4731 West Wind TrC!tyofaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
FD
OCT 1 81010
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
a 2010 MECHANICAL
PERMIT APPLICATION�
Date: ` I? \(.._) Site Address:W-1'3\ l�J �� A' Rel-3.--Q-
Tenant: r y-4 r ` L "4 . G1 Suite #:
RESIDENT / OWNER
J
Name: Phone:OS-2
) LlS
Address / City / Zip: f
CONTRACTOR
TYPE OF WORK
PERMIT TYPE
BURNSVILLE HEATING & A/C, INC. License #:148.S 2-c). R/3
Name: 3451 W. Burnsville Parkway
Address: Suite 120 City: �A
Burnsville, MN 55337 Phone: GSZ -kg am C065- �
State: Zip:
Contact:
��
Contact: ( C Email:
New Replacement
Description of work:
Additional Alteration Demolition
RESIDENTIAL
)4, Fumace
Air Conditioner
Air Exchanger
Heat Pum�� �� j�
, Other L; (�J lX
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install / _ Remove)
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permit Fee is Tess than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
= $ TOTAL FEE
CALL BEFORE YOU DIG. CaII 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.qopherstateonecall.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 not to start without a permit; that the work will be in accordance
with lj approved plan in the case of work which requires a review and approval of plans.
x
CLIA
Applicant's Printed Name
x
Applicant's Signature
, .
n ~ CITY OF EAGAN ~T
~ ~j~~ 3830 Pilot Knob Road, P.O. Box 21-199, Ea~n, MN 55121 1\ ~ 9~~
PHONE: 454-8100 ~
QUILDII~G PERMIT R~i~ # IG~i
T~ w w~d fe~ SF D';7r/(:~'~~~ Est. Value $ 67, OCIU Dute r'~.1~~1.L 10 , 19 (J-^~
Site Address i 1 G•1r~ ~T li 7 i'!:T~ T^A j L E~~ OCCUponCy 3
Lot Blxk-.~~Sac/Sub. 1'l\T? 1', i•: T T~C; ~
~ /11ter ? Zoninp
Percel No. ~ ~ ' ~ r ~ 7 ri - ( ~ ~ ~ ~ 3 Repoir ? Flre Zone `
Enla?ye p Type of Const, V
~ ~ ~~.n~A r~tAt~~r~
W Vl~ame ~ Mova p # seories
~ ~'.?_1.° '~r~"~~~LL ~'~vt?. n.
A s Demolish p Length
Citv £ L?~! TP,~ . Pno~e 8 ~3 8- 5 5 8 0 Grode p Depth $q. Ft.
' R[ISC''?'; ~~~."i'r_:F Ir7~. Ay~rorals F~ea
o~ Addreu f', . H ST # 1~ 0 Assessment Permit _ (
u~ City ~ T~'? 1. ~ V 7 Ll~one ~ 3 2-14 3 3 Water 3 5ew. Surchorps
Police Plon check 16 7.(1 C
~W N~8 PnnAE F1VC~R./1~lARK f!1~C'T?L F~ro ~C 525.0(,
~z (?~U F. 1~}6TFt ST. 470.0(1
Address Enp. Woter Conn.
~W Citv ~%[~R~~~~~ILLT,phone 432-2044 63. CJ(l
Plonner Woter Meter
Council Road U~it l 6 0. UO
I hercby acknowlsdpe that I how road this opplicution anA state that g~dy. Off.
the information Is correct and ogree to comply with all opplicable Taa~ ~
Sfate of Minnesota Stotutes ond Gty of Eoyon Ordinances.
Slpnoturc of Permiftee
Ri1~;CC~P~: ~IO`-~E~, TNC.
A Buildiny Permit Is issued t• on the exprcss torxlition tlu~t
pll work ~holl be done i ocao w+rh all opplicq6 St~of Minr~ewfa Statutes and Ciry of Eopan Ordirances.
Buildirg Offitiol U`"~ ' ~ d •
~
P~rmit No. Pumit Hold~r Misc. P~rmit No. Ho1dN
Plumbi~w y~J C g l~ e,.."Z ~ 6~ (~6 7
H.v.~?.c. y 5 a I~ie~Z 5-I~
w.n
wm.
Disp.
S~vw?
e~ ~A 3'? ~ l l f.~ + L r G~Y 3 a.52
i~.~~«, aa i~~. otr+.?
Footiny~ /G
Found~tiwi
F..maw
Rou~ Plba ~ L 8'
Rou¢~ HVA
Inwl~tfon ~/1 ~ ~
Final Plb~
Final HVAC
Flnal
WatN Daaib~ Loeatioe: `
INNI ~
S~wa
Pr. Dhp. .
CITY OF EAGAN Remarks
Addition p~K RIDGE 1ST ADDN Lot g Rlk 3 Perce~ ~~'~750-090-0
Ow~er Street 4731 WEST WIND TRAIL State EAGAN ~1N 55122
_ A'J 21 tn I TI7t•r e~~ tai~.
Os II7~ i ~ L
Improveme~t Date Amount Annual Years Payment Receipt Date
STREET SURF. 7
STREET RESTOR. 198 1 8
GRADING
SAN SEW TRUNK 1982 147.21 9.81 15 8-2-84
SEWER LATERALq~
WATERMAIN
WATER LATERAL91 1985 396 3 2 ~F2 1 3 $ ~-1 -
WATER AREA 11~ . ~8 A014371 8-2-84
STORM SEW TRK q i 7 1985 370 .93 24. 73 15 370. 93 C009668 10-11-84
STORM SEW LAT916~ 1985 109.58 7. 31 15 109.58 C009668 10-11-84
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 42466 4-10-84
WATER CONN. ~+70.00
BUILDING PER. 8954
s,ac 525 . 00 " "
PARK
R~oeipt ~ i r - PLUMBING PERMIT P~rmit Na.
CITY OF EAGAN
~ : FN
~ C fill in numberod s~eces S/C
_ Type or Prlnt legibly T~ ? . ~ ~ ' ;
~
1. Oate 2. Irutallation Cost
3. Job Addreui
~ ~ ~ ~ ~Lot ~ ~ Blk. Tract ~ ~ ~I
` E f - `1 ` I
4. Owner . ' . ~
. ,
5. Contractor ` f t Phone ~ " ~
,
/~'U/ i y~` ~ : f .
s. n~re::
~ ~ _ . - . , <j 1 ` H
7. City - " ` - ' State Zip ' ' ~
8. Building Type: Residential Q Commercial ~ Institutional ? ~
9. Work Description: New Q Add O Alter ? Repair O i
/ ~ ~ 'f i
/ ~J J', f 1
10. Desaibe ~
1
a
11. No. Fixtures No. Fixtures ~
- - ~
Water Closet Cesspool/Drainfield ~
Bath tubs Septic Tsnk +
~
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to ~
oomply with all ordinances and codes qoverning this type of work. I
Signed : for '
Rouph f inal ~
Inspections: Date Insp. Date Insp. ~
This is your permit when numbered and approved. I
Approved CITY OF EAGAN 464-8100 '
_ _ ~
~ HOU E: EATI G TEST RECORD L 9~ 3-~K ,'pG~
ADDRESS ~ APT. FLOOR CITY SUBURB ~
OCCUPANT OWNER
I HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
El~chical Work By Gas Lin~ By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN OI~V~ERSION
MAKE MAKE OF BURNER
Model ~ a Mod•I ` ~
S~rial Sd.~~6 0 Max. BTU Ratiny ' ~
INPUT MAKE OF FURNACE
AAodal
CONTROLS ~ ~ L
THERM05TA ~`3 p~~ V~nt Size
Valv~ ~eJ!~ ~1 K1ND OF LINER SIZE NOtJE
Umit a n Drah Hood R~yularor
Limit SMi~~ ~ Filt~rs Si:~ Number
Fan Ssttinp ~i„2±~ Chimn~y l.ocation Insid~~ Outside
Pilof Typs Chimney Construciion
Pilot Mak
Pilot Mods~. h M~ ~n Smokt Bom6 Wiriny
Pilot Timing DraFt T~sf Tay ~
L.IM. Cut Off e Door Pressurs Liyhtiny Inst.
~ Prossure ~ P~rcent COZ Dat~ Ttstsd ~
I~ut CFH g a Pere~nt 02 Company Testiny
Stack T~mp. Percent CO Nam~ of T~st~r
m
Form Y35
I`- - -
~ ~ - _ ~
Receipt ' ~ MECHANICAL PERMIT Pe~mit No. ~ ~ ~ ~ `
CITY OF EAGAN ~
I t z ~ FN „
~ Pill in numbered speces ~ S/C i~_
Type or Prini legibJy ~ T~
1. Date ~ f ' ` ~ 2. Installation Cost r' ~
,
-i-~ ' r '
3. Job Address 4~~~--'~~ Lot~Blk.~ ~ Tract~~
4. Owner ~ , i ~ '
,
5. Contractor~- ~ ~ , ~ ~ ~ , Phone ~ - • ~ ~
6. Address - ~ . t_ • , ~ ~ ~
~
7. CitY - f.. ` 1 State J ZiP '
8. Building Type: Residential fi1~ Commercial ? Institutional ~
9. Work Description: New -B~ Add O Aiter O Repair ~
~
10. Describe ' ~ - ~ ~ Fuel Type ~ `
11. No. ~yioment BTU - M. Es. No. Equivment CFM
' Forced Air Air Handling:
Mfg,
Boilers Mech. Exhaust ~
Mfg.
Unit Heater
Mfg, Other
Air Cond.
Mfg.
Gas, ~ping Outlets
12. I hereby certify that the above infprmation is true and correct, and I agree to
comply with allfordinances and oodes goveming this type of work.
Signed : " _ ~ " ' /
for
Rough Fina1
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
LL U~>> ~
Receipt ~ PLUMBING PERMIT Psrmit No.
CITY OF EAGAN -
F~ -
Fill in numbered spaces S/C
Type or Prini legibly , ~ ~
Tot.
1. Date ~ y2. Installation Cost t~- c-
N~3 ~ ~~c~, . -
3. Job Address Lot~Bik. ~ Tract i~-
4. Owner US~G~ii~
{
5. Contractor ~C/?~T~~v/7~ Phone ~2-3 Y`~
' 6. Address ~L~7y S S~J• ~ ~~G~~% ~S /'l~~ (
i
i !'rI r
7. CitY ~ ( ~")1 D ~ • ~ 1 State / ti/ 2ip J - G'~
F
8. Building Type: Residential C~Y Commercial ~ Institutional ?
9. Work Description: New D~ Add O Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
_ Water Closet Cesspool/Orainfield
~ Bath tubs Septic Tank
Lavatory Softner
Shower
We I I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop 5ink
Gas Piping Outlets
12. I 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 : _ ~ ' ~ ' , , ,~.c".-,~ ,
' for 'f / ~
Rough final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100 I
-
Thisrequestvoid ya$ag Y',~b'gy
18 mon[hs trom
~ ~ al ~ ~~i^-~- 3 a .5-,?
Fenuest Date Fre No. Rounh-in InsVer,~inn
Reyu~red~ ~fleaAy Now ~II No~ity Inspec-
m~ ~C~ ~ es ?NO ~~r Wben Rpatlv
~y ~~censed Electnca~ Convac~or I hereby requestiisoection ui nbove ~
?Owner elacvical work instnlled nt:
Streei AAdress, Bo. o~ Route No. C~tv
3 ~,l'~ Yl ~C?L~~
ecuon o. Township Namc or No. flnn0~ o. Coun~y
Occvua tIPRINTI Phone No.
V
Power SupV~~er Address
Q ~ Ez.t~T N''iflsih? ~*~l ~t~'D"~
Elecjti~al ~ontractor ICOmpanv Name) C~~ntrar.~or's License No.
/ L ~ ~~~/JQ
V .""J 6 ~ ~i ~C~-1 ~ ~i ~ ~ L ~
Mailing AtlJresns (CoMractor or Owner MnkinP ~nstailauonl
/ ~ ~ ~
Aut~o~¢ed ture mr tor Ownor MakfnB Installation Fhone Nwnber
~ ~
MINNESOTA STATE BOA i ELECTflICITV THIS INSPEGTION REQUEST WILL NOT
Griggs-Midwey Bldg. - Noom N-191 BE ACCEPTED BY THE STATE BOAND
1821 UniverSitY Ave., St. Paul, MN 55104 UNLESS VqOPEfl INSPECTION FEE IS
PM1One (6/2) 29]-2111 ENCLOSED.
~-(~~'1~ REQUEST FOR ELECTR~CAL INSPECTION Ee•ooooi.on
d' ~r-a-b •a`i
, ' Seo insLUCtions lor como~ellng this form on back of vallow cooV.
`~7 ~ '"R" Below Work Covered by Th~s Request d
A Hap. Type oi Bmlding ApO~~oncns Wired Equiumant Wired
Home Runge Tempnrary Service
Duplex Water Heater Liqhtinp Fixtures
Apt. Bufldin~ Dryer EIeCVic•Hea~in
Coinmerciai Bldg. Fumace Silo UnlUader
Indus[nal Bldg. Air Condinoner Bulk Milk Tank
Farm Othei occi v OihErlSOecifvl
~re SueciH Oi er Oihei
omputelnspecuon Fee Below
p Fae ServwaEntrence5ue b Fee Fexdars~5ubfeeders b Frte Cucuits
~ to 200 Am ~s 0 to 30 qm ~s 0 to 30 Am >s
Above 200 qii~py 31 to 700 qmps 31 to 100 Am s
Swinmin Paol Above 100_Amps Above 100_Amps
Tiansformers Irnyation BoomS Partial-'Other Fee
$igns Special Inspection S 00
3 TO FEE _
Ramarks
SIa
RouBh-in ~ ( Dnte , t~ nwl
Inspector, hereby
cer~iiy ~hnt tha nbova
Final ( Da1e ~ spectwn has ~een
de.
Thla rapueat vmtl 18 montRa trom
7-~
~ -~08o S~~ ~ , p g ~ ~ y . .
~ `~iL~ `~~D CITY OF EAGAN Include 2 sets of plans,
0 ~ 1 site plan w/elevations
BUILDING PERNIIT APPLICATION 1 set of energy calculati~
-
6' o'D-D
~ se vsea Fo Valuation ~o- nate y/p-f</
Site Address 4~31 West Wind Trail OFFICE USE ONLY
7nt Block Sec./Sub. Park Ri_dgP ~~t Occupancy ~3
Parcel f d ~ J~ ~ ~.5 ~ 1 0~ ~ter Zoning f
Repair Fire Zone . A/,~
Owner: ~ike & Maria Mahan ~nlarge 'Iype of Const. g
Address: t"b~ # Stories
8219 Russell ave. SO D~rplish Fxont
City/Zip Code: Bloomin~ton. MN S~k31 Grade Depth yy
Phane 888-5580
APPROVALS FEES
Contractor: ~scon HomPS, Tnr_ ASSeSSR1~RtS Permit 3
Address: 1000 E. 146TH St., #100 !"later/Seaer Surcharge 33
, Police Plan Check 1i~7
City/Zip Code: Burnsville, MN 55337 L'ire S7~C ,,~-as aa
~ Phone 432-1433 En9• Water Conn.y 7p_~
- P] anner Water Meter / z oJc
~ ~ , Coi.mcil , Road Unit ~ / ~
, ~ 9•~ Mark Na.gal f Proba F'n~ nPa~ rinQ_ B~a~, Off. , ~
Address: ~_E, 146TH St. APC
City/2ip Code: gu dv
Phone 432-zo44 432-3000 / ~ Sa •S~j
, ~
' S g~3~o
' ~ a~~
~
G6~~~ys
b CITY OF EAGAN ~T
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 l~l ~ 8954
PHONE: 454-8100
BUILDING PERMIT Receiv~ #
To be u~ed br SF DWG/GAR Est. Value S 67, 000 Date ApRIL 10 , 19_$9_._
SiteAddress 47'tl ~ECT WIND TRAIL Erect ~ pccupancy R3
Lot~-Block~-Sec/Sub. p~RK
RT~.__~~?1.o.~_rF Alter ? Zoning R1
ParcelNO. 10-56750-09~-03 Repair ? FlreZone N/A
Enlarge ? Type of Const. V
~ Name MIKE & MARIA MAI-IAN Move ? # Storie~~__
Z Address 8219 RUSSELL AVE. SO. Demolish ? Length_
~ City BLMTN. phone $$$-5580 Grode 44
? Depth Sq. Ft.-
~ RUSCON HOMES INC. Avv~o~ola Feo.
p Name
nddress ~-000 E. 146TH ST. ~#100 Assessment Permit~ 334.00
~ City BURNSVILL~one 432-1433 Water&Sew. Surcharge 33.5~
Police Plon check 1(~ 0 ~
uw Name PROBE ENGR./MARK NAGEL Fire SAC~nO
~z 1000 E. 146TH ST.
Z~ Address Enp. Water Conn. ~
~W city BURNSVILLEphone 432-2044 plonner WoterMeter ~+~-~0
Co~~di Road Unit ~0
I hereby ockrqwledge fhat I have read this opD~~~a~~o~ a~d stote that Bldg. Off.
the informotion is correct ond agree to comply with oll opplicab~e APC Totol S1. 852. 5~
State of Minnewta Stafytesra if ol Eagan Ordirwnces.
~
Signature of Permittee
A Building Permit Is issued t' RU$ ON H~MES ~ INC . on the exOress condiNon Ihn~
ull work shall be done " occor nc wit oll p iw e_ ta-of Minnesota St tutes and Ciry of Eogon Ordinances.
Buildirp Officiol
~ is,sa
~ ` I PLUMB[NG (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please comple[e for: Single Family Dwellings
Townhomes and Condos when pemtits are required for each unit
Da[e 1 /~l Q'y
Site Address / / ~ ~
~ ~ ~~~I Unit #
Property Owner m ~ n ( I ` Telephone # (~/~I ) ly,~
~y~~
~e -
Contractor VY 11y ~
Address O ~ City
Sta[e 1'11v Zip_~ Telephone# /I/A t'~~~'/
The Applicant is _ Owner ~ Contractor Other
Sepiic System New Refurbished Submit 2 seLS of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Exis[ing Dwelling Uni[, Including $ 50.00
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
I-r-~ n~ r~ r, n rtn r~ ~ l
' , L
_ RPZ _ new installaGon _ repair rebuild ~ $ 30.00
_ Lawn irrigation system r ^ ~
t
~ Water softener _ Water heater J ~ $ 15.00
replacement _ additional
Sta[e Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Pernvt and acknowledge that the information is complete and awurace; [hat the work will
be in conformance with the ordinances and codes of [he City of Eagan and with the Plumbing Codes; that I understand this is not a
pemvt, but only an application for a pemvt, and work is not to start without a permit; that the work will be in accordance with [he
approved plan in the case of work which requires a review and approval of plans.
~oti~ I~~~~-~~ ~
Applicant's Printed Nam~c-- Applic t's S~gnature
AOBE CONfUlTINO tMOIHttI1S
ENGINEEAING P~pNHlRS ond LAHD ~UIIYIYOIIf
COMPANY, INC.
L 1000 [A3T 146w STRECT, OURNSVILLC, ?IINNESOTA 55337 ~H 432-l000
Cer~z}'f ca~~ o?~ ~Sut-v-~ y
j,~ow[1 Iae.scs~IP~toas' ~.or 9, B~x,~ 3, ~o.R~c R~D66 ~
L~u.ort~ Ge~.Jr•(~ Mia~rq.
~
Y~
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I j "qyo'y \
s , 4 ~
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q1a i~ i 2i,47 \ `P A' SG.AI.E 1,1 ° 301
~
~ 3~~ s,-'~r~ ` ~ 6. ~
7 2',~~ 1 ~ N ~
v ~ ~4~ o \
~ Lo7' I o0 ~ ~..n~ - 9 ~6.44
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9 O ~ ~efbSED ~z2.a~ \ \o ~ ~ ~
~ 1deu5E ~ ~9zz.5~ ~ ~ ~
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a 7'q~ Y7
.~,A~~ \ \v,,, ~qu, , /Rti'' ~os
~a ~ 3 D•. Iq,1 /n~J•
li
°z
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L i J \ ~ ~ / ~v 0~~~~
y ~ yv .
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~~ti" ~p~ ~
C20_°l aS~fES E~~STl.J6 F1.E?Ai7arJ
~y~ ~zo.c~ D~nto~ ff+art~~7 E~c+/.r~o•?
2s .
lND~cr~~ Di0.F.~T:a1 oF
`~RFAC.E PR/~~~~c.c
Fi~1~5ifED 6N2sY~E Ftto2 EtEJAi7a~1 z 922.$~j '
I h~r~by e~Mity that thi~ i~ ~ trua and carr~ct ripra~~ntation ot a tract ot
land a• ~?~oxn'~nd da~cribad h~r~on~. As prapar~d by ~n~ on thi~ 7NO dar ot
A-PiP,~ , 19 S~+- . ' '
,~~A~ ~2~~ ?linn• 1tfj. IfO~ /Go85
~ ° . , . . ~ ~ ,
' .
' - EXTERIOR ENVELOPE AVERAGE "U" CDMPUTATION R~'cV~SE~ _.~,gt~, " ~ ,
= OWNER ` . ~ ~`IO~b '~Il. .
. ,
. . - -
.
.
. - - -
. . . . ; : -
. _ . . . - - - - - - - =
; . . -
~3 - - - - - . - . . , - .
= .
. . r s='-. SITE ADDRESS ~ - ' . - _ ~ - .
- -
. - _ ' . _ . , , : . .
.'s•.:,~ . . .
_ - -
CON7RACTOR (L.u~C~i.~" 1-Lo~~` DATE, :~~_PHONE~~'~3Z- 1~133'':
Determine working square footage of each.
1.. 7ota1 exposed wall area 180~ ~ sq. ft. x,I 1 ~ ! f~,~~
• ' .
2. Total roof/ceiling area Il~%b sq. ft. x.aZb
Total exposed wall ared above floor =_l~~
a. Total wall window area ~Z _
b. Total door area . 3s ' . •
.
c. Total sliding glass door area
• d: Total fireplace wall area....... - .
e. 7ota1 wall framing area (average~tOA)...:........ I~+v,(. .
f. Total net wall area above floor •
~ g. Total rim joist area
Total exposed foundation area.= ~(e5 ,
h. Total foundation window area 2 ~
i. Toal net foundation area abvve grade Ile~_
- Deter~ine "U" value of ea~n wal] seg.;.ent. •
a ~2. ~ • 33_ = 2.O.3c.
b. x .13 = Q, ~
~ x .33 = ZS~,3~6
d. ~ X "U" _
e. I~O~ X~~~~~ . I D = I~.OC.
f. ~~~IZ~~ x , nA3 = (P0~7 .
9• ~2L, ~y g . 04 ° ~ 09 _
h. ~ 2 X„~,~ 33 = , c~(n
IL.3 X _ o~ = j~,~ll
3 . ........................:...........Total = 52L1~ •
If item n3 is the same as, or less than item G1, you have m_t tne intent
of 53C o0C5(c}2.
• _i,~t t+. ..'I',1, .r ' ' . ' . ' ' .
- . . , . , . . . r `
, ~ ~ . Total, exposed raof/ceiling area = ' .
I Total gross roof/ceiling area =
3. Total skylight area -
k. Total roof/ceiling framing area I~o
1. Total net insulated roof/ceiling area....... q 9 b
Determine "U" value for each roof/ceiling segment.
_ • x ,U~ _ ~ . - ~
k. 11 b X~~~~~ . OZA' _ z~+. cN•an, ~z.3z"iusv~ ove¢:
1. `l96 x~~~u L DZ ° 19~ 8 'R' sb IL''~ 3,IV .
.
, 4.......• ..........................TOtd~ a ~
Z~
If total of ~4 is the same as, or less than fl2, you have met the intent of
SBC G006(c)i. . . • ~
~
To utiltzed the total envelope system method, the values.established 6y the
sum of items ~3 and ~4 shall not be greater than the sum of itens 91 and ~2.
. _ + 2. ~ _ ~
3. + 4. _
MATERIALS Therm. Resisbance "R"
Ezterior Air . V S
5lding Material , c~5 "I~: v~?.
Sheathtng 2•°i.
~ Insulation 14_ s'r,.' • '
She9troCk .9S 1'i,
Interior Air .17
Stu1s _y,~¢;iPu i"
Rim I.5
Conc. Blk9. 1,2g~~i~~ss+
. . ~ .
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) d
~~~i/~(~ CITY OF EAGAN ~1L ~O. d
3830 PILOT KNOB RD - 55122 ~k~
651-68c'~IZ-4.875
New ConahucMon Reaulremenh C,~~ v RemodeUReoalr Reauiremenh ,
: 3 reqlstered slte wneys showlnq fq. R. of lot, .q. rt. or no~,se 5-1~" ~ 2 coplea of plan
anA Q~j rooled areaa [20X maxlmum lof coveraae allowem 1 aef ol enerpy calculaflons lor heated ad<9flons
> 2 cople7 of plam (shOw beam d wlndow si16i: pour9d fntl. deslyn; etcJ I sife wrvey fw exfe~lor addlNOns a tlecb
> 1 sef Of enefpy Calculafiona
> J coples of free preservatlon plan If lol plaMed aNer 7/I/93
DATE: I S- `a CX7 ~ CONSTRUCTION COST: ~%~7C:2-~
DESCRIPTION OF WORK: • it~
STREET ADDRESS: y 73 / j ~ ~~fi ~ ~ ~
LOT: ~ BLOCK: ~ SUBD./P.I.D. M: 1G l''i r~t~
~
Name: l.tJ t~\ VJ C'. C'~ _ PhOne lDs -~G~~O O
PROPERTY ~ast Flrat
OWNER
SheelAddress: L~~3 ~ ~PS'~ ~ ~s`~ ~f~~`
City ~U c, c~ State: Zip:
.
Company: C~1 c~ ; y'~; can g tii c Phone t: 7/~ 70 ~C~ 1
(area code)
CONTRACTOR
Sheet Address: ~tl S50 t~ ~ ucense ~ 37l o~ 3 3~ a~
CBy Ho-J h u s s~c state: zlp: ss 3 I 7- vc~ o D
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Sfreef Address: Reglshaflon tl:
Clty State: Zip:
Sewer/water licensed plumber (i} InsWllina sewer/water): P~~B # U
I hereby acknowledpe Mwf I have read fhis applkalbn, state Mwt the IMortnation is cortect, and agree to compty with aU appOcable SfatE
of Minnesota Stahifes and Ciry ol Eaflan Ordinances.
Siynature of Applicanf: ~ ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes No i~iEl~
Tree Preservation Plan Received _ Yes _ No _J Not Required ~/I/~
'J
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 O5-piex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuRi
? 02 SF Dwelling ? 08 O6-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. AR - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Mutti
? 04 02-plex ? 10 OS-plex O 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 11 10-p12x Plbg _V or _ N ? 25 MiSCellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Blda. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 WindowslDoors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
Ciry 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
y~~SI 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
~'~p~~a 657-681-4875 I ~ ~ , a S
New ConahueMon Reaulremenh Remodel/Reoalr Reaulremenh
5~l(v~0o
i 3 reglaferetl ~Ife wrveys ahowlnp aq. lt, ol lof, eq. If. ol house 2 coples ol plan
and gll rooled areas (20% maxlmum lof coveraae allowa~ 1 set of energy calculaNOns tor heated addiflons
> 2 coples o( plans (stww beam ~ wlnCpw aizes: poured fnd. design; efc.) 1 site wrvey for exte~ior addiNOns 8 decks
> 1 sef of eneryy cdculaflom
> 3 coples of free preservaflon plan If lol platted afler 7/1/93
DATE: ~~I . OO D CONSTRUCTION COST: ~ SSV D•~
DESCRIP110N OF WORK: ~ ~~~A~ ~bt~, Y~ lGlll/GCNL.T
~
STREET ADDRESS: 9'1~' ~nG~ ~/I1'
LOT: ~ BLOCK: SUBD./P.I.D.B: I"aPF Kf t/
Name: VV /~-a~ed~~ r~Q/'~ Phone ~n r~~ 6~~~
PROPERTY ~ast Firat
OWNER SheetAddress:~~~~~/i?~~ ~~I
City EAqGl/t state: /~l vp:
Company: Phone
(area code)
COMRACTOR ~
Sheef Address: ~cense q ExP.
CNy State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone 1i: ( )
Sheet Addreas: ReglshoHon
Clty State: Zip:
Sewer/water licensed plumber (it insWllina sewer/waterl: Pha^e L~
I hereby ocknowledye ihat I have read this appiicalan, stafe fhat Ihe infortnation B cortect, and agree to corrply wNh a0 appllcable State
of Minnesota Stafufes and Ctly o( Eayan Ordinances. ~
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No i,iNi ~ 5
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBNPES
? 07 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mufti
~ 02 SF Dwelling O 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ak - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Stortn Damage
? OS 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
WORK TYPE • '
? 31 New O 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' 44 $iding
? 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair .
? 34 Repair ? 42 Demolish (Foundation) 46~' Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units • Length ' • sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water .
Zoning sq. ft. Booster Pump~ ~
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan F2eview
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
- , • -
! z/a~
L 1
~ j CITY OF EAGAN
/
APPLICATZON FOR PERI~1IT
SEWER AND/OR WATER CONNECTIODT
' (PLEASE PRINi)
1) PP.OP~f`! ADDRESS: !}731 iJ s. rdi nd Tr~; l
r.Fr=+L DESC:c2Z°TIC:1: L-q, gL-3 Pa k~~iidee
(Lot/21ock/Subdivision or Tax Parcel I.D. NLUN~er)
i: WtI~:_ :C S`IRI;CP*;2E, DaT' G:' ORIGi
dAI, .=,iiILCl`IG P~:ST ?5~~,'?~:C°:
PD~.~i'.~ ~'.~Tl:.(;/L.".~i-~'i.Ci? l~J:.: ~[Z-1 SL1~~Zu LP~~1iY
? R-2 GUPL~{ ('IT„L~ Wi ITS )
? R-3 'IC~vTII-IQ;SE (TF~2
.~-c + [JNITS) ( Wi ITS)
? R-4 PpAR'IY"°`T/C~iIDQ~L.TiII[.~l ( Wi ITS)
? ca-+~cu~./~r~i?o~zcE
? L~USTRIIL
? INSTITUTIO:VAL/GOVEFL~Tr
2) APPISC
~'P (PLEASE PRINT)
NAPIE; Ruscon Homes, Inc.
ADDRESS: 1000 Fast 14bth t. Suite /f100
CITY, STaTE, ZIP: purnsville. MN 55337 '
Pxa~: - _432-i43'3 i
3~ p~~~~ PLEASE Pfl1Nf) FOR CITY USE ONIY
NA.~tE: Star Plumbing
PLUHBERS LICE45E:
ADDRESS: 1018 Mound Springs Ter. ~
Active
CIT!', STA'I'E, ZIP: Bloomington, MN 55~+20 0 Ezpired
Q Not of Record
PHO~~IE= $~F-fil~ PLUHBER LICENSE a 3329rt
arr ni ia
4) pCCUPaA*r~Cf•.I~I~2 (PLEASE PNlNfJ
NAME: Mike & Maria Mahan
ADDF2ESS: gp19 Russell Ave GO B~oomington MN S~l+'3l
CITY, STATE, ZIP: Bloomin~ton, MN 5/+31
P~:~: 888-5580 ~
5) INDZG,TE WHICH PEP1~LiT IS BEZtiG RIX~[JE51'fD;
~ CC~'`JECPZON TO CITY SE41ER
~ CO*.^IF~C.TIC:I 'Il~ CITY I~TATER
? d1Y.II2 (PLFASE DESCRIL~E)
6) ~~IG,
~ C:~:
? PL~1SE I?OLD APPRfJVID PER,tiLiT FOR PICFC-UP BY ONE OF 11BO1,~
°LF.aSE :~TAIL PRGVm pER~LiT 'Iq 1~~3 4 ABC7~/E
(Circle one)
7) SZ~v'lTL~E: D~T'E: APril 3, 1984
. . - ~
~ w s~aa ~.e y~ a ~ ~c~:s~a r ~ ti ~sa~a ~ ~ rr ~ ~:s=:a:~ ~ ~ ~a f.n:r ~-.~i ~ a s ~ ~ sss~a s
F 0 R C I T Y U S E O N L Y
PER~t2T ' ISSUED
gcr.S: $ ia, Sa Srr.rEo nrv,~~rT (I`iCL;iD°_ SUP.CH~RGE1
$ ie • ~a WATER PERPtIT (IP7CLUDE SURCHARGE)
S l°~' WATER METER/COPPERHORN/OUTSIDE REr1DER
$ WaTEP. TAP (I\CiUDE CORPORATIOV S:OP)
$ SE;~]E4 Tzn
$ /-+c ° ~ ACCOUNT DEPOS IT - SES9ER
$ / S, rfl ACCOUNT DEPOSIT - WATER
$ WAC
$ ~ ~o~-r SAC
$ T~UNK ?dATE° ASSESS~lE:]T
$ TRUVK SEWER ASSESSitENT
$ LATERAL BENEFIT/TRUNK SE[•IER
S LATERAI; BENEFIT/TRUNK WATER
$ ' OTH£R
$ TOTAL
$ ~•O-a AMOUNT PAID/RECEIPT # c~~-Sl7 ~
Dr'~S UTZLZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi3T OF tJAY?
~ YES ZF YES, THEN A"'PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGIN~ERING DIVISZON. LIST AS A CONDI-
TION.
SU~JECT TO TEIE FOLLO?•lING CONDITIONS:
APPROVED BY:
TITLE:~(/~ ~1~~
D,~TE : / a -~~C
~ sr a~ w~ i~ a~ ~t ~~e ~:w w~ w f~ ww ~t~ ~a~ w~i~ ~s~ Ra ~.i ~ s~ ~i~ w_~ w~ w ~~r ~
i t " ?* ,
eF-m y £S _ vy .e y.[* pC r.' �y,':r"
t ' f �
x �� y.��.�i�.r !
4 ww.3 r
� d
� .
g i ! Cteipeittl_ i
i e ' ,
f s Ni x, .. &3 a4 ` t
e z nk . 1,4i
PERMIT" i` O 6579
DATEr
No. '
R ; of CJr► �;
Sre* ...M,« {•.
4 3 Wait Wind ra L' B ar t Sa
;* Pt " ifib ' et! Star P1b
,At , the n Connection . 4 , .00
Account • 15..0 • , • l'
P e r m i t Fee: .. 1 + 00
1 Surcharge: 4 6.30 Fd fia
� .lti MISC. Charger.:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117450
Date Issued:10/18/2013
Permit Category:ePermit
Site Address: 4731 West Wind Tr
Lot:9 Block: 3 Addition: Park Ridge
PID:10-56750-03-090
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Eric M Larson
4731 West Wind Tr
Eagan MN 55122
(612) 234-7884
Cityside Exteriors
1623 Norwood Dr.
Eagan MN 55122
(651) 379-9899
Applicant/Permitee: Signature Issued By: Signature