1392 Michelle DrSEWER & WATER PERMR
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
QATE
- PRV - BOOSTER PUMP
OFFICE USE ONLY
MEftR # f3-?3d 17 PERMIT DATE 1/18/90 4L
cHiP #6 /S'3 6 3 3 d. PERMIT # 11176
METER SIZE S e B.P. RECEIPT # v581?
ISSUE DATE -2 B.P. RECEIPT DATE 77
SITE ADDRESS i j': Z -1 1 e Ur ive
LOT •- BLOCK z SEC/SUB <izddeil Valley
APPLICANT:
College City Constructian
AQDRES&. &j70 151st St.
CITY, STATE =aP?i e Val I ev ZIP
PHQNE:
PLUMBER: PlunkAgg
_
ADDRESS: 16 1'iourid S??Yir'a 7 raCe
CITY,STATE ZIP JJ"d[.lJ
PHONE:
OWNER: -
ADDRESS:_
CITY, STATE
PHONE:
-6-9U
ZIP
PERMIT REQUES7ED
L? SEWER -)?WATER _ TAPS
- COMM/IND xx RESIDENTIAL
X7- NEW
EXISTING
Lawn Sprinkler Meters are to be lnstaRed
Ahead of Domestic Meters on Water Line.
Credit WILL N07 be given for Deduct Meters.
- /
! AGAEE TO COMPLY WlTH CITY OF
EA N NA S
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
-- .. .
, . , •,`..
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
oaTF ?
METER #
CHIP #
_ PRV - BOOSTER PUMP
SITE°ADDREW '.'e
LOT ?LOCK SEC/SUB • ? :?11 ? •
APPLICANT'
ADDRESS:
CITY, STATE ZIP = ? = = '
PHONE: _
PLUMBER: c?t1
ADDRESS: CITY, STATE ZIP
PHONE:
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: -
ZI P
PERMIT REQUESTED
SEWER WATER _ TAPS
11
COMMlIND I A- RESIDENTIAL
xx NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
OFFICE USE ONLY
PERMIT DATE 1? 1 R
PERMIT #
METER SIZE B.P. RECEIPT #t ?' 5P 11
1!17/90
ISSUE DATE B.P. RECEIPT DATE
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN
454-8100
.
DEPT. OF BUILDING INSPECTIONS ' ?
Correction Notice
Located at
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
,r-
Date :2-? ? 4,?
Inspector City ot Eagan
DO NOT REMOVE THIS TAG
When corrections have been made, please
call 454-8100 for inspection.
`_ w
To be used for Sr
", Ap!r,
a
? ?'2es_??•''-?CITY OF EAGAN ?O 17436
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-$100
Receipt #
'AR Est. Value $133+000 Date JAN 17 1990
Site Ad ess 139Z MICIiEI.L6 t)R
Lot ? Block SeclSub. I DORN
Name _
Address
Clty _
Name _
Address
iry
8T
Phone 431.
Phone
Phone
I hereby acknowlege 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,pf?gagan Qrdinances.
? •
Signature of Permitee ? ' ' '
A Bwlding Permit is issued to: COUZGE CITY
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Stalutes and City of Eagan Ordinances.
Building Otficial
OFFICE USE ONLY
Occupancy 2^3 ?? FEES
Zoning
(Actual) Const
V-N
Bldg. Permit
755'00
(Allowable) ?? 66.50
Surcharge
# ot Stories
36 ?
Plan Review 491.00
length
DePth SAC. City 100•00
S.F. Total - SAC. MCWCC 602' 00
S.F. Footprints - 625.00
On Site Sewage _ water Conn
On Site Werl ? Water Meter 90.00
Mwcc sysiem
?
Acct. Deposit gp'pp
Ciry Water ?? ?
PRV Required _ S?W Permit
Booster Pump - S;W Surcharge 1'00
252.00
Treatment PI
APPHOVALS Road Und 355.00
Planner
il
C - park Ded.
ounc
BIdg.Olf. _ Copies
3,393.50
variance - TOTAL
' Permfl No. Permit Holder Date Tekphone k
WATER
422-2.44
IIj. G?
r
SF,WEFI
-
PIUMBING
H.V.A.C.
ELECTRIC ?1 /????I ?? ? ?• ? CI (,? ? / ?t` crU
U
Inspectton Date Insp. Comments
FooGngs I //' 8 ((??
Foundation
framing
Roofing
Rough Plbg. ?/ Y (? ..j.• /r C?
Rough Htg.
Isul. a
Fireplace
Final Htg. .
Final Plbg.
• ? y?? /j/?
Const. Meter Pibg. Inspector - No6fy Plumber
Engr.lPlan
Bldg. Finai
Deck Ftg.
Deck Final
Well
Pr. Disp.
\ ? ? .. y?. ._ . _./:w . :fi'l.?_ •?.y??M/:?w.W:..l:{???SiP?`:'_y???~??, "'•^.'+
? µ 1
? r
f??r#tftratic nf (Orrupttrtry
Citp of 4Eagatt
gPpwrbnPttf O# lildd[IlJ JWPlftitli
This Certificate issued pursuant to die requirementr of Section 306 of 1he Unifonn Building
Code certrfying lhat a11he teme of rssuance this stracture was rn rnmpliance with the varrous
ordinances of the City regulating burlding construction or use. For the following:
u. cw;c?u. SF J]WG}?C'1,R ffieg. FL? tvo. 17436
oa„w-cr rya R3/M1 7om„g Dm&wt Rl Tya Cow VN
owwor ft;w;ng 00[IEQ: cITY Am,n, 6970 151 ST ST, AFPiE VAU.EY
Bwkiir4 Add? 1392 NIiHELTV D[tIVE Loc"?, LZ, B2, HIInH?I VAIIZY
r '
Due: -
&nlding gffmal
POST IN A CONSPICUOUS PLACE
.
MECHANICAL PERMIT
. ' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site
m Name ' -
? Address - ?
c C11y - '
? Name
c Address V
. .
p3 City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
Sec/Sub
M BTU
M BTU
M BTU
M BTU
CFM
FEE: l
S/C:
TOTAL• ~
#
For Office Use Only:
BLDG. TYPE WORK DE3CRIPTION
Res. New
Mult Add-on
Comm. Repair
Oth
i ?
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00 w
(RES. HVAC INCLUDES A/C ON MEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT)
- 1.50 EA ?
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
RES
RATE APPUES
TOWNHOUSE & CONDOS
-
.
MINIMUM RESIDENTIAI 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)
II SIGNATURE OF PERMiTTEE
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PNANE 4548100
Site Address
Lot
? Address
? City Phone
? I Address City Phone _
FEES
COMMIIND. FEE -1% OF CONTRACT FEE
APT, BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/p PER EACH $1,000 OF P9RMIT FEE)
OF EAGAN
For Offl?g? Qssly
PERMIT #
RECEIPT
DATE: -? ?
BLDG. TYPVE,/ WORK Olf?FIIPTION
Res. New
Muit. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N?j FIXTURES
Water Closet - $3.00
- TOTAL
$
?
Batfi Tubs - $3.00
? Lavatory - $3.00
? Shower - $3.00 :
Kitchen Sink - $3.00 -
..?_ UrinaVBidet - $3.00
? Laundry Tray - $3.00
-
Floor Drains - $1.50
-?
Water Heater - $1.50
?- -
Whiripool - $3.00
-?
-?-
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?-
Rough Openings - $1.50
PERMIT FEE: _T
STATES SlC:
GRAND TOTAL:
101,71g/ /0330,a-
p 218 6 O,tsA `t?' 4
Request Dele ' Fire No. Rough-In Inspea?lon
PequiredP
? Ready Now ? Will Notify Inspector
_ Ves G No When Ready?
I-? licensed contractor oqner h r by reque inspection ot above electrical work at:
Job Address (Sheet Box or ou Irl
1 •
Cit
? 7. , ? R ?--
Section No. Township Name or No. ange No. Counry
1T
Occupant(PPIN Phone No.
Power Supplier Atltlress
BecVicslConha
r Name)
- E7/ W
?
Mailing Atltlrsss IGOnVacmr or Own
& Making Insleuelion7
G? 1 7
FWlM1Orized 5' ra[ r Mahln t lation Phona N mbe?
MINNESOTA SOPfID OF ELECTpIC? ?- RY ? THIS INSPECTION REWEST WILL NOT ?
Griggs-MiEway Bitlg;- Room 5-173 BE ACCEPTED BV THE STATE BOARD
1821 Universiry Ave., Sf. Vaul. MN 55104 UNLE55 PPOPER INSPEQION FEE IS
Phone(612) 642-0800 ENGLOSED.
REQUEST FOR ELECTRICAL lNSPECTION
? See'nsimctians br completing IDis form oo back ol yellaw copy.
o "X" 821ow Work Covered by This Requesl
EB-00001-08
/0330?-
ew Add Rep. Typeof8uilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building I Dryer Other (Specify)
CommJlndustrial Furnace
Farm Air Conditioner
I Omer (suecltyl Contrector's Ramarks.
Campute lnspection Fee Below: rA»111? a°V I/
# I Other Fee # ceEniranceSize Fee # Circuits/Feeders Fee
ISwimming Pool Amps
4 0 to 100 Amps
Transformers 00 Amps
Above Abov e 100 _ Amps
Signs inspri use ooiy. TO
TgA
L
Irrigation 8ooms ,
?
ISpecial Inspection
lAlarm/Communica[ion THIS INSTALLATION MAY RDERED CONNECTEO IF NOT
Other Fee iv COMPLETED WITHIN 1 HS. /
I, the Elecfrical Inspectoc hereby Rou9n-m ' ._ te
certify that the ahove inspection has
been made. Finai r oa?p? /?,
(
OFFICE USE ONLY
TM1IS requast voltl 18 monihs fmm
/ a9jso 95'eG5/
P 733 07 ` '?- -)8"°"
Requesl Da[e
_ /?? R. No. Rough-in InspecYion
R ui?ed?
? fleatly Now ? Will No[ily Inspeclor
R
tl
?
M
t Yes ? Na en
ea
y
IKlicensed contractor ? owner hereby request inspection of above electrical work at:
JoD Atltlress (Street, eoz or Route NaJ
?
1 Ciry
? a ,
/r, 10 u
Sedion No. Township Name or No. Range Na. Count
o ?n
OccupaM (P 1
? Phone No.
?3/-
PowerSupplier
Gr Address
Electripl Conhaaor (COmpany Neme) Cq/M?racror5 Liceree No.
n c ? .r,? ? /`+' d ow
Malirg Adtlress (COnNacmr ar Ow'rer Makl?r Nelletian) ??
V O
AuVarlxeCSi (COn41or/OwnerMekinglstalla? PhoN b
2
MINNESOTA STA BOARD OF ELECTpICITY 7HIS INSPECTION REQUEST WILL NOT
Grigge-MlOwey BIEg. - Paom StT! BE ACCEPTED BV TME STATE BOARD
/821 UnHarcXy Ave., SL Peul, NN 55104 UNLE55 PROPFA INSPEGTION FEE IS
Phaw (872) 612-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION eaooom m/
t See inatructions br completing ihis brm on back af yellow copg 9??G7c?
2 /
l?' ] 7 3,?07 'x" Below Work Covered by This Request
e, d Rep. TypeofBuilding AppliancesWired EquipmentWired
Home ange Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Builtling rye Other (Specify)
Comm./lndustrial urnace
Farm Air Conditioner
Olher (specify) CoMraciw§ Remarks:
Compute Inspeclion Fee 8elow:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TranSformers Above 200 _ Amps Above 700 _ Amps
SIgf15 Inspeclo/s Uae Only: OTA O
?
Irrigation Booms ,?•?U ??i
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rough-in oaie,_X. gQ
cerlify thatthe above inspection has
been made. Finai uate ./
OFFICE USE ONLY
7nis request wid 18 rtamhs irom
BUILDING PERMIT
To be used for SF DWG/GAR
Est. Value $133,000
Site Address 1392 MICHELLE ?R
lot 2 Block 2 Sec/Sub. HIDDEN VALLEY
Parcel Na . .
? Name COLLEGE CITY
w
3 Address 6970 151ST ST
? City APPLE VALLEY phone 431-1211
o Name SAMF I
$Q Address
? City Phone
?
w W Name
Address
a W City . Phone
1 hereby acknowlege that I hav read Ihis application and sla[e that the
iniormation is correct and agr to compyl? uk all applicable State of
MinnesofaStaNtes ot an dfnances.
Signature of Permitee
A Building Permit is issued to: L;QLLEGE 7T Y
on Ihe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes andy Cy,iry?ojf Eagan Ordinances.
BuildingOfficial A. ?14_?
CITY OF EAGAN NO
3830 Pilot Knob Road, P.O. Box 27j:199, Ea"4jan, MN 55121^ ?I
PHONE:454-8700 `J
Receipt #
OFFICE USE ONLV
17436
Occupancy R- 3 I ]-1 FEES
Zoning R-1
(Actual) Const Y-N BIdg.Permit 755.00
(Ailowable) V_N
Sumharge
66.50
# of stories
Lergth -
A(j!
Plan Review
491.00
Depth Ali SAQ Cily 100.00
S.F.7otal - SAC.MCWCC Fnn_on
S.F. Footprints -
On Site Sewaga _ water Conn 625.0n
On Site Wetl _ yyyter Meter 90.00
MWCCSystem lxx
City Wafer XX Acct. Deposit 30.00
PRV Requirad _ S/W Permit 30.00
Booster Pump - S!W Surcharge 1.00
7reatment PI 9 57 _ Ofl
APVflOVALS qoad Unrt 355.00
Planner - park Detl.
Council
BIdg.Off. _ Copies
Variance - TO7AL 3, 395. Sn
?28s?
2007 RESIDENTIAL MECAANjCAL PERMIT APPLICATION CGa e?4?
City Of Eegan
3830 Pilot Kuob Road, Eagan MN 55122
Telephone # 651-675-5675
Pieeae camplOe for: AWe f§mily dHSllings & townhancalcondav when partnlts are requ'ved for each wit
Dete
site Aaaress 13 9 A
I
Unic #
PropeMy Owyer
Telephoneil(?j:??)
Coetrector
strese naareas
city
State Zip Telephone# ( q'? y3???
Bond#:__ q3 ( ? E:phvs:
The Applkant is _ Owcrer Z&ntracdor _ Other
r
'?? repe?r ?np1ace bnrpW oat appliances, duUwork, etc,) $ 9A.00
. Thls fee applies when'exten8fve mechanical repairs ero made bo a building.
Add-oo ar slteradon to exlgting dwdWog qWt
fumace
_ afrexchanger
_ alr condidorter
? heatpump
_ other
State Surcharge
Total
-Addidonal _Replacement _ New
I hercbg apPIY for a.Resideppal M?I?enical
be in confo Permit and acknowletlge that the infotmatlon is complete and
parmit rman'oa wiffi the ordinaoces andoodea of the City of Fagan and wkh the Mechaaical Codae; 8
apProved , buc only an epplicatlan for a permit, end work is nar W ytart without a pertnit; thet the work w?l
plen in the case of wark w6ich requires a revfew and appruval of plans.
$ 50.00
$ .50
0
S 54. s
tllet tl1e
-?'fi22 v Ku 64 -? y? y GF MAY 0 2 2008
ApplicanM rrinW Nttne
Applicant's Signature
05/23l2008 10:08
9528911656
9528911656
i
AIR MASTERS
.?07
7?&
,
?? ? e?
PAGE 01/01
APpLIANCE
PERPOR ECAAA N TEST
Anecn ro g?s rine ep• c?nr to
? ?9WaMr
Heanng Contractor AIR MASTEft
??C?
Name of 7ester -
Dato
Job Address J,3
Heaung Contractor AiA MASTERS, INC.
Name opTester
bdte
PErc9nt O, .
Percant CO
Percent COz
Steck Temp
Com6tistiort air'rs adequateh, supplfed per
UMC Sec, gOB
Input ~-"
65'/- 675 - 6-69 q
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122 ? S-o
651-675-5675
Please complete for modifications to existing residential dwellings.
Date y3! 0 ? I 6 L _
Site Street Address ?.3 9?-/}7,(/'a(oQ?i Unit #
?`
) ?SS °2 a'
Property Owner Telephone # (
Contractor Telephone #
Address -/ City StateJ [Y,? Zip ,243
The Applicant Is: _ Owner Contractor _Other
Alter ions to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5l8" meter is requir
ed)
p
_ Other: 1 J A. Vw vj 7pC`vL
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $;5AO150
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Appli anYs Printed Na Applic Ys Signature
(0
RESIDENTIAL
BUILDINC PERMIT APPLICATION
??a Y'3 CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 .
651-681-4675 y7NewConsWdion ReauiremeMs / / ? ? ?
• 3 registered site surveys showing sq. ft. of lot sq. (t. of house;-and all rooted areas
(20%mazimumlatcoverageallowed) . 2 copies of plan showing heam & windaw saes; poured fouiM desgn, etc.)
• t set of Eneryy Calculations
• 3 copies of Tree Preurvation Poan if lot platted after 711193
• Rim Joist Detail Options seledion sheet (bldgs with 3 or less uniGS)
DATE t' ?- 0 L
RemodeVReoair Reauiraments '
• 2 copies ol plan
• 1 set of Eneyy Calculations (or heated additwre
• 1 site survey for eztenar additions & decks
• Indicate if home served hy septic system for addNOns
VALUATION 3'i ?)j
SITEADDRESS I39oZ ?<<- hQ II? lJr MULTI-FAMILYBLDG Y?N
TYPE OF WORK FIREPLACE(S) _ 0 _ 1_ 2
APPLICANT
STREETADDRESS I a?? l?Irc-ol12'?
TELEPHONE # bX6-?J652EELL PHONE #
we_.
H/j ZIP SSl -2-3
FAX #
PROPERTY OWNER NQ o-I WQ-T? e f? I J TELEPHONE #?05? 6X6 -965?
............................................................... ------ --°°--------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.CS 7670 CA'l'EGORY 1 MINNESOTA RLJLES 7672
(J submission pqe) • Residential Ventilation Category 1 Worksheet Submitted • N Vrr9clrWo rkshee4 bn• E nergy Envelope Calculations Submitted ' ?I .
0 6 2007 ?
Plumbing Coniractor: ___
Plumbing system includes:
Mechanical Contractor:
Mechaiiical syseem inclodcs:
Sewer/Water Contractor:
Air Conditioning
_ Hcat Recovery System
Phone #
Phone #
FPP•.-MHt/--.
Fee: $70.00
-°-------------------------------------------------°°------°----------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
_ Water Softener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire B ldg oniy) - 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
REQUIRED IN SPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ F inal Pool Ftgs Au/Gas Tesu Fina(
_ Framing
_ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final
_ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total.
Building Inspector
` 1989'BUTI.DIDiG PEWIT APPLICATION
10 CITY OF EAG9N
r[cI3 (f BAN
SINGLE F9MILY DWELLINGS ' MfTLTIPLE DiiELLINGS COl+R4ERCI9L
2 SETS OF PLANS 2 3ETS OF PLANS 2 SETS OF ARCS17ECT[1RAL
3 REGISTERED SITE SORVEYS BEGISTfiRED 3ITE SIIRVEY3 - & STBIICTORAL PLANS
7 SET OF ENEHGY CALCS. (CHECH iIITH BLDG DIV.) 1 SET OF SPECIFICATZONS
1 SEf OF ENERGY CALC3. 1 SET OF ENERGY CALCS.
NULTIPLE DWELLINGS RENTAL IINTTS FOR SALE OAITS # OF DNITS
HOTEs ADDRES3FS FOB CURNEB LOTS - CONPRACTOR/HOMEOWNER MOST DESIG89TE WHICH ADDEESS
IS DFSIRED. NO CHANGES W2LL BE ALLOiIED ONCE HQILDING PERMIT IS ISSOED..
SEWER & i19TER PERMTT FEAS 9ND ACCOONT DEPOSIT F6FS NII.L BE INCLIIDED iiITH T8E BUILDINf}
PERMIT FEE. PROCESSING TIME FOA SEWER AND iIATEA PERMITS IS TWO DAYS ONCE A PERMZT H9S
BEEN CAMPLETED INDIC9TING A LICENSED PLUlBER.
PENALTY APPLIES WHLN: PERPlIT IS NOT PAID FOR IN 39ME MONTH IT IS REQ[JESTED.
LOT CHANGE IS SEQIIESTED OD1CE PERMTT IS ISSIIED.
3 3 0 0 0
To He Used For: h6 -
VWhryL Valuati . O---lil---rjate: 1' 9•/ f?
Site Address Z ?? 1C 11???Q Qr
Lot ? Block a
Parcel/Sub V-?\C)C1L-?J VRILFI-j
Owner ?OII?nA ??5-+ (lln.4ri-1C4Lr,
9ddress ?0?170 IS?Sf ??,
City/Zip Code 190L 1) A(Ie?-, , YVI,?
S s
Yhone ?* (o
Address
City/Zip Code
Phone
9reh./Engr. _
Address
City/Zip Code
Phone #
Oceupancy ?-_ 3 FEFS
Zoning ?
Actual Const Bldg. Permit
Allowable /Y Surcharge
ll of stories Plan Review
Length ? SAC, City
Depth Vz 33 SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acet. Deposit
On site sewage S/W Permit
On site xell S/W Sureharge
MWCC System ? Treatment P1.
City water ? Road Unit
PRV required _ Park Ded.
Booster Pump _ Copies
SOBTOT9L
APPAOV9LS Penalty
Planner TOTAL
Council ,
Bldg. Off.
Variance
7.SS
66so
Y1/?0o
10 O
O
30
-_?
1
ZSL
?
?-
,
_ ? 77-
, j
?11
??I?' 7 ? ? ?/?'z
?--•-.-`?."
7S,t-So z, 30 O3?.s
J
?-"
Sz? k
? ?zo
?
* PIOh
* engir
* **
?
2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914
Certificate of Survey for: Cif1 ConyfyuChibn ?
M?c'gLl'E
a..?3.T
_-- e
's
Z
a
\
pR\V ti
- u ..
a-
o.ao
PRap,Sf
I ? v
? 23bi1?tko.
L - -
\
/
?I A
-----
0
11187 A/g1'S5
soo.o Denofes exisfi? flevafion
Derlofe5 prop ed E/evaPion
Dppptes Orpinp ? UtiliY Easemenf
--+- Denofes DrqincS?e Pow Arrows
0 Denotes monumenf
Becrrrns sftown are assumed
` Z
=o
? t:
i
NORTH
.T&`1 Ghd 1 V
2tEd1EWED
D
PROADSED NO sE ELEVATION
Lowest Floor E eva ian 70 e7
7"?p o+ B/ock E/evafion f37 ./
Garo e S/ab f/evatron ?77,g3
o Denaes Ott sef dub
Su Jec? to Easements ol"'Record
LOT 2 , BLOC/?2 I I-lIDDEN VqLLEY
DAICOTA COUNTY
I hereby rertily that Ihis is a vue and correct representation of a survey of the 6oundaries of I he above?esc6bed land, and ol the localion of all
buildinqs. Ihereon, und all visible encwachmon[s, if any, Iroin or on said land. As surveyed by me lhi5day of ? A.D. 19-P.
Sca/e • irrch. 40/eel
? b??Jl ROBERT B. SIKICH L. . REG. NE). 14891
b
TER. : lELOPE AVERAGE "u" CC UT{' 'X
041HER
SITE ADDRESS
CONTRACTOR (.,OCCeEGF G!'r'y DATE PHONE .
?-..
Determine working square footage of each.
1. Total exposed wall area ...... Zgnp4- sq, ft: x,_11 a,`Z o.
2. 7ata1 roof/ceiling area ..... 1$`r0 sq. ft. x 30AO 0 .?
Total exposed wall area above floor =
a. Total wall window area ........................... 'z 7,3,
b. Total door area .................................
c. Total sliding glass daor area ................... O
d. 7ota1 fireplace wall area........................ o
e. Total Wall framing area (average 10%)...:......: O
f. Total net wall area above floor ......... ......:. ^ `o izL'o
g. Total rim joist area ............................ 192. '
p`
Total exposed foundation area = (O d-
h. Total foundation window-area ................ :.... o
i. Toal net foundation area abcve grade ........:... l0 4-
Determine "U" value of each wall segment.
:
d. ZZX uuu
.
b. X "U"
C • a X "U"
d. Q X uun
C. 170 X uuu
,?A(o = '77.Ib
: IZal _ -7,ok
0 a ?
r) a 0
, 042' = i_ .io4-
f. Izfo o z °u^
y. [9 2 x °u°
h. 0 X "U"
i. J oA- x „u,.
.043 = , 5- -18
7, g7
O ? D
3 .....................................Tota7
If item 63 is the same as, or less than item N1, you have met the intent
of SBC 6006(c)2.
, „?,MID ,1?,,• Yr '1._, ANALY-5I5OF,I.._'$1 i IJCiLA7EO ARE/j5
W/NDoW ARE-A : TyPIi oF WiN.aoW:
TNe widDOw uulrs ,yavt gCCt.I TiSriO Fo¢ "Yi =VA?64rt, 7NtY AKC wa Li;liO
ABoJC 91VD /H9y/ dl n.ssiyyEO A Oc314^/ [s.sc) Vwa..64-c oF 2•!B9
INGLND4N4 A?R F11..M5,
u4t'1/a5, = 1/ . °1--?-?-? xZ'? -?fooract - - Z25,
FOUN27AT I CWWiNDoW AI2EA: TypE oF In??'-wooW :
TaE- VV,NDOW J?jf'S NqJ4L gti.+./ TESTf,p ?Of. "/(-- Y/aL+aC? 1'HEY ARF AS loulLO ADoVit AYG
may er Asfiy.dLon Dtsiy4 C3p. ac) Vauac os= -Q,•,? •uc?wolNCj
A1$ P1A-MS ? .
Uqxa 1/Q9, a 1I =r-= FoorAtif. ? Koornqc . Q
SLIDINo; (5LA55 DooR ARfsH: 'rYPL oP poo2:
yi-jO/NCr Cil.455 L?00lzs 4r.Vc D?.t^I TLS'?[G FoR")L= Y44-Kr-,, TNtY AaL "hi Wa*60
ADOVL A+JO MAy 8• ASSyN?p A DISiGi.NGS??[? yA?44C of•R"I
*Lo r11.14s
ur}; . ?J% z
DOOR ARZA: TYPe or- Dioarz :
poOQ UNI'i'S /{qYF? btfN TCarfO ...40 lvouyo To NAVa AN
'Ft'-VA?ub ep '7.81 ?uu..`aGi N4 A,p aji,."s,
./Z16 S.r-
yd, : I lRr, _ ( or I - b_I _ -i Fmrw4 c =6
5PPc1ALs :
.
_ T`ypE. -
FafLM E-1 !°AL76? . ?.j'E•,? ??
• ? u
, -? qN O•U VP -;-A A ni .a Ly s I:)- p .b! ? L. SLGTI [a?/S
.
RIM Tb1 ST AVRE.A;
"R' - V A L Li E
???_.__I NT£RIaR AIP- P1L M
I?.O-?IiISULAT)ON (R-1-7 )
Z.00 ?SNEArI N4?ls?re-?rt' .-
•i?7
.? I'h.•' SoFrwoop
-?7_fxTf,R-1oR A1R fli-w1
Z4-.?9 Tora t'q..73" y.4c_u.[
4.,? . ?/R.? , ?'Z4-• 3: ? n
?
TOTAL?Url,cyt f?Z13
FOUt,I p q'r ION \t-JAl-L AfLEN CAbOVC C7R^Cf-*)
,.R•. vA L u.E
• (40I Iurerc102 a,rz tiL.\
?)5 t/ eoNCa r ?-r ,(K.ocK
I.oo s t" F'6 0 0 rr,;?,4 (R.
ExTf-K109, A)2 FILM TOTAL VALLLE-
?
idP.M i•I IaA7/96(t
]-OTAI FCYMTAC.E. \O "T
DATL
4-11
ANA4`/SfS QF 16('b,l SEG7/pN5 N
Sru iD / FIzAM ,Noq AR& iN
Ft' - vALue
=??TNTER?oR RIR ??r'1
A5?
? - ? GVv.st1M w.vc?oon¢a
?, 'T???So?rvvoao
Z.Ofo z? Z?SHe?7N?N4 cJ?G j72??
.? ? ? ..,_ .._.._
vnP4:2e aAaRMa.
•1 rtbRioR. A1+9- rii.N1
3 rorAL' R..,; I/AL-uc
';h = I/rt""? a 1 ?lo.4i3
a`
ToraL roorAac 1-70
?NSLLL..ATE-o AReA BcrwcaN sr&+as
"R"- VwLwL
Iure¢loa A19- ?t&.m
i ti
?4S 7 4YPSum y,in?..aoaeo'
IHSLLLAT ION (R?17 ).
2AC-7 2??SNG&TNiN4 &rL'T247'lF,
.b7 (..RP s?a?w4 ?2 ^
r
WiTLR.iq"iC /11R I4LM
?Z•q?rorA,. 94wu vALwc.
lk%•w.. 1 tZL`Ib, ?
N 6i lWnx. Rf
TOTAL IbofA4R. lZtz7Q
41
yArc7
,R,•AND Yu? ?/"-I ". I\A1 ALY3%5 OF "4E 4W'^F/CEiLiNG SEGT
J'01 ST/ I JZAM 1nIc, A QEA
*R`• YA LLL E
-- (0' INTfR10R AIR FILM
- 4.395 ?a/Z' SoFrwoop
IGrYPS"M WALL80ARO
-?Z! ? ?ALSJ??
-?1 14761Z iOR, Al+L FI&M
S:f.u9'T07 A L " Rw, ?4LLl.!
?? s ? / ?? a i / .- ' _ •L=. ",- :
'Z7.73.5,
ToTAL FoorwG&
I1JSuL47E? AQEA j5EtWtG+j THE i-OlS'T'S
pR- - V,.u,.e.
:?41 IIA/TER10R AlR RILM
-4=4-. NSLLLA7loN CR-44---)
'St?)_4&CiyPSGtM WAUpoqiip
' VAaaR 9aaRltIL
-J41_INTJ!.KI0R AiR fuM
4,!!!r3idr0Tq L `R.-j:' vALU.&
w.z : 1/ou,, = 1/ 45.3L-? = v2-L
" M y / S/AI7(e I}i
7bTA6 fooraae.
pnttr7'?'?,yivra?
?*I11C01(01 ? .
Lz B z
PI2lJDOC'P MAN[14L
DATE: 1lugust 8, 1989
gRJDUGT-WM;, pesigner Series Gas Pireplaces
wEE-Jl'EUM - GiGOSP/360..4PI+
BAX - G760CB/"760CfII,
PFNIIFSMA - G920PL?920FLL.
ISLA11) - 0112EA/112FI1L
k-..
0
Pi vvF--W YAc.Ley
?
51
? ???j 'Z? ^•?->r ?^ r-'y,'f?i?! "'Ij??
(S -ft-V-i?%
- /-\ cC_C._. -? r''"I"t-zzz -
PF`x'?FTy?N• The Designer Series Cas Fireplaces are Non--Heat Circulating
(clean fdce) Up-Vent Decorative Gas Appliances with a Standing Safety
Filot Systan. Stiandard £eatures include an Outside Air Kit and 3Win Pane
Glass Doors, except on the See-Through Gati Fireplace where glass doors are
available as an option. A thernxa].ly Actuatx3 Vent lkzmper, Br.ass Trim Kits
and v Rermte ControJ. systen is available as options on aJ.l models.
?1,$;_ New Pr«3uct Ftelease
F1NULAZU-jTY QUE: smr4'BADfXye W FIESPEACE -W.VPAW 40 1989
PEDfNS[BA M.S FIMnACE - SWTUM 9. 1989
kiAY G1s FIRULAa -- SF.YMIDQt 251, 19$4
I3IAAD GAS FTIiEC'iAC6 - 5EPP? 250 19$4
JS]TI'QDUCTION:_ `I'he Desiqne[ 5eries Gas i'3.replaces are full sized
£ireplaces that o££er the beaaty of a zeal HnotiLuxning fireplace with the
convenience that can only be achieved with qas.
These unitis are uniquel No other manuEacturer has had the foresight to
develop a con,pLete gas product 7.ine that wi].1 satisfy the needs oE the
hio,h end single family buyec. Since they are txzilt on the same cha.ssis as
our Designer Series Vvoodburning Fireplaces, they feature large visual
hearth areas and have ntamerous trim options.
All oL the Desi.gner Series Gas Fireplace are non-heat circulating units.
This provides maximum f7.exibility in finishing, allowirzg non-combuatible
finishing materials to be hrought up to the ec7ge of the firdbox opena.ruj.
F+17. of t:he units havc a 28,000 FiPU inpuk and dre'vented through d 5° T.D.
eyEx 13 Gas Vent, The systeau have been l•ested and listed by tAtderwriters
LahoraLori.es Iric., and recoynized by CCA as a Decorative Gas Appliaice to
5I Stancirci L21.50-1.988. In colder climates where heat loss up the fl.ue
is a conaern when the units are not in use, a thermlly acltuatct3 vent
damper, Mociel T500 rnade hy AmeciCan Metal Product Co.r may be anstalled on
the unit.
AiILATOR INC., Divlslon. IION INpUSTRIES. 1915 W. SqUnd8f6 SifBBi. Mi. PIAOSOnt, IOwa, 52641 • TBicphonc 319/385-4271
lll
Tualatln Disiribution Center. Tuolatln, Oregon 97062 . 5031692-1500
' ?.?
?
OISTPigUTORS OF PLUMBiNG, HFIITIN(3. COOIING, REfAIGEAhTION.4ND PVMP WDUSTASAL SVPPL:FS
Ci D .
GRA4iBOW-DA1"11EL5 COITIPAIIy
87.1'T-,d'EE"+TMavEv,fiYOA(M.M,ti%E4POL:5.M.»E50'A::4at„fi'215a4.i5fit WMESO'a.VdAtts1sM 234-7776
FAX NUMBER, (612) 546-3486
DA7E = , oI-
Fe1X 2RA.VS??ISSI6"1 LETTER
T0%
ATTN?
PLEA56 CALL SLNDER AT (612) 544-9561 IMIg'DIATELY IF Tk1ER8 ARE
PRO$LEMS IN RECLIVING TNIS ?ttANSMISSION.
Ice, ? ?; I .-i ZI (
T 0 ' d
TFIANK YOU.
riosA !yan 6t, e?R t xa -=I 0 E.-5? z-a3A
FRax:
PAGES (Including thi,s page)
? P
r
TEL No.
Feb 28,90 8:07 P.01
OiSTRiBUYORS OF PLUMBING. HFATING, COOIING, FEFAIGERAiICN AND PUMP IHDUSTRIAL SUPPLIES
ccir D •
GRAMBOW-DRI'tIELS COI'T1PA1"ly
9%:0'-? EE?+T".At'cNVE\OpTh,M!.!uE4Pt}L'S M,M1'.ESOTA55:e1.,6?ZI5a?356:MiNNESOT?VN.nttSt•BJO 234'7776
FAX NlJ?:BER; (612) 546-3486
DATE: ?L??_
_.?
FAX TR4*1SMISSION LEITER
T0: c t O Y (11,{'1r
AT:'Y: 5-6PAI-P
FRCM: -T-o¢?\)Q5hL1Sk-?..`K ?i?t t Tt?^.I :
v
PAG---S (Including thia page) 11
:SESgAGE (Yf any)
aO 1J.e. s7 t tt ?GLt1e- `CO F-t1pv1° 1,-T-.15
PLEASS CALI, STNDER AT (612) 544-9561 It"IfEDIATELY IF THERE ARE
PROBLEHS IN RECEIVTNG THIS TRANSMISSION.
THANK YOU.
4n-----
?
?
„Na....__ __- „ .. , . ..... Fe6 28,90 8:1 1 3 P.10
- - _ . __ .,, ._. ._ ... . .TEL ...
E.6 EXP08VRE TO TEMPERATURE E%TRE3IE8
The dBVice ahall Functiop yrOpet'ly and not 6e dastlltgid
after expoeure to high end luw temperxturn axtremea.
After the damper has baen in the apea position fDr st
laaBt 6 secondy, the uoarce of heat for the efr eupply ehall
hs shut off Rad room temperature air passed tbrough the
deviae.
Thie teat ehall be conducled 6oth prior to and follOwing
aOMduet of 3.6.
alethod ot Teat
a, The device ahall he instalted ist s atmulated vent•
ing eyscem. The damper aha}] ya meinteined opzn in e nar-
mal mnnner wich air at a temperature of 673 t 25 F
(301.6 :t 14 °C) contipu¢lly paesing through the device for
d p@riod oL 29 houre.
At the end at this yariod, room tempetaiure air shau he
introduced until the devicz has been braught to room Wtq.
pereture, arid the device shall agsin comply with 2.3. The
devite shall then be operaced for 10 pyoles co determine
Ehst ii 4unetiona properly and hea not beeome dempged.
The davlce ahall aga4n cOrtlply with 2.3,
b. Tbe dovice, wich the demper in the cloamd poeition,
shall hp maintuined in Nn &mbient temperuture of 32 f 5 F
(0 2 3°C) ior a period of 24 qouru.
At tho and of this period, the device ahall sgain comply
-ith 2.1 The device thall thea be operAted for 10 CyOI?& Eo
determine that it funetionn properly end hac aot become
damsged. The devica shall 6g&1tt comply wlth 2.3.
e. The devicd Bhtsll ba maintaiaed in an ambient tem•
peratare of 725 t 25 F(386 t 14 °C) for a period af 2
houra.
At the tnd of thia period the devic0 dhall again comply
wich 2.3. The device ahall chen hQ oporated far lp eyolee to
d9termina ihat it funetions ?roper2y and hes not 6ecom6
dama ed. e device aha11 agoin cumply wit6 21.
2.6 CONTINL'ED OPERATION
The de++ice shail wit6stand 00.000 cyclea f opating
and rloaing the damoer with4ut any cal failure,
impuirment af operation, or daneage,
blethud oS Teat
a. 1'he device yhall be installad, fn a verticpl poertion,
in a mimulated venting eyapmm cupable of elternately
delivering to the device a 9upply oP ropm temperature eir
and a mupply ui air et a tempereture of 576 x 25 F
1301.5 = 14 °Cl, me9sured '!n the 0.iratream at the outlet of
the device.
Meana ahall be provided SO monitor each cycle of opep•
inp and cloaing of the damper and to lriterrupt the tent in
the everit the devicb malfunetione.
The damper ehall be aliowed to aeeume it40pAe po&i•
tioii by paeei=%g a•upyly aC ei, nL 076 1 25 F
(301.5 s 14 °C) thr0ugh the device.
After the damper hae b6en in the closed poeition for at
10116t 6 seaonda, Lho bource of heat Fur the air auyply Bltall
again be tiurxed on.
'fhiu cyclinQ soquence shail be ropeated until a total of
50,000 cyaln of opening and cloeing of the damper have
been completed, after whfch the device ahxll function prop-
•rly ana noc b6 warped, henc, broken or otherwtae
damagesl,
b. The devit;e ahull 6hrn be inetd119d, in a horiaoqtpl
poaicion, in c6r aimulaeed vanting syetera and the teec
syecified ln "s" s6ove repeeted.
Following the ahove test, the device yhall sgain.com•
ply wich 2.3 and 14, end the meaauremeete made shalk be
within t 19 percenc oF Fh4 orlgSnul zneaauramaqte made
under 2.4.
2
-7 SAFB'I'Y ANALY8I6
A fsilure modea end etfeeta analysie iFMEA) detailing
manufecturing defectx, psrt fsSlures and component
fitBueee shall Dr provided tot Nsting ugency wview sod
ver4Cicatipn. 6ingle faulta are to be evaJuAtid. U the fault
does not mnnlfest itself,li ehall be left Inlact and a seaond
Yaul! intraduted,
FaulEs which aould reeult in unsafe oparation muat
have reliapility datu to cupport the Aesi(in,
2.8 MARKIrG MATERI:IL ADHESION
AND LEGIBILITY
The adheeive quaBty o[ marking materisls end the
le}{ibility of ali maekfng materialr nhall not bs adrerdely
atfealed when the marking materiQla are Qxpo9ed to heqt
and moiature 99 upecified ln the follow[nr Method pf Test.
Mnthod of Tcet
Tlwe9 teets 6hat1 br conducted foltowing campletion of
the Lest apecified tn 2.6. Ty1e manufacturer shall have
appiied the marling materiais to the aevice ae thny would
be applied in prOduction.
Each eample of inerking material ahal] nxhlbit:
a. Good adhei(on aad no curling at edaee,
L. Nu illrgible ur tlrPnced priniinit Ly ruLLLik:
wiEh thumb or Anger pre4qure, and
TEL No.
Feb 28,90 8:08 P.02
r.z
AMERtCAN GAS A$SbC1AT1p(V LABORATORiES
CERTIFICATE ftENEWAL
American 19eta1 Produete Co.
Division o£ Mascv parparation
ltenewal for CertiYicate No. 68-(113,2$),001
M19ode] Nos.
T000,400,500,600,700,$00y
Camglies with standard:
Z21.68-I985 certi certifiedte can bficate
qi?tainedegromed h? ?mthe er4c ne Ga? A sociat9ipn. L borat ries with
the written authorization oY the manufacturer.
IS3UED AT Loa An ales, CA EF'FECTIV6
THIS tst bAY OF JanUar 1989
AMERICAN GA8 ASSflC1ATIbN
BY '
qICH J. SOMULT? VICe Resident, a. 0. A. Labontoriea
QEORGE H. LAWRENCE
Presia•nt
• TEL Nu. Feb 28,90 8:09 P.03
-" ' - "-- • r. q
RaRODUCT
T7?Y'11f11m7Rff A M4F0%q.,r
.
- - - - --..?.?...????w wa???
BULLETZN
JAHr1B98
8-Rbject: A?ZRI•??ZRMm Veat Damper
The lollowixtg is e rooap of aaswors to the =nost
iraqnently aske4 qneigtioar abaa! AMM$I-TBIEB.M. ,
Q Can a 80me0tw+ner inatall thls namyerp
A No. The aMERI•THERLd Vent
quali4led inataller. Dampar muet be insyallefl by e,
Q Cab a Lhsrmal2y aatnalea veaS Aamger ba use4 on an eil-ti=bd
inrnppet
L No. Thermal dampers oan be insta119d on1y on lieted, 9as•tired
a8pllanpos egulppad wlth a draSthood such aa watar heaters,
furna,ae9, boilers and 6pa.Ce heater9,
Q Why oan't s thermai vent dampQS be upeQ oa o11•lSreQ Rypl;axtaes4
A 1. An oil-firea furnace does not have a drafthood. Nat
Q. Vent damper has ta be oomptetely open before the ma:n burnar
ignites,
Q Caa aAy type et a aamyar be inatallea oa ? convesaloa
un10 (i.e. irom oil to gas)4
A No. The appliance itself is not AGA ligted even though the
burner unit itself may be Ai3A liated.
xBl'01n4C1'xC
Q Can thfs be nsea oa inrnaepu ftte1sQ bq Liqnf;lsQ ?'T?
8atro2enm gaAes (gronaat o: ]aAtiane)4
A Yes, a$ Song as Lhe furnace zs At3A lieted. I ?
? I
LJ ?___J
0!1 ftPnaG9
TEL Na. Feb 28,90 8:09 P.04
--... .._..._ ..,'- --- .,. 1-1 r.j
Q Csn a emal2er afpe Qamyar bY iustailod ar? a 1argYr oent
outlat by netng a redneer4
1l No. The damper must be of the eame di.arneter as the outlat of
the fl,:rnaca dra.ft,hood. b",r
Q Can ths venb damper pe ia?atalied ia 111e hor3ssntal vs ax9
axgle posititla4
g Yes. It makes no dlfference Sn what positian the dampeP
is insta2ied as long as the arrow points in Lhb direatioA pf
the flow of the vent gasses,
Q Ys there enough vPbniag fn the aloaod paait8ou of the
e.amyer to yrvyeriy veat the ptlct bn.rnerY
A. Yes. There is a loqc opening wh.sr_ the damper 1s fully elo$ed.
?At what temyeratnre A,oes tho veUti damper Open?
S AMERI-THERM vent dempers gtert to open at approximataJy
1200F. ,...' ?
QWh3r doen tIte vent dBmQez aa?@jjMse oyea only Lo a1Y la-
bltweea pOSitiaap
A Ths draft 1: a veat depends on m",y ti?arla.blea, suvh ss aucaide
tamperaLura, wf.nd and the amvunt aad tempera6ure of tJ,ye
gases praducad by the aypliance. The venz, pgl,ng a eGuSe
8y6LBm, carinot ad,jkpL Lo the ygpying QGtiditioris. It is dBBfgriad
for tha worst caee and is therefare oversized for most of its
ueaga. TYxis means that most af the time the flue gasea and one
tp five Giines ag muah heated roau,t 6ir ie Suoked tkirnugh the
veAt. The AMERI-TI3ERM vene damper qontinu813y sen889 the
temperature of the flue gae/roam aip mix $rLd reducas tTtA ivas of
roozA 8ir by pgpLigl elo8fz1g.
Ey providfng this modulatin,g draYy Qontro7, the AMEI43.TT3Ep,M
vent aampsr saves energy durtng the opersting periada,
eapeclBlly on ppld, windy days, 1n additlon to 1te prtmary job of
reciuaing heaL loss during atandby.
Pisualiy phacklng the yoSition a£ the biades does not i,ndioate
propar performmnee. Cheeking !ar draitgpog splllaga iz the pro•
par way to d0t9rminp CQrrspt funcLiOn, Test for epillage at the
drafthood opening afLer three inlntrwa oi main hurner
oPeration.
American r
bivisfon
cts
0 1se3An1@.;w,, "u rroauau co.
TEL No.
Q 1Yow 1png does ix talie tor the vextt Qampar to oyBn aad
C10A64
A The posltjori of the b1qd98 iS dependeAt Ori theis t6AlpBPs-
ture, Heeause the blades have an exLremely low' Lhermai
mass, they reaat to changeQ Sn vex?t tempesature aimost
immediaGely, 1n typical installatians, theq open enpugh io
properly vent the cambuation produeLs wich.r_ 30 SBCOnds
aYCVr the main burfler ignitea (Thb AGA spevStiCQtions far
vent dampers allow 3 minutes qi sp:llaie ot Combustion
produats after the main hurners !gilite.)
In typieal installations, when tYie burners ga aff, the
bladd5 are apprpglri]agely 314 CSD68d aPter & fe'pr sBeonQe
Srid almo6t Corilpletely a708ed wrfthin 3 Iriiatzteg,
Fe6 28,90 8:10 P.05
I 4
Q What fs the inncLtoa of the bress wslghbe4
A The looSaly instalied bP8,9s waigtite, together with the bimeLSl
blades, fDrm g geji•darnpenizxg eystem that aupprsssBs vibretton
during the high drafa condtttans.
Q Bameti,mea I hear p jingliug qonad cayning trom tho damgax,
.9. Under some OOnditlons the updraft May bg gp 89Va1b tha,t the
? brass vrmfghts (sae above) cannot suppresa all vlbraLiotl, This
ha9 nD efPect 6rt the zuRC410a or l:fe mxpgetancy aY the AMERI-
THERM damper.
@ Why i.s a spi,li awitcb or eatasy awitoh nut ragairad oa
AMERY1t819IELM vextt damgers7
A The ANSi standard for ihermally actuated vent dampera s:mtes:
"The vant damper shall have no irSetion su•faoas, bearings or
hin8e$, unlass the d9vica inviudes featurCg tYia,L yqEll prevent
drafthaod spills,ge in thp sVent of $@izure af friotion surfaCea,
bearinge or hinges."
81nce the AMER,I-THFRA2 Vpnt Dampar dOBS not h&Ve thes0 Prie-
Llon surfaeas and the only rnovem6nt is the flexlng qi the
blades, a S&feGy swltOh Ss noL TmquSred pA AMERI•THERM 'V'Ant
Dampara.
!11
Awitch
Q Is the h,YIHZBI•TH88l4 V+ext DAmpsr really rate4
A Yes. This d9sign is the only one that h9s had mar?y sua.
? eassit;i yaars of operatzon in a zarge number af European
hou9eholds, prloT to iasttoduaxion to the LFnited BGates.
Q Whati ia the 131'e eayapOAncy ef thls dsvia04 '
? tho AMERI•'t]Ei RD? v nt damper w ll far outlive the applia,aCe,
American Metal Products Co. ° -Division o1 MasCO Corporatien
TEL No. Feb 28,90 8:11 P.06
- -- -- - -- ._._..__.... ._..._ , ..__. .._.. .?....," ? . ?
What ia tl-e percva0ege b3 aavingx 1pUeri t111a vent Qamper in
snatatlvd4
,d. Bavings should be expresaed in annual do11aP8 from the
sevings ohart rather than a peroentage, bevause of the
many variablea lnvoived. Reier ta the ,A9QERi-PHER1+0
°
savinga cnant, which was developed by our Eng:neering
napaFtment.
w74y won1Q a veUt dampar on aWatar L,aatrr havm a
reaeonabie paybaaic when watar heating v,sea oalq a% ap
the heatlud energy coxl8nmsd in the svYS99e hansphplflP
If the Vent dampaT edved only a portian vS the energy u8ed for
w'ater heating lt would inpged ehbw an ?insatiafactory p2,ybdqk_
FIowaver, the water heater vent draws roem air ciuring the long
9Landby periods (21 to 32 h0ur8 pHr day in the average hoTne).
The cemperature oe the a,ir encering the wate: heater vent is
highsr thaa roam tempsrature because wasrt e,L* ^iaea flrom the
water heater fiue tube. This incre&se9 the amounZ of BTU's per
aubic foot escaping ttzrough the vent. The higher vent gas
Gemperature inarsases the bunyar.ay 8,nd thesery the voluma oP
air esoaping. The alr iS r6placed by irdiltratlon oi 4old outaid8
air whieh mus, be brought to obmfart tslitperature by long6r
operation pt the fiirr.a06,
In ot4gri +rcords, the y,*e,ter heater takes care only of the wvaCer
heating. The Purnace eompanegtes for eHo&ping room alr Lhrough
Sts own ve,nt, ihe water heater vent and a21 other hest lossss in
the rasidence.
Do you reoommead the fnstp11At4ott ai p yG31t q,smper on
watOx heaLers that have haQ euternii i!l,knl8tloU blanlc9to
dQdBd 8q q OOA89YV?}1pa. mea8tixe4
I?ampeil6 aan Getialtelq be cost BYiectiv5 Whea in6G&118$ on
wat9r heatera rggardless of the amount 4Y insulatlosl addact,
The insulatfon rsduces heat lose from the outsifle of the water
heatar. The vent damper reducee loss of heated ropm Lip $nd
losa irpzn excesaive d*aft Uhrough the fiue pipe in the water
heater. Both of these savings can be importanL and a,ddiLive,
When in.sulat:on is adAsd, he sure ta keap #t aw*ay frvm the tvp
so as not to lnterfere With the drafthood tuACt:oq,
@Wb1et shauid be done abamt a bufld-up of soot oA the veat
damyar4
A If soat Ds ¢grbon i5 ObBerved in or al+ound the 8pplia?Lpg, the
venC, ar the damper, there ie aqmething seriously wrong with
the cambuatioil proee951 A proge;ly insta.lled vent damper cah-
not oBUSa bad combustion. Ewen tf the vent is completely
blooked, vhe draft :ood will release the flup gagas aQ xtat com-
bustibn is noL afPeCtad. CorreeLly adjuet9d burners and a ole&n
heat exchanger in tbe sppiiarce are the p:rrequisltes for any
anarg,q eor,ser-aay;on maasuse.
Q What ehottlQ I do abont ooxsden.attan fu the aAimney4
A Tha inetallacipyy of an3r vent de,mper can increase the potential
for oand9nsation ir: thm vents-espacial?y in errerslaed masonsy
chimr.ey&, This 18 du2 t0 poor thsrmai ingul&ZSOZ p£ the
chimney a.nd the reduoed air movemant when ttaQ de,mper is
c:csed. We recommand Lhat mssnnry ahimaeyy be lined witrl
a.lumsnum or stairilees ateel vent p+_pgs Go rectuce the chance of
candensatton. Moet bui?d:r.g aodes require the lining vf
chimneys whan gas appltan.oes are ventefl into xnasonry
chimneyg.
Q Caa a hamaownar o1Alam a tas cred.it !vr the 13Leta2lati0a of
an AMEXI-T88R39 vozsL CamparF
A Yes. x0Meawrner5 @X9 eligzble far 15% Eax crQd1t,
American Metal Products Co.
Dlvision of Maeco Corporeiion
TEL PJo. Fe6 28,90 $:11 P.07
--- - --- ,.,
,r
l TEL PJo .
Feb 2Ka90 8:12 P.08
r,p
, $t ,x31A
ln add3tSOS2 t0 thg questi0ri6aildel]gwers, here areafew defir.izians of commonlyused terms.
ahimney Ave?^ticai she,ft enciosirag one or more tlues for conveyfrtg
vent gassee t,p the ontside atmosphere.
COxAmDYi Vextt 'j'he ppy+tApn Df a V9riL Byetern il].CO WhiCkx the vent ga8Be8
from two cr more applianae9 12ow
nllutionAir Air wr]ich enters a dra.tthacd as id r:uxes wiGh the flue gg,gggg.
Dratt Th.e Aow of $9,esea or a;s yh,rptgh c?vmn9y, 1lue ar aqtdpmenG
oatsed by pressure diPleren.cea.
DrAfthood (AlSa oaued a axaxt diverter.) A devioe built into an app17
-
.
MCe, cr snadp a para bY a,n applianCe, whiah is deeigned ta:
-Provide for ths ready sscape of the Ilue ga.ssea in the event of r,,o
drafE, dOwrn dre.ft, Qr sWAAg,g^ t_?;orid the dreSLhood
-Prevsnt a dowri dre,i't from entering the appliaziCe,
-Neutrwlize the sffeot of staok BCtion of the chlmteBy or g8S vent
upon the operation of the appiiarioe.
B'tue Qsraeee pradl,;:ta of combustic,n plua excess a1r i,n appiiancg #lues or heat
exaha.ri,gers.
(iaa 1f6-&U FaGr,ory b5lilt vent pi71ng and vezlt fittings 1Lsted by a natian9.lly
xeCOg:u: ed tES+,.12]g a? snCy, tTiat are assembled a1'id used i.ri aCCOS'-
dance witY: the tersrs of their listisags, for conveying flue gaeaes to
Lkuf au?side atmOSphere.
L1aLed Equipmentcrmateriatsincl.tdedfSlaliF>tpub1i8h6dbya Il9.tionally
recogrilzed cest" Wrcy t?aaL msintairis periodiC insr .cGion of
producczQn, o::isrzd eqvipment or materials and wnose listfng
statea ih&t either tAe equipment or ltiater181 meets nstiDna.iv
:lea4grai.zad sta.ndsrC9 or?a,5 been tested and found suitable foruse
1l'1 S FpeoiP C .Tllei3`LC1EL'.
Natur? Draft `?.?he motaon of fiue gassea through an appliance vent
system geziex°atsa Ta,y the heat of the gasses, .
QusllYiaa InstaUar ?,iW indi•n4uai, f:rm; corporacion or oompar,,y which either in
person or L."Aro4h a reprasentative is engaged zn snd is reapon.
sible ror, ;,no in.st,altatiGn and aperation otgas applianm and aato-
nla;ic vent dsrnper devioes, ,vhe Ls 8xperiar.eed iri 6uCh work,
famlliar witk: a:l precauti;;ns rpquirad, azld has eomplied with 9u
the requi.^ements of the authorzty havtsgjurisdiction.
??? OP*nin8 ?'?e Opeauig provided in a dxa1t27ood to permit tha reacl,y eseape tq
th6 e.tmo6phere cfthe rliiaprt>d.uetsfromthedrafthoadint2teevent
ofnc+ dra.°t, down ctralft, o^ stoppa.ge beypnn the arafthbOd and ta
permiL:nspiratipn of air i;xW the drafthoOQ iri L11e eventpfa BtPOrig
uDCraft.
Bpillage Combustiqn products flowing from th.e appliance air ppanings ar
dreafthcod reLef epazungs flue to a maLfuz7ctian of Ehe venting
9y8tern.
Yent Daaap@r A aanC dampe: is inetal.ed just a;ter the drafthood Lo pre-
vent warm.ec: roqm 81r frolA esoaping up Che vent.
vomt Gasses Proa,.icts of Oambustion fr4zn: gas applianees plus exasSS au, plua
dilutipn air in the vEnting syatsm ahove the Clrafth00d.
, American Metal Products Co.
Division of Masca Corporation
6100 Baiidint Blvd., 148 Angales, dallf. 90040 •(813) 729•1941 • (Spo) 493-4270• TWX: 91a880q38a7 p,s.c
?.3o 1°?
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
-f 7d
`?,I?y
New Construc6on Reauiremems RemodeVReoair Reauirernents Office Use Onlv
3 registered site surveys showing sq. ft of lot sq, ft. of house; and II roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(200/o maximum lotcove2ge allowed) 1 setof Energy Calculations for heated additions Tree Pres PWn ReW _Y _N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additlons & decks Tree Pres Required _ Y_ N
1 set of Energy Calalations Add'N'on - indicafe A on-site sepfic sysfem Onsite Septic System _ Y_ N
3 copies of Tree Preservation Plan if bt pWtted aNer 711193
Rim Joist Detail OpGons selecfion sheet (bidgs wiN 3 or less unAs
Date I a 3 /
Site Address ??/"t a 6 l Construction Cost D. b0
-
ynIC,I')2? I C D'6 VP_ UniUSte #
Description of Work
Multi-Family Bldg _ YI N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner ?ieQ? i Ne ? d ? W???PX A 11 Telephone #(?S)) LP FS ?p '`? ?°?
Contractor DJS )tkwd_vrna)(1 Scil V\(c- Uw -t-a oa 1&0(ai
Address ?M? b ?y
State 0`?Y-1 nQ C6,S(f aslt li? r c Le ,
?O?-k Zip 5570 V& City oSeYYl01JlO-
Telephone#((6 1) L4p.1-) -fI It-4 x
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv I
• Residential Ventilation Category 1 Worksheet
(J submission rype) Submitted
• Enargy Envelope Calculations Submitted
Have you previously constructed a buiiding in Eagan with a simiiar plan?
fee applies.
Licensed Plumber
Mechanical ContracTor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
?,? ?, ,•I;
I
? .„
I hereby apply for a Residential Building Pernut and acknowledge that the informatioi'is comple _ancLaccurate;
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 pernrit, 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 ofplans. \-) j c_ V-V?q,?
?? l r ci 'n ?
i\r ln
Applicant's Printed IVame ApplicanYs Signature
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
N if so, 25% plan review
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbgkY or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundatlon ? 45 Fire Repair
x 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement . "Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ?
Census Code ?7'3Y
SAC Units
# of Units
# of Bldgs TA
Type of Const
_ Foo[ings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
? Framing
? Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee "
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies .
Other
Total
Occupancy 2 `3
Zoning 9
Stories -
Sq. Ft. ^
Length ?
Width ?
MCES System -
City Water ?
Booster Pump ?
PRV
Fire Sprinklered r
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
Plumbing
HVAC
Other
_ Pool _ Ftgs _ AidGas Tests
Siding Stucco _ Stone _ Brick
? Windows h5n43Y
_ Retaining Wall
F3uilding Inspector
Clty Df EaiaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)-675-5675
Fax: (651) 675-5694
p '-y ??,???1"/ ? n
'u
APR 2 () 2009
--------,?
? Foi'Olfice Use I
I Pertnit #: L. ?
I /?
? Pertnit Fee: C?,
I Date Received: ? .
? I
? Stafl:
-----------------I
-- 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 4-11-bq- SiteAddress: 139'), -JvUl,?-c..eX?'&?SuNe #:
RESIDENT/OWNER Name:IVj,L,L? G?.l.. I?tRQ.Q? Phone:(O5I-lo9(o -gG?Sr7..
Address / City / Zip: 13 q - /?? K. • 5?'? a3
CONTRACTOR Name: /YIG-. 4. t se k: QS'f Ol 3-I Prn
Address
: - )-J -- - . s? .
p
Ciry: U4" State Zip: 55y-13
Phone: 01,? ` ll.P.f.Q?
kIG ? OM y Contact Person:
TYPE OF WORK _ New• 4Replacement _ Repair _ Rebuild _ Mod'rfy Space _ Work in R.O.W.
Descrl tion of work:
, .
PERMIT TYPE . .... ?_ . .. ., . _ . ... . . . _ . .. ._ ... .
RESIDENTlAL
' ' -- .-i--Water Heater _ Water Softener
Lawn Irtigation Add Plumbing Fiutures
. - -. ? L RPZ PVB) L_ Main _ Lower Level)
Septic System _ Water Turnaround .
New
Abandonment
RESIDENTfA1 FEES:
$50.50 Minimum Water Heater, Water Softener, 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 $.50 State Surcharge)
'Water Tumaround (add $165.00 if a 5/8' meter is required)
$100.50 SeptiC System New ($10.00 per as buiit) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $_jz:-,0 ?
I here6y acknovAedge that this information is complete and accurate; ihat the work will be in confortnance 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 rrot to sfart withoul a permih that the work will be in
acc wRh the approved plan in the case of work which requires a review and 2ppro I oi plans.
x mmrnkiE )Iau x' lc. L"
Applica s Winted Name Applican Signature FOR OFFICE USE Reviewed By: Date:
, Requlred InspecGons: Under Ground _Rough-In , Air Test _Gas Test _Fina6
RESIDENT OWNER
Name: I t'Ct c i MOW/ Alt.'t1 Ira I/ Phone: 6 T 7
Address Address /City /Zip: 37_. /r) 2f'
Applicant is: Owner "'Contractor
TYPE OF WORK
Description of work: 41. 1 dec...) re(l4c e et f-`
Construction Cost: 7, eb Multi- Family Building: (Yes No ._,.D
CONTRACTOR
Name:. FAs Fq rider --C 70 C License S f
Address: 22 L 0 f e- eo't _Y7' 1-,/
City: 615 ePIC ;y(rl State: PI Zip: 5 c d
Phone: Y2 7 L Contact Person: /1/€6'a.r---,
COMPLETE
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information,
the information may be classified as non-public if you provide specific reasons that would permit
conclude that they are trade secrets.
Portions of
the City to
City of Eaall
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /0 D r Site Address: /1- /ri P //e Dr
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
x
Applicant's Printed Name
x
Applicant's Signature
r
Use BLUE or BLACK Ink
For Office Use q/171/-3
Permit
Permit Fee: Q
Date Received: /67)
Staff:
Suite
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.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.
Page 1 of 3
Ir For Office Use
PD Q T 'E'
111
~j Permit City of EaEd o 20og
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: CO\ _ Val U-~
Tenant: ,n, 66 Suite
RESIDENT /OWNER Name: i'V._Q,t L' _cu. ~ ~'t-FJt e,~ Phone:2SI (09
_
Address/City/Zip: i 3 IA -11A UL& G / & s A3
CONTRACTOR Name: /Yl(~. / 1.__ nse 0 S1 0-1 3~ P Y~
Address:
City: State i& Zip: rJ Z
//~q
Phone: 'W' 0"t 2- Contact Person:
TYPE OF WORK _ New Replacement _Repair -Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water 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 Softener, 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 $.50 State Surcharge)
*Water Turnaround (add $165.00 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 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
acc9ance with the approved plan in the case of work which requires a review and appro I of plans.
Applicarf 's Printed Name Applican Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test __Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115623
Date Issued:09/27/2013
Permit Category:ePermit
Site Address: 1392 Michelle Dr
Lot:2 Block: 2 Addition: Hidden Valley
PID:10-32900-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Brian Nelson
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 -
Neal T Wetherall
1392 Michelle Dr
Eagan MN 55123
Bn Builders Inc
2242 140th St. W.
Rosemount MN 55068
(612) 644-8274
Applicant/Permitee: Signature Issued By: Signature
RECEIVES
AN
qq For Office Use U ((
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Date Received: , )-'(r
3830 PILOT KNOB ROAD I EAG MN 55122-1810
(651)675-5675 I TDD:(651)454 :535 I FAX:(651)675-5694 Staff:
buildinginspections(acityofeagan..om L
2018 RE `IDENTIAL BUILDING PERMIT APPLICATION
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Date: (J-2-2-241 a Site ddress: 13q2- MI C4'1 - tAikve Unit#:
Name: IU..- 'ez .-y &A41'I1{ Phone: 33- 3 '4- 7-9-eq
Resident/ r q I
Owner Address/ City/Zip: 1 1 Z M IC4 DQ-1 Ve e1 t- t Mt sci 3
Applicant is ogrowner ZSThontractor
Nev.. c.IK3.rver5, C-cn^'i♦rt l�S
Type of Work Description of work: 14:0 -h) 1 t�3O -FtcxafL r ' •�
Constructio Cost: \Z i C Mufti-Family Building:(Yes /No
Company:U' A4 Z kiTtkieo Contact: N V.c�'
Contractor Address: i%OI 'WAy 2 D** City: ° �4IS Y - --,
State: M Zip: �2447Phone:V-(1n'gef Email: )are. lite-14 1444cA • 1.00'^---
License#: ace Lead Certificate#: IJ�l 1 —p��1 LI co
If the project is exempt from le:d certification, please explain why:
�VI� 1N IC1g0- -
COMPL TE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the C ty of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date -nd address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting docu ents that you submit are considered to be publicinformation. Portions of the information maybe
classified as non-public if you prov de specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an el=ctronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/su•scribe.
Exterior work authorized by a buildi g permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Goph r 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 unde ground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this inform. ion 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 About a permit; that the work will be in
accordance with the approved plan in t e case of work which requires a review and approval of - s.
x lAkiljtANO Y-0 a
Applicant's Printed Name ppl' nt's Sig : ure
/ stLch&//& / 5//q429
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level — Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION ( '
Valuation IA O Occupancy 1 MCES System
Plan Review Code Edition ,A , 1 (� SAC Units
(25%_100(Y0 ) Zoning
al'
l City Water
Census Code Stories '` Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Y Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) 1, Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof:_Ice&Water Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
K. Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 01 , Building Inspector
RESIDENTIAL FEES
Base Fee 0-0/64‘)
Surcharge lt4 "..,64„/
Plan Review 0
MCES SACall/
City SAC
Utility Connection Charge
S&W Permit&Surcharge Treatment
4 ✓ 212$ (490
Treatment Plant I LI �`
Copies '
TOTAL
Page 2 of 3
d
,,. t,For Office Use
4,.... %.0 „, EAGAN
a m�< f � :,o :::t:e:1
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionst citvofeagan.com L
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
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Date: ^ / - I p Site Address: 13 14,2. /"e r C.- 4_
Tenant: Suite#:
Resident/Owner Name: ll(,[ 6I.�.t A- - Phone:
Address/City/Zip:
Name: lAir. 4-r-s" av b;A License#:
1 Address: 5/S3— 1%- kv er- 4g S, Ii' tit'ity: ' I'�
Contractor
State: /31A/ Zip: 5S-71.)- 7 Phone: 1.63- 57. < r .05-55—
Contact: + 34-et,""---- Email: J eT .fir „,o r,viAf,co
Type of Work New .Replacement —Repair Rebuild —Modify Space _Work in R.O.W.
Yp I — `
i �I �.
Description of workr" ✓� # _ .14
I RESIDENTIAL `
Water Heater
Water Softener
Lawn Irrigation(—RPZ/_PVB) i
Permit Type
Add Plumbing Fixtures ( Main/_Lower Level)
Septic System t j
_New _Water Turnaround
Abandonment _._
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and 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.000herstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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 oflens.
x
M1
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Applicant's Printed Name Ap ica f ':' n -
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170177
Date Issued:06/22/2021
Permit Category:ePermit
Site Address: 1392 Michelle Dr
Lot:2 Block: 2 Addition: Hidden Valley
PID:10-32900-02-020
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Smith Familty Trust
1392 Michelle Dr
Eagan MN 55123
Mr Rooter Plumbing of the Twin Cities
5155 East River Road, Suite 418
Fridley MN 55421
(763) 551-0555
Applicant/Permitee: Signature Issued By: Signature