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4218 Meghan Lane*Serial # 416 3 7 4 V / ,5"' _ Chip # 0.2 l0 9V7 a a Permit # 010 9 a 7 Address:_ yne ??-- 1 AGREE TO COMPLY WtTH CITY OF EAGAN ORDINANCES Signature: , l/w14 /°/h?. • • . : ?_.:? . Wertificate of cccoanc4 - Wit4 Df Cfagan zeVeriment nf isuffbi?g andyced" x, This Certificate issued pursuant to the requirements of the URiform Building Code certifying that at the time of issuance this structure was in compCwnce with the various ordinances of the Ciry regularing building construction or use. For the following: 20774 Use Qassification: Em" 8-AZK Bldg. Petmi[ No. Occup-y Type ? WM ? ? ZoninA Distric[ 1355 - , Owner of Building Addmss a B gAddrcss I.ocali ? •'? , __?? % 'y ! . (Ly Da[e: Building Official POST IN A CONSPICUOUS PLACE SITE ADDRESS ???f g 4n o Unit # Permit # G42 L B Sect./Sub. ?p? l.?l?l?'?!`S INSPECTION INSPECTOR DATE COMMENTS 944 -6 0 a . e:Z' 3?- ?s?l, r ee e )IfSvl R1041 ;: 7 3 r-44L U-? ? a.;, 92u/ 7/8 ys a 0- 3 146UL Q? 7 t - .?H ?g.? - r'/r-nr ryev.s dt6 T ? INSPE ` CI7Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 i SITE ADDRESS: : ..L/ ? PERMIT SUBTYPE: TYPE OF WORK: 1u . 1 : ! ',:j . -Nk : Aiit A IJNi 1 'i INSPECTION .. O .A ? ? • ?/i? ? °° o r 7 ?7y °° a ya?? ?{??G " ? hi Mr+r{r"; i Ni E lif;i •• . Ll V , ? 1,, 4<:'A, 4 2 3 0, 4:• t.' Mi riiinra I ea ON 1411 1 tt,tW„ .'t Nl?? I ) t I ?? ?3 PERMIT TYPE: Permit Number: Date Issued: APPLICANT: _ ?? , .?,f1! . _ ;?h ;??.,I'II . I f4• ' ? ,. i . . . . t? 1.-. Permit No. Permlt Holder Date Telephone # S/W PLUMBING HVAC 'cxs ELECTRIC ELECTRIC Inspection Date Insp. CommeMs Footings I Foundation Framing 7 z93 /re,y jy,.? TS ,+r,vtiT Raofing c AoughPlbg. /va P/,yw^ 3?--? Rough Htg. Isul. Pireplace Final Htg. cT D /? jP[bg. mber Plbg. Inspector - Notity Plu Engr./Plan BItlg.Final 0 Deck Ftg. DOCk Final Well Pr. Disp. ? 1APk ??o 7 $?2,/dV .? /0 ?r? Request Date 2O? ? 4 Pire No. Rough-in Inspection Required? 0 Feady Now ill Notify Inspector R Wh d ? Yes E No en ea y . I licensed contractor p owner hereby request inspection of a6ove electrical work at: 'Job Address (Street. Bo* or Route No.) Ciry ' . I 1 V 00A.c., a Section No. Township Name or No. Range No. Counry b Occupant(PRINT) Phone No. V ower Supplier Atltlress -x x Elec('cal CoMractor (Company Name) ? GontrdctorS License No. -9 6vt b ? C? Co Mailing Atltlress (Contractor or Owner Making Installation) ' K/L - ??KJ 1 C D Authprizetl Signature (CornractovOwner Making Installation) ' I ??GI Phone Number ,{ 7?7i`t' R73 MINNESOTA S7ATE BOARD OF ELECTRIp7Y r ? I 7HIS INSPECTION REOUEST WILL NOT Griggs-Mitlway eldg. - Room 5173 C? "U ? BE ACCEPTED BYTHE STATE BOARD 4821 University AYB.. St. Paul. MN 55704 a UNLESS PROPER INSPECTION FEE IS Phone (612) 662-0800 ?, ? ?+ ENCLOSED. -L? 1385' REQUEST FOR ELECTRICAL INSPECTION ? See in(-rutyons lor corqpleting this form on back ot yellow copy. 11 "X" Below Work Covered bY This Request d? B? 018 s ? .??.V ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporery Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommJlndustrial Fumace Farm Air Conditioner Other(Specity) Contraclor?3 Remark5: ?Compute Inspection Fee Below: or ` # Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps GJZ, Transformers Above 200 _ Amps Above 700 _ Amps '7 ,d SIJfIS Inspecror's Use Only: 70TAL + Irrigation Booms 7 ? Go - Speciallnspection . .? " Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT ' Other Fee COMPLETED WITNIN 18 M TH . I, the Electrical Inspector, hereby c Rough•in ' Date y? /y? ertify that the above inspection has been made. F;,,ai oaia OFFICE USE JNLY fihis requesl void 18 monihs From d434 ? 3? Reques7 ate -21 1 Fire No. Rough-In Inspection . Required? ? Ready Now Will Notity Inspeclor ? YB5 G No When Reatly I icensed contractor p owner hereby requesf inspection of above electrical work at: Job Adtlress (Sheet. Box or Rout No.1 ' City fi " V W l/ v`.i SeCtion No. TownShip Name or No. Range No. Coun lW bn cwpant ( RMT) Phon Piwer Supplier - e Address a bb M l? k Electncal Contractor (ComPany Name - G traCtorS onse No, c ?. A oo Mailing tltlress (Coniractor or Owner Making Installation) Gi f zL '5L:5b Amhonzed Signa re ICOntraclovOwner Making Installation) cL W Phone Number Z' -Z 3 MINNESOTA STATE BOARD OF ELECTRICITY ? 7HIS INSPECTION REQUEST WILL NO7 Griggs-Mltlway Bldg. - Room 5173 BE ACCEPTED 8Y THE S7ATE BOARD 1821 Unlversity Ave., 51. Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (672) 642-0800 ?q fJ' (j?,??t ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? ? See instmctioU for cemp;ating this torm on back of yellow copy. 41384 "X" Below Work Covered by This Request SE'0000 Pe YV Add ep: A TypeofBUilding AppliancesWired EquipmentWired X Home Range Temporary Service Duplez Water Heater Eiectric Heating Apt.Building Dryer Other?Specify) Comm./Industrial Furnace Farm Air Condilioner Other isUeciiy) Coniraqor's Remarks: Compute Inspection Fee Below. : VtN Trw_o V! v?? ?00A # Other Fee # Service Entrance Size Fee # Circuits/Feeders . Fee Swimming Pool - 0 to 200 Amps 1 , 0 to 100 Amps LIO Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspector's Use Only: - TOTAL Irrigation Booms ?? ? o ? Special Inspection : Alarm/Communication THIS INSTALLATION MAY BE ORD ED DISCONNECTED IF NOT Other'Fee COMPLETED WITHIN 16 MONTHS. I, the Electrical Inspecror, hereby f h Rough-in /, .. oata y t certi at the above inspection has been made. pinai oa OFFICE USE ONLV This request void 18 months irom L 4 3 ??oy ? t Request Date - ?(? ? Fire No . Rough-in Inspection Re ired7 ? Reatly Now Will Notify Inspector h R d ? ? Yes ? No en ee y Ix licensed contractoi ? owner hereby request inspeclion of above electrical work at: Job Adtlress (Streel. Box or Route No.) { Ciry V! W?' 1 V(Il Y l? 2Seoficn No. Township Name or No Range No. Counry Da r '? IL-V {- Occupa tIP INT) Phone No. Q l?Y Power Supplier k Atldress (l A - C 0 G - 0 loC . t,t?-t Electric I Con raclor (COmpany Name) ? l Con or5 License No. tre ?A o o + o Mailing Address IContractor or Owner Ma ing Installation? 2 a e Authonzetl Signatu e ?ConlrACtonO wner Making Installalion) Phone Number r 2 9 dr Z? - MINNESO7A STATE BOARD OF ELEC7RICITY I I THIS INSPEGTION REOUEST WILL NO7 Grlggs-Midway 81tlg. - Room S473 G'? BE ACCEPTED BYTHE STATE BOARD 1821 Universlty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 662-0800 E?Gt. q(1/Vl ENCLOSED. ?.41383 REQUEST FOR ELECTRICAL INSPECTION ? See ins?tructions foVompleting this iorm on back of yellow copy. "X" Below Work Covered by This Request EB-??0 8 '_'???? 58 riel Add Rep. TypeofBUilding AppliancesWired EquipmentWired - Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other4Speciry) Comm.llndustrial Furnace Farm Air Conditioner Other (specify) CoNractor's Remarks: Compute Inspection Fee 8e/ow: I" Q w l U w •i?' O0.74 # Other Fee # Service Entrance Size Fea # Circuits/Feeders Fee ' Swimming Pool 0 l0 200 Amps 0 to 100 Amps a. Transformers Above 200 _ Amps 100 _ Amps Signs Inspector's Use Only: TOTAL Irrigation Booms ?Y•?d Q ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby if Rough-in Dala 2 cert y that the above inspection has been made. Finei oace - OFFICE USE ONLY This request void 18 months Irom pr's 1 % 5 . 1 Aequest D te Pire - Rough-in Inspection 2 - uired? p Will Notity Inspector G Reatly Now R 'N ? Ves _ No hen eatly I , licensed contractor ? owner hereby request inspection of above electrical work ar Job Address (SVeet. Box or R ute No.) Ciry Z, !{A SecNOn No. Township Name or N. Range No. County ? !1I ?-?'• Occupam (PRINT) . Phone No. Power_ Supplier ` n Adtlress ?3 A U Ay c l/ ooo -? aXw_t Elecin ? Conir ctor (Gompany Nam '( e) ? Gontractor5 License No. o( ivl ed . mn o? G00 Ma?ling Atlaress tContractor or Owner Making Installation) ?J iV Amhorizetl 5 ture IContrectorrOwner Making Installation) ( Phone Number ' - c O k? Z -2 33 1 MINNESOTA STATE BOqRD OF ELECTRICITY . ?`]_, I? r THIS INSPECTION REOUEST WILL NOT Grigqs-Midwey Bltlg. - Room S-773 'r11 r BE ACCEPTED BV THE STA7E BOARD 7821 University Ave., St. Paul. MN 55104 UNLESS PROPER MSPEG710N FEE IS Phone (612) 642-0800 t-70t ? ?i?? ENGLOSED. REQUEST FOR ELECTRICAL INSPECTION ee oaoi-o p ? See instmctions ror complelinq this lorm on back of yellow copy. ?Q ?413O 2 `X° Below Work Covered by This Request e o,ad Rep TypeoBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (speclfy) Contractor's Remerke: Compute Inspection Fee Below: 1 Vtw inv-vI'' ` nv"c_' `cOlil # Other Fee # Service EniranceSize Fee # Circuifs/Feeders Pee Swimming Pool 0 to 200 Amps l.60 0 to 10 Amps Transtormers Above 200 Amps 0 Amps , CO Signs inspector§ Use Oniy. TOTAL . Irrigalion Booms rr Special Inspection Alarm/Communication THIS INSTQLLATION MAY BE ORD ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tif h h i Rou9h-in LI?A" Dale ! ? cer y t e above at t nspection has been made. Final oa OPFICE USE ONLY - This request void 18 months hom . Request Date Fire o. Rough-in Inspection quired? ? Ready Nov{_ Will Notily Inspector ? Yes No When Featly7 I licensed contractor ? owner hereby request inspection of above electrical work at: Jdb Adtlress (Sireet. Boz or Roule No.) Ciry . e ?. vLe-, ,?L atn Section No. Township Name or No. Range No. County Occupant IPRINT) . Phone No. jAdC ev vv Power upp/ier Addre s ? ? e. o Elecirical CoNrecbr (Company Na ) Con/irector§ License No. 6? . 1...? o (.-) ? Mail Address iContractor or Owner Making Install tion) ? L /?,,? " i L2 ?C-f.T l l Authonz¢tl Signamre IConlrettOrlOwner Making In tallation) Uc LO I I-L ?-q Phone NumDer 2-Zit -zA??2 MINNESOTA STATE BOARD OF ELECTRICITV THIS WSPEC710N FEOUEST WILL NOT Griggs-Mitlway Bldg. - Foom 5173 ? ? •1 ?) BE ACCEP7ED BYTHE STA7E BOARD 1821 Unlverslty Ave., SI. Paul, MN 55104 ? UNLE55 PROPEF INSPECTION FEE IS Vhone (612) 802-0800 ?t'` ? ? ENCLOSED. I 5- 41381 REQUEST FOR ELECTRICAL INSPECTION ? See instmctions tor crompleting this form on back of yellow copy. "X" Below Work Covered by This Request 0. ?O b- 0 ew Add Rep._ TypeofBuilding AppliancesWired EquipmentWired ? Home Range Temporary Service Duplex Water Heater Eledric Heating Apt. Building Dryer Other-(Specify) Comm.llndustrial Furnace Farm Air Conditioner Other (speciry) Contractor5 Remarks: Compute Inspection Fee Below: ? 7mrA kuyvu_?, 1 DOA # Olher Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swlmming Pool 0 to 200 Amps 0 to 100 Amps 152-01: Transformers Above 200 _ AmpS 0 Amps S19f1S Inspecmr's Use Only: OTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rou9n-in ? Data?. ' certify that the above inspection has been made. oate OFFICE USE JNLY This request void 18 months from ?A J dr"U '/ Req"s O ate Fire No. I ough"in Inspection equiretl? ? Ready Now Will Notify InspBCtor h R tl ? es ? No en ea y I licensed contractor rJ owner hereby request inspection of above electrical work at: doo ada ress (SVeet. Box or Route No.) V I V(o V (/L • ?Ci Ciry , Section No. Township Name or No. Range No. Counry. VL Docupant IPRMTI phone No. i S17 Power Supplier ' Ucif- [Zed R xk- Atldress ; o o Ma uy.-l Avy, ? Electncal Comracror (Cornpany Name • Cb, Gontractor's License No. G?bb rnaiiing address iContractor or Owner gking ua . ont InS Authorizetl Signature IContraciorlOwner Makmg Installation C Phone NumbCr Z h L /? , MINNESOTA STATE BOARD OF ELECTRICI7Y ? Iy 7H15 INSPECTION REQUEST WILL NOT Gtlgga-Mitlway BIAg. - Room &173 GA_?ftA ? BE ACCEPTEO 9v 7HE STATE BOARD 1821 Unlversity Ave., S1. Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ? n ? ENCLOSED. REQUEST FOR E,LECTRICAL INSPECTION Ee-oooo/i ? See instmctiffis for completing this form on back of yellow copy. 41380 "X" Below Work Covered by Thrs Request ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apl Building Dryer Othec{Specify) Comm./Industriaf Furnace Farm Air CondiGoner Other ispecity) Contrador's Remarks: Compute Inspection Fee Below.' M au vw-e-, (0i # - Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps ILI, 0 to 1D0 Amps Transformers Ahove 200 Amps Amps .[) S19l1S Inspector5 Use Only: Irrigation Booms Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby if h Rou9n-io ^ cert y t at the above inspection has been made. F;nai oat 17-l OFFICE USE ONLY This request void 18 moMhs from ?( - /? ?41 X1 9 J?ro ? 3 _? Request Date Fire No. Rough-in Inspadion e uiretl? ? Ready Now ill Notity Inspector rWh F tl ? Ye5 G No en ea y I licensed contrector ? owner hereby request inspection of above electrical work at: Job dtlress 1Sireel. Box or Route No.) Ciry v u, Sect? Nn. wn ' ame or No. /] 1/ Range No. County Occupam (PRINT) A Phone No. l / i;, Mayv Pow r S pplier - d 6e ' Address ;;obo lU1 Ax "[] Ave. ov Electrical C irector (Gompany Name) [ C C-l + ' Gonlractor5 License No. - P e c d . c A o Meiling Atltlre55(Gontractor or pwner Making InStallation) ' c ?' ? tu 7 ?-v Authorized Signa ure (Coniractor/Owner Making InStallati0n) Phone Numba? -Z lo/ Z ? ' MINNESOTA STA7E BOARD OF ELECTRICITV ?I r? THIS INSPECTION REQUEST WILL NOT Grigga•Mitlwey Bldg. - Room 5-173 G(i'ZA o?' BE ACCEPTED BY 7HE STATE BOARD 1821 Univenity Ave.. St. Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (672) 842-0800 C-G[ q an ENGLOSED. d 41379 REQUEST FOR ELECTRICAL INSPECTION ? See instmtti0ns?'for compleu'ng this torm on back of yellow copy. "X° Below Work Covered bY This Request Q?E ? EBl0 --00001 e ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Fange Temporary Service Duplex Water Heater Electric Heating ApL Building Dryer OtheF(Specify) Comm.llndusirial Furnace Farm Air Conditioner Other (specify) Contracror5 Remarks. , 1 V! V?' "`?' Compute Inspection Fee Below: ?J e Vv # Other Fee # Service Entrance5ize Fee # CircuitslFeeders Fee Swimming Pao1 0 to 200 Amps ' 0 to 100 nmps 2, Op TranSformers Above 200 _ Amps Above 100 _ Amps a Sig115 InspecloYS Use Only: TOTAL Inigation Booms ?/, d " O Speciallnspection Y' Alarm/Communication TFIIS INSTALLATION MAY BE ORDE ISCONNECTED IF NOT Other Fee COMPLETED WITHIN T S. I, the Electrical Inspector, hereby if h Rough-in . Dar3 -17^q cert y t at the above inspection has been made. oa OFFICE USE ONLV This request void 18 months irom ,5/r?/9 3-- d.,d1 17R REQUEST FOR ELECTRICAL INSPECTION ? See instructions fo riicompletiny'tlhis tortn on back of yellow copy. "7C" Below Work Covered bv This Reauest -oooo,.oe eT A-? -E:? a 7 e Ad Re'; TypeafBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other?Specify) Comm./Industrial Fumace Farm Air Conditioner Olher (specify) Contrector5 Remarks Compute Irtspection Fee Be/ow: ! v U/v Invin V`ow.Q.r # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps j,? 0 to 700 Amps '2,p Transformers Above 200 _ Amps Above 100 Amps SignS Inspector`s Use Only; TO 14LC Irrigation Booms ??. Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby if Rou9n-io ? oate cert y that the above inspection has been made. Final oat ,,. OFFICE USE ONLV This request void 18 monihs from ? 4 3 7 8 . ? ?? ? Request Date Fire N Rough-in Inspection Rsquired? ? Ready Now AlPifill Notify Inspector es C No When Ready? I licensed contractor 7 owner hereby request inspection of above electrical work at: Job Adtlr ss (StreeL Box or Ro te NoJ 21 L Ciry P law-, 'qma?l Section No. ownship Name No. 1 7 Range No. 77 Count I?, _ U C Occupant (PRINT) d ht Phone No. otrv Avi (vs uvkf ?p li Power Supplier l I2 S P - rz Address D -ec n Electri 1 Conhacfor4Company Name1 ContractoPS License No. o . 66- A O Mailing Atldress (COntractor r Owner Making In tal ation? U 6 t f f ( f 7 ) ?Sl P ) a ?' . t 2 cu. l? Authonzed S- gnature (ContractovOwner Making Installation) G Phone Number C? U ? MINNESOTA STATE BOARD OF ELECTRIqTY ? ?? THIS INSPECTION REOUEST WILL NOT Griggs-MiAway Bltlg. - Room 5-173 t 8E ACCEPTEO BY THE STATE BOARD 1821 UniversRy Ave., SI. Paul. MN 55104 ?/1 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ?? a'• 1 ENCLOSED. \ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Telephone # ( New ConsWction Reauirements RemodeVReoair Reauirements 43ifiGe Use onIv 3 registered site surveys showing sq. ft of bt, sq. ft. of house; and all roofed areas 2 copies oi plan Cert of Sufv?y Ret? Y? N (20% mauimum lot couerage allowed) 1 set of Energy Calculations for heated additions ?'Prea P?&n Reqtl ' Y, TN_ 2 copies of plan showing beam & wintlow sizes; poured found design, etc. 1 site survey For additions & decks Tree Pres'Raquir0?i . Y 1 set of Energy Calculations Addition - indicate if on-sife septic system Qri-site'Sep6c System Y"N 3 copies o( Tree Preservation Plan if lol platted a(ter 711193 Rim Joist Delail Options selection sheet (bldgs with 3 or less units Date ConstrucUon Cost Site Address .f ??- ' d?YL-????/?j.? ?? UniUSte # Description of Work Multi-Family Bldg _!/Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ? lG??i??- ( ?( Telephone # 4 ? ^ Contractor (Jl J? m P Address ?j Y? ? /?J ,+---,' <Z? City State Zip W?-?T elephone # ( 95?P- .?--3 ?C?) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Ru1es 7670 Cateeorv 1 MinnesoYa Rules 7672 Energy COd2 C8t2gOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor ? ? . -1 a N if so, 25% plan review Telephone # ( II D I hereby apply for a Residential Building Permit and acknowledge that the informat n is complete and acc ate; that the work will be in conformance with the ordinances and codes of the City o gxrrazrci'??ie?tate o MN Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name pplicant's Signature OFFICE USE ONLY Sub Types 01? - v' ? 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 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-ptex ? 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 ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof O 46 Windows/Doors ? 34 R2placem2nt *Demolltion (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 Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Foorings (deck) FinaUNo 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. _ Air Test _ Final Windows _ Insulation _ _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector s L L( Q ? COMMERCIAL ? ? 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 1064 b2- 651-681-4675 a ? ? • ?? Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) se[s • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (7) • 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) notalways" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) ** • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be esta6lished • Meter size must be established - if applicable • ProjectSpecs (1) y • EnergyCalculations (1) ** ? ? . Electric Power & Lighting Form (1) '* l 1 • Master Exit Plan (1) ? 1. • Emergency Respanse Site Plan (1) y . Soils Report (1) l • MGES SAC detertnination letter • MGES SAC determination letter • MGES SAC delerminalion letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN oepartment ot Heaitn. cau 65i-2i5-0700 ror aeLaus. 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. f ? DATE: WORKTYPE: _ NEW ?!?REMODEL SITE ADDRESS: TENANT NAME: Gv?l P.-S K6M77i? C-lF (i,'JrU2.dvw6 6 0 SUITE #: FORMER TENANT NAME, IF APPLICABLE: _ DESCRIPTION OF WORK F ?-7- -S ? PROPERTY OWNER Name: Phone #: ?O( 1? ?2? Last First Slreet Address: ? 1?/ D? Z PT to ? City: I`\P Q/l?> State: V N Zip: e;? t v Company: Phone #: / ? CONTRACTOR Street Addcess: 1-2.-600 S_ City: P'AAIN S l/I VState: /1'\ ^) ZiP: ARCHITECT/ ENGINEER Company: Name: Street Address: City: State: Licensed plumber installing new sewerfwater service: Phone #: CONSTRUCTION COST: ? I p, cJ Phone #: I hereby acknowledge that I have read this application, state that the information i correc , d agree to com ' all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? Updated 7I02 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 14 Apariments ? 15 Lodging ? 25 Miscellaneous WORK TYPE ? 31 New ? 32 Addition ? 33 Alterations ? 34 Replacement ? 26 Public Facility ? 27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ? 30 Accessory Bldg. C 32 Ext Alt - Apts. ? 34 Ext Alt - Comm. ? 35 Ext Alt - PF ? 37 Nail Salon ? 35 Tenant Impr ? f42 Demolish (Foundation) ? 46 Windows/Doors ? 36 Move Bldg ?/ 43 Reroof ? 47 Repair ? 37 Demolish (Bldg) 44 Siding ? 48 Authorization ? 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 ? Gas Service Test ? Heating APPROVALS Planning Building ? Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MCBS System City Water Fire Sprinklered ?, Plumbing Fl Stucco/Stone Variance 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 Qualiry Other Copies VALUATION $ % SAC SAC Units Meter Size Total COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 -3 y 5. 7? Foundation Onl New Construction interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Pians (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) • Certiflcate of Survey (1) • Civil Plans (2) • Project Specs (1) • CodeAnalysis (7) " • LandscapingPlans (2) • KeyPlan (1) • ProJectSpecs (7) • CodeAnalysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Caiculatians (1) not always"* • Soils Report (7) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Forrn (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • Project Specs (1) 1 • EnergyCalculations (1) 1 • Electric Power & Lighting Form (1) *" 1 1 • Master Exit Plan (1) y ! • Emergenry Response 3ite Plan (1)" 1 • Soils Report (1) b . MC/ES SAC determination letter . MC1ES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food & 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: ?11 WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST: Z D?3 SITEADDRESS: Li 3Z 14 alJ TENANT NAME: Lv IJRS'I'I?Dr"??jr aP ?ARR,b I-, W O 0 l7, SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK ?-i- 3? ?- g-b ! Lt Name: e-DV?2-T'KD? 0r-' U4 l211•-ol?W 0°l? Phone#: PROPERTY Last First OWNER ?7 StreetAddress: [?? 1 !5_ " p ?? S, 'T? 6kV1? _ City: Shte: ZIp; Company: 6?0S.5 l L.. G"b o ?' Phone #: ( cz300) 37 GI "d Z a? CONTRACTOR Street Address: City: ? 1/ State: ziP: ARCHITECT/ F?S ENGINEER Company: P 1 e 2 0 O Z ? I Phone #: Name: ? I Registrarion #: 5treet Address: City: State: Zip: Licensed plumber instailing new sewerlwater service: Phone #: () I hereby acknowledge that I have read this application, state that the information is correct, ;nd/ ree to comply able State of Minnesota Statutes and City of Eagan Ordinances. - Signature of Applicant: Updated 7102 OFFICE USE ONLY SUBTYPE I I O1 Foundation ? 26 Public Facility ? 30 Accessory Bldg. 11 14 Apartments ? 27 Commercial/lndu stri al n 32 Ext Alt - Apts. I I 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. I I 25 Miscellaneous ? 29 Antennae 17 35 Ext Alt - PF ? 37 Nail Sa1on WORK TYPE i I 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors II 32 Addition ? 36 MoveBldg 43 Reroof P 47 Repair I 33 Alterations ? 37 Demolish (Bldg) /? 44 Siding ? 48 Authorization I I 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning SAC Code # of Stories No. of Units Length No. of Bldgs. Width Const. (Actual) Basement sq. ft. (Allowable) First Floor sq. ft. UBC Occupancy sq. ft. MISCELLANEOUS INSPECTIONS I I Gas Service Test ? Heating APPROVALS Planning Building ? Insulation Engineering sq. ft. sq. ft. sq. ft. sa. ?c. MC/ES System City Water Fire Sprinklered Q Plumbing ? Stucco/Stone Variance 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 VALUATION $ % SAC SAC Units Meter Size Total 48250 4202 4204 4206 4208 4210 4212 4214 4216 4218 4220 4222 4224 4226 4228 4230 4232 4234 4236 4238 4240 4242 4244 4246 4248 4249 4251 4253 4255 4257 4259 4261 4263 MEGHANS 10 48250 060 01 10 48250 070 01 10 48250 080 01 10 48250 100 01 MEGHAN LANE P.LD.#'s 601-03 602-03 603-03 604-03 605-03 6Q6-03 607-03 701-03 702-03 703-03 704-03 705-03 706-03 707-03 708-03 801-03 802-03 803-03 804-03 805-03 806-03 807-03 808-03 001-03 002-03 003-03 004-03 005-03 006-03 007-03 008-03 (PAGE 1 OF 3) 10 5r-- Sur?ve or'?Mp cate ? .. ' SURVEY FOFi; Alarv Anderson fiomes Inc. , . dESCRIBED AS:I,ot 7, Block.l, hTGFiANS ADDITTON, City of EaQan, 1)akota County, Diinnesota and i-eservinfi easements of record. ' i_?, i rl N89° 38' 38' E 202. 28 0 -- - -- ---- ------------- ? io ? 6?? 8- fo W S. ? ? i; S . ? '? iaoo saoo taoo -- - I 9 &no g to. saroo@a ~6are9e ? i 11.00 11.00 14.00 l100 t 00 4.0 0 ( ? g Propoeed Torn-Nose Slip on ?ade Proposed Town-Nome SIoE on ??de Propo g 6_ sed oe 6 Proposed SIeE-onm? d I rede la a e I ? ? Proposed Proposed Propaeed Proposed 14 ? • ? I Tom-Nose SIaE on 8rade Toni-Ibee $l? on 6rads Town-Ho?e Slab on ?ade Toxn-Nome SIaD on Brade ? 0 °f ? 4.00 4.00 ? a) i 6are9e 14.00 14.00 a 14.00 l1.00 Barape g 9 d? ? g 3 N ? 10. 00 iB.W ai g l(EO ..? 1000 ?. 10.00 g? 73"8 d 18.00 00+ f0 $ $ . 8?4.o.a ? Z ' ' . ? !1200 872.8 U ? . 3.1 2:7 I A i ? i . . ? L? o • . PROPOSEO ELEVATIONS Top ol Foundellons a g?q,g Gata9e Floot ti 874,1 Basement Fbor a % Approx. Sewer Servlca F-lev. e Proposed Elevallons e ? Existing ElevAlions e Urainege Uirecllona. e ...? ?. benoles ollset Slake Q t? t.trvhm? p I» ??i liEDLUND Planning Engineering Surveying Iroi E..i e?oon+MO?o? F?ee»sI. e?aom?on. Mi?n•?ou se??o x ? ? 30 w 0 0 ? o 0 ? o ? o Z V ? .. ? ? .? ; 0 SCALEs I inch ! 30 Feet 2114GIFdI[XiING DEPT BENCHMARKMIN. SETWOK FiEG1UIREMENT3 , Front House Slda • o Rear - Oarege Slde • « ' O JOB NO.: I NEREBY CERIIFY 1V M1111V ANbER30N FIoMEB 7lIAt 11119 19 ll TFIUE ANb CORIlEOt REpqEHENTAl10N OF T{1E BDUNUA111E8 UF T{IE A90YE 92R. 512 UE8CRIBEU PFIOPEFITY /19 SUIIVEYEb bY ME OR UNDE11 MY OIpECY SUPEqVIS10N AND bOEB NOi PUAPOpf TO BFIOW IMPROVEMENTS OR ,• BDOK: PAGE: ENCROACHMENTS, EXCEPt A9 BHO1NN. bsls ?_ Z 1 1 IV D' J MINN INUOREN,1.11N UFiVEYOR CADO FILE: DW(3. CHK. E307A LICENBE NUMBER 14376 INSPECTION RECORD CITYOF EAGAN PERMITTYPE: BUILDING 3830 Pilot Knob Road Permit Number: 020774 Eagan, Minnesota 55123 Date Issued: 05 / 11 /93 (612) 681-4675 SITE ADDRESS: L 0 T: 7 B L 0 C K: s APPLICANT: 4218 MEGHAN LANE MARV ANDER50N HOMES INC MEGHANS (612) 452-5200 PE $MPT SUBTYPE: TYPE OF WORK: NEW DE5CRIPTION "'2-HR AREA WALL5 INSPECTION FOOTIN6 ., . FRAMING .A INSULATION FINAL FIREPLACE REMARKS: INCLUDES 4220, 4222, 4224, 4226, 4228, 4230, 4232 MEGHAN LN 4 ? _ :_ _ ? `?ITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT 4218 MEGHAM IANE LOT: 7 BLOCK: 1 MEQHANS PERMIT TYPE: Permit Number: Date Issued: ??????S=wt3 BUILDING e20774 05J11/93 DESCRIPTION: *2-HR AREA WALLS B,u`'ildingiPermit Type S-PLEX Building Wo,rk Type NEW 'UBC Occupancy",, R-1 M-1 ?' Gonstructx,an Tjrpe VN * r= Zpning ._m R-4 ' Buildxttg Le•ng,th Building Width ?.? • 4 r;; ij 112 68 ?i O F ? i ??t I? ?? ?C?`, ? Zl REMARKS: INCLUDES 4220, 4222. 4224. 4226, 4228, 4230, 4232 MEGHAIV LN FEE SUMMARY vaLuaTZON ea5e Fee Plan Review Surcharge SAC 5AC $ SpC Units Subtotal $1.962.5@ $1,275.63 $239.00 $6,000.00 100 8 $9,477.13 $478,000 COPIES CITY SAC WATER CONN S&W PERMIT S&W SURCHARGE TREATMENT PLANT ROAD UNIT Total Fee $.50 $800.0@ $5.560.00 $100.00 $.50 $2.592.00 $3.120.00 $21,650.13 CONTRACTOR: - Applicant - ST. LZC. OWNER: MARV ANDER30N HOMES INC 14525200 0001371 MARV ANOERSON HOMES 1355 MENDQTA HEIGHTS RD 1355 MENDOTA HEIGHT3 RD MENDOTA HEIGHTS MN 55112 MEIdDOTA HTS MN 55112 (612) 452-5200 (612).452-5208 I hereby acknowled4e that I havs read Chis app.ticatian and state that the information is correct and agree to camply with al1 applicable State of Mn. ? Statutes and City of Eagan Ordinanees. L: J APPLICA ERMIT NA RE ISSUED Y: IGNAT RE . REACTIYATE _ 1ERMIT f , , CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 7 7? s8,?? $ al c?s?; ?; ? ? I ?? ? f) 31 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is cha nged or 3) lot change is requested once permit is issued. Date -?f / "2O Yaluation of work ?????• ? Site Address: l•a?P, l??tzz. ?.?zy1 ?'?? ?i'? t3, gLOZ STREET SU]TE * Tenant Name: (commercial only) IAT ? BIACK I SUBD. P.I.D. tf , Descri'tion of work: The aRpl icant i s:'.: j Owner Contractor O Other (Deseribe) Name aRV V anmS Phone Property LAST FIRST Owner Address /.?5??/,v/ei?ooT??6, y?.? ,?/?.? ?G? STREET STE N City %%?e??s?9 s?iG.y>S State 1y;6C=' Zip Company le Q L5 Phone: ??'ro1 °?a2? Contractor Address f OK? License #zml-?F?/ Exp.33 C i ty ?(/lG?G?YYO?oTs? ...2vrS St ate Z i p. Company Phone Architect/ Engineer Name Reg i strat i on # Address City State Zip Sewer & water licensed plumber L,.aIf 1dq 8 iL/ . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this a Pplic tion and state that the information is correct and agree to comply with all applica ble tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Appl icant: .o.vd 9 ?a? OFFICE USE ONLY . , . • . _ i° BUIL DING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish • D 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. O 17 Swim Pool 0 03 SF Addition IS 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind. ? 04 Sf Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility ? 21 Miscellaneous woRK nrPE 14 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish 0 32 Addition O 34 Repair O 36 Move GENERAL INFORMATtON Const. (Actual) Basement sq. ft. MWCC System Water Cit (Allowable) lst F1. sq. ft. y UBC Occupancy ? 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total ?12(o Booster PumP # of Stories 2 Footprint Sq., ft. (.Z7 Fire Sprinkler t?o - Length Ji2, On-site well Census Code 105 Depth On-site sewage SAC Code 03_ CCNSUS ISu(G I APPROVALS c.f.Nsus uft;?s . 8. _ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS * NoTc-; 2-++1Z•ArrF_A wAu.S 84E1'w&-ENUNrTS ? Site EM Footing E9 Framing M Insulation IZI Wallboard ?i ? Final ? Draintile ? Fireplace 9q? ?fl _ Permit Fee I.4 62,50 ve<<rees«,: Surcharge 2,39 100 Plan Review L7- . ri S.(,3 . License '--- MWCC SAC (0600,00 City SAC Spp ,p0 Water Conn. S560,00 ' Water Meter Acct. Deposit ..-- S/W Permi t 106,00 S/W Surcharge .900 Treatment Pl. 25q'??OC Road Unit $12o.na Park Ded. Trails Ded. Copies Other Total: S q ") S? 01) a ? , SAC X SAC Units ? , I EXTERIOR ENVELOPE AVERAGE "U'.l COMPUTATION , G?j7, ??fE (> p m Ob?IIG R: ; . ? ` SITE ADDRE SS: 6014 DATE: PNONE: CONTRACTDR: , DETERMINE 410RKING SO.UARE FOOTAGt OF EAC ls t U 'I p ? T07AL , EXPOSEb 1IALL 11REA sq f t x 1. ,,,,,,, TOTAL , tq ft x ROOF/CEILING AnEA "U" 2. ,,,,;,, 3. TOTAL EXPOSEO 14ALL AREA CALCUlA71ONS: Total exposed wall area above floor,,,,,,, ?(? 0 sq ft t " a) Total wa11 window areat UOIJPLE glazed...... 9$ sq ft x"U" '-? 5q ft x 'iU" ?? glazed ...... ft s x????? b) q Total door brea 3 ??1 1 , c) Total slidlfig g1a55 door area: ft d l kiiUit ..:.., aze ?OUE31-.E 9 sq ft d l x "U"' ° - . ...... aze g ? §q ft ll l x"U" d) area ace wa .Total flrep S?? ?i 4w. . oqz 7,?g e) Total wail fYaming area (Average log).....:,.?.°M"'N Sq'•?7 aq ft x U y Ifo I3•y f) Total net wall area above 15?lrvl floor (Insulated).KF?"01!4! 7Wt? sq ft x."U" 00 ? y2 ft ' ', ? „U?, X , o?F4 z. 29 ?? - g) ? rk'? ( IZ 5q Tota) rim Jo1st area.... --- - Total foundatlon ' area (Exposed).......... ----? sq ft h} Total Foundatlon 1 ?t x 11U1? ' a g window area . . . . . . . . 4 .... _ q -- . - O , 7otal net foundatlon • ---'' sq ft area above grade........ . "U" x i _.?-? ° TbTAL a) [hru 3 ? If ltem N3 is the same as, or less than ite01, you have met the lntent of 2 P ICAR 1.16008 A and O. , P?Fe 1 4. TOTAL EXPOSED ROOF/CEILIHG CALCULATIOMS: Total exposed . . roof/celling area........ sq ft J) Total skyliaht atea....... sq,ft x"U" " k) Total roof/celllnq framing area (Average I(19;)...... ^ sq ft x"U" .02?? 7? . Total net tnsulated ? roof/celllnq area....... sq ft x"U" .?- -.TOTAL J) thru . ?? II' total of #4 Is the same as, or less than N2, you have met the Intent of 2 AICAII 1.16008 A and 0. , ,., ? • ? ...•. ALTFRt1ATE BUILDINf ENVELOPE DESIGN To utillze the total envelope system method, the values establlshed by the sum vf items b3 and 94 shail not oe greacer chan the sum of icems R1 and N2. +?. (?,?8 = Zl?, kZ + h. S o ? C E n T 1 F I i A T I 0 IJ i hereby certlfy that ! have calculated the "U" factors and "R" values hernln and that the bulldinq here.descrlhed meet; or exceecls the State of Mlnnesota Enercly Conservatton Act. gnatul-e 11 1 11 1 1 11, 11 1/93 (Date) I 1' a F,r' 2 ?...- ... : .. . EXTERIOR ENVELOPE AVERACE "U'.l COMPUTAT I ON </v?r OidIIG R: S1TF nonnESS: ?T '7l--- 1111 DATE: PHONE: _ COFITRIICTOR: , DETtftMINE 410RKIPIf, SQUARE POOTAGt OF EI1CNt 1. TOTAL EXPOSED 1IALL AREA, sq f t x "U" 2, TOTAL ROOF/CEILING AREA,,,,;,,, 5q ft x"U" 3. TOTAL EXPOSED 44ALL AREA CALCULATIONS: Total exposed wal) area above floor,,;,,,.,, y sq ft t a) Total wa11 window area: , DOUPLE 9lazed...... eO. bg sq ft x uU" .?'? • ??, 7Z H P? glazed..... . • - sq f t x U" ?7 ??? _ l?P? e ?, F» b) Total door area sq f t x 'full c) Total sitdllig glas5 door area: lazed -f_ - sq ft k nUii OAR t, .i- ..:... 9 laied ? ?- sg ft x ??U" ? ...... g rea ll l l fl - §q ft x"U" d) a ace wa rep Tota ,ew e) Total wall ff-aming area (Average 104) .... .:.. 6.°M"`p4 ItJP, `=i sq ft x "U" 1(0 ° , -- f) Total net wall area above • o4t? /3 ?f *TP• floor (Insulated).4'0"."rQ:? 30?F5_8 T1?,5 sq ft x."U" .067 = y• v +? 7 s ft x ' ? Ap LI v g) q . Totat rim Jolst area.CPY:O 1 Tota) foundatlon ' erea (Exposed)..4 ...... s q f t r • h) Total foundatlon ? i ft x"U'? wlndow area........ 4.b.. 5 d 1) Totai net foundation area above 9rade........ ft x"U" t ° - u ) th •-- ? TbTAL r a 3 If i tem N3 is the same as, or less than ltem you have met the lntent oF 2 tiCAR 1.16008 A and 0. / .._-i i rage ?i. TOTAL EXPqSED ROOF/CEILING CALCULAT10t1S: • . i , . Total exposed Sq ft rooF/celllnc? area..,... ? ? ??? ? ?----- e J) Total skyllaht a1-ea....... s q_ f 't x k) Total roof/celllnq framing ?7 ?.. .i? • O a a rea (Ave raqe 1(19;) . . . ... sq ft x uV ? . 1) Total net Insulated - ' roof/ceiling erea....... «jsq ft x"U" , a? - T07AL J) thru 1) If tota) of 811 Is the same as, or less than R2, you have met the lntent of 2 P1CAlt 1.16008 A and O. , ? ALTERIIATE BUILDIIIG ENVELOPE DESIfN To utlilze the total envelope system method, the values established by the sum uf iteins F3 and ?4 shatl not ne greater than the sum or items NI and !?2. + CER T I F I ? A T I 0 IJ I hereby certlfy that I have calculated the "U" f values heretn and that the bulldlnn here.descrlbed meets of Minnesota Enerciy f.onservatlon Act. ' ? Slgnature actors and "R" or exceeds the State Yr?d'" ( t' ? ii? r' ?'?'.J'!7 - (Date) I,s r 2 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. --------- -- - - NO. FIXTURES -ACH TOTAL S AT .0 v. LR :A.Co WATER CLOSET 3.00 34- ? BATH T'UB 3.00 aw- 6 LAVATORY 3,00 av- 9 KITCHEN SINK 3•00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 li? WATER HEATER 3.00 1u , _ - FLOOR DRAIN 3•00 a" - ? GAS PIPING OUTLET • mintmum - 1 3.00 a.?t - ? ROUGH OPENINGS 1.50 ?? - WATER SOFTENER 5.00 PRIVATE DISP. • naILcry. lic. 15.00 U.G. SPRINKLER • 6ome und'er oonst. 3.00 ALTERATIONS • to aasting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: i-u SITEADDRESS: L4 a 19 ° 3a OWNER NAME: INST ADDRESS: ?s (c? C-??-tc ?.? CTI'Y: STATE: M, ZIP CODE: PHONE #: ( ) LI4)- a?da ? SIGNATUR OF PERMITTEE 1993 PLUMBING PERNIIT (RESIDEIVTIAL) CTTY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 ° (612) 6814675 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL CONAIERCIA.UINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP?.DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING U:?':"I'. A1M CONSTRUCITORT ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCFIARGE: $.50 FOR FACH 519000 OF PERlVirr FEE. MINIMUM FEE: S 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL , $ SITE ADDRESS: TENANT NA14ZE: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR• CITY OF EAGAN APPLICANT ?? s? _? SD?? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE , FEES ?HVAC: 0-100 M BTU ? $ 24.00 x D"? -"ADDITIONAL 50 M BTU _ 6.00 ,j'7" " GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 4'V) (I,c,S) ADD-ON/REMODEL (Exls'rtNG CONS'rttUCnoN) $ 15.00 STATE SURCHARGE TOTAL ? ? 1 ?c• s? ? ? ?'/?.'"? ? ?--a--'"' ?- - C_ ? ?? h. r?r? ? ?- srrE?a,D,D??ss: ,?y? j OWNER NAME:_p' 1 Qv-U A'1(1 P- INSTALLER: '?o s' TELEPHONE d 0 -- ..__..._ ..__...o .,.., . 12481 Rhode Island Ave. So. ADDRESS:_ Sawage;- :9P1-5?279 1 32p RQa.nnns CTTY: STATE: ZIP CODE: TELEPHONE #: 1993 MECHANICAL PF.RNIIT (RESIDENT74L) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 ` 1993 MECHAIVICAL PF.RMIT (COIVIIVIERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COA9vIERCIAL(INDUSTRIAI: BUII.DINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES E`ON'TItACT PRiCE: $ I% OF C4NTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF Mg1tM FEE. TOTAL $ STTE ADDRESS: - OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENT'S ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CI7'Y INSPECTOR Cities Digital ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. . , , ? -,; • ? ?: ? ? - ?f . {• < < t,r ? .. ?; , < < t c+ `^?.? ..? ? • < i I. ? ? •. ? v b r Y r ,?Z??a aF ? ??_Y, CASHI??. r,arE 3; . ._ : AM,?k''; t c ??t e ? ? Qx ?^ ? a? ; r r g a i' t .t t yi DC t^ P9n ?[,`?^ a, v ?-i? A s z . K } t y? t? ?} t k? 3`b'° ?1? t Y '1 ?h 0 ?YT t?'`?iiE P 1 i l µY AGAN _•? F " !?. Y: ''?. - ... s', S7. . ? ?3+ L , . . . ? ?`. .. ..., ?? 4 1?? ? ?tt 1 ? .?.? ? y1? ??} ' 1 Nr?f 4q4 Date: City of Eapll 3830 Pilot Knob Road Eagan MN 55122�/�/�� Phone: (651) 675-567q Fax: (651) 675-5694 N 2 4 202 2011 RESIDENTIAL BUIL to Address: RESIDEN. OWNER Name: Use BLUE or BLACK Ink For Office Use /l Permit#: ("1-1 -;11.'" Permit Fee: Date Received: Staff: ING PERMIT APPLICATION Unit #: I tIV/14,6--S Phone: Address / City / Zip: Applicant is: Owner Contractor Description ofwor : RQ c%Gt 1 DAr x,,c (J Mr1LAI SICkI►'t Ofp it, a / f -r, S Lk Construction Cost: 00 Cry— Multi -Family Building: (Yes 1e / No ) Company: M11 Address: 1 `I SD S (OL -404-&1 ftc4 3 State: .Vti\)3 Zip: •--.5"3(p Phone: CQ tra--`S °t 1 -1 - Contact-TJ l_A-se,f i LhS City: )JOr ttiwac� License #: CSC- c j 1 Lead Certificate #: If the project is exempt from lead certific tion, please explain why: (see Page 3 for additional information) 6t(/ 9gZ 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans and supporting documents that you submrt are considered o be public information Portions ;i the �nformat�on may: be classified as non public �f you provide spec!fic reasons that woultl perm conclude.tha't:they 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.qopherstateonecall.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 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 daysof permit issuance. r x / ri41. j I e L -s Applicant's Printed Name n• ode st be completed within 180 �-=moi _ .r v pelica'• nure Page 1 of 3 14 21% 011-311q-1DON T WRITE BELOW THIS LINE SUB TYPES Foundation f, Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% 1) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair It d o vM REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Reviewed By: Storm Damage _ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant i/141^) 2190 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC ` G s Se is Test _ Other: c5 (<f c Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final x Siding: _Stucco Lath __Stone Lath Brick Windows Retaining Wall: — Footings Backfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL L/C(. 00 Page 2 of 3 Use BLUE or BLACK Ink ADM- r - - - - - - - - - - - - - - - - - I For Office Use I non I I ~ Permit City-of Ea I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -I3 Site Address: ~TZI ''4 2 Yv"Lte,L, LiA Unit Name: rUY t ~fX~ 9 Cr(cSY~ , rn~ S Phone:~),_2-&_7 Resident/ yZi~ ZZv L> - 4 Owner Address / City / Zip: JZ2Z -L17 ZI-4 -y7 7- C, -y7 7 SQ. )(KV,- IV_ V-1 LCI Applicant is: Owner Contractor 1 Type of Work Description of work: ~R 1~ r~In~C - Construction Cosf"` J ocx-D Multi-Family Building: (Yes Y / No Company: Contact: t t-~ Contractor Address: j~ S ('2~uv1~ r 1 33 City: 0VU-)OO State.VW Zip: ~ 3_~- "C' Phone: ~l_icense ~ (~'c ~ ~S ~ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) MCC- i%► G 7 COMPLETE THI AREA ONLY IF CONSTRUCTING A NEW BUILDING E 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 f conclude that they 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. A x Applicant's Printed Name pp mature Page 1 of 3