4116 Strawberry Lane
Y OF EAGAN WATER SERVICE PERMIT
3795 Pilot KeoA Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner,
Address:
Site fiddress: - LtPlumber:
Meter No.: _ Connection Charge: • ~ Size: Account Deposit:
nQ
Reader No.: Permit Fee:
I ogree to comply with the City of Eagae Surcharge: - '
Ordinonees. Misc. Chorges:
Totol:
By Dote Pnid:
Dute of I nsp.: I nsp.:
,•Y OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
DATE:
Eagon, hAN 55122
Zoning: ' No. of Units:
, j :
Owner: . " . _ . : . . . - .
Address:
Site Address: . _ . . . ~ ~ ~ • - -
Piumber:
I agree to eoropir with the Cify of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.:- Date Poid:
t
._1 .
3:_
CASH RECEIPT
ClTY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RtC 61 V fiD
FROM
AMOUNT $ I
& DOLLARS
~oo
? CASH ? CHECK
ROR
FUND CODE pMOUNT -
~
1
4
I
Thank You
~ BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
f ~
CITY OF EAGAN
~ s+ 3795 Pilot Knob Road
, Eagan, MinnesoM 55124
Phone: 454-8100
MAWR SCFwIEMM PERMIT No. 253
12° "°'7s3 I2695
Dote: Receipt No.:
41I5 StnrAxsry 7xv-,,. Sinyle I
Site Address: Residentioi
13 6 T I
Lot Block Sub/Sec. I~ll~ Multi Res., Comm./Ind.
Nome &"rt L. Clark OXot' New/Alter./Repoir
3 Address 9~S W. 27P~ ct' Cost of Instailation
~i3.Z~~ 4 3~--6417
City Phone: Permit Fee
~~8 vQft "`rct'.C~ C1D.
Name Surcharge
.
Address I'M t_`8U£mma St.
0
`^;J15~ c'•t'jr~~l 7' j-;~°J Ci ~n
City ' Phone: " Totol
This Permit is issued on the express condition thot all work shall be done in accordance with all applicable Stote of
Minnesoto Statutes and City of Eogon Ordinances.
Building Officiol
' • • CITY OF EAGAN
3795 Pilot Kwob Roed
Eoqen. Minnesote 95122
Phen@: 454-8100
T>..jr - PERMIT No. 1:'
11914
10-3-- Receipt No.:
pa,te;
Sinyle I
4116 Strawberry Lane Residentla1
Site Address:
';I0 33000 I 1~) n6 (
Lot Block Sub/Sec. _ Multi Res., Comm./Ind.
T
Nome f~lalk COnsr_r. Co, 'f"•'
New/Alter./Repoir. .
3 Address Cost of Instollation
O
City T 111- -vjile Phone: Permit Fee .
Na e klamm MeehanicE:' Surchor0e
~ Address • 'n9 CO. Rca.;. l
e
0
V - ,
City Phone: Totol
This Permit is issued on the express condition thut all work sholl be done in xcordance with oll appliwble State of
Minnesota Statutes ond City of Eogan Ordinonces.
Building Officiol
~ , cirY oF EAG?N
. 3793 Pilof Knob Road COMRtTSTION AIR RE(UIRFD
~
• ~ . Eagon, Mlnsesota 56122
~ Phono: 454-8100
'~Eh.TING _ PERMIT No. 1320
Date: I0-12-78 Receipt No.: 12047
Single I
$ite Address: StTawberrv I,ane Residentiol
Lot 11 Block 6 Sub/Sec. _IfilItop Estates Multi Res., Comm:/Ind. I
Name `~T` r.. ~"ar". `:enstruction New/Alter./Repatr
o 1?Q.95 W. 178th Street
; Address ~ Cost of Installation
O
City T,''''`Pville Phone, 4 i5-641 7' Permit Fee 20.00
Na~ ' SeaGOnal Celitr:i i Tnc. 5u~~ .10
.
~ ddress ~7620 Lvndn' r~ _
0
City Phone: Total '
This Permit is issued on the express condition that oll work sholl be done in occordance with all npplicable Stete of
Minnesotn Statutes ond City of Eagan Ordinances.
Building Officiol
• CITY OF EAGAN
3795 Pilot Knob Raad Eagan, MN 55122 N2 4961
PHONEs 454-8100
BUILDING PERMIT 551,000. Receipt # i1~11
Te be used for Tot,t1g. i. Gnrg.Est. Value Date `,ti; us t 31, 19 78
Sire Address 4116 Stqwberry Ln Erect ? Occuponcy '
Lot Blotk 6 Sec/Sub. Hill top Es tates Alter ? Zoning
Parcel # Repair ? Fire Zone 3
Enlarge ? Type of Const. V
oe Name nQbert Clark Cotlst. Move 0 #$tories
Z 9895 178th St.
~ Address 5-1541 Demolish 0 Front ft. 43- Ci k.^. v 1. L Phone Grade p Depth
~ Name Approvab Fees
o , .
o~ Assessment Permit
V~ Ci p}~~ Warer & Sew. Surcharge 26.
~ police Plan check
W Ncme Fire gqC 5;?0. 00
x~ Address Eng. Woter Conn. L 00
~
a W Ci Phone Planner Water Meter 6• t)
Council 6<id lJttit 700
I hereby ocknowledge that I have read this opplicotion ond state that gldg. p{{,
the informatlon is correct and agree to comply with all applicable APC Totol i~~ ~
State of Minnesota Statutes ond City of Eagcn Ordinonces.
• /
Signature of Permittee " / i:aber t L CL srk Cail:: t,
A Building Permit is issu~d to: on the express condition that
oll work shall be done in accordance with all appiicable Stote of Minnesoto Stotutes ond Ciry of Eogan Ordinances.
Building OffiCiol
. ,
CLf t,~ ~t~ . ~i ~ ;2. 5 3 r1 - r ~ ~ r. c' ~ ~ ~ " . zr , ; ~ 't `~F'' • .
MrwM Dah lawed PwMIttee
Plumbing - 7
Mechonicol 3av / C, b' ~ e..
(A e_ - ` 5 U 1 d I-`7 ry)ry\ u, t-
INSPECTIONS DATE INSP. Rouph-In Finol
Foptings Date Insp. DaFe Irnp.
Foundation Plumbing 0
Frame/ins. - Mechnnital "J
Finol
i
Remarks: L~.cXJ a?~' f rrct~ C~e'--wYr
.,,.yuest void 18 months from
R25430
Datte of this Request I, as $ Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal winng installed at: Al~ iaO~-
Street Address or Route No. City
Section Township Range County
Which is occupied by A4
(Name oi Occup nt)
Ia a roughin inspection required on this job? No ? Yes Ready Now ? Will Call
Power Supplier 4JA6tel _A_-Ar~ Address
Electrical Contractor L~~ Contractor's License No.AW6/
(Company Name)
Mailing Address o7 O
(Elec 1 ontra or or Owner Making Thls Installation)
Authorized Signature Phone No. ~
(Electrical Contractor or Ownar M ng Thls Installatlon)
STATE BOARD (PY This inapectian request wili not be accepted by tfie
State Board unless proper inspection fee is endossd.
Minnesota 5tate Board of Electricity
„ 1gEtUniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
" REQUEST FOR ELECTRICAL INSPECTION ~25430
CHkCK BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Apptiances Wired For Check Equipment Wired For
Home ? ? Range Temporary Wiring ?
Duplex Water Heater ? Lighting Fixtures ?
Apt. Bldg. Dryer CR Eiectric Heating ?
Commercial Bldg. Furnace X Silo Unloader ?
Industrial Bldg. A iti Buik Milk Sank ?
F~ ? ? ? Li List
p pthers
Other ? ? ? H Here
COMPUTE INSPECTION FEE BELQ
Secvice Entrance Sixe: # Fee Feeders& Sub feedeis: ~k Fee Circuits: # Fee
0 to 100 Am s. 0 to 34 Am eres 0 to 30 Am res
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee •
Signs Special Inspection Minimum fee 0, ~
Remuks TO'FAL FE yQ .9.y/O~
' spcction has been made.
!2
I, the Electrical Inspector, hereby certify e a
(Rough-in) • te lv-l7- 7 ~
(Final)
This request void 18 months from
; Ti.~'.~,~ ~?~tr T',~ T~
,P-,-,;v_
"
(gtrtif iratt of
(Orrupttnry
Citp of (Eagan ~
EPparttitprif Df Vliilding Jns.pPifimi
d:
?'bii Crrli ficate iaaucd pxraxaRt ta the rcquiremaoir of Sation 306 of tbe Ur,i form Building ~
Codc urtif ying tlaat at the tinr o f itsuaxce tbu nructm?e waa rn cmplimuc u rth rix various
ordinaKaa of the City rcgxlatimg btalding uniestractiox or x.ce. For the f ollouang:
t'
SF Dwlg & Garage 4961
~ um crweuua. 014 ft. t No.
~r ! ~w~r'nw ~Iy~ ~.1co.m~ .~nm WilV Fo. ~ 3 ~ u~t ~
L4 1 ~
~ OwMrdw .i.7t. l.lst. Addms liLRCVl11e
mft
4114 StraAexxy l.oewity Ea/~~~
s"~ ~
~.r _ December ,
1978
1 ~ YriIW~Of6eL1 Ow:
Iw • onrmcuan n.wc1 . .
~.'---{.=~._~a'"~.~.`~•~
. ° . _ ` 1
Oooes •e- - - . . - Lir.L. w u s A
CITY OF EAGAN
. ' 3795 Pilqt Kaob Raod Eag.n, MN 55122 Ng 4961
.6 g` PHONE: 45"100
BUILDING PERMIT APPLICATION $51,000. Receipt # 11521
To ba vnd fw SF Dwl g, d. Garg. Est. Value Date Augus t 31 19 78_
Site Address 4116 StgwberrY Ln Erect p Occupancy I
Lot 11 Block 6 Sec/Sub. Hilltop Estates Alter p Zoning R1
Parcel # Repair ? Fire Zone 3
Enlorpe ? Type of Const. V
oc Nome Robert L Clark Const. Mave ~ # Stories
W
3 9895 W. 178th St. pemolish ? Front ~+a ft.
o Ci 8 ev Phone Grude ? Depth 52 h.
°C me ~?PPr~b Fees
Na
Z0 Assessmerrt Permit 142.00
Addma
Water & Sew. Surcharye 26.50
C1 Phone
Police Plon chack
Nome Firo 5^C 500.00
x~ Address Enp. Woter Conn. 0•00
~,z u C~ p}~e Plcnner Water Meter 60 • 00
Council Rosd Unit 75.00
1 hercby acknowledge thot I have read this application and state Nwt gld9, p{{,
the informotion is mrrect and ogree to oomply with oll opplicable APC Totcl 1~53. 50
5tate of Minnesota Stat tes and Ci f aga Or no:RV
Signeturo of Permittee
/1 Building Permit is iss . , Robert L C1 ark COils t. on the BXpress condition thot
all work sholl be done i rd nce it all applicable State of Minnesom Statutes ond City of Eagan Ordirances.
Buiiding Off icial
CITY OF EAGAN Remarks
Addition HILLTOP ESTATES Lot 11 Rik 6 Parcel
Owner Street 4116 Strawberry Lane State Eagan, MV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 172.14 8.61 20 111.94 A007252 12-27-78
* SEWERLATERAL 1980 3164-64 316.46 0
WATERMAIN
* WATER LATERAL ~ 1980
* WATER AREA 1980
*
,t STORM SEW TRK 980
* STORM SEW LAT 1980
CURB & GUTTER
SIDEWALK
STREET LIGHT
R d U ' - -
WATER CONN. ZSO OO I - - . 1521 83178
BUILDING PER. 4961
sac 500.00 11521 8-31-78
PARK
k~
~ 2007 RESIDENTIAL MECHANICAL PExnuT arrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telepbone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date '/Z-_
Site Address Uttit #
ti
Property Owner Telephone # ( )
Contracter
Street Address 0~2 City
State /"//U Zip,~j3 ~g~l Telephone# 7673~
Bond F6 ~d Expires: Z~
The Applicant is _ Owner _Z_~Conuactor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
_ furnace ,L/Additional _Replacement _ New
air exchanger
air conditioner
_ heat pump '
_ other G~ Q~ ,[F_~~~~•!'/~1
i
1
State Surcharge $ .50
Total $
I hereby apply for a Residen6al Mechanical Permi[ and acknowledge that the information is complete and aceurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and witU the Mechanical Codes; that I understand tlus is not a
pemrit, but only an application for a permit, and work is not to start without a pecmit; that the work will be in accordance with the
approved plan in the case of work whicb requires a review and approval of plans.
~1 ~
Applicant's Printed Name Ag c nYs Signature
2007 COMMERCIAL MECHANICAL rERMi`r ArrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-567
Please complete for: commercial/industrial buildings / .
multi-famil buildin s when se azare ermits are not re uire or each dw ]in unit
Date,~ / / ! /~7
Si[e Street Address C'/` C7 Unit #
Tenant Name (if applicable) Pr ious Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address G v 7 L ~~l /C ~v ~ City
State Zip Telephone # 7ln 7 ~
~~Z z
Bond Ex res: 7
The Applicant is _ Owner Contr ctor _ Other
Work Type
~New Construction _Interior Improvemen Install Piping _ Processed _Gas Extenor HVAC Unit"
**HVAC units must be screened .
Under/Above ground Tank I 1 Remove
When installing/removing ta (s) call for inspection by Fue Mazshal and Plumbing Inspector
le-
Nature ofWork: L
Permit Fees $70.50 Underground tank' stallationhe val
$50.50 Minmiuna (inclu s State Sureha e)
O[
ContractValue $ 4)• 0 x 1% PemutFee
$ State Surchazge
~ To calculate surcharge
If Permit Fee is less than $1,000, surcharge is SO cents.
IFPermit Fee is> $1,000, surchazge increases by $.50
for each $1,000 Peimit Fee (i..e. a$7,001-$2,000 Permit
, Fee requires a $1.00 surcharge).
$ Total Fee
I hereby aclrnowledge that this information is complete and ac ate; that the work will be in conformance with the ordiuances and
codes of the City of Eagan and with the Mechanical Codes; that I derstand this is not a permit, but only an application for a permit,
and work is not to start without a pezmit; that the work will be in accordance with the approved plan in the case of work wkiich
requires a review and approval of plans.
~Ay ~ e~~DFreso~/
ApplicanPs Printed Name ApplicanTXSi 6 ture
- .
Approved By: , Inspector Date:
Required Inspections: _ U.G. _ R.I. - Air Test _ Gas Service Test - Infloor Heat _ Final
RESIDENTIAL
~ r BUILDING PERMIT APPLICATION
~ CITY OF EAGAN
/ 3830 PILOT KNOB RD, EACAN MN 55122
f
~ 651-681-4675
New Constructian Reouirements RamodeUReoair Reauirements
. 3 regislered sAe surveys showirg Sq. k. of lot, sq.'fl. of house: and a-li roofed areas • 2 copies of plan
(20%manimum Id coverage allowed) • 1 sel of Enertgy Calculations forheated addNOns
• 2 wpies of plan showirig beam 8 vrindow s¢es; poured found design, etc.) • 1 site survey for extenor additions & decks
• 1 sel of Energy Calculations . Indicate if home served 6y septic system for addidons
• 3 copies of Tree Preservation Plan d lot platted afler 7l1193 . Rim Joist DetaA OOhans selection sheet (Wdgs vrilh 3 nr less unAS)
DATE `D'2 VALUATION
~ ~ ~
SITE ADDRESS (5~ MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK '~001~ fIREPLACE(S) _ 0_ 1_ 2
APPLICANT zcov_6 O Al ti ks
STREET ADDRESS 1~&96 11E C' L L &J- I CITY EDEN &/,0aSTATEMA/ ZIP ~Sc3
TELEPHONE #~'fSa-97y'~o3S CELL PHONE # FAX # 9So~•97'Y '/S84/
PROPERTYOWNER ~~k M/~N~A L TELEPHONE#lvu/' &S 3'/63/
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESO'CA RULES 7670 CATEG012Y 1 MINNF.SO' GI=L-c-j
(J submission lype) • Residential Ventilation Category 1 Worksheet Submitted • LJ7UN t~d'e ~heeY bitted
L~. • Energy Envelope Calculations Submitted !
2 7 200Z Ptumhing Conhactor: Phone # Plumbing system includes: Water Softener I. awn Sprinkler F=:
Water Heater _ No. oF R.I. I3aths
No. of Baths
Mechanical Conhactor: Phone #
Mechanic,il system includes: Air Conditioniug Fec: $70•00
Heat Recovcry Sys[em
Sewer/Water Contractor: Phone #
°
I hereby acknowledge that I have read ihis application, 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 ~ •
OrFICl: USL ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
I
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 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
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_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 ?,37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doars
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handaut to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Cit y Water
SAC Units Stories Booster Pump
Nbr, of Units Sq: Ft. PRV
Nbr. of Bldgs Length ' Fire Sprinkiered
Type of Const Width
. REQUIRED INSPECTIONS .
_ Footings (new bldg) FinaUC.O. _ Footings (deck) Final/No CA.
_ Footings (addition) _ Plumbing
Foundation HVAC
_ DrainTile O[her
Roof _ Ice& Water _ Final _ Pool _ Ftgs _ AidGas Tes[s _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee ~
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storege
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Capies
Other
Total
DATE ~
BUILDING PERMIT APPLICATION
Include 2 sets of pSans, 1 site plan w/elevations and 1 set of energy calculations.
~ , ~v /006 ~
7b be used for /jPS /dea, " Valuation 4po,
site Addresc: y/!(c SfiauJ ,~JGY/'`/ L/7
rIIII ky
Lot Block ~ See. Sub, Parcel Number
O=er /7iJ4 ) ~~w 41-s0~1 Telephone
Address
Contractor pd ;(G/' ~ Telephone y3S--~y~ ~
Address
Arch./Eng. Telephone
Address
OFFICE USE
Erect Occupancy
Alter Zoninq
Repair Fire Zone ~
Enlarge Type of Const.
Move # of Stories
nemolish Front
Gxade pepth Sa
OFFICE USE
Date of Agproval e Initial
Assessment Permit
Water/Sewer Surcharge ~
Palice Y-lan Check
Fire SAC , 3'B 0
Eng. Water Conn.
Planner v7ater Mg ter L•8
pouncil
Bldg. Off. ~
A. P. C. 7'OTAL
~p~3 ,
. . . . . . . . . ._...^~",=roaW+..:r ~+'.:+y._.o..,
PHIL3.IP.S PLATV SkkvIC: 10900 Lyudaie Ave. So
Staomington, MN 55^~9
EX7ERYOR ENVELOPE kYERAGE "U" COMPU7ATION
, suirn $ aaa
O6dNER
3TTE
w
COiNTRAC PHONE
Z
Determine working square footage of each.
1. TntaT exposed wall area ZZ '13.5 Z sq. ft. x .17 - [~t
2. 7ota) roof/teiling area I y 11.Q sq. ft. x .05 a Q,
Total exposed wall area aboae floor
a. Total wait windaw area Zi .9
b. Total door area 3 p1
c. Total sliding glassdoor arza 4<1
d: Total fireptace wall area............... _~,q G
e. Total wall framing area (average 10%)...:.......... 1 R 0 ,4 74
f. Totai net wa11 area above floor 15P4
g. Total rim joist area Jil4
Total exposed foundati on area = I 1 D• 8B
h. Total foundation w{ndow area.....................
I. Toal net foundation area abpve grade jr , F3
Determine "U" value of each wall segment.
a• z10,~ X „u„ ,55 l15,17Z
X "u"
,55 = ZU•4
c. 44 x"u" '55 = Z4. Z
a. 2~,q~? x„U„ ,3to g q, 53
Q^ 1,~~ X,lu„ 'i 35 = z3,~1
f.____-Z_~ 33,f~f~ X,iliti , O = 1
9• 13q.4.,1 X „u„ _ lZto = E3.~Lo
n. x °u°
~ P--) P~ Xltu„
3 . .....................5Z....Total
If item #3 is the sartie as, or less than item 81, you have mex the intent
of SSC 6006(c)2.
s,. ONR
a.
. ~
, Total,exposed roof/ceiling area = 1 y lLa
Total gross roof/ceiling area =
J. Total skylight area
k. Total roof/ceiling framing area 1C-e
1. Total net insulated roofJceiling area....... 1 174.4
' Determine "U" value for each roof/teiling segment.
j x „u„ -
k. lq1,l~ x „u„
1. 1Z7 4, ~ x"u" ~ o~Z = 53. 5Z
4 ~S ~.~.Q............Total
If total of #4 is the same as, or less than #2, you have met the intent of
5BC 6006(c)},
To utiTized the total envelope system method, the values established 6y the
sum of items #3 and #4 shall not be greater thart the sum of itens #1 and #2.
1. + 2, _
~
3. + 4. _
;
~ I,tATERIALS Therm. Besistance "Rt@
Esterior Ais
~ Sidiag &toterial •3`7
~ Sheathing
, Insu12;ttion
, 9heeCrook .a s
i Snterior Air
j 9tuds .4 3
4 Rira
Conc< Blkso I,ZYi
I
~
i
!
Certificate for:
- Robert Ciark Const.
' 9895 41est I78th Street
I,akeville, hTn. 55044 Ra
~
DELMAR H. SCHWANZ
LANDSURVEVOR
RepisbreE Untler laws of The Stita of Minnasota
2978 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 66088 PHONE 812 443-1789
SURVEVOR'S CERTIFICATE
30 (
1
411,s 1ao.zo
S8!048'13^E
N~p
p p cAR
lFkOPOSEJ p .
a lOI
M ~ Q 25.5~ /NOuSfp W
p - 26.83' I$ ~ .
~ O l
LOY
O
~ Dr:~ina~e & utilit y g
- easement ~ m
30
S83°34'43 "E
SCALE:
1 inch a 40 feet
Z hereby certi:y thaY, this is a true and correct repreaentation of
Iat 11, B1uck 6, HIuLTOP ESTATF-9, according to the recorded plat
thereo£, Dakota Cownty, ~;3nnesota.
Also Uhvw.ing the lucatitin of a proposed hoase as staked thereon.
Dated: Auguat 25, 1,7$
~4~b~
MINNESOTA REGISTR TION N0.8626 ~ ~
CITY USE ONLY
LOT ~ BL CO RECEIPT#: So~D~9
SUBD. RECEIPT DATE: ~1,1~'/ °J
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
10/9/97 (612)681-4675
Date:
Complete this section ontv if vou are installing HVAC in single familv, townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITTONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if vou are remodeling addine to or repairing existiue sinele family
dwellings, townhomes, or condos.
_ Add-on furnace _ Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. " Other replace furnace and A.C.
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
5tate Surcharge .50
Total: $ 20.50
SITE ADDRESS: 4116 Strawberry Lane
OWNER NAME: Andrew Larson PHONE
INSTALLERNAME: Fredrickson Heating & Air Conditioning pHpNE#: 452-2775
STREET ADDRESS: 2650 Kennebec Dr. #1
CITY: Eagan STATE: MN ZIP:55122-1003
SIGNATURE OF P ITTE
CITY U5E ONLY
L BL RECEIPT
SUBO. RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaVindustrial buildings.
? multi-family buildings when separate permits are not required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee or 1% of contract prics, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of ermit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (iMPROVEMENTS oNLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
51GNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
L~ sL 649 CITY OF EAGAN CITY USE ONLY
SUBD. PLUMBING PERMIT
(612) 681-4675 RECEIPT # 1100190
DATE CO
REBIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST _ REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00 _
REPAIR WATER CIASET 3.00
- - BATH TUB 3.00
iLFiM _ IAVATQRY 3.00
OWNER NAME: _ 4116 8TWMBERRY Lflt1E _ KITCHEN SINK 3.00
EROM IAUNDRY TRAY 3.00
SITE ADDRESS:; H 3g.}g' u HOT TUB/SPA 3.00
~ WATER HEATER 3.00
FIAOP. 9RP_I?I 3.00
GAS PIPING OUT.
INSTALLER: _ (MINIMUM - 1) 3.00
PtUMBIPOO ROUGH OPENINGS 1.50
nnnRESS: 2905 GARFIEID AVENUE SOUTH _ o'rEtEx
MINNEAPOUS, MINNESOTA 55401 - wnTex soFrsuEx 5.00
ci'rY: aIX403DiP: 62.7,43 i i_ _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE W. TURNAROUND 15.00
STATE SURCHARGE .50 ~
SIGNATURE OF PERMITTEE TOTAL: s~-2 ~
COMMBRCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMHERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY.
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH DWELLING iTNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
`F~~~
, cqdc~
2007 RESIDENTIAL BUILDING rExmiT arrLicnTiorr
Ciry Of Eagan
3830 Pilof Knob Road, Eagan NIN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeUReoair ReouirmenLs Ofice'tlse OnW
3 registered site surveys shovnng sq. ft. of lot, sq. h of house; and all mofed areas 2 copies of plan showing footings, heams, joMs Cert of Suney Recd 'Y._N
(20°h maumum bt cwerage anowed) 1 set of Energy Calwlatlons fa heated additions . SalsRepM, . . Y_ N
i Soils Report if proposed building is to be placed on disturbed sail 7 sile survey kr add8ans 8 Cecks Tree Pres PIan.Rectl Y' ,N,
2 wpies of plan showing beam & window sizes; poured found design, etc. AddBion - indicate Honsife septlc system Tree Pres Required . Y, ~_~N
1sMMEnergyCakuWlions On-;lte5ep6cS/slem _Y_N
3 copies of Tree Preserration Plan it lot plafled aller 717193 -
Rim Jdst Delail Options selection sheet (6uddings wiN 3 or less units) .
Minnegasco mechanical ventilation foim , Plans are considered uhlic information unless ou state the are trade secret and the reason.
Date-,(a_/_'? 1 -0-7- / / ConstruMionCost ~ ~doO.
(a TIGL"/.(/ h-SY'Y4 LYl - Unit/Ste #
SiteAddress 411 J
Description of Work 4flm ~J,1, `Y-rc~ ~-Dec k /-I Cd-
Multi-Family Bldg _ YX N Fireplace(s) _ 0 _ 1 _ 2
. , .
Property Owner X "Y~.~ Sk" k V Y 1G&Vl do.1 Telephone #((Qrj) ) 3q 3^to Lo rJ' `I
Contractor Mel,() cOVkl'Lu ' R^2v"Xo-d.c-Lnej l '
Address 14 1-1 VVt c 15 City i G fo rl'C"
State zip 5 - 3 Ia Telephone # (Q$Z) qeI3 - 3 (o q I
2- Zo2 ~ (n21 Z
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
(Jsubmissiantype) Submitted Submitted
. Energy Envelope Calculations Submitled
In the last 12 months, has the CiTy of Eagan issued a permit for a similar plan based on a master plan2 `
Y N If yes, date and address f rp an:
~i .
Licensed Plumber` ~ Telephone )
ocT o s J 2057 - .
Mechanical Contractor Telephone.#( J
3ewer/1Nater 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 pertnit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
E oi c. W r.OI(
Applicant's Printed Name ApplicanYs Signature
DO NOT WRITE BELOW THIS LINE .
.
Sub Tvpes
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SFDwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch(3sea.) ? 31 Eut.Alt - Multi
? 03 01 of _ plex 09 07-pleac ? 17 Garage X 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF
? 04 02-plex ? 70 04lex k 18 Dedc ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level 24 Storm Damage
. ? 06 04plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding X 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement ~'Demolition (Entlre 01tlg) - Give PCA handout to applkaM
DBSCrIDtion: WaterDamage_Yes n lG~~-i
Valuation 34f ~ Occupancy . ;51P~_ MCES System
Pian Review ~00°k or 25% "oo.t 02a;,-
Census Code 113y Zoning A"-/ City Water
SAC Units Stories / Booster Pump
# of Units - Sq. Ft. 3r4y PRV
# of Bldgs ~ Length 1G Fire Sprinkiered ~
Type of Const ~ Width ~
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
Foo[ings(deck) FinaUC.O.
~ Footings (addition) Final/No C.O.
_ Foundation HVAC Drain Tile Other
~ Roof _d_ Ice & Water ~ Final = Pool Ftgs AidGas Tests Final
Framing Siding _ Stucco Lath Stone Lath Brick
Fireplace R.I. AirTest Final Windows ~ Insularion _ Retaining Wall Approved By: Building Inspectw
ease Fee ~0 - ~s yS~
---~-----30,133 ~.Z
3 8y ~7 .a.t~- Q 7~
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W PeYmit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Pecmit Number
RFScheck Compliance Certiflcate Checked By/Date
20001Vfinnesota Energy Code
REScheckSoffware Vasion 3.6 Release la
Dazx filename: C:U'rogram Files\Check\REScheck\marndal addition.rcAc
PROIECT T1TLE: Mandal projed ll~ C,i2Rca~~eRR~ ~
COUNTY: Heunepin
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
WINDOW / WALL RATIO: 0.09
DATE: 01/13/08
DATE OF PLANS: 10-8-07
PROJECT DESCRIPTION:
Family room addition, deck addition
DESIGNER/CONT RACTOR:
New Country Remodeling
COMPLIANCE: Passes
Maximum UA = 228
Your Home UA = 201
11.8% Better Than Code (UA)
Gross Glaang
Arraor Cavity Cont. orpoor
Perimeter R-Value R-Valu u:Fad4L SI@
Ceiling L• Cazheclral Ceiling (no attic) 384 45.0 0.0 9
Wall 1: Wood Frame, 16" o.c. 608 19.0 0.0 26
W indow 1: Abova{'made: W ood Frame:Double Pane with Low-E 9 0330 3
Window 2: Above,Grade:Wood Frame:Double Pane with Low-E 20 0.330 7
W indow 3: A6ova-Grade:Wood Frame:Douhle Pane with Low-E 45 0.330 15
Window 4: Above-Grade:Wood Frmne:Double Parie with Low-E 20 0.330 1
W indow 6: Abovo-Giade: W ood Frame:Double Pane with Low-E 36 0.330 12
Door L• Solid 42 0.660 28
Wall 2: Wood Frame, 16" o.c. 498 19.0 0.0 29
Wall 3: WoodFrame, Ifi" o.c. 752 19.0 0.0 42
Window 5: AboveGrede:Wood Frmne:Double Parne with Low-E 45 0330 15
Floor 1: All-Wood JoisUTmss:Ova Unwnditioned Spue 384 50.0 0.0 8
Proposed and Masimum U-FactorAvetages
Proposed Maximum
Average U-Factor Allowed U-Fador
Above-Grade Windows and Glass Doors 0330 0.370
hicludes Foundazion Windaws> 5.6 82
Floors Over Unconditioned Space 0.021 0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building ptans,
specifications, and other ralculations submitted with the peamit application. The proposed building has been designed to
mcet the 2000 Minnesota Energy Cale requirements in REScheck Version 3.6 Release la (£mnedy MECchedc) and to
comply with the mandatory 'rcvnait m the REScheckhispection Checklist.
BuildedDesigner Date
, .
- •tif~~cate for. •
,,bePt f313X'k I";-~P.at . .
aF5-in , 4«>4
y. 1'~kttvi.le-,~~'n 5,=;94
DELMAR H. SCHWANZ
lANOSURVEYOR -
Ra9-steretl U-tle, Laws o+The Sbte of Minnesota 2978 - 746TH 6TREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 812 4237769
- SURVEYOR'SCERTIFICATE - -
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i
MINNESOTA REGISTRATION 140.8625
~ -
I For~office".us~ ~
I J r/ -J
4§b City of Eap ~ Permit#
~
I PermitFee:
3830 Pilot Knob Road I
Eagan MN 55122 ~ Date Received: 1-/ 7 I
Phone: (651) 675-5675 i ~
Fax: (651) 675-5694 I Staff:
L - - - - - - - - _ _ _ _ _ _ _
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: G/~/C% y e--~
Tenant: Suite
RESIDENT / OWNER Name: S !~"6~/?t~hone:
Address / City / Zip: 'y 1& L-~
CONTRACTOR Name: ~S E's59"zv'" License ~ ac a7,,~
.Address: /D ' S / `P T
City: .as-~~ Statd'~1v:/ Zip;
Phone: e~63 Contact Person:
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild ` Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESlOENTIAL
Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
~ RPZ PVB) ~ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 state surcharge)
'Water Turnaround (add $136.00 if a 518" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire RepBir (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I here6y acknowledge lhat this information is complete and 'accuiate; that the work will be in wnformance with the ordinances and codes of the City of
Eagan; lhat I understand this is not a permit,but onty`an~dpplication for a permit, and work is not to start without a permit; that the work will be in
accorda with th pproved plan in the case of work wh'r,ch.req6ires a review and approval of plans.
,96
x :~L x
Applicant's Pri ed Name Applicant's Signature
FOR OFFICE USE ~ Reviewed B`y: Datg:
Reqwre Final
d inspections.`, Under,Ground Rough In '_Air•Test Ga"s Test _
~m 1)4, RESIDENTIAL
Jr"/ 7~j BUILDING PERMIT APPLICATION ~
~ CITY OF EACAN
3830 PILOT KNOB RD - 55122
1--~ `::Z~ 9~ 651-681-4675 G (o 'Q ~
New Canstruclian Reauirements - RemodellReoair Reauirements
• 3 registered site suneys showing sq. ft. of lot, sq. ft of house; and alProofed:areas , • 2 copies of plan - -(20°4 maYimum lot coverage allowed) 1 set of Energy Calculations ior heated addi6ons
. 2 copies of plan showing 6eam & windax sizes; poured found design, etc.) .--1 site survey (or extedor addi6dns & decks • t set of Energy CaiculaUons
• 3 copies oF Tree Preservation Plan if lot platted after 711193 , -
. Rim Joist Detail OpUOns selection sheet (bldgs wiN 3 or less unils) DATE f jl~~ l(S,v/l / VALUATION (EXCIUDING LAND)
JOB SITE ADD 5 '7'II ~o cSY'/ ~6L2/ %"LL 6~JU GG~~
IF MULTI-FA/NILY BUIIDING, HOW MANY UNlTS?
PROPERTY OWNER XinasktA
n i c'
TYPE OF WORK F EPLACE(S) _ YES'/ _ NO
APPLICANT i~ i 8x1V0J p&7f76PHONE #
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) • Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing Systecn [ncludes: Wa[er 5oftener L.1wn Sprinkler Fee: $90.00
Water Heater No. oFR.I. Baths
No. ol' Baths
Mechanical Contractor: Phone #
Mechanical Systcm Includes: Air Canditioning ree: $70.00
Hcat Recovery System n nn ~
I I l! I L5 I'
Sewer/Water Contractor: Phone # n~ i
All above information must 6e submitted prior to processing of application.
B
an&~agree to o comply with _
I hereby acknowledge that I have read this application, state that the information is corr y,
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
~ ~kXi(XS'li
Signature ot Applican ,C~({
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Llpdated 1101
I OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool 0 30 Accessory 6ldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3•sea.) ? 31 Ext. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03•plex ? 11 10-plez ?,19 Lower Level ? 24 Storm Damage
? 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolitlan (Entire Bldg oniy) - 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 Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) ' Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ F'ueplace _ R.I. _ A'u Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Appraved By , Building Inspector
Base Fee
Surcharge 3 . U(~
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit -
Mechanical Permit ~
License Search
Copies
Other
Total
