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4056 Tilbury Way SEWER & WATER PERMiT OFFICE USE ONLY 6 / 15 / 9u CITY OF EAGAN METER # 3 PERMIT DATE 3830 Pilot Knob Rd. CHiP # Q/ D 3 a a~ PERMIT # 11451 Eagan, MN 55122-1897 . Jt~ METER SIZE B.P. RECEIPT # ~ ISSUE DATE ! U B.P. RECEIPT DATE 6/ 13 i 9.• DATE _ PRV - BOOSTER PUMP SfTE ADDRESS T ' LbL1;}' Wr. Y PERMIT REdUESTED LOT BLOCK 1 SEC/SUB HILLS OF STONi.BKIUGE 2NG X SEWER X WATER -TAPS APPLICANT: COMM/IND - RESIDENTIAL ADDRESS: • r r CITY, STATE j e 10 ZIP x NEW ~ EXISTING PHONE: r-~ "Lawn Sprinkler Meters are to be Installed PLUMBER: z°'~' v f_:~I? Ahead of Domestic Meters on Water Line. ADDRESS: 1474 "Q :°,OF3F T TliAl L Credit 1N(LLTIOT be giverYfor Deduct Meters. CITY, STATE ROSFMJUhT ZIP 55068 PHONE: 1 AGREE TO ChMP Y WITH CITY OF OWNER: ~El1~if~>, EAGAN ORD~NANC~S ADDRESS: 5929 BAf:ER P.i) , - - • CITY, STATE 11I1•.NETOMCA, "=P' ZIP 55345 C_ PHONE: 936_7F,~' SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT • METER SIZE B.P. RECEIPT # ISSUE DATE B.P. RECEIPT DATE sATE _ PRV - BOQSTER PUMP SITEADDRESS 1' PERMITREQUESTED LOT 28 BLOCK 1 SEC/SUB 11, 1 LL5 UF ST0NE$R2i>GF % X SEWER X WATER - TAPS APPLICANT: ADDRESSr, , ' . ' a - COMM/IND - RESIDENTIAL CITY, STAIE ` - ZIP X NEW _ EXISTING PHONE:-, F. . Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 14 745 SJ F:OBE T TRA1L Credit WILL.NOT be given for Deduct Meters. ~ CiTY, STATE tr!~-_ ;:s ~mS_HOUN'[ ZIP 55068 PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: '-PITEY. IiOflES EAGAN ORDWANGItS ADDRESS: ` 19 B_AKER RU CITY, STATE isihNETONM+ t't'~' Zlp 5 5',45 PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM I SEWER PERMITS, CONTACT ENGINEERING DEPT. ` PermH No. Permit Holder Date Tekphona # WATER ~ ~ lP s SEWER ~ PLUMBING G/ 9 Q H.vA.c. ELECTRIC 5LTD Inspection Data insp. Comments CG) Footirgs I V Foundation 14/1 Fr~, ~ ~ - Roofing Ra,9h wn9_ ~+9h Ms. ~,i. F r~~ Final Htg. Fnal PIb9• v2~ O w t7 •~t . Consl. Meter Plbg. InspeCtor - NoG(y Plumber ergr.IPlan Z, , Bldg. Final Dedc Ft9. ~~l• 90 / +b ~1,.iejf Dedc Fnal i Tra«. Ad&z ~ Z9 F wen ~~G ciNG- Co 'it Pr. Disp. ~ ~ ~ ~ , . j _ . _e. . . ,y.. i • ~ ~ t~ ~ . M1 . ftrx#if iratit of Mrrupanry titp of (Eagan lorpwftunt of wui[dang jmwertiam This Certificate issued pursuaru to 1he requirements of Section 306 of the Unifonr? Building Code certifying drat at the time of rssuance thrs strucwre was in contpliance wirh iJre riarrous ordinances of the City regulaAing building rnnsmwtion or use. For rhe folfowiRg.• ~ M/~ 18003 u~ a~~.~ ~~1 PD l Na. ~ ~aNIEX H(I~LS ~ ~ AJ&m 5929 BAm M27Mffiw1lm MUM Ad* 4056 TIIU[JRY WAY ~t, L-N,--BT, HIIi~S *9-, !990 .1 &Admg OMcW POST IN A CONSPICUOUS PIACE ~'T'y . .'~~'vrrre'- Y:H?{ •nR"7'}e' . -r. r . . ...r..~.y.a~~~.r..-.t:'r~~'~."~ . . ^ ~vpw~ce~m-r IF,. . MECHANICAL PERMIT For Clty Use 07 ly ; . CITY OF EAG9AN PERMIT ~E C:2 O 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # DATE PHONE 454-8100 DATE: Site Address 111) of? BLDG. TVPE WORK DESCRIP ~ Sec/Sub Res. New Const Lot Blodc N f ~ Muft. Add-on ! ? Comm. Repair ~ - ame Othe ~ Address ? O~At Phone FEES c City RES. HVAC 0-100 M BTU - $24.00 Name ~ ADDITIONAL 50 M BTU - 6.00 ~ Address ~ (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) ~ City Phon TOWNHOUSE & CONOOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 3 TYPE OF WORK REMODELS (INCLUDES GAS PIPING) - 12.00 CY GAS OUTLETS (Iu11NIMUlA • 1 PER PERMIT- ForCed Air ~(Z M BTU $ NEW CONST.) - 7.50 EA. Boiler M BTU $ C01AM/1ND FEE -1% OF CONTRACT FEE Unit Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent CFM ~ STATE SURCHARGE PER PERMIT .50 (ADD $.50_%~PER EACH $1000.00 OF PERMIT F E) , ~ . Gas Piping Outlets # ~ $ Other $ . CommJlnd. Contract Price x 1% $ PERMIT FEE: ' S/C: FO : CITY F EAGAN TOTAI: - , . ,y~~¢ iaw_ . . . . . . . .b .1 r.g~,,- . . . PLUMBING PERMIT For Offi O y ~ CITY OF EAGAN PERMIT ~r CONTRACT PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # 79 5 PRICE PHONE 454-8100 dATE: S~ Site Address BLDG. TYp~ WORK DESCRIPTION Lot ~ Block /Sec/Sub 'y'1jS Res. ? New 01'g~ Muk. Add-0n Name Comm. Repair ~ AddresR oO'4S/J1/S -jo • 170 L'rrtt' 7Pf~ -'~L Other c City M~ Phone ~-3 ~ RES. PLBG. ONLY - COIiAPLETE THE FOLLOWING: - NO. FIXTURES TOTAL Water Closet - $3.00 $ ` Name- " Bath Tubs - $3.00 'c Address 'T Z a1 3u•?L y7 Lavatory -$3.00 ~ CityM''*1#2f~~~~ *11/-Phone Shower - $3.00 Kitchen Sink - $3.00 UrinaVBidet - $3.00 FEES Laundry Tray - $3.00 COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES - Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Oudets -$1.50 ' MINIMUM - CaMM.IND.IFEE $20.00 (MINIMUM -1 PER PERMIn STATE SURCHARGE PER PERMIT .50 Softener -$5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00 Pnvate Disp. -$10.00 Rough Openings - $1.50 U. G. Sprinkler System -$12.00 ~ SFGNAI 7--e4-~2 oF PERMirrEEPERMIT FEE: I~ ~a~ ~ STATES S/C: -rJ ~ r7TU- !~/IC FOR: CITY O , E ' GRAND TOTAL: ~ J-B . . , . ` , . PLUMBING PERMIT . . A For Office Use Only . • CITY OF EAGAN PERMIT# ~le~o G O CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #t PRICE PHONE 454-8100 DATE: 0// Site Addfess 77 - uR X c~B NPE WOJiK DESCRIPTION ~ L,pt~ O Block Sec/Sub ~w ) Mult. Add-0n Comm. Repair ~ Name~ Clggat~ ~ Other ~ Addr v • e c City CZTEMa~ hone - R~• P~G. ONLY - COMPLETE TNE FOLLOWING: - NO. FIXTURE3 TOTAL Water Closet - $3.00 $ ~ U U Name / Bath Tubs - $3.00 ~6- ~ • Address , ~ I..avatory -~S3.o0 ~ \jft~l [!1 - ~~/fi~I ~ Phone ' ~ • ~ ..~IOWer - .yq.a.00 Kitchen Sink - $3.00 3 e- ~ rJ ~ UrinaVBidet - $3.00 FEES ~ Laundry Tray -$3.00 v v COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 • TOWNHOUSE 8 CONDO - RES. RATE APLLIES Whirlpod - $3-60 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Oudets -$t.SO MINIMUM - COMM.IND_/FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener -$5.00 _ (ADD $.50 SJC PER EACH $1,000 OF PERMIT FEE) Well -$10.00 Private Disp. - $10.00 Rough Openings - $1.50 ~ ~ ~ U. G. Sprinkler System - $12.00 , SIGNA URE OF PERMITTEE PERMIT FEE: ~ i ~ STATES S1C: r G ( FOR: CITY F EA AN GRAND TOTAL: Gf i r y~i~o79i1z~~,~.~ ~g Requ¢sl Date Fire No. ughin InspecGOn NOTICE: Vou Must Cali Elecincal Inspector equiretll tl A Rough-In Inspection ~ ?Yes YNo IsRequiretl. I licensed contractor ? owner hereby request inspection of above electrical work at: Jab Atltlress Street, Box or Rou1e NaJ Ciry s6 or No.N GUA J~~6Y0 Sedion No. Township Name Range No. Counry "DAkor,4 Occupam (PRINT) Phone No. Power Supplier qdtlress ~CD t' Elecirical Conhac1o~ (COmpany Neme) ConVadorY License No. Mailing Address (Contrador or Owner M ing Installati n) Y' d~ .Sa ~ . .S.S~ Autlwnzed ' ure (CO or er M ing Inslall ' n P~orie Number MINNESOTA STATE BOAflD OF ELECTRICffY THIS INSPECTION REQUEST WILL NOT Grigge-Mitlway BIUg. - Room &193 POwf.f' BE ACCEPTED BY THE STATE BOARD 1821 Univereity Ave., St. Vaul, MN 55109 UNIESS PROPER INSPECTION FEE IS Phone (612) 692-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Es-oooai-ae I See insVUq-ons for rqmpletirg ihis farm on back of yellow copy. /~/n s Y M 07911 r 'X" Below Work Covered by This Request T ew Add Rep TypeofBuilding AppliancasWired EquipmeniWired Home Range Temporary Service Duplez Water Heater Electric Heating Apt. 8uiltling Dryer Load Management Comm./Industrial Fumace Other (Specify) Farm Air Conditioner Other (sPaciTy) Contrector5 Remarks: /I ~po~~r 5~.p p~y r I«~ Compute Inspection Fee Below: r~ # Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee Swimminq Pool - 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps SIgf15 Inspector§ Use Only: TOTA`L S U Irrigation Booms ~ f' 0 Special Inspeaion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rougn-in oeie certify that the above inspection has F;,,ai been made. + Z OFFICE USE ONLY This request void 18 months Imm @ 0/930 id Raques[ Oale ire No. Roquir-in"Inspectian Reetl? ? Ready Now GJill Notify Inapector - I 7' -1 ~ Ves ? No When ReadY? I)Clicensed contractor ? owner hereby request inspection of above electrical work ai: Job AOtlress (SVeel. Box or R'ute No.) Ciry Section No. Townshlp Name or No. nge No. County Occup n1~PRINT~ Phone No. ev~ke r~P/y Power Suppb`e~ Pdaress lhotc` e C,~tr i C, Eiechical Conlreotor (Gompany Namel ConVector5 Licenee No. Lotacy- lv\c- Ni93S-a Meiling Atldr (COntta or Owner Making In tallalion) 3e ~,u~d N~, m IS, rv 5q32 AutM1Onzae Signatul iCOnhaclor Uvnar Making Installation) PM1One Num~er 6 Sq-3'Y2g MINNESOTA STATE BOAflD OF ELEGTRICITY THIS INSPECTION PEOUEST WILL NOT GrlgBS-Mltlway Bltlg. - floom S-173 BE AGCEPTEO BY THE STATE BOARO 1821 UniveraHy Ave., St. Paul. MN 55104 UNLE55 PROPER INSPEGTION FEE IS vhone(BtY) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~aM~ee-ooom-m ~ See instmctiono for completing ihis form on back ol yellow copy. X" Below Work Covered by This Request 65930 9~ ew Ad Rep. " TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. 9uilding Dryer Other (Specity) Comm./Industrial Fumace Farm Air Conditioner Omer (specify) Concracror's Remarks: / Compute Inspection Fee Befow: ' # Other Fee # Service Entrance Size Fee p Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps ove 100 _ Amps Signs lnspector's Use Ony: Tp;AL rn~ Irrigation BoomS Special Inspection Alerm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Elecirical Inspector, hereby Rouen;n oace certify that the above inspection has Fmei oa been made. ~ OFFICE I/SE ONLY This request voitl 18 monlM1S Imm g 0 5 "AA Repues~ Dat¢ Fire No. ugh-in Inspec~ion p quiretl? ? Ready Nav ~Will Notiry Inspector ~ 1 ~ Yes ? No When ReaOy? I~licensed contractor ? owner here6y request inspection of above electrical work at: JoD Adtlress (Street Box or Rou[e No.) Ciry HeSL h, It~ J E Section No. Townshlp Name or N Range No. CounTy OccuOant (PRINT) Phone No. CMl- ~ev"iY Power Suppiier Atldress D v10U, DE(-ArI G ElecVical Conlractor IGompany Name) Conlrador's License No. .A PJ~ 'L~iC/ '~c, S- Mailing Atltlr s fCOnlratlor or Ownar Makin Installallon) 3 ~ ~ ~d r.~E, Amhorize0 Signatore ~COmracronOwner Making Insanation) Ph-~~uone Number ; ~ MINNESOTA STATE BOAPD OF ELECTHICITY THIS INSPECTION FEQUEST WILL NOT Grlggs-MiEway BICg. - Hoom S-113 BE ACCEPTED 8Y iHE STATE BOARD 1821 Universlty Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(BtP) 602-0800 ENCLOSED. o~7~Fo REQUEST FOR ELECTRICAL INSPECTION es-ooom m 6~ See inslmctians lor compleling Ihis torm on Oack of yellow copy 6 5 9 0 6 X., Be/ow Work Covered by Thrs Request e 'Add'Rep! TypeofBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplez Water Heater Eiectric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner OtPer(specity) Comractors Remarks: Campute Inspection Fee Below: # Other Fee # Service Enirance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Translormers Above 200 _ Amps Above 100 _ Amps SiynS mspecror5 Use Only: (J' TOTAL ' Irrigation Booms X~'~ Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONf P 1, tne Electrical Inspector, hereby Rough-in , x~ certify that the above inspection has p;nai ~ Date ~ been made. OFFICE USE ONIV . This repuesl voitl 18 monihs Irom . - CITY OF EAGAN NO ~$OO3 3830 Pilot Knob Rpad, P:O: Box 21-799, Eagan, MN 55121 PHONE: 454•8100 BUILDING PERMIT Receipt # - ~ Tobeusedtor SF DWG/GAR EscValue $139,000 Date 1uNE 13 ,~g_Q~ Site Address 4056 TILBURY WAY Lot 28 81ock 1 SeclSub. HILLS DF OFFICE USE ONLY Parcel No. STONEBRIDGE 2ND p~~~pa~~, R-3 M=1 FEES Zoning PD R=1 w Name CENTEX HOMES ~ncmaqCons~ V-N BIdg.Permit 776.00 ; Address 5929 BAKER RD (Allowable) V=N Surcharge 69.50 ° Ci~ MINNETONKA Phone 936-7833 kotsrories y Length 64~ Plan Review 504.00 DepN 38 ~ snc, cay 100.00 o Name S~ - ~a Address S.F.TOtal - SAC,MCWCC ~ City Phone S.F. Footprints - OnSileSewage - WaterConn b25.00 ~w Nafl'le OnSilewell WaterMeter 9~-nn w Address n+wccsysiem ~ ~ pe~s~~ 30_nn `a W Ciry Phone Ciry water ~ 3n _ no PRV Required _ S/W Petmit I hereby acknOwlege Ihat I have read this applic ion and state that the Booster Pump - SM' Surcharge - 50 inlormalion is correct an 2 to comply " all applicable Stale oi Minnesola StaWtes a iry of gan Or ~ nce . Treatment Pi 252. 00 Signature of Permitee APPROVAI.S Road Unit ~5~nn A Building Permit is issued to: NT X HOMES %a~~ef - Park Ded. on the express condition that all w shan be done in accordance with all Council applicable State ot Minnesota Statutes and City of Eagan Ordinances. g~eg, p~~, _ Copias n~ n: t~ ~'Y41 ~ Variance - TOTAL 3~ 432 . 00 8uildingOflicial µ'~J_~1i16a.~r_L~• "Address: 4056 17lBURY WAY Lot Zg Blk I Sec/SubHELLS OF S1t7P1EBRIDGE 2ND These items wera/were nat complete at the time of the final in pection. Date: ]2 3 92 Yes No Final grade (6" from siding) Parmanent steps - garage VI" Permanent steps - main antry LI/ Permanent driveway ~ Permanent gas Sod/seeded grass Trail/curb damaga ~ Porch v Basemant finish ? Deck ~ Please verify with Che builder the ramoval of roof test oaps from the plumbing system and the shut-off of water supply to the outaide lawn faucet bePore freeze potential exists. ~ •ca[oww~ White - City copy Yellow - Reaident copy Pink.- Contractor copy RESIDENTIAL ~ r ~ BUILDING PERMIT APPLICATION I CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 0 / 5 -7. 2- _5 NewConstrucfion Raauiremenls RemodallRenair ReauiremenW • 3 registered site surveys showing sq. ft. ot lot, sq. ft. of house; and all ruofed areas • 2 copies oF plan (20%mazimum lol coverage allawed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam 8 window saes; poured found design, etc.) . 1 site survey for exlerior additions & decks • lsetofEnergyCalculations . IndiwteHhomeserved6ysep6csystemtoradditions • 3 copies of Tree Preservation Plan If lot platted affer 711193 • Rim Joist Defail Optlons selaclion sheel (61dgs with 3 or less un'As) DATE1~~_n v Z VALUATION SITE ADDRESS S MULTI-FAMILY BLDG -Y -N ~ TYPE OF :kJRK FIREPLACE(S) _ 0_ 1_ 2 ~i- APPLICANT ~ STREETADDRESS -SAIEUINg 'rldI~ mpI,'~_STATE YIAIZIP TELEPHONE # CELL PHONE # - FAX # eO/ 2 ' Y~I ~ 3 SSUU PROPERTYOWNER C Be,P.I .z1/ 42 TELEPHONE#&5`/S r COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 MINNE501'A RUI,ES 7672 (J submission lype) • Residential Ventilation Cate9ory 1 Worksheet Submitted • New Energy Code Worksheet Submilted . Energy Envelope Calculations Submitted Plumbing Contractor: _ Ptione # Plumbing system includes: _ Water Soflc;ner _ I.awn Sprinkler Fee: $90.00 Water Heatcr No. of R.I. Ballu No. of Batlis Mechanical Contractor: Phone # Mcchuucal syslem includcs: _ Air Condilioning Fec: $70.00 HeaC Recovery Sys[em Sewer/Water Contractor. Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant i' / OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 07 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-piex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to appllcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addirion) _ Plumbing Foundation HVpC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ ' . . . 11003 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PL,ANS 2 SETS OF PLANS 2 SETS OF ARCHITECTL'R?L 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTliRAL PL.=.::5 1 SET OF ENERGY CALCiILATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFIC.- T?0\S 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY G-L''S # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BDT NOT PICKED UP BY LAST IdOR}:IF6G UA1 OF MONTN IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES [dILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & IdATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEE\ CG_(?LETED. PERMIT PfUST SHOW A LICENSED PLUMBER. _ dU?t 0 3 RECrr To Be Used For: F,~ (T/4 ~ Valuation: 3 ~v , Date: Site Address 41,0S6 U OFFICE USE ONLY Lat 719 Block I FEES HILLS o~. ~~7 Z occupancy - 1+A-I Zoning Parcel/Sub 704-1E6 Actual Const V-/q Bldg. Permit 776,oo Allowable ./-N Surcharge Oi:ner (CNT~,C CYO/y/FS # of stories Plan Revieia ,0J q Length (v(4 SAC, City /OOr(7p AddressS/ 2C/ j•4,CE/'_ )e~ Depth -3e~ SAC, MIdCC CQO,OJ S.F. Total Water Conn (25,U0 City/Zip Code ,t( a~/,e,Q Ss~ Footprint S.F. Water Meter C1D,D0 Acct. Deposit 37,00 Phone 9,~1p - ~ U Z> .3 On site sewage_ S/W Permit 130 ,O0 On site well S/W Surcharge Contractor ~~{E MWCC System Treatment P1. Z$2,D0 City water ? Road Unit 3 SS Address PRV _ Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council ~ I Arch./Engr. , /D.c1l=~A~ Bldg. Off. ~ W Variance Address Z~eZZ ~"~.rEAf"O'4~ oe- City/Zip Code ~Fic%tb'7~l' Phone ~ ~ 1 U ~.i . jl rno-C) El.. 2 i 't o _ - 13s~ Z~z Zyo~' Gnn~ X ~s- 3 / vo I3B,~sv ~ * * * 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55120 * eng * eering,. Is121 se~ts~a ' S Certi(icate of Survey for: CENTEX NOME ~ ~ N 1 NvaYN ~ ~ m va1o N•° , ~ V e o ' ~ 3 ! _y 7 ~ o ~ 'fl ~y o ~ e W b^ ti~, 6) m S (b Fa BY ~ _ / ~,•-rr- t~ EEIGAN ENGYNEEA.INC DEF"T . 900.o DPhofes fXisfin flevafio\ sE F-l E LEVATION PO D o • 500.o Dertotes prop ed ~/evat~iori LPaoowesf Floor eva ion_ gbs.&z dhnofes Draina~ef UfilrY Easemenf rop o; Black Elevplion i~j5.~ Denofes Oraind'J~,e /ow ,4rrows Caroe S/ab flevalion $7s 3~ 0 Denofes monumenf o Deno es Ot ~-sef Nub Bearins shown are assumed Su~ecf fo Easemenfs o""Record LOT 28, BLOCI! 1, NILLS OF STONEBRIDCE PLAT 2 DAKOTA CovNry I hereby certify tha1 [hb qurvey, plan or report w264 asprf pared by me r under my direct supervision and Ihat 1 am duly Hegistered Land Surveyor under 1he laws ol che Stete of Minnesola. Dated this day of A.D. 19 ~ V04~-, Scale ; 1'^ch =,~Q ; ff ' ~ ~O(1 / )lr v 91 ' 2'~-~----. , ~ 'T N~s.2.no PaX 2"4 ~ EXTERIOR F.NVEIAPG AVG1tACE 'U" COHPUTATLON a+Nen er KyX N o.~ c, s ,o rzPog-4 77e%v _ SITE no0aFSS L.aT Z.$~ T3Loc~C, ( ~ H I(.1,5 0+= S_b+VF8ItiT>C,£ RRT~D~'c'zm o'g' . CONTRAC:OR ~ - ~ DATE 1p~Z24„ZW PHONE 93G-7833 Determine vorkinq square Eootaqe of each. 1. Total exposed wall area Z(e14.73 sq. ft. x • 11 = z9[~ . . OZ(. 2. Toeal roof.ceilinq azea .......,/4O(, r91 sq. ft. x to ~5= 3G.4 z ToeoL- tantT ARB,4- 0U22 Ff1GLoSIJEO uNt+g0rr_p 17Z,SX•0$ It Lh-T AYLIA 0V6jLrgPasBO uNN"'MD 21 .33-4 1 n2b : . SS Total exposed vall area above flooc = Z 3 o S, a. Total vall vindow area 3 3-7•Z" F, b. Total door area 3 7. 7 c. Total sliding qlass door azea 3 9. Y L d. Total fireplace vall area e. Total wall Eraminq area (averaqe 10%) 23 C), f. Total net vall area above floor /6.(.Z- q. Totai ri.m joist area....I Z Q Total exposed foundation area = h. Tatal Eoundatian vindov area 2 G• 6 i. Total net foundation area above qrade '7 7q Dete=mine "U" value of each wall seqment. a. 337•15$ X "U~ - 4z ~ J41,7 . b. 037.7Dx -U" ~oCo - - • 2.zG C 39~9GX -U- 3°I r5,s$ ' d. X U. e. L3 0.ti3 x -u-, o = 22~3°i ? t. 61, 6z.Z8 x -o- .~0457 4, $ ? y. 2 . x -u- h. 26 . G x-u- ,4 Z i. 7 .1 x -u- ? z 7q, y676. ' 3...•-• ...............................TOCal ~ Z~"1 / IE item 13 is tlsc same as, or less than item N1, you havc mee the intent of SaC 6006(c)2. Tocal exposed.roof/ceiling area ~ 0 O,~V •8~ j. Towl skyliqht area........................................ k. Tocal rooE/eeiling Eraminq area (average 10%) ~ 1. Total nec insulated roof/ceiling area i 2 6 0,73 Dece=mine "U" value far each roof/ceilinq seqmene. j X »U„ .a-- ~ k. /40.04 x"u" I 0 Z5 = _ 3. SG7r i. lZ60.73 x -a-•,~Z 3d. Z~ -4 .....................................Total 3, 7 G Z If total of 14 is the same as, or less than R2, you have mee the intent of C- Alterr.ate SSC 6006 (c)1. Building Envelope Desiqn To utilize the total envelope system method, the values established by the sum oE items 83 and i4 shall not be greater thatf the sum of items sl and 82. l. + 2. ~ 3. + 4. ° ~ . ~ G~Z9 `E7 G'N-~T~`a.ti ay~ xK~ v" ~'S/q " 5 6~-T•~ I A I I $ I I C I I D I I E 1 I F I I G I I H 1 11 21 EXTERIOR ENVELOPE RVERAGE "U" COMPUTRTION 0 31 410WNER SISITE RDDRESS 61CONTRACTOR________CENTEX.~190 DRTE____ 71 81 DETERMINE WORF;ING SQUARE FOOTAGE 91 1011. Total exposed wall area 2694.730sq.ft. x.11 296.4203 1112. 7ata1 roof/ceiling area 1400.811sq.ft. x.Q26 36.42109 1213. Total floor cant.area 172.5sq.ft. x.a8 13.8 131 (over unheated enclased areas) 1414. Total floor cant. ar-ea 21.332sq.ft. x.026 .554632 151 over unheated exposed areas) 161 1715. Total expased wall area above the floor.----- 2308.350 - 181 191 a. Total wall window area 337.5751 201 b. Total doar area 37.6956 211 c. Total sliding glass door area 39.9E 221 d. Tatal fireplace area 231 e. Total wali framing area (ave. 10X)........ 230.8350 241 f. Total net wali area above the floor....... 1EE2.284 251 g. Total rim joist area 284.992 2E1 271 TOTAL EXPOSED FOUNDRTION ARER 101.3884 281 291 h. Total foundation window area.............. 26.6 30I i. Trital net faundatian ar•ea 74.78842 311 321 Determine "U~" vaCl~i_ie of each wall segrnerit 1 JJI a• J~JI/.57JlK 111V111 •42= 141.'] l815 341 b. 37. E956x "U" . 0E= 2617?E 351 0. 39.96x "U" .39= 15.5844 3E1 d. 0x "U" 0= 0 371 e. 230.8350x "U" .0870322= 20.09007 381 f. 1662.284x "U" .0492368= 81.84559 391 9. 284.992x "U" .0281928= 8,034734 401 h. 2E.6x "U" .4^c= 11.172 411 i. 74.78842x "U" .0824402= 6.165575 421 4316 ...Tctal 286.9356 441If item #6 is the same as rr less thar, itern #1 yau have met the current 451energy code. 2 MCAR 1.16008 R RND O. 461 471 481 491 501 511 521 531 541 551 561 571 J8I ~ai , TOTAL EXPOSED ROOF/CEILING RREA 1400.811 I• +I j. Total skylight area Z1 k. Total flat raof/ceiling framing area...... 140.0811 E61 1. Total net flat raof/ceiling area.......... 12E0.730 E71 E81 E91 701 Determine "U" value for each roaf/clg. segment 711 J. 0x equ., @_ a 721 k. 140.0811x "U" .0238834= 3.345620 731 1. 1260.730x "U" .0238834= 30.11058 741 751 7E1 771 7817 ...................................Tota1 33.45E20 791 801If item #7 is the same as or less than item #2 you have met the bllenergy code 2 MCRR 1.1E008 A AND 0. 821 831 TOTAL FLOOR CANT. RREA (enclosed) 172.5 841 851 o. Total fluor cant. frariiing area (ave. 10X). 17.25 861 p. Total net insulated flaor/cant. area...... 155.25 871 881 Determine "U" value for each floar/cant, segment 891 0. 17.25x "U" .0476644= .8222116 901 p. 155. 2Sx "U" . 025?,E78= 3.938356 911 9218 ...................................Tata1 4.760566 931 941If item #8 is the same as ur less than item #3 you have met the 951energy code 2 MCAR 1.1E008 A AND 0. 961 971 TOTRL FLOOR/CANT. RREA (e)(posed> 21.332 981 991 q. Tc+tal floor/cant. framing area (ave. 10X). 2.1332 1001 r. Tatal net insulated fioor/cant. area...... 19.1988 1011 1021 Determine "U" value for each flaor/cant. segrnent 1031 q. 2.1332x "U" .0489476= .1044151 1041 r. 19.1988x "U" .0257268= .4939233 1051 10619 ...................................Tota1 .5983384 1071 1081If item #9 is the same as or less than item #4 you have met the 1091energy code. 2 MCRR 1.1E008 R qND 0. 1101 riii 11211 HEREBY CERTIFY THAT I HAVE CALCULRTED THE "U" FRCTORS AND "R" 1131VRLUES HEREIN AND THAT THE BUILDING HERE DESCRIBED MEETS OF EXCEEDS 1141THE STATE OF MN ENERGY CONSERVATION ACT. 1151 11E1 ' 1171 (signature) 11H1 1191 1201 1211 (date) . . I E+A I I bH I I BC I I BD I 11 "DETERMINE "U" VRLUES" 2ITHRU STUD WITH SIDING & S.R. JI 41Iriterior Air .E8 SlSheet Rock .45 ElThermo-$reak S 71Stud 4.35 81Sheathing 5.4 9iSiding .61 101Exterior Air .17 111Trta1 "R" Value.... 11.49 1211/R = "lJ" Value .@870?,22 131 141 151THRU INSULATION WITH SIDING 8 S.R. lEI 171Iriteriar• Air .68 18I8heet Rack .45 19ITherrno-Rreak 0 201Insulation 13 ^c1lSheathing 5.4 ^c2ISiding .61 231Exterinr Air .17 241 251Tota1 "R" Value............ 20.31 2611/R = "U" Value .0492368 271 281 291THRU CEILING MEMPER 301 311Interior Air .68 32lSheet Rock. •58 331Ceilino Mernber 4.35 341Insulatirp 35.65 351Sti11 Air .61 361 371Tata1 "R" Value............ 41.87 3811/R = "U .0238834 391 4@I 411 ~ 42ITHRU CEILING INSULATION 431 441Inter-ior Air .E8 4515heet R7ck .58 4EIlnsulatien 40 471Sti11 Air .61 481 49ITota1 "R" Value............ 41.87 5011/R = "U.................... .0238834 JSI 521 JaI 541THRU CONCRETE bLOCK 551 .68 56fIriterior Air 571Cor~c. blk 1.28 _ 10 . . i~ . 61.11 ,'6cITota1 "R" Value 12.13 6311/R = "U" .@8c4402 E41 651 EEITHRU RIM JOIST 671 681Inter-iur Air .E8 E91Insulation 30 701Rirn Joist 1.89 7115heathing 2.06 7215iding.................... .67 731ExteriorAir .17 741 751Tota1 "R" Value............ 35.47 7E11/R = "U" .0c^819^c8 771 781 791"U" value fc,r window....... ,42 801"U" vall_ie for docrs........ ,06 611"U" value for Patia Drs.... ,39 821 831 841THRU CRNT. Cd MEMSER (Enclosed) 851 861Interior Air .68 871Finish Flooring............. 1.23 68IUnder-layment 5.4 691Plywaod .92 901Joist 11.5E 911Sheet Rnck .58 921Sti11 Air .E1 931 941Tota1 "R" Value............ ^c0.98 9511/R = "U .a476E44 9E1 971 981THRU CRNT. @ INSULRTION (Enclased) 991 1001Interior Air .68 1011Finish Floaring............ 1.23 1021Underlayment 5.4 1031P1ywood .92 1041 Insulat ian . . . . . . . . . . . . . . . . . 30 105ISheet Rock.................. ,58 1061Sti11 Air .E1 ik71 1061T,ata1 "R" Value............ 39.42 ~ 10911/R = ~~U" .a253678 1101 ilif 112ITHRU CRNT. @ MEMRER (Exposed) 1131 1141Interinr Air .E8 1151Firiish Floc,ring.... . 1.23 11EIUnderlayment 0 1171Plywond .92 118IJoist 11.56 1191Sheathing 5.4 1201Soffit .47 1211Exteriar Air 17 122ITota1 "R" Value............ 20.43 12311/R = "U" .0489476 1'~4 1 ,Tl\U 1.h11V1. L lIVJULnilUIV IGKbCf'1V('! ;l`Interic,r Air...,........a.. .68 91Finish Flooring............ 1.23 301Underlayment 0 1311P1ywood .92 1321Insulation 30 133ISheathing 5.4 1341Soffit ,47 135IExteriorAir ,17 1361 1371Tota1 "R" Value............ 38,87 13811/R = "Ull .0257268 1391 I A I I R I I C 11 D 11 E 11 F I I 6 11 H I 11 21 EXTERIOR ENVELOPE AVERRGE "U" COMPUTRTION 0 JI 410WNER SISITE ADDRESS EICONTRACTOR________ CENTEX.1940 DATE 7-~5-85--PHONE 71 81 DETERMINE WORKING SQUARE FOOTAGE 91 1011. Tr,tal exposed wall area 2514.957sq.ft. x.li 276.E452 1112. Total roof/ceiling area 1451.375sq.ft. x.a2E 37.73575 1213. Total floor cant_araa :lG:m S~„ a4- mn o. C ~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 0.7,5 ~ITY oF EAGAN J 3830 PILOT KNOB RD - 55122 851-881-4875 i 3ao7g New Conshucflan Reauirem5nh ^ R I/Reoair ReaWremeMs a 9 reylatered fite wweya ahowiny sq. B. ol b1, tq. M. of houae 2 coples of Plan ana g# roored areas canx mmumum iot covemae cdiowem i sai or ener9y cacwonons ror neared addmona > 2 coples of plana (show Deam & window alzes; pouretl fnd. detlgrc etc.) 1 fite aurvey fw exdedor addiHons A tlecks > i set a eneror ca«dana,. ? 3 coples ol hee preservaMon plan B lol plotted aRer 7/1/93 DAiE: 6'/ " 00 CONSTRUCTION COST: DESCRIPfION Of WORK: Dt cK cOntTrdc"rion STREET ADDRESS: 405s Y/AurIL~L LOT: BLOCK: SUBD./P.I.D. f: f1 ~ IIS c~- S R^n9~ v' a n ~ Name: U mh/ f Phone i: PROPERTY lwt Flrst OWNER Sheet Address: lf 0,66 '];l6urv "v cav &k state: ztp: . Compuny: FuII D.GY _ Phone#: ~Z y43-~y9T (area code) CONTRACTOR 20006700 ~•3!-O She9tAddress: <<l10 /~lue,aelr~ ~~e LlCense# E%P. 1 ciy VUbrla Stme: Zip: 5538~ ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Sfreef Address: Reglshalion Cryy Siate: vP: Sewedwater licensed plumber (N installina sewaNwatarPh°^e I horeby ackrwwledye lhaf I have read this applkaHon, state Niat 1he infortnalbn is cortect, and agree to comPh wilh a0 appQcabla State of Minnesota Statufes and Cify of Eagan Ordinanees. &4~1- 61 Signa lure of Applicanh OFFICE USE ONLY Certificates of Survey ReCeived ~ Yes _ No Tree Preservation Plan Received _ Yes _ No ~ Not Required N~ OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch(3-sea.) ? 31 Ect.Alt - Muw ? 02 SF Dwelling ? OS 06-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF O 03 01 of_ plex ? 09 07-plex a 18 Deck ? 23 Porch (screened) 0 36 Muki ? 04 02-plex ? 10 08-plex O 19 Lower Level ? 24 Stortn Damage O 05 03-plex ? 11 10.plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-piex O 20 Pool O 30 Accessory Bkig. WORK TYPE ' 91 31 New O 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' O• 44 Siding ' 0 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair - ? 34 Repair [3 42 Demolish (Foundation) ? 46 1 Windows/Doors ' ` Give PCA handout to appUcant for demolition permit GENERAL INFORMATION SAC Code O/ # of Stories sq. ft. No. of Units 0 Length sq. ft. No. of Buildings Width Footprint` Sq. ft: Const. (Actual) Basement sq. ft. Census Code (Allowabie) Main level sq. ft. MC/ES~System UBC Occupancy sq. ft. City Water Zoning ' sq. ft. Booster Pump, PRV s Fire Sprinkiered MISCELLANEOUS.INSPEGTIONS , • ? Stucco/Stone • • APPROVALS - Planning Building ~ Engineering Variance Permit Fee Valuation: $ 4a"0 0 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit SNV Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 612 443 2485 Wednesday, June 14, 2000 7:13 AM The Johnsons 612-443-2485 p.01 S Q ~ e r? 0 Li J EM O ~ ! _u o ~ o ~ ~ ~ ' • ~ , ~ 2 0 ~ w J Q • i............. a •3 ' v ~ 2 ~ 3 6 o ~ ~ `^I Z Ll- w ~ ~ E8 39tld *53NN11-U IZLEbL6Zi9 Zb:90 800ZlZT/9o ~ . . ~ ~ * * 2422 Enterprise Drive * PIONEER Mendota Neights, MN 55120 eng * eerin9.. (612) 681-1914 * ic 7F ' S ~ ~ Certi(icate of Survey for: CENTEK NOME ~p N NotttN /v . ~0h~~/' \ tl \ ` y}• N ? ie 37 pw ~y M \ n e ' ~ ~/i/ 'V ~~y '0s• o~ ~ n / ` Z 0 D ~ U^ M'' ~~6) m S \ b ~~`7oq 1, l~4 J ~ ~ T . 900.0 Denofes exiAn Elevalro\ o sE u E EVATION •,900.o Denofes proped E/evatiori Lowes Foor E eva ion g68.GZ ~nofes Drainaief Ufrlr~ Easemenf rop of Block Elevafion 815.~ Denofes Draincle Flow Arrows GaraeS/ob Uevation 87s3,~ 0 Denofes monumenf o Dena es Ot f"sef f/ub Beprinjs shown are assumed Su JecF fio Easemen1s or'Record L,OT 28, BLocW 1, I4ILLS OF ST4NEBRIDCE PLAT 2 DAKOTA Ca/NT}' I hereby certlfy Ihat thls survey, plan or reDa« w~asp/rppared hy me ar under mV direcl supe/rv/ision and fhal 1 am duly Regislered land Surveyor ) uader the lawf ol the Slete of Minnesota. Oated tMisday of ~ A.D. 19-~~ / Sca(e: 1~^ch:~QL~ nO9ERT a SIK 41 L.S. RF.C. Nn. 1 91 ~ J01(7,0 "7g~ f7 I 30, oD 2007 RESIDENTIAL BUILDING PERMIT APPLICATION C,4G~~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodeVReoair Reauirements Office Use Onlv 3 registered sde surveys showirg sq. il of lot sq. ft of house; and all roofed areas 2 mpies of plan showing footlngs, beams, joishs Cert of $urvey Recd _ Y_ N (20%maximumlotcoveregeallowed) isetofEnergyCalalationsforheatedaddNons SoilsReport _Y _N 7 Soils Report if proposed building is to be placed on distur6ed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y_ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addifion -indicate ifonsde sepUcsystem Tree Pres Requiretl _Y _ N - i set of Eneigy Calculations Onsite Septic System _ Y_ N 3 copies of Tree P2servatlon Plan'rf lot platted after 1/1193 Rim Joist Delail Options selec6on sheet (buildings with 3 or less unils) Minnegasco mechaniralventilationfortn Plans are considered ublic information unless ou state the are trade secret and e reason. Date 47k Construction Cost 1dl Site Address G13 Unit/Ste # DescripHon of Work Multi-Family Bldg _ YFireplace(s) _ 0 2 Property Owner L ~f}°/1E ~.2` ~ Telephone # (61 ) `74,3 y 7j Contractor ~6y r[ ~'Sf~-9~~j ~ &S! &--~'~~-''a2 Address City / ~~•174• S[ate iV!v Zip Telephone # ( e-~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - - Minnesota Rules 7670 Cateeorv 1 ' Minnesota Rules 7672 Energy Code Category . Residentlal VenGlation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has The City of Eagan issued a permiT for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber 5 Telephone ) Mechanical Coniractor Telephone ~ ~ Sewer/Water Contractor Telephone # ( J I hereby apply for a Residential Building Permit and aclrnowledge 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 pernut, 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 ofplans.. ~~ys~eC~<<e¢r•/~ f/~` Ap icanYs Prin ed Name plicanYs Signature DO NOT WRITE BELOW TAIS LINE Sub Tvqes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gaze6o/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex fq'/ 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvqes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ~1' 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to appliwnt D¢SCflptl0n: WaterDamage_Yes Valuation -,)j L' Gc " Occupancy MCES System Plan Review 100% or 25% Code Edition Census Code G% Zoning City Water SAC Units - Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs ~ Length Fire Sprinklered Type of Const jr7 Width REQUIRED INSPECTIONS _ Foorings(new bldg) _ Sheetrock _ Footings(deck) FinaUC.O. Foo[ings (addi[ion) . FinaUNo C.O. _ Foundation HVAC Drain Tile Other Roof _ Ice & Water Final _ Pool Ftgs Au/Gas Tests Final Framing _ Siding _ Smcco Lath _ Stone Lath _Brick Fireplace _ R.I. _ Air Test _ Final _ Wiudows Insulation _ Retaining Wall n Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total 7gg3 C~ ~72"5-6 2007 RESIDENTIAL PLUMBING PeRMir aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. In, Date -7 / I 3 i 20o Site Street Address ~ o CJ ~ ~ ~Py V`~ ft'V Unit # Praperty Owner IJP:e UDN Telephone # ( ) Contractor ~la ff&il~/ Du l/1i Cil; Telephone # (W:~ i ) 3 -7 Address ~5 a O ro Se- 'l/ CityEme.YyLpLQ-d'z-F- StateA4 A! Zip 650Co The Applicant is: _ Owner ~ Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Peras-built $ 10.00 Fire Repair (replace burned out fixtures, etcJ $ 90.00 Alterations to existing dwelling $ 50.00 ~ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. !f you are insfalling onfv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ ~~•5~ I hereby apply for a Residential Plumbing 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 plumbing codes; that 1 understand this is not a permit, but oniy an application for a permit, work is not to start witho in accordance with the approved plan in the event a plan is required to be reviewe d a ~ A4& (tp,w Pn, n -h v~c_~ iio~ 16 2007 ApplicanYs Printed Name Ap Si atu . ey /77 2007 RESIDENTIAL MECHANICAL rERvnT ArpLicATiorr City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwe(lings & townhomes/condos when pemvts are required for each unit Date~/~/ ~ ~ Site Address -~d~~ l~L.l) I fR X KoAl>~~ Unit # Property Owner P/TLF oL E L. H L E~ Telephone # ~0/ V:213 Contractor ( \ , d~ r ? ! 1 T , A.1^ Street Address U.S7T/t/ S `t /v F' City Ef}S i .g F_T~FI~ f _ State -M) ?V Zip -S-/ Telephone 3) Z- 2! 6 CL B~ Bond ~j 6 O7~> 1~~3 Expires: T ~ d The Applicant is _ Owner %~_Conuactor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteralion ro existing dwelling unit $ 50.00 furnace _Additional _Replacement New air exchanger air conditioner heat pump x other _KAj`EM /FNT State Surcharge $ .50 Total I hereby apply for a Residential Mechanical Pernut 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 with the Mechanical Codes; that I understand this is not a pemut, but only an application for a pemvt, 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 requues a review and approval of plans. R h IUY N1flr_TFN Gl, ApplicanYs Printed Name Applicant' ignature 2007 COMMERCIAL MECHANICAL rERMiT aprLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complere for. commercial/industrial buildings mul[i-famil buildin s when se aza[e ermits are not re uired for each dwellin unit Date7 1-0-7- Site S[reet Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor , tJ., ! / LA T_Y~ 12 3'- 7- &V Street Address 2 D r 2-4 A v-3 7741 .s' / A/ 5 City FAs / ,~5C7_'/ El_ State A) Zip JY_ O / L Telephone # ( 76S) Z 2 q` 7 00 Bond b ~ b / 3 1~ Y Eapires: 3 b ,F The Applicant is _ Owner X Contractor _ Other R'ork Type New Construcrion Interior Improvement _Install Piping _ Processed /\Gas Exterior HVAC Unit•• °*HVAC units must be screened Under/Above ground Tank Install Remove When installing/removing tank(s), call for inspecfion by Fire Marshal and Plumbing Inspector Nature of Wotk: AS F_ A E/~ T F-T N-Lx it Permit Fees $70.50 Underground tank insfallation/removai $50.50 Miximum (includes State Surcharge) or ConuactValue $ x 1% _ $ PernvtFee $ State Surcharge To calculate surc6arge I£Permit Fee is less than $1,000, sureharge is 50 cents. If Permit Fee is >$],000, surcharge increases by $.50 for each $ 1,000 Pemti[ Fec (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ Total Fee 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 and with the Mechanical Codes; that I understand tlus is not a pernut, but only an application for a perxnit, 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 p]ans. ~ AA1-~ Y R,,qE7-,E-1V g " , &v_ Applicant's Printed Name ApplicanYs SWature Approved By: , Inspector Date: Required Inspections: - U.G. _ R.I. _ Air Test _ Gas Service Test _ Infloor Heat _ Final City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4056 Tilbury Way Lot: 28 Block: 1 Addition: Hills of Stonebridge Plat 2 PID:10- 32991 - 280 -01 Use: Description: Sub Type: Work Type: Description: Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 e- Fireplace Gas Fireplace (new) PERMIT City of Eaan 4/30/08 Notification letter sent regarding expired perm BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: pf $90.00 Owner: Dale R Beehler 4056 Tilbury Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Issued By: Signature Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are $88.50 0801.4085 $1.50 9001.2195 Building EA080169 10/02/2007 ePermit 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119947 Date Issued:01/06/2014 Permit Category:ePermit Site Address: 4056 Tilbury Way Lot:28 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-280 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Craig Angell 12253 Nicollet Ave. S. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Dale R Beehler 4056 Tilbury Way Eagan MN 55123 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature