691 Northbridge Ct
Use BLUE or BLACK Ink
City of Eayn I Permit#:
Permit Fee:
3830 Pilot Knob Road REDFi i
Eagan MN 55122 VED i Date Received:
Phone: (651) 675-5675 i I
Fax: (651) 675-5694 JUN 7 7 01 Staff
i I
-Staff.
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT /OWNER Name: J7 far/~ vrX c^~1/ _ Phone:
Address / City / Zip: d-;Z
CONTRACTOR Name: MILBERT COMPANY INC.dba CI=GAN WM
Address: 1801 50TH ST EAST City INVER GROVE HGTS:
State: MN Zip: 55077 Phone: 651 .451.-2241
Contact: BILL.MILBERT i. Email:
TYPE OF WORK _ New -X Replacement _Repair -Rebuild - Modify Space Work'in,R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater 7)0- Water Softener
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures t` Main Lower Level)
Septic System Water Turnaround
-New
Abandonment
RESIDENTIAL FEES:
0,55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities.- www.oooherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work Of 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, Nand work is not to sta rt without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and apptoval of plans.
x Q)Xln-m of , x
Applicant's Printed !lame App icant's Signatu
FOR OFFICE USE
Reviewed By Date
Requiredlnspections, Under Grourd Rough-ln Air Test Gas Test Final- yak
- - - -
. .?..--- w ?'?+?" ,n . .. yi,R?„y?l?':F'??Y??' i /`i• D? /V ?/?^r -'? 0 . •U
-"' " "? HOUSE
• HEATIN? TEST RECORD ???
ADDRESS APT. FLOOR CITY SUBURB
OCCUPANT OIrNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY 7 ?-'" CEEC-1 41 L
EI•etrieal Work By Gas Lin• Bp
TYPE OF HEA7 GA FA So! -H1M STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE MIAKE OF BURNER
Mod•I ?I? Model
Soriol d Msx. BTU Rotino
INPUT ? 60o ?J MAKE OF FURNACE
Model
Volvo - t'
Limit -A
Limif Settinq
Fon?Settinq -
Pilot Type _
Pilor Moke -
Pilot Model _
Pilot Timiny
L.W. Cvt Oif
Pr*s:un ?Perunt COZ
Input CFH Percent 0
2
Sroek T,mp. Pwant CO
Form 235
i
Vent Siz•
KIND OF LINE SIZEZ -_NONE
Droh Hood ? J Reyularor 24 7C - ?
Filfers . S(se Numbef
Chiniber Loeatlon Inaid* Oufaide
Ohimney Construtfion
Smok. Bomb Wirinp
Droft T•sr 1
. ??L ??? _.
SEWER & WATER PERMtT OFFICE USE ONLY
CITY OF EAGAN
3830 Pilot Knob Rd METER #1?q ?0? PERMIT DATE
.
Eagan, MN 55122-1897 CHIP # Q_.,I ?.-7?Al PERMIT # 12 3
METER SIZE A,?4e S B.P. RECEIPT # _
DATE ISSUE DATE ?7.7 ? B.P. RECEIPT DATE ' 22 ` .'
PRV _ BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT ' i' BLOCK SECISUB HZLLS SfUNi:HRIDC.?
APPLICANT: •
ADDRESS:
CITY
STATE ZIP
,
PHONE:
PLUMBER: G'"?i?Z-kY'A.Id PLL'11D1NG
ADDRESS:
14745 S F,GBERT Tlt
CITY
STATE '?:OSFAfOj.)N; P,I1 ZIP 5 " J6 ?
,
PHONE: ' L-3-I144
OWNER: =• Y; JOHNSO.V CtINSTRL'CTIC?:
ADDRESS: i' 0 BOX 14384
CITY, STATE
PHONE: APE'Lr VAJ,LEY PiN ZIP 551?4
431-6835
X SEWER - WATER - TAPS
- COMMIIND - RESIDENTIAL
-1, NEW EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
i I AGREE TO COMPLY WITH CITY EAGANtORDIN?Et n TF
SIGNTATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
,.., ,?,,.. . ? , . . . , , •
CITY OF EAGAN.
. ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 .
BUILDING PERMIT Receipt #
?o be used for ?3F DW/r.Ao ?_. „_,.- A t tIt rnn ..ru a
Site Addre!ss ? 591 110?
Lot 101 "-Biock 4_
W Name ? W •? ?'t'BUC'T??1t
? Address p 0 WX 24389
? City APPLE VAW.EY Phone 432-6838
? Name
0
? ¢ Address
? City - Phone
4 W W
I. Name ?
? ; Address
i W City
Signature
Phone
read this application and state that the
to comply with all applicable Stale of
A Buiiding Permit is issued to: n~ JVIMMh LAMST
on the express condition thal all work shall be done in accordance with all
applicable Slate of Minnesota Statutes and City oi Eagan Ordinances.
Building Officfal
? OFFIC E USE ONLY
Occupancy R-3 161 FE ES
Zoning PO -&"1
(Actual) Const -V-vM Bldg. Permit 696.0o
(Allowable) -14 Surcharge sa•?
# of Stories
629
Plan R
i
00
452,
Length ev
ew
Depth SAC, City 100¦?
S.F.Total - SAC,MCWCC 650•?
S.F. Footprints -
On Site Sewage _ Water Conn
On Site well Water Meter 95??
MWCC 5ystem x
D
i
? ?.?
City Water L epos
t
•
PRV Required _ S/W Permit 30•oo
Booster Pump - S/W Surcharge • ?
Treatment PI 276.00
APPROYALS Road Unit 370.00
Planner
Council - pa?k Ded.
B? Off ?
_
Copies
Variance - TOTAL 30417.
?
• Permk No. Permh Holder Date Telephone #
WATER
SEWE{i
PLUMBING
H.V.A.C. j0? l 40-
ELECTRIC
Inspection Dale insp. Comments
Foot,ngs 1 1 6i2:191 0 ?
Foundation
Framing MvS t4? ,ve
Roofin9 L (? ?J fjQ
Rough Plbg.
Rough Ntg. ? > }
l5ul. n
F???lam
Final Htg.
Orstat Test ? -
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Pian
eldg. Final . IZ j D-C
Declc Ftg.
Dedc Final
Well
Pr. Disp.
%
s • • •r ?
^y--?r - • ?f
I
(gtrt`f`ra4? ?f (OrrupKury
Citp of eagan
lappwftcettt uf luiid'mg imprrtinn
Tliis CerJrficate issued pursuant to the requrnanm& of Swwn 306 of the Unijon?i Building
Code aertifying that at the time of issuarIue this stiuclum w+as in c+nmpliaace wilfi !Ix various
ordi? of the Ciry regulaliiig building conmuuion or use For ihe foUowutg:
?classaimekK SP DWG/GAR ??? 19161
?,? R M I PD R 1 _ _ VN
t P.O. BOX 24384, APPLE VALLEY
L, B, HILLS OF STONEBRIDGE
Posr xN A ooNSPIcuous auce
r ! •
CASH RECEIPT ? •
CITY OF EAGAiV ;
3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122
DATE 19
aec.?rveo / i'?' 1 : r_ ? ? ? • r
Fild?
?
AMoUNT
. ,.
ootuAs
,?
Thank You ?
BY
C 13785 W"W-pay°f° CIOPY
Veuow-Postirg Copy ?
Pink-Fib Gopy
O CASH ?1 CHECK
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road - Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
i ?i ? ;? ??•?H ;,?, ?? ?
SITE ADDRESS: t, t 0 I N r, APPLICANT:
•I :of; 1'FtRiiT fll'iF C"(
fj I i1 11) .: ,:fpaF
PERMIT SUBTYPE: TYPE OF WORK:
?. •. t: i ?? t? E?
11 :Aha
r;lirIik I No
8 3oSf:3/f
06fa?h/q7
INSPECTION .A . ..
ri r.i+s?,
Rf'MARKSi 4tPAHA'fE PFRMi.TS iiFQ!lTREO F[lR ANY F:?Ff.'i'RI[Al t1R C'LII1MH1lw114 b!ORk
? ?
Parmit No. Permit Holdar Date Telephone M
ELECTRIC cx?,
PLUMBING
HVAC
InspecUon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address:691 NpRJHgtuDGE ipURT Lot 10 Blk 4 Sec/SubHILLS OF S7C)NEB_RDGE
These items were/were not complete at the time of the final inspection.
4/12/91 Yes No
Final grade (6" from siding)
Permanent steps - garage •
Permanent steps - main entry ?
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basemant finish
Deck
Please verify vith the buildar the removal of roof test caps from the plumbing
system andthe shut-off of water supply to the outside lavn faucet be£ora
freeze potential exists.
9[[YttFOMifR
White - City copy Yellow - Resident copy Pink.- Contractor copy
CITY OF EAGAN Np 19 1s 1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 p?
BUILDING PERMIT Receipt # ,
To be used tor Sf DWG/GAR Est. V$116,000
Site Address 691 NORTHBRIDGE CT
Lot 10 Block 4 Sec/SubHILLS OF STONEBRI
Parcel No.
w Name M W JOHNSON CONSTRUCTION
o Address P O BOX 24389
Ciry APPLE VALLEY phone 432-6838
Name 5AME
Address
City Phone
Name _
Address
Phone
I hereby acknowlege that I have read this application and state that Ihe
inlormation is correct and agree to comply with all applica6le State ot
Minnesota Statutes and ' of Eagan Or inances.
Signawre of Permitee ?
A euilding Permit is issu d to: M W JOHNSON CONST
on lhe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Ea9an Ordinances.
Building Olficial
IGE OFFICE USE ONLY
Occupancy R-3 -M-1 FEES
Zoning PD R-1
(Actuap Const -Y---N Bldg. Permit 696.o
0
(Allowable) V-N
Surcharqe 58.00
N ol Slories
Lenqth bZ ' Plan Review 452.oo
Depth 36 ' SAQ City 100. 0?
S.F.Tolal - SAC,MCWCC 6$0.00
S.F. Footprints _
On Site Sewage _ `Nater Conn 660.00
On Sita Well Water Meter 95.00
MWCC Syslem X
Acct. Deposit 30.00
Ciry Water x_
PRV fiequired _ S/W Permit 30.00
Boastar Pumv - S/w Surcharge .5
0
Treaimant PI 276.00
APPROVALS RoadUnil 370.00
Planner - park Ded.
Cwncil
Bldg. Ofl. _ CoPies
Vananca - TOTAL 3, 411.
? ? REQUEST FOR ELECTRICAL INSPECTION kM'?R . EB-00001-08
$ee instmqions IOr compleling This brm on back ol yellow copy.
?
?-
u uL? 4? rj c- treiow worK wverea oy i nis nequesr 7r'rVl
ew 'tl 4iep. ' -.TypeofBuilding AppliancesWired EquipmentWired '
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (specity) ConVactor5 Remarks'.
Compute lnspection Fee Be/ow:
# Other Fae # ServiceEntrenceSize Fee # CirouitslFeedars Fe
Swimming Pool 0 l0 0 Amps ( ? ( 0 to mps d(O ?
Transformers Above 200 _ Amps Above 100 _ Amps T•
SignS Inspector3 Use Onty: TOTAL ra"'a
Irrigation Booms
Spacial Inspec[ion «O?
Alarm/Communication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT
Other Fee COMPLETED WI7HIN 18 MONTNS.
I, the Electrical Inspector, hereby Rough-in r Date -?
certify that the above inspection has
been made. a+e
I
OFFICE USE ONLY
Tnis raquest wb 18 moMhs fmm '
?
a 17
4 6 8 /a
Fequest Oate
_ ire No. Fough i I spection
? ReaCy Now "'ill Notiry Inspeciw
Yes ? No L?VJhen ReaOy?
I,FVcensed contractor ? owner hereby request inspection ot above electrical work aC
Job Address (Street, Box or qoute No,)
6 3.r ' c- r. Ci[y
L?•? ?.
Senion No. Townsnip Name or No. Range No.
1 Counry
..y?.?
-
Occupant(PRINT) --Y /
/R- J7.?Scr ` Phone No.
Power Supplier ? Mtlress
r-
ElacVical ConbYOr (COmpany Neme) ConVacrorS License No.
Mailing ACtlress (Coniractor ar Owner Making Installation,
L ec-3
Authorizetl Sgnat e (COnVactorlOwner Making Installetion? Phone Numper
< `J -
MINNESO BOARD'OFELECTNICITV THIS INSPECTION REQUEST WILL NOT
Crlgga-MlOway BIGg. - Hoam S173 BE ACCEPTEO BV TME STATE BOAflO
1821 Unlverslty Ave., St. Paul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS
V1wne (612) 841-0800 ENCLOSEO,
OFFICE USE ONLY This raqcest void 18 monihs 6om wlidation dak prinled in this 6ox.
7
IIII I I? I II?IIII?I?IIII? IIIIIIII II ?III?III1io,a? /,k:Q?. ?
? O 4 L Ia 2 2 L O* PLEASE PRINT OR TYPE
Raquest Dare RougMin inspMim required2 Y. ? No
(You must coll the in?ror when ready) Inspection Other Than RougMn: ? Ready Now wll Call
Dak Rmdy:
I, ? licensed conhaclor 0 owner hereby request inspection af ihe above electrical work ot
Jab Address (Stree1, Box, or Roule No.)
? L Cily Zip Code
S51 Z3
'on No. Townshtp Nam
e or No. Range No. Firc N.
Coun
JTW s _973q
Power Suppller pddrev
Elechiml Conhacbr ?Company Name?
n Conkadar Gawe Na. Mosbr Lic No. [Planl Elen. Only)
Moiline Address (Canvaclor or Qmer Perbrmiig Iroallolian)
ulhonzed Si naNre I or Perfortning Installofion) Phone No.
V ? ?
?-l REQUEST FOR ELECTRICAL INSPECTION 7
4 l O-2 21 ?s ] 1^821 Univeisity Ave.rRm. SI-ec128,'St. Paul, MN 55104
Phone (612) 642-0800
Home Duplez A f. Bld . Other: New Addn
Commerciol Indushial Form Remod Re ir
Air Cond. Htg. Equip. Water litr. Load Mgm1. pther:
Dryer Range Elec. Heat Tem . Service ?
"X" above !he work covered by Mis request. Enler remarks in fhis space ond on /he bock oF the whife copy only.
Calculate Inspection Fee - T6is Inspection Request will not be occepted without the correM ke:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Slall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200 Amps Above 100_Amps
Tmnsformar/Generalor INSPECTOP'S USE ONLY / TOTAL
Sign/Outline Ltg. XFmr. ?/
?- ?lldTI ?-'C ???( QO O
Alarm/RemoteConhol F ?/pj?v
$wimming Pool ?
?L ?
I hereceni tml I ins led Ihe eleclrkal inswllorion describd hwein on IM daks srokd
Irrigafion Boom RougMn oare
S ecial Inspeclion
Invesiigalive Fee Final Daro
TXIS INSTALLA710N MAY BE ORDERE 0
1 C- E ONTHS.
.
SINGLE FAMILY DWELLINGS
`/2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
JtOT BUILDING PERMIT APPLICATION
CITY OF EAGAN
MULTIPLE DWELLINGS COMMERCIAL
2 SETS QF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF E[QERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
- OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Sljr n?,c1&_j_jn16, Valuation: -:10? Dat
?'ite Address
` ? ? II(,,oou?
Lot 10 Block
Parcel/Sub j.(?L?,l. 6, S"(?p?J?,QjpaD(qE
Owner
Address
City/Zip Code
Phone
Contractor ?? JoI?r?15oN ??
Address • ?jX 'L?-r'3-'
City/Zip Code 4?? p?(,(,Ey MAI ?,$/}}{
Phone 432.-? (p a ,?j ?{
Arch. /Engr. [,/{?(,?5 I'L?i LLI ?S
Address
city/zip coae f-tpp(k= (/i3-U.b'C/ M? N SS?L`
Phone # ?37" ?(?yb
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
y py 2 8 RECo
e: ?7
OFFICE USE ONLY
R-3 M-l
f'D R- I
V'N
\/_ N
3G'
On site sewage_
On site well
MGJCC System f/
City water
PRV
Boostec Pump _
APPROVALS
Planner
Council
Bldg. Off: 6('3
Variance
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.
Gopies
SUBTOTAL
Penalty
TOTAL
(196,00
58,00
452 , o0
100,00
50,0
O,OJ
1] , 00
p,oo
3 0 00
.50
Z9b.o0
o
3r? 0,0
J
? ?7' . ,
?lARAbG
zy x3Z = ?6s
-7 N ? ?K s?? 1?2 2J
V? ?u?? q ? ??
er--
M I
gSrn T,
_._---
?r,?r3o: ?So 8 x ?? ? 96
ca 7(? •,c ILI
?ST ?t,oD2
?xZ= IU
?
?N? ?oJl2
...-?
44520
-- ?
1 I S?lrlu oz I oa;J
. ,
,_L?c/CIC.) iv
?GQ• ?' ?o'?•
G
a
9po?(v
,? ?..
S ( ?S
I ? ? \ Si,39 iZ ?
I
?
I ?
?
I v??,?_ ?.
tO
N UI I ' 3g.o ) ?yyS
? ? P = G+
% Wq,
S(
?„4 9zO,3
'?.
I • ?a -
? ,, Po..
i
.k,,Q'?"
I r?s
, ?- -,
?
Ls?¢2
Co v 2T
r
BASEMrcN' El.,
S c- ,c 9 %a.1
N
? ? Sye'?4E
a 92 ?ik+ .
z,o s
7. 21.. s
W N
? N? 0 1
\
r?
44
A?S?R- I PT? 0?--1
l-oT ta , J!,Lockc_ 41
Nt??s o? ?owaE?Q-?ovc,
Dp.IG?['?TA ?? lU h1'T7(?
?v?? ? r?G?ivTA •
Tl E1?T
df' F
ScALC- 1" = 30'
Aa.l. QEA12.?N44 {L°?i?7MED -
m6r+4T" 1R0a4 MahWME?T
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under tho Laws of the State of Minnesota.
Date: M,y rFv
VEy LeRoy H Bohlen
Registered Land Surveyor No. 10795.
go
?Na? ,.
?
t
, Ex
_F?„ ?i9,2AGAN
FA+? ws0, 432 - !o 5 `77,
?; ---.? . .. .. . . x . _. . .. .
- •
. ?.
• EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION .
v:.OWNER
SITE ADDRESS I.o_r 10 13-Lmctc4 IJ+ws oF ?y?-M1DCr6- '
' CON7RACTOR
DATE . PHONE _
Determine working square footage of each.
1. Tota1 exposed wall area ...... ZIo?O.? a sq. ft. x?? ° Z9'D.yS
2. Total roof/cei l i ng area ..... q S ?O aq. ft,' x • D21,° EIHM
Total exposed wall area above floor = 2. Z 5 lo
i a. Total wa11 window area ..................:........ t 9 I.O
b. Total door area .................................
?
c. Total sliding glassdoor area .......... ......
'.d: Tota1 fireplace wa11 area...................... .. q fl? _
189.1
e. Total wall framing area (average 10%)............
f: Total net wall area above floor .............. y?-
g. Total rim joist area ............................
Tota] exposed foundation area = i- 40.g$
h. Total foundation window area................. ..:: - 1.b,Y A
i. Toal net foundation area abpve grade ..........
Determine "U" value of each wall segment.
a. 1 q I X"u„ . SS = 105• 35
b. 3$ x „U,, 5.Z8
,
C. 88 x
liuji s =
yil
a. q6 X „u,l to = I r),Z6
e. l M: l X ??u" , og 10 = 1$ .IS
f. I`101.9 X tiuii . 0,43 = '73, 18
9. zYy X .iu„ .041 = 1010
n. --- X „u„ -.-- _ ?.
;. yB x liuii ?o z, = II,SI
3 . . . .. .. : . . . . . . . . .... .
If item 13 is the same ds, or less than item #1; you have met the intent
of SBC 6006(c)2. ,
,,:..
• ? u . . . .-A?.?a .-v r . .. ?
q
I ' . . . " . . - .
j Total exposed roof/ceiling area = G 5 I
• t?? • • _.._
Total gross roof/ceiling area = °IS ( .
r .. j. Total skylight area . ... ... '
k. 7ota1 roqf/ceiling framing area ??..???. --J95,1
1. TotaT net insuTated roof/cei7ing area.....
.
Determine "U" value for each roof/ceiling segment.
J. ... X ifult k. G?? I X itu., , DZ.?i' = Z, Z a
. ?. 955.9 x"u,, , o z.z., s 18 S z
,
4...... ._....._... 9 .?i?.......... Total ? .
,
If totaT of #4 is the same as, or less than #2, you have met the intent of
SSC G006(01. .
To utiiized the total envelope system method, the values.established 6y the
sum of items #3 and N4 shall not be greater than the sum of itens #1 and #2.
? '. ... - } 2 a
3• + 4. _
MATERIALS Therm, fiesistance "R'^
Ezterior Aix ,.1!l
- Siding }tatarial
Sheathing • 2,0[0
Insulxtion ?Q
Sheetrock . y 5
Interior Air .(p$
Studa •
Rim
Conc. Blks,
.. ,
. . . .. . . ? , _.
. ` . • •., . .
... :, •
{ CITY OF EAGAN FOR CITY USE ONLY
. 3830 PILOT KNOB ROAD
EAGAN, MN 55122 PER1fIT
PHONE: (612) 454-5100 RECEIPT # /O / S
DATE: .5 30
RESSDE?TSSI?S, PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN pERMITS ARE REQUIRED FOR EACH UNZT.
---------
WORK -------------"-
DESCRIPTION ---- --------------------- -----°--------------
FEES ----------
NEW CONST ADD-ON MINIMUM $15.00
ADD DN _ HVAC 0-100 M BTU 24.00
REPAIR _ ADDITIONAL 50 M BTU 6.00•
GAS OUTLETS - MINIMUM 3.00
OWNER NAME:
?
?` LV rV C'l? (? S
SITE ADDRESS: L' Q?J\ ??YYI ??
I
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
'?`???`?`
$ `--'?-'"`-'-?
.50
LOT:lg?)
INSTALLER:
]?LOCK SUBD. 4&
TOTAL: / ?-?-
$i?i•?JC._i
r
ADDRESS: r'J
????? SI NATURE OF PERM TTEE
CITY: - \ ZIP:
PHONE #: 40- ?? ?-)
CqMME.RCIALt ?IR?3STRIAI.:' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
,......
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE YERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-----------°--------'-------------------°-______----°----------- °---°-
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: RrnCg _ c?TgD.
INSTALLER:
ADDRESS
CITY:
PHONE #
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MIt:IML'N. FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
FOR:
CITY OF EAGAN
, CIT7f OF EAGAN
' 3830 PIIAT RNOB ROAD
EAGAN. M4a 55122
PHONE: (612) 454-5100
;... ._?>;' .m
.?
FOR CITY IISE ONLY
PERMIT #
REGEIPT # DD?
DATE: 3
YLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ' FAMILY DiTELLINGS &
TOWNHOMES/COIQDOS WHEN PERMITS ARE REQIIIRED FOR EACH IINIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR _
OWNER NAME: cmo??
SITE ADDRESS: / '
IAT:- A9 BIACK ? . SUBD.
ML
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
anDttESS: 14745 South Robert Trail
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMOM 15.00
5HOWER 3.00
? WATER CIASET 3.00
BATH TUB 3.00 ?
? IAVATORY 3.00
KITCHEN SINK 3.00 ?
? IAUNDRY TRNY 3.00
HOT T[IB/SPA 3.00
? WATER HEATER 3.00 .?
? FLOOR DRAIN 3.00 ?3
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 3 '
? ROUGH OPENINGS 1.50 ?,TSd
oxHEtt
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
5UBTOTAL $ 7? ? U
ST. SURCHARGE .50
TOTAL:
. . ...
PLEASE COMPLETE THIS PORTION FOR ALL C0M4IERCIAL/INDUSTRIAL BUILDZNGS AND
MiTI.TI-FAMILY BIIILDINGS 41REN SEPA&ATE PER}IITS ARE NOT REQIIIRED FOR EACH
DWELLING IINIT.
CONTRACT PRICE:
OWNER
SITE ADDRESS:
IAT: BIACK __ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIM[JM FEE.
CONTRACT PRICE x 1$ $
STATE SURCkIARGE
TOTAL:
(SIGNATURE)
$
$
CZTY: Rosemount, MN ZIP: 55068
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PiLOT KNOB RD - 55122
659•681-4675
/
New Conshudfon ReavGemenis
? 3 registered sNe suneys showfng sq. R. of loi, sq. H. of house
and all roofed areas (20% maximum lot coveraae allowed)
> 2 cop(es of plans (show beom 8 window stzes; poured tnd. dealgn; etc.)
9 7 sef of energy calculatlons
> 3 coples of tree pieservation plan H lot platted af}er 717193 DATE: tQ ? Z S ? ? 'l
DESCRIPTION OF WORK:
STREET ADDRESS:
Name: f-vk? c KSD? J ?"[.1/ ? Phone #:
Last First
LOT: J v BIOCK: LA SUBD./P.I.D. #:
PROPERTY
OWNER
Street
RemodeVReoair Reauirements
2 copies of plan
7 sef of energy calculatlons for heated addffions
7 sNe survey for exierior addfffons 3 decks
CONSTRUCTION COST: f w0
City tc? „?(/?n vStafe: /? 1? Zip: SS ? 2 Z
Company: Phone #: h( a 101 --qqq3
1500 E. CLIFF RD. (area code)
CONTRACTOR Z? ? 4-Zy BURNSVILLE, MN 55337 License # P.
?
Street Address:
?x
City
State:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( j
Street Address: Registration #:
City
Sewer 8 water licensed plumber (reauired for new consfruction onlv):
State:
Penalty applies when address change and lot change is requested once permH Is Issued.
Zip:
Zip:
1 hereby acknowledge that I have read thts appi(cat(on, state fhat the informafion Is cortect, and agree to comply with all applicable
Stote of Minnesota Sfatufes and Cfy of Eagan Ordincnces. ? j 1 ",-41 ?4y
Signature of Appllcanf:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 ;Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex 0 12 12-plex ? 17 IGarage "? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 IDeck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 jLower Levei I? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 5iding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 WindowslDoors
? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* rive PCA handou t to applicant fcr demelition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Basement sq. ft.
Main levei sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Foatprint sq. ft.
Building
Engineering
Valuation:
Census Code,
SAC Code
No. of Units
No. of Bldgs ;
MC/ES System
City Water
Booster Pump
-?RV
Fire Sprinklered
Variance
% SAC
;?
':S'i Y s EACR•!
CAiHIf-.:P.'.: ,1,4', T1=Ri'1:f.i'!f'.l_ N0: 'icii'
BA'i'E:e lJ'.',/Oki,/i:l:.) i T.Mlii.: l0 s9.t:?»c 7
I0,
t.!f= t?E.,
32i.i] 9pt.7i.
?iFi5 900:l
343f1 '_?001
1
51.!'31AN li!'1;::[CV.SCNN
691 Pi.•,:;.ii_rSr,r.DG.r-_
69i NOR`i'iIFtR:CDI;E
E,',)i Nitii'i'1-1731iT?1GE
r-,u.0o
0„.`'iL'
0.25
. i;.
. h ..{.„ . ?..J..i
IQi;?.?. ??P].?:i, ?,ff:illi? h?.f
CR:L24300
USL'ii 10a .]Aid
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
'
3830 PILOT KNOB RD - 55722
851-881-4675
dew ConMnreNan ReaWremeMf Remodal/Reoait RewlremeMs
a a reyftrea we wners movnnD •a. n. a iot. aa rt. a nouse
anE gfirooled areas (10y. rtwrtlmum lot covaraae albwed)
D Z caPles of plns (show beam 8 wlndow sizes; Paretl hx1. detlprr e1C.)
D t *6t of 6n9rpy CWCWGMOnS
> 3 caples of hee pretervallon plan M bf pbltetl adler 7/1/93
unTE•
DESCRIPTION OF WORK:
STREET ADDRESS:
_?V1J1
LOT: 1-O BLOCK: ? SUBD./P.I.D.O:
PROPERTY
owNee
CONiRACTOR
ARCHI7ECT/
ENGINEER
Name: PhoneM: 235
lasf Flrsl
Sheet Address: (1 ( r
Cly
citY
Company:
Telephone #: ( )
Y)l
Sheet Address: ReglshaHon M:
citY
s eopies a plrn,
1 set of energy cdcWaHons Tor healed atldlMonf
1 tlro wrvey for extaAOr adtlinona R Cecks
CONSTRUCTION C05t:
Stafe: IV/ V Lp: SS
Phone #:
(area code)
Llcense M Exp.
State: Lp:
Name:
State:
SeweNwater licensed plumber (H installina sawer/watarl: Phone #:
Zip:
I hereby xknowledqe that 1 have read Ihis applkafbn, dafe Mwf ihe ?(ortnal;On? corteei. and agrae lo eanpty wNh aI appOcable State
gf Mlnnesola Statutes and Cify of Eagan Ordinances. ? 1
/?
Signahire otApplicant Jo?a ?/ A ?t ?4 YA Q111--1,
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ' FEB 2 8
Tree Preservation Plan Received _ Yes _ No _ Not Required ?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
0 01 Foundation ? 07 05-plex ? 13 16-plex O 21 Poroh (3sea.)
? 02 SF Dwelling ? 08 06-plex O 17 Garage O 22 Porch/Addn. (4-sea.)
? 03 01 of_ piex ? 09 07-piex O 18 Deck ? 23 Porch(screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 11 10-plex wb9 Yor_N ? 25 Miscellaneous
O 06 04-plex ? 12 12-plex O 20 Pool ? 30 Accessary Bidg.
WORK TYPE
? 31 New O 36 Move Bidg. O 43 Reroof
O 32 Addition O 37 Demoiish (Bldg)' O 44 Siding
33 Alteration O 38 Demolish (Interior) O 45 Fire Repair
O 34 Repair O 42 Demolish (Foundation) O 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories st• ft•
No. of Units Length s4• ff•
No. of Buildings T Width Footprint sq. ft.
Const. (Actual) V r%j Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. ' Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
13 Stucco/Stone
APPROVALS
Planning Building )r Engineering Variance
? 31 6ct. Alt - Multi
? 33 Fxt. Alt - SF
E3 36 Mufti
-?-??-
Permit Fee Lo .0c)
Surcharge -
Plan Review
License
MC1ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies ?
TotaL•
Vaiuation: $
? ?=Z?.!,?'S
!I '41E
? c.
??S-0
SAC Units
% SAC
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Kuob Road, E$gan Mn 55122
? Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Towrihomes and Condos when permits are required £or each unit
Date 17 ga
Site Address [p 7 ? 11-10,lf 7X Unit #
Property Owner p s?-r Telephone #(L/p:i 7) 7 2j4%
Contractor j.) z-;rL" w qk 17Z y-,p
Street Address Cj_? zs-e /y L/{? S? City __f+
State Zip ? Telephone # (61.)- O ?Q
The Applicant is _ Owner ? Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
_ air exchanger "'k
air conditioner CS ? ?
4% ofher
?
State Surcharge $ .50
r- . - -- ?
Tora? ? !I
?
$ 30._D
?, --= ?
I hereby apply for a Residential Mechanical Pernut and acknowledge that e uiformation is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlris is not a
pernnf, but only aa application for a permit, and work is not to sian without a permir, the work will be in accordance with the
approved plan in the case of work wlilch requires a review and approval of pl
ApplicanYs Printed Name WicanYs Signature
MECHANICAL (COMMERCIAL)
Permit AppGcation
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commeroiaUindustrial buildings 'multi-famify buildings when separate permits are no[ required for each dwelling unit
Date
Site Address U ?nit #
I
Tenant Name (if appticable) Previous Tenant Name
Property Owner i
Telephone # ( ) ?,
Contractor ?I
Stree[ Address . City ?I
State Zip Telephone #
The Applicant is _ Owner _
Contractor lf
Other i?
_
Work Type '
_ New construction Underground Tank _Install Remove
_ Interior Improvement Call for inspection during installation/removal of t l nk
_ Processed Piping I I
Nature of Work:
Permit Fee $SOSO Minuaum Fee (inctudes state suroharge)
I
ContractValue $ x 1% _ $ ' II PemritFee
• If pemut fee is $1,000 ar tess, add $.50 ? $ III State Surcharge
If pemut fee is over $1,000, add $.50 per '
$1,000 Pernut Fee
$ ii Total Fee
l
1 hereby apply Yor a Commercial Mechanical Pemilt and acknowledge that the information is complete'and accwate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand tlus is
not a pemut, but only an applicadon for a pemut, and work is not to start without a peinut; that the work will be in accordance with
the approved plan in the case of work wluch requires a review and approval of plans. '
ApplicanYs Printed Name
Applicant's Signature
Approved By: , Inspector Date:
cTrv Or- :r:.arAN
CASHIER. 5 1'EFCMINAI_ NQ: 86
DATE? 06/06/97 TIME: 15t02.19
ID.
NAME: 5USAN F ERSCKSON
205 9001 691 iQQIiTHRIiiDGE 1.00
34:30 9001 631 NOfi7HEtkT.1)GE 1.00
3211 9001 691 NQRTHPfiSDGE 40.00
300 9(]01 691 NCIRTHBhIDGE 50.00
To+.a7. f'ter•ei.pt Amoun+,: 92.00
CRC) i ;s04'a
USE:fi 7D: NANC'I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-32990-100-04
DESCRIPTION:
PERMIT
PERMIT TYPE: B U I L D I N G
Permit Number: 0 3 0 0 3 0
Date Issued: 0 6 J 0 6/ y 7
esi NoRrHaRroGE cr
LOT: 10 BLOCK: 4
HILL5 OF 5l'ONEE3RTOGc
,.'
6,u 3.1ding'?-P,ermit Type
Pwildiat,q W'cLrJ< Type
; tensuS 4code
?
. ,. : ?.w..
BASEMENT FINSSH
ALTERATTON 434 ALT.RESTDENTIAL
t {f
}a, 4.` b I '.i
REMARKS:
SL-PflRFTE PERMZTS ftEQUIRED FOR ANY LLECTRICAL Of2 PLUMEING 4JORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - App1 i c a n t-
? ERICKSON SUSAN
691 NORTHBRIUGE i,T
LAGflN MPI ?
(612)6E6-9739
I heraby acknnwledge that I hava read this appli.catian and state that tlis
infarmat`icrFr i;s etitbrecL arrd agree to cor#rply wath all "pZina#ale state of, Mrt.
Statutes and Czty of Eagan Qrciirtances. '
?
rr?---
APPLICANT/PERMITEE SIGNATU E ?? -?5B SIG ATURE
r? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL),?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681j{675
New Construction Reouirements
• 3 registered ske surveys ? 2 copies of plan
? 2 copies of plans (Include beam 8 vnndow saes; poured fid. design; etc.) ? 2 site auneys (exterior additions & decks)
? 1 energy calculations • 1 energy calculetions tor heaMd addftions
? 3 copies of tree preservation plan if lot platled aRer 711193
required: _ Yes No
DATE: 614I-1 CONSTRUCTIONCOST:
DESCRIPTION OF WORK: I_pe?MiNT ?T11(tN
7 EETADDRESS:
OT ? BLOCK 1007{/IbV14F,
? SUBD./P.I.D. #: ( 7 R 55ii`2-3
PROPERTY Name: ?C?f1?Y1 ? ??IV Phone#:&L?239
OWNER
?
Street Address:ll?
Ciry: _Gp('QAI?j state: M /j Zip: 55123
CONTRACTOR Company: c5 ?/ I? Phone #:
Street Address: License #:
RemodeVRanair Reauirements
City: State: Zip:
ARCHITECT/ Company: t -/ p Phone
ENGINEER
Name: Registration #:
_?--
Street Address:
City:
State:
Zip:
Sewer & water licensed plumber (new construction only):
and lot change are requested once permit is issued.
Penalty applies when address change
I hereby acknowledge that I have read this application and state that the irdo tioa is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY FRE--
.r??
1
Certifica
tes of Survey Received Yes No 7
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging -e? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplace n 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE
0 31 New ,0' 33 ARerations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATI ON
Const. (Actual) Basement sq. ft. MC/WS System ?
(Allowable) Main level sq. ft. CRy Water ?
UBC Occupancy sq. ft.,, Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. u3,q
Depth Footprint sq. ft. SAC Code
Census Bldg ?
Census Unit C)
APPROVALS
Planning Building rlA!?> Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
? aTV use oNLv
L ? BL
susD.
?
1 a ?I 3 S`?
RECEIPT#: ?-
RECEIPT DATE: g-c-) C)
PERMIT# - ??
2000 PLUNBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGPN, MN 55122
651-681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? 6ackflaw preventer for underground sprinkler5ystem
FIXTURES ' EACH # TOTAL
Alterations to?existing dwe-l!ing - minimum fee
Describe: l`//?? $ 30.00
Bath tub $ 3.00 x $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink ? 3.00 x = $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $ 3
Septic System new/refurbished • reyuires nnrc iic. 75.00 x = g
SeptiC S stem a6andonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler ff dwelling is under construGion 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water cioset 3.00 x = $ '
Water heater 3.00 x = $
Water softener If dwelling unaer construction 5.00 x = $
Water softener if existlng dwelling 30.00 x = $
Water tumaround 30.00 x $
State Surchar e 50 -> -> ---> $ .50
TOtal _>
Reminder. Call for inspections of alterations, i.e. water heaters, water sotteners, etc.
-I hereby acknowledge thst I have read this epplication, state that the information is correct, and agree to comply wiCi all applicable City of Eagan ordfnsnces.
It is the applicanPS responsibility to notity the property owner that the City of Eagan assumes no liability for any damages ceused by the City tlunng its
nomial opereEonal and maintenance activkies to the facilities construc[ed under this permd within Ciry property/rightof-way/easement.
SITEADDRESS: 691 Northbridae Court
OWNERNAME:: Steve Erickson TELEPHONE#: 651-686-9739
(AREA CODE)
INSTALLERNAME: Dakota Plumbina & Heatina IncTELEPHONE#: 651-454-6645 - '
(AREA CODE) ' - STREETADDRESS:3650 Kennebec Drive
CITY: Eaaan STATE: MN ZIP: d55122
S1GidATU12E Of PfRtu11TTEE
,
2007RESIDENTIAL BUILDING rERvuT aPrr.icaTioN
? U City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsUuction Reaui2menLs
3 registered site surveys showing sq, ft. of lot, sq. R. of house; and all mo(ed areas
(20°h mazimum bl coverage allowe])
1 Soils Report if proposed 6uilding is to 6e placed on disWr6ed soil
2 cbpies of plan showing beam & windax sizes; poured found design, etc.
1 set of Energy Calcula6ons
3 copies of Tree Preservation Plan if bt platted after 711193
Rim Joist Detail Options selection sheet (buildings wBh 3 or less units)
Minnegasco mechanicalventilationform
OLQ •15
482 1 - to1
Office'Use Onlv
CedofSuiveyRecd?. `. _Y-_N
SoilsRepod - _Y-_N
Tree.PresPlanRerd - _Y-._N.
TreePresRequiied _Y:, _N
On-siteSepticSystem, _Y_N
L"q,-?
pianC AFP (:nilCEdP_I'P_d 1111hiIC IIlf01'I119t1011 1111l2SS VOU StBt@ th@V 8r@ tr8d@ S@Cr@t af1d tfl@ r@85011.
Date I QZ Construction Cost O O
Site Address ?i 9 I p
fU m n rA Q p I d O-a C, o?+ r ?
I UniUSte lt
?
C54
n
Description of Work 1 J L4 S u cr s rn n Pm n c?
Multi-Family Bldg _ Y?N Fireplace(s) ?0 2
Property Owner .s T? v -e C ?> > k 5 0 .-, Telephone # ( 6?5y ) ??' ? • ? 7 ? 9
Contractor L T n , C = f n a , R ?- `O
Address ) 3 - 1 O;t. t City
State /l) r1 , Zip 5 S'D 77 Telephone #( 6 I?? 'a g D ? 6 4 7 D
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categ?orv 1 _ Minnesota Rules 7672
Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Woitcsheet
(Jsubmissiontype) Submitted Suhmitted
• Energy Ernelope Calculations Su6mitted -
in the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
?
Licensed Plumber N?`a
-v
Mechanical Contractor
Sewer/Water Contractor
I hereby apply for a Residential Building Permit
Telephone # (
Telephone #(
Telephone #(
that the information is complete and accurat
that the work will be in conformance with the ordinances and codes of the City of Eagan and tne atate ot iviN
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.
Pti; ) i;In lj aL& C. k
Applicant's P ' ted Name
?.
Applicant's Si a e
RemodelA7euair Reouiremenis
2 copies of plan showing footings, beams, joisLs
1 set of Energy Calculations for heated addNOns
1 sde survey for additions & decks
Addifion - indicete if on-sife uptlc system
r
DO NOT WRITE BELOW THIS LINE
Sub Tvnes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ?H
l " 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes yt/!LoG
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
bl?, 32 Addition ? 36 Move Building ? 42 Demoiish Foundation ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replecem2nt •Demolition (Entire Bldg) - Give PCA handout to applicant
D@SCfiption: WaterDamage_Yes _
Valuation
Plan Review 100% or _
Census Code
-T
SAC Units
# of Units 0
# of Bldgs I
Type of Const sla
Occupancy 3"" LIt MCES System
25% Code Edition 00-
Zoning ? City Water
i
Stories Booster Pump
Sq. Ft. ? S ?i? PRV
Length J ( ?? Fire Sprinklered
Width 7i? ?
Footings (new 61dg)
?C Footings (deck) i
? Footings (addition)
Foundarion ?
' llrain Tile
Roof Ice & Water Final
? Framing /
Fueplace _ R.I. _ Au Test _ Final
? Insulation ?
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheehack
FinaUC.O.
X FinallNo C.O. ?
r_ HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Z , Building Inspector
?r-2,"yr 2 0 ??
REScheck Software Version 4.1.0
Compliance Certificate
1"' 6?1
Project Title: Erickson
Report Date: os/i i /o7
Data filename: C:WocumeMS and Seltings\OwnerlMy Documents\erickson rescheck.rck
Energy Code: 2000 Minnesota Energy Code
Location: Dakota County, Minnesota
Construction Type: Single Family
Glazing Area Peroerriage: 11°k
Gimate Zone: 2
Construction Sfte: Owner/AgeM: DesignedCorrtractor.
691 Northbridge Court Phillip HauCk
Eagan, MN 55123 Almost Mything Construction
1380 102s[. E.
Inver Grove Heights, MN 55077
612-280-8470
Hawks100@msn.com
CeiNng 1: Cathedral Ceiling (no attic) 441 19.0 24.0 10
Ceiling 2: Flat Ceiling or Scissor Truss 591 19.0 23.0 14
Wall 1: Wood FramE, 16" o.c. 510 19.0 0.0 21
Window 1: Above-Grade:Ynyl Frame:DOUble Pane wiTh Low-E 730 0.330 43
Door 1: Glass 30 0.330 10
Wall 2: Wood Frarne, 16' o.c. 2640 19.0 0.0 142
Window 2: ADove-Grada!WOOd Frame:Double Pane wNh Low•E 191 0.330 83
Door 2: Solid 38 0.330 13
Floor t: All-Wood Joist/Truss:Over Outside Air 320 38.0 0.0 6
Complience Statemant: The proposed bullding design desaibetl here is consisleM with the building plans, specificatlons, end other
calculations submiMed wNh Ne permR application. The proposed building has been designed to meet the 2000 Minrresote Energy Code
requirements in REScheck Version 4.1.0 and to comply wiTh the mandatory requiremenLS list in the REScheck Inspection Checklist
1"4 J ?(7 0 u , n -: ?l !
Nama - TNe/ SignaMe Paffi
Erickson Page i of 1
Mauimum UA: 380 Your Home UA: 324 =14.7qo Better Than Code
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P.Ll. QE64L.1144/i P.`?SUMED
IRQ#-{ MnhWMEuT
I hereby certify that this eurvey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under tho Laws of the State of Minnesota,
Date: M.y ?.r4 'FS/
?zEV 4-Z4_?i LeR'oy He?Bohlen
Registered Land Surveyor No. 10795
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ToP a?.o??c? EL. 9zz,3
?ASEn'?EN i El., 4.2
Pa.•. ?AO,
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA076378
Eagan, MN 55122 . Date Issued: 01/10/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 691 Northbridge Ct
Lot: 10 Block: 4 Addition: Hills of Stonebridge
PID 10-32990-100-04
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk
Elder-Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, M N 55420 952-345-6040
Fee Summary: Surcharge - Based on Valuation $3K $1.50 9001.2195
BL - Base Fee $3K $88.50 0801.4085
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen Steven L Erickson
1920 County Road C West 691 Northbridge Ct
Roseville MN 55113 Eagan MN 55123
(651) 264-4777
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144671
Date Issued:08/03/2017
Permit Category:ePermit
Site Address: 691 Northbridge Ct
Lot:10 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-100
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steven L Erickson
691 Northbridge Ct
Eagan MN 55123
(612) 802-1401
Window Outfitters Inc
12605 Creek View Avenue
Savage MN 55378
(952) 746-6661
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156805
Date Issued:07/18/2019
Permit Category:ePermit
Site Address: 691 Northbridge Ct
Lot:10 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Steven L Erickson
691 Northbridge Ct
Eagan MN 55123
(612) 229-5994
Dna Heating & Cooling
950 Bayview Dr
Excelsior MN 55331
(612) 229-5994
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165540
Date Issued:11/05/2020
Permit Category:ePermit
Site Address: 691 Northbridge Ct
Lot:10 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steven L & Susan E Erickson
691 Northbridge Ct
Saint Paul MN 55123--169
(612) 802-1401
T 10 Construction Services Llc
16754 US 10 Bldg 2
Elk River MN 55330
(612) 254-8060
Applicant/Permitee: Signature Issued By: Signature