744 Mill Run CirPLUMBING PERMIT
CITY OF fiAGAN
3830 PILOT KNOB ROAC1, EAGAN, MN 55122
CONTRACT PRICE:
Site Address y` 1 •?:?
Lot Y.r Block ?..? 1)_ SeclSub
? , 1
? Name ,c q r. ?a ? ? ? •?
?
?s ,
Address 7 Y
c Ciry Phone% ?a
? Name + '
3 Address
p Ciry Phone
FEES
COMM/IND FEE - 1°rb OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
r '' . .
?
?
'
_ T
SIGNA RE OF PERM17TEE
FOR: CITY OF EAGAN
PERMIT #
RECEIPT #
DATE:
?G4DG. TYPE WORK DESCRIPTION
Res. New e
".Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES T TAL
-a2Water Closet - $100
Bath Tubs - $3.00
:?',_?Lavatory - $3.00
J Shower - 53.00
?,;?: ? Ki?chen Sink - $3.00 -'
?!__Urinal/Bidet - $3.00
Laundry Tray - $3.00
: I_Floor Drains - $1.50
r / Water Heater - $1.50
Whirlpool - $3.00
,,, / Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
' Rough Openings - $1.50 ?
FEE:
J "
STATE S/C:
GRAND TOTAL -?-? YZ'
PHOIi E:
. , .,;;.: .
PERMIT #
' MECHANICAL PERMIT
CITY OF EAGAN RECEIPT # =? ' .• ,: ` r =
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Ad ess
? - , ? BLDG. TYPE WORK DESCRIPTION
LotBlock Sec/Sub
;.. Res. New
Mult Add-on
? Name
Add
Comm. Repair
?
c ress
City ' Phone Other
FEES
? Name RES. HVAC 0-100 M BTU -$24.00
c Address ? ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
TFUCTI
N
N
)
CO
S
O
GAS OUTLETS (MiNIMUM - 1 PER PERMIn - 1
50 EA
TYPE OF WORK .
.
COMM/IND FEE - 19io OF CONTRACT FEE
Forced Air k M BTU APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAI FEE - ALL ADD-ON &
Unit Heater -I
M BTU t REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
Vent. CFM R STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Oudets # BEYOND $1,000)
Other
FEE:
3/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: 39? '7 077 Size:
P.O. Box 21199 Reader No: T,I I?? Date: s? ?? fkr
Eagan, MN 55121
Owner.
Site AddreBS:" J 1 7 `'?_r, r i-_-1 L2 i c'?
Conn. Chg: ;?iF?fnrn r!i .YinR G4 i?PrIOW,
ACCt. Dep:- " TGt Cbunn?r ,;[+do ,,p}?Sfinj? ?
E, ,
. ?? i ?4 . L
?.'J? ?-15?
Permit Fee:
Surcharge: Rf. Q1 t t RE n R 1?ag[AWmply with the City of Eagan
Tr. Plant Ordinances.
Meter. ? rz
Misc.: By?
f??6'
WATER SERVICE PERMIT??Zf':&Z0t**-
CITY OF EAGAN • - ^ ?,
3830 Pllot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHON E: 454•81 00
BUILDING PERMIT Receipt ?
To be usgd for Est. Value ? -- Date =3 ,18
Site Ad
? OFFIC E USE ONLY
Block ` Sec/Sub. `•'
Lot ? On Site Sewage _ Occupancy , a
MWCC Syatem s_ Zoninp
Parcel No. On Site well _ Type of Const
City Water (Actuan
a Name (Allowable)
m
3
Address ? of Stories
Length
-
° Ciry Phone s Depth ?,,T •
S.F. Total
. o Name FootPfint S.F.
? ? Address APPROVAl3 FEES
? City PhOn@ Assessments Permit ?? V • ? `?'
Water/Sewer _ Surcharye
?T''
F
¢
yVj W Name Poiice _ Pien Feview '4 -•
v n Address Fire =
E SAC. City
SA
MWCC
ngr. C,
? W City Phone Planner _ Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state gldg. Off. _ Road Unit
that the infortnation is correct and agree to comply wkh all applicable APC - Treatment P1
State of Minnesota Statutes and City of Eagan Ordinancea Variance _ Parks
COpies
-
Signature of Permittee TOTAL -?
A Building Permit is issued ta on the express condition that
all work shall be done in accordance with all applicable State of Mi nnesota Statutes and City of Eagan Ordinances
Building Official
Permit No. Permit Molder Dste TNephone,
Plumbing
-- -
l
H.V.A.C. n
Electric ,G,'?CY-')(+• % ; ?,.?? , -:? i ? ('C r l ?????.? ? ?,?? %
Softener
Inspectlon Date Insp. Commenb
Footings l ?
Footings II 1
Foundation
Framing 2.6 ??
Roofing
Rough Plbg.
_ 7 ?
-??- . / . 1i15 A -
Rough Htg.
Isul.
Fireplace
Final Htg. O
Final Plbg.
Bldg. Final
Ce?t Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
iAis request roid A 18 rnonths Irom ?
D 80676
? aoo ?ij?c
R ireA? [3ReaAY N. Will Nolily Inspec-
? ? ._ ?Yes [I NO r When Reodv
,?LiEensed'?lec[rical Contractor 1 hareby request insPection ot above
? Owner electrlcal werk inslallad et
SGeet Address, Boa or Rovte No. City
ecuon o. Township Name or No. RTng¢ ryo.
OccuVant (PflINT) Phone N
ver - tC nozl'
Power Supplier Adss
Elect ical mracmr 1 ompany Namel ontr:icmr's Licensc No.
Ma?lin Ad ress IC ntractor or Owner Makinp InstaVlationl
N ss ' 7
Aut ?ized Signature (COniractor/Owner Making Ins[allatiun) Ph
e N
umber
( %
?
V/
NE$OTeSTATE BOAPD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
gge•MitlwaY 01tlg. - floom N•191 8E ACCEPTED BY THE STATE BOAPD
1827 Univerei[v Ave.. St Pnul, MN 55106 UNLESS PROPEH INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-oowp.-.._
Ill, See instruclions for comvletirp this form on beck of vellow eopy.
? 0676 'X Below Work Covered by Ihis Request
Fdd Pep. TyOe ot Builtlin0 APOliancea Wiretl EqaiVment Wirad
Home VFr nge Temporary Service
Duple,x ter Heater Lightiny Fixtures
Apt. BuilAinc? yer Electrlc He2Ln
Commercial Bldg. mace Silo UOIOAdP.I
InduConditioner Bidk Milk Tank
N r Fea r5ervice EntranceSize H Fae Fxxtlers?5ubfeaders # Fee Circults
0 to 200 Am s 0 io 30 Am s O.- 0 to 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 Amps
Swimming Pool
L Above 100_Amps Above 100_AmP+
Transroimers Irngation Booms ? - Partial-'O[her F
Signs Svecial Inspection $
.Y--7 "? / r
In50ector. hereby I
- ?artify that the above
Date IG.t ?nsuection hes been
. - ' (?rr#ifir?tr nf (?rru??nr?
Citp of eagan
loPpartmPtiY of lo1tt1Atlg j1t8}iP12tDC[
Tlus Cerlifuate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that n! !he dme ojessuance lhis structure was in compliatce with !he various
ordinaxcer of the City regulating bui/ding construclian or use. For the follawing:
uKQ.,?fi„w„ 5? D?IG/GAIi BWS.F?nn;,No. I4552
ooc.amrT1ce 113 zonina n:,Ma -t I ryrc conuc Vn
?
ow= orsuamng Si1RR O.L-C ALDRS 7P,C ,,dd? I f4%3 C.GI.?:.:CJ E; ti:i. Cn... RA`?'?
swia.gnaarm W TlTY, iC7jTZri t«,rty".C+, SIO, :t?''.iT:l_ ItII'.<'?
p,u: P-LZ b? IS'aB
Bwlding Olfirial. .
POST IN A CONSPICUOUS PLACE
A
CITY OF EAGAN N° 1 4 5 5 2
3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PHONE:454-8 700 G
?
BUILDING PERMIT Q
?
Receipt# O
Tobeusetlfor SINGLE FAMILY Est.Value $78,000 Date 1ANliARY 13 ,19 88
Site Address 744 MILL RUN CIRCLE OFFICE USE ONLY
BRIDLE RIDGE
Lot $ Block 10 Sec/Sub onsitesewage Occupancy R-3
. MWCC System ? Zoning R-1
ParcelNo. OnSiteWeu TypeMConat
-
City Water ? (ACtuaq ?
a Name BURR OAK BGILDERS INC (Allowable) ?-
w
=
Address 11473 GOLDENROD ST NW # of Storiea
Length
1
T+
o City COON RAPIDS phone 452-2906 Depth 46,
Total
S
F
.
.
.0 Name SAME Footprint S.F.
?a Address pPPROVALS FEES
P CityPhone Assessments _ Parmit 486.00
39
0
Water/Sewer Suicharge .
0
W w Name Polica _ Plan Review 243.00
t=
_-
Address Fira - snc, atv ton_oo
?c7 Engc _ SAC,MWCC 50
00
aw Clty Phone Planner _ WaterConn. :
Council WaterMeter . 67_1]D_
I hereby acknowletlge that I have read thia applicatlon and atate Bldq Off. _ Road Unit J25 06
thattheinformationiscovectandagreetocomplywithallapplicable APC _ TreatmentPl 904_00
State of Minnesota Statutes and City Eagan Ordinances. Variance _ Parka
Signature of Permittee Copies
rOTAL
z.?6
A Bullding Permit is issue o• BU R OAK L?RS. on the expreas condition that
all work shall be done in a?cc.o"rd"a"nce wi all applicable State oi Minnesota Statutea and City of Eagan Ordinances
BuildingOfficial_,?/?/
f
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauirements RemodellReoair Reauirements Ofice Use Onlv
3 registered site surveys showing sq. ft. oi lot, sq. ft, of house; and all roofed a2as 2 copies of plan Cert of Survey Recd _ Y_ N
(20% maximum bt coverage allowed) 1 set of Energy CalcuWtions for heated addiGOns Tree Pres Plan Recd _ Y_ N_
2 coples of plan showing beam & window s¢es; paured found design, etc. 1 site survey for add'Aions & decks Tree PresRequired Y_ N
1 set oi Eneqy Calcula6ons AddNon - indicete Aon-site sepfic sysfem On-site Sepfic System _ Y_ N
3 copies of 7ree P2servation Plan if lot platted after 711193
Rim Joist Detail Op6ons selection sheet (buildirgs with 3 or less uniLS)
Date S/ Z l
Site Address OS Construction Cost 00 0
Ai? ?l tzv.,o C , /ly UniUSte #
Description of Work „C >7/?cc l1 d ci n
Multi-Family Bldg _ Y_ N/ Fireptace(s) _ 0 a 1 _ 2
Property Owner 1,4 f 2o.Sv N Telephone #(61) ijtS 2" 63 z Z---
Contractor
Address _
State
,
MC.
41W FXf'FT fiT(1R Ri.Vil City
ST. LOUIS PARK, MN 55416Zip Telephone #( 6'12 ) CrZ 3- VU 34 d"
/f. ? l.`.w9A ?-YI.%, l-M? /Ch/ l/W'PdJ? //1_ c{l l/? (/S /Yl 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Caiculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewec/Water Contractor
Telephone # ( J
Telephone #(
;`.I.hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the wark will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
IZ-zx ? / -?7
AppIicant's Printed Name Applicant's
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03, 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF
? 04. 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
Work 7ypes
? 31 New ? 35 Int Improvement ? 38 Demoiish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/DOOrs
? 34-Replacement 'Demolitian(EnGreBldg)-GivePCAhandouttoapplicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Upits Sq. Ft. PRV
# of 81tlgs Length Fire Sprinklered
Type of Const Width
_ Footings (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 Piant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
? RESIDENTIAL
? BUILDING PERMIT APPLICATION
r a?°2 CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Conatructfon ReauiremeMa
• 3 registered site surveys showing sq, ft. of lot, sq. R of house; and all roofed areas
(20% maximum lot croverage allowed)
. 2 copies of plan showirg beam & window s¢es; poured found design, etc.)
• t sel of Energy Calculations
• 3 copies of Tree Preservation Plan if lot plaBed after 711193
• Rim Joist DelaB Options seleclion sheet (hldgs with 3 or less units)
DATE UTT ? 2-
SITE ADDRESS 7`/ `f /t'r ??(,('/ MULTI-FAMILY BLDG Y N
TYPE OF WORK it n, - 2,i n!/ ?-??-- ? FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
A
STREETADDRESS /ga 14
< CITY A C• STATE?ZIP
TELEPHONE #6,f,1- 48Z <
, a'o/8 CELL PHONE #
FAX #
PROPERTYOWNER (OY ? &
TELEPHONE# YL2
----------------------------------------------------- ------ ------------------------------------
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CATLGORY 1 MINNESOTr1 R[JLCS 7672
(4 submission type) . Residential Ventilation Category t Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery Syscem
.?
Fce: $90.00
U ? ll 0.00
UN 2 5 2002 LA;
i
°------------------------°--------------------°-------------°-----------°---°- ll;y t?_-:-. :r w __-----------
I hereby acknowledge ihat I have read this application, state that ihe informatl'on is correct, and agree to comply
with all appiicable Siate of Minnesota Statutes and City of EagandSignoture of Applicant OFFICE USE ONLY
_ Water Softener
_ Water Hcater
_ No. of Baths
RemodallReoair Reouirementa
• 2 capies of plan
• 1 set of Eneryy Calculations for heated additlons
• 1 site survey forefAenor additions & decks
• Indicate if home served by septic system tor additions
VALUATION
,
Phone #
_ L.awn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? Ot FoundaGon ? 07 05-plex ? 13 16-plex O 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 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muiti
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - 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 Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ 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 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
6p??r?:t
STAWfiRP
1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLZNGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WFiICH ADDRESS
IS DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
7 SET OF ENERGY CALCULATIONS
CONA7ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL &
1 SET OF SPECIFICATIONS AND 1 SET
To Be Used For: J G?, ./-`r/j](L,k_
Site Address 4211-4 /PUn/
Lot 0 Bloek ? 0
STRUCTURAL PLANS,
OF ENERGY CALCULATIONS
?7?oao
Valuation: Date: 7.?
Parcel/Sub ?/P/1)Lo' %/PGE
owner gGlR2. 0%'k' ?LDRS,. /?/G .
Address ?/?eZ7
City/Zip Code CO&? 6 ??' n;F/fSY3J
Phone ( e ?
Contractor Sq4E'"
Address
City/Zip Code
Phone
Arch. /Engr. /'( y SSE:LL f'LA.r) Address 9'9W vl;?lNG' '4?e,
City/Zip Code
Phone If
OFFICE USE ONLY
On s3te sewage_ Oecupancy X-3
MWCC system ? Zoning K-I
On site well Actual Const ti/
City water ? Allowable
PRV required lk of stories
Hooster Pump _ Length y6
Depth f16
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit ? .6. • ?
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City JaO. "
Variance SAC, MWCC ?;p. °?
Water Conn S's o.
Water Meter 67. °O
Road Unit 3.91-r: 00
Treatment P l doy. °o
Parks
Copies
-
-
TOTAL »?,S6
•!?
* f?
0
0f
s7esea7
3ro
cndll 8 suoclahs, Inc.
11N \ 01041 no. wIl.. wqnn. INIf
EYTFsRIOR ENYEI,OP& AVERAGE "U" COMPOTATION I
OwNER rQo^?'F SPLI"i'
tL?rr No. aW#J l. a?1
SITE ADDRESS ? oT 8 Qf1",t to Br. ??e &',( /at Damr Z! d p...r _
Determiue xorldng squara footaga of saoh
&• T01181 W8U W'l1YlOW nrea ......... ........... ??• I(0,145
b. Total door area .............................. > 7
C• TOt.81 8].?iTlg g1959 door CTAd.#, ........ e..?•
d. Total fireplace wall area .................... ???
e. Total wall 3raming area (averaga 10%).,,,,,.? ,
f. Total net wall area above floor .............. -_-8?
g• Total rim joist flP08.................... #.??,• L Q
Total ezposed fourxiatlon area _ )77,7 _
h. Total fowxiation windoia area .................
i. Total nat foundation area above grade........
Determina "D" value oS ench wall segment
3r
b. a uU"
?
a•---c?? z ~Un ?
O• i0 x •un a .O
d. x "U" --- -
e. x "U"
f.--??-?-?- x np^ 0 a
B• z "U" a ,
h. 7[ ^U^ e
1. ? Z x "U" u
?
4. ................................... Totam ` po
If item }4 is the same asp or less than item flo you have met
tha intant of SBC 6006(0)2.
1. Total exposed wall area...... sq.ft. x,L a
'
2. Total roof/ceiling area...:.. 10 5 eq.St. x•?u0 =?
3• Total floor/cant. area....... aq,i't, z?_ ?--
Total exposed wall area above Ploor
! I
.. ' 1? •
, • ? Total exposed roof/oeiling arsa
/ J. ToLal elylight arsa .....................................
. k. Total roof/oeilirg iraming area (aver. (.10016"0/0),,,,,
I (.o62W 4„0/0) ...?
1. Total net insulated roof/oeiling area .................. ?
Determina "U" value for aaoh roof/aeiling segoent
J x "U" a
k. ? x ::"U" , to
1.? X u°
? 5 . ................................................. Total ?
If total of }5 is the same as, or less than #2p you have met the
intent of SBC 6006(0)1.
Total axposed floorioant. area
m, Total Tloor/cant. framing area (average .10$6)00 ...06..9
n. Total net insulked floorJoant• QreB*,** o 9*9*9*9***99* o•
Determine "U" value for eaoh floor/oant. aegment
m. X ^0" -
n. x uUll _
6. ................................................. Total
If total of iJfi is the aame as# or less than $3, you have met the
intent of SBC 6006('0)3.
aL'PNMATE BUILllING FNVELOPE DESIGN
To utilize the total envelope system methal, the nalues establiahed
by the sum of items #+v #5 arxi f6 shall Dgl be greater than ths awa
of itams #19 #2 arrl $3•
I. I?c.M 2. Z7,17 3. = 5, D
4. I I'4i0 CJ rj. 11 1?1- 6. a I J5 150
Prepared by uit
Date ? 114b-
?,
?
gTUD
Tpt• Air 068 TARO IN3. WILL Tnt. lir .68
-• `9.ft. 8 SIDID10 1/2" S.R. .45 Y/ SR. 6 SIDllit} 1/20 S.R. ?45
stua (-0,001s n ?. 1Cf,0o
, 25/32" gild. 2.06 _ 23/32" 8ild. 2.06
9iding
'(07 ? 9ldiug .,
? (o
mct. Air ? Skt. Air -t7 -
•.?.?
Totatl ORPO a ? O, cl I
. , Total "R" m Z?j, p7,
• 1/R 1/ji a wuw a?
.O
TfiRU RIM InL. Air .68 TfiRO CONC BIACg
Int. Air .68
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Opt. Ine. ?'-?- r0
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- ]6? U Cldl. Int. Air TF?U CLG. Int. A7r .61 MEl43ER S.R. IN3ITl.lTI0b1 B.R. Clg. Mamb. ? • Still 41r .61
Sti11 Air Totnl "a" Total "R" / 1 /R = "tr"
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----__---- -_? _:.?.-_----:-_ ?
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SURVEYOR'S CERTIFICATE
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SIENNA CORPORATION
CIRCLE
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165.45 SSp0
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REVISED I- 7-88 TO SHOW PROPOSED HOUSE
BY BURR OAK BUILDERS
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41 DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 905.3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 90 Z.S FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK= 905.'1 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 8. Block 10, BRIDLE RIDGE I ST ADDITION, 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 7TH DAY OF JANUARY, 1988.
APPROV[f1 FOR SIEPINA SIGNED; JA LL, INC.
COfI! ORIITION
f3Y t BY: ?
HAROLD C. PETERSON, LAND SURVEYOR
DATEDt MINNESOTA LICENSE NUMBER 12294
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
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APFLICATION FOR PERMIT
SEWER AND/QR WATER CONNECTIQN
:
? N7fE: PA]Q9fNf OF FEE AT TIME OF .
?
? APPLIC4TIOf1 DD6 N;]L CM- t
y STINfE APPR(SVAL OF PEI7MIT. ?
:
; uisettMau oe sa,mx nrm/ai vmTER k
:.
; zcisrW.uTTaNS waa. Nvr ae sCnorm ;
t[!NCSL PII+MIT HAS HE@] APPROVID.
•»a?i;:?r?ii????ttrs.??tt+?:s??+t?+wx+
dtV OF GCIcyC9n
(P E PRINT
i) PROPERTY ADDRFSS: ..74/y. dlu.e,
7d7GAL DFSCRIPTION:.
Lot B oc S ivl5ion or Tax Parce ID )
IF EXISTING STRCCZiRE, DATE OF ORIGINAL BLILDING PERMiT ISSIIANCE:
PRESENT ZONING/PROPOSID USE:
Mon Year
Q.COPM'lEE2CIAL/RETAIL/0FFICE Cf;--t R-1 SINGLE FAMILY
--?
Q INDLSTRIAL ? R-2 DLPLEX ('iWo C'nits)
a.INSTI7[)TIONAL/GOVERNMENT Q R-3 TOWNFIOUSE (Three +[Jnits) ( Units)
a R-4 APARTMENT/COfIDOMINILM ( C'nits)
.
2) NAME:
ADnREss: z;.,
CITY, STATE, ZIP: Ss2
PHONE: ? O o
^-- ^ ' -- ^-
3) NAME: 1411
ADDRFSS:
CITY, STATE, ZIP: . '
PHONE: ?,PCf e1-?? b b MASTII2 LICENSE 00.)-,q, `?7 /77 O
4)
NAME: !CJ Cc ir dK3-/L 6& . / .&?.
ADDRESS: Li.I? /'l LJ.
CITY, STAT'E, ZIP:
PHONE: L9 g' -
5)
?- CONNECTION 'P0 CITY SE4E11,.?NNE(
6)
ij Active
E7cpired
Not recorded
St Initla
/ --?) '57-
, . . .
*****?****+**?****?******?+* .*?***+*e******************?*****************?***************?**+******?
THE GOID COPY OF 2HE pERMIT WILL BE SENr DIRECPLY 10 PUBLIC WORKS TU FACILITATE MEPER PICK-LP. *
PLEASE ALTAW 1W0 WORKING DAYS FOR PROCFSSING. SONlEiONE FROM TfIE CITY WILL CONTAGT YOL IF 7gERE *
* ARE ANY PROBI,EMS.
,?*r?******,???***++***?***+*****?*****++****???**?***?***?«*+**,r*******+*?*?***?**+,r**,r***?******?**y
TO CITY WATIIt O OTEER
FOR -CITY USE ONLY
PERMIT # ISSLED 3q9 Pd w/Bldg. Permit FEES:
$ $ /10 ' Sb SEWER PERMIT (INCLUDE SORCHARGE)
$ WATER PERMIT (INCLUDE SORCHARGE)
$ (p 7'?? $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCL[)DE CORPORATION STOP)
$ $ SEWER TAP
$ S /?0 O ACCOUNT DEPOSIT - SEWER
$ S /S •?? ACCOUNT DEPOSIT - WATER
$ S S_? • r?b S wAc
$ /o 5-d•rrD S sac
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ ? O y'(T? $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S 71, /J-v $ rtj ?. (rd TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PIIBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TI'PLE :
DATE :
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2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan "t,,,i +
3830 Pilot Knob Road, Eagan MN 55122 ?„?q Y1405 ?'^`
Telephone # 651-675-5675 FAX # 651-675-5694 1 ` ? ? ? `?' ? °? ?
New Canst 'on R uiremenls RemodebReoair Reauirements /1ce
e On
3 regi
ste2d sle surveys shaxing sq. tt. of lot, sq. fL of house; and all mofed ereas 2 copies of plan Ced of d Y N
(20% maximumlol wverage allaxed) 1 set of Energy Calculations for heated additwns T2$?resElan Racd Y N
2 copies of plan sliowing beam & window sizes; paured found design, atc. 1 site survey for additions & decks 'fa?e Pres+Raquired Y N
ns
ite Septic System Y N
1 set of Energy Calculations Addifion -indicate ilomsde sepfic syslem /V1
3 copies of 7ree P2serv inn Plan if lot plaHed atter 7i7193
Rim Joisl Detail Options se ction sheet (buildings with 3 or less units)
?,d.Zd?) .?....?.?..?, S S/os Date /TI \ ?J `Construction Cost 13'. lcJ
SiteAddress m? ?U Unit/Ste #
/
Description of Work ? U115?C?G,t,vs ? ? DCT( i ?QN. ?5'P
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #t ((q5 1) '! S ?R • 26 (O Lo (a
Contractor RMA HOME SERVICES, INC.
. Home Depot Installed Sales
Address 3200 Cobb Galleria Pkwy., Ste. 00 City
Atlanta, GA 30339
State 763-542-8826 _ Telephone # ( )
BC-20268257
?
COMPLETE THIS
Ene[gy Code Category
(J submission type)
ONLY IF
Ventilation Category 1 Worksheet
Energy Envelope Calculations Submitted
Have you previously
fee applies.
Licensed Plumber
Mechanical
Sewer/ W aTer,Con tractor
Telephone # (
Telephone
Telephone
N if so, 25% plan review
I hereby'apply for a Residential Building Permit and acknowledge that the info rnp#on is comnlete_ _a1Si ccurate;
that the work will be in conformance with the ordinances and codes of the City o?''agaE`n an3-the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
ap oval of plans.
0.t01?3D_6SOYI ? ?A ?nn_n(N?J
Applicant s Pnnted Name Applicant s Signature
a building in Eagan with a similar plan2
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
. 6FFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 07 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mulli
? 03. 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_YOr_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ?. 38 ,Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33!Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDOOrs
? 34-. Replacement 'Demolition (Entire 81dg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Ice & Water
Itoof Final _ Pool _ Ftgs _ AidGas Tests Final
_
_
_ Framing _ Siding _ Swcco _ Stone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
_
_ [nsulation _ Retaining Wall
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
Building Inspector
.
Installed
Siding and Windov?rs
LIMITED POWER OF ATTORNEY
Cui1NTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., D$A Home
Depot Installed Sales locate!i at 660 Mendelssohn Avenue Narth, Go?der: Val!ey, r?IN
55427, having a license number of BG 20268257, do hereby appoint, name and
constitute Elder-7ones Building Permit Service, Ina ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attomey-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary arid appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Powerof Attomey are
limited solely to the express powers delineated herein ancl apply solely to the Work.
This Limi+,ed Power of Aftotney shall expire and automaticaily be revoked on the 21st
day of May, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disabilitq, incapacity or incompetence.
IN WI`1'N_FSS WHEREQF this Limited Po«er ef Attorney is ?.:>ecirted this
21st day of May, 2003
.
David . Katz
S WORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21 st day of May, 2003.
rlotary P ic in forthe State o eorgia
My Commission Expires: January 21, 2006
396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suife 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984•0709 • Toll free (800) 79-DEPOT
?I yL`?I 2cJ 0 (v ?"? ??O
,ZA85RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. singie family dwcllings & townhomes/condos when permiu are required for each unit
Date ?,Q
Site Address Unit #
PropertyOwner ?-/ Telephonell A J -
Contractor / Q
S[ree[ Address
State [,(/ / D eko-n C-? ]`'71/ ? City
Zip v ? Telephon(AG taaf???JV ?
Bond Expires:
T6e Applicant is _ Owner ? Contractor _ Other
Add-on or alteratian to existing dwelling unit - ? ?
n D
furnace Additional Replacement ??N 2 7?006
air exchanger $ 30.00
air condi tioner _New _Replacement
other
State Surcharge $ .50
Total $
?
l hereby appty for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
6e 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 application for a permit, and work is not to start withou p mit; that the work will be in accorda Eeith the
approved lan in the case of work which requires #-'v'ew and approval of p S.
?'
Applicant's Printed Name App icant s Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
mul[i-family buildings when separate permits are no[ required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (ifapplicable) Previous Tenaot Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When insfaUing/removing underground tank, call for inspecfion by Fire Marshal and Plumbing lnspecfor
Permit Fees: $70.50 Underground tank installatioNremoval
$50.50 Minimum (includes Sta[e Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ermit fee is $1,000 or less, add $50 => $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 ep rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector
Use BLUE or BLACK Ink
~ Pe
rmit
Cily O1f Eap
1 f~'1
3830 Pllot Knob Road; I PermhFes: / • l_/!`11
Eagan MN 35122 1 I
Oats Received: t
Phaite: (6M) 675-5675 ,JUL ~ 201 1
Fax: (651) 673=5694 ~ Staff:
1
- - - - - - - - - - - - - - -
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
I
Date: f SiteAddress~s:_ 11'I'V~ (-,r Gvl/~ *V 3
Tenant v 1 X Y11%,
lr Butte
RESIDENT16WNERName: Aka'Vry~1,
Address / City /Zip: T LL
CONTRACTOR Narrie%W11ERT COMPANY INC.dba CULLIGAN ATER
Address: 1801 SOT" ST EAST City...: DrM GROVE H&1T
State' MN 55077 65.1 ".'45t-2241
Zip: Phone:
Contact BITrt'•MEt'~ Email:
TYPE OF WORK _ New X>epfatxment _ Repair _Rebuild _ Modify Space Work h),RO.W.
Descrl tlon of Work,
PERMIT TYPE RdIDENT/AL
Water Heater Water Softener
Lawn frrigalpn RPZ PVB) Add Plumbing Fixtures f Main / _ Lower Level)
• Septic System Water Tumaround
_ New
-Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Hoter, Water Softener, or Water Heater ng j Softener (Includes $5.00 State Surcharge)
$35.00.Lawn Irrigatlon (Inclddes $5.00 State Surcharge)
$35.00 Add Plumbing Fixtutes, Septic System Abandonment, Water Tumaround' (Includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 if,a 518' meter is required)
$105.00 Septic System Ne* ($10.00 per as butt) (Includes County fee and $5.00 State Surcharge)
$83.00 Fire Repair (replace burned out appliances, ductwork, eta) (Includes $5.00 State Surcharge)
TOTAL FEES S V
CALL BEFORE YOU Md. Cal Copher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 Hours before you Intend to dig b re eW locates of underground ulltles: www.ooRh2MInteonecel.ora
I hereby acknowledge that this k6 matleon Is oomplets and somrsts:,oat the wort will be In acnformanoe with the ordinances and codes of the City of
' Eagan; that 1 understand this a permit, but only *on appricitiori'for a permit, and work b not stag w-WvA a ppnnlt that the work will be In
accordanp with approved pthe case of work which requires @ .review and approval of
x bApplicant's Printed Name Appl t's•Slynatu
F.. , QF:F . USE re a
1 W-41
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164541
Date Issued:10/01/2020
Permit Category:ePermit
Site Address: 744 Mill Run Cir
Lot:8 Block: 10 Addition: Bridle Ridge 1st
PID:10-14996-10-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Patricia P Rosen
744 Mill Run Cir
Saint Paul MN 55123--168
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature