4136 New York Ave f
Use BLUE or BLACK Ink
For Office Use
1
i Permit I
r t1
1
City of Ea ~n
1
y,I Permit Fee:
3830 Pilot Knob Road , I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-6675 00 i Staff: l
Fax: (651) 675.5694 91 1
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
C / D
Date: 0 Site Address:
Tenant: _ _ k Q i-,P - j c_n. Suite
RESIDENT t OWNER Name:_ Q'Cl Yle'g L ]SG It Phone: Sacj1^ y 05^ Q-71.3
3
Address/ City /Zip: ` l-3 New t d( Ave- AQ c, 1 MtLI E`J 1 Z3
Applicant is: Owner Contractor
TYPE OF WORK Description of work: J 5 -t..,l ` x k C-xkr-c,!UP L1 t11 h
Construction Cost: 161 00D Multi-Family Building: (Yes / No )
CONTRACTOR Name: Cra3 AsLY1a, aYlO.wq+ r It License 2- 06 ?a c-; ? _5
Address: PO a c>x L l") 9 City: C¢ r
State: M 1~1 Zip: 12 Phone: (015 (-37
a ! )7 ra J
Contact M i' ~ e F-c~, f t-h Email: M~Q
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
r
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 classed as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 4540002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecail.ora
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 of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Page 1 of 2
s oeco
DO NOT ITE BELOW THIS LINE
§UB 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 !rower Level Pool ~ Miscellaneous
Accessory Building
WORK TYPES
_ New T Interior Improvement Siding Demolish Building"
q,[ Addition Move Building Reroof Demolish Interior
_ Alteration T Fire Repair ^ Windows T Demolish Foundation
Replace Repair o Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation hot Occupancy MCES System
Plan Review Code Edition CAV SAC Units
(25%_ 100%,A Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Constriction Width
REQUIRED INSPECTION$
Footings (New Building) Sheetrock
Footings (Deck) Final I C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water Final Pool: _Footings Air/Gas Tests Final
Framing Siding: Stucco Lath Stone Lath ~ Brick
Fireplace: Rough in Air Test __,_Final Windows
Insulation Retaining Wall: _ Footings Backfili , Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES sac 41
1 C.-
City SAC 0 x 2~1 ~ ~
7
Utility Connection Charge VID
S&W Permit & Surcharge
Treatment Plant
Copies 0 y , 2 S
TOTAL
Page 2 of 2
11/91/2010 14:18 FAX 651 7691 2234 CRAFTSMAN RENOVATIONS Z004
leis Civil Enperieerrs rand Plannars Phone; 866- OZSS
rtilkate
BOCK PA E
SURVEY FOR- Frontier Midwest Homes Corporation
0ESGRI8ED AS: Lot 37, Bloch 4, STA'F' OpX PI.2Cr, City 9. E4gp.n`; 7,1*zkota County,
t,innesota and reserving easement$ Of reaord. .
TOP Off' FOUNDATION ~
GARAGE FLOOR 3=•a
. BASEMENT FLOOR =abs.:
SEVER SERVICS ELEV.
PROPOSED. ELEVATIONS
EXISTING ELEVATIONS
DRAMYNAGE DIRECTIONS
DENOTES LOT CORNERS c
DENOTES OFFSET STAKE: a
"40. 9t
'7- lkA-4 V!
see sg,e _ /C1.U0 LA T
313+5 ~
E
C eat.+t ~ O
17k4/hG i N ~w N i
Fax
TCJfc-
Zs
Z, D T~Y'h Ry
1 us r Sly "Lco~w 1 Dcat DEY
I hereby certify that this survey, plan or riepart was prepared by met or under my direct
SUVervifian and that I am a duly Registered Loa cl Surveyor under the Iwws, of 1ft
State *t M i nnesata .
Dole: ~('7 / 301815_
Jetfrey()O Lindgren , Licensee No. 14376
g'd SStrS-SEir- S6 ~~~-i3 3tt~l e95=G0 iro 8t Unc
T'"g
Eagan, MN 55121
BUILDING PERMIT
To be used for
Site
Parcel
4 ,
: Name cirywater
W PRV Required
= Address
3 , Booster Pump
° City Phone '
¢ Narr
.o
? i Addi
¢ City
Name
City Phone
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.
Signature o( Permittee
A Building Permit is issued to:
on the express condition that all work shall be done in acCOrdance with al I
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
5urcharge ?
Plan Review
SAG City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
- Permit No. Permit Holder Date TNephone ?t
Plumbing ?? ? ( • ? - ??
H.V.A.C.
?
aI ?
Electric
Softener
Inspsction Date Insp. Comments
Footings 1 yi
Footings II
Foundation 1011'
Framing
Roofing
Rough Pibg. ,
Rough Htg. g?2/
??. ?. ? iI f??(/ n• ?- .
Isul.
Fireplace y? 1,2
Final Htg.
Final Plbg.
Bldg. Final
cert occ.
LP
Temp.
Deck Ftg. r
Deck Final /o?
,.? /L • - - ?O `
INell <<
Pr. Disp. r• , ? / 5- j' 'W
PERMIT #
PLUMBING PERMIT 7 _Ie
' CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?CONTRACT PRICE: PHONE: 454-8100
Site Address ?'?'? ? '?•?? L• ??L BLDG. TYPE WORK DESCAIPTION
Lot - Block Sec/Sub Res. New
Mult. Add-on
? Name Comm. Repair
m Address Other
c City &` ???1 ? Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
? NO. FIXTURES TOTAL
Water Closet - $3.00 ? 1• ? ?'
Name Bath Tubs - $3.00
3 Addrep =Lavatory - $3.00
p City L.- P one Shower -$3.00
!?___Kitchen Sink - $3.00
FEES ,,Urinal/Bide, - 33.00
COMM/IND FEE - 196 OF CONTRACT FEE Laundry Tray -$3.00 ^
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$l 50 L? ? L
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 =.Gas Piping Outiets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM • 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SI6NATURE OF PERMITI'€E FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
. PERMIT # MECHANICAL PERMIT - ?" ? i ;• ? ,
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
ACT PRICE: PHONE: 454-8100
Site Address
Lot
? Name
m Addre
c City _
'I ? BLOG. TY WORK DESCRIPTION
Sec/Sub Res. New
. y . ? ` Mult Add-on
? ?-J ? Comm. Repair
.i - _ , - Other
? Name ' L rjAf-;, % a,c Address
o Cib
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
SP MBTU
M BTU
M BTU
M BTU
CFM
FEE:
SlC:
TOTAL:
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEHMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BIDGS_ - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RE5IDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
;
/,r . . .
SIGNATURE OF PERMITTEE
• ?-? i
FOR: CITY OF EAGAN
+r . ?. .: C' %+ . ': :V .. : . . . . . .. . . . .. :t . . ... . .. . ,. ..-. . ... -?.. . . . . . .. . . .. 711
. .
CITY OF EAGAN 18475
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PH O N E: 454-8100 BUILDINC-PMMIT Receipt # ;.
To be used for BASEME2iT FINISH Est. value $1.500 Date OCT 23 , 19 90
Site Addr ss 4136 NEH YqEtK AV6
?"IFORD PLAC
Lot 3 Block 4 Sec/Sub. OFFICE USE ONLY
PBfCeI NO. Occupancy - FEFS
CNARIES 1
EMAI RE zoning - 35
00
¢ .
Name (Acluaq Const .
Bldg. Permit
4136 NEW YORK AVE
3 Address (Allowable) 1.00
-
City EAW Phone 688--0722
;r or stories suroMarge
-
Plan Review
Length _
p Name `?AM Depth _ SAC
Cit
Z y
.
0¢ Address S.F.Total -
SAC,MCWCC
~ Clty Phone S.F. Footprints _
Water Conn
?
On Site Sewage
_
uu' W Name On Sde Well - Water Meter
W
? ; Address ?nwcc sy5tem _
a W City Phone City Water _ Acct. Deposit
P
PRV Required ermft
- S/W
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesotd Statutes and City of Eag
Or?nan Treatment PI
?
r--
SignatureofPermitee ----I _`_ ,'',
APPROVALS
RoadUnit
A Building Permit is issued to: CHARt'E'S IJMIRE Planner - park Ded,
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesola Statutes and City ot Eagan Ordinances. gldy, pff. _ Copies
{
? ?
V 36
• ?
? `
Building Official ariance - TOTAL
PermH No. PermN Hoider Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC ?? a ? . (,.fi'• IC' I`? ?G? ??
Inspection Date Insp. Comments
Footirgs I
Foundation
Freming (l 61
Roofing
Rough Plbg.
Hou9h Htg.
lsui.
Fireplace
Fnal Htg.
Fnal Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldq. Final
peck Ftg.
Deck Final
weli
Pr.Disp.
CITY OF EAGAN N2 15 3 5 2
. 13830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
BUILDING PERMIT PHO N E: 454-8100 Receipt # 7f n5-70 /
$,8
SF DWG/GAR
000 NLY 18 ? 88
,
To be used for
Est. Value Date 19
Site Address 4136 NEW YORK AVENUE OFFICE USE ONLY
STAFFORD PLACE
Lot 37 Block 4 Sec/Sub OnSlteSewage _ Occupancy R3/M1
. MWCCSystem X zoNng Rl
ParcelNo. Vn
onSiteWell _ (ACtuapConst
a Name ftontier midwest homes City Water X (qliowable) Vn
z Address 3902 CEDARVALE DR PRV Required _ # of Srories
o City EAGAN Phone 454-0433 BoosterPump _ Lengm 54
DePth 2$
o Name SAME - S.F.7otai
,
?Q AddreSS FootprintS.F.
i- City Phone pppROVALS FEES
?w
W Name Engr./Assess. Permit $ 566.00
?
=
Planner
Surcharge 49.00
x
- Address
Council Plan Review 2$3.00
a W City Phone Bldg.OfL SAC,City 100.00
I hereby acknowledge [hat I have read this application and state hat ihe Variance SAC, MWCC 550.00
information is correct and agree to comply with all pplica le tate of Water Conn. 550.00
Minnesota Statutes and City of Eag rtl?n S. WaterMeter 67.00
Signature of Permittee Road Unit 325._00
A Building Permit is issued to: FRONTIER MIDWEST HOMES Treatment P1 . 9(14_(lp
on the ezpress condition that all work shall 6e done in accordance with all
applicable State oF Minnesota S'utes antl City of an Ordinances. parks
^ TOTAL ri2.694.CC
BuildingOtticial
?
CITY OF EAGAN ?0 18475
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55127
' PHONE: 454-8100
L
Z
?
BUILDING PERMIT Receipt # - -
To be used for BASEMENT FINISH Est. value $1, 500 Daie OCT 23 , 1940
Site Address 4136 NEW YORK AVE
Lot 37 Block 4 Sec/Sub. STAFFOR? PLACE OFFICE uSE ONLY
P2fC01 N0. - Occupancy _ FEFS
Zoning _
w Name CHARLES LEMAIRE (Actual) Const - Bldg. Permit 35. 00
; Address 4136 NEW YORK AVE (Allowable) -
h
S
0
1
0
o arqe
um -
Ciry EAGAN Phone 688-0722 # oistortes _
Plan Review
, Lengih _
p Name SAMF. ' Depth - SAQ City
i
OE Addf@SS S.F.7otal -
SAC, MCWCC
`- City Phone S.F. Footprinis -
?Nater Conn
On Site Sewage _
Name On Site Well - Water Mater
IN Addf@SS MWCCSystem
Clty Ph0110 City Water _ Acci. Deposit
S/W P
it
PRV flequired _ arm
I hereby acknowleqe thal I have read ihis application antl state that the Booster Pump - SMI Surcharge
information is correct and agree to comply with all pplicahle State of
Minnesota Statules and City BI,Eaga man
f Trealment PI
j
Signalufe of Pefmitee - ? ?=?4?L ? APPROVALS Road Unit
A Building Permit is issued to: CHARLES LEMAIRE Planner - park Ded.
on Ihe express condition that all work shall be done in accordance wilh all Council
applicable S1ate of Minnesota Statutes and City ol Eagan Ordinances. gld9. pff_ _ Coples
-ry1.
Building ONicial fiyliq 1\1LlAA ,/? J, '1? ? Variance - TOTAL 36.00
This reques( voltl
18 momhs Imm P'CL' O /?/_ ? CY ? i
E 4 5 2 51_ L 1,5 7 1,31,1
I Re t Date ? ire No. Jpouph-'n Insyection
? 'flepwre ? O C]ReaAy Nuw &.V/TfrNotify InsPec-
es No tor When peady
??y?.lcensed ElecVical ConVactor I hereby rea.est inspection ol above
?j Own¢r electrical work installed at
Sbeet dd B or Boute No.
/res . Citv
ecLOn o. Township ome or o. RanBe No. Counry
Oc nnt IP T)
a Phone No,
?
Po r $uppli r Address
Elecvical Conuactor ICOmoany Namel ? trar.? L
bM$I s o f y akinq Instailalion)
11L
Auth 'z t' on fac or n r M?kinB ?? ?allationl
APPI.E VA=Y,1v?.I? Phone Number
MINNESOTA STATE BOANO OF ELECTRICITY THIS INSPECTION NEGUEST WILL NOT
Grigga-MiOway Blde. - Noom N•197 BE ACCEPTED BY THE STqTE BOAXD
1021 Univeraitv Ave.. St. Peul, MN 55104 UNLESS PqOPEP INSPECTIDN FEE IS
PFene (612) 642-OBOO ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
v/ 0 Sea inshuctiens lor comOleting this lorm on beck ot yellow copy. ? ?'?j
E 45251 ? "X' Below Work Covered by 7his Reques!
Re? Type ol euiltling AoOli.nc.a WireE Equrymen, Wi?ed
- Home Range T rary Servroe
Duplex Water Heater Lightiny Fixtures
Api. Building yer
D Electnc He:+Un
Commercial 81dy. umace Sib Unloader
Industrial 01dg. Air Conditioner Bulk Milk Tank
f8rm OIbNr Peci y Ttherl5uer.ifyl
[ er I uedfy ther Othur
Comnute lnsuectron Fee Below
q Fee ServiceEntmnceSiza H Fae Fextleis/SUbfeeders M Fey Citcui[5
0 to200qm s 0 to30Am s 0 tn30Am s
Above 200 qm?u 37 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Am 5 AboVe 100_Am '
Transiormers IrrigaYion Booms Pertial'Oth
Signs Specialinspection •jQ
$
T07A
emxrks ? /?
N
Rou9h-in Date
.,? I.t?e EI '
Inspector, heroby
ti?y that the above
Final ? o?`e
/U..? ?nspaction hes bean
?ea.
Thln repueat voltl 7B monlhe from
/?? '?1G? .• T / ?
'?J
? q 0Op3 ?? Wi
1 ia
mAki s-
?hd-o
489-9009 Jd?
Request Date ire No. ougNn Inspec1ion
? Ready Now ? Wiil Notity Insi
10/31/90 }[lves ?rlo WhenReatly?
Ialicensed contractor O owner hereby request inspection of above eiectrical work at: .
J0b AOtlress (SVaet. Boz or Route No.) Ciy
4136 York Avenue Ea en
Section No.
Tawnship Name or N0.
Rarge No.
County
1 1 Dako a
Oxu0art1 (PqINT) Plione No.
Chuck Lemaire
Power Supplier ACtlress
Elecincal ConVactor (COmpairy Name) COMroctak License No.
Central Electric Co, of the T.*in Cities Inc 0427858
MailirgA00ressiCOnire<lor or OWMr Mdkilre In9WlleliOn) '
7916 Central Avenue N. E., Spring Lake Park, MN 55432
auure (Conlraciw/Owne 1'? Installation)
mmz? & . ' ??--
1h .
P+ PMna Number
786-8686
MINHESOT0. STATE BOARDOF ELECTRICITY THIS MSPECTION REOVEST WILL NOT •
GrlpgrMldway Bldg. - Room 5173 - BE ACCEPTED BV THE STATE BOARD
1lYt Univxelry Ave., St. Paul, MN SSIW UNLE55 PROPEfl INSPECTION FEE IS
Phone(81Y)603-0800 ENCLOSED. '
REQUEST FOR ELECTRICAL INSPECTION ee-aooo .oe
? Seeinstructians for completing this brm an Oack of yailow copy
IN i -? n R,_? X" Be/ow Work Covered by This Request
ew c
Add =.
Rep. • -
Type of Building
AppliancesWired
EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Other (Specify)
Comm./Industrial ' Furnace
Farm Air Conditioner
Omer (specity) Contractor5 RemaBS:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuitsiFeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abo _ Amps
Signs Inspector§ Use Only: TOTAL
Irrigation eooms ? ? 30.50
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IP NOT
Other Fee COMPLETEO WITHIN 18 MON
I, the Electrical Inspectot hereby Rough-in oa
certify that the above inspection has
been made. oa
OFFlCE USE ONLY
This repuest witl 18 months hom
. 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
???,, ? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
la-a9.0(?:
New Consirudion Reauiremenfs RemodeVReoair Reauiremenis OfGceitSse f3nN
3 regisfered site suroeys showing sq. ft. of loi, sq. fl. of house; and all roofed areas 2 copies of plan e?rt cfi5urcCYR?ed
(20%maximum lot cwerege allowed) 1 set of Energy Calculations for heated adcfiiions I?e?F't69Pfen fXecd Y? _?1.
2 copies of plan showing beam & wirAow sizes; poured found design, etc. . 1 site survey for eddAions & decks Tree Pres uad Y? ,,,,.A1
?..
1setofEnergyCalculations Add'Riar - indiceteifon-sitesepticsystem OttSiteSeplic?SjStam
3 copies of Tree PreservaGon Plan if loi piatted after 711193
Rim Joist Detatl Options selection sheet (bldgs wAh 3 w less unils
Date 44 / ? / () `/ Construction Cost
Site Address L1136 /J4y Y,l< A< UniUSte #
Description af Wark /S 0`I' Cf o? , d-&A
Multi-Family Bldg _ Y!C N FSreplace(s) _ 0_ 1 _ 2
PropertyOwner ?Lc'. ?(,'ln.a Telephone#(?sj ) L105-0-?13 _
Contractor Ft?av g-,v"
Address 77 1,17 t`" 5'E - w City A t)
State Zip t;V rT?j Telephone # (9Sd ) ]@j ' T7 - ?35
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv I _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% pian review
Telephone #(
Telephone #(
Telephone #(
H HT
IIII) OCT 2 6 2004
I hereby apply for a Residential Building Permit and acknowledge that the information is comptete 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 pemut, 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.
CL?j OtS-L'
Applicant's Printed Name
ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt- Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 OS-plex x 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 D4-plex ? 12 12-plex Pibg_Yor_ N ? 25 Misceilaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
)Rf 32 Add'Aion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Q
Valuation fl v (J Occupancy MCESSystem
Census Code ? Zoning City Water
SAC Un"its Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinkiered
Type ot Const V 17 Width
Footings (new bldg)
5( Footings(deck)
Footings (addiuon)
Foundation
Drain Tile
? Roof Ice& Water Final
_ Framing
_ Fireplace _ RI. _ AirTest _ Final
_ Insulation
REQUIIiED INSPECTIONS
Finavc.o.
)C FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utilify Connection Charge
S&W Pertnit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
.?
D ?G ;i°
v
-tngineQring Services
^rg Clvll Enqinaers Land Planners ? AW 'Sgrve
AM ? ?or s G'ert?ftcate
-
cil
9201 EastBloominqronrreeway
8loominqtan, Minnesota 55420
Phone: 888-0289
BOOK _ PAGE _
JOB N0. 3ec-?;-7
SURVEY FOR: Frontier ?•?idwest Homes Corporation
DESCRI8E0 AS: T,ot 37, glock 4, Sm[1?.'F'(lg]) pL?.C=, Citv of Eaqan, na.kota County,
i`innesota aad reservin,,- easements of record.
-7-
ZS L_ L.J /
?.SS
?=°bk Isss.? I e I EAST
i /50. 00
I^?
1 "-
t
?
?
?
ts
/O 7 _T
? I
aqz. ? ?
I 391.' I
TOP OF FOUNDATION = ?a=.+
GARAGE FLOOR
BASEMENT FLOOR = 3 as.:
SEWER SERVICE ELEV. = 3a ?. _ =
PROPOSED ELEVATIONS :CD
EXISTING ELEVATIONS :
DRAINAGE DIRECTIONS
DENOTES LOT CORNERS : o
DENOTES OFFSET STAKE: a
+?=^='1m3r1C: T,N.
2 Q ". q? 11 t )L
GLG 1 hC? .et e? a •y e
? ?? ?. •
---a - ?
aT - ? _ - - - - ?5
ay z.v
I
?
/O lc't16` ?
•( ?J r.? Y
t0. .'1 ?S
?'
E s
B • -?
y
a8<.
LERTI?nF SuRV Y ?AGAN E? GIN ERiNG DEPT
I hereby cartify thai this survey, pian or report was prepored by me or under my direct
supervision and thot I am a duly Reyisfered Land Surveyor under the laws of the
State of Minnasota.
Dcte: l?/ !0/E??!)
../ .
D. ?
JeHreyUO. Lindqren, License No. 14376
I
1 Sal_5
I o ?
I o?
? No
k
LZ
I
0% '
?
z
ti
ti
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmction Reauirements RemodeUReoair Requirements
3 registered site surveys showing sq. N. of lol, sq. N. of house; and all mofed areas 2 copies of plan
(ZO% mazimum Inl cwerage allowed) 1 set of Energy Caiculalions for heated additions
2 copies of plan showing beam & windaw sizes: poured found design, etc 1 site survey for additions & decks
1 set of Energy Calalations Addifion - indirate if on-site sepfic systam
3 copies of Tree Preservation Plan if lot platted aRer 711l93
Rim Joist Detail Options seledion sheet (bldgs with 3 or less uniGs
CerkcdStm3eyRecd _Y ,..,:Ki.
TreePte4PWRecd
iree Pres Re*ired m: Y N
Dres7M8eptiCSysiem _Y.?N?
Date D 1 Construction Cast .3 aj p0 c)
Site Address S?/?3l? ? l/UF+w o r k A,? ? UniUSte #
Description of Work - 4wldU rtO Om 0oWAA[1UJ
Multi-Family Bldg _ Y_X N Fireplue(s) ? 0 _ 1 _ 2
Property Owner Leyy u- e Py L k4 1 i ,tm- Telephone #(6rt ) 4a5--O7/3
Contractor 7 1rr? ?er G-ig-}-'/ Zy C_
Address AUCL-_ S. Zt/ City xjCzdArsGtih vlJ
State MYLI Zip <,j /ja Telephone #(?
COMPLETE THIS AREA ONLY IF CaNSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. ? ? ? ? ?n qq
sed Plumber II ?i .,,.. ._ L1? Telephone #( )
Licen
Mechanical Contractor luu "I Telephone #(
Sewer/Water Conhactor
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 plan in the case of work which requires a review and
approval of plans.
i
Applicant's Printed Name licanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-pleac ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
E3 03 01 of_ plex ? 09 07-plex ? 17 Garage x 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck I
? 23 Porch (screen/gazebo)
? OS 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 ?
X 32 Addition ?
? 33 Alteration ?
? 34 Replacement
Valuation v U C?
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const VA/_
_ Footings (new bldg)
Footings (deck)
? Footings(addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
? Frazning -
Fireplace _ R.I. _ Air Test _ Final
4 Insulation
Appraved By:
,,
? 30 Accessory Bldg
? 31 Ext. Alt- Multi '
? 33 6ct. Alt - SF
? 36 Multi Misc.
35 Int Improvement ? 38 Demolish Interior ? 44 Siding
36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
37 Demolish Building' ? 43 Reroof ? 46 Windows/Daors
'Demolkion (Entire Bldg) -Give PCA handout to applicaM
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
Occupancy ? ? ? Ot MCES System
REQUIIiED INSPECTIONS
_ FinaUC.O.
_?C Fina]/I3o C.O.
Plumbing
? HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&.W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
I a co °r
?
08/17/2004 10:45 6338859 TIMBERCRAFT PAGE 02
Permit Nuntber
RESckeck Compliance Certificate
2000 Minnesota Energy Code
RESchsekSodtwm Vaeion 3.6 Reldse I
Data 6knatm: C:IProgam FilesiChxklRESchxMUnauad.rck
PROIECT TTILE: Ktn aad Cheryl Kaline 4136 New Ypdc Ave. Eagan, MN
COilbTIY: Uakota
$TA'IE: Minnesota
ZONE: 2
CONSTRUC170N TYPE: Siagle Family
WLIVpOW / WALL RATIO: 0.23
DATE: 08/17/04
DA1'E OF P1,ANS' 8f 10/04
P'RO]E(,T DESCRIPTION:
14' x 14' family room uMidou
DESIGNF.R/CON'IRACI'OR:
TimbeiCraft Hatapriaea Iac. 388 Cleyoland Avc. S.W.
New BrightM MN 35112 Phone M 631-633-8611
COLAI.IANCE: Passes
Maximom UA = SO
Yow Houtie UA = SO
0.0°1o Heper 7'hsn CadE (U.4)
Cating t, Flai Ceiling ot Scisaor Tnm
Watl 1: Waod Fratme, 16" o.c.
Window 1: Abdve-Grade:Melal Frsme:[)atbk Paae witL Law-E
Uaor 1: G1a+s
Floor l: All-Wood YoisNl'mss:Over OutAde Air
Fumaoe I: Forood Iiot Air, 78 AFUE
Air Conditioeet l: Eta;tric Central Air, 10 SFER
Peoposed ard Muianm U-Fector Avenqp
cbxtoa symau
GIOBB Gl971Dg
AilB Or C8vlly CAnL W DOOI
???z R-yahm UZA= U&
44.0 38.0 3
21_0 0.0 15
0.350 19
0.360 io
38.0 38.0 3
224
332
35
27
196
Proposed
n.mp u-PacWr
Maximum
4Jlowcd CI-ttatxor
pypve.pmde Windo" and plaes pppre 0.333 0.370
Indudes Fwmdabiou Windows> 5.6 fl2
08/17/2004 10:45 , 6338859 TIMBERCRAFT PAGE 03
COMPi.IANCP STATEMENT: The pmpoaed building tksign descd6od hece is oonsiateat with shc buikting plens,
spaci5wlions, and a[her calc.vlations submitted witb the pwmit applicatiou. The proposed buiiding has bcCa dcsipied to
mx[ the 2000 Minncsota EncrV Code requitemqrcs in RE5checkVe[sion 3.6 Re1Wae I (focmCrly hffiCchec4 and to
°°mpf}' with 1he maudntory rpqwxcmtpts ii"V)° the REScheckIuapocNon Chcclclirt.
uaa ?7
? ?ngineering Services
•rz ClWI £nqsn**rs lanu Plannets
1°¦? surve?vrd's eertif?cate
JA m
9201 EasiBiaomiipronFreewoy ,
BlaunuiCmn,Minnesota 55420
Pl+ona: 888-0289
800K_ PAGE,
JOB NO.
wRVEY FOR= Frontier Midwest Fomes Corporation
QESCRIHED A5= Lot 37, Block 4, 8'*p_FFpp.I) pL2C:, Citp oP ?'agan, ?'akota Countp,
t`:innesota aad reserving easements nf record.
25
W II I
?W
i?
?
I ?,1
i I ?
ZS
/ /-,7 }-
G- ? r !
3.33
i
389.9 ?
,
/O
a
i ?
?? t+1
I f i?l ?
D4?eC ' N GA? M1 ' ?
?(N
Easr
iso. o0
? ?c
E87. ? ?
?
TOP OF FOIINDATION ==q-.+
Ge1RAGE FLOOR =
$ASEMENT FLOpR = 35>.:
SEtitfER SERVICE EI,EV. = 3a ?. __
PROPOSED ELEVATIONS
EXISTING ELEVATIONS
DRAINAGE DZ1?ECTIONS
DENO'IB3 IAT CORNERS : o
DEN07'ES OFFSET STAgE: a
4,-
?? p?11
\
1 ?=? T I ? ?
IO
?-
___
-7-
?_ .. , By.
.. s ?.
?
ssi^s
?
?
W
0
U
ti
d82.'
` llaie
CERTIFI['nrr 6F SURVEY EAGAN E G G DEP'j'
I herefly certify ihat this survey, picn ar report rrus proPared 6y me or under my direct
superviaian aod lhot I am o duly Reqi:tared Laaa Surveyor unCer the lars of tDe
S1ate of Minnesofa.
Date_ (0/ Ip/$$
??. a- ? ?.--?r---
0_ Lindqren,-Li?e??Na_ 14376
6 'd 56b5-SEb-ZS6 Wo41 ,td?iO e9S:L0 b0 8T unf
? .,
1988 BUTLDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS /53 s z
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, t SET OF ENERGY C9LCULATIONS
NOTEs ADDAESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BOILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR S9LE UNIT3
0 OF UNITS
INCLQDE 2 SETS OF PLANS, CERTIFICATE OF SUAVEY - CHECK WITH HLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
CO[•AIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS*
1 SET OF SPECIFICATIONS AND 1 SET OF ENE[iGY CALCULATIONS
S
/?F Q
To He Used For: N?l.J l?sn1SZLUC17Qg(Valuation:
Site Address 4I 3(o uEwb21( 411E .
Lot 37 Block 4
Pareel/Sub STR? FpP-b PL-HGF-
Owner 1q1 R l.l , Ge-ew12 V HN6?71-t_c.
Address ! 118 5 ANDE2-'4)M CRKKS FCuJ4
City/Zip Code LDEN E(ZAIQIF- , MN 553uV
Phone GLl a -8a531
Contractor Frontier_MIdwest Homes Cor
Address 3902_Cedarvale Drive
City/Zip Code Eaaan. Minnesota 55122
Phone ? 45 y -OQ 33
Arch./ET1g2'. phillipc Plan Sarvira
AdQC89S 14530 Pnnnnrk Avamia
City/Zip Code Ap,nIP Vallo;. Mn 55171L
Phone U 432-2044
Date: 07-/a - 8?
c? p?ooa or'FtaZ usE UNLY
On site sewag e Occupancy R3 M-/
MWCC system -77 Zoning R•/
On site well Actual Const VN
City water tl? Allowable V,V
PRV required 1F of stories
Booster Pump _ Length ?Y
Depth ZP
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit J`-G 6
Planner Surcharge < g
Council Plan Review Z? 3
Bldg. OPf. ? 7/)zSAC, City / 0 0
Variance SAC, MWCC S ro
Water Conn S'SO
Water Meter ?
Road Unit 3 2 S
Treatment Pl z -141
Parks
Copies
TOTAL (, 9 -o
D
(7 a r
?
?Qd`1x?9?• ,??,?sSG
;
=-_.-.--
f'Y/ ?' Y g = <(/,Z o3
'F7,6 ss
.
. • ,?
•
Hedlund Engineering Services 9201EasiBloominqronrreaway
Bloommqfon, Minnesow 55420
LanG Surwyon Ctvll EnQinaers Land Planners Phone: 888-0289
AW surveyor`s G'ert?, f "1cate
IAVI BOOK _ PAGE J08 NO. -32 c-
SURVEY FOR: Frontier i'idwest Homes Corporation
QESCRIBED AS: Lot 37, Block 4, S'Sp_FrOP..P, ?L2_C-7, City of Eagan, ??a.kota County,
i`innesota aad reservinl- easements nf record.
TOP OF FOUNDATION = !3q,-4
GARAGB FLOOR = 1 '= =
BAS EMENT FLOOR = 3 n=.=
SE`YER SERVICE ELEV. =3az.==
PROPOSED ELEVATIONS
EXISTING ELEVATIONS : i
DRAINAGE DIRECTIONS :-.?-- I
DENOTES LOT CORNERS : o
DENOTES OFFSET STAKE: o i
??^c^5vn3riC.: T,N. HYU. ` ?..- nG s6a ?r ?
? -
-7_
G_ ? , " 4 , h<_ ..<. .
`;/-f ..K = z..a _ .
25
Z3.33 ?
? E.95T
' I ?
??,a ss9.9 >
? iso.oo
- ?
? sai_s
/O
ri'?-- ??
I
I
892. ? ? ?
?
--- 0
I
, • z ??, ?
?
? ??j ?
i =:., , •
? ? Li o =
? e9z.3
?(G ?I N Gdr,
90.4
I .
?
?
? 8818
133 . ? ,
2
S I IO?
---- ----
882
?
I ?2 i 350. •1 ?S . _.
?
I ZS t ? s
E s
?
_
Date.? ?---
CERTIFICA7F OF SURV Y EAGAN E GI1 V ERiNG DEPT
I herehy csrtify that this survey, plon or report was prepared by me or undef my direct '
supervision and thot I am a duly Reqisfered Land Surve7or under the laws of ihe
Sfate of Minnesata.
0 a t e: (n /! D/ 88 c
JefireyUD. 1:in4ren, LicenseUNa. 14376
.
EXTERIOR EiJVELOPE AVER.4Gc_"U" COMPUTATION__ SCt.ftR.?
OwNER: Gp-ECO2g FND 7-1c.c. nATr:
SITE AOORESS: 41310 New ?DP_K A-vFN«E . aHONE: 454-0L1 33 -FP_o"nr-_oP_.
LONTRACTOR: EZQl..IT1 F-f2_ ( bmflGLUr?S PLAN 0 SUIZY26 Y 14,04u A
Determine working square footage of each
_.:. .,
1.
Total -•. ... - - . _.
exposed wall area..... 233°I sq. ft. x il
2 Total sq. ft. x .026
roof/ceiling area..... 85:)? ZZ? ?Zg
. _
Total exposed wail area a6ove.floor= 7AZ
a. Total wall window area .:................................. ....
b. Total ............. .........................
door area
.... .. 40 -
c. Total sliding glass door area .............................. ..
d Total lace wall area .........................................
fire -
. p
e 10%) 81
1 1 q
e. Total ............................
wall framing area (averag .
f. Total rim joist area ............................................. ?.S 3
net wall area above floor ..................................... IlaiBZ9
g.
h. wall area a6ove floor .....................................
i, walt area a6ove floor .................................... ...?
j, frame wall area at foundation ...................................
Total exposed foundation area= fo"Z
k. Total foundation window area .......................
1. Total net foundation area above grade .............. S?
Determine "u" value of eacfi wall segment
(e.g. window, door, each separate wall section)
a. 148.9 X „ull , 4-f = L??t.?383
b 3_I X oull , 3Z = f l.84 • .-.. ' -.
c. ?b X Hull
d. X lsull
e. 1-7 9.F11 x lout, ll0.l82
.
f. 253 z oull ,pg = lo-Vz -:
-
y. I4018•29 x „u„ .o¢
h. X iiuli _
X ltu., , _. . ..
- ? X liu., = If item #3,is•the.:
k g X -lull as, or less than :i:
#l, you have met,;f
X
„u„ .
lb
= 5.3 ?
intent of SBC.600§
3 . ............ .............. ... ....Total = Z.O 7Co ?_°-=?
-,_-=-,.- r=.:e-ope 7.veraye "U" CO^?L'L<1ti0II raqe e o -;
Total exposed reof/ceilir.q area = 853
m. 1bta1 sfiylight area ............................
n. Totzl roof/cei.in, franing area (.verage
o. Total net ir.sulate3 roo£/ceiliag area........... ''14,'f •? ..
Determine "U" value for each roof/ceiling seqnent
M. X "U" _
n. x "U" ? OZ? = Z.04--I
?. 7&-7.-7 x„U„ .aZ = 15. 3s4
4 ........................... sutal = I-7. 40l
:: total cf ;4 is Che same as, or less ihan 82, you have met the intent of
SAr 5005 ;c) 1, .
A1ter.^.=te Buildi.^.g Ezve'_oDe Desiaa
?b liza the totzl eavzlope'system me*_hod, the values established by the s-:n of
_te*ns n3 and -4 sra11 not be greater than the sum of items ?1 and n2.
i. Z6'1 . Z9 + z. Z2. l l S = 2'iq. 46L
3. ZOZ.07G + 4_ 1-7.401 = ZtR.4?-7
PLAV #
S u rt4z6'f 'R-A W A
* LIDI£A.L FEEi' EXPOSED wALL
BL(?CK:
KNffE:
W.O.:
fllLL 1:
FUl:L 2:
FIRE°LACB:
RZ*1:
* SQUARE FEEf EXPOSID Wr1LL ARES
BLOCK: x .5 =
KrIEE: x S =
W.O.: X 8 =
FtJLL 1: x 8 =
FfJL,L 2: x 8 =
FI2EPLACE: x =
RDr; x 1 =
TOTAL
* SQUARE FEET EXPOSID CEIIaIldG
^ Qd1?lEri?5 ^ DOORS
? PATIO DOORS
* BASIIRENT UNITS
? ?..-*rEki, ?r EXPosn wP.t.t.
$LOCx: 34-r ll +?+ ?-? -t- 13+4-E- t5-r I?= 1Z?
KNEM : Q W
w.o.: NA
F[JLL 1: 34fi 3?- l t-f- ? t i'1 f- f 3-t- 4-4-1 S-? Z`4 = l Z?a
FT,'LL 2: 34-1- 14•5+ fot !S+ 134-4-r ISt zS.S =/2`7
FT_REPLACE: aPrONAt..
t-!Z-7 = ZS3
= SQuAFT r-Eer DTosID wkTa. AREa
sLacx: l24 x .5 = ?2
x5=
W.O.: X 8 =
?_L1: 12bx8= loog
?OZ
FMy2: 12'7x6- lbllo ?
FL4E?LACE: X =
RD?:
`Z53 x Z = 253
?i.PN #
sv ??Y
r?aL _ = Z 339
* sQuaxE = Drnosm cEILING
'114 t9'1+52 -853
*Qi9ffimm neoxs
\??uoo?us Z&-[ !?
37
GSmTS ?= PATIO DOORS °`
_4O
2aa6- ! I l ? /S
244-6 Il l ? 64
Zo4b-I - (a•(a
Z4(:?o - 1 ? ? - 30
Zo Eoo -1111 - ?3 • 3
!?? 1
* BAS-PMIId'f [NITS
'L-I l!o- 111 '` =)
R- VAIUE
-- £FAt"T•-NG - -
1. LNP£RIOR PSR PIIS". 0.68
2. 2 .45
3. 5 1/211 SO 4?OD
4.
5. b
6. R AIR FILM 0.
TOML _ 10.8
U= .D9
pRqMf HnLt
NET
..
1.
Y ...
3.
4.
5.
6.
U= .04
S?Lt
1. INTERIOR AIR FIIM 0.68
2. -6m-MSUE. 19.00
3. 0
4. 5. SIDING
6, AIR FILM .
U= .Ok
{o? hT7tX13
WltiL
r_G . 43
1? C ? d w .
?. , .
? , e • Y ?p '
BIACK
1. IPtrERIOR AIFt FILId 0.68
2. ITrn=
3. •
4. PROTECrIVE BAR,RIE,R
5.
6.
TOTAL R= 7.13
U= .I.4
SLAB ON GR.ADE
FX-C. A4
S
• (E . ? . ?,,. , *? ' }
?
.
l1L
11f llt ? lL? ? ?(? ? NO'!'E: LriDICA?'.{.' T`_'AE, "R!' VAII7E. DE'a'M PNID
P?.PM"EN?' OF INSCTi.I'i_'ION.
y?a?y. ? cr ? ?•-r v
?c_';.,?: Use ; 3? c? ?`Pa4ue :?aCl are? tUr
ritame.' c?x?truGc lo?
;
cerrsxRc;cMox ? a-vA=
.. J \ 1. IN=OR AIR FIL.`f 0.65
2.
aff 3. iNSULtirlun 4.
U - .02
y/ .7
VF,.'I'f'D ? I A IMAT FTAW
u up
FIG. #5
fTtAME
1. IlVTE.RIOR AIt F'IIM 0.61
3.
4.
U = G.024
CONSiRLzCiZOM
1_ INSIDE AIIt £ILM 0.61
2. -
3.
4.
5. --- -
U ?
FRAlIT
?HEAT FiAW U?
NON-VENTED
:._AT FLAW
?
/_5
1 INSIDE AIR FIIM • 0.61
2.
3.
4. "
S. ?
U =
0.61
1. INSIDE AIR FILM .
2.
3.
4.
5. v TOTAL
U =
NOTE: USE ADDTTIONP.L SEIEcTS I? KRE SPP.CE IS
rIaDID FOR DETAILS A.ND C°LCULA-014S.
L'_G. 17
FIG. #E •
RESIDENTIAL BUILDING
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4.70 oa
New Constructlon Reauirements RemodellRenair Reauirements ONke Use Onlv
3 registered site surveys shaxing sq. ft. of lot, sq. R. of house; and all roofed areas 2 copies o( plan Cert of Survey Recd Y N
(20°h mazimum lal coverage allowed) 1 set ol Energy Calculations far heated additions Tree Pres Plan Recd _ Y_ N
2 copies of plan showing beam 8 window sizes; poured found tlesign, etc. 1 site survey for addAions & decks Tree Pras Reqd _ Y_ N
7 set of Eneyy Calculations AddRion -irMicate Hon-sife seAtic system Onsite Septic System _Y _ N
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Depil Options selection sheet (bidgs wifh 3 or less unils
Date __L/ / 63 ? e._
Construction Cos[ z7CG0 .
Site Address L113(o ,{)Lqu -A-Ex/f7iLf UniUSte #
Description of Work /NSt;v`J
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 4D 1) _ 2
Property Owner Telephone #(O47 )vD) - 67/?
Contractor FG//(,,?7??(??
Address _,ty)"U /7tv"7 City
State A' ? Zip -_9,337 Telephone # (y12 ) e?P
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(Jsubmissiontype) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
(DE
I hereby apply for a Residential Building Permit and acknowledge that the 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 f w k which requires a review and
approval of plans. 1
?)" C ?
Applic ant s Printed Name Applicant s ignature
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Y_ N If so, 25% plan review
Telephone #(
WPK
sR?5 a-I
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pernilts are required for each unitA
? r 2 bo - {2C F? Q - ?D Z f
nace ? i 23 i 63' - _ ?
- KALINA A, KENNETH
Site Address 4136 NEW YORK AVENUE
Unit t/
EAGAN, MN 55123
, (651) 405-0713
Property Owner ? i Telephone # ( )
Contractor NC)RBLOM PLUMBINO CO,
-
(612) 827-4033 --
Address City
•
State ip
Telephone # (
)
The Applicant is _ Owner $'?- Contractor _ Other
Septic Sys[em New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Inciuding
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawja irrigation system
i "- ?
C \1
Water softener ? Water heater ?
$
15.00
x replacement additlonal
State Surcharge ?
tgy ": , , $ .50
Total
1 nereby apply Tor a Kesidential Plumbing Permit and aclaowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a pemut, 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.
Je:?
Applicant's Printed Name anYs Signature
PLUMBING (RESIDENTIAL) ?
Permit Application S-0
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 TAX 4 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pernuts are required for each unit
Date S / 23 / 03
r
KALINA, KENNETH
Site Address
I
Unit #
4136 NEW YORK AVENUE .
. EAGAN, MN 55123 ,
Propecty Owner (651) 405-0713 ?
jelephone # ( )
Contractor NORBLOM PLlN1A13iNt3 CA,
(612) 827-4033 - ------ ? -- -
Address City
•
S[ate ip Telephone # ( )
The Applicant is _ Owner Y- Conuactor _ Other
Septic System New Refurbished Submit 2 sets of pians and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawia irrigation system '-
_"i"1r
'
- >
` • _ ?y\
ZC W
1 W
t
ft
a
erso
ener -
aterheater $ 15
00
.
_ replacement _ additlonal
State Surcharge `y.'? $ .50
Total
1 hereby apply for a Residential Plumbing Pemdt and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; [hat I understand this is not a
petmit, but only an application for a pernut, and work is not to start without a permit; that ttte work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Jio,? I?orblwvA
ApplicanPs Printed Name Ys Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION ?
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsVuctbn Neauhemems pemodeVNeoair Neaulrementa
• 3 registered site surveys show'vg sq. tt. ot bt, sq. fl. of hause; anU II roofed awas • 2 copies of plan
(20% marinum bt caverage albwed) . 1 sel of Energy Cakulations for heatetl additrons
• 2 coples of plen showing beam & wintlax sizss; poured fountl tlesign, atc.) • 1 stte survey for exlerior a0tl8bns 8 decks
• 1 set ot Energy Calculetbns . Intlicate N home served by septic System fa addttbns
• 3 copies o1 Tree Preservatbn Plen H bt plafle0 eNer 711193
• RVn ,bist Detail Optlons seleclan sheet (bl0gs wNh 3 or less unks)
DATE ;1 -/,-) •- C) `
SITE ADD
TYPE OF
IULTI-FAMILY BLDG _ Y ?N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT ? "?(.L/'YiQ CX'i/2-? [2%wrtA2S
STREET ADDRESS 75'l 6 CIN?%-?,dnQ'(/UVSTATEJIP??` ?
TELEPHONE #i _ I.`? '?8Y?4a CELL PHONE # FAX #
PROPERTYOWNER gin /1'_a 44,o,, TELEPHONE #
COMPLETE THIS SECTION FOR -NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(q aubmission lype) . ResidenUal Ven6leGon Category 1 Workshset Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes
Sewer/Water Confractor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $90.00
Fee: $70.00
-°-°-----------°-------------------------------------------°-°---°--------------------°-- -----°
I hereby acknowledge ihaT I have read this applicatlon, state ihat the information is co
with all applicable State of Minnesota Statutes and Clty of Eagan OrdinaXes.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
VALUATION .5 ZS S
'R
7989 BQII.DING PEffiT!T APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLZNGS
163.45A I
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEUWNER MR3T IIESIGNATE WHICH ADDRESS
IS DESIRED. AO CHANGFS WILL BE 9LLOSiED ONCE BIIILDING PERMIT Z3 ISSIIED.
M[TLTIPLE DWELLINGS R13NTAL DNITS FOR S9LE ONITS
INCLUDE 2 SETS OF PLANS9 CERTIFICATE OF SURVEY - CHECg i12TH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:
Site Address
L Valuation:9
?1L? w{}b'- Date:
41 Y,,7 uIrU ?OL/?? ?vf . OFFICE USE ONLY
Lot ? Bloek _Li
Pareel/Sub !?'TAFFppqZ) rL Aa.s-
Owner l'3?C'C il mw
Address ('/b m Ur
City/Zip Code D
?/,???
J
Phone 0rJ? -1I ? -1
Contraetor ???a
Address ?? ?
City/Zip Code
-r
Phone 11b
Arch./Engr. yj 13
Address n?2
City/Zip Code
Phone 0 h I "?
Oecupaney
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well _
MWCC System _
City water _
PRV required
Booster Pump _
f OF UNITS
FETsS
Bldg. Permit tj6c-
Surcharge
Plan Review
SAC, Clty
SAC. MWCC
Water Conn
Water Meter
Aect. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
TOT9L
APPROV9I.S
Planner
Council
Bldg. Off.
Varianee
NOTE: Sewer & Water Permit fees and aecount deposit fees will be ineluded in the building
permit fee. Processing time for aewer and Water permits is tvo days onee a licensed
plumber has applied for a permit at City Hall.
?n g i n e Q rin g S e r v i c e s 9201 East Blwminqron?reaway
..+ Bloommpron, Minnesora 55420
•yors qvll Enqineers Land Plannars Phone: 888-0289
AW surWF?for`s G'ert?j"?cate
IAVI BOOK _ PpGE J08 N0. 3a<-'_--7
SURVEY FOR: Frontier P•!idwest Homes Corporation
DESCRIBED AS: I,ot 17, Block 4, STAFr(?P.P, PL2.CT-7, City of Faqan, r,akota County,
f'.innesota aad reservinl- easements of record.
/ / J 7-
2S
?.33
' E.9ST
,sa.oo
I?
iQ
?
? j90.1
- 1
/o
I ? -
e9z.? ?
I avz? i
.,.?
Q I ? ia c J
e1t.i
I
Pe??G
I
n n
?a.aa
?
?
D
?
Z
2
ti
ti
TOP OF FOUNDATION =
GARAGE FLOOR =3'•=' ,
BASEMENT FLOOR =3?== '
SEWER SERVICE ELEV. =
PROPOSED ELEVATIONS
EXISTING ELEVATIONS :
DRAINAGE DIRECTIONS :-?--
DENOTES LOT CORNERS : o
DENOTES OFFSET STAKE: a
,='=^='1vn3?Ct T,N. H4u. ` L_"- 1na xc
Isa_s
-Y - - ? - - - - ?1
,-? I
?
?
T
5 ?
I
I O ?
? O
I
,o ?
? --? 'D -- r =V--'?- -- - -- -- - da2.'
Il ?M52
VK
25 E _
? CERTIFICATE OF SURVEY EAGAN EAGINtERING DEPT
I hereby cerlify that this survey, plan or report wos praparad by me or under my direct
supefvision and that I am a duly Reqistered Land Surveror under the laws of ths
State af Minnesota.
D a t e: G? / 10 / 88 ? 0 . C
JeffreyUD. Lindqren, License No. 14376
, liqlis
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WNICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE kTHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSE? PLUMBER.
OC7 2 2 RECo
To Be Used For: avn;? Tzee,yA Valuation: 4L i5vo? Date: /U-zz-5d
' i?Wse w.E?
s.?.
Site Address
Lot ? Block ?
Parcel/Su6 j^Aj&A, phw
OwneY CnkdlpS L QMa.Ce
Address L{,13b (Jew ti?.?r''tC FFJe.
City/Zip Code Ssix- 's
J
Phone U722-
Contzactor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
.3cS r DO
o?
Planner
Council
Bldg. Off.
Variance
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
„ , .
,
? NOTE: PAYP]FNf OF FEE AT TIME OF
? APPLICATIOH DOES NOT CON- ?
? SI'I1LlIE APPRQJAL OF PERFIIT. .*R
•
t I[dSPFS'fICil OF SESd+R A[37/OR WA1FR k
?
It15TALiATIODIS WiLL N(7P gE SCfDUIfD ?
w('NPSL PII2PIIT HIS Ht?? APPRGVID. w
•?fxxxx?t?iteff.f?+kiffrf?a,?k?;».x?xta
. O¦ avYgan
(PLEASE PRINT ,
1) PROPII2TY ADDRFSS:
VE
1•FGAT• DESCRIPTION; -. .(C-1'" 37 . IOCJ-- y F
or
IF EXISTING STRL'CI[JRE, DATE OF ORIGINAL BLILDING PERMIT ISSDANCE:
PRESENT ZONING/PROPOSID USE:
Q .CONMERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
Q.INSTIILTIONAL/GOVERPIIMENT
Nbnt Year
R-1 SINGLE FAMILY
? R-2 DUPLEX ('SWO T-Inits)
? R-3 TOWN30DSE (Three + Onits) ( Units)
Q R-4 APARTMENT/CODIDOMINIUM ( Units)
2) ?NAME: FRONnE,2 wDwEsr flomEs CoePo,eAnoN
AoDRESS: _3qpD, CCbA/'VRLE J-7R?yiE
CITY, STATE, ZIP: F- F}(,'j ON, j+A N 55 i a a-
PxoNE: y 5LI -b 4 3 3
For City Lse
3) NAME: ?i L.Lt.Mf31 N Cr Pl eru License:
ADDxESS: M o u NO SP' IN6 S--r-,Ceei9GE •tactive
Expired
CrTi', STATE, zIP: --9(-C0M? 1r?67-0N ?/M N 5514 a0 Not recordec
PHONE: (58?.-L41,4cf MASTER LICENSE #
33 St Initi
4) e?'.rx •_?n eu.?•
rAME: I?I? R u?, nlzF_C?o?y RN? ?.I ??-?-
nonREss: I I I$5 flnlDE?2SON L? KF S R,eK[.vA-y 96t-237
CITY, STATE. ZIP: FD EI( P' nP-A l(2l E t MN 55 3y y
PxorE: 9 4 Q -8 a 58
5) s a •?• •ao ..???
CaCONNECTION 'IO CITY SEWER -f-7" CONNECTION TO CITY WATEE2 O OTHEF2
6)
? 6711 a,Z291
*-xx,.xxxxxxxxxx,xxxx??????».???????x****?***?*****,r*******??********?********?****?**************?
*k 2Y3E GOLD COPY OF 1M PERNIIT WILL BE SENP DIREX.TLY TO PUSLIC WORKS '!O FACILITATE MEETER PICK-UP. 'A
,,*t PLEASE ALJAW 1W0 FARKING DAYS FOR PROCESSING. SOMEONE FROM 7M CITY WILL CONPALT YCHJ IF THME *
,* ARE ANY PROSI,IIMS. ?
FOR CITY USE ONLY
PERMIT # ISSUED 97 d7? ?
Pd w/Bldg. Permit FEES:
$_ ?O"S U $ SEWER PERMZT (INCLUDE SURCHARGE)
$ $ WATER PERMZT (INCLC'DE SORCHARGE)
$ (p 7'D"a $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ ? e $ ' ACCOONT DEPOSIT - SEWER
$ $ ACCOL'NT DEPOSIT - WATER
$ S7S-2) - $ WAC
$??.?Q• CrD $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
,
$ $ LATERAL BENEFIT/TRONK WATER
$?0-D $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ A5-2- 2
• 0 D $ TO
A
- T
L
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC
ROADWAY" MLST BE ISSOED BY THE ENGINEERING
Q
NO DIVISIO[V. LIST AS A CO[VDITION.
SLBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
? ?? Y Residenti?l'
Who% House Worksheet
--- ------
c,tY Addfou
s?w ?--
?P Teluphora Number
WINTER:Inaide 0esipn7empT?_•p_OuWidaDssi nTam
9 P°f . Nutiny Tamp Difference ?_, •p
SUMMER: Outaids Drsipn Temp °F-Inside Design Tamp? .i . ...:O.. .. .. ° .•.:. .. ° ^- .
? .COIingTamDDiHSrenel.,..?V. •F .
MFerlur . .._ . . ._.. . . _ . '
iAULE A-HEATING-DOORS 6 WpOD FRAM
IPER 10°il .
Fpi a4 Wiyl ?)IJas Ooors . uiC InClOrs lor Ihe SdmBly
?., nalruCLUn.
h --frarnns "
C?unr TvVns Woo TIM IN c I
??nyle Yantl --
L i«a' 9.90 t0.45 17.5Fi
Wnn tiii,m. 4.75 5.25 6.
G??ble Yeutl
I
609, 7.25
75
3.05 4.J0
?
3.30 4.35 5.46
uu?l..?v'>WtT ' ? ?
.`.ueilr ' I1.01 11.69 12.92
I???•????_" .._.-_?...- 6.GS 7.3G bJ5
4.Ii0
iHll"r>IO'nI I- I- I 1.70
o•.•w ?r m• »? iv ar a• ir r r
w u a si. n u u n u 7G
N/6NW ll •I ?)1 10 Jf mT y
f6w N ? p ? K Y i i411
sclrsw ?t o o as ..u a .a '
s a ss. y p:a n n s2, /0 ?
. s.vw. wIw in u, to m -
? YroWJ? L? ,0> p] ?.? qJ u.l lo W.s lil
.. Wn?P 11 lt f4 i! Lt C. QQ Pw waaaUUavOnd TOTALS
?? V FYIW?YMMCOI??n?Wlyppp • .
ToTALs [a a o1 I 16 y
IAIII( C - AD.lUSTMENTFACTORS - IHCAfINW
ICn+JC'aturo Ddf 7p J?==
A.,..:Urr.q Fd.inr ? JO
=a ? -?6- 7 _.?-??
2
TABLF D - INFILTµqT10N MULTIPLIERS
Wintur Air Chanpec Pp „our
FborArea 900 orlbss 9p1. 1500 . ISOpQ100
ovv jl(X
Bu:[ 0.4 0.4
p.J
lwunqa 1.2 U:]
. . 1.0 0.8 OJ'
ruor 2.3 1.6
1.2 IA
Wiwchlxuy4ceaW7: . Bpt AvIqW pby
_ 0.1 O? 06
Sumrnnr qir ChanQws Por Mour
fNaF?ua o, la.a kM41SW
- Iswx1w a..,2106
0.2 02 o.a ?
A_uioya _..?.0 ?y
G.5 yy u
Ywi O.b J.7 .
E WINOGrva . TABLE B- COOLING - DOORS 8 WINDOWS Fnclors assumc windows h'are inside ghaAing by drapsri" or wnetw,
pu window LIinQ> and slitlinq giess doors aln.iroaietl u winpp`va,
xAibu ? dWI1LO5G TIMI.QIN. TlMM?111. i1MEDIH. t???? .TlVnG??M?
------------------
? F?z;c?t9i?ti?? ?
j Pertnit k:
? Pertnit Fee:
? Date Received:
I Staff: lr [i! I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -1'2[ • G)-
g:? Site Address: 41 ab IvtGW ?a-K- PS YG
Tenant:
Suite #:
RESIDENT / OWNER Name: K)GYt KGLLI.VL.A Phone: (,05( •4Q5 • 0-1
?
Address / City / Zip: 41`.3{i NGh/ L 6Y? ?VY? ?--?G?YI J`r5l
t
/
Applicant is: _ Owner V Contractor
TYPE OF WORK Description of work: w lV1GizW KGDbGLCLVt'1CY'Cf'-'
n
tr
ti
n C
C
F
il
B
ildi
Y
N
?
C)C3 MWti
t?
o
s
uc
o
os
-
am
y
u
ng: (
es
o
_
CONTRACTOR Name: I 1 DVl.crs? License #:
Address: F)SG aIGVGL?q" VTV? ?
, 1 `?- ?
City: ?VGW ?IqYG l?Y T State: ? zip: 061 ( 2.
Phone: b-0 • S b l t Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 7 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Su6mined
(4 submission type) • Energy Envelope Calculations Submined
In the last 72 months, has the City of Eagan issued a permk 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:
NpTE: Plans arrd supporfing, afoCUrnents ihat.you;submi; 8re oonsfdeF`ed to tie p,'ubtic ir7fnrmation. Partions oi
the informaiion rnay be c7assified as nan poblic ff yuu, provide specii+c rea'sons that woufd peFmfa the CMy to '
`cOnGludlefhatfhe aretrsdesecrefs. ? ?.. .,
I hereby acknowledge that this information is complete and accurate; ihat the work will he in confortnance with the ordinances and codes of the City of
Eagan; Ihat I understand this is not a permit, but only an application tor a permit, and urork is not to start without a permiF that the work witl be in
accordance with the approved plan in the case of work which requ'ries a review and apprgQl of plpps.
xVc??LVI ?1• ?WIG ?[ , l
ApplicanYs Printed Name Ap icanYS Signature
Page i of 3
PERMIT
City of Eagan Permit Type: Mechanical
Eagan. Permit Number: EA094769
Date Issued: 07/02/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4136 New York Ave
Lot: 37 Block: 4 Addition: Stafford Place
PID:10-72500-370-04
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Lofgren Heating & Air Kenneth J Kalina
5708 Upper 147th St W 4136 New York Ave
Suite 102 Eagan NIN 55123
Apple Valley MN 55124
952 431-811
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.
ApplicantiPermitee: Signature Issued Bv: Signature
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner.
Site Address:
Plumber.
Conn. Chg: Zoning:
Acct. Dep: No. of Units:
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordinances.
Meter. u1 ~'~t~•88 -
Misc.: By
WATER SERVICE PERMIT
CITY OF PAGAN Permit No: Date:
383U Pilot Knob Road B/P No: Date:
P.O. Box 21199
Eagan, MN 55121
Owner:
Site Address:
Plumber:
MWCC: Zoning:
City Chg: No. of Units:
Acct. Dep: I agree to comply with the City of Eagan
Permit Fee: Ordinances.
Surcharge:
Misc.: By
SEINER SERVICE PERMIT
City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
For Office Use �-�" / j }�IL°
Permit ff: I` 0
Permit Fee:
Date Received: 5-30-13
Staff: rF 7
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
��``
Date: ✓ J Z31_13 `i
_ m Site Address: 413 N
V
V1 Ylt i at.Act
Tenant:
Resident/Owner Name:
Contractor
1 ncifim-r " ` _ Phone: 1P 10 5. 7' 3
Suite #:
J
Address / City / Zip: `t'i 35, No-,./ Ave_, Ea_ .-r 't_.{ -i .5572- 3
} Name:--Appliance-Connectionsinc_License # bsq ct-em
Address: 12850 Chestnut Blvd.
-Shakope, 7- City:
Type of Work
Permit Type
State: ____ Zip: 952-445-40031e:
Contact:
Email:
011Ailks s f'
New ,/ \ Replacement __ Repair Rebuild __ Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
glWater Heater
Lawn Irrigation (__ RPZ / __ PVB)
_ Septic System
New
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $5.00 State Surcharge)
*Water Tumaround (add $200.00 iiia 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
_)Water Softener
__ Add Plumbing Fixtures (__ Main / __ Lower Level)
Water Turnaround
CALL BEFORE YOU DIG. CaII Gopher State One CaII 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.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the*case of work which requires a review and approval of plans.
Applicant's Printed Name
x
Applic
Signature
FOR OFFICE USE
Reviewed By:
Required Inspections: ___Under Ground ___Rough -In Air Test _._.Gas Test Final
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176449
Date Issued:05/17/2022
Permit Category:ePermit
Site Address: 4136 New York Ave
Lot:37 Block: 4 Addition: Stafford Place
PID:10-72500-04-370
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kenneth J & Cheryl L Kalina
4136 New York Ave
Saint Paul MN 55123--158
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature