1072 Kirkwood Dr
Use BLUE or BLACK Ink
For Office Use
l~ I
Ila
City 0 Eapn Permit I I
I Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 I I
I Date Received: I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 MA;R 18 20111 Staff:
2011 MECHANICAL PERMIT APPLICATION
Date: 3-/0// Site Address:
Tenant: Zidg i"E_ 5rA!2 Suite M
RESIDENT I OWNER Name: Phone: l~ 5 l YS
Address / City / Zip: ~~n E'er
CONTRACTOR Name: G'100 b LL License 61l0 J?
Address: 4,020-5 - City: _ /Cp~%,101~'-
State: Zip: Phone: g- 7 AM-je ~122r
Contact:,&/GL / Email: •
-
TYPEOFWORK New 74 Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace _ New Construction _ Interior Improvement
i Air Conditioner _ Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank L_ Install / _ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) _
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $jJ~ OjL'~) TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.gopherstateonecall.om
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x Ace&e g G16-k /'1 x~(,~.~ ~
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test -In-floor Heat -Final
- Exterior HVAC Screening Inspection
C1TY OF EAGAN
3795 911of Knob Rwd Eegon, MN 55144
, PNONE: 454-8100
B'UILDING PERMIT Receipt #
Site Address Erect 0 Occupancy
Lot Block 5ec/Sub. Alter ? Zoning
parcel # Repair ? Fire Zone
Enlorge p Type of Const.
W Name Move ? # Sro:i.:Z Addrcss Demoiish ? Length
? Ci phone Grode ? Depth Sq. Ft.-
? Name C SN-ooc;o APVrorala Fees
,o
u? Address Assessment Permit
? Ci Phone Woter & Sew. Surcharge
F Police Plan check
UW Nome
Fire SAC
4
?z Address Enp. Water Conn.
cW Ci phone Plonner WaterMeter '
Council Rood Unit
1 hereby acknowledge that I have read this opplication and state that gldg. Off.
the informotion is torrect and agree to comply with c41 appiicoble APG Total
State of Minnesoto Statutes and City of Eugan Ordinonces.
$ignoture of Permiftee
A Building Permit is issued fo: on the express condition thar
oll work shall be done in accordance wiTh all opplicable State of Minnewta Statutes ond City of Eagan Ordinances.
Buildinq Officiol
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LL LL K w LL LL LL VJ
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIVfiD
FROM
AMOUNT $ I
dt DOLLARS
ioe
M CASM ? CHECK
vOR
/C 72 /`i!o.?'"Z
?
BY '
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
?
Receipt MECHANICAL PERMIT Permit No,
CITY OF EAGAN . ?
Fee
FIlI in numbered spaces S/C
Type or Print /egib/Y ?
Tot.
1. Date 2. Installation Cost i, 3. Job Address ' Lot?Blk. Tract ?
4. Owner
5. Contractor -- Phone -
6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New E3. Add ? Alter O Repair ?
10. Describe ? Fuel TYpe ? %
77.
No,
? Eouioment 8TU - M. Ea.
-
Forced Air • No.
- Equipment CFM
Air H
dli
Mfg. an
ng:
- i
Boflers
_
Mfg.
Unit Heater
Mfg. Mech. Exhaust
Other
Air Cond. - '
- Mf9
? 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 Vour permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt ??= PLUMBING PERMIT Permit No.
CITY OF EAGAN -
Fee
? Fil1 in numbered spaces S/C
Type or Print /egibly -
Tot.
1. Date -% 2. Installation Cost
3. Job Address ALot lD Blk. ?. Tract` .
?
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?
i.
4. Owner
/ /'`/?
:% ? z , , ^
5. Contractor Phone '.<. '
6. Address
7
Ci
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.
ty
tate Zip
8. Building Type: Residential E1, Commercial ? Institutional ?
9. Work Description: New,4 Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bathtubs p
$epticTank
Lavatory Softner
? Shower Well
Kitchen Sink
_ Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
% Slop Sink
Gas Piping Outlets
T
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
I CITY OF EAGAN Femarks
?i ,4ddition Lot 6 eik 2 Parcel 10 17150 060 02
oWne? i,- . ? sveec1QZ2 Kirkwood Drive State Eagan, MN 55122
Lf ? r', ?;jw .
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F. 1982 2622.14 524,43 5
?-
STREET RESTOR.
GRADING
SAN SEW TRUNK j?
*SEWER LATERAL
WATERMAIN
*WATER LATERAL
WATER AflEA /p --
STORM SEW TRK
*STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 240.00 31880 9-17-82
WATER CONN. 420.00
BUILDING PER.
SAC
T
t
?
PARK E ?
CITY '.GaN WATER SERVICE PERMIT ?
3795 Puot Knob Road
PERMIT NO.: i
?
Eagan, MN 55122 DATE: '
ZO^'^9: No. of Units: ?
Owner: •`%?a: ?u,
- i
Address: ?
I
Site Address: 1 '17'? Kirkwood
.
'T ' r' !
Plumber: -' ?-
Meter No.: Connection Charge: '
Size: Acwunt De
posit:
Reader No.: Permit Fee: =
1 agros ro wmplr with fha Ciry of Eugan Surcharge:
Ordinanw.
? 0
. ', ? -
Misc Cha
• ' c T
Bv
Date of Insp.:
. rges.
Totol:
Date Paid:
I nsp.:
ci T - .AGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road pERMIT NO.:
Eagan, MN 55124 DATE:
ZOning' No. of Units:
Owner:
Address:
Site Address: - '-;' i" ' ir:
Plumber:
. ,., _
1 ogreo fo eomply wllh fha City of Eagon Connection Charge:
Ordinaneai, Account Deposit:
Pertnit Fee:
Surcharge:
BY Misc. Charges:
Date of Insp.: Total;
CITY OF EAGAN
3795 Pilot Knob Raad Eegon, MN 55122 7524
PNONE: 454-8100 ?j
?
? Q
iiU1LDING PERMIT Receipt #
To M wad fer SF DWG/GAR Est. Value $75,000 Date September 17 I q 82
Site Addreu 1072 Kirkwood Drive Erect OC Occupancy R-3
Lot 6 Blxk 2 $ec/Sub. Che$ Mdr E. 1$t Alter ? Zoning (VD) R-1
Porcel # 10 17150 060 02 Repoir ? Fire Zone MA
a' E T
V
f C
nlarge ? ype o
onst.
W Name ?rk 6 Me11SB8 SCh8i1n0 ?ve ? # Stories
; Address - 3341 17th Ave. So. Demolish ? Length 70
b Ci Mp 18. 55407 phone 722-1192 Grode ? Depth 30 Sq. Ft.-
p Name - Own r Approrals Fees
??
?? Address
Nome _
Address
I hereby acknowledge that I have read this application and state that
the information is correct and ogree to wmply with oll applicoble
State of Minnesoto Statutes and City of Eogan Ordinances.
Signature of Permittee
A Building Permif Is issued to: DU
oil work shall be done in occordonce with all
& Me2issa
AsseSSment _
Woter 8 Sew.
Police
Fire
Eng.
Planner _
Countil -
Bldg. Off. _
APC
Permit 358.00
Surchorge 37.50
Plon check 179.00
snc 525.00
Woter Conn.420.00
Water Meter 60.00
Rood Unit 240.00
Totol $1819.50
on the express condition thni
and City of Engan Ordinonces.
Building Officiol
CITY" UF EAGAN Include 2 sets of plans,
? qr 1 site plan w/el.evations &
C` / \ gy calculations.
l,--! ?W BUILDING PERNIIT APPLICATION 1 set of ener
Zb Be Us?ed For 5? b u? ? Ge- \r- Valuationo Date
Site Address : ( () ? 2- k'? 0k U) (3 o ?.. ??i ?_? ?,?, OFFICE USE ODII,Y
Lot 6 Block o2 Sec./subAe5 /44AR 6utQe D< occupancy
Parcel # : 1(5 ? `? ? 5U Q' ?Q C9 O Z-- Alter Zoning /0,() _
Repair Fire Zone
const. _?
owner: ve large
rx?
# storie
Pddr.ess: Demolish _ Front 7c) fft.
t.
City/Zip Code: a/1/Jn?,7 /flJ? ??'yp'? Grade Depth ?,p
Phone # : 2aq?- - APPFt(7VALS ? FEE,g -
Contractor: 5e
Address:
City/Zip Code:
Phone #:
Arch./Eng..
Address:
Gity/Zip Code:
Phone #:
Assessscrents
Water/Sewer
Police
Fire
En! -
Planner
Council
Bldg. Off.
APC
PeYtnit
Surcharge
Plan Check
SAC
Water Conn.
water Meter
Road Unit
?v
,62 y o °"
2\?TAL C?S ?'•? S ?
?. ?,gas
.. ? ?? ? ? ?
7? ? ? ? ?
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_ ??
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.
,??
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This request void'` "30
18 manths from
? 2 7 5-19 - _
33aI (
?;zI, a
Request Date Fire No. RouPh•in Inspection
R q rted? . .
?ReadY Now ? Will Nolifv. tnsPeo-
es Q No tor Wh¢n Ready
? Liceosed Elec[rical Contractor " - . ! hereby requesi insPection of above
g) Owner . . electrical: work installed at: Street Address, Box or RouteNo. C ity ro"\
ectYon o. Township Name or NO. - Range No. CountY
occupant IPRINTI -"
`K0.-1`V, Phone No.,
-7.Zr?2?? L9tZ--
Power Supplier -
bCX.?CJ? C.?. ?T` l?? Address ? ?
??
Elecvical Contrac
tdr (Company Namel . ' ontrar.tor's License No.
e
Mailing Address (Con actor orOwner Making Instailatio(i)
3341 Nl
5S q o -7
Authorzed Signature 4Contractor Owner Maki Inst211 tinn) Phone Number
MINNESOTA STq7E BOARD Of ELECTRICITY . . THIS INSPECTIQN NEQUEST WILL NOT
Griggs-Midwey Bldg. - Hoom N-187 . " . BE ACCEPTED. 9Y THE STATE eOARD
1627 UniversityAve., St. Paul, MN 66104 UNLESS PROPERINSPECTION FEE 15.
,.?___ lxi,ri. ,o-..,,, ENCLOSED.
R/i?7/ REQUEST FOR ELECTRICAL INSPECTION E8-00007-03
u^?+ ??/ f 5 7 9 Ii, See instructions for complating ihis form on back oi yellow capy. ?"X" Beloy4,"larJr01vered by This Request
Ne? Add Rep. Type of Building ARDliances Wired Equipment Wired
Home Range . Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloeder
Industrial Bldg. Air Conditioner Bulk Milk Tank
' Fartp Other SPeci(y ther (SVecify)
ther Suecify Other Other
c;orFlp«te InspectionFee 8elow
# Fee ServiceEntreneeSize !f Fee • FeedersiSubfenders N Fee Circuits
i 0 to 700 qm s 0 to 30 qm s 17- 0100 0 to 30 Am s
?00 107 to 200 Amps 31 to 1U0 Amps 31 to 100 Am s
Above 200 Amps Above 700-A2 ps Abuve 100_Amps
Transformers Remote Control Circ. +.'SO Partial'Otl er Fee
Signs ' Special Inspection
Remarks TO L FEE
9 ad
Rough-in Oate
the ctrical
e Inspector, liereby
if
h
?
Final
Dnx{? ?
? cert
y t
at the n6ove
pection ha5 been
? J made.
inIs r8quesL voia
mo 4 1! 0o ??
7 S nths from ?
l
REQUEST FOR ELECTRICAL INSPECTION es-ooooi_os
' See insiructions for compteting ihis form on back of yellow copy. - (?
BelowVork Covered by This Request 3a2 (Q (S
New Add Aep. Type oi BuilAing Appliances Wired Equipment Wired
Home Range ? Service
Dupiex Water Heater . Lightiny Fixtures
Apt. Buildiny Dryer Electric Heatin
Commercial Bld,y. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk MilkTank
Farm Ofne? oec?ryi ocner (s?aeciry)
ther pecify Oi er Other Compute lnspecrion Fee Below
N Fea ServiceEntrenceSiza q Fee feeders/Subfeeders il Fee Grcuits.
0 to100Am s 0 to30Am s 0 to30Am s
/a i 101 to 200 Amps 31 to 100 Amps 31 to 100 Am s
Abave 200 Am s Above 100_Am s Above 700_Am s
Transformers Remote Control Circ. ' Partial%Other Fee
Signs Speciallnspection $ +cx-?
?°
Remark5 3 ti
O T f?F.Ea?
???
RouBh-in Date
1, the E ectrieal
Inspec[or, hereby
til
th
t th
b
Pinal
D. e
? cer
y
a
e a
ove
i ec ion has 6een
s-- ?.? ma e.
Fhls feqUCSt Void
18 monihs trom
r ? ? qS?
g?( cl?? s(Mct ?
? ?I?Q????
` ? ? 3Z $o?? 1 `o ? Cli
Request Date Fire No. Rough-in InspecUon -
Q??? fle?qutred? ?Readv NuwWill Notif , InsPec-
'tor Whe e dy
Yes o
?Licensed Etectrical Contrac[or I heraby reqtiast inspection uf above ?7
Ow'ner electrical work inscalled at: O? ? 10?
Street Address, 6 x o? Route No.
t;o -7 0- City ?
ection o. Township Name or No. Range Na. ounry t '
Occupant (PRIN7)
c_'c' n/? O Phone No.
`7?a ?--
Power Sup
p`er Addr sg s ?? ? r\
i?
U
Electr cal C.o W ntra?clor (Company Name)
r ` k r- C actor"s License No.
Mailing Addres5 (Cont?Gtor o,{ O,wner Makinp Insta'latioi) 5??( /,??7"". J .
? ? i/?'V E L ?D . . ? l Y `? I
Authorized S?gnat e(Cractor Owner Making Instal tion)
M:z Phone Number
.
? ??- I ( 1 4:)--
MI ESOTA STATE BOAHD OF EIECTRICITYTHIS INSPECTION pEQUEST WILL NOT Griggs-Midwey Bldg. - floom N-191 _ BE ACCEPTED BY THE STATE BOAflD
1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PHOPER INSPECTION FEE I5
Ph..no 16121 297_2111 ENCIOSED.
This rcuuest void
18 months irom
V 2 -•"'1 :.4'
L(?? CkFSA0.r- E.I `_"' .32-10s
lO( oo
Reque.st ate
- Fire No. Rough-in Inspection
Requved? ?.,{
?Ready Now/y?? Will Notify
Inspec-
? C
.
pZ ? Yes ? No ,
?r ? tor When Ready
Licensed Electrical Contractor I here6y request inspection of above
Owner electrical work installed at: .
Sireet A dress, Box or Foute No.
All ?o7L 'r-I Hd;kfto oA v? - City
E?coi%r'j
on o. Township Name or No. RanBe No. County
DI??
Occuq an?t (PRINT)
? 5,ht
'
f?
5 Phone No.
C
4
R?t
Pk-S hN, 5
qo
Power Supplier Address ? i nA- /.?/?? /
?f-I?NVlvJv
EI trical Contractor (Company Name) Contractor's License No.
-z
?d?
z
LL- ?re-Le- s
s
Mailing Address (Contractor or Owner Making Instailation)
r? U
-
C2. wrr
Authorized Sig ture ontractor/Owner Maki ng, InstallatioN Phone Number
?+ • J'?5 .
MINNESOTq STATE BOAND OF ELECTRICITY ' THIS INSPECTION HEQUEST WILL NOT
Griggs-Midwey Bldg. - lioom N-191 8E ACCEPTED BY THE STATE BpqRD
7821 University Ave., St. Paul, MN 56104 UNLESS PROPEfl INSPECTION FEE IS
Phnn., 161D 297-2111 , ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ;r.? EB-00007-03
,? See instructions for completiny this form on 6acic oi yelluw copv. ??.?,
?n? 21154
""X'" Bemom%YVo ic Covered by Thls Request 3'Z LQ S
N Add flap. Type of 8uildittg Appliances Wired Equipment Wired
Home Ranye Temporary Service "
Duplex Water Heater Lightin Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industriai Bidy. Air Conditioner Rulk Milk Tank
Ferm Othcr SpeafV Ot er (SpecifY)
lher Ver.ify Other Other
c;omaute lnsaectlon hee 8elow
N Fee SerVite EntranceSize k Fee Feeders/Subteeders # Fee CirCUits
? C) to 100 Am s 0 to 30 Am s 0 to 30 Am s
101 to 200 Amps 31 to 100 Amps 31 to 100 A rrps
Above 200 Amps Above 100_Amps Above 100_Amps
Transiormers Remote Control Cira s0 Partial:'Other Fee
Signs Special Inspection r
$ 7
Remarks ,
"O L ?
FEE
//1 1F
Rough-in Date . . ?, t c rical
Inspector, hereby
Final Date certify that the above
inspection has been
made.
inis request vow
18 months from
r/7?-44
2007RESIDENTIAL BUILDING rERMiT aPrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
<?1b , CD
New ConsWdion Reauirements RemodellReoair Reauirements Office USeOMY
3 registered site surveys shaaing sq. ft of bt, sq. ft of house; and all roo6ed areas 2 copies of plart showing foofimga bearta, joists Cert of Smrey Recd _ Y _ N
(20%meximdm bt corerage allowed) 1 set of Energy Cakwla6ais for heated add'thons Sods ftepat Y `N
1 Srnls Report if propased buiMing is to be p1aw pn dishurbed soil 1 site stirvey for addifians &dadcs Tree Pres Plan Reod Y _ N.
2 oopies of plan showing beam & windaw sizes; poured bLmd design, etc. Addition - irrclicete if ar-sfe septic sysfem Tree Pras Required _ Y _ N
1 set ot Eneigy Calwlatim On-site Septic System _ Y _ N
3 copies of Trfle PreservaGon Plan if lot platted after 7l1l93
Rim Joist Detail Optiais selection sheet (bufldings witlt 3 or less unils) AA
Minnegasco mechanicai vendlatlon fam HI"R 10 Plaras are considered publuc information uro6ess yoca state they aee trade seceet and the reason.
ngte 0?
Site Address tc l;ek(,(?(jpd :r>mJ„[, coost?ct?oo c? CX1142?
Unit/Ste #
/?
/.,r,44O S? Irrcr 4iw
Description of Work &-S/, SiGIe !? 077?6 {?K?/ ?C (!/hf/1"? J?'4w/"iLu? ??- •
Multi-Family Bidg _ Y ?( N
T? o-
Fireplace(s) _ 0 _ 1 i 2
PropertyOwner /? _?-Ak0/I0 Telephone#(??) u65 • 9G38
1?Contractor /IA/•I'j (?ry1?
?r' /X,QI ?D?l. d?/dYl4'?
p
Address &6 u
State `? ? ?1,(f(}f?-' City ?F. . Rzt ?
Zip j??j Telephone # ((?S/ ) a2Sf c?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission type) ' Residential VeMtilation Category 1 Worksheet
Submitted
• Energy Ernelope Calcula6ons Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitled
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # ( )
1 hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a 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.
b-luCy ?62? - Y?W&4 Applican 's Printed Name Applic t's Signatur
Certificate for:
Mark Scrianno
-3341 17th Ave, So.
, • `'Mpls., Mri. 55407
DELMAR H. SCHWANZ
LANOSUNVEVOR
RegisteraC Untlar Laws of The Stata of Minnesota
2978 - 145TH STREET W. - 80X M R06EM04JNT, MINNESOTA 56068
Li ?? - 4T.oo
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CQ ``G
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PHONE 812 423-7769
cD
aOw N SURVEYOR'SCfRT1FICATE ?
,T? 6 7-OP?EO-4
4kq?
v? TP IearJ ?:-?tas ?.w?.=9?9.5 , „ E?..E3.=9o'L.1
??,?9{9Z V40.01 S 09°sz 5Z E -
9j9a
? ? ?- I _??P-c
3a 0
p ? I r
?? 06
4°
? -? ? --?-- ' a N
? ? -- ?
o?I
j? ?? ? 30 01\1?.'A
a
I 'K.oE'
It? 1-t nn 7?r,- io?-? 2
? -rCOP -Top
30 2* 913.g
g? I] Denotea set wood hub & tack
9i94Denotes exiating elevation
Q Denotes propoaed elevation
.4-- Denotea proposed drainage
Proposed garage floor ??9_? •
Proposed top of foundation
Proposed basement floor
I hereby certify that this is a true and correct representation oP
Lot 6, Block 2, CHFS MAR EAST FIRST ADDITION, according to the
recorded plat thereof, Dakota County, Minneaota.
Also showing the location of a proposed house as ataked thereon.
Dated: September 10, 1982
.
;,x. ,. ?.,
MINNESOTA REGI TION N0.8625
f : %
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER H A&YC
SITE ADDRESS
CONTRACTOR DATE 9-I4' PHONE
Determine working square footage of each.
1. Total exposed wall area..... IS$O sq. ft. x .18 ? 33 .
2, Total roof/ceiling area..... 1501. sq. ft. x .04 = 5 2.
Total exposed wall area above floor = l(o SO
a. Total wall window area .................... 1:16.4-
b. Total door area...... ................... 3a
c. Total sliding glass dnor area ............. l2'L
d. Total fireplace wall area ............ ...
e. Total wa11 framing area (average 10%).....
f. Total net wall area above floor...........
g. Total rim Joist area ......................
' Totai exposed foundation area = q0
h. Total foundation window area ..............
i. Total net foundation area above grade..... 6,,p
Determine "U" value of each wall segment.
a._ lZco.4 x trUti .4'7 = S2-1
b. x fluff • 14 = S.3
c. [z:L x „U„ .4.i = 5R-7
a. - x ifUll
e. 134..5 x ,IuII .oq =
f. 12,01.3 x ?lU,l . 04 =
g. l100 g nUff ? ?fo =
h. '- X "U"
i. 40 X „U,l .OS =
3. ................................Tota.: _
1'z-
4-b v?
°t• co
2
If item #3 is the same as, or less than item #1, you have met the
intent of SBC 6006 (c)2. -
? - s
.
Total exposed roof/ceiling area = ?7?> OZ?
Total gross roof/ceiling area
J. Total sk,ylight area ..... .........
k. Total roof/ceiling framing area.... o•Z
1. Total net insulated roof/ceiling area 11'71.fS
Determine "U" value for each roof/ceiling segment.
y nUff
lc. 13o•2 X "U"
1. t l'l.l•2? x Tfull
4 . ....................................Tota1 =
If total of #4 is the same as, or less than #2, you have met the intent
of 5BC 6006 (c) 1.
To utilize the total envelope system method, the values established by
the sum of items #3 and #4, shall not be greater than the sume of items
#1 and #2.
1.
3.
+ 2. _
+ 4,
Materials Therm. Resistance "R"
Exterior Air •1-7
Siding Material
Sheathing 2.•n?o
Insulation ? t
Sheetrock • ?^s
Interior Air •??
Studs
Rim j . ?'v8
Conc. Blks. ?-
57+-• D2.
?
16-1.75 SPAN 6/12 FLAT 16DES? SY:'2c„R CHK. BY: N? CODE ? T1982 PI?78 ? sw,????ROUis, r eDouai
TOP CHORD LIVE LOAD 40.06 PSF TRUSS SPACIN6 2.E9 FT. CENTERS TNIS 6ES16N SIGLESTIOH IS iKTEM0E0 Fat USE BY THE BUIl4
I TOP CAORD DEAD LOAD 10.00 P9F PLATE SERIES 689 29 GA 202 P5I NET IN6 ARCNITECT AND EN61NfER IN PqEPWiRTIOM OF FHEIR f!NAL
DES{6AI& NO RESVON5181tITY IS ASSUlAFA FOA THE ERECiiON,
i BOT CSORD DEAD L4AD 1.B.00 PSE LOAD DURATION FACTOR 15=c BRACIta6, luro ASSExBtr W 7NE tGMMriETE 8UUCStptE.
? TOTAL UPTIFORM LOAD 60.09 P5F F REPETITIVE USED DE316N 8A6ED ON Gi1TERIA ESTABLISNED 8Y THE TRUSS PUTE
v INSTITUTE AND "NOS" BY THE NATIONAL FOREST PR00'JCTS ASSOCUTION ?
LtTM6 E RS : AEAC T ION3 : ------- - I
CttT GFJfBF99 tA BEAe. uTF'BAt.ir sUPPpti GAID9BS
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'
;B1 2X4 DOUG FIR 01 6 960 0' 3.59 IN, ?utES? tlh Botr??
WL 2X4 HEM FIR #i3 12 960 0 3.50 IN, SIDES OF JOINTS. CENTER PLA7ES ON 101NTS VNLESS NOiEO, .
W2 2X4 DOUG FIR #1
TOB AXIdIL BOT AXIAL W8B AXIAL iVEH AXTnr• • . , , . _ _. , r . • , - ?
MEMffiER FORCE LBR MEM9ER FORCE I,BR MEMSER FORCE LBR MEMBER FORCE LBR P.
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2- 3 -3467 T1 11-10 2299 Bi 11^ 2 -637 WI 2-18' 1955 Wl
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4- 5-3467 T1 9- 8 2299 B1 9- 4 -334 W1 9- 5 1381 Wi
5- 6-2494 T1 8- 7 g B1 5- 8 -807 WS 6- T 35 W1
8- b 2918 W2
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16-1.75 SPAN 6/12 FLAT 16 OA$ NOV B, 5982
I,-I5 DES. BY:?2C„R CHK. BY: CODS TPI-78
? TOP CHORD LIVE LOAD
TOP CHORD I)EAD LOAD ,
BOT CHORD DEAD LOAD
? TOTAL UNIFORM LCAD
' LUMBERSs
Tl 2X4 DOIIG" FIR d!1
B1 2X9 DOIIG £IR 41
Wi 2X4 HEM FIR #3
' W2 2X4 DOUG FIR 41
? TOP A7(IAL
ME14BER FORCE LBR
1- 2 -2494 T1
2- 3 -3467 Ti
3- 4 -3437 T!
! 4- 5 -3467 Ti
, 5- 6 -2494 T1
40.00 PSF TRUSS SPACING 2.09 FT. CEIVTERS
lA1.90' P$F PLATE SERIES 68.0 2A' GA 2b'A' PSI NET
YE.06' PSF LOAD DURATION EACTOR 15%
60.99 PSF IF REPETITZVE USED
aEAC r iorrs :
JOINT VERT.
6 9 61d'
12 960
?T AX1AL
MF..AffiER FORCE LBR
12-11 -0 B1
11-1B 2299 H1
10- 9 3437 B1
9- B 2299 B1
8- 7 b B1
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C??t? v,a?1s
7L7Td.l. _ .? -
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WEB AXIAT,
MEMBER FORCE LBR
12- 1 -925 W1
11- 2 -637 W1
18- 3 -3E8 W1
9- 4 -334 Wi
5- 8 -907 W1
8- 6 2918 W2
HOR. MIId.BRG.
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B 3.50 IN.
ViEB AXIAL
MEMAER FORCE LBR
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6- 7 35 Wi
Nov ? ^l LUMBERMATE COMPANY
EfUU 9AIMT 60U10. MIpSOYRI
TMIS OESWN SUGUESTIOM IS INiENDEO i03t USE BY THE BUitD-
ING ApCNITECT AMD E/M>1tiEEA IN PREPARATI6N OF LNEIB fINAI
UES16qS, p0 RESPONSIBft1TY IS ASSUM£0 i0R THE ERECTiON,
@NAGtMO. AlID A88fm1?LY TO THE CU61MElE STpUC1URE.
DEE16N BASED OPI CRITERIA EST/IBLtSXfp 8Y THE TRUSS PUTE
Ip1$TINTE AND "NDS" BY T4E NATIONAL FC4if5T PRODUCTS
ASStICIAT10Ft
--?"- ?. ,..?....
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t Eaw m stca ce s na ew v
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?
RESIDENTIAL
:, - `BUILDING PERMIT APPLICATION
CITY OF EACAN
/3830 PILOT KNOB RD - 55122
? ? 651-681-4675-
New Construction Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; anchll rooted areas
(20% maximum lot coverage albwed)
• 2 copies ot plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculafions
• 3 copies of Tree Preservation Plan if lot platted after 711l93
• Rim Joist Detail Op6ons selection sheet (bldgs wiUi 3 or less units)
'S '-I'?l (?'
-,)a -C,ga
-------?
RemodellReoair Reauirements
. 2 copies of plan
• 1 set of Energy Cakulations for heated addi6ons
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for addi6ons
DATE ?- /3 /C7)- - VALUA[ION
JOB SITE ADDRESS /D /IZ&l
,L)DD,d IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWN
V/0
TYPE OF WORK !f S-e4se.z odRdi-Lory ?!?de ?k FIREPLACE(S) ?0 ?1 _ 2
APPLICANT PHONE# 16.5-1-V3-Y-3003
ADDRESS _/O & , ZIP CODE 5-5-12 3
PAGER # ..?-/7_ -621- ?/603 cELL PHONE # ?14?5_ FAX # 6,?/- V0/3
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMP ?? qTR I
Energy Code Category _ MINNESOTA RULES 7670 CA1'EGORY 1 FEg 19 2002 ?
(check one) - Residential Ventilation Category 1 Worksheet Sub d
- Energy Envelope Calculations Submitted
_ MINNESO'1 A RULFS 7672 By
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
Plumbing System Includes: _ Water Softener ? Iawn Sprinkler Fee: $90.00
Water Heater No. of R.I. 13aths
No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: Air Conditioning
Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
Fce: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina e
Signature of Applicant ?
Certificates of Survey Received _ Tree Preservation Pla Received _ Not Required _
Updated 2002
OFFICE USE ONLY .
.- . ?
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 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 O 10 08-plex X 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
x 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire B idg only) - Give PCA handout to applicant
l?
? U- ?
n- 1
Valuation
w Occupancy MC/ES System
(
Census Code Zoning PD City Water
SAC Units ? Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
f C
T
t V-N W idth l? f ??? 'r?".A)
ons
ype o
REQUIRED INSPECTIONS
Footings (new bldg) _ FinaUC.O.
X Footings (deck) ? FinaUNo C.O.
? Footings (addirion) Plumbing
_ Foundation Z( HVAC
Drain Tile Other
Roof
-,< Ice & Water ? Final Pool Ftgs Air/Gas Tests _ Final
.
? Framing _ 5iding _ Stucco _ Stone
? Fireplace ? R.I. ? Ai r Test x Final _ Windows (new/replacement)
? Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
city sac
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
l??-.?ll
L? ?, :?.(a Y
Building Inspector
/? )' ?? ?oT" Gc.?-S2? ? ?, ?7-?9
? op
21? ?X ?O
?
GKt ZUu6
V 4
92%1?i20f12 10:? j 651462.860 r,qp
-ir-- -- _ SER BI.DF.. PaGE PZ
MNcheck COMP NCE REBORT i M
Minnesota Bn v cvde I Permit If I
MNcheck Soft re version 3.0 1 1
I
i
` Checkod bv/Date i
COUNTY: Dako ?
STATE: Minne ta
20N6: 2
CONSTRUCTYON YPE: Sinqle Fami.ly
DATE: 2-11-2 2
TSTLE: Addit n for MarR Schanno
NOTE9:
Exi9tina hou square footage and axeas were used to cslculate Aeafi
lcosa far ra addition. Existinq house has t,rip2e giaae windaw8, 2x6
walis, an[3 R ceiiinq.
COMPLIANCE: 35E5
Reauired UA 354
Your Home • 1
12.1$ BetCer haa Gode
Area or L"avitv? Cant. Glazinq/IIoor
------------ Perimeter
--------------.....------ R-Val.u e R-Value u-Valua UA
CBILINUS: Ra ----..-_,._.
ad Trusa 1622 _.._---_..
38.0 ___----------w.._.._....-^
25.0 --
25
WRI,3?S: DPoOd anse, 16" O.C. 2133 19.0 0.5 126
B9[NT: Cona. 0' ht/7,0P bq/8.0v inaul lEQ 10.0 0.5 10
GLA2TNG: Win wa or poors, Above Utade .382 0.330 126
DOflRS 5 3 0.250 1.5
FLOORS: Over utside Air 320 42.0 0.0 8
HVAC EQUIPME
___---_____- : Furnace, 80.0 AFUE
-----
COMPLfANCE 5 -------___.,----------------
TEMENT: The pzuposad buildina --•---_-..
deaipn _.._-_----------------_
de9cribed here ia -__-..
consistent w h the bu'ldfnq p1an9, specitic<at:ions, and oihex ca.lcuiatione
submitted rri the ne it apoJ.ication. Tne t»•opoaed buildinq ha:+ been
deeiqned to et th equiremen of the Minitesota E nergy Code.
gui lder/nesi ex , __ uate
,.. . . . ....
ficate for:
341 17th Ave. So.
p•la., Mn. 55407
DELMAR H. SCHINANZ
LANDSURVEYOR
ReqistsnE UnGer Laws ot The Sbte af Minnesota
2978- 145TH STREET W. - BOX M ROSEMWNT, MINNESOTA 56068
(aN
BK ?? ?p
PHONE 872 6231769
30oi r: SURVEYOR'SC RTIFICATE T ?g CMP
v? ?rap le?a ?. a .=9V95
' PIC,iiJ•9197 1,40 01 S 89°5i SZE -
S 8)°
Top ??
Et.EU = 90a 01
4T.DO __ _ _ _ _ ?
? ? ?? ? 9?9a
?
Ol
n m g' Ua? ? l? ?
I
?--?1 -? ? ! ----?----- 30
Q ;
? 'u ? I <p . ?.,. I
, ? I o
, a
Z Z
30 ql
6 ?
d n.
L ?^
?
?
?
?n?h
CQ?
S
.op 'ti i
r llrl s ToP IQaA1 140.01
:91'7A T? ?
3 ?, ?• tt,Q =9t3s
7?) o ?
E
rop 1 e,oy.l .
eLF'3.=902,l
?
3
0
oa
N
U
Q?
?
,-
- Top ??
EteJ.= g96.4
? Denotea set wood hub & tack
9i9.4Denotea existing elevation
? Denotea propoaed elevation
.•?- Denotea proposed drainage
Proposed garage floor 9/9•s .
Propoeed top of foundation
Proposed basement Ploor _ •
I hereby certify that this is a true and correct repreaentation of
Lot 6, Biock 21 CHES MAR EAST FIRST ADDITION, according to the
recorded plat thereo£, Dakota County, Minnesota.
Also showing the location of a proposed house as ataked thereon.
Dated: September 10, 1982
I ? ,- G?? 6.0fi - C'e-,iC/1-/-o E
Gv [ Tr-I .f}-n.n r Tr-t_--j
MINNESOTA REGI TION N0.8625 `
;
. I
I
I
_J
ificate for:
Schanno
17th Ave. So.
., Mn. 55407
DELMAR H. SCHWANZ
' LANp SUfiVEVOR
ReqisHrW UnCa Uws o1 The StaU of Minonop
2978 - 745TH STREET W. - BOX M R06EMOUNT, MINNESOTA 55088
3C) d ?
O(F
•1 ??
W
Gz
0
?
f
. cO?z -"? 1?ncoh
?
1
?
.?
ao
(17
0
o?
107A Kl2ur.Veve Q2
B(% (W, I la
VMONE 612 423-1769
SURVEYOR'SCENTIFICATE ?.? 4g TpPI?Aw?
TbP ieAa twO =9w.5 „
.=a?q s ?• e?3.=9a2.1
?_• 919 7 t4o. OI S 69°5L, SZ E - v
- - -. c.o? - -
10 -?p
?I
5I
s
? I
? `?•?
r T" W"
3 ?? Ek".-91-rA
f" ?
? 3Q
Proposed garage floor
9/9 s' . Propoaed top o£ foundation
Propoaed baaement floor .
I hereby certify that this is a true and correct representation of
Lot 6, Block 2, CHFS MAR EAST FIR3T ADDITION, according to the
recorded plat thereof, Dakota County, Minnesota.
Also ahowing the location oP a proposed house as ataked thereon.
Dated: September 10, 1982
?
;
1 ? / !
MINNESOTA REGI TION N0.8625
;
- - - - ? ?
j -- ' 994
,0
, I r
o?
? °?y'? ( 1 ?? ? ? N
? ?? ? \? ?/I ? I
,\ ? r (
8
3? °???'? I Q
(fiAo
?- ?o.co?' ?r. -
140.01 S H9' SL''fZ" E
Top Ro6 Top 1}oe
tA.i&4 z9{34 E;.F..Ja 908,1
..-
- -raP
ELW,= 8%.4
n ? p Denotes set wood hub & tack
9i9.4Denotes existing elevation
(?::)Denotea proposed elevation
4-- Denotea propoaed drainage
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119040
Date Issued:11/14/2013
Permit Category:ePermit
Site Address: 1072 Kirkwood Dr
Lot:6 Block: 2 Addition: Ches Mar East 1st
PID:10-17150-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Pelant
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mark S Schanno
1072 Kirkwood Dr
Eagan MN 55123
(651) 455-9638
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature