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943 Savannah Rd CITY OF EAGAN Permit No: ~ Date: S-~~7 3830 Pifot Knob Road Meter Na 1~~{~~ Size: `r a~ P.O. Box 211~9 Reader No: ~ d~ Dat~ - Z ' Eagan, MN 55121 ~ . . Owner. i;arvin Gzor~:_~~. r?].crs. 5ite Address: ~ 3 Savannai~~ I`~ad I.3 B2 Lexix-~~ton S~ TS,- Plumber. `J311ey Plu~bin Conn. Ch ~25. OOnd • ~gg r~ . Acct Dep:. ZS • o. • in cal t~l~~ F > ~~I~1~. tc. I Permii Fee: L , ' . Surcharge: • 5~ a~~e t~~y with the City of Eagan Tr. Plant 1 u~ Ordinances. Metec 7_ t)~ ~ Misc~ By ~ ~ WATER SERVICE PER REQUEST FOR ELECTRICAL INSPECTION ee•ooom-o~ 5/~ ~ - m " I ? See instructions for completing this lorm on back vf yellow copy. ~ J J~ ,~7 ` J'~ ~ 3 6 X" Below Wdrk"C~ered by This Request e AS6 TypeofBuilding AppliancesWired EquipmentWirad Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (5pecify) Comm./lndustrial rnace ~ Farm / Air Co itioner " O[her l dy1 Contractor~ Re ' n I S f~ ~ s T Compute !ns tion Fee Below: # er '~ee ServiceEntranceSize Fee # CircuitslFeeders Fee 5wirriming I - 0 te ~?,00 ps D to t00 Amps Transformers ve 0 mps „ Above 1Q0 _ Y=Arpps: r/ Signs Ins tor5 e Onry: ~~y , TOT?AL ~ Irrigation Booms ~ ~ - ~ ~ " o~ 0 5pecial Inspection ; ~ ~ ~ ~ Alarm/Communication TF~F3 INSTALLATION M~'f~ O E~D~DI~QN ECTED IF NOT Other Fee COMPLETED WITHIN. 8 I, the Electrical Inspector, hereby Rough-in `.~~y _ certify that the above inspection has Final oare been made. OFFICE USE ONLY - Th~s request voitl 1B months from ~n~ ~~-o - ~ S 3 7 G 33536 ~a~ ~~U ~ Request Dele Fire No. Roii -in Inspection G~ C q ired? f7 Ready Now ~YJi11 Notity Inspgctor I Ye5 C No When Ready? I p licensed contr ctor ~ y re est inspection of above elec al work at: Job ress (Streel Box or Route No.) Ciry 3 ~r%r n ?~r ~ ~ ' ' ~~r ~1 Secnon No. Township Name or No. Range No. / f~ Occ~t IPRINT) ~ / Phone No.~~` ~ ~ ' G ~ ~ r~ r ~ Po s~PaCG~ ~G ~ ~ rwd,es5 ~ I Electncal Controctor (Company N me) Comractorh L~cense No. , 1 Mailing Adtl~ess IContractor or Owner Mak~ng tns[allaiion~ ~ Authora Signatur¢ n( orlOw r a ing Inst I wn~ PhOne Number I ~ , i i MINNESOTA ATE OAR OF ELECTqICITY` THIS INSPECTION REOUEST WILL NOT , Grlyqa-Mldway Bitlg. - Room S173 BE ACCEPTED BY THE STATE BOARD 1821 Unlvenky Ave., St. Psul, MN 55104 UNLESS P~OPER INSPECTION FEE IS , p~yp,~a (e~p) y~g.pepp ENCLOSED. CITY OF EAGAN Permit No: 39~6 Date: ~--25--~.' 3630 Ptlot Knob Road Meter No: Size: P.O. Box 21 t99 ' Reader No: Date: Eagan, MN 55121 Owner. ~ an'~ ~'~r~e Bldrs. SiteAddress: ~ $av~nnah Road L3 B2 Lexi.n~t~n Sa IV Plumber. `~a ey Plumbin~ Conn. Chg: 52~.Ot~pd Zoning: ?'1 Acct Dep: I5 • f~~1nd No. of Units: 1 Permit Fee: 10 , t~~p;~ Surcharge: - 5~~ 1 agree to comply wlth th~ City of Eagan Tr. Plant 1''~~}~• ~~pd Ordinances. Meter. ~ 7 _ l~ntl ~ Misc : By WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilol Knob Road I~~ 14 C. P.O. Box 21 PERMIT NO.: Eagan, MN 5121 DATE: ~-25-~,7 Zoning: PI No. oi units: 1 Owner. r~~in C:EOrRe Bldrs. Address: Sfte Address: g43 Savannah Road L3 A2 Lexin~ton S~ IV Plumber. ~alley Pluiabin~ " 17--~'•7 76477 100.00pd I agree b comply wilh the Cltr of Ea~an Connection Charge: 5.2 4 n.____ ~?r - p~~~~p, Account Deposit: ~ 5 ~~gd " _ ~ ~ Permit Fee: ~ ~ OTd Surcharge: S'~^r~? gy Mlac. Charges: Date of Insp.: T~~~ ~~Sp ; Date Paid: - , CASH RECEIPT • ~ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 , wdctivc~ . r FROM ~ AMOU~~T • ' $ ~ I • a oo?.~wes ,oo ~ CASH ~ CHECK . , . . I i . . row • I FUND CODE AMpUNT Thank You ~ BY ? L' }E White-Payert Copy Yellow-Poatinp Copy Pink-File CopY BLDG. PERMIT N0. ' ~;C~? ~ _ :1 f ~ ~ c X f G-, L'1 t ~ - _ , ~ ~ _ ~ . ~ ~ 01-3210 Bldg. Permit ~r f11-3422 ' Plan Check a~ ~ 01-3445 Surch./Adm. ~I 01-3446 SAC/Adm. ` ~ ~ 01-2155 Surcharge ' ~ ~ ~ 17-3860 Road Unit C``,: C--L-' 20-2275 SAC ~ 20-3865 Water Conn. ~O 20-3868 Water Trmt. / ~`L~ 2~-3716 Water Meter ) CO 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Cvnn. % L U~-~ 11-3855 Park Ded. TOTAL ~ ' I ` ' ~ ~ _ , ~ - ~ ' CITY OF EAGAN , j s i(,.`-' r r 3830 Pilot Knob Rosd, P.O. Box 21-198, Eagan, MN 55121 ~ " Y~ PHONE:454-8100 BUILDING PERMIT Receipt # To be used for : 1 C~:' Est Value ? 71 , ~ . Date . ' ' ~ , 1 i ,19 ~ ~ l ; ~.'%.~:;el'; Site Address ~ OFFICE USE ONLY Lot Block Sec/Sub. L`~ 1"~' ~h ~`1 r~ L On Site Sewage _ Occupancy _~~I,~ ~ MWCC System _ Zoning ParCe4 No. - On Site Well _ Type of Const City Water _ (ACtual) c Name i liC 1 L:)i.,, ` 1~ i.: (Allowablel _ . ~k of Stories ; Address ~ Length ~ City Phone ' ~~-30 4 Depth &F. Total , ~ Name j`j~" `-~~`~~I FootprintS.F. ~ i Address APPROVALS FEES ~ City Phone Assessments Permit ' '*4 ~ . F ~ WateNSewer _ Surcharpe yVj W Nam@ Police ~ Plan Review ~ ~ ~W Address Fire = SAC, Ciry Engc SAC, MWCC ~ W City PhOne Planner _ WaterConn. • Council _ Water Meter I hereby acknowledge that I have reed this application and state B~dg. Off. _ Roed Unit that the information is corcect and egreeto comply with all appliceble APC _ Treatment Pi State of Minnesota Statutes and City of Eagen OrdinanCes. Va~iance _ Parks Copies Signature of Permittee ' % TOTAL A Building Permit is issued to: ' ~ ~ on the express conditfon that all work shall be done in accordance with all applicable State of Minnesota Statutea and City of Eagan Ordinancea Building Official - ' Psrmit No. Parmit Holdar Dat~ Telephone it Plumbing ~5~~~~ ~2~c`~~,_ ~~~?(;~'d.~, ~~w~~ t H.v.ac. 9~~ ~ Electric C.~,S/~/ ~ ~ . - 5a ~ Softener Inapection Data Insp. ~ Comments Footings I Footings II Foundation Framing _ fQ Roofing Rough Plbg. Q_ Rough Htg. 1 ss j7 ~ Isul. ~ ~ Fireplace Final Htg. p~ Final Plbg. o j ~ Bldg. Final Cert.Occ. / Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. _ e~, . n~+ . . . . . . . . . . . . . • . . : . ~'~y . ~ r; . . , ; PERMIT # ~~y~ ' PlUM81NG PERMIT RECEIPT # ~ ~ ~ - CITY OF EAGAN 3830 PILOT KNOB HOAD, EAGAN, MN 55122 DATE: J~~~~ ~ CONTRACT PRICE: PHONE: 454-6100 Site Address v ~i [ BIDG. TY ~ WORK DESCRIPTION Lot Bloc Sec/Sub Res. New ' ~ Mult. Add-on ~ N3hie Comm. Repair ~ Address ~ Other c City ~ Phone -'Z ~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - ~ FIXTURES TAl Name ~I1~ L~ Water Closet -$3.00 + ~ ` Bath Tubs - $3.00 ~ 7' 3 Addre Lavatory - $3.00 ~ p City 1 Phone Shower -$3.00 ~_Ki!chen Sink - $3.00 • ~ FEES UrinalfBidet - S3.Oo COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 L APT. BLDGS - COMM RATE APPLIES Floor Drains -$t.50 ~ TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1 50 U MINIMUM - RESIDENTIAL FEE - $12.00 Wh~rlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 ~Gas Piping Outlets - $1.50 ~ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI~ {ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00} Well - $10.00 Private ~isp. - $10.00 ~_Rough Openings - $1.50 . Su SIGNATU E OF PERMITTEE ~ FEE l , r STATE SlC: U FO ~ CITY F EAGAN GRAND TOTAL: 7 } R~;~~ ~ . 9/~~ n ~~y~ y PEAMIT# ' b! MECHANICAL PERMIT RECEIPT # r~~~' • CITY OF ~AGA~I ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '~1417'- CONTRACT PRICE . PHONE: 454-8100 ~ite Address BLDG. TYPE WORK DESCRIPTION Lot~~ Bloc~ ~ Sec/Sub ~ R~ ~j NeW ? , ~ Name • • Mult Add-on -~Ti~ . ~ • • Comm. Repair N Address . Other c City ' FEES ~ Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES AJC ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air ~s M BTU APT BLDGS. - COMM, RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON ~ Unit Heater M BTU FiEMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outfets # _L BEYOND $1,000) Other ~ , ~ FEE ~ 7!~' ~c~,-~.'.C~..1~~a S/C: • S~ SIGNATURE OF PERMIT7EE TOTAI: FOR: CITY OF EAGAN . . - . SEDGWICK. H~ATiNG ~ R?~~~ITION CO ~ ~ r ~ ~ HOUSE HEATING TEST RECORD ADDRESS qy.3 SFVANNAI-! ~oK1L~ - CITY ~ OCCUPANT OWh1ER t~1n~ ~.7~.~ HEAT LOSS ` DATE HTG. INST. SOLD BY ~ INSTAL~ED RY ~cv.t«~ Electrical Work By f's?Z!~'itS Gas Line By _ ~~~jv~1~L4L TYPE OF HEAT GA_ FA?~ HW_ STEAM SPACE HTR. UNIT HTR. OTHER ~AS DESIGN CONVERSION MAKE MAKE OF BURNER Modei _ 3gy ~AW O 3 b 075 Model Serial ~7#~. 03 B b~} Max. BTU Rating INPUT ~S'. noo MAKE OF FURNACE Model CONTROLS THERMOSTAT Heat Plug - Vent Size Valve ~~1 /4 - X - KIND OF LINER SIZE NONE Limit sT~ ~ Draft Hood 1~ E 5 1 c~s,j Regulator ~ t= ~ LimitSetting c~0~°~ Filters Size Number ~ Fan Setting T ~ IM~ Chimney Location Inside x Outside Pilot Type ~-ti- Chimney Construction C~ r'~ Pilot Make PA Rt~ l C~f`d 1TZ~G~ Pilot Model ~Sc ~ Smoke Bomb Wiring Pilot Timing f I~1 ST 14 NT Draft Test Tag u~S L.W. Cut Off Door Pressure Lighting Inst. Pressure -3- S~~~t/.G . Percent C02 ___Z~~~ Date Tested 1 1- 1 S2. - t~7 InputCFH '~S Percent OZ ~b°~b CompanyTesting ~'~n~'~~~k Stack Temp. ~ b~°~ Percent CO Name of Tester C~3E?~ Form 235 INSPECTION REC-DRD . CITY OF EAGAN PERMIT TYPE: ~t~'Kg3r. 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: i~r• 1:~ t f~~~. (612) 681-4675 SITE ADDRESS: ~o i; s ~ APPLICANT: ~ ~ ; ,~;~~r,J~•itJA~! k~~ . ; ~ a„M,~~n ! ` I PJ~~ f +~tJ ~ili;~!: ! ~1 1 !I . ~ ~ ~ i ' i . r~ . PEF~MIT.SUBTYPE: TYPE OF WORK: ~~s . . ,t, I I t~l~~ . I t NA) i ~ ~ ~ ~ ~ Pertnft No. Permit Hoider Date Telephone M ELECTRIC PLUMBING HVAC Inepectlon Data Insp. Comme~ta FOOTINGS FOUN~ FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPIACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.1. BSMT FINAL DECK FT(; 7 ZZ~~,~~ - - DECK F' r. ~~II~~ ~ ~ I ~ . RESIQENTIAI.: . - ~ B,~U~L~I~IIG PERMIT ~1~~LlCATlC~N - Q CITY OF LAG~tN ~ 383.0 RtLOY KNdB R0 - S51~Z . b51-681-~~75 rtew. constuisUo+rR~uiremeata - ~~~n~t~+ . ~ reg~ad 3ile stiraers st~o~ring sq: d~ ~ k,R, sq, R. of bcw~. an~ rooted~areas • 2 a~as a1 pYart (2~o max(mum bl Eoverrye~} • t Sef 0i Eti~y C~' fq~ beauetl atl~ • 2~ooPiea ot pian atro+~i~ig~Deam fl windtiw siz~s: AourEd fQunG.dosig~~ e#c~1 ~ f~~e1r, fo! sxle~ ad~fion#.& da~t i se! of~n~gy Cabuia~ns ~ Ir~fFtio~s~rvad bya~~cs~eirti ~~~o~,s: of Trae F~ Plaq~,~ lo# R~~atDa~71'11~3 . • Rim.J~isc I~i Op~ia~ sele~in st~ (brd~tt wiU? 3 or leas w?Ns) . : , ~ • D/~T~ _ ~ ~ . _ VALURIa1~ . . . . ~ 3Q~~ SIT~: ADQRE~S tF ~I~II~llY1-~AN4fLY BU14DfNG, HOVrt- MAtJY tlfi~l'fS~ _ - ~PROf'E~TY ~fMN - ~ _ - - - _ - - - . ~ - ~ ir c i~o _ - _ . . _ t1r~E-.o€ ~?aRK - ac 1 F~:RH~±t~4~E(s~ o ~1~ ~ - - . • ~ :.APPUCAt~tt- _ /l - ~ : . PH4~~~~~~ ~`f]-=1'~`1'.~~ . . . . . . - ~ _ : i T : - ~?s~o~~~s _ - - ~ ,~~c~oF Pi~EGER ~ ~ CEL! P QNf FA7C ~ - - _ - , .lV~W R~E~IDENTI~AL Bl~lLUIN~ 0~1~4Y~- F~LL.-OUT +~~?~P~E~'~L~' . ~ ` ~~efsy c~dg:cate$vr~ I~IIMN~.4OTA RLT~~ES 76'10 CA'CE~R'~ ~1 ~ s . r~ t~, 4~' ~ ~~heGk:one~ - Re~de~ntiai Verrtila~ion Cat~ga~ 1' ylto~kshee~~i~mjto~ad~~ 4- i - Ene~y~~nvelape :Catsula~a~s ~utirniited' ~ L-'~ • ~ ~ . ~ _ ~+fI~II~iESOTA 1~ULF.~ 7U7~ ~ n~~r ~e,~y coa~: w~~e.r ~u~sa. ~ I - _ - - - ~ Plurnbin~ Cor?trcctor Pho~e ~ . = Pl~buig:SysGerin In~ludes; ~~~[~r:S~ft~ner I.acv~ SpnnkCer ~ Fee: • - T~V. 'a~t~~' f-~c~~tcr _~No. o~' R.~I, B~att~s: ` I~To. o~' Saxhs = MecY~.aeticat Contract~r~ P S 1• i .~~;~/~~Fto11~ ~ 7.~~'°t`l~~~"~~,.~~ i~i~~h~rii~~al ~S~st~m'Inc~ur~rst T Ai;r Caciditi ' F~c: ~~O~t}~1'. . _ ~-ieai R~co~e~y S.~s[em ~ ~ Sewe~/Wafej Co~hatc#or. _ . ` ~ar~e ~ - _ - - - - A!1 above iaformatticti~r must be suhrnitted; prior !a~ proces~ng :cYF applicalion. ~ ~ ~ ~ ~ . i E~erebyocknowCedge t(~c~t i.haY~; req.d this appl~cahon, state that ttie infiormation ~S c~orrec#, Csnd~agree to co~tpl~ ~nrit~.? a1f appiiEatile Sto~~ of Minnesca#~ Si.atu~s~Qnd C"?ty ofi Eagan Qrdi ?~c~s. r ~ Signatrtre:ot~Cgptlcatit . ~ _ _ - . , _ Gertifi~at~s of _Sur+~eq Re~ive~ 'T~ee Pres~tvation Ptan: Rec~iv~d o[~Rieiquit~d ~ - _ , ~paea~,~loz ~ . ~ ' _ - - - - - - - - - o~~~r~E usE o~~Y . O(11 ~oundatiort 0 OT 'QS-plex 1~ 16-p(ex: 0 2~' Pool ~~0. Aceessory E31tlg ? U2 ~F Dwalling 'O 08 Q6-plex ? 1 B Fir+eplace E7 .2 i PoFett: (3-s~a: ) 0` ~9 F~ct. pttt -;Mufti+ 0 03 01 4f _ Pie~c D. ~9 :07-ple~c- .Q 77 Garage_ :C9. ?2 P!t~tscbAttdn. ~A-s~a:) O 3.~ Ext: A1t --SF Li p4 42-pl~x ~O. 10 08-plex ~ t8 D.eclc ~7 .23 . Por~h fscreenaci) 0 36 Muib . 0 4~~ ~~9~-p[e~: ~C7 11 ~10-pI~x 0 19 LawenL~vel ~Cl 24 'StoRr+:Damage Q 06 0.4piex E]. t2 12~plex: Plbg Y.or~N ~ 25 Miss~etlane~uus Q 31 New C7: ~ 35 Int Improvement ~ 38 . DemotfsH qirrt~ior) ?~!4 Si~Jing - '0 32 Aeldition, ~ 3:6 Artove:Bldg. ? A,2 'Der~l~h-~fo.tftf[i&tio~)', CI 45r ' F+t~s f2e~sit ~ ~ 33 ~Altera~ipn C3.• :37 Demolisfi {Bidg)~ O. 43 Rero.of' O 4B VNirldow~slDpors ~D 34~ Rep[aee~ent;, ~OSrriolitiort~(~~S::Bidg~oniy) - Ghie PC~A fiandout ta=appltcau~t Valua~iqn accupa.~c.y . M~LES .Sys~em Csn~t~s Code ~oning Cit~t iNater~ ~~~AC UniCs. ~t~ies Baoste~~Pucnp '~lbr. of.Unifs . Sq. ~ l~R1I Nbf.:of 9fdgs. _ Length Fi~e Sprinkler~d Tjrpe of:C~i~st W'rdEh ~ R~QUIRED !l?f~PECTiOhlwSr _ ~votings {mew litd~},' _ 1~inaL'G.4~ _ ~~9mtiags (d~ckj', _ F"it~aU\To:.C:Q; ^ -Fnotings (adciitron); _ Rlnoa~bing _ FAUndatio~ f-IVAC Dfiain'Ti~e _ Roaf , ice ~ W~~cr ~ Fu~l: _ ~ther: _ Fraaung. - - P-ool _ Ftgs ~A~•izlGas Tests ! Eiee~I - F:urf?~ac~ R.1: A'ir:Test _~~i~tat ^ ~iding S~o Stau~ _ 3~rsul~ciot~ ~indo~^s ~ss~v~r~replacement~' Ap~r.fl~ed'6y ~ ~ Bt~iiiiftag-1~5p~ctbF - . . . ;~ese Fee` Surct?at~ge F'lan' Revlew MC/ES ~SA~ C~i SAC ~ water:Sup~tiy 8~ ~tarage S&W Pecrnit Surciiarg~~ Treatrr~ieri~'Ptaht Plumbing .Perrnit A+fechanical F'.emiit License Search Gopiss Other - TOtat ~ _ ~ , • RE:SlDENT1~A1. - BUILDINC PERMIT l~PPLlC~A'11~ON ~ - . ~ ~ ~CfTY OF EAGAN ~ ~ ~ 3B3'Q PI~OT KNOB.~'ID » 5~i7~Z ~J1~ ~5.1 ~81 ~4~7fi ~ ~ f'. f ~ ~rcan~ltoctkaR~au~;i~c - ~ • 3 t~gbt~bd:sae a~ ~ow4i9~4. ~4 d~ sQ. Rd hauia; ari0 ~:pDQfe~ tir~ ' 4.aopiea of R~A . • ~ 8el ol'E~i~gy ~Rl~ 4~ated,~dd~ehs . - (~9i ~xti~t~.t0i:caverage Yu+~edj, • ~o6ples~pl~~Unwinp6~ml~v~Ir~owsE~.Row~dioundAs~ignelc,~, • 1'~SS~isl~lpclc~Or,add~f44~~~' ~ . tset:atF.t~gpCalculedor~ .::G~dic~R:ifht~lsha~ued~bri~losytelem~a'~ans = . 3 mpies.ot•7~se Preeerti~aUa+ P1ati ~1 ~O1.ptaQed:alEes 7t1l93 _ . • f~im Johf t)eta~ Op~oa~s setectlofr~eAY(pd~s wl~+ 3 or less tu~iaj ~ ~ ~ra~3> v~~ ~ ~r' DA~E , YALUA~101QI _ _ _ J~?8 5t1'~ ~DDR~SS~ ~7-~ ~+~~~iv~s ~ . _ _ - ~ ~ IF MUL~-FAIVII~V BUlI.01MC,~`I~41N 11A~?NY UNl~S? PRO~PERTY QWNF Z~ts/1/~9~c~ ~ ,~~,e,~~' - _ TYP'E Cf WORK ,~G?ct~ - ~I~Pt.AC~(~'~ a 1._:;.. , - ~HUNE~ ~ _ ~iPPttGANt ~d~~ 1 ~ ~u F~ ~ ' ~li' COQ~ ' ADDt~ESb ^ I ,~a'f~A~~~~ - PAGER # ~o~~" ~'~f~- ~3~~ CEII PHGNE _ - - ~ - - _ ~ h~~V ft~.SlDEfiI~ UILD1iV~~ ONLY ~~lLL CC?!~T ~C~NIP~E'~'ELY Fnergy ~ode Geteg~ory' ~?rII1!1TNF~~TA~.RZJLES.-7~~0 CATEG4ItY ~ ; ` ' _ , ~~~_Q~~~ ~ - Residential~VsMi1~ C~gory 1 •~Itork~s~eeYSubmitte~ - E~ergy EnVelope.Calculatlo~rts:8~x+~it[ed - _ 11~1NES4T~,, RIJL~S, 76'~~ ~ _ Ne~uv Errer~y Code Wo~kst~ee?t'Subn~ed Pturribing ~Contra~lor: - - s . PlumSirig ~System Inciudes: W~ter SaFccn~r I,awri ~p~er' Fcc: ~44.U~ ~~atcs I3eater No.-af ~:i. Ba~s _ ~ No. of Bac}is: ~ _ llM1echcnl~cat'Con~ractor; rhor~s.! - - ~ Mect~a_ni~cal ~3~stcm ~ncludes: Aa~ ~ons3ihaning , Fee: ; ~ ~4?~b , _ ~eat R~covery Syst~m ' SewarlWof~r £on#~cctor _ _ Ptiorsa ~ . _ . - = ~ ~ ~ _ _ ~ Atl aF~ve i'r~Eorm~tion must be subrinilted prlo.r.to Pm~ af ~pPllralion. ~ I heretiy ackmowded~e~thc~t l hcrve reacl this a~plicatron, stv#~ thdi:ffie fif t1Qn ~~orre~?, and~e~ ~m Gor~pi,y _ wi~tYr ati oPPlicable Sfate ofi ~tu~esbtc~ Sfotutes~Qn~ Cify o~ ~agian O... r~c~. , ~ Signofuc~ oF ApP~co~ti. - _ - - ; CBtE~i~ates Of $urv~y Rec~iverd Tcee ~ervstfon P~an Ret~i~+ed _ ~Not R+a~ul. d:Ipds~ed;t,f0~ . ~ ~ - , O~F~CE U~E ~NLY C] ~i Foundation C] UZ 05-.plex= ~ Z3 96-pfe~c ~C~ ~^0. Ppof 0 34 /~esst~r~yt 8idg. ,O. D2 -8F DwelRng ~ 49 q6-plex q 16 , Fireplaae ~9 Por.~h ~sea:) ~ O 3:1 ~F_xt. p!t - Mult~ ~L7'.03 01~of,_plex O a9 '07-plex :D 1~ ~sr$ge ? 2~• Po~t~lAddn:(~4-sea.~ 0 33 ~xl::~,i1-.SF ~ D4 .0~-pleac~ 1Q 08~ptex D 18 .DeCic 0. 23 Porch {sc_~eenec~ D 36 Mi~1tt LI ~QS 09rplei4.• ~ 11:, 'FO-pieX ~:18 lvwertrev~l 0 2~4 .Storm,"~amage Cl 06 Q4-plex 0 1Z• T2-piex Pibg Yor`N O~Z5 Mi"scellanebus ~ 3.1 .New~ O 35 Int Imp~yement 0 -38 Qemolisli tlnteriorj: 0~A~4. S)dirig O 32 Addition 36 Move Bldg. ~ 4~ Demolish (~oundation)' C] 45 fite Re~~ir Ot •33:AIEeration O' 3~~' DeF?~oB9h~Bld9)' :II 43 Reroo~ ? 4~ WhidowsiDoo.rs 0.34 RePla.cenne~ 'Ge~r~c?Iitfo~ ~Entfr9 Btdg on{~ - OIys.PGA handout to ~tppi{~ant YalusRion' O~aupBncy~ AAGlES~Syste.m ~nsus Code- ~~n~ing ~ Gity.INf.ater SA~ Unfts Stories Boosier~Pump Nbr. of Unifs: Sq..Ft ~,___r_,_ PR1/ ~Nbt. of 8fdgs Len$th Firs ~prinklered _ Type of Co1'tst Width REt'~UIRED INSP€CTIQNS . _ Foot~~s €~uew bldg) _ FinaUC:iD. = Footings (de~3e) _ Finalll~o ~:0. ~ Footings (addiiion), _ Plumlimg ~on~do,n HVAG Drsin 'I~e Roof Xcc.&'~V'aser Figal_ Ot~hcr Fr$min~ - - PaaI , Ft~s _ A~r/Gas 'Tests ~al _ Fit~cplac.t~ _ R~.I. _ A'sr Te~t _ Fi~al _ Siding • Stucco _$tone Tasuii~tion _ Wip~ows {newlitplace,nrient) ~?PProved By ~ Bull,ding li~spector B'ase F~e _ Su~char~e _ Plan Revlew M,CIES SAC Ciiy S~C - Watar Stipply $ Storege' ~ S81+V Permit:8 SwrGisrqe treahnent Pta~r~t Plumbin~fPermiti _ _ ~ Nlechanlcal Pem~it L'+os~s.e Se~acch Copies Ott~er Total . . ~,ESIQENTI~I., ~UIL- D'Iw~ P~RMtT A~~ttCi471~~1 c~r o~ ~?~nN . ~ t~ ~1 ~ ss~o ~r~aT - ~s~ ~ ~ ss~-sai.:a~ts , ~II . ~ . 3 iegl~iarae:s~ssunra~m st~n+~i~: sg: lt afku, ~9; R. or #~o(~e: a~d ~ r~d arees . Z e~As:pf pia~ _ • 'k~aiEt~BY~lalf~liot~ai~Nf~e¢~dc~ial~s - ' ~J6 rrt~cNn~rn I~covetsge aIH~. P~ ~+!~!!9 t~m &,e~tid~r si~~s; Po~ed ~cna~m cfa~gn; e~.}: . 1~Ge.sia,ua~ ~Or ei~ar.add~ d~d~s I ~ Ind3c~e'Htioi'riesenredtiy:sap~~~rr~}ons. " ~ • 1. s~ of Ltbtpy Gaict~elior~ • 8 00~ ottfae!?reeenia~on Ptan ~~E pt~ed aAer 7n?,99 ~ ` ~ • Rini'aoistQelal ~ ~ieaNon ~t~eef.~bt~S~Ih 3.or 1eas~1 - • . ~ ~ , aAr~ -~r ~ v~?~u~nbw f ~ ~ - ..~o~ sR~ AQa~~s ~ ~~VP~N~11~`Nr ~•~r~C'~3 - - - - _ 'lF`N1u1,TIyFAMtLY~ B~J1LDiNG, H4W NlAMY UNIYS? ' I~ Wt4PfRT1f 01N[VEI~: ~°R-' ~+'r.aFF` 1~~17~!J TYPE OF 1NORK S _ ~1REP~CE(~)~''' G~,_ 1_, 2 . _ , ~ . ~ : ~J ~ , ~A~gI,iCAN7 : C~~~ .~>a~~ 1~11.~~ d- ~~.•-C _ C~ • F~1.~N~ . . - ~ li ~ADDRFSS ~ S~i G ~ ~ ~ . ' ~~P ~Ot~~' _ ~ PAGfR ~ CEI.~ PHC?NE ~ F~iJG~~~ ~''r7°~ ~ N~iV RESIDENTU4~ E~UILQ:QNG O.I~IL~` ~IL.L O,UT C.~11~PLETE~~ - - . €ne~y,"~otte .~~.te~ory = A~~[t~TT„SOTA RL~LF~ ~~674. GAT'E~~Y i ~ (c4~e~k oh.e). - . R~s,ide~ial Ne~fltatlomGategory.~'4~ori~et:Sul~teil~~ I - Eni~r~gy Envelope Calr~latiot~sSubaaitt~d ~i - ~1~'1~TFSQ'I'~k R'~II,~~'~672~ ~ ~w ~ne~y c.~ae: vlr~kst,eet S~m~l ~ Ptr~~nbing ~o~roc3ow _ ~~'hane:ik: - - : P1unF~buxg ~"Xsteim l~nc~ud~s: _ V~ar~r ~~offeaer _ L;a~` 5pri~~k~i` ~ ~ee: ~9Q:t~0 : ~a. ot''R~I. B~s , I T V~V~`ater ~ieater _ _ ~1~TO; af ~Ba~s Mechc~ralca! CoMractar. Phone # ~ - - 1l~ec~cat ~yst+~tn Ineludes: ~ :AiF C,o~~ianing Fee: ~Zf~.~} ~ Heat ~~c~ver~+-System: ~ Sewer/"Waf~r ~cnlrct~tor. Pho~e ~ - - - _ ~ ~ - - - - - - i~i.l ~ove?i~fvrrrtatlon ~ci~t be subi~i'iittad prlor ~;prac~ssing of`applic8fioe: l h~re~y ockrio~led~e fihcif l hatve read'fikt~,applico#ion, stc~l.e ~hctt ~h~,i~fi~t~natPox~;is' eorr~ct. a~id c~~e~to-comp~y ; v~ith 4II -oppiiccit~I~ Sfafa~ r~f A+il~nesota'~~#att~t~ ;ancf Cifiy of Ec~an Q~dina~e+es: , Sl~na~[g af Appllaainf - _ _ - - ~er~ific~tes o~ Surtice~r F~~ceived _ Tte~ Pre~ervati~l ~Pl.~fi ~iv .i i~lot.R~quic~l' E__ ~1pd~~ed'trQ~ ~ ~~~l~E USE ONLY ~ . ~ ~ 0 0~ ~o~~a~~o~ o az .o~-~X ;d ~~p~. ~ 2o RQO~ D 3~ A~,so.ry_Br~ ~1. 02 SF Qwetling ~ 0~8 06-plex Q' 1:~ ~i~plac:e Q~1 PotCh .(3-sea:); ? 31 ~xt. A!t- MCt,ifti O 03 .01 ~:uf._ pl~x ? 49 07-p.lex ? 1''F S~ai~e. ~ L7 22 ~ Porc~r/i4dd.~.. r4•s~} O. 3~~ ~Ct.,At~t -~~F I~ ~ 0:'oa ~U~,p~e~ 0 4(t .(~~IeX II 19 ~ Deek ~ 23: 7Rorciti..(~creeMedj 0 3s ~IUtB: ~ O F}5~ ~03-~1~e~ ~ 11 7'Q-ptez. O: :f9 Lowar L~vel 2A '~Sfotrn Da~aage 0 46 -04~p1~x 'p ~tR~ fi2=plex .Pf~Y.arrl~ 0. ~25~ M(s:ceiua~n~uus. . ~ 3~'l iVevir 3~ Irtt'IRipirc~sii~iit C7 ~8 Qen'ioli~h'(Gite~io.~? ;0 Sidirl~ iC7 ~2:Addiqori ~ 38 Mov~'61dg.~ ~C~I: :~2 QernoUSh,,(Foiuadati~y _0 '4~ ~.F'ire:Fte~tair , ~ d ~l3.Att~atlo~ I~ '3'7 Elemol~h (Bldg)• ,C7 43 ~eiroaf •Q 46 ~iridowslDoo~s I ~ ~ 344 ;Replacem.k~r~t 'Dvm~ition (~itlre BlfiCg on[y~ - GIYe PCA handout tv:a~ptipnt ~ ~~Valus#ibn 4ccapar~oy lN~/~5~~j~tem ~ . -Cec,st~s~:(;ade 7.ani~~ ~it~riNat~r _S~#~' ~Un'ds Stories Boosier f?u.rnp Nbr. of~lJnits Sq, F,~ 'pF~Y. II Nbr. qf B~dgs l.ength Fire S~ci~ikta~ed. ~Ty~e af ~Con'st . ~wllidtFi . . R~~~~~o i~sPECTioMS I~ _ Eoot~s (n~'t~ldg) EinaU~fi3. i _ ~0o~5~(iierk) ' FihallNit C:~. _ ~oot't~g~=~ad+~i~on~ ~liu~nbi~. . `F~intdatiop HYt~C' i l~ia Tile - ' 'T~o~f Xce ~ W~cer ~inal I - _ I _ F~aiaaiag ~ Pool _ .Ftg~~.• ~A~f~es~fies~ts FRnal _ ~Fizeglaes _ ~Air~Test ~mal Sj~ Stncco ~t~ne _ It~s~[ati~n 1~Y~ows:,.(new~i~pia~es~u,E~. 'p ~ ~PP~ By .:B[i~ing Inspec.~?r ~ _ _ 8ase ~F~;e i ~urchafge I PIa~~ Rev~evw MC~~~:~AC~ ~itX S!#E '1~ate~:~~tp~!ly & Storage - ~ ~~W~ ~e~r~iit &~,Surc~iarge ~i `fr+aat_rFiettt Pha~tt - i ~Plut~rbin9. :Pet~r?[t~ ~Gtectianfc:a~l P~m~i~ Licens_e~~tch ~ Capie~ ~ vtj~.~r Total I ~j. 3~3 3 6 Request ~ale Fire No. ` R -in Inspection ~ Y'1 i~ed? ? Reatly Now ~ill Notify Inspeqor O~ ~ Yes ? No ~ ~~~en Reatly7 I n licensed contractor `~owner hereby request inspection of above electrical work at: Job y99ilEress (Sirecel, Box or Roo~e No.) Ciry 7- / 13 J4~Ytf1r G4 4~'I Section No. Townsnip me or No. nqe N0. Counry~ ) ~ %CG Occu anl(PRINT) Phone N . ~~7 ~-z~ Pow Su0lier LY d ess / t L'~~ L ~ Electrical Convacbr IGOmpany N ae) Con ract ic a Mai~ing Atltlress (GOnvactor or Owner Making InstalWtio i Auroorize S/ignature ~ or.'pw r Ma inq Insta~l ion) Phone mbar MINNESOTA ATE OAH OF ELECTPICITY' THIS INSPECTION REOUEST WILL NOT Grlggs-Mltlwey Bitlg. - Room St)3 BE AGCEPTED BY THE STATE BOARD 10Y1 University Ave., 56 Paul, MN 55106 UNLES$ PFOPEF WSPECTION fEE IS Phor~e (81P) 6aY-0800 ENGlOSED. (/D/a~/l~ O REQUEST FOR ELECTRICAL INSPECTION a~`~"~~~ ee-ooom-o~ ^ ~ ?$ee insVUCtions for complefing NiS lorm on back ol yellow copY ~ j ~~53~ C~ ` 3 3 5 3 6 ~x" Be/ow Work ~ovefed by This Request ew AEtl R!~i~i. TypeofBuiltling AppliancesWired EquipmeniWiretl Home Range Temporary Service ~uplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./lndustrial Furnace Farm Air Conditioner ~ Oiher (specity) Convacro~S Remdtyc, S_ 1 ~n) S~ ~ Ml, Compute Inspection Fee Below: ~ Ofher Fee # ServiceEmranceSize Fee # CimuRs/Feaders Fee Swimming Pool 0 to 200 Amps 0 to 10o Amps Trans~ormers Above 200 _ Amps A6ove i00 _ AmDs Signs inspectors Use Only: TOTAL IrrigationBooms 3Q~o ~i0 Speciallnspection Aiarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 NTHS. I, the Elecfrical Inspector, hereby Rough-in r~ certity that the above inspection has F;,,ai ~ ~r,~ been made. OFFIGE USE ONIY T~is request wb 18 moni~s Irom /o S pa C ~ C~ 33571 ; _ ~o Pepuest Da{e ~ Fire No. Fo -in Inspection ' ~O/C / q iretl? ? ReaCy Now ~ill Notily Inspecror s V Ves G No W~en ReaOy? I licensed contractor ? owner hereby request inspection of above electrical work at: Job AtlOre x or Rou~e No.l City S'~ ?a.~~'~ ~ ~f'4'. L- ~ Section No. Township Name or No. Rarge No. Counry ~ 0~ Occupant~P INT) Phone No. ' l~/t~~~/ Z` 0 Power SuO~lier , Atltlress D~ ka~ ~eL~-,L Eleclricsl Con[ractor (Company Name) . ConVaclor' lkense No. e ~fe~~r~ c, d~Z SS r` Mailing Atl~ress ICOnt ctor or Owner Making Installa~ionr ^ ~ d r-l,~v,'~ w/ i~ AuNOrizetl SignaNre IC ra orlOwner ~laking I on Pnone Number ~ ~~'7~6dL MINNESOTA SiATE ARD OF ELECTflICITV THIS INSPEGTION FE~UEST WILL NOT GrlggrMitlwey BI Poom 5-1]3 9E AGCEPTEO BV THE STATE BOARD 1831 University Ave., SL Veul. MN 55100 UNLESS PROPER INSPECTION FEE IS vhone(6~Y)&tR-0B00 ENCLOSEO. /s0 REQUEST FOR ELECTRICAL INSPECTION ~°TM`~'a$ ee-oooo,o~ I ? See insimctmns ~nr completing t~is lortn on back of yellow cropy. P!~ ~ e/O~ ~ £i C~ 3 3 5 71 "~X" Below Work Covered by 7his Request e Add Rep. TypeotBuilding AppliancesWired EquipmeniWired Home Range 7empo~ary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specity) Comm./lndustrial Fumece Farm Air Conditionar Other (speciy~ Conuactor9 Remarks: ~sn1~• ~nis Compute Inspection Fee Below.~ k Other Fee # ServiceEntrance5ize Fee # Circuit5/Feeders Fee Swimming Pool 0 to 200 Amps a to 100 Amps Transformers Above 200 _ Amps pbove~lW _ Amps SignS InspecwrSUSeOny: ~ TOpTAL~ SO Irrigation Booms m ~ / ~1V Special Inspection Alarm/Communication THIS INSTALIATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITNIN 18 MONT 1, the Electrical Inspector, hereby Rough-in Da~ev`/. _r~~ 7l/ certify that the above inspection has F;,,ai Date ~ been made. " OFFICE USE ONLY THis request voitl 18 months irom This re9uest voitl ~ ~-J~~ ~8 months tmm % . ~ D 299~4~~ _ ~ y~ ~`,s~~°t' Re~ues~Aats Fi e No RouAh-iyAnsuer,tion ~ Rer~uwre~.? ~ReadY Nuw ~ Will Nntify Insuec- 9- y-~ ~pYes ? No K'hen Ready ~,Licensed ElecVlcal Conuac[or I heraby request inspection of above ? Owner eletlrical work ins~allad aY. Svee[ Adtlress, Boa or Route Na p Ci~y 3 ~eu~-rtnc~+~i f, vc-~ ecLO~~ n. Townshio Name or No. Ranye No. Counly OccupuntlPRINTI Phone No. P12 va~v G ~ i~oe~s z- 30 Power $up01i¢r Address ~ ~ . . Electrical Co/n~t/racfw ~ComOany Name) ~ Contrar,tor's ~Licens-e No. /f/~arl~ ~~('~(/~iLJe~~ i/ ~ ~ Y ~ ` J` Mailing Atldress (COn[ractor or Owner Making InsrailatioN a G J7~ iV Authorizetl S' naIDre ICoMractor/Owner Making nstallatiunl Phon umber ~9~ - 3sS~ MINNESOTA STATE BOAF~ ELECTPICITV TM~S INSPECTION NEQUEST WIL~ NOT Griggs•Mitlway Bldg. - floom N-181 BE ACCEPiED BY THE STATE BOARD 1827 Univarsilv Ave.. St. Peul, MN 55704 UNLESS PNOFEk INSPECTION FEE IS Phonel612)642-0800 ENCIOSED. 9/~/g'7 REQUEST FOR ELECTRICAL INSPECTION . ee-ooooi-os ~ See instructiens br comoletine ~his form on back oi yellow wpV. ~ ~`2 g;~4;~4~ "X~' Below Woik Covered by Ihis Request aAd Hep. TyDe of Builtlin0 Aooi~ances Wired Equipment Wired Home Range Temporary Service DuplFx Water Heater Lightiny Fixtures Apt. Building Dryer Electrii; Heatin Cortnnercial Bldy. Fumace Silo Unluader Industrial Bldg. Air Conditioner Buik Mi Ik Tenk Parm thxr oain V ~hoi ISn~,r.7fVl ~ rr Vecify Ot er pfhi;r ompute lnspection Fee Befow p Fee Sarvica Enhance5ize H Fee Fexders~Subfeeders N Fe.e Circuits ' ~ ro 200 Am s 0 to 30 qm s 7 1/ - ~ tn 30 F~m ~ Above 200 qmpy, 31 to 100 Amps p~- 31 to l OD Am s Swinvninp Pool Above 100_Amps Above 700_P.m s TransiOrme~s Irrigation Booms t,Sb Partial~~Other Fee Signs Special Inspection Remvrks S 'a~ TOTAL F NouBh.in ' / A : Date . ~ ~ ~y~ ~ I. the Ele In(./_l ~ Inspectoq he~eby _ ~ ~ certily thai the above Final ~ ~ / ~ / 'pgpBCt10O h85 bB611 ~ ~ ~ae. (Oia repuesf vo1018 mmths Irom 2 V V- 211 OFFICE USE ONLV Thie mquast void 18 months from validotion dob prinfed in Mis bov. ~ %~~/s~ ~y7~~ _ ~ ~ PLEASE PRINT OR TYPE C Requesl Dafs Roagh-~n inspeclian rcquved2 ? Yas I 'on Olher Than Rough-In: Ready Now ~ Will Call ~ ~ (You m~r mll Ihe inspacbr wfien readyl Date Readr~. I, icensed onfmdor ? owner hereby requesf inspedion of ihe above eledricoi work aF. Job Pddrcse (Sheei, Box, or Roole No.~ Ciry Zp Coda ~'i Y a~ d .~~.~~t~'~ ,~s +.J Sectlon Na. Township Nom<ar No. Ran9e No. Fire No. Co~n~~~~A ol Occ~pnM PhoM No. N cJ E Power Supplier Pddress Eledncal Con~w r ~CompanY Nome) Confraaor Licensa No. Mas~er Lia No. (Plant Elect Only) < .s w• .c : ri ~ m ~~4.e~ i ~ /~lY t~8 ~ ~ ~w mrono, o, ,rfa~,~~ ~~.~o~~o~o~i ~ m t~ .~1 a .s .oT~~a `~i°!o~ AuMorizad Si ra ~ nim er Perbrmi Jnslalla~i Phone No. ? f~ t~1V' W EB-00.lO1A-1 /9 STA7EBOA DC Y•SEEINSTi1UC710NSONBACKOFYELLOWCOPY I II I II I~ I~I IIrI RE~UEST FOR ELECTRICAL INSPECTION°~y~ Minnesota State Board W Electricity r 1821 University Ave., Rm. S-12B, St. Paul, MN 55104 * 0 8' 6 2 1 8*. anone ~eiz~ saz-oeoo f Home Duplex P,pt. Bldg`. ~ e: New Addn C mercial Industrial Farm Remod Re air ir Cond. Hig. Equip. Water Hfr. Load Mgmf. Ofher. D er Ran e Elec. Heat Tem . Service "k' above fhe work covered by this reqvest. Enfer remari:s in this space ond on the 6ack of the white copy only. Calculafe Inspecfion Fee - This Inspedion Request will nof be accepted withouf the carrect fee: Olher Fee $ervice Enhance $ize Fce ¥ Circvih/Feeders Fee Mobile Home Pork Stall 0 to 200 Amps 0 to 100 Amps Streef Ug./TmHic Sig. Above 200 Amps o 100 Amps Transforme~/Generator INSPECTOP'SUSEONLV TO~TfAL ~ ~ Sign/Outline Ltg. XSmr. ~cd ~ Alorm/Remofe Confral $wimming Pool i hs.~b ~n~ dw~ i m: ,d ~h sism~roi m:mnaeo de:rnbed ha.e~~ on xK da~es smkd Irrigation Boom Rough-in Dab Special Inspedion Fi I ~ Invesfigative Fee TNIS INSTALLATION MAY BE ORDERED SCONNE TED IF T COMPLETED WITHIN 1 MONTHS. NO PRV REQtiIRED CITY OF EAGAN o N_ 14056 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 ' PHONE: 454-8100 ~ ~ ~ BUILDING PERMIT Receipt# Tobeusedfor SF DWG/GAR EstValue $~1,000 Date AUGUST 17 ~y87 Site Address 943 SAVANNAH RD OFFICE USE ONLY 3 2 LEXINGTON SQUARE on site sewege occuvancy R3 Lot Block Sec/Sub. TH ADD MWCCSystem Zoning PerCBI NO. On Site Well Type of Const City Water X (pctuaq MARVIN GEORGE BUILDERS INC (Allowable) a Name w # ofStories = Address P•0. BOX 428 Length o City PRINCETON phone 332-3034 Depth ~o S S.F. Total , o Name SAME 389-3201 FootprinlSF. Address APPROVALS FEES ~ City PhO~e qssessments Permit ~ 402.00 Water/Sewer Surcharge ~s~ ~ ° W Name Poiice Plan Review 201 .00 ww - Address Fire - SAC, City 7 00.00 Engc _ SAC,MWCC 595_00 aw City Phone Planner _ WeterConn. 595_(1(1 Council _ water Meter 67 _ nn I hereby acknowledge that 1 have read this application and atate B~da IN~~ - Road Unit 'in 5. nn thattheinformationiscortectendagreetocomply fthall pplica A~ - TreatmentPl 1un nn State of Minnesota Stetutes and ity of ga rdina c. Verience _ Parks COpies Signature of Permittee io7n~ $2.- 0 5-0 A Building Permit is issued o: ~RVIN GEOR UILDERS INC on the express condition that all work shall be done in accordance with ali applicable St of Minnesot tatutes and City of Eagan Ordinances Building Official ~ ~ PERMIT ` CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u z ~ o r N s Eagan, Minnesota 55122• 1897 PermiT Number: 0 2 8 0 3 5 (612) 681-4675 Date Issued: 0 6/ 21 / 9 6 SITE ADDRESS: 943 SAVANNAH RD LOT: 3 BLOCK: 2 LEXTNGTON SQUARE 4TH P.I.N.: 10-45078-030-02 DESCRIPTION: p'~ A \r „„W @~il~da~?y Permit Type DECK ~@uildinq ~C~ork Type NEW ~~Censu5 Codei, 434 ALT. RESIDENTIAL ,*ry ~--~1 . ~s. , ~ ~ ~ ~ ~4~. S ~~y F ° ~a %'s 1.+e_..', ~ ~ % ~ . ~ ..5 'Y \l `~.r~~ ``4 ~ ~ w,~ ~ ~ i 1~ t C`, ~"R f . ~_N s ;:`"3{~+s iy',Stf /~?:.tl c~t~. ~Eri `'~.._7 ~ C~ tl ; ~ 2 ~ > v REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: OWNER: - Applicant - BOROFF DONALD ~ 943 SAVANNAH RD EA6AN MN (612)685-2343 ' T hereby aaknowlsdge that I have read this appliaation arid state that the infarm~tion is correct and agree ta comply with ell appYica6la State of Mn. ~tatutes and C3ty of Eagan Ordinanc8s. ~ _ _ _ . _ ~ ~ GUt~ v~-"' • APPLICANT/PE TE SIGNATURE ISSUED BY: ATURE . = CITY OF EAGAN ~S', ~ ~ ~ G O~ 3830 PILOT KNOB RD - 55122 ~ S 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ~ New Construclion Reauirements RemodeVReoai~ Reauirements ? 3 registered sRe surveys ? 2 copias of plan ? 2 copies of plans (include beam 8 window sizes; poured tnd. dasign; ete.) ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculalfons ? 7 energy calculatione tor heated additions ? 3 copies of tree preservaNon plan if lot platted after 7N/93 required: _ Ves No DATE: J[ws~~ I~j ~ 9g~ CONSTRUCTION COST: DESCRIPTION OF WORK: ~~C~L STREET ADDRESS: 9T3 `~`'9`i~^i'~'4'`~ °~°C LOT 3 BLOCK Z SUBD./P.I.D. L~5`i75~a'~ `~''uN?~~' /~.1~ PROPERTY Name: ~O~O ~ ~ _ Phone "2'3 ~3 OWNER Street Address~ g ~-3 ~~Y~n''vre~ ,c~ City: State: ~ Zip: SSi~3 CONTRACTOR Company: ~ ~ Phone #L Street Address: Licens~t-'~''`~6 C~ty: ,QSm i State: Ybr ~ Zip: ARCHITECTI Company: ~r"~D~Son~ f~eS Phone ~Zj-jOc~ ENGINEER Name: Registration Street Address City: State: Zip: Sewer 8 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 o ation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signaiure of Applicant: OFFICE USE ONLY , _ ~IJ~~ Certificates of Survey Received _ Yes No ~ q ~~g~ Tree Preservation Plan Received Yes No n»- - - - OFFICE USE ONLY . ~ • BUILDING PERMlT 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 o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex ~15 Deck WORK TYPE ~'31 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~/3Y Depth Footprint sq. ft. SAC Code ~i Census Bidg ~ Census Unif U APPRaVALS Planning Building Engineering Variance Permit Fee Valuation: $ 5urcharge Plan Review License MCNVS SAC . City SAC Waler Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~Lompanles 68]5 Hly6may 65 N.E. f?Q Uox 32308 Alinneupulis, AIN 5543Y 111 :r71 b~u~~~ SUBURI?AN ENGINEERING. INC. ~Z203 NIcn11e1 Aue So. O~unsulflc, MN 55337 1~ ~;'1 y'N~ 05~~~ CM1rQ Nunklpd! Enm~onmm~el EngMenN9 ~ Land ~urveyMp ~ Lond Pbnning ~ Shc isanng CertiiLests ot 6urvey for Marvin C~eor4~e ~uilders Bearings Shovn Are Assumed ' o Denotes Iron Monument ~ ~ Denotes Foundation Corner Offset Steke. PROPOSED ELEVATIONS : ~enotes Existing Elevation Qx Uenotea Proposed Elevation . ~ . Top of Block ~ v Denotes Dlrection of Surface Dreinoge Loweat F1aor / f~ Denotes Urainege end UtilltY Easement Cerage Floor "J 3t id~ E 8 ~ ~ Scale: 1 hch S 30 leet \ ~ \ 9 ~ , o0 \ = ,?~q3 9o~so ~ 5 ~ N \ ~ S9Z~Z / / s. L ~ ~ ~ ' , q' pa F• /r \ ~ , Q7 ~ p~ J 8`13,!'3 5°'~-~ r11 ~~ic I ~o ~`a ; ~ o\ ~ ~ ~2`~ N 89/.g ~ 8gjoy~~ Z6~933 ~ ~ I v~ Q k .r' ~w w r°~ ~ p 0 ` ;5 ~~q~ ° c~t n ~ ` 4p5"- y 'Sop ~ o O v- ~ ~-~i ~P8y3, I O ~ ~ NUdY 25 S i J 5 ~ ~ OrnPosa i o ~P ml ~ ~ ~ 3J ~riv ~ b`~3~R4~ S ni e ° ~ ~o a 151.55 ~°i a . i 30 ~ ' ~~~SZ~pa'3s 3'~ _ ~~9z w~s3 3 43 ~9 9Y_~ ~ I ~ , LC~T 3 ,BLOCK ~ ' Ll~~~~Go~d'~~ ~d~~~~~ 4~t~ I~D~I~'I(JN Subject to easment~ of record Dakota County, Minne~ota ~ I hereby certify that this aurve7, pien or report was prepered b~ me or under my direct supervision and thet I am e dul~ licensed Land Surveyor under the lews of the State of Minnesote. -7 7a'i ~ Signed thls / G day af ~ A.D.. 19dJ. _ ~[ompartles SU URBAN ENGWEERING, fNC. - ~ ~ Not published: R11 rlghta,ceserved - Cop7righ[ I987 SE Compnnies, Suburbnn Englneerln;, Int. B(+AlIL A. B~tlOIYI~ Aioo. Be~, No:~f 91S J8~453 166L CI.AIH VnilCtlf'R - RF~UtIp RtR11E5T rI tY ~~F F.ACAII f:1,At!f~NT CARL D. WOETZEL h1~nRF,SS 943. SAVANNAH ROAD EAGAN, MN 55123 L~•rntlnn 943 SAVANNAH ROAD L3, B2 LEXINGTON SOUARE 4TH ~!nrr(~.t ilo./O~Ye C8537-6/25/90 ~ R~n~nn (cr Refund HOMEOWNER HIRED AN ELECTRICIAN TO DO THE WORK. frp~ r~f Re(und ~.lrctrt~•.nl Pcrmlt 01-J211 $ 30.00... Plumhinp, Trnnit 01-3212 S . IInrl~~nlrnl P~rmi F. 01-J213 . Surrhnrr~ 01-2155 $ . lJ~tnr f:rnmrrtlnn rermic 20-]713 Sre~rr CnntlrrY.~ntl Cermit 20-311~1 . $ Acconnt Urp~!:1t 20-2252 , S Uttlity ArcnnnY Uvar-Pnyment 20-2250 S_.-----_-__. [1YI~rr: S ~ 1OTA1. S 30.00 I~1~rinrr ?nd~r t.h~ p~nn1H eG ef ]nw th~t thi.s ar.count, clnim or demand 1e .Jn^t nnd rli~~ no pnrt oF ~t hn^ hrrn nni~l. / = L"~"~-~~' OCTOBER 12, 1990 ~PII'I~qtP I)AfB ~ ~..~xi~vC, rGY~[ ~ ~•9 RC ~H ' ` L.c~3 ~~8~..cc_~< ,Z ~~.~~•G,.~; ~ TRAIL EASEMENT t THIS INDENTURE made and entered into this 10 day of /F_,3.2i~H2/ , 1987, by and between MERITOR DEVELOPMENT CORPORATION, as Grantor, and the CITY i OF EAGAN, Dakota County, Minnesota, as Grantee. WITNESSETH WHEREAS, said Grantor is the owner of the tracts of land in the City of Eagan, Dakota County, Minnesota, legally described as follows: The East 15.00 feet (as measured at right angles to the east line) of Lots 2, 3, 4, and 5, Block 2, Lexington Square 4th Addition, on file and of record in the office of the County Recorder, Dakota County, Minnesota. NOW THEREFORE, the said Grantor in consideration of One C$1.00) Dollar and other good and valuable consideration to it paid by Grantee, receipt whereof is hereby acknowledged, hereby conveys, warrants and dedicates to said Grantee, its heirs and assigns, for trail purposes, together with the unrestricted right to improve the same, free and clear of all encumbrances, the above deacribed tracts of land. The Gran[or, for itself, its heirs, executors, administrators and assigns, does covenant never to cut, damage, destroy or remove any tree or shrub or other natural growth upon the hereinbefore described premiaes Eor the continuance of this easement, and does hereby grant and convey to the said City of Eagan all grasses, shrubs, trees and natural growth now existing on said Lands or [hat may be hereafter planted or grown thereon. The Grantor, for itself, its heirs, executors, administrators and assigns does hereby release the said City of Eagan, its successors and assigns, from all claims for any and all damages resulting to the landa through and across which the parcel of land hereby conveyed is located by reason of the location, grading, construction, maintenance, and use of a public trail over and upon ihe premises hereby conveyed and from the uses incident thereto, and the said City of Eagan shall have the right to use and remove all earth and other materials lying within the parcel of land hereby conveyed and the right to construct and maintain, upon the lands adjoining the parcel hereby conveyed, such portable enow fencea during such months as weather conditione make ~ neceasary. All stumps and other debria resulting from the clearing of the right-of- way will be disposed of by Grantee by burning or otherwiae, according to law. The Grantee shall have the right to post such signs and posters along said trail as are deemed necessary and suitable to define the above lands and locate them for public use. IN LdITNESS WHEREOF, said Grantor has hereunto set its hand and seal the day and year first above written. MERITOR DEVELOPMENT CORPORATION By: It s : ~ LC~y And: Its• STATE OF MINNESOTA) ) ss. W UNTY OF Y~k.~ A.~n~ It ) On this /D~ day of ~'~,Qv~9,eY , 19$7, before me a Notary Public within and for said County personally appeared ,(~~„~„~~-ry Ca,.~Sen attd/C~r X~C~CXX .C~CN1c~C to me personally known, who, being each by me duly sworn thath~, , ts. • ,'-r'~._:, [he VIL~ P~t~r~oc-~r A~d X K X x- K KkxK of the Corporation named in the foregoing instrument, and that the seal affixed to said instrument ia the corporate seal of said corporation, and that said instrument was signed and sealed in behalf of said corporation by authority of its Board of Directors and said ~~~,u~'7~L C~-~ ~ a2fd~X.~,yc,~C ~z3e,~ acknowledged said instrumen[ to be the free act and deed of the corporation~. ( S E A L) ~Q.~{`,, THIS DOCUPfENf DRAFTED BY: • Hauge, Eide & Keller, P.A. i MARYBETHCHRISTENSON~~ONES ~ 1200 Yankee Doodle Road ~lr NOTARY PUBLIC-MINNESOIP. S 1~ HENNEPIN COUNTY ' Water View Office Tower, Suite 303 MyfammissionEzpimsluneG5.199Y~ - Eagan, MN 55123 ¦v~r.n,y~y„v~,v„vvyvwyv~.v,,v"v.n.wwvv. (612) 456-9000 EXEMPT FROM STATE DEED TAX STAMPS > ,~~,~.II J,' /'I 4 ~ , i,j • ~~',,1 ">,~7: . > ~ i ~ , . . 1 ~ 'i `i . >,y . ~.~~f. 4~°'%,~Qa ~°o . ~µr, r°~~ 3u' 'h ~ ,ti. ; ~y°p3't7' G ~ oh o Y~~~=~' ~!r'~ti ,r , o~-;,^. 5 go.24 atip~~~oq~ L~~ ~ „ , 0~ a~,.~ ao ' ~ s2~Q ; ~'ao ahti'~'ti~, 6 ~ 8p,-z4 ~ o'i ~ . D ~ . / O ' ° ,"p~ ti~5~;,'o fl:3~°~~ pP ~ ~ ~ ~,r . ~o~ \ ~~~a,~,~ti~ ~ o ~ O~ ~d~~` i ~ : . ~ ~ ~ ~ l ~ o ti' ~ ,~.;!i ~ : o~~' N.a~°4s~oo~W. ~ n ~v,. : _ ~ ~''OO g~o~ .fD.OO • ~ U <1~, .~oi o n.' . ~ b. ~ti. ii ! ~s ti ~~~i .6' o~ 1,,jj++ o° . - ~s I w ~o`~ 3 ~e`5~~fi~4 ~ ~b't~a~ l~p~~~ ~ `~2~ ~?.7~~~ ~ O' p~` ~O 4~'i~ 0. ~ ~Y < 0 °0218".` ~ ~9 ~ I 2ti~' +F;,~,~. ~ 4°/6 E• i o / 1 ~6 Qp~ , ~ `:o .17,~'"~' ~o . t ~ ~,5i~i/ ~0~~ ~/O ~ ~~a~' ~(9~Q~ 2'~`~ • ti/ y 0 ~ cT`O ~ ~ / ~ Q~ ~ ~ ~ '~ly~ ~ T~. ' ~~~s:°r`. ~ i ~~~4i 3aZ~'L5=_;'^ o ~ o~~.i ~7. `b ~ ~ i5•~~ aiE;'~- . .T~ p=ll 8,&, y3~ ' ~ ,S~Z~9 . t'~`.:' e~ i i \ ' ~ ~ ~ yU . . , y~ ~,3 ~i .q4 Q~. ~ N ~°~j ~f,10 - a, ~ 4a~o3••r?.__v`~,; e~~~~'r~ ~~.v~',,~~23~ Ze+i~2r'~°o., ~ A,,:, ~~;,.9~, ~ o~ ,~u ~-~soo ';aa'~ i p Z8 ,32:E: ~ p~ N ce oss,so" I~ Q ; ; i bo ~,P,, ~~6 Q:11 i ~ ~u Q ' ' o ~ ~ ~,I ; •s~.; . I~ , , p ~ N 1~' , Sz°oa'38'_~_ ~ ~ ~ N U, ' o ~ ~ ~p h~ ~-'~p9.4 0~~ ~ - " V. ~ ~ ~ '0 IZ V' ;O I~ ~q ID '~r i ~ p5"iN~ ~ /.S~.SS I ! olr~~ O ~ ;N ~n~ c. o$lo oi w ~~~r sr N° h ~ O: O~ ~b1 ~s~ ~Y A:lV 8 i ~ i . r\ ~ 1~ 'L);~Q~~ O. O ~ . , . ~ ' 9S•o0~! ~ 9500~' ! 73:00~~ /20•00~ - 8%9'- ~j p Z ' ~_------"------i ~ ' 901 2 ` o ~ k . /DEROGA N. B9° 43'03" W. 4R?~O rQA7L `~3 d ~ h r--N89°43'03'W:1-t ~ ~ ~ SISOO ~ - ~PO ~a ~ ~ ~ 'y ~ ~ "N"""'i r'___"" ~ ~ ~¢~~ZZ 'SOO ~ ; 7Soo ~ ~ 7S.oo ; ~ 7S.oo.; , 90.OC , ~~1~ ~ O ~ei, ~ `ul ~ W~ ; :~ui , ~ • ~l 2 h; 3 h~ ;v°~ ¢ hl ;,n ~r hl io ~ o; ~ Z07.22 j ~.ei .s~ ~~v ~v' ~•ro ~N h~ 0i~ 5'.89°43'03"E• . ~ p : ~ ih / o I; M o; ~ n~ ~ s c,.. ',~Sf O; ~ i i i~ ~I o 0 ~ ~ ~ ; ~ ~ soo ~ ~ 7SO0 ~ ~ 7,SDO ; ~SOO ~ ~ 9p:o0 ~ \ ~ $ r~ 1 l._____~J ~_~~~~~.~I I______'_I L______I ~ ~ ` 4[nSA~ ~ I 5. 89°43'03"E• r e SouPubos~ Carnoi ~ a~ou.rcor A . ~ ~ OUTLOF A ZEX~NGTON $QUARE ~ LEXJN(rTON; S~G9RE" ~ ~ - _ . . ' . _ ~ - I ota corporation, and Meritor Development Corporation, a Pennsylvania corporation, owne~ States of America corporation, mortgagee of the following described property situated he office of the County Recorder, Dakota County, Minnesota, descri6ed as follows: NGTON SQUARE 3RD ADDITION as platted and recorded in the office of the County Recorder he southeasterly line of said Lot 7, a distance of 122.00 feet to the southwesterly ~ extension of said southwesterly line, a distance of 62.00 feet to the most easterly along said most easterly line, a distance of 216.66 feet to the southerly line of Bloc' said southerly line, a distance of 69.94 feet to the southeasterly corner of Lot.8,. , , along the southerly li~e of said Block 4, 75.00 feet to the northeasterly ~orner of record in the office of the County Recorder, said ~akot$ County; thence 5 0 16'S7" W i to the southeasterly carner of said Lot 17; thence S 89 43.03" E along the northerly i . . . I ~t~ciNbTCnr Soc k-rZ~ r~ g~Z3S a L.cr _3 ~8~oc~c Z TRAIL EASEMENT THIS INDENTURE made and entered into this p~ / day of /~/~2Cri , 1987, by and between DAKOTA ELECTRIC ASSOCIATION , as Grantor, and the CITY OF EAGAN, Dakota County, Minnesota, as Grantee. WITNESSETH WHEREAS, said Grantor ia the owner of the tracts of land in the City of Eagan, Dakota County, Minnesota, legally described as follows: The East 10.00 feet of the Northwest Quarter of Section 23, Township 27, Range 23, Dakota County, Minnesota, including Lots 2, 3, 4, and 5, Block 2, Lexington Square 4th Addition. NOW THEREFORE, [he said Grantor in consideration of One ~$1.00)'Dollar and other good and valuable consideration to it paid by Grantee, receipt whereof is hereby acknowledged, hereby conveys, warrants and dedicates to said Grantee, its heirs and assigns, for trail purposes, together with the unrestricted right to improve the same, free and clear of all encumbrances, the above described tracts of land. The Grantor, for itself, its heirs, executors, administrators and asaigns, does covenant never to cut, damage, destroy or remove any tree or shrub or other natural growth upon the hereinbefore described premises for the continuance of this easement, and does hereby grant and convey to the said City of Eagan all grasses, shrubs, trees and natural growth now existing on said landa or that may be hereafter planted or grown thereon. . The Grantor, for itself, its heirs, executors, administrators and assigns does hereby release the said City of Eagan, its successors and assigns, from all claims for any and all damages resulting to the lands through and across which the parcel of land hereby conveyed is located by reason of the location, grading, construction, maintenance, and use of a public trail over and upon the premises hereby conveyed and from the uses incident thereto, and the said City of Eagan shall have the right to use and remove all earth and other materiala lying within the parcel of land hereby conveyed and the right to construct and maintain, upon the lands adjoining the parcel hereby comeyed, such portable snow fencea during such months as weather conditiona make necessary. All stumps and other debris resulting from the clearing of the right-of- way will be disposed of by'Grantee by burning or otherwise, according to law. The Grantee shall have the right to post such signa and posters along said trail as are deemed necessary and suitable to define the above lands and ~ locate them for public use. ~ • R IN WITNESS WHEREOF, said Grantor has hereunto se[ its hand and seal the day and year first above written. DAKOTA ELECTRIC ASSOCIATION By: 41Gl~ (,LK~ ~ yv Its: ~E~~L'~ And: Its: STATE OF MINNESOTA) ) ss. COIINTY OF~q ) On this ~ day of , 19$ , before m`el a Notary Public within and for said County ersonally appeared~,,.~J, ~/w, ~~q.pn and to me personally kno , who, being e ch by me duly sworn that t~ero--are respectively the ~,yQ ~tv~ay4c.,~ and of the Corporation named in the fo going instrument, and that the seal affixed to said instrument is the corporate seal of said corporation, and that said instrument was signed and sealed in behalf of said corporation by authority of its Soard of Directors and said and - acknowledged said instrument to be he free act d deed of the corporation. ~S E A L) ~ r f1T • r+ornar v~ THIS DOCUMENT DRAFTED BY: DAKOTA COYNTY Hauge, Eide fi Keller, P,A. ~ 1200 Yankee Doodle Road Water View Office Tower, Suite 303 Eagan, MN 55123 (612) 456-9000 ~ EXEMPT FROM STATE DEED TAX STAMPS , . , . . . . .ax.,k~c,~,.~iR~;~cf~equ+..•.dH . . . ' ~ , .....wv.d~~uwvm~a.wtr:~+, .:a~.W. ~ . . . . ~ , r~ F . : . . ec_ : c:n~ r . . r, w~... ,~.~~.o. /4 ,S EC~ • ~ ~ • , R 23 BERNGRDH L1R90N v~1~~ p1FOT1 COUMTY.Y111M. Yyp~~y` • UNWI1Vd11~ r.I~'y ' . ~ . a•`t~..`~ ~ . sw vasec.ia,rz~,a2a ; ~c - ' '."~c . _ ~ a--...,w .-V- + ° POPD - :a _ .d„yl ~V• ~;5,'v ' u__ ".w .w _M ' ^r`, 1 . f,3: v°- 3. le ~C °y ' a~ ` ~ ;I .i "P.f' . i f ve_+L c R A~~-"'~~~l~~ • . 'I ~ 4N . . . . , f~ , ~ g.. e' ~t• ' i~ • Aie ; ~ • . . . ~ I ; 1,~': ~ ' ~..a. 9 ~ , ~ i ~ ~ ' ~ ? w a~ ~ei ° ~ ^ . n • + . . ^s~. a~ ; ~ ~Z3i;, ...a_._~. w s I ,.S i~ ~ y~ . ~ ? ~ . 7(a. .3,• ~ . S~ }L~~ : •;I ~~~i . r , ~ y: ~ ' t • I aeJ-`. 'R -ti ! Xq' - l~'~s y ~Id Y • ~ 3.~ ~ I ~ a~'3~6.~7i ~~Ft:ir~~ am~~~. a. ~yr~~n~,~ 1 °'k~ ! : ~ 4 t r'~. rn C F J` f'°,A'~ ~PB~Y s; I G f4 ~ „ 4 J AIe N~~ R h~~, A ~ Fr1 ~ ,t Y~. ~y ' P /y! K rfM' li N~°eI 3j]~ O ~ ! a ~ ~ . ~ I ~ - i_ ~L~~~,:~i~~Aa{ .al;iArlcY, ' ~ i . ' r~~. ~ i , t , Sf":i ~ I ; ,ly . ~dy~ . p~ i 7, ~ ~0'~i"~~~~ i; ~ ! I ~ . r-5'+.~Fa~,. eyi*:, i I f , e ,dd! ~ . ...!,~.p ~b4~AJ 8~~' ~ A_'b, f r "~~i ~W, i~il ~ . . ^6J. a ~I•.~ ,i j i t ' r ' A? t . ~ . - ~a V FF ya t,~(~' ; ? . ~ + ri ~ F' f~ ~ ~ e. -j ~ lal : - ~ - nrr'r.. . iy ~ in.~ t f ~ •i ~ ~ r° ~ ~ ~ ' ~ ~ ~ 1 ? ~L ~ I~ ~ ~>.3~~ a i.J' 1~ ' .y ~.Pti'.'* ?~1 A~~. A~~e~ .4:,~4. i 1 y ~I 7~ 9;F /y . ~ t'0~~. I~ ~ ? ~ `J." ; ~ ~ •,1I y J r ' I i f~Y- ~7 ~ ~7 t P~ ~r: i ~w ,1~. ~ 7j~.. ,~y ~ 6 i ~ VM. . . ~ . . '~`3' ~(±tI i'.I~~ j x Y 1` ~ ~14 r~:t ~ . . ~ ~ I . ' . . o .i! e ~ .~l ' ~ . . t . ~ ~ ;:.r ~..t. ~.;J; ~ I O~ 'TKA~ L . .a ~ - ~ ~ Mr. ) J -{+a~=~~ ~ . ~ !Y ' lTM' ~ ~~A~ JYw ' l ? ' 1 jil a ~ ? ~;„~•,Sa~~ix~~.,*3 ~3~i~~~i.q ' n ~ . ; . ~ :.ti ,t = a , +a• ~ ~ , ~ ' „ t _ • / t M,:~ +~.k. t~.:,?~ ~ ~ _t- .g - e ~ „.a f r • ~ . 3 i l U !~~'-TiY}qnj~ . ~ r* J~~ I I Ir ~ ;I 1 ~ 1 ~iAnl~. . I ~ ' ?I ~ J~w ~.A I .w ~ x~.n ' ~ I , ' i NORTHVIEW PARK ~ _ ' ' ---I ~ 3, Q~, ~?"`r~c` ~f~- /j'1~-~v~~~ C~~o~~E ~3~n~a ~305~ . C/I3LE ~ /!'JOt7E[r . ~C4. r~GA~lf~~ 9~.~ ~o-,,.,~ Hear~ossc.~A~cu~nnors HEATINGBAIR CONDITIONIIVG CO. ~~NNEAPOLIS,MINN. weethercl~ip~ A.S.N:v.E. . Conatru~tlon No. ~nsu~ollon Ylinclowa Doors Gvide Oul~. Wall Inl. Wall Cslllnp Rool Floor Kind How Applied Relerancs Yes-No Yes-No ~g__ ~ " . ~ ' F1. E~( .,~f~Room lengtM Wldlb Helphl / FI. ~ o? Roan Lenplh ~z,.. Wldth Ilo~p~n 5 Y~indows and doors-Creckege end Area Wlndows and Doora-Crackage and A~ea ~v ~i~ N~~phl Na. ol Lin~~l 11. A~~n ' WIA~ti / n~yhl Nn. ol L~n~nl II. ~~en No. ol ~ n el ~n~ 1i hu 1 r 11. ~ No• el an o~ uw 11 h~~ ol n 4 ~a. 11. a i /c ~s 2~ 3µ a is - Coel 8tu ~ ~ Coel Blu c Inlihrslim ' (o g / InfllUellm ~ r . ~ 7 Glesa ,3~ $o ' / ~Op~.. G~sss ~ ~ /5 5o C E~p, well ,Ewp. wel) Net ekp, well /Q O p1 Nat eNp, well ~ ~ Int, well . ~ Int. well ,y,, I Celllnp . ~ Celllnp ~ _ / I ~ 5a k Floor • 5 Floa ' ~ 5 rma~ ew. / oa0 roioi ew. ~79~ Hequlrad sq. 11. E.D.R, or sp. Ine. W.f1. LeaJer erea ~ flequired 6q• II. E.D.H. or eq. Ine. WA. Loader erea FI. Roan Lenplh ~b Width~o2 Flelphl FI. ~1 /N Roan Lenglh WitltM Heiyhl Windows and Doors-Crackage and Aroa Windows and Doors-Crackago and Aroa W~tl~n Ileiphl No. ol. l~n~el It. Aqn . ' No. W~A~A Ila~pnl No. ul L~eM b. 4ien ' No. ol ena ol ana Ir nn al r c o.~~. ol ena ol nnr I~aht~ ol c~sck •4. 3 ~ ~ a? 8 coB~ e w cooi n i~ Infntr6Uon H ,~aa ininiroua+ ' ,31 v7 /5~5' G~ess ~ ~a 5o GIa6s . So ~~~C Exp, well ~ Exp, well Net e~p. well ~g ~O~ Net exp. we11 ~ r ~n[. Well Inl. wall Cellinp / a Cellinp /9a ~ Floor ~ ~j FIoW 5 ~o~el Bta. . 7ota1 Bw. 5~b~• Pequired aq. It. E.CI.fl. or sq. ins. W.A. Leoder areo ~ Required sq. fl. E.D.fl. or sq. ins.. W.A. Lcader araa fl. C7~ £ Ropn Lenpth Widlh Holpl~~ 8. / FI. ~oom Longth /D Wid~h ~L) Lloipl~tf Yrindows and Doors-Crackape and Area Windows and Doors-Cruckage nnd Area ND. W~~n Ms~pM11 Ne. ol l~n~el 11. 4~s.1 . No. ~v ~UM1 Ilb~yhl Nn. nl l~^enl 11. 4.en 01 ~ 1n! ~ 01 nnp 11 hl/ 01 Crs k It. al ~ ~i~ UI ~nx I~ hl/ 01 Crack 1~. ~ z 3 ~o ~ ~ a ~ . . ~oe~ ~ ~ • Coel B lu ~~Jp Inlillratipn S1'] Inlillrnllon ~ ~ ~"~7 _SLsL Glesc . Glees ~ `~O ~ ~QC E.p. wall Exp. wnl~ Net e~p. wall ~ ~~o I~O Not e~p. wetl cr`1) . Int. well Int. wn ~ - Ceil~ng .1 ~ ~p (o Ceiling ~JG) _ Floor - ~ Plnw lutal BW. ~ ~Q~~ lotal Utu. ~ ~ . FlgcyuireJ cq. IL_ E.~.R. Ot SU, ins. IV,A~_LouJm Nuu ' , R:,~ui+:~i r.y. ~t. C~D.C. ui sU. int,. VI.A. Wadur u~oa , MINNEAPOLIS, MINId. ?+ear~ossca~cu~nnon~s . HEATING A R CO~ONING CO. Co~trucUon No. ~ Insutatbn Weatherct~ips A.S,H.V.E. . ~ ~ Window6 Doas Guide Oul. Wall Inl. Wall Celllnp Rool Floor Kind How Applied Neference , Yas-No Yea-No ~g_ ' • . ~ FI. Roan Lenplh ~ Wldth Helphl ~ FI. Hoam Lenpth Wid~h Heighl YJind ws end Doors-Crackepe end Area Windows end Doors-Crackape and Area NO. ~y ~r0~ IIOOM No. OI l~nut II. A~~n ~ No. WINF 1 mphl NO. ol l~nenl 11. Aron OI InY O/ ~n~ fl Aq 1 r 11. ' OI ~q O~ sn~ 11 hu oi r• ~V. II. / a~{ 3 , i~ ~o ' coe~ e cu coo~ e w InfiltreUm ~ aI In111tretion _ Glass ~ ~ (o~ Glese E~p. well ~ ExP, well - Ne1 e.p, wall 8 ~ji ~ Nol e.p. well ~ Int. we~l . ~ Im, well Celllnp / O Celllnp ~ • ~ ' Floor • Floor ~ . Totsl Btu. ~ ~ ~ 35 totel etu. ~ Hequlred sa. It. E.O.R. ar sq. Ina. W.A. Leeder eree Aequired cq. ft. E.D.H. or aq. ina. W.A, Loader erea ~ FI. 0`c,Q Roan Lenpth ro Width Helght Fi. Room Lenplh Witlth Hoi~ht N~in ows and Doars-Crackage and Area Windows ond Doors-Crockago ond Area ' No. W~4'n I~eiahl No. ol Lm~nl h. A~en ~ Wq~h IN~~pM No.'al l~nanl h. Aien o~ sne o ane 1~ h~~ 1 r~I o. 11. ~ NO' ol oene o~ nn~ li h~a oi t~ecw ~4~ ~ ~ ~ D ~ / ~S Coel 6tu Cool diu InIHtr6Uon 3 .Cf7 / fo Inliltretion Gless O /90f~ Gless ~ _ Exp. well ' ~ EKp. wel) - Net exp. well ~~Cp ~o ~ Not exp. well I. Int. wall In~. we? ~ ceui~0 y 3~o cein~B - _ Fba ~ Floa ~ Tolel B~u, totel Otu Requi~ed eq. it. E.O.H. or aq. ins. W.A. Laeder erea Nequired sq, It. E.D.R, or sq. fns. W.A• Leader arue ~ fl. . Roan Lenpth Wldtb ~ Helphl . FI. Ptran ~ Longlh Width Hoight Ylindows and OoorS-Crackage and Area Windows and Doors-Crockage end Area - No. W Wvpl H~~~p~~l Nn. ol l~nenl 11. 4wn OI ~ I,n . Ol~~~n~ /lf ht~ O/ ~E f1• t,~all. No• ul nr~ UI nnx 1~ hl~ al C~eek ~V. 11. ~ COB~ 81U • CoB~ B W InliltraUOn Inliluntion ~ _ Glesa Glese ' E~p. wa~l E~p. wnll _ No1 eMP. well ~ Nel e.p. well '-Int. wall Ini. wnll ~ Cail~ng . ~ Ceilinp . floor ~ i . _ -~rlnur TOIOI QiV. ' tutal BW. ~ ' Pequired cQ. Il. E.D.Fl. oi SQ. In3. 1Y.A. LuJJOf O~tlL ' nC~~tlii:~.~I 5~~. IL F.U.~. O~ 5V. ins. Vl.A. Wsdur u~uu ' . *#***************W****k*******##***# • C I TY O F E A G A iV **~F' PAYM~NP OF k~E AT TII~ pg * ; ~~sc~aa mFS r~ar ~ ' ~ ~PxovAr. oF r~T. * * APPLlCATION FOR PERMIT ~ ~ ~ * nasrnciz~r oF s~ 2~rm/~ r~~t * ,*f rnisrar.ramrpNS WILL NOT BE 5(~~-- * SEWER AND/OR WATER CONNECTION + ~ ~~T ~ ~ ~ . ~ * ~.'PRwFn- * * : M * rt ~ * 9t*Yr** # * **#~R*# **4~k***#!r ***ak*!*** , ~ P ease Print ~ ~ 1) PROP~RTY ADDRESS : ~ LEGAL DESCRIPTION: ..`C~ ~ ~ ~ ~ .p~ _ Lot Block Sub ivlsion or Tax Parcel IE' E}QS'PING SlRL'CIL~RE, DI~TE OF ORIGINAL BC'ILDING PERMIT ISSL'ANC~: ' ' (Mon Year} PRFSED7I' ZONING/PROPOSID CSE: COA'IlNERCIAL/REfAIL/OFFICE R-1 SINGLE FAMILY " I1~ID051RIAL Q R-2 DL'PLEX (1DA Lnits) INSTITL~TIONAL/GOVII2N[~,'NT ~ R-3 TDWNE30L~SE (Three + Units) ( C~nits) . p R-4 APARTMEN'P/COI~IDOMINIOM ( Onits ) 2~ ~ rmr~: VALLEY Pi.UM61NO CO. INE. AnnxESS: ~yA11~61AN~ MN 55'f52 CITP, STATE, ZIP: r ~ pxo~:~-a -z( z~ 3) tu~r~: VAILEY PLUMBINQ CO. INC. For Clty Use . Pl~rs License: , .~DDRFSS: .IOI~~CIJ1N, M~i~w" e E~cpirea CITY, STATE. ZIP: ' ~1 Not recorded Pxor~~a -z t~ r~r,sTm r~xc~sE# _ i v sta~f'inir.~ai a) • ~ . .~"c.~.;c~`~~: . ru,e~: i 1W ~ _ An~ss: , 4~.. `f , CITY, STATE. ZIP: 1 Y7 C- ~ /~Y) ' PHONE: S~ ~ f~ ~L~ ~5) n v ~ a• : n ~ o~ - a~~ c O6INECTION TO CITY SEHII2 ~~NDIDCTION ~ CZTY WATER ~ OTf~R 6) • • r Q PLEASE HOLD APPROVFD PERMIT FCH2 PICK- ~P BY ONE OF ABO~lE PLEASE MAIL APPR PERMIT 10 1,/ l_,/ 3, 4. AHpVE . (C`rrcle one) 7) r 1~1 ~.C~ ~ c~ . " `1' ~ Y' I: ~ ~ ~ • I' e~' 8 IDI• . D Y01• . ..Y• ~ • D~ • ~ ~ 1~ 4>. 1 ::r H•~~ •,ND~ 1 /1 ]I" ~ :A' . . " ` . ~ ~ .~FOR ,CITY USE ONLY ° PERMIT # ISSUED ~ Pd w/Bldg. Permit FEES: $ S S~ SEWER PERMIT (INCLDDE SLRCHARGF) S S /'rJ' ~ WATER PERMIT (INCLLDE SL'RCHARGE) $ C~ ~'U ~ $ WATER METER/COPPERHORN/OOTSIDE READER $ S WATER TAP (INCLUDE CORPORATION STOP) S S SEWER TAP $ $ /S •G'"~~ ACCOUNT DEPOSIT - SEWER $ S ~~S~Crt~ ACCOC'NT DEPOSIT - WATER $ ~ Z S • Z~ $ WAC $ ~ ~-[r- c'~ $ SAC ~ $ $ TRLNK WATER ASSESSMENT $ $ TRL~NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER ` 1 ..,;:3. . ~ , . $ I p~7 « t~ $ WATER ~:7;R~ATMENT PLANT SURCHARGE $ $ OTHER: $ - I 3 ~ ~ ' ~-t) $ ~i u'_Z` TOTAL . ~~`~7~ . _J / RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED By THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: /1 APPROVED BY: ,.%~a,.~~ ~y'~ r.t~-y,~, TITLE: DATE : 5~/(~ ~ U•F u0t•tJii± >ti•ti~+ D U iJ r Ei7?•UU+ ~ 5'L7•UU+ b"1•Uil+ l° ~05•UU+ ~v' 180~Ou+ ~'~j40•5U+ / t . • . 798T BIIILDI G PER[~T APPLIC9SION - CITY OF TsAG9N SINGLE FAMILY DWELLINGS I6CLQDE 2 SEIS OF PLANS~ 3 CERTIFICA?ES OF SOHVEY~ 7 SET OF EN6RGY CALCQLASI09S - HOTEs ADDRESSES FOR COENEfi LOSS - CONTRACTOA/HOMEOjiNER MOST DESIGHATfi SIHICB 9DDRfiSS IS DFSZRED. NO CH9NGES AILL HE ALLONED ONCS BOILDZNG PERMIT IS ISSDED. HULTIPLE DiiELLINGS - RESIDEN7IAL AENTAI.i1NITS FOR SALE IIHITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRPEY - CHECB YITH BLDG. DEPT., 7 SET OF ENERGY CALCULATIONS COI~RCIAL INCLUDE 2 SETS OF ARCHITECTURAL ~ STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 1 SET OF ~ ENERGY CALCULATIONS~ • ~ A~ ~ $2~000 LANDSCAPE BOND „ To Be Used For: Sinqle Family Valuation: ~7~,3~~,-8~0_ Date: 8~3 87 O Site Address 943 Savannah Rd. OFEICE OSfi ONLY Lot 3 Block 2 On Site Sewage_ Oecupancy R-3 MWCC System ~ Zoning ~D Parcel/Sub Lexinqton Square 4th Add On Site Well Type of Const City Water ? (Actual) Owner Marvin Georqe Builders, Inc. (Allowable) ~ G of Stories AddressP.O. Box 428 . Length ~f3,5o Depth ~/9, SQ City/Zip Code Princeton. P~N 55371 S.F. Total Footprint S.F. Phone 332-3034/389-32U1 APPROVAi.S FEFS Contractor Same As Owner Assessments Permit ~/O .00 Water/Sewer Surcharge •SO Addreas Same Police Plan Review 201,00 Fire SAC, City / v0, ov City/Zip Code Same Engr SAC, MWCC Sa ,00 Planner Water Conn 525~OC7 Phone Same Council Water Meter 6']. o0 Bldg Off ~a- Road Unit OS~00 Areh./Engr. Same As Owner APC Treatment P1 I D.00 Variance Parks Address Same Copies 7~ TOTAL ' ? T''~ ` City/Zip Code Same Phone 9 Same \ ~a~ . . a , , . . zz x 2y _ ~ z~ ~ ~ , , ~x~_ ~r~ s~o xi2= ~/ao ~br ~ 3SmT' °~~X 1~= Soy 2zxac,= S~a lox 3=~_ !l~~ X ~ = G~-f ~N`~ `]02.6~ i , ' ~[ompairles 6875 l4yhwuy 65 N.E. 1'.O.Oax 32308 hlinneapul~s. M1IN 5543Y IGIU SII OW d1 SUBURBAN EN6INEERING. !N[. ~ZZ03McuIlel~lue.So. Ilumsvtllc,MN55337 r~~:oY~~n~.,~~~ C7uq Mur~lpal8 EnohmmeMd Englneerxg ~ Land aw~syln9 ~ Land Planmrg ~ SoM hanry Csrtiiicate ot 6urvsq for M2~rYin GQorae LJL[1l~Ql~.S Seeringa Shovn ~lre Assumed ' o Denotes Iron Monumen[ ' . ~ Denotes Foundetion Corner Offset Stake. PROPOSEll ELSVAITONS = Denotea Existing Elevation Ox Denotea Proposed Elevetion , ~ Top of Bltltk 9.5. o Denotes Direction of Surface Drainage Lowest Floor /,f~ Denotes Drainege end litillty Easement Garege Floor 9 7 ?t '~D~f S , ~ Scale: 7 k~ch = 30 leet \ , \ 9~ , oa \ - '~643 9p.s° 5 ~ ~ p~ \ / N 8q2~Z ~ ~ ~ ~ \ tr / T ~ M ~ o ~ g , N ~p J3 ~8 q3 z3 So,Z~ ' ~ ~ ~ r o ~ 0 1g ~ ; ~ ~ .n 32A;~r ' n 8 9/.9 89z.y ` 26 °~9g3 ` I ~ _ . ~ ~w ps ° x ~ M ° ~ v O ~ ~t $ P ,~1p5-'"~ ~1 53~zpo ~ ~ 00 ~ " G L71 P893 I O a- $~g,~ ~ ~5'~' ~ J 5 Z -J ~~P^sa i o ,~,~P m~ ` ~ 3J ~riyp ~ R~3~~4.0 ~ ~ Ci N p~ .r.~-- 5 ~ 55 ~ ° ~ o i. dy2 w 99a i~"~ 3 4 ~s .L~ dys,~ ~ N' r~ 3° ~ a'~~~8'~,°~83$ ~ 3'~ I ~ L T 3 ,BLOCK ~ ~ ~I LEXI[VGTON ~C~IJARE 4th ADDITION ~ubject to easment~ of record Dakota County, Minne~ota I hereby certify thet [hia sur~e7, plen or report wes Prepared 67 me or under my direct supervision end that I am a dul~ licensed Land Sur~eJor under the lews of the State of Ninneso[a. Signed this/2~e~ of A.D., 19a~ _ ~v'O [ompan/es . SU ORBAN ENG/NEER/NG. ING Na[ publlshed: fll rlghts,reserred - CoDfrlght 1987 SE Companies, Su6urEan 8ngineerln8~ I~~• Hobett B, 9trenet~, Aioe. He~, No. 91S s8~433 Ibbb r R 1~; R ~H- y~~c a,;yx3`~ aXbwa~Lg ~-4 ~-I Ce~ ~ ~~nc,, ~ MINNESOTA STATE BUILDING CODE DIVISION , ~ EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER Ivl ~YRVL~ C~eoR ~E BU~ IC1P~S SITE ADDRESS CONTRACTOR/V1ftR~N CPORb~ pl)iI['~AKS DATE PHONE Determine workinQ square footaAe of each: 1. Total exposed wall area..... ~~]?ja sq. ft, x~,i1 =~,a,s~ 2. Total roof/ceiling area..... ya ~ sq. ft. x ~oa~ _~.oB Total exposed wall area above floor = ~ g 1 a a. Total wall window area . . : : : : : : : : : : : : : ~ b. Total door area. . c. Total sliding glass door area. . . . . . . . . . . . L{~ d. Total fireplace wall area . . . . . . . . . . . . . ~ e. Total wall framing area (average 10%). . . . . . . . f. To[al ne[ wall area above floor. . . . . . . . . . : I?~p~ g. Total rim ~joist area . . . . . . . . . . . . . . . ~ Total exposed foundation area = CJ ~ h. Total foundation window area . . . . . . . . . . . . T" i. Total ne[ foundation area above grade. "1 f__ Determine "U" value of each wall segment: a. X~~U~. , 3~7 = 1~~~•a:VJ b. ~ X ~~U~~ '1 _ l. ~P ~D ~ . '-J c~_. x „U„ , y = I ~ d. X "U" _ - e. i 3a x„~,~ , o~ _ ~ f. ~ 3 0~ X~~U„ , o y = s a~ ~a ? ' , , . 8: ~i ~ X „U„ , vy ~ o ~ h. ' X "U" r ' ~ G G X ,.U., , (Xp ~1 ~e , g 3 i. 3 . TOTAL . . . . . . . . . . . . . . I lO CA~ CO ~ If item ll3 is the,same as, or less than item lll, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = ~ . Total skylight area . . . . . . . . . . . . . . . . : ~ k. Total roof/ceiling framing area (Average 10%) 1. Total net insulated roof/ceiling area . . . . . . . . d Determine "U" value for each roof/ceiling segment: j ~1 - X"U~~ , 33 i, a k. ~a X ~,U,. ,~,~c~ = a,3~ i. ~ 3c~ X ~~U~~ ~ ,o~, _ ~ ~ , 01(0 - 4. TOTAL . . . . . . . . . . . . . . _ ~ ~ ~ If total of i[em li4 is the same as, or less than item f12, you have met the intent of • SRC 6006(c)1. Alterna[e Suilding Envelope Design To utilize the total envelope system method, the values established by the sum of itema ~ I!3 and 4!4 shall not be greater than the sum of items lll and I ~la. ~a + z. ay,o8 = a~•~~ 3. ~~~~.9,11'j +4. ~~~~i~~~ _ ~~0,~~ RESIDENTL4L BUII.DING ~ ~ ' ~ Permlt AppHcatlon City Of Esgan j q~ lo ~ 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 NewConsWdWnReauiramenb R eosirRmuiraments OfireUseOnN 3 reg'stered sile wrveys shax~ing sq. ft of lot, sq. R al house; and gq roofed areas 2~ af pl~ _ Cert of Survey Reo7 (2096 meximum bt coverage a~owed) t aet ol Eneipy CaNada6oro (a h~ted addifions _ Tree Wes Plan Reod 2 capies ol plan shawuq Oeam 8 wiiMow~ sires: poured famd de~ign, etc. 1~ swvay fa additiom 8 decNS _Tree Pres Not Reqd 7setofEne~gYCalafatlons AddAbn-"v~e~Yana~s~csysfem _On-siEeSeDticSysi~n 3 coples of Tree Preservatlon Plan d bt plaroed after 7M193 ~ Rlm Joist Deta~l Optlau selectlm sheet (bldgs wilh 3 w lesa umb Da~ 5 ~ v3 ~ a 3 ~o~~~oo ~as~ ~ 3~ Site Address (~~j SVc ?/~"NN n K ' UuitlSte # Description of Work ~J Multi-Family Bldg _ Y~` N Fireplace(s) _ 0 _ 1_ 2 Property Owner IJ~. d' JJO,/1'i Q_ 1~ JY O'~ Telephone #(~oS l0 ~ a.3~ 3 GrN! Lake~ VYlndow 3 SIdMg ContracWr Q'~~ ~ Address ~ ~1-0~00 F~tt ~l62) ~1~60 City P_.. P State " ' ~ ~ Zi ' - Tele hone # ~ - COMPLETE THIS AREA ONLY IF CON8TRUCTING A NEW BUILDING Energy Code Category Minnosota Rules 7670 CategQry 1 _ Minaesota Rules 7672 (J submissiw~ lype) Residentlal Ventllation Catepay 1 Warksheet • New Eneigy Code Walcsheet Su6miited Submitted A Enerpy Envelope Calculatbna SubrNCed Ucensed Fiumber \ 1 Telephone ) Mechanical Coniractor I!; I r~' I I i~~ ~i ~n~ Telephone ) Sewer/waterContractor 2'7 2C0~ i illl Telephone ) f~ ~ By I hereby apply for a Residential Building Pemut and aclmowledge that the inforniation is complete and accurate; that the work will be in conformance with.the ordinances and codes of the City of Eagan and the State of MN ' Statutes; I understand this is not a pernvt, 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. J u?~ i e P~rz~+s ~i~..~- _ Applicant's Printed Name Applican' Signature OFFICE USE ONLY Sub Types ? Ot Foundatlon ? 07 OSpfex ? 13 18-plex p 20 Pool O 30 Accessory Bldc ? 02 SF Dwelling ~ 08 06-plex ? 78 Fireplace O 21 Porch (3-sea.) O 37 Ext. Alt - Multi ? 03 01 af _ plex ~ 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 ExL Alt - SF ? 04 02•plex O 10 08•plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 38 Multi Misc. ? OS 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ~ ' O6 . 04-plex ? 12 12-plex Plbg_Y w_ N O 25 Miscellaneous Work Types ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding O 32 Addition O 36 Move Bldg. O 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Wiruiows/Doors ~ ? 34 Replac8m8M 'Demolitlon (EMIre Bldp) - Give PCA handout M applican! Valuation Occupancy - MC/ES Syrstem Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length ;r , Fire:Sp~nklered Type of Canst Width ~ ~•3'~ ~ ` . . . . . aSS/' .~i"~7L'+~.t~iU 3A ~ . .'@''~i,::7~y...;R~_.~~L:a:.' ~i . . _ . . . _ . ~ . . . " • REQUIRED INSPECTIOP~~~~=; ' :'..:''S - _ - Footings (new 61dg) - Final/C.O. Footiags (deck) . . . _ _ _ . . FinaVNo C.O. _ . _ _ _ Footings (addirion) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding SNCCO Stone _ F'ueplace _ R.I. _ Air Test _ Final _ Windows (new/replacemeat) _ Insuladon _ Retaining Wall Approved By , euilding Inspedor Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connect(on Charga S&W Permit & Surcharge TreatmentPlant, ; ~ , , License Search . . , : . . . . - . . . . . . . Copies " Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA133183 Date Issued:09/28/2015 Permit Category:ePermit Site Address: 943 Savannah Rd Lot:3 Block: 2 Addition: Lexington Square 4th PID:10-45078-02-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Donald L Boroff 943 Savannah Rd Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165564 Date Issued:11/05/2020 Permit Category:ePermit Site Address: 943 Savannah Rd Lot:3 Block: 2 Addition: Lexington Square 4th PID:10-45078-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald L Boroff 943 Savannah Rd Saint Paul MN 55123--155 (651) 688-2343 Bormann Brothers 17593 Foxboro Ct Farmington MN 55024 (952) 891-8586 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167011 Date Issued:02/17/2021 Permit Category:ePermit Site Address: 943 Savannah Rd Lot:3 Block: 2 Addition: Lexington Square 4th PID:10-45078-02-030 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 - Donald L Boroff 943 Savannah Rd Saint Paul MN 55123--155 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature