1526 McCarthy RdCASH RECEIPT
CITY OF EAGAN
3795 PIl.OT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE I9
RECEI V EO
FROM
AMOUNT ,$ I
& DOLLARS
10.
Fl CASH F-] CHECK
FOR
FUNO COOE A1AOUNT
a ou ?
? BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
. CITY OF EAGAN
3795 Pilof Knob Rood Easan, MN 55112
PHONEs 454-8100
46 'PERMIT Receipt #
idjer UJ i:;Vt.r?ber ? , ;?
tEst. Value Date ' , 19
-- ------? - -
Site Address
JB L:.ld- iiil?P_Y
Lot Block See/Sub.
Parcel # 10-35300-090-04
oWc I Name ----- v-^-------
i it venue -,.
? Address
r..., i=i.ls. , ok ...._ 720_6796
o Name _
?? Addmss
? ?:...
Name _
Address
I hereby acknowledge that I have reod this application ond stote that
the informotion is correct and agree to wmply with all applicable
State of Minnesoto Statutes and City of Eogan Ordinance; i
Sipnpturc of PermittegA Building Permit is issutd to:
all work sholl be done in ocrnrdohce wirh oll
Buildirp Official 1
Erect ? Occuponcy t'.- 3
e Alter ? Zonirg "--1
,.
Repotr ? Fire Zona
Enlarye Q Type of Gonst. v
Nbve ? # Stories
Demolish
Grade
p
Cl .
Length
Depth Sa. Ft.-
Assessmenf
Wnter & Sew.
Police
Fire
Eny.
Plonner
Council
Bidg. Off.
Permit 1;r-v
$urcharge
Plon checkl7
SAC r ` j • u ')
Water Conn. "5':. ()n
Water Meter
Road Unit -
Total
on the express condition thai
State of Minnewta Stotutes ond City of Eagan Ordinonces.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbine TZ ?
H.V.A.C. p- ?
Well
Water
Disp.
Sawer
R
Electrie lf lyox 5 -3U?`?
IntpeMion Date Insp. Other
Footings
Foundetion
Framing
Rouqh PI6p. ?7•? /,? ?
Rough HVAC
Inwlrtion
Final Plbg. 30-47
Final HVAC -9 ?lB
Final ? -
Water Dauribe Lontion:
Well .
Sawer .
Pr. D'ap.
?
Cities Digital
itv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
COX?. CCP ? ? I ?a PERMIT # ; .
MECHANICAL PERMIT RECEIPT # ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address
Lot : Block , Sec/5
ub
- BLDG. TYPE WORK DESCRIPTION
Res. New
Name Mult. Add-on
°-'
m
Address Comm. Repair
c City Phone - Other
FEES
Name RES
HVAC 0-100 M BTU -$24
00
? a)
c Address , .
.
ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
50 EA
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1
7 TYpE OF WORK .
.
COMM/IND FEE - 1% OF CONTRACT FEE
? Forced Air
{
, Boiler M BTU
M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater f
Air Cond.
Vent M BTU
M BTU
CFM
R REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00 ,
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
? Gas Piping Outlets # R BEYOND $1,000)
Other A
FEE:
S/C: SIGNA E P M
TOTAL:
FOR: C OF EAGAN
Receipt
?
MECHANICAL PERMIT
CITY OF EAGAN
I Fill in numbered spaces
Type or Print /egib/y
Permit Na:
Fae
S/Ci ?• , v i..?
Tot. -1` • ? -'
i
1. Date ' 2. Installation Cost
3. JobAddress LotTract . ? • ?_' ' ?
;
4. Owner
5. Contractor ,,
;
Phone
?]?
6. Address
7. CitY State Zip
8. BuildingType: Residential ? Commercial ? institutional ?
9. Work Description: New fl Add O Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equipment BTU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
dli
Mfg, r
an
ng:
Boi lers
Mfg, - Mech. Exhaust
Unit Heater
- Mf9. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the ahove information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Hough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved ;" CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
C(TY OF EAGAN
; Fee -
Fill in numbered spaces 3/C
Type or Print legibly Tot., !
1. Date 2. Installation Cost 3. JobAddress LotTBlk. Tract AC I
I
4. Owner ?
I
I
5. Contractor -?i Phone i
i
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: NeHr ? Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cess
l/Dr
infield
Bath tubs poo
a
$e
tic T
nk
_ Lavatory p
a
Softner
Shower Wel I
Kitchen Sink
Urinai/Bidet Other
_ Laundry Tray
Floor Drains
^ Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. ' I Eagan, Minnesota 55122-1897 Date Issued:
I (612) 681-4675
<S tiiy3 f'+bi I SITE ADDRESS: ?{ i fr APPLICANT:
_ PERMIT SUBTYPE: TYPE OF WORK:
, , ? ? ;lFuut
Permit Holder Data Telephone #
PLUMBING
H VAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING ?,
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PL86
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVIN
TEST
HVDROSTATIC
TE57
65MT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?. ? , ?..
. p (grrttfirtttp nf (Orrupttnry
titp of eagan
IDC}ial'tlllPltf Uf B1tllbtM J115}1PtYlOIt
This Cenificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code cenifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulaling building consrruction or use. For the following.Uae Claeifintion . .: . . Bklg. Pormit No.
Occupency Type laniog Distria Type Cmat
o.mr or suaaing aaarea;
, .
awwing .aaaress ' _ . . Locality
Daw:
Building Otfidal
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Remarks
Addition Qalt,tnrl TimharlinP Lot 9 pik 4 Parcel 10 55300 090 04
Owner sveec 1526 McCarthy Road Scate Eaean, MN 55121
Improvement Date ' Amount Annyel Years W Payment Receipt Date
STR EET SUR F. Ann
STREET RESTOR. Pd 1I71 .
GRADING
SAN SEW TRUNK 1968 100.00 3.33 30 40.06 . A01?+979 .-12-19-84
* SEWERLATERAL 1970 2045.00 102.25 20 409.00 " -"
* WATERMRIN lj]O ZO
WATER LATERAL
WATER AREA 64. 06 : A014979 - 12--19-84
ia STORM SEW TRK 1970 ZO
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
250.00 0131 11-22-83
WATER CONN, 450.00 to it
BUILDING PER, 8680
s,ac 525.00 " "
PARK
CITV OF EAGAN WATER SERVICE PERMIT
: 38".? Pilot Knob Road
P-. Boz 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
`??.
O^'^g: ''•
Z No. of Units: ?
Owner: g. ?
ress:
Site Address)2:; `cL"•irLhY . :., ?7slund 'iaherli°le
lumber:
r ?Ng ySConnection Chorge:
' <}30.00 ?d
ize• ? ? Acwunt Deposit: 7 5. nn
Reoder ?T^
PArmit Fee:
1 agros fo???? a?3rcharge
'
t
Ordinaew. Misc. Charyes:
Total:
' BY Date Paid:
Dme of Insp.: ?nsp,;
f
? CITY OF EAGAN
SEWER SERVICE
PERMR -
?
. 3830 Pilot Kno6 Road
P. O. Box 31199 PERMIT NO.:
,Sagan f9AN 55121 DATE: ?
Zonirg: No. of Units: `
?
/?????
VYIIl6r:
AddIC55: 4
Sita Address: :s!"' '. ,? ? ?¢ , _ • ° ? .
Plumber:
? I eWm M oosPlp wMh the Gy oF Eagsn ConnscNon Chorpe: ,
; Ordinanm. AcwLint Deposit: e
? Partnit Fes:
Surcharye: - '
BY Misc. Charpes:
Dcte of Imp.: Total:
I^?- Dah Poid:
CITY OF EAGAN
3830 Pilot Kno6 Road WATER SERVICE PERMIT
P. O. Box 21159 PERMIT NO.:
Eagan. !NN 55121 DATE:
ZO"'^g' No. of Units:
OWlfEr: - ?tTT!:Att VO+s'BITy,IOlAI
Address;
Site Address: '1cCarLhY ??,?•; L:= -aiur?c_' i'i'rt'erlizi ^
Plumber: ?' Y z Plbp & fIt?
Meter No.: Connection Charge: `; S'-j. ')0
Size: Account Deposlt: 15.00 -pc
?
? Reader No.: Permit Fee: 10.00 Pe
' 1cgrae h eomPly whh Me Ci ef Ea
? ty gon
Surcharge:
.5 p? ?
?
I O?dlnsaaa. Misc. Chorges: `''`'•r?? pd 'iete Ti
I
TotoL
i B1' Date Paid:
, Date of Insp.: Inso.;
RESIDENTIAL
` BUILDINC PERMIT APPLICATION
?N?sa7 ciTr oF Eucaro do
3830 PILOT KNOB RD - 55122 (ed 91-3 .0I
651-681-4675
Now ConsVuctlon Reauirements
. 3 regisffired site surveys showing sq. R ot lot, sq, ft of house; andll mo(ed arEas
(20% maximum bt coverage aWwed)
• 2 copies of plan showing beam &window sizes; poured found design, etc.)
. 1 set of Energy Calafations
. 3 mpies oF Tree Preservation Plan if bt platted aRer 7/1193
. Rim Jo'st Detail Options selection sheet (bldgs with 3 or less unilc)
DATE C LA.qtA_S?
JOB SITE ADDRESS 1 S o? lv vyl C C0.f A
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER _T_O m ?gaf b C7 -eQ.. Q,r
TYPE OF WORK ^D e ?k -?LA_,--4'? Se?on F{REPLACE(S) _ 0?11 _ 2
APPLICANT 10 ? Gf 2 e.? PHONE# La5 I/ Ll'g tg'?9Lay
ADDRESS 1S 'o L l.? Vl(1c_ CGr/?-h 1,a0..A ZIPCODE ?S 1?I
PAGER #_`'I Q CELL PHONE #Lo S? Igy 1" Lj La S 2- FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet
- - Energy Envelope Calcutations Submitted D U ?
MINNE50TA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Conhoctor: _
Plumbing System Includes:
Mechantcal Coniractor:
Mechanical System Includes:
Sewer/Water Contractor.
_ Water Softener
_ Water Heater
No. of Baths
RemodeilReoairReauiremeMs
• 2 copies M plan
. 1 site survey for exterior additions & decks
VALUAION
Phone #:
_ Lawn Sprinkler
No. of R.I. Baths
_ Air Condilioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above infortnation must be submitted prior to processing of application.
I hereby acknowiedge that I have read this application, state ihat the inf mation is co=?'agree comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' nces.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Require _
r
Updated 1/01
OFFICE USE ONLY
? 01 Foundation
? 02 5F Dwelling
? 03 01 of _ plex
? 04 02-piex
? 05 03-plex
? 06 04-plex
? 07 05-piex ? 13 16-plex
O 08 06-plex ? 16 Fireplace
? 09 07-piex ? 17 Garage
? 10 08-plex )y 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
0 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Misceilaneous
X'
? 30 Accessory Bidg
? 31 Ext. Alt - Muiti
? 33 Ext. Alt - SF
? 36 Multi
p 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Atteration ? 37 Demolish (Bldg)" ? 43 Reroaf ? 46 WindowslDoors
? 34 Repiacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation ?
0? ?
Occupancy ?
Ja MC/ES System
Census Code --11?-,?- Zoning ?' "( Ciry Water
5AC Units Stories Booster Pump
Nbr. of Units Sq. Ft, PRV
Nbr. of Bldgs -? 1 - Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
? FinaUC.O.
Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framivg -
_ Fireplace ` R.I. _ Air Test Final
Insulation
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
-,
Approved By YZ , Building Inspector
8ase Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
7d, FinaUNo C.O.
? Plumbing
HVAC
I
CITY OF EAGAN Na $680
9795 PiIM Knob Rwd Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT ReceiPt # f O l??
To 6a wed for SF Dwelling/Gaxpo_vei„e $69,000 o,*p November 22, lQ 83
Site Address 1526 McCarthy Rd. Erect ?
R-3
Occupancy
Lot 9 BI«k 4 Sec/5u6. Oslund-Timberline Alrer ? Zonir,9 R-1
Parcel # 10-55300-090-04 Repoir ? Flre Zone NA
Enlarge p Type oF Const. V
ez Name Norman Vogelpohl Move p # Sror?es
z 2616 40th Avenue
Address S.
Demolish ? Length 64
? ci Mpls., phone 729-6796 Gmde ? Depth 32 Sq. Ft._
ae
p Name OWIIeL ADVrorals Fees
?F
Address
? r;...
Name _
Address
Phone
I hereby acknowledge that I have read this opplication and state that
the iniormation is correct and agree to tomply With all applicable
State of Minnesoto StatutRs and City of Eaggn Qrdinoncerm ,
Signature of
A Building Permit I: issued to:
oll wark shall be done io,%Zco-
Assessment Permit `? j4U.UU
Woter & Sew. Surchorge 34.50
Palice Plan check170.00
Fire SAC 525.00
Eng. Water Conn. 450.00
Planner Woter Meter 60.00
Council Road Unit 250.00
Bidg. Off.
?PC Totol ? • SU
on the express condiHon thni
of Minnewtc Stotutes ond City of Eagan Ordinonces.
Building Offlciul
I / ?n'? ??oo
Y?'} o
? ?
CITY' OF EAGAN
BUILDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set cf energy calculations.
7.b Be Used For Valuation " 6 1 066 Date
5ite Address ? C0 ?C L,;- a pFFICE USE ONLY
IAt C( Block ? Sec./Sub.T'w?'`` Pk4
Erect Occupancy
Parcel #: 10 - 5 5 230O- 0 qD-O ? Alter zoning !
c I, Repair Fire Zone
ONmer: ?o f'?'+?LAr` vn%-\QoV?1 Enlar9e Type of Const.
Address: ?(p l (p ?{O SD , ?`? # Stories
Demolish Front ft •
City/zip code: MP? ?S5q 0?o Grade Depth ft.
Phone # : -] Aq- (p 7 q (D
Contractor: 0 t,U
Address:
City/Zip Code:
Phone #:
ArCh./Eng.:
Address:
City/Zip Code:
Phone #:
APPROVALS FEES
Assessments Permit 3 5/6
[aater/Seaer Surcharge 3.el
Police Plan Check
Fire SAC &-07S`
Eng. Water Conn. c1,d
Planner Water Meter ?( 6 ?
Council Road Unit ;576-0 °d
Bldg. Off. •?/ ? ??
APC ?T--
ToTAL ? ? g`zQ 1 s°0
33 3
??`1b
S/jD/8 9 F`GGc;z/
E 561
4
Request Date . „ Fire No. Rough-in InspeCtion
Required? ?eady Now ? Will ' nspector
?` ?
C? ? Yes o When eacly
licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (SUeet, Box or Foute N.)
J
7'? 'f V
/ S R Z /`
e
?„ Ciry
'
.
-
?--
,
Section No. Township Name or No. Range No. Counry ?14
OccupaM RINT)• /
?
'
' Phone No.
N G
( -E
G- ,S O Gl
Power Supplier Address
Electricfll Contrector (Company Namle) . „ Coniractor3 Llcense No. b4I0 c1?? 3
Mailing Address (CoMractor or Owner Making Installation)
I 2- -7 7 A-?3 R #- G T
Author' ign (ConVeclor/ Making I Ilation)
f
I Phonef?umber,`
(.!? ? u _
MINNESOTA STqT€BOARD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Griggs•Mitlway Bldg. - Room 5173 BE ACCEPTED BY THE STA7E BOARD
1821 University Ave, St. Pauy MN 55104 . UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCL0.SED.
jz/,?s? REQUEST FOR ELECTRICAL INSPECTION +« ea-00001-07
S/ ix..
-111
J? See instruclions for complefing this form on back of yellow copy.
? 56142 "X" Below Work Covered by This Request
e Add Rep. --i;peofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (speciry) ontrador's Remarks:
Compute lnspection Fee Below:
# Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 Amps Above 100 Amps
SIgf15 Inspector's Use Only: . TOTAL
Irrigation Booms ?
?
Special Inspection
Alarm/Communication `
Olher Fee s (J
I, the Electrical Inspector, hereby Rough-in f oate
certify that the above inspection has
been made. Final
. D „
OFFICE USE ONLY
This request void 18 monihs irom
This requasl void 0 1 ?? r 4? f
16 mon[hs from 1 O 7
?'? ?-? ? ? ? 5 ? l. q (? 4 (?sli.,..A _ Tl n?G?ax I , 01.:¢ `f ;?-. i ?
RuestDa e Fire No. Rough-in Inspection
Required7
fleady Now?Will Notify, Inspec-
?
Z 7 es ? No Lur When FeadY
Licensed ElecVical Contractor I hereby request insoaction of above
Owner . electrical wark instelled at:
Street Address, Box ar Route No. City
?
feOn o. ownship Name or No. Range No. Counly L
Occupa?IPRI
NT? Phooe No.
?
Power $up i r G Address ^
/G r 17 ? f
9/?--
Elecya Contractm (Company Name) Contracmr's Licens?
"
3
G ll
-
Mailing Address (Contracmr or Owner Makin Instailatibn)
1 b doon_e A,v4
Authori d Signatur (Contracto Owner aking Installation) Phone Number
MINNESOTq STATE ffOARD OF E-LECTRICITY THIS INSPECTIOfY NEQUEST WILL NOT
Griggs-Midwey 91dg. - Room N-197 BE ACCEPTED 6Y THE STATE BOAND
1627 University Ave., St. Paul. MN 55104 UNLESS PNOPEN INSPECTION FEE IS
Ph.,.o 16121 297_2111 ENCLOSED.
0 REQUEST FOR ELECTRICAL INSPECTION EB-°°°°' °°
0 5 7 r ee instruGfnans -toncompleting this form on back uf vellow copy.
A- "'X" Below Work Covered by This Request
dd Rep. Type ot Building Applinncea Ylired Equipmenl Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Elecuic Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peci y Other ISUCCifyl
t 9r SUnCify ther Olher
Comoute lnsnection Fee Below
p fee SefvicB EntranCe Size # Fee feeders/Subteeders M Fee CirCUits
(J Ot s 0 to30Ams 0 to30Ams
Above 200 Amps 31 io 100 Amps D 31 to 100 Amps
Swimming Pool Above 100-Am ? Above 100_Am -
Transiormers Irrigation Booms Partial:'Other Fee
Signs Special Inspection $ ,/ TOy L FEE_?
Flemarks ?
K
Roueh-io Di? ` J I, th¢'Elactrical
Inspector, herehy
ertify that the above
Final ? ?le ?J?*
i? nspeCtion has been
mede.
fhla rweuant vnid tB monfM from '
r ?
fG,u?
??--------- -- - ..._ ., . ___. __--------- _ _
??
,
?
?
?
O (:
, - ---.. __
?,- -?
----- - ?? I
13
CC??
?f` ?
? ??1/
--------- - ? ? - ? -?- ----
?CM
l
? ?F ?- c? tirAP, K rS
o,
? .
F
•' EXTERIOR ENVELOPE AVERAGE NU" CDMPUTA710N
OWNER
SITE AOORE55
CONTRACTOR plorol i ??a4- Lt--,r,2 KL - ____ DATE PKONE W 2`6 `7 5?9;
Determine working square footaae of each.
1, Tota 1 exposed wal l area .,.,,, sq. ft, z ,17 4Z-
1_?e...._..__._?___ ... `
2, Total ruof ,/cei ling ar°ea ..... EiA"2=40 sq, fL, x?,05' •
Tota1 expcsed ua11 area above flaor = 13_3_2- 06
a, ToCal wall window area ...........................
b, Total door area ................................ ?
c, Total sliding ylass door area ................... qC;'zi Z-
d. Total fireplace rrall area ......... .............. ?
e, Total wall frarning <,rea (average 10%)....,....,., ??.f3Q
f, Total net wa11 area above floor ................. J? ?
g, Total rim ,joist t?rca ,,,,,,,,,,,,,,,,.......,.,
Total exposed foundation ara?i = 11? 46 --
h. Tota i f'oundat i c ; wi ndow area . . . . . . . . . . . . ..... . . .. LIL2 ?
i . Toal net founda'cion area above grac=e . . ....... . . . FT?
Detr_r,nyne "U" value ofi eac!j l.z11 segment.
b. ?_•?'-?°'__?___ X nun
?
X PU n
X nUn. ,
d. X nUn s i_
e. z "u" < f?t = r7. i 4
f. ? 5-,?^• ti X 'iU" ° O
40 x IIu° -a& _ ,6 z
n, (? -?2 z liup • S? =
t, r 3,3f' x ouA - 4'7 = 39.c?
s............. i.V??t. . . . .. . . . .. . .rotal
If item 13 is the sama- as, or tess than item #1, you have met t1e intent
of SBC 6006(c)2.
4 .
.
'otal exposed roof/ceiling area = 40
j, Total skyliqht area.............................
k, Totai roof/ceilinq freming area (average 10%)..
.
1. lotal net insulated roof/ceiling area.,.,.,..... C"3
Determine "U" value for each roof/ceiling segment.
; . X ituii s
?
k. X l,Uii t
40 __ X °uu •c"..? ' 7
4 ...............f?.5?'?,4d..,......TOtd1 s LZ ?
1f total of 44 is the same as, or less than 02, you have m2t the intent, of
SBC 6006(c)l.
Alternate Building Envelope Design
7o utilize the total envelope system method, the values established by the
sum of items 93 and 14 shalt not be greater Chan the sum of item5 il and 02.
,
1, } ' 110• 7f
3. tl + 4, '-7'7•'20
1804 Melody Lene 890-3063
Burnsville, Minnasota.
WEPJA CO. PISAN SERVICE
ED ANDERSON
ARCHITECTURAI_ OESIGNING AND PLANNING
Office:
1129 Cliff Road Office;
Burnsville, Minnesota 5944636
PERMIT #:
CITY USE ONLY
? C7 RECEIPT DATE: C)
RSIDENTIAL b1ECHANICAL PE$MIT ?PPL1CATION
CiTY dF FfiHm
3$30 PMOT KNOS U
EA6AN MN 55188
651-681-4675
Please complete for: ? single family dwellings
townhomes an con os when permits are required for each unit
Date: March 13, 2001
SITE ADDRESS' 1526 McCarthv Rd.
OWNER NAME: Tom Greer TELEPHONE #: r5j 4rjti ncaFa
(AREA CODE)
INSTALLER NAME: Boehm Heatina C_v, TELEPHONE #: 651-644-14L0
(AREA CODE)
STREET ADDRESS: 1598 Selbv Ave
CITY: St. Paul STATE: MN ZIP: 55104
.,?--- - -'---?, .Y....?. __... ... .u.. _,...».:...,,._?, .....,,
New residential dwelling unit under constructionand not owner/occupied $ 70.00
X Add-on, modification or alteration to existin dwelling unit $ 50.40
. furnace replacement
. air exchanger
• air conditioner
. other
Nature of work:
State Surchar e $ .50
Total '
Reminder: Call for inspections.
?
?u WiAR it 6 2 001
S[GNATURE OF RMITTEE
Updated U01
CITY U5E ONLY
PERMIT #; RECEIPT DATE:
APPROVED BY: , INSPECTOR
COMIVIEftCIAL, MECHi4NICAI. PERM1T APPLICATION
CITY OF EA6uAN
3$30 PILOT KNOB KD
Et6M, MN 55188
651-681-4675
Please complete for: ail commerciallindustrial buildings
muiti-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRE55:
OWNERNAME: PHONE#: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVTOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE: ZIP:
WORK TYPE: New construcdon Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
Specify Nahue of Work
When installing/removing underground tank, cal! 651-681-4675 far inspeciion by Fire Marshal and
Plumbing Iinspector.
Fees: l% of contract price OR $50.40 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%a =$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PER?b1ITTEE
Updated 1/O]
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7" 1???.
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o ??ti?NtirA?Krs
FERMIT
C1TY OF EAGAN
N383y'Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: s u z Lp z MG
Permit Number: 033361
Date Issued: 0 9/ 2 2/ 9 8
SITE ADDRESS:
P.I.N.: 10-55300-090-04
1526 hICCflRTHY RLl
I.GT: 9 BLOCK: 4
05LUND TTMBERLTNG
DESCRIPTION:
S70RM CIRMAGE
REPAIR
434 ALT. RESZpENTIAL
;u?;u
REMARKS:
FEE SUMMARY:
CONTRACTOR:
APPLICANT/PERMITEE SIGNATURE
RprznnF
OWNER: " APpli.cant -
VANNELLI KARDL
1526 MCCARTHV ft0
EAGAN MN 55121
(651)405-1079
!? ?D eIS BIGNATURE
1998 BUILDING
New Construetion Requirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675 ?
G -aa -
RemodeURepair Reauirements
? 3 registered site surveys
? 2 copies of plans (include beam 8 window sizes; poured fid. design; etc.)
? 1 energy calculations
• 3 copies of tree preservation plan if lot ptatted after 7/1193
required: _ Yes _ No
DATE: el I I 7 I(? Q
DESCRIPTION OF WORK:
STR ADDRESS: /s-iq Co M c
LOT: ? BLOCK: _14 _ SUBDJP.I.D. #: (DS1 ?V4 --?7w?AAjA,`-"
W/? S
Name: V'ANlUe 1? 1 K? ?c7 L_ Phone #: ?IQ s-
PROPERTY Last First
OWNER
Street Address: aL Nl 0- C)a ?c-t 40-1-
Ciry 5tate: l/U Zip: S5 / 01 C
Company: Phone #:
CONTRACTOR
Street
City
?
License #
State: Zip:
Phone #:
Registration #:
ARCHITECT/
ENGMEER Company:
Name:
Street Address:
City
Sewer 8 water licensed plumber (new construction ony):
and iot change is requested once permit is issued.
State:
Zip:
Penalty applies when address chan
I hereby acknowledge that I have read this appiica6on and state that the infortnation is correct and agree to comply with all applicat
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: U? )!i ? V?'????
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
? 2 eopies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; / ?
S-A-1v,1-l-
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch 0 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New 0 33 Atterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of S4ories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
O 13 Garage/Accessory ?
? 14 Fireplace ?
0 15 Deck
? 36 Move
? 37 Demolition
-,,
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other ?
Copies
Total:
Valuation: $
% SAC
SAC Units
2/84
`
f*y`% CITY OF EAGAN pd
APPLICATION FOR PERMIT ? U
0?170
SEWER AND/OR WATER CONNECTIODi
(PLEASE P9INT)
PROPERTY ADDREss:
r FrAT, DFSCRIPI'ICN: 4- GI ,?
(I.nt/Block/Subdivision or Tax Parcel I.D. Nt.miber)
iE<{I ;='=`;G STP.L'CPCJRE , Dr'YI`E 0F ORIGii1AL txiILL'I:`IG PE7?,12T IcSJPNC°:
"
••
-
?
? PRES= tiS-E: ? i i SINGLE rAyIILY ri
?""".,
_ -^
? R-2 DUPLEX ('IrnO LNITS )
p R-3 TC?Tn]NHOL?SE (TfIEtE".c', + U^1ITS) ( UNITS)
? R-4 APAR71`AE?+T/CONDCMINILTyt ( LNITS}
p COMME2CIAL/RETAI7,/OFFICE
? IIMUSTRTAL
? INSTITUTIONAL/GOVERI?j=
2) AppLI= (PLEASE PRINT)
NAME: it/ ll ? Pd h ?-
ADDRESS: ') )I!)Z'l l.v.,. S
crrY, srATE, zrP: ? 1Nn?t ??c ?,,' s
PHOiNE: q - G 7 96
3} p?MER ?. PLEASE PRiNT)
_ Ypt??z e.13 'd- FOR CITY USE ONLY
ADDRESS: PLUS LIGENSE:
; Active
CITY, STATE, ZIP: /P N tJ-- S66 Expired
PHONE: SitR
3?-S.G PLUMBER LICENSE # :?a':h f Recard
1nj?
nitia
q) pCCUPANrlCr,jNER kYLLRZ)t YHLNI )
NAME: iy/il/'.?ry3?r 1.16")6 f/3z'/,L
ADnREss: i/, Z/o y A A Uy s,
CITY, STATE, ZIP: f.9?0i / S
PHONE: `rfd? `f ' (,;7 ylv
5) INDICATE WHICIi PEPMIT IS BEING REQUESTED:
? CO,INEGTION 'IC] CITY SEYIER
?J CON,ZIECrIGN TO CITY WATER
? C7PIIER (PLEASE DESCF2IBE)
6) LvUIC;=
? P=E HOID APPRaVED PIIRMIT FOR PIC::-UP BY ONE OF ABWE
? PLFASE b1AIL APPROVEp PER%LIT TO 4ABWE
(Circle one)
7) SI' -'ILRE: DATE : 9- 6' 7-j
Na Ee a:w?_a?ua i? p++ ia E?=_?.? ?? aa r+s '
, .. .. . . . .. .. r'
?a?-? as ai? s ri,sas?om i,i.i
$=ia ire.?t?r4•?rerr.?r nr s rf ?i ?l??aar es
F 0 R C I T Y U S E O N L Y
PERMIT '` ISSUED
FEES : $ Z;_ d
$ r d - .SlJ
$ ?D. <?9
$
S
$ / S. ?-o
$ ?? ?td
$
$
$
$
$ $
LL'TeTE? DL`A%II? ?Jr-. ru.- )
„m (I: ?I."?•DE ? °CHARGE
WATER PERNIIT (INCLUDE SURCFIAP.GE )
WATER METER/COPPERHORN/OtJTSIDE REAdER
WATER TAP ( INCL'JDE CCRPORATICN STOP )
SEWER TA?'
ACCOUNT GEPOSIT - SEWER
ACCOUNT DEP05IT - WATER
WAC
5AC
TRUNK WAT-ER ASSFSSP2ENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BEIQEFIT/TRUNK WATER
OTHER
TOTAL
AMOUNT PAID/RECEIPT # ?":;;7 /
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
?-] YES IF YES, THEN A'"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TFIE FOLLOTAING CONDITIONS:
APPROVED $Y:
T I T LE :
DATE : t,l _ 9 6> 5e??
.4 s? ? 04 = ME Ms Ot= Mt Nkw ? ? ? M 0?:ft wM Ngt,4W sta 04 IM ?M s? Ra NcIM se sm Pta gcam in sM 01 ..
411
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use 1 I `� q q
Permit #: (t V r I
Permit Fee:
(1)o('=
Date Received:
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: '�.i 5" /3 Site Address: ) 5 /V7C��
Tenant:
Suite #:
- Phone: 6-,57-95-06z/.
;
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope)
Sump Pump Repair
Other:
Description of work:
FEES
$60.00 / Each (includes $5.00 State Surcharge)
SEWER & WATER (Outside the building envelope)
Repair
Other:
fed (✓'e Su
L�
t L. c .Asc'®
TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.gooherstateonecall.orq
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 wor w ch requires avtiew and approval of plans.
Applicant's Printed Name
x,
Applicant's Signature
L'�
!"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139455
Date Issued:10/24/2016
Permit Category:ePermit
Site Address: 1526 Mccarthy Rd
Lot:9 Block: 4 Addition: Oslund Timberline
PID:10-55300-04-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas M Greer
1526 Mccarthy Rd
Eagan MN 55121
Platinum Builders Llp
20830 Holt Avenue
Lakeville MN 55044
(612) 919-3220
Applicant/Permitee: Signature Issued By: Signature