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.
?
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I 74,61
? 1\
92. 94
N. 89° 55 55" E
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44,61 ,
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BC
991? ? ?
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5
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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.
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Q
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W
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0' m
Na.
0
IN
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I J
PROPOSEO ELEVA710NS
-- - . ,
9z. 84 I
I 894.2 N. 69° 65 'SS" E I 81il, I
-
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-
I ,
- - - - - - N
I ?
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j I
I
3
94.61
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2 a?s 8`i4o Z
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4_61
`64
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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
. ?
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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 -
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SUMMER:OutsideDasipnTamp CU °F- IncidaDasignTamp 7!2-_pF.Coo6.,.,To.....nu??._...,_ i?
'• ,. • 'MEATING-'.
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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
/
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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
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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
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ow
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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