1592 Mallard ViewCITY OF EAGAN
3830 Pilat Knoh Road, P.O. Box 21 -199, Eagan, M N 55121
' PHON E: 454-81 D0
BUILDING PERMIT Receipt #
To be used for 1?F4 Est Value <7 gj, um' Date ,19
5ite Address f?'-LI-Ov VZ, ",Y OFFICE USE ONIY
Lot Btock See/Sub. TE'`aA?' ?'•u?1??? On Site Sewage Occupancy
?T li
3
MWCC System f• Zoning -
Parcel No. ll
W nst
A
t
l
C
e
On Site ua
)
o
(
c
City Water ?k (Allowable)
rc Name
z
W Address PRV Required ? # of Stories
o kt}-_?y??
City Phone BoosterPump Length
Depth
p Name S.F. Total 7
o Q Address Footprint S.F. ==Z
v
?¢-
City Phone
APPROVALS
FEES
?'
{?l!
1,-- z Engc/Assess. Permit ?
?'; ,
V yu
Name Y£}
? ? '
? =
_
Address Planner Surcharge ` 7
- .?
?
?
W Cit Phone
y Council Plan Review
,
a Bidg. Off. SAC, C+ty
I hereby acknowledge that I have read this application and state that the
Variance
SAC, MWCC
3[J
5
??'-
information is correct and agree to comply with all applicabie State of Water Conn. .
-
Minnesota Statutes and City of Eagan Ordinances. Water Meter ?'' ?
4?.' .. ?,
Signature of Permittee -_ ?-----
Road Unit
125.00
A Building Permit is issued to:__ ? ' X Treatment P1 -i?4 •?
on the express condition that all work shall be done in accordance with aU
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. „
Building Official- TOTAL
• Permit No. Permit Holder Date Telephone #
Plumbing
H.V,A.C. a',
Electric ? J?[=? / ?/• // g - 8?,
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
.7'
Rou9h PI
b9•
Rough Htg. P,
lsul. l.e.1
Fireplace 3 _ Z fl
Final Htg.
Final Pibg. --/7
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
• O
T.erfifiratr of (IDrrupttnry
titp of (Eagan
anarboct of iuilbing jtcspprtimc
This Ceraficate issued pursuant to [he requirements ojSection 306 ojthe Uniform Building
Code certifying rhal ar the dme of essuance this structure woas in compliance wrth tlre various
ordinanees of t)re Crty regulating building construction or use. For the fo!lawing:
[be C1aai6aaon _ 1CF 4 BWg. Rrmit No. 15634
pccupency 2ype R3M1 Zooing pisuia H)IR3 Type Con,st, VN
Owoer of Bm7ding OM TIM ASSOC• Addrau 664$ ??? M SE• PEOR IAM
Building Address 1598 MALL?? VIM I.acality L20? ?, Mi"'S LAKE WMW
Date: M 24 p M
Bw7di'ng OffiaWeP'
POST IN A CONSPICUOUS PLACE
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN ? _ .
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG
TYPE WORK DESCRIPTION
.
Lot Btock Sec/Sub Res. New
?
Mult Add-on
?' Name - Comm. Repair
m
c Address
City,
, Phone,?'?
Other
, FEES
?
c Name
•?
? RES. HVAC 0-100 M BTU -$24.00
AddleSS s -
- ADDITIONAL 50 M BTU - 6.00
3
p
City ''*- >- - 1;..;? -
Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1
50 EA
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air -'• .? M BTU "j% APT. BLDGS. - COMM. RATE APPLIES
il
B
M BT TOWNHOUSE & CONDOS - RES. RATE APPLIES
o
er U MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
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 # -' BEYOND $1,000)
Other
FEE: _ y
' -
S/C: J SIGNATURE OF PERMITTEE ?
TOTAL:
FOR: CITY OF EAGAN
. „ ... . .r.F.; ?
. . . ?-
,.%
PERMIT # - -
• ' • ' PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
: CONTRACT PRICE: ' PHONE: 454-8100
Site Address BIDG. TYPE WORK DESCRIPTION
Lot . Block ? Sec/Sub, , Res. New ?
- + r Mult. Add-on
a; Name ? - ? Comm. Repair
m Address 4
, Other
c Ciry ti.
r :? F• »-,." T`161V,9hone T.?1 RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NO. FIXTURES TOTAL
..
Name - ! • -? Water Closet - $3.00 $
`
?
- --? Bath Tubs - $3.00
c Address z L
3 avatory - $3.00
O Ci k??Q- ?f_`?_J - ?? ? Shower - $3.00 -
t Kitchen Sink - $3.00
FEES Urinal/Bidet - S3.00
COMM/IND FEE - 1% OF CONTRACT FEE ;Laundry Tray -$3.00
-APT. BLDGS - COMM RATE APPLIES Floor Orains -$1.50
TOWNHOUSE 8 CONDO - FiES. RATE APPLIES Water Heater -$1.50
MtNIMUM - RESIDENTIAL FEE - $12. 00 Whirlpool - $3.00
MINfMUM - COMM/IND FEE - $20. 00 . -Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - . 50 (MINIMUM - 1 PER PERMI'n
(ADD. $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
,
Rough Openings - $1.50 '
SIGNATURE OF PERMITTEE FEE: -
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: '
CITY OF EAGi
3830 Pilot Knob Road, P.O. 9ox 21-PHON E: 454-$1
BUILDING PERMIT
To be used tor Est. Value `J•LXQ
Eagan, MN 55121 .
Receipt #
Date ,19
Site Address 1_`96 h.'u? 1.,E.B,i:t v W
Lot • Block ? Sec/3ub. i ^kYK'?? ?X WWD6
Parcel No.
a Name ''? ??? ?S'OC ;
3 Address '?t?ft pt;gT7? ? 8X
0 Ciry Phone k47-2t*Z4
. o Name '?'•
? ? Address
? City Phone
?Q Address
City _
1 hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. .
Signature of Permittee
A Building Permit i5 issued to:
on the express conditioh that all work shall be done in accordance with ail
applicable State of iviinnesota Statutes and City of Eagan Ordinances.
Building
On Site Sewage OFFICE USE ONLY
Occupancy
R-3 21-1
MWCC System Zoning pp S"3
On Site Well (ACtuei) Const V'rl
City Water x (Allowable) V"N
PFiV Required ? # of Stories
Booster Pump Length 541
Depth -
S.F. Total
Footprint S.F,
APPROVALS FEES
Engr./Assess.
Permit !'
?''
__
3
Planner Surcharge oo''
Council Plan Review •
Bldg. Off. SAC, City
550'00
Variance SAC,MWCC 5 110• m
Water Conn.
waternneter 67.00
Road Unit 325•? :
Treatment Pi 2C4,00
Parks
TOTAL `? ? } ?
_ Permit No. Permit Hotdsr Date Telephone ?t
Plumbing
H.V.A.C.
Electric
Softener
Inapectfon Date Insp. COmmeflt8
Footings 1
Footings II
Foundation ?? ?? ?b 7v
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg. r
Final Plbg.
Bldg. Final
Cert. occ. ,,9
Temp. LP
Deck Ftg.
Deck Final
Weli
Pr. Disp.
(gprti#irafe of (Orrupanry
titp of eagan
leppartmnd uf lw*img jtumerrion
This Cernficale issued pursuant to the requlremenu of Section 306 of the Uniform Building
Code cerlifying lhat at the time ojissuance 1'his structure was in compliance with the various ?ordinances af the City regulating building construction or use. For the fallowing.
ue C..?ficed:.,., 1 cF 4 Bl,g. Perm„ ro. 15633
0-up,Ecy Tne R3 1 Zoe;vg DWjia PD/R3 Type coon. VN
o. d Bu" OAK RiIId A80C . 6648 MS'rIC FtD SE, PRI(lIt IM
suila' ? 1596 M V= ,?,,;ly L19, B2, ME1AS LARE WOC06
JARTAW 11, 1990
POST IN A CONSPICUOUS PLACE
PERMIT #
MECHANICAL PERMIT RECEIPT #
• CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
:ONTRACT PRICE: PHONE: 454-8100
Re Address BLDG. TYPE WORK DESCRIPTION
otBlack _...?„ Sec/Sub _ Res. New 6_
m IName Mult Add-on
Address Comm. Repair
C: City Phone?? Other
, _ FEES
? Name - '? RES
HVAC 0-100 M BTU -$24
00
. .
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone '
? ?' 1 -4 _J (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERiYl1T) - 1
50 EA
TYPE OF WORK
COMM/IND FEE - 1% OF CONTRACT FEE .
,
Forced Air - M BTU '? ... ? APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. FiATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL 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 -ot (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # - BEYOND $1,000)
Other
FEE
_ '• C ` _-?` Y.^., c ?..,._ ..f
S/C: SIGNATURE OF PERMITTEE ?
TOTAL:
FOR: CITY OF EAGAN
PERMIT #
• ' ' PLUMBING PERMIT
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
>NTRACT PRICE: PHONE: 454-8100 r '
Site
? Name
?o Addre:
c City _
Name
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
OF
FOR:
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
- ?,vmr?c ? c ? nc rv??v?mv.
=1XTURES TOTAL
- $3.00 $
?3.00
nn
- $3.00
L Laundry Tray - $3.00
? Floor Drains - $1.50
i` Water Heater - $1.50
Whirlpool - $3.00
:7--Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMII)
i 7- Softener - $5.00
Well - $10.00
Private Disp. - $10.00
4Z_Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
CONTRACT
PRICE
Site Address
Lot I.2
?
?
c
? Add
? Cfty
FEES
COMM./IND. FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHQUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SU HARGE PER PERMIT .50
(ADD $.50 S! PER EACH $1,000 OF PERMIT FEE)
FOR: CITY OF
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE 4548100
PEAMIT # _
RECEIPT #
DATE: _
Res. ? New_
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOL
? LOWING:
N0. FIXTURES TQTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
, snower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Waler Heater - $1.50
Whirlpaol - $3.00
Gas Piping Outlets - $1,50
? (MtNIMUM -1 PER PERMI'ry
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
Phone
PERMIT FEE:
STATES S/C:
GRAND TOTAL: 5,50
'`I", ' ' " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 •;':`''
PHON E: 454•8100
BUILDING PERMIT Receipt# •
To be used for `-Est. Value ?u4 ,ooo Date ,19
Site Address • ?4
Lot ?• ` Block z Sec/Sub. 7"?? ?M WOON
Parcel No
;t City Phone
?a
u
W
Name
Address
`W City Phone
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 Eaaan Ordinanees. .?
Signafure ol Permittee
- ;''; ASdUC
A Building 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.
Building Official______
On 5ite Sewage
MWCC System k
On Site Well
City Water x
PRV Required .?
8ooster Pump
APPROYALS
Engr.lAssess. _
Pfanner _
Council _
BIdg.Off. _
Variance _
occuvancr
Zoning
(Actual) Const
(Allowable)
# ot Stories
Length
Depth
S.F. Totai
Footprint S.F.
FEES
Permit
_ Surcharge
_ Plan Review
_ SAC, City
_ SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
X"LP.)y
TOTAL
R-3 H-1
PL lt-3
Y-111
v-,
641
321
588.00
-.??. ?
TOU.-00
-330-.To
330-.-0-0
b r.-0- b
325.00
204.00
•50
2-9730.l0
Permit No. Permit Holder Dab Telephone ?
Plum6ing lL?
H.V.A.C. ID?
Electric
; - / ? ? YL . !L? • ?/I ?O
Sottener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. 16 1 .G, -?-
IsuL
r"y
rJ?
l_ r, n i ?D 13+F141
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
cert occ. 1,01e
Temp. LP ,c ' •c ?DOr
Deck Ftg.
Decic Final
Well
Pr. Disp.
fEtxti#ira#t of (Orrupattry
titp of (Cagan
Irparintettt of Iudbing JWprfiutt
This Cern'ficate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying thar at the t!me of issuance thir structure was in conopliance with the various
ordinances ollhe City regulating buildiRg construction or use. For the following:
use clesifi.om 1OF 4 Yt.:M ew?. R,m;, No. 15532
o-p-y T?w R3/7'I1 zooins nnu;a .? Type cow. tT;
r.
" - . u. .
Owoero[Huilding -:rN pc"'?' Address . : -x??fk. ? I_"?
&uldiua Addre$ l.oality - - _ . ,
Bai7ding OWiCiol
POST IN A CONSPICUOUS PIACE
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 5
Site
Block
BLDG.TYPE,
f..
Res. ?
Mutt
Comm.
Other
? Name '
m
Address -L ? "' `?
c City - ? ? Phone ?
Name
c Address
p City Phone'
TYPE OF WORK
ForCed Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping OuUets # Other
FEE
S/C:
?- _ TOTAL
#
DATE / Ci /0'1 v /
For Office Use Only:
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT)
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RE5IDENTIAL FEE - ALL ADD-ON &
REMODEIS
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
- $24.00
- 6.00
- 1.50 EA. I
- 12.00
- 20.00
- .50
? _? -? a- ' `?? l_yi •,?• -?)-e,. .
_ ? SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN
' PLUMBING PERMIT
CITY OF EAGAN
3630 PILOT KNOB ROAD, EACAN, MN :
CONTRACT PRICE: PHONE: 454-8100
Site
m Name L _..n - --".. VLj-fL'1
4 Address ?' ?-r 7 y'_.
c City`- Phone `r`r
Name 4/'
3 Address 7 .
? p City, Phone
COMM/IND FEE - 1°r6 OF CONTRACT FEE
, APT. BLDGS - COMM RATE APPUES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN '
PERMIT #
RECEIPT #
BLOG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Oth
er
RE3. PLBG. ONLY - COMPLETE THE FOLLOWING:
N.p. FIXTURES TOTAL
Water Closet - $3.00 $
?Bath Tubs - $3.00
Lavatory - $3.00 ?
?Shower - $3.00
?-Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00 "
? Floor Orains - $1.50
--4-Water Heater - $1.50
/ Whirlpool - $3.00
-
-
Gas Piping Outlets - $1.50
7
(MINIMUM - 1 PER PERMIT)
t X Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GAAND TOTAL: '
CITY OF EAGAN :
,
3830 Pilot Knob Road, P.G. Box 21 •199, Eagan, MN 55121
y PHO N E: 454-8100 BUILDING PERMIT Receipt? - ' _
To be used for Est. Value - ?•• '? Date ,19
Site Address 1592 b 1e.6]
AI?S LA.KL,
Lot ' Block ? Sec/SubV
Parcel No.
s Name `'•' KUa-i 6.iSOC
z Address ? ? ? ?t;;>t Tr' ?4L SE
0 City I-AKF• Phone 447-2424
, p Name ??
? a Address
P City Phone
Name _
Address
City _
I hereby acknowledge that I have read this application and state that the
inlormation is correct and agree to comply with all applicable State ot
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
,. .. .,..
A Building 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.
Building Official__
OFFICE USE ONLY
On Site Sewege Occupancy
MWCC System Zoning 'n lt'"3
On Site Well (Actual) Const '
City Water ? (Allowable)
PRV Required ? # of Stories
Booster Pump Length 41
Depth -
S.F. Total
Footprint S.F.
APPROVALS FEES ?
k
? ?
Engr./Assess. Permit ?
?
-?7.5C
Planner Surcharge ' 17' 00
Council Plan Review e. : ' • 00
BId9. Off- - - SAC, City
Variance _ SAC, MWCC
j 50' oc
water Conn.
Water Meter ?i'l '00
Road Unit s25.00
Treatment P1 10411010
Parks I
- 544. 50
?
?
TOTAL '
_ Permit No. Permit Holder Date Telephone #
Plumbing G; ?? ?y? y G,?r
r
H.V.A.C.
\
Etectric `.:(
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing & .s
'
Roofing - ?
Rough Plbg. ? ,
Rough Htg. 4
Isul.
Fireplace C ? ^ fil
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
0 . b
Terfi#irate nf Orrupanry
titp of Cagan
???arbnM of IWLaWg 3nopprflan
This Certif?cale rssued pursuant to the requiremenls of Section 306 of the Unifonn Building
Code certifying ihat at the ume of issuance this structure was in compliance wilh rhe mrious
ordinances of the City regulaling building construcAon or use. For !he foJlowing:
ux cussift.lionLfl 4 eba. Pern?t r+a. 15631
oauv-r Trve R3/M1 zon;ng o;,u;c, PD/R3 Tm Coast VN
owna orauikUnsQP,K ?tIJN AS90C. Adda,. 6648 I3TSTIC RD SE. PRIOiR IAT
Building Addras L,,yiry T. 17, $2, T4Y'Ml1.4 T.AKF. GnEW
1
?; (1??' ....?%` •- ? -- n.te: Jiu Y • ?6, i g89
) eila".
l '
POST IN A CONSPICUOUS PLACE
PERMIT q
PLUMBING PERMIT
'
3830 PILOT CITY OF EAGAN RECEIPT #
KNOB ROAD
EAGAN
MN 55122 DA
E
,
,
T
:
CONTRACT PRICE PHONE: 454-8100
Site Address _ ' BLDG. TYPE WORK DESCRIPTION
Lot -? Block Sec/Sub
7 Res. New
77-7- - Mult. Add-on
? Name Comm. Repair
R Address Other
c C+ty .= iPhone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name " - ---j/-water Closet - $3.00 $
?
Add _LBath Tubs - $3.00
3 ress Lavatory - $3.00
p City , i-'q !Ff &fr/ Phone ' Y 1q ghower -$3.00
_?_._Kitchen Sink - $3.60
FEES ` Unnal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE 1-Laundry Tray -$3.00 -
APT. BLDGS - COMM RATE APPLIES _4-Floor Drains -$t.50
TOWNHOUSE & CONDO - RES. RATE APPLIES __?__Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20. 00 __4(_Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - . 50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Soltener -$5.00
BEYOND $1,000.00) Well - S10.00
Private Disp. - $10.00
Rough Openings - $1.50
• SIGNATURE OF ?AIv1!1TTEE FEE: -< tr
STATE S/C:
FQR: CITY OF EAGAf+r GRAND TOTAL: '/
IT #
. , , MECHANICAL PERMIT RECEIPT #
. . CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
?CT PRICE: pHONE: 454-8100
2 Name
.
.q Address
c Ciry
L Name
? Address -
O CitY .
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outiets #
Other
- M BTU
M BTU
M BTU
M BTU
CFM
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFiIAiT) - 1.50 EA.
COMM/IND FEE - 1'Yo OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S!C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE:
S/C: ? SIGNATURE OF PERMITTEE
T07AL:
FOR: CITY OF EAGAN
ArA-8iAL? 17-2LITS CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '?
PHONE• 454 8100
BUILDING PERMIT Receipt
To be used for 1%.F K Est. Value =.?Date ,19
Site Address 1548 MA1.LA8D VIBY
Lot 20 Block W-' Sec/Sub. THOMM LAYE WOODS
Parcel No
s Name ?? RUN AS8M
z Address 6648 AiTSTIC RB $I
? City 1-'RIOR LP!ZE Phone 547-.24""',
°C* Name sA¢
,o
? ? Address
1'- City Phone
Name
i W I City Phone
I hereby ackqowledge that I have read this application and state that the
information is Correct and agree to comply with all applicable State of
Minnesota Statutes and City oi Eagan Ordinances. Signature ot Permittee
A 8uilding Permit is issued to: J? kiiN A5$OC
on.the ezpress conditlon that all work shall be done in accordance with ail
applicable State of Minnesota 5tatutes and City ot Eagan Ordinances.
Buiiding Official _
QFFICE USE ONLY
On Sfte Sewage Occupancy F' 3 N'" 1
MWCC System f Zoning r='
On Site Well (Actual) Const
Ciry Water X_ (Allowable) V'-N ,
PRV Required ? # of Sto?ies
Booster Pump Length 6fa 1
Depth
S.F. Total
Footprint S.F.
APPROYALS FEES
Engr./Assess. Permit 474'00
37.50
Planner Surcharge
237
00
Council Plan Review .
Bldg. Off. SAC, City 100•00
Variance SAC,MWCG 550•00
Water Conn. -' So• op
Water Meter 67 • 00
Road Unit 325•00
Treatment P1 204,00
Parks
544
5o
`
TOTAL ,
.
. . . , . • ..v--?rr-?+^-?^_
. PERMIT NO. - ?? ?? ?•'? ?uc??
01-3210 Bldg. Permit
01-3422 Pian Check
01-3445 Surch./Adm.
07-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
24-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
/
?
?
L
TOTAL
-?1----?_- -_ .
i.crTs 17-2? eC?a : CITY OF EAGAN
??u,'p?.? t'.1 `S 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ;*• ~n r
PH ON E: 454-8100
`
BUILDING PERMIT Receipt # ;? r
To be used for 1OF 4 Est. Value $ Date - ' ,19
SiteAddress 1546 NALIr1A i V:E ii OFFICE USE ONLY
On Sfte Sewage Occupancy
Lot Z? Block 2 Sec/Sub. TKUM$ LJM VWD5 MWCC System X Zoning rc S-3
Parcel No.
a Name OAY RUl+i ASSOC
z Address 6648 YtlSTIC Ell SE
o C;?y ;?RIO? I,?AKE Phone 447-2424
a
.o Name_
z
o ? Addrqss
? City_
" W Name _
W W
z' AddrQss
? W CitY-
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. .
Signature ot Permittee ?I ? ' ;'f f , -, %- ='}'
0At, Ai}1'1 AS SOC
A Building Permit is issued to:
oA the express conditioh that all work shall be done in accordanCe with all
appliCable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ____
On Site Well (Actual) Const V"ili
City Water (Allowable) V-N
PRV Required X # of Stories
BoosterPump Length 64t
Depth 32 ?
S.F. Total
Footprint S.F.
APPROVALS
Eng r./Assess.
Planner
Council
Bldg. Off.
Variance _
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
474.00
37.50 ?
237.04 ?
100000
SSQ.(?O
550.00
67.00
325.00
204.00
Z,544..0
?
i
v
01-3210 Bldg. Permit
Q1-3422 Plan Check
01-1445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
loo
ao
TOTAL
?-?,--
?s s1? 1-20???' CITY OF EAGAN e ^^n
3830 Pilot Knob Rvad, P.O. Box 21 •199, Eagan, MN 55121
PH ON E: 454•8100 BUILDING PERMIT Receipt
To be used for 1OF 4 Est. Value ?104iUlDf.) Date ? ,19
Site Address 1594 MAi.I.ARD VIEW
Lot 18 Block 2 Sec/Sub. THdMAS LAKE WOODS
Parcel No.
m Name OAK A31M N3SOC
= Address 6648 RU$ZZC BD SE
? City PR7Ok UAK-=- Phone 447-2"?4
¢ Name S?
.o
? i Address
a C1ty Phone
Name _
Address
City_
Phone
I hereby acknawledge that I have read this application and state that the
information is corrett and agree to comply with all applicai5le State of
Minnesota Statutes and City of Earn Ordina s.
lI ? ir f ? , )
Signature of Permittee /? ? l•? 1 •??. ??'-/--i1
? QAK Iti3:d 1156'JC
A Buiiding Permit is issued to:
on the express conditiortihat all work shall be done in accordance with all
applicable State of Minnesota Statutes and City o( Eagan Ordinances.
BuildingOfficiat
OFFICE USE ONLY ;
On Site Sewage Occupancy R-3 M"1 '
MWCC System Y Zoning pn a*"3
On Site Well (Actual) Conet V--1'i
Ciry Water x (Allowable) v"N
PRV Required X # of Storiea
Booster Pump Length 641
Depth 3 2'
S.F_ Total
Footprint S.F.
APPROVALS FEES
t, e) ? .00
Engr./Assess. Permit
52'00
Planner Surcharge
294'00
Council Plan Review ?
100.00 .
eldg.Off. SAC,City
Variance SAG, MWCC 550'01D
WaterConn. 550.00
WaterMeter 67•00
Road Unit 325•00
Treatment P1 204•00
p**ACOny .SO
TOTAL 2,730.50
? F
PERMIT N0.1???'r?f
,• , ;
J •%,
•
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
C
TOTAL
CASH AECEIPT
..
CITY OF EAGAN
• 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE i 19 -
RECEIVED
AMOUNT 1 $
DOLLARS
I { 14
iao
O CASH `Itil CHECK
?f=
FUND OBJECT AMOUNT
,
. I
Thank You
BY
. . .- • ?
White-Peyars Copy
Yello%?Pos[in9 CAPY
Pink-FNe CoQy
L 2'7'.i 17 -2? CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '.
PHONE:454-8100 - - `,
BUILDING PERMIT Receipt ? -5
To be used for 1(! 4 Est. Value $7SiC•`•)L? Date ,19
Site Address 1542 !+AL1 ARD vjgW
Lot } 7 Block Z Sec/Sub?T0MAs IJIU WWJDG
Parcel No.
a Name OAK AUN ASSM
z Address 6664 RUBTIC r'1D SE
? City, pFYON 1_'L? Phone 447-2424
¢o Name
.
o ? Addre
c) Q .
H CItY_
Name _
Address
City _
Phone
I hereby acknowledge that I have read this application and state that the
intortnation is correct and agree to comply with aff applicable State of
Minnesota Statutes and City 9?1?agan Ordi,n?nce,6. - :'
. ? rSignature of Permittee ?_' `? .?:,,-% ;.jTT'!? -?-'? ?
A Building Permit is issued to:0AY. RZiN A3SM
onthe express condition that all work shall be done in accordance with all
appjcable State of Minnesota Statutes and City of Eagan Ordinances.
BuIldiAg Official____
OFFICE USE ONLY
On Site Sewage Occupancy R"3 M"l '
MWCC System x Zoning P" F'`3
On Site Well (ACtual) Const v-A
Ciry water x (Allowable) V-h
PRV Required X # of Stories
Booster Pump Length
Depth 32'
S.F. Total
Footprint S.F.
APPROVALS FEES ?
f' ' 4' 00
Engr./Assess. Permit
37' iO
Planner Surcharge
Council Plan fieview 237.00
1
BIdg.Off. SAC,City I00•00 '
Variance SAC, MWCC 550.0? I
WaterConn. 550•00 ?
Water Meter 67.00 i
i
Road Unit ?: ? • ? '
Treatment P1 A.04+00 ?
Parks
TOTAL
" ?4' 50
'
?+
I . BLDG. PERMIJ NO.
- ;.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
?
0
TOTAL
? , . CASH RECEIPT .
CITY OF EAGAN
3810 PILOT KNOB ROAD
?
? EAGAN, MINNESOTA 55122
DATE 79
e /
FECEIYED
F11011 4
AMOU
?
8` Ioa DOLLARS
? CASH 'o CHECK
FUND OBJECT UNT
Thank You
,
BY
. , ?. _
White-Payers Copy
Yello?ostinB CAPY
Plnk-Ffle Copy
CITY OF? EAGAN .."it No: Date:
36AP' Pilot ?@Enob Road $/ P.'Nq: ? 7- 75` Date: "'n
P.O. Boz 21199 •
Eagan, MN 55121
Owner. ' `''`'` `-a s L'.,, Dev Ltd.
SiteAddress: 52 Ma ar View Ll B2 Thomas I.ake Wooc?s
Plumber: .Tokgnson ,F,xc/ticDerm tt Plumbinb
MWCC: r ?50.0Cpj Zoning•
City Chg: " S?? •???i3 No. of Units: ?
Acct. Dep: 1.5. r-OPd
I agree to comply wlth the C1ty of Eagan
Permit Fee: OMinances. .-
Surcharge:
MiSC.: nnt" 2'.7QTiTRF.Ti BY ?L,? G.?: .
SEWER SERVICE PERMIT
Zoning: _
Ho. af Units:
Conn, Chg; 550,00W
Acct [7ep; 15. OOnd
Permit Fee: __12_QQWL_
Surcharge:
Tr. Plant ?1,1lf;n.,
Meter. 67 -2 p
Misc.: `.. 4-R4-`-
?.
I agree io comply with the City of Eagan
Ordinanc .
By
WATER SERVICE PERMIT
CITY OF EAr.AN Permit No:
383?.Pilot Knob Road, Date:
Meter No: tli St 9' 7R 3?, Size:
P.O. Sox ,1199 er N q 2?
Eagan, MN 55121 o: Q 0 7?D Date:
Owner.
Site Address:
Plumber J " ' "` ? • - •
.?C7 L
Conn. Chg: _
AccL Dep: _ . . `
Permit Fee:
Surcharge
2oning: _
No. of Uniis;
I agree to comply with the City ot Eagan
Tr. Plant - Ordlnances.
Metec Misc.:
WATER SERVICE PERMIT
CITY OF EAGAN Permit No:
Date:
383.. Pilot Knob Road Meter No: 4.2 74,40 Size: SA$ o C/f
P.4. Box 21199 ReaG`rr Na ?/
, aa1e: 7^ f_= !t
Eagan, MN 55121 T- -T
GITY OF EAGAN Permit No: Date: 10-11-88
3830 Pilot fCnob Road, B/P Ng: Date:
F:O, Box 21199
Eagan, MN 55121
Owner: La £ 2 Thozin s Wcoe-s
Site Address:
PI u mber:
7or,asor x' ? 1°??er*s.att '7 5" Zoning' MWCC:
City Chg: No. of Units:
Acct. Dep: I agree to comply with the City of Eagan
...•
Permit Fee: Ordinances.
Surcharge:
ne??,. • -'? Y,T - BY
SEWER SERVICE PERMIT
Conn. Ch9:
-
5 Zoning: R3
i
•O?'k'
Acct Dep: 1 - No. af Units:
Permit Fee: 10. ??-pd -
Surcharge: • 40pd I agree to comply with the City ot Eagan
Tr. Plant 204 •'?0pd Ordinances.
Meter.. F17 "P,zi,i
Misc.: ;?„•, ,. _ ? ?, BY
WATE R SERVICE PERMIT
CITY OE-EAGAN Permit No: ;4Date:
3830 Pilot Knob Road, Meter No: Size:
P.a. Box 21199 Reader No: Date:
Eagan, MN 55121 ?
CITY OF EAGAN Permit No: 'Date: 10-11-.22
3830 Pilot Ifhob Road B!p W: 9 ? s7 s Date: 2-2I-8E
P.O. Box 21199
Eagan, MN 55121
?homns.,lake Dev Ltd.
Site Address: 13 V41 1$1 laxd
MWCC: 550.00pd
City Chg: 100. "10pd
Acct Dep: 5. P`Permit Fee: . -- -
Surcharge:
Zoning•
No. of Units: '
1 agree to comply with the City oi Eagan
Ordinances.
Misc.: PRV Rt'[t gy
SEWER SERVICE PERMIT
Conn. Chg:
Acct Dep:
Permit Fee: 550•nop'
1' • C()n,';
1'j
Surcharge:
Tr. Plant ~ yop(A
P,
`?''". /
.}'p`1
Meter.
Misc.: - ftr.??--r:,t •
.
CITY OF EAGAN
3830 Pila! Knob Road
P.O.: Box 21199
Eagan, MN 55121
Owner.
?
?
Zoning; ?
No. of Units: `
1 agree to comply with the City oi Eagan
Ordinances.
WATER SERVICE PERMIT
Permit No: -'
Meter No: 4141 -7 f-?(TD
Reader Na !D k 14 J(g7
Date: 1 o-1 ': I
Size: '
Date:
Site Address: -'^rd gi pw 18 B2 Thomas Loke Woo1s
Conn. Chg: ?
Acct Dep:
Permit Fee:
Zoning: Ki
No. of Units: '-
Surcharge: ' arl 1 agree to cpmply with ihe City of Eagan
Tr_ PIanC 0 Ordinanc Meter. :
. _? .
Misc.: p
B
WATER SERVICE PERIIAIT
CITY OF EAGAN Permit No: Date: t C 1 L`'' `
3630 Pilot:KrYOb Road^ Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Permit No: Date: 1 0_1 I_?g
''?F EA610.N
i Pilot Knob Roaii B/P No: Date:
Box 21199
an, MN 55121
: l:S ia3?eCL'. D^:' LLd.
jwner.
?''1i.i%1:"d ?1'?E.4 ''?11?c51
3ite Address: ° -' _*
,i?,hndor ?=?,= ?•• ''? r-'o
?lumber:
MWCC: ZoningCity Chg: No. of Units:
Acct. Dep: I agree to comply with the City of Eagan
Permit Fee: Qrdinances.
Surcharge:
'•..., ,v ,-: ,
Misc : BY
SEWER SERVICE PEftMIT
Chg: Zoning: ?. ?
)ep: y • No. of Units:
Fee:
arge: ^'`A I agree to comply with the City oi Eagan
nt ' Ordinances. .
_•; . , B
y
WATER SERVICE PERMIT
Date: 1Ca-11-?F
CITY t9F EAGAN Permit No: S
3&30 Pila1 Knob Road,?ter d ize:
, P.O. Box 21199 : Date:
r Eagan, MN 55121 d o
Owner. a'lc;u:as , f.ai;.,:e 1)ev Ltd. -
` 59?5 t?iallard View .,I9 B2
i Site Address; `
'Plumber. ^cfMcDer?ott Plt?ab?.n
+Conn. Chg: 550' 4Q pu Zoning: ?
Acct. Dep: ' 5`04 T>u, No. of Units:
Permit Fee:
1 agree to comply with ihe City o[ Eagan
Surcharge:
Tr. Plant Ordinances.
, Meter.
Misc.: s- ., . _ gy{,
iTp WATER SERVICE PERMIT
C17Y OF EAGAN Permit No: Date:
3p3Q Pilot 1Cnob Road B/ P:1Vo: Date:
P.O. Box 21199
Eagan, MN 55121
Owner.
Site Address:.C598 Yal.i ard CTiew L24 B2 T;tomas ' k
Plumber: lohnsan Ezchic.^ermtt Pl_tifiF3fnn
MWCC: 554•00£x' r^
Zoning• -
City Chg: 1 ?p . ??C
: No. of Units: -
Acct. Dep:
Permit Fee:
1 agree to comptiy with the C'dy of Eagan
Surcharge: ' • Ordinances.
?
a_ n ?
y R .t.tiJlpF'I:
-
? SEWER SERVICE PERMIT
. ....?,,: . .
CITY OF EAGAN Permit No: yg? ? Date_ i?' -11 ?Sf
3830 Pilat Knab Raac#. Meter No: Size:
FrO. Box 21199 Reader No: Date:
Eagan, MN 55121
Site Address:• z 595 Tiellard V 1Aisr .1Q V
Plumber x'21-ia.s= T 1-r- /'"'r, r u .. ? ,. r- , ,, . ,. ? ....
Conn. Ghg; = S?. 0 O?'11 Zoning:
Acct Dep: ?`? •?'`' ' No. of Units: ?
Permit Fee,
Surcharge: I agree to comply with the Clty oi Eagan
Tr. Plant Ordinances.
? r BY
1NATER SERVICE PERM{T
_ _ ._...?
CITY.OF EACa*AN dermit No: 27 Date: 1`?} F 1'-88
3830 Piloi Knob Road g/PNo: "' 575 Date: 9,21-8$
P.O. Box 21199 ? - _ 14Z. Eagan, MN 55121
Clwnwr
Site Address: 1598" Mallard View_ _ L20 B2 Thomas d,b: tdood s
Plumber: Johason F'xc/14rL'err?ott Pl..vmhing
MWCC: 550.00pd Zoning- 13 i
City Chg: - `? No, of Units: i
Q
? , , P
Acct. Dep: , 0071 I agree to comply with the City of Eagan
Permit Fee: Ordinances. .
Surcharge: ,
p'? i' p.EQIJI°ED
Misc.: SEWER SERVICE PERMIT
;
/1// $$' Sy"f// O
? 65974
Request Cfate Fire No Roug?-In Inapection
Requlred'+
? Heatly Now ?Will Nohy Inspeclor
o
Wh
R
Yea ? No en
eaM
licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (SIreeI, Box or Route No )
?1??1_????Q QIy
$BCtlon No. Township Name or No Ranga No. CouMy,
,
Occupap PRIN? Phow No.
Power pphar Adtlress
Elecvical ConVactor (Compeny Neme)
' L iE ?hL Convaclorg Licanse No.
C'?l ' S-3
Meilrtg Atltlress (COntractor or Owner Making Installatpn)
AutliotlzeC Slgnatura (Covtract?or/Ow{ne,r,Makin nstelletlon)
AY?? ? /J.Li/J I Phone Number j
?L?-?o?lc?
MINNESOTA STATE BOAND OF ELECTRICffY THIS INSPECTION REQUEST WILL NOT
GriggrMitlwey Bltlg. - Noom &173 BE AWEPTEO BYTHE STATE BOARD
1827 UnWerelty Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)8620800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION .r. ee-oooo,-07
/ ? See instmctions tor complellng this form on back oi yellow mpy
R y Ub- 974 "X" Below Work Covered by This Request
ew Adtl Rep. Typeof8mlding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Hearer Eledric Heating
ApL Building Dryer 01her (Specity)
Comm.llndustrial Furnace
Farm ' Air Conditioner
Olher (apeafy) Comracmr5 Remarks:
Campute lnspection Fee Belaw:
# Other Fee # ServlceEniranceSize Fee # CircuitsiFeetlers Fee
Swimming Pool 0 ro 200 Amps /Z -- iy o to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs lnapectork Use Only TOTAL
?--?-.
Irrigation Booms c?
?p ----
l
Special Inspection
Alarm/Communication
F
Other Fee ? i; ? f
I, the Electncal Inspector, hereby
it
h
h RW9h-in
I
cert
y t
at t
e above inspection has
been made. F„, vZ , U•"; os?s
OFFICE USE ONLV
This reques[ wid 18 monihs Imm
//l/vlb'1f g`}// a
7 7 0 51,C,,?V
RBpuest Da[e '
, ire No Rough-in Inspadbn
Reqwred? ?r
? ReaCy Now ?y Will Notity Inspattor
R
d
9
/ ? Wh
I
) Ves ? No en
ea
y
IAlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Suri B. or
?
LS / / cfty
Secbon No TawiShip Name or No. RangB No. Couny
A&
Oau PRINn Pfrore No
Power pher /
,??Ci `??- ?,?`/ -"4 Atltlress
?
ir r 7-c, r?j
Elecmcal Coniractor (COmpairy Name) Contraclor5 L' b sa No
Mailing Atltlresa (Crntracior or Owner Making InslalleM1Oq) ^ ?.
Authonzetl Sgnalure (ConVacWr/pmer Makmg Installation) ? Prone Number '
MINNESOTA STATE eOARD OF ELECTPICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwey Bltlg. - Hoom S-1]3 BE ACCEPTED BY THE STATE BOAFD
1821 Unlvereity Ave., SL PBUI, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phom (612) 64241800 ENClASED '
REQUEST FOR ELECTRICAL INSPECTION r: EB-ooooi- 7
? 1? See mslrucMbns for complBLng ih?s form on back Of yelbw copy ?
M ' 7 7051 X" Below Work Covered by This Request
a gdd Rep. TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Wafer Heater Electric Heating
Apt Building Dryer Other (Specdy)
Comm./Industrial Furnace
Farm Air Conditioner
Other (speqty) Contractor5 Remarks:
Compute lnspection Fee Below:
# Other Fee # ServiceEnlranceSize Fee # Cimuits/Feetlers Fe
e
Swimming Pool
0 to 00 Amps
0 to 700 Aps #
:
:7
Transformers Above 200 _ Amps Above 700 _ Amps
Signs mspeclor9 Use only: TOTAL
SG
?
Irrigation Booms ?/
?.
'T
Speaal InspecNOn
Alarm/Communicahon
Other Fee
1, the Electrical Inspector, hereby
if
h Rou9ndn oate y J p?
/ G
y t
cert
at the above inspection has
been made. F,,,ai
, oa?e
i
OFFICE USE ONLV
Th¢ request vatl 18 moMhs irom
.;"/,W9V
$?e CZ,
R 77002
'
,/A,9 ,
J
Request Date ' Fire N. Raug?-InlnspecUOn
Re uiretl?
?
? ReeEy Now ill No01y Inspecior
R
tl
?
Yes ? No en
ea
y
licensed contractor ? owner hereby requast inspection of above electrical work at:
Job Atltlress (Sireet, Box or Rwte No )
/5-4qq Ciry "
Seciwn No. Tawnship Neme or No. flange Na Caunty
Oxuparrt (PRINT) Phone No.
Pow Suppber AEdress
? •
Elecm CoMraclor (Comperry Name)
- C.ontr¢ctoYS Lcense No.
J L
Malling Atltlress (COnVactor or Owner Making Installetlon)
ANhonzec55gnaNre (Conbaclor/Owirer Ma41 nsfellahon) Pfione Numppr
36
1
MINNESOTA STATE BOARD OF ELECTPICrtY THIS INSPECTION flEOUEST WILL NOT
GrlggwMidwey Bldg. - Room S173 BE ACCEPTED BV THE STATE BOARD
1821 Univeraily Ave., SL Paul, MN 55104 UNLESS PflOPER INSGECTION FEE IS
Phone (612) 802-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-00001-07
? See instruchons lor completing ihis Form an back Of yellow copy
7-M (12 X" Below Work Covered by This Request
e Add Rep. Type of Building ApphancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speci(y)
Comm./Indusirial Furnace
Farm ' Air Conditioner
Other (speafy) Contreclor§ RemaMa.
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps Z- 2 O to 700 Amps '? -
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspeetors Vse oniy: TOTAL
Irrigalion Booms
Special Inspection '
?
Alarm/Communicatlon ? ,Y-
Other Fee ;3 p r
I, the Elecfrical Inspector, hereby Rnugn-m , oa f, 7
certify that the above inspection has
6een made. Fnal
OFFICE USE ONLY ?
This requesi wid 18 monthe hom
!o/i
[? .6 5 9??J 6.. - //
n l?O- ni
Request Dete
v-? d Fire No. RaugMn Inspeclion
R ired'+
Yes ?NO /?
eeGy Now ??• ill NoGty Inspector
/?WhenReetlyP
I licensed contracior ? owner hereby request inspedion of above electrical work at:
Job Adtlreas (Streel, Bm or RoN NoJ
/?C' llcz rd
CJ«c? Ciry
€?C'??n
Secllan No. Township Neme or No Range No. CauMy A N
Occupa t(PRIM)
C?rn S phorre No.
Power pplle ^ Addreae ,
?tC?
Elechi I CoMractor (Campeny Na ?
, ??-e-
c nc--_ Conlracror5 Uce?e No.
e??
Mailing A/dtl' S5 (Contrector ar Owner Making InslellaGOn)
C.v ? Q
V (?C U (f-
Aum onz Sgnature (C?tracto r Making Insiellelion Phoire Nu r
MINNESOTA STATE BOMU OF ELECTRICRY THIS INSPEGTION REOUEST WILL NOT
Grlggs-MltlWey eltlg. - Room S•173 BE ACCEPTED BV THE STATE BOAFD
1621 Univ¢rstty Ave., St. Paul, MN 55106 IINLESS PROPER INSPECTION FEE IS
Phona(812)802-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-07
11, See inshuctions fo1 completing this form on back of yellow copy
C? = 6 5 906 `JC' Be/ow Work Covered by This Request
e Adtl Rep. 7ypeoiBuilding AppliencesWired Equipmen[Wlretl
Home Range emporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer O[her (Specify)
Comm./Industnal Furnace
Ferm ' Air Conditloner
Olher (speuly) CoMraclork Pemarks
Compute lnspection Fee Bebw:
# Other Fee # ServiceEntranceSize Fee # Circwts/Feedere Fee
Swimming Pool 0 to 200 Amps o fo 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SIgnS lnspe?or5 Usa Ony: TOTAL
Irri9ation Booms ?
Special Inspectron 7
AlarmlCommunication ? O`Av
Other Fee
I, the Eledrical Inspector, hereby Rough-in oWe
certirythattheaboveinspectionhas
6een made. Finai oM
112
OFFlCE USE ONLY ?
This raquest voitl 18 monihs tmm
6 5 9 7 3 , ag? .nza"),
Request Dafe
?i? Fire No Raugh-in InspacNlon
Reqmretl?
? ReaOY Now ?Will Notity Irepeclor
Wh
R
d
7
lf Yes ? No en
ea
y
I licensed contractor ? owner hereby request inspedion of above electrical work at:
Job Adtlress (Street, BaR or Route Na.)
1S9Z Ciry
7/ 1
Secfion No Towre?ip Name or Na Renge No. County
Octupant PRINT) ?
! ? 'rn S i e ?` ?nr;?-?? Phone No
Powar piier 4
?,?1? A ?,?'?
P4
tlress ?
u?m vY) m
Elednwl Convaclor (COmpeny Name)
As Li i?
JrV Cortlr S License Na.
- .
Mailing ACdress (COntraclor or/OwnBr Making InstalWtlon)
(O `/ J
'?-Y wc
Authonz SignaWre (CUn actor/ rrer Mabng Ins ation)
21 FNOne umber
MINNESOTA 5fATE BOARD OP ELECTNICITY THIS INSPEGTION REQUEST WILL NOT
GdggmMidway Bldg. - poom S173 BE ACCEPTED BY TME STqTE BOARD
1821 UnlvenRy Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone (812) 642d800 ENCLOSED.
REDUEST FOR ELECTRICAL INSPECTION es-00001a7
? See msimcnare ior compleiing ihis rorm on back oi yellow copy.
6 57973 "X" Below Work Covered by Thrs Request u
ew Add Rep. , TypeuT6uilding ApphancesWired EqoipmeniWiretl
Home Range Temporary Service
Duplax Water Heater Electric Heating
Apt. Building Dryer Other (Specifij)
Comm.Andustrial Fumace
Farm ' Air Condi4oner
Otherispecity) ConVactor§ Remarks
Compute Inspectian Fee 8elow:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feaders Fee
Swimming Pool 0 to 200 Amps f? jL 0 to 100 Amps ?/ -
Transformers Above 200 _ Amps Above 100 _ Amps
SIgf1S Inspeclor9 Use Only: TO
TA
L
InigaSon Booms ,
?
I ^y R
Special Inspection
Alarm/Commumcation
O[her Fee
? L
1, tf12 EIBCSfIC2I IfISPBCtOf, I1CfBby Rough-m
'
certifythatiheaboveinspectionhas
been made. F„?i
o?a?/ r?,
oFRce use onLr
Thia reques[ wid 18 months from
CASH REGEIPT -??
? CITY OF EAGAN . ?
3630 PILOT KNOB ROAD
. . EAGAN, MINNESOTA 55122
' OATE 19 re
rcCEceo . W_
rwr-
,>cVNJU?;iy $ O ,,lo? ? d
s oauas
? CASH ? CHECK
? 0? Al
_ I;Lt?c.c:J ' u ?•?t?s.
FUND O&IECT AMOUNT
' Sl ?. .? J t2 L?
Thank You ?
BY
"tTt' 8 rYWhita-PayeraCOpy
(!4a)
ValbrrPOStirp Copy .
Pink-Fde Copy
:w.,. • _
CASH RECEIPT
" CITY OF EAGAN " -
3830 PILOT KNOB ROAD
. EAGAN, MINNESOTA 55122
? . MTE 9 18
s 0.1o
8 DOUAFS
? CASH CHECK ?
?-
?.,?r?? A LL,
FUNU OBJECT AMOUM -
?
Thank You
ev
: .--r.,bre cacr
? ?'= weu
? Y. Y. s
Yelbw-POBtinp CApy
RNk-FJe Copy
..... ? : ,
CASH RECEIPT
-' CITY! OF EAGAN
3830 PILOT KNOB ROAD
. EAGAN, MINNESOTA 55122
`
EATE 9-0Z1 19 re
N$ O 3o d l?
a oauas
? CASH ? CHECK
'?A?2/,
?_,a,
FUND 08JECT NMOUNT
. / ?.
r
M1
?
Thank You BY ?/ 4?1N?1J
817575 va?--paY- C?py
Ydw&-vosure cow
rmc-Fuo copy
LOTS 17-20 CITY OF EAGAN
FOR-SALE UNITS 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 Nfl 15634
PHONE:454•8100 5,7?7?
BUILDING PERMIT Receipt#
To be used for 1 OF 4 Est. Value $75, 000
Date
9- a / (J/
,, 9?
Site Address 1598 MALLARD VIEW OFFICE USE ONLY
THOMAS LAKE WOODS
Lot 20 elock 2 Sec/Sub OnSiteSewage _ Occupancy R-3 M-1
. MWCCSys[em X Zoning PD R-3
Parcel No. V-N
On Site Wall _ (Actual) Const
a Name OAK RUN ASSOC Cirywater _X (Allowable) V-N
w
z
Address 6648 RUSTIC RD SE PRV Requiretl -2L- # of Stories
o City PRIOR LAKE phone 447-2424 Booster Pump _ Length 64'
oePtn 32,
p Name SAME S.F.TOtal
,
?a Address FootprintS.F.
? City Phone AppROVALS FEES
w Engr./Assess. Permit 474.00
W Name 37
50
? i Planner Surcharge .
_.,
a Address
Council
PlanReview 237.00
w
a City PhonB Bidg. Off SAG City 100.00
I hereby aCknowledge that I have read this ap licabon nd state thal the VarianCe SAC, MWCC 550.00
mformauon is correct ag e to comply ith all plw State of WaterConn. 550.00
MinnesotaStatutes ndCit ganOrdin ?
Water Meter 67.?0
2
Sgnature oi Permme - Road Umt 325.00
A Bwlding Permit is is to:_ -0AK_RUN-AS$QC._ Treatment P1 20Lk.0
on the express condi " that all work shall be donem accordance with all
Parks
applicable State of Minnesota Stalutes and City of Eagan Ortlinances. 2
544
50
Bwlding ON TOTAL ,
.
LOTS 17-20 BLOCK 2 CITY OF EAGAN
FOR-SALE? U1tIITS 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NO 15633
(y
BUILDING PERMIT PHONE:454-5100 Receipt # b 7?rrf?
To be used for 1 OF 4 Est. Value $75,000 Date 9' o'?l ,79 i-t
Site Address 1596 MALLARD VIEW
Loi 19 Block 2 Sec/Sub. THOMAS LAKE WOODS
Parcel No.
a Name OAK RUN ASSOC
; Address 6648 RUSTIC RD SE
° City PRIOR--IAKF - Phone 447-2424
OFFICE USE ONLY
On Site Sewage - Occupancy R-3 M-1
MWCCSystem X Zoning PD R-3
On Stle Well _ (Actuap Const V-N
Ciry Water X (Allowable) V-N
PRV Required X # of Stories
BoosterPump _ Length 64'
Depth 32'
S.F. Total
Footprint S.F.
a I Name SAME
;
0
0 a Address
i- City Phone
•Q
U,
wW
z?
ai
aW
Name_
Address
C itY _
I hereby acknowledge th ave read this applicatio and slate that the
information is correc nd a e o comply ith al ppli le State of
Mmnesota Statutes nd City a Or in ces
Signature of Permit _ _
A Building Permil is iss to _._ OAK R__ASSOC_
ontheexpressconditi hatallworkshallbedoneinaccordancewithall
applicable State of Minneso[a Statutes antl Ciry of Eagan Ordinances.
Building Oificial_ r
APPROYALS FEES
Engr./ASSess. Permit 474.00
Planner Surcharge 37.50
Council Plan Review 237.00
Bldg. ON. SAC, City 100. 00
Vanance SAC,MWCC 550.00
WaterConn. _550.00
WaterMeler 67.00
Road Unit 125.,.?0
ireatment P1 204.00
Parks
TOTAL 2,544.50
LOTS 17-20 sr.ocx z CITY OF EAGAN
FOR-SALE•U?dITS 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 NO 15632
PHONE:454•8100 A7? 7a?
BUILDING PERMIT Receipt# ???
To be used tor 1 OF 4 Est. Value $104, 000 Date ?`? / ,19?.
Site Address 1594 MALLARD VIEW
Lot 18 glock 2 Sec/Sub. THOMAS LAKE WOODS
Parcel No.
a Name OAK RUN ASSOC
3z Address_b_6_48 RIISTIC RD SE
° City PRIOR LAKE phone 447-2424
a Name_
0 Q Address
: City-
Name
City Phone
I here6y acknowledg ave read this app icatiort antl state tha[ the
information is corre and ag o comply wi h al pplic le Sta[e of
Mmnesota Slatutes d C?ty I an Ordm?
Signature of Permittee _
A Budtling Permit is issu o_ OAK R ASSOC
on the eapress condrtrodUfat al I work shal I 6e done m accordance with all
apphw6le State ol.Mm_ne.sota Statutes antl City of Eagan Ordmances.
Bwldmg OfhCial
? I
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 M-1
MWCC System X Zoning PD R-3
On Site Well _ (ACtual) Const V-N
City Water X (qllowable) V-N
PRV Required X_ # of Stories
Booster Pump _ Length
Depth 32 ?
S.F. To[al
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 588.00
Planner Surcharge $2.00
Council Plan Remew 294.00
Bldg. Off. SAQ Cdy 100.00
Vanance SAC, MWCC 550.00
Water Conn. 550.00
water Meter 67.00
Road Unit 325.00
Treatment Pi
aexoeCoPY -Sn
TOTAL 2.730.$0
LOTS 17-20 CITY OF EAGAN
FOR-SALE. UNITS 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 N? 15631
' " PHONE:454-8100 nr?s,??
BUILDINGPERMIT Receipt# x I q
To be used for 1 OF 4 Est. Value $75,000 Date ,19?
Site Address 1592 MALLARD VIEW OFFICE USE ONLY
LOt 17 Block Z Sec/SubTHOMAS LAKE WOODS On Site Sewaga _ occupancy R-3 M-1
MWCCSyslem X Zoning PD R-3
ParcelNo. V-N
OnSiteWell _ (ACtuaqConst
: Name OAK RUN ASSOC City water _ZL_ (Allowable) V-N
z
W Addres5 6648 RUSTIC RD SE PRV Required X # of Stories
o
KE Phone 447-2424
City PRIOB ? BoosterPump _ Length 641
. oaPm 32'
0 Name SAME S.F.7otal
.
? Q AddreSS Footprint S.F
a
.-
City Phone
ApPROVALS
FEES
w Engr./Assess . Permit 474.00
W Name 37
50
? i Planner Surcharge .
x -
Ui Address
Council
PlanReview
237.00
aw City Phone BIdg.Off SAC,CiTy 100.00
I hereby acknowledge jh"aw hav¢readihisapplicati and state that the Variance SAC,MWCC 5$0.00
mformation is corre and e to compl wrth app ble Slate ol WaterCOnn. 550.00
Minneso[aStaNtes ndCi a anOrdi nc ?
Water Meter 67.00
SignatureofPermitte
Road Unit
?5
90
..
A Bwlding Permit is is e to. OAK RUN ASSOC Treatment P7 ?04.00
ontheeapressconditi hatallworkshallhedoneinaccortlancewithall
Parks
applicable State ol Mmnesola Sta[ules and Cily of Eagan Ordmances 544
50
2
Bwltling Ofhcial-fW1.4-%11..dfI_'M_C,
TOTAL
.
,
6, Os-7
RESIDENTIAL BUII,DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4 'D 00
'
New ConsWction Reuuirements RemodeVReoair Reauirements Office Use Onlv
3 registered sile surveys showing sq. ft. of lot sq, ft of house; and all roo(ed areas 2 copies o( plan Gert of Survey Recd Y_ N
(20% mazimum lot coversge allowed) 1 set of Energy Calculations for heated addihons Tree Pres Plan Recd Y_ N
2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for additions & decks Tree Pres Reqd Y_ N
i setof Energy Calculations Addition - indkate d on-sife sepGcsystem On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan 'rf lot platted after 717193
RimJoislDetailOptlonsselecUonsheet (bldgswith3orlessunRs
Date -\0 / --) / 0'j Construction Cost t7cpoo ?
Site Address 7 ?j ? UniUSte #
Description of Work jQ,/7p?U , ??h') \fJ???
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 / 1/ _ 2
?/
yj, ?
Property Owner p r' ?n 1
Telephane # (V51 ) 'YSY-nl (57
?
Contractor Fl.??? t
_,???i?
Address `?y'W W, H W"/ City 6-enl
State "-) Zip Telephone#1i) tSr,74S)M
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules '1672
Energy Code Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submiked
Have you previously constructed a building in Eagan wii
fee applies. ?
1?1 ,r
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
plan? _ Y
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
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 c
approval ofplans. Lork which requires a review and
`?Q?.?? A`? j )j (?l
_ `
ApplicanYs Print'ed Name Applic t's Signa e
CITY USE ONLY
PERtv[I"I' #: RECEIPT DATE:
8008 ftESIDERTIAL 11+I£CiMICAL PERMIT APPLICATIOft
crrY og EAenx
S$SO fILOT KROB !iD
f./l6AN 1HN 55122
651-6$1-4875
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 0 Q g ( G -?__
SITE ADDRESS:
OWNER NAME: -.GJ
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #: lo5 -452-4 33
TELEPHONE #:
CIT(; r STATE: ? ZIP
Place a check mark next to the permic work type
_?:?xojK 45-5
(?lk6
Add-on, modification or alteration to existin dwelling unit $ 30.00
• furnace replacement
• air ex_chan
air aonitioner
E 2ao2
Nature of work:
BY-
Surchar e
State $ 50
Total
117 $
6
SIGr 'URE
voz
Pion
? engir
* * **
2422 Enterprise Drive
Mendota Heights, MN 55120
ng,
o I)eno%s monUmertf
F3Pqf'irT?S 5{1aW/7 Qre
.
cors r1,?s,I??10, BLOCK
UqKOTA CaUNTy MrNNfSOTA
16121 6e1-1914
Garle Slab Flevafion= 944,0
assumed Sub,iecf fo Easemenfs ojrecord
2 , THOMAS LAKE WOODS
I hereby cer(ify Ihat Uils sortvey, plan m rrporl was pr ared 6y me or under my direc su{fe i dtha? I I?Ji¢ 'I I? ?
' ? ?N ?
?? ?/ ,vDv 9hti ed e?? '?
unAer Ihe laws of the State of Minnesota. Dated thi: ?/?t dey ot A.D. 192lL .
SCUl@: I rncb? 4 od-fF ?,
6? 88082 NnRERT 8. SIKICH 1..5. !1-ne9i ---
Certi(icate of Survey for: OAK KUO "- _ ???? NOM" /
?v
' 7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 1yt,,3 j
INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURVEY, 1 SET OF ENERGY C6LCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WFIICH ADDAESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED.
MtJLTIPLE DWELLINGS RENTAL fTNITS FOR SALE UNITS x
# OF UNITS
_
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WZTH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLt3DE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
I oF 4 ? ? ?,,L??
To Be Used For: Valuation: /? Y7`?- Date:
Site Address
Lot / 7 Block
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor E/r[/[?'?/C64W,?GGJ'/a0?'/,
Address
City/Zip Code ea/E,fJl4L,
Phone -;P42;;2 ,y/
Arch./Engr.
Address
City/21p Code
_ OFFICE USE ONLY
_
?S0Do
On site sewage, Occupancy R 3 M-1
MWCC system ? Zoning pp R-3
On site well Actual Const v„U
City water ? Allowable v„cJ
PRV required li of stories
Booster Pump ? Length ?
Depth -32'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit y -)q,00
Planner Surcharge 3?,So
Council
B
Off
?
- Plan Review 2311100
ldg.
.
:4cyZ9
-7 SAC, City 100.00
Variance SAC, MWCC 5 ,o
Water Conn SD,ou
Water Meter (97,00
Road Unit 3Z5,00
Treatment P1 ,)u ov
Parks
Copies
I TOTAL
Phone fi
. .
-E
NhME: oAx NuN AssOcrATEs
HDC,F..C=S- 1592 h1raLLF-rRD VIElai
LOT. 17
BLOCk 2
FHHSE THOMA"o LAkE WOr_iDG
PRI L:E
YE5 SCd. FT. 5Q. FT. TC1TAL
- -- -----------------
GF;RHGE -----------
1 ------------
$14.36 -----------
440 ------------
$6,318.40
MtiIN F! nilR![ir::1SENIENT 1 $43.68 1244 $55,6S9.92
SLHB MHItd FLLiON $53.68 1I44 $0.06
SCCOND FLOUF $38. 94 526 $d . C+0
UhiFItvISHED BraSEt1ENT 1 $iO.C+O 1144 $11,440.00
F1N?'_uED BASEMEhJT $13.00 1144 $0.00
BHTH BASE."2NG F! OOF,' 1 $1,000.00 1 gl ,Q0F3.00
hIREF! ACF $1 ,0i9k7.00 1 3+0.00
GLH'_S PGRCH $25.00 144 $0.00
„C:REEhI PCiRr:N 320.00 144 $0.00
DECK $8.0E 120 $0.00
$74,44S. 32
-F
t ?
1968 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ? 5 0 z
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUS2 DESIGNATE WI3ICH A?DAESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS X, # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhAtERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- k?F 4 S ?K- -
To Be Used For:
At# Valuation: ?r7? 7 Date:
Site Address
Lot /9 Block 2
Parcel/Sub Woip,P?
Owner &A*''40?lBe/? 4v. lrDv)
Address
City/Zip Code 3r07 015-'
I
Phone
Contraetor
Address (p?,467 lLu? 4' a`G
City/Zip Code &A'oir ??i&L-
Phone o?' / - W0425:?
Arch./Engr.
Address
City/Zip Code
8?6p
orr'lcZ usr: UNLY
/ J'?l f1U?'"
On site sewage_
MWCC system ?
On site well
City water v
PRV required
Booster Pump _
APPROVALS
Occupancy 1Z•3 M -l
Zoning pp R-3
Actual Const V-N -
A1lowable V-N
# of stories
Length F,y
Depth 32
S.F. Total
Footprint S.F.
FEES
Engr/Assess
Planner
Council
Bldg. Of f . G??M
Variance
Permit SB$, aa
Surcharge 52,00
Plan Review 21'fN, 00
SAC, City 60,00
SAC, MWCC 550,00
Water Conn 55U.au
Water Meter 69,o 0
Road Unit 32,5, ao
Treatment P1 2-o4,oo
Parks
Copies
TOTAL ?J_3L1: Ci
Phone /f
: a;..
_E
A,HME :
G[YC1RFP''::
! DT.
E:LC•CI` :
°HF;SE
GAK RUN ASSOCIATES
15?4 MALLt±RG l1I EW
18
2
?HGh1A5 LF;li;E WGOUS
PRI L:t
------------------------- `r'ES
----------- S[t, FT.
------------ SO. FT.
----------- TOTriL
------------
-------------------------
C;HRAGE -----------
1 ------------
$14.36 -----------
440 ------------
$5,310.40
h1AIhi Fi nriR'RASEP9EtJT 1 $48.63 1144 $55,589.92
SLFii 1ii=IT.N FLUOR $53.68 1144 $0.1113
3ECnrdn FL41uF. I $33.?4 520 $20.240.3O
!!idFIhfISHED BF;SEMEh,lT $10,00 1144 #0.00
FItJiAHGD EsaSEhiEhlT 1 $13.00 1144 $14,872.00
BFy?H EHSE'2hlC> FLC7OR 2 $1 ,k.?F'gk3.E+E+ 2 $2,000.00
FTF.EPLF,CE 2 $1,000.00 1 $1,000.00
GLA:_S FCiRCH f £25.00 144 #3,600.06
SCKtEPd FuPi'N $20.00 144 $0.00
L>EGK 3+8.00 12E7 $0.00
3103,729.12
_E
1988 BUILDING PERMIT APPLICATION - CITY DF EAGAN
SINGLE FAMILY DWELLINGS / 5 y 3 3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
r ?
NOTEs ADDRESSES FOR CORNER LOTS - CONTR6CTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS ?
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
COhA1ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATZONS
p /?
IbF4 -SXb1-&h-R
To Be Used For: i Valuation:- --fDate: D/G d'
Site Address
Lot /?' Block 4Z
Parcel/Sub 7X944 sZgo& 4/0o9?,5'
Owner
Address
City/Zip Code
?
I? rj, OU o OFFICE USE ONLY
On site sewage_ Oecupancy R-3 M-I
MWCC system V Zoning P D Q-3
On site well Actual Const Y-N
City water V Allowable V-N
PRV required ? li of stories
Booster Pump _ Length G y'
Depth 32'
S.F. Total
Footprint S.F.
Phone
Contractor attc &4(?424M60
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
APPBOVALS
Engr/Assess
Planner
Couneil
Bldg. Off .'?-JZ _ Z9
Variance
FEES
Permit AO 4, 00
Surcharge 3 r7, 50
Plan Review ;2 39 •o0
SAC, City luo,oo
SAC, MWCC o,op
Water Conn 5S'tJ'00
Water Meter 69.00
Road Unit 325.00
Treatment P1 204•00
Parks
Copies
TOTAL J a5'
Phane li
1988 HIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ' 5 G
1
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGy CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WIiIGA ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HUILDZNG PERMIT IS ISSUED.
MULTIPLE AWELLINGS RENTSL QNITS FOR SALE UNITS 4L_ # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUAYEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhAERCIAL
INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: Date: ??6 6 6
Site Address /1?.Q??/qnd (//?,`L(j
Lot %210 Block a
Parcel/Sub z?Qr7)ALr4f%? K/;tAif
Owner A//fN??1Ary S,t?F..,C?l2Y
Address
City/Zip Code
Phone
Contractor
Address (J`?/cG(,?'T,(' K4's'G
City/Zip Code pria?^??ti1/,
Phone
Arch./Engr.
Address
City/Zip Code
OFFICE USE ONLY
On site sewage_
MWCC system v-
On site well _
City water
PRV required -+7
Booster Pump
APPAOVALS
Occupancy -3 M-I
Zoning Pp E-3
Actual Const V-N
Allowable y-N
fk of stories
Length G,/'
Depth 32'
S.F. Total
Footprint S.F.
FEES
Engr/Assess
Planner
Council
Bldg. Off.lyJ?b?29
Variance
Permit ' 1-19 N, o0
Surcharge $1>
Plan Review ? r), o0
SAC, City 00,00
SAC, MWCC .55-0,00
Water Conn ,55-D,oo
Water Meter 67,00
Road Unit 3.2S,oo
Treatment P1 Zpy,oo
Parks
Copies
TOTAL
Phone 4
#"/5&JOL
1989 BDILDING PfiIiMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLING3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CA[.CULATZONS
AOTSs ADDRESSES FOR CORNER LOTS - COATRACTOR/HOMEOWNER MUST DESIGNATE iiHICH ADDRFSS
IS DFS28ED. NO CHANGFS WILL BE ALLOWED ONCE BOILDffiG PERMIT I3 I33IIED.
M[TLTIPLE DWELLINGS EENT9L ONITS FOR S9LE UNIT3 # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITB BLDG. DEPT.# 1 SET OF ENERGY
CALCULATIONS
COMMERCIAL
INCLIIDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: ?? `?^'? Valuation ??
Site Address 16i?.1,r4r? tflol/ OFFI
Lot ? Block ?
Parcel/3ub.? f,GY'/dCL"i/1cL?
Owner
Address / 5-44 Yk&d+pb VI(;'1N
City/ZYp Code vrc&nr J-?5I9-,OA-
Phone ???J6- 53;a
Contractor 5t.trLvM, i rfA.(,uf ,
Address
City/Zip Code C?? PaA (21 C $5344
Phone zP144 -(c &4 `t-
Arch./Engr.
Address
City/Zip Code
Phone 0
Date: 670 ? 4 1,21-1
Oceupaney
Zoning
Actual Const
U of stor3e?
Length
Depth
S.F. Total \
Footprint S.F. \
On site sewage
On site well _
MWCC System _
City water
PRV required /
Booster Pump /
APPROVALS
Planner .
Bldg. Off.
Varianee
Couneil
e;E
F6G3
Bldg. Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
WaterConn
W?r Meter
Reet. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Tark Ded.
BOTS: Seaer & Water Permit fees and aocount deposit fees will be included in the building
permit fee. Processing time for sewer and xater permits is txo days once a liaensed
plumber has applied for a permib at City Hall.
_---?-?--___
.-----------------==-
DATE: 11-12-86 ENERGY CODE ----
-_====-r---M-=-==--._
CALCULATIONS -----------
___------
COMM N0: ---------
8661
----- --
CHASNEY ASuOCIATES INC. ------------------ - -
PROJECT: -----------
OAK RUN -•--------
4979 OL50N MEMORIAL HWY. LOCATION: BURNSVILLE
MINNEAPOLIS, MN. 55422 BLDG TYPE: TYPE A2
PHONE: 612/546-3355
---------------------------------- DEGREE DAYS
-- : 8300
INDOOR DESIGN TEMP +72 DEGREES ------------------- -----------
ENGINEER: ----- ---..._.
DF16
OUTDOOR DESIGIV TEMP -16 UEGREEu FIL.F: E-8661-1
CEILING - ROOF ASSEMBLY
AREA-SO FT _.--
U VALUE ------?--
U x A
----------------------------------
INSULATED AREA ---------•----- -----
1152 -----------
.025 --'--_==-=
28.?2
FRRMIN6 AREA 117 .070 S.lU
SKYI.IGHTS p q ri
O7HER (DESCRIE3E) p p c)
OTHER (DESCRIBE)
-------- °--------------------- p p p
--•-
] TUTALS ---------------------
1269 ------- ° --
*.i=*rux** ----------
37.11
2(-1VERAGE U VALUE (Ux(-1)/(A) L.INE 1 .029
3 REQUIRED U VRLUE *****+?** .033
EXPOSED WALL AHSEMBI.
°---- Y pREA-S8 FT U VALUE U x A
-
-----------------------------
TNSULATED WALL til AREA ---------------__._
575 __..__-="-_-
.054 :
=="==___
30.8FJ
FRAh1IIVG F1RF_A 41 bq .355 22.60
WINUOWS 129 .610 78.69
UOORS 33 .510 16.83
RIM JOIS7 AREA ' lUl .055 5.57
FTRFPLFICE WALL p p Q
IIVSULFlTED WpLL 42 AREA 91 .101 9.11?
f-RANTNG AREA 312 lU .219 2.19
UTHER (DESCRSBE) 0 U 0
0'iHER (pE5CRIBE)
------ -
- p
-----
- 0 0
?I TOTALS
--
--------1003 ------------
*:K:k:kW**x ----------
166.01
5 HVF_I:AGE U VALUF (UxR)/(A) LING A .166
6 RGQUIRED ll VALUE ,230
------ -
T07AL -------------- - ----_
ENVELOPE METHOD _____......--- =•--_°°_.,;:
7 AREA (LINE 1) + AREA (LINEY4)y ^ ^ 1269 1003= ===••_^??_-- _-- _2272?
S UxA (LINE 1) + UxH (LINE 4) 37.11 166.04 203.11
9 AREA (LINE 1) x U (LINE 3) 1269 .03 41.£38
10 AREA (LINF 4) x U (LIME 6) 1003 .23 230,69
11 F3UDGET (l_IIVF 10) +(t_INE 9) 230.69 41.88 272_57
12 U VALUF_ (LIDIE 11) /(LINE 7) 272.57 2272 , 12
-----__------------
^•uUMMHRY - -------•- ------___
--
U
- ---------------•-------- '--°-----------'._----
VALUE;; REQUIRED ---.___.._._-
ACi'UAI_ -----. _: ca_
DIFF
-
CEILING/ROOF ASSEMr3LY U VALUE ---------------------
.033 ------------
.029 ----------
.=l
EXPOSEU WALL ASSEMBLY U V!-ll_UE
' .230 .166 .001
TO
fAL ENVELOPE BUDGETS
------------- 272.57
----------
- 203.14 69.43
TF EACH pCTUFIL U VAL.UE OR LF E3UDGE --
-----------_-----------• -- ----- ---
'f IS LFS; THAN REQUIRED, ELUG. MEETS COPF
CUMPUTER CALCULATES U Tq Ar,r,URACY UF .00000001 13U'f .001 IS SHUWM FOP, CLl1RITY
c
JRTE: 11-12-86 ENERGY CODE CALCULATION?
---------------
- -----------
COMM N0:
----
-
8661
-----------_____--=_----------
CHASNEY ASSOCIATES INC.
------ ____
PROJECT- -
-----
---------..__
OAK RUN --------
.....- ----
4979 OLSON MEMORIAL HWY. LOCATION: BURN^uVILLE
MINNEAPOLIu, MN. 55422 BLDG 7YPE: TYPE A2
PHONE: 612/546-3355
___.--------
----- DEGREE DAYu : 8300
----
--
IND(]OR DESIGIV TEMP +72 llEGREES ------------ ------------
ENG7:NEER. ------..._._.
UAE3
OUTDOOR DESIGN TEMP -16 GEGREES
___--------- 1=ILE: E-8661-:'
--------....--------__..------
CEILING - ROOF ASSEMBLY
__ ._ _ ... - ° ----
' ------___..-
AREA-SB FT -'- =_°===::c
U VALUE
.. =r= -=____
U x A
----- -? ----. ------------------- - =
INSULATED FlREA - ? u ?
= = = = = = = -
1152 ? _ = ?
= = = = = ?
.025 ? - _ _ _ _ . .
- -. _
28.U2
FRAMING HREA 117 .070 B.]
a
SKYLIGHTS p p ,
0
Ol'FiER (DEvCRIE3E) 0 O c?
OTHER (DESCRIBE)
------------ .___------.- p
-- p 0
1 TOTfaLS -
--•-------
1269 ---------__ _
xr:Wa:*wx.*
------__ _--
37.11
2 FIVERHGE U VALUE (Ux6a)/(F1) LINE 1 ,pZq :r•:??:,ky;;??{;
3 REQUIRED U VALUE
-.-°._
EXPOSED WALL ASSEMBLY
-----------
AREA-SQ FT
U VALUE -----_-
U x A
---__.--- ---------------__
iHSUI_IaTED Wlll..t. itl l1P,FF1 _-----------
1290 °------,___
.051 ---- -
(
.q ?"
f=1'2RMING faREFI !l1 113 ,:555 ,
50_ %1
WLNDOWS 1•12 .610 86.6:r
DODR3 33 .510 16.8-?
RII`1 JOIST HRF_A lOJ. .055 ' 5.57
FIREPLACE WALL 0 0 0
INSULATED WHLL iS2 AREA 91 .7.01 9.1?
FRAMING HREA 42 10 .219 2,15'
OTHER (DESCRIBE) p p C)
OTHER (DESCRIBE)
----------------
- 0 0 O
--._
-------
4 TO7ALu
-______1810^
rt***:ti,t:y:**__
__-240.37
5 AVERAGE U VALUE (UxA)/(A) LINE 4 +?=**??-{* .133 *****+MK
6 REQUIRED U VALUE
.230
***w**a:*
^ TOTAL ENVELOPE
-- METHOD {
-__.--==-=----=========
7 HREA (LINE 1) + HREA (LINF 4) 1269 =======_=='=
1f310 =_====__=__ °=_=_°='---
3079
8 UxR (LINE 1) + UxFI (LINE q) 37.11 240.37 277,48
9 AREA (LINE 1) x U (LINE 3) 1269 .03 41,88
lU F1RFA (LIIVE 4) x U (LINE 6) 181U .23 416.3V
11 BUDGET (L.INE 10) +(LTNE 9) 416.30 *11.88 458.18
12 U VALUE (LIIVE 11) /(LINE 7) 458.18 3079 .15
SUMMARY
U Vf1LUE3
--------------_._-- REGUIf2ED r1CTlJt-1L pIPF
--------
CE7LING/ROOF ASSEMCiI_Y U VALUE -----------
,0 3;, ------------
.029 ---------
0 (),1
EXPOSEll W1-1LL !-! ;SEMBLY U VALUE . 230 .133 097
TC)TAl_ FNVELOPE BUDGF_TS
^ 1519.18 277.4£? .
LIIp.?r-
1F EFaCH ALTUF-1L U VF1._UEOR TF BUpGFT IS LESS TI-i!?f•I REQUTR EC?, CiLDG. rI FE'TS COC,C
COMPUTER CFILCULRTES U fU LICCURACY f7F .00000001 CiU7' .001 7"S : HOWIV F UR CLRRJ i`r
'DHTE: 11-12-86 ENERGY CODE
- - ------____.....-
---
CALCULATIONS
-------------?------ ---- - _ = ? S.
COMM N0:
---___.---- C S C: ? = _ _ :: :::1
8661
-
---
---------_.._°--
C'HASNEY ASSOCIATES INC.
- -------
------------
PROJECT:
------ ----
OF1K RUN ----.._.
--
---____. ..
4979 OLSON MEMORIAL HWY. LOCATION: BURNSVILLE
MINNEHPOLIS, MN. 55422 BLDG TYPE: TYPE A2
PHONE: 612/546-3355
- ---
- DEGREE DAYS : 8300
INDOOR DESIGN 7EMP {•72 DEGREES -------- ------------ ----- --•---
ENGINEER: ------____
LAB
OUTDOOR DE^-IGN TEIhP -16 DEGREES
-- -----
- FII_E:
-- C-8661-3
----°----
-
----------------
CEILING - ROOF AS.?'iEMBLY
-----------
_ --------- ------°-----
AREA-S8 FT °----------
U V(1LUE ------._..__
U x A
_-
-`_-.'.-'-------`-°------
INSULHTED AREA -------- =°-=?-_s?_,c
1152 _r..__-c.=='=_
.025 __='_= --:-
28.92
FRf-?MIIVG AREA 117 .070 S.1Q
SKYLIGHTS O 0 0
OTHER (DESCRIBE) p p 0
OTHER (DESCRIBE)
--------------------------------- O 0 0
-
1 TUTALS --------- ------------
1269 ------ ----
Y.:{.:k -----------
37.11
2 AVERRGE U VAt_UE (UxA)/(A) LINE 1 .029 ?***+ i1 i'
REAUIRED U VALUE .033
-------?---------^------
EXPO.,ED WALL AoSEMBLY
-"------
-
AREA-c.,0 FT
U VALUE
U x A
--
----------------------
INSULATED WFdLL #tl AREA ---- -
1440
.054
77.33
FR(111ING AREfI II.1 159 .355 56.;'.,i
WINDOWS 155 .610 94.5$
DOORS 33 .510 16.83
P.IM JGIST AREA 101 .055 ' 5.5%
FIREPLACE WRLL p 0
INSULATED WALL 1Y2 AREA 91 .101 9.11?
FRAhi1NG AREA 112 10 .219 3. I`?
OTHER (DESCRIE3E) 0 0
O7HER (DESCRIDE)
---------------------------- ----------
-
-
0
U U
h 'iOTAL^- -
----- ------------
lqyq ------ ---- - ------- - -..
962. 0:
5 pVERAGE U VALUE (UxA)/(A) LINE 4 _132
6 REQUIRED U VALUE _230
TOTAL ENVELOPE METHOD
7 AREA (LINE 1) + AREA (LINE 4) 1269 1989 325E1
8 U;cf-1 (LINE 1) + U:cA (LI.NE A) 37.11 262.03 299
14
9 AREA (LINE 1) x U' (LINE 3) 1269 ,03 .
ql.gf;
10 AREA (LINE 4) x U (LINE 6) 1989 .23 457
417
11 BUDGET (LINE 10) +(LIIVE 9) 457.47 41.E18 ,
499.35
12 U VALUE (LINE 11) /(LINE 7)
_ __ 499.35
.------ 3258
.15
'
-_.
SUMMARY ------------ ----.._.---=-. o-===
____:
- -----
U
----------- ---------- ----•-,--
VALUES
- -••-
REQUIRED -------
/.-1C1 I!AL v --------__
DTFF
CFILING/ROQF. AS^-uEh1ELY U VhLUE -------- --------- - -
.033 -- --
.029
A 004
EXPOS[D WALL A:;;EI•iBLY U VALUE .230 .132 098
TOTAL ENVELOPE E3UUGFTs
---------------------------- 499.35 299.14 ,
200.21
IF ERCH ACTU!1L U VALUE OR IF BUP,GE
T IS LESS
?TM(1N REQUIR
ED,?O_.DU. M -------
EE'f^-uJCODF
C;Of9PUTER CALCULATE' U TO !1CCUR!aCY OF .00000001 t3UT .001 13 SFIO4^JIV F OR CLARITY
--------------------------__.._..___------.._._--
___
DATE_11_12-86ENERGY`CODE_CALCULHTIONS
"
------
'
COMh1 N0:
8661
-_-__--•----===
---
CHASNEY pSSOCIATES ZNC. --------
°---------
PROJECT- ------ -----
°------ ...---
OF?!< :'
UN -------
--..._---_'--
4979 OLuON MEMORIAL HWY. LOCATION: .
BURNSV!LLE
MINNEHPOLIS, MN. 55422 BLDG TYPE: TYPi= A2
PHONE: 612/546-3355
-- °--------•---- DEGREE DAY S: 8300
--------------
INDOOR DESIGN TEMP +72 DEGREEu --- ---
----- ---
----------
ENGINCER:
-- -------
DAB
OU7DOOR DESIGN TEMP -16 DEGREES
---------------- -------------
-`--
------?----
FILE:
-- ,
E-Sb61-4
--- - --------
CEILING _
-__ROOF
ASSEMBLY
W
-----------
?
AREAyoO FT ----------
------------
U VALUE -------
- - -
---='_
U x A
_
_-
INSULATED AREA 1152 .025 28
92
FRFIMING AREA 117 _070 .
?
B
1
SKYLIGHTS ?
'
01'HER (DESCRIE3E) 0 O C)
UTHER (DESCRIBE) 0 0 Q
---------- ------- ------ 0 0 0
------
1 TOTHLS -----------
] 269 --
--
----37
1
1
2 F\VERI-1GE U V61LUC (UxF1)/(A) LINE 1 .
,.
3 REBUIRED U VALU[
EXPOSED WALL ASSEMBLY
-------------------._cxc_z?_?=x= AREA-S0 FT U VAI_UE U x A
===-- --
tr•a?:,u_nrEr, wn?.i.. ii t nRcn
l /7i? A
I.l?
«
_
11 7
FRFIMING AREA ttl l'1
. pi
Wiricows 86 .7)5!? 30.5()
DOORS 182 610 111.02
RIM JUIST AREA 33 .510 , 16.8:3
FIREPLRCE'WALL 101 .055 5,57
INSULATED WALL 1#2 AREA 0 0 ?
FRAMING AREA tt2 bg 101 e ?,i
OTHFR (DESCRIBE) 7 .'?19
OTHER (DESCRIE3E) (i 0 U
-------------------------
-- C) 0
----
4
07qLS ----------•-- --- --
G
5 1VERAGE U VALUE (UxW)/(A) LINE 4 1256 214.1':)
6 REQUIREU U VFII
UE
_
------•-
------___
__, TOTAL`ENVELOPE _....-_xc:=c_x
METHOD ?cr?:_=__'= _a-'--==--
7OREF1 (LINE 1) + AREA (LINE 4) 1269 1256
8 UxR (LINE 1) + UxA (LINE Q) 37
11
214
19 2525
.
9 AREA (LINE l) x U (LINE 3) 1269 .
03 251.30
10 AREA (LINE 4) r. U (LINE 6) 1256 .
Z;:; 41.86
11 t3UpGET (LIME 10) +(LINE 9) 288,88 ,
41
88 288.88
12 U VALUE (LIN[ 11) /(LINE 7) 330.76 .
2525 330.75
----------------------
.____------ ----------
--_.--..__...
-
---
-
=
.13
SUMMARY ----------- -
-
-===-
---- ------
-----.-T.
-
U VALUEo
--------------------
------
------------
RLQUIREU
----
--..... _----
AC I: •;i_ ---------
-------
DIFF
-------
CEILING/ROOF HSuEMBLY U VALUE ----------
--
------ -----
----------
EXPO:;EU WRLL ASSEMBLY U VALUE .033 .0011
TUTAL ENVELOPE QUpGETS _23C) !/1 .US?
---------------------
---------------- 330.76 •?'. ,, i. 30
._. 74.46
- -----
iF E(aCH ACTUAL U VALUE OR IF QUDGEI" Iu LES3
C:DMPUTER CA ----
1"I-IF1N REQUIRED, f3L.lI?;. MEETS CODC:
I.CULpTFS U TU ACCURACY UF .OOOOOOUI BU'f .001 I:i 311(d?! FOR CLl1RI1Y
--------------
DHTE: 11-12-86 ENERGY CODE
-••---- CALCULATIONS COMM N0: 8661
---------------°------•-----
CHASNEY ASSOCIATEu INC. -----------______.---?
PROSECT: --- -------
OAK RUN ------...._.
4979 OLSON MEMORIAL HWY. LOCATION: BURNSVILLE
MINNEAPOLI^-, MN. 55422 BLDG TYPE: TYPE A2
PHONE- 612/546-3355
--------------------------------- DEGREE DAYS
-----------
--
- : 8300
INDOOR DESIGN TEMP +72 DEGREES -
--
----- --------- -
ENGINEER: ----------
DAD
OUTUOOR DESIGIV 'fEMP -16 DEGREES
- FILE:
- E-0661-5
------'
-
CEILING - ROOF ASSEMBL
-----
Y AREA-SQ F7
U VALUE -
--
U x H
--------------' ---'--'-----
IIVuULATED AREA --`--'-----
1152 -"'-'-
.025 -------_":
20.92
FRAMING AREA ' 117 .070 8.19
SKYLIGHTu i) 0
OTHER (DEuCRIBE) i) 0 n
OTHER (RESCRIBE)
--------------------------------- 0
--------------
- 0 0
1 TOTAL^u -
------
1269 ------------
=kr???x* * -----------
37.11
2 AVERAGE U VALUE (Ux(A)/(!a) LINE 1 ******??r .029 ??******?
3 RGQUIRED U VALUG *y*****? .033 ****??-'?y
----------- ^
-------------
EXPO^oED WALL A^.?aEMB
. _.__.-
-
----------------------
LY AREA-S8 F7 ----
-----------
U VALUE ----------
---------
U x A
-
------..__•.--------
TIViULAT'F?U WF1Ll_ Ikl (1RLF1 --------------'------
149-1 --°--•--=---
.054 __====-r.::
BU.:','•
FRFIMING AREA 41 165 .:555 58.51
WINDOW^u- 195 .610 11E3.95
UOOR^•u 33 .510 16.£33
RIM JOIST AREA 101 .055 5.57
1=IREPLACE WALL p v Q
INSULATED WALL ik'L AREA 6c) .101. 6_ 9'7
FRAMING AREA 42 7 .219 1.53
DTHER (DESCRIk3E) d
OTHER (DESCRIBE)
----------- -------------------- ? 0
--
4 TOTALS ----------------------
2064 -----------
**:ti*A:*:kA: --------------
2f38,5^
5 RVERFIGE U VALUE (UxA)/(A) LINC 4 .140
6 REQUIRED U VFILUE ,z;;p
TOTAL _
ENVELOPE METHOD _7.._....----- 0==='
--------------
-----°------_...------------__ax;=ca=
'__cc--?
======xc
=====
nc='?=-
----
----------
7 AREA (LINE 1) + AREA (LINE h) .
-
1269 20E•1 z 333:?
8 UxA (LINE 1) + UxA (LINE 4) 37.11 288.53 325,E9
9 AREA (LINE 1) x U (LINE 3) 1269 .0:> 41_88
10 AREA (LINE 4) x U (LINE 6) 2064 ,2:'• ?74,72
11 BUDGET (LINE 10) +(LINE 9) 474.72 41.88 516.E0
12 U VALUE (LINE 11) /(LINE 7) 516.60 3333 .15
- - ---__...-
SUMMARY ----------= =---==-=-
--------------- U VFILUES RE6IUIREG ACTUAL I, ,IFF
---------------
11
CEILING/ROOF-ASSEMBLY U V!1LVE - -----------------------
033 ---
--------
029 -----------
EXPOSED WALL ASuF_MBLY U VALUE .
.230 .
.140 00•1
090
TOTAL ENVELOPF BUDGETS
--------------------- 516.60
------- 325.69 .
190.91
IF EACFI ACTUpL U VlaLUE OR IF BUDG ---------- -----°
ET IS LESS THllfd REQUIR ---
EU, BLI:aG. MEETS COUE
COMPUTER CALCULfaI"E^ U TO ALCURRCY OF .OUOOOOOl F3UT .OD1 I5.Sf-iONJIv F OR CLARITY
•DHTE: 11-12-86 ENER6Y CODE
--------`--.__.__
__._- rc2=x?::::_11
CALCULATIONo
--------------------... C?:s:'r"?:=r
COMM N0: c_':;:-" :
8661
____
--------------
CHASNEY AS^-OCIHTES INC. _
----------------...----
PROJEC7v __ --------
-- ------..._.
OAK RUN -------
..--°--- ..
4979 DLSON MEMORIHL HWY. LOCATION: BURNSVILLE
MINNEAPOLIS, MN. 55422 BLDG TYPE_ TYPE A2
PHONE: 612/546-3355
--------------------------------- DEGREE DAY:,: 8300
------
INll00R DESIGN TEMP +72 DEGREES ------- ...------- ._ ._----------
LNGINEER: ---------- -
DAES
OUTDOOR DESIGN TEt1P -16 DEGREES
---------------------
----------- - ------ FZLE:
---- E-8661-6
---
'_-.-----
CEILING - ROOF RSSEMBL
'------
---
-----------_---------
Y AREA-SO FT
---------------------- -------
______-----
U.VALUE
--- ----------
-------,,.--
U x A
---------------
INSULATED AREA ----------------- --__
1152 _--__=_°=_=
,025 =_==
28.92
FRf-1MING AREA 117 .070 8.19
SKYLIGHTS U U 0
OTHER (DESCRIBE) 0 0 O
OTHER (DESCRIBE)
--------------------------------- p
----- p 0
1 TOTALS ------------ ° ---
1269 ---.._------- ------- - -
37.1].
2 faVERAGE U VALUE (UXA)/(A) LINE ], .029
3 F.E47UIRED U VALUE
.OJJ
c__'
EXPOSED WALL ASuEMB
---------
------ _'____"
LY AREA-SQ F'f
---- ---__.--------
U VALUE
--------
U x H
-------------?---
INSULFlTED WF1LL ftl HREA
--------------.------..
16?':' ---
.- -----.._..-
.05? --------,...
- ----- -
08.1£?.
FRAItiING HREA #I1 lU2 .355 6,1. °-t
4JINUOWS 12.1
,
, - !i.L 0
1 ?1 . F3 I
DOURu 3.1 .510 lfi. F3
RIIh JOIST AREA 10! .055 5.5?
FIREPLHCE WALL r 0 ?
INSULRTED WAL-L Jt2 AREA ,
69 .101 t
6.??
FRAMING F1REFl #12 .219
OTHER (DESCRIBE)
OTHER (DESCRIBE) U
------------------
-
- 0 C)
h TOTALS -
---------
---'2255
S AVERAGE U VALUF (UxFI)/(A) LINE 4 **??=***? _141
*=?*?*=*a
6 REQUI RED U V(1LUE
.ZJO
70TAL
--------- ENVELOPE METHOD
----
----------------
7(-1REA (LINE 1) + AREA (LINE h) -----------
--------------_====-c
1269 225'",
===="__=_`_
_=
3521
8 UxA (LINE 1) + U>cF1 (LINE A) 37.11 318.4:' 355
S:i
9 AREH (LINE 1) x U I (LINE 3) 1269 ,O:; .
B;3
/11
10 AREF1 (LINE q) x U (LINE 6) 2255 .2:? .
??r?
S1F{
11 BUDGE7 (LINE 10) +(LZNE q) 51t3.G5 4].Eit'. _
;
560
5
12 U VALUE (LINE ,ll) (LINE 7) 560.53 352,,
-----°° ,
,
,_1
------
------
SUMMARY - . .
-
- ----------------------
--------- ---------°--------_...
U V,aLI.Eo REwUIREL
-
I
? _ .._..c=."==-
i1CTUF?L. -_:-----._...
UIFf=
..
CE7LIIVG/ROOF-AS^aF_M6L1' U Vfll_UF ----
-
---------,--`°-
0";' ---•---------
OZg -------
,
EY.PU SEU bJALL ASS3CMERLY U V6aLUE ,
23". .
141 ,U(.
,l
T0T41L FNVELOPF BUDGF_T.^-,
560
5;; ,
355
52 , pgu
205
N
' . . .00
IF FF1CH l1CTUlaI.
U V!1LUF_ OR 'CF
F.3UDGE1' I} LEJFJ TFIFIN RGOU.ff; FD, Ot
DC
M EETS CC)UF
COP1PUTER Cl1LCULA'I'FS U TO l1COURACY OF .OOOOUppl ftUT .(i!? .
.
7S SHOW14 F OR Cl_/aR1T'Y
1
"___'_
_
='=c?
__cr
'
______
DATE: 11-12-86
--------- ___
---- .c___' ?'cc== " s?x===ccx__==' cc'
TRANSMISSION FACTORS COMM
---------------------------
- cc
N0: 8661
----- ----
CHASNEY ASSOCIHTES
--------
INC. -
-------
--------------------°---------------
PROJECT- OAK RUN ---------
-------.....
4979 OLSON MEMORIAL HWY_ RUN N0: 01 PAGE N0: 01
MINNEAPOLIS, MN. 55
--------•---- 422 ENGINEER: DAB FILE: CFiLC OS
-•-------
ROOF R
------------------- --------
VALUE
-------- -----------=-=-==--===-====?e?====_=
ROOF FRAMING
- _?_=='___
R VALUE
OUTSIDE AIR FILNI
.17 -----------------------------------
OUTSIDE faIR FIL.M ---------
.17
ROOFING ,44 ROOFING .44
12" FIBERGL/-1S 3E3.00 FRAhIING 12.50
5/8" uHEE'iROCK .56 5/8" uf-IEETROCfC .56
INSIDE AIR FILM
.61 ------......_.._..._._.._._......._....___........
ItJSIDE AIR FILt1 _...... _....... __..... ..
.61
TOTAL R VALUE
------------------- 39.78
-------- TOTAL R VALUE
----------
- 14.2E3
ROOF U VALUE
-?---
.0251 ---
----------------------
FRHMING U VALUE ---------
.0700
-------..------
WALL N0. 1 R
------------------- -------?
VALUE
-------- ---___---?--__--===°_`==-==--.====.-c:=
WALL FRAMING -
--- ='=_==__:
R VALUE
OUT3IDE AIR FILM
.17 --------------------------------•-
OU7SIDE AIR FiLM --- -------
.17
SIDING .79 SIDING .79
5.5 " FIBERGLAS 16.50 FRAMING .69
5/8" SHEETROCK .56 5/8" SHEE1'ROCK .56
INSIDE F1IR FILM
,61 ..................__.......----..__......-
IN?IDE ASR FIL M ---._........._._....
.61
TOTAL R VALUE
------------------- 18.63
------- TO1"AL R VALUE
-------- 2.62
ROOF U VALUE
.0537 -----------------------------
FRAMING U VALUE ---------
.3546
WHL.L N0. 2(BSMT) R
------------------- VALUE
------ ? FRAMING 2(BSMT) R VALUE
OUTSIDE FaIR FILM -
.17 --------------------------------------
OUTaIUE AIR FILM ---------
.17
8" CONC BLOCK 1.85 8" CONC E3LOCK 1.85
1" 7HERMAX 7.20 1 1/2" STRIPPING 1.27
INSIDE AIR FILM
,68 ............ .........
INuTDE AIR FILM
.f.8
TOTFlI_ R VALUE
--------- ------- - 9.90
-------- TU iAL R VALUE
---------- 4.57
WRLL U VALUE
---------__....___.._
.1010 -------- - ----------------
FRAMZNG U VALUE
.
=== ---------
.2188
_
RIM JOIST R
---- _'"_____-
VALUE
-------- c_='n=..__=-_=
== ___==''=
-°•-------
------- '.==r=c::r•=::
R VALUE
OU'fSIDE AIR FILM
.17 -------- -----c------•---------
OUT:?IDE AIP, FILM ---------
.17
STDING .79 SIDING
5.5 FIBERaLRS 16.50
INSIDE HTk FSLM
.6£3 ...., . . . ...... . ....... . .... ..
IIVSIUE AIR I=I1_M ........ .. .
_60
TOTAL R VALUE
------ 18.11
-------- 1'OTF1L R VAI.UE
--------- .QS
WRLL U VALUE
-.•-..__
.0551 -------------------°-------...
FRAMING U VALUE _..------
1.1765
_____.----____ ___..______.._._______________...____
.___?-r=r.?=r--'--
-••--,__..--
GLA55 - U VALUE .fil D00P - U VALUE .51
" _==E========`===`0===?==c_avccc?==°=°-==n'cx°=ze====-=0-='=v??===_ '=_==_'_-
DATE: 11-12-86 ENERGY CODE CALCULATI ONS COMM N0: 8661
-----------'-'------ -=?===°_==-------"
---- ----?---- ?-'--?--'---
^---------- ==_======-- ==--===-::'
CHASNEY HSSOCIATES INC. PROJECT.' OAK RUN
4979 OLSON MEMORIAL HWY. LOCATION: BURNSVILLE
MINNEAPOLIS, MN: 55422 BLDG TYPE: TYPE A2
PHONE: 612/546-3355
---------------°-°----------------------- DEGREE DAY3
- : . 8300
INDOOR DESIGN TEMP +72 DEGREES ------°--
- -----------
ENGINEER: --------...
DAB .
OUTDOOR DESIGN TEMP -16 DEGREES FILE: E-8661-1
CEILSNG _ ROOF ASSEMBLY
--------------
°
====
= AREA-SA FT U VALUE U x A
------^--^-
-
_
=====_==_=
TNSULATED AREA ===_=_==_===
1152 ========_==
.025 ==_=====°=
28.92
FRAMING AREA 117 .070 8.1y
SKYLIGHTS 0 0 C?
OTHER (DESCRIBE) O 0 0
OTHER (DESCRIBE)
------------------------------------------ 0 O 0
-
1 TOTALS ----------^-
1269 ' -^---^-----
*?****** ---------..
37.3.1
2 AVERAGE'U VALUE (Uxp)/(A) LINH 1 W?***?W?r• ,029
3 REHUIRED U VALUE *****?:?W "
.
.033
EXPOSED WALL pSSEMBLY
---^ -?----
°--------------- AREA-S0 FT
------^----- U VALUE
----
- 'U x A
-------
--------------------
INSULATED WpLL 341 AREA
^°------?---
575 -
-----
-_..--------
.054 ---------
-------- .
30.86
FRFlMING AREA 111 61 .355 22.6'?
WINDOWS 129 .610 78.6?
GDORS 33 • . S1.0 16.8 :.)
RIM JOIST AREA lUl .055 5.57
FIREPLACE WALL p 0 „
INSULATED WALL #2 AREA 91 .101 9.1?_
FRAMING AREA 362 1.0 .219 2. 1 1?
OTHER (DESCRIBE) 0 U
O'rFiER (DE.^•,CRIBE)
--°-----°-------------°---
-
0
=
0 0
U
-
--
4 TOTALS --------
---
1003 -------•----
*?i?x?k**??* --•------ -
ltib
p/l
5 AVERAGE U VALUE (UxA)/(A) L.INE 4 .166 .
*y?-1?W.i:a::k I
G f1E8UIRED U VALUE
^ .230
TOTAL ENVELOPE METHOD
7 AREA (LINE 1) + AREA (LINE 4) 1269 1003 2272
8 UxA (LTNE 1) + UxA (LINE 4) 37.11 166.04 203
1/1
9 AREA (LINE 1) x U (LINE 3) 1269 .p,, .
41
80
10 AREA (LINE k) x U (LINE 6) 1003 .23 .
230
69
11 BUD6ET (LINE ln) +(I,INE 9) 230.69 41,88 .
272 g;
12 U VALUE (LINE 11) /(L.INE 7) 272.57 2272
-------------
--
=
0= . L?
SUMMARY --------- =='====== __=,_=__-:.
---------------
-
________________U_VRLUES
-'--°°-------- ---?
------------
REBUIRED -----------
------..----
ACTUpL ---------
---------
DIFF
--
CEILING/ROOF-pSSEMBI.Y U VAWE --------.-
033 -------- ------
o
-
EXPOSED WALL ASSEMBLY U VAL'UE 230 029 1
TOTAL ENVEI.t,OpE BUDGETS
r .
272,57 .166
203
14 .OE,.1
----- ----- ,;
---------- ------- ^ . 69.43
IF EFlCH ACTUAL U VALUE OR IF BUDGET IS LESS
COMPUTER CALCULRTES -------
THAN REOUIR --
ED, DLUG 'M
EETS CODE
U TO ACCURACY OF .OOOOOOUI F3UT .001 IS uHOWM F OR CLARII'1'
L CITY USE ONLY
? BL ?
SUBD. /t 1CQ.0 t.,
L
RECEIPT#: 7 T7??
RECEIPT DATE:
1998 PLtJMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT [Q70H RD
EAGAN, I4I 55122
(612) 681-4675
Ptease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES EACH # TOTAL
5hower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Trey 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum - t 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under wnstruction 5.00 x =
Water Softener ' for existing dweliing 20.00 x =
U.G.Spfinkler `tordwellingunderconst. 3.00 =
U.G. Spdnkler `iorexistingdwelling 20.00
Alterations ' lo existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ` MPC iic. 75.00 =
(new and returbished systems)
Private Disposal Systems " Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL cqa?
°-------• -•----------------------------------------------------- • • • • -----• -------------------------- -- ---------------------------•---
- appl - icable City of Eagan ordinances.
I hereby adcnowledge that I have read this applica6on, state that the infortnaUon is coned, and agree to compy w8h - all -
It is the applicanPs responsibility lo notify lhe property owner that the City of Eagen assumes no Iiability for any damages caused by the Ciry during its
nortnal operetional and maintenance adivities to the facilities conslrucled under lhis permit wlthin City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: -,-4? ?/
INSTALLER NAME: /// p?
STREET ADDRESS:pt(J g
cirv:
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
SIGNATURE OF
TELEPHONE#: y?o -?'i -
a::?C1)-/
11TTEE ,c[
p ?? ??,?c?l+?f'i !/ % 4'^+p-
AdX?
ZIP:-go G-zl
PERMIT # RECEIPT DATE: ?--Y -o I
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY:
Place a check mark next to the aermit work tvae
STATE:
ZIP:
New residential dwelling unit under construction and not ownerloccupied $ 90.00
? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: 1 ?? ??'?
D
,
_ Septic System, new/refurbisned -
• includes County 8 Consulting Inspector fees ? r? r? ?
?
• requires MPC license
I;
APR 3020n,
II
L,
State Surcharge 1?y
-$. ._$9--_
l
T
t
o
a
Reminder: Be sure to schedule inspections of aiterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, stale Ihal the informafion is correct, and agree to comply with all applicable City of Eagan ordmances. It
is the applicanPs responsibiliry lo nofity ihe property owner lhat the City of Eagan assumes no liability for any damages caused by the City Durinq i[s normal
operational and maintenance acUVities to the facilities constructed under this permit City property/rg f-wayleasement.
?
17
GN URE OF PERMITTElt'
Updated 1/01
M1DENTLAL PLUM$INfi PEfiMTf lkPPLICATION
ctZ'Y oF F-As"
3830 Paar Kxos fw
gJk6AN, MP 551 EP
651-691-4675
% single family dwellings
i townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
y ma.l)0_,?-Clt
TELEPHONE #:
pMcr,t itRE & SONS TELEPHONE #:
80512th Ave-n?Tn- (AREA CODE
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
.
? NOTE: PASVffI7P OP FfE AT TIME OF
; nrPt.icnrioN ?s Nar ccer ;
• STI7VfE APPAR/AL OF PIIEFffT.
? ?
•
i I[ZSPFSTICN OF SFSdM A4D/OR 4A1II2 +
? IISS'fAIdATidNS WIIL N07' BE SCFI70LF9 ?
? L'NPIL PE[iPIIT FIAS BEHi APPROVID. :
•f.t+eKxe++?wrr+i??yex?rst>aaf?w+iirt.e:*
oF (znqcin
(PLEASE PRINT
1) PROPERTY ADDRFSS: . ?/,rqa m kAE h
LEGAL DESCRIPTION: . Am=i0.Z o 7' / 7 !g /a c_. & .2 - -
or
IF EXISTING STRL'CT[)RE, DATE OF ORIGINAL BLILDING PERMIT ISSLANCE:
Mont Year
PRESENT 20NING/PROPOSID OSE:
Q CONA9EEtCIAL/RETAIL/OFFICE
Q INDL?STRTAT•
a INSTI7-lTIONAL/GOVEE2NMENT
2) ? NANIE:
ADDRESS:
CITY, STATE, ZIP:
R-1 SINGLE FAMILY
? R-2 DUPLEX (3tvn Onits)
R-3 TOWMOLSE (Three + Lnits) Lnits)
Q R-4 APARTMENT/CODIDOMINIOM ( Dnits)
PxorE: q'LS/- -f?Y ;/U
3) ? rArE:
ADDRESS:
/_--j i) C s.:r r-o- L rt'.it ----
CITY. STATE, ZIP: oL(,/-n..f y-.'Me, `71njy?. 1?5-11
PHONE: OS3".6 MASTEE2 LICENSE # Z
??37
.? 9 76 ;w
G?7S-
Active
I Expired
Not recordec
St Initi
4) iCi --kn73F3OVIA? .i7+?"`I?ie7
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: '/ J/ 7 - 5l<2 L
5)
FK7 CONNECTION TO CITY SEWEE2 ? CONNECTION TO CITY WATER a OTf?R
?T-?
6)
***?*******+*************??,?***+?(,?****.,***?****?*****,r**,r***:r?****:r**:**********?*****+******,e***?*,
* THE GOID COPY' OF THE PERNIIT WILL BE SIIW DIRE(.Z'!,Y TO PUBI.IC WORKS RU FACILITATE METER PICK-UP. :
* PLEASE ALTAW '14D WORKING DAYS FOR PROCFSSING. SOMEONE FROM TM CITY WILL ODNfA(.T 7OUI IF lutE2E ?
* ARE ANY PROBTII?LS. +
?,t***«*+************?*x****++r**+?****+***********??**??*?****,++r*++***+****,r?*+*******+*r***?**,t??**;
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLL'DE SL'RCHARGE)
$
$ WATER PERMIT (INCLUDE SCRCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
ACCOLNT DEPOSIT - SEWER
ACCODNT DEPOSIT - WATER
$ $
WAC
$ $ SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRDNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $
OTHER:
$ 1?171• ?,-G $ 5 /. z "? TOTAL
7 5 7 5 ff -C c? t/
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQDIRE EXCAVATION 2[V PC'BLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
? ROADWAY" MUST BE ISSDED BY THE E[VGINEERING
LVO DIVISION. LIST AS A CONDITIO[V.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
/J`-"--r,/_?-???
TITLE:
DATE:
. ?
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
?
yNOPE: PAYhffI7f OF FEE AT TIME OF
*y APPLICATION DOES NJT COt+- >
i 9PI'NfE APPRGVAL OF PIItPIIT. ?
; in?,rttTIaa og sEHx „rn/ox NmUEx
; xrsrncsArzorLS wua, rxrr ae scmoLEn ;
? ONPIL PE37bIIT HAS HFTN AppItOVID.
i
ffff+f?fxit?ft???f.fffffet+kt?aw???t+f
dtV OF aC'igCin
(PLEASE PRINT
1) PROPERTY ADDRESS: ?l S^9 ?f ??I? ??n r a(? ?c ?vcJ
LIJGAL DRSCRIPTION: L a f /aP
or
IF EXISTING STRCCTURE, DATE OF ORIGINAL BUILDING PIItMIT ISSUADICE:
Nbnt Year
PRESENT 7ANING/PROPOSID LSE:
Q CONA9ERCIAL/RETAIL/OFFICE
Q INDT-ISTRIAL
Q INSTI74JTIONAL/GOVEE2PIIMENT
2) E3TJ7i?iT?i_l. ?'v NAME:
ADDRESS:
CITY, STATE; ZIP:
PHONE: d?9fzb
e
3) NAP7E: '7G -AQL?.yYlO1?04 z %J 5
AnDRESS: 1.,1 oc') Z?i1'ce,-e La.ig c-v_
CITY, STATE, ZIP:
7:r`3
PHONE: MASTII2 LICENSE
?S-
Active
? Expired
Not recordec
St Initia
4) Bi^w •_???.L7??i6
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: <.1- VZ S"
5) s a•?? • u t??
?CONNECTION TO CITY SEWEE2 CONNECTION TO CITY WATEit a 0'IM
6)
0-
* THE GOID COPY' OF THE pII2NIIT WILL BE SE[Jr DIRECTLY TO PUBLIC WORKS TO FACILITATE METIIt PIQt-UP.
* PLEASE ALLAW 'iSJO FARKING DAYS FOR PROCFSSING. SOMIDONE EROM TfiE CITY WILL CONl'ACP YCxJ IF 7IiII2E
I_i R-1 SINGLE FAMILY
E--lR-2 DUPLEX (3t„o Onits)
Ca-R-3 TOWPIIiOLSE (Three + tinits) (2-
/-L'nits
Q R-4 APARTMENT/COAIDOMINIOM ( C'nits)
* ARE ANY PROBL,EMS.
FOR CITY USE ONLY PERMIT # ISSUED " .
Pd w/Bldg. Permit FEES:
$ $ iZ' SEWER PERMIT (INCLUDE SDRCHARGE)
$ $ /Z) %7' WATER PERMIT (INCLUDE SORCHARGE)
$ $
WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
ACCOUNT DEPOSIT - SEWER
$ $ /•S? ' /? z ACCOL'NT DEPOSIT - WATER
$
WAC
$ ? l C' O' D $
SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRDNK WATER
$ $
WATER TREATMENT PLANT SURCHARGE
$ $
OTHER:
$ ?7 I? ' U G' $ `7 ?• G t: TOTAL
7.5 7 S S,?(( -2 C?
RECEIPT RECEIpT
DOES UTILITY CONNECTION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
?
NO ROADWAY" MUST BE
DIVISIO ISSUED BY THE ENGINEERING
N. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CO[VDITIONS:
APPROVED By:
TITLE:
DATE:
APFLICATION FOR PERMIT
SEWER ANQ/OR WATER CONNECTION
t N07'E: PA7¢MMU OF FEE AT TIME OF .;
? nrMCliTzoN ros rDr cON- ;
STI1STfS APP(tUJAL OF YFR6IIT. :
f
; iNSeFrri«u oF sMM nrn/OR wNTm
;
? INSTAIdATIONS WIIL NUf HE SEDIR.PD ?
? CNPIL PIIthIIT EIAS BFEIi APPROVID.
•:itt:+i??seente?swwww?*?::«+r?it;riw
ItV OF CE9gan
(PLEASE PRINT
1) PROPIItTY ADDRESS: ? 3 '2?144
T•F1f;AT• DESQtIPTION: -? c• 7` / y &/e c.k -,-)- .
Lot B oc S vision or Tax Parcel ID
IF EXISTING STRCCTtJRE, DATE OF ORIGZNAL BLILDING PERMZT ISSLANCE:
Nbnt Year
PRESENP ZONING/PROPOSID USE:
Q COhIINEE2CIAL/RE'PAIL/OFFICE
Q INDL?STRIAL
Q INSTIZSJTIONAL/GOVERPIIMENT
2) ? NAME:
ADDRESS:
CITY, STATE; ZIP:
PHONE: -ef 5/y
3) ??? MaIE: Le-"rm d7y ?T ?u rn v ?r s
ADDttESS: ! e-.'ru.?
CITY. STATE. ZIP: egr,{-/'41
PHONE: S$-6 MASTIIt LICENSE # A O-Z 9 7? 7,V ?f
2S-
Active
I Expired
Not recordec
St Initia
4 )
NAME:
ADDRESS:
CITY, STATE, ZIP:
PxoNE: /-f 4/7 - ,2 VI-Z Z
c
5)
F'<A CONNECPION TO CITY SEWEFt ?CONNECTION TO CITY WATII2 O QTIIER
6)
****?*******?***********?*+*****!.?****?***********+**?***?+***?***************?*,r***?***?**********a
*
* THE GOID COPY'OF 7HE PERMIIT WILL BE SEBTP DIRECTLY 'PD PUBLIC WORKS TD FACILITATE MEPER PIQC-OP. y'
* PLEASE ALTAW ZWD WORKING DAYS FOR PROCFSSING. SONIDONE FROM TM CITY WILL CONPAGT YO[) IF MRE ?
.
* ARE ANY PROBLEMS. +
?+**?*****x********??*w**,r+****?****+?****??****+**+***,e*??*******,r*****?x*****??*?*?+*****?**,r**??;
IJ R-1 SINGLE FAMILY
El R-2 DC?PLEX (2WO L'nits)
?i'R-3 7C)WPIIiOLSE (Three + Dnits) (_?Lnits)
Q R-4 APARTMENT/CODIDOMINIUM ( C'nits)
PERMIT # ISSOED
Pd w/gldg, Permit
$
$
$ ?'7'(' ?-.
$
$
$
$
S ? 5L • <>z?
$ C 5 G <r7?
$
$
$
$
$
$
FOR CITY USE ONLY
FEES:
$ 5-Z
$ /( • S7.
$
$
$
$.
$
S
$
$
S
$
$
s
$
,
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SL'RCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (I[VCLL'DE CORPORATION STOP)
SEWER TAP
>'?CJ ACCOUNT DEPOSIT - SEWER
ACCOC'NT DEPOSIT - WATER
WAC
SAC
TRC'NK WATER ASSESSMENT
TRPNK SEWER ASSESSMENT
LATERAL BENEFIT/TRL'NK SEWER
LATERAL BENEFIT/TRL?NK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
S / 7 t, ?/• c 7-' moTai,
J?7 s;
RECEIPT RECEIPT
DOES UTILITY CO[VNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC
? ROADWAY" MUST BE ISSL?ED By THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
'!'i o
TITLE:
DATE: /C// / /?,?
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*N(71'E: PAYME7P OF FEE AT TIME OF ?
; APPLICATIaN ooFS cxrr Cxu- ;
? SCIILTI'E APPRC'idAL OF PII2PIIT. ?
; irsrFrri«a oF SBM nrn/oR vmgx ;
; icsrr,uuTTONs wua. Nor ae scEMr.m :
? [!N1ZL PIItD4T HAS Hffii APPAOVID.
•+av.wi:rt?i:ixt??wweiit?:it??:k?:?i?tx
OF CC1CjC8P9
(PLEASE PRINP i
1) PROPIItTY ADDRFSS:
Ik]GAL DESQ2IPTION; . G C 7- ?Z 61
or
IF EXISTING STRCCTORE, DATE OF ORIGINAL BUILDING PII2MIT ISSUANCE:
Nbnt Year
PRESENT ZONING/PROPOSID LSE:
Q CODM'IERCIAL/RETAIL/OFFICE
Q IAIDCSTRIAL
Q INSTIZ[)TIONAL/GOVII2NMEPPf
2) NAME:
ADDRFSS:
CITY, STATE; ZIP:
PHONE: VJ % 'YI'I0?V
3) NAME:
ADDRESS:
CITY, STATE, ZIP:
.S_.S d
PHONE: ?S-/- ?S10 MASTII2 LICENSE #f 0?9 - 7E
Ij Active
F?cpired
Not recordec
St Initia
? • ?•
4)
NAME:
P,DDRFSS:
CITY, STATE, ZIP:
PHONE: 4'/-V/" - '?) 9ly2 Sl
5) ? . a ?• • u i??
[]M_CONL,MCTION TO CITY SEMR [Z[CONNECfION TO CZTY WATII2 ED OTfm
6)
- '7- dr'?
***+?+***?**+**,?**?*****?*r******:l+F*?+?***+***?**+*?*???*****?**?***+?**??a***************+***?***?r
* 7HE GOLD COPY' OF 7HE PERNffT WILL BE SIISf DIl2FS.TLY TO PUffi,IC WORKS 7U FACILITATE N1EIER PIQC-UP. y
PLEASE ALJAW ZWO WORKING DAYS FOR PROCESSING. SOMg70NE FROM TfM CITY WILL CONfACT YOU IF 141ERE ?
* ARE ANY PROBLIIM15. +
[_1 R-1 SINGLE FAMILY
F---']R-2 DL?PLEX (3WO C'nits)
ER-R-_3 TOWNHOUSE (Three + C'nits) _Lnits)
Q R-4 APARTMENT/CONIDOMINIL'•M ( Lnits)
1.? ?_f q i`v?
,?*****?**??*,r****?*t**,r****,t*?*+**+***,t**«rx** ****?r*,r+r***+*,r****,t*,r,r*w*?*?**#****+xx****+**,e,rx+,r?*;
F'OR CITY USE ONLY
PERMIT # ISSUED "
Pd
w/Bldg. Permit FEES:
$ $
$ $
$
$ $
$ $
$
$
$ $
$ $
$ $
$ $
S
$ $
$ /4171-l) e-> $
.05- ? s-
RECEIPT RECEIPT
SEWER PERMIT (INCLL'DE SURCHARGE)
WATER PERMIT (I[VCLUDE SL'RCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRDNK WATER ASSESSMENT
TRL'NK SEWER ASSESSMENT
LATERAL BENEFIT/TRCNK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
? ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDZTIONS:
APPROVED BY: 7; _2
TITLE:
DATE:
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
* -?_o . 00
New Conslructron Reauiremenis
3 registered site surveys showing sq. fl. of lot, sq. fl, of house, and ?II rooFed areas RemodeVReoair Reauiremenis
2 copies of plan
Cadof5tmv?Y Redd
-Y ;"N
(20% mazimum lot wverage aliowed) 1 se1 of Energy CalculaLons for healed additions
8 d
k Tre2 Ptes Plsti ReCd',
I&
yN
2 copies of plan shrnving beam & window sizes; poured found design, efc. ec
s
1 site survry for addllons
indicateifonsifesepticsystem
Additi Dir-§JteSBFlid'S?sYem°?.: --_Y'-N
isetofEmrgyCalculahons on -
3 copies of Tree Preservation Plan if lot platled after 711/93
Rim Jdst Detail Options selection sheet (buiklings with 3 or less units)
Date 7_
Site Address ?
Construction Cost o2SdO --
UniUSte #
?escription of Work G?s
Multi-Family Bldg _ YN Fireplace(s) _ 0 Z
Property Owner .5at-nl(?o Telephone #( 6S"n yS1- 0 7r,.?
Contractor Uc S ?r e O/ S
Address .,26 tS?i( C- nvv..r't
State .461 /,/ City lcl-er.rAe
Zip S Sd'W Telephone #( fS2) y6F-?7Z4_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cazesorv 1 Minnesota Rules 7672
Energy COde CategOry . Residential Ventilation Category 1 Worksheet; r. , •"?New Energy Code Warksheet
(J submission type) Submitted ?SUbmitted
. Energy Envelope Calcula6ons Submitted i?
I : , 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 Telephone #( )
Mechanical Contractor
Sewer/Water Conhactor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Perfrii
1ie
that the work will be in conformance w/e,wit
Statutes; I understand this is not a permt,c
permit; that the work will be in accordanh
lans.
approval of p
Applicant's Printed Name
acknowledge that the information is complete and accurate;
mces and codes of the City of Eagan and the State of MN
?i application for a permit, and work is not to start without a
?proved plan in the case of work which requires a review and
/? ..
/ _
Applicant' i.
'?
7 i-7 ? Z
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX !# 651-675-5694
/7??
New Construdian Reauirements RemodeliReoair Reauiremenfs Otfice Use Onlv
3 registeiad site surveys showing sq tl. of lol, sq. R. of house; and all roofed areas 2 copies oi plan CeR of Suney Racd _ Y_ N
(20%mazimumlolcoverageallowed) 1 setofEnergyCalcula6onsforheatedadditions TreePresPlanRecd _Y _N.
2 copies of plan showing beam & windowsizes; poured found design, etc. 1 sile survey foraddNOns & decks Tree Pres Required _Y _N
1 set of Energy Calculations Addrtbn - indicate Aonsite septic syatem Ori-site Sep6c System _ Y_ N
3 copies of Tree Preservatlon Plan'rf lot plattad after7/1193
Rim Joist Dehail Options selection sheet (buildirigs wilh 3 or less units)
Date ? / ? / Cj?
Site Address ConstrucHon Cost Al.
2"
UniUSte #
,/
Description of Work ( (.'> RDY D,E'iV
,
Multi-Family Bldg _ YX N
Fireplace(s) _ 0 u.iv?-eti?, 9?o r-
g 1 _ 2 Q?J
Property Owner V (X/G?L/"? ?/ T Telephone # (I!/?/)
Contractor /Ah 1
Address 5 ?Q
State &AI / n /C
Zip sL5-337 C'tY
Telephone # ej?4 ?9? iq9a
v
?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ 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 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.
Zejrx 11lk1,?br
Applicant's Printed Name
?? ? ??L A-b
.
Applicant's Signa e
Use BLUE or BLACK Ink
r-----------------
I For Office Use
Ila Perm it#:
City of EaRd I Permit Fee: U . '
•
3830 Pilot Knob Road I r 1
Eagan MN 55122 Date Received: S-7,12,
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 1 Staff: I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: C 1 ( Phone:
RESIDENT / V5qQ ma,~LG~-~
OWNER Address /City /Zip:
Applicant is: V"' Owner Contractor
TYPE OF WORK Description of work: I
Construction Cost: 14 I ) 000 Multi-Family Building: (Yes / No )
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate M
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes V No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.clopherstateonecall.org
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x 409 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE lU It q~` AF
B TYPES 2 M q I'6,- VI'ec.~
SU
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
✓ 01 of 4 Plex Lower Level Pool _ Miscellaneous
- Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
✓Alteration Fire Repair _ Windows _ Demolish Foundation
✓ Replace t/.►~ Repair _ Egress Window _ Water Damage
- Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION ad
Valuation A,W Occupancy d-,;; MCES System
Plan Review Code Edition .0007 rK $BA SAC Units
(25% 100%_) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Fi al / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings - Backfill Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By:~ Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
L
II and V, C-L.J
* * * 2422 Enterprise Drive
PIONEER Mendota I1eights, MN 55420
* engi* Bering (612) 661.1914
OAK RuW COUNTRY NOME
Certificate of Survey for.
,a~ 52 3~°3~ j 1 ~ ~5
LE 74
t cz 1'0S X
tg 0.D
a-
o 3 jd 9' k' %A o
mss` ~Q
s N
~ P _~,t~•0 ~ `fi`r ~',S, ~ v ' . ~
1 0- h ~1° a~ou 4 as.,~pJ~1
' `0.0 9 Qi
1 L-OT~ 20 `qo 1~i•~ 0 V LO-r I
1tj r; Cobb
N 1 it ~q °
a b ` V /
PPRf=:z~ ED
bate
1: 'RING CEP'
S6 Cti
s3-~ "AGAN EN ~~GINE R
'30o.0 0ef'ofes exidin ECevulivrt 0RUP0ffQ HOUSE &EyAriclaS
• 9~ Venofes Fpro o d Elevation
f'
Uenoles D10000 )`Uliliy Eta►semen/moo -,-lowest Floor F/evcx/~ar~ _
Derloles Vral" e Flow Arrows z Wy o;"Chock Elevationr p
Q Oenok monumer~~ Parae Slab Flevalron=~~-4.0
I PtXt Ir# shown are assumed Sub,iecf lo tas emen fs or record
LETS f7s~
, t DUCK 2 JHOMAS LAKE WOODS
tl-fKora Ca1Nrr, MrNN,esorq I hereby certify that this survey, plan or report was pr ared by me or under my direr'! sutte&140818, u"JtrtJi is.~ !i 4P RE
,g ar
under the laws of the State of Minnesota. oated this day at 0 444 / A. 1). to _
C_ uko ' I inch z 40 tf-& -a" ZZ
1-0118082 _ ROBERT a. StKlcti t..s. nE(;. No. 14891 - M
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108454
Date Issued:12/06/2012
Permit Category:ePermit
Site Address: 1592 Mallard View
Lot:17 Block: 02 Addition: Thomas Lake Woods
PID:10-76100-02-170
Use:
Description:
Sub Type:e - Water Heater & Water Softener
Work Type:Replace
Description:Water Heater, water softner
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey M Koob
1592 Mallard View
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
-
I For Office Use I
r 7~ Cit of n Permit `I Z7 3 I
I Permit Fee: a 5 I
3830 Pilot Knob Road I l
Eagan MN 55122 Date Received: Q
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 l Staff: 1
I
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:: / Unit
Name: qs- Phone:
Resident!
Owner Address /City /Zip: /y`/tip d Vrc. C,.1
Applicant is: Owner A( Contractor
Type of Work Description of work: ro0
Construction Cost: 000 Clio Multi-Family Building: (Yes No )
lell"i
Company: Contact:
Address: ty:
Contractor ~N r Jc ity:
a
State: P Zip:
JP ~ Phone: 63
License SG CM 63Lead Certificate Fthe project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
I - -
Licensed Plumber: Phone:
t
l Mechanical Contractor: Phone: I
Sewer & Water Contractor:
Phone:
I NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of -
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 ora
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x~ty/`6 c bdf~ x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
-
I For Office Use I
r 7~ Cit of n Permit `I Z7 3 I
I Permit Fee: a 5 I
3830 Pilot Knob Road I l
Eagan MN 55122 Date Received: Q
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 l Staff: 1
I
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:: / Unit
Name: qs- Phone:
Resident!
Owner Address /City /Zip: /y`/tip d Vrc. C,.1
Applicant is: Owner A( Contractor
Type of Work Description of work: ro0
Construction Cost: 000 Clio Multi-Family Building: (Yes No )
lell"i
Company: Contact:
Address: ty:
Contractor ~N r Jc ity:
a
State: P Zip:
JP ~ Phone: 63
License SG CM 63Lead Certificate Fthe project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
I - -
Licensed Plumber: Phone:
t
l Mechanical Contractor: Phone: I
Sewer & Water Contractor:
Phone:
I NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of -
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 ora
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x~ty/`6 c bdf~ x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA116197
Date Issued:10/04/2013
Permit Category:ePermit
Site Address: 1592 Mallard View
Lot:17 Block: 02 Addition: Thomas Lake Woods
PID:10-76100-02-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Stephanie Vought
3451 W Burnsville Parkway Suite 120
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey M Koob
1592 Mallard View
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167836
Date Issued:03/31/2021
Permit Category:ePermit
Site Address: 1592 Mallard View
Lot:17 Block: 02 Addition: Thomas Lake Woods
PID:10-76100-02-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Jeffrey M & Barbara Koob
1592 Mallard View
Saint Paul MN 55122--255
(612) 803-5370
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature