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3992 Pennsylvania AveCITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 - - ' BUILDING PERMIT Receipt# To be used for Slr DWG/GAR Est. Value $79,000 Date lLARCH lb 9-lul- Site Address 3$9' Lot 12 Block 6 Parcei No. a Name_ W ; Address ° C'V' - AVE. Sec/5ub. 3'IAPa'OtD PY.ACE ¢ Name o o ` Address P City Phone ?a ? W Name _ ? z Address Q W City - I hereby acknowledge that I have read this application and state thaf the inforaiation is coRect and agree to cofhply with all applicable State of Minpesota Statutes and City of Eagan Ordinances. i - Sigrrature of Permittee ? FRUtiTiEit Hll1WEST A Bullding Permit is issued an the express condition that aN work shall be done in accordance with all ail'plicable State of Minnesota Statutes and City of Eagan Ordinances. Buiiding pfficial OFFICE USE ONLY On Stte Sewage Occupency o-3 MWCC System X Zoning R-1 On Slte Well (Actual) Const ? City Water x (Allowable) ? PRV Required # of Stories Booster Pump Length Depth 4814" S.F. Total Footprint S.F. APPROVAIS FEES Engr./Assess. Permit 490.00 Planner Surcharge l4- S[3 Council Pian Review 245-00 Bldg. Off. SAC, City 300-00_ Variance SAC, MWCC 550.00 Water Conn. 550.00_ Water Meter 67.00 Road Unit 325.04 Treatment P1 204_00 Parks TOTAL 2 ,5](1. 4ft CASH RECEIPT io CITY OF ,EAGAN ? 3830 PIL&*OB ROAD EAGAN, MINNESOTA 55122 ., DATE + AMOUNT & DOLIARS 100 ? CASH [?\CHECK FM . . ; ev 4 %_ c _ C -..J. ?Q ? ? ? ?,??e,m ?r Yall??n? ? Pink--FUe Capy Thank You .` • BLDG.. PERMIT N0. f7/.71 , ?/•?? 6 1-32?0 Baog. Permi 01-3422 Plan Check ? 01-3445 Surch./Adm. 01-3446 SAC/,Adm. 01-2155 Surcharge `- I7-3860 Road Unit 20-2275 ZO-3865 ZO-3868 20-3716 20-2252 20-3713 20-3743 79-3866 : 'Y1-3855 SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permi Sewer Permi Sewer Conn. Park Ded. TOTAL .r ? -- • . .: ., BUILDING PERMIT To be used for • Est. Value Date ,19 Site Address Y'V.?)A y?' OFFICE USE ONLY • "i? ?' ` ? : i- ? ? _ Lot ` Block Sec/Sub On Site Sewage Occupancy . MWCC System Zoning • ? Parcel No. it w u A `f'• On S e e ( ctual) Const Romti?R WbWeSir N City Water (Allowable) a W ame j VE PRV Required # of Stories z Address 3 a ? ? 8ooster Pump Length u City Phone Depth o Name S.F. Total , ? ? Address Footprint S.F. P City Phone APPROVALS FEES ? W Name Engr./Assess. Permit ? Z _ Address Planner Surcharge ., Councii Plan Review Q W City Phone Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 50•4'{- information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and Ciry of Eagan Ordinances. Water Meter Signature of Permittee Road Unit r _ . i.? . .. ?i. . A Building Permit is issued to: Treatment P1 ? on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL ' Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 PHON E: 454-8100 •. Permit No. P•rmit Holdsr Date Tslephone # Plumbing l. O H.v.ac. ? 62 Electric Softener Inspection Date Insp. Comments Footings I S 0-4 Footings II Foundation ? Framing ? Roofing Rough Plbg. Rough Htg. _ Isul. Fireplace S / - Q Final Htg. 14 ?f ?J Final Plbg. Bldg. Final .ZLf w Cert. Occ. ?C4 _ ? Temp. LP Deck Ftg. Deck Final Well Pr. Disp. . . . ? .. ,, . . ?? . . . . A • ' (gerfif iraft u# (Orrupanry titp of (eagan lorputmpni nf vwm" inapprtintc This Cenificate rssued pursuant tv the requirements of Seclion 306 of the Urriform Building Code certifying that at the time of usuance tJu's structure was in compliance with the various ordinunces of the City regalaling burlding construction or use. For the following: tl,, a.6.6. SP I7WG/GAR ?. F?,ut;i w, 14697 o-P-y Tym R3 Zoning DisW .ry,pe Cow Vr. owna or euadiag Addr= 3902 CM?Rt'AT:' D?., EAC.4N 32 PFM4YfY_1:v_., Bui{ding Addresr I,onliry ` - D?tc: • 'L'i :(! 21, i . . BuBding Official' ? POST IN A CONSPICUOUS PLACE • • PLUMBING PERMIT CITY OF EAGAN 3630 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address ? ? Lot Z ?_ Block ? Name : m Address c City - Name If Y, 3 Address b p Ciry =- ?? •,' f%%1? Phone FEES COMM/IND FEE - 1°yb OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUBE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SI(iNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT q ? '% ? _?.• J RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Res. ? New X Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NC). FIXTURES TOTAL Water Closet - $3.00 -7- $ - ` ' Bath Tubs - $3.00 -7_Lavatory - $3.00 - `` - ? '- ?Shower - $3.00 ?Kitchen Sink - $3.00 -j, UrinaliBidet - $3.00 -;?_Laundry Tray - $3.00 ?Floor Drains - $1.50 , Water Heater - $1.50 Whirlpool - $3.00 7-Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Pnvate Disp. - $10.00 ' ? T _Rough Openings - $1.50 _ _ ; FEE: 7 STATE S/C: GRAND TOTAL• • ?1 Z-J L ' ' . MECHANICAL PERMIT PERMIT # RECEIPT # ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address - '- enn,3t•jvan a ve. BLDC. TYPE WORK DESCRIPTION Lot ? Block Sec/Sub Res X',: New Name MuR Add-on ? - m Comm. Repair Y Address c Ciiy - ,-n • ?•?+ Phone ? 5 ?_ j Other Name r n ie cc&r r i?:_ ? c Addre58? L r_•.- ':C-c;.1.z1 41_}i' p Ciiy ?I• Phone 5l+-J4 t 3 TYPE OF WORK Forced Air IL1 M BTU Boiler M BTU Unit Heater M BTU FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HYAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERrlAln - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 1NINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent Gas Piping Outlets # Other FEE S/C: TOTAL• SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CITY OF EAGAN 17796 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DECK Est. Value $i 6000 Date ? MAY 2 , 19 90 Site Address 3992 PENN3YLVANIA AYE Lot 12 Block 6 SeclSub. STAYFORD pILME OFFICE USE ONLY PBfCBI N0. Occupancy - FEFS W Name 3AMES R CL.ARK Zoning (Actual) Const - 81dg. Permil 25•00 3 AddreSS 3992 PBN1JSYLVANIA AVE (Allowable) - S •? 0 urchar e 9 City E?N Phone 643- r of siories _ Plan Review Length _ o Name S? Depin - SnC Ciry ` O Address S.F. Total . - U SAC, MCwCC ? City Phone S F. footprints - Water Conn On Site Sewage _ yVj W Name On 5ile Well - W l M t a er e ar _ ; Address MWCC System - i W City Phone City Water Acct. Deposit - P PRV Required ermil - S1W I hereby acknowlege that I have read this application and state ihat the Booster Pump - Siw Surcharge inlormation is correct and agree to comply wilh all apqicabie State of Minnesota Statutes and City of Eagah Ordinanoes. ? Treatment PI Signature of Permitee L' APPROVALS Road Unit A Building Permit is isSUed to: '»E$ R CI.M Planner - park Ded. on Ihe express conditiDn lhat all work shall be done in accordance with all Council 50 ' applicable State of Wnnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies Buiiding Otficial ' Variance - TOTAL ???? Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting Rough Plbg. Rough Htg. Isul. Freplace Final Htg. Fnal PI6g. Const. Meter Plbg. Inspector - Notify Plumber Engr./P1an Bldg. Final Deck Ftg. Deck Final ? Q Well Pc Disp. Site m Name _ ?n Address c Ciry _ r-°PERMIT # •7ff ? PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: i1CE: PHONE: 454-8160 ? ?. ?... BLDG. TYP,E WORK DESCRIPTION Block SeciSub Res. ? New Mu?t. Add-on " Comm. Repair Other Name ` ' ` c Address p City Phone COMM/IND FEE - 1% OF CONTFiACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF FOR: CITY OF EAGAN RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Ki!chen Sink - $3.00 UrinalfBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 ? (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: ' GRAND TOTAI: ' ?- '.OF EAGAN Permit No: ?"Palot Knob Etoad B/p No: Box 21199 m, MN 55121 ier rYOn er ?'idveer. Address: ^ I ry "? e"'1?l ?n?ja ar, e MWCC: 550. J!?nc'. ciry cn9: 10. 1. ^? Zoning• Acct Dep: 15. No. of Units: Permit Fee: •??1 -9n I aqree to comply with fhe Gtp of Eagan Surcharge: •'C^•i Ordinances. By SEWER SERVICE PERMIT OF EAGAN Permit No Pqot XnotrRdad Meter No: _ Box 21198 Reader No: in, MN 55121 q.- ?Yartler .'-'idti Conn. Chg: ?..?? 9409 Acct Dep: L 5. Cl('iPd Permit Fee: ?-0• OOpcl Surcharge: • S"n(' Tr. Plant 204•COFd Meter. 67 Data _ Size: _ Dete: - I agree to comply with the City? of Eagan Ordinances. CITIf OF EAGAN Permit No: Date: 3830 ftiat Knob Road Meter No: 19 r 7e? S?Ze: - ., P.O. Box 21198 Reader Na n 3? 9-S/ ? G Date: ?- 7?Z 8 Eagan, MN 55121 Owner. `,-o'r;r•r 1'id?aest •f;r•, SiteAddress: -?Pi'RS iV1111e3 ?' Plumber S t•, r ? Conn. Chg: Acct. Dep:_ Permit Fee: Surcharge: Tr. Plant_ Meter. _ 550. 4oniqg??g r..? ?-?'t4a:`of?U.??s? 1 ? #?omply wlih ths City of Eaqan ' "1+ ?? nan ti- - ? By WATER SERVICE PERMIT .51-9/-? 8 E 1009-6 REQUEST POR ELECTRICAL INSPECTION ea-ooooi-os g4ft IlO See instructions tor comoleting tnis iwm on back o/ yellow copv. vfflg,5 3 S? "X" Be1ow Work Covered by 7his Request NeO. 7vue oi Building Apohances Wired Equiunien1 Wi.ed S1ome Range Tertiporary Service Duplex Water Heater iyhtiny Pistures Apt. Building Dr er Electric He:+Ln Commercial Bldg. um2ce Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tenk Farm ther ceu y Oihci ISU.?cify) t er peci v Otner Other ompu[e lnspection Fee Below p Fee Service Entre.ee5ize fl Fea Feaders/SubleeJers N Fea Circwts 0 to 200 qm 5 0 to 30 qm ps ? 0 tn 30 Am s Above 200 qmps 31 to 100 qmps 31 to 100 A y Swimming Poot Above 100-Amps Abave 700_Amps l ? Transiormers Irngation Booms Par[ial."Other Fee t p Signs Special Inspection S \ TOT FEE Nemarks (Xi flough-in Date I. the ctrical . P ly Insaector. v cerlilV Ihet the nbove Final insOection hes been made. mM reQueat voiU 18 monlhs irom This request void r??/Q916 momhs (rom ? V U E 1_009F; R&, fle est Da1e Fire No ftouph-in.l er.tion Reqmr E]Reatly Nu ill NnGty Inspec- 6/ as ?No 1or Wh¢n Ready Gk_r-?-.sed Eleclrical ConVactor I heraby requast inspeclion ot ebove ? Owner elactrical work instelled at SVee[ tldress. 6ox o ii? r Raute yq (?, I Ci1V E_ f t? ect n o. Township Namc or No. nge No. County Occ xnt IPPI 1 ?? ?? /? 1? Phon Nro. Power Sun r Address Eleclrical Contractor ICompany Namel ??? n[ractor'c License No. 9 YJ`yQ E NQ?CK Lnt'?1V.Gl ? ationh AuU lu n a /O t ! ? _ tionl Phone NumL?r M1AINNESOTA STATE BOAPD OF ELECTIIICITY -+ TMIS INSPECTION REUUEST WILI NOT C+?i9e8+MiAwaY Bldg. r.Room.N•19] . ._-_ -.-..,,... BE ACCEPTEO BY TME STqTE BOAND 1821 Universitv Ave.. St. Paul. MN 55104 UNLE55 VROPEN INSPECTION FEE IS cnnnn I6191 R69-IM3t10 ENCLOSED. CITY OF EAGAN ND 17796 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55721 PHONE:454-8100 1I 0 5 BUILDING PERMIT Receipt # , To be used for DECK Est. value $1, 000 Date Mt1Y 2 , ig 90 Site Address 3992 PENNSYLVANIA AVE Lot ? Block 6 Sec/Sub. STAFFORD PLACE OFFICE USE ONLY P8fC01 NO. Occupancy _ FEES Zoning - W Name JAMES R CI,ARK (pctuaq Cons( - smg. Permn 25.00 Addre55 3992 PENNSYLVANIA AVE (Allowable) - 50 o Surcharge . City EAGAN Phone 643-2600 x of siories - Plan Review Length _ p Name $AME DeOth - SAQCiIy Y g Address s.F.Totai - ¢ snc,MCwcc • Cliy Phone S.F. Foolprints - ?Nater Conn On Sita Sewage _ Name On Site We11 - Waler Meter Oi AddfQSS MWCCSystem l Acct Deposil l City Phone Cily Waler _ PFiV Require0 _ S)W Permit I hereby acknowlege ihat I have read Ihis application and state that the Boosier Pump - yyy Sureharge information is correct and agree lo comply ith aN ap licable Slale ol ? Minnesota Stawtes and C of Eag di es. 7reatment PI SignaWre of Per ee APPROVALS Road Unil A Building Permi is iss d lo: JAMES R CLARK Planner - park Ded, on the express ndi' n that all work shall be done in accordance with all Councii -- 50 applicable Stale o innesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies , ln 01 PIL11 Building Oflicial Variance - TOTAL 26.00 ? CITY OF EAGAN (iJo 14 6 9 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? ? PHONE: 454-8100 0 ? "'`? BUILDING PERMIT Receipt# To be usedfor SF DWG/GAR Est. Value $79,000 Date MARCH 16 Site Address 3992 PENNSYLVANIA AVE. OFFICE USE ONLY Lot 12 Block 6 Sec/Sub. STAFFORD PLACE on site sewege _ occupancy R-3 MWCCSystem X Zoning R-1 Parcel No. VN On Site well (ACtual) Const a Name ERONTIERMIDWEST Ciry Water X (Allowable) VN ? Address !9Q2`CEDARVALE<DRIVE PRVRequired _ itotstories ; 0 - City EAGAN Phone 454-0433 Booster Pump Length - 441811 oeotn 48' 4" o Name SAME S.F.TOtal , ?a Addfess FootprintS.F. i- City phone pppROVALS FEES ? a W Name Engr./ASSess. Permit 490_ on _ i Planner Surcharge _39-_50_ r- Address Council Plan Review 7l.5 _O(1 a w City Phone BIdg.OfL SAC,City .100 .,_QO_ I hereby aCknowledge that I haVe read this appliCation and state that the Variance SAC, M WCC 550.00 information is correct antl agree to comply with all plicable State of Water Conn. 550.00 Minnesota Statutes antl City,of Ea a?n rdin ces Water Meter 67 00 Slgnature ofPermittee RoadUnit 395_Ofl FRONTIER MIDWEST d A Builtling Permit is issue to: Treatment P1 904_ 00 on the ezpress condition that all work shall be done in accordance with all Parks innesota Stal es and City of Eagan Ordinances. applicable State of M /y a ?C? "? TOTAL Z ,$.70._50 L Building OHicial ?b RESIDENTIAL BUILDING PERMIT APPLICATION ? CITY OF EAGAN 6 ? 3830 PILOT KNOB RD, EAGAN MN 55122 ? 651•681-4675 New Construction Revuirameots RamodeVReoair Reauiraments . };egisterea sAe surveys showing sq. R. af 01, ;q. R. uf house; and all mofed areas • 2 copies of plan {20°6 maximum lot cove2ge allowed) . 1 se[ of Energy Calculations `or heated additions • 2 copies of plan showing beam 3 wmCew vzes; poured found desgn, ztc.) . i;ite survey for zxtenor adtlitions & cecks • 1 szt of Energy Calculations .!ndicate d home szrved by septic system `or adaAions • 3 coGies of Tree Preservation Plan if lot :latted after 711193 • Rim Joist OeWil Options selec6on sheet iCidgs with 3 or less units) DAtE CJ'?L VALUATION a•0O0 SITE ADDRESS 29402 f-e/?hs yIV?"'? A"^? MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK Tct?l ?OIrII --;k_'t )90U"Il FIREPLACE(S) _ 0_ 1_ 2 APPUCANT STREETADDRESS 94L4 OY'10L-2ui0i CITYAPPLUW TELEPHONE # 9 S? Sit.1M CELL PHONE #(012 FAX # ATEMN ZIP`S-S I)-"-f PROPERTY OWNER lil?l C? ?r??-!C Jy?uTELEPHONE # (iS l l. t ln ss , ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ _\1INNE:S(>"C.\ RULL•'S 7670 C.\'I'I(GORI' I -MI\\CSO"1'.\ R['I.1:S I672 (+submission type) . Residenlial Ventilation Category 1 Worksheet Submitted • New cnergyCode Worksheet 5ubmitted • Energy Envelope Calculatlons Su6mitted Plumbing Contractor: Plum6ing system includes: Mechanlcal Conhactor: N[cch.mic>il systcm includes: Sewer/Wafer Controctoe Air CondiUoning Hcal_ Rccoren' Systcm Phone # Phone # -----------° ......................°------------------°-----------•---------•--------._.-- i hereby acknowledge that I have read this application, state that the information is o with all applicable State of iMinnesota Statutes and City of Eagan Ordinances. , Signature af Applicant OFFICE L'SE ONLY _ Water Sof[encr _ Water Hcater No. of Baths Plione # _ I.awn Sprinkler No. of R.I. Baths Fcc: $90.00 fcr. SiQ.01) id agree to Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Update0 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex p 70 08-plex ? 78 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 ip-plex ? 19 f.ower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. p 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Canst Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaliNo C.O. _ Footings (addition) _ p]unibing Foundation H V AC Drain Tile Other Roof _[ce & Water _ F inal _ Pool _ Ftgs _ AiriGas Trsts _ Final _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. _ Ait Test _ Final _ Windows (new:'replacement) _ Insulation _ Retaining R'all Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total PERMIT# 1-? 1-? 1 ---)- ?,, 1_r ? -a- RECEIPT DATE: l-?v I RnIDENTIAI. PLUM$INfi PFiiMIT APPLICATIOR crrYog EAsm 3830 M.or xivoa gn FKAsM, env ssi as 6si-661-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required tor each unit ? backflow preventer for irrigation system SITEADDRESS: -2) 992 Pcnnsyliianra A[iP OWNER NAME: :e/'i G cf J u??e, [3fu.CkMt,L 2I 1er TELEPHONE #: Ca 5l) C29(R- SSS Co (AREA CODE) INSTALLER NAME: V? C. O l.t) J? 2 Y' TELEPHONE #: STREET ADDRESS: CITY: (AREA CODE) STATE: ZIP: _ New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work: 'TO U VV"? C._"i ?S 1 f? l,-, Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total So.s? $ JAN 4 Z001 Place a check mark next to the ermit work t e Reminder: Be sure to schedule inspections of alteretions, i.e er heaters, water so teners, etc. I herebyacknowledge that I have read this application, state that the infortnation is corre ;e,; d-a r se;o-eo Iipble Ciry of Eagan ordinances. tt is ihe applicant's responsibility to notify the property owner that the City of Eagan assu o iability for any damages caused by fhe City during its nortnal operational and maintenance actlvities lo the facilities constructed under this permit within City property/right-of-way/easement. SIGNATURE OF PERMITTEE Updated t/01 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) $ - CITY OF EACAN q32-50 3830 PILOT KNOB RD - 55122 851-881-4675 New ConshucHon Reaulremenh Remodel/Reoalr Reaulremenh 65Hb Called ?0`?Z-OD ? 3 reylsteretl sNe wNayf fhowlny tq. ll, of bt, aq. fl. of tause 2 copies of plan and gl raoletl areae CJA96 mmtlmum tot coveraae allowetlf 1 aet of energy cdcutotlons for heated addltlons > 2 coples of planf (show Deam 8 wlndow sizea; poured hW. design; efc.) 1 sife wrvey for exledor addlllons 3 decks > t set of eneryy cadcululiau > J coples of hee preaenallon plan il lof plalled aRer 7/1/93 DATE: 106 S< oU CONSiRUCTION C05f: $.:?D, 0 0p DESCRIPTION OF WORK: 14CJ[e?"-)ca M6S1-Cr Suf't{- , Mo0'n? ?G,u.nctru .reVTC r STREETADDRESS: 399a PCr'1/1.SvIVQ(1 i'[] YtVP,f1uE LOT: ? BLOCK: ? SUBDJP.I.D.U: SIQtiU?? PId?'l Hyn Name: Rruck}nue.?Iet? Er;????t? e#: PROPERTY last Flrst OWNER ?9 Sheet Addresa: 39,7a ?f' i1 ?151r I(!Gr'1 ? q /t(Jt' ry Lc P, aty C? aa n srare: mt*,-) zip: f'03 Company: Phone A: (area code) COMRACTOR sneer nddreas: uosnse : _ Cify Sfate: Zip: _ ARCHITECT/ /-? ENGINEER Company: SG?Y Name: Telephone 4: ( ) Sfrset Cly Stafe: Sewer/water licensed plumber (i} Installina sewerhvaterl: Ai iA Phone M. LP: 1 herebY qcknowledye fhat 1 have read this applkatbn, atafe thaf ihe infortnatbn is carect, arW agree to comply wilh an applicable Statc of Minnesofa Stafufes and City of Eagan Ordinances. Slgnature of ApplicanY. C? ??l/?C?C'??'? `-?•??-? OFFICE USE ONLY I I ? 1 OCT 0 5-2000I Certificates of Survey Received _ Yes _ No Tree Preservation Plan Recerved _ Yes _ No _ Not Required'- ReglshaHon #: _ OFFICE USE ONLY „-- , BUILDING PERMIT ? 01 Foundation -X 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex SU ? ? ? ? ? ? BTYPES 07 OS-plex OS 06-plex 09 07-plex 10 OB-plex 11 10-ptex 12 12-plex ? ? O O ? 13 17 18 19 20 16-plex Garage Deck Lower Level Pibg _YOr _N Pool ? ? ? ? ? ? 21 22 23 24 25 30 Porch (3-sea.) ? 31 Ext Alt - Mutti Parch/Addn. (4-sea.) ? 33 Ext Alt - SF Porch (screened) ? 36 Mufti Storm Damage Misceilaneous Accessory Bldg. WORK TYPE ? 31 New ? 32 Addition 33 Alteration ? 34 Repair ? 36 Move Bldg. ? 43 Reroof ? 37 Demoiish (Bldg)' ? 44 Siding ? 38 Demolish (interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demotition permit GENERAL INFORMATION SAC Code 01 No. of Units 0 No. of Buildings I - c;onst. (Actual) a-M (Allowable) 15 - M UBC Occupancy R•3 Zoning ' # of Stories Length W idth Basement sq. ft. Main ievel sq. ft. sq. ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS /i__,_ Planning Building l?C? sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance 34 Permit Fee Surcharge Plan Review License MC/ES 5AC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: 9 t,o yd x 54 00 $ ,25 +.000 , = 24, $4b =$ SAC Units % SAC . skr?ve?ors jeate SURVEY FOR: Prontier biidwest Ilomes Corp. DESCRIBED AS: l.ot 12, I31ock 6, S'I'APPOItll V1.,AC1:, City of liagan, Uakota County, P:1innesota ancl reserving easements of record. ? L_ ??J /? ? • i . (61. e93. f. I? ? I? I y 0 ?Q Q ? ? W m ? ? ?m Na. N I 8') 4.2 I. H ,o r-- --- - ( I I I ? I 74,61 ? 1\ 92. 94 N. 89° 55 55" E I g???' ? r ?- I - - - ? i - - ? - ? 5 I ? I 44,61 , I Q I O ? ? SN 0 P• .815. 4 w ? I Z wlo 96 S C r Bs.q? ( ., ProPos? ? M I j ? r M uli ,- N ' C??y-Y KEnI M TLQ "" M 4. 6 „? z? ss .. ?a " ? r ? J ?; C?a BITA ? . ^? J 89L.1 ?I y r.1 lo,i3 1° i 44,s3 BC 991? ? ? v I ' ' 5 O 1 ? q ?? J 77- g9 N. a9' 45' oo' E. 30 I L 8? 6I6 a95.1 6 T1 ? PENNSYLVqNA I J - _ O avE. , )POSEO ELEVAt10NS ol foundotion . 89"I.1 aps Floor . g11.3 amsnf Floor'? 1 : 899,5 rox. Sswar Sarries Ehv possd Elsval(ons , , O 11110 Elavaflons . naqe Direetions otsS Olfsat Stoke , p e..e..4 ? Z _ RRh.I ow SCALE: ! lneh . 30 fsst 7 r) I ,,.. ;' . ; ? .. `J FROw?r Ssibee.K L?re BENC.?.?.ARKt ? I MIN. SETBACK_REOIREMENTS Fronf - 3o HoutO $Ido - I& Recr - paraQoSlde- 5' N??.u`l?kkt f? ? ManEL ? '?. • ' 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS L[ I INCLUDEYSETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICA ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUAVEY - CHECK WITH B 7PT., 1 SET OF ENERGY CALCULATIONS COMMEACIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS aD M 7 W8 To Be Used For: -A&4) /?p?i.rv/• Valuation: Date: ? n Site Address Lot ? Bloek ? Parcel/Sub??s Owner\ l/lln/d'? ni/ Address n/0 ff-,(JC/ City/Zip Code Phone Contractor Address City/Zip Code ?aZ Phone /sy-A3d' Arch./Engr. , 1&&4ac(%_2 Address Y4zL014_ City/Zip Code1-/jf??`V? Phone li 9W' Q,211 L/ T9? Of70' OFFICE USE ONLY On site sewage_ Occupaney R- 3 MWCC system k,- Zoning R -1 On site well Actual Const V- N City water ? Allowable V- N PRV required lf of stories Booster Pump _ Length Depth tl? S.F. Total Footprint S.F. APPROVALS FEES I Engr/Assess Permit y ?Q,.QD Planner Surcharge ? O Council Plan Review 4 ,OD Bldg. Off. SAC, City I 0O-CO ?Varianee SAC, MWCC 550,00 Water Conn 5S0,00 Water Meter &9, 00 Road Unit 3 ZS, [-30 Treatment Pl 2flu , Oa Parks Copies TOTAL Q ?•, YALuArIoN Y e • GARA4E t ? z0X2Z= 4140 X14= CoIGO TS?h'?T ZµXyQ = 4bo ?4?K 5f = 19Z 1152 Houst ?iVA'- 1IS2 X 13 = Iy9'16 2y?= I? I17o u 4y _ S 133? M y6, , , . ? SutVeIIorOs G'erti Viedte ? SURVEY FOR: Frontier Midwest Homes Corp. OESCRIBED AS: Lot 12, Block 6, STAFFORD PLACE, City oF F:agan, Dakota County, Minnesota and reserving easements of record. 1. ?J a ? IY ?Q Q ? ? 841.3 W co 0' m Na. 0 IN ? 0 o, I J PROPOSEO ELEVA710NS -- - . , 9z. 84 I I 894.2 N. 69° 65 'SS" E I 81il, I - io r h - - - I , - - - - - - N I ? ? j I I 3 94.61 ' I I ? 0 I 0N I i. O ? 2 a?s 8`i4o Z _ 4_61 `64 ' 96 ' SC i- Bv,e s I ?. M Propose d „ I -? ? Nulii .i ZD 877 (NdW -Yo KER? M }L(? M _ _895.j 4.61 Bs?.. •? r ' ?p ? 11 C. 30 ? 6qF . _ _B9iA ! t' ?v 9 g? 894.1 ?, •I r? io ?? 10,35 ?1_a 44,1;? . 3C I ? 891 ? T ? ? o ---JS ? ?l.l 1 i 72.89 N. B9' 45*00' E. Top of FoundoNon . 81"1.1 OoraQe floor Basament Floor'? I : g9q,g Approx. Sswsr Servlcs Elsv . 9jd-p Proposed Elevoflons , ? , O ERislinq Elevoflons ? Drainaps Oirectlom Oenotee O/leef Sfoke U W Z _ aqo. a IAIEDLUND Planning Errgineerirrg Surveying q01 !M Newnhipm i?wnN. OIpqzoxM my ' ?wro?w?in?Yp?M1 3 U 1 ,.. ,. ?j . ? `J F2o.,r ^x+beeK L?ne s95., e,:,o PENNSYLVANA AVE. ' BENCHMARK, A ?s I MIN. SETBACK REOIREMENIS Front - 3o Hous*SIde- 10' Reur - Oaroqe SIM - 9' SCALE: t Ineh * 30 Fsst I Mrely eerllfy tAat iMe wrvey, pbn x nperl wes pnpanE !f m doB N0.' er unen my dlncl Supawillen ene thot i am e Auh ReOistered 88R-01 LenA Bwreya unAO Me hws sf IM BtaN s/ Mlnnewta, BOOK: Oato: 3,7 • Be 77?; '?'?. ?• ?l Lly??"tG?-i. [PAiGE-': D '3610.11 yren, Ueenu Nq11316 - EXTERIOR EN4ELOPE AVf:RAGE "U" OWNER;?a? SITE AODRESS:r,/?l1I& CONTRACTOR: ? Determine working square fo 1. Total exposed wall area..... \°t \1 sq. 2. Total roof/ceiling area..... ??(.oU sq. CO.MPUTA7_ . I..Q.N . . . . _.... nnTr : I 61 PF;ONE: PLAN # o2.c? ? otage of each ft. x .11 = ZjO, f$ -7 ft, x .026 = 3e) ? I Gp Total exposed wall area above floor=(4 a. Total wall window area.. b. Total door area......... c. Total sliding glass door area ..................... ...... :........ d. Total fireplace wall area :....................................... e. Total wall framing area (average 10a) ............................ f. Total rim joist area ............................................. g. net wall area a6ove floor ..................................... h, wall area a6ove floor ..................................... i, wall area a6ove floor ............. ................. j. frame wall area at foundation ....:.............................. Total exposed foundation area= 17-- k. Total foundation window area ....................... 1, ? 3 l. Total net ioundation area above-grade ............... (a 21 :7 T Detei,mine "u" value of each wall segment (e.g. windotv, door, each separate wall section)' a. IIZ,o40 X liuii b. -3 g x„uil , 3? c. 37- ?y zIVI 7 = 15 , ZZ d, y? x liuii ,?co = 1 "1 ?Z$ e. l(v L{ X )VI X ?V, 9. ?? ???t<< X „u„ 7y,20 h. i. J X ??UH X "U" X IJUI] r.: 3, 3 X„u„ 1, o s? = 3, Y3 1. (pa, ? X ?,U"?y = Cc? 3 ....:............................rotai = zo r, d (0 If item 43 is the san as, or less than iten nl, you have metthe intent of SBC 6006 (c ? y_trrior Envelone Average "U" Conputation Page 2 of 4 Total exoosed roof/cciling area = (Q O m. ?btal skylight area ............................ ^ n. Total roof/ceiling framing area (average 10%)... i?(,e o. Total net i^sulated roof/ceiling :area........... Io4?I Determine "U" value for each roof/ceiling segment M. X "U" _ n. 1 l?o x?.o.l ?. l0 4?I x"Ull , ozS = ? cp"? I 4 ........................... abta1 'f to*_al cf '74 is the same as, or less than $2, you have met the intent of SAC 5006 icl 1. . . Alternate Building Enve].ope Design Zb utilize the total enyelope system method, the values established by the s-..un of i.teJns n3 and 04 shall not be greater.than the sum of itens $1 and #2• i. Zto.`bl + 2. 30,1? = 2-y I,o3 3. 7 C? k I QC) + 4. ?l.?'T ?? = Z 3d ? Co'T . ?? Constriir.i-ion R-Valuo FrLO.V.-.E . , ? 1. Interior i fi 6 2. ' 2 ? p B D_ ,45 3. $ ly, inches sofr. wood 4, C..*2&4 SN 1E0D (o .O , 5. SIdING 6. Exterior air film : 0.17 Total %Z,Z,7 . . U ° . .O a •i?Seral PIOD3iLOH '?T.T. FR}1HE WALL . - .. ' y 11) ? 4?? ` ? ' ,`• ? = /!r , . IG. #3 - - - ? . o , . ? ? . • • ` ?' : 1. Interior air film 0.68 2. 1 " G,`( P B 3. p" UL 13Q,D 4. ENP-a6%I.SHtELD s. SIN A 6. Exterior air film 0.17 Total ' _ Zp.19 .OS ' 1. Interior air film 0.60 YLtM 2. 1tisuL. s98 ?.oo s.. 2Xl JDiST.._ ?.89 4. Gt.?? .?1 SM?CtD /e o , 5. 51DIT.1Cy .fi2, . 6. Exterior air filtri 0.17 Tatal u,3(o . U=..c4 1. Interior air film 0.68 2. Snt 20 ` S.O ? 3. a. -Lu oNC L.oc s. ' 6. Exterior air film 0.17 Total T t3- ?./ = . J ?. SLAB ON -GRADE ? e. ( ;? , `` ` ' . ? Il( = ? , . , ?( ( V • , ' . ? d. • 1 1 v. , • , ^ ??? !r? ; •, , .. ? . ifl/?, . ? FIG. ?}4 !(l S ? ? . ? . ° X//! ? - Xrx ? ??? cf =. lir = NOTE: Indicate tyne, "R" value, denth and. _ placement of insulation.'• . STAN D;AtzD FInLL SECTIONS t:crn.: Use 15% of opaquc wall area Lor frame construction ` , n00I?fGE3LTNG , , . ? , • . . Const? ?n R-Valt?e 1, Interior air film . .0.61 ? Z. ?! ? , ? 3. 6??V1?.1 lN 4' Extcrior iir film (still) 0. VEiT sor.al .301, 6O Z . • ` ? ??. - . . . . . ? . . ? . • . ? ? ' F?? ? . ? . Hea[ flov ? . 1- Interior sir film ? 0.61 . tcatsd Z, , _ up . ? 3- t I/.S L..- ? • ' • 4. Extcra.or air Eiln (stil • ? . • .?. . ' . Total . .33. . . lIG. ig , : • . . ' v , \ . •. • . • V •. ' • . • tOA.9??r2?CT/ 40J%? . • , ,.. .,,.-?„ :+?-` ._? _. ..so,•?.e,,n or.a?.e.t... : 1. Inside air £ilm 0.61 2_ . . 3_ ' , • ? 4. S. Outside air fil:n 0.17 Total ? ,C'nCM?'t F . . • ' : '- 1. Ynside air film 0.61 2. ! Ecat tlov up . , , -;•vented+ 3. ' . . . 4. . • ' ? _ ' ' ' S. Outside air £ilm 0.17 • . . - , XG. ?6:.. _. . ' '-. . . : _ . Total -_. .. .. - ? - --- - - .: . . . . . . • 3 ?i 5 -v 1. Znsid'e sir Pilm 0.61 2- ' • • • • s -...r .1-.:t.: 3. " - - - , ' i???s?e? x' ..'-".''•_•,-. ";'.:: $. ?"=??.?j•f}?`' ' S. Outside air film 0.17 Total 1 .? .. ' ? . •,•... : • . . . _V: ,'??r_?T? •. : itotc: Use additional sheets if more spaee : • ? . • . needed for details and calculatians. .., ' • • . . , ' . Heat ,. , • . . • . $lov up • - • : ' '. PIry. A7 . .. f' . . . I . . . . • . . . L?- 3b.W ?. WALL, 5t:L1'lUNS NQTE: USE 10% OF OPAQUE WALL AREA FOR , FRP.ME CONSTftUCTION ! 0 ?. Q __- } ?I WALL ? I FIG. #1 TOPVIEW OF FRAME WALL FIG.' #2 0 sEALER I4 C= ==__=? 0 p ---,p .? ?•, p ` r I!r FIG. #3 1 l? V o r?, ? I BRICK FIRE PIACE CONSTftUCTION '1. INTERIOR AIR FILM R-VALUE 0.68 2. rIFE 1A 3. 4. AIR SPACE .68 5. A 6. ' EXTERIOR AIR FI .1 TOTAL 2.75 U = .36 1. INT'FRIOR AIR FILM 0.68 : 3. . ... . 4. 5. . 6. OR T(YTAL ? 1. INTERIOR AIR FILM 0.68 ' 2.: . . . . . 3. 4. 5. 6. EXTERIOR AIFt FIIM 0.17 ? IWAL 1. INTEftIOR AIR £IIM 0.68 ? 2. 3 . .. ? 4 5.. .. .. .. i ? 6. EXTERIOR AIR FILM I 0.1 TOTAL, SLAB ON 6RP.DE -Z • V ?? D y.' )? - ?t? ?? ' ?• ? ?- ???. ? , • , ? iii t ? ? ??. • ,? ? ? FIG. #4 ?'?I??. / NOTE: INDICATE TYPE "R" VAL?Ut?, DEM AND PIACEMENP OF INSULATION , . PLAN # * LINF.AL FEET EXPOSID WALL BLOCK: t?Lf t 3 Z iwa: ILf +(4c) +zy+?T- ! 013 w.o.: Rn-L i: u o+z.?,t + i s' +- S+zs- + 3 zt-? = I? g FULL 2: PIREPLACE : CQ xIM: I 'A $ * sQuARE = EXPosm wAU AREA sr,ocx: L4 X .5 = -7 Z KNEE: q3 X s= w.o.: X a = Fn_s. 1: ? Gf `6 X a= FUn_,t. 2: X s = £IREPLACE: ?O x ej=. RIM: I L{. ? - x 1= ? c+ 1? _ ToTA L 19 17 * SQUARE FEET E?d'OSED CEILING ( ( CQ O * !7qDDFJEWS Z43G. 3G1 i i? - Z° cpa _ S, 3= Z<( •`j ? I - 2.41{8 b?- = l(,o - 3Z Z.C?30 = l? 1 ` c. 5 - ----- I 1 Z.oco ^ ?$S l'? =3$ 3° 2? ? PATIO DOORS c-' ° = 3 z, Y ? &9SEMEN'r iRNITs zc&7 ? 3,3 5 ? `? LT, ?`r y ?' ? 11144 1990 SUILDING PERMZT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 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 CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST 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 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: LJer- Valuation: Date: J'/ '(, Site Address 5q9pZ RertllSy'IVaflia 14UP- Lot I01 Block & Parcel/Sub J?c.rrprry 'PIpGe- Owner ?K}rnP q Address JQQa ?zn?I?,•??Gr??C? 1*U? City/Zip Code Phone IPOC? - ?o??iJ? Work- (py3-Z&4O Contractor sei? Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # OFFICE USE ONLY FEES Occupancy Zoning Actual Const Bldg. Permit Allowable Surcharge .SO # of stories Plan Review Length SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well _ S/W Surcharge MWCC System _ Treatment P1. City water _ Road Unit PRV _ Park Ded. Booster Pump _ Copies ,S O SIIBTOTAL APPROVALS Penalty Planner _ TOTAL ljl7w Council Sldg. Off. !t 5/2 Variance APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIQN ... ..... ... ... . ! " FY ** ? N7PE: PAYP4M OF FEFE.E AT TIME OF ? i APPLICATION DOES NOT CON- ? ? STINIE APPR6JAL OF PIIttIIT. ? f ICLPFXTION OF SEFffit A!D/OR F4\1EI2 ?. ; irsrr,LuTTOrs wus. caor se scmnm ; ? t'NCIL PF1+M[T HAS Hffii APPROVID. ?'. citV f.it+ri:r+?+i?eyi:+xR++?Ri;ier++??rsf++ oF eagcsn _ (PLEASE PRINT , 1) PROPERTY ADDRESS: T•FY;AT• DESCI2IPTION: . . . . . . . a2. . . Q°, l1! . . . Lot B occ S vision or Ta IF EXISTING STRLICTORE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Nbn Year PRESENT ZONING/PROPOSID USE: Q CONA7ECtCIAL/RETAIL/OFFICE Izf R-1 SINGLE FAMILY Q INDUSTRIAL ? R-2 DOPLEX ('Iw L?nits ) Q_INSTITUTIONAL/GOVERbIIMENT Q R-3 TOW6IIIOOSE (Three +:Onits) ( Units) Q R-4 APART1,1E6FI'/CONIDbM2NIUM ( . Onits) . 2) ? NP.ME ° ADoxEss: CITY, STATE, ZIP: PHONE: ? 3) • NAME: ?1?a/t ??/?.t('J (?jL.la rvi ?iLy vse Pl rum?e I,?cense: ADDRESS: Active i d CITY, STATE, ZIP: ? c"). I Exp re Not recorded PHONE: - MASTER I ICENSE # ? Z? , , ?_ St Initi 4) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) ? y •?, . n ? ?n a CONNECTION TO CITY SEWER n CONNECTION TO CITY WATII2 O OTFM 6) , *?***?******+**+?**** ** ***********?****?**********?**?***************?*****?******?*******?**?**? * THE GOID COPY OF 1HE PERMIT WIIS, BE SENP DIRFJC'1ZY 7O PLBLIC WORKS 77D FACILITATE METE[2 PICK-DP. * .*k PLEASE ALLOW '1VD WORKIIdG ppYS FOR PROCFSSING. SOMIDONE FROM Tm CITY WILL CONPALT YOi] IF '14ERE * * ARE ANY PROBLEMS. * ?+?**?***************?***?+?*:****?*****+**?*??*******+*++*******?**+************?*****************t : F'OR ,CITY USE ONLY PERMIT # ISSLED ' Pd w/Bldg. Permit FEES: $ ?D - j-z) $ SEWER PERMIT (INCLUDE SLRCHARGE) $ $ WATER PERMIT (INCLODE SIIRCHARGE) $ CG 7'!1 ? $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ 16•G-v $ ACCOUNT DEPOSIT - SEWER $ 1',5^' U-D $ 'NT DEPOSIT - WATER ACCO[ . S a.5-0 - to U $ wAc S ? 5--D , !l 0 $ sAc $ $ TRONK WATER ASSESSMENT $ $ TRCtNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ ? $ WATER TREATMENT PLANT SLRCHARGE . $ $ OTHER: S $ TOTAL P-2-0 73 RECEIPT RECEIPT DOES UTILITY CONNEC TION REQLIRE,EXCA VATION IN PUBLIC RIGHT OF WAY? O YES IF YES, THEN A" PERMIT FOR WORK 6VITHIN PUBLIC ROADWAY" MLST BE ISSUED BY THE ENGZNEERING Q . IVO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: ,C.(/r-? 4&-L4/;;lt? TITLE: . DATE: _ j ` ? ? = Who% House Worksheet Customnfs Name ??!? City . -T . . . Siaie Zip Telephone Number WIN7FR:IOSideDeoipnTemp ?7S_OF-OuuideDnsipnTemp ".)0 °F.HNtinpTmnpOiffennee? 0F - ? SUMMER:OutsideDasipnTamp CU °F- IncidaDasignTamp 7!2-_pF.Coo6.,.,To.....nu??._...,_ i? '• ,. • 'MEATING-'. . ,. . , i?aCOMMONDATA'SECTION.4tirt?iq.q::r?aq. s?iv ... .. '?... -- - • ,.. rCOOLIN . ,. ' BTUHLpSB?-? i'.. MEATINO FACTOP .....,. . .. . .?.. .?.nf . ?¢.`i'yv d3 .• y SU " ?? .3 j? .a;: a.. :.r p . u {' ,':. . . . ??, '.,:. t wv ? . x ,yrr?ll pf?,.;;,? , , •. .Y. - f . GROSSWALL ?rjy S ? HTUH GAIN. , 35.2 OOORS B WINDOWS lTable A ur el a/? S NETWALL 138 3sa yo 75a ? a r i .a 6 ceiuNG I lb • Fu30P.s / ? n wuun Utwnr /?? Haeury TebleD . XIOX 1.1 ?u^b . Vdume I8o % ICu. F?.1 ICu F % - . 1.1/B0 X nT X o' p o ? MlMtiw ~ .% x0.t8333 x S uS? /S oS6 x 0.01833 x/ xy m f? 3 SUB-TOTAL BTUH LOSS Iper 10°F ) _ X ADJUSTMENT FAC70R ITabla C) TOTAL BTUH LOSS ' PEOPL x300BTUHGAIN ?^°°me2ne.wnc wrbaaeooml :: . .. /$UU APPI,IANCES BTUH . SUB,TOTAL BTUH GAW (room sensible only) , ., . . ?? " V ? I DUCT IASS/GAIN FACTOp (Table F) SUB-TOTAL BTUH ISensible Gainl " x ? MOISTURE REMOVAL (sub total d q(? ) x 1.3 Tn7eI wTi iu inco,...,. TABA A-HEATING-DOORS @ WOOD FRAME WINDOWS V TABLE B- (PER 10°FI COOLIN6 - DOORS @ WINDGWS For slitling giass doors . use facrors for che same type winUOw 61 nds end slid ng glas doors ai? t eateduas winduw ?????wrwtian mnsuuction. x Area I a Btuh Losa Wifh 9.90 110.45111. 5.51 - 0.09 7.25 iI 72 I/ J yk Inar 3.80. 4.39 5.46 ous?e inyin - - 17,p Slllgll' I 11.07I11.69I 12.92 Doubin 6.65 I.35 8.75 ?our WoudOnly 4.60 - - Wuoil w/slurm T ? on w/storm - - 1.70 TOTALS ? D??c?ian aiwucu.u T6MP.O1hR 16' A• b'. oowu<uu TEMP. qii 16• ]0- 35• iwucuu TlMP OIH. 1!t S' 761 ' . l/vy .?Tyq pqy N 19 u m ?? ?e ?d ?r ?z .u. 3 S NE6Nw 11.. ?? ?. l? 31 36 ]6 P IIt f . E6W '.63 Y N M 40 0 A. A ?p' / O SE65W ]B ?i ?I L N ay g b ]t ]e n ]b 37 . iY ID i)? 1 d iu iu us Ir ,x pp „ wYmui te ia.o us 3.6 io.r us as ?o.c W .' ' M1MW J. 3.6. l5 6A p,6 LS 6J Jb l5 6! / J Fa»woooor:ena k TOTALS uoMW??rn ceummm?„?,.. C? Porvm?nmaconmeultloq? ' . TABIE 0 - INFILTRATION MULTIPLIERS W inter Air Changus Por Hour F'oorAma 900orlass 900-16pp 7500_2100 Best?? 0.4 0.4 0.3 Avnrage a (> Puo. O tunuLaCe aea: BoSi Averapii TABtE C- pDJUSTMENT FACTOflS -(HEATING) Fioor f. Tnmpera?ure Diff. 30 qp w ? 7 80 90 Besf WJustment Factor 3 y 5-6 - ?-y-B? Awraga I 9 Po?? c Amencan Stnndartl. Inc ]9RF . 0.1 02 Summer Air Changes Ppr Hcur SiW-7500 1500.2700 02 0.2 0.2 0.6 0.5 0.4 0.3 OJ 10 vow ' 0.6 mw 7100 E O.Y ow o.s-_-          ðÿ  ÿ þýý  ðûüîûü     úýý ðý÷÷ àþéé   à   þýö  þýüûúùõ éò  ýûúù  ûúùõù   ùóý  ò ý òñíýùú ð  þïý î éë  ù  ùù  éÿë  ôý ôë ù ø÷ éü ê  ý ý   ùüýé ù ê ò üôè   ïý üúø  éôúëô ê  îæñåæêê õú  þý ë  çýæñåæêäêä çýñÿê  ôó ö òñ ùù  â ýôý ñää  úìì  ãöñ ë üúø ë ëì ë ùù ëëé ô   ôùúøëùùüþ éã þý òúé í  ê ùù÷  ôþ ý  ýúþ ý  PERMIT City of Eagan Permit Type:Building Permit Number:EA115401 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 3992 Pennsylvania Ave Lot:12 Block: 6 Addition: Stafford Place PID:10-72500-06-120 Use: Description: Sub Type:Reroof & Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 12,000.00 Fee Summary:BL - Base Fee $12K $221.25 0801.4085 Surcharge - Based on Valuation $12K $6.00 9001.2195 $227.25 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 - Eric J Bruckmueller 3992 Pennsylvania Ave Eagan MN 55123 Ostroot Brothers Construction Inc 2010 Sumac Lane Burnsville MN 55306-0000 (952) 435-6047 Applicant/Permitee: Signature Issued By: Signature