1360 Michelle Dr
Use BLUE or BLACK Ink
For Office Use I
I I
I Permit
City of qk 9 k>,
-"anon I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 1 Date Received:
I
Phone: (651) 675-5675 j I
Staff:
Fax: (651) 675-5694 1 -
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Dr,
Address / Cit'y~/ Zip: 3 b~ 4 pe CONTRACTOR Name: ~p l l ~U✓!»+~ t~ License #::l
e
Address: City: Kell/ 1 lie
State: / ' 1 (V Zip: e o ~j Phone: l Z
Contact: Email:
TYPE OF WORK -New T eReplacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures C_ Main Lower Level)
Septic System Water Turnaround
_ New
_ Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.aopherstateonecall.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.
x Y)'J, tZk J I ,~L x 4~~
Applicant's Printed Name Applicant's ignature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
?1????1??? •
MECHANICAL PERMIT
CITY OF EAGAN
.y- 3830 PILOT KNOB ROAD, EAGAN, MN 55122
BIDG. TYPE,,-'
Res. ?
Mult
Comm.
Other
PERMIT # ? - '-? ? •
RECEIPT #
DATE:
For Office Use Only:
WORK DESC_RIPTION
New
Add-on
Repair
? Name ^W'f_.,: /4;;Y 1-11
? Address 4/-:- ' ? ?? '• ?=?? . ??':
c Ciy ? f'' ,• 1 r?%s'i. Phone 1•
Name f ?
?
c Address
O City _ Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
- 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
M BTU '54? APT. BLDGS. - COMM, RATE APPLIES
. TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - AlL ADD-ON &
M BTU REMODELS - 12.00
M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE:
SIGNATUREtSF PERMITTEE S/C:
TOTAL: FOR: CITY OF EAGAN
+7v ? _ '
R E? '
PLUMBING P
CITY OF EA
CONTRACT 3830 PILOT KNOB ROAD,
PRICE . „ , &, _ , PHONE 454
Site A'??ess
Lot
? ?...?,
? Add
c City
Phone
?
t
?
FEES
COMMJIND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CON00 - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
FdR: CITY
T T q?j?;.?=. ' . " -
For Offi ce U?e?Onlx
PERMIT # ? ?J
lN, MN 55122 RECEIPT# 20
DATE:
BLDG. TYP WORK DES??{PTION
Res. New
Mult. Add-on
Ccmm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
MO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaVB"K1et - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
-? Gas Piping Oudets - $1.50
(MINIMUM -1 PER PERMIn
Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
PERMIT FEE:
? STATES S/C: EU
?- GRAND TOTAL: 1?
i . ]
(terfif irafP uf (Orrupanry
titp of (Eagan
Er}tartttimt Af iliatttp JwPtfinll
This Certrficate issued pursuant to tlre requrrements oJSection 306 of the Unijorm Building
Code certifyrng that at the trme of issuance thrs structure was in compliance with the various
ordinances of the City regulating buiJding construction or use. For 1he jollowing:
Use Chssirxadoe g' M/CAR 17009
&dg. ltrmit No.
oaup.-y nx R3/1'41 Zoning DLurict RI T c?
owoa?a?aa;??•F. ITI(?, II'. naa? 2500 w. CI?.?.R?., ,
a.m naa? 1360 I?ff?IE IV
rE Lomhry L, .
P10VME3t 17, 1989
- ?.?..
POST IN A CONSPICUOUS PLACE
' - PLUMBING PERMIT
For Offic-9 Use
CITY OF EAGAN pERMiT # ?
CONTRACT 3830 pILOT KNOB ROAD, EAGAN, MN 55122" RECEIPT # V ?
PRICE PHONE 4 8100 DATE: y?
Site Adc? ss I ? BLDG. 'f?PE WORK DON
Lot ? qck ? Sec/Sub Res. ?? New
; Mult. Add-on
Name Comm. Repair "
? 4 Other
w Addres r RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ?
_ ?
c City P4R?j N? FIXTURES T ? s
Water Closet - $3.00 $
Name j Bath Tubs - $3.00 -?'
c Addre Lavatory - $3.00 -r
1 Shower - $3.00 ?
? C?y ? u Ph Kitchen Sink - $3.00
UrinaVBidet - $3.00
FEES -? Laundry Tray - $3.00
COMMJIND. FEE - 1% OF CONTRACT FEE Floor Drains -$1.50
APT. BLDGS. - COMM. RATE APPLIES " Water Heater -$1.50
TOWNHOUSE & CONDO - RES. RATE APLUES Whirlpaol -$3.00
MINIMUM - FiESIDENTIAL FEE $12.00 ?- Gas Piping Oudets -$1.50 I?
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM • 1 PER PERMtn I
STATE SURCHARGE PER PERMIT .50 Softener -$5.00 .
(ADD $.50 S/ ACH $1,000 OF PERMIT FE Well -$10.00
Private Disp. - $10.00
Rough Openings - $1.50 '
SIGNATUfiE OF PER EE PERMIT FEE:
STATES S/C: • ?
FOR: CIN OF EAGAN GRAND TOTAL• ? .
. ?
?
SEWEFi & WATER PERMIT
C(TY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
8-L8e%:'
OFFlCE USE ONLY
METER # 3 b 7 pERMIT DATE 9/6/89
CHIP #' Co PERMIT # 10857
METER SIZE B.P. RECEIPT #E ? 3745
ISSUE DATE B.P. RECEIPT DATE 9/6 18 q
xxpRV _ BOOSTER PUMP
SITE ADDRESS
LOT _BLOCK SEC/SUB
APPLICANT: ADDRESS:
CITY, STA'fE ZIP
PHONE:
PLUMBER:
ADORESS:
CITY, STATE ZIP
PHONE:
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE:
PERMIT REQUESTED
SEWER WATER - TAPS
? g..,.
- COMM/IND ? RESIDENTIAL
?NEW _ EXISTING
Lawn Sprinklec Meters are to be Installed
Ahead of Domestic Meters cxr Water Line.
CrEd'd WILL NOT be given for Deduct Meters.
AGREE TO CaMPLY WITH CITY OF
EA"N ORDINANCES _
IGRATURE WHEN METER ISSU
PLEASE ALLOW TNfO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CtTY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE = dQi) i
METER # _
CHIP # -
METER SIZE
ISSUE DATE
xx
_ PRV - BOOSTER PUMP
SITE ADDRESS
LOT _BLOCK SEC/SUB
APPUCANT:
ADDRESS:
CITY- ST/kTE ZIP
PLUMBER: umbir.,, Lo. > .
ADDRESS:
CITY, STATE ' ZIp
PHONE: -
OWNER:
ADDRESS: ` 6 4`
CITY, STATE ZIP j
PHONE:
OFFlCE USE ONLY y/b?8g
PERMIT DATE
PERMIT? 10?j57
B.P. REGEIPT # ? 3703
B.P. RECEIPT DATE
PERMIT REQUESTED
IL SEWER ? WATER _ TAPS
i.
,COMMIIND
' RESIDENTIAL
NEW _ EXISTING
Lawn Sprinkler Meters are to be. Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDiNANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PEFiMITS, CONTACT ENGINEERING DEPT.
? CASH RECEIPT
CITY OFEAGAtV
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 1 % 19
rtc?o , i ?
Faor ' 1 f t+
AMOUNT $
8 OOLLARS
,oo
? CASH )J CHECK
wn ?l 1-? ? ?? l CJ(1 ! cl..(J ? t J r
?--
BY
C •, P 1' . Whlle--PaYera CoPY
Yelbw-POStl^9 CoPY
PINc-Flle Gopy
Thank You
. -, . . ..?-, ,-,- . .... ...-.....: :r.t?;a.?g+f+;:?•??pr:.;;^?.,.w?c,>:-wr,??? F .. . _ . ...? . ?-??..r?s .
.? = •? ? ' CITY OF EAGAN 17 009
' --' 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?y
? •
PHONE: 454-8100 10
BUIIDING PERMIT Receipt # ?--? --1 To be used for sF Du'G/G" Est. Va1ue # 134, 000 Date SEP 1 . 1 g 89
Site Address 1 saV FUcnXi.1.L
Lot 10 Block 2 Sec/Sub.
Parcel No.
- Name E F KNIGHT, ItaC
? Address 2500 w ?UM ?OAD 42
° CitY BURNSVILLE Phone 890-2021
Name
Address
Gity
Phone
Building Official OFFICE USE QNLY
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all appiicable State of
Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Permitee
A Buiiding Permit is issued to: E F KNICHT, INC
on ihe exQress condition that all work sha14 be done in accordance with a11
applicable State of Minnesota Statutes and City of Eagan Ordinances.
R'3 M-1
Occupancy FE FS
Zoning k-1
(Aclual) Const V-N Bidg. Permit 758.00
(Allowable) V-N 67.00
Surcharge
# of Stories
62'
n Re
i
Pl
379.00
Length v
ew
a
Depth SAC. City 100•00
S.F.Total - SAC.MCWCC 575.00
S.F. Footprints - 5?.?
On Site Sewage Water Conn
On Site Well
U Water Meter ?'?
MwCC Syslem
?
Acct. Deposit 30.00
Clty Water ? 2O' ?
PRV Required SiW Permit
Booster Pump - S!W Surcharge 1'00
228'00
Treatment PI
APPROVALS Road Unit 340.00
Planner
Councit - park Ded.
BIdg.ON. _ Copies
3?1?$•?
Variance - TOTAL
Permit No. Permft Holder pate Telephorte #
WATER
?
SEWER i.
PLUMBING
H.V.A.C. ? Q
EIECTRIC oL'
Inspection Date Insp. Comments
FooungS i
Foundation S' g
Framing f?
Noofing
Rough Plbg.
Rough Htg.
Isul. i o li3 i' ? (?u?+
Flreplace „ 1 - _
Final Htg. o
Final Plbg. - OM2
Const. Meter Pibg. Inspector - Notify Plumber
Engr.IPlan
Bldg. Fi?a?
Deck Ftg,
DeCk Final
Well
Pr. Disp.
' CITY OF EAGAN N2 17009
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # <
G? 1 DT
To be used for SF DWG/GAR Est. Value $134, 000 Date SEP 1 , 79$9_
Site Address 1360 MICHELLE DR
Lot 10 Block z Sec/Sub. HIDDEN VALLEY
Parcel No.
w Name E F KNIGHT. INC
o Address 2500 W COUNTY ROAD 42
City BURNSVILLE Phone 890-2021
-i o Name - SAME
00? Address
City Phone
r
wW Name
w
Address
a W City Phone
I hereby acknowlege that I read this, 4 tate that Ihe
information is correct a a ree to corrr(i rth I a licable Slate of
Minnesota Stamtes Eag
Signature ol Pe ' e
A Building Permihs-issued to: E F KNIGHT. INC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesola Statutes and City of Eagan Ordinances.
Building Otticial
OFFICE USE ONLY
Occupancy R-3 M-1 fEES
Toning R-1
(ACNaI) Consl V-N Bldg. Permit 7 SR _ 00
(Allowabie) V-H
Surcharge 67.00
# of Slories
62'
PlanReview
379.00
Length
Depih 50' SAC, City 100.00
S.F. Tolal - SAC, MCWCC 575.00
S.F. Footprinl5 -
On Site Sewage _ Water Conn 580. 00
On Sile well - water Meter 90.00
rnwCCSystem xx
30
00
City Water ? Acd. Deposil .
PRV Required XX SM Permit 20• 00'
Booster Pump - S/VJ Surcharge 1.00
Trealment PI 228.00
APPROVALS Road Unit 340.00
Planner - Park Ded.
Council _
BIdg.Off Copies
variance - rOTAI 3,168. QO
I? 6 2101 io :2
Requesl Oate
(?
8q Fire No. Roug?-in Inspectlon
Requiretl?
? Reatly N. ?I Will Notlfy InBpector
??
? ?Ves ? No wM1en Ready?
I)0 licensed contrador ? owner hereby request inspection of above eleclrical work at:
Job Atltlrese (Slreel, Bm or FOUIe No.)
13too m;cc,de. Clty
Secllon No. Townahip Name ar No. Rarge No. Counry •
OccupeM (PRI Phone W.
(?y
. ? ??1 V11.
PowerSUpplier AOdreae
DAYY)+A- fr-G
Electrical ConVacmr (COmpanY Name)
(....ct eir Eleefric, fnc. Contraclor5 Licerae No.
DNiq 5-8
Maling AOtlress (Conlxclar or Owrer Meking Instella?ion)
?
9393
m?
rn ?s
t
55N3?
a?,
? .
,
Autlwrized Signatuea (COntac[or/6.mer Meking Inslelletion)
U.kxx.AdA- Priore NumDer
'18u-3'121
NINNESOTA 5fAiE BOARD OF ELEC'fiiICITY THIS INSPECTION REOUEST WILL NOT
Grigps-MlEway BWg. - Haom &1]3 BE ACCEVrED BVTHE STATE BOARD
182t Uniwrelry Ave., SG Peul, bIN 55100 UNLESS PROPER INSPECTION FEE IS
Phoere (612) 642-0BW ENCLOSED.
9A ??gg REQUEST FOR ELECTRICAL INSPECTION +': ea ooomo7
? See insirvciiore for com0letln9 this form on beck oi Yelbw copy.
?
?Rpi ni X' Below Wonk Covered by This Request ?
Ne% Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt Building Dryer Other (Specify)
Comm./Industnal Furnace
Farm Air Conditioner
Other (apedty) Comraclor5 Remaiks:
Compufe Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuiGS/Feetlers Fee
Swimminq Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Abo Amps
Signs Inspecmr5 Use Only:
L
?
',
lR192t1Of1 BOOf115 ?
pf'
]S 1!1 • I
?I
Special Inspection
Alartn/Communication
Other Fee f
I, the Electrical Inspector, hereby q0igh""
certiy that the above inspection has
been made. F,nai oere , J-
OFFlCE USE ONLY
This requeM voitl 18 manths from
3INGLE FIMILY-DWELLINGS
2 8ET3 OF PL?1.S
I HEGISTE[iED SiTE 392YUS
i SET OF EXEAGY CALC3.
1089 B[TILDIAG PERMIT APPLICAYION
CITY OF EAGAN
1!00
lSTLTIPLE D1iELLINGS
2 3ET5 OF PLANS
BEGISTfiRED 3ITE 3IIAVE23 -
icffEca xrra sLnc aiv.)
t SET OF ENERGS CtLG4.
.
C0PMRCIII.
2 SETS OF 1RCHTIECTURAL
i 3TBOCTORAL PLINS
1 SET DF SPECIFIC9TION5
1 SET OF F1IERGI CALC3.
MULTIPLE D1iELLINGS EENlIL MI23 Fl3lti SW6.E U11I13 / OF UNITS
YOTEs iDDRES3FS F08 ODRBEB L0i3 - O0NI'1lACT08/84M9MM$ MDS'P MiGRiTE HSICB 1DDAESS
IS DESIliED, b0 CH9NCE5 iiILL BE lLLOiiED ONCE BIIILDIAG PERMIT IS ISSOED..
3EWER 8 R9TER PERMIY FEES jPD ICCOQHT DEP03IT FM bT:II.L B& INCL9DfiD NTfB T6E H4ILDItia
PEfa7TT FEE. PADCESSING TIIBE FOR 3BiTE& lAD WITEA PF.MI25 IS THO DAYS ONCE A PfiRMTT SAS
BEEA WhIPLETED INDICITIIiG A LICENSfiD PLIMEA.
PENALTY APPLIFS WHENs PERMIT IS NOT PAID FOA IN 3AME MO1PfH IT YS RE4UESTED.
LOT CAANGE IS REQIIESTED ONCE PERMIT IS ISSITED.
?8 2 9 t989
To Be Used For: New Single Family Valuation: Date:
SitE Ilddress 1360 Michelle Drive
Lot 10 Block 2
Paz'cel/Sub . Hidden Valley
bvner E.F. Knight, Inc.
Add['ess ZSDO WEst County Road 42
City/Zip Code Burnsville, MN 55337
Phone 890-2021
COAtraCtor E.F. KniRht, Inc.
Address 2500_West County Road 42
City/Zip Code Burnsville, MN 55337
Phone 890-2021
Arch./Engr. _E.F. Knight, Inc.
Idd; &s3- 2500 West Countv Road 42
City/Zlp Code Burnsville, MN 55337
Phone 9
8-28-89
13 4, o00 "'
Occupancy ?-3 M-I FEES
2oning R-1
Actual Const V-N
Bldg. Permit
ISS, oc
Allowable v_N Surcharge 67, 0D
# of stories Plan Review ?3 q,vD
Length ?11 3ACt City ol 6,
Depth 50, SAC, MIiCC 51I9,Od"
S.F. Total Water Conn 580,On
Footprint S.F. Aater Meter 910,00
loet. Deposit 30,OD
On aite aewage 8/tii Permit DOO?
CYe eite well S/iT Sureharge
NifCG Syatem ? Treatment P1. Z,00
Citq rraLer
I Road iSnit 34OLD
IPAV required ? Park Ded. .
Bowtor Pump _ Copies
84BTOTAL
? APPAOVAIS Penalty
Planner TOTAI.
Couneil
Bldg. Off.
Variance
yqLuA-rIoK .
r
GrA 2 P?G? E '?' . '?,
3
2
7xi3=
.?---
'1'13 x,s= i 15?5
QS?T
?Ll?t 16 - 31? y
? ? by x ??= ?GZ9?
IST rLDOR
6S? 'f' = 1 1 G., ?{
I Z G? x5a = G 3ys?
?_ .
yND T"l.pQ2
'IoxzB= ?4ok 5?v= e-12oap
J3?3`?I1
SURVEYOR'S CERTIFICATE
E,F K1j1Vr+'r HONES
?E W
-,E Q01
EAGAIV E1UG IVEERIAIW DEP'T
gy
?&--- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: t INCH 6 30 FEEf
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - BSL,y FEET
0
X000 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 8`/S.9 FEET
.
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 85y0 FEET
WE HEREBY CERTIFY TO E, F. "IbHT NoMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT lo, BLOCK z, HIDDEN VALLEY, ACCORDING TO THE
RECORDED PLAT THEREOF, DAKOTA COUNTY, MINNESOTA.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS l4TH DAY OF AUC.JST , 196q•
pROV056o Gvwe: srwwa ws¢E SIGNED: JAMES R. HILL, INC.
T4KEN F4DM k COPy OF 7T1E 6iLA?IU0 .
Pi.wra RoR HIDDEN VN?L&`fP PA?EDAR? DY
R0660.T h. TN6N6 ? P.E, i ? --??-?qtnES 0.,N+LL, J?' ay 646AA1 Fi?La 4 BY' JOHN C. LARSON, LAND SURVEYOR
NO`NAK,
MINNESOTA LICENSE NUMBEH 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
P,R.Va r°i-(?qijfflED
SURVEYOR'S CERTIFIC//o11TE
M f C ???'u
DR?VELL?
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(,53
y
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?h a3 4c/8S•S?0
6S,30 4?" ? + S' 4 /)
QCUCN MARK
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19 09 - -
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By -
EAGA1V
poRa V a REGUMLSD30 FE6T
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James R.Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
. ,
CITY OF EAGAN
EXTERIOR ENVELOPE AYERAGE 'U' COHPUTATION
OWNER: ?F- 4,v ''/17 //'?C
SITE ADDRESS: 13?lSO
COHTRACTOR: DATE: PHONE:
Determine vorking square footage of each:
1. Total exposed wall area ., sq. ft. x.11 = e2?J. ??.
2, Total roof/ceiling area ... ? sq. ft, x.026
Total exposed wall area above floor
2
a. Total wall windou area ............................ 0 -
? Z
b. Total door area .................................. 3 8.0 2?
c, Total sliding glass area .......................... 2f010 ?
d. Total fireplace wall area ......................... z`/,o
e. Total wall framing area (average 10%) ............. .;?-/8,:3
f. Total net wall area above floor ................... 1q,43
g. Total rim joist area ............................. zv :)--
Total exposed foundation area = p9'
h. Total foundation windou area ....................... --It7-"
i. Total net foundation area above grade .............. 6b'
Determine 'U' value of each wall segment:
a.
b.
c.
d.
e.
f.
B•
h,
i.
x
x
x
x
x
x
x
x
x
I uT
'U'
I Ut
'U'
'U'
tug
IU'
'U'
'U'
- -:2.s . SS
- /`/. 7
-
-
?o77h' - Sz%
3 . ................................................... Total
If item 1F3 is the same as or less than item 111, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area - /
J. Total skylight area ............................... ? --?9-
k, Total roof/ceiling framing area (average 10%) ..... 12 2-
1. Total net insulated roof/ceiling area ..............
OVER
Determine YU' value for each roof/ceiling segment:
J• 0 x 'U' _
k. xt Ut o-;?? = s;:Z, Z/
i. X 'ut 1o193 = a/,a7
q . ............ ....................... ............. ...... Total
If total of 114 is the same as or less than 02, you have met the intent of S8C
6006(c)1,
Alternate Building.Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items #3 and !i4 shall not be greater than the sum of Items ll1 and {)2,
1. + 2. -
3. + u.
a
Pape 1
i ?
EY'PF:RIOR tiNVE1,OPti AVERASE "U" COMPL'TA'fION
Legal Descrip[ion of Property: l.oC 61ock . AddiCion Da[e
Sf[e Addres5
AVGl;ACT I.It7I:AL PF.CT OE'
P`;]'OSEI) 1:A1.1, AR£.n AROVE rIiADE PEIUIIT N0.
Nain level
Lineal f[. of framed we11 above gr,dc z hei{;h[ of wall
Rim joi.st area Lineal. ft. of rim x heigh[ af rim _
Lower level
Lineal f[. of Framed uall a6ove grade x heigh[ of uall
Llneal ft. of masonry unll above gradc z hei.gh[ nbove grade _
TDTAL wall area above Fradc including vindows and doors -
WINDOIdS
Make S : Area x "U" valu?j
type LijyClj?nJ C??ff??:,f
?? „ 6 7F??/ sq
z sq.
Zy?SOZ?x/ sn.
?? " 027602^'X/ sq.
„ •' 1660 h?.rz_ sq.
?? ?? 9?/f1J/V/X2 sq.
5q•
sq.
„ " ?lfl3wX sq.
/S?,r sq.
- sq.
n u
- Sq
u u 5q
Sq
u u SQ
59
DOORS: Area x "U'?yalu?e ?
Make & type 4rZ?Ntr.. s^.
sq.
sq,
OPAQUE iJALL COKSTNUCI'ION; Area x"U" value
FRAMC? WA1J. ([o[al area lcss
apeninR, frami.ng meinUers in
De[ai1 refer-wal]., rim juisC area 6 masonry )
ence fr om
at[ache
d sq.
5f1PCC5 --- FraminK memhers 1n wa11
- sq,
Rim jois[ aren sq.
ClaSOnrv .irC, a6Q`LS'.-6Lsl.dL_'__ s?.
T07'AL N'al). Area Inclvding
Windovs d Dnors
Pt (U) (A)
Fc (u)(n)
Fc °U° (U) (A)
fc "U" - (L!)(A)
(C ??U" W) (A)
Et 'lull
. (U)(A)
fc -
??U" (ll)(A)
IC (U) (A)
f[ (U) (A)
ft. 20.450 x " u, (u)(n)
Le. '$ x (U) (A)
f[. (U) (A)
ft. (L') (A)
fC. % Un (
U) (A)
ft. X Un _ /
(U) (A)
ft. r "u,- (il)(n)
fC. . . T ??U" (tt)(A)
(t. x "LI" ' (!') (A)
_znV ;?
ft. ?
0
x (U) (A)
f[. --
?
-
/O x ..U.. (Il)(A)
ft. t<b x 'lu.. - (u)(A)
fe. x "U" (U)(A)
(c. (l!)(A)
(e. x I. ?.. _ (C)(M1)
I c.. ?x (U) (A)
fc. _?-- (U)(1)
•rnrnL (u)(n)
TOTAL (U)(A) VAL1/05 AVG. "U"
OIVIDED UY 7'OTAL WALL AREA
AVERAGC "U" Plinimum .71 or Less fnr 1. d 2 famiLy dwellings
Ninimum ,27 nr less for a ll . o[her bud Ldings
NOTE: If nverage "U" values as calculaceA a6nve do no['meec the F:nergv Code reoufremen[s, [he
"Alerna[e Envelope Desij;n" as indi.caced on Pnge 5 may be used.
$INGLL & DOUBLE FAMILY HOMES
1984 ENERGY CODE REQUIREMENTS
On or about March 1, 1984, the following energy code requirements
should be calculated and included with a building permit application.
1. Roof - ceiling assemblies - R-38 U= 0.025 Average
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. Exterior overhangs will be considered as eYterior wall.
5. Foundations (all esterior walls) - Minimum of R-5 insulation.
6. A11 insulated areas must be separated Prom'the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation.will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
CUIDEUIIC TO (R) 1'ACI'URS fCOtl Ai11Ri.[ IIMIUAL .
, OP TYPICl.LIY USCO fGOGUCTS ' . . ..
Interior Air iilm (11a11s) IRI
E-.(.0
LYpsum or plaster board J/8" (0.)
0
32
Cxterior Air Fllm (Iqlls) 0.17 Cyvsum or ylaster Loara 1/2" .
0
45
InICrlor fir film (VtmctA Ceilinq) D.LI Crpsum or nlastcr board S/II" .
56
0
faicri,.r nir fllm (venmd Ceillnn) 0.61 Ply..ood )/B" .
0
41
Intcrler A(r filn (fItn Vrnted) 0.61 P1Ywaod I/2" .
62
0
Eaterior Air fllm r110ii vented) 0.17 Plv..od 3/4" .
0.93
Ri?minirn Sidino Sheatnin9. «9. densicY 112" 1.32
Aluminum witn Bac4er 0.61
1
81 Sheathlnn, rea. density I5/3="
N
- 3.06 '
Aiuminum .,ith 81c4cr G Foiled .
2.96 eil
Aau Sheathing 1.14
IR r 8 tco 5idinn (Wooa) . 0.81 evilt-un poofs 0.37
7/16 x 12 Ilardeaard Sidinq 0.67 Asbestas-,,ment shinqlcs 0.21
'
AsLestos SiAinIs 1/4 lanoce 0.21 Asphal[ roll rooling 0.15
Stucw (Oro..n and finlih Coat) ASpahit Shingles 0.44
3•'4" 11aod Subllaor ar Sheathfng 0,94 InSUlation: 2-2 7/4" Liberalafi 7.00
I/2" Plywootl :I?natM1in?
" 0.62 Insula?ion: J 1/I'• fiberqlas5 11.O0 '
I/I
Par?iclc tlo..rd 0.64 Insulation: 6" FiEerglass 19.00
WOUS: . BLONItIf. VOOLS ? . . _..
ilr, pinc G:Imilar seft Veods I 1/2" I.89 App.a.. ;" . 9.n0
2 I/2" 3.12 avorox. 4 1/2" 13.00 .
3 I/x" 4.35 Avorox. 6 I/4" 19.00
5 1/2" 6.67 AvProx. 7 1/4" 34.00 .' .. .
ApProx. 14" - )0.00
Apprax. IB" 40.U0 " , .
. AII other fnfvlatlon materials nvs[ be .' . . ' ' ' .
iilled verified (R fae[or) . - '
(R) Vermicvlit c .
B" [oncrete 8 bck (5 t G aev.)
I3^ Cencre[e ¢lock (5 L G 0.<9.) 1.28 3.15
" "
'
,..
B" Liqnt Vci9h[ 2.18 5.01 . . .
11" Light ':elgh[ 3.48 5.82
'
. . ' .
cee•.•?ee>enese_ee?frtca+ennxn
NOTE: (U) x Ar<a Sauare feet
_;" LL
nll VlnAOws - .
(w/Smr..,s 1" ta 4" Spacc) .56
Aemoval DOUble Clazinq (ROG) .55
Therme or wcided 3/16" air spaee .69
1/4" air :pacc .65
1/1" air space .58
(O[her windows speci(ically tested wn use better raaings)
1 314 Solld eore door .46
MISIOrm. MoOtl .31 .
w/storm, metal .26 .,
Oease StcelOoar Insl/n/CL 7,45rt ,13
Slldinq Glats Daor, Nood .65
Metal .)IS . .
. /' .,
?
.'
ToTRL ([c) =??,s3
vAW
• , ???
? ,s?
, i 7 •:
Tp7PI " (R)=d?,?;6
. ?j 1 • ?f =,?Oy'36
J DAT ?ot? .
Ctt) ?IALU?
i3
o I0-1EI7
?Z a«< F?LI-i
/i' 54'19fb'?• //'00
i
'1I
DO
?a _ EXjE(?loz A1R FIL M
It u„
Floors ova; unheated spaces r.iust have mininu;a R-factor of Et-20 (tuck-under gataoes).
Floors ov.^.r outdoor air (ovcrhangs) nust iiave a riininum P,-factor of R-33.
rirniriu.`I "U" VnLUE aNIo R-Facroa AT ROOF, WALL, RICI Ai\U (:O2ICRETE BLOCI;
? ROOF ? CcIL?NC,
(Y) VA?
iQ It?TE?IoR ? F?it? F(u1 G?
2Q 5?3" GYP- ED.
O l?SUTA(lDN .Sp,pp
? .,
? EX?c(Z1?(? AtR FILP1 ' 6./
tSTILL? • S
JIU«
.?
- ?WALL
O
Q
O
RlR flLM
?? `` Ir?SU?AT{oN S/Z
? S!"L7,-x)Tc • .
eX;E-1-lar= A?'? FILM ..
76TAL
4? e o l93•._
) VAL-
.6g
-ys
?- ?
,67
, ,?
? =
?
? ?lM
?
y°.osb, 105
. u'
uU'l
(R
, 0 7??
ItITE.I'lor: RW, Flu?
s 1/211 irsULA; Ic,'I .
2 Ftr- tt?r?t .?tsT
?f 7Z ?J::r7 NTG , ...
stov(, :
AT- FtLM
RESIDENTIAL BLTILDING
• bduql Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
A NEW BUILDING
New ConsWCtion Reouiremenls RemodeViteoair Reauirements Office Use OnN
3 registered sile surveys showing sq. ft of l04 sq, ft. of house; and all mofed areas 2 copies W plan Cert of Survey Recd _ Y_ N
(20%maximum lotcoveraqe allowed) 1 set of Energy Calculafions for heated addifions Tree Pres Plan Recd _Y _ N
2 copies of plan showiig beam & window sizes; poured found design, etc. 1 site survey for additions & decks Trce Pres Reqd _Y _ N
7 set of Energy Cakulations Addition - indicate if onslte sepGc system On-sRe Septic System _ Y_ N
3 mpies W 7rce Preservation Plan if lot platted after 7/1193
Rim Joist Detail Optkns seled'mn sheet (bldgs witlh 3 or less units
Date / O / / V- / 03 Construction Cost /,!q 000- -
site Address 1360 M: c H.6 1- e Qi : , c- UniUSte #
17.? S / a .7
Description of Work Bv? c.0 , ?T- w? pi,.cr-- 6??r-?• te .f Fra^ ? F?e.{?y
?
Multi-Family Bldg _ Y?[ N Fireplace(s) li '0 _ 1 _ 2
Property Owner ? PF? Y- 4n.o.. 6? E w w E Telephone i1(t?,?!
Cotttractor ib' Si 'r .4 1'& 10 C'J y y
Address fs ?f SS -/'/6'F S7'• C.,/ , City j?P/-L? U•nlfG?
?
State rr.? Zip Sf / Z Telephone #(?'j SZ) ?9'7 ` 2Z'7 6
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateaorv 1
• Resldentlal Ventilation Category 1 Waksheet
(^I submission type) 5ubmitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Minnesota Rules 7672
. New Energy Code Worlcsheet
Submitted
Y_ N If so, 25% plan review
Telephone #(
Telephone # (
C?.C(.?c ? ??as f o3
Telephone #
I hereby apply for a Residential Building Pertnit and acknowledge that the inform ion is co#lpAW and ac¢urate;
that the work will be in conformance with the ordinances and codes of the City E?..,a.R-a^dzh° S*ate-df MN
Statutes; I understand this is not a permit, but only an application for a pernut, 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.
cr? I oc sc^- Q
ApplicanPs Printed Name Appl' t's Signature
OFFICE USE ONLY
. ,a
Sub Types , ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
A 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 MiSCellaneous
WorkTypes 6rL?r srvvP? ,?vyO?t,
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
?[ 33 Alteration ? 37 Demolish (B ldg)* ? 43 Reroof ? 46 Windows/DOOrs
?O 34 Replacement •Demolition ( Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
Footings (deck)
? Footings(addirion)
Foundarion
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
/
REQUIREDINSPECTIONS
FinaUC.O.
? Final/No C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (newlieplacement)
_ Retaining Wall
Approved By?`7-?_ , Building Inspector
Base Fee
Surcharge
Plan Review
MClE5 SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
f- p&
I 3 ?.QO
5 X /
G?V154L 4 p // ?'00
jotmv4-
q
?-
1'
Permit Number
MECcheck Compliance Report
2000 Minnesota Energy Code
MECcheck Softwaze Version 33 Release lc
Data filename: C:\Progam Files\Check\IvlECcheck\glewwe.cck
TITLE: glewwe
Checked By/Date
/ 3 c O Avt.j;r_#&-?-'C foiL
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 10/24/03
DATE OF PLANS: 10/03
PROJECT INFORMATION:
addition room ahove gazage
COMPANY INFORMATION:
dosco
COMPLIANCE: Passes
Maximum UA = 164
Your Home = 129
213% Better Than Code
Gross Glazing
Area ar Caviry Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 672 44.0 OA 18
Wall 1: Wood Frame, 16" o.a 1140 19.0 0.0 61
Window 1: Above Grade, Metal Frame with Thermal Break, Double Pane with Low-E
70 0330 23
Door 1: Solid 30 0330 10
Floor 1: All-Wood Joist/Truss, Over Unconditioned Space 672 38.0 0.0 17
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U -Factor
Above-Grade Windows and Glass Doors 0330 0370
Includes Foundation Windows > 5.6 ft2
Floors Over Unconditioned Space 0.026 0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been
designed to meet the 2000 Minnesot nergy Code requirements in MECcheck Version 33 Release 1 c and to
comply with the mand"/reriits lisn the MECcheck Tnspection Checklist.
Builder/Designer Y t / (lI gv N Z,?n A ? ) N Date
? E.F. Ku1c.T HUM6S
RVEYOR'S CERTIFICATE
M ,ra"e "
1 CHr-
?? OF ao?
ECOV.e8V?.0
J-
i --
?..
?
--J
i
_.?. D, I
M
N
? SI ? ° `?\ t??c° .10
O
PROPOs gp o Np ?P.??'y
DRWEwA?'
f tib \ ,
? ? ----- .l1.83 •?= ?"' ?
? r i?853.3,
4S . s 'oo
? v 29.67 GAe \
d ?007 ;/?'ROPOS -' i; OSti? Q` A N i•.
f N? HOUSe i \? ?°
? , I ? ogC
L ? ==K 0??s
14I lgyg3 J (0- 52w? \:o
=ArsD /
PE, . . _ ? SJ,;? ?.O
DRIV? '?E
?y
a
4 b85,pp
+ s4 /)
? ?. 0 6S3g??" ? ?
W
O
?9
N
a
z
I
O
L,z\'N 8Q° 55' 10" E
?A?N' ?d y 4' Et
??
ily.
.
?
P.R.V. R?0,???EID3pFEET
?
m
?
'n ? .?
CP O
? O
?
?
N ? m
a Z mN
0 ?
D
-p - D
? m RI ?
z
? O vt O
m N
?
?
(y
?I
James R. HiI, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
.?
PLUMBING
(RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Family Dwellings
Townhomes and Condos when pernuts aze required for each unit
t5eso
Date ? l ./,P, I -0?
Site Address A3((00 Y4,4 Unit #
Property Owner Telephone k(&5/ 1 i,lr/rf
Contractor &)-LhQ? ?? n; L? 15 Jne .
Address 15230 O1t.1^f'n YVn J City -Rnse mtsi i rf t.
State Zip ?g Telephone k((.T/) 49?3-\3 '731)
Th
A
li
t i
O
? C
e
pp
ca¢
s _
wner
ontractor _ Other ,
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Atlditional wnsultant fees may appiy.
Alferations To Existing Dwelling Unit, Inctuding
? $ 50
00
Adding fi#ures to lower levels or room additions, exclutling water softener and water heater
7/ .
_ Abandonment of septic system
_ Water turnaround
me/ter'rf needed -$721.00)
(+
5f8"
`
?
q
Other:
n I 2 ?U
_ RPZ _ new installation _ repair _ rebu'H $ 30.00
_ Lawn irrigation system
'?•/ ? =-
Water softener Water heater
- -
$
15.00
_ replacement _ additional
State Surcharge $ .50
Total $ 5,6.67)
I hereby apply for a Residential Plumbing Pemvt and aclmowledge 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 with the Plumbing Codes; tUat I understand this is not a
pemrit, but only an application foz a permit, and work is not w start without a pennit; that the work will be in aecordance with the
approved plan in the case of work which requires a review and approval of plAns. ,
Elavne. M. lUko Lvecz-) VP-o-qxt- '
Appliant's Printed Name Applic t's Sign hue
RESIDENTIAL MECHAIVICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please comp(ete for. Single Family Dwellings & Townhomes and Condos when pernvts aze required for each unit
DateI /C/ /() ?/
Site Address 13 6,o //? ??_k'2 11C J l i- Unit #
Property Owner l'U ! C?' 1 7(1,YJ2 Telephone #( )
LoFCiREN
Contractor HEATING & AIR CONDITIONING
W. STE. 4
Street Address FARMINGTON, MN 55024 City
5tate Zip Telephone f! 6 y60 83 I3
Bond #: Expires:
The Appticant is _ Owner ? Contractor _ Other
Add-on, modification or alteraGon to existing dwelling unit $ 30.00
? fumace replacement
?t air exchanger
air conditioner _ New _ Replacement
other
State 5urcharge $ 50
?
.-
Toca,
:
I ??rtiP?.r ? 3 ?
r
.?
$ ?
n
I hereby apply for a Residenrial Mechanical Permit and acknowledge that the informarion is complete and accurate; that ffie work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an applicafion for a pemut, and work is not to start without a p rmit; that the work will be in accordance with the
approved plan in the case of work wMch requires a review and approval of plan
nnL' L,i 6c r/Tr Z
App icant's ri ted Name ? hcant's Si ture
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
mul6-family buildings when separate permits are not required for each dwelling unit
Date / l
Site Street Address Uni[ #
Tenant Name (if appticable) Previous Tenant Name
Progerty Oviner _ TeleQhone #
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
_ Newconstruction _install - Remove Underground Tank
Interior Improvement Schedule inspection during installation or removal of tank
Processed Piping
Nature of Work:
P¢l'll7ik F¢¢ $50.50 Minimum Fee (includes State Surcharge)
Contract Value $ x 1°/a =$ Permit Fee
• If pemvt fee is $1,000 or less, add $.50 ? $ State Surcharge
If pemvt fee is over $1,000, add $.50 per
$1,000 Pemut Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Pernvt and aclmowledge that the information is complete and accurate; thaT the work
will be in conformance with the ordinauces and codes of the City of Eagan and with the Mechanical Codes; that I undetstand this is
not a pemnt, but only an application for a pernut, and work is not to staR without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a ceview and approval of plans.
Applicant's Printed Name
ApplicanPs Signature
Appmved By: , Inspector Date:
--------------
? F `,c??flffre? '/
j Permit#: ?? + / ? j
? Permit Fee: /?? Ov I
I (? I
? Date Received:?S t/ . Q •cC7 I
I I
? Staff: ' I
I ------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATI/O`N?
Date: SiteAddress: I J6J :/f) f C.hf,(Ie
Tenant:
Suite #:
RESIDENT/OWNER Name: .S?R TQI'? -T-C.I1E a i Ck ePhone:(,`V 'qG5 ' 306f-)
Address / City ! Zip: 1360 &644'
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description ofwork: 'Yleti "II «e!^ K??c-,
: (Yes No ?
M
lti
F
mil
B
ildin
C
t
ti
C
-
y
g
ons
ruc
u
a
u
on
ost:
?/
'
rlik(
'f
+
C
ai
4
?
qA
CONTRACTOR i
ii
. License#:
c
fr
Name: Ji t
+z
i
d
•
i
Address: vY?'.
??? ? tate:?, Zip?
City: Nl'611ea
?
Phone:U
?-+1? j??j3 Contact Person: ' ?'? Gf?'?? ? •?(Jl?n? ? ?
-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet ^ • New Energy Code Worksheet
Category Submitted SubmiHed
(4 SubmlSSion type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer 8. Water Contractor: Phone:
_ NOTE.- Plams and supporfrog'document=s fhat,3you subrrut are cons7af?red to be publrc?;rnfiormart+4n: Potf'tons?of.o
?#he infornaaifoii??ay be cfassif?ed as ngn pubJic if you?pray?de speciSc reasons that wais[t? potmit the Gity to'?
_? , concfude3thatthe' ?axe`tradesecrets , . Pa?n;
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a pertnit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X? ??r` 61y
S?hn ?S'u ?
ApplicanYs Printed Name '
X
Appli nt's Signa,tw
1// Page 1 of 3
, DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Euk Alt. - SF
? 02-Plex ? OS-plex ? Deck ? Porch (screenlgazebo/pergola) ? Multi Misc.
? 03-Plex ? 70-plex ? Lower Level ? Storm Damage
? 04-Plex ? 72-plex ? Miscellaneous
WORK TYPES
? New ? Interiorlmprovement ? Siding ? DemolishBuilding`
? Addition ? Move Bui lding ? Reroof ? Demoiish Interior
-Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
* Demolition (entire building) - give PCA handout to applicant
DESCRIPTION: ? ,????
Valuation ? ? U(/)
?v
Occupancy ?
MCES System
71
Plan Review Code Edition ,(? SAC Units
(25%_ 100%? Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const.
? Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drein Tile
Roof: Ice & Water Final
? Framing '
Fireplace:_R.I. _AirTest _Final
Insulation
Reviewed By:
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
copies
Total
Sheetrock Meter Size:
FinaI/C.O.
FinallNo C.O.
77? HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall Building Inspector
r\Jo,
? L9?
?
Page 2 of 3
?
- ---------,
? For ONICe.?U&s I
?/ I
I Permit#: ?'1 I IC/v ?
? I
n, i
Jr- ?
? PermitFee: V?' I
? ? II
? Date Received: ?
? Staff:
-----------------I
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: %-2-5 Og SiteAddress: / 3C U v?/G/f?GLlc 0???
7enant: /-/-9 1/ _ Suitek:
RE5IDENT/OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name:/? VySS?vA., License#:
Address: //>/D ??/'???%f? -r'? !?
City: State: ,/7i1/ Zip:
Phone: Z?5/ - 27? -!5?06, Contact Person: 5 4?'+??5'S? U/!
TYPE OF WORK New _ Replacemeni _ Repair _ Rebuild ? Modity Space _ Work in R.O.W.
Descri tion ot work:
PERMIT TYPE AESIDENTIAL
Water Heater _ Watei Softener
Lawn Irrigation Add Plumbing Fixtures
(_ RPZ /_ PVB) (_ Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Soitener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.5b State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge ihat this intormation is complete and accurate; ihat ihe work will be in conformance with ihe ordinances and pdes ot the City of
Eagan; that I understand this is not a permit, 6ut only an application for a permit, and w i not to s?art without a permit; ? the work will.be in
accordance with the appmved plan in th case ot work which requires a review and appr at oi lans.
/?/7 /
x!/?217.5 C. SEV? ApplicanPs Printed Name `App icant's Signature
FOR OFFICE USE Reviewed By: Date:
°Required InspeeFions: Under Ground - Rough In Air Test Gas Test _Final
?
Receipl#: 9195 2602003
ABSTRACTFEE $4600 IIIIII II?IIIIIIII II
Recorded on: 7174/2008 09:00:01AM
By: TMC, Deputy -
ReW rn to:
CITV OF EAGAN
3H30 PILOT KNOB ROAD Jocl T. Becktn<?n County Recorder
MUNICIPAL GENTER
EAGAN, MN 55122 Dako[a Counly, MN
CERTIFICATION OF PURPOSE OF SECONDARY
STFFIq-N 7(,}t6.?? ?C?yHEN FAGIIITIES WITHIN SINGLE FAMILY DWEILING
1SDNI4 YDVTGfEVEJ. , duty swom and under oath, certify that 1 am the Owner of the one-fa?nily?c?e?ci
dweliing as defined in Section 11.03 of the Eagan City Code located at136 0 HIaNEQ4ei' ?,ta?? ega y'???
described as Lot 10, Biock $, }I idt(ar. VAtf.BY , PID#10- 3.2 S00 - 400- OZ,
Pa4or4 [orury, ?`rj vN+?'mr+?.
A buiiding permit app4ication has been submitted on fny behalf to the City to enlarge, alter, improve, remodei,
andlor finish the above-referenced dwelling, or a portion thereof, to include the installation of facilities for a
secondary kitchen within the dwelling.
The secondary kitchen facilities to be installed under the building permit are for the sole purpose of provfding
cooking and tood service facilities for private entertainment of guests by the property owner at the dweiling.
I acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit
to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the
instaAation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second
complete, independent and separate living andlor housekeeping unit within the dwellir}?
Dated: 2008
Owner's Signature
ry
Subscribed and swom to before me this ?f+tiday of C2cQtit, , 2008.
ETH S. SlEBENALLER
Notary Public Notary Public - Minnesota
qEMY m ission Expires Jan. 31, 2010
I hereby veri#y that the above said Certification of Purpose of Secondary Kitchen Facilities Within Single Family
Dweiling was recorded at the County Recorder's Office on ?Tuly 14th, 2008 , 2008.
By-
its:
THIS INSTRUMENT WAS DRAFTED BY:
City of'Eagan
Community Development Department
3830 Pilot Knob Road
Eagan MN 55122
61dg InsplForms/CeRification of Kitchen Facilities
D)????[?lf
Joel T Beckman
Cnunty Recorder
?
?
V
ji I JUL 2 3 2008
e .. . ' . . , r N . ... .. ? . . . . . .
.[ .. ... S.: . .
6/-ZA:
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?z
DOC# ?Z&
FILED _.,Ii7
a?s'rancr coPY
DAKC7A C NTY
CERTIFICATION OF PURPOSE OF SECONDARY
i!/K VCHEN FACIUTIES WITHIIJ SfNGIE FAMILY DWELLING
41E'P?
I.S DN1* yo VTwE L44. , duly sworn and under oath, certify th e Owner of t i i_ ly ?zache?!
dwelling as defined in Section 91.03 of the Eagan City Code located t?364 I ? arYd'fefafl'y '?23
? described as Lot 1fl, Block JL, ti t dd,ea VqLL$Y PID #10- 50 D- 100 -
."DRYC.o r4 C04MT y? ?! ?eAYETOTJI. .
A buiiding permit application has been submitted on fiy behalf to the City to eNarge, atter, improve, remodel,
and/or finish the above-referenced dweNing, or a portion thereof, to inciude the installation of facilities for a
secondary kitchen within the dwelling.
The secondary kitchen facilities to be installed under the building permit are for #he sole purpose of provid'mg
cooking and food service facilities for private entertainment of guests by fhe property owner at the dweliing.
i acknowiedge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit
to serve a compiete, independent and secondary iiving or housekeeping use within the dweiling. i certify that the
installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second
complete, independent and separate living and/or housekeeping unit within the dwel4iq?
Dated: D'?+ ? ?9 , 2008
?---
Owner's Signature
Subscribed and sworn to before me this I45#V? day of ?.J2rX?-t-. , 2008.
r
R? ETW S. SIEBENALLER
Notary Public Notary Public- Minnesota
mission Expires Jan. 31, 2016
AmyC:0
hereby verify that the above said Certification of Purpose of Secondary Kitchen Facilities Wi#hin Single Family
Dweliing was recorded at the County Recorder's Qffice on Eu1y 14th, 2008 , 2008.
By:
Joel T Beckman
its: n m .y?tecorder
T1i1S INSTRUMENT WAS DRAFTED 8Y:
City of Eagen
Community Development Department
3830 Pilot Knob Road
Eagan MN 55122
Bidg Insp/Forms/Certification of Kitchen Facilities
M ? ? 11 L'l M
? JUL 16 2008
CERTIFICATION OF PURPOSE OF SECONDARY
STEFXFN TC?? j? ?WKC VHEN FAClLITIES WITHIN SINGLE FAMILY DWELLiNG
YOVT4fEi4, dufy swom and under oath, certify {hat 1 am the Owner of the one-fami! deiac ?
dweNing as defined in Section 11.03 of the Eagan City Code Iocated af?394 w(GNEttR- ?b{ anPc' ecfalfy Jr)2A
IN described as Lot 10, Bfock A. , )4,d dLtk Vq 1,t6Y PID #10- 3 Jt, 9D O-!9 0- 0$
W?c0r4 CoLuTr, ti1v0?Crar,y.
A building permit application has been submitted on my behalf to fhe City to enlarge, alter, improve, remodel,
andlor finish the above-referenced dwelling, or a portion thereot, to include the instal{ation of facilities for a
secondary kitchen within the dwelling.
The secondary kitchen facilities to be installed under the building permit are for the sole purpose of providing
cooking and food service facilities for private entertainment of guests by the property owner at the dweliing.
I acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit
to serve a complete, independent and secondary living or housekeeping use within the dwelling. t certify that the
instaNation of the secondary kitchan facilities under the huilBing permit is not for the purpose of providing a second
comp4ete, independent and separate living and/or housekeeping unit within the dweili
Dated: 1C7 , 2008
Owner's Signature
f7+A? n •
Subscribed and sworn to before me this W day of 2008.
r•-?
9€TH S. SIEBENALLER
Notary Public Notary Public - Minnesota
emy Commission Expires Jan. 31, 2010
I hereby verify that the above said Certification of Purpose of Secondary Kifchen Facilities Within Single Family
Dwelling was recorded at the County Recorder's Office on ?U 1 y 14th, 2008 , 2008.
By-
Joel T Beckman
Its: Co m .y Recorder
THIS INSTRUMENT WAS DRAFTED BY:
City of Eagan
Community Development Department
3830 Pilot Knob Road
Eagan MN 55122
81dg lnsplFormslCertification of Kitchen Facilities
SoNIA P. YOVrCHEVA 17-2/910 1882
1364 R9ICHELLE DR. 104773034547
EAGAN, MN 55123-1459
DATE ? L? C CT(/
r-
PAY TO THE ,,j
CHDEFl OF
- DOLLAFS s
usbanA-.com
MF,h90
fic., ? IZI/G?E?
1:091OOOQ'Z21: i0?47?'3034541ii'LggZ
PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA107419
Date Issued: 10/11/2012
of 3 a R Permit Category: ePermit
Site Address: 1360 Michelle Dr
Lot: 10 Block: 2 Addition: Hidden Valley
PID: 10-32900-02-100
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replace
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Lofgren Heating & Air Stefan Tchepichev
5708 Upper 147th St W 1360 Michelle Dr
Suite 102 Eagan MN 55123--145
Apple Valley MN 55124
952 431-5811
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA112966
Date Issued:08/27/2013
Permit Category:ePermit
Site Address: 1360 Michelle Dr
Lot:10 Block: 2 Addition: Hidden Valley
PID:10-32900-02-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Chad Bettin
3208 First Street South
Waite Park, MN 56387
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 -
Stefan Tchepichev
1360 Michelle Dr
Eagan MN 55123--145
(651) 405-3060
Ecowater Systems
P.O. Box 428
Waite Park MN 56387
(320) 251-2505
Applicant/Permitee: Signature Issued By: Signature
Oct 03 2016 12:26PM Liberte Construction 6123542388 page 1
*City
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use c�
Permit #: / 3 8 9/
/
Permit Fee: V.7/9 • ' j2
Date Received: /v -3 _/'
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
ii
Date: ( L Site Address: ?(.J 0 4 Vr i Unit #:
Name: Xl COY fah" i(! V A) Phone: (, (j, ' 2i12 g 2-g"2-
`. Address / City / Zip: Y 7(J 0 u%At(YalL 1Ur V'fe. -
'' ' .• Applicant is: Owner Contractor
Description of work: l Slae/f G+ -P PC— raj -- (.1. 1 Sc ore ))
Construction Cost: 1. � � ( ) Multi -Family Building: (Yes / No
r,...,.-.
Company: L&tX' VIC 1 U r $r t t,_.
P Y� 1%i� �' IL'f � Contact: I.,a uegu.
Address: a IS U ttI . 34. Selki i� I k City: tinAttyivi rJ1 i 3
r
State: M Zip: cSqJ `� Phone: (pf2 '" ' �d`1mail: 1M U. kit p 1 I Jf_'ttrce✓1c'I'✓t)t heo.
License #: ig lie' 5;1-t.5.t; Lead Certificate #: IV I 1 05' ri' 1
If the project is exempt from lead certification, please explain why:
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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NO " ,supiJoilingoocumlintiiichatikou submit *reconsidered. io be public In
i ' lna be,cassifed as til- you d ...:s: l a y e
Y . fC%'f maim*
conclude'that , . _ are trade seen**.
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.aooherstateonecall.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 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 Lxli,L (-die fait;
Applicant's Printed Name
Ap lic ghature�
Page 1of3
C414"-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179373
Date Issued:09/30/2022
Permit Category:ePermit
Site Address: 1360 Michelle Dr
Lot:10 Block: 2 Addition: Hidden Valley
PID:10-32900-02-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Yanhong Kong
1360 Michelle Dr
Eagan MN 55123
Shc Contracting Llc
2058 Cypress St
Hugo MN 55038
(651) 283-4224
Applicant/Permitee: Signature Issued By: Signature