4202 Meghan LaneSeriai # 4(,3 -70 zf- (0 3
Chip# o a 74 82 72
Permit # c?- o 3 3
Address: d o ol_? a 14rt. YVu
1 AGREE TO COMPLY WITH CI OF EAGAN
ORDINANCE: ?'? ??'
Signature:_s"
\ vaU., Pib 1.
Wertificate of CccupancV
6it4 of Cfagaa ?
,Zev art?cnt of Zxtlbius 3x60eetioK
This Certiftcate issued pursuant to the requirements of the Urtiform Building Code
cenifying that at the time of issuance this structune wns in compliance wirh the various
ordinances of tke City regulatrng building construction or use. For the following:
20353
Use Classificauon: Bldg. Permi[ No.
Occupsncy Type R ' Zoning District 7V
R Caat ?
MliRO AtM9M HMS IIW --8qM EYW AVE S, -1 -
Owcer of Building pddmss
s s
f aL" a a
? )C71*??A
vaa
?... ? Building Official
POST IN A CONSPICUWS PLACE
ji
C{TY OF EAGAN
' 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: , ,, i ;
? I nW
PERMIT SUBTYPE:
I . ?
Q?PPLICANT:
; 7F}i Mrikv
?
? TYPE OF WORK:
? tJ F: 4!
,'-ffP Ai:F A 4,Ikl L `
44M f M+i I
?,/(p a0
9j ?
/ 4/041- 1
5?i0 $ °° 59 01944 °° .?59 00 oo a ?, ?
. f Ni 1 I1W , AA , r;,•t4a?, _ , ';h;1 _ "}. 1 0. 4,` 1 INSPE
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
N':}i,•?.1??..
Permit No. Permk Holder Date Telephone #
SNV
PLUMBING
HVAC 9 q o00
ELECTRIC
ELECTRIC
Inapection Dete Insp. Comments
Footings I
\
?
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg. 6,/1.4,
OrsatTesi
Flnal Plbg.
? Plbg. Inspector - NotiTy Plumber
Const. Meter
EngrlPlan
Bidg. Final 611ylie"?
K?
Deck Ftg. '
Deck Final
Weil
Pr. Disp.
SITE ADDRESS ?°?O? ?? e q h Q n? n. unft # Permit #0?0353
L ? B ? sect./sub. M e q h a n' S
INSPECTION
1NSPECTOR DATE COMMENTS
P
. '
1
2„-rw:dw
-
,
j
y,)z.93
ysbs
ff,g:, ? AW b'lr s3 ysd?. ? 6Y - o6 - ag-16 -AL -iy-??
?? S??Cg? yav?-? '
INSPECTION INSPECTOR DATE COMMENTS
4L
i??
A74? s" z)z ?s
-/6 3 ' 0a- - G or
-
?
Aequest Dfite ire Rough-in Inspection
Requ ed9
? Ready Now }°•'dl Notity Inspeclor
n R
7
Wh
tl
? I es G No e
ea
y
/
I licensed contractor rJ owner hereby request inspection oT above electrical work at:
Job ndaress (Street. Boa or R ute No.?
2. e ?a
??Vt1_ Ciy
a
Sect?cn No 7ownship Name or Range No. Counry
: ?
Occuparn (PRINT) Phone No.
v AMe6t-o
?
Power Supplier
. - Address
M
l
d . a . wc
Electriw Contracbr ( ompany Name) Coniractor5license No. ,
j D . o c 4-6
Mailing Atltlress (Contracior or Own r Making Installation)
2
i f_
5
45
-i
r
_ .
' .?? .
1 v
,
AuthoAZetl Si n wr9 IConiractortOwner Making Installatlo
; ?k V _ n? /?C?
_L
p?
Phone ?N/umber? ^7GrU J
CJ -MINNESOTA STATE BOARD OF ELECTRICITY G THIS INSPECTION REQUEST WILL NOT
Grigga-MlOway Bldg. - Hoom S-173 I
? Q{ BE ACCEPTED BYTHE STATE BOARD
1841 Univereity Ave., Sf. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-0800 (A'^
?i ?1 ?" 1 ENCLOSED.
??519.3?
d 15589
REQUEST FOR ELECTRICAL INSPECTION
? See instructions br completing this form on back ot yellow copy
`X° Below Work Covered by This Request
00Va
?f'l
T[i1S9?
'??- IZ s?4
Ac,lt Rep. ' TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
. Duplex Water Heater Electric Heating
Apt. Building Dryer OtheF(Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specily) Contrador's Remarks:
Compute Inspection Fee Befaw.• Io0?`
f? Other Fee # Service Entrance Size Fee # CircuitslFeeder5
. Swimming Pool ? 0 to 200 Amps j, Qb 0 to 100 Amps . A
Transformers
Above 200 _ Amps
Above 10 _ Amps OO
Slgns Inspector's Use Only:
?
T
OTAL
lrrigation Booms // jc
?y ; SQ
pecial Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 H t
I, the Electrical Inspector, hereby
i Rou9n•in ? oeie
cert
fy that the above inspection has
been made. Finaf
, Date
?-O)J'F-917
OFFICE USE ONLY .
This request voitl 18 monihs Irom
,
FeqVest Date Fire No. l ough•in Inspection
red?
CI Reatly Now ill Nolity Inspector
?Nh
R
d
?
G No
Zes en
ea
y
I licensed contrector p owner hereby request inspection of above electrical work at:
Jo6 6tldress (Street. Boz or fioute No.) City
Q Y I . r ? ? CAY 1
Section No. Township Nam 01 No. Range No. Goun
?
Q.
Owupant PRMT)
A Phone No.
avV
videvS 5
Power Supplier
V.. Address
Elec3ric Contractor (Company Name) '
C Cpntractor's License No.
c . o
Mailing Address (Contractor or Owner Making Installation)
2 fc.. .?J
?
? I o
Authodzea Signature IComrectoriOwner Making Installationj
4 Phone Number
'-? Wo"Alm 2 -2 ?
MINNESOTA STATE BOARD OF ELECTRICITY ?THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway Bldg. - Room 5-173 BE ACCEPTED BV THE STATE 80ARD
1621 Universiy Ave.. SL Paul. MN 55104 (UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ? O? inviel ENCLOSED.
,,?/Q ?. REQUEST FOR,ELE.CTAICAL INSPECTION `e•?oojop(}},-oe
? See insimctions for completing this form on back af yellow copy. p??0?. 7
d 15 5 9 0 "X" Below Work Covered by This Request
e Ao`d Rep: - Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt.Building Dryer OtheF(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other Ispecify) Contrador5 Remarks:
6ompute Inspection Fee Below. N /-?y TT/nnhnw?_ lQ oA
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming POOI 0 to 200 Amps ,6D 1 1-31 D l0 100 Amps Z,0
Transformers Above 200 _ Amps Above 100 _ Amps ,00
Signs inspecrors use oniy: ' TOTAL
lrrigation Booms
Special Inspection
a.larm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN NTH f
I, the Electrical Inspector, hereby
tif
h
h Rouqn-in
+ oaiey 7
cer
y t
at t
e above inspection has
been made. Final oace ?AC Q
OFFICE USE ONLY This requesl voitl 18 monihs irom
g
5
? y
Ili! y
W
Raquest Date Fire o. Rough-in Inspection
i3equired?
? Ready Naw t?Will Notiy Inspector
-
' es G No ? When Ready?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jqb tltlress (Street. Box w Route No.) f
-
ii Ciry
O
--
GWI V GVV
V I o-' GL YJ
Section No. 7ownship Name or Range No. Gounry
Occupant (PRINT) Phone No. ?
c-2
Power Supplier 7?
1 V S 4 ?'t f!l Adtlre s
(?oo "? ? ?1 //qq??
,? (?^ f ` l/VL ? ? `
Eleqric I Contra
011 cror ICompany Name)
106 . Coniractors License No.
Mailing Atltlress lComractor oc Qwner Making Installation)
1
Authorized ignature ICoMractovOwner Making Installalion) Phone Number
P?d>> 1,l )t.J ,wi 1 lG?? __ Z° 2-$
MINNESO7A STATE BOARD OF ELECTRICITY ? ITHIS INSPECTIONAEQUEST WILL NOT
Gdggs-Mitlway Bidg. - Room 5•173 GI ? t BE ACGEPTED BY THE STATE 80AR0
1821 University Ave„ St. Paul, MN 55104 . UNLESS PROPER INSPEGTION FEE IS
Phone (612) 642-0800 ?(.?&VA ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ?0"'?N
h? ?ey.o?o,-ys
( ? See instructions tor complayng this torm on back ot yellow copy. ?. ?! ?f oL y
n
"X" Below Work Covered by This Request
ew A 7ypeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buiiding Dryer OtheF(Speci(y)
CommJlndustrial Furnace
Farm Air Conditioner
Other (specily) Contraclor's Remarks:
Compute lnspection Fee 8elow: I" a?j l?? V f Q??? '0 0' `
# . Other - Fee # ServiceEnhanceSize Fee # Circuits/Feeders Fee
Swimming Pool ? 0 to 200 Amps QQ 1 1.3 0 to 100 Amps Zco
Transformers Above 200 _ Amps Above 100 _ Amps ,0
Signs Inspenors use Oniy. ? TOTAL
Irrigation Booms Q
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 Mj?lIff HS.
I, the Electrical tnspector, hereby Rough-in ate
certif that the above ins ection has
Y P
been made.
Final Date
,
OFFICE USE ONIY
Thi§ raquest witl 10 monlhs irom
?2 ?
Req est Da
_? r
?
` Fire No. - R h-in Inspectlon
9e iretl? ` ,
? Ready Now ?VIII Notify Inspector
?%Wh
R
d
?
,7 Yas G No an
ea
y
I? licensed contractor p owner hereby request inspection of above electrical work at:
Job Atltlress (Streef. Box or Route NoJ City
• O. 1'l ? et.vi
Section No. Township Name or No, Range No. Counl
?
Occuqant(PRINT)
-
A- Phone No.
a v
V
nr,1A" 5
Power Supplier
M - Address .
W
oW A
e u,-
k? .
Eiearica Comract or (Company Name) Contreoror5 License No.
14V/ ,-' o
Mailing Atltlress fContraCtor or Owner Making InstallaLti0n)
olJ - '?
Authorizetl Signature (COmract oOwner Making installation) Phone Number
2
MINNESOTA STA7E BOARD OF ELECTRICITY 7HI5 INSPECTION REQUEST WILL NOT
Griggs-MfAway BIAg. - Room S-773 BE ACCEPTED BY THE S7ATE BOARD
1821 University Ave., St Paul, MN 55104 }.?? '^ UNLESS PFOPER INSPEC710N FEE IS
Phone (812) 642-0800 C(? ??? • l ENCLOSED.
$ REOUEST FOR ELECTRICAL INSPECTION ?oooo?a
?p See instmctions for completing lhis torm on beck of yellow copy.
- 5 5 9 2 X" Below Work Covered by This Request
L?
Add Rep-, , TypeotBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other4Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (suecity) Coniractor§ Remarks:
Corripute fnspection Fee Below: 'kJ &W h. T)AA? 100A
# Other Fee # ServiceEntranceSize Fea # Clrcuits/Faeders Fee
Swimming Paol 0 to 200 Amps [, o to 100 Amps 52,00
Trensformers Above 200 _ Amps Above 100 _ Amps ,06
SigOS . Inspectorg Usa Only: TOTAL
Irrigation Booms ? ? ,50
Special Inspection /
Alarm/Communication THIS INSTALLATION MAY BE ORDER IF NOT
ISCONNECTED
Other Fee COMPLETED WITHIN 18 M S. (
I, the Electrical Inspector, hereby Rough-in e/1
certify that the above inspection has
been made. Finei ce fI
OFFICE USE ONLV
Thi3 request void 18 months trom
593 ?yC2- y
Request D te Fire No. I nspecti
N,lWo
uiredl on \ ?
O Aeady Now F7?!ill Notify Inspec[or
R
d
?
-1Wh
Ves G No en
ea
y
licensed contractor D owner hereby request inspection of above electrical work at:
Job Adtlre55 (Sireet. Box or Route No.)
2 Giry/?
O V W V w? L/ Lt til V1
Sec6on No. Township Name or N. Renge No. County
Occupant(PRIN7) Phone No.
/
Power SupDlier
? -e c(
o c, l? Address
3?00
!V1 a Xw-Lu A7/,e.
Elettri 31 Conir ctor (Compen ame)
c
ContraCtorS LiCense No.
????
0
Mailing Aaaress (Contractor or Owner Making Installation)
l
?
f ?
? W`?
Authorizetl Signature (COntradorvOwner Meking Installation)
I Phone Number
MINNESOTA STATE BOARD OF ELEC7RICITV THIS INSPEGTION REQUEST WILL NOT
Grigps•Mitlway Bitlg. - Hoom 5•173 BE AGCEPTED 8Y THE STATE BOAFD .
1821 Unlvaraity Ave., St. Paul. MN 55104 UNLESS PFOPER INSPECTtON FEE IS
Phone (812) 642-0800 C-GL. ? a ? ENCLOSED,
REQUEST FOR ELECTRICAL INSPECTION ? E6-0000
? - 8
/ ry See inslructions for compleling this brm on back ot yellow copy. 4-? yp? ?
?-? -1-5'?S J 3 "X" Below Work Covered by This Request ??P, 12-rjcl C-)
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other_(Specity)
Comm./lndustrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute lnspecfion Fee Below. I v Q? Tnv-v) r'uw"-? IvOA
# Other Fee
# Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Poal 0 to 200 Amps ,QD 0 to 700 Amps Z?QO
Transformers Above 200 _ Amps ? Above 100 _ Amps dD
Signs inspector's use only: TOTAL
Irrigation eooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER DISC NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON r
I, the Electrical Inspector, here6y Rough•in L.L ,
certify that the above inspection has
been made. p;nai
OFPICE USE ONLY
This request void 18 monlhs from
94
?
y?
Re uest Date Fire No. 6 ough-in Inspectivn
x e ired?
? Feedy Now ill Nolify Inspecror
Wh
R
l
? Yes u No en
eady
1,Jicensed contractor ? owner hereby request inspection of above electrical work at:
Job Addr
? 55 ISireet. e0z or qo te No.l + -
Z
( City
O Vl W? l
Z? V G? G C'L
Section No. Township Name or N. Range No. Counry ?
OccupanllPRINTI A-m
Y V . d `v?v YI 4 z%u 5 Phona No.
PowerSupplier v ?^ d ?
c
d2-
0
Addr
w.2.Q.Q
Ele tric I Contra [or (COmpany Name)
1 Contractor5 License No.
. .
Vl lJe A V
Mailing Adtlress IContrador or Owner Makfng Inslallation7
a.? I t?? 1; 10
Authorizeo Si9naNre IContractor'Owner Making Installationl Phone Number
2Z
MINNESOTA STATE BOARD OF ELECTRICITY d.?THIS INSPEC710N iiEOUEST WILL NOT
Griggs-Mltlway Bitlg. - Room 5-173 BE ACCEPTED BYTHE STATE BOARD
1821 University Ava., SI. Paul. MN 55107 UNLESS PROPER INSPECTION FEE IS
Phone(6721642-0800 a ? ?• ' ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
p ? See instruc[ioiis br coRpleting this form on back ol yellow copy.
X" Below Work Covered bv This Reauest
e-ooo -as
?r
?,?:r 1212?SCq
New .- -
Add
Rep.
Type of Building
AppliancesWired -.,
EquipmeniWirad
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Othep.(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (sVecity) Contractor's Remarks: I Compute Inspection Fee 8elow: QuA) Tul/uA"v V V_? iOO A
# Other Fee # ServiceEMranceSize Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps (, ?j o to 100 Amps 2,65
Transformers Above 200 Amps ? Above 100 _ Amps .pp
SIgf15 Inspectorg Use Only; TOTAL
Irrigation Booms ?'DD , O
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS. ?
I, the Electrical Inspector, hereby Rough-in , oete Z.(- A Y
certify that the above inspection has
been made. F;oei oace r F,
OFFICE USE ONLV "
This request voitl 18 months from
?
5
S ?
?e
Raq est O te FirgN _ ? -ough-in Inspectian
Re iretl? (((??, '
? Ready Now ?J Will Notify Inspeclor
? Ves C No ?\ When Ready?
IA licensed contractor p owner hereby request inspection of above electrical work at:
Job Atltlress (Street. Box or Route No.)
?
I Ciry
e
a --
q um- a a I?
Section No. Township Name or No. Renge No. Counryb ?
OccupantlPRINTI I
V !V` Phone No.
Power Supplier
?-
? Atldre S
? 0C? o
/V
( ?4v?e
l ? x w-t
e c o e . ,
, .
Elecincal Contractor 1Company Neme) Contractofs License No. .
' l .
&VL
Mailing Aotlress COniractor or Owner Making Inst Ilation)
Z
f
0
l ?5
&e 1
. a,u
Aulhorizetl Si nalure IContractonOwner Making Inscallation) Phone Number
F_' ?? -2-93-3
MINNESOTA S7ATE BOARO OF ELECTRICITY ?(}?- THIS INSPECTION FEOUEST WILL NOT
Grlgga•Mltlwey Bldg. - Room 5-173 "? 8E ACCEPTEO BV THE STATE BOARD
1827 Universlty Ave., St. Paul. MN 55106 ?CA I/1 UNLESS PROPER INSPECTION FEE IS
Pnone (612) 642-0800 ? ? ? ENCLOSED.
d 15595
REQUEST FOR ELECTRICAL INSPECTION
? Sae instructions for completing this torm on heck of yellow copy.
'X" Below Work Covered by This Request
E800001-08
?
Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm.llndustrial Fumace
Farm Air Conditioner
Other (specify) Contrector's Remarks:
Compute Inspection Fee Below: T 61/0-vi
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 01 131 0 to 100 Amps ,05
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspecror5 Use Onty: ? TOTAL
Irrigation Booms C? 1 14 50
Special Inspection .
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oa?
(4
certif that the above ins ection has
Y p
been made.
Final
Date G
OFFICE USE ONLV ?
ThiS request Voitl 18 monihs 6om
s? y
5
V?55' ?
Req es1 Oa1e
? ,
2 Fire o.
-? Rough•in Inspedion
e ired?
`
O Aeady Now ill Notity Inspaclor
Wh
R
4• r Yes G No en
eady?
I? licensed contractor !D owner hereby request inspection of above electrical work at:
Job Address IStreet. Boe or Roule No.l Gity
` Ltr 1
Section No. Township Name or Na. Range No. County,
(
Occupant(PRINT) Phone o.
Y / ?
?
Power Supplier Atldress A . n /^?
?
w
e .
J `
Electric I Contractor ICompany Name) ContractoPS License No.
A G (o
Matling Adtlress IComractor or Owner Making Installationl
S
2 C
5?
f
:2 [7-1
? I?
. cw
Autnorized Signature IContractorrOwner Making Installation)
? Phone Number
?
a !
Vi-It i? V- k --- 11 ZZ4-2-3325
MINNESOTA STATE BOARD OF ELECTRIqTY THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway Bltlg. - Room 5-173 li L I "l ? BE ACCEPTED BY THE STATE 80APD
7821 University Ave., St. Paul, MN 551D4 q(/? UNLE55 PROPER INSPECTION FEE IS
Phone (612) 6a2-0800 ? ? v?" ` ENCLOSED.
L
REOUEST FOR ELECTRICAL INSPECTION
ji, See instmctions for completing this form on back of yellow copy.
15596
"X" Below Work Covered by This Request
`?`Ne? es-oooo,-o
.?
ew Add, Rep . Typeof8uilding AppiiancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other_(Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (speciry) Contractor's Remarks:
Compute Inspection Fee Below: IJ L vOA
# Other Fee # Service EniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps Q(j ? 0 to 100 Amps Z,?
Transformers Above 200 Amps Above 100 _ Amps
S19n5 Inspector5 Usa Only: TOTAL
-
Irrigation Booms 7 L
L 4 l
Special Inspection l
7
Alarm/Communication
THIS INSTALLATION MAY BE ORDE IF NOT
1PCONNECTED
Other Fee COMPLETED WITHIN 1 TH
I, the Electrical Inspector, hereby Rough-in `
? Date
--Y
certify that the above inspection has
been made. F;nai 1 Date ^??.
OFFICE USE JNLY ? This request void 18 months Irom
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
3 q'5. -? -5
Foundation Onl New Construction Interior Im rovement
• SVuctural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) se[s
• Civil Plans
(2) . Structural Plans (2) • Code Analysis (1) `
• Certificate of Survey (1) • Civil Plans (2) . Project Specs (1)
• Code Malysis (1) . Landscaping Plans (2) . Key Plan (1)
• Project Specs (1) • Code Analysis (1) • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule • Certificate of Survey (1) . Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) notalways'"
• Meter size must be established . Meter size must be established • Meter size must be established - if applica6le
• ProjectSpecs (1)
1 • Energy Calculations (1) " d
1 • Electric Power & Lighting Form (1)
1 • Master Exit Plan (1) 1
1 • Emergency Response Site Plan (1) **" 1
1 • Soils Report (1) 1
• MGES SAC determination letter . MC/ES SAC determination letter • MC/ES SAC determination letter
call 651-602-1000 call 651 -602-1000 call 651-602-1000
I-ootl & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
" Contact Building Inspections for sample.
Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: 47 27 O Z WORK TYPE: NEW REMODEL CONSTRUCTION COST: .2D 32 37?X
SITE ADDRESS: ?.Z D 2 yZAp /yJ€ 6-GjQ/A 1-r9/1J? p?
TENANT NAME: WWQ? #VMC D?C ?-'??????00 ? SUITE #:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK ???0 ?
Name: G?fJG(Q7'? ? /!'I ? O /4-' ?( /Z ) 39I Sfo ? ?
00
PROPERTY Last First
OWNER 2 - ?Z
StreetAddress: ?[2 Q /?P /Y?E 6/7Q17,S Z,17'/r/6-
City: State: A7V Zip:
S S y? ?
Company: G?l?SS IG ,?-fJO?s ? G Phone #:
CONTRACTOR
StreetAddress: IZdDO 12- Avc-.S
Ciry: State: /// / V Zip: ? S 3 3?
E
ARCHITECT/
ENGINEER Company:
Name:
Phone #:
Registration #:
Street Address:
City:
Licensed plumber installing new sewedwater
I hereby acknowledge that I have read this application, state that the
Minnesota Statutes and City of Eagan Ordinances.
Signature of
Zip:
State:
Phone #:
with all applicable State of
Updated 7102
OFFICE USE ONLY
SUBTYPE
? 01 Foundation G 26 Public Facility -1 30 Accessory Bldg.
? 14 Apartments ? 27 CommerciaUInd ustrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae Ll 35 Ext Alt - PF
D 37 Nail Sa1on
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundaxion) L] 46 Windows/Doors
? 32 Addition P 36 Move Bldg ? 43 Reroof G 47 Repair
C 33 Alterations ? 37 Demolish (Bldg) G 44 Siding ? 48 Authorization
Fl 34 Replacement '-1 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code
SAC Code
No. of Units
No. of Bldgs.
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
L Gas Service Test ? Heating
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Building
7 Insulation
Engineering
VALUATION $
% SAC
SAC Units
Meter Size
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
0 Plumbing ? Stucco/Stone
Variance
Total
S? 5?
foLXi 02
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) . Structural Plans (2) • Code Anaiysis (1) **
• Certificate of Survey (1) • Civil Plans (2) • Project Specs (1)
• Code Analysis (1) • Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule • Certifcate of Survey (1) • Energy Calculations (1) notalways"
• Soils Report (1) . Spec. Insp. & Testing Schedule (i) " • Elec. Power & Lighting Form (t) not always«'
• Meter size must be established • Meter size must be established • Meter size must be established - if applicable
• ProjectSpecs (1)
y . EnergyCalculations (1)
1 . Electric Power 8 Lighting Form (1)
j . Master Exit Plan (i) ?
1 • Emergency Response Site Plan (1) "* 1
1 • SoilsReport (1) 1
• MC/ES SAC determination letter • MGES SAC determination letter • MC/ES SAC determination letter
call 651-602-1000 call 651-602-1000 ca11 651-602-1 0D0
rooa & aeverage or ioaging Tacmaes - suomit pian to mrv uepaRmeni or neaiin. %,ail oo 1-4 1 U-VfVU IUI ucLaua.
" Contact Building Inspections for sample.
*" Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask 8uilding Inspections for requirements.
,.
DATE: WORK TYPE: NEW t," REMODEL CONSTRUCTION COST:
Z-1 SITE ADDRESS: ?? Z' ?N p ^? ? ?
TENANT NAME: C--DU 29' 1ct[a'? of- C?A VLZl. W ci nSUITE #:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK E?
Name:
PROPERTY Last
OWNER
Street
5 N nAf-
First
? LA/
Phone #: bf l -Z? et ?0 i` t
a Uv?
City: State: Zip:
Company: [?
CONTRACTOR
Street Address:
ciry: (?'7UlLWS
ARCHITECT/
ENGINEER Company:
Name:
stace:
Phone #:
?? tr) /
5treet Address:
City:
Phone #:
(P, "gi?ti
ziP:
Licensed plumber installing new sewer/water service: `"?on,3?
I hereby acknowledge that I have read this application, state that the information is correct, nd agree to
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
State of
Updated 7102
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Faciliry ? 30 Accessory Bldg.
O 14 Apariments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts.
Cl 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 . emolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? Reroof ? 47 RePair
? 33 Alterations ? 37 Demolish (Bldg) 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code
SAC Code
No. of Units
No. of Bldgs.
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq. ft.
MISCEILANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Building
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MCBS System
City Water
Fire Sprinklered
? Insulation
Engineering
VALUATION $
% SAC
SAC Units
Meter Size
?j Plumbing ? Stucco/Stone
Variance
Total
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
L c, T o
iwiE r:;ilr', hd LAiu"r.i
I'li•'(ii'sP, NS
PERMIT SUBTYPE:
8--P LcX
P U T I D'G NC3
(,):1f1 3 g?
0 ; / '-) 2 / 9 3
APPLICANT:
r. i_ 10 C `
A hJCJFC?SON WOlyiTI'JC„ M A F?`,,'
f612; S 31.-26 6'1-
TYPE OF WORK:
NEW
L]r SGR IPl-7'Ofd ?-H 12 A F2Er) WAI_i_S _
INSPECTION .A . DA
FCJOTThG F(RAM ih!(;
Sf4SULATIDPI FT1\1 RL
i
iii`Ch1F1i;K5: INCLUt)[:i 4 21,94 ., =I2' 04 2 008 „ 10 ., 1 '4'.:1q?1,:) „ c: 1 4 1E I'+I(- G'rifliV l.l\
S ?Y W ('I_SR - Vl1Li._EY PLC;[l
L '
-7
J
I
, PERMIT
?CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: °??9u 1 L 0 1: N r
Eagan, Minnesota 55123 Permit Number. 0 2 ;? 3 5 3
(612) 681-4675 Date Issued: 4? ?1'1 J r! 2 j9 :
SITE ADDRESS:
!! 2 O " iI1 E i: I-I F1 f',I LA Pd
LfJT:: 6 BLL7C1<.- L
M EGlinIVS
DESCRIPTION:
1--h1R AREF7 wA L Ls
bui7:di+lg Perrn.i t "i"y F,a= ^o - Pi_EX
f3i_ii I dzng4Jr,ek I :yP;= nlEI.J
liSC OrGi!panwly R--7 M-1.
Gcrns t:i-tar.ti:a on . 1_ypc v--iV
: g
Etui ldi.ng Length 17_z
Brti Iciing W i.eliFt
Bu a.I dinq .st,nri.es
11 ., 264
,. .
ts
?
REMARKS:
1- P!CL.l1ilE S 1}2- {:i'!,r ?2 0 E, !!21 0? ., 42 10 , G!'11 2:[!1, &:L416 PiE:(sH A IV I..IV
.. ,.. 1.1 Di r-D _ vni i rv L, i p r --
FEE SUMMARY:
tiALIIRTIiJN $473,000
?asc=. Fc?;r 9 6 2oa() f.l:'?`r Sl1C v8pfii.Nt+l
P Lar7 Raview $1, 275.63 WR i ER COfdNECT:GON $5 ,560.00
5u rt:i°1 a vg;: W 1'LF?I+77;1 ?1V)v?.?7+<9
5AC G S ... W CyIJRCWARGF, $,50
SAC 'o i0.0 TI?;;A 7 Mi EiV'i' P1_AN1" 592o00
SAr un7_tI? s teoA10 uNzT u
SubCUt:a J. $9 .4 7 7 .1.3 1-0-a1. Fae $21. ,.64 9.63
CONTRACTOR: - ,etip p Ia.c a I-I t -- sT- i..r_cOWNER:
An_oEfasoN HomEs INC, ?nhRV 13312661 0091371 mnRV ANDF?Rsou i-IoMF.<,) znt,
8901 LvNowLE FaVt :, 101901 LvNoALE AvL s
81-00m:zNGrON rir? ?El I Lvi 8 t_0 aM TN t;;1- nN M ra 5 6 4 2 0
( 6 1 c.) P PI -2ii6 1 (61;')8 8 1.--.2 E;E77
I hereby aa2;nowl.pc1qe that T havo rc-ad th?s appliwatian ahii sttatie that i:.lia
irifat•nnat:ivn is rr;rrpct =rtd aq+ee t:o cnmply witii Li1;1 UppJ:icab1H St'ate of tn.
Statutes anu CiTy of Eagan Ordiriain-ces..
1-
4/?Z'G
APPIICANT/PERMITEE SIGNATURE ISSUED Y:SIGNAT RE
PERMIT N
REACTrvATE =
??3 gi A
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SIN6LE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCiAI 2 sets of architectural & structural plans, 1 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 once ermit is issued.
Date iz Valuation of work_A/7"')'. /00•
Site O,ddress:_yzaz, ov, 06, oB, io, ,r
STREET SItITE !
Tenant Name: (commercial only)
LOT ? BIACK :]_ SUBD . F.I.D. A
/gpOi T/ON
Descri tion of work:
The app?icant is: ?Owner I?.Contractor ? OCFI21" (DeseriGe)
Name /n??U ?N?42SGN /fo?BS Phoi?e
S8l-Ldcs/
Property ,
LAST FIRST
Owner address 9 5?di -GsWo?e AC 13A rd"' s. .
STREET STE #
City State ,WIY Zip 5%rV2_a
Company Phone 1"1-z4c'1
ContraCtor Address S 90/ Gy,yoWG,0- s License #0001371 Exp.3 3-V9y
City ?uov.??.+??Ta?r State ?Ao" Zip SSqz'v
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 5 water licensed plumber Y Processing time for
sewer & water permlts is two days once area as been approved.
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.
Si
t
f
Z&z Z
3'
?'
z
gna
ure o
Appl icant:
:
/
.
-
OFFICE USE ONLY ? , ?
BUILDING PERMIT TYPE
? 01 Foundation
O 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
? 06 Duplex
O 07 4-Plex
IZ 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
a 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
.
?
11
Apt./Lodging
'016 ?.
Basement Finish
O 12 Multi. Misc. 0 17 Swim Pool
0 13 6arage/Accessory 11 18 Comm./Ind.
O 14 Fireplace ? 19 Comm./Ind. Misc.
O 15 Deck O 20 Public Facility
? 21 Miscellaneous
O 35 Tenant Finish ? 37 Demolish
O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System YES
(Allowable) v-N 4 lst Fl. sq. ft. City Water YEs
UBC Occupancy R-I M-i 2nd F1. sq. ft. PRV Required
2oning R-y Sq. Ft. total ,?. ?!1 Z?y Booster Pump
# of Stories 2 Footprint Sq. ft . ?g ? Z? 2 Fire Sprinkler
Length On-site well ' Census Code ?
Depth 68' On-site sewage SAC Code o 3
Cewsua BId r
APPROV14LS c.Q,r.sws u.,?s 8
Planning Building Assessments
Engineering - Variance
REQUIRED INSPECTIONS 4 NoT€.: 2-HR. RRea wALLs ?1'''EEN 14 N'3
? Site UT Footi ng • I?-Framing Eir Insul ation
NC,Wallboard Final ? Draintile ? Fireplace
Permi t Fee 19 62 . 50 vei,ac;o,,: g 1498 ,000
Surcharge Z q,o 0
Plan Review 12.?5.63
License
MWCC SAC ? ooo. o 0
City SAC $DO.oa
Water Conn. 5560. o0
Water Meter -- ,
Acct. Depasit -
S/W Permit ?pa . 00
S/W Surcharge , 5 a
Treatment Pl. 2592, od
Road Unit 3120. o0
Park Ded.
Trails Ded. '
Copies
Oth
er
Total : . 21, bv9.63
SAC % o0
SAC Units
?
OlJti[R:
TOTAL EXPOSEb 1•lALL AREA,, , , , , , , sq f t X "U"
---
o??
TOTAL ROOF/CEILING AREA,,,,sq ft x"U"
TOTAL EXPOSED 14ALL AREA CALCULATIONS:
S ITE ADDRESS: L.or ? B?oc.rc I ?E(7 +-f AAs Ab-D i nonJ .
'DATE: PHONE:
CONTRACTOR: , DETERMINE NOIIKING SQUARE FOOTAGE OF EACN:
2.
3-
Total exposed wall
area above floor,,;,,,,, J?yla? ? sq ft :
--?j?--
a) Total wa11 wlndow area: •. ,
DOUP LE 91 azed...... f'jp , b ? sq f c x "Ur'
??giazed,,,,,, •`-' sq ft x''U"
b) Total door atea ...,.... sq ft it °---?-
c) Total slid(fig glass doar area: " ' • '
d)
e)
f)
9)
h)
1)
3•
EXTERIOR ENVELOPE AVERAGE "U'.I COMPUTATION
. , ' .
pOUF3LE gtazed..:... J sq ft k"U"
glazed...... sg ft x"Uii
7ota1 flreplace wall area = sq ft x"U"
Total wall framing area 'W
(Average 10?;) ....::. It7P>, ci sq ft x'?U??
Total net wall area above I
197P• 304- 5_8
floor (Insulated).?!":':Y4^? q'76.5 sq ft x."U"
Total rim Joist area.G P? sq ft x"U"
Total foundatlon '
area (Exposed)..b ....... sq ft
/n1T-rt i aF- c4h( I ,
CtV?t FT-- 14l'jm- t
STA, 6-t4 eR('s Y )GFM
?
,pqZ y?45
- O67 = (?y,?'y
4
? 044 ° 3,3q
..?-----?
Total foundation : • ? i ' ;
. a
wlndow area........ sCj ft X olUll
:...• -
. , . •. . .
„ .
Total net foundation
area above grade........ Sq ft x"U"
TQTAL a) thru I)
If item R3 is the same as, or less than Stem'Rl, you have met the lntent of
2 P1CAR 1.16008 A and 0. •
' PlFe 1
TOTAL EXPQSED ROOF/CEILIfif CALCULATIONS:I
..
Total exposed /
roof/celling area........ sq ft .
J) Total skyltght area....... sq f't x"U"
k) Total roof/celllnq framing ' ?j
??? ?? . ?2 °
a rea (Ave raqe 1 f19;) . . . . . . Sq ft x ?
,•
1) 'Total net insulated ? sq ft x „U„ ? QZZ a n 4
roof/cetling area.......
TOTAL J) thru 1)
I( total of A is the same as, or less than F2, you have met the lntent of
2 PICAR 1.16008 A and 0. .
ALTERNATE BUILDItIG ENVELOPE DESIfN
To utillze the tota) envelope system method, the values esta611shed by the sum
vf items h'3 and 04 shail not ne greater than the sum oT items Kl and ?2.
+ QB
.
C? R T I F I ? A T I 0 fJ
I hereby certify that R have calculated the "U" factors and "R"
values herefn and that the buildinq here.descrlbed meets or exceeds the Scate
of Minnesota Energy C.onservatlon Act. J
: Signaxut-e
, ///! ?
(Oate) r,re 2
"-tISTRUCT) ON
R V_ ALUE
p,MiNG SECTION:.. ?.??
I.nterlor atr film
,
4 ' inches.so t wood f}" Lr'/P SP•
Exter or a r tilm
, TOTAL R ° .?. Z
U - I / R ' , t,lo
WALL SECTION (INSULATEb) • n,68
---?1 Interlor air film
-{2 S/ G BD o, 6
/..?suc- I l , Ca
--{ a f: " G rP P? o. sb
---'? 5 n i l
--(f, Exterior a(r f(Im •
• TOTAL R !g 97
=
U s 1 /R ° .00
?
II C
RIH JOIST SECTID}I: ?,?R
-{1 Intertor atr film R-19,0
---( - j 4 F8G ?s /#...? uL,
3
----(4 ol6' G!'?
!15 n.tl
----(6 Exterfor air f()m
- TOTAL R = „?4,
FOUNDATION INSULATIOPI REQUIRED: U e I/R =
Min. R-5 on entire wall OR ?
Min. R-10 down to frost depth
FoUNDATION SECTION: n.A8
a1 Interior air ftim
••A. P, 221' hrH?? ? ti?v? Id;ao_
3 1„ o?, .5(0
.• ,-_ •A r 1+ Exterlor a r fi lm n•»
.
. a _ ., ?5
"17
oq.a' ,4
, ??+ .... TDTAL R ° J?AI
.0• ...0.
U ° I/R
SLAB UN GRADE
?
!?,4r,?!/? ?,•.:
? 4 , ? ' l], •'?' .. ? ? r
. • ??
.
? v A ?
Heated Slabs:
Minimum R = 8.5
?1? .a • n _ . ?? .. ..., .a . • , .
Unheated 51 abs :
Minimum R = 6.2
,• Q ,
., .
4- ' 1 .• ' ` ?? ?. 4 . : `
•I?a
! ? ? ? y ' • ? •? - , ?y?
.. d ? . .•, .• •. , ,.
& . , . . d^r'
1 . ? . .
r? . .?q. . •?? ???? 1
•. ? ?? ,
`'•i . '. • ' ' ?
,.a. ., a b
? ?.
? ? . • )9
q4 ..
: ?.
.
P?ne 3
?xTEv- I af-
I
? . TOTAL R = ZZ.`ll
Us 1/R=_Qo
-{1 Interfor atr film n. 6R
-{2
----( 3 , o
t
-?5 10 ? LL- c cor,.-? cp ^.61
6 Exterior air rilm ••
TOTAL R = 2 ? 5 /
FOUNDATION INSULATION REQUIRED: ?°??R
f Min. R-5 on entire wall OR
. R-10
Min
down to frost depth
o::
• FOUNDATION Serlor air fllm n•69
e,
.
. '
• A 4 Exter or a r i Im n.17
,
d ,
. a•
"
, (6 TOTAL R =
?"p
Q
A•
P ? . u° 1/R °
SLAB ON GRADE
?
.a? .
1"? ?Qi?,? .• ?.? •? !, h1
•? ?? ?•,.Q' a?•?? ? ??.,,?.
?4 •?, . .. G• ? i
• V .
' Heated Slabs:
Minimum R = 8;5
Unheated Slabs:
Minimum R ? 6.2
4-a ,..? d ' ? ? ?- ". 4•' ?
2 x1,7 f,J A- L.V `A-",I V !na YV
terior a
wALL acCT10N (INSULATED) '
--(1 Intertor alr film
-{2 ?.' /?`/P •PP• -
---{ 3 -
-? 4 /.? W?e?rrr?4' oe
Sf DI f-l&r
R VALUE
Q.69
,..,,
TOTAL R = 10.?
U = 1/R = .?Z
n
terior air ftim
""NSTRUC710N
AMING SECTION:,.
41 Interlor air ftim
42 I/V ?Fypl 8?•
-PA f, i,i (ncitas.so_
,•',.-.?"? ° .'4?•. `?'?'?a'Q:
? '? i q ? ;?,1 • ?' - ? _ ? ?ci ?'- ? ;", ?
. .
. . ? . q ? • . ..d
., d ? . . .' •. ,?,. .
4 ' • :'d?t? . `?- 4'
i . . .. ,
.?a? •'?? ?
1
.,a• a '?• v ••
,
? ?.
44 ,
? ?, ,•,•?Q , •
.4, • ,•?°
rnre 3
CONSTRUCTION
R VALUC•
CEIIING SECTION (INSULATED):
t1.61
j interlor air film
AIR 2 9i G YP $l? . O. yb
3 4?F B?.owiv l,?sct L. ?} .oo
CHUTE A Eterior air fllm still n.Fl
TUTAL R s ?S?8
U- 1/Rs
lin-
In
CEtLING FRAMING SECTION:
1 lnterfor alr film n•61
Z ?Vi,G'lP B? O.S(o
3 IZ-3 l..rsac.. . o?
4 Inierlor alr film stlll ?. ?
5 P 'i2" Inches soft wood 410
TOTAL R ° 34.1
Ua 1/RQa&lzk
?
CElLING SECTION (IFISULATED):
1' (nterior air film
2
. 3.
k Fxterior air film still 0 • 1
TOTAL R =
Va I/R°
VENTED
CEILINr, FRAi11NG SECTION: ? ??
1• Intertor air film
2
3
4 Exterior air film st(11 n. 1
S lnches soft wood
TOTAL R =
U= 1/R=
Inslde air film
2
3 '4 n,17
5 Outside air Film
TDTAL R =
U T 1/R °
Paee 4
. , ,
. 1
, ,.
. ,,
._.,. _ .._. _?._-_.._.
c?-
. ,?
?..
-7r
?0 I ??° •zd
? ? ??..?'.-D? .r....._.
? 6a5e9 36, z3 ?• 6S ?__4_._____,
I :
-77 -
/0
4 ?`.te ,1??td
EXTERIOR ENVELOPE AVERAGE "U'.' COMPUTATION ?r;7
. . , ,
pIJN[R: ?,,. • .Rll.?,
SITE ADDRESS:
? PHONE:
DATE:
COtITRACTOR: ,
DETERMINE NO RKIfIG SOUARE FOOTAG t OF EACH:
"U" ?
?'
" ??
3`?
TOTAL EXPDSED 1IALL AREA, , , , ,, , ,
1 RQ'§q f t x _,,, •
-
. 0? 1
L ROOF/CEILING AREA
sq
ft x
"U" 7.48
,,,,,,
2. TOTA _
3. TOTAL EXPOSED IJALL AREA CALCULATIONS:
Total exposed wall
,
,,,,,
area above floor 0 sq ft
,
,
, t
a) Total wail window area: •
lazed
OOUPLE sq
9? 2( ft x "U" "
......
g o
? glazed sq ft x 'lU" - --
...... ?
?
s
9 ft ? liull
,..,..
b) Total door area ,,, ,
c) Total slld(fig glass door area:
d)
e)
f)
9)
3
Dp()FiLF glazed...... sq ft xiiUit
gla2ed,..... `- sg ft x "0
7ota1 ftreplace wall acea sq ft x"U"
Tocal wall Framing area
(Av 8?" 5 sq ft x'????
erage 10.q ,).....:i ..•?
? a
1!0 = 3.I ti2
Total net wall area above •??? ?? ??,c?, 2l' ,? 7
*TV
floor (insulated).r'".".yQ^r
7(?O,y
sq ft x."U" -p67 505 ?
°_ `
Total rim Jolst sq ft x"U"
Total foundatlon "
Area (Exposed)..:....... -` sq ft
h) Total Foundatlon
?.?.•
w(ndow area........
, i ..r---r
? kt X 1i1111 a
5 r v .
t) 7ota1 net foundation
area above grade........
s q f t x"U" i`- °.--= -
TDTAL a) thru 1) ° ??33`?
if {tem 03 1s the same as, or less tfian Stem Pl, you have met the intent of
2 iiCAR 1.16008 A and 0. •
r;, e,e
t
.
, , . ,
.4. TOTAL EXPQSED RQOF/CEILING CALCUlATI0N5: . .
? Total exposed
? 1 y
s
ft
roof/ceiling area........ q ?
li
h s q f 't x "U" °
t area.... ...
a
Total sky
.
k) Total roof/celllnq framing
sq ft. x "U"
area (Averaqe 109,)......
1) Total net tnsulated
$
?0?'
sq
ft x
"U"
-?0?
° ?331
roof/cetlinq area....... ,
1
h
) )
OV
TOTA ru
t
L J .
If total of A Is the same as, or less than N2. you have met the intent of ;
2 AICAti 1.16008 A and 0. .
,.. ,
? ? . . •.
ALTFRtIATE BU i LD I tIG ENVELOPE DES I GN
To utflize the [otal envelope system method, the values.established by [he sum
uf items k3 and k4 shall not be 9reater than the sum o? items N1 and 02.
+ T. l?1`t"B ° 2?Q'. 8Z
3. l13 , 3? + a. 15•a1,0, = I?S 140
? E R T I F I C A T 10 IJ
I hereby certlfy that 1 have calculated the "U".factors and "R"
values hereln and that the bu(ldinn here descrlbed meets or exceeds the State
of Ninnesota Enerqy Conservatlon Act. ?
?/ /;r?/
? SlgnaXure j
• -9 i ' I9 3 -
(Date) i'no 2
- ?omivr??.t
?
(/-) /4 u-
""'4STRUCT I ON
R VALUE
4MING SECTION: ?.??
Interior atr film
S
inches.sood Li G ?
Exter or a r m n. 7
, TOTAL R ? AZIZ
U - 1/R s , l(o
r.
`? ?Z/? h'I rKJLz
WALL acCTION (IN5ULA7ED) - 6R
0
-?1 Interlor alr film ,
-{z
tr/ G
• • p, 6
-{3 - /3 4?f /..rsu? 1 I • C?
---{ 4 gl ,• Li YP BO o. S.6
--{5
--{r,
Extertor
air ftlm •
0.17
. TOTAL 4?
R =
,I4
U R 1/R = •dfcl
?
RIN J015T SECTION: ? ?A
-?1 Intertor air fllm
--(2 ?F-ra
--? 3
? 4 l?clf- rIP n. 56
-{5
-?6
Exterior air film 0.17
TOTAL R = 1d 41
FOUNDATION INSULATIOPI REQUIRED:
Min. R-5 on entire wall OR
Min. R-10 down to frost depth
101
FOUNDATION SEC7ION: n AR
--(1 Interior air ftim a
--{ 2 " H P-.*- dn''I G
--13
Exterlor a r fitm ?•??
(5
(6 TOTAL R = I ?'
SLAH ON GRADE
?
Unheated Slabs:
Minimum R = 6.2
. ? XT 1z'1o?- ?
,• ..
A
?
?
D
SLAB ON GRADE
E
2 x4:,
--{Fi Exterior ai r ti im ' ••• •?
. TOTAL R a X
U- 1/R
fOUNDATION INSULATIOPI REQUIREO:
u:., o_C r.n en+iro wall OR
I, l,, L`J/ V!r-1 YV 5? D I ti-1 LT
"^`ISTRUCTION R VALUE
WALt 4HlNC SECTION:. n.69
I.nterlor air ftlm o ?
,rv S?
? .i IncNes.so t wood G,B"1
xterlor air ftlm
„
TOTAL R - 1 D.?
U - 1/R - .O?Z
n,6R
WH,.L SECTION (INSULATEb)
--(1 interlor alr fllm
-{2 ?' f?yP •SP•
--( 3 -
.---(4 4 WEar},?wu
Unheated Slabs:
Minimum R ? 6.2
7 "I" .
/'Li
0.17
TOTAL R = f?• S
U = 1/R = ,-,024'4
{3 n.17
44 Exterlo? a r iim
(5
(6 TOTAL R n
Ua 1/R=
CONSTRUCTiON R VALUC•
CEILING SELTION (INSULATED):
j Interior alr film ?.FI
AIR Z S GYP 89 0.56
R-44 8??a• l.-?su? . q?} .oa
CHUTE 3
a Exterlot' air fllm still n.Fl
TOTAL R s 'FSV
U - 1/R s OL2
I
CEILING FRAMING SECTION: ?
??
1 Interior air film .
• 2 ?p?,GyP Bn D, y6
3 l.?-c uc., • ov
G Interior alr film still ?. 1
5 +} " inches soft wood 4-,3y
TOTAL R ? lq. 13,
U ° I / R°a.01-6
ri
CEILING SECTION (IPISULATED): n,??
1' Interlor air film
2
' 3
4 F.xterior air film still ?• 1
TOTAL R =
U= 1/R=
VENTED
CEILIN.r, FRAMItIr, SECTION: 0.61
1• Interior a(r fflm
2
3 n.-Cl
4 Exterlor air film 5t111
S inches soft wood
TDTAL R °
u = 1/R°
?
Inside alr film n'Al
2
3 •.
4 n.17
5 Outside alr film
TOTnI R =
1/R -
' P'1RP 4
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMI'TS ARE REQUIRED FOR EACH UNTT.
----------------- - --- - -- - -------
NO. FIXT[1RES EA?CH TOTAL
SHOWER 3•00
WATER CLOSET 3•00 LA i "
BATH TLTB 3.00 a y-
LAVATORY 3•00 `i`t
KITCHEN SINK 3.00 aq -
LAUNDRY TRAY 3•00
HOT TUB/SPA 3•00
WATER HEATER 3.00
--?T- FLOOR DRAIN 3.00
GAS PIPING OiTTLET • minimum - i 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • neILay. uc. 15.00
U.G. SPRINKLER • nome unaer consi. 3•00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE ? .50
TOTAL: u
STTE ADDRESS: ya,lu ?c ?aJ Li
OWNER NAME:
WSTALLER:
ADDRESS: n ( i) Ce'ckic ?
CTTY: J U STATE: Yh,? ZIP CODE:
PHONE #: ( ) y n - a )). -1
SIGNATURE OF PEKM11- EE
1993 PLUMBING PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-0675
PLEASE COMPLETE FOR ALL COMNIERCLALJINDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMI'TS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
AIEW CONSTTtiJCIION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACI' PRICE: $
FEE: 1% OF CONTRACI' FEE.
STATE SURCFIARGE: $.50 FOR EACH $1,000 OF ?!?tM?' FE&
MINIMUM FEE: $ 25.00 . .
CONTRACT PRICE X 1% $
S°I'ATE SURCHARGE $
TOTAL S
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN
APPLICANT
1993 PLUMBING PERMIT (COMIIVIIItCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
. . 'S? 69
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOME.S AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- -------------------------------------- - --- - ------------ - - - - ---------- - - - ------- - --- - ------- - ----- - - --- - --- -- - -
?NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
_ HVAC: 0-100 M BT?U?
?ADDITIUNAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExtsTTNG coxsmucrIOrr)
STATE SURCHARGE
TOTAL
O
? / ? ?cLe,c t.e?v,?•?
FEES X '?r
$ 2a.o ' ----
.oo c:R/&.00
S. 60 t
$ 15.00
.50 S'-
?-----
?a,(p.
SIT'E ADDRESS:
OWNER NAME:
INSTALLER:
qzssI'ELEPHONE #: ?? - 0
ADDRESS: 12481 Rhode Island Ave: So.
°_vage, MN 5537$.1122
CITY: 894-0005 STATE: ZIP CODE:
TELEPHONE #: y???i NAT E OF PERMITTEE
1493 MECHAIVICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
1993 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6514675
PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII,Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
.--
DATE: - ' CONTRAC'T PRICE: $
t"NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CQP"RA,G"? FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF M's1ZM FEE.
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
CTI'Y:
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
?Qo.z -?? 16
?
?
a 7;? a ljf:
-70053
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN 15 `?
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 4?1 I _2-U ! C)5,'
Site Street Address Unit #
Property Owner ?GAYV1 171g;IfI'C05?w Z5v_-1 Telephone #(?N )?N -IStg?a
Contractor-?U43 -??Ur?QiA',oii?d?4 c,-kW?Cr'?-??•Telephone#
Address `' 5 City State Wlv1 Zip
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If vou are installinq onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge ? $ .50
Total $lz?-'Sv
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance w th the approved plan in
the event a plan is required to be reviewed and approved.
?lAY`??'Cl ?.QVkm ? ' 6
ApplicanYs Printed Name Applicant's Signature J5
_?-.
PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA082145
Eagan, MN 55122 . Date Issued: 03/06/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4202 Meghan Lane
Lot: 601 Block: 03 Addition: Meghans
PID 10-48250-601-03
Use
Description:
Sub Type: e - Water Heater
Work Type: Replacement
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Mike Skaja
2090 County Road 42 W.
Burnsville, MN 55337
Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: - Applicant - Owner:
Tony's Appliance Mark A Kenny
2090 County Road 42 West 4202 Meghan Lane
Burnsville MN 55337 Eagan MN 55122
(952) 435-2442
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
r ~
Use BLUE or BLACK Ink
I For Office Use I
Permit M V 3~ I
City of Ea
Permit Fee: J
3830 Pilot Knob Road ,!~Ld
Eagan MN 551221 V Date Received: /
LXr
Phone: (651) 675-5675 JAN 2 4 1 Staff: I
Fax: (651) 675-5694 Zo,Z
2011 RESIDENTIAL BUIL IN PERMIT APPLICATION l ?r
Date: -te Address: Unit M
Name: ~
I~t (C- tzdu~~(~ Phone:
I RESIDENT I
OWNER Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: U O V1 1 slainq l 1 f zfS
Construction Cost: O'er Multi-Family Building: (Yes u / No
t Company: Contact~~ F f- 1'e-~f`lC_~S
i
Address: 1 y S4 (pu✓i a City: K)()V i&-)0 J
CONTRACTOR
State: .Y Zip: ~o C2~ Phone: U tr~-~ ct 01 1 `7 i p
License L (Q, ,Q3 1 lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that th, are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buil in Lode ist be completed within 180
days of permit issuance.
1,
X ~1yyt~ f~~itt~ x
Applicant's Panted Name pp ican tune
Page 1 of 3
~ZOZ hq~ DO NOT WRITE BELOW THIS LINE
SUB TYPES
- Foundation - Fireplace - Porch (3-Season) - Storm Damage
_ Single Family - Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi - Deck - Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of _ Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
n _
WORK TYPES do 0 F P~x "
- New _ Interior Improvement _ Siding i Demolish Building*
- Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows i Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall .Demolition of entire building - give PCA handout to applicant
DESCRIPTION S
Valuation ` 0 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC Gas Seryice Test Gas Line Air Test
Drain Tile Other: 1 , I
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By:, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC ,
City SAC
Utility Connection Charge {
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
I
I For Office Use G
Permit fti J 1
,ilk I
City of E1 0-7
1 Permit Fee: I
3830 Pilot Knob Road i n 1
Eagan MN 55122 Date Received:
Lx /0
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: 1
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _d) -Q 1-1 Site Address: to-2 _ co il k,,, Unit M
Name: Q L?AfJr~ ~fx~ I Can -APA 2Ad.12S PhoneW-(O_7y -(a
Resident/ L_Lt Zc,y - ~lZ I u ( zl
Owner Address City / Zipy: Z-CCo - yZ U - y a1t~ ' f 2I z= 6T c v L
Applicant is: Owner Contractor &/Lw
Type of Work Description of work: adQ-
Ype f
Construction Cosh` 3 S_ 0( Multi-Family Building: (Yes Y / No
Company: OJYI~k Contacfi.7n
Contractor Address: S-0 S_ ('~Va ~ M, 33 City: I~ WOCY
State:Uw Zip: 'C Phone: lZ- 1 I L 77L9)
License Lead Certificate
t
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
x f- G C 7
COMPLETE THI AREA ONLY IF CONSTRUCTING A NEW BUILDING
I
i In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
In....
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.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.
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.
x 'c t-1 x ~
Applicant's Printed Name PP r 'mature
Page 1 of 3