4577 Oak Chase Way
CASH RECEIPT '
? ? • ?. 0
CITY QP EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 '
DATE
AMOUNT
U (? C?
& DOLLARS
,m
? CASH XCHECK
0'
, ? ' ??:? ??.
FUND OBJECT " AMOUNT
Thank You
? ?---,
BY
C 4218 Mh&--PayemGWy
YeROw-Pasprq C.apy
Pink--fNe C,opy
DATE:
1Q/19/89
4577 OAIC CHASE WAY, L7. nl ,CL11rF R10GE
Your Sewer $ Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
? CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
-vYour Sewer & Water Permit for the above property cannot be comple#ed for the foilowing
?reasons: ` xx Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors- 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- RECIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 10/17/89
4577 OAK CHASE WAY. L7, Al. CL1FF x1DGB
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
3 CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
-? ,,Your Sewer 8 Water Permit for the above property cannot be compleied for the following
?. i reasons: -
e
-x]L Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until turther notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by BiU Adams or Dirk House (Plumbing Inspectors - 454-8100) before iSSUance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
.. _ .?
s w . ?r
BUILDING PERMIT
To be used for SF D
Site Address 4577
Lot 7 Biock _
Parcel No.
W Name JOE MILLER CWIST
; Address 18133 CHDAR AVS S
°' City FARMINGTON phone 431-2001
Address
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
value ??9000 : A
'
the
of
Receipt #
17 1 "O
OFFICE USE ONLY
Occupancy Rr-3 M-1 FEES I?
Zoning R-i I
(Actual) Const V?N Bldg. Permit 568•?
(Allowable) v-M
Surcharge 42.00
# ot stories
Length
42'
PlanReview
284•00
Depih SAC,City 100000
S.F. Totai' - SAC, MCWCC 575•?
S.P. Footprints -
On Site Sewage _ Water Conn 580•00
On Site well
XXX water Meter 90• 00
MWCC System
City Water
?
?t. Deposit ?.?
PRV Required ? S/W Permit 20•00
Booster Pump - S/W Surcharge j•?
228.00
Treatment PI
Signature ot Permitee -'Z? ? APPROVALS Road Unit 340•00
A Building Permit is issued to: JOE liIL1.ER COIiS7 Planner - Park Ded.
on the express condition that ali work shall be done in accordance with all
applicable State of Minnesota Statutes and Cit
of Ea
an Ordinan Council
Copies
y
g
ces. i
gld9_ pff. _
Building Official i - - 2,858.00
Variance TOTAL
-
Permit No. Permit Holder Date Telephohe #
iNATER IOoq % `•' ?/?'O /
.?
SEWER
PLUMBING ? ?d U
H.V.A.C. 1 ' e!z Y? ?? /g?
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing 4Q S ?
Roofing
Rough Plbg. - Ao?
Fiough Htg. /
Isul.
Fireplace
Fnal Htg. f U
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CONTRACT PRICE
Site Address
Lot Block
. T PERMIT # ? ?'?l'•
MECHANICAL PERMIT RECEIPT #
i
CITY OF EAGAN
DATE
3830 PILOT KNOB ROAD, EAGAN, MN 55122 :
PHONE: 454-8100 For Office Use Only:
Sec/Sub
m Name
? Addcess
c Ciry
Name
c Address
O CiN
TYPE OF WORK
Forced Air
Boilsr
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL•
G
P
K
SCRIPTION ?
f BLD
. TY
E WOR
DE
Res. New
Mult. Add-on
Comm. Repair
- Other
? FEES
RES
HVAC 0-100 M BTU
- $24
00
.
ADDITIONAL 50 M BTU .
- 6.00
(RES. HVAC INCLUDES A/C ON14EW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn
- 1
50 E
A
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES .
.
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT
(ADD E
50 S/C IF PEFiMIT PRICE GOES - .50
.
BEYOND $1,000)
. SIGNATURE OF PERMITTEE 4
•
, "' FOR: CITY OF EAGAN
? • ? PLUMBING PERMIT
CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
# ??t
For Office Use Only
PERMIT # .14? ??C''
?
RECEIPT #
DATE:
Site Address - BLDG. TYPE WORK DESCRIPTIaN
?
Lot ? Block ? Se ub New v
Res. ?
?Y MuR. Add-0n
Comm. Repair
? Name t -
Other
? Add
c ress
City Phon -
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NO. FIXTURES TOTAL
?
D
?
.
b
Water Closet - $3.00 $
Name Bath Tubs - $3
00 -
?
?
? Address .
-
_a, Lavatory - $3.00
-
City Phon? -?- shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3
00
.
FEES _L Laundry Tray - $3.00 3.00
COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains -$1.50
APT. BLDGS. - COMM. RATE APPUES ? Water Heater -$1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpod -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 ? Gas Piping Outlets -$1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.OQ
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTE PERMIT FEE: ?7 LZ?
STATES SlC: • S?
FOR: CIN OF EAGAN GRAND TOTAL: 3v Sz%
?.:.?
,
?. ,
(ter#i#iratit of COrruValrl
Citp of tagan
EPportmPttf of Sltddtltg JttBpp1'tiDtt
This Certificate issried pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance tlus structure was in co?npliance wrth rhe various
ordinances of the City regulatixg building consmection or use. For rhe foUowing:
Bwg. ft"ni` No. 17170
lfse Qumfcarion ?
JOlr+i-- Z°°ing D'unG - Tra COW vm
pccupancy Type
owneT of euMng "aamw
RIDt?
Buikdiog Address L°-'cy
f s
1I- Dau:
: HuitBing ofgcial
POST IN A CONSPICUOUS PLACE
?`` •-a. a.. • l
, ...?._?..r..?.?..? . .. . ? ... _i ?
. . ?4`
SEYYER d WATER PERMIT'
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199 ?
_ Eagan, M N 55121 ?
OFFlCE USE ONLY
PERMIT DATE 1.1e:' -' ' "
WATER PERMIT #? 1`- 2) y SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE
METER SIZE
Y:I;
ISSUE DATE - PRV - BOOSTER PUMP
SITE ADDRESS
LOT ` BLOCK SEC/SUB
APPUC04T:
AQDRESS:
?CITY, STATE ZIP
PHONE:
PLUMBEWp:
ADDRESS: ? ? ?? ?. ,- ?'• ,, , .... _
CITY, STATE • : ? ' ?.? :`? ZIP
PHONE:
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: -
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERNNTS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMITxI
OFFICE USE ONLY
CITY OF EAGAN
3830 PilOt K?lOb Rd. PERMIT DATE
P.O. Box 21199 WATER PER I#'??= `SEWER PERMIT #
" R3/4j(?
Eagan, MN 55121 ? METER # 6.P. RECEIPT # n
.flE?tOEF?? o a B.P. RECEIPT DATE 1' /
METER SIZE c
ISSUE DATE,?l' ? 7"g 9 X PRV - BOOSTER PUMP
SITE AD RESS PERMIT REQUESTED
LOT BLOCK _LSEC/SUB . ,
? ? ?EWER !ATER _ TAPS
APPLIC"?IT: ?-s-. ? / i
ig:
ADDRESS: COMM/IND >?ESIDENTIAL
CITY, STATE ZIP
PHONE: " ? - •'?`"? I , ? NEW _ EXISTING
PLUMBER:
ADDRESS: ?' JL&4-4 =-?-r-U7'i ? 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE ' ZIP EAGAM,ORDINANCES:
PHONE:
OWNER:
ADDRESS: SI NATURE HEN METER ISSUED
CITY, STATE ZIP
PHONE: ?
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
! f
PERMIT REDUESTED
--YSEWER _,?WATER - TAPS
- COMM/IND _'?ESIDENTIAL
? NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
-z,4 ?L
SIGNATURE WHEN METER ISSUED
• ? CITY OF EAGAN N0 17170
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55727 ????
PHONE: 454-8100
BUILDING PERMIT Receipt u
To be used for SF DWG/GAR Est. Value $84,000 pate OCT 13 1989
Site Address 4577 OAK CHASE WAY
Lot 7 Block 1 Sec/Sub. CLIFF RIDGE
Parcel No.
w Name .10E MILLER CONST
t Address 18133 CEDAR AVE S
City FARMINGTON phone 431-2001
a Name SAME
?Q Address
? City Phone
?
ww Name
?? Address
aw City Phone
I hereby acknowlege that I have read this application and state that the
inlormation is correcl and agree to comply with applicable Stale of
Minnesota Statutes and City of Eagan,Qrdivpc
Signature ot Permi[ee
Road Und 340.00
A Building Permit is issued to: JOE MILLER CONST Pianner - park Ded.
on the express condition Ihat all work shall be done in accordance wiM all Council -
applicable State of Minnesota Statutes and City of Eagan Ortlinances. eldg. Otf. _ Copies
Building 2,858.0?
Oflicial ? Variance - TOTAL
OFFICE USE ONLY
Occupancy R-3 M=1 FEES
Zoning R_1
(ACWaI) Const V-N Bltlg. Permit 568.00
(Allowa6le) V-N
Surcharge 42.00
F of stories
42'
Plan Review 284.00
Lenglh
Depth 44' SAQ Cily 100.00
S.F.Total - SAC,MCWCC 575.00
S.F. Footprinls -
On Site Sewage _ Water Conn 5190.00
On Sile well Water Meter 90.00
MWCCSyslem xXX qul Deposil 30•0?
City Water xxx
PRV Required XXX S/YJ Permit
O
20.0
BooSter Pump - S/W Surcharge 1.0
?
228.00
Trealment PI
REQUEST FOR ELECTRICAL INSPECTION
? Sea inslruclions br mmpletlnp ffiis fortn on batlc of yellow copy.
I? 54 9,9 6 X;-Be0SiN0rk Covered by This Request
f EB-00001-07
..
e Adtl Rep. TypeofBUilding AppliancesWired EquipmentWireE
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speci(y)
Comm./Intlustrial Furnace
Farm Air Conditioner
Olher (sperity) CoMraqwS Remarks:
Compute Inspection Fee Below:
# Oiher Fee # ServiceEnlranceSize Fee # CircuitsiFeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transfortners Above 200 _ Amps Above 100 _ Amps
Si9ns InsPeclorg U. Onry: 7pTAL
Irrigation Booms
? . S
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rouyn-in oate /, G L'
T ?o
certiry thatthe above inspection has
eenmade. Fnai oale
FICE USE ONLV
is requeat vok 16 monihs from
1,1
? 54996,C-?
, /g/
ReQUest Date Fi al Rough-in pectbn
10 - 31- 8 9 Re iretl
? ? ReadY NowA
??r
Ves O No men eady
I licensed contractor ? owner hereby request inspection of above eledrical work at:
Jab Atldreea (Siree[, B. or Route NoJ City
4577 Oak Chase Way Eagan
Seclion No. Tamship Name w W. Range No. Cowry
Dakota
Oaupanl (PRINT) Phone Na.
Joe Miller Construction Co. 431-2001
PowarSUpplier Atltlrass
Dakota Electric Farmington, MN 55024
ElecUical Coniractor (COm ny Name) Coniraclor$ License Nv.
Midland E?ectric Inc. 041610
Mailiig AEtlress (COnlrectar w Pvner Making Instelletion)
14055 Grand Ave So, Suit e E, Burnsville, MN 55337
Authorrm (COntraGOr/Ownar Making Instalafion) Phone Numher
8 9 2 - 6 6 8 8
MINNESOTA STATE BOARD OF ELECTRICRY ? THIS INSPECTION REpUEST WILL NOT
Grigge-Nitlway BMg. - poom S173 BE AGCEPTED BV THE STATE BOARD
1821 Unlveniry Ave., St. Peul, NN 55f06 UNLESS PROPER INSPECTION FEE IS
Ghone (MY) 842-0800 ENCLOSEO.
?°I(o33
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
C`z--?-?-?71a1
New Constructbn Reauiremenis RemodeVReoair Reauirernents OfficeUse Onlv
3 registered slte surveys shaxing sq. R. of lot, sq. R. of house; and all roofed areas 2 copies of plan CeR of Survey Reoi _ Y_ N
(20% maximum lot coverape aliowed) 1 setof Energy Calculations forheated additbns TreePres Pisn Recd _Y _ N,
2 copies of plan shmving beam & window s'¢es; poured found design, etc. 1 site survey for additions & decks Tree P2s Required Y_ N
7 set of Energy Calculafions Addifion - indicafe i(onslfe sepNc system On•sile Septic Syslem _ Y_ N
3 copies of Tree Preservation Plan d lot platted aRer 111/93
Rim Joist Demd Options seledion sheet (6uitdings with 3 or Iess units)
Date "' / / 0 ?7- Construct[on Cost
Site Address ? Sl(? ?A?? ` ? i•`
6'?1µS?- Vvn4 UniUSte #
NJ 0.4 q
-t"
r
Descriptloo of Work v
Z
J
/
Multi-Family Bidg _ Y _&N Fireplace(s) ? U 2
Property Owner &?L_ra hl t rs tiGC/Uk Telephone #( ?5 i) I U Z
CRII : L -
?
Contractor
C
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory 7 Worksheet • New Energy Code Worksheet
(4 submissiontype) guym?fted Submitted
• Energy Envelope Galculations Submitted
Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #( )
Telephone # (
I hereby apply for a Residenrial Building Permit and acknowledge that the information is
that the work will be in conformance with the ordinances and codes of the City of Eagz
Statutes; I understand this is not a permit, but only an application for a permit, and wod
permit; that the work will be in accordance with the approved plan in the case of,wo`rk\?whii
approval of plans.
l -? La , ? .Q. I s
Applicant's Printed Name
Signature
accurate;
te of MN
without a
tview and
OFFICE USE ONLY
Suh Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace O 21 Porch (3-sea.)
? 03 07 of _ plex O 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 OS-plex I3,' 18 Deck 0 23 Porch (screenlgazebo)
? 05 03-pfex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex O 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New
X 32 Addition
? 33 Alteration
? 34 Replacement
Valuation 6c'?n9
Census Code 4.3 4f
SAC Units -
# of Units '
# of Bldgs '
Type of Const ?
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By: _
Base Fee S+G,UA:?2
Surcharge Jn 4"t
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
j . . _
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof D 46 Windows/DOOrs
*Demolition (Entire Bldg) - Give PCA handout W applicant
Occupancy MCESSystem
Zoning City Water
Stories - Booster Pump
Sq. Ft. PRV
Length - Fire Sprinklered
Width
REQUIRED INSPECTIONS
FinaUC.O.
?- FinaVNo C.O.
_ Plumbing
FNAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick,
Windows
_ Retaining Wall
Building Inspector
/di.at is /?o y'?J` c? 3e2 3(ZV
oLmcyo
?GG?
,
1989 B(1I1.DING PERMIT APPLICATION
CITY OF EAGAN
3INGLE FAMILY DiTELLIAGS
2 3ETS OF PLANS
3 REGISTENED 3ITE SOR4EYS
1 3Sf OF ENERGY CAI.CS.
lNLTIPLS DTiELLINGS AENTAL ONITS
COI4MRCI6L
2 SETS OF 1RC8ItECTURAI.
& STHDCTLIRAL PLlN3
1 3ET OF SPECIFIC9TIOH5
t SET OF EAEAGY CALCS.
FOA SALE DliITS • 0F UNITS
1AOTEs ADDRFSSE4 FOR COANEA LOTS - CONTRlCfOA/HOMEOiiNEA !lQST DE4IGNA2E iiHICH ADDRFSS
IS DFSIRED. N0 CH9NGES iIII.L BE ILLOflED ONCE BOILDING PERMIT I3 ISSOED..
SEWER 8 FATER PEiflMI't FEE4 ?HD sCCOURT DE903IT F6E5 iTILL Bfi IACLIIDED TiITH THE SOILDINf1
PERMIT FEE. PROCESSING TIME FOA SEWEA AND YdTSA PEliRliS I3 Ti10 DAYS ONCE A PERMIT H!S
BEEN COMPLETED INDICATZNG A LICEN3ED PLMIDER.
PENALTY APPLIFS bIHENs PERMIT IS NOT P6ID FOR IN 3AME MONTH IT IS RE4UESTED.
+ LOT CHANGE IS AEqIIESTED ONCE PERMIT IS ISSITED.OCT i G 1989
To Be Used For:
Site Address
ltillo
I+&ILTIPLS DNELLINGS
2 3E'!'S OF PLAN3
REGISTSRED 3I7E SIIBVEYS -
(CHECH iTTFH BLDG DIV.)
1 SEf OF ERERGY CALC3.
Valuation:' f Date: / -
Lot ? Bloek P
Parcel/Sub
Owner
lddress
City/Zip Code
Phone
Coatraetor ?UYL1n ( A-?.? -
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
( e4inw? ....?.... ,....
Oecupaney
Zoning ?
Actual Const ?V
Allowable
0 of atories
Length Yz
Depth 7L7
S.F. Total
Footprint S.F.
On site sewage
On site xell
MWCC 3qstem ?
City vaLer ?
PRV required y?
Booster Pump !
lPPHOYALS
Planner _
Couneil
Bldg. Off. ?Io?t2
narianee
fy?
Bldg. Permit 5(e6."
Sureharge Y2,Cao
Plan Hevierr ZgH oa
SAC, Citq O?
SAC, MWCC S?, S
Aater Conn S,P D
Siater Meter 9e
Aect. Deposit 30
S/W Permit za
S/H Sureharge
Treatment P1. 2 Z
Road Unit _ a yo
Park Ded.
Copies
SOB?OTAL
Penaltq
TDTIL
Phone 0
V/aC uATIoN
GARAGS
x? _
.??mT. N 6 n X rs.; 6?'y o0
22 X 3g ? f?34
-''D x 16 ? 320
;L
?149 kI y? I. orG.
?-i o uSE
1
7 }C 2 --
114u
?y -
?
12 ?? X so = 6or_
83?? 6
??
aisiia
MINNESOTA STATE ENERGY CODE CALCULFlTI'ONS
, BASED'ON LHAPTER 5 OF THE
" s MODEt ENERGY CODE - 1983 EDITIDN
Adoption Effective I 1/ ?
4 Ownetl?
Site Address
Contractor
Phone
59-?13
Uate
Bullding Classification: Type AI (Single Family b Duplex)*
14V Type A2(Residential)
NOTE: Com lete (3 stories or ess
p pages 3 and 4 firsf.
(Other) (Over 3 storles)
GENERAL INFORMATION
1. Bullding Perimeter_:!?K &,?, ,r,?? t,
2. Wa11 height (ground to eave) f? ft.
•
3• 1. x 2. (above) gross wall areaftZ
.
4. BUIIdIng dimensions (L) X(W) ft.Z roof b floor area
5.• Square foot area of rtm Joist - Floor joist size (2 x r O Z )
'?1 X Perimeter = RIm Joist area = ,?j Q ft2
T - • ? s?i
6. Doors - Area ?3D ? ?
Thickness in. U factor # ? 7 ,
_ Type of Constructfon Perimeter ft.
Manufacturer .
7. Tota) door'S perimeter ft.
8. Windows: Manuf cturer CCjJ'j')? State approved
U factor / ?+10 _
TYPE SIZE AREA (Ft.Z) NUMBER OF
EACH UN1T5
I,U e?PiY,? 1'
9. Tota) ft.Z Glass `?? •
1D. Ftteplace area: Wldth X helght = X
11. Expbsed foundatlon: Height X perimeter 'CO(a X X? -
COMPLETION OF THIS FORM IS REQUIRED FOR ALL HtW COPISTRUCTIIRJOR
MOVED WHERE ENERGY, OTHER THAN TIiE MINIFIAL CODE ALLOWANCEi IS USED.
Phone
TOTAL FEET 2
Ft.2
Ft.Z
IVGS BEII7f
112.' •Frami.na area = 10% of gross wall?area.
13. dross wail area
Window area A A9 ft.2
, Rim jo'st area A (?'b ft.Z
` Ooor area A 2
ft.
. Fireplace area A ft.z
, Exposed foundation A /a 3 ft.2
Framing area A Z/Q 14y ft.Z
Net wall area A ?X& _ft.
ft.2 ??'14/-5
U wi ndows =A( 0_ U x A= 7
Uhimjoist= ?0$1 UxA= 5o, 33
U door area = U x A=
U fireplace = '?( 7 U x A=
U foundation = U x A=
U framing area =• b1TU x A= . f r
Uwall = .04j? UxA=?r .7
(1313) QOTAG . . . . . . . . . . U x A = ° ,3- '
? y
14. Gross wall area x 0.11 {R-1 single family & duolex = allowable U x A/Code
(13. above) .
x 0.23 (A-2 other residential)
x .23 (Other buildings)
x .23 (Over 3 stories)
• A IO? ??' B Must be larger than
A x U Code. * 13B abave
i
15. Ceiling framing area (Af) equals 10% of ceiling area or the: saroe as}
15A. Gross ceiling area = (L) x (W) zi ft.2
156 Joist area (Af) = 100% ceiling area = /Z4 ft.2
15C. Net ceiling area (Ac) (15A - 158) = lB 9? ft.z
U ceiling x A C= .b410 x?_= ?.0c
U f rami ng x A f= x`?
15D. ?TDT? U x A ....................................... R?
.
16. Ceiling area (15A) x 0.026 (A-1 single `amity S dupler. - code allowable U x A
x 0.033 (9-2 other residential)
x 0.06 (other)
,OUH Must be larger than 150 (above)
A(15.n)' ?Jj x U codee60 F (or the same as)
NOTEt Use U and A values obtatned from page 4.
CERTIFICATIDN: I hereby certify that I have calculated the "U" factors and "R" valUes
eren and tha[ the bullding here descrlbed meets or exceeds the State of Minnesota
Energy Lonservat(on Act. '
Date Sign' a'ture
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SEC?ION
U VALUE CALCULATIONS ? "
R VALUE U VALUE
Inside air film .68 Intetior vall . .45' (Nall) U - R :
Insulation 19,0 Sheathing Z•O(p
Siding • (D1
Outside atr film .17
R TOTAL Z3. 03
Inside atr film .68
Intetiar w311 •44?7 '
41'' sCUd R= 4:PA(9,S (Framtng)U,- R e
Sheathing , 210(0
Sldfng •?7 ? VC15
. ?
Outside air film .17
R TOTAL I O?
Inside air film R= .68
SECTION.
Intettor wall '
InsulaCion (Wall ) U a R :
_. . z
Ex[erior w111 co '
Exterivr alr film R =.17
R f07AL
RIM
JOIS7
tnr>r{or a!r film R= .68
InsUlAtion
,ch sofc wood R=1,88 (Rjm U = ? =
Joist)
:hing Z??O 4041
-r --?
rfot wall covering 1? .
c!or ait film F?-- ,)j
R TOTAL zA . ??
rtor air film R= .68
la:lon
da[ion
rtar air film R= .17
F T01'AL ?Z? ? I ?5
sed 9lock
rade
1
(Fdn:) U = k =
3.
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0.61 Air film 0.61
?Zi t0 Total R
1
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FLA? ROOF OR CATHEORAL CEILING
R Va ue R VAIUE
F RAFI I NG CE I L I NG
0.61
0.17
Inside air film 0.61
Ceiiing
Joist (stu?)
Insulation
Air sQace
Roof decking
Insulation
8uiit-up roof
Outside air film 0.17
1ota1
U
R
Jindow infiltration .5 cfm/lineal foot of crack
2esidential door infiltration 0.5 cfm/square foot or door and minimum cade requlrement .
Von-residential door infiltration 11.0 cfm/lineal foot of crack
Jb 12" concrete block no insulation = .41 R 2.1
Jb 12" concrete block insulated cores = .26 R 3.8
1b 12" lightweight block = .32 R 3.1
1b 12" lighto-reight block insutated'cores = .12 R 8.3
1 single glass = 1.13; with storm window .54
1 double glass = .55
1 triple glass = .41
all exterior walls and ceilings must have a vapor barrier (0.10 perm max.).
fapor barrier must be on the inside (heated sid=) of wali.
lapor barriers of the potyethelene thin fitm have no R value. '
.. . CEILING WITN VENTEU ATTIC SPACE ABOVE
, R '/ALUE UE
FRAMItIG CEILING
. . ?
• ? 0.61 Air Film 0.61 '
? ??P1 O Insulation G4. Op
Joist
Ceiling ,?'J(O
t ? ' /
4.
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction Reauiremenls
• 3 regi5tered 5ile 5urvey9 showing sq, ft. of lol, Sq. R. o( hpu5e; and ali raofed areas
(20%macimum lot wverage allowed)
. 2 copies ol plan showing beam 8 window sizes: poured found desgn, etc.)
• 7 set of Energy Calcuiabons
• 3 copies of Tree Preservation Plan if lat platted after 711j'93
. Rlm Joisi Delad Options selection sheet (bidgs with 7 orless units)
DATE -E3 ? d,?,
SITE ADDRESS
TYPE OF WORI
APPLICANT
151 -a 5
RemadeUReoair Renuirements
• 2 copies of plan
• 1 set of Energy Caiculations for neated aadi6ons
. 1 site survey for extenar additlons & tlecks
. Indicate it home served 6y septic system for additions
_5 3
VALUATION 7? O 615
STREET ADDRESS 7 ??'?L/ CITY
TELEPHONE #"7Co3 'Sy/CELL PHONE #
??ZIP S_
PROPERTYOWNER Ck N'ld TELEPHONE# o,SI 6? "VOy
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIMNESOTA RliLLS 7670 C:\'CN:CORI' I MIN\ESOT:\ RtiLES 7672
(d submission rype) . Residential Ventllation Category 1 Worksheet Submitted . New Energy Code Worksheet Su6mitted
. Energy Envelope Calculatlons Submitted
Plum6ing Contractor: _
Plumbing system includes:
Mechanical Conhactor:
Mcchanical svstem includes:
Sewer/Water Conhactor:
-- rlir Condiuoniug
Hcat Rccoveq' Systcm
Phone #
Phone #
Fee: $90.00
Fee: S70.D0
- - ------------------------------------- • ---°------°-----.....---- --°---- °----- °---°---.... ° ----° -----°--------° -
1 hereby acknowledge that I have read this application, siate that the information is correct, and ogree to comply
with ali applicable State of Minnesota StatuTes and City of Eagan Ordinances. nn 2
Signature of Applicant ? `G'
•----..._---------------__-___---------------.___._------------- ------ --------••---------------------------
OFFICE USE ONLY
l
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Requed _---"'""?--'-
lJpdated 4l02
_ Water Softener
Water Heater
^ No. oF Baths
_ Phone #
Iaini Sprinl;ler
No. oF R.I. Baths
iULTI-FAMILY BLDG Y v N
FIREPLACE(5) _ 0 _ 1 _ 2
FAX #
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 73 16-piex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck p 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demalition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foonngs (oew bldg) FinaL'C.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addirion) _ plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Warer _ F inal Pool _ Ftgs
Air/Gas Tests Final
_ Framing _
_ _
Siding Stucco S[one -
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Re[aining Watl
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Capies
Other
Building Inspector
Total
/vi.se -«-) -6-)
CERT/F/CATE aF sWWr
N
?oAK GHASE WAY ?
hho0
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Mi ?P Q N^ N 89050'2.1o' E M I
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10
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0
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2
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P.R[v. REc??IFIED
DESCRIPTION
?
?----
pRoPoSE D
40 US,6
Scale: 1" = 30'
9
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00
6601a
m
`?F I N
1 ?X I
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XS 8 Ay, . N j- .
S`X 6?
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/ NfR£BY CER77fY THAT TN/S SU4YFY PLAN AR RfPA4T
WAS PRfPARfO BY ME OR UNAfR MY O/RECT S(ww/S/OW
AND THAT I AAI A DULY NEIG/SrAFRED LAND bY.WWlYk!
UNAER TNE LAN'S OM' TNf STATE GM' M/NMfJOTA.
Lot -7 , Block
CLIFF-IFIDGE
Dakota County, P+tinnesota
Plat bearings shown
o Denates iron monument
OATE SQr.A" U)9?9 AEa AR7. 8140
lExistingl Proposed
brandt anginaering R ouruaying
2705 uioodr lrail
burniullla, minflarota 55337
(dIR) 4351966
f? t
?I4,oo N ? sJ?2
Gou S?
?k"C.93?F8
/Y13?. -2
SS -89
/U13 2 -2 SS-P)9
CERT/f/CATE aF sWWr
N
?oAK GHASE WAY
. ?1? O
M ? ? I
N 89°so-
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?--
' io
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? q?' h
1 lt
3
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?
0-
0
0
0
2
Scale: 1" = 30'
10
69)
-a-a° ;'iz2:oe ??171 Z',SVO _935,'761
? ??'C.9348
i
a ?----
PRoPoSED
}10 USE
o---
?? 3$,00
q?IV? c
?
OU I
!? ---? W
QD o
I '0
? 1 %11
F_' 1?. ! "
?
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9?f
F
L
S ? \4P
?9ZS.S AGA? rNGIhr&:ERII+?Y I7EPT
`J I
?
r??QURED
DESCRIPTION
/ HEREBY CERT7FY THAT TM/S SU4VEY ILAN OVI RFPOYPT
Wi7S PYPEPAREO BY ME OR UNUfR MY O/RECT SwRV/S/py
AND THAT ! AAl A DULY RECISTER!'9 LArliO $fE.RWrM
UNAfR TNE LAM3 OIF THf STATE Ar MlNMfJOTA.
DATf J(/r..'V UL7CJ'1 ?. R mo. 8140
Lot -? , Block
CLIFF?EIDGE
-Dako-ta County, Minnesota
Plat bearings shown
o Denotes iron monument
lExisting,i Proposed
brandt anginaaring a ourvaying
R'OS woodo lroil -
buinlvilla, minnaioto 55337
(612) 435=1966
/M32. -ZSS-89
Use BLUE or BLACK Ink
r
For Office Use
Permit
71
City of Ea EU Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 45 0AK (V\vIs Unit
Name: Phone:
RESIDENT /
OWNER Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
g
8 i Construction Cost: Multi-Family Building: (Yes / No
t Company: *Alkev- ~ YVA, '`tvi()Vlax Contact: w~ WA_ ~Ab IV\2\r
h~V
Address: b » aL. (nh^ w City:
CONTRACTOR
State: wl, Zip: Phone:
License ( 3~3 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
i
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
i
Sewer & Water Contractor Phone
I NOTE: Plans and 4supporting 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 E
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x` x
Applican d Name Applicant's Signa ure
Page 1 of 3