578 Prairie Cir ESEWFR & W%-4TER PERMIT
CITY dF EAGAN
3830 Pi{ot Knob Rd.
Eagan, MN 55122-1897
DATE DEC 4, 1990
OFpFICE USE ONLY
METER # *V PERMIT DATE 12/0 5-
cHiP #na! 3 a4 0 3 PERMIT # 1 t 74,;
METER SIZE ? - B.P. RECEIPT # C 11274
ISSUE DATE o? B.P. RECEIPT DATE 12114.
X PRV - BOOSTER PUMP
SITEADDRESS 578 PRAII:IE CIK E
LOT 21 BLOCK `'- SEC/SU6 COUN'?'RY HOLL0W
APPLICANT: ,
ADDRESS:
STATE
CITY ZIP
,
PHONE:
PLUMBER: ` pARSONS PLMtI3ING
ADDRESS: 300 FIRSZ' ST S
CITY, STATE MONTGCMERY MN Zip 56069
PHONE: 364-8801
OWNER: GEKOLD $RQTHEbS CUAIS'C
ADDRESS: 1704 280TH ST W
PERMIT REUUESTED
'K SEWER % WATER - TAPS
_ COMM/IND RESIDENTIAL
x IVEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN S
C{TY, STATE NEW PRAGUF t1I? Zip 56071
PHOIVE: 445-3 17 1 GNATURE N METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
5EWER PERMITS, CON7ACT ENGINEERING DEPT.
SEW ER & Wi*TER PERMIT
CITY CfEAGAN 3830 Pilot Knob Rd. `-
Eagan, MN 55122-1897 \v
DATE DEC 4+ 3990
METER #
CHIP #
METER SIZE -
ISSUE DATE -
A_ PRV - BOOSTER PUMP
SITEADDRESS 57° PRAIR?E CIR E
LOT 21 BLOCK 2 SEClSUB COUMTRY NOLLOSi
APPLICANT:
ADDRESS:
CITY
STATE ZIP
,
PHONE:
PLUMBER: pARSONS PUIMIatllG
ADDRESS: 300 FIRST ST 8
STATE
CITY MONTGOMEaY MU ZIP 56069
,
PHONE: 364-8601
OWNER: GEROLD BROTHI?RS CONST
ADDRESS: 1704 28U'['E! 6T 4l
CITY, STATE
PHONE: NEW P?CUE ''N ZIP 56071
45_3171
OFFICE USE ONLY
PERMIT DATE 12I06190
PERMIT # 11749
B.P. RECEIPT # C 11274
B.P. RECEIPT DATE 12f 14190
PERMIT REQUESTED
x SEWER X WATER - TAPS
- COMM/IND 31 RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
r-dit WILL NOT be given for Deduct Meters.
Cre
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEM METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
' RE: -
DATE
DEC 6, 1990
578 PRAIRIE CIR E(GEROLD BRQTRERS CONSTRUCTION)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for ihe above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspeciions Dept.
CASH RECEIPT
.
CITY OF EAGAN `
3830 PILOT KNOB HOAD
EAGAN, MINNESOTA 55122
DATE 19
accENEa
f11dm i L aMOUnrr a
a oa.uas
,00
? cast+ ae14ECK
. ;
eY
C 11 274 WM--P'"'.C°°"
Yaqow--POStlnq Copy
Pink-Fia Copy
Thank You .
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 -
SITE ADDRESS: ' ' ' i' 1 '"; J`- ' `. " APPUCANT:
(I?I: "i ui_u?.?. . .
:.? F ?•NtHIF ["Tk7 ? ?.+????ui ?tirt?? ,.Ir1VkS/FIRl?.Pl:?IG?'?
CIlUMT1tY Ht)t l.UN ((•i: } 338--6606
. _. . . . r.-; ?
PERMIT SUBTYPE: TYPE OF WORK:
, . ri t u
F ?
L J
, _ OpSrR I 1'1 iclM (Wui?li 1:. 1 livf )
Pertnft No. Pertnk Molder Dats TNephona ?
ELECTRIC
PLUMBING
HVAC
Inspactlon Date Inap. Commants
F0071NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATIN(3
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINRL PLBG
FINAL HTG
ORSAT
TEST
BLDO FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
.. . . -? --•.+,::a•r+:r?.'_-?"?S?,r„? ??s??t?a7?:zc..
?----- • CITY OF EAGAN
> > 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PHONE: 454-8100
- BUILDING PERMIT
To be used for sF DirClcAlt
i
#115.000
Site Adlirs 578 PRAIRIE CIR E
OLI?OM
Lot Block Sec/Sub. COUN"Y Parcel No.
W Name --- -- --- `------- ------
o Addresg
Citv Phone
Name -
Address
City _
Phone
r
tW Name
?? Address
<W City Phone
t hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all applicable ?f
Minnesota Statutes and City 61 Eagan OrdirWnces. ,; •?
Signature of Permitee
A Building Permft is issued to: ???? ?ROMERS CMT
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ol Eagan Ordinances.
Building Otficial
Receipt #
? t? 16592
,, I I ;? -7 9
DEC k
OFFICE USE ONLY
R-3 M-1
Occupancy FEE S
2oning
692.00
(Actual) Const ? Bldg. Permit
(Allowable) - Surcharge 57.50
# o( Stories ?y 450.00
Length Plan Review
100.00
Depih SAC, City
S.F.Total - SAC,MCWCC boo'oo
S.F. Footprints - 625.00
On Site Sewage _ Water Conn
90.00
On Sile Well ? Water Meter
MWCC Syslem ?- qcct. Deposil 30.00
City Water ? 30.00
PRV Required _ S!W Pertnit
Booster Pump - S/W Surcharge .50
252.00
Treatment PI
APPROVALS Fload Unit 355.00
Plannar - Park Ded.
Council
Bldg. afl.
_
Copies
3.282.00
Variance - TOTAL
_ . _ _ s .. ,. _ . . . . . ?.., _.? _... _ . .,._ __ . ...,..-•?
? Permit No. PamR NoWer Date Telsphons ?
WATER ?J ? OG
SEWEfT
PLUM8ING
H.V.A.C.
0?70??
€?
/ / 9c?
ELECTRIC
Inspsction Dste Insp. Comments
Footings I !S"p a-z_
F«,r.d.tk. Z /o yo
Framing -?(?-
Roofing
Fiou9h PIh9. ?"
Rough Ht9•
IsuL ?
Fre,tace ?- •?/ ?S
Final Htg. ' &J
Final Plbg. f,
Const. Meter Plbg. Inspecta - Notify Plumher
Ergr.IPlan
Bldg. Final /17
Deck Ftg.
Dedc Final
Well
Pr. Disp.
?`.
. 'o = --
L . A b
(?.er#ifiratje of (Orrupanxy
Citp of (gagan
BrmrWuvt of Wuilbmg JtuVprtirnc
T1iis CertiJ'lcale issued pursuan! to 1he rrquiremmtr of Seclion 306 ojthe UniJonri Building
Code cu?ill'in8 go at the tinre ojiuuaaae rhi.r sarudune xas in aompl'ranoe with !he Harious
oniinaxaGS of [he Ciry regulcling building oonsouedon or use. For rhe foUvwing.
u,e C7assw=eo. _&Z.gjG;rm Hlde. tk-c xo. IR597
O-W-Y 15'Pe Rv*re ? ZOMWDnvid B I Tppe CMm VN
Oweerd Addreas jAA Z+8M IRT W, TRW PRAa1Ft
e?Aee?as 578
[.x,rdr L21, 82, CX?Y xi''?l?T
POST IN A CONSPICUOUS PLACE
Address: 578 PRAIRIE CI-RCIE E Lot 21 Blk 2 Sec/SubOULRRI'Y fOLi;(W
These items were/were not complete at the time of the final inspection.
DsATE: 2/27/91 Yes No INSPE„?IC)R:
Final grade (6" from siding)
Permanent steps - garage
Perrnanent steps - main entry
Perrnanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
••? . • '?
CONTRACT PRICE:
Site Address
Lot Block
m Name
? Address
c Ciry
?
aD
c
3
O
Name _
Address
City _
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other.
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
i-. a, ..-.
F . , / ..
T #
?T #
ice Use Only:
BLDG.TYPE
Res.
Muft
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAI 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT)
GOMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
MINIMUM RESIOENTIAL FEE - ALL ADD-ON 8
- $24.00
- 6.00
1.50 EA.
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
Ofiice Use Only
- CITY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #?
PRICE PNONE 454-8100 DATE:
Site Address 3 ? a/A BLDG. TYeE, WORK
Lot Bbck SeclSu ?s. ?'?" New_
H Mult. Add-on
Comm. Repair
? Narr -
m
? Add
c C,Ry
City
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 SIC P€?EACH $1,000 OF PERMIT FEE)
CITY OF EAGAN
RES. PLBG. ONLY - COMPLETE THE F(
NO. FIXTURES
1 Water Closet - $3.00
Bath Tubs - $3.00
? Lavatory - $3.00
Shower - $3.00
? Kitchen Sink - $3.00
UrinaVBidet - $3.00
Laundry Tray - $3.00
7- Floor Drains - $1.50
? Water Heater - $1.50
Whidpool - $3.00
Z Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIn
Softener - $5.00
Well - $ 10.00
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE:
STATES S/C:
GRQND TOTAL;
v
TOTAL
$ 61 d?
3. OD
/.s0
). s0
T 3?7
3 ?
-3 5, &0
11\1 SYLC:`1'lUN KLC:UKI)
CITY OF EAGAN PERIVIIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
, ?. . . ,
SITE ADDRESS: APPLICANT:
.. i1'[f iZFa f I Ni,
???Ilr! f t;'r 1l??1 ! till (?, ?.' 1 :?!? i 47if4`1
rM rii.iNi:
„ y ?n, ., y . .. . ,. . ' . . . , .
. , .?.. . . . ?. . , . . .. .
PERMIT SUBTYPE: TYPE OF INQRK:
i>ark
ta, & frf Rri??!
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corvoucrivirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Np 18592
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 0
//a -1?j,
Y
BUILDING PERMIT Receipt # ,
Tobeusedtor SF DWG/GAR Est.Value $115,000 Date DEC 4 , 7940-
Site Address 578 PRAIRIE CIR E
Lot 21 Block 2 Sec/Sub. COUNTRY HOLLOW OFFICE USE ON?v
Parcel No. occupa?cy R-3 ? FEES
R-1
Zoninq
Name GEROLD BROTHERS CONST (acwapconsc V=N BIdq.Permii 699-0?
w
o Address 1704 280TH ST W (Allowable) ?-N
O
e 57.5
Surchar
City PRAGUE phonB 445-3171
y x of Stories g
450
00
64' .
Plan Review
Length
o Name SAME Depth 51, SAC.Ciry 100.00
}
ga Address S.P.Tatal - MCWCC 600
0?
S
C
? City Phone S.F. Footprinls - A
,
•
625
00
.
WaterConn
OnSiteSewage _
W w NBme On Site well - Waler Meter 90.00
w
i3 Addfess MWCCSystem x-
30
00
ou X .
Accl Deposit
aw City Ph0O8 CilyWater
?
5/W Permit 30.00
PRV Required
I here6y acknowlege that I have read Ihis application and state that ihe Baoster Pump -
0
SNJ Surcharge .5
inlwmation is correct and agree to comply with all applicable State ol
ity Eagan Or 'Q?ces.
Minnesota Statutes and C Treaiment PI 252- 0?
l
SignaWre of Permitee ^? Y?`?° ? APPROVALS Fload Unit 3 5 5_ 00
A Building Permit is issued to: GEROLD BROTHERS CONST Planner - park Ded.
on the express condilion thal all work shall be done in accordance with all CounCil -
ot Eagan Ordinances.
applicabla State of Minnesota Statutes and City Bldg. Olf. _ Copies
?I
BuildingOflicial fl111S ?.Ulf?' n„U Varience -
0
TOTAL 3,282.0
///7M oioD i
G 6 2 7 3 5 02 / ?
flequest Oate
-? ??
? Fir No. qough-in Insp ion
iretl? ? Reatly Now > ill Notity Inspector
Fby
R
h
?
? o
en
eaOy
I5aceFlSed contractor p owner hereby request inspection of above elecirical work at:
Job Atltlress (Sireet. Box or Route No.)
!? 7 8
? City
?a
?t
$ection No. Township Name or No Range Na Counly
OccuOant(PRINT) .
D
?
?
IN1 e(3 Phone No.
"" r
+.1-S3S 8
.,.
,
Power Sup0lier
, 1
Atldress .?? ?M . '? p` }DN rn ? NW SS 0 Zf?
?
}7A. . -13 0 0-1? O+ti s+
ElecVical ConVaclor (Gompany Name) ConVecto?§ License No.
03R bas-
Mailin9 Atltlress IGOnvaclor or Owner Makinq I
a nstallation)
V ;
a.?
? 0,,
Aw
ion) Pnone Number m? " $ S(?
?LZ?1S8-317oa
v •
MINN OTqvSTATE BOAqD f ELE RICITV THIS INSPECTION REOUEST WILL NOT
Grlggs-lAidwey BICB. - Room S-173 BE ACCEPTEO 9V THE STATE BOAFD
1821 University Ava., SL Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(613)BOt-0B00 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
? See insimc[ians for completing fiis lorm on Oack ot yellow copy.
T? '/
G 6 2 7 3 5 "X" Below Work Covered by This Request ?? •?
ew Add' Rep. "-Typeofeuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speciry)
Comm./Industrial nfiiii urnace
Farm jC Air Conditioner
Other(specity) ConUaaor's RemaBS:
Compute /nspection Fee Below:
# Other Fee # ServiceEntran Fee # Cicuits/Feeders Fee
Swimming Pool ( 0 to 200 Am /$"D ` 0 to„ Amps
Transformers Above 200 _ Amps ,'} Abov •ft!? Amps /tl«
Signs inscecto.§ Use oniy: TOTAL
aa
Irrigation Booms
Speciallnspection tJ
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNEtTED IF NOT ?
Other Fee COMPLETED WITHIN 18 MONTHS. D?. ?
t, the Electrical Inspector, here6y
Rough-in /- ? l
Date ?
certify that the above inspection has
been made. Final ?/ ? oare
OFFICE USE ONLY
TOis request voi0 18 monihs Irom
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
SITE ADDRESS:
578 PRflIRIE CIR E
LOT: 21 BLOCK: 2
COUN7RY HOLLOW
P.I.N.: 10-18275-210-02
DESCRIPTIOM:
(WOOD STQVE)
rmit 7ype FIREPLACE
r?*, Type NEW
"?. REMARKS
i 4' es
PERMIT TYPE:
Permit Number: B U I L D I N G
029433
Date Issued: 01/ 2 3/ 9 7
434 ALT. RESIDEM7IAL
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$50.90
$50.50
CONTRACTOR: _ q p p 1 i c a n t- OWNER:
WOOQLflNO S70VES/FIREPLACES 13386606 MAIB ?AVID
1203 WASHINGTON AVE S 678 PRATRIE CIR E
MINNEAPOLIS MN 55415 EAGflN MN
(612) 338-6606 (612)454-5358
?- I hiereby k'ruow,111esig0 t hti ue: rsact, 'th3.s' appaicati 6n an'd "stmte. that the
`i nf or"mat.ia+r`zp'ar.r0 t.t ar?0 ei'grQ?compx? wai?? ?ll' app,iieabl.9, 5tat.e of lnn..
? sta.tute*' i???c??."'
APPLICANT/PERMITEE SIGNATURE ' IS? ED?B : SI TUAT???k
czrv oF EaGnN
CAf'iH.i.rR: J5 TFftMSidAl.: NI1e 14
L4) TL'a 01123/97 TIMr; 13;43:.56
? ;
' ?D a
?VAt1E. I4JOUI.ANI! STO'Jt5 & FTnEPi ACES
';e'',:?'J "30O±r 578 PI";fiTRTf: CIft 19.40
205 9C01: 578 FF?A:f,F:IE Ci:!; 0.5L
YnF,al Pe_eiot A:r.our-tc
cr;Oh93z ;
USf:"F' T:tz tA*.:
5r].5Q
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ities Diizital Oualitv Control
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CITY OF EAGAN
3830 PILOT KNOB RDAPPL55122 `'
1997 FIREPLACE PERIViIT 'f ,-
' 681-4675
J.4TE:
?
DESCRIPTION OF WORK: CONSTRUCT NFW FIREELACE
_ INSTALL.G?i5 INSERT ONLY
. _" INST?.LL?qGAS LINE ONLY
O1BER: ?- n
STREET ADDRESS: e.LQ4 ??..
LOT -jL- BLOCK ' SUBD./P.I.D. #: ?L'.LIl iWy'°`
:1PPLICRNT: (circ.'e one only) OW?R CO TRACTOR ?
?
fiereby acknowledge that I have tead ttus application and state `that the infoL
_li applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name:
QWNER
?-
'
; Street Address.
.. . . . . . ..y,:
. . . . . :u:,; :
. ?. 'L'lYy..,. .. .. . , . St3tC: ,.?.2
1 n .#
FIREPLACE 'CO
INSTALLER inpany: ?J?d£1_k.-?Y7
Siglature:
'.°itl'cei Ad'?IC33:. 17,0 3 W a-.?J.?,. ?l. -, ?:'-?.
?S
• City:_ M p Ls State•
Gns tINE - Company: E
INSTALLER
, .. ?`TTamn:;:. u?ubtay,.• ._'..' , . ' ?!`.?..' . .,. .iti•.' ?
:,;..
?
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ni
?
r ?
? = ?., ,..?: ??•;BU?j+.p?.. ? ; ?r
o` 14 Fueplace
= WORKTYi'E`
.
? .;;+4nr:
? 31 New ,ss ?
. . :. ,, :r;p•.x. .. ..5..: -
GENERAL
?"?x
Census Code.
SAC Code
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11.6ql
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF YLANS 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 SY 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 FDR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: MQwl-?b-Q Valuation
Site Address J?p ?rcalhPC?fcIQEce??
Lot -L? Block 2-
Parcel/Sub Tollaw L 6 ,la,)J,
Owner cO?S 4-
Address 004 z9p tK5-L Lc-)
City/Zip Code ?o,.J?daauE?MIV S?n')?
?-
Phone / y S - 3) 7 1
Contractor C?L
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/2ip Code
Phone #
-? Date:
5,000 ? OFFICE USE ONLY
FEES
Occupancy -? 3 M -i
2oning ?-I
Actual Const v-hl Bldg. Permit 69a,Lic
Allowable V• ? Surcharge Sr1,
# of stories Plan Review q $D,OJ
Length Co`-I' SAC, City 100,0
J
Depth Sq` SAC, MWCC (?DO' Op
S. F. Total Water Conn
vo
6Z51
Footprint S.F. Water Meter 90,00
Acct. Deposit 30,00
On site sewage_ S/W Permit 30,00
On site well S/W Surcharge 'Sd
MWCC System ? Treatment P1. 2SZ,UO
City water ? Road Unit 35S,00
PRV ? Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL
Council
Bldg. Off. 1?,3
Variance
wr .
GARA?F
Zcp y ZZ -- 440
IZ?c21 = Z?Z
?R kL
'H o.ut, tiF
37- uSo = oo x
LkAZ
+ , ?1 ?
.?---, ??
?.c+? c,?
r5= 1o3go
GS = /byoo?
lly30sv
4
/flOBC . ,
ENG11YC£fl1NG
COMPANM, IIVC.
\ IUUU EABi ItiBtth BiflEET, BURNS41L4E, MINNE907A 6633T Pli 432-30UU
Certificate of Survey
Legal DescrIption: i-0721, $eocrc 2,, calrvT,eY Nai-Low,
DAKoTA C00N7Y, M/NNESoTA.
(839,0 ? pENOTCS EXISTING ELEVATION
(840:0) DENUTES PROPOSED ELEVAI'ION
? INDICATES DIRECTION OF SURFACE DRqINAGE
840. 33 = FINISHED GARAGE FLOpR ELEVATION
832.62 - gASEMENT FLOOR ELEVATIDN
&40• &? = TOP OF BLOCK ELEVATIUN
GEno?o B,eoS.
# 3332. D/
C PIRNI?6'RS a ?d??AND l1RYFYURS
SCALE : 7' - 30'
30' FRONT 16u/LD/N6 ?
9E7,54G< L/NE
.
?.?i.?`e??.? ?1LfeFt,r? ?•,
O
Ui
ti
(838•
0- PR41R1E L'/96Z,?7 6q5T
3.8`tP, rs38.4o, `3_7,ao?
m ?839. o? ? I5
(S, q o, 3 x) (840,0? ,
DRA/Nf1 6-9 A^/.0
ur//- / rY 649,En4E1v7-
` J
J
f.????.w
_ I m GARA6E
? (I+33
$
gqo,p?? 3Z.3;
?8?•Q' I PRoPOISEU
I ? HovsE
I
. 1 IM
rI k 83
,Lo
?,
?-- - -
?83?, -0?
, I
f
/7,83
;?J rawci Lo?c.3J I
?,oi ?B33?g'
r
? ?
? I
.
i 5
0
W;\1
O`
?
QNJ
? i
v
?2b.o? 94. 5o r8z4,-o?
' (826.0) /V 89° 38 ' 3I W ?824.0?
P R.V. r°iEQURE._,,
1 heraby oeFtily lhat thie is a true and coneal repiesan1a11ou ot n bncl af IanJ os ahown
end descflbad berson* As piepared hy'me an lhis'Z7'HJey ol oVEJ1?BEK ?1920 ,
?'""? Minn, lley. Plo. , 16085
?
EXTERIOR ENVELOPE AVERAGE "U" LOMPUTATION .
riR1ER:
?iTE ADDRESS: ' 5'7Y (,,v.; r? Q C? ,?(- Zoz? z i, Qlk 2<cx,??F ?
n /'
20NTRACTOR: ,.rD? (? l?rc7S , L-oh OATE: Z )9 PHONE: OyS-31
i DETERMINE MORKINf SO.UARE FOOTAGE OF EACN:
i. TOTAL EXPOSED WALL AREA,,,,,,,, ," sq ft x"U" • II ? 't%F FI
?. TOTAL ROOF/CEILING AREA,,,,,,,, I ?'jCb sq ft x"tl" e0ap^ n
j: TOTAI EXPOSED WALL AREA CAICULAT10N5: '
total exposed wa11 _
C
'
•rea above floor,,,,,,,,
?
?sq
' ft
a) t
Total wall wlndaw erea:640w E?
giezed...... sq ft x "Un • ? ? * ?v
7
•
T_ glszed...... sq ft x"U" - ? ?
b) Total door area ,,,,,,,,, sq ft x"U"
c) Total sliding qlass door area:
glazed...... Iqg., sq ft z"U"
...... sq ft x "U" ?
d) Total ftrep)aee wall area - 0 " sq ft x"U" ?
e) Total watl framfng area
(Average 10f,)..........
' sq
ft
x "U"
.
f) Total net wall area above
floor (Insulatnd)
s ft x "u" b`f ? ?a
68
.......
q
^ . .
g) Total rlm Jotst area...... ? a 3
sq ft x"U" 4,9a
Total fcundation
area (Exposed).......... sq
IIAD ft
h) Total foundation
wlndoMr area ............. -o ? sq ft x"U" ? ?-
I) Total net foundstion
area above grade........ ?6 V sq
ft
x"U"
• TOTAL a) thru 1) ?
If item 03 ls the same as, or less then Item pl, you have me t tAe (ntent of
2 MCAR 1.16008 A and 0.
\
k.' TOTAL EXPOSED RODf/CEILING CALCULATIONS:
Totsl exposed /
raof/cetling area........ /p 0o s4 ft
j) Totai skyltoht area....... - c? - sq ft x"U"
k) Total roof/ceilinq framing
?? ll . . , Z
? area (Averaue If?R)...... /6 ? s4 ft x U OIL
1) Totsl net insulated
roof/ceilinq area....... ( y? () sq ft x"U" .e?"? _,? 2?•
4. TOTAL J) thru i,?
.
If total of 04 is the same as, or less than P2, you have met the intent of
2 MCAIt 1.16008 Jl ard 0.
ALTEIUIATE BUILDING ENVELOPE DESIGN
To utiltze the totai enveiope system method, the values established by the sum
of ttems N3 and 04 shali not be greater than the sum of (tems 01 and 02.
1. + 2.
t 4. ?
t E R T 1 F I t A T 1 0 N
1 hereby certify that 1 have caleulated the "U" factors and "R"
values heretn and that the butldlnq here described meets or exceeds the State
of Minnesota Enercy Conservation Act.
Siqnature
, (I)ate) r-.rn 9
; , .
WALL
SEC?ION
STLrD
SECTION
J ?
. . ? CALCULATiONS m . `.
YALUE U VALUE
Ins:de atr film ,68
Interior va:l 'ba (Gall)
!asuiatlun (q
Sheathin¢
Siding
J„taide air :ilm .17
a rorac ? 3. 3
Insida ait f:lm .68
.
tntt::or ,3;t .ba
l?dcstud R= 4,38 (Framtng)U - F • ?r'
Sheaching 2•06
Slding
Outslde air t11s .17
r? 'OTAL
Inside air f?lm R= ,68
In[rrlor v /?
1 In st:on ? [1 . (Yall ) ? = R '
r \
Sheatlil
Exteriot v411 cov tti.pg
-so_ Ex[eriar air fitm ' ..ii
R TOTAL
2ND WALL
SECTI')N
Lntrrior. air fi im .63
sx!a . !n:uia:io:, 1q i
JOIST. 1k {r.Ch xoft xoud R-1.68 iRim u a?¦ pY
Joist)
Shea[htng Z?u 6 '
Erterfor vall covering
, Exterior air film f0, ..17
R TOTAL
? i lnterior si: Efla R= .66
lnsula.ior u/a/y`t Sp44
? I
Founda:ion I179 (Fdn.) U = ? ¦ .I
? Extertor sir _`Stn Rz •17
? p- -
rorAL 4? 63
! ?£xpusrd 31uck
? ;.
- --- - ? ?---? _
LE'.LIeG AITH VEYTED hTiIC S7ACE ABOYE
R ;'ALUE ! LUE
FRAMI!lG CEILING
?
0.61 Air Film 0.61
001, Insulatron 4 8
q? ? J015L
, S 6 Ceiling . 5 6
O.fl
Air Ff1n 0.61
Y8, ? Total
i
u = I
R LI11 ?17
?oZ
F!Ai ROOF OR CATHEDRAL C:ILI4G
R Ya ue R `lALUE
FRAIMING / CEILING
9.
I ?r?. • .
?
i ?
_ 0.17 Outside
Inside air
Ceiiin9 -
Joist (sty
Insul at
Rir so?te
Total R
U
R -
Jindow infiltratice .5 tfm/11nea1 foot of crack
testdentiai door infiltration 0.5 cfm/square foot ar deer and mininur code requirement
,on-residential daor infiltration 11.0 cfrllineai °oct of crack .
)b 12" concrete Diotk no insutation =.41 R 2.1
!p 12" concrete block insulated cores =.26 R 3.8
1p 12" liylitweiaht block =.32 R 3.1 --
;p 12" lightweight block insutated cores =.12 R 8.3 .,
J single glass = 1.13; with stom window .54
1 dauble glass s .55
J triple glass = .41
i11 exterior walls and ceilings must have a vapor 5arrier (C.10 pe,"nm3x.).
:apor barrier must be on the inside (hea:ed side) af wa7i.
iapor barriers of the polyethelene thfn film have no Rvalue.
0.6i
n
ing
?? .
.?.,
•..
..
. ti •;
. t• •
t ?
:.• .
;i
.
.
?: .
i»e &.1 wllatet r.-nlw Im
Rent iflil Caft
r- Metro bN
o.a .
Mi^i'w!l v[or Gll-'
+q. Na11. an0
'r7PO A-1 Bulldlnq@
IfM Cnae
NimtSOt1
0.426
tectlons oI
Giltnya YGlla tleon 4inde" fllAinq Class Oears pmra
f1) . li) l?1 s•• s.•
Moe: • kec• s s..
: . 7/ ' 20 =0 xot? 1
wtes ce sOeaO ? • . ,
' (1) Giliaqs vAleA Nst oaO of the lellwtny oriurla at(a[r
• sbta rpulnMnu ,
A. II-38 tArouqAout the eutln eolllnp•
yortlen ef the eel1lny is leaa than 1t-70, the
lasulatlon !w the rwlnder ot the eeiltny ws De lnereaaed te
¦lald un everall avera9e tbo?l reslasurce ol not less chan
!t-]8 eslaq the tol3oviny puaeloo. .
(Ao - A1) / ?A?/7? • J11/1ll) ' .
' Vholft • .
Itr ? R vaIw el the insolatlon !a the rewlndee .
of the ealllny.
' ao - toul ana ef the ediinq2
.
' A1 ?•cn of the esilta vitb lua c6an 1I=70. ?' •
Itl ` R valw ot the eoiy llng vAleA !a lesa tMn
a-3e. . .
C. Mharf the 'reo[ at the aerluttr ot the eolllny prwents
lnstallatten oL insulatlm se tuil depeA, cM tngulnttoe in the
remainder of this eaillnq wse be lnereaseA te reduee the ov*r4ll
+ eellinq best leaa to ae merG tyan (L t-341 lud peen inscslled
? tArouqiwut the gnelre aalliny.
(Z) tar the lnaulated urltr et epaque vall and rtm jelacs, !ut
not leundation valls.
(7) 1oe eUis insulaeM eavlq e[ tleors e! MeaeM sooeea over
unAeated spaces. • . ,
(4) Wsiiwr ylass area ur nst eaee? 17 perernt ef the area ef
•:teriar valla not iaeludiny lounduion walls. A13 vlndovs sAe11
Ot douele y1asW os Irve storn vlMars.
?(S) Ma:fw qlasa affs MT ,1qt exCffd tfll PfrCMt OI the ore& ot
estorloC valls, not lneSud!nq toundacion vells, vAen a alidtny
' 91a+s dooe is install0d. All ylaaa s1?a11 6e double ylastd or
Wve sto? vlndovs. • .
(6) A 1-2/4 lneA wetal taeed doee srstew vitA an lnsulaced tore
Prw[dinq an R wlue eqval to or 9nacee eMn 1.0 er •
eonventional dooe aM seerm door. All psiwry doors mvst Aavo
durable reatAerstrippiny.
? . ' I?ountaNen rall Insulatlon. % TM 1984 ee0e soeclff-
? 06 . ully reavlref oun 6 t on w tat9141108 Ma?t ltao'f aeow tn* fenaa.tto.
go. • n1 u
1 ? not 1nsu1aeN. E1tMr ere famdsHOn must hgvg II-30 1nsulitton
, . n . ayy11W I.om eM teo ol tM founeaHp, to Nq trost llne x 1-1 lnfutatfaa
A 4 - W11e0 ove' tAt enetre wil. Mete tAat the R ro1w soaNlteO ff far the
.. . 1ssulaHOn wateNat enly.
, • •?., . ? IjE-0n-a11Ae /loors. Tllt rprlred tAemt reslttentt o/tM 1nlv4-
• tSon aroun t e OenpTK of neatN anA unANtW 1leors ug sofClNeO 1s
Ta01q 5-1. The lasulatfon m„st euend de.n.arA /rem the teo eI the sLb to
? tM Irofe 1140 w downwa.e te eM lotte? et the sl&e eM" Iqrliaptatty
ee?nee k rer n, evu;.ilese aife.nt. ThIt rtOYlreweat'fe tM 19M tode
. A . Is Identicat to tM 191s ceCt. p`.e
• + ? !1 . ' Q' 7
Floors ovar unheated spaees nust have minimua R-laecor of R-20 (cuek-under ga;ages)..
Floors ovcr outdoor, sir (ovcrhangs) mist liave a nioimus P,-faecor of R-39.
GUIDELINE TO (R) FAC70RS FROM ASHRAE MANUAI
OF TYPICILLLY USED PRODUCTS
AIR?FILMS (R) SHEA? u
Interior A1r Film Walls? 0.68 3/4" Wood Subfloor or Sheathing 0.94
Exterior Air Film Malls) 0.17 112" Plywood Sheathing 0.62
Interior Air Film Yented Ceiling) 0.61 1/2" PartlcTe Board 0:66
Exterior Air Film Yented Ceiling)
i 0.61 Gypsum or Plaster Baard 3/8" 0.32
Interlor Air Film Non Vented) 0.61 Gypsum or Plaster Baard 1/2" 0.45
Exterior Air F11m
Non Yented) 0.17 6ypsum or Plaster Board 5/8" 0.56
Plywood 3/8" 0.41
Plywood 1/2" 0.62
BLOWING WOOLS Pl,yti+ood 3/4" 0.93
- Sheathing, Reg, Density 1/2" 1.32
A
"
p r 900
. 5heathing, Reg. Density25/32" 2.06
A
prox. 4 1/2" 13
? Nail-Base Sheathing 1/2" 1.14
Approx. 6 1/4" 1y.?
Approx. 7 1/4" 24.00
Approx. 14" 30.00 ROOFS
Approx. 18" 40.00 guitt-up.Roofs 0.33
All other insulation materials must Asbestos-Cement 5hingles 0.21
be verified (R Factor) Asphalt Roll Roofing 0.13
Asphalt Shingles 0.44
INSULATION
?.a.
Insulation: 2-2 3/4" Flberglass 7.00 SIDING
Insulation: 3 1/2" Fiberglass 11.00 ATuminum Siding 0.61
Insulation: 6" Fiberglass 19•00 qluminum with Backer 1.82
Insulation: 3 5/8" Fiberglass 13.00 Aluminum with Backer 6 Foiled 2.96
Insulation: 9" Fiberglass 30.00 112 x 8 Lap Sidin9 (Wood) 0.81
Insulatfon: 12" Fibergtass 38.00 7/16 x 12 Hardboard Siding 0.67
Insulation: 8" Cellulose 29.00 Asbestos Sid9ngs 1/4 Lapped 0.21
Insulation: 10" Cellulose 31•00 Stucco (Brown and Finish Cuat) ----
Insulation: 12" Cellulose 44.00
Insulation: 1 1/2" Thermax 12.00
Insulation: 2" Thermax 16.00 DOORS u
1 3J4" Solid Core Door .46
WOODS w/5torm, Wood .31
fir, Pine 5 Similar Soft Woods w/Storm. Metal .26
1 1/2" 1.89 Pease Steel Ooor Insi/N/GI. 7.45R .13
Z 1/2" 3,12 511d1ng Glass Door, Wood .65
3 1/2" 4.35 Metal .72
5 1/2" 6.87
CONCRETE BLOCK
? WINDOWS
.
8" Concrete Btock (S 6 G Reg.)
1.11
Al1 Windows
(w/Storms 1" to 4" Space)
.56
(Filled with Yermiculite)
" 1,93 Removal Double Glazing (RDG) .55
12
Concrete Bla k(S 3 G Reg.).. 1,28 Therna or NeTded 3/16" A1r Space .69
(Filled with Yermiculite) 3.15
" A1r Space
1/4
.fi5
S" Light Weight 2,18 1!2" Air Space .58
(Filled with Yermiculite)
" 5.03 (Other windows specifically tested
]2
light Weight
(Filled wlth Yermiculite) p,qg
5,82
can use better ratings)
Page 5
OPTIONAL DESIGN METHOD
As an oPtjon to completing the Exterior Envolope Average "U" Computation where
"U" values*have to be calculated, the following method may be usea.
NOTE: All of the following six items must be accanplished in order to
utilize this method.
,?-? 1. Ceilings which meet one of the fotlawing criteria satlsfy this requiremeat:
A. R-38 throughout the entire ceiling. Indicate on plan section drawing how
this rrill be accomptished. Complete appropriate diagram F. G, or H.
B. If a portion of the ceiling 1s tess than R-38, the insulation in the
renai?uler of the ceiling must be increased to yietd an overall average
thermal resistance of not less than R-38.
C. Where the roof at the perimeter of the ceiling prevents installation of
insulation to full depth, the insulation in the renainder of the ceiling
' must be increased to reduce the overall ceiling heat loss to no more
than if R-38 had been installed throughout the entire ceiling.
(Submit calculations 1f tMs method is used).'
?i 2. For the insula;.ed cavity of opaque wall and rim joists, but not foundation
. walls, a minimum R-20 is required. Canplete diagrams B and C.
w-? 3. For the insulated cavity of floors of heated spaces over unheated spaces,
a minimun of R-20 is required.
?? 4. Maximian glass area may not exceed 12z of the area of exterior walls not
including foundation walls. Alt windows shall be double glazed or have
storm windows. Camplete the followirg equation using data from the
first page:
3(a) e 3(t) _
x
} _
x
(x) must be less than .12 to meet requirements of this item.
?? 5. Maximwn glass area may not exceed 10% of the area of exterior walls, not
including fourMatlon walls, when a sliding glass door fs installed. All
glass shalt be double glazed or have SLOP711 Mif1A0Mf5. If sliding glass
doors are to be installed, complete the following equation using data from
the first page:
C3(a) + 3(c] i 3(t) _
??y
s -
- Y
(y) must be less thao .10 to meet requirements of this item.
?? 6. A 1 3/4" metal faced door system with an insulated core providing an R value
equal to or greater than 3.0 or a conventional door and storm. All primary
doors must have Eurable weatherstripping.
Pao•= '
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
, a`gan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLozree
Permit Number: 0 3 3 2 6 5
Date Issued: 0 9(16 / 9 6
SITE ADDRESS:
P.I.N.: 10-18275-210-02
578 PRAIRIE CIR E
LOT: 21 BLOCK: 2
COUNTRY HOLLOW
DESCRIPTION:
T.D. &
Permit Type
;)t9,rk Type
a? a
?
REROOF
STORM DflMAGE
REPflIR
434 ALT. RE5TDENTIAL
05-0 Aif-ry v! f"+? ?.?, ¢1 ?l>?;
?v
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - s-r. LIC. OWNER:
RZGHT WAY RpOFING 18530049 00039999 MASB DAVID
1200 E. 79TH ST 578 PRAIRIE CIR E
BLQOMINGTON MN 65425 EAGAN MN 55122
(612) 853-0049 (651)454-5358
? T- hsrehy.ac3cnqvr3eidq,0 thptI (*Ea???r#ad t}tis ,?p,plitatzan enc1 %,tato'thall? t{le ?
..' -infet?`?at3s?rt iS de?rreict and agree to camply wlth all: app7.a,cable State af<Mn. '
R S"G4tutje8 snd Gity trf ?.;... " ` ' . ?
APPLICANT/PERMITEE SIGNATURE -tSISUED BY: SIGNATURE '
1998 BiTILDING PERMTT .'3PPLICATION (RESIDENTIAL)
CFTY OF EAGAN
? ?-
3830 PII.OT KNO 7 RD - 85122
New Construction Reauirements
? 3 registered site surveys
? 2 wpies at plans (InGude beam 8 window s¢es; poured fid. design; eta)
? 7 energy wlwlations '
• 3 copies ot hee preservation plan if IM plaCed aRer 711193
required; _ Yes _ No
DATE:
D RIPTION OF WORK: '?IL.?L ?`k7rhll
RemodeUReGair Requirements
? 2 copies of plan
? 2 site surveys (e#arior addkions & dedcs)
? 1 anergy calculations tor healeO addRionsCONSTRUCTION COST; q`1? •?
STREETADDRESS: C,7)qs? ?Vai rIt C.if. E . _
LOT: BLOCK: ? SUBD./P.I.D. #: C 0?v?n.? I?CtJ ? I O?3
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
?
Name: rnQib Of'?"I () Phorse#: Lf ?U-'i3S?S
Last F'vst
Street
City _ G4? I(1 State: rn? Zip:
Company: Phone #:
sveec.address: 1200 E.79th Street Licensett o?c?aQ
City
Company:
Name:_
Street Add
City _
Sewer & water licensed plumber (new cons4vction ony):
and lot change is requested once permit is issued.
Statc:
Penalty applies when address chang
I hereby acknowledge that I have read this applicatlon and state that !he information is correct and agree to comply wfth all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No I I? ? I I I
u v
Tree Preservation Plan Received _ Yes _ No Not Requir d
- i
- d 0 4 9tace:
Zip:
Phone
Rogisvation #: _
Zip:
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex
? 02 5F Dweliing ? 07 4-plex
? 03 SF Addition O OS 8-plex
? 04 SF Porch O 09 12-plex
D 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 IVew ? 33 Alterations
O 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt.lLodging ?
? 12 Multi RepairlRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
E3 15 Deck
? 38 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq, ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Permit Fee
5urcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Engineering
Valuation: $
16 Basement Finish
17 5wim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Cade
Census Bldg
Census Unit
Variance
°k 5AC
SAC Units
CITY GF rFlGAN
cASHTEF:: S 1'EFMINFlI., 1\10: 683
DATE;: 07/03/`.:39 7T.ME: 15:54°vc'4
IA„
NqMr: I-IENIIRICY.SON CUSTOM HI_DI;5
321.0 9001 576 FI"tAtRSE CIIi 60.00
21.55 9001 578 PRASR7E CIR 0.50
7ata1 keceip+, Amoumt" 60.50
CRl130qi
USEk IIl a NANCY
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
New Conshucfion Reauirements
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
c C) S-0
c -1- 9 - 9?
Remodel/Recair Reau(rements
D 3 regfafered sRe surveys showing sq. N. of lol, sq. H. of house
and all roofed areaa f207o maxfmum lot eoveraae allowed)
? 2 coples of plans (show beam 6 window sizes: poured fnd. design; efc.)
D 1 aet of energy calculaHons
D 3 copies oF hee preservaHan plan li lof plaNed aHer 7/1 /93
DATE: ?/ ? S - / 9 , Ar j
DESCRIPTION OF WORK: /--"W
STREET ADDRESS:
LOT: r BLOCK: D SUBD./P.I.D. #:
2 copies of plan 1 set of energy calcuWtlons for heated addiHons
i afle suney for exferior atldHtons 6 decks
CONSTRUCTION COST:
J
_2 7/c?
.?.[
•/ n
O
Name: 4/ i7 +1#191 V 1/ Phone #: ?S?- SJ? So
PROPERTY to: First ?
OWNER
Street Address:57g i"Q/e/-B r/e ?
City ? ACAci .r/.t/ State: Zip: Ss?O? 3
Company: / leNU?' I G!? $AI? 6(.?4fAI rtf/.Ahone #: OSO 7
? [area code)
CONTRACTOR 6?.,? aa?o?
Street Address: v C. License #
city Ea G c,rw/ state: zip: S5/..2 3
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area eode (
Stree7 Address: Regishation #:
City
Sewer 8 water Iicensed plumher (reauired tor new eonshuctlon oniv):
State:
Penaily applles when address change and lot change Is requested once permH is issued.
Zip:
I iereby acknowledge that I have read this appllcaHon, siate fhat the informatt s correct, and agree to comply wlth all appilcabl
sfiate of Minnesota Statutes and Clty of Eagan Ordinances. ?
? Signafure of AppUcant
Certificates of Survey Received ? Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY
_ No
No - Not Required
8 ?p..1,999
OFFICE USE ONLY
BUILDING PERMIT TYPE
?
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 i 6-plex 0 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Census Code ?
SAC Code e/
No. of Units
No. of Bidgs ?
MC/ES 5ystem
City Water
Baoster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC ,
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
I
e'
SAC Units
% SAC
9905.
fl Q B ? , T + ENGiNceFl
iNG COII PILS o+IJ??AhU sl?URVCOMPAIVS', IIVC.
IUUV EA9i 148111 BTflHET, 11UNN6VII.LE, MINNE807A 6039f PIi 432-'JUUU
N
Certificate ofi Survey
Lega1 Description o LOT 21 o sencx 2,
Q9KoTA CDUN7Y,
CIX/NTRY NOLI!>1N,
MINNESoTf?.
(839.0 ) DENOT[S EXISTING ELEYATION
(SqO:O) DENUTES PROPOSED ELEVAI"IUN
? INDICATES DIFlCCTION OF SURFACE DRAINAGE
840. 33 = FINISHED GARAGE FLOOR ELEYATION
83Z.62 = BASEMENT FLOOR ELEVATION
&40• yo = TOP OF BLOCK ELEVATION
SCALE t 1' - 30'
O
3D ' FRoN7r Bu/LO/NFs
9E7-944e L/NE
?•
. ? J ?
.
.. ? .. d .6.' eNi, ?'.
`
V \
D/,7 WAoIA6E /}MO
UTiGiTY EASEMENT
?9 P/R /E CIk'ixE F116T
101, o O
8 - - ?
.5
iz.oo c 20.00
GARA6E g? ?83?0? I
1 I
? ?14?3 89d,oj
$4P?0.) 32.33
PRopnSEV I
NousE $ ? I
? N
I 90.00 17,83
? ax.S] riSwv o>c 3? I
'I ?835,ot rG? B33 ? I
? ?0 T 1
I? 15
? `/ ~---?
+..o 0
W ; I
? %
v
26.0+ 99: Sa
(826. o> /v 89° 38 ' 3/ " W ?824 0?
;' R. V. R ? ?DUI R?"`
1 berahy cerllly Il?ol U?ie is a lrua nnJ aanect repleaenlallon of o bacl ol ImiJ as sl,own
anJ dssotlbed Miwn, As plaparaJ I)y*me un ilds ?ITMdny ul 1v°y?]6!?K ,1990
.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126368
Date Issued:08/22/2014
Permit Category:ePermit
Site Address: 578 Prairie Cir E
Lot:21 Block: 2 Addition: Country Hollow
PID:10-18275-02-210
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Deanne Madden
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Audrey H Cantele
578 Prairie Cir E
Eagan MN 55123--163
Dhg Consulting Llc
17754 Icon Trail
Lakeville MN 55044
(952) 240-6720
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126369
Date Issued:08/22/2014
Permit Category:ePermit
Site Address: 578 Prairie Cir E
Lot:21 Block: 2 Addition: Country Hollow
PID:10-18275-02-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Audrey H Cantele
578 Prairie Cir E
Eagan MN 55123--163
Dhg Consulting Llc
17754 Icon Trail
Lakeville MN 55044
(952) 240-6720
Applicant/Permitee: Signature Issued By: Signature