3948 Westbury Way
CITY OF EAGAN srim sERVM Pam
3530 Pilot Knob Rosd P. O. Box 21189 PERMIT NO.:
Eagan, AhN 55121 pAh:
Zoninp: - Ri No, of Vnits: Z
Owrnr: _ Frontier %iidwest
Addnns: ~
S1t• /lddroa: 3948 ?,Iest4urv !Tay L17 R3 Flestbsrv G
Plurn6er.
E,-.t 3-85 52711 100.
P
1 Nm ts en.py w11b er. Clhr of l.g.¦ Connwctlon Chowp: 425.00 pd
Orft..a~. Account p,eodt; 15.000u
P'srmk Fw: - 10• 0~~.,~~7
S(~~,~~. • JUpfSJ ^
ey /V11fC. a101pw
Doft ot Irop•: Totai:
l^sp~: Doh Paid:
CITY oF EAGAN W~'~ SERVICE PERMIT I
5830 Pilot Knob poad
P. O. 60)j 27198" PERMIT NO.: j''4
~ Epan, MN 55121 ~-•0-85
D1~TE:
i Zoninp: KI No. of Units: 1
pw,wr. Frontier Miuwest '
i J1ddreax '
~ Site /lddreu. 39[,:4 ~:'estLur v 1 ? Wes*_b,ir 4
Plun+b+r:
'
WAR
Metar No (M179500 .00 pd I
Siu: o ' 1:5.0l~:; Reode No • LV..hI ~1129 tttrHuiVE -1
! Z'Fae 10 . 0 013d
I .,m.ft ...m* ,wo tm qCyE•"#REE~)k*:I 41144 .50~-):
I Or/hrmer. Mlsc. Garws: 112.100 nd
- 1_aC} ud mr-tar ,
f LO TOtol: (i
8Y Dott Paid:
; Dote of Insp.:
~ S
~
r
! .,4EACTIVATSD FOR DB~
OMEOWNER - PIERCE CITY OF EAGAN
3M Pilot Knob Rosd, P.O. Box 21-198, Espn, MN 55121 PHONE: 4548100
eviLoiNa PERMIr Re«;pt
To M wd iN Esf. Value •E1 , Date ' _ _ 19 ?
Site Addreu ? 941~ ~ „-`CEUfiY i~AY Erect Oewpeney
1~% i w"5`'BUitX 4`1~~~ Remodel ? Zoning
Lot Block ub. Repair ? Type of Cona.
Parcel No. Additfon ? No. Storia
~i1.J~YE~iT f!ON;.5 '..t~j~i' MOVe ? L.~ngth .
Nanhe Demolish ?
~ - Dq
Addresa '.-U~ -"IB ,1 Hi•J y Int Impr. ? Sq. Ft.
. Pth -r L
City Phone Install ?
Aopeveb iNs
Name
~ • • Asssssment Permit a~ . , ,
~ Addrop
~ Ciri Phone Wcter b Sew. Surcharpe
Police Plan Ravfew -
P °C Name ~'iC.;I; CFiARL.iER Fin SAC
iZ Addres~ •1 t c;,' D', i~! V I E;? C_ Eng. water Conn. ;
~ W City AFPL E i.`, j4ne 4 3 2- 549`i PlonnK Watsr Meter
Council Road Unft ~
I he~acknowl tF+ot I hcw road this o lication or+d stote thor -
Y ~ PP Bldy. Off. ' Tr. PL
fhe inlormofian Is conect a+d oyrce to comDly with oll opplitable
A~
StoM of Minnssoto Statutes and Gt~yof Eo9an OrA"inoncss. Park*
- Vsr.Oata
5ipnotun of PermittN ' CoPies J4
FRON'I z:;" ,~.,_0 Wf:7otal
A 8uildinq Pem?It is issusd fa on !M expras corditlan tlw
dl wwk "l be doer fn atoordonct with all applimble Sta1e of Minrnsoto Stotutes wd Gtr oi Eopen Ordinoncea
Sufldin0 Olflciol
Pwn1it Na hrmit Holdw Mb TNepAone 0
Plumbifiq
H.VA.r-
Ebctda Y
son«m
an«
insp.ction om jInsp.
Footlnpsl )IKIR5
Footlnys II
Foundatbn
Frsminq ~
RooNnp
Rouph Plb¢
ibuqh Htg. tT ~Qv
InwL Flre
plaa
f-2K - -f 7 'O
Final Htp.
Final Plbp. S-
Flnal •
c•wocc.
WatN D- wibe loeatfon:
We11
Sew~r
Pr. asp.
R"ipt ' pAECHANICAL PERM17 PKmit Na
~r ~ • CITY OF EA(iAN F« ?ti. QO
f111 in numbwed spnm S/C
TYlx or Prlnt /plb/y ToL
1. Date 2. Instailation Cost I45U .00
394~ 4reatbur` k 17
3. Job Addr~s ~tt Blk. 3 Tnct
;
~ i
pwner iroLi r Compnnie>, j
b Contmctor Wetlzel _cechasical phone 452-1565
g, qddren 360 Ke:_Liebt- ;)rive ~
7. C'ity State 2ip J5 1~" ~
8. Building Type: 1`114identia010 Commercial O Institutional D ;
9. Work Description: ; New U Add ? Alter ? Repair ? ~
i,
10. Dsscribe iieu ti.ii, Fuel Type
11. No, EQUpMEU BTU • M. Ea. No,_ Equioment CFM
Forced Air Air Handlir?y:
Mfy.
BO11en Mech. Exhaua
Mfp. -
Unit Heater bae?z
Mfg• Othsr
Air Cond.
Mfg.
Gac, P'ipiny Outlets
12. I hereby certify that the above infarmetion is true end correct, and I a9ree to
comply with all ordinancts and codes governing this type of work.
S'ignad : }or
Rouph Find
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved. +
Approved CITY OF EAGAN 45A-6100 I
i
- ~ i
Rewipt PLUMBING PERMIT P*rmitNo.
CITY OF EAGAN "
Fee ~7^
Fill in numbered spaees SIC ~
Type or Prrnr legi6ly Tot.
. ~
1. Date / 2. Installation Cost ;
a
3. Job Address~"~1V, ~yLot~LBlk. Tract
4. Owner ~X'% Al)T/ F,~~,~' in1. ? t
- 5. Contractor Phone
6. Address `v -6L Kf A : aai= 7 fl ~
7. CitY - f? _-JA--s State Rit3 2ip 'S 7 '
8. Building Type: Residential $1 Commercial ? Institutional ?
i
8. Work Description: New V.Q Add ? Alter 0 Repair ? ~
~
10. Descri be ~
~
11. No. Fixtures No. Fixtures ~
~ Water Closet ~
CesspooUDrainfield
~ Bath tubs $eptic Tank ~
Lavatory $oftner ~
Shower Well ~
f Kitchen Sink ~
{ UrinallBidet other r.>T f,zZur_ ~
Laundry Tray
f Floor Drains '
J
Drinking Ftn.
Slop Sink ~
"Z 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 : for
Rough Final ~
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved. ~
" Approved CITY OF EAGAN '454$100 a
~
Roceipt - - PLUMBING PERMIT Permit No. CITY OF EAGAN FN
Fill in numbered spaces S/C
Type or Print /egib/y -
Tot.
1. Date 2. Installation Cost f
3. Job Address Lot B Ik. Tract
4. Owner E~ LlC i ` 1
5. Contractor ;o Phone
6. Address
7. State Zi
City P
8. Building Type: Residential Q Commercial ? Institutional O
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ~ Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
51op 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 governing this type of work,
Signed : .`I~ ~C for
Rouyh F inal
Inspections: Date Insp. Date Insp.
i This is your permit when numbered and approved.
Approved C1TY OF EAGAN 454-8100
RESIDENTIAL
BUILDING PERMIT APPLICATION 0
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 -5 U I
651-681-4675 ~
New ConsVUClion Rwuiremenfs RemodeVRepair Reauirementa
• 3 ragistefed site surveys showing sq. fl. of bl, sq il of house; and all roofed areas • 2 copies of plan
(ZO%marimum lot coverage albwed) . t set of Energy Cakulatbns for heatad addNOns
• 2 eopies of plan showirg beam d window saes; poured found design, etcJ . 1 srte survey for exlenor atldilwns 8 decks
• 1 set of Energy Calculations . Indicate if homa served by septic system for additions
• 3 copies of 7rae Preservatbn Plan'rf bt plailed after 711/93
• Rin Joisl DeWi Options selaction sheet (ddgs vnth 3 or less uniLS)
DATE ~4241 ~ ~Of),VALUATION (EXCLUDING LAND)
JOB SITE /1DDRESS ~I'U hmr~j wa~ _
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE UF WORK t (x C'eutylt I c Y oas Mt FlRE°LACE(S) _0 ~1 _2 _3
APPLICANT V\ I ~ PHONE# 925.Z-t~Z~
ADDRESS_ _3 E 5 0 1/l~ ~f~/r~n 86~.~nSfiA0i{'1'1N/. ZIPCODE SS3s7
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CAT'EGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULFS 7672
- New Energy Code Worksheet Submitted
Plumbing Controctor: Phone
Plumbing System Includes: _ Water Sof[ener Iawn Sprinkler rce: $90.00
Water Hcatcr No. of R.I. Baths
No. ol' Badis
MechanicalContractor: V~iNLS/AO_ l-drR ~PY'WA/PSjePhone#
Mechanical System Includcs: Air Conditio 'nfu g Pee: DT7"I, 9~
_ Heat Recovery System D
Sewer/Water Contractor: Phone #
rn, iw. 7 I r ~o r2 I it)l
All above information must be submitted prior to processing of application. II~ (t • n I,, ~
I hereby acknowledge that I have read this application, state ihat ihe information is correct, nd agree to comply wit
all applicable State of Minnesota Statutes and City of Eagan Ordina s. By
Signature of Appllcant
Certificates of Survey Received _ Tree Preservation Pla ceived _ Not Required _
Updated 1101
OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutd
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12•plex Plbg_Y or _ N ? 25 Miscellaneous
O 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entlre Bldg only) - Give PCA handout to applleant
Valuation Occupancy MC/ES System
Ccrsus :,cde Zonii -ey Gity'vVater
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foo[ings(new bldg) _ FinaVC.O.
_ Foorings (deck) _ Final/No C.O.
_ Footiugs (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ AidGas Tesu _ Final
_ Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By , Building Inspector
DdJb fet
Surcharge
Plan Review
MCIES SAC
City SAC •
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF EAGAN nJ° 10 3 9 2
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUIIDING PERMIT tieceipt #
85 ,
Te 6e uwd fa SF DWG/GAR Est. Value $61,000 Dote JUNE 13 1 9_
,
SiteAddreu 3948 WESTBURY WAY Erecc CR occuPancY R3
Lot 17 elock 3 Sec/Sub. WESTBURY 4TH Remodel ? Zomng Rl
Pamel No. Repair ? Type of Canst. V
Addition ? Na. Stories
FRONTIER MIDWEST HOMES CORP MOVe ~ Lenqtn 40
W Name Demolish ? Depth 48
= Address 3908 SIB MEM HWY Intlmpr. ?
~ EAGAN 454-0433 Sq. Ft.
City Phone Install ?
SAPSE AvOrorab has
g Name
OL) Address Assesuoenr permit 316 _ 0(
~ City phone ' `Na1er d Sew. Surcharge 30 _ rj(
Police Plan Review 158 _ O(
GZ Name RICHARD CHARLIER Firo gpC 525.0(
~o q~.~g 14103 GARDENVIEW CT Enq. waterconn. 500.4(
~W City APPLE VALLiitYone 432-5492 plonmr WaterMeter 63•0(
Council Road Unil 280.0(
I hercby ocknowtedgs tFwt I hove read this opplicahon ond state t Bldg. Off. 6 S~$S T~ p~ 132 . O(
the inlormafion Is correct and ogree to < mply with ql ppl b
Stata of Minrxsoto Stotute C" o qe+f0 ifw s. APC Parks
Var. Data Copies
Slpnmuro of Fermittaa• Total ~z.004.5(
A Bu+idiny Parmir is isaued ro: FRONTIER MIDWEST w the express conditlon ihai
all work shall be done in acwrdonce with ol mbls Stofe MlnrQIiot9 Sfatutes and City oF Ecqan OrdirqnCes.
Buildirq Officiol A,Q 0
CI AGAN Remarks
Addition WESTBURY 4TH ADDN. Lot 17 B,k 3 Pa,~1 10 $3653 170 03
Owner $Ireec 3948 Westbury Way Sta[e h;agan' S5123
Improvement Date FAmount Annual Vears Payment Receipt Date
STREET SUR F.
STFEET RESTOR.
GRADING
SANSEWTRUNK 931
SEWER LATERAL
watermain ~ 1 5. 2 4.35 15 , z j /9 o/G S z/ /o z~/~
WATERMAIN 1,j'f~5_
WATER LATERAL
WATER AREA 4n,T 139-18 9.27 -17 70~2 0• S 3 O I6 S2 % /O ..jS B,r
water area OA" 1 8 1 8.92 1 /93, 9 FI-o /6 S z r ro(Z, /d 3`
STORM SEW TRK (~L- d2 FI O/(o S~2 / /a s{" TdFj
142.05
STORM SEW LAT ivbb 7 3. Sro AO/(n S2
CURB & GUTTER '
SIDEWALK
STREET LIGHT
280.00 52711 6 13 85
WATER CONN. 500.00 11 11
BUILDING PER. inigg 11 11
SAC " 11 525-00 PAflK
2004 RESIDENTIAL BUILDING PERIVIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction ReouiremenGs RemodeViteoair Reauirements {I ONce Use OnN
3 registered site surveys shaving sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan C'ert of Survey Recd YN
(20%maximumlotaverageallowed) isetofEnergyCalcula6onsforheatedaddNons TreePres=PlanReoi _ _Y _N.
2 copies of plan showing beam 8 window sizes, poured found desigq etc. 1 sile survey for addi6ons 8 decks Tree P2s Required _ Y_N
1 set W Eneyy Calculations AddiGon - indicate d on-sRe septic system On-Site Septic System_,_Y _ N,
3 copies of Tree Preserva6on Plan if lot plaried after 711193 ~
Rim Jost Dehail Options seledion shcet (bldgs with 3 or less uniLS I
Date Construction Cost 1~-' ~ U ~
Site Address ~C7 4( d W? S4 `),A1`i-`/ w Q' "f UniUSte #
I '
n I
Description of Work 200-~ S l C,, f N W! ^~~Ow S ~ i
Multi-FamilyBldg ~ Y ~N Fireplace(s) _ 0 _ 1 _ 2 I
Property Owner ~~~z fl D y r¢ S Telephone #(b 12)~f~ 7 y
Contractor fv~
I
Address 39N SNZ((,/Y~ 4?`c w City pvto
State (M fv Zip 66 Telephone 612) 7~~ ~ l l G 7
I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy CodO Category
• Residential Venhlation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted ,
• Energy Envelope Calculations Submitted ,
' Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If I so, 25% plan review
fee applies. i
Licensed Plumber Telephone J I
Mechanical Contractor Telephone
Sewer/Water Contractor Telephone
3y-
I hereby apply £or a Residential Building Permit and acknowledge that the information ts~complete and-accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work wili be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ~
~ s --~~x ;
T ~
plicant's Printed Name ApphcanYs Signature ,
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace C] 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level 11 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolilion (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addiaon) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water , Final _ Pool _ F[gs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Wmdows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
/U3t9CDL0000F
1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED YRTH THE CITY OF EAG6N
I
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
(o 1, ocDo .
To Be Used For: Sin81e Familv Valuation: fj2Z2ftff- Date: 6-3-85
Site Address: 394A Westbury ~1>~ OFFICE USE ONLY
Lot: 17_ Block _3 Sect/Sub 4th Arid. Erect ~ Occupancy i ~Z-3
Remodel Zoning 2-l
Pareel Idestbury Fourth Addi ion Repair Type of Const ~
Enlarge fl of Stories
Owner Pi r- . K.vin and Ch ty7 Move ` Length 40
Demolish ` Depth 4-P)
Address 5370 Audobon Ave. dk20 - Grade 4 Sq Ft
City/Zip Code InverGrove Hts.. Mn 55075 ---------I--------
Contractor Frontier Midwest HOmes .orp. APPROVALS
Address 3908 Siblev Memori3l Hwv. #E Assessments Permit
Water/Sewer Surcharge
City/Zip Code Eaaan, MN 55122 Police Plan RevieN I Sg.oO
Fire SAC 525.
Phor.e # 454-0433 Engr Water Conn SoO.
Planner Water Meter (03.
Arch./Engr Richard Charlier Council Road Unit
280. '
Bldg Off . . s Parks
Address 14103 Gardenview Ct. AV APC Treatment P1
Phor.e ll 432-5492 Variance iOiAL
. I
i
2~ K 4-0
2ox22= 4-4~ n~c 8 ,
~ (ooo
F S House
8UAVEYING Certlficate For:
SERVICES ~rontl~r Nlidwest
3908 Sibley Memorial Highway
Eagan, Minnesota 55122 Corparetion
Phone (612) 452-3077
M" - CAMBRtOGE -
w~s~~uR~r wa~
4-- - - -
N~`i°55' lo,~ ~Q
-N- .a,os
- - - - <ebaso ,o -
M
•
`.B+a.o' • O
O I ~ zoo ~ •;r;
hGALE 1~=40 ~ I,"m~ c''"'~'V d"
' ~
°
m
- ~ \ `b I t
~
I \\ae\ o
7 ~ vw\\\
•es~.o
~0'( I Co
Z ~ EA~ri YI
.
Co 00
5 aq° 10"v4
-LEGEND- PROPOSED GARAGE fL00R ELEVATlON=
0 Oenotes IrcnMonimenf PRtlPOSED iop of Black ECEVArION=glj.$_
m lknotes Wocd Nub Set PROPOSEO BASEA~F_NT FLODR EL£VAFION=668.$IO
as70.6 (knotes Exisiing Spot Elevella)
NeT s.. W.. AbTE Verify alf flcer heiyhts ¦i ih Final Haise Plans
Genotes Proposed Spot Elevatinn
_.----Lenotes Orarnage Drrecticn _,5UWEyCRS CERT I FICATIQN-,
_P~~ I l~reby certily that this survey, plan or reporf
~ was p-epared by rtp or urrler my Cirect supervisrcn
LOT 1~_ , Bl.LrN arcl f hat! am a du I y Req is tereci Lard Surveyor
vft-rBUIt,`f -qf~t-k4l IQ_N u~e\r the laws o/t the~ St,~te of kinresota.
accordirg to the recordEd plat ihereof. ? 1 (J , S/ r~
I.~AM?t_ ~t1« Date:
Counfy, Minnesota Wayre D. Cordes, Minn.
~ y~,~.
" WAYJ~IE
' CORDES =
Paye 1 of 4
FXTCRIOR ENVEL'OPE A;'crznr,r "!I" COMrUTnrrON GAr'1QCIP3 Ci
. , K,.0 ec (v+ae-~
OWNER;
L S ~ 5 .
SI7E ADDRESS: PfIONE;
CONTRACTOR: Fept.]T(er.
, Determine wor•king square fnotage of each
1. Total exposed wall area..... z Z%Q,(o(o sq. Pt. x .11 = 2,45 1. 7 5
2. Total roof/ceiling area..... rU&B sq. ft. r: .026 = Z8 , ZZ
Total exposed wall arca above floor
a. Total wall window area ( Z~f• ~
b. Total door ar-ea.....................
6
c. Total sliding glass door area a?'-~--
d. Total fireplace wall area........
4 ~
e. Total 'wall framin area avera e lOw
9 ~ 9 ) Z Z ~•~(o
f. iotal rim joist area
9. net wa11 area above floor.., a.
h. wall area above floor.......... . . . . . . .
I . Wall area above floor
j. frame wall area at foundation
Total exposed foundation area=_
k. Total foundation window area
l. Total net foundation area above grade -f+~,-~~---
Determine "u" value oi' each wall segment
(e,g, window, door, each sepirate wi~ll section)
a._ t tS _3 x
b.~~.~t _ x a j
c. 4 ~5
d. 48 x
e. Z'as 8(o X ~P u,-_~cp)~
f. X„U,~ , V
9~,_1~ i""•GJa X "Ull ~ V~ 10
h. X 'lull _
i. K U., _
k, X „ull if item #3 is the sam:
as, or less than item
~ -7 -5. X "U"dS #1 , You have meti;.thet:~
~ =_1A _13_ intent of SBC,.600 '
3. . . . . . . . ~rE
..........................Total
• ~Yi.9 .i;~;
r nr: :
1xrior Lnvolopc nvcragc "U" CUmJ1UL'i1C.i011 Pc1cJC 2 ot 4 .
^ 1bCu1 expoucci root/cciling circa _ 0$_
m. lbtal s};yligllt area
Total roof/ccilin, franting area (;tvcrayp lOB)...
o. Total net insulaCed roof/cciling iirea...........
. Determine "U" value for each roof/ceiling seqment
M. x „U1.
eP X „U„ OZ Z-• ~o
a. x ..U1. , u Z =~q, 5 S
9 Total
If total of ;i9 is the same as, or less t:han {EZ, you have met the intent of
SriC 6006 (c) 1.
Altenzatc Buildiitq Enve).one Desiqn
'Ib utilize the total envelope'system method, the values establishecl by tlte sam of
il-ems 113 und It9 :.hflll not be greaCer Chan the smn oL' items R and 112.
75 + 2. Z~3•2~ = Z~O.O,~ .
3. + 4. Z . _ _203, ta8
~
-
_ r007/cezLitic . •
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2/84
CI:Y OF EAGAN
APPLICATION FOR PERM2T
SEWER AND/OR WATER CONNECTIObi
(PLEASE PRIHT)
1) PI?'JPE..'~~"I'Y P,DDRESS: ~ ~ &)109-
7 rr ;.L DESCaS_T'TICV: ~
(Ipt iock/Subcivision or TaY Parcei I.D. Nun _r)
DA'^.' G_' CRSGi ?nL 3:t;I1.0=G _ =:i~
i S.;_~GL' _ ~rv ~a_.r -
r`',-
? P,-2 DUr'T77~: (7•:0 UZIITS)
? .°.-3 T(7.4NiCUSE (Tf?L,~.C + [rnTS) ( iNI'"S)
? R-d ppt,,R?=m/CCiD0,•=I7.'.•1 ~ INZ^15i
? CQ~R,!E.°.CLa,Li^i.ETAIZ,iOFFICE
? ZMUS i.^SAL
Z) Apnr7=T - "°IPLEASE PR tiTj
\
NFu~SE: ~ _ f-Llj ' \
ADDRESS:
~ n CITY, S=, ZIP:
PxoNIE!
3) pu,,igrR LEASE PRiNi) FOR C f-l1SE ONIY
NFAME :
PL ERS LICF4 E:
ADDR.SS• Activ
CIT°, STATE, 2IP: D,,Exp'red
t ot ~
PHO~ - ~ PLUNBER LILENSE N -3-3,a~j
•
rr initia
q) pCCUTa1T/Cr,;~j TER l (PLEASE PRt~n,1)
NAhIE: C11P i ~ F~ I P{' c o
r,DDREss: 5 3~ o ~-k I nhn nIkUP 3 CITY, STATE, ZIP: .LilU,p C (9-CnI).P N-PrF~ 1 I Irl- SE025
PHOYE: q5]- Q-4I
5) INDICI,TE WI-]ICH PEP:•ffT IS BEItiG REQ[1f.'STTF'F~D:
~ CC.^,IOiV 'It7 CITY SE7i;E.R
~ CC^.TNc."I'IC.7 'IO CZTY wATEFt
? C7I'f'.ER (PEEASE DESCPSIIE)
6) INpIG=E
??T..: -`,SE E?OLD rIPP?2pVID PERMIT FOR PZCr-UP BY ONE OF FaBOVE 1
?LEASE-:•I~IL APPROVED -PER'-IIT :O 1, 2, 3, 4 ABgIL ,YN ~ xin4ec (Circle one) ~ fl ZV~~~1ee h ic et ',~oo Or-
7) srC!~-~~.u.: - Dxre: Euya n, 1'1'~,~ Ss1ZZ
i! 61 w~l+~:io i~ a f~ l~~~f ~1 a e1' ~:s:a i s o s a:ss:y :a ~~e ~e ~r.~:r ~:la:~ a a!?A ~~rca:.i ec
FOR C I T Y U S E OiILY
P=MIT = ISSUED
F=_S: $ /O,SU ~E:i='~ nr?•.i-m - _r:~~Y~~.G°_1
.J .l..u.'J=.
$ /O.S° t1P.TE3 °EPMIT (INCLUDE SliRC'.:P-,RGE)
$ U3vc~ WAT°R ME?TEB/COPPERHORN/OUTSID° RE;,vE3
$ WATER 1AP (lt`CLJD: COR.POR::1T_ON 5mC?)
$ C' :'JLD T
$ AccoUVT cEPesiT - sE_-;FR
$ ACCOUVT D: ?OSIT - FiA^_'EB
, $ {vAC
$ Sa5'~w sac
$ TR:;:aK WaTER assrss:.iE.;z
$ TRuidS SEWER ASSESSt-?EVT
$ Lrl^lE°AL SENN;E_°IT/TRU\TK SE?•iE~
$ LATEP.AL BENE°IT/TRU?]R [^7ATER
$ oThER '
$ TOTAL
$ dVss~-, S(j A2•lOliNT PiiT_rJ/RECtlP? = ~7//
DO:S UTILITY CONN:.CTION REQ[/ZRE EXC."sVATION Iti PUBLZC RIGaT OF tJAY?-
. C IF YES, THEN A"PERMIT FOR WOR{ GJITHIN
PUBLIC ROADSvaY" MUST BE ISSUED BY THE
NO ENGZNEERING DIVISIOR. LZST AS A CONDI-
TION.
SU°JECT TO TfIE FOLLO!JING CO.IDITIOP:S:
APPROVED BY: CoAuj
TZTLc: ,
DyTr:
--No .c~ ~c~ M w.w ti w r w W-M wPo R+ wF~ Pr Wim ~•Pe =t~ ~ m ve a~+ "Me M m pt W.r ~ ~
~LL~oU 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~F{ 2I y JC
I I cirr oF EacnN
" 3830 PILOT KNOB RD - 35122
651-681-4875
Naw Confhuetion ReaWrertwnh Rertwtlel/Reoalr Reaulremenh
? J roplsWrotl Yp wrvays thowinp tq. M1 of bt, tq. B. d houae 4 eopies W Plan
anA yo rooletl areas (2076 mmUmum bf coveraae allowed) t iet ol anerQy CdculallOns for heatetl atlcltlpu
D 2 eopWs of pkins (show Daam & wlntlow tlzas; paured fnd. deYpn; etc.) t site wney la exteAOr additlont a tleckt
D 1 wt ot inaryy cdCUlCtlont
> J copla 1 hea resenaMOn plan M bt plaMatl aRer 7/1 /93
DA7E: I OO CONSTRUCTION COST: 7'
DESCRIPTION 2WORK: N S% DZC.a-e
STREETADDRESS: .3 / 7 W n
2
.11: 't
W.S~burv 4„Vl
LOT: ji- BLOCK: V SUBD./P.I.D /
Name:~~ tj Phone
PROPERTY lmt Flrat
OWNER Sheet Address: ! ~ 3~lf ,,N) S~ QLC (cy l~J k yL
City ~R W 1~N State: /4d' Lp: `~S 3
. Company: I va'S f I2 A 1~ tK lDl hA lali N ~ L phone A: •5 ~ /-;L~
gCONfFtACTOR area code)
Sh6et Address: f I 7 I Qi !~~'~C~ _L.rJ ~ws T21n~ g u C ense a'S67-6 EXpj-31-1G0l
Clty _~)tti 2r~ S 1/ r Y Sfate: LP: S-S,~37
ARCHITECT/ -
ENGINEER Company: Name:
' Telephune i: ( )
Sheef Address: ReglsfraHon M:
CNy State: Lp:
Sewer/water iicensed plumber (if installina aewer/waterl: Phone L_--J
I hereby acknowledye Mwt I have read this applkalbn, dafe thaf 1he hfomwtbn is cortecf, and apree b comply wHh atl aPPpcable Sfate
of Minnesota Stalutes and Cify ot Eapan Ordinancea.
Siyrwfure of Applicank~ 4W blY~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY •
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16plex O 21 Porch (3sea.) ? 31 Ext Alt - Murd
O 02 SF Dwelling ? 08 06-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 03 01 of _ plex ? 09 07-piex O 18 Deck ? 23 Porch (screened) O 36 Multi
? 04 02-piex ? 10 08-plex O 19 Lower Level O 24 Stortn Damage
? OS 03plex O 11 laplex PIDg _YOr_N ? 25 Miscellaneous
? 06 04-plex O 12 12-plex ? 20 Pool O 30 Accessory Bldg.
WORK NPE
? 31 New ? 36 Move Bldg. 0 43 Reroof
? 32 Addition [3 37 Demolish (Bldg)' 0 44 Siding
O 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
O 34 Repair ? 42 Demoiish (Foundation) O 46 Windows/Doors
' Give PCA handout to appUcant 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: $
Surcharga
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
ToWI:
SAC Units
% SAC