1054 Savannah Rd CITY OF EAGAN 12551
` 3830 Pilot K nob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454
8100
BUILD
G -
IN
PERM IT Receipt fr
To be used for SF DWG/GAR Est value $84,000 Date SEPTEMBER 2 19 36
Site Address 1054 SAVANNAH RD Erect [5 Occupancy R3
Lot 2 Block 1 Sec/Sub. LEXINGTON SOUAR&model ? Zoning PD
Parcel No 3RD Repair ? Type of Const Un
. Addition ? No. Stories
c THE
Name ROTTLUND CO INC Move ? Length 60
z
P-0-
BOX 383 Demolish ? Depth 44
3o Address
City OSSEO
Phone 571 Int Impr.
-0304 Install ?
? Sq. Ft
o Name SAME Approvals Fe
?°, Q Address Assessment Permit -
' City Phone Water & Sew. Surcharge
F W Name
u o Address
i W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: THE ROTTLUND CO INC
all work shall be done in accordance with all applicable State of Minnesota
Building
Police an Review
Fire SAC
Eng. Water Conn.
Planner Water Meter
Bldg.
Var.
Road
Tr. PI.
.00
.5C
.5C
.00
.0C
.5C
.0c
Parks
Copies . 5C
Total
on the express condition that
City of Eagan Ordinances.
Permit No. Permit Holder Data Telephone It
Plum*ng n-1- Le
HN.A.C.
Electric { L`_? > /o/ ./Ski
Softener
Inspection Date Insp. Comments
Footings 1
Footings 11
Foundation
Framing o
Roofing
Rough Plbg.
Rough Htg. • ta.
Insul.
Fireplace
Final Htg. /p PW/
Final Plbg. ,
Bldg. Final
Cert. Occ.
Deck Fig.
Dec* Frmg.
Waft
Pr. Disp.
PERMIT # 7 6 3 3
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN G /r
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CT PRICE PHONE: 454-8100
Site Addreaf I VS 4 Ja ? 4 --
Lot Block
m Name
Adore
c City _
BLDG. TYPE WORK DESCRIPTION
' Res. New
Mult Add-on
Comm. Repair
Other
Name
c Address '
p City 5 Phone-' FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE -$10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
FOR: CITY OF EAGAN
N FIXTURES
Water Closet - $3.00 TOTAL
Bath Tubs - $3.00
Lavatory - $3.00
T
Shower - $3.00
-Kitchen Sink - $3.00
Urinal/Bidet - $3.00
l Laundry Tray - $3.00
-
-
7
Floor Drains - $1.50
=Water Heater - $1.50
Whirlpool - $3.00
-
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
j Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
m Name
Addre
c City .
Name
c Address
O city
TYPE OF WORK
Forced Air 7 5? Y M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR CITY OF EAGAN
FEE:
S/C:
TOTAL-
' PERMIT #
MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 ./
Site Address
Lot_ Block
Sec/Sub BLDG. TYPE / WORK DESCRIPTION
?
,
/;
?-rte Res
New
L Name >
bed
Mult Add-on
°-'
19
Address
a Comm. Repair
C
City
i
Phone Other
Name FEES
RES. HVAC 0-100 M BTU
-$24-00
C Address ADDITIONAL 50 M BTU - 6
00
p City tit / Phone - (RES. HVAC
DES A/C ON NEW
O .
ONSTRUC I
C
G
S
N)
A
OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 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)
O
ther
FEE
SIC: SIG RE
TOTAL
FOR: CITY OF EAGAN
r,
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. A. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning:. No, of Units:
Owner;
Address:
Site Address: / E x ln' ,
Plumber:
Meter No.: ); Vii:
Size: ? 11 oclC n.t.,:o Q'?tf1g
- T 0,.
??
Reader No..
I T) d
"M to ao=pitr whh the City
ei E?
i?e: t
C
Adiwe ?` ? ? w. Charges:
i Total:
BY 4 Date Paid:
Date of Insp.: Intp
Y- 7? o
CITY OF iAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: '
Eagan, MN 55121 DATE:
Zoning: - No, of Units: '
Owner: __= L 1?tnd Cpny
Addresr:
Site Address: 1054 Savannah s ?.,. 5,..
Plumber. ic' SO[z r: ,::.
Meter No.: Connection Charge: t?t' • C?:: n
Size: Account Deposit:
Reader No.: Permit Fee:
1 elm to comply whir the City of Eeyew Surcharge:
ordloosom Misc. Charges:
Total: -
By Date Paid:
Date of Insp.: Insp.:
CITY OF tAGAN
3830 Pilot Knob Road
P. O. Box 21199 SEWER SEMM
PERMIT NO.: PERM
9125
Eagan, MN 55121 DATE: 9-26-86
Zoning: 711, 1- No. of Units: 1
Owner: Fj2ttlund Company
Address:
Site Address: 1054 RAaannnh RnnAl
.2 R1 7. xino o _
n C! TT;
Plumber. Nickelson Plumbing
9-3- p 6 66177 1001. +11',pL
1 som h oean* whb the Cky of hgla¦ Conrocfion Charp: ' 7 s _ 00pa
""now Account Deposit:. 15-00h
Permit Fee: ors! d
Surcharge: S?nti
BY Misc
Charoer
.
Doh of Insp.: Total:
Insp.: Doh Paid:
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEJVKD y
FROM '
AMOUNT I
-& _DOLLARS
100
? CASH ? CHECK
BY r
6 6 1 7 7 L White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG, PERMIT NO. ' r.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
C
I
TOTAL
i
P 26.976 91:5?
Regtw.st Data
6/19/89 Fire No(.
I
h-in Inspe6li
RequiZ?
? Yes A.
Ready Now ? Will Noti y Impactor
When Ready?
I Nicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.)
105 R Cry
Eagan
Section No. Townahip Name or No. Range No. County
Occupam (PRINT) Phone No.
Power Supplier Atldres9
Electrical CCmractor (Cwnpany Name)
Lein Hpating and Flor- Comractort License No.
042468-6
Mailing Address (Contractor or Owner Making Installation)
6525 F- 170th St- Prior lakp,
,,'Mn- 5S.172
Authorized Sgnature Contracto,7elring Inslallalion)
4 Phone Number
-2490
MINNESOTA STATE BOARD OF ELECTRICITY L THIS INSPECTION REQUEST WILL NOT
Griggs-MWway Bldg. - Room S-1TI BE ACCEPTED BYTHE STATE BOARD
1821 University Ave., SL Pau4 MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (812) 642-OM ENCLOSED.
This request void
l
18 months from ' /o /0a / b '. ? '7 U 9(7
C•51058 ?- a, Q) 1 , L-," 3/9-!$a
Request Dgta
/
/
/
/ Fire No. RRou0.he5 ?Insp
e
on ?Rnady Now Will Notify.ln
pec-
?r 2
7
( ?
No ?
for When Reatl
Licensed Electrical Contractor
? 1 hereby request inspection of above
? Owner electrical work installed at:
Street Addddress, Box or Route No. vn , City
'
Section No. Township Name or No. Range No. Coun
OC t WRINTI Phone No.
Power S plier Address
Elect (cal ontractor (Company Name) Contractors License No.
Mailing Address CContractor or Owne
b aking install
Auth ized Signs (Contractor/0 ner Making Installs ioonn)? Phone per
MINNESOTA ST BOARD OF ELECT CITY THIS INSPECTION REQUEST WILL NOT
Oripps-Midwe dg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1811 University Ave.. St. Paul. MN 55104
Phone 18121862-OROO ENCLOSED.
/6?G?1 ?s b REQUEST FOR ELECTRICAL INSPECTION AIM EB00001.05
III, See instructions for completing this form on beck of yellow copy %0(,-r709(4
I`' IA 1 n r fa "X" Below Work Covered by This Request
Equipment Wired
I I I I Industrial Blda. I I Air Conditioner I I Bulk Milk Tank
N Fee Service Entrance size a Fee Feeders rSubteeders a Fee Circuits
0 to 200 qm s 0 to 30 Am s 0 to 30 Amps
Above 200 gmps 31 to 100 Amps 31 to 100 A
Swinvnin Pool Above 100_Am Above 100_Am s
Transformers Irrigation Booms Partial.'Other Fee
L_ __ I Signs Special Inspection ?s ??
Remarks - dQ TOTA
I, the EIefMd"I-
Inspector. hereby
certify that the above
inspection has been
made.
west void 7 C?
18 months /r m / O C
C.58f39 a (1j 1 hex. 5 3" $y7 c?
Request Date
-?
'? fire No. Rough-in In3oectign
Repmred7
Rea dy Now Will Notify Insper
1or Wh
R
d
,=J
(j t<i Yes ?NO en
ea
y
Licensed Electrical Contractor 1 hereby request inspection all above
? Owner electrical work installed at:
Street Address, B or Route No. City
cLon No. Township Name or No. Range No. County
Occup' t IPRI T{ Phone No.
Po rr Supplier Address
l Contractor's License No.
or ICoinpany Na
11
5cal Cn
t
nwac
T
,
F
/
'
/
-39 -7 .f lA ! i?Y.fi _
, -
Mailin/g/AAddre s IC ont roc or or Ter ?Mya k?inOpInstallation)
-
oO -
r
L
r
Li?
( v
1-/ 1 l.- fu
Aut rizetl Signature ICo.?trra^cto?r Own Cer Making Installation) PhonenNNuumber
r THIS INSPECTION REQUEST WILL NOT
MINNESOTA STATE 0ARD OF ELECTRICITY
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1521 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
%Ulo2.7 REQUEST FOR ELECTRICAL INSPECTION EB 00001-05
" 0 See instructions for completing this farm on back of Yellow copV. 6- 7,Y,2a
r , 1 Q 1; -1 Q "X" Below Work Covered by This Request
ImiarIAddiliep.1 -'TV" of Building I Appliances Wired I Equipment Wired
al
0 Fee Service Entrance Size k Fee' Feeders/SVbteeders A Fee Circuits
0 to 200 AMPS 0to 30 Amps to 30 Amos
Above 20D Am Lss 31 to 100 Amps ' 31 to 100 Amps
Swimming Pool Above 100-Amps Above 100-Amps
Transtormers Irrigation Booms Partial.'Other Fee
Signs Special inspection s n
Benvirks (t
CITY OF EAGAN No 12551
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55 1
PHONE: 454-8100 f
BUILDING PERMIT ReceiptN 1
Tobeusedfor SF DWG/GAR Est.Value $84,000 Date SEPTEMBER 2 tg 86
Site Address 105 4 SAVANNAH RD Erect C occupancy R3
Lot 2 Block 1 Sec/Sub. LEXINGTON SQUARBemodel ? Zoning PD
Parcel No 3RD Repair ? Type of Const. Vin
. Addition ? No. Stories
THE ROTTLUND CO INC Move ? Length 60
w Name
P
O BOX 383 Demolish ? Depth 44
o .
.
Address Int. Impr. ? Sq. Ft.
City OSSEO Phone 571-0304 Install ?
LE SAME Approvals Fees
i o Name
c Address
City Phone
?Q
o m
Name
mz
a B Address
i w City Phone
I hereby acknowledgethat l hav read this application and state thatthe
information is correct and re . to comply with all applicable State of
Minnesota Statutes and City agan Ordinances.
Signature of Permidee
HE ROTTLUND CO INC
A Building Permit is issued to:
all work shall be done in accordance with all applicable Stat of Min asota
Building Official
Assessment _
Water & Sew.
Police
Fire
Planner
Council
BIdg.Off. 8/29/86
APC
Permit $ 385.00
Surcharge 42.50
Plan Review 192.50
SAC 575.00
Water Conn. 500-00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Var. Date CopiesI ?50
Tn1?l
on the express condition that
of Eagan Ordinances.
/agar
RESIDENTIAL
BUILDING PERMIT APPLICATION
V ?b CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements
• 3 registered she surreys showing sq. ft. of lot, sq. ft. of house; and &H roofed areas
(20% maxhnum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan h lot platted after 711/93
• Rim Joist Detail Options selection sheet (brigs with 3 or less units)
DATE
5 -.;) /- (D_?
Water Softener
_ Water Heater
No. of Baths
SITE ADDRESS /65-Y Sut trr9IVA)AM MULTI-FAMILY BLDG _Y -'N
TYPE OF WORK Lroc? FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT A 1-kro,?,w of Tiff Ann ?" -Talc
STREETADDRESS ifo9/ to b-",- Av€ A/, CITYXMg-CT,avtr STATE NV ZIP 55-369'
TELEPHONE # 763-Yf3? 3w4 CELL PHONE # bid- 1641- 6090 FAX # 76gVES- 2 516
PROPERTY OWNER N4,'-c-L L" TELEPHONE #65/-6$7-9698
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted MR MAY 2 1 2002 r D
Plumbing Contractor. __
Plumbing system includes:
Mechanical Contractor. _
Mechanical system includes:
Sewer/Water Contractor:
- Air Conditioning
- Heat Recovery System
Phone #
Phone #
Fee:
Fee: $70.00
---------------------------------------------------------------
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 Collnancens, /
Signature of Applicant -? .?r/?i???lcrsn?is7srlix
....... _._ ............... _._...... ......_......... -.... .r._ _
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Phone #
RemodegReoair Reauiremente
• 2 copies of plan
1 set of Energy Calculations for healed additions
• 1 site survey for exterior additions & decks
• Indicate d home served by septic system for additions
VALUATION SSGQao
Iawn Sprii
No. of R.I.
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-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ 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) _ FinaVNo 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 , Building Inspector
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
I--t?c r o ?
HEAT LOSS CALCULATION, TEMP. DIFF.
CuvornerWlrru ??'?kinA TypIC?Yrueeinn?"?h -
Crtv t Wirdaw Storm snh
Gosw Norm. tME HEATING 6 Ala MONING _ Ware Int.
Strait, 664 hlan''Ial=hA aVS No. railing . Ins.
.. city ?_ (,bdsn 4allgy? hMnrlesefA b6427-- Flom
Coors-Craekam arW Arm I \
of 9 n.
n? N ar..
i
M rd
3
Btu
Inf.ltratwn
Gus
Esp. wap 073)c*Y L
Net esp. wall L
Int. wall
ceiling 36 x e09
Flow y z, D
Windows rW Coors-Craekm! and
n.. ? wn. why n. a wnwi :~
cow. Stu
Inf ihntipn
Glass
-imp.WR R8 (04
No alp. wan b L S C.
IM. well
coiling I z x tf 96 2
Flom 9L Z al Z_
Total Stu. - 13/ g y/ Total Stu.
FI.IC7cVJ I Roomllagth IY width /2. Hwight ! FI.IK / <Ya Zm Lwlgth 1'2 Width Hoot R'
Windows and Duars-Cra *wit and Arm I Windows and Doors-Cre6s a rW Arm
n. w.My. ...y..
e. war e. w w N
l 4 n.
Gf N .nM a..
a n.
C60. Stu
Inhhrll?ort
Glas
Esp. wall 26)c
`
Net esp. well
t y
fell. well
ceilw" lyh Z
f Iow z
wow .w.pn w. N t.n.w. n. 114(o)
Cow. Stu
Gus
Esp. WWI F, Na mp• wall r'/ ! ro0
htt. well
Ghfing /Z X 17-0
Flaw Z Zd
Total Stu. Q Total Stu. 00
.? -FI. fefwr fy omnl Lwgth .2 K/ ggidth /Y FMigrlF FI.i oomlLe 'h Width II 1w t$
Windows and Doors-C re6 p and Arm
.... w.n•w •....w. M N
••..•ar M ...M l 1..?. n.
N f....
X
.2 .2 T Z8
cow. Stu
Inhftratron (e p /q4o
Gy.s e 0
tap. wall -
Not esp. well
O
O
Int. watt
ceiling / 3
Floor 3 (o Z
rotaf Stu. i (J.loO_
? wow
N ..w .wyw
N .e. M.. M
L w L.w.. n,
N. N anw
n-
cow. ow
lnfillratlon o _ a
If goo
Gus to $v ?t'DO
,k J? Esp. well 3 r 8
Na mo. Wall
Int. wall
ceiling ,Lyc /Z /
Flom z
Total Stu. I Z 1'00
q
I 'u
HEAT LOSS CALCULATIOND 1EMP. DIFF. r
k n
CYRtN/ler Nana TrW Corrunetb^
wetdw- Strom sash
C? Y• Ir. -_.
Dow Name. Walk
Strai ---- Ceiling Ina
City ._ ..,1 Flow
Windows and Doors -Craekage and
--
as
Na w.O.w
? wM MY.aw.
01 MwY Na M ?.MM h.
l h N anM Na
? N ?1
G O
V ? y ' ?
o0
O 2P ?' 2a i
$-
r' ! 8
Coal. Btu
IMdtrsthon O DD
Gim O
Exp. wall t,/?' x d
No exp wall
Int. wall
Windows
Eap, wall
Net esp. wall
Int. wall
F
Odors-Gsritar and
1
w. w.n.w N.ywr M M
•...rM M wW L ?.a.n n.
N aMM
as h.
Cad. Btu
Inhltratan 4I0
Exp. wall c b
No exp. wan
Int, well
Ceiling ,3X/ sylo
Fknr
Total Btu 186 / K
and
Na.
Exp. wall d& X LU
No axP• wall rIOY_
Int. wall
Coiling )c Z fo -.A
Flow 3
Total Btu.
and Dnora-Craekaaa and Ara
Ma. wMIM
N Nwanl
M ha M
L 1.0 h.
41%, to
2. z 2a
Cod. Btu
InMrstion 2 Z 80.
Gks ZO f
E;p. waH . 13X
ale axp• on /011,
3 Co
Int. well
Calling 13XI2-
Flw
Total Btu.
FI ?loo .Vth J/ Wid1 1 / 5'- Maldtt
WiwAnw am nears-aradc'ar and Arm I
w rw. wNM
M K Na./w
aw
M laa. N
h
L lam h.
tar
N a.w
` h.
L ?- 2 1G7
Cttd. Btu
In/ihratan Z G 6r7
GIM Za
Q7CJ
Sol I
Esp. wall (oX '
Not exp. wall S
Int. wall
Coiling /5 MIS- Y 17 5,
Flow / 5 33a
Total Btu. - 1 314 _S7
a
It d 1 -6r-
HEAT LOSS CALCUIi?TiON -? ° TEMP. DIFF.
CllnontwNwlta ?? =Ype?raWetioll
- a will leldfwa '4 13taral Saab -?
Dulw Narne. qr Ina
!WStreN ___-_ Coilir"
City ;?? Flow,
ur:..d....w s A nnn..-Geekaee
ww rw'?
war w?gwr
er na.w we a '.
? w 4w?r h.
er erww r ry
a 3-C UL
co.r. eal
Infiltralren O
Glace 71? 19D I 00
Esp. wall ?x 2
Net esp. wall 7
Int, well
Ceolinq lep w 12-
Flow
Tout Btu
3 FI,-
t- oormn L th -
/(i
WdtA
M
elt 8'
windows snd Down-Cral:kaP WW Area
hs wnww
ar paM w.wr
wawa M+ M
L h ?wM h.
N arwr a?
h.
ZO Is 7. t0
COW. Btu
Inhnretan
Goa 'fa
-Z?
Espr well $K 'e'
Pky esp. wall 3 Z
Int. wall d OO
Cool""
toom x
and
1Mrm
Glee
Btu
Esp. wall _
kilt sup. we"
dnt. wen -E4
Btu.
5a,1'`?-TrJ N-tw- toss
Total Btu. _ 1 C?G 5 2= -
C) COMMERCIAL/RETAIL/OFFICE
C3 INDUSTRIAL
n INSTITUTIONAL/GOVII2NmENT
NOTE: PAYMENT 'OF FEE AT TIME OF
APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT.
INSPECTION OF SEWER AND/OR WATER
INSTALLATIONS WILL NOT BE SCHED-
ULED UNTIL PERMIT HAS BEEN
APPROVED.
(Please Print
1) PROPERTY ADDRESS: A, V A M /)(A ? ? -
LEGAL DESCRIPTION:
(Lot/Block/Subdivision or Tax Parcel ID )
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: '
Mon ear)
PRESENT ZONING/PROPOSED USE:
2)r!
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NAME:
ADDRESS:
A
e9 R-1 SINGLE FAMILY
Q R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOmiNIUM ( Units)
CITY, STATE, ZIP: >CQLN&f(L AIL
PHONE: X33 -S/ 71
3) u 1: r•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
MASTER LICENSE#
4)
•1a ? 1171• ??,/1 ITT /??
NAME:_7'k`2 1 /? ??//V / /?'G?i?/??7
ADDRESS: l9o 973
CITY, STATE, zip:
PHONE: _$ '7/= Q3Of/
rlumoers license:
Active
Expired
Not recorded
Sta=initial
'S) a V• ? a• • 71' :7 • 71 71st
"CONNECTION TO CITY SEWER ?y CONM=ION TO CITY WATER OTHER
6) : • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - -
PLEASE MAIL APPROVED PERMIT TO 1a, 3, 4, ABOVE
( le one)
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ fS ?O ACCOUNT DEPOSIT - WATER
$ ?n 0 • 0-0 $ WAC
$ $ -7 d ?? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEVER
$ $ LATERAL BENEFIT/TRUNK WATER
$_ /_S?•n O $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ /Z 9,V -S-Z $ V 7 O e) TOTAL
- 6l /77 6C f,5-3
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEEAIN,G
NO
Q DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE: QQJ /
DATE: // %G
385•+
42.5+
192.5+
575•+
500•+
63.5+
290•+
156•+
008
2j204.5*+
?/a5sl+ '?
1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOB 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 ay
To Be Used For: Valuation: j? Wy Date: p= I?- ?v
Site Address 10,51) SiiUA.oooArt Rj?
Lot Z Block
Parcel/Sub L g;,?/yJ
Owner 7 7/C` ?oy 7XUitl? z7h. hVC ,
Address 01?4 &n x 3 ?.3
City/Zip Code /?S.SEz $-5-X3604?
Phone '5"9/-0 30 V
Contractor ;5X144 E_
Address
-City/Zip Code
Phone
Arch./Engr. ?ljfJjY) F'_
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Erect Occupancy
Remodel Zoning D
Repair Type of Const
Addition # of Stories
Move Length Ca0
Demolish Depth 7!
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit 4585
Water/Sewer Surcharge ,So
Police Plan Review Z. O
Fire SAC 5
Engr
Water Conn E;a
Planner Water Meter
Council Road Unit ZAP_
P
Bldg Off Treatment 1 \VQ
APC Parks
Variance Copies
TOTAL
0
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
Z3?cZ ore V.7.'&WIV%
z 3 °I'l9 K Sb'r 5A4L
1Fj K,Z2 s 3Ak5'b• lgb'1a
i
w?.w?awfw?
I
fn 4,
ffn ••r
mpg •r
RE
r ..r R Mww R[rr...?. Rr f..rr.lw/ 1iw...?.W F%-dw IZZ03 i?,,1! 17.190
Cortificato of 6urfoy for ,?OM UND ?a
gAVANNAH R4A0
N. 17, 5o' 27"E• N OR rH
75.00
[ K
O O O
?
0 I
22.7 C
NQx
7 I
3
3 M
eo sad e a? e?
Z;
N
15%
M N Q=OPT a0
q -0
?
`" N 'o
? SZo N N
H
(00.00 -'
9 ;
I
?
- 1J
?. L-_-W-
a CO 75.00
S, 87630'27"W.
Bearings Shown are Assumd
fa Denotes Iron Monument
o Denotes 10' a) Foundation Corner Hub
Denotes Existing Elevation
¦ Denotes Proposed Elevation
PROPOSED ELEVATIONS
Top of Block 898.2
Lowest floor 9a.a.7
Garage Floor 8978
Denotes Direction of Surface Drainage
Denotes Drainage and Utilit•• Easement
LOT 2 , &OC K 1 _
LEXINGTON SQUARE 3RD ADDITION
Sub.ed to dramaje / uliklj ec9e&vn1s DARorn Ccvwy, MINN.
1 a...bv ...a.. Rb.f fbh b • .? we .o...of .....,.....,,,,, of • . Ww# N Mw be rrluffrf M +w.ftbw
aro..f?wf hmd. W of rfa. /M?.Nw M • 1r11 Mepee ti a./ wll .r' 640 fM1R.?M?N.rf.. M wr71 AN ?. r
now brw. As Rw.h..1 by of w.a. n?6
sale: jl;" r 3DTPe? y .
KW PvWhtga AM Aon fl.ro..orr , GGS S 96 413
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION ?
OWNER T Il P,.0 T-F 1_U N Q C d
SITE ADDRESS l?Srr/ SftUA.z?d!>Af/ ` Goo ??JG??'
CONTRACTOR SA' ' l C DATE PHONE ?J71-O j?
Determine working square footage of each.
1. Total exposed wall area ...... 2 ' 1 ro sq. ft. x .//1 = K{[? If
2. Total roof/ceiling area ...... sq, ft. ,x ?t7Z? _ J
Total exposed wall area above floor = ?( 3
a. Total wall window area ................... .......
b. Total door area ..................... ... ......... 3 "(
c. Total sliding glass door area ....... .......... y (J
d. Total fireplace wall area ........... ...............
e. Total wall framing area (average 10%) ................ /7(')
f. Total net wall area above floor ..... ....
........... /`5.'(=,
g. Total rim joist area ..... ........ .
.. .. ..... 2
Total exposed foundation area = 7
h. Total foundation window area ........ ..
.....
. .
.
,
.
.
i. Total net foundation area above grade ... 7 iS
.
..
... .•
,
,
..
Determine "U" value of each wall segment.
b. y n X ,lu$$ 64=
g. f C, 2 X „U„ o6YCJ '_. ?,4
h. X "U"
3 ......................................Total = S'
If item 11 3 is the same as, or less than item 111, you have met the intent
of SBC 6006(c)2.
Total exposed roof/ceiling area =
Total gross roof/ceiling area 411
`
j. Total skylight area
k. Total roof/ceiling framing area ............
1. Total net insulated roof/ceiling area...... 32 3
Determine "U" value for each roof/ceiling segment.
j. X full n L/ t{ Z, f
k. X lull o -7 2, 3U
1. 2 X fluff
4 ..................................... Total = Z
If total of #4 is the same as, or less than ff2, 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 #3 and #4 shall not be greater than the sum of items #1 and fit.
1. 2- i, -44 + 2. 3 6, 76 = 3 o
3. C7??1,; + 4. 3':?f ??
[JUTE:'IUse JC)%
opaque wall area for
fame construction
WALL
FIG. tll
LJ' '
1'uy? .? of 9
Construction
R-Value
1. Interior air film
2.
'412 GYP BfLD 0.68
4S
3. 1x(? s?uv5 (oa$c3..
4. .2 5-/3 2 S /-r rc. 2 OCR
5. ?/O/-ri/s OvE/e_ FELT- / 0 2 (o
6: Exterior air film
0.17
Total
v? ao$-7
1. Interior air film
2
.
V1" 0.68
. D
r 13 ez G L/ S
3. F(/L L 'u/?J c l_ ' 1415[-G
4. 2 S 3L 5/ -,f,
2 d6, '
5. 5141-lie, DVE.t' FE`T J bL e--
6- Exterior air film 0.17
Total 23,(,2-
1. Interior air film 0.68
2. •/Nsv Y
3. '2 X Iz'( rA p
4. 2S/32 St1TCU. 2mCJ?
5. S/IJ/.IiCa - V?iG ' != 62T,
6'2
6. Exterior air film 0.17
Total 2 5.0
S
v? . O `t U
1. Interior air film 0.68
2. -/! ./ fiSyC // UD
3, 2F1 F?2.R-1NG?
4. /2??CO.wC. /3000f?' /e??S
5.
6. Exterior air film 0.17
Total /3a/3
? oat Z
FIG. 1f4 -
v
< 6
r
p
f.
FRAM STALL . .
Roar/CEILING
Construction 11-valkle
1 Interior air
, film 0. 61.
l 3
n ? osa
A ???I.•? 3. RL0wA/ ilr5vt ?E' UO
9. Exterior air film (sTOLal 0. 6f
VErT l lJ(`_?? 3 ra a0.
?\\\' `:/ ZJ V =.UZS
Ven[ed Heat flow
up
i
FIG. Ifs
_ 1. Interior air film 0.61
z. r-,V? p 5g
3. / vSVL ovE2 r/ZUS : 3?+ q Q-
4., Exterior air film sti I
Total' 3(0
I BURE,
6 6
i
Hear floe up - .vented
i
FIG. #6.:..1..
3 5 v 1. Inside air film O.G1
r° yr° 2.
:;. ;: '• r S. Outside air film 0.1.7
Total
H027-VEIv"1 ED Note: Use additional sheets -if more space is
needed for details and calculations.
Heat
flow up
5650
---------------
i For OfficeUse
d City Of Eap 3830 Pilot Knob Road Per h Fee: Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax: (651) 675-5694 Stan:
En
----------------
2008 MECHANICAL PERMIT APPLICATION
Date: 116 Site Address: R-D
Tenant: Suite #:
RESIDENT/OWNER Name?oE k4 eA/E'S Phones/335?1 2252-
Address / City / Zip: 64 7 ? Al 515`/- 3
CONTRACTOR Name:( ),v r ?IycuL 4? ni ?? Ate License #: L-?SPi 8?f (o
Address: RoV (1AeM/LL144) ST
P Ail f-h4 s r-. rV r,s State: Pl z1p:ss?633
Phone: _? ?yf77 Contact Person:
TYPE OF WORK New 44.
-Additional
-Alteration Demolition
fr
Description of work: e /C2 CEO Ari Ct aFi G N I11 1e ;04WCPi
NOTE:,8oth roof mounted and ground mounted mechanical equipment Is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for Information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE 10 Furnace New Construction Interior Improvement
Air Conditioner
12-0 Install Piping Processed
-
Air Exchanger _ Gas _ Exterior HVAC Unit
HVAC units must be screened
Heat Pump _ Under / Above ground Tank Install / Remove)
Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbin Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
5'0 5a
$
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x l%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Pen flit is less than $1,000, surcharge is $.50.
- If Permit fm is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
I hereby acknowledge that this information Is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan; that
I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved
plan in,thhee(c e ofiwork which requires a review and approval of plans.
x ?t / . It of l //L > lS ?r?1I.9A?-L x a?/ °7L?*Pa?-?
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed' By: Date:
Required Inspections:. Under Ground Rough In Air Test _Gas Service Test In'-floor Heat Final
Use BLUE or BLACK Ink
- � r————————————————�
I For Office Use �
C' � Permit#:�✓ �� / � (,/'
��� O� ��b�� I Permit Fee: � �- �-C� I
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax:(651)675-5694 i Staff: i
-----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
.�� ' �, ; Name: r-..dC��� �C�..< �/���� P one:�5 I� �c(�" lf�� �
�'L���#/
�� � ���� �. Address/City 1 Zip: ����� ��IIG� G G( � �� !�r ��'I .�,.5���
� " � ���,� fy� �
i ��� "° Applicant is: Owner �Contractor
� p ��'-'j1o;1� � �!�'��C Q �o� � ` t �
�,�„������ Descri tion of work: r �C �G� /
� � ---�
� ��,��' �ry�' Construction Cos� � �• ''�- Multi-Family Building: (Yes /No_)
o�„�
� �p`g l� �'.as i� � �
s �{ ,{ �,� / `A /
� �������°� Y Company:.�''/r( �/�C,.�. ��/�r�G�'.S Contact: G�L,�r���'Cf'.r✓� ✓v/ G��'G7�
L
� � ,�
������������ Address:��[�+--( �i.�C�'l� � ��'�C /t' City: //u'`���?9S"
' ��� ,p�
�" �� �,� State;OG`(_h Zip: �5�.�� Phone�����-3J,.i��I� EmaiL• ������'��1� a�����a>>c,�'�-i
� � License#:�,�pC� ��d�� Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
r�#�'lL�"�'����`��Jq�r���rr��►L�t*�►�#�+ciu s��b �1� �►b������r'�rc� �t�a�G��t�f
���r�far'��`���b����I�s�����+��`'y�i��" �'�����f��p��t����
�� � ��� ���, ��"� �, � F
, ��jy.�/�
,,.. ,� � S`z ,�� ... , �� ��Yi iFi"�s- a 4:.���
, . . <�.-_ ,.,,.,a�„Fv, ., „� . . ,__ -r
,
_.. , , ,,:.� ,r>., �.^- ., s.
f.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.popherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
r /� C .- N
x ��L����-M ! �.� �jrC.Z-� x
Applicant's Printed Name Applicant's Sign ture
Page 1 of 3