4639 Tamie Ave SE ' .TER PERMIT OFFICE USE ONLY
CITY .aAN METER # PERMIT DATE 03/ 1L/91
3830 Pilot iCnob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT # 11854
METER SIZE B.P. RECEIPT # ' ~ ~i'+'
DATE ~ 12. 1991 ISSUE DATE B.P. RECEIPT DATE n~ 13 91
~ PRV - BOOSTER PUMP
SITE ADDRESS 4b39 TMiiE AY£ PERMIT REQUESTED
LOT BLOCK t SEC/SUB }!~?NOR 2!dD
y SEWER h WATER - TAPS
APPLICANT:
ADDRESS: ° - COMM/IND _X__ RESIDENTIAL
CITY, STATE ZIP x NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: ` ~ • - ~ t- • Ahead of Domestic Meters on Water Line.
ADORESS: t2350 RIVER ~iIUGS BLYb Cr_edit 1ryILL NOT be given for Deduct Meters.
CITY, STATE L . ~ ,M r~ ZIP ~ S 'S ,
PHONE: f ~ ^ - 'i R' ~ t
I AGREE 70 COMPLY WITH CITY OF
OWNER: t'bitS1U? ilOt~B IKC EAGAN ORbINANCES
ADDRESS: ~+513 OAY. CkIA$E Rll
CITY, STATE ~AGAti fQ~i Z~p 55123
PHONE: 4`2-7449 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERpAITS, CONTACT ENGINEERING DEPT.
.,W,
~ CASH RECEIPT _ ~ ~
CITY OF EAGAN + !
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
r
r
DATE ~ ~ 19 ~ ~
~~o ~ l~ ~~y ^~i ~ ~,t
~ ~TI A
j
AMOUNT 3 ~ ` ~ ' ~ '
~ i
& DOILAHS
~m
p CASH CHECK
~
~ ~ ~ ~ ' ` I I ~ i~ `i ~ • .
. ro„ ~ ~1 c.r1~'.~~-.;~~~~} u
,-j ,
~ , .1.',J~ r
~ FUND OBJECT AMOUNT
c~
i
, Thank You , ,
~
B~ .
~
~ ~ 12~~36
C.•~ . . Pink-fiN CopY
. ^ _ . . . . .l~i. '.~i..i, n,. . . -y~~-~.~ r;`Y . ~ ~
6 +~s ~ . ~ , +LJ ~r • ' -i` ~ ~
P
~ f~~~#~f ~r~#~e uf (~rri~~~~r~
r'
~itp of ~agan
' ~r~r~ti uf ~iuilding .~tt~r~inn
This Cern'fraate ls~ued pursua~l lo the requiremenCr of
Sedion 306 oJ1he Urriform Building
~ ce~11'~S ~1 a1 llie time of Luuanoe 1his.~uciure ~as in coirrplianae wiih the Nariorrs
` °~°~s' of !he G~1Y regu~n8 buildi~t8 Qor~c~ott or tese For !he following:
_ c~ ~ e~sa. ~r r~o. 1~ 7 7~
~r ~Yv~ ~ec n~ -~N 'iYo~ ~ MI
o.,~~s~s 4b~5-Af~r~FiA573-{~rFM'a1t~T
~ Ad°'~ ~l-~/i ~a~-~4Ata'F I~1SE ~
e y,~~,o~,r~ ~~}{~f9'
Posr a~ ~ ~ Puce
„
_ .
. ~ ~ ' *
, ;
~ _ ,..,,u . . ~s~~~.•_ , , . .,.y..._.,,_ .....__....._.y~...~;~.~.--
- . . . • .a~.~+r,n~p~lryvl~:,~:•~yAly,•.~,~- . . . . a'''p-'"~'°~'~~'^~''~ee-„~";"~'~" .
- * CITY OF EAGAN ~ fp ~ 8~'$
3630 Pilot Knab Raad, P.O. Bnx 21-199, Eagan, MN 55121
PHONE: 454-8100 ` ~ 4'~j~
BUILDING PERMIT Receipt #
sr ~G/cex =9y,oop ~wx i2 Qi
To be us@d for Est. Value Date , 19
TAliIE AVE
Site Ac~lress OFFICE USE ONLY
Lot Block Sec/Sub. ~t
Parcel No. occupancy ~1 FEES
:!$OBSKA !10!!BS IlIC zon~ng
W Name lnc~~,ai) consc ~ Bldg. Permit 626.00
~ Address ' (Allowable) - Surcharge ~
° City Phone ~v ot srories .~y 407 ~Q
Lenglh Plan Review 1~~~
S~a Depth - SAC, City ~
o Name 650.00
~6 Address s.F.rowi -
SAC, MCWCC
~ Clly Phone S.F. Footprints - ~
~ Water Conn ~
On Site Sewage -
W W Name ~ on 5~~e weu ~ wa~e~ r~ecer
Address ~Mwcc Sys~~„ 30.OQ ,
c~ po
<W City PhOnB CityWater Acct.De sit ~
PRV Required _ S!W Permit
I hereby acknowlege that l ha~re read this application and state that the Booster Pump - ~yy ~rcharge
inlormation is correct and agtee lo comply with all applicable Slate of Z~~,~
Minnesota Statutes and City o~ Eagan.Ordin~nnces. Trea~ment PI
~ : : ~ APPROVALS ~ 7O' ~
Signature of Permitee ~ Road Unit
~S Y~i Planner - Park Ded.
A Building Permit is issued to:
on the express condition that all work shall be do~e in accordance with all
appiicable State of Minnesota Stalutes and Cily of Eagan Ordinances. g~, pry. _ Cop~es
• Variance - TOTAL 3'Z88~~
Building Official
A' Permif No. Permit Holder Oate Tel~phone ~M
WATER '7 '3/~ .
5E1AEH
PLUMBING 7 ~ D• pGp
H.V.A.C. ~ ~ ~Jr'U -7~~~
ELECTRIC ~~~Q fi = a'~S C9~ C~~ ~
Inspsctlon Oate Imp. Comments
Footings I
Founda6on - '
F~~~ ~ n s
~
Rough Htg. i ~
Isul. - •
Fireplace
Final H1g. ~
~
Final Plbg. / ~
Const. Me1er Plbg. Inspeclor - NoU(y Plumber
ErgrlPlan
Bldg. Final ~
Deck Flg.
Dedc Fnal
Well
Pr. Disp.
Address: yE3`.? ~P.~`l~~f: ~l:"~~,~:. Lot Blk ! Sec/Sub ~~Ly.x%~, `.r~Kx
These iteras were/were not eompleta at the time of the final inspection.
D ~ 5 ' : Yes No
~'inal grade (6" from siding) ~ ~ ,
Permanent steps - garage ~
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grasa
Trail/curb damage ~
Porch V~
Basement finish 1
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of watar supply to the outside lasm faucet before
freeze potential exists.
V.(~~{//~~~~ CI~ 1 11FC10.FOARII
White - Ci~w~y Yellow - Resident copy Pink - ` y
~
/a;s/ y/ ~ ~ ~U.S ~o
373~9
Repuest Date ~ ' Fi No. Rough-in Inspection
' / p Requiretl? ? Reatly Now ~(Jill Notity Inspactor
vl y G s ? No When ReetlYp
I[~,~icensed contractor ? owner hereby request inspedion of above eledrical work at: ~ -
bb Htltlress (Street, Box rn Rou[e W.~ ~M ~
3 ~ ~ AN
Seclion No. Towns~ip Neme or No. - Range No. ~~~~Y
IXcuper~t (PRINn Poone No. ~
~s~ca ~amr S' c '7~4~9
Power Sup0lier Address
A d( 3oa ~St~ ~iR~+uc7aN
Electncal Conlrec~rn (COmpany Name~ ConVectwi License Na.
G /l ` ~ ~ ~ ~
Mailing Adtlress (COnhatlor or Owner Makiig In6tallatian~ '
~7 2 r+saGE 5378
AuthOnzed Slg r Con or/Ow Making InsWllalion~ ~ Phone Number -
- l, 3
MINNESOTA S7A7E BDAPO OF ELECTAICITY - ~ THIS INSPECTION FEQUEST WILL NpT ' '
Grpys-Mldway e1Eg.- qown 5770 . BE ACCEPTEO 9Y~iHE STAiE BOAFO
1l31 Univeretty Ave.. St Poul, MN 55100 ~ ~ UNLESS PROPEfl INSVECTION FEE IS ' .
pryq~e (5~q~ gyp.p9pp ~ . ENCLOSED. ~
9/ REQUEST FOR ELECTRICAL INSPECTION ee oooo, oe I
3 ~ ? See inslmdions for completlng Ihis lortn on Da<k ol yellow copy ~Q~¢~ /
~ 3 7 3 0 9 Below WorK Covered by This Request "k ~r
ew dd Re~. TypeolBuilding AppliancesWired EquipmernWired
k Home Range Temporary Service
~uplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial 'Furnace
Farm Air Conditioner
Ol~er~specily) Contrecmr§ Remerks:
Compute Inspection Fee Below:
# 01her Fee # ServiceEniranceSize Fea # Cirouits/Feeders Fee
Swimming Pool j 0 to 200 Amps ' ~ 0 7o i00 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Sigf15 Inspecmr§ Use Only: l TOTAL ~
Irrigation sooms ~ J ~ V ~
SpeCiel Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
Rough~in ~e~e
I, the Electrical Inspector, hereby
certity that the above inspection has F„a~ oe~e
been made. -5-
OFFIGE USE ONLY
Tliis repuest voiE 18 monihs fiom
CITY OF EAGAN NO ~ 8~~$
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~
PHONE:454-8100 I "L~~~
BUILDING PERMIT Receipt ~
To be used for ~ SF DWG/GAR EsL Value $97 ~ 000 Dale MAR 12 ~g 91
Site Address 4639 TAMIE AVE
Lot 4 Block 1 SedSub. ~OR LAKE 2ND OFFICE USE ONLY
OcwpancV R-3 FEES
Parcel No. R-1
Zoning
w Name NORSKA HOMES INC ~qctuapConst V-N erog.Permit 626.00
3 Address 4515 OAK CHASE RD (Allowable) v-N s~rena~qe 48.50
° Cit EAGAN Phone 452-7449 eoisro~~es
y 5/{~ PlanReview 407.00
Length
o Name S~ oepm 50
~ snc, c~ry 100.00
o~ AddreSS s.F.7ota~ - 650.00
~a SAC,MCWCC
~ City Phone S.F.Footprints - 6G0.00
On Site Sewage _ Water Conn
~ ww Name OnSiteWeil - WaterMeter 9n-nn
w
t~ MWCCS stem X 3n.nn
Address y x- Acct. Deposil
aw Clly PhOnO CityWaler
PRV Fequired X 5/YY Permil 3~•
I hereby acknowiege that I r is application and state that the Booster Pump - ~yy Surcnarqe . 50
inlormation is correct an ag o c mpy with all applicable State of
Minnesota S~awies and ity gan ~dinances. Trealment PI 276.00
APPROVALS 3 JO.OO
SignaNre ol Permitee Road Unit
A Building Permil is issued to: ~ ~ HOMES INC P~a""a~ - Park Ded.
on Ihe express condition Ihat all work shall be done in accordance with ail Council
applicable Slafe of Min{n~es,,o~ta Statutes and Ciry of Eagan Ordinances. g~d9, pf~. _ Copies
Building Official ,LJd2(~~) m~ Variance - TOTAL 3, 288.00
' '1
~ ~
i •fll ~
Clt~ 0~ E~~18Il j Permit R~/ ~ Z j
i Permit Fee: ~ v ~
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: j
Phone:(651)675-5675 ~ ~
Fax: (651) 675-5694 i Stan: ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION ~E Inf~S~jE
Date:!~~~~~m~_SlteAddress:Qlo~1 T0.M\ ~~`2 ~i1N 5~~2~/D-~_!-0~
Tenant: Sulte
RESIDENT/OWNER Name: 1~..~CGS ~ 1~i~~S~~t~A,CN~~'~S'~n~n Phone: (lo~ 13~h-~ \~Jtil
naares5 i ary i z~P: 4~~fi ~iv~ ~ P ~e ~ oc~ nn t~l 551 ~L ~Z~~
~ Applicantis: ~Owner _Contractor ~~J~
TYPE OF WORK Description otwork: ~c,~ h2c~cCS~M ~C\ ~a~'R-~ 1'L-a1~-`
Construction Cost Multi-Family Building: (Yes No ~
~
CONTRACTOR Name: f~ Nocv-~e c~...~(~~ cS.o~~ Lic se
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Ca~egory 1 Worksheet • New Energy Code Worksheet
Category submined Submifled
submission type) • Energy Envelope Calculations Submiped
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planl
_Yes _No If yes, date and address of master plan: ~
Licensed Plumber: Phone:
Mechanical Cantractor: Phone:
Sewer & Water Contractor: Phone:
NOTEc Plans and supporting documen~s that you submit are considered to be public inforrrration. Portions bf
the Information may be classified as non-public if you provlde specific reasons that would permlt the Clty to
coaclude that the are trade ecrets.
I hereby acknowledge that ihis information is complete and accurate; that ihe work will be in conFormance wilh ihe ordinances and codes oi ihe City of
Eagan; ihat I understand this is not a permfl, but only an appliration for a permit, and work is not ro slart wit ut a permit; that the work will be in
accordance with ihe approvetl plan in ihe case of work which requires a review and approvalbf plans.
, K;,~~-;~a cx.~ ~s~n5, L 0 M~S ~ X r.,.~~
AppllcanYs Printed Name ApplicanYs i ture
Page 1 of 3
OCT 2 ~ 2008
. ' ~6~1~~
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family . ? O6-plex ? Fireplace O Porch (3-season) ? Ext. Alt. - Multi
? 07 of _ Plex ? 07-plex ? Garage ? Porch (4seasonj ? Ext. Alt. - SF
? 02-Plex ? 08-pleX ? Deck ? PorCh (screeNgazebo/pergola~ ~ Multi Misc. .
? 03-Plex ? 10-plex ~ LowerLevel ? Storm~Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interlorlmprovement ? Siding ? DemolishBUilding`
? Addition ? Move Building ? Reroof ? Demolish Interior
Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ~ ? Egrsss Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation 3m4Y~ Occupancy T~(/ MCESSystem
Plan Revfew Code Editlon ~ SAC Units -
(25°/a_100%~ Zoning ~.-r CityWater _
Census Code 4 34 Stories ^ Booster Pump -
# of Units ~ Square Feet PRV -
# of 8uildings ~ Length ' Fire Sprinkiers
Type of Const. J~ Width _
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings(deck) FinallC.O.
_ Footings (addition) ~c FinallNo C.O.
Foundation J~ HVAC
Drain Tile Other:
Roof: Ice & Water Final Pool: _FOOtings _Air/Gas Tests Final
~ Framing Siding:_Stucco Lath _Stone Lath _Brick
Fireplace:_R.1. _AirTest _Pinal Windows
~ Insulation _ Retaining Wall
Reviewed By: , Building Inspector
RESIDENTIAL FEES:
~
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatme~t Plant
Copies
Total
Page 2 of 3
~ '
5 ~ ~ ~ ~
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI' CALCS
# OF RENTAL UNITS
tt OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CQNTRACTQR/HOMEOWI3ER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER ~ WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
(~j00
To Be Used For: Ji~~~~~e /-Uiri, Valuati ~ Date: ,3 ~G _-~1/
Site Address ~~:3 ~/CZ m i~ /~~/C~ . OFFICE USE ONLY
Lot ~ Block / FEES
Occupancy W/`/
Zoning /
Parcel/Sub/~(Z~1lYI" ~Q~E ;~/!c~ Actual Const ^ j//y Bldg. Permit ~Z~
~ Allowable ~//y Surcharge ,S-
D~oner /~Qf,S~`C,~. ~.*~~f~'7 PS ~I7L' , # of stories Plan Review ~/Q2
~~g Length s~ SAC, City DO
Address /7 (~JC~ ~(~'~QSG. /CC~• Depth j 33 SAC, MWCC (aS0
S.F. Total Water Conn ~(~b
City/Zip Code ~CtqG'e~, /')')n ~J/9'- Footprint S.F. Water Meter ~
Acct. Deposit ~O
Phone Dn site sewage_ S/W Permit 30
On site we11 S/W Surcharge ~S~
Gontractor /vGi`5/C~ y0s~r5 LnL ~7CC System TreatmenC Pl. ~~6 _
City water t/ Road Unit 3 70
Address i~0/~ ~«/~C~ ~~Q~~ ~c~- PRV Park Ded.
8ooster Pump _ Copies
City/Zip Code .~i~
G( c/ Gc
r1 ,/'Yl it /g~ SUBTOTAL
APPROVALS - Penalty
Phone 7~/~/ f Planner TOTAL
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone »
T
LfL'_J ~e~e~ t , ~ ` ~
~
i ~ ~ ~
Zlo.l- y6 - I/9~
~,E- 3 Z = ~e
~ y - ~ z
12~°Z
i y _ o
uP~~r Leue~
~ Zyz~-s 3 - y~r
~4r
~
'zb. 3 .~D < ~ oS
k ~ '
Y~ is g~ o s
/
S ~ z~~
_
, - ' - voba~r;q
~ * * * 2622 Enterprise Orive
y*PIONEER LANDSVIIVEYONS~CIVILENG~NEER7 MendotaHeights,MN55720
T~ enC~~nQ~jrl~9•+ ~AN0~4NdN£RS•IANDe.~CAPEP.RGN~rCCTS {6121681-1914 ~
7~ Y
T
Certificate of Survey for: O" S^~ ~M ~
NORTH
2J~
0 /3 ~ 98
~ N ~ '`se ~ s~s°3
N N ~ 80
aq- ~ / ~ I- ~ ` ~ r'~'
~ ~V. P ~ z~ a ~ s
0 ~ ~
~p e ~ a~ s'2~`` ~v
~wty ~ ~gorc 4.0 ~ e~'/ ~ o ~ ~ A/1.
P ~ r' ) I .r~
i ar Qo b:-e o
G ~ i •
R ~,~w~p ~~a~° ~'~°Nr~ro4x ~a / ,
/ ~ 6r ~ ~ b~° ~0n
rr> ~ ° - _ S° 33 ` ~Q • 4r'
~ ~ ~ M
r~~~~~ ~g~so~ ~ ~ / ~ ~
~ ,
yy~ ~ ~
a~;.,z r~ ; ' ~ .~1 , ~ ~ "3~ , ~
~ o 1,-
i . ~ ~ - - . . ~<.C
~
~ . [
`~f~
J._~~~~1-
~~~~~a ~~_f~~c~z~r,nn~ G°~ . ~ ~ ~ E~ ~ I~?
~ 900,0 ~Jenotes fxistin¢ f/evafion PROdOSEO HouS6 ELE?A c,~
• oo.o benotes Propoye~d ~Ievafian lowes /oor Eleva ion 94z . 4~
Denotes ~na~na e F Ufili.ly Easemenf Top o''Block~levation 9yo.
Denoles Drrrrn~~
~Flau~'Direcfron Ga~ac~c S/ab Elevat~on q~•
o panotes Monu~`ienf BQar~n~s shown are c~ssum~d oDerao es o~~se hEib
LOT 4,BL~C~I I~MA~foR LAK~ SECOND ,aoP~TlaN'
oar~r.a covary, M1NNfsorA
~ h¢reby certify thet tbis 5urvey, plan or repvrt wears~F
repered Wy mE~ _D~~wid_ cr my direct supervis~oR a~tl thet ~ am duly pCB~slered Land Survey0~
under [ha laws o~ che Statt o~ Minnqso[a. Deced this-~_ dav o~ - A•a. ~9 ~~/C ~
' / / / .
?
a!e :1~=40i~e~ ROBEaTB.S~K~CHL.~EG.NO.IaB?7
r ~ yv
..-;.^T~' I HILI/4 .
~ M I NNESOTA STATE ENERGY CODE CALCULAT I ONS -l~{qQ _ I~Z
BASED ON CHAPTER 5 OF THE ~
MODEL ENERGY CODE - 1983 EDITI01~ / °
Adoption Effective 1/1/ ~ S d
Owner Phone Date' ,}{9
.
Stte Address
Conf~ractor l~F~~:Q ~~l/_~~5' '_'Phone~i~.~5~~7~5~~
. : . ~
Building. Classtfication: Type A1 (Single Family b Duplex)_~~Type A2(Residential)
(3 stories or ess
NOTE: Complete pages 3 and 4 first. (Other) ' (Over 3 stories) -
GENfiRAI INFORMATION
1. Bullding Perimete~jp~a~~ ft. ,
2. , 51a11 height (ground to eave) N ft. '~wy;~
pQQ y' c
3. 1. x 2. (above) gross wal l area f IUCJ~Z f[. , •
s~.y
^
Z .
4. ;..Butlding dimensions (L) ~ 7( (W) = 1z9~ fc. roof b fioor area si;,•~
. '
5 Square foot area of rim joist - Floor joist size (2 x/~ ) s.
; X P~~~ ter = RTm joi st area a 2~ .ft2
_ . •.;~r Y~ . . ,:~L:
6 Ddors - APea ~O . _ °
~'hickness in, U factor o~~ ~:i' ~ i~ -
Type of Construction Perimeter ft.
ManufacWrer •
•
. , .
x.
]:",,Total.door's perimeter ft. • • `
. ~
8.~ Ilindows: Manufacturer f ~Gsrn"'~~ State approved ~=':x
U factor . '~Y
TYPE SIZE AREA (Fi.2) NUMBER OF TOTAL FEET 2 i°~~
~ EACH UNITS • 4*~
N Wo~~r~-~ ' ' ~
. .
~
~ ~ ~
.
~
~ P~~~
, . . . ~ ~ . . 4~~
9. Total ft.2 Glass ' ~tj, ~y
. ~
9. 'Fireplace area: .Width X height = X = Ft Z
1.::~Exposed foundation: Hei9ht X Perimeter ~ X 1f'r~.~~.. i~Z Ft.2
OMPLETION OF THIS FORM IS REQUIRED FOR ALL AEW CON~~R CTU ION, 11AJOR REMODEIING AND BUILDINCS BE~
DVED WHERE ENERGY.:DTHER THAN THE HlNlrta~ coeF AIlOW4NCF. IS nccn_
, .
,r°~ D- Z7j..:. ;
12:'" Framing area = 10~ of gross rrall area.
13. Gross wall area I IQ~'~'~ ft.2 ~
Nindoa area A I~ 7 i~`J ft.~ U windo?,s = 'U x A a~?,;~~
Rim joist area A I Z 1~~~j ft.2 U rim joist f~~ ~U x A s S, 3I ;
'
Z U x A ~0 J(D
~ Door area A' ~r~ ft. U door area = • ' ~
~TF#~epl~ce•area A ~z ft.z U fireplace = •~'7 • U x A= ~ i~ l~
Exposed foundation A ID~~ ft.2 U foundation = ~~4 U x A=
Framing area A I_19 I~ rl ~ ft.Z U franinu area U x A= `
Net wall area A I Z 7,~,'; I~ ft. U wall = ~O U x A= ~ 1
~ (136) TOTAL . . . . . . . . . . U x A = ~f7 h:
' ~ :
14. Gross wall area z 0.11 (A-1 single family & duolex = alior,able U x A/Code
• ' (13. above) .
x 0.23 (A-2 other resid=ntial) ~
t:~
x .23 (Other buildings) ' ;,,ri~~
, x .28 (Ove~• 3 stories) . .
i~~,- r-~ L 2 • • , BTUH Must be larger .
A• ~ I~~7J x U C?de, ~ ~ ~ ~ E~.,~ ~~F. 136 above
,
....:'1aP^' . 1 .
`.IS:: Ceiling framing area (Af) equals lOS of ceiling area C. or the Sdme ds `.,ia~
~ ~ Zq `F F~,
15A. 6ross ceiling area =(l) x(W) = ft.2
y:
15B. Joist area (Af) = l0A ceiling area = 2~ ft.2 -
15C. Net ceil ing area (A~) (15A - 15B) = I ~~-~5 _ - ft.2 '
~
, D r Z x (f9'` - ' ' f0~ ~
U teiling x A -
~ U framing x A f= ~ X = _ i~ i~ 1 ' ~ ~
:ISD: TOTAL'U x A ~ ? ~~0 D •
' ` _ • •
'.16. Ceiling area (15A) x 0.026 (A-1 single `amily 3 duplex - code allowable U x A
a..;, . .
, x 0.033 (A-2 other residential)•
x 0.06 (other) ' '
q~~~ ~2 ~ 6TUH Must be larger than •150 (above)
~~15A1 IZ I`T X~U (codel= ~-/1~~ (or the same asj
NOTE: Use U and A values obtained from pages 1, 3 and 4.~ •
CERTIFICATION: I hereby certify that 1 have calculated the "U" factors and "R" values "
ere n and that the building here described meets or exceeds the State of Minnesota
Energy Conservation Act. . "
, . a
.
'<'Oaie . Signature
. _ _ '
.~~1~' , . O~ 'LZ . .
~ . N. C7Y ~ ~ ~ ^ ~
. • ~....t'~'`%`~ . ~~-t- ..GX-~y~ .-:i-fi
$ ~X r~ Z Z ~7/7 Z ~j-F ~ _ . ;K.
~ l. V(r ?1~~.
a :a
_ _ y-s~~~ ~ ~~+~-f-.3~ f; I~~J, :
_ ~ 15~' ~ ~ a
~ ~ - - ~
.
- '~r 1(/ ~
. . , ,
_ V•~Ir~.i~,r~~!~
I . ~X = f I ~ ZS;~ (o = cP7, 5 .
.I . . ~oX~= II~ox1- II~o
I - _ ~ M~~
_ ? IcoX3to-cj zr~:.L 1~~~~ ~
~
_.Illl___.. ~°1~~0 ~ Il~ox=~ _ ~f4~o~
~ i
Z~y'3c.a= $%;~v.-Sz~~~
~ .q
, I~ '1'~~
t .
I `
Y~ ~ ~ .
_ _ ~ ~ . . i
7J
J ~Lr = ~vr `7 , , 1 .
Z ~ ~L. , ~ = 7~1- v ~ ~ .
: _ LD ° ~'170 ~ ~ ~ 9 Z~ o . ~
= ~ ~ ~ ~ ~ ~
.
: . .
.
-
.
- . ,
•
. P ti:~LUE U YALUE i
• w., , ' ' ~
' ~ Inside air film .68 ' ~
~NALL InCerior vall '~5 (NalU U • 1 : '
p R
;S6CTION •~I~ Insulation ' i
~ O ?j !
!
~ Shesthing 2•a~
. ~O~ i
' Siding
r' ~
~ Outslde a[r ELIm .17
R TOTAL 7 ~J. 03
~
' ~I Insidc atr film ~ .68
I • interior wall .~l
yBLC?ION ~ 4~~ stud R= 4~(O,~'l (Framing) U~~ .
.
"x".; ~ Sheathing Z~aO
. . ~I'~ r
f::;: ; ~ Sldtng . (p7 ^
.
~s Outslde•atr film ' .17
, J
" . , F TOTAL I O . 'J '?j
~
~'M, .
-'--Ti1S{dG_.3~L.~.~.10-• ~i=..~b8~
~a~ tu--_ iR«r to~ .,8i i
~SLCTLC~ti• • Insulatton____~-- " ' (Aall ~U . & ~
u~'s:: ~ft€atl~ing.,__ ~ .
t`:`;::, •
I Ex[etior wall eovering' -
y,;:
,rz',`:~ • Exteriar air film P. ~.17
R TOTAL__, .
. . -
.s ;
lntertor atr film .68 . I
• . ~~.0 1 ~
;`~BIH ~i ~ lnsulatton
`:T02ST . ~=%~1 'l~t inch soft wood R=1.88 ~R~m U = ~ = ~
~ -~a'-i" ~O 1 S t ~ ' • .
T,t Sheathing z.0(p '
~ Ex[erior wall eovering •~07 I-
~ ~ Exter!or air film ~ ,~7 , ~
~"r,'~~: r- . . ;
~ R roret z~'• i
~ ~
~ Interlor aJ: [iln .68 ~
, . `I ~ ' ~
. ' lnsula~tor. ;
~ ~ ~ Foun~a:ion ~•Z$ (Fdn.) U = R = ~
\ ~ E:iterior air filn !i= .17
~ ~ C TOYAL _ I3 . ~ l
• ~
z"'~' \\~Exposed 3luck . .
,.;i;. - - • _ , . • .
~ I ~ \
1 . -f,ridr
, ' ~ CEILIP~G ;IITH YErITEU :TTIC SPACE ABOVE - . ~
, • ' R YALUE Y UE
FRxM I r~G CEIL ING
0.61 Air Film 0.61 '
:
~ ~ '~~'CO,O Insulation ~ '
~ ~t•~jg7 Jaist -`~"y
.~j(p Ceiling . S~O
/ c! ~
~ ~ • : ~ ~
~ ~ 0.61 Air Film 0.61
.
~ ~z. ( ~O Ta ta, R 4~•18 ~ ~
' ~ _ ~ .oz3 u=R .OZZ ;
;
~
i FIAT ROOF OR CATHEDf:AI CEILING '
q R Va ue R YAI.UE :
FRAhitNG CEILIt7G 4
s ~
~ • 0.61 Inside air film 0.61 ~
• Ceiling "
Jaist (stu
Insulation
Air space ~
. Roof decking ~
~ Insulatlon ~
Built-up roof
0.17 . Outside air film 0.17 ` ~
, . • ' Total R
•R=U .
lox infiltration .5 cfm/lineal foot of crack
Idential door infiltration 0.5 cfm/square foot or door and minimum code requirement .
~residential door.infiltration 11.0 cfm/lineal foot of crack . u~
12" concrete block no insulation =.47 R 2.1 ~
12"~concrete block insulated cores =.26 R 3.8 ?
12" lightheight block =.32 R 3.1 ~
12" lightYreight block insulated~cores =.12 R 8.3 • "4~
ingle glass = 1.13; with storm windo:v .54 • .
ouble glass = .55 ~
riple glass = .41
.
.exterior walls and ceilings must have a vaaor barrier (0.10 pe~m max.).
or barrier must be on the inside (heated sida) of r,a11.
or barriers of the polyethelene thin film have no R value. ,
• ~
s
. ~1
• 4. -
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
' EAGAN, MN 55122 PERMIT # 02 ~X
PHONE. (612) 454-8100 REC&IPT #-LS~
~?7:U~1#~NG; DATE: 3 9
REES~p~~~~ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH iTNIT.
WORK DESCRI TION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON _ ~ SHOWER 3.00 ~
REPAIR _ ~ WATER CLOSET 3.OD (r
! BATH TUB 3.00 3
~f ~2 LAVATORY 3.00 ~L
OWNER NAME; ~O,~el~sa /Ya~'~ S ~ KITCHEN SINK 3.00 3
G ~ LAUNDRY TRAY 3.00
SITE ADDRESS: 3 J ~.'.A` HOT TUBjSPA 3.00
~~r / WATER HEATER 3.00 .3
LOT:~ BLACK I SUSD. ~,west Oii,C'. a~~'~ ~ FLOOR DRAIN 3.OD 3
GAS PIPING OUT.
INSTALLER: ~l~c Il i.ra )f !3 2wL G ~ (MINIMUM - 1) 3.00 ~
\ ~ ROUGH OPENINGS 1.50 ~,~0
ADDRESS:l23 S~O 2~~y.~ IL< ~~+4 ~O ~v GJ OTHER _
WATER SOFTENER S.OO
CITY;e~L12n/5//~~/`G /Y~l 2IP: 5~3~3~ 2 _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE d ~ fd'
SUBTOTAL S
- ST. SURCHARGE .50
S GNA OF TTEE i
TOTAL: S .3~. J o
~DMMER~TAF,f~NTSIIST&IAL*' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
~ MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADQRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #~/c~~
~~~S~C~:~;~'~~' DATE: ~
~D~`xAL.,:i PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
.~c
~
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM $15.00
AOD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME: /UD2S/1/`1' /~%n~S
SITE ADDRESS: `~G 39 T~4~1'//L~ SUBTOTAL:
STATE SURCHARGE: .50
LOT: H BLf1CK ~ SUBD."~ i"+il,a,L..o-n ~ a7~~ TOTAL: $ Z7 ~
- ~
INSTALLER: /~~Ot792ihP~S J~u.n;Cd ~ l~T~~ lC/~/~----
ADDRESS: ~2.35'n 2u/G~/L ?'Z~Qf+d /~Lr/O GNATURE OF PERMITTEE
CITY: ~~%NS~JOC-L[~ Zip; $~5~3 3 ~
PHONE t~9~' 9d~~
~1~~~[iC~ti~,~~1Q~?US~'K~&"~,° PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WiIEN SEPARATE PERMITS ARE
NOT REQUIRED FDR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1~ $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATtJRE)
FOR:
CITY OF EAGAN
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWCtionReauirements RemodeVReuairReauirements S~Tficefl5etfiN _
3 registered site surveys showing sq. ft oi bt, sq. R of house; and all roofed areas 2 copies of plan Cert of Survey RerA Y~ L~N
(20°h mauimum lot coverage allowed) 1 sel of Energy Calalalions for heated addAions Trce Pres PWq Recd _Y- N~
2 copies of plan showing 6eam 8 window sizes; poured found design, etc. 1 sile survey for addiUons 8 decks 7ree Pres'~3eguired + Y:~~F'N
lselofEnergyCalculations Add'rtiar-indicefeiton-sdesepticsystem DnSf~eSepGcSyst2m„„__
`Y-.^N
3 copres of Tr~ Preservation Plan if b[ pladed aRer 1/1/93
RimJoistDefailOptionsselectionsheet (bidgswith3arlessunits
Date ~ / G~ ~ Construction Cost ~L~ y 0~
Site Address ~~DJ I ~(~l~-~L~ -r11?~! Unit/Ste # -
DescripHonofWork ~~[~~(C~~4.€a ~ (t~~Ra~~ 5+~~
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner ~)((,(~T cLna.~~~iEJbl~. Ge~"~' Telephone#(~p5~) ~D~~~1
Contractor ~~1Y1 ~ W rAkrN ~-l'iN1~~A~
Address ~QL~ ~Od.(RI~ OT C~~' q
State ~,ER11 r-~ Ai~ Zip !`m~ 5~3 Telephone #(~(p3 ) C~OZ~7j~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Catecorv 1 Minnesota Rules 7672
Energy Code Category . Residen6al Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) 5u6mitted Submitted
. Energy Envelope Calculations Submiked
Have you previously constructed a building in Eagan with a similar plan~ _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone -
~ i ~ I~,
Mechanical Contractor Telephone ~Ij^i'' l~ ' I'
~ r-~a f
SeweNWater Contractor Telephone J,
I ;
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 plans.
~ir t,~ I(c. ~~~on ~ ~ ~Y,~
~Applicant's Printed Name Applicant's Signa e
OFFICE USE ONLY ~
i~~i
t~
~4
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 Ext. Alt - Muiti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? O5 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Misceilaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
0 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement -'Demolition (EnGre Bidg) - Give PCA handout to applicant
Valuation 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 Width ,
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wal]
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
TreaUnent Plant
License Search
Copies
Other
Total
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109789
Date Issued:04/04/2013
Permit Category:ePermit
Site Address: 4639 Tamie Ave
Lot:4 Block: 1 Addition: Manor Lake 2nd
PID:10-47276-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Chad Bettin
3208 First Street South
Waite Park, MN 56387
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lucas J Christenson
4639 Tamie Ave
Eagan MN 55123--216
(651) 331-9075
Ecowater Systems
P.O. Box 428
Waite Park MN 56387
(320) 251-2505
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
I For Office Use Gj I
Permit I i Permit Fee: u I
City Ol Ea
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I /1„n I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t~c Q 6 Site Address: & ~a"Y. ` AAA S 103 Unit
Name: ~~ctc S (~VLl75fQj'1'1 Phone: Cab ! 2>3 l --q0?,5-
Resident/ f
Owner Address / City / Zip: c( ~c. e- r
Applicant is: Owner Contractor
Type of Work Description of work: 2G Qv~
Construction Cost: I Oc"C> Multi-Family Building: (Yes / No
Company: e 1Z)G0S J. Contact:
k Address: 1o~c o~~.3~f City:
Contractor
State: MnJ Zip: Phone:
License ~Qq(69 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
I the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code a mpleted within 180
days of permit issuance.
xy l~rn~s e x
App icant's Printed Name Applican 's nature
Page 1 of 3