4722 Penkwe CirCASH RECEIPT
? - 1ClTY OF EAGAN -'?
' 3795 PILOT KNOB ROAD
, EAGAN, MINNESOTA 55122
DATE 19 ,
RECEIVE?'-. . ?( `
FROM ! ? . - ?.?C?+ ? . {/ ?L ?- •{iC?{ {- -+-
AMOUNT $ (? I ? J
e.l
& ooLLqRs
I co
? CASH CHECK
FOR ?? ? i .',?? S/?
? ? .
FUND CODE pMpUT3T
3 17%
Thank You , B Y / ?' ` `• ?.i
V°12?? G.
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks - - - ---
Additian dpHN" 6AKE_???R ADD.ITION_Lot eik ? Parcel 10 39800 110 Ol
f
77 State F.agM - MN 55122
Owner, LO,- Street 47 PenYtire r
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. .? ?3 C}
STREET RESTOR.
GRADING o
1 O
SAN SEW TRUNK
* SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA ? ]
STORM 5EW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC ,
PARK
CITY OF EAGAN F . _
3830 Pilot Kncb Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 .
BUILDING PERMIT
Receipt
I 19 9 a
To be used lor Sr J"• `3/GA-'Z Est. Value $66, Od ll Date ?,AY 22 .19 dis
Site Address 4722 PF,ivK6?k: (; I;2 Erect 29 Occupancy
Lot 11&ock 1 secisub. JOiii+1NY CA.Kt? Fiemodel ? Zoning u ]
iZTDGT.' ADl7
Parcel No Repair ? Type of ConstV;r
. Addition ? No.Stories
¢ Name tiUl-:i: CO.JST1iUCTIOIV Move ? Lengm 3 6
=
52?0 BLOOMI:vrTO? 1?V? Demolish ? Depth 46
o Address Int Impr. ? 5q. Ft
City I-IL' L S Phone 827-3171 Install ?
ic
= o Name-
0 ? Address
F W Name
? a Address
z
i W City Phone
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
Minnesote Statutes and City of Eagan Ordinances.
Signature of Permittee
Assessment Permit 5 3.i 1. U U
Water & Sew. Surcharge
Police Plan Review1 j6.5 . 50
Fire SAC 69 0
Eng. Water Conn.Sq()
0
.
Planner Water Meter6T50
Council
Bldg. Off. 5/14/ob Road Unit- 299.00
Tr. pl. 'sb.00
Var.
Copies
Total j3.., 1 1 4_ O Q
A Building Permit is issued to: HUME CUNSTRGC'1'IU.'+ on the express condition that
atl work shall be done in accordance with all applicaPle State of Minnesota Statutes and City of Eagan Ordinances.
Building Official _ ? 2
PwmN No. PKmN Molder Wb TN?phon? k
Plumbinqi ? L C .? ,,?•.?.`?- ? 5 d,?
,
NMA.C. Vv ; , b Ac,
?? • 3 770
SORMM
Inspeedon DMO Insp. Commsnh
FooNngtl
Footings II
Fouodadon 7 r
Framiny , Y• r ?
Rooliny
Rouqh Pibp.
Rouph Hfq. 9?/0
Insul.
FNoplace
Flnal Htq. d " 44 ?
F"A Plbq•
1816g. Final
?
Cerl. Occ.
Deelc Ftp.
ID*ck Frmp.
I Wdl
Pr. Disp.
F= 4
y ? ? ?..r . _ . . .. . . . . . . . . .. : , ;r • ? T Y i „Y?^s7
PERMIT #k
? • , .
, j PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
R'RACT PRICE PHONE 454-8100
Site Addre s
Lot Block
? Name `
ro
? Address '? '
c City
d
c
3
O
Name :
Address
City _
BLDG. TYPE WORK dESCRIPTION
. Aes. x New
? Muft Add-on
? Comm. Repair
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
,.
OF PERMITTEE
FOR CITY OF EAGAN
NO. FIXTURES TOTAL
-L_Water Closet - $3.00
. ?Bath Tubs - $3.00
? Lavatory - $3.00 ' .
Shower - $3.00
I Kitchen Sink - $3.00
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
? Floor Drains - $1.50
1 Water Heater - $1.50
Whirlpool - $3.00
% Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50
FEE `
srATE sic:
GRAND TOTAL•
?:
PERMIT # ? /, ' "
MECHANICAL PERMIT RECEIPT # Z' ? v
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE: ?
r nniw?. nu??r. AiA e4nn
Site ? ?
Addr . i 1 h+ Z 1 /? ? -r
Lot
? Block
Sec/Sub BLDG? TY 4"!?dr-q- WORK DESCRIPTION
?
?R
N
X
a
Name ?.; r, IJ =
.l ??++ C es.
ew
-
n
lt Add
M
?c Address T I? .? , . . _ ? _ .. u
-o
R
i
c Clty Phone q??"? m.
r
epa
Oth
e
Name FEES
c Address RES. HVAC 0-100 M BTU - $24.00
p City 1'-4 y Phone '171 ADDITIONAL 50 M BTU - 6.00
? ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU
6.00
Z1FRrrAi`WORK
orced Air)
--
'
M BTU r _
GAS OUTLETS 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
---
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PEFiMIT PRICE GOES
Vent CFM BEYOND $1,000•00)
Gas Piping Outlets #
Other ?
;
FEE -t??
SIGNATURE OF PERMITTEE
SI0.
TOTAL• '
FOR: CITY OF EAGAN
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PERMIT #
RECEIPT # 9 rl?f ??y
DATE:
For Office Use Only:
m roame ? L
? Address
c Ciry Phone
? Name
c Address `
p City ' Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
FEES
RES
HVAC' 0-100 M BTU
-$24
00
_ .
ADDITIONAL 50 M BTU - 8,00
(RES. HYAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
.
.
COMM/IND FEE - 1°r6 OF CONTRACT FEE
APT. BLDGS, - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODEW - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - ,50
(ADD $
50 S/C IF PERMIT PRICE GOES
.
BEYOND $1,000)
SiC?N
P
.3 .??Q
??Q.
' FOR: CITY OF EAGAN
ITY OF EAGA N
WAM ?W? '?
830 Pilot Knob Raad
. O. Box 21199 PERMIT NO.:
agan, MN 55121
J DATE:
?r+0: No. of Unitx
A
ddrew
Slh Addrom
' Plumber:
? Meftr No.: Connactiaa Chaw:
i Sizs: Aoomwrt pepalt:
Reodw NO.: Parmit F«:
1q!w tiemewl! wo 1W Cft of 4Wo Surcharpe:
orawomeM. MllC, C11orop;
i Total:
? 8Y Doh Ploid:
4 Ooft of irap.: Inb.:
m
CITY OF EAGAN ? ?WCE PWM
3830 Pilot Knob Road
' P. O. Box 21199 PERMIT NO.: -
4?I Eagan, MN 55121 DATE:
?'
? Owrnr: iIume Gotlst. No, of Units:
Add?ess:
Site 11dd?ess.k 7 22 :>+: nkw,• ;^ i ,• r • je ? i I ^ ? -
11 2 _. . ? -?,; 77 -
?? M?M !M ?r oi VNm
of I rap.:
10 r.00pd
corrNCNa, c7wrp.: ' ? Qt1n;;
Account ?t. t r
?! 0^?.,
Plf111if Fe!: 7
Sun#mvw'
Misc. Choeqm
Totol:
Dote Pald:
ti Y OF EAGAN
Pilo?, Knob Rosd
66x 21195
n, MN 55121
?: '.!
r. .,3me ClonsCiuc
llddrem
Siro /1dd?em`• Pen)ci.e C
plun"r (7 P lum i_n
¦
WATER SERVICE PERMtT
PERMIT NO.:
W1TE:
?r No. of Units: ?
c
Charpe; ]11V. __ .?_
?.. .?
Rsoda' No.: l? k& Y?[, F??fOfe rliQ i11 LAWAt
? .,m ft a.?..y WI& low ftLipp9MG - ELI- .?
? ?{EQUIRECt???
Dote Paid:
Dote of Insp.: Ina,_.
unei
!°' 7- B`6
^'
3830 Pilot Knob R dl P.O. 8ox 2G-
1 9, Eagan, MN 55127 N2 11995
PHONE: 454-8100
? 6?
BUILDING PERM IT
Rece ipt q
; 7o be used 1or SF DWG/GAR Est value $ 6 6,00 0 Date MAY Z Z ,19 86
SiteAddress 4722 PENKWE CIR Erect ?l Occupancy R3
Lot' 11 Block 1 Sec/Sub. JOHNNY CAKE Remodel ? Zoning Rl
Parcel No RIDGE ADD Repair ? Type of Const. UR
. AddiUon ? No. Stories
HUME CONSTRUCTION Move ? Length ;?+
3 Name
nddress 5200 BLOOMINGTON AVE Demolish
l
I
t ?
? Depth-?,.??
Ft
S
° MPLS
Ciry n
.
mpr.
827-8171
Phone Install ? q.
¢
o
Neme
SAME
i
$ Q Addiess
? City Phone
?Q
w W
Name
F-
? a Address
a W Ciy Phone
Assessment
Water & Sew.
Police
Fire _
Pianner
Council
Permit $ 331.00
Surcharge 33. Op
Plan Review ???? 50
SAC r. 7 5O
Water Conn. cv p
Water Meter63 _ 50
Road Unit?nn n p
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bid .off. 5/14/86 Tr
. information is correct and agree to comply with all applicable State of 9 . PI. 3:5 6„ Q
Minnesota Statutes and City of E gan Ord?APC Pafks
Signature of Permi+b Xv t E_,?(/?? Var, Date Copies
Total $2,114_04
A euilding Permit is issued to: HUME CONSTRUCTION on the express condition that
all work shall 6e done in accordance with all applic le State of?MhittiS?tafjtatutes and Ciry of Eagan Ordinances. .
Building Otticial ^ --
??
REQUEST FOR ELECTRICAL INSPECTION ee 00 oi.oa
? See inshuctions br romolatinB thls inm on back of yellow ropV.
C 3 77 0 '"X" Below Work Covered by Ihis Request j°?bb °t1'
IP?Add[Aeo. Type oi B.ilEinq Appliuncea WirOd Equiyment Wiretl I
p Fee Service EnhanceSize tt Fea Feetlers/5ubiaxders N Fea Circuits
1 ].
500 .
0 to 200 qm s
0 to 30 Am s
1 2
0 to 30 An?
Above 200 qmps? 31 to 100 Amps 31 to 100 A s
Swinvning Pool Above 100-Am s Above 100_Am s
Transformer5 Irtigation Hooms Partial-'Oth e
Signs Specialinspection
556.50 TOTA FE Sr
Bertnrks
tha
ihet the above
'.ion has been
re0ueat
This re9ues[ voiA
18 monihs trom .
C 39770
fleqGest Uale? Fire No. RouPh-in InsOect ion
Requrtetl? ? ?y
Ready Nuw LyWill Nmity, InsPec-
8-26-86 13 Yes ?No tor Wh¢n Peady
(N Licensed Elechical ConVactor I heraby request inspection of above
? Owner electricel work insfalled at:
Street Adtlress, Box or Rov[e No. City
4722 PENKWE CIRCLE EAGAN
ecuon o. Townshio Name or No. Ran9e No. County
DAKOTA
OccupantlPqlNTI Phone No.
HUME CONSTRUCTION 827-8171
Power $upplier Adtlress
DAKOTA ELECTRIC FARMINGTON
Eleclrical Convactor ICOmpany Name) ConVantor's License No.
C& M ELECTRIC, INC. A-042214
Mailing Address (CoMractor or Owner Making InstailatioN
P.O. BOX 328; LAKEVILLE MN 55044
uth
zed Signawre IConaact Owner Makine Instzllationl Phone Number
? 469-3233
MI SOTA STATE BOARD O ELECTPfITY THIS INSPECTION REQUEST WILL NOT
Gripgs-Midwey Bldg. - Noom N-197 gE ACCEPTED eY THE STATE BOAHD
1821 Universitv Ave., St. Paul. MN 56104 UNLESS PPOPER INSPECTION FEE IS
nh..... 16121 997J1n E N C LOSED.
?, (40M ay5s?
jkhhh? ------------------
? I
City of EaiaIl I Permit#: ??T ?dJ j
1 Pertnit Fee: ?
3830 Piiot Knob Road
Eagan MN 55122 j Date Recelveu:
Phone:(657)675-5675
Fax: (651) 675-5694 I Staff:
I ?
?.. J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
? 9 Sit
Address: L
4 P'Cn 1s
D 06 G1 d l
e
ate:
? ,
Tenant: Suite #:
WNER aC
ff FI Q ^CLe
N Q L-1?Phone: OL2 R6.6 0S?
tj
RESIDENT/O 2l
ame: _
Address / City / Zp:
Applicant is: _ Owner `14::1on[ractor
TYPE OP WORK Description of xrork Tair
Conshuction Cost: ?? C)G-aca Multi-Family Building: (Yes _/ No ?
N Licenseii: dv?)Rgllsq
CON7RACTOR Name:
Address: w
;
t7F'er
S1'IIILI?Y
i State:MN Zip: SCJ
.
C
ry:
Phone: G 61 "I.2)I•"130.U ConWCt Person: KQren
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential VeMilation Category 1 Worksheet • New Energy Code Worksheet
Category Sunmmed suomitted
(4 submission type) • Energy Envelopa Calculations Submiped
In the last 12 months, hes the City of Eagan isaued a permit for e similer plan bssed on a ma8ter plan?
_Yes _NO If yes, date and address ot master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phorre:
Sewer & Water Contractor: Phane:
?N? ?s-:PV . .. .?.. , , . r .
. ... .
.. ?.x ?.?"...?u?. x . . ,. . - . _ .. ?. ' _ `
I hereby acknowledge that this iMOrtnation is camplete and accurate; that the wotk will be In CoMOrtnafxe wi[h the orclinance6 and cades of the Ciry oF
Eagarc that I understand ihis is nat a permk, but only an application for a permit, end work is not to starl without a permtt; thffi the work will be in
aocordance with the approved plan in the case of vuork wlvch requires a review arW approv 1 ot plans.
nic, Lfn0rcft1
n--
X
,
X
ApplicanYs Printed Name ApplicanYs Si ature
Page 1 of 3
,
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*KYI'F: PA)WNr OF kM AT TIME pF
APPT.TcAMorr noFS Nar oorMMM .
APPROVAL OF PERNIIT,
INSPBLTION OF SEWFR ADID/C2 VATER
rnmrnr.TamrONS WIId, N(Yf HE 9CHED- :
ULID UNFJI. PII2NIIT HAS BEQA
APPRWID.
P ease Print)
1) PROPERTY ADDRESS: 1172, LEGAL DESCRZPTION: ?u{'
Lot Block Subdivisio or Tax Parcel ID )
IF EXISTING STRLY.ZL.'RE, DATE OF ORIGINAL Bi1ILDING PERMIT ISSL'l1NCE: '
? Mon Year
. PRESENr ZONING/PROPOSID OSE:
q COMMEacIAL/MauL/oFFicE
? IIIDCSTRIAL
? INSTI1i'TIONAL/00VERPAAENT
R-1 SINGLE FAMILY
Q R-2 DL'PLEX (TWo Onits)
? R-3 7UWN30LSE (Three + Units) ( Units)
? R-4 APARTMENT/CODIDOMIr7IC'M ( Units)
2)
rmrE:
ADDRESS:
CITY. STATE, ZIP:
PxorE:
3) u ma•
NAME:
ADDRESS:
i CITY, STATE, ZIP:
PHONE:
4) •• • i?•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PAOf1E:
Z- ?/Uh'I? GoAE1T.Pc.?T7o.t/ oZcJ?
SY0O ?GC,0f"iA/rT0A1 ?41li.
Ss"y/7
FL?? LY
Z
i
I i rv ir I
MASTER LICET]SE#
ACt1V2
EXpired
Not recorded
StaInitial
5) ? :? ?? ? r. • ?• : o • ?? - ?i
` OONNF.CrION T0 CITY SEWII2 C,!eCONNECfION TO CITY WATII2 C!i'HM
6) •7?71' , PLFASE HOLD APPROVID PERMIT FC)R PICK-UP BY ONE OF ABOVE
? PI.FAaE MAIL APPROVID PERMIT TO 1, 2, 3, 4, ABUVE , ?
,
FOR CITY USE ONLY .
PERMIT # ISSCED ,
L,f
Pd w/Bldg. Permit FEES:
$ $_ /fJ-.S C) SEWER PERMIT (INCLDDE SIIRCHARGE)
$ $ A? -.5? WATER PERMIT (INCLUDE SL'RCHARGE ) ..
$ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (I[JCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOONT DEPOSIT - SEWER
$ $ ACCOIINT DEPOSIT - WATER
$ ??C) • U ? $ WAC
$ SAC
$ $ TRC'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ 0--r) $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ? °? /7 TOTAL
2177
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
E-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MDST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
,?vnn v?vrv??y
.
- archttecturoJ consultc?nts lnc.
$006 9d ST. S.E. 058EO, YN. 86369 Pg. (4IZ)-424-9772
_ ..._-- ?
EXTERfOR ENVELOPE ,4VERAGE "U" COMPUTATION
Date z- ,ait-9XV
Plan ?:,,?---F---
Owner,-?
LM.. ..... ? /
Site Address: " - -
I)TOTAI EXPOSEO IMALL AREA
2)TOTAL EXPOSED ROOF/tEILINO AREA (°A 3 sq. ft. x'U'?? /'L
WALL AREA CALCULATIONS:
TOTAL WINDOW AREA
GLAZED
TOTAL DOOR AREA
TOTAL GLASS DOOR AREA
GLAZED
TOTAL FIREPLACE WALL AREA
TOTAL WALL FRAMING AREA
NET INSULATED WALL AREA
TOTAL RIM JOIST AREA
TOTAL FOUNDATION AREA(EXPOSEO)
TOTAL FOUNDATION WINDOW AREA
I 7?? sa.ft.z"U"'-4 I=
34? sq.ft.z. U?1 0 7 = Z -I
sq.fi.x'U???= GI
°14 sq.rt.x?u"es, ta,=?r?
?
Sq.ft.x U'
13)TOTA ?
!f i?em 3 7s fhe same aa,a less than ifem
2 MCAR 1.16008 A and 0.
,
ROOF/CElLINO CALCUlAT10N3,
TOTAL SKYLIGHT AREA
TOTAL ROOF/CEIUNO FRAMING AREA
NET INSULATED ROOF CEILING AREA
!. you hove mef fhe intent of
/ 04 -4.it.aIU104gn?b= ? . 1
' 4) TOTAL
If ifem 4!s the some as,a less than lfem 2, you have met the intent of
2 MCAR 1.16008 A and 0.
ALTERNATE BUILOING ENVELOPE DESIAN ?
To utilize fhe fotal envelope system meMod, the sum of ftems 1 and 2 shalf not /
be preofer fhon fhe sum of items 3 and 4.
1) +2) -
3) *41 -
f heroby cerMFy fhat fhs bulldlnQ here deacribed meets or exceeds the Stafe of Minnesoto
Enerqy ConservoHon Act.
i. --,..? ? ,,. ? .?_;.c?L!•-?
CONS7RUCTION
FRAMING SECTION
interior air film 0.68
? ' GYP
; ??/Linches of soft wood
4 '?'<I'? Gt1vX l0 a
5 6tl711-IG ?
g exterior air film 0.17
TOTAL R 2-z
U = I/R
SECTION (INSULATED)
0.6
? i terfor air film
z
3
4 CO. o
5 ' ?fll CdL
g exterior air film 0.17
TOTAL R 2-47,'q
U = VR ?S
ST SECT4ON
'nterior air illm 0.68
? V V?14zg=
PSI-1a+? [o?o
exterior air fllm 0.17
TOTAL R?-z
U = 1/R
TION SECTION
interior air film 0.68
d
G,b• IZ" I?
exterior air film
0.17
TOTAL R ?LZ'
U = 1/R ' 45E
VENTED
•E .•.:?-??i?u•?
CEIUIiG 3ECTION (INSULATED)
I I Q s,? . S0.61
p
( 3 ni o?+-! 0.61
(4 Etfrior ou /ilm (still) ? 8
TOTAL R '?s'
U • 1/R • 07-_-
CEIIING FRAMING BECTION ' 0.&
? I r • i3. air f+rm
(Zf?P) a e •?°
`3OaDrJ.?f
(4 -i-n-t?fr?ia oir fJlm 0.61
(s Sayt s o/ rolf rood d?
' TOTAL R
}I s 1/R .O
CEILIN6 SECTION (INSULATEDI 0.61
(I IMerIa olrfilm
_ t2
(; eatafor air film (+HI!) 0.61
TOTAL R
U s 1/R
CEIUN6 FRAMING SECTtON
( LletAria air lilm
(!
(3 0.61
(4 iferla air /ilm
teoAm ot wN reoA --
. .TOTAL A
y ¦ 1/R
Q(ppgED OEpAI CEILIN4 8ECTION O.01
??• - L111m
(P
ts
t4 0.17
(5 ex}erior air fitm
TOTAI R
y • uv -
, 4
?7 (7 J
1986 BOILISIAG PEA!!IT APPLICATIOg -
$OiB: ALL CONTRACTORS MITST BB LICENSSD {iITH THE CITY OF EAGAN
3INGLE FAFIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS ?61ELLINGS - HSSIDBNTIAL BENTAL OeTITS FO8 S6LE Q9ITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRI?EY - CHECB fiITB BLDG. DEPT.,
1 SET OF ENERGY CALCIILATIONS
INCLUDE 2 SETS OF ARCHITECTURAL,& STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS
r
$29000 LANDSCAPE BOND
To Be UsgdFor:?'"?-'? Valuation: Date:
Site Address OFFICB USE ONLY
Lot ? Bloek Erect ? Oceupancy
Parcel/SN?/? o? p 4?'z Remodel ? Zoning
?Tl JI Repair Type of Const ?
tion tories
Cy ue L1?L ? Move = Length ?
Owner
lmpr. _ qFt
Ad3r•ess /(QS 2 Into p
City/Zip Code 1?6AIAI Znstall _
t caJ G
Yhone `?-Z J
Address S700
City/21p Code //rzs/s':ry/7
Phone of 7- 0/ ?
Arch./Engr. +cU?Al 4GG nvmer?
Address S20 ??ASw?4' 4,6' S.
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APPROVALS FES3
Assessments Permit ?
Water/Sewer Surcharge ?
Police Plan Review !?.. U
Fire SAC .^57 ?
Engr Water Conn 156'zi
Planner•? Water Meter ?.\
Council Road Unit
Bldg Off Treatment P1
APC -- Parks
Variance Copies
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HOTB: ADDHESSES FOR CORNEE LOTS - CONTRACTOR/HOME04iNEA HQST DESIGNATE WHICH ADDRSSS
IS DSSIRED. NO CHANGFS ilII.L BE ALLOi1ED OHCE BQILDING PBRNIIT IS ISSOED.
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GENERAL CONTRACTOR
320 BRUNSWICK AVE. SOUTH
GOLDEN VALLEY, MN 55416
612-545-0324
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City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
? For oBlee uge i
; Permit#: Sl?s7?1 I
? Permit Fee:
? Offie Received: X9 -4 I
I 51att:
I ---------------- I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION if-ciI6103
Dam: Siteaddress: z7.?oZ peltlkGUE
Tenant•
RESIDENT / OWNER Naroe: __ ??OE RDOEti lt//g'Li' Phone: aldz
Address / City / Zp: y 7A2 6!f9y? /I"//? ??0?3
Applicant is: _.2? Owner _ CoMractor
TYPE OF WORK Description of work: J?9Ly¢GE?EyT ? F EXiST/N°i /??G?
ConstrucGon Cost: ?4SO D.? Multi-Family Building: (Yes_! Nox_j
CONTRACTOR Name: License #:
Address:
City: STate: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv t Minnesota Rules 7672
Energy Code • Residentlal Ventilation Cazegory t Worksheet • New Energy Code Worksheet
CatEgory Submitted Submined
(4 submiSSiOn typE) • Eneigy Envelope Calculations Submitted
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 CoMracWr: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submR are considered to be public iMOrmatlon. Portlons o/
the informaNon may be classlred as non-public if you provide specJfic reasons that would permit the City to
conclude that the are trade secrets.
I hareby acknowledge that ihis iMortnatbn is camplete and accu2te; Mat the work will be in conformance vri[h tlm ortlinances and codes of the Ciry oi
Eagen; that I understand this is not a permit, but only an applicetion for a permi[, and work is no[ to start without a permk; that the work will be in
accordance with the approved plan In the case of work which requires a review arM approval of plars.
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Appllcant's Printed Name ?
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Page 1 of 3
S E P ? 2008
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cill
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundatlon ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? OB-plex ? Flreplace ? Porch (3season) ? ExL Alt. - MuRi
? 01 of _ Plex ? 07-plex ? Garege ? Porch (4season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ,;PC Deck El Porcb (screervgazebWpergola) ? Multl Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04PIex ? 12yflex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish BuiWing`
• Addition ? Move Building ? peroof ? Oemolish Interlor
? Alteratlon ? Fire Repair ? Windows ? Demolish Founde8on
,?Z ReplecemeM ? Egress Window ? Water Damage
' Oemolition (entire building) - grve PCA handout to applicant
DESCRIPTION:
Valuatlan 0? Oceupency
MCES System
Plan Review Code Edidon SAC Unfts
(25%_ 100%? 2oning Clty Water
Census Code Storfes Booster Pump
# of Unfts Square Feet PRV
# of Buildings Length Flre Sprinklers
Type of Const. ? Width
REOUIRED INSPECTIONS
Footings (rrew bldg) Sheetrodc
? Footings (deck) Rnal/C.O.
_ Footings (addltlon) ? FirreUNO C.O.
Foundatlon HVAC
Drein Tlle Other:
Roof: _Ice & Water _Final Pool: _Foo6ngs _Air/Gas Tes[s Final
Freming Siding: _Stucco Lath _Stone Lath _Bridc
Fireplace:_R.1. _Air Test -Final VYindows
_ Insuletion Retaining Wall
Revlewed By: _TI v , Building Inspector
RESIDENTIAL FEES:
BeSe Fee j??'? 3 o v o
surcnerga /
Plan Review
MC/ES SAC
City SAC
Utflity Connection Cherge
S&W Pertnit & Surcharge
Treatment Plent
Coples
Total
Page 2 of 3
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'Atame mnda°ucliore
GENERAL CONTRACTOR
320 BRUNSWiCK AVE. SOUTH
GOLDEN VALLEY, MN 55416
612-545-0324
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Ea p My l o~ 4 2010 i Permit
of
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3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 I I
Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address: A~ L
7- 9(finKil.'Jif I C I -
Tenant: /Suite
RESIDENT/ OWNER Name: a r Phone:G Z -~(0 0.65 so
Address / City / Zip: Lf / Z 2 &q Rk ie- Q f
CONTRACTOR Name: ~ I IA, 1, License
Address: 6Ll r City: St 9At4..l
State: _ / ~ Zip: Phone: ~r 2 2 [7 ' 1
Contact: 3tr,;9e_.r _ Email:
TYPE OF WORK New _X Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace - New Construction - Interior Improvement
Air Conditioner - Install Piping _ Processed
-Air Exchanger - Gas - Exterior HVAC Unit
- Heat Pump _ Under / Above ground Tank Install / _ Remove)
Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to al existing unit (includes $.50 State Surcharge) _
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
= $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit qQ is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
= $ TOTAL FEE
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.aonherstateonecall.ora
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 of 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.
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Applicant's Printed Name Ap n n
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough In -Air Test Gas Service Test In-floor Heat Final
Exterior HVAC Screening Inspection
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