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4841 Shevlin Ct cirv oF ~'~AN - SEWER SERVIGE PERMIT ~ao Pna KnAp Roaa P.O. Box ~1~89 PERMIT NO.: ~g~ 5 , Eagan,'MN 55121 DATE: ~-1~-~57 , 2ohing: ~ 1 No. of Units: ~ ' Owner. To11ef son 31drs . Address: SiteAddress: ~g~l Shevli.n Rc~urt L2 BI ~;rittany Et?~ ; Plumber. ~ide S~ W/Genx T.va.i ~ s. ~J--z~~-c?.~ 74~~lC ~:~~i.:~t~~ ; I agree to compty wlth the City of Eagan Connection Charge: S7 z~ Ordinances. Account Deposit: 7 5_ i~t~t,~i Permit Fee: 7 n + _4n A ! Surcharge: p ; By Misc. Charges: Date of Insp.: Total: i ; ~ ' Date Paid: ~ ~sp , _ ~-*^r^-R~-t ~'~_.e`~...~ , ~ 6-19-a~ GITY OF 6AGAN ; Permit No: Date: 3830 Pllot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Tollefson F~ldrs. Owner. Site Address: ' ev ourt B Br ttaY:y ~ t~: plumber. ~~e e 5 Cenz Ryan Conn. Chg: ~~5~ ~~Pd Zoning: ~1 Acct. Dep: Z~• ~~flpd No. of Units: 1 Permit Fee: 1 ^ ' ~~p`~` Surcharge: • S~pd I agree to corr~ply with the City oi Eagan ~ Tr. Plant 1:;O.~Op:i Ordinances. ~ ~ Meter. f,7 Oil~~ Misc.: BY , WATER SERYICE PERMIT ~ ; Date: __;'~:,._„7 CITY OF ~.4CaAN Permit No: 3830 Pllol K~iob Road Meter No: ~ Siza r~ ~~Q P.O. ~ox 21199 Reader Na: ~p Date: ~ Eagan, MN 55121 n ~e^ soSi ~lc~rs. j Owner. SiteAddress: F~"'~ ~hevli.r. ~'otsrt L? PI Lrittany 4ti1 j La:ce S ide S`'~d J ~enz R~ran i Plumber. ~ ~ ~ Conn. Chg: ~ • !)Opd :~y~ :::r` ~t~,~~ ~ ~ . 1 Acct. Dep: l~ . 00 d ~ ~~I~~t~~' ~ i Permit Fee: l~ fore t~b'~ ~L~r _ Surcharge: . 54~1 ~ P~i ~Q I"~gree toA o~~~ with the Clty ot Eagan # i J . ~~t1 r~r~n~1~ Tr. Plant Meter. ~ ~ .=j`~.- ~ rr a Misc.: B~-T- WATER SERVICE PERMIT ~ , CASH RECEIPT . CITY ~F EAGAN ~ 3830 PILDT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 , ' ? ~ necEiveo FROM ~ ~ AMOUNT $ I & DOI.LAR$ too ~ CASH CHECK FOR i ~ - ~ Cy 1 ~ ~ ~ 1 ~ FUND COOE pMOUNT Thank You . BY ~ ~ ' White-Payers Copy Yellow-Posting Copy Pink-File Copy . _ a,~-, BLDG. PERMIT N0. ~f~ ` c~ ( . , ~ . ~,J'I.Z7 . / 01-3210 Bldg. Permit - . ~ ~ d1-34~2 Plan Check / ~t, 7 01-3445 Surch./Adm. 01-344b SAC/Adm. ~ ~ 01-2155 Surcharge > > 17-3860 Road Unit ~ ~ ~ 20-2275 SAC ~ ~ 20-3865 Water Conn. ~S ~J 20-3868 T,Tater Trmt. d c' 20-3716 Water Meter ~ 7 20-2252 Acct. Dep. 20-3713 k'ater Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. . r~ , 11-3855 Park Ded. TOTAL ` ~ ~ a , CASH RECEIPT . ~ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, NNESO 55122 ~ TE ~ '("~'sC" f 9 ~ R[CEI~(. ~ , l ~ C~~ ~ PRdd~~ ~ ~ - "L~~~~ ~ AMOUNT $ S-/ & DOLLAR$ too ? CASH C K P O R ~.a~"i/~.s~c!/ ~"~C~ ~ ~~y~ FUND COOE AMOUNT v / L . 7 7' •o[J L' / ° ~ Thank You - BY ~ N_ 74781 White-Payers Copy Yellow-Posting Copy Pink-File Copy 3EACTTVATE InR ~7C~t PI.AN REVI~JID 6/9138 • ~ °fm.,~..~~~ 68E-8573(H); 452-0377(W) CITY OF EAGAN 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 Date ,19 Site Address OFFICE USE ONIY Lot Block SeC/Sub. i 1 T~''' Y On Site Sewage T Occupancy MWCC System _ Zoning Parcel No. On Site Well T Type of Conat City Water _ (ActuaP) a Name (Allowablej W ; # of Stories 3 Address ~en9tn ° City Phone ~ ' ~ ~ Depth S.F. Total , p Name Footprint &F. ~ ~ Address APPROVALS FEES ~ City Phone Assessments _ Permit ~ ¢ Water/Sewer _ Surcharge ~ W Neme Police _ Plan Review z~ Address Fire _ SAC, City ~Z Engr. _ SAC,MWCC ~ W City Phone Planner WaterConn. < - Council _ Water Meter I hereby acknowledge that I have read this application and state Bidg. Off. _ Road Unit that the information is correct and agree to comply with all appUcable APC _ Treatment Pt State of Minnesota 5tatutes and City of Eagan Ordinances. Variance _ Parks Copiea Signature of Permittee ~ TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable StQlF ota Statutes and City of Eagan Ordinancea Building Official _ ` ~ Permit No. Permit Holder Date Tsl~phone it Plumbin9 `i- ~ ~ , a 7 i H.V.AC. C~ ~ti ~ j G+G EleCtric ~1,~/~~ ~ , ~ ~ ~,~it'-f 7i L:'~ ~h' 7 ~~i~ Softener Insp~ction Dste Insp. Comrn~rtts Footings I 6~-, ~:1 Footings II Foundation s ~ ~i Framing ( ~ P~ Roofing T r P~ s~ s'~iy."~r I~ ~ Rough Ptbg. Rough Htg. 7 C~ A /~/i~ . /~ir r ra sf ~Z Isul. ~~7 Firepiace Final Htg. ~s Final Plbg. ? ~ Bldg. Final ] Cert. ~cc. - Temp_ LP Deck Ftg. ~ ~ Q ~(J ~ Oeck Frmg. o ?r"ect,'a,.. F: c~ %-1r ~ S Well Pr. Disp. _ ~ " • r~giw • < , , ~~er#if ic~t~ uf (~rru~~t~r~ ~Citp of f~agan ~p~p~tn~ n# ~u~Iding .~yapr#iYm T'his Certificate usued pursuant 1o the requiremenu of Section 306 of the Unifornt Building Code certifying that at the time of issuance this structure was in compltance with the various ordinances of the City regulating building construction or use. For the foUowing.• Use at~5cation ~=~'~CE~~' Bldg. Rrtntt No. J it;`~"~~ a~r~y 1Ya~ zo~g n~u~ n~ Tra coos~. Owner of Bui(diog ~~1,7.;~";xr ; ;;T 1 ~r ~ i~~ ~~'~'i"-• . &n7dingAddress ~E~.,' ~ -,n...~ ~ • rJ.'4?l~i Laxliry ;.Q~ B~~ ~Z;'_A."~' ~~1 ~ o.a: ,7[JI.Y 24, 19~ B~wa~~ oer~~ POST IN A CONSPICUOUS PLACE , _ yp~„w..,c:~4:3is „ . ,.t . 0.7:^Yt _ , . . . . . . _ . ' ~ • PERMIT # l~ ~ ' " PLUMBING PERMIT REGEIPT # ~'~~v ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~ f CONTRACT PRICE: ,3 / j G U PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTIDN Lot A„~,~ Block T_ Sec/Sub Res. ~ ~ New x 7 N - Mult. - Add-on ~ Name ' Comm. Repair ~ Address ~ ~ a. ~ Other c City~~ ~~6as,K ~~w•Phone - RES_ PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIX7URES TOTAL ..L_Water Closet - $3.00 $ - Name ~Bath Tubs - $3.00 J 3 Address - - ~ ' ~Lavatory - $3.00 ~ G p p Ciry ~~~~~,,,~hone L1 < j~~ Shower -$3.00 ~Kitchen Sink - $3.00 U r~ FEES Urinal/Bidet - ~3.00 COMM/IND FEE - 1% OF CONTRACT FEE ~-Laundry Tray -$3A0 - APT, BLDGS - C~MM RATE APPLIES Floor Drains -$1.50 ' TOWNHOU$E 8 CONDO - RES. RATE APPLIES Water Heater -$1.50 J MINIMUA+I - RESIDENTIAL FEE - $12.00 Whirlpoal - $3.00 MIMIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 l STATE SURCHARGE PEF1 PERMIT - .50 (MINIMUM - 1 PER PERMIT) {ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,0~0.00} Well - ~1Q.00 , Private Disp. - $10.OQ ` ~ Rough Openings - $t.50 ~ ~ J.. ) r,. ~ SIG ATURE O PERMITTEE ~ FEE: 4 STATE S/C: J~-~ FOR: CITY OF EAGAN GRAMD TOTAL: !J- , .~.~-2~ . _ : , ; PERMIT # 2~i'c ,4' ~r~~.3~~ . , , ' MECHANICAL PERMIT RECEIPT # / ` ~ CITY QF EAGAM 3830 PILOT KN~B ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ~ g~pG, npE WORK DES~RIPTION Lot__~ Block / Sec/Sub Res. New ~ rL Name ~ - ? Mult Add-on Comm. Aepair ~o Address ~U Other c Ciry ~OS~~+,'l~bvr ~n...phone Name T LL~r < FEES ~ RES. HVAC 0-100 M BTU -$24.00 c Address ~a ~G'~ v ADDITIONAL 50 M BTU - 6.00 p City f~~PLS t/~s1~~ Phone - 00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTI ON) GAS OUTLETS (MINIMUM - 1 PER PERMITj - 1.50 EA. TYPE OF WORK ~ COMM/IND FEE - 19k OF CONTRACT FEE Forced Air 7-5 M BTU ~.C~ APT. BLDGS_ - COMM. RATE APPLIES TOWNHOUSE 8~ COND~S - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM ~ STATE SURCHARQE PER PERlb14T- -..5p . (ADO $.50 S/C IF PERMfT PRICE GOES Gas Piping Outlets # ~ ~~.Sv BEYOND $1,000) Other FEE: S~ S~ ~ ~i~---- S/C: ~ SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN . , . . . , , , . , . _ „ -w.e:` v. CITY OF EAGAN . 454-8100 DEPT. OF BUILDING INSPECTIONS ~ ~ ~ Correction Notice Located at ~ f/ s~ ~ ~ C~ , I have this day inspected fhis structure and these premises and have found the following violations of city codes governing sam~: ' .S r~i. ~ . o~.. : cv ~ ~ i~~ f; t~~r ~,-`~~v~ „ , Cc~~ .fc~'r~ t~~r ~ la ic../ ~ I` ~i nYP ~ G.~ a l %r s S 7~-eSrat~<~, ;O - l~/ ~~,C~FS ~ 1~0, v-{ , When corrections have been made, please call 454-8100 for inspection. Date ~ ~ ~ 4- Inspector City of Eagan DO NOT REMOVE THIS TAG PERMIT # ~~C~ ~ PLUMBING PERMIT RECEIPT # 7~' ~U a CITY OF EAGAN 3H30 P1L0T KNOB HOAD, EAGAN, MN 55122 DATE: _ 5~~~ % 7 CONTRACT PRICE: ~ f.~ 1 C? PH~NE: 454-8100 Sita Address F BLDG. TYPE WORK DESCRIPTION Lot a Block ~ SeclSub Res. New , ~ • - ys, Mult. Add-on ~ Name ~~-ti- s r-=~ Comm. Repair ~o Address ~ -'f ' I~t~ ' pther ~ c Cityl' P~One ^ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES T~TAL Water Closet - $3.00 S Name ~l ? -+c.~ . • . °Y ;i,/ Bath Tubs - $3.00 3 Addre '4~ ~ ` - Lavatory - $3.00 O City ` t• ~'-~~1 Phone - Shower -$3.00 . Kitchen Sink - $3.00 FEES Urinal/Bidet - ~3.00 COMM/IND FEE - 1~ib OF CONTRACT FEE Laundry Tray -$3.00 . APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8~ CONDO - RES. RA7E APPLIES Water Heater -$~.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirtpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas PiQing Outtets -$i.50 STATE 5URCHARGE PER PERMIT - .5U (MINIMUM - 1 PER PERMI~ (ADD $.50 S/C IF PERtWIT PRICE ~OES ~ Saftener - $5.00 - ' BEYOND $1,000.00} I Well - $10.04 i ; , Private ~isp. - $10.00 !'r l ~ ,~L~_.~- Rough Openings - $1.50 SIGNATURE QF PERMITTEE FEE: t- STATE S/C: ' SZ~ ,-7 ~ FOR: CITY OF EAGAN GRAND TOTAL: CITY OF EAGAN Remarks Addition BRITTANY 4TH ADDN ~ot 2 g~k 1 Pa~~~ 10-15003-020-01 Owner Street 4841 SHEVLIN COURT State EAGAN NW 55122 Improvement Date Amount Annual Years Payment Receipt Oate STREETSURF. 3 4 Z. STREET RESTOR. GRA~ING 1981 23.82 1.59 15 SAN SEW TRUNK 1976 173.90 11 .$9 15 ic SEWERLATEFAL S( 19$] 246.32 16.42 15 Sewer Lateral trk 1983 133.33 8.89 15 WATERMAIN s 1984 629,29 62.93 10 ic WATER LATERAL 19$1 1S WATER AREA ~ 19$1 229.95 23.~~ 1~ STORMSEW TRK / 1981 596.40 39.76 15 ;p STORM SEW LAT 1981 IS CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN. BUI~DING PEFi. SAC PARK CITY OF EAGAN N°_ 1 3 6 8 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE:454-8100 "~r.~ b ~O BUILDING PERMIT Aeceipf # Tobeusedfor SF DWG/GAR Est.Value $64,000 Date M~Y Z8 ,19 Site Address 4841 SHEVLIN CT OFFICE USE ONLY Lot 2 Block 1 Sec/Sub. BRITTANY 4TH OnSiteSewage Occupancy R3 MWCCSystem Zoning Rl Pa~Cel No. On Site Well Type of Const y Ciry Water ~ (Actueq a Name TOLLEFSON BLDRS (Allowable) w n oi Storles = Address 12617 FAIRGREEN AVE Length 39 ~ City ~'•V' Phone 431-1100 Depth i~_ S.F. Total , p NafnB SAME Footprint S.F. ~Q Address APPROVALS FEES ~ City Phone Assessments _ Permit ~ 377.50 Water/Sewer Surcharge 32.00 W w NemO Police _ Plan qeview ~TS ti Fire _ SAQCity x- Address pv Engc _ SAC,MWCC c~~~o"c~nn aw City Phone Planner _ WaterCona a?S nn Council Weter Meter ~gp I hereby acknowledge lhat I have read this application and state Bldg. Off. _ Road Unit ~~S_..p_0 ihatt~einformationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl 7R(1_(1(1 State of Minnesota Statutes d City of Eaga/ryry~/yOrdinanUF~es. Variance _ Parks . V ~ / _ A~.~~ CoPies 5 Signature of Permittee [~i ~ A..Li TOrAL ~T TOLLEFSON BUILDERS A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable t e of Minnesota atutes and City of Eagan Ordinancea Building Otticiel / ~This request valtl ~ Sa 7 ~ i8 months ~ram '~~/8 7 ~5~3 S D 212 5 3'/'°! ~ ~~~s ~-~~9 Ren~~es~,Sla~P ' ' Fi4e No. Rou h.. ^ . A Pe u~ redi nsPecbon / '7(y_~ a ~Ready Now ~Will N~~~ify Insper l9 L-/ .ves ? No ~ tor Wh ~j ~.Licensetl E~ecvi~al Contrac~or 1 hareby request ins0ectibn ~bov ~ ? Owner elecaical work installatl et.'/ Street Address, Box or Route No. City ~ <1fs ~1 ~S/~~ ` 0. ~ - a r, ecuon o. Township Name ar No. qange No. Coon~y Occuu~~n IPPINTI Pha"n~e ~No`.~ Pow2r~5upplie~ ~ / ~ /~•J ~ Address l ) 1\ C Electr~5al ConVactor ICompany N;~mel Connactor~s License No. A-~s ~e n~~~c~ rL~ ~ L. 0~1 r~~~s _3 MaJ~n9 Atl ress ~ConVaclor or Owner Makinp Installa[iddl ~7 S C~. ~w r 3 c.~ o~ ~7'i~'1 Auffior" d Signature IConttactor/Owner Ma nfl Installationl Phone Numb / / O-~ CD3~ M~NNESOTA STqTE 90ARO OF ELECTRICITV THIS INSVECTION REOUEST WILL NOT Griggs-Mitlwey Blde. - Aoom N-191 eE ACCEPTED BY THE STATE BOAHD 1821 Universitv Ave., St Paul. MN 55104 UNlESS PqOPER INSPECTION fEE IS Phone~6t2~642-0800 ENCIOSED. 7/~~ REQUEST FOR ELECTRICAL INSPECTION es-oooo>i-os ~ ~ See inslruclion5 br completing ~his fmm on batk O~ Vellow coOY~ 7J`~~ u ~ ~ "'X" Be/ow Work Cove~ed by Ihis Request ~55/~ 5 Add Reo. Tyoe ol BWlaing Applioncea Wiretl Enuiu~+en1 Wire!I Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt Buildinc~ Dryer Electric HeaLn Cominercial Bldy. Fumace Silo Unloadt:r Industrial Bidg. Air Conditioner Buik Milk Tenk Farm othei oar,i v ~~nnr ISUr.nfvl t qr $ucuty ther pthcr ompute lnspection fee Below p Fee ServiceEntrenceSi:e b Fee Fexdars~5u~teeders b F~e. Circw~s ~~.(JI~ (1 to 200 Am s 0 to 30 qm s ~ 3,3 . c'v 0 tn 30 Am s Above 200 qm~s~ 37 to 100 qinps e. 31 to 100 Am Swimminc~ Pool Above 100_Amps Above 100_Amps Transrormers ~rrigation Booms SD Partial~~Other Fee Signs Special InsVection S~C~S~y TOTAI F E,/ pem'irks V ~rO ~~(f PouBh-in D~a~tP/ ~ ~he Elec xl • 1 • ~ InsDector, hereby certify that the above Final ~ ~e ~~soection M1as been mede. rAin requeat wid 1B moniha Irom , r ~ l~ESIDENTIAL BUILDING PERMIT APPLICATION ~ ~~v, ~b V O~(/ 3830 PILO7 KNOB R~ 55122 651-687-4675 ~a<<ec~ 7-b-01 New ConsWction ReouiremaMs RemodeUReoair ReauiremeMS ~ • 3 reg'ste2d site surveys showing sq. ft. ot lot, sq. ft. W Iwuse; and ~II roofed areas • 2 copies of plan (20°k maximum lol caverege allowed) . 1 set of Energy Calcuietions for heated additlo~ • 2 coples of plan showhg beam & window sizes; poured found design, elc.) . 1 site survey far e#erior additions & decks • 1setofEnergyCalculatare . fndicateifhomeserved6ysepticsystemFOradditions • 3 copies of Tree Preservalion Plan if lot platted aNer 7/7/93 • Rim Joist Oetail Options selection sheet (bldgs vrilh 3 or less units) DATE 7( ~ I VALUATIO,~N I/~ JOB SITE ADDRESS ~d 7 ~ ,~?I f'~lI ~l+~ G/ !!~fa ~ IF MULTI-FAMILY BUILDI G, HOW MANY UNITS? PROPERTY OWNER I 1~ S~~!>e l~. TYPE OP WORK ~ 1~ ,,tF~IREPLACE(S) 1_ 2 APPLICANT S'tLC~/ ~u~tl PHON~1E# l.~- 4l5 0"" ADDRESS /ZIP CODE PAGER # CELL PHONE # FAX # NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGOR (check one) - Residential Ventilation Category 1 Worksheet q r~t~ ~ - Energy Envelope Calculations Submitted U MINNESOTA RULES 7672 ~ u ~ 5 Zo o ~ - New Energy Code Worksheet Submitted ~ By- Plumbing Contractor: Phone ` Plumbing System Includes: _ Water 3oftener _ Lawn Sprinkler Fee: $90.00 , Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the informatio ' correct n agree to comply wiTh all applicable State of Minnesota Statutes and City of Eagan Ordin e Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1l01 OFFICE USE ONLY ~ ~ ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex Q 17 Garage ~ 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous ~ 31 New ? 35 Int Improvement ? 38 Demolish (Intarior) ? 44 Siding ? 32 Add'Rion ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 W indows/Doors ? 34 Replacement 'Demolition (Entire BVdg only) - Give PCA handout to applicant Valuation a..~,00D Occupancy ~ MGES 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) FinaUC.O. Footings (deck) ~j FinallNo C.O. ~ Footings (addition) _ Plumbing ~'k'J Foundation _ HVAC Drain TIIe Roof Ice & Water Final Other Frazning _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.L _ Air Test _ Final _ Siding Stucco Stone ~j Insulation _ Windows (new/replacement) z- Approved By ~ , Building Inspector - Base Fee ~~5~/~SOrU pD~G Surcharge - e2 v Plan Review ~a(7 ~YS z oZ lo ~ MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL j o~ _ d J BUILDING PERMIT APPLICATION r\ CITY OF EAGAN ~ ~ 1~-~ ~J 3830 PILOT KNOB RD - 55122 ~~7~~' ~r 65'1 •68'I-4675 NewConstructian Reauirements RemodeVReoairReauirements • J registered site surveys showing sq. k. of lot, sq. ft. oi house: an~ll roofed areas • 2 copies ot plan (20% maeimum lot coverage albwed) . 1 set of Eneqy Calalations tor heated additions • 2 wpies of plan showing beam 8 window sizes; poured fountl design, etc.) • 1 site survey for extenor addi6ons & decks • 1 set of Energy Calcula(bns ~ . Indicate if home served by septic system for addiGons • 3 copies of Tree Preservation Plan if lot platted after 711193 . Rim Joist Oelail OpGons selecUon sheet (bidgs with 3 or less units) q 1 DATE I'1 q' G f VALUAfION ~ g Z S9 JOB SITE ADDRESS LI ~'J`ll ~I'lG~JL/nJ c~v2~ IF MULTI-PAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ~ SewG ~~2 TYPE Of WORK ~Z-~OF 1N G- FIREPLACE(S) _ 0~ 1_ 2 APPLICANT ~h~ r.7 ~Qn~G~y2 PHONE#~5/-~8~'r8S73 ADDRESS y~`ti~ ~ylcaVt-.~~v Cvv~~- ZIPCODE ss~aa PAGER # CELL PHONE # 65/-2qs- ~33 3 FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATI:GORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted ~IINNESOTA RUL~S 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ ~Va[cr Softener _ Lawn Sptinkler Pee: 590.00 ~Va[er Heater No. of R.I. Baths No. oF Baths Mechanical Confractor: Phone # Nlechanical Systcm Includes: .~ir Conditioning P'ce: $70.00 Heat Recovery System p(~(~~~;~;`~~ Sewer/Water Contractor: Phone 1 All a6ove information must be submitted prior to processing of application. B I hereby acknowledge that I have read this application, state that the information i y rrect, arSd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. / Signature of Applicant / ~i Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E~ct. Alt - Muiti ? 03 Ot 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 (screened) ? 36 Mutti ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-piex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 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 applicant Valuation Occupancy MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV NBr. of Bidgs 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 Roof Ice & Warer Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tesu _ F9na1 _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspectar Base Fee Surcharge 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 RESIDENTIAL 1 BUILDING PERMIT APPLICATION cmr oF ea~ar~ ~-10 . c~ 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 n~~ NewConatructbnNeaulremeMa RamotleUfleoairReaulrements y ~ ~ • 3 reg~tered stte surveys showing sq. ft. of lot, sq. tt. of house; and ~II rooled areas • 2 copies W plan (20%meximumbtcoveragealbwed) • 15etofEnergyCakulatbnstorheatedaddilbns • 2 copies of plen staw'vig beam fl windaw size5; poured fountl design, etc.) • 1 sBe survey lor ezterior adtltlans & Oecks • 1 set ol Energy Ca~ulatlons • Indicate if twme served by sepik sys[em for addllions • 3 copies of Tree Preservation Plan K lot pletted atter 7/1/93 • Rim,bist Detall Optbns selectbn ~eet (bldgs wtth 3 w less un8s) DATE _ ~~~Z1L 2~OZ VALUATION ~,d~d SITEADDRESS ~I~yI `,~"1G?1-~~~ L_C1J12}~ MULTI-FAMILYBLDG_Y _N TYPE OF WORK ~GK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~r ~ l~ 1~ ~ i=- I~X-_r 1}Z- STREETADDRESS y~~I SI~]~vl-iuJ C,fx_~R.~ CIN ,EACrt1N STATEYNIV ZIP~~ZZ TELEPHONE # ~I -1~0~3 ~3~7.3 CELL PHONE # -a`YS ~ 13 33 FAX # ~Sj' Ysy' ~ y r° PROPERTYOWNER ~~I l~ i'~ ~lVG~IZ TELEPHONE# COMPLETE THIS SECilON FOR ~NEWy RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINN ~~~~6~ ~ submission type) • Residential Ventilation Category 1 Woiksheet Su6mitted • New C e o h t tl • Energy Envelope Calculations Su6mitted A PR 2 5 2002 Piumbing Conhactor: Phone # B ~ Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Coniractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # 1 hereb ac owledge ihat I have read this application, state that the information Is corzect, and agree to comply with c~l A~ f Minnesota Statutes and City of Eagan Ordinanc s. ROR E O IT N Y ~ Ci F qG SigrwtureofAppllcanf C~ENE L CC NT '_'..•"'~~41 - ._.-._._..~........r~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ u~ed aro2 OFFICE USE ONLY ~ .t ? 01 Foundation ? 07 O5-plex ? 13 1&plez O 20 Pool ? 30 Accessory Bltlg ? 02 SF Dwelling ? OS 06plex ? 16 Fireplace O 21 Porch (3-sea.) O 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. AR - SF ? 04 02-plex ? 70 0&plex ~t$ Deck ~ 23 Poroh(screened) ? 36 Mufti ? OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_YOr_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 32 Addftion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WlndowsJDoors ? 34 Replacement *Demolition (EMire Bldg only) - Give PCA handout to applicaM Valuation ~ Occupancy ~i~ MClES System Census Code ~ Zoning City Water SAC Units ~ Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Typa of Const ~ Width REQUIRED INSPECTIONS Footings (new bldp~ FinaVC.O. ~ Footings(deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By I~ , Building Inspector Base Fee Surcharge Plan Review ar V(» ~ O MGES SAC 4?? City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ 7occEFSc.v 8~~~~„ NGiNE~RIMG ~OHSUCTINO EH61HEE95 ak228.o/ PlAlINEAS ond IAHD ~llAVEYOflS COMPANY~ 1NC. iD00 G1ST 1463R STREET, Bl1RH~VILLE, I,IIHHESOT.I S:?:7 pH 1_2-5000 C~r,~Z~'z ccz~e o~ S'u~-~r'e I~~~~ -~--icr~c,=~arL • GOT 2, BGacK i, BR/TTqAlY 4TH ADDiT/ON~ DAKOTfI COUN7Y, . N!lN~lFSOTq C93~~z~ DENOTES ~XlST/NG- ELEYAT/D~l/ C934~Z~ DEN~TES PRDPOSEC ELEVqTId~l.l 1NDICATES DIRECTICN OF SfJRFACE DRAIf~1A6= 934~ So = FlIJ 1 SNED GARA6E FLDOR ELEVATJON ~h~~l~~ S~-ti~~;~ ~ s~~ : . . A~o~M 3~ s F(~r Z . d~""~ y"~ ""0~°~` 3D' FROA/T BUILD/NG . Ax. Na 635~3v~/ \ DR.41f~A6E AND SETE3ACK L /NE UTILIT~' EASEMENT ' ~ ao.oo ?4.s~ S B9° 59'44"W 3¢'8 r~ C939,6~ ~9343~ ~ _ • /75.OZ iyia.9: ~930 - - h ~ 5 - - - - j-=-~_r~ n 'I~'-~.`l io' ~ j / ~ z?.ce . N zz.~ , o . . \ m , v ~ ` ~ ~ ~V 8 ~°n .o ~ ~a' ~ I ( ; PRoQOSSa ~ , o ~ i ~ ; ~ o ~ ~ ~ \ < :o o ~ DECK , --lA ~ o ~ ~ L` ,a,o v a vl ~ I ~ ~ ~ ~n ~ 3e.oo rn ~ a G' ~ i O ~ ~ ; 93"' ~ o ~u N 5'I ~1 ~ ~Y3''}_S" ~ 4e.oo N 3_ii ~ V~i ~ ~~---~C- ~_.~c ~ ~3~3.~~~lo . ~ -~n ' ° -u~ ~~-5' ~y~'8.9i ~,235~M1 /72.65 i932.-a~ ~Y?/ .7.4'i i#•5~ S B9° 59' 44'~ f'1/ ~?3z.~ / /l-i • ~ L_~~ / 1 er•by cartify that thi~ ie n t:ae and correct npraeentation of a tract of ~ d as ¦hatim'and deacribed heraon~. Aa preparad by mn on thi~ 8~ day of A~ , 19~. . et- /u""~ 1Siart. Res. Hv. /6o~r r--~' ,~AG~e~ ' ' . - V~t~"O B E T~FS~.v a~,~~;: ~"NGiNE~1i1NG ~~NSlllT1H6 EH61NEfA5, ,~rz28.o/ PlAlIHERS nnd LAHD SllAVEYp!!S ~ COMPi~NY, 1Nt, 1000 EA37 146A S7AE_T, BUftN_V(LLE, YINHE-07x SSr7 pH 132-~000- C~ r~ z~z c Lz~e a~ ~zc.~--~r'e t~ Z~: ~j -U~-,-T~~"'~°c*art• LOT 2, BLOCK BR/TTqNY ¢~"H ,QDDIT/ON DAKOTA CDUN7Y, NIIN~IESOTq C93~~L~ DEN07ES EX/S71NC- E~FUAT/O~t/ ~934~Z~ pE,vOTES PR.OPO~EC ELEVqT/dN ~.r~ INOIC~1?ES DIFZECTICN oF SUfzFACE DR,qINA6= I~ 93f So = F1nJ 1 SHED GARA6E FLDOR ELEVATION 1. l~ ~L-'1UG! I'~ ~ srACE : = s,~ nle„w I ' , v ~,T 2 . a'~°"'" y~' °qv~"-~ \ 30 ~ FRONT 6v~LD/NG A~c, r.ia G3~l3v/ DRAIAlA6E AND - SETQ4CK LlNE UTI~1Ty ~SEMENT ' ~ 30.00 ?4.e~ S B9° 59'44"W ~y;,.~~ i4_~ (939:6~ `s3_43: /75.0~ ~y?a',y` . ' ~930 _ ~ h o •4~;~ ~ ~ 5 r~ j'~ ~ c~#.z /O' ~ ~ r- o' M zz.~a o , . N J~ ~ y~~~ . zz.~ ~m o y : c, ~ ~ i o ~ . , d. ~ ~ ~ ~RRGtFc'ss~EFa , 2O- ~ ~ ~ S " a ~ o ~ ~ ~•~a o I ~"~00 ~7iUw, i o ~ ~ ~ ; ia.~~ ~.m r ~ jI 1 a . ~ I~ Y ~ a` ~ N 934.z) ~ °O ~1 ~ o I ~ ~ ~ ~ C ~ fs~ 3g_L~ ~ ~ . Z 5`~1 ~33•~ ~ q,e.m N 34~ ~ ~ - ~ _ ~o' _ J 83 ~ 'd~ '~n ' y -~r ° N - 934_5', - ( 8.8~ ~ 35~~ /72.65 ~93Z.-o~ ~y?i .~.3~ ~~F 3j S B9° 59' 44" W Laz.3~ i / ~-r - ~ i 1 er.by cartify Lhdt thia ia a t:ue and corrsct repraaentitiaa ot a tract af d as ¦hvxn'and dcacribed heraan~• Aa preparsd by me on thi~ "day ot a,~ , 19~. Ninn. Res. Xo. ~~s ~ /3 g . 6 1987 BOILDING PERMIT APPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLINGS INCLi1DE 2 SEfS OF PLANS~ 3 CERTIFICATSS OF SORVEY~ 1 SET OF ENERGY CALCOLATIOAS NUTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOME07iNER MOST DESIG1iATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL SE ALLOWED ONCfi BQILDING PfiRMIT IS ISSDED. MOLTIPLE DHELLINGS - RESIDENTIAL RENTAL IJ~ITS FOR SALE IIBTiTS INCLUDE 2 SETS OF PLANS~ CERTIFICATB OF SIIRVEY - CHECg iiITH BLDG. DEPT.~ 1 SET OF ENERGY CALCULATIONS CO:~RCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ~Qi~. To Be Used For: Valuatio Date: ,S- 02 '"J- 8' 7 Site Address ~ , OFFICS USE OAiLY Lot Block / On Site Sewage_ Oecupancy ~ 3 MWCC System ? Zoning (L~I Parcel/Sub On Site Well Type of Const City Water ? (Actual) ~ Owner ~ ~ (Allowable) ~ !1 of Stories Address Length 3~ Depth ~ City/Zip Code S.F. Total Footprint S.F. Phone gPPROV9IS FEES Contracto~~~ ~j~j~ ~ ~ Assessments Permit ~j~~ . Water/Sewer Surcharge 32, Address Police Plan Review ~ b8. L Fire SAC, City City/Zip Code -;j ,Z Engr SAC, MWCC 525 ~ Planner Water Conn S"ZS Phone a Council Water Meter to7, Bldg Off Road Unit 3O 5• Arch./Engr. APC Treatment P1 IF~'J. Variance Parks Address Copies TOTAL 3~ 5~ City/Zip Code Phone 41 / 22x _ ~ ~ Z~ _ ~ . . u ~ . ~ ~ c'~ 1~~--x ~ ` (-~X(Z ~ ~ _ ~ ~3~ ~ 2 x 22 = ~g~d x~ 2- U~ ~3~~~ `p ec ~ To~CEFSO.t/ Bui~ < [1 Q [7 G ENGINEfIi1NG ~DHSlll71H6 EN61HEf9S .3pr2Z8_o/ PLANNEAS and LAH~ fllRVEYOltS COMPANY, lNC. ~ 1000 EJ~ST 146in 57REE7, BURNSVILLE, YINHESOTA 'sSn] pH ~:2-3000 C~r~z~'Z ccz~e o~ ~Szt~-Ye c~ Za~G7 .I7eocr~o2iorL• LOT 2, BLOCK BR~TTqNY 4TH AODIT/oN, DAKOTA CDUN7Y, Nl lN~lESOTA C93~,z~ DENOTES ~X/STlNG E"LE1/qT/Oil/ C934~Z~ pE?JOTES PRDPOSEC ELEVqTIOiV I~IDICATES DIRECTiCf~J oF SURFACE DRAINA6E 934,So = FIt~11SHED 6ARA6E FLOOR ELEVA7/OAJ Scs~cE ~ = 30' n1o.M 3"•F vr t R~Y aR0"" y"~ '°u°~°-~ \ -io" ~RONT Bu1L0/NG ~ ~ G ~~3~~ SETQ4CK G !NE DRAIAlA6E AND i UTILITY ~SEMENT ' ~ 30. o0 ~~-.A~ Jr ~~$~'St¢~~W (~3a.~ (934.8 (939,6~ ~9#3: /75.OZ ~23°.-7; ~930` ~ _N_ _ r ~ O ~ 5 _ _ _ _ ~ - r ' ~3;i'~ ~0~ ~ / o M 2Z.ne ~ ~ * \c/ ~ V f_ J' 22.oc I~v; ~ o : C/ ~ y ~ ~ ~ ~ 4C N I ~ ~ Q ~ ~ - n~ m ~ - < ~ ~ ~ o .u L~_ia,v, u a $ vl ~o O I ~~.Wn o se.oo y o ~ \ I Q ' ; 534.~ p ~ll . ' 33.z~ Z Z ~I ~ (333~.~ ~;~e~ ao.~ N ~ ~0 2 v~ s~~~~ ~ ' -'i -fr ° -~n ~~3/ 7A~ ~9~=5' ~~38.f}; ~,235~~ /72.65 ~93z:~ (p~¢.5~ S 69° 59' ~¢4'" W L3z.~ ~ . ~ t_~~ i 1 I hereby caMify that thia ia a t:ue and cors~ct npraeentttion af a tract of ljnd a: ¦ho+m'and deecribcd hereon~• Aa prepared by mn on this 8-"' day of _/I'la~ , 19~. . ~ Ninn. Res. }?o. /~"'r' ~ CITY OF BUILDINCi DEPARTMENT - ~ ~XTERIOR ENVII,OPE AVERA(iE ~~U COI~[PUTATION (To be submitted with building permit application) One or Tvro Family Dwelling Owner All other Site Addreae Contractor /OGG~SOA~ #~v(L~S -fn~G~, Date Phone LINEAL FEET OF G ~ EXPOSED WALL a~~ ~~~.f'o,eX ~~E7'~~ ft. above grade = ~ TOTAL E3L°OSED ~9ALL AR'r.',A SQ. FT. 0?A~UE IN~:LL CO.~P?-STRU~TI01:: ~~U~~ Value x Area Detail ~~~~E "U" ~ 0~3 x Sa. FT. D 3•35. .58 (U)(A) Cowc, "U" . a48 x s42. FT. //y~ Z4- Il.Z9 (U) (A) re~erence from -~~m '~U~~ . pq~ x SQ. FT. 14Z•76 = 5.71 (U) (A) attached "U'~ x SQ. FT. _ (U)(~) sheets "U" x S~. FT. _ (U)(A) ~~U~~ x SQ. FT. - (U) (A) WIND04YS: ~~U~~ Value x Area A1ake & Type ~L7~,i7L. L~FS1~T nUn • 4g x SQ. FT. lZ4.CoS 59 g~ (U) (A) " " ~~U~~ x SQ. FT. _ (U)(A) " " ~~U~~ x SQ, FT, _ (U}(A) n n uUn x S FT = (U)(A) Q. . DOORS: "U~~ Value x Area :,Ia'.~e & TY:Oe ~ITEEC~ /1~s5VL~ ~~Ur~ x SQ. FT. $~v.oo= 784 (U)(A) n n A7Y~vIn f'ATi/~ ~~p~~ . 4~8 x SQ. FT. .00 e 53•7~0 ~11) ~A) n u nUa x SQ. FT. _ (U)(A) a n _ ~~U~~ x SQ, FT. _ (U)(A) TOTAI,S l(v34.av sQ. r•T. I$S. a/ ~u) (a> AVERA4E ~~U~~ TOTAL (U)(A) VALUES ~S~,o/ _ • J/3 DIVID~D BY TOTAL NALL AREA ~(p~,pD - AVERA(3E ~~U~~ , ~ 15 r less for 1&2 family dwellinge ROOF/CEILINa: TOTAL AREA: J74'~T Detail reference ~~U~~ .Oz~ x SQ. FT. /7¢9 = ~v• Z(U)(A) from ~~U~~ x SQ. FT. . (U) (A) attached sheeta. "U~~ x SQ. FT. - (U)(A) . Describe onenings ~~U~~ x 3Q. FT. - (U)(A) in roof, ~~0~~ X SQ. F4`. - (U)(A) TOTAL (U)(A) VALUES DIVID~D BY 3~~~Z = T~7"~L~j l749 ~q.~ 3Co~7Z ~u~f~~ TOTRL ROOF/CE 2EA 17~. q • OZ J AVERAGE ~~U ,025 r ventilFted roofs. , ~ r, ~o~~ S~eaT'~ ~ ~XPo;Eb cvAr~, 9. SoX (48+q-s t 3st38) = J, l0 34 00 (~w~ ~ .ln,x ~4at4St38t3a~ _ /,s:z$ ~ So~yT .8~ X (48t48+3gr38~ = J~-2.7(v~ l.~7 Dou~S ,7aX 3~O = S.ca X 5'.00 3lvx 3(0 = 4,vo X 1- 9,00 48 x~~ = 12,0o X 1= /z.ro zox 4a = ~C z = ~3,~3 z4x 48 = 8•O° X 4= 3z,oo Zox 60 = 8~3~ X 4= 33,32.. L4X~ lo,vo X Z= Lo.va D~~s / Zg• ~oS-~- 3°St~.• wfz-Z~(.. = 35.00 ST~• s~,~ = Z l. o0 5g A1Rwm ~ 2 = 70, o0 (p PA'T1v = 42, o0 11a8. oo.~- A7~T t~r~c. ERu~wS o0 ~Roys cv,~c,~ 3z x 98 = Is3 ~v 1lv3g;oo (oX z~= '3~ G~SS co~e, //S.z4 59 " I4z,~~ ~~X 9 = ~ry t.~pw'S ~z4,~S -SSo, bS- zXlo = ! Z `~~'S IfvB•ao z~tz. = 4 l,os~.3s 1749.cn~- ' --WALL SECTIOH-- Determining ~~U~~ values at Roof, Wall~ Rim~ and Conc. $lock ROOF/CEILIN6 (R) VALUE 5 1.) Interior Air r'i1m 0.61 2.> 5/8~~ ayp. Ba. .56 3.) Insulation 45.op 4.) 5•) Exterior Air Film .61 ( STILL ) I 2 3 ~ uU~~ = i/R= .(7ZI iOTAL ~R)=7w•7S ~ . ~1 WALL (R) VALUE t°J q 6.) Interior Air Film 0.68 7.1 GYp. Bd. .45 8.) Znsulation 19,00 9• ) %2" Bvlt-7-~~TE Z,oq~ 10.) Masonite Siding ,o~ 10 11.) Exterior kir Film .17 ll ~~U~r = 1/R- .de~.7~ TOTAL (R)= z7i.0~ ~ I't RIM iR) VALUE I~ ~3 12.) Interior Air Film 0,68 13. ) Insulation ~9~00 14 tq,) 2~~ Fir Rim Joist 1.88 1 IS 15. Bw(..T-RiT~ z~ 04 16. ) Masonite Siding .67 17•) Exterior Air Film .17 nUn = 1/R= .09.0 TOTAL ~R)=Zg:~ . • OQ ~ • OO ~ ~ FOUNDATION (R) VALUE 18.) Interior Air Film 0.68 lg 19.) ZI ~e 20. ) n g°~• 9 21.) 12" Concrete Block 1.28 ' e n 1~ 22.) Rl~nID lh1~G~ ~j,o0 43 ~°b 23.) Exterior Air Film .17 n ' D' ~ . nUa = 1/R= .095 TOTAL ~R)= ~O.I~ i~, 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ~ SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFZCATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/AOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS # OF UNITS INCLUDE Z SETS OE PLANS, CERTIFICATE OF SURVEY - CHECK WIT$ BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COI~IERCIAL ~ INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS f'.:L~ :)UN Y 'i~; To Be Used For: ~,p~~ Valuation: ~D ~ Date: Site Address ~/Sy/ ~heul~~ Co'uRT OFFICE USE ONLY Lot ~ Block ~ On site aewage_ Oceupancy MWCC system Zoning Parcel/Sub `(~21T~',41V ~l T~' ~d~ ~0+~ On site well _ Aetual Const City water Allowable Owner S~BJG.~ 2 PRV required _ # of stories Booster Pump ^ Length Address y9YI S{~L-"UI/NJ COUR.T Depth S.F. Total City/Zip Code ~RG-AN ~s~aa Footprint S.F. Phone ~hs g8 -~c~~]~j ~~SZ -Cfj7 9PPROVALS FEES Contractor y~~i~~`',~7 ~CUJ~iY2 Engr/Assess Permit y•° Y~ Planner Surcharge , Address ~-/S~1/ Shr-~Gw C'~vfLT Council Plan Review Bldg. Off. ~~~q SAC~ City City/Zip Code ~~Y~ $~~j/ /1a- Variance SAC, M41CC ,a Water Conn Phone /~~T/' ~Jr ~ Water Meter Road Unit Arch./Engr. t"ft 7i~r~ sCtip-~~~ Treatment Pl Parks Address y~y~ S7,c_v/~n~ ~vrzT Copies P S.Li~f~d1 S~S I~ ~ TDTAL City/Zi Code Phone IF ~j gt7 `8'J 73 ~ Tocc.EFSc,v B~~~a2 ,N ~'~B~ ENGiNEfii1NG [ONSlllT1H6 EH61HEf!t5, .,drZZB.o/ PCANHEAS and LAHD SUAVEYO!!S COMPANS', INC. ~ 1000 LlST IS6L1 S?RE:T, BLJRN:VILLE, 4ltHHE:OT1 5=:~7 pH ~:2-:,OOfl ~~7'~Z~Z CLZ~e O~ e S~ Z.-e` cl ~e.~cr~~oc~ort• LoT Z, BLOCK I, BR/TTANY 4TH ADD/T/ON, DAKOTA Co~~v7Y, MlN/+lESoTq ~93~~z~ pENOTES ~XISTING- ELEUqT/0!J ~934~Z~ DEI~IOTES PfZOPOSEC ELEVATIbR! INDICATES DIRECTlCtiJ OF S~fZF.tICE DRAINA6= 93450 = F1N~SHED GARA6E FLODR ELEVATIO~V ~/~11 ~ ~L-'/UG 11'Z scs+cE : i•' _ nlo.rw 3' e F[cr 2 I Burx i, d~vWr v~ ~ro'~~ 30' FROri/T BU/LD/NG Per-. Na G3~/3~s5/ \ DRA Il~lA6E AND SETQ4GK L/NE UTILIT~' ~SEMENT ~r ~ 3o.ao C~?4.s~ ' S B9° 59' 94"W ~p~e. ~ (934.8 r~ (939,6/ `934~: /75.oZ ry?o.7` ~930 - _N_ _ ~ r- o - ~I ~ ~ 5 - - - - /'=C_ ~ c~~.Z, ~o- ~ ~ ~ m ~,co N ~2~~~~' z~.~ m z_ a : ~ v C9~•~ ~ o ~ N I PRoPos~D , ~Q ~ i ~ ~ ~ ~ < ~ o I ~ i J E G K ' o L~ ~ 3, b~ ~ o`~ n ~ ~ ~ S ~ ~ r' ~ o~ 4j ~ ~ Q ~ s 934. 2l, ~°Q 1ll . N I ~ J J (q33 • Z~[ c ~ 93-z'~ ~ v~i ~ 4a.ao N 5 ~~1 - - - - - - - - - 333.~ ~o' . ~ u' ---~'o -v~ / ~ ` j ~~''J/ .7R1 9~=5 (~38.8~ ~935.3~ /72.65 ~93z.-~ . (234.5~ S B9° 59' ~4"~ W L3z.~ / /l % • 7 c_~~ ~ 1 her*by cartify Lhat thia ia a t:ue and correct npraaentitian o! a tract of and as ahoxn'and deacribed herton.. Aa praparsd Ly mn on thia $-"a dty of /I~a~ , 19~. Hinn. l~is. Xo. /~-r xx x:x:xxx~xxxx:fR«x t~x ::x 4t ~i~ . C I TY O F E A G A 1V PAYMF?~ OF FEE AT 1~ ; • - •w`=~~~'; * APPI.ICATSON DOES NCyf C~[~b'PIILTL ~ . i f . . _ : f' ~ . ~ _ *F APPR0~7AL OF PERMIT. . APPLICATION FOR PERMIT ~ ~ ' ' . . * ~r~criorr oF sEr~ ~rm/c~z ~ * ni,~'rAriATTON i F7II~L AXYP BE SC~~ SEWER AND/OR WATER CONNECTION P~T : _ . • . _ _ . . • * aPPaov~. • _ . . . . „ . . _ . - , . . * , • *#*#***'k't#*~k*~k#~kt*~F**~t*l~Y~k**~FtY;t~k~ P ease Print) 1) PROPERTY ADDRESS : L f~~f / SALi L ~ ~o r C-:~ LEGAL DESCRIpTION: ~ / ~j/~~ -~~Lot Block Subdivision r Tax Parcel ID ) IF £xISTING SiRCCILTRE, DATE OF ORIGINAL BC~ILDPi]G PERMIT ISSL'ANCE: . (i~bntn Year} PR£SENP 7ANING/pROPOSID LSE: ~-.-ooa a ~~nz y~ Q INL'L'STRIAL Q R-2 DC~PI,EX (Tr~o L~nits) ~ INSTIZL'TIONAL/GOVER.~P~NP R-3 ZGWI~IOIISE (Three + Units ) ( Onits ) , q R-4 APARTMENT/COAII)CMINILTi~1 ( []nits) 2) racv~ rur~: L~r,~r 5. ~n 5~,. ' i~~r{<.~ ~ ADDRE55:_ /„Z L1,C l Z; n i-~-. ~~G CITY. STATE, ZIP: . S'~25 lYl ~ ~537 ~ - PHONE: C~~) 3) °~u ~a~; For City Use ~~1 ,~c.~~, - Pliunbass L.icense: ADDRFSS: /~-17~IS . 4' .~~cr-'~ T~ F~ ~ I A Expired CIT`..~. $'j~.' TE, ZIP: ~GC~-.r:,.., « L~ n~ ~ - }--f NOt Z2COrGT2C ~--1 PHC~: M.~STER ISCIIVSER St~tial 4) ...u•..,~ ..ni~: NA87E: T ~/2 ~.Svn ~t~ L~L'~~' S _ ADDRESS:~ ( _ ~i ~ rcr~ . -=4-r- CITY~ STATE. ZIP;q-n.~Le' U~- . -~S . f PHONE: ~ !7 ' ' .g~ i~,n~r~ c- :icr: :u •i~.u-r.-u~~a ~_C0.~1[~(.Z'ZO.I TCJ CITY SE7aER~CONNECTICN TO CITY WATER OTF~t ' 6) ~~~ncr c i' ~ PLEASE HOLD APPROVID PERf~IIT F'CR PIQ{-C~P BY ONE OF AH'n7E _ . ~P,GEASE MALL APPRdVID PE.RMIT ~ 1, 2', ~3 4, AHOVE . ~rcie one) c _ `~J~i~d~ p~~ ~7 ' 'iC NY' Y:IL M4 ' ~ ' 1~I' I" HI• •I• 'ID I:A• Y71" • pl•f YY: ' q• `C L ' D~ t7P 1 ' ~ ' •dt~.•n1 •~P ~ ~ :1}' r:/. •.l1D~ 'Y 1 1 1 ::I: • r p. . y, 1~`11: Y"' •~C .-FOR -CITY USE ONLY ' , PERMIT # ISSIIED O ~ Pd w/Bldg. Permit FEES: • S $ O SEWER PERMIT (INCLLtDE SIIRCHARGE) $ ' $ ~(j '~D WATER PERMIT (INCLDDE SL'RCHARGE) $ ~ $ WATER METER/COPPERHORN/OC'TSIDE R_°ADER $ $ WATER TAP (INCLL'DE CORPORATZON STOP) $ $ SEWER TAP $ $ f ~~Q~ ACCOUNT DEPOSIT - SEWER $ $ /.j ~Q-() ACCOL'NT DEPOSIT - WATER , S ~ (YD $ WAC ' ~p Z S. (~D $ SAC • j $ TRL~NK WATER ASSESSMENT $ TRL'NK SEWER ASSESSMENT $ LATERAL BENEFIT/TRC~NK SEWER S $ LATERAL BEN°FZT/TRL'?QK WATER ~ ~'D $ WATER TREATMENT PLANT SIIRCHP.IZGE j $ OTHER: , I 3 7 ` (J-Z) $ ~ (J'CJ TOTAL c ~~~/r%/ . /o RECEI?T n RECEIPT ,r ~OES DTTLITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK LdITHIN PL~BLIC ROADWAY" MC'ST BE ISSL~ED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. i:BJECT TO THE FOLLOWING CO.7DZTIONS: ??ROVED BY: ~1~,lJ7L~ TITLE: ~ DAT~. (O / ° / . _ . ~ ~ ~f'_i~ n i Clty of Ea~a~ j Pertnit# ~ l.~ ~ j I Permit Fee. ~ ~ 3830 Pilot Knob Road ~ C~ i Eagan MN 55722 ~ Date Received: ~ Phone: (651) 675-5675 I i Fax: (651) 675-5694 I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (L~' ~ Site Address: Tenant: Suite RESIDENT / OWNER Name: ~ 1-~ ~ ,C_ Phone~S- / ~ ~n Address / Cdy / Zip: ~ ~ - l! , Applicant is: _ Owner Contractor TYPE OF WORK Descripfion of work: ~~.~L~J,~(I ~ ~~~(~s~/,~J C.t / 1 Construction Cost: Multi-Family Building: (Yes _ 1 No CONTRACTOR Name: 1 S~ License#~~~~~,/ (i~_ , ~ ~ ~ Address:- Ciry: V State: ~ Zip: ~ Phone: ~ ` ~ Contact Person: ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CdYegOry Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has tFie City of Eagan issued a permit for a similar plan 6ased on a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: - Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans andsupparting docu`menfs ihat yousubmif are con'sideredl#o be`pubiic inCormation> Partions of' the infoniiafron"may be ciassYfed as non pu6lic ii you provitle specific reasans fhat,ovould permif the City to _s r _ ~ - -i . .d=.. ~ ' ~F a . ~ a' ` ~ : conalude that the ars trade secre~s. ;,8it ~ - ~~i s ~ ~ . , x , ~ ~ ~ I here6y acknowledge that this information is complete antl accurate; that the work will be in conformance with the ordinances and codes t City of Eagan; that I understand this is not a permif, but only an application for a permit, and work is rtot to start wdhout a permit; that the ill be in accord nce with the approved plan in the case of work which requires a review and app of plans. ~ X -~~%D ~ x ApplicanYs Printe Name Appli nYs Signature Page 1 of 3 *City olbpi 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 7611 Use BLUE or BLACK Ink For Office Use Permit #: /00 Oq� Permit Fee: Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION Date: "� 3 ( 11 Site Address: Lt g ti Tenant: pk, ,9 5e-n3,r Name: 1„,.) t(7 s c/1 r - c Cvr1 Address / City / Zip: � S 9 1 S kr,e_ v , Suite #: Phone: b ✓c 1 - '296 - Cr) 1/4_, Name: License #: WitSDENT114.. HEATING & AIR, INC. Address: 1815 East 418t nt€t, suite A. City: State: Zip:Minf1ea(l( S MN .5544p1� 5 Contact: (di 21 {4wII New K Replacement Additional Alteration Demolition /� 58�vc_o 60 Description of work: )i,c. (cto -}:,,.c.sL 4". &.. Clod' (le ( 74.4An3AO3G RESIDENTIAL {� Fumace 7' Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank (_ Install / _ Remove) RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal $55.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ x 1% _ $ Permit Fee _ $ Surcharge _$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection ag st underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.. I hereby acknowledge that this information is complete and accurate; that the work will b in .nformance the o nances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work i of o start wit - perm } hat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 1/Can NC 0\ (les Applicant's Printed Name x Applicant' Signatu e PERMIT City of Eagan Permit Type:Building Permit Number:EA173217 Date Issued:11/03/2021 Permit Category:ePermit Site Address: 4841 Shevlin Ct Lot:2 Block: 1 Addition: Brittany 4th PID:10-15003-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Phillip A & Joanne M Sengir 4841 Shevlin Ct Saint Paul MN 55122--274 (651) 295-1333 Built Strong Exteriors Llc 2215 Quebec Ave S Lakeland MN 55043 (651) 702-1300 Applicant/Permitee: Signature Issued By: Signature