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1468 Thomas LaneCity of Eaaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: 9slrl Permit Fee: 55- Da Date Received: 1 I / it Staff: INFLOW & INFILTRATION PERMIT APPLICATION )(c Plumbing / Sewer & Water Date: 3-/ " I / Site Address: /4 t)'7144 ki" -s Lgj 4 1'►/%1 Tenant: (Drain J Suite #: RESIDENT / OWNER Name: 6Orck4J KeeliZA Phone: LA51 - Ulf 'CQ t` ( j� Address / City / Zip: /�(�O ThitroitS hi/ Arri tht ..4-37.,2_,> CONTRACTOR Name: 61'✓e-S& p` License #: /'''1 3-4 37 3 Address: `-1142)-0-1- akte. City: o State: N1 Zip: 6- tO 7 Phone: 6s7 q8 3? -3 Stan Contact: .(�'il' Email: Ka �e -4SS 4 r'n"Sa. ' TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the building XSump Pump Repair Repair envelope) Other: Other: DESCRIPTION Description of work: /`/L v"""" tArt '- ' 41.44.1 gg __ 1111- �5 Plkpe"& o idi, FEES $55.00 I Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.orq 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 n start without a permit; that the work will be in accordance with the approved plan in the case .f worequires a review approval of plans. x ame App FOR OFFICE US Required Inspections Rough -In íü ôðð þýýüûúÿøú ÿ ùüüýýÿûë ýî ùó í þý ÿþýüû êåúÿýüû ùýüûêû ûÿ úÿúîî äÿûü Þ ôÿë åóûûûåóõÿõóû÷àåþè ý ÿûþÿåûè úþõçôÿþü÷åõüóõè ëéâéííè í èî í öù ÿó Ýÿéâéè ð èð Ýÿ è õó òñ ûû õÿ Üëâ ðîóü ÿîáíýóõ èóüòøîíòø ñáï ãí óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ CITY OF EAGAN 9?w, rr 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , (I' va BUILDING PERMIT Receipt # `7 ) Te be wed ie. SF DWG/GAR Est. Value $65,000 Date OCTOBER 9 19 Site Address 84 1468 THOMAS LN Erect ?x Occupancy R3 Lot 1 Block 3 sec/Sub. WALDEN HTS 1 Remodel ? Zoning Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories W Name SUNSHINE CONST Move ? Length 44 z Address 5985 125TH ST W Demolish ? Depth 4 9 ,.._.. APPLE VAL - 431-2200 Grade ? Sq. Ft. s: ZO ou U! f SAME Approvals Fees Assessment - Phone Water a Sew. H ] L ; INC Police Fire ` Eng. 884-3 _ Phone Planner Council I hereby acknowledge that I have repd-this application. and state that Bldg. Off. the information is correct and opree 46 comply with nil applicable APC State of Minnesota Statutes and/Cyty of Eogo Or ' ces?%` Var. Date Signature of Permutes f ' ' r f_/'C < - jr. SUNSHINE CONST Permit 9 3 L 7. u u Surcharge 32.00 Plan check - 162.50 SAC 525.00 Water Conn. 470.00 Water Meter 63 - a0 Road Unit ?fiQ-n0 Parks Total $1,837.50 A Building Permit is issued to: on the express condition that all work shall be done in accordance with a3.1-applicable State ;of Minnesota Statutes and City of Eagan Ordinances. Building Official Perrmit No. Permit Holder Date Plumbing r / ?f I N ?r' 3 a H.VA.C. 5? Y b/?Q Electric 1 ??733 I F'L r r Z C ?1 4( Softener Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVAC S3 Insulation Final Plbg. Final HVAC k_ zq Final Cert/Occ. Water Descri Location: Well Sewer Pr. Disp. Receipt 1. Date :' 3. Job Addre 4. Owner 5. Contractor NG PERMIT. Permit No. )F EAGAN Fee r»bered spaces S/C Print legibly Tot. lation Cost 7..6v Blk. Tract 6. Address 7. City State ip S. Building Type: Residential E?" Commercial ? Institutional ? 9. Work Description: New El Add ? Alter ? Repair ? 10. Describe 11- No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank -` Lavatory Softner _ Shower Well ' Kitchen Sink Urinal/Bidet Other l Laundry Tray 1 Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. t Signed; for` Rough Final Inspections: Date Insp. Gate Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt (Icq ) MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee 3 f I fill in numbered spaces S/C Type or Print legibly Tot. ' 1. Date ". ^ 2. Installation Cost Csl 3. Job Address N6e T//G M/7l Lot Blk. Tract 4. Owner + J N/N 4 O Al i 5. Contractor L)-'?6A/4E-A/ Phone CJJ`? ?0 7 ? 6. Address 7. City4liE/? State /r)/i/ Zip 8. Building Type: Residential E3"' Commercial ? Institutional ? 9. Work Description: New C5-- Add ? Alter ? Repair ? 10. Describe Fuel Type /Viii 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ti s ar. Q 4-; VV for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN Remarks L, Addition WALDEN HEIGHTS 1ST ADDN Lot 1 Blk 3 Parcel 10-83300-010-03 Owner Street 1468 THOMAS LANE State EAGAN MN 55122 Improvement Date Amount Annual Years ?y Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK • 3pq 1976 1-53-51 In-72 is 1.11 A015466 5-10-85 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA fY Z 2- 198 0 206.50 13-77 15 12 .94 11 11 - STORM SEW TRK 19".1 673-75 134,75 5 404.25 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #46905 10-9-84 WATER CONN. 470.00 11 if BUILDING PER. 9577 1: SAC " PARK CITY OF EAGAN N? 9577 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 / BUILDING PERMIT Receipt # Te be wed fa SF DWG/GAR Est. Val,, $65,000 Date OCTOBER 9 , 19 84 Site Address 1468 THOMAS LN Erect ?X Occupancy R3 Lot 1 Block 3 Sec/Sub. WALDEN HTS 1 Remodel ? Zoning Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories 4 4 _ W Name SUNSHINE CONST Move O Length 5985 125TH ST W Demolish ? Depth 4 fi- Address City APPLE VAL Phone 431-2200 Grade ? Sq. Ft. ?U u1 H Phone Phone qen ' and stole that 1 hereby acknowledge that 1 rALqd this opplic the information is correct and o m wi all a cable State of Minnesota Statutes sty Ea n i n Signature of Permitte* t NST Name SAME Name City Approvals Fees Assessment Water 6 Sew. Police Fire Eng. Planner Council Bldg. Off. APC Var. Date Permit $ 325.00 Surcharge 32, 0 0 Plan check 1 6 2_ 9 0 SAC 925 _ 00 Water Conn. 470- 0 0 Water Meter 6 -4 - n 0 Road Unit 260 -O 0 Parks Total $1 A-17-90 A Building Permit Is issued to: SUNSHINE O on the express condition that all work shall be done in accordance with al icoble St f Minnesota Statutes and City of Eagan Ordinances. Building Official ?'? - CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O Box ?1199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: ress: Ite Address: Rafer° r.jrs Pmber: ti w. i I .1 .IiM, ? _- ' j er No.: 3 7 Connectiim'Y3iurge: Size: 41, 2 EQ? bk*i .Reader No.: k 3 0 y 9 Permit Fee: 71 "no to comply whh the City of Fagan Surcharge: ordiooneoo. isc. Charges: otal: By to Paid: Date Ins ' ;117 I nsp CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 0 P. O. Box 21199 PERMIT NO.: Eagan, IVIN 55121 DATE: 1 -10-84 No. of Units: 1 eader No.: eon* to eamply wkh the City of Eagan Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Date Paid: OF EAGAN SEWER SERVI Pilot Knob Road 6948 Box 21199 PERMIT NO.: _ i, MN 55121 DATE: p: R1 No. of Units: Sunshine Const +ess: Address: 1468 Thomas Lane Ll B3 Walden Hgts fir; a M 10-9-84 46905 pd- me to Go=* wuh the City of legow Connection Charge: 425.00 d snores. Account Deposit: 15.00 p Permit Fee: 10.00 p .50 Surcharge: P Misc. Charges: of Insp.: Total: L Gki 4-1 Now Construction Requirements . 3 registered site surveys showing sq. R of iot sq. fl. of house; anti mofed areas (20% maximum lot coverage a6wed) . 2 copies of plan showing beam & wlndgw sizes; poured found design, etc.) . 1 set of Energy Calculations . 3 copies of Tree Preservation Plan If tot platted after 71153 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE '7 JOB SITE ADDRE S IF MULTI-FAMILY BUILDING, HOW MANY PROPERTY VALUATION r,0C TYPE OF WORK REPLACE(S) _ 0 _ 1 _ 2 APPLICANT ADDRESS ?yCD `? 0/Ylv4S' L rJ?V? ZIPCODE_-4?S/P 7 PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 G? a 651-681-4675 RemodelfReoairReauiremenla . 2 copies of plan . 1 set of Energy Calculations for heated additions . 1 site survey for exterior additions It decks . Indicate if hone served by septic system for additions MINNESOTA RULES 7670 CATEGORY I Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagan Signature of Applicant Fee: $90.00 Phone # Phone u ?IIII y 4hop is ;0rTe t,floQ e comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_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/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Au Test _ Final _ Siding _ Stucco _ Stone Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge 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 Final/C.O. _ Final/No C.O. _ Plumbing HVAC I i t void 1 Y? \ / r /?6 ?I ptJ 18 months nths from d `P C 7 A 089733 / s-? Request Date k? Fire No. Rough-in Inspection Reourred? t 1 Ready Now XWi1TWR c- Wh h f ? D "? /L T .L_is No en en Ready eady or Licensed Electrical Contractor I hereby request inspection of above . ? Owner electrical work installed at: ' Street Address. Box or Howe No. City Section No. Township Name or No. flange o. County ' Occuu' t(PRINT) Phone No. Power upplier Address Electrical ontractor (Company Name) Contractors License No. Mailing d ress ( tractor or Owner Maki nstailation) j . a - u thori it Signature (Contractor/Owner M ng I stallation) Phone Number G MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST BILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Ph- 18121 297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ER-eooot-04 ' See instructions for comp?8tine this form on back oI eell- copy. A 0 V 9 7 3 "X" Below Work Covered by This Request dd Rap. Type of Building Appliance. Wired Equipment fired Home Range -Temporary Service Duplex Water Heater Lighting Fi?ctunes Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Con itioner Bulk Milk Tank Farm ec y they ispecifyl t er spoci y Other Compute Inspection Fee Below N Fee Service Entrance Size k Fee Feed.,s s a Fee circuits ,l 0 0 to 200 Amps 0 to 30 AAmps V1, 0 to 30 Am Above 200 Am is. 31 to 10 MPS 31 to 100 A Swimming Pool g Above I Above 100-Am Transformers Irrigation , Partial'Other Fee Signs Special In S 0 6-1 Remarks T9&FE ys/ t Rough-in Date f :$ f- ptrical spector. hereby rtity thel the above Final 9=t c ironection hea been ? O / mode. This request Vold IS months from . ' -- . . J ?i ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE © SETS OF PLANS, CERTIFICATES OF SURVEY 5, F• Pi Cx.l(apR. SET OF ENERGY CALCULATIONS To Be Used For: YI n J i y OR ? aluation: (o>?000• ? Date: Ocfi Site Address: Clip • • Lot: / Block:-3 / Sect/Sub: Erect: X Occupancy: R 3 Parcel #: \14emodel: Zoning: R-I Repair: Type Of Const: Owner: Enlarge: Cal # Stories: 1wP. , Move: Length: Address: S9g S (LSt? Sf W, Demolish: Depth: City/Zip Code: //n((!,/ ss?L?e Grade: Sq. Ft.: Phone #:- 4 3 / - 2:-z-0 Contractor: Address: a /1, oL,C- City/Zip Code: Phone #: Arch./Eng:/ew o e-L/ii(f - Address: ,F Zoo I.?pGy /?ot Su, City/Zip Code: (o Phone#: `4 Assessments: Water/Sewer: Police: Fire: Engr.: Planner: Council: Bldg. Off.: f APC: Variance: Permit: 3Z5.' Surcharge: 3Z. -° Plan Rev.: - SAC: SZS.°- Water Conn: 4-7o." Water Meter (n Road Unit: 'L( Parks: wsyr'm // F37" SQ o Z? x 4? = l o 40 54 5cc ? (o g X ? _ ?4 x ? ? " 2Co z4- h 22 ?c2Z = q ?? x << 5324- 64(08 _ ?s RESIDENTIAL ` BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construcgon Requirements • 3 registered site surveys showing sq. ft. of lot sq, ft of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan g lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE D Z RemodallReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • l site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION SITE ADDRESS 1 ?6y'F?5 )aA ? MULTI-FAMILY BLDG _Y ?N TYPE OF WORK _T9 C4< FIREPLACE(S) - 0 21 _ 2 APPLICANT -f4z STREET ADDRESS l yl0 $ Ili r? S L 2G CITY _C STATE 4L2ZIP!nOO_Ff TELEPHONE #? ! NS?1 ??i511 CELL PHONE # ( 2j? e S 'rYi!?' FAX # PROPERTYOWNER (? Z r>eD,? TELEPHONE# Cpl COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1, _ (J submission type) • Residenflal Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: A Z M Phone # Plumbing system include Water Softener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: A Z4 Phone # Mechanical system includes: Air Conditioning - Heat Recovery System Sewer/Water Contractor. A)4/4 /11 I hereby acknowledge that I have read this application, sta with all applicable State of Minnesota Statutes and City of Signature of App OFFICE USE ONLY x -11, p_0 Fee: $70.00 Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ 91 SJ 2 0 2002 16 Updated 4/02 OFFICE USE ONLY 0 % ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex PK18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 73[ 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant s Valuation L?C9(?-cam °`- Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED IN SPECTIONS _ Footings (new bldg) Final/C.O. Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final - Pool Ftgs Air/Gas Tests Final - Framing - _ _ Siding Stucco Stone - _ Fireplace _ R.I. _Air Test -Final - _ _ Windows (new/replacement) - Insulation - Retaining Wall Base Fee Surcharge 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 Approved By TL-, Building Inspector V J, "..dVEYOR'S CERTIFICATE 30 ( 1A/! Al 1 /Ir-IA/ I VV If IV L-VV (i I V L., 926.1 L. S 9 aa. L S I °18 `22"W 79.83 in y DRAINAGE B UT(L!T EASEMEA !0 PER PLAT LOT i A) ? kph V?ryry hbi p5 b? 30 nl I Qp S 1 ?pQ ?E U q z I ? a? t 9 k 111. '?l Z 0.09 ?,+s 05i0 A Q Q V I c to 3 Z o .IA 111 54.40 J 925.4 TOOM AS „pNH01•E ! f TOP EV.+926.4] INVERT ELEV.=914.41 PROJECT NO. 84861 FILE NO. FOLDER SUNSHINE CONSTRUCTION COMPANY An n nI/-ir) IV/ /-I I V (?, I I /i r)rnl AI i-iL/L/I ! /t-"/ V 7- 3S -rr`, ? A r o ,In-) _.6p Aw /z2aze.\? / N 0], o GAR/? $ 'gy?•54 ZZo lgti8•? :? ? i ?' 9Z o.3 uE 92 19 z C' S 17°q21E? L A pMHO? E Je9Y6 0 0 10p pME Evs g15' ICE N 1 INCH=30 FEET SHEET 2 OF 2 SHEETS BOOK / PAGE JAMES R. HILL, INC. 98/1 Planners / Engineers / Surveyors 8200 Humboldt Avenue South Bloomington, Mn. 55431 812-884-3029 0-* 325,+ 32-+ 162.5+ 525-+ 470-+ 63•+ 260-+ 11837.5* One or Two Family All Other CITY OF EA Q. BUILDING DEPARTMENT EXTERIOR ENV OPE AVERAGE fluff COMPUTATION (To be submitted with building permit application) Dwelling_ Owner Contractor ?ylv, gag >r ?Ow?T Site Address Date Phone LIiEAL : EET OF V EX-POSED '3ALL SEE Oclk-g- `o?yEET ft. above grade F/080 •oo TOTAL EXPOSED WALL AREA SQ. FT. O'AQUE '3i:LL CONSTRUCTION: flu" Value x Area D i l flu ?I •?3 x SQ, eta ' reference / ,awGf "U" : eja x SQ. from flu, , o x SQ. attached fluff x SQ. sheets u x SQ. fl ff x SQ. 7-INDOWS: "U" Value x Area ?iH'ce " rr n & Type IWraVL. ??? flu', .5I x SQ. It ?Urf ff x sq. ni1e " fluff x SQ. x SQ. "U" Value x Area DOORS: n n n & Type -?7G. "ol, nun s 14 x SQ. IT __J?d-'Cro fluff .48 - x SQ. n fluff fr fluff x SQ. _ x SQ. TOTALS 2OSS•00 SQ. AVERAGE "U" TOTAL (U)(A) VALUES IW.1z = DIVIDED BY TOTAL WALL AREA ZOQjS,oo _ AVERAGE 'fU" or less P.OOF/CEILING TOTAL AREA: 1D for 1&2 family dwellings FT. /5;70.Z0 . 108.37 (U) (A) FT. 147-44 = 13.45 (U) (A) FT. 1oq•Sb= 4,38 (U) (A) FT. _ (U) (A) FT. - (U) (A) FT. - (U) (A) FT. 1/7.80 = 57 SZ (U) (A) FT. _ (U)(A) FT. (U)(A) FT. -= (U) (A) FT. 9,00 ?0.80 (U) (A) FT. ",oa o. Z (U) (A) FT. _ (U) (A) FT. - (U) (A) FT.-_L?l Q ? (U)(A) Detail reference fluff .0z3 x SQ. FT. 104 ZS•317 (U)(A) from fluff x SQ. FT. = (U) (A) attached sheets. "U" x _ SQ. FT. o (u)(A) Describe openings fluff x SQ. FT. - (U)(A) in roof. fluff x SQ. FIT. - (U)(A) 20 AL (U)(A) VALUES DIVIDED BY ?•3? T7?L5 1104 kf? 2S•39 CU(A\ ) °?'AL ROO:-/CEILI!:G 'ulEA f?09 .OZ S-' AVERAGE "U" .025 for ventile,ted roofs. --WALL SECTION-- Determining "U" values at Roof, Wall, Rim, and Conc. Block ROOF/CEILING (R) VALUE 1.) Interior Air eilm 0.61 2.) 5/8" Gyp. Bd. .56 3.) Insulation jo. aD 4.) 5.) Exterior Air Film .61 (STILL) nUu 1/R= LOTAL M=4/79 WALL (R) VALUE 6.) Interior Air Film 0.68 7.) j" Gyp. Bd. .45 8.) Insulation /9.00 9.) Z??3Z'' 3 tcT-P TE Z.og 10.) Masonite Siding .67 11.) Exterior Air Film .17 nUn = 1/R= , 043 TOTAL (R)=G5.Dj RIM (R) VALUE 12.) Interior Air Film 0.68 13.) Insulation 17,00 14.) 21, Fir Rim Joist 1.88 15.) J?VK-T- ? TE Z•0f 16.) Masonite Siding .67 17-) Exterior Air Film .17 uUii = 1/R= , /J4p TOTAL (R)=A jT FOUNDATION (R) VALUE 18.) Interior Air Film 0.68 19.) 20.) 21.) 12" Concrete Block 1.28 22.) ?IC?IA I/V?UL, 5.00 23.) Exterior Air Film .17 uUn = 1/R= 1078 TOTAL (R)= IO.f? 11 ?o? ? I?r rl ? r?EJ (s?f1??-- 5 C, 5•C07 X (4a?-z(o t Z?? = SZ 1. ? 9.&7x 90 = 34(0.80 ?' oo X (? 9? - Sg o0 qq ,?j om 0O . ?7X(4otgo+zlGrz(? = 88. gg. . 83 X coo j--?otZ?+Z ? = boy. S? ?- w11?DoWS Zsxl? _ x 4 = zs. zo Z?X1Lv = g..s K 3 = /?.so 32X!!o = 7.1 X ?. - 7.10 LS>;ag = lo.Y x 4 = 43.100 Zox7.a = 7.S X z3-?o l/Z• 8a Z$ s7L SF*. = Zl. ao _ ?AM Z = 84.o0 13?.00? Ne Ex?vSe!;D ? Ear S 67l20i17 w*4-L HESS eave, P)m /O9•Slo u WDw'S /l2.go " A??s 133,00 Z, 050 497 S© l? 57o. Zo. -&-r ?$O = lOgp A SUNSHINE CONSTRUCTION COMPANY SURVEYOR'S CERTIFICATE' DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 929.0 FEET 0 X000 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 9 Z( J FEET . (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9 2.9,4 FEET I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COMPANY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 1, Block 3, WALDEN HEIGHTS FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 1ST DAY OF OCTOBER, 1984. SIGNED: JAMES,R./fILL, INC. ! BY: MINNESOTA LICENSE NO. 12294 , SHEET I OF 2 SHEETS PROJECT NO. 84861 FILE NO. FOLDER BOOK / PAGE 98/1 JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avonu• South ' Bloomington, Mn. 55431 812-884-3029 r- SURVEYOR'S CERTIFICATE' 30 I -IA/IAl I //r-IA/ I I VV I I V V 1 L- VV 0r_-r^i?AIr1 JL- VLJ 929.1 n.9 q z S 1018'22"W 79.83 n n ?ORAwAIGEB UTIL/ EASEMfN', lO PER PLAT LOT 1 o I / ?a V ss 0? o 0 i I ep5 d b C) titi (5v h6 . 30 41d + o ?e 9 u+S /?'2' 6M1'% e o W bb ? I l 9 3s ? to Its& I _n 0c Q Z v /0 0 101, SUNSHINE CONSTRUCTION COMPANY AA A Al"ir) IV//-IIV(JI \ , /1 rI r) I l ?l A I i-IL/L?l / IlJ/V \ ? J \ Z . \ / N CID N to= 1 Na\ P N . =C?1 9 \ R?OSE1) P N0 $ o / 2 N m s ;J0 , r 19ti8 ?? /GARl $ g v s i SIIF 9Z $ j1o411? L ,A 92'5.4 T140MAS - MANHOLE _ INVERT ELEV.-914.413 I INCH = 30 FEET 1 .3 SHEET 2OF2 SHEETS PROJECT NO. BOOK /PAGE JAMES R. HILL, INC. 84861 98/1 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 56431 812-884-3029 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN v?> n r ?cf w 3830 PILOT KNOB RD - 55122 0 651-681-4675 New Construction Requirements Remodel/Repair Requirements > 3 registered site surveys showing sq. ft. of lot, sq. N. of house 2 copies of plan and all roofed areas (20%maximum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies or plans (show beam 8 window sizes; poured fnd. design; etc.) 1 site survey for exterior additions L decks > 1 set of energy calculations > 3 copies of tree preservation plan R lot platted after 7/1/93 DATE: l'0I /? CONSTRUCTION COST: yDWU.Lb DESCRIPTION OF WORK: ,,_Q?LI/(f rft??t ??, yen-D& STREET ADDRESS: I 4VWL? '?r?l?? P f l6 I O V19, LOT: 1 BLOCK: SUBD./P.I.D. #: W pa kt , 11?_( Name: Phone #: tl'??? ?3'f -j L PROPERTY Lo+st1 ?' ?\ . First OWNER 1"[0) 1--h ?(Ay u Street Address: X/ i I I City 1/Ij.g0n State: Zip: 5rN -or Company: $ f Phone#: 0'-?'- gam.IILIq (area code) CONTRACTOR Street Address: 00 1 1E License # Exp.ofstx C? City Q A 4LJ? 1 IQ State: Zip: Lb3 ARCHITECT/ ENGINEER Telephone #: area code ( Street City Name: Registration #: State: Zip: Sewer & water licensed plumber (required for new construction anlvt: Penalty applies when address change and lot change Is requested once permit is Issued. I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ff (? Signature of Applicant: ?ltC ?u 1? 14? OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes No No - Not Required JUN 2 3 1999 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 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. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 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) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC hkabbb, Valuation: I 2/84 CITY OF EAGAN X11 APPLICATION FOR PERMIT -? SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPa7TY ADDRESS : J / 0 " ? S L- OL vt L. /LFr-:,L DESCRIPTION: j o 8 /o c c 3 W a( hK ?a ?n>,r I t/Block/Subdivision or Tax Parcel I.D. Number) I STRUCTURE , D;L=- OF ORIGi JAL BUILDL`JG PT_•IIT ISS'MNCE: - -- PPCS: Z.^.2TiX:1_'ROPCS c LSE: 8-R-1 S21iGLE FPMffLY ? R-2 DUPLEX (TP:O UNITS) ? R-3 TOWNHOUSE (THREE + UNITS)( UNITS) ? R-4 AFAR' EX/COQ i?O.?=IUM ( L7 ITS i ? CUTl RCLAL/RLTAII./OFFICE ? I'MUSTRIAL ? INSTITUTIONAL/GMF.MIENT 2) APPLIM.Nr tPLEASE PRINT) NAhfE: S?.t KS?I"?e C?9W.Sr?"u G??' h ADDRESS: CITY, STATE, ZIP: ,9on/Q fJp` SS(L? PHONE: -G2c76 3) PLL:iBx? RME ASE PRINT) 'J I? FOR CITY USE ONLY : C T y PLU!! RS LICENSE: ADDRESS: Rn.. XbOne'xi- 75 ?llyg Active CITY, STATE, ZIP: !Blot+/N. lw.Tg%/V t x/20 ?Y? 0 Expired PHONE: ' . ??•-yjy"/ PLUMBER LICENSE N Not pt' Record TE-7. initial 4) OCCUPPNT/C!$]ER NAME: < (PLEASE PRINT) toy, ..J'•1.?.? ? Lb. ? C? O Z? 1H ADDRESS: Stt w -e 0. - C-CITY, STATE, ZIP: a too 0 <. PHONE: S) INDICATE WHICH PEPP•LIT IS BEING REQUESTED: ® C02INECPION TO CITY SD- IER ® COI.=LION ION TO CITY WATER OTIfER (PLEASE DESCRIBE) G) Z DIG':. ONE: PIZ',SE 110M APPROVED PER`lIT FOR PI "-UP BY ONE OF ABOVE PLI<\SE AIL PERMIT TO 1 4 ABCNE (Ci one) 7) S=ATU7cE: DATE: T OG? T, /g85L a# a d r; r:sa:r ra a s re??rJr:r lrJiFJ? a a= ????? a F O R C I T Y U S E O N L Y PERMIT ISSUED rrES: $ / 4•S-_d $ $ S $ /y.. •? $ rya $ s S S $ TOTAL $ AMOUNT PAID/RECEIPT ..c- DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ® NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: -_G75' C J .E? c` i a .- cf DATE: SEWER PERMIT ( T"'DE SURCHAGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER ww-wme" wwms=am=Oass??wwwwa?wwwa?w+wwiw?ww:?w•i?swwart+wwwwr CITY USE ONLY LOT (BBL ?} 3 PERMIT H: SUED. W y? RECEIPT P CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 651-681-4675 RECEIPT DATE: 4 ? - -'),U o o 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: ' 00 Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge Total $ 30.00 6.00 .50 Complete this section only if you are remodeling, adding to, or repairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration `? Furnace Air exchanger Reminder: Cal! for inspections SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: $ 30.00 30.50 W 45y ZZkS ` ' -413-B92.p CITY: ?U?Rm?J STATE:"V?j ZIP C.1C9 -U SIGNA ' OF PEiMITTtIf 1-43 -?,) --I Air conditioning Other Repair - Other Fee State Surcharge Total L BL SUED. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for. all commerciaUndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank - Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1 % = $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: CITY USE ONLY PHONE #: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE PERMIT City of Eagan Permit Type:Building Permit Number:EA160723 Date Issued:04/07/2020 Permit Category:ePermit Site Address: 1468 Thomas Lane Lot:001 Block: 003 Addition: Walden Heights PID:10-83300-03-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Scott E Morrell 1468 Thomas Lane Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature