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3825 Mill Run Ct Use BLUE or BLACK Ink fior office Use I Permit City of EaEd~~ 1 Permit Fee: I 3830 Pilot Knob Road I 1 Eagan MN 55122 1 Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: ; - 2010 MECHANICAL PERMIT APPLICATION ti4 j 1,010 O rr Date: Site Address: 00 -LOS V\A 1Ul• °~~►I GT Tenant: Suite RESIDENT/OWNER Name: (11PECA LAk, Phone: ~e.? -ojjj 7 Address / City / Zip: 3<311; ln/~Lu- sW4 VC , G*aNft'& S S 12Z CONTRACTOR Name: QngOsAl 4EA An P' License#: ifD' UG'~A f Address: V "1 C:O L oAA Mt Ak~ City: 6&f mnn tee j State: VA4 Zip: 5SOI` Phone: Sl - -11 o - OS 15 Contact: (,\-44S L~~Email: a -T Vv- TYPE OF WORK New Replacement Additional Alteration Demolition 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 L_ Install I _ Remove) Other " When installingtremoving tank(s), call for inspection by Fire 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 $10,010411,010 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.gonherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conf ance with the rdinances 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 vdthout a per it; 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 c'%. Cn f•pC' x Applicant's Printed Name Appli ant' 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 ? , ..? ... - ' CITY OF EAGAN `, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUIkDING PERMIT Receipt # To be used for Est. Value 11.040 Date :?P€? 1 3 , 19 SiteAddress 3825 %`;LL CT Lot 12 Block 11 Sec/Sub. B1' I LI.E ?iI D+? E 1:. : OFFICE USE ONLY PSfC21 N0. Occupancy - FEES Zoning - W Name ?+?u J+??BSa?ti (Actuai) Const Bidg. Permit 2 6 •`1? o Address M5 MILL RiJU 47` (Allowable) - S h 5o urc arge City CAW Phone 456-9112 # of Stories Pian Review length _ 0: o Name :?k"E Depth City SAC ?a AddreSS S.F. Total _ . SAC, MCWCC ¢ CIty Phone S.F. Footprints Water Conn On Site 5ewage _ ? W W Name On Site Well Water Meter ?? Address MWCC System - Acct. De osft p < W City PhOne City water S+W PeRnit PRV Required _ I hereby acknowlege that I have read this application and state that the Booster Pump S; W Surcharge information is correct and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: Ai-X Planner - park Ded. on the express condition that all work shall be done in accordance with all Council • S? applicable State of Minnesota Statutes and City of Eagan Ordinances. gidy_ pff. _ Copies Building Official Variance TOTAL 2 7 •t`{, Permit No. Permit Holder Date Telephone # WATE'R SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footirigs I Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Freplace Fnal Htg. Fnal Plbg. Const. Meter Pibg. Inspector - Notify Plumber Engr./Plan Bidg. Final Dedc Ftg. DeckFinal Well Pr. Disp. CONTRACT PR'Site Address - Lot ? ?- _,:? i1A PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # . ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '`- ? Name ?o Address c City Phone ? Name i c Address ; p City Phone `? •`= TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU $ BLDG. TYPE Fies. Mult Comm. Other FEES WORK DESCRIPTION New Add-on Repair RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. NVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT - 12.00 - 20.00 - .50 FOR: CITY OF EAGAN ,• . c- . ... CITY OF EAGAN.... RECEIPT # -',l -- I ?, 19? 7 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: `)?= tabrr 2 Site Lot. PRICE: m IName Kleve HtcT: & ? -a Address 13075 Pione c Ciry P.rairie Name curn oraLe Constructic c Address 44 66 Wedcrewood p City Eaqan Phone 4` TYPE OF WORK ForcedAir -eiinox 75,004 MBTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent GFM Gas Piping Outfets # :'uri7zce c+n1 T Other FEE: S/C: TOTAL: BLDG. TYPE WORK DESCRIPTION Res. h New tionin Mult Add-on : Comm. Repair -4?li Other FEES RES HVAC 0 100 M BTU $24 00 . - - . ADDITIONAL 50 M BTU - 6.00 -0644 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMI' E 24.00 ( - n - 1.50 A. COMM/IND FEE - 746 OF CONTRACT FEE pPT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE ALL ADD ON & - - REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PEfi PERMIT - .50 {AQD $.50 S/C iF PERMIT PRICE GOES _ .50 .50 ? ?, SIGNATURE OF PERMII7EE ? .00 _ FOR: CITY OF EAGAN . _ . . .. . _ . ,. .. . . .?...?:.?i,e ; . . . PERMIT # PLUMBING PERMIT RECEIPT # T?;C I LC CITY OF EAGAN . 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: Site Address Lot I i Name ? m m Address ? c City ? Name _ 3 Address O CitY ? FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 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 FOR: CITY OF EAGAN BLDG.TYPE Res. r- ' - Mult. Comm. Other RES. PLBG. ONLY - COMPLETE THI NO. FIXTURES _LWater Closet - $3 00 Bath Tubs - $3.00 _,?_Lavatory - $3.00 Shower - $3.00 -4-_Kitchen Sink - $3.00 Urinal/Bidet - $3.00 1_Laundry Tray - $3.00 _-4-Floor Drains - $1.50 --J_Water Heater - $1.50 Whirlpool - $3.00 --/_Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn TOTAL ? _ . . ' 3.G0 Softener - $5.00 Well - $10.40 Private Disp. - S10.00 Rough Openings - $1.50 FEE: STATE S/C: ' GRAND TOTAI: ` '- WORK DESCRIPTION New -- Add-on Repair Le 8- CITY OF EAGAN 3830 Pllot Kneb Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUII.DIWG PERMIT Receipt # To be,,used for ' Est. Value Date ,19 Site Address 1 O FFICE USE ONLY Lot Block SeC/Sub. On Site Sewage Occupancy ` MWCC System Zoning Parcel No. l C On Site Well ) onst (Actua '.0aYC?hA3`l' City Water n (Allowable) a Name W z Address PRV Required * of Storiea ; ° City Phone Booster Pump Length " Depth p Name S.F. Total , ? i Address Footprint S.F. ? City Phone APPROVALS FEES ? W W Name Engr./Assess• Permit . ?. " ??? W ? Address Planner Surcharge ? ? . Council Plan Review w W City Phone Bldg. Off. SAC, City i hereby acknowledge that I have read this application and state that the Variance SAC, MWCC ;u information is correct and agree to comply with all applicable State of WaterConn. Minnesota Statutes and Ciry of Eagan Ordinances. Water Meter "?O 5ignature of Permittee Road Unit ` NV A Building Permit is issued to: C"U'tu'V``A 1 '.t- Treatment P1 ? on the express condition that all work shal I be done in accordance with all P k applicable State of Minnesota Statutes and City of Eagan Ordinances. ar s TOTAL Building Official_ Psrmit No. Permit Holder Data Tslephone Plumbing L-?- H.V.A.C. Electrtc Softener Inapection Dste Insp. COR1mA11ts Footings 1 Footings II Foundation Framing af- Roofing -? - U Rough Plbg. . TG Rough Htg. _ )V isui. pp Fireplace Final Htg. Final Plbg. 2? Bldg. Final Cert.Oca ??47 Temp. LP Deck Ftg. Deck Final Wel I Pr. Disp. +r ? , ?? Fr (Ctrttfiratit uf COrruptturil titp of (Eagan Fp}iFlYltltPt[# of llldMttlJ JttopPtlipll This Certifcate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance thrs shucture was in compliance with the various ordinattces of the City regulating building construcrion vr use. For the following.• Use Classification `'? DWG/GAR Bidg. }lrtnit No. I4242 a-pxy rya R3 zoning ukuxc 'ct I, rya contL Drl o?,crore?8 tz?u?AiF. CY?b^?n?'IICYV 4466 i:h'tRtsxD) MTZ1F. FA"N Buildiog Addras.;<:25 '"IT'j, }',""-, MI?T LopIay?.lL- $if„, j3R?T1TY TiY;_;, . . Datc: -- Building Offiwl POST IN A CONSPICUOUS PLACE CASH RECEIPT CITY 4F E.AGAN 3830 PILOT KNOB ROAD EAGAfV, MINNESOTA 55122 DATE AMOUNT f $ I & DOLLARi loo ? CASH CHECK FOR ' :.,'. ".?• -. ,.?i r???! ?. c ? „?, ..` ? Thank You ' BY ' 19 White-PaYera CoPY Yellow-Posting Copy Pink-File Copy ` • • . . . '.-...,__ .. _. _ _ r ? .BLDG., PERMIT N0. , '`':zN ? CASH RECEIPT •? CITY 4F EAGAN 3830 PILOT KNOB ROAO EAGAN, MINNESOTA 55122 t,lq T E ? B<CEIYGD ? J 19 AMOUNT $ I OOLLARS t oo ? GASH R CHECK row FUND CODE AMOUNT L Thank You BY wnite-Pevers copy Yellow-Posting Copy Pink-File CoPv ? CITY Of EAGAN Permit No: Date: 3830 Pllot Knob Road Meter No: -39a 3-S ,- Size: P.O. Box 21199 Reader No: ()??? Date; - - Eagan, MN 55121 Owner. Carporate ioastruct10. - ? , •,ie ,zs .tili r.Im court Site Address: " . ._ , _ _ . n, ,,....,,,:. "; ??Op ??? e? ? ? 9: Conn. Chg: ?3 ??B ?f?hra rliROina call I'?Gb1P?hftS ' Acct. Dep: Permit Fee: 1C> rCiRiC •GAS EtC. G? I a ree #o comply wllh ihe Gity ot Eagan Surcharge: ? 1 /? ??/ in ?se?[y 7r. Plant 1.80 ' ?l, pr Meter. j Misc.: Br j ? WATER SERVICE PERMIT CITY OF EAGAN Permit No: Date: _ 3830 Pllol Knob Road B/ P No: ' 7" 7' Date: P.O. Box 211W Eagan, MN 55121 Owr Site Plur MWCC: 1l ? Zoning* . City Chg: 1 ' )' ? .()pd No. of Units: Acct. Dep: ?}_ tI-1 agree to comply with the City M Ea9an Permit Fee: Fr_ Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN NQ 16285 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUiLDING PERMIT Receipt # To 6e used for DECK Est. Value $1,000 Date APR 13 Site Address 3825 MILL RUN CT Lot 12 Block 11 SeGSub. BRIDLE RIDGE 1ST OFFICE USE ONLY P2fC@I NO. Occupancy - FEES Zoning w Name AI.AN JACOBSON (Acluap Const - 81dg. Permit 26.00 o AddresS 3825 MILL RUN CT (Allowable) - S h . SO City EAGAN Phone 456-9112 n oi Stodes urc arge - Plan Review Length _ o Name SAME Depth - SAQCiIy t ?Q AddfOSS S.P.7otal - C ? CISy Phone S.F. Foatprinc5 SAC, MCW C _ Water Conn On Site Sewage _ r ww Name On Site Well - Water Meter ? Address MWCC S stem Y - ACCt. Deposit a W City Phone ciry water - SIW Permit PRV Required _ I hereby acknowlege that I have read this application and state that the Booster Pump - SIW Surcharge inlormation is correct antl agree to compty wi[h all applicable State of Minnesota SWtutes and Ciry of Eagan OrdimanCes. Treatment PI Signature of Permitee _ APPROVALS Road Unit A Builtling Permit is issued!/ ALAN JACOASON Planner - park Detl. on fhe express condition that all work shall be done in accordance with all Council - 50 applicable State oi M innasota Statutes a n d it y of Eagan Ordinances. C gld9 pry, _ Copies . (? ., ? , .?1 , { Building Official ;I_« I {,(? I 1_T II f1 \ ,11 ' Variance - TOTAL 27.00 CITY OF EAGAN N°_ 14 2 4 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454•8100 p To be used for SF DWG/GAR Est.Value $66,000 Date eceipt # OCTOBER 1 18 87 Site Address 3525 MILL RUN CT Lot lZ Block 11 Sec/Sub. BRIDLE RIDGE Parcel No a Name CORPORATE CONSTRUCTION INC = Address 4466 WEDGWOOD DR ? City EAGAN Phone 454-0644 ¢ ,o Name ?a Addre ? City_ tiQ "FWW Name Addre u ?w CItY_ I heieby acknowledge that I have read this application antl state that the information is correct antl agree to comply with all applicable State of Minnesota Statutes and Cit E an Ordin'a/nc Signature ot Permittee _.'? A Building Permit is issuetl to: f`(1RPORATE_CONSTRII(`TTnN on the ezpress condition that all work shall be done in accordance with all applicable State ol Minnesota SlaNtes and City ot Eagan Ordinances. Building OHicial OFFICE USE ONLY On Site Sawage Occupancy MWCCSystem X Zoning Oo Site Well (Actual) Const Ciry Water X (qllowa6le) PRV Required _ # of Stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS Engr./Assess._ Planner _ Council _ BId9.OH. _ Variance _ FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Roatl Unit Treatment P1 Parks TO7AL R3 R1 Vn Vn 46 48 $ 384.50 33.00 192.25 100.00 525.00 525.00 67.00 305.00 180.00 ,311.75 2 This rr.pvest vaid 18 nwnihs from / D 6 9 4 5 3 zi?, ?sos3 1;5?-? ?6,, ftqueyyyn Uate ///JJJ ? rFire No, I ftouAh-i n InSpeclion Requ red? Neady Nuw ?II Notify, Inspec- ? / 1) I ? ? No lor When HeadY n? !,censed Eletlrical Canlrxctor I hereby requast insvection oi ebove EJ Uv+ner elaclrical work installed eC Sveet Ad ess, Boz or Foute No. 3 S ? CitY ?" f]- k ecuon o. Township Name nr Nn. RanBe No. County v-? IJ Occ ?nt IPRINT) Phon No. tQ Pawer L ?..( AAtlress Eleclrical Com ae[or ICOmpuny Namel Convar.t r's Li ensa No. D d G Maili YHr+ICo'wFraktottiu wM Ma.i Insiallationl 14540 ?'E??3z1:.-, " T kN ? Authorie]Ff?i?*vtpfe,ls?t?a}t?,pjvne?r?,l{ing51a24llalionl ?irrLr, V i,1, I A?i1V :j Phone Number MINNESOTp STATE eOAflD OF ELECTpICITY THIS INSPECTION NEQUEST WILL NOT Griggs-Midway Bltlg. - Noom N•191 BE ACCEPTEO BY THE STATE BOAHD 7821 Univeiaitv Ava.. Si. Peul, MN 55104 UNLESS PqOPEfl INSPECTION FEE IS Phone(612) 642-0800 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ryesC-oo/o-?oi-os See inslructians ior rompieting Ihis form on b»ck of Vellow coOY. D. 69453 "x" BeloW Wak Covered by Thrs Request -4 0d Neo. Type of Builtling ApPlinncaf WireA Equiun.ent Wired Home Fa e Temporary Ser.'-ice Duplex ater Heater Liyhtiny Fixture.F Apt. 8ui Idinc? Oryer Electric He2hn Commercial Bldy. Fumace Silo Unloader InduStlial BIAy. Air Conditioner Bulk Milk Tdnk Farm Othnr oeci?v ??herl5usciNl t er Suecify ther Oth?•, Comaute Insnectian fee Be/ow p Fea ServiceEntranca5iza H Fee Faeders?Sublaede?s p Fee Cirouits Oto200qms Oto30qms Oto30An s Above 200 qm>s 31 to 100 Amps 31 to 100 Am s Swimmfng Poo? Above 100_Amps Above 100-Am 5 Transiormers ?rrigation &?orc?s Partial.0ther Fee Signs Speclallnspection S TOTAL ! em3rks ? n t ii- the E - - certify thnt ffie abou nal %?L inspection has been ? ? - /O meEe. 87.584 [? 56165??a ii ?, /? -;elo°-° Repues =? +? ? ? ire No. HougRin Inspect n I Required? xl Reetly Now ? Will Notlly Inspecior When R tl + O Yes o ea y. IPC licensed contractor ? owner hereby request inspection of above electrical work at: Job Atldress (Street, Box w Roude No.) / T 38 zs ? Ciry L>'l?-?? ? ? SecHOn No. Township Neme or fVO. Range No. CouMy y?? /? ^ ?/ T?C6 Occupenl?M) ? ?s Phone W. a co Powar Suppiler oQ Elect' ntraciw ?ompany Neme) ntractor§ license No. 4/0 C? 6 q 3 Mailing Pqtlress (COntractor or Owner Making Installation) 12-7 ? G.. ! ANhoriz re (COntracla ell I stallation) ? PhonJe NumJber / L ' 7 * - ? / . 1:+ / 7 C9O MINNESOTA STATCyEOAHO OF ELECTpICRY THIS INSPECTION REQUEST WILL NOT GtiggHLlidway Bltlg. - flaom S-i]3 BE ACCEPTEO BV iHE STFTE BOARD 18T1 Unlverelty Ave., St. Paul, MN 55104 UNl.E55 PROPEH INSPECTION FEE IS PM1Om (612) 6,112-01100 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-00001a7/ J? See instrucfions (or wmpleting this brm on beck oi yellow capy. 15 5 616 5_ W Below Work Covered by This Aequest e Add Rep. TypeofBuilding AppliancesWired EquipmentWired Home Ranga Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Indushial Furnace Fartn I Air Conditioner Other (spatily) ConVacmrS Remarks: Compute Inspection Fee Be/ow: # Other Fee # ServiceEMrenceSize Fee # Circuits/Feedere Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps Signs Inscenors use Onry: TpTpL Irtigation Booms Special Inspection Alarm/Communication / [ Other Fee I, the Eledrical Inspector, hereby certiy that the above inspection has been made. Rougn?m t • Date `Z OFFICE USE ONIY Thi3 fequest void 18 months irom 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 `J ?O - J ? ? 851-681-4675 C °, New Constructlon Reaulremenfs Remodel/Reoah Reaulrements ? 3 reglsfered sNe surveys showing sq. B. of lot, sq. R. of house 2 copies of piqn and all roofed areas (20% maximum lot cweraae allowed) 1 set of energy calculaftona for heated addHlons ? 2 coples of plans (show beam d window skes; poured fnd. design; efc.) 1 eke wrvey for exterior addRions 3 decW a 1 set of energy cakulotbns > 3 copiea of free presenaHan plan % IW plaHed afFer 717/93 DATE: 4t 'L4 ' q4% CONSTRUCTION COST: N$,Sop DESCRIPTION OF WORK: 4rew `Y?Q STREET ADDRESS: 3s2 $ M? ?? Q"? Co?+rk u4 q? M M S S I 23 LOT: 12, BLOCK; SUBD./P.I.D. #: ,JJ 1 1 ` Name: 4enders0'% Phone 6 5 I- y 5 4? 6ssZ-?I PROPERTY Last First OWNER Street Address: _ 35s L S Nl"h R ? n Co., r} Ci}y E?;?r4g? State: M N Zip: S S i Z 3 612 277-5i53 Company: poti.eew,er Phone#: br?-- ??` (area code) CONTRACTOR Sheet Address: 3925 f+"' R ? n C-r?-- License # -- EuP. - City Eaca? State: M iu Z)p; 55 12 3 ARCHITECT/ ENGINEER Company: Name; Telephone #: area code ( ) Sheel Address: Regishaflon City State: Zip: ,Sewer & water Iicensed plumber [reauired for new conshuctlon onivl: Penatfy appltes when address change and lot change ts requesfed once permN is issued. i 1 hereby acknowiedge that 1 have read lhis applicatton, staie fhat the informaflon is cortect, and agree to comply wRh all applicabl State of Minnesota Statufes and Ct1y of Eagan Ordinances. Signafure of Applicant ? - OFFICE USE ONLY Certificates of Survey Rece+ved _ Yes Tree Preservation Plan Received _ Yes _ No _ No - Not Required h'1`' o?slX OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) j< 02 SF Dweliing ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging, ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 _ New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof • Give PCA handaut to applicant for demolition permit GENERAL INFOR MATION Const. (Actual) N Basement sq. ft. - Census Code (Allowable) ?? Main level sq. ft. SAC Code ? UBC Occupancy P sq. ft. No. of Units Zoning sq. ft. No. of Bldgs _/f)_ # of Stories ? sq. ft. MC/ES System Length " sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Bu ilding Engineering Variance Permit Fee Valuation: $ f • 2. Surcharge Plan Review ? CITY pF EFlGAN License I MC/ES SAC ., CASHIERe lg Tf?RMINAL NU: Dii City SAC DqTF: 12/13139 YIME: 13;35:22 I Water Conn. I IIi , WaterMeter I NAME- F;FlREN M. i-tErlDrRSON Acct. Deposit SM/ Permit 3210 9001 3825 NILL r.uN r i 60.00 5!W Surcharge I 21.5 90(Jl 3825 MII_L RUN C 0,50 ' Treatment PC ; Park Ded. ` I Trails Ded. I Other d Copies l TotaL• I 7ot;a1 Receirt Amoun+,: 60,50 SAC Units cRj,2qig3 % SAC L - USFC IUs .7FlN ----- Zw r ? 1987 BUILDING PERMIR APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS IACLIIDE 2 SEfS OF PL9NS, 3 CfiRTIFICAT6S OF SORVEY, 1 SET OF ENERGY CALCOLATIORS NOTE: 9DDRESSES FOR CORNER LOTS - CONTRACTqR/HOMEOWNER MUST DESIGAAYE WHICH 9DDRE3S IS DESIRED. NO CHANGES WILL BE AI.IAWED ONCE BIIILDING PERMIT IS ISSQTsD. MULTIPLE DpELLINGS - RFSIDENTIAL RENTAL iT,"dITS FOR SALE II6ITS TNCLUDE 2 SETS OE PLANS, CERTIFICATE OF SDRVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COtm4'lERCIAL INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, ? $2,000 LANASCAPE BOND To Be Used For: tiev? Valuation: 000 - Date: -n- "07 t . Site Address 3 JJ p I,.-- ? Lot OL Block Parcel/Sub O_ !'Lz 1C1? Owner l_a t/1,7.-fl 1?1? Address Llol ?-° City/Zip Code Phone qJ "f ,,Ot 4q Contractor ? 1lddress City/Zip Code Phone Arch./Engr. _ Address City/Zip Code On ;'ate Sewage_ MWCC System On Site Well City Water t/ APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance • Occupancy R-3 Zoning Type of Const (Actual) V-N_ (Allowable) V-N 0 of Stories Length ' Depth S.F. Total Footprint S.F. FEES Permit 3 gy. 50 Surcharge _,3 3. ov Plan Review /q 2 • z5 SAC, City 100.00 SAC, MWCC ZS, 0 o Water Conn 52 . Oo Water Meter G .0 Road Unit 305,00 Treatment P1 d,DO Parks Copies TOT9L Phone # -qq GHkAUE ZZX 22= [FByxl2= SSOB yDusE Z, (- X 3v = 5W ' xq = ?z la6o x uw = ??6yv :?smT ZyI ?C 36= ?f3! Xly= l3o3y ?--- 655?8Z SIJRVEYOR'S CERTIFICATE /? ? ? ,/'. y ? ? 10 e ?90i •2,?' ? o? A1. ?? // CORPORATE CONSTRUCTION % _ ? ? ? CO /\ ?FFS??? 'QT r! ? ryh \ ? \ `. \ ij ? lk W F) / ?-so ry" `?(-, , IL oo°? 3eo---r ?6 i ? ,? - LOT ? ? t`'ySF?4Ct. ' L ? .aG??\E\ ? .? o \ FyrPV??? ? ? \ F,yp'y• `? ??s? ?'N W C" ?s? ? ?C , ss?oo3 ? JS so- Q ?- ? ? ? DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SEf SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 900.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 89-7,5 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OP BLOCK - 90o --7 FEET WE HEREBY CERTIFY TO CORPORATE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 12, Bbck II, BRIDLE RIDGE IST ADDI7ION accordlng to the recorded piat thereoi, Dakota County, Mlnnesota. 1THIS LEGAt DESCRIPTION WILL BECCME VALID UPON FILING THE 'PLAT OF BRIDLE RIDGE IST ADDITIOM. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDEA MY DIRECT SUPERVISION THIS 25-[ K DAY OF SEPT, , 198'7. SIGNED: J E R. HILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 m ? m ? 0 m O M r ?0 o ? o N a _ p iT'i A ? O RI Z J -, a O m 7C Z m p Z ? ? ? _ O T \ James R. Hill; inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. o BLOOMINGTON. MN. 55431 • 612•884•3029 co oci 1 Wa. 1989 HOII.DIBG PfiBMIT APPLICATI0N - CITY OF SAGAN SIAGLE F9MILY DWELLIAG3 I `P zi ff INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATFS OF SURVEY, 1 SET OF ENERGY CALCIIL9TIONS Di0T8s ADDRffiSffi FOE CORNEB LOTS - CO&THACTO&/HOlEOWAER MST DESIGNATE iiSICH ADDEESS I3 DESIRSD. AO CH9NGF5 iiILL BE ALLOiiED ONCE BIIII.DIDIG PSRMIT IS ISSOED. M[TLTIPLE DWEI.LIINGS HBNTN, U9ITS FOH SALE D9IT3 # OF QNITS INCLUDE 2 SETS OF PLANS, CSATIFICATE OF SII$VEY - CHECg WTfH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONMERCI6L ? l INCLQDE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANS, 1 SET. CF 3?ECIFI.^.ATIO::S AT7D 1 SET OF ENEP.GY CALCULSTIOAIS To Be IIsed For: D?-e-? Valuation:4 I UOa!E= Date: AFr? gI Site 9ddress R?? Cl- Lot 4?- Bloek Pareel/Sub BELaLIRE FtDSE isr AUVN Owner ;/a LF,,,. --'? c? (olO S o,, Address 3 8;)- s it,.. ?, C1ty/Zip COde ??.? w? .Mn S"J 0-3 Phone 4, ,S G `9 L L 2- Contractor Address CitylZip Cu3e Phone Areh./Engr. _ Address City/Zip Code Phone S Oceupaney Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site seciage On site well _ MWCC System _ City water _ PRV required _ Booster Pump _ 9PPSOVAT.S Planner _ Council Bldg. OFf. Varianee F6E3 Bldg. Permit c26 , ? Surcharge ,.So Plan Review SAC, City SACp MWCC Water Conn Water Meter Acet. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies S? YGTAI, 00 NOTEs 3ewer & Water Permit fees and account deposit fees will be included in the building permit fee. Procesaing time for aewer and water permits is two daqs onee a licensed plumber has applied for a permit at Citq Hall. CITY OF EAGAN APPLICATION FOR PERMiT SEWER AND/OR WATER CONNECTION *IOT?': PAYMFTTS' OF FF.E AT TIME pF APrrscAMoN nors rDr CONSTITU= APPR(R7AL OF PEEiMIIT. INSPncriotv oF sEWM ArID/? WA= INSTALLATTpNS WII,L P](YP BE SCHED-- OLID UWPII. PERMIT AAS BMN APPF20VID. . .• x:**w?errx*,rx*+e*x?*,e*trnet**,t+r,t,t+***,r P ease Print ? 1) pROPERTY ADDRESS: R g';), LEGAL DESCRIPTION- _ Lot Block Subdivision or Tax Parce ID ) IF EXISTZNG STftL'CiLR2E, DATE OF ORIGINAI, HIIILDING PERMIT ISSL'ANCE: ' PRFSENf ZONING/PROPOSID L'SE: (Nbn Year . [] CavERCIAL/REPAIL/OFFICE IPID[.'STRIAi, ? INSTIZSPfIONAL/GpVE[tIZo•pr ? R-1 SINGLE FAMILY Q R-2 DUPLEX (14,o Dni.ts) ? R-3 70WNHOUSE (Three + Units) ( Units) R-4 APARTMENT/COAIDOMINIUM ( Units) 2) ? NAME: AAn ADDRESS: CITY. STATE, ZIP: /77i1/ 'S-SU? 3 PHorE: X/o /?- ron4,?. 3) ? i: a• NAAE: ADDRESS: CITSC, $TATE. ZIP: PHONE: ruAsTEt LxcErrsE# _ #oy5/J Active Expired Not recorded st?Initial 4) ?? - NAME: _ ADDRESS: CITY. STATE, ZIP: rxorE:-_ US[.f- /Jr 5) u ?. ,?, :a •,• . a? 'ONNECTION M CITY SE,'WER NNF]CTION M CITY 4ATER Q pTI?R 6) ? PLFASE HOLp ApPROVED pER[-IIT FOg CI(-UP BY ONE OF AHOVE PLF.ASE MAIL APPROVID PERMIT TD 2, ?. 4, AHpVE ?_ ' . ircPone) -FOR -CITY USE ONLY ` ; PERMIT # TSSUED . „ Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLLDE SURCHARGE) $ $ WATER PERMIT (IIVCLLDE SORCHARGE) $ (p 7•0 Z? $ WATER METER/COPPERHORIV/OLTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCODNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER S 5Z So? $ wAc $ ?O Z Sa`i) $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ /?D GrD $ WATER TREATMENT PLANT SURCHARGE F $ $ OTHER: $ 7, U? $ ?2-?' TOTAL - 77977 8 6d RECEIPT RECEIPT DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PLBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSDED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: &-? TITLE: DATE : ? - ,URVEYOR'S ? 4 i1 ,> . Lnr II CERTIFICATE \ . - - •. a . e ? \`5? 1X, r CORPORATE CONSTRUCTION ? ? 8 \98 'AC, ti •a ?0 6,/AQ?/p??? C0 ?- ny ry ,. .a,• . . . , '?3 ?l \ ' ry '°po \?"?"4, A O / 9 OGSlnsFO 'V /('? r I? 74c? 3A0 ? ?6 ? j } 0 L (90 I F4SA?N4C 12 / o, oQo N "`qr `?s / cv ?. A ?r7r ? , ssTao3 ?_ J, so- ? , r ? ? - DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 900.15 FEET X000 0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 59-7,S - FEET . (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 7 `7?? , FEET WE HEREBY CERTIFY TO CORPORATE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT AEPRESENTATION OF A SURVEY OF THE 80UNDARIES OF: WILL BECCMEIot Theleof, DBlock akotal,CouniDLEMlnnRIGE esota.IfTH ADDITION GALo g DESCRIPTIONth p VALID UPON FILING THE `PLAT OF BRIOIE RIDGE IST AODITION). • IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 25-TN DAY OF SEPT, .1981. '?. 4?:: ?\?`.??._ ? , ,.,.. z/? `;tte Addres :ontrac tor LC.. +s'lii 1 0 cl?'. ?hone Ju1lEtnq Classltlcation: Type A1 (Stngle Fa:nity 6 Ouplex) ? Type A2 (Residentiat? (3 stortes or ess (Other) (Over 3 stories) ` 'sENERAI INFOADNtION a , 1. Building PeMmeter lq4 ft. Z. ualt height (ground to eave) ft. 2 3. 1. x 2. (abovt) qross wall orsa Zo2Ce fc. C? -7 z1;6?.? 4. Building dfinenslons (L) 2)?$ x(N)-Z.? • tp(?o ft.z roof 5 floor area IS. SQuart fcot area of rim joist - Floor joi_t size (2 x lo ? ) lo x Perimeter = Rim o st area • \ ZO ftZ Ty- 6. 900rS - ArN Z Z. 7 7h1t ness n. actor 7- 3?Type of Constrv? ?eHme ter 15.4R ft. ct)US Menufatturlr 7. Total door's perimeter :I'Z, Z 4, ft 8. Windrnrs: llanufacturer Y"Oo?.c ? State approved u tactor 5 0 TYPE 5f1E ARIcA (F:.z) NUMBER pF TOTAL FEET Z C, QL_S . .? .i a? ..? EACH w4? C..az • ?i O ck O -k `7 9 " ri'oa1(d \ Z.59 30.3o ra.ay UNITS 4 \ `? \ ?.- 3 4 4. 7 Z.. r _ k z . s.9 ??'. Ge.Oa fr': y. Total ft.2 61ass?-? » Fireplaco area: Width x hetaht • ?- x ?--? ?3-- Ft.2 ? 11. Expostd foundatlon: Naight x Perimeter , `' x 1 O(o • IE7 3 Ft.2 u, ')MPlETION Of TH15 PORM IS REQUIRED FOR AlL NEU COIISTRUCTION, NAJOR tiENODEIINfi ANO BUIIDi.'1G5 BEIM( ; 1)YED 11t4ERE ENER6Yo OTHER THAY THE MINIMAL LODE ALLOHaNCE, IS USED. j:;... • . ? ?': -... ?= j arrN • 18i er "i wl1 .ss wa11 •r?a Z o ?Ce £*.,2 `:° uindow artu A ?I `l g ft.2 IJ windows •_ . SO !J x A¦ Rim fotst area A ?-Z-o , p ft.Z . ? Door area A ' ?-1 _ -1 -7 ft. Fireplace area A -?-- f•.z Exposed faundation A f*..- Framing ares A ntet watl area a 14qlo. $4`c. ' O„o U rim jolst ¦ , Og U x p . q??O :J door area • . lZ--'Z _ U x A • U rireplace = 4?- U x A J foundati0n ¦ . ?\ U r A = 5_ rb3 J franing area ?_09 U x A • 18 ?? 'J wall = ?043Ux h • . . . . . . . . U x a 1 ??, 3C ? ;4. Gross walt area x 0.11 (A-1 single family S dLI:;=x = aliowable UA A/Code (l3. above) . x 0.23 P-2 other residentis " x .23 !Other building,` R .28 (Over 3 stor;e:) ? O ?? TUN Must be larger than A X ' Ccde 138 abeve the same as 5. Ceiling framing area (Af) aquals 10': of area ? :5.1, Gross ceiling area • iL} 3`? x('.) .?Ce • ?C?(op ft.2 ;5D Joist area (Af) ? 10" cei}ing aree O ft.Z iSL. Ne! Ceilino area (AC) (i5A - 158) ft.2 UteilingxHc? x,?.`?'?__= ZO_?O U framing x A f- _ 07- (e4% x, l O Cn ° 2?C'J :50. 'aTal U x A ........................................ ? ( O -?-_ ".6. Ceiting area (15A) x 0.026 (A-) single `amily S Cuplex - code ailowable U x A ?- , x O:C33 (A-2 other residz^tial) . x 0.06 (other) BoUN Must be larger than 19D (above) A(15,?) x?fco eq 1? :p C f (or the same as) ` NOTE: Use U and a values obtained (•-om np; l, 3 and 4. 2ND vALL SiCT.'b: ? fltM JOIS T i i? !,,? r i 0 [ntertor yi11 •`??'' (Yali) tl ? ? r ~?,. ?:nsu;ycivn ' ?.0? 'y' ??h4tRln? . ,. a SiJtng • ?°7 ??. ? ?4?i? ? Jutstde air flim f .1? ,.. ---?- I rorAt lnsfde sir Eifm t11Ca:iQ[ :IllL •4? . Y (Fraua[eg) U ? IL • '?i? laChSn$ .'Z.O(e S[dfng .`7 Outslde air iiln .17 .. t: 'OTAL ? 6 Inittle air (:lm Re .68 Int.r ior wi l .4J~ insulation \ct ,'op Shuthtng Z. °a Esceriot valt :oyeein4 ExCerlor air fllie ?."- • v R TOTAL 2_3 . Q 'Z L' .;3 el Inttriur air tll:n :r.suln:.ion 4`?-oa 1 •`=? \ 11i ir.cA soft +uud 9=1.88 ' «im U • ? ! ' 1 3,Iq t?t ?5h n8 sa ?•• ?. ?? `..p "Il, "'Ey ;(C!i'70C MaLL LOVRCIR$ •?0?, - •, ',r{ I . . . . nxteclor air ftlm . ' . lia .17 e .ibl r'• 4 .. ? a roTeti , , i lnt«riur air ttla R' ,. 11 ? IOSUlA.tOR . ?•?? ' ' .rF'. -FounJatiun `Z-•to (Fd11. ) , * ? ° `-'Exterior alr ftlm Ro .17 ? 1 ' ` ' -?.- ? 9 • ` i R TOTAI ? ? ? ?. ? ? ?fxpoied 3Luck . I " ' I • ? „?, ? • ,?? \ ?, • '`?...:,, r,raCe 3. ? l> - 'h ha th r r . s ? .` ? , ... ?.? : .. 0.61 K!r F11m _ ? 3\ .-t 5 InSulation 0 4 . 3 2? Joist ,_.. , -s?"_,F? Ceitinq - h 0.61 Air Film '1.93 Total R U r S 4 y,? n? n R1 a W 5 ,.,. ?,.,.. ----? 1 % W I .". . . . T '. ? J(ndo,,, intiltraticn .5 cfm/lineal fpot of crack ;esldanciat door infiltration 0.5 cfm/Square foo: nt or dcor and mtnimur code raqulrems t: + ?'?n-resfdential door infiltration 11.0 cfn/l ineal `oot of craCk i. ?i p 1 2" c o n cr et e block no insulation - .47 R 2.1. . f;4 i p 12" concrete block insulated cares = .26 R 3.8 ``' )5 12" 11glitoei4ht blotk ¦ .32 R 3.1 : 12" lightwelght htotk i+isulated cores ? ,.. , .12 Q 8.3 sinyle gtass ? 1,13? wfth storn v(indow .54 . ? doubta'glass ¦•;:5? ' ; glass ? .41 triple ,:. exterivr walis and ceilings must have a vaaor barrier (C•10 Perm mix•I• l r bar.rier must,De on the inside (heated sidc) . of. wal. aluc R r qAr'rllrs of tli#! ROlYethllent thin fiim have v . no , < ? . , ' ? . . , :; . . ; f- n r, ? ae ? ??; //? . ? ? ? . rii`? r?# 6/C'lCIN/J -J" '"?? , ame__„ , lL_'? ' A HEAT L088 CALCULATIOpB c, !` c Lcrss ? , -Total 6tu Input I nuwinaom Ae:v.,ni,.mAVpd .. Roan I L9th . , •' Wth. ( Ht. `' i FL A. oom I 1• •• Wth. Ht. . LYth R ? /Wd?n N?qM No.ol ' . Urv?11,. An? No. Widtn pi N?yln OI n? No.ol 1 U lb w fIH. OKR Of ? N.16 'o. pI pN4 0/ I 1 0l cf?[t p.ll. . . . q.?. :.?CeOn idoen co.f. BTU GaN. ?N '"--- 70 InlPnubnWlMow? 4. -?- - 1U .?. ?m?onn'mwr? lla ?nn?un?onwrooon . 71 .,..unions/Omn )t / ;) In111vnbn8/Oeen .. ?i? .o W?? ? L?.WNI .., L o?.. 'ec? 6 WM1 ? a 7 ? ..?twwr' Q 1NtEw. e? 4 4 6 ? ? ? .? 714 r;l1 N - Fbs 7 1 rm.i em. jFl.?[ Roan lOth.,9?. ..Wth. / FI. LOM. , . ..?hJ.:'_ . .. Ht. ' A. WdM H.ly?t Ne.el l4rrN1t. ru Ne• Widt? l I?t M Me.ol 1 4 LInM t. e1 Me4' ` qJt.' . No. d ol W. 1 n ol cncY t1.16 e - ?, J ( O ? fI /OOOn ..?._ Cwl. BTV /doon Cwl. BTU laoon 38 38 In1lhn?bnWlMOw? - lie iMmo.1w" wro. » i.nn,mion 31uea. . 71 Exp- WMt G?n.6 Doon 3 ? ?' Ghae Oeas ?? . II ew.wrI a' Hnem.wali ,` . 4 67 1 6 Ollb ?' ?j l_-- t? Gn..p _ q ? 6 7310 ri°° 1.,?81v --- TouI .rv. ? +y FI? Raom 11 L9thI ••• Wth.? FI. . ' Room lYth./'? ••? Wth. Ht} "-" T"w.uL+ Aw HO ' wd?l? HNCIit No.el II 4mfNlt. a1 cnc\ ww ?I 1?. Ne. yl OM? _ al u 11 l. OI ?F W.1t. . d?n? W?n? U . _ •7 ? ? ' ' G ,7V -- - - /cla,, . C.M. eTU ce.'. aru Inl l.li.?k'n W??? ? InIllunbnWtnOow\ P. C7 36 { ?n4uuuon WlOOP'f 118 InlllbtliOn W/DOp? 118 3 „ > 5,nco,. Ew.wN? ? fv.111411 P ? Gr??6Doon e'? GIw6 Oou? ?..., NnCw.wtll 4 WIEW.WNI 6 a - ' - GiY1i j 3 6 106 Fbor . 7 7 'r.,:r s,?. Tow sw. . .. . ._ ..... _.... ......_.._..."'.._.._..._ . r •,•. - ? T, ; :' ??. ? , /? ! ci- ? r? # - ' aa. ` "-• wan._ . , _ .n ATIONB u LOSS ' ' ?_o?s • ' Total Btu Input I = `m? ^ AEwT, n _ r.AAastflppd . ; /r I .. Hoom ? L9lh. ?• „WtA. ?' • •• Ht. ,• •• FI. RoDm lMh. • ?•Wth • ?• N1 _-.•( .-w.Jm ? ?1?? No.ol LIMtlI. 11.n No W1Jth H?Ip?1 No.ol II LI?tl. o? asM .11rw.. 1? . i wn? I pxi? li n?? ef n"Y q. lo • ol ?n? o? u . . ? ICmn Cwl. BTU L IOOw? CaM. tRl ' ___ InIJIrHiNWiWdv? y38 I?INV?Ib?Wf1140W? V , i??,n.nw?wiooo?. tta ?„ru?oew?w?ooa. ?1s I?W?rnion5!Deen » Inllhrnlon6lO? 71 E Yp. W 41 f?. WNI _ cr..sc.?o.? ? p cwsooaa 36-a NNEW.W?tI 6C7 NnEw.wY? a 4 D 4 . GIIiM ---- .4 a Olllny . . ! ? Z . Fbw 7 106 Fleor 1'1 la.isW. TotN{tu. Fl. ??./Q r:? Hoam ??n ' w,n. 3• ' He ' FI. Room LYtb. WM , . • ° Nt. Ma. Wtltl? N?ip?J Hp.01 11mN1 . Iu tl ? Ne. WNIh ..1 orr ?IC?? M e?n? No.01 IMn LL1N11. ol rn[t 1M M. h. 6 % " I. fdoen C?. BTU iMuu..+w.wino? 38 i„nn..?ronwmdewi . InlflvnMnWlOws .. 1/8 Inflltn4lon W/D? IMil.rnbn8/GOw? O 71 InllryfnbnS/D. E?4 wMl Cw+LDOai? (l' ?' 3015 .?V G? & DoY1 Nn f y. W JI 4 ? Nit [W.WNI =4 6 Gmro - iWw ?3 a Flop T.1? 0', Tm4 Brv. FIl--'-- Room ? LOth. ••• Wth. ••' H. ' FI. No. W+tlm ..r.,,.... Mnp?? .,. ...... No.ot ......? lirrNf?. ... "_"_ An? ? ? . Y.e. WiOn ceM. I 8Tu 1 . .. ?u.w . » IOOen C?. BTU ??? CoM. ?Tl ?Ndvnw?WiMOw? ? In111vnbnWfnOwn ? ' IMJV?IionW/pax? 118 In111v??ionW?poaa rl? " ??Mnvribn 9(Cnas 71 InlNVxion S/Oaan ?? E.p. wNl ErO. WMI G W, i 6ow? 36-0 G4w i Dowa ? ??• Nnfw-W.11 - . 6 7 4 6 N., Ew.WM4 s E_6 . Gn1W . . ?4 6 6i1tp ,s % fbo? ?pb Fbor . 6 TvW B?u. - ToW \w. RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-687-4675 Naw Construction Reauiremenb • 3 registered sile surveys showirg sq. R of lot, sq. fl. o( howe; and all roofed areas (20% maximum lol coverage albwed) • 2 copies of pian showirg beam 8 window sizes; poured tounA design, etc.) • 1 sM of Energy Calculatians • 3 copies of Tree PraservaUon Plan if lot plaCed afler 7/1193 • Rim Joist Oelail Options selectan sheet (hIAgS with 3 or less unhs) DATE 14/2---) )02 1 i3.-1`J RemodeUReoair ReauiremeMa . 2 copies oi plan . 1 sel af Errergy Caltulations for healed additiore • 1 site survey Mr exlenor additions 8 decks • Indicate if hame sened hy septic syslan (or addi6ans VALUATION 4 2Gl O OL-i SITE ADDRESS ?)9 25 MULTI-FAMILY BLDG _Y _ N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ?- STREET ADDRESS -Aq C?) c?t ??fa?O i?? 1 v_j?_ CIiY LL+-11P. (' c9n STATE +'-nZIP FJ?J I I? TELEPHONE# 4954 14?pSQCELLPHONE# FAX# PROPERNOWNER \1-Nc?re.r1 Y?nc1F?c-,n TELEPHONE# 405 SIL02 ----------------------------------°--------°------------------------------------------------- COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MIVNESOTA RUL.ES 7672 (J su6mission type) • Residential Ventilation Calegory 1 Worksheet Su6mitted • New Energy Code Workshee[ Submitted • Energy Envelope Calculations Submitted Plumbing Confractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Coniractor. Phone # Phone # Fee: $70.00 -----------------°------°------------------._..__...---------------°--•---------------------------------°----°---._.. I hereby acknowledge that I have read ihis appiicotion, state That ihe information is correct, and agree to comply with all opplicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY _ Water Softener _ Water Heater _ No. oF Baths _ Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System Fee: $90.00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 17 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 WindowslDOOrs ? 34 Replacement 'DemoliUon (Entire Bldg only) • Give PCA handout to applicant Valualian Occupancy MGES System v_ Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinktered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinallC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Odier Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replaceme¢t) _ Insulation _ Retaining Wall Approved By Gass Fee Surcharge Plan Review MC/ES SAC ciry sAc Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector REgIDENTiAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PIIOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conswction Reouirements • 3 registered site surveys shov,ing sq, ft. of lot. sq, k. of house; and all roofed areas (20%maximum lot coverage allowed) . 2 copies of pian showing beam & window sizes; poured fountl desgn, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platteG afler 711193 . Rim Joist Detail Op6ons selection sheet (hldgs with 3 or less units) DATE 0: • 5,M 0 . oa ?o .--I1:-_ RemadellReoair Reuuirements . 2 copies of plan • 1 se[ of Energy Calala(ions for heated additions . 1 site survey for exterior adtliGons & decks • Indicate if home served by septic system for atltlitions VALUATION ?d? ?cJ(0/ SlTE ADDRESS MULTI-FAMILY BLDG _ Y X N „ . ._ . _ ?. TYPE OP WORK' _44 STREETADDRESS;)oM TELEPHONE #jj.C&90•ob?ELL PHONE # FIREPLACE(5) _ 0 _ 1 _ 2 _CITYSTATfi?_ZIP?J9 FAX # PROPERTY OWNER%CLMM_A_.0 lker\ck,fl?,yL'7 TELEPHONE # ?6 I •LV5`(7"5b'9) -----------------------------------------------------°--------------------------...------^--- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ FII.V1'LSO'CA ROLE:S 7670 CA1'EGORY i MINNESOT:1 RULLS 7672 (v'submission type) . Residential Venfilation Category 1 Wortcsfieet Submilted • New Energy Code Worksheet SubmiKed • Energy Envelope Calculations Submitted Plumbing Conhactor: ____ Plumbing systcm includcs: Mechanical Contractor. Ylechtmical sysLCm includcs: Sewer/Water Contractor: Phone # Phone # Fce: $90.00 P'cr: $70.00 ------------------°------------------------------------------------...---------------°-°.,------------°-°--°°------ I hereby acknowledge that 1 have read this application, state that the information is correct, and ogree to comply with all applicable State oF Minnesota Statutes and City of Eagan rO? dinancesQ SlgnatureafApplic2fY?J L..(.?,r?7?c'in."I-- OFFICE USE ONLY Water Softener _ Water Heater No. of Baths Phone # _ Lawn Sprinkler _ No. oF R.I. Baths _ Air Condilioniiig _ Hca[ Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFfCE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plez ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweiling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof O 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories ' Baoster Pump Nhr. of Units Sq. Ft. `. P,RV Nbr. of Bldgs - Length Fire Sprinklered Type of Const Width _Foofings(newbldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile RooF _ Ice & Water _ Final _ Framing _ Fu'eplace _ R.I. Insulation REQUIRED INSPECTIONS FinaUC.O. _ FinaUlVo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Air Test _ Final _ Windows (new/replacemen[) _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Capies Other Total Building Inspector . „ _ Installed Siding andlWWUspOWER OF ATTORNEY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc,, DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of SG 20268257, do hereby appoint, name and constitute Elder-7ones Building Permit Service, Inc. ("AgenY') as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 30'" day of May, 2003, which date is one year from the execution hereof.. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS VaMREOF this Limited Power of Attorney is executed this 30"' day of dAh`f , 2002. ns c p kq§ David . z SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 30'" day of May, C?,C Notary blic in for the Stat of eorgia My Commission Expires: Januazy 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779•1300 • Fax (770) 984-0709 • Toll free (800) 79•DEPOT b?a?3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 F7o New Construdian Reauiremenb RemcdeLReua'v Reauiremenls Office Use Onlv 3 registered site surveys showing sq. ft. of bL sq. h, af house; and II roofed areas 2 cop'ies M plan CerE nf Suney Recd : . Y, N (20%ma:imumlotcovarageallowed) isetofEnergyCalaAationsforheatedadditbns TresPmsPIaaReCtl :. ._Y _N. 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 sRe survey for addtions & decks Tree Pres Raquired _Y? ? N 1 sat of Energy Calculalions Addifbn - indicate Aonsde sepNc system Onaife SeAdcSyslem _Y _ N'3 copies of Tree Pieservation Plan if lot platted after 711l93 Rim Joisl Detail Options selecdon sheet (buildings wHh 3 or less units) Date \'? /net / Ds Construc[ion Cost a I" - SiteAddress 3sa5 'rn????L1R C?• UniUSte # Description of Work O oG, . Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner 6:h aAA'M ???p (SQ(?'? Telephone#(fg51) L4 0`rJ • 9 SD a' RMA HOME SERVICES, INC. Contractor Home Depot Installed Sales Address 3200 Cobb Galleria Pkwy, Ste. #200 City Aflanta, GA 30339 State 763-542-8826 - Telep6one # ( ) - BG20268257 ----- ---' . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (Jsubmission}ype) Submitted Submitled • Energy Envelope Calculalions Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Coniractor Telephone # ( Telephone # ( Telephone #( I hereby 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 lan in the case of work-whichseg ' a review and approval of plans. Q??? u ?? I I , ; '"A 23 2005 Applicant's Printed Name Applieant's Signature I "-L 4?;y ---?- OFFICE USE ONLY Sub Types ? 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. Att- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demoiish Foundation ? 45 Fire Repair ? 33 A{teration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (EnGre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width I REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaVC.O. Footings (deck) _ FinaVNo C.O. _ _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ [nsulaiion ? _ Retaining WaV] Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment;Plant License Search Copies Other Total Installed Siding and Windows LIMITED POWER OF ATTORNEY. wi}NTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depet Installed Sales loca±ed at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attomey-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary arid appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limitad Power`of Attorney ara limited solely to the express powers delineated herein and appl_y solely to the Work. This Limi*ed Power of Attomey shall expire and automaticallp be revoked on the 21 st day of Muy, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN VlI'I'NESS WHFREQF this Limited Power of Atto!ney is e_,ecutcd this 21 st day of May, 2003 i . { David . Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 2003. e Czlt..r., Notary P ic in for the State o eorgia My Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT