1487 Palomino Tr
Use BLUE or BLACK Ink
# ff-m-
l `7 ~V O
City of EaE a~ ; Permit
170-0
Permit Fee: 1
I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 j
Fax: (651) 675-5694 I Staff-
Fax:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: f Ll87 Pnckm/n 0 rr• Cl~tf f(.t199 M1V 5,~5
~~fl 7
Tenant: b g awb l .t <,612(r dl Suite
RESIDENT / OWNER Name: _ Uturlr. ~i~S~ j~-t- Phone: Us 1-{l~bb _60510
Address / City / Zip: 114q1-7 T'ajorY) t o o 1 r. WA&JI, WIM 51 aa-
Applicant is: Owner Contractor
TYPE OF WORK Description of work: .T tf T 1~~~4r~~
Construction Cost: Multi-Family Building: (Yes /No X
301Mc 0
CONTRACTOR Name: G 1 1~~ C+ G f_~ i ~ ~(LJ/i tit~. ,License ~00
Address: I1~`1Li ~eldfzre YV~ City: L(I4 ~
State: 1 +'N Zip: ~U Phone: ~I5,)--a-
M'V
Contact: ~,n
L A.1 f UA.KdA_) Email: cC:+C1r" 10✓,~ c u n ecC ho.~{
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 maybe 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.oro
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 &"d& ~(Llkda&) x L R-" ( C'T-b
Applicant's Printed Name Applicant's Signature
Page 1 of 2
' .... . ? :.?
SEWER &=d01ATER PERMIT
CITY OF EAGAN `
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE Kg Y 15 , 19 91
OFFICE USE ONLY
METER # PERMIT DATE 05/30/91
CHIP # PERMIT # 12016
METER SIZE B.P. RECEIPT # C 13646
ISSUE DATE B.P. RECEIPT DATE t' 4???I sI
_ PRV - BOOSTER PUMP
SITEADDRESS 1487 Pa1ox.?ino '!'t
LOT -1 BLOCK 3 SEC/SUB ';h e rsfo o4 ?? own s
APPLICANT: Jc 4 e ph P: M?i 1 1 e r Cen s;: I^Ic
ADDRESS: 18133 Cedar Av S o
CITY,STATE rg=mington, Mn ZIp 5 5!) 14
PHONE: 431' 2 U O 1
PLUMBER: Genz-Rymn
ADDRESS: 14???, ? ? ?. ? t
Tr-
CITY, STATE Rosemaunt ?!n Zlp 35068
PHONE '' 1 ? -1 144
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE:
PERMIT REQUESTED
? SEWER ? WATER - TAPS
- COMM/IND RESIDENTIAL
x NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for D.educt Meters.
I AGREE TO COMPLY WfTH CIy1( OF
EAGAN ORDINANCES ?
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
?
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19` 1
?
aECENEO ? ?1` .i
cp04
i
AMOUNT
g DOLLARS
loo
J?J-CASH gZ1iECK
•. ' i? ` / ' . ,
f011
4c
r
BY ?
C 13646 ??, ?
Pink--Flo Copy
Thank You
??..--? _- .?----r+?. ?w?...?ww.R. ,w?s?y,?...•n?':r.? ' fww-.• .? .^rI .? -r. • . v . . ,-
`
HOUSE HEATING TEST RtCORD
ADDRESS APT.' `FL40Rr?C1Tf- SUBURB
OCCUPAMT ONINER ?
HEAT LOSS DATE HTG. INST.
SOLD BY INSI
EI•chicol Work Br Ges
TYPE OF HEAT GA FA ---"'.-HUf STEAM SPACE
GAS DESIGN
MAKE MAKE OF
Mod•I ? Model _
Swial Mox. BTU
INPUT MAKE OF
Alodel -
CONTROLS
THERMOSTAT oat PI Vent Si:e.
Volv. r? ??KIND OF L
Limit LA .1-k-)i Droh Hood
BY
UNIT HTR. OTHER
-
- CONVERSIOH
SIZE
Limit SeHiny ? Filhrs Size NyWw? r
Fon SeHinp ? Cl?Imner Location Inside Outside
Pilot Type r Chimney Conttruction
Pilot Make
Pilor Mod•1 Smoke Bomb rfkiny
Pilot Timiny Draft ? Teat Tao
L.W. Cut O(f Door Pruswe r Liqhtin9 Inst.
Pressur? Pircenf CO
? Date Tested
Input CFH_ 2
.?Pereent pZ Cowywnr Ttstiny
Stack T?mp. 3 z'? P?rant CO Nanw of Tester
Fwm 235
BUILDING PERMIT
To be used for
„ . _ -•?^ ZcM.t.y. ?r-.Ar.. z.? -.--? , ..?,,,. . , ,?a.?.s
' CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199,
PHONE: 454-8100
Site Address 3A87 PAl-MIND Tib
Lot _A Block It_ SeclSub.
Parcel No.
W Name CtfNSYSII?t'iny
; Address ia133 cann? ?v8 s
0 City FA?ttlNL.'ZDM Phone 431-2001
I,o Name SAm
OU Q Address
m
1- City Phone
read this application and state that Ihe
lo comply with all applicable State of
awrT?•?•!?,"?+^'-- . ---v.. ?
JS5171 '`? ?????
Receipt # '
OFFICE U5E ONLY
Occupancy R-3 U.i FEES
Zoning IL-1
(Actual) Const V..N Bldg. Permit 671,.?00
(Albwable) VEM %&
s
o
Surcharge
*
+Y ol stones -
Length ]?! Plan Review 436.00
Depth SAC,City 10DAM
S.F. Total - SAC, MCWCC 650-00
S.F. Footprints _
On Site Sewage _ Water Conn 660-M
On Site Well - Waler Meter
MWCC System
Water
City Acct
?-?
. ?P?it
PRV Required - SJW Permit ?loa
Booster Pump - SNV Surcharge .50
Treatment Pt 276•00
APPROVALS Road Unit 370•00
H1=11 CONSr Ptanner - Park Oed.
one in accordance with alI Council
ot Eagan Ordinances. Bldg. Olf. _ Copies
Variance - TOTAL 3.373.00
• Permit Na_ Permit Holder Dffie Telephone #
WATER IotD AQ
SEVYEA
PLUMBING 403
H.VAC.
ELECTRIC ' ? ?r? / X va
?J
hupsction Date Insp. Comments
Footings I ?3?9? u1?B
Foundation .
Framing lc ?
Rooling
Rough Plbg.
YA
Rou9h Ht9. !?
?j "L?C G?
t e??
4-si t"?r/ A/. C ?/? • 9/.C?tJ?
Isul. oS'
Rreplace 7/I
Final Htg. -00
Orstat Test
Final P16g. fvp -Cf( Plbg. Inspeclor - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
A • ? A
19fx#ifirafe uf (Or.cupaury
Citp of Cagan
&Mbunz of Nu"atg _]tcwnimt
T7i3s Cernfroate issued pwsuant to the requtnementr ojSectlon 306 ojthe Uirijorm Builducg
code Qa#Iying rhar at rhe time of LssuQnae rhissvuclune was In corrr,priarwe wrlh rke verious
ordiumces of the Gity regufatixg bullding conmuction or use. For the foldowing.
use a.a;snu- S6' = 4r1?bt MI&pO=kNM 19119
O=WA-rTYw R'i/1L- zo?c n?u;a R 1 rya C.,a VN
ow= ocBmum.?,1SM M_ t?T FR rftSL-_waa= ]8133 CE[A,R AVE S. Fl1FMIlV(?'ICN
POST tN A CONSPICUOUS PLACE
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 551 22-1 897
DATE ?? aY 15 , 199 1
?
OFFICE USE ONLY '
METER#??9? ?S~ PERMITDATE
CHIP # a aa ? 5 L1 ? pERMIT # 1L016
METER SIZE B.P. RECEIPT # C 13646
ISSUEDATE B.P.RECEIPTDATE 05?28/ 1
_ PRV - BOOSTER PUMP
SITE ADDRESS 1` 37 3?. ? m i n o T r
LOT -BLOCK SEC?SUB S h e rw o o d D orvn s
APPLICANT: _T o a e p h Nf M i 7 1 e r C e n e t 7 n e
ADDRESS: i 8 13 3 Ce d a r Av S o
CITY, STATE r a rm f ng t o n, P-In Zlp S S 02 4
PHONE: "31- 2 0 O 1
PLUMBER: r n.- yg n
ADDRESS: 14745 S. -zs;3e r` ?' -
CITY, STATE ?o a e m o u n t, i•! n Zlp 5 5 0 6 8
PHONE: `'" 2 3 -1 14 4
OWNER: -
ADDRESS:_
CITY, STATE
ZIP
PERMIT REQUESTED
x_ SEWER _x WATER - TAPS
- COMMiIND RESIDENTIAL
X- NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
:
I AGA E TO COMPLY W TH CI OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PHON?:
PLEASE ALL,(31N 7'WO WOFiKiNG UAYS? R CESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. '
/ ????
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To 6e used for SF DWG/GAR {
Value $109,000
Site Address 1487 PALOMINO TR
Lot 3 Block 3 SeGSub. SHERWOOD DOWNS
Parcel No.
w Name 10SEPH M MILLER CONSTRUCTION
o Address 18133 CEDAR AVE S
City FAR1`1INGTON phone 431-2001
Name _
Address
City -
Phone
N° 19119
. ts 91
?
Ww Name
?
2,; Address
aW CityPhone
I hereby acknowlege that I have read this application and state that the
informalion is correct and agree W comply with all applicable State of
Minnesota Statutes and City o 9an ? n s?. ?ir/
SignaWre ofPertnitae '?+?="? s'
A Buiiding Permit is issued to: JOSEPH M MILLER CONST
on Ihe express condition that all work shall 6e tlone in accordance with all
applicable State of Minnesola Statutes and Ci1y ol Eagan Ordinances.
8uilding Oflicial
OFFICE USE ONLY
Occupancy R-3 M-1 FEes
2oning R=1
(ACtuap Const liL--N 8idg. Permit 571 _ 00
(Allowa6le) V=N
Surcharge
54.50
# of Srories _
72'
Pian Review
436.00
len9th
Depth 39'. SAQ City 100.00
S.F.TOtal - SAC,MCWCC 650.00
S.F. footpiinls -
On Site Sewage _ water Conn 660.00
On Site Well Water Meter 9$.00
MWCCSystem X
3
City Water ? Acct. Deposit 0.00
PRV Required _ S/W Permit 30.00
Booster Pump - g/yy Surcharge • 50
Treatment PI 276.00
APPROVALS RoadUnit 370.00
Planoer - park Ded.
Council
Bld9 Qff _ Copies
Variance - TOTAL 3,373.!1^
:. .?•
MAY 30. 1991
DATE:
RE:` 1487 PALOMINO TR (JOSEPH M MILLBR CONSTRUCTION)
R
- Your Sewer & Water Permit for [he 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.
- Your Sewer & Water Permit for the above property cannot be completed for the following
. reasons:
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 ai 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.
- REQUIRED BY IAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address: 1487 pALU4M T-PAM Lot 3 Blk 3 Sec/Sub gOUpD DUM
These items were/were not complate at the time ofthe final inspection. •
Date: 7/31/91 Yes No Tnspprtnl.
Final grade (6" from siding) LIl
Permanent steps - garage L//
Permanent steps - main entry ?
Permanent drivaway
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch
Basement finish
Deck
Please verify vith the builder the removal of roof test caps from the plumhing
system and the shut-off of watar supply to the outside lavn faucat before
freeze potential exists. ?j
ucrtuowm
White - City copy Yellow - Resident copy Pink.- Contractor copy
?
?
J 2239 a jxw? ??
°
Fequest Oate fiie No. Rough-in Inspection
Repuiretl?
f?Reedy Now ? Will Notiiy Inspector
u Yes o When fieatly?
'
I Wtl
icensed contractor ? owner hereby request inspection ot above alectrical work at:
JoD Ad/tlre(Jss (SVe/el,JBox or Raule No ) Ciy
L / (
i
Section No. Township Name or No. Range No. Cou
OccuDant(PPMT) Phone No.
G o•? r ? ?
Power Suppli¢r . ACtlress h -
Elec,mal Con,ra<,o,OALr`& CHRIS FRANKE Licanse No.
Cf¢-
o a ? Z
Mailing qtltlrass IGo r fWM0A
Huthonzetl Signatur nVacroriOwner Making Installat n)
__ Phmie Number
41
-
z 'e
„ r . _ ? s-
1
MINNESOTA STA BOARD OF ELECTRIQTV iHI51NSGECTION REOUEST WILL NOT
Gnggs-MlEway Bltlg. - Hoom 5'173 8E ACCEPTED BV THE STATE BOARp
1021 Unlversi[y Ave., St. Paul, MN SSlOi UNLESS PROPER INSPECTION FEE IS
Plrone (612) 64241800 ENCLOSED.
6,? yr`? REOUEST FOR ELECTRICAL INSPECTION ??q EB-00001-08
1? See inslruclions lor com0leting this lorm on back ol yeliow wpg
-'X° Below Work Covered by This Request
J 25239 '
e 'AdE qep: TypeolBuilding AppliancesWired EquipmentWiretl
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
CommJindustrial Furnace
Farm Air Conditioner
Other (syecity) CoMrac[or5 RemaBS:
Compute Inspection Fee Below: A7, q^',O.
# . Other Fee # ServiceEnhanceSize Fee # Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SIgnS InspeMars Use Only: TOTAL
Irrigation Booms s
SpeCial Inspedion
(:
Aiarm/Communication D DISCONNECTED IF NOT
THIS INSTALLATION MAY BE
Other Fee COMPLETED WfTXIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Dare
certify that the above inspection has
been made. F;nai re
OFFICE USE ONLY
This request voitl 18 months Irom
y/ /U/ yii
p 0 4 43743 zw7u" 00
-
-
FeQUest Late
6-12 - 91 Fire No. Rough-in Inspetlion
Fequiretl?
^ Reatly Now yeVN111d?otify Inspecror
? ?. No When Ready?
I?+'Ycensed wntractor ? owner hereby request inspection of above elecirical work at:
Joonai ep A?L600 TRAIL ctY EAGAN
Secfon No. Townshlp Name o, No. Range No. Counry
i
DAKOTA
Occupant;PRMTI
JOE MILLER CONSTRUCTION Phone No
612-431-2001
Power SuDPliee
DAKOTA ELECTRIC ASSN Addrass
FARMINGTON
MN
,
????ucdT1IbLAND?LECTRIC, INC. contractor041610
Maili"97630?t14rSrTHBrSTI?EETionWEST, APPLE VALLEY, MN 55124
Nutronzeo ure Convac r Makmg Insallali PM1One Number
612-432-6688
? -
MINNESOTA STATE BOAPOOF ICITY THIS INSPECTION REOUEST WILL NOi
Grigqs-Mitlway 91tlg. - Ro 3- 3 6E ACCEPTED BV THE STATE BOAFD
1821 University Ave.. St. u 55100 UNLESS PROPER INSPECTION FEE IS
Ghone(614) 642A800 ENCLOSED.
(o %/? REQUEST FOR ELECTRICAL INSPECTION
/ ? See inslmc0ons lar compleliny iM1ls farrn an beck of yellow copy
?nAa47 "X" 8elow Work Covered by This Request
`z* ea-aoooi-a
??--
° e
ew Pd Rep. Typeof6uilding AppliancesWiretl EquipmentWired
Home Ranqe Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer O[her (Specify)
Comm./Indusirial umace
Farm Air Conditioner
OtM1ar?specifyl GonVactar's Remarks.
Compute Inspection Fee Below:
N Other Fee # Service EntranceSize I Fee # Circuits/Feeders Fee
Swimming Pool ? 0 to 200 Amps /'f !0 D to 100 Amps q/a
Transtormers Above 200 _ Amps e 100 _ Amps
r
Signs inspeaor'sUSeOnry. ?,' 1 TOT?
Irrigation Booms
,S, ) K% ?• ?O
Special Inspection w
Alarm/Communication THIS INSTALLATION MAY BE ORD SCONNECTED IF NOT
Other Fee COMPLETED WITHIN YB MONTHS.
I, the Electrical Inspector, hereby R°°9h-m l, oal ?
certify that the above inspection has been made.
OFFICE USE ONLV ??? TM1is re0uestvoio 18 months from
J
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Family Dwellings
Townhomes and Condos when permits are required for each unit
D8t¢ LISHMAN, GEORGE
1487 PALOMINO TRAIL
SItO Addl'¢SS EAGAN, MN 55122 Uillt #
(651) 686-9156
Property Owner - Telephone # ( )
Contractor ??BLOM P.u?ING CO.
(612) 827-4033
Address City
State WINN ip
•
Telephone # ( )
The Applicant is _ Owner Y- Contractor _ Other
Septic System New Refurbished Submit 2 seGs of plans and MPC license ' $ 100.00
Includes County fee. AddlHonal consultant fees may apply.
Alterations Ta Existing Dwelling Unit, Including $ 50.00
_ Adding flMures to lower ievels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installatlon _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener X Water heater $ 15.00
x replacement _ additional
??? n nn ?
MAY 012003 I
g
.50
State Surcharge
J
BY $ 15,50
Tata? ?..._r
I hereby apply for a Residential Plumbing Pernnt and acknowledge that the information is complete and accurate; that the work wdl
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a pemrit that the work will be in accordance with the
approved plan in the case of work which requires a review and approval o£plans.
Applicant's Printed Name anYs gnature
:
V\ RESIDENTIAL
BUILDINGP RM T APPLICATION j?_12? ?
CITY OF EACAN n p„?, 7 ST?
3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675
New Construction Reuuirements
• 7 regiYereC si[e surveys showmg sq. k. of bL sq. R. of hcuse; anC all roofed areas
(20% maximum lot cove2ge allowed)
•? xotes of plan snowing beam 3windcw ;izes; pou2d founa design, ztc.{
• 1 szt of Energy Calculapons
• 3 copies of Tree Preservation Plan if lot plarted aRer 711793
. Rim Joist Detail Op[ions selecGOn sheet 1Gmgs with 3 or less unils)
DATE d ,2-
SITE ADDRESS _41:_X1 ItQ_ I OMj%v0 I I
TYPE OF WORM , (19Ai?64
y
APPLICANT t?af ? d- ?o enYar L. ! 5S'1 ma?
_Q,-_t
RemodellReoair Recuirements
. 2 copies of plan
• 7 set ol Energy Calcula6cns for neated aCdilions
• 1 sitesurveytor>xlenoradditions3decks
. Indicate if home served by seFk system'ror additions
VALUAiION 0_(1
_t I MULTI-FAMILY BIDG _Y CZ
4iA?'Fe Pa'ft'o FIREPLACE(S) _ 0_ 1_ 2
763413-9904 --Qry1 a1fl9 al(,,+{, " uC
?%'f0?tie Owne/- CoL?'Z (A,' ,ERSf 8e)6'e/ m55o
STREET ADDRESS /LI'?] &IOMin,o TriAi I CITY_Ea 6 et kl STATE?'INZIP SS/aA
TELEPHONE # b!51- ?53 -33Io3 CELL PHONE # cy F A X # 7H--K ' W-57`'?? 7%
HrorY?,ncr, J Ge?-?z C?,
U? ?JPQ lc1? 1'ELEPHONE?# ?-- _
PROPERTY OWNER
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
EnergyCodeCate9orY _ 1f[\NF.SO'C.112[iLL•:S76i0C:CfI:GORFI ?[IN\I:SO"' t? ?
(v submission type) . Residential Ventilalion Category 1 Worksheet Submitted • Ne ?o Work `t Suhmittetl
• Energy Envelope Calculations Submittetl ?_
? 01
? \\\\ 1510
Piumbing Contraetor: Plione r ?
Pfumbing system includes: _ Water SoRencr _ I.arvTi Sprinkler ? -? )90.00
Watcr Hcater _ No. oF R.I. Baths
No. of Baths
Mechanical Contractor:
Nkckcuiic:il scstcm includrs:
Sewer/Water Contractor:
-- .air Condilioning
I-Ical Rccoecn' S% itcm
Phone #
Phone #
Fcc: 570.OU
............. ..........°---------°° °-•----•-•---°-----°-----------•------------------•-------°----------------•----
I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to compiy
with all applicable State of Minnesota Statutes and City of Eagan Or ' ances.
Signature of Appllcank
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Ot Foundation
? 02 SF Owelling
? 03 01 af _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ?151Z 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
1)" 21 Porch (3-sea.)
? 22 PorchlAddn.(4-sea.),
? 23 Parch (screened)
0 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 37 Ext. Alt - MWti
? 33 Ext. Alt - SF
? 36 Multi
?r- 37 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 35 Int Improvement ? 38 Demolish (In[erior) 0 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof 0 46 Windows/Doors
'Oemolition (Entire Bldg only) - Give PCA handout to applicant
.
Valuation
7 Occupancy '"??r MC/ES System _
Census Code L4 „C- Zoning Ciry Water _
SAC Units Stories Booster Pump _
Nbr. of Units Sq. Ft. PRV ,
-
Nbr. of Bldgs Length Fire Sprinkiered _
Type of Const _?9?? Width
REQUIRED IN SPECTIONS ,
_ Footings(new blde) FinaUC.O.
? Footinas (deck) V FinabNo C.O.
_ Footings (addition) Plumhing
_ Foundation HVAC
_ Drain Tile Other
Roof _[ce & Wa[er _ Final _ Pool
Ftgs _ AivGas'Tes[s
Final
_ Framing _ _
Siding Smcco _
Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (nzw:'replace _
men[)
_ Insulation _ Retaining Wall
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
Copies
Other
Approved By T L , Building Inspector
-------- - - - ------------------------------------------- - - - - - - ----- --
. ?
? ?? P4, 0-716411'1#
yi oea - y
/
Total
y5 .
. ._,.__. _. I ,. . . _-, I I ? . 1- .?,_-.._?
r. Q _
* 7+* 2422 Enterpriae Oriv¢
F Mendota Heights, MN 55120
? PIONEER ?- -_
?
*engneering•• ?f (612)691.1e14
* *?c I
?
Certifictlte of Survey for:'+OSEPN 114• M` aER CONST CO• GC:?
NDRtH
, V
? M. oo Denafes Exisfing fl\tions
? oo.oo Denofes Draposed Elevahons
----- -- Dmotes Oroma`s? e UI?lif?y Easerr?enl
Oertoles lJraine ?low xlrrow5
o penofes Monu ent
9earinjs shown art ossumed
s s?.
ZC)/y/
PROPDSbD NOUS£ ELEYATIONS
Lowrst Floar Elevation 8'+(- 9
?,? o"alock E/evolion $So.'?_
VOrdje S/ab EleVafron 60o. 6
o De/toles o f'sef llub
LOT 3, BLQC,4%1 3, SNEPwOOD DOWNS
DAllO7A CoUNry, MiNNESOTA Subject to easemf nfs o'^record
I hareby tertifV thet tM1ls 9orvey, plan or report wa?s TprNepnred by me or and•. TY (Ii?ppt yUKi2Ni51011 811fI tI181 1 em duly Paqistered Land Su.Veyn.
?i?ider the Inws of NB State of Mlnneeata Oa[ed th15 ?1i? daY ?f M AY A.D. 19
Rav; 511519i meued ? ??!
7 t?ef /3nc?c, ?? i
n ?
SCQ?IG ' 1 inch .? f eC
i.?7i'G ?"" _ '05ERT 8.51 11 N 6-S. HE0. V. IQ891
ebyv SFwtiV d'-rm?
. 07%29/2002 03:13 TEL i
?
s?aoae.sn?,o. a? rnaor.
763+413+2579
59+41J+2579
GOLTZ COMPANIES
?
CDO 1
. ? ?
?
INC.
2419 216th Ave. N.E. Eaat B
MN 55011 • Phone: 763.413.9909 Fax: 763.413.2579 • www.gohzcomponios.com
Fax Cover Sheet
July 29, 2002
To: Ferry
Of. City ofEa?qan
Fax #: 651-681?694
Pages: 2 {Tgcludes wver aheets)
From: Scon GoltI
OF Goltz Companiee Inc.
Oflice: 763-413- Faoc # 763-413-2579
7•
Re- MN Engineer Stemp, Address' 1487 Paiomino Trs7, Eagan
Terry,
I have enclosed a copy of the dommew that Wayne Larson did for ua regarding tle
Harkford Conser?awty. I hope that this meets all of your needs. Tbanks for seperating
the twp permita pr us, I wasn't sure how long this was going to take.
Please caU rae at I 12-685-5312 if yw have atty quesdons-
Successfially, fi
Scott Goltz
Goln Come
- inc-
:
CREAT1Y£ !lDDITIONS•
Design • Huild - Remodel
07i29/2002 oa:ia TEL 763+413+2579 GOLTZ COMPANIES
T?i`_w? '',;: ?Jil :lJ•?J ."^.?'-Y?l Liik?Uk L'314FAiti12S fkn '. F12 42E 60yG
• ?
I.wson lnlnwNoO or Minrnsofs
8526 Ubors Rwd
wnlp ear L.ke, Mn s61104100
4S1 Ii1.9420 :66t 461-9YDi
? Larson
Ju3y 29. 2002 -
Goltz Co. Ina
Attn: Rani+ Gol
2419 216 Ave. NE
Fest Bethel, MN 55011
Re: Hertford Co at
Strucnual Rqview
Dear Randy,
This is to eertify that 1 ltave reviewed the "Test ond Regulntory Report" prepnred bY
Norton S. Re er, PE far the Haat£ord Conservatories.
The calculation9 and test data verify thac ft Hartfocd Canservatories meet the currcnt
structural requiromenu of the State of Mianesota Building Code. This includes Snov?
L.osds of 40 PSF, Snow lhift coadiaons and Wind Laadings of 80 MPH.
If you have any questians regazding this canification Dlease contact me st any time.
,
MinnesoW R,egistratianI3o. 7831 t ppo, #
EMGtNEER
9 ZYyo
??fi ???
Qoz
F. 1 ?.
. CITY OF EAGAN
' 3830 PIIAT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454 8100
"opmCAT.;ium
FOR CITY USE ONLY
PERHIT # /JTfD9
RECEIPT #
DATE: CO/a 9
RESI?E? PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH i1NIT.
------------------------ --------------------------------------------------------
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME : V l° P_;'
SITE ADDRESS: 1-A
LOT: s RLOCK 3 SUBD. ST\C,rk0C)L)C? jQ4-C:b\?
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $?o"
STATE SURCHARGE: .50
TOTAL: $ 343 ?V
INSTALLER: Qz1lv?-n, hP (A 1k\
-
ADDRESS: c) C) ? NATURE OF PERMITTEE
CITY: C% ?_- ZIP:
PHONE #: ???? ?o,?) a
COMMERCYA1.jTt7AUSTKIAT. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:_
IAT: BLOCK .
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
SUBD.
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
( S IGNATITRE )
$
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN, MN 55122
PFIONE: (612) 454-8100
..........
???mm?,??
FOR CITY USE ONLY
PERMIT #
RECEIPT # U
DATE:
PLEASE COMPLETE OPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS NHEN PERMITS ARE REQIIIRED FOR EACH DNIT.
WORK DESCRIPTION
NEW CONST I?
ADD ON
REPAIR _
OWNER NAME: Lla-Z_ 24.PP
ti I n ' _ c
SITE ADDRESS : U'0-Qd 7nxnti.ts .J•'te?
IAT : ja BLOCK ,_?_ SUBD. rJAn •,) ? JC_U?
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
aDDRESS: 14745 South Robert Trail
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
/ SHOWER 3.00
3 WATER CIASET 3.00
BATH TUB 3.00 La ?
?
? LAVATORY
KITCHEN SINK 3.00
3.00
-3
/ LAUNDRY TRNY 3.00
HOT TIJB/SPA 3.00
/ WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
L (MINIMUM - 1) 3.00 J?
_ ROUGH OPENINGS 1.50
_ OTHER
_ WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
Ys ?
SUBTOTAL S
ST. SURCHARGE .50
4
TOTAL: U
S y5 ? r
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
M[TLTI-FAMILY BUILDINGS WHEN SEPARATE PERMZTS ARE NOT REQUIRED FnR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
I FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
?
CONTRACT PRICE x 1$ $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
CITY: Rosemount, MN Zip; 55068
0-T
671•UU+
54•50+
436•00+
i , 2,211•50+
?u"'? 3,373•00*
I?IIy
` 1991 BUILDING PERMIT APPLICATION
, - CITY OF EAGAN
SINGLE FAMZLY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MULTIPLE DWELLINGS
COMMERCIAL
/
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL i
REGISTERED SITE SURVEYS - 6 STRUCT[IRAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NDT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PE:
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS Orvµ?{le} P??IT AA,53BE
PERMIT MUST SHOW A LICENSED PLUMBER. II?II
To Be Used For: New Home
Site Address 1487 Palomino Tr
Lot 3 Block 3
Parcel/Sub Sherwood Downs
Owner
Address
City/Zip Code
Phone
Contractor Joseph M. Miller Const
Address 18133 Cedar Av So
City/Zip CodeFarmington, Mn 55024
Phone 431-2001
Arch./Engr.
Address
City/Zip Code _
Phone #
,09/ oQo ?OFFICE USE ONLY
Dccupancy 12-3 M -1
Zoning rL-i
Actual Const V - N
Allowable v -N
n of stories
Length r12
Depth
S.F. Total
Footprint S.F
On site sewage_
On site well
RWCC System /
City water ?
PRV
Booster Pump
APPROVALS
Planner _
Council
Bldg. Off. W, S?)
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
1, 00
373•
1 ^ ? agrees that all work shall be done in accordance with
(S nature of Contractor
Valuation:*0-,Date: May
?
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
__ ?. ?,?'*?! •
li x?= 2za
l I X 22, y l?
.?--?
638 XiS= 9S'`7o
42 X!?7= G??
(-?, k I'l = loa
16:WS = 28 q?
' IS
f1 X`1 .??--
' I04 wG? i?d= ?c?24?K
Is? ???0 r?
f x? 2 - ? 2
ILI`70 3341
?o8I?14? ora Iocj?ooo.-
. ?_...__i ?iiai I ireI Illi bGlI -4c.c
Y.01
?? ?•
* PIOi
*engi
* ?t *
2422 Enterprioe Orive
EE,R MendOtd Neights, MN 55120
!erirlg o. (612) 681 •1974
Certificate of Survey for.JOJEf"N 1V• MYLE/'S l..ONJ TCO. G?
NoaTN
S s?.
s?s-s 2 ?
. ?• ?
R ,
,
,
A 14P
q
\ ? \
Y?
?i 'ry" n f\
sf
\ \ p? ? Q
?
i
a ?
I
i
i
0
n in 0'
1 '3
?? ~$1f
x son.oo Denotes fxrsf+'ng EI\tions' .
x ov.oo Denafes proposed Efevatfons
'--- -- (Jtnofes CJroina,o e 'U1?lif?y Easerrren{
-? Oer?ales DrainaQ?e ?low 14rrow5
o [knoi'es Manueenf
gEOPiqS 9hnwn ore a9sumed
h'
? E3.5
?
? o
ti•
W
N
/g79.o '
? ?C?-?- ?"-----.
E'A?AN ENciNEExiNG pEPT
` PQOFIOSEO NOUSE ELfWT10N5
Lowest Floor Elevotion 87&?. 9
??p o^Glock f/evo/ion C980-'q
Gorage S/ob Elevafion gga. 6
o Denoles ot sef Nub
LOT 3, BLdCI? 3,9N?'Rwooo Dowrus
nAKOrA COUNIY, MINNESOTA subject to ea5emcnfs o;"record
I lrere6y certify thet tMa survBV, plen or report w?a?v ?p-r(e+ pered 6y me or under my dlrBCt superai570n and lhat I em duly Regis[ered Lend Surveydl
under the laws of th9 State of Minnesota. Oated thiEJ..7?_ day of M AY q,0. 19
)Qav: 5f i5/qJ moaOW lJ`c.r 7ill ?3AC?c, '/? _!
Scale ? p;^? _ q?f ?? '
./a OBERT B. 51 IGH ?,-5. REG. O. 1 M1691
??Za f. Y'
?y+
n. .i .
111NNESOTA STATE EIJERGY CODE CALCULATIONS QO,??1
, BASED ON CNAPTER 5 OF THE
MODEL ENERGY CODE - 1983 EDITION
• Adoptlon Effec,tive I/l/84
C!/
Owner Phone Date'_
1 r51 te Address !_--D-r 3 13LO ck 3?- O 1L cl-) h3`j-
Contractbr ?(I/V ? Phone
-?
Building Classificatlon:
Type Al (Single Famlly E
4 -Type A2(Resldentlal)
Duplex)
-, (3 storles or less
NOTE: Complete pages 3 and 4 first. (Other) • (Over 3 storles)
GENERAL INFORMATION
l. Bul lding Perlmeter ?7?? WQ?? sN?= i
2. Wall helght (ground to eave) ft:
. 2?
3, 1, x 2. (above) gross wall area_JZ_?)A.3-ft. 4.. Bullding dimensions (L) X(W) =15_.0:w:2_ft.2 roof b floor area
5. Square_foot area of rfm jots[ - Floor Jolst size (2 x C2 7 ) ),/,..-- ,f?z
7 X Perlmeter ¢ R(m olst area ??
1p
6: Doors - Area , r
ihickness In. U factor 44 4 7 • .' '
Type of Construction Perimeter ft•
Manufacturer
7. Total door's perfineter ^-? ft
8
Windows: Manuf cturer
U factor , L
State approved
TYPE , SIZE AREA (Ft.?) NUMBER OF
• EACH UNITS
?J?'? ? ? ?17iK.. c??-1 ?
?.
? .
? •
9. Total ft.2 Glass Z4;
10. Flreplace area; Width X tielght = x t ?-
11. Exposed founda[lon: Helght X;PerimeterpX- -?--?--
COMPLETION OF.THIS 'FORhI IS REQUIRED FO,R AI.L C TRUCT1ON, MAJOR REMO L
MOVED WHERE ENERGY, OTNER THAN 7HE MINIMAL CODE ALLOWANCE, IS USED.
TOTAL FEET 2
Ft.Z
Ft.2
BEII
12. Framin9 area = lOx of gross wall area. 1 0'v14?
13
' ?
area
Gross wall
J
Window area A 4
ft.Z
Z
Rim joist area A ? 'T 7 ft.
bgcr area A- 2
ft.
-F4-rep}k-t! area A ft.Z
Z
Exposed'founda tion Aft.
Z
Framing area A V-f 5Z,.3c ft.
Net wal l area A ft.
ft.z .. "
U windows =1 U Z, A = 119?
U rim joist = ,QH ? U x A=. 5 '
U door area U.x A=
U fireplace U x A= 3 d
U foundation °,02„V U x A? ??a9
U framing area = #Oq57 ll x A¦
Uwa11= UxA= 7.57?
?-- .?
' (_138). TOTAL . . . . . . . . . U x A
14
15.
15A.
158
15C.
15D
. .
Gross wall area z 0.11 (A-1 single family 3 duplex = allowable U x A/Code
(13. above) •
x 0.23 (A-2 other residential)
x :23 (Other buildings) •
x .28 (Over 3 skories) . ?
I BTUH Must be larger than;
A- x U Cq?de,..__ = S?? -°T. 138 above
.:
Ceiling framing area (Af) equals 10% of ceiling area or the. same as}
;
?
. ° / S/? ft.z
Gross ceiling area x (W) = (L) ?
Joist are0 (Af) =,lOb ceiling area ft.2
Net ceilin9 area
U ceiling x A c_
tJ framin9 x A
TOTAL' U x A .
f-
(Ac) (15A - 158) ft.2
,bZ?Z x?3f°? _ 3o,a.S
?, d23 x??. 2 = 3• ?9 ,
..... . ................... . . . . . . ....? \.\ Y?
16. Celling area.(15A) x 0.026,I(A-1 single family 8 duplex - code allowable U x A
x 0.033 (4-2 other resident!al)•
x 0.06 (other)
,OL BaUli • Must be larger than •15D (above)
A(15A) J r7I0 x U code = F (or the same as)
NOTE: Use U and A values obtained from pages l,•3 and 4.'
CERTIFICATION: I hereby certify that l'have calcula[ed the "U" factors and "R" values
herein and tha[ the bullding here described meets or exceeds the Sta[e of Minneso[a
Energy Conservation Act. ' .
Date
i
Signature•
? 2.
U VALUE CALCULATIONS
- WALL -
SECTION
STUD
SECTION
2ND WALL
SECTIQN.
A 1!1
JOLST
R VALUE U VALUE
Inaide air,.film .68 Interior wall ? •`Cf '(Hall), U
- R
Insulation Shcathing
Slding •?07
OutsLde air fllm 117
R TOTAL
Inslde.air film ? .68
interlor vall .??
411 stud R= 4.38 (Framing) U• R •
Sheathing iZ.O(O
Slding
Outslde•air film .17
R TOTAL f ?• J 3
Ineide air film R".68
Interior vall
Ineulatlon
Stieath ing.
Exterlor Wall covering Ex[erlor air film' R -.17
R TOTAL ?-
In[erlor air film R= .68
• ??
.?
(Wall ) U - R ? ?/ •
.
r \
4
? lnsuletion Ic1. 0
l -
l?! Lnch eoEt.t+ood R=1.88 ?Rim ? ? s? n
Jo1St) '
?. Slkeathing Z,.OCO '04'
. I ?
Exterlor vlall covering fp'f Exterior air fllm R= ,17
• , •
? R TOTAL
Intertor air Ellm R= .68 ,
lnsulatlon, 11.0
?
Foundatlort • 7-0 (Fdn.) U
E:c:erlor elr Eilm R' .17 ? ()7?
F TOTAL I?J' • I? -?
?Exposed;BLuck -• ,
\',?? ? ?`Cirade 3.
CEIIING WI7H YEtITEU ATTIC SPACE A6u ?LUE
• R '! LUE
FRAMING CEIUNG
' . . _
. . . 0.61 ' Air Film • 0:61
c;, Insulation ?I c_:;>
Joist
n Celling •5CO
, 0.61 Air Film 0.61
-
LICe Total R ?• -70
2..
' . OrD 7,3 . U a ? • ?L?? .
FLAT ROOF OR CATHEDRAL CEILING
R 7ALUE
R Va ve
F RAPI I NG CE I L I NG
0.61
0.17
Inside a1r f11m 0.61
Ceilin9
Joist (stu
Insulation
A1r space
Roof decking
Insulation
8uilt-up roof
Outsid'e air f11m 0.17
Total
U
?R
R
dindow infiltration .5 cfm/lineal foot of crack
tesldentlal door infiltration 0.5 cfm/square foot or door and minlmum code requlrement4.
•lon-resldential door infiltrat.fon 11.0 cfm/lineal 'foot of crack
lb 12" concrete block no insulation =.47 R 2•1I
)b 12" concrete block insulated cores =.26 R 3.8'
J5 12" liglitv+eiglit block =.32 R 3.1'
1b 12" liglittirei9ht block insulated`cores =..12 R 8'31I ,
J single glass = 1.13;
1 double 91ass = ..55...
J triple glass = .41
with storm taindow .54
all exterior walls and ceilings must have a vapor barrier (0.10 perm max.).
:apor barrier must be on the inside (heated side) of oiall.
iapor barriers of the po,lyethelene thin film have no R value.
. I . ?
,
° 4.
,. .
2005 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MPI 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reouirements RemodelfReoair ReQUirements
3 regislered site surveys showing sq. R. of lot, sq. H. of house; and all roofed areas 2 copies of plan
(20 k maximum lot coverage allowed) 1 set of Eneqy Calculafions for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey (oraddi6ons & decks
1 set of Eneqy Calculations Addrtion - indicafe i/on-site septic system
3 copies of Tree Preservation Plan i( lot platted after 7/1193
Rim Joist Detail Options selection sheet (buildings wAh 3 or less units)
`t4314.4(4-
Offce Use OnN
CerlofSurveyRecd _Y _N
Tree Pres Plan Recd _Y _N,
Tree Pres Required _Y _N
On-siteSepticSystem _Y _N
1`neo tei C1n.,
D / ti
C
t
C
t
ate ruc
ons
o os
n
SiteAddress a?Ortiiav //L . UniUSte #
J? IZz
Description of Work /Ze e4??,/ R, ?Sd'" ?rG l r^ ?
Multi-Family Bldg _ Y x N Fireplace(s) _ 0 X 1 _ 2
Property Owner C-?eDU`=i0 `45?G+'1A? ? Telephone #( 6 0
Contractor S10A,1
Address 5_3f?'9 City W . h- Gi.?
State `l'
1 4/ i
Zip ?
Telephone # ( 7liS )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mutnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Submitted - Submitted
• Energy Envelope Calwlations Submitted - - ' `' -y
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building 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 State of MN
Statutes; stand this is not a permit, but only an application for a permit, anokork is not to start without a
perm' , t at?tlie work will be in accordance with the approved plan in theA49 of )P*k which requires a review and
plans.
s Printed Name
OFFICE USE ONLY
... ..?
Sub Types
? 01 Foundation ?
? 02 SF Dwelling ?
? 03 01 of _ plex ?
? 04 02-plex ?
? OS 03-plex ?
? 06 04-plex ?
Work Types
? 31 New
? 32 Addition
? 33 Alteration
p 34 Replacement
07 05-plex ? 13 16-plex ? 20 Pool
08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
09 07-plex ? 17 Garage g 22 PorchlAddn. (4-sea.)
10 OS-plex ? 18 Deck ? 23 Porch(screenlgazebo)
11 10-plex ? 19 Lower Level ? 24 Storm Damage
12 12-plex Plbg_v or _ N ? 25 Miscellaneous
_2l°Pj+Ge_ 3 Seft55Dn I o y SeA-sot-.
? 30 Accessory Bldg
? 31 6ct. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundafion ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrs
'Demolition (Entire Bldg) - Give PCA handout to applicant
valuation l 3, a oa , od
r
Plan Review 100% or
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy MCES System
25%
Zoning City Water
Stories Booster Pump
Sq. Ft. ( ? PRV
Length ( 36? Fire Sprinklered
Width ?y g _ Footings (new bldg)
_ Footings (deck)
_ Footings(addition)r-KrSTSvy,)
Foundation
Drain Tile
Roof Ice & Water Final
'X Framing
Fireplace _ R.I. _ Air Test _ Final
`L? Insulation ,
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaUC.O.
Lo FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
/8$ syaPc?' . xsy.ao = / o, 157 2- ._'
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2001 MINNESOTA ENERGY CODE
I-2 Family Residenfal Dwellings
"COOKBOOK" WORKSHEET
Applicant Name Phane
r
-/'? r'iy I? I r /?9 p
f?"` O lt- Date
/?/[? ? plxns rnnsi be clenrl}' marked wi[h"
msulation R-vxlucs
window und sl.ylight LJ-value $t8t01nCTl.l 0f COll1pl181iC8:
71ie proposed baildine desim represented in theve Jocunicnfs
is consistrnt with thc boilding pluns
specificetionx
and
Appliwnt Cumpatry
( S i oN ????C(i( ?? ? size and type of equipment
Hlocation uf interior air bames, vapor
retutdcr and wind wush barrier ,
,
und other calculmtions snhmitted with llw pemtit npplication.
'Phe proposrd building hav been desiened to mec[ the
mquirements of the Vlinneso[a F.ncrey Code.
Build'utg Address
%197
'?
?
I Z Z
P Dequipment conV ols
J?
fi
?'L O?LtlNi? ?!4'/L C? kPPlica
M[NIM[JNI REQU[REMENTS for "Cookbook" Options:
ntry onrs 1-37 so i woo or mammum -v ue o
0.40 m me -? msu atlon perlocmnme at wmter esim
condition) caUne system e ic1ency:>=9 / A ,
roun ation / msu nle y:as m woo orvmV hamq
Windnws+ or masimum U-vlxue nfU-0.51 •oun hon wa ms atlon R-10 (i ai crent -va ue is
used, adjuxt t6e qequired uverage window iJ-value by imJo7r - e
c u c oun bon wm ow Win syuare oo[a¢e m
cxlculationafwindow/Door uen comp ehng ie wor eel on e nexl page . oor over uncon rtwnei space K-30
WindowanddoorArea 100X "`9 7 0/ p- IpIVjpo% ,/- WINDOWII-VALUE: '31
As k of Exposed Wall Area Window/Door Area Gross Wall Area Window/Door Area Source: NFRC ? or Code Defautt table
MAXIMUM AVERAGE WINDOW U-VALUES
FOR R-10 FOUNDATION WALL INSULATION & 90% AFUE FURNACE
Check Wall; Maximum Total Window and Door Area as
:
Type Used Percentage of Exposed Wall: 10% ; 12% ! 14% 16% ..._..........
18% ..
: 20% _ .
22% : .
24% 26% ' 28%
all Type ; Maximu m Average Window U-val ue
2x4, R 13 insulation X< R 5 sheathmg 0.37 : 0.37 0 33 : 0.28 0.25 . 0.22 02 0.18 0 17 ; 0.15
2x4, R 13 insulation
X> R 5 sheathing
0.37 i
0.37 ;
0.37
. 0.37
0.37
0.33 ! _
0.30 ; _......
027
0.25 '
0.23
2x4, R 13 msulahon X> R 5 sheathing 0.37 : 0.37 0.37 0.37 0.37 0.49 0 33 0.30 0.27 0.25
2x6, R 19 insulation X< R 5 sheathmg 0.37 ' 0.37 1 0.37 0.37 0.37 Z,
P
3 9.29 0.27 0.24 0.23
2x6, R 19 msulation X> R 5 sheathin9
_
..... _... 0.37
; 0.37
.. 0.37 . 0.37 . 0.37 37 0 35 . 0.32 . 0.29 ' 0.27
2x6, R 21 insulation, X< R-5 sheathing 0.37 ! 0.37 ! 0.37 : 0.37 0.37 0.35 0.31 0.26
0.26 !
024
;2x6, R-21 insulation, X>- R-5 sheathin 0.37 i 0.37 ' 0.37 : 0.37 0.37 ; 0.37 0.36 0.33 0.30 ` 0.28
If foundation wall insulation is either less than R-10 (but not less than R-5); or R-19 and above, then use the tables appropriate for those values.
X is equal to the R-value of the sheathing
This is a summary only. Other requirements may apply. See the Minnesota EnergY Code. 4uestions 7 Call Department of Public Service Information Center at 651 296 5175 or 800 657 3710
4
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAY 242012
r
Use BLUE or BLACK Ink
For Office Use
Permit#: i0q•:i)
Permit Fee: 2-2,0
Date Received: C r /7
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
RESIDENT /
OWNER
Name: (2- c c.t_ 6 f .L L l ,siil "q/},f Phone:
Address / City / Zip: PID,
.'„ /
Applicant is: Owner >e Contractor
Description of work:
Dec & r
..SEl—
Construction
Cost: 2� O4d 0
Multi -Family Building: (Yes / No )
Company: Pee e,,Jet l Gw;•)o r-' Contact: 3ed'L Lae,
Address: Y7 7 8 L ZAve I
C t—.
State: M N Zip: SS `(K Phone:
City: vi k
612-2o6-Li1'i'
License #: c OL( 6OO, 2- Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
.80t47- 14> 9/
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information Portions o
the information may be classified as non-public; if you provide specific reasons that would permit the Citv't
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. Lie
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
./
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
14 Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
/01(43t
P-47 ,ei"r`inb
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
-a7
7^(
lot it
/O
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
01.
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air'/Gas Tests
Siding: Stucco Lath _Stone Lath _
Air Test _Final Windows
Retaining Wall: _ Footings _ Backfill
Radon Control
Erosion Control
, Building Inspector
TOTAL
Final
Brick
Final
?37=
Page 2 of 3
•
* PIONEER
e� gi* eering,.
** *
BY:
DATE:
BUlILmr
t`{ri \'c(6 :-D Tr -
.a2
o 63/
2422 Enterprise Drive
Mendota Heights, MN 56120
(612) 681-1914
Certificate of Survey for.JO M. MILLER CONST CO.
1
NORTH
w
4!4,
r. s ', ti
et
/,t
;TIONS O(4,4 ON
kA
3.
1,
4'.
4 to
to
$7g.z `i EAGAN ENGINEERING DEPT
r"
x .900.00 Denotes Existing Elevations'
4000-o)) Denotes proposed Elevations
----- . _ Denotes Drama a rl/filif Easemen,
----.— Dena/es &vino e Flow Arrows
o Denotes Mona en f
&arils shown are assumed
•
Pt PoSwD f oriSE ELEVATIONS
lowest /Floor Elevation bio• 9
74/1 of'alock E/evedion ('8a-19
Gorcrle club Elevation o.
a Oenolef o set Nub
LOT 3 , BL 0Ck . , SHERWOOD DOWNS
O,4KOTA COUAITy, MINNssorA subject to easements of record
I hereby Certify that this survey, plan or report was ��p-rreepared by mo or under my direct supervision and that 1 am duly Registered Lend Surveyttr
under the laws of the State of Minnesota. Dated this -15... . day of H �Y A D 19 90
;4 �5/jji Ig, mom/ bowie f
owie 7 l,13*e&.
.J ct...I e
02 06. '10
.x.11 , 1
OBERT B. 51 IC LS. REG. 0. 1.4891
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129871
Date Issued:03/20/2015
Permit Category:ePermit
Site Address: 1487 Palomino Tr
Lot:3 Block: 3 Addition: Sherwood Downs
PID:10-67670-03-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
George W Lishman
1487 Palomino Tr
Eagan MN 55122
Exteriors Of Excellence
4580 Scott Tr
Suite 204
Eagan MN 55122
(952) 239-0560
Applicant/Permitee: Signature Issued By: Signature