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4108 States Ave CITY OF EAGA Permit No:_ 3830 Pilot Knob Roard Date: b-7-88 eter No-h~4~~3 ~ 7D Size: SJS~~R6G~ P.O. Box 21199 Reader No: Eagan, MN 55121 ~ Date: Z~ -~lA Owner. ""rontier Midwest ~ Site Address: 4108 States Aventae T7 B3 Stafford P13ce j Plumber. °zar Plumbin ; Conn. Chg: _ 5 0,• 40pd Zoning: i~1 a Acct Dep: IS , dOpd 1 ; i0. 00 d No. of Units: Permit Fee: P Surcharge: 'OFd I agree to comply with fhe City of Eagan Tr. Plant ~ • Ordinances. ; Meter. - d7 Misc.: BY WA7ER SERVICE PERMIT . _ . z•. --r - , CI7Y QF EAGAN Permit No:_964d Date: L-7--8$ • ~ 3830 Pitot K•nob Road Meter No: Size: ; P.O. Box 21199 Reader No: Eagan, MN 55'121 Date: • I ; Owner. • Prerntiez ?`.idrdest Site Address: 41,8 States Avetzue 7 7 P,3 Sta#forr3 PIarH ~ Plumber. Star P~u:~~Z~afi ~ 550.00pd Conn. Chg: Zoning: ' Acct. Dep: • ~ Mo. of Units: Permit Fee: Surcharge: ' I agree to cornply with the Cify oi Esgan j Tr. Plant Ordinances. I Metec 67. 0 i Misc.: By ` WATER SERVICE PERMIT - - - CITY OF EAGAN Permit No; 10785 3830 Pilot Kn~ob Road g/p No. .•~g? Date: P.O. Box 21199 Date: --3- Eagan, MN 55121 Owner. tr '}idwest . i SiteAddress: 4I0$ Stat+es A,ven,i., ; 7 , r Plumber: Dtar lumb . r C.-I MWCC: City Chg: Zoning. Acct Dep: No. of Units: ~ Permit Fee: I agree to comply wifh the Clty o1 Eagan Surcharge: - Ordinances. Misc.: ay j ' SEWER SERVICE PERMIT I CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# ~r To be used for Est. Value =M)+Date Site Address i OFFICE USE ONLY On Sfte Sewage Occupency -1 Lot ~ Block - Sec/Sub. j1 },Ft0u • YLACE MWCC System Zoning Parcel No. Y--tr' On 5ite Well (Actual) Const cc Name 1 Dht51' HOl'iFS f.~k P CityWater X (Allowabie) V-'' Z AddreSS C PRV Required # of Stories 0 Cit Phone 4)j+"u433 Booster Pump Length 4" ~ Y Depth a Name S.F.Total ~ ~ Address Footprint S.F, cc City Phone APPROYALS FEES ~ W Name Engr./Assess. Permit W . {J•,. ~ Z Planner Surcharge _ - Address 7 , . u u ~ CounCil Plan Review ` W City Phone Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City ot Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 or+ fhe express condition that all work shall pe done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official TOTAL I Permit No. Permlt Holder Date Telephone ~ Plumbing ;6~c~ ~ H.V.AC. Electric ag3s4 'cjj l ,e,, %~5Fk ~S~7.So Softener Inspectlon Date Insp. Comment8 Footings I ~ Footings II Foundation ~ Framing Roofing Rough Plbg. Rough Htg. yIsul. ~ i Fireplace Final Htg. Final Plbg. -Yre Bldg. Final Cert. Occ. Temp. LP Deck Ftg. QBCk Final Well Pr. Disp. , . a_ (Itxtif ir~~e of (Orrupanry titp of eagan igPwti[Ptt# IIf SltIMno'lttS.pPiKtDt[ This Cerliftcate issued pursuant to the requiremenu of Section 306 of lhe Uni, form Building Code certifying thar at the lime of issuance this structure was in conrpliance witb the vnrious ordinareces of the City regulating bui/ding construcaon or use. For the following.• ilsc Claaificauon `'~~1 Pv'R Bldg. Rrmii No. ? 5 i 00cupam rym ~3lM 1 Zoning oistdcc T,pe conc. t^~, OwnerofBuildins !'`hakMIER 1''fm1~,: Addm ?y~2 CEDAWAl: iR} 4 ~1~.,, 1~,~ OJ, Jli'UaLLJ i)ff.iL AETAM 12, 17C7C3 Dati: &WdlD$ Officiv POST IN A CONSPICUOUS PLACE I - PERMIT # Jf' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: d CONTRACT PRICE: PHONE: 454-6100 Site Address J~ I IV BIDG. TYE WORK DE$CRIPTION Lot rZ BIOCk ~ Sec/Sub Res. New ` • r ~ ` Mult. Add-on m Mame.!~ Comm. Repair Address ~ 5 Other c City ' Rhone r' 1' RES. PLBG. ONLY - CGMPLETE THB FOLLOWING: p. FIXTURES OTAL 'T, D ~ C> 5 water Closet - $3.00 ) ' ~ Name Bath Tubs - $3.00 ~ c Address , ~ e n 1110 Lavatory - $3.00 p City Phone Shower - $3.00 ' Kitchen Sink - $3.00 ~ • G Cr' FEES Urinal/Bidet - $3.00 COMM/IND FEE - 14b OF CONTRACT FEE ~Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 ~Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S1C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 ~ '.I~ i ~ • I~ ~(i' LF%l:~^fU -1-Rough Openings - $1.50 SI6NATURE OF PERMITT FEE: ~'.3 • UL% STATE SlC: -~i (5 FOR: CITY OF EAGAN GRAND TOTAL• . _ ~ PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 SiteAddress 1136 taCes venue BLDG. TYPE WORK QESCRIPTION Lot 7 Block -T..Y Sec/Sub Res. xx New Y%1 m rvame ~'`WI:NZE'L & A C Mult Add-on - Address 1955 Shawnee Road Comm. Repair c City LaAan Phone 452-1565 Other Name Fron ier Cona nies FEES ~ AES. HVAC 0-100 M BTU -$24.00 c Address3908 S bl! Mq0li 1 Hn ADDITIONAL 50 M BTU - 6.00 p City ~att Phone ~ 33 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkovllT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 195, OF CONTRACT FEE ForCed Air 80s00.0 M BTU APT. BLDGS. - COMM. RATE APPLIE5 TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boiler M 8TU MINIMUM RESIDENTIAL FEE - ALL AOD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GQES Gas Piping Outlets # BEYOND $1,000) Other FEE: 25.50 .50 S/C: SIGNATURE OF PERMITTEE .00 TOTAL• FOR: CITY OF EAGAN 4 . . . . _ _ _ _ _ . - . . . . . . . . , PERMIT # PLUMBING PERMIT RECEIPT # CITI/ OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 SiteAd¢ress 1 - ~''f C= , i - BLDG. TYPE WORK QWIPTION Lot Block Sec/Sub Res. New 'r'~x . " , - Mult. Add-On ~ Na •''t,~'~ ~ Comm. Aepair eo Address :461 94th l..ANE N.. Other c Ciry gLANL. MN FVA44 RES. PLBti. ONLY - COMPLETE THE FOLLOWING: PHONF- 725-2202 NO. FIXTURES TOTAL Name Water Closet - $3.00 $ Bath Tubs - $3.00 c Address Lavatory - $3.00 p Ciry ! ' ' ~ Phone ~ , " Shower - $3.00 " Ki?chen Sink - $3.00 ' FEES Urinal/Bidet - $3.00 , COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPIIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$t.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00 MINIMUM - COMM/1ND FEE -$20.00 Gas Piping Oudets -$1.50 STATE SURCHARGE PER PERMIT - .50 ~ (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 . Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: ` FOR: CITY OF EAGAN GR/CNDTOTAL ' • b ~ " ~ . . • . . . . . . . . . . . . . . ~-.i~ . . : CASH RECEIPT ~ ~ CITY 4F EAGAN • ~ 3830 PILOT KNOB ROAD . i EAGAN, MINNESOTA 55122 DATE ~ f w ia J~ / "~,~fC7 L L c(Lu 4.~Lt AMOUNT $ 8 DOLLARS '00 - ~ ? CASH b;CHECK ~l~ , ; FUIVD 08JECT AMOUNT Thank You BY ~ Whke--PayereCopy : v f~; Yelbw-Postlri9 CoPY Pink--File Copy BLDG. PERMIT NO. _ ,'A< 01-3210 Bldg. Permit 0 v 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. V + ~ 011-2155 Surcharge ~ 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. - 20-3868 Water Trmt. , ~ . 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit ' 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL CITY OF EAGAN. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for SF iJ.A'C/LAR Est. Value 00kj Date j l'1-4F 5 19 aU SiteAddress 108~ 5'TrS.TE5 r'.::: OFFICE USE ONLY Lot 7 elock , S Sec/Sub.'-;'AFFORD i,l.:Gi: On Site Sewage Occupancy , MWCC 5yatem Zoning ~-1 Parcel No. On Site Well (Actual) Const V-14 PRQAITIEC{ 11IDfdEST }{QZiES CC'RP CityWater X (Allowable) V-N cc Name r PRV Required * of Stories z Address 3902 c,~ARVAi:£ DR "I o CAGAIti 454-~'433 Booster Pump Length City Phone Depth 480 , o t~ame S~t S.F. rotai 0 6 Abdress Footprint S.F. r¢- City Phone APPROVALS FEES Engr./Assess. Permit 4g~•~ Vj W Name 40. 00 y ~ W Planner Surcharge _ Address 2L~7.C?d = Council Plan Review s Z CitY ' Phon2 l a W Bldg. Ott. SAC, City ~K}' ~ Variance SAC, M WCC 550.00 I hereby acknoyvledge that I have read this application and state that the 550. 00 information is oorrect and agree to comply with all 6pplicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter 67•00 . . ~ •8ignature of Permittee Road Unit 325•00 A Building Permit is issued to: RONTI ER MI ll'N135T HaCIES Treatment P1 204`00 on the express condition that all work shall be done in accordance with all - applicable State of Mihnesota Statutes and City of Eagan Ordinances. Parks Building Official_ TOTAL i 1j~~ ' INSPECTI4N RECORD CiTY OF EAGAN PERMIT TYPE; 3830 Pilot Knob Road Permit Number' ~y % f; f; 3 • Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SlTE ADDRESS: APPLICANT: A1JOr ;~.~pi I t VFN r'~! ~ riS~ I~ {I t1~ ? ~ t I, r4~ PERMIT SUBTYPE: ~ TYPE OF WORK: 1: i.,lrr INSPECTION . , A Permit No. Permit Holder Oate 7elephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FQOTI NGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARU FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FlNAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL This repuesl voitl GcJ 43 18 monihs bom E 2 8354 Requ Uate Fire No. qeo ?InsVection ~ReaAV Nuw gi-Will Notily Insaec- V ~4 t Q ~c.s ?No I.r When fleady ~censed Elect ical Cmmactor 1 hereby request insDaction of ebove ? Owner alectricel work i'rstal led ef: Sveet ddtes~, or Houta N. ~ V ectwn o. TownshiD Nam or No. anqi: No. Counfy O Pent INTI ` Phone No. nJ ~ E2 ~ 9~ 7~qs Po er Supp' Address Electncal Convactor (CompanY Name) Convact r's Licen No. KENDRICK ELECTRIC Ma i 1 i np fj~eb^~~Cpqt~~ytgrrq~~ AQa M~nq }ps~ta i lati onl t~t ~1•~~ i~Li~~ivU LH1VL' A U, n t4r r allation) Ph n wnber . MINNESOTA STATE BOAPD OF ELECTNICITY TMIS INSPECTION NEQUEST WILL NOi BE ACCEPTED BY THE STATE BOAHD Griggs-MidweV 01tle. - Aoom N•197 1821 Universitv Ave.. St. Peul. MN 55106 UNLE55 PflOPEN INSPECTION FEE IS cnvmnn ENCLOSEO. ~ • REQUEST FOH ELECTRICAL INSPECTION es-oaooi-os Ill, ~ Sea instructions (ar comvlating this farm on beck ol Vellow covV. ~Sys~- E 2~.3J~{ "K" Below Work Covered by 7his Request -7-as-Sf~ AAtl Reo. Type o1 Builtling Appliancne Wired En.iument WireA Home Range Temporary Service Duplex Wate, Heater Liyhtiny Fix[ures Apt. Building Dryer Eiectric Heatui Commercial Bldy. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk T&nk Farm inei necilv Othor ISncr,ifvl t Pr Specilv thcr Olhnr lompute lnspectlon Fee Below p Fee ServiceEnhenceSiza fl Fee Fnnders/Subfexders IX Fee Circults 0 ro 200 Am s 0 to 30 Am s 0 to 30 Am os Above 200 Amps 37 to 700 Amps 31 ta 100 Am ~ Swimming Pool Above 100-Amps Above 700_Am s Transiormers Irrlgation 0oorc~s Pertial.`Other Fee SignS Speciallnspection $ q TOT EQ_ 4 ~ PouOh-in the ElecVicel ~ Inspector, heieby car~ity that tM1a above Final ~e _ inspecfion has been Q~ mede. /n Thb reQuast vo1010 monlln Irom I CITY OF EAGAN Na . 151 18 3830 Pilot Knob Raad, P.O. Boz 21-199, Eagan, MN 55121 ~ Y PHONE:454-8100 6-1 Q~'7 BUILDING PERMIT Receipt# 7o be used for SF nWG/GAR Est. Value $$0,000 Date JUNE 3 1988 Site Address 4108 STATES AVE OFFICE USE ONLY Lot 7 Block 3 Sec/Sub. STAFFORD PLACE On5ite5ewage - Occupancy R-3 M-1 MwCC Systam X Zoning R-1 ParcelNO. OnSiteWell _ (ACtuapConst V-N x Name FRONTIER MIDWEST HOMES CORP Cirywater X (qllowable) V-N W PRV Required # of StOries 3 Address 3902 CEDARVALE DR - ° Ciry EAGAN Phone 454-9433 Booater Pump _ Leng[h 44' oeptn 48' , o Name SAME S.F.TOtal ~Q Address FootprintS.F ~ City Phone pppROVALS FEES Engr./ASSess. Permit 494.00 Ww Name 40.00 ~ i Planner Surcharge x- Address u ~ Cit Phone Councii Plan Review 247.00 aw Y a eldg. Off. SAC, City 100.00 I hereby acknowledge that I have reatl [his application an state that Ihe Variance SAq MWCC 550.00 information is correct and agree to comply with all ppl ca61e State of WaterConn. 550.00 Minnesota Statutes and City of ~,aga Ordin Ce Water Meter 67.00 Signature of Permittee I~ RoadUnit 325"00 A 8uilding Permit is issued to: FRONTIER MIDWESTH - DM$S- Treatment P1 204.00 on the express condition tha[ al I work shall be done in accoidance with ail applicable State of Minnesofa Statutes and City of Eagan Ordinances. Parks f 707AL Zr~J77.OD Builtling Official O AII ~1lA RESIDENTIAL BUILDINC PERMIT APPLICATION .331. a ~ CITY OF EAOAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Canstruction Reauirements RemodeURecair Reuuirements . 3 regis[ered site surveys showing sq. fl. ot lot, sq. R. of hnuse; and all roofed areas • 2 topies of plan (20% maximum lot coverage allawed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing 6eam & window sizes; poured found design, etc.) • 1 sile survey forexterior additions & decks . 1 set of Energy Calculations . Indicate ithome served 6y septic system kr additions . 3 copies o(T2e Preservatbn Plan if lot platted affer 7l1193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION l 4,L/a SITE ADDRESS `//l~~ S/41 LS M~ I FAMILY BLDG Y TYPE OF WORK l~4lCPxJ(- a,..L O/ S" dil-irl FIREPLACE(5) ~ 1_ 2 APPLICANT f_A IA A STREET ADDRESS 7~o~o ~S CITYZ-de1A7 P TATEAMAP TELEPHONE # 9~~~12&V~Z2 ELL PHONE # FAX # 9s918'91- M/L PROPERTYOWNER ~,_geVQ ~ ~/lN I ~TYI TELEPHONE# 651-336- 929g COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y~~NNLSU"L'A I2UL1:S 7670 CATP:GORY 1 MINVLSOTil R['LGS 7674 (d submission type) • Residential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Contractor. Phone # Plumbing syscem includes: _ Water Softener I.awn Sprinkler ree: $90.00 NVatcr Hcatcr No. of R.I. Baths No. o! Ba1lis Mechanical Contractor: Phone # Mcchanic;il sysLcm includcs: Air Coiidilioning Pcc: $70.00 Hcat Recovery 5ystcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin mces. ; Signafure of Applica ~ ----._...._-----------------I OFFICE USE ONLY I~ SEP 1 7 70~"? I ~ Certificates of Survey Received _ Tree Preservation Plan Received Not Required Ltfy_- - Updaled4/02 OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plez ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace Q 21 Porch (3-sea.) ? 31 Eut. Alt- Multi ? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04•plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration Q 37 Demolish (Bldg)* a 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 _ Footings (new 61dg) Final/C.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ ptumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucw Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) , _ Insulation _ Re[aining Wall Approved By , Building Inspector - l:a s Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S8W Permit & Surcharge Treatment Piant Plumbing Permit Mechanical Permit License Search Copies Other Total 33f• p~ t . 1988 BDILDING PERMIT APPLIC9TION - CITY OF EAGAN SINGLE FAMILY DWELLING3 pw INCLUDE 2 SETS OF PLANS, 3 CERTIFZCATES OF SURVEYt 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUAVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhIIMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS r AbCO MAY 2 31988 To Be Used For: New Construction Valuation: Date: 5-18-88 Site Address 4108 States Avenue OFFICE USE ONLY VO, ODo Lot 7 Block 3 On site sewage_ Oceupancy P, - M'1 MWCC system ? Zoning R -l Pareel/Sub Stafford Place On site well Actual Const V- N City water ~ Allowable V- N Owner Shelton, Steven & Jeanne PRV required _ ll of stories Booster Pump _ Length IY41_ Address 8617 362 Circle Depth S.F. Total City/Zip CodeNew HoyP. MN 55427 Footprint S.F. Phone ' 546-2149 APPROVAL.S FEES Contractor Frontier Midwest Homes Corp. Engr/Assess Permit 41914,00 Planner Surcharge O.aO Address 3902 Cedarvale Drive Couneil Plan Review Z o0 Bldg. Off. ~~z4 SAC, City City/Zip Code Eagan, Minnesota 55122 Variance SAC, MWCC Water Conn 65D Phone 454-9433 Water Meter 7100 Road Unit .97$. 00 Arch./Engr. Phillips Plan Service Treatment P1 204,00 Parks Address Apple Valley, MN 55124 Copies 1PIOCDRI'AfrE~ n1oDEL TOTAL o~-5~7 ~~e ]li5~(1 Pannnrlr Ava Phone li (~32-2CLiA i . rHedlun.d Engineering Services 9201Eas181oominqtonFraeway Bbominpion, Mnnasota 55420 Land Surveyora Clvll Enpineers Land Plonnere Phone: 688-0289 AW sur~ver~or~s G'ert~f "~cate II BOOK _ PAGE JOB NO. 88R-141 SURVEY FOR: Frontier rdidwest Homes Corporation GESCRIBED AS: Lot 7, Block 3, STAFFORD PLACL, City of Eagan, Dakota County, ?linnesota and reserving easements of record. 4~,3s yS;~ IJ I f~ _ i 14&5'7 ~ f- ~ / M2 "l ( N W I~ ~T _0 11 ao~.s ' zs.s3 q~ ~ I Q W i 0 O o~s se { ~ ~ i d ,p 1 E.. ~h ~ ~ W ~ 3O ~ 6a~• 'r l~ i~ _ ~ oi~ o , i~ 'I fy ~ V Z o,.s 1o D..~ ti C. Date ~ n 10 - --E~Fi1~EI~G`IIER~ o I i qm.o N 903.1 N 30 O I q= 3 /4 TOP OF FOUNDATION = 9o3.z GARAGE FLOOR = 902, g BASEMENT FLOOR = 9ao.o SEWER SERVICE ELEV. = 99c~? PROPOSED ELEVATIONS EXISTING ELEVATIONS : DRAINAGE DIRECTIONS DENOTES LOT CORNERS : o CERTIFICATE OF SURVEY DENOTES OFFSET STAKE: ? I heroDy cenify ihat this survey, plan or report wos preparad by me or under my dirxt supervision and that I am a duly Reqistered Land Survegor unAer the lars of fhe State of Minnesoto. Date: ae ~ d J~ e'. indqren, Lic nse No. 143T6 EXT:RIOR EN4ELOPE AVERAGE "U" COA!FiITATiO.N_ OWNER: Steven & Jeanne Shelton nnrr:_~-l8 -97 SITE ADORE55: 4108 States Avenue PF!0"IE454-0433 . CONTRACTOR: F20NT1ti,p2 &n'1 n/GS LOOOMIp6f' Determine working square footage of each 1. Total exposed wall area..... sq. ft. x.11 = ~a9•$ 2. Total roof/ceiling area..... sq. ft. x.026 = $1• 3 Total exposed wall area above floor=_/?(01 a. Total wall window area /44 b. Total door area c. Total sliding glass door area 40 d. Total firepTace wall area e. Total wall framing area (average 10%) -1 Q ,f f. Total rim joist area g. net wall area a6ove floor /4-53.`1 h. wall area a6ove floor i. wall area a6ove floor j. frame wall area at :oundation • Total exposed foundation area= 16.5, k. Total foundation window area - 1. Totai net foundation area above grade (a, s - Determine "u" value of each wall segment (e.g. window, door, each separate wail section) a. /44- x "u" , 4S = (04.8 e. 31 X „U„ .a-S = I6.~ C. 40 X iluii .45 = ~8 d. X "U" _ e. l 8!0• 1 x°u,. 09 = /!0•7 f. /sa ~ X "U.- .04 9. l¢33.9 z°u°. • 04- = 58.1 fi. X "U" _ i. X U U., _ X 1.U1. _ If item T3 is th k, " X "U" as, or less than~i #1, you have met t 1. 76.<p X"ll" - Og = 6, ~ intent of SBC 600E 3 . .................................Total , Total exnosed roof/ceiling area = 4W+ m. Tbtzl skyliqht area n. Tota2 rooF/ceilinr, franing area (avcragc 10%)..- : o. Totzl r.et i.^.s::latc3 roof/ceilinq area........... Ok~i • Determine "t1" value for each roof/ceiling seqnent M. X nUn a tl. x "Un .V2Y ° . a. ~3•~ X -,U,- .dZ = Ar. (o 4 . lb tal - a4.4 to*_al cf ;d is the same as, or less than #2, you have met the intent of SAfy 5005 ;r) 1, - Alter.^.ate Buildina Envelone Desiga Tb _tili2a the total envelone'system method, tne values established by tne s,-= o= ite.•ns 43 a-nd r4 sha11 not be greater than the sum of items :1 a.d `a2. 1. 2. 31.3 = aier. l 3. + 4. A4'• 4" ~ ~ . PL.At..t ~ ~voonrz.cnUE ~ Li t-i F 4 L FT, eKposED WALL $LOGK. ; ~~+~+,-as+~?-+~~-~ot~+zo_ l~"3 ~ ~.?.1~E ~ ~?to t- 44 +a5~ 14 20 = ~a4 W,O. ~ . ;:ULL ? FvLLZ. A tZl M = - ~ Sa. ;z-r, SsooSED WA Ll.. AZEA /S3 X i~-N EE X. S = 64S . . W.0 X 8 = is~ I ~PU C. l.. I; ~Sa SC S= 1 a1~ FuL.L Z % k S . ~ _ F. R1 M To7~L. = av89.s , . ~SQ,~'t~ ~K~OSED GEIL[(JC~ (bt6x44)t(,66*40) = 1144-r ~o = /ao4- ¦ w D0,15 Ll ~ D oosz5 ~l a,43o -1Ti+ii1 - 48 30-I Zo ao 3o -tt+l, - A4 aa- I 3-7 ~ 448 - rt-~ 1 _ 24 ~j H ~ ?i°~cT1o. DRS , . . -q-o . ,$S M~ l~ tJ t+5 L~1 - Bc C^o ~~1 uf opq~~uc wll nrca for . - • " ' ' , , :SAw7 CUll:ltructtun ('cn~_LC~iC:ir~u G_'Lll~~.• ° . ~ i 1 1 1 i 1 m 0_ t~ i?`~ . - . ~jzin.:h. •ol .G'.a--7 r?""k ~ .~~.Y 4. Z1iT.&. '.,S.i D.1bJla..... . : . ..~iZ aIC • - G. Er.lcriUr_aiC (ilia ki.r. . '•n~~:~i rt~. 85 ; ~ . ^ . :w.'•s'a' 5(? U.~, .O~ ,.~`~.4~~ FIC. 11 TGl'VIE11 OF "--Q:•G!S „ ~,T::: ~ FINltE IQAf.1, 1. Tntrtl~~c air :1114 . , . ' • 4. ~3.`1.~3~ ~_'a3a.'fl.,. - - M~~; dv"Z- - . ° - - • <'i ino~_,_ n. 1_? 1 ExLrrint_air ~ : ~ru i.,-t ~ r 22 FIC. 12 ' U= •O~ VA . 3 ~ ,~_~_Q 1. )ntri:iur ~ic,tiln_..__^~---•-. ~:ry,?.t •;'.~i ~.._~_.-Q 2. -4e __IhiSt)l.._. _....---•-..(°.LiQ . 'iY =r~ s• `1Q~~~--__...__.~. ~ ~ . AtL,~ ~61 s. ..S.~d;,~. or nir Iiln 0_17 y~~~11 . ~Loof . 1_ . ~ • • . `:GiLTt ~c_ '•ii .n, µ ~ • 1. f~l~ri~ot alr fil~ti i-`t,~~;Y~ -CD .Q. . 2.8 ~ • •4~ • • 7 . _-i?.~r.~!4a~ . . ~ J. ...r:. .l?LCH ~c~ ~.°,_.L. " . 7. ._.~•-•e~y,{~v- ...J... _....__....5..q= ' - i ~ n ----....^...{g . n. PrQtec~iu.c._.b.xr'~c.r_...._ ~ ~ it• tl 'o: +,;T~~c~ s. . J-o. i~i . n ' r • G. 1_7tC~~cii ~:_,~i-.:.'._ • R = 7 . . .t3 . . , . • • ' SIJ~if OH ~_1Nt)4 . - . . ~ _ •~i! . . • • ~ • • ' ~ ~'J. • ~ ~ ~ ' I /l~lf,1~1!~ / ~ ~ ~ . • ~ • • i' , ' l • ,i "'~sS. ' • ~ -~R~ N(/~ f ~ ~ • i~i !.i: ' u . • , . I I l ~ • ~ . . ' ~ tt o ti ' , • v' ` - , , . ~ . -T llt 1!I ' ' ~ K! .~-=~i ' 1`r el~:. ~4 i<i ~ ` ia ~ - . . %cr -Y: ~ _~i.•%; (t( ~Olr~ a. Z~ ~ ~ . , dentli nnd :urCC: Indlcatc ty~~~:. "`l•• ~alue, pl.icr.r.wnt of insnl.itin~. y • ' . . Rt)O:/CEIL tiG . • , . ~ . • • ' Const~ ion , R-Val%ic Zntcrior air fil.% , 2. ~3~F3p • • sR s. 1a,Su~. 44•Or) Extcrior=ir filn (sti11) 0-fi1 ~ 4580. T l~l. iti ~lll~tl 1_ t_I:II1~ . . T°t~ cz. c: ~ ' . . : . ~ . - f~ _ . DZ - 2nterior air fi2n ~ 0.61 ~nted Heac flow ~ 2. G ~a . . 3. ~ Ir.tSUl.. 38.3s • ' • ~ • 4. Extecier air tiln isr~l ol • . ' ' - . • . . ~ . TotaL 2 - q P. 15 . . FSG. 05 . . . . _ . ' • ~ CcA.y.A?cri ~ ~ ` l. Inside air filcn 0.61 ~,r~•..~.,?-.v~•-+-~~_"L---.~- ' 2. 3. . . 4• ~ 0.17 5, putside air fil~n Tota1 ~ n (1 206 T M-- ~ ~ ~~J • . . . . . . ~ . Z 3 ¢ . I. 2nsidc air Eilm 0:61 ~ -\J • . , . - ' ' , i•vcnc=d 4: ~ k'ect flov uP . . . . • • . _ . 5. Cutsidc air f:_:n Tota1 . • • . ~ - . . . , TIC. i6: _ _ • _ . . . _ . . • • ' . . . 0.61 v 1. aside air film I • .i-S='~ 2' . . ' • • ' ~ 1_ 3. . 1,~~ ;n~- • : 4. O . 17 ' .~.~~~c- • 5. Outsidc air fil:n TO tal fi<~i'•::"'`~' ~ . . . : . 'Pac ~~I_~,~~ , ,^tC= Vsa additional sheetsilatiac , ' . aeecled for detsils assacalcu ` - . ~ . ~ . . . . • . ' . ' . ~iest , • , . ` ilcv ap • , . . . . • . • ~ . ' . , ~ t• . . ' PI~~ t7 • . . , I ' ' . ' ' • ; PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u rLo z N e Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 8 8 3 (612) 681-4675 Date Issued: 6 6/ 1 R/ 9 6 SITE ADDRESS: 4108 STATES AVE LOTt 7 BLOCK: 3 STAFFQRD PLACE P.I.N.: 10-72500-070-03 DESCRIPTION: 14Permit 7ype DECK Ui~dint~°~xkk Type NEW 'PCeel?Soxs )Cod~ ~!r 434 ALT. RESIDENTIAL ~AM~~ v ~ 'FG ~ « ~.,t5 s~~ REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Tntel Fee $45.50 . . CONTRACTOR: OWNER: - Applicant - SHELTON STEVEN 4108 STATES AVE EAGAN MN 55123 (612)949-6690 Thereksy acknowia.ttg0 th:0 C ~.E~ave r0at# tF~.is spplicat„~an anif stat~ that the ` " fnfa~`,m~ttitrrr`=~~, cnr,r;eet ;an.d agres. ta etrih~sly wit~r, ,appli.cabl~ State o~ SCa.tutes ~rtd- Cs#.ty -0f E~ Drdnrfanb~~.I- APPLICANT/PERMITEE SIGNATURE . ISSUED BY: I ATURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New ConsWelion Reauirements RemodellReoair Reauirementa ? 3 registered site surveys ? 2 cropies of ptan ? 2 copfes of plans (include beam & window sizes; poured Tnd. design; etc.) ? 2 site surveys (axterlor additfons 8 decks) ? t energy calculationa ? 1 energy calwlalions tor heated additions ? 3 eopies of tree preservation pian M lot platted after 7/1193 requlred: Yes No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT -7 BLOCK 3 SUBD./P.I.D. ~~0 20 (~LAcE PROPERTY Name: phone OWNER ' us* oiner Street Address- 1Z416 City: State: /WW Zip: 5 3 CONTRACTOR Company: Phone Street Address: License City: State: Zip: ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address, City: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ OFFICE USE ONLY dMLIE D Certificates of Survey Received _ Yes _ No J U N Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch a 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. ? 10 _-plex ~15 Deck WORK TYPE Xsf New o 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 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. ~ Depth Footprint sq. ft. SAC Code O/ Census Bidg Census Unit d APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC I SAC Units , , . ' APFLICATION FOR PERMIT iNDTE= PAYMENr OF FEE AT TIME OP ; • ; nrriscAazau oors Wr caN- : ; srilvre nerWOt, oF ra+nur. ; yi ~ t ~ SEWER ANQ/OR WATER CONNECTION : I~ECTION OF SEWER AND/OR W'TER ~ ; irLSrncuTTOCas wni. Nar se scMcn.ED ; lT7PiL PERPIIT HAS flEfS1 APPROVm. : ~ 4f*44f11~4!!!!#tf#*M!lkkrtittff~t~f4fkY l ity oF eagcsn (PLEASE PRINT 1) PROPERTY ADDRFSS: 4108 States Avenue Eaoan MN LEGAL DESQ2IPTION;.Lot 7, Block 3, Stafford Place. - Lot B oc S vision or Tax Parcel ID IF EXISTING STR[:CTURE, DATE OF ORIGINAL BLILDING PERMZT ISSUANCE: Nbnt Year PRESENT ZONING/PROPOSID LSE: Q CONA"lEEE2CIAL/REPAIL/OFFICE ~ R-1 SINGLE FAMILY Q INDL~STRIAL ~ R-2 DUPLEX (T4o Cnits) a,INSTITUTIONAL/GOVERNMEDPi' Q R-3 TOWWOLSE (Three + L~nits) ( Lnits) Q R-4 P,PARTMEN'P/CObIDOMINILM ( Lnits) Z) ~ NAME: Frontier Midwest Homes Corporation ADDRESS: . 3902 Cedarvale Drive CITY, STATE, ZIP: . Eagan, MN 55122, PHONE: 454-0433 For City Lse 3) NAMg: Star Plumbing P1 ers License: ADDRESS: 1018 Mound Springs Terrace Active Expired CITY, STATE, ZIP: . BloomingtOn, MN 55420. , Not recorded PHONE: 884-4149 MASTER LICETISE # 3329 St Initi 4 ) ~'e.'~'~5P315a ~ ,7 illfif~l~1 NAME; Steven & Jeanne Shelton ADDRESS: 8617 3612 Circle CITY, STATE, ZIP: New Hope, MN 55427 PHONE: 546-2149 5) s ~ •ai~ .i ~e ~ CONNECTION 'iO CITY SEWER FX-l CONNECTION TO CITY WATER O 07~ 6) ***'k~e'k'k*********~t**** *7tlt* 'k*******************irYtle*******'k***nY**#'**ir**t**i4*ltYt********'k*Yr*#*****~r***k ,*k THE GOLD COPY OF TfIE T WLLL BE SIINf DIRECiS,Y TD PUBi,IC WORKS 'IU FACILITATE METER PICK-t~P. ,*k PLEASE ALLAW '1WD WORKING DAYS FOR PROCESSING. SOMIDO[~ FROM Tf~ CITY WILL CONPACf YOi) IF 141ERRE * * ARE ANY PROBI,E.'MS. ~ ~#***~***~,r******~*****,+*****«~******~**+*~*~~+*~*~****+*+***+**~~+***~,r*,e**~***~~*,r,r****~****+***+*3 TOR CITY USE ONLY PERMIT # ISSUED " ~ C C! Pd w/Bldg. Permit FEES: $ m ' S 0 $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SC'RCHARGE) $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLC!DE CORPORATION STOP) $ $ SEWER TAP $ ' $ ACCOUNT DEPOSIT - SEWER $ Z6 $ ACCOUNT DEPOSIT - WATER $ •S ~`'CrZ~ $ WAC S ~ S~' • CI-"Z? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER 410$ WATER TREATMENT PLANT SURCHARGE $1 $ OTHER: $ z Z O r) $ TOTAL RECEIPT RECEIpT DOES UTILITY CONNECTION REQDIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MDST BE ISSOED By THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TITLE: DATE : ResideTRAAIE" wo~o.~;oy~. ,~?~~F~ --~~a O.D P 3 I3l /J') :Nho% h0ouse Worksheet Cuxtomei'stJame 2-u,J'IiFF' /Yli,]r,uSCT qCdreae ~7UGS -4S,~F._Z IYISMae.L1L ~ Ciry Ffl!~ tlk~l State u7 7ip SS/55 TalaphoneNumber g-oy33 WINTEH:Insldo DatignTamp 7S °F-OubldsDasipnTsmp ^aU °F -MeatlnpTempD(ffennce 1S"~ °F SUMMEH: Outsfda Design Tsmp ~°F-Insfde Daaign Tamp 'C ~°F . Coolinp Temp DlHaronee.C~C~ •F HEATINO COMMONOATASECTION':` - - COOLING•~•-' NFATINO - pOpLINO BTUH108B FACTOR lTUNOAIM GROSSWALL /S8 _139 DOORSBWINDOWS(7ableAorB) U SS6 NETWALL S(p . 7 0.)9/ fC CEILING ~~S FLOORS O. - IniYV~iwn Hw~up Wlume Wlume / Coo4no ~MYtn"~ r.a.o x10x 1.1/w x I a.F~. i,,.F, x 1.1 so x ATx 6 a 33.5 !•O xo.iaa3a X 304 3091 x 0.01833 xdu X. S' = 33SS SUB-TOTAL BTUH LASS (per 10°f) z ADJUSTMENT FACTOR (Table C) SFl~o TOTAL BTUH IASS PEOPL x3008TUHGAIN /&Ot) y..e.aioom~ ~ APPLIANCES BTUH , 1200 SUB-TOTAL BTUH GAIN (room aonsible only) ~ x DUCT LAS /GAIN FACTOR ITable FI x SUB-TOTAI BTUH ISenaible Gainl A4O!ST~'.°.BREPGC.AL;;ubzcal :c 1.31 % 1.3 TOTAI BTUH LOSS/GAIN a TABL A-DOORS & WO00 FRAME WINDOWS TABLE B- COOLING - DOORS 6 WINDOWS IPEH 10° FI Factors assume windows have insida shadinp hy d2peries or wirotisn Fur sliding placc tloors - use tactors tor the same type window blintla end alWing gless tloon ere [reated as windows. construction. oiyuouas oou~ua.w w~auu WiIIdOWFI Fl8fI1Bf TEMAqN. TEMP.DIff. TEM0.DIFf. a~.r -OTUNUwiN Door T as W TIM 11 l x Aree ~ 8tuh Loss ingle Pena oY.~um u• ar v is• w m• w ar fr Clear 9.90 10.45 11.55 . M iu a m w Is n u ix n l ! With Smrm ,75 6.25 6 DOUbI8P0M 'MF6NW ]J 11 4 lt 3f A i D Clear 5.51 6.09 19s, ).)O(p Eew a ro oo «.e w a s o WichStorm .41 3.85 4.90 sincw 4 0 o s a u a H a Tripla Pane " 6 a a x a a n w m~i ~ ~ Clear 3.80 4.39 ,5.q8.Jalwusia-- skwuno u~ vIn io w~.s ia is uo Single - - 71A` w„vi a~ ro.o i~a a iae ax ae as ia~ S inplew/storm - 5.0ww,u u$kylights Single 11.07 11.69 12.92 . Qi wwooaeoasxw TOTALS Double Wly~ry~mnm~ulaow( 6.65 7.35 8.76 ~ 1«wnh~n~cu.m~waoa. . oor Wood Only 4.60 - - ~ . TABLE U- INFILTRATION MULTIPUERS Woodw/swrm 3.20 WintarAirChanpesParHour. UrethaneCore R- 1.90. FlomAms 900orleu 90o-7500 1600.210D anr2100 Urethane Core Best 0.4 0.4 0.3 0.3 IR51 w/storm - - 1.70 Avonpo 1.2 7.0, 0.8 .77 ' TOTALS PO°r 22 1.8 11 1.0 Fw mCA Iimplsce ada: 8at Avereps Poor - 0.1 0.2 0.6 Summu Air Chsnges Pm Huur TABLEC - ADJUSTMENTFACTOAS - INEATINGI Fk" liusa 9DI) 01Mu WO-16~ 1600-2100 °vsr2100 9ea1 0.2 0.2 02 0.2 F. TemperaWra Diff. 30 00 50 60 70 80 90 A~~a 0.5 . D.5 0_4 O.a Aajuctment fxtw 34 5 7 8 9 Po. p-B 0.7 0.8 Ob : llmrrir:v, StandatA Inr 1986 ?u5 No 22-!f}?84 P 1 !LV RESIDENTIAL BUII,DING Permit Application City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reauirements RemodeVReoair Reauirements Office Use Onlv 3 registered site surveys showiig sq. ft of bt, sq. R of house; and all roofed areas 2 copies of plan Cert of Suney Recd (20°h mauimum lot wverage allwred) 1 set of Energy Cakulations for heafed addi0ons 7ree Pres Plan Reed 2 copies o( plan showing beam & window sizes; poureA found design, etc. 1 sde survey for additlow & decks Tree Pres Not Reqd isetofEnergyCalculations Addition-indicafei/on-sitesepficsystem _On-siteSepticSystem 3 copies of Tree P2servation Plan'rf lot platted after 711193 Rim Jaist Dehail Options selection sheet (61dgs wiM 3 or less units 1~ Date ~ / ~ ~~J / Construction Cost Site Address UniUSte # Description of Work Malti-Family Bldg _ Y_~X N Fireplace(s) _ 0 2 Property Owner a c S~iolGft~w Telephone Contractor ~ Address Jrs~ ~ City State u, s3~oTelephone #(Gx57 )~.ci3 -G/ S- G COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submiked • Energy Envelope Calculations Submitted r---.- - Licensed Plumber Telephone MechanicalContractor Telephone )E" 2? 1C1~ II~i~ u Sewer/Water Contractor Telephone ) Y 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 pl s. wn)i Z . - ApplicanYs Printed Na ApplicanPs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex' ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 MisCellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaUon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire 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 REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) Fina]/No C.O. _ Foorings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Frazning _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - - Fee Base Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total If' / PLUNIBING (RESIDENTIAL) Permit Application ~ 9 City Of Eagan S. I T~j . ~ 3830 Pilot Knob Road, Eagan Mn 55122 ~ Telephone 4 651-675-5675 FAX # 651-675-5694 Please complete for. Single Family Dwellings Townhomes and Condos when perauts are required for each unit Date S/ 15 / 0 3 Site Address 44 1 b% Unit # Property Owner Telephone L S\) 45 oZ • 714 "1, ~ Contractor Address ~1 O od CitP State M+~ Zip SC, ~e13 Telephone #(~5 S•-'31-1 O The Applicant is _ Owner ~ Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To EzisHng Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system Water turnaround 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener ! S'Vater heatcr $ 15.00 ~ replacement _ additlonal ~ I I~ ~ I 2 I~ r'~I IL'J I~ ~ I~ .50 State Surcharge $ ~I 1 .~.I ~l . . ILII~ V ~ Q Total I hereby apply for a Residenrial Plumbing Permit and acknowledge that the information is co te and accmSYe;'tt~a work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand tUis is not a permit, but only an applicarion for a pemut, and work is not ro start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Q, atdArA 1~\ ,JN ApplicanYs Printed Name Applic t's Signature s~.. .