3901 Princeton TrReceipt ') r i`? ?:- PLUMBING PERMIT
CITY OF EAGAN
Fil1 in numbered spaces
Type or Print legib/y
Permit No.
Fee J? fl'
S/C
Tot.
1. Date 2. Installation Cost
3. Job Address ??f(? % I%?, ?- i•. Lot Blk. Tract
` l
4. Owner
5. Contractor Phone
6. Address ?
7. City - State Zip
?
8. Building Type: Residential 4
9. Work Description: New [2
Commercial ? Institutional O
Add O Alter El Repair 0
10. Describe
11.
No. Fixtures
Water Closet No, Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets I
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : • _ _ ', "<. for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
MECHANICAL PERMIT
CITY OF EAGAN
?
Fill in numbered spaca
1. Date l1
3. Job Address
4, Owner _
Permit Na
Fee
S/C
Tot _' ? . . .. ..
2. Inatallation Cost
E'rinceto5. _`ra.il
Lot Blk. Tract
5. Conuactor ?'F!:')KICKSON tit'G aA.C. Phone 452-2775
6. Addreu 4`i30 Beau U'Rue Ur.
7. City t.ac; a.t 1 State '•;; i Zip i_`i 12 2
8. Building Type: Residential Aff Commercial ? Institutional ?
8. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe ±orced air furnace Fuel Type tiat cz-,s ;
n
11.
No.
- Eouioment 9TU • M. Ea.
Forced Ai r i ? ? ? ? `"?' ? No. Eauiament CFM
Air Handlin
:
Mfg. I...'... ?.7?.ii{ g
Boilers
Mtg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
CITY OF EAGAN Remarks ? u i' 3 /r4i
Addition I.FXTIQ?'T, nN SQ[IARF. Lot 6 Blk 4 Parcel 10 45475 060 0
owner Street 3901 Princeton Trail state Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 254.53 16.97 15 254.53 C009748 10-12-84
JZZSEVVER ben trk 1986 173.65 11.58 15 173.65 C010093 1-28-85
WATERMAIN 68.33 C010093 1-28-85
WATER LATERAL
VUATER AREA 28 1-28-85
STORM SEW TRK 1986 501.29 33.42 15 501. 29 C010093 1-28-85
STORMSEWLAT 1986 513.81 34.25 15 513.81 C010093 1-28-85
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN. 500.00 it if
BUILDING PER. 111
SAC
PARK
BUILDINO PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.Q. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
Rectipf # _
Te N wmd ier E st. Value • Dote 19
Site Addresa Erect Occupancy
Lot Block Sec/Sub. Remodel ? Zoning
Parcel No. qepair ? Type of Const.
qddition ? No. Stories
Name Move
m
lish
D ?
? Length
D
_
Address e
o
I
t
I
? epth
?
City Phone .
mpr.
n
Install
? Sq. Ft.
AName
?? Address
? City Phone
Name
I hereby ncknowledge thot I have reod this opplication ond stote that
rhe iniormntion is correct and agree to comply with all upplicoble
Stote of Minnesota Stotutes or?d Ciry of Eaqon Ordinontes.
5iflnoture of Pennittes
A Building Pennit Is issued to: ?
all work shcll be done in acco?donce with oIl appliaoble State of Mii
Bufldirq Offidal
59
Asseument Permit
Woter b Sew. 5urcharye
Police Plan Revfew
Fin SAC
Enp. Water Conn
Plonner Water Meter .
Council Road Unit ? C
Bldg. Off. Tr. PL
APC Patics
Var. Date Copies
Total
on tM express tonditfon Ihat
esoro Statutes ond City of Eoqon Ordir+orxes.
ve.
Pwmit No. Pormk Holder Daft Tehphone ?t
Plumbinp 6 6j
H,VA.C.
Ebctric
Softwor
IrWeetion Date Insp. pther
Footinys I
Foodngsll
Foundstion
Framing
Rooflng ,
Rough Plby.
Rouyh Hty. ?y ll
Insul.
Firoplace
t'
Finsl Hty.
Final Pibg. '?-a-tG y-Si?C ???,-,•.?-r ?
Final
C*?t/Oec. ywa& VU, . Q
Wrt? Wu?ibe Location:
-
?
w.n
? f? /
p
? c.,? ? ? ? d G' [ z - / 3
Sewer
Pr. alsp.
.?
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
Sr
I i I s?.`. .71
Site Address Erect U Occupancy
Lot
Block i S
eclSub Remodel ? Zoni
ng
.
RePeir
?
Type of Const.
Percel No.
Additfon ? No. Stories
Move ? Length
Z Name Demolish ? Depth
? Addres s Int Impr. ? Sq. Ft.
City Phone Install ?
A Name
u3 Address
F City Phone -
r w Name
Address
City Phone
I here6y ocknowledye rhat I hove read this
the inlormotiDn is Corrett cnd ogree to C
$tate of Minnesata Stotutes and City of
5tynoturo of Permittee
A Building Pennit Is issued to:
oll work shall be done in cccordance with
Buildinq Officiol
G
Assessment Permk :
Woter & Sew. Surcharge
Police Plan Review
Fira SAC
Enfl. Water Conn.
Plonner Water Meter
Council Road Unit
Bldg. Off. Tr. PL
APC Parks
Var. Date C?jes
Total
on fha expross cpndition Ihat
State of Minnesoto Statutes ond City of Eaycn Ordinonces.
softe,..
?
L
' IrKpeetion Date ' Inap, p Uther '
( 1 ?1N*
Final Htg.
wat•r
Well •
CITY OF EAG.iN
- 3830 Pilot Knob Road swu snvm PERMIT
P. O. Bax 21199 PERMIT NO.:
. Eagan, MN 55121 pATE;
Zoninp: No. of Units: `
eT. R?piY6 7? 10
VwnY/' `J' C?S y.L/l??:. .^.Z _i:
AddfE55:
Site Addrcss: 3901 PrLricet:on Tz'.
-
:,i, 5='rt:??,,::?.t..
Plumber• FJe;12pZ t-.anicaJ
'
? ""s t0 OOwI* 00 CRY of Below COftfllCtlOn QIOW:
? OfaM110M. ^CCOUfIt DQpOilf:
S • ?? ? :
=
PsrmM Fee:
f Surcharge:
r ey Misc. Chorpes:
? Dote of Insp.: Totcl:
k I^W: Daty Poid:
CITY OF EAGAN WATER SERVI CE
3830 Pilot Knob Road PERMIT
P. O, Bcx 21199 PERMIT NO.:
Eagan, MN 55121 DNTE:
ZO^I^g: . No. af Units:
Owner:
Addrosx
Site 11dCroas: _ _ . . . . . : :?.. _ .
Plwriber:
J
Meter No.: Connection Chcrqe:
?
Slxe: Iccomt Depoadt:
Readar No.: Permit Fee:
1 prN to aoaply MrNh ile CiFy ef Eossw SurcF?arge:
OnoMwar. Misc Cho r ' • - -
BV
Date of I nsp.:
. roes.
Tolaf. ?'4f QT
DCite Paid:
' lnsp.:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Roed
P. U. Box 21199 PERMIT NO.: ,
,
Eagan, MN 5$y1 DATE: _. .
Zoniny: . No. of Units:
? - ona .
Schim
Qwner
.
Address:
71411 r nc e on r. -. ? ex S
L
Sih /lddress:
"`ec an c
Ptwnber: _ . ,
. . ?
Meter No.: o27 IAI ! iA& ion Chorye:
'
p?
- •
,? t
SlZt: dC /If t: 0I
Readsr No.:a N SO e.? d1??C.7?? ?ll,?8? jj1C1
?
? I y?ae te aown? ??
? . P
e
(
2
Mlsc. Chorpes'.
! O.Aiw..as. i-? l '
?
d _
p
.
63.O1?p0l riete
tso
ol
Dote Paid:
g
y
' Date of Insp.: Insp.:
RESIDENTIAL
BUILDINC PERMIT APPLICATION
'A L ? a-
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
851-681-4675
t E?- L 3. (.0 (,'
RemodelfReoairReouirem ?
. 2 copies of plan
. 1 set M Energy Cakuiations for heatad additions
• 1sResmveyforezterioradditions8dedcs
. Indkate J Iwme serveC by septic syatem for additiore
New Construelion ReauiremeMs
• 3 reg'sterad stte suneys shaxing sq. R of bt, sq. R M house; anli moted areas
(20% maximum bt mverege aNwed)
• 2 mpies ot plan showing beam & window s¢es; poure0 found design, etc.)
. 1 sa! of Energy Cakuletions
. 3 ooplas of Tree Presenatlon Plan if bt plaGed after 717193
. Rim Joet Depil Options selection sheet (bldgs wb 3 or kss units)
DATE
JOB SITE
IF MULTI-fAMILY BUILDING, HOW MANY
PROPERTY OWNER ? ? ? AO-'L?
?
VALU/fION
TYPE OF WORK ksfDo i"Tt (-z
APPLICANT I,UJ..L5C5'C-- Co''lST1?.l?"(a-l _
ADDRESS
PAGER #
FIREPLACE(S) ?0 _ 1 _ 2
_ PHONE#Co51-Z.76`(ZL_j
LnTD-L Y'1Lf-cJS) S(- V?uL- ZIPCODE S !O?
CELL PHONE # &5A - Z-7&- 17-6-4 FAX # `6q( , ' 66 ?(4
NEN' RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Suhmitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Conhactor: _
Plumbing System Includes:
Mechantcal Conhactor:
Mechanical System Includes:
Sewer/Water Contractor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
All above iMortnatlon must be submitted prior to processing of application.
Fee: $90.00
Fee: $70.00
DFL ? rp" L? ' I ?i'
Bv?
I hereby acknowledge that I have read this application, state that the informaf is co ct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin c.
Signature of Applicant,`
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
e
13 01 Foundatlon
0 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
0 05 03-plex
O 06 04-plex
? 07 OSplex 13 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-piex ? 17 Garage
O 10 OS-plex 0 18 Deck
? 11 10-plex 13 19 LowerLevel
? 12 12-piex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
"
?
H' 22 Poroh/Addn. (4-sea.)
? 23 Porch (screened)
O 24 Storm Damage
? 25 Miscellaneous
0 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
O 36 Multi
P, 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Oemolish (FOUndation) O 45 Fire Repair
? 33 Alteretlon O 37 Demolish (Bldg)• ? 43 Reroof 0 46 Windows/Doors
? 34 Repiacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 00 Occupancy S-3 MC/ES System
Census Code ? Zoning City Water
SAC Units m? Stories ( Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg)
Foatings (deck) ;E0 FinallNo C.O.
? Footings (addition) Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace R.I. Air Test Final
?j Insulation
Approved By ? , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
Ciry sAC
Water Supply & Storage
S&W Pertnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
lU.?
??
FinallC.O.
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Swcco Stone
_ Windows (new/replacement)
16116 A) -
? Yo ?c sy `
ayv u a s ?
f?f 1?60
?o O O ?
/Sq C5
02 C? d ?
d q
I
• CITY OF EAGAN N° 11 15 9
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ?, ;/? ?
PHONE: 4548100 (F,Q?/
BUILDINd PERMIT Receipt #
Te N wd hr SF DWG/GAR Est. Value $86,000 pate OCTOBER 23 19 85
Sitenddreu 3901 PRINCETON TR Erect N Occupancy R3
6 4 LEXINGTON SQ Remodel ? Zoniny Rl
Lot 91ock SeclSub. qepeir ? Type of Const. V
Parcel No. Addition ? No. Stories
Mava
? Name SCHIMEK CONST ? langtn ?-
? Demolish ? Depth 44
Address 13004 GLENNHURST AVE Int Impr. ?
SAVAGE 894-2907 S°• F`.
City Phone Install ?
? Name SAME Apororals Fees
Address
I- City Phone
Name _
Addres5
City Phone
I hereby ocknowledge thot 1 Mve reod ihis opplication and stote that
fhe Informotion is correcf and ogree to comply with oll applicoble
Stota of Minnewta Stotute nd of ogan Ordi ces.
$Ipnoture of Permiftoa , ?
A Buildiny Permit Is issued to: SCHIMEK CONST
oll work sholl be done in atcordante wytlFdF( a icabla $tqte of _ ir
Asxument -
wurer & 5ew.
Police -
Fire
Enp.
Plonner _
Council
Bldg. Off. 10 /2 3/8
APC
Var. Dete
Permi? T 0 0
sumneree 43.00
Plen Revlew 195.50
SAC 525.00
Water Conn. 500.00
WaterMeter 63.00
RoedUnit 280.00
Tr.PL 132.00
Perks
Copies
Tmai $2,129.50
_ on the express condiHon thot
ond Ciry of Eopan Ordimnces. -
Bufldirp Official
5-l b?v REQUEST FOR ELECTRICAL INSPECTION „-?, EB•00007-04
2
U 7 0 5 0 See instructions for compl`" ^ this iwm on baek of Vellow copy.
? "X" Below Wor?Covered by This Request
HAtl Hap. TyOa ot BuilOing Applinneea Wired Enuipmanl Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Electric HeaLn
Commercial 81dg. Fumace Silo Unloader
Indiistrial 81dg. Air Conditioner Bulk Milk Tenk
P2fm Other Peci y Utherl5necifyl
1.r ueci y Dt er Other
Cnmaute lnsoection Fee eelow
p Fee ServiceEntmnceSixe p Fee Feeders/5obleedars q Fee Circuita
I 10 i3b 0 to 200 qm s 0 to 30 qm s 0 0 to 30 Am s
Above 200 -Am ps 31 to 700 Amps 31 to 700 Am s
Swimming Pool Above 100_Am s Above 100_Am s
Trensiormers Irrigation Booms Partial-'Other Fee
Signs Special Inspection S
p@
TOT AL
FHE-
Aemarks ?? ,
\
?-
Rough-in ? Da[e I. th ?Electriwl?
InsDector, heraby
? certify thet tha above
? Final inspaction has been ea.
Thia repuest voltl 18 months irom
d nwnths Irom )
, °'°57(Pro
0 7S,
Q 5 0 2
Request Date
s Fire No. Rough-in Ins ection
flaqu d7 )
?s
No
?
Ready Now ill Notify, InsOec-
tor When Ready
@011censed ElecVical Contractor 1 hereby reduesc insoection of above
? Owner . electricel wark instelled at:
Sireet AAGress, Box or Route No. .
, Ciry
O
ection o. Township Name or No. ange No. County
Occupanl(PRINT) Phone No.
k e Ic. CoMs • - y/P7
Power $upPlier Address
? r
Eie ConVac[or 1 omp anNamol Contr tor's License No
o.
v- ? ?? .?
?"': ?. o?ss
Madross (COn[ractor or Owner kine ?nstailationl
•
Aochorize 'g t e ont ctor/ ner Making Install
on one Number
MINNESOTA STqT OAPD OF EIECTNICITY THIS INSPECTION pEQUEST WILL NOT
Griggs-Midway 91de. - Room N-781 BE ACCEPTED BY THE STATE BOARD
7821 University Ave., St. Paul, MN 66104 UNlESS PNOPER INSPECTION FEE IS
Phona (612) 297-2711 ENCIOSED.
• CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINN SOTA 55121
DATE
nec¢rveo // J_ . / . /le .
AMOUNT ? I$ I (-?I
J
•
i
79_ ?
&_OOLLARS
? CASH ECK
00
0
' ?.
?7 =r ? ????
Thank You
BY l • ??
N° 56892 ?
White-PaYers CoDY
Vellow-Posting Copy
Pink-File Copy
!
Afikn-
Amilk
17"P' City 0? Eapn
Mike Maguire
MAYON
Paul Bakken
Peggy Carison
Cyndee Fields
Meg Tilley
COUNCIL MEM9ERS
Thomas Hedges
CT' ADMINISTRATOp
MUNICIPAL CENfER
3830 Pilot Kno6 Road
Eagan, MN 55122-1810
651.675.5000 phone
651.675.5012fax
651.454.8535 TDD
MAINTENANCE FAq4TY
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
651.675.5360fax
651.454.8535 TDD
www.cityofeagan.com
THE LONE OAK TREE
The symbol of
strength and growth
in our communiry.
June 5, 2008
Lori Dousette
3901 Princeton Trail
Eagan, MN 55123
The City is returning your check 3547 in the amount of $200.00 because the City can no
longer accept partial paymenis for this assessment project. The reason for this is because
a portion of the original assessment is at Dakota County and was certified to your 2008
property taxes. The City can accept payment for the remaining balance of $340.79 and
this balance is good through 12/31/08. We should note that Dakota County will accept
partial payments on special assessments. So if you aze still interested in paying the same
amount that is listed on your check, they would accept your payment and thus reduce
your total assessment balance.
If you have any questions please let me know. Thanks for your attenrion to this matter.
Sincerely
Ryan Stevens, Accountant
Enc:
Special Assessment Seazch
Check #3547
CC: Pazcel File
Report Name: Clty OF Eagall Printed: 6P5/2e ui
Assessment Seazch ? ?
Special Assessments Search
Propertv ID ot Block Addition Addition Name/Leeal
10-45075-060-04 6 4 10 45075 Lexington Squaze
. 64
Property Address Prooertv Status - - - - - Special Flags - - - - - 200 P&I e :
3901 Princeton Tr Active 1 2 3 4 5 6 7 8 9 10 $115.01
Eagan, MN 55123 N N N N N N N N N N
SA N r Descri tn ion Year erm Rate Tota1 Curr Prin Payotf a u
100931 STRI{361 1984 15 10.5000 $254.53 $0.00 $0.00 Closed
100977 S/LATBEN40 1985 15 11.0000 $173.65 $0.00 $0.00 Prepaid
100978 SSLAT401 1985 15 11.0000 $513.81 $0.00 $0.00 Prepaid
100979 SSTRK401 1985 15 11.0000 $501.29 $0.00 $0.00 Prepaid
100987 WATERARA39 1985 15 11.0000 $286.43 $0.00 $0.00 Prepaid
100988 W/LATBN395 1985 15 11.0000 $68.33 $0.00 $0.00 Prepaid
103678 ST 949-Lexington Squue Adc 2008 5 6.0000 $425.99 $8520 $340.79 Levied
Summary of Levied: $425.99 $8520 $340.79
Summary of Deferred: $0.00 $0.00
Summary of Closed: $1,798.04
Pending Estimate: $0.00
Future Estimate: $0.00
Hookup Fee Estimate: $0.00
LORIDOUSETTE
3901 PRINCETON TRAIL PH. 851-405-0943
EAGAN, MN 55123
3547
vaa7ii2sia
L ? "V pATE
?
DOLlARS
FOR
1:29i074719j: 00994608u' 354
Jub Site .4dJress: AMM&
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY DWELLINGS city oF eaga:
INSTRUCTIONS: This al[ernative may be used For one- and rirro-tamily dwellings built to meet the Category 1 requirements of
Nlinnesota Rules, Chapter 7670. Comple[e Parts A, B, and C. Cleady mark plans with: insulation R-values; window and skyligh[ U-
vaWes; size and rype of equipment; equipment controls; and location of vapor retarder and windwash barriers. More de[ailed
infortnaUOn can be found in the Minnesota Energy Code summary sheets available from the Minnesota Department of Commerce.
Part A. BUILDING ENVELOPE
Check ProPosed emeloPeJomt sealinS oPtion 4? Prescri Ptive caulkinS, S nskets, etc.) ? Pedortnan ce (test Per 7670 0470 sub P. 7. ?
? C.)
Check thetmal energy calculation option used +?"CookUook" (compiete worksheet below) ? MnCheck method (attach report)
? PerFortnance (aitach U-value calculations) ? Sys[ems Analysis method (attach analysis)
"Cookbook" Worksheet
INSTRUCTIONS
Step I. Check item(s) that design meets on Minimum Requirements list
to the right. Must meet atl items to use "Cookbook" option.
Step 2. lndicate proposed wall type on table below.
Step 3. Indica[e Window U-value and source.
Step 4. Verify total window (including area of all foundation windows)
and door azea is equal or less than allowable percentage.
MINIMIJNf REQUIItEMENTS
(for °'Cookbook° o don oN )
14 Ceiling Insulation: Minimum R-38 with 7%:" energy heel; or
Minimum R-44 with low huss heel; or
bfinimum R-38 wi[h R-5 shea[hin when no attic.
? Entry Doors: Max. U-value of 030 or I'/1' solid wood with stoan
Rim Joist Insula[ion: Minimum R-19
? Floors over unconditioned s aces: Minimum R-24 S- Foundation Insulation: Minimum R-l0
Foundanon windows: Y=" insulated lass, wood or vin l frame
TART C C(1? TFTFR'.NTNT?i1: MdYMTfi1N WfNil(1W dNil 1](1[1R ARF.A
Maximum Allowable Total Window and Door Area as
aPercenta eofEx osed Wall --?
12%
14%
16%
18% 20%
22%
24%
26% 28%
Wall T e(Standard Frartun : Masimum Avera Window U-value (exc t foundatioa windows :
? 2x4, R-13 insulation, AJ sheathin 0.55 0.47 0.41 036 033 030 . 0.27 025 0.23
? 2x4, R-IS insulation, R-5 sheathin 0.52 0.45 039 035 031 0.28 0.26 0.24 0.22
? 2x6, R•l9 insulation, <R-5 sheathin 0.48 OAI 036 032 0.29 026 0.24 022 021
? 2x6, R-19 insulation, R-5 sheathing 0.56 0.48 0.42 037 034 031 0.28 026 0.24
2x6, R-21 insulation, < R-5 sheachin 0.51 0.43 038 034 030 0.28 0.25 0.23 022
? 2x6, R-2 t insulation, R-5 sheathin 0.58 0.50 0.44 039 035 032 029 027 0.25
Wall T e AdvancedFramin : Mar.imum Avera e Window II-value exce t foundation windows :
? 2x6, R-l9 insulation, < R-5 sheathin 0.52 0.45 039 0.35 031 028 026 0.24 0.22
? 2x6, R-l9 insulation, R-S sheathin 0.58 O.SD O.A4 039 D.35 032 029 0.27 025
? 2x6, R-21 insulation, < R-5 sheathin 0.55 0.47 OA l 03fi 033 0.30 0.27 025 023
? 2x6, R-21 insulation, R-5 sheathing 0.60 0.52 0.46 0.41 036 033 0.30 028 026
Window U-value: F--3ff-l
100 X
window & door area gross exposed wall area
Source: ? )kNFRC ? ASIIRAE 1993 Handbook J
? ?? <
DESIGN ALLOWASLE (from table above)
MINNESOTA FNERGY CODF - WHICH RuLES MAY I UsE ?
TYPE OF RESIDENTIAL SUILDING APPLICABLE RULES
Detached R3 occupancy 1- and 2-family dwellings Chapter 7672; or
Lxam les: sin le famil , twin homes, d lexes Cha ter 7670 "Cate o l" with statutory de ressuriretion and ventilation re uiremenLs
Attached R-3 occupancy dwellings Chapter 7674; or
Exam les: trilex rownhouses and row houses Cha ter 7670 with either "Cate o 1" or "Cate o 2" rovisions
R-1 occupancy buildings of 3 stories or less Chapter 7674; or
Exam les: condominiums or a actments Cha ter 7670 wi[h either "Cate o t" or "Cate o 2" rovisions
Rd occupancy buJdings over 3 stories high Chapter 7676 ,
Exam les: hi rise condos or a artmen[s
NEW CONSTRUCTION ONLY
a..,
Part B. DEPRESSURIZATION PROTECTION
Check optiun used: ? Fuel buming equipment (eompleta schedules below) ? No fuel buming equipment
INSTROCTIONS EXHAUST / MAKE-UP AIR SCHEDULE*
Stcp L Complete the Combustion Eqeaipment Schedule 6elow. Only equipmen[ Exhaust devices over 300 efrn Flow
with a Y(Yes) may be selected under the "Ca[egory L° alternate. cfm
Step 2. Complete Exhaust/Make-up Air Schedufe on the right if direct or power cfm
vented or solid fuel atmospheric vent space heating equipment is cfm
selected.
CONIBUST[ON EQUIPMENT SCHEDULE
check all types roosed)
Space heating - nonsolid fuel ? Sealed combustion Y Hearth - nonsolid fuel ? Sealed combustion Y
? Direct or power vented
Y* ' ? Direct or power vented Y
A[mos hericall ven[ed N Atrnos hericall vented . N
Water heating - nonsolid fuet ? Sealed combustion Y Space heating - solid fuel ? Atmospherical(y vented
Y'
? Direct or ower vented Y Water heafin - solid fueP ? Atmos hericall vented Y
Atmos hericall vented N . HeaRh - solid fuel - ? Atmos hericall vented Y
* If atmospherically vented solid fuel or direct or power vented nonsolid fuel space heaung is installed, then make-up air to match
flow is re uired for each individual exhaust device which exceeds 300 cubic feet er minute.
Part Ci. VENTILATION
VENTILATION QUANTITY
(Mechanical ventilation must be provided per the larger quantity calculated below) .
i-? cu6ic feet x 0.00583 /minute cfm x 15 cfm/bedroom) + 15 cfm cfm
volume of habitable rooms number of bedrooms VENTILATION FAN SCHEDULE
Check method(s) proposed 4 ? Exhaust onl ? Balanced (heat recove ven[ilator, air exchan er, etc.)
Fan descri ption or location 4 TOTALS '
VENTILATION Intake cfm cfm cfm cfm cfm
AS DESIGNED Exhaust cfm cfm cfm cfrn cfm
Statement of Comptiance: The proposed building design represented in these documents is consistent with the building plans,
specifications, and other calculations submitted with the pennit application. The proposed building has been designed ro meet the
requircments of the Minnesota Energy Code.
Applicant (print name) Signature Date - Telephone number
Part C2. VENTILATION (Submit Part Cz upon completion of system verifica6ont)
°eG ------------------------------------
7ob Site AdLiress: Permit Number
Fan descri tion or location TOTALS
MEASURED Intake cfm cfm cfm cfm cfm
PERFORMANCE Exhaust cfm cfm cfin cfm cfm
} Ventilation rate must be measured and venfied when the performance option is used in lieu of the prescriptive option for the
sealin of joints in the buildin conditioned emelo e(from Part A).
Compliance Statement: Installed ventilation sys[em is in compliance with MN Energy Code and is sized to provide the design air
tlow.
Applicant (print name)
Signature
Date Telephone number
*dtV oF eaqan
Rim joist detail options
Below are options for thc new energy code. Please indicate the number you planning ro use.
Name: Date: E3 /6 I0I
'3q0I ?(LPhone#6?Sl) z?-?Z(lzl -7
Site Address:
Number of option below:-?->-
t 8 Other
.
MRVEYOR'S' CERTIFICATE '
-88-?
M
ci I
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m_
2d?m
in
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x
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F= b
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J88-
SCHIMEK CONSTRUCTION
N
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N
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X
N 8905936"W 166.99
h
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Rr=-------
02
?? ? LOT ?x W4.°
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0
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o W orn?` ? x' /T.1
I -
166.99 N89°5936"W
/ / 1 i-
L- l/ I
"?- DENOTES PROPOSED SURFACE DRAiNAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUPhENT FaUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DE!IOTES PROPOSED ELEVATION
?
3000
. esaae h MX •?
/0$
25
40 "? '.:,. ? Z I
Q
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?
?V mp ?
<n"
m? o U
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.
K_I..._ IOo
^L
L ad
88?1.19
X
• m
m
x
m m
N
m
I
/7 I I
25
SCALE: 1 INCH = 30 FEET
PROPOSED GARAGE FLOOR = Sql??'I?' FEET
PROPOSED LOWEST FLOOR = SSB,'9 FEET
PROPOSED TOP OF 4LOCK = gqtJ FEET
41E HEREBY CERTIFY TO SCHIMEK CONSTRUCTION TIIAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURUEY OF THE BOUNDARIES OF:
Lot 6, Block 4, LEXINC,TON SQUARE, according to the recorded plat thereof,
Dakota County, Minnesota.
IT DOES NOT Pl1RPORT TO SHOb! IMPROVEt1ENTS OR ENCROACIiMENTS, IF ANY. AS SURVEYED DY
IdE OR UNDER P1Y DIRECT SUPERVISION THIS iSTN DAY OF OCToBg?lL, 1985.
SIGPIED: JAMES . H1LL, ItJC.
.
Q Y : &? Pt?
11AR LD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
85903 141 /
7 Planners / Engineers / Surveyors
FILE NO. 8200 Humbo)dt Avenu• South
FOLDER BtoominAton,Mn. 55431 612-884-3029
1
? l
z/aa
? CITY OP EAGAN
APPLICATION FOR PERMIT
-' SEWER AND/OR WATER CONNECTIODi
(PlEASE P9INT)
? ?---
1? PkOPEKiY ADDRESS: . . ...._....
rFrAr DFSCRIP'PIC:7: G; ?/ ?<' ?i ????
(Lot/Block/Subdtvision or Tax Parcel I.D. Ntunier)
li' E'{SS"=:G STRL'CTU:ZE , DA'IE OF ORIGI?7i AT iiiILCLTIG P=-?MST ISSUAliC°:
."'or.=-• :?=°:
? PZSr'`_^ ?..^,?r;.;/e"RC,`A;S? -U5E• R-1 SlIiGIW cP?rtSLY
2
R-2 DUPLZX (TWp Wi ITS)
? R-3 7C4vN30IISE (THRE^' + UNITS) ( TJNITS)
? R-4 APARZfAE:`+T/CODDamNILM ( Wi ITS)
? COMMERCIAL/REPASI,/OFFICE
? L1.'DUSTRTAT
Q INSTITUTIONAL/GOVII2IZEidT
2) AppLICkN'T (PLEASE PRINi)
ADDRESS :
CITY, STATE, ZIP:
PHOVE:
3} pLu^,+Igg2 NP.ME_ -PLEASE PRLNT) ,
clrYwl? FOR CITY USE ONLY
ADDRESS:
, ?t+.?rzM6f46
?E ?
- ayQOKcuuFaFr DRIVE EAGAN MINN. 55722
PLUHBERS LI SE:
CIT"!, STATE, ZIP:
452•1565 ve
Ep'
ed
PHOiVE"_ t
PLUM6ER IICENSE # 001445hA2 9 j
:
i R
ecord
r nitia
9) l,Ll:UYpNl'/Ct?ViI? ? lrLenaLrnlni)
NANIE:
ADDRESS:
CITY, STATE, ZIP:
PHO:IE:
5} INDICA'S'G WI-IICfi PEP,hIIT IS BEI[v'G REQUESTLl7:
Ej CONDIECi'ION TO CITY SE41ER
Q COhiI?7cX.?I'IO:V TO CITY WATER
? CI'fIER (PLEILSE DESCRIBE)
O1 L'rUll>>il;, V:'u:
? PI.EA5E F?OLU APPROVEp PEf2MIT FOR PICI<-UP BY ONE OF APGVE
Q°I.F'15E ;-fAIL APPROVID PEtZMIT 'ICJ 1, 2. \i) 4 FIEOVE
?.? (Circle one)
7) SIC?iIATL:.2E:Ctnk?,? DATE: ?
?
?? ?? ?-
.
??! sq a?1i?#?:A:/? Sr se w.r?J?:r-'? tM iit i!v ?r=aas?.?e:# ?1 ?at rsr?wci?s:iv ir ??[ wIk?FJi:Myo3?+i? fa ! af ?t?iR_cg?c
F 0 R C I T Y U 5 E O N L Y
PERMIT °- ISSUrp -
I I
F°rS: $ ? SE:vER nEPMT_; (I`TCLi= Sli°C?:.'?.RGE)
$ WAT£R PE12b4IT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READEP,
$ WATER TAP (INCiUDE CORPORATICN STCP)
$
$ a
??pO
$ ?S.uet
? ?J ??? ?L•
$
$
$
$
$ ? 3?.. "c' '
S
SEWER mr.n
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK :JATER ASSESSME;IT
TRUNK SEWER ASSESSMENT
LATERAL BENE°IT/TRUNR SEWER
LATERAL BENEFIT/T??/I?NK WATER
OTHER ?'re-?
TOTAL
AMOUNT PAID/RECEIPT # 5 ?
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiIT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVTSION. LIST AS A CONDI-
TION.
SUBJECT TO TEIE FOLL0;4ING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
--?T-
•s W?m fa+ w? =-oe okpa ?wsa sj+ NWE+ w? ?.e ?w? ws? Ra wt+? sa ? r? ?? wi? ?.? se sr rt.a ?? w?? w
o= .
397^00+
45---0+
19?=50+
25=?0+
5-0°c0+
63^J0+
2E0=-'O+
132°:;0+
201?9=50*
w -*?= ///
I t StF
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
, ..
NOTE: ALL CONTRACTORS MOST BE LICENSED NITH THE CITY OF EAGdN
C014MERCIAL SINGLE FAMILY DiIELLI6GS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 7 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE 80ND
To Be Used For: S.F. pW6i •AqA2. Valuation; ?36? (2.L7 Date:
o
`
Site Address f) 1 OFFICE USE ONLY
Lot ?P Block ¢ Erect )C Occupancy
Remodel Zoning
Parcel/Sub L_Exlr,lc?ToW Repair , Type of Const
Addition # o
Stories
Owner Move Len th
g
11
Address ?
Demolish
Int.Impr. ? Depth
Sq Ft
Install
City/Zip Code --------- - --------- - -----
Phone 2f
Contractor
Address
City/2ip Code
Phone
Arch./Engr,
Address
City/Zip Code
APPROVALS FEES
Assessments Permit
Water/Sewer ? Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL
Phone fI
x 1 to 8 K °? ? ?`??j?'?- ?.? •?? . al ? .
24-
oq?
20 ? 20 = 4w x 5(c, = 2z¢??.
s5 c) 4c->
0
a
?
s
?,
, / •
CIT1C OF EAGAN
EXTERIOR ENVELOPE AYERAGE 'U' COMPU7AiI0N
?•r
OIt1ER: ?c µ iM E,V- I? o MF-5
SITE ADDRE55: ? v-,? (.,• Ll s G?cvir?d
C08TRACTOR: DATE:?(J - ?-??' ?? PHONE: -
Determine uorking square footage of eaeh;
1. Total exposed-wall area .. 24 88 sq. ft, x.11 = 24-0,
2. Total roof/ceiling area .. 1 4Z 4 sq. £t. x.026 = 3S,3%
Total exposed wall area above floor - 2 o 44
a. Total wall window area ........................... 1 S$
b. Total door area .................................. 40
c. Total sliding glass area .......................... 4-0
d. Total fireplace wall area ......................... 0
e'. Tot'al wall framing area (average 10%) .............
f. Total net wall area above floor ................... 2.
g, Total rim ,joist area .............................. I
Total exposed foundation area = o
h.' Total foundation window area ....................... 0
i. Total net foundation area above grade .............. cn
zt8g
Determine 'UI value of each wall segment: . I
a. 158 x 'U, S8 - 91•64-
b. ¢o x 'U' 1'a - 5,zo
c. 40 x VU' .45 = 2(S,??O
d. o x 'U' '
e. L9 - x 'U'
f. f?Z x IU' .04 = bS.dc?
6• 1 44 x ' U' . 0 4 = 5?'16
h, o x 'U' -
i. D x 'U' -
3 . ................................................... Total = 2( 1 11 0
If itein II3 is the same as or less than item $1, you have met the intent of SBC
6006(c) 2.
Total eaposed roof/ceiling area = I 4'f 4
,j. Total skylight area ...............................
k. Total roof/ceiling framing area (average 10%) ..... 14'1
1. Total net insulated roof/ceiling area .............. i 3 2'1
(OVER')
?
; - ?
?.
` Determine 'UT value for each roof/ceiling segaent:
J. x Ppt _
k. 1 4"1 x' U' .O Z'7 ro
_ 1. 132`t x +Ut .0143 =- 2Jr•Gl
4 . ...................................................... Total = 2.q .•G ro
If total of 04 is the same as or less than S2, you have met the intent of SBC
6Q06(c)1.
Alternate Building Envelope Deaign
To utilize the total envelope system method, the values established by the sum
of Items #3 and #4 shall not be greater than the sum of Items #1 and lf2.
1. + 2. _
+ 4. _
?
SINGLE & DOUBLE'FAMILY HOMES
1984 ENERGY CODE REQUIREMENTS
On.or about March 1, 1984, the following energy code requirements
should be calculated and included with a building permit application.
1. Roof - ceiling assemhlies - R-38 U= 0.025 Average
2.. Exterior walls & rim joists - R-20 U= 0.11 Averaqe
_ 3. Floors over unheated spaces - R-20 U= 0.05 Average
4, Exterior overhangs will be considered as exterior wall.
5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. All insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
a
. CUIDELIIlE TO (A) fACTUFS r non a511PGC rV,nUAL
. . . OP TY PIp.LLy USED PCODu[TS
fal (9)
lnteNar Air F{Im (1Ja I Is) 0.68 GYOSUm or plaster 6oard )/8" 32
0
. GleNOr Air illm (1ra115) 0.11 Cypsum or plas[er 4aard I/2" ,
0
45
ln[crior Air film (Ymted Ceilinn) 0.61 Gypsum or plasler 6oald 5/8" .
56
0
EatcrF.r Air Gllm (Vcnted Ccilin9) 0.61 Plywood 3/8" .
47
0
Inlcrlor alr filn (Ilcn Vcnced) 0.61 Plvwood 1/7" .
62
0
Exoerior nir Fflm (eon Vmtad) 0.17 Viywood 7(4" .
0.93
Sheath(nq, reg. densicy I/2" 1,32
Alumimim Sfdino 0.61 Shrathinn, rep. arnsity I5/72^ 2.06
nluminum .,lth Backar 1,62 Nail-base sheathin
I/2"
.14
1
AluminWn with Batkcr 6 Foiled 2.96 ?
1/2 a B Lap Sldinn (uood) . 0.81 eullt-up RooFS OJS
7/16 x 12 Ilardbaard Sidinq 0.67 Asbesms-cement shln9lis 0.21
lybci[as SiAinns 1/4 Lapped 0.21 Asphait roll rooling 0.15
Stucco (Oro.m and iinlsh Coa[) --. Aspahlt Shingles 0.44
3;4" I+oad S.nlloor or Sheatning 0.94 Insulation: 2-2 3/4" Fi6ervlasf 7.00
1/2^ PlywooE '.nca[hinq
' 0.62 Insulation: 3 1/2" FiDerglass IF.00
.
'. 1/2" Particie tlwrd 0.66 Insulation: 6° Flberglass 19.00
- VDU05: BLOVRIG 1400L5
ilr, pine t stmiier soft Veods I 1/2" 1.89 Approx. 3' • 9•00
. I I!2" 3.12 APOrax. 4 1/2" 13.00
) I/2" 4.35 Avorox. 6 1/4" 19.00
5 1/2" 6.87 Approx. 7 I/4" 24.00
' Approz. 14" ' 30.00
. Av7rox. 18" 40.00
AII other in5ulatlon materlal5 muSt EC
Fllled verlfied (R iactor)
' (R) V<rmiculicc
Concrete Bletk (S 6 G Reg,) I.il 1.93
12" Concrece Blotk (5 6 G 0.eq.) 1.29 ;.15
8" Light 4eight 2.18 5.03
' 13" ltght L'eigAt 2.48 5.82 .??xscnecannneanartn?aaartenene
NOTE: (U) z Area Spuarc Feet
AII Ulndovs
(w/Swms I".to 6" Spacc) . .SG .
Removal Oouble Clazing (nOG) .55
Thermo or .MIdcO 3/16" air spaec .69
- 1/4" air spaec .65
1/2" air svace .58
(Other wlnAwS Specifitally iesteE tan 6se better nlin9s)
1 3/4 Solid mrc door .46
w/florm, wnod ,)I .
'w/scorm, mewi .76
?<.se steeloooi Insl/r:/el 7.45n .i;
Slidinq Glass Door. Nocd .6$
Metal . .71$ y
CITY USE ONLY
PERMIT RECEIPT DATE: I?I ??1 'O I
mIDENI7l4L MECmftlCAl. PEiMIT APP11CATlON
crrYoF EwsRri
3930 Pu o r ruvos [tu
£AflAA Airi 55122
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: Nloi
SITE ADDRESS: 31701 Pr' ^wkn -rra; 1
OWNER NAME:
TELEPHONE #: '"
(AREA CODE)
INSTALLERNAME: I`lS17M¢cAunicyj TELEPHONE#:
(AREA CODE)
STREETADDRESS: oZ?O TGrr?T???uI 16e-21
CITY: St_ P6.1 STATE: ?'v ZIP:
Place a check mark next to the ciermit work tvDe
New residential dwelling unit under constructionand not ownedoccupied $ 70.00
? Add-on, modification or alteration to existinq dwelling unit $ 50.00
• fumace replacement
• air exchanger
. air conditioner
. other
Natureofwork: tVrw
State Surchar e $ .50
? ? ' - ?;• ,- ?I
` i
Total
i.• ''? ?
$ O-
S 50
Reminder: Call for inspections.
`l I
_ i
? -,?. -- --_-?
?
SIGNATUR-E OF PERMITTEE
Upda[ed 1101
CITY USE ONLY
PERMIT #:
APPROVEO BY:
INSPECTOR
RECEIPT DATE:
COMbIERCIi4L MEGHlkNICAI. PFJtM1T ?Pf ILICATION
CI7'Y oF KAsm
3$30 PILOT KROB itD
K?sM,ltnv 55122
651-6$1-4675
Please complete for: all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODH)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE#: -
(AREA CODE)
CITl': STATE: Z:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Pipiug
Specify Nahue of W ork
When insta!ling/removing underground tank, call 65I-681-4675 for inspection by Fire Marshal and
Pdumbing Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, wiuchever is greater.
Underground tank removallinstallation = minimum fee
Cootract price: $ x 1°/a =$ (Base Fee)
State surcharge calculate at $.SO for each $1,000 Sase Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/Ol
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Canstruction Reauiremenls
3 registe2d site surveys shaving sq. ft. of lot, sq. ft. of house; and all mofed areas
(20% maximum lot coverage allowed)
t Soils Report 'rf proposed building is to 6e placed on distur6ed soil
2 copies of plan showing beam & window sizes; pouretl found design, etc.
1 set W Energy Calculations
3 copies of Tree PresemaGon Plan if lot plat[ed after 711193 Rim doist DetaR Options setection sheet (buildirgs with 3 or less onRs)
Minnegasco mechaniplvenGlalionfortn
RemodeUReuair Reauirements
2 copies of plan showing footings, beams, pists
1 set of Energy Calculafions for heated additions
1 site survey for additlons & decks
Addifion - iM!'Kate 'rf onsde septk sysfem
??0 o 0
bffice Use OnN
CeRofSurveyReal _Y _N
Soils Report _ Y _ N
Trce Pres Plan Recd _ Y_ N_
Tree Pres Required _ Y_ N
Onaits SepUC System _ Y_ N
Plans are considered public information unless vou state thev are trade secret and the reason.
Date f0 / Z? l0-7. Construction Cost
Site Address ^3q 8 j ?,? //? C C' ¢c,(/.? 74 UniUSte #
Description of Work T e&? ? D?P eco r-
Multi-Family $ldg _ Y? N Fireplace(s) )e 0 _ 1 _ 2
_....?._-
Property Owner
Telephone # ( i 3O3 -?o y19
S UP1C"
'
Contractor
-
? 3? ?Q ? Z g?` /}C.?, ?L? ?
Address City 6'd%0/#
1 C'l`>
4
/??
State y 1 ? Zip?J??? /
/?/
Telephone #((y/Z) y/ ' Z zs
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv I
. Residential Ventllation Category 1 Worksheet
(J su6mission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In ihe last 12 months, has ihe City of Eagan issued a permit for a similar pian based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
T herehv anrilv fnr a RaciAPntial RnilAina Permit anrl arknnwlPjlar that thP
cmmrilete and accuraY
- -----? . _ , -- - ---------- - ----o - -- - --- - _ ? , e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernvt, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work wluch requires a review and
approval of plans.
2 oL? ?J c 3?sA'?-'04-j
ApplicanYs Printed Name Apphcant's Signatur
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Atldn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Giva PCA handout to applicant
D@SCrIqtl011: WaterDamage_ Yes ,
Valuation Occupancy MCES System
Plan Review 100% or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings(deck) FinaUC.O.
_ Footings (addition) FinaUNo C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing Siding
Stucw Lath Stone Lath
Brick
_ Fireplace _ R.I. _ AirTest _
Final _
Windows _
Insulaaon _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
PERMIT
Permit Type: Plumbing
City of Eagan
Permit Number: EA105349
Date Issued: 07/10/2012
Permit Category: ePermit
Site Address: 3901 Princeton Tr
Lot: 6 Block: 4 Addition: Lexington Square
PID: 10-45075-04-060
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Kris Oien
Comments:
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
PL - Permit Fee (WS &/or WH) $55.00 0801.4087
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: Owner:
- Applicant -
Champion Plumbing AARON POSSIS
3670 Dodd Rd., #100 3901 Princeton Tr
Eagan MN 55123 Eagan MN 55123
(651) 365-1340
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130165
Date Issued:04/09/2015
Permit Category:ePermit
Site Address: 3901 Princeton Tr
Lot:6 Block: 4 Addition: Lexington Square
PID:10-45075-04-060
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Aaron Possis
3901 Princeton Tr
Eagan MN 55123
(612) 387-9192
Sears Home Improvement Products
1024 Florida Central Pkwy
Longwood FL 32750
(407) 551-6000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144200
Date Issued:07/17/2017
Permit Category:ePermit
Site Address: 3901 Princeton Tr
Lot:6 Block: 4 Addition: Lexington Square
PID:10-45075-04-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Aaron Possis
3901 Princeton Tr
Eagan MN 55123
(612) 743-4911
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use /lel
Permit#: (/City of Eaaall
,I
Permit Fee: /c9� 6 o �
3830 Pilot Knob Road , ,
47
Eagan MN 55122 A j .-1. 0. Date Received: --A-'19 I
Phone: (651)675-5675
buildinginspections pncitvofeagan.com Staff: (7 I
I
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:mfb?S? - r 7 Site Address: I / �('i 'C.4-/0,t) /tt i Unit#
Name: EA Ai-' a-0 1).0 SS i J ( f3 /
Phone: 1 Z /7 f /r
Resident/ /
,
Owner Address/Cit /Zi T/'tif
I Y p� �� �r ��(�L���/
Applicant is: Owner Contractor
i ,Ajl' ( PI �r V /14) 1 of 41f ,,,'' I -71A.c
Type of Work Description of work: f. ,S 7"" f C
r Construction Cost: 7c5-6 0 Multi Family Building: (Yes /No 1C)
Company: C�r4.00- 4-In HOV1 e-,,, >Contact: .J.4 V-14-i/141-
I
f Contractor Address: 3 f0 3 y T City: Dir�t*Ai
Stater j✓Zip: � I/ Phone: 7 LI(J 1/5 c Email: C41c /L1 i'lct,M 1 ^'/t erg.-f ✓1 /
,
1 License# f' 6,313 c Lead Certificate#: R"—'
:,...«., ..,.....:,....e.....w.se..:.+w.m..:..a..a<..«.,...u. uwum..— <:«x«.:. .w«ttwx.n,«... ..m.<.<_...,,., .....,_w ,....,..<.,.,.ro _n.,e::..< .....,n..t._.z...:...,. , ax ,.:x
If the project is exempt from lead certification, please explain why:
p
I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
I
Yes No If yes, date and address of master plan:
ILicensed Plumber: Phone: !f
IMechanical Contractor: Phone:
I
Sewer&Water Contractor: Phone:
I Fire Suppression Contractor: Phone:
i NOTE:Plans and supporting documents that you submit are considered to be public information Portions of the....
I information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
i are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.qopherstateonecall.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
accordance with the approved plan in the case of work which requires a review and approval of plans.
x (J!t b VA x �� 7'
Applicant's Printed Name Applican/I` ignat
Page 1 of 3
g.t0 ( /e/A(G/OA kDO NOT WRITE BELOW THIS LINE / ' i
SUB TYPES
Foundation Fireplace Porch (3-Season) __ Exterior Alteration (Single Family)
XSingle Family Garage Porch (4-Season) Exterior Alteration(Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) __ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding __ Demolish Building*
Addition Move Building Reroof __ Demolish Interior
/ Alteration Fire Repair Windows ___ Foundation
Replace Repair Egress Window __ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation (200Occupancy ' '= MCES System
Plan Review Code Edition ,. J) 1 ,. SAC Units
(25%_ 100% X) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction t; ib Width
REQUIRED INSPECTIONS''
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill ,. HVAC Gas Service Test Gas Line Air Test
_ Roof: _Ice &Water Final Pool:_Footings _Air/Gas Tests _Final
/C. Framing ')( 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: _Stucco Lath Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings— Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower PanOther:
Reviewed By: 1\-\\I , Building Inspector
RESIDENTIAL FEES
Base Fee
4Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant 'G r `t (f 0..
Copies /`fit _
TOTAL ri r ,
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146928
Date Issued:11/22/2017
Permit Category:ePermit
Site Address: 3901 Princeton Tr
Lot:6 Block: 4 Addition: Lexington Square
PID:10-45075-04-060
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Aaron Possis
3901 Princeton Tr
Eagan MN 55123
Preferred Plumbing
6400 High Point Trail
Prior Lake MN 55372
(952) 447-5761
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171302
Date Issued:08/10/2021
Permit Category:ePermit
Site Address: 3901 Princeton Tr
Lot:6 Block: 4 Addition: Lexington Square
PID:10-45075-04-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Aaron & Elizabeth Possis
3901 Princeton Trl
Eagan MN 55123
(612) 387-9192
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature