821 Shortline _ _
~~ee~p -
CITY OF EAGAN Perrnit No: ~
3830 P11ot Knob Road Date: ~
P.O.~Bc~x 21~Fg9` B/P No: ~
Date: A `
Eagan, MN 55121
;
Owner. ~onCie,r IKidr.Test j
SiteAddress: ` zt2ine i.~' ~ .r; ~-,r~ P2~c~
Plumber. Star P ~mhia~
M WGC: 5 5 ~ . !T4pc?
Zoning. r'
City Chg: ` '
Acct Dep: -~~pd No. of Units: '
Permit Fee: ~ ag?ee to comply with the Cify of Eagan
Surcharge: ' - ~`1 Ordinances.
Misc.:
ey
SE1N~R SERVICE PERMlT
CITY OF ~ , . _ _ _
EAGAM Permit No: '?44
3830 Pi1Qt I{na~ Road Meter No: Date: 7-22-a4
, P.O: Sox 211gg Si2e:
Eagan, MN 55121 Reader No: ~
Date:
~
Owner. 'rc~tier r;~j~gRr_
; Site Address: ~ -
~ ~ e I ::a C f
, Plumber. S; Z , b •a ~.~ce
° I
Conn. Chg: ~S~.Odpd ~
~ Acct Dep: ~ . QJpd Zoning:
~ Permit Fee: a•~Lpd No. of Units: .
i Surcharg~: ~
~ Tr. P1ant 1 agree to comP~y wrth the City of Eagan
~ Meter, rsy, _ Ordinances.
~ Misc.: ~?~t' ~,~,-rr- * ;
By
WATER SERVICE PERMIT '
- - -a-~...,~..1
CITY OF EAGAN _
3830 Pilot Pefmit No: • j
?.O• Box 211gg Road HAeter Na ~ate: ?-•22-8$ ,
a a
Eagan, MN 55121 R~ader No: ~a Size:
Date: . _ ~8
Owner. ~rantier Midwest
Site Address: ? I
Plumber. . 1 tb e ~~affard Dl~cn
Conn. Chg: ~ ~ i~.~}s)p~
Acct Dep: n~ d 2an;ng:
Permit Fee; 1U, pQpd No. of llnits: 1
' Surcharge; , QF~
• Tr. Plant 0~. d pd I agree to comply with the Clty of Eagan
Meter. 7 ;~Qnd Ordinances.
Misc.: r, ~~r ; j
_ ` R.E ~ gy J
WATER SERVICE pERMIT ~
!
i
~ . ~ . . . . . . , ~ . ~ A.~
~Y ~
CASH RECEIPT ' ~ ~
~
~ ~ . CITY C,~F ~AGAN , ~
3830 PILOT KNOB ROAD
> .
~ 'EAGAN, MINNESOTA 55122
~~J1 ''''7
DATE 19 l~L i
_ ~ ~
("~.:%t 1`~- 1 E`r 1, I c_ t,...i
~o~. ~
K
NdCJ'tiN~f ~ s~ n~; , J L)
8 DOi..LARS '
? CASH ~ CHECK .
w~ r` ~ ~ ':,~J L'' r---
c ( v~t ~ ~ ~ ~uc=: C.~. ) , ~'i' ~..~.a.. n,,;i'`
_ ~
'~`l ! ~ ~ .r
~i:;,,~G~ + 1 ~ L c; `L 1 ....i ~ ~ yC: , i.! ~ L::~
~ wo oe~ECT ,s,i~ouNr
V
~
.
~ Thank You . ~
8„ c~~ rr.. -
;
~f~ ~~~'~2 - ~
~--F~ c~,, '
.b . ~
/':3 ~1 `
DG. P~RMIT NO.
L~. ~ I l . ~
01-3210 Bldg. Permit ~ ~ ~0
~ 01-3422 Plan Check ~
01-3445 „•~6urch./Adm.
01-3446 SAC/Adm. ~ r
,
01-2155 Surcharge ~ ~
75-3860 Road Unit ~~a' r ~
20-2275 SAC
20-3865 Water Cann. ~r . Q~
20-3868 Water Trmt. ~
20-3716 Water Mete~ ~ ~ -
20-2252 Acct. Dep. ~ 3 0•
20-3713 Water Permit ~ ~ ~ ~
20-3743 Sewer Permit ~ ~ ~
79-3866 Sewer Conn. f~ ~
28-3855 Pa~fc Ded.
TOTAL
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 ''~'•1C,~ ;n~ Est. Value i J, Date 1 ,19
Site Address 1 S`~~~RTL1 OFFICE USE ONLY
? 6 STAFFUi2I3 PLAL:E On Slte Sewaqe Occupancy
Lot Block Sec/Sub. • , ~
MWCC Syatem X Zoning • I
Parcel No. On Site Well v.~
(Actual) Const
L-KOI+?IER ~t? ?J47ES7 ~IOME`; '.,."'?P , Ciry Water X (AllowaWe) L tf
m Name
= Address ~r~z ~F•!' A'~'"~L' ~R1 JE PRV Requlred x ~ of storias
; ~Z• BoosterPump Length 44
~ Cit~ ~A~~'~ Phone ` ~ ~
Depth ' ~
a Ner}te S.F.Total
.o
~ < Ad~ress Footprint S.F.
~ Ciry Phone APPROVALS FEES
~W Engr./Assess. Permit
Name
W
~ = Pianner 5urcharge 3 . SO
_ - Address
~Z Clty P116ne Council PlanReview 24;.Cft)
a"' Bldg. Off. SAC, City ~04.DO
I hereby acknowledee that I have read this epplication and state that the Variance SAC, MWCC 5~.~
informetlon is correct and agree to comply with al~,applic bIA State of WaterConn. SSO_O~
Minne~ote Statutes and City of Eagan Ordi nces.
Water Meter 67.t)O
Signature of Permittee ~ ~ ~ C ~ ` ~
' ~ cr r,.~~ •j r y~~ ROed Unlt 325.~
A Buildifig Permit is Issued to: ~ • ` uES ~ Treatment P1 ~(1E~_OA
on the gxpress condition that all work shall be done in accordanCe with all
applicable State of Mfnnesota Statutes and City of Eagan Ordinances. Parks
Bullding Official TOTAL + S~7[3 _ Sf~
CITY OF EAGAN ; ~ ~ ~
i• ` 3830 Pilct Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used tor Est. Value Date ,79
Site Address OFFICE USE ~NLY
E:':ii; ~ rLr`.~;K On Site Sewage Occupancy 1
Lot Block Sec/Sub. MWCC System Zoning ~
Parcel No.
On Site Well (Actual) Const
a Name . . City Water ~ (Altowable)
W PRV Required ik of Stories
z Address , ;
~ City Phone `~t; ; 3 Booster Pump Length
Depth
°C Name ~ S.F. Total
.o
~ < Address Footprint S.F.
~ Ciry Phone APPROVALS FEES
Q Engr./Assess. Permit ~ • ~'r.
yVj W Name
~ Z Planner Surcharge . St~
_ - Address
4 W City Phone Council Plan Review r'n
Bldg. Off. SAC, City Y~
Varlance SAC, MWCC ~
I hereby acknowledge that I have read f his application and state that the
information is correct and agree to comply with all applicable State of Water Conn. ~
Minnesota Statutes and City of Eagan Ordinances. Water Meter ~
Signature of Permittee
Road Unit
, i;l,.;I:
A Building Permit is issued to:_ _ ~ Treatment P1 ~
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Parks
TOTAL - ' ~
Building Official
Wrmit No. Permft Hold~r Date Tel~phona it
Plumbing ~/J~ - ' ~ ~7/
.
~
H.v.ac. ~~gC~ ~S/~'
Eie~t~~~ C~g~ ` Sa~ 8 e~=
Softener
Inspection oate Inap. Comments
Footings I ~
Footings II
Foundation , ,~T _
Framing i~ ~
Roofing ~
Rough Plbg.
Rough Htg. y/~~ y~ i/J~„ ~ ~~s 6
/'^v
Isul.
Fireplace
Final Htg. d-~
Final Plbg. p_7
Bldg. Final
Cert. Occ. ~
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
~ a •
(~.e~#i#ir~t~ ~f (~rr~~~nr~
~itp ot ~agan
~r~ri~nt~tt of ~iu~l~im~ .~n~rPr~imi
This Certiftcale rssued pursuanl to the requirementr of Section 306 of the Unrfornr Building
Code ce~tifying thar at rhe time of issuance this structure was in corrrpliance with the uarious
ordinances of 1he City regulatirg building constnrctron or use. For the followrng.•
~,'r' DI~G/GA.R 1537u
Ux Claveifiation Bldg. Rrmic No.
Tra ~ ~y ~ j ~ ~
OwocrofB~ulding r~'~'•~ ~jQ'~S Addrw 3~2 {~V~E ~'a~'I
Building Addre~ ~ ~ Lqcality ~ ~ ~~"'r~''•
n.a: OG`1L~13~ 14~'.
a„aa~~ oasa.i ,
POST IN A CONSPICUOUS PLACE
. . ; T~~. K..At,.~ t..+.-F .
v. ~7 ~
~ ~/v~ '7
r ' PERMIT #
' ' PLUMBING PEpMIT RECEIPT # ~
CITY OF EAGAN ~ ~t , r
3830 PILOT KNOB RaAD, EAGAN, MN 55122 DATE:
C~NTRACT PRICE: PHONE: 454-81~0 = ~
Site Address ~ C BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
`-r~ 1 ,~r ~'-i..~ Mult. Add-on
y Name f. ` + ~ Comm. Repair
~ Address ~ ~ Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ. FIXTURES _,TOTAL
/ Water Closet - $3.00 S` (~l?
~ Name C ~ /O 1 S ~
~Bath Tubs - $3.00 ?
3 Address ^ f ~ ) n
~ ~ La~atory - $3.OQ
O Ciry f•1 fa Phone Shower -$3.00
~Kitchen Sink - $3.00 3.
FEES Urinal/Bidet - ~3.00
COMM/IhlD FEE - 146 OF CONTRACT FEE Laundry Tray -$3.00
AP7 BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 ~Gas Piping Outlets - $1.50 ~
STATE SURCHARGE PER PERMI7 - .50 (MINIMUM - 1 PER PERMin
(ADD $.50 S/C !F AERMlT PRlCE GOES Softener -$5.00
BEYOND $1,OU0.00) Well - ~~0.00 ,
Pri~ate Disp. - $10.00
. ; ; ~Rough Openings - $1.50 '
i, l , , . - ~ .-a'~'~.~~C/ ~ ~
SICxKIATURE OF PERMI E FEE: ; n..~ • JC
STATE S/C: ~ d
FOR: CITY OF EAGAN GRAND TOTAL• ~L~~
~ PERMIT# ~j; _
, ~ . MECHANICAL PERMIT ~ RECEIPT # h~' ~ ~C~
' ~ ` CITY OF EAGAN
' 3830 PILOT KN~B R~AO, EAGAN, MN 55122 DATE: 8~~f g~
CONTRACT PRICE: PHONE: 454-8100 ~
Site Address 21 e BLDG. TYPE WORK DESCRIPTION
Lot~_
2~.~,~,~ Block . Sec/Sub
: .~,r~ ' . ~:`Q~~,~ Res. ~ New -~'k'
~ Name Mult Add-on
~ Address Comm. Repair
P
~ City ~:Ag~n Phone l''`- Other
FEES
Name ~ RES. HVAC 0-100 M BTU -$24.00
c Address ADDITI~NAL 50 M BTU - 6.00
~ C~ +~bAn (RES. HVAC INCLUDES A/C ON NEW
p ty a~ Phone CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT} - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1o/a OF CONTRACT FEE
Forced Air ~ M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHQUSE 8 CQN~05 - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8~
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU M!NlMUM COMMEAClAL FEE - 2~.00
Vent. CFM STATE SURCHARGE PER PERMIT - .50
1. SO BEYOND $1,pOp) PERMIT PRICE GOES
Gas Piping Outlets #
Other
~ .
FEE: ~(~~i' ' . ~ '
S/C: • 5~ SIGNATURE OF PERMITTEE
'~i^ TOTAL: S 26 . 00
FOR: CITY OF EAGAN
.
.
CITY OF EAGAN ~}a 15 3 7 0
s ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt# ~ 7
Tobeusedfor SF DWG/GAR Est.Value $79,000 Date JULY 21 ,1g 88
Site Address $21 SHORTLINE OFFICE USE ONLY
21 6 STAFEORD PLACE OnSiteSewage _ Occupancy R-3 M-1
Lot Block Sec/Sub.
MWCC System X Zo~i~g R-1
Parcel No.
On Site Well _ (Actuaq Const ~'1
a Name FRONTIER MIDWEST HOMES CORP. Ciry Water X ~Anowable) VN
W Address 3902 CEDARVALE DRIVE PRV Requirea X n oi Stories
~ Boostei Pump _ Length 49
City EAGAN phone 454-0433
Depth 39
, p Name SAME S.F.TOtal
~Q Address FootprintS.F.
~ City Phone qppqOVALS FEES
~a Engr./ASSess. Permit 490.00
w W Name
~i Planner Surcharge 39.50
i - Address
Q w City Phone Council Plan Review _2(}$...0.0
Bldg.Off. SAC,City il(10_(10
I hereby acknowledge that I have read Ihis application and state ihat the Variance SAG M WCC _S.10...OfJ
inbrmation is correct and agree to comply with all applicab S[ate of Water Conn. 5(1 _ fl(1
Minnesota Statutes and City ol Eag~an rdhiry~ ,n,ces~ Water Meter ~_~QO
Signature of Permittee ~~L-
RoadUnit 3~5_on
A euilding Permit is issuetl to: FRONTIER MIDWEST HOMES Treatmen~ Pt ~n ~ nn
ontheexpresscontlitionthalallworkshallbedoneinaccordancewithall Parks ~
applicable State ot Minneso tatute5 an y ot Ea an OrdinanCes.
8uildingOfflclal TO7AL ~SQ
/ /FI ~ 8''/~.. _
602~7%~i r~F' ~
'§st Dflle fire No. gh-in InSpeqion
~ O equi ? Reedy Now (jWIR Nolffy Irupectar
Q s ? No When ReatlY7
I(41iC~sed contractor ~ owner hereby request inspection of above electrical work at:
Job P IS t. Baz ar R Ciry~~
Sectlon No. owns~ip Name or No. Renge No. Counry
Occu (PR~O ~ I' I I '~~'S PMneNqS ' V
L~
Power Suppli Atltlress
Electncal Contratlor (Company Name) , Con or5 L' nse No.
KENDRICK ELECTRIC D
Mailirg AdOre59 (C~~~~~~~~~ ~~N~ ~ .
s
AuMOrixetl $i B Or . ~I all ~ PMne Number
, .
MINNESOTA 5lATE BOAH~ OF ELECTRICRY ' THIS MSPECTION HE~UEST WILL NOT
GrlgpsMMEway~Bltlg.^,'+iloonrSfl9~~~.r,-^.-^.:~~~-~-_ BEACCEPTEDBYTHESTATEBOAPD
1821 Universiry Ave., St Paul, MN 5510a UNLESS PROPER INSPECTION FEE IS
Pl~arre (872) 812-0800 ENCLOSED.
....:uEST FOH ELECTRICAL INSPECTION . ee~aoom~o~
~ See inshutlions far completing fiis brm on beck of yellow copg C c J
O ~lcJ
~ u? g~ `X" Be/ow Work Covered by This Request
ew~ ~p. ~ Typeot8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
~ Duplex Water Heater Elechic Heating
Apt. Building Dryer Other (Specity)
Comm./Intlustrial rnace
Fartn ' ~ Air Conditioner
m~ lsueciy~ ConVactor§ Remarks:
Compute Inspection Fee Be/ow:
# Other . Fee # Service Entrence Size Fee # Cirouits/Feeders ee
Swimming Pool 0 ro 200 Amps fo 100 Amps
Trans(ormers A6ove 200 _ Amps Above 700 _ Amps
Signs ~~apectors use on~y: 7pT ~ tU
IrtigaNon Booms J
Special Inspection
Alarm/Communication ~ ~
~ D
Other Fee
I, the Electrtcal Inspector, hereby Aough-in oe~a
(
certify that the a6ova inspection has Fi~ai oa~e ,
been made.
OFFlCE I1SE ONLY '
This requeSt vad 18 months Imm
0- 8~~ 517 0 ~
Re es[ ~ate Fire No. Rough-In Ins Requiretl Inspectmn O t Than Rough-In
~YOU must c pec~ar w~e y) y Now ~ Will Notify Inspactor
? Ves No Date Reatl
I ensed contractor ?owner hereby request inspection of ahove electrical work at:
Job AtlCre rael Box . y~ ' Ciry 2~
i ~t r/l'~/
$ection No. Township Nama o~ Na. Fange No. Counry
Occupam ( NT~ Ph`anne N . C/f/i
l.[~
Power Supplier Atldress
Elettn ontr or (Company N e) Contraclofs License No.
y ~ ~z9-
Mailing sa (COnI ctor or r ing Inslalla~ion)
W
Authon i naW~ dotlOwner Making Instella~ion) - Pnone NumQpi
/
C~ ?
MINNESOTp STq OApO OF ELECTRICRY THIS INSPECTION REQUES7 WILL NOT
G~IggsMltlway Bldg. - qoom 5-128 8E ACCEPTED BV THE STATE BOARD
1821 Univerelty Ave., SL Peul, MN 55106 UNLESS PFOPER INSPECTION FEE IS
P~ona(612~644-0800 ~ ~ ENCLOSE~.
0~ REUUEST FpR ELECTRICAL INSPECTION es. aooi-os
A ~ ~ See inNmclions~comple~ing Ihis form on back o~ yellow copy. ~~~~5 S
~/01~ ~ 'X" Below Work Covered by This Request
Ne Add Re Type of Building AppGances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./lndustrial Fur e Other (S ecif )
Farm r Conditioner
Othar (specify) ComrectoYS Femarks:
Campute Inspeciion Fee Below:
N Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Poal 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps A{i 100 -Amps
Si nS inspacmr's Use O~iy: TOTA
Irrigation Booms ~ UCi
Special Ins ection
Alarm/Communication TNIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Othei Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify ihat the a6ove inspection has ~ ~
been made. F~°e~ ; r~~,~'~ oa~a~~
7
OFFICE USE ONLY
This request vdd 18 months irom
I. ~
, 198~ BUTLDING PERMIT 9PPLICATION - CITY OF EAGAN ~
-
SINGLE FAMILY DWELLINGS ~ ~
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CDNTRACTOR/HOMEOWNER MUST DESIGN9TE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENT9L QNITS FOR SALE UIQITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECR WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONA1ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ~~_qJ Valuation: ~ Date: O-I-13 8'
Site Address ~ ,514t~2TU'uJF ~ 9~ p p OFFICE USE ONLY
Lot a ~ Bloek Co On site sewage Occupancy r~• S/Y•./
MWCC system ? Zoning 1~-I
Pareel/Sub ,5~2D ~L}}C.E On site well Actual Const L~~/
City water ? Allowable u~L,
Owner ~r~ ~~7~a,.1 .Pir~C~ PRV required _ S of stories
n pt~y~ Booster Pump _ Length
Address 3qlb $EAi.ti D'RiiE ll2~ Depth 39.33
S.F. Total
City/Zip Code EpF~AyV~ 1,AN SS la~ Footprint S.F.
Phone 4 S(o O`1(fl~ APPROVALS FEES
Contractor Frontier Midwest Homes Corp. ~gr/Assess Permit r5 ~
Planner Surcharge 19, SO
Address 3902 Cedarvale Drive Council ,c~~ Plan Review 2 S
Bldg. Off. "~1k7 7~i8SAC, City rpo
City/Zip Code ~Ban, Minnesota 55122 Variance SAC, MWCC 3Y~
1 Water Conn SSo
Phone ~-Oy ~ Water Meter ~
Road Unit 3Z S
ArCh./Engr. Phillips Plan Service Treatment P1 2p y
Parks
Address 14530 Pennock Avenue Copies
TOTAL 7 D, S~
City/Zip Code Apple Valley, MN 55124
Phone A ~,~~-~n~,~
1 1
~f
Y ~ .
~
~PY
l0/S ,Y/v _ / y2/o
!~sm~'
~b/5 k l3 = ~ 3 ? ~/'J
MG,~
Joyy yys= Si~s~
~j ~o i s
~
,
OWNER: ~ ~ ~9-it/ ~1T~: -~-1CC'~S~
' ~ T
SITE ADORESS: do2~ cS`ID,E~~~~b PHONc; ~~y ~~j/~~~
CONTRACTOR: F~~~TIEIZ r+GT'f~ PI?N #~`IYti`~~,,'''~tL~ ,
Deternine working square footage af each
I. Total exposed wall area..... (`I ZZ sq. ft. x.11 ZI1•'~
2. Total roof/ceiling ares..... IO~Z sq. ft. x.026 = Z~~~
Totzl exposed wall area above floor= I~~
a. Total wall window area 1~4-
b. Total door area
c. Total sliding glass door area............ ?o
d. Fotal firepTac= wall arez -
e. Total wall framino ar=a (average 10~).... Z
Total rim joist aree ~3 a
g. net wall area aCeve floor 13 "1 d
h. wall area a6ove fioor
i. wa1T zrea a5ove `loor
j. frame wall area ae =cur.dat_on
• ~ Totai exposed foundation area=
k. Total foundatfon window area
1. Total net foundation area above grade
Determine "u" value of each wa11 segment
(e.g. window, door, each separate wail section)
a. I~- X ,3b =
5~
b. 3~ X = ~~,g
c. 4a ~ ~38 = ~S~Z
d. - ~ _
e. I°IZ ~ X
f. 13~ X .O = s,s
g. 131b X ,DtT = ''S~.a .
h. X _
i . C _
X "U" _
If item =3 is th_
r X = as, or less than i
:1, you have me*_ i
~ X„~~~ _ intent ar SBC 600E
3 . .................................Total = I 5~.3
~ L~I10: ..ri1Ve o_ Ave uyc v ~.....,i. .
Tocal exnosed roof/ceiling area = )p~~
a. 1btz1 skyliqht area
n. Total roo`/cei2zn, f:amia5'a-'ea (:tvctage 102~...
o. Total net insnZatc.~. roo¢/cciling area..••-•••--• `I38
Dete=air.e "0" value for each roof/ceilinq seguien~
X "U" -
m. -
n. 10~' ~ „L,~ _ = 3,~
93 ' X „II„ .2S = Z3.$
4._.....•-• T~tal = Z
~O*n~ G_ '1 'S CLl° S<:.'62 d5t O~ ~.E55 ~:dll azi VOIl have :R@t t:.E 1R~HIIC C~
Sy~ $~J'.'Gi ;rl' 1 . .
' ~ ~~`er^-`e nu~~~'i-^•4 Enve'_ore L'esiq.^.
• 2'~ =_iiza tne total envelope 'system me~.hod, tise values established by the s.:.-~ oi
items ,",3 ar.d ~4 shall not be gre~ter t`~an the sum of itesns :1 y^.~ nZ-
' ~R.~ + 2. Z_ 7 = Z'~~.5
1. -
3. ~J • + 4' Z~ ~
. . r'~.
~ ^ L.L-'`~d.T. `~0$ID ~l+j. -
8~.~:
- 3°t f 3 .~z1 1
w.o..
FULL I: ~1 D r +Z`I
FULL 2:
F'2REPLACc::
RIM:
~ SQUARE £EET E~{POSr.'~ WALL AR£A
BLOCK: x .5 =
KPTEE: i~~.v x 5 = ~
W.O.: X g = .
FTJL,L 1: 13 Q~ X$_
fUi.L~ 2: X 8 °
FT~ic.°~~: X =
~ns: ),~,~j X 1 = 13gj
° _ ! ~1 ZZ
* SQIIARE F~!' E~os~ CE'sLilvs l oq~ Z
~ ~~~~~s ~ . . .
~ttitro'- z 4 3 c, = 1=o Z$ = 3 S
IlV 2o3(D ° ZO 3n
III H~' Z4a3 =~O} * PAT20 DOORS '
J--_ ~a~ 6~ _ ~ .
* PeSFl`~2Ff UNTTS'
~ ~.c+~ t
. - ~ c~ ~uc_,~~ ccrrs~:eLCTTcK:_ ~~r,
~ 1. IN'~:OR AI? z'^LI'( 0.52
I O 2. : D .4~
3. 5 1 2' SOF!' WCOD 6.8
4.
~ 6. SI7 ,.IOR AT.R FIL*S 0.17 '
~4~
R= .8
, ~ U .0~
c=G. ~1 1Uta/~E~J Cf
PS~4N~ lanLC 1
1. Il~IOR AT~t FZLM 0.fi8
Y;:." 2 GYP .45
3. 1
~ 4. 2 32 SF^~PS'I-~!G 2.06
5. SID .62
z~. t2 3 . 6. - -
~ U= .O~c
rn
i ~ 1. IN!'~r
SOR AIR fTIM 0.68
~ Q ~ 2. INSUL. 19.00
S~tt,S£~lsg, / 4. JO . 6
~ ~ 5. SID .6?
~ ~ 6. OR AIR LM 0. 7
, o n U= .04
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Q
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• CONSTRUCTION
~ , . , , , L`IST..DE PT~t FII.M 0.
_ n ~ - i 4 • . .
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No~: usE AnnrrzoxaL sH
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NdN-~^1Z'~ piE~ED FOR DETAILS •
FTAT FIAW
[JP
. ~'urvr~o~~s ~'~rt~~'`c~te
SURVEY FaR; Frontier `•[ic~aest F:ones Corp.
OESCRIBED Q5: Lot 21, Block 6, STAFFORD PLACE, City of Eagan, Dakota Coimty, ~'innesota
and reserving easements of record.
~•R.V. RGLedVI~G~
` ~
\ /$51~~ 96.i0 ,
~ 5' gp. ~ fl ~ ~ _
2~' 48` E / . ~ ~i~~ I / ~ ~ ~
h~'~~, , i(,~ ~~r __-J
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i
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fy\ a 66'` } g5~
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. ~ i P~
853,8 ~
y~ 25. o~_ £ 1 ~
N.81'40 G.~
R plo~t: ~el .
Su.c43•Jec.i ~.b 9~
PROPOSED ELEV4TIONS `r BENCMMARK~
~
Too af Foundation . 35~,~ T.N. N~tD, Q Le+ ~~~c 2~ 3
B~K. 5 ON SHO¢7LlNE qUE.
GaraQe Floor ~ g56. 3 855.56
8asement Floor . g53.5 MIN. SETBACx R£OIREMENTS
Approx. Sawer Sxvica Elev. a a9 a, q~
Proposa0 Elsvations ~ O Front - 3o Houss Sltle - 1O
Ex~stinq Elevations .
Orainaqe Dirocrions .-.r.._~ Rear -~s GaraqeSida- 5
Denotes Otfset Stake . p SCaI'c: L Incn = 30 Feer
I nv.er aurlry tnor iM~ wrwY, Dron a nport ra~ DnparM ey m~ JOB N0. l
or um~r mY din<f wp~rviaion ma tnal I am a GuIY R~yisbn0 88R-3bb I
Lana Surv~Ya un0~~ M~ law~ of tT~ Stan of Mlnn~~ora. ~OOK I
Plannmg Engineenng Surveying ? ~
E..~ d~~,.,...... e~.~~, .,,M...,,~..~ ~acF L
i..w~o..~.i:im.~.m . , s~ ~^^-~`x------ ~
C Oaf~: ~
.:~Rrev ntl(pr n. ! Ic~n~~ i3376
CITY USE ONLY ~~{q~~~~
{q~
L o~~ BL CO RECEIPT _aC~1C.Gd.~
SUBD. ~ DATE: 9~
~~~/~'l5/~ 3~ 1995 MECHANICAL PERMIT (RESIDENTIAL)
~•C ~X ~ o~U`~ CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
• (612) 681-4675
Please complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
X_ Add-on a~r conditioning I~dd-on airexcnani~er, i.e.'vanee sysiEm, eic.
DatQ: February 1996
FEES
? Minimum Fee: Add-on emodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL Szo.so
SITE ADDRESS: 821 shortline Eaean. N!N 55l?3
OWNER NAME: Jean sus~t, PHONE bss-~49o
INSTALLER NAME: Aople-Lake Heating & Air Conditioning
STREET ADDRESS: 17100 xamilton Drioe
CITY: La~:eville STATE: ~ ZIP: 55044
PHONE ( Flz ) 431-4328
b`f~T
a~~~ ~
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? all commerciaUindustrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unit.
ui~,i't: " CCNl'FiAC~ I P~2iCE: ~.r_
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.00 minimum fee 4.C 1% of contract price, whichever is greater.
~ Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADQRE:SS: _ --.--_..~s.. - - -
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP•
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
. , ,
,
APFLI~ATION 1=0R PERMIT s.~~ PA1Q9Q~lf OF FEE AT TIME OP :
. ; AerLtcazzoN roes n~ar cnrt- ;
~ ~ : S2Z7LRE APPRCX7AL OF PERMZT.
~ SEWER AND/QR WATER CONNECTIQN ; I~°~0N ~ ~ _
r ; irisrattart~s wu.r. Nvr sE scmcn.m ;
. . ~ ONPIL PERMIT HHS BEESV APPROVID. :
~ek++~~ett~sseswwkk~+t~~x~rwke~ty~~t++
~ •
~~l~ OF CC1~C9t1
(PLEASE PRINT
1) PROPII2TY ADDRESS: Q~a 5~~~~ ~~A~ ~n~ 551a~j
T,FY;AT• DESCRIPTION:.. I ~,T ~~1 ~ ~k~e ~ -~02.~ ~LE3c.k.
-~Lot B ocfc~ivlsion or Tax Parcel ID }
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDING PE:E2MIT ISSLANCE:
Nlont Year
PRESENT ZOIVING/PROPOSID LSE:
Q COD'A7ERCIAL/RETAIL/OFFICE I
p~' R-1 SINGLE FAMILY
Q INDC!STRIAL ~ R-2 DLPLEX ('i'wa Ljnits)
Q INSTITUTIONAL/GOVIItNMENT Q R-3 TOWL~iOL~SE (Three + U~aits) ( Units)
Q R-4 APARTMENT/CONDOMINIUM ( . L~nits)
2) NAME: 1~oY~7i1CYL
ADDRFSS: ~q(~. C~`YJAYL~~flLCC ~_IUr-
CITY, STATE, ZIP: . S
PHONE: ~5 -0 33
f~ ~ For City C~se
3) NAME: ~tP-~2- ywmPi~eJ~i Pl reurt~
s-License:
ADDRESS: 101~ V..~c~ur,~C1 ,~,(~Rttiv.S 1r~tR~c~ ~tired
CITY, STATE, 2IP: ~j~ t,~,;~„~ ,~,4,J S5~-U I No recorde~'
PHONE: R8~^ `11~~ MASTIIt LICENSE # 33~`) ' St Ia
n~f'itia'-
4 ) ~ ~
NPP~: 'Q~`YL ~ ~r~PSrJ ~uY.1~-
ADDRESS: qq I ln {~iERt.~ D' R~ i
C IJC~ JE ~-O1
CITY, STATE,. ZIP: ~~~i ~ti1 SSIa~
PHONE: ~-I~iCa - (~~-t(¢~
rj~ ! i ' W ' ~I• I ' P0 ~.1 ~111
~ CON[~C.'TION TO CITY SEWER ~ CYIN~CTION 1t~ CITY WATER ~ OTf~'R
6~ ~ D~I ~
*'k'k~k*'k*'k************#* ***i*'k'k 'k'k'R`k'k'k*:F'k**'k'kA'***'k*********'k**:M'k*******'k'k**'k'k`k~k***'k'k****'k******'k'k'kk
*
* THE GOLD COPY OF PERNffT WILL BE SENf DII2EC.'IS,Y TO Pt~BLIC WORKS 'PO FACILITATE METE[t PICK-IIP. ~
* PLF.~15E ALIAW 75V0 FARKING DAYS FOR PROCF,SSING. SODgIONE EROM Tf~ CZTY WILL CONTACT YOL IF Z'HERE *
* ARE ANY PROBLEDIS. y',
'~*+*~*~******~~~+~*********~*********~*~**~~*+********~~**+******+****+*********~*****+*****~~*****i
`
. FOR CITY USE ~NLY ` ~ ~ ~
PERMIT # ISSDED ,
~:~o~
Pd w/Bldg. Permit FEES: -
$ ~a ' $ SEWER PERMIT ( INCLUDE SURCHARGE)
$ ~O " S~ $ WATER PERMIT (INCLUDE SORCHARGE)
G' ~ ~CZ' $ WATER METER/COPPERHORN/OL'TSIDE READER
$ S WATER TAP (INCLL~DE CORPORATION STOP)
$ $ SEWER TAP
~ ~•~'D~ $ ACCOUNT DEPOSIT - SEWER
$ ~a ' D?~ S ACCOC~NT DEPOSIT - WATER
$ -GJ S C' • ~Z7 $ WAC
$ C,.- S C • O'?~ $ SAC
$ $ TRCNK WATER ASSESSMENT
$ S TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFITjTRONK SEWER
$ S LATERAL BENEFIT/TRQNK WATER
$ ~~~/-Cf ~ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ / S TOTAL
- ,~~,5~~~ Z-
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQDIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL~BLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SDSJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~
TITLE:
DATE : l Z f~~
~
~'M~~~, ~t%kMSF"6>$`,RM:'rM'M'M7K79,3K>kY,i:'M~~ r~\tM?kYR)~:'M>X~~;~'$<$t*M;X~Rc
r,~;TY C?F GAI:,FlN
CFt31-I?E:R. :~S ~ fI:~F2MIN6`i I~~J: ~~Etc
AFiI'E:~ C8/23/`.)~ '{'IML-°e 13e;3~.07
ID;:
t~FlMF_'v f:Ll_IEIi FI:I;LS:[I~E~ INC.
;3~t:1.0 J(1Oi. 1596 I'-'~aC:l:f':I:C A'.J 6r~.C10
21..:i5 `_3C)UJ. '1S9G I'-'*rf:].F':LC AV ~~~~1)
3~?i.p '?QOl 821 SHC]RtLIi~~C' 6~~00
~
2:1.°i.°r .`:1C101. £3~!i. 5FI0~.TI...7:v~ O•~n
r
~ru'~:cl.~ I'if?i'!'_7.~}I: AIf~UU.ili;;; :Lf~:L..(.IU
CR 1.7J::ri3U?.
USe:.4 SL~: :!(~N
i,cv,~Y;~k~k~Xm?X1~%k~~Fic'K~k~:u,;:x;;;>R~:~ ::~%k>k>k~~::R:kzc;;;g;~%~~#
:c
~o~
~a~ ,
1999 FIREPLACE PERMIT APPL[CAT[ON
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
J~ S~ i
Date: F-f ~l.(a • ~ , ~ y
Descriprion of Work: ~ Construct new fireplace ~Gas _Masonry _ Alteratinns to existing
_ Install ~as inseK onlv _ Install gas line onlv
Other
Job address: ~ ~ ~ ~~C'1~~ ~
1~~ ~
Lot: Block: ~ Subdivision/P.I.D. ~~~'I'f' ~Ir~f 1' ~CIC~L
Applicant (circle one only): Owner ontractor Permit Fee: $60.50
( CJ/.~~
Name: ~ 1/1 ~P ~ P Phone ~ O
PROPERTY - La~st Firs[
OWNER bL~~ ~l\ ~J ; ( l~ ~
Street Address:
City ~ (X UI State: ~ n, , Zip: ~S ~
Company: Y~ Q S 1(~~ ~C~~ ~'1~~f
f~ f i' f"P Sl~fV2Phon O`~_~~
(area code)
FIREPLACE ~ ~S I.C/
INSTALLER Street Address 6, ,
City ~(1 ~nT(~~ I~ State: ~~/L Zip: SS'~ ~3~
Company: Phone
/ (area code)
GAS LINE s rJ vV1 Q
INSTALLER Steet Address: V~
City State: Zip:
~ 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 d City of Eag Ordi ~ces.
• c
Signa re ` I ' I ~ i [ ~ I : i
i~ I.
'
~11 i~~13
. ~.1,!`~ - .
~
,.t
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repair ? 40 Gas Insert
GENERALINFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
/..a/, ~l,
~ Residentis/
Who% Hause Worksheet
Cuswme~b Naina l C;N y i ~ . . . . . . . . . . .
/ 8~ 2 - ;.t /N uu r/I .
Address
Cny - ~ • Sca~a ~ .
~~p ~ TeWphone Number ~ ~ ~
WINTER:In~itl~0ucidnTamp_.,~_oF-Ou[cide0esignTamp ~ ~V °F,~Meatinp7ompDifferenc~~^-op
~ SUMMER: putyide Ursipn Tomp oF-inrido Oesign Temp~ ~F . Cooling Tamp Differ~ne~ •.+~U. ~F
HEATING '.COMMON'OATASfCTION i .~'.,c<.COOLING
' ~ ~ . HE4TINO~v.r a 1'~7 wi, yy1 ~2 / ' ! f-: r;c.. p.. - . ~ . ~ ° ~ti ' COOLINa... i .y.. ~
PTUHlOSS ~ FACTOR.... ' y C':~y ~w.
. ~ ~ , ~~puLSe~ ~ .}cntroe'~`4 u~HTUN~6MN .
, GROSS WALL ,3j / GU
a - DOORS&WINDOWSlTaDleAOrel ~ ~ . aav' ~,5~~ .
~ . . , .
.~00 NETWALL '
Uv . , _ 5'~0 •
°O t co~ P U
~~o- - cei~iwc o00 . DU
I._ FL•OOHS - ~ ~
- ~OVU
~~tl';_,;^" a ~
r n.u x 70 % ~.~lw x ,c w,u~~hii x ~~/no x ~T x uy~j,w imau~w.
-i'~~ ~ x0.18(f33 x '
U U UtXJ x U Ol II3's x~j x, r1 ~~j r i~ ~
~ ~ !'.,ylr'x~~j4i
{.C
_.,2~~c ::UB-TO'AL BTUN LOS.°i (Per i0°f1 ~ r ~ ~ ~ ~ .
x / ~t~+;~!~~ ADJUSI'PdENT FACTGR (Tebin C)
~S~~7C~ . TOTP,LBTUHLOSS
, ~~'J~ ,~i' ' ~ ~ .r- 'T. .
~ v;1.. i~~1~(!~Sw PEOPIE~ic3U0pfUHGA1N I~suma7VwUN - ~
. p ,~'nrV`- i Ga Whooml ' L~'
N~,'~1~., ~ ~ APPI.iANCES BTUH ~
. as.'~: . ' 1. a,~
nZ'.:
~#~J~~~~,~~`_ SUb=TOTAL 9TUN GAIN (room sensible only)
x a
. ~QUC? LUSS!GAIN FACI'OR ITable FI . ~
~~~~'~~~~~~~,,r"~'>*~,n ~ SUA-TGTAL BTUH (Semible Gain) xL j 7
Wi~ ~,''c~'~~ ~ A1pi5TURE f2EMOV.4L (sub total x 1.31 ~
;..x.;,~~-. - ~ x ~1.3
'fOTAL 19TUF1 LOSS/GAIN ~ . aD .
TAU~E q-t1EATING-6pORS 6 WOOD FRA~i1E WtNDUWS
IPEN 10'P) ~ . TABLE B- COOLING - pOOqS B WINDOWS
u,;.;::. ~ us~ r;,,:~e.s (or :h~ sanic type wmaow Glinds und sl din~ gla c Uuors a~u i eat tla
cnw n
jow or veneuan ~
i~,... Ln~~~. . .
~ N ~...n v - r."_' t~am~y ~ -1-". - - s~xcucusa aorxtcuu twu4w '
Uo. T~'1 5 Wuo~ IM Mntal xn«~~ 6WnL(r::: rc.arm~. lEMlOiii rcrr.m~~. x~... -~runc.~n
J v P~u
~ I J~ J~ ~ 1).5) I ~~1iu~ 16• fi~ ~6• 'Y ~5• P• 3. .
YY~[r~ 5t~.,rn~ i v'n I r~ u u x u.i~ n u ii u
a.7. 0.50
Iia,~Llc V',~qe - s: nf5 nvi n u
p_~'..-__C_~/' ro a~ y y s'n s
~I~~.~~ ~.$1~ L.~ %..~.5 ~ ~-~O UO7 _ _ '
~ . . _ ~ t:,w ~
N,~~I~ Sioim L- sp :a, m w~ u'.
a '
r a a
~ . - - 3.41 :1.R5 4 Sq 1_' - -
~~.(dcl'al.! --45w 4 O SI 31 U q D M;
T`_T'_°--
: i.: u 3.i10 4:35 5.90 ~ a 3 n oa s~ a n n m a
- - S o 0
I ~
~:1():l'~ ~},Q I ~b 14 IIt 1~1 ly IU IM W
I ~ - - - - ` - -
1
`.~n.IS~ c'st~nn Y~_-.- ' j ••^^bJl YA W.Y li.] ~A OY 1" Il.f 14y 111
~
I , . J.O _ ~ _
•d~q•i~.~, nbm.l~ 3.F l! lu L: l5~ f~ iD lS M
~ 11.07 i l G9 1i.92 , ~ ~ - _
I , . - GJ v„~~~,:~a,.ow~.~w ~ 7"OTALS U
i, G.65 7.3S,L87$ win~r,e~~uc nnuimo.~~n
I _ yy FWp~CIIpnY[p~~m~lilUOFdi
\`:v..J:i~~:~ ~ 7.BG .
~ - _ I -`L~_ _L~~__ TABI[ U - INFILTIIATION MULTIP~IFflS
_Y,'.;..qv. :c_xn_ 0 ~
~ _ T N'inwr Air Chanyes Per Hour
~'~'y'uiR-~ _ .y~ Fluorl~~ea 5(xtorluu 900-1500 150041pp ovnr27W
t.ie~~..n~e Co~e bua[
._~h Si._'_wn.i--._ ,__:,~1.70 ~.4 0.4 0.3 0.3
Avampx 1.2 1.0 0:8- . 0)
TOTALS ~..j~ -l ~ ?t~or ' _ 2.I _ t.6
/ . 1.2 1.0
F4fb4cbli:uyUCeedO: ~ '
- - ~ . tlcs~ Averp~ p~,~,~
Q.1 J.2 Ud
, Summer Air Change: Pd~ Muu~
';^JUSTM@NTFHC7UR5 -IKEC.TINGI ~~~~'~+~a.. 9:Ouiiesa 5J1ts;1p 75iSi2tQ)
" '
'~.u, . ~ - _ '
_
r.,~r.Uill ..G OJ ~ f ~0 70 80 ~ yp bcxt 0.2 0.2 E.2 °`~-J~~u.
. . . '
_ _
i .:.::i._..I r.~Jti~~ . ? A S ~j f - _ :.v~:~y¢ ' ~_0.:
- . ._~_.1.~~ " - ' 0.5 ~ 0 . ~ .
4
I
. V.I ...0 • ~i
. . . I ua "
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137774
Date Issued:07/21/2016
Permit Category:ePermit
Site Address: 821 Shortline
Lot:21 Block: 6 Addition: Stafford Place
PID:10-72500-06-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Peter J Busch
821 Shortline
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
Permit#:
ig6//7 CC
City of EaRall
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUIL ING PERMIT APPLICATION
Date: 7 ` , 17 Site Address: O c) / 5Iov- / , Unit#:
Name: t---c 5-( Phone:
esi den
Owner Address/City/Zip: Fol) 54 C,v I I
Applicant is: Owner X Contractor
Type of Work Description of work: r@ c Ycjg) K >f2 c-Ar o 0.13
Construction Cost: ` f S C Multi-Family Building:(Yes /No )
Company: L k Ce, L 3t-�-! � Contact: iC)14
Address: 6c 30O � f1 City: 1 o leContractor
State:GM's Zip: .S.5-)c�t7 Phone:6/04-998-- 990 9Email: cL e_triC'00/ 01-C)
License#: C3C G 7 00 7 7 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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#o ba public information. Portions of
the information may be classified as non-public if you provide specific reasons 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.qopherstateonecall.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 pl-ns.
Exterior work authorized by a building permit issued in accordance with the Minnesota S • Building Code must be completed within 180
days ofpOa
rmit issuance.
x "� O ar, x
Applicant's Printed Name App icant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149012
Date Issued:05/02/2018
Permit Category:ePermit
Site Address: 821 Shortline
Lot:21 Block: 6 Addition: Stafford Place
PID:10-72500-06-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Peter J Busch
821 Shortline
Eagan MN 55123
Excel Exteriors Inc
6230 10th Street N, Unit 420
Oakdale MN 55128
(651) 414-0919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161576
Date Issued:06/03/2020
Permit Category:ePermit
Site Address: 821 Shortline
Lot:21 Block: 6 Addition: Stafford Place
PID:10-72500-06-210
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Peter J Busch
821 Shortline
Eagan MN 55123
(651) 261-4794
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA163082
Date Issued:08/13/2020
Permit Category:ePermit
Site Address: 821 Shortline
Lot:21 Block: 6 Addition: Stafford Place
PID:10-72500-06-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Peter J Busch
821 Shortline
Eagan MN 55123
(651) 261-4794
Noah Acquisitions Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature