849 Rogers Ct . , CITY OF EAGAN ~ n c~ '
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121
PHONE: 454-8100
QUILDING 'ERMIT Receiv~ #
T~ N~ ier Est. Volue Date 19 ~
5ite Addrets ~ Erect . ? Occupancy
Lot Block ~±c/Sub. Remode4 ? Zoning
Parcel No. Repeir p Type of Const.
Addition ? No. Stories
- Move ? Lsngth
W N~^e Demolish ? Depth ~
~ ;1{ • r _ •^p~; ~ti~
Addresa Int Impc ? Sq. Ft.
City Phone ' ` Install ~
p~ ~ Approrals f~p
O N8m@ - r. l~
A~~~ As3essment Permit ' - -
City Phone r i~ Wahr b Sew. Suroharge U~
Police Plan Review y a
~ W Nsme Fin gqC G
i _ . Q
Address Enp. Water Conn.
~ W City Phone Plonner Water Meter ~
ti' U a
Council Road Unit r~ a
( hereb ocknowl fhot I haw rood this applicotion and store that 6/:i i;`~`_ u C
Y Bldg. Off. Tr. PI.
tF~ into~motion is coned ond ogree to tomply with oll applicable A~ Parks
Stat~ of Minnesota Statutes~o~d City of Epgph Ordino
'_~j t._.• ~ ° Var. Date C~~~
Sipnoture of Pertnitte~ T~ , ~ ~ '~Q-~~ ,
i% , i., i7L;';? . Total
A Buildirp Perm~t Is isswd fo: " on tM exprcsa condition ~ho~
oll work shall be don~ in acoo?donce with oll appliwbl~ Stah of Minnesoro Stotutes ond Cify of Ea~n Ordirwnus.
Bulldinq ~fficial ~
PKmit No. P~rmk Hoidn D~b TNsphon~ ~
Plumbinq ~ ~ 6~ y <
H.V.A.C. .Z- 1-v` ~ ~ 1 ~ ~SZ.~/
ENctr{c ~
~
L_ ~ ~ ~ ~ f t ~ -
/C
SoTt~r
I~npsetion Da~a Insp. Oth~r
Footiny~ I ~
Footinps 11
Foundatlon
Framing
Roofinp
Rouph Plbg. ~ .
Rouyh Ht9. y3 - S
-~.s
Insul. "r ~e
FlhpiaCs
Final Htg.
Flnal Plby. ~y
i / /
Flnal .Z !i/ r' G// G-c[ Co ~f f~a / r
Ce~t/Occ.
W~~ W~erib~ Loeati n:
Wall
SowN
Pr. Disp.
Reoeipt `1 ~ PLUMBINGPERMIT PermitNo.
~ CITY OF EAGAN .
Fae
1- i~ FiII in numbered spaces S/C ~
Type or Print /egib/y To~
1. Date ~ ~ ' % ~ . 2. Installation Cost '
~ r~
3. Job Address 'ti Lot Bik. Tract
4. Owner
5. Contractor i~ , Phone
~ 6. Address '
7. City State ~ Zip
8. Building Type: Residential L~1;. Commercial ? lnstitutional ?
9. Work Description: New C7 Add ? Alter ? Repair D
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
- Laundry Tray
Floor Drains
Drinking Ftn.
~ Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 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
R~aipt , ' ~ , MECHANICAL PERMIT P~rmit No. ~
CITY OF EAGAN F~ ~
1
~ , fill !n numbersd ~ces S/C
' ^ j r Type ar Prini /e~ibly T~ •
1. Dats 2. Installation Cost ~
3. Job Addret: ; i ; ~ + Lot y ~ Blk. Tract , ~ ~ ' \
' ~ ~
4. Owner • ~ ; c ~
5. Conuactor ~ Phoru - -i
6. Addrou .~E -
7. Gty - State Zip
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Desaiption: New f~ Add D Alter O Repeir ?
10. Das~xibe Fuel Type
11. No. Equipment BTU • M. Ea. No. Eouiament CFM
Forced Air , ~ ` Air Handling:
Mfg. - ~
Boilen ~ Mech. Exhau~t
Mfg.
Unit Heater
~9• Other
Air Cond.
Mfy,
Gai, P'iping Outiets
' 12. 1 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.
' for
Rouyh Fi~sl
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PIIOT KNOB ROAO, EAGAN, MN 55122 DATE
CONTRACT PRICE: PHONE: 454-810~ Far Office Use Only:
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block '~d Sec/Sub Res. New
._t
- Mult Add-on
~ Name
~ Address - ' ~ . Comm. Repair
Other
c City Phone
, FEES
~ Name - RES. HVAC 0-100 M BTU -$24.OU
~ Address ADDITIONAL 50 M BTU - 6.00
p Ciry Phone • (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI~ - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater _T M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - Z0.00
Vent. CFM ~ STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRiCE GOES
Gas Piping Outlets # BEYOND $1,000)
Othet' ~
FEE:
SI F EE
S/C:
TOTAL• FO : CI OF ~AGAN
~~~~~Sy y~!~~,~~
CITY OF EAGAN Remarks
a,ddition NORTENIEW MEADOWS ~ot 41 B~k ~ Parcel 10-52100-410-04
Owner ' Street 849 ROGERS COURT State EAGAN A'IIJ 55123
Improuement Date Amount Annual Years Payment Receipt Date
STREET SURF. 19H4 76. 75 7.68 1~ A01 -2 -g
STREET RESTOR.
GRApING
WER LAT 5 1981 15.89 .79 20 "
SAN SEW TRUNK 5 1981 138. 48 6. 92 20 10 .$g " "
SEWERLATERAL TRK S 1984 275.22 18.35 15 "
SEWER LAT 7~ 1981 22.28 1.11 20 g$ "
WATERMAIN $L~'J 1984 7~.67 4.•7~ 1$ ~j1.2
WATERLATERAL ~ 19$1 1$.65 .93 2Q
WATER AFiEA 1981 138.48 6.92 20
WATER LAT " 3 1982 29.52 1.48 20
STORM SEW TRK $ 1984 392. 32 39.23 10 2 , p
STORM SEW LAT
DRAINAGE 1984 33.97 3.40 0 2,1 " "
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN. Q ir r~
BUILDING PER. i~
SAC "
PARK
CASH RECEIPT
CITY ~F EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
_
DATE ~ ' 19 ~
wscsrvsc . Y % '
rwo.. ,:,i, i' p_ . _ -~r-L~.._._.
AMOUNT $ . ' y~ ~ y~~
4 oo~~wws
~oo
~ CASH Q CHECK
t'i-,aCi N..~
?Ow %~v~,~C/~ f' ~'`/'4r Z~/~L/'-2'~"~~ i .
~
. ~ l f.~ / I{ ' . , ~ . .
FUNG CODE AMOUHT
. ~ ' `t
_ ~ '
~ -'r
;
~ j_ •
Thank You,. ~
~ B.r ; c.f.C1-~ -L
LI ~ . . . . ^ , ~r'
Vlfhite-Payers CopY
Yellow-Postiny Copy
Pink-File Copy
I~~~ HOUSE HEATING TEST RECORD
ADDRESS S1 ~~~~A ~ e APT. FLOOR CITY SUBURB
OCNPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY Q~/ 1 yJ fUU V~P.c.) /?'LlC I~_,~wSTALLED BY
Elsetrieal Work By Gas Lins By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CON E I
MAKE r ~ MAKE OF BURNER C fl
Mod~l ~ d"L C3 Modsl
S~rial ~ Max. BTU Rating
INPUT MAKE OF FURNACE
Model
CONTROLS ,ti ~ ~
THERMOSTAT Heat Plug Y~nt Sizs
Valve KiND OF LINER ~ SIZE~NONE
Limif ~ Hood Regulowr
Limit S~tfiny - s Siza x Number !
Fan Ssttiny Chimnay Location Inside Outsids
~
Pilot Typs Chimnsy Construction
Pilot Make ~ r
Pilot Model Smoke Bomb x Wiring ~Y
Pilot Timiny Draft ,k Test TapT
L.W.• Cut Off Door Pressure k ~ Liyhtiny Inst. y(
11
Prossure ~ ~ ~ P~rcent CO ~ Data T~sted " ~ ~ ~
2
Input CFH Psrce~t 02 7 Company Testing l~
Stack 7emp. ~ Pereent CO Name of Tssfer
• Form 235
~ ~ ~ rl
Reosipt ' ' - ' PLUMBING PERMIT P~rmit No. ~
CITY OF EAGAN
c/ Fes
~ ~ Fill in numbered spacea S/C
Type or Print legiWY Tot
~ 1. Date 1~J A S 2. Installation Cost
s~yQ F~~P~~
3. Job Address Lot Blk. Tract
4. Owner ~~°(~1 UJQ~~
5. Contractor N~ n n f.~~O~~t" lY~n.n`Phone ~l ' I t~ ~
,1~ ~ ~ j ; ~
6. Address i CX~(r ~1 `~C' _
~
c~cv ! c~~ ' ~ '~o~.. s~te ~>!C~ z~p .
8. Buildin9 Type: Residential ~ Commercial ? Institutional O
9. Work Description: New ? Add ? Alter O Repair D
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs 5eptic Tank
Lavatory ~ Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Flaor 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.
c~ ~y .
r Signed : ~ ` ~ for
Rouyh Final ri
Inspections: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
` CASH RECEIPT
CITY aF EAGAN
P. o. sox z~-~ss
EAGAN, MINNESOTA 55121
~ „ '
DATE ~ ` 19
~
~covm , ~ j .
MeOM a'" ~~l' / ~
i f`'_'~
i~
AMOUNT ' $ ~v
a~ no~~wRs
~oo
? CASH ~,CHECK
~ ~ ( ~-./;f.,L ~.C . i~--~ ~~4-d
row „
I~ i ' L ' ~
',c ~.'~'f l~`-~/ ~ ~,J.~`}..~ .C 't~~~ .
L~
ruNO cooc AtAOUHT
~ - - ~ /
~=~li . ~ -
~ ~ U ~J
: J ~J
i ~
• ' - _ " -
. l~ ~
Thank You~ ~
e v ' ~C.- r
VYhite-Payers Copy
Yellow-Postiny CoPY
Pink-File CopY
CITY OP EAGAN ~EWER SERVIiCE PERMR
3830 Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 ~7~ = "
Z~,~~p: No. of Units: ~
Owrnr: :.Sl:l VIQI'~~ T~] i
/lddrcss: -
Site Addreu: ~ ~ x~` ` i ~ t
`earlckr~
Plunber. .
_ . . - ° 1 .
1 qn~ !o aw~l~r wMl~ 11r Citf ~i f~M~ Conn~ctton Cha~p~:
OaiN~ew. Acoount bspo~it. . '
Pem+M FM:
Surcharpr.
gy Misc. Choross:
Oote of Ir~?.: Total: '
Irop.: DoM Pold:
CITY EAGAN WATER SERV~CE PE~T '
3830 pibt Knob Road PERMIT NO.:
P. O. Box 21199 D^~:
Eagan, MN 55121
No. of Unlts:
Zonirg:
~wner: `t L` i
/lddrss~ ,
53t~ Mdre~:
PlumMr. _ r :
N1~t~r No.: Co~r+ectian C3+oroe~
/laoour~t DeD~t~ . . •
Size: . ~
~ No.: Pertnit Fee: ~ ~
: :
I .p« ~o w~l~/ `"'lll' N~. Cilr +1 ~N¦ Surcharo~~ 132. U0 .
A~wa~. Mtac. Qaro~ . .r,`~!>~, ~ x; ~ 'r
Totol:
Dob Po{d:
By
Dot~ of Imp.: Ir~.:
CITY OF EAOAN WATER SERVICE PERMIT
3830 Pilot Knob Road ; ~
P. O. Box 21199 PERMIT NO.:
~-19-~5
~ Eag~n, MN 55121 ~~TE~
Zonln~: R1 No. af Units: 1
own.r: Lrii Versal Bui lder >
Address: ~ ~ r
~h ~49 R ~r. s C ~ '
~Yf1'1blr: •`r ~-~'1-3-,' 'v±
Met~r No.•~~~5~6 9J~~F~sa t{iQain~ G~{jr+~Ctlan;Qqrp~: ~0(:•~0~d
~ . . ao;~
s~m: , ' V ~ , . a o~a
Reada No.: /~7 ...SD Permit Fae: -
~ .p.. !e en..~,r .riN~ lr. E [~dFo•l A ~A~ .
132 00~? S/'C'
Oer1N~a~. Mtsc. CFarpss: , ~c, rTie-~ ~ '
Total: -
BY pat~ Pold:
Date of Intp.: Insp.:
RESIDENTIAL
' BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55'122
I ! ~7~ 651-681-4675 ~ ~ ~
lv ~ ~_i
NewConstructionRequiremenls RemodellReoairRequirements ~~/~VJ-~J---~--~R
• 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; an~ll roofed areas • 2 copies of plan
(20% mazimum lot coverage albwedj • 1 set of Energy Caiculations for heated additions I O-~ 1- Q ~
• 2 wpies of plan showing beam & window sizes~, poured found design, etc.) . 1 sile survey for ezterior additions & decks
• 1 set of Energy Calculations • Indicate if home served by septic system for adCitions
. 3 oopies of Tree Preservation Plan if lot platted aRer 711/93
• Rim Joist ~efail Options Selection sheet (bldgs with 3 or less uniGS)
DATE lD-8`bl VALUAfION ~ i~i~00. 00
JOB SITE ADDRESS S4a ~Dq-GvS CbU-~'-~
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER Jtihn ~~~~h-~Clti
TYPE OF WORK D~P-P,IL- FIREPLACE(S) _ 1_ 2
APPLICANT FvisY1~I t1 r (~n.4lrt,c,G~h~ PHONE# °lS'Z-4~'0-"1"~50
ADDRESS )~binla F~1'LG~GbCWQ~? pv. SpI~NR{i ZIPCODE SS3'~~
PAGER # CELL PHONE # Ip~Z- 16Z-61 l0-7 FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATLGORY 1
(check one) - Residential Ventilation Category 1 Workshaet-
Rbmitted- r,'
- Energy Envelope Calculations Submitted il p ~ r~ ~ r~
U
_ MINNESOTA RiII.~S 7672 , d~T Dg Zcbl
- New Energy Code Worksheet Submitted . p~JG,
I J~~ i
Plumbing CoMractor: Phone #3" - -
Plumbing Sys[em Includes: ~Vatcr Sof[ener _ I,~1wn Sprinkler Fee: ~90.00
~Valer Heater No. oF R.I. Baths
No. oF Baths
Mechanicai Contractor: Phone #
tVlechanical System Indudes: _ .°1ir Conditioning Pce: 570.00
_ Heat Recovcry Systcin
Sewer/Water Contractor: Phone #
All above information must 6e submitted prior to processing of application.
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
SignatureofAppllcant ~1.~'YY~Il11""""`--'
Certificates of Survey Received ~ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-pfex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Mu1G
? 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
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscelianeous
~ New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
~
Valuation ~ Occupancy ~ 3 MC/ES System
Census Code ~3 y Zoning P-A City Water
SAC Units ~ Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs 0/ Length Fire Sprinklered
Type of Const ~G d Width
REQUIRED INSPECTIONS
ootings (new bldg) FinaUC.O.
Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
Drain Tile
Roof Ice & Water Fina] O[her
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stuceo Stone
_ Insulation _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee ~
Surcharge prG/L ~
Plan Review
MC/ES SAC
Ciry SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF EAGAN N? ~ O S O O
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ f
~ PHONE: 4548700 ~
BUILDING PERMIT Rtteipt #
Te M w~d iw SF DWG/GAR Va1ue $58~ 000 ~e JULY 1 ~q 85
5iteAddreu $49 ROGERS CT Erect ~ ocwpency R3
Lot 41 elock 4 Sec/Sub. NORTHVIEW MEADS Remode~ ? Zoning Rl
Repair ? Type af Const. V
Percel No.
Addition ? No. Stories
KENNETH WASON Move ? Lanytn 4 7
u°Li Name Demolish ? Depth 44
Z Address S11 NO LEXINGTON PKWY Intlmpc ? Sq,pt.
~ City ST PAUL pha~y 647-1852 mstan ?
UNIVERSAL BLDRS Avv~~'ah F~e~
~ Name .~Q
fu SAME Assesunent Permit
nddre~s 29.OC
• City Phone 647-1852 Wafer6Sew. Surcharge
Poliu PlanAeview 153.SC
r'W Name Fira gpC 525.OC
i~ nddresa Erq. WaterConn. SOO.OC
~ W City Phone Plonner water Meter 6 3. 0 C
Countfl RoadUnit 280•~~
1 hercby acknowladpa that I Mw rcod this application and sfote ihat g~d9, pry G~17 $ 5 Tr. PI. 13 z. 0 ~
fhe fnlormotion is Correct and ogree fo comply with all opplicable A~ Pe~
Stats of Minnesota Statute Gry of E,pgpn_ Ordinon .
~,r~ ~l~Ver. Date Cov~es
Stqnmurc of PemuMee L~, Tota~ $1~989.SC
A Building Permit is luued to: UNIVERSAL BLDRS e~~y
all work shall be done in otoordance w~t II opplicoble ate o nnewto StWutea ard Ciry of Eopan Ordfnancea.
e~~iai~ orf~aai D~ ~
This req~est widc '~j 6 ~ / ~ / / ~ C~
78 months fram " 1'7 Q Q~
, J~ Z'~ ~ 6 n1 p U~~ ~P.~.~t 7. S O
Reque~5t Da[e ~ Fire No. Fbuph-in Inspec[fon
,T` / fiequiretll Aeatly Now Q Will Notify. Insper
, ~ [ es ? No ~or When prady
~Licer~ed lectn I Contractor 1 herebv request inspectfon o1 ebove
Own~~ electrical work i~¢Ulled at
Street Address, Boz or Route No. City
8' ~ ~u ~ G A- ~
ecuon . TownqM1ip Name or No. Nnnge Na. Co ny
G
Oc'coqant (PflINT) Phone No.
l./Niv S t s ~ ^ ~~J 2
Power Supplier Add
~ o Cc..~cr~t~ iZ ~NG~'6 r•s
EI Uical Contractor lCompany Name) Ganiractor s License No.
N C
MailinB P.ddress (Contractor o~ Owna~ akin InstailatioN
3 ~ N r <y , ~S~{'~ Z
Aut rized SiO~awre ( nttac~ `Owner mB I2sta1 a[iunl PM1One
GNumb¢r
O ~
MINNESOTA S TE BOA11D OF ELECiRICITY THIS INSPEGTION NERUEST NILL NOT
Gripps-Midwey Bldg. - Room N-191 BE ACCEPiED B~ THE STAIE BOARU
1821 UniversifY p~e.. St Peui, MN 5510G UNLESS PIIOPER INSPECTION FEE IS
Phone 1612) 29].2111 ENCL0.5ED.
L'~ g'3 ~ REQUEST FOR ELECTRICAL INSPECTION EB'°°°°»+
, See instructiws for co
mpleting ~his tUnnon back~of Yellow eoav. /
~ 3 8 3 5 8 ""X~" Be/ow Work Covered by This Request ~ 5
Adtl NeD~ Typa ot BuilEing ApP~~ancea WireA Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. 8uildin~ Dryer - Electric HeaLn
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Corditioner Bulk Milk Tank
Farm ~n~. p Iy Othe~ ~suec~ryl
t r SVenfy Other ` O~hrr
ompute lnspection Fee Below
p Fee ServiceEntre~e5ize !f Fee Feeders~Subteeders M Pee Gimui[s
0 to 200 qm 0 to 30 qm 0 to 3D Am
Above 200 qRq~y. 31 to 100 Amps 31 to 100 A
Swimming Pool AGove 100-Am Above 100_Amps
Transiormers Irngation Booms ~ Partial:Other Fee
Signs Special Inspec±ion 5~. ~ TOTM fE K
Remarks ~'~~1
V
RouBh-in Dat~d ~7~ 1. the lectriw
~ ~ I~upec~.'lieraby
ro~t~ly ~het the abpve
Final ~fy~~ ~~p¢etion hes heen
• a ~ae.
/l~b request vo1018 montlm Irom '
flEQUEST FOR ELECTRICAL INSPECTION Ea-oucoi-oa
j/
l/`f ~ Sae instrucuons br comOietin9 ~his lorm on boek oi vollow coDV, ~ 3 7
~ 4,~ H(~ 8 "J(" Below Wo~k Covered by This Request
~:wf eo. Tyoe of Builtlinp AOO~~~~~ea Wired Epaiumenl Wiretl
Home Range Temporary Service
Duplex Water Heater Lic~htin, Pixtures
Apt Buildin~ Dryer Electrii; Hcatin
Commercial Bldg. Fumace Silo Unloader
Indusirial BIAg. Air Conditioner 8ulk Milk Tenk
Farm omv, oe~~ v om<~r ~sm,dr~~
t.r uocitv t er o~n~e
ompute Inspectian fee Below
N Fee Service EnhenceSiie fl Fee PenCers~Subteeders N Fng Circuils
Uto200Ams Oto30Ams Otn30Ams
Above 200 qmps~ 37 to 700 qmps 31 to 100 Am s
Swimming Pool qbpye 100_Am s Above 100_Am s
Transformers Irrigation t3ooms ~'a Partial•"Other F e-
Signs SUecial InsUection ~ -
Rerrvi.ks S O ~ TOTAL FEE ~
i ~ '
flough-in ~nte ~he Electrical
Inspec~or. he~e~y
certily that ihe above
Final ~nte inspection hes baen
. ~~-lY ~de.
n1~B f8QY0.41 VO~d ~8 T00~118 ~fOT
This request void ~W
18 months from . ~
45848 , j
quast Date ~ Fire No. qequired7 nsOecUOn ~qeady Nuw ~ W~II Nntify Insoec-
11-13-86 ~Yes ~NO ~or When fleaCv
~~4icensed Eleclrical Conirnctor I herahv repuast insoection of ebave
? Owner elacVical work i~talleA aL
Sveei Address. Box or Poute No. Cily
849 Rogers Court Eagan
ecuon o. Townyhip Name or No. flanBe No. Counly
Dakota
OccvpantlW11NT1 Phone No.
John Dietrick 456-9091
Pawer Su001ier Atltlress
Elecuical Contracmr ICompany Namel Conuaclor's License No.
Corrigan Electric Company 0 39549 8
Mailinp Atldress ICOntractor or Owner Makine instaflaiionl
P.0 Box 475, Rosemount, MN 55068
Au~ o rz d SiBnatura IC Vactor/Owner Making Installatim) Phone Number
' 423-1131
MINNESOTA STATE BOA OF ELECTRICITY THIS INSVECTION XEQUEST WILL NOT
Grigga-Midway Bldg. - Room N-791 BE ACCEPTE~ 9Y THE STATE BOARD
1821 University Ave., St. Paul, MN 5510A UNLESS PflOPER INSPECTION FEE IS
P~one (612) 297.2717 ENCLOSED.
PERMIT# .~v ~O RECEIPTDATE: 'l' ~ ~ -U ~
8008 ~SID~ftTI~kL ~LUM$INfi ~~M1T ~F~~LIC~kTIOft
crrY o~ ~s~v
S$SO ~ILOT KNOB iiD
$E16AA, MA 551 EE
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: ` 1 ~ / ~ 1 ~S
OWNER NAME: : ~d~~.~ TELEPHONE
(AREA CODE)
INSTALLER NAME: `t~ ~ b~-ClJ~/\ '^V ~b~ ELEPHONE ~a -yg`~` `S PFO
STREET ADDRESS: a~I '~I 1Ce~ V"~ ~lI ~ (AREACODE)
CITY: ~Or~ STATE: j.(/~~ ZIP: ~?3S~
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
~ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit 5/8"~
m-^eter if neededI -$118)
_ Other: ~C~,~.l~vv~ t~
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacement/additional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
rotal MAY 1 5 2002 $ U'
I hereby acknowledge that I have read fhis application, state tha[ the infortnation is wr gree to complywith all appli ble Ciryof Eagan ordinances. It
Is the applicanYS responsibility to noti(y the proparty owner that the City of Eagan ass i- i i oraa by lhe City during its normal
ope2tional and maintenance actlvities to the facilities consUucted under this pertnit i i C' ~ prope hFOf- easement.
SI ATURE OF PERMITTEE t/02
RESIDENTIAL
BUILDING PERMIT APPLICATION n~~ ~
CITY OF EACAN `°'~J ~ r~ a~
~1 3830 PILOT KNOB RD - 55722 ~ 1 ~ ~
~ ~ 65'I-68'I-4675
New Construction Reauirementa RemodallReualr Renufrements
. 3 regis[ered site surveys showirg sq. N. of IoL sq. ft of house; and all roofed areas • 2 copies o( plan
(20°b ma~cimum lotcoverage allowed) • 1 sel of Energy Calculatbns for heated additions
• 2 copies of plan showirg 6eam & wi~ow saes; poured found design, etc.) • 1 site survey for ezterior addNOns 8 decks
• 1 set of Eneyy CalcWatiora . Indicate it home served by septic system for additions
. 3 copies of Tree Preservation Plan'rf lot platted after 711/93
. Rim Joist Defail Options selection Sheet (61dgs wRh 3 or less units)
DATE T' dc1"~~- VALUATION l~-2.~~G~7•O6
JOB SITE ADDRES~~`~
I~-d~~T,2T~_ , ,
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ~_~~~,P - iSCR ~g m(~~, lSl' y-SG° 9~~
TYPE OF WORK /h, PIREPLACE(S) ~ 0_ 1_ 2
APPLICANT ui PHONE#~~~9T 9~
ADDRESS L-r7 k ,~uY2~SViuC ZIpCODE~~S
PAGER # CELL PHONE # FAX # • S -7y~~
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMP D E~,~6R 0 9 2002 ~
Energy Code Category MINNESOTA RUI.FS 7670 CATEGORY 1 ~
(check one) - Residential Ventilation Category 1 Worksheet Sub d
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
C~ Ri S e~ ne~y Code Worksheet Submitted _ 3~ 7~
Plumbing Contractor: ~~"~9~ti ~~I.~ m R„~} ~ Phone I S2 ~ y3Z'd C~ 6 l~
Plumbiiig Systein Includcs: Wacer Sof[ener L;awn Sprinkicr Fec: $90.00
Water Heater No. of R.I. Bal~is
~ No. of Baths
Mechanical Contractor: Phone #
Mechanical SysLem Includes: Air Condilioning ~ Fce: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of appiication.
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 Ordiy~~es
/ )
Signature of Applicant Q ~~~'h~^'"~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 O5-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? O9 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? U4 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower L vel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg~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 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant
cG
Valuation ~Gv a`~ Occupancy ~ MC/ES System
Census Code t~ Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units - Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
TypeofConst 1/' Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation ~ HVAC
_ Drain Tile Other
Roof _ Ice & Water Final Pool Ftgs Air/Gas Tesu Final
~ Framing _ Siding Stucco Srone
Fueplace _ R.L _ Air Test Final Windows (newheplacement)
~ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
surcharge ~~/~'I~ D~ L (J LGw C/L
Plan Review ,p~~ Sv~ny y ~
MGES SAC ~~~J ~ ~
CirySAC ~~'[~/t-/V ~ ~C /"1G"`~ ~
Water Supply & Storage m f~
S&W Permit & Surcharge
Treatment Plant ~ P~~ ~
Plumbing Permit Y~ ~ ~(~rsc~ - ~ c.~ 30
Mechanical Permit
License Search GG w~
Copies ~ ~ ~ s u ` ~ ~ ~Z
Other ~
Total ~
ZS
. . . _
CITY USE ONLY
L ~ BL ~ ' RECE~PTfi:
SUBD. ~~,Q~~r4~W s RECEIPT DATE: ~ T
PERMIT # 3 8~ 3 r
Y 999 ~L[7bl~INa ~M11' (i~SID£PTI~kL)
crrYoP~is~
sdso ~a~r [uvoa su
_ ~is~, eei~ ssts~
~ (asi)agi~?a~s
Please complets tor. ? single famity dwellings
? townhomes and condas when permits are required for each unit
? heckflaw pteventer for u~derground sprinkler sysfem
FIXTURES EACH M TOTAL
.^,a:h tu5 ~---~--T-- _
~p -...~:.i X J
Floor drain 3.00 x = $
Gas i in outlet ' minimum - ~ 3.00 x - $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x - $
Laund tra 3.QU x - $
Lavato 3.00 x - $
Minimum fee alterations to existin dwellin 30.00 x - $
Private Dis osal S stem new/refurbished • r uires MPC iic. 75.00 x = $
Private Dis osal S tem abandonment 30.00 x = $
RPZ new installation/re air 3Q.00 x = $
Rou h o enin 1.50 z = $
Shower 3.00 x - $
Under round s rinkier if dweilin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x - $
e 3.00 x - $
Water heater 3.00 x - $ ~
f f if dwellin untler consWCtlon 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water tumaround 30.00 x _ $
State Surchar e .50 $ .50
Total --a o . S~
Reminder: Call for inspections of akerations, I.e. water heaters, water softeners, etc.
- . - '
-
IheiebyadmowledgelFieElhavereadfhis--- • - - - -
appiptlon, state that the IMamatim is carect, and a~ee fn oomply wNh all applicabk pty of Eagan ord'ma~ces.
It is llie appfipnYs responsibitlty to nodiy the p~operty awner that the City oT Eapan assumes rw Ifability fw any damapes pused by the City dunng its
nortnal operational antl malntenan~ a~vities W ihe ~es cpnsWCted uMer Mis pertnit wRhfn City property/rlgh4of-way/easement.
SITE ADDRESS:
YS ~
OWNER NAME: : ~~.e~ TELEPHONE / 4~SZ Qo y~
c~)
INSTALLER NAME: ~~l~~ /r7a-~~- TELEPHONE S~/ O~-~
ZiCREA CODE)
STREET ADDRESS: ~~~~GO ~v
CITY: ~ 2~- STATE: 21P: ~7'r~
SIGNATURE PERdAITTEE
.muwe~p i NoM Ofllco • 571~60fi6
(~~11dO1Nl~RINQ 6875 H~{hqy Mo. 65 N f
J _ Ynvr~polu. Rlmnasou Sl,i3[ ~
! _'r---'. . -.~.~w~ c:_.c_.._'_-____-.:_.... _ .
n sooin oni~e 890 6510
~,I 1 ('irll. Alum~~puf A Lnrv~mmrmol F.~nxm~rrmg'=='---~~2370 Rrver R,tlgt IiHn
~ l~ndSurrrr~nX ~ InnAl'lumm~g ~ Sud PtHmR eumwm~, M~nnesou esi.i!
QU
Carf~~'~ccrf¢. oF ~urv~ y ~'or ~orfh~iFw Qssoc . ~
S6'°s .
s
5~ 36~F
, ~ ~2
/ I 3.6~.
' ~ I Fq~4qQ ~ ~
j ~/~FpO^'aMQ'~'r Lr~`'*r ,
R
i ,o ;
~ _ i ~ ~qr
/ ~~o +
, / ~ ~ 'D. i
~'D,
/
'~9 3 I E i
„ <v ~ / -s ' ~
, o° ~ ~ _ °
~ ~
o,''~ / 3~~0 ~T>' ~ n/ N
~ - s ~ n ~ i
/ ` o ~ ~
/ ~ ~ - _ _ ~ v N
' i . ` i `
~13o~~v . ~ ~k~ 2~.61 i ~ i
~O I ~ i
,~,,,,.p,,~,~~ 0 ~ ~
4~
3`~eT Oa`~E""~Z ~ - ~ _ ~oq..o~ ~ ~ ' .
0 I,~'~,`~! J ~ . k8 ~
~0 O~ \ ~ '~n ~c~,ov l8~• ~
i
oooa. 5 o3;ap E ~
Go 3e ~ ~fl ~.1 B° .
;
V 913~2 i
:
a
~ i
~ ~
0
~ ~
~OT 41 ~ BLOCK 4~ ~ i
i
~o,¢r~~i~~ M~~oow~, ~
;
D~~oTQ CouNry, tilfNa~E~ora , ;
ADDroved for Northvi~~ A~sociates at per Architactur~l Control Co~~ittee by I
. ~
I
~ ~aLC
i
i
~
i
1 M~~ly urtify that thit ~uw~y, pl~n e~ r~por[ ra~ pnyar~d bY •e or rnd.r ~y dinct •up~rvision i
and that 1~~ a duly q~giat~r~d Land Surv~~or und~~ tA~ lw~ •f th~ Stat• ~f pine~~~ta. .
Dst~d tAi~ da~ af ~i~/•?. t9~Y by~ . _ ~
• ~ G~ry R ~~ris, R~qistv~l 1~~1 Surv~yor ~
Ninn. Py. Mo. 109~1 i
II y i
~ , 2/84
a ~
; ~
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
~ ' (PLEASE PRIHT)
1) PROPFIYPY ApDRESS: x~y' ~OC~~^S' CT
r.rrar• DGSCFLiPT2CN: y/ ~ ~/'i,-'tl~r~ i i~~~.~, s
(LOt/Block/Subctivision:or TaY Parcel I.D. Nimiber)
IF F"CIS _ _ ' cm^---^, r_ - T_..^, -
~,__.,T<=~ _,.'_.;~=:;G ?=.~:~1T I~ -
, . . lA~r._zi'=e3r;
PRES~I'I' ~~.^,c]IiY;/P2nPpSF~J USE: ~`l R-1 SINGLE FANLiLY
~ R-2 DUPI,~t U~IITS)
- Q R-3 :ZC~n'NHGUSE + [AVZTS) ( UNITS)
? R-4 APARZP~]T/CONDQy1~lILM ( UNITS)
? CQ+~II~III2CIAL/f2~.'PAIL,/OFFICE
a ~us~ar,
? INSTITUTIONAL/GOVERTII•~7S'
2) AppLICANT ° . ~(PLEASE PRINT).
NAME: ~G.C/.Sa,/ ~Q~,cs-
ADDRESS: ~J~ j~/ ~~/~~~7 TIlCG'c/
CITY, STATE, ZIP: Sf ~~i,I ~ Nl~l ~-/i) ~
Pxa~: ~'~/7-/~'sa-- .
j) pjj~Iyggt . PLEASE PRINT) FOF CITY USE.OXLY
NF~IE: ~
~ ADDI2ES5: ~~~~~~~2~~r~~~~~ ~ PLUXBERS LILEXSE:
~ . 9pN1 KFfJNFRFC BR~VE EAGAN MINN.561TL ~ -~i
Active
~ CITY, STATE, ZIP: "^-r...~,,452•1565 y...~ Ex
pired
• - PHONE: ~ . ~ Q ~M°t f'Rewrd
PLUNBER. LICENSE y 001445M2 ~
O 1 1'd'
4) OCC[JPAD7T/CX$III2 ? ~ - ,~PLEASE PRINT)
NPME: ~iiJ~d~?s_sn/ ~//.a .
iiDDI2E55: . „ - .
CITY, STATG, ZIP:
PHOP]E: . ~ ,
5) INpIC1.TE WI-lICH P~RMIT IS BEING RD~UESTID: ~ .
~ CONNECTION ~ CITY SES^]EE2 .
Q CONNE~TION ~ CITY WATE[2 .
? OTI~R (PI,EASE DESCItiBE)
6) INDIGl7~ C~'~tE:
~ PT.FI4SE FIOLD APPROVED PERhLTT. FOR PICIC-UP BY ONE OF A&7[7E
~C PLEI~.SE MAIL APPROt7ID PEE2MLT TO 1, 2, 4 AEC7VE
r ' ~ ~ ° (Circle one)
7) SIG~A'NRE: ~C(%tti c~-, . ' ~ ~ i
~ ~ . DATE : , . ~
. . . . -r raF~qss!#4'Pi Mi. iPN I~rtMlww~iTl~ PT~! II'I~ !~{'!~'!~?!h"P~4'~ ~ ~44~ ~~S
F O R - C I T Y U S E O N L Y 1~°~ ~~f'
. . - T "{~~'•A`s ~ ~rf "
_ c
~i~~~- .~.j
PERMIT ~ ISSUED '
~ '
FE~S: S_ ~,C~ SEWER n~2MIT (I:VCLliD~ SURC[?PRGE)
$ l~''~ WATER PERA4IT (INCLUDE SURC[IARGE), . '
$ ` WATER METER/COPPERHORN/OUTSIDE REP.DER
a WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ l' ACCOUNT GEPOSIT - SEWER
$ ~r°~> ` ' ACCpUNT DEPOSIT - WAm~;R
S J
~~c WAC :
$ ~ ~ S-. ,..`SAC
,
$ ..TRUNK WATER ASSESSMENT
$ TRQNK SEWER ASSESSMENT
$ L'ATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ -c'v'' . OTHER
, .
$ TOTAT~
~ ,
v ~ , ,r
$ ~J~sG~ '~"AMOUNT PAID/RECEIPT'# 5 ~'77~
DOES UTILZTY CONNECTTON REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
_ , . . _
YES IP YES, THEN A"PERMIT FOR WORK WITHIN
PU$LIC ROADWAY" MUST.BE ISSUED BY THE
NO ENGZNEERING.DIVISIQN. LIST AS A CONDI-
TION...
SUBJECT TO TIiE FOLLOWING CONDITIONSc
' Y . . , . . ~ ~ ' , '
APPROVED BY: : ~f L~G<e~
TITLE:
~ r
DATE : jI~O S
R ~i~ ~ai~ ia~ a~ R~ ~t+~ ~a ~ss ak~.~l4~A~F ' ~a ~k~ . .
. . . . . . . . . ~ i.~., ~Ff~ ~1d~ /~F ~ FJ~ !iE~ wk~ ~t sJ~ ~ ~
~-y ~ ~ v ~ + ~`~l~ 'WENL~L MECHANTCAL
sheet ~ oi Name: j~r.`x/ ,~;~~,~o~i" 3600 Kennebec,. ~ri ve
o-,c " tddreea: $Yf-- Eagan, .MN '5..5~22 :
HEAT LOS5 CALCUL4TIONS DEPAR'CNEI~T OF INSPFC'I'ION
' WeatAerstrips A.S. . Conrtruetion No. Ituulatioa
Guide
, Windowi I Door~ ~ Reference I Out. Wa{I Int. Wall Ceiling Roof Floor I Kind F~ow Applied
Yes-No Yn- 0 19_
F~•~ Room Length Width ~ Height ° ~ Fl.~ ~pTµ Room)Leneth 10 Wideh Heiaht
Window~ and Doora-Crackage and Area 9v Windowi and Doon-CrackaQe and Area
~ ~PIJ~~ Hel~~t No.ot Llnulft. Are~ 9 WIUIh B~IfAt Na.at Lloullt. Atq
~ No. o[ pane of D~ne IIiT4 of crack ~y. tt. ~ No. of Pan• of p~n~ Ilfht• ot eraclt ~Q. tt.
, ° I 3 Z 4~ ~ z°~
~ O 3 I ~9
~
Coef. Btu Coef~ Htu
Infiltration 4~.$ O ~ 7 I~,
Infiltration
CJass ~4ra ~.3 0 Glas~
Exp. wall E~cp. wall
Net exp. wsll r5~ ~o R I Net e:p. wall ~ ~y
Int. wall Int. wall
Ceiling 3yo ~`I o O Ceiling
Floor Flaor ~ ~
Towl Btu.
Total Bta
Required sq. ft. E.D.R. or aq, ine. W.A. Leader area (o (p `1 Q Required sq. ft. E.D.R. or aq, ins. W.A. Leader area 5
~ Fl.~ Room Length ~ Width ~ j Height c~'j ° ~ FI.I FO Room l l.ength Width ~d Hei~ht
Windawi and Qoors-Crackage and Area ~ Windowe and Doon-Cracltage snd Area
W IG~D R~l[~t No. of Llnecl t[. Aru WIEIM1 R~IfRt No. at LInHI lt. An~
No. t D~~~ ef D~n• Ilt~~~ of cr~cM p. }t. ~~J' Na. o( 0~~• ef p~n~ 11{hN ot v~ck p. [t.
Z z4 yy i ~z.a. 9'.5 ~ 3~ ~ p~e. ~5'. zo
~J
Coef. Btu u
In6ltratioa Z5.(o L.~q Ua. Infiltration frj• p"(
Clau v t `rJ U Glau ZQ ^U 1 0 0
Facp. wal~ 3 y Ezp. well ~ Z
Net c:p, w ~ ~ I 5. (p (pq U Net exp. wall
lnt. wall y Int. wall
Ceiling t I a 5 5 Ceiling 3~. ~(0 0
Floor - ~ Floor
Tcta! Btu. Total Btu.
Required sq. ft. E.D.R. or ~q. in~. W.A, l.eader ar<a 3q ( 9 Required iq. ft. ED.R. or sq. iris. W.A. Leader area ~~l 3~
Fl. Room ~ Leneth Width Height i p. L~v Room I l.ength i ° Width ~ to° Height
Windowe and Doora-Crackage and Area Windows and Door~-Crackage snd Area
wm~n Hdrn~ No. oe Llnul [b A~e~ ~ WIC~n ti~l~~e `NO. ot un..i n. wr..
No. at pan• o( Oans ?[A~~ ot cr~ch e0. fL No. o[ D~rm ot D~M tl[Tl~ of cr~clc
w. n.
~l~'r~ 2, 11~0 ZJ O ~ ~~~..g 1~.8 ~c°~
o C.~ 2c~ / 1..Qi .8 ~
1 io
Coef. Btu Coef. Btu
In6ltration 2$•(e O 1 U a, Infiltration 170. b ((a
Gla~t ! ~ 'U oi `j O Glasa 7 . '1] .3 O
Esp. waU Z!'Z, Esp. wall ;Z7'Z,.
Net eap. wall r 9~ {v l I j 8 Net exp. wall ( c( 11 (n
Int. wall Int. wall
Ceiling ~.7'~j ,5 ~ J ~ Ceiling Z'~~ J 1~~
~loor Floor ~
Totsl Btu. Tota! Btu.
Requircd sq. Et. E.D.R. ar cq. ins. W.A. L.eader arca q a`~ Required sq. ft. E.D.R. or sq. ins. WA. Leader aiea 1 O 9'-~C
~
r.
~teet Z ot 2 ~ N~i 'wEMZEL MECHANICAL
~ a;, . - . ~sa= 3600 Kennebec.Drive
Eagan, MN 55122....
HEAT LOSS CALCULATIONS DEPARTME~T OF INSPECTION
Weatheratnpa A• • ~ Con~truction No.
Gu;de Iusul.tion
` W~;~~~_ I ~~~_II Reference I Out. Wall Int Wall Ceiling Roof floor I Kind How
es-- o Yes- 0 19_ Applied
~S Room Length ~ Width ~ LHeight ° FI.~ Room L.enQth Width 4~Iei~ht
Windowe and Doore-Crackage and Area 8' Windowe aad Door~-Cnekage a~ Arca
~ ~e. ofDaa• ot~p~~~ H~ho: Llfcr~ck artt WIQt~ H~IiA~ No.ot Llw~ll6 Aeu
~ ~L' I r N0. of D~n• ef p~n• II[h4 ot encY p. tt.
~ ~ 8, v 3: z.j
I i .
_
, ao
Coef. Btu ~f ~
' In6ltntiou (o ~ O ~'7 (0 0
' Glas~ Infiltretion
4 ~ ~ 6 ~ GIA!!
Fsp. wall ~ ExP. wall
Net csp. wail ~I :p (y ~ 5 a.. O Net exp. wall '
Int. waf!
Ceiling Int. wsll
Floor Ceiling
f21 W (0 0$ 0 Floor
Total Bm.
Total Btu.
Requir6d sq. ft. E.D.R. or sq. ina. W.A. L,eader ama I(o 10 0 Required ~q. ft. E.D.R. or aq. ini. W.A. Leader srea
' Room Length Width Heieht Room ~ Length Width FleiYht
Windows and Doars~Crackage and Area Windows and Door~-Cracksge and Atea
WIOt~ H~IiAt Na. of Llneal tt. Ar~~
No. of p~n• ef 0~~• Il~~b of craek p. }t W16[~ H~1(nt Ne. el Lln~~l !l. A~w
. Ne. a[ D~n~ ef wn~ Il~~b o! enek p. [t.
~Olf. B14 ,
In6ltratioa In6ltration
Glass
Fsp. wall Exp. wall
Met ezp. wall Net ezp. wall
' lnt. wall lnt. wall
Ccding
Floor Ceiling
Flxr
Total Btu. i Total Btu.
Requitcd sq. ft. E.D.R. or ~q, in~. W.A. L.eader area Required ~q. ft. ED.R. or ~q. iri~. W.A. L.a~dar ~n~
F1.L , Rann~ ~l.~npth W~d~h Hriqht ~7. Roo,,,Il.en~lA Wicl~h Fb hf
...,.o...,._~..,,,
\t'iN~.+NV aN~l 1)a.a~ ~lweL.fs ~~+~V .+1~v Winrbwi ~nd lbn~~iie~a and Ana
N'Idl~ ~~ItAI 'Nu. o! LInu1 tt. ~-'Aro . ~ • ~ t o o Llnu t. wn~
Ne. af 9~a~ o! p~e• ?f~~• ot ce~ck .p. ft. No. of 0~~~• of p~n~ IIeAb ot c~~ck ~y. ft.
Coef. Btu Coef. &u
la6ltution
Inhltntioe
Gla~t
Clau
Esp. wtll Ezp. wall
Net exp, wall Net exp. wall
Int. wall lnt. wall
Ceiling
~ Ceiling
~~O°~ Floor
Tot:l Btu. Toeal Btu.
Required rq. ft. E.D.R. or .q. ins. W.A. Leader :res Required sq. ft. E.D.R. or ~Q. ins. ~YA. Leader atea
Y Q~ ~
307 • +
29 • +
153•5+
525• +
500^ +
63 • +
280 ° +
132 • +
1 ~989^5 *
/
- O ~ , • • ~ .
` , .
~
1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MOST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
7 SET OF ENERGY CALCULATIONS
~S~oee. ~
To Be Used For: J~~~~~ ~ Valuation: ~ Date: ~ i( s
Site Address: U~Q"[ ~n{~¢a~_c OFFICE USE ONLY
Lot: s~_ Block ~ Sect/Sub~~N-"t'rect Occupancy ~-3 `
Remodel _ Zoning ~-I
Parcel I1 Repair _ Type of Const ~
Enlarge 11 of Stories
Owner ~pp~~] -S-k{ f11 iJ/}<~nj Move _ Length ~t
Demolish Depth ~L~
Address ,_,r p~ ,~ti,F~„~ K)f„R•pri, ~Kk~ `r~ Grade Sq Ft
City/Zip Code 5T_ R~u*. 1~11f1J SSiO~{'
Phone ~0 ~ 1 - ln~'~? ~~Yj Z~ APPROVALS
Contractor ~/v E'~2S iq'~ ~j ~1~,,(~(C.~C Assessments Permit ~jp~,
Water/Sewer Surcharge 2~j.
Address _ Police Plan Review I S3,$O
Fire SAC 525~°-°
- City/Zip Code Engr Water Conn Spo.°O
Planner Water Meter (03.%
Phone Council Road Unit 2gp,=
Bldg Off (~-r', Parks
Arch./Engr. APC Treatment Pl L32.°O
Variance rq
Address TOTAL ~ y d /'~Q
City/Zip Code
Phone 0
~
V ~
y
l~x 1?~ = ~jcc~,~ 41 - I'Z54c~
l~ x>C~ ~~8 x S4 - ZSZ~ Z__ .
: ~
l~~\2 = Z2~xs4-= tz312 1
Z~ ~22 ~3~ ~ ~ ~ = 70l ~
~~I
i
i
„
NoRh OfHeo • 573~60ttb
UmU1~eqN 6875 H~¢hvi~ No. 65 N F
f"1~`~~eaueaawiNa Mmn.•oo~~+. ~+~nn•uu S.~a3i ~
J i . .._r ~~a a. - i
~ n South Ollica • 899~651u
l) Cni/. Mumnpo! N l:mvnnmrnml F,'ngmrrnng 123~0 Rive~ R~Uge [3ira
7andSunrrwg • Inq~) ~'lonnmg ~ So~! 1'esf~n,¢ Bumnvtlle. Mmnesots 553:1!
+ , ? ~
CQ~°~~~'~~ct'f¢. o~ ~urv~ y f
or ~orfh~~~w ~s~~c. ~
;
;
S6ja I
SS~ i
y~ 36'F i
~ ~2 ;
' i 3 6?, j
ti '
• / I F,, 4qE a I
I ~'~ep°~'o e~ ~T/~Tr ,
N R j
/ / . _ ~ o A~q~~ ~
/ ~I~ i
la
~ , / • ~
~ e ~ '0.
.~'~'h~/ ~ I ~
, „~i ~a\ jE 3
, o° a~n~ ~ u i
~ I
`
a~` 3° ~ ~ N N ~
a y~; . - ~ o~ ~ ~h ~ i
/ p I V i
~ \ ~ -,.",``1 I ry ~
5' / I ~ ~
~ ' 1
3 0,~,. ~ ,~n ° a~.vt i
,o ~ \ ~ J ,
~ ,~,~9 o ~ ~ i
3~~~ O"'"' ""~2 `~i~ _ ~ " ~ _ 1oA-~p0 ' ' I ~
O QoS. ~ I ~ o~ 18~•~`8 i
,~DQ OQ. 5~ AS' E- ~ i
' ~o ~ ~P7 ~l 8~ i
{
F= `113.2
V ;
~ +
~ i
i
w
s ~
0
~ '
~
i" _ ~ 1
L~~ ~ a . '
9 ~COC~ 4 9 ~
I
~
~o,~r~V~~w ll~l~,~~ot~~,
~,4,~i
oT,~ ~~Vl~r~ ~ ~~1~/l~E S~ . l ,
Approved for Morthvia~ A~soeiates aa per Architectural Control Co~aittee by i
~
~
i
Date ~
~
i
1 her~by urtify thst this au~vey, plan s~ roport ras pnpar~d hy ee e~ rnder ~y dir~ct suparri~ion j
and that I as e duly Y~qist~r~d Land Surr~yor und~r tha Laus of tAe Stab eF Ninne~ota. ~
i
Dated thi~ day ai.^~i~/.?. , 19~Y: by 1~ (
6ary p ar~ia, R~qitt~r~1 la~d Su~r~ror
~ ~ Minn. py. qo. ]091J i ,
.i
Nor 7ublish~~ All Riphis Ratervatl ~
%
. ! I •
EXTERIOR ETN~':.CPE AVERAGE "U ~ COPf?JTATI0:1
OFINER ~~Y17 Yl~ E'T t~ ~1.1 Ft~ V~
SITE ADDRESS
CONTRACT~R Nyl1y ~IF~t2~q/~Q~s «I~~JZ.<. DATB ~ 11 < PHO~IE -/BSZ
Determi:~e ororking square footage of eacn.
1. Total exposed wall area '/4SG, 84 • ft • x.11 ° 1~.
2. Total roof/ceiling area /C'3 3~_sq. ft, x•~26 = Z(n.9~
Total exposed wall area above floor =
a. Total wall vrinzo:~r area ~i.3
b. Total door area ~ Z
c. Total sliding glass area J oFi
d. Total °ireplace vrall area . ~
e. Total wall framing area (average 10~)...~0
f. Total net wall area above floor /~5 ~
g. Total rim Joist area t3 Z
Total exposed foundation &rea = ~
h. Tc~al foun3stion t•;indoa area
i. Total aet foundation area above grade
Determine i°U' value of each wall segment.
a. 43'3 x "U~: ~ = d~.48
b. --~Z n~1'; 46 - t 4 7Z.<
C.~~ X rrU:` IDS ° ?A.Zn
D. za g nU:` ,Of~ °
e. f4S.~ X' U" ' 24 z0.34L
f. t9.~sf~ X ,0~ ~
i32 g ~rU~- ~ = 5.
~ h• !'tg X "U' 6
1.-~ X rU<< a -
3 .................:..........................Total ~ 217,~ a
If iten .#3 is the same as, or less than item N1, you have met the,,.
intent of ~BC 5006tc)2.
• ,
r , . ,
Total exposed roof/ceiling area = Q~
Total skyli~ht area
k. Total roof/ceilir.g framin~ 2rea (average 10'~
1p
g0
1. 4ota1 net insulate3 rcc;/ceilir.g area LE~39
Determine "iS~ value fcr each roof/ce3iing se.~r:ent.
~ ` _ - ~ ]C ''U ` ` t95, _ ,
Z'Z _ fL f
k. ~~~.~n X .:U~, ~2 _ .
i. j e~ x,:U,, . e+~ = z~.
4........ .............................Tet2i =
'
If total o: {'4 is the sa:~e as, or less than E2, you have met the
intent of SBC 6006(c)1.
AZternate Suiiding Envelepe Desi~n
To utilize ihe total envelope syster. nethod, the values established
by the sun of items .~3 and shal~ act be ~reater than the sur.:,o;
ite;is ~l and r2.
1• I~oE` . I'~c + 2. Z(o . Ct ~1 = l~' 7. 1~
3. z«.~a + = 2~~.~q
,
. CITY OF FAGAN •
r' DIINIPNii "U" VALUE Ai\TD R-FACTOR AT ROOF, IdALL, RIhf AND CONCRETE BLOCf:
1 , . .
Provide insulation baffles in every ~ R~OF j(,C,~.~N(~
ra~ter s~ace. tR~ VA~
- y Q IisT~~lo~ ~is~ F~~~ . (c~
' . O Sf3` GYP E~, ' ~
.
~ ~ ?NSU~AjIoN
>
, ~-1'= OO EX~ERlo~`S~FILL F~LM (o I
. ~ . ~ t ~ ' ~
/ . ~ ,tU" =1 jtz = _P_~ ToTa~ (R~= 39.SG
~
`
- ~ . Wa~~
~ , . C~) vAL~
_ ; 8 • . ~v lN
jc['-lot= AtR FI~M ~(o~
, 9 ~ ~~2' GYP.~ BD.~ : . ~
OO tNSU~ATIo~ siz'' I
. ' ~O .Z'~.';~Yo`7:~iTc ~ . .Z,~
. ~ a ~4~~"c stn~ ~C~ . ~ 1
lo ll EX ~c^~~f~ F~~~ • ~7
. • tt l'~'~= l~R =:,1~~- ToT~~ C~~=Z3.ii
. ,
i
~ ~iM -
- . ; 12 . - ~ ~ ~ra~u
~z I~iT~.17~1oR ti~r, F~u~ ~i~
,
' . ' `j> ~3 13 5~/2' {NSUU~71C~a - 1q
~`r ~T) 2 nlT~ Rtt~l .SoIST l; @~
15 ~s ~J;z ~vr~-~.-~iT~ . . - . 2.~(n
. ~ N- C'~~;~r'fT~. s~o~r~ ~ ~ 01
. . f - ~Q ~.X~j'~R~~R At~ ~lU'1 :17
. • • ° = 1~
f rz = : . ToTa~ (n) = z~.6I
. o° . °o ' . . ~oJ~~ATtot~~ ~
~ . ~,3 iN ~et7l~i~ Attc F~~.t~ C~, v to$
~ 'S ~ 5 %z ~~.~~~~~ss ' ~ ~q .
~ bo~. i~ C ~4.-, . .bz
-r~
s q 1~ l1 . ~h~
~ . ' " °o ~ O I ='-~=~~'rk,g - v, zo
~ _ . eXjE(~lo;c AlR FICM , i~
e
b ~
~ ~ . u~~~ = I~CL= ~ f , TaTP~ (rc~=
Floors ove; unhe2[ed spaces snust have mininu~ R-factor of R-20 (tuck-under garages).
Floors ovr.r outdoor air (overhangs) nust tiave a ninimum P.-factor of F-33. ~
- . tmoitiu[ 1o fa) c~ncrons rnon ,snnnc nr,nun~
~ • _ ov Trritnur vsco rr.oc~ucrs .
IR) (R1
. Interior Air Fiim (I/alls) O.Gb Cyosum or plas[er board 3/A" 0.3T
Exterlor Air illm (walls) D.17 Gypsum or ylaster Lpard I/2" 0.45
In~crlor l~ir film (Vcn[ed Ceilin~) O.GI Gypsum or plascer board 5~8" 0.56
fxtcri~.~ nir film (vinted Leilin9) 0.61 PlywooA 3/8" p.47
~ ~ntcrlor Air Fi~n (Ilcn VenteA) U.GI Plywood I/I° 0.62
Ex[erior Air Film (I~an Vented) 0.17 Plywood }/4" p,g;
. Sheathin~, reg. density 1/2" I,j2
k7umim~m Sidinq O.SI Sheathinq, rep. aensity 25/3Z" 2.06
Aluminum r~ith ~acker 1.82 Nail-Aase sheathinq 1/2" ~ 1,14
Alum~~um wi~h Backcr G Foiled 2.96
t/2 x 8 ~ao s~di~~ (NOOd) . 0.81 s~ii~'„r aoofs D.33 - ~
7/16 x ~2 Il~rdboard Sidinq 0.6] Asbesros-cement shinq4 s 0.21
!•sbestos Sidinns I/4 Lapped 0.21 ASphalt roll roofing 0.15 ' ' '
Stocco (Orc:m and iinish Coat) pspahlc Shin9les 0.44
3;4" ~~ood Subflaor or Sheaihing 0.94 Insulation: 2-2 3/4^ Fiberalass 7.00
V1" Plywood '_i~eathin9 0.62 Insula[ion: ; 1/2^ fiber9lass IF.00
' - ' 1/2" Par(iclc tlc;.~d 0.6G Insulation:..b" Flberglass 19.00
?00~5: BLOWItIG IJOOLS . - , . '
. . " .
F~r, p~~c t slmilar sof~ tfoods 1 1/2" 1.89 aPproa. 3~~ 9.no ~
2 1/2" 3.12 ApP~ox. 4 I/1" 13.00
3 1/2" 4.35 Approx. 6 I/4" I9.o0 ~ '
5 I/2" 6.87 AvVrox. 7 1/4^ 24.00 .
. . nrProa. 14~~ . 3o.00 . ~
' Approz. IB'~ 40.U0 - . , - _
AII of~er insulation materials nust 6e ~
Filled verified (R factor) . . ' .
(R) Vermiculite - .
8" Concrere Block (5 L G Req.) ~.17 1.93 ~ . -
~2" Concre[e Block (5 L C Reg.) 11A 3.15 , ' ~ -
8" Lighc ~~ci9ht 2.18 5.03 . .
12° Lignt ~:eight 2.48 5.82 ~ ' . ~ ~ ~ -
~ ~~a~aja{,~~~aaaa~:~~i:~~:~~a~+a ~ . .
NOiE: (U) a Area Square Feet
~
dll Vlndows - . . - . . .
(w/S[orns 1^ to 4" Spacc) .5G ~ ' ' ~
Removal Pou61e Glazing (RpG) .55
ihermo or ~elded ;/16" air sn~~e .69 ~
1/4'• air ~pace .65 '
1/2" air sPace .58 _ - . - .
(Dther alndows specifically tested can use be[ter ratin9s)
1 7/4 Salid care door .46 , ~ ~ ~
w/atorm, wnod .;1 . . -
w/storm, metal .26 ' .
Pease Sree7Door Inz1/11/GL J.45R .13 - ~
~ Slidinq Glass Ooor, Hood .65 ' '
Netal .715 ' .
_ _ _ _
FIGURE 29-Basement AVUWF ~
on Concrete Footing
I ~
~ PRESSURETREATEDWOOD
; ~
; ~
Floorjoist i
i
i
i
, +
Fr~~~ '
\
~ I AWWFwall ~
1
i
~ Gal~anizedanChorbOlt. i
I :R~ . Size and spacing as required.
I Concrete slab
Polyethylene film '
~ Gravelor
crushedrotk ' !
I " .s~ ~ ~
7, 'P.=~
T:a~ .
I I
1
Provide drains through
Concrete ~12" (7 stary) footing ~ 6' o.c., or4" ~
~ footing 75' (2 story)~ of gravel, crushed rock or . ~
coarsesandunderfooting
and along the sides ot the ~
mncrete.
~
FIC,URE 29-Basement AWWF
on Concrete Footing
i
~ j
PRESSURE TREATED WOOD
i ~ i
!
Floorjoist
9
S
i
4 3
{ i
1
[ )i ~
~ ;
~ AWWFwall
I
I Galvanizedanchorbolt. ;
Size and spacing as required. i
I Con<rere siab
polyethylenefilm ~
~ ~ Gravel or
trushedrock ~
I ~ .a. .s• .
I iz~ra~' , . ~
Providedrains[hrough ~
Concrete ~12" ( i smry)~ footing @ 6' o.c., or 4" ~
I footing 15" (2 story) of gravel, crushed rock or
coarse sand under foo[ing ~
and along [he sides of the
~ mncrete.
~
, 1999 BUILDING PERMYT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD - 55122 -75
~j`7`} ~ ~1 651-681-4675
z-1-1°+ -9~
New Construction Reauireme~ RemadeVReoair Reauirements
? 3 regislered site surveys showing sq. ft oflo4 sq. ft o(house ? 2 copies of plan
and ~II roofed areas (~OSL maximum lot coveraae allowedl ? 1 set of energy calwlations for heated additions
? 2 copies of p(ans (show beam 8 window sizes; poured fnd. design; etc.) ? t site survey for exterior additions 8 decks
• 1 set o( energy plalaUons
• 3 copies of Uee preservation plan if lol plattecl after 7!1/93 ~
DATE: 'll ~ ~!-9 ~1 CONSTRUCTION COST: ~ c~~~~ U
DESCRIPTION OF WORK: leA2 0~' Fex~7-Y J~l~ l'`~~~
STREET ADDRESS: ~aq ~~e(L~ G
LOT: ~ BLOCK: ~ SUBD./P.I.D. v<'~'~ ~l t,~ S V`~ 1~II~ 0 1,~,
Name: ~~e~ Z 1 C~`~ J d~1 Phone ti: ~ s ~,~~~O- ~Q ~'7 f _
PROPERTY Fus~
OWNER
Street Address: ~ ~Qf G~-fL G
City CQ Srn n.A S[a[e: _ Zip: o~~J I Z?J
Compacty: ~UC~-~,o~-~j MoY+~2 ~~'n~____ Phone#: ~o~Z _ Z-d3~otD
CONTRACI'OR
- Steeet Address: ~GS
~ ~ `1 ~T
~ _ D
~ license k zlJ~~ 2Z
Sv'S ~p, d ~ ~ • ZO00
City =~~il~~~ _ SWte: ~ ~ Zip: ~ N
ARCHITECT/
ENGINEER Compury:________ Phone
N~une:-- Registration N:
Street Address:_____~_^~______- -
City State: Zip'
Sewer & water ~icensed plumber (reauired for new construction onlv):
Penalty applies when address change and lot change is requested once permit is issued.
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 Ordinances.
Signature of Applicant.~-~' ,\_o ~ c~.l ,Gl (_.x-Y~¢~
OFFICE USE ONLY
Certificates of Survey Received , Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? O6 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex C7 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ piex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging CI 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 'Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas InseR ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning ~ sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
` PRV
Fire Sprinklered
APPROVALS ' '
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review i
License ~
MC/E5 SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. '
Other
Copies
Total:
SAC Units
°/a SAC
~-~f0 . C~ ~~56
, , a ,
City of E~~~~ j Permit U' ~
~ Permlt Fee: ~ ~ ~ ~
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: _'~7 j
Phone: (65'1) 675-5675 i ~ i
Fax: (651) 675-5694 I Stafl: C I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 ~`'I Site Address: ~"I 1 K-~CY~I'~~.
i
Tenant: Suite
RESIDENT/OWNER Name: t'ILa~?~ ~1{~%~~~ Phone:SL~ '7(l't~
Address / City / Zip:
Applicant is: _ Owner ~ontractor
TYPE OF WORK Desc~iptian ot work T~f' ~~~r~"~
Construction Cost: v~ I•`I Multi-Family Building: (Yes _ I No y~
CONTRACTOR Name: .C~~ ~ ~ License#: d~~~~~~'"1
a
pddress:
City: ~ 1~(.l~'~~r State: 1"~v Zip: 55~C7~
Phone:~OJ~'-I~ I•"I~d-l1 ContactPerson: K[a(~~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Su6mitled
Su6mission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOT&': Pla~rs BvfG~~p~ ~ um
~ tf~ffi, j+vu°srr6mPE ~ r~d C~'~~'~~ F c~ ~ oNs ` S txt ?r
; ~ . ~ ~
tFre tttfahe~hori; '~~s ~ f ~ ~,~r~ it' y9St~ y ~rSt2~tS,•~fh~t J ,
sr ~°s~ r . r ~ t ,
~ iua_ . .r _ ,a..~s:~. r.~ I•'i~GQSdi~`~t1f~8=.,:~~9'd#f ~i ~t~. ~K~sw' ,.ftu4 .~:~Zv_ t,.....:~~tpr:c. ,s.,~,--vs,.. "
I hereby acknowletlge that this information is complete and accurate; that ihe work will be in conformance with Ihe ordinances and codes of the Ciry ot
Eagan; that I understand this is not a permit, 6ut only an application for a permil, and work is not to siart wiihout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appro al of lans.
x ~(I `~j (1 ~C ~ / (~C~'~-e~ X _ _
Applicant's Printed Name Applicant's Signatur
Page 1 of 3
~
i ortb ~ ;~`r~~ ~
Clty of Ea~a~ i Permit# f~~D ~D ~
I ~
I Permit Fee: ' I
3830 Pilot,Knob Road i ~
Eagan MM 55122 ~ Date Receiv~~~z~~~ _ i
Phone: (fr51) 675-5675 ~
Fax: (651):675-5694 I Stan: s ,
_ i i
2oos RtESIDENTIAL BUOLDING PERmiT aPPUCaTioN
Date: SiteAddress: ~ ~tQ ~p~~~5
Tenant: Suite
RESi~7ENT 1 dWNEi2 Name:~ p,~'(~ 1~1p~,r~ Phone: ~o~~ ~~~p~'
Address / City / Zip: v°~ . . . . . . .
Appl'rcant is: ~ Owner Contracior
TYPE OF WORK Description of work: -
Construction Cost: c~-. Multi-Family Building: (Yes N~l
CONTRACTOR Name:~ ~ ~ ~Y~C SJ lA ~ License ~Cj ( Cp`-;~g~ ~
Acidress: ~C,fVQ~~CI ~ l~
City. Slate: ~~Zip:~ ~
Phone: Contact Person: ~(~i c~ S'1 t'1'Q
COMPlETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residantial Ventilation Category 1 WorksheeS . New Energy Code Wo[ksheet
Category Submitted Submitted
SllbiniSSfOn fype) • Energy Envelope Calculations Submilted
_ . . ~
. . . . _ _ . . _ _
In the last 12 months, has the City of Eagan issued a perrnit for a similar plan 6ased on a master plan?
~Y'es _No If yes, daYe and address of master plan:
Licensed Plumber;' Phone:
Mechanocal Contrector: ~ Phone: -
Sewer & Water Contractor: Phone:
!~"n~,~'~r ~ ~T~~~"c
r~ten"'~ su~'ni~~re~zsns~fd~~ b ~;ilf
„~~f» at~~,„l.~~c"°~"rtrrin~ ~ ~
~~i~~,~.r~n`~~an F~ '~~d~~`~s=n€~~~ 'I~~ r`;,~d p aV~tl~s ecffi ~e~a's~~s,'~s~that~Wc~ ~~r~i,t~fi,~`e~ikY~r~~~`~
y~~ ~ :y~~- ~
.~-':,,&'s~,u~as s' y~~CUl11~:~'I~Ps..f~ll a8~i@~l.~C~~ ECI~IS,~"i z ~.'~"~~~"x~,~ ~`"~SEc . ~`.~.~a~n. &a'.
I hereby acknowledge that this infprmation is complete and accurate; that the work will be in conformance with lhe ordinances and codes of ihe Gity of
Eagan; that I understand this is raot a permit, but onty an application for a permit, and work is not lo start without a permit: that the wcrk will be in
accordancz with Ihe approved plan in the case of work wfiich requires a review and approval of plans.
~-~~`lY1<P. .Cs~t~ X
Applicank's P inted, Name ppli anYs Signature
Page t of 3
Rii-
{
- - - - - - - - - - - - -
x= For Office Use
Clt Of Ea of Permit
Permit Fee: •
3830 Pilot Knob Road
Eagan M0551122
Date Receiv _
Phone: (651) 675-5675
Fax: (651)1675-569.4 1 Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION - -
Date: Site Address:
Tenant: Suite
RESIDENT 1 OWNER Name Phone: ~Lj (o9OC TJ
Address / City/ Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
-,4 AN&~Lg 1I
Construction Cost: , Multi-Family Building: (Yes / No
CONTRACTOR Name:
License #:a C tCj~
Address: ACIQ
City: Ejap~a State: Zi 'Q
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone;
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge tl;at 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.
Applicant's Printed'Name ppli ant's Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 849 Rogers Ct
Lot: 41 Block: 4
PID:10- 52100- 410 -04
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Addition: Northview Meadows
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
John E Dietrich
849 Rogers Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA086321
09/23/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
!"
#$%&'()' *+*,
-./$%'"&0-1 23/4$,+
-./$%'53/4-.1 6789:C9
<*%-'!==3->1?7@78@A?7:
-./$%'#*%-+(.&1- -./$%
B$%-'6>>.-==1''K9C'' (+-.='#%''
V!#$ %& ''V())* * + ''H C MW*1.'E1-) .;
234 !5687!5565V6V!5'
:;1
<-=F.$0%$(,1
<=>'?@A1 /1;*)1+ *-$
B C&'?@A1 /1A$-%1
41;%C*A * + B- 1C'D1- 1C
E1 1C'<*F1E1 1C'?@A1E-+=G-% =C1C<1C*-$'H=I>1C/1I 1'H=I>1C *+1'<*F1
2$1-;1'%-$$'#=*$)*+0'3+;A1% * +;'- 'JK8!L'K"868K"8' ';%M1)=$1'-'G*+-$'*+;A1% * +N
#(//-,%=1
O-C> +'I + P*)1')1 1% C;'-C1'C1Q=*C1)'.* M*+'!5'G11 ' G'-$$';$11A*+0'C I' A1+*+0;'*+'C1;*)1+ *-$'M I1;'JE*++1; -'< - 1'
#=*$)*+0'O )1LN
2 '6'21CI* ',11'JB<'RS C'BDLT8UN55'595!NV59"
D--'B3//*.&1
<=C%M-C016,*P1)T!N55'U55!N7!U8
"(%*21
G:?H??'
#(,%.*F%(.1IE,-.1
6''(AA$*%-+ ''6
OM-IA* +'2$=I>*+0OMC*; AM1C'E CC*;;1@
ZK"5'4 ))'/)N\]'e!559VU'/ 01C;'O
X-0-+'EH''88!7ZX-0-+'EH''88!77
JK8!L'ZK86!ZV5JK8!L'V986KU!8
3'M1C1>@'-%&+ .$1)01' M- '3'M-W1'C1-)' M*;'-AA$*%- * +'-+)'; - 1' M- ' M1'*+G CI- * +'*;'% CC1% '-+)'-0C11' '% IA$@'.* M'-$$'-AA$*%->$1'< - 1'
G'E*++1; -'< - = 1;'-+)'O* @' G'X-0-+'YC)*+-+%1;N
(AA$*%-+ S21CI* 11 '<*0+- =C13;;=1)'#@ '<*0+- =C1