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1023 Savannah RdCITY OF EAGAN r, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for Est Value Date ` ,19 Site Address )AVANKM RD U!.. j .p' ' On Site Sewage Lot Block Sec/Sub. MWCC System Parcel No. On Site Well City Water a Name i.::<S ING W 3 Address o City Phone SA ML City Phone City Phone I hereby acknowledge that I have read this application and state I that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Variance t \t/• OFFICE USE ONLY Occupancy Zoning Type of Const (Actual) (Allowable) * of Stories Length Depth S.F. Total Footprint S.F. l FEES Permit Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks Copies TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Offlcial Permit No. Permit Holder Date Telephone >K Plumbing ,z FLL ('`r' `/ ' 7 HN.A.C. 7 Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing v7 ex-,A stag Ad-er 'rirss Roofing yf ??1 + Rough Pl APIP Rough H V Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert.Occ. y Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. _ l9 MIT ' J(, p f ys # S PER r } 11A CHANIC L ,? MI ' F A .1 R T RECEIPT # r • n L 7 N CITY OF EAGA 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 4 - u17_ f 7 CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub , r Res ?" New Name Mult Add-on °-' -ia Address 89 10 WFNTWoR Comm. Repair c City MINNEAPWB i sziv n Other 8881-9000 FEES Name 0=C as RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City may" Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GA TL INIM M S OU ETS (M U - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 25 M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM $ STATE SURCHARGE PER PERMIT - .50 . (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ! BEYOND $1,000) Other FEE: S/C: SIGNATURE OF PERMIT-TEE TOTAL: FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN /?_ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: (TRACT PRICE: PHONE: 454-8100 Site Address I n a z 4..,_ ._ R uI Lot k k Block 2 Sec/Sub Name _ @ Address c City _ Phone qhL Name t6i - tea.:. 3 Address 6 yj p City t s - - Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL -I Water Closet - $3.00 S 3 " -Bath Tubs - $3.00 _LLavatory - $3.00 Shower - $3.00 -iKitchen Sink - $3.00 - Urinal/Bidet - $3.00 - Laundry Tray - $3,PO -4-Floor Drains - $1.50 • -1-Water Heater - $1.50 Whirl ool - $300 l p Gas Piping Outlet - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10,00 '-Private isp. - $10.00 -3--Rough Openings - $1.50 FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: I PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN ???/ f?7 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site Address Lot -1L_ Nan Add c City Name 3 Addre O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New _ Mull. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: - GRAND TOTAL: ?'? CITY OF EAGAN Permit No: ' Date 5. 1- 3830 Pilot K41ob Road Meter Na. gS3 q Size: P.O. Box 21199 Reader No: ? ? 1? f7 ? ? ? Date: Eagah, MN 55121 Owner. George Site Address: iG23 Savannah PDad L.i-" e x.?n tr7:l ., 'TT t, Plumber. Valley Plumhia Conn. Chg: 5' 5. 00 d u 1_5.OQod w- g Acct. Dep: n f Units: Permit Fee: 'd'.:PJ; a ..,. n rr i , ` i?t?QS local Surcharge: - -? Ilee'RA80"mply with the City of Eagan Tr. Plant 1 `' r • ' - Ordinances. Meter F n gy LA1r'1/ Misc.: gy L-h*?--- WATER SERVICE PERMIT PERMIT # MECrHANICAL PERMIT RECEIPT # CITY OF EAGAN L ?$ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: j PHONE: 454-8100 Site Address 10 2 'J k? All-D BLDG. TYPE WORK DESCRIPTION Lot / Block 1 ,Sec/Sub w Res. New Mult Add-on a5 Name 14 )NIDM eNING Comm. Repair Address 410 WEST LAKF STRFET S M City INNEAPOLIS, I?(?((??pTA 55408 °° Other 4 Z66"555 l ? EES Name d !r - ' RES HVAC 0 100 M BTU W . - -$24.00 Address ADDITIONAL 50 M BTU - 6.00 p City Phone 3 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIM M 1 PER P M T EA ( - ) - 1.50 . U ER I TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES -Boiler Unit H at M BTU $ T ^- MINIMUM RESIDENTIAL FEE - ALL ADD-ON & RE ODELS - er e Ai C d M B U ` $ M 12.00 MINIMUM COMMERCIAL FEE - 20.00 r on . M BTU STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: ?? o b SIC: S J SIGN E O P TOTAL: 7,2 A4 r E FOR: CITY OF EAGAN SEDGWICK HEATING & A R CONDITIONING CO HOUSE HEATING TEST'RECORD ADDRESS I Da3 S R V A N N A N -RO'A'D CITY p+ A No` N OCCUPANT---- OWNER BKI A N M U CKA V/ HEAT LOSS DATE HTG. INST SOLD BY - INSTALLED BY Gvj ?L\ Electrical Work By OM A E. w- Gas Line By C, V, tC K TYPE OF HEAT GA_ FA2 HW_ STEAM SPACE HTR. UNIT HTR. OTHER_ GAS DESIGN CONVERSION MAKE -- aCZ`_t AN MAKE OF BURNER -- Model '96/GA W036o"7 S Model Serial 151 $ A O 96 3? Max. BTU Rating - INPUT - 7 SO oo MAKE OF FURNACE Model 7-B CONTROLS THERMOSTAT ?_ Heat Plug - - Valve SX 3 !ZS &v-% ox - Li m it 6-, rear Co Limit Setting d (n C> el F- Fan Setting 7C i rvN (7- -Pilot Type ELFCT?2pj'j (C Pilot Make SPKIY?K lGty t tytZ Pilot Model H S? J Pilot Timing. L.W. Cut Off r? Vent Size KIND OF LINER SIZE NONE Draft Hood DC--l-1641-1 - Regulator Filters Size Number t Chimney Location Inside X Outside Chimney Construction CL_4 SS 3 Smoke Bomb Draft Door Wiring Of Test Tag VAS ?/ Lighting Inst. C ? Pressure 3, ? Nw• C , Percent CO 2 gA- Q Date Tested I G - Q 7 - Input CFH 75 Percent O2 I0 °To Company Testing (SiF 04 AI lc-K Stack Temp. -2 17 Percent CO ?4.1Q F- _ Name of Tester 11 0.1 R n n Form 235 CITY OF EAGAN Permit No: 1 Date: -R " 3830 Pilot Knob Road Meter No. Size: P.O. Box 21 199 Reader No: Date: Eagan, MN 55121 rlwnar . ''Tl'ibi (-k?or,?e 1s. Site Address: Conn. Chg: 525.00pd Acct Dep: 15.00pd Permit Fee: 14.00pd Surcharge: • SOP i Tr. Plant 1 ,?.00pd Meter. A7 QnFd Road L11 32 Lexington Zoning: ` No. of Units: I agree to comply with the City of Eagan Ordinances. WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 PRot Knob Road P.O. BQx h199 PERMIT NO.: Eagan, NIN 55121 DATE: Zoning: n? No. of Units: l .,... ,'arvin Ceor--e Bldrs. Plumber. I agree to comply whh the City of Eagan Ordinances. BY Date of Insp.: Insp.: Connection Charge: 525 Account Deposit: 15.0Qpd Permit Fee: 10.0Qpd Surcharge: • 50Dd Misc. Charges: Total: Date CASH RECEIPT i CITY OF EAGAN 3830 PILOT KNOB ROAD EAQAN, MINNESOTA 55122 DATE 19 REtIAD }ROM I AMOUNT $ _ I t & DOLLARS gee E]CASH Q CHECK FOR Ll ?J ?J .J ,V'?i BY - White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT NO. i_ 01-3210 Bldg. Permit",. 0 IfU22 Plan Check -01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 17-3860 20-2275 20-3865 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 11-3855 Surcharge Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permit Sewer Permit Sewer Conn. ?. Park Ded. I L TOTAL _ to s request void 2 jpq 18 months from O D i/ R-, 73s/ 7 ?- ..u„ Regwretl?G' ?Ready Now?Will Notify. ,NVes ?N'O' O for When Ready ady 0 Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City /o 3 "'tW ? ?is?B rPnl ecbpn o. . Township Name or No. flange No. County GeT // eGeG ? L Td. I u..seF 3? D>?K? ?? Occupant (PRINT) Phone No. Power SupVlier Address ./ ff v - rAc -m,? G • Ti?WS ?? j oo.J Electrical Contractor (Company Name) Contractors License No. /?'?RSTza? EL?GTIZI ? b ' O Mailing Address (Contractor or Owner Making Installation) la f`6 7 Ar?JE 46z -<11 Authorized Sign ore (ContraotodOwn r Ma inH Installation) Phone Number o -35> > MINNES A STATE BOARD OF LECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwey Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 5? x/87 REQUEST FOR ELECTRICAL INSPECTION AM. EBB-00001-06 Sea instructions for completing this form on back of vellow copy. /,? 5?/ 7 _D 1 "X" Below Work Covered by This Request Pilft4 Add j Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heaun Commercial Bldg. Furnace Silo lJoloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pert v Otho. (SOCCJy) t er Su OCi y Omer Other Compute Inspection Fee Below s Fee Service Entrancesize b Fee FeadersrSUbfaeders a Fee Circuits Z 0 to 200 Amps 0 to 30 Amps 2 0 to 30 Am s Above 200 Amps 31 to 100 Amps } O '" 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_A mps Transformers Irrigation Booms j;-,Q Partial, Other Fee Signs Special Inspection TO I Rama rks W TAL• Rough-in Final e , Dat Ft's Ele al actor, hereby cattily that the above spection has been made. This request void 18 months from This request void 18 months from 8/s/8 O-z'n Required? 1I--,? Lr Ready Now Q Will Notify Inspec- ?Yes J2 No for When Ready L,censed Electrical Contractor I hereby request inspection of above ?Owner electrical work installed at: Street Address. -Box or Route -No. I Dd3rx r, A /? 4// City ecuon o. Township Name or No. Range No. County Occ or RINT) r ' v y? Phgt/ ovv _ L`? ^33 P w r Supplier Address 33 Electrical Contra ctor ICorApaSty' V;One) :y r 3 Con Ga'ci6i's Lic ense No. e 1937 ST(LL'N TER AYe QS? r? Mailing Address (Contractor yy,r Owppe MMaakingilat99119 51 PAUL. Authorized Sig atu a (COntractory Making Installation) 0 r _ Ph n?per C -j MINNESOTA STATE BOAR ECTRICITY /J THIS INSPECTION REQUEST WILL NOT Gr1995eAidWey9 om N•191 Z BE ACCEPTED BY THE STATE BOARD 1821 Irtsi+ra v Ave., St. a , N 55104 _ / / ^ /J? UNLESS PROPER INSPECTION FEE IS Phone (612) 642-08007"1S' /?2_ DY LY ENCLOSED. t9/5le 7 REQUEST FOR ELECTRICAL INSPECTION EB/--00001-06 ry 1 See instructions for completing this form on back of yellow copy. 111-72 " X'- Below Work Covered by This Request V Hdd Rap. Type o1 Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt Building Dryer Electric Heabn Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm they peel v Iher ISpeofyl 1 nr pecify Other othw Compute Inspection Fee Below p Fee Service Entrance Size h Fee Frunim./Subfaedw. N Fee Circuits U to 200 AMPS 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps SWit ng Pool Above 100-- Amps Above 100_Am s Transformers Irrigation Booms Partial."Other Fee Signs Special Inspection s 5'` TO Remarks /O . U TAL F /? r6• Rough-in Date I-the Elect Inspector, hereby certify that the above Final ate inspection has been l made. Thi..mu.et vnld tR menthe from CITY OF EAGAN N! 13 5 0 5 =f =- 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt# Tobeusedfor SF DWG/GAR Est-Value $68,000 Date APRIL 23 1981 Site Address 1023 SAVANNAH RD Lot 11 Block _2 Sec/Sub. LEXINGTON SQUARE Parcel No. 3RD ADD a Name MARVIN GEORGE BURS INC = Address BOX 428 City PRINCETON Phone 332-3034 ?IName SAME o u Address P City Phone Name City OFFICE USE ONLY On Site Sewage _ Occupancy R3 MWCC System X Zoning R l On Site Well Type of Const City Water X (Actual) (Allowable) V * of Stories __ - - 5 6 Length Depth 338 S.F. Total Footprint S.F. APPROVALS FEES $ 391-50 Assessments Permit __ Water/Sewer Surcharge ?F.00 Police Plan Review 195 75 Fire _ SAC, City i0a.v0 Engr. SAC, MWCC 525. 0 Planner Water Conn. 525z,0 Council Water Meter 00 I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit -30"0 I thatthe information is correct and agree tocom lappl' able APC - Treatment Pt 00 F?ance State of Minnesota Statutes ag . Variance Parks Copies Signature of Permittee TOTAL $2,323, 5 A Building Permit is issued to: MARVIN EO GE BLDRS INC on the express condition that all work shall be done in accordance with all.aRpliopble State of Minnesota Statutes and City of Eagan Ordinances. Building ?St, C-v RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements 3 registered site surveys showing sq. R. of lot sq. ft. of house; and III roofed areas (20% maximum lot coverage allowed) 2 copies of plan shoving beam & window saes; poured found design, etc.) 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detall options selection sheet (bldgs with 3 or less units) DATE q- d 7-- 0 0- JOB SITE IF MULTI-FAMILY BUILLDING', HOW MANY UNITS? PROPERTY OWNER Y)u 4 _ it' TYPE OF WORK APPLICANT s vyfttbji ADDRESS 4 7 `4 B PAGER # CELL PHONE # R? NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor. Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: - Air Conditioning - Heat Recovery System FIREPLACE(S) _ 0 _ 1 _ 2 _ PHONE#66(-Tgt{'abgb ZIP CODE 5.?0 1 LI FAX# 145(-7 S3 Q650 Phone # Phone # .00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or nances Signature of Applicant - I 01A 11A Certificates of Survey Received _ Tree Preservation Plan Receive _ Not Required _ Updated 2002 MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 E r [? P p I,' 1 - New Energy Code Worksheet Sub ft 06 ? O tooz one #: Water Softener _ Lan, Spririlder Fee: Water Heater _ No. of R.I. Bat?is = -- - No. of Baths 1_4? Ds Remodel/Repair Reoulremerds 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for exterior additions & decks Indicate If home served by septic system for additions VALUATION ff; 671 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of- plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or- N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & W ater _ Final _ _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN f.., 3830 PILOT KNOB RD, EAGAN MN 55122 -7 L 651-681-4875 a ( J? New construction Reaulremems RemodegReoalr Reaulremems • 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all rooted areas • 2 copies of plan (200k maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of pan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate N home served by septic system for additions • 3 copies of Tree Preservation Plan r lot platted after 7/1/93 • Rlm Joist Detail Options selection sheet (bldgs with 3 or less units) DATE `_1- N_b7_ VALUATION k-i2 5b-4 .9q SITE ADDRESS \ 0--LZ S \j MULTI-FAMILY BLDG _Y d(_N TYPE OF WORK 'C'-eeXoC3F A- i ca-v © FIREPLACE(S) dL 0 _ 1 _ 2 APPLICANT a.? 15 0?4?.?zsrao ?uCyS . STREET ADDRESS NZIR2 2489 Slice -1-0-CITY - v I?P-STATE M?CIP SI TELEPHONE # lag' _",?A`5TL'?CELL PHONE # FAX # l?Sl'L! '621 `- PROPERTY OWNER - '??soS1.A.?? TELEPHONE# last- 4b&-95 4-b COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J subrrssion type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbing system includes: Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System I hereby acknowledge that I have read this application, state that the information with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Fee: $90.00 Signature of Appli 1Ntw??? _-_-_-- ........................ .......... »°._.......... .r.. OFFICE USE ONLY Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plby_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof D 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding _ Stucco _ Stone _ Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector CITY USE ONLY I PERMIT #: ? 5V % D RECEIPT DATE: b-11-01 RESIDENTIAL MECHANICAL PERMIT APPLICATION cri Y OF Em m 8650 PILOT KNOB RD EAGM MN 551 EE 651.681-4675 Please complete for: : single family dwellings - / townhomes and condos when permits are required for each unit Date: / `' (j ('9 l I SITE ADDRESS: /093 51van42h Qai r,&g ad, rn1v srla OWNER NAME: T / 17 &QSLr TELEPHONE #: GS/? y0S-?jj 5/d (AREA CODE) 51NIVD/R0;jF R 0 c???D1-1Ullll,?u UU, TELEPHONE #: INSTALLER NAME: 410 WpST i BEET-- (AREA CODE) MINNEAPOLIS, MN- 55408-2998 STREET ADDRESS: 612-824-2856 CITY: STATE: ZIP: Place a check mark next to the oermit work tvoe New residential dwelling unit under constructionand not owner/occupied $ 70.00 _ Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger i • air conditioner • other / - ( Nature of work: t 4 c9 State Surcharge $ .50 -o so' Total $ J Reminder. Call for inspections. S NA URE O ITTEE Updated 1.01 CITY USE ONLY PERMIT #: APPROVED BY INSPECTOR RECEIPT DATE: COMMERCIAL MECHANICAL EMIT APPLICATION CITY OF KAGM 3630 PILOT KNOB RD £AGAN, MN 55182 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE #: (AREA CODE) CITY: STATE: ZIP: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing (inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ xl%=$ (Base Fee) State surcharge calculate at $.50 for each S1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01 CITY OF EAGAN CASHIER: JS TERMINAL NO: 674 DATE: 08/22/00 TIME: 07 :17:16 ID: NAME: WESTURN CEDAR SUPPLY, LLLP 3210 9001 1023 SAVANNAH R 125.25 2155 9001 1023 SAVANNAH R 3.00 3210 9001 7,387 CHATERTN R 279.25 2155 9001 1387 CHATERTN R 8.50 Total Receipt Amount: 416.00 CR136169 USER ID: JAN 4 Z4 Oi 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3630 PILOT KNOB RD - 55122 651-681-4675 New Construction Reaulremenh Remodef/Reoalr Rearlrements 3 registered sib surveys stowing sq. fL of lot, sq. N. of house 2 copies of plan and gti rooted areas (20%, maximum lot coverage allowed) 1 set of energy calculations for healed additions > 2 copies of plans (show bean & window sizes; poured Ind. design; etc.) 1 site survey for exterior additlons & decks 1 set of energy calculations > 3 copies of free preservation plan If tot platted after 7/1/93 DATE: 9-.-z 1 "©© DESCRIPTION OF WORK. STREET ADDRESS: /paw - x+cJanilAh LOT: ,, 1I ? BLOCK: SUBD./P.I.D. CONSTRUCTION COST: S 13`sd PROPERTY OWNER Kr05L S' ° ?/ t >) r Phone #: 5'aS- 9SY0 Name: Last First Street Address: lqo;?- City L State: /I-t Al Zip: Company. 14 k-5 1 Y Phone #: 7.36 (area code) CONTRACTOR 7 `' /f Al , Ucense If Sheet Address: City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Street Address: Registration #: City State: Sewerlwater licensed plumber (if installing sewer(watil : Ptone #: I hereby acknowledge that I have read this application, state that the Information of Minnesota Statutes and City of Eagan Ordinances. ` Signature of Applicant: 1 \-- OFFICE USE ONLY Certificates of Survey Received _ Yes No ZIP: and agree b comply with an applicable State AUG 21 2000 Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ?. 17 Garage ? 22 PorchlAddn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or_ N E3 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addi?ion ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq, ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance ? 31 Ext. Aft - Multi ? 33 Ext. Aft - SF ? 36 Multi Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: SAC Units % SAC L L BL o2 'NSidep r4;al CITY USE ONLY / RECEIPT #: L?\ U 907 ?6_ rot RECEIPT DATE: -0 qd 3 PLUMBING PERMENOB CITY OF 3830 PILOT RD S; Cn;•q I EAGi1N, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate building permits are not required for each dwelling unit backflow prQeventer to be installed in commercial areas or residential boulevards Date: Work Type: _ New Bldg. _ Add-on Repair _ U.G. Sprinkler Is Water Meter Required? _ Yes _ No Water Flow GPM To inquire if Pressure Reducing Valve is required on new service, call 681-4646. P'E'E5 1% of contract price or $25.00 minimum Contract Price: $ r/ ®? x 1% _ $ IV THIS AREA IF INSTALLING Service: _ Existing (if coming off domestic line) OR _ New Backflower Preventer Permit Fee Water Meter 1" @ $185.00 or 2" Turbo @ $846.00 If "new service" add Water Permit $ 50.00 = I WAC $ 780.00 = $ Water Treatment $ 420.00 = $ City Installed Tap $ 300.00 = $ $ 25.00 Permit Fee $ 111Y` State surcharge is $.50 per $1,000 of ep rmif fee or minimum of $.50 per permit State Surcharge $ ' Total Fee I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. j1 SITEADDRESS: TENANT NAME: :-2 ©S' 9-5-d4P INSTALLER NAME: Q0 (?!- ? -?' TELEPHONE #:-21K5_ STREET ADD CITY: STATE: n?qN ZIP: SPRINKLER SYSTEM SIGNATURE OF PERMITTEE CITY USE ONLY COMMERCIAL PLUMBING PERMIT -1998 METER SIZE ? n Domestr. ' ?ycl?? ••, td. Irrigation PRV Yes _ No * t f . UTILITY CONNECTION (APPLIES TO NEW SERVICE ONLY) REVIEWED BY: Building Inspector To determine meter size Date * See if it is indicated on back of Building Inspections card * Enter address in PIMS Screen 301 to obtain S&W permit # * Check PIMS Screens 110 (Remarks) * If gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed Plumber does not know GPMs. Before selling meter * Check PIMS Screen 320 for aonroval of inspection results. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. ' Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miscellaneous Information ' The installer is to contact Building Inspections at 681-4675 for inspection of the inside water line and backflow, preventer. The Central Maintenance Division may be reached at 681.4300 for water turn-on. * If meter is over 518", notify Central Maintenance so they can tell you if there is one in stock before plumber goes over there. JS/Formsbid/plbg permit (comm) 1997 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *OTPK: PAYMFW OF FEE AT TIME OF APPLICATION DOES NOT CONMTu E APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. ---w---w x-,•xl•ia[]fi][iiizi? WZ..x ? (Please Print L) PROPERTY ADDRESS: 4)1? ?CiJ4 R i „ LEGAL DESCRIPTION: {I a lt? 3a? Lot Block Subdivis on or Tax Parcel ID ) IF EXISTING STRLMURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRE SENT ZONING/PROPOSED USE: (Month ear) [] CalPO CIAL/RETAIL/OFFICE Q R-1 SINGLE FAMILY INDUSTRIAL R-2 DUPLEX (Two Units) ? INSTITUTIONAL/GUVERNMENT ? R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) NAME: vns.?E?r 01.uLUt?L?A coo Im ADDRESS: 610 CREEK LANE CITY, STATE, ZIP: JORDAN, PHONE:_ '-1 c1 a - 3 t a NAME: NO CO. INC.7 ADDRESS: DIU umr-r-R LArVt CITY, STATE, ZIP: PHONE: y J- 1 a t MASTER LICENSE# /I _ i L)- - NAME: nGRJ. <Pe R? [Sl;tg? ADDRESS:_ a 5 CITY, STATE, ZIP: 6- n. PHONE: Active Expired -Not recorded Stoma tai w: %15 v milplue a? xs ® CONNECTION TO CITY SEWER ® CONNECTION TO CITY WATER Q OTHER_ ' PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ® PLEASE MAIL APPROVED PERMIT TO 1,Q) 3, 4, ABOVE (Circle one) FOR CITY USE ONLY PERMIT # ISSUED ? Pd w/Bldg. Permit FEES: $ $ /c7 j2? SEWER PERMIT (INCLUDE SURCHARGE) $ $ /'6), -S WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ S 0 ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ : S n-7J $ WAC $ 12 5 $ SAC $ $ _ ?'!k ?iTRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ I P F .? O $ WATER TREATMENT PLANT SURCHARGE $ c $ OTHER: $ l JT _ / CTS $ Z,-/• -6 TOTAL ?? aiD RE E PT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 0 YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : ?? /? CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ' DATE 19 wecE?veD ? / FFOM AMOUNT Is ?I,C?CI /bf b FUND CODE PMO ? R DU o lei l.s o .? o U O,, - / O G Thank You BY / N_ 7 3 0 1 0 White-Payers Copy Yellow-Posting Copy Pink-File Copy ?S Y DOLLARS ,oo ? CASH ? CHECK /e ??acio /1Jov?? e ?ja55 ;era 06 HEATLOSSC /CULATIONS HEATING&AIR CONDITIONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Wndows Doors Guide Reference Out, Wall Inn. Well Ceiling Roof Floor Kind How Applied Yes-No Yes-No iB _ FI. 6N - 7Roan Length Width 3y Height 0 / FI. Room Length Width Height Wi ndows a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Are a No. W. tlrh of pane Hei 0ht of ana No. of li his Lineal It. of crack Ana sq. 11. No. Wierh of he Heght of ane Nn. of li hta Lineal IL of crack Aree eq. ft. a as / c Coal Btu l Coef Btu Infiltration All -7 %?7 Infiltration Glass 025 I,26o Glass Q O Exp. wall Exp, wall Net exp, wall 6 Net exp. wal I ?O 100 Int. wall Int, wall Ceiling - Ceiling 1 Z17 111-17 Floor / 30 Floor Total Btu. 5 Total Btu. ?O Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. ?eader area FI. Raom Length a(p Width Height FI. ,? Room Length /3 Width /a Height Windows S% Doors-Crackage and Area +? Wi ndows a nd Doors- Cracka ge and Area Na Witlrh of ane Height ql ane No. of li hla Lineal h, of crack Area q0. fr. No. Witlrh of ane Nxight nl ann No, of li hts Lineal ft. of crack Area sq. It. c N? a / Coef Btu Coef Btu Infiltration 217 471 o Infiltration 471 Gyfg Glens lc?ob Glass C'?O 50 Exp. wall Exp. wall Net exp. wall ?O /o/r? Net exp. wall /o Int. wall Int. wall Ceiling , 7 Ceiling Floor 5 Floor Total Btu. lo-177 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. ROF Length (? Width 7 Height FI. M, Ropn Length 14 Width 13 Height Wind ors and Doors-Crackage an Area Wi ndows a nd Doors -Crack age and Ar ea No. r'i tlth a Height of ane No. of lights Lineal h. of crack Area 9q. ft. No. Wimn of xne HbigM of ane Nn. Of lights Lineal IL of crack Area eq. It. o ne o do a /L 8 Coef Btu Coef Btu Infiltration AX 47 1 & Infiltration o25 IA17 1 1175 Glass Q Glass p /Q Exp. wall Exp. wall Net exp. wall IL ip 5ff Net exp. wall - ?? -Int. wan lint. wall Ceiling O - p ceiling --- 7 t7r Floor Floor 5 Total Btu. 55 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.P,, or sq. ins. W.A. Leader area 06- aScdguxad HEAT LOSS CALCULATIONS HEATING& AIR CONDITIONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Widows Doors Guide Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes-No Yes-No to __ i FL r- Room Length z Width to Height Fl. Room Length Width Height Wi ndows a nd Doors- Cracka ge and Are a Windows a nd Doors- Cracka ge and Are a No. Width of ane Heioht of Pane No. of Heinle Lineal ft. o1 crack Area eq. ft. No. r,,d 1 o/ ens Horghl of ane No. of li hts Lineal ft. of crack Area sq. it. Coef Btu Coet Btu Infiltration / Infiltration Glass Glass Exp. well Exp. wall Net exp. wall Net exp. wall Int. well Int. wall Ceiling lJo 1 4 ,e/ffb Ceiling Flora Floor Total Btu. QSl'o Total Btu, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required eq. It. E.D.R. or sq. ins. W.A. Leader area I, Fl. a2 Roan Length f Width jiff, Height Fl. Roan length Width Height Windows and Doors-Crackage an Area Wi ndows a nd Doors- Cracka ge and Ar ea No. i Widrh of ane Height of ane No. of h hts Lineal ft. of crack Area Q. ft. o. W?Ath of ane Hx?ghl of ann No. of li ,h too - Lineal ft. Of crack Area s (t. q. ia?s Coel Btu Coei Btu Infiltration IJ A? 71 1175 Infiltration Glass Glass Exp. well Exp. wall Net exp. wall 1 (o Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor 5 Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room Length Width Height Fl. Roan Length Width Height Windows and Doors-Crackage and Area W indows a nd Doors -Crack age and Ar ea No lYl drh 1 Heighl of ane No. of li nts Lineal ft. of crack Area sq. It. NO W?nih of cane He,gln of anx Nn. M 1. his Lineal ft. of crack Area sq. It. O one P Coef Btu Coel Btu' Infiltration Infiltration Glass Glass Exp. wall Exp. wall Net exp, wall Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor _ Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq, ft. E.D.A. or sq, ins. W.A. Leader area 39 150+ 34.00+ 195.75+ 625.00+ 525.00+ ?j 6`1.00+ 305.00+ 180.00+ 2,323.25x- I 1 87 DING PEAMTf APPLICATION - CITY ? SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND (?'afczDo To Be Used For: Single Family Valuation: -6 1 '? Site Address 1023 Savannah Rd. Lot I_ Block 2 Parcel/Sub Lexington Square Third Addition Owner M.nrv in George Builders, Inc Address -Box 428 City/Zip Code Princeton, [IN 55371 Phone 33[-3034 Contractor Maivin George uuilders, Address Box L28 City/Zip Code Princeton, MN 55371 Phone 332-.034/389-3203 Arch./Engr. Address City/Zip Code Phone 0 On Site Sewage_ MWCC System ? On Site Well City Water ? APPROVALS Inc. Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Date: April 1 , 1987 Occupancy ? 3 Zoning (L Type of Const (Actual) (Allowable) 0 of Stories Length 5l0 Depth 38 S.F. Total Footprint S.F. FEES Permit s Surcharge 3¢. Plan Review 195. 7s SAC, City SAC, MWCC 5Z5- Water Conn SZS- Water Meter b7. Road Unit '3oS Treatment Pl ( 20. Parks Copies TOTAL (07zlo .: Eompan[CS 6875 Hlghwoy 65 N.E. PO. Box 32308 Molneopol6, MN 55432 (612J5716066 SUBURBAN ENGINEERING. INC. 12203 Nkoltel Aue. So. Dun.sWlie. MN 55337 (612) 8906510 Cmll, Mnn?nipd & En°xonmenml Englntering • L.nd rvrgev?^4 ? lend pbnnmp ? Sog ienmg , Certificate of Survey forgaC7eyrovAdlaenf B i S1 A A d ear ngs sown re ssume o Denotes Iron Monument o Denotes Foundation Corner Offset Stake. PROPOSED ELEVATIONS r Denotes Existing Elevation ' Ox Denotes Proposed Elevation Top of Bloch 889.V I Denotes Direction of Surface Drainage Lowest Floor 682,o Denotes Drainage and Utility Easement Garage Floor 889.0 s7a°q?00'C ? 5.52 - - p Q1 O o ?^ ti NM / N/ d9?.ece1/, ? o0 ? oe `\ O m°? 887.8 / blga L? 28.0 c4yr ,per 4 ? J S si. Coe / i 37 FIky e?pk 11 ag0`' PfaPoStd A / LAID 1P lag: Gas- 0 2,S h iQ ?0 /5 ? T, 888'1 V a / Qip1 V y` /' 88? ? !O \\ih- 14j/^ s o?,, g 87.2 \? Lot Il Block Z Scale: 1 Inch a 30 feet LEXINGTON SQUARE 3rd. ADDITION Subject to easements of record Dakota County, Minnesota I hereby certify that this surrey, plan or report was prepared by me or under my direct supervision and that I am a duly licensed Land Surveyor under the laws of the State of Minnesota -= Signed this // /70day of i? A.D., 198'7. Companies SUBURBAN ENGINEERING. INC. 114 Not published: All rights.reserved p Copyright 1987 SE Companies, Suburban Engineering, Inc. E 5b"S?( , Minn. License No. /4f s 193.1 g?/ /5/ S Y? 2-,n-3 //<GS oCt L H V 4A yb'x3y ' MINNESOTA STATE BUILDING CODE DIVISION EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER Mfp-SIM Ge6P,C-, F V? tU \ \,A4DQ- SITE ADDRESS 1023 Savannah Rd., Eagan, Viv 0 CONTRACTOR M R `K\Typ j {? (1 gU'\\A oCDATE PHONE Determine working square footage of each: ,f 1. Total exposed wall area..... '9 Vy y sq. ft. x ?_ _ a a $ I 2. Total roof/ceiling area..... 3 3 sq. ft. x? = 1,' 8 Total exposed wall area above floor = I9 `A J a. Total wall window area . . . . . . . . . aoy b. Total . . door area. , . . , . . . . . . . . i) C. Total sliding glass door area. . . . . . . . . . . . d. Total fireplace wall area. . . . . . . . . . . e. Total wall framing area (average 10%). . . . . . . f. Total net wall area above floor. . . . . . . . . . g. Total rim joist area -T Total exposed foundation area = 1 / h. Total foundation window area . . . . . . . _ i. Total net foundation area above grade. . . . . . . f Determine "U" value of each wall segment: a. o"2U? X "U„ (owl, 3 / b. X „U„ 0? 3 = 9. (o (a C. y? X ,U„ ti? = i-) .( 'OLl d. X „D„ _ - e. ly3 X „U„ r09 8-7 -7 f. )yes X „U„ ,Oy =? r' I . - q? X „U„ a"; • S• h. 'r X "U" - r- i. I X ..U.. ?. TOTAL . . . . . . . . . . . . . . 7 ?, oa o If item #3 is thesame as, or less than item Ill, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = 30 j . Total skylight area . . . . k. Total roof/ceiling framing area (Average 10%) . 1. Total net insulated roof/ceiling area . . . . . . . Determine "U" value for each roof/ceiling segment: J-- X"u" 1,3a k. 33 X "U" ,oaf _3,4(r? 1. )??l 3 X "U" ,a a 4. TOTAL . . . . . . . . . . . . . . = /, 0 3 if total of item #4 is the same as, or less than item #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. aa?1 _ ?y + 2. 3 q .S Z 3. ???.?? +4. 31_6 -:?' PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA130769 Date Issued:05/13/2015 Permit Category:ePermit Site Address: 1023 Savannah Rd Lot:11 Block: 2 Addition: Lexington Square 3rd PID:10-45077-02-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kathy J Kaup 1023 Savannah Rd Eagan MN 55123 (651) 454-4655 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160438 Date Issued:03/10/2020 Permit Category:ePermit Site Address: 1023 Savannah Rd Lot:11 Block: 2 Addition: Lexington Square 3rd PID:10-45077-02-110 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kathy J Kaup 1023 Savannah Rd Eagan MN 55123 (651) 308-3022 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature