4340 Yorktown DrDate:
Tenant:
City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: (; 0( C
Permit Fee: 90 - 0 0
Date Received:
Staff:
2010 RESIDENTIALL BUILDING PERMIT APPLICATION
/i 70 Site Address: 72M; n)11,02-(),17
Suite #:
RESIDENT / OWNER
Name: 47/,4% /Y I t 1' Phone: 61"X - 3 7 -.5---86--
.58�Address
Address / City / Zip^ 471 co 70/1-,e/7>»o4/ r 2
Applicant is: / s\lwner Contractor
TYPE OF WORK
Description of work: AD
Construction Cost: Multi -Family Building: (Yes / No A )
CONTRACTOR
Name: 14 6-1/r(-44... a "// %"""'-'""-rt4 icense #: ,o01-29 7 V. .A7
Address: / 3 75-6 /Z" -a Awl City:A-"R •'l* --
41-3ZContact:
State: /Yld Zip: 1—‘"--?// Phone: ,fc22 — 547/' 541-')----
-3-7Y-cif > 77‘---44 Email:c- t7)*e'/lC(;//6-47-0114-"6- ' ee'(--
Contact:
COMPLETE
In the last 12 months, has
Yes If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information Portions of
the information may be classified as non-public; if you provide specific reasons that would permit the City to
conclude that they are trade secrets.=; :;., .;
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; th- he work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x� rj� WC.
Applicant's Printed Name
�s!
x
AppliEarff's Signature
Page 1 of 2
Date:
City of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: to ' $V
Permit Fee:
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
IU%ly/2uf0
Site Address: L/3 /7/ Vu/ek. ?lWlV lit%v% � /jv /t,./
Tenant: Suite #:
RESIDENT / OWNER
Name: iC /C/')2) %f i-b4c'tJ Phone: 6/2 327 65T 4 - 41
Address / City / Zip:
Applicant is: X Owner Contractor
TYPE OF WORK
Description of work: 2 Fice wo azNS' -C�vs' £' `5 ! cv/6/4 41 1�212f
Construction Cost: 7 / 3 6 . U v Multi -Family Building: (Yes / No k )
CONTRACTOR
�g •
.4t.(4 -c License #: k/J
Name: Lc- r 2,4.
Address: 139 (�Q Sv^'S< f ,)!t� i 5, City: r & S'L/C
C7'
State: M A/ Zip: 3 3? Phone: i 2. — <o 7 0 _ 4l 55-
Contact: Email:
COMPLETE
Inthe last 12 months, has
. No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING (-------
''In
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and w.rk is not to start without a permit; that the work will be in
accordance the approved plan in the case of work which requires a review and approf plans.
!or iflt
i,'
Applicant nted Name App icant's Signa ure
Page 1 of 3
sgvm
CITY OF EAGAN ~I-r Np.:
3834) Pilot Knob Road
OATF'
P. O. Box 21189 No. of Urdes:
E"S^o MN 55121 t• r
Zo~inO~ e .
e L Lt~:
1 q ` 1 t~'t
ow"or.
rlss; a
.i k ~~h ~d`°ss. iltner `Plusn
Plue?br. = . _ _,r•
+ .
1 , " ~Gt{a^
i
Snoor w" *9 C" ot MN* ~t.
~ porn+it
Surd+°~:
N?isc. c10ro"
Tdd:
By ~h ppid:
Do" o{ Irdp•~
IMp.:
cmr aF EAoAH WATER SERVICE PERMIT ~
3830 PNot Knob'Road 413 E
~I P.O. Box 21199 PERMIT NO.:
Eapn, MN 55127 DATE: 1 ;
~I ZoNng: Rl No. of Unita ~
Joe yiller Const.
Owner.
~
Address:
v
Addess: 4340 Yorktown e Ll 82 Sunset 11th
Site ~
Plumber. ailtner Plumbin 500.00pd
Meter No.: Connection Charge: '
Size: Account Deposit: 15.00pd
Fermit Fee: 10• 0Opd 1
Reader No.: . SOpd I s~ io comply wtlh th~ Clty ol Eaqen Surcharge: 15b . 00 d TP }
~~inances. Misc. Charges: 3, 30pd a?etex
Total: ,
BY Dete Paid: d
Date of Insp,: Insp :
Crrx oF Sr4cA'" ~ WATER SERVICE PERMIT
383t, PNoI Knob Road 8136
P.O. Box 21199 PERMIT NO.:
Eagan, MN 65121 DATE q
Zoning: Rl No. oi Unka: 1 ~
pwner Joe Miller Const.
Addreas: 1
SlteAddeas: 4340 Yorktown Drive Ll B2 Sunset llth
Piumber. IIiltner Plumbin
Meter No.: 4, a on Charge: 500.00pd
Sfze: ~'r o i oun 15.00vd '
Reed r No.: digr 10 . 00 d
1egn- to oompyr wlth the tIt. 50 d S
oro,","c.., jELEp~ - ~r~ 156.00pd TP I
` i. 63 . 50pd meter ~
ey KL-- v Dete Peid: _
Date of Insp.: Insp.: ~
/ " zz'X7
CIYY OF E "AN ft =yI~ PERMIT'
Rosd ~
P. 0. Box 21199 PERMIT Wp.: 9288
E+ean. MN 55121 Il~-86
Za+inp. ~
O No. of Unib; 1
wr~r. Joe ?~[iller Coast. llddress: Si» Ilddress; 4340 Yo kto ve 2 :
Plumb.r. Hiltner Plumbin 67495
1 qmb a"~ ty ~ '"W ZQO.Odpd
-4 7 5 no,&
7117 1/ polo Br
:
narlk. of,,ymp.r Mim-
lnsp~
~ ocn. vewK.
~ BLDG. PERMIT ti0.
c,~•~ ~ _ ~ ,
01-3210 43ldg.~Permit
.
01-3422 Plan Check ~~`S , ,
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 SurchargE
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
~ -
20-3868 Water Trmt. -
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
~
i
i
TOTAL
r-- , _ . . . ~ • _ r,. _ .
CITY OF EAGAN Nn 12781
't. - ?
' 3830 Pibt Knob Road, P.O. Box 21-198, Eagan, MN 55121
PHONE: 454-8100 BUILDING PERMIT Receipt #
To be used 1or SF DWG/GAR Est value $64 , 000 Date 4CTOSER 17 y9 86
Site Address 4340 YOAKTOWN DR Erect IN Occupancy R3
Lot 1 Block 2 Sec/Sub. SIJNSET 11TH Remodel ? Zoning R1
Parcel No. Repair ? Type of Const y
Addition ? No.Stories
. ~ JOSEPII MILLER CO[VST Move O length 39
Name ~$13 3 CEDAR AVE SO oemoush ? Depth 46
0 Address Int Impr. ? Sq. Ft
city FARMING494 892-1010 mstau ?
~ Name SAM$ ApP?ovab FNa
~ i Address Assessment Permit $ 325.00
City Phone Water 8 Sew. Surcharge 32 . UU
Police Plan Review 162.50
Name Fire SAC 575.00
d Address Eng. Water Conn. 500• 0 U
42C Ciry Phone Planner Water Meter 63. 5U
Council Road Unit 290.00
I hereby acknowledge that I have read this application and staYe that the Bldg. Off. 1 O/ 17 ~ 8 Tr. PI. 156.00
intormation is correct and agree to complk with all applicable State of
Minnesota Statutes and Gity ot EageR,brdin nces. APC Parks
~ Var. Date Copies
Signature of Permittea- Total $2,104.00
A Building Permit is issued to: JOSEPH MILLFR CONST an the express condition that
all work shail be done in accordance with all applicabie State . Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official ' ' '
Pwmk No. PwnAt Malder DaM TNphp» 11
Pk,n*r,p 1 _ _ ! 7 /
H.v.n.c. 0 3 ee-~
ENeti+e ~ ~SC ~ ~z i
I so1wn.
I In~p~ctlon DaN Irop. Conr~w~y
F°°Yrq~ I *1
FoWMps 11
Foundatlon
FramN-p
Roo"
Rouo P1119•
pOUP HOW lse
in"
Fk'Me"
Flnd Nep.
FInM Pft
SI00. FiW
CwA. Occ.
Doek Ffp.
Wek Frnq.
9YN1
Pr. ONp.
; . +F'.. • _ _ , . , . PERMIT #k
' PLUMBING PEAMIT RECEIPT # ~
CITY OF EAGAN ,
3a30 PILOT KNOB ROAD, EA(iAN, MN 55121 DATE
CONTRACT PRICE - PHONE 4544100
Site Addr~ss 171
BLDG. TYPE WORK DESCRIPTION
Lot / 81ock ~ Sec/Su ~
- Res. ~ New -
m Name ')-A Mult Add-on a
~ Addr Comm. Repair '
c City~ -~Phone Other
~ i
~ , L..f c.~... N. FIXTURES TO~AL
Name Water Closet - $3.00
~ Add _ Bath Tubs - $3.00
p City - • . Phone ` ~ L Lavetory - $3.00
- Shower - $3.00
FEES --7-Kftchen Sink - $3.00
Urinal/Bldet - $3.00
COMM/IND FEE - 19b OF CONTRACT FEE
undry Tray - $3.00 ~
MINIMUM - RESIDENTIAL FEE - 510.00 loor Drains - a1.50 MINIMUM - COMM/IND FEE - 20•00 Weter Heater - $1.50
'
STATE SURCHARGE PER PERMIT - •50 Whirl
(ADD $.50 S/C IF PERMIT PRICE GOES poo1
BEYOND $1,000.00) ~Gas Piping Outlets - $1.50 ~
Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
~ =Rough Openings - $1.50 'S' 7
31GNATURE OF PERMITTEE FEE
STATE S/C: ~
FOR CfTY OF EAGAN GRANO TOTAL:
_t`T '7 1ti, i 'Vft ;7773ff_ ':,fA4- ..,,~,41`v 'T, I.
• . . • MECFIANICAL PERMIT RECEIP T #
pTY OF EA(iAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE 454-5100
Site Address ~ - ` ~ ' • '
BLDG. TYPE WORK DESCRIPTION
Lot ~ Block Sec/Su
~ Res. New
~
~ Name ' Muk Add-on
o , .
~ Address " Comm. Repair
c Ciy Phone - pther
~ Name FEES
c Address RES. HVAC 0-100 M BTU - $24.00
p Ciry PhonADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M~T'U COMM/IND FEE - 1%OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD a.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping OuUeb #
Other C
,
FEE
s/C* SIGNATURE OF PERMITTEE
TOTAL•
FOR CITY OF EAGAN
;
CITY OF EAGAN
3830 Pttot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt
To be used for " Est. Value $l •OCC Date ~ XP
Site Address OFFICE USE ONLY j
Lot ~ Block l Sec/Sub. Sl'!''ShT 11Th On Site Sewaye Occupancy i
MWCC 3ystem Zonfny ~
PerCel No. On Site Well (Actual) Conat ~
a Name -~A01,':.LI~E ',,vitt ~ : City Water (Allowable)
z Address 4340 YnlCKTC1ii1Fi li? PRV Required * of Storiea ~
o C;ty ::Ai.AN phone 452-7549 681-6084 BoosterPump Lenflth
Depth
o Name SRM£ S.F.Total I
~ i Address Footprint S.F. I
P. City Phone APPROVALS FEES
v W Engr./Assess. Permit -~4' vo
Name
'90
Address Planner Surcharge
a= City PhOne Council Plan Review
4 W Bldg. Oft. SAC, City
I hereby acknowledge that 1 have read this application and state that the Variance SAC. MWCC
inlormatfon is cortect and agree to comply with all applicable State of Water Conn.
Minneaota Statufes and City of Eagan Ordinances.
Water Meter
Signature of Permittee . Road Unit
A euilding Permit is issued to: JAQX-EJ..lNL 5OR['M Treatment Pt
on the express condition that all work shall be done in accordance with all
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official _
TOTAL ~
Permit No. Permit Holder Dab TeNphone ~
Plumbing
H.V.A.C.
Electric
Softener
Inspectbn Date Insp. Comnlenta
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Oca
Temp. LP
Oeck Ftg.
Dbck Final
Well
Pr. Disp.
' 1, i.t~,;, r'' a~t: •`4~;;. . ; ~.-PERMIT#
MECHANiCAL PERMIT
' ~ . CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address gLDG, TypE WORK DESCRIPTION
Lot Block Sec/Sub R~ ~V/ New
~
Mult Add-on
m Name Comm. Repair
Address
~ Other
c Ciiy !;.a,. Phone Yfe '1
Name k' FEES
~ RES. HVAC 0-100 M 8TU - a24.00
c Address -y~ ADDITIONAL 50 M BTU - 6.00
p City ' Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. .~TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-QN 8
Unit Heater M BTU REMODELS - 12.00
Air Cond.._ BTU MINIMUM COMMERCIAL FEE - 20.00
_~-i.+..rr~.... - SLTATESIJRCkIARGE P. ER -PERMiT - _ -$.50'87'C'TFPERfNiT PRiCE GOES""
~ so
Gas Piping Outleb # BEYOND $1,000)
Other
FEE
S/C: ' S S R I E
TOTAL• ~ / ~
~ ' FOR: CITY OF EAGAN .
I > Ap _
CITY OF EAGAN ' + p
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121'Y_ 12701
PHONE: 454-8100
BUILDING PERMIT aeceipts_ _ 7 1a
`
7obeusedfor SF DWG/GAR Estvalue $64,000 Date OCTOBER 17 ~y 86
SiteAddress 4340 YORKTOWN DR Erect ~l Occupancy R3
1 Block 2 Sec/Sub. SUNSET 11TH Remodel ? Zoninq Rl
Lot
Parcel No. Repair ? Type of COnst.-V
Addition ? No. Stories
~ Name JOSEPH MILLER CONST nnove ? Length 39
z 18133 CEDAR AVE SO oemolish ? oepth nG
o Adtlress Int. Impc ? Sq. Ft
City FARMING''(aK 892-1010 Install ?
a Approvals Fees
o Name SAME
~Q ndaress Assessment Permit $ 325.00
~ Ciry ahone Water & Sew. Surcharge 32 • 00
Police Plan Review 162.50
Fw. Name Fire SAC 575.00
Address 5 ~ ~
c~i' Eng. Water Conn.
a W Ciry Phone Planner Water Meter 63. 50
Council RoadUnit 290.00
IherebyacknbJ+ledgethatlhaveread[hisapplicationantlstatethatthe gldg.Off.10/17/8 Tr,pi. 156.00
information is correct and agree to comply~with all applicable State of
Minnesota Statutes and Jty of Eaga rdina cep s. APC PBfkS
Var
SignaWre ol Permitte . Date COpieS
Total $2.104.00
A euilding Permit is issued to, JOSEPH MILLER CONST on the express condition that
all work shall be done in accordance with all applicable /S e Minnesota Sta\tut,e~s Ja d Ciry o( Eagan Ordinances.
Building OHicial---
CITY OF EAGAN N2 1 51 5 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
`
BOILDING PERMIT PHONE: 454-8100 Receipt nz /t 49 --7
To be used for DECK Est. Value $1 , 000 Date JUNE 9 ,19S8
Site Address 4340 YORKTOWN DR OFFICE USE ONLY
Lot 1 Block z Sec/Sub. SUNSET 11TH OnSiteSewage _ Occupancv
MWCC System _ Zoning
Parcel No. On Si[e Well _ (ACtuapConst
a Name JACOUELINE SORUM Ciry Water _ (Allowable)
w
; Address 4340 YORKTOWN DR PRV Repuired - # of Stories
0 Ciry EAGAN Phone 452-7509 681-6084 BOOSterPUmp _ Length
Depth
, o Name SAME S.F.TOtal
oa Address FootprintS.F.
u
: City Phone APPROVALS FEES
ww Name Engr./Assess Permit 24.00
~ i ` Planner Surcharge .50
i - Address
Q w City Phone Council Plan Review
BIdg.Ofi SAC, City
I hereby acknowledge that I have read ihis application antl state that the Variance SAC, MWCC
intormation is correct antl agree to com ry ith all applicable State of Water Conn.
Minnesota Statutes and City ol agan Or nawnces ,
Water Meter
Signalure of Permittee
Road Unit
A Building Permit is issued .IACQUE INE SORUM Treatment Pl
on the express condition that all workshall bedone in accordancewith all
applicable State of Minnes.o}~ta StaItutes and City of Eagan Ortlinances. Parks
Building Oflicial~Q 11 1/A, I M TOTAL 24.50
I ~
91, 00/95 a,`.y"
0 78 403 3 t a,L.~ /V!p 45as
Pec:~esi Oate Fir No. I Rough-In-InsprUon Reqmr inspection Other Tha ghln
(YOU must call mspecror _n reatly) ~ Reatly Now Will Notiiy Inspector
? Yes No Date Featl
I licensed contractor ?owner hereby request insp tion of above electrical work at:
Job Atltlress (SVaet. Box or ute No ) . City
e[tion o Ta sNp Name or No Range No C~y ~
~
Oc~nl (PRINT) one No,
wer5u er Atlaress
Elec ' Conhocror (Company e) Comractor's License No
~ V
aihng Atltlress lCOnirecfor or Owner lAawng Insta lation) ,
A ¢e~ Signature (CO rac~onOwneaking In Oan) PM1One Number
B iggs
28 8r21 Univers ~y A~e .StR. P ~ ~MN 5 lpq ICRY ~ ENCLOS PROP~ ~ STATE ER INSPECT ONBOA~RO
Phone (61]) 6G2-O800
91~/!~S REQUEST FOR ELECTRICAL INSPECTION 2*U
~4 8-0 001 09
10o Sae instmctions lor completing this lorm on back of yellow copy.
0 07 O 403 "X" Below Work Ca•~ered bP`l;kis Request
~
N* Atltl Rppil Type of Building _ Aipliances Wired Equipment Wir
Home Range Temporery Service
Duplex Water Heater Electnc Heating
ApL Building Dryer Load Management
Comm./Industrial Fumace Other (SPeC!!YL_
Farm Air Conditioner
Olher (specity) Conlracbr's Re~
Compute Inspecfion Fee Below:
tf Other Fee # Service EnVance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps , d
Transformers Above 200 Amps AbovB 100 _Amps
S19n5 Inspector's Use Only TOTAL
Irrigation Booms '7 l ~ m
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, Ihe Electrical Inspector, hereby Rou9n-m Data
certify that the above inspection has -
6een made. F~~ai o~i / y_[~ i
C
~ -
OFFICE USE ONLV
This requestvortl 18 monlbs fram
teimonQns iromoid/..?/~j/~'~
C64850
Repunst Dale Fre No. Foug~-in InsUecimn
Ne ~retl~ ? ~RaadyNuw0 WillNmily,Insoec-
'I I '~'Q Ves No tor When Feady
lieeosed ElecVical Conlrnctor 1 hereby rea~est inepection o1 aEOVe
? Owner electncel work mstelled eU
$Ireel Atldress, Box or Roy~ te/No. N Cny
'~~~o X ^7'Uwn ~4e.% vZ EC~ etv~
ecbon o. Township Name or No. Range No. Counry
akv-E
Otcuuant IPflINTI Phone Nc.
Power $upplier ' Atldr ss
~ e -F E( ~ armIn on
Electncal ConVactor IComDany Namel CoMrnetor's License No.
Midland E/ecfric, 4116tv - a.
Mailinp Address (Con[ractor or Owner Makmg Inslnilat{on)
.;tSao l1( & fi/ 44a &rnsvi
A Aonzed Si ture ICOnVactodOwnor Making InstallaUanl Phone Number
~!O - ~
MINNESOTA STATE BOA OF ELECiRICITY THIS INSPEG710N HEQUEST WILL NOT
Grippe•MidweV Bltlp. - R o N-191 BE ACCEPTED BY THE STATE BOAflp
1821 Univeraitv Ave.. St. Peul. MN 65104 UNLESS PROPEH INSPECTION FEE 1S
POOne (612) 642-0800 ENCLOSED.
/,5~ f,. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
_ , / See instguctiona lor complating this torm on Eeck ol vellow copy.
~ 64850 "x" BeloW Work Covered by 7his Request
FAa Nep. Tvpe ol BuilCpna AVOluoncea Wired Equiun+ent Wired
~ Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Bwldmg Dryei EleCtric HeFUn
Commercial 81dy. Fumace $ilo Unloader
Industrial Bldg. Air CondiLOner Bulk Milk Tenk
Farm tnri oea v inr, (Snec,iy)
t e~ ucci y ther oinu,
ompute lnspectron Fee Belaw
p Fee ServicaEntrencaSize tt Fea fexdeis/Sublexders u Fee Cvcuns
/ ! J. G to 200 Am s 0 ta 30 Am s 47 o'! 0 tn 30 Am
Above 200 Amps 31 to 100 Ainps 31 to 100 Am s
Swimming Paol Above 100_Amps Above 100_P,mps
Trensiormers Irr.gation Booms O Partial.'Other Fee
Signs SUecial Inspection S y ,sd TOT FEF
Aamarks
Rough-m 'Ite I, ina E
Insuector, hereby
certtly that the above
Final 11e "nspection hea Eeen
maaa.
TMf repuesl roiE tBmonlhs Irom
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
Q~ 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canshuctlon Heauhementa AemodeVReoalr Reaulrements
• 3 registered stta survays sfwwing sq. tt. 01 bt, sq. tt. of house; and aIj mofed areas • 2 oopies of plan
(200% maximumbtcove2gealbwetl) • 15etofEnergyCalculatbnstorhealetlatld'Aions
• 2 wpies of plan showing beam 8 window sizes; poured found design, etc.) • i sue survey br exlerior addhbns & tlecks
• 1 set of Energy Cakutatlons • Indipte A home urved by septic system Por add'nbns
• 3 copies of Tree Preservatbn Plan N bt platteA afler 711193
• Rim Joist Detail Options selectbn sheet (bldgs with 3 or less unAS)
DATE VALUATION
SITE ADDRESS MULTI-FAMILY BLDG _ Y ~h
TYPE OF WORK FIREPLACE(S) _ 0~(1 _ 2
APPLICANTD~ nME. Z• in.c PVIXkS" Vu ig aT'S -
STREET ADDRESS Y€ G_(ZAD_CITYJ!421~A STATEj[1&, ZIP 4;55 .
TELEPHONE til5Z-930-0/94 CELL PHONE #FAX #
PROPERNOWNER ~~e_t( ~ 1L2_I P~ TELEPHONE# ~51~~j-1~S~H29
COMPLETE THIS SECTION FOR ^NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672
(4 submission type) • Residential Ventilalion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: _ Air Conditioning D_ -
_ Heat Recovery System ppR 30 2002
Sewer/Water ConiraCtor: Phone N
BY
- -
I hereby acknowledge ThaT I have read this application, staTe that ihe information is correct, and agree to comply
with all applicable State of MfnnesoTa Statutes and City of Eagan Ordinan s.
SignafureofAppficanf
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
1986 BUILDING PEIiIiIT APPLICATIOH - CITY OF EAGAN
SOTE: ALL CONTRACTORS MOST BE LICENSED UIiH THE CITY OF E9G9N
SIAGLE F9PIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DSiELLINGS - RESIDENTIAL RENTAL DsiITS FOR SALE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SORVEY - CHECH iiITB BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COl4fEACIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
l0 41 oc`X0
To He Used For: A(~w /'1'm Valuation: Date: /
Site Address ~3y0 IAOFFICE USE ONLY
Lot L Block ~ Erect Occupancy R.3
Remodel Zoning 2•I
Parcel/Sub Repair _ Type of Const S/
Addition _ l1 of Stories
Owner Move _ Length 39
Demolish Depth 4Ca
Address Int.Impr. _ Sq Ft
Install _
City/Zip Code
Phone APPROVAIS FEES
Contracto913-3 ~1 Assessments Permit ~JZs.
~ Water/Sewer Surcharge 3Z.
Adess ~/,~/1 (~(,(~•c~ , Police Plan Review ~(0 2. `i°
Fire SAC 5-15.
City/Zip Code Engr Water Conn !~:00,
Planner Water Meter ~93.50
Phone Council Road Unit 290
Bldg Off ~D•'f•8C Treatment Pl 1 SCn
Arch./Engr. APC Parks
Variance Copies
Address YOTAL 6W) City/Zip Code
Phone 4
NOTE: ADDAESSES FOR CORNER LOTS - CONTRACTOR/HOMEONNER MDST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGFS iiILL BE ALLOiiED ONCE BOILDZNG PEHIiI? IS ISSIIED.
Z4 x 3G~- fOX~-
12n~2 = ~ 44 x~~ 8~s2
q~ Z320
22x22 - 434 x (Z =
~ 380p,
. ' CITY OF - SUILDINa DEPARTMF'.NT
x7(TERIOR ENVII,OPE AVERp(3E "Uti CAMPUTATION
(To be submitted with buildiog permit application)
One or Twn Family Dwelling Owner
All Other Site Addrese
Contractor o~ ~L+..~~. ~oNSf. Date Phone
uDJGF~~f~i1
LI1~-:.'AL : r;i;T OF I~ ~
E:{t'OSED l'JALL ~E WOJLK ~7FLEET ft. above gradP = r0/&?.so Lb
'IbTAL i:{POS=:D WALL ARi.k SQ. FT.
0:,^UE ":;.LL CONS'PRUCTIOI+: "U" Value x Area
Detail --!^'AI'~1C ~~Ur~ ~O~}.3 x SC2. FT. I`}O$.]O - lp0•~ (U)(A)
o~vG, "pn x SCZ. FT. 93•9O= (U) (A)
: e:erence C ~~U° , p p4p x SQ. FT. II .2P_-~(U) (A)
from uU~~ x S@. FT. _ (U)(R)
attached itU'f x SQ. FT. - (U)(A)
s'~eets IOUll x SQ. FT. - (U)(A)
'.~IItDO',YS: "U" Value x Area
?ia::e & TyPe WStJL• eSN7'T "Un .SZ x SQ. FT. 1)0,S0 - 57_&l (U)(p)
" " "U" x SQ. FT. - (U)(A)
flUff s SQ. FT. - (U)(A)
~ uUit x SQ. FT. _ 0)(A)
DJORS: "U" Value x Area
:ia::e & Tyoe $7]_. lLk~01. IIUII :14 x SQ. FT. z.o0 = 6: (U)(A)
" " pATin "U" .47 x 5Q. FT. 42•OD (U)(A)
It flpll x SQ. FT. _ (U)(A)
"Ut' x SQ. FT. - (U)(A)
TJTqLS li1b•S0 Sq. t'T._ /(ol•~(p M(A)
AVERAQE "U"
TJTf.L (U)(A) VkLUES I (P19/ _
DIVIDED BY TOTAL l'IAT,L AREA ISI~ SO ~~U~
AViRAGi; flUff ,115 or less Yor 1&2 family dwellings
ROOF/CEILING:
TOTAL AREA: 0 rA0
Detail reference IIU" .OZS x SQ. FT. Oo - ZS.Op(U)(A)
from IIUII x SQ. FT. (U) (A)
attuched sheeta. $$U° x SQ. FT. - (U)(p)
Describe onenings foUlt x SQ. FT. - (U)(A)
in roof. foUl# x SQ. FT. - (U)(A)
TOTAL M(A) VALUES DIVIDED BY TC~~ _ TTAL~j o00 ye~ ZS•Gt7CUr
? V\\j
1'0:RL R007/CEILIi:G :.1'E'A ~0.40 Od .67Z5-
AVERAGIi "U" ,025 for ventilcted roofa. ~
JGh.11VJ--
, Determining OOII" valuee et Root, Wall, Rim. and Conc. Block
ROOF/CEII,INa R VALUE
S
1.) Iuterior Air r'i1m 0,61
2.) 5/8,1 ayP. Ba. .56
3.) Insulation 38.00
4.J
5.) Exterior Air Film ,61 '
(STILL)
~ 2 3
~ uUn _ 1/R= 07,57 iOTAL (a)= 39-78
l ~
g WALL (R) Vf,LUE
9 6.) Znterior Air Film 0,68
7.1 GYP- Bd. .45
8.) Insulation 19.00
9.) Z-5137-" BviL7-Ri1C 7.04
10.) Masonite Siding .67
10 11.) Exterior Air Film ,17
N
"u" = i/x= .043 'roTaL (a)=23.ol
RIM (R) VALUE
(D ry 12.) Interior Air r'ilm 0,68
13.) Iasulation 19•O o
~ 14 14,) 2" Fir Rim Joist 1.88
is 15• )~3e BurcT- R,7e Z• 04
16.) Maeonite Siding ,67
17.) Exterior Air Film ,17
. o
. • . . nUu = 1JR= ,p~{p TOTAL (R)=Z¢.41
~ FOUNDATION (R) VALUE
18.) Iaterior Air Film 0,68
21 . l8 19.)
p> 9 20.)
27 b°• 21.) 12" Concrete Block 1.28
' a ~ 10 22.) 0a7bER- "P-" $.00
23 'p 23.) Exterior Air Film .17
n
npn = 1/R= . 140 TOTAL (R)=' 13
i
14.so x 10+7-4+Z4) _ !q-z1, o0
`1.so X (JZt1Z+17) - 3S9•SD
1810, so .
.(v7x C 34+34 ~ 3~+3~~ = q 3. 80 ~
n~ So~sT
•83X ~34+34-~3~t3~~ = Illo,Zo~
w~ ~I Do w5
ll~x3c~ = 4.o x Z= g.oo
zoX3(, = S.o x g ~ zo.op
z4 x 3G _6• o ~c 4= z4-00
Zo X48 = 6•7 X 4 = z&•So
z4x4g = 8o x 4 = jZ.oo
~baKS SD
z1.oo
Z$ 57L. Zl.oo
V- ro 4z,oo
g4.oo~
z4 X 34 = S/lo
I z x t z=
s x 8 = 40
I)000 4~-
NET WqC,JC. E4vAt-5,
C~941r~ W4[.4- 1 SI D. So
l.6SS L'oxv-. 93. So
" 9'n1 Ulo.z.o
wbw'S lJo.gO
n Dob~-S gg.00 - ~O¢ PJ~
17vs, 70 4-
~ TRI-LAND C0. ~
SURVEYING SITE PLAN FOR:
SERVICES MILLER CONST.
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
c.
Y s
~ N 89°48'24" E 150.00 ~ as
W
p s a2•3 ~ /o p
o a ~ O
m ~ 0 OD' C)
~
,
ti
~
3 e^ 31
O
F--
t p ~y p Y
/0 p ~ .
Z J Z Q
~ N 89°48'24" E 150.00 a PS
>
h a I
YORKTOWN PLACE
- - - - ~
PROPERTY DESCRIPTION `S CAL E,. Iso= 30'
l0T_, BLOCK? ,
SUNSET II TH aC]D
aeor(gnq to the recorded plat thereoi
DAKOTA counry,Minnesaa,
LEGEND
o pENOTES IRON MONUNENT PROPOSED GARAGE FLOOR EIEVATION= q"r)
a DENOTES WOOD HUB SfiT PROPOSEO FIRST FLOOR ELEVATION =
DENOTES EXI5TING SPOT PROPOSEDBASEMENT FLOOR =
ELE VATION ELE VATI ON
DENOTES PROPOSED SPOT
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PIANS
I hr*py certify flat this survey, plan or r
repat xas prepond by mw or under my dlr*ef supwvision and that 1 am a duly Brodley onson, Mn. Rep. No. 0233
R Reqisfersd Land Surv*ror undw the
. l.cws of the Stota of Minnosota. Ddte* fM1446
. . ! 1988 HUILDING PEHMIT APPLICATION - CITY OF EAGAN
t . .
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTBACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SUAVEY - CHECK WITA BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CO[MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To He Used For: Df-L c, Valuation: Date: (o-
Site Address Y340 `0kL40win ~R, ^ OFFICE USE ONLY
Lot ~ Block 2. On site sewage_ Oceupancy
MWCC system Zoning
Parcel/Sub A,iff0f;~ ~11TV On site well Actual Const
\ C City water Allowable
Owner._.)4c JO U PRV required _ Il of stories
Hooster Pump _ Length 24
Address yaRK1cs.s~C\ -Q Depth /2'
S.F. Total
City/Zip Code F-C`l\CLr% NM S512.~ Footprlnt S.F.
Phone y5a-'15c~9 I W (flo'wA) pppROVALS FEES
Contractor C~) Engr/Assess Permit
Planner Surcharge S'~
Address Council Plan Aeview
Bldg. Off. SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
~
City/Zip Code TOTAL
Phone 4
i
~ TRI-LAND.CO. ~
SURVEYING SITE PLAN FOR:
~ SERVICES MILLER CONST.
' 4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
a.
~ S
N 890 48'24"E 150.00 ,o 0 > I
~ a 0 cr I
CD ~ ! ti I c CD 0
z e. I
3
3b
v e~ PRoc~3~ ,z'i ; ' I Q o I
O ~ ~ ~C r ~v• ~ 0 y
b "
Z L~
G p Z Q I
~ N 89°48'24" E 150.00 0~? rs
~ a I
YORKTOWN PLACE
- - - - - CL
PROP[RTY GESCRIPTION SCAL E I"= 30' ~
l0T -L, BLOCN 2
survaPT ii rN Ann
acordir,p ro tM rscrded plvt tMroot
DAKOTA Canty,Minnesma
LEGEND
o pENOTES IRON MONUAENT PROPOSED GAAAGE FLOOR ELEVATION• qlo•n
a DENOTES WOOD HVB SET PftOPOSED FIR5T FLOOR ELEVATION •
DENOTES EXISiING SPOT PRpPOSEDBASEMENT iL00R
EIEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATIOH
f DENOTES DRAiNAGE DIRECTION HOTE' VERIFY ALL FLOOR HEIGHTS WITH
- FINAL HOUSE PLANS
1 NwoEy cenlly IAOI tMo svvisY.Dlon or i
report was pr*pors0 Dr me or un0er my
OIree1 PuDwiam ord Mat I am a dulY BrodNy '*nem, Mo. Req. No IS235
~ Repislorrd LaM Surreror unbv tM
Lovrs ot tne Stoh o} Minnplotu Dott 1 ~i v/BA
. ******i*f******+****ft~******#~#***#
C I T Y O F E G A i~ **~F' PAYMRKf OF ~ AT TIME pF »
* APPLICATION DOFS NDT ODIISTINIE *
APPROVAL OF PERNIIT. *
APPLICATION FOR PERMIT *
* iNsencriota oF sf,WER arro/ox WAzaz *
*f mmAi.TaTTONS WIId. fX7T BE SC~mm- *
*
~
SEWER AND/OR WATER CONNECTION ~ULED LWM PMnT HAS BEEN *
»
APPRdVID. *
rt *
r *
*
. '~~*t*srxws**~*r+x,rr~,rxt;,e*:,t,t*r,t+*,rx
, P ease Print
1) PROPERTY ADDRESS: 5.,16 6-1, Jw-/
LEGAL DESCRIPTION: L/ Z
Lot Block Sub ivision or Tax Parce ID )
IF EXISTING SIRLY.ZL~RE, DATE OF ORIGINAL BL'II,DING pgtMlT ISSL'11NCE:
, PRFSE[1P ZONING/PROPOSID C`SE: (Mon Yearl
q COM"1ERCIAL/RErAIL/OFFICE 59, R-1 SINGLE FAMILY
~ IAIDC'STRIAL F-I R-2 DL'PLEX (ltao Lfiits)
[I INSTI'IL'TIONAL/GOVERTRg,'NT 0 R-3 TOWPIIIOC~SE (Three + Units) ( Dnits)
0 R-4 APARTMENT/CONIDOMINILTI ( Units )
2) ~
- NAME:
ADDRESS:
CITY. STATE, 2IP:
PHOLNE: $a.9-OSI~(P
• 3) • u NAME:- SA ME ~}5 ~ ~ For City Ose .
Plumbers License:
ADDRFSS: Active
CITY, STATE. ZIP: FScpired
~ Not recorded
PHONE: MASTER LICENSE#
Sta~7ni't1a1
4) • ~ i~+•
NANE:_ /y7i ll?o_' l
_ ADDRESS:_ ~,qP
CZT1'. STATE, ZIP: ~Re.~,~,v, tex/ /?J~II
PHONE:
5) ~ v i : o • o.
R CON[gC.TION 1q CITY SEWER ~ CpNNEcTION TU CITY WATER ~Or= . .
r
6) ~ • - • r ~ PIEASE HOLD APPROVfD PIItMIT FY)R PICK-OP BY ONE OF ABOVE
PLEASE L APPROt/ID PERMiT 70 1, 2, 3. 4, ABOVE ` .
(Circle one)
7) r ru• - K~ P _ ,71-
' • '1: ~ Y: 'I: M ~ • 1 • I' J Ip' . i~ YBI• . ~
• . • 13. 1 ~ ::i ••I. •,M?~ • 1 1 1' . 51' ~ ~y ~ ' • ~ ~
:A' • ~ 1 P N. .
. FOR CITY USE ONLY
PERMIT # ISSCED
Pd w/Bldg. Permit FEES:
$ $ /D•SO SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /o. ~5U WATER PERMZT (INCLUDE SURCHARGE )
$ 50 $ WATER METER/COPPkRHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC}DE CORPORATZON STOP)
$ $ SEWER TAP
$ $ ~S• B~' ACCOUNT DEPOSIT - SEWER
$ $ /S• DG~ ACCOC'NT DEPOSIT - WATER
$ $ wac
$ ,S?S. Dv $ sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSME[VT
$ $ ` LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 9~1. $ J TOTAL
(0 7595 (r, 907/
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WZTHIN PUBLIC
Q ROADWAY" MLST BE ISSUED BY THE ENGINEERZNG
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: /K 0 w
~ rAwF„ Residentia/
Who% House Worksheet
~i
Customer'g Name • Address
Ciry State Zip Telephone Number
' WINTER:InaideDesipnTamp °F- OutsideDesignTemp °F=HeatingTempDifference °F
SUMMER: Outside Desipn 7amp °F-1naiCe Deaign 7emp °F = Cooling Temp Difference °f
' 'HEATING "'COMMONDATASECTION" COOLING
. . . . . , , .
BTUHlDS6 NennNa ' COOLINR
FACiOR . ' • , SUB.IECT ' a . .
..BG.FC FACiON BTUHGAIN
GROSS WALL
DOORSBWINDOWS(7ableAOre) 73c3-~
NETWALL 3 - QVa. /23f
CEILING / Zp ( • ~ L31
FLOORS
Inhlvatan Meat'np Volume Volume Cooling InLltmuon
8m/hr z TebbD X loX 1 I/80 X ICu.FC __1u Ftl%_ 1'1/w % LT % TabieO = Pm1M1,
ss, zo.is333 x (a~so x 0.01833 x/9 x.Y =175`O
SUB-TOTAL BTUH LASS (Per 10°F) jl~~~`h~:u.~#:
z ADJUSTMENTFACTOR(TebI8C) ~a.;`,~~F~:~:".~'r,i~:.•~.':'~~kfl'"vu~C 5~'~y:^',Mar~¢~~.
TOTALBTUHIDSS ,`x •'s- -,`'.i.+:.,
~
.~•1a:~3r,7~dPEOPLE, '6 x 300 BTUH GAIN In+sumexuerwns _v '+7'
oeroeamoml
, `A '~$Y.:s'~:;i~;,:~~` ~`i~'~, dM~ APPLIANCES BTUH 1200
SUB-TOTAI BTUH GAIN (room sensible only)
DUCT LASS/GAIN FqCTOR (Table F)
x
SUB-TOTAL BTUH (Sensible Gain) 7t,n a`~~~ •
MOISTUREREMOVALIsubtotal x 1.31 •x,t:~z~"i'~~~~r x 1.3
TOTAL BTUH LOS$/GAIN
7AbLE A-HEA77NG-DOORS & WOOD FpAME WINDOWS ' TABLE B- COOLING - DOOHS & WINDOWS l~J~3 3 w)
IPER 10°FI Fac[ors assume windows have inside shading by draperies or venetian
For sliding glass doors - use factors torthe same type window blinds and slidin9 glass doors are treated as windows.
cons[rucnon. '
SIpGLEGIAfS OOUBlF4455 iRl%EE1~b9
Window& Framea DoorT BH TIM BLI XA/BB=BLUAIABS TEMVOIff. TEMP.DIfF TEMp.O1Fi. 1(prw •BiYNORIN
Single Pane . , own. ~s• m• m• ~s• m• zs• is• m• a• '
Clear 9.90 10A5 11.56
With Slorm N ia u m u ie ia n1e .o
4.75 5.25 6.50 NEbMW 3) .1 4531 9 B 10 P ID
Doubla Psne
Clear 5.51, 6.09 7.25 eaw ss sc m« ba 3e m a
Wilh Storm 3.41 3.85 4.90 seesw as w sn a~i o v x a.
T ip!u °ar.e
Clear 3.80 4.39 - 6.46 s m u x n zs :1 'ie m z+
a ousie sxrironv iu IM nz u, nu i~s dx ns 1a
Single - - 11;0
waoew ea ms iax ee ioa ia: ee 1109132 Z~,-/ ya-
SinglewJetorm - - 5.0
kylights Mmi¢` 3.6 ~s ew 3 s 4.e 64 as ~s e.4
Single 11.07 11.69 12.92 ~i Forwuooaoanene TOTALS 1 73
DOUble oaNsMene com metel aoore
Door 6.65 7.35 8J5 Q fwumMnecoremaraltloon
Wootl Only 4.60 - - TABLE D- INFILTRATION MULTIPLIERS
Woodw/storm 3.20 WinterAirChangasPer Hour
UrethaneCore 13-5 1,90 FloorArea 900orlesa 900.1500 1500-2700 over2100
Ure[hane Core Beal 0.4 0.4 0.3 0.3
1R-51w/storm - - 1•70 Average 12 LO o.8 OJ
TOTALS Poor 2.2 1.6 72 1.0
~ fror ¢¢ch lireplece add: Beat Average Poor
0.1 0.2 0.6
Summer Air Changea Per Nour
TABIE C- ADJUSTMENT FACTORS - IHEATINGI FIOOr Area 900orlass 900-7500 1500-2100 wer2100
°F. Temperature DiH. 30 qp 5p fip 70 gp y~ Best 0.2 0.2 0.2 02
AveraBe 4 • 0.4
L najustment Fac 0.5 0.6 0.
tor ~ 3 1 4 ~ 5 6 7 g g
Poor 08 0.7 0.6 05
~ American Standard, Inc. 1986 Pub. No.22-8018-4 p.l. (L)
1 MECHANICAL (RESIDENT[AL) 5Zo
PermitApplication ~-~a -
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please completc for. Single Family Dwellings
Townhomes and Condos when pertnits are required for each uni[
Date (Jl 4 / 03
SiteAddress 4340 YORKTOWN DR Unit#
Property Owner GARY PHILLIPS Tefepuone#(651-) 405-9629
Contractor RON' S MECHANICAL, INC.
StreetAddress 12010 OLD BRICK YD RD City SHAKOPEE
State MN Zip 55379 Telephonek ( 952-}445-8585
The Applicant is _ Owner x Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner
other
Sta[e Surcharge $ .50
~r ~In V!~ L6 i, ~
,
Total
i
I hereby apply for a Residential Mechanical Pemut and acknowledge that the informalion is comple[e and accura[e; 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
perarit, but only an application for a pernut, and work is not to start without a pertnit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of p S.
l-iam
Applicant's Printed Name ApplicanYs S ature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166204
Date Issued:12/21/2020
Permit Category:ePermit
Site Address: 4340 Yorktown Dr
Lot:1 Block: 2 Addition: Sunset 11th
PID:10-72997-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Michael J Hedeen
4340 Yorktown Dr
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169187
Date Issued:05/18/2021
Permit Category:ePermit
Site Address: 4340 Yorktown Dr
Lot:1 Block: 2 Addition: Sunset 11th
PID:10-72997-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael J Hedeen
4340 Yorktown Dr
Eagan MN 55123
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature