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3821 Mill Run Ct Use BLUE or BLACK Ink For Office, Use I I I nCity on Ea nn Permit#: 0 9-23~ Permit Fee: s6 I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: /off Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: /Y1L j ----------------J 2010 MECHANICAL PERMIT APPLICATION Date: Site Address:3?_ Ml / 114.11 zv~- Tenant: ' e U,/ Suite RESIDENT / OWNER Name: -ra f Ct4 -S(Yu(1 \ Phone: Address / City / Zip: S( 0- 0- (~0 CONTRACTOR Name: t License 1✓►C~lyLbl Address: City: , State: v Zip: S ED(a, e Phone: 10V 2 T ~ Contact: Email: TYPE OF WORK New Replacement Additional Alteration Demolition "Lo Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping _ Processed _ Air Exchanger Gas _ Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x-----=L~ x Applicant's Printed Name App icant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection for ''t OWG/Lot 81ock Parcel No. ?- CITY OF EAGAN Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 Receipt # ? Est. Value Date ,19 _ Sec/Sub. oc Name ` , .•, .`. FFK'WY K'WY z Address " r r 0 city Phone ¢ Name ' .o ? u Address 0. City Phone City read this application and state that the to comply with all applicable State of Signature of Permittee A Building Permit is issued to:-_' ' on the express condition that all work shall be done in accordance with all applicabte State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On Ske Sewaqe Occupancy ' MWCC System toning On Site Well (Actuaq Const City Water (Allowable) PRV Required * of Stories Booster Pump Length " Depth S.F. Totai ? Footprint S.F. APPROVALS FEES Engr./Assess. Permit i ' Planner 5urcharge Council Plan Revisw ? Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit ' Treatment P1 Parks TOTAL '" Permit No. Permit Holdar Dato Teiephane # Plumbing „ - _?EC= H.V.AC. ??? Electric ,y„I.??rJ -. , C Sc_ Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. . Rough Htg. ISUI. Fireplace Final Htg. Final Pibg. Bldg. Final cgrc occ. 60 Temp. LP DeCk Ftg. Deck Final Well Pr. Disp. CONTRACT PRICE: . .. . ' , . . . ? ^T. . `. PERMIT # l? ' ?` •-r PLUMBING PERMIT CITY OF EAGAN RECEIPT li ?l 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: l? ?" g7 PHONE: 454-8100 Site Addre r- Lot ? Blockl Sec/S b u ? Name ?o Address c City Phone -2421 Name 3 Address p City 1-... 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 - $2U.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYON Q,$1,000.00) SIGNATURE OF PEFiMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK OESCRIPTION Res. X_ New ?- Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOT. L?,?; ?i_Water Closet - $3.00 ? Bath Tubs - $3.00 ' - W-Lavatory - $3.00 -,,/-Shower - $3.00 - Ga _/-Ki?chen Sink - $3.00 - ?? UrinaVBidet - 53.00 -,/-Laundry Tray - $3.00 ,/_Fioor Drains - $1.50 --/-_Water Heater - 51.50 Whirlpool - $3.00 ::7-Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 ? Private Disp. - $10.00 ,?-Rough Openings - $1.50 FEE y? STATE S/C: ? SO GRAND TOTAI: ??^??% "; ii?.h. . •A ? !?? ? ,. . . . . ?„ . . '. , ' ? ? PERMIT # '- MECHANIChI. PERMIT RECEtPT # - '4'?? •-.F CITY OFEAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 ? Site Adsiress Lot Block Sec/Sub BLDG. TYP? WORK DESCRIPTION . . } Res. New ? , Muft Add-on D Name ?v Addr +Eomm. Repair Oth c Ciry Phone er ' FEES ? Name ? RES. HVAC 0-100 M BTU -$24.00 3 p Address City 13y t u ra.(( C_ 1 Phone 'kl - A%f ADDITIONAL 50 M BTU - 6.00 (RES; HVAC INCLUOES A/C ON NEW ;,CONSTRUCTION) A5 O ' G UTLETS (MINIMUM - 1 PER PERMI n - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1a/o OF CONTRACT FEE Forced Air 1 Rfj M BTU `/ APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU ? MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADO $.50 S!C IF PERMIT PRICE GOES Gas Piping Outlets # ?_ • ? BEYOND $1,000) Other FEE ' sz) S/C: SIGNATURE OF PERMITTEE TOTAL: dD FOR: CITY OF EAGAN ' ,. . + r i (9trui#irafp of Orrupanry titp of (Eagan fipvSrt1ltMit of 1W.d[M jwPt11Dli This Certif cate issued pursuant to the requiremenrs of Section 306 of the Uniform Building Code cerrifying thar at the time of issuance thrs structure was in conrpliance with the various ordfrrances ojthe City regulating building construction or use. For the following.• Use Qasaifiatioa ? • % , , Bldg. Rrmic xo. Oocupaocy Type 3 7ooing Diatrict ; T?De 'J Te o,Vner of euikfipg ,warm A''4IU.Fr PZWY, B?, - swaing naam -A2 1 MLIL i$JN 0f1L'aT L-;ty L l 1. B f 1, MMLE RIM M?1-R('-3 DE[^.: - ? ,1 l?3 POST IN A CONSPICUOUS PLACE CASH RECEIPT CITY OF - EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ,? - DATE 19 RCCCW<O FROM / AMOUNT $?//' , cJr R DOLLARS ioo ? CASH []. CHECK , ROR N/ / . ,:/ ?: ? ?1 ??. ??? A /. ? ,. BY YVhite-PaYers CoPY Yellow-Postiny Copy Pink-File Copy Thank You . - -. ' BLDG. PERMIT NO.??i??? ?' . ? . ?I l ? f ? "?, ??? ?/ / `'L G?• 1 ? , ?? 01-3210 Bldg. Permit 01-3422 Pl,an Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 011-2155 Surcharge 17-3860 Road Unit I 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 kater Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL b)(reL&Wplr with Ihe City of Eagan Ordlnancea. WATER SERVICE F CITY OF EAGAN Permit No: - Date: 3830 Pllot Knob Road g/p Na; Date: P.O. Box 21199 Eagan, NlN 55121 Owner. ,; Q-,? ,t,.,?•: Y 5ite Address: Yi I't Piumber. C P'.etr,Lneer' _•c MWCC: (Vfln? City Chg: Acct Dep: 1. . Permit Fee: Surcharge: No. of Unib: I egree to comply wlth the Cify ot Eayan Ordinances. By SEWER SERVICE PERMIT CITY OF EAGAN Permit No: `-' ? 4 9 Dete: Z 1-2 3-8 7 3830 PNot Knob Road Meter No:3,9a ?25 q? s;Ze: 00-r g 0. 80"1''199 Reader Na Q :k ?7T ?7 Datec gt?n, MN 55121 NO C.O. tiNTIL ENGR APPROVES CITY OF EAGAN No 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHO N E: 454-8100 Receipt # y / / b To be used for SF DWG/GAR Est. Value $105,000 Date OCTOBER 6 14262 19 87 SiteAddress 3821 MILL RUN CT Lot 11 Block 11 Sec/Sub. BRIDLE RIDGE Paroel No, a Name KEYLAND HOMES ?Address 14450 BURNSVILLE PKWY = Ciry B'VILLE pnone 894-2636 o Name 5AME oc? a + Address 'a ? City phone r? ww Name ? z ? Address aw City Phone I hereby acknowledge that I have read this application and sta[e that the information is wrrect and ag?r ,e to comply with alJ,applicable State of Minnesota Statutes and CityoyEagan Ordinappe,? ? Signature of Permittee t' ddQ A ^ (Z?A1 A Building Permit is issued to:_KEYLAND HOMES on the express condition that all work shall be done in accordance with all applicable State of Minnesota Slat i s and City ofpEpgan Ortlinances. Building Official •?f 1?-<-? _ OFFICE USE ONLY OnSiteSewage - Occupancy R3 MWCCSystem X Zoning Rl On Site Well (Actual) Const Vn City Water X (Allowable) Vn PRV Required _ # of Stories Booster Pump _ Lenglh 48 Dep[h 39 S.F. 7ota1 Footprint S.F. APPROVALS FEES $ 518. SC Engr./Assess. Permit Planner Surcharge 52. SC Council Plan Review 259.2f Bldg.Off. SAC,Ciry 100.0C Variance SAC, MWCC 525.012 Water Conn. 525 . OC WaterMeter 67.OC Road unit 305.OC Treatment P7 1$0.04 Parks 70TAL _2 532.25 This request void Y n nthsirom 4 71 7 `79Gii?- '797G / , So Reque's,"Uate " Fir€ No. ' Rou h-in InsVer,tion ( ^3 -?? flen?ir ? ? / QR dy Nuw ill NotitY InsVec- ,, I _1or Wh¢n Reatly es No y m'Licensetl Elecuical ConVnctor I hereby requast inspec<VOn ot a4ve ? Owner elecVicel work inslalled eL U 1- 5v Street Atldress, Box ar Poute No. City 82l '?? ,e l ecLOn o. Townshio Name or No. Ranpe No. Coumy RkoT'FF Oecupant (PFINT) // Phone, No. 1C N ra 5 Power suooiier Atldress 'a rbrw na lecVi?al ConVacmr ICOmpanv Nemel Contr?ctor's Licens=No. ? /?PQG? IlR?.tr'V GZE? k1e. , O /S"70 ailinq AtlJress (COmract or Owner Ma kinu Ins ilat'onl iFLM R T C ") !;S1 2 Authoriz Siynature IContractor O er - aking Installution) Phnne Number ?F3/-7 70 MINNESOTp STATE BOAPqpF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT Grig9s-Midwey Bldg. - RoSm N•791 BE ACCEPTED BY THE STATE BOARD 1827 Universitv Ave.. SL Vaul. MN 55104 UNLE55 PflOPEH INSVECT?ON FEE IS Ph one (612) 642-0800 ENCLOSED. /9/REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os • 7 • • It See inshuctions lor tomoleti" this form on beck of Yellow copy. L9 94, / ?- 4717/'7'7'X- Below Work Covered by This Request '7?/7(p/ dtl fleD. Type oi 3uiltlin0 APOIInntae WireA EquiUme?? Wired Home Ranye Temporary Service Duolex Water Heater Liahtinu Fixnuw, ?ominerciai niay. rumace aiio uMilk nioader Industnal 81dg. Air Conditioner 8ulk Tenk Farm Omnr oeci v Isnenfv) N Pee ServiceEntrance5ize h Fee Fande,s/Suhfeaders Fea Circuits 0 0 to 200 Amps 0 to 32qm s ZSO U tn 30 Flm A6ove 200 qmpy 31 to 1Q0 Amps t CO 31 to 100 qm s Swimming Pool bve 10_Amp Ahove 100_Am s Transiormers Irrigation Booms ,s0 Partial-'Other Fee Signs I I iSpecialinspection j SJ1j_oo ror9 FEE?..s ? ,ha E'ace' sDector,pe aby ?--1gLfLJ) 1 d?l cer f1yEFe? ^ ^ the nbove Final inspection hy? n_en cwi?i v d ?da. / m1e requesl void jqzba 1987 BIIILDING PERMIIR APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLZNGS IBCLDDE 2 SETS OF PLA6S, 3 CERTIFICATSS OF SDRVfiY, 1 SBT OF ENERGY CALCOLATIOHS HOTE: ADDRESSfiS FOR CORgEH LOYS - COATAACTOR/HOHEOWNER MQST DESIGHAYE AHICH ADDRESS IS D&SIRED. NO CS9NGfiS WILL BB Ai,LOWED ONCS BUILDING PERMIT IS ISSDTD. MOLTIPLE DWELi.INGS - RFSIDENTIAL REIiRAL OHITS FOR S9LE DHIrS INCLUDE 2 SETS OF PLANS, CERTIFICAT6 OF SIIRYSY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET DF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND' To Be Used Site Address ?O gp? Lot ? Block // r Pareel/Sub Owner Address / ??Sd d?u?t?r?e-u•z.(??/ City/Zip Code ?T--- Phone d" Contraetor Address C3ty/Zip Code Phone Freh./Engr. Address City/Zip Code ? Phone li 221 - ??fs OCT? Date:/ ? losooo------ --- ----- On Site Sewage_ Occupancy R-3 MWCC System Zoning ?-I On Site Well Type of Const City Water ? (Aetual) (Allowable) V_N 7 // # of Stories %?-?-y Length ??, ? Depth 39 .37 S.F. Total Footprint S.F. gPPROVALS FfiE.S Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off io b APC Varianee Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAI, 518. S, 6,49AGE -- - ` " 2ox2o = yo? I?XG = 3? zf36 x /2 = ? SZ3Z, 1Sr F(-oo2 lZk za= Zyo 6 X ILIm gy zs x z?= ?zg ' losz X 4y = ?l(?L4ll Zrvl? ?oo/` ? KZY= IZ7C'?J Z4 O ?( x z _ y . i 9'76xtiy = y29N,4 Z6XZ8= ` ?2`6Xly = 1(?I`1"L i I ? y 65? r SURVEYOR'S CERTIFICATE 25 145.84 N 88°0 2'8 711 E 33.14 ?- ?9k-6? ? . ? p ?\? ?o .? % ? lo ?? o ?N ? ? N . ??.'??:?/i; o 0A \ ? w ?? ` / 's ? L0T a / ?N p V i[) M @JER i ? . ? 10 ? ? (c K)q 1 /? EPy ? ?`,) ! ? I Ss?°03 0 Spu ir KEYLAND HOMES I ? O 2 \ 2h \ 1 ? ?. ? • DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 900•5 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR °bc?L.S FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 900,9 FEET WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF; Lot II, Block 11, BRIDLE RIDGE I ST ADDITION, according to ihe recorded plat Thereof, Dakota County, M(nnesota. IT DOES NOT PUFiPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWfV. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISiON THIS 1%R DAY OF OCTOr3W12- , 195-1: APPROV[D fOR SIENNA coRronnrinN SIGNED: JA Y. ILL, INC. fl Y : DATIiQ, &Ax BY; '+ HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 m m ?n ? W ?o 0 C) y O m ? O ? !1i p D r * O ? O ?--1 n O m -p Z T ? ?O m U) James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. 9 BLOOMINGTON, MN. 55431 • 612-884-3029 ERTERIOR ENVELOPF. AVF.RAff: "U" COMf IITA7i0N 33?OS J? pseyQYl, OWNER:--- K?L4bajo h+o ES nnrr:,_ 4-7-7--St,? SITE AOORESS:_?-C?T 11 '[jLpC-K,R -F1Z1T)LjE- 1zJDGE PHONE: CONTRACTOR , Determine working square foota9e of each ..?; l. Total exposed wall area..... Z3g0 sq, ft. x.11 = ?-?? ??7 2. Total roof/ceiling area..... C1CaB sq. ft, x.026 ZSo Z Total exposed wall area above floor=__ Z'3E3o a. Total wall window area ........................................... I449•Lo b. 7ota1 door area.................................................. 38 c. 7ota1 sliding glass door area .................................... o d. Total fireplace wall area......................................... -- e. 7ota1 wall framing area (average 10%) ............................ Z3 f. Total rim foist area.: ............................................ 14c> 9. net wall area above floor ..................................... ( 11914 h. wall area above floor ..................................... i. wall area a6ove floor ..................................... J. frame watl area at foundation ................................... Total exposed foundation area= II ZC) k, Total foundation window area ...................... ._) _D._S 1. Total net foundation area above grade ..............- Ilo"I.S Determine "u" value of each wall segment (e.g, window, door, each separate wall section) a. I 49.Co x "ulf .3S = 5-zA b. 38 x l,ui, ,'31 = II,S C. 4o X „u„ .3 S = <<I- d, - x liu° _ e, Z3Fn X 4luto ZI f. 14t--'j x „U„ b4 = S,(P s• 1104.4 x „r Od- = Vll h. X "U" _ X "U" _ .?. X eluti _ k. )0.$ X louit 3.1 i . r 1!29 .5' x „u„ o4 3 . .................................Total = Z--Z-+03 If item N3 is the:sai as, or less than ttei 01, you have met;,the intent of SBC 6006 ?? r"+ ?i? ?r '}?} a :,? r , r Envelope Avera9e "U" Computation ? ToCal exposed roof/ceiling area = ?_ [oQ ?. M. 7bta1 skyliyht area ............................ n. Total roof/ceiling framing area (average 10%)... o. Total net insulated roof/ceiling area........... ?- Determine "U" value for each roof/ceiliag segment Page 2 of 4 M. - _ X ?pull n. ql g??U?? Z.3 o. () ? ? 7{ ??u- .oZE - 9 ........... ................ 2bta1 = )9.? Z If total of #4 is the same as, or less t;han p2, you have met the intent of SHC 6006 (c) l. Alternate Buildin Envelope Desian 7b utilize the total envelope'system method, the values established by the s:vn of i.tems N3 and #4 shall not be greater than the sum of itetns lil and #2. 1. Z.Co 1,B + 2. 7,45. Z = T-?; -7 3. + 4. . ¦ LwE.AL BLOG fC ; 140 + ?w F, E. ? w,o,,, PULLI ? 140 FvLL 2 ; ?4° V(ir.EPLAc.E ; TZIM: 140 0 5a. t3LocK. ; )4a k.m EE : W.O. ? Pv c. l. I; i4o Fu LL Z ? l4o F ' . a, ,. RiM :,4o PLAkl M? FT, F-XposE p W,4 L L SlC.P'oSED 4VA l,..l.., Aiz.EA K , S - I I z.c=> X- S = xs = sc 8 = ??Zo k ?3 = llzo ?C = TotAL, = z3g? ?SQ,Ft. eKPOSE.D GEILfUq 9C0B ? W Dv115 1? ? ?D o02.5 ?l 2 - Z43(4 fo -7-6}4o 4o Z5 -IS - ¦?f+cTl o DRS, T3 . 3 -zy(00 ? ` 40 ! 49 c? . ? ?3S M? U ? i -F-S • ?] Q- Zlx,4 -10.5 ' ,, sr.r.?•:ot+s uf niloiloc w%ll nrcn tor r,iw: c<+ma ruct lu n `__ • __`.? 7 I --? I X _ --C? ? 31c ..---- P1G. p] 7'GPVIFIJ OF • FIW1t IQAt.L ? -°-?---v FIG. il2 ?. % ,?'?•6Cr?( I- '-__-------t 1 '? ----^{j I`'? ;??I. ?p• u » artc?? :?' ' " °._;L. _----••--G? ??. a. ????•. .?.?.. •??.. Ct,n :l ruc! imn I:-V.ilu.; L fit lt'l 0 _0:1 --.445 ,. ?'.r,, ??,,:??? ?:_ :.•,?.? •. ,.?:1. _.._ .._.....G.,.Z_7 a, zc??c...4KT.(?. ..._... . .2.oL r+• .'J.tD.ll.?(o..... .. ... .. ... . _ ..?YZ 6. F:r.lcrir,r elr (ilm • U.17 °•- -• --- _ .... .... . .. .....__.... .__..,._..._ _ 'n>i??l YLs ?0.85 1. Iolrrlnr ?iC : t lc? . -- -- -_ . .._. _ _ . Q.G71 . . ........- • -- -? _..._.. 7• / ? ?I7..?`f?yp _.{oM... . ............._.__....._J.`fS 3. 4• ZS.?'1t__S??Tfe.. . _•- -..._ ._?_.4V s . ?- - - -. .. ? ? . _. . ?._._.. . ......coZ G. r i ilia Ert.rrior ai p.17 U = • °'t 1. ])?r,r?:iur ?iir tilr? •---- -°•--t?:G9 2. 3. 2K?..?9._.._?.?W.. .?o.\5-E-- .. ....---I•.Pf1 a. _ZS?3-?---.3?Ft(o....... ._• •-- -----z.o? s. ... . .- ..._.._, ceZ - t;. h:xtr.rlor nir i i Im -------....-- ` J. L'1 -------?- .roLr ?i U= .oq '?7?PLK. . . .... .... _ . ... ? . ... .4"-.9_l.,+ro -. _ .. ... ......... _.. ..s..v__ n. -- s. G. l:xluci?!i: ??ir t i!r? q.17 •----- ------..... .._..,i•ui:i1-??= -?.13 ' U=..1A ELAh OH 1:INUI: j ??. • ! ? y . \? (1'?? ? ' ? • .. 4 ? :.. ? ;. 13 . i ? -- • o . ' e?. -•-I ,1 ? • ' ._....... _ .. ....-•'-_-. •^--.-.?.._. '1 A un eic r ? ? . i i s. • ' il r? / ..._...,? ZXC ;H?•1'?': • Indt ?.ut?: ly?'?c. p ":t" wilw:, denth nnil ' ??I.i:.: rn,fnt. bf in .ul.itinn. W/?NS?) . ? . ./CEILINC , . • . °'na , . . , . . . '-e • ' r .% Const? on . R-Valuc ?; ?Intcrior air film , 0.61 z. -57g- " -,?Q ? , sR 1101 a' In.rSu? -- ' 44.A?o A' ExCcrior 11ii: filn (still) 0. , Totaa 2 4s8o . . • ``\' `V ?--' ...• . - ' ?.. . • V= ,oZ V' I?. . ' . ' FMMa` ' • ? . flaw ? 1. Inte+rior nir film ? 0.61 tnted @ea[ 2- • °p 3. _Z 1l.?Sul, 38.3s ,' ?. • • 4. I'xl-crier eir filca (sY.il • ; • , . . • . , ' , 'rotal 2 _ L?O.ls rzc. es. ; . u _. . . .. • . . , .OZ?v. ' - - ? ' ? • coA.srR'vcr. e? 0.61 • ? 1. Inside air film Z- . . • , 3_ . ? q. ' ?. 5. Outsiae_lr fil?n D. 17 Total ', • ', . . • . . '• 1. Ynsldc air filin 0:61 I . . . . . ? vented 3' I ?Y.eee flov up • •. s• • q. • ' , , • • .• . . . 5? Outside air filtn 0.17 ?I . . . . ? , lIG. 16: . . ' :.• . . : . Tota1 - .. .. .. -3 "?' ' _ _ .• ? ... ' ' - 0.61 Tnsidc- air film i • ' , ?.?--?1•1':?%':?.? 3. , . ' i • • v-r?? y?L??"r .: y,: .. 4. • U. 17 . . ^? r?i.,: ;e• ? ?-i Y.si.Je aic fllm 'i ?_•??.?;r;?. '? ' $. Ou 2oW1 '! 1 .? / • • ' ' . , ?? ? • ? ' : ;'?.?: ,:,•' , . i . ??t_??'• , :? N^??? vyQ additional sheets if more IZpaee . ? neeclecl for details and calcu2atians. ,.? • • . , , . . i . . 3{aat ? ' . • . ? . . . ilo++ np II ' • $IG. !7• 1 ?, . •• .. f• • ? . . , , , . • , ' . . . . • . ._, ' ...,_.?.._.... ..._..... . , '' . APFLICATION FOR PERMIT +NOM: PAYbffiIf OF FEE AT TIME OF ; ? APPISCATSQJ DDFS I9Gf CON- .*t ? S1TILRE APPRGVAL OF PFRPffT. ? • ? SEW ER AND/OR WATER CONNECTIQN * iNSPE(M0N oF sEWER nrD/oa WmTM t. ; irormaAmazs was. Nar ee scmor.m ; . • ? [!NPIL PERMIT }IAS BEIN APPROVID. : . ria+trsrffxf?xx??+t?aa??rrw?re?w?+t?+rix c6tv OF CC1gC1n , 1) PROPII2TY ADDRESS:.._ rn,(L TFP_A7 DESCRIPTION: ........... . ... .. .. V......... ... ... . .. ..? Lot S oc S ivision or Tax Parce ID IF EXISTING STRUCT[.R2E, DATE OF ORIGINAL Bi]ILDING PERNIIT ISSL?ANCE: Nkont Year PRESENP ZONiNG/PROPOSID USE: Q COMhm2CIAL/RETAIL/OFFICE I,1?JZR-1 SZNGLE FAMSLY Q INDTISTRIAL E R-2 DOPLEX ('iu-o 1-inits ) INSTITUTIONAL/GOVERNMENT L--- R-3 TOW[IOUSE (Three +;Onits) ( Lnits) Q R-4 APAR'PNIENT/CObIDOMINIUM t Units) . 2) NAME: ADDRFSS: CITY, STATE, ZIP: PHONE: Li 3) NAME: 10 ,(IL ADDRESS: CITY, STATE, ZIP: PHONE: ?.?. 4) e? ;Aa ?.i.?• NAME: ADDRFSS: CITY, STATE, ZIP: PHONE: -il.,. TER LICENSE #? Ij Active Fxpired Not recorded St Initi ****?,t*t*,t***,t**?*******?****?*****?**?******?*x*?**?*r?****t**********?*+*:t***?x*:r*****?t**?*?*?***?? * THE GOLD COPY OF R41E PIItNffT WILL BE SENf DIRECTLY TO PUBLIC WDRKS 'PO FACILITATE PETEE2 PICK-UP. * * PLEASE ALLO+1 7WU WORKING DAYS FOR PROCFSSING. SONIDDNE FROM TM CITY WILL CONI'ACT YOU IF TFTERE * * ARE ANY PROBI.IIv1S. * ??******?***?????+******x*+*******?**x**?*?********,?*********???************+************+**+******i 5) s? d.?. . i? ? - kCONNE)CTION TO CITY SEWE2 tgC?ONNECTION TO CITY WATER O OTi]ER . FOR -CITY USE ONLY PERMIT # ISSUED lodel S-? Pd w/Bldg. Permit e s g FEES: c SEWER PERMIT (INCLDDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) . WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ o t) ACCOONT DEPOSIT - SEWER ? $ S XjrCJ lJ ACCOONT DEPOSIT -.WATER $ a--?Fo $ WAC I $ V' Z SD? $ SAC i $ ' $ TRDNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT ? $ $ LATERAL BENEFIT/TRDNK SEWER, i $ $ LATERAL BENEFIT/TRDNK WATER• I $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: i S J Z? TOTAL RE EIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAy? , ? YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC i, Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: ? APPROVED BY: ...? TITLE: DATE : ?J /Z 3 /:)e17 r Windows Yea- Io : Reference f?o 11 19_ Room Leneth Glasa ` Conshuctioa Na dn li0t. v3n C.la104 > Width /i}, Height IArca tt. Arca ek p. [l a ? Coef. &u -'- Exp.wall .'to+/;t tao vg f WetezP.wall YK' 7 •f.A os t otal 6tu. - Required aq. ft. E.D.R. or aq. ins. W.A. L,eader area 6IFI.1 KA rgkFSTRoom Length l4 q/idth I.Z Height I Windowa and Doors--Ctackeae and Area Wldlh ot pane Hatgbt of pane He. e[ Ilthp Llnwl fl. e[ erack Arn p, tt. a y4 a ? a 3 Coef. Btu In6ltratioa 3 4. ?, 441 fja i., Clsas .26. SO ! Exa. wall q ?94 Net e:p. wsll w . IUL-WA ! 11 ` /oil ?10nc- iotai utu. Q Required aa. ft. E.D.R. or sq, im. W.A. Leeder arcs !?1•? DwviYw. Roa?n ILength i--i Width I b Heivht ft Windowa an?d Doon- -Craekege snd Arca No. WIEIh ot Dana Neltnt of pana Ne. et Ilgpls Nnul [L pf cr?ck X.S. p. (6 ' . i ay 44 a Coef. Beu Infiltration ?-? a fJau szi ! ,S .. Exp. wnll /0+1 i K ` Net ezp. wall ? 10 't*tr«°x A °+I ?G?aoc. I otal tltu. Required aq. ft. &D.R. or p. ins. WA. I,esder arca 56"7-',70= 7c78 ?- w--? .?- ` ` I INSULATION ' ? ? Floor Kiod " How Ft.l' 4 ,,,ft: _ftoomI Uosth / S wiath/ i wmaom ana uoon-%,raeu ge ana jairea . 'Na ? wmin o/ pam x•iget o[ p?eo Ha oe II{ht? tie..i m o[<rack wn. fi0. [t. Y' .74 to o ii 37 Coef. Btu ' 1n61endon - Gln. 7 o I 8Y o Exp.wsll ISk Net eip. wsll N9,?1 1367 _twt0w.11 R. , y+ 1 S F9 7 C.ilins- Faoor Total Htw y Required sq. ft. E.D.R. or p. ies. W.A. L.eader area 16r Fl.I Corea Roomll.engch i q Widthi7-6. Height s. ? wmaowI ana voon-4,raeea ge ana nres Ne. IAt af poN j?F Iffht o[ p?n. a o! IIgSts Lln??l !t. et cru4 Ana p. [G AwR -O (._g 19, t1 a $o ,a,s coeL u 1o61tntioa 3?, ;?q -29 Glau ? Q (r ,. Fap. well 1 • ` y / Net exp. wall /aS 1 7?w.wall /j, .1GQ, !e I („ O fe"g F?eer Totd &u. b t 0 RMuircd q. N. ED.R. or sq. ies. WA l.eader arca Ad'F7• ,ookrt Reem I L.ength 10 Width / Height ? V/lndoM Sed Deen--Cnckace and Ares No. IAth et ysas ?I?St ef p?e? Na ef tlgAb InwTtt ot eraek An& p. tR . . ? a w a Ceef. Bw Infilttetion Glsa .S t+ / Exaw+1? ;?o+ls+oox8 il. Net exp. wall ^ 39? a J°t„kalit o+l'4+Qo S7. 10 3lel. Ceiling a0lfla S' (ppp -Faaar- _ iau exu. 0 SS K Required p, h. ED.R er w, im. W.A. Leader area ? e>" T/ -ci. 37oL???J 0.. . , Ya-No I ?•ImA•, Windows Ne, IVIJth of Dane Nel[he of Dsna No. of Ilshb Lleeal ft. of cvck Are? ?p. ft. - Coef. Btu Infiltration Glass Exp. wall -V x Sj if Net exp. wall 60,11 14a6 1ut.?w+l1 R,Y.X ` L ''i` Ceiling -f, Y ! 9L), `E1oac.. I otai tsm. 70 0 Required aq, ft. E.D.R. or aq. ina. W.A. Leader area :)"•I Bob+ oSwth RoomT Length.?A-` Width I a Heiaht Sl .,..,.?....?.. Ps ` - Conrtmction No. Guide Daora Rekreace Out Wall Int Well Ceding Roof Fla es-No I9 Iw11 Room Length Width 1), Height t ) F1.? taaL d Doon----Crsekaae .na O.a . - II 1f/:_L? , INSULATION Room f L.en6th t N-f. Widt6 on-Cnekaae aad Area N. wmtn efpane M1(Ol otyans N0. of IIgEI, UMA? l(. o[cewk Al?l p.f4 3 fe o I Coef. Bev In6lentioo D ?ty `190 Clus 7? G 7(o c. ?p. w?l x4 ag s? Nee enp. wall ' o?H?O l?I95 4xMrsll 2 w-? y-f• fi ?K.O L .Z Ceilin6 / -6 i 7oY,4 S/I ileer Total &a y 1$ Required p. ft E.D.R. or sq. ins, WA. Leeder srea FI.I caawl ev"Acom I Lengeh ) o Width / y Height ° r- Windowa and Doors-Cnckege aod Area N. Wltlth of pane Hslght a[ Yane Na ot Itg Ab L1eea1 f0. of craCk wroa p. f!. ' CoeF. Beu Infiltration n 7 y Glaes J113 O 1 Exp. wall p-` { j x a641 Nct cxp. wall 07 69 I... ..._u R-?. o•?w is, 3z?. CeilinH a4xa ??s ! ,-E1not.... lotal Ntu. Windowa I.R. or sq. ins. W. Roao 1 -Lingdf I '--' ?---?--- - area Ho. IAth of p?n* Hdght of pam Ne. ot IIiAb Lln??l tL at cracY Are? p. f6 .. ' . ay b , ay Coef. Btu 1nfiltration Clau z $'b a1o0 Exp. wall q . Net exp. waU 1 4er.-w.a1 R, 14 + .V 1 ? + Lt. Ceiling 116,91 ?IJeer? Iots1 tltu. qOA($ Required gq. tt. E.D.R. or sq, ios. W.A. l,eader arca wmaows sm voors-a.racw ge ana nrca Na WiAt6 of Mm ANthf et p" Na. of IIgEb Llwal !t. ef ener Anit p, ry. E. ev Ie6lttstion Glau Esp.wsU e7oai3t>? X?{ .7014 Netexp.wall aoE -{M.w.fl -G+lin6 Fleor 2oxr.1 3y0 3 J?v Total Btu. Required q. h. ED.R. er p. ios. W.A. Leader arca F7. Qp?er?vnl- Raom I Ltngeh ? b' Width 4 Height ? Wiodom sad Deon--Cnckaae end Ares Na IAM etp?n? Ns t etp?a? Na et U?AI? 7 ? - , . 7 ?. OCI Btl' 1nGltration Y 6 / ? Glast - / O ExRwall 1-9t r2 +- 4¦ 768 Net e:p. wall' 75 Sa ' -lo?.?w.ll . Floor r 7a 7 otsl tku. 1811w7 Reqnircd s% h. E.D.R w aq. ies. W.A. [.eader arca ?a RESIDENTIAL ? nS G2- BUILDING PERMIT APPLICATION ? CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConaWetlon Reaulrementa RemodaVReoair Reaulremenh • 3 regdstered site Suneys showiig sq, fl. a11ot, sq. ft. of Iwuse; and all roafed areas • 2 capies af plan (20% maximum lot coverage allowed) . 1 sel of Energy Calculations for healed addieons • 2 copiea of plan 5howiig peam g wiiMow srzes; poured (ound design, etc.) . 1 sile survey for ezlenor additions & decks • 7 set of Eneryy Calculatbns . Indicaie'rf hane served by septic system far add'N'ons • 3 mpies of Tree Preservation Plan if lat Rlatted after 711193 • Rim Joist Detail Opiioris selection sheet (61dgs wilh 3 or less units) DATE `b•OCk.Oa VALUATION a,110?a SITE ADDRESS 3$a 1Tr444-(b+v c-CL..<'c MULTI•FAMILY BLDG _Y _N TYPE OF FIREPLACE(S) _ 0 _ 1 _ 2 C9.Q?% Nc) , - - - - - - _ -- - -I APPLICANT ? RENEw,a.L By aNDCRsEN, iNC. STREET ADDRESS 1920 cou;+iTV xonn "c° wIEs'r rATE_ZIP ?ELEPHONE #tQ51-o(0y.41_17- CELL PHOI R()SF,vILLe,17N 55113 I -C:20I_309Ff3 PROPERTY OWNER SU50.(l? ?>('c1dfl TELEPHONE#(05-I • yS 3•cIo7$O COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUITS 7670 CATGGORY 1 MINNESOTA RULES 7672 (d submission type) • Residential Ventllatlon Category 1 Workshaet Submitted . New Energy Code Worksheet Submitted . Energy Envelope Calwlations Submitted Plumbing Conhactor: _ Plumbing system inciudes: Mechanical CoMractor: Mechanical system includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery System Fee: $90.00 Phone # -! ? -` ; 'Fee: 1$70.00 Phone # . I hereby acknowledge that I have read this application, state that the i formation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi nces. Signafure of Applicant CyAn. OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths _ Phone # L,awn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updaled 4102 OFFICE USE ONLY O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30; Accessory Bldg 0 02 SF Dwelling O 08 06-plex ? 16 Fireplace 0 21 Poroh (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of ` plsx O 09 07-plex O V Garage ? 22 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36i Multi ? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellanaous , ? 31 New ? 35 Int Improvement ? 36 Oemolish (Interior) ? 44 I Siding O 32 Addition - ? 36 Move Bldg. ? 42 Demolish (FOUndation) O 45 Fire Repair ? 33 Alteration O'V Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Damolition (Entire Bldg 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 Bidgs Length Fire Sprinklered Type of Const W idth •• ?? ? REQUIRED INSPECTtONS , _ Footiiigs (new bldg) , FinaVC.O. ? _ Footings(deck) FinaUNo C.O. ? _ Footings (addirion) _ Plumbiug ' _ Foundation HVAC _ Drain Tite Other Roof _ Ice & Water _ Final Ftgs _ Air/Gas Tests Pool Final _ Framing _ _ Siding Stucw Stone _ , _ F'ueplace _ R.I. _ A'u Test _ _ Final _ Wiadows (new/replacement) ; _ Insulation _ Retaining Wall ------------------------- ---------- -- Approved By , Building Inspector Base Fee -------_-___-_ -__-----_-_------------------ Surcharge Plan Review MC/ES SAC , ciry sa,c Water Supply & Storage S&W Permit & Surcharge , ' Treatment Plant Plumbing Permit Mechanical Permit License Search ' Copies i Other Total ? ••?•?•.?...••+ auu ti.a? Cn4 104 aIl 9900 1tCCICIGIL BYQf1UtlKi7lSIY re ai ? . .? . aune 7, 2001 City Of Eapn 3836 PiTcrt Kuob Road EaSen, MN 55122 To Wham It May Conccrn: Elder 76nes is authorized to pull bniIding peimits Par Renewal by Mdeisen_ Pteasa slIow Fildcr Jonea to pnovide this Sorvicc for us in Eagan. 'Iltin authar{2aticm is veiid fvr any data boyond 616101: until a1;*nawal by Andersen manaper eacpcrsslY cevokes it in wridag to the City- rbuii ???o??on be accepted expedidously, as to not dalay m the grocossing of ou diuS P?nmita any fuzt6cs. Plcasc caA mc ]f thctc arc my quesdona.. I can be contacbed at 763-502-4706. , . V • Your immPiietc mttcntioa to Wis maticr is appreclated. Sinceiely, ond R. Rsu tistallation Managcr Ranawal by A,ndasen Corpvrativn ('.e.: Karn-F.)der 7?ne_c tiN D? ??Qy? ?,:am oUU2/U Received Ti'me Jun. 7. 1-07PM 12'z-? 2?s RESIDENTIAL 7 ? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construdion ReouirameMS RamodeUReoair Reauirements • 3 registered sAe surveys showing sq. fl. of lot, sq. ft. of house; and all raafed areaa • 2 copies of plan (20%maeimum Iot coverage eliowetl) . 1 sel of Energy CalcWations forheated addiUOns • 2 copies of ptan shevring 6eam & window sixes; poured tound design, etc.) . 1 site survey fof exterior additions & decks • 1 set of Energy Calculalions • Indicate if home served by septic syslem for additions • 3 copies o( Tree Preservatian Plan if lat platled ailer 7/1193 . Rim Joist Delail OpUOns selection sheet (bldgs with 3 or less unifs) DATE ", I1 4 10 2 VALUATION 5c150 0C7 SITE ADDRESS ? 1 m? ? i r?at? C4- MULTI-FAMILY BLDG _Y _N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS TELEPHONE # 11?s4 141DQ CELL PHONE # FAX # PROPERTYOWNERg?ep,c'?r? grn?+v? TELEPHONE# A52- QZg0 ------------------------------------------.....°-----------------°--------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSOTA RULF.S 7670 CATEGORY l MINNESOTA RUI.F.S 7692 (d submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: ___ Plumbing systcm includes: Mechanical Contraetor: Mechanical system includes: Sewer/Water Contractor. Air Conditioning Heat Recovery Systcm $90.00 Phone # Pee: $70.00 Phone # -------°--°---------°-° °--------------°-----°-------° °--------°--------------° °------•----------°------------ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ------ ---------- ----------- ^-------- ------------ _ _..------- ----_._..._._----^-___.._..- - ---------' OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ lJpdated 4/02 _ Water SoRener _ Water Heater _ No. of Baths ATEr" n ZIP t>? I 1-1 Phone # -- - - Iawn Sprinklei Fee No. oFR.I. Bat}ts OFFICE USE ONLY ? 01 Foundatlon ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF pwetling ? 08 06-plex Q 16 Fireplace 0 21 Porch (3-sea.) D 31 Ex1_ Alt • Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. 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 Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demalish (interior) ? 44 Siding O 32 Addition O 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Damolition (Entira Bldg only) - Give PCA handout to applicant ' Valuation Occupancy MGES 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) FinaUC.O. _ Footiugs (deck) FinaUNo C.O. _ Footings (addition) _ Plwnbing I _ Foundation fIVAC _ Drain Tile Other ? Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Frarrilng _ _ _ Siding Stucco Stone ' _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall ----------------------------- -°- ----------- ------------------ ------- Approved By ---------------------------------- ----- , Building Inspector ---- ---- - Base Fee - - Surcharge Plan Review MC1ES SAC I Ciry SAC , Water Supply & Storage ' S&W Permit & Surcharge ? Treatment Plant Plumbing Permit il Mechanical Permit License Search Copies Other Total RESIDENTIAI. BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 g?a10-> New Construaion Requiremen4s RemodeVReoair Reauiremerds Office Use OnN 3 registered site surveys showing sq. il. of lot, sq. H. of house; and all rooted areas 2 copies of pWn Cert of Survey Recd (20% maximum lot coverage aliowed) 1 set of Energy Calcula6ons for heated addNOns Trse Pres Plan Recd 2 copies of plan showing beam & window s¢es; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculatbns Addmon - indicate rf on-sife sepfio sysfem _ On-site Sepfic System 3 copies of Tree Preserva6on Plan if lot platted ailer 711193 Rim Jast Detail Options seleclion sheet (bldgs wilh 3 or less units Date l0 / 4 / d 3 Construction Cost?'/ Z SO !7 Site Address 3 S'2 / Ry n C e?, ,. 7`" UniUSte # h 07 ?? .S S/ .2 Description of Work A ?p LQ < < AO r ? I< Multi-Family Bldg _ ? Y 1( N Fireplace(s) _ 0_ 1 - 2 Olv" Property Owner S? i 7L-4 Telephone #( L S/ )4/ Z S 9 L,?''rJ Contractor A4; „ -? Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate?orv I Minnesota Rules 7672 Energy CAde Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheat (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor ? ?'?? ?i, ra n r•?: Telephone # ( Telephone #( Telephone # ( I. I hereby apply for a Residential Building Permit ari 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. Applican s Printed Name ,71-01 ApplicanYs 'gnature .- , Sub Types OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling 0 OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt- Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 08-plex 9 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_v or _ N ? 25 Miscellaneous Work Types )( 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) - Give PCA handout to applicant Valuation Occupancy MClES System { Census Code 4*34 Zoning City Water SAC Units b Stories Booster Pump Nbr. of Units v Sq. Ft. PRV Nbr. of Bldgs . u Length _ Fire Sprinklered Type of Const I ?'!3 Width Footings (new bldg) ?FOOtings(deck) _ Footings(addirion) Foundation Drain ?Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS ? FinallC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Retaining Wall Approved By Building Inspector Base Fee I Surcharge ? Plan Review MC/ES SAC City SAC ? Utility Connection Charge S&W Permit?& Surcharge i Treatment Plant License Sealrch Copies Other Total FteeNa 39423 Exhibit p' P44T DRAWiN(3 (THIS IS NOT A SURV6Y) Lot il, Block il, Bridle Ridqe lst Addition - - -- ?--?- _ tico -? ' ? 'ql 00 ch. . p!F M ?. Q? i Ep,GAA 5? pASE - 1NSp???10 s? ?,8? ? p??G acAle 1'?=30' ? Ter?r y o. Susan ? 6St-A/S2 -9zb'n Pron" Addross: 3821 Mill Run Court, 8aqan, Minnesota. D C~C~CQV L II' c~ f JUL 2 2009 I For Office Use ; Permit City of EI Permit Fee. 3830 Pilot Knob Road I _ / I Eagan MN 55122 j Date Receiyegt:~ Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION { ` ~`7r Date: Site Address:, d C"Mi igu m lTenant: (Y~ 1 _ ftr416 /W1m ~e1f21iW ~ Y)l M4 Suite RESIDENT / OWNER Name: 1 e /°11 l f7H ~P~hone: (,Ys-/ Address / City / Zip: -32 ~ / t)N ~ ` ` Applicant is: Owner X Contractor TYPE OF WORK Description of work: ~ (V VA kl\ 1~3t ~ b, ep ~ L.~V Lt ~ ~4 +n C L~ M *1 - 41U D (Z p A_ All[- LA-' 'TA 9744 Construction Cost: /00. 0 0 Multi-Family Building: (Yes / No )S-IL eez_ CONTRACTOR Name: l p Pt~YI t-~'l~st J C" 47 V4 AV 4L1 License Address:: /~ZO S-5-0 1 70 'H4 911 City: I~l ( P ~CI1~ ~I fil State: hi Aj Zip: "J CS Phone: 667 -334- AQ i S Contact Person: 1) Pa-u fD .0 V_ 5A-Ai Dw COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master 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 the are trade secrets. 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 A licant's ignature Page 1 of 3 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 -/-,-)V~, I ~ & - iI " , ~f 2 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 SAC Units (25%100% Zoning 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 Y Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC d City SAC t Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096370 Date Issued: 10/11/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3821 Mill Run Ct Lot: I I Block: I I Addition: Bridle Ridge 1st PID: 10- 14996-110-11 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin°s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Term L Smith 1920 County Road C West 3821 Mill Run Ct Roseville MN 55113 Eagan MN 55123 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125775 Date Issued:08/04/2014 Permit Category:ePermit Site Address: 3821 Mill Run Ct Lot:11 Block: 11 Addition: Bridle Ridge 1st PID:10-14996-11-110 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Terry L Smith 3821 Mill Run Ct Eagan MN 55123 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ------------, � For Office Use I � " � I Permit#:�� 6� �1 �� I p� I ( Permit Fee: C/ '�� I 3830 Pilot Knob Road i � Eagan MN 55122 i Date Received: � Phone: (651) 675-5675 � � Fax: (651)675-5694 Staff: I��--��_____-J 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: � ' t�— � °� S�Site Address: 3�-� � �� G�- �u n C v W/` � Tenant: Suite#: ResidentfOwner Name: / 'e/`/� �/ �� S�'i/ ��i Phone: � S � y S� 5`� �C% Address/City/Zip: 3 8 2 / �'�,L L r1 � � ��t � �S/2_.3 Name: License#: C011tf aC#OC Address City: ' State: Zip: Phone: Contact: EmaiL Typ@ Of WOYk —New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. < Description of work: ' RESIDENTIAL �Water Heater , ' Water Softener Lawn Irrigation �RPZ/_PVB) PeC111it Typ� Add Plumbing Fixtures�Main/_Lower Level) ' Septic System j New Water Turnaround Abandonment ', RESIDENTIAL FEES: � $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) � $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) + $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround'`(includes$5.00 State Surcharge) I *Water Turnaround(add$200.00 if a 5/8"meter is required) ', $115.00 Septic System New($10.00 per as built) (includes County fee and$5.00 State Surcharge) o �, TOTAL FEES$ G Q e � 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. � � � - X �r,�.� 5�. �'� X Applicant's Pr' ted Name Applicant's gnature FOR��OFFI�E USE! �� - ' ��; ��1�i�rrtred��y:��. � ':" �� ;:~� �� Da#e� Required Inspectians: Under Gracir�c! I�ot�gh-In ° Air Tes� ` Gas Test`°: Final Meter Related Items; Meter Size " f��dic�R��d Mat�brneter.°` >�t��#: PERMIT City of Eagan Permit Type:Building Permit Number:EA169578 Date Issued:06/01/2021 Permit Category:ePermit Site Address: 3821 Mill Run Ct Lot:11 Block: 11 Addition: Bridle Ridge 1st PID:10-14996-11-110 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: 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 - Terry L & Susan R Smith 3821 Mill Run Ct Saint Paul MN 55123--168 Craftsmans Choice Inc 5680 Quam Ave NE, Suite A St. Michael MN 55376 (763) 276-7465 Applicant/Permitee: Signature Issued By: Signature