3927 Gibraltar Tr
Use BLUE or BLACK Ink
r
For Office U> ,e
I 1
Permit #:C//~
% I
City of Ea
ov
d E Permit Fee.
3830 Pilot Knob Road i r I
Eagan MN 55122 I Date Received: V
Phone: (651) 675-5675 I I
1 Staff:
Fax: (651) 675-5694 L -----------------1
f 12/010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: C ~C 7 t t Site Address: Z- -t~-A c-h -7 -Czi Tenant: k N Suite
RESIDENT / OWNER Name: 6. y s pad (71 Phone: / Z'
Address / City / Zip: f 6 Z7q a~
CONTRACTOR Name: _ Q lC ~g P&UA•t Q//X C -icense o U s "~~hi
S t ~ ,
Address: •36 City: ~
State: " Zip: Phone: td 1 ` 3? Z 11,3
Contact: X-13l-- ~ Email: ~
TYPE OF WORK _ New Replacement _ Repair - Rebuild - Modify Space - Work in R.O.W.
Description of work: r-e ,S.e,t r J' (f~ amt 46*-a
RESIDENTIAL Y,R ~ J
PERMIT TYPE
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) 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.gopherstateonecall.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.
x x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground -Rough-In -Air Test -Gas Test -Final
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA083695
Eagan, MN 55122 . Date Issued: 06/19/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 3927 Gibraltar Tr
Lot: 15 Block: 5 Addition: Lexington Square
PH) 10-45075-150-05
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: Expired Permit -Closed w/o Required Inspections. Letter sent to homeowner 1-16-09 pf
Permit expired without required inspections. Letter sent 2/20/2009 CE
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Champion Window Company of Mpls Michael Pukay
5100 HWY 169 N, #B 3927 Gibraltar Tr
New Hope MN 55428 Eagan MN 55122
(763) 574-2054
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
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA083900
Eagan, MN 55122 . Date Issued: 06/30/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 3927 Gibraltar Tr
Lot: 15 Block: 5 Addition: Lexington Square
PID 10-45075-150-05
Use
Description:
Sub Type: e-Siding Construction Type:
Work Type: Siding
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: When installing ventilated soffit material, remove existing soffit material (i.e. debris that could block vent openings) and
take steps to ensure maximum ventilation into attic space.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Champion Window Company of Mpls Michael Pukay
5100 HWY 169 N, #B 3927 Gibraltar Tr
New Hope MN 55428 Eagan MN 55122
(763) 574-2054
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
? CASH RECEIPT i
CITY aF EAGAN
3830 PILOT KNOB ROAD
!. EAGAN, MLNNES(*A 55122
DATE
19 -
RecEivEo
FROM
AMOUNT $ I
& DOLLARi
1 oo
? CASH E]CHECK
ROR
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG. PERMIT N0. .17
?- Jj-
?
01-3210 '?--
Bldg. Permi* =c?
01-3422 Plan Check
01-3445 Surch. /Adm.
01-3446 SAC/Adm, i
01-2155 Surcharge
17-3860 Road Unit .? ?, j?•v
20-2275 SAC ?7 ? ! J 1?
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water MeteY
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3$66 Sewer Conn.
11-3855 ?
Park Ded.
? TOTAL
?
'
-
V A
G
!
? 12+93
?
?
• 3830 Pibt Knob R d
P.O. Box
Z
-
1 9, Eagan, M N 55121
i
t PHONE: 454-8100
BUILDING PERMIT V'
Receipt#
Tobeusedtor ??F UV46/GAR Est.Value $74.000 Date OCTUI3ER 22 19 85
3927 G I BRALTAR TR
? 123
Site Address Erect L Occupancy
Lot 15 Block 5 Sec/Sub. LFX I CJGTaN SQUAItEnodel ? Zoning H1
Parcel No 1 ST ADD Repair ? Type oi Const V
. Addition ? No. Stories
¢ Name
METRO CUSTOM HONIES INC Move ?
Length 6
W
; B()X 1049 Demolish ?
Y.O. Depth 46
Address
Int Impr. ?
B'VILL?h
° Cit
454-9383 I
li ? Sq. Ft
y one
nsta
rc
0
0<
a
?
-
W W
U?
a=
< W
Name SAME
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Permit ? 355.00
Surcharge 37.00
Plan Review 177.50
sAC 575.00
Water Conn. 500 . 00
Water Meter 63.50
Road Unit "- 0
STr. PI. 56.011JI
Phone
Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to compiy with all applicable State of
Minnesota Statutes and City ot Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: METRO CUSTOM HOIviES I
all work shall be done in accordance with ail applicable State of MinnesoC
Building Oflicial
Bldg.
Var. Date I Cc
To
c on the
Statutes and City of Eagan Ord
that
41g7 - Cp la
I x I Permft No. I Pwmft Holder I Dnts I TNephons M\I
0
Finsl
Oec.
Fty.
Frmy.
PERMIT # =3 'Z-
' ' • MECHANICAL PERMtT RECEIPT #
• CITY OF EAGAN
' 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
:ONTRACT PRICE: PHONE 454-8100
Re Address 'rj BLDG. TYPE WORK DESCRIPTION
ot `J BIoCk Sec/Sub /
Res. ` New ?
? Narrre jj ? Mult Add-on
Address r ?
? ,- Comm. Repair
c City /? "t " ) :7I K ' Phone Other
?
c
p Name -21
Addr ? 1• ?? C
City ??/i Phone FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
-$24.00
- 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK r`?
?) GAS OUTLETS
' - 1.50 EA.
Forced Air - M BTU COMM/IND FEE - 1% OF COM
RACT FEE
8oiler M BTU MINIMUM - RESIQENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT -
50
Air Cond. M BTU (ADD $.50 S/C IF PERMIT PRICE GOES .
Vent CFM
a .. BEYOND $1,000.00)
Gas Piping Outigts #
Other
I
FOR: CITY OF EAGAN
FEE d-5 • -
S/C: 51GNATURE OF PERMITTEE
? CI
,? ? ?/
TOTAL
' ' . PLUMBING PERMIT
• CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
NTRACT PRICE: PHONE: 454-8100
PERMIT # L' C-' C L
RECEIPT # ?J j -?C- /:r
DATE:
Site Address
Lot Block Sec/Sub
y Name _
ro Address
c Ciry
? Name ?
3 Address
O City ?y f6..,LAj Phone
FEES
COMM/INQ FEE - 1% OF CONTRACT FEE
ART 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
BLDG. TYPE WORK DESCRiPTION
Res. New ?
Mult. Add-on
Comm. Repair •
Other "
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
-4_Water Closet - $3.00 $ %rc
Bath Tubs - $3.00
1 Lavatory - $3.00 3,r:
-L_Shower - $3.00 3, v f,
_I Ki!chen Sink - $3.00 3. c,?
Urinal/Bidet - $3.00
___?_Laundry Tray - $3.00 3 , ?
I.__Floor Drains - $1.50 ?-
_I Water Heater - S1 50
J_Whirlpool - $3.00
_-L_Gas Piping Outlets - $1.50 / • -? ?
(MINIMUM - 1 PER PERMin
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
-,-3-_Rough Openings - $1.50 y-A-'
SIGNATURE OF PERMITTEE c FEE: .? ?, Cl
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: ??• ?-?+
INSPECTI4N REC4RD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: t o T: 15
3142r oxBRaL'rnR TR
l f_ Xf N8Tt1M St?l1AltE
PERMIT ?YPT,YPE.
PERMIT TYPE:
Permit Number:
Date issued:
Control No. 075 1
00*9169
s1/0;t/gx
siocK: 5 APPLICANT:
AIIEN CpMST
(612) 688-<8100
TYPE OF WORK:
OESCRipTIOM
kEu .,.
4-sEAsow
-
INSPECTION
! 4s4) J I rocjI .. .
FNAMIN{.x .A
IMSUi.A't TpN FIMAI
?
P :
iN =
PeamR No. Parmk Hold4ir pate Tsbphonr N
S/IN
PLUMBiNCa
MVAC
ELECTRIC %j ,r .
ELECTRIC
impectfon Dste Inap. Commarns
Footings I
Fauntiatlon
Framing
Rooling -
Rough Pibg.
qough Htg.
I9UI.
FIfHp1908
Finai Htg.
Orsm Teet
Flnal Plbg. Ptbg. lnspedor - Nottly Plumber
Const. Meler
EngrJPlan
Bldg. Final
Dedc Fig.
Deck Final
Well
Pr. Dfsp.
TY OF EA GAN
30 4Sot Knob Road WATER SERVICE PERMIT
O. Box 21199
t PERMIT NO.; it 4
gan, MN 55121 DATE:
ning: No. of Units:
r;; ,t.:Y_O,^ ner: '
Address:
Site Addess: ' ra. tar : ra _,.) .exir?? on ,?n,
Plumber. "'ch<<n ca
MeterNo.: S Charge: `??0,'J6gd
siae: Cr9" PoaH vvm .,nnasr. _ i. C;. OOpd
?' y wlth ths C"?-E$b?}3f?$o EtC?
15"
R E Q U I R Ec rge? w
LK
Dste Paid:
te of Inap.: insp.:
3830 Pilot Kn
b Road •'^' " • ¦ ?v ..... ¦
o
P.O. Box 21199 PERMIT NO.: 8244
Eagan, MN 55121
S7 DATE:
2oning: No. of Units:
?
''Ie`r° CustQr,. 1:?cs
Owner:
? Address: -t,
i _ 211 C ra ar _ ra
_ ),ex
r.:; on c;
? Site Ai.dess:
:'c,x^ ??nip ,:.er_ n ..ca
?Plumber.
{ Meter No.: Connection Charge: 500' 0Br";
Size: Account Deposit:
15
' 00r"
,
' Reader No.: Permit Fee: ,` ,???c
" ' ' "?'
1 agree to comply with the Clty of Eagan Surcharge: - 50pd
Ordinances. Misc. Charges: I-' C' ' 0
?'? ?
Total:
By Date Paid:
Date of fnsp.: Insp.:
?
C17Y OF EAGAN SEWER SRVXE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
ZOni^g: No. of Units:
Ovrner. llcJdress:
Site Mdress: • ?
Plumber.
1 yiw lo aa* wuh tie Cilr ef Ee*sm
A'diMww,
By
Date of frup.:
Connsction tharge:
Axount Depasit:
Pemnk Fee:
Surcharpe:
Mise. Charqes:
Totot:
Doh Poid:
CITY OF EAGAN Remarks
LEXINGTON SQUARE
Addition Lot
Owner
Street 3927 Gibraltar Trail state Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 254.5 16.97 1 254.53 C009780 10-12-84
-=SEWERLATERAL e trk 1986 173.65 11.58 15 173.65 C010125 1-28-85
WATERMAIN 1986 68. 68.33 C010125 1-28-85
WATER LATERAL
WATER AREA 198 2 Z$6.!}3 C010125 1-2$-$5
STORM SEW TRK 1986 501. 2 33.42 15 501.29 C010125 1-28-85
STORMSEWLAT 1986 513.81 34.25 15 513.81 C010125 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC
PARK
• CASH RECEIPT •
. ` E d/ 2 _ >1
?Yo
ATE 19 _
RECEIVED
FRpA
AMOU r g ?-Gv
9 DOLLARB
ioe
? CASH ? C K
Foa ?? __ O
6'S?aL 7 ?.?A ,. ?,
rUND I CODE 1 AMDUNT
6
U
Thank You
?9a 68748
CITY OF EAGAN
3830 PILOT?OAD
AGAN, MI E OTA 5512
White-Payers Copy
Vallow-POStinB CoPY
Pink-File Caov
3830 Pilot Kno6 Ro d! P.O. Box 2G-A1 9, Eagan, MN 55121 N2 127J3
• PHONE: 454-8100
v
BUILDING PERMIT ? Receiptk ?G7?f
7obeusedtor SF DWG/GAR Est.Value $74,000 Date OCTOBER 22 86
3927 GIBRALTAR TR
? R3
SiteAddress Erect Occupancy
Lot is eiock 5 sec/Sub. LEXINGTON SQUARiErnodel O zoning Rl
ZST ADD
Parcel No Repair ? Type ot Const. V
. Addition ? No. Stories
METRO CUSTOM HOMES INC Move ? Length 46
W
3 Name
O
BOX 1049
P Demolish ? Depth 46
° .
•
Address
, B' VILLFph
454-9383
C Int ImPr
I
l ?
? S Ft
Q
iTy
one nsta
l
.o
oa
x
.
Phone
?
F ? w
Name
? ? Address
< w Ciry Phane
I hereby acknbwledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
MinnesoW Statutes a d Ciry of Eagan Ortlinances.
Si9nature ot Permit ,?
Assessment _
Water & Sew.
Police -
Fire
Planner
Council
Fees
Permit a s55. UU
Surcharge 37.00
Plan Review 177. 50
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63.50
Road Unit 290.00
BIdg.Off. lU/L1/6Tr. PI. 156. 00
APC ? Parks
Var.
Copies
7otal $2.154.00
A euilding Permit is is ed to: METR CUSTOM HOMES INC on the express condition that
all work shall be done n accordance with all applicabl Minnesota at and Ciry of Eagan Ordinances.
I ?-
Building Oflicial ?C?L?
??
INSPECTION RECORD I C°n ° N° 0751
CITYOFEAGAN PERMITTYPE: BuiLornG
3830 Pilot Knob Road Permit Number: 000969
Eagan, Minnesota 55123 Date Issued: 0 7/ 0 2/ 9 2
(612)681•4675
SITEADDRESS: Lor: 15 BLOCK: 5 APPLICANT:
3927 GIBRALTAR TR ALLEN CONST
LEXINGTON SQUARE (612) 688-8100
PERMIT SUBTYPE: TYPE OF WORK:
SF PORCH NEW
DE3CRIPTION 4-SEASON
iNSPECTION
FOOTZN6 .. .
FRAMTNG DA
INSULATION FINAL
F
-
L
CITI? OF ?EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
Control No. 0751
BUILDING
000969
67/02/92
SITE ADDRESS:
DESCRIPTION:
3927 GIBRALTAR TR
LOT: 15 BLOCK: 5
LEXIN6TON SQUARE
a-seASON
-Building Permit Type
Building-Work Type
>
` ' -
.,,
i
REMARKS: C D ( 1 7
i"
PERMIT TYPE:
Permit Number:
Date Issued:
SF PORCH
NEW
=j?4?1i,?,1???-..'?1 i?
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$10,000
$117.00
$5.00
$122.00
CONTRACTOR: -
ALLEN CONST
4649 1/2 PENKWE WAY
EAGAN MN
(612) 688-$100
Applicant - ST. LICp?yNER:
16888100 0@01062 DUKAY MIKE
3927 GIBRALTAR TR
55122 EAGAN MN 55123
(612)688-8262
? I hereby acknowledge that I have read this application and state that the
information is correct d agree to comply with all applicable State of Mn.
Statu?tes and City of a an Ordinances.
/i' 1 ?? -
Yln??n R n??? I
ISSUED S GNATU E
PERMIT #
RE/ICTIYATE
CITY OF EAGAN ? Ju. Co
1992 BUILDING PERMIT APPLICATION ??
681-4675
eECo
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested onc ermit is issued.
Oate Itl 3_? / 2? / ??_ Valuation af work oY/
Site Address:3297 &4???ry -,r4g2..
STREET SUIiE N
Tenant Name: (commercial only)
IAT ?? BIACK ?_ SUBD. /
S
' P.I.D. N
? ?/N?i
p? ?
ToN
/i
Descri Lion of work: S ,j
The applicant is: 0 Owner AContractor ? Other (Desertbe)
Name L Phone /W_?GG z
Property LAST FIRST
Owner pddress -3Z7
SiREET STE A
City l,A,4,4rJ State fkN Z i p e'T/L ?i
Company Aiqlf? Phone
Contractor Address 44,,X91 / I ?dw- yLsiit H T License M/D(aZ Exp. 3...?
City 5tate ?'lN Zip ?'?IZL
Company Phone
Archttect/
Engtneer Name Registration #
Address
City 5tate Zip
Sewer 5 water licensed plumber Processing time for
sewer 6 Mater permits is two days once area has been approved.
I hereby acknowledge that I have read this ap 'cation and state that the information is
correct and agree to comply wi h all app ' a State of Minnesota Statutes and City of
Eagan Ordinances.
L
Signature of Applicant:
X
BUILDING ,PERMIT TYPE
O 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
p 31 New
? 32 Addition
OFFICE USE ONLY
?
O 06 Duplex
? 07 4-Plex
? OS 8-Plex
O 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
? 11 Apt./Lodg9ng
? 12 Multi. Misc.
? 13 Garage/Accessory
O 14 Fireplace
? 15 Deck
? 35 Tenant finish
O 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allawable)
UBC Occupancy
Zon1ny
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
O Site
? Nallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
?I Footing
LkJ Final
Framing
? Draintile
c/3 cf
-? Insulation
? Fireplace
Permit Fee V,i,,,t;,,,, g /p vn o
Surcharge
Plan Review /y
License r)s,1- 1y -?oG.s Ys ?
k
Mwcc sac
City SAC
Water Conn.
Nater Meter ,
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
SAC %
SAC Units
.
? 16 Basement Finish
? 17 Swim Pool
O 18 Comm./Ind.
O 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster PumP
Fire Sprinkler
Census Code
SAC Code
Assessments
pz sz. S--o
. . . . $ooK 6-8j PA4.S 39
` - ?.?".?". METRP C?SYOM NoMES
?6?'AOBE
ENG1NEfRING
COMPANY,
1000 LAST 146L's
C4erZz
COHSllL71N6 EH61HEfAS.
ptANHE95 and LRHU SllAVEYOtlS
lNt.
57AE:7, BURN=VILLE, LlIHHE`_OT1 L=227 PH 4=2'!000
(1>T !5 , SLOCK 5, L.EXINGTCA! S4UAKE,
pAKQ-VA COUAJTY, MINNESCYTA
C?1a--K) DENOTES EXISTIN6 ELEVqT1ON
c892,o ) DENOTES PROPOSED ELEVATION
,0-? INDICATES DIREC-f"ICN CF SURFACE DRAINA6E
89z.33 = FIN ISHED EARAGE FLooR ELEvqTlot.f
' DRAINA6E AND
5`A`E : I "--40' rUTILITY EASEME.IJT
L93.z? ?1 l S 99° oo' oo"E
;893,2? /29. 70
3D' FRO?.lT BuILDIN6
SETBqC.K UtJE
(no.o) 1 25.00
Ze92.o) ? J? P
5'
` ?'s? t891,4 y.o--rz,.6? ?r2'3i !OJ
N 'c
O ? ° ? lU L_ /3.47 O
, ? ? I ? ?`? N m ? N ori O.oo
\ I o a ?`(((??? 840_?1 ? ?
3.67' 892.0? I ? ? J
Q ?3.ao o I
? ( o
z ? _J,«-d?o?
5 J ?1 ?_ ?rso:? ?o.
U_ aiz. _ ?(s?z o) I su
cN.a; f28J2 ?? e? ?
5 B90 pp' DD" E (889,6?
L/7
I her:by cartify ihat thia in a t:ie and cor:'=ct rnpnaentaLioa ??± aijcot f
jand as ahoxtt':ad deacribed herton.• Aa praparad by fia on thia _ = Y
. ..
?Cro,Bek , 1984
?Hinn• ??S• N?• ????
.' EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
i
OWHER: /g/k
SITE AQQRESS: .3?IZ7 17/6)&4s7AZ-
CONTRACTOR: DATE: ? ? 9Z PHONE: 010
DETERMINE NORKIPlG SOUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED NALL AREA, , , , , , , , ¢o, sq f t x "U" .11 2. TOTAL ROOF/CEILING AREA,,,,,,,, /3 sq ft x"U" .026 . ?.7
3. TOTAL EXPOSED iJALL ARE.4 CALCULATIONS:
Total exposed wall
area above floor,,,,,,,, sq ft
.?_._.
a) Total wall window area:
4lazed...... (p(?' 9 O sq ft x"U" 35 +
qlazed...... sq ft x "U" _
b) Total door area ,,,,,,,,, sq ft x"U" -
c) Total sliding gTass door area:
9lazed...... .44,OZ... sq ft x "U"
glazed...... sq ft x "U" _
d) Total ftreplace wall area sq ft x "U" _
e) Totat wall framing area
(Averaae 104).......... /7./Q sq
ft
x
"U"
f) Total net wall area above
floor (Insulated)....... /5-3-9Y sq ft x "u" •Oc? _ (o./S
g} Total rim Joist area..... //?L. ,N GLoo4 sq ft x "U" _
To t a 1 f-&smdaF}vn Flaa2.
area (F ? ......... A3 sq ft
h) To t a 1 f?ndaR?err F?°?
w? reafA!h/CN..?... /f •?d sq ft x ??U" . 07 ° ?•?
t) Glccd AWd
€
i
T
l
? .
ean
ota
net-
at
on?/ ry
a?Qi•d?,e/N?? 14 ?,/v Sq
ft
X
"U"
?02 p
n ?1?
3, TOTAL a) thru 1)
If ltem p3 Is the same as, or less than i[em Nl, you have met the in[ent of
2 MCAR 1.16008 A and 0.
Page 1
' 4. TOTAL EXPQSED ROOF/CEILING CALCUlATI0N5:
Total exposed
roof/ceiling area ........ IL3 Sq ft
J) Totat SkyTiah[ area....... sq f[ x"U" '
k) 7ota1 roof/ceilinq framing
ii,i ,. 03 a . s4
area (Averaqe 1n9,) ,,.... /? ? sQ ft x U
I) Total net lnsulated Z,
roof/cellinq area....... >?4.70 sq ft x"U" . QZ ° -3 • 9
y TOTAL j) thru 1)
If totai of y4 is the same as, or less than 92, you have met the intent of
2*SCk'i 1.16008 A and 0.
ALTERNATE BUILDING ENVELOPE OESIG"!
To utilize the to[al envelope system method, the values estabiished by the sum
of items 03 and #4 shall not be greater than the sum of items N1 and 12.
t. 5V, 7/ + 2. ?•7S = SS.?6
3. J57 9- 74 + u. ? .?3 = . ?O/• sT
C E R T I F I C A T I 0 N
I hereby certify [hat I have calculated the "U" fac[ors d"R"
values herein and that the buildinq here describeA n+eet's?
f9 ur
L '\?
(Print name
?PY?f?L ?L
(Da[e) ?
Psor_ 2
NSTRUCTION
R YALUE
AMING SECTION: •
Interfor atr ffim
?
Exterlor'alr tllm 0.17
c
U - 1/R . ?0q
10?
WAII SECTION (INSULATED)
-(1
3
4
F
RIM JOIST SECTION: ^&-ir '6" S??`? '?? f?"? ????•
-{1 InterTar air film 0.6$
?,
C
4
3
5
fi Exterior air ilm 0.17
TOTAL R -
fOUNDATION INSULATIOtI REQUIRED: '
Min. R-5 on entire wall OR U- 1/R -
p.;•
-• Min. R-10 down to frost depth
,
o, a
., ?
FOUNDATION SECTION:
6-- 1 Interior atr film 0.68
D !
?a 3
"-'A' 4 Exterior air film 0.17
a • c : •, •,
,
-
• G
(S
. a.
.
,? Q: o•_ ?, v?,. ?,. ' (?
d. "4 ? TOTAL R =
, V- IIR °
1 D-C J l 1 SLAB ON GRADE
?? ,a,,• ?, , ;
? '? ' ? a• ?. .
U '`
.,
Heated Slabs:
Minimum R = 8.5
,.p: ..4. Unheated Slabs:
,•'Q'? . mum R = 6.2
,• , '•.;ci? ° q??. `?• ?a'd
(I4 , . ?. . q ' ? •' ?0'?-'d`? .c
s. Q ? .. a. .-, • ,
.• ,? ,'?..,•
4, .4,
. 4? •'p? ?' ?a'•,?' ..
.'Qq I. •;Q ; .
? Page 3
U - 1/R = .D4-
CONSTRUCTION
R VALUC '
' CEILING SELTION (INSULATED):
1 Interlor alr film 0. i
AIA 2
CHUTE 3 L" ( '
4 Exterior air flim still) 0.61
TOTAL R
U • 1/R - ?OZ
?
x
CEILINf FRAMING SECTION:
2
3
4
5
Fleo2
GMVM SEf,T10N (INSULATED):
1' Interior air film 0.61
2 tdnab_ : aT „ .d L
3 ,?' ?AWf in,s. 30• 0
4 F.x[erior air fiim still 0.1
TTAL R
U - I/R ° ?6j
' c , FRAMING SECTIOH:
1 Interior air film 0.61
2 Vz- oD _G .
3 ?J
4 Exterior air ilm still 0. I
? 5 y/.p inches soft wood
TOTAL R = i3•
U - I/R v ?07
112?
1
2
3
4
5
Ins(de air film 0•61
Outside air ilm 0.17
TOTAL R - _
U= 1/R-
Paga 4
Ne-i-VENTED
u - 1/R = .03
GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL
Of TYPICALLY USED PRODUCTS
AiR FILMS (R) SNEATHING 21
I,iterior Air Film (Walls) 0.68 3/4" Wood Subfloor or 5heathing 0.94
Extzrior Air Film (Walls) 0.17 1/2" Plywood Sheathing 0.62
Ir:terior Air Film (4ented Ceiling) 0.61 1/2" Particle Board 0.66
E.<terior 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 1/2" 0.45
EAterior Air Film (Non Vented) 0.17 Gypsum or Plaster Board 5/8" 0.56
Plywood 3/8" 0.47
Plywood 1/2" 0•62
BL0'dI>JG WOOLS Plywood 3/4" 0.93
Sheathing, Reg. Density 1/2" 1•32
,FDrox. 3" 9•00 Sheathing, Reg. Density 25/32" 2.n6
A:)prox. 4 1/2" 13.00 Nail-Base Sheathing 1/2" 1.14
R-,prox. 6 1/4" 19.00
?co-oz. 7 1/4" 24.00
Approx. 14" 30.00 ROOFS
Approx. 18" 40.00 Built-up Roofs 0.33
All other insula tion materials must Asbestos-Cement Shingles 0•21
be verified (R F actor) Asphalt Roll Roofing 0.13
Asphalt 5hingles 0.44
I'7SULAT[ON
Insulation: 2-2 3/4" Fiberglass 7.00 SIDING
Insulation: 3 1/2" Fiberglass 11.00 Aluminum Siding 0.61
lnsulation: 6" Fiberglass 19•00 Aluminum with Backer 1.82
Insulation: 3 5/8" Fiberglass 13.00 A;uminum with Backer R foiled 2.96
Insulation: 9" fiberglass 30.00 1/2 x 8 Lap Siding (Wood) 0.81
Insulation: 12" Fibergtass 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" Cellulose 44.00
Insulation: 1 1/2" Thermax 12.00
Insulation: 2" Thermax 16.00 DOORS u
1 3/4" Solid Core Door .46
.40ODS w/Storm, Wood •31
;ir, Pine & Similar Soft Woods w/Storm, Metal
Pease Steel Door Insl/N/GL 7.45R .26
.13
1 1/2"
2 1/2" 1.89
312 5liding GlasF Door, Wood .65
3 1/2" 4.35 Metal .72
5 1/2" 6.87
C?7IVCRETE BLOCK WINDOWS
R" Concrete Black (5 & G Re9) 1,11 All Windows
(w/Storms 1" to 4" Soace) .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
{Fiiled with Vermiculite) 3.15 1/4 Air Space .65
8" Light Weight 2•18 1/2" Air Space .58
(Filled with Vermiculite) 5.03 (pther windows specifically teste d
Iz" Light Weight 2•48 can use better ratings)
(Filled with Vermiculite) 5.82
Page 5
UNiiuNAL utSIGN METHUU
As an opt;on to completing the Exterior Envolope Average "U" Computation where •`
"U" values have to be calculated, the following method may be used.
NOTE: All of the following six items must be accomplished in order to
utilize this method.
11-0? 1. Ceilings which meet one of the following criteria satisfy this requirement:
A. R-38 throughout the entire ceiling. Indicate on plan section drawing how
this will be accomplished. Complete appropriate diagram F, G, or H.
6. If a portion of the ceiling is less than R-38, the insulation in the
rgnainder of the ceiling must be increased to yield an overall average
thermal resistance of not less than R-38.
C. Where Lhe roof at the perimeter of the ceiling prevents installation of
insulation to full depth, the insulation in the renainder of the ceilino
must be increased to reduce the overall ceiling heat loss to no more
than if R-38 had been installed throughout the entire ceiling.
(Submit calculations if this method is used). -
20?* 2. For the insulated cavity of opaque wall and rim joists, but not foundation
walls, a minimum R-20 is required. Complete diagrams 6 and C.
"O> 3. For the insulated cavity of floors of heated spaces over unheated spaces,
a minimum of R-20 is required.
80-0- 4. Maximum glass area may not exceed 12% of the area of exterior walis not
including foundation walls. Al1 windows shall be double glazed or have
storm windows. Complete the following equation using data from the
first page:
3(a) t 3(t) =
--Tx7-
x
(x) must be less than .12 to meet requirements of this item.
21? S. Maximum olass area may not exceed 10% of the area of exterior walls, not
including ioundation walls, when a sliding glass door is installed. All
glass shall be double glazed or have storm windows. If sliding glass
doors are to be installed,, complete the following equition using data from
the first page:
[3(a) + 3(cl ; 3(t) _
-77-
Y
(y) must be less than .10 to meet requirements of this item.
"ft-* 6. A 1 3/4" metal faced door system with an insulated core providing an R value
equal to or greater than 3.0 or a conventional door and storm. All primary
doors must have durabie weatherstripping.
Pagz 6
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*RYP': PAYMFTlI' OF FF.E AT 771'93 OF
ArPrscAMorr noFS wm ommmm
APPROVAL OF PERNIIT.
INSPDCrION OF SEWEF2 ADID/O2 FPITFR
a r.raTTpNS WIIS. NOT BE S(HED-
ULED UNTIL PII2NIIT HAS BEEQ
APPROVID.
P ease Pr1nt)
1) PROPERTY ADDRESS: '1927 Gilbraltier Trail "
LEGAL DESCRIPTION: Lot 15 Block 5 Lexington Square lst Addition "
r_- -_ .,.__ r.. .
IF EaZSTING SIRCCiLRE, DATE OF ORIGINAL BL'II,DING PERMIT ISSL'ANCE: '
(MOn Year
PRFSE6TTf ZONING/PROPOSID L'SE:
0 CO,%P1ECtCIAL/RETAIL/OFF1CE
? ItID['SIRIAL
? INSTI'I[.'TIONAL/GOVERNMENP
jo R-1 SIIwLE FAMILY
? R-2 DL'PLEX (Tko C?nits)
? R-3 1nWNHOLSE (Three + Uni.ts)
? R-4 APARTNET7'P/CObIDOMINi(,M
( Units)
( Units)
2)
NAME= tanrrhrun Mechanical Inc.
ADDRESS: 7640 146th Street °
CITY, STATE, 2IP: Apple Valley, MN 55124
PAONE: 432-0175
3) • u i: a• For C1ty Dse .
NAME: Northrup Mechanical Inc. plumbers License:
ADDRESS: 7640 146th Street Active
ExpCITY, STATE, ZIP: Apple Valley, MN 55124 Not r orded
PHONE: 432-0175 MASTER LICENSE# 2443M
Initial
St -ff
4)
-- NAME: Metro Home Builders
ADDRESS: PO Box 1049 '
CITY, STATE, ZIP: R»rncville, MN 55337
PHONE: 454-9383 -
-5) ? v r? r: •?• : a • a? - a?
? CONNECTION 1o CITY SE,m'dt ? CONNECTION ZU CITY WATER Q OTHER
6) '? r' ?• i• [? PLEA.iE HOLD APPRQVID PERMIT FC.1tR PICK-UP BY ONE OF P.BOVE
??APPROVF9 PERMiT TO 1, 0 3, 4, ABOVE
(Circle one)
7) r. r• u• - 17, ??L ? Stan Northrup ? 11/21/86
FOR -CITY USE ONLY
PERMIT # ISSUED
a q?z
`
Pd w/Bldg. Permit FEES:
$ $ A S D SEWER PERMIT (INCLUDE SLRCHARGE)
$ $ ZD- WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ? SQ U ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ L66, $ wAc
s S 75 ? S sac
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$_ I??-D D $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ Iz-cI Y` ? S ??' ?? d-"7J TOTAL
107740
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHI[V PUBLIC
Q ROADWAY" MOST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: A a`..i A._.,r,4„
TITLE:
/DATE : ?/? ? ?
,? ?• / ? ??
1986 BiIILDING PBRlQT 9PPLICATION - CIT
? 355•00+
HOTE: ALL CONTRACTORS MOST BS LICENSED iiITH THE CITY OF EAGA ? 37 .00+
SffiGLE FAMIILY DiiELLINGS ? 1 7 7• 5 0+
? 575•OU+
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF 1 ? 500•00 +
? 63•50+
MQLTIPLE DWELLINGS - RESIDENTIAL RENTAL DNITS FOR : 2 9 0• 0 0*
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SDR9EY - CHECB iiITH BI 156-OU +
1 3ET OF SNERGY CALCULATIONS 2, 15 4- 0 U?
COMM9CTA1•
INCLQDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: I c?YY1l?U Valuation: Date: )01211$?
?
Site Address 392 7 Gi brR If}r OFFICS DSE ONLY
n
Lot ? Bloek -? 7 ?' Ereet ? Occupaney l23
Remodel Zoning R?
Pareel/Sub ,[eKiYI0f0nS90Rt'2 & AOY Repair Type of Const S?'
i Addition li of Stories
Owner mef vo Ct,lJfOm 4OmeS 1he. Move _ Length 4
r Demol3sh Depth 4Co
Address g0 &x Int.Impr. _ Sq Ft
Install _
City/Zip Code ?(Jrr1SVi ?1e mn 5533
Phone Lt 5L/ - 9 3 93 APPROVAIS xes
Contractor Sqme--
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone lk
Assessments Permit 3 SS-
Water/Sewer Sureharge 3 1-
Police Plan Review 17770:
Fire SAC S-75.
Engr Water Conn Sno.
Planner Water Meter (?.SO
Couneil Road Unit 290.
Bldg Off?o•2186 Treatment Pl 1 Slo
S f4 P-? e. APC Parks
Variance Copies
ToT9L ? / 5 ( /
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOIiEOiiNER hI05T DESIGNATE WHICH ADDRESS
IS D6SIRED. NO CH9NGFS iiII,L BE ALLOAED ONCE BOILDING PBRMIT IS ISSDED.
$ooK 59.j PR? 3?
ME,-,? c?sT? ?.,ES
A B E
. .
PIENGINCERING CDHSUL71H8 EH6iHEE43
PtANHE9S ond LAHD SUAVEYO!!S %klk
COMPANY, INt.
? 1000 UST 146ri S7RE=7, 6UANEYILL` , LL1N4`:6Ta 5==37 P`! 4=2'.'.000
CerZ z'z ccz?`e o r? t?
?? ?l ?C-JC7'?PCZCTL: Lc,T l5 , BLOCK 5, LEXIAIGTCN 54UA/ZE,
DAKA-rA COUIJ'TY, MINNES[YTA
9CAlE : f° =30'
C893.z?
C?9o?8? DENOTES EXISTIN6 ELEI/ATIO/J
Q891,a ) DENOTES PROPOSED EIFVATlON
1NDICATES DiRECTIoN QF SURFACE DRAINA6E
Byz.33 = FtNiSHED 6ARAC-E FLooR ELEVqTION
DKAINA6E AND
UTIUTY EASEME.lJT ?
\ V i s 89° oa ? oo- E
/Z9.70
n
3D' FROIJT BUfLDINC
SETg4CX LINE
zs o0
; 617'S
B9Z.0 N °' O.8/
` ?? ?8914 9p?ol¢.67
141
_Cyl ? ?Y Cli
?
i ?
° LC)
Ori O.Oo
b90_el ( $ Q ?
\ J o n l? ? / u_ r 3.vol 89Zo) r o J .
` J Q I ?- ?.J ? / ° N
o
J ?
C?
10 'W
?------- -?
C893,3? 5 B90 Oo' oo" E (es9.6)
C_.%% ?Ln
I heriby cartify that thia ia a t=ne and etir:'tct raprrsantition ot a traet of
ltnd as shoxn'and deacribed hertan.• Aa prspared by tne on this _?°r'V d:y af
Hinn. Rea, No.
_ ?-
CI'fY OF E(-tGAN
CASHIER: JS TE.fiMINAt NC1: 032
DATE" 12/20/93 TIi1F: 13:i.5e34
ID.
NAME: SCHFSIPT ROQFSNG INC.
I
3210,3001 3327 G7BRALTAft f25.25
ziss. 3001. 3927 GIRkAI..TAR 3.00
Tota1 Rer_eip+, Artiolent: 128.25
CR12:1.330
USEk ID: JAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
?C) I U?y 3830 PILOT KNOB RD - 55122
a 651•681-4675
NewConstrueUon ReauiremeMS RemodellReoalr Reauirements
? 3 registered sile suneys showinp sq. R of bt, sq. IL of house 2 aPia ot pkn
and ?II roofed areas (20% maximum bt covereoe albwad) 7 cet of anergy ukulatlons for heated additions
? 2 copiea o( plans (show beam 8 window sizea; poured fid. design; e0c.) 1 slte survey (or ecEeAOr addlNons & dacka
D 7 s a t a f e n e r g y c a l c u l a ti o n s
D 3 oopies of tree precervaUon plen N lot piaCed after 71193
DATE: ,L%lZ-1 - 7154, ? CONSTRUCTION COST ?4?S TDO .490
DESCRIPTION OF WORK: 1e 142 T"
STREET ADDRESS: S%,Z 7 A i/7/G
LOT: ? BLOCK: S SUBD.IP.I.D.#:
PROPERTY
OWNER
Name: ,i0? d?/r //l? ?C
` Lact Pint
Street
?
?,
Phone
City 444s, State: df:'/?n Zip:
Company: ?? /? ?• %/ ?/t?of. ri 4 ?r?C: Phone #: e?<I
(area code)
CONTRACTOR q
Street Address: Lieense #2a/77 B?Exp. 3??i aocc)
Ciry Al/aoY.:79A1j State: /??n Zfp:
.?
ARCHRECT!
ENGINEER Company: Name:
Telephone #: (
Street
City
Sewer 8 weter licenaed plumber (n¢wconaWction onlv):
State:
Yenafty appiies when address change and IM chanpe ie requested once permR b lasued.
2ip:
I hereby acknovAedge tlwt I have reed this applicatfon, sfate tliat the Iniommtlon is correct, end agree to comply rAth all applicable Sfate of Minnesota Ststutes aod Cit
of Eagan Ordinances.
Signature o( Applicant: ???
OFFICE USE ONLY
Registration #:
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling 0 07 5-plex ? 12 12-plex 13 17 Garage ? 22 PorchlAddn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/SoffitslFascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATI ON
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
PermitFee ?<?-
Surcharge U U
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNII Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
rotai: 1 a_ ?.aIS-
Valuation: $
?
SAC Units
% SAC
L 15 BL CITY USE ONLY
SUBD 3[-
RECEIPT p: ??G J l I
RECEIPT OATE: ? ? Y?' C7?
PERMIT# 40190
2000 PLiJM$INfi PERMiT (fiESiD£NTIlkL)
crrY oF ensnx
saso raor tccros Ru
EAfiAN, MA 551E8
831-687-4675
Please complete for: ? single family dweliings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH
#
TOTAL
FDAiterations to existing dwelling - minimum fee
escribe: _
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x =
= $
$
GeS i in OIItIEt ' minimum -1 3.00 X = $
Hot tubls a 3.00 x
Kitchen sink = $ ?
Laund tra 300 x
Lavato 3.00 x
Se tic S stem newirefumisned • re utres Mrc ue. 75.00 x
= $ I
Se tiC S Stefn abandonment 30.00 X = $ ?
RpZ new inslallatloNreaidrebulld 30.00 X
Rou h o enin = $ ?
Shower 3.00 x _ $
Under round s rinkler if dwellin is under construeuon 3.00 x
= $
Under round s rinkler if existin dweitin 30.00 x = $ I
W ater closet 3.00 x = $ I
Waterheater - 3.00 x = $ ?
Water softener if dweutn under cansvucnon 5.00 x = $
Water softener if exisnn dwelUn 30.00 x _ $
Waterturnaround 30.00 x ---
> $
50
,50 .
State Surchar e
Tnrai
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-----•-•-------------------------------------• ?---•--------------- -------•--•--•------
..... -----------------
--------- -----
-...----------•-•-••------
I hereby acknowledge th I have read this applic-atlon, stale that the informadon is correct, and agree to comply with all applipble City of Eagan or mances.
It is the applicant's responsibility to notly the property owner that the Ciry ot Eagan assumes no Iiabiliry for any damages caused by the Ciry during its normal
operetional and maintenance activitles to the facilities consWCted under lhis p, e,rtnit within Ciry propertylright-of-wayleasement.
SITE ADDRESS:
OWNERNAME:: ??Wa-,9- TELEPHONE#:
(AREA CODE)
INSTALLER NAME: TELEPHONE #: r(AREA ooE)
STREET ADDRESS: .10, 410
CITY: STAT?? ZI
SIGNATURE OF P MITTEE
I Z..
$URVEYOR'S CERTIFICATE scHiMEi< coNsTaucrroN
DENOTES PROPOSED SURFACE DRAINAGE
SCALE: 1
INCH =
30
FEET
O
• DENDTES
DENOTES IRON MONUMENT SET
IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = g9o.t, FEET
X000
0 OENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 8$1.g FEET
.
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = g,y1,D FEET,
I HEREBY CERTIFY TO SCI1IhiEK CONSTRUCTION THAT TIIIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4, Block 7, LEXINGTON SQUAP,E, accardina to i:l;e recorded olat thereof,
Dakota County, F'innesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SH04! IPiPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
7HIS 16>11' DAY OFOCToBC-rL, 1985?
SIGNED: MiE'?, RJ PILL, INC.
BY: ,4 %-"vv---' ` -iv" ?
HAROLD C. PETERSON, LAND SURVEYOR
h11NI4ESOTA LICENSE N0. 12294
Shp°t 1 cf 2 sheets
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
85891
105 / 65 Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenus South
FOLDER Bbomington,Mn. 65431 612-884-302e
.
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VEYOR'S CERTIFICATE
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PROJECT NO. BOOK / PAGE JqMES R. HILL, INC.
85891
105/65 Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Arenu• South
FOLDER ' sloomineton,ruta 55431 812-884-3029
This repuest void
18 monNs from .
C.-44195Gc,
c5o
?.e. S--. S 4 ?
Heques 7
/ Rre No. FouBh-in InsOecUOn
Hepwrcd?
eady Nnw ? W?II NoLty. InsPec-
ior Wh
R
?Yes No en
eady
K Licenp4d EletVeetal Convactor I hereby repuesx inspaetion of above
Owner elaciricel worM installad at:
Stree[ Adpdress,/?Box or oute /No. /
?/c7l /C7/-a/?rG ?iL2°f Ciry
?' cla
?
eMlou o. Township Name or No. RanBe Na, Count
Occupant (PPINTI Phone No(.
/'?eJ ?
/ Q ( Q?
Power Supolier
w AdEres
/
"d
. /1
Eleclncal ConVactor (ComOanY Name)
111?411?4z-G /I,/ ? -.4; Comrar,lor's License No.
/o -o
MaihnB AtlJress (Contrsptor g. Owner,jAak,ng Instailauon)
? ?
?Q'? r.s•
w r I
Authonzed Si9nature ontr lodOwner Makine l!iStallalionl Phone Number
MINNESOTA STATE BOARD OF IKEUflICITY THIS INSPECTION PEQUEST WILL NOT
Grig9s•Midwey Bldg. - Hoam N•191 BE ACCEPTEO BY THE STpTE qOARO
1821 University Ave., St Paul, MN 55104 UNLESS PqOPEN INSPECTION FEE IS
Phone 16121 297-2711 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001A4
will,
? See instrucuons tor comvle4ni;i this fwm on back of Veliow cooY. 6-7!o??
d.Q 1 G? 5 ':x" 8elow Work Covered by This Request ?
ndd BeD. TYOe oi Bwlding wootiancee wnec Enuiumeni wired
Home Range Tempprary Service
Duplex Wa[er Heater Liyhtiny Fixtwes
Apt. Dryer Electnc Heaun
Commercial Bldg. Furnace Silo Unloader
InAustrial Bldg. Air Conditioner Bulk Milk Tunk
Farm otnrr peci v 01ner Ispenlyl
t r Sucufy Other Othtr
Compute lnspection Fee 8elow
p Fee ServiceEniranceSize fl Fee Feeders/Subfeeders p Fee Grcwts
{D U to 200 Am s 0 io 30 qm s 0 tn 30 Am
A6ove 200 qm ps 37 to 100 qinps 31 to 100 Am s
Swimming Pool Above 100_Am s Above 100_A?nPy
Transiormers Irrigation Hooms Partial-'Other Pee
I_ I ISigns 15Vecial Insp2ctio2A $TOTAI FEE
Hemarks
fa_.sa
Final
I, the Electncal
Inspector, hereby
cerUly thet the abova
jnspeclion hes been
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4
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Requast Date ? Fire No flough-in 11
ve0?
? ReatlY ?' ill NoVly InSpector
Wh
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d
'
? yes G No en
ea
y
Iglicensed contractor ? owner hereby request inspection of abOVe electrical work at:
Job Atltlress (Street Box or Raute No ?
9
L.AivE' City
?A?/
Secimn No No Township Name or No Range No Couny
D/?r???" 7`/'
/ ! AJ• ?
Occupan??PP/IN/T?)O / Phone No
//
Power SupPlier R4tlress
Eieclr onVact r(COmpa ame ? ConVattor§ License No
i?
M?
?-
Mailing Atltlress IConttaclor or Ownar Makrng Ins[ailatron)
?.?9 ?/o?• A/i
?4? - ??/s
- ?s ?
Pmnorrzeo SignaWre iConnaclor/Owner Makmg inslallauom _ Pnone Number
MINNESOi/? BOARD OF ELELTRICITY THIS INSPECTION REOUEST WILL NOT
GnB9sMi BI ?- Foom 5493 BE ACCEPTED BV iHE STATE BOAFD
1841 Universly Ave. St Peul. MN 55106 e / ? UNlESS PROPER MSPECTION FEE IS
Phone(812)60I-O800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION o0 oefI?
? See inslructions br comoletmv ihis form on back ot vellow cnov ??x_. /?
J4
"X"i3elow Work Covered by This Request ?•?•? 'Va?p? c?
0264
ew fytltl Rep. , TypeofBwltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elecltic Heating
Apt. Bwlding Dryer O[her (Speciry)
Comm./Industrial Furnace
Farm Air Condinoner
Olher (syecify) ConVacror's Remarks
? /"Zl CrJ/ '?,1
Compute Inspection Fee Belaw:
8 Other Fee # ServiceEntranceSrze Fee # Circuits/Feetlere Fee
Swimming Pool 0 to 200 Amps ' 0 to 100 Amps _ d
Translormers Above 200 _ Amps Above 100 _ Amps
SignS Inspecmr5 Use Only TpipL
Irriganon eooms 'CO /• O
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORD I ONNECTED IF NOT
ERE9'D
Other Fee COMPLETED WITHIN 18 M ?
I, the Electncal Inspector, hereby
certify that ihe above inspection has
been made. ROO9h-in , s
oeie y?
/
OFFICE USE ONp •
Thrs reQuest voitl 18 months irom
<
/a2e5zl,?-4, REQUEST FOR ELECTRICAL INSPECTION e/s-ooooi-os
/ Sae inatructions (or comple[in9 this torm on Eack Of yellow copy.
"X" 8elow Work Covered by This Request
Add Pep. TVOe oi Bw1din0 APObonces WifaC Eqmument Wire?
iC
p Fea ServiceEntronce5ixe M Fee Feeders/5u61eeders N Fae Crtcu?ts
/ 0 to 200 qm s 0 to 30 Am s 0 t? 30 Am
Above 200 qm?u 37 to 700 qinps 31 to 700 qm s
Swinxning Pool Above 100_Am s Abave 100_Am s
Transtormers Irn tion Booms PartiaL'Other Fee
Siqns Special InspeUion
emarks
$ 39. ToTAy ? l
a ?J??. I . ns, oheactoa
P ., erebv
cartify thel the above
Final < ^ p'J? 1?eL5 .dt insp¢ction hes been
C_i. ???lil?S.J, 7 ? " meda.
Tn s d4uest .Od ?/??/?G
18 months /rom
Reques - F?re NoJ RouPh jn Insoection
Re0 red?
?Ready Nuw W?II Nmify InSGeo
Yes ?No ?or When Reatly
s'
licensed Elcc +
cnwl Convactor
? Owner
1 hereby raouesi insvacLOn of above
elechicel work installed at.
Sveet Address, Box or Route No.
t
39
T Citv
h
??
a -F a. 12 c
ection o. iownship Name or No. Ranee o, County
Q?V T?/•.?
Occupnnt (PRINT) Phone No.
efro us-fn?
Power SupDluer AOdress ?
a -?c? ? ? 300 "5k
Ctrar.mr's License No.
Elechmal Connacmr IComDany amel m
_/?'J,dlar?d F?ee-fr+c_
?????8 Address lContractor or Owner Makine InstailaUOnl
C'o rPcl rn?vi (l?
Aut? SiBnawre (C nvactor ner Makin n? Ph ne Number
MINNESOTq STATE BOARD OF EIECTyn:y?V
Griqpa-MiCwey Bldg. - R.O. N•191 V
7821 UniversitV Ava.. St. Peul, MN 55700
Phone 16121 642-0800
TMM INSPECTIDN HEQUEST WILL NOT
BE ACCEPTED BY THE STqTE BOAND
UNLESS PROVEP INSPECTION FEE IS
ENCLOSED.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114878
Date Issued:09/19/2013
Permit Category:ePermit
Site Address: 3927 Gibraltar Tr
Lot:15 Block: 5 Addition: Lexington Square
PID:10-45075-05-150
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 .
Matt Kral
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Pukay
3927 Gibraltar Tr
Eagan MN 55122
(612) 840-3339
Midwest Exteriors Plus Inc
6451 Sycamore Ct N
Maple Grove MN 55369
(763) 427-9696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131893
Date Issued:07/13/2015
Permit Category:ePermit
Site Address: 3927 Gibraltar Tr
Lot:15 Block: 5 Addition: Lexington Square
PID:10-45075-05-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Pukay
3927 Gibraltar Tr
Eagan MN 55122
(651) 688-8262
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140023
Date Issued:11/18/2016
Permit Category:ePermit
Site Address: 3927 Gibraltar Tr
Lot:15 Block: 5 Addition: Lexington Square
PID:10-45075-05-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Michael Pukay
3927 Gibraltar Tr
Eagan MN 55122
(651) 688-8262
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153177
Date Issued:11/28/2018
Permit Category:ePermit
Site Address: 3927 Gibraltar Tr
Lot:15 Block: 5 Addition: Lexington Square
PID:10-45075-05-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Michael Pukay
3927 Gibraltar Tr
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156740
Date Issued:07/16/2019
Permit Category:ePermit
Site Address: 3927 Gibraltar Tr
Lot:15 Block: 5 Addition: Lexington Square
PID:10-45075-05-150
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 -
Michael Pukay
3927 Gibraltar Tr
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166791
Date Issued:02/04/2021
Permit Category:ePermit
Site Address: 3927 Gibraltar Tr
Lot:15 Block: 5 Addition: Lexington Square
PID:10-45075-05-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael & Sandra Pukay
3927 Gibraltar Trl
Eagan MN 55123--255
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature