4750 Oak Cliff DrCITY OF EAGAN
Remarks
Addition OAK CLIFF ADDITION Lot
Owner
k 2 Parcel 10 53550 060 02
Street 4750 Oak Cliff Drive
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 250.88 25 . 09 10
STREET RESTOR.
GRADING
SAN 5EW TRUNK q q 1973 104.12 6.94 15
SEWEFj/LATERAL 19$1 541 . 76 54.18 10
WATERMAIN
WATER LATERAL
WATER AREA 9? 1982 161.31 10.75 15
STORM SEW TRK 401 1979 350.52 17.53 20
S70RM SEW LAT
CURB & GUTTER
SIDEWAIK
STREET IIGHT
WATER CONN,
BUILDING PER.
SAC
PARK
r.?...? -. r . .
CASH RECEIPT
.,.
. + CITY OF EAGAN ?-?
' 3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
escetven
I $ (?? ? I I
& DOLLARS
too
? GASH ? CHECK
1
FOR -
?7?
PUNC CODE pMOUNT
? .
?
i'
`J
Thank You .
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN ??C??
`?
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121
w"PHONE: 454-8100
?
BUILDING PERMIT R
# 1
eceipt
To be used ror SF U41G/GAk Est. value =yb' 000 Date AUGL'ST 25, 1986 19
47JU UAX CL1FL' D!'Z
Site Address
Erect ? ??
Occupancy
Lot ? Block 2 Sec/Sub. 0AK CLIFF IST Fiemodel ? Zoning PD
Parcel No. Repair ? Type of Const. U.A
Addition ? No. Stories
W Name Q2MUN-PEDE?tSO1V INC ?vtove ? Length 48
Z 15136 GRLAXIE AVE
a Address Demolish ?
I
t
I
? Depth 5 Q
S
Ft
Ciry "s ? V • Pnone 431-5040 n
.
mpr.
Install ? q.
.
o Plame S=?iat, ApProva (s Fets
Z $ 421
' 0
$ ¢ Address Assessment Permit
48
'?
~ City Phone Water & Sew. Surcharge
?
W N Police Plan Review 2-10- 50
575
00
F
ame Fire .
SAC
?? Address Eng. Water Conn. 5 0 0. 0 G
<6 ciry Phone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this 3pplication and state that the gldg. Off. 19/8 Tr. PI. 156.0t)
information 1s correct and agree to compfiy with all applicable 5tate of
Minnesota Statutes and City of Eagan Ordinances, APC Parks
n
Si
t
f P Var. Date. T Copies
?
g
a
ure o
ermittee ° TOta! '? ' ?
A Buitding Permit is issued ta on the express condition that
all work shall be done in accordance with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Building Official
_
? PemrR Mo. PermN Holder Dste Tslephona #
PI`umbing 7'7 S
H.V.A.C.
elechic CL11,917
SoHsner
Inspectlon Dab Insp. Commenh
Footings I ? ?'
Foottngs U lb,
Foundatipn
Framfny O
Roofiny
Rough PI6g. -- q T
?lJ ? e
Rouyh Htg.
Insul.
Finplaea
Ffnal Hty.
Final Plbq.
Bldy. Final ? ;f
Cert. Occ.
Deck Fty.
Deck Frm9.
Well
Pr. Dfsp.
MECNANICAL PfRMIT
CITY OF EAGAN
3830 PILOT KMOB ROAD, EAGAN, MN 55121
Res.
Mult
Comm.
Other
BLDG.TYPE
? Name _
m Address
c City _
c Address .
o cnv
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
pther
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
.
PERMIT #
RECEIPT #
.
DATE:
WORK DESCRIPTION
New
Add-on -
Repair _
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.80
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDiTIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
$TATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
-) - ?II
FOR: CITY OF EAGAN
, . .}...y, ::r;a !r . t11'! Xt ,• . , ?:7;•t•- ? ''
PERMIT #
PLUMBIN(i PERMIT RECEIPT #
qTY OF EAGAN
;, -
3830 PILOT KNOB ROAD, EAGAN. MN 55121 DATE:
Site Address _
?
Lot
m Name _
? Address
c City -
? Name _
3 Address
O CitY -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RE5IDENTIAL FEE - $1U.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. ? New "
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 S
Bath Tubs - $3.00
? Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
SoRener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL:
INSPECTI4N RECORD I C°"tr°' "°. 0493
CITY OF EAGAN PERMIT TYPE: ou II 11 Y NH
3830 Pilot Knob Road Permit Number: 0006' .4
Eagan, Minnesota 55123 Date Issued: 06/ x2j92
(612) 681-4675
SITE ADDRESS: i o'r ,6 s 1_ oc K, 2 APPLICANT:
,I/s• UAK C.IIFF plt qFNSaN KURT
OAk CI.IFF f6121 892-2000
PERM4T ?UBTYPE:
ItENARKSi REr.FaaT 0
TYPE OF WORK:
NrW
K ? ?a
?e
'?_%ri?l????nT`-.? ? f'?•._.) ? _ _ - °' - _ •? ? _ - ? ,: _ _. -.
PermR No. Pe?mR Holder Qatie Telephorro N
SJ1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectivn DaM insp. Cpmments
Footings 1
Foundadon
Framing
Rooflng
Rough Pb9•
Rough Htg.
ISUi.
FlreplaCe
Finel Htg.
Orsel Test
Flnel Pibg. Plbg. Inspector - Notlly Plumber
Const. Meler
EngrJPlen
Bldg. Final
Deck Ftg.
?vDn
?
A .
Dock F,nal wrti
wen
Pc Oiep-
CITY OF EAGAN SEYVER SHtVlCE PERMIT
3830 Pilot Knob Raad
P. O. Box 21189 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoninp: No. of Units:
/lddi
of Irisp.:
CAnrNetlon Chorps: ; 1;, ?
?
lltoount Deposit:
Prrmlt fw:
Sureho?ps: `
Misc. Charom
Totol:
Doh Peid:
?
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21188
Eayan, Mk *5121
Zoninsj: _
OWfIQf: is _rr•
/,ddrlfC
SItA Addfom ' .
Plurrber.
Meter No..
Slue -
Reotle? NO..
1 Mne to eM.oyr wbh 1y Cihr oi Gp•
Odiweww.
By
Qote of Ir?sp.:
CITY OF EA(iAN
3830 Pilot Knob Rosd
P. O..BOx 21199
Eagan, MN 55121
Zoniny:.
Owner.
Ilddross:
Sih Address:
Plunber: '
?r No.: 3 y4-"f?6-Zr?
No. of Units
?qpm tv e..ohr vrm N. c1??{p?;?t -LLJi,LrcF;c" ,... _
oa?..o... ?' ?
1? 0r,? REC?uiRET?a"? I: F? .? r
BY v Date Poid:
WATER SERVICE PHtMR
PERMIT NO.:
DNTE:
No. of Units:
COnnedion Q10rqe: ' J, ti Ci pJ
Noooixrt Deposlt:
Pertnit Fee:
Surdwrye:
Misc. Chorym ! - J.
-
Total:
.?.
ooc• Paid:
WATER SERVICE PERMIT
PERMIT NO.:
D11TE: _
Dote of Irap.:
to eempyr wllli !w CIlr of Eyew
CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 Np 2500
PHONE: 454-8100
BUILDING PERMIT Receiptp
7o6eusedtor SF DWG/GAR EstValue $96,000 Date AGGUST 25, 1986 19_
Site Address 4750 OAK CLIFF DR Erect C?} occupancy R3
Lot 6 Block Z Sec/Sub. OAK CLIFF 1ST Remodel ? 2oning PD
Parcel No. Repair ? Type of Canst. V-A
Addition ? No. Stories
? Name OZMUN-PEDERSON INC Move ? Length aR
= 15136 GALAXIE AVE Demolish 13 Depth5P
o Address Int Impr. ? Sq. Ft.
ciy A.V. phone 431-5000 Install ?
¢ SAME APProvals Fea6
=o Name
$ ? Address Assessment Permit
pnone Water & Sew.
?Q
F =
Name
? a Address
a W City Phone
IherebyacknowledgethatlhavereadthisI plication and statethatthe
information is correct and ee to I with all applicable State of
Minnesota Statutes and F an ?c .
Signature of Permittee
A Building Permit is issued to: OZMUN- DERSON INC
all work shall be done in accordance with all applicab Stat of Minnesd
Building O%icial
Police -
Fire
Eng.
Planner_
Council-
Bldg. Off.?
APC
Var. Date-
Surcharge
Plan Review Z10. 50
SAC 575.00
Water Conn. 5 0 0. 0 0
WaterMeter 63.50
Road Unit 290. 00
Tr. PI. 156. 00
Parks
Copies? p
Total '
on the express condition that
Ciry of Eagan Ordinances.
r
PERMIT Control No. 0493
? CITY OF EAGAN PE <?RMIT TYPE: BuILDING
3830PilofKn?obRoad
Eagan, Minnesota 55123 Permit Number: 000623
(612) 681-4675 Date Issued: 0 5/ 2 2/ 9 2
SITE ADDRESS:
4750 OAK CLIFF DR
LOT: 6 BLOCK: 2
OAK CLIFF
DESCRIPTION:
;Building Permit 7ype DECK
- Building-WOrk Type NEW
Building Length 20
8uilding W3dth, 12
,
_. `
'-?
REMARKS:
RECEIPT M C?I g? S-SU
j
1 ?
FEE SUMMARY:
Base Fee $25.00
Surcharge i.50
Subtotal $25.50
COPIES $1.50
Total Fee ;27.00
CONTRACTOR:
OWNER: '
DENSON
4750 OAK
EAGAN
(612)891-2600
Applicant
KURT
CLIFF DR
MN
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 Mn.
Statutes and City of Eagan Ordinances.
?
&ez, ? ? Aruz & ?
? APPLICANT/P3ERMITEE SIGNATURE ISS BV: SIGNATUR
f/
11
INSPECTI4N RECORD ?C°n ° "° 0 4 93
CITYOF EAGAN PERMITTYPE: suiLotne ...
3830 Pilot Knob Road Permit Number: 000623
Eagan, M i nnesota 55123 Date Issued: 0 5/ 2 2/ 9 2
(612) 681-4675
SITE ADDRESS: Lor : 6
4750 OAK CLIFF DR
OAK CLIFf
PERMIT SUBTYPE:
DECK
I FOOTIN6
REP9ARKS: RECEIPT M
F
L
BLOCK: 2 APPLICANT:
DENSON KURT
(612) 891-2000
TYPE OF WORK:
NEW
FINAL
IM)"
??niin•s.i.k i,?.?.?.??i ?ni?
1SL11
0 v!.: i:l i I.I..
:?tt f'ftir . ti
J ?... VI r I
--III
i.1r??1?• \ .
i i
till 1 1 (7 I y14.'
PERMIT # CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
?7~
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural_& structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work '
Site Address: Y750 OAK CL/F'F Ap? Z?_f1GAN MN SS"/.?A
STREET STE 1
Tenani name: (commerciai oniy)
LOT BLOCK 1` SUBO. // l i B ?p J,
??? ?? P.I.D. *
Descri tion of work: 00
The applicant is: 0 Owner ? Contractor ? Other cnesor;be>
Name Df'A/SON 1?lzlRT w4 /`1b"L0NY Phone 890-3'f/o
Property us, FIRST cu?i?,e `110
Owner Address 4750 ORK CL/FF PkdVE
STREET STE 1'
City EAGHN State M/I Zip SS/aa
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Arch(tect/
Engineer Name Registration ?i
Address
City State Zip
5ewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature af Applicant: r .?.?
?r?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish
? 02 Sf Dwg. O 06 6arage/Accessory ? 10 Swim Pool
? 03 Two family 0 07 Fireplace ? 11 Res. Add.
? 04 Multi-fam. T.H. jg 08 Deck ? 12 Res. Porch
WORK TYPE
Et 31 New 0 33 Atterations ? 35 Move
? 32 Addition ? 34 Tenant Finish ? 36 Demolish
GENERAL INFORMATION ",nst. (Actuai) ' tsasement xa. ri.
(A1Towable) • lst F1. sq. 1"t. -" "-
UBC Occupancy 2- 3 2nd F1. sq. ft.
Zoning Sq. Ft. total
t of Stories Footprint Sq. ft.
Length a=0 On-site well
Depth I'Z On-site sewage
APPROVALS
Planning Building '
Engineering Variance
REQUIRED INSPECTIONS ' ? 5ite Footing ? Framing
? Wallboard M Final O Draintile
?. a
? 13 Ccmm/Ind New
O 14 Comm/Ind Add
? 15 Comm/Ind Rem
O 16 Public Fac.
? 17 Agricultural
i-twCC Sys Leiii
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
/o I
o (
13 Insulation
? .Fireplace
Permit Fee >, 00
Surcharge
Ptan Review
License
MWf.C SAC
City SAC - -?
Mater Conn.
Nater Meter
Acct. Deposit
S/W Permit T
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
o _ .es
Of er
Total:
voluec;m:
SAC %
SAC Units
CITY=OF EAGAN
iAPPL1CATION FOR PERMIT
SEVV,ER afVD/OR WATER CONNECTION
*}*****************#*******##**4****
?
y*. *R7P?': PAYMENT OF FEE AT 1ZME pg :
* APPLICAI'ION DOEi NJT coNsTIZT1E
APPROVAL OF PERPIIT.
* INSPDLTION OF SEWh32 ADID/OR WA'LER ;
*f rnlsrar.r.amrpldS WIIL NOT EE 5CHED- * ULID UNPIL PII2MIT HAS BEEN ;
* AI'PRWFa- '
a '
L/?SO P ease Print ) -
::1) PROPERTX }YbCSRES,S?7
LEGP,L esac ?Z.???_ 0._;F'?/.=??'
:. Lot Block Subdivisaon or Tax Parcel ID )
IF EXISsfSi?G STft(:('i?'R£, .:DA']'Z. OF ORIGINAL HIJILDING PERMIT Z55L'ANCE: -
,;,,,,,; , ,, ,, ,,, ,, • (Nbn ear)
PRFSBdl',7ANING/PROP05ID L'SE:
.,
..: ::.. .......,. .
. .. . . ,,,. . e ... .
- . ._ ... ; n.
(j CDMWCIALfRETA2L'/OFFICE . ? R-1 SINGLE FAMILY '
Q IAIDf.STRLAi; ? Q R-2 DCPLEX (1uv Onits)
[] INSTIIONAL%GOyERINMENT ? R-3 7bW[gI0P5E (Three + Units) ( Onits)
,r
..; . . ._ [? R-4 APARTA'1t3V'P/C0AIDOMINIOM ( Units)
2).. ? _` . .
`. NAMEt ?-U ?JO:-i
aDnxEss:
: ..... _ _.
C2TY.: '&TATE, ZIP: ?ir v'z . ??'o.?,? ?(?? /?J ? S'1"Zi 7 ,5 -
PHONE i'...
3)-? ° u ?? `. , For City Use .
NPME s .. ' "?-c ? ? .c ?'? ..c ? :a5
? Plumbers License:
ADDRFSS _ak ._3 A/ Active
CI3'Y, &TRTE, ZIP FScpired
Not recorded
PHONE:1'?G,.? ,f`:j'y -' ? MASTER LI(E[VSE# [iCa? - [.c; ?yi-i?9•
Sta f-Initial
4) eaw • e i i?- y /
. ... ....' ?']f.: C.?L/7i?t:rl S}.`?<'.dCrL-?.L h/l?•?_ .
ADDRFSS: /} l?• E c?'c ?4 YiN %? ? t'
CITY, STATE. ZIP. .. . ?? ;s°? /" • /r? ?' %t ? S'?t /Z st
5) e w• c a: ?? :o •a? • ??
B ---
??CONNECTION TO CItPY.SEWEFt CpNNp(,ZION TO CITY WATER ? OPHEIt '
. .
6) K?._ C] PIF.ASE.HOLD APPROVFD PERMIT FOR PICK-L'P BY ONE OF ABpVE --- -
_ Pq_PL$ASE MAIL. APPROVID PERMIT 7t7 lr 2.( sr' 4. AHOVE :
(Circle one) 7) r r. . .
? r
FOR CITY USE ONLY ' -PERMIT # ISSUED
7rP7
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ S ?Q s? WATER PERMIT ( INCLL'DE SORCHARGE ) ..
WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ o-'7 ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ o O $ WAC
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$_ D c) $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ I a 9?f S? $ O l? TOTAL
?Sy'/,?-
RECEIPT ? 3 :3a
RE
E
C
IPT
DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN P[.'BLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
Q
NO ROADWAY" MLST BE ISSLED BY THE ENGINEERING
DIVISION
LIST AS
DI
. A CON
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY;
TITLE:
DATE:
? ?so-J7 : .?
1986 BUI[,DING PBRNIT APPLICATIOH - CITY OF BAG9N
HOTE: ALL COHTRACTO&S MOST BB LICENSSD NIRH THE CITY OF EAGAN
SIRGLS F9lIILY DiIELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLfi DiiSLLIRGS - RIISIDBNTIAL RfiNTAL iINITS FOB SALS QNITS
INCLUDE 2 SETS OF PC.ANS, CERTIFIC9TE OF SORVEY - CHEC[ iitTH BLDG. DSPT.,
t SET OF ENERGY CALCULATIONS
COIIlYERCIAG
INCLUDE 2 SETS OF ARCHITECTURAL & STRIICTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSC9PE BOND
?o
To Be Used For: SFD Valuation: ? Date: Aua _ 1 S . 1 98(
4"IS 0
Site Address _gba{}- Oak Cliff Drive OFFICS OSE ONLY
Lot 6 Block 2 Erect ? Occupaney
Remodel
Zoning t
Pareel/Sub OakCliff lst Add ition Repair _ Type of Const 7-Al
Addition N of Stories
Owrzer Ozmun-Pederson, Inc. Move _ Length !
Demolish Depth ?j'o
Address 15136 Galaxie Ave Int.Impr. Sq Ft
Install
City/Zip Code Apple Va11ev, MN 55124
Phone 431-5000 9PPROVAL4 FEES
Contractor Ozmun-Pederson, Inc. Assessments Permit //Z/
Water/Sewer Surcharge
Address 15136 Galaxie Ave Police Plan Review 21a_ Sa
Fire SAC 'S77-
City/Zip Code Apple Vallev, MN 5512 4 Engr Water Conn '506
Planner Water Meter <:f, 0 50
Phone 431-5000 Counc Road Unit 21?0
Bldg Of Treatment Pl /S(o
Areh./Engr. APC Parks
Varianee Copies
9ddress YO?AL 7;3?6
City/21p Code
Phone S
NOTE: ADDSESSES FOR CORNER LOTS - CONTRACTOR/HOHEOiiNER BDST DESIGNATfi WHICH 9DDRESS
IS DESIEED. NO CH9NGES SiILL BE ALLOWED ONCfi BIIILDING PERMIT IS ISSQ$D.
2?? - ' 645?O67
f??/x 1 z= 7?z ?
4Vf?? 04? /f 7/7,
9 ??? ? ?
i11 c)"'
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
7$l 15 ,:-`'
Date??/??S
Site Street Address L? ? 'z)tz_. Unit#
Property Owner ?1 L1? ? ?11?}rl Telephone #(Lo51) %1) L) 3?I 1 b
ConUactor_, 1 Telephone
Addressr ?? VN, 2s R-k City LnL??2Y1 State c_Lj Zip 2?t
The Applicant is: _ Owner `I- Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. !f rLou are insiallina onlv a water softener and/or water
heater, do not compiete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
? Water Softener _ Water Heater $ 15.00
_ new Y replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50 ?
Total $ ? c? ,
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approv d.
, \ !C?L a-°jo (L t I
Applicant's Printed-Name ' ant s ignature
?
_N o R.7 H
PL-oT PLAN
O ZM JN -'PC17EK5oN, jNC,
LoT G 1 2) LoGK Z.
OA.KGL/FF / SrAD 12 1.T10 nl
SGAC.co 1".= z o' AvG. I Z,196G
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3gal Description of Property: Lot Block?_Addition?_ ?s(.r/A ? ? SDate?.6
lte Address
AVERAGE LINEAL FEET OF
EXPOSED WALL AREA ABOVE GRADE
'ain level
Lineal ft.
of
framed wall above grade?x.
height of wall ?'
° 1 Z o6,?_
Yl+ u 0).4 2- z 5;
:lm joiat area 2 NO F-/?)Z. 66, S r j Z 8.?
Lineal ft. of rim x height of rim z I G.-
_
,ower level sf Z e' 3?6.c
Lineal ft, of framed wall above grsde 7-4 'x height of wall ¢.,S "
Lineal ft.' of .masonry wall above gradex height ahove grade
TOTAL wall area above grade including windows and doors = z?97 <
?
dINDOWS: Area x "U" value
4ake & type ?/Fl.C A G(.R'D 'D4U FSL F
n n
8q,
" " 20 s??} (;, 3 34•
n n '30 4-8 ' / a e, b eq..
it zr? ? z 7 e ? s g
of 7A 6 4? Z Ga 17.O sq.
"Z z21jeA20!0 sq.
it
sq.
aq.
gq
n u
aq.
n n
sq.
n n
sq.
u n
sq.
n n
?
u n 5q
sq.
DOORS: Area x "U" value
Make & type ?o 54_/9EYL sq.
n n p G D 6 9q
$Q•
n u
$q
OPAOUE WALL CONSTRUCTION; Area x"U" value
FKAmF,v wA-LL5 _ sq.
lletail re£er
ence from ?`?? 'S ? sq,
attached f,"i?? ?'CAj'6y 44)ktjL gq•
sheets sq.
su.
ft. X 1lUIr a (U) ?
ft. (U)(
ft. 3ZR X ItUll?a (L1) (
ft. x"U', 3S =____.1?3.?6 (U) t
ft. , .S x "U" •?1 _ ?.79 (u) (
ft. ?X tXl 7/ 3 d V (U) ?
ft. ( Z.db x"II" , 3S = ZO (ll) (
ft. x "U" _ (U)(
ft. x "U" _ (U)t
ft. • x "U" _ (L)ft. x "U" _ (U)!
ft, x "U° (U)
ft. x "U" (U)
ft. X "U" _ (LI)
ft. x "U" _ (L')
ft, x "U" (U)
ft. .. . X SIUIJ
ft. x "U" ?(U)
ft.? O ?XliUli d'1 = iiL_st /(ll)
ft: x lUn a 1-1--?-Z??-?'-
_= /
ft. X::U:: 113 Z r 3 (U)
ft. x "U" (L')
ZZ, I
fc. (iq 77-I/Zx "U" .o¢( - AQ,BS(u)
ft. Z19,)Z x "U" OBZ ° 17,76(U)
ft. 21G. ¢,.?x "U" .051 °?(U)
ft. ?34. ?1U x ??U?? .107 (L)
ft. x nUn o ([!)
ft. x nUn = (U)
ft:............ x nUu ? (U)
TOTAL Wall Area Including
Windows & Doors ? TOTAL (U) (A) 84-157E
AVG
TUTAL (U) (A) VALUES ?Vlpo
. "U" UIVIDED BY TOTAL WALL AREA /AVERAGE "U" Minimum .if ar less for 1& 2 famlly dwellings
Minimum .22 or lass for all other buildings
NOTE: 7f average "U" valuea as calculated ahove do not meet the Energv Code requirements, thr
"Alernate Envelope Design" as indicated on Page 5 may he used.
iiXTEK7.UR ENVt:]APE AVERACE "U" COMPUTATION
Tap View
iALL SECTIUNS
iUTE: Use 10;6
of opaque ' ---c„?
wall area
Sor iramirt•
membora ? I
?
FItAMING.MEMBERS, IN.WALLS
. u3_€i.k@._....... _... .....--•- -••-
SidinR w/P Qt4N?
Sheathlng
?.
iL as" soft wood'
dxy wall
'Intarior air film
TOTAL R? I Z. D S?
U=1/R ; . U.m'
_FRAMED WALL
(2)
Exterior air film
Siding 57'EEZ.W/frAM
Sheathing ZS/3 ZN
..
batt insulation &
drv wsll
Intarior air film
R-Value
. . .17._ _.
'Z. D ra
--6.875
----?? --
_____.... .45--
? .68
.t7
J . 6 Z-
Z. O G
? ?/. OC7
.45
.68
' TnTar. v z 4,
U - lix U ? . a¢r
?M.1:.AA&A_
Exterior air film „17
Siding $ 7'EgZ
_
Sheathing ? 2???3 2" ' 2. 04
1?" *soft wood ? ?--1' 88
Insytlatinn
Interior air fi m ....,_._ .68
TOTAL R = Z S g'l
..U o liR . . ? °•0 39 -
MASONRY ,WALL_,
Exterior sir film .17 12"?con_crete block
?
Inaulation H f- 0. R t fl4 r D!u
Interior air film .68 '._
? TOTAL K
U?1/R U? ,?07
.
.
ROOF'CFILING
„OuCaide sir film
U.
Ineulation f Z G?(yL{(?0??_ 4-9, d?
Arywall .45
Interior air film .61
TOTAL R
U' 1/R U
??Eo. r/.LGC. u,77E3 5 C/536-4S V/f 11 L
Outside sir film _61_
Ineulation
Drywall :45
interior air film .61
TOTAL R =
U = 1/R
Outaide sir film
U =
1
.17
• /?_ .111141* ,,p,-?.,?p,__.,____., __.c??.._..
Insulation
--?`y??r ? -- - --- -..
• ? -
??.. Wood decking
Irterior air film
,61
TOTAL R =
U:a 1/R U ? --- -•°
ROOF/CL?ILING: .
TOTAL :AREAi . sqe ft.
potail. reference '?' x sq. ft: _ (U)(A)
from above. "U° x aq, ft.. ............... m (L')(A)
Describe openinga "U" x sq. ft. m (U)(A)
in roof. . 11 Ulr x aq. ft. ? (U) (A)
oiVu X 8q. fC. ° (11) (A)
uUn x eq. ft. ° (U)(A)
, iiUir . X 8q, ft, ° (U) (A)
TOTALS sa. ft. (U)
TOTAL (U)' (A);VALUES .
DIVID$D BY TOTAL RUOP/. AVG. 'iU"
CCILINR AREA
AVE]tAGE "U" .05.tor ventilated roafa
for all other construction ,
NU1'F.: ] f averege 'Y"' qa].ues as calculated above" do not meet the EngerF,y Code requirementa, cl"
liAltcrnote ,f:nwe]ope Design" as indicated,on Page 5 may be used.
?3): .
•
iC — Q For Office Use �( }Alla j
%.%‘,,.*
0 r eF\JPPR19
20'8 Permit#: i 110� l,f I
% t ° o
...0 Eis,,GA
Permit Fee: /—7
- - -
�-� 41'11 „C Y
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �, '
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: °i`-7
buildinginspections(a�cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: "\ci' i Site Address: � � l� �� ' i .-if O(SV1 C
Unit#:
Name: \ ir-"k DC Phone:
Resident/
'� Owner Address/City/Zip: j I t)O Oc c_�r t ( v�'
Applicant is: Owner Contractor
p 01 i .IC YY1 r Oe I tl
Description of work: i nu �t rlf (.r,,icy ) �z
TYPO'of Work .` , �J �J
Construction Cost: l I Multi-Family Building:(Yes /No )
Q Y• c+S e0-IoM
Company O'I `,� 1
C �t), ka�;n Contact.
���
�Address: �77 I-COV1e4' V city: ?(rA l
ootiactor
State: / i\ Zip: Phone:q5 -BC>3 `L ail: 'cJ . Can.
s„. * ,� License#: C 57C "�iS Lead Certificate#:
If the project is exempt from lead certification, please explain why:
Y °
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:
Fire Suppression Contractor: Phone:
NOTE:Plansand supporting documents that you submit ire considered to be ubtic nformatio Portions of the information=magi#be;
classified as,:on
-public if you provide.sp c reasons that;woupermit the City to`ea �r®e gat=theyare� e ecrets ,,-;:el,
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.orq
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 o
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
ac rdanT w h the approved pla 'n he case of work which requires a review and approval of plans.
•
x ( )'`.).1()
• •plic. t s Prin.4,%).1---g -
ame ' Applicant's Signa ure
(' à°'
DO NOT WRITE BELOW THIS LINE v/. 76-0 0' C/i c( De 1L/°Z3
SUB TYPES -
Foundation Fireplace Porch(3-Season) _ Exterior Alteration (Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration (Multi)
_ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool 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 34(0.1_) 0 Occupancy _ 1 MCES System
Plan Review Code Edition E4/1A)9.-0) -- SAC Units
(25%_100% ) Zoning
Po City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction i1.7, Width
REQUIRED INSPECTIONS ^'
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) / Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: _Stucco Lath Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: "' j , Building Inspector
RESIDENTIAL FEES
144-4
Base Fee (vaii t.P1
Surcharge �
PI
Plan Review 07311{ ,;
MCES SAC ,`
City SAC . /° *0
Utility Connection Charge2 110 S V ..A°
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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