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1405 Horseshoe CirtIt1( OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1404, I11rt?•;f '.11riE '-.Nt IIWUlIfI IIULIN. PERMIT,§UBTYPE: TYPE OF WORK: MvW INSPECTION P00 1-1 NI, D. . F'kqM lNH DA F INsUT AI !nN PINAI. Fll? t F'1 At F INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: I Control No. '1 1 rJ ?% l? 4 HU I 1 It1Nli awater 04/07/97 : :a APPI.ICANT: f:IF Ml l 1 Fli 14141Mk J01Sf t>31 0!.q._.46nt FiPNAk?5,. ,., 4.J 1.rzNlteAC1t11< - GiN:'-!?YAN I'7.kci PermR No. Permit Hottler Date Telephone tl S/W PLUMBING HVAC ?? u O- fS ELECTRIC - - - - ELECTRIC Inspeclion Data Insp. Commen[s FootingsI Foundation Framing S-Z/- sZ lioofing Rough Plbg. ?- w Rough Htg. IsuL Fireplace Fnal Htg. ? -.2 (.( OrsatTes[ Final Plbg. b d w Plbg. Inspector-No4ry Plumber Cons[. Melet Engr./Plan Bldg. Final / _7rP21? V ?C7 ?G p? Deck Flg. Deck Final Well Pr. Disp. d LL zz y ??-- c- (gex#i#iratt of Orrupanry Citp of Cagan - Bt}rxrtmettt of Builbi" imwrRfimt This CadJ'uaee issaed pursuanl to !he requiranenu ojSectloe 306 ojthe Unijorm Bu!lding Code mKjyiaBlhat aJlhe Iime of iuuance this strncrnre x+ar rn rnmpfrance with the various ordinances ojthe Ghy regulakng butlding constr+rctlan or use For rhe fol(owing: SF DWG/GAR 187 uxa.mr? _ _ a_1 e14 rb'.11 w Vn 0-oarlrTYv= zadro aa?n '?4ae c m ???? J MILLER HOMES ? 18133 CEDAR AVE S., FARMINGTON, MN 1405 ???? R ESHOE C1R?? L23, S1, SHERWOOD DOWNS Dm JUNE 25, 1992 ain aww . POST IN A CONSPICUOUS PUCE REOUEST FOR ELECTRICAL INSPECTION 0° °? o m o j ? ? See msimnions lor compleling this lortn on back ol yellow copy. ? ?3' J??$ 7? "X'Below VYork Covered by This Request ?CNV 7-276 e i`dtl Repd TypeotBUilding AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater ElectriC Heafinq Apl Building Dryer Other (Specity) Comm./Industrial Furnace Farm y Air Conditioner Other (syecity) GoMractor's Remarks: Compute Mspection Fee 8elow: # . Other Fee # ServiceEnhanceSize Fee A Circuits/Feeders Fee Swimming Pool f D to 200 Amps 0 to 100 Amps s„1 Transformers Above 200 _ Amps Abo Amps $igpS Inspeclor5 Use Only: 7?TA Irrigation Booms 7-5 ? Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT S. I, the Electrical Inspector, hereby pough-in certify that the above inspection has been made. OFFICE USE 3NLV This repuest vatl 18 monihs irom v y/ y a-- sOscso-l 14874L93 a Request Date Fire No. Rougp-in Inspectian 21 {'? Q 22 7992 p Re9uiretl? ? ReadY Now MANM Not[y B tlyPeclor . . , ?.?€s G N. en e Iutitlcensed contracror ? owner hereby request inspection of above electrical work at: Job Atltlress (SVeat Box or Route No.) City 9405 11o2hehhoe Ci2c2e E¢g¢n Se ame or No. Rarge No. Counry ? [7akot¢ Occupant(PRINT) Phone No. aoe (7?Lft2 Komeh 454-4663 Power Suppller AEtlress , v¢kot¢ £Lecf2i.c 77¢2miaytorc, l7N 55024 Eledri<al ConVatlor ICompany Namel Conhactor5 License No. 17ideand EeQCiA1c 049690 Maiiinq Atltlress iCOnvactor or Owner Making Installalion) 97854-d ugi2ee GJ¢y, L¢keuiE9e,l7N 55044 Au e c Owner Making Insldllahon) Phone Number ? 892-1444 MI OTA STATE BOAPOOF?TRICITV TNIS INSPECTION REQUEST WILL NOT Gtlgge-Mitlwey Bltlg. - Room BE ACCEPTEO BY THE $TATE 60AR0 tBZI University Ave., St Paul. MN 10C UNLESS PROPER INSPECTION FEE IS Phone (611) 5d2-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 00. See instmclions lor completing this form on back o( yellow copy. //?? 9/gff "X" Below Work Covered by This Request IAZN?' Ne Re . Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. 8uiltling Dryer Load Management Comm./Industrial Furnace Other (Specif ) Farm Air Conditioner Other (spaclly) Gontreclor s Remarks'. Compute Inspection Fee Below: # Other Fee N Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 t0 100 Amps Transformers Above 200 Amps e 100 -Amps SIJOS Inspector's Usc Onry: TOTAL Irrigation Booms Q• ? Special Inspection ? Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS.. I, ihe Electncal Inspector, hereby rtif th t th b i R°°9nm - oane y ce a e a ove nspection has been made. Final oat -QV OFFlCE USE ONLY This requesi void 18 months tmm .SaaS? 0- . ?114 9 ? 1 1 a 19W ?a Rcpuesl ate Fire No. Rough-In Inspeclion Requiretl (VOU m us? call inspec,or when Oy) Inspecli Iher Than Rough-In II n?ptity I lar eady No [] ? ? I?„ ? y ? , ? ?-` Yes o Date Reatl Iillicensed coniractor ? owner hereby request inspection of above elecirical work at: Job Mtlress (Straet, Box r Route No.) A city Section No.' Township Name or No. Range No. Coun nt (PFIM) ? Phon?-? ? ?? Power $upplier Address Ele ri Contrec?or(Company Name) ConVactors cense No. ` Mailing A?dVess (COnVacror or Owner Makinq Installation) ANhorize aWre (GOn ct ner Makinq I lation) Phon umber I ESOTp STA BOARD OF LECTRICR THIS MSPECTION REQUEST WILL NOT i9gaMitlway tlg. - floom 12B II II I I I I II I I I I I ? I I I II 8E ACCEPTED BV THE STATE BOARD 1821 Unlversity Ava.. SL Pa , MN 55104 UNLESS PROPER INSPECTION FEE IS PhoM 16121 6C2-OB00 . FNCI OAFD . Address:, 1405 HORSESHOE CIR Lot 23B1k 1 Sec/Sub SHERWOOD DOWNS These items were/were not complete at the time of the final inspection. Date: JUNE 25, 1992 Yes No Tnqpertor, Final grade (6" from siding) Permanent steps - gacage Permanent steps • main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify vith the builder the ramoval of roof tast caps from the plumbing system and the shut-off of water supply to the outside lawn favicet befora freeze potential exists. ? • Rc,aEOwrtn White - City copy Yellow - Resident copy Pink.- Contractor copy (? ? ?s3 .? RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephooe # 651-675-5675 FAX # 651-675-5694 -le iS7 a5 ? NewCOnsWCtionReauiremeMS RemodeN2eoairReauirements OfficeUseOnN 3 registered si[e surveys showing sq. ft of lot, sq. k. of house; and all raafed areas 2 copies of plan Cert of Survey Recd (200h maximum bl mverage allowed) i set of Energy Calculations for heated addi6ons Tree Pres Plan Recd 2 copies of plan showing beam & wirMow s¢es; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd lsetofEneigyCakulatlons Adddion-indicafeifonsAesepticsystem _On-siteSepticSystem 3 apies of Tree Preservation Plan if lot platted after 111193 Rim Joist Detail Options selectlon sheet (bldgs vnfh 3 ar less units Date Q 5 Construction Cost - Site Address l yD ?0rseSke 7_ UniUSte # C. -f?2- c/e n Mn Description of Work Muiti-Family Bldg _ YX N Fireplace(s) _ 0_ 1 _ 2 Property Owuer Jo D A! -,A- l_, Telephone # 65' ) ?)3q • i I Contractor I Address 1 9 3 Q iS I Ci[y ? State ? Zip ss? a Telephone # (661) ?3( -ij) 1l.0 i ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate orv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( ?I?? HPR 15 05 U fJ L! I hereby apply for a Residential Building Permit and acknowledge that th mform ' i omplet and accurate; that the work will be in conformance with the ordinances and codes of t SE-i -a State of MN Statutes; I understand tktis 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. T) 'L Applicant's Printed Name Applicant's ignatur OFFICE USE ONLY Su b Types ?. O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace x 21 Porch (3-sea.) ? 31 Ext. Ait - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuIG Misc. ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex 13 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 Naw ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding lw 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alterafion 0 37 Demolish (Bldg)• ? 43 Reroof 0 46 Windows/Doors ? 34 ReplBCement 'Demolitlon (Entlre Bldg) • Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units ?-' Nbr. of Bldgs ` Type of Const ? _ Footings (new bldg) Footings (deck) ? Footings (addition) Foundation Drain TIle Roof Ice & Water Final ? Fruning _ Fireplace _ R.I. _ Air Test Final Insulation ---------------------- Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total Occupancy ? - ? Zoning Stories ? Sq. Ft. Length Width ? MCIES System - City Water - Booster Pump -' PRV - Fire Sprinklered v REQUIItED INSPECTIONS FinaUC.O. ? FinaWi o C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ AirlGas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Buiiding Inspector v ° 3 S2A9w 6) 1IG`?/1 -) f S7? RS- RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constructlon Reouiraments • 3 registered site surveys showirg sq. fl. of lot, gq. fl. of? house; and all roofed areas (20%macimumlotcoverageallowed) trf • 2copies of plan showirg beam & window s¢es; poured tound design, etc.) • lsefo(EnergyCalculations • 3copiesofTreePreservationPlan'rflotplattedafter711193 • Rim Joist Detail OpGons selection sheet (61dgs wb 3 or less unifs) DATE SITE ADC TYPE OP WORK- APPLICANT STREET ADDRESS TELEPHONE #'li ULTI-FAMILY BLDG _Y ?( N FIREPLACE(S) _ 0 _ 1 _ 2 e # 763-533??(G? FAX # PROPERTYOWNER C0 7T O&TH TELEPHONE# %5?1 `,Fa7-0l 77 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATGGORY I MINNESOTA RiJLKS 7672 (J submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculalions Submitted -"; n7;r r ?21Q'•` Plumbing Contractor: Phonc # AUG 2 3 Plumbuig system includes: Watcr Soflener _ Lawn Sprinkler F Water Heater No. of R.I. Ba No. of 73alhs y Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi?qnces. ?/ ?4? Signature of Applicant OFFICE U5E ONLY _ Air Conditioning Heat Recovery System ?a?s.a5 RemodellReoair ReouiremeMs . 2 capies af plan . 1 set of Energy Calculatians for heated additians • isitesurveyforezterioraddflions&decks • Indicate'rf home served by septic sysfem for additions VALUATION _N'j`lI Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 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 (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof 0 46 WindowslDoors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings(new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ F[gs _ Air/Gas Tests _ Final _ Fraxning _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total ._ _ .., CITY OF EAGAN 3830 Piiot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Datelssued: 1405 HORSESHOE CIR LOT: 23 BLOCK: 1 SHERWOOD DOWNS Bu`i.ldi4g_ Permit Type SF DWG BuLlding l49rk Type NEW UBC QccupanC`p, R-3 M-1 Constructian Type V-N ZoniRy R-1 Building lerrgth 64 Build7tng, Width , 52 f ( ? t u.t ,Fl? i i x . . t.'- „ ? . ,. , .- . REMARKS: C 0 I B I S& W CON7RAC70R - GENZ-RYAN pL86 FEE SUMMARY: 8ase Fee Dlan Review Surcharge SAC SAC $ SAC Un1ts Subtatal VALUATION $741.00 $481.65 $64.58 $700.00 100 ;1,987.15 $129,0@0 BUILDING 000187 04/07/92 MISCELLANEOUS $1s610.50 Total Fee $3,597.65 CO?R {?Op' - pPPtxcant - si • ?§WNER: -1dIL-L?IH-dMES .]OSEPH 14544663 8002 31 JOE MILLER HOME5 3459 WASHZNGTON OR 3459 WASHINGTON ?R EAGAN MM 55122 EAGAN MN 55122 (612) 454-4663 (612)454-4653 201 I hereby acknnwledge that I have read this applicaL3on and state that the information ia correot and egree tp comply with all applicatrle StaCe of Mn. Statutes and City o'f Eagan Ord3nances. ? AP ICANT/PERMITEE SIGNATURE I SUED BV: SIGN U-I?- Control No. 0184 ' INSPECTION RECORD Contral No. 0 18 4 CITY OF EAGAN PERMITTYPE: BuiLozNG 3830 Pilot Knob Road PermitNumber: 000187 Eagan, M innesota 55123 Date Issued: 0 9/ 0 7/ 9 2 (612) 681-4675 SITEADDRESS: Lor: zs eLoCK: i 1405 HQRSESHOE CIR SHERWOOD DOWNS PERMIa?UBTYPE: APPLICANT: MILLER HOMES JOSEPH (612) 454-4663 TYPE OF WORK: NEW INSPECTION FOOTIPIG ., . FRAMING ,. I14SULA7ION FINAL FIREPLACE REMARKS: S& W CON7RAC70R - GENZ-RYAM PLBG ? ? rii,J i ? Iiu;1 ?.i .Iilo l.t' i,ql; 1 ?I j :. . , •? il I ? ? r: ty fl 7 t' \ 6 ? PERMIT / 1 1. 1 #1 CITY OF EAGAN 1992 BOILDING PERMIT APPLICATION 681-4675 0' 3 sg '7, ` ?;- tA"Aek//Z UAR 3 1 RECo 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 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 March ? 31 ? 1992 Yaluation Of work 96,000.00 $1tB LOC8L10t1: 1405 Horseshoe Cir STREET STE 0 Tenant Name: LOT 23_ BLOCK SUBD. SheiwOOd Dowri9 P.I.D. # Descri tion of work: The applicant is: ? Owner 0 Contractor ? OthBY' coeaeribe) Name Phone Property LAST FIRST Owner pddress STREET STE A City State Zip Company lnR un?VR HnM Phone Contractor 18133 CEDAR AYE 5lk Address sLtMiNGtoN_MN55o2a License # Exp.3-4el MOD02431 • City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber r,enZ-xyaa Processing time for sewer & water permits is two days once area has 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. Signature of Applicant: ? I ? !. #P OFFICE USE ONLY BUILDING PERMIT TYPE . . ,,. ;.. , do ? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural ;K 02 SF Dwg. ? 07 Fireplace ? 12 Comm./Ind. New ? 17 Building Move ? 03 Two family ? 08 Deck ? 13 Comm./Ind. Add ? 18 Demolition ? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous ? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac. WORK TYPE &31 New El 34 Remodel ? 37 Move ? 32 Addition ? 35 Repair ? 38 Demolish ? 33 Alterations ? 36 Tenant Finish ? 99 Undefined GENERAL INFORMATION Occupancy R 3 M-? Basement sq. ft. MWCC System YEs Zoning ? lst F1. sq. ft. City Water Yes Const. (Actual) V-N 2nd F1. sq. ft. PRV Required (Allowable) V•N 3q. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code ? Depth 52 On-site sewage SAC Code 01 QPPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing ? Fr*ming ? Insulation p„-n ,. 0 Wallboard ? Final D4 r? daif,.,, .ntile.? 0 Fireplace Permit Fee 9y1. OO vaiuac;p,: s 17.9. o0d°- Surcharge ? - Plan Review 481,65 License 32x2z ='104 MWCC SAG 70 , ;z xOz = (a4) City SAC Water Conn. 100,00 bq5 pp , . 68o x!6_ Water Meter , 95,08 ggM ? ; Acct. Deposit qo,on (;?4Xau= 5r?1?Xi5.:- S/W Permit 3p,pa S/W Surcharge .So Treatment P1. 3 00,00 Road Unit a50.00 26?+1 1- ? 57(, Park Ded. q x 1'?t = 13 Trails Ded. Copies a ??O = ;L0 Other ay K3a ? '2-40 Total: 1 x <i? ? g Zr+D -FLLo,¢, 2Nx3Z='?6£; 10,880 ??6x53= . LI I / I Za ---- ? SAC % IDp I-S?V? )(53- `Jo (06/ SAC Units I U Q', ? 1 40,px 2.0 _ ?a $oo) - ? MINNESO7A STATE ENERGY CODE CALCULATIONS BASED ON CHAPTER 5 UF THE ' MODEL ENERGY CODE - 1983 E01T1'ON Adoptlon Effectlve 1/1/84 ' OHine r Slte Address L oT 2.3 Do N121/4 .zZ . • i bate J , Contractor Phone Building Classlfication: Type A1 (Single Family b Duplex)Type A2(ftesidentlal) ? (3 storles or`less 1 NOTE: Complete pages 3 and 4 First. , (Other)• (Over 3 storfes)_? T GENERAL INFOf1MATIOIJ 1. Building Perlme[er4G? t. 2. Wall helght (ground [o eave) ft. q p" . 3. 1. x 2. (above) gross wall area L3 ?j,8 F[_ ' 4. Building dimenslons (L) -- X(W) ----- ° 38?, ft.Z rooF 6 floor area' 5. Square foot area of rim Jolst - Floor )olst slze {2 x'07 16) X Perlmeter ° Rlm olst area m I?Z+3? .f.tZ' iz 15915 . •:?i?.?, 6. Doors - AFea l 67 thickness Type oF Construction . Manu(acturer 7. Total door's perfineter In. U fector n?-] 4- - I ?' Perimeter r ft. ft, State a roved 8. Wtndows: Manufacturer PP . ' U factor TYPE SIZE AREA (Ft.2) NUMBER OF • EACH UNI7S , 9. Total ft'.2 Clas Z?S, 5 10. Fireplace area; Wldth X he(ght = Phone X . Q TOTAL FEET 2 I ( ? Ft.Z I I. Exposed Foundatlon: kleight X, Perlmeter a(0? X ?5 =' IO(O Qa ! . Ft.2 CONPLETION OF TNIS FORM IS REQUIRED FOR ALL CO R?ON, MAJOR REMODEL NG ANp 8 ILDINGS'BEIt ,. h10VE0 WIIERE ENERGY, O7HER TIIAN TIIE MINIMAL CODE AILOWANCE, IS USER. , • 1. 12 Franliny area = lOx of,gross wall area. Gross wa11 area Z-_?)q f t.2 13 tPyv- ;l L i Nindo.i ar,ea A ? " Z • z60ft. U windows = ??JCO •U x A' = Rim joist area A ft.2 U rim ,joist = a O?- U x A -? A r ft. U oor area d U k A = ea Door a r'area r l l k A O ft. Z U f-A,reP.r4ea?' ,a _1 uX 7 •. n = e p at 2 p ? Exposed founda ' tlon A J?-?'+ ft. ll foundation (0. U x ? A Framing area A ?•'????? p????)?4?ft•2 U framing are a =I U'x A . z Z i rQii'>. = A ft U wall U x A - Net wall area . q?? 7 ? (138) TO,T AL . . . . . . . .'. . U z A , - ?, = ?"1?7- : • . 14_ Gross wall area z 0,11 (A-1 single family S duplex ° allowable U x A/Code ;??,• _ (13. above) • • , ' x 0.23 (A-2 other residential) x .23 (Other buildings) , x .23 (Over 3 stories) . ' • 1 BTUH Must be larger than A Z 3? ?J •?J x U Cgde„-_? 1 ?3's -°?• 138 above .' ) 15. C'eiling framing area (Af) equals 10% of ceiling area C. or the, same , a s 2 • I5A. Gross ceiling area =(L} ----- x (W) ft•. , ,, • ' I ? ft.2 , .. , . 158 Joist areA (Af) = lOa ceilin9.area = ?- , 15C. Net ceiling area (Ac) (15A - 15B) ° •? Z? I? p ft.2 .-r--2 . U ceiling x A C_ kx??_ , U framin9 x A{_ x 150. TOTAL'U x A ................. ................. 16. Ceiling area (15A) x 0.026 (A-1 single family S duplex - code allowable U x A ? ? x 0.033 (A-2 other resldential)• x 0.06 (other) ?oZ(o BaUH Must be larger than•15D (above) p(15q) I.3 ? J x U(codel= F' (or th2 same as) NOTE: Use U and A values obtained from pages 1,-3 and 4.* CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values hereln and that the bullding here described meets or exceeds the State of.'Mlnnesota Energy Conservatlon Act. • . , ? Date gnature 2, ? ? . . Y` y , . - ???•? • ? CZ-A?F 2-4 +:33 ?- 33? = 100Ce1fa Z. , _.. _ ? . ? , . ? i .. ----=---__-....._._ _ _ .._.... ... . . S ? ? ... MX ?v 75X Z? _.__ _ , ... ... ,_._....,, . . _.... _... __ ..... .... ...._'_...,. ------- --------- Iil z?x?d = 1?,75X3 = ?I?? . ` ? u vEiLut u+LcuLni totis 1JALL ' SECTION STUD SECIION, _i 2ND NALL SECTiQN. R,IPI JOlST Slding OuCSlde alr film ' .17 R TOTAL ? O • ? 3 . . F-YnLUE u vnLuE • , . . Inelde air film. ? • .68 1 ` Interloc aall f (Nall) U - - • •`1 R Insulatlon C2 SheatLing Slding •?D7 Outetde air Ellm' .17 R TOTAL Inside.alr fllm ? . .68 . , • ? Interlor Wall • A? ? 411 stud R= 4.36 (Fra!nLng) ll . R . Sheathing Instde air film R- .68 . ' Intetlor vall ' • InsulaCion (Wgll zU Sheathing . . ? Extetlor vall cq)vering ' . „ . Exterlor air Etlm' R -.17 ' '. . - , A TOTAL lnteclor air [Llm R' .68 , ? Lnsulatlon Iq. 0 . ? , 'l?i lnch eott.NOOd R=?.68 (Rtm p e?.. Jo15t) , . ?I Slieathing , i 2.,OCD . X,_ Exterlor wall covering,(p'7 • ' ' , ? ? . ExCerior air fllm R- ,17 ' • R TOTAL lntertor alr Eilm R= .68 Insuletlon Il'o ; ? . Foundatlo? (,Zg ?'(Fdn.) U ? . - Exterior alr. tllm R° •17 F ToTnL ( 3 • ? ?J ? ? " . ?£xposed Sluck •• , ?. ??Cirade 3. CEILIFIG 41[TH VEtITED ATTIC SPACE A404E ? R YALUE k?GkLUE ' . . " F{Ult4IHG CEIL111G • • ? 0.61 Air F11m 0.61 Insulation joist .5 Ceiling 0.61 Air Film 0.61 I 47- lED Total R -4e? _ - 1 : U = R FLAT ROOF OR CATIIEDRAL CEILING A a ue R 11ALUE , FRAPIING ' CEILING • 0.61 Inside air film. 0.61 . • Ceiling Joist (stu ' ' • ' Insulation Air space ' • Roof decking Insulatlon. Built-up roof - ' 0.17 r Outside air film 0.17 • ' Total R R=U Jindow infiltration .5 cfm/lineal foot of crack• ' iesidenN al door infiltration 0.5 cfm/square foot or door and minimum code r.equlrement . •lon-residential door infiltration 11.0 cfm/lineal foot of crack' 1b 12" concrete block no insulation -.47 R 2.1 ib 12" concrete block insulated cores =.26 R 3.8 J5 12" light:.etght block °.32 R 3.1 °. Jb 12" lightrreight block insulated'cores =.12 R 8.3 • 1 single glass = 1.13; with storm window .54 ' . 1 dou6le glass = .55 .J triple 91ass = .41 • all exterior walls and ceilings must have a vapor barrier (0.10 perm max.). :apor barrier musC be on the inside (heated side) of rrall. iapor barrlers of the polyethelene thin f11m have no.R,value. , . ? i 4. 4'q785 1 L G d- BL cirr use oNLY ? RECEIPT #: ??a 5 SUBD. DATE: 1 a9 j- 4 1995 MECHANICAL PERMIT (RESIDENTIAL) IIIA9195 • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace _ Add-on air conditioning ? Add-on airexchanger, i.e. Vanee system, etc. 67670-- Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL CQDf-r-, SITE ADDRESS: '40E) J l ???\e) OWNER PHONE #: ?? ? N INSTALLER STREET ADDRESS: ?- CITY: STATE:? ZIP: PHONE b ? ? _A_ j CITY USE ONLY L Bl SUBD. TELEPHONE #: Piease complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are = required for each dwelling unit. DATE: WORK NPE: DESCRIPTION OF WORK: FEES: - $25.00 minlmum tee Qt 1% of contract price, whichever is greater. * Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of ggmjs fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL StTE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: _ CITY: PHONE #: RECEIPT #: DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 CONTRACT PRICE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT STATE: ZIP? 51GNATURE: SIGNATURE OF PERMITfEE CITY INSPECTOR CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE (612) 454-8100 gY i : mon:. ?.. ,?. ?. ? . .?.. +, . . , , ..?...,. .... . ?.. ?. .?? ?',, FOR CITY USE ONLY PERMIT # RECEIPT # D? DATE: kmY3S I`tm PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ,,,ip{f5, TOWNHOMES/COND05 WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -- -------"---------------- WORK DE CRIPTION ------------------- ------------ ------------------ COMPLETE THE FOLLAWING: N0. FIRT[IRES EA. NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: U4 _ KITCHEN SINK 3.00 Y N SITE ADDRESS: I `I O? f'J?SP S lQe 8- HOT TUB/SPA 3.00 LAT:d,5 `OCK ? SUBD. _ WATER HEATER FI.OOR DReiiid 3.00 3.0 GAS PIPING OUT. INSTALLER: _ (MINIMUM - 1) 3.00 ! ROUGH OPENINGS 1.50 ADDRE55: 1 OTHER WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE TOTAL ? SUBTOTAL $ E-UD ST. SURCHARGE .50 SIGNATURE OF PERMITTEE $ ? TOTAL: . ??I4tER?IALjiD]DI?&T?I9Ls PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME; SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN 3830 PIIAT KNOB HOAD E!?GAN1. lIId 55122 PEiONE: (612) 454-8100 .. ...gam:.,.. NNMNM FOR CITY IISE ONLY PERMIT # RECEIPT DATE: PLEASE COMPLETE IIPPER PORT20N O1QLY FOR SINGLE FAMILY TOWNHOME5/CONDOS WHEN PERliITS ARE REQIIIRED FO& EACFi IIWIT. WORK DESCRIPTION NEW CONST X_ ADD ON _ REPAIR _ OWNER NAME: JOE MILLER CONSTRUCTION C0. INC. SITE ADDRESS: r.oT:!.? sr.ocic L suan.? INSTALLER: GENZ-RYAN PLUMBING & HEATING C0. nDDRESS: 14745 South Robert Trail CITY: Rosemount, MN zip: 55068 DWELLINGS COMPLETE THE FOLLOWING; N0. FIXTURES EA. TOTAI ADD-ON MINIMUM 15.00 ? SHOWER 3.00 .Z WATER CIASET 3.00 °B ? BATH TUS 3.00 ? LAVATORY 3,00 ? ? KITCHEN SINK 3.00 / IAUNDRY TRAY 3.00 <3 -w HOT TUB/SPA 3.00 ? WATER HEATER 3.00 7"30 ? FLOOR DRAIN 3.00 GAS PIPING OUT. I (MINIMUM - 1) 3.00 ? ROUGH OPENINGS 1.50 "I.SO oTHER _ WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL S ST. SURCHARGE .50 TOTAL: pl,gpgE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEp SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH DWELLING QNIT. CONTRACT PRICE: OkT:ER .'ZAME: SITE ADDRESS LOT: SLOCK _ SUSD. INSTALLER: ADDRESS: CITY: PHONE #: FOR FEES 18 OF CONTRACT FEE. STATE SURCHAItGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SDRCHSRGE ZIP: TOTAL: $ $ (SIGNATURE) CITY OF EAGAN F-:oNE #: (612) 423-1144 -: '- CITY OF EAGAN 3830 PIIAT KNOB ROAD ? EAGAN, MN 55122 PHONE: (612) 454-8100 RE_. S?E?'1'TW ---------- +-------------------------------------------- --------------- WORK DE?TION NEW CONST _ ADD ON REPAIR OWNER NAME: -,l f-t.°? SITE ADDRESS: I'\os C-\ r LOT: 2 `3 BLOCK , SLBD. INSTALLER:-0'6 \ C"CZ? "2 c? llAl\'(' ADDRESS\'?1 ?? C)cl ?IJ? CITY: ` ?c,l_? ZIP: S5 0 PHONE #: DWELLINGS 6 ------------- ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM ? - 3.00 OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: .50 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTZ-FAMILY BUILDINGS WHEN SEPARATEPERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE OWNER NAME: SZTE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: _ FOR CITY USE ONLY PERMIT # RECEIPT # OS"553 DATE: - 7zZ PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIZRED FOR EACH UNIT. FEES FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING a $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ (SIGNATURE) CITY OF EAGAN TOTAL : t5L''S6 i? . b 1 2422 Entcrprise Drlve Mendota Heights, MN 55120 612) 681-1914•Fax 681-9488 rdmraginislering UNO PViNNER9 • UNDSCAPE ARG111EC75 625 Highway 10 NortF,east * * Biaine, MM 55434 (612) 783-1980•Fax 783-1883 Certificate ot Survey for: JOSeph M. Miller Construction CO. House Address: 1405 Horseshoe Circle. Eagan,__MN Model Name: Bayfield 6? 29??" E '?' ? i ZAc ? t _ 22 ? ? ?????• ???y If???f ?lIY ? I ' I eO CP N, LO. jl;? t° .? . ? ? ? r ? . r271'L ? ? ` Re.OO Sv ? ? o 9 ? Y 01; D NOVg? T ? ' ? , I n S 1 '?'+ `2 Cr.A1? J _ 0 0? I v 1 GPRP? (p5 v '1+" ` i 1g¢6 B ' j? ti\,`,?.y qR?J6/P?'r ? 1 / N r 1 ?/ ?lx• "? w \ ?? ? y? ?O 4 001 ^4:3D 96. ? \ \ \ \ \ C?v ? K;??o r? N / ? h ? - I . .. tA 11 6 ..??ir r 900.0 Denates . eao,o Denotes - Denotes - Denotes ---o- Denotes --e- banotes Existing Elevation Proposed Elevation Dr?indga & Utility Easement Drainage Flow Qirection Monument Offset Hub Bearings showr r/ -I PROPOSED HOUSE ELEVATION Lowest Floor Elevation:890.95 Top of 61ock Elevation:897.66 Garoge Slab Elevation:897.33 are assumed LOT 23, BLOCK 1 SHERWOOD DOWNS DAKOTA COUNTY, MINNE507A 1 hcrebY certify tNac chj; survey, pl*n Dr repart was pr6pered by me ar under my direct gup(e]r?visipn and tM1at 1 em duly Hepls(ered Lend S4Ney0r under the laws ot Iha 5[ete af Minnesota. Deted thit3? ae,. of M?4a-t A.D. 19-1 C" '. Scale: 1 Lr1h=30'=et r7' ? sn a I? N M O ?- O V) REG. 79 90206.22 Fi ur-ieer En3 i r-ieer i ne 6813488 P.ai T * * ,y? * PIONEEF! * ??'fe117tD rB I * ? * * IAND SUNVEYORS • Gv14 9 caNO vuwnEas . 2422 Enterprlse Drlve Mendota Heights, MN 55120 612) 667-1814•Fax 681-9488 625 Highway 10 Northeost Blaine, MN 55434 612) 783-1880•Fax 783-1883 Certificate of Survey for: J05Eph M. Milfer Construction_ Co. House Address: 1405 Horseshoe Circle, Eagan, __MN Model Name: Bayfieid. ? ? ? I l ? ?4y' 2a ¦ O ro ° o 00 N 2 O ? ?? ?µ? , - I Y O t?t 6A5 R . SE r P 1g OO e? I ? N` r I ? 16.0? E.n a, GeS+P? lpS Yfi'?. y N y?O.0? ? I P N ..> ?CD \ 4/ N 1 \ ? ? N„- '? A aT sa. N LT' 1 ' ?c b :hQ Ob \ TAp \ ? v/ lb? I?VJ ? ? I ?I ,o ? 197 ... ; ? . d Q? ! O ' . . . _. ...,-,a -??.,? ?G- / V/ ?y ?• r '. ? _- "' •- .?w 1' r 9oo.o Denates . eao,o Denotes Denotes Denotes -o- Denotes --e- qanotes Existing Elevatitrn Proposed Elevation Drainage & Utility Easement Drainage Flow Pirection Monument Offset Hub Bearings shown are ?r r PROPOSED HOUSE ELEVATIpN Lowest Floor Elevation:890.95 Top of Block Elevation:897.66 Garage Slob Elevation:897.33 assumed LOT 23, BLOCK 1 SHERWDOD DOWNS OAICOTA COUN'iY, MINNESO7A I hst¢bY cer[iry tha[ thiz survey, plDn or repart was prepered by me or under my direct 9up/e7,r.v.?isivn and that I em duly Feplstered Lend S4?yor under the lews of the Stete of Minnesow, Deted this3 J? dey of XxG? . A.D. 19L. Scale: 1h^h=30fe0t L? 14,891 79 90206.22 For Office Use E71 J i ~LI G~ Permit City of Eap ; d ( q 2009 Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: - - - - - - - - - - - - - - - - 2009 MECHANICAL PERMIT APPLICATION Date:.._~)C Site Address: NO Tenant: 4 -c-A4 C1\,C ` Suite RESIDENT / OWNER Name: SC Jt h Phone \ OqyJ Address / City/ Zip: CONTRACTOR Name: BURNSVIl LE HEATING & A/C, INC. License L((A? ~ ~ r7 T1 Address: 3451 W. Burnsville Parkway Suite 120 City: Bumsville, MN 55337 State: Zip: Phone: g ` r~C ()O Contact Person: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under ! Above ground Tank Install ! Remove) / When installing/removing tank(s), call for inspection by Fire Other "i Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ 5,rte J TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans, x CrA_ be 5/iC: - (I x t f Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test In-floor Heat -Final Exterior HVAC Screening Inspection City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1405 Horseshoe Cir Lot: 23 Block: 1 Addition: Sherwood Downs PID:10- 67670 - 230 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Krech Exteriors Corporation 5866 Blackshire Path Inver Grove Hgts MN 55076 (651) 688 -6368 Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: Building EA083904 06/30/2008 ePermit on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: Scott A Orth 1405 Horseshoe Cir Eagan MN 55122 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA123523 Date Issued:06/10/2014 Permit Category:ePermit Site Address: 1405 Horseshoe Cir Lot:23 Block: 1 Addition: Sherwood Downs PID:10-67670-01-230 Use: Description: Sub Type:Reroof & Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 12,000.00 Fee Summary:BL - Base Fee $12K $221.25 0801.4085 Surcharge - Based on Valuation $12K $6.00 9001.2195 $227.25 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 - Darren N Pearson 1405 Horseshoe Cir Eagan MN 55122 Exteriors Of Excellence 4580 Scott Tr Suite 204 Eagan MN 55122 (952) 239-0560 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK ink �-------- ---------, � For Office Use I ��6 U�la� �� I Permit#: ��i�� I � � I ]"? I � Permit Fee: �'�v 3830 Pilot Knob Road � � I Eagan MN 55122 I � Phone:(651)675-5675 � Date Received: � Fax:(651)675-5694 � � � Staff: � _____��____��J 2015 MECHANICAL PERMIT AF�PLICATION ❑ Pleas�submit two(2)sets of plans with all commercial applications. Date: `1'�� !� Site Address: ��V� `��"�-S� �U�. �Y�� Tenant: Suite#: a " ;�r� n� '� . �'��N � �' I��' ��h Name:��'1C1�'1t� ��P�11f��'Y'� Phone: ��J�-U�c�- ��i ��' ��' �i'u��'�� o�i�r � �,, � � ,�� '" _= Address/City/Zip: ��;5 ��-��C��,. C..1� S �2-- � � � � �� ,�wWr�, ��i�� _ �� Name: �`'�..,�,IY�Y�SV��_ �F U��"11i�}C�� _License#: Y��3�� '�J { ��u��Gr�!h �-��G��iiit ��I� NGSr�,' ,�,ddress:�� V'• Y' � '�� /�1 �Ci ��17 c�V I �� I�-n �� I 2� �: �� 2t Q�52-S��-I- DC'.�5� ��b� �`� �� p ��:.7 1 Phone: � , � �� '��,,, ,�a State: � Zi : ��y7i�i � � � Ci /� � = ��; -�ia � Contact: � Email:�� •U/ 1 � —�'�� °��' ��' New ,�Replacement Additional � Alteration Demolition � �� 'u"' � �r��,�7 � ' � �I � � � p�,��,�� ' � Description ofwork �0�� •� �'►1� � � �� U �� IX�Ur� �� pil�s�t� � ' ` " <<k,, a=_� _ � ��?�i �p�� o :� _��' _ _ I r�� r-�'- �s._i �Hli i�� '",� : : _ : . . [� ��L m �- �rs 1� .� �'��Qldl � 9��GUI�i ' �� : . � � _ _ �. ' °� y�� ,�� RESIDENTIAL COMMERCIAL � � G �� 3 ��pP� p� �� '�'',� ��N ��ti'�"' �� _Furnace _New Const��ruction _Interior Improvement � "�� Air Conditioner � '�� ,� Install Pipinig Processed � — — — ��b �E � ��fi��-��; Air Exchanger Gas � � Exterior HVAC Unit PWI �ii �� _ - � � � �� - �� Heat Pump _Under/Abov�e ground Tank �Install/_Remove) n�'�?�r�� i �,I,�ql��h � ��_ X, Other ' �4��l 1 RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) /'/� $1 Od.00 Residential New(includes$5.00 State Surcharge) _$ l.�V•U� TOTaL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge' •"If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 *"*If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE I hereby acknowledge that this information is complete and accurate;that the work will be in c<>nformance 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 tci start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X`7t"-��1Qhl� �,�,��i�r�G�t% X .� �' ApplicanYs Printed Name Applican s Signature � ��-:� � - �i `u�� .�� ii�l��` ipiiii �u -�fii n -- p il� _�� ' " iii�ING��lf��'�e� �- �Pip7� i�,`=--= � �_ �� i r� � t�: �� I(��€ � � ��'��I��I �i�I r� �, �w oatlix, il�i - �� — I IN— �_ �� ;i �� illik� I�,7I�� i �ik'�irE �i=' ��;; � � �' {� a �= rrVl��' � r , � �#�� I �� p��I 4�i�4 -'� � �� t�� at1.��r��= 'W�P) I�1° _'� r" � � ��UI _ �� _i�f�= � ��i�,� �li�� '� 6i � � II�� ti�ql�°)t��l� �� ' ��_` tn' , , � �<>� iil �:_ . _� i � fi_ �- a , u � „i �, ��_ �s , ��' _- 3�iA�� _ ,_, PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159818 Date Issued:01/21/2020 Permit Category:ePermit Site Address: 1405 Horseshoe Cir Lot:23 Block: 1 Addition: Sherwood Downs PID:10-67670-01-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Darren N Pearson 1405 Horseshoe Cir Eagan MN 55122 (651) 405-6888 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature