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1351 St Andrew BlvdSEWER & WATER PERMIT CITY TOP EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE 09- OFFICE USE ONLY METER #!W a73/ 3 PERMITDATE 09/23/91 CHIP # PERMIT # 12306 METER SIZE -S S B.P. RECEIPT # C 15454 ISSUE DATE 11" 13 - 5!! B.P. RECEIPT DATE 09/191 91 - PRV - BOOSTER PUMP SITE ADDRESS ? a!i l S t p d paj_ a 14 _-. d LOT BLOCK 05 SEC/SUB Fairway FiIls _T •APPLICANT: L=1ct)).. C aCt1LV .? T,?C ADDRESS: 1 212 - j -e%-III ?a CITY, STATE r .?- ?t 1 P ZIP PHONE: !:L + - ??? I PLUMBER: 2 - 'UAL AADDRESS:- I ' 1L1 CITY, STATE ?l ?i?r•, r?'f1?) IP ?F PHONE: c--? u . -4 J U OWNER: ADDRESS: PERMIT REQUESTED EWER !'WATER - TAPS - COMM/IND '''RESIDENTIAL L-NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic fMeters on Water Line. Credit WII-VgOT?e given for Deduct Meters. l1 CITY OF CITY, STATE ZIP ?-- PHONE: SIGNATURE PLEASE ALLOW TWO WNORKiNG.bAYS FOR PROCESSING. CALL 454-5220 FOR SEWER PERMITS, CONTACT ENGINEERING DEPT. WHEN METER ISSUED INSPECTIONS. FOR STORM SEWER WATER PERMIT CIl`i( $0 GAN 383frflilo? nob Rd. Eagan, M14,55122-1897 DATE 09-16-91 OFFICE USE ONLY METER # PERMIT DATE U9123191 CHIP # PERMIT # 123CA METER SIZE B.P. RECEIPT # (.1 1 5454 ISSUE DATE B.P. RECEIPT DATE 09 19 91 - PRV -BOOSTER PUMP SITE ADDRESS l a5l C} nndpoWa alyd LOT 12 BLOCK SEC/SUB FairWay H131-4 T APPLICANT: ADDRESS: l 4 l 2 k 1?,f, t?fi? CITY, STATE 1 !`' Y ZIP PHONE: (,-, ' '7. I PLUMBER: i ADDRESS: CITY, STATE 21P y 7, PHONE: ;,=1. yI ac} OWNER: - ADDRESS:- CITY, STATE PHONE: ZIP PERMIT REQUESTED EWER !-'""WATER TAPS _ COMM/IND 4-__RESIDENTIAL L- NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic,Meters on Water Line. Credit WILL NOT by given for Deduct Meters. OF SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. .r rfiL:` DATE: SEP 23, 1991 1351 ST ANDREW BLVD (HcDONALD CONSTRUCTION INC) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. z Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 Rcterveo ? ' r ? ' FROM AMOUNT $ 1 '' j ( u ! ?? & . (. DOLLARS 10 7 ? CASH ? CHECK I, I r r i 4 FUND O JECT AMOUNT Thank You r? BY C 15454 WhA. -p, Yellovr-l?oslin9 SPY PiNC--File Copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 dW 10'? ? 4 PHONE: 454-8100 BUILDING PERMIT Receipt Est. Site Address 1351 ST ANDHHY BLVD Lot _12- Block _ 5 Sec/Sub. FAIRWAY HILLS Parcel No. 1ST Name MCDONALD CONSTRUCTION INC Address 1212 BLULAILL DAY R0 City BURNSV I LLE Phone "061 Name SAME to H Address Er City Phone Date SEP 19 tgS L_. r ' OFFIC E USE ONLY Occupancy R-3 -*-J FEES Zoning * J11=1 (Actual) Const 00 Bldg. Permit 790, (AllowabTe) V_11 7 1. Surcharge M of Stories Length _64-# Plan Review 514.00 Depth ?• SAC, City 100000 S.F. Total SAC, MCWCC 650,00 S.F. Footprints - On Site Sewage Water Conn b?. On Site Well Water Meter 9R?iDp MWCC System City Water A_ Acct. Deposit • PRV Required S/W Permit 300 Booster Pump - , • S/W Surcharge • 50 Treatment PI 276.00 APPROVALS Road Unit 370.00 City I hereby acknowlege that I have read this application and state that I information is cor*t and agree to comp) with all applicable State Minnesota Statutes?and City of Eagan Ordir?s. Signature of Permitee\", , 1 r ..? --?- A Building Permit is Issued to: MCDOPLAW CONST INC Planner Park Dad. on the express condition that all work shall be done in accordance with all Council -- applicable State of Minnesola Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official ! , i Vanance - TOTAL 3+ 567.00 Permit No. Permit Holder Date Telephone # WATER ---- --- i SEWER --------- PLUMBING H.V.A.C. ?? LC lei /? 9/ p(f ' lOl o7iZ+ ELECTRIC Inspection Date Ins/ Comments Footings I ?y 71,1 4;? e I Foundation Framing Rooting Rough Pibg. 4 Rough Htg. 16 f Isul. ?? ?JA l0 x ?. Fireplace 111 !p Z p s Final Htg. j Orstat Test 1( Final Plbg. 11-lq-e1 Pibg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final _ S Deck Ftg. Deck Final Well Pr. Disp. A 1 AO Trrtif irate of (Orrupaury citp of Cagan Mrparbmt of suit wo 3wertion This Cenificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.. Use ctunfsmtion SF M//CA? Mg. Permit No. 14704 Oavp.ncy Type R3.?i 1 zonissg District RI T"C Cooas VN Oww of BuMN MM0 RALD CO MEMON Address 1212 BL ILL BAY BD, B' V= AMn= 1351 Sr ADIDI:iDW BLVD 14mlity L 12, B5, FAII3W M US 1 ST ". Dwe: 1 ! / I W I Buadmg Oficw POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: '' 1 1 I' I fit} 3830 Pilot Knob Road Permit Number: "H"t, Eagan, Minnesota 55122-1897 Date Issued: '*'?129-f (612) 681-4675 SITE ADDRESS: ;: I APPLICANT: iti} I },.I Icl \i l+ ri ?t f ,ilt ! I '' 1 H1 1 r I t.1.:,5 t it I I I it I. PERMIT SUBTYPE: TYPE OF WORK: I 111 (h tt? I : i l %,et ( I Ni Fti Mf}} 1 A 'A {'APA 1 I I'I EiM i 'i I% 1+1 0111 I i U tuft JjHY I I C i_ f 1: 1 s I1t VWP Permit No. Permit Holder Date Telephone it ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ?I BSMT R.I. BSMT FINAL DECK FTG G DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I ANIOJ-f w 0-Fl V0 rtl 1, I rai i !? 1 l lid. III I I i •! r , , ; X54 PERMIT SUBTYPE: TYPE OF WORK: DES•f H FP1 f ON ( 0AS ) Permit No. Permit Holder Date Telephone 11 ELECTRIC PLUMBING HIVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE / b FIREPLACE AIR TEST I r ?r FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 4,b" City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 206 r Use BLUE or BLACK Ink For Office Use .'5% cc�� Permit #: l J 0 1 I Permit Fee: Date Received: Staff: L 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: Suite #: Name: l Dil. (42 Phone: IP5 / Address / City / Zip: (_3 -,S 1 5+ c J d Name: Address:, P ---- State: Contact: License #: City: Zip: Phone: Email: New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name 4110Ib'Cllyofaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 f0i6rti�x� Use BLUE or BLACK Ink For Office Use C� � Permit #: t Cl U yc� Permit Fee: 4/4` ). Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Is Date: )1:� ! Site Address: 1161 "c del po Unit #: Resident/ Owner f Name: Ara 4 r o *4 1)w 'e- Phone: X51 ' `4.2�3 �Z` f`, ! � Address / City / Zip: 1 5 .J I S�Ft . r, cL v ry Sited, ef y, a. y� ' 1 f ' Applicant is: ` Owner Contractor/2--/ �— Type of Work Description of wor t n I S P' 5 reN ' 0 0 Construction Co' Multi -Family Building: (Yes / No ) Contractor r Company: ; f Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: 'c H ! 04T I iJ 91 In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor. Sewer & Water Contractor Fire Suppression Contractor. Phone: Phone: Phone: 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utiI y damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 1 -tkcJlt Applicant's Printed Name Applicant ieftture t ,Cteiiid- Page1of3 SUBTYPES, Foundation Single Family ulti 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DO NOT WRITE BELOW HISIINE Fireplace _ Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) _ _ Porch (Screen/Gazebo/Pergola) Pool _ Interior Improvement _ Move Building Fire Repair Repair DESCRIPTION Valuation CV Plan Review / (25% 100% Y ) Census Code 4') 4 #of Units / # of Buildings / . Type of Construction Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice i Vater Final Framing r 30 Minutes 1 Hour Fireplace: _Rough In _Air Test _ Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: /PP RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Final _ Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant 'R G - ) MCES System 7. -" SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: Footings _Air/Gas Tests Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: — Footings _ Backfill _ Final Radon Control Fire Suppression: Rough In _Final Erosion Control Other: , Building Inspector 791 6 2.043 L9-0e4l Page 2 of 3 j 337 S 7 d/v RTW S 5hijf REVISOR 1346.6012 1346.6012 IFGC APPENDIX E, WORKSHEET E-1. IFGC Appendix E, Worksheet E-1 Residential Combustion Air Calculation Method (for Furnace, Boiler, and/or Water Heater in the Same Space) Step 1: Complete vented combustion appliance information. Furnace/Boiler: Draft Hood Fan Assisted /Direct Vent Input: (Not fan assisted) & Power Vent Btu/hr Water Heater: /Draft Hood Fan Assisted Direct Vent Input: (Not fan assisted) & Power Vent y o00o Btu/hr Step 2: Calculate the volume of the Combustion Appliance Space (CAS) containing combustion appliances. ?.3.7b -sq r7 ` ch. %At The CAS includes all spaces connected to one another by code compliant openings. CAS volume: L/ ft3 Step 3: Determine Air Changes per Hour (ACH)' /Go c v r ykx Default ACH values have been incorporated into Table E-1 for use with Method 4b (KAIR Method). If the year of construction or ACH is not known, use method 4a (Standard Method). Step 4: Determine Required Volume for Combustion Air. 4a. Sta c .rd Method Total Btu/hr input o : 1 combustion appliances (DO NOT COUNT DIRECT VEAPPLIANC% Use Standard Method column in e to find Total Required Volume (TRV) Input: TRV: Btu/hr ft3 If CAS Vol • e (from Step 2) is greater than TRV then no outdoor o . m s are needed. AS Volume (from Step 2) is less than TRV then go to STEP 5. 4b. Known Air Infiltration Rate (KAIR) Method Copyright ©2009 by the Revisor of Statutes. State of Minnesota. All Rights Reserved. 2 REVISOR 1346.6012 Total Btu/hr input of all fan -assisted and power vent appliances (DO NOT COUNT DIRECT VENT APPLIANCES) Input: (9 Btu/hr Use Fan -Assisted Appliances column in Table E-1 to find Required Volume Fan Assisted (RVFA) RVFA: (9 ft3 Total Btu/hr input of all non -fan -assisted appliances Input: A/ O c oBtu/hr Use Non -Fan -Assisted Appliances column in Table E-1 to find Required Volume Non -Fan -Assisted (RVNFA) RVNFA: / co ft3 Total Required Volume (TRV) = RVFA + RVNFA RV= 0 + ,loo = c/00 ft3 If CAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed. If CAS Volume (from Step 2) is less than TRV then go to STEP 5. hep 5: Calculate the ratio of available interior volume to the total required volume. Doll' 3 M6 t A?Pt y Ratio = CAS Voe .,from Step 2) divided by TRV (from Step 4a or Step 4b) T o. / Step 6: Calculate Reduen Factor (RF). RF = ' anus Ratio RF=1- d),, ra i2 f9 ec t ss 1-1//101" ,3i0.'%o �.v Step 7: Calculate single outdoor opening as if all combustion air is from outside. Total Btu/hr input of all Combustion Appliances in the same CAS (EXCEPT DIRECT VENT) Combustion Air Opening Area (CAOA): Total Btu/hr divided by 3000 Btu/hr per in2 Input: I/ 06 00 Btu/hr CAOA = 4/ G c o /3000 Btu/hr per in2 = / 3. 3 3 in2 8: Calculate Minimum • i Minimum CAOA = CAOA mull' R PPS. Minimum CAOA = x in2 Step 9: Calculate Combustion Air Opening Diameter (CAOD) Copyright ©2009 by the Revisor of Statutes, State of Minnesota. All Rights Reserved. l3013 3 REVISOR 1346.6012 CAOD = 1.13 multiplied by the square root of Minimum CAOA I ' 3 1/ 3.33 CAOD = 1.13 Minimum CAOA = i-/ / 3 in Li' JT lIf desired, ACH can be determined using ASHRAE calculation or blower door test. Follow (off G"F4/ZA) procedures in Section G304. Statutory Authority: MS s 326B.101; 326B.106; 326B.13 History: 34 SR 537 Published Electronically: October 23, 2009 Copyright ©2009 by the Revisor of Statutes. State of Minnesota. All Rights Reserved. • iT3?'/1] 1 REVISOR 1346.6014 1346.6014 IFGC APPENDIX E, TABLE E-1. IFGC Appendix E, Table E-1 Residential Combustion Air Required Volume (Required Interior Volume Based on Input Rating of Appliances) Known Air Infiltration Rate (KAIR) Method (ft3) Fan Assisted Non -Fan -Assisted Standard Input Rating Method 19941 to 19941 to (Btu/hr) (ft3) Present Pre 19942 Present Pre 19942 5,000 250 375 188 525 263 10,000 500 750 375 1,050 525 15,000 750 1,125 563 1,575 788 20,000 1,000 1,500 750 2,100 1,050 25,000 1,250 1,875 938 2,625 1,313 30,000 1,500 2,250 1,125 3,150 1,575 35,000 1,750 2,625 1,313 3,675 1,838 40,000 2,000 3,000 1,500 4,200 2,100 45,000 2,250 3,375 1,688 4,725 2,363 50,000 2,500 3,750 1,875 5,250 2,625 55,000 2,750 4,125 2,063 5,775 2,888 60,000 3,000 4,500 2,250 6,300 3,150 65,000 3,250 4,875 2,438 6,825 3,413 70,000 3,500 5,250 2,625 7,350 3,675 75,000 3,750 5,625 2,813 7,875 3,938 80,000 4,000 6,000 3,000 8,400 4,200 85,000 4,250 6,375 3,188 8,925 4,463 90,000 4,500 6,750 3,375 9,450 4,725 95,000 4,750 7,125 3,563 9,975 4,988 100,000 5,000 7,500 3,750 10,500 5,250 Copyright ©2009 by the Revisor of Statutes, State of Minnesota. All Rights Reserved. 2 REVISOR 1346.6014 105,000 5,250 7,875 3,938 11,025 5,513 110,000 5,500 8,250 4,125 11,550 5,775 115,000 5,750 8,625 4,313 12,075 6,038 120,000 6,000 9,000 4,500 12,600 6,300 125,000 6,250 9,375 4,688 13,125 6,563 130,000 6,500 9,750 4,875 13,650 6,825 135,000 6,750 10,125 5,063 14,175 7,088 140,000 7,000 10,500 5,250 14,700 7,350 145,000 7,250 10,875 5,438 15,225 7,613 150,000 7,500 11,250 5,625 15,750 7,875 155,000 7,750 11,625 5,813 16,275 8,138 160,000 8,000 12,000 6,000 16,800 8,400 165,000 8,250 12,375 6,188 17,325 8,663 170,000 8,500 12,750 6,375 17,850 8,925 175,000 8,750 13,125 6,563 18,375 9,188 180,000 9,000 13,500 6,750 18,900 9,450 185,000 9,250 13,875 6,938 19,425 9,713 190,000 9,500 14,250 7,125 19,950 9,975 195,000 9,750 14,625 7,313 20,475 10,238 200,000 10,000 15,000 7,500 21,000 10,500 205,000 10,250 15,375 7,688 21,525 10,763 210,000 10,500 15,750 7,875 22,050 11,025 215,000 10,750 16,125 8,063 22,575 11,288 220,000 11,000 16,500 8,250 23,100 11,550 225,000 11,250 16,875 8,438 23,625 11,813 230,000 11,500 17,250 8,625 24,150 12,075 The 1994 date refers to dwellings constructed under the 1994 Minnesota Energy Code. The default KAIR used in this section of the table is 0.20 ACH. 2This section of the table is to be used for dwellings constructed prior to 1994. The default KAIR used in this section of the table is 0.40 ACH. Statutory Authority: MS s 326B.101; 326B.106; 326B.13 Copyright ©2009 by the Revisor of Statutes, State of Minnesota. All Rights Reserved. /O / 4, S/ D .4 8 2 i? /0 33Q U3 Sr?S Request Date, /? - _ ,A ae? lD Pre Nd. R ugn-i Inspection R Y C No CJ Ready Now 405Wdl Notify Inspector When en Ready? I icensecl contractor ? owner hereby request inspection of above electrical work at: Jab Address (Streat Box or Rdute N 5 City Section Town -p Name r IN .j Range qo County oc.uparl In , P 3 F upplier Atldre Electric tractor (C panhName) Contractor's License No. 114 Me ng dress c tractoroi er Making Installation) Aut zao Signetur IConlraclonOwner Making Installation, MAI , ?]r^L? P e Number F,/A f^ MINN T STATE BOARD OF ELECTRIC y THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. Be. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0600 ENCLOSED. `???/p? REQUEST FOR ELECTRICAL INSPECTION / ? See instructions for completing this Tenn on hack of yellow copy. 0 4 4 8 6 2 "X" Below Work Covered by This Request EB 00001.08 h< ew Add Rep. Type of Building Appliances Wired EquipmeniWired I Home Range Temporary Service Duplex Water Helfer Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Airls-urnace Farm Air Conditioner Other specify) Contractor's Femanks'. Compute Inspection Fee Below: Other Fee # Service Enlrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps / 0 to 100 Amps Transformers Above 200 Amps bev Amps 7 Signs Inspectors use Only. ? 70 L SQ Irrigation Booms 1lf?i Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED D CQNNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. I, the Electrical Inspector, hereby Roi / / certify that the above inspection has been made. Final Date _ OFFICE USE ONLY This request voia 18 months from 86 P /1!o//p S 9s a "j '70 Reque Dale Pit. No. Rough-In Inspection Re Inspection Other Than Rough-In - " ' (you must call inspectoFro r ? eady) O Ready Now ,?JG48 aotity inspector r (J s Date Read V Icensecf contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) ' l City • r I 4/0 0 4ti u 6/0 Section No. Township Name or No. Range No. County Occupant (PRINT -)?{? Phone No. Power Supplier Address Electrical Contractor tCompany Name) Contraclor's License No. !c/?l or Owner Making Installation ct Mailing Address (Contractor Authorized Signature (CO c{or/Owner Making Ins lotion) Phone Number v rsaY,? MINNESOTA STATE BOARD OF RtClry THIS INSPECTION REQUEST WILL T Bldg. Griggs-Midway II II I III I I I I I II I I II BOARD ACCEPTED E Uerslty A St. Paul, MIN 55104 182 I R NSPEC SS PROPER EE S Phnnp te111 fM9{INMI 4 Earl nqpn REQUEST FOR ELECTRICAL INSPECTION saoaot-os 71U19 j0pSee instructions for completing this form on back of yellow copy. 4 "X" Below Work Covered by This Request 0 1 Ne Add Rep. Type of Building I ApplMnces Wired Equipment Wired Home Range emporary Service Duplex Water Heater ect ric Heating EI Apt. Building Dryer J oad Management Comm./Industrial Furnace ther (Spegi ) Farm Air Conditioner Pr?C Other (specify) Contractors Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps Above 100 -Amps Signs Inspector's use only: TOTAL Irrigation Booms (_,r a& yp Special Inspection Alarm/Communication THIS INSTALLATION MA D D CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby tif h t th b i ti h Roogoin Data YJ071_ T cer y t ove nspec on as a e a been made. R;nal oa / , Y? OFFICE USE ONLY This request void 19 months from RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New Construction Reaultemems • 3 registered site surveys slowing sq. ft. of lot, sq. R. of house; and L11 roofed areas (200k maximum lot coverage allowed) • 2 copies of plan sowng beam & window saes; poured found desgn, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan ff lot platted after 7/1/93 • Rim Joist Detall Options selection sheet (burgs with 3 or less units) DATE & r/7-O Z RemodeHReoak Reaulremente • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate a home served by septic system for additions VALUATION ' 9 913 . ° 3 SITE ADDRESS / IJ -/ .Sr WoDAF_&o Blv.. MULTI-FAMILY BLDG -Y _N TYPE OF WORK ; FE - AoF FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREET ADDRESS /oS&?FD€ava/s B/vd S?yT 136 rCITY c06N PA4 ,2,c STATE t1 VVZIP 6a-3Y6 TELEPHONE #tQ -?7q -(SbS CELL PHONE # FAX # g;o?-!7Y - 113 S Sr PROPERTY OWNER b v a k j< l,?' TELEPHONE # C5'oc5= 785 -\3'1 i i ---------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'T'A RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Water Softener _ Water Heater No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct with all applicable State of Minnesota Statutes and City of Eagan Ordinan Signature of Applicant OFFICE USE ONLY Phone # Lawn Sprinkler No. of R.I. Baths Phone # Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft- Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - 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 Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) - Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final _ Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. - Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for SF DWG/GAR Est. Value $143,000 Site Address 1351 ST ANDREW BLVD Lot 12 Block 5 Sec/Sub. FAIRWAY HILLS Parcel No. ST WIName MCDONALD CONSTRUCTION INC o Address 1212 BLUEBILL BAY RD City BURNSVILLE Phone 688-7061 o Name SAME ?¢ Address City Phone wW Name 23 Address NE City Phone I hereby acknowle information is cor Minnesota Statutes Signature of Permitk A Building Permit is on the express conk applicable State of f Building Official - that I have read this application and state that the and agree com with all applicable State of City of Eaon Qrdina es. :d to: IRVU "M" l.U a 12 that all ork shall be done in ccordance wit isota Statutes and City of Eagan Ordinances. N° .19704 Receipt # 0- •O 1 ? I OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning R-1 (Actual) Const V-N Bldg. Permit 0 790.0 (Allowable) V- Surcharge 71.50 # of Stories 64' Plan Review 514.00 Length Depth 401 SAC, City 100.00 S.F. Total SAC, MCWCC 650.00 S.F. Footprints - On Site Sewage Water Conn 660.00 On Site Well Water Meter 0 S - 0 MWCC System _X- City Water X Amt. Deposit 30.00 PRV Required S/W Permit 30.00 Booster Pump S/W Surcharge • 50 Treatment PI 276.00 APPROVALS Road Unit 370.00 Planner Park Ded. council Bldg. Off. Copies Variance TOTAL 3,587.0n Address: 1351 ST ANDREW BLVD Lot 12 Blk 5 Sec/Sub FAIRWAY HILLS IST These items were/were not complete at the time o the final inspection. 11 /15/9) Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry ? Permanent driveway l? Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. RFCR[O MP White - City copy Yellow - Resident copy Pink.- Contractor copy ?:cRi;k?k?;<$(?? ??K??#`?Nc>;c*?:??C>;c;;:?:kw,,?W.?:iK?%?Al•Yl.?'Y,<.Y,i>K:a?MR:>K CITY OF F"AGAN CASHIER-. S F.:M[ (L NOE 74 =[_;, i(:/W/ 96 '1 i?11::x„ U 090i Ili.. NAM ALLIED FIRESIDE INC t 321 0 900:! . 1.3'5:1. ST 00 9001 1.351. ST ANDREW 0.50 3210 9001 999 STONY POINT 25.00 2155 9001 999 STONY POINT 0.50 Total Receipt Amount., MOO C 'iai: d5728 J.` E TV e NANQ CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT 1351 ST ANDREW BLVD LOT: 12 BLOCK: 5 FAIRWAY HILLS PERMIT TYPE: Permit Number: Date Issued: P.I.N.: 10-25600-120-05 DESCRIPTION: (GAS) ermit Type )!::k Type FIREPLACE NEW 434 ALT. RESIDENTIAL i % w REMARKS: t FEE SUMMARY: Base Fee Surcharge Total Fee $25.00 $25.50 CONTRACTOR: - Applicant - ST. LIC OWNER: FIRESIDE CORNER INC 16331042 0001068 DUCHEK RITA 2700 N FAIRVIEW AVE 1351 ST ANDREW BLVD ROSEVILLE MN 55113 EAGAN MN 55123 (612) 633-1042 (612)452-3029 I` herelby cknpoti dge that, I hav'f inforrna titan ;s_ qoe,re-P?€ 'and_` a,9rwe 'Statut'es and Gity' 'o rEcit?ar Oran APPLICANT/PERMITEE SIGNATURE BUILDING 029026 10/10/96 RD - A014 CITY OF EAGAN 3830 PILOT KNOB OB RD 55122 1996 FIREPLACE PERMIT APPLICATION 681-4675 DATE: /d-/o-q(- DESCRIPTION OF WORK: CONSTRUCT NEW FIREPLACE: _ WOOD BURNING GAS INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE _ OTHER: ROOM TO BE INSTALLED IN: ? o js12x. STREET ADDRESS: 1,35-1 - S A 1 ti17 N NOQG W L-VD - LOT_ BLOCK SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Name: ?vC30V"? RlT4Z" Phone#: 4-52-302-7 Signature: Street Address: ?3? / - SA %n1 ?yLd?Lw'? ?3LV? City: ?A C 0 0' State: M /" Zip: LL / Z 3 Company: T2? Phone #: e?a3 - Z 5?61 Signature: Qi:! Street Address%3F S' j? 13 City: a ja j-,& VtQ-(? Stater Company: Name: _ Signature: Street A& City: License #: /068 Zip: X533 Phone #: State: Zip: ' W OFFICE USE ONLY BUILDING PERNIIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS Chimney/flue must be inspected before concealing. PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: Leo//370,o?'- BUILDING 025876 06/22/95 SITE ADDRESS: 1351 ST ANDREW BLVD LOT: 12 BLOCK: 5 FAIRWAY HILLS P.I.N.: 10-25600-120-05 DESCRIPTION: (INCL DECK) ermit Type SF PORCH o,rk Type NEW a F REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $124.75 $3.50 $128.25 $79000 CONTRACTOR: - Applicant - ST. LIC. OWNER: HOME ENHANCERS INC 18846106 0001949 DUCHEK JAN 8609 LYNDALE AVE S 201 1351 ST ANDREW BLVD BLOOMINGTON MN 55420 EAGAN MN 55123 (612) 884-6106 (612)452-3029 T hereby acknowledge that I have read this 'application and state that the 11 informatiorT i-s'correGt and agree 'to comply with all applicab1p Statekofi-Mn. Statutes and City of Eagan Ordinances, ?Gtyn. ?R'r ` AP LICANT/PE MITEE SIGNATURE ISSUED BY, FIG NATURE \ - INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 025876 Eagan, Minnesota 55122-1897 Date Issued: 06/22/95 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-25600-120-05 APPLICANT: LOT: 12 BLOCK: 5 1351 ST ANDREW BLVD HOME ENHANCERS INC FAIRWAY HILLS (612) 884-6106 PERMIT SUBTYPE: TYPE OF WORK: SF PORCH NEW DESCRIPTION (INCL DECK) REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK CITY OF EAGAN ??? 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4M114t 681-4675 M New Construction Reoulrements RemodellReoak Reouirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window saes; poured intl. design; etc.) ? 2 Bite surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711/93 required: _ Yes No DATE: 6o' S? CONSTRUCTION COST: 407 DESCRIPTION OF WORK: ,f'- STREET ADDRESS: d, 3 9r/ 5--tl l i LOT BLOCK SUBD./P.I.D. A1??)??r PROPERTY Name: hi,,rcL k %t r /G;- , Phone #: ?fsa- 3oa9 OWNER ? T Street Address-/3S/ City: State: Zip: CONTRACTOR Company: Phone #: Street Address: t4q-? License #:--Z94Z City: State: Zip: ARCHITECT/ Company: Phone #• ENGINEER Name: Registration #- Street Address- City: State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. 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. Signature of Applicant: OFFICE USE ONLY EJU NE101 Certificates of Survey Received _ Yes _ No 4 1995 Tree Preservation Plan Received Yes No --------------- r OFFICE USE ONLY • • G BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex x-=15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ,,Q-'-32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. f?sY SAC Code o/ Census Bldg i Census Unit Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Perk SAN Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: feprz- cE/ $ 7, oc?o /z- Xlz = ??yK ?? = S 760 6, gco v % SAC SAC Units s' - Ur ?C DO*4/ 1. IST• 0S tt X77, O/ E PLRNLN6flS onJRND SllURY6YORS BK /G3 IENGINCGRING lA6s8 COMPANY, INC. L ?10U0 EA3F 148Th STREET, suRNSYfLLE, MINNESOTA 5636T PN 402-3000 Certificate of Survey Legal Description: Lor /z, Y/-aa< s, ,41exI4y //, pgt'OTA CDdNTY M/N?/ESOT?1. DENOTES EXISTING ELEVATION DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE /0%9,57 = FINISHED GARAGE FLOOR ELEVATION /a/Z•5? = BASEMENT FLOOR ELEVATION IT /o!!? 57 = TOP OF BLOCK ELEVATION SCALE t r - W W ' 1< o H ,0941AI44ge ^40 1474/7'Y E4-9Zw06trr /V 84' 47/6 'kj/ /33.59 1 I p J ? Gr !0/d 4°; ? ?V (iaiz, 3? za. cn - \ a _X 1-- ?` aTA r? O (012, __/: Lt7•„1111.67 Roo "g, ¢47'/6 "W `/olaa¢ 00 I^i Hoyt i ?I ;yl .71 I hereby aetllly that this is a true anrlFa`arieYr.ll?entte eeUlut Ff t f '? p-l r • ,s A^ T y?itsacl of land ae shown and desarlbed h.nono As prepared by'ms 11111:0 day oT`"• ,Tg,? , -V.07' AR4V7 94//L49/A/4 $L57 .99CK L//1/E 1 _J??f1 /O I J poi? z? ,? 30.331 •1 /O Minn, Rey. 1.10• 16485 ?? * 1991 BUILDIN PE I A ICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: Site Address I ?S I S?I?a ?l?.Ld lug Lot _12 Block 5 Parcel/Sub ??tiy? 11sT Owner __Wtbt ?cA???',pw?C?{ , .?M1ThY Address 1712 ?(i?e(,,I' Y?n _ RQ City/Zip Code ?urnYRt??le 553355533 Phone (0136-7066 Contract Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Date: C?-/b-4( / q,3, OFFICE USE ONLY ago Occupancy R-3 M-I Zoning R - I Actual Const V-N Allowable V. N # of stories Length /ey Depth L40 S.F. Total Footprint S.F. On site sewage- On site well MWCC System City water bo? PRV _ Booster Pump APPROVALS Planner _ Council Bldg. Off. 9-199/Ds, Variance 5.4 FEES rl Bldg. Permit Surcharge 1,50 Plan Review 51, 00 SAC, City SAC, MWCC M1090 Water Conn. QJ Water Meter 175) Acct. Deposit 89,00 S/w Permit 30,00 S/W Surcharge .SZ7 Treatment P1. 00 Road Unit 3 p v o Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL agrees that all work shall be done in accordance with of Minnesota Statutes and City of Eagan Ordinances. GARAGE 3Z X ze = $96 N K 6r (8q) ZXl2 (z, q) 788 x ?S= i! Bea ?fK1T, 32X26 = ?6 18X1u? Z_ I?Ne X 14= /(oolz !ST ? V35ml'- )Iy o a K 7 ^ r'W . 11?2X„S?-GZ7//G ZNO ?oa,? 311`?2 3i? qq2 /2 X ? ?i = ?_ 529u'1 7 u 2r 95? I ? 1 0•n 79;i•oo+ 71.50+ 5,514.00, 2,211.5oF 81587-00,-'- '790 .00+ 71,50 514.00,- 2,211.50 3,587.00-k I ll?U' o/? ? 43, ooa 'SEP 13 '91 13:23 TO MCUO''', CONST. FROM PROBE EM; I NEED; T-569 P. 02 4C -0041-410 C4r/97 ROBE r X378/, o/ PLANNERS ondOLAND SgUgV"ORS BK /63 PNGIiV CRING o6 Ju COMKINY, INC. l 1000 EA97 148Th STREET, UURNSVtLLE, MINNESOTA 68357 PH 4323000 Certificate of Survey Legal Description: GoT/z, 45/- 06,< 5 F411,-W,9Y H11-1-5 0.9,07,4 &OVA17Y 411N/&'E52*74- (/o/ z? DENOTES EXISTING ELEVATION DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE /0/9.57 = FINISHED GARAGE FLOOR ELEVATION 012,57 . BASEMENT FLOOR ELEVATION 0/ 1,57= TOP OF BLOCK ELEVATION SCALE : V a 30' W e ?g N p O H W N rn /??. o' 0RA/N,96E ANO 4171417Y EASEi9?st/T 90Fr FAIT 9411LO1A/6 ? / ; _? / ,SET&9Ge L/SUE nr A/8¢°¢7 /6"/,j/ 30.00 ? /33.59 ?a/3,9 ` ? \ n Syr `oig T? 1 1 ??!¢ I 8,00 (/oi2, a /or9.a ?ZfWl ?? O ?Oi2.3 C /2.Gb 30.33 p ' 1 Low°? /1.67 ? tll ?2 0. p s 5 ?J ?? ? ?D ?°„ to f h LY? Z, 01 1, Y, ?I LA` ?'a 4 d `26,33 a a ?,2 /o I? \y ?t pu6EGEY. r r ? r' k? I hereby 00FIRY that this Is a true arid" $4eZstdre and desadbed hereon. As p+apared by ins on this (0!9.5 ;yr of Iarld as shown - - Minn, Rey. 110, /b085l #121/4 MI SOTA STATE ENERGY CODE CALCULAT`-1tVS BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDITION Adopt on Effective I 1/84 Owner ? Site Address l?f Contractor f'1(- Phone Building Classification: Type Al (Single Family 6 Duplex)_ 42- Type A2(Residential) NOTE: Complete (3 stories or less pages 3 and 4 first. (Other) (Over 3 stories) GENERAL INFORMATION N ? 1. Building Perimeter e5 t, 2. Wall height (ground to eave) I? ft. 3• 1. x 2. (above) gross wall area 3?lOZ ?3 ft. . 4. Building dimensions (L) I X (W) ` 5 Phone Date °__' Z 7 3 ft.2 roof b floor area Square foot area of rim joist - Floor joist size (2 x it 7 IC2 X Perimeter - Rim Joist area ij ft2 12 IJ(' Doors - Atea X33, 6 Thickness Type of Construction Manufacturer 7. Total door's perimeter ft. 8. Windows: Manufacturer I??(„ G>46(Y?"C State approved U factor TYPE SIZE AREA (Ft.2) NUMBER OF EACH UNITS ?? " vJ ask ???'? 9. Total ft.2 Glass Z (Z rr,> ft. TOTAL FEET 2 10. Fireplace area: Width X height = X 11 = Ft.2 11. Exposed foundation: Height X Perimeter •&? X Ft.2 COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEIN( MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. In. U factor I+ Perimeter 12. Framing area = 10% of gr wall area. 13. Gross wall area (a4l 3 ft.2 Window area A z?-z- ft.2 U windows = ??(O U x A = ?D i L Rim joist area A ?24, ? ft.2 U rim foist = U x A Door area A 2 ft. U door area - r U x A = ?0 ?69 area A ft.2 U fide ate..= , 4- U x A = 511 Exposed foundation A 10 ft.2 U foundation Z Ux A 4, 5 z Framing area A 31 LONOV ) ft.2 U framing area = ?D`7? U x A = U L Net wall area A Z1q(Qi ?3 ft. U wall = +d 3 U x A q 1 { Y13 z ?S 5 (13B) TOT AL . . . . . . . . . . U x A 14. Gross wall area i 0.11 (A-1 single family & duple x = allowable U x A/Code (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) x .28 (Over 3 stories) 2 _ 11 BTUH Must be larger than A ? (OZ x U Code %ioo aJ -°F. 13B above 15. Ceiling framing area (Af) equals 10% of ceiling area (. or the. same as) 15A. Gross ceiling area = (L) x (W) = z -7 3 ft.' 15B Joist area (Af) = 10% ceiling area = I Z I ft.2 2 15C. Net ceiling area (Ac) (15A - 158) ft. U ceiling x A c= oZ x Z _ 2(pi fir] U framing x A f= OZ7) X Z? = Zi?Z 150. TOTAL'U x A ........................................ Z 16. Ceiling area (15A x 0.026 (A 1 single family & duplex - code allowable U x A x 0.033 (9-2 other residential) x 0.06 (other) r ,0260 BaUH Must be larger than 151) (above) A (15A) z73 x U (code)= ?3+ 10 F (or the same as) NOTE: Use U and A values obtained from pages 1, 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. to Signature 2. #91 - 383 MW04? ?4x 4p +44?p+ ?Of 8 83x( 3z-I-32?- 3.??,5 f-??5?-. I I °(z,oS _._ ?IcoZ,l3 fir- wra?? ?? ?l-X?= Il?zsxl? = ll?,s ? ?x?` I3,sx1= 13,5 _. III ZoX3to = ?7?ox ? = z1,o. !C 7,Qxc?o = ll?nxz = zz, o Illy ??Xc?= 22,oX?-? ??,o III I 4 X -e2Co o Z41-z. o -zTL v? , wl z BSTz D?, = A 4,T10 4z- 0 133, o WALL ' SECTION r? 1\? iT Inside air film .68 Interior wall ,4 Insulation 191D Sheathing 7, 1D(G Siding .101 Outside atr`film .17 R TOTAL Z• ?,0 a STUD SECTION RIM JOIST AN W_ Inside.air film .68 Interior wall .115 4" stud R= -4:38(p,5'0 (Framing)U. I Sheathing tolvto Siding f (D-I Outside •air film .17 R TOTAL jo -rj Inside air film R- .68 Interior wall Insulation ,Sheathing -Ex tetfor'waLl_covering Exterior air film R-. 7 1R TOTAL Interior air film insulation l1 inch soft wood U VALUE (Nall) U fl a (Wall) U R . z R= .68 R=1.88 (Rim U a a ; Joist) ' ieathing ZID(p xterior wall covering i(1J? / r xterior air film R .17 R TOTAL 4iT I ?w nterfor air film R= .68 nsulatfon) F?f;(a[11;t, I???O al,ddA,t (m 1 1w„ I'a G Dpi' (Fdn.) U a k xterior air film R= .17 1 R TOTAL Z1 , 65 q I? xposed Black .• -,Grade s. CEILING WITH VENTED ATTIC SPACE ABOVE R VALUE` 1 VALUE FRA14I NG CEILING Air Film 0.61 Total R _ (O 1 U = k •OZ1 FLAT ROOF OR CATHEDRAL CEILING R Value R VALUE FRAMING CEILING 0.61 0.17 Inside air film 0.61 Ceiling Joist (stud) Insulation Air space Roof decking Insulation Built-up roof' Outside air film 0.17 Total R 1=U R - Jindow.infiltration .5 cfm/lineal foot of crack lesidential door infiltration 0.5 cfm/square foot or door and minimum code requirement . lon-residential door infiltration 11.0 cfm/lineal foot of crack Jb 12" concrete block no insulation = .47 R 2.1' 1b 12" concrete block insulated cores = .26 R 3.8 Jb 12" li;htweight block = .32 R 3.1 Jb 12" lightweight block insulated cores = .12 R 8.3 1 single glass = 1.13; with storm window .54 1 double glass = .55 J triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). lapor barrier must be on the inside (heated side) of wall. iapor barriers of the polyethelene thin film have no R value. 0.61 ??a, 0 i -.3S • Air Film 0.61 Insulation Joist Ceiling "5(O s_ . 0.61 kv pz3 4. CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT DATE: 9 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE ] TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------ WORK DESCRIPTION NEW CONST ADD ON _ REPAIR OWNER NAME: SITE ADDRESS:U?sI S?t 1y[?C?(?li?S VJ`U? S S LOT: ? 'a BLOCK 1?f SUBID. I C `Vi k 0, cl S:4 INSTALLER: ?OZTS'C I I? d F i \ t"ll ADDRESS: 2.c) . p-) ?ocl ? n) C_ C_ CITY: t ZIP: PHONE #: (f)c)o'a_ FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $15.00 24.00 6.00 3.00 $ ph Lti .50 $ -30,50 I ATURE OF PERMITTEE CAL/NpUST-9 :. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 1% OF CONTRACT FEE. STATE SURCHARGE = $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # /qO Oo D kN I DATE: T1 T kA xi PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & a TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------------------------------------------------------------------------------- WORK T IPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON 1 SHOWER 3.00 CT REPAIR 3 WATER CLOSET 3.00 ,(i0 BATH TUB 3.00 -? G0 r/ `?? LAVATORY 3.00 3.0 OWNER NAME: G f f r rluh KITCHEN SINK 3.00 3,00 7?1 4 SITE ADDRESS: S?f hU (kL d LAUNDRY TRAY 3.00 a nT HOT TUB/SPA 3.00 ?J? ? WATER HEATER 3.00 3 as LOT: BLOCK Of SUBD. A44C0 e W4 FLOOR DRAIN 3.00 Ga / GAS PIPING OUT. INSTALLER: ?? ` 7J ih C (MINIMUM - 1) 3.00 3rd ADDRESS: IV( ROUGH OPENINGS 1.50 OTHER _ ??j[? J! WATER SOFTENER 5.00 CITY:ca /l aU ( rd VCg, h. ZIP: A PRIVATE DISP. 15.00 c,\ U.G. SPRINKLER 3.00 PHONE #: 6 V SUBTOTAL 0?l ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: PHONE FOR: ZIP: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1;000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN 3 xv", 20os RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN_MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. k, ?,(b : 1EXD Date 0 7 1 5 0 6 / DUCHEK, RITA Site Street Address 1351 ST. ANDREW BOULEVARD - ' Unit # EAGAN, MN 55123 (651)452.3029 Property Owner elephone # { ) Contractor_Nor l,Ii m pt,(,(,}n b n C Telephone# ((ply) 527-?/0?3 Address tj_y. D, City m a,S State l? 11) ZIp i:-6q0? The Applicant is: _ Owner v Contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are Installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener water Heater $ 15.00 new replacement lawn Irrigation _RPZ new -repair -rebuild $ 30.00 State Surcharge .50 Total $ 5,50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City' of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit,-work is n 9t to start without a permit and work will be in accordance with the approved plan in the event a' plan is required-to be vi ed ar/ approved. / Applicant's Printed Name AppiioanVs Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1351 St Andrew Blvd Lot: 12 Block: 5 Addition: Fairway Hills PID:10- 25600- 120 -05 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 Cindy Lilienthal 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: Jan Duchek 1351 St Andrew Blvd Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA078555 06/26/2007 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 ÿù ÿ þýý û ûü úýýüðïüúñ ÷ î øúó à þýö þýüûúùø ÷ ò ýûúù ûúùø ÷ öø÷õùô ùóý ò ý òñíýùú ð þïý î ôù ìô ëëô ïý ô ü ô ê é øøù ÿé é ô ý ùêòé é ùé ê ò üôè ïý üúø éôúëô ê îæñåæêê õú þý ë çýæñåæêäêä çýñÿê ôó öòñ ùù þýò ýâ ýë ääúìýþýëñþ øì ô ãö ãöñ áäßñä ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý PERMIT City of Eagan Permit Type:Building Permit Number:EA139315 Date Issued:10/18/2016 Permit Category:ePermit Site Address: 1351 St Andrew Blvd Lot:12 Block: 5 Addition: Fairway Hills PID:10-25600-05-120 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jan Tste Duchek 1351 St Andrew Blvd Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155176 Date Issued:05/01/2019 Permit Category:ePermit Site Address: 1351 St Andrew Blvd Lot:12 Block: 5 Addition: Fairway Hills PID:10-25600-05-120 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Jan Tste Duchek 1351 St Andrew Blvd Eagan MN 55123 (651) 208-6025 Bayport Roofing and Siding LLC 2240 Edgewood Ave S, Suite 201 St. Louis Park MN 55426 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA158731 Date Issued:10/29/2019 Permit Category:ePermit Site Address: 1351 St Andrew Blvd Lot:12 Block: 5 Addition: Fairway Hills PID:10-25600-05-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Jan Tste Duchek 1351 St Andrew Blvd Eagan MN 55123 (651) 208-6025 Builders & Remodelers Inc 3517 Hennepin Ave S Minneapolis MN 55408-3830 (612) 827-5481 Applicant/Permitee: Signature Issued By: Signature