4920 Pine Lane_ - ? INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
' 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date issued:
(612) 681-4675 "
SITE ADDRESS: , j APPLICANT:
PEFiMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .. . .A
, .?
RE1MAkK'+: PI rit! ; i.: iE I.1?.11 fiY I.IAYMt M
',;.tl t'1 ;IMtif R -.
?
,ev
?? ?
Permit Holde Date Telephone M
PLUWING
HVAC
Inspection Date Insp. Comments
FOOTWGS
FOUND
!/
w
FRAMING
-
!? -
ROOFING rJ fj
b (/
PLOUMBING
PLBG
AIR TEST
, (U C?
ROUGH
HEATING
GAS SVC
TEST
INSUL
?
LG1C.?
GYP BOARD
FIREPLACE i
FIREPLACE
AIR TEST
FINAL PLBG
?
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
r
v?u
DECK FINAL
--?--?--r' -
4f
%eL`tiftCQt¢ Df cCC1tpQ1iC?
'Kitv o f Cfagatt
?c.part?aeat of 13xilbixg auapection
This Certificate issued pursuant to the requirements ojlhe Uniform Buildireg Code
certifying thnt at the tinte of issuante this structure was in campliance with the various
ordinances of the Ciry regalating building construction or use. For 1he following:
uK ci.x,trwation: 58 DdG
O-UP-Ir Type ROM 1 z,.mng Dis? _
O+vner of Buildins ?aiAm ?
Buildinb Addess 0,00 IIIIC I'ANE
aw".g «ricia
awg. Pcma No. 33292
R I Trre contt. VN
2825 E HWEPIlV, tnS ,
?;ry L14, B3, PINEIREE FC!tEST
?
POST IN A COIVSPICUOUS PIACE
4? , 0,?
Addreas
Lot 14 Blk 3 Sub
THESE TTEMS WERE / WERE NOT COMPLETE AT
Zip 5512
OF THE FINAL INSPECTION.
Date: Yes No Inspector.
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Petmanent gas VI"
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the cemoval of roof test caps from the plumbing system and the shut-off of water supply W
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing uaderground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Conttactor Copy
Address 4920 rTW. iME Zip 55121
E.ot 14 Blk 3 Sub PINEr-EEE FOREsr
THESE ITEMS WERE / WERE NOT COMPLETE AT TfM 'I1ME OF THE FINAL INSPECTION.
Date: Cj Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanentdriveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage . ?. , ,, % ? • ???,? ?
Porch
Basement finish
Deck
Please ver'?}' with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the ouiside lawn faucet before freeze potential exists.
Contad engineering divisiou at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
W6ite - City Copy Yellow - Resident Copy Pipk - Contractor Copy
CITY USE ONLY o 2
L BL ? RECEIPT #:
5UBD. RECEIPT DATE: ll 9 Fsl
1998 PLUNiBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOB RD
EAGAN, IIIN 55122 (612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
-- ---- --------------
FIXTURES -_,--------
EpCH ------ --------------
# ---------------•
TOTAL
Shower 3.00 x a
Water Closet 3.00 x 3
Bath Tub 3.00 x / = 3
Lavatory 3.00 x
Kitchen Sink 3.00 x ! = 3
Laundry Tray 3.00 x 3
Hot TublSpa 3.00 x Z = ??
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet • minimum -1 3.00 x
Rough Openings 1.50 x =
Water Softener ' for dwellings under construdion 5.00 x =
Water Softener ` for existing dweiling 20.00 x =
U.G.Sprinkler "fordwellingunderconst. 3.00 =
U.G. Sprinkler `forexistingdwelling 20.00 =
Altefati0n5 ' to existing residance 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems • Abandonment 20.00 =
RPZ (new installation only) 20.00
=
STATE SURCHARGE 50
TOTAL J I 50
---°---------------------------------------- --------- ------•----=-------------------------------------°---------------
I he?eby aeknowledge that I have read this application, state that the information is corred, and agree to wmply with all applica6le City of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and maintenance activities to the facilities construded under this permit within Ciry propertylright-of-way/easement.
SITE ADDRESS: `Y / a9 /' ? L".&?
OWNER NAME: Ir! 4 nl t M
INSTALLERNAME: X4" PL6 8y.""TEL0NE#:
STREET ADDRESS:
CITY: S?STJ?/iC.?/L , M'U• STATE: ZIP: S?ZS?
SIGNATURE OF PERMITTEE
CUPERMIT FORMSlRPLBG PERMIT (RES) - 1998
? ?? -?? -
. ? ??
'' ?
.?? ??? .??-
?.???'?l?'?`` ??,
?'?r 's .
? ????
PERMIT
:--?1TY OF EAGAN
' 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-57650-140-03
DESCRIPTION:
PERMITTYPE: surLoztie
Permit Number: 0 3 3 2 9 2
Date Issued: 0 9/ 2 2/ 9 8
SF DWG
NEW
R-3/U-1
VN
R-1
73
36
2
2,837
101 1 - FAM. DETACH
r' ?. { Ya?J ....... . . ..a
4920 PINE LANE
LOT: 19 BLOCK: 3
PINETREE FOREST
eui:ldinglpermit Type
B„uilding "t3a.rk Type
IIBC Oecupanccy\,
Constructian TylPe
Zaning
Bu3lding Length '
Su33ding Width
Bu.iJ.ding stori,es
Sq'ua re Feet ?
Ce!0'8 up. Code ,
4
,i
REM?W;REVreweo BY WAYNE MILLER.
S&W PLUMBER -
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SRC %
SAC Units
Subtotal
VALUATION
$1n212.25
$787.96
$82.50
$1,000.00
100
1
$3,082.71
$165,00@
MISC. FEES $1,592.50
Total Fee $4,675.21
CONTRACTOR:
?A111?NER: -
2825 E.
MINNEAPOLIS
(612)331-5939
pplicant -
MICHAEL
HENNEPIN
MN 55413
I herehy scknowledge thaG I Mave read this application andstatethaGtMe3Rform,ation is CaY'reat anq ag1^ee to cotrtply with ail epplica61e Stat2 of Mn.
Statutes and City of Eagan OrdSnances.
L _
J
? APPLICANT/P T S GFATfLJRE " ISSUED BY: SIGNATURE
CIrv*oFaGFr
(.'AS ? rr?.r:nrnni_. r?n. 73e
!-I'.f;: .>
DATE'03/22/90 "IME; 15:38:46
ID ;
NAME, MICNoE.L I^I. MANN
22:56 :?rl0i. 4920 F'IhE f..ANE 4,675.'i
i..00
343L1 9001. 4920 F'7.t?E- LANI_
¢ y c?i6.21
7e+.a1 fteceipt Amc".'rtik'
CFi09 i E,9.7.
lJSF'.R .CDe NANCY
'?FYF?YFW ??1,1k???M?%?M??$?(1K:?F5k?ri?##X?'MaX??%?%:K?k???X1k 'M?k
1198 BUILDING PERMIT APPLICATIGN (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 58122
681-4675
1- ?
New Construction Reauirements RemodeVReoair Reauirements
t
? 3 repistered stta suiveys
? 2 copies af pWns (InUude Deam 8 window sizes; poured fnd. Eesign; etc.)
• t energy ealalations
? 3 copias of tree OreservaNOn plan if lot platted after 7/1l93
required: _ Yes _ No
DATE: ?9-- oa - 9 E
DESCRIPTION OF WORK:
? 2 copies ot plan
? 2 site surveys (exlerior additions 8 decks)
• 1 energy calalatlons for heated atlditions
CONSTRUCTION COST; ??? U?t°, • O D
STREET ADDRESS: D424E V
LOT: Ll BLOCK: SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ert
Name:??j??/v °hone
Last Fiac
Street Address:??,-,5- :?D, `/V
City 140??3 y/.& State:
I?
Company: ?v? Phone #: _
Street Address: License #
City
State:
ARCHI ; ECT/
ENGINEER Company: Phone
Registration #:
Street
Zip:
City State: Zip:
Sewer & water licensed piumber (new .:onstruction only):
and lot change is requested once permit is issued.
Penaliy applies when address ehang
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appliqbl
State of MinnesoW Statutes and City of Eagan Ordinances. ,
Signature of Applicant:
OFFICE USE OyIX
/
Certificates of Survey Received ? Yes _ No
Tree Preservation Plan Received _ Yes _ No v ?Npo,t? Re uired
OFFICE U5E ONLY
?'•--° ? .
BUILOING PERMIT TYPE
?01 Foundation ? 06 Duplex
?02 SF Dwelling ? 07 4-piex
? 03 SF Addition ? 08 &plex
? 04 SF Porch 0 09 12-plex
? 05 SF Misc. ? 10 = plex
? 11 Apt./Lodging 0
O 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
O 14 Fireplace ?
El 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Faciliry
21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations
32 Addition O 34 Repair
GENERAL INFORMATION
O 36 Move
? 37 Dernolition
Const. (Adual) V/J Basement sq. it. l?A IE; 6 MC/WS System X
(Allowable) Main Iovel sq. ft. i A485f City Water X
UBC Occupancy 3i- ;1,ud sq. ft. r17-6 Fire Sprinklered. ,
Zoning R 2 lG?k_ sq. ft. 769 PRV
# of Stories OF?k sq. ft. '7S0 Booster Pump
Length 7 sq. ft. Census Code. 7 0/
Depth 36 _ Footprint sq. ft. 2?4t 3 SAC Code e5l
Census Bldg t_
Census Unit I
APPROVALS
Planning Building ? Engineering Variance
Permi4 Fee Valuation: $ /6Si O00
Surcharge
Plan Review
License
MCMJS SAC
y Z X
GYo
C?ilty SAC GR huc. 6FMt`F
WaterConn. ??a x 6 = 677-
Water Meter
1 ?3
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. ? 2iSSf X 5'-?
Other
Copies
x -AS = I! 76 x? y =
G350`a
Total: GqK'-?aX ?,z - 5`NS
%SAC I6 X,IN= -2 y x/6
sAC units
?? _ 7£,v)
p 6 ` ?h`dvr?YG -
"
>x 'K ° y'Yy
a
°f
(
1 zflp
,
.73r
l
? ?/6
276 X 7 -
DBE
NWRING cansIXnNO EN10141MRs,
pLANNERS and LAND SURVEYORS
-
PROJEC7 NO.
a?
8641.00
2?5
OMPANY, INC.
t 1000 EAST 148th STREET, BURNSVIILE, MINNESOTA 55337 PH
CERTIFICATE OF SURVEYRECEivEO sEp o 41998
Legal Description: LOT 14, BLOCK 3, PINETREE FOREST,
; - ASG9-Ti' COUNTY MWNESOTA.
Qf1 KeTA rfff/ DENOTES EXISI7NG ELEVATION
(977, ? DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
q7-7,93 = FlNISHED GARAGE FLOOR ELEVATION
_3-71,(,4_ = BASEMENT FLOOR ELEVATION
978.16 = TOP OF FOUNDATION ELEVATION
SCALE : 1" = 30'
gaCIF MAP-K- :
7nIN qT [.oT 7t - StocK 3.
E4EV. = 97D• 66
AvaR,CsS ! 4920 PiNE LAniE
00
i?
( ?
INI
?
8
w?
Z
Q
J
w
z
a?
?
?
?
I?
il
?
w
co o
O 0
00 -
00
r?
0
0
U)
?k NoTE : 6.52 DEC-P CotJC, BGOCK BASEMEWT
Wl7N Nloop FVAMED WALL ou ToQ
'rn ?WMfT/T CE« IN(i I-IEIb/fT
or- -7. 7R Fr:
W58??3
t!az-i
I?1p --
' S, 2
i _
?
0
m U
O
V A Ca NT L-DT
DRAINAGE AND
UTILITY EASEMENT
Nu6= 975.i7
Q 17, a7
? N89'41'52"E
0
wW
(n cn
0 D
a O
OZ
Er
12-
? ?
?
10 ? N 3E
l?nC976.a)?S,oa
? ?r; ? Mu8= 9?5,88
91b; • 'IF 'n
7oE 3o?PINE ?
? „+
77 .? ?
? ? ?
?gs_I? I1J
977
C^_, :PiNE Ixj
971 L. 2e10
?+E
13E
N89'4
\lA GAM 7 " T
_.?.U
977
w
O ?
Om
ad?
mo
0
cn
o)
I hereby certifq that this is a true and correct representation of a tract as shown and descrlbed
hereon. As. prepared by me this 3P-o day of 6?5?1RG2 . 19-q--B•
04+,-4' _Minn. Reg. No. 19a86
? LOT SURVEY CHECKLIST FOR RESIDENTIAL
.4
• , + BUII.DING PERMIT APPLICATION
PROPERTY LEGAL: ` ?
?
-
DATE OF SURVEY: 9
r
---
? LATEST REVISION:
t; DOCUMENT STANDARDS
? F
i
L3 ? • Registered Land Surveyor signature and company
0 ? • Building Permit ApDlicant
u,"'p ? • Legaldescription
?O 0 • Address
?p ? • North arrow and scale
p'?p ? • House type (rambler, walkout, split wlo, split entry, lookout, etc.)
m?'? ? ? • Directionai drainage arrows with slope/gradient %
O • Proposed/exdsting sewer and water services & invert elevation
p? p' ? • Street name
?? ? ? . Driveway
ELEVATIONS
6dstina
? ? ? • Sewersenrice(orProposed)
0 • Property comers
p? ?
? • Top of curb at tlhe driveway
/
? ?? • Elevations of any ebsting adjacent homes
ro osed
? • Garage floor ,
p- ? ? • First floor .
er-?p 0 • Lowest exposed elevation (walkouUwindow)
p?/? ? • Property comers
-e' ? ? . Front and rear of home at the foundation
PONDING AREA (if aPOlicable)
? ?? • Easement line
? r? Q • N?
? ??/??
? C§' pI +
• HWL
Pond # designation
? o?o • Emergency Overflow Elevatlon
DIMENSIONS
p?
? ? • Lot IinesBearings & dimensions
?
p? ? ? a Right-of-way and street width (to back of curb)
'
M-'10 ? • ,
Proposed home dimensions including any proposed decks, overhangs greater than 2
porches, etc. (.e. all strudures requiring permanent footings)
?
? ? • Show all easemenls of record and any City utilfies within those easements
p' p ? • Setbacks of proposed structure and sideyard setback of adjacent epsting structures
p Ca? ? • ?
Retaining wali requiremen ' ny
?
?
i
?
?
Reviewed:
i ,
" ?
January 1996
CAA1019odHLOGMMf.FM
• GUIDELINE TO (R) FACTORS FROM ASHRAE HANDBOOK
'U' value = Thermal Trensmittance
'R' value = Thermal Resistance
'U' value = the recioroeal of'R'
'R' value = the recimocal of'U'
Therefore, 'U' = 1!'R' jDd 'R' = 1/'U'
The smaller the 'U' value, the greater the insulating capabilities of a component.
The laraer the 'R' value, the greater the insulating capabilities of a component
'R' values can be obtained for each of the various components of a building section (assembly) and then
added together to compute the ='R' vaiue of that sec2ion (assembly). But note that you cannot add 'U'
vaiues of the various comnonents of a buiiding section (assembly) to obtain an "overail" 'U' value.
NOTE: The following are typicai 'R' values for the items listed:
( F3)
Interior Air Film (walls) 0.68
Exterior Air Fiim (walls) 0.17
Interior Air Film (vented ceiling) 0.61
Exterior Air Film (vented ceiling) 0.61
Interior Air Film (non-vented) 0.61
Exterior Air Film (non-vented) 0.17
NOTE: The foliowing are typical 'U' values for the items Ilsted:
(.U)
All Windows
(w/stortns 1" to 4" space) .56
Removable Double Glazing (RDG) .55
Thermo or Welded 3/16" air space .69
1/4" air space .65
1/2" air space .58
1-3/4" Solid Core Door .46
w/stortn, wood .31
w/storm, metal .26
Pease Steei Door InsVNlCL 7.45R .13
Stiding Glass Door - Wood .65
- Metal .715
(When a window or door has been speei£eally tested by a manufacturer for'U' value, those values as given
may be used in lieu of the above.)
}
.T
CONS'FRUCTION:
1?' w. :
R-VAL'UE: '
_6
2
CEILING SECTION (INSUL.): FIGS. S OR B
1) INTERIOR AIR FILM
2) ?" DRYWALL
kt-i4ts7t*3) R-5 SHEATHING (IF NO ATTIC)
4) _JIL" INSUL.
? 5) EXTERIOR AIR FILM
OTHER
TOTAL'R' VALUE
'U'=1/R=
1bl
,Sb
, 5_
3fL3
44,?8
,02
? o
1-
J
LL
CEILlNG FRAMING SEC'fION: FIGS. 5 OR 6
rAe. •
R
#
r 1) INTERIORAIR FILM
5 er
.'y
F I_ C? U f? E 2) /p" DRYWALL 5b
T -(SUG,4ESTED)i
?AT T I G 3) R-5 SHEATHING (IF NO ATTIC)
"
? 4) ?? INSUL.
t2&
5) EXTERIOR AIR FILM e 1
6) 3'1Z" SOFT WOOD 3.'I 1
.? ? Y E N T- SPAZE . ? OTHER TOTAL 'R' VALUE ?
'U'=1/R= ,03
? , ? ' : •I ? EXPOSED FLOORlCANT. SEC. (INSUL.): FIG. 7
1) INTERIOR AIR FILM
2) FLOORING ?
3 3) SUB-FLOORING _
4) " INSULATION
-2 F I G ll R c #?O ER
P
_
1 6) OR AIR FILM
EXT -
(N O AT TIC) • orHeR ^
TOTAL'R' VALUE ?
,U,_1/R_ _
1
Z EXPOSED FLOORlCANT. FRAMING SECTION: FIG. 7
3
1) INTERIOR AIR FILM
2) FLOORING ?
' i 3) SU&FLOORlNG -
4) " SOFT WO00 ?
A 5) PLYWOOD ?
B)
' EXTERIOR PJR FILM ?
?
Y OTHER
TOTAL'R'VALUE ?
5. ? { 'u'_ I/R
? FIC R E *7 'i
CANTIL£.V£.RS AND
AODITIONS ON POSTS)
?
OR OVFR G7ARACI?5 J
1 -
2?
3--
FIC,uRE #Z
(WALL- FRAMfN07)
_2 --?
3--
FICURE #Z
(WALL-INSULATION
2-
3
FIGURE # 3
(RrM Joisr)
1 ----- V.-
3 -
F1C,UR£ #4
(F DU NOAT f ON)
CONSTRUCTION:
WALL FRAMING 5ECTION: FIG. 1
1)
? ,} 2)
0-3 4)
5)
s)
.
TOTAL 'R' VALUE
'U' = 1/R =
WALL SECTION (INSULATION): FIG. Z
1) INTERIOR AIR FILM
?-- q- 2) YS, ° DRYWALL
3) ' a," t6?-TS' INSUL.
"
4) SHEATHING
?- (a 5) SIDING
6) EXTERIOR AIR FILM
' OTHER
TOTAL'R' VALUE
'U'=1/R=
0- 4
+-- 5
ti-- 6
--a-4
RIM JOIST SECTION: FIG. 3
R-VALUE:
,b8
?
? bZ
?b
.,-
?
?IZ
.bg
, 46
,04
1) INTERIOR AIR FILM k?2b
2) BATT INSULATION 35
s) 1-u2° soF-r waoo i ,Sa
4) hL"SHEATHING b2
5) SiDING b
6) EXTERIOR AIR FILM
' OTHER
TOTAL'R' VALUE
'U' = 1/R = , 0 2
FOUNDATION SEC710N: FIG. 4
1) INTERIOR AIR FILM •'?
2) - " - INSUL. -
3) TT" BLOCK/CONCRETE %.'I
4) EXTERIOR AIR FILM I
' OTHER I"PoJrc,,reE.aE wsJL,
TOTAL 'R' VALUE ?
'U'=1/R= ,1l
INTEi210R AIR FiLM
DRYWALL
`2" SOFT WOOD
Vl? " SHEATHING
VIM?L 51DING
EXTERIQR AIR FILM
OTHER -
-V
Determine sauare footaae of each exoosed roof/ceilina area "seamenY":
j. Total skylight area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N?4
k. Total roof/ceiling framing area (average 10°k) - See Fig. 5/6 . I(rl ? b
i. Total net insulated roof/ceifing area - See Fig. 516 . . . . . . . . . ?E
Totai exposed roof/ceiling area . . . . . . . . . . . . . . . . . . . . . . . . I l'1 b
Detertnine 'U' value of each exposed roof/eeilina area "segment,•:
}. tS' A, x'U' 1a pr =
k. 61-1 Aa x'U' t03 - 3,S'.
i. loS6. 4- xv' , oZ = 21, t-I
5. TotaJ, actual 'U' value for roof/ceiling area = 2 , . .
(If #5 is the same as, or less than #2, you have met the intent of the State Energy Code.)
Determine sauare footaae of each exoosed floar/cantilevered area "seomen ":
m. Total floodcantilevered framing area (average 10%) - See Fig. 6.
n. Total ne# insulated floodceiiing area - See Fig. 6 . . . . . . . . . . . . .
Total exposed floor/cantilevered area . . . . . . . . . . . . . . . . . . . . .
Detertnine 'U' value af each exRosed floorfcantilevered area "s g enY":
M. r11a x'U' Nla_
n. 11,er x'U't-IIA_ = r
6. ToW I actuat 'U' value for floorlcantilevered area = *1 ? A.
(N #6 is the same as, or less than #3, you have met the intent of the State Energy Code.)
Altemate Building Envelope Design
To utilize the total envelope system method, the values established by the sum of Item #4, #5, and #6 shall not be
greater than the sum of Item #1, #2, and #3.
+2. 3o,5F3 +a. ?41 A, = 342,1q
4. 2'1'1,?iq +5. 24,'f +6 N I4 = 02 , o
I hereby certify that I have calculated the 'U' factors and 'R' values herein and that the building herein described
meets, or exceeds, the 1994 State of Minnesota Energy Code.
ignature
atp-"e ? T'
. ,,+. i .
?
1994 ENERGY CODE CALCULATIONS
SINGLE 8 DUPLEX FAMILY HOMES
. The following energy code requirements should be calculated and included with a building
permit application. (This list is r o intended to be an exhaustive and camprehensive report, but
is only intended to help you in complying with the basic requirements of the energy code. For
further information, please contact the Energy Information Center of the State of Minnesota at
296-5175. )
? Roof - ceiling assemblies - R-38 Ceiling insulation allowed if Advanced or
Improved framing techniques are used.
Advanced = ceiling framing that achieves full
insulating value to the outside of exterior walls,
e.g. energy trusses. Improved = min. 7-1/2"
between the wall top plate and roof sheathing.
- R-44 Ceiling insulation required at rafters or trusses
that are framed without Advanced, or Improved,
framing technique.
U= 0.026 Average over entire ceiling area.
? In ceilings without attics, insulation must be R-38 between framing glus it is suggested that
R-5 sheathing be installed on the ceiling side (e.g. 2" x 12" framing at vaultsJdormers;
scissors trusses; etc.
? Exterior wails !& rim joists - R-19 Typical wall insulation at 2" x 6' stud framing.
U= 0.11 Average over entire wall area, including
windows, doors, and framing.
? Floors over unheated spaces - R-24 Typical floor insulation between floor joists.
U= 0.04 Average over entire floor area.
? Foundations (all exterior walls) - Minimum of R-10 insulation from the top of the
foundation wall tQ the top of the footing.
? All insulated areas must be separated from the heated space by a well-lapped, or sealed,
vapor barrier with a maximum perm rating of 0.1. A 4 mil. poly sheet, or equivalent, meets
this requirement.
? All penetrations, such as but not limited to fire-stops, vent pipes, wall outlets, recessed light
fixtures, etc., should be sealed.
? An air-impermeable barrier must be provided where insulation is susceptible to intrusion
(wind-wash) of outdoor air (e.g. at attic knee-walis, exterior wall plate line at rafters,
cantilevered floors, etc.).
• A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles
are to be placed in each rafter space.
? See attached tables, as copied from the ASHRAE 1993 Fundamentals Handbook, for 'U'
and 'R' values of the most common building components.
CITY OF EAGAN
EXTERIOR ENVELOP£ AVERAGE 'U' COMPUTATION
(BASED ON 1994 STATE ENERGY CODE)
OWNER:
SITE ADORESS:
CONTRACTOR: SE? ,h' DATE: ?? . PHONE:
Determine working square footage and overell 'U' value of each
1. Total exposed walllfoundation area above grade 'Z'b3?-i52S sq. ft. x.11 =
2. Totai exposed roof/ceiling area . . . . . . . . . . . . I1'1lo sq, ft. x .026
3. Total exposed floor/cantilevered area ....... Qj4 sq, ft. x.04 =
Determine sauare footaae of each exposed wail/foundation area "segmen ":
a. Total wall window area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Total door area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Total sliding glass area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Total fireplace wail area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Total wall framing (average 10%) - See Fig. 1 . . . . . . . . . . . . . . . . . . .
f. Total nr wall area above floor (rim joist) - See Fig. 2 . . . . . . . . . . . . .
g. Total rim joist area - See Fig. 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total exposed wall area above foundation = . . . . . . . . . . . . . . . . . .
h. Total foundation window area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i. Total na foundation area above grede - See Fig. 4 . . . . . . . . . . . . . . .
4.
'4-O Ih
A _
2k'1_5g t?_
Totai exposed foundation area = . . . . . . . . . . . . . . . . . . . . . . . . . . . 10.3 ?S 03
De termine 'U' value of eaeh exoose d walllfoundation area "sea men ":
a. 212 ,4 1 x'U' , S5 - lllo ,°?3
b. ",a) x'U' ?31 - I l• 1 1
c. 4--b x 'u' 240
d. 014 x'U' iJ fAr - -
e. 21"I,'S9 x'U' 02 - 2b,11
f. 1015b,34- x'U' ?04 - ?b ,33
g. 263. 13 x'U' ?0 Z - 6.s-b
n. 4 x'U' _ .SS - 2,2
i. Rq''SS x'U' ll1 - lo. °l5
Total actual 'lJ' value for exposed walUfoundation area = 2--11 . 3q
(If Item 04 is the same as, or 4ess than item #i, you have met the intent of the Sqte Energy Code.)
?
, .r
?
,
2 aczes
. ' Maximum drainage acea
_ Top of hiil-?../
1\ ? rq i
Silt feace placed on concour
i ?
Tnrn eads upslope t
preveat flov bypass
/
? / .
/
lyrpical La9oat for Silt Feaee -'
-- Stee2 or vood post
I
30° miatmum heighc
Filter fabrie seeure3y
fasteaed co pos=
Lay fabric in the
Baekfill over the top
bf fibri.c- indaouQace -
the soi2 '
minimum, depth
Conscrvicelon of Silc Fenee
-,. .
,.? . .
I l. an(' 2 e c.i . -I G_ j •, ' .r,
' CrE"tC.7 Up5 i0a? d'Gnr7 ChC 1 i.^,G'
Of pOSCS
?
- . ?CJ0 1 Q '.al"n °?!1(: !lt?: .,.
C(1L pCS...
6'
3. Attach the fiiter fabric to 4. BackfiTl an? comoac: the
the wire fence and extend it excavated soii.
into the trench.
FiT
??
?
Extension of fabric and
wi re i nto the trench_
f , CDNSTRUC:IOV OF SIL. FE:ZCE L7ITg gr^pORSI\C STiRE F°_.`iC°_
Saurce: Adapted from Installation of Straw and Fahric
filter Barriers for Sediment f,ontrol, Shendoad
dnd Hyanc
?`? ` <76r I CITY USE ONLY
LOT I? BL ? RECEIPT#: /O,g 00 9S
StiBD. RECEIPT DATE: °/?`s/99
1999 MECfiAN1CAL PERMTI' (ftESIDENTIAI.)
Cfl'Y OF f.l1fiAN
S$SO PILOT KNOB RD
ERfit4N MN 55122
? (651) 6e1-467s
Date:
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) /o?.OV
• State Surcharge: .50
• TOTAL: '??• 'J?v
Complete this section onfv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
_ New _ Replacement
Remiiider: Cal1681-4h75jorinspections.
SITE ADDAESS: 7 70I U
? ?-{-?
OR"?'ER NAME: &lc, A/?-2- PHONE #: 612 "
I\STALLERNAME: (') E& PHONE #:
Furnace
Air exchanger, i.e. Vanee system, etc.
Repair _ Other
Air conditioning
Other
$ 30.00
State Surcharge: .50
Total: $30.50
STREET.qDDRESS:
CITY:
STATE: /2) A/ 2IP:?Z
?
GNA?i(??
T[IRE OF PERM EE
15.FORSIS BLD;MECH PER,'NIT (RES) - 1999
L BL
SUBD.
APPROVED BY:
RECEIPT #:
RECEIPT Di
CITY USE ONLY
INSPECTOR
] gg9 M£cH4NtcAL PEfiMIT (coMMEKCIl4L)
C1TY OF EkfikN
3$30 PILOT KNOB RD
gAfiAN, MN 55122
(651)6$1-4675
Please complete for: ail commerciallindustrial buiidings
multi-family buildings when separate permits are nQt required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
----------------------------------
SITE ADDRESS:
OWNER NAME:
($.50 per $1,000 ofqeirrut fee due on all pemvts.)
PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLERi
ADDRESS:
CITY:
STATE:
ZIP:
PHONE #:
SIGNATURE OF PERMITTEE
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ÿ÷
city of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: r Site Address: iC0-0 eAft--L-
Tenant:
Name:
Ph
Suite #:
J
pa3
Name: - -
Address: 1801. 50th Street East
State: MN Zip: 55077 Phone:
Contact: William RMilbert Email:
ucense #:
New Replacement Repair _ Rebuild Modify Space Work in R.O.W.
Description orf work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL. FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this informa:ion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not,o start 'thout a permit; that the work will be in
accordance wi the approved plan in the case of work which requires a review and approval of
x f / //Oat
Applicant's Printed Name /
x
Applicant's Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143601
Date Issued:06/20/2017
Permit Category:ePermit
Site Address: 4920 Pine Lane
Lot:14 Block: 3 Addition: Pinetree Forest
PID:10-57650-03-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael W Mann
4920 Pine Lane
Eagan MN 55123
(651) 235-0228
Lakeview Plumbing
7915 Cooper Avenue
Inver Grove Heights MN 55076
(612) 805-6270
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150818
Date Issued:07/25/2018
Permit Category:ePermit
Site Address: 4920 Pine Lane
Lot:14 Block: 3 Addition: Pinetree Forest
PID:10-57650-03-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Leslie J Chudnoff
8501 Rudnick Ave
West Hills CA 91304
(651) 788-6465
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162540
Date Issued:07/17/2020
Permit Category:ePermit
Site Address: 4920 Pine Lane
Lot:14 Block: 3 Addition: Pinetree Forest
PID:10-57650-03-140
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Leslie J Chudnoff
4920 Pine Ln
Eagan MN 55123
(651) 207-4320
Elite Restoration Pro
1120 E 80th St, Suite 201
Bloomington MN 55420
(952) 322-7773
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168189
Date Issued:04/13/2021
Permit Category:ePermit
Site Address: 4920 Pine Lane
Lot:14 Block: 3 Addition: Pinetree Forest
PID:10-57650-03-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Leslie J Tste Chudnoff
4920 Pine Ln
Eagan MN 55123
(651) 788-6465
Elite Restoration Pro
1120 E 80th St, Suite 201
Bloomington MN 55420
(952) 322-7773
Applicant/Permitee: Signature Issued By: Signature