4479 Oak Chase Lane
Use BLUE or BLACK Ink
I
~ For Office Use
Permit* I I
City of Eatdfl
Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 RECEIVED
I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 OCT 13101Q Staff:
2010 MECHANICAL PERMIT APPLICATION
Date:'() Site Address: n~ 1 rr, ~,.~Y U n
Tenant: Suite -
RESIDENT/ OWNER Name. Phone(!asl
Address / City / Zip:
CONTRACTOR Name- License#
Address:D &r '094(?* city k
State:rS.L\.1) Zip l C Phone: ) Contact. Email:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace _ New Construction Interior Improvement
1*40 Air Conditioner _ Install Piping Processed
_ Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
_ Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ISSi 00 TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
= $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge)
_ $ TOTAL FEE
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. .ooohertateonecall.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 o sta ut a permit; that the work will be in accordance
with the approved plan in t case of work which requires a review and approval of pl
x)-A-_" 0 W.
Applicant's Printed Name pli t' ture
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In -Air Test -Gas Service Test -in-floor Heat -Final
Exterior HVAC Screening Inspection
[~I For Off ice Use I
E_n
D U I I
i W i Permit
dIl
City of Ea
~ Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I Staff: I
Fax: (651) 675-5694
L----------------
2008 RESIDENTIAL B. UILDING PERMIT APPLICATION
Date: I~ /2010 Site Address: L4 q _ I OR I_- 0, r t Q5e I ol.l', e-
Tenant: SL.I e I V S n e, Suite
RESIDENT / OWNER Name: 5u e L- y S n e- Phone: (05 q,,c5 - 'cR 30
Address / City / Zip: N _]Q On K ASS Q n • E-490-n t_M5512.3
Applicant is: Owner ~Contraccttor
TYPE OF WORK Description of work: 1 1e_ ro0
Construction Cost: _,3000 , ° v Multi-Family Building: (Yes / No
CONTRACTOR Name: O~n ~et~2►'Sr~r~ c[]~S''T"_ License#: C Ly (p 1q
Address: ~i 7 Z + Ae NE, u.n --6,
City: i~ 1r I'd (e State: -MV Zip: -Pi,5 4 3.~,)
Phone: _j Co3-S~~- 7gd~ Contact Person: HOYIIt?. ~i'(~~OfI
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x iAm~ TsoUA Lon,- x 4" T.J, A_01* r
Applicant's Printed Name Applicant's Signature
1 1 O~ ` ~ ~ eY~~ Page 1 of 3
{
For Office Use
City Of Ea~a Permit#: D
I Permit Fee: v I
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: ' j
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 Staff:
L________________-
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ( I ® Site Address: 0119 00-K ( ~ Lone,
Tenant: (D.Y) 1 t I Suite
RESIDENT / OWNER Name: Suc~- ii PhonADIF'S ~ t
Address / City / Zip: ` A 5e
Applicant is: Owner k/ Contractor
TYPE OF WORK Description of work:
Construction Cost: A"o1wt, 05.0 Multi-Family Building: (Yes ( No t% )
CONTRACTOR Name:: Q ad~r Oi~_f-4 SVC License
Address: 1'_3 1 -7-bk- AV6• Iy . E. 11n it
City: State: _ Zip: 1 3ems.
Phone: ILD3- Contact Person: r l P lad -'ycw~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes /No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.
r
x r~ &t'rsOn x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
05/11/2010 16:28 7635712746 JOHN PEDERSON CONST PAGE 02/02
For Oaks W
I I CCL~
I Penrrit:
t
City of Ev,,dm
{ Permit Fee:
3830 Pilot Knob Road
l
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I Staff: I
Fax: (651) 675-5694
I l
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t site address: AtA ' I 0 . , Ohu
Tenant: Suite
RESIDENT I OWNER Name: Phone: k.0t~ Ll P)H .1 0
Address / City/Zip; 014y, l~1 G't J
Applicant Owner V Contractor
MV 12
TYPE OF WORK Description of work: ` i
Construction Cost: r 0 Multi-Family Building: (Yes
CONTRACTOR Name: License - aka La %LA
Address: g y e • L,Qnf k C'. City: F-HAI:ett State: rnn Zip:
1t eP.l
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules -7670 Cateaory_I _ Minnes trta Fines 7L72
Energy Code • Resimnual Ventilation Category 1 Worksheet • New Energy Code worksheet
Category Submitted submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber, Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the Info mation may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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; thst the work will be in
accordance with the approved plan in the case of work which requires a review and approva:I of plans.
x ~r/ tie, e~er5rn x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
CITY OF EAGAN
3795 Pibt Knob Rood Eogan, MN 55122 NO
' PHONE: 454-8100
BUILDING PERMIT Receivt
To bs wed fer ? Est. Volue Date z:, ,
Site Address -- -= _ ,ft..k ??Lit
Lot Block Sec/Sub. I'
Porcel # ()?
oe Name
z Address
',; ?
o Name cL L... Co^ ?- t
?? Address
rt«., cti.,..e
Name
?? Addreu
<'Z" Ciri Pha?e
I hereby acknowledge that I have read this application and stote thot
the information is correci and agree to comply with all applicable
State of Minnesota Statutes and City of Eogan Ordinances.
Signcture of Permittee
A Building Permit is issui
oll work shall be done in
4817
Ered [JK Occupancy
Alter ? Zoning C"
Repoir p Fire Zone
Enlarge ? Type of Const.
Move ? .# Stories
Demolish ? Front ff.
Grade ? Depth ft.
Aooro vals Fees
Assessment _
Woter & Sew.
Police
Fire
Pner
EIa
Counci I
Bldg. Off. -
APC
Pem'iit
Surchorge
Plan check
SAC
Water Conn.
Water Meter
Totcl ? - 8
on the express condition that
Stotutes ond City of Eagon Ordinantes.
Building Official
POneM # oaRe IswoA hr?11tM
Plumbing //W vs,/
Mechonical ia?et 6?P 7? i?QQ ?1t •
- '
- =
? • ,
INSPECTIONS DATE INSP. Rouqh-In Find
Footings !`r
? pota Irop. DeRe Irnp.
Foundotion Plumbiny
Frome/ins. •- oZB- 2 AAechanical • •.-'?-75?
Finol -7- %" f
Remorks:
CITY OF EAGAN
3795 Pilot Kaob Road
- ' " Eagan, Minnesota 55122
Phone: 454-8100
Dute:
Site Address:
2
Lot
Name -
; Address
O
City -
Name _
?
?
? Address
e
V
City _
This Permit
PERMIT
6/21/78
4479 Oak
Block Sub/Sec. _
.:?r '';: '?--•
1270 5chletti
5t. Paul 3°0917
Phone:
Thompson
Itiitka. 61vd.
No. _
,- ...
. ?
Receipr No.:
Single
Residentiol
New/Alter./Repair. Cost of Installation
?
Permit Fee
.5C
Surcharge
?i'a? ???etiCa . •
Phone: Total
.d on the express condition thet oll work sholl be done in accordance with all applicable State of
and City of Eugon Ordinances.
1145
Official
CITY OF EAGAN
3795 Pilot Kwob Roed
- • - ' Eagaw, MinaetoM 35122
Phone: 454-8100
PERMIT No.
Date:
6/28/76
4479 Oak Chase Lane
Receipt No.:
Single I .
Site Address: Residentiol
Lot ? Block ` SublSec. C. Multi Res., Comm./Ind.
J.alius trevai
Nome New/Alter./Repair
? Address
Cost of Installation ?
.GV . U0
Ciry Phone: Permit Fee
` Name ?''1tChE11 :?t;Stiriy • -
Surcharge
z Address 229 raYne Ave.
C
V City Phone: Totol . , ., .
This Permit is issued on the express condition that all work shall be done in occordance with all oppiicable Stote of
Minnesota Stotutes ond City of Eagan Ordinonces.
Building Officiol
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
19
reECerveo
FROM
AMOUN7 $ I
& DOLLARS
?oo
? CASH ? CHECK
FOR
-7
? r
? BY
10082
NUMERICAL FILE COPY
CITY OF EAGAN Remarks
Addition Oak Chase Addition #2 Loc 2 Rik 2 Parcel 10 53501 020 02
Owner--E-'"!'?/a?? streec 4479 Oak Chase Ln. state Eagan, MN 55123
Q 1 ? .' al11xaL rt?
? Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOING
SAN SEW TRUNK 1973 364.80 18.24 20 77-4 6() _A004862 10-7-77
SEWER LATERAL 175 2247. SQ 149. 83 15
WATERMAIN
* WATER LATERAL 1975 ZS
*WATER AREA 1975 15
STORM SEW TRK ? -1983 1318.24 - 87.88
STORM SEW LAT V
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. . _ .. 5-24-78
BUILDING PER.
SAC 500. . - -
PARK
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, MN 55122
Zoning:
Owner: _
Address: _
Site Address:
Plumber:
SEWER SERVICE PERMIT
PERMIT Nt7.: _
DATE;
- No. of Units:
I ogree fo comply with fhe City of Eagan
Ordinances.
R?
Date of I nsp.:
I nsp.:-
WATER
CITY OF EA6AN SERVIC E PERMIT
3795 Filot Knob Road PERMIT NO.:
Eagae, MN 55122 DATE:
Zo-:ing: _ No. of Units:
Owner: _
Address:
Site Address:
Plumber:
Meter No.: - Connection Chorge:
Size: -_ Account Deposit:
Reader No.: Permit Fee:
1 agroe to eomplr wlth the City of Eagan Surcharge:
Ordinances. Misc. Charges
Total:
BY Date Paid:
Date of I nsp.: I nsp
:
.
Connection Chorge
Account Deposit: .
Permit Fee:
Surcharge:
Misc. Charges: _
Tofal:
Date Poid:
cIn oF Er?caN
E795 Pilet Knob RoadEagon, MN 55722 N2 4817
PHONE: 450-8100
10082
BUILDING 000
PERMIT APPLICATION $73 ReceiOt #
.
,
Te be umd for SF Dwle d Gare. Est. Value Date May 24, _ 19_ 78
- _
?
Site Address 4479 Gait -h--a3e Ln Erect [3k Occuponcy I
Lot_Z BlockSec/Sub. n2ti C?+ase II Alter ? Zoning Hl
pa?l ,# 10 53501, 020 02 Repair ? Fire Zone 3
Enlarge ? Type of Const. V
w
Name Jerry Jorgenson
Move ?
# Stories
Z Address 1270 SChletti pemolish (] Front 7$ ft.
t Cirv 489-0917
• au Phone Grade ? DePffi 38 ft.
o Nome q d_FL, CousY "
oO Address Ssme Assessment-
V? Water & Sew.
CI i Phone
Police _
Nome Fire
Address En9•
<W CI Phone Plonner -
CounCil -
I hereby acknowledge that 1 have read this application and stote that gldg, pff, _
the information is mr and agreo complyl ith all cpplicable
State of Minnesota St?ii es and Ci y?if EaQay(,Ordirwntjo.
APG
Signature of Permittee)5CNM6AN;;-- ?St
/l /
A Building Pertnit is iss?d t J
all work shcll be done in arxe yrithR
Feef
Permit 1/44VV _
Surcharge 36.50
I Plan check
SAC 500.00
Woter Conn. 250.00
Water Meter. 60.00
Road Unit 75.00
roral 1095.50
? on the express condition thot
Statutes and Ciry of Eagon Ordinantes.
Building Official
. _.., i ri months from
Date of this Request P 9 6 5 2 7
I, aslk Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. ?q
Section Township
Which is occupied by_
Is a roughin inspection reqi
Power Supplier ?
Electrical Contra or?
Mailing Addre
Authorized Sien rif-
on this iob? No ?
Contractor's License Nd.`}3V,399
or
r,ok 36 -6k?-e>
Range
Yes P Ready Now ? Will Call k
(?? This impecvon request will not be accepted 6y the
UE p ?Q/'? ??jp? ? COPY State Board unless proper inspection he is enclosed.
Minnesota State Board of Electricity
4k 1954 Universi ly Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/DtIz !03
P-96527
Type of Building IVew Add. Rep. Check Appliances W'ved For Check Fquipment Wired For
Home ? ? Range
Er Temporary W'ving ?
Duplex ? ? Water Heater Lighting Fix[ures ?
Apt. Bidg. ? ? ? Dryei iff Electric Heating ?
Commercial Bldg. ? ? ? Purnxce EU Silo Unloades ?
lndustcial Bldg. ? 0 ? Ai[ CondiC net Bulk Milk Tank ?
pList
s?
r
ei List
Rehers?
Other ? ? ? ?
H
e
COMPUTEINSPECTION FEE BELOW
Service Entrance Size: # Fee F S
?
Circuits:
#
Fee
0 to 100 Am s. s 0 to 30 Am eres
101 to 200 Am s. 3 t:
9
0 10 e ? 31 m 100 Am res
Above 200 Amps. ' Above 1
m ps. 7 q Above 100 Amps.
Transtormers RemoteControlC"vc. Partialoeothertee
Signs Special Ins ection Minimum fee $5.00
Remazks TOTAL FEE "b
I, the Electrical Inspector, hereby c that,t??; ?ovd inspection has been mad '-(6 •?
(Rough•in)_ Date ?- /
(Final) 44 Date -? -;Pd
This request void 18 months from
This request void 18 months hom / D3I?
Date of this Request lD[l 1 t]$ p 83120
I, as W Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at: r? ?
Street Address or Route No. 'T'7 7 q ? City Section Township Range County
Which is occupied by
Is a rougFtin ins
Powei Supplier
Electrical Conti
Mailing Addres;
Authorized Sip
on this job? No ? Yes Ik Ready Now ? Will Call<
Address
Contractor's License NJ9?ngy
????? o O n??n This inspection request will nat be accepted 6y the
1, ;? I/ Q?p? , State Board unless proper innpection fee is enclosed.
Minnesota State 80ard ot tiectnclty
1954 University Ave., St. Paul, Minn. 55104-Phone 645•7703
; +-,REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/O.-V l <6
P' 83120
Type or Building New Add. Rep. Check Appliances W'ved For Che¢k Fquipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water H
? I.igh[ing Flx[ures ?
ApL Bldg. ? ? ?
ei
Dry
Electiic Heating
?
Commexcial Bldg. ? ? ? Fumace
P Silo Unloader ?
Industrial Bldg.
?
?
? one
Air Con
ulk Milk Tank
B
?
Farm List
rsf
$e List
Reheis#
Other ? ? ? ie
(`(1MPilTF 1NCPFf TTf1N FFF RFI nW I-Fm fl(1 Q Ae?-l `xv l) 1( -t'
Service EntranceSize: # Fee 1 1 Feedecs& Subfeedeis: # Fee Cirwits: # Fee
0 to 100 Am a ? O LI J 0 to 30 Am eres 0 to 30 Am ies
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eies
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transfoimers 1 1 RemoteConVO1C"vc. Pattialor o[herfee
Signs Special lns ection Minimum fee $5.00
Remaiks
TOTAL FEE
1, the Electrical Inspector; hereby cerUfy that the above inspectioa has been made
(Rough-in) f Date W
(Final) Date
This request void 18 months from
PERMR# ?sl? ? a- (
! 1
RECEIPT DATE: ?G ` l.l
U
2002 itE5IDEVTIAL PLU14IBINfi PEiu4IIT APPLICATIOR
crrY ag EACiArr
3930 Pu.or [cxos itn
f.ASAA. lS1Y 55188
851-6$1-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY:
? ?' l.Yl.-- ZIP: ??-Sby-
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 I
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to bwer levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installatioNrepair/rebuiid $ 30.00
_ lawn irrigation system
7
ReplacemenUadditional: X water softener water heater 15.00
State Surcharge $ .50
Total $
I herebyacknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable City of Eagan ordinances. ik is the applicanYs responsibility to notify the properry owner that the City of Eagan assumes rro liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities consWCted under this permityritlifff'6jty property/right-of-(vayleasement. n ^ - ^,c
single family dwellings, townhomes and condos when permits are required for each uni[,
backFlow preventer for irrigation system
U ? TELEPHONE #: qs-4-29 / 6
(AREA CODE) ,
1/02
? `?
DATE ? - ? ? - / d
HUILDI[dG PRRMST APPI,ICATION
Include 2 sets af plans. 1 site plan w/elevations and 1 set of energy calculations.
1 y ? :ZA 5= f _ ?-G ?;?y . ? ??_?
To be nsed for ??? ,??P ?f?1 Valuation //J?.,l= %
Site FlddresE: ? ry"!79 ?? ? `?""""`-'
?- ?
Lot ? Elock _'}
J
( j?,s s ? =?
Sec. Sub.? ? ? Parce2 Number
,
Owner v? ? c o,? ? P??-4?0 „/
Address ? <) ? tl ,? p'fi '
?,? e v / ?l i J?,? .?S// ?
contractor v? ? C ?? ?,s s'T
Address .?'.?„?
Arch. /?g.
Aadress
Erect {?
Alter
Repair
Fhlarge
Move
I?molish
Grade
OFFICE USE
? f)ate O£ Apprqval & initial
-
? ?
y/
Assessment 7?
(
a
water/Sewer
Police
F1re
Eng.
Planner
Council
Rldg. O£f.
A.P.C.
?
?'
i
F'
?/.?
?D .??50 / Da0 a'.
Telephone ?0 ?-d %? ?
Telephone ?.r?; P
Telephone
OFFICE USE
Occupancy /
Znning .?"/
Fire 7Arie ?3
Type of Const. (/
# of Stories
£ront ?t
Depth ? /
FEES
Pezmit I ? ?` ?
Surcharge 3 ? "?"
Plan Check
SAC ?/°?p. ?
F?ater Conn. , SD. ?
S]ater hYeter a0 • G?
.? _? ?,..?r z?s-=
??
7`OTAL
!?
S r
?f';?, _. ?,
,/<<l-<??' d? , . „,
.,
/
TfiIS FORM SAA:,I. BE FL'LDRR'ED WIT#PE27NI API?
?L:CATI':fi
EXTERIOR ?rYYEIAPa AVERAGE "II" CC14FQ'i'ATTONS
ow= : rrr ii' ? r,? R s .1 ERR? l o RG.&?V-_so?1/
SI'"E ADDREF.S OR LF.GAL 11_?1?611311V
CONTRACTOR Dp.TE S- / 7- 7r? PAONE {f
i
Determine working savare footage of each item beloa as shown on r'..evations.
1. Total expoe?d wall area....... 3a'la•as sq, Yt. s .1$$' = S`J°J• $/
. (From grade to ceiling line)
. oy
2. Total eeiiing area............ /11y?aq. ft. x r.eS' = y<1• s'
(IIae only if Flan s2ioka vented reof See fig: #5 ?J3_O(,
3. Total roof area ...............? (> eq. ft. z .io ? y8 .Y
(Use only if plan ahows non-vented roof.) $ee FYg. #5
For comparsion of totals traasfer answers from above to page 2 at bottem aad innert ia
spaces m.srket Item # 1 or Item# 2or 3
Go Lo vork aheet # 1 for nest step...........
a. Total wall windox area ....................+.. y1'016 7 so. ft.
a-1 wall xindow area ....................... sq. ft.
a-2 wall window area ....................... aq, ft.
b. Total door area .............................. 2U• 8G, aq. ft.
b-1 door area .............................. ' eq. ft,
c. Total sliding or natio floor area ............. sq, f±.
d. Total fireplace area (wall) .................. /f6 D O sq. :t.
e. Total wall framing asea (average 10%)........ ? 3 R. a y sq, ft.
e-1 va]1 framing area ...................... sq. ft.
f. Total net wall area aSove floor ............... ai yY. i!o sq, ft,
f-1 net wall area abo•re floor .............. aq, ft.
f-2 net wall area above floor .............. ea. ft.
i-3 net wall area abeve £loor .............. ?- sa, ft..
f-it net wall area above floor .............. cq. fc.
f-5 net wall ares above floor .............. sq, ft.
g. Total rim joist area .......................... a ?v- 31 6q. ft.
g-1 rim joist area ......................... sq. ft.
Atove items a thrn g should add up in sq, footage to total wall area showm in Al scove.
? 5 Total erosed foundation area= 1?vU'7.6 ? sq. ft.
(This will included areaa around windows, etc.)
h. Total fonndatioa xindora nrea .... .............-DEL ETF sq, fi.
i. Totsl foundation door area ................... sa.'fts
3. Total ttet foundation area............,........_ b21J7_D ? eq, ft.
i ht i. & J. abcve should equa7. #5 Totals. )
TransPer total sq. Pootage from y' 4,?
and #$ to matching linea on page 2 an3 ccrtrou±e
Average "II" as ehown, I -
?.•,v r-,r.
YNi?tl ?•
From the variouF v^11 sections shovn on attaahe3 fih2ete compute the R va2uea of each
sj±ecific and varied tqpe of construction as shown oL your plane. Then compute 'Tll value
Ans1. CranFfer ±hat ncunber to the spaces belox and compute the averagee.
DE"?",,i-'MiNE 7'EE AIIIItA('sE "II" FpR EA(uH SF,F'flRATE DIFFERANT WAI:I SECTION
(4M1
ca-. )_--
fa-21
ib;
(b-1)----
..
,
. b-.:
+.c-a ;-
(
ta)
(e)
.Q3?? •ay
iY..-
(8_< ?
4e-SJ _
U-a. )
i,.`, ,------ -
t f-5 ? ----
t r i -2-2o . 3/
!6-1 )
? Q-. .
?-------
: h- ? ? ? ------- -
r ? .__-----.
x 'ro" °Z.z
F _ ??g • ?D
x , tlL(}4 __.? _
x tFal; :
x "q" "
R "0'°
x "lj"
X "4" -
x ,r,r„
x "u"
x na'f 39r 7IZ ?
X ttut, _
X
g "Ul,
x
x „T„
X IT
x „IIrO
X fTi,
z 1T
X TTIO _??n?
X ;tult
X Tn _ .?
X t'Uis
g $Tll
X ITI'
g nIIse --- _ - --.?
X frQtt . . --.--
g „Q?, . . /e = 9 5 •??
# ,'.....a..,_.........................o......Total all ansvers above.... JrS?i?_,??J
I; Item # 11 : 3}JOOP ie the eame as, o^ less 4hen Ztem #1 you hace me± the intent of
SBC F?O06 ;c; :, Proceed to next computation Omp1te rol:jf or ceilinp; area on work cheet fF 3 then compute "U" irom figures #4j 5, & or F.
?=?aKe #4 of :andoat and trannfer to tahies belew, to detiermine averages as shawn.
k //l -L-?L x -m-, ._... oa_ _ 02a .a 9
i
X ,T.t
o
X "L.", .06 9-0 `a
;r ,z.....,?..:?....e ...............'. .....:....... = S?-37?I ,
tntzl. oi #'12 above ie., the saroe as, ur less thmn # 2 on page 1, qou have met the
intent uf at3C 6(i06 (61.
l'o nti.',.zz;e r.he totnl enoelope system method, the values established by the sum of i.tema
# 91 R# 12 0hz'1.1. net be greater that the sum of i.tem , Check below.
ITEN; 4` 1_ML?9J_Bj ITFTt ? 3 3.06 - l0 ?o?• g?
z7EN 30 zTWi ?12 S/. 3 7- S9S. 6,
. YdK SI?E'r # 3 SHALL BE RETURNID wITH APPLICATIoN
19AM8D YALL SECTIONS:.....
ilm
,viT.E STdCC 9.0,
SheathinR ? ?/GT2i7? 'l. SoC
Insalation ? Fi6?6P?/9s5 / _ 0 0
Interior FYaieh ? .
Interior Finieh ?
Total R
_07
Ezterior air film .17
Sheathing
.68
Total R
trQn
EYterior air Film .17
Sidin¢ ?
_SheathinQ ?
Tn +7n4ion ?
-T2!*AT1f1T Fti ni nh 7
Ittterior Air film ,6$
Total R
/ npn
..?.r? ?
tl0110I 8lIS[sT # 3 SHALL HE REPURMED WITf[ APPLICATION _
!RAlM tlA7.L SF)CTIONS:..... .
'?twrinr wi1" ?liID .17
?
Sheathing ?
I Insulation ?
? Iaterior FYni.eh 7
I
? Interior Finieh ?
I p
Tnteri_orAir fi7m _68
--? I I I xota]. &
frun _
,17
3idtna 2
?
Sheathing ` .68
,77--:
?-
?
Total R
frun
Fbcterior air Film .17
SidinQ ?
Sheathin¢ °
Tn ??la.ion ?
Tntarinr Fini?h 7
Interior Ai: film .68
Total R
rtQn
YORIC SEM #4 MIIST BE RETIlRNID VrITH APPI.ICATION
??-?%1 r J .y \ • 1. Interior air film. 0.61
?k) ' 2. Interior eeilinR. ? SS-
rl?+rl
' 3. Insulation 4 /d `..tAa? 3 110
1•? l, ' 4. Ekterior air film 0.61
tct8l 39 • 7 7
U - I/R °pn = -0o2
Heat flov np
1
Fig' 44 Total ceiling framing area.
?1? 1. Interior air film 0.61
IIae thie iraming
schednle for which 2. Interior ceiling ?
-
ever ceiling or roof 3. Insulation ?
detail you use. 4. rmIDing ?
- -- 5. Erterior air film 0.61
Total
! ' --- -- - --?? ? ? ? U _ 1?
1. Interior air film 0.61
L1?J1? ?k? ,
.l ? i•- 2. Interior ceilinz .
! 1 ? ; ; 3. Insulation ?
? ,) '-) 4. Ecterior air film. 0.61
1 ? $eat flow up Total
L Fi8. # s u = ,/x fmll _
1. Interior air film. 0.61
. ---?.".- - :??s'_ ?'• ??) /-O
_, ,- ;; t; .•._' ' . 2, Interior finish 0 .02X6,
r'' •.:?.•!'?" - t.?? ;., 3, Roof insuiatioa ??
?
'•? ? ^ ?'? `,? 4. ? ? G DtC 5S/U ,a .h,s.l??
$, Outside air film. 0.17
? _.
Total
Aeat flov up ?I II- 1/R "u"
F`ig. # 6
Trattsfor your II values to page 2.. Compute sauare footage and compnte tota:s in bip.nkF
4arke3 k, 11 & e: m.
n v f-n
?
?
?
?-
` Iron
i
44
?
?
w
ao
cn
---- -- 78 feet
LOT 2 Block 2
Oak Chase Sec^nd 9ddition
120 :cot T.ontage
W CHASE LANVE
? r
Approx 1/1611 to 11
a
'
1
Sta?ces by
Delmar H. SChWanz
Ros e.:?ot.at
1'
- -- _-._d Iron
HAUGE, EIDE Se KELLER, P. A.
ATTORNEYS AT LAW
WATER VIEW OFFICE TOWER. SUITE 303
1200 YANKEE DOODLE ROAD
EAGAN. MINNESOTA 55123
PAULH. HAUGE
KEVIN W.EIDE
DAVID G.KELLER
LORI M. BELLIN
DEBRA E. SCHMIDT
Mr. Thomas Colbert
Eagan Public Works Director
3830 Pilot Knob Road
Eagan, MN 55122
RE: Project No. 448R
Dear Tom:
AREA CODE 612
TELEPHONE458-9000
454-4224
December 16, 1986
Enclosed please find a Right of Entry for Project #448R from the Jorgensons
representing the final parcel for which access was needed for the Wilderness
Ponds project. The Jorgensons were not wiiling to sign an Easement in a
timely manner to allow construction, due to their concerna for damage to
mature trees. I have enclosed a copy of a shade tree evaluation which Mr.
.Torgenson was able to aecure and upon which he hopes to base compensation for
tree Loes.
1
Please contact me in regard to preparing a proposal for compensation in
exchange for a final easement. `
?K n () n).
g ? oR ?r
?
? ( r
? ??:a,?1'.
-941
DGK:ras (1 ?,R- ? ' ,f? ?lL?
v ?f 6
Enclosure
Sincerely yours,
HAUGE, EIDE 6 KELLER, P.A.
David G. Keller
y T :i
?
RIGHT OP ENTRY
CITY OF EAGAN
IMPROVEMENT PROJECT N0. 448R
THIS AGREEMENT, dated [hie /lOI?day of 19? - by and
between the CITY OF EAGAN, called Eagan and GERALD A. JORGENSON and JANET
JORGENSON, called Owner;
W}EREAS, the City of Eagan hae undertaken to inetall certain improvements
over'land owned hy Owner described as follows:
Lot 2, Block 2, Oak Chase Second Addition.
The na[ure of the improvements are ae follows: trunk etorm eewet. In
order to install such improvemen[e, easemente are required from the property
ownere through which the utility lines ehall paas; and
WHEREAS, in consideration of certain iteme, the Owners desire [o grant an
easement to Eagan upon completion of the inatallation of the improvemen[s;
NOW THEREFORE, for and in consideration of [he mutual covenants herein
contained the parties agree ae followe:
1. The Ownera agree to grant Eagan and its contractor consent to enter
upon the above deecribed landa owned by Owner for the purpoae of inetalling
the improvements apecified above.
2. Eagan agreea [o reetore the azea to as near an equal condition as
exieted prior to the commencement of conatruction.
3. It is underetood that the grant by Owner of the Right of Entry hezein
ahall in no way preclude Owner from being compensated for the eaeemente
pureuant to Exhibit A and damage to treea whether by negotiation or
condemnation.
WITNESS our handa and seale on the date hereinabw e written.
ATTEST:
Ita Clerk
-yC1T1 .
Gerald A. Jor ns 30
STATE OF MINNESOTA)
) as.
COUNTY OF DAKOTA )
CITY COUNCIL
CITY OF EAGAN
Bp:
Ite Mayor
r. •
Janet Jorgeneo
On this day of , 1986, before me a No[ary Public within and
for said County, personally appeared BEATTA BLOMQUIST and EUGENE VANOVERBERE
to me peraonally known, who heing each by me duly aworn, each did eay that
theq are respectively [he Mayor and Clerk of the CITY OF EAGAN, the
mvnicipality nemed in the foregoing inetrument, and that the eeal affixed to
eaid instrument was aigned and aealed in behalf of said municipality by
authority of i[e City Council and said Mayor and Clerk acknowledged said
instrument to be the free act and deed of said municipality.
( S E A L )
STATE OF MINNESOTA
COUNTY OF DAROTA
se.
On thie ? day of (3ppP,4v,.-- , 1996*, before me a Notary Public
within and for eaid County, personally appeared ?"ie?tt4Q A. J'o?, +,scn
and Janrt -ja c..sir? to me personally known to be the persons
deecribed in an who executed the foregoing instrument and acknowledged that
fhe? executed the eame as-f-heN? free ac[ and dee
( S E A L) gz
DAVID d. KELIER
y MorAar rueLIc - MnnWsoTA
DAKOTA COUNTY
yy CommNffon ExD July 13. 190
UTILITY LINE EASEMENT
THIS INSTRUMENT, made thie day of , 1986, by
and between GERALD A. JORGENSON and JANET JORGENSON, husband and wife, as
Grantors, and the CITY OF EAGAN, Dakota Coun[y, Minneaota, ae Grantee;
WITNESSETH, that the said Grantors, in coneideration of One Dollar and
other good and valuable consideration, to them in hand paid by the said
Grantee, the receipt whereof is hereby acknowledged, do hereby grant, bargain,
convey and warrant [o eaid Grantee, ita aucceseors and aeeigne, the utility
easemente eituate in Dakota County, Minneaota, as followe:
A 20.00 foot permanent easement and a 40.00 foot temporary conatruction
easement for utility purposee over a atrip of land Located in Lot 2, Slock
2, Oak Chase Second Addition, according to [he recorded plat thereof,
Dakota County, Minnesota, the centerline of said easement being described
ae follows:
Commencing at the southwest coraer of eaid Lot 2; thence North (assumed
bearing) along the west line thereof, a diatance of 109.02 feet to the
point of beginning of centerline to be desctibed; thence North 67 degrees
08 minu[es 19 seconde East, a dietance of 84.19 feet; thence South 78
degreea OS minutee 37 seconds Eaet, a distance of 60.15 feet and said
centerline there terminating. The sidelinee of said easements ahall be
lengthened or ehortened to terminate at the weet line of said Loc 2.
Said [emporary eaeement shall expire July 31, 1987.
The eaid Grantee shall have the right to do whatever may be neceseary for
the enjoyment of the righte herein granted, including the right of clearing
eaid right of vay and of ingrese and egress to and from said Cract of land
over and acrosa eaid eaaement only for the purpose of lsying, maintaining,
operating, and repairing said u[ility linea.
By the acceptance of theee easements, [he Grantee agreee that it ehall
replace any shrubs or sod removed by it in the exercise of ite rights
hereunder to ae near the condition which existed immediately before such
righte were exercised ae is reaeonably poseible.
U
IN WITNESS WHEREOF, the partiee hereto have hereunto eet their hande and
eeale the day and year fire[ above written.
Gerald A. Jorgenaon
Janet Jorgenson
STATE OF MINNESOTA)
) as.
COUNTY OF )
On this day of , 19 , bePore me a Notary
Public within and for eaid County peraonally appeared
and to me known to be the persona described in, and
who executed the foregoing instrument, and acknowledged [ha[ _ executed the
same as _ free act and deed.
Notary Public
THIS DOCUMENT DRAFTED BY:
Hauge, Eide 6 Keller, P.A.
Water View Office Tower, Suite 303
1200 Yankee Doodle Road
Eagan, Minneeota 55123
(612) 456-9000
W V p I? ' . ' 1 fp
A
y ? 4? W
n
5.3?
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A/E 0A' !U%z SE%y sEl. 17- T27/V-,QZq p/ Sco °Z ,r 'z3'E r ... -? ?
? .... i59fy3 ... '- - - --•
--190.00 -
` ?? ZI ZI vl ?/
•?? a ?,°? `v,`,o ? M? ? tiy?
26 .Zb 99.
I ? ? ° Z?o • ?/ Q N
\ ?? 50•? ?n.?? l- /30.00 -? ?- -- 200.00 ?-- -I ?- ? ?QS14CB` / n
4?0 4?' pd*il ? ?. .
360.eo ••• ?a syif'w •..I_Xe,,o ?
`W OAK CFtASE I.ANE O
,
.2 oa riN
?30.00 -
• ? . . t- ? ? <<,s ?, ?a?. 8y? ,
r i I ? c ds,? ?? °- 4c,.r?? '?t• 1,'L
? rJ ?1,?' o?? ` Z Z I ? +`'?? a•? ?? w (?'+ oa o
• y
? / • I ? ? 1 °+ ?f'o 9`' ? ?' ` /
z
? v O O ? ? y
m M I ? 3b . ja ? ?.
? 9ae ?re I - .2D0.00 - -I I- - 200.00 I .. ( ..., ?
I... ?; ?Wi^3T ,(iw/E oF o9K CNASB i/LST 9dd/TioN? NOO'?y?lf ?J(/ ?:::, '• ?
I ?t? : I ? .. » L `?. Y ??. ?` ? ? ti ??' ~•? 1? : _? `d I < , _•': I?•i
Y :A. I- ... : ? :.: ? y . ?? s: ?..• i• • .Ii:/. S . •i 5:: y;; •::
I ??
60
{..? :?•
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/.t
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o ? "P
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n ? ? a
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- ---t- - - I/.27 -
.. h
HAUGE, EIDE SC KELLER, P. A.
ATTORNEYS AT LAW
WATEP VIEW OFFICE TOWER. SUITE 303
1200 VANKEE DOODLE ROAD
EAGAN. MINNESOTA 55I23
PAUL M. HAl1GE AREA CODE 812
KEVIN W.EIDE TELEPHONE458-9000
OAVID G.KELLER 454-4224
LORI M. BELLIN
DEBRAE.SCHMIOT
Decemher 16, 1986
Mr. Thomas Colbert
Eagan Public Works Director
3830 Pilot Knob Road
Eagan, MN 55122
RE: Project No. 448R
Dear Tom:
Encloaed please find a Right of Entry for Project #448R from the Jorgensons
representing the final parcel for which access was needed for the Wildernese
Ponda project. The Jorgenaone were not willing to aign an Easement in a
timely manner to allow construction, due to their concerns for damage to
mature trees. I have enclosed a copy of a shade tree evaluation which Mr.
Jorgenson was able to secure and upon which he hopes to base compensation for
tree loss.
Please contact me in regard to preparing a proposal for compensatian in
exchange for a Pinal easement.
?y
?
. ?,
DGK: ras ? p,r'- ?
Enclosure
Sincerely youre,
HAUGE EIDE 6 KELLER, P.A.
a
David G. Reller ??
City of Eagan
Cash Receipt
Receipt Date 11/9/2007
Receipt Number 136070
SUSAN LYSNE
DAY CARE INSPECTION
1201.4216 50.00
9979 Oak Chase Lane Eagan
Tota1 Receipt Amount 50.00
110299 9:03:49
1