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4514 Oak Chase RdPERMIT City of Eagan Permit Type:Mechanical Permit Number:EA128591 Date Issued:11/21/2014 Permit Category:ePermit Site Address: 4514 Oak Chase Rd Lot:3 Block: 2 Addition: Oak Chase 1st PID:10-53500-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert N Shull 4514 Oak Chase Rd Eagan MN 55122 Haley Comfort Systems 122 3rd St W Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - ~ ~ I FOf QtfICP, Use c~ cIn Permit ~/`City of f EQ Q11 JUL 3 0 2010 -70 I Permit Fee: 1 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION J Date: 3o Zpf Site Address: Tenant: Suite RESIDENT/ OWNER Name: Phone: Address / City / Zip: 04' f~ /Loral- . Applicant is: _X_ Owner Contractor TYPE OF WORK Description of work: gd ++jdeck Construction Cost: ~ Multi-Family Building: (Yes / No i ) CONTRACTOR Name: S License Address: City: State: Zip: Phone: Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. x kdDLr Sku I> X X"~ //,Z/ Applicant's Printed Name Applicant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair Windows _ Demolish Foundation _ Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 6yy pO Occupancy MCES System - Plan Review Code Edition SAC Units (25%_ 100%-k-) Zoning F City Water Census Code Stories Booster Pump - # of Units - Square Feet 3,302. PRV # of Buildings Length 19 Fire Sprinklers Type of Construction - - Width 0 REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition)' Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings - Backfill - Final Meter Size: Radon Control Erosion Control Reviewed By: 40 , Building Inspector RESIDENTIAL F S Base Fee Surcharge Plan Review 76 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 y , Ll✓ ?4j2 Enterprise Drlye >VC!J Mendo'ka Heights, MN *J110 * PIONEER LAND SURVEYORS • CIYU_ r_NCINEEROS 012) 681-1914•Fox 681-9488 * eng f'1eering LAN0 PLANNERS • LANDSCAPt ARCHITECTS 625 hlighwoy 10 No 7k Blaine, MN 55434 *C ,;(612) 783-1880•Fox 783-1883 Asbuilt Survey for: Norska Homes. Inc. House Address: A ski Oak Chose Ea 0 MN ~ I f L 3J i. 30 I 1 22, 92 24.94 S89035'37ttW. I 180.00 9 ~I 1 1 -1~ 38.31 I 45.5F3 30.40 a L p/ 21, is U (n 1 _ X 20.30 0 ~ 22.35 54,5 I to W L! y -P ~ 22.30 1 ` 324,0 f Q 11 na U ~C~.f> i I z.s ~Of' ~%L G f{ ! I N Q ~vrinl~ W c 38 33 R i I 4 al p r~ - - - - = EAGAN REVI BY: ATE: 9-9,'11..DING 1N"-r'"Ef'T1ONS DIVISION LT 3-, BLOCK 2 OAK CHASE IST ADD. DAKOTA COUNTY, MINNESOTA I hereby certify' that this survey, pljn or teGOrt was prP Pared by Me or under my direct supervision ano--t t I am duly Reyi~tered Land Surveyor urtrl l+r the laws of the Smte of Minnesota- Dated thl- day of . /.,~..~K,D. tg-fZ>- J S C C12 . -inch= 40 feet czoe rtT e. slrclcH L.s. HeU. rvit, 1aa91 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: !9 1 91 FiR1-dF,7R nf. ? Ji :iFl PERMIT SUBTYPE: I O't APPLICANT: tin?-,r 1; 11 , . . , i TYPE OF WORK: ? INSPECTION .A . .• i , . . Permit No. Permit Holder Date Telephone # S/VN PLUMBING HVAC 9Q 'n/ ELECTR ELECTRIC Inspectfon Date Insp. Comments Footings I l ?30?3 S Foundation ,P Framing 1-21 fi-J 05Sr? r s? Roofing Rough Plbg. - .! 46W A - -Gf P . (/,sU•4.L Fough Htg. Isul. ? Fireplace Final Htg. I ' Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Fina! 7 w1U GtC /?p ? - Deck Ftg. ? Deck Final Well Pr. Disp. RecBipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prini legibly 1. Date 2. Installation Cost 3. JolS Aiddrbss &JCLot Blk. 4. Owner 5. Contractor 6. Address Parmit No. `?`Z? Fee - S/C Tot. ' Phone Tract 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New D Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet - No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank Lavatory Softner 5hower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains 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 V : 6UILDING PERMI CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 T Receipt # _. Site Addreaa Lot 81ock 5eclSub. Parcel No. Name Z ? Addre n:_.. Name Address Name _ Address City - Erect U Occupancy Remodel ? 2oning Repair ? Type of Const. Additlon ? No. Stories Move ? Length Demolish ? Depth Int Impr. ? Sq, Ft. Asseument Permit a t, Water a 5ew. Surcharpe ?• Q? - Police Pian Review - Fin SAC .?? - Enp. WaterGann. )L: - Plonner Water Meter r ? Council Road Unit 1 hereby otknowtedye thot I hew reod this opplicotion and stote thet Bldg. Off. Tr. PL fM inlormution is correct and agree to comply with all applicnble APC Stote of Minnesota Stotutas ond City of Eagon Ordinonces. Parks Var. Date 5iynatum of Permiftee h Bufldinfl Permit is issued to: oll work sholl be done in occordonce wifh oll npplicoble Stote of Minnewto Bulldirp Offitiol ,,BF.r; t'n:us r' Phone 11270 - COpieB Total _ on the express cakition tha+ City of Eaqan Ordinonces. Pnmit No. Pamk Holdw Date Tdephone at Plumbhp H.VA.C. •'?' ? ? 1 ?--- ?? .Q , ?' (! ` `- ' i- 1/ l r Eleetrie ! ?; .1 '? • - -I ' ? I `, ?' ?. .? ; ? / i ? 8oftwwr IrapeMion Dats I?sp. Other Footlnps I Footinys II Foundatlon ?? Framiny ? ` ? Rooilng Rouyh P16y. C.?l .f - Rouyh Htg. ln?i. -3/-? Firoplace ?/,S b t?? ? Finsl Htg. Final Plbg. Fin.l ,?- c..vocc. Wffier [ ?ibe Location: We11 Sewer Pr. Disp. ? PERMtT # RECEIPT # CITY OF EAGAN MECHANICAL PERMIT 454-8100 DATE ? ?.'?' MI N UM GOMMERC AL FEE -$20 00 +$ 50 1. Bldg. Type: Res ? CommInst 2. New K Add - 3. Total Bid Price 3- r ? Q 4. Job Address 4- ?` ?q ? Lot Block ~`x Sec 5. Owner 6. ContraCtor AWL- _" -' ' '-- I/t.y ? 7 /? ? / / ? } (Name) 7. Contractor Phone # J ? FEE v ,-' S/C TOTAL ?. RESIDEN7IAL HEATING -?? 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDEN7IAL COOLING -?JC?D 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee IX HEATING '` VENTILATING HOT WATER STEAM XAIR COND. IR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE .. Signed; for Approved Inspections: Date Rough Insp. Date Final Insp. CITY OF EAGAN Remarks Addition Oak Chase Addn. Lot 3 a?k 2 Parcel 0 02 ; ? 4514 Oak Chase Road State Eagan, ? ?.3 Owner?hn?Ir5 Street 5? ? 1 C) , `1 'Su I i Pl -1-k . R'.c,., G c,t ,' Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 1 75 r-o 3c ? y ai/7 SEWER LATERAL 25 WATERMAIN *WA TWR LATERAL WATER AREA _ j 1977 160-00 10-66 15 4.72 013548 2-13-84 )zlp 3(-STORM SEW TRK 163 1972 2345. -00 156.33 1 * STORM SEW LAT 1972 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, n n BUILDING PER. 11270 SAC PARK m 3830 Pilot Kno6Road N?ER SERVICE PERIMR P. O. Box 27199 PERMIT NO.: Eagan, MN 55121 p^TE: Zoning' Na of Units: t. Owner. Address: - Slte Add?ess: Piumber: (GYrN h esmply wiM !iw plp of legsw "empm 9y Date of Inap.: CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DNTE: YO"i^g: _ No. oi Unitr. Owner, Addresa: siro Ada.ea: P'lumber. Aheter No.: Connection Chargs: , Slze: A t D ctoun eposit: Reodsr No.: PeRnir Fee: 1D0m te oowoip wpb !w Cify oi Ee"n Su?dharge: OrawrsoM. MI CI w , "? ? . . -n 9v - _ Date of I?rsp.: Cannectlon (7hor+pa; Atowxr! Depowt: P*m* Fee: Surdwrpe: Misc. CM?9es; rwnl: Dote Pold: sc. rfles. ? Totol: Date Roid: CITY OF EAGAN WpTER SERVICE PERMIt 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO : Eagan, MN 55121 . ZO?ing: _ D/1TE: Ownsr: P..? B i_e.l• f:, No. of Units: Add?ess: Site Addroas: ' '• ': r Plwnber: ? Meter No.: 36 5 S/Co /s BBfO?? di aina C?,jR?dF?i? , 5i '?X" No..e E . ? 53 . 00ad me S ze• • T?1 FDU? F? Fi6w ia4- - ',?, ., - Reader No.: c ?uRndr I .she ro eae.b wul? e?. ?A ? MIsG. Chnryes: 17.0Jpd i°' Totol: r,eteL ey ? Dote Paid: Date of Insp.: 9 - ? v -?6 I?.: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Recefvt # - Te M u,ed 1ee SF DWG/GAR E?_ Vo1'?P $143, 000 nme NOV Site Address 4 514 OAK CHASE RD Lot 3 slock 2 Sec/Sub. OAK CHASE ST Percel No. g, Name AL SIEBEN CONST z nddress 16190 LEROY AVE E City RASTINGS phone 437-9707 g Narr,e sAME ou Address ?- CitY Phone Name _ Address City - Phone I hereby ackrwwfedge that I have read this opplicotion and state thar the inlormation is correct and ogree to comply with oll opplicoble Stafo of Minnewta Stofutes and City of Eo n Or nances. SiOnoture of PermiMee A Building Permit Is issued M: A.L SIEBEN CONST all work sholl be done in xcordence with all oooiiwble State of Mir N_ 11270 S73 gv 12 ,., 85 Erect 6{7 Occupancy nj Remodel ? Zoning RZ Repair ? Type of Const. V Addition ? No. Stories ? Move ? Lengtn 60 Demollsh ? oepth 52 Int Impc ? Sq. Ft. Install 0 Approvob Fees Asxssment Permit $ 540.50 Woter 8$ew. Surcherge 71.50 Police %anpeview 270.25 Fire SAC 525.00 -Enq. WaterConn. 500.00 Plonnar waterMeter 63.00 Council Roed Unit 280.00 Bldg. Off. 10 31 8 Tr. PI. 132.00 APC Parks Var. Date Coples Total $2,382.25 on the express Conditbn thal .?;wta St ut s ond Ciry of Eapon Ordirwnces. Buildinq Officiol REQUEST FOR ELECTRICAL INSPECTION ' 10 Ea-oooo,+w 9? See instrvctions for completing this torm on hack of yel low copY? I??? ??5 / p '"X'" Below Work Covered by This Request ? AAd Nep. Tvpe o1 Builtling ApPlianroa Wire Equipment Wired Home Range I Temporary Service Duplex Water Heater Ligh[iny Fixtures Apt. Building Dryer - Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm otnP. soaci v ecne, (so?c?ry) t rir SGeci(y O[her Other Compute lnspectron Fee Below p Fee Service EnVenceSize q Fea+ Feedars/5ubfaeders N Fee Grcuits 0 to 200 qm s 0 ta 30 qm s 'j C.l 0 to 30 Am Above 200 qmps 31 to 100 qmps S 31 to 700 q Swimming Pool Above 100-Amps Above L0Q_Amps 7ransformers Irn'gation Booms Partial-'Other F Sigis Special InspeCtion '/ r7 5 SC / T ' Pemarks ?, r H-/. OTAL/LE/l?tl T, the ElRctrical InspectorVie!abq? cartify thet the ahove inspecfion has been made. thiareduesivol0 This reQUest voitl 18 months from '? ? ? Q 070991 g Reetuest.Ds.n ? fire No. Roqa upb-in InspecGOn F ked? ?Ready Now ill Notifv Inspec- ? ?_ ? l ? Yes No or When Peady Licensetl Elechical Comractor T 1 hereDy ra0uest inspaction of ebove ?Owner elachical work instelled at Street Address, Box or Route7 o. f CitY -- <.c.fCGC2o?.R- ecuon o. Towns ip Name or No. HanBe No. Co ZjiL ;I? Occupant IPfl NTpJ? k Phone No. ??-C- - Power $uppliet / Addross Electricai ConCractor ICo pany Nxmel Cnn[rac[ors License No. Mailing Address lConi7actor or Owner Ma inp InstailatioN / 3e? Z ? ?-- Authorize S' amre (Contrecmr ner Makfny Insta ionl Phona ?Pimber - i MINNESOTq STqTE BOAHD OF ELECTRICITV THIS INSPECTIDN flE4UEST WILI NOT GriBSS•Midway Bldg. - Room N•191 BE ACCEPTEO BY THE STATE BOAND 1821 Ilniversitv Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121297-2111 ENCLOSED. ? // p? REQUEST FOR ELECTRICAL INSPECTION ? ? See inshuclions ior mmpleHng Ihis form on back of yellow rqpy. 31043 `X" Below Work Covered by This Request E8-00001-00 ? ew Add Rep. Typeof8flding ? AppliancesWired EquipmeniWired HOme Range Temporary Service Duplex Water Heater Electric Heating ApL Builtling Dryer Load Managemenl Comm./IndUStfial FufnaCe Other (Specify) Farm Air Condi[ioner Other (specity) Contracior§ Pemarksr Compufe fnspection Fee 8elow: - # Other Fee # ServiceEniranceSiza Fee # Circuits/Feeders Fee SWimming Pool 0 to 200 AmpS d 0[0 100 Amps Trensformers Above 200 _ Amps Above 100 _ Amps Signs Inspector5 Use Only: 7p7pL S O Irrigation 8ooms """ ??' ?.y6 • ? O Speciallnspection ? Alarm/Communication THIS INSTALLATION MAY 8E O D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MO ? I, the Electrical Inspector, hereby pough-in Ayovf certify that the above inspection has been made. F;nai ta . j OFFICE USE ONLY This request voitl 18 monihs fmm ? M310 4 3 RequeSt Oate Fi No. Roug. -in Inspeciion NOTICE: Vou Must Call Eleclrical Inspedor pd I j r Req?i?etl'l es ? Na If A Rough-In Inspection Is Required. I 6Uicensed contractor ? owner hereby request inspection of above electrical work at: Jab Atldress (SYreet, Box or Route No.) ' City 45CntAK CvAAsy- R SpiEAN Sedion No. Townshlp Name or Na Han9e No. County Occupant (PRINn Phone No. (45 1, - 7 q umKA' NC Power Supplier Atldress Electrical Conttaclor (COmpany Neme) ConVactor5 License No. F_ELO? iz- R c, F'1 O 6 Mailing Address (COnlraclor or Owner Making Inslellalion) A°rcrf£z 54ua.6r-_ MIJ 3718 Au hon etl Signature (COn actor;Owner Making Inslalla4on) Phone Number 34z MINNESOTA STATE BOAflO OF EIECTFICITY THIS INSPECTION REpUEST WILL NOT Grlggs-Midway Bltlg. - Haom 5-173 BE ACCEPTED BY THE STATE BOAFD 1831 Universiry Ave., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phona(812)6CY-0800 ENCLOSED. RESIDENTIAL BUILDING PERMIT APPLICATION l 10 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construclion Reauirements • 3 registered site surveys showing sq, k, of lof, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) . 2 cropies o( plan showing heam & window sizes; poured found desgn, ek.) • 1 sel of Energy Calcula6ons • 3 copies of iree Preservation Plan'rf lot platted after 711/93 . Rim Joist Detail Options selecli0n Sheet (bldgs with 3 or less unA.s) DATE 1?) -// -o Z RemodellReoair ReauiremeMS ? r y . 2 copies af plan • 1 set of Energy Calculations for heated additiore • 1 site survey for e#enor edditions & decks . Indicate if home served by septic syslem for addifions VALUATION 3 g 3 tII , 96 SITEADDRESS Qlf-k MULTI-FAMILYBLDG _Y _N TYPE OF WORK ?f -400P--/Pc Srt?? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS TELEPHONE # 5a5-99y-6_69 t" CELL PHONE # FAX # 93a -YryY' 1,!0511 PROPERTYOWNER 3?6'??KT S)+vII TELEPHONE# 7?3-Y37-SSOCr COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATLGORY 1 MI '??l (4 submission qpe) + Residential Ventilation Category l Worksheet Submitted • Ne ? y d rk a . Energy Envelope Calculations Submitted n ,1UN 12 2002 Plumbing CoMractor: ___ Plumbing system includes: Mechanical Contractor: Mectianical system includes: Sewer/Water CoMractor: Air Conditioning _ Heat Recovery System Phone # Phone # Pee: $70.00 I hereby acknowledge that I have read this application, state that the information is coRect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina Signature of Applicant OFFICE USE ONLY N _ Water Softencr Water Heater No. of 13aths CITY ED,---N P?,?R,f STATE /NZIP .533 y&, _ Phone # Lawn Spnnkler No. of R.I. Badis Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 1985 BUILDING PERHIT APPLICATTON - CITY OF EAGAN NOTE: ALL CONTRACTORS NllST BE LICENSED HITH THE CITY OF EAGAN COMRIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: Site Address Lot L Block SINGLE FAMILY D4IELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS I 43,«?a? Valuation: h6?Ty0L-- Date: 4g9?.,5' Parcel/Sub Ouner Address City/Zip Code ? Phone Contractor Address / ?/y'Doc{ ?? ? --- ? City/Zip Code Phone Arch./Engr, Address City/Zip Code Phone p ? Erect X Occupancy R, 3 Remodel ? Zoning 9.1 Repair Type of Const Y Addition ll of Stories Move ' Length (?C Demolish ? Depth 5 Z Int.Impr, _ Sq Ft _ Install APPROVALS FEES Assessments Permit E. 5 s Water/Sewer ? Surcharge 1.52 Police ? Plan RevieK z-7D.t5 Fire SAC Z5, Engr Water Conn 5co. Planner Water Meter 6 3, Council Road Unit 2EO. Bldg Offj;i-"(- -Treat ent Pl I 32. APC Pa s Variance Co ies TQ AL ? 3Ba. ?2 S ? ? ZZx 4? = I07 F3 x.58 =?2s24 , c - Z -70 x S 8? f 5 t??o ' . 2?- '? 4 K'30 " 1v2? x ?2- ° 12Z4v 30 x 32 = cj (, o x 44 ' ?-22q-0 = 21? x 44- ` I g 2 (c?, g + ?7 o<2_ + zc=_c+ 63° 0+ 28"0+ 13?°=C-. e38 °25>k i M < , o ,¢ I ? 3 iz \ d?? ! ?- . w 'Z C : .3? 'QI\ .? ?a: ? Z ¢K y0I'N - -- __ g r•_.r,so,enN ' .??.?-r= .-? PI ' P1FZd'-?'7t ?(i '73S r,'s :?;9 ic .3.m;' 1FN3 j L 'll a o .., vt ;rosv ... . .. + o 1.. y ry= q ? i4 ^ ? / I r 1, ?. 4'< ) e ??z a p? ,+F!;x.v? I unu;'. I a s' i; i4p 40 110 ? zoo '? " ? . ? n /:o `" , ?;<pe•' ?,yk', ?_x 35VH7 _ ? , _ - - - - . ._ .... zrrsi -' ? o .?? ? ? ,y :??b/ d 6•' y /..?..R .-..rc.;o?.. ' o??.-F- ..?` ,a - - :4- N ? ` ?o • I ? ( i m '?. . ?ti Sy° A?T . _ :eris c?Yi [sfo•-` oi ? ? 1?p ? l ' ?. /00 On VI /... . \ \ ? h p l 10 IY?E ? ?\ • \ ti . . I .._ ?.?OJeoi?JOi'f . oor ? fA. ...I.' efit/ .. I. f ? f? / ? /l.. \ ^o . 3 z fll ?il e93?._._-,-?.S _ - i _ _, I? ..: . ? :- .-.?. .. ?'?? ? d 1? ' _ `- .w _?? . .azF: O tazu ^ ? - • ? /? / 1? \u( I N\ ? - BIOCK I BLOCK ?.I^ Z 1.. OC'e : 0 F d 3 ? 2 :i? J \• .r. ,?' e \c , ? IC ? ?1?, •; ? . i ;' i,•?\ , „ ,1 ? .. I_. .:. Q :.. .. qD )s ' I.. .. so _ \': yw •- ??... ?VN ?? Ol w .. ?. . Jn,c ... ...I I .. ix aoo ib.N ? ? 1 q. • -- OAK CH- AD a, ..,+re , v d?•, SE ?R ..? .. . ?... ..,,a?... :• ;- .., ???? ,?? ..; ,. w . ?>oA ??.,. y 4 e? 3,??,1 ;?2 j;E2 3? I Ex?i„ 3 a 2 •I I Y?c„ig 2 „ . ,1 ? ?? S • U V iBLOCK 6 BLOCKX 5 ? i ,? .La a f •nrir -'_ i- M JG / ? 1 \ ? x I/(I.Y 1? ' ? i + ' • I „ = $ / °?^+o' •<'1 ? ?'^ ?H t . SLS w t \ "b-- T ?-f- ?G ? o _???..'/? "li U . _ ? •c ,. 1_._ _ n ? ?. i. 2 a _ _ . . . . .. ._ ? ? . , u ? ? ? - - / - - - ?z- -- ?9q?^'•°•??'„•w( ?'' Timberland Development CorporaCion reserves the right to all subdivision and developmen --? ?? of all prooerties not deeded to other parties. The descriptions and designations on this t document are to be considered arbitrary exccr,t in the case of a property(ies) designated w• ; , 2 \?, / J J ?H >> ? i p s i `° ¢ ?.• ? k V i Y ? 0 IN C ' ?.?... EpGE oc , LuR6 - ?ak'? ?ChafC' /'?? Z60? • ?y 8 O r 1 Z w 1 " @ lJ ol s'? • Ft0. CL6V v? u ? ? 6 - , roN'9? ? 5 ? T sz, I ay,r. F .? r(EV 2 Z ? ?N l a ? . , 1 ? J J y8 8 GS?= ? -..e? o?t a w ? `q`.5s ? H ? cn O , ix ti EAGAN \ REV-EV[ R t3Y DATE REFCRENCE /?C7O'`. PoiNr 3- z-o? K C ha.r < 31?I1DS f {133N5OOL 6BC2^ ? 3tlvf1O5f 5133N5001 LAC'd I'N 1 ? 3YY005 C S133H5 Of IB['?i 1 Z' 9' q'S'6• 7' g' 9 1 n' it' g1 13Y.Y i' I : 30` `I a' ! yY I }'??! ? err??t App9ncaet6on jvp;d?p:??????? ?o DuUkw , ?'.,?8i?.;'?iT3U 6aati?D SAFETY T3E.?ART?'tr3'e77?Y cirv oF oarE: This supplemcnt is provided Yo assist the applicant in computing the EXTERIOR ENVELOPE P,VERAGE "U" FACTOR INFORPAATION. This information is required so the BUILDING pFFICIAL can determine that thz submitted plans comply with the ENERGY CONSERVATION DESIGN GRITERIA of the STATE BUILDING CODE (Section 6001). It is the APPLICANT'S responsi6ility to accurately ard completely compute the data; reflect the proper DESIGN CRITERIA in the pfans; submit product specification, as needed to support the "F" and "U" fa:tors used; and to assure ihat construction is accomplished perthe approved plans. JOB LO:,ATION 01"JNER(5) CONTRACTOR A. Determine the Total Exposed Wall Area as follows: PHONE PHONE ? Z 1. 2 Total wall window area Total door area +?a./. ?j???0 ??dr Z?S i (?? tS ? Z . s. ' /cnrs oder 'e45 T 4 ? /30?7Lz e4 J ? c? q 6 Y?-z 4. Total fireplace wall area l I f l i T ' ? ?V ?* Z 5. wa ram o!a ng area (avarage IO , ?j ??? ?Z 6. Totai net wall 2rea above tloor ?S (? 1- ! 7. Total rim joist area Subtotal: Totai exposed wall area above floor 6. Total foundation window area IQ T'*Z 9. Total net foundation area above grade IS52FfZ Siibtotal: Total exposed foundation area: GRAND TOTAL EXPOSED 1h'ALL AREA B. Multiply th2 GRAND TOTAL EXPOSED VJALL AREA X?o / f C. Determine the Total C-xposed Roof/Ceiling Area as follows; _ 70. Total s4ylight area 11.Totui rcoi/cciling iraming area 12. l otal net insulat2d roof/c2iliny arpa 13 GRAND TOTAL EXPOSED ROOF/CEILING AREA z 7Y8' 16z )Ft2 ltem i 19zo?1 D. p,qullipiy th2 GRAND l"OIAL EXNOSED f?COF/CEfLING ARF-A XtVOP= o0Z6 Item 11 ? Doierntm? thi, . lJ1. ?_. 3. 4. ?. 6. i. ?. value. o( eacli segm?nt (1 -9) and multiply by Ihe area as foilows: i: ' ' U " --- -4 ?I- - - ---- -?-1- LTY ): „u.. ---? I.L ---- ---??.87 x ..U„ 0(36 = --/-???6. h "U" t CZ_ _ -?..D-V- X ?,Ull 8 o QO _ _ ? x to q - _ X 'lul, _ fQ t _ ---?0? X x " t; ? 1_2-- 90s Z14 A13C'-9 FpR TOTAL WALL SEGMENT3 = Item I I I a=? F. !ietenninc tiie ^U" value of each seynent (10-12) a!id multiply by tiie area as folluvfs: 10. X IlU I _- 11. X „U.. O 1 Z& u I? 11.?i??', -- X''U'. Zy,?Z . ADD 10-12 FOR TOTAL ROOFICL=ILING SEGMENTS = Item !V ?---? G. !f itcrn No. !11 is the same as, or less than ltem IJo. l, you h!av2 met Ihe intenf of S!ate Building Code 8006(c) P. hl. !t ite No. 1V is tYie same as, or less than ltem No. 11, you have met the intent ot S?ate 8uilding Cate 60Q6(c) ?. 1. AGd It°m No. I ?, I + Item No. I? 35-, Zr, _ J. Add Item No. III _.7- `-L // 7 2- + item No. IV Z D6 -Z K. li the swri ot ltems !!f and IV are less than ltams I ar,d f!, you have n:et th- rnt2nt d! the code lor totaf envalop-- system. In addition to the above items you may have to add for such items as floors over unhaa:ed spaces, sucii as cantileverd areas. etc. To,arrive at "U" value divide the total of the R values for each segment (as above) into 1,000. Answer ;,;u h=v?_ is :h?? 'l1 valu? fnr t'r.at e,m'nt. Exarnple: a, total "R" of 35.08 divided into 1.000 =.028 "U" The undersigned, as appiicant for a Building Permit, hereby affirms the above information has been prepared and submit- ted by himself or und2r his direction; hereby acknowledges the information to be correct and accurate; and heraby pre- sen,s the in tP n vr,? ith ??required plan suppo of the Buildin ermi A H?1 Date -?-Cx ?-- __--- c EIfTERIOR ENVELOPE TNERMAL TRANSMITTANLE PAGE 1 STANDARO WORI(SHEET 51te Address Owner Contraaor Phone __ Dnte Building Type (check one) j__j One and Two Fam11y Dxe111ng ,(?, otM1er Assemply (Describe type from Table 3 or Area (A) U-Value U x A shoa calcutations on Pa e 2 5 Ft Insulated Area framin Area ' ?. ia - Sk 11 hts T e I ` Other describe ? Other describe ****** 1 TOtd15 2 Avera e U-4alue UxA A from Line 1 *w**** ****** *t,k,k,r* ?,tirr,t,t 3 Re uired ll-Value from text Ins lated Area Framin Area Wlndows T e ? Daors T e Rim Joist Area Fine lace Wall ? 3 Foundation Wall (aSOVe arade) v w o Foundation Windows, Tyoe 6 Ln Other (descri6e Gther (describe) _ Other fdescribe r****,r 4 Totals 5 Fvera e U-Ilalue UxA / A from Line 4 ****** ****** F 6 Re utred U-Value from text '****' ****** [f Line 2 is greater than Line 3. or Line 5 greater than Line 6, complete tha f:.!lowin tn determine altrrnatfve U-Value for total extertor envelo e. ? 7 Area (Line 1) t Area (Line 4). * c w 8 UxA (L1re 1) + UxA(Line 4), i *"**** n 9 x Area (Une 1) x U-Yalua (Line 3) ****** n ^ > 10 z Area (Line 4) x U-4alue (Line 6) ****** _ ?, .. _ 11 "8udget", Line 9+ Line 10 ****** « 0 12 Alternative U-Value, Line 11/Linr 7 ****** If Line 8 1s greater than Line 11, alcer essemblies as requtred so Line 8 daes not exceed Line 11. EXTERIOR ENVELOPE STANDARD WORKSHEET' PAGE 2' ? . .. i_:7s1-??,F;i-y _' ?Assom ni .S ? Wterial describe Thickness R-VaTue Material describe Thickness R-'a ue All Msea !?n 4 f-s hl j `/l116 ?t I 5?• ' [nterior f-Value see Tab}e 2 nterior f-Value see T able 2 i Exterior f-Value see 7able 2 Exterior f-Value see 7 able 2 ' 7otal Assembly Thermal Resistance Total Assembl Thermal Re595tance ? Assembly U-Value see Table 4 Fnter on Pa e 1 6 ? y Assembly U-Value see Table 4 Enter on Pa e 1 ? ?Cssembl , ssembl htaterial escribe Thickness R-Va ue hlaterial des ribe Thickness R-Va ue Sv?d ?y`7 zero -uL-q` 1/141 N 4 3" '? ac,,L' . S6 Interior f-Value see Table 2 Interior f-Value see T able 2 Exterior f-Value see Table 2 i Exterior f-Value see T able 2 • Total Assem6l Thermal Resistance Total Assembl Thermal Resistance Assembly U-Value see Table 4 Cnter on Pa e 1 10,3G Assembly U-Value see Table 4 Enter on Pa e 1 .6 ssembly -- r ssembl or hlaterial describe Thickness R-Va ue Ma erial describe Thic ness R- a ue 'z? C?r- , yS LrlIG-C"K • qs ? Z?6 sfv , ?'o /00l 615'6 . S?f 6°<FI-4 ls I q ? stee( ?? -Tksv/. Interior f-Value see Table 2 Exterior f-Value see Table 2 TotaT Assem6l Thermal Resistance I• SZ o Z 6?ee( G? ?, interior f-Ualue see Table 2 Exterior f-Value see Table 2 Total Assembl Thermal Resistance 4 l j, SZ Assembly U-Value see Table 4 Enter on Pa e 1 • Q Q e Assembly U-Value see Tab Enter on Pa e 1 v ? ?Assembl hiaterial describ 6'? F ls, R-Va ue Tickness I 9 ssem6l o d k Material describe 2p4 ?r? r4-?? Thickness •` B - a ue ,/D 7 Sv ? e? XK Interior f-Value see Table 2 Exterior f-Value see Table 2 Total Assembl Thermal Resistanre $Z c a iiE or f-Value see Table 2 or f-Val ue see 7able 2 tal Assembl Thermal Resistance 4 T bl Assembly U-Value see Table 4 ! Fnter on PAno 1 ?J t O-7l e a Assembly U-Value see Fnter on P,, nf, 1,, EXTERIOR ENVELOPE.STANDARD WORKSNEET' PAGE 2 _lCsserihl..Y _O /c !- s?bly - P?ater?al descri Thickness R-Va ue Material describe Thickness R- a ue Gz'? % lo? l, Z8' s/g''' o ?? a 5-? i 1 '?Ge?y:`? T?'?SS ? . . .S6 I J? ?? // ?f ? ?f? ? I ??? ? /? Interior f-Ualue see 7ab}e 2 nterior f-Value see T able 2 Exterior f-Value see 7able 2 Exterior f-Value see T able 2 I Total Assembly Thermal Resistance Total Assembl Thermal Resistance ? Assembly U-Value see Table 4 Enter on Pa e 1 0 ? Z Assembly U-Value see Table 4 Enter on Pa e 1 p? •?Z O ??embl ? ? ? ssembl htaterial describe 7hickness R-Va ue hlateaial describe Thickness R-Va ue '? / O?i? e ?o ?310 ? - ?h y 8' ? .??5v , Interior f-Value see Table 2 nterior f-Value see T able 2 [xterior f-Value see 7able 2 s Exterior f-Value see T able 2 Total Assemt>1 Thermal Resistance Total Assembl Thermal Resistance Assembly U-Value see Table 4 Enter on Pa e 1 • ?Z? Assembly U-?alue see Table 4 Enter on Pa e l ssemb? hlaterial describe Thickness R-Va ue ssembl Material describe _ Th?c ness R- a ue I Interior f-Value see Table 2 Cxterior f-Value see Table 2 Total Assembl Thermal Resistance Interior f-Value see Tabie 2 Exterior f-Value see Table 2 Tota1 Assembl Thermal Res95tance l 4 Assembly U-Value see Table 4 Enter on Pa e 1 e Assembly U-Value see Tab Enter on Pa e 1 Asseinbl Thickness R-Va ue hi i l d s rib t ssembl Material descr?be 7hickness R-Ua ue a a e er e c f LInterior f-Value see Table 2 e Table 2 s f-V l i E t nterior f-Value see Exterior f-Value see Table 2 Table 2 a e or ue x er t i Total AssemblY Thermal Resistance Assembl,y U-Value see Table 4 ! ? Fn Yer on Panr 1 ance s 7ota1 Assembl Thermal Res Assembly U-Value see Table 4 Fnter on__f'?ge_ 1 ---- -...-----.. --°- ----.- - . . ., fpqK dF[4'.Z !v 2 TSI$ SHEe. SAAa 8E R..?'=OAnJ MIT1i APPLICATIOt1 , 0, ' ou imy Laya to drav addieional rim jo1et seatioas of rour ovn( y100e0 attaeh)t Ghv Mhs6 ddillo"7, wtosiala you aso uaina "d compuCe R ir 0 valuaa aa a4ara. . M JOIST ARFrI Lllcterior wis tilw 61din? _ ? ? ?!w • ' ^ ealliu t - ....¦ .?..i.?..+.? 1}6~ /OfI'. VOOd mmva<t10IIt , 2atesior ais tils ' .68 Fr?+/ti 2MAL 2 ? 0 « 1/A ? "W' ??? hD1 JOSST ARE4 14ctorior air tiim ,17 ? ? Brick Ekt.? 8heathi ng4 .?. 13400 eoft vood 1•88 r- . laeulatiob 4 Interior air tilm ,6$ • TdPAL R ¦ To arsive at 010" value divi3• the Lotal of LLe R•Alt1lO .1t tI1e botiom apac• ot each eolum iato 1.000 A.Mwes you heve left ie the "U" Valus• , ftkMti) YALL SBCPIONSt..... TIT : .;ZZSi3Cr 51z1Lm 07 . , •?----'? ?_ ? ..'.......... r.w? ?. . &heathing 7 • ? : ,. . ? ?.?-,? , . ...?. w?..?.wonr?. ' ., . ? Znaulstloa ? ' . ..?..? 7nterior Fiui6h ? ' i++ •?r Fsiniph ? 4ntiQgA flr.eir f?lm?, EXPO$ED WALL (INSULATED) EScterior air'tile .17 Sheathing III IAterior air film .68 ..??.. II I ?III EXPOSED WALL (FRAME) Figure 6 Exposed !•lall Foundatiart Frea Wall. Thickness Total R ICUn . . .. .... -:,.1..w ._ .. ... Cnterior Air Film OR_ .68 TotRl R . ??n Wk'.A YA13. SECIZONSt..... 11z _T. '-" . ri0r nir film ...-^-•-- ...?--?.^ .?i?da11? Shssthiag ? ? Ineulstlon ? •.? lnterior Finlah 7 .17 j" - . • , ..? '. '?..:. :..-.....+...... ` '; 7 Int?r?o? Finleh ? j Tj1Lq'.t°.?.: "$g.fill .. ??4.?.. ? E$PQSED WALLS (OxHER CONST. ) . . . . _ . , ' ?q ¦ ? [t?l?O? a1?' fil¦ ?,?7??.. SLeathlas .68 ?...._ Totnl H GARAGE WALL (INSl1LATED) Stuq . I -- ncterior air b'ilm •y? Sldina ? ShgntAine ? ?.-+- ?O%J21wtien ? -- .??-? InNrior A3r film •68 ?------- ...... TotRl R GAAACF. WAT.L (FkAM°) ??'J?+ a?st ilpw up SliE:ET #jV .;i • - ;.?? •;? ?,, . ' , ,: . l . lEterior eir file. . . '2. Interior ceilinu. 9 ? ?k) . ?., • j. Laaulati a ? ..... ._., ..m.?•q? ?++ . •?. Exterior air film 0.61 ' tOtal R - .. ? V • ?? p ' + . - , ..?+ .? . wn ? , . . . R? S+ptr1 ae111nR fraelus arN, .. ?T 1. Interior air tilw 0.61 , 2. I?steri:or eeilin6 ? _?^ 3. IaeLLlation T 49 F?remin ? 5. Erterior air tila •: 0.61 - ?otal ' Q . 1/2 ? , 1. Iatarior air file 0.61 (k) Z. ,?jnteT141' Ci11 no R - 1060 t111* cs"lAR oat?,dvxo ror rksos- orer ooiXiog ar toot datai.l ypu uso. j. Tnrulation 7 4, }?cterior air film. 0.61 zttal - o . I/u Aaat ?lo? up "rarc.[er yovr 0 valu4s to me 2 R vaLUL < < {r rLIw 0 .61 ? 2. Tntarior linlFh 1 - j, Roof insu'ation 4 5. Outeide sir film, 0.17 Totel R = 0 ? 1/*a Camoute nquaze foo*3ge amd cvmpute tutale iu blan+c0 F1g. #F . '. •.. v Heat flow up Fig. # 5 • ? 81J3 ON GAADE , . ?. : ? .. ?,.a:. A i . ..p? .. ;?. . , /'?/ ?, ' 4L ' ' . .. , ?. . ' ? : • . ' • ? sic. 7 . •?. . . . • „ . • . . ,? .? ? .. :. , • ? ",''i?., ' .? . ? . . . . 00 wuttn ffv Coostructton .._? 2. Incerior air tilm ......... 0.92 2. 1/2" parcicla board ....... 0.66 ]. 1/2" plyvood .............. 0.62 4. I119LL1dCS.04 ......•.......•• t g. E.xcarior air film (asill):. 0.92 tocal ..,.._ . _.., ---- ? . . TiG. S sr.aa oa csane . .:?: ,'; , • ? . ? .' .. , , . •: . . . ? ,_ P'IG. 6 ? .. . ;? . Insulation shall havs a miaiso+m A-Valua of 7.5 aad muac e:ce8d horizontally (as illusc:aced) or vertically s discanca equivalenc to the deaiga fzoat llae: that iss Zoaa 1 - S teat Zoaa 2+ 3 Paec 6 iaches . Insulatian 9he11 have a minimm R-value of 7.5 arouad the parimetar o[ slab on grada floors. t I1Yo Dimensions to te used For Calculatin$ vlndw and door sreaa. ? -16- . ? . • Cr. ?,?,, 12.__ (unhaated) . .,' ' . : . • Croxl Space. (Uuheated below) • 1. Interior eir flle. • .?^ Q?? , 2. Fini6h lloor? • . ; •• '?. Sub/floos T 4. Inmulation? . . ? . 5? . , i 6. E:terior a1s iiln (at131) Q.9R Heat flov 'lbtal Y down*. • u , . OverLaag..(Outaida air belov) ' . • ?.' 1. Iaterior air tiL. Q.9Z 2. Fiaiah tlaor. 4 Bub/rioor ? . 4. Inaulation ? . . . 5. . . 6. Exterior fiaish ? ? . 7. Fxterior sir tllm. eat riov ,• . Tatal $ down . .. ' . . • ? ??Qq . . . • . , . ? ' Transfer tLoeo totale page 1. . . . ?. , NDTE:. . .Vindow 6izes ehall,De ealeulated from.the vidth & height of itB openiag. Door sizes bhall be Calculated from the actual door aiza itself. . . _ :. .,.,. .. :..:. , .. : . . _ . : ..,.. , . ;. . , _ • _ ? -" ?? MINN640T1fiT?T_S ENERGY.S`OQ? GAI C,?Jj.ATIONq • BASEp OH Ct1APTER 5 oF T1lE • ?O??EN?RQ}(„?ODF, - 1?,?DITION ' , l?doption Effective . .,...... ?l"7IJI? • . Phnnw Site Addrese Q'?? ?? & (??OeA Contractor -53 ? t9 - 7'fti Bullding ClaaeiEicationt Type al (9ingle Family d Duplex) Type a2 (Reeidentiel, ] etories ot leae)_(Over ] etolries) (Other) NOTFt Cnm lg epaaPQ .3 and 4 iirat. . C$HEflLL IlIFORMATION `/ `t 1. Huildinq Perimeter wd'?"?SN ft. W . 2. Wall height (qround to eave) • ft. • 7. 1. X 2. (above) grose wall area I?'IZV sq.Et. 4. Bullding dimensiona (L) " X(W) ° sq.ft.rooP 6 tloor area 5. Sq. foot area of rim jolst - F oor joi t size {2 X ' ?• • ?D X (Perimeter) = ?s sq.ft. 12 " i ? • 6. Doore - l?rea Thicknese in U. Lactor?_ Type oE Construction Perimeter it.. . ManuPacturer 7. Total door'e perimeter tt. •e. Wlndowss Manuiacturer???VL State approved U tactor??? TYPE - 9IZE 11REA (9q.Ft. ) NUFIBER OF • TOTAL . /? E1?Cq UtiIT9 SQ FEET -/ 9. Total sq. Yt. Gleae ?j/-?%' ? lo. Fireplace areas Width X Height ? X n eq.ft. , 11. Expoeed Poundations .lielght X Perlmeter?7 X /2?z 64 sq.ft. CONPLETION OF TIII9 FOR19 I9 REQUIRED FOR ALL NEW CONSTRUCTIOtI, 17aJOR REHODELItIG 7+t{D 6UILDINGS BEING HOVED WI(ERS Et1EAGY, OTlIER T1lAt( TilE MIHIHAL COD6 ALLOWANCEg I9 U9ED. _ .a_. 1 . . Y T?q .. r. . .. . . ..i . ' .. . •• • •, . • .r i4C {I.. , l T.l.' ... ' . _? .. .. . . . :. . _ _ •. . ..' - .e ? M1T s?.j. . . . .... . , . ?.? .. . ? • 121.'cFramtng srenJ A lot oE qross Wnll srea. 1]. Groee wall area sq,ft. Window srea A ?? . eq. it. U windaws a_F769 Aim joist area a l s1 sq.tU rim joist=-4? UxA Daor,eree A - eq,tt, U door area= - Ux?. '•.oEher doore area A?eg.it, I1 oEher doore=t4_7 UxA Expoeed fndil 1, eq, [t, U foundation= r 0767 UxA = S Framing areA A Z? V eq.Et, U ftaming area= 10 5 UxA e . Net wall araa A?o4o,?eq.ft. U walltt_ , UxA d s (138) TOTAL . . . . . . . . . UxA a 14. Groee wall pree x 0.11 (A-1 einqla femlly 6 duplex) -+ allowable Uxa/Coda (13. above ) x 0.23 (A-2 other reeidential) . , x .23 (other buildlnqe) ? x .28 loVer J etariee) ?BTUII muet be larger than oY eame x U Code ?? ? °F, as 138 a6ova 15. Ceiling framing araa (Af) equale lo; of ceilinq area 15A. Gtose ceiling area =(L) v x(W) "- sq.ft. 150. Joiet area (hE) d iot ceiling nrea A sq.ft. 15C. 11et aeillhg area (]1c) (15A.- 15B) ? v eq.ft. Uceilingxac m?.) x tC?iv e ?i? u Lraming xA t x ? ?7i e Z^ 15D. TOTAL U x A .........:........?...????...- 16. Callinq area (15h) x 0.026 (A-1 eingle famlly b duplex) a allowable UxA/ Code x 0.013 (A-2 nEher residentiel) x 0.06 (other) v? ?? BTUtt muet be larger than or eame 7?(151?).L;x U Code 0 .°F. ae 15D above NOTEI Use U anil ?. valuea obtained from paqee 1, 3 ertd 4. CEflTIF.TCATIONt I heraby certify thnt I have lculated the "U'l tactore and "R" vwlues hereln and that the bUllding here bed meets or exceede the 9tate oE Mlnneeata 4nergy Coneervatloh Act, ?1- 2a-9.3 nata s _13 .R - - qq9 -- _ ----- kALL ' SECTION STUD SECTION SECTION. R1*1 JOIST n Vnwc U VALUE . . - .. .. . ? .. . tneld ? ? . : . r ` . e a r f11m1 :66 . . Interior?ual?. -(Nall) U . 1 -Insulatlon • ,• '' Iq ??O . ' Sheathing. ? •? • : ?,'?0 ' ' L.% , . 5lding `' ' : . Y :''?1 Oute[de alr Ellm ,ij • : : • : S.. R TO?AL =?< •a Inalde.aic fllm, Inter{ar xall . 45 4h ttud : . R= 44380,5 (Framtng)U' Sheathing: R Slding • Outslde air film ' ,17 _ R TOTAL _. ? ---???? LnteiLoc.xall Ineula[ion ? . _ . . ? - Exterior -:watl Exterlar?:alr cove[ ftlm ? R . .,17 . O?}3 ?- . ?cq vr? r- ) U - R . ? ln[eclor;alr film R= .68 Ily I .i Insulation . - : ?q; Op 'lh . !nch:9oEt wnod R=1;88 (Rim 1 U = R = ` doist ' , - . $helthing . ' Z,.O(a • s' O?I ? . Exterioriwa11 coverin8 4 (01 I ' . ? • EzteriorLair Eltm :R-- ;?17 ? --- • ?, '•° R TOTAL , Y_ •• ?? ? lnterLor:alr film 'R= .?68 Ensuluiton ? •Foundatlon F - ( dn.) U = R = Extertori air E.lln ? R' `:17 ?,. . . 07(p ?, ? •,'Y F TO'Cn4 ,.: ?Exposed ;8luck I1 ? ? `' J . • ?`,rade: 3. . .. ... . ... ,.? , . .... . . : , :. . . . ..: :.:. . . GSIT,III(1_fiI.T.1I?E11TrA(LL'f_TI??Q??ELLd?YF / • R V1,i.Ua • . . . R VhLUE , FRAl1I11Q ' CEIl.I11G , `Q?dl 1,lrFllm ??1_ . 7netilatlon 0 1,?9 .7olet ------- fi Calling n,yQ_ -0,11 T,1 r F I 1 m _. . ,_ `??IIO _...Totn1R -... ?, ?. ?? .._. .02? tilndoN lntlltrntlon Q.d afa/llnanl lcot'of crnclc paeldentlnl donr lnllltrntlon 0.9 agm/aqitare Caat or door and minimum cnda raqulraman' ilon-taeldantlnldoor inilltrntlnR 11.0 afm/llnenl.toot of craclc tlta 19's aonarata 1?lack na inaqlatlon a,{7 fi 2.1 , Uq 110 canarake block lnaulatad oorae - ,26 li 3.e Up 114 11ghtHelght block A.]2 11 ],1 up • 11° llghtNal9lit bioak lnaulntad aoraa a,1Z p p.a Il qingla g.lnaa -m *l.l7t• Hith atorn HlndoN .54 ' Il doubla qlasa M ,55 p tTlpld g1Ad6 . J?l? sYtarlor urnlla and oalllny¦ tmaat hhva a vnpor qaGrtnr (o.lo parm mnY.). Vapur pnrrlor muat,ha aa the Jnalda (I1eatad elda? nt ual]. yepor bacYlaxa ot tha palyatha}eqe thln t??m have na R val.ua. • : , • . . ??• ' . ? ? ., ? .. 1 e ' I 2/84 . ,1 •.." Y ? ? CITY OF EAGAN APPLICATZON FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRINT) PROpT71Y ADoRESs: y • z? k /.,?r ,f'6 r FraI. DE...?I°TZC:1: `O% 3 I3LaL/f 2 C3 •/? /t r l sT Apv L .?SC .4 (Lot/Block/SL:aivisicn or Tat Parcel I.D. Numer) ir S17 i;C^'-Z, DAi : O_° CRT_GL^.r?i, PflESL.T ..li?/??OPOCED ?//?-_=' c_•,. UC: FS rt-j, SL:GL:+ F=L]:LY . _`..` ? 12-2 1:UPI.`".: (7,i0 L'n'=S) ?R-3:Ct,.L=CrTSE (?'.`?-=. r + L':7ITS) ( li.:ITS) a =-a ar:??!=r/c-__zc.i_7•rj-t:.%i ? UNlTJ/ ? CCi.?n1E1=AI./f2ETA1L?O:E'IC:: ? 71\'CL'S i=I. ? 'L`.STIm[,"PIC\.?I,/GaT=*.?,'T 2) APPLSC _?,,"P iPLEASE ?Rthi) Np;''E: sr?OF?.v C ?.vsT zacnREss: o L.E iRsr vF CIT`_', STA'?'E, ZI?; _ ?f? ST/•vG S /19 ' 3 O77 PF.O?m: j) pU:=pl NAME: tPLEASc PNIYiJ t./?'/EP?E ?/7f c?{i J- ?iYC FOR CITY L'SE O4LY PDCRc.55: PLJHBERS?IC.4SE: CITY, STATE, ZIP: - PhCNE= N.??cr. qT_'/ 36d 19 PIUMBER LILENSE ?] N ' Record P- ' ,]t: n1:13 41 UC..L'.iYALIT/CT.Vt:m IYLGpJt YHINTJ rrarE: ADDR£SS: CITY, STATr-, ZIP: PFi0I1E _ 5) INDZG"+TE WFiICH PERt•lIT IS BEING REQUESTID: C[ ION 'Iq CIT! SEFr1ER COti"cIFCrIGJ1 TO CZTY WAT&R ? =1EK (PL,?",SE DESC111,ISE) . I: ?SE E?OID r1PPP,Ol1ED PERMIT FOR PIC'i:-L'c SY ONE OF ASGVE ?°_T.EASE ::-lTL APPROt,-u"'J PE.4?LIT 'PJ 1, 2. 3, 4 ABOVE (Circle one) 0!i> 7) SIGpT[.: ??DAT°: Y ??l AiLy1fl..a i? i ef E?:aav af s nt r.a s?a ?/ a s?ss:a:a s a.t rel?:? y? f?1 S s! a? acsaa ? FO R C I T Y U S E ON:,Y PERMIT °- ISSLTED ro?S: $ $ $ $ _ $ $ /S.ov $ 1 G1??, du $ S S S $ $ )? $ S $ SE:7LD ncR?jT'j II?TC:.::D= JURC_.AF<CLJ W1TER PE2U1IT (INCLUDL SiiRC:?ARGL) WATER METER/COPPERHORN/OUTSID: REnD:B WATER TAP (INCLUDE CORPORATION STCP) 5.=:4ER T?? ACCOUNT DFPOSIT - P7ATER WAC SP.C TRliVK NAT°R ASSESS:+.E::T TRli:J:C SE:dER ySScSSM°_;iT Li,:ERAL BE:1EcIT/TRUVK SE'.-.= LATERAL BEVEFZT/TRU:.K WAT°R WATER TREATMENT PLANT SURCHARGE OTHER: TOT?L AMOC:::T PAID/qECEI2T DOES UTILSTY CONNECTZON REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY? L, YES IF YES, THEN A"PERMIT FOR TAORK WITHIiI PUBLIC ROADWAY" MUST BE ISSUED BY THE ? NO ENGINEERING DIV:SIOIV. LIST AS A CONDI- TION. SGBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TI:LE: DAT°: .. ? - ?R ? .. caty o F es?e?c?n 3830 PILOT KNOB ROAD. P.O. BOX 21799 " • . eEq Blon?auisT _ EAGAN. MINNESOTA 55121 . . mcyar PHONE: (612) 454-8100 ifpMAS EGAN JAMES 0. SMITH DATE: JERRV TFIpMA$ " iHEODORE WACMiER November 25, 1985 cw+?d 1,4?3 THCMAS HEDGES oq ?moror . EUGENE VAN OVERBEKE SPECIAI, ASSESS?fENT SEARCH cn„cIe.k FIRST SECURITY TITLE INC RE' Oak Chase lst Addition 1501 W 80TH ST i Lot 3, Block 2 3LOOMINGTON MN 55431 i Enclosed herein is the search?which you requested made on the above described property. Kind oi Imvrovement Yaar-- BeeinninR Oric?inal Amount Balance Due None I further certify tkat according to the records of said office, the following improve- ments are contemplated or pending after having been approved and are now in the process of planning or completion. Kind of Improvement AnDroximate Date of Comoletion Anoroximate Cost None WAIVER: Neither the City of Eagan nor its employees gttarantees the accuracy of the above infor- mation which was requested by the nerson or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in the above form and for a11 other consideratio of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly waived. Levied assessments to be paid to the CITY OF EAGr1N, 3830 Pilot Knob Road, P. 0. Box 21199, Eagan, MN 55121. ' .Very_truly yours, _ / SPECIAL ASSESSME:IT DIVISION THE LONE OAK TREE...iHE SYMBOL OF SiRENGiH AND GR04ViH IN OUR COMMUNIN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) it q 077 CITY OF EAGAN , n 3830 PILOT KNOB RD - 55122 U'1-?r- 651•681•4875 New ConsfiucHon Reaulremenh ' ? `?? "} ` c2a > 3 reglateretl alfe surveys alwwing aq. ft ol M. sq. H. ol houae and yj( rooled areas (40% maxlmum bt coveraae albwed) > 2 coples ol plam (3how beam & window alzes; poured Ind. deslgn; e1cJ ? I set ol energy calculaHons > J caples ol free preaervaMon plan il lot pWlfed alter 7/1/93 DATE: J ? f 200o DESCRIPTION OF WORK: STREET ADDRESS: `f ? LOT: a) BLOCK: 9- SUBD./P.I.D. #: RemodeVReoair Reauiremenh 4l6Tl c?ued 5 j,21a 2 copies W plan ffift, 1 sef ol energy cdculaMons lor heWed adtliNOns t Site survey (Or extedOr adtliNOna 3 deCks CONSiRUCTION COST: 13I ? 73 0C) ? ?-derf?(,J RC') b ? J -4+L) P :S k(? I 1 Ph # ( OSI- C1 SsL <2-7/0 Name: - one : PROPERTY uisOWNER ' J I C )i I /`l n I ? ? 111, n cIn P11,A J She6t Addf93s: -[ v 1-1 LJ /-I C 1 ?° w1.K 1\v v-1cn ciy igG12/?? State: I" 1 tL?t2 zlp: Company. I?U?t?L f ?i ( ISSC?G? PhoneY: ? ??- ( (area code) CONiRACTOR StreetAddreu?3 q3 b-"l?olJ C?r4 LlcenseN 3Q7? Exp. ?Q CtlY ?lXLoli Pi?Al-(-? Sfate: Zip: SS,) `'t? CaokAw'Fom Ge l (- 6P- 3?3 - l S3s ARCHITECT/ ENGINEER Company: S lt'iM--- Name: Telephone #: ( Sfreef Address: Registrallon p: Cfly Sfafe: Sewedwater licensed plumber (if installina sewer/water): Phone #: Zip: I hereby ackrawledge Mwt I have read this applicaHon, atate tlwf 1he infortnaHon is cortecf nd agree to comply with aR ap I?cable Stafe of Minnesota Sfatutes and CMy of Eagan Ordinances. Signalure of Applicant _ r- _7 - OFFICE USE ONLY Certiflcates of Survey Received _ Yes _ No NAY I Tree Preservation Plan Received _ Yes - No ,_ Not Required OFFICE USE ONLY , , BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage A 22 ' Porch/Addn. (4-sea.) O 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 70 08-plex O 19 Lower Level ? 24 Stortn Damage ? 05 03-plex ? 11 10-plex Plbg _Y or_ N O 25 Miscellaneous O 06 04-plex ? 12 12-piex ? 20 Pool ? 30 Accessory Bldg. wgaK nrPe 31 New ? 36 Move Bidg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMA710N SAC Code of # of Stories SQ• ft• No. of Units O Length sq. ft. No. of Buildings / Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MClES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire 5prinklered MISCELLANEOUS INSPECTIONS " ? Stucco/Ston e APPROVALS Planning Building ? Engineering Variance ?, . , J ? 31 Ext Att - Mutti ? 33 Ext. Att - S F ? 36 Mutti Y3 V- Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ToWI: valuation: $ 307? s7,n ft x sy = 3078 SAC Units % SAC 0425100 10:09 EAGRN ENG+COM DEU 4 6129410197 * PIQNEEA * ** ? aRS ? • LAh Na.886 P001/001 2422 Enterprise 011Ye Me^doto Height5, µN 55120 812) 881-1914•Fax 681-9459 623 Highwpy 10 NOrthaost 8foinn. MN 95434 (612) 793-18bG•fa« 783-1883 Asbuilt Survey for: NOrSkCl HOfY1eS. InC. Nouse Address: ASIQ Oak Chase Eaagn MN s? I i f t I ? 1i , , , I Q I o ' Q ' a = f o U V ? w 1 j I I ? ' I i ? ? ? ? ?. ,_._ ? _? ?,.- _. ... ? LQT 3, BLaCK 2 OAK CHASE IST ADD. 6AI(OTA CqUNTY, MINNESO7A I fiere6y cenify ;hai this ycrvay. Fl3++ nr t¢porr w?s Qr ar8d bv ? ofunde, my dirsct eupervlsionanU?jc 1 em duW Reglstcrce LerM Surveyor unAr.rlhe laws af the Sente ol Minneaota. OataO Ihis dev of A.0. / /) -- , i W f/7 ----? -_? ? 1999MiNNES07AENEftGYCdDEv 1-2 Famity Resi[fentat Dwellinys "CaOKBOQK" WORKStiEET Appiicant Neme Phonz Uate PLws mus[ he clearl}' mar&ud with" $tdfCmetlt Ot COn7pliS1lCe: O? ?? ??? 1/??/?? insulationR-?'alues window ao1 skyligEtU-value ]hepropmedWildingdcvigi n.-prceentud'v?Uixdoc?ents u wmiatmt wiih the 6uiiding plane speuficatiom, and AppiicmitComFany sizeandTypeof'cquipme¢t vdotheccelcdutiomwhmettadwiNtheP=mitapf:ficalim ?? La:ation of interior air 6arries, va{ar rafarder and wind wanh turrizr ?Ae jrsopnscd 6uilding Lac6em 0caigwdtomeet Q?e tequiramenle of tlieMinnaote &ncrgy Code. Huilding :lddrees ?eqtupnient confrols - 73 41J C Luf4 MINIhiUM REQi7IREMENTS for "Cook6onk" Options: nlry Doon . w[id wood atmaAmum 0,40 ce m aaon a mmwceelw'urcer gn condi(iva) eatings)vtera ccncyi= . AFUE ourt con r iosu g a+s m wvmy wLhIIUIMJ- QOdXU[IVID Ii•V194Z OFU4-SS t?nn xa uuu m- a ent -va ce n LtPA 9GiY9I IiIC QCT" 81?CI9gC N]3tdON' U•VBPIKIIr joiu - U ltll S4LL9FP. t8g.°. IL COIf§] {1/ld tl? ! OR C M14.SQ pd?i.'. JU( 3YCf III1C Ofl SFMKCC <alcdxiiat o(windoK-'poct rLea ?rl `ip 476 ? WiMavanill doarArea tOQX 2 jc7LOD U ! p aa3 Q 6= j Il % WIHIMWU•VALUE' I As % of ExPosed WaIE Area WindowlooorArea Gross W atl Area WindwdQoaArea Source: NFRC ar Code Defauf4labfe lf- AAAXIMUM AVERAGE WINDOW U-VALUES FOR R-10 FOUlJOATION WALL INSULATIOH 8 94Y. hFUE FURNACE ? 0 ? r hecK WaIF Maximum 7ota; Window and Door Area _...... ..... ... .. . _.. .... --- ype Usecf ' Percentage of Exposed ?lal waA TYPe _..._.. _._... _. _ .,_.. 2x4, R 73 insulation X< R 5 sheathmg 2x4, R 13 tnsulation, X> R 5 sheathing '.9rd R_13 insulafinn X>= R_K shpathirtn t/' 2x6, R-19 insulatian. X< R-5 sheafhini ... .._ 2x6, R-tS insulation, X>= R-5 sheathii _........ . _ , _...._ . . _...... _. .,......_.. . _._... 2x6, R-21 insulation, X< R 5 sheathini ;2x6, R-21 insulation, X>- R-5 sheathi 1a96 ,_ i2% < 14% _ 1 16°? 169b 20% : 22°k ' . 24% 2695 _. 28a? i Maximum Averaoe Window U-value " ...... 0.37 _.. 0.37 i - 0.33 .. ... 0.28 . , 0.25 ..._ ; 022 ' __. 0.2 _.... . 0.18 . 0 17 0.15 0.37 ............ 0.37 - 0.37 0 37 . 0 37 _ 0.33 ' .. 0.39 ...._ 0.27 : 0.25 i 0.23 0.37 0.37 j_0.37 : , 0.37 ... 0_38 j _._ 0 33 , - 0 30 _- 0 27 025 0.37 0.37 ? ;. 0.37 ' 0.37 ? _.. ....... 0 37 0.32 ? 0.29 0.27 ? 0.24 0.23 . 4.37 0 37 : 0.37 : 0.37 : tl.37 . 0.35 ; G.32 : . 029 0.27 0.37 4 37 ; 0 37 0 37 ; 0.37 0.35 4.31 _ .. 0.29 : 0.26 0.24 0.37 ' 0.37 037 ' 0.37 "s 0.37 ' 0.37 0.36 : 0.33 0.30 : 0.28 if foundation wall insulation is either Iess Ihan R-10 (but noE less than R-5), ar R-19 and above, fhen use €he tables appropriate Tor those values. X is equal to the R-value of the sheathing TTis is a summary Ory. Other reQuiremeMs may appty. 3ee the Minnesota Enetgy Code. Questions? Cxli Department af NWr Service Infarcna4on Cenler at 651 296 5175 or 600 657 3770 ? ? ? ? ..- , .3 - ? - 61,oL.? C16- ,o oF eagen 3830 PILOT KNOB ROAD. P.O. BOX 21199 BEA BLOM9UIST EAGAN, MINNESOTA 55127 Mav°f PHONE: (612) 454-8100 THOMAS EGAN JAMES A. SMIR1 JERRV THOMAS THEODORE WACHTER Covncii AAem?s November 20, 1985 THOMASHEDGES Gly Atlminutrafor EU6ENE VAN OVERBEKE Ciry Clerk MR AL SIEBEN AL SIEBEN CONSTRUCTION 16190 LEROY AVE E HASTINGS MN 55033 Dear Mr. Sieben: This letter is to reaffirm our conversation on November 17. It appears that a stock pile of dirt is partially on our property. Further, someone has been digging around the lot corner marker. I ask that you not encroach on our property, Oak Chase lst, Lot 2, Block 2, and that if the corner marker is moved, that you resurvey so that it can be placed back in the proper place. In addition, stock piling of dirt over the roots of oak trees will suffocate and, eventually, kill the tree. Driving heavy equipment over the roots will also kill the oak trees. We wish to be good neighbors and would hope while building that you would reciprocate. Thank you. Sincerely, Bea Blomquist cc: Eagan City Council :11 tik iHE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN OF 3795 PILOT KNOB ROAD, P.O. 80X 21799 EAGAN, MINNESOTA 55121 PHONE: (612) 454-$100 DATE: Lecember 15, 1983 PLTMING ASSESSNII9'?' SEAFCI-? RE: Oak Chase 4514 Oak Parcel # Requested by: DAKOTA COUNI'Y ABSTRACT CO. 1250 Highway #55 Hastings, MN 55633 BEA 8LOM9UIST Mnwr THOMASEGAN JAME$ A. $MIiH JERRV THpMA$ THEOOORE wACHTER Counnl Memoers THOMAS HEDGES C'ity Aamioistmra EUGENE VAN OVERBEKE Oiy Ciera lst, Lot 3, Block 2 Chase Road, Eagan, NIIQ 55123 10 53500 030 02 I CERTLT'Y THAT ACCORDING TO 'IHE RECORDS OF` SAID OF-TICE, "'fiE °OISAL'TING IP'NROVE^n]'?'S ARE CObPI'E"L"LATID OR PEDIDING 717F`I'EF; HAVING BEEbI APPROVED, ADID ARE NO[d P? "_'fE puOC'.°SS OF PI,ANNIl`] , OP, CaZoLE'SIOP7. Kind of Improvernent Aimroximate clate of Completion P.pproxunate cost NOIQE L'7l=R: Neither the City of Eagan nor its enployees quarantees the accuracy of the ahove in- Eozmation which was requested by the-person or persons indicated. Nor dces the City or its einployees assume any liability for the wrrectness thereof. In consideration for the supplying of the indicated information in the above fortn, arxl for all other consideration of any nature whatspever, any claim against the City or its arT)loyees risinq there fmm is hereby expressly waived. Levied assesgnents to be paid to the COUN'I'Y 'PRE715[JI2E11 AT HASTINGS, "Rd, 55033 Very truly youp, THE LONE OAK iREE...iHE SVMBOL OF STRENGiH AND GROWTH IN OUR COMMUNIIY * PlONEE47 'k --._._.._.. 1a22 Enterprise Orive Mendoto Heiqht- ,, MP1. 55120 . ?(812) 881-1914-Fax 681-9488 625 Hlghwoy 10 Northeast 8laine, MN 55434 . 612> 783-18e0•Fax 783-1883 Asbuilt Survey for. Na?'SkCt Homes It1C House Address: 4SI9 Oak Chase EQgan MN, ? - --! 30 W ? ? i = I U i I ? Y ? Q ? o ? ! z 0 0 a N W ? L 3 ? = , J V f ? ? _ - ??1 • , ?? ? -? ? =- - - --?-- - : LOT 3, BLOCK 2 QAK CHASE fiST ADD. 4AKO7A CqUNTY, LAINNESOTA ? I fiere6y Certiiv :hat thls survey, plan pr ieport wAS pr ared 6y rt?e m unJer my direct supervision a?y?4""'CH t 1 am duly Regi¢tered Land Surveyor ?sn?iyr the laws of the Srare of M{rinc.ota. Oatatl lhty?day of G?A,D, 19.? Scale: '? inch=40feet Ls.aea.no.14891 11 REACTIVA,TE PERMI'i #? ll?? L CITY OF EAGAN 993 BUILDING PERMIT APPLICATION $(?3q? ?? r ? i 1993 681-4675 Pr Vorl Y -2.2 , SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets o# architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: I) 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 Lo / t493 Yaluation of work_f3a OU06a0 Site Address: 95 i4 eO- ?" ,,,,` STREET StifTE i Tenant Name: (commercial only) LOT BLACIC ? SUBD. U !? P.I.D. Descri tion of work: The applicant is: ? Owner ? Contractor ? Other (Describe) Name $?,w11 2oL??' PhoneYSZ-Z_1 'o Property LAsT FIRST Owner Address 45 tL4 d,a?_ STREET SiE 1 City ?.ar a? State M"J. Zip Company NoczsIz yo? om(,,, ? ?-w+-. Phone '-f52-7`449 Contractor Address qS?? C),Al?rl,,44-? 420. License # ZSz,6 Exp.3-3I-YS City ?dPa? State ?N. Zip ? C;/Z3 Company ' Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have r d t?s application and state that the information is d Cit f t f Mi t St t t es an y o o nneso a a u correct and agree to comply 1 p licable Sta ? Eagan Ordinances. Signature of Applicant: ?' , ow - .C? / OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 02 SF Dwg. eg 03 SF Additian ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 woRK rrPE ? 31 New PL32 Addition ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging #.>• ? 12 Multi. Misc. ? 13 Garage/Accessory O 14 Fireplace 0 15 Deck O 35 Tenant Finish ? 36 Move '?A? 16? Bas?;am,?pt?inish ? °?] 17 Swim Pool ? 18 Comn./Ind. ? 19 Comm./Ind. Mi'sc. ? 20 Public facility ? 21 MiscellaneouS ? 37 Demolish GENERAL {NFORMATION Const. (Actual) 1?-N Basement sq. ft. SAllowable) ? lst F1. sq. ft. UBC ccupancy E13 t-vt 2nd F1. sq. ft. Zoning ? Sq. Ft. total N of Stories Footprint Sq. ft. Length ?a r On-site well Depth On-site sewage APPROVALS Planning Buildin Engineering Variance REGIUIRED INSPECTIONS ? Site PL Footing ? Wallboard PL Final MWCC 5ystem City Water PRY Required Booster PumP Fire 5prinkler Census Code 5AC Code Assessments ?I? f-I 0 ? 5k Framing :R Insulation 0 Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchar9e Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units 567•'$O Yaluotiw: $ IbCOA40E: /6 X 26 N1SN'. ?h2b1?SV z 2$ !3 K Z6 c 33s i ?' tANRlnnSN'• 2 K ?PV Z8 Y= r?abtj teuILl; 3szx;y_. . ?? . J 29M2i ?c gir.: !9 - Lx?y = Zg z.?x ??-- 5394y & 9 5k v s''r . g3yt8 ' ? INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: LoT: s BLOCK: 4514 OAK CHASE RD OAK CHASE PERMIT TYPE: Permit Number: Date Issued: BUIIDING 022039 09/23/93 PERMIT SUBTYPE: SF ADOITION 2 APPLICANT: NORSKA HOMES INC (612) 452-7449 TYPE OF WORK: NEW INSPECTION FOOTING .. . FRAMING .. INSULATION FINAL FIREPLACE ? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT ? PERMIT TYPE: Permit Number: Datelssued: ?/ BUILDTN? 022039 09J23/93 SITE ADDRESS: P.I.N.: 10-53500-030-02 4514 OAK CHASE RD LOT: 3 BLOCK: 2 OAK CHASE DESCRIPTION: Bu'ildirtg?_Permit Type SF ADDITIQN 6uildircg Wqrk Type NEW ?UBC Occupanc?,,,, R-3 M-1 ? Construction Tjrpe V-N ? Zoning L ? E Suilding length t 40 ( Building WidCh ? 26 f? t i ;1j, REMARKS: FEE SUMMARY: Base Fee Plan Review Surcharge Total Fee VALUATIQN $567.50 $368.88 $42.00 $975.38 CONTRACTOR: - Applicant - ST. LIC NORSKA HOMES INC 14527449 0003526 4515 OAK CHASE RD EAGAN MN 55123 (612) 452-7449 $84,000 OWNER: SHULL 4514 OAK EAGAN (612)452-2710 R08ERT CHASE RD MN 55123 I hereby acknowledge that I have read this application and state that the infarmation s correct and agree to comply with all applicable 5Cate of Mn. Statutee?City ot Eagan Ordinances. ? J film uu,1 I W ISSUED B SI NATURE PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf. NEW CONSTRUCTION ADD-ON A!C ? ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 5.d0 GAS OLJTLETS (MINIMUM 1@$3.00 EACH) 3.00 ADD-ON/REMODEL (EXIS'riNG CONS'['[tUCr[oN) $ 15.00 STATE SURCHARGE .50 TOTAL A?' ? ' STTE ADDRESS: '7`?/,5- O'*( 0111go-E OWNER NAME: /fo,d7 t??U(_L TELEPHONE #: 116-°? -?710 INSTALLER: ? 61oeArnal?? ADDRESS: daa3/ All'&aae-t CITY: ?•??u@/?•?UiL4,cc- TELEPHONE #: 6 /,q ` JU0 -?Ob''V STATE: /")a ZIP CODE: 155337 1993 MECHANICAL PIILMIT (RESIDRNT[Ai.) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 - .: PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES EA-CH TOTAL / SHOWER 3.00 3 WATER CLASET 3•00 BATH TUB 3•00 LAVATORY 3.00 3 KITCHEN SINK 3•00 -? LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3•00 WATER HEATER 3.00 :3 i FLOOR DRAIN 3.00 3 GAS PIPING OL7TLET • minimum - t 3•00 3 ROUGH OPENINGS 1.50 WATER SOFTENER 5•00 PRIVATE DISP. • n?.cry. im 15.00 U.G. SPRINKLER • eome under const. 3•00 ALTERATIONS • io cdsung 15.00 WAT'ER TURN AROUND 15.00 STATE SURCHARGE ;2 J .50 TOTAL: 2 Y. S a STTE ADDRESS: J/-O?/v 0A1? eh/95E OWNER NAME: It?a6 o5PaLL INST. CITY: PHONE #: 1 9,q - 4D ?y ? 0 OEA/1?a It laR13 / Av,?? Zze-ct ? ?6 ISo STATE: 1'2171 ZIP CODE: 45-33 7 1993 PLUMBING PERNIIT (RESIDEIVTZAL) CITY OF EAGAN 3830 PII.OT KNOB RD FAGAN MN 55122 (612) 6814675 PERMIT City of Eagan Permit Type:Building Permit Number:EA121641 Date Issued:04/10/2014 Permit Category:ePermit Site Address: 4514 Oak Chase Rd Lot:3 Block: 2 Addition: Oak Chase 1st PID:10-53500-02-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Robert N Shull 4514 Oak Chase Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA125217 Date Issued:07/21/2014 Permit Category:ePermit Site Address: 4514 Oak Chase Rd Lot:3 Block: 2 Addition: Oak Chase 1st PID:10-53500-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert N Shull 4514 Oak Chase Rd Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131426 Date Issued:06/18/2015 Permit Category:ePermit Site Address: 4514 Oak Chase Rd Lot:3 Block: 2 Addition: Oak Chase 1st PID:10-53500-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert N Shull 4514 Oak Chase Rd Eagan MN 55122 Haley Comfort Systems 122 3rd St W Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147972 Date Issued:02/26/2018 Permit Category:ePermit Site Address: 4514 Oak Chase Rd Lot:3 Block: 2 Addition: Oak Chase 1st PID:10-53500-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert N Shull 4514 Oak Chase Rd Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature