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1 [ E %W1E-r-(H)687-W15(W)733-5955 CITY
3830 Pilot Knob Road, P.
BUILDING PERMIT
VAN
'33
1-199, Eagan, MN 55121
3100 'v
Receipt # ?-. 30
Site Address 57 N
Lot 1- Block I Sec/SutPR N OFFICE USE ONLY
Parcel No. Occupancy R-3 -h--1 FEES
R
1
Zoning -
W Name 1??1<ifl $ (Actual) Consl Y? Permit
Bld 773000
o Address 14450 DtlRMILLE Pm (Allowable) y""N g. 69
00
City BURNSV71LU Phone 8%-2636 # of stories Surcharge .
? plan R
i ??
Length ev
ew _
i- Name SAME Depth 339 SAC
Ci 100000
t ,
ty
u Address S.F. Total
? SAC, MCWCC 650.00
City Phone S.F. Footprints
6b0
F On Site Sewage Water Conn •
w Name On Site Well 95
00
?u
i
Water Meter .
.
L)Q Address MWCC System X
=z
W
City Phone
City water
x
Acct Deposit 30.00
30
PRV Required ?- S/W Permit ,
I hereby acknowlege that I have read this application and state that the Booster Pump • 50
information is correct and agree to comply WWith all applicable State of S/W Surcharge
Minnesota Statutes and City of Eagan Ordinances. Treatment PI 276.00
.c
Signature of Permite6l..
APPROVALS
R
370.00
oad Unit
A Building Permit is issued to: w0 ifolas Planner Park Dad.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official Variance - TOTAL 3,555.50
Permit No. Permit Holder Date Telephone #
WATER I Y oZ !?0'?3/9
SEW@R
PLUMBING 02? / 7? T ?L7 ?0? 3
H.VAC. 5 ?? 9/ 7 0 ?o?
ELECTRIC n
pl/o?/?D(p ?1? ?D
Inspection Date Insp. Comments
FootingsI
Foundation
Framing fp
Roofing
Rough Plbg.
Rough Htg. .9?
Isul. G LIJ?
Fireplace
Final Htg.
Orstat Test 4
Final Plbg. -?? Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan C;) y.?L.TS
Bldg. Final 9- g/ S i? 1
Deck Ftg. 25 2 X2/+1 l f? /L
Deck Final ?- _ gyp iris /L
Well
o Ric- c?iST
Pr. Disp.
01,
57;?V't°.> ' w'51V
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METER # ??,9 0< 7a l U PERMIT DATE . '2 3 fig!
CHIP #(2 12 16 6 3D S PERMIT # 1 1S 42
METER SIZE " Pti' S u B.P. RECEIPT # (I t 3r i ?,
ISSUE DATE 2-1-2-El B.P. RECEIPT DATE 04 ? 2 1
PRV - BOOSTER PUMP
SITE ADDRESS 1 ?;' 1 I, "6c:
LOT S; BLOCK ? SEC/SUB PRETTYMAN HEIuHiS
APPLICANT:
ADDRESS:-
CITY. STATE
PHONE:
ZIP
PLUMBER: D C MECHANICAL
ADDRESS: 13845 DAN PATCH LN
CITY, STATE ZIP 517 3 7::;
PHONE:
OWNER: ?:YLAND HOMES
ADDRESS: 14450 BURNSVILLE PKWI
CITY, STATE >''I?NSVtLLE Sita ZIP `5337
PHONE: 4--2636
PERMIT REQUESTED
-SEWER " WATER _ TAPS
COMMAND
xIVEW
4RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahbad of Domestic Meters on Water Line.
Gedit WILL'NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGA R INANCES
I
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
. ..v -- ... - .., - . '-.?y?,??? _ , _?? .?YM?e;4r-.. .? yrr.^.._?..r,,,... ?..,?;.?rhyYt,
(6rdiftrate of (Orrupanry
Citp of eagan
Wpm of Nualm Prtum
This Cui7favie issued pursuant to the rrquuementr of Suction 306 of the Uniform Building
Code certifying that at the time of issuance A&sr&ucwm was in compliance wish the mriow
ordinances of the City regulating bur7ding coan"wtion or use For the following:
we Cl =T,.6. SR Tza-. E Ski& hva Na 18q 19
O-Vauc7 Type R-3M Zx iw District RI Type Ca" W
POST IN A CONSPICUOUS PLACE
Address: 1571 SKYLINE TRAIL Lot 13 Blk I Sec/Sub PREFIYHM BEI=
These items were/were not complete at the time of the final i spection,
Date; 7/18/91 Yes No Tnqppcrnr,
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage ?
Porch
Basement finish i/
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
necruEO wrtx
White - City copy Yellow - Resident copy Pink - Contractor copy
BUILDING PERMIT
To be used for SF [
CITY OF EAGAN Np 89 9
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt # Cr ! l?J
GAR Est. Value $138,000 Date APR 19 1991
Site Address 1571 SKYLINE DR
Lot 13 Block 1 Sec/SubPRETTYMAN HEIGHTS OFFICE USE ONLY
Parcel No. Occupancy R- 3 M_1 FEES
R
1
Zoning -
W Name KEYLAND HOMES gctuagCOnst Y-
N Bldg
Permit 773.00
-
- .
Address 14450 BURNSVILLE PKWY (Allowable) -V--N
69
o City BURNSVILLE phone 894-2636 # of Stories Surcharge .00
' Plan Revie 509
00
Length 5$_ w -
. Name SAME Deem 38' SAO
Cit 100
00
z
°u Address S F. Total _ .
y .
City Phone S.F. Footprints SAC, MCWCC 650.00
660
0
0
F On Site Sewage Water Conn -
w
w Name
On Site Well
95
00
w
z Water Meier .
Z Address MWCC System R
°
i Aw
Deposit 30.0
0
5m City Phone City Water X .
30
PRV Required R S/W Permit -00
1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .5
0
information is correct and a to comp) ith all applicable State of
Minnesota Statutes and agan Ord' ces. Treatment PI 276.00
Signature of Permit APPROVALS Road Unit
0
370.0
A Building Permit is issued to: LAND HOMES Planner Park Ded.
on the express condition that all work shall be one in accordance with all Council
applicable State of Minnesota Statutes and
City
of Eagan Ordinances. Bldg. Off. Copies
11
hh
Building Official P016 A.y,(.(A, I vvyvLL} Variance TOTAL 3,555.5
0
PEP,MIT #,, 19/7
REACTIVATE
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675 1 U N 1 8 REW
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
talcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy talcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re Quest is made 2L _lot change is re guested once permit is issued.
Date ?a / /6 / ?d Valuation of work -5' 3S06 °"
Site Address: /, 7/ SA? 11 L/Aur Ti2 ?6}?9,v /Y11U 6ss10,1
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD.
ff-.a P.I.D. 0
?
Descri tion of work: P60-1c ati Q.k 0 r
The applicant is: X Owner ? Contractor ? Other (Describe)
Name 617,10LL6.5 zRv Phone 697-0015'
Property LAST FIRST ?'-' 733-SgsS
Owner -
Address 16
71 6kY L//u 7rZ
STREET STE #
City '6?19Cs9w State !WA-) Zip _.SS"/a/
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
C>1
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
-d 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
, 15 Deck
? 35 Tenant Finish
? 36 Move
Const. (Actual) Basement sq. ft.
(Allowable) 1st F1. sq. ft.
UBC occupancy R - 3 2nd F1. sq. ft.
Zoning Sq. Ft. total
4 of Stories Footprint Sq. ft.
Length r On-site well
Depth C1 On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
Footing
El Final
? Framing
? Draintile
f ?
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
valuatim.. $
C 9 0 * . <:
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
-73URVEYOR'S CERTIFICATE
1
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199,41
NOTE N4 SPCCIFIC SgIS INVEST1aAT10N
HAS ERM pOMI1 ETNAD ON THIS
LOT 9Y THE SURVEY011. THE
"T? TY OF :OMs To lumen
1? 11C HOUSE mwroM[o
THE "U!"HSME.ITY OF
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Q
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NOTE: OULOINO DIMENSIONS SHOWN ARE FOR HD4tZONTAL
a 100tTICAL LOCATION OF STRUCTURE. ONLY. SEE
AFMITMI'VAL MUMS FOR BUILOINU f1 FOUNDATION
DIMENSIONS.
+ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
IS DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
O
041 31
S 810
N
3
N
O
0
v,
8
K1
0
t f -,-)
i
SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - 8(po,4 FEET
PROPOSED LOWEST FLOOR - $52..77 FEET
PROPOSED TOP OF BLOCK - 960.8 FEET
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF.
Lot 13, Block I, PRF-T'rYMAN HEIGHTS, according tothe recorded plot thereof,
Dakota County, Minnesota-
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 27TH DAY OF MARCH • 1991,
R. HILL, INC.
7
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JOHN C`vLgRSON, LAN V? E OR
MINNESOTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2600 W. CTY. RD. 42 • BURNSVILLE. MN. 55337 • 612-890-604.1
A
KEYLAND HOMES
SEVERSON, WILCOX & SHELDON, P.A.
LARRYS. SEVERSON'
JAMES F. SHELDON
J, PATRICK WILCOX'
TERENCE P DURKIN
MICHAEL G. DOUGHERTY
MICHAEL E. MOLENDA"
A PROFESSIONAL ASSOCIATION
ATTORNEYS AT LAW
7300 WEST 147TH STREET
P.O. BOX 24329
APPLE VALLEY, MINNESOTA 55124
TELEFAX NUMBER 432-3780
16121 432-3136
PAUL J. STIER
KENNETH R. HALL
"'SCOTT D JOHNSTON
JOSEPH P. EARLEY
MARY L GOLIKE
LOREN M. SOLFEST
'ALSO LICENSED IN IOWA
"ALSO LICENSED IN WISCONSIN
...ALSO LICENSED IN NEBRASKA
October 10, 1989
Mr. Gene VanOverbeke
Eagan City Clerk
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
RE: Pressure Reducing Valve Agreement and
Access Easement Agreement
Prettyman Heights Addition
Our File No.: 206-7108 (OOE)
Dear Gene:
OF COUNSEL
JOHNE VUKELICH
In connection with the above matter, I enclose original recorded
Pressure Reducing Valve Agreement - Document Number 905746 and
Access Easement Agreemen?- Document Number 905747 for the
official City records.
To vKe?..
If you should have a question, please feel free to contact me.
Thank you for your consideration and cooperation in this matter.
yours,
, WILCOX & SHELDON, P.A.
Roxann Duffy
Legal Assistant
RSD/djk
Enclosure
HEIGHTS
PRESSURE REDUCING VALVE AGREEMENT
T S AGREEMENT, made and entered into the -1"4 day of
, 1984, by and between the CITY OF EAGAN, a
Munici'Jali0 of the State of Minnesota, (hereinafter called the CITY,
and the Owner and the Developer identified herein.
The terms "Developer" and "Owner" as used herein refer to
SKYLINE HEIGHTS PARTNERSHIP whose address is 1480 Skyline Drive,
Eagan, Minnesota 55121.
WHEREAS, the Developer has applied to the City for approval of
the plat or subdivision known as PRETTYMAN HEIGHTS, located within
the City; and
WHEREAS, the Owner and Developer agree to notify potential
buyers of all lots within PRETTYMAN HEIGHTS that all lots (Lots 1
through 18, Block 1, Lots 1 through 4, Block 2 and Lots 1 through 4,
Block 3) are in a high water pressure zone and a pressure reducing
valve shall be installed in each home below the elevation of 875
feet. All costs shall be the responsibility of the Owner and
Developer and shall be installed to prevent damage due to high water
pressure.
NOW, THEREFORE, the City, Owner and Developer agree as follows:
1. Recording. This agreement shall be recorded with the Dakota
County Recorder so as to provide notice to the owners of all lots
within PRETTYMAN HEIGHTS (Lots 1 through 18, Block 1, Lots 1 through
4, Block 2, and Lots 1 through 4, Block 3). The owner shall provide
and execute any and all documents necessary to implement the
recording of this agreement.
2. Notice. The recording of this document shall constitute
notice to all owners and future owners of property in PRETTYMAN
HEIGHTS that all lots (Lots 1 through 18, Block 1, Lots 1 through 4,
Block 2, and Lots 1 through 4, Block 3) are in a high water pressure
zone and that a pressure reducing valve shall be installed in each
home below the elevation of 875 feet. All costs shall be the
responsibility of the Owner and Developer and shall be installed to
prevent damage due to high water pressure.
3. Validity. If any portion, section, subsection, sentence[
clause[ paragraph or phrase of this agreement is for any reason held
to be invalid, such decision shall not affect the validity of the
remaining portion of this ..ontract.
4. Binding Agreement. The parties mutually recognize and agree
that all terms and conditions of this recordable agreement shall run
with the land herein described and shall be binding upon the heirs,
successors, administrators and assigns of the owners and developers
referenced in this Contract.
IN WITNESS WHEREOF, we have hereunto set our hands.
CITY OF E GAN OWNER AND DEVELOPER:
(Date: ) SKYLINE HEIGHTS PARTNERSHIP
By:
Its Mayor lay:
Attest: lm?,&4-LL
1
Its erk By:
13
STATE OF MINNESOTA)
ss. _
COUNTY OF? xG"? )
On this //-E.Z? day of 1989, before me a Notary Public
within and for said County pe sonally appeared VICTOR L. ELLISON and
E. J. VanOVERBEKE to me per= ally known, who being each by me duly
sworn, each did say that they are respectively the Mayor and Clerk of
the City of Eagan, the municipality named in the foregoing
instrument, and that the seal affixed on behalf of said municipality
by authority of its City Council and said Mayor and Clerk
acknowledged said instrument to be the free act and deed of said
municipality.
1., MAR!'.1'N L rNikN!G
ii. t,g NO-AAY Nair SOTA
,tf' # DAKOTA COUNTY
Com,,^ 10, E,p f:b 8 i"37
. g„k,JIJIClM?ti A•t..'ft H-'!MA
STATE OF INNESOTA)
COUNTY O )
as.
On this day of , 1989, before me a
9 tary Pubic w t nd for said ounty, personally appeared
-,7 G7 1 . 7Vt&1r7 to me
personally known, who, being by me duly sworn to be'apartner of
the Partnership named in the foregoing instrument,
"'^^? r raid in ?»ment 3-8--}e--B e3?-B,t--S83d_ia nar?hip and that/ ?
said instrume t was sign d agd sealed on behalf of said Partnership
`s
by said 6FZ L--?? %. ?'IA k ll ZA-r ?- `7
and / h acknowledged said instrument to be
the free act and deed of the Partn
FDENISE J KOENCK
F wv TART ,{Bill: Outa? Wimp. Wn
Y, AS TO FORM:
TD
ate: ?
C' y APPROVED 0
CONTE
Public Works Department
Date: 7-/?7f7
THIS INSTRUMENT WAS DRAFTED BY:
MC14ENOMY & SEVERSON, P.A.
7300 West 147th Street
P.O. Box 24329
Apple Valley, MN 55124
(612) 432-3136
MGD
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{ 1
0•*
7'73.00-F
69.00+
502.00+
2 211.50+
3,555.50*
+
'
173.00
69.00+
502_•00+
2,211 '50+
3,555.50'
1991 BUILDI PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
4:?-? 1 9/
To Be Used £af?"t Valuation: Date:
Site Address 1,571
LLoot? Block
Owner
Address V?`t-Y'S o
City/Zip Code
Phone y?
Contractor
Address
City/Zip Code
Phone /J
Arch./Engr.?se
OFFICE
Occupancy R-3 M
Zoning
Actual Const V-N
Allowable
# of stories
Length S-T
.Depth 38
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System -L/-'
City water ?'
PRV _7
Booster Pump
APPROVALS
Planner
Council
Bldg. Off. fl7 V-1k-9/
Variance
Y
FEES (3 00
Bldg. Permit e .
Surcharge
Plan Review 5-6z'oo
SAC, City 100;00
SAC, MWCC (649'00
Water Conn. &(D?0
Water Meter 6'00
Acct. Deposit 30 00
S/w Permit o00
S/W Surcharge ,50
Treatment Pl. 2 6.00
Road Unit S?a,00
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL gS ?i0
Address
City/Zip Coded
Pho # ?S 3 l ' / 0
agrees that all work shall be done in accordance with
(Si natu a of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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SURVEYOR'S CERTIFICATE
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NOTE: NO SKCtM SOLS INVESTIGATION
NAf CDMPLETIM ON THIS
LOT THE IIII111104 0R. THE
TY OF SOE! 10 8U1T'ORT
NDUSE FNDlOBEO
S 810 04'31" E
INlONBNLTTY OF -/ -
NOTE: pQi?pp DIMQWpIS SHOWN ARE fGR F10RQ?E ' 'I-
Vl1TICAL LOCATION OF STRUCTURE ONLY. IE?"'elail G` k,.'s:tiU (L'i
A?IL1SO PLANS FOR BUILDING a FOUNOATION
in DII_!NS DENOTES PROPOSED SURFACE DRAINAGE
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O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 8(,a.4- FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR- gSZ..1 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - OGO.0 FEET
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 13, Block I, PRETTYMAN HEIGHTS, according to" recorded plat thereof,
Dakota County, Minnesota-
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS, 27TH DAY OF MARCH .1991.
R. HILL, INC.
BY'" ?
Q " JOHN C. LARSON. LAND SURVEYOR
rl. .
MINNESOTA LICENSE NUMBER 19828
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 812-890.8044
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KEYLAND HOMES
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EXTERIOR ENVELOPE AVERAGE "U" COh1PUTATION
OWNER; DATF: _
SITE ADDRESSI-ar B?. __ ?0r I PH
CONTRACTOR: K6 rL. ot-;,4-p `rz2PLAN # Ta- 3523 -r
1
2
Determine working square footage of each
Total exposed wall area..... 3O I q sq. ft. x .11 }
Total roof/ceiling area..... 1049 sq. ft. x .026 = Z7- z74-
Total exposed wall area above .floor=_ ?J040
a.
b.
C.
d.
e.
f.
9-
h.
i.
j-
Total wall window area ......................................... zo(,
Total door area ................................................... 3 '7
Total sliding glass door area .................................... 2h
Total fireplace wall area ........................................ 3'! rt
Total wall framing area (average 10%) ............................
Total rim joist area .............................................
3
net wall area above floor ..................................... 7-1
wall area above floor .....................................
wall area above floor ................. ....................
frame wall area at :o?ndation ...................................
Total exposed foundation area= "14
k
1
Total foundation window area ....................... -
Total net foundation area above grade ..............
Determine "u" value of each wall segment
(e.g. window, door, each separate wail section)
a. L (C-0` - X "U"
o (Oq = x,553
b. 37 X .. U.. ,
Zb x u , 47
c.
d. X Hull _
X 'lull 04
g. zi .s?F X -v, 04 = 85,5 1
h. X iull _
i. X 11 U0 _
j X 'lull _
k. X lu =
1. X14 X „u„_ ,off = S.9z
3 . .................................Total =I 7, yr
If item 13 is the s
as, or less than it
#1, you have met th
intent of SBC 6006
_=.?:• ea ..
___=- - .........................
-
_-....
G- IO .q
..^..7 area (.,,vcraye 10x) : .... ., .. -
" ,
... _..=H_ -_t in su'_d =?," _JC -/C?il:.:?c! area.. .....
:e _ .clue for each roof/ceili.^.a sey-rent
Io?,? ,: ?.: = Z•s? t
024` - .
'- __
.
t_l - 2I!3?'1 =
- ....................... _?
= c„_a,. „_ _s t..a _E-m= as , or less t::rnan You have met the intent: o
;;y s
Item=- n.r_ lc_?g Envelope Desiqn
- l _ =lo=e s.iste:, method, the values established by the s= o-F"--
' - c
-,a)_
,_e4ce_ than the sum O 1LG"f1s irl and #2.,:"
, r -..
-I
la
" 1. .. "_
4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed
roof/ceiling area........ 1 C Q of sq ft
j) Total skylight area....... -- sq ft x "U"
Q Total roof/ceiling framing
area (Average 102) ...... Q. q sq ft x "U" ,02-1 -+
1) Total net insulated
roof/ceiling area...... sq ft x "U" 02-
TOTAL j) thru 1)
If total of :°4 is the same as, or less than N2, you have met the intent of
2 `SCiZ 1.16008 _4 ar_d 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of items '3 and '4 shall not be greater than the sum of items Nl and 12.
= )%a• a 1
3. -7- 1-7,z + 4. •ZC0-C,i 4
`??' Q22Z - ? L??2
JI 1 TT 3O C'ZSOcD- 7
YY --
t?? i?Z? 4
= 8 Y
i
?
?.
,
8'?I =a7L4-974-Z oz++1+8b -=
IYN',Y, 777-
L /J_ BL CITY USE ONLY RECEIPT #: ?,zpcy
?i[s
SUBD. A rJI DATE: 7 9 9 7
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for., ? single family dwellings
townhomes and condos when permits are required for each unit
Ne construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: `l - _;? q1
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) 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 olo?
SITE ADDRESS:
OWNER NAME: o e PHONE #: S -\.-k °1 O\
INSTALLER NAME:
STREETADDRESS: ??110° ??*r \?ov. ??-
CITY: LaK_Q P,\\ R, STATE: ZIP: S
PHONE #:
t??
CITY USE ONLY
L BL
SUBD.
RECEIPT M
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
multi-family buildings when separate permits are not required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ? $25.00 minimum fee pr 1% of contract price, whichever is greater.
? Processed piping - $25.00
State surcharge of $.50 per $1,000 of r i fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
*City of Eag,an
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink/
For Office Use r�`% V"
Permit #: 3594 l `` yJ ,
Permit Fee:
Date Received:
Staff:
5 GO
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4/14/2016 site Address: 1571 Skyline Trail
Unit #:
a
Resident/
Owner
Name: Tom Phan Phone: 651-905-4901
1571 Skyline Trail Eagan
Address / City / Zip: Y g
Applicant is: Owner 1 Contractor
Type of Work
Description of work: Demolition of existing structure
c�
Construction Cost: $8,500.00 Multi -Family Building: (Yes / No ✓ )
Contractor
Company: Nitti rolloff Services Contact: Dana Nelson
Address: 12351 Cloud Dr. N.E. City: Blaine
State: Mn Zip: 55449 Phone: 763-238-1014 Email: danawithnitti@gmail.Com
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
Inhast 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting 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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota S uilding Code must be completed within 180
days of permit issuance.
xO4ij&,?,15 a
Applicant's Printed Name
-----'--
Applicant's Signature
Page 1 of 3
C
Minnesota Pollution
Control Agency
520 Lafayette Road North
St. Paul, MN 55155.4194
)3q7
Notification of Intent to
Perform a Demolition
Asbestos Program
Doc Type: Asbestos & Demolition/Amendments
Type of notification: 0 Original 0 Amended 0 Project cancellation
Notification must be postmarked or received ten (10) working days before demolition begins. See Item 5 for emergency
demolitions. Both start and end dates should be amended in writing as necessary to reflect current project dates,
Demolition Contractor C� Building information
Name: , �.,o,\ov 1. Jet; V`� Building name: 14 oev^-k
Address: 10?51 .‘o'.' _ Address/Location: / 5 71 S k,i 1; -..-.sr
City, State, Zip: anf� 1�i1}-� 554401 City, State, Zip: 14..
Phone number. 1(Z- '155 - 0.305 County: DA k04- e•
Contact name: --r7,), n%f»t\ e t.'
Trp��
1-�^� •, 5-.5- I
Phone number: C'S! ei OS VI d 1
Phone number. iid R, _4.11 a 4 Age of bldg (yrs): 0 0 Size of bid / S00
Building Owner
Tom A
Name:
Address:
3-) I py t t i 4
City, State, Zip:
Phone number:
Contact name:
Phone number:
rex y ., a✓,.. v.. 1 a
ygnt
Number of floors, including basement level(s): "3
Present use of bldg: e
Prior use of bldg: • �~�
Dates of demolition or intentional burning:
Start date: 0 _dS)l (n End date: 0 y1)7(1
YY mm/ddryy
Note: if there is >260 linear feet or >160 square feet of Regulated Asbestos -Containing Material (RACM) in the building to be
demolished, it must be removed by a licensed asbestos contractor prior to demolition. The State of MN -Notice of Intent to
Perform an Asbestos Abatement Project http://www.pca.state.mn.us/publications/w-sw4-06.doc must be used to notify for
the asbestos removal.
is nonfriable ACM present in the structure to be demolished? ❑ Yes ® No
Will nonfriable ACM be present in the structure at the time of demolition? ❑ Yes 0 No
If Yes to both questions above, complete Items 1-9. If No to either question, complete Items 3-9,
1. if ACM will be left in place for the demolition indicate the amount of Category l and/or Category II nonfriable ACM left
in place.
Category I: Linear feet
Square feet
Cubic feet
Category I nonfriable ACM means asbestos -containing
packings, gaskets, resilient floor covering, and asphalt
roofing products containing more than one percent
asbestos_
Category I nonfriable ACM is not allowed to remain
in place for demolition if it is in poor condition.
Category II: Linear feet
Square feet
Cubic feet
CategoryII nonfriable ACM means any material, excluding
Category l nonfriable ACM, containing more than one
percent Asbestos that, when dry, cannot be crumbled,
pulverized, or reduced to a powder by hand pressure_
Category II nonfriable ACM is not allowed to remain in
place for demolition if it has a high probability of becoming
crumbled, pulverized, or reduced to a powder during
demolition, transport, or disposal (e.g., transite, cement,
state roofing).
www.pca.state.mn.us • 651-2964300 • 800-657-3864
w•sw4-21 . 12/27/12
• TTY 651-282.5332 or 800-657-3864 • Available in alternative formats
Page 1 of 2
•2. Description antlocationACM remaining in place (including number of floors and rooms):
tivgtl e
/ 3 5 (7q
3. Company and/or individual that conducted the building inspection and the procedure used to determine the presence
or absence of ACM (including analytic method): (Note: Prior to demolition all structures must be Inspected by a licensed
asbest s inspecto{' w o has been certified through the Minnesota Department of Health.)
1.6,56.5
4. Description of planned demolition and the specific method( that will be used:
6 A.., o tt\os, moi~ 1sixA 'it, vv;14 be s.
5. If the demolition was ordered by a government agency, please identify the agency and attach a copy of the order:
Name: Title:
Authority:
Date of order (mm/dd/yy): Start date (mm/dd/yy):
Notification for an emergency demolition must be submitted as early as possible before demolition begins, but not later than
the following working day. A demolition is considered an emergency only when the facility has been deemed structurally
unsound and in danger of imminent collapse. if the structurally unsound building is known to contain any regulated ACM or is
suspected to contain any regulated ACM, special procedures must be followed. If you are unaware of the special procedures,
instructions/ regulations can be obtained by contacting the Minnesota Pollution Control Agency (MPCA) at the address or
phone number listed below.
6. Description of procedure to be followed in the event that unexpected RACM is found or CategoryII nonfriable ACM
beco s crumpled, putverizecot+reduced to powder:
1� tha loci +So ,t,s► karma
7. Demolition waste trans orter(s) i tion:
Transporter name: s ti" Se" it
Contact name: £(i. e,0-
Tranporter address: L2at T /City +`i
City, State, Zip: s14., v.' 5 ; t 'Dt
Phone number: ' - SII a- 5!
8. Demolition waste
disposal information: 'see b for information
Landfill name:
Owner/Operator: , teortIlk tN
Address/Location: IV -L.15 &vi' s,! 4,
City, State, ZipT& YNDV-A-, SSarC`iS
Phone number. C,S1_.4 %_ i60o
9. I certify that the above information is correct and I am a bonafide representative of the demolition contractor or
building owner and have authority • enter into agreements for my employer.
Print name:
Signature:
tvi
Important Note:
Ensure you are in compliance with Minn, R. 1035.0805 prior to the commencement of renovation/demolition.
This rule requires that the following items be removed two days prior to demolition: mixed municipal solid waste; household
hazardous waste; industrial or hazardous waste; waste tires; major appliances; items containing elemental mercury, Poly -
Chlorinated BiPhenyls (PCBs), and chlorofluorocarbons (CFCs); oil; lead; electronics; and other prohibited items. See MPCA
website at htto://www,pca.state.mn.us/publications/w-sw4-20.pdffor a Pre-Renovation/Demolition Environmental Checklist
Guidance Document to assist with completion of this rule.
*Demolition waste must be disposed of at a permitted solid waste facility. For other disposal option please contact the regional
MPCA solid waste compliance enforcement staff with any questions.
Title: ''C`1.� t r -
Date: 911411 %(F
Submit to: Minnesota Pollution Control Agency
Industrial Division —Asbestos Program
520 Lafayette Road North
St. Paul, MN 55155-4194
E-mail: asbestos.demolition,pcastate,mn,us
Questions call: 651-296-6300 or 1-800-657-3864
Fax: 651-297-1438
www.pca,state.mn.us • 651-296.6300 • 800-657-3864 • TTY 651-282.5332 or 800-657-3864 • Available in alternative formats
w-sw4-21 • 12/27/12 Paye 2 of 2
City o[Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit it: /35.9r
Permit Fee:
Date Received:
Staff;
L_
2016 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date: 4/14/2016
City Sewer City Water Repair Disconnect
Description Of Work: disconnect sewer and water inside property line for home demolition
Fee: $65.00
1571 Skyline Trail
Street Address for Proposed Work
Owner Information
Name: Tom Pham Phone: 651-905-4901
Address / City / 1571 Skyline Trail Eagan
Applicant is:
Owner / Contractor
Licensed Pipelayer Master Plumber
Property Owner
Name: TRT Excavation -Travis Thoreson Phone: 612-356-7900
Address / City / Zip: 25224 Nacre St. N.W. St. Francis, Mn. 55070
Pipelayer Training Certification Card #: 725$ or Master Plumber License #:
I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes
of the City of Eagan and the State of MN Statutes. I understand this is mit a permit, but only application for a permit, and work is
not to start without a permit. G
Travis Thoreson
EApplicant (Print Name) Applicant's Signature
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