2950 Egan AveCITY OF EAGAN ? 796?'
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100 ?
BUILDING PERMIT Receipt # •? Q`- a
t,,. ? r_. ?._?.._ st1? n..•.. JYa?4 J
?dr
Site P
ss "'" """? °T
y
?
?? OFFICE USE ONLY
Lot
Block Sec/Sub.
Parcel No. BEILGNM occuPancy - FeEs
WILL1M H MMER Zoning - $25.00
? Name (Actual) Const - Bldg. Permit
3 Address SAM laiowablel - 0 30
$
h
0 urc
arge
City Phone
# oi Stones
Pian Review
p
Name sA? Length
Depth 1?=Z
SAC, City
,
?Q Addr(?SS S.F. Total -
SAC, MCwCC
? City Phone S.F. Footprirns -
Water Conn
?
On Site Sewage _
W W Name on ste wen - water Mecer
i= Address MWCCSystem _
¢=
a W
City PhOne
City Water _ Acct. Deposit
S/W Permd
PRV Required _
I hereby acknowlege that I have read this application and stale that the Booster Pump - Sryy Surcharge
inlormation is correcl and agree to comply with all applicable State of
Minnesota Statutes and City of Earn Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: Ptanner - Park Ded.
on the express condition thal all work shall be done in accordance with all Council
applicable State of Minnesota Statut.4 6 anId City ot Ea an Ordinrances.
? Bldg. Off. _ Copies
•
a_. { f ? 4
"'?r
Building OHiCial ' Variance - TOTAL
Permit No. Permit Holder Date TNephone k
WATER
SEVYER
PLUMBING
H.VA.C.
ELECTRIC
Inspection Date Insp. Comrtents
Footings I
FoundaUOn
Framing
Roofing
Hough Pibg.
Rough Htg.
Isul.
FrceplBCe
Final Htg.
Fnal Plbg.
Canst. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
oeck Ftg. 6 ?
Deck Final ?
Well
Pr. Disp.
CITY OF EAGAN
3795 ?ilof Knob Roed Ea9aw, MN 53122 ,,. am
PHONl: 454-8100
BUILDING PERMIT Receipt ? J
Te be oad Mr PUY.CH Est. Volue al, 000 Date Mgy 17 19 83
Site Address 2950 Man Avenue ?
Erece xg
Occuponcy
Lot 051 81«k 3 Sec/SubCountrv }:ome Hcs. ^lrer ? Zoninfl
parcei # 10 18300 051 03 Repair p Flre Zone
Name Jahn r. fie3ley, Jr. Enlorge p Type of C?st.
W Move ? ,# Stories
? ,?ren 2930 Lgan Avenue per„ol;,h p Length_?_
Ci ::agan 55I21 phom 452-8319 Grode ? Depth-2-Q_Sq. Ft.
°C Nome Owrier APProvals Fees
u? Address /,ssessment
Water 8 Sew Permit
• S0
r
h
S
Ctt phone
.
u
c
arpt
?
°C Polite Plan chetk
F Z Nome fire SNC
?3 ??? Enq. Water Conn.
iW Ci Phq?e Plonner Wnter Meter
Council Rood Unit
I hereby ucknowledge that I hove reod this upplication ond state thot Bldg. Off.
the intormntion is correct and agree to comply with oll opplicoble
Stata ot Minnesota Stotutes and City of Eaflan Ordinonces. APC Total ??? ?- ???
i1 ,,( , i r -,
Sipnoture of Permittee
A Building Permit is issued to: 36'rin F. Healey, Jr. q? {he QxpreE3 Condition their
oll work sholl be done in xcordance with all
ap?Ffcable Stote yf Minne
f WaStotates ond City of Eopon Ordinances.
?
Buildiny OfHciol -
Pamit Na PKmit Holdsr Misc. Psrmit No. Holdar
P
Disp.
S?w
er
ENctric
Irbpeetion Date Insp. Other
Footinys
Foundation
Frsminy
?'%.• , u,
Rouyh Ptbs.
Rouyh HVA
inwlstion
Final Plbg.
Final HVAC
Final /s ft?.??,? , •
Water pqaibs Lxation:
V11?11
Sswer
Pr. Disp.
CITY OF EAGAN Remarks
addition_Countr-y Home Heights Lot 5 aik 3 Parcel 10 18300 051 03
owner 1?f /1 '' Street 2950 Eagan Ave. State Eagan, Mn 55121
?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOING
SAN SEW TRUNK 1968 $140.00 $3. 33 30 PAID
SEWERLATERAL &$tUb 1972 $2143.75 107.18 20 PAID
WATERMAIN
* WATERLATERAL & Stllb 1972 ZO
WATER AREA
?
STORM SEW TRK
? 1984 .00 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. $140.00 12524
- -
BUILDING PER.
sAC 400.00 12524 12-27-74
PAR K
-VILLAOE OF.EAOAN SEWER SERVICE PERMIT
3795 Pilof Knob Road PERMIT NO.: 2454
Eoyan, MN 551I7 DATE: 7an 31, 1975
Zoning: - Aeaid. No. af Unite:
Owner: iww_ n,rley
Addreas: 2950Vaqa+ hden ue, 55121 Tat 5 Blk 3 CfH
Site Address: ^a+e
Plumber: ?lf..
1 ogna ro comdY with fhe Villaga of Eagan Connection Chazge: 409.OOPd.
Ordi"^cy Account Deposit:
Permit Fee:
Surchazge: 10.00 -
BY: Misc. Charges: • 50
Date of Insp.: Total:
Insp.: Date Paid:
cinr oF E+cAN
?
7795 Pilof Knob Raad Eagan, MN 55121
l?l .?
* 8044
' PHONEi 4548100 ?
BUILDING PERMIT ReceiPt J
Te M wad ?er PORCH Est.Volue $1,000 DOfe May 17 19 $3
Site Address 2950 Eg an Avenue
E
d
C
O
re
m ccupanty
Lat 051 Block 3 $ec/Sub.Country Home Hts. Alrer ? Zoning
Parcel # 10 18300 051 03 Repolr p Flre Zorro
c
Name John F.
Healey, Jr. Enlarge ? Type of Const.
µove ? # Srories
; Addreu 2950 EQ an Avenue Demolish ? Lenqth 15
b c+ Eagan 55121 phone 452-8319 Grode ? Depth N Sq. Ft._
p Ncme 047[ler Approrab _ Fees
f
i
OU Address
F r:...
Name _
Address
1 hereby acknowledge thot I have reod ihis applicofion and state that
the informotion is correct and ogree to wmply with all appli[oble
Sfate of Minnesotc Statutes pnd City of Eogan Ordinances.
SiBnofure of Permittee ./ /f / "? G?+
A Building Permit is issued to: ? hn F.
all work sholl be done in accordance with all opd
8ullding pfficlol
AssessmeM _
Water & Sew.
Police -
Fire
EnB.
Planner _
Councll _
Bldg. Off. _
APC
Permit i? •'".
SurcMrge • $0
Plon check
SAC
Water Conn.
Woter Meter
Road Unif
Tmai giR.nn
_ on the express condition Ihai
Ciry of Eagan Ordinances.
CITY OF EAGAN N? ??962
3830 P?ot Knob Road, P.O. Box 21-199, Eagan, MN 55127
/? S? ? 7
BUILDING PERMIT PHONE: 454-8100 Receipt # l V
?
To be used for DECK Est. Value $1, 000 Date JIJNE S ?y 90
Site Address 2950 EGAN AVE
Lot 051 Block 3 Sec/Sub. COUNTRT HOME
Parcel No. HEIGHTS
WlName WILLIAM H BOOHER
o Address SAME
City Phone 454-4919
;io Name SAME
0a Address
? City Phone
W Name
? Address
W ICity Phone
I hereby acknowlege that 1 have read this application and state that the
information is correct and agre to comply with all applica6le SI e oi
Minnesota Statutes and Ciry ol a?g /rryyOO?rd??inanca .
Signature of Permitee e(,?..
A Buiiding Permit is issued to: WILLIAM H BOOHER
an the express condition that all work shall be tlone in accordance with all
applicable State of Minnesota Statut and City ol Ea n QrCinances.
Building Oflicial
?S
Ocapancy
Zoning
(ACiual) Const
(allowa6le)
8 otslories
Lergih
oevtn
S.F. Total
S.F, Footprints
On Site Sewaqe
on site wall
MWCC System
Ci1y water
PRV Required
Booster Pump
APPHOVALS
Planner
Coun[il
Bldg. OH.
variance
OFFICE USE ONLY
llx1 R
14r22
FEES
Bldg. Permit
Surcharge
Plan Reviaw
SAC, City
SAC,MCWCC
Water Conn
Water Meter
Aat. Deposit
ShV Permil
S/VJ Sumharge
Treatment PI
Road Unit
Park OeO.
Copies
TOTAL
ZrJ.O0
.50
$25.50
d! 0?rj H
-VWGE OF EAGAN WATER SERVICE PERMIT '
3795 pilot Knob Road ' PERMIT NO.:
Eogan, MN 55122 DATE: Ja17 31, 1975 •
'Loning: RSSID. No. of Units: ,
Owner: WM. Cnrley ,
Address: -2950 8taap._AY4me. 55121 IAt 5 Blk 3 fRiH
Site Address: same
Plumber: _$ bf -H! ? /? ?.?
Meter No.:?e;-s'?` Connection Chazge: ?e•00
Size: - / -v ? Account Deposia 90~
I
Reader No.: 6 /-R Permit Fee: 10.00
I ayraa }o comply wifh The Village of Eagon Surcharge: •SQ'?. !
Ordinonces. Misc. Chazges:
° TotaL•
BY?1 Dxre Pai3y
Date of Insp.: Insp.: i
'
CITY OF EA(
?N Include 2 sets of plans,
' 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For Valuation `? ?r GOQ . U a Date
Site Address: o? yS0 ZAt GAN r7 () t-:. OFFICE USE ONLY
Iot D5i? 137-ock ?- Sec./Sub.ep,?, t{gNtF Erect ? Occupancy
Parcel #: 1() C)c- ( C) a- ' Alter Zoninq
Repair Fire Zone
Ovmer: `/ 0 H0?1 ??7 ?AL E? TR Enlarge _ Type of Const.
. Nbve # Stories
Address: a y'S Q ER?,q-?( t?0? . Deimlish Front 15 ft.
Cit
/Zi
d
?
C
- Grade Depth qp ft.
y
p
o
e:
yA/
q0
Phone # : 45-v7- 9-3 / 9 APPROUALS FEES
Contractor: OLOYlF- ?
zddress:
Ci.ty/Zip Code:
Phone #:
Arch./Eng.:
Address:
City/Zip Code:
Phone #:
Assessments
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit ' { `j , SCJ
Surcharge
Plan Check
SAC
Wates Conn.
Water Meter
Road Unit
TOTAL ? ( 'C` b C--)
- " CITY of EAGAN
BUILDING PERMIT
Owne: 6r4/?w .........
......... _"' ......L........................."""' _""............ ...
`-
AddlOSe (preeBni) 4'? ?
.................................................. ... .
Buildes
Addrase
0 I\
N4 3504
3795 Piloi Knob Raad
Eagen, Minnesofa 55122
454-6100
ne:• ../.?-..°1..?.7-.?? .............
82oriss To Be Used For Fronf DeDih Hai9h! Eai. Cos! Permi! Fsa Remasks
? ` " LOCATION !0 2-•,}-a
Street. Road or otnex i7eseriptton oi i.ocason ? i.ot islacs AtlCii90a ot Trac!
This permit does not aulhorize the use of slreels, roads, alleps or sidewalks nor doea it givefhe owner ot hG agen!
the xighito ereate anq sifuation which is a nuisanoe or which presanis a hasard 10 the heallh, safetp, eonvenience end
general welfere !o aopone in the communify.
TH23 PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORR IS IN PAOGAESS.
? has permisnion to erec! a.. .
This ia !a certiiy, 3hal--.-°°-
:..-°.---_............ ? " .......................... ?-- .-°------?-----•----
the above desaribed premise subjeci So the provisions of all applicable Ordinances for the Citp of Eagan v
?l :..."'•a:?"....._"..:..... Per .....---..--li?`.-.`.`.'.``.""...? ................"""'..................
U BuSlding Irmpeclor
?"""""""'........'?"' ' Ma or ?
I/S
r - - _ . / ?( Z,
?
1990 BIIILDING PERMIT APPLICATION
CZTY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For. b` ECK Valuation??0()
Site Address ?W?1 14(J'E
Lot Dj J glock 3
Parcel/Sub (0&CkJI?111 §011" /7f'«yO?
Owner r?/?pyyti . DOhe/'
Address /'I!l P •
-?
City/Zip Code
Phone T S y ?qqlq
Contractor ?P /'0C
Address er
City/Zip Code
Phone
ii
?1
Arch./Engr.
Address
City/Zip Code
i?
Phone #
Jfj N 0 # Rml
Date: !9 z) /
OFFICE USE ONLY
FEES
Occupancy
Zoning
`'o
Actual Const Sldg. Permit
Allowable Surcharge .S'C
# of stories Plan Review
Length l1 %Ire SAC, City
Depth )yKZL SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ S/W Surcharge
MWCC System Treatment P1. ,
_
City water _ Road Unit
PRV _ Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL 425 -.5 6
Council
Bldg. Off. ?4.
Variance
WAIVER OF HEARING
REQUEST FOR UTILITY IMPROVEMENTS
I/tie hereby request of the Village Council, Village of Eagan,
Minnesota, utility improvements on and over property owned by me/us as
follows: (Mention type of improvement, eeg. water, sanitary sewer, etc.)
WAT?N OVERSTZTnTC - -
The location of said utility improvements sha11 be generally as follows:
Lot 5 Black 3, Country Home Heights
2950 Eagan Avenue
$11F0.00
I/G?e hereby waive notice of any and all hearings necessary for the
installation of said improvements and further consent to any assessments
necessarily Levied by the Village of Eagan for such improvements.
I/?de further agree to grant to the Village of Eagan any easements neces-
sary for the installtion of such improvements.
It is furCher understood that this request shall be reviewed by the
Village Council of The Village of E2gan or its agent and I/we will be givea
reasonable notice as to whether this request is possible under present
utility planning as to timing' Locationo etc
Dated: 71Pr.amhar 97_ 197)i ,??D
,'equest accepted by Date
Village of Eagan
Request referred to Village Engineer: D:te
Copies: 1. Village
2, Village Engineer
3. Applicant
44-?e'9(_
/-7-
?.
j ,
e--?-
i
water Permit A 1694
Serer Permit # 2454
MASTER CARD
LOCATION 945" ?0 r- 3 drw-A», N9 t-
STRUCTUR: AND
LAND USED AS 5 -q X
Permit
BUILpING
PLUMBING .?O
No. I
SD
7
Issued
?f
?- ??s--?? Issued To
Contractor Owner
' A1? 1+? ? LLNf
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
1
HEA7ING no
y va?
-
GAS INSTALLING .-o -???-.'-`-- -
?-
SANITARY $EWER 10 j/
OTHER al?ev I
OTHER ? I
Items App/oved
(Inkial)
Date
Remarks
Distance From Well
FOOTING 1.2 - 21 Q SEPTIC
FOUNDATION ? CESSPOOL
FRAMING -/9 -7J ¢- 2f - 7 S TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLA710N
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING --
WELL
SANITARY SEWER
?
Violations Noted
on Back
COMMENTS:
?
Date _C) (o / LR 1 / V 4
Site Address "Ir5 Construction Cost
UniUSte #
Description of Work ? /` 9- c
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
?--• _
Property Owner h ( ?r,
fe? Telephone # ( &S ? ) ( Jo?--7"HQ
ContracWr
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
• Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculadons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone
Telephone
2 1
Telephone
I hereby apply for a Residential Building Permit and aclaiowledge that the information is complete an accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pemut, 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
a a10 lans.
??n ??
p ic t s Printed e plicant's Signature
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory 81dg
O 02 SF Dwelling ? 08 06-plex ? 96 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex X 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
X? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O, 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration O 37 Demolish Building` ? 43 Reroof O 46 Windows/Doors
? 34 Replacement 'Demolition (Entlre Bldg) • Give PCA handout to applicant
?0? ?
Valuation D MCES 5ystem
Occupancy
Census Code ? Zoning f Z/L City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
0K Footings (new bldg)
- _ FinaVC.O.
0
_ Foatings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Piumbing
Foundation HVAC
Drain Tile Other
Air/Gas Tests
Ftgs
Roof
Ice& Water
Final
Pool Final
_
_
X
Framing =
-
=
Siding Stucco Stone Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Uti{ity Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
A•?
S7? ? ly = ?vv?
` 2004 RESIDEN'1'IAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVRenair Reauiremenis
3 registered site surveys showirg sq. (L of lot sq. R of house; and all roofed areas 2 copies of plan
(20% ma)(mum lot mverage albwed) 1 set oi Energy Calalations for heated additions
2 copies of plan showing beam 8 window sizes; poured found design, etc. i site survey tor addiEons 8 decks
7 sel of Energy Calculations Adddion -iMirate 'rf on-sife septic system
3 copies of Tree Preservation Plan il bl platted after 711193
Rim Joist Dehil Options selecUon sheet (Mdgs with 3 or less uniLs
Office+E"se':Oniv
Cen of 9umej±`Rer.d YxL, a
Tr Pfes Pla;n.R9td
?
'
'
?reeP[gs:R..e?,
uimd =,
Otisite5epl_!?:?Y?Jn •?Y ==N
?t^?.'TN:
Date ? / -CLL? Construction Cost
?-
Site Address v? Unit/Ste k
Q 55 )RI
Description of Work C-;?o x p?J ?60ff)
Multi-Family Bldg _ Y? N Ptireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # (bSl) D?
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential VentllaGon Category 1 Worksheet • New Energy Cotle Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eaga with a similar plan. Y_ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
``,j?T?I?? hone#?
Tele hone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, 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.
1r1 1 V ?
Applicant's Printed Name
Applicant's i atur
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 DS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 07 of_plex ? 09 07-plex ? 17 Garage )< 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-pleX ? 12 12-plex Plbg_Y or _ N ? 25 MiSCellaneOUS
Work Types
? 31 New ?
A 32 Addition ?
? 33 Alteration ?
? 34 Replacement
Valuation o oo
L
Census Code
SAC Units
# of Units
# of Bidgs
Type of Const IK
_ Footings (new bldg)
Footings (deck)
? Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
Framing -
Ffreplace R.I. _ Air Test _ Final
X Insulation
Occupancy )LS -ql- MCES System
Zoning _K-d' City Water
Stories / Booster Pump
Sq. Ft. ? PRV
Length ? Fire Sprinklered
Width ?
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Smcco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: Buiiding inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
35 Int improvement ? 38 Demolish Interior ? 44 Siding
36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire 81dg) - Give PCA handout to applicant
GS--
aTf y.3''?
IJ GGt,rs voo
j'3'YJYJ .
yo o x
"11U.3?f
yov x
& 620
p`g D
?
21, 6oQ
?
Job s,« Addr::»:
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY D`VELLINGS
city
oF eaga
.. _ :. _;
INSTRCCTIO•VS: This alternative may be used for one- and two-family dwellings built ro meet the Category 1 requiremenu of
.N[innesota Rules, Chapter 7670. Complete Pazts A, B, and C. Clearly mark plans wich: insulation R-values; «'indow and skylight U-
vslues; size and type of aquiomenC aquipment controls; and location of vapor retarder and windwash barriers. More detailed
infoanarion can be tound in chz .blinnesora Energv Code summary shaecs availablz from the Minnzsota Deoar¢nanc of Commerce.
Part A. BUILDING ENVELOPE
Check proposed envelopejoint sealling opfian 4 0 Prescriptive (eaulking. gukets, e[e.) ---- -? Pactoanance (•.tse per 7670.0470 subp. 7.CJ
Check thermal entrgy calculauon option tued 4 ?"Cookbook" (compla:: worksheet below) 0 b[nCheck memod (attach eepo[t)
.? Perfonmance (anach U-valve calcula[ions) ? SysEemsAnalysis meehod (attach analysis)
"Cookbook" Worksheet
NIMDIIIhf REQUIREMff`ITS -
(for °Cook6ook" opHou onlv) Ceiling Insuluion: Minimum R-33 wieh 7'h" rnergy hee(; or
?fuiimum R-44 with low avss htel; ar
Minimum R•38 wifi RS sheathino •Hhan no anic.
Ent[v Doors: Mix. [,'-va(ue of 0.:0 or H:" so6d wood with scorm
Rim lois[ [nsulacion: ?linunum R-19 Flaoa over uncondicionzd soaces: Nlinimum R-'_4
Foi:n'u?rion Inscla:ion: Minimum R-l0
Foundarion windows: !^' insulated glass. wood or vinvl trane
TABLE FOR DETERINII\'PiG h?IL.NI WINDOW AlD DOOR AREA Cu5T7l'CT'IOyS
S.eo L Check item(s) dut desivi meecs on.Lfinimum Requiremenu lis[
to chz right. Mis[ mee: all items ;o use "Cook6ook" op¢on.
Stzp Z [ndicata proposed walf .ypz on n61e below.
Stzp 3. Lndicsre WinEow Gvalue md wurc:.
3.ep J. b'zriry rocal window (.indudiag area o[ ill toundacion windows)
md door area is cqual or fess than allowable percen[age.
.4tuximum Altowable Total Window md Door Acea az a Percenta¢e of E. osed WaII 12% 11% 16% 18% 20% I::°/. 21% 260/. 28°/. :
`b'sll Ty e(Srandud Fnmin¢): Macimum Avernee Window U-value (excevt foundacion wiadows): "
:1 2s1. R-li insu(ation, R•7;hzachin OSS 0A7 0.11 036 033 0.30 0.27 025 0.23
:1 2s4, R-l5 insutacion. R•5 >hzschin 0S2 0.45 0.39 0.35 0.31 1 0.28 0.26 0.24 022
2x6. R-l9 insulation. <R-i sheathin 0.48 0.41 036 • 032 0.29 0.26 0.24 0.22 0.21
? Zx6, R-l9 insulation. R-i sheathing 0.56 0.45 0.32 0.37 0.34 031 0.28 026 0.25
??x6, R-? I insulatioa < R-i sheathin 0.51 O.J3 0.33 0.34 0.30 018 025 0.23 0.22 .
? 2c6. R-21 insulation. R•5 shrtthin 0.58 0.50 0.44 039 035 0.32 0.29 017 0.25 '
Wall Type Advanced Framin : Maximum Avera Window [J-value exc ent foundarion windows):
O 2x6, R49 insulation, < R-5 sheathin 0.52 0.45 0.39 035 031 0.28 0.26 024 0.22 -`
? 2x6, R-19 insulation. R-5 shcathin 0.58 0.50 0.41 039 0.35 032 0.29 027 0.25 :
? 2x6. R-21 insularioa < R-5 shea[hin 0.55 0.47 0.41 0.36 0.33 030 017 . 025 013 _
O 2x6. R-21 insulauon, R-5 shea[hin 0.60 0.52 0.46 0.41 0.36 0.33 030 028 026 '
xu:.,e,..., r r__i.._. .Cnuroe• ? YFRC O ASFMAE 1993 Handboolt ...... . ? ' ?? ,?
100 x
win w door azea gost expesed wall ares
D 5 GY ?
AI.LOWABLfi (from ta61e above)
MINNESOTA ENERGY CODE - WH/CH RULES MAY 1 USE ?
TYPE OF RESIDEYT(AL BUILDING APPLiCABLE RULES
Detached R-1 occupaocy 1- and 242mlly dwellinp Chapter 7672; or
Ezam Izs: sin le famil , twin homes? Cha ter 7670 "Cale o l" with sntuto de ressurizsrion and ventilation r uirements
Attached R-J occupancy dwdtingf Cbapter 7673; or
Ezam les: tri lez townhouses md row houus Cha ter 7670 wieh eichtr "Cate¢orv I" or °Cate o 2" rovisions
R•I xcupancy buildings otJ etoria or less Chapter 7674; or
"
Exun les: condominiums or a attmenrs or "Cace o 2" rovisions
C [er 7670 wich either "Cate o f
R-1 oeeupancy build(nge over 3 etoda htQh Chapmr 7616 -
Exun Ins: hi h rise mndos or a artments '?+.+
! V°+1VI %_? I 'V°?_'> \,,.
c?.. ...__ ? n..._
T_?_..?...... Numbe!
Summary of Aprii 15, 2000 Energy Code Requirements fur Detached 1&2 Faroily Residcntiul Builc7ings
Code requirement Opllon A- Chepter 7670 Categury 1 as amended by Laws of MN 2000, Ch. 407 Optimi B- Minnesota Rules C6apicr 7672
1. Materials & e ui ment
Plans and Plans and specifications must show design criteria, exterior envelope Same except with additional requirad items: location ol inirriur air baaier,
specifications component marerials, U-values of the envelope systems, R-values of insulating vapor relarder, and wind w•rsli barrier; identitication of air sealing required;
matetials, si7.e and type of apparaws and equipment, aiid equipment aiid U-values of windows, doors and skylights aiid olher informalion needeJ to
s stems conhols. detemiine com liance (such as reuired ventilation s slrm & make•u air).
2. Foundation wa ll
Insulation Cookbook requires R-10. Trade off penniGed wilh MNcheck. Cookbook has options fur R-S, R-10, or R-19. Trude-o(f pemiined with
MNcheck, but not less ihun R-5.
Protection of Exterior insulation (rom top of fowidation wall to 6" below grade must be Same.
exterior insulation rotected a ainst UV and h sical abuse.
Protection of interior Moisture ba[riet required behveen insulation and foundation wall 1}om Oour lo Same.
insulation rade.
3. Rim/band oists
R-value Cookbook o tion reuires R-19. Trade o(f emiitted with MNcheck. Cookbook o tion re uires R-10. Trade off em»tted with MNcheck.
Va or relarder Re uired on rim 'oists suscetible to conAensation from moisiure diffusion Wacro side va or rotarder re uired.
Interior sir ba[rier Rim 'oist re uireJ to 6e sealed to roven[ air leaka e. Same.
Exterior wind wash
barrier Not addressed. Exterior wind waslt barrier required.
4. Framio
General Framing options incluAe 2 x 4 or 2 x 6 walls, and otlier Ganting options suclI Same.
as lo walls analized walls insulated masonr walls and otliers.
Allic ceilin Gamin Nol addressed. Note: wind wash roteclion re uired al attic ecl ge. Minimum 6" heel truss Gom uutside ed ge of tn p lute to rouf shealhin .
Wall framing: Exterior wall cornets and intersections of interior partition walls with Exterior wall comers and intersections of interiur par(iiion walls wifh
Exterior and interior exlerior walls are not addressed. Exterior joints in the building that may be exterior walls aro framed so that insulation can be insialled after the
sources of air leakage must be sealed. exterior sheathing is installed. Whenever interior framing meets an
insulated ceiling or exterior wall, a cominuous inierior air barrier must be
installed.
5. T6ermal erformance minimums
Vaulmd ceiling Cookbook option requires R-38 between framing plus I2-5 slieathing. Cookbook optiun requires R-38 between fmmiug, no insulated sheathing
re uired.
Attic access panels Not addmssed. R-38 for ceiling panels aiid R-19 for wall panels, aiid must be weather-
shi cd.
Floors over Recommend R-30. Maximum U-0.033 or minimum R-30 specifizd (Uadz-ol'f may not 6e less
unheated s aces strin ent Iliat these values .
Window themial Rating must be National Fenestration Rating Council (NPRC) or ASHIiP.G Ra[ing must he NFRC or default table in the code. Windows must 6e
rfocmance Hand6ook of Fundamentals. No maximum U-value. labeled. Maximum avera n U-value for windows is 037.
Page 1 Of 4-- SourCe of sutMtaiy: Minnesota Department ofCommerce Energy Inforinntion CeMer 651-296-5175 or 800-657-3710, www.commerce.stale.mn.us.
4/00
--------i
nar Once U -
I Permit 5Clt ofEa an ~
3830 Pilot Knob Road ! Permit Fee: l
Eagan MN 55122 i j
Phone: (651) 675-5675 i Date Received. I
Fax: (651) 675-5694 staff. I
i
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date' Site Address:
Tenant: Suite
I
RESIDENT /OWNER Name: r'11 IY~V Phone: (2S I a~`7 ay
Address /City /Zip:
cSOI~{'ylQ QS a-b it l'e,
CONTRACTOR Name: ,~JS P 1~s1 License Q
Address: & L4 c C> t i/c
City: State: zqa: _S
Phone: LQID- contact Person:
h
TYPE OF WORK New , Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: r C-1
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
4 Lawn Irrigation Add Plumbing Fixtures
RPZ / ) PVB) Main ` Lower Level)
Septic System Water Turnaround
New
_ Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater an , Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
"Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information Is complate and gate; 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
X 7,(t x
Applicant's Printed Name Nca 's Signature
FOR OFFICE USE Reviewed By: Date:
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124119
Date Issued:06/23/2014
Permit Category:ePermit
Site Address: 2950 Egan Ave
Lot:051 Block: 3 Addition: Country Home Heights
PID:10-18300-03-051
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kristine A Trombley
2950 Egan Ave
Eagan MN 55121
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126501
Date Issued:08/27/2014
Permit Category:ePermit
Site Address: 2950 Egan Ave
Lot:051 Block: 3 Addition: Country Home Heights
PID:10-18300-03-051
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kristine A Trombley
2950 Egan Ave
Eagan MN 55121
(651) 724-3616
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
' ' � r-----------------�
I For Office Use I
� � Permit#: `�(y�/� �
Clty of ����� ; . / �/ �� ;
RECE�VED I Permit Fee: /�/� I
3830 Pilot Knob Road I —��—/ I
Eagan MN 55122 ��z� � Date Received: �
Phone: (651)675-5675 �'�R 3 � Za�4 � �
Fax: (651) 675-5694 I Staff: �
1 I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ��� / /� Site Address: � � �v � ✓n� ��� Unit#: �l , `
�
Name: �I�S�+��, �✓�/�^'D ''�'J Phone: ��/ �e0 �t7 "
Resident/ �1 ,4��
Owner ' Address/City/Zip: �� v� ���� �+"�,
Applicant is: Owner ' Contractor
Type of Work
Description of wor � "t'''���� � e��SS �� �j
Construction Co : ���`� ' �v Multi-Family Building: (Yes /No�
Company: ���SS �'�I �Y��Sb�'1 �'L�� Contact: ��� '�'Sb�1
Contractor Address:_�1 U O NaY �' � /N M I..r�� City: /' '���
State:�Zip: ���`� Phone:��� �0� �"� Email:���SvY�/'�� CS��/�
' License#: �� ! � l? ( � Lead Certificate#: 1 V�T- �1 a a�3��r
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 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.aopherstateonecall.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 tate Building C e must be completed within 180
days of permit issuance.
x �^��� ,�✓��S t7�14 x
ApplicanYs Printed Name Ap canYs Signature
Page 1 of 3
���� ���ti�
' ' ' DO NOT WRITE'BELOW THIS LINE �Q����
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
x Single Family _ Garage _ Porch (4Season) _ Exterior Alteration(Single Family)
�Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Euterior Alteration(Multi)
01 of_Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair Windows Demolish Foundation
#
_ Replace _ Repair �Egress Window � _ Water Damage
_ Retaining Wall � *Demolition of entire building—give PCA handout to applicant
DESCRIPTION I
Valuation �� Occupancy MCES System ��
Plan Review Code Edition SAC Units II
(25°/o_ 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) Sheetrock
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof:_Ice &Water _Final Pool:�Footings �Air/Gas Tests Final
�f�„ Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_Rough In Air Test _Final Windows
Insulation Retaining Wall:_Footings_Backfill Final
Meter Size: Radon Control
.��` Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge �
Plan Review �`�� ,°�`
MCES SAC ��� �� � C�'
City SAC ����� t
Utility Connection Charge
S8�W Permit 8� Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155067
Date Issued:04/26/2019
Permit Category:ePermit
Site Address: 2950 Egan Ave
Lot:051 Block: 3 Addition: Country Home Heights
PID:10-18300-03-051
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kristine Solberg
2950 Egan Ave
Eagan MN 55121
(651) 724-3616
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature