4489 Oak Pond RdCASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? .
DATE 19 i
aeceIvEo
FRpM '
AMOUNT $
?
& DOLLARS
?oo
? CASH ? CHECK
FOR
f
{ /? t
BY ?
-?
White-Payers Copy
Yellow-Posting Cop1
Pink-File Copy
Thank You
BLDG. PEgMIT N0.
'• .g : !, .?"C.,?:
. \
01-3210 B14g. ' Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm. ?
01-2155
17-3860
Zo-ZZ7S
20-3865
20-3868
20-37i6
20-2252
20-3713
20-3743
79-3866
11-3855
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn. -? ? • - ?
Park Ded. i
?
E-
I
I
TOTAL
BUILDING PERMIT
Receipt #
Na 13250
To be used tor S" DWG/GAR Est Value $67,000 Date FFBRUArZY 23 19 87
Site Address 4489 OAK P0:4Q RD Erect 99 Occupancy tt 3
PAWN R I L7
Lot 9 Block 1 Sec/Sub G1: 2 ti D Remodel O Zoning •t l
.
Parcel No.
Repair
?
Type ot Const.-T
Addition ? No. Stories
W Name KFYLAI'Id) f{OMFS Move ? Length 441
=
3 144 50 BUt<iVSVILLE PRWY
Address Demo?ish ? Depth d s?
°
Ci? B'?'ILLEPhone i39?1-2636 Int ImPr
Install. ?
?
.Fr
?
Y o Name SAME Approvafs
0 i Address Assessment
~ City Phone Water & Sew.
15 ¢ Police
F ; Name Fire
Planner
Council
Surcharge 33.50
Plan Review 194.00
SAC E25.OU
Water Conn. ? 2 5. U U
Water Meter 67.00
Road Unit 305.00
I hereby acknowledge that I have read this application and state thatthe B1dg. Off. Tr. PI. 80. 0 0
information is correct and agree to comply with all applicabie State of
Minnesota Statutes andtiiy of Eagan Ordin ?s. APC Parks
r ?y ? Var. Date Copie
Si9nature oi Permittee
k C? Total • 3 1 -7 . 5 0
A Buildin Permit is issued to: KEYLABIi) tiONiES
9 on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry o( Eagan Ordinances.
Building Official ?? .
. f
CiTY OF EAGAN
3830 PAot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PHONE: 454-8700
: PNmit No. Psrmlt Holder Oate TeNphom M
wumbing
H.Y.A.'C.
Elsctric
Sofbner
Irtspectlon Dsb Ins . Commenb
Foodnysl al
Footinys tl
FoundaNon
Frsming I, ?-
RooNny
Rouph Plbq.
Rouqh Hty. ? ?? r? ,'? ?? •
Insul. _ p -
Fireplaee
Flnai Hty. ? Ao
Final Plby.
Bldq. Final
Csrt Oce.
D?ck
Ftq.
D?ck Frmy.
L
Wetl
.
P?. Dfap.
. ;. . , . . , . ?: R . . v.=? : P . ..
PERMIT #
' MECHANICAL PERMIT RECEIPT # ?-
CITY OF EAGAN ? ? .
3830 PIL OT KNOB ROAD, EAGAN, MN $5121 DATE:
CONT'RACT PRICE: PNONE: 434-8100
Site Address BLpG. TYPE WORK DESCRIPTION
Lot Block Sw/Sub
. "--
,
, ' R
?
N
? Name
? " 'e es.
ew
M
lt Add
9?? N u
-on
S i
Addrass a r F:. C
. omm. Repair
? ciy Phone
Other
Name
FEES
?
3
yt/
Address /
RES. HVAC 0-100 M BTU
-$24.00
p City 7 I cl Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIQNAL 6 M BTU - 6.00
TYPE OF WORK
?? ?
''1 y GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 19b OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIdENTIAL FEE - 10.00
Unit Heater M BTU MfhlIMUM - COMM/lND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
'(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
? . ?
Other
? S ' 1 !!?.r . ?,o.??_.
-'?
GL?•?r
FEE:
S/ _>0 .?
?
SIGMATURE OF PERMITTEE
C: ?
TOTAL• C
FOR: CITY OF EAGAN
Site Address ..?
Lot
PLUMBING PERMIT
CiTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
? Name [ 1.C, c,a G
?o Address
c Ciry ;t,Ll.?,?T c Phone
Name / c=j?,,,?[ - - %? ?i,
c Address 76,?Z/
3
p City Phone
FEES
COMM/IND FEE - 13b OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
?f:-.?c `? `-
SIGNICTURE..OFt"PERMITTEE
FOR: CiTI' OF EAGAN
PERMIT Sk 8-?7 -7"
RECEIPT # / ? 2 G/,; 1 - -
DATE: 31,1& ,`:i '
BLDG. TYPE . WORK DESCRIPTION
Res. 1?: ` New
Mult. " Add-on
Comm. Fiepair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
i Water Closet - $300 $
J Bath Tubs - $3.00
-./_lavatory - $3.00
Shower - S3.00
_4_Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
--/-Laundry Tray - 53.00
4_Floor Drains - $1.50
Water Heater - $1 50
Whiripool - $3.00
? Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMin
Softener - $5.00
Well - S10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL: `?' ? U
' PERMIT #
PLUMBING PERMIT
CITY OF EAGAN RECEIPT i?
3830 PILOT KNOB ROAD, EAGAN, MN $5122 DATE: ?
CONTRACT PRICE PHONE: 454-8100
Site Address ` i
Lot ?_z?a Block SeciSub .41
-?- Y
? Name
.
?
?
Address
c City Phone
? Name ?i r...?
3 Address ' / ' .k • f' ', i ' -
p Ciry Phone f ?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINiMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/INO FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
?
SIGNATURE OF PERMITTE
FOR: CITY OF EAGAN
BLDG: TYPE WORK DESCRIPTION
Res. ;X New K
Mun. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - S3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
r
t SoRener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C: -
i? GRAND TOTAI: ' '
*"b ' ?
(gertif trtttt uf Orruvanry
titp of (eagan
Epparttitmr ? StdlabV Jmpprtton
This Certifrcate issued pursuaru ro the requiremenu of Section 306 of the Uniform Building
Cade certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating 6uilding construction or use. For the following.•
uu c?ifiauoa ST 7' &g, Rnnit No. 132W
Occupi-y Tyx R3 z,omi,B avirt " TYa Co-
OWOe7ofHuildiog Addrm
.
BuiMirtg Addreas " • ? VN LoaG
ty
Dtat:
Buiidiug Otfirial
POST IN A CONSPICUOUS PLACE
? oF EaGaN_ SEWER SERVICE PERMIT
i Pilot KnobRosd
Box 21199 PERMIT NO.: 'i (' f`'
in, MN 55121 DATE: 1
ng: Rl No, of Units: 1
io comply with the CMy of Eagan
of Insp.:
Connection Charge:
Account Deposit: -
Permit Fee:
Surcherge:
Misc. Charges: -
Total:
' OF EAGAN, ?ermit No: Date:
? Pilot Knot;Roac1 Meter No: Size:
8ox 21199 Reader No: Date:
in, MN 55121 .,.. -. 2}=lar,:'. ?aates
Conn. Chg: 525•Q0 d
Acct Dep: - 15• 00vd
Permit Fee: 1-0 =- 00T'd
Surcharge: • 50plrf
Tr. Plant 04 . ;:
Meter. acpd
Zoning: _
No. of Units:
1 agree to compty wlth the City ot Eagan ?
Ordinances.
By
¦
CITY 4F EAGdN Permit No: pate: 3
3830 Pilot Knob Road Meter No: ?7K,??? 7 5 gi=e: S"
P.O. Box 21199 Reader Na 0 g-1 lO Date: 5??!
Eagan, MN 55121
Owner. 'eylaiid :'omes
SiteAddress: 4489 ?k Pond Roa•?' .,1 Fawm ?;.i?'?e II
Plnmhnr D C iiechanical
Conn. Ghg: -' Z } - UU d : ' U&M9: r?1
Acct Dep: 15. 00 d
Permit Fee: '')Bef?e TI?1C - GAS N.
`
Surcharge: 5 ,
I a
gr_ee?oFQrnply with the City oi Eagan
Tr. Plant 6 00 ?
?a?VY
Meter. a , / -
a
Misc: gy G(
____ - J
_
WATER S ERVICE PERMIT
CITY OF EAGAN ?
3830 Pilot,Knob Road, P.O. Box 21-199, Eagan, MN ss,z, N- 13250
PHONE.454-8100
BUILDING PERMIT Receipt# J09D3
Tobeusedtor SF DWG/GAR Est.Value $67,000 Date FEBRUARY 23 ,yg 87
SiteAddress 4489 OAK POND RD E X-1 p R3
Lot 9 elock 1 Sec/Sub. FAWN RIDGE 2ND
Parcel No.
W rvame KEYLAND HOMES
3 nddress 14450 BURNSVILLE PKWY
° CjryB'VILLEphone 894-2636
? Name SAME
i
0
Ua
Address
a
`
Ciry Phone
?a
F w
Name
_z
? ? Address
z
a W Ciry Phone
I here6y acknowledgethat I have read this application and statethatthe
information is correct an gree to comply with all applicable State of
Minnesota Statutes an i oF E gan rdin ? s.
Signature of Permitt ee ' !2?A Building Permit is issued to:
KEYLAND HOMES
all work shall be done in accordance with all applicable State oUAinnesc
rect ccupancy
Remodel ? 2oning RI
Repair ? Type of Const. y
Addition ? No. Stories
Move ? _ Length 4 0
Demolish ? Depth4 8
Int Impr. ? Sq. Ft.
Install ?
Assessment
Water 8 Sew.
Police
Fire -
Eng.
Planner
Council
Bldg. Off.
APC
Var. Date
Permit $ 388.00
Surcharge 33.50
Plan Review 194 .00
SnC 625.00
Water Conn. 525. 00
Water Meter 67.00
Road Unit 305 00
Tr.PI. 180.40
Parks
Copies
T.,.,l $2.317.50
on the express condition that
and City of Eagan Ordinances.
Building Official
19 d
31-3l,'F'7 HEQUEST FOp ELECTRICAL INSPECTION ee-ooooi-os
L 7// 7S
_ 0 Sae insiructiona for compleling this lorm on back of Yellow copV.
C 7.2:1 ni; "X' Below Work Covered by 7his Request
FAA fl Type o} Builtling ApDliances Wired Eq.iument Wired
Home - ?ange Temporary Service
Duplex Water Heater Lightin,y Fizwres
Apt. BuilAing r Electric HeaLn
Commercial Bldy. n ye- Silo Unloader
Industrial BIAg. Air Conditioner 8ulk Milk Tank
Farm Ner Peci y .ther ISpnrityl
t e. ucu y iner Othcr
Compu[e lnspec[ion fee Below
M ee Service EntreneeSixe p Fee Feedera/SUbfeadars N Fee Circuits
,L• U to 200 Am s 0 to 30 Am s ,?O _2 to 30 Ani
Above 2_qmps 31 to 700 qmps 31 to 100 Amp,
Swinvning Pool Above 100_Amps Above 100_Am s
Transiormers Irri ation Boorc?s Z? Pertial•'Other Pee
Signs SUecial Inspection TOTA
emerks
V ?j ? L F
EC/ ?
Nough-in D.te 1, tha Electricel
Inspactor, hereby
f cartiiy thet fhe above
/
Fina1 te
? ins0eetion has been
L"'> ? ? a l meee.
fltls repuml volE 18 monthe irom
ThiS mquest void 7
78 monlhs frOm
C 72105,C9 l '?L .,?.
Hepuast'da1,r Fire No. RouBh-in?lfispec[ion
Peqwred.
?Neady Now ' ou v
Inspec-
?/, ?ONo ,
lor Whan Ready
EI'L,cense
IecVf I Convactor 1 here6y roquest inspection of above
? Owner electrical work inafalled at:
Street Addresys,/ Boxor Rou/te? No
V?/ Citv
ection o. Township Name or No. anee o. County ?
OccupantlPRl f Phone No.
Power Sup0liet
C'? Address
Electrical Contr or ICOmpeny Namel
^ yyy
Contracmr's Lin N.
?C
Mailm Addre s IConvactor or Owner MakinB I? ail ion)
J
AutAOrized Sie?et e(COn ct w/Owner Maki Installa ' n) Pho e umber
?2- ??yY
MINNESOTJCSTATE BOpxU OF ELECTpICITY THIS INSVECTION NEQUEST WIIL NOT
Gripqs-Mitlway Blde. - Aoom N•197 BE ACCEPTED BV THE STATE BOANU
1821 Untveraltv Ava.. St. Pevl, MN 56104 UNLESS PROVER INSPECTION FEE IS
ENCLOSEU.
Phonw 16121 662-0800
REOUEST FOR EIECTRICAL INSPECTION
? See insimctions far completing this form on back ot yellow copy,
2"X" Be/ow Work Covered by This Request
-° ?•,, ee-00001-07
'?.,...
ew `Add Reµ TypeotBuilding AppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Olh r(specity) Conlraclor's Remarks'
Compufe Inspection Fee Below:
# Other Fee # Serv iceEntrance5ize Fee S Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps D to 700 Amps
Translormers Above 200 _ Amps Above 1 _ Amps
Signs Insoeclor's Use Only: 7?
/ ?
Irrigation Booms 0' ? ?
Q'(„)
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO THS
?
I, the Electrical Inspector, hereby
tif
th
ih
i
b Rougn-in oaie
cer
y
at
ove
e a
nspection has
been made. F;oai oa?
'r 4Q
OFFICE USE ONLV
This request wid 18 months Irom
96/5 ?
° ?
?
4 2
?
Pequest ate > Fire No. Rough?in In dion
_l Requiretl'+ ? O Will Nofity Inspactar
U s ? No When Reatly?
I r' ' nsed contractor ? owner hereby request inspection of above electrical work at:
Joo AWress (Street, Box or qoute No.I / Clry
$etlion No. Township Name or No. Range No. Counry
Occupant(PRI T) Phone No.
Power Supplier Adtlress
Becvical Comractor (COmpany Name) Contracror§ License No.
?
v
Mailing tlress nV ctor or Owner Making In9ailation)
c5?0
?
AWhorizetl Signe re 1 nttacmVOw r i q,In/stalla'uon/7 P?ona N m e1r
MINNCSOTgg?B0AH0LECTPICITV ' THIS INSPECTION REOUEST WILL NOT
Grlgga-MIF BICg. - Ro 54)3 BE ACCEPTEO BV THE STATE BOARD
1821 pniversity Ave., SL Peul, MN 55106 UNLESS PFOPER INSPEGTION FEE IS
Phone(61R) 642-0800 ENCLOSED.
RESIDENTIAL ' f 3
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New Construction Reauirements RemodellRaoair Reauirements
• 3 registered sRe surveys shovdng sq. ft. af lol, sq. H. of house; and all roofed a2as • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 wpies of plan sfrowing heam & vdndow sizes; poured faund desgq etc J • 1 site survay ta extenor addiGons 8 decks
• 1 set of Energy Calculetions . Indicate if fwme served 6y septic system for additions
• 3 copies of Tree Presenation Plan'rf lot pladed after 711193
. Rim Joist Detail Options selectian sheet (bldgs with 3 or less units)
DATE _4_ VAIUATION 0'4 70? ?
SITEADDRESS G14(3?9' MULTI-FAMILYBLDG _Y N
_CD
TYPE OF
APPLICANT
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS "/q4476 -,#°cr,4a01' CITY?STATE ??'1?ZIP
TELEPHONE #(I2-5`/B- Si9U CELL PHONE # S? FAX # 95-2- -°/3,? - 35'5,-/
PROPERTYOWNER /?-? •?A?? TELEPHONE#6'o.TI" SS z -;Z/Oo
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULCS 7670 CATEGORY 1 MINNESOTA RUL.F:S 7672
(J submission type) • ResidenGal Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Su6mitted
. Energy Envelope Calculations SubmiUed
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Conhactor:
Air Conditiorung
Heat Recovery System
Phone #
Phone #
Fec: $90.00
Pee: $70.00
------------------°----°-------------------------------------------------------------------------°-----°-°-°--°----
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicabie State of Minnesota Statutes and City of Eagan Ordin ces.
Signature of Appllcant ???/i"'+ ? -
.
OFFICE USE ONLY
Water 5oftener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_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 Bld9 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
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding SNCCO Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ci.ty SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
1986 BQILDING PEIi?IIT APPLICAIZOA - CITY OF EAGAN
HOTS: ALL COATBACTOE3 MOST BS LICfiASSD llITH THS CITY OF EAGAN
3IBGLE F6NIILY DWELLffiGS
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OE SIIRVEYv 1 SET OF ENERGY CALCULATIONS
M[ILTIPLE DWSLLING5 - R&SIDSNTIAL RENT9L i1NITS F08 SALS DNITS
INCLUDE 2 SETS OF PLANS, CS9TIFZCATE OF SORVEY - CMCB 41ITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
t SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For 44-4Valuations ? Date:
Site Address 7" uOFq (rOFFICE IISE ONLY
Lot / -,87.ock / -
Owner L
Address /
City/2ip Code
Phone O
Contraetor
Ereet ? Oceupancy ?-? 3
Remodel Zoning Z• I
Repair _ Type of Const SC
Addition lf of Stories
Move _ Length ?
Demolish Depth
Int.Impr. Sq Ft
Install
APPROVAIS FEES
Assessments Permit ?8.
Water/Sewer Surcharge 33,So
Police Plan Review Iq 4,
Fire SAC (o ZS
Engr Water Conn S Zs,
Planner Water Meter k?l
Council Road Unit 2i0S.
Bldg Off Treatment P1 IE30.
APC Parks
Variance Copies
mrAL
Address
City/Zip Code
Phone
Areh./Engr.
?
Address
City/Zip Code?_T •-
Phone 7k :3
NOTB: ADDRESSBS FOR CORNEH LOTS - CONTRACTOR/HOHEOiiNER HOST DESIGN9Tfi AHICH ADDRfiSS
IS DESIBSD. NO CH9NGE4 iiiLL HE ALLOWED ONCE BQII.DING PERMIT IS ISSOED.
22=
(o4C7 K S-?3 z
. ?. '?
o k (2 ? 528?
iOCD x S
. ?.
(OCP, qd U
PE aosE
NG1NEfRlNG
COMPRNY, INt.
? 1000 EAST 1461A STREET,
CDHSULTIH6 EH61N(f95 `eeY/4ij 4asn@S
PLANHEAS nad LAHO ?UAVEYO!!S
BUAk9VILLE, YINNE:6Tx 5-4337 PH 4_2'3060
Ce?--?i}?i crz?e rYe c?
?4C1 .0+lC)"4p2zarL: Lo7' 9 acoUC i10 A-AU%N R/OGE 2N0 iP00/rfON
. pAKOTA GOUNT y, /r71NNE SOT/i ,
, ?7 Z
DR.O/NAGE ? //T/L/TY '2EASE//,'ENT r
30' FRON7 Bv/LO/NG
SETSAGK .G/NE
06
\ \
` ?D
\
(qis?4o?
? \? o \
?
? 6a 0
pb
o\ °
4 s
b
?
ca i8*zU
041
3g
p ?4
5 55Riy6
/
//
//
/
w
00
ca
?
17L 07- q? ?
? ? ,r- ? C9zz.o
? L3i ?J t
0
?? \ \ ryy/ d 1/?
5P
r y3? y
.i,. y
NO,?'e';-1-/
SGRLE,'/"=3D'
? ?- ,-
..)i
`'i' V ( 4/S.?i DENOT,ES EK/sT<NG EG.Ff?i9T/ONS
C`?? ? 4? oE?/orES ?Rof?sED-?ZE?/i4TIONS
?p
A
6'
?
T/
P/iPEGON ??
/iV0/GATES
o
e
R
S
N
G
• r?? .
.
?
uRGf/cE
A
E
? I22.5p = F/il/iSHED GAR/aCrE ?LOp.e
E?EY.4T/O/u
AE94uAe-/ . 19 09 . . -0 ?
I her:by eariify that thia ia a t=ue and carrect represeatation of a traet of
liad as shovn'and deacribed herson.• Aa praparsd by me oa this l4fg day ot
P o
a?, o°g •o
?r
9 // !
/::5"?Sinn. Ees. Ko. /Gotls
-------?? _ _. ;
? ..
?
i OWNER:
1'dcJG t Uf 4
ex Riot.Eivi_i,OPE_ nvrrinrf' "I
,
,? I" f,OMf'IITA'fION '
?3a S
- ?
-
` _ ----- nn rr :-----?-_ ?=-?? -
SITE ADDRESS: PIION[:
--- -
CONT
w?S
RACTOR: 4
Determine workiny square foota9e of each
1. Total exposed wall area.....
a}??_sq. ft, x.I1 - Z rn •S
x?
2. Total' roof/ceiliny area..... [04-o sy. ft. x.026 7 f
Total exposed wall area alinve floor=__? 7!? _
a. Total wall window area ..................
......................
b.
Total ...
door area ..........................
......
c.
Total ..................
sliding glass door area ........................
d.
Total ...
fireplace wall area ...........................
e.
Total .............
wall framing are,a (average lOw) ........................
?
f.
Total ....
3-
rim joist area .....................................
.
9.
net ........
; Z
viall area a6ove floor ....................
h• ' ..................
wall area above floor...... .................... ..
i• .........
wall area atiove floor.... ;;y ..................... .....
......
'
'
,1. frame wall a r e a at foundation.`
.
..................:.............
Total exposed foundation area= _L%<Q
k. Totdl foundation window area ....................... --
l. Total net foundation area above grade ..............
? Determine "u" value of each wall seymenC
(e.g. window, door, each sepai-ate wall section)
a.__-???--- x ',u„_
?-?---
b. 38 x "u"_
c? 4o x
?
----
?-
d. x „u?, .
e, x u??
- • -? --= -----1_
f._ ?3z z liuii
g?__L x ,lul,
h. X 'lull _
i. x llull _
j, X 'lull _
k. x 'lull _
X u I,_ 5.3
3 : ................................. 7otal 1415'L'(
A2?
if item N3 is the sam
as, or less than item
Ni, you have met the
InCent of S6C.60U6 (c
L'nvClopo Avecage "U" Compul•aCion
ToLal exposed root/ceiling nrea = ? b
M. Total skyli.qht area ............................ ?
n. Total roof/ceiling framing area (nvcrage 10%)... ?
o. Tol-al not insuJ.aled rooC/ceiling rarca,.........,
Page 2 of 9 , .
Determine "U" value for each roof/cei].in9 segment
M. X „Ul. _
n. _.._I Cl a --U-1
o, 3? X OL = IS.?
4 ........................... ToLal = Z', Z
If total of 1E4 is l-he same as, or less t:han 112, you have met the int•enL of•
58r_.606Fi ,;c) 1. .
, . Alternate Buildin EnveJ.ope Design 'ib utilize the total enyelope 'system method, the vaJ,ues esLablished by Che s.un of
i.tems II3 and 44 shall not be greater than the swn of items IIl and 112.
z. _ Z2 z37.S
a • + 4.
ZI .2 ? .! (o..$
?
F1G. 41 TGPVI119 OF
• P1U1Iti IJAf.f.
i
FIG. fl2
1SeAL rx
hc.al
I.1. ?
I?
\TICW .
L ,
i?
---f
.
? ?? •
--- _?-0
• il. , •p: •___-••----
•
,n • • '.-•. _.•. `-..?
. : ?. r. ' •.???•
_o
--0'
!'.1414, ,.an
C<m•;frnrc-t ?in?n? ?
-• .-_ .• 1 f-?°W11:. 1;-v:ilu.:
. __.......
'- • _??Y .P._.
'??z.
$A_ ?'
__.
l
4 . ?
inclii^S :;•ili. ?•?,.
3h
j __ '.--- '- -- .. _
_4..?r.?r.L4 .. ... ..
..'t
_ ............._..... _
. . _ . _ ..
..
....._._.. . ..... ...Q
ti. F:r.lL-r iur_n.ir
- ? 0. t7
-
??? 'll
tz;i7
u=.?e
1NSuu.
1. rntr•rtnr aii
_' '.__....__.__._.. . o.r;n
1. . . . ... _
yz?._C?Yp...Bn•."" ._...___'..._ _-'____..
'___....._..'_""_
[45
'_
.--b•-v
--
s. _
6. ExCrrior .tii Cilc?
---- ---- 0.17
- ?r„ r.; i?- Zo ? q
!`4
?
1. ln
ic
;il,r film
. .-. - - ..... -- U.GiI
z. -
...?N.?uL.._..3?'?... ------'..._.. -
_._..._......._.?3.0
3. _z?rt?-----?--- -...-- -?-••------.-.._----?•89
a. __G?3.r?T?.?.--_..___. -.----•?--G--Qa
6. F:xCCt'Inr nir
?
?
7..Z. ?
'COC;II
U=.o9
1.
2.
3.
?.
5.
6.
:.'Lnu c+rt r,iinue
?L ?IL *
0,6R
..---'--
_...12".__tQNG•.. _E_c_.?K. ......__...J1.Z$
-.•_.'_'__'._ ?.___'..________.'_.__.-"_'.'-.'-.
)::<to.rii?[ n[r t'ilri q.l'/
...-------.._,_..
To,r.,l 1 Z ?3
u^•?
_ ......... ... .. .__._.._.._..._ _..__ .---°
• . ? ? . \
• ;. ' y _-,?R?r
?,,•t.? ? , • 4; ir1 - ??
? I . ' ~ . .. ? f rf
13+ ,
1 . ?
LI ` ? -- T
• ??
Wni.r,
p?yti uf n1?0 tlU7 a,lll nYCn Lor
cunrtrucllun
7
` ? !/(??- , .'" '?. • .
,,, ? „ . • . ??;
- ? • . ' a , j?'
J
,.... . . ?
.?
' I(I ? : ' • i !(!?
etc:. Ila rri ? <<? . :> ? ? l+!
?. __ ---.. . .
tlo'ce: Indi.:utc lync, depCh onci
? p1aceminC of in::ulaCinn.
S1C
n i,t,
PLAQ *k 332.y"
¦I L i mE.AL FT, EXposE0WAL L
?LOGI?I?j? ZCot9 0-+ Z? ?4v? / 32..
?C.u?E ?? r32
=ULL ?''? 132
?
=vLl.?2.,j b4
E '
? --
2tM: I? ( 3Z
I
SGZ .
t?3Loc
?'
?'T, ?1C?Q5?? WA L.L. Aiz.EA
?
?
kN EE i?;; .
3Z x
of
/3 z K S =
, (ece
5= G('70
w. o. i.,
?
?F
lll
l ; x 8=
????
.
u
Fu LL? i
jZ , /3z X E3 = losto
k g?
. ,
F
,
??
FZ?M ; ?I I 3 L }C ?"
- /3z
TotA L = I ? 1?
F-K P05E--D GEI LIIJG z4P)c4o ogo
W DwS 1?
. i ?h3 e Pht+ ,?y..
I Zqq n
70(*0 ii i
. ? 7844 ,I t,
D o025 ?i
e
? ?•v z? j 38
?S
2S ? ??TIO DR,S ,
Z? 135M?+ U??+S
Conl trucllon R-VnWro
1, Zntcrioz air film ,0.61
2. z?-C? Y 131? ? '15'R
3.
4. ExCcri.or azr fil?a (seill 0?
?- Total 2 4s8o
• . • . ? 1 . ? ? ,O?
:nced
Heat f.low
' up
gic. es'
F?tf4+?t a
1. Tntorlor nir filin 0.61
z. :S-9
3- ? Z. 38.35
d. F:xCecior <.is filn sr.11.67.-
•rotat 2. : [j0.1:5?
Ca.?.lrRVCr/ m^,, . ,
Insidc ai.r filin 0.61
2.
3 . ,
4.
U.17
?• S. Outsidc air filin
? 1'otal
.c.C.i rr E
v
• _ 210:I-VB:I'?D ? .
~? ,. ?.?(ceC ?
; . [lov up • '
. ,. ' • • •
rir,_ P7 ? . • .. r• .
1. Tnsidc air filin 0:61.
2. .
3.
4.
5. Qutsidc a.ir film 0.17 „
.. Total
?._ Tnsidc- air Eilm . 0.61
z. .
3.
4_
5. aitsi..:lc oir filin 0.17
xoCaL
. Ytotc: Uso additional sheets if morc spaca i:
necclca :Eor dekails and calcu?atians.
' .
. ?n?nor•jceiLxuc
? Y.ect Eloir up • ?•vented •
• . _F2C_ 16' . _ . • . ' • . . :
GITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NOTS: PAYMF:NTf OF FEE AT 7IM OF *
npPLscaxioN noFS NOr mrsTTZCrrE *
APrPxovAw oF rER14.T. *
?
nvsrECTIorr oF sUM r,Nro/Ct vu+M *
INS'IALLATTONS wBa, Wr BE scsHEn- *
tJLID ONi!II, PEP14IT HAS BF.M ,*t
APPROVM. r
x
•
r
s
P ease Print
1) PROPERTY ADDRESS: -/Ay- 9. R }j -
LEGAL DESCRIPTION: A &?`/" ? eA/ / "'
k.,oLiuiocx/bupaivision or Tax Parcel ID #)
IF EXISTING STRL'CiTJRE. DATE OF ORIGINAL BLILDING PERMIT ISSL'ANCE: «,'fi " ?7 -
' PRFSEDII' ZONING/PROPOSID LTSE: (Mon Year)
q c??aczai./RErpsr./oFr xCE
? IPIDL'STRIAI,
? INSTITLTPIONAL/GOVERNMENr
R-1 SINGLE FAMILY '
? R-2 D[;PLEX (77,n IInits)
? R-3 TOWNEIOUSE (Three + Units) ( C?ni.ts)
Q R-4 APARTNM/COI+IDOMINIUM ( Units)
2) ? .
NAME:
?
• ADDRFSS:
CITY, STATE, ZIP: ?C3N !-?/ ?r? lyfI e,iv .g"535 2-
PxoNE: vPa - G 6 s?t
3) • i: ?• ?ME• ^ For Caty Use .
Pltunbers License:
ADDRESS:
i CITY. STATE, 22P:
PHONE: 4,y6:3
.?s?
? t4 Z? /Lu /g<o?.?- .
sf-?lJIT-?-t ?'J ?-sv
7? MASTER LICESISE# ?,j? Active
FScpired
:S 5?7S? Not recarded
751irl7 rt-aFf Initial
4) W?_.?y• :."f??..! ?,'?'?
NAME:
ADDRESS:
CITY. STATE, ZIP:
PHONE:
$) ? v i r • ?• : ? • y? - ?? - -
? CONNE.'TION 1t7 CITy SEWER )p CONNECTION n1 CITY WATER =ER '
6I ?? - ? r Q
?
PLEA,SE HOLO APPROt7ID pEE2AffT FC)R PICK-UP BY ONE OF ABOVE
P,FreF MAIL APPROVID PERMIT TO 1, 2, 3, 4, AHOVE .
_ „ n ? , (Circle one) '
. FOR CITY USE ONLY
PERMIT # ISSDED
Pd w/Bldg. Permit FEES:
$ $ /D -S-7) SEWER PERMIT (INCLUDE SL'RCHARGE )
$ $ S-2) WATER PERMIT (INCLDDE SL'RCHARGE) .
$ Io ?U zJ $ WATER METER/COPPERHORN/OPTSIDE READER
$ $ WATER TAP (INCLDDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /.5 L' d ACCOUNT DEPOSIT - SEWER
$ A 57, ?J ACCODNT DEPOSIT - WATER
5 `J Z- SCI ?J $ WAC
s_ Z- S?• p? $ SAC
$ $ TRC'NK WATER ASSESSMENT -
$ $ TRLNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ / h?g -? $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ S h ?' C! -d TOTAL
1 _-Z j Z1
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PI)BLIC
Q
NO ROADWAY" MUST BE ISSLED BY TAE ENGINEERING
DIVISION
S
. LI
T AS A CONDITION.
SLBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY: ,C )f_? ,J l?1,a? . ? .?
TITLE:
DATE: s7 7
? ?
Use BLUE or BLACK Ink
r
For Office Use(?
Permit#: (b `I J
City of Ea(ion
I Permit Fee: .0c) a s
a
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
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Ti p d & ! 11,0A) Phone:
Resident/ f
Owner Address /City /Zip: q q g-1 ~x,1a T'`E-~--!~
Applicant is: Owner
~ Contractor
Type of Work Description of work: / ~ L, g
Construction Cost: -7 Wali~ 00 Multi-Family Building: (Yes / No)--(,-)
Company: ~1~ 1~ 1 L :4 0-0 Ajfn~ Contact~_ Jul
Contractor Address: City: dAil~ A_)
State: Zip: Phone: 47451- 363 _ 9L~0
;:0 144
License _L
Lead Certificate
S=:" 01 -7
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance..
X )D'EtIL>t~ KEFeEf_ x
Applicant's Printed Name Applicant's Signat e I-V
Page 1 of 3