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4160 Kingston Ct. .. -r., .: _ . -i• .. SEVYER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 i•: DATE, ' dAN 27, 1992 d' OFf METER # CHIP # METER SIZE ISSUE DATE _ PRV SITE ADDRESS 4160 KINGSTO? (iT LOT 5 BLOCK 4 SEC/5U6 HILL=3 OF STONEBRIDGE 3RD APPLICANT: ADDRESS:_ CITY, STATE PHONE: - ZIP PLUMBER: PLYMOUTH PLUMBING ADDRESS: 9290 ZACHARY LH CITY, STATE MApLE GROVE MN Zip 55364 PHONE: 493-2474 aWNER: CENTE% ADDRESS: 5929 BAKER CITY, STATE MINNETONKA MN ZIP PHONE: 423-2155 USE ONLY ? PERMITDATE 01/29/92 PERMIT# 12512 B.P. RECEIPT # B.P. RECEIPT DATE 01/2$/92 BOOSTER PUMP PERMIT REQUESTED X SEWER X WATER _ TAPS _ COMM/IND X RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Metels on Water Line. Credit WIEL f?07 be giv?? for Deduct Meters. ti l??/ 1 AGREE TO COMPLY EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # V-$- 9 7Z 717 PERMITDATE 01/29/92 3830 Pilot Knob Rd. CHiP ]/d8 PERMIT # 12512 Eagan, MN 55122-1897 1 ? METER SIZE S P Su S B.P. RECEIPT # JAN 27, 1992 ISSUEDATEB.P. RECEIPT DATE 01 28/92 DATE I _ PRV - BOOSTER PUMP SITE ADDRESS 4160 KINGSTON CT PERMIT REQUESTED LOT S BLOCK 4 SEC/SUB HILLS OF STONEBRiDGE 3RD X SEWER X WATER - TAPS APPLICANT: ADDRESS:_ CITY, STATE PHONE: COMMiIND __X_ RESIDENTIAL ZIP X NEW -. EXISTING Lawn Sprinkler Meters are to be installed PLUMBER: PLYMOUTA PLiJMBING Ahead of Domestic Mete s on Water Line. ADDRESS: 9290 ZACHARY LN Cred L OT be iv .'for Deduct Meters. CITY, STATE h1APLE GROVE MN ZIp 55369 PHONE: 493-2474 y I AGREE TO COMPLY ITH CITY OF OWNER: CENTEX EAGAN ORDINANCES ADDRESS: 5929 BAKER CITY, STATE MINNETONKa MN ZIp - PHONE: 423-2155 PL?/b?OWC TWO WORKI G?D'AYS SIGNATURE WH METERISSUED FOR PROCESSING. CALL 454-5220 FOR SPE(7fIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. lqp .- -• (Itrti#irxtr af COrrupanry Citp of eagan Jprpwrtmrttt a# lluilding imwrrtimt This CeraJ'icate issue+dpursuant w the requireeneats ojSectioR 306 oJlhe Uniform Building Code cernfying that at the tlme of issuance this suucuae was in compliance with Ihe variaus ordinances of the City reguladxg 6uilding consrruction or use For the following.? ue C7.maooe -SF M/GAR • W Rnmu w. m157 Oompawy TYx R3N 7opieg pWrkt PD/RI 7ypeCnm VN owoer at &uldiq ? FuME.S Add= 5Q29 BAKF.R, M[IdNFITWA H„ld,g Add= 4160 MVGSZl7N BMT Lmoty L5. B4, HIIJ.S oF SL'Ot=l[L3RD 5111192 POST IN A CONSPiCUOUS PUCE Lot' g Block a Sec/Sub. HILL5 Parcel No. Name CSW1'8X Z ,e,ddre? 5929 lIAKER ? C?y MI:1AtETONKA 17 ZP oc,.,..e 423-21S3 (ptID) A Building Permit is on the express con, applicable State ot I Building Oificial - i and state thal thapplicable State c CENTER all work shall be done in accordance with a Stalutes and City oi Eagan Ordinances. :.. . . . . '. _ i, ;e .. : ... . . . . ... N • , * ^ a9, Eagan, MN 55121 F5 , r? r ? i e ? r M - ? Fieceipt # Date JAN 2 1 , 79 81 OFFICE USE ONLY R?3 k-1 FEES Occupancy P D?-1 783.00 < Bldg. Pertntt Zoning V`N 70.50 (Actuap Consl V-N SurcFiange (Aliowable) Plan Review 509 • OO. # of Stories th L ba' ?? . s?? eng ? 100 00 Depth . SAC, City S.F.Total - SAC,MCWCC 700•00 ? S.F. Foolprinls - On Site Sewage - 675.? Water Conn OnSiteWell WaterMeter 95•00 MWCCSystem X ? 30.00 Acct. Deposit CiryWater - 30.00 PRV Required - S/W Permit Boosler Pump - 5/W Surcharge .50 Treatment PI 300.00 APPROVALS Road Unit 380•00 Planner - park Ded. Council ? g0 BIdg.Ofl. _ Copies variance - 70TAL 3o678.50 ? Permit No. Permit Holder Date Telephone'# sM' /a. / 9 ?- PuWswG WAC ELEC,RIC a ELECTRIC -?/Wfc; D Inspection Date Insp. Comments Footings I 2 D$ Foundation - Framing z_Z Z ? Roofing Rough Plbg. 7-.11? 1 Rough Hig. leul. - 3 -3 -F2 S Fireplace Final Htg. Orsat Test . /4911 Final Plbg. u Plbg.lnspector-NoliiyPlum6er Const. Meter Engr./Plan Bldg. Final ?`??•9Z S Deck Ftg. Deck Final - Well Pr. Disp. ? ?5 7? I AOY 30 6;l'-jWt? A F •? .. Y. ? , ,t .?. .. ? 'l; .. CASH`RECEIPT ? `? ? • ' '`J CITY OF EAGAN ` 3830"PILOTKNOBROAD EAGAN, MINNESOTA 55122 ? DATE i XF .' i1qN [. 7 AMOUNT $ --? c- . . ? -• 8 DOILARS ,m . O CASH ? CttECK ;:r:(t,.°`'i -7 . ? . : PUND . OB.IECT s AMOUNT _-L 14 . ..: :.s?,..;: . .. . .. , .. ' ': : . . . Thank You t? BY ? (;' 017038 ?^^?,?, ? _- ? DATE: JAN 29, 1992 RE: 4160 KINGSTON CT (CENTEX) X Your 5ewer & Water Permit for lhe above property has been completed. It will be held at the PubliC Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer 8 Water Permit for the above property cannot be completed for the following reasons: - Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Address : 4160 KINGSIC)N COURT Lot 5 Blk 4 Sec/Sub HILLS OF SIONEBRIDGE 3RD Theseitems were/were not complete at the time of the final nspection. Date: 5/11/92 Yes No a Final grade (6" from siding) 'Permanent.steps - garage Permanent steps - main entry Permanent driveway Permanent gas ?` Sod/seeded grass ? Trail/curb damage ?' Porch Basement finish Deck Please verify with the builder the removal of roof test caps from tha plumbing system and the shut-off of watar supply to the outside lawn faucet before freeze potential exists. ? RFM?EOMP[P White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N920057 PHONE: 681-4675 BUILDING PERMIT Receipt # ? 7obeusedtor SF DWG/GAR Est.value $141,000 Date JAN 27 , ?g 91 Site Address 4160 KINGSTON CT Lot ` 5 Block 4 Sec/5ub. HILLS OF Parcel No. STONEBRIDGE RI Name CENTEX ffi z Address 5929 BAKER ? City MINNETONKA MN Zip PhDne 423-2155 (REID) Q Name SAME ? Address City Zp Phone ? License #0001333 I hereby acknowlege that 1 have read this application and state that the information is correct and a j!a omply it II applicable State of Minnesota Statutes and Cit 0n c. l Signalure of Permitee A Building Permil is issued to: CENTEX on the express condition that all work shall be done in accordance with all applicable State of Minnesola Statutes and City of Eagan Ordinances. Building Of}icial OFFICE USE ONLY FEES Occupancy R-3 PD 11--1 R-1 Bldg. Pertnit 783.00 Zoning (Actual) Consl V-N Surcharge 70.50 (Allowa6le) v-N plan Review . 509.00 # of Stories - 64 ' ?se 5.00 ?engtn oaPm 38' SAQCity 100.00 S.P. Total - SAC, MCWCC 700.00 S.F. Foolprinls - On Site Sewage _ Water Conn 675.00 On Site well - Water Meter 95.00 MWCC System X X Acct. Deposit 30.00 City Water PRV Required _ S/W Peimii 30.00 Booster Pump - S/W Surcharge • 50 Treatment PI 300.00 APPROVALS Road Unit 380.00 Planner - park Ded. coundl -- 50 BIdg.Olf. _ CoPies . Variance - TOTAL 3,678.50 ? J 8 1 3 2 ? Ida ? ice Requesl Date a- Fire No. Rough-in Inspectio Re ired? ? Ready Now ?II Notiry Inspector `? c - es G No Jhen R6atly? ? I licensed contractor ? owner hereby request inspection ot above electrical work at: JoD AtltlreSS (StreeL Box or Foute Na) 4C.L? ei 0 S 4-1 ? Ciry Section No- - 7ownship Neme or No. Range No. Counry Occupant (PRI ) Phone No. Power SupPlier ] !ress Elearicai Contracror mpany Nam¢) 6? Contracror5 License No. 5 VIA3 S Mailing Atl ess (G clor or Owner Making Installation) 8-3 - * 5Si C3Z i _' / Authonzed S?gn/a}/y/r/p ?COnl/rg?ctonOwner Making Installation) Phone Number / - "'C./"'4 ?? ??sI?LY'z/ •/ /1 Y ??? - MINNESOTA STATE BOAHD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigga-MlAway Bitlg. - Room 5473 BE ACCEP7ED BV THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION es-ooom-oa ? See insimctions for completing Ihis form on back ol yellow copy. Qz? i?- ,1 81 32 'X" Below Work Covered by This Request ew f'dd Rep. TypeofBuilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) CommJlndustrial Fumace Farm Air Condifioner Othar (specity) Contrador's Remarks: Compute lnspection Fee Below: # '- Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 _ Amps Si9nS Inspecror§ Use Only: TOTAL ` Irrigation Booms • ??? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oate certify that the above inspection has been made. Final OFFICE USE ONLV This repuest void 18 months trom ' 4 `? Request Date Fire No. ough-in Inspection 1'22-92 uired? Re ? ? Ready Now X Will Notiry Inspector When ReedY? Ves n No IEX licensed contrector p owner hereby request inspection oi above electrical work at: Job Address (Streel, Box or Route No.) Ciry 4160 Kingston Court Eagan Section No- Township Name or No. Range No. Counry Occupant(PRINT) Phone No. 'Centex Homes Power Supplier Adtlress Dakota Electric Eleciric3l Conhaclor (Company Name) Contractor5 License No. Lazer Electric, Inc. 041935-8 Mailing Atltlress (Comractor or Owner Making Installalion) 8383 Sunset Road N.E., Minneapolis, MN 55432 Authorized Signature (CO ntrac to r/Owneh M aking Inslallation) Phone NumDer , l _ ? /? i ? W?1?1 784-3729 _ MINNESOTA STATE 90ARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room S-173 8E ACCEPTEO BV TNE STATE BOARD 1821 UnWersity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 662•0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-ooooi-oe ? See instmctions lor comoletino this torm on har.k N vellow toov h r??s'i /A [/ c/? a J 1 . "X" Below Work Covered by Thrs Request T'??".. ` 8524 ? ew Add Rep. Typeo(Building AppliancesWired EquipmentWired g Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) CommJlndustrial Furnace Farm Air Conditioner Other (specity) Contracior's Remarks: Compute Inspection Fee Below: Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps I&Uuxk 100 _ Amps Sigt15 Inspeclor5 Use Oniy: TOTAL Irrigation eooms ? - ? 86. 50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough•in oate certify that the above inspection has been made. F;oai ? Date2 y OFFICE USE ONLY This request voitl 18 monlhs Irom **** PIon * engir LANDSURVEYORS•CIVILENWNEERS ? /--z E - cc Z 2422 Enterprise Drive Mendota Heights, MN 55120 , LAND PLANNERS-LANDSCAPE ARCHITECTS (612) 681-1914 Certificate of Survey for: C6ntG'X, Incorpor.ated House Address: 4160 Kinaston Court. Eagan. MN Model Name_ 2190 ? G5 0o q,br `f\? 60• r s?s.a 416,3Z kO n ? s 9ii:? :? 7 6? ?? ? ? 3 o y 19'°j qtT.t ? 6 \ s ?d0_ A? 1.k 1i?? 1 g ? GPRP?' " / ? p(1? 6? / \ \ / v o ? ?? ?? p / x ?c918•5 > O ? N I \ 41'1 ? Ln L4 W ., /y?J ?J I vJ?. ? G?otl' ?ry? . I ? IL ---- ------- N 97.75 N 89°50'S3" W • 900.0 Denotes • oo.o Denotes - - - Denotes - - Denotes --a- Denotes --s Denotes LOT 5 , Existing Elevation Proposed Elevation Drainage & Utility Easement Drainage Fiow Qirection Monument Off t H b PROPOSED HOUSE ELEVAl10N Lowest Floor Elevation 911 463 Top of Block Elevation 919.73 Garage Slab Elevation 919•¢ se u gearings shown are assumed B LOC K 4 H I L LS O F ST O N E B RI DGE DAKOTA COUNTY, MINNESOTA ? R D A D D I TI 0 N I hereby cer8fy that this survey, plan or report was prepered by me or under s arsc a am u y egistered Land Surveyor under the laws ot the State of Minnesota. Dated thla 20'? day ol .?n_ A. ??y A.D. 19 ?'L RlJ, ?(ISQ/(;Ur, D?w.PrSi S. SGQIe. 1 inch-,OfBBt R06 RTB.SI ICF L.REG.NQ]0891 O5 91336.D7 CLAIM VpUCHER-REFLIND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: JANECKY PLUMBING ADDRESS: 720 PONTIAC PLACE MENDOTA HEIGHTS, MN 55068 LOCATION: 4160 HINGSTON CT RECEIPT #/DATE: 17831, 9/25/01 REASON FOR REFUND: DUPLICATE PERMIT P.I.D./LEGAL: VALUATION: PERiMIT #: 47331 TYPE OF REFUND: Plumbing Pernrit 9001.4087 $ Mechanical Percnit 9001.4088 $ Building Permit Fee 9001.4085 $ 70.00 Plan Review Fee 9001.4222 $ SAC (MC/WS) 92202275 $ SAC (City) 9379.4681 $ SAC (Admin) 9001.4246 $ Water Connecrion 92203865 $ Sewer Pemut 9220.4532 $ Water Pemut 9220.4507 $ Account Deposit 9220.2252 $ Water Meter 9220.4509 $ Water Treatrnent 9220.4685 $ Surchazge 9001.2195 $ Overpayment 9001.2250 $ Cwb Box Deposit Refund 9220.2253 $ Construction Meter Dep Refund 9220.2254 $ Other $ TOTAL $ 70.00 I declare under the penalties of law that this account, claim, or decnand is just and that no part of it has been paid. ? az-? 10/08/O1 SIGNATURE DATE , . . .. `l3, 3 • OO r `/ 0_ i 0 ? 5U)°00? 2,3i5•5U+ Q • `JU h 367t3•?0-? ??;p?\?'?.? 7 8 S • ? 0 + 70 - 50F 5019• 00-r 2,31`_i'50? 0•50+- 3o7r.3°50? 1992 BUILDING PERMIT APPLICATION -` ' CITY OF EAGAN JAN 2 ? c6 zr REOTIJIREMENTS: oio os SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED ITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCH(TECTURAL & STRtJCTURAL P1ANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE JQB LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT (S tSSUED. To Be Used For: ;- Valuation: Date: qZ Site Address X 1 /V Ll i m !y-z, T/`%k/ ? T Lot ? Bfock ? NiLc.s or. Parcel/Sub Owner Address_ City/Zip_ Phone W ? - Zr Contractor Address City/Zip Phone • License ( Arch./Engr. Address City/Zip Code Phnnc -4 11 /. 6, '? /Z;?? 1 L//, C"?Ao Occupancy Zoning Actual ConSt Allowable # of stories Length Depth S.F. Total Footprint S.F. On-site sewage On-site well MWCC System City water PRV Booster Pump APPROVALS Pianner Council Bldg. Off. Variance Bldg Permit ?p(R ;)Surcharge v - N Plan Review Y -N License Fee SAC, City r y SAC, MWCC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. ?? Road Unit ?I - Park Ded. Trail Ded. Copies SUBTOTAL Penafry Lot Change TOTAL I y21 ?9z 'S Mo??z. ? Z 19c? FEES Iic; 501 cC. .30, co ?f70, J ? ..5'a I Processing time rnce with , ? ` VAWA-ncN . . 4,. ?^ ?- r 3 j E E?'a?,? ? .,? ,?r+ ?? L.lA2aG-- _??Z? SS1(,? X ----------- --- l?l08?? C2 1 .,. , ?* ** * PION * engin LANO SUR V EV ORS • CI V I L ENGI NEERS 2422 Enterprise Drive Mendota Heights, MN 55120 IANOPLANNEH3•lANOSCFPEARCHITECTS (612) 681-1914 Certificate of Survey for: CC',t1_teX, Incorporated House Address: 4160 Kingston Court, Eaqan, MN Model Name: 2190 G? 916.8 Z / O ? Ln U1 o ? Ln U'_ G,? W -,1 W : ? ? ? ? b, v ? i r i? , ^ o ? ry? • sDo.o Denotes Existing Elevation PROPOSED HOUSE ELEVATION R eoo.o Denotes Proposed Elevation Lowest Floor Elevation:910.86 --- Denotes Drainage & Utility Easement Top of Block Elevation: 916.96 - Denotes Drainoge Flow Direction -o-- Denotes Monument Garage Slab Elevation:91B.63 -F3-- Denotes Offset Hub Bearings shown are assumed LOT 5, BLOCK 4 HILLS OF STONEBRIDGE DAKOTA COUNTY, MINNESOTA 3 R D A D D I TI 0 N I herebVi certify that this is a[rue and correct representation of a survey of the boundaries of the above des ibvd landand of theiocation o?F a?ll buildings, thereon, aad all visible ancroachments, if any, from or on said tand. As surveyed by me thisday of?4?m6ed?qA.D. 19? 4! Scal e: _ 1 inch=30feet ZW - kOBERT B. S?KICH .S. REG. NO. 14891 1 5 91336.07 97.75 RAGAM Miq N 89°50'53° W GINEERING DEPT . . C(?i?ihf. hd0. lJ P I?a n n.i. n r.) .i cti i I r?? 161 i ili.?,?l??a Mi nnc•.,vl. ial i=. , t1H 55 ?k:7:, WED IR E tl111t1C?sOtei :J"tltS3 Ecner-c7Y CC?dF.:a I..iHlC:I_I1at:157l1!i> .. . T:SaS_r.i on CtlciCJ'I'.el- J uf the 1%k.rtJE=1 rnr;:r..iay %03 L'7?l' Edit.ir.arF --- d?ye;?rl :1 lS 4 ? h?ll?l I ??:?f.=l. ikCl+:.! CClhil`1. fd(.!: :a? f.+? Flciclrc?g?;z: L?' S? ?? Td? u+z.aGq 4IItS OF StDNEBRIFb€ 3R0 ADaXJ .? ?"•-I I I?r ?? ?.t;_.' C rY"` •, ' e!r.i. fr.;r r. ._, . t:!vr??.- s+..or•:ie,;= i:af-_idE P;FlI... Tfd!`0.1-31a-1TI;Jr.! Hf:l{_E2I Tfi£-_` !:f:E.`C?:SC?I-7 CIE'Ei:LCllli.it.7.C?fl!i.'.? ;????rCt'.lf:lll 0rr, nSeCj"-117f1 F'.l° N't.C:. 1 cll'..E? 'Sf.!I 4_l:J('.•:F.?f1:F'GicL? :lil Ccll(-:{..Ilal:it:?n_=... nrr?',', ciilti , . lr..e nn.E re:la•:.r>(_l ?fi CJfil 1?fl- ::F?t O"f c:tet l.i.c:;iI t_; L?p ir:;u•. t_r., E. r:c=?:F:. !. - 'Efl. clg.. Wa1. ?. ?. F'fE?r : inetEr . !z1A11 'rre:i qt'.'t=_., = Orra g,.-an..trii:J tr_) errve (.Jn 1-1 : ..... .? : ? • ,: . "?' ._ ' .t ?' ?... . ' ,r ...? ,_i ?...?..? -;ir:??F? • ' 'jr'? on B'ui 1 di:iq ci-i mc-nai uns Fl. nr._,r cyr Cpi .l i ny L_enuth :. 6Ji.dl:h ° Ar t'a r?i-1=f'.1f:711 ?i . .1?.?.f? i ?ij.6 c) n b c; E- .r_ t. i on r.. . ]. •=' . B - ;> - 6 .,r_?_ txc,n ?. ., , 68°? ? ToCa l. floor- or ecyi Ji.rie:1 ai~e a - 1 _7 6.7';.2 ?. i m Jo.i .=.,t c-••,•-i meter = 1 ?E? 't=lnor _juist, 22 t;y (S,,, iii", 12" or if:,")): f?im Joist Ar=a == 1? 1.r'_•uf..) +. rour-s Circa: 43.3 Thic_l:ness (:inche>): f-'f=r.i mei_p r F f r-, e t orIs ti- tsi_1-,;.c:n: Typ E- e?F r. . ? T:,?.-i 1 ric,c,r'= p r_yr- :ima-, ttsr : - . . . 14 i1F1 1 1-IL"?:!::??...I'?"?C. ,..,,... ..?...../.. .... , i...ll._?.('ii . LJ::. -. . i .,.!?? r'F? -r . . ., ?, ... iJt.? rnLc.?r ..... .:CS(:l-ir:'=.1 ..I (-f;=I lEa`c.? ftf f,;i!.::1 :r ?G1 f-.I f"t_ t.iri ;. (:.__ OSM 1 . UN 11- :)'7 4. 11) DaUr::i._.r iiiJr•.icS 16 _l 1 2.,4,T 4 4 ?. t? ?_. . ? 1 .?. . ? :.:9 4 1''. 1 1. [ -7 0 , 4 fl i?,f3i?tdi' i f1F'' :36,. 62. I-Iz, i.q t-?± . L.enqth , I14i.unber- - TofiaJ reet7 tfee-t> i_ini.ts> S cI FL 0 O ti:r i i.ir.z: b. 0 " ;>S. ()!'1 i.Y r 1:1.. ec::;pos_d Ft,t.tridzm.itiori I-lei.ght arPi Fl. 67 F'e i- imeter area A:' 15, 4 F"± area A= 10.-7r. J.l..', F_::poseaJ Foundation FIei.«ht are7 E;c G F'e r-i.rncter cir-ea E{: C) Sq Ft zirea D = ri 1= • Syf--t U factor U:: A Grn=:a Nt;al.l area 2 755 .,5=? I01. Ill:S 4lindoe•t arEi-a z6-r.62 0.47 12.:}.9 F'at.io c4oor a r ezt !j 0 Q Akrium area 38.08 0.q7 17.9 E:im joi=_t rire<a 131 .66666667 O.o33 4.b1 P.oor area 43*. 0 0.14 6.13 (=ireplace ar-ea ci C) r._) F;:posmi Fai_tnd. 10.-m .:lfJ 14 14.45 " Frarning ar-ea ? 2,'•5.5h8 !:1.(-.169 19.(i1 C' q U.3 ). S ..?..i . ? ._ ? ??. ? .?. i : ;t..._ ? ? .r..• . >;?,:c,. 1 . ?i 1t:1. ?r • [.-?-?._.. . . %;,._?._. .. _.... _ . r.?,;_?:`•,.• -,r?. ?<, I c_, -_ ._?, ,, ,.,,,. ,,...iI,:::.?:_ La;_,l t r_, r-r,?:;., .._. , : ., , ..::• x. ;.: ?;:,mi rr?7 arL,-: :i 7. 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F'c1CLl]Y L t.126 'F(:lt"' A"i =i ngl p f arti:i ;l'% '=? (aUj,lIEy`: ,0-73 fur- n-2 zzncl o±hc-r rr•si.clenl-i.al ,;;b f other bu:i:ldirig.=_, +_) ','r_ UTIAi ":;. 447;2 t11.K.TT DL . f_tF: - ,,.?.i" ;:? -- ?C::ellC:l.lZcitE::'(`I Abl)Vt''1 .- r r . , 2 X 6/ dZGH "R" SfiEATHING WALL SGCTZcN STUD SCLTION RIM JOISP CDN. u vnr,ur cnr,cur n•rtoru^ Inside ait Lilm InL-ecior xall Znsulal:ion Sheathing Siding Outside air L-ilin R TOTAL Inside air film Interior wall Stud - G " Sheathing Siding ' Out-side air LiLn R 1CmAL R YnLUL U VAT.UB .6U . .45 (Wall) U = ]. _ R 19.00 6.0 - - .67 .17 26_97 _ 6t3 ' .45 6.50 , (L'ranung) U = 1 = R 6.0 "67 .069 .17 ' 14?47 InCerior air FiLn -60 Insulation 19.00 1 Z inGi 3oLt wood 1.E38 (IZw JoisQ U=]. _ K Sheatiung • 6.0 CxL-etior wall coveririg -6-1 .035 Cxterioc air L•ilm -17 R TOTAG 28.4 Interior air film .68 Insulation 5.00 , • loundal-ion (12 " Block) 1.2E3 (['ounclatian) U= I= Exterior air LiLu _17 R [i IOTnL 7_13 .14 CEILING WITEi Yf111'M ATTIC SPACE ABDYE R VAL[TE R YAL[lE FRAM7NG CEILING 0.61 36.00 4.38 .56 0_61 41.55 .024 R YALUE FRAMIIVG R YALUE CEILIIaG 0 61 id I i fiL 0 61 . n ns e a r . 56 ili C 56 . ng e . 14.375 Joist(Spacer) -- - Insulation 33.85 - Air Spaoe .50 .67 Roof decking .67 .06 Felt .06 .44 Shingle .94 0.17 Outside ai.r film 0.17 16.88 7.bta1 R 36_86 .059 = U .027 Window infiltration .5 ci•m/linea7, foot of ccack R Residential door infiltration 0.5 cfm/square foot or door and mi.nimum code requirement Non-residential door infiltration 11.0 c5n/lineal foot of crack Ub 12" concrete block no insulation =.781 R 1_28 double glass = .52 triple glass = .31 AI1 exterior val.ls and oeilings must have a vapoc barrier (0.10) pecm max_). Yapoc barcier must be on the inside (heated side) of xall. Yapor bariers of the polyethelene thin film have no R value. Ai[ Film Insulation Joi.st Ceiling Air E'ilm , Total R U R 0.61 44.00 .56 0.61 45.78 .021 CATHEORAG CEILZNG a- JKV iiet CITY OF EAGAN L- MECHANICAL PERMIT RECEIPT #SUBD. 14, k (612) 681-4675 DATE 9 r RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLE!'E FOR TOWNHOMES/CONDOS WIIEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: !G7R14 FEES S1TE ADDRESS: r/ ADD ON/REMODEL (EXISTING $ 15.00 CONSTRUCI'ION ONLl) HVAC: 0-100 M BTU ?Q 24.00 INSTALLIIt: 2 ? ADDITIONAL 50 M BT[J 6•00 ADDRESS: GAS OUTLE7'S - MINIMUM 1@$3 EA. CITY: / ZIP: SURCHARGE: $ .50 SIGNATURE: • ?,L?/?„ TOTAL: $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSI'RIAL BUILDINGS. ALSO COMPLETE FOR Al'ARTMENT BUILDINGS OR OTFIER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACII DWELLING UNTf. I WORK DESCRIPTION: OWNER: STTE ADDRESS: TENANT: SUTI'E #: INSTALLER: ADDRFSS: CITY: PAONE #: SIGNATURE: CONT'RAC'!' PRICE: l% OF CONTRACT FEE. STATE SURCHARGE IS $.SO FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 MINIMUM FEE - $23.00 TOTAL: CITY SIGNAT[JRE: FEF<S ? ? S ZIP: CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 ^ PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # / DATE: 3 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMZLY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ --------------------------------------------------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON ! SHOWER 3.00 -qQ REPAIR ?o WATER CLOSET 3.00 O 02 BATH TUB 3.00 4 LAVATORY 3.00 / 06 OWNER NAME: KITCHEN SINK 3.00 ?O U LAUNDRY TRAY 3.00 ?Td D SITE ADDRESS: i HOT TUB/SPA 3.00 WATER HEATER 3.00 &0 O LOT: I!r BLOCK ? SUBD. FLOCR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 G1 D 8 ROUGH OPENINGS 1.50 ADDRESS: WATER SOFTENER 5.00 CITY: Q?'?mdrln.? ZIP: ':SlDf S _ PRIVATE DISP. 15.00 U U.G. SPRINKLER 3.00 PH NE # : IL_? --fl5??? ? SUBTOTAL ST. SURCHARGE .50 SIGNA E OF PERMIT ?!? TOTAL: S CS ?7 -UCJ ?i?MMERGIALJIT1DtI;STItTAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ___---------------------------------------------------__-_______-___------------- CONTRACT PRICE: FEES OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE 1$ OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1$ $ STATE SURCHARGE TOTAL: (SIGNATURE) FOR: _ CITY OF EAGAN r'n ?7 7 RESIDENTIAL BUILDING ? ?1/ °? ? (P3 Permit Application • ??? City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Requirements RemodellRepair Requirements Otfice Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. it. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lol coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 2 wpies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Nol Reqd 1 set of Energy Calculations Addition - indicate i(on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date -IL/?_ Site Address / Q? Construction Cost o 6)0 Unit/Ste # Descriptiwi of Work rd1'o 1 It (J( ?? ? wh\Cx? ? ? (CLC a-'?? -i- ? ??rdiw, Multi-Family Bldg _ YX N r Fireplace(s) ?_ 0 2 ???? Property Owner -y' sq'50!'1 Telephone # (&sl Contractor (,(JI ! ')dOLC?S Ef" C? Address State p Zip a(2 [?p CitY o)Yl(9I-Uju? Telephone #(&S( ) o20J? ? ?? ?? I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Licensed Plumber ---°? Telephone #? ) Mechanical Contractor Telephone # ( Sewer/Water Contractor Telephone # ( ) _ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and arcur1Ir: that flie work will be in conformance with the ordiuances and codes of the City of Eagan and the Statc of RIN Statutes; I understand this is not a perniit, but only an application for a pennit, and work is not to start wiihuu< <i permit; that the work will be in accordance with the approved plan in the case of work which requires a re\-irw mnd approval ol plans. ? ??'.Y/i F.?t ??L•??? A p° nt's Printed Name Ap jicaMs'IS gnatur OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Ait - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscelfaneous Work Types ? 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 (Bidg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump NbC. Cf U.^,i!S Sy^. Fi. PR'v Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Poo] _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Gurcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector `lI lyQ, 8 / 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ?a ; City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements RemodeVReoair Reauirements pff e Use ?rt 3 registered site surveys showing sq. fl- of lol, s% fl. of house', and all roofed areas 2 copies of plan Cerl ot 5urvey Recd Y N (206 ma)imum loi cwerage allowed) 1 set of Energy Calculations for healed addltions Tree Pte9 Ptan Recd Y_N 2 copies of plan showing beam & window sizes; poured found design, elc. 1 site survey for additians & decks 'free Ares Requued Y T N t set of Energy Calculations Addition - indcate if on-site septic system 0r?.sileSepticSystem ;i Y_N' 3 copies of Tree Preservation Plan if lot platted aKer 7l1193 Rim Joist Detail Options seiection sheet (buildings with 3 or less units) Date 1 V ! 21.J Site Address v r Description of Work Multi-Family Bldg _ Y X N Construction Cost _? I' r--5• ? Unit/Ste # Fireplace(s) _ 0 _ 1 _ 2 Property Owner V d FlUnn 7'elephone #(Ll5l ) lO03 6-70 lO Contractor Address State Zip ? Telephone # ((j57h ' DI'y-'?_! ' COMPLETE THIS AREA ONLY 1F CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 - Minnesota Rules 7670 CateQOrv 1 - Energy Code CBtegory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (?I submission type) Submitted Submitted . Energy Envelope Calculations Su6mitted Have you previously constructed a bui{ding in Eagan with a similar plan? _ Y _ N lf so, 257o plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofTlans. n _ Applica t's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex 0 09 07-plex C 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding C] 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg ) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ FooUngs (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Ai r Test _ Final _ Windows Insulation 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 CITY OF EAGAN ? l? 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements • 3 registered sile surveys showing sq. ft. of lol, sq. fl. o( house; and all roofed areas (20°k maximum lot coverage allowed) . 2 copies of plan showing beam & window sizes; paured found design, elc.) • 1 set of Energy Calculations • 3 copies of Tree Preservalion Plan i( lot platted after 711193 . Rim Joist Detail Options seleclion sheet (bldgs wilh 3 or less unils) -' -8 d DATE fI I:;L S?I R JOB SITE 6) r-, i rn o1 s 40 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN TYPE OP WORK ?? ""- APPLICANT ADDRESS 7dU PAGER # cP C e CG??cel l?' lD -g-a! e uv?rre;( u?de? ?rm4 ?- ??Q,oc? RemodeVRepair Reauirements v? ? 1 r ?? . 2 copies of plan 9 ??/ U • 1 sel o( Energy Calculalions for heated additio ? • 7 site survey for exterior additions & decks • Indicate if home served by septic system additions VALUATION ? Lt r 7`` i GL (_ vP G'gc&-') ?(..? CELL PHONE # FIREPLACE(S) _ 0 A 1_ 2 PHONE# ?PS_L4fS2E !°D ?_ZIP CODEMd-O FAX # NEW RESIDENTIAL BUILDING NLY - FILL OUT COMPLETELY Energy Code Category MINNES T (check one) - Resi entia A RULES 7670 CATEGORY 1 l Ven6lation Category 1 Worksheet Submitted - En y Envelope Calculations Submitted ` U MI FSOTA RULES 7672 - New Energy Code Worksheet Submitted U? Plumbing Contractor: Phone Plumbing System Includes: Water Softener _ Iawn Sprinkler Fee: $90.00 Water Heater _ No. o£ R.I. Baths _ No. of Baths Mechanical Confractor: Phone # Mechanical System Includ : Air Conditioning Fee: $70.00 ? Heat Recovery System Sewer/Water Contrac r: Phone # All above information mGst be submitted prior to processing of application. I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina e Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not R'equired _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 oF _ piex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-piex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-piex 0 19 Lower Level O 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Inte(or) ? 44 Siding ? 32 AddiGon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration El 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bidgs Type of Const Footings (new bidg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation Occupancy Zoning Stories Sq. Ft. Length W idth REQUIRED INSPECTIONS Fina]/C.O. Final/No C.O. Plumbing HVAC MC/ES System City Water Booster Pump PRV Fire Sprinklered Other Pool _ Ftgs _ AirlGas Tests _ Final _ Siding Stucco Stone Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppiy & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector RESIDENTIAL ? BUILDING PERMIT APPLICATION CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 651-681-4675 New ConsWction Reauirements • 3 regislered site surveys strowing sq. ft of bt, sq. ft of house; an(dll roo(ed areas (20% maximum lot ooverege albwed) • 2 copies of plan showing beem & window sizes; poured found design, etc.) • 1 set ot Energy Calwlations • 3 mpies of Tree Preservation Plan if bt platted aRer 7H193 • Rim Jaist Defafl Options seleciion sheet (bidgs wifh 3 or less uniis) DATE _ JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN TYPE OF APPUCANT FIREPLACE(S) _ 0 1 _ 2 PHONE# 9S2.-i70-2106 ADDRESS /d -/V 0 Ntc-6 1l.PS+ hi/E /.?rn?.no%Il?.M-F- ZIPCODE 6S,337 PAGER #CELL PHONE #6 I Z - F'S9- I-U8 FAX #9!C2, - -2 d ILE NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor. All above information must be submitted prior to processing of appiication. I hereby acknowledge that I have read this appiication, state that the i wiih all applicable State of Minnesota Statutes and City of Eagan Ordl Signature of MINNESOTA RLTLES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calcufations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener _ Lawn Sprinkler Water Heater No. of R.I. Baths No. of Baths _ Air Conditioning _ Heat Recovery System # 76, o0 RemodeUReoairRequireme • 2 copies oi plan • 1 set of Energy Cakulations for heated addfions U • 1 sile survey for exterior addifions & decks • Indicate'rf home served by septic system for additions VALUNION ,,(a ° dD Phone # Phone # Fee: $90.00 Fee: $70.00 lU ?y ect, an agr4f"o co ply ?b Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required/_ updated voi OFFICE USE ONLY ? ? 01 Foundation ? 07 05-piex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? OS 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex 31 New O 35 0 32 Addition O 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation oUaU e!-?o Census Code ? SAC Units ? Nbr. of Units ? Nbr. of Bldgs ? Type of Const ? ? 13 16-piex ? 16 Fireplace ? 17 Garage ? 18 Deck 9 Lower Level 'l Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) Q 23 Porch (screened) ? 24 Storm Damage ? 25 Misceilaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Int improvement ? 38 Demolish (interior) ? 44 Siding Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors •Demolitlon (Entire Bidg only) - Give PCA handout to applicant Occupancy ? MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ Footings (deck) FinaUNo C.O. _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing Firepiace A'I R.I. ?ir Test /?'inal ? Insulation Approved By ?y _, Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Water Suppiy 8? Storage S&W Permit & Surcharge Treatment Piant Plumbing Permit Mechanicai Permit License Search Copies Other Total Fina]/C.O. _ Plumbing HVAC Other _ Pooi Ftgs Air/Gas Tests _ Final _ Siding Stucco 5tone _ Windows (new/replacement) ? PERMIT City of Eagan Permit Type:Building Permit Number:EA164885 Date Issued:10/09/2020 Permit Category:ePermit Site Address: 4160 Kingston Ct Lot:5 Block: 4 Addition: Hills Of Stonebridge 3rd PID:10-32992-04-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Ben & Emily Herding 4160 Kingston Ct Eagan MN 55123 (651) 235-0895 Bayport Roofing And Siding Llc 2240 Edgewood Ave S, Suite 201 St. Louis Park MN 55426 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature