' ? .?? ?
` ? ? "??''? M "?`.,:,, . -:
# sq f't x ''U?''
-
f) Total nsEt=-wa?l?l area above ?
s
.,.q : ,
, ?'
oor°- (4,nsuitated)..?. +?;;?_s''?`'
; ^
?
^r=
'
)
ota) rim Joist area...... . . ,
.
22?
q
t -
=?=
s
?
- i?
,..
... _k -.:?
, .,.. .. .. . .
x"u"
, .
Total foundation
area (Exposed).......... I I 7 sq ft
h) Total foundatton '
wtndow area ............. - sq ft x"U"
t) Total net foundation
area above grade........ 11 '7 sq ft x"U" . 07 ? g. Z
y' TOTAL a) thru I) ? 2.Ofj•i0
? If ftem N3 is the same as, or le ss than item P1, you have met the Intent of
2;ICAR 1.16008 A and 0.
Page 1
R . , . ,?t..
y . • , . _
h. TOTAL €%JCEi?i1?????z?
?. 3?T?o????
. :?
... _.r. ....A.Y.W..?w3n.? ? t.
se,d
Tetal exQP
,
"i'y,l
r . ?.
k) Total roof/celllnq framing
area (Averaqe lnq)...... sq ft x"U" •OZ ? 2=?}-2...
1) Total net insulated
roof/cel l tnq area...... (Ob9 sq ft x"U" . OZ
TOTAL ,1,) thru 1) 24.Z
If eotal of db is the same as, or less than N2, you have met the intent of
2 MCAIt 1.16008,A-and 0. , _. . ,
., . - . , „ . ,k ; . .
ALETE?RNATE BUdiLDUNG EN?Y,E?LORE•-QE?StiJ6M1.r
To utilize the total envelope system method,, the va,liues es1a-011;s.hed by the sum
of items M3 and #4 shal,) not,be greater than the,sum of iltems ,N+I and #2.
1, L-CG[L ,& 4 Z. 51.4
3. ?-, Olb•1D + k. 2412. ° L 2, 3
C E R T 1 F I C A T 1 0 N
1 hereby certify that I have calculated the "U" factors and "R"
values herein and that the bufl.d.inq heca described meeCS or exceeds the State
of Hinnesota Eneray Conservation Act.
S gnaCure''
•7-
(Date)).
Page 2
., . .,...':?? ? .,.. . ,..
A
NSTRUCTION
AMING SECTION:
wALL SECTION (INSULATED)
?
I?
FOUNDATION INSULATION REQUIRED:
Min. R-5 on entire wall OR
Min. R-10 down to frost d'epth
TOTAL R = •? .0"
u - i/e - a4
r
`v
1*1
3
4
5
A p "'A
A.
e: . . •.
. , •,s
0• 4
' • 4
a A ',A;,'
U - 1/R - .tj-(
SLAR ON GRADE
?-"4 ,a.;,4-,
. , - C
,4,•ti4 .. .
,A.
R YALUE
-{1 Intertor alr fllm f1.6R
-A12 D2 YYJAU. 145
-{3 _1nlS??A -T?rr.l 20.00
-0
?•1???'+
iinlC?
•?.Gr.:
--{5
--{6 Exterior air fllm • 0. )
RIM JOIST SECTION:
-{1 lnterfor
FOUNDATION SECTION:
U - 1/R - -04
-?1 Interlor alr fllm 11.66
-42 _ I?:•:i43: A.1' ?(;n; 12.4s
--(3 l.Lcs
-14 Exterfor a r ilm 0. 7
(5
(F
TOTAL R
a
;.?.,
q? ?. .
u p
w; *-H
, ? . A,
-r i;
Heated Slabs:
Minimum R = 8.5
10
As
'
&A?
Unheated Slabs:
?• '? . ; Minimum R - 6.2
C. .q • q`• •
,•,`, . . -,-?; ° ; •4 •,, u.,.,4 .
?
4=
'
' Q,•,,.??
"
;.?
¢ '1 v
.• •
d',. . • •..a
? •
. , ,. . .
••
?
+ ?
" 4.
.
4
'
. ? ' ; q?
?I , .' •? ?
?
' [t
,:a. „ a :? •..
4.
: ? ?
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•
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,
•
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4' ; '?
?
;.
Page 3
u - ,/R - io
F
AIR
FLOW
CONSTRUCTION R VALUC•
CEILINfi SECTION (INSULATED):
I Interlor air fTlm ?.F1
AIR 2 ' Yw+AU, ' .510
CHUTE
y Exterlor alr film stlll n.Fl
TOTAL R
..,V'm, '1f?R'?'• , _?
CEI.LING FRAM6NG SECTI,ON:
1 Interloc aitir flillm 0.61
5
0
? ' U- i/Ra .02
G
VENTED
,,,. ..
?,.. .;;
H
CEILING SEf,TION (INSULATED):
1' Interfor alr film 0.61
2
3
4 Fxterlor a r itm still 0. 1
TOTAL R - _
U- 1/R-
CEILINr, FRANINf SECTION:
1. Interior atr film 0.61
2
3
4 Exterior air Im still o. I
S Inches so t wood
TOTAL R ?
?,.. t- .?a, . ? r . . ? . .. .r,??_?- ? •??:. • - • ». .
, . , ?. .. . ? . , '?,. ?-? . ,., , . . . .
.. e. ,_?_, . a?.: ?• _ ? ? . ?`?"?° ?
5
m
U - 1/R -
Page 4
GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL
OF TYPICALLY USED PRODUCTS
- = AIR FILMS (R) SHEATHIN6 ?
Interior Air Film (Walls) 0.68 3/4" Wood Subfloor or Sheathing 0.94
Erterior Air Film (Walls) 0.17 112" Plywood Sheathing 0.62
Interior Air Film (Vented Ceiling) 0.61 1/2" Particie Board 0.66
Exterior Air Film (Vented Ceiling) 0.61 Gypsum or Plaster Board 3/8" 0.32
Interior Air Film (Non Vented) 0.61 Gypsum or Plaster Board 112" 0.45
Exterior Air Film (Non Vented) 0.11 Gypsum or Plaster Board 5/8" 0.56
Plywood 3/8" 0.47
Plywood 1/2" 0.62
BLOWING WOOLS Plywood 3/4" 0.93
Sheathing, Reg. Density 1/2" 1.32
Fpprox. 3" 9•00 Sheathing, Re9. Density 25/32" 2.06
Npprox. 4 1/2" 13.00 Nail-Base Sheathin9 1/2" 1•14
Approx. 6 1/4" 19.00
Approx. 7 1/4" 24.00
Approx. 14" 30.00 ROOFS
Approx. 18" 40.00 guilt-up Roofs 0.33
A11 other insulation materials must Asbestos-Cement Shingles 0•21
be verified (R Factor) Asphalt Roll Roofing 0.13
Asphalt Shin9les 0.44
INSULATION
Insulation: 2-2 3/4" Fiberglass 7.00 SIDING
Insulation: 3 1/2" Fiberglass 11.00 Aluminum Siding 0.61
Insulation: 6" Fiberglass 19.00 Aluminum with Backer 1•$2
Insulation: 3 5/8" Fiberglass 13.00 Aluminum with Backer R Foiled 2.96
Insulation: 9" Fiberglass 30.00 112 x 8 Lap Siding (Wood) 0.81
Insulation: 12" Fiberglass 38.00 7/16 x 12 Hardboard Siding 0.67
Insulation: 8" Cellulose 29.00 Asbestos Sidings 1/4 Lapped 0.21
Insulation: 10" Cellulose 37.00 Stucco (Brown and Finish Coat) ----
Insulation: 12" Ce11u1ose 44.00
insulation: 1 1/2" Thermax 12.00
Insulation: 2" Thermax 16.00 DOORS .(U)
1 3/4" Solid Core Door .46
:400DS w/Storm, Wood .31
Pine & Simi'lar'Soft Woods°
Fir ^ w/StormhtMeta+l? .26,
,
1 1/2" 1.89 Pease Steel Door Insl/N/GL 7.45R .13
2 1/2" 3.12 Sliding Glass Door, Wood .65
3 112" 4.35 Metal .72
5 1/2" 6.81
CONCRETE BLOCK WINDOWS
8" Concrete Block (5 & G Reg.) 1,11 A11 Windows
(w/Storms 1" to 4" Space)
.56
(Filled with Vermiculite) 1,93 Removal Double Glazing (RDG) .55
12" Concrete Block (S & G Reg.) 1,28 Thermo or Welded 3/16" Air Space .69
(Filled with Vermiculite) 3.15 1/4" Air Space .65
8" Light Weight 2•18 1/2" Air 5pace .58
(Filled with Vermiculite) 5.03 (Other windows specifically teste d
12" Light Weight 2•48 can use better ratings)
(Filled with Vermiculite) 5.82
Page 5
APFLiCATION FOR PERMIT - ?
SEWER AND/OR WATER CONNECTION
OF eC1gC9n
1) PROPERTY ADDRFSS:
7 FY;AT DESCRIPTION;
or
O
IF EXISTING STRCCTURE, DATE OF ORIGINAL BUILDING PERMLT ISSUANCE:
Mont Year
PRESEDPI` ZONING/PROPOSID LSE:
Q COMN1EFtC2AL/RETAIL/OFFICE
Q INDL?STRIAL
Q INSTITUTIONAL/GO`7ERNN]ENT
2) ' "''10 NAME:
ADDRESS:
I?R-1 SINGLE FAMILY
? R-2 DDPLEX (Ttvo L'nits)
Q R-3 TOWNHOLSE (Three + Units) ( Units)
Q R-4 APARTMENT/COAIDOMINIUM ( Onits)
CITY, STATE, ZIP: (9 Yo vE±
PxorE: Lno4?
--- ,.....
„
? NOTE: PA3MENP OF FEE AT TIME OF
?
?
•y APPLICATION DOFS N01' CON- t
? STiNIE APPRCJAL OF PER6IIT.
? ?
i INSPECfION OF 56FIIgt APD/OR 4UA7IIt :
? INSPALIATIONS WILi. N(r BE °rF7xn.cn t
t lTll'IL PIItPIIT FIAS B@1 APPROVm. a*.
a++++?tWt+i??xfyfteer?ftt+i»tww++f?M+
S'S-D 7f--
3) ? :?• tvAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
MASTII2 LICENSE #
NAME:
ADDRESS:
CITY, STATE, ZIP:
PxoNE: S3ss?
Ptwnbers 1.icense:
I? Active
Expired
Not recordeC
St Initla
5) s . d ?• • oo . i??
CRCONNECTION TO CITY SEWIIt E?R CONNECTION TO CITY WATEF2 O QTM
6)
e -dqy,
***?***+*??**?«***?*:r**+*******,M,(?****,r+*******:*****«****************?**??*:r**.*****:?*****?*?****?
*
* THE GOID COPY OF THE PERMIT WILL BE SEDTr DIRDCiZ.Y TO PLBLIC WORKS TO FACILITATE MEIER PICK-LIP. x
* PLEASE AISAW 'IWO WORKIM DAYS FOR PROCFSSING. SOMEONE FROP4 TfiE CITY WILL CONfACP YOD IF TI-IERE *
?
* ARE ANY PROBU21S. . +
?*****?**?***?*?+*****,r*+?+*++*?****?***+****?:?+*************,+**********?***#+??**,r+*?************;
FOR CITY USE ONLY
PERMIT # ISSL?ED
Pd w/Bldg. Permit FEES:
$ $ /D - 6-z)
$ $ A) ',$-D
SEWER PERMIT (INCLIIDE SURCHARGE)
WATER PERMIT (INCLLDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCL['DE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$_ $ WAC
$ ?P s--,g `CJ 1? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
S 7/'0--O TOTAL
k1?6 ?-k
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PDBLIC
Q ROADWAY" MOST BE ISSUED BY THE ENGINEERING
[VO DIVISION. LIST AS A CONDITZON.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY;
TITLE:
DATE :
??
8&124.
TRI-LAND C0. SITE PLAN FOR:
SURVEYING
SERVICES SONS CONSTRUCTION
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
ESCR f PT?@ ,
3 ;-?EXINGT6N-POIIY [ ?LTI
,
ACCORDING TO THE RECORDED PL'AT
THEREOF nAKnTA COUNTY,MINNESOTA
? ". () J
1(98642) N 84004'10" yy
Zs
, ?? (982"9)
?
10
Q, /
?
? • o e ?
N
4
? ?
M
/ ?9ask
3j Q ,
v .?
5
0
? I
2 ? ?3r °?0 3
6/0 \ N
4
205•"? \ o
i
0
h
?
,SQ DO\
?
M
Us . 3 ,9e s
. %
Lp
? `
l
SCALE:I"=30' !1 ?
?,
M1? ?'' `?O \
?8
LEGEND
o DENOTE$ IRON MONUMENT INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= 98840
* DENOTES WOOD HUB S E T
sao'o DENOTES EXISTING SPOT PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR = 9e090
ELE VATION
(eeo'o) DENOTES PROPOSED SPOT ELE VATI ON
ELEVATION
? DENOTES DF2AINAGE DIRECT ION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
1 hereby certify fhat this survey,plan or /report wcs proporod by me or under my
diract suparvision and thaT I am a duly Bradley J. S?renson, Mn. Roq. No. 15235
Reqistered Land Surveyor under fhs
Laws of tha State of Minnesota. Oote :
For Office Use f
City of Eap I Permit
~0 1
I
I Permit Fee: 1
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675 1
Fax: (651) 675-5694 i Staff:
1
- - - - - - - - - - - - - -
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
-T ! Site Address:
Tentint:
Suite
RESIDENT / OWNER Name:._ Phone: _7
Address /City /Zip:
Applicant is: Owner ontractor
T'Y'PE OF WORK Description of work: .
Construction Cost: Multi-Family Building: (Yes -/No
)
CONTRACTOR Name: (20 License
Address: _q9 0' C 111=1
City:
CIQ State:
ip:~ o~
Phone: C?7 ° Contact Person:
PIN r\-e-
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
('V 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?
__Y'es _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 he 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 a work will be in
a'ccord'ance with the approved plan in the case of work which requires a review and approval of plans.
'I X
d17, Q_
Applicant's Printed Name r A ant's Signature
Page 1 of 3
01/06/2010 WED 8:52 FAX 6514378831 [{7.]002/002
' I`------------ r
For.?Offtce Use I
~ Permit
City of Ea
aIl t
S € Permit Fee: ~
830 Pilot Knob Road i I
Eagan MN 55122 t I
€ Date Received: I
Phone: (651) 675-5675 €
Fax: (651) 675-5694 Staff:
2009 2009 MECHANICAL PERM OT TION
Date Site Address: ~ "(t
~Lm ( r
Tenant•
Suite
RESIDENT / OWNER Name: ` Phone:
Address I City ! Zip:, f Aiy\
Name: N•r1c~~ «en.0
CONTRACTOR / um6; cnsS ~-/rr✓1-Ti,,,/,- license'Vc~#:
Address: /JJ e v L-LLU J S7
City: I ~7iN9S State:A U _Zip:.r36`:53
Phone: ~S! ~f `7 111-7-7 Contact Person: ✓L/~ ~/C? y1(~j
TYPE OF WORK New Rep€ cement Additional A terat€on Demolition
Description of work: LQ °
IV4T `Bo'th rpomor ed ar:d urrd iioc~nted rneclanr~al:equrr3~nifs requited tt~
e screenel 6y Crty Gv_de P ".ase.conta>rt ffte IiAeciar~rcal lnspeetor, or.`nne 6-
iie
<
I?lannrs fc~r.,rrtarrnatrorr,on ermrtfed_. screernrr rrteto.,s
7
RESIDENTIAL COMMERCIAL
PERMIT TYPE AL
X "Furnace New Construction Interior Improvement
Air Conditioner Install Piping - Processed
Air Exchanger - Gas Exterior HVAC Unit
Heat Pump - finder / Above ground Tank Install / _ Remove)
- When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$56.50 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)
$ TU t AL FED
COMMERCIAL FEES:
$70.50 Underground tank irrstailation/removal OR Contract Value $ X11%
$50.50 Mir_ imunq (includes State Surcharge)
- if Permit Fee is less than $1,000, surcharge is $.50. ° $ Permit Fee
- If Permit Fee is > $1,000, surcharge increases by $.50 for each v $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1,00 surcharge).
$ TOTAL FEE
l hereby acknowledge that this information is complete and accurate; that the work will be in confor ante with the ordinances and ~d,s of the City of Eagan; that
I understand this is not a permit, but my an ap i ation for a permit, and work is not to start wit permit; that the work will bd' accardan with the approved
p'an in the case of work which re a review nd approval of plans- ;
x _ x
Appli a rinte Name App ica s Signature
cO30
FI €C 'I` =USE
;
Reviewed By Date _
r,ecjuired inspections: Und.ar ur~unU Forfgt jn a Tr:st Gas Benito Test €n-floor Neat ";Final " 999
E ter a_ HOP ~Gre nrng insertion
PERMIT
City of Eagan Permit Type: Plumbing
Eaaan, Permit Number: EA096349
Date Issued: 10/07/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4340 Hamilton Dr
Lot: 4 Block: 3 Addition: Lexington Pointe 2nd
PID:10-45071-040-03
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Champion Plumbing Glen J Peterson
3670 Dodd Rd., =100 4340 Hamilton Dr
Eagan NIN 55123 Eagan MN 55123
(651) 365-1340
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA104553
Date Issued: 05/29/2012
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4340 Hamilton Dr
Lot: 4 Block: 3 Addition: Lexington Pointe 2nd
PID: 10-45071-03-040
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S4K $103.25 0801.4085
Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Window Concepts NIN Glen J Peterson
990 Lone Oak Rd =114 4340 Hamilton Dr
Eagan NIN 55121 Eagan NIN 55123
(651)905-010
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature