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4921 Sycamore Dr Address a9z i sYCnrn~ ~?tr,~ Zip 5512 3 I.ot ~ Blk ~ Sub P~~ ~sr THESE 1TEMS WERE / WERE NOT COMPLEl'E AT THE TIME OF THE FINAL INSPECTION. Date: ~(P ~~'j Yes No Inspector: Final grade (6" ftom siding) Pertnanent steps (gazage) X Pennanent steps (main entry) Permanent driveway ~G Permanent gas ~C Sod/Seeded grass ~ TraiUcurb damage k Porch X Basement 5nish ~ Deck ~ Please verify with tt~e builder the removal of roof test caps from the plumbing system and the shut-off of water supply ro the outside lawn faucet before freeze potential exists. ContaM engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - Ciry Copy Yellow - Resident Copy Pink - ConUactor Copy y , - . . ~ ~~4 . ~ . C~R~if tCQt¢ 0~ ~CCli~Q1tC~ - ~ ~it~ o~ ~agan ~e~rartmcttt of ~silbing ~n~~cctiua This Certifcate issued pursuant to the nequiremenrs of rhe Unijarm Buildirsg Code certifying that at the time of issuance this structurr was in comptiance wirh the various ordinances of tIu City regulating building construction or use. For the fo!lowing: Ux Classifia~ion: BWg. Permit No. IQ Orcupancy Type ~ Zming Diauicc R~ Type Const. ~ Owner of Building Address W~ gw B,,~ 492 I 5'Y~",.MLBE DR L7, B3, PI~TRFE FCJ~tEST ~ ' / ~ ; , - ~i ~r. ~'J . , 1` aa~e- ~ . . ~BuifdinEOfficial POST IN A CONSPICUOUS PLACE INSPECTION RECORD ~CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: , (651)681-4675 SITE ADDRESS: ' ' " ' APPLICANT: t i, ~ . t,i „I~s !~f' • , i!r i ~ . i PERMIT SUBTYPE: TYPE OF WORK: . . ~ , , ; ,,,r; ~ . , . ~ u, , , , , ~ ~.ti~, , ~ , ; , t IirS1 i . I fl:, rli Ml1F'~ {'t F1i'; 'JI { ill il t: i' t! /S I~~ it f. & W f`f 11MfiFR 1 CAMt !'HnNF pt~atA 4 1 A~ . . . ' . ~ ~ ~ ~ 3 1 ~ Permit Holder Date Telephone WATER~ - i PLUMBI - - .~3'~~(`J ~ HVAC - - - -~~0 , 7e~I.~~~a~- Inspection O Insp. Comments FOOTINGS '~~~/~~y ~ . , /1 li~~ _ FOUND ~ FRAMING ~/l~, < GK1 ROOFING ROUGH Z-J2-~ ; r PLUMBING ~ V PLBG C.~ ~ AIR TEST ~ ~ ROUGH HEATING ' -y~ GAS SVC TEST INSUL FL ~ ~ ~ u~ GYP 80ARD FIREPLACE ~`~/~g, ~ ! AIR TESTCE l-J~~ FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY USE ONLY LOT / BL ~ RECEIPT ~cy SUBD. ~;~.~~!LF!~!G~C~ 7(~/c.a~ RECEIPT DATE: ~ ~ ~ MECHANICAL PERMIT # 1999 M£C~~NIC~L ~~~iMIT (it~SID~NT[~!L) CITY Of f~4fiAN S$SO PILOT KNOS RD EAfiRN AiN 551 YQ (651) 6$1-4675 Date• • Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-]00 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge .50 Total $ , Complete this section anlv if you are remodeling, adding to, or repairiog an existing single family dwelling, townhome, or condo. lease indicate if it is a new item, alteration, or repair. ' f~ New Alteration Kepair Other ~ Reminder: Ca11681-9675forinspections. ' _ Furnace ~Q Air conditioning Air exchanger _ Other $ 30.00 State Surchazge 50 Minimum Total Due $ 30.50 SITE ADDRESS: ~ ` ~ ~~I ~ ~ ~ ~ ~ y~ OWNERNAME: W~ L ~-!/l ~Q U'S ~ PHONE C9~- ~~_3__?~¢~ I (AREA CODE) INSTALLER NAME~M~ S v~ ~ I~ f~ a~'F 12 PHONE - , STREET ADDRESS: I c~d I ~~([i.,n C~ P_~i~ ~~A coDE) CITY. ~ J46' 4' ~ ,C/ /v STA 11s' / ZIP: ~ 3 ~ Sl N RE O I CIN USE ONLY L BL RECEIPT#: SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAI PERMIT#: ~ 1999 M~CflRN1Cf4L i'~RMIT (COMM~CIAL) C1TY Of ~4fifkN S$SO PILOT KNOB ItD £AfiAN,1~IN 551 Y4 (s51]s$1-4s75 Please complete for: all commerciallindustrial 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: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1 % ' PROCESSED PIPING PERMIT FEE STAT'E SURCHARGE ($.50 per $1,000 of nermit fee due on all permiu.) ' TOTAL ' SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION ~t City Of Eagan ~`~O . a-S- lI 3830 Pilot Knob Road, Eagan MN 55122 _ ~ ~i ~ Telephone # 651-675-5675 FAX # 651-675-5694 « g'~ 3-U `E' New ConsWction Reaui2men15 RemodeVFteoair Reouiremenls 3 registeBd sde suneys shaving sq. ft W lot, sq. f4 of haise; and aA roofed areas 2 copies of plan (20% ire~cimum lot wverage allawed) 1 set of Energy Cakulations fur healed add~tior~s 2 copies of plan sMwing beam & window s¢e.a; Powed found design, etc. i sile survey for additions & decks - 1 sat of Eneigy Calculations Addifbn - indicate HarsAe septic system w., _ 3 copies of Tree Preservation P~n if btplaried after 7/1193 Rim Joist Detall Options selection sheet (bldgs wilh 3 ar less units ~ am Date ~ 1 Construction Cost ~ CS Site Address l~ ~ /Z`'L \ UnitlSte # ~ Description of R'ork C- L ~ ~ Multi-Family Bldg _ Y ? N Fireplace(s) _ 0_ 1 _ 2 Property Owner ~--xU V~- Telephone ) Conhacror ~~S'~-- ~ , ~ e' Address ~ Glf ~ C~tY ~ State 11 Zip ~ T ephon #(~e s~) ~~'~o6~d c~L~ ~S/ 77S-z7Y.~" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NE1N BUILDING ~ - Tvlinnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code CategOry Residential Vendlation Category 1 Worksheet • New Energy Code Worksheet (J submission type) ~ Submifted Submitted • Energy Envelope Calalatlons Submltted Have you previously constructed a building in Eagan with a similar plan~ _ Y _ N If so, 25~ pian review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ~ D Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and aclmowledge that the informatio te; 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 a r ved plan in the c of work which requires a review and a oval of plans. 1 l~mn~~ I,~~~l.?~Sc~ti~ l~ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY ~ TM Sub Types ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling p 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuRi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ~ 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex O 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types O 31 New ? 35 Int Improvement 0 38 Demolish Interior O 44 Siding ~ 32 Addition ? 36 Move Building ? 42 ~emolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof O 46 WindowslDoors ? 34 Replacement •Demolifion (Entlre eldg) • Give PCA handout to applicant Valuation D Occupancy MCES System Census Code ~ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const 1/ ~ Width REQUII2ED INSPECTIONS Footings (new bidg) FinaUC.O. ~ Footings (deck) Y FinaUNo C.O. _ Footings (additionj x~ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ AidGas Tests Fi~al _ Framing Siding Stucco Stone _ Brick _ ~ireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall r: Approved By: , Building Inspector Base Fee Surcharge ~ v U ~ Plan Review r"~4~ ~ MC/ES SAC City SAC ~ ~ ~ ~ Utility Connection Charge S&W Permit & Surcharge Treatrnent Piant License Search Copies . 2 ~ Other Total . . f°`~ ~ I ~ L I $~ZZ ~~~f~00 ~~vQ ~ i ~ * . Al.ndofa Herqhta, YN 55720 ~ P~ ,N„+ . ~ =Si2) SSt-19i~ FAX:~Si-~t88 d/ ~ wn ; . waw.rc ~rcen ~aSineN~°h,wv~5513a .e. I tas~? 7~--~aso Fxx:~a~-~ea~ Certif~cate of Survey for. Hl~'FTNER CONST. 3azK src.n~ o~ve 1 ~ 3 ~ 8 epepncri up~t~Ex1! ~ Ex~snroG i ELEV~981P53 I ~9~4~~.~~ HOUSE ~~136.5~ ~~~2 ~ i 97&.5 9~5.5 977~79 37~3383• ~ 3Q.OQ 1.4 98Q.9 ~ r'-'_~-~v~---^-~N ---980.1 •_'N ~ ~ ~ - 1 p to ~ 9`~.. 97~~4 ;~7.3 ~n,~ ' i r„~,! i0 ~ ~ + ~ a.oo ~ ~ ~ ; ~a - ~ j ~ ~ C ~ ~ i~~ ~ w~ o~ ~,aa i~ ~ W 14 S a~ ~ ~ ~ ~ aa~.e y ~ ~r , ~ ~ ~ o ~ w. o ~ 'm t „ , , .zs ~ ~ -F~,~as~ t ao ~ ~ ~ x . /G/ N ' ~ g s s.~~(` aeo. , z. ~ ~ ~Q sa~.2f~ Z ~ ~ i N/'°. i~j n° V~ i io L _ _ _ _ =k~ ° fo.s~~ yo ' ~ ' +0 9e~.6 ~ . . ~ ~ ' 981.q 37.33 ~ 30.DD 9 88},} t~/~? S89'41'52'W~ as~ ~z 136.50 C9~'t¢ 30 OP OF P~PE , , s ~ ~ p~ E~~._~~,.e~ 1 l ~~~9~~ .norc nqaoosco wwcs suo~ nae cuowc wr an r.a auo osFn rt r~sr EtF. i~oLE: euunwa emewswNS 9+orM ~a[ roa F+o~azaurw .wo vtmmMx ioc~na+ IOwES lt F OOR ELEVATION: ~L~ oF s~wcan~s o~r. sa nwaaucrw~ vuws ?w owt~+o a+o ¢ r°.ow'°r °W°~°n~ TOP OF BLOCK ELEYAno?a: Mox: wo srcavic sa~s wvES~na~ ws er[H courtcsco rn~ ons ~or ur n+i luitwe~ae nC Sur~pRm p? sox! TO 9U~Yt1A7 tnc ~t~c Mouse caRaet scas EtEVanoM: q' P~EO 8 lifll 7i£ iffSPG~17T C! AIE SUR4EYaR b0'If: AfS GAFfICA1f 08ES MOT WiwOt~ Tfl SiDM GA9f'YCiiTQ 07NCA Tu+~l . i Oo4a0 DGG7[i O08iM16 QEV~710N n~OCE `~OM/ al UK MfA0N0iO VtiS. l OWICO ) IEH41E5 F~.O £..CVA770i1 M07E ODNAtAC~ON YIJST rWY LR1VE141Y CtSIGTI. OENOiF3 Wuwhc[ r+a u7iUN C~SE~FNT . OCfqfC7 DRMMAGt /I.Ow OnE~CnON MO~s ~Y1C4 SFWYM ME BASFD ql Ail A~IYW O~N11 -f-- OElq1ES fiON~YEMT DWDiCS OPi5E1 iYlO WE HEFf6Y CE+i~1FY T4 HUTTN'eA COi~15T. TriA7 THiS fS N iFUe''AND COr'i~ECT REi~i2e'S'cN.TAADN OF A SURVEI' pF TtiE 60UripARlES OF: nQmi~.~~uuB~~uw~sail P(AiETREE ~C?REST IT DOES N07 PURPORT TO SFIOYI lMPROVEMEtITS 0~ GNCHROAt;11YrNTg, EXGEP7 A5 5H01~1Pi. AS 5U~t~tYf.U f~Y Mp pR UAlOER IAr OIKEGi 9J~RY~SWN Z~5 34M Oar CIf OC?., t9U$. - SI Ea: P EER ENGINEE ID.~ Sw~LE : 1 trypi ~ 30 FE~T Qy~ r' ~ nn . a~.on, l.S. R69. 0. vaz PERMIT C~~'Y OF EAGAN 38:~ Pilot Knob Road PERMIT TYPE: Permit Number: B U 7: L IJ 7 N G ~Eagan, Minnesota 55122-1897 0 3 «119 (651) 681-4675 Date Issued: 11 9 8 SITE ADDRESS: nezs svcanio~~ n~ ~ LOT: 7 BLOCK: 3 PINE7REE FOREST P.I.N.: 1@-57650-0'/m-03 DESCRIPTION: ~U~~d~nq'fl~rmit Type SF DWG B~aildinq W rls, Type NEW 1JBC Occupancy R-3 Canstruction Typ~. VN / Zoninq \ R-1 ~ Buiidinq Lenqth ~ 70 ~ Eivi3dinq Width J 37 ~.-f, Bu}ld.i.nq. stori,es 2 ~'£-e~tY'~,`y~Gi Code ~_i' 101 1. - FAM. DETACH ;y ~ v ~j-~- ~l ~ r ~ ~ ~ , /G A\ ' ~ ' ~ . 1 ~ , ~i _ _ ~ / REMARKS: PI_AN REVIEWFD BY CRAIG NUVAC7_YKe S& W PLUMBER TS S7AR PHONE#884-4149. FEE SUMMARY va~uArzoN ~iec.mme Base Fee $7..217.25 MISC. FEES ~_1.592_.50 Pl.an Review $791.21 Total Fee $A,683.96 Surcharge $83.(~0 SAC $7.,~00.~0 SR~~ ~ 100 SAC Units 1 Sut~total $3,091.46 CONTRACTOR: - A~a~,licant - sT. {.zr,. OWNER: -HUTTNER CONST, WILLIAM 14523088 ~001653 HUT7NER CONSTRUCTION '6P~ ~ WA1"ERFORO Df2 W 9fi~ WATERFORD fIR W AGFlN MN 55.123 EAGAN MN 55123 6111 452-3088 (651)452-3mf38 I hereby acknowledqe that I have read this application and ctate that the informaxion is rorrect and aqree to complv with a11 applirable State aY M1tn. Statutes and City aT Eayan Ordinanees. ~ ~ ~ ~ APPLICANT/PERMITEE SIGNATURE -~SUED BY: SIGNAT RE ~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ° CITY OF EAGAN L~ 1 t(~ 3830 PII.OT KNOB RD - 55122 / Q. _J ] ~ 681-4675 ~o C) ~o ~ New Construc[ion Reauirements RemodeVReoair Reauirements C~~ 1 1"~L ( J ? 3 registered sde surveys ? 2 copies of plan ? 2 copies af plans (inUUde beam 8 window sizes; poured fntl. desgn; etc.) • 2 site surveys (euterior addkions 8 decks) ? 7 energy wlcuWtions - ? 7 energy calculations for heated addftions ? 3 copies of tree preservation plan H IM platted after 711l93 required: _ Yes _ No DATE: ~I ~-S~'~Q CONSTRUCTION COST; ~S~IU~a ~ DESCRIPTION OF WORK: T~~! t! STREET ADDRESS: 79~ I S~/C'd- /~l o rP ~Urr U~ _ LOT: 7 BLOCK: ~ SUBD./P.I.D. ~i~.~V'~ ~6f~S~ Name: Pho~e PROPER'I'Y Lsst First OWNER Street Address: Ciry State: Zip: Com an GV ~ ~lu~{f~~ C-~ Phone U S~`7 S~ ~ d~4 P Y~ CONTRACTOR ~ ~ Street Addresr. ~~D ~~'~~"~To I'd JJ1'. License # ~~-S~ City ~~`/?is'L State: i"/l.4c_ Zip: S-~~ ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): ~ . Penalry applies when address chang and lot change is requested once permit is issued. g~S~-41~ i hereby, acknowledge that I have read this appliption and state that the informab~on is correct and agree to comply with all applicabl State of Minnesota Statutes and Ciry of Eagan Ordinances. ~~~°C~ Signature of Applicant: ~ ~ ~ ~ ~~~~'~~J ; OFFICE USE ONLY Certificates of Survey Received ~Yes No N~~ ~ 2 I~ Tree Preservation Pian Received Yes _ No _ Not Requ' e , , OFFICE USE ONLY ' • BUILDING PERMIT TYPE ? 01 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility O 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Afterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) ..S-N Basement sq. ft. l ~y MC/W5 System (Allowable) s~ h~Main level sq. ft. 2 a City Water UBC Occupancy e" 3 2cD !-+J sq. ft. 1 o'Z 6 Fire Sprinklered Zoning ~ sq. ft. ~ PRV # of Stories 2 Po~2[I~F sq. ft. a3 Booster Pump Length ~ sq.ft. Census Code. o I Depth Footprint sq. ft. SAC Code 0 I Census Bldg ~ Census Unit APPROVALS ` • -s Planning Building Engineering Variance a?-v Permit Fee ! 1`-t ~ 2-~ Valuation: $ Surcharge ~C~ Plan Review 1'~--I I~o~ K~IS - 2 I o 3 a"^ License ~ _ M CNVS SAC ( 0 O U. 0 O l 2Yu ~c g~_ (o-~ ~~-v~ ' C+ty 5AC lb 26 .sC S` M- = S~ ~ n~"~ Water Conn. ~ ~gx t 4 ~ p ~ ~ ~ ~ , ~ Water Meter ~ 3 X~r...~ ~ o Q~Z Acct. Deposit - 51W Permit ' S/W Surcharge ( ~ ~ c~-a _ Treatment PI. ~ S ~ ` Park Ded. Trails Ded. Other Copies Toe~i: y, c~~ 3.9 t~ sa,c SAC Units ca~'~~L~ CdY`( • ~re~ ~~es~-rua~'tox, ~~zrc. ~ ~ t'i xe. ~'re2 ~'o re st ~e~e-~oP ~-ot 7 ~ .3 p w n e~- ` /-tu-~i2 P•ci C'oxsT ~u ~ I ~~r - cv - /~w~~ ~ r ~aesB~a e~cf~ ~,l~ ~~,~tH~ N l~%~~ ~ ~Sr ` ~SL 30~ a~p~i~~ ~ zf~. ~e = ~iu~ ~~i~`~'~ C~~ 1' 1 A.b' ~a~ . e.c ~a~ o i5 . ~e~ ~ • ~v ~ ~~3 9 ~ ~}ou-S~' ' ` ? ~ a ~ 6 ~ ? S~ O G"D1e I ro • ' ~ • i h ay I , ~ P ~ ~ ~ 1l P ~ti Fx ~sfr~y Trees ~ f. t z" ~s~i Saue. ~W~G~ Su.+~"~ 2, I Z" f~ s~ sao e - ~lAG~ ~i ious 3. 3 0' P~~i.e S z a- e ~~r -7 y, ZD ~ Piw-e sau~ 1 ~~C~S S. 3 0' P;,~.e sau e Sr9l?r~, c~+. 6, zo ` P,Ke. sz-e ~e~Co o-d~ al/owad~~e zo~ ~.3 ~ 3 0~ P,~ sa•e ` ' P.u.¢- Sa~ ' 3 0, P~Ke rc•~ouC ProPose~ eexar ioxs o. 3a ` 1~"~¢"- sa°e d ~ ~ - P ~.a. szrie Trees ~~o~ / ~t _ Zo p • sa~-~ /Z- i.~ ~ f v2, S~c2 i3~' 3O ~ saue l~F . 3 0 ' 1~iK2., !S , 3 0 ` ~r k.e. San2 PtKC. J~aa~ i6. 30 ' , 17 , 3 P~e. ss~ ` ~ . • ` ONE- & TWO-PAIvQi,Y RtS(DL•N'I'iAL pLJ~I,IJ~G p~J~.rvF (COOK-DOOK) API'ROACE 1 MAX1Mi1M WiNAOW qND 00012 AREA AS A PERCGNT OF OVERALL WALL AREA Pmm Mlnn. Kules oar~ 7F~n~qZ~~pari i item ~ Cavlt Sxtarior Wtndow U•Factor Framin lnaulation Sheathin 0.49 0.36 0.31 0.2T STANDARD R-13 R- 7 13.49`i ]7,8°/s 21.3% 24.3%v ' STANDARD K•l3 R- S 12.4'/. 16.4°/. 19.79'0 22.S9'o STANDARD R-t5 R- 5 12.9% 17.1°/. 20.1% 23,4°/u 57ANDARD R-]8-1g < R• 5 1Z.19'a 16.094 18.8% STANbAR4 22.U% n-18..19 R- 9 14.096 18.69'o Z1.8% 25.3% ADVANCED R-1e-19 < lt - 5 12.996 17.1ya 20.19~e 23.4'Yo ADVANCED R-18 -19 R- 5 14,$9'e 19,29'o e STANDARD ~Z-g~'a 26.1 /o R-21 < R- 5 12.8°/. 17.0°10 19~9% 23.1% STANDARD R-21 > IZ - 5 14.5°/. 19,396 22.5% 26.1% ADVANCED [i-21 < R- 5 13.6% 18,1% 21.2% 24.6% ADVANCED R-21 R- 5 IS.oY. ~ 19.9 /0 13.2`Yo 26.9% • Addttlonal ealc~~~ ~ ~t r STANDARD A•17 < R- 5 11.9°k 15.79'0 18.4% 21.5°!e STANDARD R-17 It - 5 . ADVANCED ~_l~ 13.8Y• 18.qYo 21.5% 25.OYe ADVANCED S 12.6°h 16.85'0 19.fi`Yo 22.9% n'17 R- 5 14.3Yo I9.0°/, 22.IYo 25.7s'o Notcs: w~ndaw u'ts equsla rough opening minus lnakallatlon clearantes. Wlndow U-facto~ must tx determincd by elther the Nationa! Fenestratlon Rattng Council standard 100-91, or ASHRAE 1993 Handbook o[ Fundamenials, Chapler 27, Table 5. Po~4M' Fax Nau 1671 oN. ~ n ^w`~ rrew G~pyt ~ ~ %w.~ n ~M • 4 ~ ~ y'~=ss~ ~'•~''•RGY CODE WORK5HEET FOR 1& 2 FAMILY DWELLINGS sZrs xaaxsss L / c~a~or~ cxa~x ~'a ' . consraaxsn sx: k~r. ll aaoxs ~ 6S/- ySz -.3b DATS `rS-~~ BIIILDIN6 CLASSIHICATIONs aatsgo ~1 (otaadard) or ? aategory S(must~iaalude veatilatian) MII~SMIIM CRITBRIA Foundation Insulation-R10 Alalla z Wiadowa &oof Attia.Iarulstioas ~ (Sae table on reveree eide 31ab on Grade Ineulatioa-R10 for allowa}~le percentagee) R44-With Attic No }teel Floor over unheated epacea-R24 ~ - ~R38-With Attid Raised Hael . Foundation Windowa 1/2" R38 & RS-Solid Raftere insulated Glasa. -Wood or Vinyl Fraate ~ STBP 1 Wiadow G Door Ar~a 9TSY 2 Calaulata area aa a p~ra~at oE pall A. Total~Window & Door Area in Sq.~,Peet ~ ~ - ~ WINDOWS (Including Foundation Wixrdowa): WIIlnow MANUFACTVAB NAMB: ~iKC+~K. C. From Step 1 divide box A(Window & Door,~ C,~ 5~~~ Area) by box 8(total wall area) timee S00 Wa7DOV7 MANUBACTQFtB TYPB: equala tha window and door area ae a percent of wall area (box C). wu7now xnxosACZVas v axrrox: R• O• Quantity eq.ft.Area BoX A Srd y X loo . ~ Dimeneione Box 8 3~87 ~J~~~ t L 1° X /-n 9TSP 3 D~eiga H~atur~¦ -O X .3'O /Z ASSEMBLY Z-6 X,S ~ I~C RXL ~(JO BRAMINO TYPBs J~'~ X 3' ~ ' Z S STANDARD FRAMING x atuda 16" o.c. ~ X ADVANCED FRAMING etuds 24" o.c. Z~ X~f-~ ( D CAVITY INSULATION R~ X 3ABATHIN6 TYPHt . X LESS THAN < R-5 X ~ R-5 n OR MORS X • U-FACTOR II From tha table, (reverse aide) datermine the -D X~-S ~ maximum percenC window & door area for the deeign optione eelected and enter the t value X / Q in Sox D below baaed on tha window mEg. II- z- r o factor: 3-o x f 60 ~n Total Area of Iu~/~ sq.£t. Windowe & Doore 8. Total Wall Area in Sq. Pt. The t value from the table in Box D shall be equal to or greater than the t in Sox C Wall Total Fieight Area Perimeter ~ ~o S Yvo ~ 90 ~o / o0 l~3 /Z~7 ' IIfY6f GlOV6 }I6I~i ToCal Area of Walls 8..~j ~ eq.ft M s . 2422 Enterprise Drive * ~ Mendoto Heiqhts, MN 55120 't PIONEEA ~ANp SyRVEKWS • f]NL ENCINEERS ~6~2) 681-1914 FAX:681-8488 ~ eng neer na P~'WNERS• LIJIDSCME ~RCHIiEC15 625 Highway 10 N.E. * * Blaine, MN 55434 * * * (612) 783-1880 FAX:783-1883 Certificate of Survey for: HUTTNER CONST. 4921 SYCAMORE ORIVE . I BENCH MARK I I ,TOP OF PIPE ~n EXIS7ING i ELEV.=981.53 I 978.5 oi HOUSE j ~ ~ • ~ ¦ ,136.50 cy z 976.5 S8g 9 5.52 W 977.79 37.3383. ~ 30.00 1.4 980.9 ~ pi io ~n !3 ~~?77,~ ~~~-------Or-_ -980.1 -7° i i 976.~ ~ 10 ~ 0 ~ r~' 977.4 i o 27.33 ~--1 I h ~ ~ O I ~J N 4' I ~1 h ~ I~ ~ I ~ I ~w ~ O 14.00 orw ^M y,~ ' ~v~ ~ I Q I ,~o' M~ //a0 6'i ~~0 V I I wZ ~ 14.00 ~x n 4. ~ I~ W aw 0` ~a 'o i 981.9 vWi W i~ I 4 3 ~ Zw ~ 0 9~71.7 ~ ~ OD o ~10.0~ ~ ( ~ Q I ~W N I ~ 0} Q cp I x ta.es /a/~, r o3 I oD ~ U ~ r O 908.6 980.8i o/~ 2.00 S~~ ~ O 98~.2 N i o, ao ~ Z 7~ ~ oi 981.9 ~20.67`~ 1 _J 10 ~ ^ - I , ~ ~ ~ 9e~.s ~ • ~ i3 ss~., 37.33 30.00 81. ~qg~~ S89'41'52"W sa,.,z 136.50 ~qb~,H~ 30 BENCH MA K ~ 15 I TOP OF PIPE I I ELE V. =981.87 ~ 6 ~4,~ ~ ~ i' ~ t , I zi ~ ~ ~~l- - _ ~ NOlE: PROPOSED ~ADES SHONN PER GRAOING PLAN BY: E.C. Rl1D PROPOSED HOUSE ELEVATION . NOTE: BUILDING DIMENSIONS SHOWN ARE FOR XORIZON7AL ANO VER'f~CAL IOCATION LOWEST FLOOR ELEVATION: q~~°~O OF STRUCNRES ON~Y. SEE ARCHITECNAL PLANS FOR BUILDING ANO ~'j$S N FouNOnnor+ oiMer+~oNS. TOP OF BLOCK ELEVATION: NOTE: SURVEVOR.ICTI~ISUITA85T1' OF SOILSSTOESUPPORT~ EDSPECIFIC HOUSEY TME GARAGE SLAB ELEVATION: N 3 PR~OSED ~S NOT TXE RESP~NSI&UTY OF THE SURVEYOR. NOTE: TMIS CER7IFlCATE DOES NOT GURPORT TO SHOW EASEMENTS O7HER THAN X 000.00 DENOTES E7n5TING ELEVATIQN THOSE SHOWPI ON 7NE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELE~AnON UENOTES DRAINAGE AND U71UTY EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY ~ESIGN. - pEN07E5 DRAINAGE FLOW DIRECTION NOTE: BEARINCS SNOWN ARE BASED ON AN ASSUMED DATUM • DENOlES MONUMEN7 B UENOtES OFFSET HUB WE HEREBY CERTIFY TO HUTTNER CONST. THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 7, BLOCK 3, PINETREE FOREST DAKOTA COUNTY, MINNESOTA IT ~OES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 30TH DAY OF OCT., 1998. S~GN D: IONEER ENGIN IN P.A. SCALE : 1 INCH = 30 FEET ~Y, 1968 97489.04 SWK ohn C. Lorson, 1.5. Reg. No. 19828 ~ i , LOT SURVEY CHECKLIST FOR RESIDENTIAL • ' BUILDING PERMIT APPLICATIO • ~ PROPERTY LEGAL' ~ ~ - ~ ~ DATE OF SURVEY: ~a I3 6~ ~ ~ ~ LATEST REVISION: ~ ~ m DOCUMENTSTANDARDS z p~o O • Registered Land Surveyor signature and company ~a~~ ? • Building Permit Applicant e' ? • Legaldescription ? ? ~ Address ~q ? • North arrow and scale e~o ? • House type (rambler, walkout, split w/o, spiR entry, lookout, etc.) e o ? • Directional drainage arrows with slope/gradient °,6 m~ ? • Prop~ed/ebsting sewer and water services & invert elevation ? • SVeetname ? ? • Driveway ELEVATIONS Ebstina 0~0 ? • Sewer service (or Proposed) ~o ? • Properly corners L9~o ? • Top of curb at the driveway [3~0 ? • Elevatians of any existing adjacent homes Prooosed L~~ ? • Garage floor FFa~o ? • First floor ? • Lowest exposed elevafion (walkouUwindow) ? • Property corners fil~a ? • Front and rear of home at the foundation PONDING AREA Cf aoplicable) ? • Easement line ~ ? • NWL ? [a~ ? • HWL ? L~ ? • Pond # designation ? ~ ? • Emerge~cy Overflow Elevation DIMENSIONS ? • Lot Iines/Bearings & dimensions ? • Right-of-way and street width (to back of curb) C~ ? ? • Proposed home dimensio~s including any proposed decks, overhangs greater tfian 2', porches, etc. p.e. all strucfures requiring permanent footings) ~o ? • Show all easements of record and any Ciry utilities within those easements ~o ? • Setbacks of proposed structure and sideyard setback of adjacent existing sUuctures ? • Retaining wall requirements ' any Reviewed: ame / ate January 7996 CRAICI BB&BLDGPRMT.FM l::I:TY OF CAGAN l:ASHTER: S T'EI'iMI1~AL. N0: i i i DA'iL'.~ i~'7/1~1l~~ T.T.Mr: 13:i.:3:C10 IL'i: t~A~fE~ I._ORI 1 ANU~RSON ;34;i0 ~O(:li 4`321 SYCAMpFif::: D L1.S0 3c?10 3C10J. 492i. SYCAMORF_ Il 60.0~] 21Li.i `.3U1]1 4?21 f~YCAM(7fiE: L~ O.SU . ~ Tot;.~l Rt?~'r~i.F:~t, Flmo~;ni;; 6i..00 CFi i 136'i L7 USE~ ]U. NANCY ~k X~~t~K ~ X~~ R~~F~k~k%t~k~k ~M%~*X~ ~k %~k~~#x~ ~~X ~F#~k %~~k~%~k ~#X~~X - 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) , ' ' CITY OF EACAN 3530 PILOT KNOB RD - 55122 ~ ~ _ ~ 651-681-4675 ~e C~ New Conshucfion Reaulremenh Remodel/Reoah ReaulremeMs ~~i D 3 regisfered sRe surveys ahowing aq. ff. of lot, sq. M. of house 2 copfes of plan and gll roofed areas (20% maximum lof eoveroae allowed) i seT of energy calculations for healed addlHons ? 2 copies of plans (show beam R window slzes; poured fnd. design; etc.) i sHe survey for exferior addRtons 8 decW ? 7 sef ot energy calculations D 3 copies W free preservatlon plan N lot plalFed after 7/1/93 DATE: rJ- I~- t q CONSiRUCTiON COST: ~U~~ ~ DESCRIPTION OF WORK: j.tLCk, C(~YI~S~L(~, OY\ STREETADDRESS: _SUC'CL(YIOr2, ~rii/~P LOT: ~ BLOCK: SUBD./P.I.D. ~l (1P T~P ~ O(~ C~T Name: /i~'1(.~Q~d~ ~Ot~~ Phone#: lf~~(- Y~3~a0~~ PROPERTY last Ptrst OWNER Sfreet Address: `t ~a ~ S1/C~1Vl f~~ CRy G~I~Q w'~ State:~ Q. IIp: ~5~~ Company: -s~~ Phone ~F: (area code) CONTRACTOR Sheet Address: Llcense # bcp. City State: Zlp: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Siree"t Addresr. Registratlon City State: Zip: Sewer 8 waler tlcensed plumber (reauired for new conshueHon onfvl: Penalty applies when address change and lot change Is requesfed once permit is issued. ~~~reby acknowledge that I have read ihts application, riate that fhe Informotion Is correct, and agree to comply wHh all applicabl 5tate of Minnesota Stafufes and CHy of Eagan O~dinances. i ~ Slgnature of Applicant: ~ ~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required { OFFICE USE ONLY ~ ~ BUILDING PERMIT TYPE ? 01 Foundation ? D6 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ~ 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ,1~ 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-piex ? 10 8-plex ? 15 Lodging Q 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ~ 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove _ ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ~ * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) S•'--~ Basement sq. ft. Census Code (Allowable) ~ Main level sq. ft. SAC Code D I UBC Occupancy R• 3 sq. ft. No. of Units ~ Zoning R~ I sq. ft. No. of Bldgs v # of Stories sq. ft. MC/ES System . Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ~ Engineering Variance Permit Fee Valuation: $ ~~7c~-"'" Surcharge Plan Review License MC/E5 5AC ~ City SAC Water Gonn. Water Meter Acct. Deposit S1W Permit S/W Surcharge Treatment Pi. Park Ded. ~ Trails Ded. Other ~ Copies • 50 Total: SAC Units % SAC . ~ ' ; i ;c * 24ss EnlRpr~es pAr, Yantlot0 Hei hti, YN 6572v ~ p~ ,,,,p a,. t812) $Stv 1914 FAX:~-3i{88 u~ • wncr.in aoa.aen ~i~ * , B'w5irie~~ANV ~36.E. ~ ~ tSi?J 7~3-1880 fAX;783-1883 Certif~cate o# Survey for: HtlTTtdER CONST. 4~~~ S~~ ~ ~ ~ 3 j 8 BENCH MARK ~ ; E~v.~se Ps~3 1 97'&6 Ek~WSE ~ ~,s.~ S89'41'82"MN eaa 1138.5Q ( 2 ~ ~ 915-G 9n.79 37.ys .00 ~•4 98Q.9 ~ n Cf ~a 10 -•~-~r~. ~ ~ ~ -980.1 j~ ~ l0 ~ ~ 576.,~ ---I r 977.4 7.3 ~ _-.-.+o.; p g 4 `ti.~ ~ ~ ~~O0;i~1 S ~ ° I ~ M ^ ~ f y~ ~ G ~ ~ - ta. o ~ ~ ~ . 14 ~ y~ 7 c~ ~ 1 aa~.o i~, ~,.t ~ ~ o ~ , o0 ~ ~c ~ m Y \ n..,'v8 /~y~'N -~i,~\~# i OD . g ' ~ 908.6 980.8; ~'l ~ ~ ~ S/~ 2• ~a i ~ ssti.z `y Z 10 ~ ~ ~ N~~~v a4 «~S ~ L - ~ _ - - - - - aai.a a.ss~ ~o t „ ~ ~ri ~ ~ 9g1.8 ~ ' ~ 981.4 37.33 30.D0 9 SBS.1 ~ t~~L~ s~9•a~'~-w~ sB,.~Z i3s.so'~., ~~l¢ BENCH AIARK ~ 1 S ~ 70P OF PiPE ~ ELEV.~pg1.87~ ~ -W7E PYOCO$D DY~OE4 iiqYt Pat ~i1WM. W~ut Yr. [A. W6 NO1L AIMtLWG OY4M9011S SHOMN ARE FOR F10iM20NiK AMO vGiU'iL IOCAnOM ~naaucn+K vw+5 ra owaWO aw LOWEST FLOOR ELEVAiIOH: ++o~: ?a srcavn sp~s wv¢s~wnoa eE~ co+wwtteo a~ ne9 ~oT nr n¢ TOP OF BLOCK ELEVAT~a~: ~5.~1' a,M+s,ar. ¦e w.rburr a saw ro a~vroR~ r~ saCaAC Mp/3E GARAGE SLAB EIfVAT10N: ~ a~rrr u¢ ~vnr a nit suR~ eorL• n~s GR~iuTt o6cs wor wswarr ro aww r~wsca~owra mNCa r,~ar~ x ooo.oo awus oosnm auwna~ nwae s~o~w ar a~c ~oaworn awt. I wo.m ) 1~mcre5 ~wcvuga c.wknow ~a7E CONmRC+OIt wut ~wr ~Y w~iiY. oFxoiFS auwnrt ~wc unun eKEYFlIr • ' QCqfCO ORAtlMAGt /lOW D~Ki.7~pM M03s ~'/IYMC.4 Si01W ANE BA9m Oi AX +?Y4IJMED OAANI OEiOTES 110MUYEMT , v CiWDTL$ 01TSiT 1WP WE FiE(iFBY ~TiF1' ~O HUTTNeti CONS7. TiiAT THiS IS A TiiUe''AN~ ~ORFcECT RePR~SENTATidN OF A SURVE7 OF 'iilE 60UNDARIES OF: oLu0~Tu7~B~0~3~ PfNETREE FaREST IT DOES NOT PURPORi TO SHOri IMPR9VEMEMTS OR L•NGtaROAt;HlatHTS, EX~PT AS SM01Na. AS SU~iYrYEp yY 1~ pR UOlOEfi 411f G~RECT 9.1~'ERV~SWN tbuS 3GIN OAC OF OCL., i998. Si ED: EER Eh1G1 0, P 5~ALE : 1 iiVpi = 3D F~~T ~ri ~ ~ ~ gry~ hn . onon, L.3. Req. 0. 0 IO'd uu c~~cn ocoi_~n_xnu ? t BL ~ CITY l1SE ONLY RECEIPT ~/~Y ~l SUBD RECEIPT DATE: ~ ~ / 1999 ~PLUM$INfi i'~tMT1' (i~SIDENTIFcI~ crrY oF easxri 3$SO PILOT KNOB fiD Fr4fiAN, MN S51 YQ (s5i)s8i-ns~5 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system - FIXTURES EACH TOTAL Shower 3.00 x ~ = 3 00 Water Closet 3.00 x 3 = -00 Bath Tub 3.OG x 2, = G.oO Lavatory 3.00 x = is'oa Kitchen Sink 3.00 x / _ ~a.oa Laundry Tray 3.00 x / = 3°a~ Hot TublSpa 3.00 x = Water Heater 3.00 x = 3.00 Floor Drain 3.00 x / _ ~3.00 Gas Piping Outlet ' minimum - ~ 3.00 x ~ = 3.00 Rough Openings 1.50 x 3 = ~.~0 Water Softener ' for awellings under construction 5.00 x = Water Softener ` for existing dwelling 30.00 x = ' U.G. Sprinkler ` for dwelling under const 3.00 = U.G. Sprinkler * for existing dwelling 30.00 = Alte~dtlons ' to existing residence 30.00 = Water Turn Around 30.00 = Private Disposal System ' MPC iic. 75.D0 = (new and refurbished systems) Private Disposal Systems ' nnandonmen~ 30.00 = RP2 (new instailation/repair) 30.00 = STATE SURCHARGE .50 Reminder: Call 681-0675 for inspections of water heaters, water softeners, aiterations, etc. TOTAL ~3. 00 f hereby acknowledge fhat I have read this application, state that the information is mrrect, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicanYs responsibility to notity the properry owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the City duAng its namal operational and maintenance acfivities to the fatilities mnstruct~ under this permit within City propertylright-of-way/easement. SITEADDRESS: ~2I x+eirv.s.r.s i~,l,e OWNERNAME: ~9j~i7jxi.E~ ~.d~ INSTALLER NAME: 711a1f'G»!~ .C~J~ ,~i! . TELEPHONE ~G~/~ 5~.~3-~,~g~ , ~ STREETADDRESS: /.~,330 ~i~,~,t,uinL,~- ~Ltyi CITY: e.n i ~ u tj', STATE: ZIP: O/c~ i ~ /HD .~!~A11L/'/li~ SIGNATU OF PERMITTE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 ~ CITY USE ONLY LOT ~I BL RECEIPT O_. Do~ ~ SU[3D. s irpp ~ RECEIYT DATE: ~~~~9 9 1999 M~C}I~1VIC~EL ~P£$MIT Qf~£51D£NTI~4L) CITY OF EAfiAN 3$SO PILOT KNOB RD eAfiAN MN 5512P (651) 681-4675 Date: 2 ~ ~ V ~ ~ ~ Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas ouflets (minimum of one required @$3.00 ea.) ~ o~ • State Surcharge: .50 • TOTAL: 3 L • 5'~ Complete this section o~~lv if you aze remodeling, adding to, or repairing existing sin~le family dwellin~s, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. New _ Replacement _ Repair _ Other Fumace Air conditioning Air exchanger, i.e. Vanee system, eta _ Other Reminder: Call 681-4675 for inspectinns. $ 30.00 State Surcharge: . 50 Total: $30.50 SITE ADDRESS: 7 Z I SV C,0 I~+ D~~' D~• OWNER NAME: ~/U ~ TN e/~ 1Y 0?r~ c S S-•tic. PHONE ~ rZ . 3 0~6 INSTALLERNAME: G R.OICFS I~7'S d-/Q/2 ~6.~D_ yu~ PHONE~, yZ~"'~ ~U~ STREET ADDRESS: 3~ t ~ ~ G?- C[TY: ~~S~~6U~ STATE: ZIP; ~ 66 ~ ~ SI A E OF P~TTEE JS/PORMS LILD/MECH PERMIT (RES) - 1999 CITY USE ONLY ~ g~ RECEIPT#: SUBD. RECEIPT DATE: APPROVE~ BY: , INSPECTOR ] 999 M~C~iANIC~kL PERM[T (COMh1~RCIrEL) CITY Of ~E6i4N 3$SO ~'ILOT KNO$ iiD ~s,~1v, ~rr 5512E fs51)s$i-4s75 Please complete for: all commercial/industrial 6uildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTEAIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR ~30.00 minimum fee, whichever is ~reater. Processed piping - $30.00 CONTRACT PRICE x 1 % PROCESSED PIPING PERMIT FEE STATE SURCHARGE (3.50 per $1,000 of oemut fee due on all permits.) TOTAL SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE , ~ Cit of Ea ! Pe~~~#: 7~9 ; ~ 1~,~, ~ ~ Permit Fee: ~ ~ 3830 Pilot Knob Road EegBn MN 55122 ^ j Date Received: j I ~ Phone: (651) 675-5675 I I' i Fax: (651) 675-5694 i Staff: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~ D~ Site Address: ~7 / ~ ~ ...C~ vc-a cti-.s'r ~ Tenant: , ~ ~ S Suite RESIDENT / OWNER Name: ~_~P _i'~ G~~ c~.--~ Phone: Address / City / Zip: ~19~ r S v L~. 1 r Applicant is: _ Owner ~Conlractor TYPE OF WORK Description ot work: D~, +~v-+-~'~" ~'~L' ~i Construction Cost: ~2~ Multi-Family Building: (Yes N ~ CONTRACTOR Name: ~r~SC~ ~S• C v~~~~ ~d License I~y~ Address: 7 J C~ ,~ctcl= -/~~t- City: ~ State: ~L Zip:~m~0 Phone: 6S~ ~-l Z~j ~ Contact Person: IC~° COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission typB) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a simiiar plan based on a master plan? _Yes _No If yes, date and address of master plan: Llcensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ~~NCiTE t~Jan~ a°s ppo~tin~ docome~+t~ ha~you su6mltare n i~ere~ fa^~ie~ u c arma~+ESr~ '~o ~~'ns~rif ~ ~t6~'Jnfa~rr~a~io~irray b las~slfled ~~nonrPu~~iF+lfY~ P~?~'it{~ s~~lfGc r~sor~s th~i a~~atuA~ta~ral~e~ty~ _ _ ~ ~ ~an~lude.that tiie ace trade sdcrgis. ~ ° _ x . . ~ - 1`hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a pertnit, but only an application for a permit, and work is not to start witnout a permit; that the work will be in accordanceC ~~Proved plan in Ihe case o r i v d approval of plans. ~ D ~I " T232008 ~ ~~~`'""~~'l1 Applicant's Printed Name Appllcant's Signature Page i of 3 ~ DO NOT WRITE BELOW THIS LINE sua rvPes ? Foundation ? OS-plex O 16-plex ? Accessory Building ~ Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt - Multi ? 01 of _ Plex ? 07-plex ? Garege ? Porch (4-season) ? 6ct Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Poroh (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ~ Lower Level ? Stortn Damage ? 04-Plex ? 72-plex ? Miscelianeous WORK TYPES O New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ~ Alteration ? Fire Repair ? Windows ? Demotish Foundation • ? Replacement ? Egress wndow ? Water Damage ' Demolition (entire building) - give PCA handout to appliwnt DESCRIPTION: ValuaSon Occupancy G 1 MCES System ~ Plan Review Code Edition ~.~7 SAC Units - (25%_ 100°/a ~ ~ Zoning . /Z ~ / City Water ~ Census Code G/3y Stories - Booster Pump - # of Units - Square Feet ^ PRV ~ # of Buildings ` Length ^ Fire Sprinklers " Type of Const ~ Width REQUIRED INSPECTIONS Footings (new bldg) SFieetrock Footings(deck) Final/C.O. Footings (addition) Fina1/No C.O. Foundation . ~ HVAC Drain Tile Other: Roaf: Ice 8~ Water Final Pool: _Footings _Air/Gas Tests _Final ~ Framing _ Siding: _Stucco Lath _Stone Lath _Brick Fireplace:~R.l. ;~AirTest ~final Windows ~ Insulation ~ _ Retaining Wall Reviewed By: , Building Inspector RESIDENTIAL ES: Base Fee Surcharge Plan Review ~ MCIES SAC City SAC Utility Connection Charge S8W Permit 8 Surcharge Treatment Plant Copies Total Page 2 of 3 ~ For Oihce U . I ~ y~Q I r City of Ea~a~ I Permit N~~~/ O~ I i Permit Fee: ~J ~ ~ 3830 Pilot Knob Road ~ I ~ Eagan MN 55122 I Date Received: ~ Phone: (651) 675-5675 ~ i Fax:(651}675-5694 ~ Staff 2008 MECHANICAL PERMIT APPLICATION ~ate: ~ 7' ° C~ Site Address: ' 9 ~ Tenant: Suite RESIDENT I OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: h~~ fl £,c/ ~ /a . ir License Address: ~ ~a ~i V•~~J N(~ 1~! 7~~ 5"~ O~ CitY: A p~(~ ~ ~ e~/ _ State:/~'l N Zip: l)l~o~ f_~_ . Phone: ~IS ~'~l 3/ 5-~'I f Contact Person: .u ~ TYPE OF WORK - New _ Replacement ~ Additional _ Alteration _ Demolition Description ot work: I~ G/1 $ '~t ~ a v C- NOTE:'.Both'roaf mounted and ground mounted mechanica! eqblpment !s requlred to be screened by City Code. Please contaci the Mechanica! Inspector or one of the Planners for informatlan on ermitted screenln methods. AESIDENTIAL COMMERCIAL PERMR TYPE New Construc~ion _ Interior Improvement Fumace - Air Conditioner - ~nstall Piping _ Processed Gas Extetior HVAC Unit Air Exchanger - HVAC units mus~ be screened Heat Pum/p / Under / Above ground Tank L Install Remove) ~ Other G~ f.,'n ~ " When installing/removing lank(s), call for inspection by Fire ~ Marshal and Plum6in Ins ector RESlDENTIAL FEES: ~ $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fi~B !@polf (replace bumed ou~ appliances, duc~work, etc.) (inCludeS $.50 Stale SufCharge) ~ $ S G~ S TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contrect Value S x~~~ $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less ihan $1,000, surcharge is $.5~. - li Permit Fee is >$1,000, surcharge increases 6y $.501or each Stale Sufcharge $1,000 Pertnit Fee (I.e. a$7,D01-$2,000 Permit Fee requlres a$1.00 surcharge). . $ TOTALFEE I hereby acknawledge that Ihis information is complete and acarate; that Ihe wark vnll Ge in conformance with ihe ortlinances and codes of the City of Eagan; lhat I understand this is not a permi[, but only an applicatlon tor a permil, and work is not to start without a permil; that the work will be in acco~tlance with ihe approved plan in ihe case of work which requires a review and approval of plans. x ~~A.~/ A n~ v e w 5 X Applicant's P inted Name Applicant's Sign ure FOR OFFICE USE Reviewed By: Dale: Required Inspections: Under Ground Rough In Air Test Gas Service Test _In-floor Heat _Final City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4921 Sycamore Dr Lot: 7 Block: 3 Addition: Pinetree Forest PID:10- 57650- 070 -03 Use: Description: Sub Type: Work Type: Reroof & Siding Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 6,000.00 Contractor: Dosco Design & Build 16273 Chippendale Avenue West Rosemount MN 55068 (651) 423 -4801 e- Reroof & Siding Construction Type: Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Scott Sauter BL - Base Fee $6K Surcharge - Based on Valuation $6K Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $132.75 $3.00 $135.75 Owner: Jeffrey J Bergom 4921 Sycamore Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA085767 09/03/2008 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4921 Sycamore Dr Lot: 7 Block: 3 Addition: Pinetree Forest PID:10- 57650- 070 -03 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Basement Fixtures Meter Size Meter Type Manufacturer Comments: Fee Summary: Contractor: Wenzel - Plymouth Plumbing & Heating 1710 Alexander Rd Eagan MN 55121 (651) 452 -1565 Permit expired without required inspections. 06/16/2009 CE Jenny Hanson 1710 Alexander Road Eagan , MN 55121 PL - Permit Fee (miscellaneous) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Jeffrey J Bergom 4921 Sycamore Dr Eagan MN 55123 $50.00 0801.4087 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Plumbing EA087732 12/10/2008 ePermit Line Size City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4921 Sycamore Dr Lot: 7 Block: 3 Addition: Pinetree Forest PID:10- 57650- 070 -03 Use: Description: Sub Type: e- Fireplace Work Type: Gas Fireplace (new) Description: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 633 -2561 BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Census Code: 434 - Occupancy: $88.50 $1.50 Total: $90.00 Owner: Jeffrey J Bergom 4921 Sycamore Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Permit closed without required inspection(s). Letter sent to applicant on 6/8/09. (pf) 0801.4085 9001.2195 Issued By: Signature Building EA087741 12/11/2008 ePermit 6/17/09 Per Wendy (651- 638 -3318) at Hearth & Home Technologies, this home is a new home and the builder has not finished the home yet. They will be finishing it soon. pf I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Use BLUE or BLACK Ink I �-- --, � For Office Use� � � � 7 I �� l L� �II j Permit#: � ".�� 'J I � � � �� I 3830 Pilot Knob Road � Permit Fee: U � Eagan MN 55122 I � Phone:(651)675-5675 � Date Received: � Fau:(651)675�694 � j � Staff: � �____�_____��__J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two�sets of plans with al commercial applications. Date: ' � Site Address: �� G�� Tenant: Suite#: RBS�d@11'l'/OW11Ei' Name: Phone:��=`��,� Address/City/Z : J - /� �� Name: CS l/� l � e#: COt1t�8CtOf Address: _�� i : ��=L��'�i�, State: /" Zip: � Phone: � "" d�-- I�� 2� �� C�-�F'� t�6S r` �, �j Contad: ' New �Replacement Additional ! Alteration Demolition .i, Type of Work Description of work: � NOTE:Roof mounted and ground mcwr�ted mechanicai equipment is requir�ed to be sereened by Gi#y Code. Please contact the AAechanical Inspector#or ir�farmation an permitied screeNng methotls, RESIDENT/AL COMMERCIAt Fumace New Construction _Interior Improvement PeRril�T�E., �Au Conditioner _Install Piping _Processed �Air F�ccha er — �9 Gas E�erior HVAC Unit _Heat Pump UndedAbove ground Tank (,_Install/_Remove) Other RES/DENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $700.00 Residential New(inGudes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee "If contract value is LESS ihan$10,010,Surcharge=$5.00 =$ Surcharge* **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 **"`If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate;that the uwork will be in conformance with the ordinances and codes of the City of Eagan;that 1 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 accardance with the approved plan in the case of work which requires a review and approval of plans. X X ApplicanYs Printed Name ApplicanYs Signature fOR OFFIGE USE Req�ired Inspections: Reviewed By. Date: Underground Rough In - Air Test ` Gas Seruice Test In-floar Heat Final HUAC Screening