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3931 Princeton TrReceipt MECHANICAL PERMIT Pennit No. CITY OF EAGAN Fae Fi!l in numbeied spacas S/C Type or Prini /egibly Tot 1. Date ?ecar.??? U ." 2':"Installation Cost 3. JobAddrea3jy3-1 '..yLoji I Bik. Tracf 4. Owner 'C-filxEIi d0,`I3:5, 5. Contractor ?'??1'•T? ?„ ? Phone 454-2775 y 6. Address <: ''1 D Rt1e U'- . 7. City Et-i.xan State Zip I i 8. Buiiding Type: Residential 43 9. Work Oascription: Newhfl Commercial ? Institutional ? Add (D Alter O Repair ? n a` FiiuArtrr.. Fuel TYpe 10. Desaiba j, ti..arvcix vngr, , 11. No. FQU*n_.?::,.* 8TU - M. Ea. Forced Air ;;-' No. Eauiament CFM Air Handling: Mfg. BO1lers Mfg. Mech. Exhaust Unit Heater Mfg, Other Alr Cond. Mfg. Gas, P'iping Qutlets 12. 1 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 : for Rough Final Inapections: Date Insp. Date Insp. This is yoUr permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERRAIT • Permit No. ? `? yJ CITY OF EAGAN Fee L Fill in numbered spaces S/C Type or Prin[ legib/y i , 1. Date 1 2. Installation Cost Tot. ' , - 3. Job Address 1rl ; : ?p ' Lot Bik. Tract ? 4. Owner 1 5. Contractor `dr Phone 6. Address ? G? ? C ? f , ?' • : - ? " •' ' / ' ? . 7. City State ' Zip '- - B. Building Type: Residential G) 9. Work Description: New C'7' 10. Describe 11. Commercial ? Institutional O Add D Alter ? Repair ? No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank r Lavatory Softner r- Shower Well - Kitchen Sink Urinal/Bidet Other ? Laundry Tray I / ? 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 with all ordinances and codes governing this tYpe of work. Signed : for Rough F inal Inspections: Date fnsp. Date Insp. This is your permit when numbered and approved. , Approved CITY QF EAGAN 454-8100 CASH RECEIPT CITY OF EAGAN ? P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE RQCHIVBD FROM AMOUNT $ I ? CASH _ JD_@i9EGK rQR ?r ? FUND', COOE AMOUNT . [, Than? ou it BY white-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUItDING PERMIT T_ " .?" dc__ 4G/GAR $68,000 5ite AldC?ess ?.ot ' eiock seclsub, LEXZNGTON ?C; ? Parcel No. W ? Name ?----- -•--? --- .. ?.." Z Address - 9 ... ' :% i. E 1I."J, o Name _ SI u Address 1- Cirv Name Address City Phone Receipt # 4711 1 4 Erect ? Occupancy Remodel ? Zoning Repair ? Type of Const. Enlarge ? No. Stories Move ? Length -% / Demolish ? Depth 4 6 Grade ? Sq, Ft. Aoororols Fees Assessment Water 8 Sew. Police Firo Enq. Plonner Council Permit Surchorge - Plan check - " SAC Water Conn. ' f"• J G Woter AAeter Rood Unit I hereby acknowledge thot I have reod this application ond stote thot Bldg. Off. 1 1/14 "4 parks the intormation is correct and ogree to comply with oll applicable APC Total ;? 1 r;y _? ti .00 ? Stote of Minnesoto Statutes,and City of Eogan Ordinonces. /' Var. Date Sipneturo of Permittee SCF?iiIEK F:O??1FS i'?1C A Butlding Pertnit Is issued to: on the express condiNa? that oll work sholl be done in occordoxe with oH app(iooble Stvte of Minnesota Stotutes ond City of EoQon Ordirances. Buildirq Officiol - Psrmit No. Permit Holder Dste Plumbing H.V.A.C. ?- Electric ' 4 Softener Inspaction Date Insp. Other Foatings Foundation Framing Rough Plbg. Rough HVAC Inwlation Final P16g. r Final HVAC Final Gert/Qcc. Water Desaibe Lotation: Wel I Sewer Pr, Disp. CITY OF EAGAN Remarks Addition LEXINGTON SQUARE Lot i l eik 4 Parcel 10 45075 110 0V Owner street 3931 Princeton Trail state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Data STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 254.53 C009753 10-12-84 SEWERLATERAL ben t 1986 1 173.65 C010098 1-28-85 WATERMAIN 1986 68.33 4.56 15 68.33 C010098 1-28-85 WATER LATERAL WATER AREA 1986 286.43 19.10 1 286.43 C0100 8 1-28-8 STORM SEW TRK 1986 501.29 33.42 15 501.29 C010098 1-28-85 STORMSEWLAT 1986 513.81 34.25 15 513.81 C010098 1-28-85 CURB & GUTTER • SIDEWALK STREET LIGHT Road Unit 260.00 11-19-84 CONN. 470.00 " BUILDING PER, rt SAC 525.00 PARK •? CASH RECEIPT . CITY OF EAGAN P. O. BOX 21-199 • EAGAN, MINNESOTA 55121 CATE ? :, . 19; RHC61YtD PROM j . . .. f AMOUNT $ ? DOLLARS 1 oo [D CASH ? CHECK T FOR FUND CODE AMOUNT ? X f -. ` Thank Yau BY --- . < .. . . ?r White-Payers Capy Yellow-Posting Copy Pink-File Copy ITY OF EAGAN 1NpjM SERVICE PERMIT 0 Pilot Knob Road . O. 6ox 21199 PERMIT NO.: ? Esgan, MN 35121 DATE: ' Ing: No. of Untts: ii r: ress: ,•,_31 y i t;n S?jtt: panwwpffi? to Address: - r . . ? • . r , .. ..F?) • 0r pft ., .'_. - . I_L. .: . .. C r No.• Connection Chorge: 15.00 c Size: " ? 1- C, ` l L??W?,,?6sit. p Reader No.: Permit Fee: J. 00 rc 1 Mrw h ?ply wib 110 Gep oi Epp¦ Surcharpa: .}. n: > . C)o pd Oral"mtsc. Gwrpes: ? f Totoi: eY Dote Paid: 1)ote of irup.: I^sp.: 3 a9/?S GITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road ? ();_ ^ P. G. Box 21199 PERMIT NO.: 11 ?? ? Eagan, MN 55121 D/?TE: ? Zoninp: No. of Units: 1 Owntr. ?ctiir .or:cs Ir.c -- 1lddross: 1931 Frinceton i'ra1l Lll P4 i..e:..infrton Square Slte Addrcss: Plumber. ':i^nr.el "rr.:t !7 100. 00 P 1.sn.to aas* wler o. Cky d R.goM ConnecNon Choroa: 425.00 pd Ordiweaoa. 1ltcouM DepoWt: 15.00 nd _ Pennit FM: 10.00 D Ci Surchorge: .50 F ' By Husc. Choro.s: Dote of Insp.: Tatd: Inp,; DcN Pofd: CITY OF P' EAGAN WATER SERVICE PERNUT 3830 ?lot K-?Qb Road ? P. O. Lox 21199 pERMIT NO.: DATE Eagan, MN 55121 ' : ' Zoning: - No. of Units: Owner, Mdross: r nceton _ 3931 ra ex nvti?n , quare Sit?s Address: l en''e "ect? Plumber. ` . U h [: Mster No.: Connectian Q+a*ps: 15. 00 pd Siu: AcooLmt Devoait. 10 00 d . p ; Reader No.: Pertnit Fes: I Nme h om* M'o !w Cihr of y"w SurChOroe: . p DiP c- 1 orakNwOM. Mlft. ChCfgQS: Totol: ' e.. Dote Paid: of I nsp.. This repuesl voiA 18 months trom A 099743 L-ii ;6y tpd 59 ,4,1isy 3a .5b fiequest Date Fire No. Rouph-in spection Neq u ? []Heatly Nuw i I Notify Insoec ? i? ? ??os No ior When Aeatly censed Elec[rical Conhaclor 1 hereby request inspection oi ebova ? Owner electrica I work i nsla I letl at: S[reet Address, Box or Route No. CitY - g ( {? ? r-IVA :i?T c- e- ' ( eolion o. Townsni0 Name or No. Rnnge No. Comny 1?s9'I?v ?' ? OccuDant(PRINT) Phone No. S?C'? I wL?7? Po w r Supplier e Atldress ,/ ,, ? Vf0--r* L ??N'?yrilyr7R/-' Elecvieal Contrecmr ICOmpany Namel Convector's Licensa No. ? LFGy.?°!L lot?- ?YO S MailinB /+ddress (COntractor or Owner Makiny Instailation) r w`+ Authoriz Si na Mra r/Own Makine Installation) Phone Number MINNESOTA gTpTy'pOAPD OF EIECTRICITY TNIS INSPECTION pEUUEST WILI NOT Crie9s•Midway B(dg. - Noom N•191 BE ACCEPTED BY THE STATE BOANU 1821 UniversitY Ave., St. Paul, MN 66104 UNLESS PNOPEN INSPECTION FEE IS Phone 1612129]-2111 ENCIOSED. `1 U?f? ? REQUEST FOfl ELECTRICAL INSPECTION es-ooooi-oa l b ? ' See insirucfions tor eampletinq [his torm an beck ot yellaw caov. I? I A {l Q () 7 n ^ S "X" 8elaw Wnrk Covered by ThJS Renuest ? sui ex wi.ea Silo Unlo Bulk Milk p • Fee ServiceEntrenceSiza k Fee Featlers/S.Alaedars p Fee Circuits 0 to200Am 0 ro30Ams ' 0 to30Am Above 200 qm - 31 to 100 qmps 31 to 100 Amps Swinming Pool Above 100_Am 5 Above 100_Am s Transtormers Irrigation Booirs ' Partial.'OthofF. e Signs Special Inepectof, hereby cartify l0at the above inspaction has been mede. CITY OF EAGAN A55255RIEl11 - Water 8 Sew. Police - Fire Enp. Planrrer _ Council _ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 ?7?pf BUILDING PERMIT Receipt # ' Te bs med for S-' DWG/GAR Est. Volue $68• 000 Date NOVEMBER 19 1y 84 3931 PRINCETON TR R3 t SiteAddress Erect Occupancy Lot 11 91ock 4 Sec/Sub. LEXINGTON SQ Remodel ? zoning Rl Parcel No. Repair ? Type of Const. V Enierge ? No. Stories SCHIMEK HOMES INC Move ? Length 37 W Name 3RD CT Demolish ? Depth 46 ? Address City APPLE VA L phone 894-2907 or Grade ? sq. Ft. SAME O Name ol Address ? City Phone W Name S,Z-? Address w< W City Phone 1 hereby acknowledge thot I Mve reod this aDplicotion ond state tFwf the inlormation is mrrecf and agree to comply with otl opplicoble Stata of•Minnewto Statutes d C' y of Eogon Ordinances. Siqnoturc of Pertnittee . ?L?+'?? A Building Pemit Is issued to: SCHIMEK HOMES INi all work shall be done in ocmrdo with a oppJjwbl Sta oLhJji 894-4187 Bldg. Off. 11 / 14 / kS APC Var. Date N° 9731 Fees Pertnit -? -» / • V V surcFarge 34.50 Plan check 16 S. 5 0 SAC 525.00 Water Conn. 470.00 Woter Meter63.QO Road Unit 260 _ 00 Parks Tota1 $1.858.00 on the express eondiHOn Ihot Statutes ond Ciry of Eapan Ordinances. Bufldin0 Officiol . . . ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN j INCLUDE Q SETS OF PLANS, '31 ~ N CERTIFICATES OF SURVEY C)uU•?UA2. ? SET OF ENERGY CALCULATIONS To Be Used For: ' ` Valuation:&.6- Date: Site Address: ?93 ? ?t,vr?'???l' ?Og??? • • Lot:ti Block: q 5ect/Sub?7Erect: L? Occupancy: R-3 Remodel: Zoning: R_I Parcel #:.CP?C:x?fpy., Repair: Type Of Const: Owner: G Enlarge: # Stories: Move: Length: Address: 4;?A g'/?/?`/O /3;? Demolish: Depth: 4(.o City/Zip Code: Oamytl _'5-01L/ Grade: Sq. Ft.: Phone # : ;'6'7 - "y -Zii,f l-yL9 t Ta ? . Contrac or: " - Address: (?D,a? 11„??.4,yNw SS/?-? Assessments: City/Zip Code ??: Water/Sewer: Police: Phone 4 8yy- yiLO Fire: Engr.: Arch./Eng: Planner: Council: Address: Bldg. Off.: City/Zip Code: APC: nh?nAa- Variance: so Permi t : 331.- Surcharge: 34.5-1 Plan Rev.: 168 = SAC : 525 •' Water Conn:? Water Meter (03• °= Road Unit: / - ¢- Parks: ? //'F J?OJ / 35 x x 59 ° ' Ib2Z = 3S2 x ?t -- 2 2x 26 " 4 10 K 41 _ ZO K20 - 9oo X o ? 3oZ 40 14q-32 IBo 40 ?(qov (!?,711'Z SURVEYOR'S CERTIFICATE SCHIMEK CONSTRUCTIOPJ PRINCETON TRAIL u$9Z.o - - ? l.q , i,-r- !_lJ 1 n N B9i 692 k (0° Q M m?I ?\ .: ? ? ? 9 R i? ?' 0°., _E 0 0 °w-$-----? _? a i5 ? ?'ex2:7 20.0?0 ` IL I m\ ? ? 842.9 I GAR 16.50 I sr I I 893.2 \\? I I ??PROPOSEI?m I I N?? I M SE QQ9?25 3 5_O t 6894.0 1925I ?I y ? I I ? ? I ; ? Lor 11 ??DRAINAGE 9 UTILITY SI EASEMENT PER PLAT IS ? p ? o - 75.00 -' - N O°00'24"E ? 3 (D ? ? M Ll / a ln ? ? 0 I ? 1 2 N r ! 0) ? - 39 2. 6 -?-- DENOTES PRaPOSED SURfACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH FEET • DEPJOTES IRON MONUPIENT FOUND PROPOSED GARAGE FLOOR = C8s3..s? FEET X00O.0 DEPIOTES EXISTIN6 ELEVATION PROPOSED LOIJEST FLOOR = ?90•? FEET (000.0) DEt10TES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 8173.4 fEE7 1 HEREBY CERTIFY TO SCItINEK CO^!STP,L'CTIOPJ THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 11, Block 4, LEXINrTOP! SOL'ARE, accordina to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCA710N OF A PROPOSED BUILDIh6. IT DOES ?OT PURPORT TO SHOW IMPROVEMENTS OR ENCROACNMENTS, IF ANY, THEREON. AS SURVEYED B,' MEp OR UNDER MY DIREL7 SUPERVISION, THIS 1ST DAY OF NOVEh?3ER, 1984. r I PROJECT NO. 84949 FILF, NO. FOLDER ?. SIGNED: ,f?H 5 R. HILL, INC. gy: AROLD C. PETERSDN, LAND SURVEYOR MINNESOTA LILENSE N0. 12294 BOOK / PAGE JpMES R. HILL, INC. 9a; ie PEanners % Engineers / Surveyors 8200 Humboldt Avenue South Bbomington, Mn, 55431 612-884-3020 CITY OF BURNSVILLE EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION Page 1 Owner M:,C14iME1L Address /,3008 C.GfvA JYSiphone ^oZ D Legal Description of Property: Lot /I $lock__?L_Additio e,'k Date Site Address AVERAGE LINEAL FEET OF EXPOSED WALL AREA ASOVE GRADE PERMIT N0. Main level Lineal ft. of framed wall above grade r4-7 x height of wall Rim joist area Lineal ft. of rim x height of rim 1 14'7 Lower level Lineal ft, of framed wall above grade x height of wall 5 '3$ s Lineal ft. of masonry wall a6ove grade x height above grade = TOTAL wall area above grade including windows and dpors WINDOWS; Area x "U" value Make & type rt 11 _RluErR.OFT GdSEME,UT sq. 54• n n sq, 34• sq. n s4 • S4• 94• s9• 34• s4• n „ SQ• sq. n n sq. n n $9• u rr sq• )OORS: Area x "U" value take & type I31 4 S7tEL 'bc?i - P coR.E sq, PAT 10 GoOr_ sq, n n SC(• sq. 'PAQUE WALL CONSTRUCTION; Area x"U" value FRAMED WALL (total area less ?etail refer- open3ng, framing members in nce from wall, rim joist area & masonry) :ttached 84• heets FraminA members in wall sq. Rim joist area sq. Masonry area nhov ad- sq. TOTAL Wall Area Including Windows & Doors I 'I O a ft. 123 x"U" . 59 ° PM.5(U) (A ft. x liU., ? - (U) (A ft, x "U" _ . (U) (A; ft. x "U" _ (U) (A; ft, x "U" (II) (A ft. x "U" _ (U) (A; ft. x "U'r - (U) (A; ft. x "U° _ (U)(A; ?_ ft. T "U" _ (U)(A; ? ft. x "U"' "-'- (U) (A; ft. x "U" (U) (A' ft. x "U" _ (U)(A; ft. x "U" (U)(A' , ft. x "U" ([t) (A) ft, x "U" @ (U) (A) ft, x "U" (U) (A) fC. .... x nUn . a (U) (A) ft. x 'lUte °--?--.-^-_?- (U) (A) 1 23 "12,5? s?o ft. t}.o x "U" .I¢ = 5.6 O (U) (A) ft. 80 x "U"_ .S9 = 4140 (U) (A) ft. x "u" ? (U) (A) f[. z flUff _ ---^- (U) (A) i2o 52.50 ft. I 1 a6 x"U" ft. I 12 x"U" ft. 14'1 x "U" ft. . . . . , . . . X ,?u?r I46 5 . OG = rl I I (o (U) (A) . 12 = { 5.84 (i?) (A) .OS = ?,35 (iI)(A) _ (U) (A) 94 1108 TOTAL (U) (A) 2, 1 , 12? OTAL (U) (A) VALUES AVG, "i1" • ?? IVIDED BY TOTAL WALL AREA VERAGE "U" Minimum yY!'or less for 1& 2 family dwellinge Minimum .22 or less for all other bulldinga OTE: If average "U" values as calculated above do nat meet the Energy Code requirements, the "Alernate Envelope Design" as indicated an Page 5 may be used. . WALL SECTIONS Page Z NOTE: -Use 107 of opaque wall area for framing members R-Value FRAMING MEMBERS IN WALLS Top View . Exterior air film _ 17 Siding Sheathing . ?07 2,Ob 33i" soft wood 4.38 Y"_:d .ry wall .45 Interior air film •bg TOTAL R = 6.41 u = i/x U = .IZ FRAMED WALL Exterior air film Siding Sheathing A" batt insulation Y" drv wall _ Interior air film .17 ,G1 2.Ofo 13.00 .45 .68 TOTAi R U- 1/R U= . 0 G RIM JOIST ARPQ. $xterior air film .17 Siding .?? Sheathing 1'-s" soft wood 1'$$ In larfon - - - 1'3.00 .68 Interior air fijm -- TOTAL R = I a•4.(o u = i/R u m .05 MASONRY WALL Exterior air film •17 12" concrete block - Insulation Interior air film .68 TOTAL R m ? U=1/R U= Page 3 ROOF CEILING Outside air film .61 Insulation s?0,00 )?" Drywall .45. Interior air film .62 TOTAL R= 41 . b u = 1/R U . .025 Outside air film .61 Insulation If" Drywall .45 Interior air film .61 TOTAL R a U= 1/R Um Outside air film .17 . 33 _ Insulation Wood decking Interior air film .61 TOTAL R = Uml/R U _ OOF/CEILING: OTAL AREA: sq. ft. etail reference "U" x sq. ft. _ (U)(A) rom above. "U" x sq, ft. _ (U)(A) escribe openings "U" x sq. ft. _ (U)(A) n roof "U" x sq. ft. (U)(A) "U" x sq. ft. (l?) (A) "U" x sq. ft. _ (U)(A) x sq. ft. _ (U)(A) ' TOTALS ea, ft. (U)(A) )TAL (U) (A) VALUES CVIDED BY TOTAL ROOF/ ,p2,?'j AVG, "ll" EILI NG AREA JERAGE "U" .OS for ventilated roofs .10 for all ather conatruction )TE: If average "U" values ae cal culated above do not maet the EnRerRy Code requirements, the "Alternate Envelope Design" as indicated on Page 5 may be used. .r Slab on grade Page 4 Exterior air film .92 Y" plywood & Y" particle board Insulation _ Interior air f.ilm 66 .92 TOTAL R = U=1/R U° Insulation shall have a minimum R-Value of 7.5 and must extend horizontally (as illustrated) or vertically a distance equivalent to the deaign froat line; that ie: Zone 2= 3 feet 6 inches Insulation shall have a minimum R-Value of 7.5 around the perimeter of slab on grade floors. .r . THE TOTAL ENVELOPE CALCULATION METHOD Page 5 The regulations state that altefnative overall "U" values for building sectiona are nermissable if it is shown that the total building envelope heat loss/p,ain does not exceed that of a similar building that meets the regulation "U" value maximums. In this case, we will Consider only the walls and roof/ceiling criteria, assuming that the remainder of the building meets regulation requirements. A. Total heat loss as designed (walls and roof/ceiling) BTU/hr. degree F. Walls - UQAo = Average "U" of wall assembly x average wall area sq. ft. Roof/Ceiling = UoAo = Average "U" of ceiling x average ceiling area sc{, ft. _ TOTAL S. Tota1 heat loss if designed to meet the regulation minimum (walls and roof/ceiling) Walls = U A = Minimum required 0 0 "U" value of wall x average wall area sa, ft. _ RoofJCeiling = oAp = *tinimum required "U" value of ceiling x average ceiling area sq, ft. _ TOTAL The following table may be used as a general guide line for determining allowa6le percentage of wall openings when lowest "U" value is established. % Wall 0 enin 10.6 13.4 15.6 17.2 18.6 19.7 20.6 21.4 22,1 Minimum R-Value 0 a ue Wall 8 9 10 11 12 13 14 15 16 % Wall 0 enin 22.6 23.1 23.6 24.0 24.4 24.7 25.0 25.2 25.5 Minimum R-Value 0 a ue Wall 17 18 19 20 21 22 23 24 25 Opening area (sq, ft.) / X 100 m Z Opening & wall area above grade (sq. ft.) opening in vall The following table may be used as a general guide line for determining allowable percentage of roof openings when lowest "U" value is established. % Roof Opening 0 1 2 3 4 5 6 Minimum R-Value af 0 a e Roof 20.0 22.3 25.1 29.0 34.3 42.2 55.3 Opening area (sq, ft.) X 100 Opening & roof/ceiling area (sq. ft.) /// apeninq in wall a 2000 BUILD(NG PERMtT APPLICATION (RESIDENTIAL) ?'10-1 ? CITY OF EAGAN ??-0 3830 PILOT KNOB RD - 55122 3- 7J'? 651-6814675 N' Remodel/ReDair Reauiremanh A 8 reglsteretl Nte wrveya ahowing sq. lt of bf. sq, fl. of hause cnd gfl roofetl oreaa (20X mmdmum lot covemne alowedf A 2 copies o1 plaru (slow beam & wlntlpw sizas; poured tntl. tlesign; etc,) A 1 set of energy calculatlons A S Coples d hee Pref6natlon plpn H Ip} p1att9d GRer 7/1 /93 oATE: q-o-on DESCRIPTION OF 1 STREET ADDRESS: LOT: I I 2 ooples of pbn 1 tet of energy calculalfOrtis br henfed atltllflona 1 aite suney for exteda adCirions & tlecka CONSiRUCTION COST: lle4I D Ovo PROPERTY Name: ? ?? ? Phone#: OWNER or, 3 Sfreel Address:_? Cfty State: Lp: cfa-;), ComPan. i1 Y' do?'16l)f(1`li?? ? ) 1 Phone #: ? f??. (area code) CONTRAGTOR Sheet Address: ucense # _C1A3-Exp. 43U.-M I cxr L? le.1 stare: np: 3 91, ARCHITECT/ ENGiNEER Company: Mame: Telephone #: ( ) Street city Regisfration #: State: Zip: SeweMvater licensed plumber (If installina sewerhvaterl: Phone #: (? 1 hereby acknowledge Nwt I have reod thk appllcaFion, aFate that Ihe mfomwlion is coRecf, and agree to comply wMh ad aPPlicable Skdo of Minnesota Stalutes and City of Eagan Ordlnpnces. Stgnalure ot ApplicaM: Certificates of Survey Received _ Yes 7ree Presewatlon Plan Recefved Yes OFFICE USE ONLY _ No _ NO - Not Req+aired BLOCK: ?i 3UBD./P.I.D. A: OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex O 04 02-plex O 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Poroh (3sea.) ? 31 Ect. Att - Multi ? 17 Garage ? 22 PorCh/Addn. (4-sea.) ? 33 Ext. Ak - SF ? 18 Deck ? 23 PofCh (screened) ? 36 Mutti ? 19 Lower Level ? 24 Storm Damage Plbg _Yor_N ? 25 Miscellaneous O 20 Pool O 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (FOUndation) O 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowabte) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee $u!Charge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment PI. Park Ded. Trails Ded. Other Copies Totai: -1-1?.Z=-4.?- Valuation: SAC UnRs °k SAC ? 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) cm oF eacar 3830 PILOT KNOB RD - 55122 851-881-4675 New CanhueMOn Raauiremenb ?Remodel/ReDalf RaaulremeMs > J registo?rod aMs wrveye showing aq. B. of bf. +Q. fl. of Iwuee aW g(( rootetl areas Q% rmpdmum Iot covoraae dtowedf ? 2 topiea of plaro (show beptn R wlntlow sixes; pouretl hia tlealgn; etcJ a t sst o1 enerQy cNCUianons D 9 coptes of Iree pretervaHan plan M bf plaHetl arter 7/1 /91 DATE: ?f "&"/-CJ( J DESCRIPTION OF' 57REET ADDRESS: LOT: I ? 2 coples d plan 1 seT of enerpy ailadoHOns fa heated adcg9ons 1 fite wrveY fa exderbr atlditlons & tlecb corisreucnoN cosr: d /-ll D o .oa Name• ? ? @(kn 6( Phone A: PROPERTY f fliat OWNER Street City State: ? ? i 1-??- LP: Company:fum,fille- Rind 1'1o,lm &,?I* Phone #: lAa _ ' (area code) COMRACTOR Sheet Address: ????I -ll l?,[.(? UC• l?V i? _ Llcense #Td/sZEP• ,434& I Clty YY L?? 1 StafA: Lp: ARCHtiECT/ ENGINEER Company: Name: Telephone A: ( ) Sheet Addreas: Regishailon Y: citY State: SewerMrater licensed plumber (H Instellina sawer/watarl: Phone #. Lp: I hereby acknowledpe lhat 1 have read 1hk app6onNon, date riwt the InfomiaHon is oarect and apree to comply wHh aA appBctiWe Sfde of Minnesota SMlufes and Clly of Eayan Ordinances. Sfynaiure of Applicanh Certificates of Survey Received _ Yes Tree Preservatfon Plan Received Yes OFFICE USE ONLY No MAv, I I ' - No _ Not Requked ? BLOCK: ? SUBD./P.I.D.9: C ., . ? ? i 2/84 ((( '?? CITY Or EAGAN ? c.??? APPLICATION FOR PERMIT • SEWER AND/OR WATER CONNECTIODI (PLEASE PRIHT) 1) PROPIIYLI' ADDRESS: 3 Cl 31 T.FPAi DESGRIPTICN: `n y' C (TIAt/Block/SubclLVision or Tax Parcel I.D. NLuNber) ? I'c' '`..."<L:'=:G S?'!?L'CI"„^:2E, DAT' 0_° ORIGi dAL LiiILDTi:G PEY:?S: ZSSUa-?C:: P°ESL::' .,.,.7I.ir;/P??OPOS:n IIS:: ? R-1 SINGL: cPySLY ? R-2 CUPL.z"{ ('IS:? UI,IITS) Q cZ-3 Mo.-NHCLGE (?Z??"'?-, + U.`1ZT5) ( Wi ITS) ? R-4 AFAR'I"=1T/CC.`MCiSi`IILtii ( UNITS) Q CCMME?CIAL/RETAII,/OFFICE ? L.'DL'STRI1L ? I:ISTI;'[,TIONAL/GG=NiIE.'T 2) pppr,Icy,= (PLEASE PRINT) rAMF: ADDREss: 9,41 7'7 - ! 3 ?W ?. crrr, sraTE, zzP: m?(7 Pxo': ??1?- 3) PLO,= PLEASE PAtVi) ' FOR CIT7 USE ONLY NArE: LcJ -e iv Z e-! c..rn bLc, ADDRESS_ PLUP RS LICEYSE: Active CITY, STATE, ZIP: Expired PFIO ?1E: y.??- /?C? PLUMBER I.ICENSE J? Not f Retord ? d 1t13 q) OCCUpANT/a.n,ER ?J ? (PLEASE PFINf) NAME: J C° Gi ?'llf!!( ?/OYrn.O T N C anDREss- 9+a'77- t 3 3-,,;G ?. CITY, STA'I'E, ZIP: CF ?-a (J li ? / , /yh K) , PxorrE: ? 96h o?- y 5) INpICI1TG SVHICFi PFI2NLIT IS BEZNG REQUESTf:D: CONNECrION TJ CITY SESdER CONNEC:ION 'Ib CITY WATER ? diI;FR (PLL'PSE DESCRISE) 6) It.DIG,T'E C:E: ? PI.EASE F?OID APPRWED PER,+IIT FOR PICF:-UP BY ONE OF ABWE IRPIFIISE R*AIL APPROVFD PFR,IIT TJ 1, 2, (04 A&7VE (Circle one) 7) SIczaTL'RE: DATE: ..v . .. ?f R Ofi .Ol#JO:f? ,i !at lY:ax? a0 s 1'ftv:siiaria+A ls Yf MFiii:r a i1t !latil?asJ? ftl S 1IS Is iaciRaa? e F 0 R PER^1IT " ISSUED I T Y U S E O N L Y FiES : $ ! o, _m?_ ° $ ?Q '17d $ $ $ $ $ $ $ ?r??'-l•-O $ S S S $ - SEWER °E4MrT (I`I=D-_ SUP.C?i?RGE) WATER PERP4rT (IlVCL`JDE .^-,iiRCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE;vER TAP ACCOUNT DFPQSIT - F7ATER WAC SP C TRUVK WATER ASSESS.4ENT TRli:IK SES4ER ASSESSMEAIT LATERAL BENEFIT/TRUNK SE;IER LATERAL BENEFIT/TRUNK WATER OTHER ' $ TOTAL $ ?? ,?' tr--Y1 PuM0LT:QT PAI?/RECEIPT n ZZ 7? 0'_?3 DOES UTILITY CONNECTION REQUSRE EXCAVATION IN PUBLIC RIGi3T OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST SE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TS:LE: DAT°: /!'-- / y:.??.t? ?l OHM != R M:M Mk== !M r! MHON 21UM!! W/4 WJ! GlM okni!W l? W?P@Q4fq 0k40M4 ]W!! 85i+ w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`D3&B\[\]S:WN88&8V87N!8V; G--'C3//*.&1 /13$M23.,9I*-,)S7N88&W887NU7W: "(%*41 HB<I<<' #(,%.*F%(.1JK,-.1 9&&(AA#*$2+&&9 GM2KA*+&4#1K>*+.X1+*$,&(A3,2#2 '\\;8&6))&E)NP&b788'W'7&43*+$,+&?3 X2.2+&FZ&&::7U'X2.2+&FZ&&::7U' Q\\:7\]&'\\:97'!8Q\\:7\]&U'798VVV 5&M,3,>@&2$%+C#,).,&M2&5&M2L,&3,2)&M*=&2AA#*$2*+&2+)&=2,&M2&M,&*+O3K2*+&*=&$33,$&2+)&2.3,,&&$KA#@&C*M&2##&2AA#*$2>#,&/2,& O&F*++,=2&/21,=&2+)&G*@&O&X2.2+&J3)*+2+$,=N (AA#*$2+D4,3K*,, &/*.+213,5==1,)&"@ &/*.+213, PERMIT City of Eagan Permit Type:Building Permit Number:EA157233 Date Issued:08/12/2019 Permit Category:ePermit Site Address: 3931 Princeton Tr Lot:11 Block: 4 Addition: Lexington Square PID:10-45075-04-110 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Victor N Clement 3931 Princeton Tr Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature