The URL can be used to link to this page

4811 Slater Ct , CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road ~ P.O.BQx21i94r PERMITNd.: ~r4•~ Eagan, MN 55121 DATE: ?~_27°~7 Zoning: ~ _ No. of Units: 1 ~ Owner. ~~~L~~~ Estatns Address: SiteAddress: ~+°11 Slater Caurt T I~I Wtiisperin~? 47oocts . Plumber. eclc FZtELR~'J'~P'~ - 7.-19--:~ ~~~~z~ z~}o.~~~~,,~ I agree to complY with the City oi Eagan Connection Charge: ~25 . f)~ „ Ordlnanc~ Account Deposit: 7 i ~5nz ~ Permit Fee; ~ ~ ~T ~.,,t ,~urcharge: ~ ~..a By Misc. Charges: :~11...~ i . , Date of Insp.: Insp,; bate Paid: ~ _ ~ •'~~'~?~rs+.w•-r.,a,.~-*,~-- - - GTY OF EAGAN Permit No: a' .2^ ,~.-R._~, 3830 Pilot Knob Road Date: ' P.O. Bax 2i 1gg ~ Me~r No: Reader No; S~ze: Eagan, MN 55121 bate: Owner.~ iiQ~ .~s t~~ es Site Addres~ 4$ I 1 Sl r~ Pfumber. Bia lo~k .p~ ~ ~ ~ , Conn. Chg: 525.O~,i Acct Dep: 5. ~7t}p~? Zoning: ~1 Permit Fee: 1~. ~(~p,; i- NO• of Units: 2 Surcharge: . 5 E~FL Tr. Pfant j•~ OE~ c~ ~ a~ree to compfy with the City o( Fagan Meter. 6 . OQp~ Ordinances, Misc.: ~Ot!c: 13a~:a~t~, By , WATER SERVICE pERlUI1T , , - ~ CITY OF EAGAN Permit No: ` ~ T 3830 Pi1ot Knob Road Meter No: zl~ ~ q,~ Date: 7.. ; ~ I P ~±x 2118lr ~ ~ ! ~1~ Size: Eagan, MN 55121 Reader No: ~ c Dat~ ~ 7 Owner. s ta L e" Site Address: : ~ t e Plumb ' ' lK _ er ~1~ >].o .r~, Conn. Chg: ~25, pr)~, . $ AcCt Dep: ~ - 'o~' ,~Z4~~ I ~ nc . ~ ,o a, ~ , _ c ~ ~f . , . . Permit Fe ~d. # Surchar e. ~ ~ Tk'e - GAS4 ~C.~ts: ~ ge: Tr. plant i=~~ - 1~comPlY with the City of Eagan ~ Meter. 67. ~.iiln~i ~ inances, MisC.: , , " By 1NATER SERVICE pER~jT ' Y f ' 3830 Pilot Knob R di P.O. Box~2GA 9, Esgan, MN 55121 13239 - PHONE: 454-8100 BUILbING PERMIT Rece~pt # ' Tobeusedfor :`'L' J~ti'rlva~4 EstValue $112,GOU Date F1:4~:tUrlrtY 19 ,19~ I Sfte Address 11 SLAT~'~ C''~ Erect ~ Occupancy ~3 lot~ Block 1 Sec/Sub. t; ~ S°~;R I VC~ ~~i OUJAemodel ? Zoning ~ 1 Pa?cel No. Repair ? Type of Const Addition ? No. Stories , ~ Move ? Length Gd W Name ,~~~~1~ 1 •.f„ 3 Address 2004 BURNSVILL~ P!•;N,'Y Demoiish ? Depth ~k ° CityB'VILLEphone 435-655f; Int.lmpr. O Sq.Ft Install ? o Name ''J Approvals Fees ,4adress Assessment Permit = 3 9. 5 0 ~ Ciry Phone Water 8~ Sew. Surcharge 56 . UO Police Plan Review Z 6 9. 7 5 ~ W Name Fire SAC 6 Z 5. U 0 Z Address 5 Z 5. V 0 Q = Eng. Water Conn. < W City Phone Planner Water Meter b 00 Council Road Unit 3 U 5. 0 0 I hereby acknowledge that I have read this appl ication and state that tha Bldg. Off. Tr. PI. • U V information is correct and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. APC ParkS ; ~ Var. Date Copies ~ ~ 5 Signature of Permittee " Tot81 2' ~ A Building Permit is issued to: ~O^FE ~S`I'A'I'f~S INC on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~ ParmN No. P~rmN Holde? Dd~ T N ~M PlumWny ~<.2.<-~.~*' ~ ~ - ~ ! H.V.A.C. (f 7 L`~20~ / Eleetrlc ~ ~y ~;c~:;1~ ' y~//f - Cr Soll~ner Irupeedo~ Dab Insp. Comms~ts FooNnysl a Foodnys II Foundatbn ~ ~ 7 ~ Framiny ` Rooflny ~ Rou~h Plby. a ~7 Rouyh Mty. ~ Insul. 7 7 Finpl~e~ ~~j ~v Final Hty. jj p~` Final Plby l7G' -7C ~ Bldp. Final S ~f S ~L . C~rt.Occ. ~ l' Dack Fty. wek Frmq. L, ati., a; / of ~ r c+s ~ a we~i ~ % ' P ~I"- . t~.9'uG~ ~ l~ Pr. DbD• u~ C.Z' ~ tn.W~ P= , " ' S- Fl ~ G~° ~f c~Q o r "~Q . ~ PERMIT # ~ 77~ ' ' ' MECHANICAL PERMR RECEIPT # ~SO~~ ~ CITY OF EAGAN / 3830 PILOT KNOB ROAD, EAGAN, MN S51T1 DATE: X,~ CONTRACT PRICE PHONE: 454-810C Site Address Q' ~ ` BLDG. TYPE WORK DESCRIPTION Lot ~ Block Sec Sub ~ Res. ~ New ~ Name ^ m Mult Add-on Address , , ~ , . ~ d ~ = lv il ~ Comm. Repair ~ Ciry~(76~ Ap~~f Phone " Other , ~ ~ . _ ~ Name ' ' ~ 7 ' FEES I c AddrQss V~ ~ ~ ~ W RES. HVAC 0-100 M BTU ~-$24.00 \ p City ~L~ ~ U! I i F pha~e ADDITI~NAL 50 M BTU - 8.~0 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 ` GAS OUTLETS - 1.50 EA. Forced Air ~ v 0 M BTU COMM/IND FEE - 1% OF CONTRACT FEE , Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE° - 20.00 ~ Alr Cond. M BTU STATE SURCHARGE PER PERMIT - .50 ~ Vent CFM (ADD $.5U S/C IF PERMIT PRICE GOES BEYON~ $1,OQ0.00) Gas Piping Outlets # ~ ~ V ~ ~ Other i , ~J ~ ~ FEE ~ ~ S/C: SI NATUFiE OF PERMITT oa ' TOTAL• FOR: CITY OF EAGAN , . . . . ` . . . ~ - - . • ~ . , . PERMIT # " . . • . PLUMBING PERMIT RECEIPT # yr ~ % ~ CIT1f OF EAGIAN 3830 PIIOT KNOB ROAD, EACa11N, MN 55127 DATE CONTRACT PRICE: PHONE: 4548100 Site Address ~ BLOG. TYPE WORK DESCRIPTION Lot ! Block ~ Sec/Sub . ? Res. ~ New Name Mult Add-on ~ Address - ~ Comm. Repafr c City _ _ Phone ' ' Other NO. FIXTURES TOTAL ~ Name . Water Closet - $3.00 s c Address ~ < ~ ' ~ ~ ~_Bath Tubs - $3.00 ~ p City." r _ , ; ~..b Phane ' / r - . l.avetOry - $3.00 ~Shower - $3.00 ~ FEES Kitchen Sink - $3.00 COMM/IND FEE - 146 OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMJM - RESIDENTIAL FEE _ $~p,pp ~~undry Tray - $3.00 - _ MINIMUM - COMM/IND FEE _ 20.0p -~Floor Drains -$1.50 STATE SURCHARGE PER PERMIT _ -~Water Heater -$1.50 (ADD $.50 SIC IF PERM~T PRICE GOES 1Nhirlpool -$3.00 Gas Piping Outlets - ~1.50 BEYOND $1,000.00) Soitener - $5.00 Wetl - $10.00 Private Disp. - $10.00 ~ ; ~ . Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR: CfTY OF EAGAN GRAND TOTAL• . ~ SH RECEIPT ~ i ~ CIT` ~F EAGAN • ~8. I.OT KNOB ROAD . • EAG ~AI I~J ESOTA 55122 DATE ~ 19 RECRI V EC FROM AMOUNT $ I _i & DOLLARS 1U0 ~ CASH ~,-CHECK FOR 1 ~ . ",c - _ - / i FVNO CO~E qMOUNT Thank You BY 1Nhite-Payers CoPY Yellow-Posting Copy Pink-File Copy , . , . ' ~ BLDG. PERMIx ~,~,~,;~X~ , F r.lJ"<, - . ' i/ - . _ ~ 01-3210 ~ Bldg. ~erinit -3422 P k ~ O1 lan Chec -r( G.. 01-3445 Surch./Adm. 01-3446 SAC/Adm. 1 01-2155 Surcharge f ~ 17-3860 Road Unit ~c; S<- 20-2275 SAC ~t 20-3865 Water Conn. 20-3868 Water Trmt. / o~. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit I 20-3743' Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. i ~ I I I TOTAL ' ~ ) `'j 7 k~ 1 ~ CASH RECEIPT , ~ CITY OF EAGAN , . ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE _ 19 R`CEIY6D FROM AMOUNT $ I & DOLLARS ~oo ? CASH QCHECK POR ~ ' / ~ FUND CO~E qMOUNT D~-. _ Z J~,~ Thank You BY White-Payers Copy Yellow-Posting CopY Pink-File Copy CITY OF EAGAN A' n ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721'v ~ J PHONE: 454-8100 BUILDING PERMIT ReceiptM ~ 7obeueedior SF DWG/GAR Est.value $112~000 Date FEBRUARY 19 ,~g $7 SiteAddress 4811 SLATER CT Erect ~l Occupancy R3 Lot 1 elock 1 Sec/Sub. WHISPERING WOOD~emodel ? Zoning R1 Parcel No. Repair ? Type of Const. y Addition ? No Stories W Name HOME ESTATES INC Move ? ~ength 64 3 Address Z004 W BURNSVILLE PKWY Demo~ish ? Depm ~R ° B'VILLE 435-6556 Int.lmp~. ? sq.F+ City Phone Insiall ? o Name S~E Approvals Fees nddress Assessment Permit $ 539.50 ~ City Phone Water & Sew. Surcharge 56 . 00 ~ a Police Plan Review Z 69 . 75 Fw Name Fue SAC 625.00 ~ Address SZS. u ~ Eng. Water Conn. aW City Phone Planner WaterMeter 67.00 Council Road Unit 305. 00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. Tr. PI. 180.00 information is correct and agree to comply ~ ith all applicable State of Minnesota Statutes and Ciry of Eagan Ordi a APC Parks Signature of Perminee~ Var. Date Copie 2 Total . 567. 25 A euilding Permit is issued to: HO STATES INC on the express condition that all work shall be done in accordance with all applicable ate of Minneso t~{es nd City of Eagan Ordinances. Building Official ~ 5 • CASH RECEIPT • ' GITY OF EAGAN J . 3830 PILOT KNOB ROAD ~ /y~~' EAGAN, MIN SOTA 55122 I ~ATE 19 ~?J' ~ R6C E ~ R AMOUNT ~ ~o vU & DOLLARS ioo ? CASH ~ CN POR . ~j f^ FUNO COOE FmOUf Q ~ Thank You ~ B fV_ 71041 White-Payers Copy Yellow-Posting Copy Pink-File Copy CITYOFEAGAN Remarks7liV• a'jb~-~2~~ Addition Lot ~ alk 1 Parcell0_R3950-010-01 Owner Street 4Rhb Slatrr Road State E8£an, MN 55122 l~~ 5~:.~'/ / -r~.s7~v (l~e+.~ Improvement Date Amount Annual Years Payment Receipt Date STFt E ET SUR F. STREETfiESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AFiEA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN. ~UILDING PER. SAC PARK ,ji/,p,~/,~ ~ REQUEST FOR ELECTRiCAL INSPECTION EB-00007-/0/6 ~ Sae instmcno~s for comoletirg ~his }wm on back o~ yellow coDV. L• ~~~~~r $ g.s "'X" Below Work Covered by lh~s Request Ad~ RaO~ Tvue ol BmlEing Aoo~ioncaa Wired Equ~ument Wved Home Ranye Temporary Service Duplex Water Heater Lighnny Fixtures Apt Bwlding Drye~ Electnc He21in Commercial 81dg. Fumace S~lo Unloade~ Industnal Bldg. Air Contlitioner Bulk Milk Tank Farm otne•r per,ifv ~n~~r ISVCr.ifvl 1 r, uncifv Other Othi:~ ompute lnspection fee Be/ow k ServwaEntranroSae n iea Fnxders~SUbfeada~s N Fee Crtcvits 0 to 200 qm s 0 to 30 Am s 0 co 30 Am> Above 200 qmps 31 to 100 Amps 31 to 100 A s Swinming Pool Above 100-Am s Above 700_~Cmps Transtormers Irngation Boorr~s Partial,'Other F Signs SUecialinspection 5 TOTAL FE Qp Herrqrks i RouBh-~n ( Dn~e ~~he Elec m ~.if 4'nsoectaq he.eby cerLfy that the above Final / ~ inspection hes been r made. f~le request volG 18 monihs Irom Th~s reques~ void ' 7~7_~/L 78 months from ~/~...~,~/fJ~ n ~ D 2 8.~~ ~i g~ i~,~ 2~<. ~G Feques[ Date Fve Nol fleu{ph- ~n~InsVertmn ~Ready Nuw ill Nouty InsPec- es ?No ~or When Ready UCensed Electncal Convactor 1 hareby requasl inspecLOn ot ebava Owner elecVical work insialled at: ~ Gry Streec Addrass,% oa or P o. 7,! ~ ecuon o. Town5h~0 Name or N~~, ange No. Cow~tV OccuUan FINT) Phune No. Power $upplier Adtlress Electtical n or ICOmpa~l C~nvar,tor's L~cense No. . ~ ~ ~ Mail AdJre. o hactor or Owner MakinB InstailaLOnl / ~ ,~J ~ Authon~ed i amr lContr tor Ow er MakinB ~~stallabnnl Phone Number y~ MINNESOTA StATE BOAPD OF ELECTRICITY TNIS INSPECTION NEQUEST WILL NOT BE ACCEPTED BV THE STATE eOAAD GrigBS-Midway Blda. - Room N-191 l1NLE5S PNOPEP INSPECTION FEE IS 1821 Universitv Ave_ St Paul. MN 55104 ENCLOSEO. Phone (6t21 642~0800 r~ a ~ 2005 RE5IDENTIAL MECHANICAL PERMIT APPLICATION ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Tetephone # 651-675-Sb75 Please comple[e for: single family dwellings & tnwnhomes/condos when permits are required for each uni[ Date ~ ~ / '7 / ~J Site Address ya// V/~!~ Unit # Property Owner ~ d!~ u LtiC. D w S~ Telephone 6,) d a L"' L`o Contractor ANGELL AIRE~ INC. 12253 Nicollet Avenue SoWb Street Address ~mSV1118 MN 55337 C~ty e' 5 State • . • ~ Telephone # ( ) Bond J~ O J ~+7 Expires: 9~~` The Applicant is _ Owner ~ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ~ furnace _Additional Replacement ~ ' air exchanger - air conditioner New v Replacement other State Surcharge $ .50 Total $ ~ • I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 c e of work which requires a review and approval of plans. ~~n ~ ~ M1 ~ ~ ~ , ApplicanYs Printed Name App- li~s Signature ' ~ I ~ ~ I II I ' i OCT 0 ~ 2005 ~I , L~y _ _ ~ 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for. commerciaVindustrial 6uildings muI[i-family buildings when separate permitr are no[ required for each dwelling uni[ Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner ' Telephone # ( ) Contractor .ir'.~~,. ~~rE..~~'~)~A ~11L ~ R'4;' _•,!'t 1: ,~~:i~ ~~SSr StreetAddress Sf;'.~r S','.,+ „y'jy~ity,~8 ~~Sa-~i$i-~~?'^':1 State Zip Sll'=4-Qp'~a~,g~ao~ ( ) Bond Expires: • The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank ~ Install _Remove "'see below fnterior Improvement ` Install Piping _Processed _Gas Nature ofWork: `*When installing/removing underground tank, call for inspection by Fire Marshal and P/umbing /nspector Permit Fees: 37U.50 Underground tank mstallation/removal $50.50 Minimum (mcludes State Surcharge) or Contract Value $ x 1% Permit Fee • If eo rmi[ fee is ~1,000 or less, add $.50 ~ $ State Surchazge If eo rmit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not ro 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. ApplicanYs Printed Name ApplicanPs Signature Approved By: , Inspector Date: 2004 RESIDENTIAL BUILDING PERMIT APPLICATION / ~ ~ ( ~ City Of Eagan ~ 0 cn 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauiremenis RemodellReoair Rewiremenls Offic9 t1seL3n~v 3 registered site surveys showmg sq fl. of lot, sq. fl. of house; and ~j roofed areas 2 copies of plan ~~~~eY (20~ maximum lot coverage allowe~ 7 sel of Energy Calcula6ons for heated addihons 7reEAt`6~FIBn Recd', _X~ ~N 2 copies of plan showing 6eam & window sizes, poured found design, e~c. 1 site surve~ for additwns & decks Tree i?~'es~R~lu2d~. = Y°~,..., P1 1setofEnergyCalculations Addrtion-ind'~cafeilon-siteseph'csysfem Oh-SlteSepiicSystem ...-:.:Y~_td 3 copies of Tree Presemation Plan if lot plalled afler 7/1193 Rim Joist Deiail Optians selection sheet (bldgs wdh 3 or less untls Date ~ / Construction Cost / / Site Addreas UniUSte # Description of Work ~ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ _ 2 Property Owner ~~~~i{ ~~LL/J~i Telephone d G 7°1~ Contractor ~ • ~ ~ Addresa S / S~j ~-ry Q• City State ~ Zip ~T,JJ 3~ Tetephone ~ COMPLETE THIS AREA ONLY IF CaNSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeoiv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Cafegory 7 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Su6mitted Su6mitted . Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% pian review fee applies. Licensed Pl~mber Telephone # ( ) Mechanical Contractor Telephone # Sewer/Water Contractor Telephone ~ ~ ~ 2004 I hereby apply for a Residential Building Permit and acknowledge that the infor ation is complete and ccurate; that the work will be in conformance with the ordinances and codes of the City of MN Statutes; 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. ~~',c~lle ~i~ Applicant's Printed Name ppl' t s Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~ I 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? D3 D1of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 F~ct.Alt-SF ? 04 02-piex ? 10 D8-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-pleac ? 12 12-plex Pibg_vor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 ~emolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Building' ? 43 Reroof ~ 46 WindowslDoors SI 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUII2ED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing FoundaUon HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant ~ License Search Copies ' ~/1/~~)~~., Other ~ , , \ N Total V~~ ~i UNDERGROUND SPRINKLER SYSTEM ~`ti~~~/ ~o-~ PLUMBING PERMIT - o Date: s~ ~ ~ / Permit # Date ~~~~902. Receipt # /d ~lo~ `ti~ _ Commercial: $25.50 + water tap if required. (CSty installs all taps up to 1"). If adding new service, a water permit will be required, as weU. V Existing residential: $15.SU (Plumbing permit not required if backtlow preventor was previously installed). _ Residential develovments: Fee to be determined by building inspections denartment. May require payment of water permit, plumbing pertnit, WAC, and water treatment plant fees. 1~.~.~ C~~~ (Address to be sprinklered) Homeowner/Plumber: ~ ~~,e~i~~72,~~ ~C/ Phone ~~o ('j - 7s~ ~ Street Address: '7~/- 7 ~/~Gf~C~ ~ ~ City, State, Zip: ~ ~ .~c~ 7 ~ ~ Owner Name: ~~iL~Z ltiy~d`7~c, Street Address: y-- ~ J/`d~-~U~{ ~ Phone jl) Z.~a..~(,Q Irrigation Contractor: (~ci~ G~/~ Phone ~~s- O ~-s- 9 Z GJ.~ ~ 7~~- /d P t3 1~~ I hereby aclmowiedge that I have read this application and state that the information is conect and agree to comp with all applicable City of Eagan Ordinances 0~'~~2~ ~ cc: Engineering Department r . 32 3 : i 1986 BOILDING PERMIT APPLICATIOA - CITY OF EAGAN HOYE: ALL CONTRACTORS MOST BE LICSNSSD IiITH THS CITY OF EAGAN SINGLE FAHILY DWELLI~iG3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS MOLRIPLS DWELLINGS - RSSIDSNTIAL 6ENTAL QBIT3 FOE SAI,S QNIT3 INCLUDE 2 SETS OF PLANS, CHRTIFIC9TE OF SIIRVSY - CHECB WITH HLDG. DSPT., 1 SET OF SNERGY CALCULATIONS COPIl~lL~RCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECZFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2~000 LANDSCAPE BOND ~ l(2,0~ To Be Used For: S~N~~S.. ~,R,,.,,-l~y Valuation: t~~e~ap' Date: a~~~~~ Site Address y8~1 SL,~r~2 GovRT OFFICS IISE ONLY Lot ~ Block ~ Erect Occupancy I2~3 , \ Remodel Zoning K•I Parcel/Sub Lu~„sp~R,~uy W ep ~,g Repair ~ Type of Const ~ Addition If of Stories Owner ~prN ~ ~S}w1B.5 Z~9 c_, Move _ Length $ Demolish Depth Zg Address ]~~,g,,,,,,,~t~ {-~,,,y Int.Impr. _ Sq Ft ~ Install City/Zip Code ~,ti~~,5~, ~ yti w° 553~ ~ Phone y35-t~S~~ APPROVALS ~Es Contraetor ~ S~4 vw 17 Assessments Permit 5'.~. - Water/Sewer Surcharge 510. Address Police Plan Review 7_ ~~5 Fire SAC ~25~ City/Zip Code Engr Water Conn 525• Planner Water Meter (07. Phone Council Road Unit 3~5. Bldg OFf Treatment P1 180 Arch./Engr. APC Parks Variance 12•ia•Sq Copies Address TOT9I, S City/Zi.p Code Phone ~ _ NOTE: ADDEESSES ~'OR CORNER LOTS - CONTRACTOR/HOMEOIiNER MQST DESIGHATE i1HICH ADDRESS IS DB3IHED. PJO CHANGES HILL BE ALLOAED ONCE BDILDING PERMIT IS ISSOED. ~~l'lll g~LZ~ = ~2L.b = LZx~~ ~L ~ ~ Z~ x ~-b = ~3 ~ ~ ZI ~ ~d2~ ~ ~~~~bti C~~2S ~-b~b ~ ozl = z.~ xol ~ ~jZ Z ~ ~ ~ ~ ~ ZL ~ ~Z x ~z ~ ~ , , ~ - . , oz 1 - ~S' ~ c~b~ _ ~ -~Z y . . : ~ • ' P~~ , ~e~~• ~~G ~ ~ ~ ~ . G~' S`~~ ~ a. V ki~ ~ ' o~" ,~o s ~ \ ~ . v' "0 Q ~ .~.g~~,A A~ ~ ~ ~ ~X _ ~ - _ "lbP c.a?p O~r4a 97b,~ \ . oa ~ 48"~7 E ~ o en~r5,,., R.Sg.o zs~ c~.r Y ° ~ S ~ 7~,y ~ _ / '8 s4 ~O~E 4~ . ~ ~ a: ~ • S r^"~^ ~ , ~ ~ ~ ~ ~ ~1 ~Z ~u`u 36.o BL~, 2,o ti Q~ j$~;. Q / -rir,-.: . i. ' , 20, 33 \ ~ =i9 % ~i'. - ~„r 9,e.s ~ °s. ' c o: P2o~oh~D _,y; 4~tq~.~ , c.~ 9~9•S ~ o c~ ~O ~ ~ ; 410uifc ~ S~Af? : ~ -T O• N Gl ~ , ~ ; y~s.g ; n ~ ~o ~ 1 n h „ • : N ~ 3 ~ r ~ ~.s .-~L'~ j 3,6 c-~uc- ~ '7 s. ~-zm.~,~ ¢ F„~'y77~s~ J/ o I / ~ a. o ` f -r ~9 ~ ~ ~ ~ ~i C ' bp a.Nr'~GE P'..' i Q )I ~ '`1-='•-I.~TILIT'( E~iEFh~~~ ~ I~ _ / ~(l~ _ o - _ ro ~ ) I+ o ( ~~~'C °l~~'i. - ~$''7.UO ~ ~ ~ ° 2 5S Z2" 2 ~29t4.79 ~tryt2.Y ~ F,~ y ~ I ..a v"~ ` ~V~,3 ~ i, a . S S ~ E tZ ~e ~ 2 0 ' PFf~GtL1 PTtoN l.~o-t I ~ 6l..oGU. 1~ Wi~l5P62tw14 woooy, ~.IO~7ti Dt11~oTA GoIJAIT`C~ <jLAL~ 30' Mf u u F~,o TA A.Lr- BFA¢tu~+~i A`~'itJMB~ o O&N~j l¢otit MONUMEN'C I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date: ~...~or~+? l/,,,,,~1°,Z ~ ~ Le oy H l Bohlen Registered Land Surveyor No. io795 r.. ~1 ~rr waW+~r.•~~r~.r na~~.r~awa.u.m - .aera.~a....~e.ru.~aww....n...r ~ \ ~ ~ ' 1 ~ ~ ' E%TERIOR ENVEIAPE AVERAGE ^U" COMPUTATION ~ (7b be su6mitted with building permit application) 1 One or two family dwellinq ~ Owner , All othar site Address ~ 7 y 7 ' Contractor~~~ ~ ~ ~~j.~S pate ~ .Z Phone ~J.3~- (e5 j ~ LINEAL FT. OF ExPOSeD WALL + + + + +i ± + + above grade = lin. ft TOTAL EXPOSED WALL AREA OPAQUE WALL CONS.RUCTION: "U" value x area a~.~1_~F "U" ,oY x sq. ft. o~b~u-~ _ /~•~e0 !U~ (A) iw "U"'`YZx sq. ft. AYO /O.'O~~-....(p) (A) Detail refeience v„/,~(,~ "U"~x sq. ft. ~~~Z.%~= O.~p (U) (A) from _{.~S~tis~~~U^ -~_x e4- ft- ! 15.2 (U) (A? attached sheets "U" x sq, ft. _ (U) ~A1 "U° x sq. ft. _ (U) (A) "U" x sq. ft. _ (U) (A) WINDOWS: "U" value x area r+ake & type C- Zc~ "U" ..5"~ x sq. ft. ~S(o,~S= gs• ~55~ (U) (A) (r~ Kt~~, "U" ,'~T x sq. ft. ~!o-w = z2 (U) (A) $FAi~ i'k4. "U" . S'S x sq. ft. 6 • t~ @ ,~L (U) (A) " »U" x sq. ft. a (U) (A) DOORS: "U" value x area - Make & type 5.c. [~.b "U , ~,x sq. ft. ,~0-~ _ ~J ~ ~ (U) (A) S C,. "U .'3~( ~ sq: ft. i~.~l m (U) (AI u °U^ X Sq. ft. _ (O) (A) " TuTAIS ~y'?~~. Sq. ft. ~'~t.~I . ~1 (U) (A', TOTAL (U) (A) VALUES _ a~~ - dq AVG. °U' DIVIDED BY TOTAL WALL AREA ~~(3~j .17 nvg. •u" vaiue, State Gbda HCh)F'/<'I:I I.I Nl:: ~ru•rni. niu:n: - . ~oZ-, , sq. fc. Uct.iil releruncc "U' x sq, ft. ~ (U) (A) from "U^ e25x sq. ft.~~ 1Z_y7 (O) (A) attached sheets. (;~~Qp "U',d2$'x sq, ft.~_= / -7C. (U) (Ay Describe openings "U' x aq. ft. _ (U) (A) in roof "U° X sq. ft. _ (D) (A) Tox~.s Qb Z-- s4. fc. a~(-3 lu U?) TOTAL (U) (A)~ VALUES ~~I•3 = DIVIDED BY TOTAL ROOF/ G 2 s6 ~ S AVG. °U° , CEILING ARE.A , .OS Avg, "U" Value, State Oode, VenteB .10 Avg. "U° Value, State Cbde, IA~vente8 :5~::::E's:,TA c.:tEicGY C'viE MAXIFNM THIS BUILDING ESTIMATED BTU LOSS THIS BUILDING BTU LOSS 3'S~ SQ. FT. OPAQUE WALL @. . _ ~~3.~ e~~ T.~ S I ~ SQ. FT. CEILING @. ' ~y - v SQ. FT. UNVENT CLG. @.1D = ' TOTAL BTU TASSIHR,/SQ. FT./ . DEGREE OF TEM'? OIFFERENTIAL = 67 ~ .L!'3.Zd ' ~ WALL SECTIONS , nUn ~ ,1~r 2 NOTE: Use~i08 0~ opaque wali. area Yor ' frame 6onstruction Conatruction ;R-Value R-Value ~ ~ ~ 1., Inteiior air film 0.68 0.68 --,`-Oti 2. ~a 6~i~ RO _ ~c,~ 9 3. $//~,'inches soft wood 6 Y~ . .4~. f3ilce:ta /.22. ~ ' 5.' ~1~SawzrF 4?~~..r . 82. AASZC ~~rior sir film 0.17 0.17 YSALL ~ Total ~o.~s. , a~ m ' ~ ' = 1 a '';k:.c':~ ; ~y , r ~ ,o. - FIG. #1 T PYiI~Y OF . . _ , FRAM WqLL .-1. IntexLor air'filw 0.68 ~ 0.68 . , i~: ~ u y o_ . ; ''r;;i",.;~t,. . T+iS_..L. 'S~ t 19-do ' ` 4.. ' . ~.M-tw ~ i'.,:r...,- , 5: ~ . MA.Se.rZr~~ , yy FIG. # 2 6;; '8xterior air fi,lm 0.17 0.17 ~ 2bta1 ~ 227~ . : ~ , . , , ~ nUn e '~'~1 ~ =~nUu 1' . a . . ~~.7g 6'` l: Interior air film 0.68 0.68; - `2. ` w T~tskl../N2o ,pn aill sealer l ~ 3~~n~: ../e;dp , ~ ,p~, I '"4: , 1/~ N . ' /~'¢:!'t ' /.'Z'2 . Peripheral ,5.~ - MA1e-+rn~P~ ' .~Z Floor all 6..' Exteaioi air;film O.i7. 0.171 : ' s6. ~ , ' , , ~ 7bt81Y: , • ,a~ ~ . ..a;~~a. ''~~j.. _i:. o : ~ ' ~ ~ . . :~~?3;i;, ~.°v" °~"~',~nUn.~ , . . 'o . e ~ ~ . , ~ . , . . ' . , e:.:. --~--Q ,'1.,•, Intarior air. film 0.68 0.68: .r.~,~ . ' , "4f~L~4~' •/!•00. I~t~JM1~~AT I UN ~ . •a. ' _ . „ ~ VIALL ' ° .`0 4.~' ~ OL ~'o"" 6 ~II- °E , 5;; . , , -I`;~C- ~ g~.~~.:ErCerior air ~film 0.17 0.17.. ~ lTT~ ~ ~ Total , ~ ' ° _ ' nVw m: ~ w~n . , 1 , ' ~ SLAB . ON GRADE ` y/ • _ , ~ :`ii;;,~~ + ~ , . ~ . . . ~ •O . G' :i . ' ' ' o ~ i ! c • R ••~i•~ •e•~~' , V, ~ • O, • a ~ ~ ~ ' 7 ~ . 0~ I~~ ' ~O ~.1• , ' . ~tj~_.• • i:_ . , ~ l E 1:,.',~~ `~J c: ° ° ~ °c • • ' ' ~~:0 r.' il d . . t ~ ~ I ~ . r' . • ~ • , ' , 'i9~! 4I ~ ~ ~ I ~ ~ . . II''_ n ' . / ~ • - ~ ~ . . O . . . J~~• , . \ ' • , . FIG. # j . , , . , , . _ : .tr ' 'i e, . n NOTE; Indicate type, "R" value, depth and . ~ , ~ ~ ° • • placement of insulation, ~ . . . o . o . ~ ~ ~ . , ' I ~ , _ , ' . . . . . ~ . F . . -'.yY-~~m-~~T"T~~'.~ -T'~^'1'c~ ' ` ..*.~.~r----- - - - - - - - , - 3 ROOF/CEILING ~pa = ~ Constxuction R-Value R-Value 3 1. Interior air film 0.61 0.61 2. 2 ~ ~ ~O _ SFS~ 3• ~'WSuLRTiar /2.^~S" ~ ..k~ 4. Exterior air film (still) 0.61 0.61 Total i34..67 I 2 ,~U" 1 = .~S" ^o~ 1 _ - . ~sb7 , ' aeat Flrn. up Vented ~ 1. Interior air film 0.61 0.61 FIG. ~ 15 2. " ''aPS~Er~ ~,p. .4S ~ Y- 3, Cord nepth .;Zyyt y~ - FIG. # 16 . 3 4. i.~5~..~~7'Tca? .2S ~9.do _ 5. Exterior air film (still) 0.61 0.61 ' Total 33', G1 - Ll 2 U _ 1 _ - j 1 n0a o . . . . 35.6~ - 1. Interior air film 0.61 0.61 f 2- _ 3. ~ 4. Exterior air film (still) 0.61 0.61 . . Total - 1~ 2 3 4 ~Un _ 1 s „U„ 1 _ Heat Flow Up Vented FIG, ~ 7 I 3 ¢ 5 ~ : M.' V 1. Inside air film 0.61 0.61 i / ~ ; • 2. - ' i, 3. ' 4. - ~ 2 5. Outside air £ilm 0.17 0.17 ~ ~ . . lbtal ~ - NON BF.DIT~ nUn m wUn _ ~ 1 = - 1 - F?8~ati . Flow Up FIG. # 8 NOTE: Use additional sheets if more space is needed for details and calculations. - ~ - - ' 4 • - - Enerqy Use Pbrm ~ 4 Estimate No. Date • Customer T . A~~~ ~ fi9{~e "U" valuea for walls and ceilinqs to conforn~ with State of Mianesota ~e "~@=9Y ~nservation in New Suildinqa, Additions and Remodeled Elements of ~ ; Suildinge'• Thia code to be effective January 30, 1976. • Window Areas, Dp~r Lit~ i~ulated Glass Area, Special Insulated Glass Areas N~• Unit Quantity=NUmber oP un;ts in group Sgl=1, mull=2,ietc. ~ ~C~T=~ UNI4' lY~ SQ FT/ON2T TOTAL S4 FT - y~' i , ._~rz~~ ~.zp~ a9 L ~ 3IV 3S" ~ ~ /2?T ~ ~ ~ .a ~w ~c S-o /S / i ,,,L [ w3T ~a vR. y d. 0_3 6~0~ ~L ~'h~ ~ 3.1~ ~2_l.0 1~OTAL WINDOW 34pARE FEET ~ S "U" RStfld @ . Sntsy Dooxs Doors W3th IneW,ated Giass Piqure Giass Area With Mindoas EntxY Units With Sf,fie Lites yist SiBe Lite Oaly Separately-Double Door Equale 2 x Single TY y DESCRIPTION UNIT~ 54 FT/UNIT 'PDTAL SO FT / ..Z ~ ~ ~ ' S / 7. 7'7 . 20. c"d ~ TOT11L DOOR SQVARE pEfiT Doos '0" RBtitfq , Zf. L Side Lites , $T~ ~ DESCRIPTION 84 FT/ONIT 'POTAL 94 FT ~ - - ~-Z - Side Lite °0• Ratod ToTAL SQ~A?RE PSLR' 6 " : ~ . Patio Dooxe i" . S2TY DESCRIPTION ~ tINIT ~'Y S4 FT/tII~isT T~TAL 34 FT ~ - G' ~ y~_ ~ ' °U• Ratecl ToTSr. parra mon ~nn~a,e .eAm - ; . . ~ : ' - - I 5, WALL AND CEILING AREA ODASPUTATIONS ' ~ , ~ • Zb gigure Stud Wall Area Stsndard stud wall incl, plate= sq. ft./lin. ft. x a$5-~lin, ft, wall e?067f. sq, ft. wal Kaee stud rrall incl. plates~ sq. ft./lin. ft, x lin. ft. wall= ~ sq, ft. wall Othar stu8 wall incl: platea= sq. Pt./~ia. Pt. x lin. ft. wall= sq. ft. wa12 Other stud wall iacl. plate~ sq. ft./lin. ft. x lin. ft. wa11= ~ sq, ft. wall ~ ~ TOTAL o~ a b'`~ vetl ~ ` Stud And Plate Area ~ , w, Tott?1 eq. ft, atud wall area includiaq knee wall area a sq. £t. lOt total atud wall area ~~..1 aq. ft. stud and glate. This percent allowed by atat Rim Jo1st Lin, ft. rim joiat ~Sys x,~ eq, ft./lin. ft. rim joist = aYo•j)sq. ft. rim joist Lin, ft, rim joist x sq. ft./lin. ft, rim joist = sq. ft. rim joist Lin, ft, rim joiat x sq. ft./lin. ft, rim joist = sq. ft. rim joiet ~ oaed Basement Block Inchee above grade ~ x.0833 x rp lin, ft. otall m ~I• ft, block Inches•above grade x.0833 s~e lin. ft. wall = sq. ft, block inches above qrade x.Q$'33'x. lin. ft. wall ~ sq. ft. block Inches above qrade ~x .0833 x lin, ft. voa,ll ~ aq. ft, block inches above qrade x.0833 x lin. Pt. wall = sg. ft. block • Inches above qrade x.~33 x ' lin, ft. wall ~ aq. ft. blxk Inches above grade x.0833 x lin. ~t. wsll ~ sq. ft. block , l Net a~all Areae Zbtal stud wall area 0(o' Basameett block area _ f 2 Less windows Plus axea aell /Z,f. Lesa doors '3 ~..1~ Leas ain8ovs Less patio doors ~Co .-~d,`. Is$8 d°°ra Less stud and plate ,~aV.'1 Leea fireglace ~ Leas fixep1xe i T~T~ ~~T ~ ~ ~/~~Z TOTAL ~7 Ceillnc~ Joiat or Cord Number of cords or joiats ~ x ~tio length butal lin. ft. x.125 =~r3 8H• Nwaber of c.ords or joists x length = totel lin. ft. x.1Z5 ~ e4. Number of cords or joista x length = total lin. ft. x.125 m s4- ' Ceiling Area ~ Ceilinq width x ceiling lenqth = 9[ Z e~I• ft. ceiling cesain$ ~~~r.i, x tzeilieg lenqth ~l• ~t. ceiling ~g. fe. c~ilin~ 5~~ less sq. Pt.~cord G~_~„~„ sg. f~. insulatad ceilin Sq, ft. ceilinq less aq. Pt. cord m 84. !t. insuleted cailt - ' ~ FIREPT,ACE ~ + i ~ • • ~ • i a ~ • ia~• ~ n • ~ a~• s • a~ ~ ~ ~ • . ~ . . . ~i ~ ~ ~ ~ ~ • • • ~ u ~ lt ~ f.~~ ~ CITY OF EAGAN _ APPLICATION FOR PERMIT SEWEft AND/OR WATER CONNECTION Please Print) 1) PROPII2TY ADDRFSS: ~ ~ ~ ~ ~ ~ t I~P.L DFSCRIPTION: ~ ~ ~jg~,~ ( t B1 _ Subdivision or Tax P cel IeD Number) IF EXISTING STRCCILTRE, DATE OF ORIGINAL BL~ILDING PERMiT ISSL~ANCE: (Nbnth Year) PRESENT ZONING/PROPOSID USE: R-1 SINGLE FANIILY R-2 DL'PLEX (Tr~o Onits) R-3 TOWNHOL'SE (Three + C'nits) ( Units) R-4 APARTMENT/CONDOMINICM ( Gnits) COfM7ERCIAL/RETAIL/OFFICE IDID[:STRIAL INSTIT[; TIONAL/GOVEEtI~IT 2 ) . ~ . ADDRESS: ~ ' ~ ~C, r . ~ CITY, STATE, ZIP;i i ~~~j `-~j~ ~73 ~ / ~ 3 ) Ti'~ ~ . ~ 1 ~ / FOY Clt C~SE ~~~,~'~V ~/~u ".L-~ Pltunbers License ~ . C ,q~l~ C~! Active ~Y,nn',lC'" ~ ~`_7i5 ~-s' Ct FXpired / 1„ ~,h~ L' ~ D~~~ ~ yti(i~ MASTER LICENSE # a~ lo~ ~ Not Recorc r~. ~lY ~ ~ i; l~ ~ Staff Initial h 4 ) ~y % < <~h~~-~ / ~ / ~ ~'~~e- /ADDRESS: ~ ^ ~ CITY, STATE, ZIP: Q J `-rj PHONE: ~ ~JS - /oS~~ 5) i~ • o~ CON[~C'i`ION 'in CITY SEWII2 CONL~CTION 'It~ CITY WATER p dI~IER (Please Describe) 6) u • • i ? E HOLD APPROVID PERNffT FOR PICK-L'P BY ONE OF P,SpVE (j~E MAIL APPAOVF9 PERMIT Zl7 l, 2, 3, 4, ABOVE 7) ' ~.Gf.(/f~~;'~~~LKVit.~~~"-~ (Ci,cl~e~ one) ~-~b--~I F O R C I T Y U S E O N L Y ' PEDKIT ISSUED ' x!/~'j ,~{""S• .S IL~ S~ SE:':LP. nuR?1T_T ~I11~L'JLG JURC_'1~P..r.~L~ / ,r~/~; ~ - $ /L~~ S~ WATE~ PERA1ZT {INCL'JDE Sli~C:iAitGc.) ' r~ $ („7~ G 7i ' Wi~TER METER/COPPE4HORN/OUTSIDE RE~-IDER S WATER TAP (INCLUDE CORPORATION STOP) $ S~:~IEF :AP S /~~G' i'; =C~~i:::_ .?C~SI= - c_..'3 S % 5~/~~ ACCOliNT DEPC~SIT - PIATER S Z 5.C WaC s ~ S~,r~ sPc S TRliVK S4ATER ASSES52?E:]T $ TRii:]:C Sc:4ER aS5ES5~~?E?iT $ Lh:E?.aL BE:IEFIT/TRUNK SE:•i~R $ LATERIL BEVEFIT/TRUNK ~4ATr;t $ Ia'~ .C~ o~ WATER TREA/T~~1E,J~~~T PLANT SURCHA~JRGE ~ , $ ,~DrG~ U OTHER: ~'"t-~L~c_C' -2¢ ^(~L c'c S TOTAL ~ ~6 ~~I ~'cz-c~y $ ~`t Z~i G L~ Ar10G'\T PAID/qECE2PT ~ ~G ~ DOES UTILITY CONNECTION REQUIRE EXC.~VATION IN PUBLIC RIGiiT OF WAY? YES IF YES, THEN n"PERPIIT FOR `AORK WITIII~I PUBLIC ROADWAY" MUST BE ISSUED BY THE ~ NO ENGINEERIDIG DIV:SION. LIST AS A CONDI- 1'SiJN . - SUBJF.CT TO THE FOLLOWING CONDITIONS: APPROVED BY: ~~~~t_ J ~~f-rr.'~= 7 TS.LE: DAT°: 7/~ ~ RESIDENTIAL BUILDING Permit Application City Ot Eagan ~ ~ ~ ~ q~'3 3830 Pilot Knob Raad, Eagan Mn 55122 ~ ~ Telephone # 651-675-5675 FAX # 651-675-5694 New Constn~dbn Reouirements RemodeUReoair Reaui2ments Offce Use Onlv 3 registered site surveys showing sq. ft. of IoL sq. ft of house; and ail roofed areas 2 copies W plan Cert of Survey Reoi (20 % maximum lot covarage allowed) 1 set of Ene~gy Calcula6ons for heated additions Tree Pres Plan Recd 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 sile survey for addiUOns & decks Tree Pres Not Reqd 1 set of Ene~gy Ca~ulations Addfi'on - ind'~cate if on-sRe sepGc system _ On-site Septic System 3 wpies of Tree Preservation Plan d lot plaried after 7!1/93 Rim Joist Detail Options selection sheet (bklgs with 3 or less un~s r Date / r / / ConstrucHon Cost ~0~ ~ 7 ~ Site Address "~j~~~~ ~~2, ~{jG/,~~ Unit/Ste # / ~ / ~ Description of Work ~i" /~/l/ C_~/~/~~~ Multi-Family Btdg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner ~ ~ //J ~j ~ Telephone # ~(c~ r ~ Contractor C Address C7 (~J City ~ , / / State Zip ~,"~L~Telephone # (~jj ~1 ` ~ ~ f~ E'~ ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ven4lation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energ ~:Enveloqe6.e~eWaNeas-Submit d ~I~fr'I~(~~1LS Licensed Plumber ` ~ Telephone ) I ' U Mechanical Contractor ` Telephone # ( ) Sewer/Water Contractor BY - Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; 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 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. Ai~ ~~~e1~~ ApplicanYs Printed Name ApplicanYs Signature ' OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 0&plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 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 O 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Oemolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement ~ •Demolition (EMire Bldg) • Give PCA handout to appliwnt Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUII2ED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) Fu~aUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain TIle Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector - - Base Fee Surcharge Plan Review ~ MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total ~ r~~ RESIDENTIAL BUILDING ' ~ ~ ~ ~ ` CG~ 7)G~"~ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWCtion Reauirements RemadellReoairReauiremen45 Office Use OnN 3 registered site surveys showing sq, fl, of lot, sq. R of house; and all roofed areas 2 copies of pWn CeA of Survey Recd (20% maximum lot coverage allowed) i set of Energy Cakulatlons for heated addNOns Tree Pres Plan Recd 2 wpies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd isetofEne~gyCalculations Add~Gon-mdicetetloo-aResepttcsystem _On-siteSepUcSystem 3 copies of Tree P2servation Plan if lot pWtted after 7l1193 Rim Joist Detail Options selection sheet (61dgs with 3 or less units Date ! a ~ / Construction Cos[ ~j ~ Site Address y g~ /~-(-e l~(- UniUSte # Description of Work ~-ep Q ~L4 ('Q/ry ~6~ 1T'YMCNP~ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ~0 Vl " Telephone # (~r71 )Sg~ ~Q Contractor SELA ROOFING & REMODELING, INC. Address c~ ~ q~PARK~ MN Ci6416 City State ID#0001050 Zip Telephonet~((p(~ ) ~J~-~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minn sota Rules 7670 Cate o 1 Minnesota Rules 7672 Energy Code Category , R~ en~~'aI~7gntifa`tion"~t egorycl- orksheet . New Energy Code Worksheet (d submission type) 5~~ tP~d lfr~ L~ I I' p' ' I Submitted • E~~~y Envelope Calculatiol s Su~~iHed PAA~ 2 2 2Q0.~ I"~~ Licensed Plumber ~J~ Telephone # ( ) Mechanical Contractor '-y=- --..i Telephone J Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate of MN Statutes; 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. S~~ ~~W ~s~ S,~ _ Appli t sanc~'' Pnnted Name Applicant's Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 DS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? D4 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous Work 7ypes ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(newbldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding SNcco Stone _ Fireplace _ RS. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, ~agan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reouirements RemodeVReoair Reauirements Offce Use Onlv 3 registered site surveys shovnnq sq. ft. of bt, sq. N of house; and all roofed areas 2 copies of plan showing foohngs, beams, joists GeA o( Survey Recd Y_ N (20°k m~imum lotcoveraga allowed) 1 set of Energy Calculahons for heated additions Soils Repod _ Y_ N 1 Solls Report'rf proposed bulltling is to 6e placed on disturbed soil 1 site survey for atldiGOns & decks Tree Pres Plan Recd _ Y_ N, 2copiesofplanshowingbeam&windowsizes;pouredfantldesign,etc. Addrtion-irMicate~fon-sitesephcsysfem TreePresRequired Y _N lsetofEnergyCalculations On-siteSepGCSystem _Y _N 3 copies of Tree Preservation Plan if lot platted aRer 7l1I93 Rim Joist Detail Ophons selecuon sheet [buildings with 3 or less unifs) Minnegasw mechanical ventilahon form Plans are considered ublic information unless ou state the are trade secret and the reason. 6G Date ~ / _J 3 _ / Construction Cost S ~ ~ ~ Site Address ~ 1 1 ~~Ci'~e./- ~1p uv' Unit/Ste # ~,~-y~ ~ Description of Work ~(Z ~--~C~ , ~ ~ (}~,j~,~~ 51 rJ 1 Y~~ ~i.tS 2 9-~ ~ 4r~ ~i ~P -~T~ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropeMyOwner ~~'1`~Pi.t7J~y K~ Telephone#( ) LAKEWOODS REMODELING, INC. Contractor 9001 E. Bfoomington Freeway ' Address _ ~ Suite 144 ty - ' Btoomington, MN 55420 C~ , State _ _ . - - - ' Telephone # (~.l.a) ~JSS G COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 (J su6mission type) Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculatlons Submitted In the lasi 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer planZ _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( J Sewer/WaterContractor Telephone J I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; 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 not a permit, 6ut 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. o-~~~ n~~ D , ~ l7 ~S~ror ~,-~~n Applicant's Printed Name Applicant's Signatu ; By , ~ DO NOT ~VRITE BELOW THIS LINE Sub Tvqes ? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01of_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 (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? N 10-plex ? 1g Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Wndows/Doors ? 34 Replacement •Demolition (Entlre Bldg) - Giva PCA handout to applicant DeSC~IDil011: WaterDamage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) Final/C.O. _ Footings (addition) FinallNo C.O. _ Foundation HVAC _ Drzin Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath Stone Lath Brick _ Fireplace _ R.I. _AirTest Final Windows _ Insulation _ Retaining Wal] Approved By: , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total