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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~ /q7a,o~~ ~ I j "qyo'y \ s , 4 ~ ,~'E ~ ~ ~ ~ oo a Dr~i.~.~ ~,,n a~a°'~',,3 ~az. v o ~,1 Snurv En5en~5.~r t'~ 9z, 3e~'ti..-- o NdR~IT 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 .f~ N ~ Ly /O~a ~_--'~-'`I' ~ \ G,S~. ~eor9i4,5 9 O ~ ~efbSED ~z2.a~ \ \o ~ ~ ~ ~ 1deu5E ~ ~9zz.5~ ~ ~ ~ •o~ r^ 0 /,l ~i~ N~I'~~ i ~ \ ~J+~.i /cP~L ~ a 7'q~ Y7 .~,A~~ \ \v,,, ~qu, , /Rti'' ~os ~a ~ 3 D•. Iq,1 /n~J• li °z ,r ~ a ~s,, \ i a~`~ ~ ~ / ' Dc°` ~ L i J \ ~ ~ / ~v 0~~~~ y ~ yv . 6 u?• y ~ o b / 1\~ ~,~r 'n~~0 9 ~~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