1081 Northview Park Rd
Use BLUE or BLACK ink
I For Office Use I
j Permit j
City of Eajan
I Permit Fee: 3830 Pilot Knob Road 1 1
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 AUG 11101 1 I
Fax: (651) 675-5694 Staff:
I-----------
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
u D I oR ~1-►V1~✓ P Rom
Date: ~ ( t0 Site Address: t'1tiMJjt^'*J SS\'L3
Tenant: ~J~ ~h~n'4' ~F~_► Suite
RESIDENT /OWNER Name: ~~N~r~IMIfJ D h f12`~ i ~ ~ q
Phone: I V\
Address/ City /Zip: ()57 O! U 1GA/ Pj6fkK- f-i,lb~)
Applicant is: Owner Contractor
TYPE OF WORK Description of work: "•Z • 0^ bV964. ii
Construction Cost: 5UU °U Multi-Family Building: (Yes / No X
CONTRACTOR Name: EE7-r- License
Address: City:
State: Zip: Phone:
Contact: Email:
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:
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 permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.goi)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x DFwJAAI~l F,eQ T x
Applicant's Printed Name Applica ' Sig to
Page 1 of 2
DO NOT WRITE i3eLbW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of - Plex _ Lower Level _ Pool _ Miscellaneous
_ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration Fire Repair _ Windows _ Demolish Foundation
Replace Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION Oda"
Valuation Occupancy G- MCES System
Plan Review / Code Edition ;~6V2 SAC Units
(25%^ 1000/6✓ Zoning /2!? City Water
Census Code ~(~4! Stories Booster Pump -
# of Units Square Feet PRV -
# of Buildings _ Length- Fire Sprinklers
Type of Construction Width _
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water Final Pool: Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES Z
Base Fee 73 !,z
Surcharge
Plan Review 7 9 =
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
U e E 3410-U "C"
SURVEYOR'S CERTIFICATE KEYLAND HOMES
75.00 S 89°43'03 E ~ ~42
r
N
a DRAINAGE a ur&frY ' a t
~EASEME'Nr PER PUr
W LOT 4 I
i W
10 Malin
o (59b.4) FAA
z O
10 I ; ► + 2
' fao
~..7ANT,
1,
'1
C) I
[844.~~ a GAR. I
d ;Z. JI _ I
0
M 20.0
9
O o 0 ;0
~
age-
75.00 N 89°43'03" W ( 697.4)
REVUE
p-,, GFS
Date
EAGAN
NORTHVIEW PARK ROAD
DENOTES PROPOSED SURFACE" DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: I INCH 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 8009.5 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR ggt,a FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - lBgq,g FEET
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lat 4, Elock I, LEXINGTON SQUARE STH ADDITION ,occording to the recorded
plat thereof, DakofaCounty, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 9TH DAY OF JANUARY 19189..
pRo1+aSEa eRRA„pe-~ SNOWM Wf-vtt SIGNED, JAMbg~f . L, INC.
'I^xea F~ar~ '~+e t~v~u~aMear p2z~.,-
PLOol FOR LXtt%w(j't'6N SQjmte- 6 !1
Aoombu,peepAREo BY j4eikmR BY. e~1tc . 4c%
KV94-OPMEPT co;m Pwb L sr HAROLD C. PETERSON. LAND SURVEYOR
o~Tla ~~►~1lb MINNESOTA LICENSE NUMBER 12294
z
a r- 0 C- o° James R. Hill, inc
- v mo n in~O g
m z PLANNERS / ENGINEERS / SURVEYORS.
PIT
O m 9401 JAMES AVE. S. * BLOOMINGTON. MN. 55431 9 612-884.3029
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN 17j?,,
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
ounua. eae_21nn
m Name
?o Addre:
c City -
? Name
c Addre;
p3 CitY -
Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M 8TU
Air Cond. M BTU
Vent. CFM
Gas Piping Outtets #
Other
FEE:
S/C:
TOTAL•
t?.
BLDG
TYPE
.
WORK DESCRIPTION
ub
Res. New
?
Mult Add-on
Comm. Repair
..Y- Other
? FEES
RES
HVAC 0-100 M BTU $24
00
.
ADDITIONAL 50 M BTU .
-
- 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PEFt
lAl 50 EA
1
-
(
i
n .
.
-
COMM/IND FEE - 1% OF CONTRACT FEE
APT BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONQOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALl ADD-ON &
REMODELS - 12.00
MINIMUM COMMERGIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
,. r. °
FOR: CITY OF
?;.
CITY OF EAGAN _
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ° .
PHON E: 454-8100
BtJILDfNG PERMIT Receipt
To be usedfor : i)P(;:?C.Ae: Est_ Value GO:f Date ,1g ':-'
Site Address 1081 1` GFT i>V: L-'.-, YARK RI1
Lot 4 Block t SeclSub. LEXIN?17011 SOt;Ai2E
Parcel No. cc Name KEYLANn HOHEg
3 Address 14450 BLFt'N'SVIGI.E PiCVY
0 City atIRNS'tILL,,: Phone -1l94-2636
¢ Name _
.o
z ?-
0 q Address
G
W Name _
Z
3 Address
W City-
I herhy acknowledge that I have read this application and state that the
inforrr,ation is correct and agree to comply with all applicabie State of
Minnesota Statutes and City of Eagan Ordinances.
Signaikure of Permittee
A Building Permit is issued to:___
on the express condition that all work shall be done in Accordance with all
applicable State of Minnsgota Statutes and City of Eagan Ordinances.
Building Official
aFFICE USE ONLY
On 5ite 5ewage Occupancy
MWCC System •' Zoning
On Sita Well (Actual) Const
City Water X (Allowable) V'"'N
PRV Required # of Stories
Booster Pump Length
Depth '
S.F. Total
Footprint S.F.
APPROVALS FEES
OQ
Engr./Assess. _ Permit
Planner Surcharge ',1.0
206 " Lio
Council Plan Review
Bldg. Off. SAC, City 1W' Q0
Variance SAC, M WCC 575.00
water Conn. 3 50, 00
Water Meter gC'. UO
Road Unit 325•00
Treatment P 1 228.00
pwAOt{ier s:.00
•r 1 ,
'?7
TOTAL T
_
BLDG. PERMIT NO.
? L
?-
01-3210 Bldg. Permit
01-3422
Plan Check f,
01-3445 Surch./Adm. ?
41-3446 SAC/Adm. J ?d
' 01-2155 Surcharge 7 ? -3
' 75-3860 Road Unit e2
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter C-I
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit ? ?- - ?
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
, CASH RECEIPT
CITY OF,EAGAN . ?'
.
3830 PILOT KNOB ROAD ,
EAGAN, MINNESOTA 55122
,- ,•;
DATE
19
r*cervEO
FROM
I
AMOUNT
& DOLLARS
,ro
? CASH CR" CHECK
J ..4
BY
?- wa
White-Payers Copy
' Yelbw--PosNn9 CAPY
Pink-Rle Copy
Thank You
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. B'ox 21199
Eagan, MN 55121
w
OFFICE USE ONLY
PERMlT DATE
WATER PERMIT # -=-? SEWER PERMIT # . :?. ?
METER # B.P. REGEIPT #
,
READER # B.P. RECEIPT DATE
METER SIZE
ISSUE DATE _ PRV _ BOOSTER PUMP
SITE ADDRESS - PERMIT REQUESTED
LOT `T BLOCK SEClSUB - '} /--
SEWER - WATER - TAPS
" -
APPLICANT:
ADDRESS: ?'- COMM/IND _ RESIDENTIAL
CITY, STATE ZIP
PHONE: _ NEW - EXISTING
PLUMBER:
ADDRESS: 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE ZIP EAGAN ORDINANCES:
PHONE:
OWNER:
ADDRESS: SIGNATURE WHEN METER ISSUED
CITIf, STATE ZIP
PHON E:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESStNG. 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
WATER PER IT SEWER PERMIT #?'
METER # B.P. RECEIPT # ?%
READER # 3? Z B.P. RECEIPT DATE .ta? i?
METER SIZE dpe- ')q e, w
ISSUE DATE ? 7' i- _ PRV - BOOSTER PUMP
SITE ADDRESS
LOT '"-- BLOCK •? SEC/SUB
APPLICANT:
ADDRESS: - CITY, STATE ZIP
PHON E:
PLUMBER: _
ADDRESS: _
CITY, STATE
ZIP
PHONE:
PERMIT REQUESTED
- SEWER `- WATER _ TAPS
- COMM/IND - RESIDENTIAL
- NEW
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
dWNER:
ADDRESS: ' " S N U E WHEN METER,I UED
CITY, STATE ZIP -- - : -"
PHONE:
PLEASE ALLOW 7W0 WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
:.,. ? CITY OF EAGAN
3830 Pilot nob Road, P.O. 8ox 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT G? ? L Receipt #
To be used for • Est. Value ?Date
,19
Site Address O FFICE USE ONLY
Lot ? Block Sec/Sub. On Site Sewage Occupancy
MWCC System Zoning
Parcel NcL On Site Well (Actuaq Const
a P1ame - City Water {Allowable)
W
?
Address PRV Fequired # of Stories
a City Phone Booster Pump Length
Depth
o Name S.F. Total
.
? a
Address
Footprint S.F.
,
? City Phone ppppOVALS FEES
~
"W
W
Name Engr./Assess. Permit
_z Address Pianner Surcharge
il
Coun Ptan Review
? Z
aw Cit PhOne
Y c
Bldg. Off. SAC, City
I hereby acknowledge that I have read this appliCation and state that the Variance SAC, MWGC
information is correct and agree to comply with all applicahle State of Water Conn,
Minnesota Statutes and Gity of Eagan Ordinances.
Water Meter
Signature of Permittee Road Unit
A Buiiding Permit is issued to: Treatment P1
on the express condition that ail work shall be done in accordance with all
applicable State of Minnesota StatUtes and Cit
an Ordinances
of Ea
Parks
y
g
. TOTAL
euilding Official_
__
_
Permit No. Permit Holder Date Telephone #
r
Plumbing
I/
????? ?? •','??.
?/? ??
?
!?CJC.I` '
1023J ../.
• }^,.C'r.?(. ?!'?" ?/
/? !?`O 9
H:vAc.
/? /,
Electric
Softener
Inspection Uate Insp. Comments
Footings I
Footings II
Foundafion
Framing C7 e,
Roofing
Rough PIbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Pibg. C!b
Bldg. Final
Cert. Occ. G - o c.? U/. V ?Q
Temp. LP y Q7
DeCk Ftg.
Deck Final
Well
Pr. Disp.
CONTRACT PRICE:
Site Address ? / r ",
6 .? ??"? ?. r
Lot Block ?
? Name
Address
c City Phone
Name --
•
? Address
O Ciry Phone ? ?yy?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
BLDG. TYPE WORK DESCRIPTION
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT t? '
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 451-8100
Sec?Sub Res. .a;' New
Mult. Add-on
Comm. Repair
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ. FIXTURES
L- Water Cioset -$3.00 TOTAL
$
4
?_Bath Tubs - $3.00
?- Lavatory - $3.00
?Shower - $3.00 ' - „
KitChen Sink - $3.00
Urinal/Bidet - $3.00
-L-Laundry Tray - $3.00 <
?Floor Drains - $1.50 -
' Water Heater - $1.50 '
Whirlpool - $3.00
? Gas Piping Outlets - $1.50 F `
(MINIMUM - t PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
' Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
PERMIT #
MECHANICAL PERMIT RECEIPT # '
CITY OF EAGAN
y 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: ' PHONE: 454-e100 .-
5ite Address ?-
Lot Block
Sec/Sub BLDG. TYPE WORK DESCRIPTION
Res yc New
Name ?
L?
Mult Add-on
_
Address Comm. Repair
O
c City Phone AW!J h ther
?
Name FEES
RES. HVAC 0-100 M BTU -$24.00
c Address 'r ADDITIONAL 50 M BTU - 6.00
O 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 - 19'o OF CONTRACT FEE
Forced Air M BTU APT BLDGS. - COMM. RATE APPLIES
BO11er
M BTU 70WNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE
ALL A
D
ON
Unit Heater
Ai
C
M BTU -
D
-
&
REMODELS - 12.00
MINIMUM COMMERCIAL FEE
20
00
r
ond. M BTU ? -
.
STATE SURCHARGE PER PERMIT -
50
Vent. ?
CFM , .
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
O
h
t
er
FEE ?
1
?i
.?
-
J..._
S/C: • ? SIGNATURE OF PERMITTEE
TOTAL•
'
? FOR: CITY OF EAGAN
-r -
DATE: JACUA@Y 17, 1989
1081 F00LiiHV1Eb1 PAR& ROAD, L4, B1. LEXING'IDN SQUARS 6TH
a ' ° -
/%1L Your Sewer & Water Permft for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
_.xCALI PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
tY' ,
- Your Sewer & Water Permit for the above property cannot be compleTed for the following
reasons:
Your Sewer & Water Permit for the above 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
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
. WARNI:" BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC.
• - REQUIRED BY LAW.
R
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Seaietary; Building Inspections Dept.
DATE: JANUARY 17, 1989
• RE: - 1081 M0&THV1EW PARK RD., L4, Bl, LERINGTON SQUARB 6id
XR"'-Vour Sewer 8 Water Permit for the above pro
perty has been completed. It wiil be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (4545220) FOR YOUR PERMANEN7 WATER TURN ON.
- Your Sewer & Water Permit for ihe above property cannot be completed for the following
reasons:
- Your Sewer & Water Permit for the above property has been completed, but ihe meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be
confirmed by Biil Adams or Dirk House (Plumbing Inspectors - 454-9100) before issuance.
WARNINI: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPNONE, ELECTRIC, GAS, ETC.
- RE4UIRED BY LAW.
?
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN C 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 ?T 1? ? 16024
PH O N E: 454•8100
BUILDING PERMIT Receipt# ?
To be used for
SF DWG/GAR Est.Vaiue $85,000 Date Z-?aZ ,1g 9?
SiteAddress 1081 NORTHVIEW PARK RD
Lot 4 Block 1 Sec/Sub. LEXINGTON SQUARE
Parcel No. TH
x Name KEYLAND HOMES
? Address 14450 BURNSVILLE PKWY
0 Ciry BURNSVILLE phone 894-2636
o Name_
oQ AddreSs
? City_
U y?
w ,
t i
xa
UZ
aW
Name _
Address
CItY _
I hereby acknowletlge that I have reatl this application antl state ihat the
information is correct and e to comply wit all applica6le State of
Minnesota Statutes and rt f Eagan Ordin ? s?.
SignaWre of Permitt??????,.v"
A Building Permil is issued to:_KEY ILHO
oniheezpresscondition[hatallworkshallbedonein ccortlancewithall
applicable 5(ate of Minnesota Statutes antl City ?o{f Eaqan Ortlinances.
Building ONicial A,?1. k??-I??/J------„-
?
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 M-1
MWCC System X Zoning PD R-1
OnSiteWell _ (ACtuapConst V-N
Ciry Water X (qllowable) V-N
PRV Repuired _ # of Stories
Booster Pump _ Length 50'
Depth Gfi'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess.. Permit 572.00
Planner Surcharge 42. $0
Council Plan Review 286.00
81dg. ON. SAQ Ci[y 100.00
Variance SAC,MWCC $75.00
WaterConn. 550.00
Water Meter 90.00
Road Unit 32$.00
Treatment P 1 228.00
axRcOther 51.00
TO7AL z.819.50
9 REQUEST FOR ELECTRICAL INSPECTION ea.ooam-07
/ ? See insVUCtlons far compleGngjhis forcn.orlback of yellow capy.
^
f-a Cy •??
L7 q5996 - -X" Belaw Work Covered by This Request
ew
Add
Rep F
7ypeof6uilding
AppliancesWired
EquipmentWired
Home Range , Temporary Service
Duplex Water Heatei Eledric Heating
Apt. Building Dryer Other (Specify)
Comm.Andustrial Furnace
Fartn ' Air Conditioner
Other (speciy) ConhecAor5 flamarks:
Compute Inspection Fee Below:
# O'her Fee # Service Entrance Size Fee # CircuitsiFeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Impector§ Use Only: TOTAL
Inigation Booms
Special Inspection y?
Alarm/Communication
Other Free
I, the Electrical Inspector, hereby
certity that the a6ove inspection has
been made. pWgl,in (
Finel Date
oaff G?
/
OFFlCEUSEONIV 3 G Db
Thls request witl 18 moMhs irom
KK_yv_lL
R 95996
Pequest Date '
? f
( b Fre No.' R ?in Inapeciion/
;?, ?. ?
Reatly Nmv Will Notity Inspector
Wh
R
d
?
Vas ? No en
ea
y
10 licensed contractorx- owner hereby request inspection of above electrical work at:
Job Adtlress (Streat, Bo. pr Roufe NoJ City
1051 O'i 66`Zi? Z +
Secnon No. To.hip Name or No. Range No. CouM I _
?i c. ?L4
Occu PRINT)
E T $" ?r?
?LGt?,? Phon No.
`id `4 - /&Uz'
Power SupP?? PddNsa
'I"cs- t? {
Tir?
EleWical CoMractor (COmpaery Name) Cqntraclor§ License No.
S clm ?- -'
Mailing AdEress (Contreqor or Owner Maklrg Instellation)
Aut? ( nt or/qv ekin alletlon) P?ore Num r
?
-1 y/
?)
MINNESOTA STATE 60}RD OF ELECTRICffY THIS INSPECTION HEQUEST WILL NOT
Gtlggs-Mitlway Bltlg. ?1 Paom 5173 - BE ACCEPTEU BV THE STATE BOARD
1821 UnlwBtry Ave., gt. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Ptiom (BfE) 642-09W ENCLOSED.
y9a,-?
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675
NewConsWctionReaulrements RemodeUReoairRequiremeMs
• 3 registered sile surveys shaxing sq. R o( lot, sq. ft. of house; and all roofed areas . 2 copies M plan
(20% mauimum lot coverage allowed) . 1 set of Enertgy Calculalions for heated additions
• 2 mpies of plan showing beam & windaw saes; poured found design, etc.) • 1 site survey for exterior additions & decks
• 7 sel of Energy Calculations . Indicate'rf home served by septic system for addiGons
• 3 copies of Tree Preservation Plan if lof plaHed after 711193
. Rim Jaist DeWH Options seleclion sheet (bldgs with 3 or less unils)
DATE S-/(-D
VALUATION
JOB SITE ADDRESS /0,9/ Na,47-HVig?zv f? // E46.E9gj
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 114,147-T GoN&
TYPE OF WORK v4S ICrstLQOLl4Cf - Se:- I?Fi?+T Z.- 6A5 G?n+t FIREPLACE(S) _ 0 2
?
APPLICANT PHONE7p6? - 93?.?
ADDRESS /?Z?3 G-) ? 6?,G4,s 1/144c.r- /?,?-(ct,,?9r? ,?2,.sY?a-e' ? r??? ZIP CODE 1?323'7
PAGER # CELL PHONE # G rz-a3a- 40 17 FAX # 92' E9`?-4%
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
_ MINNESOTA RULES 7670 CATEGORY 1
- ResidenGal Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULFS 7672
Plumbing Contractor: _
Plumbing Syslem Includes:
- New Energy Code Worksheet Submitted
Phone #:
Water Softener _ Lawn Spriiikler
Water Heater No. of R.I. Baths
No. of Iiaths
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Air Conclitioning
Heat Rccovery Syslem
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application. I? MpR 1 1
I hereby acknowledge that I have read this application, state that the information is corr ?t, and a?YO complN
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? y ---?
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ N equired _
Updated 2002
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
O 31 New
? 32 Add'Aion
? 33 Alteration
? 34 Replacement
? 35
? 36
? 37
? 13 16-plex ? 20 Paol I [3 30 Accessory Bldg
? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multl
? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 19 Lower Level ? 24 Stortn Damage
Plbg_Y or _ N ? 25 Miscellaneous I
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
Demolish (Bldg)• ? 43 Reroot O 46 Windows/Doors
•Demolition (Entire Bldg only) • Give PCA handout to appii cant
Valuatlon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Uniis Sq. Ft. PRV ? I
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
?
REQUIRED INSPECTIONS !
_ Footings (new bldg) FinallC.O.
_ Foorings(deck) FinaUNo C.O. I
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water Final Ftgs
Pool Air/Gas Tesu
_
_ Fracning _
_ _
Siding Stucco _
Stone,
_ Fireplace _ R.I. _ Au Test _ Finat _ Windows (new/replaceruent)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex
? 08 O6-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
_ Final
Building Inspector
ti
1
1989 BDILDING PfitHMTT APPLIC6TION - CITY OF EAGAN
SINGLE FAMILY DWELLING3
I?0z4
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, t SET OF ENERGY CALCULATIONS
NOTEs ADDRFSSE4 FO@ CORNER LOTS - CONTRACTOR/SOMEOSiNSR MQST DF.SIGNATE WHICB ADDRFSS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PEAMIT I3 I33DED.
MOLTIPLE DWELLINGS RENTAL ONITS FOE SALE i1BITS i OF 08IT3
INCLUDE 2 SETS OF PLANS, CERTIEICATE OF SIIRVEY - CHECB WITH HLDG. DEPT.? 7 SET OF ENERGY
CALCULATIONS
COtq9ERCI6L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:INGLC- FAMIL.\/ Valuation: 85000- Date:
Site Address ?ola)
Lot I Block I
Parcel/Sub LEXINCGTDn1 SQUPrRE (?TH
Owner K-evLaNe NOMES
Address 19450 E?URN-,ViLLG PqRKwAy
City/23p Code BU1QNSVl?LF-
Phone n ci L4 -
Contraetor (SA rvlc)
Address
City/Zip Code ?
Phone
Arch./Engr. kt A LI.-0 LIIST
Address
City/Zip Code BLCOM 1 NG-fDO
Phone S g'-?>) - I %1 5
Occupaney
Zoning PD R- I
!Actual Const \/-N
Allowable V- N
# of stories
Length ?
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water
PRV required _
Booster Pump _
APPHOV9I.S
Planner
Council
Bldg. Off. j/i I
Varianee
Couneil
00 JAN 10
FE&3
Bldg. Permit J'rW'00
Sureharge ?
Plan Review Z 6, Do
SAC, City loo.oo
SAC, MWCC 5 51a0
Water Conn SSa' Do
Water Meter 90,po
Aeet. Deposit 30,00
S/W Permit 4D,Aa
S/W Sureharge 1,00
Treatment Pl. 2a55, W
Road Unit 2 av
Park Ded.
Copies
TOTAL IQ.
HOTB: Sexer & Water Permit fees and aecount depoait fees xill be ineluded in the buildiag
permit fee. Processing time Por sewer and water permits is two days onae a liaensed
plumber has applied for a permit at City Hall.
'VALUAMoN
GA2AGG 4 ' `S w
ZDX22? yLioX14.
?
ZC:, x 48= i!?49 X+3s 1?2Z4
Houss
?
4sx26- izvs
1'/Z X 13= 20
s X ?rZ= ?
1215 x49= Gzy?s?
.?--'
. 1--?
7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF kNEAGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - COI3TRACTOR/HOMEOWNER
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDIN
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS
DESIGNATE WHICH ADDRESS
IT IS ISSUED.
# OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
a
To Be Used For: p ?ation: Date: '- 19
-??
Site Add?? s OFFICE USE ONLY
Lot ? Block -J-- On site sewage
MWCC system
Pareel/Sut&: 5;d On site well _
1y 0 City water _
Owner ?? LLWI-0' . PRV required _
2 ' n (? Booater Pump _
Address / Vv Cs? /"l-,n?...e,.? f1 e ?CI/
City/Zip Code
Phone d''
Contraetor
?
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code?
o?
Phone Jk 93 J 7--C
APPROVALS
Engr/Asseas
Planner
Council
Bldg. Off.
Variance
Occupaney
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
SURVEYOR'S CERTIFICATE
KEYLAND HOMES
L_?_i?l I'•11„ I U IV n 11r?
75.00 S89043'03"E
N tD
-- -- - -
ar nR
aINa
,
,
cE a urrLrrr
'EASEMd'NT PER PLAT I
W ?LoT 4 ?
¦ I I
in W
t0 I ?
N
? C696.4? to
Z f ??. .•' 48,0
O
I?° M PRO 09ED ? 2
HOU9E
i
D0.0 IQ ? ?
i?
? i, O I p i?i0'CANT, 0 ! 4 1
O ?..-
!
u1 1 ?8414.4) N IiAR. o"
- _ _--.._ __ 20.0 o
?
' I
?
i
?
j
\ i I Q 00p Q ' ?
?? ' . ,
11?5 E V Q ? 75.00 N es*a3'o3"w - ?a97.4`
Bx, GFS g g
Date
EAGAN ENCIP?ZR pTATr_vvr-
NORTHVlEW PARK ROAD
'* DENOTES PROPOSED SURFACt DRAINAOE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH -30 FEEl'
• DENOTES IRON MONUMENT FOUND PROPOSED 4ARAOE FLQOR -Sqq,5 FEET
X000.0 DENOTES EXISTIN(3 ELEVATION PROPOSED I.OWES7 FLOOfi - gq1,8 FEET
(000.0) QENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - gqq,y FEET
WE HEREBY CERTIFY TO KEYLpND HOME S THAT THIS IS A TFiUE AND CORRECT
REPRESENTATION pF A SURVEY pF THE 80UNDARlES OF:
lot 4. Elock 1; LEXING70N SQUARE 6TH ADDITION,ac:ordlnq to the recarded
plat thereof, bakotcCaunty, Mlnnesoro.
IT DOES NOT PURPORT TO SHOW IMpROVEM6NTS OR ENCROAGHMENTS, EXCEPT AS SHOWN. AS
SUFIVEI'ED BY ME OA UNDER MY DlRrcCT SUPEF{VI5iON THIS 9TH DAY OF JANUARY ,1889.. PRO7osEO dR,•,pe, sKpydN WERE SI(3NED;
"IkICR04 fRIDM TNE 4lvElAOMRNT /
1P4iW fOR lBKkN(a R1N WwRC 6TH v, ) (I }!.?' ., r....
Aoomeu,pqEpA0.Eb 0y MERispt, 8Y: ?'/?y?'?•'• ^ ?
DGv[WPMgr+'T' CoRp, !?.fdb L^sT HAROLD C. PETEFiSON, LAND SURVEYOR
owft MINNESOTA LICENSE NUMBER 12284
O 0 ??
E l ? o
? n Z
C
m z c
i
fA
James R. Hill, inc.
PLANNERS / ENGINEERS ! 5URVEY4RS.
9401 JAMES AVE. S. • BLOOMINaTON, MN, 55431 v 612-884•3029
EXTERIOR ENVELOPE AVFRAGE "U" COMPUTATION
ow'N ER: ---- nnrr:_
- --
?y 1----
5?T E ADDRESS: ? he+u+?-1?7ir7 PhlONE:
- U ?
CON TRACTOR: ? ?1 o+,1V7 PLAN #
Determine working square foota9e of each
i. Tota] exposed wall area..... t$ `I 3 sq. ft. x.11 = Z C52.?73
2. Total roof/cei 1 i ng area. .... 1 Z?`l sq. ft. x..026 = 3 2?°f ?
Total exposed wall area above.floor=_ lLc, 1$
I 3-7,1?
a. Total wall window area ............................. ..............
b. Total door area..................................... .............. 8
-
c. Total sliding glass door area ...................... .............. ?
3 Z?
d. Total fireplace wall area .......................... .............. ?
e. Total wall framing area (average 10%) .............. .............. ?cal,g
f. Total rim joist area ............................... ............:. lS I
g. net wall area above floor ...............:....... .............. 14 Sc.,Z
h. wall area above floor ....................... ..............
i. , wall area above floor ....................... ..............
j. frame wall area at.=oL:ndation ..................... .:............
Total exposed foundation area= "7 y :
k. Total foundation window area .......................
l. Total net foundation area above grade .............. ?
Detei-mine "u" value of each wall segm ent -
(e.g. window, cioor, each separate wai l section)
x 11 u,i , V Lf?
a.
e. X„ul, <3Z = lZ. I to
X I,ul, , y9 =
C 1 S?S?
.
d. -- X 1.Ull ,_... _
? X liuil
p?7 =
4 I f0 ???. ,
?
.
e. 1
f. X„ul, ,o35' = S,Z?
,?Z x „u?, ,?37 =
i 1-t ,-c
9 961
.
.
n. X „ul, ^
_ X „u„ _
X"U" -
j' -
If item 13 is the
k X Mull = as, or less than -
( #1, you have met 1
i
te
t
f S
0
x "U" ,o n
n
o
BC 60
1
3 . ..... ............................Total - ?'? ZI FS.3
Total exposed roof/ceiling area = IZ.C47
?..
.._ :uta1 skyligi:t area ............................
... Total roo`/cei' in, fzaminq area (:rvcragc 10%) :.
,.. ^otal net i.^.sulztefl roof/ceiling area....,.:..... • 1 0!3
Determine "U" value for each roof/ceiling seqnent
Ti .
X "U"
... 1Z4?1 a 'lLll
X „u,,
; ........................... 2
" to_a1 c= =4 is the same as,
S:sC 5o:5 ic? 1.
o ?
7.' = Z Z <FS I
otal = Z?'?$S
or less t:han 42, you have met ithe intent o=
Alternate Buildinq Enve?.ope Design
To _tiiize t'r.e totzl e.^.velooe 'system method, the values established by the s•:n of '
items a3 z.fl -4 shall not be greater than the sum of,items ul and 02. ,
+ z. y = 2 s_
,
3 . + 4.
?
PTAN # Z- 3H 10-21
* LINFAL FEE!' EXPOSID WALL
si.ocx: q Fs + Z(? 1- y?s -r zso =: i y$
KNEE: 2ce?zc,+ 3p , w Z-
W.O.:
FULL 1: `(8 +Zl ,S+ I 3 ?- I.S''F 3 S'-F 2co = i SI
FULL 2:
FIREPLACE:
RIM:
* SQUARE £EET E?POSID WALL ARFA
BTACK: x .5 = -i ?
KMM: ?y X s= ti?o
w.o.: X s
FULL 1: ? S I x &= ? zc) ?
f'CTLL 2: x 8 =
FIREPLACE: x =
xIM: 1 S-1 x 1= I S I.
= i 8 -l3
? SQUARE FEF.T EXf'OSID CEILING 17- c, -j
?. ?v i n?co?v5
I I I` z?l 3? G>c.: ? I Z='? c.?
I -Z33f ? S.S?7
? -2-3k7
111 - (4S'9 -?•?$ : Z3,3`?
L(, C?Z
`? - zHLto??-
?3 I-A
? DOORS
zg Z? 3 ?
* PATIO DOORS
* BASIIMff3dT UN2T5
WALL SECTIONS
NO'!'E USE 10$ OF OPAQUE WALL ARF.A FOR
FRp?1E CQNSTRUCTION
i?
4' I Q
s?c ;; ?
. <i
wATT
! i i-----Cb?
FIG. #1 TOPVIEW OF
FRAME WALL
3.
4.
5.
6.
R-VAUJE
1. INTERIOR AIR FILM .(08
2. g(? ?-( M u Pa?
yz,;?•ip 8 ?-1-f
3. T
S YL SOFT WOOD ( e. 8 7
4.
5.
?
0
17
6. A R FI .
T?T? l ?f .-1 9
1. INTERIOR AIR FILM 0.68
2. Yz" ?`ic' r?o -F tin ? D ?vg•4S
3. ? ? ?..
4. 3/s{ ?'T!-lH2J.AO? ?w /? OO
5.
6. MTERrOT R
Zc, . 9 z-
'?? n-? L{ _ , 0 3-7
1. INPERIOR AIR FILM 0.68
2• c,?- L_r4?n1 , `p 1 ,cV
a
1. INTERIOR AIR FIIM 0.68
2.. ,Z°I F:S Loc-? i : ZS
3. ?, r? ? 1 r.iScst_ S, 00
4. '
5.
6. EX*MRIOR AIR FILM 0.17
TOTAL Z . 13
Lt -- I `f
SLAB ON GRADE
1
- ??
• , ? ,
? •. , ? f t ? '?•
? ` . .?
?TG. #
.
?
,
... ?
-
yj
!t?
?
)?l
FIG. #4 _
NOTE: INDICA TYPE
OF INSULATION
i ?
y 4
'J
2
? • .
U y ?
VAI)JE,'DEPI'H AND PIACf21ENT
_ TQTAL ZS .3Co
U =.03?
CONSTRUCTION ' R-VALiJE
1. INTERIOR AIR FTLM 0.6&
2. 57U`r •
3. INS
4.
U .02
FRAME
A PEAT FIX)W
u UP
rIG. #S
1. INTERIOR AIR FIiM - 0:61
2. ?- .
3. x
4. ,
U = 0.024
CONSTRUCTION
1, INSIDE AIR FIIIt 0.61
2.
3.
4.
5. ' TQ""iAL
U =
t
PIG. ?E
"IG. =7
NON-VIDWITED
i-IEAT MW
U'P
?
1. INSIDE AIR FILt4 0.61
2.
3.
4. ?? .
5. ?T T'OT?i?
U _
1..
INSIDE AIR £ILM
.
0.61
2
3.
u. .
s . z'o'r.v.
U =
NOTE: USE ADDITIONAL SHEEI'S IF I?ORE TTO TS
NEEDED FOR DETAILS AND CA?UL.A-- •
, RpOF-CEILING
N=A? FI.OW LJ-? VEN'I'ED
• L y B I Lr--x/N&roN SQ(AAt',S
GME COIYSULTANTS, INC.
CONSULTING ENGINEERS
14000 21st Ave. No. / Minneapolis, MN 55447 / 6121559-1859
Date: January 24, 1989
Keyland Homes
14450 Burnsville Parkway
Burnsville, Minnesota 55337
Attention:
Cecil Anderson
5tructure/Project:
1081 Northview Park Road
Location: Eagan, Minnesota
Gentlemen:
X Enciosed please find 2 copies of
Under separate cover
X Field Reports
X Location Diagram
X Laboratory compaction data
X Fieid compaction data
Dynamic Cone Penetrometer test data
Static Cone Penetrometer test data
Gradation test data
Sealed jar samples
Concrete test cylinder reports
Mortar test cube/cylinder reports
Masonry test reports
Bituminous test data
Remarks:
GME Project No. 1889
Copiesto: Building Inspection Department - City of Eagan
Sincerely,
GME CONSULTANTS, INC
Wyatt A. Gutzke, P.E. ., ?
Project Engineer
?
GEOTECHNICAL • MATERIALS o ENVIRDNMENTAL SOILS
WILLIAM C. KWASNV, P.E. THOMAS P. VENEMA, P.E. WILLIAM E. BLOEMENDAL, P.E.
GME CONSULTANTS, INC. GME Job No. I 8??
Gea[echnical • Meteriels • EnvironmeMal
14000 21st Averwe No.
Minneapolis, MinnesoW 55447
[612] 559-7859 Job Name ? i i ? I,/y?gJ O?4w;,U,,,,It?Jl??[. (1,. ?_
r,
?- 31
n NuCLF-AR Q 1l M'Lt,?PI L??,!)T l?
uw-5-x?- "C-CST ca FzLL SO:sLS-
_ ___ _._....?. _ . _. __._..._ ........ _.. _ , .._...__.: M__.r...._. -...._ .. ._ . _ . ___ _ __. _ _
G/?? GME CONSULTANTS, INC.
ERCT'F\m rt1 r1) ?,,f 1 MINNEAPOL SCMINN SOITA 55441
? ??•t 1[ t I
GME CONSULTANTS
INC
,ao ,
.
Geacechnical
Meterials
Ernironm
Y
l
a
en
a
o
14000 21st Avenue Na.
? Minneapolis. MN 55447
[6121559-1859
135 MOISTURE - DENSITY RELATIONS OF SOILS AND
SOIL - AGGREGATE MIXTURES
DATE: 1-20-89 GME PROJECT NO. 1889
130 PROJECT 1081 Northview Park Road
LOCATION: Eagan Minnesota
1
PROJECT NO
- SAMPLE NO
125 .
.
SOURCE OF MATERIAL:
?
?
Brown fine to coarse siltv
SOIL DESCRIPTION
0
U :
.
LJ izo
d
san
m
m
U
cc UNIFIED CLASSIFICATION: SM
w
a
0 115 METHOD OF TEST ASTM: D 698 Method A
z
0 NATURAL MOISTURE CONTENT 3.1 %
a
I OPTIMUM MOISTURE CONTENT 11.9 %
? no
W 112.6 PCF
MAXIMUM DRY DENSITY:
0 .
}
cc
CLAY PREPARATION: -
? 105
Z
i
id
f
ero a
r vo
curve
or
specific graveties of
ioo 2.80
2.70
k 60
2.
95
90
g
illil
85
0 5 10 15 20 25 30 35
MOISTURE CONTENT - PERCENT OF DRY WEIGHT
COMPACTION TESTnRE.PO
.
PROJECT AND LOCATION:
ARCHITECT OR ENGINEER:
CONTRACTOR:
OWNERlDEVELOPER:
GME CONSULTANTS, INC.
Geotechnical • Ma[enals • Environmental .
?--A 2083 East Center Circle
Minneapolis, MinnesoCa 55441
(612) 559-1859 V
SUB.CONTRACTOR
TEST
NUMBER
OATE
LOCATION OF TEST
ELEVATION WATER
CONTEMT OPTIMUM
MOISTURE
MApR FIELD
DENSITY
(pcfl MAXIMUM
DENSITY
(pcfl
COMPACTION
(%) SPECIFIEU
COMPACTION
(%)
PASSEO
?
COMMENTS
1 3;,n 3.1 I1.9 I ??b' //Z, qS
DATE:
q
GME PROJ. NO.: }'PJB
% Companian Based On: Methad ol Field Oensiiy Measuremenls: The above test locations:
? pSiM D 155778 IMOdified Pmcmq ? ASTM 6 1556 iSaiM Canel AWere selected 6y GME Consultants
f*'ASTM D 6987815tandarA Pmnotl KASTM 0 2922 INuclearl ? Were not 5elected by GMC CansNtants
K?j?,-z
HEAT LOSS CALC TIONS ' DEpAR'J'MEPf(' OF BUlLDINGS,( ?//3/? ??F
Guide
T/indow? Doors Re(erence Ou1. Wall lnt.
fes-No I Yes-No 19
,+yy{ 3! ,?4 Room lLengih Width / j
Wmdows and __J e___
Coneiruction No.
Kind I How
vo ?\9i111?
nf 1101nl Nn. of VLInee1 tL"" _ Are•
. ponc af pane IiR _hU nf crncM oym f6 •
L O 1
Coef. Beu
Infiltralion
a /
Glass
?
Fap. wall 1 ?+ 1'? 4 1 Y C1
Net ezp. wall
?w
3
Ceiling.
x ?? 27
+levr-
T
5.23
Required sq. ft. E.D.R. or sq. ins. W.A. Leadtr erea
?r11•1 v+1 Room Leng!h / Width p Hei8ht
Wfndows ana n..?..-r...?._ __' "_-
No. Wltl?h
ot pAne Nels?l
ef pans No. e!
Ilfhb ? ineal ft.
ef enck Atn
Oy. fl.
a 140
Coef. Btu
Infiltration
? a ?
Glaa$
Exp. wall b p I k a f o
Nel eap. wall
?, L??
lM,?wall ? '?
?
Ceiling X 1 D
l O
F
oof
•v{YI Y?V.
Hequited sq. ft. E.D.R. or sq. im. W.A. Leader arce
FL R?{ Room JLength ,;(s Width
Windowa and Doors-Crackage and Ares
.;lau ? l .
Vet exp, wall
'ne-welE
'loor
int. W.A. l.eade? area
? , n
'?'C'Tz7-.[ ?? ?C7?/ - ? )6 = ?? 7
rr,tn{- Room I Length a(o Width
and Doora-Cratkaae and Area
No. W WiM1
ef p+no IIeI,M
of Csna Ne. ot
Ilght' Llne.l fl.
of crack Arta
.q. fl.
3 6o S,6
Coef. Btu
lnfiltretion (op
Glan q i6 ffD O
ExP. Weu (o ff?&. } x 6,.)
Net exp. wall 5 iy a 89
i?weFF-
Fiaor 26
LoW tstu. g p
Requircd sq. ft. E.D.R. or sq. im. W.A. Leader area
FI.I Room I L.ength Width Height
Windowa snd DeerS-CraI4.e. ..,d A... -
Na W IEIh
ef Dan@ H*Iffh t
of pano Ne. o[
IIMt. Llnetl fl
o[ craek Area
ta. fl.
e . tu
infiltrstion
Glaas
Exp. wall
Net exp. wall
Inl. well
Ceiling
Floar i
Io1s1 tltu.
Required sq. (t. E.D.R. or sq. ina. W.A. Leader eras
F1. Room I Lenath Q/idth Heiahl
Windows and Doon--Crackage and Area
Ne, bt
0 oa-* Hal[nt
ef pan* o. at
Utnb Llnnl ft.
ot c,gek Ana
Q. it.
Coef. Btu
In6ltralion
Glass
Exp. wall
Net exp. wall
Inl. wall
Ceiling
Floor
Bw
¦acai
Requirsd sq, ft E.D.R. or sq, im. Q/A. Leader nea
?'c?;'/?
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For Office Use Permit#:
so/ 7
City of EaEd~
v I Permit Fee:
3830 Pilot Knob Road I -sue I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: ci I
I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5 6 "00 ~O Site Address:
Tenant: o a l(a S aw y Suite M
RESIDENT/OWNER Name: D4R&S Apou Phone:
Address / City / Zip: /C> 9 ( /1br)'t V.~J ioejjkC Rd
Applicant is: Owner Contractor
TYPE OF WORK Description of work: -S Construction Cost: x~j, Z go Multi-Family Building: (Yes / No )
CONTRACTOR Name: &A_,afa c% G,.,,S&a (C* ,.~L License AM' 20V;6 Y 2 r
Address: 3 ( Zd 6YK ,S+, Lr- City: ~Mr-•FW/,G~
State: l~ Zip: 15 y(r; Ic Phone: 6 (2 60 S 336 cj
Contact: Email: C,
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:
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 permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand th' 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 appr ed plan in the case of work which requires a review and approval) of plans.
x x &Rtrf.
Applican Printed Name Applicant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140493
Date Issued:12/27/2016
Permit Category:ePermit
Site Address: 1081 Northview Park Rd
Lot:4 Block: 1 Addition: Lexington Square 6th
PID:10-45080-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Benjamin Beery
1081 Northview Park Rd
Eagan MN 55123
(651) 492-9726
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140493
Date Issued:12/27/2016
Permit Category:ePermit
Site Address: 1081 Northview Park Rd
Lot:4 Block: 1 Addition: Lexington Square 6th
PID:10-45080-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Benjamin Beery
1081 Northview Park Rd
Eagan MN 55123
(651) 492-9726
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158502
Date Issued:10/17/2019
Permit Category:ePermit
Site Address: 1081 Northview Park Rd
Lot:4 Block: 1 Addition: Lexington Square 6th
PID:10-45080-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kimberly M Walsh
1081 Northview Park Rd
Eagan MN 55123
(612) 309-2360
Ardmore Construction
6980 Oxford Street, #250
St. Louis Park MN 55426
(612) 405-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177332
Date Issued:06/27/2022
Permit Category:ePermit
Site Address: 1081 Northview Park Rd
Lot:4 Block: 1 Addition: Lexington Square 6th
PID:10-45080-01-040
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kimberly M Walsh
1081 Northview Park Rd
Eagan MN 55123
(612) 309-2360
Dean's Home Services
6701 Parkway Circle Suite 600
Brooklyn Center MN 55430
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature