1397 Interlachen DrINSPECTION RECORD
? C1TY OF EAGAN PERMIT TYPE: If 1! C? f P14?
3830 Pifot Knob Road Permit Number: ""' 8 3A
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
?? Et?rFF r.
? , , ; ? ti t s; i 114. 1 i k t? ?, ?; +, ? ? . ? ? ?, M ? . ? ?
r,i;-:ii??; l??i i. ,?N4i it {. 1?.?rt• ???1•:.,
PERMIT SUBTYPE:
4"!7u i 4 MIRs
RFMANk S*'APANnTF: Pf-RM1i 1 4rt-WIraUP FOR V09t.
TYPE OF WORK:
F1NA1
Permit No. Permit Hoitlor Date Telephane #
ELEGTRIC
PLUMBING
HVAC
Inspecdon Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBINCi
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECIC FINAL 11_ -q'
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
'.M 4 114
. F . I I I ? : . , , .t'i
TYPE OF WORK:
tit ',t t+ tt t i tiPd
41?'h?.1 1
?<???i ? Y
+ nvt I: t N 1,1+1,? A!
INSPECTION
?; . " D• •
.? . , . D•
1. 1 hi:s; i. I I'r?;, o 1[ ! i I'rl ! I.{?! <<11i f., Ir ; -1: I I F:i1 011•' ( 1:+
PERMIT TYPE:
Permit Number:
Date Issued:
N ! tr) 4{i 111
4 r;1 0' F I
?
Permit No. Permit Holdar Dete Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Commenb
FOOTINGS
FOUND
FRAMING
RDOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP 80ARD
FiREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
SEWER & WATER PERMIT
CITY 09 EAGAN
3830 Pilot Knob Rd.
Eagan, MN 551 22-1 897
DATE AUG[;ST 10. 1990
OFFICE USE ONLY
PERMIT DATE 08 / 1G/ 9G
METER #
7Q
y
CHIP # ? PERMIT # 11578 -
METER SIZE !5 g QOUIC B.P. RECEIPT # C 8851,
ISSUE DATE ^ - B.P. RECEIPT DATE 07/12j90
_ PRV - BOOSTER PUMP
SITE ADDRESS 1397 ItqTETf.LACHEN' Alt
LOT 4 SLOCK I SEC/SUB FAjRWAY HILLS 2tdD
.
APPLICANT:
ADDRESS:_
CITY, STATE
ZIP
9
PERMIT REGZUESTED
x SEWER X WATER - TAPS
- COMM/IND ?, RESIDENTIAL
?"• NEW _ EXISTING
PLUMBER: MARTY' S EXCAVATllNG
ADDRESS: 7185 RATZ LAICE Rll _
,
CITY, STATE '`_AYi?r, . N?N Zlp 55360
PHONE: 5 '- 2 548 ?
OWNER: SOPFS CONSTRUCTION
ADDRESS: 4600 FAIHWAY HILLS DR
CITY, STATE EAGt1N, MN Zip 55123
PHONE: Z' 52-5355
PLEASE AtL"OWt'fW0 WORKING DAYS FOR PROCESSING. CALL
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Gredit WILL NOT be given for Deduct Meters.
??? .? I AGREE TO COMRLY WITH CITY OF
METERISSUED
454-5220 FOR INSPECTIONS. FOR STORM
SEW,5R &;VYATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE ?QJ(,ITqT 10, 2940
METER #
CHIP #
OFFICE USE ONLY
METER SIZE
15SUE DATE
PERMITDATE 08110/90
PERMIT # 11578
B.P. RECEIPT # C 8851
B.P. RECEIPTDATE 07 i2/90
_ PRV _ BOOSTER PUMP
SITE ADDek SS 134 7 i`:TF. )U.Ai:iiEti D6
LOT ° BLOCK I SEC/SUB FAIkkAY HII.LS 2idD
ADDRESS: _
CITY, STATE
PHONE: _
ZIP
PLUMBER: l'ARTY'S E:CCAVATING
ADDRESS: 7185 RI1TZ 1.AitE RD
CITY, STATE MA1'LR. M+ ZIP 55360
PHONE: ?i57-2548
OWNER: SoHS car;sTUVCTTnN,
ADDRESS: 4600 FAytcW.41' ltiLLs DR
CITY, STATE 1iAGAH. 4N ZIP ` 5121
PHONE: 451-53 55
PERMIT REGIUESTED
x SEWER
- COMM/IND
? NEW
x WATER _ TAPS
X RE5IDENTIAL
EXISTING
Lawn Sprinkier Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
t?„ •' } '^
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
ALLOW TWO WORKING DAYS FOR PROCESSIMG. CALL 454-5220 FOR IMSPECTIONS. FOR STORM
PERMITS, CONTACT ENGINEERING DEPT.
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
oATE 7112-19 ?o
?
OECEIVE°
AMOUNT s 3
? CASH A CHECK 100
DOILARS
"r ?• ?f l . I
?
?
? 8851 Velow-Po eft CoPY
Pr*-Fde Gopy
Thank You
BY ??
MECHANICAL P$I2MIT DATE: I/7/91
RECEIPT: 99951
SITE ADDRESS 1397 INTERLACHEN DRIVE Unit # Permit # 1274 1
L 4 B I Sect./Sub. FAIRWAY HILLS 2ND
CITY OF EAGAN 18142
" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHUNE:454-8100
BUILDING PERMIT Receipt # Tote used lor SF DWO(GAR Est. Value =138'04V Date JuLY IZ 19 90
Site Adtess 1397 IMtR3t1,ACHEp DR
Lot Block SeclSub. FAIRWAY OFFICE U5E ONIY
R-3 M-1
ParCel N0. Zoning Occupancy -V1 FEES
StlpS COZiBT@vCTION ?._?
¢ Name
o Address A _
City EAGAN Phone
rvanIc
Address
City Phone
r-
? W Name
?O Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all appiicable State of
Minnesota Statutes and City oi Eagan Ordinances.
7
Signature of Permitee
80NS CONS't'RI1CTT011
A Buiiding Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
?
(Actual) Const Bldg. Permit
64.00 -
(wiowable) - Surcharge
# ol Stones 0 Z. QD
?
Length ?
? Plan Review _? 00
Deplh - SAC, City
S.F. Total
S.F. Footprints
On Site Sewage
on site well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
?
SAC,MCWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
SMI Suroharge
Treatment PI
Foad Unit
Park Ded.
Copies
TOTAL
•
r
? Parmit No. Permit Holder Oatt TeNphons #
WATER
SEWER
PLUMeING ? `5 ? G sv
H.V.A.C.
ELECTRIC
kwpectio, ? lnsp. Comrnents
Foolirgs 1
FoundaGon
Framing
Roofing
Hough Plbg.
S? ??
h
Rou9 Htg.
Isul.
? ?? Sf
FreplaCe
Frn2J Hig. ' U
Fnal Plbg.
Const. Meter Plbg. Inspector - NoGfy Plumber
Ergr./Plan
eldg. F,na,
Dedc Flg.
Deck Final
Well
Pr. Disp.
r. 1:
. . t-
. ..
.
. . ..' . ?
? i
,
•
MECHANICAL PERMIT PERMIT #
? ` • ' ? :'?
CITY OF EAGAN RECEIPT #
DATE:
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE 451-8100 For Office Use Only:
I Site Address ' '7 BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub • Ng
, . R
W
es
Name Muit Add-on
Add , Comm. Repair
ress h
O
c Ciiy Phone er
t
?
c
Name FEES
RES. HVAC 0-100 M BTU - $24.00
Address ADDITIONAL 50 M BTU - $.00
C
CLU
ES A
C ON NEW
p City Phone IN
D
/
(RES• HVA
CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PERMIT) - 1
50 EA
.
-
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RE5IDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $50 S/C IF PERMIT PRiCE GOES
Gas Piping Outlets # 1 BEYOND $1,000)
Other
FEE ,
SIGNATURE OF PERMITTEE i
'
S/C:
TOTAL• ? ? FOR: C{TY OF EAGAN
CONTRACT
PRICE
Site Addre?s
Lot
? ..., ,
?q Add
"c City
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE 454-8100
eLDc. rrPE
Res.
PERMIT # R / "?-
RECEIPT #
DATE:
Add-on
Repair
FEES
COMM.AND. FEE - 1%OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONQO- RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
RES. PLBG. ONIY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
? Lavatory - $3.00
Shower - $3.00 ?
Kitchen Sink - $3.00 •
UrinaVBidet - $3.00
Laundry Tray - $3.00
Floor Orains - $1.50
Water Heater - $1.50
T
VYhirlpool - $3.00
Gas Piping Oudets - $1.50
(MINIMUM -1 PER PERMin
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50
PERMIT FEE:
STATES S/C:
GRAND TOTAL:
CITY OF EAGAN NO 18142
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
ApWI
BUILDING PERMIT PHONE:454-8100 Receipt # L-?
,
Tobeusedtor SF DWG/GAR Est.Value $138,000 Date JULY 12 , 192a-
Site Address 1397 INTERLACHEN DR
Lot 4 Block 1 Sec/Sub. FAIRWAY HILLS
Parcel No.
wlName SONS CONSTRUCTION
o Address 4600 FAIRWAY HILLS DR
City EAGAN Phone 457-5355
o Name SAME
?.
Address
? City Phone
ww Name
Address
aW CityPhone
I here6y acknowlege that I have read Ihis application and state that Ihe
infortnatwn is correct and agree lo comply with all apphcable State of
Minnesota Statu[es and Ciry of/?E'aqan Ordinances.
Signature of Permitee f ? `?-v'?` '? "'?"?? (
A Building Permil is issued to' SONS CONSTRUCTION
on ihe express condition thal all work shall be done m accortlance with all
applicable State of Minnesota Statutes and Crty ot Eagan Ordinances.
Bwltlin9 ONicial -? ??T??I
OFFICE USE ONLY
Occupancy R -3 M-1 PEES
Zoning R=1
(Aqual) Consl
V-N
gldg. Permit
773.00
(Allowable) v-N Surcharge 69.00
d ol Stones 00
502
lenglh 52' Plan Review .
Deplh -40' SAQCi[y 100•00
S.f.TOlal - SAC,MCWCC 600.00
5 F Footprinls -
625
00
On Ste Sewage _ Water Conn .
On Site Well Water Meter 90.00
MWCC System xx Acci. Deposit 30.00
City Waler XX
PRV Reqwred _ ShV Permil 30.00
Booster Pump - SMJ Surcharge . 50
Treatment PI 252.00
APPROVALS qoatlUnit 355.O0
Planner - perk Ded.
CouncA
Bldg Olt _ Copies
426.50
3
variante - T07AL ,
VIP
? ??°
1?8
5
a 0 ?09
Request Date , Fre No
7/24/
90 Ro in Inspedion
Ra d°
? Reaay Now fXWll Nolity Inspemor
9
Wh
R
tl
ff(Yes G No en
ea
y
I[3q licensed contractor O owner hereby request inspection of above electrical work at.
Job Address (SVeeL Box or RoNe No ) City
1397 Interlock n Fagan
77 Town5hi0 Name or No Range N. CouMy
OccupaN (PRINT) , Phone No
SQN CONSTR C I • -
Power S pli
Y9akota Electric Co Atltlress
. 4300 220 S t. W., Farmington, MN
EI¢clncal Conlractor company Namel Caniraclor's License No
Joos Electric Co. 427298
MaLng Adtlress (COnVador or Oaner Makmg InstallaLOn)
201 W. Travelers Trail, Burnsville, MN 55337
Autnonzed SignaWre ICOnvactorlOwner Making Instayl,e"+-> Phone Number
895-8525
MINNESOTA STATE BOAPD OF ELECTFICITV[ THIS INSPECTION REOUEST WILL NOT
Grlgqs-MlEway BICg. - Room 5-173 BE ACCEPTEO BV THE STATE BOARO
1821 Univerely Ave., 51 Peul, MN 55104 UNLESS PROPER MSPECTION FEE IS
Plane (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
? See mstmcbons tor completing ihis lorm on back of yellow copy
H01885 "X" Selow Work Covered by This Request
? `t'? ?'4 ? Es-aoomoep?
&4y'j g??B
ew Add Rep TypeoiBmlding AppliancesWired EquipmentWired
X Home X Range Temporery Serwce
Ouplex Water Heater Eleciric Hea4ng
Apt Building Dryer Olher (Specify)
Comm./Indushial ' Fumace
Farm Av Condi6oner
Olher (gpeniy) Conlractor5 flemerks
Compute Inspection Fee Below
8 Other Fee # ServiceEniranceSize Fee # Cucuils/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps 54,
hansformers Above 200 _ Amps Above 100 _ Amps
Signs Inscector5 Usa only TOTAL
Irrigation eooms $69.50
Special Inspecuon
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERE ISCONNECTED IF NOT
Other Fee COMPLETEO WITHIN 18 MO HS.
I, the Electrical Inspector, hereby Rough-in oat ?
cerlify that the above inspechon has
been made. F,nai oeie
OFFICE USE ONLV
This request voitl 18 months Imm
/i??//b`? £PY?OS
N 70240 1111,52
ReQUest Dete fire No Raugh-in Inspection
Reqwred?
? Reatly Now ? W?II Notlty Inspectrn
? Yes ? N. VJhen ReatlyT
I 0 licensed contractor ? owner hereby request inspection of above electrical work at:
,bG Adtlreas (Street, 9oz or RoWe NoJ Cily
rranr IV
Seclion No. Townshi0 Name w Na. Range No. CouM?y'y??/][J' `T'??
?L.IJY'1?'?? " " "
Occupant (PRINn Phorre No.
/ ,o- ,vx) .__'
Power SuppOer
3ItA7"19 E/Cefi"iL Atltlress
Electncal Contrac[or (Company Neme) Contreclart 4cansa No
w ' 8sS
MaAing Atltlress (COnnector or Qwner Makinq Inslalletion) ?
38V,41 ? 53 ?P
AuNOnzed Sgna n oAQwn Maki InsWlla n) Phona Number
94-t;-/9-
MINNESOTA STATE BOARU LECTNICT' THIS INSPECTION flE0UE5T WILL NOT
Gr1g0sM1Uwey Bltlg. - P &1]3 BE ACCEPTED 9Y THE STATE BOARD
1821 UnlvereXy Ave., St. Poul, MN 55104 UNLESS PPOPER INSPECTION FEE IS
Phorre (612) 602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION AV% eeooom o7
? Sea msWdions br complatmg [his form on back of yellax copy. 'J
0 --7 024 Q "JC" Below Work Covered by This Request
ew Add Rep TypeoiBwlding AppliarwesWired EqulpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specily)
Comm./Industrial Furnace
Farm ' Air Condrtioner
Orher (speciy) ConVacror!s Remarks?„???w?
Compute Inspection Fee Below•
# Olher Fee # ServiceEntrenceSize Fee # Circuits/Feaders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
7ransformers Above 200 _ Amps Above 700-Amps
Signs Inspecror5 Use Only: TOTAL S(?f
Ircigation Booms
Special Inspection q
Alarm/Communication
Olher Fee
I, I11B Eleancal Inspedor, hereby
if Rough-in Da?e
cert
y thatthe above inspection has
been made. F,a,
.
OFFlCE USE ON W
This raquest voM 18 monNS hom
REQUEST FOR ELECTRICAL INSPECTION
? ? See instructions for completing IDis Nrm on back of yallow copy.
51294 "X" Below Work Covered by This Request
?F¢M??'?a EB-00001-08
S/dS? S 3
ew Atltl Fep. Typeoteuilding AppliancesWrtetl EqwpmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwlding Dryer Other-(Specity)
Comm./Industnal Fumace Ott pea me 2
Farm Air Conditioner
Other (syemry) Comractor5 Remarks
Compute Inspec(ian Fee Below:
# Other Fee # ServiceEntranceSize Fee # Cirouns/Faeders Fee
Swimming Pool 01020 0 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps Above 100 _ Amps
Signs inspecrors Use Onry TO7Al -,e= 0
?
Irrigation Booms ?`J' •
l
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby Rouyn-m oate
certity that the above inspaction has
been made. F,?ei o
• ?( fY
OFFICE USE ONLY
TMS request vatl 18 monlhs from
d 1 4
9
s,?5
3
.
i
RaquestDale Fire N. Rough-inlnspebian
FeqwreE9
d}(BeOy Now ?J Will NMity Inspectar
5-19-93 ?yes nx WhenReady9
I]gensed contractor ?] owner hereby request inspection of above electrical work at:
Jo0 Atltlress ISVeat Bax or Route No ) Gry
1397 Interlachen Dr. Eagan
Seciion No. iownsnip Name or No Range No. Counry
Dakota
Occupan:IPRINT) Phone No
Stanley C. Smith
Pawer Supplier Aaaress
Dakota Electric Farmington
Electr¢ai GonVacmr (ComOany Name, Comractor5 License No
Roehning Electric CAO 1557
Mailing Atltlress (Convador or Owner Making Ins1aIlBtion)
14811 Endicott Way Apple Valley, Mn. 55124
Aulhonzetl Signatura ConlreclovOwnar ATdking Inslallanon;.,
?--?? Phone Number
423-4328
MINNESOTA STATE BOARD Oi ELECTRICITY / THI$ INSPECTION REOUEST WILL NOT
Grlggs-MlEwey Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 Univenlty Ave., 51. Paul. MN 55106 UNLESS PPOPER INSPECTION FEE IS
Vhone(612) 642-0800 ENCLOSED.
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please wmplete for: Smgte Family Dwellings
Townhomes and Condos when permits are reqmred for each unit
Date01?0/ 0 57 /0 3
Site Address -7 / h rPr A- G/"p--r- Unit #
/? Rl vYl!?/ 5 ? ? ? 3
o
ert
Own
P
1?'! hone # ( 4?
Tele
p
er 1
r
y p
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is X_ Ownet ? Contractor _ Other
Add-on, modification or alteration to eaisting dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner (
? other ( rGt 5 d o f /? l'! {oc`t C. r
State Surcharge s .50
F - j
Total a
?$
I hereby apply fot a Residential Mechanical Pemut and aclmowledge that the informal"ny is complete and accurate)that the work will
be in conformance with the ordmances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemvt, but only an applicaflon for a permit, and work is not ro start without a permit; that the work will be in accordance with tbe
appxoved plan in the case of work wluch requires a review and approval of plans.
S?W fr? ?? 0. ?Se,
Applicant's Printed e App icant's Sign re
5??f bl
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot ICnob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
9 1I'1 l. -7 5
New ConsWCtion Reauirements RemadeU2eoair Reauirenents Office Use dnM
3 registered site surveys showing sq. ft of lot, sq. ft of hause; and all rooted areas 2 capies o( plan Cert of Survey Recd
(ZO°k manimum lot coverege allowed) 1 set of Energy Calalatlons for heated additions Tree Pres Plan Reod
2 copies of p{an shcwing heam & window sizes; poured found design, etc 1 site survey for additbns 8 decks _ Tree Pres Not Reqd
7 set of Energy CalcuWfions Adddion - iMicate Bon•site sepfic system _ On-sde Sep6c System
3 copies of Tree Preservation Plan if lot platted aRer 7/i193
Rim Joist Detal OpGOns selecbon sheet (blidjs wAh 3 ar less units
Date _'3 /a2l f / -03
Site Address 9 7,1221,-elt [C{m%/yv ConstrucGon Cost 5W ?(960
zi?-eJ UniUSte ft
2r
Description of Work &" ry LW/G CGI 3TGG? OQ) 'ULa 2W,
Multi-FamilyBldg _ Y ?N Fireplace(s) _ 0 _ 1 _ 2
r?
Property Owner Gr"1 ? ?J , c l?/
!`??i ? `'//
Telephone # ( ? /i ) ???,3- / J` P-?
Contractor ! 'Gi
Address y,QV &U,124(& - Zcc? ,
State m/l( r r?
Zip ? J5 O?/ City
Telephone #(?9) 01KO
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category
(J submission type)
Licensed Plumber
Mechanical Contractor
Sewer/water Contractor
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Pernut and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. h IIAI.CAIL ?¢7 /??? -? / ° °-
Applicant's Printed Name App ' gnature
- Minnesota Rules 7670 Cateeorv 1
. Residentlal Ventilation.Catenorv-l-Workshe9t
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:P•s.N.: 1e-25e01-e40-e1 pppLICANT:
LOT: 4 BLOCK: 1
1397 INTERIACWEN DR 5MITH
FAIRWAY HILLS 2ND (612) 683-9492
PERMIT SUBTYPE: TYPE OF WORK:
sF (mzsc.)
pE5CRIP720N
BUILDING
025611
05/18/95
STANLEY
NEW
COVERED PORCH
.
FRAMING D .
ROUGH IN PIBG ..
OUGH IN HTG FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date issued:
1397 INTERLACHEN DR
LOTe 4 BLOCKc 1
FAIRWAY HII.LS 2ND
P.I.N.: 10-25601-940-01
DESCRIPTION:
? CQVERED PORGH
Boi3ltlin,gPermit 7ype SF (MISC.)
a ui1diY7gAbl8kGx, Type NEW
4$
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BUILOSNG
025611
05/18J95
"w'i"? `
?
€"?'
REMARICS:
SEPARATE PERMIT REQUIREp FqR PLBG OR ELEC
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
PERMIT'
VALUATION
$63.00
$1.75
$64.75
$3,506
CONTRACTOR:
OWNER: _ ppplicant -
SMITH STANLEY
1397 INTERLACNEN pR
EAGAN MN
(612)683-9492
I her-:by acknnwiodge th at` I hiav.e.;r:t ad thfs' appt`ic-atkran a-ad st ate xhrat"tYte .
inPormat'st#n Is cprrec.t arrd ag.reg to cbrtpl}t a6'1 Ph., all 'aPPIlm?blv 9??Z4,;?q?f l?ri?
,
'-? Statutes and, City` of Ea?ga?n Or?dinances.'"
a-
RE? ?-?
APPLICAN EESIGNATURE ISSUED UYISJUNATURE
_ sa. _ ?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered site wrveys ? 2 copiea of plan
? 2 coptes of plens (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 sile surveys (exterior eddNions 8 dedcs)
? 1 energy calwlations ? 7 energy celculations tor Mated atld'Rions
? 3 copies of tree pieeervation plen iF lot platled after 7/1/93
required: _ Yes No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: n/' C
STREET ADDRESS: 13'17 Ipi?eV' Iuo
LOT ? BLOCK _L SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: 5"I6y- Phone#:
iAai iIR6T
Street
?
City: ???? State: IRi'j
Company:
Street Address:
ziP: S S/ z 3
Phone #:
License #-
City: State: Zip•
ARCHI7ECTl Company: Phone #ENGftiEER -?
Name: Registration #•
Street Address,
City: State: Zip:
Sewer 6 water licensed plumber.
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to camply wfth all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICEUSEONLY ?=?L;M VLU c? ?r?r'-D
Certificates of Survey Received YVY 15 1N5 MAY 0 5 1995
Tree Preservation Pian Received ? ??"""
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
0 02 SF Dwelling ? 07 4-plex
0 03 SF Addition ? 08 8-plex
0 04 SF Porch o 09 12-plex
OV, 05 SF Misc. 0 10 = plex
Covs-R-t?s ?eRGN
WORK TYPE
Ga,r--31 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging o
0 12 Multi Repair/Rem. o
0 13 Garage/Accessory o
? 14 Fireplace o
0 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. ?
SAC Code
Census Bidg
Census Unit ?
Engineering Variance
Permit Fee
Surcharge
Plan Review
l_icense
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
Y
Valuation: $ 3S? ^
°k SAC
SAC Units
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TRI-LAND C0.
SURVEY!NG
5ERVICES
CERTIFICATE OF SURVEY FOR :
5ONS CONSTRUCoTION
1875 PLAZA DRIVE
EA6AN, MNNdESOTA 55642
LEGAL DESCRIPTIUN: LOT.._4,7LOCK-L..,FAIRWAY HiLLS 2nd ADDN.
ACCOhtD11UG T0 T'rif RECORDED PLAT
THEREOF DAK014e._ COUNTY,MINNESOTA
O° ?V
,
S 1900
39;6%•.
N e90 0T 4s° E
85.00
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id
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a?DRAE A N i UTILITY??\ I
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i LOT 4
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489°03'46
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17
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E.b1GXP! EN"INEERi •, u Df P";
? 213,24a= SC?ILE= I"a 30'
INTERLACHEN _ p0
vE
---? - - - ---? _
LEGEND ?? ?RoPo3?D <ur?. Bf?--?i-4 c-Alo FLaa?,
INVERT EL.EVATIOId AT SERVICE ExTENSION=
o DENOTES IRON MONUMENT PROPOSED G,IRAGE FLOOR ELEVATION ¦, to2-3 4
o DENOTES W000 MUB SET PROPOSED FIRST FLOOR ELEVATION =/02-3 9
BENOTES EXISTING SPOT PIiOPOSED BASEIAENT 'r'LOOR z i`?
ELE VATION ELE VATI ON
DENOTES PROPUSED SPOT
ELEVATION
? DENOTES CRAINAGE DIRECTION NOTE * VERIf'Y Al : FLOOR MEIGNTS WITH
F?MAL HOUSE PLANS
n
/C Et1 ?5 F D ?1/Z$ /?O ? /?IO ?BD •??E $f}L.K .
I MnDy certify thaf this surwy, plan or
report wos prepond by ms or under my
dirsct aupwvision orid fhaf I em a duly
Reqisterod Land Sarwyor urdda fhe
Lars of tAe Stat• ot Alinncsoya,
e?aai.y J:iSwenson, AAn. RoQ. No. 13233
Dat* * -"/zb/yh
N I
` I .
n• ? ?
?4, i ? 1 a 0
N rl
i9.t• ? 4??a?? f • /',J
I. Z ? ?
aapl ?ox? /;
nuJtd? :. f .
LOT . 5
CITY OF FAGAN
CASHIER: 5 TERMINAL N0: 59
DATE: 05/12/97 TTME: 14s50:43
ID:
NAMEe STANL_EY C SMITH
3210 9001 1397 INTEFiIACHE 50.00
2155 9001 1337 7NTERlACHE 0..°i0
3430 9001 1397 INTERL.ACHE 0.75
4
Tvtal Feceipt Amol.ent: 51.25
CRU i 3ErJ5
USEk ID: NANCY
PERMIT
CITY OF EAGAN
3830 Pi4ot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
E3UILOING
025833
05/12/97
SITE ADDRESS:
1397 INTERLRCMEN OR
LOTe A BLOCK; 1
FAIRWAY HIILS 2NCl
P.I.Nee 10-75601-040-01
DESCRIPTION:
ermit Type DECK
4:r,k TYPe NEW
434 ALT. RESIDEN7IAL
i '
?
w s_,
_
4?'4
eO, g'"?'; 1 ,4 .. ?s) ? ? 's
t
,?,`,? 'sia
REMARKS:
SEPARATF. PERMZT REQW7RE0 FQft PQOL
FEE SUMnfIARY;
Baee Fee
5urcliarge
Subtotial
$50.00 COPIES
$.50 Tota1 Fee
$50.SVJ
$.75
$51.25
CONTRACTOR: OWNER: - Applicant -
. SMITH STANLEY
1397 INTEftLACHEN DR
[A6AN MN
?
(612)683-9492
?`-? ?'?'1?' .
- Z ?'?.?•tht?w'?"'f?
?rrf ormatia??,a.P ?ac?4':r`ecarC? T? a???xtta s'10?F?? ?,1
,x .
?
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d?
C
AP T/PERMITEE SIGNATURE ISSUE? 6Y. SIGNATURE
OFFICE USE ONLY
,
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
* 02 SF Dweliing ? 07 4-plex
0 03 SF Addition o 08 8-plex
? 04 SF Porch o 09 12-plex
? 05 SF Misc. ? 10 = plex
0 11 Apt./Lodging ?
0 12 Multi RepaidRem. o
n 13 Garage/Accessory o
? 14 Fireplace D
)2' 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
WORK TYPE ivo) tN. ?
p,'-'31 New o 33 Alterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Altowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinkiered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. Iq ',? I/
Depth Footprint sq. ft. SAC Code ?
Census Bldg I
Census Unit o
APPROVALS
Planning Building Nag Engineering Variance
?
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies ?
Total:
Valuation: $
% SAC
SAC Units
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) S?• aj
C:z Cf g? cinr oF eaGaN
8830 PILOT KNOB RD - 65122
' • 681-4675 ?
New Construction Reauiremenfs RemodeVReoalr Reaufrcmarft
? 3 registered site surveys • 2 copieg W plan
• 2 coDies of plans (inGude beam & window aizes; poured fid. design; etc.) ? 2 ske aurveye (exterior atlditlons 8 dedcs)
? 7 energy calwlations • t energy ealculations tor heated atlOkions
? 3 copies W tree prexrvation plen H bt platted after 7H/93
required: _ Yes _ No DATE: CONSTRUCTION COST: c)
DESCRIPTION OF WORK:
STREET ADDRESS: J3 57 ?°? ?*r ??+ c• ? Gc Q?r?
LOT ? BLOCK / SUBD./P.I.D. #: Z
PROPERTY Name: Phone CO k 3?91711C C-L'
OWNER
Street Address: 9 7 /*"f A e- ka-? m-t
CitY: State: Zip: -3
CONTRACTOR Company: !!!5-eLY Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction onry):
and lot change are requested once permit is issued.
Penalty applies when address change
I hereby acknowledge that I have read this application and state that the informa6on is correct and agree to wmply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
t - .s
Signature of Applicant:
J
OFFICE USE ONLY gCertificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required
TRl-LAND C0.
- SURVEYING
SERVICES
I879 PLAZA DRIVE
EAGAN, MWNESOTA 55I2.2
CERTIFICATE OF SURVEY FOR-
-S/8
SONS CONSTRUCTION
LEGAL DESCRIPTION: LOT -A,BLOCKI , FAIRWAY HILLS 2nd AQQN.
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
S 4g,js?4'• ??? ? 363
r"\ 9 f6.,? .
41
N89'Q3'46"E \
85.00
n ia?)
F--?
p I ERAIM NTeUTIUTY?\\ e4,`j,?'?(?ipy`,?
I iaWb
? ?y r \
i LO 4
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N :
w /Or^ 7 LOT. 5,
?. ;.....1..... ... ? _ ? ? 3
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?-- ' 4 iot18 ' - W / cw"
z 4 'ol
1 ?ds J
4-' I V. By
LL ^ L __ 1 a _ e-?°??? 4
15 ??GAN gN?`,,INEER G DEPT
'° 89°03'46' E R_213 24 ?
,o - ??1 o S CA L E= I30'
.,
INTERLACHEN D.23
RIVE $
.-?' _ - -- -
LEGEND _? PRor?os8r7 ?e?c?- E?Er'1GVT-??o ?Gu.?a'
INVERT ELEVATION AT SERVICE EXTENSION=
o DEtdOTcB 1R3N i1Ui.t€NT PRCrOSED 'v?,?rAGf FLOOR EtcVATi6N• 1oZ3 4
o DENOTES WOOD HUH SET PROPOSED FIRST FLOOR ELEVATION =/oz3 9
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ° /5
ELEVATION ELEVATION
OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
???sED 6?28/`?0 ? N1o??'cD ??s? SAcK
1 hereCy certify ihaf fhls surwy,plan or
rsporf was prepored by ms or under my
direct supervision and ihol 1 am a duly
o Repi:tered Land Survtyor under the
Law• of the Stote of Minnesota.
Bradley J'i5wenson, Mn. Rep. No. 13235
Date: ?'12 612c,
/
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS QF 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 ?AY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
C;OTE: ADDRESSES FOR CORNERL,OTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILOING PERMIT IS ISSUED.
PROCESSING TIhfE FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
EnL e3 RE=
To Be Used For: It4 ,3 Valuation: j$9•r299- Date: 7-2-90
T
1.397 IiICEx'lackla'1 Dr.
Site Address
Lot 4 Block 1
Parcel/Sub FAIRWAY HILLS 2ND
Oconer ? gli$O4d Sons Const.Co.
Address 1091 TIFFANY DR
City/Zip Code EAGAN MN 55123
Phone 452-4721
Contractor SONS CONSTRUCTION
Address 4600 FAIRWAY HILLS DR
City/Zip Code EAGAN MN 55123
Phone 452-5355
Arch./Engr
BRIAN AUSTING
Address 4600 FAIRWAY HILLS DR
City/Zip Code EAGAN MN 55123
OFFICE USE ONLY
138,00? "'
Occupancy '3 M
Zoning
Actual Const ?
A1lowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV
Booster Pump _
APPROVALS
Planner ?
Council
B1dg. Off. 7ry
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acet. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
Phone -- 452-5355
19
,.
Ga?AC?
gsm-r
32?a? ? gcL?
! 2 ? !S? ?t gp
jo ?7 ? K 14 = J5o6?}.
IST 4?'Oo%L
asmr-
Z
L?q =
la-24.
Za
1 i r?? x51 =?G?a 1y
Z?c ? 3'?, ? g r 6
I z'? 19 %2 : 2 3y
I'/Z ?c i 2 :
..f ?
_---?-'
KSC-? % 585'H?
?
I 3'14 t-I ("
TRI-LAND C0.
SURVEYING
SERVICES
1973 PLA2A DRIVE
EAGAN, MWNESOTA 55122
8
LEGAL DESCRIPTION: LOT-A,BLOCKI,FAIRWAY HILLS 2nd ADDN.
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
?
? ?41 4990
S po45.7s Ig?? 3e30a.
\ \ ?y ?
N 890 03' 46" E \ ? ? l
85.00 ?-
n
r--- ?.
p
co-
L6
LO
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a
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LL n
CERTIFICATE OF SU V OR :
SONS CONSTRUCTION
3,
LOT 4
I oy?
i
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1... :,
+ ?ots8-
i ,.?
i
89_.!
I
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7 L
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0
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? ---F- 3
1 '
, T o ?
l N ?
,
ipAvy t
?a
EAG? E1dGIIdEER?C?, DEPT
\ GALE- I" = 30'
INTERLACHEN DRIVE ?
- ? --? 1 PRor?os?,? Fc??. B?eM.C-•vr-?/o kLarxo?
LEGEND INVERT ELEVATION AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION• 107-3 4
o DENOTES WOOD HUB SET PROPOSED FIltST FLOOR ELEVATION =1o2-3 9
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ' «
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION NOTE' VERIFY ALL FLOOR HEIGHTS WITN
FINAL HOUSE PLANS
lFgv k5F.17 4S O - 1%40J9D ifGtL?+? 23AGK
l hweby certify ihat this survey, plan or
report woa prepared by ms or under my
direct suprviaion ond ihat 1 om a duly Bradley J. renson, Mn. Req. No. 15233
Repisfered Land Surveyor under the
' :-1Z6/
Laws of the State of Minnewta. YC,
Date
LOT. 5
's
1o.3?I ?ol? ? t{
_,_,??
I
EXTERI'OR.ENVELOPE ENBAGY CODS COMPUTATION WOKKSHEBT
'ib Determine Qompllance with the Minnesota Energy Cbde
(Sectlon 502 of the SFate Amerded 1983 Model Enerc,y Cade)
Project Title Z?OtJ5?_ C0115'??"?Go?, -
Site
l. EXPOSED WALL CALCULATiONS
A. Opaque Wall •
l. Masonry/Concrete
a.
b.
C.
2. FOiI[Zdt G11 {Qd CaX
a.
b.
3. Wood Frame
a. insulated Area
b. FLami? Area (Ave. 15% at 16" oc)
c. Fraiuirg Puea (Ave. 10% at 24" oc)
4. Peripheral Floor Edge/Rim Joist
b.
B. G].azing ,
1. WitY3ows
a.
b.
2. Doors
C. Doors
1. Wood
a. Solid
b. With etorm
2. Metal
3. Overhead
4. Other
M
ARFiI 'U" YABJE AIiFA x "U"
x ?
x ?
X ?
(n' I• Z`?- X • O?1 ¦ L?.7 I
Y ?
x , G4 = 4-7. 9
-440 • 1 x . I rl) ?
x =
220 x •_ G? ' b.?
x ?
a?.?n X .? s J?:, . (a;U
d.o x 47 n t R.. ?J
x =
2n x .0(n = 1 Z
X °
x' n
x =
x =
D. z+omar. WALr. APEA, sq. ft ......:............. Z'LIP,
E. TOTAL of ARFA x"U" ................................................... 2-(02 .! G
iL 80UF/CFILING CALCULATiONS
A. Roof/Ceiling Insulated Ared Ica14.(o x • OL i 32-Z
e. Poof/Ceiling Framing (Ave. 158 at 16" oc) x ?
C. Roof/Ceiling Friaaing (Ave. 10$ at 24" x) 1"19 4 x,_,t)2
D. Skylight x o
E. TDTAL AOOE/CEIi+ItG 1,RFA sq. ft .............. 179 4_
F. TO!" aF rPFA xmv .................................................. 3S.87
y
AL BUILDING ENVELOPE REQUIREMENTS
.rpIAL ARFA gBQUJFM nJ¦ ALLOWABLE
(Fmm I.D & I=.E) (From V.)• (Are3 x 'U')
A. FXposed Wa]1: 9 -2 1 ? X . ti I s Z?? d. ?
8. Roof/Ceilirg: 11q4 x OZCo ?
C. 2riPAI. ALIAFg+BLE HUILDIldG FNVE[APE ('DOtal of A& B abave) ... 14-5 . CoZ
IV. ACTUAL $UILDIN(3 ENVSLOPB
ACTUAL ,
(At93 Y *I7')
A. Exposed Wall (Ftan I.E)
B. Roof/Ceiling (Fiom II.F)
C. TOTAL ACl[]AL BUIInING FNVEMPE (Tot81 of A 6 8) ............
*(ft.u wa. r."in..nu Ir ia:s sMa itt.c)
V. BEQIIIRED "U" VALUES
PDOF/CEILING
Detached om ard two family dwellinqs .11 .026
* Multi-Family Pesidential Buildin9s .238 .033
(3 stacies or less in height)
• All Other Oxstruction Zypes (3 stories or less) .238 .06
• All Other Constructirn Types (More than 3 stories) .28. .06
' Based on 8007 heitiny degrea daYS (Npls/St. Yaul)
IWjust 'U• ralws acwrdinyly for other locations
I hereby certify that I have
M.innesota State Enerc? Code.
the above infiormation ard that it ooaplies with L
Z --Z,'4)°
BCS'D 3-89
CC/SA'I/6574
? . ............
CITY OF EAGAN
3830 PIIAT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # S
DATE: 117191
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---------------
---- ------------------------------ ----------°-°--
WORK DESCRIPTION FEES
NEW CONST
ADD ON ?
REPAIR =
OWNER NAME:
SITE ADDRESS:
IAT:4 BL.OCK _L SUBU.
INSTALLER:
ADDRESS
CITY:? ZIP:
PHONE # : 7
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: $?S 0?
STATE SURCHP.RGE: .50
S d
iviAL: $ /S ^
_A%
SI NATURE OF RMI EE
AOL
COMM?RCrIVDiT$1'E1YAU PLEASE COMPLETE THIS PORTION FOR ALL CODII4ERCIAL/INDUSTRIAL BUILDZNGS,
APARTMENT BUILDINGS, AND MIILTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1B OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
0 CITY OF EAGAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651•681-4875
New ConahueMon Reaulremenh •
* 3 reylatered sIfe wrveys ahowlnp sq. M. of lot, aq. fl. of house
and pl rooled areaa (20% mmdmum lof coveraae allowed)
? 2 coplea of plans (show beam 6 wlndow fizes; poured fid dealgn; e1cJ
> 1 sef ol energy calculaMOrn
> 3 cop s ol hee pre rvatlon plan If bf platted alter 7/1/93
DATE: /u 14fA I b ?
DESCRIPfION OF WORK:
SiREET ADDRESS: /
LOT: A- BLOCK: ? SUBD./P.I.D. #:
2 copiea ol plan
1 set ol energy calculallais tor heated adtllMOna
1 Site wnay (or extedor addlHOns 3 decka
COST: c?J?J
PROPERTY tmt Flrst
OWNER ? 30?? ?S???d?Q
Sheet °a??°"'
Cify
?tTyJ Stqte:
?e:9
P,one.: 6S3 ? M z
Zip: rJ-? [ 1
Phone #: C/
(area code)
COMRACTOR SheetAddress: ISjoo ???? GkC License#AYT?•
CNY ? p o?,? if LL£ _ State: n) ZiP:
ARCHITECT/
ENGINEER
Stafe:
Zip:
Sewer/water licensed plumber (H installina sewerhxater): Phone #:
I hereby acknowiedge that I have read this applkation, slate that Ihe infortnafion ts cortecT, and 09ree to comply wHh atl appOcable State
of Minnesota Stalutes and Cify of Eagan Ordinancea
Signaiure of
Certificates of Survey Received _ Yes
Tree Preservation Plan Received - Yes
Telephone M: (
Sheet
OFFICE USE ONLY
_ No No _ Not Required
Name:
iv, AY I I
cxrv ar- EFlrraN
cA<;Hl:l?Ff: .75 iFRMIR!AI_. 1\10: 81.3
IiA'Cc, 02/14/00 'ilME: 10:1028
ILi ,
N'Flh-? ALLSF_U 1=:[ItF_STDE7 TNC.
32i..l 9001 1092 TCNDRr;Fa TF'
205 .`.-GOJ. 032 TCP!DRGGt "tF:
8'c1.0 30474 1397 TtQ7L.ItLC;FiN
21`]5 9001 1397 JN'TEF21_CHP!
1
.A
bp„ou
0.50
61] ,. 00
0.50
'i'oial Ii"Y_f](?1.p1, Fliriburii;- 121.00
CR 12^:i41
1.15["Vi TI?: J69N
W?k%S?MBt?,'?, 3?:{t;X7k7?(,X?X?Y,i7??#:%F'M7?+M?F`X?k>RdY'?'M>XYF?%?S#'M7kYF%f
b.S-0
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681 •4675
Date:???/??
Description of Work: ? Construct new 5replace x Gas Masonry _ Alterations to existing
Install rac i»sert onlv Install pas line oxlv
Other
Jo6address: 2 I1,? er /Q'C`7C'!?1 V?'l,(ZL
Lot: L?_ Block: ? Subdivision/P.I.D. #: V- C7" ? Y W Ci
Applicant (circle one only): Owner Fn7r) Perneit Fee: $60.50
?
PROPERTY
OWNER
Name: -SmI tIZ - Phone
Last F
sveec
Ay'ii
City ^ State: Zip:
ComPanY. E) v' CI( 1/?(?Y/??P!'1PBS?Phone#: ?ah'u?6Q D25
e
(area code)
FIREPLACE
INSTALLER Stree[
Cit3' 15 f A ro () 1 // - State: //fjfl/, Zip: 5?Lj 3
GAS LINE
INSTALLER Street
City
?
State: Zip:
I hereby acknowledge that I have read tlus application and state that the information is correct and agree to
comply with all applicable State of Mianesota Statutes ity of Ordinances. ,
l 4?4
sign
Phone !i•
(area code)
F3 I i '
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1397 Interlachen Dr
Lot: 4 Block: 1 Addition: Fairway Hills 2nd
PID:10- 25601- 040 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Cindy Lilienthal 2 1210 Eaton Ave Farmington, mn 55024 651- 344 -4253 cilienthal@controlledai r.net
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$50.00
$50.50
Owner:
Stanley C Smith
1397 Interlachen Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
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
Mechanical
EA076536
01/29/2007
ePermit