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4145 New York Ave? ..?. ?..?.,,,. .,r. ? CITY OF EAGAN 16745 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 • - ? BUILDING PERMIT Receipt # To be used for I-UASW FU= Est. Value r??M() Date JVL Y 5 , 19?- Site Address 41 #S REii Yfl;.1C AVE STAFFORD PLACE t '? 7 Bl k 4 S L /S b OFFICE USE ONLY o oc ec u . Parcel No. o?up?y FEES Zoning W Name ?' k i C is'l??E 6 (Actual) Const - Bldg. Permit i?•? Address 4145 t?2fi YJRK AYF (Allowabie) - 1?9? h S o arge urc City EAG1?N Phone u88-7387 # otsarie5 Dm& IW5 Plan Review Length o Name ~?E??kT Depih ? ?a City SAC , ?a Address 3119 St1ELY,I? AVz. S S,F. Total - ? City MINNEAPOLIS Phone 721•-5628 S.F. Footprints - SAC, MCWCC 4Vater Conn On Site Sewage . - ? W W Name On 5ite Welr - Water Meter ?? Address MWCCSystem - <W City Phone ctrywater - ? Deposd S/W P rmit PRV Required _ e I hereby acknowlege that I have read this application and state that the Booster Pump - SrW Surcharge information is correct and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. 7reatment PI Signature of Permitee APPROVALS Road Unif A Building Permit is issued to: PAPFLMYT Planner - park Oed. on the express condition that all work shall be done in acoordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies Building Official Variance TOTAL ?? S''' Permk No. Pertnit Holder Date Telephone # WATER SEWER PLUMBING H.VA.C. ELEC,RIC Inspection Date Insp. Comments Foolings I Foundation Framing Roofing Rough Pibg. Rough Htg. IsuL Fireplace Final Htg. Final Pibg. Consl. Meter Plbg. InspeCtor - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final _ 1} ?Q weli Pc Disp. ,• -.- „ CITY OF EAGAN ? '?$ • -' 3830 Pflot Knob Road P.O. Box 21-199, Esgan MN 55121 ? , , PHONE:454•8100 , BUILDING PERMIT Receipt # To be used for Est. Value S 7 f. 0:70 Date ,19 Site Address OFFiCE USE ONLY Tj' rr n `'I_-? Lot f Block ` Sec/Sub On Site Sewage Occupancy - -= . MWCC System 3 Zoning Parcel No. i W ll A l C On S te e onst ( ctue ) s - ..1?,'"'? :k ' L:)?`?`:? '-;"'•S Name ' • CityWater (Alloweble) "' ; ?; f yj,}:1 ;,„ ?•?.??; 1p.t. .ar,!y. Address PRV Required #ofStoriea ° ? City Phone l?5G`?•1'3?, Booster Pump Length ??4 ? Depth .& p Name S.F. Total , o ` ? Addre55 Footprint S.F. ? City Phone APPROVALS FEES v a Ly W Name Engr./Assess. Permit - 4'? ?• CF'? 3 ? ? Planner Surcharge • _ g Q W Address City Phone Council Plan Review 229, a0 Bldg. Oft. SAC, City ltf?. I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC intormation is correct and agree to comply with all applicable State of Water Conn. ??. Minnesota Statutes and City of Eagan Ordinances. Water Meter ?-• Signature of Permittee - fioad Unit R Building Permft is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL " 2:' 1 ` • = - Building Otticial ' Permit No. Permit Holder Date Telephone f? Plumbing ,-, H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I ? Footings II Foundation 3 Framing y ? Roofing Rough Plbg. Rough Htg. 9p Isul. Fireplace Final Htg. Final Pibg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ? PERMIT # ?" • '??T ?i< ? . • ? MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ?y fj?86 3830 PIL OT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 -' Site Address 4145 BLDG. TYPE WORK DESCRIPTION Lot 47 Block Sec/Sub xx Res. New m Name WLrZ$ L tILATING & A C Mult Add-on 1955 Address Shawnee Rvad Comm. Repair ? Ciy EaggA Phone 45 2-1565 Ot1ef FRONT IER C02?ANYES FEES ? Name RES HVAC 0-100 M BTU -$24 00 c Address 3908 Sible M.,emorial Hwy. . . ADDITIONAL 50 M BTU - 6.00 p City Eagan Phone 454-0433 ) DES A/C ON NEW C ONSTiiUCT10N GAS OUTLETS MINIMUM 1 PER PEkMI 1 50 EA . . ( - n - TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 80,000 M BTU 24 . 40 APT. BLOGS. - COMM. RATE APPUES r B il TOWNHOUSE 8 CONDOS - RES. RATE APPLJES o e M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU -It REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 pp) PERMIT PRICE GOE5 Gas Piping Outlets # ? $ 1.50 BEYOND $1 p Other FEE: 25.50 . ,? S/C: SU SIGNATURE OF PERMITTEE TOTAL• $26•0? FOR: CITY OF EAGAN , PERMIT # -? '? - PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB RQAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 Lot Block ' Sec/Sub ? Name 2 '' . , . .% Address ! . • -, i i ,' /'?? c' ? .::?, c Ciy ? f? ?l /'? ?• Phone Name a? _?<,,:4• ?;Ir? iiari?l / u. 3 Address - , ? o Ciry Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New -'? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: Np. FIXTURES TOTAL TWater Closet - $3.00 'I Bath Tubs - $3.00 =Lavatory - $3.00 ? Shower - $3.00 =Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ?-Laundry Tray - $3.00 Floor Drains - $1.50 =Water Heater - $1.50 Whirlpool - $3.00 ?Gas Piping Outlets - $1.50 - ? •?- (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ?Rough Openings - $1.50 ? -? FEE: rf?? STATE S/C: GRAND TOTAL• 1??` • t= ? INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 • r. , , . SITE ADDRESS: APPIICANT: ; 1 `; cerr.f: f.?1F '+t,i 1A1 i l Hi ;'_ i- : PERMIT SUBTYPE: :s TYPE OF WORK: A I T? trA11ON INSPECTION , .. . .• ttFMARK',- A}5kPA1ZA'1"E ihERMlIT 7'?c REU13T.FtF.4 i4Ft AI4Y t'!.llplEiTiir (iR El.FCifilVAi. W(lR1 ?, ? Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING _ A/ S'-7 HVAC Inspectlon Date Insp. Commenta FOOTINGS FOUNO FRAMWG ROOFiNG ROUGH PIUMBING PLBG AIR TEST ROUGH HEATING / GAS SVC TEST INSUL 9-1` l7 X, GYPBDARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL BSMT R.I. BSMT FINAL •?va U DECK FfG DECK FINAL Request Dale Fire Rough-in Inapecipn 1 /1 equired? ? Ready Now pl ?II Nolity Inepeciw / Wh R tl 7 ? e ? No en ea Y I licensed contractor ? owner here6y request inspection of above electrical work at: Job Atltlress (SVeei, Bw or Route NoJ Ciry - Seciion No. TownehN Name No. Range W. Counry Occupent (PRIN'f) Phone No. Power Supplier Address ElecVical Coniteqor (Company Nartre) CorNacior5 License No. C? ?nc. Mailing Pdtlresa (Comractw or O,mer Meking Inst alion) A utFwrizetl SigneNre (CoriUact nar Mi mber fh- / MINNESOTA STATE BOANO OF ELECTRICRY ffi' THIS INSPECTION qEQUES7 WILL NOT '. G'fggaNitlway BMg. - Noom S1]3 BE ACCEPiED BY THE STATE BOARO 1821 Unhreralry Ave., St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS PMne (617) 842-0800 ENCLOSEO. REqUEST FOR ELECTRICAL INSPECTION e??? ? ? See insirupion ?for mmpleiirg Mis (ortn on Oeck ot yellow copy. ?• l? 2 )v . 5 08 /?"X" Below Work Covered by This Request e ?Add Fep. Type of Building AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heatinq Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner /?)?? 7 Olher (specily) Contractor§ Remarks: d;2,._, ' +.. zo!e ?C ? Compute Inspection Fee Below: # Other Fee # 5erviceEniranceSize Fee # CircuitsiFeedere Fce Swimming Pool 0 to 200 Amps 0 to 100 Amps , Q? Transformers Above 200 _ Amps Ahwe 100 _ Amps Signs Inspeclor9 Use Ony: TpTAL rn Irrigation Booms ? , y? Special Inspection Alarm/Communication ? Other Fee I, the Electrical Inspector, hereby cert? that the above ins ection has ? P been made. Rough-in Final f D Date OFFICE USE ONLY ? This reQUest voia 18 monihs irom This r4ues oid g/pcC//?'? 18 months Irom D 3 0 018 14') ai/ ? Re?uesfUele ? he e6t Rov{?h-in InsDectinn R ui ed? . At`ndY Nu W?II Nnufy InsPec ? / ` ? ?? es ?No hen Fleady azLicensed Elec[rical Conlractor V I hereby requast insDection ot ebava ? Owner electrical work installed at Sveet Addre s. eax or Roure No. City /Y ecu n TownshiD Namn or No. nge Nu. oui Occuoa IPRI J NI.. Power SVOD ?? = Elect ical ont tor om?pnY ppamel No. ? ? ILIA / Mailing d ess IContractor or Owner Mabng Ins lationl ra/ v / Author¢ed Signatur opnac Owner Making Installationl Phone Number 7 MINNESOTA STATE BOAXD OF ELECTPIGITV TMIS INSPECTION HEQUEST WILL NOi Grigqs•Midway Bldg. - Noom N•191 BE ACCEPTEO BY THE STATE BOARD UNLESS PpOPEN INSPECTION FEE IS 7821 Universitv Ave.. St. Paul, MN 55104 ENCLOSEO. Phone 16121 642-0800 REQUEST FOH EIECTRICAL INSPECTION pea/-?o)oao)i-ops ' SB¢ instructions foe completing this form on back ol YBllow Copy. D• 30018 "X" Below Wak Covered by 7his Reques7 Add Rap. Type ol BuilAing Appliontae wi.ae EquiDmenl Wired Home Ranye Temporary Service Duplex Water Heater Lightiny Fiz[ures Apt.6uflding Dryer Electrii.Heatin Cominercial Bldy. Furnace Silo Unloadcr InAustrial Bldy. Air Conditioner Bulk Milk Tank Farm tne, oe?a y OJher ISnerirv) t n,r SucciW ONer Oth.r ompute lnspection Fee 8elow k Fee Service EnhencaSize M fee Fendars/Svbfenders N Fne Circuits U to 200 qm ps 0 to 30 Am s 0 to 30 Am s Above 200 qm?s 31 to 100 Amps 31 to 100 Am s Swimming Pool Abave 100_Amps Above 700_Amps Transrormers Irrigation Boorr?s Partial."Other Fee Signs SpeCial InspeCtion ? T ? Rem3rks qL F ?G floueh-in I1? Dile j? /?Q , the Eleeviexl nspector. heroby Final Vi I o? certify thet the abova insoaction has been made. Riis requasl w1E 18 monlhs Irom CITY OF EAGAN NQ 16745 , . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 C ? ?' ?Y°? "I BUILDING PERMIT PHONE: 454-8100 Receipt # ? To be used for 3- S?N PORCH Est. Value $8,000 Date .1Ui Y 5 , 19.89 _ Site Address 4145 NEW YORK AVE Lot 47 Block 4 SeGSub. STAFFORD PL.ACF. Parcel No. w IName FRED .70NES o Address 4145 NF.W voRK AVF: Citv F.A(:AN Phone 6RR_73R7 o Name P?LCRAFT ?a Address 3118 SNELLING AVE S , ? City MINNEAPOLIS Phone 721-6628 Name - Address City - Phone I hereby acknowlege that I have read this application and state that the infortnation is correct and agree to compry with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SignaWre oi Permitee •+?-?--- - -? A Building Permit is issued to: PAAIELCRAFT on the express condilion [hat all work shall be tlone in accordance with all applicable State of ,M?innesota StatuteIs and City ot Eagan Ordinances. Building ONicial / ! I/}F? ?A,PllA . 1 A1-d OFFICE USE ONLY Occupancy R=3 FEES Zoning - (ACtual) Const - (Allowable) _ # ofStories Lenglh Deck 1Oz15 oeutn Porch 12x14 S.F. Total - S.F. FoOiprims _ On Site Sewage - On Site Well - MWCCSystem - City Water - PRV Requved _ Booster Pump - APPHOVALS Planner - CAUncil -- BIdg.01f. - Varianw - Bldg. Permit Surcharqe Plan Review SAQ City SAC,MCWCC Water Conn Water Meter Acct. Deposit sNV Permit SNJ Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 100.00 4.00 1.50 105.50 CITY OF EAGAN - 15465 . ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Na BUILDING PERMIT PH ONE: 454-8100 (3?O ? Receipt # b /_/7 O? To be used for qF DWG/GAR Est. Value $71,000 SiteAddress 4145 NEW YORK AVE. Lot 47 Block 4 Sec/SubSTAFFORD PLACE Parcel No. a Name FRONTIER.MIDWEST HOMES z Address 3908 SIBLEY MEMORIAL RWY. 0 City EAGAN Phone 454-0433 ? Name_ o z? oa Address U F Cilty_ U¢ w Name W Fw _? Address a w City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply w'th all pp a61e State of Minnesota Statutes antl City of E ga Ordin Signature of Permitlee n Buiiding Permit is issued to: FRONTIER MIDWEST HOMES on the express condition ihat all work shall be done in accordance with all applicable State of Minnesot tatutes and ity of Eagan Ordinances. Building Official 61t"? Date A lI(:IiST 18 ,19g_ OFFICE USE ONLY On SNe Sewege _ Occupency R-3 M-1 MWCCSystem X Zoning R-1 On Si[e Well _ (Actuap Const V_N- Ciry Water X (Allowable) V-N PRV Required _ # of Stories Booster Pump _ Length 40 Depth -48_ S.F. Tolal Footprint S.F. APPROVALS FEES Engr./ASSe55. Permit -$-458.00 Planner Surcharge ---35-. 50 Council PlanReview _229, 0 Bldg. Off. SAC, City inn_DO Variance SAC,MWCC 550_00 Water Conn. 5 50 _.00 Water Meter A7 !1Q Road Unit --- 325,00 7reatment at -204-p0 Parks TOTAL _.?Z_518-50 ??? Te,?, -J RESIDENTIAL BUILDING Permit Application City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4 %, 0 6 New ConsWCtion Reouirements RemodeUReoair Reauiremenls OKce Use Onlv 3 registe2d site surveys showing sq, ft. of lo4 sq. R of house; and all roofed areas 2 copies of plan Ced of Survey Recd (20% mauimum bt coverage allowed) 1 set of Eneqy Calculations for heated addNOns Trea Pres Plan Recd 2 copies of plan showing beam & vdndow sizes; poured found design, eta 1 site survey tor additions 8 decks Trea Pres Not Reqd 1 set W Energy Calculations Addition - irrdicate BanSiM Septic 5y5tem _ Onsite Sepfic System 3 copies of Tree Pmservation Plan if lal platted atter 711193 Rim Joist Detail Optlons selection sheet (Wdgs wim 3 or less units Date I' /2 )__ / 0 3 Site Address e-I i Construction Cost 3,000 UnitlSte # kl--S Description ot Work L74S iOIa, G-e Multi-Family Bldg _ Y7Z N 7 Fireplace(s) _ 01 _ 2 Property Owner L? h rn„ ,?? J¢?>w g -S Telephone #(/pjj)(??? - nU S Contractor 7-1 ? ? -?,o r?`5 e 5 ? I Address ,?_71-) State _ City 5h,owGV?cw I Zip ?. Telephone # t6 SI ) a2 (o I-Z ?'f ) 3 j ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category (4 submission rype) Licensed Plumber Mechanical Contractor Sewer/Water Contractor - Minnesota Rules'1670 Cateeorv 1 . Resiaentlal Ventilation Category 1 Worksheet Submitted . Energy Envelope Calculaho Submitted ?'- Minnesota Rules 7672 . New Energy Code Worksheet Submitted ielephone #1 Telephone #( Telephone #( I hereby apply for a Residential Building Permit and aclrnowledge 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. ?/ w?. Pir?in.binc Applicant's Printed Na e ! L.?on/?N Applicant's Signature Sc>s?-) . • RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 NewConsWCtlon Raouirements • 3 registeretl site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas (20% matimum lot coverage allowed) . 2 wpies of pIan showing beam & window srzes; poured found design, etc.) . 7 set of Energy Calculations . 3 copies of Tree Preservation plan'rf lot platted after 711193 . Rim Joisl DeNail Options selection sheet (61dgs with 3 or less unRs) DATE l?-, • Z (4- crL /a? 2-5 RamodeUReuair Reouirementa • 2 copies of plan . i set of Energy Calalations forheated add%ions . i stte survey for extenor addilions 8 decks . Indicate if home served by septic system for additions VAIUATION? SITEADDRESS ?I4S IrPQ,? C,?j??[ ACu? MULTI-FAMILYBLDG_Y _N ?- TYPE OF WOR PIREPLACE(S) _ 0 _ 1 _ 2 ?r-- -------- - APPLICANT ? 7aocnQQUv I200r?D? & gQIlQINg, DDVe. , STREET ADDRESS ; 49 SOath Owasso BIVU. i CITY STATE _ ZIP Litile Cepada, l?l 55117 ? TELEPHONE # FAX # =fnSc 1 4$a-?'? PROPERTYOWNER ?CJCIL ?X?tLUr TELEPHONE# l b -------------------------------------------------------- -------°--------------- ----------°--- COMPLETE iHIS SECiION FOR "NEW" RE$IDENTIAL BUILDINGS ONLY Energy Code Cate9ory _ MINNESOTA RiJI.FS 7670 CATE(30RY 1 MINNI:SOTA RiJI.ES 7672 (+1 submfssion lype) • Residential Ventilation Ca[egory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ ____ _ Phone # _ Plumbing system includes: Water Softener Lawn Sprinkler Water Heater No. of R.T. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning _ Heat Rccovery Systsm Sewer/Water Contrqctor: Phone # - -----°------------°------°--------°--------°----°-- I hereby acknowledge that I hove reod this application, state that the inform tion is with all qpplicable State of Minnesota Statutes and City of Eag Ord' ces. Signature of Applicant OFFICE USE ONLY Fee: $90.00 Fee: $70.00 ?l!71C? T ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: euzLoxNG Permit Number: 031242 Date Issued: 12 (10 / 9 7 SITE ADDRESS: 4145 NEW YORK AVE LOT: 47 6LOCK: 4 STAFFORD PLACE P.I.N.: 10-72500-470-04 DESCRIPTION: (rwo seoROOMS) erma.t 7ype BA5EMENT FINISH Type ALTERATION s°Fh% 434 AL1'. RESIDENTIAL ? G??'l ? F _ ,? ? ???? ??a ?? ? REMARKS: A SEPARATE PERMIT IS REQUIRED FpR ANY PLUMBLN6 OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - sT. LIC OWNER: CUTTING EUGE BUTlpER5 13224097 2001384 JONES FRED 15516 CORNELL TR 4145 NEW YORK AVE RQSEMOUNT MN 55068 EAGAN. MN 55122 (612) 322-4097 (612)686-0054 ? ? APPLICANT/PERMITEE SIGNATURE ISSUED BY: SI NAT 9 7 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?'ffo•j+? 3114t 3830 PILIOT KN B RDN 55122 CW ?I-q 681-4675 New Construetion Reauirements RemodeURenair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window s¢es; poured fid. design; etc.) ? 2 site surveys (extenor addRions 8 dedcs) ? 1 energy plculatians • t energy calculations for heated etltldions ? 3 copies of tree preservation plan H lot platted aRer 7/11/93 required: _ Yes _ No DATE: ? Z I? I9 ? CONSTRUCTION COST: 4 1 Z' °oO DESCRIPTION OF WORK: STREET ADDRESS: LOT ? BLOCK `il`fS Nw Ycv]< k?e. 1- SUBD./P.I.D. #: PROPERTY Name: _ Ja,.,t s ?v,ed Phone #: _(A "60Sy OWNER usr nnaT StreetAddress: '11`11:; Nc?? Y6JI< ,v... Ciry: Etiqw" State: u', ^' Zip: 'S S? z Z CONTRACTOR Company: C-°4' ?6d:4 Phone #: -Vzz' ti09'? Street Address: iSs 16 Lo UK? ?t T? • License City: ?o?o"+ State: v`^Zip: SS01?8 ARCHITECT/ Company: Phone ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licerned plumber (new wnstruction anly): and lot change are, equested once permit is issued. Penalty applies when address change I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE l1SE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant: _ Yes _ No _ Yes _ No (7 L--D 0? . 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS /S `ff's-, INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEYt 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DFSIGNATE WHICH ADDRE5S IS DESIRED. NO CHANGES WILL BE ALLDWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL IINITS FOR SALE IINITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFIC$TE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONAtERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS; 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used Fpr: Valuation: Site Address ry/ 000.OFFI /? Lot '1/7 Block ? On site sewage_ NbICC system ? Parcel/Sub ?"laffiLd On site well City water ? Dwner PRV required _ Booster Pump _ Address ?9,5(? cTAd? LAn,? ''? 3 City/Zip Code ?.?. Mn- ?S/da Phone -la-2J-.wo ( ?krdt(rk.S LiflPO APPROVALS Contractor ELLLF M;ClL1 Sf- LfnnE--, Engr/Assess Planner Address ?9a? ?il?f?v (YlpMnei,al f4wU Council T Bldg. Off.4?Q=8> 5 City/Zip Code ig(AA 61n- S-S/.2?2- Variance Phone ? j-y- Arch./Engr. Address City/21p Code a8 ?!!!b 3 iB8g Date: / Oecupancy F.-3 M-1 Zoning FZ-I Actual Const V-N Allowable y_?,? IF of stories Length ?p' Depth ? S.F. Total Footprint S.F. FEES Permit y,S$,oJ Surcharge ? Plan Review 2 oD SAC, City IDO, po SAC, MWCC 5 O, u Water Conn .5 O,Oo Water Meter 69,0C) Road Unit ,3Z$,00 Treatment Pl Z04,00 Parks Copies TOTAL SIFS•So CcWCa?z s ` MaDt."L Phone # ??? - aQyy vA Lu A-r I o N? . ' ?.AG E ? 21?X24.--: x?y c Iat(o0 g S: ?= LS X L1 I )( z6 = ?bk5? ---- Z???e = 2 (. toa?x ?3 = 13338 Y, yR = ?d96 0 ?----------- `lb L458 I Nedlu,nd Engineering Services 9201Eaar8loominqronFraeway . Bbominpion, MFrroota 55420 land Surveyora , Clvll EnQineets Lond Planners Phana: 888-0289 11 ? surrewr`s G'ert?, f "?cute BOOK , PAGE ? _ J08 NO. SS"' gO3 wRyEy ppR; Frontier r?idwest Eomes Cor.poration DESCRIBED ASA ot-47, Block 4, STAFFOR.D PLACE, City of Eagan, T?akota County, I n__ t?innesota and reserving easements of record. SI? ? t.h I ., V I ? ati ? 1 . I \ . ? Z V I _ I I 991,0 ? ;, ? ?? ? o? , ?rn l ? . ? v 895.4 I / I I ?35? ? 48 I Rti O ? 00 o.(9 o °; 89h.2 / EA GAN R E V I EwE 1) 1r) U ? ti 0 yoo C? ? / , -%DnA ? DAT£ ? y - Top NuT NvD. ? Lo+ L,.? 30 ? 3S DLK }bn NeW Yo.'V. Aw.. E?,- 9q4.5 i TOP OF FOUNDATION =b9s•2 GARAGE FLOOR =$q4•a BASEMENT FLOOR =99z.o SEWER SERVICE ELEV. =8s4.3= PROPOSED ELEVATIONS : YxY• EXISTING ELEVATIONS : x=ti.x ^' " 2S 26.76 Dc?AINAGE DIRECTIONS :-?---? d°7639'1B" DENOTES LOT CORNERS : o YENTNOR flVE. 117 $Y3.5 R•20.00 DENOTES OFFSET STAIiE: a LtRTIFICATE OF SURVEY, - , I henby certity thot thia survey , plan ot report wos preparad hy me or undar my dinct supervision and that I am o duly Rayistered Land Survayor under fhe lars ot fhe State ot Ntionesota. ? ? o Date: i / ? 9? / ?3 ? \yf??--D. c? /?/ ?Jr = {7E-.? J _ -? ? /? ?•.s 97 ? °/ y ? Sp?,+,?d P ? SI"'S FY1.y / Cidn O . I II 25 ---7]C) ? L ? ? ? 30 LYbdpren, License No.14376 tA l[K1Ut( CivvcL-urL nvL owHER: - _.?-?0--? nnTr: S?TE ADDRESS: PNONE: 454-0433 - FRONTIER CO?YTRACTOR: F2?riT??P ?1^r,j=5 PLPN 2x6 STU?5 Determine working square foota9e of each 4 sq. ft. I") ! 0 ll x.11 = ? a8 14 1. Total area..... , exposed wa 040 sq. ft. x.026 = 2?.0q 2. Total roof/ceiling area..... i Tctal exposed wall area ahove.floor=_ '7.Z3.?:.a 13? a. Totzl wall window area ............................. . .. .............. .............. 3 3 S b. Total ............. door area ...................... ...... c. Total sliding glass door area ...................... ........ ! d. Total fireplace wall ar=a .......................... area (average lOp) . . . ... . . . . . . . . i .............. . . • •••.••••••• ?'-. S5 e. Total ng watl fram ............ i3f ?3 ' 7otal rim joisC area ............................... . Z o i ? g. net wall arez above floor ....................... .............. h. wall area above floor ....................... .............. - ........ fl .............. - i. oor ............... wall area above j. rrame wall area at founcatlan Total exposed foundation area= 131.?2? k. Total foundation window area ....................... l 1. Total net Toundation area above grade .............. Iz1.533 Determine "u" value of each wall segment (e,g. tvindow, door, each separate wail section) b. X c. -? ? z d. - X 11 ull L2.9? 1. u?I l 31 = I I '78 l.ull , ?i? = I5. SB ltul. x „uti , 11 e. 22.33 = ?71 & f. 131.33 X ??U" ?04 = 5,2"1 g. 2OI X l,u., ; 05 = 1-1).05 h. - X ?1V _ _ X 1. u?? i. _ X %11 - j. X ?lu,l r . _. x nuu? I 7. ?1 ?0 3 . .................................Total = I?c,,8 8 If item 13 is the s< as, or less than itf nl, you have met thf intent of SBC 6006 Tota1 e-Yposed roof/ceiling area =. I Q 4 O m. ib:zl skylight area ............................ , '. - n. Total roo`/ceilinr, fzaming arr_a (avcrngc 108);.. . 104 o. iotal net i.^.snlated roof/ceiling area....,.:..... • ?(?!a . Determii:e "[]" value for each roof/ceiling segnent M. g llUl. ?- _ - . - _ - ? r.. 104 a Ult , pZ4 2,5 c. q3Co X I.Ul. ,o;-_ = 1,3 -7 Z ' . . a ........................... To c:ai = ZI 2Z -: : .... `..otal c` -4 is the saue as, or 2ess than l;2, you have met the intent of . SHC 5J06 Alternate Building Envelope Design - '_`o _`,iiize the total eavelone 'system method, the values established by the 5': r.i of ' items 7-3 a.-:d '4 shall not be greater than the sum of itesns $1 and #2. i. 1 SS. i4 + z. I5, 3- I'Lla . RS'i + 4. 71 . . . ?•]iY::... .- -'. . PIAN #GaNCOiZI,7 r * LSNFAL FEEf EXPOSED WALL BLOCK: qC) = 25.5 31 1 0 .5 -? Z(o = I 3 I. g 3 1QIEE : 25.33 -f 40 +ZL = -11.33 W.O.. _ FULL 1: q D } Z L- -F =1 0 -1- Z L= t?? ? FULL - FIREPIACE: _ RIM: 131.a3 * SQUARE F'EE,T FXFOSID WAI.L AR£A BLOCK: I ?1 .63 x .5 KNEe: x s = as?.t,5 w. o. : ?- x s = - FULL 1: 13 ? x s= 105 ? fUI.L2: . x 8= - FIREPLAC£: ? x RIM: ! 3(•??3X 1- 13? • P 3 I-110,A * SQUARE FEET EXPOSID CEILING = 10 4 O *,I4MDM 1 il-H z4a3 = 3 x:=43 2 05:p = 5 X 5= 25 20 r.0 = 5.3x5 =-'!5 ? ?- 2,13 G = 60 9 (o * DOORS 23`1`3 = 38 3?;: ZD * PATIO DOORS 1 ?' = 32.9 * BASIIMENT UtIITS I . fvar+?e ccrArruCc kon 6 =SZC WL-L -6rG. s2 Qf,qMf NRLt M. Y mNSPRUC'?'IOIS=- FRAMING 1. INTERIOR AIP. FILM 0.68 2, 17211 G D .45 3. 5 1/ 2 SOF'L' WOOD 6.87 u. -rkErZrna ?y sr+? •2 5. ?'SIlliiVG .8 6. OR A.IR FIIM 0.17 _ TOTAL = 8.99 U= ,11 xET T- 1. INTFTbRIOR PIR FIIrt 0.68 R;'=_` 2 BD 745 3. TNf?o f...Y srlExr)+ . ? 4. SIDING 5 0.17 ^ 6. EXTERIOR AI?t 'FILM ? - 1`/?f? U •?/? 1--? 1. INTERIOR AIR £IIM 0.68 -- ------- Q 2, 5 INSIJI„ 19.00 ? 3• J_ - - S,tt S£kL? / 4 __ Y sHC?crH -rt+E?to 'PL , . S. S DING .? 6. DCERIOR AIR FILM • ' K= ZZSL , o•, o O U= .09 ? .? BLOCK ? bi .'p` WkLL ? t-? j 1. . IN!'ERIO& AZR FIIId 0.68 Z. ? ?r.• ?' • i:~ ? 3. STYRO ' • 0 " ,; 4. "R PROTECfIVE SARRI 6. =iOR A R F ZC7TAL R= .13 ' U= .14 SLAB ON GRADE T ?? D= ? ' % ?? ' ? • ? ..• - ItI + /r? . f!E - . ' l ? li( rr °_ - FZ.G. aA ? S _ D ? /!? ? r?.43 NOTE: IN?ICATE TYPE, °R!' VAIIJE. DEPMi ANID PLACII-tENP OF INSCTLATIOtF.. ` ? ?w CONSTAUCTION ' R-VALUr- J? 1. IN'PIILiOR AIR FILM 0.61 4 z. ? 3. 4 4, U = .02 PRAME ? 1. INT'ERIOR AIR FZIM 0.61 y?p?? ? L ? FTFAT £IX)41 2 , UP 3. 4. FIG. #5 U - 0.024 CONSTRUCTIOId 1. INSIDE ATR FZIM 0.61 2. 3. 4. 5. L ,I, TP . v U ? ? N:tAT_ F'LOW iJP F?G. #6 ,... _,,.. V?NTF?D ? ? , ? ,,., + ??? .? ? ?.?? -?- _? c? NON-VEN'IED E*.E'AT FLOW UP FRAt4E 1, INSIDE AIR FILM • 0.61 2. 5. U = r INSIDE AZR FILM 0.61 1.. . 2. 3. 5 . ,IC)TAL ? U - NOTE: Ur?SE?EIJ A-DDMORAL D AILS?AND?CAI.L??TIO*IS.TS rTG. f.`7 o•* ; IN' ? + ? tou•ou+ a.oo+ 1 - 50+ lU5•tiU* 1989 BUI1.DIAG PERMIT APPLICAYION CTTY OF EAGAN ' toolqS SINGLE FAMILY DiIELLZNGS lIULTIPLE DiiELLINGS COZS'lERCIAL 2 3ETS OF PLANS 2 3ET5 OF PL9N3 2 SEfS OF AACHIiECTURAL 3REGISTERED SZTE SDR9EYS AEGISTfiRED STrfi 3QflVE23 - 3 STEOCTQltAL PLANS t SET OF ENERGY C9LCS. (CHECB TiITH BLDG DIY.) 1 SET OF SPECIFICATIONS 1 SET OF L6EA6Y ClLC3. 1 SET OF E6ERG2 CALC3. MTLTIPLfi DBELLINGS AENIAL ONITS FOA SLLE DNITS ! OF DlITiS 60TEt ADDRES3ES FOH CORNER LOTS - COATA9CTOR/HOMEOIiiNEA MUST DF.4IGN9SE WHICH IDDAFSS IS DESIAED. 80 CS1TiGffi iTII.L BE ALLOiiED ONCE BUILDING PERlSIT I3 ISSI)ED.. SEWER 6 U9TER PEIMIT FEES AND ACCOUNT DEPQSIT FEfi3 ftII.L BB INCLDDED iTTPH THE HIIILDINQ PElMIT FEE. PAOCES3ING SIME FOx SENER AND 1i6TEA PEffiiITS IS TWO DAYS ONCE ! PEAMIT flA3 BEEW COMPLETED INDICITIPG A LICENSED PLOlBER. PENALTY APPLIES 6IHENf PERMIT IS NOT PAID FON IN SAMME MONTH IT IS REQUESTED. LOT CAANGE IS REQUESTED ONCE PERMIT IS ISSUED. Ncw ?iscr-stN Pozcrt 41IH27 ?gb7 To Be Used For: Valuation: ? Date: bl /Z-7 Site Address klh5 NEk/YPi K Avt Lot y 9 Block L( Parcel/Sub S TAFFciZ? Ormer FReO JoNCS Address NlH? ??aRK /1-&? City/Zip Code 6W711a) , le-W Phone C151? 7357 Contractor /??9iU'eLC??FT Address 389 S.tJ?LCl.t? IeVG- sn City/Zip Code l'I ?/ 3- 5;-Yo6 Phone ireh./Engr. Address qObo l OFFICE USE ONLY Oceupancy FEFS , Zoning Aetual Const Bldg. PermiL IUO/'-oo Allorrable Sureharge 41, C?o l i of stories Plan Review Length DccY- ?oTs ? SAC, Citp Depth Po/].&F{ 12 n/y' SAC, MNCC S.F. Total Aater Conn Footprint S.F. Fater Heter Acet. Deposit On site aewage S/N Permit On aite well S/H Surcharge _ MWCC System Treatment P1. _ City rater _ Road Unit PRti required _ Park Ded. Booster Pump Copies ,50 _ 3DBTOTAL LPPBOVAIS Penalty Planner TOSdI. Couneil Sldg. Off. ??Zq IVarianee City/Zip Code Phone f v Aa-u ?-n orj ?D?2L (::, Q Zo t) tGle- ` ! o00 ? '? 2-0 . v v -ana Surr*rora . Clvll Enyineers Lond Plannen -?j,o ? Bq's / AW rver?orIs G'ert? f "?cate SA II , BOOK_ PAGE J08 N0. SURygy Fpp; Frontier Midwest Eomes Coiporation QESCRIBEO AS:ILDt 47, Block 4, STAFFOAD PLACE, City of Eagan, Dakota County, t?innesota and reserving easements of record. ? ?.1 v 5I ` _ Z ? v I ? J I ?- fI g9?.0 ! v I ? p ? V I ? _ sI D a 895.4 CShvl=i] / ( - „ P'by,?o.d) +, d ? Ga? r a?? `'c y ?eS? , is.s3 FGA? H / /y \ ? ai 894.2 er} S ? 16 R$ ? o0 Bwaminatan, MnMwtc 55420 Phone: 868-0289 / ZS ?.a J? 'EacaN REVfEWED ? 43 p U ? Bv JDM 0 DATE ? y- 70P NuT NYD. 2 le? 4»? ?o ° 3S ? DLK g.O.New Ye.K Ms. E?e+.= g94.31 ? TOP OF FOUNDATION =e9s•2 ? GARAGE FLOOR =9q4•s BASEMENT FLOOR =sqz.o SEWER SERVICE ELEV. =QBg•3' PROPOSED ELEVATIONS ; YxY, EXISTING ELEVATIONS 76 Dc?AINAGE DIRECTIONS :-+--? vENrNOR ?vE h d=7639'7B' DENOTES LOT CORNERS : o ? 8v3,s R•2o.00 DENOTES OFFSET STAh"E: 0 "'- LPRTIFICATE OF SURVEY I hereby certify fhot ihis survey, plon or reporf was prspored by me or under mr dirsct supervisioe and fhof I om a duly Reyistered Land Surveyor under the laws of fAe Stafe ot Minnesota. o Data: 33 - • c' I ? Jeff 6 . L ndaren , license No. 14376 J C'?? .. . N7S? :-7 FOR CITY USE ONLY PERMIT # ISSL'ED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLL'DE SORCHARGE) $ $ WATER PERMIT (INCLUDE SC'RCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOC'NT DEPOSIT - WATER s $ WAC $ 5'6 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BEN°FIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL RECEIPT # RECEIPT DOES UTILITY CONNEC TION REQLIRE EXCA VATION IN PC'BLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK SVITHIN PUBLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSUED BY THE ENGINEERING AS A CONDITION . . SU BJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: DATE: J L ?? ,?. .R• APFLICATION 1=0R PERMIT 1) PROPERTY ADDRFSS: T'FY:AT• DESCRIPTION; SEWER AND/OR WATER CONNECTION oF aS'9qC3?9 *[SYf'E: PAYMf OF FEE AT TIME OF ' ? APPLICATIpN DDFS NpP CON- i SfIN1E APPRG57AL OF PFR1IIT. ? • ? INSPFXTION OF SEWFI2 ANID/OR WA7II2 a ; ? INLTALiATION5 WII.L NOT BE SCIDUI,ID ; UNPIL PIIthIIT H1lS BEQ9 ppPROVID. i ?f?++rtrt??tstsarR?xx:ts??tt+r?t?:f?tx? IF EXISTING STRCCT[JRE, DATE OF ORIGIiVAI, BDILDING P°••RNLiT ISSLANCE: PRESENT ZONING/PROPOSID OSE: Q CONII-EE2CIAL/RETAIL/OFFICE Q INDC'STRIAL Q INSTIT[;TIONAL/GOVERNNENT Mont Year ]:_'I2-1 SINGLE FAMILY ? R-2 DCPLEX (3Gro tnits) Q R-3 TOWNHOL'SE (Three + Cnits) ( Units) ? R-4 APARTMENT/COAIDOMINI[:M ( L'nits) 2) ? NAME: !-iEG?,??(E.2 d/t? 216/Ylea? awDREss: I/ CITY, STATE, ZIP: _mn PHONE: <4, 4714 - 3) 'i i:?• NAME: ADDRESS: CITY, STATE, ZIP: PHONE: ? y MASTII2 LICENSE # _j_Z -19 Pl riu[s L'icense: I? Active Expired Not recordec St Iaf n?itial :)='! OC?47PA[+TS'/OWNEF ruAME: F2Fc? 60 ? t S?Fp1??1r??= ADDRESS: 195Z1 Tf??F LAf1t=. '? .?, L? CITY, STATE, ZIP: ? PHONE: ?? 5) ER'CONNECTION TO CITY SEWII2 &?J_CONNECTION TO CITY WATER M OTHII2 6) S/o / /8` s( *+*?*?*******?*??***?*?*****?*****+******.**??***???.****+****??******??**?***************r*?*****> * * THE GOLD COPY OF 'IM pERMiT WILL BE SEP7I' DIRECTLY TO PUBLIC WJRKS 1D FACZLITATE MEPII2 PICK-OP. i PLEASE ALLOW 'iWU WORKING DAYS FOR PROCESSING. SOMEONE FROM 'PM CITY WILL OONTACT YOL IF TFERE ? * ARE ANY PROSLIIKS. i ?*****a***********??,e*?*******r*****,r*********s**x*:r?****++**?*?**?**++****x****?******,t***+??*r*?x; , ',fra _ ,;'? , CITY USE ONLY G// ? L? BL RECEIPT#: o`t'?P o S SUBD. RECEIPTDATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681 -d675 Please complete for: . single family dwellings ? townhomes and condos when permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Ga5 Piping Outlet ' minimum - t 3.00 x = Rough Openings 1.50 x = Water Softener "for dwellings under construction 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G.Sprlnkl@f "fordwellingunderconst. 3.00 = U.G. Spril7kler ' Tor existing dwelling 20.00 Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' oak cry lic. 75.00 = (new end refurbished systems) Private Disposal Systems' Abandonmant 20.00 = STATE SURCHARGE .50 TOTAL I hereby adcnowledge that I have read this application, stete that the infortnatbn is cortect, and agree to comply with ali appliceble Ciry of Eagan ordinanoes. it is the appliwnYs responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any dameges caused by the City during its normal opere6onel and maintenance ectivities to Ne fedlities constructed under this pertnit wRhin City property/right-of-way/easement. , SITE ADDRESS: OWNER NAME: D. INSTALLERNAME: GENZ-RYAN PLUMBING & HEATING TELEPHONE#: 423-1144 STREETADDRESS: 14745 SO ROBERT TRL CITY: ROSEMOUNT STATE: MN Zlp; 55068 ? S ATUR OF PERMITTEE ? ??.. . ? 'Y?? /? l-?j ,-'. ?2? ?ZG?? ' L'0A/Co1?6 `}1oOf.L Residentie/ Whole House Worksheet Cu.tom.,:Name f2DA11;& m[owfS7- ,ddre., . CitY Stats LP TiMphorn Numhrt ' . WINTER: Imlde Oqlyn Timp •P-Ouu14 Dulpn Timp •R . Nomlnp Tamp DIHwenais •R SUMMER:Ouulde DwfpnTimp -•F-Imide OwipnAmp ` •F. CoWInpTampDiHannoe •F • HEATIN G , _ .,: .. ., ... , .. . Q b .. . . . OOUNG aki DTUw 106\ • Nuntia. , I4CT011 ' . .. coau 'tACT011 ??? ?? N O 1 : GROSS WALL OPI d 'OOORS b W INDOWS ITWM A or Bl NET WALL S , ? o cEAuNG c) ' r FLOORS ' Q _ Q.- ???m.?, ? H«r x 10x 'n/m x wwn. w.?. .. x 1n/m x AT x n ? 1.0 x0.18333 z U 'O x 0.01833 xof p x, ? 3o j n ?O SUB-TDTAL BTUH SS (par 10°F) . x ADJUSTMENT FACTOR lTebM C1 O 'IbTAL BTUM LpSS PEOPL x 300 BTUH GAIN 60 APPLIANCES BTUH 120D j, ; SUB-TOTAL BTUH GAIN Iroom cenabk on 1 ?Q x ' OUCT I.OSS/GAIN FACTOR (Table F) • x SUB-TOTAL BTUH ISenslWe Gain) MOISTURE REMOVAL Isub total x 1.31 z 1.3 TOTAL BTUH LOSS/OAIN - Q ?.-?swnn?- vv V no V AV VU PI?MI?Ii ?IIINYNWtl (PER 10•F) , For NiOinp flI= dOO/s • uM bcwn ror tM wry roype window Cons[m[lion. . Wlndow 6 nma ? Door T p ? xArw . Btuh bp mpN Pam Ckar 8.90 10.45 ..•, 11. Wilh Slo/m ' oubh Pom c„a, , asi e.oe + i.aa?" 3 With SWrT C ur 9.80 4.38 . 6?4?? a ?w SinpN ' - - ?.p ? u? ? ?. . Y1p W i10fT , '?aS.Q• kNro u s??sw it.di ?t.? , • Doub4 7.35 '976. ? NbuAOnry ?'1.80 - - 2 g Woodw/storm 9.20' ?'...;.• r h n n?h?u on lR•S)w/storT - - 1.7,{1. - TO*^LS 3 a TABLE C - ADJUSTMENT iAGTONS _ (MEATIunl •F. Tampxsiun DiH. 30 qp Bp Bp 7p Bp g0 ? Aaiuxm?nt F?ctor 3 4 6 8 7 8 9 C Americsn $andard, InC. 1986 . TAOIX tl- GooL11Va - 000R6 @ WINDQYYi " Facton usums windowe have infids Wdirp W dnD*rW&a vwnWn WMW?aW.WWnoWwdoonar?watedwwindo?. . . , . . Y.saaur aowur.a muwa ? . . orr. ¦ nrwan? ? w * u. a,s ? trrROn? w r i? ?= w nwarti ..... ` W ? x?? w ?a w?ww ' a ;?^ a .s ' a . uw p r e' w 4 ??: ¦ He. YkeIY Kr+eir r w w ? u' . lY ? M ?M?.R 11i ?, YI y R, . p ra,..oemw..oe 7pTpLg . O wwerroowrrar.. TAP.LE D - INFILTRATION MYLTIYUENS .. W Inur AU CMnpp PW Mow •- FIm.V.. emn.w. an,rm ,w.I,m .._.,,m B?p ...0.4 0.4 .._W _ _._0.3 Awapo 1.2 1.0 QS 0.7. Poa, 2.2 ,.. ,.! 1.0 Fqr?6npYM?00: . Ym : /Wrw Pbar 0.1 0.2 0.6 - • Summv Air CMnpN Pp Hour ? F1e.n.e... r?n...?... o?v..s1.. ? QZ Q2 ? OJ' .. ? -0 ?+W 0.6 0.6 0.4 0.4 nwr o.e a? ae aa Pu6.NO.22-8D184 P.l.(y 6-4l,fq3 _# 9q. zs 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW ctan Reavirements RemodeUReoair Reoui2menLS Oft?ice Use OnN 3 regatered site surveys showing sq, ft of IoL sq. fL ot house; and,?ll roofed areas 2 coDies of plan Gert of?orvey;jt,?ecd ?? .Y? N. (20%maximumlotcoverageallowed) 15etofEnergyCalcuWUonsforheatedaddNOns TreeP sPfenRecd 2 cop'ies of plan showirg beam 8 windax sizes; poured found des'gn, etc. 1 sfle survey for addNOns 8 decks iree Pr es Requt?red Y . N 1 set of Ene?gy Calculations Addition - ind'?cate d on-site sepfk system Qg slfe?epGC,Systet?t Y Ni 3 copies of T2e Preservation Plan if bt plaried after 7/1193 Rim Joist Detsil OpUons selection sheet (hidgs with 3 or less units Date I Z //0 /o Construction Cost Site Address ?A Fiw YU,eL 6- UniUSte # Description of Work Jr l b/A?t, 4"" w1 'v '>d Multi-Family Bldg _ YX N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner F2 EI?0 YLI/ttl 5 'Tesyffq-.- IE TuNE$ Telephone#(Gr/) 907- Contractor 1V,7iCTt 1STA-,e_ (?b?e 77-""?Qo?s."C-vT Address y4"7 2 L!"?/o?.? ?2 City 67?/.??- State iYti1/ Zip Si'I?E, -R) -Telephone q( 9J2 ) 9Z 9-/? J "004 COMPLETE TFIIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesob Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy COde Category . Residential Ven6lation Category 1 Wwksheet • New Energy Code Worksheet (4 submission type) Submitted 5ubmittad • 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. Licensed Piumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Pemut 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. l t,lQa l TE-i4 F Applicant's Printed Name l? 15? ? Applicanrs Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex 13 06 04-plex Work Tvoes ? 31 New K 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 13 16rplex ? 20 Pool ? 30 AccessoryBldg ? OS 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 10 08-plex `? 18 Deck /. ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg) • Give PCA handout to applicant D@SCfiptlOtl: Water Damage _ Yes Valuation c,O Occupancy MCES System Plan Review 4-100%or_25% Census Code L-/ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width Footings (new bldg) X Footings (deck) ? Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. ? FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall 2 , Building Inspector / 4 ? - _"""_.. .""•"'_'""'_'_""?_ . Gril Enqineen Lond Plannars Phonc 688-0289 ?' surver?or?s G'ert?f "?cate / _ BOOK _ PAGE , / _ J08 NO. 882- ao3 i: v SURyEY FpR; Frontier Z4idwest Eomes Coiporation QESGRIBED AS:%jot 47, Block 4, STAFFORP PLACE, City Minnesota and reserving easements of ' 8951 J / I ` ? . ? ? v ssi.o ? ? " n) l `V n W oh ., . ? v Sgs.t ? I I I j ? ? f / I f ? I ta 1 y •- p, 00 e z?,;3 °j y 1 P,b d ? F?f_4 ; C?adn ? : SG J Ie?I? . ?v . H o i 894.2 i zS i of Eagan, Dakota Countp, record. 25 -? in e9?.a ' )4 ? ? / °? a?? a lbti; U ? ryyoo° E A G A N ? REVtEWED er JDM V OA'fE s..cG... a-K • ToP µuT MvD. 2 Le+ l.+c 3Q ° 3S ? DLK }On Me? Ye.-K h?. ? TOP OF FOUNDATION =89s,Z ` GARAGB FLOOR =e59.$ BASEIdENT FLOOR =89z•° SEWER SERVICE ELEV. =884.3= ? PROPOSID ELEVATIONS : 2Y• EXISTING ELEVATIONS : x=tix . 126•76 llt[AliVAIGE L1KELT1uivo :?? YENTNOR flVE. a d- 76:3928" DENOTES LOT CORNERS : o ,v 6v3,s R=2Q00 DENOTES OFFSET STAIiE: c -CPRTIFIGATE OF SURVEY I herobY certify thot fhis survey, plan or report was prepared hy me or undar my dinct supervision and that I am a duly Registend Land Surveyor under tAe IaMS ot fhe Statt ot Mtnnesota. ? o Oate: 93 LYndaren, License Na.14376 C4TY 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. lyl Meter: Misc.: By4,?,°u ) Z 7 — WATER SERVICE PEFMIT (,3 p CITY OF EAGAN Permit No: Date: 3830 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. Deb: I agree to comply with the City of Eagan Permit Fee: Surcharge: Ordinances. Misc.: B SEWER SERVICE PERMIT PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA107669 Date Issued:10/22/2012 Permit Category:ePermit Site Address: 4145 New York Ave Lot:47 Block: 4 Addition: Stafford Place PID:10-72500-04-470 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Lisa Skogen 5660 Memorial Avenue North Valuation: 3,144.00 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - FREDERICK SR T JONES 4145 New York Ave Eagan MN 55123 Hoffman Refrigeration & Heating 5660 Memorial Ave. N Stillwater MN 55082 (651) 439-5770 Applicant/Permitee: Signature Issued By: Signature