3879 Gibraltar Tr
Use BLUE or BLACK Ink
~ Tor Office Use I 411N~
621
City of Eaa~ I Permit .
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
I
r - i Unit
Date: Site Address: /
Name:✓~ 1~ ~((~-f 1 i ✓ Phone:
RESIDENT /
OWNER Address / City / Zip: 3,`2 c~ l~~'l1((', l!c~i I
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 7 GSC / VLO!c"vs ~,~/qty ~1 L~✓~~%yi~ E
Construction Cost: Multi-Family Building: (Yes / No V )
Company: 61111~~e✓,•c; L r4 i Lv~C Contact: &ril Gr~~til,-t75e-~
CONTRACTOR Address: t/G City: 4- l/zf Rry~r
State: ili,Zip: 5Phone: 76 1 ~GI
License ,~)IIti' J 2(, Lead Certificate
Does this project require Lead Rermediation? ❑ Yes jkf No (see Page 3 for additional information)
If no, please explain: i'/o / eicC ~✓rt'Se~~ ~j
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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.
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.aopherstateonecall.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 the approved plan in the case of work which requires a review and approval of ans.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
I 0 Office Us---------
j Permit
City of Evan I
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date-Received: j
Phone: (651) 675-5675 I I
1 Staff: I
Fax: (651) 675-5694 1 I
2011 RESIDENTIAL BUILDING (PERMIT APPLICATION
Date: Site Address: 3? 7 G y/"c 64e ✓ / Z Unit
Name: r gG~2s,,/Jh Phone:
RESIDENT /
OWNER Address / City / Zip:
Applicant is: Owner Contractor
Description of work: JJ A)n C
TYPE OF WORK
Construction Cost: nn L,TT Multi-Family Building: (Yes No )
Company: 1T'6dcS ~7~9io► e X cy~ c- Contact: Gdie Ct -7~ cf X
CONTRACTOR Address: 1/2, m City: ~'Srir~ t~
State: )041 Zip: 5503Phone: (yy ~3~-~~~3
License 7. 3~ 7 2 Lead Certificate
Does this project require Leal Remediation? ❑ Yes E~(No (see Page 3 for additional information)
If no, please explain: O
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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.
CALL BEFORE YOU DIG. Cali 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.gooherstateonecall.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 the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Offrce Use
g8o4A
I ,
City of Eap ~ Permit
' Permit Fee: v))~ • I
I ,
3830 Pilot Knob Road I
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 j
Staff: (J 7 l
Fax: (651) 675-5694 L---------------
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ' tl Site Address:
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: ~Ci a6/45 License
Address: ;V37 4~~f`5~~•~'~~` City: ~1Y ~/i~•GL
State: Zip: eT Phone: 7& -~3 41~~-
Contact: Email:
TYPE OF WORK -New -Replacement ~XRepair _Rebuild - Modify Space Work in R.O.W.
Description of work: c` bL 5 ct L z
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PV13) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.ciopherstateonecall.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 %art without a permit; that the work will be in
accorce with the approved plan in the case of work which requires a review and approval s.
X' C U ~ir~:su/ X G~r
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
For Office Use I
1 Permit V / 76,7V I
City of Eajan I 5 ~
3830 Pilot Knob Road i Permit Fee:
Eagan MN 55122 l 1
I Date Received: I
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 Staff:
- - - - - - - - - -
2011 MECHANICAL PERMIT APPLICATION
Date: (41 Site Address: G ; b N) +-e, it Tk
Tenant: Suite
RESIDENT/OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: _ A i r I c 1,s aAa + License
Address: 12651 Z-PwlI}h At R_ 2f-182City: l Yt~SVWC
State: M- Zip: S S 3 3-7 Phone: Q 5 a- A~
Contact: A,8 Q rn w it Email:
TYPE OF WORK New __4 Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City U
Code. Please contact the Mechanical Inspector for information on permitted screening methods. U f~OCd
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace _ New Construction _ Interior Improvement
Air Conditioner Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank Install / _ Remove)
When installingtremoving tank(s), call for inspection by Fire
Other
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ X1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Perm' Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-M2 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.orca
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes 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 A /1'1 W 'j x st k1 A Q
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In -Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening inspection
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA076380
Eagan, MN 55122 . Date Issued: 01/10/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 3879 Gibraltar Tr
Lot: 23 Block: 5 Addition: Lexington Square
PID 10-45075-230-05
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk
Elder-Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, M N 55420 952-345-6040
Fee Summary: Surcharge - Based on Valuation $3K $1.50 9001.2195
BL - Base Fee $3K $88.50 0801.4085
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Home Depot At Home Services Michael Knutson
656 Mendelssohn Ave. N 3879 Gibraltar Tr
Golden Valley MN 55427 Eagan MN 55122-1533
(763) 542-8826
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.
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN Remarks !dJ ? v' " ) ' ??? • ''` `'-'? -%
Addition LEXINGTON SQUARE Lot 23 eik Parcel 10 45075 230 n?'
Owner srreet 3879 Gibraltar Trail Scate Eag?an, ?SN 55123 _
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 254.53 C009788 10-I2-84
EWERLATERAL bE?n trk 1986 173.65 1138 15 173.65 C010133 1-28-85
WATERMAIN 1986 68.33 4.56 19 68.33 C010133 1-28-85
WATER LATERAL
WATER AREA 286.43 C010133 1-28-85
STORM SEW TRK 1986 501. 29 33.42 15 501.29 C010133 1-28-85
STORMSEWLAT 1986 513.81 34.25 15 513.81 C0101-3 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
,... ,. : . - a
, •-, ,, 3830 Piiot Knob R d! P.O. Box 2G-A1 8, Eagan, MN 55121 12127
. PHONE: 454-8100
BUILDING PERMIT • Receipt #
To be used for SF DWG/GA12 Est Value $8Z? 000 Date •T VNF: 16 .19 86
SiteAddress 3879 GIBRALTER TR Erect 13 Occupancy Ki
LEX INGTON
Lot? 3 Block 5 Sec/S
b SQjIAI$Ernodel ? Zoning R 1-AD
u
.
Parcel No. Repair ? Type of Const. Vn
Addition ? No.Stories
Name '1'ri?,' ;30TTLUNL7 CO iNC Move ? Length 611
z P
O
BOX 3 f3 3 Demolish ? Depth 44
.
.
o Address Int Impr. ? Sq. Ft.
City Phone 571-0304 Install ?
o Name S?"? AppfOVBli rses
? i Address Assessment Permit $ 379 . 00
~ City Phone Water 8 Sew.
P
li Surcharge 41.00
189.50
Pl
R
i
N o
ce ev
an
ew
575
00
I W a? Fire .
SAC
Address En 500.00
t
C
W
g. a
er
onn.
i W City Phone Planner Water Meter 63 . SO
Council Road Unit 290:00
IherebyacknowledgethatlhavereadMisapplicationandstatethatthe gidg.Off. 6/4/86 Tr.PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City 'Eapen Orcjinar?ceg. APC Parks
Var. Date Copie
Signature ot Permittee Total ?' '? ?
A Building Permit is issued ta `1'it G r2GTTLU[JD CO ZNC; on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances
Building
I I Pormit No. 1 Pamll HoWer I Daft I TNphone N I
Commenh
Occ.
pbp.
o a , PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3630 PiL OT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE L I '?C. PHONE: 454-8100
Site Address r' `' _?BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Su ;- i?--
-'t
?- N
ew
es.
? Name - ? r t r lt A
dd-on
Mu
as Address ' ' , ? Comm. Repair
c Ci* = C. id L,? V:I ! Ir L; Phone -? ON
1er
Name r ?! ? . ' • FEES
3 Address •? RES. HVAC 0-100 M BTU - a24.00
p City !- PhoneI c ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
-TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
Forced Air
M BTU
' GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heaker - M BTU MINIMUM - COMMJIND FEE - 20.00
Air Cond M BTU STATE SURCHARGE PER PERMIT - .50
. (ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping OuUets #
Other
FEE: '--Z
S/C: `> r SIGNATURE OF PERMITTEE
,
TOTAL•
FOR: CITY OF EAGAN
Site Address 3°
Lot a ? Block
m Name
m Addre
c City _
? Name
3 Addre
p City
COMM/IND FEE - 1% OF CONT
MINIMiJM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERA
(ADD $.50 S1C IF PERMIT PRICE
BEYOND $1,000.00)
SIGNATURE OF ILI
PERM(T #
• PLUMBING PERMfT RECEIPT # (?-D J ? !
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
PHONE 454-8100
BLDG. TYPE WORK DESCRIPTION
Sec/Sub
:cr ?
Res. x New ?
r!' Mult Add-on
= Comm. Repair
Phone ` Other
? Np FIXTURES , T9TAL
00 $ ?-
t_Water Closet - $3
. .
..
Bath Tubs - $3.00
Phone" ~ Lavatory - $3.00
T-Shower - $3.00
i
Kitchen Sink - $3.00
tACT FEE
- $10.00
T _ ? ?
GOES ? Urinal/Bidet - $3.00
, Laundry Tray - $3.00
Floor Drains - $1.50
' Water Heater - $1.50 '
1Nhiripool - $3.00
i Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10
00
_. .
Private Disp. - $10.00
? Rough Openings - $1.50
FEE:
FOR: CITY OF EAGAN
STATE 3/C: r
' ? ?-
? ??
GRAND TOTAL• 3 '?l
, PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
:E: PHONE: 454-8100
. ? ?
? Name
? Addre:
<
? Name
3 Addre
o CiN -
FEES
COMM/IND FEE - 146 OF CONTRACT FEE
MINIMtJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000,00)
BLDG. TYPE WORK DESCRIPTION
Res. New Muit Add-on
Comm. Repair
Other ?
?
;
NO. FIXTURES
t
W
Cl
$3
0 F
TOTAL .
er
a
oset -
.0
$
Bath Tubs - $3.00 ,
Lavatory - $3.00
Shower - $3.00
Kitchen 3ink - $3.00
Urinai/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Oudets - $1.50
?-
Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C: ' -
GRAND TOTAL•
FOR: CITY OF EAGAN
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. 0. Boif 21199 PERMIT NO.:
' Eagar+. MN 55121 DNTE:
Za :np: No. of Units:
Owror:
Address:
Sft Addross:
Pluriber: - - - -
Mattr No.: Connectfon Charps:
Siu: Acaourt Deposit:
Reodsr No.: Permit Fee;
1 Nm h es-ply wft Nw Ciryr of iop¦ Surohoroo:
arawdaaL Miac. Chorgos:
Totol:
By Dor. Paid:
Doh of Irap.: Irop.: ?
CITY OF EAGAN SEWER SERVlCE PERIINT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: .
Esgan, MN 55121 DATE:
Zor.inp: No. of Units:
O1MRoC
Addf'ESx
Si» Address: ;P74 Git: ,l* a,•
Plumber.
I oem h ? Pb wob 00 My of lopA COIRA4t;0n CRMei ' 3 .? ?- ^ ..
Y?mamL f1Gcoun[ Dv"f: r
PefRXI Fm:
`iYrMhYrge' .
ey Miu. Chorosr
DaM of leap.: Tatol:
Inso.: Daft Pald:
55121 D/??
J: IVo. of Units:
°.c) S-.s;:.i , ; r. '' n , ? • .
tAddros? .
A?rol?
?F-
wnber: _
r No. ? on
m..??
,, Mork
No.: sN 30
tyna !e e?wrl?r ? 11w t"? Su
w
Totol:
! i?.-.... Dot? Poid:
r
O} IRip.: Ir11P.:
$- Za ? $6
EAGAN ` :,?ICE PERNUT
Knob Road ??;?F,?,• PER
21 JI?F?"1V0.:
199
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N° 12127
N•
PHO E.454-8100 c
BUILDING PERMIT Receiptp ? 3 7
Tobeusedlor SF DWG/GAR Est.Value $$2,000 pyte JUNE 16 1986
SiteAddress 3879 GIBRALTER TR Erect ?J Occupancy R3
Lot 23 elock 5 Sec/Sub. LEXINGTON SQUARfimodel ? 2oning Rl-PD
Parcel No. Repair ? Type of Const lln.
Additian ? No. Stories
a Name THE ROTTLUND CO INC nnove ? Lengtn 60
W P.O. BOX 383 Demolish ? Depth4r4
a Address Int. Impr. ? Sq. Ft
ciy OSSEO phone 571-0304 Install ?
a nJAME Approvals Fees
o Name -
$ e Address
? City Phone
ua
?w
_z
az
Q W
Assessment
Water & Sew.
Police
Name Fire
Ciry Phone
Planner
Council
Iherebyacknowledgethatlhavereatlthisapplicationandstatethatthe Bld9 Off 6 4 86
information is correct and agree to comply with all applicable State of
Minnesofa Statutes and Ci a an Or ' anee?/J" APC
Signature of Permittg? Var. Date
? OTTLUND CO INC
Permit $ 379.00
Surcharge 41.00
Plan Review 189 . 50
SAC 575.00
Water Conn. 500. 00
Water Meter 63. 50
Road Unit 290.00
Tr. PI. 156 . 00
Copies
Total `?00
A Building Permit is issu d to: THE R on the express condition that
all wor9shall be done in accordance with all a 'cab Stateot Minn sota ta and City of Eagan Ordinances.
BuildmOffiaal -? / ? -?-? ?
. 5-1.. F (: /? / ? .. , • . ,
,'?A i ; • . .
1986 BIIILDING PERlIIT APPLICATIOH - CITY OF E9GAN
AOTE: ALL C019TRACPORS MOST Bfi LICENSED AITH THE CITY OE EAGAN
` SINGLE F9FIILY DKEI.LIAGS
INCLUDE 2 SETS OF PLANSt 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
? -
' MOLTIYLE DWELLINGS - RFSIDENTIAi. RENT9I. ONTTS FOR SALS ONITS
INCLUDE 2 SETS OF PLANS, CERTIEIC9TE OF S08YSY - CHECB NITH BLDG. DEPT.9
1 SET OE ENERGY CALCULATIONS
COtMRCIAi:
". INCLUDE 2 SETS OF AACHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
.ENERGY CALCULATIONS, .
$2,000 LANDSCAPE BOND
?
To He Used For: /,??Im 4J?/ ;rSValuation: '"- Date: n
(
Site Address 77ea9/L
Lot c Hloek J?
Parcel/Sub kQf \ 57- "n1
Owner,?l: 7?.nTtZ u.>S? C_D, (A)G
Address 04L), -&TS-5`a3
Erect ? Occupancy ?J
Remodel '. i Zoning
Repair _ 'Type of Const ?
Addition # of Stories
Move (.ength
Demolish - Depth '
Int.Impr.'" Sq Ft
Install
City/Zip Code F?'S5EC7f/'h? cll .562
Phone,
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/2ip Code
Phone #
APPROV9LS FSES
Assessments, Permit 3?
Water/Sewer Surcharge
-
Police Plan Review' J89
Fire, SAC 57
Engr Water Conn SQ'?
Planner Water Meter
CouncilRoad Unit
t P1
' ?
Bldg Off 4 Treatmen
APC Parks
Varianee " Copies
iOTAL -
7
-
AOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNES MUST DESIGNATfi WHICH ADDRESS
IS DESIRSD. NO CHANGES WILL BE AI.LOiiED ONCE BIIILDING PERMIT IS ISSOED.
?
_? .
EXTERIOR ENVELOPE AVERAGE "U" COtIPUTATION -
' owNEx -(' h? (2. o T'T
SITS ADDRESS :3 6
CONTRACTOR SAM ? DATE' .? pHONE ?J7I-0304
Determine working square footage of each.
1. Total exposed wall area ...... 21 -JG sq• ft. x.//f =(2, `"f ?S
2. Total roof/ceiling area .... .? sqi ft. x#026 -7
Total exposed wall area above floor = ? ct 3 b.
? a. Total wall window area ..............................
b. Total door area .................................... 3`E
c. Total sliding glass door area ..................... 'f U
d. Total fireplace wall area ....................... . ?
? e. Total wall framing area (average 10Y,) .............. / 70
f. Total net wall area above floor ...................... J / '?i?_-
....................... ....z-
g. Total rim joist area .................................
,
Total exposed foundation area 7
.............• ?
h. Total foundation window area ..........
? i. Total net foundation area above grade ............... 7 -2r
Determine "U" value of each wall segment.
a. g nUn b 7 n X,gUlf z1 6C:1 ,
C. ? v X„U„ ? y 6 = i?, ?ro
, a. V x ItUli v = ,i
e. / 76,2 g°v, , b`ts 1-4 7°!
, f. 1 536 g.?TU„ n0q2 41
.S
? g. / 6 2- X „UN, ??d '
.g
: h. ? X IlUn v.' - ?
: - ,
1. 7X„U„
3 ......................................Tota1
If item I! 3 is the same as, or less than item 111,?yove met the intent
of SBC 6006(c)2. '
Total exposed roof/ceiling area =
Total gross roof/ceiling area = I/
j. Total skylight area ........................ ?o
! k. Total roof/ceiling framing area ...........
• 1. Total net insulated roof/ceiling.area ...... I 3 21 Determine "U" value for each roof/ceiling segment.
J. ro x?,U„ oyV = 21 (? 1.
k. q S? X„U„ 213U
1. ? ?.> ? ? % ??UT1 t3- 0 j$ .
)
4 ..................................... Total Z-
If total of ll4 is the same as, or less than (12, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values established Uy the
sum of items 113 and fi4 shall not be greaYer than the sum of items #l and 112.
zc-Ii- Sq + z. 36,76 . ?
s. l0;7`l??S + a. 3'%10"L
,
;. ,
JTE: Use 10%'oI opaque wall area for
:f;ame construction
? . ' ; l?uyn d OL 4
Construction., _ ? ' ? t"•a. ' ' '
R-Value
1. Interior air( film ' 0.68
2. '1L"G-Y P 13 R 1) ? 4 S
3. 1u[? s-rvoS ' (oo$S
, 9. 2 S/3 2 5 I-r re-.-
' 5. $/O/.li(s UvEIc_ FECT ? ti 2?
6: Exterior air film 0 .17 ,
Total S'
00S -7
1. Interior air film 0.68
2. Il1"GYP' 13UZ' D a 4157
3 . FfJL L [.t/LI [.4' ' ??LSGG / % tJU
9. Z 5/32 '?yy7C> 2 OG '
5. 51 l.?-f/G O V E.p .F. ELT' J o Z(-?
6. Exterior air film 0.17
Tota1 2 3, 6 Z'
1, Interior air film'. O.GB'
2. /?vSVL • .• /?fUl?:
3. T21 r/( /6•4'S8
4. '2 S/3 ? S I?I'T'C?- 2 o:OCo
f> VOE?-/"G ? t?:74
16. Exterior air film 0.17
Total 2 $,d S
.D`/-U
1. Interior air film 0.68
2. : i
3. 2?FI Fu2 21 N C?
n. i20.wc, /?cr?crc_ /.LFS
5. '
6. Exterior air Eilm 0.17
Tota1 /3,/3
. . •
? .. v ,o??
. ' .
' ° • "
..Str=. ?-??'T ?? • ` r . ?.
? ?` • '
.
,
ir?,,. . . •,? , ?
(l I ,. ? . - .-' / I 1
sxc; rra
.
c P/
•? o -
. y n
, • ' '"RCAP/CCILTNG
?? Y1
, I
?
• V'Zr iT
?
J?• •
Vented Heat £Low.
. up , .?
FTG. #5
? • ,
.. . • ? .
• i ?
i
Y,e:.[ Flovr up • •vented
.' ? ? ,? • ;?
• , ,FIG. A6?..?... • •,. ? :' ... ,'
•_ . . . ---•- -?. . , - • -
't .'
u
• 210i7-?Lhh"TP.D • • ? • .
", i? , • '..
? ' . Hent ? '
? ?flow up ? .. '
. . ?. . , , .
I : . , • .: t`
47
. ? .
Construclion ?
. ?
; . .
1t?Valuc
1.' Interior air film , . 0.G1.
2. 5/R" C?Y 'I? i3 RD o SS
3. RLDwN .3
4. Exterior air film (still 0.
-'- Total 31:?, gD,
evzs
• • 1 • .
.
'
. • '
.?
'
?
,
. .
?
i
?"?'''t- : • ,
1. Interior air film 0.61
2. S,. C? YT? 1??Q? oS8
3. /N5!/L OfJNL T/2U5$ 37(,,l _7
A., Exterior ai.r film sti . I-
. . Total j
? . .027
. .
• . . • . . '' , .
' ' , i ..I •
, '. i ' . .
1. Insi.de ai.r filin 0.61
2.
3. . , .
9.
5. Outside air. £ilm 0.3.7
Totdl
. ,., . .. ..
• ?: ? • • ' •
NoCC: Use addi.ti.oital sheets -iE mora spaco i.s
needed for delails and calculaCians.
' • ..
3)
?
?---
HEAlf LASS CALCULATION• -IQ-2 TEMP. DIFF. •
Cura"w NrM Fa-ffbhd Tron C.e sn+eeinw -+?-
N
CM _x Windew? $tWT SO*
?
c,sa, N,T,. MtME HEATING L`ia rntiQTQN" iNe._ w.lk I^c
sn.w firA Maedelcsohn Ave4je C"l'"g
ciry -• Onki.., v.w]e*, Mfnne? 06?°c- Fwe. _.. _ ?
I Ncamil@nql% ,j(p Wi
and Doort-G+ekap Wd Arm
YO p O?M OI p?N l 10t? r M
Yoo. Ytu
Mfdtrsnen
G isa
Esp. ws0 rJ )C L
No1 oxO wall Z 1 .
Int wall
c«?ing So eo8
f ioo. 4 z o
roni ecu- - I 318 h` _
FI.IC?GUJ I Rooen llwqtA !Y w?aeh /Z N.wnlY
u1....r..... ,M noe..-Gaekaew rd Arr I
4?
O? Owy OI ry
l
N 4?? A?
?«.
low. etu
I nf ?Itl???on
GNr
Eup.w.ll 26X` ?
rk, e.p..wo
Int wNl
Cnlin9 /.t Z 6 Z 3 G
? ro?. b P 'Z 33
WiM?
Aoom
aM
ad Arm
M•
~?
N •
^??
H w .. u... n
w N nw? •.?
? ??
?
Collf. O'Y
Glnt
E¦p. wo$
i (o `I
Nw nP. won by L S?
IM.vwll
c«iim I z- n Ff ? 9? z
Floer 9!. Z-
TotU Btu.
771 F +< Ya IliaoTiLM+qth /'Z WidM H?? Q
windewf and DoarGo04 rtl Arm
M?.
y?w?
? w. w u?..? «
? w N n?sa •.?
Y{Ia. BtV
l11f1kTif1011
Gur
E.o. wal? xB?
N.e..o.w.n `?O
yo ?/
I (Oo
Int. wNl
Gdinq /2 X? (c0 ?ZO
Floor foJ Z LO-
Toul Btu. I F1o0
LF1.IF2?
Windowaand
.. ,3H z
G4s
NR Mp. wan
IM.vwM
Z
+ti ,
HEAT 1055 C/1lCULATlON ° YEMP. DIFF. ?
tomw N? _--.-Pstu-F? Trt? ?xtion ? r1 .1/
Windm" Stann Smh ,
J?1? Nam?. Wdh Iro. - ?
Stte:: ------- Gili^g
City ' fleer _... ??
- ---- -
and Ooon-Gaekaow and ArN _-Wi pM OaorrG?d?p? ?^d NY
?e w.a?
?? o?ti ••,,M'?
e? n?r we a
•. 4w.pn.
a? enw ?
?? ti '7&U
9od
O 2 8 Z-' 2a
? ?S
coo. Utu
lafdtntien O 00
Glaa 1/1 150- 17 ?
-
Ewo wall /CFj C
Ne np wsu . 231 I
Int waa
c.tl;ny 13 k /8?- `1 f•
Fl,o. ? Z 6
Toul 6tu. -
7 i.K-- ? RoornlL?n Ih Q Width MIP 1011
Wmdows Ouai-Gacksp snd ArM
F? w.mw
e? wn? w?yw?
N M M? N
? lwrlA.
M?wM ??
A. h.
I
8111
cl,e 3o Sb i SOo
Eap. vwll Zo Ff
Nel CrD.wa11
Inl. wyll
Gdng Ok I ?'
1 kKr
M?.
...u ,
..o. wsu
.Ado
Tonl etu.
? n_i ?? ?Y RooTl Lrqth 13 wi
Windows rd Dowa-Gwlcoqr rnd Arn
1U?1 R. •
M.. r= :M? M 1N ?nw
. .w ?ruw
r
lkY
GIas
Exp. wNl .
No1 Oi0• Viol
Int. wMl
Windows and DoorrGsekeP aM Mm
w. r ?w.r n. ?
`.. i??r n? ll?w M a+M
Glar
Eap. wll
Not ve. wall
im. woH
az
+t s t>4 ).¢ 3 0-l- 3
-,
HEAT LOSS CAICUII?
6ity _ r
Drlw NMM. ?a
'%15tfM ?--? .w
City
Dows-Gackaqr and
yo w.ww
+ wti w«M•
er n?M ne M 4w h
t w s? uwY w
?. M ?
.?
a 3ce
caa. rm
Infdtrs?ron I
i
'Yol
D
cl+o ;zR 1 oU
E,p. w+ll 8x zz
N4f eNa wtll
LS
Int wall '
Cnlinq tep X"'/T
F Mar
Total Btu. - I Y.SRV
3 FI. oornllogth /(j WidhhQ` Meiyu
Windows and Ouas-Gaekaqe wnd /Mn
tio w.n?w ?Nw?
e? ww? s? M? N
l L~M.
N?wM ?w?
N
ZO (e 2? ?O
Co?if. BN
Inf,nratan ? Ya 1/90
Gur Z7 300
Emp. wll SK ?
Nn erp. wall 3 ?-
Int. wall q ? OO
Cnlon9 6p ?c
? wn. 0'?5
Total 8tu. I s3-
f I.I Room I Len A MIidkA INi t
WwwMws arM Ooon-Gsek aq? wid /kr
Nn ?nNr M?Y?? h? ?1
•?? .w nr ?... ? l? l\.
N aw
a M
CO?I. BIY
(n1illfitqn
G?as
Eso. w+u
Not *uP. wall
Int wall
Cfil?ny
Flpn
Toul Btu. 9
17
37f?
5a, I I I
Ti+ON ?° TEMP. DIFF.
7? Gon?ernetbn
9
Windewa Stam Sn11
Walb IRL
Cwliry
floer
FI.I RoornllMqth WidM INi f
Window? md Oowt-Gsacep MA Arr
?N. a•e a w N n?. r..
. co.?. eN
?nrRn.cion
Gt?
e.n. .wu
Nq grP. wNl
Int. wNl
Giling
Fba
Total Btu.
FI.I Room IL h WidM H'
Windowf and Doora-Gackap Wd Arr .
M?. r.ww
N w0.0m
1 w w• w u~ w.
L? w uM ?.r
H.
Cod. !tu
I?ihntiOn
Glar
Erp. wMl
NM H0. MiMl
Int wall
Gdirq .
f loor
Tccd etu. I
fl.l LwWh Width moio"
w'udom and Oms-Gmdcpm Md Area
?
M YM
M
l w 6~ w.
N? ..w
??
?al. 9tu
In/?IM?tan
GUr
E ?P. vall
IWt iniP. rwll
Int. wNt
CNlinq
Fber
Total Bsu.
conhPct"d IoG
b?o Gi?sl, A?r inl+9k?
To-hil N-??r? I-oss
CITY OF EAGAN
APPLICATION FOR PERMtT
SEWER AND/OR WATER CONNECTION
*A1'G': PAYMf:TTI' OF EEE AT TII+E OF
APrrscaMoN DOES Nor cOszzTM
APPROVAL OF PFI2NIIT.
INSPF]CTION OF SD1EEt ANID/OI2 WA1ER
nSrar.ramrONS WII,I, MT BE SCHED--
ULID UDTrII, PERMIT HAS BEFSI
APPR(JVID.
Please Print
^
?1) PROPERTY ADDRESS: ?$29 ?'n il lj A) I Pr1- T v w!14.
LEGAL DESCRIPTION: "
Lot Block Subdivision or Tax Parcel ID
IF E:QSTING SIRLY,'IL`RE, DATE OF ORIGINAL HLILDING PERMIT ISSL'ANCE:
(MOnth/Year}
PRFSENf ZONING/PROPQSID LTSE:
COAT•E2CIAL/REPAII,/OFFICE R-1 SINGLE FAMILY
? IAIDCTSTRIAL ? R-2 DL'PLEX (Two Units)
? INSTITL'TIONAL/GOVERbAENp ? R-3 TUWN300SE (Three + Units) ( L?ni.ts)
. q R-4 APARTMh21T/COPIDOMLNIC,TI ( Units )
2) NAME: N?ck eL so ,,( Pd-?
ADDxESS:f3 o x / ;L F- ..
czTr, sraxE, zzP:?C C z401 ,Pa WA n/ So 7 J
PxorE: 413 s- s/ 7/
3) ??: ?•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: MASTER LICEP7SE#
Plumbers License:
Active
F?cpired
Not recrorded
Sta?f?Initial
q) W??
?:_T+ e'12
,
. aDnxrss: 4'••O. f3?X ? R3 '
CITY, STATE. ZIP:et S Sg 'n
PHONE:_'IT
,
-5) ? :? v ? ? r: • ?• : ? • ?? • ??
? C'ON[gX.'PION TO CITSC SEVEt2 10f CONNEC,`PION 7.0 CITY WATER ? OTFIER ' .
y??i
6) ?? ?• -• r 2 E HOLD APPROVID PEf2MIT FY)R PICK-IIP BY ONE OF ABOVE ---` tPIZASE MRII, ApPROVID PERMIT 10 1? 3, 4. ABOVE
A A • (Circle one)
7) r r. a..
FOR CITY USE 4NLY
PERMIT # ISSL'ED '
7G ? 1,f 6
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SL'RCHARGE)
$ WATER PERMIT ( INCLODE SL'RCHARGE)
$ (a3' S-76 $ WATER METER/COPPERHORN/OL'TSIDE READER
$ S WATER TAP (INCLUDE CORPORATION STOP)
$ S SEWER TAP
$ $ ?5-•0'0ACCOLNT DEPOSIT - SEWER
$ $ / ti? •(,J- D ACCOC'NT DEPOSIT - WATER
,•--?
$ _ zd O- Uz?l $ wac
s s7s- ? $ sAc
$ $ TRL'NK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SIIRCAARGE
$ $ OTHER:
TOTAL
G3?? ? ??L- Q-3
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MLTST BE ISSC?ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
?nis rnquest witl !^ ? r
18 mpn?hs frOm . & - ' I ?? J ? ?
C 3 5 0 4 6 L--1 ', Y y -7 -
Re esc Date
7
? Fne No. " RSvgh-?NI sveclwn
quuetl?
?es ?NO /
Qheatlv Now ill Nobty Inspec-
?or When Reatly
? licensed Electncal ConVxctor I hareby request inspecnon of ebove
? Owner etecVicel work mstelled eT
Str
eet Address, eox or Poute No. G
y
%?
'
? -7 q (--)'
ectron o. Townshr0 Name or No. Range No. County
V`
D pantlaiINT? Phone No.
Power SuOOlier Adtlress
ctncal Contrac[or pmuan) t ' Cy(rtrxcm
Lic
nse No,
? -
M
a?iline A
tl'd
ress (ConVac r or /O??yner Mabng InstatlaUOn)
?
?
(
/
1 ? V I_l J
Au nzed Si namre (onvactor Owner Makmg Installation) Phone Numbar
5 S??- 8?od
MINNESOTA STATE BOAPD OF ELECTqICITY ? TMIS INSPECTION REQUEST WILL NOT
Griges-Midwey Bltlg. - floom N-191 gE ACCEPTED BY THE STATE BOARD
1821 University Ave., St Paul, MN 56104 UNLESS PXOPER INSPECTIDN FEE IS
Phone (612) 297-2171 ENCLOSEO.
_&o pEQUEST FOH ELECTRICAL INSPECTION ea-ooooi.na
1 See instructions far <ampletirg thrs torm on beek ol yellow capy.
35046 "X" Below Work Covered by This Request !5 ?
Add ReO. TY e ot BuilOing Applmncea Wired Eqbtpmenl Wired
ome Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Bwlding Dryer Electnc Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm om?, oeczi v enu, ts".:lfv)
TFZ-, uccify iher Othcr
Comoute Insnection Fee Below
N Fee ServwaEntreneaSize It Fee Faeders/Subfaeders N Fee Circmts
0 to 200 qm s 0 to 30 Am s 01L,3
0 An? s
Above 200 Amps 31 to 100 Amps Q 31 to 100 A
Swimmin Pool Above 100-Am s Above 100_Am •
Transtormers Irrigation t3oorc-s Partial`Othor Fee
Signs Spenal Inspection ?
TOTAL E
emerks
E_Ao
PouBh-in
? Date
??O ?, the E el
InsPactor, hereby
certrty tMt the abpve
Final ?nte pection has baen
da.
ThN reQUeat vob 18 monihs from •--
Yun U11. 6/ I ImIlle
N)6 wyr.r Mu 16 M(
M'niWn'.. Y.n.. 66411
' , 1 wA hd.wW ar...m.? ? a.. T.uw .Lw ?.,..?w . i.W /-...y
,.
Cortifiowto
ot 9urviq tor POTTL UND CD.
4
NORTH
W
o\9
°o
o ?
o?
?
6q? ?
5. 89 °oo'oo ° E.
/375?
....
- =`?--- ° o, -- _ 30.0
r---- -- -----
o
' I
i /?- 26•5./; - -? ?
I ?
? . ,
Pao PosEp
? ? `" ?410USE i ? j ?
?-
? d ? z.33 ? Gaan?[r D?CI?Jt=?p1
I---------------------?ALS/.o ?p --?
. ?" .. _ 30.0 ...
/36. 57
S. 89°00 oo°c:.
--------- Denotec Orainaje
Naelnpt Slwwn a?e Aisurtd.
a Omtes Iron lbnusnt.
4 OMtn 10'm Founmtlon
Corner Stake.
rqoovOenoUt Extsttng Etevatlon.
¢ Uiiliy Eastmen}
?) ti
Suum Ueu 1
/ZZO3N.co/e ?vSao.
?rir?r. Yrra? M?l
? I
?
Ou o
(hac o?
L o
?
?
?
C?
ti
PIqPOSED ELFYAT1p15
Top of Blxk 896,3
t.awst Floor
C,anye Floor
,..--Owwta 01hct1on of Su?face Ora/naye.
L.oT23 , 9LOCK 5_-
LEXINGTON UARE, oAKOm Cou wTr, MlIVN.
Subjecf fo alr4!?7a? ¢ UFi hf? easements
1 Iwr??? #WN1V gMg rMls ba g•** SM 4wnu i"WoNolN11M d• ?r•.?? oI fM* Mwll..10, d 0&0 NM!'!
Mril?M bndi, W M'sM I04011w d h{III 1borww. M? NI dd?b Isw ?r w
wN bM. A• or•q+1 ?? w. r???Mv 01 •.s. N-'4
? YRSAM sMaw gatNA, C.
cale: =30?< <?•? ..?..?...
.
NYIIYYhdlp.AllR1ObNwMVW FIp ?Jrs? S&oZZZ
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144437
Date Issued:07/26/2017
Permit Category:ePermit
Site Address: 3879 Gibraltar Tr
Lot:23 Block: 5 Addition: Lexington Square
PID:10-45075-05-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sakawdin Mohamed
3879 Gibraltar Trl
Eagan MN 55123
(651) 235-1349
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(763) 476-1990
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170495
Date Issued:07/06/2021
Permit Category:ePermit
Site Address: 3879 Gibraltar Tr
Lot:23 Block: 5 Addition: Lexington Square
PID:10-45075-05-230
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sakawdin Mohamed
3879 Gibraltar Trl
Eagan MN 55123
(651) 235-1349
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature