1052 Northview DrINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ° ??? I N'i
3830 Pilot Knob Road Permit Number: 14
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
1 0• <<t !•?; ? I i:s i, r! iINF 1'H
I! I "IV !'rll.:f''J I i LI {?. ?. 1 r.,c k 1•i?:i
PERMIT SUBTYPE: TYPE OF VYORK:
i -11 ri r t..?
? ' i. .:;.;..r. . . . . .. ?
'?3? ..
Permit No. Permft Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
ZIQp-?O CE) %
Finai Htg. T s" b L.i _
/ Z
Orsat Test
Final Plbg. Plbg. Inspector - Notify Piumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. ?
Deck Final
Well
Pr. Disp.
a y ? ? ,49
C'e&y0- i a vt---Von. -
CASH RECEIPT ?
CITY QF EAGAN '
3830 PILOT KNOB ROAD '
EAGAN, MINNESOTA 55122
r
DATE ? +• ° ,9 r
r - i.
AMOUNT $
? . n ? ?
._
DOLLARS
,oo
? CASH . Q CHECK
Q- 1-- N I'? -4, LU ! r?ri
) 1-'r ?" .Ai , ;" . 5L? ? !Or -(* r,?-,?L (-. Or _) t-.
BY
.
C VYhito---P+Yert CoDY
Yelbw--POStlnp Copy
Pink--Fik Coyy
Thank You
SEWER b WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121 ,
.
? . .
? SITE ADDRESS '
LOT BLOCK SEC/SUB
OFFICE USE ONLY
PERMIT DATE 411 ! ;' ?9
WATER PERMIT # 10347 SEWER PERMIT #
METER # B.P. RECEIPT # ^?1454
..,.READER # B.P. RECEIPT DATE 4,11 '? 13g
METER SIZE
ISSUE DATE - PRV _ BOOSTER PUMP
PERMIT REQUESTED
' SEWER WATER _ TAPS
APPUCANT:
ADDRESS: COMM/IND
` RESIDENTIAL
-
CITY, STATE ZIP i
PHONE: ` ?. NEW - EXISTING
PLUMBER:
ADDRESS: I AGREE TO COMPLY WITH CITY OF
CITY
STATE - ' Zip EAGAN ORDINANCES:
,
PHaNE: .X
?.
,
OWNER: ?? '- • `?
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE _ ZIP
PHONE:
PLEASE ALLOW TWQ WORKING DAYS FOR PROGESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121 ,
OFFICE USE ONLY
PERMIT DATE " 189
WATER PERMIT # l SEWER PERMIT #
METER # L1o2 -2 -3 rk B.P. RECEIPT #
&EkDEn'# 6 .0 f 7 a& 7-3 B.P. RECEIPT DATE 210189
METER SIZE S13 D -K
ISSUE DATE + - PRV _ BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT ' BLOCK SEC/SUB ?
, • ? " ` . ? ? d?? ?
- '
' t
? SEWER ? WATER
TAPS
;
APPLICANT: .. ? „. : , .. -
ADDRESS: COMM/IND ? RESIDENTIAL
CITY, STATE ZIP
PHONE: ?- XNEW - EXISTING
PLUMBER; ?'-
ADDRESS:
CITY, STATE ±'?t.-Ur:'•?'r . , ;n._' i' ZIP ?
PHONE:
OWNER: ?fi _rIi. - aj?. ,
11--e14
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCESr
ADDRESS: SIGN TURE WHE T D
CITY, STATE ? f ? `?'?'•• 4 ` . . . ZIP
{:.f, PHONE: ?? -
r °f
PLEASE ALLOW 7W0 WORKING bAYS FOR PROCESSING. FOR STORM SEWER PE ITS, CONTACT
ENGINEERING DEPT.
CITY OF EAGAN
3830 Pilot Knob Road P.O. Box 21-199
G jGAn Est. vaiue R I2 3,iOQO
Site Address : '' .34 ' `
Lot Block 3
Parcel No.
W Name _
o Address
Phone ?
=F Name ` yzj -•/ ce-s
00¢ Address
? City Phone
I hereby acknowlege 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 ot Eagan Ordinances.
Signature of Permitee
r??i•f?' .`?t%?:>'.: . <...r
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial
OFFICE USE ONLY
16 ?69
19 `'
Occupancy k"3 K"'1 FEES
Zoning PD R-1
(Actual) Const V=?? Bldg. Permit
(Allowable) V-N Surcharge r' x • ?i-'
# of Stories V ,
} `'''' • ? `
Length
4$ '
Plan Review
Depth 401 SAC, City ?
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well Water Meter
MWCC System
Cit
W
t xx
?,R Acct. Deposit
er
y
a • ""
PRV Required _ SM+ Permit
Booster Pump - S,NV Surcharge ? ' 00
Treatment PI 22 6 .6 L)
APPROVALS Road Unit 3 E'r' -'-'
Planrver
Council Pazk Ded.
Bidg.Ofl. _
_
Copies
Variance - TOTAL ? L 10 `? • Ja
, , --?---• ----- -----
PHONE• 454-8100
Pbrmit No_ Permit Holder Uete Telephone #
WATEF
?
ti
.
SEWER
?
PLUMBING /C'/??'
6
H.V.A.C. ,
ELECTRIC
Inspection Date Insp. Comments
Foocings I y ? bs
Foundation ? 91
Framing
Roofing
Rough Pibg•
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector- Notify Plumber
Engr./Plan
Bldg. Final 2 f
Deck Ftg.
Deck Final
weu
Pr. Oisp.
(ger#i#tratt uf (Orrupttnry
Citp of (ea0an
aPpwrtmPrif Ad BlttidtltQ 3ttRpPlftritt
This Certificate issued pursuant to the requirentenls oj,Section 306 of the Uniform Building
Code cenifying thnt at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
ux cma"Wn 5F DWG/GAR " &ag. eoin;< No. 16269
Occupsncy Type R3/L11 Zoniog District PD/ ni '[?jpo CaW. VN
o?erda.. B[TIIER HQ]SIl+1G OORP . Addrm 8901 LYIDAIE AVE S, IDI4G1N
? . 052 NOMERIEW DRIVE I OM tYL19, B3, LEXINgION PAWVIW
nau: MAY 29, 1990
Buildi
POST IN A CONSPICIJOUS PLACE
0
\=.
PERMIT # • " - ? -'j
. ' PLUMBING PERMIT
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address '1(5;' Northyi,*,ta 'ir- BLDG. TYPE WORK DESCRIPTION
Lot Block 7Sec/Sub Res. x New x
M ult. Add-on
? Name iewl t.r t tl „rl ont - Comm. Repair
? Address 819 ii Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N FIXTURES TpTAL
'
?
Water Closet - $3.00 S
Name
??
m 1_Bath Tubs - $3.00
Address vator
L
- $3
00
3 , ___?__
.
a
y
p City $30eyripatpA Phone 1441.T?(.
---, Shower -$3.00 '
1 Kitchen Sink - $3.00
FEES Urinal/Sidet - $3.00
COMM/IND FEE - 1% OF CONTFiACT FEE ' Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES ? Floor Drains -$1.50 •-?
$1
'
TOWNHOUSE & CONDO - RES. RATE APPLItS Water Heater -
.50
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00 Whirlpool - $3.00
?Gas Piping Outlets - $1.50 "• `'0
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
3 Rough Openings - $1.50 •
SIGNATURE OF PERMITTEE i FEE: i?-
STATE S/C: . 5n
FOR: CITY OF EAGAN GRAND TOTAit 3?•SL
?.
?_ :? .' y : ? . . . ?.. . .. . .., ; . . _ . . . .. . ..
. ? . . ;. . ...: '. _ .=?
eM1. ,',, s ;. } PERMIT # -
MECHANICAL PERMIT RECEIPT #
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: r
CONTRACT PRICE: -? PHONE: 454-8100 • =, ? -'
Site Address
BLDG. TYPE WORK DESCRIPTION
Lot ?f± _ Block ? Sec/Sub R
?
es New ..--
? "
Name
"
- Muft. Add-on
Address Comm. Repair
? CitY Phone ' Other
Name FEES
RES
HVAC 0
100 M BTU
.
- -$24.00
? c Address ADDITIONAL 50 M BTU - 6
00
O ?? t Y ?t??-: h o n e ` -.: (RES. HVAC INCLUDES A/C ON NEW .
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMiT) - 1.50 EA.
TYPE OF WORK
-
''' COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 7'?BTU --
- AP?. BLDGS. - COiviM. RATE APPLIES
Boiler _
M BTU TaWNHOUSE 8 CdNDOS - RE5. RATE APPLIES
? MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAI FEE - 20.00
STATE SURCHARGE PER PERMIT -
50
Vent. ?
CFM (ADD $.50 S/C IF PERMIT PRICE GOES .
Gas Piping Outlets # BEYOND $1,000)
Other
FEE:
S/C: SIGNATURE OF PERM TEE
TOTAL
FOR: CITY OF EAGAN
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4875
New Construction ReauiremeMs
• 3 registered site surveys showing sq. ft of lot, sq, ft of house; ancAll roafed areas
(20°k maximum lot coverege al6wed)
• 2 apies of plan showiig beam & window sizes; poured found design, etc.)
• lsetofEnergyCalalations
. 3 copies of Tree Preservation Plan if bt plaHed after 711193
• RimJoistOetailOptionsselectionsheet(bldgswith3orlessunds)
DATE 1u f a3 ! D 1
RemodeUReoairReauiremeMs
• 2 copies of plan
• 1 set of Energy Calculatbns for heated addiGons
• 151tesurveyforexterioradditions&decks
• Indirate A home served by septic system for addilions
/od
n VALUI[ION S ? I
JOB SITE ADDRESS 101?a Nor'? 1Ii 2t,.1 60L•
IF MULTI-FAMILY BUILDING, HOW MANY U
PROPERTY OWN
TYPE OF WORK_
APPLICANT 10
ADDRESS
PAGER #
til
Le (.00FIREPLACE(S) _ 0_ t_ 2
i5??v'c.t(GV% 4 d Jhov PHONE# ?JS?- SYS
SF, STi? I SO ZIPCODE 5Tq?-Q
CELL PHONE # t,'/)- ` N& ' y(L 6k FAX # I S? ` &F/- W
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Conhactor:
Mechanical3ysCem Includes:
Sewer/Water Contractor.
Air Condilioning
_ Heat Recovery System
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orc
Signature of Applfcant
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softcner _ lawn Sprinklcr
Water Heater No. of R.I. Baths
_ No. of Balhs
Phone #
Phone #
Fee: $90.00
rNr" " ff ? --
?D
?
I -?-- 'Z-s- - -??
and agree to comply
/ o-2-`f
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mul6
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) FinaUNo C.O.
Footings(addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Fival _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Finavc.o.
Building Inspector
Total
BLDG. PERMIT NO. jrn,Q(rC1?P)'?
01-3210 Bidg. Permit A-A c n?
01-3422 Plan Check .3'. 0 "'2=
01-3445 Surch./Adm. ?
013446 SAC/Adm. `
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3776 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit c ?c
20-3743
Sewer Permit c`o
79-3866 Sewer Conn. 28-3855 Park Ded
TOTAL
-' ? DATE: 4/11/89
RE: 1092 Northview Driae L19. B3. Leaington Perkview
,.
XX., : _Y?p?'Sewer & Wate; Permit for the aGove property has been completed. It will be held at the
ei 'Public Works Gacage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLfp WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Perrnit tor the above property cannot be completed for the following
reasons:
_ Your Sewer & Vrlater Permit for the above property has been completed, but the meter cannot
be issued or occupancy allawed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALI LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
i i - REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
-- ? DATE: 4/11/89
RE: 1052 Nortbview Drive, L19, $3, Lexington Parkview
xx YaBF' Sewer & WatQb PermR for the above property has been completed. It will be hetd at the
s+ Fublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLpC 1NORKS (454-5220) FOR YOUR PERMANENT WATER Tl1RN ON.
- Your Sewer & Water Permit for the above property cannot be completed for the tollowing
reasons:
Your Sewer & Water Permit for the a6ove property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmBd by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES -TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMl1NITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for SF DWG/GAR Est. Value $123, 000
N° 16269
Receipt # c^ 1 4-
Date APR 10 , 1g 89
Site Address 1052 NORTHVIEW DR
Lot 19 Block 3 SeGSub. LEXINGTON
Parcel No. PARKVIEW
w Name BUTLER HOUSING CORP
; Address 8901 LYNDALE AVE S
° Cj{y BLOOMINGTON Phone 881-9166
a Name SAME '
g? Address
City Phone
r
ww
Name
? ; Address
<w City Phone
I hereby acknowlege that I have read this application and state ihat ihe
intormation is correct and agree to compty wilh all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee ? ?? ' ??-C' %?`"•1"'4=-.
A euilding Permit is issuetl to: `/BUTLER HOUSING CORP
on the evpress condition that all work shall be done in accortlance with all
applicable S[ate of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning PD R-1
(Actual) Consl V-N 8idg. Permit 720.00
(Allowable)
Surcharge 61.50
x of stones - 360
00
lengih 4$' Plan Review .
Depth 401 SAG City 100.00
S.F.Total - SAC,MGWCC 575.00
S.F. Footprints -
On Site Sewage _ Water Conn 580.00
On Site well - warer Meter 90.00
MWCCSystem XX
Accl. Deposil
30.00
Ciry Water xx
PRV Required _ 5/W Permit 20.00
BooSterPump - S/WSurcharge 1•00
TrealmentPl 228•00
APPHOVALS Road Unil 340,011
Planner - park Detl.
Council
BIdg.01f Copies
Variance - TOTAL 3,105.50
,5?io??y 9,??ayl
? 09436gIjq 3,
Fequest Date ///???
? / _?? y ?
`
' Fire N. o h-in Inspection
uiretl? yyy"""
? Ready Now ?/wll
V
od' ?
Itlspeclp
??
7
J Yes ? No e
n
a
I licensed contractor ? owner hereby request inspection of above electrical work at
i
Job Atltlrese (Sbee[, /BJox or Roule 1No)
2 ? Cily
L
7
Section No. Tavnship Name or No. Range No. County ?
OmuPaet (
H Phone No.
Pown Supp ier ? ?? ? Adtlress .- ?
?','i/I'j
Electrical Contrector (Company Name)
C`?? vfiraclork Lkense No.
Mailing Atltlress (COntraclor or Ow r Making Installation)
-? s-- r
Huthoraeil Si ature (CoMqctor/Qwner Meking fn6takation) Phone Number
MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
G?Igga-MlCway Bitlg. - HOOm 5173 BE ACCEPTEO BY THE ST.4TE BOARD
1821 Univeratty Ave., M. Peul, MN 53104 UNLESS PROPER INSPECTION FEE IS
Phone (BiP) 642-0800 ENCLOSED.
I ' ?Y REQUEST FOR ELECTRICAL INSPECTION ~ es-ooom-o7
??Q p 9 ? See instructions for wmpleting ?his tortn on back ot yellow copy. ~ 9?aq
09436 X" Below Work Covered by This Request
ew Add Rep. Typeof8uilding AppliancesWired EquipmeMWiretl
Home Range Temporary Service
Duplex Water Heater Elearic Heaiing
Apt Building Dryer Other (Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
OMer (specify) CoMractork Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnirance5ize Pee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps (- 14 0 to 100 Amps S?'y-
TransfOrmers AboVe 200 _ Amps A6ove 100 _ Amps
Signs Inspeciar5 Use Onry: TOTAL
Irrigation Booms 77 •
Special Inspection
Alarm/Communication
Other Fee ?j f
I, the Electrical Inspector, hereby
.
?° a?
ceni Nat the above ins ection has
?Y P
been made. Rnal
Dete
OFFICE USE ONLY
This requesl void 18 rtronihs Irom
2007 RESIDENTIAL PLUMBING PERMiraPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Sa - 56
Date
?)
Site Street Address l d5 ?- (VOv?f4 U(,ew Unit #
Fr9?PE'?/"
Q
'
?
1
oA
ProperCy Owner
Telephone # (?)
4
7- ?
??
, :v$,, "
Contractor_mLIL Y'V' ?IGGe Telephone# (?a?) f??`?'?(c?
^
StateZip jqV)nc
Address ( ) ? A' ?,p,we, s+: City Sd q-
The Applicant is: _ Owner ? Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50.00
?Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing onlv a water sofrener and/or water
heafer, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_WaterTurnaround (add $136.00 if a 5!8" meter is required) p L`C? W L?'
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to reviewed and approved.
?, ?''e, - U'? ?l.l/k r ?NZ "?1
Applicant's Printed Name ApplicanYs Signature `
&/iiK 7
? ti ? ;3 3 ya??
09429
G
Requast Oate
/? Y ?/?
-- Fire No• Rouph-in Inspeclion
R ulretl?
jJ(IR..dy Now ? Will Notily repeclar
d
T
Wh
R
? a7 Yes ? No en
ea
y
I licensed coniractor ? owner hereby request inspection of above electrical work at:
Jo Addr/es?s ?(S-ire?7et, Boz or RoNe No.) ?? /? Ciy
Section No. Twmship Name ar No. Range No. Counly//?? Iff
/
OccvpaN RI
NT) Plwne No.
?
--?¢??
L??-CP f^ l?FC%YV7 -P S
Power lier // Adtlress ?1 /??.
Electrical onirac[or (Comperry Name., Contrec rS Licenae No.
DeA! 9
Mel4ng Adtlress (COmracior or Pxner Making Installation)
13-
1?7
Authorized ' nature (Contraq rlUVner Making Installetlon) Phone Number
?`'7G _G 3 C. ?/
MINNESOTA STATE BOAqU OF ELECTfi1CRY THIS INSPECTION REQUEST WILL NOT
Gdggs.Mldwey Bltlg. - Raom 3173 BE ACCEPTEO 8Y THE ST.4TE BOARD
1e21 Univcalry Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Plqne (612) 812-0800 ENCLOSED.
I? REQUEST FOR ELECTRICAL INSPECTION AM% ee ooom-o7
? See instructions for mmpleHng this form on back oi yellow copy.
? 094 `Z 9 : fl1?elow Work Covered by This Request
Me% Add Rep. TypeoiBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Eleciric Heating
Apt. Building Dryer ONer (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Olher (specity) Comrador8 Rertarks:
Compute Inspection Fee 8elow:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 t0 200 Amps 0 to 100 Amps
Transformers
Above 200 _ Amps
Aboye.lp0 _ Amps
SigflS Inspedorg Use Only: '. TOTAL ?
Ini9ation Booms
Special Inspection
Alarm/Communication
O[her Fee
I, the Electrical Inspector, hereby Rough-in ? oate
certiTythattheaboveinspectionhas
been made. F;nai oai?
OFFICE USE ONLY
Thls request voitl 18 months irom
RESIDENTIAL BUILDING a-p
(P 2 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructlon Reauirements RemodeVReoair Reauiremenis Office Use OnN
3 registered site surveys showing sq. ft. of bt, sq. N. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% mazimum bt cove2ge allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reod _Y _ N
2 copies of plan showing beam & window sizes; poured found design, e(c. 1 site survey foradditlons & decks Tree Pres Reqd _Y _ N
isetofEnergyCalculations ' Add'N'on-indicafei(on-sifesepticsystem On-stteSepticSystem _ Y _N
3 copies of Tree PreservaUon Plan'rf kt platted a(ter 111193
Rim Joist Detail Options selecGon sheet (bldgs with 3 or less units
Date // /-? / 0 7?' Construction Cost j?./c'o
Site Address
10 52. ,()OQi-IM1101-0 (?iil Uu'` UniUSte #
. MI-)
Description of Work 6#5
Multi-Family Bldg _ Y_ N Nireplace(s) _ 0 CD1 _ 2
PropertyOwner / -&,,%-) C7LUWCV-77/ t-?/2 Telephone#((OS7 ) 6B?-?/`?7
Contractor
Address City
State AA/J Zip 5?5332 Telephone#(qSZ) c`I2"63
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules'7670 Cateeorv I Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar
fee applies. f
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
? ? M ad t?
NOV 0 7
Telephone #(
N If so, 25% plan review
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 pernut, 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 can of work ?Vch requires a review and
approval of plans.
00 o A-CYw ?
ApplicanYs Printed Name ^ Applicant's
I?II Telephone # (
Telephone # (
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (scraen/gazebo) ? 36 Multl Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_N ? 25 MiSCellaneOUS
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaUon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new b(dg) FinallC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final Pool
Ftgs
Air/Gas Tests Final
_ Framing _ _
_
Siding S[ucco Stone _
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
TreaVnent Plant
License Search
Copies
Other
Total
Building Inspector
INSPECTI4N RECORD
CITYOFEAGAN PERMITTYPE: BuzLolNG
3830 Pi lot Knob Road Permit Number: 6 2 3 5 7 R
Eagan, Minnesota 55123 Date Issued: 0 5/ 12 J 9 A
(612) 681-4675
SITE ADDRESS: Lo r: 19 B L 0 C K: 3 APPLICANT:
1052 NORTHVSEW DR OLLWERTHER KENNETH
LEXINGTON PARKVIEW (612) 6$1-1907
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
F
L
?
.J
? EITY>OFEAC.iAN
3830 Pilot Knob Road
Eagan, Minnesota 55723
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
suxLozn(e
@23574
05/12/94
SITE ADDRESS:
P.I.N.: 10-45095-190-03
DESCRIPTION:
1052 NORTHVIEW DR
LOT: 19 BLOCK: 3
LEXINGTON PARKVIEW
-. ? . .
asii.tiaing>Permft rype
Bui:lding Wrs•rk Type
?.
,
-` r
,
/.
, -
?
r?.
Jf
f. \
\ L.
J.
P
DECK
NEW
,? -7 p ? , ?- --.. "? /'? .i-t i r ? •--",''_"``
REMARKS:
FEE SUMMARY:
Base Fee $30.00 CpPY $.50
Surcharge $.50 1'otal Fee $31.00
Subtotal $30.50
CONTRACTOR: OWNER: - Applicant -
OLLWERTHER KENNETH
1052 NORTHVIEW DR
EAGAN MN 55123
(612)681-1907
I here6y acknowledge that T have read this application aft-d stata that tkre
information is correct and agree to comply with all applicabls State of Mn.
StatuCes and City ofi Eagart Ordinances.
L --?
i`
APPLICANT/P ISSUED B?: SIG DATUR
' CITY OF EAGAN ????????
13514 1994 BUILDING PERMIT APPLICATION
681-4675 M?Y G 6 ??ga?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Oate Valuation of work
Site Address: j OS Z.. ?GIZT{-f V_j::C-rv O(Z ?+6? fl"v "`1 J? -S 5? ? Z- ?
STREET Sl1ITE #
Tenant Name: (commercial only)
IAT ? BLOCK ? SUSD. LE?'?i T-D A/
?C'rL?CVZC? P.I.D. #
Descri tion of work:
The applicant is; Owner ? Contractor ? Other (Describe)
Name O LL:.v EtZi He'L Phone `td 7
Property LAST FIRST
Owner T_-? ?f 2--
l a?Y N0' z.M ``°
_
qddress
STREET STE #
City e4lZ?'? State el" vv", Zip SJ 12?
Company Phone
Co ntractor Address License # Exp.
City 5tate Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply w'th all applicable State of Minnesota Statutes-and City of
Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./
? 02 Sf Dwg. ? 07 4-Plex ? 12 Multi
? 03 SF Addition ? 08 8-Plex ? 13 Garagi
? 04 SF Porch ? 09 12-Plex ? 14 Firep
? 05 SF Misc. ? 10 Multi. Add'1. 1& 15 Ueck
WORK TYPE
8 31 New O 33 Alterations ? 35 Tenar
? 32 Additian ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
Basement sq. ft.
lst F1. sq. ft.
2nd fl. sq. ft.
Sq. Ft. total
Footprint 5q. ft.
On-site well
On-site sewage
APPROVALS
Planning
Engineering
Building
Variance
REGIUIRED INSPECTIONS
? .Site 13 Footing
? Wallboard ?'Final
Permit Fee vemacim:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Raad Unit
Park Ded.
Trails Ded.
Copies ann
Other
Total:
A P. ?w
adging il ? 16 Basement Finish
?, Misc. I? 17 Swim Pool
/Accessory I, ? 18 Comm./Ind.
Iace ? 19 Comm./Ind. Misc.
! O 20 Public Facility
!i ;El 21 Miscellaneous
? I
: Finish ;I? 37 Demolish
? Framing?i
? Draintile
MWCC $ystem
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Gode ?
SAC Code o?
Census; Bldg /
Censusi Unit ?-
Asses ?s?ments
? Insulation
? Fireplace
SAC %
SAC Units
TRi-LAND C0.
SURVEYING
SERVICES
SITE PLAN FOR:
-?? U'7'L47-1"Z1 -/-] GM?"S
1260. YLINKEE DOODLE ROAD
EAGAN, MiNNESOTA 55122
I
i`
?
LEGAL DESCRIPTION: LOT19 ,BLoCK 3, LEXINGTON PARKVIEW
ACCORDWG TO TH RECOROED PLAT
THEREOF DAKOT? COUNTY,MINNESOTA
Stale: 1"=30, -
?r- NORTHVIEW
?
COIIo
A i
4?z-:%?l'
v
/ . y/ ,'•,
I
TERRACE
/ io, v. ga
--1/•
?
? ryl %
O\???
..? ) o/ ?
wa. ? ..i?/
?y3CS/ •. \ ?
R?\
?FO
? oi, 17 .
3? 33 iN
. j.?..t.
1.... t
.•??rgN+?o??$?'
• { in E.
ti3,QAN E
,
?
??.
-?
??.
A? o.
a
, QDt'??
?
v
/
1 W
Go
• 12 Y7
I 7.5?
I
I
3:
? LOT
? 19 ?
\ o
\ I o
I z
\ I
r?.. ?
?
"P?i.IEFi
Lo
(ios.s)
LGVCI7Y INVERT ELEVATION AT_SERVICE EXTENSION=
obtNOTft S IROiJ. MbNUMtHT PROF'OSED GARAGE FLOOR ELEVATION ¦? ?.
6 pE14Ott3 WOOD HUB SET PROP6SEb FIRST FLOOR EtEVATION =
bENOftS tkI§ti?fG,. SP07 ?iOPOSED 9ASEA?iENT FLOOR
ELEVATION . EI.EVATIOM
(9i»9j btNf?Tk8 ?'FtOF'OtED.SFOT
tLEVdT1oN .,,_ _.
t 6kA1NAGE DI?tECTION NOT't' VEliIFY ALL FLOOR HEIGHT$ WITH
FINAL HOUSE PLANS
E1i?E,1{
vrai ?F???i? ?p iii& bP undet mq
??f(ti{E1 okllilb7i diM fFied 1 ilfil 8 dulY eradlay J:; ?inion, Nln. RiFq. Nc.1323$
?,?Lai.,A#m;$1a#8"5f"MinfiQibia. 06tf , ... ....: ....._... . , ..:_ -...
CITY USE ONLY
L L L ? RECEIPT #: lD ? So ?
SUBD. ?j?JC2LrJ RECEIPT DATE: S S
PERMIT #
1999 PLUM$INC PEitMIT (fiESIDENTtAL)
crrY oFEAsAtv
S$SO PILOT KNOB RD
E4&AN, MN 55122
(651) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH N TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in oUtlBt " minimum - 1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $ .0
Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkier if dweilin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under consUuction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ 50
rotai --> --> ----> ----> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------- -ck--- ---------- - -- - - ----------------- - ------- --- ------
I hereby anowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Ciry o( Eagan ordinances.
It is the applicanPS responsibiliry ro notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its
normal operational and maintenance aclivities to the facilities cons[ructed under this permit within City property/right-of-wayleasement.
siTE aooRESS I LSd IU 1 euo v? ?co ? ?X_rrt S S I 2-zl? _
OWNER NAME:
TELEPHONE #:
INSTALLER NAME: -Lk?? TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
CITY
STATE:
21P:
i
S G /aTURE OF PERMITTEE
° - *
720•00+
?61•5U+
360•UU+
1?964•00+
3,105•50r
I
1989 BDILDIBG PEBMIT APPLICATION - i,ITY OF E6G9N
SINGLE FAMILY DWELLINGS I ? I c q
INCLUDE 2 SETS OF PL9N5, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCULATZONS
NOTS: ADDRFSSES FOR CORNER LOTS - CONTRACTOR/HOMEOHNSR MOST DESIGN9TE iIHICH ADDRESS
IS DFSZRED. AO CHANGES WILL BE AI.LOWED ONCE HIIII.DING PERMIT I3 ISSIIED.
MQLTIPLS DWELLINGS EENTAL DNIT3 FOR S9LE DBITS 1 OF IIBIT3
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECK WITH HLDG. DSPT.v 1 SET OF ENERGY
CALCULATIONS
COMAIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS'
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS IM APR 6 198W
To Be Used For: ? C? UiYlu?t Valuation: Date: ,{
? T
{ -rr--
Site Address
Lot 141 Block 3
Parcel/
Owner ?
Address
I Z3,ooo"
Oecupaney R-3 M-I
Zoning pD R-1
Aetual Const V-N
Allowable V- N
# of stories
Length 48'
Depth 40'_
F1iES
Bldg. Permit ?Zv,OD
Sureharge LLI SO
Plan Review 3E,a,oa
SAC, City /Op, ao
City/Zip CodjV0pMiL')CWq, fnMI-
Phone ?5O t ?
Contraetor
Address ( ?d--"W4
City/Zip Code
S.F. Total
Wootprint S.F.
On site sewage
On site well
MWCC System ?
City water ?
PRV required _
Booster Pump i,
SAC> MWCC ` ,OD
Water Conn p a0
Water Meter Ro,t»
Aeet. Deposit .30, 0?)
S/W Permit .90109
5/W Surcharge 1,00
Treatment Pl. ZZg,ao
Road Unit ,3140,CO
Park Ded.
Copies
TOTAL ?
9PPROVAIS
Phone ? Planner
?^-? Co?cil
Meh. /Engr. L.FJs Hldg. Off
Variance
4ddress (2t00 Council
ty/Zip Code ??M ) f C( 1?h 7?1?'?
?e # ?rJ2 ??95?
?4?1a
Sewer & Water Permit fees and aeQOUnt depoait fees will be incsluded in the buildiag
permit fee. Proeessing time for sexer and xater permits is two days once a liaenaed
plumber has applied for a permit at City Hall.
'I
1/?L l,Z? 1 I c7t?
?°x ?? = 560
r7z)
__?-------
Ll?? x «= r?32?
B s M-T
C
I 57' Fc,??
a X 2 g
2(
1 `)
lzX2o= Zya
12x?= ._'lz y _-,
-----
IbSLI X 50 = 5Z'70o
Z Y--)D F?? ooY'`
b 5 ?4
i??C2 =
?oyo Xso= sZooc?
-' 22) ?4 2?
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAO
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
?UTL r("?1?-'Z ? GMC?S
LEGAL DESCRIPTION; LoT 19 ,gLoCK 3, LEXINGTON PARKVIEW
ACCORDING TO 7H RECORDED PLAT
THEREOF AK COUNTY,MINNESOTA
Scale:l" =30' r--
?w ?
?
? .
d
,.
/
• \ i ?
\
?
\
19P? ? ??
Qo`? 6
A
TERRACE
x y2 ?? ?
P
?
, z,e
PO
; ?.
?
Go
i 221q'-'a
d D.
I I 7.5?.. j. ? 3Y
1 ?
?F?\ ? qo•
Oo • ? ?Q•
. ...,_?.
?..._ :
..::?:.'• ?=?,; ?;?
? W T.
;:y
LEGEND
LOT
\ 19
?
ti
?
0
m
00
z
?
C.
LakGAN ERTGI?% G? ?EPT
o DENOTES IRON MONUMENT
a DENOTES kV00D HUB SET
DENOTES EXIST4NG SPOT
ELEVATION
(9os.8) DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereby certify fhat this survey,pian or
report was prepared by me or under my
direct supervision and that I am a duly
Reqistered Land Surveyor under tha
Laws of tha StaTe of Minnesota.
(ias. &)
INVERT ELEVATION AT SERVICE EkTENS10N=
PROPOSED GARAGE FLOOR ELEVATION= 9 ?.
PROPOSED FIRST FLOOR ELEVATION _'9//7 7
PROPOSED BASEMENT f LOaR
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Brudley J.,,girpnson, Mn. Rep. No.
Date -
NORTHVIEW
a,.v>S0003'43°W 84.84'
- --7
? ?. ? I
OWNERe EUTI._£R I-IC]U5IhlG COkF'ORR'fI(]N
SITE ADDRE'SS: it'?52 Nq?THy_.?E,4? PFi_., E_
OCIRITRAC'fL7R: EsU" I'LF.iR tiOl15TN6 COFF'l7hATIUhJ DA7'L. N4/4l89
-
llETEFiMINF WpRk:TNG t;OL1ARE Ft"ICi"fA[.3i: tlP='EAi:H:
1. 'fOTFtL. EXF'OSF_I:7 WF4LL FikEA: 1,602 SL!. f l". X .11 = 176.22
P.. TOTAL FiOOF/t:.EILINC; AhEA: 1,05E3 SGl. F'I". X.026 = 27e0
--------
A. ------
701"AL ----------------------------------
WF1L_L WINDOW ARtA: ----------------------
214.80
B: 1"O'fAL D(]OR AkEA. 37.80
C. TCl'fAL SL_IDTNG 61._FaSS ll00R AREA: 40.U0
U. 'I`UTAI. F'IREF''LACE WF-1Ll_ AFtEAc :0.04
E. '1"0°fAL.. WALL F'RFaMING AI':Cn (AVG. 10%): 160,20
P. `f1]1-AL RJM ,7ClIS7 AREA: :49.00
G. TO'TAL NE"f WA1_1_ Af:C'A ADUVE 1=LOQF2: 8E30.20
' TfJ"i`AL F'XF'OSED WALL AREA: 1,602,0o
H. TOTAL FOUI'dI)A7'YOIV WTNbOW AI=iEA: 2.6ii
I. T0"f41L IVEY' FOUN1)A7IOIV AFiEA (;13UVE GF;FIDE: 110.00
J. TO"fF1L OVERIaANG ARF_'A: 0,00
DE'TE.FMTIVF: "U" Vf;LIJE UF EACf-I WALL SL[iMEIV'f:
a. 214.80 X U. 0.367 _ 78„ii3-3
E7. 37,80 x ?U" 0,066 - 2.49
c. 40.00 X U. 0.367 = 14.68
d. 20.00 x U? 0.074 •= 1. LF9
e. 160. 2q x "U" 0.690 - 14.47
f. 249.00 X u" 0,041 = 10.13
y. 800.20 X °U" 0.043 = .;Fl.t:uF
h. 2.60 x 11 ti.. 0.367 = 0.95
i. 110.00 X "U" 0.140 - 15.43
?. O.C>Q X U. 0.024 - O.Urr
3 ......... .......... .... TC7TAI_ "lJ" - 176.51
IF ITE:M 03 I!:i TI-If= SAME F1S, OR L.rSS THF1N I1"I:.M Ik]. , Y(](.J tiAVf" I`7t=T
'fNE TNTF4JT Of= SBC: 6006 (r:>".
Nage ':? []I= 6
1'OTAL EXF'U5EI7 ROOF/CFTLLNt:i AFiEA = 1,058.00
k. Total skylight area: 0.0U
1. Tntal roo{/cei.liny fr-sming artea (avg iC>%): 105.80
M. 'fotal riet insulated roof/c.Filing area: 952.20
UEYEF:MIhIF "U" VALt.Jk? FOF E'ACH FOOF'/CETL.TNG SEGMENT:
k. 0.0o }( .1ul. Cl. _;f.o7 = 0.00
1. it.15.80 X W 0.025 ..? 2.6+4
M. 952.20 X "U" 0.021 _ 20.32
4. . . . . . . . „ . . .. . . . . . . . . . . 7C1"fAl._ "U" _ 22.95
I'T T(JTAL. L]F #k4 IS THE SAl"ff" F1S, C7f1 LESG:i THAN #2, YGU HAVE ME"f 'fHE
i N"fEN'f QF SbC 6006( c) 1.
ALTEF:NFI"fE BUILDTNG ENVELpFC ULBIC:;iV:
'1"U U"f I L.I ZE T HFS C'OTL`,L EIVVF'I..CJF'EC F:iYS'I"EM METHOll , T HE VALUE.Si E_3l"F1F.il.I Sl-IEE:C]
EY 7Ht_ SUM Uf= ITcM;3 #3 ANU ihq SHFIL.L. NO"I' BE (:iF;EbaTE:F: 'fNAIV 'fl-iE SUM Ui=
I i'E:MS #1 F3hfll 42.
' 1 . 176.22 ' +:_`
_. 176.51 '+4
:'7..`'ii 203.7 :
---°-°--- ==___--____
?
i:'.S'S - 199.47
I HEREBY CEhT'IFY THA'T I HFVE CALLIILAI"f:il '1"HE "l.!" FAC"Ft7kS FaND "Ft"
Vf1LUE5 HEF2EIN ANn "lHAT THE FaUII_UING N[ F2E DESCRIBEI7 ME.F..'TS OR k=:XCEE:17S
THE S"fATF OF MN ENERrY CONSEf<VATION ACT.
L3L .ER NCIUiING C.';CJFF'ORATYON
----------- ------------------
STGNl11URF: DENNI:> F. SU"fL..F:R., F'FiES.
DA-T?:_: ?/- y e9
Fage 3 Of 6
__..___..___..------.
WINI70W AIVD DGC1R SC:HLC)I.JLE
.
........................
'
' ............
5iS7Ei F ..............
_
-
AC,TOF; WINDUW
t
:
lYf
(:"!UANI' I1"Y Uf- 'FN I NG
-----
1 EASEMEN'T
'.?7 X 11}
C? 2ab??
00
?}ii
]. PATIO DR 6 X ?' qe?.
U
b
l3?? .
?:ii.4i>
= CASEMENT 20 X <ib .
?
°` 34.00
4 CH-iEr11-.NT ^C) X 4c3 .
10
80 ':?.l?0
-.•
CASEMENT 20 X fo?] .
>i ??
V
.
'?4
_ CASEMENT 24 X;:ib ?
U0 i>
.
i>ij
U CASEMENT
"
' '?A Y. 42
48 Y
10.30
103.06
C
N
•1it CA'3EMF_ 24 X
1`
b?? ?7,pi?
0 GF?SEMEhI"f
' ''4 x 60
?A/=+f?
6X"
° .
].8.•'U i?.i.xi
HUNt,S
0 Dl?L_
E HUNGS
0 UESL _
,
.
24x?'4/36
12.80 i?.Ui?
,:?
.
C> llNL.E HUNU",3 3?. X'<4 1_;. ,?u
00 ?.
0.t>c)
0.
t) 0.00 il.ti(t
4)
0 S TDE l.: f S.
1 X i. 3
---
6.60
_..___..._._---
-
1.00
-----....------°-
-----?----_
_'__'___ ___----?--
TOTRL G1_ASS
ARE_A• ^JI. 4O
25 _--
--------------- -
DC]aRu
SCHEI)IILE
._...-°----°-•--
----•-----
----------
QUf-;NT I T'Y T`i PF -°---_ ____..__
ST._.GE FACTUR UOOR
C34'ENZNG
__----------....__._--.__ ..............
F,CHTREE
1 F'E
----------------
;.;,_i?,1 X 6 -
---'------•-
:_U,C,p -
•-?i).i?t:i
.:.
80
17
..
1 F'h_ACFi"fRF.f: 2`•-E3" X b 17.80 .
4
i?t
>
0 . i,?? .
.
tl.Qi> p.Ci0
0.00 0•0c)
. 0,00 0.00
--_
--"----- - •----_._...._---
- ' ._ ...-----'°---
"f07p_ DCICiFi
"-----'-__.. .-
_ --
(•al'iE.A:
-'
=:7.80
214.80 U--VALUE
ti.:'sE>I
'fII'T(•\L WAL.1_ WINI)C1W ARi:.": 40.00 i.i.:;f,7
"COTAL. F'HTTO L`OOR AREH.: :L
?p U--Vf-?L.L1L i,?. Sl:i7
7t?TAL ti:?ASE:r{l:N'f WS)W Faf?lE?.fd: .
_-------
257.40
?vl.?t?i ) U-VF1L.l.JE Ci„ttbf..>
T?ITAL 17i.-xa-c F,r_aa:
F'age Q liF F)
7HfiU EXTERIOR FFAh1E: WAL.L.:
INTERIOF. Al'F -- -- - - -- -- -- - - - - - - - - -- -- i>.hr`l
9HEE1" ROCk:: _ _. _ _ ._ - -.. _.. _ _. ._ -- .- -• -- ._.. _ .... 0.t',:':;
TNEFcMp--BRERk: - -- - -• - - - -- - -- - -- -. __ _. ._ _ ,)
STUC) -- -- - - - - -- •- - - - - - -• -- - - - _. -- - 6.4:1
SHEFiTHiNG - --. _. _ _ _. - -- - -- °- -. - -. ._ -- - -•. -- 2.06
SIDING _. ... - - - - - -• - - - - - - - - - - _ - ti."'IE3
EX7"EFt1ClP't AIF .. .. _ - - -. -. - -.. _.. _ _ _. _ _ _. ._ 0.17
TOC'AL. uR" VALUE - -• - - - .._ _ ._ ._ _ _ ._ _ •- - .- i1.07
1 /R = "U" VALUE - •- - - - - - - -- - - - - •- - - 0.090
T'I-IFiIJ INSUL_ATION WITFi .S'IDINCi 8< S.R.
INTERIOR r;IR - -- - -- - - - - - - - - - - - -- 0.6E3
SHEE'f RUCF:: - - C).4"i
THERMU-EiFEAk: - -- - - - - - -- - •- -- •- •- - -- -- ii
TNSULA"1'IUN - - - -- - -- - - - - -- -- -- - - -- -- 19
9HEA'7"HINGi - - - - - - -- - -• - -- - - _ _ -- - _ 2,06,
S T U I NG - -- - - _ _ _ - - •- - -- - - - • - - -- -- 0.78
EXT"E.FiTOI'i HIR -.. _.. - - - -- - -- ,._ ._ _. .... -- - -- - 0.I7
TC7TAL "R" VALUE -- ._ ... _. _ ._. .... .._ __ _. _._ .._ .._ ._ _ 23.14
i/R = "U" VALUE - -. _ .- -- -- -- - ._ _ _ _ _. _. _ 0.04=
THRU CFII_:[IVG Mf.-:MPEF
INfEFtIOFf AIF: - -. _.. _. _ _ .- -- -- -.• - - - - - - 0.68
SHEE1" FiOCK - - - - - - - - - - - - '- - - - - 0.53
CE:ILING MEM}3EF: -- -- - - -- -- - -- -- - - - - - - 4.:=5
INSt1LATIl7N - -- - - - - - - - - - -- - - - - - 33.92
BTTLL AIf: -- -- - - - - - - - - -- _ _ _ _ _ _. _ 0_61
Td'TAL ''h'VALUE 40.14
1/F = "L1" VALUE •- -- . •- -- -- - - -- - - -- -- -- - 0.025
THRU C:CII.TNG SN;itJLfaTTON
IN'TEF'tIOFi FdTF't •- -- - - -• - - - - - _. - - - -- - 0.68
SF-ILET F,OCF{ - .- - -- -- - .- ° - - - - - - _. ._. _ O..;ci
INSULATICIhI - - - - -- - - - _. _ _. - - -. ._ _ ._ _}=y
ST I t_1_ A I R - - - - - - -- _ _ _.. ..- - - - - -- _.. _ 0.61.
TCl'T'Af_ "F'c" VALUE _ _ ._ ._ _. ._. ._. ._. _ ... _ _ _. __ .._ 46.37
1/F: = „U" VALUE -• - - - - -- - •- - - - -- -. ._. ._ 0.021
F'age ; UF 6
THFiU C:C1NCRETE DL.OCk::
INTEFIOF: AIR - - - -- - - -- -- -- -- -- -- -- - -- - 0.68
CONC. RLK. -. _- - -- -- -- -- -- - - - - _. -- - - - 1.2B
INS'ULRI"IpN - - -- -. ... ._. ... ... _... ._ _ ._ ._ _ _ ._. ._ 5
:;iaECr rcE.. cor-}-r. > -- -• - - -- -. _.. ._ .._ _ ._ ._ - ._ _ o
EXTEFTOR AIF-- - - - - - -- -- - - -- - - - -- -- •- 0.17
TCtT'AL "ft" VF'd_UL" - - - - - -- ._ _ __ _ _ _ _ - - 7.177,
1/R , "U" VAL_UE - - - - -- - - - ° -• - - - -- - C+. 14 0
Z'I-1F:U RIM JOISF
INTEFiIOEi AIR - - - -- - - - - - - - - - - - .- 0„68
INSULA?'TON ._ _ ..- .- - - -. ._ _. ._ _.. _ .._ _. __ ._ _ 19
R I i1 jO T S T - •- •- - - - - - - - - -• - - - - - - 1.89
SHEATHING - - - ._ _ _ _ _.. ._ ._- -- -- - - - - - -• 2.06
S T C) I Nt; - -- - - -- -- - ... ._ _.. .... _. _.. -- - ... _. _ __ _ 0.7B
EX'rIcRIClfi AIf:<_. ._ ._ _ .... _. _.. .-- -. _ __ ... .- -- - _.. ._ 0.17
7'D"fAL "Fi" JALIJFc - - -- - -- - - - -• - - - -- -- -" <?/`r..`.-if3
1 /R _ "ll" VAl....(JF.. -- - - -- -- --. - _ -_ _ - - -• -- -- 0.041.
T'I-Ikil CAI'Jl'. (d ML:ME'+f=R (FN(:I._[7£iL-.I))
INTEnIOR HLR- - -- - -- -- -- - -- -- -- -- - - - -- -- 0.68
F S N f Sl-1 FLCJOFi I IuG -- .._ ._ ._ .... ._. _. .... - -- -- ._ .._ ... _ l . : .a
t.1NDE:RI._AYMENT __ .... - - . ... ... .... ... ... - - - -- -- - -- --
PLYWO[7D - - .._ _ ._ _ ._ _ _. ._ ._ ..- -- -- -• -• -- - - tj
J0 I S T -- - - -.. _. .- - - - - -- - - - - -- - -- - -- 11.88
SHEET f10C1':- -- -- .._ ..- -- - - ._ _ _. .... - -- - -. - _ it.:id
ST I L L. A T R - _. _.. __ _ ._ ._ ... _ ._ _ ._ -- - - •- -- - 0.61
TO i AL "R" VRL_lJF - -- - __ __ ._ _. _ - - -- - _ ... _. 15.91
S/R = "LJ" VAI_LJE -.. _. ... _ _ _ - -- - - -- ° -- - -° 0.063
T}-iliU L'AIVI". G IIV:3L11...R°fTf.7N (ElV(:II._C1S3EC>)
JNTEhTGR AIF-- -- •- - - -- - -- - - - - ... .- -- - - 0.69
FINT:iN FI....GORING -- -• - - -. .... ..- _.. _. .._ _ _ ._ ._ - 1.23
UI',IllC4fI....FIYNIF:tJT- - -- -- -- -.. _. _.. .... _. _. - -- -. ... .-- -. 0.93
F'l_YWOqD - - -- - - -.. .... ._. .._ .... .- -- -- - -- - - - -•
INSULFII"iUN-- -- - .- .. -- -- -- - - - -- - - - - - - 19
4HEET f-iC.l(;R::- ._ .._ ._ ._. ._ , _. - -- -- - _ _ ... _ _. _. r,_i. EiNl
ST I L_L A I h - - - --. _ _ - - - - - -. - _. -- - - ._. 0.61
TOTAi.. "Fl" VAL.UE ._ ._ _ _- - -- - - ° - - - - - - :_':,. ij;.
1/R :_ "U" VAL_lJE -- - -- - - -- -- - - -- - -• •- - - 0.043,
F2gN b OF 6
THfiU C;ANl". @ !`1EMBfR (F'XF'LISF=U)
INTERIDR AIF.- - - - - - - - - -- -- - -- - - - - '?"ba
FINISH FL.AOFilhlfi -• - -- - -- - - - - - - - - - - 1•2'
UNDCF'iLAYMEN'I-._ 0_9:3
F'LYWOOD _ _ _ - - - - _ _ .- - - - - - - - - - C>
- -- - - - -- - 11.89
70I ST - - - '. _ - - - - -- - - -
SHEAI"H I NC; - - - •- - - - - - - _ _ _ _ .... _ _ _ i ?
50F'FI'f-• - - - - - - -- - -- - - - -_ .._ _ ._ _ _ .... 0.47
EXTERIOFt AIF- -- - - - - -• - - - - - - - - - - 0.17
------------
TOTF1L "R" VALUE -- - - - _ ._ - -- _ _. _ _ _ ._ _ 1„5,36
1/R = "U" VALUE- - •- - - - •- - -• - - - - _ _ 0.065
THkU CANT. G IIVSULATION (FXTERIOF2)
INl"EFIOft AIFi- - -- ._ _ _ .- -- - .. - -- - - - - -- 0.69
>
F TNISH FLOOFIING -• -- - - -- -- - - •- - - - - - •- 1 .2
UNDEFLAYMENT- - -- - - - - - " - ` - "' - "' + 0.9'
YUlOOn - _ _ .- - -? - -_ _ _ _ - -
F"I - - -- - _. ._ Q
_
INSLJLATION- -- - - - - - - -- - -- "' - - - - -- - "'a
- - -- - - 0
:iHFATHING - - - - - - - - - - - - -
SC1FFIl"-- - - -- - -- - - -• - - - - - - - - - •- -- 0.47
F'XTEF.It7k AIFt_ _. - - - - - -- - - -- -- -- - -- -. _ 0.17
------------
TO"fAL "Fi" VALUE - - -- _ _. _ ._ .._ - _ - - _ - •_ 41.48
7. /R =_ "U" VAL_UE: -- ._ _ _. ._ _. _ _ ._ .... _. _ __ _. 0.024
F'TLE IVAME: ENERVY.BHC
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN MN 55122 PERMIT #
PHONE: (612) 454 8100 RECEIPT
I4k.wtilL"V.mTv; DATE: 3 w 9'?.
R?SSDLid?`?A?:< PLEASE COMPLETE DPPER PORTION ONLY FOR SINCLE FAMILY DWELLINGS &
TOWNROMES/CONDOS WIiEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ---°-------------°----------------------------°-----
WORK DESCRIPTION ? FEES
NEid CONST ?
ADD ON
REPAIR _
OWNER NAME:
SITE ADDRESS: 10.S_2. i?O,CI??%'? /?• "''?6?V
T-oz: q srocx 3- suac.? ? ?
INSTALLER: _ ?r//?ra?Z/r?L 164fi? de-
ADDRESS: r??r?i?'fzs/i?/r/'a.??O.
CITY: ?T?"?"?i'? ZIP: S.r/2{_
?
PHONE #: S'S Z -Z6GS
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $
STATE SURCHARGE: .50
TOTAL: $?.?
F ?ftGNATuifE OF PERMITTEE
rl -?y'?Ae ?
?'OMMERCIA3.;lTl`iAUS?'??AI." PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY $UILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:_.
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP;
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
` EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING + $25.00
$25.00 MINIMITM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
y... _..
CITY OF EAGAN
;?>
CSTY 0F .F..FlG;At?t
CASN'CE:fi? S T.F..RNil:NAl._ Nils 71.E?
DA7F;; 04/1.".?lj`.3 1'I?41_e 1.4,4i'::I.i'
ILi ;;
N'AMEc ,?FlNSS E pt_.L..WEh'1'NE:fi
2430 ,.,nni 052 NOIt1'I-IVTIc.k1 I..(Jp
205 9001 1052 PlOFiTFIVa'.;::PI Q.`;U
300 9001 1.05i'_ N[7h'1'FIVT.F..N 60„00
Tr.]'t]1 F{i:SC•e1p?, Ami:rur,k,., 6050
CR i D(},S.i4
USEi+' :CIi;; NFlNCY
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
u CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 ?r
jL{ g? Q, (651) 681-4676
New Construction Re mirements RemodeUReoair Reauirements Ci „ A/I I1 3 as_ 4`0?
? 3 registered site surveys • 2 copies of plan
? 2 wpies of plans (inGude beam & window sizea; poured fnd. design; etc.) • 1 site aurveys (exterior additlons & decks)
? 7 energy calculations ? 1 energy calculations kr heated additions
? 3 copies of tree preservatlon plen if lot platted aRer 717/93
required: _ Yes _ No ?
DATE: CONSTRUCTION COST: "
DESCRIPTION OF WORK: ?V'1 5 tii ?3G 5 m,e evt
STREETADDRESS: ?.? (\J W'+- 12^{ D?°'
LOT: BLOCK: ? SUBD./P.I.D. #: I`PXs",4-16n a Av 1--CLj
Name: vje-,( ? ?Iave- Phone #: V ? 1 '? C? ?'d 1 ? 190 7
PROPERTY Last First
OWNER ^ /
Street Address: / { Q? 1? 1 V(l,4-1'P %1De-?j Oi-?
Ciry ru State: ?1'? A/ Zip: ?? I Z
-0.
CONTRACTOR
Street
City
Phone #:
License #
State: Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street
Ciry
Sewer 8 water licensed plumber (new construction only): _
change attd lot change is requested once permit is issued.
State:
Zip:
Penalty applies when address
I hereby acknowledge that I have read this application, state that the information is coRect, and agree to comply with all applicable _
State o'f Minnesota Statutes and Ciry of Eagan Ordinances.
. Signature of Applicant:
V
OFFICE USE ONLY
? 11?l1iK I ?/ iJJJ I
Certificates of Survey Received _ Yes _ No
J L1
Tree Preservation Plan Received _ Yes _ No _ Not Required .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
O 02 SF Dweliing ? 07 4-plex
? 03 SF Additian ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
OFFICE U5E ONLY
? 11 Apt./Lodging g 16
? 12 Multi Repair/Rem. ? 17
? 13 Garage/Accessory ? 20
? 14 Fireplace ? 21
? 15 Deck i
WORK TYPE
? 31 New W 33 Alterations
? 32 Addition ? 34 Repair
? 36 Move
? 37 Demolition
GENERAL IIdFORMATION
Consf. (Actual)
(Allowable)
? ?Q Basement sq.
Main level sq. ft.
ft.
UBC Occupancy sq. ft.
Zoning ? sq. ft.
# of Stories sq. ft.
Length sq. ft.
Width Footprint sq. ft.
APPROVALS ?
Planning Building
Census Code
SAC Code
Gensus Units
Census Bldg
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
i
Engineering .
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
4Nater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
,
3asement Finish
iwim Pool
'ublic Facility
?-
I
% 5AC
5AC Units
i?3a9, r9
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Kno6 Road, Eagan MN 55122
Telephone # 651-675-56:15 FAX # 651-675-5694
New Construcfion Reouirements
3 registered site surveys showing sq. R of lat sq. ft M hasq and all roofed areas
(20%madmum lot coverage allowed)
2 copies of plan shovnng beam & window sizes; poured fand design, etc.
1 sel of Enefgy Calculatians
3 capies of Tree Pmservatlon Ran i( Iot plalted aRer 711r93
Rim Joist Oetsil Opbons seledion sheet (buildings wilh 3 a less units)
Minnegasco mechanical venHlation form
I'4a 0 • a- (v
RemodeVT2wair Reouirements Olfice UseOnlv
2 copdes of plan showing (ao6ngs. 6eams, Jdsts Crrt MSLrvey Recd _ Y_ N
1 set of Energy Calaletions fa heated additians Tree Pres Ran Recd _ Y_ N,
lsitesurveyfaaddNOns&decks TreePresRequired _Y _N
Addih'on - indicete if on-site septic system On-site Septic Sysfem _ Y_ N
Ca,(,& a lzI ?.-l
j
Date l Z / 17-
Site Address i b S"
L ti r^+1.. J?^ i'7r i %I v Construction Cost -1 O, cro, ty?>
? E4 qaN_, HN 5 l Z UnitlSte #
?
DescripNonofWork PcaMir>H {1 X I lP ? ? ?Clnfil ? Fi (i?'rn R2?.tOd2?
Mu1N-Family Bldg _ Y'X N Fireplace(s) _ 0 X 1 _ 2
PropertyOwner _Kf ty +JiaNIS CSIIu)criLke t+ Telep6one#((c?;A 19071
Controctor t..?arya ?; 11ikL .
Address ?v
State _ l"l 1? .
Zip City_AciSS
Telep6one #(!„-5?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CBtegory , ResideMial Ventllation Category 1 Worksheet . New Energy Code Worksheet
(d submission rype) Submitted
Submitted
• Energy Ernelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permiT for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masier plan:
Licensed Plumber 1?t ??? V ? D 7elephone #( J_
Mec hanica l Con trac tor D E C 1 8 2006 Telephone #(
Sewer/WaterContractor ??S? n 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.
n?
- ?ua.n l 'ric? <zs -}R • - --
Wpp icant's Printed Name CApplicantV Si nature
DO NOT WRITE BELOW THIS LINE
J ?
Sub Tvoes
? 01 Foundation ? 07 05-plex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS Ofrplex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ,Z5C 22 Porch/Addn. (4-sea.) ? 33 E#. Att - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? OB 04-plex ? 72 72-plex ? 25 Miscellaneous
Work Tvoes
? 31 New ? /" l T"
? 35 ry'(9rVI I ZI7rt?10-G.-q?k,,r7-) ??vr J?',
Int Imprdvement ? 38 Demolish fnterior ? 'v ? '??•
44 Sidirg
,P(- 32 Addition ? 36 Move Buildin g ? 42 Demolish Foundation ? 45 Fire Re pair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 48 Windows/Doors
? 34 Replacement •Demolitlon (EnUre Bldg) - Give PCA handout to applicant
DBSCfIDt1011: WaterDamage_Yes
Valuation ?D?l?UD Occupancy MCESSystem
Plan Review -X 100% or _ 25%
Census Code ?_ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings(new bldg)
Footings (deck)
? Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Freming -
Fireplace _ R.I. _ Air Test Final
?L Insulation
T'
REQUIREIl 4NSPECTIONS
_ Sheetrock
FinaUC.O.
X. FinallNo C.O.
? HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
Siding _ Stucco Lath _ Srone Lath _Brick
W indows
_ Retaining Wall
Approved By: _-? ei'll_, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies SAVNJ?,Y I ! ??LS¢ ???
Other
TOtal
?
?q0 0
?n RrVY,''' o c,igFiG ?
k-p7i / 1347-W
p6,0` ?10,0 c'n
-o/
TR(-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE l'LAN FOR:
LEGAL DESCRIPTION: LOT 19 ,BLoCK 3, LEXINGTON PARKVIEW
ACCORDING TO TH RECORDED PLAT
? THEREOF DAKOT? COUNTY,MINNESOTA
Scale: 1"=30'
? .
A,O ??co
qj oh
/?y r
/
/
\
NORTHVIEW
I
io'
- -?
?
Lf P9- \ ?n
o .
/L?R\
?
Oo '•
3 eR ?
3? 3 All
?
?
TERRACE
1107S)
u yZ.n
?
,6;
r3 ?
?O,I _
11 1.7 -
^ ; 7.$
?
,4 ; I.
?
\\
\\
. ...;.?.
?... ?
??EYJE
-??
h1-?GAN E
o DIENOTES IRON MWNUMENT
? DENOTES WOOD HUB SET
DENOTES EXIStING SPOT
ELEVATION
(9os.9) bEN07'ES PROPOSED SPOT
ELEVATION
ye? DtNOTtS URAINAGE DIRECTION
1 fikiFlji Eiirilfy 4ht11 ii?i"s iutvoyj ?+16h or
t?port ?rds p?spbrdd bg mi or undat my
iiittltf 400ervisloh 6nd 1h6t I am a duty
(ReO1613iNi1 td`nd suffiiyor uiidir fhb
?-? lOivi of tf16 S1dTe ofi Minhesoto.
. ..?..? ....,, ,ae. .w,.,..,. _ ,:,_.,.
?'y01 Ov?
?pO'
?
(ia5. a)
INVERT EI.EVATION AT SERVICE EkTENSION=
PROPOSED GARAGE FLOOR ELEVATION• ? ?.
PROPOSED FIRST FLOOR ELEVATION _ u ? -.L
PROPOSED BASEMENT FLOOR '?
ELEVATION
NOTE ' VERIFY ALL FLOOR NEIGHTS WITH
FINAL HOUSE PLANS
LOT
19 e ? o
0)
? co
I z
I; F?, P T
Bradley J.,?*Onson, Mn. Rsq.No.15235
Date ?
f Permit #
Permit Date
REScheck Software Version 3.7.3
Compliance Certificate
Project Title: KITCHEN ADDITION
Report Date: 12/21/06
Data Filename: Untitled.rck
Energy Code: 2000 Minnesota Energy Code
Location: . Dakota County, Minnesota
ConswctionType: SingleFamily
Glazing Area Percentage: 22%
Construction Site: Owner/Agent: Designer/Contractor:
1052 NORTHVIEW DRIVE OLLWERTHER RESIDENCE KEN CORDES JR
EAGAN, MN LANDIMAGES INC
HASTINGS, MN 55033
LANDIMAGESQMSN.COM
Compliance: Pa55es PAaximumUA: 61 Your'Home UA36 --> 8.2% Bet[er Than Code(UA)
.
Ceiling 1: Flat Ceiling or Scissor Truss: 196 38.0 1.0 6
Wall 1: Wood Frame, 16" o.c.: 288 19.0 1.0 13
Window 1: Above-Grede!WOOd Frame:Double Pane with Low-E: 42 0.330 14
Door 1: Glass: 21, 0.330 7
Basement Wall 1: Solid Concrete or Masonry: 108 11.0 1.0 7
Basement Wall 2: Wood Frame: 180 19.0 1.0 g
Compliance Statement: The proposed building design descnbed here is wnsistent with the building plans, specifications, and other
calculatlons submitted with the pertnit application. The proposed building has been designed to meet the 2000 Minnesota Energy
Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requiremenls listed in ihe RESCheck Inspection
ChefA ist. ' ` .
?) .
-,.BUildedDesigner Company Name Date
KITCHEN ADDITION Page 1 of 1
Terry,
This is for your 11:00 inspection on Thursday. He said he works wit MW Johnson.
asked what he meant by that and he said he warks for MW Johnson. T our
court. Jan
Page 1 of 1
Jeffrey Wheeler
From: landimages@msn.com
Sent: Wednesday, December 27, 2006 3:58 PM
To: Jeffrey Wheeler
Cc: landimages@msn.com
Subject: Re: Customer as Agent for signing Energy Calculations.
leff Wheeler,
My customer Ken Ollwerther (ACting as Agent) for LandImages, Inc. has permission to sign the energy
calculations that were emailed as part of our permit revisions process.
Thank you,
Ken Cordes Jr.
LandImages, Inc.
LandImages Remodeling, Inc.
LandImages Landscaping, Inc.
#651-437-8644(Office)
#651-308-8020 (Mobil)
landimages@msn.com
12/27/2006
,
2007 RESIDENTIAL MECHANICAL rERMiT ArrLicATioN
City Of'Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. siiigie family dwellings & towiilhomes/condos when pennits are required for each uuit
Date ?? / ?". / ? ' -•' -:?.;. _,
Sit
Add
Y
t6a ??Y
'? 1*1V ??p Ue U
it #
l
c
ress
1, n
. /
t'rnperfy Owner Telephane # (
)
r'
ContrscCOr
q3 /
AVI
S(reetAddress
Q City - U(?Wyli
Sl:ite Zip Telephone# 3)
6ond Expires:
The Applicant is _ Owner _ Contractor _ Other
Fire repair (replxce burned out appliances, duchvork, eEc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
l ing unit
Add-on or nlteratiou to existin7Additi
New
Re
lacement
Yf $ 50.00
=
urnace _
p
ona
air exchanger
air conditioner
heat pump
other
Rtatc Surcharge $ 50 ?I
$
, ot.tl
I hereby apply for a ResidenUal Mechanical Permit and acknowledge that the information is complete and accurate; 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 this is not a
perinit, but only ao application for a permit, and work is not to statt without a permit; that the work will be in accordance with the
apIpro 'eci pian in the case of work which requires a review and approval of plans
K ('a f??b' av-,- m G? » a67-
Applicant's PrmYed Name ApplicanYs Signature
2007 RESIDENTIAL PLUMBING PeRMiT aPPUCArioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residentiaV dweliings. Do not combine inside and outside
plumbing on the same application; separate applications and permits are required.
Date ,?,t
Site Street Address /Uo p1'-Al di,e 4v ;0 P' Unit#
PropertyOwner (t'ecq ? b[GI?? ??e?- Telephone#. ( ).
Contractor Telephone # ( (vJ7)
Address City sU ?+ GiL ( StateAtY Zip
The Applicant is: _ Owner 8 Occupant = Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. !f you are
installing onlv a water softener and/or water heater, do not complete this section;
move to the next section and piace a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
_ Water Softener Water Heater $ 15.00
_ new l? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total J0
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but
only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event
a plan is qwred to be r v' d and approved. ApplicanYs Printed Name ?MUv Y, ApplicanYs Signature
/" ?
793 7b
2007 RESIDENTIAL PLUMBING PeRMiT aPPUCATioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
36 .,i;D
Please complete for modifcations to existing residential dwellings. Do not combine inside and outside
lumbin on the same a lication; se arate a lications and ermits are re uired.
Date U I? 3 16 -?
,I
SiteStreetAddress Io?? V p? ??("LAU1? 1?)r. Unit#
Property Owner I?w P(?1'gf Telephone #?? l jaAQ--
DLDc?
Telephone# p
Contrector?Y
6 LII D?
?.?.rn?l! '?
\--
-
Address ?.?'. Ci1lY1 +?iIkP_ AiII/ . Citv C l7Yl' QL/1 StateZipS?S'?d
The Applicant is: _ Owner 8 Occupant ?( Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace bumed out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. !f you are
installing onlv a wafer sofrener and/or water heatei, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
_ Lawn Irrigation _RPZ _kVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 3 (). R
I hereby apply for a Residential Plumbing Permit and acknowledge that tha information is complete and accurate; that the work will be
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but
only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event
a plan is required to be reviewed and approved.
ApplicanYs Printed Name Ap ' anYs ignature
?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121612
Date Issued:04/09/2014
Permit Category:ePermit
Site Address: 1052 Northview Dr
Lot:19 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-190
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Jeff Moore
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 -
Kenneth A Ollwerther
1052 Northview Dr
Eagan MN 55123
(651) 983-1623
Capital Siding & Windows
9673 Wynstone Dr
Woodbury MN 55125
(651) 578-9205
Applicant/Permitee: Signature Issued By: Signature