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4731 Ridge Wind Tr ! ~ C~ Receipt f r~ MECHANICAL PERMIT Permit No. CITY OF EAGAN , Fee _ ~ ~ t ~ ~ fillinnumberedspaces S/C . ~'G • Type or Print /egiWy Tot. ~ 4 l_ 1. Date f~~ 2. Instaltation Cost C~ C~ • jj„i , d I 3. Job Addre - ~ LoF ~ l Blk. L Tractr'1 - 7Z t l'~~1 Tr, 4. Owner ~ . s~--~. ~ + _ ~ ~ ~ 5. Contractor \ ~ z i Phone ~J '1J - ~ C., ~ 6. Address C; G ,t•_~_~Jt~ _1tr--~J ~F._~. )_r~~,, c~~v `,~~1 st~ca . r .r .~v. z~p - ~ ~ ~ 8. Building Type: Residential I~ Commercial ? Institutional ? 9. Work Description: New ~ Add ? Alter ? Repair ? 10. Describe • a Fuel Type ~ n_t_ ~ 11. No. Eauinment BTU - M. Ea. No. EQUipment CFM ~ Forced Air , C• G- Air Handling: Mfg. Boilers Mech. Exhaust Mfg. 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 F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 Receipt ~ PLUMBING PERMIT Permit No, CITY OF EAGAN - ~ , . Fee ~ Fill in numbered spaces S/C ' • Type or Print /egibty ; ; Tot. ~ " ~ . 1. Date - ;i ~ 2. Installation Cost ~ ~ ; r ' ` ' , i 3. Job Add~ess ~ Lot~Blk. Tract ~ ` ~ 4. Owner _ , ~ r 5. Contractor' 1;~_~ ~ ) Phone . f 6. Address !-r % : , ~ 1 ~ t . ~ I , , 7. City - ~ , , , ~ 3 State ~ ; ~~1~ Zip - 8. Building Type: Residential ~I Commercial O Institutional O 9. Work Description: New Add ? Alter ? Repair ? 10. Desc?ibe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Show~r Well Kitchen Sink Urinal/Bidet Other Laundry Tray ~ Floor Drains Drinking Ftn. 51op Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : for - - ' Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 CITY OF EAGAN Remarks ' Addition P~K RIDGE 1ST ADDN ~ot 1 R~k 4 Parcel 10-56750-010-04 Owner street 4731 RIDGE WIND TRAIL State ~GAN MN 55122 Improvement Date Amount , Annual Years Payment Receipt Date STREETSURF. - + STREET RESTOR. 1Q2 a -2 -8 @Rf49FfdG - SAN SEW TRUNK 1 9$1 1 11~ $ 1- 1-83 SEWERLATERAL 2 ZO- -H4 WATERMAIN WATERLATERAL 3 6.35 C009901 1~-Zg-Bf+ WATER AREA 1 H1 1 - - STORM SEW TRK ; 3]~.93 C009901 10-29-84 STORM SEW LAT 1 8 1 1 109.58 " CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 4SO.OO BUILDING PER. SAC II , PARK , HOUS HEA ING TEST RECORD ADDRESS " ~ , APT. FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. ~6 V G 7SD "C JO-O SQLD BY INSTALLED BY El~ctrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS OESIGN ~ CONVERSION MAKE ~ MAKE OF BURNER Modsl ~ Model Serial Max. BTU Ratiny INPUT MAKE OF FURNACE Model CONTROLS THER 5 t Plug Vsnt Size Valve KIND OF LINER SIZE NONE L1mit Drah Hood Rpulato~ LimiT S~Min Filfsrs Size Number Fan Se'*'^a~s~ Chimnsy Locotion Inaide Outside Pilot Ty Chimney Construetion Pilot Mak , / Pilot ModR~ Smoke Bomb Wiring V Pilot Timing Draft -r Test Tap L.W. Cut ff Door Pressurs Liyhtiny Inst. Pressur Pereent CO~~ ~ Dafe Testsd ~ ` Input CFH Psresnt 0 ~ Company Testing ~ Stack Temp. Psrcent CO Name of Tsat~r Form 235 _ . . . . w+a-^ ~ry . ~ . ~ c~rr oF EAC~?N S4nq • 3795 Pllot Knob Rood Eogen, IYIN ss122 PHONE: 454-8100 BUILDING P~RMIT Receipt # To 6~ wad for S~ D~'`Tc~~"~~ Esr. Value ~51,0~~~ aot~ Seutember 22 , 19 83 Site Address 4731 Ridge tdiz~d Trail p~_ ; Erect ~ Occuponcy Lot Bixk 4 Sec/Sub. I'ark ~tidFe I~Iter ? Zoning l 10~-56750-010-~4 Repoir ? Fire Zdne ''1~ Parcel # G~ F.otin Olson Enlarge p Type of Const. oc Name Move ? # Storie~ Z3 Address ~ t~ ve. So. pen,olish p Length~ b Bloo~in~ton pho~ 854--5529 Grode ? Depth 5q. Ft. RUBCOri HOiileB ApProrais Fae! °C Name z~ 0 l:. 1~+6 Cll S t. Assessme~t Permit ~ o Address C~~ t~urnsville p h one ~`~2~1433 Woter & Sew. Surcharge J~•~~ Police Pion check 1"+3.7n W W Name Fire SAC ~~J ~ ; Address Enfl. Woter Conn. ' ' ~ W C~ pho~ Plonner Water Meter ~ Councif Rood Unit ~ ~ ~ ' ~ ~ 1 hereby acknowledge that I hove read this application ond stote thot 81dg, pff. the informofion is correct und ogree to comply with oll applicobte ~PC Total State of Minnewto Statutea and City o4 Eagan Ordinonces. 5ignntute of Permittee , J A Building Permit is issued to; on the express condilion thm all work shall be done in occordanca with oll opplicoble 5tote of. M1~nes6tc Stotutes ond City of Eapon Ordinances. _ ~ 8uildiny Official Permit No. Permit Holder Mise. Permit No. Holder Plumbin9 ~~(p~ h ~j ~ • H.V.A.C. L111~ C(}` @Gl ZF ~ q-T7 ~o`~i Well Weter Disp. ' Sewar • e~~e~~~ ~a o I o4 B~ L ~ ~ ) ( -~l ~8'3 , Impectian Date Insp. Other Footings ~ Foundation Framiny Rouph Plby. S~ Rou~ HVAC ~ Inwlation Final AI6y. - Final HVAC z ~`,y~ ~ Final vJ{ y~~r Describe Location: YYell ~ Sewar Pr. Disp. CI7Y OF EAGAN WATER SERVICE PERMIT 3R30 Pilot Knob Road P. O. Box 21199 PERMIT NO.: ~ ~ s~ 1 Eagan, MN 55121 Di1TE: Zoning: K 1 No. of Untts: 1 d1N11l~: '~LFSCOTI JfO.'.ip$ AdfJ?CSS: Slte Address: ~731 2id,s~,cs wif i~r PaF3: It ~~ii~*n Plumber: =~tax YI' = t:XC Meter No.: Connection Chorge: 4 S~. ~i0 Size: Atoount De posit: Redder No.: Permit Fee: 1t?.C~ ~iu 1 e~ew to eanplp whl~ N~e Ciyr of Eagen Surcharye: . 5t1 :~ci ~~a~~ Mtsc. Charyes: ~~ry nu "~et wr Total: BY Dute Poid: Dofe of Ir?sp.: Inap.: : . . CITY OF EAGAN SEWEIt SERVICE PERMIT 38~d Piloti Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 551?~„1I DATE: 1~'~°' Zoning: No. of Units: p,~,r,e?: Ru scon t4o~e s /4ddress: Site Address: 4~31 Izid e hind Tr L1 i~4 ~'axi; Ridge Plumber: Stal' Plbg w ixC 9-22-83 .i8y(z3 1~9re~ fo ae~nVhr whh tM Cilp of Ee~on Connection Q~orpe: Q 25 . QO ~lc~ Oedinanees. AtoouM Deposit: Permit Fae: 1 ~J • 0' Surchcrpe: P By Misc. Chorpea: dote of Insp.: Totdl: ~ ~ ~ Dot~ Peld: , 8H+ GF-SP j,~. Include 2 sets of plans, , . ' . . 1'~~~` ~ L ~ 1 site plan w/elevations & ~ BUIZ,DING FEfd~ffT APPLICATION 1 set of energy calculations. .~Ga^r` ~"/~DOd Zb Be Used For 5in~le Famil~ Valuation ~`°Y°~°" - Date 2O'~ Site Acldress 4qg1 Ridge Wind Trai~ ~ ~ o~'ICE USE o~,Y Lot Block y. Sec./Sub. Park Rid e ~~t p~~~~y Parcel ~ " ~~-1 So - o (O Alter Zoning / . Repair Fire Zone ~ o,~mer: Robin A Olson ~1as'ge Type of Const. ~ Address: g125 15th Ave So. A9°`~e # Stories D~nlish Front - ft. City/Zip Code: Bloomington. MN 55420 Grade Depth y ft. Phone 854-5629 r.rPROV~s r~s Contractor: R~t scon Homes Assessnents Pexnut T~7ater/Sewer Surcharge „tS~- Address: 1000 E. 1$6th St. police Plan Check~ city/zip coae: Burnsviile. mN 55337' Fire - SAC ~s-as- E1ig. Water Conn. yS0 Phone 432-1433 planner Water Meter ~ Arch-/~g•: Probe En~ineerin~ ~O~il xoad Unit a~~ Bldg. Off. ~ ~ ~ Address: 1000 E. 146th St. ~ ' ' ' City/Zip Code: _gurnsville, MIV 55337 a. n Phone 43?-~Qpp ~TAL ~-l ~j~l ~ ~0.r~ ~USC°o~ ~ p~ar~ ~-o t-E~i dEr~-4~a1 ' ~ CITY OF EAGAN NO g~g9 3795 Pild knob Read Eogan, MN SS112 PHONB: 454-8100 BUILDING PERMIT ReceiPt # ~~7~ ?i Te M wad for SF DWG/GAR Est. Volue $51,000 Dote September 22 19 83 Site Address 4731 RidQe Wind TYail Erect ~ Occupancy R-3 Lot 1 Btock 4 Sec/Sub. Park RidQe Alter ? Zoning R-1 Parcel # 10-56750-010-04 Repoir ? Flre Zone NA Ro6in Olson Enlorge ? TyPe of Canst. . V rc Nome Move p # Stories ~ Address 9125 15th Ave. So. Demolish ? Length 3~ Bloomington phoM $54-5629 Grade ? Depth Sq. Ft.- ~ Narne Ruscon Homes Avororals Fees Add~eu 1000 E. 146th ~St. _ Assessment " Permit 286.00 ~ Bux'nsVille - phone 432-1433 Water 8 Sew. Surcharge 25.50 F Police Plan check . ~0 Fw Name Fire SqC 525.~~ Address Eng. Water Co~n. 450.0~ <W Ci Phane Plonner Water Meter ~9..9.0_ Council Raad Unit ZS~.~Q I hereby ackrqwledge that I have read rhis applicorion ond stote that g~dg. Off. the intormation is wrrecf ard agree to wmply with all applico6le $1739.50 Sfute of Minnesoto Stotutes ond Cily of Eagon Ordirronces. APC Totol Sipnoture of Pertnittee uscon omes A Buildin~ Permil Is issued ta: on fha exprea condition thni o~l work sholl be done in accordnnte- with oll appJi b~e St te tatuten ond City of Eagon Ordinancea. Building Official G Thisre0uestvoid'I..L~ I 1 h,l ~^~,~J ~`a/~~ 3`~'r a~( 1B monlhs trom ~ ~ G^I ~ p..'t ! yi. l~ t~i'rc= V 3~~ Nequest Date Fire No. Rouph-in Inspectinn . Nepu r ? ~Heatly Now ~II Netifv. ~~sDec- ~ ~ ?No ~or When Peatly~~ mensed Electrfcal Contractor 1 herabv requestinspac[ion ot above ? Owner elactrical work installad et: ~ Sireat Address, Boz or ouie No. Citv ~ (~3 i.Dc~~ c~.t~ `~i4ci~ ~~~t ecl~on o. Township Name or No. Ra~ge No. Cou/n~ty' ' ~-/TG_t/ I ' OccupentlP T) Phone No. ~ Power Supplier Address p~ Gt~~l ~~t- Electri~al ConVactor ~Comoany Namel Contractor's License No. L ~ c~ ~ O Mailing AdJress (COnVactor or Owner Making Ins[aila[ion) / ~~r-' Ss 3? Auffiorixed i8nat trac[or Owner aking InsT lation) Phune Number ~QY- MINNESOTA STATE B PA OF ELECTPICITY TMIS INSPECTION REQUEST WILL NOT G~iggs•Midway Bltlg. - Xoom N-191 BE ACGEPTED BV THE STATE BOARD 1821 University Ave.. SL Paul, MN 55106 UNIESS PROPEN INSPECTION FEE IS Phnnw 16121 29].2711 ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION ea-ooaoi-oa ' Sae instructions for completi~g this form m back of vallow coOY• pj ""X"" Below Work Cove~ed by This Request 3~~~ A d Rep. Type ol Builtling Apo~iaocas Wi~eA Equiomenl Wired Home Range Temporary Service ~ - Duplex Water Heater Ligh[iq Fixtures Apt. BuilAinc~ Dryer Electric Heatin Commercial Bldy. Fumace Silo Unloade.r Industrial Bldg. Air Conditioner Bulk Milk Tdnk Parm Other D~-e~ Y ~~he~ ~Sl~er.ifyl iher pecify O~her Other ompute lnspection Fee Below p Fee ServicaEntranceSize tt Fee Feaders~Subleeders N Fee Circuits Q 0 to 200 qm s 0 to 30 qm s ~[0 30 qm s Above 200 qm~s 37 to 100 Amps 31 to 100 A Swimmin Pool Above 10U-Am s Above 100_Amps Transtormer5 Irrigation Boorrs ~ Partial%Other Fee Signs SpeCiallnspecTion S ~ m 70 L FEE Rema r ks Roueh-in r ~ate ) I, the mal 1~~ / ~ Inspec[oq hereby certity thet the above Final 11e ' gpection has been . 1 made. ~hia repuast voiE 1B montlq from AOBE COHSUITIHO (HdtH(~flf ~NGINEE~AING p~AHHI~i nnd LAND ~UAVtYOAS COM~PANY, INC: ~ ~ ~ L ~1000 CA.ST 14~A STIICCT, EIxIHSVIILC, 1lINNC]OTA 53~77 1'H ~J2~3000 cc r-~ c ct o~ ~Su~-v-~ y ~dg~rt I~e.~ ~~~A~~on LOT BLOGK 4, PARK RIDGE DAKOTA GouNTY, MINNESoTA. R iqy~ FU7URE GURB 1~ C93~ 3-) M ~~'L'D ~Qj`3\ . Q:3s t', ~T~'< . ~ ~ Iy. ~`7i~.6 0 93 2 ~ eo ~ 3e ~ - SFTBAGK uNE ~ \ Ra~ , ~ J NOfZTH ~ ~ ~e ~3r SGALE 1"=3p• W ~ `o 0 M~ S39 g39,8 Mo q>i?o 1 0 ~,Q1 ~o, J / l.~ / i~ p 95~ ryo 0 M / i e„J / ~ mM ~ 0' a, ry . ~ K va~ ~ ~ N • %r~p°~ ~ ~zo ~ ~ DRAINNI'aE ANO U71UTY E.s.SEMENT . ~~tiJ 3~0 p~ . , O ~ ~ N / o, o L~% T : ~ p•V <9 ~ =I ~ T ~~;6 6s' ° ' ti ~ F~r.7is~fE.D Gea4~ P+.r»~ B L O G K 9, ~,o~ / 4 ~ ~ ~Q„~,, = g 39 . g 3 'S1.0 1 / i. i 1 NS k~~\~ / i: li'~ ~ ~ 7 ~ 0 . Ns _ i z'I.o'~ i~',-~or'E~5 E,c~sn,~s E~C'?. =~3~,c~ 9t-t~o) I~1orES PR.~PoSEJ E~G?. = ~35.a~ /AD~u~rES D~REcria~l ~ ' t.:i ~I lp SJRFAL.~ DR~k~~?AC. E I hereby certify that tliis is a true and correct rr.pre~entation of a tract of land as shown and described hereon. As prepared by me on this /~f~ day of ~n/.~~ , 19 ~3 ~t~.~...f Minnr.~ota Registration No. ~~°$S ~'OBE' ~pHSUlTtHO (HOtN[(141 ~NGINEE~AING P~ANN(AS and LAND ~t1AV(YOfIS COMPANY, INC: ~ " ~ L .~1000 WT lith 3TIICCT, DUftH3VIlLC, f11HHCi0TA SSS)7 ~H ~72-SO00 cc r-~ c cac o,~~'z~'-v-~ y ~d~4I crl,~L~on • LOT 1, BLOGK 4, PARK RIDGE . DqKOTA Gou~tTY, P'~6NNESOTA. . ~ . RipG~ C93, 3 vu7uRE w0.6 1A ~ N ~/.yp C3 j' . 4:3s s'''+ ~T~,< . ~937.6 0 I\ \ 9J3g c',a ~ SfT6ACK LINE~ I \ \ ~Q~' e~ '~e ~js NoRTH ` 4~' J SGALE 1"=30' =W ~ I 9\ 93p p ~~ti7 0 9~~~v o~O•a 8~~~~~ ~ l~ ~v/~ ~a I iB tJ /ti ' c. t/ . . ~ , ~A y rQ ° ~ o-~ ~ _ ~ ~ v~ ~ ~ P~ ti DtcwtMA.G.E ANO J71UTY EASEMENT .Z~~SJ 3b,~0E r ~ /r~'s~0 / / , T / ° ~ N ~ i o. a° a..~i ~ : ~ Ay <9 ~ I ~ T ~93~361' ~~O ,3 ~ s f~a~s.(ED Gn+R.a~me. Ft.na4 BLDGK 9,~,e~ / 4 ~ E~lAnua = R39•g3 31.0 ~ ~ \ ~ / s / i_.i~ i ? ~'r y~.r t:ti'(l..'.)7 ly t's _ 4.. • 9z~.o ~ UC~-~or~5 G~~sn~6 E~/. =~'S~,c~ 9s.~•o) ~r1c+ES PRoPo~ E~G-~~ ° ~35.a~ ~ //~1D~t.qrGS D~REc1'~o~.! o~' „ Z.:: 1 v~s S~RFAC~ DRa„~~nc E I hereby certify that this is a true and correct repre~entation of a tract of land as shoWn and described hereon. As prepared by me on this l~f~ day of , 19 ~3 ~~e*-> / .d'~~ Minnesot~ Rcgistretio~ No. ~6°$S . . - _ _ _ _ ~ Yri1LL1YS YLAtV JtitYll.~ ~ ~ - . : ~ - - . - . ~~.r. _ _ . t- ~ ~ , . . ' . , . - EXTERIOR ENVELO~ E kVERP.;f "U" LDMPUTATION _ , } _ , : , , . pWNER , . ~ < , - _ . . ~ ,f 3 SITE ADDRESS : . : £ . - < ~ CONTRACTOR R~ 5~ H e rut E~ f~ DATE : PHONE - _ F , - _ . _ . _ . , f . . . . ; . . . . : ~ - - . F . . . ~ . „ ~ . , . ~ • Determine working square foatage of each. ~ 1. Totai exposed wa~l area t 862 ~ sq. ft. x .18 ° 335• /6 , ~ 2. Total roaf/ceilin area Q(e!~1 _ sq, ft. x .0: = Y~5 ~ r° g . . 4 • . ~ _ Tata] exposed wall area a6ove floor = 1(sfs,'7.2 a. Total watt window area ~ Z 9•Z _ b. Tatal door area 3 R ` . c. 7ata1 sliding glass.door area . g g - d: Totai fireplace walt area - . e. Total wall framing area (average 10~},,,;........ 2 ~ • f. Total net wall area`above floor Z 7~. - g. Total rim joist area 99.L Total exposed foundation area = 4 5•2 ~ , h. Total foundatioa window area... i. Toal net foundation area abpve grade 9 5• 2 betermine "U" value of each wall segment. ~ a. /29•2 X "U" •SS = 7/•0~ b. 3 8 x"U" ./39 = S• Z S . c. 88 x „U„ .s = yy - a. - x - _ e. /4/.2 X "U" ./2 - /6•9H f. /270 • S x ~~U„ • OS = ~15/-97 g. 49. 6 X"U" 05 • 9 g h. X _ - i. 95-2 X "u" •~l69 = ~yby 3 8 b a...........Total = 2 6/. ? If item ~3 is the same as, or less than item ~1, you have met the intent of SBC 6006(c)2. . ~ _ _ - Total exposed roof/ceiling area 6 4 _ _ . . 9 _ r Total gross raof/ceil in area - 8(Dy - _ _ . _ - . : . . _ ~ j. Tota1 skylzght area : , F k. Total roaf/ceiling framing area B 6•'~/ - 1: Total net insulated roof/ceiling area..`..... 7 Z.2. , ~ Determine "U" value for each roof/ceiling segment. - x _ ! . ' k: . ab.y . . . x ~~U" .~35 = 3 •~2. 1. 'l72.2 x ;pa,., _ ~~.2 . 4....... ..........~Eay.........Tota] ~ .ZZ If totat of #4 is the same as, or less than ~2, you have met the intent of 58C G006(c}i. - ~ ` To utilized the total envelope system method, the values.established by the sum of items ~3 and A4 shall not be greater than the sum of itens ~1 and ~2. ~ , 2. _ 3. + 4. _ MATERIALS Therm. Hesistance "R" Szterior Air 5lding }faterial •y$ Sheathing z . 06 Insulation - 1~_ Shsetrock •~/5 Interior Air • L g Studs y3 g . Rim A g ConC. BlkS. /•2 S . , . i RESIDENTIAL BUILDING PERMIT APPLICATION r - CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~ a~ ~ S 65'1-681-4675 NewCanstructionReauirements RemodaVReoairReauirements ~Kl..~--~~ 4^~f~ • 3 regislered site surveys showing sq. ft. of lot, sq. R of house; and all mofed areas • 2 coDies of plan (20°k maximum lat cove2ge allowed) • 1 set W Energy Calculations for heated add'Aions I_~.~ Q~_ . 2 copies of plan showing 6eam & window s¢es; poured (ound design, etc.) • 1 sile survey for e#erior additions & decks • i set of Eneryy Calculalions . Indicate'rf home served by septic system foradditions . 3 copies W Tree Preservation Plan if lot platted after 7li193 • Rim Joisl DeWil Options selectian sheet (bldgs with 3 or less untls) DATE ~ ~ZI "d L VALUATION ~S~• dD JOB SITE ADDRESS ~ 73I ~lliG~ Wl~ TIZ . IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ~/^flv D P rve~ r~ lei^a c~ e rwraw _ ~ 7~ TYPE OF WORK ~~t,~ ~~S Drccl~. ~I H~• IF RE~LACE( _ 1_ 2 S~~,C~. APPLICANT 0 rwian ~ PHONE# bSI-~f~O~9/8~{ ADDRESS~f7 3~~ A w c.P T1Z. ZIPCODE• SS/'a~ PAGER # CELL PHONE # ~`a -qg7 -~s~3. FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY (check one) - Residential Ventilation Category 1 Worksbeet S 't~d ~ ~ ~ ~ ~ ~ - Energy Envelope Calculations Submitted _ MINNESOTARULES7672 JUN 21 200 - New Energy Code Worksheet Submitted By Plumbing Contractor: Phone Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery Syslem Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 2002 OFFICE USE ONLY ? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool CI 30 ,Accessory Bldg ? 02 SF Dwelling ? 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ~ 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 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 ~emolish (Bldg)* ~ 43 Reroof 46 WindowslDoors E~ 34 Replacement *Demolition (Entire B dg only) - Give PCA handout to applicant Valuation ~4 Occupancy ~,~j'~:!- MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units T Sq. Ft. PRV Nbr. of Bldgs ! Length Fire Sprinklered Type of Const _ r rv W idth REQUIRED INSPECTIONS Footings(new bldg) FinaUC.O. ~ Footings(deck) ~ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC~/ / ~ _ DrainTile x Other/~f7n/~tyi,/ f'' ./~/!y/`~CY' Roof Ice & Water Final Po I Ftgs Air/Gas Tests utal _ Framing )j Si ' Stucco Stone _ Fireplace _ R.I. Air Test Final T~[ Windows (new/replacement) _ Insulation ~ Retaining Wall Approved By , Building Inspector Base Fee Surcharge ~ rr,~ Plan Review ~ ~ MC/ES SAC City SAC r y~~ J S/ Q~ ~ J /i/ c/ I Water Supply & Storage t S&W Permit & Surcharge ~f"/'{-- Treatment Plant / / rV Plumbing Permit Mechanical Permit ~ /(~~j'~D~ License Search l~ n g~ ~t'd~~~~ %r ~x`~ Copies ~ ~ Other Total A~BE , j ~ ~HAHNtA1 nd~IAHD fSUAV~YOAS ENGlNEE~AtNG . C4MPANY, iNC: ~ ~ ~ ~ ~ID00 WT t4if~ 37RCCT, 6URHSVILLC, YINHLSOTA SSSST ~H ~72-3000 Ccr~ ~'~'GCC~~ c~,~c.~-v'~y ~ Ia~t I.`~.:crL~~ton • L07 l, BLOGK 4, PARK R1PGE OAKOTA GouNt'Y, MINN85oTA, R/ip~E, suruPtt cvaa 1~ `9~ 3.~ yC _ J _ ~ T ~i).;~' ~ 3s'~as~,• .~93~.~ . . ~J3e ~ 2 q . ~o S[T6?GK uNE ~ ~ \ 'Ps~ . j ~e ~~f ~ ti~ ~ NoFITN \ SCa.?.6 1"-30' ~ ~ ~ ~~r ° I • v~ ~ 0 ~9\ ~ ~ 9'83 'A~ ~ y'+r o > w 0 f 9, v o •o ~ / O• l ~ S ,~iV . fi k ~ a~' . - ~ o ~ ~ ~l~ ~Z p,A~NA6~E Mlo ti71L~TY 6ASEMENT . ~xJ 3~ ~!s ~ ~ ~ ~ r ~0 ~ ~ L T ~ ~ ~ ' a / ~ j C~ ~ ( ~9~ kq' . 0 ~l ~ ~ ` k~' p~..us.lE.D aad4AS.c Fi~~ ~ ~ L~G K ti~.a1 / 1~ ~~..~.i~n.,a ~ 9s9•8~ S 5~~ 3,.:- 41 . / ~ ~ ~ ~ L.:)'i ~ NS~'r~\~/ a~~iTL~:?T ~ ~ ~ • ~S. Z1.o r . ~a-fGK'GS f`~C~5T1wJb Et.E"J. % ~'S~.t~ t~;o) I~ilorEb PRoPo3~1) ~W?• _ ~33•a~ 1~O~u.rES D~R~~r.~r oF ' i.ai ~ t0 SJRFAGE 1J~TA~~At+E hereby cettify thet this is a truo and correct rGprer,~sntation of a tract of land as shown ar le~Cribed hereon. As prepared by me on this /~*t day of ~n~ , 19 ~3 ~2.t~•~ M1I7RC^a0t:~ Ilcgistration No. l~o$~