4553 Oak Chase CirCITY OF EAGAN
addition_, OAK CHASE 4TH ADDITION Lot_
Owner?ii//?.v?.: i..?ZwcL+.a.c:ci= Street 4553 Oak
l ? .Li1?:J t?t }?iJl?lF )5 33 :
0 2 A-
Circle state Eagan, tjW 55123
Improvement Date Amount Rnnual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. 3), 1868.67 C006624 10-15-79
GRADING
SAN SEW TRUNK jcj/ 210.22 10.51 20 136.65 A007379 -6-79
SEWERLATERAL 1974 106.43 7,10 15 63.89 A007379 -6-79
Sewer Lateral 1974 279.51 18.63 15 167.73 A007379 -6-79
WATERMAIN
WATERLATERAL fed 1972 573.(9 38.25 15 2 ^
WATER AREA 13-1 1977 36.92 2.46 15 29.54 A007379 2-6-79
* 10-15-79
SEW ?ffiTjjt 1972
STORM SEW f
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
SUILDING PER,
SAC
PARK
?
CITY OF EAGAN Remarks ? -,4aj F?? : Y' ? ?1??-'-'' • ??!??',, _ _
Asidition _, OAK CHASE 4TH Lot ? 'BIk 1 Parcel 10 53053 040 01
owner Street 4553 Oak Chase Circle stete Eagan, MN 55123
.,7 O!' -
Improvement Date Amount Annual Years / Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 3 A 07379 2-6-79
SEWER LATERAL .r'V 2_ _79
305.20 30.52 10 274.74 7A007380 2-6-79
WATERMAIN
WATERLATERAL
-Off 1979 1199.29 119.93 10 1079-32 A007379 2-6-79
WATER AREA 1979 8,72 87 10 7.83 A007380 2-6-79
STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
PERMIT # C)C
•MECHANICAL PERMIT
GTY OF EAGAN
• 3830 PILaT KNOB ROAD, EAGAN, MN 55121 RECEIPT #J UO
n
DATE:
1CT PRICE ' PHONE: 454-8100
..::-
Site Ac?d?ess ?
Lot.?_ Block
? Name _
w Address
c City _
Name
?
c Address
O CitY
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
L""' M BTU
M BTU
M BTU
M BTU
CFM
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-700 M BTU -$24.00
'.r.: 0 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMMlIND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FEE
S/C:
TOTAL•
SIGNATURE OF PERMITTEE
FOR CiTY OF EAGAN
17
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EA(iAN, MN 55121 DATE Site Address -?' `
Lot H_ Block
m Name
.g Address
c City
? Name
3 Address
p City
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Q?.,..?
SIGNATURE aF
BLDG.TYPE
Res.
Mult
WORK DESCRIPTION
New
Add-on
Repair
NO. FIXTURES
? Water Closet - $3.00
Z Bath Tubs - $3.00
. Lar+atory - $3.00
Shower - $3.00
Kftchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
.Whirlpool - $3.00
%L Gas Piping Outlets - $1.50
SoRener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
TOTAL
S
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL.
CITY OF EAGAN ?
,- • 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?`? ...
PHONE: 454-8100
BUILDING.PERMIT
To be used tor 5 F
Site Address ? D Z) J
Lot 4 Block 1
Parcel No.
?
w
z
3
0
Receipt #
12Ai1
$ 12 6, 000nAfp jUNE 13 ,a 86
o Name S??
0 t
-c Address
~ City Phone
?¢
F W Name
? p Address
s
< W Ciry Phone
I hereby acknowledge that I have read this applf ation and state thatthe
information is correct and agree to comply wRh all applicable State of
Minnesota Statutes and Citv o/ Eaaan ordinances.
Signature oi Permittee .
A Building Permit is issued to: OZI•:UN- nF I)IM,
all work shall be done in accordance with all applicable State of Mi
Building Official -
Erect EIK Occupancy A3
Remodel ? Zoning R1
Repair ? Type of Const Vln
Int. Impr. ? Sq. Ft
Install ?
Assessment Permit 4 ' 0
Water & Sew.
P
li Surcharge 53.00
249.00
Pl
R
i
o
ce an
ev
ew
575
00
Fire .
SAC
Eng. Water Conn. 500. UO
Planner Water Meter 63 . 50
Council Road Unit 290.00
BIdg.Off. 6/2/86 Tr pi 156.00
APC Parks
Var. Date Copies
Total 52.394.50
L NC pn the express candition that
Statutes and City o} Eagan Ordinances.
411
? PKmR No. PermM Holdm Data, Tdephaa A
- „z
PlumMOy 7Lio
H.V.A.t:. ccD
EIocMc - p -
Soflaner
ImpecNon DaM Insp. Commnnb
Foodngs I
Footings 11
Foundatlon N, ?
Framtny .? - 1114
Roofing _ _gG
Rou9h Plbp.
IRouyh H1q.
Insul.
Finplac?
F{nal Htq.
FlW Plby.
&dy. Flnal
Cart. Occ.
IDeck Ftp.
ID*ck Frmp.
Describe Locafion:
I wen
Pr. Obp.
OF EAGAN
Pilot M.nob Road
Box 21199
i, MN 55121
PERMIT NO.:
D11TE:
No. of Un1ts:
6
/lddross:
to en.oy wbi th. Ciqr of E."a
of Irop.:
100.OOpd
Cwmictbn Uwrqt:
Atcount DepOsif:
Pormk Fee:
Surchorge:
AAtsc. Charpes:
Tatol:
DoM Raid:
CITY OF EAGAN WATER SERVICE PERIIAIT
3830 Pilot Koob Rosd
P. O. Sox 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoninp: No. of Units: ?
Ownwr. .. ,, . ?,??•.`,
Address:
Sfte /lddreg: ; `57 ='r CIia Se _ •
Plurnber: Itfnb i, r
Meftr No.: Connection Chorye:
51ze: Acoourrt Depostt:
Reoder NO.: Pemtit Fee:
I NrM h- 0*Iy wkb ew Cilp of Empe Surchorye: '
Orammo». Miac. Chorpas: 'c
ey
Dota of I nsp.:
Taol:
Dah Poid:
insp.:
CITY pF EAGAN INATER SERVICE PERMR
3830 f : Knob Road
P. O. Box 21199 PERMIT NO.:
Eagsn, MN 55121 ? D^TE:
Zan1?g: No. of Untts:
DwMr,
Addrolf:
SIL? Addf!!3; ', k C.}13 S t? . _. ? C _i . . S
rvo.: 0.5-iv Y3 O1
h eo?.rlr .r" 1`.
-? ••--Msc. c?,aron:
Torol: t e
Dote Paid:
s of Insp.: (rap.:
?-3 - g?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 N0
PHONE: 454-8100
BUILDING PERMIT
Receipt #
1?11
03Sy ?
T
b SF DWG/GAR $12 6,000 JUNE 13
'8 6
o
e used tor Est Value Date 19
SiteAddress 4553 OAK CHASE CIR Erect CN Occupancy R3
Lot 4 Bbck 1 Sec/Sub. OAK CHASE Q Remodel ? Zoning -Rl
Parcel No Repair ? Type of Const. ?
.
Addition
? .
No. Stories
OZMUN-PEDERSON INC n4ove ? Lenqth 54
w Name Demolish ? Depth dd
o Address 15136 GALAXIE AVE Int Impr. ? Sq. Ft
city A• V• Phone 431-5000 Instau ?
o Name SAME
i?
$ ¢ Address
? Ciry Phone
F W Name
s o Address
UZ i
?S w City . Phone
Iherebyacknowledgethatlhavereadthisap 'cationandstatethatthe
information is correct and ay;ee to compl ' h all applicable State of
Minnesota Statutes and CH4?f Ead?n dic?nces.
Signature of Permitte
Feea
Assessment _
Water & Sew.
Police -
Fire
Eng.
Planner-
Council
sid9. ott. 6/2/86
Var. Date
Permit '' "'•"?
Surcharge 63'00
Plan Feview 249.00
SAC 575.00
Water Con n. 500.00
Water Meter 63.50
RoadUnit 290.00
Tr. PI. 156.00
' Copies
Total $2,394. 0
A Buildinq Permit is issued to: USMUIV-Yr:1jr1x6VLV 1L4l. on the express condition that
all work shall be done in accordance.with all appli e S e of Mi nes a utes and City of Eagan Ordinances.
Building Official . ,y
2! (?/ R?T FOR ELECTRICAL INSPECTlON ? ee•ooc
See inatruetions br camplatirq this iwm on back oi valiow eopy. /
'(' a-c-) R9 "X" Below Work Covered by 7his Request
PIew4AAtlj Nep.Z . Type o1 Builtlinq I Applioneea Wirad I EQUipment Wired I
E;% I I W2t¢f
k Fee ServiceEnhanceSiza b Fee Feeders/5ubfeeders N Fwp Circolts
iu,,tl 0 to 200 qm s 0 to 30 qm s .?. a 0 m 30 Am
Above 2 0 qm u 31 to 700 Amps -:tv6 31 ta 100 q y
Swimming Pool Above 100-Am s Above 700_Am s
Transiormers Irrigation Boorcis rS PartiaL'Other Fee
t?l Signs I I. JSpecial Inspection '
Aemarks S'to I TOTALF6
_ ?n
? ..__e.. ... ?e?-?I
e Electr .
I, th q
U? c. by
Insoecto here
-? V -? rortily that the above
Final 1 iAtei pjf i?qoection has been
?1 -f9'?( maaa.
This reques[ voltl'?l
18 rtwmhs /mm (
: C - 4 5 8 2 L- cll3 ` S6, -
fte t l)ate
y? ?
- ire No. pouPh-in Insuection
Requ retl?
?Reetly Now ?,Wfll Notify Insper
Wh
n R
?
- Ves NO
? or
e
eady
? Licensed Elechical Contractor 1 M1areby request insoection of above
Owner electrical work installed ac
Street Address, Bax or floute No.
?,a- c c-c%a?clu
q?S-
? CitY
W
eclion o. TownShi
p Name o
r No. Ra?Be No. Counry
?
OccuPnntlPqlNTI Phone No.
/0 -Z?
Pow
r $upplier
e Address
?
/
'? ?
?
'
IL ? O / fi(
- ??li
1?
?
i
EI v
ca
l Contractor (COmoany Neme) Crnhar.tor's License No.
,,
,
}
?G C,
MailinB ?+tlJress IContractor or Owner Makine 1?stailationl
'
ve
3 3
l«-
5
.
c
Aut1? ¢ed ig t e I Mr rf ner Making instal a ion)
' Phone Number
?
MINNESOTA STATE BOAFD OF ELECTqICITY TMIS INSPECTION REQUEST WIIL NOT
Griggs-Mitlwey 91dg. - Noom N-191 aE ACCEPTED BY THE STqTE HOAND
1821 UniversitV A.e., S<. Peul, MN 55104 UNLESS PHOPEF INSPECTION FEE IS
Ci.....e IR121 J97_9tt1 ENCLOSED. .
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw Construction Reouiremenls
• 3 registered site surveys showing sq. il. of lot, sq. ft. of house; aid all roofed areas
(20% mazimum lot coverage allowed)
. 2 copies of plan showing beam & window sizes; poured found design, etc.)
• isetofEneryyCalculalions
• 3 copies of Tree Pmservation Plan it lol platted aRer 711f93
. Rim Joisl Defail Optans selectmn sheet (61dgs with 3 or less units)
DATE ?J in (5 a
RemodeUReoair Reouirementa
. 2 copies of plan
. 7 set M Emrgy Calculations for heated addNons
. 1 sile survey for exterior additions & decks
. Indicale'rf home served by septic system foraddMons
VALUATION ?/ ClSS 6/
31TE ADDRESS t/S53 p/}I4 OWF?S,z? Cita, MULTI-FAMILY BLDG _ Y ?N
TYPE OF WORK /`'111960F ` FIREPLACE(S) _ 0 _ 1_ 2
APPLICANT
e
STREEi ADDRESS (r585 tPf.nlVtFZ.L'- /`L
TELEPHONE #94U' 7'7Y-563S CELL PHONE #
FAX #
ATE1pLZIP S's3u?
PROPERTYOWNER A e11 an.0 rD£p-j l U TELEPHONE# (oV77 Y
----------°-------------°-------------------°--------------°-----°------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 MINNESOTA 12UL,ES 767`L
(d submission type) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Piumbing Contractor: _ _ __ Yhone #
PlumUing systcm includes: Water Softener _ Lawn Sprinklcr
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Conhador: Phone #
Mechanical system includes: Air Conditioning
_ Heat Recovery System
Sewer/Water Contractor: Phone #
Fee: $90.00
Fee: $70.00
MAY 2 0 2002
ti - - - - ---f--
-------------------------------------------------------------------------------------------- TC
I hereby acknowledge that I have read this application, state that the information is c ect, and agree to compFly
with all applicable State of Minnesota Statutes and City of Eagan Ordina c s. y_
Signature of Applican+
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 41D2
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OSplex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 71 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or_ N
? 20 Paol
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 6ct. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Altera5on ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demalltion (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*TOT?': PAYMRNr OF FEE AT TIME pF
APPLscmorr noFS Nvr wNSizTM
APPROVAL OF PERVIIT.
INSPFX.TION OF SES+II3t AAID/OR FTAM
Trac+rnr.ramrONS WII.L NOT BE SQHED-
UI,ID UNrIL PEF2MIT HAS BEEN
APPROVID.
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
Lof- y -ghc:e /
O?k, 6h,-,5-e- U'"` ?(c(ld-ro.,1 '-
vision or Tax Parcel ID
IF FvQSTING STRL'CMRE, DATE OF ORIGINAL BUILDING PERMIT ISSL'
PR£SENr ZONING/pROPOSID LSE: (Nbnth/Year)
CONRMERCIAL/REtAIL/OFFICE ? R-1 SINGLE FAMILY
1-7 INDCSTRIAL r-I R-2 DL'PLEX (2Wo C'nits)
? INSTITL'TIONAL/GOVERM0Z ? R-3 7UUWNH0TISE (Three + Units) ( Units)
. Q R-4 APARTMENT/CONDOMINIC'M ( Units)
2) ? -
NAhIE:
ADDRESS: 16 8 o S"' /2-4l? L?. !?o( _
CITY. STATE. ZIP:
PxorE: 5/s-i_ S9s??
3)
AME
"
(
P For City Use .
N
: e
/.- p
v.n bJ.
_
?t -
Plumbers License:
ADDRFSS: 3 ?. Act].ve
CITY. STATE. 2IP: ?
Ecpired
Not recorded
PHONE: 1(6 '3 - 8' ?- gzs MASTER LICENSE# eo2- lo- 5?+?,n *1
st=Tr
:ial
4) •?« • r ? i?•
rAnE: b a
_ r,DDREss:
CITY. STATE, ZIP: ?d,
PHONE: •
•5) i ? v ? ? r: •a• :a • • - a? ----
? CONNECTION 1O CITY SEWII2 ? CONNDC.TION 7.U CITY WATII2 Q OTfER '. .
6) ? •-• r ? PLEASE FIOI,D ApPROVFD PEftNIIT EC)R PICK-UP BY ONE OF ABUVE --' -- -
? PI.EASE MAIL APPROVID PERMIT TC) 1, 2, 3, 4, ABOVE
• (Circle one) '
7) r ? u• -
?
FOR CITY USE ONLY
,
PERMIT # ISSL'ED
75- If ?; (1 z.6
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SL'RCHARGE) .
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ S WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ 6-7! ACCOONT DEpOSIT - WATER
$ , ?-o(J . o-o $ WAC
$ 7 S Cr-? $ SAC
$ $ TRDNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERA L BEN°FIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S .5-/, O-a TOTAL
?1 '6
RECEIPT RECEIPT
DOES UTILITY CONNECTIOPI REQUIRE EXCAVATION IN PUELIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WQRK WITHIN PUBLIC
Q ROADWAY" MUST BE ZSSL?ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITIpN.
SUBJECT TO THE FOLLOWING C'ONDITIOIVS:
APPROVED BY:
TITLE:
DATE :
,
1986 BOILDIIQG PERlIIT APPLICATIOH - CITY OF EAGAP
NOTE: ALL CDNT6ACTOES MQST BS LICENSSD IiITH THE CITY OF EAGAN
SINGLE FAlIILY DHELLINGS
INCLUDE 2 SETS OE PLANB, 3 CERTIFICATES OE SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLE DWQ.LINGS - RESIDENTI9L
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
RENTAL IIBIT3 FOB SALS UNITS
OF SORYBY - CHECB WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 5ET OF
ENERGY CALCULATIONS,
- $21000 LANDSCAPE BOND
i:
`°:',To,'Be Used For: SFD Valuation: Date: Mav 28, 1986
Site Address 4553 Oak ha ircl OFFICB QSF. ONLY
?.. Lot ¢ Bloek 1 Ereet ? Occupaney KS_
Remodel _ Zoning AT
Parcel/Svb p?k Chase 4th Addition Repair ` Type of Const
Addition _ 8 of Stories
wner Ozmun-Pederson. Inc. Move Length S?
Demolish ? Depth
Address 15"136 Galaxie Ave/ Int.Impr. _ Sq Ft
City/ZipCode
Phone 431-5000
Contractor Ozmun-Pederson. Inc.
Address 15136 Galaxie Ave
City/Zip Code Apple ValleX, 55124
Phone 431-5000
Areh./Engr.
Address
City/Zip Code ?
Phone l!
Install
ArenovALs FEES
Assessments
? Permit
Water/Sewer Sureharge
Police Plan Review 2
Fire SAC ?
Engr Water Conn ,
Planner Water Meter
Council Road Unit 2?'p
-
Bldg Off? Treatment P1 1 5
6
APC Parks
Pariance Copies
10T9S, ?
NOTE: ADDEESSfiS FOR CORHEH LOTS - CONTRACTOR/HOMEOiiNSB MDST DESIGNARE WHICH ADDRESS
IS DESIRED. HO CHAAGFS HILL BE ALLOWED OHCE HUILDING PEBMIT IS ISSIIED.
7 X z.o=A/v ? ?z
6;6, ? l7,
`.
792
58 = 2l3 y?
3Zx Zp= 4'ZS x ?U- ?U83z
z
T
/255c?o ?6) ;/-)
OZM UN - ??E7Jr:1•?.°;!:?l?, ln[c.
. Uo-r 4,
?OAK 6l1A!,G 'f'r' AUll;7rcrl
0
? SGALE ? I = 30?
?_' YiZoPcse.v +-LF'VA'r7orr5
?_-_I GXt?7/r.?; r?EVA71oN5
Onr GH cN sc G- iQCC_t-L?
IiSTEIiIUR ENVHI.OPE AVCHACE "U" COMPUTATION
' ner U LfF% G.(/Y-"
gnl Description of Frorer[y: Ll ock_j.^Addition?'f N A,OpIYlOIN Date d l.?? Myc
Ce Addres
AVERACE LINEAL FF.ET OF
EKPOSED WALL AREA AeOVE (:MllE
.in level p? J d7 y.
Llneal f[. oF fra? +?l1 ab??}lgrade/ S ? x heigh[ of wall
( ?I Iv4.OV
m Soist area .., ?
Lineal ft. of rim ? Z Z? x height of rim ???-'•?N
,wer level
Lineal ft, of framed wall above grade - x height of wall -" -
Lineal fC.of masonry aall above grade / x height above grade
TOTAL wall area a6ove grade including windawa and doora 0 7 Z_Cb
[NDOWS: Area x "U" value
'
??U?? ?U)(
ake S CyPe G!I'O ?A5Ej7/EKT sq. fC. X n (U) (
n ? 6L{ I'?C.F. f. ( i?7, G 17 s
q.
fC.
X
uun
'
n u sq. ft
. ? (?)f
12
9
"
u fc. I, x ,
.
U
:-+
-
. ?? fe.x ??U?
j
e 19,G 8 (i!) (
1Z,6 X
fC C
uUn " (U)l
. l.
Gb(II)(
4
a
n x
ft -
.3.5 °
U
? .
7 x uun
a! Il)l
u v ft. ,
n
.(U)l
n n sq. ft. x
___ U
(L)
t
D.ZO x
fC
u .. .
- (U) ?
°
n n £C.
D X
O U
n ?
1/ `RJ
fC. (U)l
?
X
fL rU
E
(U)1
n u sq.
u u sq. ft. x
(t;)?
x
ft
sq. . u
u (U)?
n n sq. £t. x U
- • - x
ft
u sq. .
x
o n sq. ft.
?g8.a-p 75•6/
-OORS: Area x "U" value
1
=7
"
"
'"
ft (U)i
lake S type t
l
C
i
o sq. .
0.6 3 x
Z
ft
nOn?a Z.4 R (ll)
n . _ a sq. .
.
? sq. ft. RO x U.13
n0u
¢7
n n l"S (a..L/1 sq. ft. 7?st ?oo x j
63:03
IPAQUB WALL CO NSTRUCTION; Area x"U" value
y
-
?
?
"
sq
fe. Z3Z. x
9R "U" 0 l 19, OG (i:)
?
?
,a,•
• 1H?U
? . G1S
79 (u)
•? "
?
¢
Ar w t.?G. _ eq. fa,?. 0 92.48 x .
o
o
= _
(U)
letail refer
f
/ ?j ?v t ?r
gq. gp,
p x
U
rom
ance /h'?l-.Z`d7?A-'Y 4.?A'LL sq. tt.? i?(1!)
??
a[tached sq. ft. x
x ?
? -
uUn
(ll)
aheeta aq. fe.
. ..
' „U,r---.;-(U)
e9. x
ft.
zBZo
TOTAL Wall Area Including O 7_60 TOTAL (U)(A) zL8•/7
Windows 6 Doors
? ? ? AVC.
!A ?
TU7'AL (U) (A) VALUES ?L3 D ? Z ,
UIVIDED BY 1'OTAL WALL ARCA ?
AVERAGE "IJ" Minimum.0 or less for 1 6 2 famlly dwellings
Minimum .22 or less for all other 6uildinga
NOTF.: If averege "U" values as calculated above do not mee[ the Energv Code requiremen[s, thr"Al.ernate 6nvelope Design" as indica[ed on PaBe 5 may be used.
R-Value
' • „ FRhMING,MEMBERS IN WALLS ? TOp View _........__'_.. .
YALL Sc^CTIUNS Exter! r i
;UTEt liae 10y6 ol' opaque 33ding5T'EtV- i?/p?1qHq ---•- -1. B,Z
wall area • '
for Y'rnmin• ? Skieathing Zs??j2 ' Z, D 6
memLeru - . ? 4.975
??3$" soft vood'St?'i:? -??--
. IS" dxy wall _., _45
'Interi?or_air film .68
TOTAL R• I Z, D SS
. U?1/R ? . . . . UL)?Z..
?
(2)
FRAM6D WALL
8xterior air Film
SidinR STa-EL WVf rAI'N
Sheathing 2S?g 2v
IW" batt ineulation &
1. 6'Z
z,oG
I 9. 00
te' arv Weii - - .as
Intarior eir film '68
' mnrel u ?/$_
u - lie „
_.. ???M. J,oIS.T.AREA-
Exterior air film "
siains s Iwz. W/Forr•? r, 8 Z
Sheathing Z??3Z,I ' 2• D t_
'
14" 'saft wood 1.88
'
L
Insulation
.68
Interior air film
TOYAL N ? Z S ?I
u=r/s ' u= .039
iusoenex w?yy_
Exterior air £ilm 17 ••-
12" concrete b1ocA --
Inaulation 1{f- D' R!{J4tD 1??
Interior air Fllm
U - 1/R
rarat e _ .. ?.3.?
u- ,/?7
ROOF CFILING
Outeide
Inaulatlon
2 dn
Drywall ,45
In[erlor eir film .61
TOTAL A_= ?GJ
U ? 1/& U = -??
Dutaide sir film
' Insuletion ?.?. _., . . .. .
??"" ? . .. . . _. - -- • y" Dxywall .45
--
i .61
Interior a1r film
TOTAL R a
U=1/R U °
Ou[side air f11m •17
A..ilf, 11R
InBU18C10II '
Wood.decking
Interlor air f11m .61
TOTAL R ?
U - 1/R
U .
ROOF/CEILING:
TOTAL AREA: sq. ft.
ft (U)(A)
Deta11 reference U x sq. : (U) (A)
from a6ove. "U"
"U" x sq.
x sq ft.
ft. (U) (A)
Deacribe openings
U . (U)(A)
in roof n
I, x sq. fc. (IT) (A)
. . nUn x sq. ft. (l!)(A)
uUu x sq. ft. (U)(A)
. . . TOTALS eQ. £C. (l0
'fOTAL (U) (A) VALUN.S pVG "C"
DIVID2D 8Y TOTAL ?
FOOF/ .
CEILINC ANF1.
AVElL1C:E "L" .OS for ventilxted roofe
.10 For ellOthei ConeCluCtiOn
;!b'fP.: ]f avvrage "L'" vnlue» wa cal culeted above do no[ meet the EngerFY Code requirements, cl
.:'Altcrnnte F.nvelope Design" as lndicated on Paga 5 may be used.
(3)
4011? City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651) 675-5684
-----ioe--use -----------
i Faroii ?
i i
j PermN 7 I
? PermnFee: _3?76. o
? Date Received: ? j
1 StaR: I
I
- J
2008 RESIDENTIAL BUILDING PERMIT APPUCATION C?(I EC? ?"?? ?
X1006g StteAddress: 415-53 Oak GlTUtre ?..,.irelc
Dabs: *?2
Tenant: flicHcrQ T areA La't-A,-tn f?-_ • Z2a'74 Suite
RESIDENT/OWNER Name: R.clord ?7_, ar.,V K&: ?o 06._ eaY? Phone: GS"I- 4f5d-S77?
td.? Mu 57s11-3
Addras5/ city I zP: 45i5_3 OaK r?.?,,c_ C; -c(,
j
Applicant is: 2!!!?6wner _Z Contractor
TYPE OF WORK Description of work: d c 2 r
/t ! t.1 /G c o Yrl Mt
1,
,
Construction Cost: ?S ODO Multi-Family Building: (Yes _/ No ?
CONTRACTOR Name: 41 rA ? f f Cr n? License #: g ' &3 9l0 37Z
Address: Z_ c, H.e
City: Mlyr?OM er.!, Sk7te: /411 Zip: .7/i0lty
Phone: )(? 7=,]?F J? u? y Contact Person: L- f 0
COMPLETE TH(S AREA ONI.Y lF CONSTRUCTING A NEW_ BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Cade . pesidential Verrolation Category i Wwksheet • New Energy Gode Worksheet
Cstegory subrnmea sunmieea
(4 submi58ion type) • Energy Ernebpe Calculations Submitted
In the last 12 moMhs, has the City of Eagen issued a permit for a simflar plan based on a master plan?
_Yes _NO If yes, date and address oF mas[er plan:
Licensed Plumber: Phone:
Mechenical Contractor: Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans arrd supporting documents ?hat you submit are cansldered to be publlc lnformatfon. PortPons of
the lnformatton may be class7fled as non<publfc !f you provWe sped/Ic reasons that would permlt the CRy to
concNide that the are trade secrets•
I hereby acknowledge that this infamailon is complete and aowrate: that the work will be in conformance with the otdinences and codes M the Ciry W
Eagen; that I untlerstand this is nat a permd, dut anty an applicallon tor a permit, and work is not to start without a parmit; that Ure work will be in
accordance with the approved plan in the case of work which requires a reifiew antl approvat d dare.
q w Apv 0) W .?
ApplicanY Ph Ne e - Apipl nt'a 0n e
C4wtr<zciv. ? Co Ntcw?'?' ?' Page 1 of 3
-r,-
L?or?a?. / ?ct ?/
DO NOT WRITE BELOW THIS LINE
SUB TYPES
• Foundation ? 05-plex ? 16-plex O ACCessory BuiMing ? pool
? Single Family ? 06-plex Q Fireplace ? Poreh (3-seeson) ? Ext. Alt. - Multi
? 01 0l - Plex ? 07-plex ? Garage ? Porch (4aeasoo) ? Ext. Alt. - SF
? 02-Plsx ? QB-plex X Deck ? Porch (screeNgazabpipargola) Q Multi Miac.
? 03-Plex O 70-plex ? Lower Level 0 Storm Damag4
? 04Plex 0 12-plex 0 Miscellaneous
WORK TYPES
? New ? IMerior Improvement ? Siding ? Demolish Building*
,.k Additian ? Move 8ullding ? Reroof ? Dert+olish IMeHOr
? Alteration 0 Fire Repair ? Windowa ? OemoNSh Founcation
0 Reptacement q Egress Witidow ? Water 6amage
" OemolRian (antire buihling) - give PCA hendout to applicant
DESCiiIPT10N:
7-?ZL 2
?
Valuation Ocaipancy MCES System
Plan Review dllj Code Edition ? SAC Unlts -
(25%_ f 009', _) Zqning City Water -
Census Code L/ 39 Stories Baoster Pump -
# of Units " Squere Feet ?.9? BRV ?
# of Bulldings ~ Length Fire Sprlnklers
Type of Const Width
REO UIRED INSPECTIQtgS
Footinge (new bldg) Sheetrock
? FooGngs(deck) FinaUC.O.
Footlngs (addition) ? FtnaUNO C.O.
Foundation MYAC
Drain Tile Other:
? Roof: _ICe & Water _Final Pool: _Footings _Air/Gas Tests Final
? Framing 5lding: _Stuccb Lath _,_Stone Lath _Bridc
?
Fireplace:_R.I. _Air Test Windpws
_Finai
? MSUiatlon RetalNng Wal!
Revlewed By: Building InSpector
Bese Fee
Surcharge
Plan Review
MC/ES SAC
Clty SAC
Utllity Cortnectfon Chargtr
S&W Permit & Surcharge
Treatment Plant
Copies
Total
3a ?
Page 2 of 3
? ??? ?3"E
?
?
?jk }f
?.,• '?? DAY
!
U
? s
r
N.
? .e
L
Q
,j?'_ ._.?,? ? ! ? 7. ?? ? ? g; ?
?
EAs,aN
REV6 'c =1NED '4
=4
E:
RuIt.nir,c irr ,? cTioNs DivisioN ;
.--'
' f"+y
?
i/rf? ~
f ? f
ilb,
??? •??? *?'.
?a • ? ,?g ;.?,
r ?• ?,/ .+'
'y r f
? f -4
? •'?M l ??L ¢ ? ??? " ? ??? ??.
? z e?lr
,? /?! '? - ? ?+ .L ? ( ? ?.? . f?`
f f+`
.
1 ?
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?4 ? ?,?Y p 6
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A _ _ s•?. ?, ? ?. ?
?:z
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA085756
Eagan, MN 55122 . Date Issued: 09/03/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4553 Oak Chase Cir
Lot: 4 Block: 1 Addition: Oak Chase 4th
PID 10-53503-040-01
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Tyther Contracting Richard J Beatty Tste
10159 James Avenue NE 4553 Oak Chase Cir
Otsego MN 55362 Eagan MN 55123
(763) 295-3000
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA106954
Date Issued: 09/18/2012
of 3 a R Permit Category: ePermit
Site Address: 4553 Oak Chase Cir
Lot: 4 Block: 1 Addition: Oak Chase 4th
PID: 10-53503-01-040
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Wenzel Heating & Air Conditioning ADAM J ROTHMAN
4145 Sibley Memorial Hwy 821 GRAND AVE
Eagan MN 55122 ST PAUL MN 55105
(651) 894-9898
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
+ r
For Office Use f
Permit#: non
City of EaEd 1
I Permit Fee: 3 1
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: `7 S S 419 4 61-41gse 1.,^ C/ Unit M
Name: 19G%,09^) 1>1, 49 ti/-/ ~B41V4 I-/ Phone: ~7~7' % 7e- 4 0/7
RESIDENT /
OWNER Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 41
Construction Cost: /d/ 000 Multi-Family Building: (Yes _ / No
444 A
nti ct1d-1
Company tee Are& AttVA/ 0/- f/~•~•s/`~ Uo
CONTRACTOR Address: 37 4 ~ G +S~ ~t city:
State: M-,-/ Zip: 5~ j L-1 Phone: 60//2_ Mel-
License 4G'491WP 790 Lead Certificate
a
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
/9 PG
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:
R
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that 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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand 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 Sta uilding Cod st be completed within 180
days of permit issuance.
Applicant's Printed Name APage 1 of 3
DO NOT WRITE BELOW THIS LINE Zza 7 `4
SUB TYPES 5 J C44Se Ct
_ Foundation Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of Plex _ Lower Level Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation / pGGp Occupancy ZRe MCES System -
Plan Review Code Edition Zoo? SAC Units
(25%_ 100% Zoning City Water
Census Code XY 34, Stories Booster Pump
# of Units / Square Feet PRV
# of Buildings ` Length Fire Sprinklers
Type of Construction Y-A Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: Ice & Water Final Pool: -Footings -Air/Gas Tests -Final
L Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: Footings _ Backfill _ Final
Sheathing _ Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
I For Office Use
My Permit of Eap )Q5a5 Permit Fee.
3830 Pilot Knob Road i I
Eagan MN 55122 Date Received: C3 / 1 j
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 Staff:
~-----------------i
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1,3 Site Address: L`5~5-.3 0.4 de unit:
Resident! Name: /o Oe' vYl~ Phone: 7-?%q 7Z- yJ / 7
Owner Address/ City /Zip: _ `7 s~3 ®14.6- r~i,y s~ , r /t
Applicant is: Owner -X-Contractor
Type of Work Description of work: /&i VL L✓#'n/ C-IOLV ~rs •'~,d c~ ~l r,/~
Construction Cost: d2t as Multi-Family Building: (Yes / No
Company:
~r+fe~o,~/Ces r act
Contractor Address: yS'S % 6),4 G4~ C-L , City:
State: Zip: 5 S Z 3 Phone: 612- ' Z ? 6~
License ec eo" 9V9 Lead Certificate
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:
MOTE. Plans and supporting documents that you submit we consitkyed to be pistift hikWmatfan. Portions Of
the information may be classified as non-public If you pmvide specific reasom t#mt *vow Omit fly co to
conclude that-they my trod* swraft
CALL BEFORE YOU DIG. Call Gopher State One Call at 651 4544002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.orn
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 St Building C4mbbe* completed within 180
days of permit Issuance.
X ~"/~Gtoo✓ x _
Applicant's Printed Name A licanVs Signature
Page 1 of 3