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1055 Savannah Rd3830 Pilot Knob Road' P.O. Box 21-199, Eagan, MN 55121 ` 12963 PHONE: 454-8100 'BUILDING PERMIT 41 Receipt # To be used for SF DWG/GAR Est. Value $ 79, U00 Date DECEMBER 11 19_46 "3,SiteAddress 1055 SAVANNAH RT: Erect ? Occupancy R3 Lot S Block 2 S,,/Sub. LEXINGTON SOUAT49model ? Zoning X21 Parcel No. 3RD Repair ? Type of Const V Addition ? No. Stories Name '?fiQV1.4 Gt:0RGE BLDRS Move ? Length P.O. BOX 428 Demolish ? Depth 3 i3 3 Address Int. Impr. ? Sq. Fr ° City 2RINCE'--rP ne 389-3201 Install ? o Name SAME Approvals z 0 Q Address Assessment ~ City Phone Water & Sew. Q Police ? z Name Fire x i3 Address En g. e W City Phone Planner I hereby acknowledge that i have read this application and state that the Bldg. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC. Fees Permit a 370.00 Surcharge 39.50 Plan Review 185.00 SAC 575.0u Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 15"'•0J /f Var. Date Copies Signature of Permittee ,f LIl t y] j /?? I Total , 179 . 00 A Building Permit is issued to: ` LZRw T y "r ?T" all work shall be done in accordance with all applicable State of Minnesota S1 on the express condition that and City of Eagan Ordinances. Building Permit No. Permit Holder Date Telephone # Plumbing Electric i Softener Inspection Date Insp. Comments Footings I i Footings 11 Foundation Framing ?1r 7 Roofing Rough Plbg. V-.1147 J 11-6-Y7 , . -C Rough Hill. ,?3 / ? ?oIO -g7 U L7 Insul. Fireplace Final Htg. Final Dlk?n_ 7% fl 7 ?) .L/ A_ // A Bldg. Final -7 r / sP- Ax"Oft-VIP an" a" , 21 ?2 -Az"'C' L do Cart. Occ. ? Deck Fig. Deck Frmg. Well Pr. Disp. ` 1 PERMIT # Jr 7 MECHANICAL PERMIT ' RECEIPT # CITY OF. EAtiAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE f PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec /Sub New R s Name tiEDGWIC9 HTG. & AIR COND. CO e . ll Add on M -°S W Address ENTWORTH AVE. SO. u - air Re C v p omm. City LI 55420 Om r 0 9 e Name l FEES L c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air -+ M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond M BTU STATE SURCHARGE PER PERMIT - .50 . (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # I r : . Other FEE SIGNATURE OF PERMITTEE S/C: TOTAL FOR: CITY OF EAGAN IR PLUMBING PERMIT CITY OF EAGAN 38311 PILOT KNOB ROAD, EAGAN, MN 55121 Site Address Lot Block Sec/Sub Name Address c City Phone Name Address p City FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE _$10.00 MINIMUM - COMMIIND 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 PERMIT # RECEIPT # ?T DATE: BLDG. TYPE WORK DESCRIPTION Res. k New Mutt Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 -T- $ Bath Tubs - $3.00 Lavatory - $3.00 $3 Sh 00 ower - . Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 i Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp, - $10.00 Rough Openings - $1.50 FEE.- STATE SIC: GRAND TOTAL: f CITY OF EA%" WATER SERVICE PERMIT 383010" Knob Road , 3 ?' r . P.O. Box 21199 PERMIT NO: _ Eagan, MN 651 21 DATE: , Zoning: _.1 No. of Units: Owner. Marvin George drs. Address: - M5 Site Adders: avanna - B Lexington Sq III a Plumber tar Z um . f^ Meter No.: C 00. llppd ?rge: Size: <?Ik" /QOCN n.,4nt4 t cl ?'. ct $ unt Dieo 15. clop r: 1 agree to campy with the KSurcharge: 15? ??t)pdTP Ordfnsneee. Misc. Charges: jupa m gi r Total: W Date Paid: o1k 4 f Insp.: Insp.: - 3 - W-7 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road , P.O. Box 21188 PERMIT NO.: .. r Eagan, MN 55121 DATE: Zoning: n.l No. of Units: 1 Owner YarvJ.^ n, ^1c t:.. Address: avann^' : T' c Site Addess: Plumber: -? _ Meter No.: Size: Reader No.: I agree to comply with the City of Eagan Ordinances. By Date of Insp.: ton So III Connection Charge: Account Deposit: . Permit Fee: Surcharge: Misc. Charges: - Total: Date Paid: CITY-OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 1537 P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: a No. of Units: arvir_ Ceagge n'.crs. Owner. Address: Site Address: 8vanna Road xins,ton q III Plumber. Star um nr I agree to comply with the City of Eagan Connection Charge: 47 5 , 00pd Ordinances. Account Deposit: 15.OOpa Permit Fee: 10 • 00DO Surcharge: - BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid:_ CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 RATE 19 w6cilvEG FROM AMOUNT 6 DOLLARX loo O CASH ? CHECK row BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT NO. r 01-3210 Bldg. Permit 01-3422 Plan,, Ghee 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 Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL r-j CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ DOLLARS loo ? CASH [3.CHECK 41 fJ FUND CODE AMOUNT i r\ Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy This request ro,d 18 nthss front 2 .6"97 z 13 , Request Date j ( Fire No. Rough-inrlrrspection Requv Ready Now []Ready ill Notify Inspec- h / 1 es ?No [or W en Ready i censed Electrical Contractor 1 hereby request inspecM1On of above ? Owner electrical work installed at: Street Address. Box or Route o. 10 City _ cL can lownship-Flarric or No. Range No. Co y Occupant (PRINT) Phone No. 3 o .?Y Power lien Addre ' Electri 1. Cdntractor (Company a Co [ cmr s License No_ '¢ e-? 03 g Address ! tractor or Owner Makin" last 'I t- I 4 t ? V Aut ri Sig tore (Contract LOw r Making Installation) Number Y MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD 551 g4 UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul, MN ENCLOSED- Phane 16121 297.2111 REQUEST FOR ELECTRICAL INSPECTION EB-00001C104 Sea instructions for completing this form on back of Yapper COPY. ""X" Below Work Covered by This Request him Adtl Rea. Type of Building Appliances wired Equipment wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo unloader Industrial Bldg. Air Conditioner Bulk Milk Tank farm then me , y Other (specify) tber specify Ot er Other Comnute lnsoection Fee Below P Fee service Entmnce Size a Fee Feeders/Subfeeders p Fee Circuits 0 to 200A s 0to 30A w 0to 30 Amps Above 200 Amps 31 to 100 Amps / 31 to 100 Amps ' Swinaning Pool Above 100_Antps e 100_Att4is Abo.1 Transtormers Irrigation Boobs Partial; Other Fee Signs Special Inspection S TOTAL FE Remarks Rough-in / Dace rl I, the Electrira ??/ j-Q / Inspecbr, hereby ceim ty the' the above Final ? d " / inspection has been nmde. This request void IS months from BUILDING PERMIT To be used for SF DWG/GAR Est. Value $79,000 Receipt # N2 12963 19 Site Address 1055 SAVANNAH RD Erect & Occupancy R3 Lot 3 Block 2 Sec/Sub. LEXINGTON SQUA149model ? Zoning R1 3RD Parcel No Repair ? Type of Const V . Addition ? No. Stories Name MARVIN GEORGE BLDRS Move ? Length 38 Demolish 11 Depth Address P.O. BOX 428 nt 11 Sq. Ft ° PRINCET?ne 389-3201 City i nstall ll ? o Name SANE a $ Address ? City Phone a ? w Name u c Address Z a City Phone Assessment _ Water & Sew. Police - Fire Eng. Planner- Council- Ihereby acknowledge that lhave read this application andstatethatthe Bldg. Off. 12/11/8 information is correct and agree to comply with al applicable State of Minnesota Statutes apAISA at Eagan Ordinanc APC Permit $ 370.00 Surcharge 39.50 Plan Review 185.00 SAC 575.00 Water Conn. 500.00 Water Meter 63..50 Road Unit 290.00 Tr. PI. 156.00 1,_1 V Var. Date Tota; 2 , 79 . 00 Signature of Permittee Total A Building Permit is issued to: MARV IN GEORGE BUILDERS all work shall be done in accordance with all applicableAtate of Min so CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN PHONE: 454-8100 on the express condition that and City of Eagan Ordinances. Building CITY OF EAGAN CASHIER: JS TERMINAL NO: 763 DATE: 09/11/00 TIME: 14 :14:59 ID: NAME: WESTURN CEDAR SUPPLY, LLP 3210 9001 4364 HAMILTN DR 139.2E 2155 9001 4364 HAMILTN DR 3.5C 3210 9001 1055 SAVNNAH RD 125.2E 2155 9001 1055 SAVNNAH RD 3.0C Total Receipt Amount: 271.01 CR137221 USER ID: JAN 4 Z750 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) I Z 15 CITY OF EAGAN 7 3830 PILOT KNOB RD - 55122 651.681-4675 New Constriction Regulremenh Remodel/Repair Reauirements > 3,reg1stered site surveys thawing sq. R of lot, sq. rt. of house 2 copies of plan and gp rooted areas MM aldmum lot coverage allowed) I set of energy calculations for heated additions > 2 copies of plans (thaw beam 11 window sizes: poured fnd. deslWr. etc.) 1 site survey for wdedor additions 8 decks > 1 set of energy calculations > 3 copies of tree preservation plan If lal platted after 7/1/93 DATE: 9-// - oo CONSTRUCTION COST. 5 G S' DESCRIPTION OF WORK: T E-A2 OFF 14?E4?? r?F STREET ADDRESS: (O S$ UAL Q fV4 l R O LOT: V D BLOCK: 2-- SUBD./P.I.D. S: 6xinAM ,are. 2 JTT PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER 14 A/i/SG A/ T LWR Y Phone ft: 95 2- ? 2 t- G y S i7 Lott First Street Address: 10 s s S R L, A n/n/ t /-/ 1'z 41.) City State: Company '^ ts??rz/L CEoif2 SN0'6< Phonetf: "76> svl -O?ay (area code) Sheet Address: 9 / 31?7 17-V? Al License S t S S S 6G Exp. City PC i M0 N t /V/ State: r -,, Zip: SS Y Y / Company: Name: Telephone ff: ( ) Sheet Address: Registration ft: city Sewertwater licensed plumber State: Zip: Zip: I hereby acknowledge that I have read this applicatlon, state that the of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No sW a r fo compry wNh a6 applicable State ONLY R '°CR-JED SEP 11 2000 Not Required BY: 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 Porch/Addn. (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 Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 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 No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ? 31 Ext. Aft - MuIG ? 33 Ext. Aft - SF ? 36 Mufti 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 0•* 370••00+> 39.50+ ? \\\ 185•UU+ 575-00+ 500-00+ 63.50+ 290.00+ 156.00+ 22179.00.E 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF KAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS RENTAL UNITS FOR SAI UNITS OF SURVEY - CHECK WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 9,000 To Be Used For: NNW ("C-,yt27 y(rxyrValuatio :--Date: ?(J Otp Site Address Lot Block Parcel/Sub Lex? ?y squafg, 3 >Z? Owner MARitTvu f pniptnF Air 1Rap Address & ?Q R-1 - City/Zip Code Phone 60L 3 A-9 - 320 Z Contractor M (9,6 Address )q-S -+8h U 7e, City/Zip Code Prs A & V-(3 ' Phone /4S 49 01 '-8- Arch./Engr. Address City/Zip Code Phone # Erect ? Occupancy i?•3 Remodel Zoning FZ•1 Repair Type of Const SZ Addition # of Stories Move Length (Q Demolish Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit 3)V- Water/Sewer Surcharge 39.'x_-' Police Plan Review 1 8 5. Fire SAC S. Engr Water Conn SoO. Planner Water Meter o3 ?' Council Road Unit 'L9 O• Bldg Off Treatment P1 1sb- APC Parks Variance Copies TOTAL ,2 7 NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. gQZ2L ?-)sO) L CJ 9 ?, ? cns ? OZ 1 a ,Z 1 '? ? ) ®?I?ffMw LPlefat9 Onl?yy N-p67?1y?006 t 1gfNt?iglle? - ?7M b ?oVN' __ - .__---_ 11 faith OMIe! • af0.6S10 ,7L^ And A/ww"S A En.•irt.nnin F.AbNrrmg II ntol NtaolR7 *53b I t /arid Slrrrnnl{ 0 land Planning 0 Soil Tilling Atwm'?MM• Mir?ttRwlR SS337 CortificaN of 9arvoy for M k_K lfJ GEOMf Bulgy O s Bearings Shown are Assumed o Denotes Iron Monument III Denotes 0 Foundation Corner Hub • 900•o Denotes Existing Elevation oo•o Denotes Proposed Elevation Denotes Direction of Surface Drainage Denotes Drainage and litility Easement - 75.oo N 87050'27"' ?m lop ?? NNj ?Z fF a _r mil 34.0 0 Qfl seq <C F 0 9 VI 5I o t'oP UT ?1y ID EA w77- AFT LOT rj 4(.o , R)L OC.K Ll-_xlucnroN SQOaeAT 32.11 I? pz0%-r1oN Ewe-?7. = ?az.89 Dentw?ac * uTl?rr? EfkSEMe.IaT i N 190 'i Y11- M 1; zz. m m a? ?? I I n? i - ?? Q? _ r7 PROPOSED ELEVATIONS NORTH Top of Block 895.sp Lowest Floor 890,80 Garage Floor e2%r10 3 m m N ?• o I MO o? a q r N ? N N v ®? X5.00 570 fo, Z.7"C L LOT-3-8LocK 2 LEXINGTON SQUARE 3QOADDITlON bubjecf lo easements arlrecord Dokola Cowb,, A4j, ngocob, 1 lurofir sorflfy 16wr this is • it" eM rerreel ryrts"N"rlow N e nr.wy of 1Co Ieow,wrlee of Me oClee leeerlCN lewd. *" of the Ioeellow N titllllrgti /Aereow, wA all de1Ne owerewrAwsewle, If lay, !roan or w mid feed- As "i'vey" by tM iMlr?jwy of?'!el.. 6tY A.C. 19-&. I SUBYRGAN6"W"Ifalo, INC. Scale: l Llcl = Z o Clf , ls. _...gq AI-r- "! Not Published- All Rights Rtnerved ' f (0,G g I --, L h fn Ova (i O/X 3 y , MINNESOTA STATE BUILDING CODE DIVISION EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER M)9KuMN GPOR.c? F 'E U C`Q_ SITE ADDRESS n5 S SI}y rvN'4 N R A CONTRACTOR Q? ?VSp? L? (,r V6Uti\A0 jDATE IILV/PHONE (,ra-33a-?v3? Determine working square footage of each: 1. Total exposed wall area..... ;k `?-?) q sq. ft. x 1. Total roof/ceiling area..... 3Z 0 sq. ft. x Total exposed wall area above floor = l (-') J a. Total wall window area . . . . . . . . . . . . . . . 0?0`? b. Total door area . . . . . . . . . . . . . . . . . . . +..) c. Total sliding glass door area. . . . . . . . . . . . H d. Total fireplace wall area . . . . . . . . . . . . . . e. Total wall framing area (average 10%). . . . . . . . )L4 f. Total net wall area above floor. : . . . . . . . . . g. Total rim joist area . . . . . . . . . . . . . . --,? _ Total exposed foundation area = / 9 h. Total foundation window area . . . . . . . . . i. Total net foundation area above grade. . . . . . . . 1I Determine "U" value of each wall segment: a. aU? X IT,, b. a X .,U11 C. q X "U" d . x „U., e. Iq 5 X „U„ r() 9 = B- f . I H 15 X „U„ O q = _ , lp l- ?? X fluff q. .? g S! h. ?.. X Hull n 1. 9 1? X „U„ 00 _ is3 3. TOTAL. ? 7 7, oa if item #3 is the,,same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = 13 3 0 J. Total skylight area . . . . . . . . . . . . . . . . k. Total roof/ceiling framing area (Average 10%) . . . 1. Total net insulated roof/ceiling area . . . . . . )19 'S Determine "U" value for each roof/ceiling segment: J.?Xhull ,33 3a k. 133 X ,U,, .oar e 3,440 1. )IR 3 X "U., as 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 112. 1. aa?.a +2. 3y.ST _ ?S?,yaG 3. I 0 cA + 4. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYMENT "OF FEE AT TIME OF APPLICATION DOFF NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. 1) PROPERTY ADDRESS: .- LEGAL DESCRIPTION: L g ?, o LOt Bloc ub ivision or ax Parcefl ID ) IF EXISTING STRUC"IURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon Year 0 M'11 ERCLAL/REPAIL/OFFICE Q INDUSTRIAL INSTITUTIONAL/GOVERNMENT MR-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) c NAME: ADDRESS: CITY. STATE. ZIP:_ N IV?Le C . n PHONE:_ 3_U - 3 O 3 V 3) u r:• NAME: ADDRESS: d/ Q- CITY, STATE, ZIP: PHONE: u??- MASTER LICENSE# 4) •ar • ia• NAME: ADDRESS: CITY, STATE, ZIP: PHONE: _ 5) • v i a • a• ::e a• a• rwmxars i icense: Active Expired Not recorded Stafr nitial CONNECTION TO CITY SEWER CR-CONN=ON TO CITY WATER ? OTHER_ 6) • • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - - PLEASE MAIL APPROVED PERMIT TO 1, 2 3 4, ABOVE (Circ a one) 7) r ,. u t_ Z-2 7- RZ FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ M SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ /S ,on ACCOUNT DEPOSIT - SEWER $ $ ?j D ACCOUNT DEPOSIT - WATER $ b o C5 $ WAC $ X 7 5 •oeT $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ / Y??-o D $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ / $? U o TOTAL 0 2-23 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST AS A CONDITION . . SUBJECT TO THE FOLLOWING 60NDITIONS: p APPROVED BY: ???? ( yc ZCrI ° TITLE: DATE: /?? ?? 7 %?/•9 'v/?? C o?Cr? ,O?p ? ?' 3i AZT ,L exit? ton 5 @u?ar e 3 =v ?e.v?cAl HEAT LOSS CALCULATIONS HEATING& R CONDITIONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Nlindows Doors Guide Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied .. Yes-No Yes-NO tB_ Ft. f'?Room Length Width 5q Height 8 Ft. Room Length Width Height Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea No. W1dth of ane Heioht of ane No. of lights Lineal ft. of cre k Area eq. it. No. width of Pons Height of ane No. of li hta Lineal It. of track Area sp. ft. a as I Ohl I R61 Coef Btu Coef Btu Infiltration Infiltration Glass /,,7,<,o Glass p O Exp. wall Exp. wall Net exp. wal I b Net exp. wal I (G 10O F Int. wall Int. wall Ceiling Ceiling / Floor / Floor Total Btu. S Total Btu. ?Q Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Loader area FI. td Roan Length a6 Width Height Fl. Room length 15 Width (a Height Windows a d Doors-Crackage and Area +16 Wi ndows a nd Doors- Cracka ge and Ar ea _ No. W. tlrh of ane Maigm o1 ane No. of 11 his Oneal ft. of crack Area s q. ft. No. dth X pone ane Herghi of ane No. of li hts L1nea1 ft. of crack Area sq. ft. c 47 a f (o 'g Q / 4 c,19 Coef Btu Coef Btu Infiltration -77 ?Q Infiltration QL Glass in /<700 Glass ?)0 50 1111 Exp. wall Exp. wall Net exp. wall .20 ?1 1o2/ep Net exp. wall Int. wall Int. wall P Ceiling Ceiling Floes 5 Floor Total Btu. L777_ 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 Q Width '7 Height Fl. r Room Length ' Width Height Wind ws and Doors-Crackage an Area Wi ndows a nd Doors -Cracka ge and Ar ea Na Wrdth Of ane HaipM of pane No. of li hts Lineal ft. of crack Area sp. ft. NO' W1ntb of ane Ho?gln of anr. Nn. nl h his Lineal IL of crack 4rea sq. it. CIO L ?75 /F Coed Btu C00f j Btu Infiltration & Infiltration 1175 Glass Glass Exp. wall Exp. wall Net exp. wall ? n rf Net esp. wall / Int. wall Int. wall _ Ceiling Q Q Ceiling Floor Floor. S Total Btu. 5J Total Btu. Required sq. It. E.D.R. or sq, ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area V. HEAT LOSS CALCULATIONS H EATING & AIR CONDITIONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H. V,E. Construction No. Insulation NTindows Doors Guide Reference Out Wall Int.Wall Ceiling Roof Floor Kind How Applied Yes-No Yes-No is- _ Fl. f Room Length / Z Width Windows and Doors-Crackage and Area No. Wi0'h Height No. of Lineat It. Area ft or one h hra of s f to Height Ft. Roan length Width Windows and Doors-Crackage and Area Wiorh Haight NO. Of Uneal fL Area of crack a ft• Na' of a e of ene h his Height o ana cr . . Coef Btu Coef Btu Infiltration 1 1171 Infiltration Glass Glass Exp. wall Exp• wall Net exp. well [e Net exp. wall Int. wall Int. wall Ceiling Calling Flow Floor Total Btu. oSCo . 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, p J:P .2 Roan Length J Width and Doors-Crackage an Area Windows Heigh Ft; Room Length Width Windows and Doors-Crackage and Area Height No width Heigh f Na. of light, Lineal h, of r k Area o ft. NO• Wrath of pans HA'ght of ana No. of Ir hts Lineal ft of crack Area Ao• ft. . of one ;i 4 one o qa /L. c oc P6 IF o . . Coef Btu Coal, Btu Infiltration rS ?? Infiltration Glass A Glass Exp• wall Net exp. wall Int. wall Exp. wall Net exp. wall Int. wall Ceiling Ceiling Floor Floor Total Btu. 0 Total Btu. Required sq. it. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl. Room Length Width Height Ft. Room Length Width Haight Windows and Doors-Crackage and Area W indows and Doors -Crack age and Ar ea nt tbn Oi Nn Lineal it. 4re N Width eg ht H of No. Lineal h. 4ea ( No. W'ntn of pane g OI Ann . h hts Of crack k ft . a o. ne of pans hte lights of crack 50. L Coa f Btu Coef Btu Infiltration Glass Glass Exp. wall Net exp. wall --Int. wall Ceiling Floor i m Exp, wall Net exp. wall Int. wall Ceiling F [nor Tutal Btu. Total Btu. Required sq. ft E.D.R, or sq. ns W.A. Leader area Required sq. ft. E.D.P. or sq. ins. W.A. Leader area Use BLUE or BLACK Ink r For Office Use ~j Permit City of EaIl~tl~ Permit Fee: a 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Ea v ~ Unit Name: Pho e: I Resident) 4, Owner Address / City / Zip: / C) ut C, 117 .11 Applicant is: Owner Contractor Type of Work Description of work: (y/ Construction Cost: Multi-Family Building: (Yes / No i Company: / Contact: vn/~,-eA G-1 'Al --w Contractor Address: City:lAP1 State: Zip: 6 2 Phone: - G -Z_ License M 3 l Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of i the information may be classified as non-public if you provide specific reasons that would permit the City to l conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.oro 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 completed within 180 day of permit issuance. f -7 x ul ( C~ x Applicant's Printed Name Applicant's Si nature i Page 1 of 3 r For Office Use : II 0 • :::t:, ) d`3C7 ,tk.it %ill., EAGAN I 1 CD Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: t� b u i ld i n g i n s pecti on sCa�cityofeao a n.co m 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: OS S:at✓et r+n 4k. Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractorl Type of Work Description of work: R-e s. 2 / C.✓ d 07,?- Construction Cost: _, Multi-Family Building: (Yes /Nr ) Company: f MI ( rT `�f-! i Contact: /g4-/%1 4 1 / ,_ Contractor Address: AJ�" jio/ I� •k� City: �LV t7 '� State:IMO Zip:5J3.27 Phone: 763-Z-27-.5---1::t-mail: i+ oiQ?1,1.ce,7 License#:, (OCQ/ /0 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: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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. 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.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and a•• • - • - x ✓ ld x �\ Applicant's Printed Name `s Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166120 Date Issued:12/14/2020 Permit Category:ePermit Site Address: 1055 Savannah Rd Lot:3 Block: 2 Addition: Lexington Square 3rd PID:10-45077-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Semienawit Berhane Ghebrezadik 1055 Savannah Rd Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature