972 Savannah Rd -
_ '
` ~ ~ITY OF EAGAN ~ ~ ~ a~ ~
3830 Pilat Knob Roa~, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT , Receipt ~
To be used for Est Value ~ 7 ` ~ ~ Date ' n ~~r ~ ` ,19
% ~ ~ OFFICE USE ONLY
Site Address ~
LOt ' BloCk SeC/Sub. S'E'XZ~'~'~"~~ O~SiteSewage - Occupancy
; ~ , MWCC System _ 2oning
PerCel No. ' On Site Well _ TypeofConst
City Water _ {Actuaq
!'i"~'~i;i14~ j~C.; (Allowable}
rc Name
Z . ' ~ ~ # of Stories
; Address Length
~ City ~ Phone ~ Depth
S.F. Total
, p Name ' ~ ~ Footprint S.F.
~ Q Address APPROVALS FEES
a
~ City Phone Assessments _ Permit
~ Water/Sewer _ Surcharge
yVj W Name Police _ Plan Review
Address Fire _ SAC, City
Engr. ^ SAC, MWCC
Q W City Phon2 Planne? _ Water Conn.
Council ^ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. ^ Road Unit
thattheinformationiscorrectandagreetocomplywithallapplicable APC ^ TreatmentPl
State of Minnesota Stetutes and Cit~+of Eag Qrdina~Ces. Variance , Parks
Copies
Signature of Permittee ' ' ~ ' ~ TOTAL
A Building Permit is issued ta ~~'i`L' ~ on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
, Permit No. Permit Holdsr Dat~ Telephons *
Wumbing ~ ; ~ i~ ~ ~
~ r~_._: r. .
/
i
H.V.AC. r~~?
ti' ~ ~ ~~~~~1~' ~
Electric ` ~ ._n~::l-:- c'~ ~ ~•/~~/~s 7 ~~~i'• P C;
Softener
Inspection Date Insp. Comments
Footings I ~3
Footings II
Foundation /$b,~ ~
Framing z s ~f
Roofing
Rough Pibg. 1 ~
Rough Htg, a
Isul. ~
Fireplace
Final Htg. ~
Final Plbg_ ~-Q7 ~
Bldg. Final
Cert.Occ. ~
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
~ . . . , . PERMIT # ~
. . PLUMBING PERMIT RECEIPT q `
CITY OF EAGAN G~~ 7
3830 PILOT KNOB ROAD, EAGAN, MN 5512Z DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ~ BLDG. TYPE WORK DESCRIPTION
Lot 5 Biock 3 Sec/Sub Res. X New X
~ Mult. Add-on
~ Name u Comm. Repair
~ Address ' ~ Qther
c C'iry I~- - Phortie f~ES. PLBG. ONLY - GOMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name ~-Wa1er Closet - $3.00 S~ (y -
~ ~ ~_Bath Tubs - $3.00 ~
3 Address , ~_Lavatory - $3.00 G -
p City ~ • , ~ Phone ~ ~ ~ - ~ • ~ ~_Shower - $3.00 '
~-Kitchen Sink - $3.00 -
FEES Urinal/Bidet - 53.00
COMM/IND FEE - 19b OF CONTRACT FEE ~ Laundry Tray -$3.0o ~
APT. BLDGS - COMM RATE APPLIES _L-Floor Drains -$t50 ~
TOWNHOUSE & CONDO - RES. RATE APPUES ~-Water Heater -$1 50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMMIIND FEE - $20.00 ~Gas Piping Outlets - $1.50 ' ~ =
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - ~10.00
Private Disp. - $10.00
~ ~ ~ . Rough Openings - $1.50
_y Xi,..... -
SIGNATURE OF P~RMITTEE FEE: ~ ~ ' `
STATE S/C: ~ ~ -
FOR CITY OF EAGAN GRAND TOTAL:
• • ~ ~~r..;~"r_ _ PERMIT # ' J
~ ~ MECHANICAL PERMIT . RECEIPT # ~ ~ ~ ~
CITY OF EAGAN ~
f 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE 1'~ '
CONTR PRICE: CU PHONE: 454-8100
Site Address ~ ' g~pG, TypE WORK DESCRIPTION
Lot Block ~ Sec/Sub , ~
- f Res. ~ New
Name L Mult Add-on
~ Comm. Repair
~v Address ~ ~ " r . . -
Other
,
c City ~ , ' ~ r Phone ~
FEES
Name r~ ~ ' RES. HVAC 0-100 M BTU -$24.00
c Address ~ ~ ADDITIONAL 50 M BTU - 6.00
p City ~ Phone ' (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 19b OF CONTRACT FEE
Forced Air M BTU ~ APT. BLdGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler - Iva ~TU ' MINIMt~WI RESfDEN~FAI FEE - ALL ADD-ON 8~
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU R MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM ~ (ADD $.50 S/C IF PERMIT PRICE GOES "
Gas Piping Outtets # ~ ~ ~ BEYOND $1,000)
Other
FEE: i . ~ .
S/C: ~ " SIGNATURE OF PERMITTEE
TOTAL' ?(_.r-;.'
FOR: CITY OF EAGAN
1N~YLC;1'lUl~l KL~;UK1~
CITY 4F EAGAN PERMIT TYPE: ~
~ 3830 Pilot Knob Road Permit Number: t~~ i
Eagan, Minnesota 55122-1897 Date Issued:
(612} s81-4675
E ft •1 ' : : ('1 Li 41
S1TE ADDRESS: ` i ~ r APPLICANT:
~.;,,~r,~i ~rj „ ;
~ ~ ~ i:~ ~ ~ il ,
PERMIT SUBTYPE: TYPE OF WORK:
. .
, , ~
~3 N:. • . . r'11'd , , ' 1 f ;t1. I~ ii;, l~)I
.
~
~
. .
.r.,~. a . . _ . o < . .
. ~ _ . . 2~. ~ x f -
, , , , , u . -r..< ~ ~d . ~ie- .P
I..~ ~
Permit Holder Date Telephone M
PLUMBING
HVAC ,
Inspection Date Insp. Comments i
FOOTINGS I
FQUND I
I
FRAMING I
ROOFING ~
ROUGH I
PLUMBING
Pl_BG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST ,
INSUL j
GYP BOARD I
FIREPLACE I
- -
FIREPLACE
A!A 7EST i
FINAL PLBG I
FINAL HTG ~
ORSAT
TEST ~
- ~
BLDG FINAL i
DOMESTIC ~
M ETEF I
IRRIGATION I
METER
FLUSH
MAINS
CONDUCTIVITY I
TEST I
HYDROSTATIC I
TEST
BSMT R.I.
BSMT FINAL
- - - -
-
DECK FTG
l4g - _
_
DECK FINAL /f /y/~ +
a a`~ _ _ - _ _
CITY OF EAGAN Permit No: i~ Dat~ ` ^
383Q Pi~ptl~nob Road Meter No: -3 d~ 7~ S j Size: ~o
P.O. Box 21 i8~9 Reader No: O 3~~'~ Date: y- z~f ~8,7
Eagan, MN SS121
Owner. ~ ~'~~~tluncl Co;.~pa:~~,~
SiteAddress: l' Savanns;~ ~ n~:. '?3 LexL-iTto~~ :
Plumber. :Tickelson ~ ~~p__:a
1
Conn. Ch 5•'-5. ' ,,,.',I ( IitI~S
g~ F~~i~~:n~-~-~+~+ ~a~'Ii~
Acct DeP: 1~ . ° TI~ o~~'Ai~C.
Permit Fee: , ' : , , L
Surcharge: ~r~ddinply wRh the City of Eagan
Tr. Plant . ~ n Ordina es. ~
Meter. " ~ ~ ~ ~ '
Misc.: ~
WATER SERVICE PERMIT
CI AN Permit No: '~'r'~ 1 Dat~ 4--G i, 7
3830 Pllo1 Knob Road Metef No: Size:
P.O. Box 21199 Reader No: ~ Date:
Eagan, MN 55121 ,
Owner. ' ~,;~-tluncl : ompany ~
Site Address: ~ Sava:tnaj~ ttoad L' 'Q3 Lexina,tan Sfl 2V
Plumber. ' ickelson Plu~b ~1„
Conn. Chg: i5 • Zoning
Acct Dep: No. of U~its:
Permit Fee: Z ~ • `~~~a
Surcharge: • S~~d 1 agree to comply with the Citp of Eagan
Tr. Plant • U~p~ Ordinances.
Meter. 67 _ ~[1~,~t
Misc.: Br
WATER SERVICE PERMIT
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pllot Kno6` Road ~ ~ 7~
P.O. Box 21 t98 PERMIT NO.:
Esgan, MN 55121 DATE: 4 4.~
Zoning: ~ 1 No. of Unit~~ 1
Owner. "oXtl'~!~~' rnT~,~,y
Add~ess:
SlteAddress: `~72 Savannah Road L3 ?'3 Lexington Sq IV
Plumber. ~~ickelson i'lumbinv "
3-17 -£i7 71 F~ J 100. O~lpd
I agroe to comply wftlt lh~ Cit~r of Eagan Connection Charge: 525 _ 00~~
Ordlnences. Account Deposit: ~ S -
PermR Fee: 1(~ - (111~_
Surcharge: - ~~n~
By Misc. Cheryes:
Date oi Insp.: Totai:
Insp.: Date Paid:
~ ~ ~
~
- GOLD CDPY PERPIfT RELEASE FQRM
,
PERMIT ~i LJ ~ ~
ADDRESS ~ U.t~Q/~~'l~
PICKED UP BY ~.J~.~ f-W~-
~ . CASH RECEIPT
CITY OF EAGA~d `
t 3830 PILOT KNOB ROAD ~
' EAGAN, MINNESOTA 55122
.
DATE " ~ , 19 ~
i
REC6IYED ~ ~ J ~
FROM ~ -1 ' ~ ' .
AMOUNT ~ I
~ DOLLAR¦
~oo
~ CASH Q CHECK
POR ' ) i J ~1 l. 'F .
~
~ ~
FUND CPDE AMpUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
BLDG.-~%~RM~T N0.
~ , ~
_ ~ ~~''f~~' ~ ' .
. : ~f.1~~ C _r
01-3210.? Bldg, Permit ~ K.:{<<, ,
01-3422 Plan Check ;
01-3445 Surch./Adm.
01-3446 SAC/Adm. r' ~
01-2155 Surcharge '
17-3860 Road Unit , ~ c :
20-2275 SAC ` - ~
20-3865 Water Conn, c ~ ~
20-3868 Water Trmt. .~"y-~
20-3716 Water Meter
20-2252 Acct. Dep.
2Q-3713 Water Permit
20-3743 Sewer Permit
79-38b6 Sewer Conn.
11-3855 Park Ded.
i
TOTAL ,3 ~ ~i'~ -
T11i5 ~equ85f VOId ~J~1 C~/
18 months from ~ , / X~J lG
D _4 9 2 ~ ~ ~i~ -~a~~~ ~s~~ ~ ~
Renuesl Uate Fire~No. / Fouph-.in' In~ection
~ eQUieed? ~Heaey Nnw~Will Nolity. InsPec-
~es ?Na tor When Ready
? Licensed ElecViwl Convactor I hereby request ins0action of abova
? Owner electricel work inslallad et
Str t AdOiess, Bax or Route No. CitY
~-~a
ectm~ o. Township ame or No. ftange No. C
Oc pnnf ( RINT) Phone Nn.
Po~S~~oD~~er Atldress
Elactr' al Contraetor IC~omoanv Name) . CnMrdctoe~s Li~ense No.
Mailing AdJress ICont`ac or or Owr~r 'ne lnstallaLOn
~ ~ y
A orised Signature IConnacmdOwner Making Installa~ion~ Phon Num~e= (1 QO
l
~
MINNESOTA STq E BOARD OF ELECTRICITY TNIS INSPECTION flE4UE5T WILL NOT
Gripgs•Midwey Bldg. - Room N-191 BE ACCEPTED BV THE STATE BOAPO
7821 Universitv Ave.. St. Paul. MN 55704 UNLESS PNOPER INSPECTION FEE IS
Phone161Y1642~0800 ENCLOSE~,
,St/~(,. REQUEST FOR ELEC7RICAL INSPECTION Es-oaooi-as
~ ~ Sea insryuclians Ior com0leting this form on bnck of yellow copy. ~~5'~~
.4 g~ ""X'" 8elow Work Covered 6y This Request
FAd ~HeO~ 7YPe of Building App~iance! Wi~eO EquiV~~en[ Wired
Home Fange Temporary Service
DUp~ex Water Heater Lightiny Fixtures
Apt. Buildinc~ ~ryer Electric Heatin
Co~xnercial Bldg. Fumace Silo Unloader
industrial BIAg. Air Condi[ioner Bulk Milk Tank
Parm otner oaci v O~nerlsnar.7fyl
~ ueuly Other p~h~~r
ompute Inspection Fee Below
p Fee ServicaEntrenceSiie tt Fee Fepders~5ubteetlers # Fae Circuits
0 to 200 qm s 0 to 30 Am s - 0 tn 30 Am. s
A6ove 200 Amps 31 to 700 Amps 31 to lU0 A s
Swimming Pool Above 700_Amps Above 100_<lmps
Transiormers Irrigation Boorc~s Pertial-"Other Fee
Signs SNecialinspection
Nemarks ~ i TOTA~ FEE , /7 (j
u~
Roueh-in ~ ' ?ate
r~y I, the Elecvice
; _ rr ~^spector, heraby
certify Ihet the above
final ~ ~e q inspection has been
° 7~ made.
~Ne repuest volG /8 mo~~ha irom
' a CITY OF EAGAN ~ m 13 3 4 5
~ 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PNONE:454-81D0 /~s~/
BUILDING PERMIT Receipt#
To be used for SF DWG/GAR Est. Value $ ~ 0, 000 Date ~RCH 16 g 87
SiteAddress 9~2 SAVANNAH RD OFFICEUSEONLY
Lot 3 Block 3 Sec/Sub. LEXINGTON OnSiteSewage - Occupancy R3
SQUARE 4TH MWCGSystem _ Zoning R1
ParcelNa OnSiteWell _ TypeofConst V
Ciry Water _ (ACtuaQ
rc Name THE ROTTLUND CO INC (Allowable) V
iy # Of S~OfIBS
z Address P.O. BOX 383 Langth ~
o ~~ry OSSEO phone 571-0304 Oepth 4~
S.F. Total
p NamO $Ab1E Footprint S.F.
~Q Address APPROVALS FEES
~ Ciry Phone qssessme~ts Perm~t $ 398.5(
~ Wafer/Sewer Surcharge ~S
w w Name Police _ Plan Review ~ 2~
Fire SAC,City
U~ Address engr. _ SAC,MwCC ~S 0~
~W City Phone planner _ WaterConn. 59S_~(
Council _ weter Meter ~
7 Q(
I hereby acknowledge that I heve read this application and state B~dg. Off. _ Road Unit 3 ~ S_ O I
ihattheinformationiscorrec a dagreetocomplywithallapplicable AP~ - TreatmeMP1 ~~Q~ Q~
State oi Minnesota Statutes d Ci y of Eag n rdinances. Variance _ Parks
Copies
SignatureofPermittee " TOTAL S9_~,"~d_7~
A Building Permif is issued to: THE ROTTLUND CO INC on the express condition that
all work shall be done in accordance wlth all ap able State o ipne ota Statutes and City of Eagan Ordinances.
Building Official
j I 7 3~ RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4875
New Construcllon ReauhemeMe PemodeVNenalr Heaulrements
• 3 regislered stte survays showir~g sq. fl. of bt, sq. ft ol house; and ell roofed areas • 2 copies of plan
(20q<maximumbto~veragealbwed) • lsetofEnergyCa~ulatbnsforheatedadd~ions
• 2 copies of plen showug beam & wlndow sizes; poured found design, etc.) • 1 site surrey lor e#ertor adeitbns & decks
• 1 set ol Energy Ca~ulatbns • Indicate'rf home served by septk system tor additions
• 3 copies of Tree PreseNatlon Plan If bt Dletted after 7f7/93
• Rim Joist Detail Optbns selection ~eet (bWgs wah 3 or less unils)
DATE 6 +l~ a~- VALUATION ~~;~6Z~ ~
SITE ADDRESS /`nrI ~.S~,G~r/ y}~I MULTI-FAMILY BLDG _Y ~N
TYPE OF WORK s FIREPLACE(S) _ 0_ 1_ 2
APPLICANT d~ /+2 ~!l i C A.~ P~ ~ I~
f,d ~~~t~ c~/-t T_
STREET ADDRESS ~ LZ ~j'7 A J ~C d)~~~ SQ crnr Qu,-~r u,'~l. STATE~ZIP~~
TELEPHONE # 9SZ -~0 ~955 CELL PHONE # FAX #~SZ -7 6"J - p~ Z J
PROPERNOWNER lli/~~,~j ~~S ~ TELEPHONE# G'3/~ yS2 -['i j~/
-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 MINNESOTA RULES 7672
(d submission type) • Residential Ventllation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Conhactor: Phone # -~c
Plumbing system includes: Water Softener _ I.awn Spruilcler ~~~9~0(P ~
Water Heater ` No. of R.I. Baths JUN 1 4 2U02
No. of Baths
Mechanical Contractor. Phone N B
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water ConNactor: Phone #
I hereby acknowledge that I have read this appllcation, state that the information is correct, and agree to comply
with all appllcable State of Minnesota Statutes and City of Eagan Ordi~
SlgnatureofApplicant ~ l.~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Uptlated 4/02
'
OFFIG;E USE ONLY • .
,
,
? 01 Foundation ? 07 05-plex ? 13 1Frplex ? 2D Pool ? 30 AccesSoryBldg
? 02 SF Dwelling ? 08 OCrplex ? 16 Firepla~ce ? 21 Porch (3sea.) ? 37 Ext. Alt - Mufti
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage 0 22 PorchfAddn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Poroh (screened) , O 38 Multi
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ~ 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous ,
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Akeration ? 37 ~emolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolitlon (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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS -
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Fa~al/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
, . ~j ~ 7 ~ ~ RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-881-4875
New Conetructlon BeauiremeMS RemodeVAepair Beaulrements
. 3 replslered s~e surreys showing sq. fl. of bt, sq. R. of house; arM all roofad areas • 2 copies of plan
(20%maxMUm bt coverege allowed) • 1 Setof EnBrgy CalCUlationsfor hBated adtltlions
. 2 coples of plen showing beam & window sizes; poured tound deslgn, etc.) • t sAe survey for exlerior add~ans 8 tleck~
• isetofEnergyCalCUlations • Indicate'rfhomeservedby5epticsystemforadditlons
• 3 copies o1 Tree Preservation Plan tl bt pleded after 7/1/93
. Rim ,bisl Detail Optbns selection sheet (bWgs wRh 3 or less unBS)
~
DATE ~/I 3" U 2 VALUATION ~ l U y
V'
~jS-~ITj~E
yADpD~ SS ~ 7
Z
SAI/f1~.lAI MULTI-FAMILY BLDG _Y ~ N
1$hE OF WORK ~~c~ri oZ~ SC~~ • FIREPLACE(S) _ 0_ 1_ 2
APPLICANT iM11I1/~S,A~Ee y I~I ~ w n~//,ir ~'o/!'i <Ta./C
STREET ADDRESS 12 Z y~ i ce l/~ k A?,r 3 a CINOu rn r d ~'/I , STATE h.J ZIP SS~~
TELEPHONE # 9 Sl •'7 0~ ,L TS~ CELL PHONE # FAX #[r,~~ _
PROPERTY OWNER i;f.-. TELEPHONE # tS 3~/ -`5'Z -O 5 y f
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINIQESOTA RULFS 7670 CATEGORY 1 MIA'NFSOTA RIJL.ES 7G72
(~I submission type) • Residential Ventilation Category ~ Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ I,awn Sprinkler ~ . 9•
_ WaterHeater _ No.ofRI.Baths JUN142002
No. of Baths
Mechan~al Conhactor. Phone #
Mechanical system includes: ~ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contracfor: Phone N
I hereby acknowledge thaT I have read this application, state that me Information Is corcect, and agree to comply
wlth all applicable State of Minnesota Statutes and City of Eagan Ordin es.
Signalure of Applicant
°°---°'----°--°-------°°-----••.--.-.....~._.----_~.._..._...~......M.~_.__
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
~~~~~~~~~~~~~~ra~*~~~~~~~~~~m~~~~~~~~~~
CI7V ~F F~GAN
CASHIEF: S TEkMINAI_ N0: 7a1
DATE: OB/O5/9~ TIME~ 13e08:45
ID:
NAMF: V:ARE~d R05E
3210 900~. 9iZ SflVANt~AH FLi 50.00
Zi.iS 9001 97^c SAVANNAH kA 0.50
i
Tot,~l ReceiFt Amrnent; 5Q.~~
CF:C135313
USER IL~: NANCY
%~~k~X~%%~~kX~~c ~c%~X~~k %cX~~X~ ~%~X~%~~ ~X ~X~c#~k~c~ks~X~k~X~k %~~%~a~~k X~
FERMIT
`~•CI7'YOFEAGAN PERMITTYPE: au~~ozN~
3830 Pilot Knob Road
Eagan, Min~esota 55122-1897 Permit Number: 0 3 2 7 91
(612) 681-4675 Date Issued: 0 8/ 0 5( 9 8
SITE ADDRESS:
972 SAVANNAH R~
LOT: 3 BIOCK: 3
LEXSNGTON 5QUARE 4TH
P.I.N.o 10-45078-039-03
DESCRIPTION:
Br,~~ldic~'i~~, Permit 7ype DEEK
Bu~Ydi.ng V~rk Type NEW
~~'~g~~;~~ ~q{3~~~".~ 43A ALT. RESIDENTIAL
~
r
r ~ ~ m=~!w -'a -
~
~ . . .
t
. ~ 1
~ ~ ~ce a ~
t~~~ ~
x~a~~„ ~ ,s~~
~ e,a
a, t ~ ~
a~
~ ~
;
~ ~ ?f~„ ~ ° s s $~u %i a . a i . ~C g$~'",°~,~.
~ sr- !.p,ry `s~5~ ~'i'sc.. °~s1 ~ ~.'s''~;i ~ `'-,ger~~' ~~'`~~~~~~r~-J~i+~ e.a
'~c a ~rsrrs,.si, ry.t,: ^
v
REMARKS:
PLAN REVIEWED BY JOE VOELS.
FEE SUMMARY:
Base Fee $50.00
~ Surcharge _____~.50
Tptel Fee $50.60
CO~ITRACTOR: OWNER: - r~pplicant -
f ROSE KAREN
972 SAVANNAM Rn
~ EA6AN MN 55123
(651)452-0941
; ~ h~er~by. aakno~rl~dge thra~ ~ t~~v~ read ~h3s appi3eatfon ~rs~i s~~t~ ~hat ~t~~
. e_fr~~forma't,~mr~ xs c:orr~~t anz~ a~ree tp ~nmply with ~1S ~pplicabl~ ~~at~ t~'~ Nfr~,
. 't.°~~at~+~~~ aa~s~~~C3.ty ~~gan t~~d~n~~ar~e~±~_ ~ ~ ~ ~ ~ ~ ~ ~ ~
~
~ . ~
,
~ ~
m. ( .B~ ~ _ ~ ~
APPLICANT/PERMITEE SIGNATURE SUED BV: SIGNATURE
: ~ ' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 65122 7 ~
3 g ~ 68~-~~5 o,~
Naw~Constructan Reauirements RemodeVReoair Reauirements 4
? 3 registered site surveys i 2 copies of plan
? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 site suneys (exterior addkions 8 tlecks)
? 1 energy ralwlations ? 1 energy calwlations tor heated atlCitions
? 3 copies of tree preservation plan H lat pfatled after )/7/93
required: _ Yes No
DATE: S,S~ .5~. ~
~ CONSTRUCTION COST;
DESCRIPTION OF WORK: I y_~G ~
pr ~50.~c~~~,~,E,~ n
STREET ADDRESS: I 7.2 S~t ?e~ v~ e!! ,
LOT: ~ BLOCK: ~ SUBD./P.I.D. L~~~ vt~-o Y~ S~gv~~. 4~~
Name: /Z ~O ~ ~ol r' ~ h Phone ~ S ~ ^ ~ / ~ /
PROPERTY 1-est First
OWNER ,n n
Street Address: 9~~ S a~il h p~ Kd~ .
City q Stare: ~I /U Zip: ~
Company: Phone
CONTRACTOR
Street Address: License #
Ciry State: Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water ficensed plumber (new construction oniy): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appiiption and state that the infortnation is conect and agree to comply with all appiicabl
State of MinnesoW Statutes and City of Eagan Ordinances.
Signature of Applicant: ~ .
2 of Kqr~h
OFFICE USE ONLY r0~'~fr QW
Certficates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
D 02 S~ Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pooi
? 03 SF Addition O 08 8-plex ? 13 Garage/Accessory ~ 20 Public Facility
? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _ piex ? 15 Deck
WORK TYPE
? 31 New ? 33 Afterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION ,
Const. (Actual) Basement sq. ft. MCiWS 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.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
5urcharge
Pla~ Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°k 5AC
SAC Units
, - ~ w.eM aM.~ • ai~,
LM~~Ir..~ IM N MM~
I~~~1~MIM~ . ~ YMrru
Chf. YrrM~ 1 Ew.w~+uwrwNl FiNv~.~ ~~;•OIM~ ~MMN
~ LJCI , . f.d,...rr.. • ,.nJ . ~ /y~
Nww~ Swl puw Mww~. Y~n MfA
~
C~rt!!laat~ ot Btir~~~ tor ~Of~~t[~7c~ C. o.
Marlrps Shown are Assu~d ~ ~
o Denotes Iron Mo~e~t
o OMOtes m Fowidatloe CorMr MIe PIIOpOSED ELEVATIpIS NORTN
• • OMOtcs E~1stlnq Elev~tlo~
00•~ Oenotes Proposed Elevatloe Top of llock gg~+y
_ ' Danotes Directloe of Surfac~ Dra/naye Lwest Floor ~~,o
DMwtes Ora/nay~ and 1K111tr Eas~nt GKp~ Floor 8H9•/
s
_ . ~
~3
.
~ 8RS~
~~'tig$6' ~ .
s
.
886.78
~ J~
/ ~e.8 ,g
.s_
~ ~i `7~ ~I
1~~ \ $ '~9
. 1~? ~ o ' ~ 8$~•3
~ ~ .
o
~ s ~
'1~°' ~ ~ / tiQ ~ ~
~ . ,
891.SI ~ ? ~ \
~ ~2 ,t ~ ~
5 6~t+'~ ~ 88Q• 3
:
o ~ . 8~ 41~ 3
~
V'"3~~ \ o~~c
4
\ ~e~i-. / 858.0 (o
s~
~ ~ ,oo~
S ~j ~
~ 8`~~~~ti~ ; ; -
L~T 3 ~LOC~ ~
LEXINGTON SQUARE '4~ ,4DDITION
$u6Jecl fo eatem~n~f q^rrcord lbkola CwM?l,y, A1~iin~~o~r
~ M~~ w~Np NN ~h M~~.w N~~r.N~ ~w~N/r d~~w~h H Mr Ywi.r~r1~ ~1 ~M ~Mw
br~N~1 W. ~wi N M~ Iw~Hr M~11 MrIN Nw ~ NI .1~1?b w~•~wYw~~~y M ~~y ~i~
NI~ Iw~. A~ Mr~~~ ~r ~ 1M~~~ ~I~~n.~. N~.
{Y~YR~AN ~MMlN~RIM~, IMt.'
,.~,~'(e: 1 30 . ,N
' o ~ ,ey /Y9v's
"IN hp~wd An a.y~~. r~.~.,,,b 5 87r / 66
• 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ~ ~
~ 3830 PII.OT KNOB RD - 55122
3 ~-~sU ~ 68~.~~5
New Construction Reauirements RamodeVReoair Reauirements p
• 3 registered sde surveys ? 2 copies oi plan
? 2 copies of plans (inGude beam 8 window sizes; poured RM. design; etc.) ? 2 site surveys (eMerior add'Rions 8 decks)
? 1 energy ealculations ? 1 ener9y qlculations for heated additions
• 3 copies of tree presenation plan rf lot pWttfltl after 7/1l93
required: _ Yes _ No
DATE: ~N I 1~ CONSTRUCTION COST; ~~S O O~
DESCRIPTION OF WORK: G-e7~~~
STREETADDRESS: ~37/~ /~r6..,,~.W~-ev~ UY~ J~-
LOT: BLO Kt s~dd SUBD./P.I.D. ~-`r~ ~ y'L~~-e ~Crl~"~~`. r°~l--l.~
Name: ~S`D ~C Pbone ~ b ~ 2 z
PROPER'['Y ~t Fint
OWNER
StreetAddress: ~'/,~-I I ~ .
Ciry State: ~ ~ Zip: -SS/ 2~
Company: U U' ~ ~ Phone
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHITECT/
ENGINEER Company: Phone
Nazne: Registration
Street Address:
CiTy State: Zip:
Sewer 8 water licensed plumber (new construcUon only): . Penally applies when address chang
and lot change is requested once permit is issued.
1 hereby acknowledge that I have read this application and sfate that the inTormation is cortect and agree o compty with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
RECEIVE
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
BY:
Tree Preservation Plan Received _ Yes _ No _ Not Require
OFFICE USE ONLY _ _ .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 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
? 04 5F Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _ plex ,~15 Deck
WORK TYPE
~31 New ? 33 Alterations ? 36 Move
? 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. ~
Depth Footprint sq. ft. SAC Code ~
Census Bidg ~
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
_ Nti7°~6'36"E ' t~3~ u~ io
' 64.17 16.68
- . g80.50
977.90
. - - n ~ _ - -
~ S I ~~WAGE S UTILITY EASEMENT i5 ,
~ ~
~ LOT 10 ~
SCALE~"=30' ~ i ~ i ~ LOT II
I ~ N
N ~ 23 (963.0) i9.71 M
~oT 9 - i 3~ ~
I N HousE ~ ~ j 3
3 ~ ~ ~ ~ ~
I ~ I e--- ~ , A~k ~ o .
, o ~ I o
O lis ~GAR,.. r1988.5\ia - ~
zo
Z ~ ~ Z
~ i
- - _ \Y6..:._ PN~ ~ ,
~ -
9gq, p 4 Q 985.40
N89°59'17"E 80.75
_ _ HAMILTON DRIVE _
~G~ ~ ` M.~e , ~Q~~!~
~~i ~ o~~.. r ~
~
s~ ~ li _
, a , ~ -
i ~ ' _ `
~ . . ~ ~ a i~~.~..~iL~J~i~l~ ~ - -
~r~:~.~ ,
, ~ P ~ - : ~ ~
E(;EN ~ r`. `z, ~1!VALKOUT, ELEVATION= 983.2~
, ~INVERT~°IEVAT10Nnl?TSERVICE EXTENSION¦
o':DENOTES'IRON MONUIr1EN,T PROPO,SEO_GARAGE FLOOR ELEVATION• e~
o DENOTES°WOOD MUB SET,: PROPASED FIRST FLOOR ELEVATION = 997.20
'--='977.iQENOTES EXISTING SPOT ~ PROPOSEDBASEMENT FLOOR = 579~9 j
~ (977a; ~EVATION ELEVATION ~
. OENOTES PROPOSED SPOT •
' ` ELEVATION ~
+_~f''~'DENOTES DRAINAGE DIRECTION NbTE ~ VERIFY ALL FLOOR MEIGNTS ~ITH
' i . . FINAI HOUSE PI.ANS ~
,
~:..M[~bjr c~nify tAaf ihis surwr~Plan or
~,F:!~eport Ma Drepand Dy ms ar und~r my ~
x.+,'Oi~~cF: ~uP~Visfon crb fhat 1 am a dWY 9radl~y Sw~n~on, ~Mn. R~Q. Na. IS235
. ~ :Riyfstir~d Land Surv~yor und~? iM
;Laws .of tM Stat~ oi hUnt~~sota Dat~ ~~'~819~ ~
~ . ~
}
, . . . ~ 4.~~ ' ' ~
_ ~*********f1f*******f*****##~#**t*#Yq.
C I TY O F E A G A N *~F" ~AYMFNf OF k~E AT TIME OF *
* ~Pisc~azor~ ~oES r~om corsri~ »
; ~Pxovrw oF P~T. ~
APPLIC/~TION FOR PERMIT ~ *
. * INSPDGTION OF SE.S~St ADID/OR WA'lEFt *
7Ti~rA77ATTONS WII,L NO'P SE $QII~D- *
SEWER AND/OR WATER CONNECTION +~ID T~ P~~T ~
• * APPRC7VED- ,*t
~ »
. . **x**t*:**,r* ~ ~,rtr x*~,r~#:****t:***t*,t*
P ease Print)
~~1) PROPERTY ADDRESS: ~ ~ 2 J ~ y~~.~/~ /2~
LEGAL DESCRIPTIONe ~
Lot Block Sub ivision or Tax Parce ID )
IF E7QSTING 51RC'CILTRE, DATE OF ORIGINAL BL~ILDING PERMiT ZSSCANCE: " -
~ (hbn Year? .
PRFSE[~7P ZONING/PROPOSID LSE: -
COI~P~fERCIAL/RETAIL/OFFICE ~ R-1 SINGLE FANIILY '
Q IAIDC'STRIAL Q R-2 DL'PLEX (7~ t*nits)
INSTIIL'TIONAL/GOVEE2t~p ~ R-3 ~WNfiOLSE (Three + Units) ( Onits)
, Q R-4 APARTME~PP/COPIDOMINIL~M ( Units )
2) ~
. ~/,~.~c'eLSasJ P~~ -
~ Aonxsss: 7,~ S~o ~/Ii~~r
CITY. STATE. ZIP: L, U L.. ~f7J< .e ~ A2 N S~Sv / c ~
~o~:~ss~/~~~, .
• 3) ~ u c~• - ~ME. For City Use
Plumbers License:
ADDRESS: _ ~r+..~ Active
i=i FScpired
i CIT7t, STATE, 2IP: ~ Not recorded
PHONE: MASTER LICC~IVVSE# Sta£~Initlal
q) ~a~.y•a.~3'f~'~T~..iC'~:m
c~:~''~i e R~?lL~,~~l Co
_ aoDxFSS: p- C~. Qo2~ ~8', .
crrsc, srAx~, ziP: SS e~ ~,~3~.3cs
PHONE:~ 7/ ~ D~ U y'
'S~ i~ Y• 1 M' ' ~1• • 0 ' D~ U"YY~i
~ CON@IIX.`rION Rl7 CITSC SEWg't ~NDIDCTION 1U CZTSC WATER ~ OTf~R ' .
6) ("~PI,EASE HOL[~ APPROVID PII2MIT E'OR PICK-LTP BY ONE OF ABOVE
~ PLEASE MAIL APPROVID PERMIT 7~ 1, 2, 3, 4. AHOVE
~ (Circle one) ~
r • T ~i _ / ~ . ~ y~ g-~
. i•±y+.Mrcf~~~~n?+1u•'~Y~~~~~r~~.i-.rr:~i~'(i~`3~7-~i~• ~ ~ ua- 7~ • a~ ~ .
~ r •V~~ • 1~ 1 ~ :'r~ r:/. •,l~a~ 1 /1 ~ ;t' • L .
. F'OR CITY USE ONLY ~ ~
PERMIT # ISSUED s
x~l,, 2 % • ,
Pd w/Bldg. Permit FEES:
$ $ ' ~ z-' SEWER PERMIT (INCLODE SURCHARGE)
$ $ -SZ' WATER PERMIT (INCLC~DE SIIRCHARGE) .
S (.:~-c~ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL~DE CORPORATION STOP)
$ ~ SEWER TAP
$ $ /.:S~C C? ACCOUNT DEPOSIT - SEWER
$ S C' ACCOL~NT DEPOSIT - WATER
$ -~3 z ,S ' ~ $ WAC
$ ~ Z 5 S SAC
$ $ TRL~NK WATER ASSESSMENT -
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRIINK WATER
" $ /d $ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
S ~ ~ ~ ~ ' ti $ ;~j ~i L' G TOTAL
7/~ 3c5 '7~-~ L- 7 ~
RECEIPT RECEIPT '
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY: f~
,li t.r~~:J ~~~'7'~--~
TITLE:
DATE: ~ ~ ~ J Y
, ~
39B•7U+ ~
~5•UU+
~ 199•25+
~ 625•U0+
5'L5•00+
fi7'00+
305•UU+
1~3U•00'~
2~354•'15~
~ ~ 3 ~S - .
1987 BDILDING PERMLi APPLICATION - CITY OF SAGAN
SINGLE FAMILY DWELLINGS
IRCLUDE 2 SETS OF PL&NS, 3 CEATIFICAiES OF SQROEY, 1 SST OF ENERGY CALCOLAYI09S
IDiOTE: ADDRESSES FOR C08NER LOTS - CONTRACTOR/HOME041NER MDST DESIGHATS WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE 9LLOWED ONCE BIIILDING PBRMIT IS ISSDSD.
MOLTIPLE DLiELLINGS - AFSIDENTIAL RENRAL OAITS FOR SALE O~IRS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF Si1RVEY - CHECB WIYH BLDG. DfiPT.,
1 SET OF ENERGY CALCULATIONS
COMNI6RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2~000 LANDSCAPE BOND
70~~Oc~
00 3 ~-4
To Be Used For: .SC'.,L.. FtlmiLU Valuation:~ Date:
Site Address 9~a Ssd~~uvA.~ R~. OFFICS QSE ONLY
Lot ~ Block ~ On Site Sewage_ Oceupaney ~~3
MWCC System Zoning ~~I
Parcel/Sub h,t`YWC.'TUN! StJ~~Y2E 'y~' On Site Well Type of Const
City Water ? ~Actual) ~
Owner `f}{~ ~T[x,UNd CD~ 4r~1G, (Allowable)
~ ll of Stories
Address 1-. U•~I~d~C ~ p3 Length ~52
Depth ~O
City/Zip Code Q~SE(~ 5~3L~°~ S.F. Total
Footprint S.F.
Phone ~l- p ~t~~/ 6PPROV9LS FEES
~
Contractor . SA~p ~ Assessments Permit ~
Water/Sewer Sureharge 35
Address Police Plan Review ~ 9`~I 25
Fire SAC, City 100,
City/Zip Code Engr SAC, MWCC SZS,
Planner Water Conn SZS
Phone Council Water Meter ~
Bldg Off Road Unit ~AS
Arch./Engr. Sf}-/y/~ APC Treatment P1 ~ O.
Variance Parks
Address Copies
TOTAL ~ 3 y, S-
City/Zip Code
Phone ll
1
~
24 n 4'-l - ~-~E~z~ ~ s
, ~ . . .
~ ~ ~ - ~Zo x S~ = ~ 9 ~c~ ; ,
~Zx22 = ~~4 xc2 = ~8~
~l g ,
r ~r. w.~ a~. • a~«M
M/f1y~~ N~ N M.[
, - ~ ~ r______._. . _ M~MaMwM~~M~
Cht Yrwv1M~ ~ fw.w~w~rww/ lirrraw~ ~MIM~ yM~M~~
~ ~
~G, f~/inwrvw~ • I~n/ I1w~r . Sud rra.w 4M+0r. 111~rb ~
~s:~e.t. ~ ~ot~lu~d Co
, .
M~rtnys Sho~n ~rt Ass~d ~ ~
0 oaiwtes Iroe 11onu~ent
o DMOtes m FowMatloe Cor~ M~b PIIOPOSED ELEYATI~S NORTM
• r O~notes Exlstteq El:v~tiow
oo•~ O~e~otes PrwOosad Elev~t/an Top of llock gg~~y
Danotes Dlrecttae of Surfac~ Ora/naqe Larest Floor 88L,v
OMOt~s Oratna~ and Ut/llty E~s~nt 6Kaq~ Flaor
s
. \ ~
` ~3
A2~ gRS~ ~
~6 ~v ~jle ~
3.
' ~ ~a~. ~s •
. ~
. ~8 ,s ~
~ ~4, ~,1.
. % '1b J+` ~ ~Q,~
1 ~ tb~P , ~ \ V ~i~
~ ~ r~'•3
a'~1y0° ~\o ~ ` f o ~
. ~ / Ca ~ 'r O
, ~ ~
, ~j , ` , ~ ~ ~
89~,Si y ~'~6a"~'`'~ ~'~g \
; tiM ~ , 33
a~ 88 ti~.
~7?~ ~ c~~ ~ ' ~ .
~S. ~ ~ r. / 8~8~ ~ 6
r
~ \
S ~0~.
~cb ° o~'~ ; -
~
LOT 3 ,E3LOC1~ 3
LEXINGTON SQUARE 41}~ ,~DDITION
$u~?J~t~ fo easem~n~s q^reeord Ua(ro% ~ly, ~~~~r
~ .........N. MI. b . .~......H.. ~1 N. ...w..b. r1 N.
Mr~lMi bw~~ ww d M~ I~~Ir ~1 .11 MI Mw W MI rHl?b wr~4w~~~ M~ b~
~M/ M~~. Iu wv~~ ~~N~~r ~1~~.~. N~.
W~W~AN ~NMlM~w11N.IMC.'
_,Scale: 1 _ 30 . ~ a, ~ ~ ~ ~,o: ~Y9Ys
N~ hO~M~d wn n.y~~: nw.,wa S 81! / bb
srE~cQe~ Tl. i~~
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER T7-}~ 'lY31 I I~.UN1J C~ F~ I~C~
SITE ADDAESS 9~a ~s~~A~ti~~
CONTRACTOR `~~/Y~ DATE 3-9;g~ PHONE ~ I- O~~~I
Determine working square footage of each.
1. Total exposed wall area ~~D~ sq. ft. x.//~ ° 2~f`h$7
2. Total roof/ceiling area y sq. ft. x~~z~ ° 30.52
Total exposed wall area above floor = ~~S$ ,
' a. Total wall window area 3~
b. Total door area .
c. Total sliding glass door area U
d. Total fireplace wall area 7 2
e. Total wall framing area (average 10%) / S~Ff
f. Total net wall area above floor /~!3 U
g. Total rim ~oist area /5`f~
Total exposed foundation area = 7 0
h. Total foundation window area . ~
i. Total net foundation area above grad~ 7 0 .
Determine "U" value of each wall segment.
a. /yF~ g ~~U~~ , y~'T ° ~
b. i~ g~~Uu e~ 7 = ~o~a~o
~/v X „U~~ ~ y 2 = /6.~U
a. 7L x ~~U~~ ,yy = 3/.~~5
e. ~ S~ X~~U~~ ~ a / 3a7S
f. i~~ x,,U„ . ~~a = ~a,o6
g. / N ~ x ~~U,~ :G~iv 5,92
tl. X ~tUll n
i. yU x~~U„ U~~ = 5, 3 2
3 ......................................Tota1 ° 2Ci5;$ /
If item d! 3 is the same as, or less than item 111, you have met the intent
of SBC 6006(c)2.
.w~w~l ~A'Ri~n~ur.~.~r..- ' . ~ri.'n~x'h..~.. . .x.v-.i..~~~n~nw~e.iv~IU.~.~....~.i~.~. ~.~~u~...... i.~ . - ' ~ /
Total exposed roof/ceiling area =
Total grosa roof/ceiling area = 7 y
j. Total skylight area o
k. Total roof/ceiling framing area 7 O
1. Total net insulated roof/ceiling area //O`-~ ~
Determine "U" value for each roof/ceiling segment.
~ _ X ~~U~~ - _ -
k. ~U g ~rU~~ ~ _
//o`-f X ~~U~~ ~pLs = 27.6U
1.
4 Total ° z9.y ~
If total of I!4 is the same as, or leas than llZ> you have met the intent of
SBC 6006(c)1. ~
To utilize the total envelope system method, the values established by the
sum of items 113 and ~14 shall not be greater than the sum of items !I1 and fi2•
L ~!~/,4s ? + z. 3o.Sz- = Z~S•3`~
i.
2 9. ~f _ ~ 3 ~l ~ 3G
3. ~.CJ`~`~~s 1 + 4.
~ ,
, .
' WHLL SLU'1'1~~~~ raye .J ot 4
WU1'E: Use 10~ ot opaque wall area for ~
• irame construction ~
I Construction ' ~ R-Value
=J_~J .
~ 1. Interior air~film ' 0.68
~ -V , 2. '~~L~~C~-`T P I~3 R p o ef 5'_
3 ~ 3 . 1 x 5-TliD S ~ ~ ' (o o $ S . . .
4. 25/32 SHT~ Z„p~
l 4'
EAJIC '
wni.z, ~ ~ . 5. Si~v.~~ vvEiz FECr / e 2~
6: Exterior air film 0.17
~ . Total S"
FIG. 111 TOPVSEiP 0° v~ aOS~
' ~ : • FRAtiB l1ALL ~ . ~ .
' , 1. Interior air film 0.68
. . , • , 2. ~1"C~.t'/~ 13oZ'D o v$' .
I ~_,:.0 3. fi(/G L~!w/.~ L4" /NSG~G / ~I'. CJ~j
~ ~ .
----C~ 9• 2 S/3L 5f'1TCr 2 OC~ '
7`IG. ii2 ~L._..~.~Q ~ S. ~//~~fiG 01~ER FEL-t- / a1 ~
~ 6. FSCterior air film 0.17
' ~:!:._-_,,.F_~Q ' Total 2 3, 6 Z.
i ~~~J ~a -----~J . - V ~ aU~ Z
~ ~~T~IJI ~~~~YU~~ 1, Interior air £ilm 0.G8'
L l SG! L ~
~ 2 . ' /•vsv ~
1p5~~a1 ~ S,~ ~ '%~.I~ ~ ~ ~~aUO
r~ ~ / I_ i
~ ~ ~L~:.,_, ~.--------Q 3 , 2 x _ Jz'r .r n /6 ~8
I
--~._.~..,~.r' !"~~'~.L~`, - • 9. 2.5~3 Z S H rC.a- 2 m0<o.
o p • •
I , ~ 5. S/d/.vv e~ v~rz r- ~-z.T / o' Z,E;
2,~ 6. Exterior air film 0 17
%~ti ~ ~-.-.~."-__`--Q~.
~ ~ , ,t t+ ~ To~al 2 S.O ~
~':)'.1TZCIvi~ ~j ~ ' ' 3 .
_LI. ~ ~f fl • ~1~' ~ 0•`~-~ . . , v~ O `f C~
~ ~ . II • . .~l;~n0[\ ~ ~ ~ . '
II.I
~~r• ' F~ !"•`.".--~.,,,,~J,, ~ 1. Interior air film 0.68
~.:.fj n i - v. . 2. -//./•tiSVC: //,UO
, 1, .L. . 2 ,
- ' ' ' 3. 2~1 Fu2 R~ tti V .
4. /2~~GO.~i<, /iCOCf~. /rLFS
5.
6. Exterio: air film 0.17
~ ~ 1 ~ Tot'a/l /3e/
~ -1 ' . . . . • ~ = e 0'7 ~o
'4I.FA•`' y y r~'. II/ ...~j.~)~~-~-f-1i e~ , r.^ 1 ~ ` y'1 r,.
/I~ J` ~
' ' ~ ~r~.~ " ' • - ~
; , ~ . • .
; ~ . ~ . .
' 4, ~ . . • , r ; ~ _ ~
_ 6 • ~ I I ! _
113 r . FIG. 114 ([1 ~ • - r• . ~ 1'
' ~ y.•o~( 'r . . I(l \ l~ ~ ~'/~l f~~~
/
~ ROOP/CEILTNG
i , .
• • • ~ ~ . . ~
r
; yrG . ; conseruc~ion ~~-v~iluc
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AUTOMATED BUiLD1NG COMPONENTS, INC• "
~ Kltchen Divislon
^ , Component Plants ~ '
(l~~'h Excelsiar.MN ~
M~Ilwork Division ~WI
~ Chanh~~seo, MN ' Lan9 Loke. MN (:~t:,~^s~, . 612~474~1111 ,
6121A1J~7776 715/92A-0067 ;tirk°
61219J 7 ~90G0
City of EaQaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
JAN 1 y 2016
r
Use BLUE or BLACK Ink
L
For Office Use
Permit #: 13U —I O
Permit Fee:(00 • C;
Date Received:1— 1 -1 'tS)
Staff:60
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with alllcommercial applications.
Date: 1' 2 1 Site Address: 9-7a S T\J t l� _ Vi r.l)
Tenant: Suite #:
c
R@Sits@fittlt 111t 1�t Name: G i u ND (tet `1f Yl aPh ne: 6 (ot - 676 a
Address / City / Zip: q % )a V h Irk f )
Name: Toel Ina IA e 1 117 C License #: M pj 00 75 a� J
15 rB �t2 4v City: T. ?C , F�.
Address:``((LL // /
State: f"L r Zip: J 5 (0Phone: L T_ 1
Contact: Email:
New X Replacement Additional Alteration Demolition
Description of work: �'�C ! (�l Csz__
RESIDENTIAL FEES
Fumace
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
i If the project valuation is over $1 million, please call for Surcharge
TOTAL FEE
Contract Value $_
_ $ Permit Fee
= $ Surcharge
TOTAL FEE
x .01
_$
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 1 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.
SOW-.
App tcant's Print Name
FOR OFFICE U.
Required Insp
Undue
x
Appli
ure
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164129
Date Issued:09/21/2020
Permit Category:ePermit
Site Address: 972 Savannah Rd
Lot:3 Block: 3 Addition: Lexington Square 4th
PID:10-45078-03-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gia T Nguyen
972 Savannah Rd
Eagan MN 55123
(651) 925-9507
Options Exteriors
460 Hoover St NE, Suite 2
Minneapolis MN 55413
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature