4100 States Ave
~ CITY OF EAGAN Permit No: pate.
3630 Pi1o1 Knob Road Meter No: o 7`E o°~' d Size:
P.O. Box 21199 Reader No: I3 3 'Y 4 3 Date:
Eagan, MN 55121
Owner. 1'. rontier "Iidwest
Site Address: 4I0.0 StatQ.s Avenue L5 B3 Stafford Piac_E
,
= - uTJ=bing
Plumber. ~ ,
' ;E~t;, [ P1
Conn. Chg: Zoning:
Acct QeP: No. at Units:
C . . ~
Permii Fee:
Surcharge: ' pI agree to compl the City of Eagan
Tr. Plant ` ' ok)pd Ordina
Meter. ' • C'Ond •
Misc.: BI? ~
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: j' Date: 6-•?9 _gg
' 3830 Piiot Irnob Road Meter No: Size:
P.O. tlax 21149 Reader No: Oate:
Eagan, MN 55121
Owner. idwest
' Site Address: Avemle, LS B3 Staff ir:i F'lace
Plumber. a~-; i~=>
l
Conn.Ch 55~~"0`4d ?l
9~ Zoning:
Acct Dep: ' No. ot Uniis:
~ Permit Fee: '
~ Surchar e:
9 n` 1 agree to comply with the Cflr of Eayan
Tr. Plant - Ordinances.
f Meter. r' ~ • ~
' Misc.: By
WATER SERVICE PERMIT i._._._ .
CITY OFJEAGAN Permit No: 1- Date: 6-29-3$
3830 PiFdt Kno1b Road B/P No: Date: 0-28--S°
P.O. Box 21199
Eagan, MN 55121
Owner. '~r~~~t~F_•~ k,es~
SiteAddress: 4I0.1 Szates Avernie LS A3 Stafford Place
Plumber: Star p umbin?
MWCC: SSV, nOpd Zoning~
,
, No. of Units:
Acct City Chg: Dep: ` ' j~ '
• I agree to comply with the CHy o
Permit Fee: f Eagan
Surcharge: Ordinances. i
~
Misc.: By ~
; SEWER SERVICE PERMIT I
•~c-.~ ;."'Y""',:An.dyy : --'r~~m:... : r.y.,C,. , , ...a, '.~i.'~i . r,,;_:,~... - -.v-.<-s,.~w7K-nyi.~,,; . , vs.:,..-,s'!h"rr,i?~...~.ry...:
CITY OF EAGAN 18631
3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
MSEMIElti $1. S00 DECSMDER 27 90
To be used for Est. Value Date , 19
Site Adgdress 4100 3TA?Z4 AVE
Lot Biock Sec/Sub. OFFICE USE ONLY
P8fC81 NO. Occupancy - FEES
1'ERRY REISHUS zoning - $35.00
W Name (ACtual) Const - Bldg. Permit
~ Address (Allowable) - Surcharge 1'00
0 City Phone * of stories -
Length Plan Review
o Name sA~ Depch - SAC, City
~ Q Address §`F' TOtal - SAC, MCwcC
~ City Phone S Footprints -
Ors-Stile Sewage _ Water Conn
U¢
W W Name OnSlt~e Well - Water Meter
Address MNfCCSystem _ Accl p ~t
i W City Phone c~yr wacer - ~
PRV Required - S/W Permit i
I hereby acknowlege that I have read this application and state that ihe 8ooster Pump - ~W Surcharge
infortnation is correct and agree to comply with II applicable Sta1e o(
Minnesola StaWtes and Ci ~~t~g~C~rdinar~e Treatment PI
Signature of Permitee /11v,"-' APPROVALS Road Unit
A Building Permit is issued to; - RAY RE1$!1(IS Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council ~ -.50
applicable State of Minnesota Statute and City ot Eagan Ordinances. Bldg. Oft. _ Copies _T36~
•
Variance - TOTAL
Building Official
Permit No. Permk Holder Dats Telephona #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC ~ Ia G f'+O O~~
Inspsction Date Inap. Comments
Footings I
Foundetion
Framing o -
Roofing
Rough Plbg.
Fia+9h H19-
isul.
Fueplace
Final Htg.
Final Plbg.
Conyy. Meter Pibg. Inspector - NoGfy Plumber
EngrJPlan
Bldg. Final
oock Fug.
Deck Final
weli
Pr, aso.
CITY OF EAGAN
" 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
" PH ON E: 454-8100
BUILDING PERMIT Receipt ~
To be used for ~ Est. Value Date ,19
Site Address AW OFFICE USE ONLY
Lot Block 3 Sec/Sub. r ~.•'D PLAf; On Sfte Sewege Occupancy
' 1 •
MWCC System Zoning
Parcel No. On Site Well (Actual) Const
.,i•ru'.a CityWeter (Allowable) ~n
c Name
W PRV Required # oi 5torieB
3 Address
v iu -c ~ Booster Pump Length
° City Phone
Depth , p Name S.F. Total
~ ` Address Footprint S.F.
~ City Phone APPROVALS FEES
Vyj W Name Engr./Assess_ Permit W Planner Surcharge
~ g Address
Q W City Phone Council Plan Revlew
Bldg. Off. 5AC, City ~
Variance SAC, MWCC
I hereby acknowledge that 1 have read this application and state that the
info?matfon is correct and agree to comply with all applicable State of Water Conn. '
Minnesota Statutes and City of Eagan Ordinances. ,
, Water Meter
Signature of Permittee Road Unit '
A Building Permit is issued to: ' Treatment P1
on the express condition that all work shall be done in accordance with all parks
applicable State o1 Minnesota Stafutes and City of Eagan Ordinances. _.--T-~-
Building Official TOTAL
Permit No. Permit Holder Dste Telephone #t
Plumbing
H.V.A.C.
G) 1 9 ~ /i~
EleCtric
Softener
Inspectfon Data Insp. Commeftt8
Footings I
Footings II
Foundation g
Framing ~
Roofing
Rough Plbg. j
Rough Htg. ~
Isul. ~
Fireplace
Final Htg.
Final Plbg.
Bldg. Final '
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
~ y
!
~erfifir~ttP ~f C~rru~~nr~
Citp of eagan
MPpgI'tmPtt Df lldNtU3 JWPttiDtt
This Cenificate itsued pursuant w the requiremenu af Section 306 of 1he Uniform Building
Code certiJying that a1 the time of issuance this structure was in compliance with the various
ardinances of the City regulating buitding construction or use. For the foTlowrng.•
Use Cldtsificauon ~~'•ti' ~ Bldg. Rrmit No. i::-'- i
OCCUPS-7 TYve zoning DWsict Type Conu. -
o-M or &;w;og = ~`'i'II:R MiI7WE5"1 I c,,U2
sa16ng aaamss 1` !T SI'.AM A4F14'i`,:; L=uty 15, H3, SLAFKA-L, .T~A(C'r
Dau: =;~R S, 1as::;
Budduag OftW
POST IN A CONSPICUOUS PU1CE
_ . . . . . . . _
. , ~ PERMIT #
PLUMBING PERMIT RECEIPt
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address TI"A BLDG. TYPE WORK DESCRIPTIDN
Lot ~81ock - Sec/Sub Res. New
MUIL • Add-on
Name Comm. Repair
m
~n Address 1 9" 3ti.:1wrlae Other
c Ciry Phone RE3. PLBG. ONLY - COMPLETE THE FOLLOWING:
N0. FIXTURES TOTA~
'rri?.ti~r Iioraes ~-Water Closet - $3.00
~ Name ilwy
Bath Tubs - $3.00 J3~J3 Sible ~~;e~u. , .
3 Address Lavatory - $3.00 f ~ - !
p City
Phone ±Shower - $3.00
Z Ki?chen Sink - $3.00 FEES Urinal/Bidet - $3.00
COMM/IND FEE -1% OF CONTRACT FEE 7-Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES 7-Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPUES =Water Heater - $1.50 ~ 5
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 ~Gas Piping Outlets - $1.50 ~
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES SoRener -$5.00
BEYOND $1,000.00) Well - $10.00
.12_Private Disp. - $10.00
Rough Openings - $1.50
SPNATURE OF PERMIXJtE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
r , . PERMIT # t - , ~ .
MECHANICAL PEHMIT RECEIPT # CITY OF EAGAN
' 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address - f~'z-' E• gLpG, TypE WORK DESCRIPTION
Lot ~ Block Sec/Sub Res. New
-X
Muft Add-on
m Name Comm. Repair
Addre s ` s- /1AwAlrc ~P ~
c City ~~7 G N Phone 5.~ • l3 4 5 Other
FEES
Name RES. HVAC 0-100 M BTU -$24.00
c Address 3 d'? S' « ,-Al• f h" ADDITIONAL 50 M BTU - 6.00
p Ciry Phone = (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkdll'n - 1.50 EA.
TYPE OF WORK / COMM/IND FEE - 1aJo OF CONTRACT FEE
Forced Air M BTU !`f• ~ tAPT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond, M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
1
FEE 40 !
~ yrif 7Vsr '~.L! ' J-
S/C: SIGNATURE OF PERMITTEE TOTAL•
FOR: CITY OF EAGAN
.
~`a._ . , . . • - -
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ONE: 454-8100
BUILDING PERMIT Receipt#
To be used for ``f` UWG/GAx Est. Value $ ~ (J'C~% Date 3"'i'l1:. :?4 ,~g 38
Site Addr6SS t ~1(1 ; 7'AT£S ,ti'~~ OFFICE USE ONLY
S• ~Ir OnSReSewage Occupency
Lot ~ Block 3 Sec/Sub. f`~Ft~'
MWCC 5yatem Zoning 1` 1
Parcel No. On Site Well (Actual) ConSf') vn
x Name D:LD44F:$T lff}:iF:S CityWater a(Allowable)'~-' vn
z Address PRV Required # of Stories 114
0 City Phone 45414 Booster Pump Length
Depth 2
. o Name S.F.7otal ~
• ~ Q Addwss Footprint S.F.
~ City Phone APPROVALS FEES
a Engr./Assess. Permit 4i 56b.00
yVjW Name 4q~pp
~ Planner Surcharge
_ z. Address 283.00
~ W City Phone Councll Plan Review
Bldg. Off. SAC, City 100•00
I hereby acknowledge that I have read this application and state that the VarianCe SAC, MWCC S Sn. n(~
information is correcl and agree to comply with all applicable 5tate of Water Conn. 550.00
Mirinesota Statutes and City Ot Eagan Ordinances. 67.00
Water Meter Signature of Permittee - Road Unit 325.00
A Buil}ling Permit is Issued to: Treatment P1 204•00
on the express condition that ali work shall be done in accordance with alI
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
`
TOTAL ~2
Building Otficial
.
CASH RECEIPI
` CITY 4F~LA N `
- 3830'i'ILOT KNOB ROAD
. EAGAN, MINNESOTA 55122
~
DATE
~S F~ ..1- ~l ~ ~ ` ~ - i ~ ~ • ( ~ `
~ AMOUNT
' & DOLLARS
1m
? CASH CYCHECK
FOR~~f
JVQ ~v T"-
~
14
FUND 08JE6 AMOUNT
Ls s
,
Thank You J,:.
, .
BY '
While-Payera CoPY
Yelbw-Postin9 CoPY
. . Pink-File Copy
1~6 INSPECTION RECURD ^ ^
~ITY OF EAGAN PERMIT TYPE:
830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: o"-) f•' 77
(612) 681-4675
SITE ADDRESS: H I out APPLICANT:
: i ~ I pI F A vr ili;i!; ~,r I• i ~ ;l:~~ a
4'11 . f: 'I !:i I r .I . ~ AW, wt ;q
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . .A
t~ ~J
Pormh No. Pertnit Holder Data Telephone N
ELECTRIC
PLUMBING
HVAC
Inapsctlon Date Insp. Comments
FOOTINGS
FOUND
FRAMINO
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
ALDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK F1NAL
/-2 m?lv Vv
a 384 4
Requasl Da1e Fire No ugh-in Inepaclbn
.
/ qqQ~~~p pR~tlyNOw~JiIlNOtity lnspector
c~ ~ Ves G No When ReatlyT
I O licensed contractor >6wner hereby request inspection of above electrical work at: .b5 Atlaress ($Iree6 BoK or itoula No.) Gb
X /oo S}x~}-ts /-v¢- EA6AN
Setlion No. Township Neme or No. Range No. CouMy X Occupent (PRINT) r Plrona N0. ,
~P~ Qt$I~.NS
Powtt $upplier Atltlress Eleclr¢al Canhacta (COmparry NBme) Canlracbrg License No. n c+'
ilirg Apkimss (COnrcxWr or 6xrier Makirg Inslallation) 6oV
A nUxto riar Making InstalWtlon) . Phore Number
ys -9Sg7
NINNESOTq STATE BWND pF EkECTRICITY ' TMIS INSPECTIpN REQUEST WILL'NOT
Grqpa,Mltlway BMp. - Raom 5.173 ' BE ACCEPTED BY THE STATE BOARD
1l21 VnMenMy Rve:. St. Poul, MN SStW UNIESS PROPER INSPECTION FEE IS
PhorN (811) 611II-O400 ENCLOSED,
c REQUEST FOR ELECTRICAL INSPECTION q,;~ qEB-00001-08
? See inslmqlons for completing this brm on pack of yellow copy. ~ ~ l150 `
q ~i
3 8 4;'~'+ 9 "X" @e/ow Work Covered by This Request
ew Add Rap. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify) '
Comm./Intlustrial Furnace
Farm Air Conditioner
Olher(spacity) ContrectorSFemarl,'S'`2Sm~ ,h~'t /
r..
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimminq Pool 0 to 200 Amps 0 to 100 Amps
TrenStormer5 Above200-Amps Ahov Amps
Signs Inspecmr5 Usa Ony: ~ l .Sd
Irci9ation Booms 6
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT .
Other Fee CAMPLETED WI7HIN 18 MONTHS.
1, the Electrical Inspector, hereby RougRin Dele Z a~ L
certify that the above inspection has pata
been made.
OFFICE USE ONp
This request wi0 18 months hom
This rn0uest void ~3~j(~j
1B r~ths /rom
E 45191,C~
He t Dac Fi PouPh-' i InsVer.tion
~ J Fenwre E]ROatly Nuw m.M/l~olity InsPer.-
~ ~ ~NO lur When Reedy
[L.bit7M,,setl ElecVical Convactnr 1 herebV request in50action ol ab e
? Ownet eleclrical work installeA at
SGe Adress, 9oz or Rout No Ciry 4--A)
e mn . Towns ip ma or No. Range o. Comnty
Occ nt INT~ Phone No.
Power ~ e Adtlress .
ElecVical ConVactor (COmpany Name) Contrar,tor's License No.
~ly qt~~+la~ion) ~
MaY~ 14~0 ntra
EN u~ L~~ r.
Au[noL'?rlkFd'~ u 9 a' I I tion) Pnone Number
r
MINNESOTA STpTE BOA0.D OF ELECTHICITY TMIS INSPECTION REQUEST WILL Np7
Grigas•Midway Bldg, - Room Nd91 BE ACCEPTED BY THE STqTE BOqRO
UNLE55 PROPEN INSPECTION FEE IS
1821 Universitv Ave.. St. Pnul. MN 56106
Pnnnw16t21fla2oROa ENCLOSED.
; SQUESTuFOR EL~ECT R~ICALg INSPECTIONck o+ ye11ow `oPV . ea-ooooi-os
~ "X'Below Work Covered by 7his Request
~ Y6 E 4519~. - 3
N"Ldd R.P. 7vae oi Builafne APPliancae Wiretl Equiument WireA
Home Range ervice
S
Tem orary
Duple.x Water Heater iohtiny Fixtures
Apt. Buildfng D er Electric Healrn
Commercial Bldg. urnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm otneF peci v e1nae lsper.ifvl
1 P.! SYCCIfy O} CI nthl`!
ompute Inspectron fee Below
p Fea SarviceEntrencaSize k Fee Fexders/Svbteeders b Fea Circuits
0 tp 200 qm ps 0 to 30 Am s 0 to 30 Am s
Above 200 qmps31 to 100 Amps 31 to 100 Am s
Swimming Pool A6ove 100-Am s Above 100_AmVS
Transiormers Irrigation Booms Partial-~ er
Signs Speciallnspection S ~•1
flemarks OT L !t~-0
J
fef)
Hough- in l / ~ I,the Electrical
f Inspectoq heraby
~ certify that the nhave
Final in50eclion hes been
~Q ~ maAe.
This raqueel voitl 18 monlm Irom
BLDG•. PERMIT NO. ~ Sa
S 6 I oc.l-c,3
01-3210 Bidg. Permit
, 01-3422 Plan Check "2 g 3 V~--~
01-3445 Surch./Adm.
~ 01-3446 SAClAdm. J 50
01-2155 surcnarge y ~ 6-0
~ 75-3860 Road Unit_ co
20-2275 SAC 44 S0
20-3865 Water Conn. 5 G nO
~ 20-3868 WaterTrmt. C::~04 o U
(J 20-3716 Water Meter ~o7 CCi
U 20-2252 Acct. Dep. C) o
~ 20-3713 Water Permit ! U C'o
20-3743 Sewer Permit (O Oc,
79-3866 SewerConn. I G GL)
28-3855 Park Ded.
TOTAL jE-7 `Y J C~
~ CITY OF EAGAN N p 1863 1
ii,.. ) 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
, PHONE: 454-8700
BUILDING PERMIT Receipt #
To be used for BASEMENT Est. Value $1, 500 Date DECEMBER 27 1990
Site Address 4100 STATES AVE
Lot 5 Block 3 Sec/Sub. STAFFORD PLACE oFFICE V5E oNLY
Parcel No. occuPancy - FEEs
Zoning -
a Name TERRY REISHUS (ACWapCanst - BIdg.Permit 35.00
w
~ Address SAME (Alowahle) - Sumharge 1.00
City Phone 454-9587 # otstories -
Plan Review
Lengih _
, o Name SAME Depih - SAC, City
g: Address S.F.ToWI - SAC,MCWCC
m City PhOne S.F. Footprinls _
On Site Sewage - Water Conn
~w Name OnSiteWell - WalerMeter
MWCCS tem
~io Address ~ - qmt. oeposit
aw City PhOnB CityWater -
PRV Required _ SNJ Permit
I heraby acknowlege that I have read this application and state thal the Booster Pump - SNJ Surcharge
informalion is correct and agree to comply with all applica6le Stale oi
Minnesota Statutes and City an Or 'nance Treatment PI
c
Signature ot Permitee - APCHOVALS Road Unil
A Building Permit is issued to: TERRY REISHUS Planner - Park Ded,
on ihe express condilion thal all work shall be done in accordance wilh all Council .50
applicable State of Minnesota Statut antl City of E2pan Ordinances. Bldg. Ofl. _ CoPies
BuildingOtficial Variance - TOTAL $36.50
~
CITY OF EAGAN N! 15 2 61
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
fiUILDIIqG PERMIT PHONE:454-8100 Receipt# ~6SI
Tobeusedfor SF DWG/GAR Est.Value $98,000 Date JUNE 24 ,1 g88
Site Address 4100 STATES AVE OFFICE USE ONLY
Lot 5 Block 3 Sec/Sub. STAFFORD PLACE On Site Sewage - Occupancy R3/M1
MWCC System X Zoning Rl
ParcelNo. OnSitewell _ (ACtuapConst Vn
x Name FRONTIER MIDWEST HOMES Ciry Water (AUOwable) Vn
w Address 3902 CEDARVALE DR PRV Required _ x of Stories
o City EAGAN phone 454-0433 BoosterPump _ Length 54
Depth 2$
, p NamB $P'ME S.F. Totel
~a Address FootprintS.F.
m
City Phone qPPROVALS FEES
~ a Engr./A55ess. Permit $ 566.00
F W Name Planner Surcharge 49.00
Address 283.00
s W City Phone Council Plan Review
a Bldg. Off. SAC, City 100.00
I hereby ecknowletlge that I have read this apPlicalion and stat"hat the Variance SAC, MWCC 550.00
Wurmation is correct and agr e to co yly,with all plicable State of Water Conn. 550.00
-idinnesota Statutes and City E a rdina~ 67.00
Water Meter
Signature o( Permittee - Road Unit 325.00
A Building Permit is issued to:_FR(]NTIFR_MIDWEST HOMES 7reatment P1 204_00
on the express condition that all work shal I be done in accortlance with all
applica6le State of Minnesota S tutes and Ci[y Eaga Or inances. Parks
8uilding Official TO7AL 694.00
~
,
2006 RESIDT.+ NTIAL BUILDINC~i PERMIT APPLICATION
City Of Eagan '
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCbon Reauirements RemodeVReoair Reauirements
3 registered site wrveys showing sq. ft of lof, sq. R of Muse; and a0 roofed areas 2 copies W plan shaxing footings, beams, joists :ERot' °(20%marJmum bt cwerage allowed) 1 set of Energy Calwla6ons for heated addifions ~ aicF['Y' 2 copies of plan shovnng beam & window sizes; poured found design, etc. 1 sife surveyfor addl6ons 8 deoks f@a @q{IR~ ~
lsetofEnergyCalculations Add'itiwr-lndicateifon-sifesepticsystem hztd3 copies of Tree Presetvatim Plan if lot platted afler 711193
Rim Jaist Dehail Options selectlon sheet (bu7Qngs wiN 3 or less units)
Minnegasco mechanical ventilation fortn .
DateA_/qb Construction Cost I~( c6~
SiteAddress ~l IOO ~a-"~S ~«-Q- • Unit/Ste #
Descriptionofq'ork . ~ cs 1 1
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Ow¢er LA (\Av1 l~ -&(7l Telephone #b5f )LaD~'pl~/ U
RENEWAL BY ANDERSEN
Contractor 1920 COUNTY RD. "C" WEST
Address ROSEVILLE, MN 5511S_. _ _ C~t3' '
State 651-264-4777 _ Telephone # ( )
LICENSE #20130983
'rci~ 2 2
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesoh Rules 7672
Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted . Energy Envelope Calculations SubmiHed
In The last 72 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and addiess of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Wafer 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 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; at t6e work will be in accordance with the approved plan ' the case o ork which requires a review and
approv of plan Cl.« s.
Ap icant's Printed Name Applicant s Signature
DO liTOT WRITE BELOW TFIIS LINE
Sub Tvqes
?01 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 EM. Alt- Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ?33 Ext. Alt - SF
?0402-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 ? 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 (Entire 81dg) - Give PCA handout to applieant
DesCrlp1lon: 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
REQUIItED INSPECTIONS
_ Footings (new bidg) Sheetrock
_ Footings (deck) . Fina7/C.O.
_ Footings (addi6on) FinaUNo C.O. ' .
_ Foundation HVAC _ Drain Tile - Other'Roof _ Ice & Water _ Final Pool : Ftgs _ A'v/Gas Tests Final _ Framing _ Siding _ Stucco Lath Stone Lath 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
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
II!1 -g+(80
_ tt$ci~tt'kL f51~&YUlS((.7tfll' •
. . ~GYUu
re -
. - - = .
3836 PiIcrt Knob Itoad ' Eagaa, MN '55122 .
• ,
. To Vnhom 7t Ma.y e-rstcern: .
IIder 7ones is authOrized
' 816er Iongs to pi,o~•q ~~b~~5 ~Is farRenccirai by Andarcaa Pieaae atIow
. datc bcyond 6/6101- uatiI a sei'vicc for us in Esgan, qiuR euth.o~Izatian is vatid fnr escy
W the City_ bnewa! by Aadetxen man= OXMslY revokes it in wiiting
I reqnest this attthonzatian be accepted-eocpedi@ousl : :
our batZdin.g Pcanib anY fhrthcr. Plcasc caII mc If thccc arc nn ~aY m the Prp~wrig of
f conta,cted at 763-S07r4746 Y 4aeadona:. I can lxi •
_ ~YOiI[ 3Fk12C1cdjgte g{ten1iOfl 1A QI{.F 121RKcr ig g[e~, v
stnoaiely, ' ' .
ond R Rxu ustaIIaRionM,anager .
Renowal by Andersea Corporatiuu
C'c• Kmp-F.Ide~7nne¢ . , .
Receivea Timm Ja~. 7. 1'01Pld'
.
\ CITY USE ONLY
~-y- \
PERMIT RECEIPT DATE:
N5-~~Z
2002 iii:SIDENTIAL MECHAN1ClkI. PEtbIIT APPLICATION
crrY or Kts,e?x
3$30 PII.OT KAOB $D
EAHRN MA 551EY
851-6$1-4675
Please complete for: ? sinsale family dwellin
townhomes and condos when permits are required for each unit
Date: 00 - y Z-
SITE ADDRESS: 14100 57 tCY c5, Q~,Ab.
OWNERNAME: TELEPHONE#:
INSTALLER NAME: Ap'Uu.L_m40kY1AS6 TELEPHONE 65T`770 `06c53
STREETADDRESS: 1~~79(0 IU'Wwkr 3('8LVe-~
CITY: STATE: ZIP:
Place a check mark next to the permit work type .
Add-on, modification or alteration to existin dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
. other
Natureofwork:~pp 1lwelT~,C.(N~~ ~c7s SEP 0 9 2002 State Surchar e $ .50
Tot21 $ O,5;0
i
~ . , . . . - ,
SIG O PERMITfEE
t/o2
I
RESIDENTIAL
j50(o Z-- BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
o(
New ConaWction Raauiremenh RemodeUReoair Reauiraments
. 9 registered sAe surveys stwwirg sq. ft. of lot sp. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot wvarege allowed) . 1 set of Eneyy Calculatlons for hea[ed a0difions
• 2 copies a( plan showirg beam 8 window s¢es: poured found desgn, etc.) • 1 site survey for extenor additions & aecks
• 1 set of Eneryy Calculations ~ Q . Inaicate if home served by sepGc system (or additions
• 3 copies of Tree PreservaGOn Plan if lot platted atter 7/1193 0 3 : o. Rim Jaist OeWJ OOfions sNeclion sheet (hldgs with 3 or less uniis) ~
DATE ~ VALUATION d0
SITE ADDRESS O ~S1,4 /S ~ MULTI•FAMILY BLDG _Y
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREETADDRESS z 41 C. CITY TATEA4-v ZIP Ssro~
TELEPHONE #CELL PHONE # 6s~- z5B'-o~ s~6 FAX #~s~ ~6~- 95%fS
PROPERTYOWNER 1~~~~+~L TELEPHONE#~
--------z
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIYNL•'S01':1 Ri;LCS 7670 G\TEGORI' l MIN(}'~[-"
J submission type • NQ~ ~o~hBEf ubmilted
( ) • Residentlal Ventlla6on Category 1 Worksheet Submitted
~
• Energy Envelope Calculalions Submitted
S~P ~ 4 2~02
Piumbing Contractor. _ Phonc #
Plumbing system includes: ~V:uer Softener La~v~i Sprinkler By
_ Water Heater _ No. of R.I. Baths
No. oF Baths
Mechanical Confractor: Phone #
~Icchanical systcm includcs: :~ir Condiuoning F«. Si0.~10
Hcat Rccoven Systcm
Sewer/Water Contractor: Phone #
• ° ° • ° ° •
I hereby acknowledge that I have reod this application, state that the inf r ation is corre and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga~ Or r~es.~
1
Signature of Appltcant~~
Y vOFFICE USE ONLY
CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 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
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Oamage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition C3 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code 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
_ Foorings (new bldg) FinaUC.O.
_ Footings (deck) FinaLNo C.O.
_ Footings (addition) Plumbing
_ Fouodation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ft-s Air/Gas Tests Final
_ Framing Siding Stucco Stane
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wa11
Approved By , Building Inspector
Base Fee - -
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit i
License Search
Copies
Other
Total
PERMIT fi RECEIPT DATE:
2002 RUIDENTULL PLUM.BIN6 PEitMIT APPLIClkTION
crrYoat Ea?(Ltr?
3830 Paor KNos Ru
Kws,vv, auv 551Es
851-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: A1(J O l)haI C S Y I VC •
OWNER NAME: :LnthIGI l,rQ dq/ (y.(Jld TELEPHONE l1l J~ '~O 6 0"~SI~
(AREA CODE)
INSTALLER NAME: Drr In F1 U P)CII7} b( I'7OI TELEPHONE '-J ,r'1a _ t'J tO JI'~
STREET ADDRESS: ~ I~~ I VV~ VI CJW 01(AREA CODE)
CITY: I A~WV IQ. STATE: MI v ZIP: 5,~)()uy
;
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee ~
I
Note: Additional consultant fees may apply i
~
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: I
I
f
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 '
I
_ Abandonment of sep6c system. ~
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118) +
_ Other:
_ RPZ: new installation/repair/rebuild !I I~ $ 30.00
_ lawn irrigation system
~u~_
_
ReplacemenVadditional: ~L--Vater softener _ water heater $ 15:00
State Surcharge $ 50
~ 5- 50
TOtal $
i
I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to comply with alfapplicable Cityof Eagan ordinances, It
is the applicanYs responsi6ility to no6y the property owner that the City of Eagan assumes no liability for any damages caused by the City rinp jt4 normal
operetional and maintenance actlvities W the hacilities wnslruc[ed under fhis permit within City prope~ty/righFO~waylemen~ t.
A 'T/~~
SIGNq RE OF PERMITTE4' 1102
PERMIT # J Y a' RECEIPT DATE:
~
8008 RMIDENTIAL PLUM$ING PEiiMIT APPLICihTION
crrY oF Ets,ax
3830 PILOT KFOB {{D
HA6AR, MN 55122 651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow prevenfer for irrigation syslem
SITE ADDRESS: `4I(7 O SfL1.'fe.~ kQ,
OWNERNAME:: -UrIfhlO., `,rAJO ~eGICI TELEPHONE#: to pp ' 2a
(AREA CODE)
INSTALLER NAME: .I I 0 f"`! U 'nU {'Y1bInG,~-- TELEPHONE O3 ' 11 (O9 ' l(/ "I qCf
(AREA CODE)
STREET ADDRESS: _/k Q,•
CITY: ucKniIII~ STATE: Iv11V zIP: 55D
_ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit 5l8" meter if needed -$118)
Other:
$ 30.00
_ RPZ: new installation/repairlrebuild filill
lawn irrigation system gv
ReplacemenUadditional: _ water softener kwater heater $ 15.00
State Surcharge $ .50
Total $ ~ r2o
I hereby acknowledge that I have read this applicatioq sWte that the information is correct, and agree to complywith all applicable City of Eagan oMinances. It
is the applipnPS responsibility lo notify the property owner thal the Cily of Eagan assumes no liability for any damages cause0 by the City r g its normal
operational and maintenance activitles to the facilities consWcted under this permit within Ci prop rtylrighl-of-way/ ~s•e t.
SIGNATU E OF PERMITTE 1/02
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction ReaviremanU RemodeURewir Reauirements
• 3 registered site surveys sBOwing sq. R. af lol, sq. R. of house; aM atl rcofed areas • 2 ca0ies of Dlan
(20% maximum bl wverege allowed) . 1 set of Energy Calculafions for heateU adoiticns
• 2 coDies of plan shovnng beam 8 window s¢es: poured found desyn, etc.) • 1 site survey far extenor additions 8 decks
• 1 set o( Eneryy Calculalions . InGicate iF home served by septic system for additions
. 3 copies of Tree Preservation Plan iF lot platted after 7/1193
. Rim Joist DetaJ Oplions sNection sheet (bldgs with 3 or less units)
DATE 7/3o / O~ VALUATION ~s3~ y 6,Z
SITE ADDRESS _-ilOa SI~, 12J ~~e MULTI-FAMILY BLDG Y XN
TYPE OF WORK 11-feafo, orcl P,IRYPLACE(S) ~ 0_ 1_ 2
~veW ov~1~-ev.-hl-e w.e ar/, / s`~rw
~l t'-~ Ct/rttiyl~
NQi.J S'j`dY~
APPLICANT Lz_w. k.e & S'(~ ti
STREET ADDRE55 tz 46 L?- '7 'y CITY STATE ZIpSS/p Z.
TELEPHONE # E5-140--1 `111 CELL PHONE #6S1- aqk-0038 FAX #~C3~/'665- ~j yS.f
PROPERTYOWNER TELEPHONE#
COMPLETE THIS SECTION FOR NNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MI\vE50T:1 RULI;S 7670 C:1"fEGORY I
(J submission type) . Residential Ventilation Category 1 Worksheet Submifled ~ Energy Cde rks i` Submitted
• Energy Envelope Calculations Submitted .II II 311212
Plumbing Contractor: Phone # By 7,~ _
Plumbing system includes: _ NVater SoRener _ Lavm Sprinlder Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mecfianical system includes: Air Conditioning rec: S70.00
Hcat Recovcn' Sysicm
Sewer/Water Confractor: Phone #
I hereby acknowledge that I have read this application, state that ihe informatio ' correct, and agree to comply
with all appficable State of Minnesota Statutes and City of Eagan Ordinancet
Slgnafure of Applicart;7:::
G--°--- ...Hlv°~
OFFICG USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/02
OFFICE USE ONLY I ~
? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MWti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage g 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex * 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower l.evel ? 24 Storm Damage
? 06 04-piex ? 12 72-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ~ 44 Siding
g 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' Af 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'DemoliHon (Entire Bldg only) • Give PCA handout to applicant
Valuation ,J 9aV Occupancy /7-3 MC/ES System
Census Code /e 3 y Zoning City Water
SAC Units - Stories 8ooster Pump
Nbr. of Units ~ Sq. Ft. 5t PRV
Nbr. of Bldgs - Length Fire Sprinklered
Type of Const ~ W idth _/-7
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
~ Footings (deck) ~ FinaUNo C.O.
Footings (addirion) Plumbing
~ Foundation ~ HVAC
~ Drain Tile Other
Roof Ice & Warer ~ Final Pool _ Ftgs _ Air/Gas Tests _ Final
~ Framing ~ Siding _ Stucco _ Stone
Fireplace _ R.I. _ Air 7'est _ Final _ Windows (new/replacement)
[nsulation _ Re[aining WaII
Approved By , Building Inspector
- - - -
-
Base Fee ~ ~ ~p~ 5G
Surcharge
Plan Review s+'%Z
MC/ES SAC
City SAC
S~ ~N I
W ater Supply & Storage ~ p
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
jerry Luftine
residential design services
phoneJfax: 763-560-6771
e-mail: jeayhuffneQmsi.com
OWNER DA~•1 GiNDN G~-~1G~'1-}E}~D PLANNO. 020~vo2
SITEADDRESS ~loo 4;1'A75C. va'rE JONZ,7 Zo, 2.002
CONTRACTOR L~1M (GLr ~~Oh~ S Co rl`.i j'~ PHONE
Determine working square footage of each:
1. Total exposed wall area......... sq. ft. x.l 1= (0`~j ,~a
2. Total rooflceiling azea.......... V74~ , O sq. ft. x.026
3. Total floorlcant. azea sq. ft. x.OS = ~l
Total exposed wall area above floor O
p
a. Total wall window area ~ 00,
b. Total door azea -
c. Total sliding glass door area O I
d Total 5replace wall area -
e. Total wall fiaming area ( 10'/0 ) .'V 47
f. Total nd wall area above floor
g. Total rim joist area o
Total exposed foundation area 'ti07,0
h. Total foundation window area -
i. Total net foundation area above grade
. Determine "[P' value of each wall segme+u:
a. L00. a x"U" ,-Z% = ZI. I~
b. x "U" _
Q. . , 0 I x•.U" .25 = , D
d. - x "U" _
e. r2 x "lJ"
f. , x "U"
g. X"U- i O
b. - x "LI" _
i. 2 , J x
a . Tatal = l~3 • 0
If item #4 is the same as, or less than # I, the intgnt of SBC 6006 ( c)2 has been met.
Total exposed roof/ceiling area
j. Totalskylightarea.....................................................
k. Tdal rooflceiling 5aming area (average) lOQ 16" dc).......
( .0625Q 24^ dc)....
1. Total net insulated raoUceiling area
Determine "U" value for each roof/ceiling segment:
.I• X "U"
k. 23. 1,27 x"U" i D L L = G.~
I. 3C20-Ld3 X-u^ ,oz~ = a, I I
5 . . Total
If total of #5 is the same as, or less than #2, the intent of SBC 6006( c) I has been meC
Total exposed floodcant. area
m. Total floor/cant. fiaming area (average .10%)
n. Total net insulated floodcant. area
Determine "U" value for each floor/cank segment:
M. x "lJ" _
n. x "U" _
6 . Total = E:=
If total of #6 is the same as, or less than #3, the intent of SBC 6006 ( c)3 has been met.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values esWblished by the sum of itens #4, #5 and #6 shall
not be greater than the sum of items # l, #2, and #3.
1. 2. 3~
4. 5. ~,(oZ = 72•7~
Preparedby ~tJg
Date
THRU STllD W/ interior Air .68 THRU INSUL. WALL interior Air .68
S.R. & & SIDING %z" S.R. .45 W/ S.R. & SIDING S_R .45
Smd Insul. i°~,~'
25132" Bildrite ZO 25/32" Bildrite 2ft
( alt Plywood (alt. Plywoocl)
Siding
Siding
Exterior Air .17 Exterior Air • 17
Total "R>, Total "R"
1/R= "U" 1lR= "tP" THItU R1M JO1ST Interior Air 68 THRU CONC. BLOCK lnterior Air 68
Insul. l~i v C.B. (12" ) II '=`h
Opt. Styrofoam - p. Opt. lnsul. Io, 0
I'h" Wood 1.89 Excerior Air .17
2532" Bi{drite M6 Opt S.R.
. 6~17 Opt 5iding
Siding
~ Extaior Air .17 •
Opt. Brick Total °°R„ = I,'!• 17~
,
Total "R' 1/R = "U"
• .
I/R="U" _ EE • .
THRU CEILING Interior Air .61 THRU CEILING interior Air .61
MEMBER S.R. (ra'~` ) G~, INSULATION S.R (~~t)
Ceil. Memb. 4 -11;'1 InsuL(
Insul. ( 0 Still Air .61
Still Air .61
~ Total "R
Total "R" 4t7l
1IR = "U"
I/R = "lP' _ ,~J27r
THRU MEMBER (a3 interior Air .92 THRU [NSUL Qa Intaior Air .92
TUCK-UNDER/ Carpet/Pad TUCK-UNDER/ CarpeUPad
CANTILEVER Vinyl CANTILEVER Vinyl
5/8" Under. .82 5/8" Urrcler. .82
Yz" Plywood .62 Plywood .62
Joist Depth " lnsnl.
5/8" S.R. .56 5/8" S.EZ .56
Still Air .92 Sti11 Air .92
Total "R„ = Total "R" _
1/1t="U" _ ~ 1/R="U" _ ~
MNcheck COMPLIANCE REPORT
Minnesota Energy Code I Permit # I
MNCheck Software Version 3.0 I I
I I
I Checked by/Date I
I I
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 6-20-2002
(-COMPLIANCE: PAS$ES ~
- -
Required [JA = 93
Your Home = 85
8.8% Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS 374 38.0 2.0 10
WALLS: Wood Frame, 16" O.C. 579 19.0 2.0 32
GLAZING: Windows or poors, Above Grade 100 0.290 29
DOORS 40 0.250 10
CRAWL: Concrete 42" ht/ 42" bg/ 42" insul. 61 12.0 4
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calcuTations
submitted with the permit application. The proposed building has been
the Minnesota Energy Code.
designed to meet the require n;t'p'_,pt
te--7~~(~O Z-_
Builder/Designer Da
- -
LeG~k~
Surr~e~or~s G'ertate
SURVEY FOR: !'rontier Plicl+vest Iloines Corl).
DESGRIBED AS: I,ot 5, Rlock 5, SI'AFF011l PI,AU, (;ity of ii~iEtan, Ihikotn Connty, ilinncsota
,ind rescrvint, c,iscr"enYS o' rccord.
C-
62.18
I~~o
~
--'---,6
5~--- 1
+ 1
1 `
1
1 /
,
~ ~
64 1 y )
;i
Z ~ 0 P
~;zZ "'oas-h , o ~~.o Z5 1 ti
is R Z'jf Rea) o°~1
S ' C
L ~S ~
00,
1
b
O ~ ~'l b• Ob ~ $'t0 ~
~ aja.4 6
a a z o?°~ s3' P
y .s
. Eqj1
...i~
~ ,
PROPOSED ELEVATIONS BENCHMARK~ Tvp o/ ioundafion . qOO.-I I T. J. t i..~. ~ L..* L,^+ q} S
Garoqa Fioor . 900.4 A=
Bosoment Floor a P 9-a, 6 MIN. SETBACK REQIREMENTS ~
Appro.. Sower Service Elev. w a'io.5- e-.-.. .
Provossd Elevotionf ,
O V'J o.
Exntinp Elavoflone . FroM - 30 Houw Side - 10 m
Dralnaqe Dlnctlons Rwr -lS c3maqe Slde - 5 0,
Denatee Ot/eet Staka 1 O SCALE: t lnch = 30 Fset ~
f MnCr cvtllr IAOI tMs ourwy, plan er reDOrt wos pnPareO !f me JOB NO.; p
/~IEDLUND er under my tlitetl supqrrlslan onA Ihof 1 om a OuIY ReqlIt~rtd gg~ _ Zbb 'j
LanA 9wwyw undu tM laws ef 1he 91a1• ef Mlnnesota. 6-
eooK: 6
Plenrrirrg Engineenng Surveying i
G~m f~N~~1. FoynMylw. w~wl. ]'N]0
IS 1 PAQE:
Oot~: ° ~
Rw, C+I L ~ 4. Jer r InW an,lkans• HaN378
. 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
.
SINGLE FAMILY DWELLINGS
/
INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURVEY~ 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DE3IGNATE W[iICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOII.DING PER¢!IT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONIT3 FOA SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.9
1 SET OF ENERGY CA[,CULATIONS
COIRMERCIAL
INCLUDE 2 SETS OF AACHITECSURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- j
0 To Be Used For: New Construction Valuation: $~8Date:
Site Address 4100 States Avenue 98/0o6OFFICE USE ONLY
Lot 5 Block 3 On site sewage_ Oecupaney R-3 M-~
MWCC system Zoning g-1
Pareel/Sub Stafford P1ace On site we21 Actual Const V-N
City water Allowable V- N
Owner Reishus, Terry & Debbie PAV required # of 9tories
Booster Pump _ Length
Address 7542 Dallas Lane North Depth GtJ
S.F. Total
City/Zip Code Maple Grove, MN 55369 Footprint S.F.
Phone 420=6285 APPAOVALS FEES
Frontier Midwest Homes Cor
Contraetor p' Engr/Assess Permit O'O
3902 Cedarvale Drive Planner Surcharge 00
Address Council Plan Review ZB3,00
Ea Minnesota 55122 Bldg. Off. ~6/2tSAC, City 100,00
City/Zip Code gan, Variance SAC, MWCC $,Do
Water Conn 5$0.00
Phone 454-0433 Water Meter 6?' oa
Road Unit 1325,00
AI`Ch. /Engr. Phi 11 i nc Pl an Sarvi ra Treatment Pl 'LO 14, 00
Parks
Addres9 Annl a Val] pv. MN 551 24 Copie9
~i TOTAL
ettY eude 14530 Pannnrk a„P_ Sun(tEy~~ /NODE"t
Phone
Smmcllores Certific,te
SURVEY FOR' }'rontier Alidwest liomes Corn.
DESCRIBED AS: Lot 5, Block 3, S'fAFFOP.D P1.A('E, City of Fagan, Dakota Coimty, 1•1innesota
and reserving easer!ents o` record.
( ' 82.18 9
~ gqy 0 N. 3° 300o"
' ._.-----~5
1
1
~ . .
s Z „
„
6A
? 1 1 . k
~ 0
~ f. l p A Io-O ,
1f)~ ~J 1 ~ 34r I?~ 6^ ~
'O-' zo - ~ -~~t 1'1
14 R _ , 2=.._~gsf) ~tb
` u
t N i~ '1 ~~3.g3 99~ `
1 ~
Sr ~ i ? z~ 0 o
~ "r 1 ~ r pA 6 ~ ~S ~
o
~ -
5~ ~ ~ ~ be bd ~ g~t 8l_b
S ~ N•~
~ Zp. 42, ` 89 ~ / "
Oa
~O
,-"A P P R QYE D
B,,r ST%
I~y
JE6--_ _
Da t
' t A~~'ir1Da EN~iiti;:, ;~'tll~iv ~1LY i
PROPOSED ELEVA710NS BENCHMARK~
Top of Foundotion . qOO,~I ~ T.
Garoqs Floor . go0.4 Boeamsnt floor . 89z, b ~ MIN. SETBACK REOIREMENTS
Appror. Sawar Servica Elav. . e 90.5- E,-.~~-
ProOOSSd Elevaliona 0
Existinq Elevaffone Fronf - 30 Houaa Slde -to m
Orninays Olrocllons 8...-._. . Recr -w5 6aroqeSids- 5 p
Denotes Offsef Sfoke . O SCALE: t lneh = 30 faat %
~
t hereDy certltr Ihol tMe surreY. Olen er report ras pnpareA b1r me JOB NO.: A
HEDLUND er unaer mr elnct supnddon ana that i am a dulr RepbNnA 'Zlo{0 '
Land Swrtyor undo Me Mri of I64 Slole el Mlnenota. S
BOOK: 6
Planning Engineering SurveyJng
C01la~lbanYplmFww Moeeqnplw,MNww1~!llt0
1x.qan.~rOwort~ 6 la ~C~1 ~ PAOE:
P DON: ~ ~
Rcv. b I b I ¢4 J* Y InA6l*n, Llemu Ns114376
i .w•, c.
STVDS EXTERIOR ENVELOPE AVERAGE_"U" COMPUTAT?ON__ SW-12R~
' OWNER: Reishus Terrv & Debbie nATF:
SITE ADDRESS: 4100 States Avenue PHONE: 454-0433
O , .
CONTRACTOR: ~l~~l..lT! P11~N # SUl?_YZ~Y r.~-~1J A"
Determine working square footage of each
. . _ ,
1. Total exposed wall area..... 233`1 sq. -ft. x.11 = 252.2c1
2. Total roof/ceiling area..... 85 sq. ft. x.026 = Z Z.1-I $
Total exposed wall area above.floor= ZoZ
a. Total wall window area C1
b. Total door area 3-1
c. Total sliding glass daor area 40
d. Total fireplace wall area
e. Total wall framing area (average 100) 1'19. 81
~ f. Total rim ,loist area 9.5 3
g. net wall area a6ove floor I1o18':Z9
h, wall area a6ove floor "
i. wall area a6ove floor
j. frame wall area at foundation - ~
Total exposed foundation area= (p2- -
`1
k. Total foundation window area.............
1. Total net foundation area above grade S 3
Determine "u" value of each wall segment ,
(e.g. window, door, each separate wall section)
a. 148.9 Xr , 4-1 = 9 93
b 3~ X „uli , 3Z = ! l .8¢
c. 46 X ltu..
d. X liul.
e. I-1 q.~'j? ~ X~~U" . U9 = 1 l~.182
.
. . .
f. 253 x l,u„
g. I~IS•Z1 X l,uii pq, _ ~4.'131
s a . c. ' .
h. X ~~ull _
t
V It V I111
~ •
. . . _ . . .
. ~ xlluli = If item 93'is'the s.
k C~ x-,ull , 4g = 4.3z as, or less than`it
#1, you have met,'.tii,
1, S3 X"U" e l b = 5•3 - intent of SBG .600~
3. .................................Total = 26 Z.U 7!0
F,--:tArior Envelape Average °u" conputauon
Total exoosed reof/ceiling area = S S3
m. Tbtsl skylight area
n. Total roof/cei'_in, franing area (average 10%)... ~
o. Total net insulate3 roof/ceiliag area........... (0'1.-1 .
Determine "U" valuc for each roof/ceiling segment
M. X "U" _
n- 3S.3 x"u" ~ OZ4 = Z.04-1
0. ~67-7 X „u„ ,oZ = ?S. 3s4
4 motal = I~• 40l
'f to*_al cf 74 is the same as, or less t:han #2, you have met the inteat- of
Snr_ 50uG ;c) 1,
Alternate Building Enve].ope Design
2b utiiize the total envelope'system method, the values established by the s:un of
i.tems #3 and ,'-4 shall not be greater than the sum of items nl and n2.
i. 25'1.Z9 + z. Z2,178 = 2Zi .46$
3. Z.OZ . 07 !o + 4. 1-7. 401 = Z l'l. 47 7
' • PLAN #
S u ?z~Y 'P~..r~ u A
* LINF.AL FEF.T FXPOSID WAId.
BLOCK:
KTtEE :
w.o.:
FULS. 1:
Ft7LL 2:
FIREPLACE:
RIT4:
* SQUARE F'EET EXPOSID WALL ARFA
BIACK: x .5 =
lqq;,, : x S =
W.O.: x g _
FULl. 1: X $ _
FITi.L 2: X $ =
FIREPLACE: X =
324: x1=
R p
* SQUARE FEEf EXPOSED CEILING
^ 'S7mf-iEWS ° DOORS
* PATIO DOORS
' * BASIIMEN'T LJNTTS
' . p1.f11'( #
' • sv ee~Y
~ ?.DiEni. ~r EXPosm wALL A
sr,ocx : 34+ l I+~+~-~ + 13 + 4+ i St 2A = 12~
KNEE: IJ W
W.O.: NR
FcrLr, i: 34+3f ti-r-(~t I l-r-13t4+1s+ 2-4= 12-(o
FULL, 2: 34+I4•5+l~tlS-F/3+4t IStzS.S =~2~
FIREPLACE: a Pno r-~
RIM: ! 2.(,-r Jz-7- 253
* SQUARE F'EET EXP05ID WALL AREA
BIACK: I Z6r x .5 =!0 2
x 5 =
w.o.: x a =
l zb X$= l 008
Z~z
EVLL 2: 12'7 x a= lai~ 4
FI.T2EPLACE: X =
RD!: Zs3 X ? = 2s3
TOTAL
* SQUARE f~ET EXPOSID CEILING
714 t8-1 +5~ =853
DppgS 3°- ~ - zo
\~l ~ uoowS zfr - ~
GS n-). T-5~ * PATIO DOORS ~
2oa~- I ll - /S
244~ -*~H I~ 1- 64 * sasBMErrr Urrrt5
30 - 9
Zo ~o -1111 - ~3 . 3
( uly~ ? rY \
,QOT.: l.tse ttg" CT apn4ue Lw! 1 arw R3r R= VALUE _
, {yame cc.r=rvuCc kon CONSTRUCTIOAL=- fRAN:ING
• O Z. IN1ERZOR AIR FILM 0.68
Q 2. 2 GYP .
3. 5 1 2 SOFT WOOD 6.8
u.
~ . 5. .B '
E,,SIC ~ 6. EXIMOR AIR FILM 0.17
W+tL . T-UML R= 10.
Q U= .09
E2G. i~l 1'UFV+EvJ CP NET
pp'qr1E WRLL 17-
1. INTERIOR AIR FIIM 0.68
4;'"` BD .45
3.
~ 4. 25/32 5HEAThTNG 2.06
5. IDIlVG .82
S~. '#1 3 6. A
~ U= .Ok
~
1. IIdTERIOR AIR FIIM 0.68
Q 2. 6 19.OQ
5~~~ Sfk~R 3. JOIST
, / 4, S. SIDIM
,
6. MMIOR 0.17
'
U, ~ u= .ok
e d .i ~
r V ) ^
BLOCK
WALL 1. INTERIOR AIR FIIM 0.68
2.
3. . 0
/
4. PROTECiTVE BARRIER
5.
6. F
TOTAL R= .13
- U= .14
~ - -
SLAB ON GRADE o _ ~ ~ ~ u 4 y
f . f v ay J*L : '
~
= Ir~~ - ~r D p tl ~
4 ~ D. , ? ~ ~l/ fi! t , , • ` ~ ! 1 ~
D: ~ Irr Y . lll ~cr .
~ ~ FzG. R4 L.L S. _ a 1 ! =
fTG. 43
Jff rf( c tl ~ l1( ~
' v ~
b NOTE: INDICAT£ TYPE, ,~R~~ VAT1J£. DEP'I'H A'D
6 ~ Y~~
i,,
PLACIIEfl~OF INSULATIOAf.
ROOF-C~1L1NG
' ~ - - ~ R-VALZTE
• CONSTRUCTION
INTERIOR AIR FILM 0.61
,
3.
4
, pENT j• ~ U = .02
\
FRANIE
FEAT FT]OYI 1. INTERIOR AIR FILM 0.61
~r~ ` '
UP 2.
3.
4.
FIG. #5 U = G.024
~ • CONSTRUCTIOM
INSIDE AIIt FILM 0.61
~7?f•.YW i'IeR.liii~
• N~/~v 2. -
- 3.
4.
5.
F~,~~( U =
Lfal ~~~"'1+
~
1. INSIDE AIR FILM 0.61
i~ z o 2. ~
?+EAT FLOW W VII`TED 3.
4.
5.
£IG. #E • U -
1. .INSIDE AIR FILM 0.61
2.
r? Y~s~." ~ 11` ~J.
! • ~ a ~ {-"L ~ ~ ~ •
Ta}r~~
U
NOTE: USE ADDTTIONAL SH..F'ET.S IE' tK)RE SPP.CE IS
NON-VEN'I'ED ~ NEEDEp FOR DEI'AILS AND CALC[1LATrONS.
FXAT FIAW
IJP
F_c. #7
Residenti;j/
Who% fi~
ouse Woikshee t
C.,aiums~'a Namn . . .y. ..:•,•i..-.
Addrass ' . . . .
C fY Statu , ZiD TalepAonaNumber •WINTEH:Inaid* DesignTamp~oF_OY1b1dtlDnsi nTnm ~U
f1 P °F . Hntfnp Temp Diflonnc. •p
SUMMER:OuttiduDuslgnTemp. op_inyiQeDtlaiynTemp~ o f Coolinp Temp DiNerone~ ~ •F
HEATING -„COMMON DATA SECTION ' •
~ ~ . HEwTINO rd ~ ~ ^ ~"•J• ° ' '1^ COOUNG•• ,
j
rmnnm.x N:M ' ~
IPCTl1fl ~.M y Y~ Cr jr~' y••. ~1~~p~ ~iGOOUMU••• ~
i 6C:R..-.<Y•.. FPCT(IP'1~~'i u~}BiLH AIN .
GROSS WqLL
-1LY 0OORS&WIN1O1ASI7ableAOre1 . . . . . . . ...=?c~•SS
NETWALL /7~7 - Z70 r~
(06 3 ~ cl
y~ y-- ~ 6 CEiLwG 89G
-7 8 y G 3
d Y FLUORS 7Y'/
x10x i.l/no x E `x i.~' ~
r.a.o ym x L T x i
(Co x 0.1&333 xa . o.o,a33 X Za x. Y - 310 3
SU8-TOTAL BTUH'I SS Iper 100 FI
" ADJUSTMENT FACTOR (Table C)
S7- (o0 1 , TOTAL BTUH LOSS
a, -
_ PEOPL1: 1 x 300 BTUH GAW
1800
APPLIANCES BTUH '
y' ~ ~ ~7q;+ 1200
SUB-TOTAL BTUH GAIMlroom sensiblebnlyl . ! 3 p 7!
DUC7 LOSS/GAIN FACTOR (Tabla F) x
SUB•T07AL BTUH ISensible Gaini
MOVSTUftE REMOVAL (suG toial x 1_3) . 1.3
TOTAL B7UHLOSS/GAIN
laptf A--kiEqTING-DUORS S WO00 FRAME WINDOWS '
IPf H 10°F) TAHLE 8- COOLING - OOORS 6 WINDOWS
i v' ",~~ri'd tJja> doors . uan f,cmrs lor the same q•pe window blindsfund sliUing yiass doors ase imat d as wiaQowa erw or veneiun •.i i ~II~I~ li~~i1 dra
Types W~J TIM MUIbI %AIGJ u BIYIILOSS TIMRGII( TENIOIIE IlMl.DIN. R~~~~ .~\YbG~~x
nii.~10 NOn2
`L irni 9.90 10.45 11.55 wer. Ia• m• a• rr n• ar r
6 .50 ~ ~Y II i b 1~ 1~ 1~ It Il _~/i O/ N
1~~.~LlcYnne nEbHw m a tl L n 15 ~ I~ i
7.25 ' 7$
w m« u r r s.o
0.90 s~em r.~ n n n u n b a
. 3.J0 4.35 5.96 s a u a fi.a, n n io a /o
in Ni Nu ~a iu ~a to
.~'.il'~: :~Wlf1 W~"4~'' 'O.Y O.1 d0 10.942 ~s Wil Il.t
s.o - -
r.'li~~~:l• W~M1' ].6 ~.f S.• )S l{ S~ ).s •.b L.
O
/T
io-11 07 71 69 12.92 - - r~
(i) Pur wuoil a~or. mn
v,nrwnrlwwnm.uia~~,.n IOTALS 7'~ n a'~ ` =
Fur ...uun~cm~ion.~~ww~
tbooJli.~ly 9.liQ _
~~~.~:i,~: TAULC D - INFIL7HH710N MULTIPLIERS
_ .3.20 - - Wincnr Air Chungas Per Hour
14y;h-n,_ i FloorArea
li~c;h.mcCuif 900011655 9014 OA 1500 1 O500-]lOD Ovu21W
i!1 SI.~.>lortn - - 1.70 Uoac JA .J
03
12 1 0 D.A
aa %16y o~
ru
TOTAIS o~ 2Z 1.6 1.3
_ Ip
Fm each fimyla'n stld'.
' . 8u1 nrVaW Puo~
0.1 02 06
IAkN.l C. .1DJl.57MEfJT F Sumrnn, Air Chatiytlc Pef Mour
ACTORS IfiLAfING) i~ wlaaayW-1yq~ em.,caiare D fl ( i5(%1210.~ m.,7fOl.
I1` o o ~o [--_F
u.z - ~ a
L'„i1 f L f I 1 U ~J
C1 ~J T
L9~ U.~--
w, ---1-----°,'----~--°-'--
CTTY QF EAC,AN
GASH'LEF.c JS "('ERMSNAL N0: 83
X1ATFc 05/27/97 TIME: 14:54 ¢ ;3
tn,
NAMF: FfICHAEI._ F fi05ENRERGFf2
3210 3001 4100 5TATE5 AVE 50.00
21.55 9001 4100 9TA7E5 AVE 0.50
*
~
Tn+a1 Recei.p# Amoi-in+,: 50.50
CkQi430i
USFR ID; JAN
~m~mzc~m~~m~m~~m~mm~~~zc~~z~mm~~mzcmmzcm~m~
CItV OF EAGAN_ PERMIT
.3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 030011
(612) 681-4675 Date Issued: @ 5 /27/g 7
SITE ADDRESS:
4100 5TATES AVE
LOT: 5 BLbCK: 3
STAFFORD PLACG
P.S.N.: 10-72500-050-03 '
DESCRIPTION:
B`uildinermit Type oECK
Btziltlzng W~~l~ Type NEW
CL~ nsus CtSde 939 ALT. RESIDENTTAL
f. t
x. . . . . ~;~~y .
:.i
~
r
r'~~
i f 3t
REMARKS:
FEE SUMMARY:
Hase Fee $50.00
Surcharge $.50
Tota1 Fee $50.50
CONTRACTOR: OWNER: - Applicant -
. ROSFNBURGER MICHAEL
~ 4100 STFITES AVE
EAGAN MN 55123
y
(612)405-6834 . . .
. . . . , . . . - . . . _ . . . . .
I herebp ac:knUwledge Lhat I hava read this appkicatian a{td state that the
informati,on is correct and agree ta eomply wiCh aLI applioeble State of Mn.
5tatuCes ar1d City of Eagan Orcinances, >
~ . _
~
APPL~ T/ E/MI E SIGNATURE ISSUD IBi. S' eATUFVL
31997 BUILDING PERMIT APPLICATION (RESIDENTIAL) $Jt O-Jf D
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
661-4675
New ConsWGion Reauiremerda RemodeVReoair Reauiromenb
? 3 regiatered site aurveys • 2 eopias of plan
? 2 copies of plans (indude beem & window saes; poured W. tles~; eta) ? 2 site surveys (exteriw additlona 6 deeks)
? 1 energy calwlations ? 1 energy celwletiona kr heated addiNOns
? 3 copies of tree prosenatlon plan H lot platted after 7!1l93
requiretl: _ Yes _ No -
DATE: ~.~iT~ZIq7 CONSTRUCTION COST: ~ )ADD
DESCRIPTION OF WORK: 2rnnrfinn -Fi ~lN( /UP~ Qf~/I.I~IiM
STREET ADDRESS: ~ ~~D ~ ~AYPi•
LOT T _ BLOCK ~ susoJP.I.o.#: ~~vr~a `PIarP~
PROPERTY Name:' Y-={7.Yar MIphy ~~iY15~'PXl Phone
owNeR u„
Street Address:- A&~? ~
City: _ ~fOr4Xl State: ~l Zip: ~123 ^
coNrw?cTOR Company: Phone 104-0 -6-144
Streef Address: License
City: State: Zip:
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction onty): . Penally applies when address change
and bt change are requested once pertnit is issued.
I hereby acknowledge that I have read fhis application and shate that fhe information is correct and agree to comply wfth all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No r,q(~y J97
Tree Preservation Plan Received _ Yes _ No _ Not Required BY;
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi RepaiNRem. 0 17 Swim Pool
? 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
n 04 SF Porch ? 09 12-plex o 14 Fireplace n 21 Miscellaneous
? 05 SF Misc. 0 10 = plex rK 15 Deck
WORK TYPE
yk,11 New ? 33 Alterations ? 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ~
(Allowable) Main level sq. ft. City Water /
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. v-2,4
Depth Footprint sq. ft. SAC Code oi
Census Bldg I
Census Unit o
APPROVALS
Planning Building nnR• Engineering Variance Permit Fee Valuation: $
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies cz ~ .sD
Total:
% SAC
SAC Units
~ Flinnesota
3URVEY FOR: ~'~'oiltier Plidwest Ilomes Con)•
Lot 5, lilock 3, bIAC'1'.Il PI.ACG, City of Dukota Count',
DESCRIBED AS: an~l reseiviT eascmcnts of i•ecord.
1_
I 82.~eo w- - .
3e 3p O
~
1
1 ~
6A . .
o. ~
Zs
i
~ ~ 1 \ - P ~ 6 \ ~
OS
ig a) ?6
,
~~+q6 3 ~6 Aj
GHR ( 6
~
N ~ g13•3 ~ o~• ~ o
t
/
3
1 09~ ~ / /
/
~
p . \ c~• 8id.9 6,l
B°,o.2 p• ~o a~•,;~,, .
:%1 j~PP~.O ED
a gVj f`'•~~ C~
8y~ ?~j /
By
Da
. vii14 L•'1v3I;jy::njNG DEPPi
BENCHMARI"
T N. Nvn. e 1..T L~..r 4 ; 5
PROPOSED ELEVATIONS ~ , p~ E.•w.,+ ' 90°'3~
Tov ol Foundotlon ~ qoo. g I MIN. SETBACK REOIflEMENTS
6arope Floor o
Boaamsnt Floor H~*•giae - lo m
Approx. Sswer Ssrvlc* Eler.. Front =
ProDOSSd Elevulioas Rour poruye Sld@' S Q
EauNnO Etwallone ' ol
• Drainape OIreellons SCAIE: t lneh 30 FQ@t 0
penolae O/fset Sfoke JOB NO.: F
t h~r~ey egr11fY Inet Ihla wrv*Y. oa" a rePort rae V~~Var~~ m~ •
88~R-Zbb 6
or une~r mY dlncl suMrdslm md Ihel i am e duly N~YI~I~~~d 1
land Surv~Y~ und~r Me leMs at 1he 8101~ s/ Mlnngoo a. ~K:
~~rEP ~uNO
Plenning n eedng Surveyln9 PA6Ht
w~i.w.woTw~^~~~~e~ I~qt*: ''~I 8b~' J~ ~ Ind ~a.UemN Na11376
R..,,. o I b I~c
' . . .
1990 SUILDINC 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 PLUMSER.
To Be Used For: Fo'~.`s ~ Valuation: 15700 ~ Date: 2 z-6 y'o
Site Address y/00 ,$*,{e5 /tV¢-. OFFICE USE ONLY
Lot J Block ~ FEES
Occupancy
Wn Zoning
Parcel/Sub Actual Const Bldg. Permit 3 5,0 0
I Allowable Surcharge ~100
Owner ~,rr„ R2isd~iS # of stories Plan Review
Length SAC, City
Address q(0o S{-{-% A-r¢- Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code Footprint S.F. Water Meter
Acct. Deposit
Phone ysy - 9 s g 7 On site sewage_ S/W Permit
On site well S/W Surcharge
Contractor /UA-- MWCC System _ Treatment P1.
City water _ Road Unit
Address PRV _ Park Ded.
Booster Pump _ Copies
City/2ip Code SUBTOTAL
APPROVALS Penalty
Phone Planner _ TOTAL ~ 6'Sa
Council
Arch./Engr. ^ Bldg. Off.
Variance
Address `
City/Zip Code ~
Phone #
. > .
, .
APFLICATION FOR PERMIT iNOTE= pA)749tSr OF FEE AT TIME OF :
; nrri,xcAMaU ooes Wr corr :
srizvre nreacvat oF PROu.T. ;
~ M
SEWER AND/OR WATER CONNECTION : I~D~'10~' °F _
xrurai.cATToKS wna. Nar ee scDXim ;
. • l'Nl'IL PIItFIIT HAS flEQi APPROVID.
dty oF ecigcan
(PLEASE PRINT
1) PROPERTY ADDRESS: 4100.States Avenue,.Eagan, MN
T.FY:AT. DFSCRIPTION; . Lot .5,. Block.3,. Stafford Place . . . . . . .
Lot B oc S vision or Tax Parcel ID
IF EXISTING STRLCP[7RE, DATE OF ORIGINAL BLILDING PERMIT ISSIIANCE:
Nbnt Year
PRESENT ZONING/PROPOSID DSE: .
Q CONA'IERCIAL/RETAIL/OFFICE IJ R-1 SINGLE FAMILY
Q INDOSTRIAL ~ R-2 DUPLEX ('IWO L'nits )
Q INSTIZ[)TIONAL/GOVERN1V]ENT Q R-3 TOWNHOLSE (Three Units) ( Units)
Q R-4 APARTMENT/CO6IDOMINILM ( Onits)
.
2) NAP4E: Frontier Midwest Homes Cornoration
ADDRESS: 3902 Cedarvale Drive
CITY, STATE, ZIP: EaQan MN 55122
PHONE: 454-0433
For City Use
3) Np,ME; Star Plumbing Plumbers License:
ADDRESS: 1018 Mound Springs.Terrace Active
Expired
CITY, STATE, ZIP: . Bloomington,.MN 55420 Not recorded
PHONE: 884-4149 MASTII2 LICENSE # 3329 Sta Initia
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NAVE. Reishus, Terry & Debbie
ADDRESS: 7542 Dallas Lane North
CITY, STATE, ZIP: Maple Grove, MN 55369
PHONE: 420-6285
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~ CONNECTION 'iO CZTY SEWER ~ CONNECTION TO CITY WATER ~ OTHII2
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* THE GOLD OOPY OF THE PERMIT WII,L BE SENf DIl2ECPLY TO PUBLIC WORKS 7O FACILITATE MEiiER PICK-CR'.
* PLEASE ALLAW TSaO FARKING DAYS FDR PROCESSING. SObIDONE FROM TM CITY WILL CONfACT YOi? IF T4ERE *
* ARE ANY PROBLEMS. +
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TOR CITY ~USE ONLY ' -
PERMIT $ ISSOED
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Pd w/Bldg. Permit FEES:
$ /0 "57Z) $ SEWER PERMIT (INCLUDE SURCHARGE)
$ ! D•.S~ S WATER PERMIT (INCLUDE SC'RCHARGE)
$ (C 7~ $ WATER METER/COPPERHORN/OLiTSIDE READER
$ $WATER TAP (INCLDDE CORPORATION STOP)
$ $ SEWER TAP
$ 16-)orn $ ACCOU[VT DEPOSIT - SEWER
$ ~ ~0--C) $ ACCOONT DEPOSIT - WATER
$ ~ Sd ' O-D $ wac
$ $ sAc
$ S TRCNK WATER ASSESSMENT
$ $ TR[!NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
$ $ TOTAL
3 0
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSL~ED BY THE ENGINEERING
NO DIVISIO[V. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING COIVDITIONS:
APPROVED BY;
TITLE:
DATE: ~F41- 9 /d G
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167319
Date Issued:03/09/2021
Permit Category:ePermit
Site Address: 4100 States Ave
Lot:5 Block: 3 Addition: Stafford Place
PID:10-72500-03-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel W & Cynthia L Craighead
4100 States Ave
Saint Paul MN 55123--159
All Around Roofing & Renovations
701 Decatur Ave N
Suite 201
Golden Valley MN 55427
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172101
Date Issued:09/15/2021
Permit Category:ePermit
Site Address: 4100 States Ave
Lot:5 Block: 3 Addition: Stafford Place
PID:10-72500-03-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel W & Cynthia L Craighead
4100 States Ave
Saint Paul MN 55123--159
(651) 442-2518
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature