3710 South Hills DrCITY OF EAGAN
3795 Pilot Knob Road
Eagan, MN 55122
Zoning;
Owner.
-?
Address.
Site Address:
Plumber:
SEWER SERVICE PENT
PERMIT No.: --A
DATE:
No. of Units:
I ogres to comply with
O the City of Eagan
rdinances. Connection Charge:
Account Deposit: _
Permit Fee:
By Surcharge:
Date of Insp.: Misc. Charges: _
Insp.: Total:
Date Paid:
CIT. OF EAGAN
3x95 Pilot Knob
Knob Rood WATER SERVICE PENT
Eagan, MN 55122 PERMIT NO.:
Zoning: DATE:
Owner: No, of Units:
Address:
Site Address:
Plumber: t
Meter No.:
Size: Connection Charge:
Reader No.: Account Deposit:
agree to comply with the C'
rtF of Eagan Permit Fee:
Ordinances, Surcharge:
Misc. Charges:
By Total:
Date of Insp.: Date Paid:
Insp..
BUILDING PERMIT
To LA U"A SAV
Site Address
Lot
Parcel # -
s Name
W
Address
0? Name
0
u? Address
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.
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Total
Signature of Permittee
A Building Permit is issued to: 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
CITY OF EAGAN
37" Pilot Knob Read Eagan, MN 55122
PHONE: 454-8100
Receipt #
S
9,,
N4 5527
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Approvals Fees
Block Sec/Sub.
permit # pate twow Penelttee
Plumbing
Mechanical ZAP /-,;;
INSPECTIONS DATE) <<' ' INSP
Rough-In
Final
Footings -? 7 s y ?:.t Date Insp. Date Insp.
Foundation Plumbing 8U
Frame/ins. -?'?- Mechanical y g0
Final
Remarks:
IS--2-77 ,
7Q?Flr 4,w -'
No.
Date:
Site Address:
Lot Block Sub/Sec.
So.Hills 1st
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind.
Nome New/Alter./Repair
Address Cost of Installation
O City Phone: Permit Fee
Name Surcharge
Address
City Phone: Total
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454.8100
PERMIT
Building Official
No.
Date:
Site Address:
Lot Block Sub/Sec.
give
Ills 1$t
Name
I Address
a
City Phone:
Name
9 Address
I City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8140
PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential ".
Multi Res., Comm./Ind.
New/Alter. / Repair
Cost of Installation
Permit Fee
Surcharge
Total
done in accordance with all applicable State of
Building Official
TPrftfiratr of Orrupaury
Cite of (Eagan
Dpparfmrnf of Builbing Jnoprr#inn
Tbis Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Chunfiridon OF DWG/GAR B1dg.Penn1r No. 5527
0-P-" TyPe R3 Type CwUwtwn V Fim zone 3 zonilig Di3trid Rl
Owgwof&4dina Bill Leadens Add.. 3396 Yankee Doo.Rd.,Eagan
3710 S. Hills Dr. South Hills
8-18-80
?? Date:
.oeT IN A CGN8 1cume ' CL
?B! LITHO IN Q.S.A.
Trr ifiraft of (Orrupattry
Citp of eagan
Devartinmi of Nnildino Awpiprfinn
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time o f issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the follourng:
9y. 8-18-80
POST IM A CONe?ICUWG PLACE
U" cu.;sCR6012 SF DWG/GAR. era`. permit No. 5527
OcmawnrType R3 TYPOCOM-u V Fire ZOW 3 Zoning Nsuict R1
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVED
19
AMOUNT $ 1 -1
CASH 0 CHECK
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
i
?y BY
CITY OFEAGAN Remarks 0-'0rlc e _ rJ,WIr A w'L4hG,1t
Addition SOTMI HILLS 19t Lot 3 Blk 2
Owner_?, Street 3710 So. Hills Drive St
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING 1973 581.88 58.19 10 174-62 A008353 912 179
SAN SEW TRUNK 1971 146.46 7.32 20 80.58 A0083S3 9/28179
* SEWER LATERAL ?j..Z 1975 2,295.31 153.02 15 /0&,t
WATERMAIN
* WATER LATERAL 1975 15
WATER AREA JS7 1972 239.22 11.96 20 143-54 AQ0RASR 9
42R
179
.
.
STORM SEW TRK
* STORM SEW LAT 15 1530.21 - A008353 9/28/79
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. ?7n r1f) 16936 12/6/79
BUILDING PER.
,-';77
16936 12/6/79
SAC it 11
PARK 120.00
"
't
II _
\
?// /` 912+ Z44 w~u - ` \ \
Ile
;oe
r?
\1a
oa X
ON
a0
Ile,
\ ae
N% \ of
q? \
'0 \ \\\
47 \ \ ? p2
\ / 900
\ ? y
8y6
LOT 3 - B1.OGK 2.
SOU114 HILLS FIRST ADDITION
SiTP, PL
SCAL- 1'44
CITY OF EAGAN
9795 PBm Knob Rood Eagan, MN 55122
PHONE: 454.8100
BUILDIWIS PERMIT APPLICATION
To be new for SF/Dwlg.& Garage Est. Value 54,000
Site Address 3710 So. Hills Drive
Lot 3 Black 2 Sec/Sub. South Hills
Parcel #
Name Bill L.a$ens
z Address3396 Yankee Doodle Rd. #318
Eagan 55121 52-4788
o Name Capp Homes
Cedar Ave.
00 Address
Eagan MN
Nome Larry Frank
Address
1 hereby acknowledge that I have read this application and state that
the information is correct and agree to comply with all aRplicable
State of Minnesota Statutes /anJ ittyy/a,Eags m es.
Signature of Permittee ?-
N2 5527
Receipt # A q-3'
Erect 19' Occupancy R3
Alter ? Zoning Rl
Repair ? Fire Zone III
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 40 ft.
Grode ? Depth 57' 8" ft.
Approvals Fees
Assessment 1
Water & Sew.
Police
Fire
Eng.
Planner -
Council _
Bldg. Off. -
APC
Permit 14u. :?U
Surcharge 27.00
Plan check 73.25
SAC 525.00
Water Conn. 270.00
Water Meter 60.00
Park Ded.120.00
Total 1.221.75
A Building Permit is issued to, 111 Le ells on the express condition that
oil work shall be done in accordan wlt'?a(I app' a State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Include 2 sets of plans,
1 site plan w/elevatiaks &
f set of energy calculations.
Tb Be Used Fc
Site Address
Date /.?- - `/- 7,f
CE USE ONLY
Lot Block Q- sec./Sub. c r?l, /„ Erect -X - Occupancy oP2
Parcel #:
Owner: Z, LL I LZYDE E
Address: `3 9? l ac IL A
City/Zip Code: crl 4., W-x), /I?nJ f$f 5;-r /
Phone #: 116-2- " (17ek
Contractor: Lne /Umc -
Address:
City/Zip Code: Z! -I,`IL) 9A)
Phone #:
Arch./Eng.: ?tJ?LL? {ilCc/? d?
Address:
City/Zip Code:
Phone #:
Alter Zoning DF?
Repair Fire Zone 3
Enlarge _ Type of Const. U
Move # Stories
Demolish Front 0 ft.
_
Grade Depth 6 8 ft.
Assessments r. 1 f 3 Permit l 9( -2?'
water/Sewer Surcharge 5 4 7
Police Plan Check ->2
Fire SAC ?i25
Eng Water Conn. R2
Planner Water Meter e0
Council Road Unit Al.)
Bldg. Off:
Igo °?'
J?,z,.PD i 232-
APC
JJ S?? CITY OF EAGAN
14 6.5 0
2 7,G 0
r J.2 5
2 5.6 0
2'7 0.6 0
t7
U 0 r
'J
12 G,? :i
Minnesota State Board of Electricity
University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHWK BELOW WORK COVERED BY THIS REQUEST
/ 76 ?3?
26793
Type of Building New dd. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Site Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm E] E] 0 JJ
List LList
Other ? ? ? yy
Here rsl p
Herreers j
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes
101 to 200 Amps. 1 31 to 100 Amperes 31 to 100 Amperes
Above 200_Amps. - 1
Above 100 Amps. Above 100 Amps.
Transformers Remote Cont[ol Circ.
I
= Partial or otherfee d
Signs 1 1 Special Inspection I Minimum fee $5.00
Remarp ks? ]a n _ r
NA TOTAL F
9,OCV a
certify
has been male.
., -6-W
This request void 18 months from
Two 18 months from $3.00 7683
Date of this Request i- a- Sr d g 26793
I, as O Licensed Electrical Contractor,® Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route Cit
Section Township
Range County Which is occupied
Is a roughin inspection required on this job? No
of Occupant)
Yes ? Ready Now 0 Will Call
Power Supplies--P -? r - Addre? - ` ? " ?
Electrical Contracbr--?>? Contractor's License No.
(Company Name)
Mailing Addresses
/ (E rical ntrac or Owner Making Thls Installation) ?? -
Authorized Signature r^/ Phone Z-1/
(Electrical contractor or wner Making This Installation)
STATE ® R® C0PY This inspection request will not tiaccepted the
State Board unless proper inspection fee is enclosed.
This request void 18 monthssffrom /9 4 q- 1
Date of this Request - 77 ' S 26805
1, as ? Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No
Section Township
Which is occupied by
y</
Range Count
Is a roughin inspection required on this job? No pl::D Yes ?
Power Suppli6i<
Electrical Contract
Mailing Address c
Authorized Signature
Ready Now ? Will Call Contractor's License No. O/L
STATE BOARD COPY This inspection request will not accepted by the
State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
19&4 University Ave., St. Paul, Minn. 55104-Phone 645.7703
REQUEST FOR ELECTRICAL INSPECTION
CKECK BELOW WORK COVERED BY THIS REQUEST
S
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? CJ ? Water Heater 11 Lighting Fixtures 1:1
Apt Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo UNoader ?
Industrial Bldg. ? ? ? An Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List ist )
L
)
Other _
E3
?
?
Herers pp
}
}
Htters7
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Signs Special Inspection Minimum fee
Remarks -,?, J----???- TOTAL
I, the Electric nspector, hereby certify that the above inspection has been made.
(Final)
This request void 18 months from "-
&3 &?-. SJO. 1l? !l d l
Date
))ate
This request void 18 months from L C;2- \ZO /utJCJJQJ
Date of this Request 2 /,f'/ 9,?)' $ 26811
1, as ? Licensed Electrical Contr 'tor Owner, do hereby request inspection of the above electri-
cal wiring installed at: t?
Street Address or Route No. / ! (7 S. ire/GCS 4,? City ?GNIV
Section Township
Which is occupied by
Range County..Z>i¢.?0-/;Fl
is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ?
Power Supplier .PAAf 70 FLFc ! Address ?LR/yr!" C i T9
Electrical Contractor Contractor's License No.
(company Name)
Mailing Address
Authorized
(electrical contractor or o%
STATE BOARD COPY
This Installation) ?y?
Phone No.1•5 d 'y ds
This inspection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
Pr Minnesota State Board of Electricity
8 9 7
1954 University Ave., St. Paul, Minn. 55104-Phone 645.7703
IR
THIS REQUEST ION S ^ L+ p
CHECELOW WORKOCOVERED BYELECTRICAL
Tyye of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List List
Other -
O
?
? o
Herets(
Oeheers#
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders& Subfeeders: # Fee Circuits: # Fee
0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes
• 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Signs Special Inspection
Minimum fee $5.
Remarks TOTAL FE ?? .OCR p„5
I, the Electrical Inspector, hereby certify that the above inspection has been ma e.
Date
(Final)
This request void 18 months from
This request void 18 months from X3 /3 -. ?,db #-,-?_ lAy?
i
?e . s &46 1 4
Date of is Request
I, as icensed Electricill Co actor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: A f
Street Address or Route No.
Section Township Range County
e/1 ? A /1
Which is occupied by
Is a roughin inspectio required on this job? No ? Yes ? Ready Now ? will can ?
Ppwer Supplier /Address %L
Electrical Contractor j `(.. ? J? T r g"tor's License No.
Mathng Address
Authorized
No.
ST ;j `?? . WARD COPY This inspection request will not be accepted by the
(j State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
University Ave., St. Paul, Minn. 55104-Phone 645-7703
QWW"IREQUEST FOR ELECTRICAL INSPECTION
CHECK'BELOW WORK COVERED BY THIS REQUEST
/S 9? e
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home 19 ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Futures
Apt. Bldg. ? ? ? Dry Electric Heating ?
Commercial Bldg. ? ? ? F. Silo Unloader ?
Industrial Bldg. El El ? Air n ui Bulk Milk Tank ?
Farm ?
? List List
Other
?
?
? pp
Herers? pp
Herers
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee 1 1 Feeders. Subfeeders: # Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Amperes 0 to 30 Amperes
101 to 200 Amps. - 31 to 100 Amperes 31 to 100 Amperes
Above 200 Amps. Above 100 Above 100 Amps.
ansformers Remote Cont Partial or other f
Special Inspe fee $5.00
Remar arks
TOTAL FEE
I, the Electrical
(Final)
This request void 18 months from
been tread '0
e
e
e
I
ICE
PROJECT:
REPORTED TO:
tuuin city testing
?';? ane ?anrw taooraeo6t4nc.
662 CROATMELL AVENUE
ST. PAUL MN 55114
1 PHONE 6121615-9601
REPORT OF: DENSITY TESTS OF COMPACTED FILL
RESIDENCE-LOT 3, SOUTH HILLS ADD TION
SOUTH HILLS ROAD DATE: Dec 10, 197
EAGAN MINNESOTA
i iam Lea ers COPIES TO ,,,City of Eagan
3396 Yankee Doodle Road /
Eagan, MN 55121
C?dAZoO? IT-
LABORATORY No. 11-4940
TEST NUMBER: Cl 1 2
DATE TAKEN: Dec 7, 1979 Dec 7, 1979
UNIFIED SOIL CLASSIFIC ATION: Sand, fine to Sand, fine to
(Moisture-Density Sample medium grained, medium grained,
Number) some gravel, some gravel,
brown (SP)-1 brown (SP)-1
LOCATION: 38'S of NW 30'S & 22'E
corner of of NW corner
house of house
DEPTH BELOW FOOTING ELEVATION: 1' 1'
DEPTH BELOW EXISTING GRADE:
FIELD DENSITY DETERMINATION:
Method Density in Place By Sand Cone Method, ASTM:Dl 556-64 (44 Basis)
Dry Density (pcf) 116 114
Moisture Content (%) 4.7 4.7
Plus #4 Material W 17 29
LABORATORY MOISTURE-DENSITY RELATION OF SOIL:
Method ASTM:D698-70, Method "A", (44 Basis)
Maximum Dry Density (pcf) 110.2 110.2
Optimum Moisture W 16.2 16.2
COMPACTION TEST RESULTS:
Compaction W 105 103
Specified Compaction (%) 95 95
ATTENTION: Density tests are valid at the location and elevation of the test only. No repre-
sentation is made as to the adequacy of fill and compaction at locations and elevations other
than those tested. Soils which are allowed to freeze will lose some density due to moisture-
volume expansion.
AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC ANO OURSELVES, ALL MPOIITR ARC SUBMITTED AS THE CONFIDENTIAL PROM"' OF CLIENTS. AMO AUTHOR-
IEATIOM FOR PUBLICATION OF STATENENTS.CONCLUBIONS OR CETRACTS FROM OR IR:OARDING OUR, RESORTS IS RCO&WRO PENDING OUR WRITTEN APPROVAL
Twin City XTand Enginaariny Laboraror Inc.
By ??C"
tuAn MY testinq
W
662 CAp WELL AVEau!
` ..w•,.. ST PAUL MN 5511
} PHONE 612 WS?.+
MOISTURE - DENSITY CURVE SAMPLE NO. 1
RESIDENCE-LOT 3, SOUTH HILLS ADDITION
PROJECT: SOUTH HILLS ROAD DATE: Dec 10, 1979
REPORTED ro: EAl MINNESOTA OPIES To: 1-City of Eagan
Wi liam Leaders
LABORATORY NO. 11-4940
METHOD OF TEST: ASTM: D698-70, Method "A"
TYPE OF MATERIAL: Sand, fine to medium grained, brown (SP)-1
MAXIMUM DENSITY: 110.2 lb. /cll. ft. OPTIMUM MOISTURE: 16.2 %
112
a, 111
1110
}
H
N
Z
W 109
n
0
108
107
14 15 16 17 18 19
ISA0!` gx777N'eT - 070
FRAME "•'ALL INDOWS
A. Glass
Size No. No.
Panes Windows Sq.
Inch
y
l Glass
144= r / r S
Ft
x x.
x. q.
a- x Lal ti x 144= 63.33
r.
2,r x
{
x x
Lr
144= \3.33
9g :. ?J x 144
3Zx IL X Z x y 144= yr ,yY
x x x 144=
rr`? •G TOTAL
B--.Steal Door 3
x =
-
_y
Patio Door Glass
L x -?' x B Sq. Ft.
FO:;_iCT.TIOi7 WALL ?',INDOWS
No. No.
Glass Size Panes F:incows
Glass
?? x ?x x y 144= 7 Sq. Ft.
DATE I ! l S/ I '
EXPOSED W:-ILL AREAS
*Total Frame F1all Area ' J
?si ' j
(o
nus:
r
A. Wall Window area
B1.Stee1 Dcor Area ( 3
B2.11ocd Door Arva -
C. SIIdinT Do,ir Area
D. Fireplace Wall Area
TOTAL Z 6.'L
P.djus tad Frame Wall Area / L 7 y
S`.i nus :
F. Wall 7ra7ing Area (z.vg. 10%) r t 7
E. Net Wall Area Auo:•e Floor y 7
*motal Exposed Foundation Area rs
Minus:
A. Window Area
Bl.Steel Door Area
B2.wood Door Area
C. Sliding Door Area
TOTAL 7
E. Net Foundation Area ihove Grade / 1y
G. *Total Rim Joist Area
* *Total Exposed Wall Area jd' yy?
(frame wall, foundation
wall, rim joists)
r: v
x x 144=
21.Steel Door
x x. _
B3. Wood Door
x x = CUSTOMER NAME
C. Patio Door
Y. x =
WALL SECTION 1 WALL SECTION 2 WALL SECTION i TOUt wan aro am" Roar- Carol "R"Fatl to -W-- I
R <
Glad R• j A. Glad P• j A. Glxl R• '
bl. Sort DOar R• HJe 1 BI SreN Dmr R• Of0 BL SIM OOw R• t]50 Fw_aEquiv_
12 V'raa OcOr R•
• Tel 1
ii I b3. V.-On0. R•
51
n
Gle
Call R•
C
d i.l) I
11 1
2 83. Wall Do. FI•
Will Ciao Dow R•
C l1]
2.11
µ
11
1
A
tal W,IIwiMOn Ante
.
T
To,,' A.
I7G C.-magle U - _S L
_x Area )1/ J
-BiUX??•'?
C. $Immg Waa Carl P g
.
i
rd
. .
I , a
- .
S .
.......
o
al Door A
... . . . ... . .....
Tot ..
.. Total p • Convenetl l0 U • Area V/ • BTU.
llA
F
W
P- I
fireOlxe ViAl Aree
0
R .
C
Door Area
West
t
511am
1
T
Toblfl•
Convened to U-?G
xArea
_9, e?_ _
•BiUH ?_
D. F:rmbeelVaR Are.
J. Itermr Air Frlm...... R
0,68 nmlxe
rta
a
D.
1, tmer•or An 1...... 068 1
1 .
1. Irneow An0.lm....'. 000 .
D. A
q
.....
o
Total Fnepbce V:all Area......... ..
. . TOtalq• Convened to U- aArta
J •BTU. -T??'p
• BtUH
Brine Cormno+_......
2 4.00 1 2. BnU. Cnmrwl..... 400 2. B.kk Common. _..... <B0 E. Taut Net Wall Area ............. .. Twat P • Ia l Cornered to U • ?7 .Area
IJJ _Yrr=.1.
J
y
3J
.
3. E....... Air Film...... _tl 1 ]. Ealeri«Arr [Tied:..... 1) 1 3. Ealeriof Al, film...... .1)
- F. Total Wall Ii Area .:......... .. Total P] 7,+ Cameron le U• I Area
A
i
+ •BTU.
O
_
.
1.
• BTU.
9Y
TOTAL P• 5.65 TOTAL R• ?v 55 TOTAL P• S G Total Rim Join Area ........... .. Total R- Comaned to U•?2L rea
_a
. .
?,,..
E ll Area Anma Floor
W E. Wail Ana Above Floor _
I E, Wail An. Abi Floor Val A. T.o"Vall Window Area ......... .. Total R - Conents m V • ? x A... •BTUH _
. i
mono. An film
.
1 068 1 1. Interior Aa R,m...... 0,68 1 1, Inlem, An Fem...... 060 B. Teo' Door Area ............... .. Total R- Convents to U•-_ v Area
_
-STUN
.....
,
'. - Snaelmca
..
2 015 1 2. '1" Simi ........ 045 1 2. ,Sm,rwk ........ 045 C. Tom Soon, Gbsl Doer Area..... .. Total R- ConvenMm U• _ v area_ •8TUH_
......
.
...
3"t nwlalion
.
.
3 11.00 1' 3. 31i'I no,t-on..... .,, 11.00 1 ]. 34-Inw1a1on„'..:... I'm D. Total fireplace wall Arta......... .. Tool R- Convents lO U- .Arnim •BiUH_
.
.
.
.
4. !1 Fneloovi mq... 1.22 1 a. vi" F.LeltoNNISMg.... 1,72 1 <. 'A FiEerowrd Sh,.., 1.22 E. Total NI, Wall Area ............ .. To,.'R- Convened N, U- vAne -BTUX_
5
Siding G? 1 5. Sling- 1 5, Sid'mg- F. Total Will Wood Arn ........... .. Tout R- Converted to U+_ a Air. - -BTUH
.
6. E.orrAU Film.. O1] 1 6, E,Nrlw An Film...... 0.17
- I B. Exor ear Air Fem...... Oil G. Tout Rim Joist Area ... .. Total R- Conened W U- aArea_ -BTUH_
TOTAL R• T I
TOTAL P-
TOTAL IF
I
Wall-] A .........
Total Will Wrindle. Alt . .. Tau'R - Convened to U•_ Prea
x vBTW
_
F Well Framing Al. I rg
F. \Yan Frsmi Area 1 f YlallFnmin Area
I 9 .
B. ....
Area a _..,,.._..
Total Door
.. ToR-
CmertedtO U•_ A
x rta
- BTU.
. Film
.
I
Ni 068 ' I. Inmm
Fled ...... O60 ia An Film
I 1. 068 0, Slid
Tl Shang Glaes Door Area ..... .. Tool R - Convened l0 U • x Ana • BTU.
i to
.....
.
2 sl
:'$nclck.. I
1 a lA
2 Sneetm .,.
O S
2. 'It 'Slrttlrmk ... .
015
O.
xe Y:
Are..........
Tool
.. Tool P-
Convvted to U-
Are.
-BTUX_
.
F Fart Wed51n9 `.. 22
1 132 1
fierWaard SM
]. •i •. F? g. .••
1.22 $2
0. 'i'Frpertear05.[9 -...
1
11}
E. a
et W
Total Net Wall Area .............
.
.. TOtalfl•
? Convened lOU•
nArea
VX?
31i'Framing
........
a P.3<
1 Fnminq._......
6. a.3a 1 <. Framing........, a.]i F. Wall Wood Area ...........
Total .. Total R- Convened 0 U- xArea •STUN
.
.
5. r
I ol
5 S
. n1nq-
-
I 5 S.arry
. ---
G. Jim
Tout Lm JOm Mea...... ......
.. TouIP -
Converted mU-?
-x Araa
_
-STUN
eel
6. Feel Air film..--.. 0.117 ] -6.' Euniv 4 . A,( Firm 0_I7
TOTAL P• I
7sq i
0thl P•
TOTAL A TOTAL R.
i TOTAL R•
To ol e.wseefoundation anal -
G. Rim Area
Jort 1 G. Rim Net, 4rea I G. p.mlo;.Area A •h (I•Y
•eTOX_
no ud it Film .....,
I 068 1, tmer.p Al, Film....,. 060 1. Innor An Film...... 066 foundation A. Total Window Area TouIR• Cmven<d mU• rea
.
In w4 on
......
2 2. _'"I nwouon........ I 2 _"Inwlatin... _... Voll-I S. To,.' Sol 00or Ara . .......... ... Toul R• ConvenMm U+? a Altai •B TUX
..
.
1'.i'\VOW
........
3 1118 I 3. ,1."WOCal ..._...... IBb I ]. 1%WOW........... 180 C. Tout WOOd UOOr Area .......... ... TotalP• Convents lnV Area_? •BT?i
..
.
L T:, Fieerdond5n16 ... 7
2 <. Y." FmerW.ra Sri, .,, 1,22 I <, '1 FoaNtarra8ntg... 132 0. Total SlioingDoor Ana ........ ... Total R•
- Converted to U-
U-1
C Arta
n Area ?J/
? -BTU.
•BTUX?
S. ?SAing- ;
(
I 5 Siding - _ 5, Sw.,- E. Total Net Wall Area ............ .. Total R onvened 10 . -BTUH
ilm......
vEvtvmr Pn F
6 0.17 1 6 Enlmw An F.Im...... 0,17 j fl Exteior qn Fllm...... 0y17 F. 'TOteIR• Convenes to U- +Area_ _
,
.
TOTAL P• 01 'TOTAL R. - I TOTAL fl•
' 1,6
1 I Found. on , Tot Window Area ............ ... Total R - Cornered to U - _ It Area -STUN
W Faµ-dni m Wmdom 1 N. F..e,.on Wmmwl N. immolation Wildfowl WeII-0 e
8. To,.' .' al S So.' ree' Q., Prta .......... ... Tool R • Convents to U • aArea • bTUH
P. i R- i R• C. Total Wood OWr Area. ...... ... Total R- Convened to U- aArea_ UX_
D, Total Siren, Door Area ........ ... Total R . Convened to U - a Arn - ETU.
L FouMnion AWVe Gore 1 1. foundarmn Above Code 1. FouMauon A.r Coot, E, Too Net Nall Area ...... ...,. ... Total R- ConvertM toU-_ x Alta Mitt
1. Inge: m. air Film ...... 068 1. Inuno. PU Rim ...... 060 1. lnt- ArFdm ...... 068 F. Total R- Coronled W U-_ x Area •STUH_
2. -- noolon,,......
" I
1
11 2, _'I ravolon........
8" Hol
3
11
1
..
1 2. _'I-Ur.........
B" B'wk... ,.....-
3
1.t1
Fowoation
A
Tool Rind- AN. ............
... Total P.
Converted to U-
,Area _
-STUN _
3 B
BIOA
< 61c- Pn Film .
I
U I
O ...,,....,..
.
a Exlnior 4
Film .
Otl 1
.
1 < Fnniw Air Film...... 0.1] WFII-3 ,
B. :1 Slml DDoor .._....._ .. Total Converted to 0-ma xArea •BTUH_
TOTAL R• . T
TOTAL R- 1 TOTAL P C. 7.
.o
Tm.1 W \4m ood o. Area .......... ... Tool A R . C ...onvened t0 U • _ r.
, Area BTUX
D, I.,.' D
$IiOmg OOrAm ........ ... Tool C
onvenedt
U. Area -STUN
J. SL,ttnt J. Skyl.Brit J. Si E. Total Net Wall Area ............ it
... Taulfl. O
C
lOnvertU•
o ad
aArea
-BiUM?
R. 1 R• I P• F. Total R. ConueNM tO U• v Arta -BT UH _Y•
K, RooF:Cnlmg Framing 1 K. atol ling framing I K. RWNCeil., Fammg
1
ll
l ?+ Total2'J
LI!'
T
Interior Ale Film ...-.,
1 061 1. Interim Air Film ...... 061 1. mat Air Film...... 0.61 Tola'ean.. wa
area ..... ota
.. .
,
I ,l Sne;racg k.........
amm....._..
3. 045
. 1 Sneelack,,., .....
3, Fn.ntry......... 045 2. %"Sloes k..._..,.
1 3. Fuming......... 015
Li
a /?" Inwlalion... _... 1
H. .. 1 a. mwlanon........
.
1 4.
5 6 tmw Air Film... _.
0.1]
S. Bell- Air F iim......
0.i) ,mr Air
1 6 Eate?p An Film ......
O
TOTAL R. y?
JJ' I TOTAL R- I TOTAL R.
, 1 Total evpos,U cool/cnlnp sea -
LI. Flat l-.41alReol Celligg LI. Flats nwlatMrRWl Ceiling 1 Ll. Flat lowlaod'Rml Call.,
1. I Ar Film
' 061 1
045 1 1 Inel- AFilm .,.
2 1 Sloe k 0.61
45
0 1 1- Inlero.ArFilm ..... -
: SmNNdvk
2 0.61
045
Roof/Ceiling
j
i kyl'g. ..
Total R.
Conver lU•
?
Ana
?
-BiUH -7
r?
S ck..
2.
L 1 lean
3 }$W 1 .
3. In .?.. . .
3. 'Iuar on ... it 1 li ql rq
ial
' TotalA ?- •1P C..."od to U•
-?
3 -n Area
Jn
9 p 1 l
-BTUH
T
. ...
.
A
R, m
4
E 0
11 1 l Enena Air Fllm O1 I 4. Blotter Ar F. m. _... 0_17
L
Tool net
nwlared roolceing ..
... Total R•
?•_y.]_ C.-,rod,. .
T
x Al.
xB
VH
n
.
ller-
......
TOTAL P- .
32,2 I ......
..
TOTAL fl• TOTAL P
L2 SlopMlnwooWltooI Cr ing 1-2, Sloced 1nwlaled'ROO1 Ceiling L2 Sloi lnwlalM'l lCeding Riml-Ceding j, Toles pyegn... .... ... . ... ToolI C.-Nall to U= aorta- -BTUX_
. me or Ad Film
1
l 061 Intel An'am......
1 061 1 1. Imniw Al, Fdm...... 061 4. Tmn roal¢eiI•ng lmmmy area.,.. ... ToolR Cometee to U= aArea -BTUH_
.
i
......
3 OAS 1 ,
3. 1 Fl<nr«k ........ 00 2. %" Snenrwk ........ 0,45 1. Tool net mnwle r oml -tin, .. ... Tool R . ComenM for U • x Area _ -BTUH
3 3. -'Nolon........ 3. J mvuoon........
.
a; Exmmr An Flm _-.., on 1 4, Eam•a Anlnm..-_. s11 _, I a. E•r<r•«hn Ftm_.... All
l t'L LeJ ????•F
T
,
"
TOTAL P• I TOTAL R• 1 TOTAL P- Teo,.... wall. No ..... .. Tota oo
yelG
State of A9innesotaMax.BTUHAllowed >
r r.?l d '6
? 1 I Alternate 0vilongEmHapeD-1.
"
` w. N.
1
Total eal wall.,.
I II''
, 1-1 •?1?. /? •...•••••• .............. ••••.••...
n .
V
Taut - i Tautinl
IN, il Cy ,neelrm ol,nm,.
mm
alvn esl
l
melo
er,m
e
o
In-
._
_
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1 Va
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aM . •22
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n
lnmF •l
no.
,
I
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Date:
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit#: /0 // -D-
90 -06
D-90-06
Permit Fee:
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
I/ 2-01i Site Address: 3710 5O U H (4-14_,C �l\
Unit #:
DIbENT#/
NEER
Name: St1sltid 5 kb NI \ OPhone: 651 -45Z -+78g
/�/�.,I
Address / City / Zip: . 1(0 SU� G ` �-} ILLS, Dr EA FV'IM� CS\ Z.
Applicant is: Owner /Contractor
TYPE OF wOR�
Description of work: W A Nb i f?�U 1-0 .Sg- al Jv 6
Construction Cost: Multi -Family Building: (Yes / No /)
CONTRACTOR
(.� �
• 1 c i� ►Z 1 O , 1-
Company. !�.�t-' � Y`-� 1�(� �� (_�C� Contact:
. J n
61
Address: l(b Cd1' i�4 {-t1LLS b` . City:/g AI'
/
State: �NJ Zip: 5.123 Phone: 6 Cz B ( v -4-1-0>?
' Q
License #: 2) ZZter'73 v Lead Certificate #:
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
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?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE "Plans and supporting documents'that you submit are considered tube public informati Po►t`ions of v,
the information maybe classified as non-public rf you provide specific reasons"that would pe mit the City
c -
.�_ �onc/ptleF that the' ereredesets: v � _., - :.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota She Building Code must be c•mpleted within 180
days of pe it issuance
Applicant's Printed Name
Appli •ant's Signature
Page 1 of 3