4823 Shevlin Ctqo
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED
Phone: (651) 675-5675
Fax: (651) 675-5694 OCT 0 6 min
Use BLUE or BLACK Ink
Far Bse
Permit*: 3(
Permit Fee: 9c v
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t 7 Site Address: O J t 1 e v 1 ri C+.
Tenant:
Suite #:
RESIDENT / OWNER
Name: '4 i J £ r I 1 I I e + Phone: 65 I cog / %p '7
Address / City / Zip: -1 2 OC S h e v I 1 n Cf , 55 I gc
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: c -e P'ac e 2Yt-I- -vi cloor I n -eY S,tb-7OP:
9
Construction Cost: 0 %1 00 Multi -Family Building: (Yes / No X )
CONTRACTOR
Name: W i h Q OW Con ct ep7- S License #: O / CO 3L/93
Address: 9 c e) LSO h -2 Ca /� - AQ) City 6050 /1
State: /t/ Zip: G5 /D, I Phone: 5 / 905�J clog
,/ V 1
_0
Contact: A%Q MC \I —SC) Email:
COMPLETE
In the last 12 months, has
If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes _No
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NOTE: Plans and supportig documents that you submit are considered to be public information. Portions of -'
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call. Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval •f plans.
x %i%a n e L/ Sc A m f e S► '-L3
Applicant's Printed Name
x
Applicant's Si
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•
CITY EAGAN SEWER SERVICE PERMIT
3a30 r~~vt Knab Road
P. O. Box 2i199 PERMIT NO.: 6542
Eagan, MN 55121 pA~; 3-22-n4
Zoninq: a 1
No. of Units: 1
owner: 'Tollef r
Add?ess:
s~re Address: ~~hevl~n ~~y, s B~ Br; X
a,ttL
Plumher. Genz R an Plb b Ht ~
Z~E~ 2-15-~i4 41514 0. p
~ e~e~n to eomoy w~ ~e Cihr of Eagoa Connection Charps: 425.00
Or~dinewaa. Acoount [kposit: S• 0 pd
Pennit Fee: 1 • ' ~ ~j
; B SurcFwrpe: • SO pd
Y Misc. Charpes;
Date of Insp.: Totcl:
Date Paid:
CITY OF EAGAry
~~at rno6 Road `NATER SERVECE pERM~T
P. G. Box 2i 799
Eagan, MN 55121 PE~~T NQ.: ~~~3
Zoninp: f~ j DATE: - ~
~ Bldrs No. ot Unirs: 1 !
Address: ~
Si ~ /lddross:
I er~No.. ~ry^ va~ P b
41
51ze: ~St'~ C Connedion C3~arge;
Reaa~r rvo.: `,s ~O1^t ~eposir: pri ~
1 e ~ r"' ;'11pldSnit l 0.
Fee: 0
Y~ fo aaap~if~'~~,Lqi pd
O~ee~+, GA~~~orge: p
E ~ ~da~i.~ U ( ~~a: h5 . ti ~ci mPrnr
ey
Dote of Insp.: ~e Paid:
In~p.:
, _ . _ . w . . . u_ .
INSPECTION REC4RD
,t;~ i i i~,:
CITY OF EAGAN PERMIT TYPE: t~ a
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ' ~ ~ ~ ' ~ ~ ~
(612} 681-4675
S1TE ADDRESS: t u r~ ~s i c~~• a APPLICANT:
:I~t. , •.lti V) 1M C i~ r~l t~~•~i! I iil MN IMr'
i~i~ ~ r ~ nati , . ; i
PERMfT,~U~T~Yp~: ~ TYPE OF WORK: F~,~
iii .i,~~'i1ii,~; o~~~~~~i~. .:~~~i
• •
! 1 fa A I
~tt
~ ~
~ ~
Pe~mk No. Permit Holder Date Telephona t
ELECTRIC
PLUMBING
HVAC
Inspaction Dete Insp. Commenta
FOOTINGS
FOUND
FRAMING
RdOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATIMG
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
L`f"CK FINAL
, - J~`~~ -
~ ~ - -
~
` - ' ' CITY OF EAGAN i ~ ~ ~ $
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt # ~ %
To be used for ~ Est. Value ~ 15 ~ il~~' Date ' - 1 ,19
Site Address ~ =-1 OFFICE USE ONLY
LOt BIOCk 1 Sec/Sub. c,:1l~i_ihY ti'~ OnSiteSewage _ Occupancy
MWCC System _ Zoning
PBfCeI No. On Site Well _ Type of Const
. City Water _ (Actua~
a Name ~ (Allowable)
u+ # of Storie8
3 Address ' ' Length
° City Phone `'~'~~1~•-'~ Depth
S.F. Total
, p Name • • ` Footprint S.F.
o~ Address ' • APPROVALS FEES
~ ~ City Phone ~ ` ~ Assessments Permit ~ ~ '
F Water/Sewer _ Surcharge ~r
yVj W Name Police _ Plan Review
FW
~ ~ Address Fire = SAC, City
Engr. SAC, MWCC
Q W City PhOne Planner _ Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this applicatlon and state Bldg. Off. _ Road Unit
thattheinformationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl
State of Minnesota Statutes and City of Eagan ~rdinances. Variance Parka
Copies
Signeture of Permittee L, 7QTAL -
A Building Permit is issued to: " is~'' on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordlnances.
Building Official ~
Psrmit No. Psrmit Holder Gat~ Talephon~ ~k
Plumbing
H.V.AC. C~~ Z" ' ~ ~ S rs
Electric ~~,1, r~~ r.- _ ~ i ~7 ~~jC~ ~i~
•x ' ~
Softener ~
Inspection Date Insp. Comm~nts
Footings I ~ ~ ~
Footings II
Foundation
Framing 2
Roofing
Rough Pibg.
Rough Htg. ~/+/~7 ~B ~G
Isul. ~ y
Fireplace
Final Htg.
Final Plbg.
Bldg. Final i
Cert.Occ. ~
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. DisR
CITY OF EAGAN N~ 88i~
3830 Pilot Knob Road. P.O. Box 21-199, Eagan, MN 55121 .
• PH ON E: 454-8 7 00
BUILDING PERMIT Receipt # ~
To b~ w~d fa SF DWG/GAR ~ ya~~ $ 55, 000 ~e FE°RUARY 14 , 19 84
4323 SHEVZIN CT. R3
Site Ad~ress Erect ~,f] Occupancy
~ot Block 1 ~/sub. BRITTAZJY 4TH ^~ter ~1
10-15003-U50-O1 O zonin~ iJ A
Parcel No. Repolr ? Fire Zo~e
Enlarps ? Type of Const. ~
W Name TOLI~~FSON ELDRS .
Move ? # Sto~ies
Z Address 16 5 5 ~10R~•JOO ) DRIVE Demolish ? Length 4 S'
~ ~ity EACAN phane 4 5 4- 6 8 7 3 Gmde ? Depth 2~~ Sq. Ft.
Approvob Faes
o Name SAME . 0 0
Address Nssessment Permit
u~ City Phone Water 8 5ew. Surchorc}e ~-OO
Police Plon check
~ W Name Firo SAC ~O O
x~ Address Eny. Water Conn.
u
~ W City Phone p~a~~~ Woter Meter O~
Countil Road Unit
1 hereby ocknowledge that I hore read this applicotion ond state that g~dg. Off.
the inlormotion is wrrect and ogree to tomply with oll oppliccble APC Totul ? 6~. 5 ~
State of Minnesota Statutes and City of Eogon Ordinonces.
Sipneture of Permiftee
A Bullding Permif Is iuued to: TOLLEF ~i~±~ on tha express cordition ~hnt
oll work sholl be done i~ ~rdcnce with oll oppUao la State of Minnesoto Statutes and City of Ea~on Ordinonces.
Buildiny Officiol ~~i J ~ ~ j
, . ~
Psrmit No. Permit Hold~r Misc. Permit No. Holder
Plumbin9 N2 f ~i^ 3/ 6 g y
H.V.A.C. o~3],r S l
Welt
Water
Disp.
Sewer
E~~~~ ~3 ~R~~~. q.s
Impeetion Date Insp. Other
Footingt ~y
Foundation
Fnmioq
Rouph Plbp. ~
Rouph HVA ..s ~ -ByL~i
Inwlation ~ ~1~
Final Plbg, _ _ ~
Final HVAC
Final ~
a
W~r Dssaib~ Locstion: .
i
/ n •1 ~
vue~~ 3
~if ~ • ~LL~ ~
Sewer
Pr. Disp.
,
~`y CASH RECEIPT
~ CITY 4F EAGAN
P. O. BOX 21-199 1
EAGAN, MINNESOTA 55121
DATE ` 19
escarv¢o
FROM
AMOUNT ~ I
~ ~ R DOLLARS
I IOo
? CASH ? CHECK
~o~ " ` ~ s J < , ~ ~ C'~~
} C
FUND CODE AIAOUNT
/
~ j ,
•
,l
Thank You ' . _ ;1
B Y
L~~ ? wn~te-Peye~s coev
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition BRIT'iANY 4TH ADDN ~ot 5 B~k 1 Parcel 10-15003-050-01
Owner Street 4823 SHEVLIN COURT State EAGAN NA1 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 19$2 45Z.94 9U.59 S 181.20 A013989 ~ 6-6-84
STREET RESTOR.
GRADING Z, 1981 23.82 1.59 15 17.50 A013989 6-6-84
SAN SEW TRUNK 1976 173. 90 11. 59 15 69 .59 A013989 6-6-84
* SEWERLATERAL ,rj~ 19$1 246.32 16.42 15 18~.6~+
Sewer Lateral trk 1983 133.33 8.89 15 $0.01 " "
WATERMAIN 1984 629.29 b2.93 10
~k WATERLATERAL ~ 19H1 LS
WATER AREA 1981 229.95 23.00 10 137.99 A013989 6-6-84
STORMSEW TRK / 1981 596.40 39.76 15 437.36 A013989 6-6-84
* STORMSEW LAT 1951 iS
CURB & GUTTER
SIDEWALK
STREET LIGHT
I 250 00
WATER CONfV. 4SO.~0
6UILDING PER.
SAC ~r tt
PARK
, CITY OF EAGAN .
, 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 N~ 8815
` PHONE: 454-8700 ~
BUILDING PERMIT Rece+ut #
Te M med hr SF DWG/GAR Esr. Value $ 55 ~ 000 pafe FEBRUARY 14 ~q 84
SlteAddress 4823 SHEVLIN CT. Erect g~ Occuponcy R3
Lot 5 Block 1 Sec/Su6. BRITTANY 4TA Alter ? Zoninq Rl
Parce~ No. 10-150 0 3-0 5 0-01 Repuir ? Fire Zone N/A
rc Name TOLLEFSON BLDRS . Mov`9e ? Type of Co~st. V
W ? # Stories
= Address 1655 NORWOOD TIRTVF pemolish ? Length 45'
~ citv EAGAN phone 454-6873 Gwde 26'
? Depth Sq. Ft.-
$AMF Approvala Feaa
p Neme
O~ Address Assessment Permit +S 298.~~
V~ City Phone Water 8 Sew. . Surcharge z7 • 5~
Police Plan check 149.00
Fw Name Fire SAC 525.~~
Address En9. WaterCo~n. 450.00
u'~
~W City Phone Plonner WaterMeter 63.00
C.ouncil Road Unit 25~.~~
I hereby acknowledge thot I have read this opplication ond state that Bldg. Off.
the inlormotion is corrett and ogree to wmplY with all opDlicable $1, 762. rJ~
Stote of Minnesota $tatutes and Ciry of Eagon Ordirqntes. APC Totol
Signnturo o£ Pertnittee
A Building Permit Is issued to: TOLLE on the expreu conditian Ihnt
all work sholl be done in wr an with oll ico le $tate of Minnewto Statutes and City of Eagnn Ordinances.
Bulldin9 Official /f O
i~~
' CITY OF EAGAN nJo ~ 4 Q$ g
3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454•8100 ~ 6
BUIIDING PERMIT Receiptx
To be used for FAMILY ROOM Est. Value ~ 15, 000 Date AUGUST 28 ~ 9 87
Site Address 4823 SHEVLIN CT OFFICE USE ONLY
Lot 5 Block 1 Sec/Sub. gRITTANY 4TH MWCC Sy ame = O~cn ^Bency
ParcelNO. OnSitewell _ 7ypeolConst
City Water _ (ACtuaq
a Mame JAMES GROSSER ~AUOwable)
w $AMF # of Stories
= Address ~ength
° Giry Phone 452-2445 Depth
S.F. Total
, e Name H. RASMUSSEN BLDR . FomprintS.F.
~Q Address 5120 OVERLOOK DR ppPROVALS FEES
~ City BLMGTN Phone 888-972D Assessments Permit $12_~5~
fQ Watar/Sewer _ Surcharge
°w Name Police _ Planaeview .64.25
W ~
tz Fire SAC,City
x- Address -
u~ Engc _ SAC,MWCC
aw C~ty PhonC Planner _ WaterConn.
Coundl _ Water Meter
I hereby acknowledge that I,~ve read this appliCay nd state Bldg. Off. _ qoad Unit
thattheinformationi con t nda reetocom I wtfial pplicable APG _ TreatmentPl
9 PY}
State of Minnesota u and City ot Ea b'a nces. Variance _ Parks
Copies
Signature of Per tte TOTAL Ol . 5
A Building Permit is issued to: H. RASM[JSSEN SLDR on the express condition that
all work shall be done in accordance with all applicabl t f Minnesota 5ta es and City of Eagan Ordinance&
Building Official l ~
O ~ ~ (~p ~Pr~ v -e_d~ .
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ~ I 3
651-681-4675
New Construetlon ReauhemeMS RemotlellReoeh BeouhemeMe ~
• 3 repistered si[e surveys showing sq. tt. of lot, sq. fl. of house; and ~ rooled arees • 2 copies of plan
(20%meximumbtwveragealbwed) • lsetolEnergyCakuletionslorheatededd0~s~
. 2 copies of plan showing beam & wg~ow s¢es; pouree iound design, etc.) • 1 sae survay tor e~erior addMons & decks
• t set af Ene~gy Cakulatbns • Indicate B home serreA by septic system tor addrtqns
• 3 copies M Tree Preservetlon Plan A bt platted atter 7/1/93
. RImJolstDetailOptionsseleclWnsheat~bMgsw~h3orlessuntls)
DATE ~ ~ 2 VALUATION ~-~I d o
SITE ADDRESS y~a3 5~2 U l t l•~ C~~ MULTI-FAMILY BLDG _Y ~
TYPE OF WORK ~G 2~ V c~c) 'F FIREPLACE(S) _ 0_ 1_ 2
APPLICANT OC7 £ ~ ~ ~ To ~ ~~,o~~ t~c.
STREET ADDRESS G( ~2-v ~Cl r 24 c~ ct ve S c, GTY ~ F~~G~ STATE `~ZIP SS G/ 6
TELEPHONE # 6S/-/~3'- ~~33 CELL PHONE #i 6S/-YoL--~oYb PAX #
PROPERTYOWNER ~~c~2 t-
~ 1~1~~ TELEPHONE# ~ ys6~9 ~Z3
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RiILES 7670 CAT'EGORY 1 _ MINNFSOTA RULFS 7672
su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor. Phone # _ _
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
MechaNcal Conhactor: Phone # i - -
Mechanical system includes: ~ Air Conditioning ~ ~
_ Heaz Recovery System ~ 1 R~^~7
I i~
Sewer/Water Conhactor: Phone #
By
I hereby acknowledge that I have read this application, state that t~-ir,fiomratf~ is correct, and agree to comply
with all applicable State of Minnesota 5tatutes and City of Eaga ~Ordinances D
Signafure of Applic~
_d__..__~.__....___.______._.______~__ OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation 0 07 O5-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt- Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garege ? 22 PorcNAddn. (4sea.) O 33 Ext. Alt - SF
O 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? D5 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? O6 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 3B Demolish (Interior) ? 44 Siding
? 32 Add'Rion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicaM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile O~~
Roof _ Ice & Waur _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
- F~~B _ Siding Stucco Stone
_ F'veplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Buflding Inspector
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ cr~ cr• r:nr~r~ i~i~ae 2 sets of~i.an~'
1 site plan w/elevaYione i
BU1t.pI1JG PEli1~4T APPLICATION 1 set of enecc~y calqila~t3c7yg.
Rb eo ureci Fbr ~L_~~valuation ~s,s;mv-a narJe FP~/~ I y~Gl ' .
~ SitO ~IdL1K+d~Y _~~~~~I1~ . i . ~F'IGE [~SE QdI.Y
i ~ 5#= B~ ~~ub. n\ Erecc ~~Y ti~,..~_
5 0- Z J luter zoniny
Q~A16ri ~ ~r,(~ , 1S~ ~ Fire ?~ore .
~ - Thlar9e _ 'ly~e a£ Const.
' ~ SCDTleB ~
atYI~P ~Lei ~118F1 Fl~cNtt Y ft.
~
~ r llePtll a lo PY.
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~ AE'PIadVAI.S F~ -
; oar?tr+rcter: T ~ ~s~~„~r.~ ee~t ~qg ~ :
~ ~
~~~N~'~vv~qi~~~~ ~ ce/s~ s~~ 6~. .
- Plan C~eck~__~.Z'9 ~ ~
. CitY/ZiP (~det: Fixe 5AC S~a^~
,
i • Phiorq ,~j/~-.~J~'7 ~J. water Gmn. ~/s0 .
I Plarv?er Wdter MeteY !03 ~ ;
• ~~y./~g. t C~uticil Hoa~i Unit 1XS0 ~
Hlc~Cj. Off. ~
I AiddeaqlNi i • '
~ CitY/Zip Cada:
; plw~ i: 'mrAi. 1 ~~7 ~o Z.S C) ~ .
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Yollef~on Buildezs Inc. Or.11406_1
, ~ 1A3-77
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I H[REYV C[PTIFY TXAT TME ABOV! I{ A TRY[ AMO GORR[CT rLAT OF A BYRV[Y OF . ~ ~ . . .
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1987 BOILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IACLQDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SURVEY~ 1 SET OF ENERGY CALCOLATIONS
NOTE: ADDRESSES FOR COENER LOTS - CONTRACTOR/HOMEOIiNER MDST DESIGAATE WHICH ADDRBSS
IS DFSIRID. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSQED.
M[JLTIPLE DWEL.LIHGS - RFSIDENTIAL RENTAL D1~IIT5 FOR SALE D~ITS ~
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECB SiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CO.+II~96RCIAL
INCLODE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS~
$2,000 LANDSCAPE SOND
A'IID i 77 or~ ~ - p~
To Be Used For: ~pSNll~-~ ~M Valuation: {-(a~-~~ Date: ~-Lt[a (~j g 7
Site Address a,3 S~-}b/(~N ~ p~ OFP'ICE OSE ONLY
Lot S Block ~ On Site Sewage_ Occupancy -Q-3
(,'~Q MWCC System _ Zoning , Pn
Parcel/Sub 7 ~ On Site Well Type of Const
~ City Llater (Actual)
Owner ~,-p~ ~ ~~~~y~~~--7? (Allowable) ~r
!k of Stories
Address 4S ~3 ~2~/i~ Length
~ I Depth
City/Zip Code ~(~J S.F. Total
Footprint S.F.
Phone 45~ -~-445 9PPROYALS ~s
Contractor y, (~S1Yti1.(SS~ gl~~. Assessments Permit ~2b~.5J
Water/Sewer Surcharge ~.So
Address S~ ~-p ~7,ff(~'iZ.~p~jlC. . Police Plan Review 6,,7
Fire SAC, City
City/Zip Code ~j~~1('j{~{~,S(~~7yy~, L~ .7 Engr SAC, MWCC
Planner Water Conn
Phone g-~ 7~ Council Water Meter
Bldg Off 1 S z~ Road Unit
Arch./Engr. APC Treatment P1
Variance Parks
Address Copies ~
TOTAL ~D I• a.
City/Zip Code
Phone ~I
.~ailderc Inc. ~1R3476-1
~ .
~'~Jy JACKSON - SURVEYOR5 N
s~,le: 1~~ . 30~
~ . R(pl{T[11[O YNO[11 LAWf 0/ tTAT[ O/ YIMMtlOTA Iron
-=Drainage 6 Utili[y Easat
~ - ° Dra ibage
3818EAST55thSTREET,MINNEAPOLIS,MN55417 ~Z~ ~0.0=E:I~ting Elev.
~ ~
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~ Proposcd First Floor Elev. ~ ~
Pcopoeed Ea~emeot Floor Elev.
I NUE~Y G[flTIfY TNAT TX[ AOOY[ It A TRU[ AND GORR[CT rLJ1T OF A SY11Y[Y OF - ' ' . -
Lo[ 5,61ock 1,6ri[tany 6th. Additlon.
. Dakota County,Ninnesota.
, .
As su~v~r~c ~r r~ TNU lOth_~~ a PlbYUiiy ~.0.1984 ~ -
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s~on~
~ - ' ~ - ~ ~ F. C. JACKfON. M~MMno w~~riur~oM. No• iW0 .
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CITY OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' COHPUTATION
OWNER: .~ME~ ~-~.p`~'jS~L
SITE ADDRESS: ~}-~j~3 ~U(~,~ CT'.
CaNTRACTOR: ~1-C~~(~SSE~] DATE:,AIAC~ ~,L'~I~IPHONE: g~~~
Determine xorking square footage of each:
1. Total exposed wall area s!~ sq, ft, x.11 = S~•/~
2. Total roof/ceiling area a g$ sq. ft. x.026 = 7,~ ~
Total exposed xall area abdve floor = ~ g~
a. Total wall window area ~d.
b. Total door area
c. Total sliding glass area 3(~
d. Total fireplace wall area
e. Total wall framing area (average•10%)• ~
f. Total net wall area above floor ~4
g. Total rim joist area ^
Total exposed foundation area = ~°S
h. Total foundation window area
i. Total net foundation area above grade ~
Determine 'U' value of each wall segment: '
a. Sa x ~u~ ,a9 = ra.4~
b. : ~u~ - -
c. 3 (Q x ~u~ ,47 = 4a.
d. x 'U' - -
e. 48 x 'U' ,f~,_ = 4;3a
r. 3,43 X' :.Q4 = L'i~ Z~
s. x ~u~ -
h, x 'U! -
~ 1. ~ 5~ x~ • 2 S~ _ ~------L~--
3 . Total = ~.r~-~
If ftem 03 is the same as or less than item i11, you have met the intent of SBC
6006(c)2. ~
Total exposed roof/ceiling area =
,j. Total skylight area
k. Total roof/ceiling framing area (average 10%)
1. Total net insulated roof/ceiling area
OVER
'
CITY OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U~ COMPUTATION
047NER: fAt~vl~ Cs2FY~~'L.
SITE ADDRESS: Qgo23 ~1-~~'~/Uf`} GT^•
CONTRACTOR: ~.~~~(~(ti{,(~SI~ j~ j~(Z . DATE: a4 I-~G~'7 PHONE: gg~-9~I ~
Determine Horking square footage of each:
1. Total exposed wall area . .
2. Total roof/ceiling area o~ g sq. ft, x.026 = ~~j ~
Total exposed xall area above floor = ~-Ib
a. Total wall window area 5 a
b. Total door area -
c. Total sliding glass area
d. Total fireplace wall area ^
e. Total wall framing area (average 10%) 4f~(o
f. Total net wall area above floor ~ tYl.y~F
g. Total rim ~oist area
Total exposed foundation area =
h, Total foundation window area
i, Total net foundation area above grade ~
rmine 'U' value of each wall segment: '
a. S~, x ~U' .a.~- _ l~.~45'
b. x ' - - "
c. ~fo x 'U = ,
d, x 'U'
e. 4~ x 'U' = 3.74
f. ~Fr6,~ x ~U~ o = (1.46
6• ' _
h . x, ' U' -
' i. x 'll` . fZ =
3 . Total - ~'~J`m'
If item I!3 is ~he same as or less than item /11, you have met the intent of SBC
6006(c)2. ~
Total exposed roof/ceiling area = 2~~
3. Total skylight area ~
k. Total roof/ceiling framing area (average 10%) ZS•8 ~
1. Total net insulated roof/ceiling area Z59.2
OVER
Determine 'U' value for each roof/ceiling segment:
_X ~ = ~
k. Z~~f~ X~u~ . ~ Z _ 3~~~
i. Z59.z x ,U3 - ~ ~8
4 . Total = II• Z~'
If total of S4 is the same as or less than 112, you have met the intent of SBC
6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items ~f3 and (/4 shall not be greater than the sum of Items f11 and li2.
+z. -r,y9 =~3.~L
.
s. .3s . 1 ! . ~ a = 6 y.59
z
. • ' GUIDCLiiiE TO (a) ~~ntruas rrton rsnn;,c ~v,uunt
~ OP TYPI[ALLY USCD PRODUCTS .
(R) (ft)
~~teriar Air Film (lfalls) O.EB Gypsum ar plaster 6oard j/B" 0.32
Ea[erlor pir Film (ualis) 0.17 Cypsum ar V~ester Loard I/2" 0.45
~~tcrlor Iir Film (Vcn[ed [eilin~J O.GI Gypsum ar plaster hoard 5/II" 0.56
Ex[crier Air FIIm (y~~ted Ccilln9) 0.61 Plywoad j/8" p.6]
- I~~cilor Alr Filn (Ilrn Vcnted) 0.61 Plywood 1/2" 0.62
Exterior Air Film (non Vmted) 0.17 PlyNCwd 3/4" 0.93
~ Sheathinq, re9. denslty 1/2" 1.}2
Rlumin~un Sidinq 0.61 Sheat~ing, re9. densi[y 25/32~~ 7.06 ~
Aluminum r~itn Backer 1.62 Nail-Aase s~e~thin~ I/2" ~ 1.14
Aluminom wit~ Backe~ 6 Foiled 2.96 -
1/2 x 8 Lap Sidinn (l1oaE) . 0.81 Buil[-up Roofs 0.73 - ~
7/16 e i2 Iiardboard Sidinq 0.67 Asbes[os-cemen[ shin~lis 0.21 ' -
RsLestos SiAinns I/4 Lapped 0.21 Asph,ilt roll roofing 0.15 ' ' -
Slucco (pro:in and Finls~ Coa~) Aspahlt SAingles O.L4
3%~" ~IOOd Subf~oor or Shea[hing 0.94 Insulation: 2-2 3/4" Fiberalass 7.00
' 1/2" PlywooE ~.6ca[hinq 0.62 Ins~lacioo: 3 1/2" flber9lass I hoo - ~
' ' I/I" Part~clc doord 0.6G InsolaCion: b" Fiberglass ~9.00
W0~5: . B~Ol1RIG ll00L5 ~ . . ' .
iir, pine L slmilar soft 4oods 1 1/2" I.89 Approx. • 9.00 - ~
. 2 1/2" 3.12 Approx. 4 I/Y` 1;.00 . . .
3 1/2" 4.35 ApProx. 6 I/4" 19.00 _
5 1/2" 6.87 AvProx. 7 1/4" 24.00
. " ApProx. 14" . 30.00 . .
' Approx. IB" LO.uO ~ . .
AII o[her insulatian materials nusi be .
Fllled verified (R (actor) - ~ . ~ '
(R) Verm~cvlitc . ~ ~
8" [oocrete Block (5 t G Req.) I.11 1.93 ' ~ - .
12" Convete ¢lack (S [ L Re9.) I.Zft 3.15 . " ' ' ~ ,
8" Ligh[ ueig~t 2.IB S.0} . ~ . .
12^ Ltgh[ t:ei9~[ 2.48 5.82 ~ ' " ' .
IIG~ 3a}.3:`d? 1~~~9nC~~~aa~* ' .
NOTE: (0) x Area Squaro Fect
~u
. .
n~i vi~aaws ~ ~ . _ . .
(v/5[orns I^ ro 4^ SPace) . .56 " "
aemo~al Oov01e Ciaiing (0.0L) .$5
Therma or Helded 3~16" ai~ spacc .69 ~ „
1/4" air ~pace .65 '
1/2" air sP~ce .58 . ' ~ ' . .
~ (Ophe~ wlndaws sPe<~fically [es~ed can aze better ratin9s) ~ ~ - , , _ '
1 3~~ Solid core door ,46 ~ ~ ~
u/ztorm. wood .)I . ~ -
w/zmrm. metal .26 ' , . .
Pease Stcel~oor Insl/~:/LL 7.45R .13 ' .
' $lldlnq GIu55 DOOf~ lloOd .65 , . . , - .
Me[al .715 ~ . '
PE~ZMIT ~53798.
CITYOF EAGAN BUILDING
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: 0 Z ~ 10 4
(612) 681-4675 Date Issued: 0 3/ 0 5/ 9 6
SITE ADDRESS:
4823 SHEVLIN CT
LOT: 5 BLOCK: 1
BRITTANY 4TH
P.I.N.: 10-15003-050-01
DESCRIPTION:
,-,_4 STDING/SOFFIT/FASCIA
~s' BuiY°.ding Permit 7ype SF (MISC.)
~Bwildi'ng Work Type REPAIR
r`' ~Can~us ~Ck~1e 43A ALT. RESIDENTIAL
/ ti",
~ 1
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1' _ ° ~n
t
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t f -
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t~ n 4-
.t ~ ,_?v*
l
~ 4
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1'y~ ~i < j~ ~ i -
f t .
~c' m, ~ ..s "g~..:~y` i .r Ei. f i , E . , !
l?'~i.'~_~=.~ ~~i .
REMARKS:
FEE SUMMARY:
VALUATION $11,000
Base Fee $174.75
Surcharge $5.50
Total Fee $180.25
CONTRACTOR: - Applicant - sT. ~~/{~ER:
PANELCRAFT OF MN INC 17216628 000 179 FLIFLET STEVE
3118 SNELIING AVE S 4823 SHEVLIN CT
MINNEAPOLIS MN 55406 EAGAN MN 55122
(612) 721-6628 (612)456-9723
I heretiy acknowledge thet I have read this application and state that the
znforrnaCion ,~s correct and agres to comp7,y with all applicable 3t:ate at Mn
S~atuC~~ and"City of Eagan Ordinances.
L _ _ _ J
~ ~ ~C:ct;r~ (
APPLICANT/PERMITEE SIGNATURE ISSUED B: SI ATUR~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B u i ~ o i N~
3830 Pilot Knob Road Permit Number: 027104
Eagan, Minnesota 55122-1897 Date Issued: @ 3/ 0 5/ 9 6
(612) 681-4675
SITE ADDRESS: ~ ~ oT : 5 a ~ o c K: AP~LICANT:
4823 SHEVLIN C7 PANELCRAFT OF MN INC
BRI7TANY 4TH (612) 721-6628
PERMIT SUB MYPE; ~ TYPE OF WORK: R E P A I R
DESCRIPTION SIDING/SOFFIT/FA
. . „
FINAL
r-- _ _ _ ~
_ . q
L _ _ _ ~.J
CITY OF EAGAN Z~.
~ 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construclion Reavirements RemodeVReoair Reouirements ~
. ~
O 3 registered site survays ~ ? 2 copies of p~an . ,
? 2 copies of plans (include beam & window sizes; poured ind. design; efc.) ? 2 site surveys (exterior additlons & decks) .
1 energy calculations O 1 energy wlculalions for heated additions
? 1 l(ee. preservation plan if lot platted after 7/1l93 ~
~ ~ required: _Yes No .
DATE: o~ I aa. I~~ CONSTRUCTION COST: ~
DESCRIPTION OF WORK: S 1 CI I/1 Q i SD FF I~ i ~Cl SG Q.
STREET ADDRESS:
: LOT BLOCK SUBD./P.I.D. ,~~~.d~i.l~~-~'~'
PROPERTY . N8n18: ~ ( I '1" ~ ~ ~ ~~~V ~ Phone ~S~O " ~I7a3. ,
OWNER
~ S a 3- S h e v l; n C'o c,~r~-
Street Address~
.~5f22~` . _
City: ~a~Qn State: mn Zip:
CONTRACTOR Company~~e-1~~+ o~ ~N• Phone#: ~a~"~D~OZ'g
S~ b Street Address: 3~/~ .She ~~i n~ ' License ~~~79
~ oa.~- c~tY: M i nn ~a~P ~ l~'s Mn S~-IoC,o
ARCHITECT! Company: Phone
ENGINEER
• Name: Registration
Street Gc+dtess
, City: State: Zip:
<`Sewer & water licensed plumber: Penalty applies when address change and lot
~ change are requested once permit is issued. '
,1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ali
applicable State of Minnesota Statutes and City oT Eagan Ordinances.
,
" : , Signature of Applicant:
; . _
. _ . , . . , ,
~ . . 1,
. , . ~ . . . . . , .
OFFICE USE ONLY '
;j Certificates of Survey Received Yes _ No
,
i"Tree~Preservation Plan Received Yes _ No
~
OrFlCE USE ONLY ~ ~
BUILDING PERMIT TYPE , "
? 01 Foundation ? 06 Duplex ? 11 Apt:/Lodging ? 16 Basement~ Finish'
? 12 Multi Misc. ? 17 Swim:Pool , '
? 02 SF Dwelling 07 . 4-plex ~ )
? 03 SF Addition ? 08 8-plex ? 13 ~GaregelA'ccessory'=o ' 20 Pablic Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ?:21 Miscellaneous
? 05 SF Misa ? 10 Multi (additional) 0 15 Deck
WORK 'fYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
` GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire 5prinklered
:.;.Zoning . sq. ft. PRV
of Stories sq, ft. Booster Pump
Length sq. ft. Census Code.
Depth- - Footprint sq: ft. SAC Code
- - ` - ' Census Bldg
Census Unit ,
.
APPROVALS
Planning . Building Engineering Variance
Permit Fee Valuation: $ ~ S~' ~
Surcharge
Plan Review '
License
MC/WS SAC
- Cit~~ SAC _
Water Conn.
Water Meter
Acct. Deposit
~„z; , r ;,S/W Permit ~
S/W Surcharge ~
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies_ _ _ , .
To~~: 1 go.~5 _
% $AC
SAC Units
I
CITY USE ONLY a~p
L ~ 8L _L ~ RECEIPT / O 7 33
SUBD. RECEIPT ~ATE: D c~9 1~'O
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN .
3830 PILOT fQdOB RD
- EAGP,N, I1PI 55122
(612) 681-4675
Please complete for: D single family dwellings
? townhomes and condos when pertnits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES ^ EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Trey 3.00 x =
Hot TublSpa 3.00 x =
!aUq~tec Heater 3.00 x ~ _
Floor Drain 3.00 x =
Gas Piping Outlet " minimum - ~ 3.00 x =
Rough Openings 1.50 x =
Water Softener `for dwellings under construction 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler `fordwelling undercanst. 3.00 =
U.G. Sprinklef ' for existing dwelling 20.00 =
Alterations ~ to existing residence 2D.00 =
Water Turn Around 2D.00 =
Private Disposai System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems `Abandonment 2D.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .5~
~~y S~
TOTAL O~v
~I hereby acknowledge that I have read this application, state that the information is cortect, and agree M comply with all applica6le City of Eagan ordinances.
It is !he applicanYs responsibility to notify the property owner that the City of Eagan assumes no IiaGility for any damages caused 6y the City during its
normal operational and maintenance adivities to the facildies constructed untler this pertnit within City property/right-of-wayleasement.
SITE ADDRESS: ~~-z3 0'~~`!/!/i,/ LcC~,QT ~
OWNER NAME: ^~T,Fd~' ~'~/F~~T
INSTALLER NAME: dY40Tr,~ %t.~iM~~•? G TELEPHONE .s'lr~~ dS-t'~-S~'
STREET ADDRESS: ~~4d 9 m~~s? a~ 1u /T~= sl --'W
CITY: ~yM~G7'h~ STATE: IP: SJ 5~~~
.
'+C,~
SIGNATU OF PERM EE
~a
CDlPERMIT PORMS/RPLBG PERMIT (RES) - 1998 ~ , ' ~
a _
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132893
Date Issued:09/09/2015
Permit Category:ePermit
Site Address: 4823 Shevlin Ct
Lot:5 Block: 1 Addition: Brittany 4th
PID:10-15003-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Steven A Fliflet
4823 Shevlin Ct
Eagan MN 55122
(651) 688-7784
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature