1989 Shale LaneTO
C!ty of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVFD
JUL. 0 1 11111
Use BLUE or BLACK Ink
Fortifte,thhit
1 Permit #: a4
Permit Fee: q0' 0
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: lf> ! ) / Site Address: ICI2C7 ale e L CCM Unit #:
RESIDENT /
Name: Pc Gi-1q/eeCJa SEj1A\ Phone:163 G 0 Gic
/``1 GCJ�
L� ) 9 < ? 7 5 I _ n Q, / Q "S2_OWNER Address / City / Zip:
Applicant is: Owner )(Contractor
Nwindows
TYPE OF WORK
j J
Description of work: lQ `�(i(A �) i1Q0 1 Y1 e)
Construction Cost: l) y5C, Multi -Family Building: (Yes / No '` ) 0
CONTRACTOR
Company: fadw CO1 CC k Contact NOL IN e
`0
O
Address99W �n e YR IN ity: Ect car
AM
i
State: Zip: 551 a 1 Phone: X 61 9'O 0106
License #: a 01G-16_493 Lead Certificate #: N q T" a 31 17 ~ i
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. P of
the information may be classified as non-public if you provide specific reasons that would permit fire City to
conclude that they are bade 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.boaherstateonecall.orq
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a sermit: that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of • ans.
.I�a n c q i r
Applicant's Printed Mame
x
Applicant's Sign
Page 1 of 3
ITY OF EAGAN
830 Plot Knob Road
P. O. Box 21199
Eagan. MN 55121
Zoning: i
Owner: Schutr
)Address: --?--
'Site Address: S
Plumber. _-
-Bassett
le Lane
pis P1,1M!
ChoW
I woo to eesply w" the City of ""w Account Connection
Deposit-
0 dieeoeu. /lwou
0
By
Dote of Insp.:
CITY OF EAGAN
3530 Pilot Knob Road
p. O. Box 21199
Eagan, M14 55121
Toning:
Reader NO.: lire City of Swo
1 a+ti? " eewpil
oral"Sesa
Of Insp.:
Permit Fee. 5
surcharge:
Misc. Chorow
Total:
Dote Paid:
WATER SERVICE pERM?
1
1
PERMIT No"
DATE:
No. Of Units:
CITY OF EAGAN WATER SERVICESDO'T
3030 Pilot Knob Road PERMIT NO.: 1p-10-86
P. O. Box 21199
MN 55121
Eagan DATE- 1
U
:
it
, s
n
No. of
Zoning: - -B sett
Owner:
d wland 1st
Add'"s''
Site Address: ne 03 B1 Me
lu
00 d
00
Plumber. ? S
Meter Na.: .
5
? Connection Charge:
15.00 d
Account Detest.
:
Si 10.00 d
F
:
ze ee
Permit
, 50 d
Reader No.:
e ro eempk wo fire City
f
I
charge:
e urd+oro°
S
77- TP
156.00 d
s
"
e Charge
.
Misc.
ni enema m2 .7
oaf Total: 50 00 d
Ta
Date Paid: dater
Y
Date of lnsp.: Insp.:
SEWER SERVICE PERMIT
PERMIT NO.: )156
DATE: 1
_ No. of Units:
GOLD COPY-PERMIT RELEASE FORM
PERMIT # V
ADDRESS
if-d'
9g 00-4
PICKED UP BY
?I
CASH RECEIPT
C? CITY OF EAGAN
3795 PILOT KNOB ROAD '
EAGAN, MINNESOTA 55122
DATE 19
RECEIVED V,i L
FROM i r ~
AMOUNT "
[ ^ ??
? CASH
Thank You
-& -DOLLARS
loo
? CHECK
BY
63920
I ?
BLDG. PERMIT NO.
/
01-3210 ?J JBYdg:raiit
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 Tr-mt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
I
oZc??l i rJ G
? CASH RECEIPT'
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 T/
REC BIVIED
FROM
AMOUNT $
& DOLLARS
IGo
? CASH ? CHECK
FOR
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIVED
FROM
AMOUNT $
& DOLLARS
lae
CASH CHECK
FOR
FUND CODE AMOUNT
,/J )
1
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT,
CITY OF EAGAN
3830 PILOT KNOB ROAD '
EAGAN, MINNESOTA 55122
DATE 19
ftleclovim
ROOM .?s r.t r
AMOUNT $
3 DOLLARS
l•
? CASH [x CHECK
plom
By A'A
White-Payers COPY
Yellow-Potting Copy
Pink-File Copy
Thank You
,....,,, , CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i n 12149
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $61,000 Date JUNE 20 19 86
Site Address 1989 SHALE LN Erect [Y% Occupancy R3
LotI Q 4-ilock 1 SeC/Sub. MEADOWLANDS IS'1'Remodel ? Zoning :21
Parcel No Repair ? Type of Const. 11
. Addition ? No. Stories
i Name il?,?T'IL?F SCiiUT'
" t.?P CONST Move
Demolish ?
? Length
Depth 42
3 7270 HUNTER
Address RUN
Int. Impr. ? Sq. Ft
° City :DEN PARIE 934-8933 Install ?
o Name,_, , A141E Approvals
S
Address, Assessment
~ City Phone Water & Sew.
F W Name Pt -JLLIPS PLAN SERVICE Foece
o Address Eng.
i W City r' • ?'' • Phone 432-2044
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.
Signature
A Building Permit is issued to- ftARTIN
all work shall be done in accordance with all applic
Building Official
Permit 316.00
Surcharge 30.510
Plan Review 158.04
SAC 575•OCC
Water Conn. _.5?? 5 C
Water Meter ?? UC
Road Unit
Tr. Pl.- I-5 -F, . 0}
Var. Date I Copie
f Total s?;2,069. G L
on the express condition that
of Eagan Ordinances.
Oil-
Permit No. Permit Holder Date Telephone #
PIudIbing r? 1 r l
Electric
Softener
Inspection Date Imp. Comments
Footings I
Footings 11
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg. 6
Insui. G '? G
IFirsplac*
IFInal Hig. 7 J W
Final Plbg. 5! j V
Bldg. Final
Cert. Occ.
IDeck Fig.
IDeck Frmg.
Well Describe Location:
Ipr. Disp.
' PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRIC 'Vl/ PHONE: 454-8100
Site Address ? TYPE WORK DESCRIPTION
BLDG
Lot ?- Block Sec/Sub .
N
`
ew
Res.
Name Add
M
t
A? -on
u
t
Address H
R
S epair
Comm.
c City j Phone O
h
?
i t
er
Name
}' ; t FEES
C ?
_
Address U
e ?9/f;/ ?? y
-
RES. HVAC 0-100 M BTU -$24.00
p City , l
!•= - f %? 'Ll = Phone ADDITIONAL SO M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK Q' 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 SIC IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
f
FEE
SIC: S? SIGNATURE OF PERMITTEE
TOTAL a
FOR: CITY OF EAGAN
-
2
PERMIT # 77 S
' PLUMBING PERMIT RECEIPT #
CRY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. -" New
m Name Mult Add-on
Address Comm. Repair
c City Phone Other
TAL
NO. FIXTURES TO
Name 00 t
Water Closet - $3
3 Address .
Bath Tubs - $3.00
p City Phone Lavatory - $3.00
Shower - $3.00
' Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE -.?--Laundry Tray - $3.00
MINIMUM - RESIDENTIAL FEE _$10.00 Floor Drains - $1.50
MINIMUM - COMM/IND FEE _ 20.00 Water Heater - $1.50
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 SIC IF PERMIT PRICE GOES Gas Pi pi
Gas Pipi ng Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
-Private Disp. - $10.00 _
Rough Openings - $1.50 -*
SIGNATURE OF PERMITTEE FEE G'
'
STATE SIC:
FOR CITY OF EAGAN GRAND TOTAL-
'
CITY OF EAGAN
Addition M[eaderfland lst add41-4nn Lot 10-1 Blk 1 Parcel 10 48050 103 01
Owner Street 1989 Shale Lane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. Mj)•
GRADING
SAN SEW TRUNK 1970 77.95 3.12 25
* SEWER LATERAL 1981 2460-08, 246,612 10
WATERMAIN
* WATER LATERAL 1981 10
WATER AREA JL,
) 1973 95.27 6.35 15
-
STORM SEW TRK 1971 282.92 14.15 20
* STORM SEW LAT 1981 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
This request void
18 months hs f, from
(5 6 60.6 ,c ???.? ,? /, rn •.?? ??rct?a?,t ? ?
Request Date - Fire No. Rough-in Inspection
:]Ready Now M/o rl lWhan Readpec-
.-?--. - Reyes o ?No
I [
I.
Licensed Electri I Contractor 1 hereby request inspection of above
Owner electrical work installed et:
Street Address, Box or Route No. J
?O / ? City ?yX
j
?/GL. "J Q ';s-
Section o. Township Neme or Np. Range No. County 11
1 0
Occupant (PRINT} .q.
fc G? t', l 107 Lip Phone No,
Power Supplier -?t
e.?- { ?c
l$?l?d 7`,o Atldress -
J9 L h.r / IU??cSK?
Electrical Contractor (Company Name)/ LL t
iXi : G Contractor's License No.
O Ld
? C/ C
Mailing Address (Contractor or Owner Making Insta ilati onl
S?' ?
d
f
%
d
???
c
ll
t
/
L
!u 3ht
Authorized Signature (Contractor Owner Making Installation) Phone Number
THIS INSPECTION REQUEST WILL NOT
MINNESOT TATE BOARD OF ELECTRICITY
BOARD
Griggs-Midway Bldg. - Room N-181 UBENLESS LESS ACCEPTED
PROPER BY INSPECTION FEE IS
1831 121 sits Ave.. St. Paul, MN 66104 ENCLOSED. (6 16121 642-0800
REQUEST FOR ELECTRICAL INSPECTION kv% Ee00001-05
/ ?'
? ? see inalructions for completing this form on beck 01 VellOw copy. ,/,' S
C 6606 "X" Below Work Covered by This Request ?
Adie d Reo.l Tvoo of 9oildin0 AeoliOnces Wired Equipment Wired I
Cond i ti oner
tinu F
to
M Fee Servi.eEntrenee Size a Fee Feeders/Subfesders d Fee Circuits
6D 0 to 200 Am s 0 to 30 AMPS 2 64 0 to 30 Am
Above 20 _Am . 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100_Am s Above 100_Am s
Transformers Irrigation Booms JIM Pa rtia ,,'Other
Signs Special Inspection s?-
3'Q TOTAL F ES /
?J
emerks
I, the Electrical
Inspector, hereby
certify that the above
inspection has been
made.
CITY OF EAGAN A
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N O? 1214 9
PHONE: 454-8100
BUILDING PERMIT Receipt u
u SF DWG/GAR
$61,000 86
JUNE 20
To be
sed for Est. Value Date fy
Site Address 1989 SHALE LN Erect C?9 Occupancy R3
Lot 10 Block 1 Sec/Sub. MEADOWLANDS 1ST Remodel ? Zoning R1
Repair ? Type of Const. V{}
Parcel No. Addition ? No. Stories
w Name MARTIN SCHUTROP CONST Move ? Length
42
7270 HUNTER RUN Demolish ? Depth
o Address Int. Impr. ? Sq. Ft.
Ciry EDEN P*WIE 934-8933 Install ?
. ¢ SAME Approvals
a Name
$ ¢ Address Assessment
city Phone Water & Sew.
Police
Fw Name PHILLIPS PLAN SERVICE Fire
-
a Address Eng.
A.V.
432-2044
'iW -
city
Phone Planner
Council
I hereby acknowledge that l have read this application and state that the Bldg. Of
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of E_Wan 9rdinances., APC-
Signature of Permittee' y-G
A Building Permit is issued to: MARTIN SC)
all work shall be done in accordance with all applicat?
Building Official
Permit S 316.OC
Surcharge 30.5C
Plan Review 158.OC
SAC 575.OC
Water Conn. HOC
Water Meter U3.5(
Road Unit 290.0(
Tr. Pl. 156.0(
Var. Date Copies
Total $2,089.0(
ROP CONST on the express condition that
of Minnesota tatu Ciry of Eagan Ordinances.
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
S9 g? Telephone # 651-675-5675 FAX # 651-675-5694
%r? O.--,4 ??-
New Construction Requirements RemodeVReoair Requirements Office Use Only
3 registered site surveys showing sq. it of lot sq. It. of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd
1 set of Energy Calculations Addition - indicate if on-site septic system -On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
l
/ 6,2&
Datev Construction Cost
?
-
?! Z
Site Address -
e s? Unit/Ste #
c4.- ?ir+. SS/? -Z
Description of Work 40" //
S C Z-eG l<
Multi-Family Bldg kp!Y /Q N
/ Fireplace(s) /-?< 0 - 1 - 2
Property Owner
01 e7It L°i-.__ Telephone #
(65 ?) ??? a ?//
Contractor `?/Z
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cate>zorv I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #( )
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a 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.
rApplicant's Printed Name ?Applicant's ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex )°L 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_r or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
X 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) - Give PCA handout to applicant
Valuation 2060 Occupancy 2 3 MC/ES System
Census Code 43¢ Zoning P • 4 City Water
SAC Units '0- Stories Booster Pump
Nbr, of Units 0 Sq. Ft. PRV
Nbr. of Bldgs 0 Length Fire Sprinklered
Type of Const V - 13 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 _ Figs _ Air/Gas Tests _ Final
_ Framing Siding _ Stucco -Stone
- Fireplace _ R.I. _ Air Test - Final -
- Windows (new/replacement)
_ Insulation - Retaining Wall
Approved By 0je A'/&, , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies 25
Other
Total
1986 BUILDING PERMIVAPLICATION - 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 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,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation:
Site Address Iq 9 U
Date: (0-1 D -T?--,
Lot Block
Parcel/Sub t11i???yy??J(?c
Owner G ¢ nls?
tJ- s LAC P-N.
Address
City/Zip Code Lku,
Phone `] L" -03$y
Contractor
Address
City/Zip Code kL_ ? -( rusir p -
Phone
Arch./
Addres
City/Zip Code W u•.
Phone # JZ - ZO
Erect Occupancy S
`-
-
Remodel Zoning T
Repair Type of Const
Addition # of Stories
Move
Length _
Demolish Depth
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit 5/
Water/Sewer Surcharge 36 ,56
Police Plan Review /SR
Fire SAC _
Engr Water Conn s25?0
Planner
Water Meter _
(L
Council Road Unit 7 yd
Bldg Off - Treatment P1
APC Parks
Variance Copies
TOTAL
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
A IX,
?-?- -
z? x ZZ
7460 ? xf>E5? yy06-b
Z16 ? 4? 95o&1
?/? X44 = ZI/Z
Co 5 7(:?, 2 e 0
IRRY S. JOHNSON COMPANIES, INC.
BLOOMINGTON. MINNESOTA
PNONE 16121 804.3341
CERTIFICATE OF SURVEY
FOR M? IzTY s?+f c? T1??P
? Pfo Po`?ED ?
10'
O
O 1°
U
0
39°44'31"g 14Son
ANO ur+?+rY ee,?r?Nr
?FF1-4 )
9-
1 ,
Bs3.4 i
° ? Lr?j Ia3 j
o
2 '
889,8 - - - -
I5 Q
`m I u,
18G r88dB o
.46\ O
8,4 ? - I I N
r.a )
Io
140, CO . 897,&
1c,
--
oweP -- o riJA? Gb•?I 1/ 612.0
Q0 -P06V9 TbP of owe-r- V-W, ba2lh
P{20"p6w P>w'T, i?!-oor- £p5hl M4.5
I, PtFA?P-fN675 -5HnWt4 A2*-- P-ASEG 04
A 4 ASSUktE? C?& tUF-1
2. LN MAC - lNvE?? SAN, M+i+
F2A++ 4 .LoAO 'I*/ ego, 61
?+'I+*1 3917, l5?
?XISjlNG7 SFDT -rcl?1! xB3o.3
?f-aP?a sPD? ?K L885.6?
7a1' o? coats rD.
?RoN }'roUND ?
pe-Alt-1A iv Age-OW _--,Pro
NAIL, >re 1-Ar+4 5,=
I hereby certify that this is a true and correct representation of a survey
of the boundaries of:
Lot 103, Block 1, MEADOWLAND FIRST ADDITION, according to the recorded
plat thereof, DAAOTA?, County, Minnesota.
As surveyed by me or under my direct supervision this 30th day of May,
1986. 1 A .A
MinnesotafRea. No. 5065
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OIL
04INER sy
SITE ADDRESS
CONTRACTOR -57 r ,-g DATE to-2-6(e PHDNE 9,4-8933
Determine working square footage of each.
1. Total, exposed wall area'...... I(9 b sq_ ft, x .II =
2. Total roof/ceiling area ..... Ip 24? sq. ft, x ozb= l
Total exposed wall area above floor = 1$7b
a. Total wall window area ...................
.
. ......
b. Total door are
..................
......... ......
-
c. Total sliding glass door area ............. ...
4
d. Total fireplace wall area....... .. ___......_. ()
e. Total wall framing area (average 10%) ........ ...... I!H
f. Total net.wall area above floor ........... .......
r299?
g. Total rim joist area IZ?j
Total exposed foundation area = 9?j
h. Total- .foundation--window area......... ....... ...... pf
.i_ Toa net foundation:area abcve grade. ...... W5
Determine -"U" value of ;each wall segment-
C. A4 'X- Pull:
d. 0 X INUIR 0
Ilf? X ..U. 107
e. II 13
-
f. 1a? x ..un • (04- = y?.yy
g. 123 x „u., f04- = 4
h. 'X "U" _
X .,u.. II = IO,??J
3. • ....: ..........................Total =
•t ts..? all G r 4L.n reran nr n.- lnr.. ??.? t?..? tl . ..... 1, ?.... ?..• ?{.? ._a__?
ss
Total exposed roof/ceiling area
j.. Total skylight area ----------------------------
k. --
Total roof/ceiling framing area (average
I.- Total net insulated roof/ceiling area ----------- 5'22
Determine "U" value for each roof/ceiling segment.
"U" C
k. (?L x "U„ ?Oti = 1.0?
l: 97"1/ x „U,I = l8 ?/ .,
4 ..................................Total =
t the intent of
If total of S is the same as, or less than =2, you have rie
SEC b306(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items 3 and 14 shall not-be greater.-than the sum of itemas and .Z.
3. IZq•5? ± 4. 20 --
NAIL CONSTRUCTION
'A i
Y
Fi g. 1
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Construction Fig.
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4. -75A-z. F?e_T-ILM Z-aro.
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TOTAL "R" 1
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Construction Fig. #f Z
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TOTAL "R"' . Z3.-D3 .
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TOTAL "R" z4-46
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TOTAL "R" - . ?.?=
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ROOFICEILING CONSTRUCTIO'
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FiA. 6
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5.
.
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TOTAL "R" S . ?7
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3. BWwkJ laSOL• 3b.ll
• 4. 5/p, 6g trzl y S
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6. -
TOTAL "R" -4 Z •3b
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Construction Fig. $_
1.
2.
3.
4.
5.
6.
TOTAL "R"
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Construction Fig._
1.
2.
3.
4.
5.
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TOTAL "Rn
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NOTICE
Pursuant to Laws of Minnesota, 1984, Chapter 502, Article 8, Section 2 (270.72) (Tax
Clearance; Issuance of Licenses), the licensing authority is required to provide to the
Minnesota Commissioner of Revenue your Minnesota business tax identification num-
ber and the social security number of each license applicant.
Under the Minnesota Government Data Practices Act and the Federal Privacy Act of
1974, we are required to advise you of the following regarding the use of this infor-
mation.
1. This information may be used to deny the issuance or renewal of your
license in the event you owe Minnesota sales, employer's withholding or
motor vehicle excise taxes;
2. Upon receiving this information, the licensing authority will supply it only
to the Minnesota Department of Revenue. However, under the Federal
Exchange of Information Agreement the Department of Revenue may
supply this information to the Internal Revenue Service;
3. FAILURE TO SUPPLY THIS INFORMATION MAY JEOPARDIZE OR
DELAY THE PROCESSING OF YOUR LICENSE ISSUANCE OR
RENEWAL APPLICATION.
Please supply the following information and return along with your application to the
licensing authority.
Applicant's Last Name First Name Middle Initial
pplicant's Address City, State, Zip Code
Applicant's Social Security No. Position Officer, Partner, etc.
Business Name
Business Address City, State, Zip Code
Minnesota Tax Identification Number
Signature Date
CITY OF EAGAN
*
*f NOTE: PAYMENT OF FEE AT TIME OF
* APPLICATION DOES NOT CONSTITUTE
* APPROVAL OF PERMIT.
* *
* INSPECTION OF SEWER AND/OR WATER
* nOrA LATIONS WILL NOT BE SCHED-
ULED UNTIL PERMIT HAS BEEN
*
* APPROVED.
*
* *
r
*
.APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE: (Mon Year)
CO`DlMERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
INSTITUTIONAL/GOVERNMENT
n/R-1 SINGLE FAMILY
0 R-2 DUPLEX (Ttm Units)
R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
2)
ADDRESS:
CITY, STATE, ZIP:
PHONE: `( ?;)' a 5 l b
3) u . ?-
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
V MASTER LICENSE#
i
c wuuers i,:.cense:
Active
Expired
Not recorded
Staff UTtial
CONNECTION TO CITY SEWER a ONNECTION TO CITY WATER 0 OTHER
6) r r • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE "
(PLEASE MAIL APPROVED PERMIT TO 1, 2, 4, ABOVE
(Circe one)
7) r n u•
TOR CITY USE ONLY
PERMIT # ISSUED
pl? (, L
Pd w/Bldg. Permit
s c
-3
FEES:
$ /G' S U SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
-;:?-
?
3
$ WATER TAP
(INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ O $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ `o 0 $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ 5-/ TO
A
f 0 Ti T
L
/.3Sy? ? 73rd
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES 'IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO
Q
DIVISION. LIST AS
A CONDITION.
S UBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE: lb //o Af 6
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120117
Date Issued:01/17/2014
Permit Category:ePermit
Site Address: 1989 Shale Lane
Lot:103 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-103
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Paul C Jenni
1989 Shale Lane
Eagan MN 55122--222
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature