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2067 Kings RdCITY OF EAGAN Remarks .Addation VIENNA WOOD S Lot 12 Blk 4 F Owner?!J??tri"?a•`.?o;'Y?(i;] ih Ctahti1 gtreet 20 67 Kina s Road 5tate E Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 111j). 2701.40 270.14 1 2431.26 A010200 5-21-81 STREET RESTOR. GRADING 981 587 55 77 101 $38•00 CQQ551$ 8/19/80 i,73 - SAN SEW TRUNK 1973 129. 7$ $.65 15 ?(? c EWER LATEFiAL 4232.34 C006687 8 I9 8d * WATERMAIN * WATER LATERAL IQRI * WA7ER AREA * STORM 5EW TRK * STOFiM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 17146 3/11180 WATER COIVN. 305.00 it if BUILDING PER. 13636 SAC PAR K ,,t ?' ??f'?;t./..?i?zcio-!c.. ? ? ' ??? 4 G,7'?/?ii?????!? ?' = - . ,- ? ? t? P </?!7, ?? .so. .?. ? 7 ??' ??? ?- ?L?. ?.Ss . ?9 ities Di ital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ? CASH RECEIPT ? CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIYED FROM AMOUNT $ I DOLLAR4 +oo [-] CASH E) CHECK Poa ?12 / Vl F_ f,?ll ? YVhite-Payen Copy Yellow-Posting Gopy Pink-File Copy Thank You " ? B v CITY OF EAGAN ?r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1'? ? 9053 PHONE: 454-8100 BUILDING PERMIT Receipt 3 SEASON PORCH 000. 84 Site Address 2067 RINGS ROAD Erect 0 Octuponcy R-Z c.? . VIF'P;A iA'0 Lot 1;' Block 4 /Sub 0'JS Alter ? Zoniny R-I Parcel No. 10-81950-120-94 Repotr ? Fire Zone °TA E t I T n n arpe ype of Const. oe Neme aOBERT NEWfOP' Move p # Stories ; Address 2 1?7 T'z"'CS ROAD pemolish ? Len th g b City TAi:;i. phone 454-2174 GroAe [-] Depth So. Ft. TILLGES CQ?15TRi1C'xION C0. '" ''_?' -c o?o INm, qddress 27936 ftOLYOKE AVE Assessment _ 11 City I.AKEVILI.kone 469-2144 Woter 8 Sew. Neme _ Address City - Police Fire En0• Planner Council Permit Surcharpe - Plon check _ SAC Water Conn. Water Meter Road Unit _ I hereby ocknowledge that I have read this applicotion and stote that BId9. Off. fhe informotion is correct ond ogree to wmply wit oll oppliceble ?, 5.50 State of Minnesofe Stotutes/nnd City of Eogon 0 dinonces. APC Tofal Stpnoture of Permittee ( /l _,%: ,1 ? - ? A Bulldir?g Pertnit Is issued to: TIT.i.rrc Cnj;c?T_R!Fg:,._ on the express conditlon thns all work shell be done in oturdonte with all opplicable 5tate(a, Minnesota Stntutes ond City of Eogon Ordinnnces. Bufldinp Offitiol Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Wsll Water Disp. S?wer ENctrie Irapsetion Dats Insp. Other Footingit Foundation Freming Rouph Plbg. Rouph HVAC Inwlation Final PI6y. Final HVAC Final I / Waur Doscribe Location: V11a11 Sevwr Pr. Ditp. No. CITY OF EAGAN 3745 Pllot Knob Rood Eagan. Mlnnesota 55122 P6one: 454-8100 PERMIT Dote: - ? 12", n Site Address: ' lot Block / Sub/5ec. 'FkiILT1R WOOdS Nnme - Till.g@8 Co:latruction Co. 'obert ?Iecvton . g Addreu 2r'936 HO'?yOi.@ AV£. ? Ciry Lakevllle,•Phone: G69-211+I+ Name 8ndS2'd . ? ' Address 410 V. Lak? City ?d Phone.? .' - f This Permit is issued on fhe express condition thot oll work shall be Minnesoto Stotutes and City of Eogan 0?dinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: 18820 Single Residentiol X Multi Res., Comm./Ind. I ? ?.. . New /Alter. / Repoi r Cost of Instcllotion Permit Fee Surchorge 1 • ()C, TOYOI ? 7 done in accordonce witfi oll opplicable State of Buildiny Officioi CITY OF EAGAN 3795 Pilot Knob Road Eegan, MN 55122 PHONE: 454-8100 BUILDING PERMIT T_ " -A ?_ - . . Site Address , - Lot Block Sec/5ub. Pa "roel # • . W Name _ 3 Address 0 ? ° Name Zu o? Addre u Nome _ Address I hereby ackrawledge that I have rend this opplication ond state that the infortnation is correct ond agree to comply with all applicuble State of Minneseta Stotutes cnd City of Eagan Ordinonces. Recelpt # N2 5636 Ll , o ' 7 Erect ? Occupancy Alter ? Zoninq Repoir ? Fire Zone _ Enlorge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grode ? Depth ft. Approvols Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bidg. Off. APC Permit Surchorge Plon check SAC Woter Conn. Water Meter Totcl Signoture of Permittee I A 8uilding Permit is issued to: ? on the express condition thot all work shall be done in acoordonce with all cppliwble Stote of Minnesoto 5totutes and Ciry of Eogon Ordinonces. Buildtng Official F"k # Daft INU ?a?llfM Plumbing 3 `1 Mechonical O INSPECTIONS DATE INSP. Qouph-In Find Footings -? Dote Irup. Date Insp. Foundation Plumbing - p-$a ? Frame/ins. -b0 Mechanicol Finol Remarks: Pilot Knob Road , MN 55122 SEWER SERVICE I agree to eomply wifh Hhe City of Eogon Connection Charge: Account Deposit: - Permit Fee: Surcharge: Ch G N ' WATER SERVICE PERMIT JF EA A CI7r 3795 Pilot Knob Rood PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No, of Units: Owner, - Address: Site Address: Plumber: Meter No.: Connectian Charge: Size: Account Deposit: - Reodef No.: PermiS Fee: 1 agree to comply with the Citr of Eogan Surcharge: Ordinahces. Misc. Chorges: Total: gy Date Paid: , Dote of Insp : InsP•: . ti Y Mist. arges. baite of Insp.: Totol: I.nsp.: Date Poid: ? F ? crrr oF E+cnN . 3795 Pilet Kno6 Rood Fagan, MN 35132 N2 5636 PHONEs 454-8100 Bdl°LDING PERMIT APPLICATION Receipt T. 6e uted for SF Dwlg/Garage Est. Value 76,000.00 pate 3111 , 19 80 5ire ndaress LUb'/ nings xoaa Lot 1281«k 4 Sec/Sub. Vienna Woods p,,cel ,# 10 91950 120 04 w Name _ Z g Address NGme llllg2 Addreu 20936 ? r:... Lakevil. Name _ Address I hereby ocknowledge that I have read this application ond stnte thnt the infortnation is correct and agree m comply with all opplicoble State of Minnesota Statutes and City of Eagan Ordirwnces. Signature of Permittee - A Building Permit is (ssued to: all work sholl be done in occa erecr occuoancr Z9R R3 Alter ? Zoning Rl Repoir ? Fire Zane III Enlorge ? Type of Const. V Move ? .# Stories Demolish ? Fiont 70 N. Grade ? Depth 54 fr. Approvala Feee Assessment 2/ il/ ov Woter & Sew. Police Fire Eng. Planrrer Council eid9. orf. 3/10/80 APC Permit lYH. JU SurcMrge 38.00 Plon check 89.75 SqC 525.00 Water Conn..3Q.L QQ Wcter Meter 60.00 Rd.Unit 185.00 Total 1,382.25 ;lOri (;O. m the expreu condiNOn that of Mingewto Statutes ond City of Eagon Ordirwnces. Building Officiol ?'?jL ADDRESS 2? vA .?} , HOUSE HEATING TEST RECORD ? ' [J2l?P? APT.-FLOOR L" CITYCd?SUBURB ? 6`Ca c _ ? OCCUPANT :KM, 1 L OWNER 4141-r!CZJ i HEAT LOSS DATE HTG. INST. SOLD BY / INSTALLED BY _ orkBy Elecfrical ! Gos Line By , EA TYPE OF T GA FA HW _HTR. -UNIT H . OTHER GAS DESIGN MAKE ^ MAKE OF BURNER_ Model Model Sxiol Max. BTU Roting - INPUT ! ILd nC90 MAKE OF FURNACE Modsl THERMOSTA Valve ? Limit Limit Settiny Fan Settin9 _ Pilot Type ? Pibt Make _ Pilot Model 4 _ ONTROLS Heat Plug ? Vent Size v KIND OF LI R Drak Hood Filters Sjze? Chimney Location Chimney Construetion Pilot Timing Ze-3 A L.W. Cut Off / 7,r Pressure 3• S perceni COZ /Inpuf CFH ? Percent Oz Sta<k Tamp. Percent CO ? Form 235 Smoke Bomb - Draft Door Pressure - Date Teated -3 Company Tesfing Name of Taster _ CONVERSION Oufside NONE G1i ? ?'? ?'? ????? ? ?:??,? Y ?-? ??- ? ? ? ? 7 /??/ %l?-?/" ". , CITY OF EAGAN N? g053 . 3830 Pilot Knoh Road, P.O. Box 21•199, Eagan, MN 55121 ' PHONE:454-8100 . 3 /? / BUILDIN4 PERMIT ReceiPr # K? Te bs umd fer 3 SEASON PORCH Est. Value $10, 000. pate MAY 10 1 q 84 Site Address 2067 RIN6S ROAD Erect ? Occupanq R-3 Lot 12 slock 4 cec/Sub. VIENNA WOODS Alter ? Zoninq R-1 Parcel rao. 10-81950-120-04 Repair ? Fire Zone NA Name ROBERT NEWTON address 2067 RINGS ROAD ckv EAGAN Pnooe 454-2174 o Name TILLGES CONSTRUCTION C0. ?? Address 20936 HOLYOKE AVE r City I.AKEVILL$hone 469-2144 Name _ Address City Phone Enlarge Yo Tyce of Const. Move ? # Stories Demolish ? Length_ Grode ? Depth Sq. Ft.- ADDrovals Fees AsSessment _ Woter & Sew. Police - Fire Eng. Plonner - Council _ Permit oV.JV Surcharge 5.00 Plon check SAC Woter Conn. Water Meter Rood Unif _ I hereby acknowledge thot I have reod this opplicution ond stare thaf gldg. Off. the inlormation is correcf and agree to wmply wi i all applicob APC Totol RS.SO Stote of Minnewra Stature and City of Eagan irances. $ipnoture of Permittee A Building Permit Is issued to: _J."Ij.I,CV? on the express condition Ihni oll work sholl be dg(ie in atcorcl.qnte with ell appliwble MA Minnesofo Statutes ond City of Eagan Ordinances. Build7ng Official CI'Iv OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of eneYgy calculations. ? SE?SO?U " To Be Used For PpJQl.?{ ,I Valuation /l DDD. DO Date $' /O -$7' Site Address: aOlo7 K1nA:9,5 A-6AD OFrICE USE ONLY Block / Z Lot ? Sec:/Sub. ?/ WOOVS Erect Occupancy '.? _ _ _ P l # A1ter Zoning ? arce : ' Owmer: )Iraemr/fJ??/Vl Address: aQ(?7 /d.YoS /PDAV City/Zip Code: ??(J, ?/tJ• Phone #: - Zf 74 Contractor: U/e6-5 ?.US`Ilf'/X?TIDN CD. Address: 2.(fl City/Zip Coc1e: Phone #: -46q- Arch./Eng.. Fddress: City/Zip Code: Phone #: Repair Fire Zone Enlarge 'Iype of.Const. Nbve # Stories Da-mlish Front ^ Grade Depth --? APPROUFILS 17E1=S Assessirents Perntit Water/Szwer Surcharge Police Plan Check? Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. - 0- APC 'iOfAb ? mmnesoca amce oosra or necviciry Griggs Midway Bldg. - qoom N791 `-1821 Universiry Ave., St. Paul. Minn. 65104 - Plqne 297-2171 -REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST / {? ?U?02 0 $ 58539 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment W'ved Fm Home 7bd ? ? Range a• Temporary Wiring ? Duplex ? ? ? Watei Heatec ? Lighting Futures ? Apt. Bldg. ? ? ? Dryex ? Elcc[[ic Heating ? CommeicialBldg. ? ? ? Fumace lpc2•00 SdoUnloader ? Industnal Bldg. ? ? ? Aii Conditioner ? Bulk Milk Tank ? Farm ? ? ? List 0 List Othei E] ? E3 Rehers ? ? Rehers? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Sub ers: F Cucuits: # Fee 0 m 100 Am s. 0 to 30 Am eres - 0 30 Am eies 119 94-00 101 ro 200 Amps2? 31 to 100 Amperes 3 0 100 Am res Above 200 Amps. Above 100 Amps. ' ove 100 Amps. Transformecs Remole Control Circ. Parlial oc other fee 1 -50 Signs Special Ins ection Minimum fee Remazks Teff D. iOTALFE yy/,oa 4.50 I,the Electrical Inspector, hereby cer' hat a ve?inspection has been ma e.! (Rough•in) ?(..?yc.?? Date (Final) l F7, _ . ^l Date Y- ' F'v This request void 18 months hom This request void boa -e # 02,_.,Gc?d?z 8 s? 9 18 montE?s from Date of this Request4-2_1980 Fire No. S 08539 1, as ID4.icensed Elecvical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Sveet Address or Route No. 2067 I{ings Rce d City ?? Section Township Range County Dakota Which is occupied by T; i jgQS Conatruction (Name oi Occupanq ls a roughin mspection required on this job? No ? Yesg# Ready Now ? Will Call lgr- Power Supplier Dakota CtY. Address Fe,rmington Electrical Contractor O.B. Thomoson Electric Co. Contractor's License NAE962 (COmoany Name) Mailing Address _12201 Mtka Blvd.. Mtka 5575M3 Authorized Signature ThIS Installatlon) 933•2521 Phone No. king 7hls Installation) This inspection request will not be accepted 6y the State Board unless proper inspection fee is endosed. CITY OF EAGAN . ? _ . 3795 Pilot Knob Road I Eagan, Minnesota 55122 . Phorre: 454•8100 ?'1.F^ ?Z?:? ? 16 32 PERMIT No. ? 2,r?!? .?i_. Date: Receipt No.: Single I _:' • ?."_ Residentiol Site Address: Lot r Block ti Sub/5ec. 'Sl??? _ Multi Res., Comm./Ind. I Name 'i33.ges CGnstz~. .?e? New/Alter./Repair 3 Address ` ??' ?' i?07?y0?:?? ' Cost of Installation O City Phone: -n . Permit Fee Nome Surcharge •`?? , - . . , ?,,< - ? Address ,4745 e 0 Ci ty AFwne: Tota I This Permit is issued on the express condition that oll work shall be done in accordance with all applicoble State of Minnewta Statutes and City of Eogan Ordinonces. Building Offitial nf Orrupttnr ' - : y ? :. .. of (Cagan N }12ITt11tPlif Af l1ttlb* JtlNpPtliqtl • -. -- : ? -" ,. ' : ? ) 3? ?i ,. •_ ` ?, j i . . _ .. _ ,. ? . . p a [ P `.•`s% ' ,' , : Tbir Certi fiCRlt JJl!lLlj !lyripunt tp tbt reqfli"tmtnti of Stttion 306 0f Iht Unifornt Bue(ding Cedt certi(yirog tbot at tTx time of iuuaarr tbir nrrutma ruaiin romplianrr witb t!x variour ordinasru o f tix City ngaloring briiJding wnmuttios or urt. Fa tfx following: .. _ , _. ? -.; F .- 'r,=".". •'.?f?!,a'??tla?*? ?'•?: - `' . _ u.cww?m SF DWG/GARAGE ' ` °.: f •'`e ,e,' y }'4 " . 5936 ?d& Pat Na o-?rrc. R3 TyPC?noe V r?.?. III y,?oxsna RI wm,aamm„ Robt. Newton A4d, , • . Butdlyg ,,ft? 2067 Kings Rd. ? Vienna Woods By 7-25-80 . . .a.. „ . m..?4,a. ti.a . . USA, 2005 RESIDENTIAL BUILDING PERM[T APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 R -) v. ou New Cons4uction Reauiraments RemodeUReoair Reauiremenls Offce Use Onlv 3 2g"stered s@e surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areaz 2 copies of plan Ced of Survey Recd _ Y_ N (20% maximum lot coverage aflowed) 1 set of Eneyy Calculations for heated addltlons Tree Pres Plen Recd _ Y_ N. 2 copies of plan showmg beam 8 window s¢es; paured found design, eta i sfte survey for addflions & decks T2e Pres Required _ Y_ N lselofEnergyCalculatlore Addition - indicetei/onsitesepficsysfem On-stteSepUcSystem _Y_N 3 coples of Tree Preservation Plan if lot plaried atter 711193 Rlm Jolst Detail Options selectlon sheet (huildings wifh 3 or less units) Date La Site Address DS ZDIo -1 ytvl ConstructiooCost q C 120 Gt Gl UniUSte # Descriptiou of Work N-e W A,r r v- - Ctda+- Yt`1Li-A-LV1 u ? Multi-Family Bldg _ Y `? Fireplace(s) _ 0 _ 1 _ 2 Property Owner 0- o be Y4 WVv-}b n Telephone #((ps 4 S 4' 7 I") 4 Contractor Gl nr)'? 4 ? r 6Y1,,4'ln.t ('41GY1 Aadress State tJ N 1 A'1 UU gu,wLSVi I IC P L w?? ciry Zip lo Telephone #(CI5? Q A ? COMPLETE THIS AREA ONLY IF CONSTRUCTINCa A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Cetegory . Residential VanUlation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previousiy constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I un8erstand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the workwill be in accordance with the approved plan in the case of work which uires-a-tevievv'3Hi1- approval of plans. ?A.?G? ??v?S-Eoph??!' . ?- ?.IJ?' C 1 1C'lti Applicant's Printed Name ApplicanYs Signature - ? ? ` B;_ - OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 08-plex IK 18 Deck O 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 MiSCellaneOUS Work Types ? 31 New ?, 32 Addition ? 33 Alteralion ? 34 Replacement Valuation A?(,a Census Code SAC Units # of Units # of Bldgs Type of Const ? Footings (new bldg) ?j Footings (deck) ! Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Width REQUIRED INSPECTIONS FinaVC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: _T q_1 -, Building inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total O 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF O 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors "Demoiidon (Entlre Bidg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered l0, 6641- 2,1r9&P D ?- ? ? l? $`4 ??' 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -1 QR ?S New Construction Reauirements RemodellReoair Reauirements O(fice Use Onlv 3 registered site surveys showing sq. fl. of lot, sq. tt. of house; and all roofed areas 2 copies of plan CeR W SuNey Re.cd _ V_ N (20% maximum lot coverage allowed) 1 sel of Energy Calculetions for heated addNOns Tree Pres Plan Recd _ Y_ N, 2 copies ot plan showiig beam & windaw s¢es; poured found design, etc. 1 site survey for additions & decks Tree P2s Required _ Y_ N 1 set of Energy Calculations Addkion - i/Mfcate Hon-sife sepfk sysfem On sile Septic System _ Y_ N 3 copies of Tree Preservation Plan N lot platted afler 7M193 Rim Joist Detail Options selectan sheet (buildings with 3 or less unils) Date <:::?A_ / I T_ / _Szs? Construction Cost 3<DO •- Site Address ` tj?f ( i1c,S ? R UoiUSte # Description of Work ?1 ? ?raF ?e ??c ? c? ?. ?n r 4 `t tr3S4 ++?_e.yl l itv Multi-Family Bldg _ YN4Z?N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telep6one #( VS I)?(?l Contractor ' Address .Z City State M6 Zip "S7S(( ? Telephone # (bS I 36'IQ COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cate2orv 1 _ . Residential Venlilation Calegory 1 Worksheet (4 submissiontype) Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 5tatutes; 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 accardance with the approved plan in the case of work w' i nd approval of plans. APR 18 2005 Applicant's Print Nam? Applicant's igna e? A NEW BUILDING Minnesota Rules 7672 • New Enargy Code Worksheat Submitled OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory 81dg ? 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 OS-plex O 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage ? 08 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 48 Windows/Doors ? 34 Repiacement 'Demolition (En:ire Bldg) - Give PCA hanEaut ta applican4 Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other ^ Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas T esu Fina] ` Framing _ _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test Final Windows _ Insulation _ _ _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector CITY USE ONLY PERMIT RECE[PT DATE: 2002 RESIDENTIAL MECHA1VICAL PEft14ITP APPLICAT10N crrY oF eAsAx 3830 PaoT iuvo$ Rn Ews,vr buv ss 1 2Q 651-6$I-4675 Please complete for: Date: (0-71L__ SITE ADDRESS: 0C? -1 k/ r OWNER NAME: srawnaRn HEqnac a aiA CaaAITIONING CO. INSTALLER NP?I??1O WEST LAKE STREET mi N •2998 612-8242656 STREET ADDRESS: CITY STATE: P?ace a check mark next to the permit work type ZIP: ? ? Add-on, modification or atteration to existin dwelling unit D?`J '? 30.00 . furnacerepiacement AUG 15 2002 ? • air exchanger • air conditioner • other If BY /1?n ? Nature of work: State Surchar e $ 50 F Total $?_S ? r SIGNATURE OF RMI E vnz TELEPHONE#: 6 S 1 S?J a'?7y TELEPHONE #: single family dwellings townhomes and condos when permits are required for each unit CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: , INSPECTOR 2002 COMMERCIAL MECHA1VICAL PERMIT AP{'LICAT10N CI1'Y OF EAHRN S$SO f'ILOT KNO$ $A E4fii4N,1NN 55122 651-6$1-4675 Please complete for: all commercialfindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: TENANTNAME (IMPROVEMENTS ONLY): PHONE #: - WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZIP TELEPHONE #: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank Processed Piping SpecifyNature When installing/mmoving underground tank, call 657-681-4675 for inspection by Fire Marshal and Plumbing inspectnr. Fees: 1% oF contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contracc price: $ x 1%= $ State surcharge TOTAL $ (Base Fee) calculate at $.50 For each $1,000 Base Fee SIGNATURE OF PERMITTEE Updated l/02 M?? ;q'inl:?;????F•I'n'n>°'f.?i:''F?`l,C:',l"J,:!:Y,.'?M::CP::?;;h;Y:?Y'a;:?:;Y??:;;:;(:::>;'Yt C.l!Y U!=' i-.lI](-tIJ ,r'?`il-I!ERe '; ?'I'PMTid(1L N(]. 7(.;9 PA71:_" 05!24199 7'I:iiG.2 07:23,:39 ;II ; N%A;,i;c;; ALI':i.iVE. Pi71nF:i:htG & i;Tr7:[NL` Ctdt. ::;aa.n 100i 2n::,7 irzNrS , D 125,.25 055 : nn:,. P067 r:zNc:,s:; „r I :,,c;o Zl?LC 9001 4839 R1:C;Fh"-.P(D I_N 93.25 pi`i`i 900L 4839 F'If Flcd{I: !..N 1,50 0210 900i. 1656 Rf.]F9+!Df.)}; CT M505 205 9001 056 iQOP?4•tp(1D C:'"' 3„00 io'l:7.i F'ec:i-:'i.p'4 An:oi,tC1F„ 34025 Ch1:'•. Cl`_=)`.'ic?{3 IGl::i ',"D;; NrlNCS' ??:':k.'X(Y,i:!::};k:?(•y[Y(.?Y,!>'/'?'d'?F!t:; ?:Yn?'F?C'N„iF?nPF"d?.;;.i',?7F?vJi<?k7,:;?3'Fik ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 ?7 651-681-4675 ? I New Conshuetfon Reaulrements Remodel/Reoalr Reaulremenh ? D 3 reglatered sMe surveys showing sq. k. ol lot, aq. H. of house and nll roofed areas (20% maximum loT coverace allowed) D 2 coples of plans (show beam 8 window skes; povred ind. design; eTC.) ? t set M energy calculations ? 3 copies W kee preservation plan H lot plalFed after 7/1/93 DATE: S-a- 9 / DESCRIPTION OF WORK: STREET ADDRESS: LOT: `-?-- BLOCK: ?4 SUBD./P.I.D.#: V ?jLlV?'o- Name: ' •eW I V/` 1?3?114 Phone #: PROPERTY Lasr Firsr OWNER -'\ ,.-, 1--1 V * _ n I Street 9 2S.as 2 copies of plan At? ' )" I - - ` ? 1 aM ol energy cakulatfons for heafed addRlons 1 sHe survey for extertw addiHons i decks ?U CONSTRUCTION COST: -5?06 4 A City ??G ?[Iti V State: 1?i IV Zip: ?I(.?I? ?iC&?Vo Phone#: l.}S ? G vU""' 1y00 Company: (area code) CONTRACTOR ?S rjO ? ) /? StreetAddress: ?" enne,P??. ifJJ'- License# o?blMd/9 Exp. City Em Gv, State: NYri/ Zip: X'Siac? ARCHITECT/ ENGINEER Company:. Telephone #: area code ( Name: Street Address: Registration #: City State: Sewer & water licensed piumber (reauired for new consirucHon onN): Renclly applies when address change ond lof change Is requested onee parmN Is issued. I Zip: 1 hereby acknowledge ihat I have read this applicatlon, stafe thaf the frvformction is corteci, and agree to comply wRh all applicabl ,Sfate of Minnesota Statutes and CIFy of Eagan Ordfnances. Signature of Appliccnf: OFFICE U5E ONLY Certificates of Survey Received _ Yes _ No Tree Preservatian Plan Received _ Yes _ No _ Not Required, OFFICE USE OPJLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace D 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-piex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? OS 6-plex ? 13 16-plex O 18 Deck ? 23 Porch (screened) O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to appli cant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee 5urcharge 3 -U C? Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 1 a 5" Valuation: $ ? SAC Units % SAC CITY OF EAGAN DAKOTA COUNir, MINNfSOiA 19<? In account '__-_---=- - --- -I ?.? Z ?r/??-?? --- --- - . ---- ? - - ----?-- --- ? - ------- ---- - - 4 f- . ?, a- t'-? -- -- -- ----------- - - / - - - -- ---- -------- -- - - -- -- ? 6 ? • -- ---- ?•?'?`??"e? ?'c_ ?c ?-2?cc.y?nrs?? ?'? ---• -- ? . 2c-e ' - - - -. __-- --- -- --- • ---- ---- " - - --- -- -- --- -----.?.---- -- - - --- -- -- ---- -- ,?g7 7-3 -- --- - - --?- - _ - --- - - - ------ -- ? ? ? -----?- -- - .. ?? , - --- - ?---?---...--- - -- ` - - --- --- -?__ --' - n ? ?L ? ?-- - - - -- ----. ?_W ,? ---` -= -??? --- ? ----- - -- , ?A t ? -'---_ , , ------ ,r - -- --- . ? =--_- _-!------------------------------- --------T----r---- - , ? ---, -- > _.----- - I declace undec the penalties of law that this account, claim ot deman. Just and correct and tha[ no par[ of it has been paid. ^ ,L SiBnature of qaimeni S reei and Num er al- citv q Teie M.S.A.471.38,471.397 (1965) 66 Size I- Walter S BoaTh & Son, Minneapolis, Minn. - SecuriiV Ptg. Co., St Paul, Minn. - Banken Gertified Service Ca. ?. . nA:'E 31?,ZBa I3UiLDI;dG PEfL":iT AL'PLSC2\'l'TOIS :ncatc.e 2 sets of plans, 1 site n3an w/elevations and 1 set oP energy calculatzons. "'o zv usec for6th, C? RMl%.y uwTa?.l-?t.? Vaiuation ? Z?o, 6-fi`fl S-'4C' P.CiCZYflSE. 2067 /WI<.t#? /K?R47 . r ao;, 1Z Bi22:* 4, See. Sub.?a? Parcel Number LvGl2Y rose-mT ?? :=.c.d?ress ,^o-t_ac'--orid. GES ?fJJGr10 M PF?kt} Acd:?ess .ZOq3 1 d+'-? ?oGp6 .4v6• 1?(?. SSD? V1L.& P.C'.._ . f`t?''I1y` • ? nii:.::vSS ?11 V 1:... X '7v'^:O'_ iStl G::di:c Ocr^T_CL. Y7$^ i,ate af Aoproval & Inatial Assessmer.: *.,'?. _sr/Sewer P_?...;ler :;'ucj. aff A.: ,C. Te2eghone Teie?hone +(o`l " 2 144. Telephone 0F?''ICL'' U$E Occupancy Zoninq wire Zone ? Tyoe oi Const. of Stories Front Depth `f F£ES Pexxrit _ _?LL? ?. Surc;iarge ? rt-zn Check R9 ' SAC t•tater Corui_ 3oS Water .;eter _GO To^nr 2 d ?? ? ? ? ? 7 /?` ?i ??V ? ?/ ? ? ? ? ? ?? G ? ? ?. a Yo-p ?i$s ? ? r: City of Lakeville EXTBRIOR ENVP_LOPE AVERA!:E "U" COMPUTATION nwner pjE _T09?bM?'+I4 Address Phone ,egal Description of Property: Lot /Z Block 4 Addition ViE0i.lA Yv0411PI5 Date 3?10?80 ;Ite Addresa 2 0 ?o*]• ?ihlfy5 Fo^o AVERAGE LINEAL FEET OF EXPOSED SdALL AREA ABOVE GRADE tain °ievel Ltneal ft. of framed wall above grade 'd 3(0 x height of wall 8l o" = 1$$ 8 ;im joist area , Lineal ft, of rim Z 3(. x height of rim I. ,ower level ' Lineal ft.-.of framed wa1T ahnve-grade, x height of wall ' Lineal ft, of masonry wall above grade 2.L x height above grade iL a" = 2 3 G TOTAL wall area above grade including windows and doors 1INDOk'S: Area x "U" value take & type /kKOG^'Rh ?tS {?MA•GJti4?tl.n sq. " it '[LnRA.TOPP, eA4.6MEtaT?i S4• If sq. w n S(], c45 T Bo%,J sq. G 25'r S4- ?f 2.2 SQ " " ? Z4 sq. If 1 3 15 T sq. " caC 25T ? 18.4 5q• 11 q_ u l 4 T sq. .f sq. sq. n n " ° -7 - 2gV SAZGM6NT 0NIT6 C24sq. n n ? S9- ?? Sq Sq. )OORS: Area x "U" value 4ake & type pupEes6n1 f-'??na7ooRTbo68-o.? sq. „ ,r 34;tR' v0 IVOOV GiapIe S 4. ,t ,? 32 x So ?? ?? Sq, If sq. )PAOUE WALL CONSTRUCTION; Area x"U" value eq. Detail refer? FOM{ G MrcMP.WlS, lN WAU- sq. ence from F?M-WA?"4' Sq' F?IM eI6T' sq. attached MySf*+JRY W41-L- SS• sheets _ s9• = 23L0 ft. x "U" _ (U) (A) ft. X "Ul. = (U) (A) ft. X uUll - (il) (A) ft. X flU.. _ (ll) (A) ft. 30•4 x„U" , 32 = 9.'l3 (L') (A) ft. 15.1 X"Ull n = ¢.?3 (U) (A) ft. 11.s g nUll n 3.'S (IT) (A) ft. I4-.4 X„U„ 7. = g.. (.1 (u) (n) tc. X ?lU„ „ _ ? . 5'7 (u) (n) ft. 3L:? X 'lul, 71 = l. (U) (A) ft. X l'U?? d (lI) (A) ft. x "U" _ (U) (A) ft. X ?lUll - (ll) (A) ft. X nUo = (U)(A) ft. /gl$ X ?full . g (U) (A) ft. x ?fLll - (C: (A) ft. X IlU,o _ (1') (A) ft. X ?'Ull _ (U) (A) ??•2 - 52.59 .?..,. ft.. 32.'I x IIUtt ?r?PJ = 15?97 (U)(A) ft,? p .? X?lU„ .591 11. 6 (LI) (A) ft. f '! -78 X „u" (U) (A) ft. x nUn (U) (A) 70. 48 40. Sa ft. x flU., (U) (A) ft. 213.4 x •`Uff .Og = !?, a7 (U) (A) fc. I448.R2 X „u" ,05 = 72.45 (u)(n) ft. Z36 XllU?' ,D45 = 112, l02 (LI) (A) ft. Z!I? g r?Un ,47 = ?l0.9Z (U) (A) ft. X rlUfi (11) (A) ft. . . . . X rrUn o ?U? (A) z139.32 2?r.o6 ? TOTAL Wall Area Including • Windows & Doors (it7 TOTAL (U) (A) ? TOTAL (V) (A) VALUES AVG. "U" ?• ?Z .?_, UIVIDED BY TOTAL WALL AREA 77?? AUERAGE "U" Minimum .17 or less for 1& 2 family dwellings , *linimum ,22 or less for all other buildings NOTF.: If average "U" values as calculated above do not meet the Energv Code requirements, the "Alernate Envelope Design" as indicated on Page 5 may be used. s, • `?•? • ' WALL SF;C7'IONS. • NOTE:..Use - LO% of opaque wall area I for fr`amipg members ' • FRAMING MEMBERS IN WALLS_ -- Top View Exterior air film ? SidinR Sheathing 3V soft wood ;?"..dr.y wall - Interior air film _FRAMED WALL ,, - - I O S U= 1/R U- . _RIM_JOIST AREA Bxterior air film -?? Siding k-7 G . o0 Shea[hing 1.88 1 " soft w Ins ,68 TOTAL R = /x' S U = 1/R U = * OS Exterior air film Siding Sheathing 35/o 0 3A" batt insulation TOTAL R = '2„ 4 ? U = 1/R U = • 0,45 .45 '?" dr wall - -" .68 Interior air film MASONRY WALL Exterior air film _.1__ 12" concrete block" _ -.- Insulation Interior air film Page 2 R-Value ---- --.11_---- - -- ?.6.7.. ?,oo 4.38 ,45 .68 I 3. o0 .17 ._------ - • - - - ,68 TOTAL R = 13 ? --- ?.e---- ? - -------- _.___ 47 , xoor cEizxNc ??d?l• J Outside eir film __ ??,6I _? Inaulation &.eW#J F!@ErlGKS 38,00 Drywall . .45 Interiox air film .6I G TOTAL R = ?9l U = 1/R U„ OZJ'r ( 1 Insulation ? 3?" Drywall ? Inter3or air film V - 1/R TOTAL R a • .' i Outside air £ilm .45 .6I .17 InsulRtion Wood decking Interior aiz film ,61 TOTAL R U = 1/R U ° ._ JOF/CEILINC,: )TAL AREAi Iq 1 1 sq . ft. atail reference "p'r- , p2 -r'j x sq. ft, /9/7 (U) (A) rom above. x sq. ft. a' (L') (A) ascribe openings "U" x sq, ft. (U)(A) i rooF "U" x sq, ft. _ (ll)(A) ^ 'lUll x sq. ft. _ (")(A) 'lUn . x sq. ft. ' (U)(A) nUn x sq. ft. _ (U)(n) zoxnz.s ao, ft. 47?13 (u> tn; )TAL (U) (A) VALUES [VIDED BY TOTAL P.OOF/ ?62z5 AVC.. "li" •• T ? ?? : I,ZNC ARF.A E? ? • ' 1E12Ar.:E "U" .OS for ventilated roofs • .10 for a11 other construction • ,VF.: if avernye "t'" vnlues as calculated above do not meet the Engezr,y Code requizements, the "Altcrnate Iinvelo pe DesiFn" as ind3cated on Page 5 -a y be usee, U = • ? ? r??. ?•?? ? ?---- 6511 S 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dweliings. /s- S o Date?/,? 5 1 8z/ Site Street Address ? cu Unit # Property Owner '1Co-&2j Telephone # Contrector W -P Y??2.cJCs-?.? Telephone# (1,e6j)?3495 -134149 Address.j(a CRA City State hZbi- ZipSJJ/e2R3 The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5!8" meter is required) Other: Water Softener l- Water Heater $ 15.00 1,1? replacement _ additional =Lawnigation System RP2_ new _ repair _rebuild $ 30.00 State Surcharge ? ? ? ? m $ 50 JUN 2 8 'Z004 ?) Total $ /5' Sd I hereby apply for a Re?rrHaY'Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. 'M P Rv -tit eLl tin5 ?2 _.? ApplicanYs Printed Name ApplicanYs gnature 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwetlings & townhomes/condos when permits are required for each unit ,-- /C)q Datef I_/-f'? k? I Q CC Site Address - rr S I Unit # Property Owner Telephone # Contractor Street AddM City 410 WEST LAKE STREET State MINNEAPOLIS, MN 55408 ZiP Telephone# ( ) 612-824-2656 Bond #: Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional ? Repiacement air exchanger airconditioner _New _ Replacement other State Surcharge $ 50 T l ? 3v ota I hereby apply for a Residential Mechanical Permit and acknowledge that the information is corr be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical permit, but only an application for a permit, and work is not to start wit er ; that the approXed plan in the ca,s9l"rk which requires a review and approval plans, n and accurate; that the work will understand this is not a ' be 'n accordance with the Ap?5li?ant's Prin d Name ?pplicant's Si? 2005 COMMERCIAL MECHrllVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmplete for: wmmercial/industrial buildings multi-family 6uildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if appiicable) Previous Tenant Name Propecty Owner Telephone # ( ) Contractor Street Address City State Zip Telephone #F ( } Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove'*see below fnterior Improvement _ Install Piping _ Processed _Gas Nature ofWork: "When installing/removing underground tank, cafl for inspectiort by Fire Marshal and Plumbing lnspector P¢I'mi( F¢¢5: $70.50 Underground tank installahon/removal $50.50 Mirtlmum (includes Slate Surchazge) or Contract Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 ? $ State Surcharge If ermit fee is over $1,000, add $.50 for every $1,000 ep rmitfee $ Total Fee t hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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. 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