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756 Mill Run Cir Use BLUE or BLACK Ink r For Office Use City Ol nn Ea in Permit#: g- 00 EQ Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 L Staff: 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: S' 7-A01 / Site Address: ZZ2_4~/ && Tenant: Suite RESIDENT / OWNER Name: l9Z4 Phone: fir--, - Address / City / Zip: CONTRACTOR Name: License L~E3.Zo Address: City: C State: ;%g, _Zip: aa"-' qq Phone: ~L51 / ~ fZ Contact: Email: afft . TYPE OF WORK _ New replacement _ Repair - Rebuild - Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener 7~ Add Plumbing Fixtures Main / Lower Level Lawn Irrigation RPZ PVB) g ~ - ) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) 'Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goi)herstateoneGall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Dater Required Inspections: Under Ground Rough-In Air Test Gas Test Final 0;„ - .. (g.ertifir?tit uf (Orrupanry titp of (tagan ???artmmt ? lidlaing jWprtim 77ris Cernficate issued pursuant to the requiremenrs of Section 306 of the Uniform Building Code certifying that at the time of issuance this stnecture was in complrarree with !he various ordinances of the CiFy regulating building canstruction or use. For the following.• Use Clessifintioe SF DWG/G/1& 1114. PeM,;t No. ] 496U OocupancyType tZ-3/?'1-1 7.oningDistrict ?'PeCana? ?-r1 Owmrof eudding KFYr.ANn HoMES ?« ;') ;:?.r.-???;sVT LLF PttwY '.i'L;: DGE Building Addreas I.acality n.a: 22, 19$8 Hudding Officiel POST IN A CONSPICUOUS PLACE '" ?• -. . CITY OF EAGAN { r? 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 ' PHON E: 454-81 B I 00 U LDINQ•PERMIT Receipt# ? To be used-opr ? Est. Value ?-+"` Date ,19 Site Address ' ?i • .?,'; : . ? ?' OFFICE USE ONLY jj? Lot Block Sec/Sub On 5Re 5ewage Occupancy . e; MWCC System Zoning - Parcel No. On Site well (Actuaq Const a Name Citywater ' (Allowable) ' W 3 i,; ,;(y,y Address PRV Required # of Stories ° ( . City Phone Booster Pump Length Depth p Name S.F. Total , ? Q Address Footprint S.F. ? City Phone APPROVALS FEES '' ' ' ? • , u a W W ame Engr./Assess. Permit ?1[ W ? _ z Address Planner Surcharge , j . u ? W= City Phone Council Plan Review , ?" ?' gidg. Off. SAC, Ciry ? 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 Variance SAC, MWCC Water Conn r• •'•`? •`°? Minnesota Statutes and City of Eagan Ordinances. . Water Meter •' ' ti Signature of Permittee Road Unit A Building Permit is issued ta ` "t i?" ' Treatment P1 on the express cond ition that all work shal I be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL Building Official - Permit No. Permit Holder Date Telophone !t Plumbing H:v.ac. Electric •- Softener insPeccion Daes [nap. Commenta Footings I % Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final 'h Z/ I?s cert ooo. > 17 ? OS Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMIT # ; ,,?,??-7; .•,?.. ;" • ' ' ' ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 38 30 PI LOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: •? PHONE: 454-8100 Site Address 5 f? ' i f r, ? N t' a C+ BLDG. TYPE WORK DESCRIPTION Lot ? Block,• t Sec/Sub ? Res.! NeW ? ? .(? Mult, Add-on - Name ? Q ? t / "NG 4 1 :` Comm. Repair Fa Addras5 1 , . .. c City b' n+' LA Phone 7 "9 11 Other ? c Name K=' ? j !i 4?-?.f .`"? r?•K.? .' ? ?? ! FEES RES. HVAC 0-100 M BTU -$24.00 " 1 Addres¢ ? ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW p City Phone CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PEkNll 1 50 EA TYPE OF WORK ( - . n - . COMM CT FEE IND FE % OF C ? / E - 1 ONTRA Forced Air M BTU APT. BLDGS. - CaMM. RATE APPLIES Boil T TOWNHQUSE & CONDOS - RES. RATE APPUES er Unit Heater M B U M BTU MtNIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12 00 Air Cond. M BTU $ . MINIMUM COMMERCIAL FEE - 20.00 Vent CFM ? STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C 4F PERM1111T PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: ^ r S/C: SIGNATURE OF PERMITTEE . TOTAL: ? FOR: CITY OF EAGAN ? _.:. _ - . ? .. .... . ., . _, .. .- • ,_. ... .._ _. _ s _ _ _.. . - Cities itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ? . . • ? • . PERMIT # ? PLUMBING PERMIT RECEIPT It ' " CITY OF EAGAN . 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ? Name ?c Address c City Phone Name 3 Address p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES SIGNATURE OF CITY OF EAGAN BLDG. TY PE WORK DESCRIPTION ` Res. ?- New = "ti Mult Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FU(TURES TOTAL I ) -Water Closet - $3.00 S I_Bath Tubs - $3.00 Lavatory - 53.00 ? Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 1 Laundry Tray - $3.00 ?Floor Drains - $1.50 ?Water Heater - S 1.50 Whiripool - $3.00 1 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - S10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL• ?.,?• ???f ?c/ ?I9 ?I ao PERMIT # Ijl? tP??• `?I9I ?1 ?I? MECHANICAL PERMIT CITY OF EAGAN RECEIPT #7`' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE f,??,j r r PHONE: 454-8100 Site Address 7? 6 Lot ' ? - 81ock Se? S ? Name 2;?',? ? Address c City ?Phone Name %-'> c Address p City '''1;f??• v Phone BLDG.TYPE Res. . Mult Comm. Other WORK DESCRIPTION New Add-on ` Repair TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other M BTU M BTU M BTU ? M BTU FEE S/C: TOTAL: FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION - 6.00 ) GAS OUTLETS (MINIMUM - 1 PER PEHMI'n - 1.50 EA. COMM/IND FEE - 1°r6 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 DCTVIVU.?I,UVVJ SIGNATURE OF R6MITTEE ? FOR: CITY OF EAGAN 4Af a? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS. 1. R. : L R i ??r ?,? ,+ 1 1 IiUW`r' ! I ??s: i??? c r i???,? i•.,? PERMIT SUBTYPE: to i tjt, ??,r, , ? ?? ? ? APPLICANT: ?t rtlurl : ? ? TYPE OF WORK: ? : ? Permlt No. Permk Holder Date Talophona # ELECTRIC PLUMBING HVAC Inspwdon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFlNG ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARO FIREPLACE FIREPLACE AIR TEST FINAL PLBCi FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTO DECK FlNAL / ??; ? CITY OF EAGAN 3830 Pilot Knob Road P.O. Boz 21199 Eaqan, MN 55121 Site Permit No: )62 J, Meter No: U 5-7 0 74 Reader No: Date: Size: s Date: Conn. Chg: 550• 40Dd Zoning: _ Acct Dep: 15. COpc: No. ot Units: Permit Fee: ' .' , ? nn''' R1 Surchar e: •'E' j'` I a ree to com g y ply wlth tho City ol Eagan Tr. Ptant -"` • 00rA OrdMances. Meter. F ` ,.ii;, 4? ?- Misc.: By WATER SERVICE PER ITY OF`fAGAN Permit No: 10770 Date: 6WPilot Knob Road B/P No: ?(P L' Date: .o. Box 21199 aaan. MN 55121 i Reyland Homes MWCC: 550.00pd Ciry Chg: IF) : p Wpd Acct Dep: Soprd Permit Fee: Surcharge: R1 No. of Units: 1 agree to comply with the Gty of Eagan Ordinances. By SEWER SERVICE PERMIT .? ',' CITY OF EAGAN rJo 14 9 6 0 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55127 BUILDING-PERMIT PHONE: 454-8100 Receipt # 13 To be used for SF DWG/GAR Est. Value $85,000 Date MAY 6 ,19 S$ Site Address 756 MILL RUN CIR OFFICE USE ONLY BRIDLE RIDGE Lot 11 Block 10 SeclSub On Site Sewage _ Occupancy x-3 M-1 . MWCC System X Zaning PD R-1 Parcel No. V-N On Site Well _ (Actuap Gonat a Name KEYLAND HOMES CiN Warer X (Allowa6le) V-N w z Address 14450 BGRNSVILLE PKWY PRV Required _ #af Stories 3 ° City BURNSVILLE phone 894-2636 Boosler Pump Length - 50' oeotn 481 o Name SnME S.F. Total , o Q Address Foo[print S.F U ¢ City Phone APPROVALS FEES Engr./ASSess. Permit 514.00 w w Name ? W Planner SUrCharge +?.50 i? Address - Council PlanReview 257.00 aw City Phone BIdg.Off. SAQCity ---L0a-40 I hereby acknowled9e that I have read ihis application and state that the Variance SAQ MWCC 5 SO_ 00 information is correct and agree t omply with all applicable State of Water Conn. _550-,_QD MinnesotaStatutesandCiryofE Ordi nces ` Water Meter 67 _ M Signatureof Permittee ?, ? Road Unit 325.0 O A Building Permit is issued to: KEYLAIID HOME$ Trealment P1 204.00 on ihe express cond ition that all work shal I be done i n accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ortlinances. z 609__50 ? f BuildingOtficialAmr, ? ? TOTAL ' /• REQUEST FOR ELECTRICAL INSPECTION es-oooai-os ' See instructiona tar completing this iorm on back o/ vallow coFK ??CL,31 0„- "-C318 4$ "X' Be/ow Work Covered by This Request New Hna eao. Tvea m euneine APpliancee wi.ae Equipman[ Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building ?ryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial BId9. Air Conditioner Bulk Milk Tank Farm omr, oec, y 01n, tso,,ty1 1 e Vea Y Other Othi;? Compute Inspection Fee Below p Fee ServiceEnhenceSize H iea Fexdars/SUbieeders N Fea Circuits Z,pO 0 to 200 qm 5 0 to 30 Am 5 a 3v 0 0 m 30 Am s Above 200 qmps 31 to 100 Amps / $,op 31 to 100 A y Swimming Pool Abave 100-Am s Above 100-Amps Transformers rrigation Booms ?SO Pertial'Other Fee Signs Speciallnspection S TOT Pema.ks 1{? S•V ;EE _ 7 _ ..?,? Rough-in i, the lechioal ? /? ?o Inspecto , eby i " Darr er[ify that the abova / F nal l / inspection bas been meda. mis raCUest voitl 18 months irom ? 8 9997 RequeN Date Fire No. Rough-in Inspacti Requiretl? ? Refldy Nmv xl Will Notiy Inspector 5 5 89 ?Yas KNo WhenReatly? I Q licensed contractor ? owner hereby request inspection of above electrical work at: .bb Atldress (Sfreet, box or Rome NoJ Ciry 756 Mill Run Circle Ea an SBCtion No. r? Tovms?Ip Name or No. ? Range No. County Dakota Occupent(PRINT) Phone W. Keith Davidson 456-0055 Power Supplier Address Electrical Contractor (COmpeny Neme) Contraclors License No. Hilite Electric, Inc 040445 Meiling AOtlress (Cont2clororOwirer AAaking Instellation) 195 Shawnee Rd, Ea an, MN 55122 Auliro' ig eWre (CqMra w Mak' InstallaGOnJ PhOne Number 452-8886 MIN 5 A ECTPICRY THIS INSPECTION REOUEST WILL NOT Gdpge-Nidway BWg. - Room S173 BE ACCEPTED BV THE STATE BOARO 1821 Unlv¢rsiry Avo., SL Paul, MN 551D6 UNLESS PROPER INSPECTION iEE IS Phona (612) 642-0900 ENCLOSED. REQUES'f FDR ILECTRICAL INSPECTION e13-00001a7 ? See insimctions for complating ihis form on back of yellow copy. ? 89997 "X" Below Work Covered by This Request e Add Rep. TypeotBuiNing AppliancesWired EquipmenlWired Home Range Temporary Service Duplex - Water Heater Electric Heating Apt. Building Dryer bther (Specity) Comm./Industrial Furnace Fattn ' g Air Conditioner plher (specify) Contraclork Remarks: Compute Inspection Fee Below: JOb # 20529 # Other Fee # ServiceEniranceSize Fee # Clrcuits/Faedere Fee Swimming Pool 0 to 200 Amps o to 100 Amps 00 Transformers Above 200 _ Amps Above-700 _ Amps Signs Inepector§USaOnly: TOTAL Inigationeooms 15.50 Special Inspection Alarm/Communication Other Fee I, tbe Electrical Inspector, hereby RWgh-In oace certify that the a6ove inspection has been made. Final f oai n?. OFPICE USE ONW ? This request witl 18 montlhs irom This rupuest void flq' 18 months from $1848 / alo z.'? L Penuest Uate Fi e No. Ro Ph-' i Insp cuon S' ? ? ` ? Require? ? ? ?Aeady Now 2?rI I Notily, Inspec- es No ?a Wh¢n Feadv &efcensed Elecvical Contrac[or 1 hereby repaest insoection of ebove ? Owner elactrical work installed at: Slreet AdJress, Bos or Houte No. ChY SCG ?tsJ //? C:aG 7 C/4?if/N ecvon o. Township Name or No. Range No. Counry ZDIi W/ Occupunt(PRINT) Phone Ne. e r? Fs Power Sup lier Atltlress / d SsoC., A ;,?? d Ao?,L Elecnical Con[ractnr ICompany Namel Conuer.mr's License No. Mailine AdJress IConVa or or Owner Makinp I st211ationl /o Lt) ! S?n 9- ?el'ie- UALLc M,J ?S/2 AuMoriz Sig^ature IContractor/ wner M ing Installatinnl Phone Number 5?3/ - 73 7? MINNESOTA STATE eOAll6OF EIECTNICITY THIS INSPECTION NEQUEST WILL NOT Grigpa-Midway BIdB• - poom N•191 gE ACCEPTEO BV THE STATE BOAHD 1821 Universilv Ave.. 5t. Peul. MN 55704 UNIESS PPDPEF INSPECTION FEE IS ow...,e raigi Faafwon ENCIOSED. S01(0(c? RESIDENTIAL BUII.DING ? Permit AppGcation City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 NewConsWcfionReauiremenLS RemodelReoairReouirements Office USeadv 3 registered site surveys shaving sq, fl ol l04 sq. fl. of house; and II raofed areas 2 copies of plan _ Cert of Survey ReW (20% marimum lol coverege allowed) 1 set of Energy Calwtatbns for heated additions Tree Pres Plen Recd 2 copies of plan showing beam 8 wiMOw sizes; poured found design, etc. 1 sfle survey for addi0ons 8 decks _ Trea Pres Not Reqd lsetofEneqyCalculations Add'tion-iMicafeHon-sifesepticsystem _On-s(teSep6cSystem 3 oopies of Tree Preservation Plan if lot platlad afler 711/93 Rim Joist Delail Options selection sheet (bldgs with 3 or less units Date S Site Address '?l 5LD M ? i 1 ft?.Y? Construction Cost 1?''J' oc-?, . C7c-,5 C' ? r Cl e UnidSte # Description of Nork Multi-Faroily Bldg _ Y_ N Ftireplace(s) _ 0_ 1 _ 2 Property Owner ?c?eQy-? `ae g ? V-- Telephone # ( ) Contractor -7-,E\ c,hQ f-,i Address QQ cl, n L P-cig 0 State n'lf, h 1 v cl City J-? }} 1 C' afl C'1'a- Zip yv-j t 1-1 Telephone # ( ) q %4 I 4 Lnl.o COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 . Residential Ventilatlon Category 1 Worksheet (J submission type) SuCmitted • Energy Envelope Calculatlons Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted •;,? C?'?,??, Telephone#( ?nnz Telephone #( Telephone # ( I here6y apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 03 Ot of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 MuIG Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair ? 33 Atteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Oamolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Au/Gas Tests Final _ Framing _ _ _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ 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 PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits aze required for each unit Date Site Address ??j / ,?Y) L Q,Q???y? ? ? ? Unit # Property Owner Telephone # ( ) Contractor -Sn?j7 LY) C _ Address (St (? nP //1 v` ?) ? ('1 ) ? n City ? f C1?,?1' ? C (C'J State U vL V\? Zip .'2-y?? ? Telephone #(?(?) '??? Th A li t i O ? C Oth e pp can s _ wner onhactor er _ Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Indudes County fee. Additional consultant fees may apply. Alteradons To Existing Dwelling IInit, Including $ 50.00 ? Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation systam _ Water softener _ Water heater 15 00 . _ replacement _ additional J I III r?l???i 22 nC` i State Surcharge $ .50 Total ? S?•S?`1 -? I hereby apply for a Residen6al Pluxnhing Pernut and aclmowledge that the informarion is wmplete and accurate; that the work will be in conformauce with ffie ordinances and codes of the City of Eagan and with the Plumbing C es; tUat I understand this is not a permit, but only an application for a pemrit, and work is not to start without a permit; th th or Il be in acwrdance with the approved plan in the case of work wluch requires a review and approval of plans. rjJ Applicant's Printed Name in qoW 5? I ? t RESIDENTIAL BUILDING Permit Application City OFEagan 3830 Pilot Knob Road, Eagan Mn 55122 . Telep6one # 651-675-5675 FAX # 651-675-5694 New ConsWCtion ReouiremrenLS RemodeVReaair Reauiremenls Office Use OnN 3 registered sBe surveys showirg sq. fl af lat, sq. ft of house; and all roofed areas 2 copies ot plan Cert of Survey Recd (20% muimum bt coverage allowed) 1 set of Energy CalalaGons for heated additions Tree Pres Plan Recd 2 copies of plen shawug heam F, window sixes; pcwred found design, etc. 1 site survey for addiUons & decks Tree Pres Not Reqd 1 set of Energy Calculafions Addifwn - indicete d on-sde septic sysfem _ On-s@e SeDtic System 3 copies of Tree Preservafion Plan if lot pWtted aRer 711/93 Rim Joist Detail Options selepion sheet (hldgs with 3 or less unils ?S Date -1--/ 7 SiteAddress 7 5? 1N}LL Construction Cost CI 2c-i?? / UniUSte # Description of Work 6,0?>D\T\UN Multi-Family Bldg _ Y ?N Fireplace(s) ? 0 _ 1 _ 2 `_ PropertyOwner J? 4G-c?t-j bs` Telephone #?) Contractor 1t)?J Address 1b?? State VApj M\`4? ??. c Zip City 5????RCE Telep6ane #a S Z) 4j9 ra - ?`j COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Energy CodB C2tegory • Residential Vendlatlon Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted SuBmitted • Enerav Envelooe-Calculatio Su6mitted Licensed Plumber Mechanical Contractor Telephone # ( Telephone #( Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Pernut and acknowledge that the infortnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Stattztes; I understand tttis 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 ofplans. ApplicanYs Printed Name L ? A licanYs Signature i OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) d 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 04 02-plex p 10 08-plex ? 18 Deck 23 Porch (screenlgazebo) ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Misce(laneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 ? 34 Replacement `pemoittlon (EnNre Bldg) - Give PCA handout !o appllwni 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 Canst ? i Width Q, co _ Footings (new bldg) Faotings (deck) 7 Footings(addition) ? Foundation Drain Tile - Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Y Insulation _. , ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing _ HVAC Other _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Siding Stucco Stane _ Windows (new/replacement) _ Retaining Wall Approved By? Z , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total ? ?orl'-4-0? 3 1ol- x ev!K \ 04/-0512009 21:28 FA3 952 489 4821 C H CARPEnTER LUMBER CO + LA[{SWOOD u901 Permit Numbcr REScheck Compliance CtrEificate 1995 MEC REScheck9oftware Veesian 3.5 Rekaae la Aata 5lenamc: LhitiUed.rck CITY: Eagan STATE: Msswmas EIDb: 7981 CONSTRtICTlON TYPE: Single Family DATE: 04106103 PAOlECT AYFDRMATTON: PE9IK 756 MILLItUN CIIiC. COMPANY INFORMATCON: Y AfCFWOOACON5T. COMPLiANCE: Pavses Maxffiiun UA = 92 Yau }ioma UA = 63 31.5% 9dter nan Code (UA) Cailing I: Flat Ceiling or Scissor Truss Wall 1: Wood Frawe, 16" u.c. Baaemwrt Wall 1: Masaary Block with Empty Cells Wall height: 37 Dept6 belaw gnde: 33 Insulatim depth_ 3.T Windaw 1: Waod Fimne:Dwble Pane with t„ow-F, Fumace 1: Faacad FId Air, 78 APUE AIr CondiNoner 1: EteoWc Cm[rai air, 10 SEER chockea symac0 Cross Glaziag prea vr Cavity Cart. or [Mor Parimder R Value R Value U-Fecta UA 312 38.0 30.0 5 650 19_0 1 l.0 24 175 31.Q 0.0 13 66 0.320 21 COMPLIkNCE STA1'EMENT: The proposad 6uilding design describad here iv consisteot with the bnildiug plaas, speci5cations, and other calailstione submittad with the parmit appHcation. The prapased building has 6em designed to meat the 1995 MEC racryiremenis in REScheckVers[on 3.S Release la (famerly [v1ECcheco md to comply with tlte maudatwy xaquiraneoty listed 'm ihe RBScluckln.spectioa Chedclisc / Bui1d?/?esigna e??{ ?? Date L? 7' 0 Cities Diizital Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ( v, ry I Q ar I 1W w ? W MILL RUN Bv.? ?? S ao. N O \ a. N 40 o; ? d?? nl ??_¢ ? ? 1 n a I ? f1'a?,oj , • i'Ig , 10 41.3U 20.0 •I h to/ o ? 13.C ? W ? 6AR. N N ? ? ti a I (you,oj ? 2.0 f7 1'1 1 / 30.0 N 1 b N o ? v ' 6 ?e i rv PROPOSED -HOUSE ri C T qoo, e q - Sft 0 Pe ? opo D N y AporT?o..+ - V 26 LO M ? M ? w ? 10 CZEtwo?E D1_c0. ORAfNACE A UTIUlY fA5£MENT PE/f PLAT'S,, 1 t 8 ?? O I 99.94 S66°12'72717 _- W W 0 FV' 0 ? Z if) i i 5) r1 ? J 1 i 1 l/ I ? J \l lJ j L _'_ 1 40 I _I. + DENOTES PROPOSEU SUnFACE DRARJAGE O UENOTES IRON MONUMENT SET SCALE: I INCIi - 30 f[Fl' • DENOTES IRON MONUMEN7 FOUND PROPOSED GARAGE FLOOf{ - 900.3 fEFI' X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOUR - 6975 f-EET (ODU.O) OENOTES PRQPOSED ELEVATION PROPOSED TOP OP flLOCIt - 900.7 FEET WE hIEl1E[3Y CERTIFY'f0 SIENNA CURPORATION THAT THIS IS A 1RUE AND CUf1f1EC1 ' fiEPRESENTATION OF A SURV[Y OF THE BOUNDARIES OF: Lot il, Block 10, BRIDLE RIUGE I ST AUDITION, occording to fhe reconled plaf thereo(, Dakola Cvunry, Minnesota. IT DOES NOf PURPORT TO SFIOW IMPf10VEMFNfS UR ENCROACFIMENTS, EXCEPI AS SI IOWN. AS SURVEYCiD f3Y ME OR UNOER MY UIR[Cl' SUPERVISIUN TI-IIS 21 sr DAY OF Jh0un2-k , 1988. IIPPROV[0 FOll SICPINA SIGNED: JAI?AES?A ItL,INC. CORPORIIT I OM L/ --ev: . aayv uY :- _ FI/1ROLD C. PETERSON, LANIJ SUfiVEYOII nnr?u? MINNGSUfn LICGNS6 NUM6Eli 12294 = o D i-! ??? 3 RESIDENTIAL ~ L4 `9 gUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-881-4675 New Construction Reauiremants • 3 registered sile surveys stwwing sq. ft. of lot sq. fl. of house; arid all roofed areas (20% maximum lol coverage allowed) • 2 copies of plan showing beem 8 rrindow slzes; poured found design, elc.) • 1 set af Energy Calculatiom • 3 copies of Tree Preservation Plan rf lot platted after 711/93 • Rim Joist Detail Options selection sheet (hldgs wifh 3 or less unik) DATE 5/i5 I oz RemodeOReoair Reauiremenls . 2 copies of plan • 1 set of Energy Calculations for healed additions • 1 site survey for exterior additions 8 decks • Indrcate If home served by uptlc syslem foradditions VALUATION l p1540 00 SITEADDRESS ?5? mtll 1hur1 e.trCle. MULTI-FAMILYBLDG_Y _N TYPE OF WORK T? I FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ?QCherlv irtoo-P?r1Q STREETADDRESS4q g cIrvLL4leCe,n STATEtYIfIZIP?1I?" TELEPHONE # 44?4 14lpLo CELL PHONE # FAX # PROPERTYOWNER Tlec;?5ti V-? TELEPHONE# 45A 024?j COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATE(30RY l MINNESOTA RL7LES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: ___ Plumbing system includes: Mechanical Contractor. Mechanical sysfem includcs: Sewer/Water Contractor. Air Conditioning Heat Recovery System _ Phone # L,acvn Sprinkler No. of R.I. Baths Phone # --------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Orc Signature of Fee: $90.00 Fee: $70.00 1UTAY- ?-7 ?9?- -------------- ?n is correct, and grpe to comply OFFICE USE ONLY WaCer Softener _ Watcr Heater No. of 13aths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY a ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - 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 (screened) ? 36 Multi ? 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 ? 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 appllcant 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ p]unibing _ 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 MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector r,- CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BWILoiNG PermitNumber: . 025980 Date Issued: 0 7/ 0 7/ 9 5 SITE ADDRESS: P.I.N.: 10-14996-110-10 PERMIT 6K4?104 756 MILL Rl1N CIR LOT: 11 BLOCK: 10 6RIOLE RIOGE 1ST DESCRIPTION: Wj13i1i°rF&,Permit Type DECK .??41ildi`ttg 4b?rk Type NEW =k?: ?a , ' -??"acpgs -SB m`k "3 'arT.H- 3 aki64Yi'? *?+? ?' K C A ?y nn ? ? r? { J'f 4% ?i P $Y uq ?Ap 4k m ''Y'4a""ti ? ? a4,??gP,?p}i.Z ?v `SJ ? ^LF?i,? Y ? REMARKS FEE SUMMARY: Base Fse $30.00 Surcharge $.58 Total Fee $30.50 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 0940 1995 BUILDING PERMIT APPLICATtON (RESIDENTIAL) 681-4675 New ConsWCtion Reaufrements RemodeVReQeir Reauirements ? 3 regfstered MOe wrveys ? 2 topies of Plan ? 2 wpies of plana (indude 6eam 6 window s¢es; poured fid. tlesign; etc.) ? 2 aite surveys (exterior addlGons 8 decks) ? 7 srrorgy celeuletions ? 1 energy calwlatlons for heated addttions A 3 oopies of trea Dmervelioe Dlan H lot plaked aRer 7/1193 tequfred: Yes No DATE: 7 4J?QS CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: _7 - (?o M I LL PL)-A Ct E_ LOT I I BLOCK 10 SUBD./P.I.D. #: AZId'Old PROPERTY Name: P?o-r>45(A i6E-tTH Phone #: OWNER `]J?? ? I C.?.. ?61J7J ?.?1 ?. Street Address- City: EPtif1'?Q State: M N Zip: 5_S )Z 3 CONTRACTOR Company: Phone #: Street Address: License #: City: State: ARCHI7ECTl Company: ENGINEER Name: Zip• Phone #- Registration #• Street Address• City: Sewer & water licensed plumber. change are requested once pertnit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the iMormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applipnt: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No JUL p 5 1995 Tree Preservation Plan Received Yes No BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex n 02 SF Dwelling o 07 4-plex 0 03 SF Addition o 08 8-plex 0 04 SF Porch o 09 12-plex 0 05 SF Misc. a 10 = plex WORK TYPE -fFI-3t New 0 32 Addition 0 33 Altera@ons 0 34 Repair GENERAL INFORMATION Const. (Actuai) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS OFFICE USE ONLY 0 11 Apt./Lodging ? 0 12 Multi RepaidRem. o 0 13 Garage/Acoessory o 0 14 Fireplace o ,,;x'-45 Deck 0 36 Move 0 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Pianning Building Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Engineering Valuation: $ . ?. ? _. -~? 1 .. . . • < n. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit / z°a - Variance 4/-3 ? 1L % SAC SAC Units N • Y ? , ?'_ 1 (13 1 b rt?. _ MILL v, N RUN CIRCLE YI N S 86°121S2"E -?_ (898•v) : 0 11 Q 40 ? 0 m ? o "' a !` ? O (jo' 0) ? , I 1 ? t.. 41.3U ? 20.0 - - , _ to / T i5.oo , w ? o G A R, N ? - I W " 2.0/ N ?YUJA? I O M I 30.0 ? e 'Ol 'n . a a ? ? nr PRDPOSEO -HOUSE N a?i Z O 40.15 -. ' 4e.0 / ? ? w ' •n •- d U- .. I tl. )0 . ' t D Z a T qoo?e) 9ao.o) I a w iy' pEeK- r; ? LO II W m ? y oRnrnACE a uriurr m 10 ? 6ASEMENT' PER PLAT'S? 5 O / 99.94 S86°1216211 E r 1 .i , i- - i\ ?. J I -. J 40 I ??-?- _. I %! l/ 1 L_\/ J. ? DENOTES PRdPOSED SURFACE pRAINAOE - O VENOTES IRON MONUMENT SE7 SCALE: 1 INCH - 30 rFFT • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOII - 900.3 FEFI' X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FIOUR - 8975 fEET (UUU.O) DENOTES PRQAOSEU ELEVAT{ON PROPOSED TOP OF tlLOC1C - 900.7 FEE'T WE I IEREBY CEIiTIFY'CO SIENNA CORPURATION THAT THIS IS A 1 RUE AND CURRL"C f ' REPRESENTA710N OF A SURV[Y OF THE E30UNDARIES OF: Lof N, Block 10, BRIDLE RIUGE I ST AUDITION, uccording lo Ihe recorded plaf.IhereoL Dakola Counfy, Mimiesofa. IT DO[5 NOT PURPOR'f TO SFIOW IMPIIOVEMENTS OR ENCROACFIMENTS, EXCEPI AS SI IOWN. AS SURVEYCcU E3Y ME OR UNpCR MY DIftCCI' SUPERVISIUN 7FII5 21 sr DAY OF Publun2-t , 1989. IIPPROV[D POR SIL•P1NA SIGNED: JA?y1E$?fi .(tiL, INC. CORPORIIT f ON L/ BY; •l,l?-!?? l-- . _L2GYt7-- l3Y t _ FIAROl.O C. PETERSON, LAND SUnVEYOfi nn rc), MINNESUTA LICENSC NUM8El7 11294 - - 1 __ W.., ?IIIII ?G ?I . . 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ? ?4 q ?0 SINGLE FAMILY DWELLING3 INCLUDE 2 SETS OF PLANS, 3 OF SURVEY, 7 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOT3 - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PEAMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 8 OF UNITS INCLQDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.p 1 SET OF ENERGY CALCULATIONS COP4fERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS, t SET OF SPECIFICARIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used aluation? ° Date: Site Address , (?•aA OFFICE USE ONLY 85ODD, Lot ? Block On site sewage_ Oecupancy MvlCC system Zoning PD. R-I Parcel/Sub On site well Actual Const V-N City water ,/ Allowable v- N Owner PRV required li of stories , ooster Pump Length ,So : oa Address / 5??_?v ? ?e1lXJ (1?? Depth yB y° S.F. Total City/Zip Code, Footprint S.F . Phone ??z - APPROVALS Contractor Ehgr/Assess Address City/Zip Code Phone Arch./ Addres City/Z Phone Planner Council Bldg. Off. Variance FEES °O Permit 5)(4, Sureharge (47. SJ Plan Review Z Sr1, o0 ?5(o SAC, City DOiO SAC, MWCC 50,00 Water Conn 5m Water Meter 67,4)0 Road Unit 25, 00 Treatment Pl 2oy.oa Parks Copies TOTAL G VAL uAT) or` CrARAGE v-\ _ Zo x 22 -._ Ll L-1 oy / t-I = G 16 a ? ASE n1 z? !2u K xi3 - y I-I a uSE ? T 1248 IK rl v / , ?t ?268 X4q ? 4 21307- 8 LI SI G $UFdVEYOR'S CERTIFICATE SIENNA COF?PORATION REVISED 4-I8-88 TO SFIOW PROPOSED HOVSE 0Y KEYLANO HOMES 11 _ MILL RUN ? N .? Q 40 0 ir ?W Z w ? w 105., . , o ? N N oa N (? a n - -41.30 '.' O I r a f? a m N W o v 0 .„ - a ? M M ? 99.94 S86° S W OD 0 ? tl' 0 1n r1 ?l t?: cD O M i? I I ?J I .? J I ? i3y( 1 ao tAcArr Eracira :??'?;?rjc + DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEEI' • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 900.3 FEEI' X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 8975 FEET (OOU.O) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 900.7 FEET WE HEREdY CERTIPY'f0 SIENNA CURPURATION THAT THIS IS A TRUE AND CURI9ECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot II, 61ock 10, BRIDLE RfDGE I ST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SFIOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SNOWN. AS SURVEY[D BY ME OR UNDER MY DIRCCT SUPERVISION 7HIS 2I sr DAY OF ?nnJuA2?? , 198a. IIPPROUEO fDR SIENNII SIGNED: JA E`? INC. CORPORA,7(0^; 8Y: ?'" ""??? BY : HAROLD C. PETERSON, LAND SURVEYOR nnrrnt MINNE501'A LICENSE NUMBER 12294 O i ro J W ?o m r?r 71 -n W 7 v p O 7J rn ? Q ' ? V ? - f ? l T * ? 0 2 i'*I O W 2 'U O 7 ffl • Z ? 7 ? - m j W O m t-yoo, cJ LOT II 10 ORAlNAGE A VT74TY fASEMEN7' PER PLAr ?i O I . James R. Hi , inc. PLANNERS / ENGINEERS / SURVCYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 5G431 • 612-864-3029 0 g 8) CIRCLE - - N 12'52"E _. (84a.v) o ti, ---?_" 1 -- ? o O 5 ? 20.0 - - - - - T 15, i 0 ? GqR. N I 22.00 ? 30.0 i N N PROPOSED HOUSE vi i / / / i" EXTERIOR ENYELOPf.'AVfRAIY "II" r.nru'iiTllfT(?N ? ., ? ::?OWNER: r)nn : . $ITE ADDRESS:?,?,trr PIIOME: CONTRACTOR: ????Gr?d, J?mPt ?a?E'"? 1??AT>ud ? ;. Determine workiny ,quarc footage oF each ' 1. Totat exposed wall area..... .97y'?------.s??. -:: 2. Total roof/ceiliny area.....sy. ft., x:t)26 =^ c.?r Total exposed wall area abnve floor= oT,) a.. Total wall window area ........................................... ' b. Total door area.................................................. e. Total slidin9 glass door Area .................................... d. Total firepiace wall area.......................... .............. ---- e. Total wall framing area (average lUn) ...............>............ 7 f. Total rim joist area.. ........................................ /BO 9•,Pxienet wall area above floor ............. ......... ..:............ _2? h. ?EY wa44 area a?ue .. .... ... ... i . 1JF'7-ws44 a rea abnve f 10o r . . .L'?:c:t.al. . . . . . . . . . : . .'_,• : 7, ?, ' ? j. frame wall area at founckitiou ................................... - Tutal exposed foundatiun arca=__??____. k. Total foundation window area ....................... --- ---- ----- 1. Total net foundation area above grade .............. Determine "u" value of each wall segment (e.g. window, door, each sepirate wall sectipn) a .?--?- x If U.,.._ b. 3ci ` x ilut, c. u a g ??U„....-=-?9--= d. - X ?fu„ e. eP7,y.7 _ X ??u " -__Q3?5' f. iAO x llu„ _?- g. ;;k_3 X 1. U.._ 49137 h. SI ?l.R X hull_ -?-`??- 1. XR.U.,_ , o-z = c-l: OCL_ x 11 U., ? ' - ---- ----- r.. x „u„ ? ? •? ~?? ___. X "U^_._?__'__ 3 . .................................Total _.. ?..? _... .. . _ ? --- -- • .. _..._ .....-:._.-,....v:_,?....._. __.,.?__.__......? 1. If item 03 is the same`?', as, or less than item.-W kl, you have met the intent of SBC 6006 (02 ?.•:::a -:s 'Fxtnrior Gnvelope Average "U" Computation, Paqe 2 of 4 ? Total expoaed roof/ceiling area = l?;lyf?2> `.m. 4Uta1 skyliyht area ....................... .... -- n. Total roof/ceiling framing area (avcraqe 10%)... iau.H o. Total net insulated roof/ceiling nrea........... /I:]3,a Determine "ll" value for each roof/ceiling segment M. % "U" _ .. n. ?.a4.F3 X nUu Op o. i /a3..;Z X „v„ Nco , 9 . ... . . . . . . . . . . . . . . . . . . .. . . . Th,-.ai y lo If total of #9 is the same as, or less t:han A2, you have met the int-ent of SHC 6006 (c) 1. Alternate Buildinq Enve].ope Desi n 7b utilize the total envelope systezn method, the values established by the sam of items A3 and #4 shall not be qreater than the sum of items #1 and #2. 1 17 + 2. C;, = 33 `1. i;^.%; 3. L17 + 4. rJ.°>r ?l(n = ' ?J %•?7_=3 , 3 a? , C r, R •') PLAU # ? LimE4 L FY, .Ex.posEb W,4 LL , , \N o VULL( ? aco+a+a+???+acP-,-??r8-+ato+?-+•?_,?? ';; rr V lr l. 2.. ;' ; ?l R.Et?LAGE ; ' ?;+ TZIM: ??o ? Scz . P-r, Fx.j?>aseD wA L(.... AR..EA ?3Loc.K.', ?a ? K S = ? r , (C.i.l EE ' loy SC , 5 , - vu.o . ; --- x ?:v L L }C, g - FuLLZi 1 1 PI ? ....._._ ? -- - r • ? R.1 M : ??? )C ? : %4? , CRAWI- SPACE -?ax acQ 57? T'o-tA L = a7ti7 /af48 ¦'SQ,Ft , EKPOSE.D GEI Lf UC{ N w DxrS t 1111 a?l3co SLD (oa) Ub IgCoO t7.S) ISr ? ';?4(zo la ? a43to ec .;e,`1VL i SL.I) (r4&'7) -?9•3q 1 -8`18 5LQ 18.6o7 1 ?03(o S llf aoCno C833? a2`1,9?7 r , PX !n p, ? I ? o??X e?L 3<?. ? ?AT'IO DRS ! (v°X(? ? t{ol ? F35M4 U Ui+5 L] ? ?g € ;?.. .k,; ' ,•. ?' rrnt.r, .rr,?;aN, 'tiPI:} U:c ?.yqof v.proriun Nall nrea [or framc cumaructlu n ----?---?? ? S IC -'"' • : . i :AI.L FIG. R1 1'Gl'VTE1,I OF . . . FltAtt? IVAf.i, . . _.?i? . FIG. 92 - ---- '?' :i cAtfA -al ? _?}? r?;';;;???:.•. f n a b? y ?? ??i • ?? 'o: •17. ?. r I : y?;=?.`. ?, •? ? II)?R ? - trr?,( . ? . •d' ? II u ? .? -- . _- ?„ i?i ? : ' , • . . J ??r . .? , • ??? ? Ftc. 04 !!i ? s? • :> = "M ;. C. 13 y.. ?d ' rG(//?.` ?i?'? 'lIf ? . ._ enr pl.icr.natit of in;ulatinn. ? , . / t "i• ; irq , C[i ic: l CUtt:'. Ii..Yal,l.: __.. Y l - ? _ I?1?P?}?,?i --. . . ?• ?? in?:he5 ;_?(?r ' .:.`. -'-- „ .?. ........'- -....?-{??s 4 . J 44'"C. . _ ?1L?rl?ITE . QO . ...._... . . .. (? ? • ?ra1?b . _... _. . .. .. --- . . _. r4Z 6. Yr.lcrii,r n1r [ilm ......_`._U.17 . .. -•-"_ ----...... ..... . ..__._.. . fot,,l Rs ?'?.53 I Al?l. . ?. inCrrlnr air,lllin . -- - .. - 0.611 . .... _ _. _.. _........ ... .. `__ .. . . _. -1-,- . . ... J. .- --- .. 4 . ?IH?J116 A ?E - -- - ---- -- - f ?.O o 5. ? v,oT b...: - - - -- t. - ? ----.- . .__ .. 6. 1. `] t rior nir fihn 1.Gn tC?----? . 3. a. _ aur.L..Z?Ctc_?..... ... --- ----- s. .-- - ----?-. ._?4z 6. }:xCr,rior nir film_ _ O.J.7 :±- ?---C? --------0 -----"--'-? .?__.__..._?...{? L?TnoC = •. _?,/??. . BtrK • ' 1. (ntcri?ic__?1.r fi1?'i-•--------'--....._,P.6f1 ? . •'_-'-._ _.__..__ . . . _ ._..._ __ _ _ ....__.- `---..... ?. _...LZ_".._SaN.G..._gGl?............:..._L.2.H n. ............ ...._.._-- 5. - ------- - -------------°-----' ---- -- _._- .._..;i,oUl. R,c 2.?3 UL .4? st,ntl ori cRnnL te r / ?n : Uar 15t of rivaquc uall nrci tor w rIAQ14 Gdh::fCUC1iUf1 ---?•1 a I C • ^4 -^,'"??? AI.L PIG. tll TGPVIEIi OF . FIIAHk WAI.i. . r•tc. 62 ???---Qt I• . `A • ti , : i ' ?.;.. . 1 :;: . ; ? . . arccta `:; ? `-°? C', •a n ? ?r ,n r l ?h _...-0 } Ca.?u:lrui:lit.?? 1:•Va1u.• 2 ,..YL'!.1fll.?.?.?'_._?l.P. . -.•--.-•... . __a.Q,r-j ' ? ' im:h.•? ' ?ii •.?..??. .. J. ~j./.x„ ___......_ _' ._. ..:.._ .............l.R.?1_? a. .Zr.?fi s. S?c.???....... .. ... _ ..vz 6. F;r.lrrir,r a1[ (ilm ?• U.17 -••- -• ---- ..._ ...... . .. .....__.... .._?._.._......_ 1. Jnlrrtnr nir !llia . ._?U:f_i1 3. _._..._..___..___..__L_LQ. 4. s ?ir3d' . .. . _. . _ -. _.. . ......?v-z. ?y-- - -- - G. . ExLcrior nir 0.17 --•-- - ---...__?,u?.a l ? c Z2.°I S •' 1. ?;iuf -- ...... . ......»...-`---° . _.. 2. _4i=..IK5u4 ..,. .. -- . .._..... _ .d°.LC2 l 3.. ?..?ir...lO--•..l?:Aw.. ..]po.lsA:_.........___.la?? O ? 6. ...?ji?u'V,..... -•-...._ ?.?_...._... ...? _.?P.2. ? t;. F:xtr.rlo[ nit' 1'ilm ?)•1.'/ -'Iaia i i1 • 92 {)' . U: .04 f n:, ?4GK ??. f t l..? n. Gn ??•. - ,? ?, . .._.__..... _ . .•---••._.._ I:xlut•i?n: .?ir,tilr? _ _ . _ __._.____ "?i•o : I ._...-•?).IY -. --- ? • •t'?'? ', ???'i , ? ? R k '•: ------- -C7 . ---?- Q ??• ?. . . . L'I.AU Orl GINUI: .tF.1??i. l ? ?? ? ? '', •` , r'',' ?/? . ?11 ? /??? ?• , . ? . .. • •,''?? i . 4?• f,? • ? • . .? • ?„ ?? s. 1) • • u 4 , . o .. , I ? ei ?._...? . y, . •?- i Flt:. N4 li1rl'1: t 1111?r F . ? 1 , in } ?.• •, ? ? rti s . llf , ?:-••;i.._ ?..._?1.,?? <<? . .?+?? .r..Ill ??...??? ' lndl?:aGa l??r?C? •??t?• VAlqlt? ilupth nncl pl.icr.rumt of inoonl.il•inn. ? f ?1?s . ; _ _ _ . .__------- ?-----? - --- - - - - -- - - - - - - - 6 J E?. cl N¢}? E PtT E,b $P) . _ . t? _.. 2A M1N G A RE Pt ;. .?. .G? .61. _____? (N l 5 }? 'FLOO IZ . 50 . So __ S U C3?1-Od ?'Z. •(?2 .?2 ._, -- ZX lD J_o?51- : 1l .87 :? -- F G. BA-tTs 30, 00 -----F! a,, .. ??? p? p ?Or tl??u0l Sa T t l'?, .?? • 7. U F EX ?' .. }? (r2 Fr c.M 1 • 6!? ... . TaT?t I_ - -- ---- ? 2= ?2.I2 ? = •b3 -?Gk GP? 2P?G?Es, 2 = ! 4:? °?? . V - ---.. 07- ;• ? . . , r. . P ' fiDOC/CEILYYG Hcac floa ? up . .. rxG. . ? . ? . ?. . .. , . . •. ; ? ? Y.ecc Llov vp ....... i. vented • •. •,'' , , , TIC. 16: . . . _ _ ' • • :. f \3J f o . I GJ ' v . . . • ;:'? r,. Const? on , R-Value 1?+ 1, Intcrio'r uir f.tlm s. p , sR ]. 1 P U 4e-4 -Q? 4. £xtcri.or air filn (still) O.G1 _ Total R. 4s8a . . . . . . . ., FR?4M a 1, Intorior nir film 0.61 2- 3? f 38 a. ?Y._Ir,(5uL . 4. IixL-crio:: rir Lilci (srit -_-._. . --:-----. ?rotsl 2 r qo.iS , . ._ . • v . -.0z . . . . -.; .: Coti.?Yr&L'?cri ort_ 0.61 1. Inside air film 2. . 3. • • 4' 5. Outsi.air filin U. 17 Total ? ' ' . F.Ci9rt E' . .• ? l. InsidQ air Eilm 0:61 3- " 4. 5? Outside air fil?n Total ' .. . • 1. Tnsidc air fil.m '- 0.61 ' . 2. 3. • ' 4- 5. Outsi.? ?itm 0. 17 75 ' 2ota1 - ? . • ' •' i ` . ... , • . ` ? I ' , . . . • u±t_s Uso additional sheets if more spaee necdel for deWils and calculatiana . . . , __,.. . • .. ..... .. Y , I_..? . •. ,• , • _ HPt-VI7:T? , ?,• • , • w' • ? ?tent ' • . • • ' flov up ' • PIr. 07? S '? , ?. . ?, • . APFLICATION FOR PERMIT SEWER AND/QR WATER CONNECTION oF eagan 1) PROPERTY ADDRESS: "C T,FY=AT• DESQ2IPTION` . . . . . . . . Lot B oc S ivision or Tax Parcel ID IF EXISTING STRtiCTORE, DATE OF ORIGINAL BLILDING PII2MIT ISSL'ANCE: Mont Year PRESENT ZONING/PROPOSID USE: Q COP'IIyERCIAL/RETAIL/OFFICE Q INDC'STRIAL Q INSTITUTIONAL/GOVERPIIMENT M R-1 SINGLE FAMILY ED R-2 DOPLEX (Two Cnits ) Q R-3 'POWNHOOSE (Three + Units) ( Units) Q R-4 APARTMENT/CODIDOMINIUM ( Units) 2) ? NAN1E : ADDRESS: CITY, STATE, ZIP: PHONE: For City Lse 3) • w : ?: NAME: IIA ( / ?1, P/by . Pliunbers License: ADDRESS: IA• Active Expired CITY, STATE, ZIP: _TdJ(D[.?(? Ss3,?2 Not recordec PxorrE: S!92-?/?? MASTER LICENSE #3332 7 sta rn?a3? 4) ?i ? ?• NAME: Wo,i es ADDRFSS: 3Y71 _ 173 '`- CITY, STATE, ZIP: Jo/Qp-Fn /Y//1. ES 3 PHOrrE: Aq y- -:P6 31 s) 1:2rCONNECTION TO 6) S 3?? S **?*********+*******+********+****************???*****:r*x?**********?.*******,?******??*****?*******y * *k THE GOLD COPY OF '1HE PERFffT WILi, BE SIINr DIRDCPLY TO PUffi.IC NARKS 70 FACILITATE MEPER PICK-UP. PLEASE ALTAW M WURKING DAYS FOR PROCFSSING. SONfEONE FROM Tm CITY WILL CONl`ALT Y00 IF THERE *y?. ARE ANY PROBIg1S. ? Ye ir**?ti???c**?t?t*??*?t* k?f?#nt*?ti?,ticirl?yrir?t?r*ir,t,k+t:tf ti+++?,k4rf ??a4t,k:tf?:+,t*?tx?e?r.t*f r*i?,tt*+***?t*iri?tir?t#,tinr?tir?nk#; ;. ,. . , .,. , .. w NOPE: PAYMP OF FEE AT TSME OF i}^ ^? .'? APPLICATiON DOFS NOT CON- : ' STIYUI'E APPRGVAL OF PIIEhIIT. • r i INSPHCfION OF SE,FfiR AN]/pR WA1IIt .'k ? ZNSTNJATIONS WIIS. NO'f BE SrEvrtxn ? ?[?N12L YERhIIT HIS BEFS] APPRUVID. w 1#Rft1YSf4f YY1FYliLi4tr1WYYkR#ff1'iFtt4M* ?5CONNECTION 'IC) CITY WATEFt O 0'PFIII2 FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ 5`?) $ S /L?• 5? $ ??-(r n $ $ $ $ $ $ $ $ $ ?? ?n•?? $ $ S $ $ $ $ $ $ $ oLCS L$ SEWER PERMIT (INCLUDE SORCHARGE) WATER PERMIT (INCLDDE SURCHARGE) WATER METER/COPPERHOR[V/OL'TSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCODNT DEPOSIT - SEWER ACCOLNT DEPOSIT - WATER WAC SAC TRDNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRC'NK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ / T 71, c) C1 $ TOTAL <;736?? ?V ?2 ? I RECEIPT RECEIPT DOES UTILITY CONNECTION REQDIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PCBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TITLE: DATE : ?p ?/ X e ``7 ?'calhrrslri s Fl.J.H.V.h .'J n Constructian No. ? i (3uide ------i--- \i?indo+?s I boors Rckrence. Out. Wall Int. Wall Ceiling Roof Iloor 1,5-No 1'?s-No 19__ _ ? Rnom I Lenqih ) 5? Heiaht 1?'?A3--? ? F -- -_----- --------- -- ? Windows and Uoors-Crackav, aod A..a \n .if I?aur" nl 1'nu.. IiRlity nf r?• k pq fl. .7 ' Coef. Btu lnfiltration S ? O Glass f.xp_wall / 4-11 X y ,NU oxp. wall ?s .ITrt'wa?f Rm. ? /o leiling iolai ntu. 60 Required sq. (t. E.D.R. or sq. ins. W.A. Leader area T- /5'Fl.?M(j}13A ;.•?RoomI LengI h /? Width Height ? Windows and Uoon-Crackave ,.nd A... Wldl? af pane ?e1Rh? of pane Na, o[ Ilght. Llnexl f[. o( craek Aru .p, ft. -_I 0 Coef. Beu Infilt?ation 0 Gleaa id so kO Exp. wall - I-q Net exp. wall OC Cciling x ? /D ilO1fF lo[al Ulu. quired sq. ft. E.D.R. or eq, ina. W.A. I..tader area E? L?viwk Room ?Lengih /3 Width /i Windowe nd Deere-CraA.e. ....1 A... -? Naa W1AIh of D..• )telght o[ Dane No. o! Ilthl• Llneal f(, ot a.ek Arr• ?Q. ft. 1 ?D 60 yy,y Coef. Btu In6?lration L/q,q ay D. b Glaae 3;V1 `U O Exp. wall Net exp. wall ` .1«6-wall (l?m I (. Ceiling ' J?lom ----------------------------------- I ocai nIu. 3/ ? b _Requircd eq. (t. E.D.R. or eq, ins. W.A. ?,tader ares ? ?? yga3 e-?; Kind I How Applied -- KmmlLength Width jQ Wndows an 1)o ore--GackaQe e and Arca R'WU? H?.iKM1t No.al u.l.ts I.InenlfL oe ?..,w Are• .a u. .sG,D .80 s ya- Ceef. Btu Infillralion 3S ?l? 1`19Q Glass ya -o o? Exp. wall D / f Net exp. wall ya 7 -1^1qr°021 Ctiling 0 / n '3 Floor Tolal Btu. t? (?a Required sq. ft. E.D.R. or aq. ine. W.A. Leader erea ,OFI.I 094 + eK/yTRoom I l.ength p q Width /,2 Heiqhtg Wi ndowe an d Uoore-Crackage and Ate a Na, NLllh o( Dane NeIFht of p.n* No. at Ilt?b Llnenl fl. of cnek rea lAa«- / .71/ 1.0 I !S, /, b ? ?.o a9 ? ,4 3 6 //, Coef. Btv In6ltration (e q /3 Glees 0 0 0.7 V Ecp. well .2+3tR* +t+ + I? +IN+ ?i Net e:p. wnll 26k O 4w6?111 2rr11 .) f Ceiling ! l (e Flco• ak(, r IA ?a L Totel Btu. (? • Required sq. (t. E.D.R. or aq. ina. W.A. Leader eres i .? /CZp Room I Length da Width ! 3 Height !.,` Windowa end Doors-Crackaae and Area No. WIEth ot Dane Heifhl ef D. No. ot IIfTb Llnaal ft. of cr.eM Aro p. ft. -q / o i2,v a -b 16-1 1 if,J ao Coef. Btu Infiltralion 3 a q1c1 Glea D /v9C Esp. wall Q K /ec Net ezp. wall 4m-"I I _ CdGng g x ?? ! D?? 3 31 A -Floon lotal tllu. 33titi Required sq. (t. E.D.R. or sq. ins. WA. L:eader arca GY615` ?'7? ?yay?..7C' Guid Windows e • Doors Re(erente 11 Out. Wall Yes-No I Yes-No 19_ ?s ? Bedaeem Room Length/,3 Width Windowa and Doors-Crackage and Arta "inu, ?ie?eni w,. o( un.si n. wrr. No. of pane nf pine bRhla ot ernck Conetruction No. Int. Wall Ceilin¢ Roi _Y . Infillrstion Glaee Fxp. wall /py Net exp. wall A&L •In4v w8II %j p? ? Ceilinq /i Y/3 )i_n Total ?.R. or tq. ina. W.A. L,tader area Room Length /S Width / inrs-rrwrkwe? .nd Ar. No. WIEtb ot Dana Nelg hl o( D.no No. e[ Ilfhu Llneal tt. ef enek Ate. q. (l. - ? aa vti a ?? ?t.s ' Coef. Btu In6ltretion „y, ? q S Glesi Exp. wall 13 4-13 x g Net exp. wall Iat.-wall R,m f. t. / 1. Ceiling )el 07 Floor 1 olal tl[u. - Reqvired sq. [t. E.D.R. or sq. ins. W.A. Lesder eres ,?p I•1 lp,yinun4- Room I Lenath Width Heiaht Windowa and DoorH--Cnckage and Aree No. t'/Idlh e! DR., Hel(hl of pano Ne. ot IIfAb Llnnl I(. of craek Are• pq tt. - O /p0 7b Coef. Btu Infillratioo DU O D Gla» 7L O YDO Exp. wall G IJG +?(e h Net exp. wall awtNVa14 CeiFirtg Fl°°' ao lotal tltu. O Required sq. (t. E.D.R. or eq. im. W.A. Leader area Insulslion f Floor Kind How FI.I (?tittroA?' Room I Length ,;;L Width ? Windawe and Doors-Crecka¢e and Area No. Wldtp ot D?ntf Ilel{hl of Cona . No. o! Ilghb Llnettl lt. o( anak Are. ?Q. 11• ,P. a Coef. Btu ]nfihntion 30?6 ) ,3t Glau ' ,$0 9S0 EiP. Wen Oa+.) o # a s o Net e:p. wall S 1 ') 3217 '?IITWi? ?eiliog Floor /7l (o Total Btu. 7/ v i ' Required sq. ft. E.D.R. or sq. ins. W.A. Leader ana Fl.l Room I Length Width Height wmaows ana voors-a.races ge sna Are s , No. WtAth ef pang Heliht el Dang No.ot li[hts UneHl1. ot eraek Ar?s p. tt. ef. tu Infiltrslion Clsa Ecp. wall Net e:p. wall Int. wall Ceiling Floor Total Btu. Required sq. (t. ED.R. or sq. ins. W.A. l.eader sres F1.1- Room I Length Width HeigM I Windows snd Doon-Creekaae and Area Ne. Idlh et pane HNuhI ef vone No. 0I IIf?U Llnnl !l. e[ eraek An? p. fl . Coef. Bn In6ltrstioe CJ?o Fap. wall. Net e:p. wall 1nt. wall Ceiling Floor lotel Btu. _ Repuired sq, ft. E.D.R. or sq. ins. W.A. 4ader &rem Use BLUE or BLACK Ink MAR 10 z010 For Office Use City of Eanofl ~ Permit#: I Permit Fee: "_0 • Oq 1 I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 i staff: I Fax: (651) 675-5694 1 I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Card Date:3-- Site Address: M L~ ~?vti,~ Gl r Tenant: Suite M RESIDENT / OWNER Name: JOC + LA R 1 r~ > l V__1 Phone: 6S _l - 62 -13 Address / City / Zip: 7 S_~, M i Lx- QZ.-,A~/ I i &A U" Applicant is: Owner Contractor t1~c~I WI N ~wS TYPE OF WORK Description of work: ~IT&OL Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: L-',Ik h License* Z<~o3 7 7 !!~D Address: City: SRKY_6 PCL' State: M~1 Zip:~:,'~~~s3~ 1 Phone: t~ (-2 -,Ts i -7 -6,a6 3 Contact: Email: I f l~ 7aUS l2UC--VON ,~D Lt Ver COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting•documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orcl I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ac-,/_ ~N~UtY-- x \ Applicant's Printed Name Applic is Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System - Plan Review Code Edition a77 SAC Units (25%_ 100%-J-/-) Zoning 2- City Water - Census Code Stories - Booster Pump - # of Units Square Feet PRV # of Buildings _ Length - Fire Sprinklers Type of Construction- Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEE 0,~?Base Fee 3~Al D to l 7- Surcharge Plan Review (o 9-«'~~~,f 3~ MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 II~ PERMIT City of Eagan Permit Type:Building Permit Number:EA164671 Date Issued:10/05/2020 Permit Category:ePermit Site Address: 756 Mill Run Cir Lot:11 Block: 10 Addition: Bridle Ridge 1st PID:10-14996-10-110 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joseph & Lori Pesik 756 Mill Run Cir Saint Paul MN 55123--168 Highmark Exteriors 8720 Eagle Creek Pkwy Savage MN 55378 (952) 882-8904 Applicant/Permitee: Signature Issued By: Signature