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4316 Kirsten Ct?' . . CASH RECEIPT _.. ? • CITY'OF EAGAN P. O. BOX 21•199 EACA, MINNESOTA 55121 . DATE I 9 rtecerveo . . i , _ FROM ..• _ . , ,. AMOUNT $ J & DOLLARS El CASH ? CHECK too FOR Fl1Np CODE qtAOUNT / -] f J ., Thank You B Y -- s? -? White-Payers Copy Vellow-Poating CopY Pink-File Copy J ?`. . CASH RECEIPT ?? ?• ? CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 ?f DATE ?,19 ..? wacsiveo .. FROM AMOUNT $ I DOLLARS 1 oo /,/ I ? CASH ? CHECK FOR ? FUNO COOE AtAOUNT A? 1l•2 . c _O Thank ou , ?- BY White-Payers Copy Vellow-Posting Copy Pink-File Copy C1TY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDIN6 'ERMIT aeeeioe # - W_ L_ ...-0 L_ QV flWft/dukA c_ Qt9 AAA ?._ -rnvn -.++v niAp1817 $itB /{Qf?f@SE %;'1' Lot 9 siock sec/sub. SUN3BT 2ND Parcel No .i 1+' 9836 Erect N Occupency A3 Remodel ? Zoning ? Repair ? Type of Conat. ' Enlarge ? No. Stories MORTHWAR AMRS Move ? Length Aj Name Demolish ? Depth ?L ? Addr Grade ? Sq. Ft. City Phone Install ? ? ? Appeoyals Feos Name Z U Assessment Permit • u Address Wotera5ew. Surchorye Z6_Aa City Phone P l n Review ?44 _ RA Pl Name o iu Fire a SAC =?;-AA 11 Address Enp. Water Conn.01.0.0 ..00 ? W City Phone Plonner Woter Meter _63?Q Coundl $Q.r?.Q Road Unit .2 I hereby acknowledye that I hove read fhis opplicotion ond stote fhat Bldg. Of . ? 8s p. l?Z . 00 the inlormotion is correct and ogree to comply with oll opplicoble AP? Total I • Sd Stote of Minnewto Statutes ond City of Eoqon Ordinonces. Slpnoture of Permittee Var. Date A Buildiny Perrnit Is issued fo: MOR??J BLDRS on the expross eonditbn Ihat all work sholl be done in accordance with oll pppliwbla State of Minnewto Stotutes ond City of Eoqon Ordinances. Buildinp Official ? I Pwmh No. Pvmit HoMer DaN Tslephone ? Plumbinp ? ?y ( 6 y r ? ? H.VA.C. ?VO Y'? ti? ? a ?7 4 5 E"c fl03`6(0 -ba,x 3'1 ? d ? 1?5 S1? Sottsrwr Iropaetion Dap Insp. Othx Footiaq? ?!p .?' Foundation Framinp ,G 156, 6.^ ;Z-5 Roofinq RouYA Flb4 - -YS T Rouyh HVA Inwlation Final P16¢ 1 _ Final HVAC Final CNt/Oce. GK, ? Wanr Dewia Loestion: FP o No S.w.. Pr. Dbp. Receipt MECHANICAL PERMIT Permit No. / CITY OF EAGAN Fee l'? ? r> Fill in numbered spaces S/C ' Type or Print /egibly Tot. ? i 1. Date Installation Cost • ? 3. Job Address Lot / Bik. / Tract ? `- 4. Owner ?VKTN `- ?i>iZ ?. 5. Contractor?RO/???AJ j//T 6, Phone' 09 ?'d 9 6. AddressJ??l? 7. City c/1? //?71/ t State / }711?4? Zip 8. Building Type: Residential Er Commercial ? Institutional ? 9. Work Description: New Er Add ? Alter ? Repair ? i 10. Describe 11. uel TYPe ? /// No• ? Equinment BTU - M. Ea. Forced Air No. Eauipment CFM Air Handlin : Mfg. g Boilers _ Mfg. _ Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. L- Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinan and codes governing this type of work. Signed:?--%t ?--1? ?C?-D?r-P r-/ for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 MECHANICAL PERMiT PERMIT # -j - j -.. CITY OF EAQAN 3930 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # CONTRACT PRICE PFIONE: 454-8100 DATE: Site Address gLpQ_ TypE WORK DESCRIPTION I Lot=Block ' Sec/Sub Res New ? Add - -on MuR ?; - Name m ? Comm. Repeir ? Address c City Phone Other FEES Neme RES. HVAC 0-100 M BTU -$24.00 ? c Addr893 ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES /VC ON NEW CONSTRUCTION) 50 EA 1 PER PERMIn - 1 MINIMUM ETS . . - GAS OUTL ( TYPE OF WORK COMMAND FEE - 1% OF CONTRACT FEE ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Unit Heater M 8TU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS 12 00 Air Cond. M BTU . MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Ges Piping Outlets # (ADD $.50 S/C PER EACH $1000.00 OF PERMR FEE) Other PERMR FEE : S1? %??? R S/C: /'l0 1d S? ?-,-.?- TOTAL: FOR: CITY OF EAGAN Receipt PLUMBING PERMIT CITY OF EAGAN Permit No. Fee Fi// in numbered spaces S/C ? Type or Print legibly Tot. i 1. Date eN -' 2. Installation Cost ?/ ? 3. JobAddress'tS?° -?Lr.•r.i _i Lot Blk. / Tract ' i ? i " 4. Owner ? 5. Contractor;'v1-?.n Phone 6. Address ? , ?: ,??-?o! Y ?'•?? i..QY':: - ?-Z/? ; ? ?. 7. City State Y r)? iii r; Zip .?_ 8. BuildingType: Residential;4 Commercial ? Institutional ? 9. Work Description: New)4 Add ? Alter ? Repair ? 10. Describe ? J 11, No. / - Fixtures Water Closet No. Fixtures Cesspool/Drainfield i Bath tubs Septic Tank ? Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other ? Laundry Tray ? Floor Drains Drinking Ftn. ? Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinanees and codes governing this type of work. Signed: for ' Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zonirp: No. of Units: ? Owner. ::ortiisGar Bl(irs Inc Address: Site Address: 4316 Kiraten Court L9 31 Sunse- 2nd. Plumber: 'iE*iCe?e Plbs' 1_R_RS G.?i.C?.^ . .. _.I ! » 1 ym M eomyly wilh fIN CkY of Laps Ordinanas. By Dote of Insp.: I nsp.: Connectton (]wroe: 425.00 pa ..-.?.,.-.? AccourK Deposit: ! ?). uu pa Parmk Fae: ' ' P Surdhorye: .57 PC- Miac. Chargm Totol: DoM Poid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot "ob Road P. O. Box Q1199 PERMIT NO.: Eagan, MN 5§I21 DATE: - Zoning: No. of Units: " ??. : ortlistar - rs uc ; Mdmss: Sita Address: 6 rsten ,ourt '. I'J .`.urset ? Plumber: '` • i',?°a Plb• AAetsr No.: Connection CharAe: . Siu: Actount Deposit: Reoder No.: Permit Fee: 1 NrN M eowply wkfi fhe Gry of Eayae Surchorge: O.dieona... Mlsc. Charyes: 132 • "!? `" Total: P t: '''-ter By Duts Poid: Date of Insp.: Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 ' PERMIT NO.: Eagan, MN 55121 DATE: Zaning: No, of Units: Owner. Northstar Eldrs In? Address: SiM Address: ?.:> = plumber: AAeter No.: 39'-f 7 3 4 6 Connection Char9e: ize: AcoouM . t3epobtt: Reader No.: O I L o? ? 9Li 1 Permit Fee: I 1 prM 1o amnoly w11h !w Ciry of Lagan Surchorge: i O?ain?ep Misc. Chorpes: i TotaL• B Dote Paid: of I ? Inap.: CITY OF EAGAN Addition Owner Remarks SUNSET 2nd ADDITION Lot 10 72986 090 01 Street 4316- Kirsten Court srate Eagan, MN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK 515' 1981 196.67 9.83 20 aid unde original par el SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA -576 1981 196,67 9.83 20 aid unde ori inal ar el STORMSEW TRK 1985 668.45 44.56 15 668.45 C009431 9-7-84 STORM SEW LAT CURB & GUTTEfi SIDEWALK STREET LIGHT ' Ro n't 280.00 #48850 1-8-85 WATER CONN, 500.00 tv BUILDING PER, n i' SAC PARK This request vaid 18 months from ? A067386 L1 t c;L- to 6 v-? Request Date Fire-NO. RouPh-inInsVection Required7 ?Ready Now ? Will Notify; Inspec- /? ? Yes [?JVo tor When fleady ? Licensed E.ectrical Contrac[or I hereby request inspeetion of above . ? Own?gr electrical work installed et: Streeg Address, Box orRoute No. ` City .'??? !<57"Ei?? ,6.-? ?ir?r?/?/ ecUOn o. Township Name or No. No. _ C oubty 7 ^ /? ?'?'.?1 /70.i9 Occuuant,IPRINTI Phone No. 97 Y- v7?p Power Supplier Address Electrical Contractor (COmpanv Name) Con(ractor's License No. 4k'A' e `l/G G Mailing AdJress IContractor or Owner Making Instailationl c:E' Auth$? zed Signawre (Contrector/Owner Making Installation) Phone Num6er ,e ? ? t1? MINNESOTq STATE BOAHD OF ELECTHICITY THIS INSPECTION REQLIEST WILL NOT Griggs-Midway 6idg. - Room N.191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi:oa See instructians for completiefg tF.is torm on back of yellow copy. '?/? "'X" Below Work Coveied by This Requesf ? A nVNE ° PIewlAAdi Rep.1 Tvoe of Buildinn I Aooliances Wired I ? Enuiomen[ Wired I Water $ErViCB ?ommerciai niag. rumace ano unioaoer Industrial Blda. Air Conditioner Bidk Milk Tank rm lrYSpect p Fee Service EntranceSize q Fee Feeders/Subfaeders 71 Fee Circuits 0 to 200 Am s 0 to 30 Am s 0 to 30 Am ' Above 200 Amps 31 to 100 Amps 31 to 100 AnVs Swimming Pool, Above 100_Am s Above 100_Am • Transformers Irrigation Booms Partiai•'Oth r Fee A Signs SUecial Inspection $ ? /45ZO TOTA F7E G (J emarks I, the Ele`al Inspector, herehy Wtify that the above Final %???? rspection has baen mede. Th18 reque9t vold This rsquest void 18 mon[hs from ? 1 067387 1 1 V ` ? ` U I ?..•.. o?a??-? ?+? Required7 ?ReadyNow?WillNolify,InsDec- 0.? ?Yes ?No [or When qeady BLicensed Electrical Cmriractor 1 hareby request inspection of a6ove ? Owny , electrical work instelled at: Street Address, Boz or Route No. City ?F 316 ! L / \ IJ r/lJ GA 7- ecLOn o. 1 Township Name or o. 1 ange No. Cowiry OccupantlPRINTI 4 & Phone No. 1o.,pi=e_S rslSlyl2 Power Supplier Address Electricel Contracior (ComVany Name) . - ? - 0 c 8 Coniractor's License No. 4cr Ew c? ,e'r Lr?r z o G? I Mailing Addres5 IContracior or Owner Making Instatletionl 193So 4,.e ?v?' Authorized S'enature (Contractor Owner Making Installation) Phone Number MINNESOTA STATE BOAND OF ELECT111CITY THIS INSPECTION REQUEST WIIL NOT Gtiggs-Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOqpD 1827 University Ave., St. Paul, MN 66104 UNLESS PNOPEH INSPECTION FEE IS Phorre 16121 297.2111 ENCLOSED. llp??/ REQUEST FOR ELECTRICAL INSPECTION ? EB-00001-0A . 1 See insiruttions for comnlntino thix iorm nn hack e1 vwllow cnov. .?.?1 A Ob 7 7 'x- selow WorA Covened 6y Thrs Request Nw4 Addj Nep• TYpe of BuilAing Appliencea Wired Equipmen[ Wired Home Range Temporary Service Duplex Water Heater Lightin, Fixtures 'Apt. Building Dryer Electric Heatin " . Commercial 81dg. Fumace Silo Unloader InduStrial BIAg. Air Conditioner Bulk Milk Tank Farm ther pecl v tnerlsuecify! t er pecify Ot er Other Compute nspection Fee Below p Fee Servica EntranceSiza k Fee Feoders/Su6leeder # Fee Circuits Oto20Am s Oto30Am s 0 to30Am s Ae 200 Am s 31 ta 100 Amps 31 to 100 A S Swimming Pool Above 700_Am V Above 100_Am s Transformers Irrigation Booms Partial-Othe? ee Signs Special I pection TOT Remarks , A FEE / /./ 7 ?. ?27 ii J_ rr - io- i RouBh-in Dat h f i i ? Z e F al In t h b . spec or, ere y ce tif th t th b Final ? D:?te r y a e a ove i tion has been n --. TT18repueatvoiClBmomhsfrom ? CITY OF EAGAN N? 9 8 3 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 L ?Q BUILDING PERMIT Receipt # Te be uad fer SF DWG/GAR Est. Volue $52, 000 Dote_ _.TA NIIARY R , 19$5,_ ?431 RIRSTEN CT Erect Ex occupancy R3 Site Addresa SUNSET 2ND Remodel ? 1 9 Zoning R7 Block Sec/Suh. Lot Repair ? Type of Const. cT Parcel No. Enlarge ? No. Stories NORTHSTAR BLDRS Move ? Length 41 it 2 Name BOX 24487 Demolish Depthi _ Addresa Grede ? Sq. Ft. ? City APPLE VALL phone $90-1661 install _O SAME o Name Z uu Address - 1- City Phone m F W Name ?? Address ?W City Phone I hereby ockrwwtedge thaf I hove reod this application ond state thot the intormotion is corre qt and ogree to Comply w' II aDPlicable State of Minnesoto Sto_tuUs_QRd City of Eagan tjieances. Approvals Fees Assessment Water 8 $ew. Police Fire Eny. Planner Council PIdg. Off. lI 7 85 APC Var. Date Pertnit 0 SurcFwrge 2 6- n 0 Plan Review 1 44 _ 5Q SAC S 2S_(1 Q Water Conn. 5(1(1 fl Q Water Meter _?3....?0 Rood Unit T.P. 132.00 -rotal $1,959.50 Sipnature of Pem+itt A Buildin9 Permit I ssued to? NORT$ T R BT,nR S on the express conditlon thal oll work shall be done in acmrdcnco with all o cab,le Stote,"nn?e-w--ta Statutes and City of Eoyan Ordinoncea. 8uildlnq Officiol ED '• ?. To Be U: Site Adc Lot: 9 Parcel ? Owner: Address: City/Zip t;oae: Phone #: 00 * 289 • 00 + 26•00+ 144•50 + 525 • 00 + 500 • 00 + 63•00+ 280°00+ 132^00+ 11959-50 * 061 • • • BE LICENSED WITH THE CITY OF EAGAN .;? INCLUDE 19 SETS OF PLANS, CERTIFICATES OF SURVEY Q SET OF ENERGY CALCULATIONS aU Valuation: ?Z,?- Date:_ ?n SX ? ? .2? Erect : Remodel: Repair: Enlarge: Move: Demolish: Grade: Occupancy: R"3 Zoning: (Z-? Type Of Const: # Stories: Length: ? Depth : 4Co Sq. Ft.: Contractor : Address: Assessments: Permit: ? City/Zip Code: ??e-- ? Water/Sewer: Police: Surcharges _Z<o ? Plan Rev._ 144.- Phone # = I (o Fire: SAC: 525. !r Engr.: Water Conn: Arch./Eng: Planner: Water Meter l?3.= Council: Road Unit: 2 g0•? Address- ' Bldg. Off.: ? Parks- City/Zip Code: APC: i-pe' 13z Variance: G • ' ?l / 'rJ1?t 50 Phone#: 24 x 3c, =6co4 ,(- sq-_ = 4c? (os ? 20 ?F S 141 (?? ? T 2005 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction ReauiremeMs 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies ot plan showing beam & window s¢es; poured found design, etc. 1 set of Energy Calculations 3 copies ot Tree P2servation Plan H lol platted after 7l1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) RemodeUReoair Requirements Office Use Oniv 2 copies of plan Ced of SuNgy Reai _ Y_ N 1 set of Energy Calculations tor heated additions Tree Pres Plan Recd -_Y _ N 1 site survey for additions 8 decks Tree Pres Required _Y _ N AddBMn - indicate il on-site sepGc system an-site Septic System _Y _ N ? /0? / 05 Date Construction Cost ? Z C7 ' _' 6 a ( k 4 I 7 ? Site Address ?3 i ee in-S ` UniUSte # Description of Work Q t"(Z OJ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner l?( ? I (zt)bf- 2-TS Telephone #( ) p, Contractor Address lq (? d City State ?n/ Zip Telephone # ( ) gsOZ -? ? ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residentiai Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% 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 of pl? ans--? n ' ? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuRi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - 5F ? 04 02-plex ? 10 OB-plex ? 1 B 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 PI6g_Y or _ N ? 25 Miscellaneous Work Types ? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding D 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* 0 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Uemolition (Entire Bld g) - 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 Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation REQUIRED INSPECTIONS FinaVC.O. Finat/No C.O. _ P(umbing HVAC Other _ Pool _ Ftgs _ AidGas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total rniLura rLHn 0inv8WL ? --='163Q W. 115Ih S1feGt , Apple Y:Jley, MN 65124 EXTERIOR ENVELOPE kYERAGE "U" COMPUTATION OWNER SITE ADDRESS CONTRACTOR ? a eTH SrA RJ?)U) VF_ 2S DATE _J _:? PNONE Determine working square footage of each. 1. Total exposed wall area ...... Irj7;9, $S sq. ft. x •1I = 19 5,b ? 2. Total roof/ceiling area ...... 885 s q• fL, x ? dZlo z 3.0 Total exposed wall area above floor = /5LQ °•y a. Tota1 wall window area . . . . 1 bO ?F b. Total . . .. ................... door area ................................. , g? ' c. 7ota1 sliding glass door arza .................... y y d: Total fireplace wall area ......... ............. e. Total wall framing area (average 10%)...:........ f. Total net wall area above floor ................. I-1q j,?-' g. Total rim joist area ............................ JZ g Total exposed foundation area = gc?.?{ g h. Total foundation window area...................... i. Taal net foundat9on area abpve grade ............ y,y a Determine "U" value of each wall segment. a. ), t a0,?f x ?,ull n. 3? X „u„ ? 5 5 = r'38.ZZ.? ,139 = 5.2a c. 4q Xliull .e_ = Z Z d. -- x ltuil e._ 132??1 X iiUii ,0910 = L2??I ---Y- f._-J1 = SI ,23 9._ 116 x„u„ joql_ = z h. X „ual _ ?-- - i. ly•yA x "U 11 io8z = 10- 92 3 ...................... ).q.? 6 t8%8> .....Tota1 - 191,Lo? If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. ? 7ota1 exposed roof/ceiling area Total gross roof/ceiling area = AQ„?,? , ` j. Total skylight area ........................ k. Total raof/ceiling framing area ............ ? 1. Total net insulated roof/ceiling area....... 3q 9. Z, . Determine "U" value for each raof/ceiling segment. 5. x l,u„ _ ? k_ Aa e) X liull , ov1 = Z, 13 1. r79r4,7r x "u° .oz.Z = I?.?S 4 .................... 1?.)P?a........Total If total of #4 is the same as, or less than #Z, you have met the intent of SBC 6006(c)T. To utilized the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of itens #1 and p2. 3. + 2, + 4. MATERIALS Therm. Rasistance "R'f Exterior Air ,I7 Siding Material , u5 Sheathing Z'O to Insulation I q Sheetrock Interior Air y S , I.o Studa )n Arl Rim. Conc. Blks. ?_ - ojD-otl L ? BL ? SUBD. CITY USE ONLY RECEIPT #: LWIL DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES -' EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x ?- Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ` Dakota Cry. license 20.00 = U.G. Sprinkler " home under const. 3.00 = Alterations * to existing 20.00 = a?? Water Turn Around 20.00 STATE SURCHARGE .50 C:;2D ? TOTAL SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: ? ? 2621 1%,67 Z'U CITY: STATE: PHONE #: (6/?-) 52-- L5`__9' ?. OFFIC.E USE ONLY L BL RECEIPT SUBD. DATE• 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciallindustrial buildings. ? multi-family buildings when separate permits are apS required for each dwelling unit. DATE: CONTRACT PRICE: ? WORK TYPE: _ NFW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YE5 NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of nermit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE #: 51GNATURE: APPLICANT OFFICE USE ONLY IMETER SIZE: " DATE: INSPECTOR: p CITY USE ONLY L ! BL ? a RECEIPT #: SUBD. DATE: 442"f 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ?' le fam' tlweliings ? to omes and condos when permits are required for each unit New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ? FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $20.00 ? HVAC: 0-100 M BTU 24:0 Additional 50 M BTU 00 ?G. ? Gas Outlets (minimum of 1 required @$3.D0 each) ?-? ? State Surcharge 7?? $, ?a .50 TOTAL c SITE ADDRE: OWNER NAM INSTALLER N STREET D arY: 4 e22 ?z PHONE #: ( -?--? ? ? PHONE #: (L? a ? ?s??? CITY USE ONLY L BL RECEIPT #: SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercialrndustrial buildings. ? multi-family buildings when separate permits are n12 required for each dwelting unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee gl 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of r i fee due on aIl permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: TELEPHONE #: ADDRESS: CITY: STATE: ZIP: PHaNE #: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-689•4675 ? g S: New Conshucflon ReauiremeMs Remodel/Reoalr Reauiremen ? 3 registered sMe surveys showing sq. fl. of lot, sq. N. of house and all roofed areas (20% maximum lot coveraae allowed) ? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ? 1 aet ot energy calculations ? 3 copiea of free preservation plan if lot platted affer 7/1/93 DATE: Cc? _?? B - / ? C( DESCRIPTION OF WORK: /,? lC ) A k' STREET ADDRESS: LOT: 3 BLOCK: I_ SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER 7 -4?P.C 4 Ph ne firsi ? Last Street Address: City L / State: G ?? - Zip:,_')S (area code) r) Stree ess:??/? ? ???? ? ! License # ?°?? Exp?- 3 City M&L state: r v J zip: Company: Telephone #: area code ( ) Street Address: Registration #: City State: Sewer 3 water Iicensed plumber (reaulred for new construction onlv): ' Penalty appiies when address change and lot change Is requested I hereby acknowledge that I have reod this applicatton, state thaf the ' State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USEfONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes _ No is issued. _ No _ Not Required 2 copies ol plan t set of energy calculafions For heafed addHlons 1 sRe survey for extedor addffions & decks COST: o ? Name: Zip: agree to complywJtfi ali applicabl ? , :? ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage 0 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Parch (screened) 0 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/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Aiteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to appiicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq, ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Census Code SAC Code No. of Units ? No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered APPROVALS ?i Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge - L C) Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/V1l Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: (-f' li'S :8 U SAC Units % SAC 2/84 ? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDr't..SS: r•Frar• DESCRIP'PIC;I: - (Lot/Block/Subctivision or Tax Parcel I.D. Ntzn;Ser) ST?.L'CI?J;tE, DATE O° OR?Gi AI. rtiII,JZ`:G _°?:?:Ii ISS1;A\G: PDFCLT jn??r'/7??pOSm LT?: i? ? R-1 SLNAGL:, FP34JLY ? R-2 DUPL?.L'`{ ('IV,'0 L7:ITS ) D R-3 TC?,:?iII-ICUcE (?'I'p. ?= L^IITS) ( Wi I"_'S) ? R-4 p CC,1tiTi"IERCLU/F2E.PAII4/OFFIC:: p ?'DL'ST:?I1L p L11ST=IO:]AL/GGVERL`n'?,'T 2) P,PPLICL?,iT NAhIE: ADDRESS: CITY, S-,','1T:,', ZIP: PHONE: 3) PLL:•tEE.°. NAA'fE: ADDRESS: CITY, STATE, ZIP; PHOiNE: 4) 0CCfJPANT/C7v1`IER NAME: ADDRESS: CITY, STATE, ZIp; PHONE: (PLEASE FRINT) Nr nnoi?n PlU"iBER LICENSE E Pfi?N() K FOR CITY USE ONLY PLUHBERS IICEtiSE: ?f Active ? Expired ? Not cf pecord i? 3 art tnitia7- 5) IINDIG'1TE [v'HICH PERIAIT IS BEING REQUESTID: CONN=ION TO CITY SEWER ? CoNaTION TO CITY WATEFt ? 0'11MR (PL£ASE DESCRZBE) ?J PI.EaSE F?OLD APPF,WEU PERMIT FOR PIC'iC-UP BY O[VE OF AH('VE ? PL.FASE MA.IL APPROVm PER,LIT TJ 1. 2. 3, 4 A£(NE 141 A (Circle one) DATE: ?-??- Cc ? ( 7" v? Mot?! ofaE+?w??s:f? rr sa ?e?e:a::a y=r.W2N-aa=a4WVs rs ? rFSaa?:a a?t a?wtr?-a??r.? ?+? cg ?aie?saa? s F O R C I T Y PER'NIT '-` ISSUED FE E S : $ i o •"S a ` ?d SQ $ S $ f ? s-d $ ?5'a O. ?a $ $ $ $ S $ U S E O N L Y ? `. Sr:"!GR n?RMT'i^ 1I?TC:.'.:L?. JUt?. WATER PERP1IT (Ii.CiUDE SliRCHARGr.) WATER METER/COPPERHORN/OUTSZDE REABER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP .:_=GS7_ - AC.^.OUNT DFPOSIT - PTATER WAC SAC TRUNK WATER ASSESS:?E?1T TRliNK SEWER ASSESSME^3T LATERAL SENEFIT/TRUNK SE;TER LATE?2lL BENEFIT/TRUNK [VATER OTHER ' TOTAL AMOL'NT PAID/RECEI?T n L,l J' ee /??_ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A "PERMIT FOR ;40RK WITHZN PUBLIC RDADWAY" MUST BE ISSUED BY THE ? NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: ' APPROVED BY: TZTLE: zf DATE : 6=- me ww?m mR:m MMiN Won g!jm w1+0 gltm 14 w-" ?}7 !t= aF = !! Wi4 R# R w /l WJm m m ( ? y so? 01'44'~t e4, ?? y ?1E? . ? .44 4c . ? ?. 5 r - - ?5 ??i Q? 4 I 1 ? w `P 19 ? ?-? . - . . ;l? ? ? ? d1 ? ' ?/ ? ^ ? 06 ? ??? % M% ?. ? ( N ? ??? ? .O ???. 120,8 N ? z?,o I ? 4"E 1lli.p N \ ? ' t ? zo,o ? ??l' ? , 1?10Q+T1?1 N is ? \V ' ? .,< ?"?v e'? ?` ?' e _ a OirNoT?s tRe1J MDNt?NtE1h' • • ? ? awv? '? ? i - Ex?yt M L ° y• .?• y% ?D W.e r _- s.r - oP o? Dfrh?e.1'P'r1dl?! ?? ?„Ra •od„ .'; 4•4 1 t,p,. J( IR4T E,?,/ St11J?iT ?F?oND , cblj4r ATJOIT?oI?? ? DAK.oT/? Go1?IJZ'Y? MlN1?FJ?'? I hereby certify that this survey was prepared by me or under my direct eupervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date r Qtc.e«%bar21 , 19:4 ? rZ L oy . Bohlen Registered Land Surveyor No. 10795 v19-+-3_7528'1 Use BLUE or BLACK Ink ~t For Office Use U1+ 4 of ~t ~an 11 RECEIVED i Permit I , } t~ I I 3830 Pilot Knob Road MAY 0 1 2014 ; Permit Fee: I Eagan MN 55122 Phone: (651) 675-5675 I Date Received: I ` I Fax: (661) 676-5694 Staff: I 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with 1all commercial applications. Date: Site Address: ~T J I y =}f ~1-E f1 C.T Tenant: YCi}r i Y'Si~ Suite Resident/Owner Name: 2iA ~t Cr?~. W y/clt<~' Phone: U51 Address /City /Zip:, X tL V S7Z"I' 1 ( Q Name: l,I U L'r License tX I 0 US5 Contractor Address: _I9 n" \V M I 110 n S City: Rrut A I''11✓,o 20 State: MV1 Zip: Phone: I V I Contact: *A, VU Email: Il 0 g Qrcur New Replacement -Additional _Alteration Demolition Type of Work Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. JRESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement Permit Type Air Conditioner _ Install Piping _ Processed -Air Exchanger _ Gas _ Exterior HVAC Unit _ Heat Pump Under/Above ground Tank Install Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) l~ Ov $100.00 Residential New (includes $5.00 State Surcharge) lu U TOTAL FEE COMMERCIAL FEES Contract Value $ X.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal = $ Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge* **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE 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 ee V - sQ r Applicant's Prl ted N e Applicants Sign a e FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In _ Air Test Gas Service Test _ In-floor Heat Final HVAC Screening 1 For Office Use / \ 0 0 a s° :::::e /46_,?6 : Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT fiPPLICATION Date: L' 3aJ 1? Site Address: V31 & fo,„_s- 4t (17/ Unit#: Name: B C' o ./`-- Phone: 6 i'—SD 3 -99 ° 3 Resident/ 1.--/3/, �_.2-� r. E Owner Address/City/Zip: / /1 afl/L Applicant is: Owner ontractoriir 4 Description of work: in ( (' p2 01 t✓rid 0v✓i Type of Work c3,-) Construction Cost: ! a. 0 Multi-Family Building: (Yes /No / J� Company: /4/4'1 e'-'5° -(.2t -5o W iiW�t/� ��j �CQ act: l �� i Address: 60 L-14 r/Cf/V ity: ti t(r),r,J'r/1 Rio M`4 Contractor -Z� ', / b- -`'' e. Stat Zip:7.3'10 O Phone: /5oz `7 Email: 1M •'ii) 0)V U1.-4, I License#: I 0 ( Ari Lead Certificate#: / 4-1(11-4'i If the project is exempt from lead certification, please explain why: 1 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: I Sewer&Water Contractor: Phone: Fire Suppression 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- ublic if you provide specific reasons that would permit the Cl to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.orq 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 w: •-'ut 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 App' -,„ ignnture