1588 Norwood DrCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNE50TA 55122
DA7E
..2' 1
19-
RECEIV<D
FROM
AMpUNT $ I
4 DOLLARS
1 oo
? CASN ? CHEGK
r
i ? ?: ? - :,r?,, ?,•?- ifel
FUND CODE AFIOUNT
Tha k You
Nt
ev
White-Payers CopV
Yellow-Posting Copy
Pink-File Copy
BUILDING pERMIT
... x.?. .- , -.,. .
CITY CF EAGAN
3795 Mkf Knob Rood Eogan, MN 55122
PHONEs 464-6100
Site Addreu - 3 588 j,jnxwnii 'lr1 va
LotBlock _1Set/Sub.
pnrcel # 10 1500Q 090 04
9
?
ac
Zp
ou
11
Nama T ir .7 Ilpvpln mpn , Tnc.
Addross 20521 Akin RoBd Weet
Nome _
Addrau
I hereby ocknowledge that I have reod this application and stote that
the inlormotion Is torred and agree to comply with oll opplicoble
Stote of Minnesoto Stotuteyand City of Eaqo -Eirdirwnces.
Si9noture of Permittee ? : I '• 'I
& J'Development
N? v1,03
?
Receipt # _J r ?.11
Erect )[[ Occupancy R- A
Alte? p Zonirq ''-1
Repoir Q Fire Zone NA
Enlarge ? Type of Const, v
Move p ,# Stories
Demolisfi ? Length6.2?
Grode ? Depth 36 Sq. Ft.
Approvals Fees
Assessment _
Woter & Sew.
Police
Fire
Erg.
Planner
Council
Bldp. Off. _
APC
Inc.
Germit 14(] . (?0
Surcher9e 34.50
Plan check 170• 00
SAC 525.G0
Wuter Conn. G S(l _ n[]
Woter Meter An _ r,n
Rood Unit 250.00
Totol $1829.50
A Building Pennit is issued to: ' on the expross conditlon that
oll work sholl be done in atcordonte wifh oll ppplicable 5tate of Minnesoto Stotutes ond City of Eogan Ordinontes.
Buildinq Officiol
Permit No. Permit Holder Misc. Pe?mit Na. Holder
Plumbinp !551J/ l W c/l Zd '74-93
H.V.A.C. l l
?^2
O.J
(?
w.n
Wster
Disp.
S"wer
ewM.ic W1983135
Inspection Date Insp. Other
Footlnss ?
Foundetion
Framiny fr y g3
Rauph Plbp.
Rouph HVA
Inw ation
Finsl Plbp, . .S4• i .
Final HVAC
Final `
WAter Descri6e Location:
VYaU
Sewer
Pr. Ditp•
'c , 1
• f'}'„
. . ? :- .,
BUILDING PERMIT
To be used for
Site Address i ?
Lat 9 Block _
Parcel No.
-?-,?.- TxN.acwr?ec-_.-'e?'?s?±?+?esr+?tir-? ?r-7?r"?ti_?dc;.-.r?v'z..r-..
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
P H O N E: 454-8100 -
Receipt
l
SRTT'['ANX
Date AUG 31 , lg 90
OFFICE USE ONLY
Occupancy - FEFS
Zoning _
(Actual) Const _ Bldg. Permit 35,00
(Allowable) - Surcharge 1,00
M ol Stories -
Lenglh _ Plan Review
Depth - SAC, City
S.F. Total - SAC, MCWCC
S.F. Foolprints -
On Site Sewage _ Water Conn
On Siie Well - Waler Meter
Mwcc system
City Water -
_ Acct. OepDSil
PFV Required _ S!W Permil
8ooster Pump - S/W Surcharge
Trealment PI
APPROYALS Road Unit
Planner
Council - park Ded.
BIdg.Oft. _ Copies
???
Variance - TOTAL
W Name O? ?
3 Address 1SW M0iCW00D QR
° CitY EAGAN Phone 454-5139
o Name SANE
Phone
W W Name
? ; Address
a W City Phone
I hereby acknowiege that I have read this application and state that the
information is correct and agree to comply wit II applicable State of
Minnesota Statutes and Ciry of Ea Ordinan
Signature of Permitee
A Building Permit is issued to: ML Dim
on the express condition that all work shall be done in accordance with all
applicable State o( Minnesota Statutes and City of Eagan Ordinances.
Building Olficial
Pe?mit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING O ?? Q
H.VAC.
ELECTRIC
Inspection Date Insp. Commenis
Footings 1
Foundation
Framing t'y
Ro0(ing
Rough Plbg.
Rou9h FIt9.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Flg.
DeCk Final
Well
Pr. Disp.
_ F
PLUMBING PERMIT
CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHANE a5d.R1AA
Site Address
Lot v Biock
For City ?l?ly
PERMIT# ??
RECEIPT# ?
DATE: 50
A,JoacuooZ ! ,- BLDG. 7YPE WORK DESCRIPTION
41 SeClSub Fle$' New Const.
Mult. Add-on ?
1/0? a Comm. Repair
Other
Cny
City
Phone
FEES
COMMJIND. 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 PER EACH $1 OF PERMIT FEE)
OF
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTU RES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
_L Lavatory - $3.00
? Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT-NEW CONST.)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE ?
1
:
STATES SIC:
GRAND TOTAL: • sD
?
^
f '
x?
Re ceipt r
MECHANICAL PERMIT Permit No.
CITY OF EAGAN ?
Fee
Fill in numbered spaces S/C
, Type or Prini legibly Tot
1. Date 2. Installation Cost
/ ?- ?
d : .
9
?
3. Job A
dress 4dR-f. Tract
q?.o ?o ??'2. Lot
Bik.
_
4. OwnerT s? L WWOC?;<c?/'?C:.sv i
5. Contractori?(;i,r LL- 'LeC:rL!-! Phone
6. Address
7. CitY v i, L_.i State ?•_ Zip - ? _
$. Building Type: Residential,;.? Commercial ? Institutional ?
9. Work Description: Netnflf?" Add ? Alter ? Repair ?
10. Describe Fuel Type,`-41•? , - -?
11.
No. Eauioment BTU - M. Ea.
Forced Air C'-_:. -- No. EQUipment CFM
Air Handlin
:
Mfg. g
Boi lers /
Mfg. Mech. Exhaust - -
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Sigcied : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?.?
Receipt - PLUMBINGPERMI7 ParmitNo. Y% !
CITY OF EAGAN
? i Fee
Fill in numbered spaces S/C
Type or Print legibly
Tot.
1, Date 7/6/83 2. Installation Cost
3. Job Address 15$8 ;il0!"WOad Qzt ? Bik. ? Tract
4. Owner T & J Development 5. Contractor Wenzel Mechanica1 Phone 452°1565
s. Address 3500 Kennebec Dr
7. cicy Eagan State hin Zip 55122
8. 6uilding Type: Residential 125 Commercial ? Institutional ?
8. Work Description: New IM Add O Alter O Repair ?
10. Describe
11.
No.
-' Fixtures
Water Closet No. Fixiures
Ce'sspoollDrainfiield
Bath tubs Septic Tank
Lavatory Softner
- Shower Well
? Kitchen Sink 1
Urinal/Bidet Other S/W
Laundry Tray ater
Floor Drains '1115FiWdSller, grinder
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I herebY certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: , i
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WQRK:
T ? 41 t? ? ? i ,?? ??- ?? +??,'K ?
_-
Y.1?
^?,? ,??,. I .} 14 ?n I? ? I ?" I ? 1,?y??S? '? ??? J? ' " .
.{ ?.aa..,.
_'S??
,F ? J y? . . t t '? - ?• y ? . ? . a1L ?fi.
???7??5? J
f+f roAEet,•.; :i 1, A hfalt 1'11iIaI f•, 11kf. irl ijkliliui) tf;?It ANY I'I llrll,lNi,1 +il( i I! 4-11:, Eo pl II i i?:tr: •
Permft No. Permit Holder Date Telephone #
SNV
PLUMBING PW-
HVAC
ELECTR
ELECTRIC
k?spoctlon Date lnsp. Comments
Footings I
FoundaGon
Framing
Roofing
Raugh Plbg.
Rough Htg. J f A#
Isul. ff /Y
Flreplace
Fnal Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumher
Const. Meter
EngrJPlan
Bldg. Final 3?ps- 7f'f
Deck Ftg.
Deck Final
weli
Pr. Disp.
CITY OF EAGAN Remarks
Addition BRITTANY Lot 9 BIk 4 Parcel 10 15000 090 04
Owner Street 1588 Norwood Drive State
,
Ll C
Improvement Dafe Amouni Annual Years Payment Receipt Date
STREET SURF. 1982 ?$
2819 563.97 5 1127.96 C008769 6-7-$4
STREET RESTOR.
GRADING ?16 Zg 314.41 C008770 6-7-84
5AN 5EW TRUNK 2& 197 156.51 62.64 C008770 6-7-84
*SEWERLATERAL ,r 336, I 3696.67 C00877 -7-
WATERMAIN
* WATER LATERAL lqRl
WATERAREA 180.00 C00$770 6-7-$4
STORM SEW TRK 5-19 1991 492-50 32.83 ? 361.18 C008770 6-7-84
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 36729 6-28-83
WATER CONN. 450.00 11 t I
BUILDING PER. 8199
SAC 525.00 11 11
PARK
CITY OF EACiAN
3830 Pilot Knob Road
P. o. eoX 71199
Eagan, MN 5512,1
Zoning: 1p?,??. '`eisinger Conat
nddress:
sire ,?d?es?: 1588 2r'orwood Dr
en z e u n
Plumber:
Meter No.:
Size:
Reader No.:
1 aseao h omPy? wNb !iu Cihr of Ea9en
Ordinenas.
By
Date of I nsp.:
WATER SERVICE PERMR
,. ?•r,;:
PERMIT NO.: ?
DATE:
= No. of Units:
U! f3T tt8tt}y Sl.
- ? ea
_ Connedion Charfle: c-
_ AccouM Deposit:
_ Permit Fee: ' p
n?t
Surchorge: Tra nn t e ?'
Misc. Charges: ?
Totol:
_ DaM Poid:
- Inap•-
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road 5951
P. O. B,jx 21799 PERMIT NO.:
Eagan, MN 55121 DATE: ? ? ? ` ?' ?
Zoninp: No. of Unlts:
aroMr eisinger Const
Address:
Sita Addr
Ptumber:
1 asew to eanph wNA the CNy oi lnoa¦ Connectlan Cherpe:
Ordlnpnpa. Atcount Deposif:
Permlt Fee:
5urcf?orye: -' .
By Misc. Charpes:
Date of Insp.: Totol:
Insp.: Doh Pold:
CITY OF EAGAN
?T
?
8199
4793 Pllof Kno6 Read Eogan
? , MN 55122 +?
?
PHONE: 43MB100 2
BWLDIMG PERMIT Receipt G7df
#
Te ba wad Fer SF DWG/GAR Est,yolue $69,000 paTe June 28 lq83
Slte Address 1588 Norwood Drive Erect )M Occuponcy R-3
Lot-2 Block4_ $ec/Sub. R i an,y 1st Alter ? Zoning R-1
Porcel # 10 15000 090 04 Repair ? Fire Zone NA
V
Enlarge ? Type of Const.
w Name T& J Development, Inc. Move ? # Srories
Z3 Address 20521 Akin Road West pemoush ? Length 62
b Ci Farmington Phone 463-8798' Gmde (] Depth 36 Sq, Ft.-
Owner
N Approrals Feea
?p ome
Z
Vu
aS
f
Name _
Address
I hereby ockrawledge fhot I have reud fhis opplicofion and state tFwf
the inlormation is correcf ard agree to comply with all applicobte
State of Minnesota Statut d City of Eag rdirwnces.
Signature of Permittee i
T`& ?eve o ent,
A Building Permit is issued to:
all work shall be done in accordonce with oll f(pplicable Sf'aae of Mli
Assessment _
Woter 8 Sew.
Police
Fire
Enp.
Planner -
Council
Bldg. Off. -
APC
Inc.
Permit jvu.vv
SurcFwrge 34.50
Plan check 170.00
SaC 525.00
Water Conn. 450 • OQ
WoferMeter 60.00
Road Unit 250•00
Torol $1829.50
on the express condiNOn Ihnr
Statutes and City of Eogon Ordinonces.
Building Offlciol
CITY OF EAGAN Np 18318
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100
BUILDING PERMIT Receipt # (f -?/ 7 j? 7?
Tobeusedfor BASEMENT FINISH Est.value $1,500 DateAUG 31 1990_
Site Address 1588 NORWOOD DR
Lot 9 Block 4 Sec/Sub. BRITTANY
Parcel No.
w Name DEL NORD
o Address 1588 NORWOOD DR
City EAGAN Phone 454-5139
?r Name SAME I
g¢ Address
'- City Phone
rwW Name
?,2-? Address
¢
a W City Phone
I hereby.acknowleqe that I have read ihis application and stale that [he
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Ea9??,3? iO_rdinan s.
Siqnalure of Permitee ?r,? (?, ? ' l2 " -
A Building Permit is issued to: UF.L NUlill
on the ezpress condition that all work shall be done in accortlanca with all
applicable State ol Minnesota Stafutes and City of Eagan Ordinances.
Building OitiCial A& ?LA.1 t?d
r
OFFICE USE ONLY
Occupancy
Zoning
IMWap Const
(Allowahle?
# of Staries
lenglh
Depch
S.F. Tolal
S.F. Footprinls
On Site Sewage
On Site Well
MWCC System
Ci(y Water
PRV Required
eooster Pump
APPROVALS
Planner
Council
Bldg. Olf.
Variance
Bldq. Permil
Surcharge
Plan Review
SAC, Cily
SAC,MCWCC
Water Conn
Waler Meter
Acct. Deposit
S/W Permit
SIW Surcharge
Treatment PI
Road Unit
Park Oed.
Copies
TOTAI
FEES
35.00
i_nn
36.00
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMiT APPLICATION 1 set of energy calculations.
'Ib'Be Used For ? Valuation
J Date
site aaaress :( S S? Il oru? o o c1 ?P ? v?. } OFFIGE USE ONLY
Iot t Block ? Sec. /Sub. ZJU jan, 1 S Erect Occupancy
Parcel #: ? d ? Sc? c? O ? Q O O? A1ter Zoning /
Repair Fire 2one
Ovmer: Enlarge _ 7'pe of Const.
,?p Move # Stories
P?ldress: qa?-D4 A.??'???c¢?,(sJ -j Demolish _ Front G? ft.
City/Zip Cocle• Grade Depth (a ft.
Phone #: 3-2lctB APPROUAIS FEES
Contractor:
Address:
City/Zip Cocle:
Phone #: 5 m--?
Arch. /IIi9• :
Address: ' ?,0'e? ?
City/Zip Cocie: a_pnQj ?aXXUh.. •^"n
i? t° -u
Phone #: -.
?Q 3oo 0
Assessnents
Water/Sewer
Poliqe
Fire
Eng.
Planner
Council
Bldg. Off.
P.PC
Perntit
Surcharge 3y ?
Plan Check ?;;,/} JOZ9
SAC 61.7s' 4m
water Conn. 5/ 2peg_
Water Meter 40
xoad Unit
TOTAL ?z ?
r
s-6
?????
This request vold l? ?f S
18 months fram
IN 083138
La t gq f 8r('4aK? ( s±
3493(0
3-7 , sd
1 Raquest Date
y Fire No. RouN n InsPection
Req red7
?FeaAy Now ill Notify, Inspec-
_S
? J s ?NO or When Ready
LicenSeA ElecVical Coniractor I hareby request inspection ot above
? Owner electrical wark installad aC I
St reeLAtldreSS, eox ar Route No. Cit
ecbon o. Townghip Name m No. Range o. County
?
OccupantlPRINTI Phone No.
,? r .z'.,.
Power upplier AAdress ?
Elenric 1 Convactor lCmnpany Namel Contrar.mr's License No.
16L
Mailinp AdJress IContrncmr or Owner Making Instailationl
Amhori-ed atull IConva dOwner Making InstallatioN Phonu Numbar
S/G3-3 SFf
MINN? SOTA STATE BOAND OF ELECTRICITY THIS INSPECTION NEQUEST WIIL NOT
Griees•Mitlwey BIdB• - poom N-181 BE ACCEPTED BV THE STATE 80AHD
UNLE55 PROVER INSPECTION FEE IS
7821 Univarsit' Ave., SL Peul, MN 55104
o.___ra?woo e',I ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
' See instruetions tor com0leting this torm on back ol yellow copy.
,"? BeTow 49"orI
tjoered by 7hrs Request
Eg-00007-04
u:-
39Q3 to
d Re0. 7ype at Buildin9 F10bliances Wired EQUiprtient Wired
Home Range Temporary$ervice
Duplex Water Heater Lightiny Fixtures
Apt. BuilAinq Dryer Hectric Heatin
Commercial Bldg, Furnace Silo Unloader
Industrial BIAy. Air Conditioner BWk Miik Tdnk
Farm mer peci v omor 15neditvl
t qr Veu y Other Other
ompute lnspectian Fee Below
N Fee Sarvice Entrenca5ize # Fee Feadars/Svbfeetlers # Fxe Gircurts
Q f 0 to 0 qm s 0 to 30 Am 5 22? Sn 0 tn 30 An+, n
Above 200 qm py 31 to 100 Amps S,00 31 to 100 A s
Swimming Pool Above 100_Amps A7ave 100_Am s
Transiormers Irrigation Booms C7 Partial-'Other Fea
Signs Special Inspection $ 1
Remar ks ?8- O O 1 qLFEE
1,
Roueh-in
inal
??°*.
' Ki,•.n.rll Data / ?j
ate
?'?? the EI - al
Inspectar,
herebv
cerlily that the above
' svection has been
e.
Thisrequealvoltlt8mmthsfram '-' -' "
g'?y{, REQUEST FOR ELECTRICAL INSPECTION nseatoaoor-o7
OI1?0 lli? See insimctions for Completing thls form on back of yellow copy
,
C?js 3 3 5 7 Vq' "X" 8elow Work Covered by This Request
ew A 5ep. - TypeofBuilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplez Water Hea[er X Electric He2ting
Apt. Building Oryer O[her (SpeciFy)
Gomm.llndusirial Furnace
Farm Air Conditioner
Other (spacly) Conhactor5 Ramarks:
Campufe Inspection Fee Below:
# Other Fee # ServiceEnlranceSize Fee # CircuitsJFeeders Fea
Swimming Pool j( 0 to 200 Amps 0 m 100 Amps
TransfOrmefs Above 200 _ Amps Above 00 Amps
Signs inspecmr5 usa oniy: l 7?jL?
r
IrrigationBOOms ?ry{y?
`S? ?, d?
Special Inspection ?
AlarmlGommunication THIS INSTALLATION MAV BE ORDEREO DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MDNTHS.
?
I, the Electrical Inspector, hereby
h ?
RO°9n-in Date
s
certify t
at the above inspection has
been made. F;,,ai r oa?a
OFFICE USE ONLY ??• p
Thls requesl witl 18 monihs tmm
8/?//S O C?y75?-
33578 9.
? 6
7?j"'
Fe0uesl DatO /
T?' A? Ov Fire No. flough-in Bction
jii;f
equir
? Reatly Now ?stp+?ll Notity Inspector
R
?
?M
? No hen
eatly
I plicensed coniractor i?owner hereby request inspection of ahove electrical work at:
JaC AOtlress ISlreel, Box or iloute No.) Ciiy
ki?88 wd'E'wodLJ ^ 2 E W 6 A ii-1
Sedion No. Township Name or No. Range No. County
J?A oX`N
Occupant (PRWT) Phone No.
'be, `fS ' S /
Power Supplier Pdtlress
DA c''a 4-? rcf ?i ? m u-• Tc.D M a'
Electncal CoMractor ICompany Name) ConVadofs License No.
Meiling Adtlress (Conlractor or Owner Making InSallalion) •
? Kb?-? fl.lv£ b-? ? 27
horizetl Signemre I ractorlOwner Ma stallelion) Pho
ne Number
? u
l ? ?
MINNCSOTA STATE BOAHD OF ELECTHIpTY ? THIS INSPEGTION REQUEST WILL NOT
Gtlggs-MiOway Bltlg. - floom 5493 ' BE ACCEPTED BY THE STATE BOAFO
1621 Univenlty Ave_ SL PaW, MN 55104 UNLESS PROPER WSPECTION FEE IS
Phane(612)602-08pp ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION e
??aooom-y
??? "/ ? See Inslmctionsfor_` pleting this form on back of yellow copy.
? ? 115 2 p `+ "X" Befow Work Covered by This Request ???? &3 3
ew ndd Re TypeofBuilding AppliancesWired EquipmeatWiretl
Home Range Temporary Service
Duplex Water Heater ' - . EleCtriC Hea6ng
Apt. 8uilding Dryer Load MenagemeM
Comm./Industrial Furnace Other (SpBCf1y)
Farm Air Gondilioner
OtM1Br(6pBCity) CoMramot's Ramarks' ?i
Compute Inspection Fee Belaw: //?sfGt???G/r?s
# Diher Fee # ServiceEnhance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to400 Amps
Transtormers Above 200 _ Amps Above i 0_ Amps
Si(fp5 Inspector's Use Only:
? ? TOTAL
Irrigation Booms ??f 6?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY ORDE D/DI*ONNECTED IF NOT
Other Fee COMPLETED WITHIN 1QIVTHS A
I, the Electrical Inspector, here6y Rop9n.m ??C?, -? ', s?e? ?? ?
certify that the above inspection has
been made. Feai e
-26 -?
OFFICE USE ONIY . °
Tpii raquest wid 18 months iram
11?" f 4T°z
? 4
C? q $
Reduest OetP Fire No. Raugh-In I c[ian ReIuire0 Inspeqion O1M1er an oug?-In
(YOU mu mspedor when rea0yl 0 ReaOy Now ill Notity Inspeclor
? Vas ? NO OateFeatly
I IicenSed contractor ? owner hereby request inspection of above electrical work aC.
Job Atltlress ISVeet. Box or ome NoJ CTy
? C.
Section No. Townshi p Name or No. Rarge No.
OccuOant(PRINT) Phone No.
Power SuppLer Atldress
EI Comractor Gom Nam I Conttactork License N
ilmg Atltlress i nlra ? r p.vnar Mating Inst laiion)
A
/
Aut rize Si aWr¢ICo acton w. rMekln IallaUOn,Y PhoneLJy ber
('
7
V
MINNESOTA STFTE 60APD OF ELECTHICIT THIS INSPECTION REOUEST WILL NOT
Grlgga-MlEwey BIGg. - poom 5-1'!3 9E ACCEPTEO BV THE STATE BOARD
1821 llniverslly Ave.. 51. ieul. MN 5510 0 UNLESS PROPER INSPECTION FEE IS
Phone(612) 60P-0800 ENCIOSED.
SEDGWICK HEATING & AIR CONDITIONING CO. HeanNC JoeNO.553SZ
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS rWoaG{ DYiv'e_
OCCUPANT e-111 4 M iC'b"e- ` `-p- UrC(
SOLD BV ??'?/V!? ?' Y 1 re"
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THERMOSTAT
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OWNER 5A'tK e1
INSTALLED BY
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VALVE NPE OF LINER ?° G -
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IGNITION MOOEL
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FILTERS: S/2E rJ?? NUMBER
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TEST TAG _
LIGHTING INST.
PILOTTIMING &K??
7 DATE TESTED ?
PRESSURE ^?• S PERCENTCOz 7
INPUTCFH ffc PERCENTOz
STACK TEMP. PEACENT CO
PORM 235 (REV. 11/88)
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COMPANYTESTING
NAME OF 7ESTE
FOHM DiSTRIBIITIDN: WHITE
NOV I q 2004 i ,I
FILE YELLOWCOPY - CITY
& q gs;'
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructlon Reaufremenis
3 registered site surveys showing sq. tt. of lot, sq. k. of house; and all roofed areas
(20% macimum lol coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
7 set of Eneqy Calculations
3 wpies otTree Preservation Plan iilot platted afler7/1193
Rim JoistDefail Options seleGion sheef (buildings with 3 orless units)
e5'e?' ') r
RemadellRerrair Reauirements
2 copies of plan
7 set of Energy Calculations for heated additions
1 site survey far additions & decks
Add'rtion - indkate rion-sde septk sysfem
sz
Otfice Use Onlv
CertofSurveyRecd _Y _N
T(ee Pres Plan Rectl _ Y_ N,
Tree Pres Required _ Y_ N
Onaite:SepdcSystem _Y _N
s? %11 9/n/iVo
Date _:?;7 / ^//
Site Address X
j gg D.?uJ Construction Cost
DO /ilP? .??4?7.9r? Uoit/Ste #
Descriptioo of Work ,42 41,4r-Q SI':/"d ITuve/f, - '
Multi-Family Bldg _ I -,T•vsf l(
Y_?/- N ??)w?wdea.p *? CoZ)?a- ;"•-.oa2s i? R)C15lwy 'YPW%75 ?gi2
Fireplace(s) 1 _ 2
PropertyOwner j??e
. ?e 144. /non/ f Telephone #(?$h
Contractor COiG
Address zd 2
State ?U CC??/?,?{-?.P /.
? `f ?P S. City
Zip ?.O Telephone # orx?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Enefgy Code Category , Residentiel Ventilation Category 1 Worksheef • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a simiiar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the wark will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and
approval of plans.
,/) ,`-LL?' < iZvSS
App7icant's Printed Name Appli ant s 5igna e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
Q 02 SF Dwelling ? 08 06-ptex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - MWti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex P16g v or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 37 Addition ? 36 Move 8uilding ? 42 Demolish FoundaGon ? 45 Fire Repair
O 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
'p 34- Replacement "Demolition (Entire Bldg) - Give PCA bandout to applicant
Valuation Occupancy F- ;3 MCE5 System
Census Code y 34 Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgg Length Fire Sprinklered
Type of Const ? f3r _ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) LO FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
^ Other
Roof _ Ice & Water _ Final Pool _ Ftgs _ AidGas T ests Final
Framing ? Siding _ Stucco _ Stone _ Brick
_ Fireplace R.I. AirTest Final Windows
_ Insulation Retaining Wall
Approved By: Building inspector
---------------------- - ------
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Cpnnection Charge
S&W Fermit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? ? ?T 1-C ?-
,-
s; D:-
W????,.,
? ? pv"
2005 RESIDENTIAL BUILDING PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,F7v, '
New Cons4uctbn Reauirements RemodeUReoair Requiremenis Office Use Onlv
3 2gistercd site surveys showirig sq. ft. of lot, sq. ft. of house; and all roofed a2as 2 cop'ies af plan Ced o( Survey Recd . _ Y_ N
(20°hmaximumlotcoveregealbwed) isetofEnergyCalculatiaisforheatedadditions TreePresPlanRecd.-?_Y_N,
2 copies of plan shawing beam 8 window sizes; poured faund design, etc. 7 site survey for addidons 8 decks Tree Pres Required '_ Y:_ N
1 set af Energy Calculations Addition - indicete Hon-sfle septic sysfem On-site Septic System . _ Y_ N
3 copies of Tree Preservation Plan'rf lot platted after 117193
Rim Joist DefaO Options seleclion sheel (6u8diigs vrith 3 or less un'rts)
Date ;7_ I_2?_l Construction Cost jsnln/, OD
Site Address ?V 8 C? , ?,?cr )DlJQ" ?irl2 r??`ill
i 7? UniUSte #
Description of Work &erhoJC /j 7i/z9 Q"?P45?, 1`
Multi-Family Bldg _ Y N Fireplace(s) _ U _ 1 _ 2
Property Owoer 17 114?efl? Oa/l;LU /_ Telephone
Contractor b Co/L ? ? Di+/
Address 4i9/f?/?- ?L ,dve_ Jli City
State ?/cl Zip Telephone #V&02)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionype) Submitted Submitted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _ Y N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and wo ' a
permit; that the work will be in accordance with the approved plan in the case of work ?' er trme _a d
approval of plans.I {{ I JUL 11 2005
i ? /c /I.??55 LI
ApphcanYs Printed Name Appli Signature By_ _
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
?5 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish 8uilding• ? 43 Reroof ? 46
? 34 Replacement •Demalition (Entire Bldg) - Give PCA handout to applicant
Valuation Zi ?'?° •~ Occupancy MCES System _
Census Code `{ 3?F Zoning City Water _
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Sprinkiered _
Type of Const Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
.:
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
WindowslDoors
REQUIRED INSPECTIONS
FinaVC.O.
?D Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining WaII
Building Inspector
Base Fee ?
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Z 1J ?_ c.K, S
3?
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uoRT1t
_ . , SCdd..E I h' Sp?
Ff?A?.u S S4063-1 "hCE I6SL.Yx%
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br? -
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.? 93L• ? 915-'?)?.
? 42.03 i `
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?Strby certity that thir is a true and ccrrec.t ttprarentation at' e tract ot
eho+rt?' cnd described herscrt... As prrparsd: by fnr an this: 51? day, a?' '--
, 1S° 93 . '
.;.
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I
tITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
/, -e p
? y
auzLozrvG
?
s-
-/??
022867
02j25/94
SITE ADDRESS:
P.I.N.: 10-15000-090-04
DESCRIPTION:
15$8 NORWOOD DR
LQ7e 9 6LOCK: 4
BRI7TANY
Bu3lding,!.,Permit Type
8uild3ng W&rk Type
)
?.
.l
r
?.
/
^6
SF ADDITION
NEW
a n
REMARKS
SEPARATE PERMI75 ARE REQUIRED FOR ANY PLUMBIN6 OR EIECTRICAL WORK
FEE SUMMARY:
VALUATION $29,000
Bese Fes $278.00
Plan Review $180.70
Surcharge $14.50
Lic. Search Fee $5.00
Total Fee $478.29
CONTRACTOR: - Applicant - S7. l.xC. OWNER:
SATHER CO D M 19987989 0003778 NORD DEL
7920 POWELL RO 1588 NORW00D DR
HOPKINS MN 55343 EAGAN MN
(612) 938-7989
Z hereby aeknowledge that S haue rlead this app2icat3en antt- 02.arta? that Che
informatian is correot and agrea to camp7,y with a.il aPPI3c.alaie State o'f' Mn.
Statutes and Eity afi edgd°n 9rdin8rices. ;
+y?? f
APPLICANT/PERMITEE SIGNATUI7E ISSUED : S NA7UR
CITY OF EAGAN ?????`? • ?,?
jai L ? 1994 BUILDING PERMIT APPUCATION ti=ul ? r J°
-?a
681-4675 ? LQ?I p r?( ?'j
i.s?°'f
1
SINGLE & MULTI-FAMILY . -
2 sets of plans, 3 registered site surveys, 1 copy o ene
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 'Sa-?-, a,-\ Valuatian of work Coarart
59te Address: Isa60 J\(d-waa.G
,
S7REET SU1TE d
Tenant Name: (commercial only)
IAT BIACK SUBD. P.I. D. #
Descri tion of mork: rv.
The applicant is: ? Owner D'Contractor 11 Other (Describe)
Name R? ( N6.d - I0„eL.,el 1z pvvv,,4 Phone
Property LA5T FIRST
Owner Address lS?3u 06'?,n a d IJ,-
STREET STE #
City °a- oy-i State MvI, Zip
Company tJ. h Z'4-fl? 0vN wti Phone 1 7
Contractor Address _ 7?l6 P6w6'?? License # 577 Exp.
City ?{_ nT? State reo• Zip S$313
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree ta comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
!? t
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
?R"03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish
A 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Canst. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? .Site
O Wallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 3urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Tatal:
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
5q. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
;U Footing
P F9na1
,M Framing
? Draintile
valtmtim: $ z QpC7
2Yriz ? ?8
F, ? ??- io = 9G .7 a
(2?I2 '/YY
S 2 g, ? o kSy ?
MWCC
City
PRY I
Fire
As
2g5V?
?.,? "" A • ,?? „?,
.'
? 16 Basement Finish
? 17 Swim Paol
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
?u i red
Pump
rinkler
Code 4/?y
'e oT
Bldg ?
Unit o
.0 Insulation
? Fireplace
6pv
SAC X
5AC Units
V?
C-41,
0?0
i
I
r ?
ro/
?
?
?K U IJE
_VtS'6TP-1r
r I
No(Zn{
5cA1..E I 4 " cJp1
EbkR1.36S SNo.?1 A'P.E A65t1Meb
L?.+eiES 1 RC.J Me'k4?sh'
Ng ^z-LJz4"E ?",?t,
--?? -- a --- --
?a.e' .r '?a
0
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Io ??
17,0 ?W o
a, ,r
N
?
?
?
,
z.7•3 ?
?i
?DR41NAErE FC1fIUTI
\? EqSEMENr Z
O ?
\
? 93L? 9?s ?
' /Q2..0.3 /
N 88O 2 4' i¢,/ b
hereby cartity thaL thi• is a true and carrect rrprerentation ot a tract et
?n0 •t sham'and described hereon.. Ae prepared by me on this ?5 _ dar of
19 83
0,Q,NOa7,-Na, )liinn. RA?;. Mo
- - . ? - --- - - -- -.,
r , .., , .. ? . . , . ` ?
. . . , . ? . S' .
.4 EXPOSED AS74F/GEILltlG LALCUlATfO!IS:
To[2I exvased rcaf/cellinr, arez........??„_ gS f[
7otzt 5kytiaht arex....... r s4 ft x??U?? ,?•`` s- ?
:}^ Tatal rpoflcei t inq PYamina ?,z:••,, (3 ,. Y??a ??'j,,??
sc ft x U" ? ?-
. '•a?ea (Averece to4)•••-•• -- - -
{) Tota1 net Insutated ?? il • Z?" _?'??? y
roof/celling area....... ??? 5? ft X ll _/l3
TOTAf. j) tfiru I) ? 3+
-ALT%EU1AT,E BUILDItfG ENVELDPf OE516M
• ?
i1?zn tte total envetope xystem methad, the values•eatablished tiy the sur.
eMs 03 and,14 shail not 6e greater than the eum af items ?-F1 Gnd =2.
:a .--
3- _ -??` '? ( '• ?' --'-"=-`? ' -+J-? ? ?
.;W.
G E P. T t F 1 C A. T_ 1 0 tf
1 here3y ceriify ehat l have eelcuiated the "U" f:ctcrs artd "R"
es herein an3 that' tie huildinn here des;,: ifiec -meecs vr nxeeads .he S.zts
innasota Energy tu+servation Act.
. ??
• ,.?.. ?_
(Si zlure?
(Date) '
R-97%M? .. . • ? . ' . . . + . .• .. ?01-20-94 11:14AM ?P603 ?SF34
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
(P? ? `?'> Telephone # 651-675-5675
Please complete for: single family dwellings & rownhomeslcondos when pemiits are required for each unit
Date/L/q/
SiteAddress l`Ss'? Unit#
L
PropertyOwner A,? ? Telephone#(?/
Contractor
Stree[ Address ? . . '. '8nis;'Otth A-I_ City
State F_? R?? Zip Telephone #( )
Bond f!: Eapires:
The Applicant is _ Owner ? Conhactor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? f ??i"YIn 41mP
Additi
l R
l
urnace ona
acemen.
_
ep
air exchanger
? air conditioner p
_New ? Replacemenp4mfy- ?.2 )}L'C'bjD
other
State Surcharge $ .50
Total NOV 1°. 9004 i?
ll ? $
?
I hereby apply for a Residential Mechanical Pernut and acknowledge that the informatioxr-is-comglete?and-accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an applicarion for a pemrit, 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.
Applicant's Printed Name ? Applicant's Signature
2004 COMMERCIAL MECHANICAL PERMIT
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling uni[
Date / /
Site Street Address Uni t #
Tenant Name (if applicable) Previous Tenant Name
?
Property Owner Tetephone # ( ) I
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires: ii
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove li**see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"When installing/removing undergraund tank, cad for inspection by Fire Marshal and Plumbing lnspecfor
Permit Fees: $70.50 Underground tank instsllationlremoval I
550.50 Minimum (includes Stare Surcharge)
I
or
I
Contract Value $ x I% ' Permit Fee -
• If ep rmif fee is $1,000 or less, add $.50 => $ III State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 ep rmitfee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete'and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, 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. 'i
ApplicanYs Printed Name
Signature
Appraved By: ,Inspector
Lor: ?
y3???
BLOCK: ? SUBD./P.LD #: YI ffLIi'1V
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements
? 3 registered site surveys showing sq. tt. of lot, sq. ff. of house
and ?II roofed areas (20% max(mum lof coveraae allowed)
? 2 copies of plans (show beam 8 window sizes; poured fnd. design; eTC.)
? 1 set of energy calculatlons
? 3 copies of tree preservation plon H lot platted affer 7/1 /93
? Rim Joist Defall Optlons selection sheet (buildinas with 3 or less unttsl
Name: ALA I? Phone#:
tasf First
Street Address: MB1-4w?
City ?gg State: Zip:
DATE: CONSTRUCTION COST: ?(7(Y
DESCRIPTIONOFWORK: IfmuMi-familybldg.,howmanyunffs?
STREET ADDRESS:
PROPERTY
OWNER
Company: Q l? _.L?^- l\ k.S,po?"SL? Phone#: ?j -
-;? ?-l
(area code) -
CONTRACTOR
StreetAddress: License# 7?0Z- 1(n404 Exp. ?L
ARCHITECT/
ENGINEER
City State: Zip: SL<?/ o--
Telephone #: (
142.??
Remodel/Reoair Reauirements
2 copies of plan
1 sef of energy calculatlons for heated addRions
1 site survey for exterior addRions 8 decks
Name:
Street Address: ReglshaTion M:
Ciy
State:
Sewer/water licensed plum6er (if installina sewer/water): ' Phone #:
Zip:
I hereby acknowledge that I have read this application, state that the Information is correct, and agree to
comply with all applicable State of Minnesota Statutes and City of rl ydinances.
Slgnafure of Appllcant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
? 01 Foundafion
? 02 SF Dwelling
O 03 Ot of_plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
VALUATION
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) O 31 Ext. Alt- Multi
O 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 23 Porch (screened) 0 36 Multi
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 42 Demolish (Foundation) ?, 45 Fire ReQair
? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior)
' Demolition (Entire Bldg only) permit - GWe PCA handaut to applicant
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
INSPECTIONS REQUIRED
? 07 OS-plex ? 13 16-plex
? 08 06-plex 0 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or_ N
_ Footings: New Bldg
_ Footings: Deck
_ Footings: Addition
Foundation
_ Framing
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
_ Insulation
_ FinallC.O.
_ FinaUNo C.O.
Fireplace: _ r.i.
Pool: _ ftgs
Building _
air test final
air/gas tests _ fmal
Engineering
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Windows - new/replacement
_ Siding
Scucco/Stone
ftoof: ice & water final
Variance
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCNIT6CTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF BNERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
- # OF FOR SALE UNITS
PENALTY APPLIES WHEN; TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation: 'fDate
Site Address 156$ ?orusc.?Qr,u'?.
Lot -/ Block 6p.It`cLh LI
Parcel/Sub ?TH--&_kt-4
Owner O c ? ftord-
Address I?_c?` ? lbn,p2r?-. 0y.t u w.,
City/Zip Code Ltas:r??'(}'??kh CSI?.2?
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr. '!?yv.y' _
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
A1lowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council ?
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct, Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
35.oa
110
T
O
FROBE
ENGINEERING
COMPANY, INC.
?aoo usT 1461n aTnccT,
CPIANNIAt andalqHD siUIIYEYOIIS
OUItNiVILLLs MINNCaOTA 55337 PH 432-3000
UAW IaG1 CT'LeeOTL •
ILG 4,31uf-v-e y
Lor 9 ? B?.GGL 4, BR 1 T-Ta.IY , DAK.oTA
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N ???z.7•3 .?{`, \
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N 88° 24' i¢'/ 6
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I Aetvby certity that this is a true and carsyct riprarentation ot s traot ot
land as sho+m'and descriDed hereon.,. Ae prepared by m• on this `? dar ot
rnav ? 19is-i. '
4?-W?.?lQi?n )Ninn. Jtet# go.
. ?A08E coNsuLriHO tNd NEtDt
. ENGINEEAING PLpNNEAi and ?aNC suavI
COMPANY, INC. _
L .1000 WT 1461h !TlICCT, OUlINSVILLL, MINNE40TA 6533T
C!'1"?f?f_ c?atFP J .qv/f••
PM 432'3000
?JV
?aQt r7PAJe+s+/Pge07L' Lor 9 8l-OCK. 4 ,
? 1 Ut TTA4Y, W+1coTA
? cewar`( I Mi.4AEsotr..
C,),+;
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NoRnt
5[ALE I 141,4501
. .
FEnRwws s6400.3 ' nRe ftso-VO
- 0 D[i+erES ' 1 ROPJ Me,4lWj6jr
? 3p? ?? SE.TppGK U N£
i ?
u \?
.\ N89°TJ2?Z4 E ^ ?^ ? -
70.06
135.00 - _ _ .? ... ? .
.,??•IriOr__?y___?-_.--___ ?^?v_-?
cmUr(
> ^' 'd? i;. N' L MEMbt-1T Z
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?
a 7.e ? . 9\c?
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7? 4 b ?- N 'V0
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yp l??`. ? +?3+o J ?
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-7 ?.
:.' N 88° 24f 14,rE
I hertby ceMity that this 3¦ a true and correct representativn of a traat ot
land as •hown' and dercribad hereon..• As prepared by me on thi• ? s*- day ot
rnkv . 1! 83 . '
-? 1_)?finn. 1le?. Ko
Ok7NER i '
sz2E nooru:ss:
CON'CRACTOR; T7 l ) DE??_s_. ._?
PlIOflG:
netermine worl<ing scluare footayc of each
1. Total cr.Posed taall area...... . Zsy. IL. x 17 =__?-??='r •?
2. Tonl roof/cc:7.iny nraa ...... IzSc'.0_ sq. fc.
Total exposed wal7. area abovc flo,r =__lG(f4?1_O _
: a. TotaJ. wall wind.-)w ar_a ................................. ??-C)
• ti. '[::ta1 door araa ........ .. ......... ...... ... ..... .. ---
c. To'cal clidina 9i:.zzs doar i1TP.8 .........................
Cl. '.COtdl S.`lYC:LJLdCB Wdli dY0 3 ........................... ..
o. Total uiall frani.ng area (aveiage 102) ..................
E. To al rim joist area ... .............. .............. f?CD
g: .' ?-area above floor ..................... ....
h. wal.l area aUove
. floor ..........................
.___?
i. . wall area above f.loor ..........................
wall area above flooz .......................... ..--.---
Total exposed foundation area. = 7S b_
k. 'Abtal fo,ir:datien window area ...........................
-7 5-
C)
1. Total net.f. our.dation area above grade .... ,
............. _
Determine "U" valuc of each wa).l seymenL
(e.g. win dcw, door, each separate vaa11 section)
X „U,. -3--
? X "J"
? x ., u„
, ss- - ?44, o
_ _
a. --
___--
e U..
1 11
f. ??--
g• .14?D•_<°-- x „?„ _yOCo = __?7.?
?,. x „u„ ?.-
..?.--.
- ?
i. `.?
_.?.^ x
-- "U,. --
---------
?
-- ------
i
'^-- f iCCln
If? i5 thC Same a5,
?' X "U" "-'-
-- ------ or less
than item. Ylr: YoAx
have met f,,, .
the .intento`
?
X
?lUl:
SllC GGOS ,
: ,,.. .
(c) 2.
-__--- -
x y.
;
.... ............. .... .. THt.ii
ED:TIiR1.OR L•'NVT.I.,OPE AVT:RAGE "U" COMS'CTA7'ION
Pvcterior Bnvelopc Averaye "U" ComputaCion Page 2 of 4
, Tolal exposed roof/cciling area
m. Total s}:yli_ght area ............................ ?--.
n. Total roof/cciling framing arr.a (iivcra,fc 10?)... _?3LLp__
o. Total net insu?ated roof/cciling area........... 4-
Uetermiiie "U" value for each xoof/ccili.ng segment
M. X "U"
n. K "ull
o. f z. X "U" -L(??S _ :. _z7•J
4 ........................... 4bta1
If total of $4 is the same as, or lesa i.han N2, yuu have met the intent of
SHr 6005 (c) l.
Alternate fluildin Enve]--ope Desiqn
-
'lb utilize the total envelope systen method, the values established by the s:un of
items N3 and #4 shall not be yreater t}ian the sum of items $1 and k2.
1. EK24 • 3 + z. 3. 2?54: (,::, + 4.
PLAki 4:?
Ti J DEuecn?L-vq
Li&IEAL FT.
P?LOGK.' ;4? t-3sfiqot3s=
357-fiZ£s4-(3 =??-v
ECposEp WALL
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w , o . ', 4 o.o
PuLl.:l
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,
R-I M :',,I sZ.o
WA L,i.... AzEA
X ,S =7so
)C. S = mz- o
k- I
X S - I2.o
K =
' TotAL = zi43.o
Iz3?.o
Sa,;:t, EKPISE.1 GEI LIuq
W DWl5 L?7 D 00e-5 ±
zo136-I I = ID•o
?-Z?= I?•?'s
ZaCO-1=33-3
z4r4?6-1? =3Z.o
2aq6 - I I I =z?. c, ?
?ATlo DtS ,
izlgo " 1= G'?
z41?-11 1{=z4'o ?° - 80.0
1?- ??'
?'on%c-= I zG. o . ?'35 M'-F U AJ r+5 t?J
fi,00P/CEILINC
.
Ccnstructinn R-Valuc
1. Iritcrior air film 0.61
1. SIB?'_?'?i???T!?i?? -? __ .?
3. ISL-OW? jb2LW-I--- -?
4_ Exr.crior ai.r f.iln (?:c:ill)
U.G
--- ---:--- Irota;
`:
t¢n[2d
f3eac flov
_ ur
PIG. 05
? . ? ? ..
0= .O7,"r!
1. Interioi air film 0.61
2. -P-I7--? ?
4. Exteri.or zii: filn (stil n
?^ Totai
U `•, a'?
• _ ? o?.. ?s?rw_ ? c rr .?.s?.,.,._ •
N??;.J.!?•1V?•?vi?T.? ?;ytY/.n.?.^A??CJS?J'<}.'? ' 0.6I
?.--- ----=---- _._ .-- --- ..._ _--• --.___...?.??
•..-.?-- _ -_____..???t/? 2. .._.._..? __ '
?
0.17
? (}(? (l)?;l 1, put??idc air Lil.:u
?.?? I . • ' ????r` . • ' ' .
•?. 1 ?? ?--r?- • 1.. Tn?ide air L'1.7m 0.61 :
? -- -
a.
t:cac Llov up . . ? . ventcd 3. ?.. ._...---_ .._- ' --
4.
• . , • ' ? . • $. Cutside air film 0.17
ToCal
-. •. _..3 Insidr_ air Pi.lm • ' ' 0.62 .
2- --
a
, ,s,a+ `,?-.• ..:-?? 3.
_:-?-- •
- r.?:,r:a11?%-r' . .. • -? 4-
,.,...•+,-..:
-J?Y•':••?:'•'•'• " / / 5_ thitside air film 0.17
?,%-?.:;?•,.?., r? TOGal
• ?/ -L'.J ? ? . . , .
? , . . • .
. ZtO;i_yT1:P1? •' ' iaotc: ttse additional sheets if more npac4 :
preclecl fur d0111ails And cAlcu2atians.
' . t{eac ' - .
' . . • fflov up ? - ? • ',
, . ? . .. •
' ?T ,_ $7 - • • '' . •
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G. ExCorio--r:? nr. film
..--.._..._._-?---'--.._-
'I'ota l
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-- --
s. J4?SuG... . *3s??"_ --?3125
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" . „O?`S?pNyf - '_"'""'_ WEB NOTES. ""_""'
. ?? NEB6s2H4 03 8Eq-PZR, PIR-LJIBCH,.OA
90. PINB. ,
sxi 124' 7•
LOCATB TOP CHO&!1 OFP-pPN&L SPLZCB
WITAIN 6" OF PANSL t!{-POItiT.
nA$868 9HoW ? ?
D28ECTION OP
ELONCAiED
NOLEB IDl
"PLATES ON TYPICAL CONTINUOUS JOIN?S
a.oo
3X7
3Y.6 2{' 7"
2L' 6"
?X 4. 7.
?_ 5X6 21' 6"
.
?
3x6 247"
.
2xa 2l ?»
zxt zt' ?»
2X5 18' S"
--- ---R
-4.Bp. I iC PANEL9
P £A. BC PANEL9
MEASllREDFNOM-
IN5IDE SCARP3-
NIN BRC SPAN
1 7.56" 24• 7"
? . ? . . - .? .. ? .. -
? - ---24' a- M?;x - - - - --
E iYPE• RLPINE
0 0o c: A o oQ
0 0 0 0' `c'? p o 0
O o o c+ o 0
a o og Qo 'p o
O O O' .- O. O p.
0 oALP I Eb o
00 0
° f TRUSS ? ?
HLPINE ENGIHEEflEp PROOUCTS,ING.
P.D. BOX 2225
PO?IPHNO BEFlGI,fLORIWi 33061
305-761-3333
DBSICN CBIS8IIA . TPI
TC LiVE LOAD ? 40,8 pgE
SC 6E3b LOAD ? il.b p5P
BC DF.aD LOAD . 10.2 pgp
TOtYL ? 68.0 PBi +
DU@. PACSOA 1..15 °
SPACING $4,9^ pC
SQ . OVERALL 6PANS
P I NE ':Xi ac 2x4 sc
ss nsN ecn 24' i• 24- 7-
S5 D6N 24'- 7" 24' 1'
SS KII .24' 7" 24' 7^
SS 23'.-`7" ]{')^ .
#i RBBICn 24' 7" .24' 7•
ii bea 11` t•_ 21, r.
Ii RD . 24' 1• 24' e•
?i 24' 7' 23' 8"
•2 06N &D 24` 7` 23` 9'
f2. DEl1 24'q' 22' B-
iT KD 23' S' 211 . 0' iI 21.'9" 28' .5- .
? Luhu,.NU SrHUM
_ 130.0/1.15 24:0`?.
2X4l2X4 PITCH '
CfPS?NJi'AOLi 6_- ?Yr? :??p<Narb. /
42VBS oA ;
4
0/12 .
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r..?,??.o, .
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. ? ?OPYRIOHT 1979,?, 48 88442
il24h 4 :,Dga91? EIB9.1T2"
IO67.CANSAACTC? ?;;? ?A pl-CpNq 66f1 3S lH?t8.t9 r2l
"
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B90190' l Of 3 C-t ]-]I-19 46000 4W v07.00
" 4USOMA'([0 tlUfLOING C9MPONlNTS
5[GNCD IN 1CcONOApGE M[TN NSNNLSOSA STAT! BUiLOINC CUOE
•ElNC cOMrOANS SU U,O.C. lTA4DANU M0,15-17 (ICdD PEPOxi nu. 1l91)
P! 'IF 700 UNIIOPM LUAV(N4
1V' • iIrt. - o[n, rov CNOND LL +40,0 VSF
'AICSNC + 1ft. -..Oln. ON CCNSER OL • 10.0 YSF
I011TTlPM L0AO1NG;INCp[A3ES tlOS CNOpO bL • 0.0 Y6Y
GUABCN 3SR653E5 INCqE13fD • 1.15 06 • tO,V VJF
PLAiL NA71NG IHCPLPSEC • 1.15 IOSAL LOAD ? $010PSf
'Y CNORD BLOVE • 6.0JU/17,
.It.CU! * 0.73 1NCX[8 •• SRUl3 138YMMASPICI1b I160Ut TNC'CCNT[PLIxC 000
•MCLLCNGTN CNUPD fOACC wCB fORC[ J[IINt LpAU aLACL
.1,'7fi ]- 4/I6I0 C U .273I w 1. -629 J 1. 4a9 -IAYO
7+ 5/T ii-17/I414 C 7- -7361 W 7• 055 J1• 700
b• !R tl-11116[M C 6• 16l1 J J. 611
11t 91't 6-7/16IN C la ZH] J 1• 145
•.410 q(pt}I=IyE SINl33 YI60L5 XAYf BLL'B AYVLIED TO IW75 O[SIGN •...•
'F. CMpIIU IE 2%4 NO 1 NO DCNbC eaurxreH PIHL f•2130 T-1]]0 C-I100
SiR[YJ 1'RCTUX• 1.113
ITSM0P0 ib 7%1 x0 l! ORY/GNM OOIIG fIP I.17!u L-IUfO U1750
, . 6tpCOb fAC70N- 0.941
',3 1NCNN[NSMUM BCAIPING p[OUtPCO FT J l ANO J 5
'tAL LOAU UEfLCCIIOM A1 JOINT 1•O.L97'tlh, C/DfLit • INtl
1 hereby ccrtifv ehat thin plsn. speefflcetfan,
d rttt ?sn?rrv;,?;.;:~:?: by me or undc: mY
Registr.,? Pruir..-iord that I,am e duly
Iawa nf tnc .
Stm ?.?'?(1? s?'aeer und? th?
---.--?
Date FEB 15 1919 J
ReC?atreuun No, 1s1Ja
JOI
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FOR FLUE p4T< 8EE -
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? 2 TO WOO? STUD^ .
1 .. (
ORJOIBTH? .
I
- ?
LIMIT 10F WOOO.TRIM,? I
wOOD
i OR J015TS
%l ? WIDTr+OF?pG+6"_
NHIt K ..i AV!.liN.ll
S•
? ItIIAI I Y4' MDY Fl L1lS'_:
? 9111??J?N?11 ?I)?.lMlfJl.
? BACKINb 2 ' `aCWPSTONE
?
.. CEMENT BACKINN"j"_v
WiOTWOFOPEMNG2'-107 'SEE 6?-iEET PRECEDMG
?
uGT ? .
l/ I
I
I
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I
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I
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-- J
h,
BECTON
FIREPLACE . WITH. DAMPER
NO• FI%TURES
SHOWER
WATER CLOSET
BATH TUB
LAVATORY
? KITCHEI3 SINK
? LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET - minimum -i
ROUGH O.PENINGS
WATER SOFI'ENER
PRNA1'E DISP. • ?iLay.wc-
U.G. PRIIVI R • n?,?a« m?.
TER??TI NS • o wuing
W'TER AROUND
STATE SURCHARGE
SITE
OWNER
TOTAL:
iS: /?? T ?V 0 ,4ZLAJ00T), _
IE: -DEL Nuzb
N1??E 'afc.-ascA ?w?(3
c;?bSZ9e? Bt-kTl-z--`2?v?7 57'
. . '. 1'._.?_ - . . .. .
F:ACH TOTAL
3.00 -
:
3.OU'
3.00
3.60
'
?
3.00
3.00:
•'
3.00 -
..?.,.
3.00 -
3.00 '
3.06
1.50 .? _
S.O,U .,
20:00
3.QQ`
20:00
20:00
sn ' ,
020 ??
crrY: ?'?Dr? sra,TE: .?'??/A;-' z? coD?;?.SS?f (
PHONE #:
PLEASE COMPLETE FOR ALL
FAIvIILY BUILDINGS WHEIV
DWELLING LJNTT.
^ NEW CONSTRIIGfION
ADD ON
^ REPAIR
WORK DESCRIRTION:
f
CONTRe1Cl' PRICE: $'
FEEi 196 AF CoNTRi1CT FEE
STA'1'E SURCHARGE: $.50 FOR EACH 51000 OF FEE:
MIlVIMUM FEE $ 25.00 ???
CONTRACT PRICE X 1% $
STATESURCHARGE $
OWNER NAMEe
INSTALLER:
ADDRESS:
_ STATEt ZIP CODE:
PHbNE #:
FOR:
CITY OF EAGAN APPLICANT '
1994 PLUMMING RERMIT (CO1kiMERCIAL)
GITY OF .EAGAN
38;i0 PII:QT jKNOB RD
EAGAN MN?15122' (612) 681-4675
WENZEL
MECHqNlCAL
& HILITE
ELECTRIC
La ,!3`f, gt 4?ow f. ( s?
3600 Kennebec qrive
Eagan. Mfnnesota.SSf22
452•1565
To: Cr 7-y
3 ? v
a-N' r? t ,.P ?4
ATTIV•: z SUB.iECT
DATE: -&L?'8 3
Gentlemen:
? ENCLOSED --FS:l WE ARE SENDING
? UNDER SEPARATE COVEF ? WE ARE RETURNING
? FOR APPROVAI 0 APPROVED FOR SHIPMENT
? FOR FABRICATION ? FOR YOUR INFORMATION
REMARKS:
VERY TRULY YOURS
BY
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• HOUSE HEATING TEST RECORD f-
_.:
ADDRESS? B .
APT.-FLOOR CITYSUBURg
, OCCUPANT OWNER
, HEAT LOSS DA7E FiTG, INST.
. SOLD 8Y ,• I
INSTAt,LED BY
. Elsctrical Work By Gas Lins By
: TYPE OF HEAT ' y
GA - Fiv_.?_HW _STEAM -SPACE HTR. _UNIT HTR. _OTHER
2T GAS DESIGN CONVERSION
MAKE (
, MAKE OF
BURNER
Model Modal
. . Serial L4 ) /.3? 91"?'l}-?(? 7i
' Max. BTU Roting .
.-
INPUT dCi"? MAKE OF F
URNACE I
Model I
.
CONTR0L5 ?
i
THERMQSjAT?r- --- ryeat plu9 : Vent Size
Volve ?Af KIND OF LINE
? R SIZE NONE
Limit D
h H
d
ra
oo Regulator '
Limit SeHiny ?
Pilfsra Si:e
Num6er '
F°^ 5°M ^9-) Chi
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oeation
nsi
e Outside
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onatruefion
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ft T
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L.W. Cut Oif Dow Pressme V" LiqMiny Inst. ?
Proasura
Pereant C02 q
0_ Deta Tastsd /0 _d'"/ ? !
- ? '
Input CFH Percent O2 Company Tssting
Stock Temp. ? Parcz,nt CO Nams oF Tastx [7?'-?? l LS O (
Form 235
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ADORESS:
INTMCTOR: Sk ' DATEt PNpMEe ?$y T
- OEtEM11N@:1q11kIMG SQUARE FDOTAGE OF EACHs
. T6TAt E1(POSED VAL4 hNA..e.,`.-?? i4 ft x!Vil
TOTA{. ROOF/CEILINQ'AREA- ' ?W+Yil 1
:..-: .::. ,. . . .?. , ...."... ?o2d sq te x "u" • 02(0 . (?s, 2
TOTAL EXPOSED WI1lt AREA:, 4
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,'...•:,Toul,fovnd?elon? , . , . .
Area (E*444:........, sq ?fi.
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1
S ,?fl?er
MU1OMPANIES
BYilding Maceriaf
Design/9uild
General Gontractois Paintinp & Decoratlrg
OFf ICE # 612 938-7989 •
FAX f 612 938-3503
DATE•, 'i ,w 171 , 2IME:
To: ? ? ?1?lSPl?s C?I ;
r,s4 .? . -, .•, '
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175939
Date Issued:04/22/2022
Permit Category:ePermit
Site Address: 1588 Norwood Dr
Lot:9 Block: 4 Addition: Brittany
PID:10-15000-04-090
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Delmar Nord
1588 Norwood Dr
Saint Paul MN 55122--271
(651) 261-1313
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature