4033 Northview TerCASH RECEIPT ?
. GOF EAGAN
' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ?
19
NECEtYEO ' -
F? f c4 x C??,v ?. ?? i?
?
AMOUNT $ -?
DOLLARS ;,i
iao ,
p CASH `p-EHECK
Foa I
r ; ? ) iL-,% i?L)-??
r. ?
rk)i,: 4n, .n.., T„
,FUND- OBJECT AMOUNT
,
?
' Thank You
BY -
Wo $1777
,
Wm+te-Payers Copy
Yelbw--POSdrg Copy
Plnk--File Copy
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for Est. Value 'w+uvu Oate
Receipt
i1L•Lr.;iGLi! 3l.
i9 ?y
Site Address NOP Tl, T?.RkA(.:
Lot ,Block --' Sec/Sub. LFkliVG'1C-1, Y'AkKViL
Parcel No.
m Name WLLtGi. "I s 1 :??;+ST
z Address
° City Phone 4 31 -- 1 . 11
¢
0 Name
2
h
o Q
Address
?W_ City Phone
WW Name
?
_z
Address
UZ
a W
City Phone
I hereby acknowledge that I have read this application and state that the
information ig cofrect and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee _
A Building permit is issued to: ??'"? ' ?? ?? ' ;?• i
on the exp;ess condition that ali work shall be done in accordance with all
appiicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy 3
MWCC System ZoNng i
On Site Well (Actual) Const V TI
City Water (Allowable) rt
PRV Required # of Stories
Boaster Pump Length
Depth
S.F. Total
Foofprint S.F.
APPROVALS FEES
Engr./Assess. Permit 433.50
Planner Surcharge 40.00
Councii Plan Review < 1 U. 75
Bfdg. Off. SAC, City 1 UU ? 0?'3
Variance SAC, MWCC
Water Conn. `.)2 5. ?{J
Water Meter n 7_ t)[f
RoadUnit ii?S.O1)
Treatment P1 1 uU.L??
Parks
TOTAL
BLDG. PERMIT N0.
y,..5
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
O1i2155 Surcharge
17-3860 Road Unit
2p-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 4:ater Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
? .;1
ai(19 i17--3
TOTAL
CASH RECEIPT
? CITY OF EAGAN
3830 PILOT KNOB ROAD
t
EAGAN, MINNESOTA 55122
DATE 19 RraC61VED FROM
AMOUNT $ I
& DOLLARf
ioo
? CASH ? CHECK
I
FOR , ! ,C:-qC? /-- ?.J ?.•Ii [ ._ . . ?. . . .
?
( •
j
BY
Wfiite-Payers CoPY
Yellow-Posting CopY
Pink-File Copy
Thank You
INSPECTION RECORD Contrvl Na r'll, 9 J?
CITY OF EAGAN PERMIT TYPE: A!! 11 1? t MR
3830 Pilot Knob Road Permit Number: 001
Eagan, Minnesota 55123 Date Issued: 06118192
(612) 681-4675
SITEADDRESS: LOT e 6 Hi.ocv APPLICANT:
4033 lfONTNVIEW TER Uli.vE BILi.
IExTN[iY004 PARKYIEW (612) +162-0828
PERYI?T:S?UtBTYP5Nl5N 7'YPE OF WORK: ALTERATION
i .
¦
PermR No. Permlt Ho{dsr Dete Tebphona N
SlV1l
PLUMBING '" ? • ??,.- ?// ??. ?_ U?4,
HVAC
ELECTRIC'
ELECTRIC ?
Inspectton Dsta insp. CommerMs
Footings I
FoundaUon
Fram"
aoonng
Rough Plbg. ?' ? ? oY/GO
Rough Htg.
Isul.
Rreptace
Finel Htg.
Orset Test
Finel Pbg. Pibg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
8ldg. FWW
Deck Ftg.
Deck Flnal
Well
Pr. DisQ.
l.-_•?
. ftertifiratt uf (Orrupanry
.
Citp ot eagan
ioppartmmY of mudd'mg 3wPriim
This Cerfificate rssued pursuant to 1he requiremenu ojSection 306 of the Urrifonrr Building
Caie cenifying that at the time of issuance this structure war in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
uw Cbm;ficam SINGLE-FAMILY/GAflAGE ? Perm«No 14534
O-Uw-rTYM R-3 ??Dtwia R-1 ry? ??? V-N
??.? COLLEGE CITY CONST? 6970 131ST ST
8u&kM Mdfm 4033 NOR'THVIEW TE8 L-RhL5, B2, LEXINGTON
ty PARKVI
ate: MARCH 28, 1988
a,a&ng officW
POST IN A CONSPICUOUS PLACE
`
PERMIT #
• ' MECHANICAL PERMIT RECEIPT # L<- ?" f '3--
CITY OF EAGAN
3330 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ? '9
CONTRACT PRICE: - PHONE:154-8100
Site Address BLDG. TYPE WORK DESCRIPTION
lot
._ Bl k ? Sec/Sub
?
'_ Res. ? New
1
Name V 4L.- Mult Add-on
Comm. Repair
Address
c
City t?
Phone ? Other
c
Name FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU
Address - &00
p Cit
? Ph
n (RES• HVAC INCLUDES A/C ON NEW
y o
e CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERiNIT) - 1
50 EA
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE C30ES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE
S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
???
?-- -- .: Cirir OF EAGaW 145 3 4
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ONE: 454-8100 ..'
Site Addi
Lot
Parcel No.
G PERMIT Receipt #
for Est. Value Date ,19
ce..?c???, ' '.1N<?i?
Q Name '
W
= Address
0
City Phone " ?
Name
. _'_ .+. /.r.??-. .
OFFIC E USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # ot Stories
BOOSter Pump Length
oepcn
S.F. Total
Footprint S.F.
APPROYALS FEES
Engr_/Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
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.
Signature of Permittee _-
i . ,
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 Official
Psrmit No. Permit Holder Date Telaphona ie
Plumbing
H.V.A.C. 460
E?e?tri? ?7?C? • v ?=?- ?i'? S?Y
Softener
Inspeetion Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg. j?
Bldg. Final
Cert. Occ. y . ° QF
' I
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
, .. .. , _, ..
; - , PERMIT #
PLUMBING PERMIT RECE1i3'1` #
CITY OF EA(3AN
3830 PILOT KNOB ROAD; E'AGAN, MN 55122 DATE: ' •=?!' /cS??
CONTRACT PRICE PHONE: 454-8100
Site Address ^ -,I??' BLDG. TYPE WORK DESCRIPTION
Lot • ? Block ?. Sec/Sub ;?es. ? New
Mult. Add-on
? Name ?Comm. Repair
?n Address /c Y Other
c City •::?4<. Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
? Y It/ ? FIXTURES TOTAL•
?
Name ? (' Water Closet -$3 00 $
` f Bath Tubs - $3.00
? Address • `1 ; ? - ? • Lavatory - $3.00 _
(14
p Ciry '- Phone -' " - - ??hower - $3.00- - - - -
?Ki?chen Sink - $3.00 -
FEES Urinal/Bidet - 13.00
COMM%IND FEE - 1°No OF CONTRACT FEE Laundry Tray -$3.00 ~1,
APT. BLDGS - COMM RATE APPLIES Floor Drains - S1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - 51 .50 t
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 -
MINIMUM - COMM/IND FEE -$20.00 =Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMM
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYpND $1,000.00) Well - $10.00
Private Disp. - $10.00
i ?rRough Openings - $1.50
.
SIGNATURE Q? PEPKAILT FEE:
sTare sic:
FOR: CITY OF EAGAN GRAND TOTAL
CITY OF FAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: Size: 3 ?4 ?
P.O. Box 21199 Reader No: 3 Dat? -?????
Eagan, MN 55121
,..
f)wnar . ,...t_.-_ .._ t.
SiteAddress: '?^ ''-ortliview Terrace L5 :r32 Lexingtpn Parl:--
Plumber
`' ,ar Pluribin.;,
v"i ^W
Conn. Chg: fqR11'tiac
?
? ? ? -
Acct Dep: '
R.,oyl?q?it?o .
il
l 1
Permit Fee:
?..?;,. z
Surcharge: et*wply with the City ot Eagan
Tr. Plant
Meter. • "??
_ ordinances.
fV,\ / \
WATER SERVICE PERMIT ?
CITY OF EAGAN Permit No: Date: 3830 PilafKnob Road B/P No: Date:
P.O. Box 21199
Eagan,11I1N 55121. •
Owner. ??11?:.:> ' ? ??• t'.or.s`
Slte Address:`t 2k, ^'t, • ' ?-{' rL,r..
. .
Ptumber: `' r=+ r MWCC: Zoning•
City Chg: No. of Units:
Acct. Dep: I agree to comply with the CIly of Eagan ?
Permit Fee: Ordinances. ?
Surcharge: ?
Misc.: By
SEWER SERVICE PERMIT
,.. _ _.-_ . .
' ,,. . .
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan; MN 55121
i.ty ?
•.onst .
Owner.
A 4 0 i' :;orthviev ierrace I.5 32 Lax:
'lumber b«r Y1t2Blbli?t? V:.ew
;onn. Chg: 525'00p3 Zoning:
cct. Dep:_ Z5' ??? No. of Units: ?
'ermit Fee: 1?'? ' ? ?
urcharge: ' S0pd I agree to comply wlth the City of Eagan
'r. Plant 130.00pd Ordinances.
Aeter. IS' -
A 15C.:
WATER SE k
;
By
RVICE PERMIT .
CITY OF EAGAN N°_ 14 5 3 4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Recelpt # a QD
?
To6eusedfor SF DWG/GAR Est.Value $80,000 Date DECEMBER 30 1y 87
SiteAddress 4033 NORTHVIEW TERRACE
Lot 5 Block 2 Sec/Sub. LEXINGTON PARKVIE
Parcel No
a Name COLLEGE CITY CONST
3 Address 6970 151ST ST
° City A.V. Phone 431-1211
a Name_
.o
?a Address
? City_
?W Name_
wW
f
xAddress
aW City
I hereby acknowledge ihat I have read this application and state Ihat the
inlormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordin S.
Signature of Permittee _ _. ArJ
A Building Permit is issued to: COLL G CITY CONST
on the express condition that all work sh Ilbedoneinaccortlancewithall
applicable State of Minnesota Statute nd City of Eag?Ordiqapces.
BuildingOfficial ? ?'???
OFFICE USE ONLY
OnSite3ewage Occupancy R3
MWCCSystem X Zoning R1
On Site Well (ACtual) Const Vn
Ciry Water X (Allowable) Vn
PRV Required _ # of Stories
Booster Pump _ Length 46
Depth 50
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit $ 433.50
Planner Surcharge 40.00
Council PlanReview 216.75
BItlg.Off. SAC,City 100.00
variance SqG,MWCC 525.00
Water Conn. 525.00
Water Meter fi 7_ 00
Road Unit 305.00
Treatment P1 180.00
Parks
roraL $2>392.25
This renuest void
78 mpnths from
0 ? 6 9 4 0?..'S
P2quest Date
_ I?? ?p
{ O Fi No. 71 pectinn
ud?
?Beady Nuw?Will Nolify InsPec-
In
Wh
R
s ? Na r
en
eatlV
[& Licensed Elec[rical Contractor I hereby reqaest insoeclion of ebove
? Owner electrical work instailad ac:
Sheet Atldress, Box or Route No.
116733 /llo,t-u;,:w City
C? '-ple-)
eclion o. Township Name or No. RanAe No. Cou} ?ty /
Occuunnt ?Eg]I?yTj/j
?/ /
L? Phone No.
Power SypPl
?
U
Atldres5
?
Elechr cal Cont actor (ompany Np mel ,?
t7?/14e? Ctr?gtn 's License No.
Mailina AdJress (Con?r tor or O nar Makinp Instaila[ion)
?J L?sow4 Sf c?RO?,•?
Authorized5i u(C ?ne akinelnstallation) Phone?N?ber ???
L? o{
MINNESOTA STpTE BOAFD OF ELECTqICIiY THIS INSPECTION REQUEST WILL NOT
Grigps-Midway Bldp. - Xoom N-791 BE ACCEPTED BY TME STAiE BOARD
1821 Universitv Ave.. St. Peul. MN 55106 UNLE55 PROPEfl INSPECTION FEE IS
Phona(672)642-OBOD ENCLOSED.
?7?5? ? REQUEST FOR ELECTRICAL INSPECTION
? ? See inftructfoqq br comoletinp this lorm on beck of Vallow copv.
Fa 7 6 9 4 0 "X" 8elow Work Covered by This Request
0 EB-00001-06
r =
?.-
FdA Heo. Type of Builtline APPliancea Wired Equiyment WireA '
Home ye Tempprary ServiCe
Duplex Water eater Lightiny Fiatures
Apt. 8uilding ryer Electric Heabn
Commercial Bldg. -Fumace Silo Unloader
Industrial Bldg. Air Conditioner BWk Milk Tsnk
Farm om, oe., v ome, (sne"+v)
u1 . uecl y ther Oth,;r
omoute lnsaection Fee Below
p Fee ServiceE renea5ita H Fee FeederS/Sabieeders N Fee Circuits
0 Amps 0 to 30 qm s 0 t731 0 A. s
Above 200 qmps. 37 to 100 Amps 31 to 100 Am s
Swinvning Pool Above 700_Amps Above 100_Amps
Transiormers Irrigation &ooms - Partial•bther Fee
Signs Specidl Inspection
?
TOTAL
ertwrks 3 iJ r}c5 ? ??
/ C G/ •??
I flough-in - ? ?O1e , the Elec ral
Inspec?or, hereby
ca ily thet the ebova
Final U^1e/? s0action hes been
mede.
fliie mouest volE 18 moNhe Irom
L-
„3,'-if4 EQUEST FOR ELECTRICAL INSPECTION N? ' EB-00001-08
-° nb e InsVUC[ims br completing Ihis form on back oi yellow capy. %j C O?Q?..?7
J°f ? ? "X" Below Work Covered by This Request '? ?Vy or
e Add Rep. TypeotBUilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater EleCtric Heating
ApL Building Dryer Other (Specify)
Gomm./Industrial Furnace
Farm Air Condilioner
Other(syecify) Conttaclor5 Remarks:
Compute Inspection Fee Below:
# . Olher Fee # ServiceEntrenceSize Fee # CircuitS/Feeders Fee
Swimming Pool 0 to 200 Amps o to TO0 Amps
Transformers Above 200 _ Amps Above J Amps
Signs Inspecmr's Use Only. TOTAL
IrrigationBOOms 3?-?'?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby Rough-in ? e _z
certify that the above inspection has
been made. F;?ai -? • ?
+ .?y
? -Q
OFFICE USE ONLY
TM1is request witl 18 monfis from
g? c
? 427?? 30 ?
Request ele Flre No
-
?? . Rough-in InspMion
Requiretl?
*ady Now ? Will Notity Inspactor
? Wh
R
d
?
OF Yes G Na en
ea
y
-
I p licensed contracror Aowner hereby request inspection of a6ove electrical work at:
Job Atltlress ($Veel. Box or Route 140.1
03 u ie
Cc' City
Section No. Township Name or No. Range No. Caunty
OccuOant(PfllNTl Phone No.
) \' \ N \% G -l"-\ cn
ao ?a? suaoirer
1/A'r? raaress
Eiecvicai Comraqor (Conpany Name) Conbacror's License No.
C? Y-k P S
Mailing Aotlress IContractor or Owner Makinq Installa0onl
tq?,t.hureua
rnN s? ?-z 3
Aulhorized Signalur r/Qw?n 1?7 'eing In onf one Number
MINNESOTA TATE BOAHV OF ELECTflICIf`Y' THIS SPECTION REQUEST WIIL NOT
Griggn-Mitlway Bltlg. - Raam S-113 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., SL Vaul. MN 55104 UNLE55 PFOPER INSPECTION FEE IS
P1wne (612) 661-0800 ENCLOSED.
0`-c
?
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date w / ?; P\ I A=?5
?
?
?y?
Site Street Address ?D? /VG427h bl/-E' w 7e? Unit #
Property Owner AiQ 't° X /? % / /2 .lZ/ Telephone # ((i;?I)
e ?lephone# (9u?'o'Q ?e`?-7/?d
Contractor !
?
Address .3 f `,? ? ( / '4J'4?,?g-? ?l? City S // A State_&[(L Zip '" -'i`
The Applicant is: _ Owner I?IContrector _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
ater Softener ? Water Heater $ 15.00
_ new ? replacemen
Lawn IrrigaHon _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 be reviewed and approved.
6CII ? ???0 Appiicant's Printed Name ApplicanYs Sig ure
l ?S3
?
1987 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLODB'2 SEYS OF PL9NS?ERTIFICATES OE SIIRVEY,OET OF ENERGY CALCOLATIOAS
??
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGHITE WHICH ADDRESS
IS DESIRED. NO CHANGfiS WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MOLTIPLE DWELLINGS - RBSIDENTI9L RENTAL i1NIYS FOR SALE i1NITS
INCLUDE 2 SETS OF PLANS, CEBTIFZCATE OF SIIRVEY - CHECg WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COP42ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
?1{l ? -rG.4L11 ? E? ?/?J
To Se Used For: dj aC.h.CQt- L luation: Date:
Site Address 4a3 Nar-ff,vi¢,wTEa OFFICE DSS ONLY i
Lot .5 Block Z On Site Sewag
MWCC System
Parcel/Sub (It? CiX'kUIR? On Site Well
Owner l,v(1[1AYLt, UIIV? City Water
Address ?d 519 IV C s6 i-}f City/Zip Code
Phone 9PPROVALS
Contractor IiDIIOQ,, l.l!().60L$irtC'1 Assessments
Address L9ri0 f 6l '67t
city/zip Code 19ppL2 LagM, Rw 551Zq
Phone ?.31 -lA r l ?-
Arch. /Engr. &y}iQ. a, Opyl*x-fi1'
Address
City/Zip Code
e_ Oecupancy 9-3
Zoning R - i
Type of Const
i/ (Aetual) V-N
(Allowable) V- N
lP of Stories
Length ?
Depth
S.F. Total
Footprint S.F.
F&BS
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Permit y33, SO
Sureharge .00
Plan Review 2 16,
SAC, City 00,00
SAC, MWCC SZS,Oo
Water Conn S 25,6 o
Water Meter 69.00
Road Unit S,00
Treatment P1 80,00
Parks
Copies
rarA. 2 2, zr
Phone f1
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
COLLEGE CITY
LEGAL DESCRIPTION; L0T-,5-,BLOCK2 , LEXINGTON PARKVIEW
ACCORDING TO T RECORDED PLAT
THEREOF DAK?A COUN7Y,MINNESOTA
3
LCIT 4
`o
S80°23'30??W ? g39.1) N?j Q
Q ^ ? Z
?oO.o??} 1 ? `v l ?K
? 26 ...•'4251 1 °d? a\ ?
1o 1941.? ''a ?? r
FJ) b? ?!
?Z N OR1? P??
00, ZJ 7
tn ?aa
l `? i 'a2. `<?y
O? ? LOT 5 k942 ? A6 ?y g44.0) O2
cD Cn
?(31
? O9.%
? o!P
I / LOi C
SCALE -- I"= 40'
LEGEND
o DENOTES IRON MONUMENT
? DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELE VATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereby cartity thaf this survey,plan or
rsport wus preporad by me or under my
direct supervision and that I nm a duly
Reqistered Land Surveyor under ths
Laws oi tha Stote of Minnesota.
1RiVEF?T FLFVpTION AT SERVECE EXTFNSION=
PROPOSED GARAGE FLOOR ELEVATION =
PROPOSED FIRST FLOOR ELEVATION
PROPOSED BASEMENT FLOOR = 9y0" S'
ELEVATION
NOTE ' VERIFY ALL FLOOR MEIGHTS WITH
FINAL HOUSE PLANS
Brcdley JA4enson, Mn. ReQ. No. 15235
Date : z-/29 I9n
1 . • I . ? ?
EXTER1uR ENVELOPE AVERAGE "U" COt1PUTAl&JN
OYlNER
S1TE ADURESS IW3 r+hVt.e.u) • -4 r Co-- ??4ftG`- '
' LONTMCTOR 00 II DATE DHONE
Determine working square foatage of each.
1. Total exposed wall area ...... 'z180 sq. ft: x?J E zlc?. i
•2. Total roof/ceiling area ...... IZ 1 4- sq. ft. xo2t a 3 I.', .
Total exposed wall area above floor = Z I SS
.
a. Total wall window area ........................... l4a T
p
b.,Total door area ................................. 1 -66
e. Total sliding glass door area ................... 4 v 7T
--
• d. Total fireplace wall area.........................
• e. Total wall framing area (average 10%)...:........ ?
f. Total net wall area a6ove floor :................
y. Total rim joist area ............................ ?S7 •
Total eicposed foundation area = IoA-p' '
h. Total foundation windaw area ...........:......... o
1. Toal net foundation area abave grade .......:.... Iv p'-
1
Determine "U" value of each wall segment.
. a? .
a. 148 X??u??
, b. 36?, X"u°
,
LI-o 'x „u°? e 3. °? .
d. 0
a
?f Q y A
S• 4ICJ pU?? .0
. b ?
? f. 1587 x°uP . oy3 =?;$..2-4
1?7 ? /111u11 oyr = G Yy
. h. 0 A MUn 0 _ n ll '
' ;, I O a-ti g??UH , 0? ? fl R• ZZ
3 ...... ............................... Tota1
!f ltem 13 1s the same as, or less than item &1, you have met tlie intent
of 58C 6006(c)2.
U ?
Total..exposed roof/ceiling area = 1'L1?-
J. Total skyligl?t area ............................. " .
k. 7ota1 roof/ceiling framing area (average 10X)... 17-1
l. Total net insulated roof/ceiling area..:........ I o q 3
Determine "U" value for each roof/ceiling segment.
' .. ?. _ J( nUu _ a _
R• IZI p' A bV
ll" 1-7 p Cr O
1: 1093 ? / XfoUit . n 2 Z • Zq. 05
4 ........... ........................ Tata1 Q
lf total of 04 is the same as, or less than F12. you have met the intent of
, SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system mathod, the values established by the'
5um of items 03 and B4 shal,l not be greater than the sum of items 11 and E2.
1. + 2. ? .
3. + 4.
, .,
. . . _ .__.. ,
R,1WD „U„ VAl E ANAI-Y515 OF D009 AN?tL-AZED /{R&A5
wi NDow AIMA :
TYPji oF WINDaw :
'(Ne w14oo.u Uurrs NAvt B[f?./ Ti'src'O Foo, 7NAY Akc aa LillLP
c
?fZ? ?(r.
qBbJK qy0 /H4y/ O[ .rssiyN?o ^ O?-'?14N CSA«) VA4Ll.t OF 'J
IqcLuDIur. A/R !rlLMS,
uq,:I/ay, = 1/Z•$9 -- rZEld
Foorny?. +-Foerac? - __
rouxDAT IO?J yr114ppw ARZA:
TyPe of :
??ir- VVlNOOw !/4/If5/44iL BGW TESTCDFoR'R= V.tiur,tMl.Y?aqRtAt lrsTLO (IbOVL qN0
may gr AsfIyNcu A btsfyrlV^rI!a Vawe oF •g„r '=:SLL- ?uc?uo?Nr4
A1.4 ?1??n? , . /
1-? f a I???. ? ???V._L-c ?yyygJ Foo?A44 i KOOTACtC a 3? W
6LInINC, (?4-LA55 LJVQIZ ARi.K1: TYPLOfk DvoRt
5t-s0,NQ Q1.-159 DOOlZS NIJL 61.104 71.}-f LR FoR"R' Y?1?K?y THLY AiL 13 LiAtfO
AbOvL AAlD M^`( PJI A3.SlyNA-9 w VfisIrdNGsAri-) ,/AL.KL OF,IQ,"& 7.R7 iYCUX.Wyy
/110 iiiMS
Uy; ¦ V'ha = ' tizc= Fiy°r>4f- = ) '
DcxoK ARaA: , TYPC oF Dov?t ;
DQOfZ IJ"IYS H-A,Y[?.? BEL?f TLSTCO ANf? FOUyo Tb }+I?Vt qN
'FZ'-VALUA ep?_ lNC.-LtO,Ny A#p 011.Mi,
4j, : I/Rr, _ 1/. `J. 8/ = r771--EFC71. r-oarnC(k= 3, fq 0
5PEGlAL5. ; rYPE :
raaMC_t 1eA3176V4, D4rE•. _?SrN?a._. ..._._._._.__--
_
?
Opu
''. ft ANOrU" VAL" f. ANALYS I.'P OF _WL' ?. SLGTIo?JS
R?M LTo,S-r ?mLA:
,.R. _ \1 A L uE
.(?? _i nIiF RIOR. ^l 2 PIL M
,00 USULnT1oN (R-?q)
z.0(o - 2-X3LsrlEArju4_B1111,1--
%G? '?
_ ^? 5ID1'J ry _ LAQ-
?• 11IL" SOF fWOOp
E,CTAiz.ioR H1g- r-14L.wl
2 ? Tor n t-' q••g" ?AI-u.6
u., • 1 /% • I/ p 14-31--°
Tom " rn4t
FOUnI O q'f IoN WALL ARE.A CAbovc. CiRAoF-D
„R,. yA L u.E
. G/ IIJTERIOR Al+2 Ht-''l\
. s s eoucR r i-r cuocw-
r` 2*11 rm.ilr)G Vv.22i,•_
C4w&h OR KN.>L4Nfw,4 (R. ?
_?Z=E)LTLc.io4, n,Q rIL?h
1 z, ?3 TOTAL q,q JqLULE-
u?•. ?/? • ! /..?5?_m ??2?
?5KM t•i 10100ofE
roTat Fmrtic,f,
1 0`/
9'GUtv _.
r r N r
F? AND VA' 'J E. ANALy5l5 dF ,Q[A ' '._ SG4Trou9
Srup / FPAMIN4? AR.it q -
,•R". VA L ue
1 ? , !?"?INrEa?oR alR ?"i?Nl
c,yn.suM wALLeonea
Sof rvvoeo •
Z.O? u1 SHd4TMN4 p,WT- I:T?
r ---•`?? SIDiAIC, 11
VAPkn4Z BAaR?t¢.
. I 9rlR10R, AIlL PILM
v. S orAL' R...,; VA?.u..
0?1 • 1 11.0.$35 • , ()
TorAL roorAGC ZIR
.J- NSILl.ATLo f1itcA BrrwuN 5rL+os
~R"- vALu.L
.G TUrt¢ioa ^lp- rie.M
? - ?? ?e _ (lyPSU.M N,/AL460Ae,0
o
II?Qn,_(L"
IFISU.IAT ION (R, I9 )
2S
Z, ? Z
jHE& TNJ H4r 4Z 11 4i
?6 !/2 _ si aiu4 ?1 RP
VAPOK+ *AR-R-'CdL-
.17 aR?lrt.i qM AIR. 1"L-M
2-2-.9(o OT A 1. WM+L YALLAt-
ftLy,•uL.-.. 11..Z-?.' 91s•
TOTAL /OpiA4R I?-`J?l
NL-1 OMW7(.Rs l)ACt: 5,Suto_
?R„AND YU• VA' AE AMA LY51S OF TH[ rvF/t@iLi?JrA 5rLcriop46
JOiS7/ FRAMI-NIG flRt^
•R•• vA Lu E
-sSal_1N7ERIOR A1R FI(.M
I Y
y..'i3.5 50RTwoo0
S "
e sil ? c4YPSaM weLe.Donap
vA'pvR 0AkIPicK.
??INTERioR, AIR fILM
TOTA L "R::,j VALU..E
"We z r/a..1 • I_ ?.a
7"oTAL Foorw49 ? I ZI ?
?NSULA7En ARfA pGtWLGU T1/E. TGIIS"rS
'R ^ ^ N/Au+tf.
• C,f tINTERIOR AlR /f1.M
yy 00 JNSLLLATfON
.S$ S „
GYPSUM WALLp"QO
VAPaR bARRILR-
??INTE.RIOK, AIR fILM
y5•36roTAL "?.-?:• vaLuL
Ibr.%6 naorAce. /o') i Y
" M-1 r#/M76ftr PMir/ SlyNfd
?([ VV VV nVll lVl • V VV?V• llV? IVV I?f ?
r ? 2Z ?m
aia Nt. 6-c9-os sN[w z-oc-oo ncLCULoa = ?Oo?,G o PNSsF ,
' o ,,.0;.1
• - ' d
nANU1?L ' Iu'tL• e0.0 Va!' ?t
DCSIGM YCP iP[-71 1- 1-17 NEPitIllY[ SiPS useo YO],47 .
7nU33 SYM 11t0U7 CL UBC
IMCNSVLi1,I5 LMS11.15 L7.0
? `'`??????????'•.
pANLp L[MpTN SLfIP[ CNONU 1'UhC!' MOM!!Y MEti fUPCE ???• '.??'•
ff-3k-St 117 Ltl5 1N-L! LBS ? 3? ',•• ' '
P l-. l-09-13 7.00 C 1= -1907 !371 ! ]s .475 : Tl ?•!.?'L10:lr •j'%: .
Y 1% 5-0)-0) 1.00 C!a -1046 7171 Y 2. eq5
v??. 7-00-0b 0.00 c,= 1t12 1516 P 9a? 7-05-1q O.OY C 7• IeU Il16 -'.?•? Srl._,LrJ. jt? .
1 I .;?' ?• ? ?.!??` .
e??UqtlCN OCSIGN SUNMAFT-==?f4!'SILRED 1N ACCUpUAI,C! NIiN TVI-71% AMO NDY771s.
COr.NI?EO '
57kS RATIG= AIUL ? BLNU Ftl ft YC I hereby ccrllfq thxt lhis plan,
TOY cNO 7[ / 165UF-I,SL' P SPF 0,74] s 0,779 + O,fu1 1e5u (D'!0 1320 iM=•1:atron, or .•;pat w:: Vw.;,rh -
sOt [n0 ZI 7 7lSUF•I,SC e SPr' 0,49I c 0,767 ? 0.277 IeSV Iv20 IJYO by n,a or miJu my dn;:l u;:rrn:yn
i . snJ Ilul I mn a tl.1Y
Abl. 4fN3 ?i 1? STD OHT DF d01N7 NtPCt (LNI MIN tlxG(IP) Pro? .; e:al Cr,;->?r I..Jor , ne laui
; I IJ 1. 5) -I370 !.! .ollheS?ta.
I ?
70fl. LOAO 0!'f A1 J 6= 0.116 1N, L/U!1'c 999 L=77,OUF'C CAMtl 0 1/0 seU4hECfOP YLitE 5lLECiIOMV(COIl1"URMS TU MUU YCb 17.OS,61U[A 90-60,56CC 7f?71-7b)??? Rq=l'+!io^f»?13552
JDIAL NTCFp-v1IIL SWi LGCRSION JUlKi ' .
PLATC 512C O1PCCIIUN Il(Ih) T 9'TME
(J 1 I S) 4 111 % 1 PS VAFi-B[ CCtll'!P!p I MQR 8 19°2
[J 7. U' 1 [] Yf VFpA-w0 Cli.IlMlD 4
tJ 71 ) 1 1 Pi v¢HT 7 ! 7 .
? W 7, 61 7 l/] P7 pANA-C0 4 2
cCNO 'SPLI(CS-SLatS YANA i0 CXD(I6f'7. MA1l LUMBlRIrs =={PLA'I! NA71NG5)===-
IC 6f? .9•1I2 1 4 PT ^ 'lD GA. Pt /116 V5I 4X5)
Ib GA. N(lV7 PSI hL'U
?
r /`--J^..-'
HYDRO-AIq
ENCIMECAING,INC.
•O M?I]f? It??H.Mqwn ?1??1
SiRUC1URAL COMPONENT SUPPLY G0.
sox sss
CANNON FALLS, MN, 55009
507-263-3311
e
oun?nuoon+rwus[wnHxroao+I+CoraaonsrMifI RutI nois?cnouuirmnou?iImio?.c<aw'c.!nnn+oBE tk ""1t -
t0kl0% I119I; t0I aun0?MCD6?EMAt1nSSrIqf iLilp% UilntEFAC%l% G1inIWHC?ME s???1\CSIILIRIOIS{D4\?1fRqSU, I.tU?Rll?Ge[?l
FORf OI ISpInOUAL iPV31 V[MI[11f O4V 1OO1110YB I1If1YC Of /Mf OYl14l SIMY:tYR! V111I RIOUORO 10. 61H-At 4Y-+-?:1 1 IPI[? ?l?II3 0? IOM p0li
or 1•vu n?m uutu a,.[.
uio.n.c!j'ooJnus:jr iaes.arn[r.usseuaxcNfownwirnao.nanwLm.cots1crIeiv.1„o.•.+1o.nu»r,c ..14 .oll o
i.enuvo.ev.unco%r.oivoA.ii.efuv[nr.uttno+?xe?..t??co?rwsus.co?sm?r.?au4ui.tc.i.oL+«..i•..o ?..-e.*1oc+a.ovia( s,ul
- - u latnw m or nt nui
T.1 Arcow* %cF ocooI oisu.o•+ereuncr. . ir.:» 1:11 ?u:u•io ?•c.
('AY111}lLfiPOYTPUSSOLIlE1M511TUTC.IMW.CHl19CM?T_{PlCETICS.Y0.11)0I.? . ll?l?l
i ]]?? , f
? Y
?
?
30' o" ?rnMoa
Jp! wU. 170594 TLPC- 900 7oP ".P a 5,00/17 iCLt- 40,0 P3F
p.tiGC 6 hf 9 SPII_ 10-00-00 8u' Ul A, 0-00-444 iC9t+ 10,0 Y51'
0/L Mli, 6-02-0I SPCG. 2-00-00 ?- tlCLL: 0.0 YSf
, BCDLS 10.0 YSF
NIhVAL TOtLS 60,0 YSV
OCS[G4 P(p tYI-Id 7-19-17
P[VL'IltlY[ STpi USED y05,40 .
iPV33 STr AlOVt CL UtlC .
IHCP VLal.l! LKSI.IS L7.0
pApEL LCNG2Y SLOPt cqppD PoNCE MOMhi YEtl fOPCE
fi-IN-31 /II L03 ]N•LB L1,3 -
P 1- 9-05-01 5.00 C Iv -7701 7479 w 1s -675
P2• 4-09-56 5.00 C 7= -)OBS 2179 M 3= -476
P 7: 4-09-06 5,00 C 3. -3086 2479 N 72 1191
Y 1• 9•06-17 0,00 C 1= 7171 2849
P 4- 10-G1-LO 0.04 C 9= 141'1 9949 . . •.CUY![III C[SIGN SUMNAPY+ssa(OLSICNEO =M 1CCOPCANCE YI}X YP[-70 1NU NDS-77)s•
COMMIMED
`3rP5 pAT10 = AIt/L ? BEND re tT t'C
7oV CHO 7X / 1630F-1,SE ¦ SP!' 0.8)6 e 0,165 ? 0.771 1650 2070 17e0
EOS CNO 7[ 1 1630f-t,5[ M SPr 0.982 • 0.556 ? 0.426 16bV 3070 1770
RLL YE95 I[ 1 Si0 DPT DF JOIN4 REACT(LB) NIN tlNG(! N)
W' 1, 7 1 -1B00 4.0 '
IO4L Lp1t0 OCf ?I J 9. 0, L4 IN, L/OCF= 936 L-]O,OOYt CAMtl 0 1/4. .
sCpNxEC70 p PLATE SlLECTION=(COxFOkHS TO Mb0 T[tl I1.05,130CA tl0-tltl, StlCC 71171-78) 1 hereby certly th°w
shma
:arn1
JOIYS NTDPO-N1IG SbOT LOU7fON JOIN2 a
cyetiGtatun, w«Oa-i
nr mder mY dlred ncc,re'on
PLIiE S[EC DIpEtSION S(Li) Y 27P8 . by me
en0 Ihai 1 am a dulY Regi;lued
(J 1
11 S C[ 0 [ i A I L
(4 '1ax'7 Y2ll? ( ll Rclu::;nal Ensfieer under tha la.s
>
. . .
OlthaSrjleoM7??ez>
1d 2, 6) I IC 4 VT PaNA-Ye CeNTk0.L 4 ?
M
(d ), SI l F 7 PT Y1nA-Vd CENiNAb 4 ? '?`'\ f
z z 198
ta,! ! 1i7 z, rr xanIz , :1. 4 3 i Cj:Sf(dllCn N613S1
{J 9, 11 7 I/7 Y 6 PS PAqA-C0 ClNTHAL 7
•GMD SGLI ClS-36023 P1NA i0 CMO(IeFT. MA% LUM BfP)a sae=(pLATf
' ppTiH(;5)==-=
??? .
tG 7. SI
IC 01 7 1/7 9 4 P[
7217 % 6 YT 10 GA. YT
16 GA
N f116
(107 FSI GN51
PS! N!i) ?N•
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, S.
fG 11
i II] X 6 P7 i
?
.?:
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MILTON E, ? It
? f1E 191FDEN
E•b0, u
.? . lt.touL p 2
:cJ;o.'.......... : ?• _.
900 ,
SiRUCTUHAL COMPONENT SUPFLY Cci.
" SOX 338 ?
CANNON FALLB, MN, 55009
' b07 ?63-3311
, ._. .. _ _.. _ . .._.__
' ?
?HY0I70•AlA
FHfI?FEPI."l:,1N?,
J
014G" VAPO OYN 10R Vf! AITN NYOM01111 COMNfCiOPt IMIf 111Y1f IS 0[fiE410 I! AF IXp1VI0V4 IUIIOHC f 0?'^'14f it 'f !01( "
LON FOR IIIOIIIIOA IUIIOINGDISICNIT INE2/ICIIICAIIEiIOILMIOLSIGYill OIIXIIVIkCIMC SAICIy?LtL?10311'0' ""R\{SVP
10-IO11?01YIpYII}IIYSSYEMII?SON??,/OOIl10NLL???fINYO/IMlOV111111IIIYCiVl1lM" 1(IIHVI-lO 10- C??f"l CU'O"C!
Nt IRA[VOC wOap }Ayffff'. i0R SPFCIIiC f11Ytf II1A[iMG AlOY" fM(Nif [ONIACI IWIl0iR0 OI3iG4F, IQ. i"'JMII-IIO,
141nu110• au.urr corrnoi. sroRAe[. otirves1.lejcnnr ero uati+e or reossit. carsuLr r.t a:,.?n •s.n^; r.v?.....?o
r.r.. •. ? .. . msr+.v^]?.a.?.?..
xorts r-.
L[YI Ill YlMlf M 10 IUM
1 [!4i[R /l.119 04 'Olx (10[S
p, tllusiloutSU+ltAatwl.
AnsE .orta
txen vIar s.au
?? ?c.rn ?? o? ?•• .
. ? ??, ?
I Z•`.
p'p" ?1v1.'-T15(IZ.- i
I?
1 I Design Irrformation I IC(D?LIa bu.u asr 5
BC(D+L)a lU,U PSF
DwG N0, R79-S010-I'l2P-SOSS .L(D-L)a 60,0 YSf
SXI N0. S) DXTC 1/12/79 32FE35 INC a 1.15
2 Maximum Chord Spans (Ft.-In.)
LUMBCR GRACE SOP CHORD BOSIOM CNURD
a5.7ViNk:RN pIVEs 7x4 I%6 7X4 2x6
NO 7 KD ? "LU- 831- 8 20- B YS- Y
NO I ND DENJE 7'1- Y 39- 9 2!- Y 79-30
NO 3 KD '!3- 8 35- 623- 936- 6
NO S KD DLHSE 35- B JB- 6 27- 4 97- 4
SCL SSAU FO 25-11 37- 9 77- i. 41- Sl
DCn SCL STAU KD '17- Y 60- B 31-13 44- 0
2M50.-AL4 S7ECIESa
, 1650F-I,SG MSR ]Y- 4 74-118 24'11 76- 10
IBOOF-1.6E +SR 7i- 7 76-l0• 2s- 74 40- lr
?Y 1950F-1.7t n50. 16- tl• JB- 6* 2tl-106 44- 0f
' ? 1750F-1.BE Mg? 76-t1• 4 4- •?i- 0n
240OF-2.Of HSa 17-10• 47- 66 36-106 94- Os
• •RlOUINe:S 2X6 BEFRlNC taEUUIitl:S 2Xtl BCARING
3 Web Requiremerrts (Ft-In.)
UNBRAC:D tlPACEO
2X4 NE03 01,w3 02 '*4 N1.M3 'a7 N{
JKD-SYP 7N- 0 47- 8 43- 6 43- e
' 2NO-SYP 39- 0 43- 6 43' 643- 6
STU-NF 35- 6 43- 6 47' 6 al- b
COn-XF 35- 6 67- d 43- 6 43- D
1X6 OE35
7KD-SY? 03- 6 qJ-S 43- 5 13- 6 47- E 43- e
402-NF 47-,0 43- c SJ- 6 ,93- 6 63- 6 63- 6
?_, MA%'SPAnS(k'I'INJ NYDRO-N0.IL LOC:IION(IN)
n0. 5'!P OF/MF PLp2E SI2t --X-- --i--
Plating Intonnation
J 1 23- ! 33- J 3 % 10 P2
17-11 27-13 3 E 17 PT
le- b 3e- 5 3 z 16 PT
!7- L))- 2 5 1/2 % 16 P? (hELDS 7S6 IC)
43- e 33- 6! 1/2 X 20 PT (N!!OS 'tX6 ::)
J Y 41- S 9e- 0 l E 0 PT
43- E 43- 6 S 1/3 x? PT
SJ 7 25- 7 75- ] A 1/1 X b PT a 1 tia
60- Y 40- 9 7 X 8 PT * h 13/4
J 3 36- ) 111- ] 7 1/I X 4 PT 4
43- E 43- 6 7 1/7 % 6 PT 6
J< 77- E 17- 6 7 X 5 P2 J 2 7/4
34- e 74-11 4 1/2 I 4 pi 4 l/l I 7/tl
41- 3 il- 7 4 1/2 X 5 PT 4 1/I 't 1/7
43- d iJ- 6 S:/1 x! PT 5 1/1 2 Jitl
J Y 22- tl 3!- A 4 1/2 X 8 PT 9 1 1/7
27- 9 37- 9 S 1/7 x 7 PT 1 2 l/'t
31- Y J]- Z 7 X 9 pT, tl i
35- 4]t- 4 1 X IU PT 30 4
43- e O]- 6 Y % 12 PT 12 b
J10 42- 4 41'10 2 1/2 x 4 PT 4
43- 6 43- 6 J x 4 PT 4
SJ1U 21- 023- 7 S 1/3 x 6 P'! 6 21/4
22- x 32- 9 S 1/7 X 7?S 7 ] 1i9
'tn- ? 2b-l0 7 X B?T 9 3 3/4
'!7- 1 37- l9 X 12 7t 12 5 3/:
CHOXD 57LICt OPT?Un5
C Y 35-11 3b'31 ! X 3 P:
30- !)0- J i 1/7 % 6?T
43- e 43- 5 S 1/2 X 6?T - C 922- e 72- 3 4:/7 % 6 PT
e7- v 2:- Y S 1i2 7c b?T -
32- 9 3?- 9 7 z B?t -(2%2 6L.t a"O)
pLA'LES nANNeU • nlObldC 2X6 CNOkOS
GnU35 PLaSf eA[1NG(?SI) FLd ?i=21e(5YP),]15(OFiFF)
-..,,
?}v
P7,L:a dt
i+---?-a. l \ s?ra
4 Force trtformation L=Span ( Ft)
CflURD (7PCE5 w!o FUPCES JOIIIT LOADS
C 1• -161.1L w 1m -24,616 .1 1• 17.51,
C 7- -221.76 w'!= Ztl,IL J 7z 17,4L
C is -155,9L !- -47.7L J != 15.]L
C 5e 190.46 M ra 104.BL J 4-' 19.3L
C10=• 337.1L J Y. 4.e1,
iiCRC't= -60,01, J1u- S.SL
, DCSIGNED Ih RCCUxUAdCL iITH tPI-7N ANO NuS-77
STRUCTURAL COMPONENT SUFPLY C(1.
eox 336
' waiil: 1.gapI{p?qp?? ?au.
-
iq.i?i en eam aion ellaint
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unNn x or r I«aianl a.. ?oscirNe.
SJ2 71» ma ??encna ii rnomve4 ?e pZ,
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6
p
p.prq? W
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L? 7E??IX ? SIOPE
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in:WFt ? 12
° PtO. '??4
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50 PIyE L HSA-.LL 5'rSCIES
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D[SILM FLO 7i1-79: 7- 1-92
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70P CdD 7R 4 IfoOC-I.Y[ M SPP 1,017 s 0.251 • 0.7]9 71VU ID75 1700 hymcoru:ACrmYOio:;.on
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ALL %!-tl3 71 4 i5}U OXf OF JOIAi XLA[7ILe) N1H tlMG{lh) oltl.uoc?.s?_ ?.
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TOI?. I.OFD DCr At .1 16- 0.194 lN. L/DEf'• yYY L=30.OUF7' CAMtl U I/Y
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I s(ONnCCfOA PLRTE 3lLCCTION=(CON'0NNS TO MUO iCB 17.05,BUCA e0-Btl,86CC 7Y171-7b)
? JO1ui NYtlpU-NAIL SL07 LUCRS70N JOIA7 .
I i iL1tE SI[E DIPtCT7Un A UNI T 7TYE ??AR e
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I•ti10 SPLltLS-SLCTS iRP4 70 CMD (leFT. Y.A% LUk6lR)= eeea{PLAiE R?T11+G5)===•
IC ). J) )]17 l i PT ?D LA. PT U46 YS1 GN57
? I( o) I ) t/7 1! 4 PT ' 10 GA. N U07 PSI N!'t7
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' STRUCTURAL COh1P0iJE14 i SUf'PLY W.
i? . BOX 336 !
CANNON FP.LLS, MN. 65009 '
- 607-263-3311
I ? ,..^l
r +o,?::
I I . ouvu..uorn•Fo•uamrxNreooAi•corrInoPi?xnuussrsouo%lo"nw'.a'v'ouuounonccoM•o?ninrs?on?• I.I uuu???n•novuti
[c.roa•nou+oA lunoueol sIc+AnntsqancmGroii.[ou1uieonel lmt one?e.pvev?n?non?o??u?.nmr f?n+urumor?e?xm
af ?.vssi>1.nurilssoiH
ra•i?wmovai?•usswvuesorir.?omnout e.•u+eon.[avu .u $i wnu.f U..'[ ol av'p I e 1 ek a %i&n eww+c I
nn.cw4CClRYifl3'.IOR SIILIIICIAL'SSIIIkGMGm IOUIp IVIYIt[[N'f11U114??LO1SKMl?io+i.?o?+.no+riu.??•c ,n .ono
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ENCENFER/NC.INC.
•O?e?f:f1 N1w14.Y4?e.AU1T ?'L??ILLlIL/PDYTRVSSPIATLINStITUI[.IOOW.CXU%CNIT.,RID[01Ct.VD.I0N.I ?
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i
? VETEHAN9 AG.
''RATION, U.S:D.A. FARMEA! HOMF AOMINh !1N, AND
U.t, Uc, .aRTMENT OF IIOU9INO ANP UR6AN pEVELOFMb.:t
' lIOV91N0 • fEbEpAL HOU91N0 COMMI9910NE/1
, . Fm accunle teeltler of cubnn eopla torm moy be upudeA don` obove
fold. Rlmpb eompkled oheels loselher yn orlginJ order. .
gX ProPosed Consirvcltoo DESCRIPTION OF MATERIALS ?ro. - -
. . _ . . , (1'aAclmnftd6yllUD,{'AmFp+ll.lJ
? Under ConNrudlon OXFM •' i ?
Properly vddref. 4033 Northview Terrace ' C,?Y ?Ea,gan Slals ?'•
, f?---
Morigagor or Sponsor William & Elaine Olive
l^ddm„ _
Conhaclor or Builder WLLF-GE CIT'Y OONSIRUCTICRV. INC. P.O. 6OX 309. N(AZ'lll[IF,111, FffJ 55051
(Y,meI Inal?cul .
INSTRUCTIONS i
1, for adAlUonN fnlormetlen en hew Ihli Ibrm to le be NbmitNd, numbr nqulrlA, 'tlun fhe minlmum attepfabb wlll be ai+umed. Wed a.c6401"0
e/ enpbt, eIe., sas 1M ImVUellens soplkeMe 10 Ihe qVD ApplleHlon /or lnlnlmum nqutremenH eennot bk eanddaed unN+s moclllullY rhun1118d.
.
6?onqeo? Imv.ma, VA Ilequnt ler Detvmlmtlon o/ Putanable Vdw, et 4. Inelude ne sInmoHr 'br Oavd° phrnIel, ar conVedicio'r 111,111
FmIIA ProplrtY Imformallon !nd AOOrsbel tiaport, n 1M eow may bb (Conildmtlon ol 0 raQOUt lot eoe.pUnes ol lubntlulo malnldl mtqoln:. n.t<<me dt me»nIeb ind enulpmmt lo be uwd, whothn of nat shown ' mml d nel thua6y Orecludad.)
nn Iht Anw1n91. DY mb41n0 an % In ueh appmprlsto theek-bos md onlvlny E. Inelude NpnslulV2 n9uUed at lhe md o/ ihU lorm.
the Infamellon edl+d ler ruh tnace. 11 mec* U Inede9uHe, onta "5ee mhe." E. The eamlmetlon shdl b eomPbted In eomplqno wlth thr nlnwd
onA d+xrlbe under lum 77 or on moneahad then..T11E USE OF PAINT dnwh?q md roodllcrtlanv p smanded durln0 Prouulne. ih@ tnadlluUnm
COHiA1NORI MDrIE i11AN THE VERCENTAOE OF LEAD BY WEIIHT Inelude thU Oourlvtien oI Maur1aU md Ihs ppllesbb Mlntmum Pianiulr
PEfIpA1TIED BV LAW 19 PI1O111BITE[/. 91snduds.
J. Wort no1 sveclflully doierlbed or ohown wlll not be eonlldeHd unlen
1. EXCAVAiION:
PrarlnR wil, ly,K Clav and Sand
2. Four+onnoNS:
Pooiinst: mnnrie ml¦ Redi-Mix 3Q0(1l i,uensih p,1 2500 aeinra,cine NIA
foundnlon wall: mnerhl 12 k?r 1 concrete h10C{C8 arinro,tins -NLA
Intaior roundnion wall: mucrlal 4' ctirb blocks p,ny bund.aon w.n NiA
Columnf: malcrlal and dtel 2 X4 center BfUfj W811 Plert: maItdJ and Rlnfurdns Concr-t'te
06d<n: munlal and dms? wood7 beam k 9tUd WeLl Billr. milcda12 x 6 trPahcrl wtll ReN]
Bawment mhince arowq A _ 1Vlndow sreaw? , _MIA -
?%.,,r,p,oofl„? ASpltnlt w Polv rooting dr,tm " (Ira1n tile with tubes & s?n,? r4i?s_
"irtmhr prottcdon N A
Iinrmrndru vpace. `ro nd tover N A t Nwlillon N A I fwnduion vcnnN/A
S1rrlal foundaibm N A
AdJitIonal InformNion: 3. cinn+?+Ers,
l,lairri.l PIetAL b@8rOL1A Pre46dcued(maAr.n/iw) Ci889 $ 6"
f lue linlng: mainlal N/A Ilesla flue dte h Fi?eplace flue ttee N/A
Venu (melniaf anAiqe): [n or oil heater N I waun ceuer?+ galvnnize 1- Clasa C.
Addiifonai InlormiUon: N/A
4. FIREPLACESi •
7')yK: (J wlid Poel: (j sa-barnine; O t{¢ulalw (ineAe anI siteJ Aih dump and d<inoul
FLrplan: Bdns 1 Ilnin` i hearlh = mamel
AddillnnAl Informninn: •
S. EXIERIOq WALLf: Stud Grade, Kiln dried 15(1 felt
WooA lnmr: wond Sradr. end qxdai Nnminrk Fj,r . R Comer budng. Buildin qper w fdlaYmd wlnrlf]rtdst
sw«n df.gond: _!I A
Shnihing Ruilt-Rite I ihickneu 2 Z 1 width..48'.t (l plid: P
Slding J{4S ili?i._-t e,•ae?-?t-e?ri-or ityp, •.?p .,.?i.lt.e 12? 1 eaj?wure 11 "i fuun?ne 14nit4
Shin?let r?bCO ?i 89A ? 6nde «U?? 1 ?YP?`Seal dn j II:e 3 TAb-_t e.?we. 5 "1 Gnentne StaPles
Swcro t Ihitknrn '1 Vlh..'•' ' ? waiehl Ib.
Nluovy vrnacr Sillt ?Inhl/ P¦u Ilnhlne
I0i,onry: [] wlld [] 6eed ? nueeoed{ lold wdl ihicknm "1 fidn` Ihlcknns "i fadn`_ maledd
... B¦clup mncdal t ihkkneu "7 bondlne
Iloor dlh Wlndow tflls IJnieb Bue Ila.hlng
Imedor surface.: dampproofind, twn of 1 Wrtins
Addillanal informHlon: StllCCatCO 5[ BIICIC F''TOC1t -
Fx,c,io, F,.i,,,i„e: ,„.,e,i,i F.xterior Oil primer and exterior lafPx t number of cau.
(:ALle wall mnnruclion: [] Hmt u maln w'Iblfl Mher wn/truclion fiehle Flld TT119A
6. ?LOOR FRAMINOi
Joim: woal, ende, ,na spKaes {lem-Fir AP = other . N/A I brtdelns 1 X 3 ianchon 1 Z?bn (l-(:•
Concrete dib: m bii.mrni Ooori O fini Iloor: Q 6round tuoporled:^? fel6suppottlnE: inLt 3(x? P.S.I. I thkknan 3-1 2_
r<Infoerlns NIA . t Imu6ilun "/A 1 membunt V/A
fill undcr dab: maielal,,.Ex1AHnprRAn (]1qTI thkknos 4_". Addilbnd Informallon: 7. SUBfIOORINOt (buni6s underllooring lor ?pedof Ooori undrr ltem 11.) '.. .
I.Inrrlal: 6raJe and ipnias 3/4 'fFd; Norhoard j it:e XB I npe T.XtPCltr
L.i<i:13 e,it nw.s [I iKOna nmf; O tllk tq. 0.1 [] dlasonil;73 rlshl aneko. Addhlond Informatlon:-RLMI An[I
B. fllllSH fIOORINOt (Wood only. Dauribe olhar flnlih Aoorlnp vndar Ilem 21.)
Loc.non Aoow? ORnot Tu?nw WIDiM
ritit n
Second
N/A F
niiic A.
AJ liilonal lnratmallon• NIA -
IIUU9700516191 ? DESCRIP1101A OF MAlER1Al5
VA rorm 281851 Form (mNA 4712 t
.
? DESCRIPiION OP MATERIALS
9. PANIIiION FRAMINa: Stud Grade, Kiln IJried
SiuJr. wood, grade, md qucin llemlpCk FL[ die and tpadnt 2X4 Ifl" ott c2I1teC Oiher F1/h _
AildidonJ fnfarmadon: N/A
10. CEILIIIO FRAMINO: 2 xIt
Jo6u: woad, grade, end opala T(J1 18888 qher NIA 8r;,?s;,,g Lnternl 'Cri isti 'I'I
AdJit{onal InfmmallM: N/n -
11. aooF reann1140i 'rnige X
Ndirn: woal. Snde, md opecles 24" O.C. Boof Inwee (ae dcull): @nde and opedn LollSt. fbn(!I1t4 I`I I-
Addiilond Informiilon: rCUSWH RO[78 $80 U2CA 8
If, NOOFINO:
Sbcarhins: woal, enJc. &nd ipcdes 1/2" 4 X A' WaFer Board lll ((r.cboard) 113 wfid; [] ip.c<d_„ nc.
Rwfins FIi,eeglnYy I paut 220
O,d,,Iay As0lnlt SetUCateJ Fel.t ? wd`M a ?h?ckna?_/A• •rr ? dm3S2-; r?m??n?
Builbup roofint NIA I numbcr af plin N?i ourfacins matcrBl!]LA
Flathlne: miltdd Galvenized Steel I ea6e (r wtighl 25 P,aPe ' I O e'+,d slopr [] mow RkulJ?
Ad,inion,i inrerm.da?: 361t Felt Sterter 30 Minitman wer 10 Felt
17. GUIIERS AND pOWNSPOUTf: ?•
Cuurn: maulial NIA i p?e or wdeM LLA ,?_I .t:e _1Y1.tL? is?IK .-d/A .--
Ib»mpouu: mnerlal N/A i 6.Se or wdehl *?'yl[,?I dee 141A ishape N//1 ; numlxr N/A_
Uawn,pouu connmud to: [] Srorm uwer; 0 unlury awer, [] dry•wcll: (I Spl»h 61ocb: nuicdd md d+e _Ii/A
AdAi6anJ infurmaUon; rA1Ve[1LZECI P12t8L RHLn f)ivertors over uncovered front entrie4
11. lA1H ANO ilAS1ER ????
IAih [] wdlt, O ccilinsr matcdal NIA I wd`hl oi ihkkneu ??._JPla,trr. mau _HLA; Rnlth _BLA --
1)ry-will ta walll. 63 ccilindr mnerlal rYP8tIR1 AoBYd.• :.. .: j IhlcYnusW/8"t Ant,h W8119 6n10701. CP.lline texLllCC(1_;
JaIn1 utaimmt 3-coat procese • cement taPe gnd snnd
1!. DECORATINO: (PaIn1, wollpoper, Nc.) '
Roov? Wu FwnN FleTUUt ANo Arruuiwh Cu.mo ?immt Alsnn? e.o Arruwon . ?
Kl?chen
Paih 2 cants waehnble latex
2 coats wnehaUle latex Spra er "eX?JCQ(1 111c?L'attlcles_
$?X?d_fi?L.extstrerLKLL'ILC(LL'tiC1?CIC":-
plhr. 2 contS w&8118b1P 19teX SnreyPd k 7'PxturPd w/pHrn 'Inrtir_lc_s_
Additbnd Inlormallon:
16. INIERIOR OOORS A1ID iNIMI
Uoon: llow core dor?rA mu.rw ^ OA ; ??
Iy?K- ? ?C IhiAnn? 1 -3?
Flt?sh }m
Ranch Oak ilanch Oa4 ' ?
Ibnr Irim: lype i m?lerlal B+R: lype i malcrlal p d?r-• '
Fi„iol,; d„oro Stnined sealed k varnish i„im Scmie _
Oihcruim(Onrqlospanerocorren) -O-n?k Skirt Board TTi711 OR StfliCB, Wi[7[)04/ Fh111iot1R
AJdiiinnal Informnion: ???A
17. WlNooWS: Kolbe & Kolbe
{VinJawr typr ?fJn[l rfil make OC eQUHl ? msledal Pine ; ush thicLnrn 54 SCoCk
Clau: SnJe IIlSUlBted j[] ush wdghb: 6alance?. ?ype N/A ; h?ad Ilathind inX_? --
Ttim: lypr RAnCh -t materla) ?!k ----- Palnl Stain.8281 .VFITI7i6llnumt.rr coall ;
eion I muerlal ? 1 Slnrm luh, numlwrj115111 A1?
IVnihrinrlI f >>in8: iYIx r ?v
?'? -L-irt-Ollt ?
Sac<nr7[R fuil; 0 half: lype i number'H 1 1 rcreee [loth mnicrlal Itoni ]?on -_-
Bapemenl windowl: Iipt I maledJ Pine .; areem, num6er nll ;Smtm udi, nundxrtlltllJnj?
$lsdal wfndaws
AJdiiioml Mformadon: . --
te. ENIRANCES AND EXiERIOR DETAII!
Aldn enuance uw: mn.ri,i lnsulated Metal s wia?h 36?? i Ihicknnl1-3/4., Fnmc: mairrial riI1P' ;iLirknrn 5/11 '
OJ?er muonce Jrora miterlal ?'tettlL CIBfI .I w?d?h 32T?i ?hl?Mncil'3T?I Fomr. matrrial Plne ;thitlnen Vi_.
Ilaad Ilashind MCte1 I)Cl LOD - Wuthentripptng: iypez-tYVe (:c7riPCeSSLo[7 ; uJJk1111h
S?r?cn doon: ?hiclneu N A"t numbcr N A t Kreen ebih muedal N A Smrm Joon: thihaeu N n"; nu,,dxr ?I A_-
C:ombinadon uotm and Kreen droru thic4nrn.HL.A_ I numbu_1 areen eMth maurial --
Shwterr. [] h{nged; [] fixed. RaOfnss DeC Difltl , Ame.louven Circular k Vetlt Sf:CII_ __
_ _-
Eklcrfar millwork: QnJe anJ yxdc5JC?4??Jeroet? P1ne pdnl terior Grncte! oil_; numlrr cnan _s 2
ndditianal lnformatton: F.XtBCiOY F83Ci8 I13 Rw h(:edar or Redwood 5ottitt 3%8" Fxteinr Plyw(x
19. [ABIIIEiS AND INTERIOR DETAIU •JW? oak 7 h Oak Cabinet, Veneers Vanity & Top Allowance
Kiuhen e.bi?vlf, wall unhsf maierlal Sn11!I-? 1 Iineil kel ol lhdvn Z : Jidf wlJth
Bale unib: matrrlal Smne imunter mP Formiea •„i`ine rt)rmIc?_'._
Uxk onJ end splnh " Fn?iCH Finish of nMne1? St9LI1. SeaN?A 8C11t5l7 ; number cv..n
AkJicfne u6inair. malr _ NIA I model _---
Oihar oUinru anJ bulll-in fnrnlmre Path Vanity - Oak Veneer
AJJiiianal Infarmsilon: NIA --
10. STAIRS:
?ms
TR I wo
Rnuo
Smeap
I1+vo2 .n - - - - -
B.lun.t
-"---'
Sreu I.Lurld 7TkYneu Mnrrlal 71ik1ner Materhl Slu ?1•1nW Si.< Afunl.l Sbr
?Shc
?9C? ?! 11?IlP ?r ?O U7?C ??
Ba?cmenl _ .
r
l
lk L
1_1/2„ _ 3L4 E1L 2x10 Oak Oak
s'l
IA
??,in ?n
c _ _ ?
._
.i.l, -- -
UiuppKarine: makr and modrl numbrt
AJdhiunal informo6on:
. i. ' ? , ? ' . ? .. . . . . ?. ?
I^ ?
$1,994.00 Flooring Allowance
?
•71, S"[IAL Fi00RS AIJD WAINSC01
Othe
r.,)
i ueacrtoe aor eo or nsuo m #,eru ua rroa uc9a uucclor
ea,.wu, onea eowu, euB,, aA49, Lra Tuuiian
MAnunL w„ta e„I
1.4nu..L uhbt.ItW.
Al+nnu
V1nv1 (15 Mill Ware Surface) or ernial onk 1&" 1,,d
B+,h- ('•eramic Tlle wlien applicehle (:.T.
" I:iitry_ V1nyl (15 Mlll Ware Surface) or ec'lal (lnlc 11" 'ly??rxkd
r tnnms Nvlon Carvet (World Versatilitv III(1Q21) or ec? al Oak _
IuutioH Metu Cao?, bwu. C+t, btµ Oent Lra
?'u+ ? IlucNr Ilum?i
Ovt? Tu? Ilumrt le Sin,wn?
Ii?ov Iwu.i
3
Fl ? ? .
Buhroorn acuswrka (
A JJitional Inform ation:
29. iIUMBINOi
numlxr N/A _
Fi.run Nuueea Locanor/ Atrsl MnY Flkrou lo4nnnuran No.
SinY 1 K1tc ke RSPF 3221 33" x 22" SLp111lee
L,v,mry 4 ifath (t l ure a ble Ce glHflrble Procfiicta H[tL_.
lvna c1oKi 2 I1Fit}?. n - ]A
[
?
Baihm6 1 fiatt Kohler Cast Iron 1 Oil .
??
?7LA__
Sho?oz o.cr wOL- 1 lin Wen 26f10 1`1/0 I:l1CL1tuC_
si,n eno.erA 1 Bnth Neo le
IIS Fibreelass Base 36"x36" 411 te
_
LwnJry iuys ?_ 3(?r e. ?FM Sin?ele 20" x 21" Cre}
?ei •l? ?1 ? SCg ? 7625 bath ti?h ?/A [IZA-_
ir o 1 M.B.
i La Strada x6' ?/A _
N'inish?? Qr 3/4 _
F s al -
Neo Angle
A(H [Lnain roJ dIA Dmr ? Showcr rynt m?tcrial N/A
Wuor wPPlY; f"$ PuLlic; Q communhy syslem{ El Indivldual (pdwte) qsum.*
Sewage Jiqwul: id puLliq Q wmmually rymlem{ [] Indiddual (plqu) ry11[m.* .', •
* SAuu anJ dnttibr individuef ryrltm in comPGh &lail iN x0arad drawinii an( iperjAraliau umdinj q itquirtmrnh.
Ilauw Jraln (insiJc): Q can fmnp Q lile; EJ oihet? Ilou?e stwu (ouieiJs): Q uil Iron; ? lile; M oihcr?IIStIC
{Vaier pipinp ?galvanited neel; ? eopper lubiy; ??tier N A Sill eocke, numLtr 2
Ikrmutic wairr Acatcr. type-H$Ctll'9l GA9 i maka and model Rh .P2=5O,1 hudng oapachy_4L9
HPh. 100' dma Smn6a unki maler4l._S?L.l rlaae linPC? ;c.P,ciir-- 5Q_e•uoN..
Cu ?crvice: a uiility wmpanY; Q Ifq. pee. ga; Q aher N/A Cat piplng: ? coaking; Q Aowe Luifng.
FOUIYIg JIaIIIs fqMOCICA tO: D uwm scwcr: ? unUary mwcr $dry wcl4 SumP pumP: m?ke and modcl
_CI/A i uyd:y N/A 1 di.char6u Inw N/A
93. HEAi1N0:
[] 11ut waicr. ? Sicam. [] Vapor. ? One-pipe eyeum. ? Two-pipe synem.
? R+Jiamn. ? Conveaon. [J Buehoard radlulm. Make mnd madcl - N A
RaJiant panel: 0 floor; Q walli (] eeilint. Panel eofl: m ulial N A
? Cirtulaior. [] Relurn pump. Make and modcl urydry ? A Qpm.
?..; ?s? niin w6.
Bailer. make and mwl<I N/A Owput N A e?? g IJ A U
AJJ i iiunal In fu rmatfm:
Wann air: 0 Ciaviry. [a Forced. Type of Iytlem.
l]un maicr{al: wpply r++lv_ St'nel ; remrn
Furnace: make and madcl Rl1eem Pf'DA07?
n N[A ,,?,nAthlckneu?Q._ rnfy Oatdde dr InuLe.
Inpul 75•1A' Bluh; owpW 60•000 Biuh.:
AJJidonal In(ormalfon: _N[A
/? [] Spoce Anier; Q floor furnacc ? waU heaiu. Inpul N/A BNb.i outpul -`ILtt- Bluh.t numLer unUl -NJA
FIaYc, modcl _I$/A Addit{onal InformaQoni N/A
Comro6: mikt and Iypa...LI'O'OLyS.?17 T RjF - -
AJJitio?ul Informatlon: * IY / A
Fud: [] Coal; Q oil; go ryr Q Iiq. pN. gaii [] daulci 0 aher'-H/A I nonte upaciq _111A
AJJitioaal Informalmt • N/A Firing equipmsnt lumished apaniclyi Q Ou 6umer, eonvenim lype. ? Sto4ert hopper fad bin fced ? '
Uil buiner: Q preuure alomI[In`; Q vopod:lng N/A
Nlake and moAdN/A Conlml NIA
/1Jdiiional informadon: N/A •'/?
Elauic hudng qnem: type N[A Input..ixwauui N/A_volu{ ouipwl]IA Bl?h.
AdJiiional lnformulon: . N/A -
Vamilaiing equipmenu aulc Gn. maie ind modei N/A upaciq.L/a ten.
. Yiuhen eRhawl (an, maYt and modcl r+F'nPrgLFlPrtrin Nnn-V nFPri; ?kx1a?,1A1?2. , r Pr???L
Oihcr hotinr, vrnif6ting. a coolins equlpmem Y^t j Qg gflth-F9I1- ( nA1i18 d tr )
11. EIECiRIC WIRINOs• "
Smce: (] overhyd; U underarouad. Pane6 [] Wse bozi $dreula6rakerl makeFeder@l._AMPs 1ff)_No. clrcuho 20
1Virins: [] conduh: [] umored a61e; Q nonmcldlle ca6k{ [] knob and lube Q other/A
51K[IaI WIItIC 11 nnse; Q waur Anier{ El other ni h n hor -D'Y2T .
O Ibwlxll. O Chlma. Push-bunoa IxWom Frmt IkX)C Additlonal 4ibrmaiion:9CeCE approved Smnlce _
95. UGHiINO fU(TURE& &
Toul num6cr of fiaNru a
Nonlypical Imulladon --u+
AdJitiuml informnlan: -a
G11ime
4d albwanea fw Rswra, iypiul Iwullulm, { 1000.00
DESCRIPiION OF MAICNIAlS
DESCRIPiION OF MAlER1AU
16. II4SUlAT1011: '
I.41qN TIII[tMW M+nwt, T»a. ANo I1rMUO Cr wtAuwnox - V.rMa l,?:ns
Rmf
ctiiing _ 1'b'
'6' R jihrERlasa. in_ sul-saf.g 3. blown '
12 ;. f br g ase xtk, fiction-fit 4 mill olv
4 mill oolv
F loor NLA
_
;jm-jQj ?
"
it-g -U__ c - i mill Pol
27, MISCfIlANEOUfe (Doicribe ony moin dwdltnp maledoh, equlpmenl w tomkuclion Ihms nof shown dnwheni or vu fo proriJe
oddiiionoi informoiion whuti Ihei spau prorid@d woi Inodpuab. Ajways n/orenu by Ilem numba lo torrnpond lo numbutng
uied on Ihii form.) , IIAl10WANEt (mawe, maMdaf, and flnhh.) Kwiks al -dwKa (dead bolt on entrance door)
Priyacv lnck Aath. Paseaee aet ell other doore.
SpECIAI EQUIPMENii (Slah malertal w moke, model and quanNly. Includs only oqufpmenl ond appllances whkh an actepl-
able by Iowl low, cudom and appllcabb fHA dandards. Do nol incWde tlemi whlch, by sdablishod ausfom, ar* supplied 6y
occupanl ond nmared wA•n h• vacales pnmGn or chaNbo prohi6lhd 6y low bom 6aom(np naly.1
$2,050•00 anolience allowance
Item Rrand
Rnnpe ' Seare Kenmore
D1sVnwastier ' Seara Kenmore
Il(x)d Seara Keamnre
PONGIEf: [J/A
IENRACESi
N/A . .
WALKf ANO DNIVFWAYSi
? "
Ihiveways wiJih 161 1 b+le mued?IC1839 ?J 8 Ihlvtneu 411 w{ murBdn/ mai rid AS AN1C 1 thlcYnca 2,,171
Final w.lk: wiainV -i m.ird.i ?ncrete ? ihiikMre-4 _•, &rvke?v wdki wldth N A ? ued.iN A 1 thlcYncoL.[.L_, -
Strpr. malarhl CotlCCet@ I Imads I I `t danJ7-1IJs`. ' Cherk wdls N7A
OiHElt ONSIiE IhAFROVEMENTSi
( SOrr fJ aII fl11Il1/ InNff 1lIIpI/1'fMfllh 111I IOf/DfI fllfWAf11. IqfNI111( Iltnl! /YfA If MRYlY1/ fraIll1(, IIIIAmi/ INYlIWQ, IflolRlff( LLMIII, jrea. ru7i.lt,
on! Irn11/7 IIrYdYrr1./ . .
WIDSCAPINO, ?LANTINO, AND flNIfH ORAOIHOi In allowance '
Topnil 4 ' thkY: [M Uml yudt Q sWe Yudti M rar V?rd b , fa1 behlnd msin bullJlng.
I.awn? lirr6d. wd&!. e ip.iydJ: [] Gonl yuld I 0 nar Ya? N/A
Plan6ng: [] u o ohown o dnwnpi u lowet .
N/?A" Shade "nlipc A Enrpnn Ircd: Nr,' ?LS]A• ' w N A ' H k B:
I.ow Ilow , Irtn, u ? lo ' Eveqreen sh?ub. 1?la lqlA'? e a e.
Illghlilrow S ihruM, cl Vlna, f.yur ' N/A _
,N/A b ? `------
hIdlum-`r Inl 6 ? dac 1s
N/A ' ad[A-`
ia/n Low-growln v detiduow,
IoarmncAnoN.-Inblihibh ohall 6a WeoU9ed by Iha N`wl
lrowe u the lime or applludoa. . .
Dau /?` Z./- 27 . ? .
COLLFGE CI1Y ODNS1ii ON, INC. HY
??L--? ?
IIUOY2006 . „.• .
VA Fo,m 70-1052
. . .
faim Fm11A 424.7 . '
ie 791 1 1
i of 16e butldey u'pmere ud/or ?he propaad morigagor if oAe 6tur 8
?I . . ,.
. AW. o?.wen?nl nlMln/ DMIm U?t-7?NU/INf
' . . ??' .
?
i
? ?
'IrH G 1961
FlomeUuyere Warranl;
Aprll 1, 1987
COLLEGE CITY CONSTRUCTION INC.
P.O. 8ox 309 '
Northfield, MN 55097
Ta Wliom It May Concern:
College Clty Construction Inc. Is e member with Home Buyers warranty.
71iey have been a member In good standing since 4/14/86. Thelr Home
Buyers Warranty bullder number Is 5060-1025.
If you should liave any questlohs, please do not hesitate to call.
Sincerely,
BUILDERS 57RUCTURAL SERVICES, INC. II
? .
I i'
,. G(?i?6tCr J :,',zl,rG'1Zd72??y
Shawna D. Lincicome
Screening Manager
Dlstrict Five, benver •
Isdl
Ilome Buyen Werrenly ' 12(H) 5wl1i ParMer Road
[)enver, Colqredo 80231 1303) 368 4805
18W) 942-1243
, . .
. • ' ,.,',r. .r; ' .
Piiyor nl;vP
Addtann 4033 Nqjt?vi? ?rra?e
• ?: ttllAlltltltU'AVellteetUll - lnt 5 iilocic 2
. • • • tlIIBtlK' I,tBi • ' ' ti!?(1? 8-048
• • 1'Jntt??} crc?m
. .."' ' ? ?'y??0 0l lAnll ('nnvantional
, •
' . ?
Oopr oI ?I?n?d Puroh??? A?reement ?nd ?nr AJdendum? ,
. ? . .
i'otonfildehrdo Addendun to Putahale Asteemedt
eurer? U?rtllla?tlon Fora 1900 • ,
• . ? . . . .. . ..
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., ,.,
Bl?ned pe?atlptlon ot Il?tarl?l?
. , . .
. ' .
I,o,N? Froer?n R??l?tc?tlon ,
l?tp?t U?rtllle?tlon? ?
'od tlettl[leatloni . ? '
, . .
'lto 6utraro shoNlna houSe1*1etbicko teuet snd
ater locatlons and propoled Itode. •levetlon
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rui@ beWlR .. •>?
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ent I.ase tltudl4e
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l`ned Prlnt@ .• ??
watn O,onekr- ue.tlon Btateroent Y
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SP0IIGE-CU51110Ng 1NC6
SI'ECIFICAilOHS.
• . 66 01, qUAL11Y 9U99LE RU89ER
DLUSII SiEn
COLOR . • NIItiE
NEIGIIf 66 OL. hER SQ. YU.
bESIGN CONFIGUMTIUN H/N.
AYEMGE TIIICKIIESS 0,520 1NCIIES
111'PAREHf bE1151iY 14.15 LBS./CU. Fl. ..
CUHPRESSiON UEfLECTION (25X) 0.890 LBS./Sq. IH.
• C0111'RESSIOtI 5Ei 20% FIA111FIUH '
IEfISILE 51RENGTII 10 LBS. 111NIHN1
' 1MFF1C CLASSIrICAiION ' CUISS 11 TYPE IIA
Nlbfll ' 64 INtIIES
LEIIGIII/ROLL 60 FT,
Sfn1ARE YAqUS/ItULL 30 '
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SPCCICICAilUN9
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tlAUCEt 311611 91I1C11E3/1o:.._, 51 -
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vnwi wrJsaunnW vnw: 21O.d • 01.
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hniAlApYbACKINU:
$l:COflUAIIYbACKWUi 2.5 ot, fletlon bee Ue.
or Jule
1UiALWE1CII1I5VUAR8YAhll: 60.6 ?t.
PItUUUCi UAtA
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(AAtCC 16 E 1411) . tiblel itll!
LIrldColms.-4 Sid,f'tnntio ths. F?onl? Pess U,ck_ rest
Unk Colmt: 60 51d, rnlntu (hl. '
turron1u:
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IIUD
P^oduci
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Aaolicable Speeitication
. ?
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^_'re.^"ie SuitaDilitrl
Tieaw Medium Lir.ht
ti'i.vl Co-1nn
PaiesLxa, H:igantiae
* :rF-L•TSA. '^-yPe LT, Grude A ' X X Z
Seaw.e ' IrF-L75A, Type II, Grace A ' X X X
•Mna:iaa _ I.-F-L75A, Type II, Grsae A(Iiote k) X X Z
Coronc:l,e Ca:lecZioa • .
Sea'..a Cruz • . • ..
-
" 1,-F..475a. TYpe a, creae $ - z z
OES
'
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• IrF-L75A. Type IZ, Grnde C(Hote 2) z
v.nd SLand
& Graud Stsad Plus IrF-L75A, Type I2, Grane C (Nate 2) z
, Qaiet Zoae II HITD lfateriels Release So. 919 ' z
Z
Z
.
No-Waz .. .
*Designer Snla--?Ua, StuLie BUD Matesiels Release Hc. 777
Z
. . Solarisa, Bo3'sl Sol-isa aa3
8ar Es:aar sola-iaa '
Stmdial
•
HUD DSaterinls Release Ho: 897
'
S C
O
?remie- Sva@iel IIIID MaLerisls Release :70. 937 .
Z , V
ushioned Botrn-iavl . [?A?BRR . - •
•Cas?..ilisa, Fn?lner B?sic?
?- 1,F-00161+1 (1), Zype III, m Tly Z (Ilote 3) ?
. . 7C ?
c?shionea vinvl
-ren*'aY 8UD lhaLe--iels _ Release Ho. 886 _ '
-- ? ?
NC':'s?a
1. Heavy ^ .":ie: ' Public st.ei-s, mt=anen co^-inas, loDDiu, elevators. -
MeZitffi k:: o`..hr- public arens, stai.-s vi:iua 3itiing ua:s. -o
.15h: T-ral'Tic: Areas sri:hin living uait ezcepi szaixs. m
io
2. Ezcept Sectioa 3. Reqti:..-emeaLS
- Residurl Indea:aaoa. ' o
.
Mccept Abrrsion Resis-saee sad "Residual Indeatation ReqL:..-cmcsta. ' °%
•k. T?eept. Sec:ioa 3-8 ReqL:_.-emcats - Dimeasional SiabS=^ ty. . .
*Dmatrs rn-+sion -?Iom prericus issue no. 76-3999_
297Z"
t
51569 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN f S?`? 5
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4675
New Construction Reuuiremants
• 3 registered sife suroeys showing sq. @. of lot sq, ft ot house; and all rooted areas
(20°k mazimum lot cwerage allmred)
. 2 copies of plan showing beam & window sizes; poured found design, etc.)
. 1 set of Eneyy Calculations
• 3 copies of Tree PreservaUOn Plan H lot platted after 711193
• Rim Joist Detail Optbns selection sheet (bldgs wBh 3 ar less unils)
DATE (Jo fL
SITE ADC
TYPE OF
APPLICANT
STREET ADDRESS _j,1.9ii4)'t)f1(* /1V h
TELEPHONE #?5?--??'240n CELL PHONE #
ULTI-PAMILY BLDG _Y &- N
FIREPLACE(S) _ 0 _ 1 _ 2
? STATEAW ZIP S4bt
FAX # (o OL` 20-2 • I Oad
PROPERTY OWNER T(5 l? A 4 FI'?'1 TELEPHONE #???
------------ ---------------------------------------------------------------- ----------°-------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NfINNESOTA RULGS 7670 CATEGORY 1 MINNESOTA RiJLES 7672
(4 su6mission type) • Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calwiations Submitted
Plumbing Contractor: `
Plumbing system includes:
Mechanical Conhactor:
Mechanical systcm includes:
Sewer/Water Contractor.
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
ree: $70.00
-------------------------°------------------------°---------°--°--------------------
I hereby acknawledge that I have read this application, state that the information is correct, and agree to compiy
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SignaFure of Applicanf
_ Water Softener
_ Water Heater
No. oF Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
RemodellReoafr ReouiremaMs
. 2 capies of plan
• 1 set of Energy CalcWations for heated additions
• 1 site survey tar eMerior additiore 6 decks
• Indicate if home served hy septic system for additiom
VALUATION I 0,31W, 00
ree: $90.00
orFIcE usr, ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONL.Y
? /Ot
? Foundation
lli
F D
(3 02 ng
we
S
? 03 01 af _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 73 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 14plex ? 19 Lower Level
? 12 12-plex Plhg_Y or _ N
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation ?" li300
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Stortn Oamage
? 25 Miscellaneous
? 30 Accessary Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? .
i
? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 36 Move Bldg. ? 2 Demolish (FoundaUon) l7 45 Fire"Repair
? 37 Demolish (Bldg)' 43 Reroof O 46 Windows/Doors
*Demolition (Entlre Bldg only) - Give PCA handout to ap plicant
Occupancy MC/ES S; stem
Zoning City Wate i
Stories Baoster P ump
Sq. Ft PRV
Length Fire Sprin kiered `
Width
REQUIRED INSPECTIONS
Footings (new bldg) _ FinaUC.O.
Footings (deck) _ FinaUNo C.O.
Footings (addition) - plumbing
Foundation _ HVAC
Drain Tile Other
Roof Ice & V?ater Final Pool _ Ftgs _ Air/Ga!
Framing _ Siding Stucco _ Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppiy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
_ Final
Building Inspector
INSPECTION RECORD Control No 0957
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LpT: 5 eLocK: z
4033 NORTHVIEW TER
IEXINGTON PARKVIEW
PERMIT SUBTYPE:
BASEMENT FINISH
?
PERMITTYPE: euiLoiNs
Permit Number: 001212
Date Issued: 08 / 18 / 92
APPLICANT:
OLIVE BILL
(612) 452-0526
TYPE OF WORK:
Al7ERATION
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
auILnxNG
081212
08/18/92
SITE ADDRESS:
4033 NOR7HVIEW TER
LOT: 5 BLOCK: 2
LEXINGTON PARKVIEW
DESCRIPTION:
;"Ouild`ibg Permit Type
?Build;ing?1Work Type
° UBG Occupancy
BASEMENT FINISH
ALTERA72pN
R-3
REMARKS: G()a p c f??
FEE SUMMARY:
Bese Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR:
OWNER: - Applicant -
oLxve BILL
4033 NOR1'HVZEW TERR
EAGAN MN 55123
(612)452-0528
I hereby acknowYsdge that I haue read th9.s application and state that t:he
informatian is correct and agrea to cRmply with all applicable 5tate of Mnn.
5tatutes and City af Eagan Ord3nnnces.
L ?
.a /
PLIC NTPE MITEESIGNATURE -?- ISS DBY: A7l1RE
Control No. 0957
I
PERMtT g _
REACTIVN7E
12wi2
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675
APPLICATION
3_5.?, fi0 .
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 when typing of permit is requested, but not picked up by last working day
of month in which.re uest is made or lot chan e is re uested o ce ermit is issued.
Date cl 7- Valuation of wor ?(? LC? O C? ,
5ite Address: 5:5123
STREET SUfTE M
T..a....? M?? I?-?_? • . . •
ic?iun? nm?i?: (?vunue?l"?ei 1:i11.rf
LOT BLOCK SUHD. P.I.D. M .
Descri tion of work: ?-I Y-Nn (? (1X L
The appl icant i: Owner ? Contractor ? Other (oe9crme)
Name _C7)\ ?Ue__. Phone
Property LAsT FIRST --7149
Owner Address k6`33 /Vo c ?huceto _Tc_-"
STREET STE ! -
CitY State Zip I
SUb _ CompanY Q?en(xAlciP?5 Phone S33`bgi "ZZZ?
ontractor ddress'?:t N)e 'S License # Exp.
City ` U State Zip crn
Architect/ Company Phone ?
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber u?V ?L?mbirr, \i?- . Proces§ing time for
sewer 6 water permits is two days once area has beer/ approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicabl tate of Minnesota Statutes and City of
Eagan Ordinances. ?
5ignature of Applicant:
`. ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation
? 02 SF Dwg.
? 03 5F Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Ptex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
WORK TYPE
? 31 New
? 32 Addition
33 Alterat9ons
? 34 Repair
GENERAL INFORMATION
Y
? 11 Apt./Lodging :p
I
6 Ba'st'fitent Finish
? 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accesso ry Ll 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 35 Tenant F9nish
? 36 Move
Const. (Actual) Basement sq. ft.
SAllowable) lst Fl. sq. ft.
UBC ccupancy 2nd F1. sq. ft.
Zoning __A9% Sq. Ft. total
# of Stories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
O Site
? Mallboard
Permit Fee
Surcharge
Plan Review
„___
??:.::-?se
MWCC SAC
City SAC
Mater Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Tatal:
? Footing
? Final
35,0' Yaluatim: $
? Framing
? Draintile
O 21 Miscellaneous
?
I
? 37 Demolish
I
I
MWCC System
City Water
PRY Required
Booster Pump
Fire 5prinkler
CensusICode
SAC Code
Ass
?
? Insulation
? Fireplace
SAC %
SAC Units
r Y _e
STATE RESIDENTIAL CONTRACTOR/REMODELER
LICENSING INFORMATION
PERMIT #
1. I have made application for license W the Department of Commerce.
Date of Application
_ Residential Building Conuactor
_ Remodeler
Signature Date
2. "m exempt because I am specialty remodeler.
\ c.rn c> ei- or?Tf<,<?c ? ?
.
3
e
D t
e
e
3. J am exempt because my annual gross receipts are less than $15,000.
Signature Date
4. I am exempt because contracts on individual projects in aggregate do not
exceed $2,500.
Signature Date
Questions regarding the licensing law should be direMed to the Department of
Commerce, 133 East 5eventh Street, St. Paul, Minnesota 55101, (612) 296-6319
Licensing Information, (612) 296-2594 (Enforcement).
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # C 2 ?326
DATE : //
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME: E12<<+ ? (/I iU`e_
SITE ADDRESS: yC3-3 rL)ro-tftVieu.7 ?2v°rae?
LOT:BIACK o? SUBD
INSTALLER: Mit ?'?' V lu_W.b?ku ?yc
ADDRESS:_ 70 CITY: 6?1•-eai[ „"? ICt??.- ZIP:
PHONE #: n yrr ?
OF PERMITTEE
DWELLZNGS &
----- --------------------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
? ADD-ON MINIMUM 15.00
SHOWER 3.00
? WATER CIASET 3.00
BATH TUB 3.00
? LAVATORY 3.00
_ KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
_ ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL $
ST. SURCHARGE .50
I
?
TOTAL: -
S
PLEASE COMPLETE THZS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUSRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SllRCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*TOTP3: PA7@16TTC OF FEE AT TIME pg
APPLsCAM«a ooFS Nar oMOzTm
APPxovpa. oF rERm.
nuSPncnzorr oF sEVM Arm/CP wum
7p r.ra'rIO1S WILL NCYf BE: Sam-
ULFD i]NIIL PERMIT AAS BEIN
APPROVID.
• -' T'R]?][]?t][;]tltlt}]t1t%R'R1?9['fYt'!Y[Y2Y'X'k'R'lX"X?"R'k
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STR[.'C2URE, DATE pF pgIGINAL BLILDIIVG PERMIT ISSL'ANCE:
PRFSENP ZONING/PROPQSID LTSE: Mon ear
? C"ERCIAI./12EPAIL/OFFICE
? IbIDL'STRIAL
? INSTITL"I'IONAL/G9MU4ENT
2) ?
D7ANIE;
ADDRESS;
CITY. STATE, ZIP;
. PHONE:
3) r-
NAME:
ADDRESS:,
CITY. STATE, 2IP:
PHONE:
4)
Ca • iy-
NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
'5) n a. ,?• :? ? ??
Ey'?CONPII?]?,'TION TO CITY SEWER Ej/CpMSMCTION 7.U CITY 4g1TER
6) ?• i-
12?-R-1 SINGLE FAMILY ? R-2 DL'PLEX (Ttao Units)
? R-3 TOWN[-IOUSE (Three + Units) ( Units)
? R-4 APp,RTMENT/CObIDOMiNILT4 ( Units )
- v .
MASTER LICENSE#
-?uiiu,ci 5 1,.LCen5e :
Active
Rcpired
NOt r2CpTdeC1
St Irlltial
0 ailim
2'?PI.EAM HOLD APPROVID PERMIT FY)R PICK-PP BY ONS OF ABOVE
[3 PLEASE MAgL APPROVID PERMIT TO 1, 2, 3, ¢, pWJE
I .?/ (Circle one)
: FOR -CITY USE ONLY
PERMIT # ISSUED
y.3.? v
Pd w/Bldg. Permit FEES:
$
$ 521
$ ? 7, 0--D $
$ $
$ $
$ $ ?J r e??
$ $
$ °?L 5 U7? g
z $
$ $
$ $
$ $
$ $
$
$ i2? 7 > S
?
SEWER PERMIT (INCLUDE
WATER PERMIT (INCLUDE
WATER METER/COPPERHORn
{
WATER TAP (INCLDDE COR
SEWER TAP
ACCOUNT DEPOSIT -
ACCOUNT DEPOSIT -
wAc
SAC
TRUNK WATER ASSES
TRUNK SEWER ASSES
LATERAL BENEFIT/TRLNK
LATERAL,_BENEFIT/TRL?NK
WATER` TREATMENT P,LANT
OTHER: . ?
$ 7' /' V $ TOTAL
73 RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF
YES IF YES, THEN A"PERMIT FOR WORK WITHIN PD:
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERINI
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED gy;
TITLE:
)
DATE:
SURCHARGE)
SURCHARGE )
/OOTSIDE READER
PORATION STOP)
RCHARGE
WAY?
IC
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Da
Use. BLUE or BLACK Ink
t=or~tficelUsp - ,
RECEWED , I
City of EaEaft , Permit
JAN U 41011 ' I
3830 Not Knob Road PermEi Eagan NN 55122 iao
Phone: (51) 675-5675 j Date e S I 1
Fa
x: (651) 675.5694 l Staff: '
I
/ 2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:.( ! SiteA ress_-- - - 13 - -t
Tenant: Suite
RESIDENT / OWNER Name: Phone:4966'() 56 9 494 S
Address / City / Zip:
Applicant is: Owner Contractor
r TYPE OF WORK Description of work: n /r~ 7t-
. y D i~~ ea 1 e~
Construction Cost .
Multi-Family Building: (Yes /No
CONTRACTOR Name: License 174
Address: City:
State: Zip: Phone:
Contact: Email: ~'us+ Ir ihDde~,^kC . <Xvj
COMPLETE THIS AREA Q.NLY IF CONSTRUCTING A 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:
S
. : Plans;►pi ;suR40
oTl~dottrrrehshf yacrtinfk cvi,srd'e~ pp till ra FOrittot~Krt~~ph of
e °in3form
.s
a#it~x►►anayelessiifeds taoulaUc}f you
1 {p.'~ blp tpe~fl eptrld:p+ailtlaia~ltytti
.-2 1
iu ihat t, re~~sa~r
CALL BEFORE YOU D,10. 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. wwww.oooherstateonecall ora
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 Ian in the case of work which requires a review and approv of plans.
x
Applicant's Printed me x
Appli s igna
Page 1 of 2
)05
Use BLUE or BLACK Ink
F For Office Use I
3 Y
dtan ' Permit '
*City of E
~Uj a5
Permit Fee: (
3830 Pilot Knob Road 2~~2
Eagan MN 55122 Date Received: /Z" j
Phone: (651) 675-5675
Fax: (651) 675-5694 1 staff.
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _ Site Address: 40 76--mu" -7'~e4Aa g, Unit
Name: Phone: l 3-1 -IR1
RESIDENT t '
OWNER Address / City / Zip: 0 3 _~~)~1l~i J --7W Q U_, ~QQcuf 6~5_12,3
Applicant is: Owner I Contractor
TYPE OF WOE Description of work: hX ' S Ct.C Jai Construction Cost-L:2 6-co • Multi-Family Building: (Yes / No
Company: Contact: 42 a/ ~f~C~
CONTRACTOR Address: 4-17' / Pooflc) • City:
State:. Zip: Phone: 7(W 7C.0
License#: 1. /9 Lead Certificate ,I-T 1 / P 70~ ~f/
/ ~ `
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has'the'CityotlEagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of am i-41 a~
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit we considered to be public informa6an. Portions of
the information may be classffied as non ped if you p de specific mas ii Vmtdd pmt flte-CAY to
conclude that the wo 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.oooherstateonecall.om
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.
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.
x k" Y/S Omer x
Applicant's Printed Name Applicants Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA104555
Date Issued: 05/29/2012
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4033 Northview Ter
Lot: 5 Block: 2 Addition: Lexington Parkview
PID: 10-45035-02-050
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S4K $103.25 0801.4085
Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
J Carver Construction Inc Michael Bran
134 Schletti St 4033 Northview Ter
St. Paul NIN 55117 Eagan NIN 55123
(651) 645-488
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
o~
Use BLUE or BLACK Ink
1 For Office Use 1 1
Ron j Permit
City of Ea
Permit Fee:
3830 Pilot Knob Road I 3. 3 I
Eagan MN 55122 I Date Received: 1
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
1 I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: D~'l-c-~JL)l.Q.e[.~ Z-Uk Unit
Name: Phone.
Resident/
Owner Address /City /Zip: O
_ Applicant is: Owner Contractor
a Type of Work Description of work: vv~ J / i Construction Cost: d+ Multi-Family Building: (Yes / No
j Company:LZ:66. &/Y"Lo~ Contact:
Contractor Address: L q a & I[,%,. City:
State: My zip: g~~/T Phone: ~OS! ' 79 License 17 T-' Lead Certificate ' V rT a 7~~ 7`~
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 l
the information may be classified as non-public if you provide speck reasons that would permit the City to
conclude that they 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.-gooherstateonecall.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.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must completed within 180
days of permit issuance. 4 x J,. X 3~t~ -4
Applicant's P ted Name Appli is Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144104
Date Issued:07/13/2017
Permit Category:ePermit
Site Address: 4033 Northview Ter
Lot:5 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Braa
4033 Northview Ter
Eagan MN 55123
(651) 558-1865
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
II\
r
For Office Use
�JI14
,,� •; ; •,, Permit#: /
J679sy
, .• EAGAN
..�� .'• Permit Fee: /,
� ., ^^ (mac
VE
j ::; EI
VE Date Received: �/o
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 C.7
10
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 ! ' i. 1 0 2019 Staff:
buildinainspections a( citvofeagan.com � L
L t:
2019 RESIDENTIAL BUILDING P APPLICATION
Date: Site Address: Unit#:
Name: 1` �! Phone:
51 'ss8-j6c'
Resident!.
1Nt1@r Address/City/Zip: 1 0 G JOP ' i �6 ',t'`kL
1
Applicant is: Owner XContractor �� �xil�j7//A. Ado;6-w
Type of Work° ,
Description of work: t"'(-)I (—t N-�) �<'
Construction Cost: i(5 J6i Multi-Family Building: (Yes /No> )
Company: K311 i5) k, Q.1 '00 Z Contact: i� kcOil d eII
Address: 17? ( 0 () N CAt4 city: ft171OV174Contractor , ty
State:! ' A/Zip: 3 /� (.7 -C61(1
Phone: % -C(�✓7 /Yr E,L7mail: (-0/arid 0''!b aI 00,cdI"1
License#: lt(o 5g
gl9S-
Lead Certificate#:PAT-17-00
If the project is exempt from lead certification, please explain why:
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 bepublic information. Portions of the information may be
classified as nonpublic if you,provide specific reasons that would permit 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.cltvofeagan.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 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.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the o •inances 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 h• . p- it; that the work will be in
accordance with the approved plan in the case
��of�� f
rk which requires a review and approval of pl-! _.
x �4wlam /L�1amd // x 4 . i
Applicant's Printed Name Applicant'' -rg Y ture
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
— 01 of_Plex _ Lower Level — Pool — 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 --
Valuation Occupancy i MCES System
Plan Review Code Edition i A 1
;1 SAC Units
(25%_100%Y ) Zoning 0 . City Water
Census Code (rte Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction (/� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
4J, Footings(Deck) Final/C.O. Required
" Footings(Addition) `i. Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan / Other:
Reviewed By: 1 V , Building Inspector
RESIDENTIAL FEES yBase Fee 0 WC,_1 fire'
1/1/0/
Surcharge
ii,eitceP'6„/
Plan Review
MCES SAC IIIIP
A
City SAC ;
Utility Connection Charge /`
S&W Permit&Surcharge (..- '") (e Y 5
II -..'( (i 9 U
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
1-4o-s-3Av2 �iew ` 1" 1s 747
TRI -LAND CO. PLAN FOR:
SURVEYING
SITE
SERVICES COLLEGE CITY
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION; LOT 5 ,BLOCK 2 , LEXINGTON PARKVIEW
ACCORDING TOT RECORDED PLAT
THEREOF DAKvTA COUNTY,MINNESOTA
LCAT 4
N4' Ill,
S8Oo23'30"" t 939.0 N(2 .
180.00
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_ P\ ?(//o/ 6"(
YD3S 00-11-WitiATTERIAN .
A-(.. ,00\), SCALE : 1" = 40'
LEGEND END INVERT ELEVATION AT SERVICE EXTENSION=
0 DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= cQ_
n DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = vs/
Y`�
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = 9 Yc,.,.S
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
• ELEVATION
e-- DENOTES DRAINAGE DIRECTION NOTE'. VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
•
I hereby certify that this survey,plan or //
report was prepared by me or under my t Ar - ' moi_ ice .
direct supervision and that I am a duly Bradley J ''enson, Mn. Reg. No. 15235
Registered Land Surveyor under the I
Cl Laws of the State of Minnesota. Date: ."L- Z 9 i 6'n
w` — `