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1075 Northview Park RdCITY OF EAGAN 3830 Pilat Knob Road, P.O. Box 21 •199, Eagan PHON E: 454-8100 BUILDING PERMIT To be used for ' i- Sit2AddfeSS 4v1'' M+aai:Var.r rrucs% saai Lot ? Block 1 Sec/Sub. LEXINCTQlO SQliAR$ AtJ Parcel No. Est. Value M^0 Date cc Name KARVLN GEQ[tCZ 8LDR8 IliC W 3 Addres$ P.O. DOX 428 3 3 2 ° City Phone - o Name SAr?k, 389-320l . ? ? Address ? City Phone Name City ' 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 Mir.nesota Statutes and Cityof Eagan Ordinances. Signature of Permittee A Building Permit is issued to: b'A???JI', G40GE ALDRS INC on the express condition that allwork shall be done in accordancewith all applicable State of Minnesota Statutes and City of Eagan Ordinances. BuildingOfficial Receipt M N 55121 i 1' :w -%`. t IIOVSNi6a 19 OFFICE USE ONLY On Site Sewage Occupancy MWCC System ^ Zoning On Site Well (Actuaf) Const City Water X (qllowable) PRV Required # of Stories Boaster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr.JAssess. Permit Planner Surcharge Council Pian Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TQTAL BLDG. PERMIT N0. ?' ?"r,c4 ?-jl t? ,? ? 01-3210 Bldg. Permii 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3h0 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 kater Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 5ewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ' CASH RECEIPT ? CITY OF EAGAN 3830 P?LOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RCC61VfiD Jl??t j FROM AMOUNT & DOLLARS +ae E]CASH [ICHECK .•C. % v ?l?? / ?/?.?"C/?/JLWLC?LS/ / ?.?'c.,y? • , j ?. . \Y? FUND COOE AMDUNT Thank You B y t_?vl ?- White-Payers CApY Yellow-Postinp CopY Pink-File CoPY , • , . „ ? (gtr#i#ir?tit uf (Orrupttnry Citp of (Eagarr loPpa1'fmPttt Of llitIbtltg jwP1'twf[ This Certifrcate rssued pursuant to the requiremenu of Seclion 306 of tJre Unifonn Buildirrg Code certifying that at the time vjissuance rhis saucture was in compfiance wilh the various ordinances of the Crty regulating building construction or use. For the following.• Uae Claasi6ation ?t M/C"; Bldg. Rrmit No. 14435 CoCUpx7' 7Ype R3 7aniog District Tyya CoAt, `Jn Owoer.fBui?ding "•?'."" ?: ' i ; ' Address ?'•C5. i:-'? ;?'?L':?"if'?', eudaine nddras .'s? l..axliry X`: DI. 'ti. !9?° Budding Offidil POST IN A CONSPICUOUS PLACE .. . .. .. . _ . _ . . . . . . .?1 ' . . SEDGWICK HEATING & AIR CONDITIONING CO. ? J HOUSE HEATI ? TEST RECORD C??SL• C.?' ? ;rl+4) -C W 4L-? _7 CITY f n ? -C •a nw N E R HEAT LOSS DATE HTG. INST. SOLD BY A Electrical Work By -? " Gas Line By )?' TVPE OF HEAT GA_ FA,_ HW- STEAM SPACE HTR. UNIT GAS DESIGN MAKE ?MAKE OF BURNER Model 0 37 -'5- Modei Serial ? S 7A -' 2 2 ? Max. BTU Rating INPUT ?2-9.,,,261a /=' 1 4, MAKE OF FURNACE CONTROLS THERMOSTAT ?> • '' ? Heat Plug Valve Limit • ? C L% Limit Setting Fan Setting Pilot Type Pilot Make Pilot Model Pilot Timing ?j L.W. Cut O,ff Z Pressure Percent CO CFH P I O nput ercent Z Stack Temp. Percent CO j? Vent Size KIND OF LINER SIZE NONE Draft Hood Regulator Filters Size ?N} mber ! Chimney Location Inside?L.- Outside Chimney Construction ' '= - Smoke Bomb Wiring _ Test Tag Door Pressure Lighting Inst. Date Tested Company Testing / ?'- Name of Tester CONVERSION Form 235 ? . CITY OF EAGAN : ' 1 4v? , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454•8100 I BU LDING PERMIT Receipt 4k To be used for Est. Value ' Date " ,19 Site Adtlr.ess OFFICE USE ONLY T; •6 ':_.,l .'h . Lot ? Block SeC S b " 0n SIIB S@WBQA DOCURB(1Cy 3 -? ? . / u ? .r , ' .. MWCC System Zoning ` Parcel No. S W l l On ite el (Actua ) Const 'Name '` • , .':+??; ? ,,;. Ciry Water ! (Allowable) ? ' ? AddrBSS PRV Required * of Stories _ . ° ; , ? .. , ; w City Phone Booster Pump Length 50 Depth , a Name , S.F.Total ? Q Address Footprint S.F. I' City Phone APPROVALS FEES ~ ¢ Engr./Assess. Permit 4 t t, • Uv Name ? 3 ? ? Planner Surcharge • _ = Address ? Council Plan Review •0K ? W City Phone Bldg. Off. SAC, City •'?' I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC ' ' •'u ,`? information is correct and agree to comply with all applicable State of Water Conn. • " Minnesola Statutes and City of Eagan Ordinances. Water Meter ''? Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 ' • E? on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutbs and City of Eagan Ordinances. '` Building Official ? TOTAL Permit No. Permft Holder Dat* Telephone # Plumbing • % ' ?? ,l.??x,? ??i y/v?i , - H.V.AC. Electric ?• , ; ,, :?? ? ?.???` Softener Inspection Date Insp. Comments Footings I Footing s II Foundation Framing F - Roofing Rough Plbg. Rough Htg_ ,,,/, fC?? er1 <' RS I.?L L?/? 13UI. -7 Fireplace Final Htg h" ?y Final Plbg. ?_?8 ? Bldg. Final Cert Occ. ? _ ? Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PLUM8ING PERMIT CITY OF EAGAN PILOT KN08 ROAD, EAGAN, MN 55122 Site Address 14? Lot _ .? Block ? Name _ ?o Address c City Name _ 3 Address O CitY -? COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINtMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES FOR: CITY OF EAGAN .. , _ r .., PERMIT # RECEIPT # 7`1.? ? DATE: f/-/?- ? I BLDG. TYPE WORK OESCRIPTION Res. )< New x Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE F OLLOWING: NO FIXTURES TOTpL t ?' =Water Closet - $3.00 $ % --/-_Bath Tubs - $3.00 ??. c ? --;4-Lavatory - $3.00 Shower - $3.00 -/-Ki!chen Sink - $3.00 Urinal/ Bidet - $3.00 _/-Laundry Tray - $3.00 _/--Floor Drains - $1.50 -,Z-Water Heater - 51.50 Whiripool - $3.00 -i7_Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ,7--Rough Openings - $1.50 `f ?C FEE: }. 7, e- c STATE S/C: L) GRAND TOTAL: ? J• S L, , '. . ,;.?, . .. . " , ;....1,r .:_. . . . .. _: ; .:? ti,,... PERMIT ?# % -' MECHANICJIL QRMIT * CITY OF EAGAN RECEIPT # ,v 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?8 7 ITRACT PRICE: PHONE: 454-8100 Site Address •?? •%a I1lrL_¢y,c, ` BLDG. TYPE WORK DESCRIPTION r - ot BIOck, ? Sec/Sub y . Res. ? New ? Mult Add-on ? Name Comm. Repair m Address WISI'r.-AROI IS t?Ar 420- Other c Ciry Rg7 A%ne FEES Name RES HVAC 0-100 M BTU -$24 00 c Address . ADDITIONAL 50 M BTU . - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1 50 EA . . TYPE OF WORK .. COMM/IND FEE - 1a/a OF CONTRACT FEE Forced Air ., M BTU J`? APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ M1NIMUM COMMERCIAL 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: 5/C: SIGNATURE OF PERMITTEE 70TAL• FOR: CITY OF EAGAN CITY OF EAGAN Permit No: t Xn 383 Ptl b R d Dete. ?'- -1 °-'`-' 7 5ixe: ?I o aa 9 o Meter Na: P.O. Bcx 21199 Reader No: Date: 1a 3! S? 7 Eagan, MN 55121 03 PqllY?. Owner. ''•-i rv Ceu r;: e?? SiteAddress: 10;5 'rJortliview rari; 1:5 Plumber Val 1ey i luribin- Conn. Chg: "')` _ 00 j ofivAing: - - Acct. Dep: ?L 1?14113 No. o ca{I local ? Permit Fee: g ? T? ? coni gr Surcharge: piy with the City oi Eagan n W Tr. Plant ' grl C` Meter. Misc.: By WATER SERVICE PERM , CITY OF EAGAN Permit No: Date: ` 3830 Pilot Krfbb Road g/P No: Date: P.O. So`k 21199 Eagan, MN 55121 Ownec Marvin George Bldrs. ' Site Address: 1075 *Iorthv:i.ew Par:. ?'oa, T,-• Plumber: MWCC: Zoning• City Chg: No. of Units: Acct. Qep: I agree to comply with the City of Eagan Permit Fee: Ordlnances. Surcharge: CITY OF EAGAN 3830 .Pilot iCnob Road , P.O. Box 21199 Eagan, MN 55121 Owner. 5ite Ad, SEWER SERVICE PERMIT . Permit No: ' Date: ' - I :'-- ".7 Meter No: _ Reader No: Size; Date: Plumber._ Valley ?. Conn. Chg: s ^ 5_+'f[ n.q Zoning: Acct Dep:_ 15 _t1()pd No. of Units: Y. Permit Fee: 7 fl _'ln3 d Surcharge: _ _ 50n:i 1 agree to comply w{th the City of Eagan Tr. Plant Ordinances. Meter. RA:.... . CITY OF EAGAN N°_ 1 4 4 j,. 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 s?9 a. r? BUI PHONE: 454-8100 Receipt # / LDING PERMIT Tobeusedfor SF DWG/GAR Est.Value $75,000 Date NOVEMBER 19 19 87 SiteAddress 1075 NORTHVIEW PARK RD Lot ' 5 Block 1 Sec/Sub. LEXINGTON SQUARE Parcel No. 6TH ADD W Name MARVIN GEORGE BLDRS INC I z Address P.O. BOX 428 o City PRINCETON phone 332-3034 o Name SAME 389-3201 ?a AddresS P City phone ww Name l i? Address ?a W= City Phone I hereby acknowledge that I have read this application and sFate tha[ the information is correct aad agree to comply with all app icable State of Minnesota Statutes and City ag n ORlinan s ? - Signature of Permiqee ? __- A Buiming Permit is issue to:_MABYSN_f?E ??LIlFS-7PLC on the express condition thal all work shall be done in accordance with all applicable State of Minne ta Statutes andof Eagan Ordinances. BuildingONicial._''?_'?___ ? OFFICE USE ONLY R3 On Site Sewage _ Occupancy R MWCCSystem X Zoning On Site Well _ (ACtual)Const Vn Ciry Water X (qllowable) Vn PRV Required # of Stories 8ooster Pump _ Length 43 Depth 50 S.F. Total Footprint S.F. APPROVAIS FEES Engc/ASSess.___ _ Permit $ 416.00 Planner Surcharge __ 37.50 Council _ Plan Review 208.00 Bldg. OB. SAC, City _ I00 00 Variance SnC,nnWCC 525.00 WaferConn. 525.00 water Meter 67.00 Road Unit _30$.00 Treatment Pi 180.00 Parks TOTAL $2,363.50 This request void 1ft months f'om . D 6 9 3 2 51.? APnuest Uate rne NP: [tqvAn-in irisVec??on 1,pqw1etl? (?? ?Ready Now MWt II Nmily Inspec- i/. 1 kL -F7 ?Yes nNO tor When Feady ?licensed ElecVical ConVactor 1 herebY 00puest insvection ot above ? Owner electrical work installeC at: Sueet Address, Box o, Route No. C itv !0 7s Noa JA R"%o 4I&APIL/ ection o. TownshiD Neme or No. TnBe No. County L o7' S 11,4069 ?,r GJrN S ? P'OsKe OrcuVant (PRINT) Phone No. ML!/inJ 6-?o iL s 3? a- Power SupVlier ?+ddress ?n c. rx Elecerical CoNractor iCompany Namel Conhactor's License No. /y/A-srF.e- Ezec r? , ? D?/o y?-3 Mailinq Address IConVdc[or or Owner Making Instailalion) .?F aZ 6 51 ? Authorizetl S? ?amre IConvacmr?Owner Making In siallationl Phme Numbe? Y90 -3 S 's`-_ iH15 INSPEGTION REQUEST WILL NOT MINNESOTA STATE BOARD F ELECTHICITV gE ACCEPTE? BY THE STATE BOApO °"^as•MidweV Bltlg. - Boom Nd91 UNLESS PROPEN INSPECTION FEE IS --:tv Ave.. SL Peul, MN 55104 ENCLOSED. % REQUEST FOR ELECTRICAL MVSPECTION . es-ooooi-os ? See insVUClions ior comDletii,ii this iwm on back of vellow copy. D" 69 32 v' X" Below Wark Covered by This Reques! ada aeo. Tvae o+ e.0a'.e AoCliancna Wiretl eq.iu.,a.t wi.ea Home Range Temporary Service Duplex Water Healer Liyhtiny Fixtures Apt. Building Dryer Electric Heaun Commercial Bidg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Ne, oec70 ,ine, Ispnn?yl t ?_r Succify ther pih?;r omnute lns0ection Fee Be/ow p Fee Serviro Enhence5iza B Fee FanJers/Subieeders N Frte Circuits i- 0 to 200 Am s 0 ro 30 qm s z- 0 m 30 An >s A6ove 200 qn»>y 31 to 100 qmps ?- 31 to lU0 Am s Swimming Pool Above 700_Amps Above 100_Amps TransPormers Irriqation Boorc?s . V Partial'Other Fee Signs Speciallnspection ? Hamarks $ TOTAI ?E? / i7 r/ ? 1-1"7 i, ?na elacYy?,r( InSpec[oq he?Bby certify thet the abov ! G? inspection has been U m9de. • RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reaufrements . 3 registereA sHe surveys shmving sq. R. of lot, sq. ft. of twuse; and all roafeA areas (20% macimum lat coverege allowed) • 2 copies of plan showirg beam 8 window sizes; poured found design, etc.) • 1 set of Eneryy Calculatians • 3 capies of Tree Preservatan Plan if lol platted after 7/1/93 • Run JaislOeiail OpGons selection sheel (bldgs with 3 or less unds) DATE _ Water Softener _ Wa[er Heater _ No. of 13alhs SITE ADDRESS /B 75 AIDaA , f//Cw Y',aiy 10h MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK Z' C?`Z `? FIREPLACE(S) _ 0_ 1 _ 2 APPLICANT Gol4 STREET ADDRESS /0 A 4 /L STATE?IP -?5 RemodaVRamir Reauirements ( ?- a-`- U?-' • 2copiesolplan • 1 set af Energy Calculations for heated additions • 15itesurveyforexlenoradditions8decks • Indicate if hame served by septic system for addNons TELEPHONE # 651- `/S y-4ff'eEll PHONE # (&-/2' 339-CY-I RFZ FAX # Og7,/ PROPERTYOWNER TELEPHONE# 6-Si- VSy-as>y COMPLETE FOR °NEW" RESIDENTIAL BUILDINGS ONIY Energy Code Category _ MIA'NISOTA RULES 7670 CATEGORY l MINNESOT!1 RULES 7672 (J submission lype) . Residentlal Ventilalion Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Su6mitted Plumbing Contractor: Plumbing system includcs: Mechanical Confractor: Mechviical system includcs: Sewer/Water Contractor. Air Conditioning HcaC Recovery Sys[etn I hereby acknowiedge that I have read ihis application, state that the with all applicable State of Minnesota Statutes and City of Eagan On Sfgnature of AppOcanf ? v_0 '-„?'F'.? Ylu.?-? Fee: $90.00 Phone # 17F i?00 Phone ? mation is cbrrect, and agree to comply OFFICE USE ONLY VALUATION 400 _ Phone # L,awn Sprinkler No. oF R.I. Baths Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ - Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition )Sl- 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const 0 ? ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding 36 Move Bldg. .? 42 Demolish (Foundation) ? 45 ' Fire Repair 37 Demolish (Bidg)' ? 43 Reroof ? 46• Windows/Doors 'Demolition (Entire Bldg only) - Give PCA handout to appiicant ? ---I--- _V-P- Occupancy ?_W MC/ES System Zoning Stories Sq. Ft. Length W idth City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ZC Footings (deck) _X FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final ? Framing _ Siding SNCCO Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Tz , Building Inspector 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 Total ., ? 07 OS-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? OS 06-plex ? 16 Fireplace , O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - Sf ? 10 08-plex X 18 Deck jg? 23 Porch (screened) /0 36 Multi ? 11 10-plex ? 19 lower Level ? 24 Storm Damage ( ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ,?,pI, Ow,?'?t, h :) S ?g-! ?"?G ?,?'?0 I6y 'y 30 ;?-0 4-P o 19 ?a ----?_ .?? 9?? . .? 2422 Encerpnse Orwe ,?ONEER Mendota He,qhis, MN 55120 IINOSUAVEYOASI CIWL [Yfi1HCCA{ MgIn`PrrInL,•• L4NOIlANNEAS•LANp3G11K.NCM1TCCiS 'V G 1 L ?1 1 C0 VO 1', D 11 14 ? I! I I J Ja , 4L ,f Certiticate of Survey for: MARYIN <1tOR4fE gVIL-UPERS ?KfJG . / ? NoRrN ZV s s, 8?5. o3o3??E ?,?M (e 0 ?o N ?i- - - - - ----?5 I ? i q' ? ?.Icw ?t?k ? • bo.+?z ? / (. Z ? IFiG'-> L X y h • , 1125: ??, ^ vZ oM M? ^ j1,4 M? ?.? ./_ ? ? nl g%?a38i4 ? Zi ? 8?a?M ??hs ? ? N --?Jn - rJ 99 10.0? ? a ?qy ? oe, Rob I D?A LL NoRTRviF-W PaRk RoAp io-?s 'K)0e+06u Pr<?,p ToTAt A(ZEn oc LoT• l03-2 32 y1.C1. G 1EgAU, ll SSIV r 900.0 Denofes exrsfrn? Elevatioo . soo?o Denotes Proposed ElQVafron ------- Dfnotes Droinoge r Ufilr y Eosemenf -?--DenolesDroino?F/ow Arrow PROAOSED NDUSE EL fVAT/QNS (owesf Floor flevafion _ Top of Block Elevafion = o Deno{es rnorrument Garase Slab Elevation = a`J9.z Beargiock shown o?re assumed ar 5, 1, LFxlNCroN SQUQaF 6ry A0017-10N QqKOTA COUNTy, MINNESOTA SUBJFCT TO EASFMENT,$ OF RfCOL7p 1 hHehy cemly inal tn, it a nu• a^'1 correct r.prps!ntnbon of a w.1ry OI •^• hn?1011,11 ril ?^e ?bo•f tl^t6J??? hM ?a^d an.1 ?,1 rhr 1ncaTron n?l ay': ?,Idingt. thereon, and all v?oGle encrwcnm•ntt.•l any, from or nn ta,d 4,•ff Pt sv•.+?M hv ^•?'" ? 7? ?r' a?Y OI _?Q?W«:nA / ,D. 13L1L. ?nch_ n 1. / /' .?C?y1./ J Clp : ] - - .J lJ ? e1_ ' - -- J`? ` "°` ? = ? -•'? '?'' _-?- .. ... .. . n . .. .. . .. . . . t SINGLE FAMILY DWELLINGS r t J ? VV3 aS / BQILDING PERMIT APPLICATIOH _ C7TY OF SAGAN INCLIIDE 2 SETS OF PLANSY 3 CERTIFICATES OF StJROEY, t 58T OF EIQERGY C9LCOLATIONS HOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOiiNER MIIST DESIGIYATE WHICH ADDRfiSS IS DESIRED. NO CHANGfiS WILL BE ALLOWED ONCE BQILDING PEAMIT IS ISSQED. MULTIPLE DWELLINGS - RFSIDENTIAL RENTAL UPITS FOR SALE i7NISS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHSCK iiITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS C0IMkIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ftV 13 MT To Be Used For: ,5/-164?E 6?114?1 Valuation: 5;Larl?? Date: Site Address Lot S Block i Parcel/Sub ,(Czj/.16ja-Z ? . PoT{ /" Owner Q'fi9•L'li.?/ ?'3Er126? sb [02t r4e ? Address ip, Q, soUX ?` ? City/Zip Code RLtt,Fi?,/ln,,•: Phone 3u°f?.?¢/?...?..?•? :3c?3s/ Contractor Address ?sQewe!5, City/Zip Code 1-540v- Phone Arch./Engr. p„S r94&,3e? Address City/Zip Code 54,071z- Phone 'l S, OOO- ?- On Site Sewage MWCC System ? On Site Well City Water @PPROVALS Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off l I 17 APC Variance Oecupancy Zoning j2,- I Type of Const (Actual) V- N (Allowable) V_N Ik of Stories Length Depth SoT S.F. Total Footprint S.F. FEFS Permit Surcharge Plan Review SAC, City sac, rTyrcc Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 416,00 97,50 td8. ArJ ( oo.na 525. OD sz5, au b'7,oD 3 ,00 1 SO,oa ? ? , ?/AG AT:?oN . . GA12A6F zzxz6 =.:s-7 2 ?d x Z - ?16? SSb X1z = 6677„ ?JACSEIV?EU?- a4x?s = 9/2 r2x r?i R rbs 8 x9%2= ?6 ? ti-IOXSE 1?6 w?T cnr.z ?Z 114sa?cyy= S1?1zo ,-?y rn ? * Pion * engin * * ** ER g.. LAYD 5UA V E YOR+' C1 V IL E!IGIH[C n5 lArvO VLANNCFS ' lANO5C4GC AACMITECTS 2422 Enterpnse Dnve Mendota He+ghts, MN 55120 (612) sst-tsta Certiticate of Survey for: MAKVIN 6f,04ZUE gVILVERS .ENC . .??? 5 64°43'o3"r ?°' 85. GO i i i i w?p IZ?+ im 25? 0 p? (P '^L \?R .0? 109'0 ? 09'4 NottTttVIEW TOTAL A(tEA oF LOT? f0323.Z yt. F?. ' K 9ao.o Denofes exrsfrn?j ElPVarioo . soo.o Denofes Proposed ElevafioR ------- Dcnotes Drainale ,r' Ufi(i ? E-asemeR f ? Denofes Droina?¢ie F(ow Arrow PRpP05E0 NouSF ELEVAT/ONS (awest FloorEleva'flon ° aP of Block Elevafion = G Slab Elevation = ara?re ?99.z a Denofes monumenf E3ear%nJ¢s shown pre assumed Lor 5,?LOCk 1, LEXINGTON SQUAI7E C TNADDITIaN pquorA COUN7y7 MINNESOTA SuBJfCT TO EASFMENTS OF RECORp I hereby ceniiv zhat thn is a i'u+ "% conect renre5?nlnbon of a surveY of e^• boa^danet 01 trie abovr tl^;ylGw1 land antl of i?ie IocaUOn 01 a'' p?7 bvildin9s, thereon, and ali v'uble enuwcnmenn, d any, trom or on saiA IJnn pt su•+vy, ? py r. , ;'+ ? •- ?Wy o1 A.D. 19L1.L. incfl, J7 e ?/j??l r. . ? .?. t ? -- ScalP : l- o ; . So.3Z ProposeJ ? o?S/s m „ /aa 4 NORrN i ? + I ,y Ira I -22.IZ4 15.11 tol9! d`5°s4'49 PARk RoqD ' 2') ? R I? oR Lµ h&ROAa a MINNESOTA STATE BUILDING CODE DIVISION , EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER Mm?vitJ COPpF-C'e vO?IC?PKS SITE ADDRESS y,bT` 5 , :BLOGK LuxrN&Tow G4u,qRE GTOADD CONTRACTORMAQ'la-?U 6P6aC??- iRll {4.0e-S DATE PHONE Determine working aquare footafte of each: 1. Total exposed wall area..... ?-7 Sq sq. ft, x, 11 = l9 3. yC? 2. Total roof/ceiling area..... j0 92 sq. ft. x.Od(a ___;? J-5:5 Total exposed wall area above floor = /(0(O d ' a. Total wall window area . . . . . . . . . . . . . . b. Total door area . . . . . . . . . . . . . . . . . . ? . . ? c. Total sliding glass door area. .... . . . . . d. Total fireplace wall area. ...... e. Total wall framing area (average lOX). f. Total ne2 wall area above floor. . . . . . . . . . : /J(o a'? g. Total rim joist area . . . . . . . . . . . . . . . --9-9-? Total exposed foundation area = 9 / h. Total foundation window area . . . . . . . . . . . --- i. To[aZ ne[ foundation area above grade. .......? Determine "U" value of each wall segment: a. g .-U.- 3y 50. (0(115;1 ? b. ya x„U„ c. ya X„U„ d. - X ",," e. )(OCO_ R "up, I 5L f. ? ) (0?k X?.u,,?? _.?(,y g .. • , . g, ? ? ? I x °ull . 0 Q ? O . h. " g liUil i. q C-1 X „U„?? e (o, ?3 3. TOTAL . . . . . . . . . . . . . . . ( ?• 2 / If item 113 is the,same as, or less than item #1, yeu have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area =/ Q'? a j. Total skylight area . . . . . . . . . . . . . . . . "! k. Total roofJceiling framing area (Average 10%) ...:? 1. Total net insulated roof/ceiling area ....... Determine "U" value for each roof/ceiling segment: j. y x„U„ , 33 m i. 3`a k. 99 X „U" 1. ?'19 J X ,,,,,, , o u' 4. TOTAL . . . . . . . . . . . . . . = as ? ? If total of item !l4 is the same as, or less than item 42, you have met the intent of SSC 6006(c)1. Alternate Building Envelope Design To u[ilize the to[al envelope system method, the values established by the sum of items ti3 and U4 shall not be greater than the sum of items fll and Q2. ?. l9 3.yg +Z. a?,Ss s ?,oy 3. 1 4. ?C5•7O ? l??b? RESIDENTIAL BUILDINC PERMIT APPLICATION ? CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681•4675 New Construction Reauirements • 3 registered site surveys showing sq. R, o( iat, sq. R. of house; and all roofeU areas (20%maximum lot coverage allowed) . 2 copies of alan showing beam S window sizes; poured lound design, etc.) . t set ul Energy Calculations . 3 copies of Tree PreServation Plan if lot platted aRer 711193 . Rim Jaist OeWil Optians selection sheet (blags wiN 3 or tess units) pATE 9 ' o?_ 9 " a a-- SITE ADDRESS 075 A/Ok--T L}? ( t u) PK R TYPE OF WO APPLICANT LD FZ I ko & + D E L1 MULTI-FAMILYBIDG _Y N FIREPLACE(5) `!0 _ 1 - 2 STREETADDRESS 10-75 !SoKTq Ji'Etn) Pr-- P- J) CITY ?-A Gf1A/ STATE 'JZIPSSl13 TELEPHONE # G Sl- L/5;-Lj-o97VCEll PHONE # I-SD3- % 4 7 $ FAX # '- PROPERTYOWNER d? G? cQ4 a-c-( TELEPHONE# COMPLETE FOR °NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ N[I.VN kSO"t'.1 RtiLl:S 7670 CA"C1:GORY I tiIIVNESO"171 RULL'S 7674 (+? su6mission [ype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Sutmitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing sys[em includcs: Mechanical Confractor: Mccli.uiic.il sVstcnl includr,: Sewer/Water Contractor: rlir Coudiuoning - Hcat Rccovcy S}•slcm _ PtIORC # _ L,awn Spnnkler No. oF R.I. Baths _ Phone # _ tJ,l_ Phonel#i R I hereby acknowledge that I have read this application, state ihat the informati with a1l applicable State ot Minnesota Statutes and City of Eogon Ordinances. comply SignatureofApplicanf oZ?? 't • GK+-? `L OFFICE USE ONLY _ Water SoFtcncr _ Water Heater No, oF I3aths RamodeVReoair Reuuiremente . 2 copies of plan • 1 set of Eneryy Calwlations for heatea adCitions . 1 site survey fcr extenor adAiOons 8 decks . Indicate if Ywme served by sepfic system ,`or adaifians a? VALUATION ?3.,;?' ao• 06 Fee: $90.00 F, ?T m Certificates of Survey Received ^ Tree Preservation Plan Received _ Not Required _ Upda[etl 4l02 OFFICE USE ONLY ? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Acceasory 81dg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 Ot of _ plex 0 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex P16g_Y or_ N ? 25 Miscallaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additiort 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• q 43 Reroof ? 46 Windowslpoors ? 34 Replacement •Demolition (Entlre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) Fina]/ido C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final _ Framiag _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ _ Recaining Wall 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 Total Building Inspector CITY OF EAGAiV APPLICATION FOR PERMIT 5EWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: LEGAI, DESCRIPTION: *XYP?': PAYMFNT' QF FBE AT TIME OF APPLICATION DOFS NOT CDNSTIILTIE APPROVAL OF PERNIIT. irrsrrx-riorr oF sBM Arm/Oz MOM IP]S1FLLaTIONS WIId. NOT BE SCHED- OLF]] UNTII, PII2PSLT AAS BEEPI APPftOVID. IF EXISTING STRC'MRE, DATE OF ORIGINAL BLILDING PERMIT ZSSCANCE: Mn ear PRFSErIr ZONING/PROPOSID LSE: 0 CONP7ERCIAL/RETAIL/0FFICE 0 IAIDL?S2RIAL C] INSTITLTIONALJGOVOUZEpr ? R-1 SINGLE FAMILY a R-?. ? DLPLEX (Two Units) .. ? R-3 7UWMOC?SE (Three + Units) ( Units) q R-4 APARIIKaNT/CAAIDOMINIOM ( Units) 2) Q? ADDRESS• C ? - CZTY, STATE. ZIP: Orcl.?rt??t?'.5-_ PHONE:_?..? 3) • u ?: ?• N?_ For City Use .. Ww ef- Plumbers License: ADDRFSS: ActiVe Ecpired CITY. STATE, ZIP: Not recorded PFIONE: MASTER LICENSE# Staff Intial 4) ?• • i?. NAP'ES < - . . ' . . . . . ADDRESS: ` CITY? STATE. ZIP: . ARM R=mm PHONE: . •5) ?? ? r• • ?• : ? • a? - ?? corNFcriorv TO ciTY sEMM ? cnNrmcrioN Tv ciTr wATm d arfmR 6) '? • •?' [:3 PI.EASE HOLD APPRpVFD PERMiT FY)R PI. -LP BY ONE OF ABDVE - -- 2ZE MAIL APPROVID PERMZT TC???:q,)3f 4, ABOVE (ifcle one) 7) r ?• ? :'FOR -CITY USE ONLY PERMIT # ISSUED -? Pd w/Bldg. Permit $ $ $ ?7. irv c FEES: $ lO `? SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERAORN/OC'TSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER S ? 2 $ wAc $ ?z' Sr' U U $ SAC $ $ TRDNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMEtVT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRDNK WATER $ WATER TREATMENT PLANT SLRCHARGE ; $ $ OTHER: $ 3,9 7' ep-D $ TOTAL RECEIPT #? RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? a YES 'IF YES, THEN A"PERMIT FOR WORK SQITHIN PLBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: 4 TITLE: , DATE : II ! I ? ??_ . ?/4? 341 4/ : ,?/?2 d.4,2?? ?oE? flea• d??a?;u?lck ,Q ?5 ???:,r?L::?- ?'.?. ??? HEAilOSSCAICULATI0N5 HEATING&AIH CONDITIOfIl9NG t:O. MINNEAPOLIS.MINN. WeathmstI ipe A.S.H.V.E. . ' Cvnstructlon No. .. . Insulatlon WWows Doors Guide Relerance Out. Wall Inl. Well Cefllnp Rool I IW Kird Now Applled Yes-No Yes-No 19_,_ ' • g . ? FI. p Poam Lenpth /Q Wldth Halpbt FI. qoom lenpth Width Neighl Ylind ws end Dows-Crackape end Area Windows end Doors- Crackago and Are a A . Ho• ?y?tl?n ol n? Me?p01 of ?n? No, ol li hU Lmul II. ol . 1 Ar?? •. 11. . '. NO' y/Id?n el ?n Hmyhl ol an? Nn. ol II hu _ l?nenl IL of r? .en ?a. 1?. . '. a' _ EE E- F_ , , g 2D . coei ew coo+ a,o Inliltration 7 79(, InllitmUon Glsas ? Gleaa Exp. well Exp. well Net ekp, wall D ' y?Q Nel ewp. wal) tnt. wall Inl. well Celllnp Celllnp . . . . FlooF . Floor ' . totel Biu. Aequired sp. it. E.D.R. or eq. Ina. W.A. Leedar erea to Total Blu. Pequired cq. It. E.D.R. or ea. Ina. W.A. leoder arae Roont lenpth ? Width / HaipNt FL Aoom 11 Lengih Witlth Heiyhl Windows and Ooora-Crackage and Area t/o Windows and Doors-Crackage and Ar ea • No. W'tllh l Ilnipht of ?ne Na. ol L hu Unaet II. ol r 4r4 n o. 11. ' No• y? rbh 01 ? e Illa?phl a nntl No. ol b M1U L.nsnl 11. ol G Y Aren aq. 11. / sne o . 1 L- G, /5 d / /L o? (o Coaf g lu Cool 0 tu Inl{Itrel{on L/ . / a2 InlNtration Gless GieeB - Exp. welI EmP, well Net exD• wall Net e.p. well Int. well Int. wnll . canina 5 c0liina ' Floor Klow ? Totel Blu. Tota1 Otu. Requued sq. IL E.D.N. or s0• ins. W.A. Leader erea fl. 1?)IdIJ4 Roan lenplh ?Jp Widlh HefgHt ?. Wiadows and Ooors-Crackage end Area , NO. ?',drn Ha?pht No. ul L n6nl d. Aren . o •n . ol nn? II M1U ol cre s. 11. . Coei 9 W Required oq. f6 E.D.R. or sq. in5. W.A. Lcader eroe il. Roan Lenqth Width Naighl Windows and Doors-Creckage and Area 11 Nn. Uneel 11. 4rm ???p? n?pbt nl No? u? ?n ul nnx b h?? ol cre M t. 11. ? Coe? ??? lliiiluation ?h7 /???'-? Inlillrntipn Gles4 ?p p Gleas ' Exp, wall E.p, wnll Nai axo. well Nol ewp. wall _ inl. wall Inl. wnll Cailin0 • t f low ? (? T cy 3 O Cailinp f Inur lutal Btu. - . OS 10101 uW. . , 11m..:.a1 en il F llA. nr en fnn_ W.A. I.undm xib11 }rq. fl. F.U.(:. bl SQ, i,0. Yi.A. Lo?dut LrOJ ,. HEAT IOSS CAICULATI0N5 MINNEAPOLIS, MINIJ. 0'"• HEATING&AIR Std3a`tu? . CONDITIONING CO. . WSetbsraulps A.S.H.V.E. . Conatructlon No. Insulatfon Wirxbws Daors Guide Fefaroncs OW. Wall Inl. Wall Callinp Roof Floor Kind How Applied Yes-No Yaa-No 19__ • , ' F1. EA/rRoom lengtM 3? Wldlh Helphl Roan Lenplh. Wldth ? Haighl F1. GI1_p r Ylindows and doors-Creckage and Area Wlndows and Doars-Cracka ge and Area No. W?ih ol ? an Nuvhl o/ ?n? No. ol li h?• l.neal F. 1 r Ann ?. II. ' No• WId?h ol ?n 11niohl o/ ans IINno ol ht? Unenl 11. ot rs Aran ?a. 4. /!o /L- Coel B W Coel B W Infilualfon (n`? 417 Oo In111dmion 471 Glacs .34 50 / 0O • Gleea 50 E.p. wall E.p. well Net eMp. wall ? 5 Net sKp. wall ?30 6 ??O - IM, wall . ' Int, well Csllinp Celllnp Floa . . . / Jr Totel Bw. S? a ? Floa ' . . 5 Total Bw. - //D ReQuired sd. It. E.D.R. or sq. Ina. W.A. Leedar area llequired sq. It. E.D.R. or eq. Ins. W.A. Leadar area / FI. 1V/,J Roan Lanplh / Width / Heiphl F/ I. If'J. ? poom Lenplh / Witlfh /a Heidht Windows end Ooors-Crackage nd Area Wi ndows a nd Doors- Crackage end Area ' N0. ??d?h p p1?! ?ei •pAt o ne No. ol hht, l.nsAl II. al cr c Alen o. 1t. . No• WuUh ol ene phl nl nn? No. ol 1i hu l?ne+11 11. af crs M Atea sq. I'. . ? ('o '?/ i3 a / 1.5 coai e w - cooi o io - Inllilrellon Inliltretion ' aa 4 /O , GIE56 G1068 t JV C ?5 JC EKp, wall Net e.p. wall EKp. wall Nol erp. wall _ Int, wall Int. wall Celllnp Floa S Cellinp Floar ? V S ? Tolel B1u. . ? Totel Blu. .3 Repulred aq. It. E.D.R. ot eq. ins. W.A. Laeder areo FI. ' Noom Lenplh Wldth Halght Windows and Dows-Crackage n Area No. q?N,n Hap„i Na. ol l1niol II. Alea . ' 01 an . 01 en. 11 AO Of tre s. 11, ? Requirad eq. Il. E.O.R, or 64. ins. W.A. Leador aroa / FL Roo^ Longlh ,0 Width 7 Noight ? Windows and Doors-Crackago and Area No. Win.b Il???p??l no. ol l?nanl It. 4?en ul nn UI Onnx h hl/ Of tlaCk s. 11. • • Caet Btu Coe? B?u Inlipration . t? InliprnllOn I `'? Glesa E.p, wall // D 550 Glnas Evp. wall ? wall Nel emp Nel axp. wall Inl. WBII . Inl. wall c.irne floo, - S rotal atu. _cairna 70 Flnw lotnl uto. 280 2rP Panufrwl cn. IL E.O R. nr sn_ Ina. W.A. L,,ndei eiuu ' 11',yuii 2d 7.1. ft. EA.r% oi sV. in5. W.A. Lu2dur uiaa EAGANnECE I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JUL 6 6 2020 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-56 bui Idi noinspectionsecitvofeaoan.com r For Office Use Permit #: 1 if122��11l Permit Fee: 1G1 RQ - C Date Reserved: .1 1 l0 I ZO, I Staff. 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7 - '7 - ./142 ® Site Address: / d 7 ar Alogrilvirtv P l . R d Unit #: Resident/ Owner Name: Lo zi 'lo Bi2Ei 4_ Address / City / Zip: 16 75 /V e,e7#I V i E lnJ Applicant is: ✓ Owner Contractor Type of Work Phone: L s t' - J`D 3 -9167 Description of work: /:42. ram' o -F Construction Cost: it / aZ, 0 0 t oc.vt side. 1, o rh e Company: A£AS-ti 0;11 c e- Address: � Mc , °e fA State: /J��Zip:. i3 Q F Phone:76�' J 1 Multi -Family Building: (Yes / No ) Contact: A IA -Sit; n 1 r ✓lcI ( I City: LeLt v v Ike, ;V Email: . 11.5. r'IGME'l 40 "KA-' �o License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: -F vitly COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber. Phone: Mechanical Contractor: Phone: Sewer & water, Contractor,. Phone: Fire Suppression Contractor. Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would perm/t the City to conclude that they_ are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU D1G. Cali Gopher State One Cali at (851) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x L o re i' i?o g i r t fF vt. x Applicant's Signature Applicant's Printed Name