3877 Princeton TrCity of 8agall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
Use BLUE or BLACK Ink
Date Received:
r 2011 ME`�CHANICA PERMIT APPLICATION
Date: \ Site Address: ,)87 I �� "`��- 41-
Tenant: Suite #:
F -Y-1/
J
RESIDENT / OWNER
Name: 7-6„'"`^` �. Phone:
Address / City / Zip:
AI/
1CONTRACTOR Name: C e� / c (_, / License #:
�%% //�� G;, 4 Mn /P S�-
Address?1.��(/Q I i " C '1 / �'1 'City:
State: Zip: d ��O Phone: � � � � � � l � -6
/ '1 it) S 0
Contact: L)/29 --(_,C._ Email: d --1`,_J__ eX-% 1 i r0
TYPE OF WORK
New fl/----Repl ement Additional Alteration fJ Demolition
Description of work: ,.) rAIX( C ✓ --
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
��� RESIDENTIAL
T� Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / Remove)
Other
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Ean; that I understand this is not a permit, but only an application for a permit, and work is yrt t to start witt a permit; that the work will be in accordance
wi
e approved plan in e case of work which requires a review and approval of plans.
e-F
x
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Reviewed By: - Date:
Under Ground Rough In ' Air Test Gas Service Test In -floor Heat Finan
Exterior HVAC Screening Inspection
? .. _
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receia # --
$66,000
Lot
Pa?cel No. _
W Neme _
; Address
U
1 9 Name Ia .-,..
?? Address
1- ritv Phnna
Name
Address
Clty Phone
I hereby ocknowledye thct I how reod this opplication ond state thaf
the iniormotion is correct and ogree to comply with oll opplicable
State ot Min?xsoto Stotutes and City of Eaflan Ordinonces.
Slpnafum of Permittee
A Buildinq Permit is issued to:
afl work sholl be dons in occardonce wifh all opplioable Stote of
Buildirq Officiol A
"'' 11145
(! U .
A?
Erect V1 Occupancy : 3
; ;Remodel ? Zoning
Repair ? Type of Const. -
Addition ? No. Stwies
Move ? Length .
DemoHsh ? Depth 9
int Impr. ? Sq. Ft.
Inatell F-I
Approvals F??s
1lssessment Permit s 3 3 1.()U
Water 6 Sew. Surcharge 3 3_ CIO
Police Plan Review i ti S_? Q
Fin SAC rj25_00
Eng. Water Conn. -i fZ fl - U ()
Plonner Water Meter f* 3- Q()
Council Road Unit 2 A Q-(} v
Bldg. Off. Tc PI. 1.? 2_ ?: (1
APC Parks
Var. Date Copies
i; TOt81
?.
on ths exp?ew conditlon tha+
wto Statutes and City oi Eopan Ordinonces.
!
Pwmit No. Pwmit Holdw Drta TeNphone ?
Plumbinq k,30 7S/S
H.VA.C. V G( ? c I Ci ?- ? r C
'
ENeMc - !' Va7
v 0
8ofto r
Intpedion Dau Insp. Othsr
Footings I
Footings II
Foundatlon
Framing ?s ul ?
Roofiny
Rouyh Plby. _
Rouph Htg. / ?-
Inaul.
Finplece
Flnal Hty.
FIna1 Plbp,
Fin.l L ?G OiA LL.
o.wOcc. ?fG UT . ?
Weter Ckescribe Location:
Well
8wrer
Pr. Disp.
Receipt PLUMBIN6 PERItAIT Psrmit No.
CITY OF EAGAN ( 1 3 ? Fsa -
. ? fill in numbered spaces S/C i!
Type or Prinr legibly Tot ?. "
.r
I. i
1. Date 2. Installation Cost .
;.r}? ,
3. Job Ad?ess / J?• ? ?, _ ; ! Lot Bik. • Tract-i ?
4. Owner t,
5. Contractor/'''/ 1_ < <, , r ' ,[ f, , I;l •? Phone
6. Address
i
7. City State ??- Zip
8. Building Type: Residential a-" Commercial ? Institutional ?
9. Work Description: New Add ? Alter ? Repair ?
IU. Describe
1.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
,
i
Bath tubs
Septic Tank
Lavatory Softner
Shower vyell
? Kitchen Sink y
Urinal/Bidet Other
Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
? Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply wi;h all ordinances and codes governing this type of work.
/ fSigned :
Rough^ final
Inspections: Date Insp. Date Insp. -11?p,
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$700
Reaipt pAECHANICAL PERMtT Pormit No.
CITY OF EAGAN
Fw
flll !n numbw+rd;psces S/C
TYPe or Print /eyibly Tot
1. Ds" 2. Installation Cost
3. Job Addrat - Lot Blk. Tnct
4. Owner , .
5. Contnctor Phone .;
8. Address
7. City Stste :. _ - - - ZiP
8. Building Type: Rssidentiel 13' Commercial ? inctitutional O
. :?
9. Work Osscription: New 4] •- Add O Alter ? Repair ?
10. Daaibs Fuel Type
11.
?
. ?4
No• EquipmCpL BTU - M. Ea.
Forced Air No. Equipment CFM
Air Handling:
Mf9. 1 • _ .
Boilers
Mfy. Mech. Exhaust
Unit Heater
Mf9• Other
Air Cvnd.
Mfg.
Gas, P'iping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
wmply with all ordinances and codes governing this type of work.
Signed : L _ . 'r
. for
Rouyh F inal
Inspections: Date Insp. Date Insp.
7his is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks ?-,) ' q -? > > !) , `--9 ? _i (s?? ?- cLt,-i. 16vl
,4ddition LEXINGTON SQUARE Lot 2 Blk 4 Parcel 10 45075 020 04
Owner Street 3877 Princeton TYai 1 Scate Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK j 1985 254.53 16.97 15 254.53 C009744 10-12-84
SEWER LATERAL ben tI'k 1986 173.65 11.58 15 173.65 C010089 1-28-85
WATERMAIN 1986 68.33 4.56 15 68.33 C010089 1-28-85
WATER LATERAL
WATERAREA 1 286.43 C010089 1-28-85
STORMSEW TRK 1986 501.29 33.42 15 501.29 C010089 1-28-85
STORMSEWLAT 0-1 1986 513.81 34.25 15 513.81 C010089 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
$280.00 56837 10 22 8S
WATER CONN. 500.00
BUILDING PER, 145
SAC 25-00
PAR K
CITY OF EAGAN
3830 Pilot Knob Road mvm SEIn/ICE PEmT
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 dA.?.E: ?, :-
Zoninp; ? .
No. of Units: i
Ownwr.
s'
/l+ddrrss:
Sice Add?rss: r 4
Plumbue i r: • -' ?' ? - -
o
?? ? K' c?e'' ? E.,e.
By `
Date of Insp,;
-
100 , oop
Ca,nsetron c],o.ps: '!? -)S. Lap _
Acoou^r Qevosit:
Perrriit Fee:
Surcharpr.
Misc, Chonpex -
Totol;
Dah Paid:
WATER SERVICE PERIWT
PERMIT NO.:
D/1TE:
No. ot Units:
No.: Connedion Chorge:
Accoimt Depoait:
r No.: Permit Fee:
0 M 0o-011 whh llw Ciey of bysw SurchorQe:
004106. Misc. Chorqes:
Total:
Dote Poid:
of Ins
: :
Insp
p. .
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pila! Krrob Road
P. O. Box 21199
Ee
a
MN 5%1;1 PERMIT NO.:
DNTE
?
g
n,
Zoninp: _ :
No. of Unlts: -
Owner: College City Gonat.
Addro? lm
3877 Princet
Slh Addmu:
° .54 -exingt
on S .
Plumbar: ? ??'r ? ? ? ' Sf1C5
Meter No.: 3_579 4(S?-7l5( ???oroe:
" ' C?p`?
?
Size: " .?. e?OTe
o _ ?.?..?. r1! 1;1 ?l1o s,'O'E • • ' Cl,?ooou t:
__ ? 1::.? A. 5. ??• nu
; `? ? '? ? P
to oemPy wIffi
OrdieeneM. Mlac. Chorpas:
Totai:
By ` r \ Dote Poid: _.
Dote of Insp.: Irap.:
/r-/y-gs
. RESIDENTIAL
BUILDING PERMIT APPLICATION
q O?? CITY OF EAGAN
-H" 6 3830 PILOT KNOB RD - 55122
651-681-4675
NewConstruetlonReauirementsRemodeVReoairReaulrelhants /
• 3 registered site surveys showing sq. ft of lot, sq. ft of house; anll rooted a2as • 2 copies of pWn
. (20%maximumlotcoveragealbwed) . iselofEnergyCalalationsforheatedadditbns
• 2 copies af plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior addifions & decks
• isetofEnergyCalculations . Indkate'rfhomeservedbysepticsystemforaddiEons
• 3 copies of Tree Preservation Plan M bt platted after 71753
• RimJOistDelailOptionsseledionsheet(bldgswifh3orlessunBs)
DATE IJ e+ VALUXI N -1f,1-7? ?
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDIJS?MANY UNITS?
PROPERTY OWNER n
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ? PHONEIJrT
ADDRESS ZIP CODE
PAGER # CELL HONE # FAX #
NFW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CA'1'CGORY 1 --- -„;
(check one) - Residential Ventilation Category 1 Worksheet Submitted ? ?
- Energy Envelope Calculations Submitted 0aa5 zM 1
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted '
?.,, - - - -
Plumbing Contractor: Phone #:
PlumUing System Includes: _ Water Softener _ Lawn Sprinkler ree: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water CoMractor.
_ Air Condilioning
_ Heat Recovery System
Phone #
P'cc: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read ihis application, state that the informatioNcorrect, nd agree to comply
with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordi nces.
Signature of Appltcant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY ,
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 AccessoryBldg
?2 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi
? 05 03-plex O 11 10-plex ? 19 Lower 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. ?`?// 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ?
3 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire y) - Give PCA handout to applicant
Bldg onl
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 Sprinkiered
Type of Const W idth
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water _ Final
Franilng
Fueplace _ R.I. _ Air Test _ Final
Insulation
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinallC.O.
FinallNo C.O.
_ Plumbing
_ HVAC
Building Inspector
CiTY OF EAGAN N° 1 1 14 5
3830 Pilot Kno6 Road, P.D. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
3
BUILDING PERMIT Receivr #
Te M wad ler SF DWG/GAR Est.Value $66,000 pate OCTOBER 2 1q 85
SiteAddrese 3877 PRINCETON TR Erect X] Occupancy R
Lot 2 alock 4 Sec/Sub LEXINGTON SQUARS;emodel ? Zonin9 Rl
. Repair ? Type of Consx. V
Parcel No.
Addition ? No. Stories
COLLEGE CITY CONSTRUCTION M°"e ? Length 45
? Name ?
; SOX 309, HWY SO Demolish Depth 46
Address Int Impr. ? Sq. Ft.
b Cny N ORTHFIEL¢hone 507/645-6648 Install ?
? AvDrovob Fees
O?
u?
Name SAMF.
Address
Name _
Address
City _
Phone
Assessment _
Water & Sew.
Police _
Fire
Erp.
Plonner
Council
I hereby ocknowledge that I have read this cpplicotion ond stote ehat gldg.Off. 10/14/t
the inlormotion is wrrect ond ogri;;e to co?y,?th oll applicoble APC
Stata of Minnewro Rntutes and?ity of g n'Vrdinunces.
Va 0 te
Siqnoture of Permittea
A Building Permif Is issued fo: _
all work shall be dor?a in accordonce
Phone
Permit Y J J 1.V V
surcnaree 33.00
Plan Revlew 165.50
SAC 525.00
WaterCoon. ?Q?0 0
WaterMeter ?-OO
RoadUnit 280.00
Tr.PI. 132.00
Perka
r. e I Coples
CITY CONSTRUCTION Total $2.029.50
on tha axpress cordinan thot
p61e Stote f Minpe $totutes and City of Eoyon Ordinoncea.
8uildirg Official
?
n7R
1 REQUEST FOR ELECTRICAL INSPEC710N kV% EB-00001:04
' See instructions tor compietin9 this form an bnck ot vellow copy.
p: X" Below Work Covered by This Request?
Fdd Hep. Type of Boiltling Appliences Wired Equipment WireA
Home Ftanye Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt.Buflding Dryer ElectricHeatin
Commercial BIAg. Fumace Silo Unluader
InAustrial Bldg. Air Conditioner Budk Milk Tank
Farm 021her pec,N Mni?r Is'?,ecliy)
? er Suecify Ot?er Othor
ompute Inspection Fee 8elow
M Fee Service EntranceSiae N Fee Fexders/SUbleeders p Fee Circuits
/lG 0 to 200 qm s 0 to 30 qm s J'o,eG Q.to 30 Am s
Above 200 qolpy, 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 70 Amps
Transiormers Irrigation Boorcis -JC1 Par A.'Other Fe
Signs Specialinspection G T
Remarks
( ?
??
•
Fough-in ?
inal ? ??": ??
p
,^?/j? the Eleclri
a
lip
,
.abb
certifv that ihe above
spection has heen
made.
Thle request vo1C 18 montha irom
,;s r es
18 m onths a a
(mm
' Rqnl L a
R2qiiest Dute
/ /j
'
q I
1 Fire No. Rouuh-in Inspect
Req ired?
I ,,,YYY
Nntily Insper.-
?Featly Now qI wi1
h
T
/
d5 z yes ?No lor W
?n FeadY
? Licensed Elec[rical Contractor I herebv request inspection of ebove
Owner eleclricel work installed aC
Sveet Addres+, eaz or R te No.
38?1'I ??a City
F 4,11
ecuon o.
I Township Name or No. Range No. Comity
? {n
Occvpant (P INT) ,
c,-{ Phune No. .
Power ??a/pol'erf ??•1
Y/ D/"/? LO ?/C a AdA Lo?ss 1
/ i¢
Electric??ntra,ta? (c mpe? ynte) , ??
/ AvN/nsa No.
Mailina Address ICOntractor or Owner Mak'ng Instailationl
Auffiorized ture Contrac king Installation) Phon. Nwnber
?92-?I elK
MINNESOTq ST/{TE BOAXD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwny Blde• - poom N-197 BE ACCEPTED BY THE STATE BOAflD
1821 UniversitV Ave., St Paul, MN 55104 °Ffl INSPECTION FEE IS
Phone 16721 297.2171 '
• CASH RECEIPT
CITY.AF EAGAN
P. 0. BOX 21•199
EAGAN, MINNESOTA 55121
A
&_ DOLLARS
?oo
C] CASH ? CNECK
DATE
AMOUNT 1$
•
19 -
r . i
C?
•t1ND COOE pL10UNT
? j? <<c7
?
Thank You ?, .
By
N_ 56746
7
White-Peyers CopY
Vellow-POSting CopY
Pink-File Copy
? ----
?
2/84
MP CITY Or EAGAN
APPLICATION FOR PERNIIT
, SEWER AND/OR WATER CONNECTIODi
(PLEASE PRINT)
1) PP.OPER'PY ACDRFSS: 3S77 /-lPi'N'CC= ?tY TiE'rS+i'.C
r.Frar o??T?v: ? - v- 46?- s
4 we
(Lot/Blcck/Suh?uvision or Tax P cel I.D. Ntmber)
' T'r r.'{L"::::G STnS:C.'^TcE , ?A'r' 0_° 02:GLAL iuII.DL`:G =%;1l. ISS?:??;Cr:
? ?
PP°SL'.^_' z:`II:?:/'P?OFGS? L;S: PY'2-1 SitiGLE FAMILY
.
? R-2 DUPL...°Y (TruD UbIITS)
[3 R-3 :C7.v?i'??C[?SE ('IlREE + =T5) ( Wi I'"S)
? R-4 A?lR=VT/COiIIG%?PIILM ( WI?'S)
Q COMi'AE?CIAL/RE:AZL?OFFICZ
? INDL'S'RZAL
? LVSTI:'L'TIO:IAI,/GGVE,qADg„'\'T
2.) APPISC A?NT (PLEASE PRIYT) .
ADDRESS: P o I?o 0 9
cri^r, s=, zIP: o ?- A,? ,
PHONE: - Sp _
3) pLUrBEZ-Z nkmE- (PLEASE PFCNT) FOR CITY USE ONLY
?
ADCRE..S:
•
AIlUARPWMBING-APPIEY 1NC.
eam ,
PLUNBEPS LIGENSE;
'=-Active
CITY, STATE, ZIP: ppp(,EYALLEY,MN 55124 0 Expir d
PHOVE•
- r ?iL"
y.3I- PLUMBER LICENSE N?6 ?S--7 Q af Recard
tr nt ia
4) OCC.'LPAI?T/Cr.v'I`1EE2
NA'E:
ADDRE:SS:
CITY, STA'IE, ZIP:
PHONE:
LYLtASt PR1N1J
5} INpSCPITE 1Q[-1ICH PERh1IT IS BEZhG MDOUFSTf:D:
X zplc!?C ? ION 'Iq CITY S?IER
CY?Ni?IE:CPICN 'ICl CITY WATER
? d"iE1ER (PI.PASE DF_SCT2IBE)
V) 11vU1?11u liiit.[ '
. ? PI: nSE f?OID APPR0VED pgt,'NST FOR PICE:-G'P SY ONE OF AH4VE
:*AIL FIPPROVEa PFRtilIT TYJ 1. 2. Q 4 AFiOVE.?
(Circle one)
7) SIG!,ATLM: 4ti?t k4a?„- DATE:
? ??'??
?! ?l A:Ri?lfo'JS im' ta l?:aall? ar ?a /.Rp?r? +S is i isai :a s a! l!l?yr?s.? s??s ?s ??Faa?Za r
F 0 R C I T Y
PERMIT °- ISSi7ED
£E ;S: $ ?L_ S G
$ ( i'?-r
$
$
$
$
/$`oo
$
$
$
S
$
$
s 3?_ G ?
$
$
U S E ON;,Y
SEi^icR PE??MIT (I`ICL'?DE SliRCS?3Gc)
WATER PERI?1ZT (INCi?DE SiiRCHARGn)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE,dER TAP
ACCOUNT DF.POSIT - FiATER
WAC
SP.C
TRUNK WATER ASSESS??E\T
TRliNK SESdER ASSESSD?EpiT
LATERAL BENEFIT/TRUNK S--:•:?'R
LATERP,L BENEFIT/TRUNK WAT°R
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
AMOL':QT PAID/gECEI2T
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMZT FOR 'AORK WITfiIN
PUBLIC ROADWAY" MUST BE ISSUED BY TY.E
? NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
S[iBJECT TO THE FOLLOS4ING CONDITIONS:
APt'ROVED BY:
TITLE: •
flAT_°: n . l -{Z41L ?-?
mo *"mms m??w '4s ocw
E ?w wta w ? w ?iE ?ef+ w.? ?t? w ?wi? ?c? ?tr wE ? ?e ?? Ra ?c? w s?a ? ?
531 ° (.0•+ -
33°C0+
16.^50+
25°C0+
S-C^Z0+
63^00+
280 ° 00 +
132°D0+
2e029^50*
S
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTOR$ NUST BE LICENSED iiITH THE CITY OF EAGAN
COFV7ERCIAL SINGLE FAMILY DNELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICASES OF SURVEY
SPECIFICATIONS AND 1'SET OF '1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
» ')
To Be Used For: Valuation: Date:
Site Address ??2 ?) P42 ib???,_,
Lot ':'? Block 4
Parcel/Sub hCzxta4.U2,? 'SQ _
Owner 0B?.Sa?Sc
Address aa,4 2127} W& ??rS'0,?
City/Zip Code L)aL-,,.aE,t=L-0, 21,? 5??7
Phone 5-0 ?) - (' ys'- 6 64) Contractor
Address
City/Z3p Code
Phone
Arch./Engr. 2Qrn,;g: 12Q 0? 7_•L?
Address
City/Zip Code
Phone 0
Erect SC
Remodel ?
Repair
Addition "-
Move ,
Demolish
Int.Impr. ?
Install
APPROVALS
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
FEES
Assessments Permit
Water/Sewer ' Surcharge
Police ? Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off ? Treatment P1
APC Parks
Variance Copies
TOTAL
--- l?
`
?A
?
t ?la?
SU
2so n ?? `l'18P? K SP? = S? 30¢ ??? ?
440 x i2 = s28o ?.;??`??? }? ??
7 Y-
,
'¦
Certificate of 9urvey
, ' fivJ L Nwu,pv! En?uvmn f? 3p1 Taniy ? I<nJ Surveym? ?(anQ Plamm?e
? ?¦uNuwMAM
NOINtSRIMY
IMC.
8ea ri ng
o Denotes
? Denotes
?1000 Denotes
,-
s Shown are Assumed.
Iron Monument.
10'5)Foundation
Corner Stake.
Existing Elevation.
Direction of Surface Drainage.
Main 016a 57+ 6D6E
fA76 Highwrv No 65 t, E
rt.n,eaunh,. miroewu 5542I
So%anGthce 8906510
1101 GLH Foaf
6urnemue h?,nnuwu 5533?
COCLEGE C/TY ('ONST.
PROPOSED ELEVATIONS
Top of Block
Loaest Floor
Garage Floor 8.8
fl ?
/-30
0p4
0
yO?
'v
?
N
O
0
?
S 89" 59' 3('" E
/co 9• 99
X
, -
-- ? --- -
--- j?'_ ?.S --
---
T
-
I
, Q
<
_ i 4(o33
4
??
I
• _ I
? >.
!
----
? ?
„ z03 ?
??
? ? ti; 9
? N I,o
I e ?os 13.3
I
W W ? v rn
I? w ? i?? ?
? ? - i
---
p w ? ? \n
- ?
--- - - ?- - -- - - - ?
,
11.09. 99
_5890 S9' 3l0 "E
R5? ?
i?
O
o \vr
9°. if ?
44?
LDT Z, BLOGK ¢
L Ex r ni6ronr S 4 vA RE
DAKOTA CDUNTY, M/NNES07A
I hereYr terUfy fAal I1,I6 It a Irw uN aorroat rpreumallaw of a werey of 1Ae boundarls, of rbe abore
des<rIM1 Iewd, ond d 1he leeellon d dl Yulldlnll Ih rson' and all rls{61? eevaa<Fments, if ony, from w m
sa7d Ion1. M furwyd 6p M? 1A{s_i? /i_'dq dL.D. IV-kr
fUBURMNf jt IHt[70?,,J MC. 'for, f?CE 1551 58,5 "r
Not Publishetl: All Rightt Rewrved
OWNER ZRQ _ ENVELOPE AVERAGE. ??A aTA?N S1AM,,ORb . .
' SiTE AQURE55.?; ? t AC .o.? p,J.f
' GpNTMCTOR 0,LLES,E C''I'N ConIST DATE PHONE
, , .
Determine. working square footage of each.
1. Total expoSed.wall area '...... I74A- sq. ftL x>_il
2. Total roof/celling area ....., 1072 sq. ft. x
Total exposed wall area above floor =
a. Total wall window area.............?............. _ 19.5 OD
b. Yotal door area ..............:.................. .???...ZB.
, e. Total sliding glass door area .................r• R4d.0
? d. Tatal tireplace wall area ........................
• e. Totai walt framing area (average lOX)...:........ ly 4, .
" f. Total net watl area above floor ................. Iia p.3 z
p. Tatal rim joist area ............................ io6.so
Total-ezposed foundation area a -'
h. Total foundation xindow area ...........:......... o
i. Toal net foundation area above grade .......:.... "? 4:?14
1 .. Determine "U" value of each wall segment.
195.00 X pU" .341,o •'67 47
. P• ?? / n ADVp J I4S R?,T,•?
? C: 4-0.00 'X "U" .346 • I3.6 ¢
d. - . x Mu• o • -
' e. 174.40 X "u" .092 e (,.oo$
? f. Ijqp? x Mu» .043 - s?,183
y. lob•So x Mu" .041 • ,36(o
. h. - x rU¦ - ? . ..
i. 9 4.714 z„uN .079 - 7. 4s
z
3 ....................:....:...........Tota1
]f item 13 is the same as, or less than item pl, you have met the lntent
of SBC 6006(c)2.
. , ,.
,
. ?. ? , ',a, -}'M_..'' ???`°?° • .;;.. . 7§?.,?N :,
? ? A . r n. ?:s' V • i .
. .. 4....? ?a ?
? 'FoafE?ex'posed r`doP?ce$lingb kriad= . . ?? a .
' • J. Total skylight area :.... ........ ........ .,.
k. Total roof/eeiling framing area (average lOX)... I o-7.z o
1. Tota) net.insulated raof/ceiling area..:........ 16 q-,g o
Determine "U" value for each roof/ceiling segment.
? f o x nuu ? s -
.
? k. I a7. Zo x'Nu„ . 17¢ a IB,?sz.
?' ?? qb4.go x °U" ozz z1.2a5
a ..................................Totai = ?.e7
lf total of 64 9s the same as, or less than E2, you have met the intent of
, SBC.6006(c)1. I
' Alternate Building Envelope Oesign
To utilize the total envelope system method, the values established by the'
sum of items 03:and #4 shall not be greater than the sum of items ;1 and U.
1. + 2. _
3. + 4. ? ..
,
. , . .. _
S 1" t,.1 D/ FR A M iN(W
A ?. ?. ? . . .
? . R..: ??LLLG
-?LINreK+oK ?VR FrLPi
,4 "r.?" VZ GyP.SuM WM.460ARD
_b,, 875 5IA sor r vro.o
Z.ob ZYSZ 5HiA1NiN4
,(07 ' I..RP SIDll.IC, Z
` VAF%2C DARRot?
?firt)aioR, nJR. P,L-M
0.83 orA?? R..?; J.,4&A c-
"ry =1/'l • 111 o.e3s S
To rAL roorAu c
? _..?
1- NSt1.t.ATI-o I1RgA BLTWcaN StLA DS
,.R.._ vAL.wr.
. f]I jUTl4iOR AiR /eLM
- .'?'S 1?'/f GYP3uM ys/A??.6ea?0
-19,0 INSUL wT 10 04 (R-019 )
- Z.O(O 4?1 SHl& 7M /H4 13v' LTR-1?
giaiuG ?P
` f vA a o R. A•? w.?. ? t R.
?ArLItieM /1iR. 1qt.M.
z2• orA6 wwL vAt-LAc.
?a.w.. t 1„22.96 . ?
ToT AL, I+oor? igiL
?+1 Li IMtihb IGr
U?rc: s?4uao__ ?_
y
1
?IM
So1sT AP. L A:
"R' - VALuE
•to/ __1 nl112RIOK ,,12 /'IL M
9,0 IusuL nT1cN CR•/9 )
? .Olo Z az SNEAT,u4 V?L7-.IZITE-
.?7
1? gg I'h." 5o?rwoop
. 17_EXTF+e 1a R A IR- P«-01
24.39 Tor n L• q..3' ?Ar-ac
TOTn6 ?curn4&
FOUN O AT ION I^IALt- ARE.A CAbovrs, C;RAPjL-')
" R" V A L u. E.
? -{o! IWrEK)OR AfhZ htrN
• .85 . $ ? CDNGa R' r'r Dl-oGK.
Z,c 4 i g
. I ? • v •I?,_ c (R- )
q_t7 EKTLr,IOR, A!iM /It.M
17-63 "(`OTA1.)4,,,q I/ALLLE,-
`v4
TpTAI Frx'sT/VCaE,
2r.n t•I tM4rifb . OAkTC - 9WUit0 ?
Y
JOiS7/ F9AMi,vl4 AQE ^
`R'• YA I.UE
.bl IN7ERIOR AlR FILM
3,15 3?z Soprwooc
5?$. GYPSL&M WALLOOAQO
.S,a
"" - vA'AaR
NtCR iva, AIR Pii.M
5 !357dTA L "w:,, V+Lu-E
&4., . ,i " . i / 5. 735 = 7 4
7eTAL .Faor.,ci -
zNSuLNTL.Q ARtA pGtWtGN T?If UO?ST`+
"R' ? VA04C
- ,bl iiureROoR AiR F(LM ¢?--
t}-t?-,O?_,_IN3?ILATlON
. .S? ?f{YVStaM WAL-i-CoAI.O
VAFaOR DARRi«
• ?,INTER?o2 AiR frLM
45.36roTAL vaI.LLC.
u4% : IlOW& _ 1/ 45,3b = o z
7br'A6 InorAag-
?•/rsn? EE. p?rq si?wr?
"0.4
.
WJ NDOW AREA :
TYPli oF WIN.VaW :.
'51ti" iksot- G'tiass
jNe %A"ao&u (JurYS kAvt BiiiJ jfSTtO Io4 "14"=VA4.%•aw., 7•NlY Aec na LIN&O
K.? oF
ABoJ[ 4N0 Nl4y aI wssiyVto A O9a?4NCSArc) Vw&. R?s
f4Ct.lO?y?r A?? IrILMS. ; 1
1,J4? cl/pt? • ?? . =.?? e ?
-4-Fosrwa¦
FouNDA7 i oN wiNao w A+zZA :
TyP6 Of WiNDO/? :
rNF- wlNaow eiN,rs144rL BtW 7'LS*[P FoR'a= v,,u.s,rN&YnR% As qi.,ea ne•va ewe
M4r,9rAblIryNLuA dkaiyiJCJo'Re,) y,nL'ut 00 •g"¦ P•,c?walNq
A14
I.af: I??? • ?? ?,r?...? ?oorA44 + FGOrA4L a
SLI0I44 (?LASS QaoR AR&p=
TYPL oIL DoOR t
S/8 InisuL?G ?-•
yLrOr?JCr CjL,1189 IJOORS N^VC Ott-/ Y4.3TR0 foR"R=YAa_MCy rNtYA1iL -r1 L•-A&rsD
AboVL ArrP MIAy B• h6s,4N?0 A Dislc414GsAlar?) VALKC af?'R"• .?B?j IY4LYd?u
/JiG irLrtS Fo?Ti.4t- =
uys :. 1! _ T:::?
DOC'7R A1ZC A ? IYPG Cr DOOR i
Tti EQM P. -T?2 V
pooQ UNi"rs HAYG DpLN rcsrca ^.+D ?euuo ro }Ikvs A N
*R"-VAa&t1L 6f y B? .,1` ANCt IlIa 016Mi,
( . /
t 1/ 1. g l
Foorn4 ? 2--
5PeG1ALS ; rYPE :
r--
R?F[nt L-? !?/+?noq? ? LYiI'E'• S1C?NGa
24' l'la.
1 Design Information
iC(0•6)= SU,u PSF
?C(D•L1= 10,0 PSF
UriG N0, R79-5010-TP2Y• '!Ge TL(J•L)= 6u,0 FSf"
SH7 NO, 12 D4SE 1/ 9/79 STHE55 ItlC = 1.15
12 1 Maximum Chord SpQna (Ft.-InJ ?
L1IMBER CRAUE TOP CNUkU BOT'ON CNOkL`
=5=1UTHtdL PIHE= !Xi [AO 2%4 2%6
40 2 KD 'Cr- 5 3S- N 31- S 91- 0•
dU 7 riJ DENSE 2e- b 3b- n 34- > il- 0
,40 l RJ 27- + iG- 1 3S- U?)- 0•
d0 1 RD DENSE 29- 7:1- 0 3e- 7 rl- 0
Si:L S'Crill KD 2y- d 41- U• io- 5 rl- 0•
DEN SEL STRU KD il- ti'vl- G. 3n- 9 51- 4
=ASR-ALL SPECIES=
1--1b50F-ly5c MSN 2e- 7• 3v-11, 33- 3? 41• Us
1800F-1,6E MSd 2b-10• 41- UF 35- 9• 91- u1
I950F-1.7E H5a 210- 1• 41- 0n 38' 4• 41- Ot
7100F-l,8l: MeN 2Y' 41 41- 00 910- 71 al- U,
7250F-1.9k: M50. lu- 6• 41- Ot 41- VO 41- 0f
7400F-2,0E MSk 31- 7• 41- Oc 51- 0f 91- 04
•HEOUIHF.S 2%6 eERR1nG #RtUUIkES 7Xtl tlGdN1nG
3 Web Requirements (Ft-{n.)
Urv6RACEO ifH.ICE?
2X4 tii65 xl *2 .1 nl
3RU-SYp 41- 0 il- 0 31- U 41^ U
ZRU-SYp 43- V 41- 0 vl- 0 91- U
SfU-H{' 41- 0 41- 0 41• U 4;- U
COrv-hi 41- 0 41- 0 43' 0 41' U
2%6 wi:d5
2%U-SYF 41- 4 CI- U 91' (o 41- u
901-ni 41- 0 il- J 41' 0 41- U
4 Force Information L=Span ( FL}
CHURD FORClS WE9 FORCES J071ii LOADS
C l- -97,4L N 1= -12,4L J-1= .16,5L
C 2= -89,36 w 2= 30,1'L Jd= 15.OL
C 6= 59.0I. J 3= e4.OL
C 7- 97,216 kEACT= -nC.aL J 7=6.61,
Dt:SIGNED Ib ACCORJAiiCL nl'tn TP!-711 FnU hO5-i7
NOTtt: 1. Cul 911 munban la Wu.
7. GnNr .il dein on DMn v0ea ol jomI
yn??n x ar Y locefionf en scauLed.
0.1MS Iruf, hbr¢ebr f rnoans hl5 m
oo.iae oi.tIna io, n.neieFa as ?ewrea.
$P! Uer08 Gman
4 Sea Table ] bt w.0laierel Dncmp
rrowremenis
Ft?Li-5 .5
VI_?
'?? ]GaIWi
MU55 xGip
IN taBli 1
12
SLOP
?
C]
P9-L.:2S.$
STNUCTURAL COMPONENT SUPPLY C0.
BOX 338
CANNON FALl3, MN. 65009
507-283-3311
1'•-
'R,;S 6
"
?
"? zr-[•vU: , i di'v ? .. . .
'
/
I
?, I ? )
. '? T '
'C
J
?
r
" ?
/
?y
`Z
1
:5]
. „
1 '
'I^
_.-
? cy
?
=6 d?.!-:s IYPE 700
Lt55i, Vitb miy ta ese vnn xpmAN muianms. tnis im.s a xs+pnM uin nenmw+l pudanp m*?anen.
e b ro oe nwmnee ime I WAeM aesW it me ;orcnraim oi Ine asMei ol ud mnnv. Breiq
SUBt11iD141P 1i1lf)1 SwGM 01 YhXqWI IILL55 TCntR?S m1/ M7%`tNl biC?O OI IM pCill S[n[ivR IN,
Oe ipuiiW. Fa O"ral puNince sr BncYp Yka! Tiuun'. !a soeene ivss YacN roa?e+mns em+a
'IrUlidl nqil 1M,S Ppq FfIIINI. 7411 F5.5 110]0, Nn,",TauL MJrvMM i0787. --------- TIT- :Pi CUUt i'- 1;11 -...
OuilOnq CGS Wfl. Fa Illormllm rMIRn01?aUlnn aJa?nY C(mrcl. atxMl. Ovlnlry nMm fq 4Y[?V A
uwsc. onrvn nrc a+mrcmib w,.,r ma nn nawnmma.a cm? a snwn ennea•.
l/11 SLUPL YT Y
SCl PIi+e 6 Y..ir-'vLL Sr:C I:..i
EMQINEERING.fNG. y01IG/0; Ib- eo PSF e- i.lS
l011 'J61.9I,LOUtS,MO tialii
5 Plating Informatidn
JI. MAd-SPAFS(Fi-In) FYGRU-hA1L LuCAT:Or,t[b:
n0, SYY DF/HF PLATE SIZc --%-- .....
a s e5• e 25•10 t1/7 x e vr
es->> 2S-11 a ii'e x a v;
J4- 7 31- G 3 x 6 2i
!7- ? 3'1- 5i 1/'1. % e PS aS- Y ib- 3 3;ii d o P:
i6-11.1 jb-10 i a e PT
al- U 41- 0 3 1/i d e 2i
J 2 91- U :1- U 1 % 4 F1'
$d l 41- U 41- 0 4 111 E 4 PT 4 .!/.
J 3 9U-lU yl- J 3A Y P1' j 1
J 7 91' U 41- 0 Z 1/7 % 4 PT 2 1/2
SJ 7 3B- 1 7b- 7 4 112 % 0 i'L 4 : 1/4
il- U 41+ 0 4 1/s % 5 PT 5 I 1/'.
CnOkO SPLtCC UPIIDIUS
C 2 41- U 41- 0 3 x y F1
C 6'r1- u 41- 0 3 a 4?i
VLR'fE5 MAHKCG + R!'uUIY.t 2AU ChGnUS
GNU55 PLAiE dFTIi4GfPSl] FUn P'i='il'LIS'ik),[25(:.!/:,F)
;"Hve:o4?. e??rnwon? i c 'S?S
., __..
.. :_.,.:?.:•,.: " - : Y..... .:,.....:: •:^..:
y d0, B)0597 'tYPi= 700.GL 5 OF IS SPANa 24-00-00
S NT= 1-03-IS SPCG= 7-00-00
TOP SLV = I.UO/12 TCLL= 40,0 P51
duTT Cvi = O-OO-oa icoL= 10,0 Ps1'
aCLL= 0.0 PSF
tlCOL= 10.0 PSY
NUaI. " lOTLe 60,0 P?Y
SIc11 PEp 7PI-78 7-1t-82
'rlIIi1VE SSPS USCD Y05,40
USS SYk 1tlQl1I CL CAdC ?
CP(VL-l.lS LX=I,IS L7.0
NCL LCNGTN SLOPE CNONO FOPCE NOMNT F'Etl Y'OPC! F[-Ix-S% /17 Ltl5 ]N-I,B Lb5 -
i= 6-04-14 4.00 C 1= -7779 3B01 M 1= -616
2= 5-07-07 9.00 C 7; -71151 JtlOt M 7= 9!0 .
- 1-05-09 0.00 C o= 2175 I707
l= d-07-04 0.00 C 7= 7110 1707
LUMeEN DESIGN SVNMARy==--(DlSSGNEO IN ACCUNDANCE N1'fN 7Y7-79 0.ND NUS-77)s=
CUNBINEO . .
-- SiflS PA7[D= A%1A6 a 6END Ftl FY /'C
P CND 71 4 165oF-I.9Y. M SPP'. 0.980 = 0,411 ? 0.S6B 165u I020 17I0
S CHD 7X { 1650F-3.SC H SPf 0.773 = 0.105 ? 0,267 165U IU20 1320
L VEdS .2% 4 9S0 DNY OC '- JO1N2 PLRCT(LB) N1N tlRG(1N] [J i, !1 -1440 J.S
'iL LoAo OEF Ai J.6a0.740 10. . L/DLF= 867 6t14,OUt'f CAMB 0 1/8
ONNiCTOP PLATE 5lLCC230N:(CONI'OPMS TO HVU SCtl S1,OS,tlUCA bU-Be,SbCC 72171-70)
1N7 HYDPO-IIAIL:'• 3607- LOCAt10N JUIxT "
VLATE SI2E(`_DlRfCTION X (iH) T ]TYt
1. SI {!/] % 6PT'VARA-9C,;. CENTNAL I . '
7, 47 1' E4 YS;, PAdA-Xtl'ClNINAL 1
11 7 % S:PT*NOAIZ c''S l 1/7 ] -
7, 61 ) X4?PS,4 7 NO SPLICES-SLOSSPANA t0 CND(16Fi. NA% LUnBCR)= ==(PL0.'[E RAiINGS)-eee
6) 7 1/7 % 6 Pt:" 10 CA, PT (U6 PSI GHS)
.., lfi GA, H (107 PSl 146T)
t L;;
I<= r i -I-Ca z?_-?-Gl -I PeI---I
a,e I
I/ lti '
;, .
STRUCTURAL COMPONENT SUPPLY Gll.
BOX 336
-: CANNON FALLS, MN. 55009
607-263-3311
.
j.,.........,..,
' ?os g C O N`p'.;
? ;........,. ?i``.
? : p i :- C22Ge7 t ?.?
t E48?
'?01 fClooq u?. ?! ur?
' ti•n.??;??, .
....
?„ .
? ?? /
?? ! ?
I hereby car111y tfi+l Ihrs ol+l,
Specifcbt'an. or fcnPori wnf OreO'..:A
py me or mEer my C.M svoerva.: I
wE Ihal I om a July Reps:'.
Pmfe:sional Engincer u Jei thc 1....?
. ol1ha Sta1e oF1Ai ' sou.
rn? (z --
.]I,4Y 2.8 1982 ;ehlra6o1 eio. 13?o2
T
Df?IiA VAlI00MlYi0flY5[WRNHYOBOAIP[ONN[CLOMS.1NIfiRU531fUC516NIEAfAXINp1VItlYLIWIlUIV6f"IllFYI11iSID1l?M
1. CUI All4fupfn5 10 BfPn.
CONOR?iE0111f0A1U1L01FGDFSIGxR}HFSYE[III[ATIONOfiNtOFSIEMFP0F 1X[IUILUINO. /AACIMOSltUi?(OiSfOPleIt??livP7CEyTFF RA 1t5 Ov ?oln Si]•
10At0lIXOIV9OUAt lflU55MEM!(RSONlY,FOUIilON4llRACINGOfTNfOV[RAllS1RYCiVR(MAYI[PFOU'AfOlOP4[K[MAIEIPOAMCf pflPpS510iIfSVRl:i01u1
-?lSlf1R?GMGR000TRV5f[S_.fORLF[IfIt1PYS51PACINC11[OUIPENFMLSCOXiACT111110iX00FSI4MFR f041xi0naIilOre(;?noiF4 FiSE.UI(p
HYnR(T',QIp ' . V1?ICA110V OVIUiYCOVIROLSIORApE.nlUV[0.Y,fRttilONAtl01RAdh0GITAUSSlS.COVIVULMfaVSNrv?•nl?^?v:;cn?•Ixn ] .nnr.n, ?Pl",i?1i1i 1 ?.:n
joa wu. BZC593
rAct I a or u
J/? N7= 4-01-I5
N1,rlia{,
SIFe.= 700 iDP SLC = I,UO/If TCLL= 10,0 PSP
sv+n= 7+-00-00 , tlUTT cuT =.o-Da-u41 TccL= 10,0 PSI'
5PC4- 3-00-00 aCLL: ..0,0 J51'
tlCDL= ]O.V ?5/'
TOTL= 60,0 P1t'
ORSIyN YEP 1YI•78 2-lo•Y7
9!rvl11i1YC STAS USCD VUn,40
TIIu',5 51a I,nUIR [L Udf '
14Cw:VL-1.15 Lv=1.1b L7.0
PAPIiL LL!,GTN SLUV[-CNONO FURCE 1'-U°til Fl:n
!'f-GI-Sx /17 Ltl5 1N-Ln
P 1= 0•01-14 4.00 C 1= -1779 ]Nal • 1=
v2= a•07-02 +.ao c2_ -21,51 irut . t=
11 o= 7-05-04 0.00 c o= e17s irni
V 1= d-03-C4 0,00 C i= 1110 I7e7
, ? , • '•.r . ..
CcLum?1 f\
Uk« .,THUi;T;1IlAL COP,APONENT SUPPLY C0.
Le' BOX 338
-6 16
. noa CAIJNON FAlLS, MN, 55009
507-263-33I1 caLUMOLP OESIGH 5U4hRNY====(0l5IGRf:U IN ACCbPU0.1•CE H3'tN 7Y2-711 ANU ND5-71)==
CueNlr.En
SINS PAt[0= AxIAL ? 6CN0 ptl FI' 1'C
SoP l'MU 7E a Ie5ov-1.ee N SYF U,YtlJ = 0.411 ? 0.5e0 16SV I010 131V
tlOt CHU )E 4 1650F-I.5L N SVF 0,711 = O.SUS ? 0,767 IhSU I070 1]]0
6GL ?[d5 7% 4 5T0 DHY 11F JUINT PLAC]'(Ltl) MIN HRGl1P)
W 1, t,! -1910 J.S
TO-i6 LOAU OFf AS J 6= 0,3401N, L/U!f'= tlCi L=74,OVf'f CAMtl 0 110
=CONt;E[Tpp pLAit SCLLCiIUN=(CanFONMl TO HUO iCtl 17,05,tlUCA 40-9e,SbCC 771]1-711)
JO1N7 NYONU-IIAIL SLUt 60[R'[IJN JOIrvT -
VGAt! iIZE p!NlCTION A(lfl) Y IYYi
[J 1, SI < IIl % 6 PT VAPF-NC CEbSY.AL I
fJ 71 41 { E{ Y1 PAAF-wtl CEhiNAb J
(J 11 7 E 5 P1 MOdf'L S 1 1/7 7
(J Tr 61 ) %4 PT PAPA-[D 0 2 .
=CHU 5PL[CF.S-SLOTS Vqu4 TO CHp(16fT, W1A LUrif[N)= --=={PLAf! PAi1rvG51cace
lC 61 7 1/2 R 6 Yt - 70 4A. PT (146 P5l 4N5)
16 GA, H(107 PS! bG]'1
. .. i.... . _"
I
; so;?,, c c>>y;_? ' ?
'` * i? rniuora e ??';?':•.
' a ? ? rccc?„ ? !;' c
:O'` f.1111Cq y?_
; !1 LL SI. L"::s Vl.
: T? • .? ?
I AereAy terllly 'Ihd this G""r
sOeciGcaLan. er rr.^..[ wn Drep A
yy me o, I+nCrr ny Cv,-: :unerv •. i
m0 Ihel I mn a 1h:1 Hup;i '
Violc-.eloivi Cw'n,.u IJ . ? u" ?_..i
ol lha Slnc d Ahix?u•.::•
,'.1__ , a
(!= .-----'
yAY °. f 199Z
onIuviuaaarraO ustnnxxrouoeIuca.xrC roxstxnTnassisotvexeoIsA rrvmvicuei.unnI.co.;.•o.!, rnItra. iir unrIs.
cnAroe.tEOina.1annU.cuuicxArtx[viunCA noxortetotsicecnortetBunoI+a eeAu.c?nuo f n?nn.I .rrv.L ;nr 1., U I •<<°I°"rws??i•i?x
IOIIOf1kOM0VAl IRUS5Nf4fIF50xlY.1YY1110NA1lMACIMGUIiNFOVlRAlll1RUCIVPIVIIIFPfl IBi GI1IVIIEniGfYfl 1 C0!'?IIN hlN ?it Ov x!?
?? 5llIlll:n1C]fO T,:lY /ORfIf[IiILINU55IP{[IH4PlOVIX[MfNiSfOMiOCilUllUinl`f::G\; ei9nie.' (IR V 41i:'.I'..fIP..
CuuA fIJ1P(:?rlitA M llI
.... ._ . . , . .
' mnvr.n.tve?m?a?onnanraa.i•:::=:.:..v•i? ?r:i. r :?
zo' o" euM.„,oU
`'(iz
, . ; ,.;:, _ . , ...
, . .
.7YVE• 600
10b N0, '47075f'-? tUP SLP • h,oU/17 TCLLe 10,0 Y5}'
P1fC 1 OF 77 ? SPAN= 70-00- 00 ell7T(U1 = u-OU-VI i[UL- i0,0 PsF ' .
7iA nT? 5•0A-03 ,SY[C- 7-00• 00 , tlCLL= 0,0 PSP I '
?•-. eCUL= 10,0 PSf' ,
rANUA4 i0]'L= n0,0 iSY
I
1
)LSIUN VLP tY]-71
7- 1-1102 . .
4E?e11TIVC STRS USlD Vu5.17 .
fvp55 STX RPUUi C6 CAtlC'
?MCN:CL=1.15 LM=I,IS L2.0
. ••
???? C •' ' ?
'&NEI.'L«IG7M SLVYE GHORD tOPCI HUkhl' hEb FaHCE
?
Fi-IM-S% !17 LBS. 1B-Ltl Lb5
;?
' 4
i
I 1= e-O]-Oi 6,u0 C 1= -1270 7117 M 1= -591
' 7= 4-JY-I2 6,00 C]= -I341 2117 K 7= 777
A. 10-00-00 0,00 C e= 1672 2971 •????_;..? ;
'=LVImEN OESICN SUMNAPY====(llE5lGNiD IN 0.CCOND0.hCC YI?N 7Y]-7tl AND HD5-77)-t ?!?+i.
. ' COHb)NEU ?.u,o
? SINS N4i10. A111AL ? BLNU FB FT fC
'aV CNO 1% 4 Ie50F-1,5! M Spp ' 0.641 = 0,775 • 0.406 11,51) 1070 1320
i07 CHU ]X 4 1650F-I,5C, N SPF:?-.
0,6Y5 = 0
'777
• 0
473 IeSV 3020 1'!7D ? here6y ccrtlly Ihal Ihif nlrn,
, , spocilicaiioq or irpoi? w?; prup•r[d
LL wLtlS' 9X 4 'S7D DNY DF '
JOINT FlACT
(Ltl) N1N BNG(IU1 by mc or undcr r.ry Jirtn "q,eriieion
end Ihal 1 n i a a-Iy ft.•'• red
I
.,
. W Ir S1 N]DO 7.! Pielessional fnM:rr r.:?<r ILe Ixws
'.
. OIIht51a1lDIKnn,.;a;i.
'0'il. LOAO DEF RT J- 6=0,119 IN. ? L/OEfc ygy Lz70.06FT CRMtl 0 1/B
?
?
[ONrul[TOP PLA7! 5lLEGT1Uh-(CONFO RNS TO HUO Tl'b 17o OS,BUCA tlV-etl,Su[L' 721'[1-197 `? '
?O1F1 NYOpO-NAZ(,.j?.. SLOTr 4LC6710N JUNT Oaleflc?Is:?Y.anNO.135S2
I PLRiC 512E-tDSPeCT1011
? ?.A.(16) Y lYY6 .'
.
J l, 51 < 317 Xi9Pt.'PANA-NC CEnTExfD i IdAR 8 tooy .
J Z. 4) 1X?4 PT:PRpA-Ftli fLn7iNEU C ..
J]), ']. X•4 Yi`NO0.1Z"?T G. 1 1/2 6 .
J bl* 3'- %
Y PT
:, VAPA-CU,., ClNiEHEU 7
'
.
'
' S7RUC7URAL CDMPONENT SUPPLY C.O.
[NO SPLICCS-SLCT$ PAPA
TO-CNO(16!
T, HAJf LIlkBlp)e cvzc(pL1'[E HA71nGS)====
BOX 336
c 51 3 1i2 x 4ct - to cA, vr (146 Fst cHS)
i ie ca. N uui Psi r.er) CANNON FALLS, MN. 55009
507-263-3311
? ? :
- .... --- .,... .._ __
?
?
I
. ? .? "
U ?
J3
,...;?
J2
•
x ? r J4
si -
.
?
12
?
•?,?
,
s?or[
r- . .
?a
?
?
,
? r
AE4 [T ? ? ' . . .
' ..fA ?i? . .. .
?
I , _
f.. P ". .
.
. . . .
.
.
? ; . ,,
. -
,.;`, . -
, . ..
,
P6_.
. . . .
F 5.
` ? -? . . . .
.
?
;1. SPRN . .
. . .
. .. . .. _... _
`
? I
1
? I
? i
i - ? . ' . - ? .. .._ ..
RCaCT.
? ? ?
,
u
?
?
I ;. OfS6YYaUYOYLYl0AU5fWpMN1YROIAIR[OMM1[lOR5.1NtSIFUSSI5Y1fIEAlOASANIXDIVIOY41YI1DIv4[OwpNI11111101[I4 M01l5:
IOU??p101i4A?YIt01X?0[51LM11IM151[[III[ATONDIlN1 O(SILNI II OiTM['W10?M4.?R?(iM45??Uitl0i5i0n??ll. . liu. ?<u??lt?l40fnilatleq,
1[1?1fP ItF??S Ov ?Olv 5.u15
10.1 011?01YIDV?l1;IVS5NIVp[0.{OMtt..pp1110Ma{1RKCINGOiTM10VlIIAIlS1PYCfYR(YAYI[RIY0-IOIpuL1+I??lCV?U«(I Oil°V:SIOi?I1V+115:01??tP
` ?-/• ' iU??KnLw0001MU5f15•.IOIISPlUnClnY6iIRAfIVER[OYIx[L'1t15[oM1AC1g1vl0tMtElS?EYG1O41Oe?aLO+nIC??Ox4 n61I011C
' YCIAO?A/A? r..aurro..ewu*•ao,..oi.s,a.•eaonivger.Inieua+..o11oe-.eef r-ussit.oexsuin.ou.ir.oc.+wp1?.?-.•r••o ? .onnoc.?w??iu:.A
r. ?
-n- ?°e• INGEHIMG.IIVC(INI111IOWI.OIOL00101511?O?RO?P?C11C1'. i.c•
1
'hS,hf 1]H 411eu6.?n?M U1T ... . A•1VAllAlLClP041RU$$ PUT[ IFSiITUTF.IM W. CMVNCH IT., IPfO{RICR. WO )IIEI I . e 1DY
,(u b J4 ??- " li2 -
1' Design Intorrnation
rc(o.b)= su,u vsF
zC(D+L1= 10,0 PSF
UNG N0. H79-5010-tP2i'- 7Gb TL(J•L)= 6o,U P5F
SMT N0. 12 D4TE 11 9/79 5'IHl55 INC = 1,15
2 Maximum Chord 5pans (Ft.•In.)
LUMtlER GHADE ?pP CHOHU BOT?On CHOkC
=SJUTHcRI. PINE= lA3 lxc 2%9 2xe
i.il 2:(D lv- S• 3S- N 31- S 41- U•
iW 7 nJ DEN5E 20- b!y- E 34- b 41- 0
d0 1 RJ 2 7 - : 40- l JS- V ol- 0•
:U 1 KD OENSE 29- 7 rl - 0 le- 7 rl- 0
SEL 5'fnU RD 2b- d-01- 0+ ia- 5 rt- 0•
?61! SEL SI0.U KO 31- ti dl- 0 3n- 9 41- 4
=.ASa-ALL SPECIES=
?SO5OF-1.5! MSH de- 7+ 39-11+ 33- 3• 41- Vr
1 d6OF=C.6E-7W-2b-1w u- 41- Ut 3S 9+ 91• yo
1950F-1.7! MSR 2tl- 1• 41- Ox 36- 1• 41- Ot
7300F-1,86 MSN 2y- a• 41- 0x 40- 7s 41- V•
2250F-1,9E n5R lu- o* 41- Ur 41- VO r]- 04
2400F-2,OE r5k 31- 7+ GI- Oa 41- Or 41- UI
iHloUINES 7%6 eEAk3HG ARCUUIHES 7Xtl HG.IHIH(i
3 Web Requirements (Ft.-M.)
Uiv6RFCiJ - tlRACED
2X4 M'E65 Mt n2 n1 41
JRU-SYP il- 0 41- 0 41- U 41- U
2KU-SYP 41- U 41- 'J +i' 0 91- U
SIU-HF YI- J 41- 0 41- U 4j- U
::Of+-h'r' 41- O YS^ J 41- O YS- 0
2X6 w"to5
2KU-STP 41- 0 41- J 4:- G 41- U
4J't-nF 41- J 41- J . 41- 0 41- 0
41 Force Information L=Span (FL)
'.1{ORD FORC65 ilE9 FtlPCE3 JOIIii LGADS
C 1= -97,4L 'a 1= -22.4L J 1= 16,5L
C 2= -89.3L. N 1= 30,6L d 2- lS.DL
C e= 55,0L J J= e4.OL
= 87,2L NlAC7= -oU.oL J 7= ' 6.61L
DC51G'ricU IN dCCOHJNii(:E :•I'In TV1`7b k??1) GUS'i7
NOTL{: 1 Cu? ?II m?mben ?o Oa?r
2 Gntv ill dalM on EMM1 VOef ol lomt
unMU F ar Y loceuom en foeuLeO.
? ] TM Ir.e. IebnCl?W f1HOOnf 0le 10
Z x aro. ue olei nq lor n.nolinp a¢ reQmreO.
4. $n! Tabll ] Ipf wl01i19?tl 0r0pn0
+ reamremnn?s
SP! VSaCV GVr(IN
?
: '.Gil'a4
V1L'; xLiL
:M1 F2Li 2
PmL"2fl.5 (Aa! 8
I ?
12
SIOPE ?
G' <
i
C7 ?
Pirs r-
5 Plating Information i T
JT, MAd-SPAIiS(FT-In) MYGHU-hhlL LUCn7I0n(LI,)
i•0. SYM Ot/HF FL .11'F: SI?t --x-- --t-•
J 1 75- e 75•I0 i f/ 7 z 6 V'r
2b-tl 25-11 a ve x c 7'i
JG- '1 31- 0 ,3 x c Pi
!2- o. 3t- 5 1 li't % n VT
!S- Y 3b- i! A e F:
36-1V 1C-1G J A tl PT
41- U 5l- 0 i !/[ d a?f
J"2 91- 0 41- G. % 4 P1'
SJ 2 41- U ii- 0? i/[ A 4?T 4 .!/
J d 9U-lU 41- J i E Y P1' d . 1 i/r
J 7 vi- U 41- U 1 1/2 X J PT l 1/2
SJ 7 3tl- I 3b- 7 4 1/2 % 9?T 9 : t/4
yl' U 61- 0 4 1/2 % 5 PI S 1:/s
CXOkO SPLlCt VPTLUUs
C I al` U 41- 0 3 a 4 F1
C 6 41- u 41- 0 3 x G?i
MLA1'E S nAHRC? L + HCUUl Yt 2%e Cn01106
GHU55 PLATE d:.TING('r5 1) FUR 7'i-'i22(SFP),225(Llirr.'1
STPUCTURAL COMPONEN7 SUPPLY G0.
60X 338
CANNON FF,LLS, MN. 55009
507-?69-3311
P
[! :l
Y. J)
I
Y ?
i r nad ,
f"
llsGll YIIW MIY IR v5! -AA HytlrOAil EpNx(C!; lAi1 InCS 5!CSqKG 9 1lr tIAHNWI allMird [ortmMt.
II i5 10 EG ?IC?'LbillJ NIO l W'Illvp CCSqn dl Id[ SpLCi14t1AI 01 IM OMiPIlI N LA MIMQ. BACYq
SDKAIPO IS IIX 1llbil 51q'JP'1 01 mrvYRWI inl5, mCnicS mry A0.111[NI bi(YiQ d In[ dCill AfIK1N! INY
pt itVUnM. Fm qb,eiai pualrce see &xrq YxiaE irulsn'. Frn SttCg[ itiu dLGm famteiMils Cmw
S:uO^q ds9did, h niamalwn iFaiorV ImiU;nn aa-nY [anicl. Vaipe. ONn". eMT IrA bazv5 d
Iryym. mifuA ih, quldy CmIN MIniui' u+e tM RavninenaeL ? tl SlnalN Pix¢e'.
'erafNOk baa irzs iuie Fs;nu.! imi 11,C; Paia Mva7:n1rz ManWO 20793.
. "'?3 . . .. . _ .
ca 1 :__:
?.=;•.. . ; `.; ,-:.??.?«,r_?'
`'?i:•::::..: .:.: - :•q9
s I iYPE 700
? .?'1 Cl1i1f. L?? V??..•
o/Ie SLUPL Ft PL;.;CS
HYOROA!W' $U P?NL b MJP-41-6 Jt-CIL]
iMIIINFERING,/NC. ou 75.` 's 1.15
BpT )]59.3f tBlliS. NO ti]N]
?q4:U:P?r cnnmwu^G. ??c :., ?
I
?..
410, City of EaRan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2 g 2008 ?
1 MA'?
------------------
? FOf',OMCe'USC ?
j Permit #:
i Pertnit Fee: + I
? Date Received; j
I ?
I Stafl: ?
I ---------------?
2008 RESIDENTIAL BUILDING PERMIT APPLICATIOiV
Date: rr°?????? Site Address: 391? ?C?ft 1W,417 9&J,4i() //LAI•
Tenant:
Suke
RESIDENT/OWNER Name: Phone:
Address ! City / Zip: " e ? O oud
Applicant is: Owner _ Contractor
TYPE OF WORK Description of work: &.,I(,jr6=
Construction Cosi: Multi-Family Building: (Yes No j?
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: ContacGPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category t Worksheel • New Energy Code Warksheet
Category Submitted Submined
(4 Submission type) • Energy Envelope Calculations Su6mitled .
In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a mastee plan?
_Yes _No If yes, date and address of master plan: -
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE; Plans and supporlibg documents:that you submit are °considered to. be pu6lic informatlon."Portions ot `
- tHe information may be dlassiiled as non-public !f you provide specificreasons.fhat would perml; the City ta
"...: conclude`that the are trade secrets.
I hereby acknowledge that this informalion is complete and accurete; thai the work will 6e in contormance with the ordinances and codes o1 the City of
Eagan; that I understand this is not a permil, but only an application for a permit, and work is not to start wilhout a permiT, thal the work will be in
accordance with ihe approved plan in the case of work which requires a review and approval of plans. x i7- L, 61-o4 X92L-??
Applicani's Printed Name ApplicanYs Signat e
Page 1 of 3
?
?
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation
? Single Family
? Ot of _ Plex
? 02-Plex
? 03-Plex
? 04-Plex
WORK TYPES
? New
? Addition
? Alterafion
X Replacement
? OS-plex ? 16-plex ? Accessory Building
? 06-plex ? Fireplaca - ? Porch (3-season)
? 07-plex ? Garage ? Porch (4-season)
0 08-plex X DeCk ? Porch (screen/gazebolpergola)
? 10-plex ? LowerLevel ? Storm Damage
? 12-plex ? Miscellaneous
? Interior Improvement
El Move Building
? Fire Repair -
DE
°^
4??
?
SCRIPTION:
Valuation ?
? Occupancy
Plan Review 41_1? Code Edition
(25%_ 100q?Z_ Zoning
Census Code Stories
# of Units - Square Feet
# of Bufldings Length
Type of Const. Widih
REQUIRED INSPECTIONS
Footings (new bldg) ,
? Footlngs(deck)
_ Footings (addition)
Foundation
Drain Tile
RooF:_Ice & Water _FinaV
Framing
Fireplace:_R.I. _AirTest _Final
Insulation ,
Reviewed 8y:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
? Pool
O Ext. Alt. - Multi
O Ext. Alt. - SF
? Multi Misc.
? Slding O Demolish Building'
? Reroof ? Uemolish Interior
? Windows ? Demolish Foundation
? Egress Window ? WaterDamage
' DemolRion (entire building) - give PCA handout to applicant
MCES System -
a?^C SAC Units -
,D ig City Water -?
? Booster Pump -
- PRV ^
-
? Fire Sprinklers ?
Sheetrock
FinallC.O.
? Final/No C.O.
HVAC
Other:
PooL• _Footings _AidGas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
33?
?
Page 2 of 3
? Kuouw.AM -
EMOIMt<RINO
ain D?LCe SPi ti065 ,
?
IlL
6875 h,gnwev na 65 N E
j
I M-,capohs.M?oewie5543! I
I Iloi oM a„rn
n ('.r. l L Mwunp..l f.'nR?n en ?n,p . RoJ Tr?uy 11,mJ Swve.?y . Lu?d Plnn?.nI ??? I gi„nsvnic, M su
u,?e,a 55]P '
Gertificate of Survey tor C O« E G E (f / T y l QNS T
Bea ri n g
a Oenotes
? penotes
Denotes
Denotes
f
?
PROPOSED ELEVATIONS
Top of Block
Lowest Floor
Garage Floor` 8•19
t ` ? "'20 2
?,9X--r i S fi
EAGAN
REvIEWED i = 30
IBV:
--?Sr
` 30
DATE: ?-?'. , TTIORIS DIVISION
BUIL?? ?, ; ' ? 9
S `.?" 5 3(0 "
cpg Av 9• 99
0
(ZI
?
?
N
0
0
?
s Shown are Assunied.
Iron Monument.
10'11)Foundation
Corner 5take.
Existing Elevation.
Direction of Surface Drainage,
r'- - 'k-
?-
y
'
? ¢(o33 .
y.,
s
i
13?3
Vb
m ?o
7 I
? - - -- - -- -?
-- __ - - - ?- _ - -- - - - - ?r
--
- ?
? ,
.
. _
30.s
r N:
/Cn9. 94
S u.?` 59' 34> "E
H5? ?
?
•?:? ?j
Z ?
9a'
LDT 2, BLOCK 4
L E1l 1NG To/Y S CJ (JA R E
DA KOTA C DUNTY, MINNESoTA
1 here6y io1Hy 1Ae1 1his is e 1rre and corro<1 ropruentaNOn el a+urvey ef tM beandaries of rh• o6ow
dscarlbad land. and af tA. IsaaNen sf all buildlny., fhe.sen, end a11 viNbl• •nareeahm.111, if ony, /.om w m
safd bnd. As surreyed br mr r6bday d (br`f' A.O. 10 V1.r
3UOURiAM'-[N,Ci1NEERk1af3,,dNC./
l55/ 3,55
by
Not Pu6fished. All Rights Roserved
4,
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
EKED
11015 014
r
Use BLUE or BLACK Ink
For Office Use
I)5OOb
Permit Fee: 1 7a
Permit #:
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident)
Owner
Type of Work
Name:
DA Pk) te5biP
Address / City / Zip:
Applicant is: k
Description of work:
Construction Cost:
3472 prin(elee)
Owner Contractor
13e'II,»j '2 deck
Phone: 7/S- 3/3 — S.)
r',
E; yen Al 55/)3
Multi -Family Building: (Yes / No )
Contractor
Company: ,�res1 f„ iTh re) v:j De5On Contact:
diS
Address: Po &/Y 2a 10 '' City: F4/9*,'7
State: /114/ Zip: S02111 Phone: 0- 3y3— 34E ail:
License #: 66 / 1 A
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit areconsidered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
acco • - ce with t . pproved n in the case of work which requires a review and approval of plans.
E
uthorized
issuance.
ilding . - rmit issued in accordance with the Minnesota State Building Code must be completed within 180
ame
x
Ap• cant's Signature
Page 1 of 3
3, 7 7
DO NOT WRITE BELOW THIS LINE
iaka
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
i< Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
#of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
Porch (3 -Season) Exterior Alteration (Single Family)
Porch (4 -Season) _ Exterior Alteration (Multi)
Porch (Screen/Gazebo/Pergola) _ Miscellaneous
Pool Accessory Building
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
I
Siding
Reroof
Windows
Egress Window
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings Backfill Final
Radon Control
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
;/?'"e°
Page 2 of 3
0/9'06 incl /1//
COMMONWEALTH LAND TITLE
INSURANCE COMPANY
3877 PRINCETON TRAIL, EAGAN
LOT 2, BLOCK 4, LEXINGTON SQUARE
DAKOTA COUNTY
FILE# 3717799
169.99
10
100
l
CZ:
2 STORY
FRAME
2 CAR
GARAGE
ti.
10
1" = 30'
Aommo,at on Sketch:
Rat Drawing Nut a Survey
The kx;ation of the improvements shown on this drawing are appinsimate and are toed oa
visual insp tkia of the premises. The Ior dimensions are taken from the record plat or wtuwy.
records. This drawing is for idasaatiaoai pusp0M6 and should not he used as a survey. it
Mies not constitute a liability of the company and is intended for mortgage purpose% only."
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129479
Date Issued:02/13/2015
Permit Category:ePermit
Site Address: 3877 Princeton Tr
Lot:2 Block: 4 Addition: Lexington Square
PID:10-45075-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
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.
Applicant: Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
David Leslie
3877 Princeton Tr
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature