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4847 Sheffield Cir CITy OF 3~~ pilorEqGAN P~ 8~x KnOb Road ~a9an, ~„~21 Js9 za,,;,~: ss7~~, ~EYVFR SERV Owr+er; '~1 ~RMrr pE~ '~~ss: 1OZjsg ~'~h. ; - si~e qddre 8~~ ` ! , _ 4~4~ '~1~'rg No. of Unifs: a ber, $ ~,.Z heff~eld ~~y~ ~ ) n Rn ~Ir L4 B! o.yi,,.,,e~ ar wh~i 4?! 98 '~ri r~~~ $ c h e~, ~ ef ~Dss CW?r~~~ BY '~?r q'°.~,• 4 zs . p oi Pe"~h F~ !5, po 0 ~^SD.: fi.: Su~Q~e: ~ QO M~~, Ch°'~ ~ 5 ~ d - - robf. Po~d: CITY OF EAGAN ~0 Pilot Knob Road WATER SERVICE p~T P• Box 217 gg Eagan, RAN 55121 PERMIT NO.: `i4 Zon(nfl: .l Di1TE: - , ~"'^er: t'~1lefeocl S1dT8 No. °f Unrts: ~lddress: ~~e /lddress: 4~G 7 She f i Cir L P?unwber: ~*e~iz yan ~ Pr ttanY t ~ Nkter No.: Size: Con~ction Chor~e: p ' Reader No.: ~ccount DePcsit: • p ~ ~9~ te Per?nit Fee: • 0r1iM of Ee~s4 Surc.horge; . n. M~s`. a1O~: • meter BY Totol; Dote of lrnp.: Date Pnid: ??,~c.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: _ i. P. O. Box 21199 • DA7E: 1 Eagan, MN 55121 No. ~ V~its: Stl Zoninfl: 2 0~ i e f pw^er. 4 S1 9rittanv 5th A,ddress: 847. Sh f ~ ~ S~te Address: y 47t1.00 pd Plurt+ber. : ~ ` '~~ectian Charge~ pa r No.: r ''•~~M peposit: 1. p~; r- Fer: d ize: ` . Penr+it, . ~ P Read No.: Ci~ of E.~ Surcherye: ;~3.00 pdmeter 1 e9~w to ea~9~ • Misc. Chorpes: C*dinepus' ~ , Totol: Date Paid: BY Insp.: pcte of 1nsp.: - . ~-~.-~.-w . - _ . . . . . . . . . I'~'.F'sfT"~ ,Re~~ ..~7'Rr :'r~pY ~ C~AS W4RK ORDER ' 1082 Payne Ave. STANDARD 410 W. Lake St. St. Paut, MN 55101 Minneapolis, MN 55408 651 l772-2449 b H EAT 1 N G~? 612/824-2656 & AIR CONDITIONING A Blue Do~: Service Co. EQUIPMENT INFORMATION LAST t~ c~ FIRST C TYPE ADDRESS ~ ` MAKE , CITY ZIP i2- MODEL 55 U G ~ HM PH ~~S f-4 ~~9- g~c7S WK PH SERIAL OQ ! TECH DATE o INPUT n~~ ORSAT TEST RECORD CO2 ~ °r6 METERED INPUT Cfh CHIMNEY TYPE 02 % LIMIT SETTING j ~ ° FLUE SIZE It1. CO °~6 PILOT OUTAGE~ ~ sec CoNrvECTOR SIZE in. NET STACK TEMP v ° TOTAL CHIMNEY INPUT ~ btuh CITY OF EAGAN Remarks ~ ~ " ~ Addition ~~T~ 5TH ~~a Lot 4 Rlk 1 Parcel ~~~1~ Owner Street ~8~7 ?g~I~+D L'~C~ State F'~'~ ~ 55122 Improvement Date Amount Annual Years ~ Payment Receipt Date STREET SURF, STREET RESTQR. GRAOING 5AN SEW TRUNK 1 6 133• 8.90 15 53. 47 A014645 10-5-84 • SEWERLATERAL 1 2 1 OO. 80.1 ~60.30 WATERMAIN * WATER LATERAL 1 2 WATER AREA ( ~ ].Z2.26 A014645 10-5-84 STORM SEW TRK 1 2 6b6.6 12 .34 258. 70 A014b45 10-5-84 IF STORM SEW LAT 1 82 5 CURB & GUTTER ~ 51DEWALK STREET LIGHT ROAD UNIT 260.00 42198 3-27-84 WATER CONN. 470.00 " " ~UILDING PER. 893 SAC PARK " CITY OF EAGAN ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt ~ ' ' To be used for ~~c~k Est. Value ~u~ Date ~ ,19 Site Address 7 5H('.F i~ I:_L[~ C 1:~ OFFICE USE ONLY Lot Block ~ Sec/Sub. ~~TT~Y g~ On SRe Sewape Occupancy MWCC System Zonina Parcel No. On Site Well (Actual)Const :i1'~.': ;i:..,~.:~ I:~~T~R CityWater (Allowable) a Name W 4r,• ~ : ~ ;~IA PRV Required #ofStorfes z Address ~ City `~t ' Phone ~51a~-8E~t15 Booster Pump Length Depth , p NBme ~ S.F.7otal ~ ` Address Faotprir~t S.F. ~ City Phone APPROVALS FEES ~ W Engr./Assess. Permit ~4• ~t) F W Name Planner Surcharge _ ~ Address i W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the VarianCe SAC, MWCC information is correct and agree to comply with all applicable State of Water Co~n. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee - Road Unit A Building Permit is issued to: S~ ~b~ ~~T~' ~ Treatment P1 on the express condition that all work shall be done in accordance with all ~~i g g ~ applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Building OffiCial , TOTAL Permit No. Permit Holder Date Tslephon~ s Plumbing H.V_AC. Electric Softener Insp~etion Dat~ In~p. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. ~ ~c.~~ ~ S Deck Final 7 ~ Well Pr. Disp. , _ , . _ CITY OF EAGAN Np ~ , • 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagaa, MN 55121 , PHONE: 454-8100 ~ BUILDING PERMIT Receipt # To b~ w~d Ma SF Dt•7(;/GAR. Est. Volue 8'1, Of10 p~e A"~1RC11 27 19 SiteAddren 4847 SftEI'FIELD CIRCL'". E~~ ~X Occupanq lot ~ Bloc Sec/Sul~ BR I TTAN~ 5 /11te~ ? Zoning ~ 1 Percel No. ~O- 50~4-O4n-OI • Repoir p Fire Zone Enlorfle ~ Type of Const. ~7 ec Name 7-'OLLF.FSON BLDRS . ~Ve p # Stories ~ Address 16 S S PJQRWOOD DR . DemoRsh p Length a~ City ' t~~~ ~~r' Pnone 4 5 4- b fi 7 3 Grode ? Depth 3 4 Sq. Ft. ~ `+~j~jF App~ovals Fees o Name ~ 394 . t~G o~ Address Assessment Permir ~ ~ Water E~ Sew. Surcharge ~ ~ City Phone Palice Plon check 197 . DU ~Z N~e F~~a snc 52 5. 0 0 Address Enq. Wcter Conn. 4 7 0.() Q ~W City Phone Plonner Woter Meter ~ Councll Rood Unit i ~ U. U Q i hereby acknowiedge thot I have rend this upplicotion and state that Bldg. Off. the info~mation is correct and ogree to comply with all opplicoble ^PC Totul $1 , 9 5 2. 5 ~ Stata of Minnesota Statutes ond Ciry of Eagan Ordinonces. $ipnature of Permittee ` '1'OLLE1~'~;n;; BI,T~~';, . /1 Building Permit Is issued io: on ths express condition Ihm oll work sholl be d~ie in accordance with oll appliooble Stote of Minnesota STatutes and Ciry of Eaflon Ordinances. Buildlnq Offitio) _~„1 • k-- i 1 _ - Pamit No. Parmit Holdsr Misc. Permit No. Holder Plumbin9 a ~,j,~ c.NZ' q~ ~ H.V.A.C. y ~ / 2 IC r ~ ~ ~ W~II Watsr Disp. Sewer Electric ~ ~p ~l~ + ~ ~U `~~ll~~i - o Inspection Date Insp. Other Footinyt ~j L Fou~dstion ~ Framing Rouph PI6p. ~'~d ~ Rouyh HVA Inaulation - ~ Final Piby. Final HVAC Final S"' ~ Wster D~saibe Location: 1fWll S~wer Pr. Dhp. CORRECTION NOTICE ' DATE: Address Site Name Owner/Agent Telep Owner/Agent Address Ordinance Nos. and Corrections - Correct By ~ 7 ~ i( , O ~ ~ ~ For reinspection Eagan Dept.ofinspection InSpecto ' ' 3795 Pilot Knob Rd. Eagan, Minnesota 551Z2 45a-8~ 00 Dept.: Receipt ` ~ PLUMBING PERMIT Permit No. ~ ~ ~ CITY QF EqGAN Fee Fill in numbered spaces S/C ~ Type o~ Print legibly Tot. 1. Oate 2. Installation Cost '~~i= ~ ' • , " ~'!'+QL'~- ~ 3. Job Address G/kCt~ 3ot_LBIk. Tract 4. Owner ~ / ~ 5. Contractor =~L - / Phone , ~ 6. Address ~ • G'i_~-,E-% ,!.J--'~i~ ~ 7. City ' State ~±~l_/ Zip ~-~7'- X-. 8. Building Type: Residential ~ Commercial 0 Institutional ~ 9. Work Description: New L~ Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work, Signed: ' for Rough , Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved ~ CITY OF EAGAN 454-8100 i_,~(~( ~ ( ~ Receipt MECHANICAL PERMIT Permit No. ~ CITY OF EAGAN /`l , % F~ . . ` Fil! in numbered spaces S/C Type or Print legibty Tot. + t ; Z ` ~ 1. Date ~'l' 2. Installation Cost • ~ `1~ p~,, It 3. Job Address 7- ~ ot ~ , Blk. ~ Tract~-1U'!7'1'`" f -f- --7.-(. ~.1r`t'-- • f ~ ~ 4. Owner `-''r- 5. Contractor ~ ' 1 LT~~~-~- Phone L` ~ ~ ~ 6. Address ~ ~ r ; , v t.r~..~ 7. City 1"''~~ State •'i""- Zip ~ C~~ 8. Building Type: Residential L9~ Commercial O Institutional O 9. Work Description: New L7 Add O Alter ? Repair ? 10. Describe Fuel Type 11. No. ~puioment BTU - M. Ea. No. Epuipment CFM Forced Air , Z" Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. ~ Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and cpdes~everm this type of work. Signed : ~ i,-t-r.-~ ' ~ ""~for Rough finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464,8700 ? CASH RECEIPT CITY ~F EAGAN ~ P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 REC6IVED FROM AMOUNT $ I ' ' & DOLLARS +oo ~ CASH ~ CH6CK FOR FUND CODE AMOUNT Than You BY White-Payers CopY Yellow-Posting Copy Pink-File Coav Th:z ao~as ~;d ~ 3~ a t~ C~(~ ~ 6~ ,a n,ootns aom A 053~60 ~y .~Y; 5 a Raquest Oate Fire No. qough-in 1?ection ~y ( V ~red7 ~Ready NowayWill Nolify, Inspec- ~es No tior Whan FeatlY Licensed Electrical Conlroctor I hereby request insoectien of ebovo y ? Owner elecvical work ins~alled et: Stree Addr ss, B r Houte No. C~tY r~ G~ ecUOn o. Towns i0 Name or No. anBe No. County Occu unt IRiINTI ~ ^ , -1 S ~(~S~ C.J~J ~ , ~1~K Pow r SuoVlier Address / ~ Ele trical CoMractor (Company Name) ) '7`~ p-7 Coniractor's Lice~njse No~. / C '~'/f/~- • ~ U ~ ~J Meilinp Atldress IContractor or Ownar Makine Instetlatyion/l / / ~ / . AuNorized Sipnature IC tractor r Making tallation) Phone Number oi ~~7-~S".5~0 MINNESOTA STATE BOANU OF ELECT111CITY THIS INSVECTION flE4UE5T WILI. NOT Gripys-Midwey Bldg. - Room N•781 BE ACCEPTEO BV THE STqTE BOARD St. Paul, MN 66104 UNLESS PqOPER INSPECTION FEE IS 1821 Univergity Ave., ENCLOSED. Phone I61Y) 297.2t11 ~ 3~cr~~ REQUEST FOfl ELECTR~CAL INSPECTION ~ See Inslrue~iona for completing this fa~m on beck o1 vellow eopy. ( A r '"X" Be/on Work ~ nvered by This Request Add ~ o. TVpe ot 8ui1tlin0 AOPlioneea Wi~eE EquiOmen[ Wirad Home Range Temporary Service Duplex Water Heater Lightin Fixtures Apt. Building Drye~ Electric Heatin Commercial Bidg. Furnace Silo Unloader Industrial Bldg. Air Conditioner ~Bulk Milk Tank Farm Other Oeo y ther ISUeciNl t nr Vec~N t er Other ompute lnspection fee Below q Fae ServlceEntrenceSize p Fee Fexdere~Subfeedera « Gee Circuits U to 200 Am s Z 0 to 30 Am 5 0 tn 30 Am s Above 2 0 Amps 31 to 100 Amps 37 to 100 q y Swimmin Pool Above 100-Am s Above 700_AmF~ Transiormers Ini ation Booms .Sp Partial,'Other Fee Signs SVecial Inspection S~i. ~ TOTAL F .~J ~ Aertarks ~ ~ FouO~-in Date ,the - I ~~,3 specbq hereby c Lfy the~ ihe above Flnel ~~e r ' soection has baen • ..G r mede. TM~requeatvo1018monlliatrom ' This request vaid R 18 rtpnths from ~ R~ v Q? ~5~8~~ L~at (o.o~ Feq~t De~ ~ Fire No. Roueh-i Insp?eCtian qwre . ~Reaay Now~ll Nolify, Inyp¢c- ~es No ~er When fleaCy ~Licensed Elec[rical Contrector i hereby reques[ inspeciion ol above ? Owner elactrical work installed et: ~ Stree!~tldress, Box or Route No. Citv • ~'~s~7 s't.~~,~ c,2 acUon o. Township Name or No. Range No. Counry OcCUpant (PRINT) Phone Np. ~~SZ~c~ /.~U/GJ~T.~2S ~S~ 6P7 Powe•~r Sup~plier Address ~jr. Elac ~cal Convactor (COmpany Namel Convacmr's License No. ~C~c.~ie ,z'~u oyr 8s- Mailing A ss (COnvacmr or Owner Making InstallatioN s~ ss.~~ ?.utho~ized SiB~ature 1~ O aking In~ion) PbO~ _um+er ~Q r 7 7 L~~ MINNESOTp STATE BOARO OF ELECTflICITY THIS INSPECTION NEQUEST WIIL NOT GriBBS•Midwey Blde. - Room N-191 BE ACCEPTE~ BY THE STA7E BOARD 5[. Pau~, MN 56104 UNLESS PROVER INSPECTION FEE IS 1827 UnivarsityAve., ENCLOSED. ~~.....e Iftt91 99]9111 l~ ~C~ ~(P REQUEST FOR ELECTRICAL INSPECTION es-o/ooo~.w , See instructions tor completi~g this form on back of yellow copy. A~~ 3~ 5~ '"X'" Below Work C~vered by This Request t Add Nep. TyOe ol Builtling Appiinntea NIrM Equipmen~ Wir¢d Home Range Temporary Service • Duplex Water Heater Lighting Fixtures Apt. Buildinc~ Dryer Electric Heatin ~ Commercial 61dg. Furnace ~ Silo Unloader Industrial 61dg. Air Conditioner Bulk Milk Tank Farm Otner Pcu y tnerlsnecifyl t r Succify ~her Ofher ompute lnspectron Fee 8e/ow ~ p Fee ServicaEntreneeSiie k Fee Fenders~Subfeeders ~t Fee Circuits 0 tp 200 qm s~ 0 to 30 Am s 0 tn 30 Am Above 200 q~nps 37 to 100 qmps 31 to 100 q Swimming Pool Above 100_Am s Above 700_Am ' Transiormers Irrigation Booms Partial%Ot , Signs Special Inspection Remarks 5~ TOTAL EEIO~/' 1 a' RouBh-in ~`1fe I, the Elac~~ical . Inspecbq hereby rlify ihet ifie ebpve iinal ~Ate spectian has been de. ~INt repueat roltl iB montMfrom CITY OF EAGAN N_ 1513 9 ~ 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 ' PHONE:454-8100 BUILDINGPEHMIT Receipt# o~ ~ ~ To be used for DECK Est. Value $1 , 000 Date JUNE 7 , ~ g 88 Site Address 4847 SHEFFIELD CIR OFFICE USE ONLY 4 1 BRITTANY STH OnSiteSewege _ Occupancy Lot 81ock Sec/Sub. MWCCSyatem _ Zoning Parcel No. On Site Well _ (Actuap Const : Name STEVEN & DEBRA CARTER Ciry Water _ (Ailowable) ~ Address 4847 SHEFFIELD CIR PRV Required _ # of Sbdes o Ci~y EAGAN phone 454-8605 Boostei Pump Length oev~n , p Name S.F.TOtal o a Add~eSS Footp~int S.F. u ~ City Phone APPROVALS FEES ~a Engr./ASSess. Permit 2~•00 w Name Planner Surcharge .50. i- Atldress a W City Phone Council _ Plan Review Bldg. Off. _ SAC, City I hereby acknowledge that I have reatl ihis application and state that the Variance SAC, MWCC _ information is correct and agree to comply with all applicable State of Water Conn. Minnesota Stetutes and City of Eaga Ortlinances Water Meter Signature o/ Permittee _ Road Unit A Building Permit is issuetl ro: STEVEN OR DEBRA CARTER_ Treatment Pt ontheexpressconditionthatallworkshalihedoneinaccordancewithall p~ COPl@S~Q_ applicable State of Minnesota S"~ta"t~utes antl City of Eagan Ordinances. BuildingOlficial~~t(~~~C _ TOTAL z5.00 I CITV OF EAGAN N~ g93,1 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE: 454-8700 BUILDING PERMIT ReuiPr # Te M u~ad fer SF DWG/GAR Est. Vaiue $ 87 ~ 000 Date ~'1~RCH 27 , 19 84 SiteAddress --4R47 RHF.FFTFiTI ('TR(,]yE Erect '[~}X pccupancy R3 Lot.~-elock 1 SeclSub. RRITTANY 5 Alfer ? Zoning R1 Parce~ No. 10-15004-040-01 Repoir ? Ftre Zone N/A Enlargs ? Type of Gonst. ~7 W Neme _ TO .LT.F.F.40N RT.nRR_ Move ? # Smries ; Address 1 655 NnRW(1(11l DR _ b Demolish ? Length 4~3_ City F.A(~AN Phone d5d-FR7j Grode ? Depth_~~-Sq. Ft.- ~ $~E Approvals Fees o Name Address Assessment Permit 394 , Q~ City Phone Water & Sew. Surchorge d~. rJ 0 Police Plan check 7 97. QQ Gw Neme Fire SAC ri7S.QQ t~ Z z- Address Enq. Water Conn. ~4.711.. ~uZ. City Phone Planner WaterMefer--(.~.~0 Council Road Unit?~n.QQ I hereby ackrwwkdge that I hove reod ihis ap0licotion ond stote that Bldg. Off. the in(ormation is correct and og[ee to Gomply with oll opplicoble $tate of Minnesota $tatutes q~Fity f gon Ordi ances. APC Totol S1 _ QS7.. rjQ / $ipnofure of PermiHee ti ~A Building Permit Is iss T LLEFSON BLDRS . on tha express condiNon tbnt oll work shall be d e in occo dance wlth~pli ble State of Minrresota Statutes und Ciry of Eapon Ordirwnces. Buildinp Official ~ ~ ~ti-~ [~z ~ CITY pF Flu'~1 Include 2 sets of plane, ~ ~ g~? 1 site plan w/elevatians i ' ~ J ~ HUIID]TG PEF~hII'I' APPLICATION 1 eet Of ene=c~yr calwlatian~. j • w Be vead ~vai~tio~n ~~'7~qoo aare ~iu~'it IU~1~- Site ]1dd~.~ea ~zVl~,+-1-1P. ~1Y ~FI~ USE QNLY Ict ~ Blod[ 1_ SeC./Sub. F7+eCt ~ Oocupanc,y 3 Parasi _/l~ /SD o~- L7 Z/b - D/ nlter wniny / 1 Repair Fire Zone G~rnex's ~f~l ~iP~01.11 ' ` Fhlax'ge _ ZYPe nf Const. 1lddcesa: N Stariee ~ atY/ZiP Clode: ~ Deroliah _ Front . Giade Depth ~ ft. Phcme Oontrac.'COrt 1UII~.~ Yd1A~lYlAt'.~ Assessments Pesnut F~~~/. aaatese: 1~~ r~lnv~nln~'.1 I~vitlP~ ~ ce~~ P3.~,`~Q,,~.ac cYey/Zip 4xie: ~51.~.~ Fire sAC ~-2~ Pt~one i: ~.~J - Water Cotv?, 70 ~ , Plancrx WatPx Metet 3 ~ k~,~y3~ ~ Caurcil Aoad Unit ~/~o Bldg. Off. ~ . ~ CitY/Zip Code., ~ < pt~me 'i: " zarxt y S d S' O 3 a~~~'y~ ; ~ ~ ~ ;Q~b\~~ ~ J ~ , C+ ~ - S~ ~ ~j..4f~ce,~:U~? I City of Ea~aIl I Permh U~V j ~ Pertnit Fee: ~`7 ~.S I 3830 Pilot Knob Road Eagan MN 55722 ~ Date Received: j Phone:(651)675-5675 ~ ~ Fax: (651) 675-5694 i stan: I 2008 RESIDENT~I/AL BUILD N PERMIT APPLICATION ~~n~~ Date: ~ ~ J Site Address: I b ~ ~-~C\ / L/ I- U~ Tenant: Sulte RESIDENT / OWNER Name: ~ !r ~ Phone: (LL7 ~ ~ ! 2S~ Address / City / Zip: ~l' T/ < Applicant is: _ Owner Contractor TYPE OF WORK Description of work - Construction Cosl: 1 8 ~OO. O O Multi-Family Building: (Yes No ~ CONTRACTOR Name: U( J' License (o~. d~ Address: l 1 ~`~">'`~r~-~' - City: Uc , State: ~1~~,__Zip: ~ Q ~ Phone: (D~ Contact Person: ~l~ `t"~ Y~F-f~.( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet Category Submitted Submitted Submission type) • Energy Envelope Calculations Submitted 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 Contrector: Phone: Sewer 8 Water Contrector: Phone: ~ NOTE: Plans and supporting documents that yousubmit are considered tobe pubiic informafion. Portions of ` the infoimation,may be dassified as non-public if yau provide speciiic reasons that would permit7he City to , conclude that the are trade secre~s. I hereby acknowledge that this information is complete and accurate; that the work will be in co formance with the ordinances and codes of ihe Ciry of Eagan; that I understand ihis is not a permi[, but only an application for a permit, and w i ot to start without a pertni[; that the work will be in accordance wilh the approved plan in the case of work which requires a review and approv o a s. x ~ ~l~r-~ ~ R~ x ApplicanYs Printed Name ~ l~ ~ l~ r~1 Applica s Signature page 1 of 3 ncT ~ 3 zoos U • 1 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ~7 Single Family ? O6-plex ? Fireplace ~ Porch (3-season) ? Ext. Alt. - Multi ~ ~ 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screenlgazebo/pergola) ? Multi Misc. ? 03-Plex ? 70-plex ? Lower Level ~ Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES L~ S~ V7SJ1u A'4Y~~ i`~, ~:~r'1 UbI~C; ~1-57~~"`~ 1~~~~ ~~7 ~~pU~,~ ~~5~ ? New Interior Improvement ? Siding ? Demolish Building` ? Addition ? Move Building ? Reroof ? Demolish Interior ~Alteration ? Fire Repair ? Windows ? Demolish Foundation O Replacement ? Egress Window ? Water Damage ' Demolition (enlire building) -give PCA handout to applicant DESCRIPTION: p Valuation ~ ~ Occupancy ~,h,( ~ MCES System Plan Review Code Edition n 1~ 7U~ SAC Units ~y~~t.~~~- (25°!a_ 100°/a ~ Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV ii of Buildings Length Fire Sprinklers Type of Const. 1 ~ UL, Width -'C--F.-'- REQUIRED INSPECTIONS ~ Footings (new bldg) Sheetrock Meter Size: Footings (deck) FinallC.O. ~ Footings (addition) ~iC FinallNO C.O. Foundation ~ HVAC Drain Tile ' Other: ~ Roof: ~Ice 8 Water ~Final Poo~: _Footings _AidGas Tests _Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _Air Test _Final Windows -L Insulation _ Retaining Wall , f / Reviewed By: V , Building Inspector RESlDENTIAL FEES: Base Fee j~~(./ f Surcharge ~ Pian Review ~ n` L/ "7~' ~ ~ ~ ~ D MClES SAC ( 1S ~ ~ City SAC , UGlity Connection Charge fi'~~p~~~~ S&W Permit & Surcharge ~ ,i/ ~ ~ ~j 1" ;ti 51 }~'l.I~r Treatment Plant n/y1,~ U1~~~L Copies ~~~1"~~- / ~ . ~ Y`~~T l~, ~C~c~ Total ~;^?Y\ ~ Pa9e 2 of 3 K1_j ~~1~ p~~ ~~~1~I~H'~r~ ~v l1 ~ V REScheck Software Version 4.2.0 Compliance Certificate Project Title: Room Addition ~ cAee: moo iecc Loption: Eagan, MlnnesoW Construction 7ype: Single Family Glazing Area Percentage: 22% Heating Deg~ea Oeys: 7987 ConsWction Site: Owner/Agent: Designer/Contrac[or: 484] Sheffreld CirGe Sleve CaAer Bart Ikens Eagan, MN 55122 4&47 Sheffield CIrGe David Schweich CO~truciot Inc Eagen, MN 55722 21776 Kemick Ave Lakevil~e, MN 55044 952-069-3222 Canpliance: 0.0% Better Than Code Maximum UA: 59 Your UA: 59 Ceiling 1: Cathedrel Ceiling (no aHic) 140 44.0 0.0 3 Wall 1: Waod Frame, 16' o.c. 432 26.3 D.0 77 Window 1: Vm/I Frsme:Double Pane with Low-E 56 ~.330 18 Daor 1: Glass 41 0.330 14 Floor 1: AII-Wood JoisVTruss:Over Outside Air 280 38.0 0.0 7 Compliance Sfatement: The proposed builtling design described hera is wnsistent w(1h the building plans, specifications, and other calculations submittetl with tlie pemiit application. The proposed building has been designed to meet Me 2000 IECC requirements in REScheck Version 4.2.0 a~ mplY with tlie mandatory requiremenfs listed in qie REScheck Inspection Checldist. ~ ~~mrrc~ r aY1.5 ~v-~N-o Name - Title Signature Dffie Projacl Title: Room AddNion Report date: 10114/08 Data filename: UntitleU.rck Page 1 of 4 REScheck Software Version 4.2.Q inspection Checklist Ceilings: ? Ceiling 1: Cathedral Ceilirg (no at6c), R~44.0 cavfty InsuWtlon Canmenis: nnovecraae waus: ? Wall 1: Wood Frame, 16' o.c., R-26.3 cavily insulation Comments: Windows: ? Window t: Vinyl Frame:DOUble Pane wtth Low-E, U-taclor: 0.330 For w'vidows wittwut lebeled U-factors, describe kaWres: #Panes - Freme Type Themial Break? _ Yes _ No Comments: Doors: ? Door 1: Glass, U-tactor. 0.330 Comments: Floors: ? Floor 1: All-Woad JoisVTnus:Over Outside Air. R-38.0 cavily insuletion CanmeMS: Air Laakage: ~ Joints, penetrations, and all other such opeNngs In the buildirg envelope that are sources M air leakage are sealed. ~ Recessed lights are 1) Type IC rated, or 2) insfailed inside an appropriale air-tight assembly Wilh a 0.5" dearance from combustible materials. I( non-IC reted, fixWres are installed wifh a 3" clearance trom insu~. Vapor Retarder. ~ Installed on the wami-in-winter side of all rwn-vented framed ceilirgs, walls, and floors. Materials Identiflca8on: ~ Malerials and equipment a~e iretalled in accordance wiN the manufaclurers installation inaWCfions. ~ Alalerials and equipmeM are identlfied so Mal comPlia~e can ba determined. ~ Mamifachner manuals far atl inshalleA heating a~M cooling equipment a~ service water hea4ng equiprtreM have Oeen prwided. ~ Insuletion R-values and glaang U-fac[as are dearty maitced on the 6uiWiig plans or speclflcatlons. ~ tnsulation is inafalled accordirg to manufacturefs iasWdions, in wbstanfial ooMacl wilh ihe surface beinB insulated, end in a manner that achieves the rated R-value wtthout compressing tl~e i~ulatlOn. Duct I~ulation: ~ pucls in unconditio~red 8paces are iiqulated M ffi least R•5. Duds ouLsiEe ihe bui6ding are insulated M at le~t ft-8.0. Duet Constructbn: ~ All jolnLa, semns, and connecUons are seeurety fastened wim weWs, gasloeW. msstics (adhesives), mastic-Wuaembedded-(abric, w tapes. Tapes and masUcs ere reted UL 18tA w UL 1 B18. Exceptlons: Continuousy welded and locking-lype langiludifml joinis a~ seams on ducts operatlng at less tl~an 2 in. w.g. (500 Pa). ~ The HVAC system provides a mearrs for balaxing a'v arM waaar sysfems. Tempenture Controls: ~ Themiosfals ebst tor each separate HVAC system. A manual w automatic means to partlalty restrlG or shut off the heatlng and/w cooling input to each mne or floor is provided. Project Title: Room Additlon Report dele: 10J14/OB ~ata filename: Untltled.rdc Page 2 of 4 . TabJe 1: Mlnimum Msulation Thlckness for CirculaBng Hof Water Pipes Insulation Thickness in Inehes by Pipe Sizea Non-Cireulaling Runouts Circulating Malns and Runouts Heated Wffier Up to 1" Up to 125' 1.5' to 2.0" Over 2' Temperature (°F) 170.780 0.5 1.0 1.5 2.0 144169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Ta6/e 2: Minimum insulation Thickness for HVAC Pipes Fluid 7emp. Insulation Thiekness in I~ehes by Plpa Sizes Piping System Types ~~98~eF~ 2' Rurwuts t" and Less 125'to 2.0" 2.5' M 4" Fieating Systems Low Pressure/Temperature 201-250 1,0 1.5 1.5 2.0 LowTemperature 120-200 0.5 1.0 1.0 1.5 Sleam CorMensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Syatams Chilled Water, RefrigeraM and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NO7ES TO FIELD: (BuiWing Department Use Only) Project Title: Room Addition Report date: 10/14/08 Data filename: UMitlad.rck Page 4 oi 4 Sarvice Water Heating: ~ Water heaters with vertical pipe risers have a heat frap on bolh the inlet and outlet unless the water healer has an integral heat trap or is part of a circulaNng system. 0 Circulating hot water pipes are insulated to ihe levels in Table 1. Clrculatlng Hot Water bys[ems: ~ Circulating hot waffir pipes are insulated to tlie levels in Table 1. Swimming Pools: ~ All heated swimming pools have an orJotf hraler switch ard a cover unless over 20% of the heating energy is fiom non-depletable sources. Pool pumps have a time clock. Heating and Cooltng Piping I~ulation: ~ HVAC piping conveying fluids above 105 degrees F or chilled fluids bebw 55 degrees F aie insulated to the levels in Table 2. Project Title: Raom Addition Report date: 10I14108 Data file~ma: UMitled-rck Page 3 of 4 ~ era Inc. JACKSON - SURVEYORS ' i ~ V RLOI~T[Rt0 YND[N LAW~ OI RAT[ 0/ YIMM~lOTA . - Sc~Ie: 1"_ 30' . , 1` . Tr~n ~'+16 EAST SSth STREET, MINNEAPOl15, MN 55617 727-3484 O : ~r =Drainage and Utility easement• ~ t~ I ~~=Draina8~ 3¢rbtpor'E 6tTtititittt ! 000.0 = Exteting Elev. r , t ~ ~ : ~ / ~ r l ( I - 41' I ; ~8•'/ 1 . ! 1 ~ i ~ ` ` 4~ • / 1~ ` \ /2 ~ . ~v ~ ¢-~G!~ ~ 0, Q ~~p.~ r ~ ~ • y~.r ~ ~ / y~i~t-!`` ~`41~ /,r . ~ ~ ',I / ~l' Y ~ / 4 . y / /~,1~ ~ fl~'~lv~ `Ol`~ t~ ~O.l~ n, \ ~j < ~ ' ~ _ ~ a ~ ~ B °'x 6 v , C\\ /~J 4/ 261 ~ zi ~ G-r i~4~ ' 1 ~ \ ~ ~ 9- r~posed Gar~ge Floor Elev. ~ yo ` 'ropeaed Firet Fl oor Elev. \ ~.i~.. • ~ i ` .I ~ 'rapoaed BasemenC Flonr Elev. ~ \ i ~c ~ ,i ~ v ' i i . / \ ~ . ` C ` ~ v \ / ~ / ' 1 I 8~ 1 ~ t~.,~ V~ \ ~ \ \l / ~i~ F ~ 1 NfRW`/ G[NTIFY THAT TN[ ABOY[ 1~ A TMU[ AND CORR[CT rL11T OF A SURV[Y OF ~`r ~ ia , ,7 L / ~ 1 ~7 ~ ~ .+r ~ 1 / , U~ ~ / 4 ~ )v : I V ~ . D` ~ o \ c\ Lnt 4,Block 1,Brittany Stn. Addition, '~1 ~ Dalcots County,MipoObota. ` s~~v . ~ , c~ . c~-~ ~ ~ ~ 22nd. Narch 1984 owr or -.o. ~ t~ As w~v[r[o w r[ 7HU-- , ' ~ i~aw[ f. C. JACKiON. ' N~wTw R[on7Ylv~. Mu• si00 . - . : 1 ~ ~/1 ~ , i't 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN l_AC ~3 I 3 y SINGLE FAMILY DWELLINGS ~ ~ INCLUDE 2 SETS OF PLANS~ 3 C TIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CO ER LOTS - CONTRACTOR/BOMEOWNER MUST DESIGNATE WfiICH ADDAESS IS DESIRED. NO C GES WZLL HE ALLOWED ONCE BIIILDING PERMIT IS ISSDED. MULTIPLE DWELLINGS ENT9L [7NITS FOR SALE UNITS li OF UNITS INCLUDE 2 SETS OF LANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY ALCULATIONS ~ COPII9ERCIAL /f~Q l INCLUD 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For:~~c~-- Valuation: Date: ~'/3 Site Address '~~S J~ P t 7 r 2~~ GI:' ~OD b OFFICE USE ONLY Lot ~ Block f On site sewage_ Occupancy 1J MWCC system _ Zoning Parcel/Sub ~jri77Q~'lU Jr ~ On site well _ Aetual Const N ' I- City water Allowable Owner ~~C.,,1~. fi- d'~r~t~l_.e~•y'~"L PRV required _~k of stories Booster Pump _ Length Address -5~~~~Gl ~r~r Depth S.F. Total City/Zip Code ~G~+'~ ~S~ z Z Footprint S.F. Phone ~y ~ ' S' ~c ° ~ 9PPROVALS FEES Contractor Engr/Assess Permit c~c/ o0 Planner Surcharge . Sd Address Council Plan Review Bldg. Off. ~~~roSAC, City City/Zip Code Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies ~.'.Ja I TOTAL ~2 .00 City/Zip Code ~ Phone 7~ ~ ' Totlefeon ~ilders Inc. JACKSON - SIJRVEYORS ` N R[O1~T[R[D YMD[R LAW{ OI iTA1~ OI YINN~WTA . 0 s~.i~: i°_3o~ - . ti TT~11 9618 EAST 55tA STREET, MINNEAPOIIS, MN 65417 7273A84 ~ ` , Dralnage and Utility ea~emeat~ 1 -=nraina8~ $UTbtpO[~~ 6[Ttifi[Att I 000.0 = Ezioting Elev. ~ ? ` ' / I I . 'I. / 1~8~ ~ ~ . / ~ .i ~ r v ' ('Rn~~~ ~ ,s. 4, ~ ~ pA'K ? e i m •a ~ / ~ 2~ !`p(`~ d ~a.f' \ _ \ X ~ / o~~ Q 71 v8/ y /=3 D\ 9j 26' 20'/ t \ ; ~9 . ~ yo \ ~ propoeed Gar~gi Floor Elev. \ Propeaed Firat Floor Elev. \ ~~<%r,• ~ 1 I Propoeed Baeement Floar Elev. ~ \ ~ i ~o ~ ~ v i . ~ ^ / ~ 1b ~ ~ y ~ . , C ~ C~,,~ yy? ~ \ ~ ~i: ~ 1 M4REYV C[RTIIY TMAT TN[ ABOV[ I~ A TRU[ AND CORR[CT rL~T OF A SYRY[Y O/ \~~..Y~~ / . ~ ~ ~ ~ G 1,/`~ ` / 1 , - v - . Iat 4.Block I.Srittany Stn. Addition, ; q 1`~~ Dakota Cauncy,Hipnas~ta. ~ : ~ ~ ` c / C~~~l~~ ~ / C ~ 22nd. lrrch 1984 M As ~u11vR[D ~Y M[ TMIt---~V a ~.0. ~ ~ . i {ION F. C. JACKiON. MsWi~ RaonfiuiTl~+ No• ~WO y,'~ ~C.~ RESIDENTIAL BUILDING ~ Q ~J ~ Permit Application City Of Eagan ~~L~I~~'~j 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Conshuchon Reauirements RemodeVReoair ReauiremenGS Office Use OnN 3 registered site surveys shaving sq. ft. M lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd (20%mazimumlotcoverageallowed) lsetofEnergyCalculationsforh~ledaddiGons TreeP25PIanReaJ 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey fa additions 8 deGus Tree Pres Nol Reqd i set of Energy Calculalions Addttion - i~Micefe i7onsde septic system _ Onsile Septic System 3 copies of Tree Preservation Plan if lot plaped afler 711/93 Rim Joist Detail Options selection sheet (bldgs wiN 3 or less units Date ~ / `J / ~-3 Construction Cost ` ~ R Site Address ~ ~ 6 ! UniUSte # a ~':i"~ ~i DescriptionofWork /~-L°v~e~~ ~~''~A~''~. ~~~e~~ ~ ~ ~ Multi-Family Bldg _ Y ~ ~ireplace(s) 0 ~1 _ ~ A . .~~S ~ 6K /v ~ Proper Ow er ~ ~ Telephone # ( 7 9 ~ Z ~ ~ /2 ' S S'" Contractor ~~T (/~L~Cc~,~.Y Address C~tY 5tate Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet (~I submission type) Submitted Su6mitted • Energy Envefope Calculations Submitted Licensed Plumber Telephone # ~ ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone ~ 1~~~~ ~ i 1 L.i ~ IJ I hereby apply for a Residenrial Building Permit and acknowledge that the info ion is co ete and ccurate; that the work wil] be in conformance with the ordinances and codes of the Cit 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. S~e~ ~ , Ca~ ~-C ia~ ApplicanYs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 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 Eut. Alt - Mulii ? 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ~fFi 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ~ 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 ~emolish (Foundation) ? 45 Fire Repair 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement 'Demolitlon (Entire Bldg) - Give PCA handout to applicant Valuation _ y~~ . Occupancy ~ MC/ES System Census Code ~3 ~ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) y~ FinaUNo C.O. _ Foorings (addition) l° p~~~~g _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final ~0 Framing Siding Stucco Stone Fireplace _ R.I. _ Air Test Final ~ Windows (new/replacement) Insulation _ Retaining Wall I Approved By , Building Inspector Base Fee Surcharge Plan Review L awe~z L~ v~ I MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Tatal RESIDENTIAL ~~~j~ BUILDINC PERMIT APPLICATION CITY OF EACAN ~ 3830 PILOT KNOB RD, EAGAN MN 55'122 651-681-4675 NewConsWetlonRauulremenb ~ RemodellReoalrReouiramenb • 3 registeied sde surveys showiiq sq. R. af lot, sq. ft. of lause; and all roofed a2as • 2 copies of plan (20% mazimum lot eoverage allawed) • 1 set af Eneryy CalcWations for heated additbns • 2 copies of plan showing beam & window s¢es; poured found design, e~.) • 1 sNe survey for exterior additbns & decks • 1 set of Energy Galculalions • Indiwte i( home served by seDtk system tor add'N'ons . 3 wpies of Tree Preservation Plan if lat platted after 7/1/93 • Rim Joist DetaJ Options selecfion sheet (Mdgs vdth 3 or less uni~) DATE ~ •O C'I" • D ~ VALUATION ~ SITEADDRESS ~$LI~ S~r.Q~d Ci(C~`~ MULTI-FAMILYBLDG _Y _N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 doo,c, w~~l-~:~ n ~x ~ s-k~ - - - ' ' - APPLICANT ~ STREET ADDRESS ?ir.`.~;~v~.L AvD~:RSr=~',.~nz. STATE_ZIP i~z~s cou~rv zta~~~n ~,c„ ~r,k.sz. - TELEPHONE #~GF~I•a~O~I•y~~~ CELL ( Roc~.vsLt.E, i~IN 55it3 ~ ao~3o983 _ _ _ PROPERTYOWNER c t#CJ~~~ l~.C~T~`( TEIEPHONE# (OSf.4s4. g~DO~j COMPLETE fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNtiSOTA RUI.ES 7670 CA'fEGORY 1 MINNESOTA RUI.ES 7672 (J submission type) • Residential Vendlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submilted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baihs , No. of Baths ' ~ .1 Mechanical Conhactor: Phone # ~ Mechanical system includes: Air Conditioning jFee: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone # I hereby acknowledge that I have read this application, state that ihe inf rmation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or i ances. Signature of Applicant ~,[L~r ~?m n.fh. ^ w~~Y OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 UF~ICE USE ONLY ? 01 FoundaUon ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 O6-plex O 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01of_plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF ? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 05 03-plex O 11 10-plex ~ 19 Lower ~evel ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AlteraGon 0 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (EnUre Bldg only) - Give PCA handout to applicant Valuation Occupancy ~ MC/ES System Census Code Zoning ~ ' City Water SAC Units Staries ' ~ Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth , REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. ~ _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ pl~~g _ Foundation HVAC _ Drain Tile ~ Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Fina1 - FIa~B _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Pian Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Piant I Plumbing Permit ~i Mechanical Permit license Search • Copies Other Total 4.. auu i i. o~ ttlA f oJ 0 ~ 1~4400 ntSly7.R1U. ~.~t dlYlltl!(~71Sf1 . . ~muuziu re ~,Z ~ . ~ . a~a 7, 200~ ~ . . 3836 Pilot $nob Road ' • Eagan, MN 55122 To Whom It May Concarn: Elder Jones is authoriz¢d to pull bn~~g p~~ f~ g;~ewal by Attderaen- ~leasc aIlow Eldcr Jvnos to provide this &ervice for us in P,a,~aan. 'ti~ia entharl2eticm is valid for eny dace beyond 6/6101: uud( a~'enawal by And~rsen manaper expreaely ~,okea it tn wiidng . tq the City. I req~eat this auUiori~zation be acc~pted expedidously, as to not delay in the psoGessing of our building Pcanita any fnz~er. Plcaac cari mc if thc~ arc anq quesUona., I can Ixi contacted at 763-502-4706_ , ' ~ ~ Your imm~diatc attcntion to thfs mattcr ~S Qprreciated. Sincetoly, . . ond R Rau tistallation Managcr Renowal by t#udwscn Cotporation ' ('r.: Karn-F.ltie.r TonPa ~~~4 ~ ~ - c3H D ' ^~s~ P buc~~' ~r~"w°a~°°~ „~uo~ ReceiveJ Tia~e Jun. 7. 1:p~phd , . _ ~ ~ ~ a 2/84 i ~ ~ ~ ~ • ~ CITY OF EAGAN ' APPLICATZON FOR PERMIT - SEWER AND/OR WATER CONNECTIODI (PIEASE P4INTj 1) PROPEEYPY AD?RESS: ~(Qy~ ~jjGL~"!`~~~~ . ~J/~~6i~~'" r_Fr~i. DESCRIPI`IC:7: ~ - ~~~~C/~/7~~ ~ (Lr~t/Elock/Subaivision or Tax Parcel I.D. Number) 1: rS;='1:G STi2[;CTLTRE~ De?I~' G' CRIGii;AL .~-;u'ILL'I:`;G P~:~_IT ISSi:?\G: ' : ~ P~.=~~:: ~:.^,`1i,:~;/.'_.~()°CSc~ ~5~: R-1 SuIGLE iP~iLY ~R-2 DUP?,~.`'Y (~~1~ L'~TITS) ' - • ~ ? R-3 ZCidNI-IOLSE (TF~12~ + [T?~IITS} ( LJi~IITS) ? R-? AoAR`IT."F'`:T/C~;N~ti1L~IITJi~I ( ULIITSi ? CC.1'•~CLAL/RETAIL,/OFFICE ? ~TJ[;ST~_L Q INSTITIPPIONAL/GO~~~^~[~PP ~ 2) AFPLIC'~V'P IPLEASE PRINT) NF~`7E_ TOLLEFSON BUILDERS, INC. AnD~sS: 1655 Norwood.Drive CTTY, ST~~, ZzP: Eagan, MN 55122 • PHO.TE: (612) 454 - 6873 PLEASE PR1NT) 3) PLL:iBER FOR CITY USE ONLY GENZ-RYAN PLUMBING AND HEATING Pll1HBERS LICE45£: ADDaESS: 14745 South Robert Trail ~ Active CIZ^[, STATE, ZIP: Rosemount MN 55068 L] Ezpired ~icr. Not uf li ord PHO~IE:~~2~ 423-1144 PLUMBER LI~ENSE /i 1849M ~ rr ~n~tia t}~ ~~Tay`~`~~J.,R,~ (PLEASE~ PRINT) SAME A[~DRESS: AS CITY, STATE, ZIP: ~68UF PHC}~IE: 5) It~]DIG;'P~ WHZCH PEP,MIT IS BEIIvG RD~UESTLp: X, Cl~.u"~.CfION ~ CITY SEFJER ~ CO"2.~1E~TICV 'Iq CZTY 6ti'ATER - ~ OTF~R (PLEl1.SE DFSCRIDE) 6) ~:DIG;': ' 0:~: ? PLr~E F?OLD r1PF.4WID PER,~tIT FOR PICi:-UP BY ONE OF '~&G`~ ~ ~°I~1SE ti*AIL AFPRO~,r"~ PFFI2~SIT 'It~ 1, 2, ~3~ 4 ABOVE , (Circle one) Si~~~~.~: Da~re: ~ L/-~~ rlRR:ii_...,.. h3:~i~le:s~fl~lbYRpiemmi-RiiEr31i5:PV'a~:a:~w~4Pl~tl~:~d~~/Q1~1,imis~:~gi.q . . . ' , . . . . ~ . -t F O R C I T Y U S E ~U N L Y • , ~?k; . PERMIT ISSUED FEES: S ~U-SO Sc:^:Ea orD~~Ti (Z`7C:.::D~ SliRCH~??.G.~) ' $ (U~S~ - WATER PERC1IT (INCLL'DE SURCAARGE) $ ~P3.~ WATER METER/COPPERHORN/OUTSIDE READER $ W,lTER TAP (IyCiUD~ COR?ORATIC:~ STOP) ~ SE:aER TP.P $ ~s"~ ACCOUNT DEPOSIT - SEiVER $ IS-`~ ACCOUNT DE?OSIT - WATrR S Y?D.~ wac $ ~ LS~~ SAC $ TRUNK ?VAT°R ASSESSi4ENT $ TRUNK SE~JER ASSESSMEiVT x'" $ LATEP,AL BENEFIT/TRUNK SE:4ER $ LATERAL BENEFIT/TRUNK WATER $ ' OTHER $ TOTAL $ Zfy. S~d A;~70UNT PAID/RECEZPT Z~Od' DOES UTILSTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED 6Y THE NO ENGINEERING DIVISIO[V. LIST AS A CONDI- TION. SUBJECT TO TIIE FOLLO?aING CONDITIONS: APPROVED BY: ~ ~ TITLE: IAr7 o,~TF: ~a~~e~~e~ie.t~~~r`~~s~+r~~w~~wf~Ra~t~rts~~.~wtaw~~~~j+~L+~~~a~ww~ CITY USE ONLY PERMIT 1(J RECEIPT DATE: I O~ l~~ j i~S1DENTl~kL M£Cfi~k1VIC~lI. ~fiMIT ik~~LIC~lTION crr~'oF.ewsax , s9so eaoT xxoe ~u £~48AP b!P 551 EE ' 651-6$I-4675 Please complete for: ? single family dwellings townhomes and condos when pertnits are required for each unit ~ Date: ( LJ SITE ADDRESS: ~l ~ ! ~ ~ 1 U' ~ ~ c' OWNER NAME: ~ TELEPHONE -i- a ~ ~ (AREA CODE) INSTALLER NAME: ' ' ' ~ - TELEPHONE ' . : 1 (AREA CODE) .i - - . . STREET ADDRESS: CITY: STATE: Z~P~ Piace a check mark next to the ermit work t e' New residential dwelling unit under cbnstructionand not owner/occupied $ 70.00 x Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: ~4 ~U ~ w State Surchar e $ .50 Total ~ ~ 11,~ r~ ~ v 7 l~ 1 Reminder: Call for inspections. . ( ~ '~"i ~ ~ - SIGNATURE 'F`~ ~ Updated I/01 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR COMM~itCI~kL M~C~4ft1C~kL ~tM1T ~PWC~TION CITY OF ~k~4N S$SO PILOT KNOB ~iD ~kHlkN, b1N 551 E8 651-6$1-4675 Please complete for: all commerciallindustrial buildings muiti-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE (AAEA CODE) TENANT NAME (IMPROVEMENTS ONL1~: WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: WORK T]'PE: _ New conshuction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Specify Nahue of Work: When installing/removing underground tank, cal[ 651-681-4675 jor inspection by Fire Marshal and P[umbing linspector. Fees: 1% oFcontract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x I%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/Ol Yollefson Builders inc. Or.11508~~ , , 188-3 - JACKSON - SURVEYORS ~ ` N RL6I~TQAtD UMD[R lJ1Wf OI iTAT[ Or YIMM[fOTA b Scale: 1"_ 3D' - . ~,Y ~ tT~il 7816 EAST 55th STREET, MINNEAPOLIS, MN 554t7 727-3~84 ~ O/ _ = Drainage and Utility easements y ~ --Drainage ~utbtp0i's~ dtlHfi[att 000.0 = Exiating Elev. ~ ? ~ / ~ . 1f. 1~8~ ~ 1 . / ~ ~ ~ ~ ~ ~ ~ o / • ~ ~ ~o y .a / ~ a ~ ~ ~ ~ , / ~ 5,~ ory ~ ~o.r. ~ \ ia o~~ ~ ~ 1.8' ,~~'X~ i ~ 26 Zg / \ ~ ~ ~G~~ I~, propoeed Garegc Yloor Elev. \ ~ ti~ ~1 ~ Propeaed Flrat Floar Elev. ~ ~ Prepnsed Basement Floor Elev. ~ ~ r'~P` ~ - ~ ,\b/ ~ ~ 1 G? 8 . \ f ' ~ ~ ~ r G" ~j / ' ' ~ . \ Y ~.e ~Jl ~v•~ } T I XHR6QY C[RTIIY TNAT TX[ ABOV[ It A TRU[ AND CORF[CT PLAT OF A$YRV[Y OF / . ~r'r~ J! - ` ~1 L % 1 O ' % o \ \ ~ `x ~ ry ~ u ~ , `\Qp i'~V j~ ' v \ 1 Lat 4.Block 1.Srittany Stn. Addition, r o D`~ Dalcota County,Mipnesou. ~ ~ \ ~1~ \ i e~ `k C•;` / ~ ~d ~ cy , , e t 22ad. ll~rch 1984 ~ As au~vcr~o w M[ TMIf_ DAY OF ~.o. . . BION[ ~ f. C. 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' . . ~ . _ . _ . _ , _ MECHAIVICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~ 3 ~ ~ J i`~~ (al~ ~ Telephone # 651-675-5675 FAX # 651-675-5674 ~J Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for cach unit ~ ~ ~ S'tte Address / l a 5? 1~~. L I~l ~ ! Unit # Property Owner `e.1~~ CC Telephone #(b~ O ~S'T J ~S contracto~ STANDARO HEATING & AIR CONDITIONING CO. 410 WEST LAKE Street Address MINNEAPOLIS, MN 55408-2998 City s12-a2a-~ State Zip Telephone # ( ) The AppGcant is _ Owner _ Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement ; - ~ air exchanger 'i is l, ~ ~_i i~, ~ air conditioner ~ ii~ nF~ ; 1 0 7e~~ other I I By- State Surcharge $ .50 Total ~ $ y~ I hereby apply for a Residential Mechanical 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 with the Mechanical Codes~ I understand this is not a pemut, but only an application for a pertnit, and work is not to start without a emvt; that the wo ' be in accordance with the approved plan in the case of work which requires a review and approval of p rr~V \ Applicant's Printed Name Applicant's Si MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: commerciaUindustrial buildings multi-family buildings when sepazate pcmvts are not required for each dwelling unit Date / / Site Address Unit # Tenant Name (it applicable) Previous Tenant Name Property Owner Telephone # ( ) _ Contractor Street Address City State Zip Telephone # ( ) The Applicant is _ Owner _ Conh~actor _ Other Work T ype Newconstruction UndergroundTank _Install _Remove Interior Improvement Calt for inspection during installation/removal of tank Processed Piping Nature of Work: Permit Fee SW.50 Minimum Fee (includes S[ate Surcharge) ContractValue $ x .01% _ $ PermitFee • If permit fee is 51,000 or less, add $.50 ~ $ State Surchazge If pemut fee is over $1,000, add $.50 per $ I,000 Pemut Fee $ Total Fee [ hereby apply for a Commercial Mechanical Pemut and aclmowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the CiTy of Eagan and with the Mechanical Codes; that I understand tlus is not a permit, but only an application for a permit, and work is not ro 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. ApplicanYs Printed Name Applicant's Signature Approved By: , Inspector Date: =ir e - r r� \1/4 3 g ; f, , , \ l 3? 6 02.0 9099-V9V- 6 99 ZZL9S NW `ue6e3 910-1D PlegleqS Lt79t7 a91.1e3 9Aa}S :d03 a3NOIS3a .awes 9441od a gssuodsei eq pue uogonusuoo do daeis eqµ o; laud suetd Roos; pue su0goas 'suonenale `suolsueunp 'selou ue pato pue AyJan isnw J9UMO ewoq Jo / pue JOOeauoo ayl .suoissiwo Jo sJoJja seuoasuewip Jo Iempni s Jo; Ayssgssuodsai ou sewnsse .3U1 1SUO3 yofemgos pima WOO' uoIpn4suo3tp emtlaspinep ZZ9Z9ZOZ # "oil OZ6E -69P(Z96) ZZZC-69P(ZS6) :3N0Hd ttOSS 'NW `3111A3NV1 "and >I3I2IN3N96L6Z 'ONI "1SNOZ H3I3MHOS alma ® UNI NOI10f181SN0O H)I)fflH)S PIA0C1-' 1snaj / 90!AJ9S Mena / u6Isad tt3I9Mt43S aonag :Ag peu6lsa5 w 0 O co> _ � z 0 I= U U- 2-11 co:D Z (!) W LU W X Z J ZQ< O z 0 I= zwJ OQa c~nz z¢ {a,2 411 cr- •40s N'4 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA144126 Date Issued:07/13/2017 Permit Category:ePermit Site Address: 4847 Sheffield Cir Lot:4 Block: 1 Addition: Brittany 5th PID:10-15004-01-040 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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 - RPZ/PVB/Lawn Irrigation $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 - Kelsey L Schumacher 4847 Sheffield Cir Eagan MN 55122 (612) 597-1926 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161771 Date Issued:06/12/2020 Permit Category:ePermit Site Address: 4847 Sheffield Cir Lot:4 Block: 1 Addition: Brittany 5th PID:10-15004-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Kelsey L Schumacher 4847 Sheffield Cir Eagan MN 55122 (612) 597-1926 Budget Exteriors 8017 Nicollet Avenue South Bloomington MN 55420 (952) 887-1613 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us EAGAN Permit Type: Plumbing Permit Number: EA162022 Date Issued: 06/23/2020 Permit Category: ePermit Site Address: 4847 Sheffield Cir Lot: 4 Block: 1 Addition: Brittany 5th PID: 10-15004-01-040 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a fmal inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary: PL - Permit Fee (WS &/or WH) $59.00 0801.4087 Surcharge -Fixed $1.00 9001.2195 Total: $60.00 Contractor: Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 - Applicant - Owner: Kelsey L Schumacher 4847 Sheffield Cir Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature