1503 Palomino Tr
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GITIf OF EAGAiV
3830 Pilot Ifnob Road
Eagan, Minnesota 55123
(612) 681-4675
S1TE ADDRESS:
PERMIT SUBTYPE:
I
I I- I'il i N
oN REcoRn
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
.i (h1c?) h??-(9i?WI
TYPE OF WORK:
ti I NnI
Permit No. Permit Holder Oate Telephone p
S!W
PLUMBING
tiVAG
ELECTRIC
ELECTRIC
Inspectlon Date Inap. Commenta
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Firep?ace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Deck Ftg.
Deck Final
weu
Pr. Disp.
SEWER 8 WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd. .
Eagan, MN 551 22-1 897
DATE FLB ?u. 1991
, OFFICE USE ONLY
METER #??? aa 9?a PERMIT DATE Ul????91
UiIP # ,Qa/39 ? 557 PERMIT # 11334
METER SIZE ~ { e A) Su S B.P. RECEIPT # L
ISSUE DATE B.P. RECEIPT DATE 02 6 91
- PRV - BOOSTER PUMP
SITE ADDRESS ? '? •j ! =? ? ' -
LOT ' BLOCK ' SEC/SUB
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE:
PERMIT REGIUESTED
X SRWER ^ WATER - TAPS
- COMM/IND X RESIDENTIAL
ZIP - NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: 3i:NZ-RYI?ld PLUMBIN? Ahead of Domestic Meters on Water Line.
ADDRESS: 14745 5 n(}BERT TH Credit WILL NOT be given for Deduct Meters.
CITY,STATE HOSEMOliNT MN Zlp 55068
- . ,
,21_1144
PHONE:
I GREE TO COMPLY WITH CITY OF
OWNER: •t01Si:PH H Ni1LLE2 ??5"TSTRUCI'l0id INC EAG ORDINA
ADDRESS: 18133 CEDAFt AVk: S
CITY, STATE "'-AM4ING'fnN ?IT Zlp 55024
PHONE: 31-2o01 S TURE Ni METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CITY OF ?AGAN ??A ? ??'?Z
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ?2d
BUILDING PERMIT Receipt #
Tn hc ncatl fnr 5iF DWG/GAR Fet Valiio ;I09,000 flnta t?1E8 26 19 91
Site Adc?ress ; ?J rw?at?wi ??x
Lot Block Sec/Sub.
Parcel Na.
Name
Address
Signature of Permitee
A Building Permit is is
i and slate that the
applicable State o!
8uilding Official
W Name ...."?.? ., V....?W waw...W....v?.
? Address 431--2001
0 n:a._ n?---
OFFICE USE ONLY
l4-3 M--i
-?1
Bldg. Permit
54 *St1
- Surcharge
????
?21 Plan Review
1
D
100000
SAC, City
650.00
- SAC, MCWCC
660'00
e waterConn
90.00
-?
?
- Water Meter ? *00
Z Acct. Deposit
- 30000
StW Permil
- S1W Surcharge ? so
276.00
TreatmentPl 370.00
Road Unit
= Park Ded. j
?
- Copies ?
3.363.00
?
- TOTAL
Date
PLUMBING
isul.
Bldg. Fnai
Deck Flg.
Dedc'Final
Well•.
Date
?-?•?
d'r .'s4
Ter#t#tra#r uf (Oxrupartry
,
Citp of eagan
Eepmtnm uf WWtdhtg jwrrtian
T7iis Certificau iawed pursuant to the reqrwMents ojSe+clion 306 ojlhe Dnijonrt Building
Cade cerlr'fy?n8 thcl at the lim ojissumrae thissbuclure nas in compliance with the mrious
ordinancrs oJtlre C7ry regulaling brrilding constnuxion or rese- For lhe joUowing.
u= a.u;rc.eo SF IW/GAR ejg. p,.jN.. 18742
POST IN A CANSPICUOUS PIACE
CASH RECEIPT
CITY OF EAGAIV
3830 PItOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 21:? 19
. ? ,
? ? ?-??:?}? ? + ? , ? ? ?;?.k; t t?,:??i.!;. '? .?,?; ? 1
-T
A?UNT a 3 4a)
s ooLuas
'oo
O CASH I?CHECK
U
C 12324 WhitP-PaYas C-0PY
veibo-posexg copy
Thank You
? ?.-
BY
SEWEft WWATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 551 22-1 897
DATE FES.._2b, 1401
?
METER #
CHIP #
METER SIZE -
ISSUE DATE -
OFFICE USE ONLY
PERMIT DATE 02127191
PERMIT # 11834
B.P. RECEIPT # ?"
B.P. RECEIPT OATE
_ PRV _ BOOSTER PUMP
SITE ADDRESS 1503 PALOW.aO TR
LOT 7 BLOCK 3 SEC; SUB S1iExWOD OOWNS
APPLICANT:
ADDRESS: ,
CITY, STATE
PHONE: -
T
ZIP
PERMIT REQUESTED
3- SEWER X WATER TAPS
- COMM/IND X RESIDENTIAL
g_ NEW - EXISTING
• Lawn Sprinkler Meters are to be Installed
PLUMBER: GE2tG-RYAN PLIlMHImG Ahead of Domestic Meters on Water Line.
ADDRESS: 14745 S AOBERT 'L'ft Credit WILL NOT be given for Deduct Meters.
CITY, STATE gOSMOUT MN ZIP 55068 PHONE: 423-1144
: ' ..,
I iGREEOTO COMPLY W4TH CITY OF
OWNER: JOBUR N MII.UB CO1fS4RUCTION INC EAGAN ORDINANCES
ADDRESS: 18133 CED/1R AV8 S
CITY, STATE FARKIIIMN MN ZIP S5024
PHONE: 431-2001 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Address: 1503 PALOMINO TRAIL Lot 7 Blk 3 Sec/Sub SHERWOOD DOWNS
These items were/were not complete at the time of the final inspection.
Date: 5/1/91 Yes No S
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry LZ
Permanent driveway
Permanent gas ?
Sod/seeded grass
Trail/curb damage
Porch
Basement finish ?
Deck ?
Pleasa verify vith the builder the ramoval of roof tast caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet befora
freeze potential exists. ?
White - City copy Yellow - Resident copy Pink - Contractor copy
..,
DATE:
PES 27, 1991
RE: 1$03 PALOMINO TR (JOE MILLER CONSTRUCTION INC)
x Your Sewer & Water Permit tor the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
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 at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY UEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN Np ? 8?42
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
/ /
BUILDING PERMIT PHONE: 454-8100 Receipt # ?? ? i Z22-T
7o be used for SF DWG/GAR Est. Vaiue $109, 000 Date FEB 26 , 19 _.41-
Site Address 1503 PALOMINO TR
Lat 7 Block 3 Sec/Sub. SHERWOOD DOWNS
Parcel No.
w Name JOSEPH M MILLER CONSTRUCTION
? Address 18133 CEDAR AVE S
City FARMINGTON phone 431-2001
Name _
Address
Gly _
Name _
Address
Phone
Phone
I hereby acknowlege Ihatl have read this applicanon and state ihatthe
inlormation is correct and agree to compty wRh all apphcable State of
Minnesota StaWtes antl Ciry I Earg?n Ordi a
Si9nawre of PermnPR f??/? ?
A Building Permit is issued to: -lutix:PH M MJI.I.H:N CONtiT
on the ezpress condition that all work shall be done in accordance with all
applicable Sta[e of Mmnesota Statutes antl.yCiryof Eagan Ordinances.
Bwlding Official oolq?1(?
OFFICE USE ONLV
Occupancy R-3 M-1 FEES
Zoning R-1
(AClual) Const .VL-_N eldg. Permit 671.00
(Anowable) V-N
Sumharge 54. 50
x of Siaries 436
00
Length 721 Plan Review .
Deplh _IC)? SAQCity tOO-OO
S.F.7otal - SAC, MCWCC 650.00
5 F. Footprinfs -
On Sile Sewage - Water Conn 660 _ 00
On Sne well - Water Merer 90.00
MWCCSyslem ?C_
Accl Deposit
30.0
0
Water
Ciry
PRV Required - S/W Permit 30.00
Booster Pump - SlW Surcharge .5
?
Trealment PI
0
276.0
APPROVALS qoatlUnit 370.00
Planner - park Ded.
Counal
BIdg.Ofl _ CoOies
Variance - TOTAL
0
.5.368.0
,3/PJ(o/9? ;ESee QUEST ? FOREwECTR1 ? CA ? LtiNSPECTI ?ON
,
a 39160 - "X" 13eJow Work Covered by This Request
EB 00 OB
?9si
e 6dd Rep TypeofBuAtling AppliancesWired EquipmentWnetl
Nome Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Oryer Olher (Specity)
Comm./Industrial ' Furnace
Farm Air Conditioner
Olhei (specily) Conlracta's RBmahs
Compute lnspecfion Fee 8a/ow:
N Olher Fee # Service EnirenceSize Fee # Circuiis/Feeders Fee
Swimming Pool I 0 to 200 Amps /? 0 to 100 Amps
hansiormers Above 200 _ Amps 70o Amps
Slgns InspenaS Use Only' T /
?
Imgation Booms .
?
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDEFIf ISCONNECTED IF NOT
O[her Fee COMPLETED WITHIN THS.
I, the Elecirical Inspector, here6y
certdy that the above mspection has
been made. R°u9n-in ??n
Finel oaie ?
Date
OFFICE USE ONLY TTis repuest witl 18 monHw irom
3?0?l0/7'/ /UUJ 7'
M 3 916 0
Repuest Oate
I`13 T C tl 22
19 91 Fire No RougRin Inspeciron
Requ"ai'
? Ready Now swm rvomy Inepector
a
a
wn
d
, Aves ? N. en
aa
y
IWlicensed contractor O owner hereby request inspection of above electrical work at:
.bb Adtlress (Street, 9ax or Route No ) Ciry
503 Palomino Trail Eagan
SecLOn No
Township Nama or No
Range No
CouMy
I I Dakota
Ocwpam (PRlN7) Phone No
oe Miller Homes 431-2001
Powe.suvvlier Ada'"u 4300 220th St. SW
akota Electric FarlDiDgLO D,
Eltttrrcal CoMracWr (Company Name) Vaclor5 ?cense No.
7?
416 10
0
MaNng Atltlress (Contracror w Owirer Makrtg InsWllabon) -
7630 145th St. W. Suite 214 Apple Va11ey,MN 55124
Aucnonretl aWre (ConVactorl(Yw M1yq g Installa0onI . Phone NumOer
432-6688
?lA1NNES6TA SL1TE 80 JD OGIELEGTBIGI ?v THIS INSPECTION REQUEST W0.L NOT
Crlyys-Mitlmy BMg. f/Rocrin 3179 BE ACCEPTEO BYTHE STATE BOARD
1841 UnlvenLLy Ave., Paul, MN 55101 UNLESS PROPER INSPECTION FEE IS
Plwne (612) 1142-0B00 ENCLOSED.
5000 15_?D
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilat Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family bwellings
Townhomes and Condos when pernuts are required for each unit
Date I5 / 03 ROSENBURG,ALLISON
1503 PALOMINO TRAIL
Sli¢ Addl'253 EAGAN, MN 55122 Qttlt #
(651) 688-3024
Property Owner - Telephone # ( ) '
Contractor ??OLOM P.??ING Co.
(612)827-4033
Address City
S
.
State
ip Telephone # ( )
The Applicant is , Owner ? Contractor ? Other
Septic System New _ Refurbished Submit 2 sets of plans antl MPC license $ 100.00
Includes County fee. Additionai consultant fees may apply.
Alteratiuns Ta Existing Dwelling Uniy Including $ 50.D0
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment ot septic system
_ Water turnaround (+ 5!8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair ` rebuild $ 30.00
_ Lswn irrigation system
x
Water soffener
Water heater
- -- _- " t?
- ?,
$
15
00
x replacement additional `ro:. .
„
$
50
StateSurcharge
«' ?0
Total $
I hereby apply for a Residential Piumbing Pernnt and aclmowledge that the informahon is complete and accurate; that the work will
be in conformance with the ordinances and wdes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemvt, but only an application for a pernvt, and work is not to staM without a pernut; that the work will he in accordance with the
approved plan in the case of work wLich requires a review and approval of plans.
Je-? l?orblw?n
ApplicanYs Printed Name A s Signature
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lorc 7 BLOCK:
1503 PALOMSNO TR
SHERWOOD DOWNS
PERMIT SUBTYPE:
FIREpLACE
3 APPLICANT:
BAKER GALE
(612) 686-0807
TYPE OF WORK:
NEW
BUILOING
023163
03/28/94
INSPECTION .. . „
ROUGH-IN FTNAL
?
ClTY OF EAGAN
" 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
a/
?U79. ING
0231 3
03/2$/94
SITE ADDRESS:
1503 PALtlMINO 7R
LO7: 7 BLOCK: 3
SHERWOtlD DOWNS
P.T.N.: 10-67670-070-03
DESCRIPTION:
6,??ildirtgt,Permit Type
Ouild3ng,46wk Type
FIREPLACE
NEW
v
?
?
? r
?-?, ??--*?,? „,.?
??,1.1ff '??:/? ?`????4a67n
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Tatal Fee $25.50
C:UIV I FiAC: I Uhi:
OWNER: - Applicant -
BAKER GALE
1503 PALOMINQ TR
EAGAN MN 55122
(612)686-0807
? n p
I hereby acknawxedge that Y havo r•ead tliis app.t3cati.pn •and statt ttiat the;
inform'-at3on is tzorrect and ei9ree to, curhply ??th all, aPPliaable SCate bf la'.n.
statwtes and City af ,Eagan Ord3rsarvo2s. ?
L - -- -
' APPLICANT/P RMIT E SIGNATURE -ISSUED BY: IG ATURE
-N.??
J
CITY OF EAGAN
.?? 1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans; 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last warking day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 3-?$ Valuation of work
Site Address:_
STREEi , SUITE #
Tenant Name: (commercial only)
LOT BLOCIt SUBD.
tA
? P.I.D. #
(
,,1?
}
Descri tion of work: ?$TTi ? C. c,,e-
The applicant is: JES Owner ? Contractor ? Other (Oescribe)
Name OAAL? Q4C.er Phone
Property LAST FIRST
Owner -
-
t,.
Address t
f
Sa3 ee, T
STREET i STE #
Sr?21
City ? State Z i p
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have 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.
Si
t
f A
li
gna
ure o
pp
cant:
OFFICE USE ONLY
BUIL DING PERMIT TYPE
:
?.
`
? 01 foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Additian ? 08 8-Plex ? 13 6arage/Accessory 13 18 Camm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alteratians ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# af Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? .Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Foating
? Final
? Framing
11 Draintile
MWCC System
City Water
PRV Required
Booster Pump
Fire 5prinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
0 Tnsulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
valu.eia,: $
SAC %
SAC Units
. CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
mG
DWELLINGS &
?SI?E?TT?AI:;E PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY
: : ,.. _ ... . ...: ... ..:.... .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ °-------------°------------------------°
WORK DESCRIPTION FEES
NEW CONST
ADD ON
REPAIR
OWNER NAME: -? c?' m -, \ 1e r Cc,-r.tC
SITE ADDRESS:??b3 a?l ?C1 G ?r G\'
LOT:? BIACKo?,? SUBD. 5????alno?l??i?? ?
INSTALLER:
ADDRESS: ?.? • ? ?1
CITY:?ca/,\"?,?1V ZIP:
PHONE #:
ADD-ON MINIMUM $15.00 '
HVAC 0-100 M BTU ( 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3 3.00
OF 1 PER PERMIT
SUBTOTAL: $? LS)
STATE SURCHARGE: .50
TOTAL : $ ry) ` ?-)
7 tt-f? f ? -
SIGNATURE OF PERMITTEE
/
FOR CITY USE ONLY
PERMIT #
RECEIPT # /U03G 3-
DATE: G/?J 9J
?QAFIdERGIAT.f?ID?TSTLtTA?.?; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY SUZLDZNGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUSD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
ngprFgSFD PI?ING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
. •?, .
o•*
671•00+-
54•50+
430•00+
2,200•50+
3135E3•00*
671•00+
54•50r
436•00+
2,206•50+
3,308•00*
a 1 Y ???
1991 BIIILDING IT APPLICATION
CITY OF EAGAN
SINCLE FAMILY DWELLINGS
M[TLTIPLE DWELLINGS
COMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALC[TLATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SAI.E UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ` Valuation• ? Date: ? o2J -ql
T
Site Address 1603? OFFICE USE ONLY
Lot *7 Block ?J
Parcel/Sub 44??
Owner
Address
City/Zip Code
Phone
Contractor
Address
City/Zip Code 3?t'-
Phone ?e)-r) ?
Arch./Engr.
Address
City/Zip Code
Phone #
Occupancy -3 M -I
Zoning R-1
Actual Const V-N
Allowable V-N
# of stories
Length r/'?•
Depth ,39'
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System
City water ?7
PRV _
Sooster Pump _
APPRODALS
Planner _
Council
Bldg. Off. Z?z -9/ DS'
Variance
FEES
Bldg. Permit 01,00
Surcharge Sy,SD
Plan Review 36. 0 0
SAC, City p1 p,OD
SAC, MWCC 00
Water Conn. (,OD
0
Water Meter 0,0
Acct. Deposit 22, D0
S/w Permit JO-o
S/W Surcharge ,SD
Treatment P1. 7-16,00
Road Unit 179-0.
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
?S ' ?'/
(LIFIL da2j= agrees that all work shall be done in accordance with
(Signature of C ractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?
GAR?,?c
Z Z X30 ? 6?00
Z x 6, Z)
Zx?`1= 3?6
?-
G8b x 15= JbZqc?
FSS )vl T,
x 33r i58g
S ?t ? = C 4S?
Iy?O X Iy = ZO580
IST FLan 2
.?5*n Z' = I v-?,?
Z,--? =, I y
1 K(Z = I 2
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*4( 2422 Enterprise Drive
PIONEER Mendota Heights, MN 55120
* eng * eering - (s 12) 687-1 s14
* ?t *
Certificate of Survey for.vo?IPN "r• "I• IL`J0J CO' "" TCO. ?
NORTH
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x sna. oo DenoFes Exisfrng Elevations PaoposEn NousE Er EvArtoNs
R oo.oo Denofes pr-oposed Elevafr'ons Lowest rlaor Elevation 879.010
--`- -- Dtnaf[s Ora?no e U/r/r!y fasemenl r,a ol6/ock Elevolron S8 Z. o(o
- Dtnofes Drain e ?low xlrrows Gora?e S/ab Elevafion 8€31. ? 3
o Denofes Mon ument
BeariilS Shown are osoumed ? Dmolts e;MSef qub
LOT 7, BLOCAI, , SN[RwooD Dowlvs
DAkOTA CoUNry, MiNNESOTA •n Subfect to earemenls o/'record
I hereby certily that this survey, plan or report was pre ared by o nAer my direct supervisinn and [hat I am duty Registe,red Lend Surveynr
r-
under the laws of the Srete o/ Minnesota. Dated thfs day of ? A.D. 19?
-? ?
? s
q Scale : 1;nch cl oGo (o??? ?ROUER t F. SIKICIt LS. REG. NO. 14091
.'?
Own e r
? r51 te Address
N121/4 '
MINNESOTA STATE ENERGY CODE CALCUlATI0N5 BASED ON CFIAPTER.S OF THE ? ..
MODEL ENERGY CODE - 19a3 ED1710N ,• '.';,'.
• Adoptivn Effective
' phone te
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r
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Contractbr
Building Classification: Type Al (Single Famlly 8 Duplex)TYPe A2(Residentta1)?-°''': ?
. (3.stories or ess
N07E• Complete pages 3 and 4 first. (Other)`._ (Over 3,stori,e5) •'? i
GENfiRAL INFORMATION
1. Bufldlng Perimeter
j
2. Wall helght (ground to eave) ft. .. z '
Z ? • . ''"' , .
3, I, x 2. (above) gross wall area (e ?,ft.. ? ft.z roof6 floor area '
4. Bulldlnq dimenslons (L) i X(W) S. • Square.f_oot area of rim Jolst - Floor Jolst slze (? 2 x ?? ? ?f.t
7 X Perfineter ° Rim o st area
. 12 (t'?.?.`' I
it. Doors - AFea •, ; , r .
7hickness In. U Factor?? • , .'?.'ft.
7ype of Constructlon Perlmeter , : ,
Manufacturet'
' . i • . .? • 4... , • , .. , t;: :
7. Total door's perlmater ft.
8. Windows: Manufa turer State • approved . ,. . .-„
U factor /'[?' . . ;• .i?j?.
7YPE SIZE AREA.(N Ft.z) NUNBER-OF ' TtlTAL,FtET,?
EAC. .?
I UNI'T5
• : ? . ; '„
?7?? (N?(L?. ?-.?-1-I ?? ------- ???a?J•
r ,-.
.. . ?.??? --
I' ' . . ' . ,'i? f, ' ' 1 ' , ' . • . i_
. ' . . ; {.. . . .
9. Total ft.z Glass
z
10. Flreplace area; Width X helght = x ° ?- 1•..Ft; ?
% . t .
a "
11. Exposed foundatlon: Helght XiPerlmeter Ft.
0? MAJOR RE OD NG AN BUILDINGS'BE
COMPLE710N OF THIS'FORM IS REQUIRED FO,R ALL ,v MOVED 41F1ERE ENERGY, OTHER TNAN THE MINIt4AL CODE ALLOWANCE, IS USEti. ,
12.
13.
Iq
,F.raming area s 10% of gross wall area
Gross ivall ar'ea ZZDp/J` ?2
ft.2
Window area A
145 '
Z
Rim joist area A
ft.
__ .... r Z
130or area A' % 3 ft.'
'an area R ft•? ..
Exposed founda tlon A ft.2
Framing area A 2
_q,_-r. ft.
Net wall area A ft.
' (:13B)
s
1 (A l!sin le family &
y'o-z? 1
ft.z • '.. '
U wi ndows • ?_ U, x A°119,
I, U,rim 3o1st i ,Dd I U,x A°, 5 •
U door area <?_ U x A
x° 39,?a
U fireplace = U A
U foundation,° U x A=?
. .? ,
U framing area ?,015U x A=-?
U wat 1 a U, ac A`' Z
. TOTAI . . . . . . U x A ?
. Gross wall area x 0. 1 - 9 duplex = allowable U x.A/Code
(13. above) • ' , '
x 0.23 (A-2 other residential) „
x .23 (Other buildin9s),• , .'tr.'.,•,
x.28 (Over 3 storles) ,. 87UN Must be,,larger than
A x U CQI9g...__ 338 above
. I ('. or ttCe. same,as?
15. Ceiling framing area (Ap) equals lOX vf ceiling area .:-.;;,..
. . . . . ` n ? Sl?
15A. Gross ceiling area = SL) x(W) ft.2
,
156 Jotst areA (Af) = 10a ceiling area - ft.Z '
15C. Net • ceiling area (Ac) (15A - 15Ei) A • ???/? ft•2
U ceiling x A c_ x?S?-° .?J?.?.7 ,. y??`•?,;
''(,; .I' • . .
Q framing x A f= x /? Z- = ? •??' 150. TOTAL' U x A .....................................
.............' . ................ ? ......
6. Ce111n9 area. (15A) x 0.026 (A-1 single -family f& duplex - code allowable U x A t, '
1
x 0.033 (R-2 other resident?al) • •,'?• '' y {
x 0.06 (other)
BaUH Mus.t be larger than •15U (above)
A(15A) I?J?O x U od = . F' (or the same: as?:}?;.:• '.
NOTE: Use U and A values obtained from pages 1,•3 and 4.' . •}'.`,? ,
CERTIFICATION: I hereby certify'chat I,"hava caloulated the."U" factorsand "R" val.ues .
here n and that the bullding here described meets on exceeds the State of Minnesota?,:;}, ,.
Energy Conservatlon Act. ' .. , . , :;?,,?`y; •
Date gnature+.. . .???, • r '44 l,'t'.
• ' • • •IT'xi({?,? .
• . • .
' . . ' .1: 2. ' _'...
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:.:_. ... _.. _ ._... ?
,
...? . _..._..---..--
. -.; ::.
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. .. ?
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..
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s . , .
sS...... GuqO--... hevi"e
...11?:.. .- - ---. ... . .
,.>'. X.1_ 7? . .`. _. _..__._.. ?.___7? a?"".
. ... . .
.
?NDOc? ?
IZ?x41?.--
?
_.__. ZoI?? ?c? . ..... . .
.. . __.._.._ , ? ? .-__.. .
.. . _.._. ._ . . II . .. . . .... ..
.... _._r?iu? : . ... ..
?.. ...
..._ . ..._------. °??-...._11..
..... ....__..._3 ! Or?W?yc.,
o'
I on?
. .._ .... . _..____^ .._ _. .._._ ...
......_. ._.__- '---__. ..... ___._.__....
__._. ???... ._..___....
..___...__ ???.. . ..........._.
NALL '
, SECTION
STUD
SECTION
2ND HpLL
secrzOy.
h' IS LVLdI If
U VALUE CALCULA710NS
ALUE
Ineida att film 68
Interlor .wa11
Insulation • ?g'C7
. ?. U VALW
?? (Nall) •U. `, A ?,? ? . . '
Sheathing
.
Stding
;
,co7
' '
Outa[dealr Eilm •17
. '
?
; ,. . .
TOTAL ...
• ,: . •
?
?
•
.'
;
. . '(;' 1 , '
Inaide:air film ? .68
.
Intetioc wall' .??.• ? . ? '?'??...? ?
?
41' etud R= 4.38 ;. (Framing) U .
Shea[hSng
Slding
'
Ou[slde•aLt film
.l7
R ?OtAL
Instde air film. R-•.68 '
Interlor xell
Ineulatlvn • (W°ll
Slieathing ,'',??•i? ; Y
;
Exter[or'Wall cover ing.'
Exteriot air f,ilm' R -.17
• ?
,.,; •
R TOTAL
R1Pi
JoIST
? R TOTAL A. :?CD r?.'",;• • ,?" .
i
Interior aiz• fllm ' R°, .68
LnsUlaLlon ? 11'0
EourtdaCion', , (•7?8 , . (rdtl.); ?'s ?.= •
Eaterior s!r film Ra •17 ;; AA0? •? 7(
? ?----- ? ? , " F Tol'AL
xposed. eluck,
--- ' ' . • ?i15,
?,?\'? •?'?.1 r,rade . . . 3. • . , } ;r
lnteclor air film Ru .68
. : '.,•4:, . ..
lnsulationl ??•? .' ? ;? ? '
?-.-J-r
88 (Rim U,a.? °
'l- inch'eo?t,wood R`1• J015t) 041
I
??? •, ?,?? . 1 .t.,?'^'..' I
Slieatliing W
Exterivr eall coverf.ng fol
Exterlor.'air film (ts .17
:Yj
.:
,• CEILING WITH YEhITED ATTIC SPACE ABOVE U" ,
. . , , . R `i UE FRAMIFIG CEILING ,
' • . .
0.61 Air Film 0.61 . . ',
0 Insulation
j Joist
Celling ?--
• ?
i; 0.61 Air Film 0.61. .
total R ?? ?g
. . XZ3 . . u a ? . oZZ ,
FIAT ROOF OR CAtNEDRAL CELLING R YAIUE
R a ue , '
CEILING
FRAAiING .
, ,
• 0.61 Inside a1r film 0•61. •
. ' Ceiling , .
-? - Jo1st (stu
'-"- - Insulation .'
Air space'
'--' • Roof decking ,
' Insulation '
• • Built-up roof " '
p,77 Outsld'e a1r film 0:17'
. ' Total R "
. ' , . . . ? .d U . . ., i
. _----- ' R . ,
. . . , !; ;
4indow infiltration 5 cfm/lineal foot of crack
tesidentlal door infiltration 0.5 cfm/square foot.or door and minlmum.code requ9rement,..;•' '
-lon-residential door infiltration 11.0 cfm/lineal'fooC of creck ,
)b 12" concrete block no lnsulation. _.47 R 2.1`
?
)b 12" concrete block insulated cores 6.26 R 3.13
JS 12" lightweight 61ock :32 R 3.1: ,..
1y 12" lightrieight block insulated?cores = .1? R,8.3? , . •?? ? ? •??,?
J single glass = 1.13; with storm tivlndov+ .54 ' • ,. -'.? . '
1 double glass = ..55...
J triple glass = .41
all exterior walls and ceilings must have,a vapor barrier (0.10 perm max.). ,
;apor barrier must be on the inside (heated slde) af r+all.
rapor barriers of the polyetheleni thin f9lm.have no?R value., r
, .
• 'l i ;, ?
.I . . N . . , .
. . ' . ' ' . . .. .
? ' 4.
-? ) iS3
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.
-#!S . SG
Ck, /W .2oy5
Date
Site Street Address Lq/YI //ll/j Unit #
Property Owner ILZI.Sc? l 16S PIL)OGI k57 t-'7 _ Telephone #
Contractor ("Z,1272 12/,?-)4) Telephone #( y?A Y?.?
Address City ael q r/ p State? ZiP?
The Applicant is: _ Owner ? 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 you are installina onlv a water softener and/or water
heater, do not complete 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) ? 20
Other:
? Water Softener _ Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 17•Sa
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 approved. ApplicanYs Printed Name o A?plibanYs Signatur
Date:
C!ty of Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
Use BLUE or BLACK Ink
L
For Office Use
Permit#: ' ` JOt4(p
Permit Fee:
(Dv Oa
Date Received:
Staff:
s igs 113
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
/) 13 Site Address: si1
6c�t�, �n
Resident/Owner
Type of Work
Suite #:
Name: .0 *";\ RoMK )Lin Phone: 1, LD15 0�i I
Address / City / Zip: V �L- rJ P L l T -A -i i � � Ci b� ,,,..,_. , ..,..
�N
: )a l ,� poi , icense#: t0 L,c\"i L r!
Name:
Address:
Lt �? - � - City: L OY-1
State: 1,i1 Zip: 514 L 140 Phone 5C1 -Q -
tL '1 Email:
New \t Replacement
Replacement
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / — PVB)
Septic System
New
Abandonment
Permit Type
Repair _ Rebuild _ Modify Space __ Work in R.O.W.
cf Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)P)
TOTAL FEES $ 151 Q
T MKT -
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.gopherstateonecali.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 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.
mh 6
Applicant's Printed Name
FOR OFFICE USE
Required Inspections:
Reviewed By:
_Rough -In Air Test __Gas Test
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125636
Date Issued:07/29/2014
Permit Category:ePermit
Site Address: 1503 Palomino Tr
Lot:7 Block: 3 Addition: Sherwood Downs
PID:10-67670-03-070
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Scott Rosenburg
1503 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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA163587
Date Issued:09/04/2020
Permit Category:ePermit
Site Address: 1503 Palomino Tr
Lot:7 Block: 3 Addition: Sherwood Downs
PID:10-67670-03-070
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott Rosenburg
1503 Palomino Tr
Eagan MN 55122
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature