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1533 Sherwood WayCITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: P. O. Box 21199 Eagan, MN 551DATE: Zoning: No. of Units: Owner. oiit CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ' Zanlrq: No. of Units: Owner. : o l i ca is Address: SLsite Address: 1533 chex`woo' "• : , ' Plumber. Gee - ?.'.a Meter No.: Size: Reader No.: 1 urea to "001 wuh as city of lave Odh"WA . BY Dote of Insp.: CITY OF, EAGAN 3830 Pilo• Knoh Road P. O Box 21199 Eagan, MN 55121 Zoning: .1.1 e f son R - Owner: Address: 533 Sherwooc' ". Site Address. z-Rvan Plumber: .37oZ Meter No ze. der No.n Can I aIM h eswglp wMh 11ro City of swc^Ofg' Odieaeaea. E Q U ? Total: Date Paid: By Date of Insp.: insp.: /o?/o-bra Connection Charge: . t?Op Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: CITY OF EAGAN 1227 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est Value $81,000 Date JULY 3 19 86 Site Address 1533 SHERWOOD WAY Erect Occupancy R3 Lot 1 Block 1 Sec/Sub. BRITTANY STN Remodel ? Zoning Rl Parcel No Repair ? Type of Const VFj . Addition ? No. Stories TOLLEFSON BLDRS Move ? 64 Length Name 4 4 W 7 Demolish ? Depth c 1261 FAIRGRSEN "E Address I I ? S Ft 431-1100 A V mpr. nt q. City • ' Phone Install ? W SAME Approvals = o Name 0 a Address Assessment ~ City Phone Water & Sew. U¢ W W ?z Uz ¢_ C W Police Name Fire Address Eng. I hereby acknowledgethat I have read this application and statethat the information is correct and agree to comply with all applicable State of Minnesota Statutes and City pf Eagan Ordinances. Signature of Permittee `!. - Planner Council Bldg. Off. 7/3/86 Var. Permit '? .3 IV • Irv Surcharge 40.50 Plan Review 188.00 SAC _75-75700 Water Conn. • 00 Water Meter X00 Road Unit- I3W700 Tr. PI. Copies 00 Total A Building Permit is issued to: TOLLEFSON BLDRS on the express condition that all work shall be done in accordance with all applicable SS of Minnesota S atutes andlet"f Eagan Ordinances. Building Official ??/` t J(- C * _ -? Permit No. Permit Holder Data Telephone k Plumbing - - H.V.A.C. i i i t _ . IlElectric 1 - 01? ?n Isommer Inspection Date Insp. Comments Footings I B Footings 11 Foundation ?D B Framing d Roofing Rough Plbg. k Rough Hig. Insul. Q Fireplace Final Htg. Final Plbg. IBIdg. Final Cert. Dec. I Deck Fig. ID*ck Fang. WON Describe Location: Pr. Disp. ` - j PERMIT # I " • PLUMBING PERMIT RECEIPT # °D / CITY OF EAGAN ' C 3830 c _ PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE r - PHONE 4544100 Site Address ` -3 - /? BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub ?' ^? A del Res. New m Name t?N ? -#G(t --Add-on Address ?? ?`? s o 0 T,t' , L Comm. Repair c , r ?- / it O / e 12 7 , r u City Phone Other J l ' 1 FIXTURES TOTAL / e 5e,,k L Name & fi W t r Cl t - $3 00 C Address/ Z6 ( -7 19;& 6 OfkG A" /tV a e ose . =Bath Tubs - $3.00 3 O City ; < Phone V Z 31- Lavatory-$3.00 , .Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE -Urinal/ Bidet - $3.00 /Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE -$10.00 1 Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20.00 $1.50 - Water Heater STATE SURCHARGE PER PERMIT - .50 . Whirlpool - (ADD $.50 SIC IF PERMIT PRICE GOES -Gas Piping Outlets - $1.50 ? BEYOND $1,000.00) Softener - $5.00 Well - $10 00 I ? ll e . Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE 3 ' J STATE S/C: 3 S ?? FOR CITY OF EAGAN GRAND TOTAL Site Lot. a? C C aD c 3 O PERMIT # f? MECHANICAL PERMIT RECEIPT # CITY OF EAGAN -4830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE RACT PRICE: 1 ?% • PHONE: 454-8100 ddress '? i=ce BLDG. TYPE WORK DESCRIPTION i Block Sec/Sub, Res, New >:. _ Res. New Name -.t:7'Y?_ Mult Add-on Address -4 . Comm. Repair City te=a -? Phone Other Name TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other f / J M BTU M BTU M BTU M BTU CFM f FEE S/C: TOTAL FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 SIC IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF P FOR: CITY OF EAGAN CITY OF EAGAN 1729 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Recelpt # To be used for Est. Value Date ,19 Site Address A n,:r. is ? ., 1I Lot r Block l Sec/Sub. `` I ?A gTl1 t ` ?' Parcel No. _ W Name _ = Address 3 o City ,0 Name _ o i Address city - r¢ "W Name_ W iy z Address gZW City_ I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to of Eagan Ordinances. Building OFF ICE USE ONLY On Site Sewage Occupancy MWCC System Zoning on Site Well (Actual) Const City Water (Allowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS Engr./Assess. Planner Council Bldg. Off. Variance FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 "Pdrks TOTAL 25-?`' Permit No. Permit Holder Date Telephone Plumbing HN.A.C. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bldg. Final Cart Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN Remarks Addition BRITTANY 8TH ADDN. Lot 1 Blk 1 Parcel 10 15007 010 01 Owner " 9-//??dL? W4 treat 1533 Sherwood Way State Eagan, MN 55122 /_ /7 fi ?? D.," D_ `7-)" Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1976 12.2 1 _ SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1986 536.00 ' STORM SEW TRK loge) 1986 942.00 62.8o 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 12227 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 2 1PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. value $81,000 Date JULY 3 . ig 8 6 Site Address 1533 SHERWOOD WAY Erect Occupancy R3 Lot 1 Block 1 Sec/Sub. BRITTANY 8TH Remodel ? Zoning RI Parcel No. Repair ? Type of Const. Vtt Addition ? No. Stories 64 Name TOLLEFSON BLDRS Move ? Length r 12617 FAIRGREEN AVE Demolish 11 Depth 64 o . Address Int Impr. ? Sq. Ft. City A.V. Phone 431-1100 Install ? o I Name SAME a Address ? City Phone W Name E Address a w City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and C/Cii/ty/,j/??f Eagan Ordinance . Signature of PermitteeLNXL?IX(?/sue A Building Permit is issued to TOLLEFSON BLDRS // all work shall be done in accordance with all applicable Stara of Minnesc Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 7/3/86 Var. Permit $ 376.00 Surcharge 40.50 Plan Review-188.00 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $2.189.00 - on the express condition that Eagan Ordinances. Building This request void ,A 18 months from Y/ A71?- n A 0 la (9.85 equest cane YIIe Mo.l ROUPh'n? nspeCtiOn /^__ /? _? Required? N. eady Now Will Notify Inpec- (?„( ( 12?(l ycs or When Ready 7?jLicensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City _ ecUnn NO. Township Name or No. Range No. County Occupant (PRINT) Phone No. el eNC/ -r7 - (?' ?J J Pow¢` Supplier Address Eta rical Coatraclor (COmVa ny Name) .9f C nlractor s License No. u Maili g Address (Contractor or Owner Making Instai lation) Authori eture (Contractor/OOwne5' Making Install F Phone Number f/ ?'e, J L / 5 `/ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs•Midwav Bldg. - Room N.191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 297.2111 ENCLOSED. 5pt?,!/ REQUEST FOR ELECTRICAL INSPECTION E8-00001X4 a 7 x See instructions for completing this form on back of yellow copy. / 0759A "X" Be/ow Work Covered by This Request ?11?1 Add Rap. Type of Building Appliances Wired Equipment Wired 11 Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm they pern y .the, ISpeclfyl t r ppmfy Other Other Compute Inspection Fee Below g Fee. Service Entrance Size N Fee Faaders/Subfeeders N Fee Circuits 0 to 200 AMPS - 0 to 30 Amts 0 to 30 Awns Above 200 Arnis 31 to 100 Amps 31 to 100 An s Swimming Pool Above 100-Amps Above 100_Am s Transformers Irrigation Booms Partia6'Other Fee Signs Special Inspection GC's $ TOTA Remarks L FEE Rough-in ii A Electrical tor, hereby that the above f Final ( - ? tion has-been / oid l8months from This request v This request void 18 months from a 00 0 b C- 43015 ?loDl?/ Request I ate 4 Fire No. Rough. in In Required ct ion C) Ready Now Will Notify, Inspep- ?. O > Yes ON. for When Ready Licensed Electrical Contractor 1 hereby request inspection of above O Owner electrical work installed at: Street Address, Box or Route No. Ci l 33 S Q.U Section NO. Township Na.. or No. . Range County Occupant lPfll NTI Phone No. ?v$7 er Supplier Atldress Contractor trical k am e) r?oTpaay g? Contractor's License No. if ?zl? , n? 1Pt?Ict Ou 19 s Mating Address (Contractor Of Owner Making Installation) Authir i c tor/O er king Installation) Phone Number = (o3h THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Griggs•Mitlway Bltl9. - Room N-191 BE ACCEPTED BY THE STATE BOARD MN 55104 UNLESS PROPER INSPECTION FEE 19 1921 University Ave., St. Paul. ENCLOSED. pF..n. 16121 2972111 REQUEST FOR ELECTRICAL INSPECTION 8 a C-41 ,Sea instructions for eompietirg this form on back of yellow coat'. / IU b _ 61 5 '"X" Below Work Covered by This Bequest b I " hl? A Rep. ' Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) _the, ISUeufy) f -UT P, pacify Other Other Compute Inspection Fee Below h Fee Service Entrance Size h Fee FaedersrSubfeedere h Fee Circuits / 0 to 200 Am s 0 to 30 Amps 0 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Am s Above 100_Am s Transrormers rrigation Booms Partial, Ot Signs Special inspection s TOTAL E Remarks V6 Rough-in to p the Electrical ??t IJ apector, hereby certify that the abuy. Final Da/tom/ inspection has been rado. This reauest Vold 18 months from CITY OF EAGAN N°- 1 4 7 2 9- t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '* - PHONE: 454-8100 p Z -1 BUILDING PERMIT Receipt # (? L To be used for DECK Est. Value $1,000 Date MARCH 25 -19-8-8- Site Address 1533 SHERWOOD WAY Lot 1 Block 1 Sec/Sub. BRITTANY 8TH ADD Parcel No. Name STEVEN & SANDRA JOYCE 3 Address 1533 SHERWOOD WAY G City EAGAN Phone 681-1829 o Name SAME u< Address City Phone U? W w Na, Fw i Add U? M m City 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 1-ty, of agan Ordinances Signature of PermittA Building Permit is STEVEN & SANDRA JOYCE on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official .C7 6pzeL OFFICE USE ONLY On Site Sewage Occupancy MWCC System _ Zoning On Site Well _ (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 24.00 Planner Surcharge x.52 Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment PI farlcSopies .50 TOTAL ?S 0 CASH RECEIPT •' CITY OF EAGAN • 3795 PILOT KNOB ROAD EAGAN, ryNN IESOTA 55122 G DA / 19 - J AMOUNT ? P NO CODE AMOUNT D/ O? O Thank You" N2 65218 $ °1--35 ? ° U J ;Lv. --,) White-Payers Copy Yellow-Posting Copy Pink-File Copy a DOLLARS 'oo ? CASH ? ECK Fr NOTE: ALL 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 1?le ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: Date: Site Address 45-S3 OFFICE 1 Lot Block Erect 1{ Remodel Parcel/Sub Repair Addition Owner Move Demolish Address Int.Impr. Install City/Zip Code _ Phone Contract Address City/Zip Phone -Y "110-6 Arch./Engr. Address City/Zip Code Phone # TOTAL Occupancy Zoning Al Type of Const # of Stories Length Depth ?/c! Sq Ft APPROVALS FEES Assessments Permit Water/Sewer Surcharge Vl CJ Police Plan Review Fire SAC Engr Water Conn _ ?yU Planner Water Meter Council. Road Unit Bldg Off Treatment PI /.S2 APC Parks Variance Copies NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MUST BE LICENSED WITH THE CITY OF KAGAN 3?,? may= ????n /2- 9?/L, a ??. ?f'? ?/y?? S?? ???? ,, ROBE 'TO?.?cFSoa ENGINEERING aia°liieei o d°lpHp s,URVEYOpS COMPANY, INC. 1000 EAST 1461A STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 Za¢gL cr4,o2fon: LOT 1, Pal OL1L 1 , f3??- ITTArAX ?3c*? ADDrro?, D?'1-?Tl? (?uN'T`(r MrNNCSOTA C?o? 13 S ?1?2/?r?1ACxE F '?-ASF_ r ? E ti> i I_i I_ L L6 T- k.? o N \ N ? c? awe DF-*10Tes, < yks-rr nA u EI E ! A? O? 0(.r..1) DEj4oTec> (k'-oPcxF-D e(-C ? Az one -top (Dr= i r?rSrlE?t GAi?- acT c r L-ool?- - 1 ? i I? s 1 \ ? rtPa_P?` the t W•'3?? yn. 1 ?g7gnl ?,ol 0 4 \Z S NocZ-; +-o S? l\?F-_ Ire=-0, c), '0, Q 127 I hereby _c a this is a true and correct representation of a tract of I d as shown',and described hereon.. As prepared by me on this lam) day of ,7un-t ? 19 86 . ?F? No. 7. CITY OF BUILDING DEPARTMENT at NXTERIOR ENVELOPE AVERAGE "U" COMPUTATION ?Q4 (To be submitted with building permit application) 47/t ba One or Two Family Dwelling Owner •':• All Other Contractor /OGLE?-SO?VylC.S :we, Site Address Date Phone LINEAL FEET OF EXPOSED WALL :?56 110orK ! 1fEETN ft. above grade = t 1 (p 34. OD TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRU4TIOI': "U" Value x Area FK',4W6_ "U" i 6143 x sq. Detail reference COwC, "U" ORS X SQ. from - Kla1 "U" .040 x SQ. attached fluff x sq. sheets "U" x SQ. "U" x SQ. WINDOWS: "U" Value x Area FT. O 3.35- 5 (U)(A) FT. //5.Z4= II,Zg (U)(A) FT. /42.76= .71 (U)(A) FT. (U)(1() FT. _ (U)(A) FT. _ (U) (A) Make & Type 17?r?L, llyt l-r "U" • 46 x SQ. FT. 57.13-e. (U) (A) " of slut$ x SQ. FT* -= (U)(A) of "U" x SQ. FT. _ (U)(A) it "U" x SQ. FT. _ (U)(A) DOORS: "U" Value x Area Make & Type _9165L 1A90V1L, "U" ? M A SQ. " of AMetom .&qTF, "U" . 4B x SQ. .. " "U" x SQ* of n "i1" x sq. TOTALS J(p3?,Op SQ. AVER AE "U" TOTAL (U)(A) VALUES 185.0/ _ • ! DIVIDED BY TOTAL WALL AREA l(pf-.00 - AVERAGE "U" 0r less for 1&2 family dwellings ROOF/CEILING: TOTAL AREA: 174-7 FT. $(0,00=_784 (U)(A) FT. 113,00= 5;,7(v (U)(A) FT. _ (U) (A) FT. - (U) (A) FT. J$S.0/ (U) (A) Detail reference "U" •O f x SQ. FT.-/ 7f 7 (v• Z(U)(A) from "U" x SQ. FT. (U)(A) attached sheets. "U" x SQ. FT. _ (U)(A) Describe openings "U" x SQ. FT. - (U)(A) in roof. "U" x SQ. FT. - (U)(A) TOTAL (U)(A) VALUES DIVIDED BY 3&.1Z = %mALLJ 1747 N.ft U6,7Z CUrA> TOTAL ROOF/CE EA 1717 av Y ` AVERAGE "U .025 r ventilated roofs. 1 1 A)oRr- 9.5oX(4a+4$t 3st38) _ Cow?? 5dEET 1/ ), (0 34,00 116-. Z* 4-- L 7067- • 8? X (,48148 fi38t38? _- lc9 DowS za x 3(v = 4$ x 3? 20 x 48 = 24,A 48 Zox bo = L4X? = S.ct0 q,oo Moo (P . (V& C5. 06' g.33 /o,oo loap-ei 3Qs?L• w/z-s.L. _ ;V STL. l76R- _ 5e A1RWrx ?' 7- & a PAT10 X 1 -- 5',ao x 1 - • 9,00 X 1 = /2,00 X Z = 13. ?3 X 4 = ?Z,DO )( 4 = 33, 3z_ X Z = L o. ?a 3S.oo z1.oo 70, o0 4Z, oo SOB. NET &? Will c. FR04LS LESS Cowa, " Rl #m ?, wAw'S Ilv3g:o0 /is, z4 /42,7ly 1z4.?S -SSv.bS- lfo8,c? ?'- 00 3z x48 = &19 zZ? = 138 (asX 9 = 59 (v X /Z Z ,cz . - 4 1749.c» ?- --WALL SECTION-- Determining "Un values at Roof, Walls Rim, and Conc. Block ROOF/CEILING 1.) Interior Air film 2.) 5/8tt Gyp. Bd. 3.) Insulation 4.) 5.) Exterior Air Film (STILL) (R) VALUE 0.61 .56 45.00 .61 nUn = 1/R= OZ/ TOTAL (R)= "f/- 7J3 WALL 6.) Interior Air Film 7.) }n GYP. Bd. 8.) Insulation 9.) W, PvtL?T-'m5 10.) Masonite Siding 11.) Exterior Air Film R VALUE o.68 .45 17, oO z,oq .67 .17 TOTAL (R)= z3.0? nUn = 1/R= 0,.-? RIM R VALUE 12.) Interior Air Film o.68 130 Insulation X9,00 14.) 2n Fir Rim Joist 1.88 15.) W, Z. 04 16.) Masonite Siding .67 176) Exterior Air Film .17 nUn = 1/R= ,010 TOTAL (R)=24•,444 FOUNDATION (R) VALUE 18.) Interior Air Film 0.68 19.) 2o.) 21.) 12n Concrete Block 1.28 22.) RIlnID 10WI-i g,00 23.) Exterior Air Film .17 nun = 1/R= ,09g TOTAL (R)= /0./S 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN v/ y +'` SINGLE FAMILY DWELLINGS ?J INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF 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 To Be Used For: Valuat Site Address 5 3 3 ->'- ,mQ Lot Block Parcel/sub -5U-tTTANB-TN Ab NAb6N Owner S??tU .tti tSA-o oaA JAY( t_ Address ISI-3 Wes(W r City/Zip Code O +Avj M? 5111 Phone (-,9! - (9-;L7 Contractor -PA+sf s _felrt? SQ M C. Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # ion: 1000 S. MAR 22 W8 Date: OFFIi On site sewage MWCC system On site well City water PRV required Booster Pump Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit Planner Surcharge Council - Plan Review Bldg. Off. 4/k17..7Z3 SAC, City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 24, oo . SO. O 7 CJ ROSE EoHSULTING CkOl"4111 eNGINCeRING PLAIINEAS and LAND ,UAVEYGAS COMPRNY, INC. ? 1000 GIST 1461h STREET, BURNSVILLE, MINNESOTA 55337 PH 432`3000 C= jl?'i cca? ur?r-e if aaa t rdjcr• ,e2fon: LOT 1, P-?L0r-1L 1 , 'SQIrrANY 8,rts rQDpTOrs, OAti'-C??-A Gou?.i?^(, MrnlrJCso-r'A E39?Dzz' za"f? Cpo.13 S I?ArnlA4c E V ' It_ rT ( - 1 ?ASF_r?F?? i \P o N 6o J? V" s d N, I.J 1 L_6r sill ; ,a 12 a?a?o.n p?e?or?-S EXISTt a ? EI.E•t AT ?o? St?e,GAc? 'D2A???ACxc GAS-AC,? IV, (QUU.1 Y \ rq-t'4 • ?; ?' rah ? GP (q?Ql 1 0 e ' ?r S 'o v . 4,IS;S2i PROPoaeD ber-K Nocz,T+ 1 4:3_ 1 -r- 111=?, O A--, L-t. lz-:? 127 -- 5 02) OD 'JAO C hereby-c this ie a true and correct representation of a tract of is?f d as shown' and described hereon.. As prepared by me on this J`I day of 7e?n r 19 94, , 19'0 MAR 22Y Minn. Reg. No. /: {s CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION !'UrS': PAYMEN.P OF FF.E AT T1 1L OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WIIS, NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. 'xxxxxxxxxxxxxzxxxzzxxxxxxzzxxxzzxxz P ease Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRUCIURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (month/Year) PRESENT ZONING/PROPOSED USE.- MnIERCIAL/RETAIL/OFFICE `<R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: TOLLEFSON BUILDERS, INC. ADDRESS: 12617 Fairgreen Avenue CITY, STATE, ZIP: Apple Valley, MN 55124 PHONE: 431-1100 NAME: GENZ-RYAN PLUMBING & HEATING COMPANY ADDRESS: 14745 South Robert Trail CITY, STATE, ZIP: Rosemount, MN' 55068 PHONE: 423-1144 MASTER LICENSE# 1849M 4) o00 o „'• NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5} a im •: :o •ae ?s CONNECTION TO CITY SEWER CONNECTION TO CITY WATER 6) 'o i• PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2 ¢, ABOVE / (C 7c a one) 7) (_] Active }(?-.-,IL Expired Not recorded St Ini Tat Q anffR_? - FOR CITY USE ONLY PERMIT # ISSUED 77S 7 -? Pd W/Bldg. Permit $ C 75-1 c,, Cj $ FEES: $ c $ /S, c--v $ SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC -TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: $ 7 ' $ y ?• G? Z? TOTAL - /? S/jo RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES .'IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ILI -, 2008 RESIDENTIAL BUILDING PERMIT Date: IO-i7-GSS Site Address: Tenant: Suite #: RESIDENT/OWNER Name: CLFUGd spx-AI Ncc-- Phone: Gam-J-2c)5S--7100 M Address / City / Zip: f!533 1:;,?y_)oa1 W ak) 0T arx Applicant is: -Owner Contractor TYPE OF WORK `- Description of work: 1,)l "V [ b r 21 - seq C? n f"OrCI` l _ 6 11, Multi-Family Building: (Yes No 1 ConstructionCostt" ,,Z, f+r CONTRACTOR Name: _1C_,,; - .vvl I1J& License#: 2_0S9011a7 Address: 15 52 Colv\C-ll C+ City: 123sc-MC11I0IV State:- ?--Zip: 6.Gs5 Phone: ?S I- 2=3S- Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet - Submitted Category Submitted (J 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 Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit 'are-considered to be public information Portions at the inform ationImaybe classified as non public.if you provide specific reasons that would permit the City-to "` concludefhatthe are trade `secre ts: 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 t tan 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. x x /_1 " Applicant's ed Name D Applicant's Signature Page 1 of 3 OCT 1 © 2008 --------------- j Permit #: Permit Fee: r I Date Received: j I I I Staff: I I f I APPLICATION Cqiwl?-3t-N bl?(, c DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace -Yf- Porch (3-season) ? Ext. Alt. - Multi ? 01 of - PI" ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' 7C Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 00 1P Occupancy 2 G MCES System Plan Review Code Edition f1f OI9AOUA SAC Units (25% 100°/, %) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV Fire Sprinklers # of B uildings Length i?E Type of Const.Width Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: -Ice & Water Final Framing Fireplace:-R.I. _AirTest -Final Insulation Reviewed By: RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Sheetrock Final/C.O. _ Final/No C.O. HVAC _ Other: Pool: Footings -Air/Gas Tests -Final Siding:-Stucco Lath -Stone Lath -Brick Windows Retaining Wall Building Inspector DOD 5-0 Page 2of3 ?= 2 ? ? \? d ? `? r; ?, \ 1 ?' ?`• 41'17 i 2 D lJ- 2 la . ? ? 1 ? v? c a5 1 Or o ? ? ?o. SO 0 h ? 4\M p 4'., . 1 v u 1 ? ? d- ?? vl` f? ? ??' _ -N j??' rl .N ZSZ 2? Y ?" _? f I ? .41 REScheck Software Version 4.2.0 S s?? Compliance Certificate Energy Code: Location: Construction Type: Glazing Area Percentage: Climate Zone: Construction Site: 2000 Minnesota Energy Code Dakota County, Minnesota Single Family 9% 2 OwnerlAgent: Designer/Contractor: Ceiling 1: Flat Ceiling or Scissor Truss 1276 38.0 3.0 36 Ceiling 2: Cathedral Ceiling (no attic) 197 38.0 3.0 5 Wall 1: Wood Frame, 16" o.c. 2852 19.0 3.0 151 Wall 2: Solid Concrete or Masonry:lntenor Insulation 660 19-0 3.0 16 Window 1: Above-Grade:Vinyl Frame:Double Pane with Low-E 306 0.300 92 Door 1: Solid 42 0.300 13 Floor 1: All-Wood Joist/rruss:Over Outside Air 186 40.0 3.0 4 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code REScheck Version 4.2.0 and to comply with the requirements in mandatory requirements listed in the REScheck Inspection Checklist. 1 Name - Titi Signature - Date ?d Z--I .,UILDING INSPE TIONS DIVISION Project Title: Report date: 02/14109 Data filename: Untitled.rck Page 1 of 3 Compliance: Pas.ses Compliance: 26.3% Better Than Code Maximum UA: 430 Your UA 317 ;yumber ? Building Materials ¦ 4: Lamp perts YARD FIGURED ???? FOR ??????''''''"""''''??? ADDRESS ESTIMATE DATE?/1 ???/11 ?/ ' O CK.a'? We propose to furnish the material listed on this estimate for the sum of TYPE OF BUILDING I OWNER I JOB LOCATION CITY STATE PREPARED / ?? J e ZIP BV .4 aj uee OUOTATION COST NQ PIECES DESCRIPTION UNITS PRICE AMOUNT PRICE AMOUNT 1 2 8? ?/ w ?? 3 ? ?? _(/ 4 u a /ao ? ? , 5 6 "13 x 9?'a- 4VL c ?? ' 7 / /6 8 S 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 TERMS: (1) ALL ACCOUNTS ARE DUE AND PAYABLE 10 DAYS AFTER RECEIPT OF STATEMENT. (2) ALL SALES ARE SUBJECT TO THE ACCEPTANCE OF OUR GENERAL OFFICE. CLERICAL ERRORS ARE SUBJECTTO CORRECTION. PRICES QUOTED INCLUDEONLY ITEMS LISTED ON THIS ESTIMATE AND ARE NOT GUARANTEED BEYOND 15 DAYS. TOTALS THIS ONLY (3) THE OUOTED PRICES DO NOT INCLUDE SALES TAX. N OO ?.i ?I LS '9 SOM33CPS995LLB YARD FILE COPY s Engineered Lumber Residential Guide Allowable Uniform Loads -Roof 115% (Snow) 2.0E GP Lame LVL Allowable Uniform Loa ds' (In Pounds Per Lineal Fool Span (RI 1A" Thick GP Lam LVL Be ams 3A" Thick GP Lam LVL S eem Condition TAI 914' 9A" 110' 11 A' 14" TG" W 9A" 11'A" if A' 14' 16' 19" Z3A' Live Load L/240 6' Total Load 978 1183 1224 1524 1577 1576 1756 2366 2447 3049 3153 3151 3149 3147 3142 End/Im Bearing 27/6.7 3.6/9_0 3.7/9.3 43/113 4.81120 43(120 2716.7 3.6/9.0 3.7193 411113 4.8/120 4.8/120 4.8/120 4.81120 4.8/12.0 . Live Load 11240 444 887 •. .. • '' ; 8 Total Load ' 5601 832 ?: ' •859 1054: 1127 ' 1180 ,1120 1664 1716 2108 :1253 2360 ' .'2358 `+ 2351. '. End''/Int Bearing 23/5.7 3.4185 3518.E 43/10.7 4.6/IIA 4.8/120 2.315.7 3.4/8.5. '35/8:7.0 43110.7 4.6711.4 4.8/120 43/120 43/12.0 4.071211 Live Load L/240 234 470 5D7 468 940 1014 10' Total Lead 308 567 5% 805 858 943 617 1134 1193 1609 1715 1865 1884 1862 1876 End/ Ira Bearing 1.6/3.9 29172 3.0/7.6 4.11102 4,4110.9. 43/120 1.613.9 23/72 3.017.6 4.1/102 4.4110.9 4.8112_0 4,8/120 4.81120 4.87120 '. `Live Load U240 ,.:177•." `356 1381 629 : 725 •355 > 717•::: '.-;773 , 1248" `. 1151 /,.: ` ?•. 11 Tmel Load ^::233 46B ?. ' 492 , 6711. ° .751 - • a58 466... : 835 .: 984... 135 '1512." ' 1713 `.. .1711.; 1709 1704.; End/Im.Heming 1.5133 23!63 ,:2.5/63.. . is/9S 42/105: -4.8/120 .15/33 29/631 28/6.0 `3.8/95 42/10.5 ill'/ 12.0 43/12_0 -43./120 431120. Live Load 1/240 138 279 301 488 569 275 558 603 977 1137 12' Total Load 18D 388 398 569 630 785 360 736 795 1138 1261 1569 1567 1565 law End/im Bearing 15/3.0 2315.6 24!61 3.5/8.7 3.9/96 4.81120 1.513.0 23/5.6 2A/6.1 3.518.7 39193 43/120 4.81120 43/120 4.81120 •.... ;live load 1/248 --.-109 222 223 'z " • 309 ` 454 '. 720 . 218 . •. 443} ' 479 - '778 .9g/ 1441 J .'.' .. Total load 141 291 <, , 315 •484., - 536 ., . 724 283 582;.; 629 968.. ..1072 1497?.: 7448 " 1441 '1436' End%Int'Bearing 65%3.0 1.914Ai: 21l52, 32/8_0. 36169 "431 d1A '15/30 X19/4.9'. ,21152 '32/8_0 ..16/88 481120- 4.9%120 49/120 ,43/12.0 Live Load L240 as 179 193 315 367 586 175 357 386 629 735 1171 14' Total Load 113 234 253 414 462 631 227 468 5De 829 973 1262 1341 1339 1334 End/Im.Bearing 15/3.0 1.7141 1314.6 3D/7A 33/83 4,51113 15/30 1.7142 13/43 3.0/7.4 33/83 4.5/113 43!120 43/120 4.8/120 ' Live Load L/2,41) 71 146 , '159 75H + 301 = 482 143 : 292 1 11113" 518 .90:4 964 ,; ' 15 w Total load 92c: 190-% 206 x'339 , 3% '549 181 381 412' 677. ,793 .1098- ' 1251 `• .'1249 1243•;' End(Int.Beering. 15(3_0 15/3:7:' 1.6140' 126/89 "3A/7.6. 421105 1.5/3.0 `15/37, 13140 `2678.5 .3.0!26 42/164 4.8 43!120 4.8/120 live load L%24D 59 121 131 214 250 401 118 242 262 428 501 803 1171 16' Total Load 75 157 170 280 328 482 151 314 340 560 655 963 1172 1170 1164 End/Im Bearing 1.513.0 1.513.3 1.5/3.5 23153 2.7/6.7 391 as 1.5/3.0 1.5133 1.513.5 23/53 27/63 1919.9 4.8/12.0 4.81120 43/120 Lilo Load L/240 '49 101: 1D9 ai1.179 210 -;.338 99 202 219.w 359 . ' 420r 675:',: 981 -'. . 17 Teti Load 62 131 ; ' 142 .-234 274- a"40 1251 761 - 783. 460 '549 • 852e` 1102 ' 1100 lam. • EtM/tat Beermg 1513_0 4.513.0- 13/ 3.1 -2115.1 -24l6B? 87!93 , , .11.5130 1.5/3:0 15/31 31/5.1, 2A/6A 3.7/93 '42/12JD 43/120 4.8/12.0 We Load 1/240 42 Be 93 152 178 286 93 171 185 304 356 573 840 18' Total load 52 11D 119 197 212 375 104 220 238 395 463 751 978 1038 ID32 End/Im Bearing 1.5/30 1.5/3.0 1.5/3.0 1.8/4.6 2215.4 3.518.7 1.513.0 15/3_0 1.5/30 13/4.6 2215.4 35/87 4.51113 48/120 43/120 Itue load W40 73 . 79 13D' • 152 245 7V', 146 158 - 759 .`. 3% 490. 720 .:.. 19 'Told load 93 '1011 , 168-. 197 320 88 " .' 188 202 335 304 641 am , am 9n `. End/Im Beenng 1513.0, 1513A 1.7!42. J.9/4-9" '3.11 15780 :1.5/3.0 1.513.0 1.7/42 •19149 3.1/7.8,: 43110.7 4.8/120 4.61120 Live Load L/240 63 68 112 131 211 61 125 136 223 292 423 621 870 20' Total Load 79 86 144 169 275 74 159 172 267 33B 550 789 932 927 End/lot. Bearing 1.5/3.0 .15/30 1.5/3.8 13/4.4 28/7.1 1.5/3.0 1.513.0 15/3.0 15/3.8 13/4.4 23/7.1 4.1/102 43/12.0 4.81120 Lin Load U240 47 : 51 84; .. 99 180 46'. . 95 102.:. 169 . 198 329 ' 4n .663 ,. : 22 ;Total load ,. 59 134 -IN -' 126 207 54, , ..117 -,328;. 214., 1.;253 414,, 615 813 941 ErVilk Bead 1.5 , 1.5 15/3.P 1.5/3.7 24/53 15/3.0' 15/3_0 _1.513.0 1513.1 . 13/37 24/59: 3Sl98 4.6/11.5 491129 Live Load L240 65 77 124 73 79 13D 153 249 367 516 24' Total Load 82 97 159 89 97 164 193 318 474 671 769 End/la Bearing 1.5130 1.5/3.1 20/5.0 1.513.0 1.5/3.0 1.5/3.0 15/3.1 20/5.0 3.0!7.4 4.2/10A 4.8f 120 Live Load L240 - '51° 80 :. `. , 98 58 i `. 62 ` .103,• . 921., 196.' ;: 290. .E 409 :. r 26' '-' Total Load 63 75. 124. - e8..' 74 .. 127- 150... 149 .372 529 708. End/Int.Beming 13/3.0 15130 1.7143. `- 15/3. 15/3.0 15/30 1.513.0 1.7./43 25!6.4 3.6/92 43!120 Live Load 1240 41 49 79 46 50 83 97 158 234 330 28' Total Load 50 59 99 53 58 1pp 118 197 297 423 656 End/Im Bearing 1.5/3.0 1.5/3.0 1S/3.7 1.513.D 1.5/3.0 1.5130 1.513.0 1.513.7 2215.5 3.1/7.8 43/12_0 'Can be applied to the beam in addition to its own weight KEY TO TABLES Live Load U240 = Maximum live load - limits deflection to U240 Total Load = Maximum total load - limits deflection to U180 End / Int. Bearing = Required minimum end bearing (inches) for simple or multiple span beams and minimum interior bearing (inches) for multiple span beams based on plate bearing stress of 565 psi. See note 9 page 41. See notes on page 41. 44 Georgia-Pacific corporation, April 2005 • R Use BLUE or BLACK Ink For Office Use y!� y! ::::ee. City of Eapil ,24�`�� 3830 Pilot Knob Road �.- ' Eagan MN 55122 1 .� VEp Date Received: / Phone: (651)675-5675 buildinginspections(a)cityofeagan.com JUL 1 4 1017 Staff: �j 2017 RESIDENTIAL BUILDING APPLICATION Date: �—/T-/7 Site Address: /.5 �je.J"�.✓1� 1 g 3 -� bizeiy Unit# IName: P u.r� 7i- St brot®•e:1 Phone: c7-0709 7/oo Resident/ Owner Address I City I Zip: /S 3 3 S 006 1-✓ Applicant is: Owner N4- Contractor Type of Work Description of work: C,eei4- l._)2G6G )vi ovtg i 1-� o C4 t of" 1. Construction Cost: /2,v 0 Multi Family Building: (Yes /No ) Company: 9lAAS tS fylicrt obi LLC Contact: SG Contractor Address: l(p 36/ h v►44c/e Alm 12 City: CSSelii�ov:-t {' S mail: S t45 Coi sAr-t.c.A► c� 4+ I State: �1/�Zip: S-�OG,Q Phone: �o t'7SS�S e � ILicense#: 6 Lead Certificate#: If the project is exempt from lead certification, please explain why: /917g 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.citvofeagan.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.00pherstateonecall.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 approval of plan . x C .5--0/ x r•- Applicant's Printed Name App!cant's Signature 6,6ll LJ D of fnS e L J c -- Page 1 of 3 I -tJ i � N ve-- 5 c�wv 2 Qv..es h o v►S abd Low t5 c,,,WW =>CDhyo t,S-I- `755- 6, 3 I Si? at)d ct)c , DO NOT WRITE BELOW THIS LINE / y • " SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building • WORK TYPES New Interior Improvement Siding Demolish Building* y( Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 6÷,5 :29 Occupancy ,;, .. MCES System Plan Review Code Edition timv,4 OIS SAC Units (25%_ 100% �() Zoning /� jf City Water Census Code / Stories �� Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 16---- Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: X Footings (Deck) Final/C.O. Required Footings (Addition) x Final /No C.O. Required Foundation Foundation Before Backfill ( ` HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_ EFIS Insulation Windows Sheathing Retaining Wall:_ Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In`Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: i , Building Inspector RESIDENTIAL FEES Base Fee Surcharge 6 64- rJ 1141 Plan Review MCES SAC 4crillsd City SAC Utility Connection Charge S&W Permit& Surcharge zi ).-04 )( / 5.-->-. f pD Treatment Plant �` Copies TOTAL Page 2 of 3 - IS-33 Sh Q ro a bd :\do-j ' + ROBE ' 0�.� -So a ,..,,- ENGINEERING COMPRNY, INC. opiuNEanAeivavEvoss • . ' 1000 EAST I4Hi STREET, BURNSVILLE 6 MINNESOTA 5533? PH 432-3000 Cdr-if 'z CCLIC •! ry a y . . Zac7a ,.am�L. : LOT I , LOC..4. 1 , 13e,1-r---rA 1.4i err'-k- AO b Trio , DA4-01-IN 6a0+.1. , M,n1NGsor4 K 13c1v'Z.2` Zc."� 00 . -N ,r ate,,-> �ra©-r-S CYlS-r a u e.LE4+4-+0a 5 c, De4tt1A( F 3t.L,k)OE,4Cite> (-)?- cC. eLe"4 A-1-+o1.e. Lir(1_Cr\(' --+ SASE-rnG.1,-Ni 1.- --.1-301.-E, DI EL r.1 O�- \ .-->oe,e-i\c-E.., virzoNt .far,A-t. '143.'�� : `r P qO • �r�N<< E->t-a �J t / { ' \ 1 -f 1 — L � I'\ 1 -.o . ,,P \ L 6 T i cf 9. \ \ \is.3, nu.. fi N c . o 0 ki.1- tAtoto.i .3/ \ . N 0 ry \ f)c) e)(ka mow ' (g1r.n i v,,,9 \\ r9-‘3,+, -�\L ((q .o (1j •9)''44.` ;fin : 'Lu6,(1'. '''');11 A -.6e6(''T ,„ D, 4,‘.4 1.,\tct- is-0 V WV \ 410 1 q ' . 11\\ \VIr Ck'''1;:i r:- ) \ C_../\,t_.e„ I "".:-'. 6 t\/ (,:t• lir_.....A_ , A-t,) 01 iii,) -o. nl O . 660, 47w,!':---,"! .d ,,,,,„,- -;,,k Cq73 a) -0, 1"Z //. �l _ ::: • • _---- r.. c� I hereby _e this 3s a true and correct representation of a tract of lad as shown',and described hereon.. As prepared by me on this )f77) day of Juni. 1 19 :6 . , 4,,) 41:4 4e- Kinn. !eg. Wo. /4,4.5"