2063 Kings Rd, ?. CASH RECEIPT ?
CITY OF EAGAN
. P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
Recciveo ?
FROM J
AMOUNT
& DOLLAR$
too
? CASH ? GHECK
FOR
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
CITY OF EAGAN Remarks
Addition VF.TNNA WOOT)S Lot ?-Q Bik 4 Parcel 10 81950 100 04
Owner Street 2063 Kings Road state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. C mp. 2814.45 283,45 IO
STREET RESTOR.
GRADING
587
73
58
77 Z93,
: :
SAN SEW TRUNK 9 1973 129.78 8.65 15 1 7 23
* SEWER LATERAL I J(A ,?
*
WATERMAIN
* WATER LATERAL
* WATER AREA
* STORM SEW TRK 1981
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 2 19-7-84
WATER CONN. 470.00 " "
BUILDING PER. n rr
sac 525.00
PARK
INSPECTION REC4RD
,.,?Y OF EAGAN PERMiT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
? (651) 681-4675
SITE ADDRESS: `
Ir Or+;: I
PERMIT SUBTYPE:
10 ?+I9+>0 t 0 0 .414
iti ? 10 111 40rr. _
u
APPLICANT:
rr •?? ? i?AN>> ?
TYPE OF WORK:
k F P A r Ir
I[l. 4 k i {(il
INSPECTION D• D'
F
531? ?
L
Permit Molder Date Tefephone /
SEWEW
WATER
PLUM811VG
HVAC
Inspeetion Date Insp. Comments
FqOTINGS
FOUND
FRAMING
RZ70FING
Q? vti4.Q? /YLf:'?
ROUGH
PLUMBlNG
PIBG
AIR TEST
RpUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FtREPtACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT A.I.
BSMT FINAL
DECK FfG
DECfC FiNAL
??
? CASH RECEIPT ?
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE
7
19
REC EI V CD . PROM
AMOUNT $ I
& DOLLARS
?oo
? CASH ? CHECK
FOR
FUND CODE AMDUNT
Than ou
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
, 3830 Pilot Knob Rosd, P.O. Box 21-199, Eapn, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # La , V V ;
.`'?`' ')',4(?/GAR $90,000 DFCEMBEP. 7 Fi4
Te be w"d fer , Est. Value Date 19
Site Add 2063 KINGS RD Erect [f Occupancy R3
rs? VIENNA OODS
Lot Block seclSub, Remodel ? 2oning
Parcel No. Repair ? Type of Const. v
Enlarge ? No. Storiet
of JALE .7UDKINS Move ? Length
Z Name Demolish ? Depth --5-U-
? Address
338-2900
Grade ?
Sq, Ft.
City Phone
SAI-I E Approvols Fees
?
Name
ot A?? Asseument Permit ? `
u? City Phone Woter & Sew. Surchorps 4 5• 4
Police Plan check 201 . ?
?W Name Firo SAC 525.(
_(9 Address Enp. Water Conn. 470.(
? W City Phone Plonnsr Wote? Meter 6 3. Q
Counti)
?
Rood Unit 260,
I hereby acknowiedpe that I haw road this opplication and store tlwt Bldg. Off. 12/8/84 Parks
tha informotion Is correct ogree to comply with oll applicoble APC Total ? 96 ' 0
State of Minnesoto Stctu s ond ?ity,cjf?gan qr inonces. , Var. Date
Sipnotum of Pertnittee ?
A Building Partnit is issued to: DAL JUDKINS «, Mx express corxlition that
oll work sholl be done in ctoordonce with oll opplicoble State of Minnesota Statutes ond Cify of Eapen Ordincnces.
Buildlnq OffiNal
Pwmft No. Pwmit Holder Date
Plumbinp 1 (A 1`- 1-V 1 _- 3 ?
H.vA.c. q u a Ic'; y g a,,
Elsctric ??RD? 1?C? ?a31?b5 40. aD
Softanar
Impaction Date Insp. Other
Footinys
Foundation ? f
Framinp
Rouph Plbp.
Rouyh HVAC 14?'
Inwiation ?
Final Plbp.
Final HVAC
Finsl
CeNOcc.
Water ?ibe Loution:
YYell
Sewer
Pr. Disp.
PLUMBING PERMIT Permit No.
Reoeipt
CITY OF EAGAN - ?
Fes
Fill rn numbered spaces S/C
Type or Print /egibly Tot. ! I
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract '
4. Owner • ` ? • ?
5. Contractor : Phone V• .
6. Address ?
7. City State Zip
8. Building Type: Residential E3 Commercial ? Institutional O
9. Work Description: New El Add ? Alter ? Repair ?
1 10. Describe
I 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
r Bath tubs $eptic Tank
Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other
7 Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby Certify that the above information is true and correct, and I agree to
Comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is Your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Cities Di ital Quality Contro
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Fill in number+ed spaces
Type or Print lepiblY
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract ?
4. Owner ?
5. Contractor Phone ?
8. Address
7. City State 2ip
8. Buiiding Type: Residential 0
9. Work Descxiption: New O
Commercial O Institutional 13
Add 0 Alter 0 Rapair ?
1 10. Describe Fuel Type
1 11.
No• EquipmBpi BTU - M. Ea.
Foroed Air No. Eauiument CFM
Air H
:
ndli
Mfy. ng
a
Boilers
Mfy, Mech. Exhaust
?
Unit Heater '
Mf9• Other
Air Cond.
AAfg.
Gas. Pipiny Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oompiy with ail ordinances and codes goveming this tYpe of work.
Signed : for
Rouph Finsl
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8700
Permit No.
Fes
S/C
Tot.
TY OF EAGAN SEWER SERVICE PERNIIT
?30 Pilot Knob Roed
C•. Box 21199 PERMIT NO.:
igan, MPI 55121 D^TE-
7.111 No. of Unin: 1
minp:
,,r1ef. '?ale Judkii:s
/lddress:
'I ???? Weierke Trench & ?acc
; 12-7-84 48161 425.00 pd
; I .9ne te aomplp wilh d» CIFr ef g.s.n Connectlon Choroe: 15.00 pd
Aooount Daposit:
pwmit F«: 10.00 pd _
e:
Surcha . Sd pd
I ro
By Misc. Cho?qss: '
' Date of Insp.: Tofai:
f• ??.; Dotr Paid:
?
! CITY OF EAGAN WATER SERVICE PERIWT
3830 Pilot Knob Road PERMIT NO.:
P. O. Bqx-21-799 -
Eagan, MN 55121 DATE:
?ing: No. of Units:
?`a -? Tud-_{.--s
Owner:
??. 2.063 };in?3 roa L P B Vienaa W?oo?Is
Pumber '. r1er?: ? Trenct? ? L'xc nn pd
ster No.: Con nectlon Chorge: r<
ze: ?`°°°?xrt D°posit'
? eodtr No.: Partnit Fea: prr h aowOlfwil6 !Iw Cihr of ?o Surcharye: zLer
?? Miac. Choroes:
Total:
y pote Paid:
ote ot Insp.: I^sp"
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. U. Box 21199 PERMIT NO.:
,'Eagan. MN 55121 OATE:
No. of Unlts:
, Zonlnp: i
Owner: . ?'• 1 e ., _
?y??. • s i`n. d'b:'e .
..- 3? L ao__ --
Meter o.: ?;,?+«, o,a.?: 470.00 pd
5i2Q: I ? 0 . r
? /?4?a A /DEpOSif:
?Ofi??i???
_l . _ _ ,?
?
: d 9 L- -"o F Sa
t?a.. Na Pem+it Fee:
,
11 ?
? M!M 1'O 00"Vol !?N `r? Of b?¦ SUfCf10/g!: n
:? 3.? ? p? r'e t e
Ordhwoo?s. Mtsc. Choroes:
Totai:
g a? Dota Paid:
y
Dete of Insp.:
.3 6 b5 InsP.:
o• *
403• 00 +
45•00+
201•50+
525 • 00 +
470 • 00 +
63•00+
60•00+
200 • 00 +
1y967•50*
. W . ?$
? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE Q SETS OF PLANS,
CERTIFICATES OF SURVEY
Q SET OF ENERGY CALCULATIONS
To Be Used For: 4.2,F.j)W(a. /L311a4--, Valuation: 90000. Date:
site Address: ?6(p,? Kir?c?y (Zp. Y A• io
k
Lot: 10 Block: 4 Sect/Sub:VIENNA WraDS Erect: < Occupancy: iz-3
Parcel #:
owner:
Address
City/Zip Code:
Phone # = 336 -29CX7
Contractar: e
Address:
City/Zip Code:
Phone #:
Arch.jEng:
Address:
City/Zip Code:
Phone#:
Remodel: 2oning: Q-I
Repair: Type Of Const: ST:
Enlarge: # Stories:
Move: Length: 1512
Demolish: Depth:
Grade: Sq,,Ft..
AYYRC
Assessmenta:
Water/Sewer:
Police:
Fire:
Engr.:
Planner:
Council:
Bldg. Off.:
APC:
Variance:
Permit:
Surcharge: 451=
Plan Rev.: 2-0 ( .1?
SAC : 525 . °-`
Water Conn: ¢7O.°=
Water Meter (03 °°
Road Unit: 2l00.°_"
:-,a.VACY Parks:
warom 4 967. s o
2?x q2 = lI-1C,o x 54 =?3504-
32x'22° ?a4-x
CITY OF EAGAN M 97"1'4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55 121
' PHONE: 454-8100
BUILDING PERMIT Receipt ?F
Te M wed Por SF DWG/GAR Est. Value $90,000 Date DECEMBER 7
84
19
2063 KINGS RD ,.y R3
SlteAddress Erect Occupancy
Lot 10 Block 4 cec/Sub. VIENNA WOODS Ftemadel ? 2oning ------ -- R_I_
Parcel No. Repair ? Type of Const. " V
Enlarge ? No. Stories
W N,,, DALE J UDKINS Move ? Lenyth 52 -
I
; Address Demolish ? Depth
b
City
Phone 338-2900 Grede ?
Sq. Ft.
g I Name SAME
u? Addres5
1- C.itv
Name
City
Phone
App.orals Fees
Assessment Permit • 0
Water 8 Sew. Surcharge 45.00
Police Plan check 201.50
Fire SAC 525.00
Erp. Water Conn. 4 7 0• 0 0
Plonner WaterMeter6.3.00
Council Rood Unit 260_ n o
1 hereby acknowledge that I hove read this apDlication and state that gldg. Off. IZ $$4 Parks
fhe intormafion iscarrect/mkd agree to wmply wifh all opplicable APC Total$1,9b TSO
State of Minnesom Storu(ey pnd ity f gon r i.
?? ? Vac Dete
Sipnoture of Permittee IV A Building Permlf is issued to: DAL JUDKINS on the express condiHon thot
nll work shall be dorre in accordance wi alE o licablo,$torot6f"FtihnewJo Statutes ond City of EoOan Ordinoncas.
8uildlnp Officiol
REQUEST FOR ELECTRICAL INSPECTION jf% ee-ooooi-o+
V:
' See instructions tor complet,pg this torm on back of Yellow eopy.
A09 69 0 9 0 4 X" Below Work Covered by 7his Hequest 5 b
Atltl ReD. TVPe ot 8mltling APPlmnces Wired Equioment Wired
Homa Range Temporary Service
Duplex Water Heater Lightin, Pixtures
Apt. OuilAmg Dryer Electnc HeaLn
Commercial Bldg. Furnace Silo Unloader
Industnal Bldg. Air Conclitioner Bulk Milk Tenk
Parm Other peci y cher ISUer.ifyl
t er yccify ther Othnr
Compute lnspec[ron Fee Be/ow
p Fae ServiceEntmneaSize q Fee Fanders/5ub(eeders H Fee Grcurts
0 to200Am s 0 to30Am s 0 to30Am s
Above 200 qm py 31 to 100 qmps 37 to 100 Amps
Swimming Pool Above 100-Amps Above 700_Am s
Transiormers Irrigation Booms Partial-'Other Fee
Signs Speciai Inspecvon
5 OTAL ?' -
EE
erks
Hem /Q ?
'rz
//
... .
flouBh-in Date 1. t -Eiectr
'
Inspector, t,efhreby
certify thae above
fmal ?f? e y ' specpon has been
/? de.
rnia request void 18 montha irom
Thisrequeslvoid Iln?Co YJ?7??j5
iBmonMslmm ??(?(
A. 19 9 6 9 0 4 o?-u-
flequest Date
.?` :,g54 Fire No. Fnuph-? Inspe ion
H9
es No
?Heatly Nnw Will Noufy Insoec-
?o? hYhen Ready
Qorre'ensed ElectnFal ConVactor R
I hereby request inspection of abova
? Owner elactncal work installed et
SVeet Address, Boe or flrorute No.
! 1 \ •
?L City 7
• 1/".
ecUOn o. Township Name or o. HanAe o. C unty
1
O ?cuOantlPqlNT) ` Phone No.
Power Supplier
k
r4 Q Adtlress
J
e?
?
.t
E) ? e . -/
lec[ncal Convactor ompany Namel Contrecto s License No.
Maihng Address I onVactor o Owner Makinp Inslaila[ion
? 19'at r
55-/ Z
Authonze ignature IConvactor/Ow mg InstallaUoN Phone Number
MINNESOTA STqTE BOAND OfflfLECTPICITY TMIS INSPECTION flEQl1EST WILL NOT
GriB9e-Mitlwey Bldg. - Room N-191 BE ACCEPTED BY THE STqTE BOAPD
7827 Vniveraity Ave., St. Paul, MN 55104 UNLESS PNOPER INSPECTION FEE IS
PM.o 16121 297_2111 ENCL03ED.
CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE:
B Permit Number: IJ 7 L Cl I N G
Eagan, Minnesota 55122-1897 034003
(651) 681-4675 Date Issued: 11117 /98
SITE ADDRESS:
2063 KzNGs iRo
I-or: 10 eLnck: 4
VIEIVNA WClUDS
P . I . N . : 10-81 95+D-1+D0-04
DESCRIPTION:
?. T.O. & HEROOF
Building -pPrmiC Type
?u3,lding W9rkl Tyrae
Census Code ?,. 434
J
r7. /
STORM f]AMAGE
F;EPAIR
ALT. RESTDENTIAL
r
.
e!' _
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Apo.t.i.can+: -- OWNER:
L.70RKSTRAND CQ., SNC. 14520769 WQOIJRUF BILL
4116 DIRMQND DR 2063 K'INGS ftD
EAGAN h1N 55122 LNGAN MN 56122
(661) 452-0769 (6h1)454-8626
I
I hereby aeknowiedge that S have read this appZieati,on and state that the
infnrmaT.ioii is correct ancJ agree to comply with all appJ.ic3ble State og Mn.
Statutes and Czty of Eagan Ordinanees.
APPLICANT/PERMITEE 51(iNATURE
IS D BY: SIGNATU1f E
?
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACiAN
3830 PII.OT KNOB RD - 55122
?? U U 3 e81-4e75 New ConstruUion Reauirements RemodellReoair Reauirements
? 3 rcgiatered s@e surveys ? 2 mpies oi plan
? 2 copies of plans (inGude beam 6 window sizes; poured fitl. design; etc.) ? 2 site surveys (extenor addkions 8 decks)
? 1 energy calculations ? 1 energy calculations for heated a0d'rtions
• 3 copies M tree Dreservation plan if bt platted aRer 7/1193
required: _Yes _ No
DATE: e 94 CONSTRUCTION COST;
DESCRIPTION OF WORK:
STREET ADDRESS: -?
R6 !JF
?
LOT: ? BLOCK: 1 SUBD./P.I.D. #:
Nacne: M04RU Or. 8/Lz Phone 76-
/
PROPERTY tasc Fim
OWNER ?? / ,
Sueet Address: ??% /l?d_ C af}; App
City 'b: State: Zip:
Company: ??1? oJ / C?'?/1 Phone #:
CONTRACTOR
Street Address: VAJ -bd2 i yr License #
City pti State: M Zip:
ARCHI7'ECT/
ENGINEER Company: Phooe #:
Name: Registration
.iucci AdcacSS:
City State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appiiption and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
I
OFFICE USE ONLY ?I V
? Certificates of Surve y Received _ Yes _ No ?
Tree Preservation Plan Received _ Yes ,_ No _ Not R4red
.._ ._,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
O 03 SF Addition ? 08 S-plex
? 04 SF Porch ? 09 12-piex
? 05 SF Misc. ? 10 = plex
WORK TYPE
7 31 New ? 33 Aiterations
C' 32 Addition ? 34 Repair
GENERAL iPJFORMA710N
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of Stories
I.ength
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Muiti Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 38 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Pubiic Facility
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq, ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Permit Fee
Surcharge
Plan Review
LAicense %/I 1^IU L/'^1C
City SAC
Water Conn.
Water Meter
Acct. Deposit
SM/ Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
Valuation: $
% SAC
SAC Units
Certificate for: Bk: 78/53
t ` llale Judkins
. 14755 r"ameo Lane
Rosemount, M1v` 55n68
DELMAR H. SCHWANZ o`
L4ND NRVEYOHS INC
MinnP501A
RPqiS?PrPt1 llntlPe LTwS M TIK 5IP1P 0
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNlSOTA 55068 PHONE 872 1251789
? SURVEYOR'S CERTIFICATE
Scale:
9?/ s
>
J?
I ? r 'I
I ? ? Y ? a ?e,yF
:
Drainage and
tility Easem
? a
ZS
?
9v3?y
1 inch a 30 fee
o Denotes iron monument
? DePws set wood hub
r9',913
-h r ?
Ni ?? 939 ?93
- ' ?
q3? 3 ? o
I ? a
? V I ° ? ,?,?.(5R?•?"?EK?
? ELF .? H40,5'
/D'
? 37.Z9 ?WY/.S
3 Y/ foPllul3 B faYCuR
9yz. ? 9Y/. i
1111.8 Denotes exiating elevation
L-lCq) notes proposed elevation (per development plan)
C hereby certify his is a true and correct representation
of Lot 1?1, Block 4, VIENNA WOQDS, according to the recorded platq
thereof, Dakota County, Minnesota.-
Also showing the location of a propoaed house as staked thereon.
Dated: November 28, 1984
7'eviaed: December 10, 1984
t , r
% . ; E. ? ,`) ???/??????1'I?1
MINNESOTA REGISTRATION NO. 8625 X
(/
I
ly
?-
-?
??•r.? .? 3 3?- ?3:.9 0 0 (cv ? ? ??3 ? ?? 9 ?/?'""'?
??--
- kt n) 5.9-0 60
Certificate for: Bk: 78/53
Dale Judkins
DELMAR H. SCHWANZ
lANO WAYfYpqS INC
P>a,sIr,ra unOw Lar! Of iM SbN eM MmnnMn
14750 SOUTH R08ERT TRAII ROSEMOUNT. MiMNE80TA 5306! PMONE 614 423-1789
SURYEVOR'S CEN71F1GATE
/
/
93y,
? i ? 936. I
? px
Zti,,/Drainage HoL
and
lity Easement r y ,
i. _
9v3'?
Scale: 1 1nc/'a 30 feet
o Denotea iron monument
/
o D?ep?es eet wood hub
=--. q39 ti3
q39.0 r40y ?
q o
0
?poee'd
e S 1 ? ?z 93S•3 °^ a
?. t
` ?a 9Y2 8ar ' ?
---?- 1
? ?' E« .a 94o.s
iss 5'/ ron(u 9y1.8 bPC?.R
k? 9Y/.z
0112.
B Denates existing e
L_ a Denotes proposed elev tion (per development plan)
T hereby certify that this ia a true and c rect repreeentation
of I,ot 11), STock 4, VIEt3NA WOODS, accordi to the becorded plat
thereof, Dakota County, Minneaota.
QJNER MOWNCv FEz1.? ? THiS GOf-kee
W(LL 6E S' (-(1o61 F,I2P€pny (-[KE
Also showing the location of a proposed house as staked thereon.
Dated; November 28, 1984
?
MINNESOiA RE6ISTRATION MO 8625
Z'))
I f ?
1 ?;"? ??
, . 1{1;'1'ERIUR F:NVG7.OPE AVERA(;G °LI" C(1M1'U7'A'fION
ner------ -----? ?? Address_------- Phone
??1?_--- - - - '_
,gal Description oF Property: Lut Alock
te Address
nate
AVERACE LiNEAL FEET OF
EXPOSF.D WAI.L AREA ABOVE f:itADE
3in 1eve1 n \' ??t??00
Lineal Yt. of framed wall. above grade !L-j? x height of wall _y??
im joist area ? _
Lineal ft, of rim x height of rim ??r?
;,4;ET 12V21. p - ,?OGl??
I.ineal ft. of framed wall above grade 4Q x height of wall?
Lineel ft. of masonry wall above grade?? x height above grade = ????
TOTAL wall area above grade including windows and doors
1til)Ok'S: Area x"U" value °U„ - (U)(A)
ake & type :7, _s4• f[- X
sq 'l. _ (U)(A)
_. fC.` x U'
x 'lUll - (L>) (A)
sq. ft. - (U) (A)
'C ? X
sq. ft. (A)
0W2Z C7C7 sq. ft. G5. ?L )
x 'lL„ (U) (A)
?10 1??r4 _sq. ft. .
. s q. ft. : X VlUI?-?--_ (tlU)(AA)
u u ?s ft. en?g nUn ice
y•? ? sq. ft. ?? X ???u?-= (U) (A)
X .. U.. _ (L) (A)
sq. ft.
' 146 d? ?(U) ?A)
??- Q . (u)(A)
sq. f[. .? ? x U"
..U-l _ (u)(n)
sq. ft. X
x "U" (U)(A)
? sq. ft. "U" (L')(A)
x _
It _sq. ft. - (D) (A)
x "U" _
?? - - ^sq. ft. X ItUll _ (C') (A)
„ -- sq. ft.
? sq. ft._ X
DOORS: Area x "U" value ?U??p?
?take & type sq. ft. X,U
sq. ft. x U.194? (i])(E+)
s ft. O `% ? U??• =O? (U) (A)
?,? fG!s {?. _sq. ft. •.+[?O (L) (A)
-j----
. ??
.L3s -2?
OYAOUE WALi. CONSTRUCTTON; Area x"U" value sq. ft. X?ltll _ (t,) (A)
s ft.x nU" ? _ (U) (A) ??tq• X 'lUll ; (U)(A).
iletail refertq. ft. (C (Al
A
ence from f[. UI C)A )
wo::;
x U •
attached sq. ft.J6Q: ? ? ? ? ?
Ifull (T?) (A)
sheets - + sq. ft. ,
sq. ft. ^ (U)(A)
? .??`? ?r,?-?n
1'OTAL Wall Area Inc]udin2
Windows & Doors 2,4440.0 TOTAL (U) (A) ?R24n?,b
?n • , - ?' •??5? .? -
roTnL (o) (n) va.wes AVG. "ti
y?0
UIVIDED EY 7'0'PAL WALL AREA
AVERAGE "I;" Minimum 40V or less for 1 6 2 family dwelli.ngs
Minimum .22 or less for all other buildings
NOTE: ]f averaRe "4" valUes as calculated above do not meet the Energv Code reauirements, the
"Alc•rnate Envelope Design" as indicated on Page'S may be used.
Addition
.. 'I'op View
WALL :,ECrI0N5
NUTE: uae 1056 ' G. opaque
w<11 area
fur frami
m??mbers
r
FF2AMING MEMBERS IN WALLS
R-Value
_Exterior air_film_--•--__- _.---__- --_-- .17_-----
NSiding -,.€1, 4? (
Sheathing
? 11
soft vood
'-g" dr.y wall
Interior air film
-----?_'-'-
.45
68
TOTAL R = ?O
U = 1/R
FRAMED WALL
Exterior air film
U = I 8 94
Siding '7?j L_??
Sheathing 1? L,?
*9? batt insulation
Z.O (o
k9,40
k" drv wall .45
Interioz air film '68
TOTAT R = 2-7
U = 1/R U = ,C5?
_ RIhI_JOIST AREk_
Exterior air film .1?
Siding
J
Sheathing ?•L??'-----
?
1.88
'?" soft wood _
?1 ?
4 ?
?
1?•?'?
Inssll atio ?
n
:: -
?
.68
Interior air fi m --
TOTAL 1i
U= 1/R U= •O?
MASONRY WALL_
Exterior air film •17 - -
12" concrete 6locic `?-
Insulation
Interior air film __..____•68
U = 1/R
_ TOTAL R = AP/,.
'S.?
U
.Al _
Inaulation???1 Ab,rCc?)
111" Drywall .45
InterioY air film .61
TOTAL R = -7 _
l-
U = 1/R , U
A%7
4 7-0
Outside air film _ ?.61_ Insulation
Dz'ywall .45 ?.._
j?
Interior air film .61
` - ------- -- --- __
TOTAL_R Z-
U = 1/R U
Outside air fiZm
.17
t -
Evi 1 r iip rnnfiqv_--- ---- --133 -_--' -
Inaulation
Wood decking
Interior air film .61
i?`•
TOTAL R =
U = 1/R U = --• -
:OOF/CEILING:
'OTAL AREA: sQ, ft.
)etail reference x sq. ft: _ (U)(A}
'rom above, sq. ft.?a (L)(A)
)escribe openings x sq. ft. --s?-? (U)(A)
in roof x sq. fc.?- (u)(fA)
A)
x sq. ft. rr
"Ulf x sq. ft. _ (C.) (A)
nU.4 x sq. ft. _ (U) (A)
TOTALS ?.3•?'r sq. ft. 24??2Tl (U) (A)
'OTAL (U) (A) VALUES
AVG. "U"
iIVIDED BY TOTAL P.OOF/ ? .?
:CILINC AREA
XERAGE "L^ .05 for ventilated raofs
.10 for all other construction
JO'fE: If averap,e °:"' values as calculated above do not meet the Engetgy Code requirements, the
"Altcrnate F.nvelope Design" as indicated on Yage 5 may be used.
ROOF CFILINr
------J
..?T ""CrvsSt?
Outside air film
??'-- -
(3)
I
Z?84
` CZTY Or EAGAN
AP°_T.ICATIO'Li FOR PERb1IT
• -' SE:JER 3ND/OR LvATER CO:QNECTIOJT
(Pl£ASE PRINT)
1) P.R,'`PF_T2TY ADDRESS: CS(:
3 p
-
i1/
7.F!':,i, oEScR171r,cN: Aa T lCy - 13 L. c c, et Y ? • ? - - r - - ? ??-?J
? (IAt/B1ock/Suhr.ivis:-cn or Ta.Y ?arcel :.D. Vt=her)
I Tr Sm?_r,??',:;,
? DATE C_° On?Gy'-,:\;.. ?iiI`...^P.:? -_-?i? _ -•-''.=.
? _.,..... y. .
PpEcL°=
? R-? ZUPLE:: (7:'0 L-,.T?..c%
1.,.,
13 i2-3 TCr,,??(vrcr ('?"= - iz1Z^•S) ? 5)
? ,'.} ? -'•:•`?`T/C?..:;Ci.1r; ?-.1 ( L':?ZT51
? CCi.?L?,?C???,/RF.^_'?L?Cc"?!?,'
Q ??LCSI?? S,
? I?:STI^,I.TSC?:AI.iC-G??'r.=P
2) APPT?C -=
ADL'.4ES5:
Cln, , =11TE1 ZIP: -
PHOM:
.zy
3) PLL?,..E3 ?NL?dJE ?'NlNi)
POR CITY JSE ONIY
?'`:
ADDi2E5S:
_ X/e' PLO!!BERS LICENSE:
[7'-, Active
CZTY, STATE, ZIP; Expired
PHONE;
PLU,MBER LILENSE # Nat of Record
arr nitta
4) (X,'C'u'P11IvT/C!-ZL?III2 (rLcnat Nniti11
NAME : 11 p A- l,r' S
ADnREss:
CPI"L, STA2E, ZIP:
PHONE:
5) INDZG'1TE :dHICH PEF4%tIT SS BEZ`G RfX<UESTED:
V0,( To CITY SE.T^iER
:1[JE7:ICN 'IO CITY SVATE.'2
? Cl"iIER (PI.G,SE DFSC2IBE)
b) LLv`OiG;i-? C:ZE:
011,?PL--ISE F?OID ,aPPRpVEa PERMIT tYJR PIC:?-liP BY ONE OF AB('NE
? PILASE :•*.7'JL APPROVID PEP.•lIT T'J 1, 2. 3, 4 AE(7VE
(Circle one)
?
7) SIC?TL'RE: --J.?!/Zl e? oATE: /a - la --
„
so R a-lPIMPe..a i+w a lagxa aK s'+teusa?+y ? o s ss?a:? a ?t ! atae:+.el1?? ?1 s fs s as ??y
F 0 R
prA^^.IT '-` ISSiJED
?
C I T Y U S E O N L Y
FEES : $ e
$ a..9'd
$
$
S
$ ..rl 7 d . ex-d
$
$
S
$
$
$ '
S?':'ic.°, nE?2MT'y^ (I?iCL-=-Z SURC :?RGE)
W?.TE2 PERftT_T (IVCLiiDE ."-.iiRCHARGL)
WATER METER/COPPERHOR(V/OUTSIDE READER
WATER TAP (INCLCDE CORPORATION STCP)
S?;JER TAP
ACCOUNT DvPOSIT - P7A7E3
WAC
SP,C
TF2tiVK WAT°R A55--55:?E.:T
TFG.I?C S';dER >SSESS:d°?iT
LATER"-,L HEivEFIT/TRU.IK SE;'.ER
LtiTERrIL BENEFIT/TRUtiiC WAT°R
OTHER
$ TOTAL
$ AMOUNT PAID/RECEI?T 7
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN n"PERMIT FOR :90RK WITHIN
? PUELIC ROADWAY" MUST BE ISSUED BY TEE
NO ENGZNEERING DIVISION, LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLQ:4ING CQNDITIQNS:
APPROVED BY:
TI.LE:
DATz': /PZ
MIN 401MOkAW w m? !fn Rm ! IFM WJm1! m/! wJf Wfn ,L4wR?/ /! Wiq W1m R40 MM 1! Wig Wi RWMWJW W
a
?/ 0 , d yJ
YAZ.? 'w "
RECORD OF COMPLAINT
Date a 'z? ?/
Complaint taken by Ua /e
Type of building - S?D
Name ???/ b-)o "Ot ,.
Address
Legal description
Phone number //)-- ?Ly- cF62c cv/c ?S?l - 3 5122
Comp]aint
Actiontaken /-- w?'nt to 1;4P l,, vse aH/ 4 e ?leG?t;?hs.
f
?
Comments -l/ ta lkeX fn
H2 fl P f-a lk4,-?7 7,O Tp)n CrJaA tF cAvi Wer
Signature
BUILDING COMPLAINT GUIDELINES
• When a complaint is received, get the address, name, phone number, and a general idea
of what the problem is.
• Always have two City employees present to (1) verify the conversations, (2) offer
additional opinions, and (3) lend credbility.
• Get 'both sides" of the story if there is a conflict.
• Ask other inspectors and City empioyees if they are familiar with the address or the
problem.
• Contact other agencies or departments (ie. Dakota County Human Services, 431-2424;
police department; fire department), if necessary.
• Provide hand-out materials if they are available.
• h4aintain a record of inspections and conversations on a City complaint form.
