4736 White Oak CtCllyofa,aii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
AUG 18 Ell
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
SS
°o
Date Received:
, Staff:
L.
i! % 2010 MECHANICAL PERMIT APPLICATION
Date f�1cjJ, ): it) site Address: '�T'� �J 1-�.--1-i 1 t- - ��-� - (-1-1
Tenant Ali 'A;J / 1
Pfd' -to
✓�L
Suite #:
RESIDENT / OWNER
Name: �r1 -t--Y phone: (C)1, -" 0 - G�
-T�-G
Address / City / Zip: l ? OWI ! Yn%7
CONTRACTOR
Name: License#: ti
Cm
Address: ) 22 it). )r
hfr. city:, _ i 14010
State: I •.: O WIISIer
Phone:)G1' Ia
Contact:
-fir
?i.0 an s) r 1)" Emait:
TYPE OF WORK
___ New Replacement Additional Alteration Demolition
_
Description of work:
tilE: tit+ runted sled"ground Y`
Cade. Plieit lta[ ct #1e 1Y1echandcat'I pest fo r` lrf�dtinatlon on p mdtted diisbllin 'met ods
'
'"
PERMIT TYPE
Furnace
Air Conditioner
RESIDENTIAL
COMMERCIAL
New Construction` Interior Improvement
- _
_„_,_ install Piping Processed
Air Exchanger
Heat Pump
Gas Exterior HVAC Unit
_ - r_
Under 1 Above ground Tank (____ Install / _. Remove)
,w„_
_`:
Other
_
When installing/removing tank(s), tali for impaction by Fire
Marshal and Piwnbir9 Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)
$65.00 Fire repair (replace
$5.00 State Surcharge) $ - TOTAL. FEE
COMMERCIAL FEES:
575.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, Is $ 5.00
surcharge by $.50 for each $1,000 Permit
Fee requires a $ $.50 surcharge)
Contract Value $ x 1%
= $ Permit Fee
- If the Pe mm�llEeg is taus than
Fee ,= $ Surcharge
- if the Permit fig is > 510,010,
(Le. a $1.0,010411,010 Permit
= $ TOTAL FEE
CALl. BEFFQRV, YQU PHG. Cal! Gopher State One Call at (651) 464-0002 for protection alb underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aoaherstateonecali.orq
I hereby acknowledge that this information is complete and accurate; that the worts will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is nota permit, but only an application fora permit, and work is not to start without a ,u t; that the wwk will be in accordance
with appmvpQ pian the work which requires a review and approval of
11-7
Applicant's rated Name
FOR OFFICE USE
Required inspections: ,,Under drourd Rough In
Exterior HVAC Screening ars
CITY OF EAGAN Permit No: 1 GE6 7 Date: 5-
•
3830 Pi1st.,KnoEi Road B/ P No: 3? olg Date:
P.O. Box 21198 .
~ Eagan, MN 55121
Owner. ,°~L:~erf~ '.or,•~S '
1' ~f ~t1
SiteAddress:~ y73`5 't'ir.;~ ^al: Coart P; C'
( Plumber: I.elcavil ~e R i
I MWCC: 55C .0:}tx! Zoning. r+ ~
City Chg: -`•`i~•~~~~'- No. of Units: 1 i
~
i Acct. Dep: Qo I agree to comply with the Cily of Eagan Permit Fee:
Ordlnances. ,
Surcharge: - ~
~ Misc,: BY i
; SEINER SERYICE PERMIT
~
F _ . . - - . . ~
CITY OF E#GtAN Permit No: 9702 Date: 6-22-R3
383C.PiWt Kaob 4ioad Meler No: " .5 Size: 6c {
P.O. Box 21199 Reader No: 3~T3 Oate:
Eagan, MN 55121 !
Owner. R.oxberg fiomes ~
~
Site Address:4Z36 3d-h+*e nlr Lcurt LZ 8l Oak Cliff 4rh
Plumber. I.akeville P F. 17
~
Conn. Chg: SSO.OOys' Zoning: 'J
Acct Dep: 15, 00T>u No. of Units: 1 ,
Permit Fee: IO.OODd
Surcharge: - 50Ud I agree to comply with the City ot Eayan ~
Tr. Plant 204 Ordlnances.
Meter. Misc : Oopd
8 ,
WATER SERVICE PERMIT j
~ ~ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT . Receipt ~
To be use or SF •'f'IGA:t Est Value *155.(XX' Date t'+AY 24 ,19
Site Addre t Ti Ak, f Z' OFFICE USE ONLY
Lot `BIOCk ~o' SeC/Sub. vA:: CLI1`'F +'I ii On 5Re 3ewaqe Occupancy ~-3
MWCC Syatem ~ 2oninq
Parcel No. On Site Well (Actual)Conat
:,City Water x (Allowable) ~ -
a Name = Address ST PRV Required ~k of Storlea
0 City RhOne 4'~1"'154 BoosterPump Length 7(
Depth c,41
p Name S.F. Total
0 i Address Footprint S.F.
~ City Phone APPROVALS FEES
75~
~ ac Engr./Assess. Pertnit
F = Neme Planner SurcherQe 77 -
~ . Address b .
i W City Phone Council Plan Revlew
Bldg. Off. SAC, City
~
I hereby acknowledge that I have read thia application aAd state that the Variance SAC, MWCC
,
info?mation is correct and agree to comply with all applicable State of Water Conn. '
Minnesota Stetutes and City of Eagan Ordinancee.
, Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: 'riOKES
Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Park$ ;T--
Building Official TQTAL
' PermR No. PormR Holdor Dste TeNphone f
Plumbing
H:a.ac. /,g,
Elect?ic
Softener
insP.otion we• insp• Commenb
Footings I
Footings II ~
Foundation
Framing 3 D~'
Roofing
Rough Plbp.
Rough Htg.
Isul.
Fireplace ~ -
Final Hta FinalPlbg. W~v
Bidg.Final
w~
Cert Oca
Temp. LP
Deck Ftg.
Deck Final e ~P~~ ~Q~ I 7, jZ~s D
Well
Pr. Disp.
PERMIT # MECHANICAL PERMIT RECEIPT # ~ 2z - t~
CITY OF EAGAN O
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
fi
Site Address - BLDG. TYPE WORK DESCRIPTION
Lot BIoCk ~ r Sec/Su Rer. New ~
a Mult Add-on
m Name
Address Comm. Repair _
Othc City Phone ~ ~r er
FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
~ Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PENMIn - 1.50 EA.
TYPE OF WORK COMM/1ND FEE - 1% OF CONTRACT FEE
Forced Air /~D K X M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES ~
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMOOELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADO $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # BEYOND $1,000)
Other
FEE
S/C: SIGNATURE OF PER EE
TOTAL•
FOR: CITY OF EAGAN
' • PERMIT # -
PLUM8ING PERMIT RECEIPT #
CITY OF EAGAN c~ e
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ~ BI SeF/Sub X
Res. le New
~ Name Mult Add-on
m
Addr~ ~ - ~ Comm. Repalr
~
c City a4Pi/ Phone Otfier
FIXTURES TOTAL
~ Neme Water Closet - $3.00
3 Address Bath Tubs - $3.00 _
p City Phone iLavatory - $3.00
_a-2-Shower - $3.00
Z-Kitchen Sink - $3.00
FEES
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
Laundry Tray - a3.00
MINIMUM - RESIDENTIAL FEE - 510.00 Floor Dralns - $1.50
MINIMUM - COMM/IND FEE - 20•00 Water Heater - $1-50 STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES ~Gas Piping OuUets -$1.50 ~
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
` Private Disp. - $10.00
/ Rough Openings - $1.50 ~
SIGNATUHE OF PERMI7TE FEE II
STATE S/C " I
FOR CITY OF EAGAN GSRAND TOTAL:
i
? ;
• . (Serftfiratir of (Orrupanry
.
titp of eagan
orvartment af iivrddimg Awrrtim
Thfs CertiJkate issued pursuant lo the requirements of Section 306 of the Uniforrn Building
Code certifying lhat at the 1tme of rssaance rhis siructure was in compliance with the various
ordinances of the City regulating building rnnstruction or use. For the following.•
v« aaai6wrioe F' }7U7;/f.wP eldg. Fmmit No. i:A.S
o«„o.CY Type R3/Ei1 yonin, DWjict Y 1 Tya cool,. Vi+l
Owov af Bddioj s H34ES Add" 8251 BY 23oM srs 7AnVIM
~ 4736 WIIS1E E]AK OOtIKT L-fity i.2 , B 1, QAiiLQ.IFT 6Tf]
" - - D,, DF~~t 21, I~x?~.
&Ulft omcw '
Posr tN A coHSFncuous PucE
CITY OF EAGAN N2 1 5 0 6 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55727
BUILDING PERMIT PH ON E: 454-8100
Receipt u~4 I O6
7obeusedfor SF t1WG/GAR EstValue $155,000 Date MAY 24 ,19 88
Site Address 4736 WHITE OAK CT OFFICE USE ONLY
7 1 OAK CLIFF 4TH On Site Sewage _ Occuoancy R-3 M-1
Lot Block SeC/Sub. MWCCSystem X Zoning R-1
Parcel No
On Site Well _ (Actual) Const V-N
m Name ROXBERG HOMES Cirywater X_ (Allowable) V-N
z 8251 E 230TH ST PRV Required _ # of Stories
Address '
o City LAKEVILLE phone 461-2254 Booster Pump Length 70 oePtn 54'
, o Name SAME S.F 7otai
o Q Address ' Footprint S.F.
m~ City Phone APPROVALS FEES
"a En9r/ASSess. Permit 752.00
ww Name 77.50
~ i Planner Surcharge
i5 Address 376.00
a W City Phone Council Plan Review
100.00
a Bldg. Ott. SAC, Gity
Variance SAC,MWCC 550.00
I hereby acknowledge [hat I have read ihis applicahon and state ihat the
intormation is correct antl aqree to comply with all applicable State ot Water Conn. 550.00
Minnesota Statutes and Ci of Eagan Ordinan es
~ water Meter 67.00
Signature of Permittee _
Roatl Umt 325.00
A eudding Permit is issued to: ROXBE HOMES Treatment Pt 204.00
on the eapress condition that all work shall be tlone in accorda nce wrth all
applicable State of MinnesotOa Statutes and City of Eagan Ordinances Parks
BwldingOHicial~" 1~ ( l TOTAL 3,001.50
. ~ `
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS
IS DESIRED, NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WZTH BLDG. DEPT.0
1 SET OF ENERGY CALCULATIONS
COMbfE[iCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STFUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS iM MAY 1 7190.
~
To Be Used For: Valuation: Date: 5~-
C L~~ Lt C~•-c4.'
Site Address OFFICE USE ONLY
1S5 t~oo
Lot ~ Block ~ Oa si4e sewage_ Occupancy R-3 M-ti
~k. cI~ MWCC s;/stem ? 2oning a- 1
Parcel/Sub On site well Actual Const V-N
/ City water J~ Allowable v-rT-
Owner a~1 3O pRV required U of stories
Booster Pump _ Length r]O O'
Address 4,)c~9 Depth
,y~ S.F. Total
City/Zip Code ~P,Gt vt/ /~/~/11 Footprint S.F.
Phone APPROVALS FEES
~ S~ cv e~ f ~
Contraetor O O.l^ "O ~ Engr/Assess Permit $2.00
Planner Surcharge
Address g~J`/ Council ~y23SACn eW
City 160
City/Zip Code I'a B J~S7} Variance SAC, MWCC 55 0-00
Water Conn 550,00
Phone Water Meter Gr?.Oo
Road Unit 23 $,p0
Mch./Engr. JV Treatment P1 D ,D
7 Parks
Address ¢ 15 Copies
City/Zip Code ia r j ToTS
Phone 11 4-6'oZ -072t4
J
r
~
4 • VALl.1A't'ION . '
GARAVE : ,
24xzz = s2a
I y X Zo = ZS0
ZX2 19
836 X 14 = 11'10Lf
~AS~MENT
Y. ya%?
s3/ti x)4'/3 = $Z
20 X y
143s ~Ct3 ~ iebsS
MRIN FLootZ
5sm-r = 1q3~
I'k X lo - l J~
l~s~ )(qti= ~10~1~3
Z N 'D ~X-009,
Z27c4° _ c6Uo
2~Iv ; Z.-o
'~K2 = ib
I qL ~ 4q-- y435u
~ - S.ew~ I~ozcK
~ Zoo
/2X K 3 0 =
/s y 3z`
. STEV=
fiOBE COHSlllT1H0 ENOIHEfflS Roxc~~C-
ENGiNE~t~tNG PtANHEAS and.lAHO iUflVEYOfIS
COMPANY, INC. I4_S,oi
k 1000 EA57 1461A STREE7, BUHHSVILLE, YIHHESOTa SS337 PH 44S2'a000
4tfrYe Y
Cer,? zAz cczze lpj kS-
jA~cl 12e"cr4p8icrz: LOT 2, BLOCC f, OAK CLIFF 47?4ADD)710N,
Q4KOTA COUNTl; MINNESOTA.
) DENOTES EX13Ti1'G ELE1/A>>ON
DENOTE; PROPOSEJ Ei.EUAi]ON
INDICATc-~ DIR=0Iv' OF SURFACE DFAINAGG
976-~= = FIniiSHEID GARAGE F, ,P, E!=UATaN
APP° °O ~ED
, , • I
, (aw.~) N1 sj9°3a ia'E B
tas-ti_) Y ~ r _
100.00 ~ Date
~
(9bB_'~)
Qj - ,\G . EAGAIV EIVGIIVEEFtI G ED Pg',
~ L i30.o v- I
~ I 2A61 ' a~ i . \ ~
~n
8.33 ~ ~
II' o ~ o~
ti o
p~ 19 A
13
L 4.0 E, sc,aLE: I=3o
y N = o N
0ri~
~ . 1433
LJ \a`~ T 2- \
~ 1o , - - - " • `\5 r9sso>
U) - - - ul (9ss.o)
136.63
30,o cv,~s> N?q°36'IB~E DP,AINAGE Af,•1L ll'll~lY
30' FRONT BU1 LJI~`+G :
' •
SETE~A.CK UNE ~/~SEMENT
I hereby cartify that thia is a t:,j e and carrect repreaQntation Af a tract of
llnd a: sho+m' and deaeribed herton.• Ae prnpared by me on thfi day pf
' Rea~ssD SI20I6B FLIP~ D HovSt
H~~ ~8S
~4 U MAY 23 ~ 1Sinn. 1tng,
~ ~
MINNESOTA STATE ENERGY CODE CALCULATIONS
BASED ON CHAPTER 5 OF THE 7 5--e
. MODEI ENERGY CODE - 1983 EDITION
~ •Adopt on Effect ve 1/1/84
,
Owner_~~ Phone Uate'.
Site Address ~.,o-r 2$~od,f~l DiAACC,L~~t L+l~~ppp~
tontractor ,X nAY~ Phone
Building Classtflcatlon: Type A) (Single Family 6 Duplex)' Type A2(Resldentlal)
NOTE: Complete + (3 storles o~ ess _ pages 3 and 4 flrst.
. (Other) (Over 3 storles)
GENERAL INFORHATION .
1. Bulldlng Perimetar5 VC L ~ft.
2. Wall helght (ground to eave) v- ft. 2• .
3• 1 . x 2. (above) gross wall area-~~~z-5, 4A.
4. Building dimensions (L) x(W)--..~- m' b7C7ft.2 roof 6 floor area
5• Square foot area of rim Jolst - Floor Jolst slze (2 x -~'f )
T X Perlmeter - Rlm o st area ~ ?J ~tb, ~0 ft2
-rZ l . .
6. Doors - AYea
thickness • in. U factor I~,47 ,
Type of Construct on Perlmeter ft.
Manufacturer .
7. Total door's perlmeter ft. . .
8. Windows: Hanufacturer State approved
U Factor
TYPE S12E AREA (Ft.2) NUHBER OF TOTAL FEET 2
EACHN UNITS
9. Total ft.Z Glass ~S~I?' = j •
10. Fireplace area; Wldth X helght ~ X Ft.Z
11. Exposed foundatlon: Height X Perlme[er 4P7 X Ft.Z
COHPLETION OF THIS FORN IS REQUIRED FOR ALL NEW CO TR CT ON, AJOR RE ODE NG AND BUILDINGS BF
NOVED WHERE ENERCY, OTNER.THAN TNE NINIMAI CODE ALIOWANCE, IS•USED.
12. 'Framing area ~ 10% of"gross wa11 area. • ~ ~67 SS~•. -
~ 13. Gross Mall area_ r~Z ft.2
Nindow area A .7 ' ft.2 U wlndoNS ¦ I~3W' U x Aa! 140 r~
Rim joist area A ft.Z U rim joist ¦U x A¦~~
Ooor area A ' ~ZIp 2 •
• ft. U door area ¦ U x A¦-
,F~:rgbrape area A ft.2 9
U todfte 47 U x A¦ ~ 1 J~7
Exposed foundation A ft.Z U foundatlon ¦ o 14 U x A~LCO(O
Framing area A Zi ~ II~iI Si~t.2 ' U framing area •~~SU x A- Zr
Net Hall area A i(,4 • ft, U wall ~ I U x A¦
• ~ (139) . TOTAI . . . . . . . . . . U x A • ~ ~ JL
~
14. Gross wall ar a 0 11 (A-1 single femily E duplex • allowable U x A/Code
(13. above
x 0.23 A-2 other residentlal)
x .23 Other bulldings) • .
, x .28 Over 3 stories) . •
A y STUH 13BCaboveerger thar
x U ~4~g..__° •
15. Ce111ng framing area (Af) equals lOS of ceiling area or the, same as) .
15A. Gross ce111ng area • (L) x(W) - Q o ft,z '
15B Jo1st aree (Af) - lOX ca111ng area I(Q~"~ ft.2
156. Net ceiling area (Ac) (15A - 158) • ;7 ft.2 U ceiling x A c¦ _ 1~Z x ~j~ ~ • ~j?,07 ' '
U framing x A f- 10 7i ?j x ,
6t-
I50. TOTAL'U x A
16. Ce111ng area (15A),,x-6.026 single famlly 8.duplex - code allowable U x A .
x 0.033 (9-2 other residential)•
x 0.06 (other) . . ,
A (15A1 ' ~P7~D x (ed ~_d L~.ZBaUH Must be larger than -150 (above)
- I . F (or the same as)
NOTE: Use U and A values obtalned from pages I,•7 and
CERTIFICATION: ( hereby certlfy that 1'have calculated the ~'U'~ factors and "ft'O values
here n and that the bullding here descrlbed meets or exceeds [he State of Hlnnesota
Energy Conservatlon Act. Date $ gnature
~ • . .
. v~o-
v
s',o xt z l~s.~ 1~ ~st S~ = 2~~
g,ox C
5+ 31 ~ 5~ = 1593, lg
~ -
~ ~M po Cm s
I I il~~a~?,~° X 2= ti2 ,n
~ 2,u~u3uo
7x ? = ~
I Z- ~X~v = Z~, ~ X I=~z? s"
14~iz,5
X
= Is~o
Fr,vPO -VP= 15A)
fll 7-0Xc~a` 11 ~~X3~33ar~ _
~ 7~bX 3(~ - ( ~FX I = `~-rv
z ~ SiL+ 5~~ , = 4,o
NAL'L • .
J ~ Idterlag va(~ . ~`~~s • (11a11I U 1
.
, "56CiI01t • , ~ ~ ¦
tniulatlon • ~q,~
, ' ? 31
iuthln1
' Sldln • •~A
" . . , G-~ • • ~
vut.taa .<< lum .i~ .
• . ' 4 TaTAL 23.d3
, ' . • ~ . Inatd~alr [llo ~
stvo .88
.
. ~
SCCtIOII tnt.rtoe valt
0-- - ~ seud (Ia") .4+l.N
pa 1
. . . 6.50(Etamint) U. ~ ¦
• , lheaehlns 246
Sldlns ' .(v7 • #Atns
. . `J Outilde alc Lllen..11 't- -
• . . , , • , • .
, . • . 0.IOTAL Ib,g~
:l10 V1lLL Inslda •lr [llm ' R• .68 • . ' SCCiI0t1 , . ~i I Lnt~tlac r~~~ , . ,
. Insulaeloc? . ' .(Nall ) U ¦ ~ .
• 91tiaeJtkn
. . ' Exlstlor rall tlnd . . •
Exterlec aLr tllro R ..1~ •
. . . . ll TOidL
stii ~
. ~ • lneerlor alr [Llm R• :88 ~ • ,
' [naulatlon 11~~
JOl9T f~'-` ~ . • . . , ~
ly lnch, ioEt• wuud R¦1.89 (Rlm
_ ~ ' Jolst) ~ ~ ~ ~
9heaehlns
Lxeerlar wall cavetlns ,67
•o'~ ,
. _ Eetecln alr [ltm R,~~~ , . , .
0. tvtAL
, tneeitar alt [llm Il¦ .69
.
• Insulaelon ' •rj,Ob • •
. , .
. roundatlon ' , ..I.Zg .
,txlatlor ¦lr Ellm R' ' (Fdn.) ~ • • .
R TvT/1L -].I2~ • •
, ~ • . . _ I~ .
- \Lxpofad BLvek
• ' . ' ' .
, . .
. I
':.CEII(IM 'alill YEII 10 ATTIf, SPACE ABUVE
• . -A-'i~LII A-7A1.uE
A ~ • FRAI4l116 . CEllUlti
. ~ 0.61Alr Pilm 0.61
Insu(atlon lAtt7
• . 3 a dols! ' • .
. Celling _ ' ~~a
41 ~ .
.0.61 Alr Ftim 0,81
. . ' , Total R
. . . • . • .d7.3 U + , ~6-27-
, . ~
. FIAT AQOF OR CATItE itll Al. C UIIa '
~neTue , R 9M1lUE
~ + . FRAIIlt10, , CEIL1110
0.61 ` 61
: Inslde alr film 0.
' • C~Illn • Jnlie ~t u.
• niul~ lan
• Ir tp4ce • . Naaf J4cking •
. • Iniulitlan
• ' euil!-up roof
Outslde air tllm 0. U
• , .Total R ' , . .
I1ndoH Inflltrattan ,5 cfm/llnesl foat af crack • ~ •tesidential daor lnflltratlan a.5 cfm/square foot or door anJ minlmum code'requlrement
ton-restdential daar 1nP11tratlon 11.0 pfr/llneal faot of creok ,
, . .
Ib 11" concrete block na insulatlan •;q1. p 2,1
1b 12" concrete 61ock tnsulated cores •.26.a 3.8 ' • Jh 12 llglitwelght 61ack 'a .72 R 3.1 '
1b 12 Itghtweight block tnsulatsd coras •.12 R B.] • • ,
'1 single glass • 1,13; Nltb storm,windaw',54 1 double glass ¦ :55 • - • . . .
1 [riple glass ¦ .41 • . ' '
111 exterior Halis and eelllngs muet have a vapor harrler (0.10 perm max.). • ;apar barrter must be on the inslda (heated llde) af tiall.
iapor barrlers af the palyethalene thln film hav9 na R value. ;
' ' . . • , • • ~
. • . ,
;
Title: Exterior Envelope Average "U" Computation
, Project Name: Huser Residence
Project Location: Lot 18, Block 3, Vienna Woods, Eagan, Minnesota
Date: May 16, 1988
$Y: Robert Huser Construction, Inc.
Table of Contents Pa e
Wall Computations 1,2
Ceiling Computations 2
Floor Computations 3
Walls
Line 1: Total exposed wall area:
2700 sq.ft. X.11 = 297(REQUIRED AVERAGE "U")
Line 2: "U" value of each wall segment:
2a. Type 1 wall: 2210 sq.ft. x.05 = 110
2b. Type 2 wall: 246 sq.ft. x.10 = 25
2c. Casement window: 13 sq.ft. x.33 = 4
2d. Awning window: 35 sq.ft. x.33 = 12
2e. Total fixed glass: 62 sq.ft. x.42 = 26
2f. Skylight 41sq.ft. x.50 = 2
2g. Total swinging door: 37 sq.ft. x.05 = 2
2h. French doors 93 sq.ft. x.47 = 44
225 (ACTUAL AVERAGE "U")
The actual average "U" (line 2) is Zess than or equal to the required
average "U" (line 1). Therefore, the walls do comply with the energy
code.
Wall Sources
2a. Type 1 wall - typical wall, thru insulation (90% of wall);
Source - graphic standards; U = .05
R Value
Air surface .17
redwood siding .81
P" oxboard sheeting .91
51" fiberglass batt insulation 17.16
6 mm polyethylene vapor barrier .00
i" gypsum board .45
Inside air film .68
TOTAL R VALUE = 20.18
1
2b. Type 2 wall - typical wall, thru framing member (10% of
, wall); Source - graphic standards; U=.10
R Value
Air surface .17
redwood sidinq .81
i" oxboard sheeting .91
51" softwood 6.88
6 mm polyethylene vapor barrier .00
gypsum board .45
Inside air film .68
TOTAL R VALUE = 9.90
Glass areas; Source - Weather Shield, Inc.; Units shall be 1"
insulating glass, except as noted:
2c. Casement windows (1" triple glazed) U=.33
2d. Awning windows (1" triple glazed) U=.33
2e. Fixed glass windows U=.46
2g. Swinging doors U = .05
2h. French doors U = .47
Ceilinas
Line 3: Total exposed ceiling area:
1686 Sq.ft. X.026 = 44 (REQUIRED AVERAGE "U")
Line 4: "U" value of each ceiling segment:
4a. Type 1 ceiling: 1686 sq.ft. x.021 = 35 (ACTUAL AVERAGE "U")
The actual average "U" (line 4) is less than or equal to the required
average "U" (line 3). Therefore, the ceilings do comply with the
energy code.
Ceilina Sources
4a. Type 1 ceiling assembly, thru insulation (90% of ceiling);
Source - graphic standards; U = .021
R Value
Inside air film .61
5/8" gypsum board .56
6 mm polyethylene vapor barrier .00
141" fiberglass batt insulation 45.24
1;" air space .81
i" oxboard .91
Asphalt shingles .44
Air surface .17
TOTAL R VALUE = 48.74
2
Floors
Line 5: Total exposed floor area:
432 sq.ft. X.050 = 21 (REQUIRED AVERAGE "U")
Line 6: "U" value of each floor segment:
6a. Type 1 floor: 432 sq.ft. x.022 = 10 (ACTUAL AVERAGE "U")
The actual average "U" (line 6) is less than or equal to the required
average "U" (line 5). Therefore, the floors do comply with the
energy code.
Floor Sources
6a. Type 1 floor assembly, thru insulation (90% of floor);
Source - graphic standards; U = .038
R Value
2nside air film .61
3/4" plywood ,94
6 mm polyethylene vapor barrier .oo
16" trusses with
14" fiberglass batt insulation 43.68
5/8" gypsum board .56
Air surface ,17
TOTAL R VALUE = 45.96
3
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1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
T 3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6$14675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - - - - - - - - -
NEW CONSTRUCTION
? ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT .
DATE
FEES
HVAC: 0-100 M BTU $ 24,00
ADDTTIONAL 50 M BTLT 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExISTING CoNSTRUCi'ION) $ 20.00
STATE SURCHARGE .50
TOTAL
STTE ADDRESS: Y73Co zr
O WNER NAME: ec;L~ ~ a2z~~ -0.0 TELEpHONE
INSTALLER: e
,
ADDxESS: 9 Le.).
.
CTI'Y: ~Al"eA~-Yr~r~e 'r1 tD STATE: /~fv ZIP CODE: 6 77
TELEPHONE
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1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN $5122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCLAI..IINDUSTRIAL BUILDINGS. AISO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTI'.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
I% OF CCdIVTMFEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ~'ERM1T FEE.
.
TOTAL $
SITE ADDRESS: ~
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLl)
INSTALLER:
• ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
***f**#k*~#**********ffi***#*f}#*i*~
~
-C I T Y O F E A A i~ PAYSNh'~TP OF FFE AT TI1yE pg :
* APPLICAZZON DOFS NcyP ODKSTINIE
' *f APPROVAL OF PEE2MIIT.
C APPLICATION FOR PERMIT *
* INSPDGTION OF SEFffM ArID/OR WA'lIIt ;
~ . . *t iwrnr.r.amrONS WIIS, NOT BE SCiED--
' SEWER AND/OR WATER CONNECTION ~U'ID 0bJPII. PII2MIT HAS BEQd
* ArPxwID.
»
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. *****,.*.***.~.*k.~****.*,*~*x**#**~;
P ease Pr1nt)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: C{,~G
. Lot Block Subdivision or Tax Parcel ID )
IF E7QSTING STRCCIL'RE, DATE OF ORIGINAL B[,'ILDING PEEtMiT ISSL'PS7CE: -
1 PRESENf ZONING/PROPOSID DSE: (f'bn Year)
Q COPR•]Ef2CIAL/REPp.2L/OFFICE ~ R-1 SINGLE FAMILY
~ IPIDC'STRIAL ~ R-2 DCPLEX (TWO Onits)
~ INSTIZCTIONAL/GOVEItI,N!' ~ R-3 MWPIIIODSE (Three + Units) ( Qnits)
~ R-4 APARTMWT/COTIDOMINIUM ( Units)
x(~'U~~<~-R
ADDREss:~~L~ ~.~ncZA~- 5f-
CITY. STATE, ZIP:~O1kf1/)~
PHONE:_!A41- = 4 ~ - - -
3) • u r~• NAME•- For City Ose _
PlGbers License:
ADDRESS: a Active
CITY, STATE, ZIP: }---i Exp1Ted
i Not recorded
PH0NE: MAS'I'FT2 LICQISE#
t~af Ial
4) • i~-
' NAME: ~
_ ADDRE$S: •
CITY, STATE, ZIP:
PHONE: -
'S) ~ vi ~ a• : n • o~ :,t o-~
NNDIEX.TION TO CITY SEWEIt ~ CpIgNECTION 'IC) CITY WATEFt
6) ~ i- Q PLFILSE HOLD APPROVFD PERMIT FOR PICK-OP BY ONE OF AB(7tJE
~ PLEASE MAIL APPROVID PEE2hLiT TO 1, 2. 3. y, p,gpVE
(Circle one)
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FOR CITY USE ONLY -
PERMIT # ISSL'ED
4
q 7 0 -7-
Pd w/Bldg. Permit FEES:
$ $ ~C SZ~ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ ~ 7•eC $ WATER METER/COPPERHORN/OL'TSIDE READER
S $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP $ $ `ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ -d C~ $ wAC . .
$ • D D $ sAc
$ $ TRC'NK WATER ASSESSMENT
$ $ TR[.'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ I Y 71'~ n $ TOTAL
I D ~ 9~/ S1d
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC'BLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERI[VG
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
1 .
APPROVED BY:
TITLE:
DATE : ~z Z/
L,~T Lr6L-•.k ak C~#oR
C ONSTRUCTION Headquarters: Pentagon Towers • Box 36184 • Minneapolis, Minnesota 55435
ONSULTING & ,(612) 884-8287 •(612) 699-2523 (St. Paul)
NSPECTIONS
Ltd
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2006 RESIDENTIAL PLUMBING PeRMiT aPPLicarioN
CITY QF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date_~ r
Site Street Address ~ 7 o"k C.~ , P,Unit #
Property Owner ~V%u, S aDo~c. Telephone GS-j)
Contractor P~-~-r \c Telephone 65-1) 43'"70 11
aaaress__~ 050- I 1V5~J city rhC M1tcA State/1'tziP SS~d
The Applicant is: _ Owner ~ Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of pians and MPC license Includes County fee
$ 100.00
Per as-built S 10.00
Alterations to existing dweliing $ 50.00
_ Add plumbing fiutures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing ortlv a water softener and/or water
heater, do not complete this section; move to the next section and checkl the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
_ Water Softener ~j Water Heater $ 15.00
_ new ~ replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total g
i hereby apply for a Residential Plumbing Pertnit and acknowledge that the information is complete and accuraie; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work wiil be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
ApplicanYs Printed Name ApplicanYS Signature
. p,y 7 ~ ' I1/7, s,3
~
2007 RESTDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan D91V 55122
Telephone # 651-675-567i FAX 4 651-675-5694
New Constmction Requiremenis RemodellReoair fteawrements Offce Use Oniv
3 registered sAe surveys shwnng sq ft of lo:, sq. ft. of hoose, and all roofeu areas 2 copizs of plan shou+ing foobngs, beams, joists CeA of Survey Rerd Y N
(20% maximwn lot coverTge allowed) i set of Energy Czlculations lor heated additions Soils Report Y N
t Soils ReDOd il proposed 5utldinq is to be placed on disWr6ed soil 1 sire survey for addltions 8 decks Trae Pres Plan Recd Y N
2 copies of plan showing beam & window s¢es; poured tounq desi9n, etc. AdAi6on - indicate d on-sue sepfre system Tree Pres Required Y N
1 set of Energy CalculaGons On-sde Sep6c System _ Y_ N
3 cop[es of Tree Preservahon Plan d lol platted zfter 771193
Rim Joist Detail Optwns selection sheet (bmldings with 3 or less units)
Minnegasco mechanical ven[ilaton form
ci C~P,Q~i ItA
Plans are considered pubiic information unless ou state they are trade secret and the r ason.
Date 1I /JiT_/01`7 I Construction Cost ~ Q~V '
Site Address ~ 7*~J 6 ~~.V11 ~ OQ I\ L~ UniUSte #
DescriptionofN'ork Mepe, W041 ~ C~&JC?n
'Ji
B1ulti-Family Bldg _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 1 1 / VI~r~I Telephone # (GS ) &y1 Ly5 - v~~ ~O
Co„tr:,«or NoYne I~~'~ f-brn~ ~ens~ces .r ,
Address _ 1411C !v' City
Sto-ite /V\ ?x _ Lip `5'5172 Telephmie#(G•Sl)c 14S"50qQ
COMPLETE THIS AREA OfdLY IF COPISTitUCTIPIG A NEdU BUILDING
- Minnesota Rules 7670 Cateaorv I _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(J submission type) Submitted Submitted
. Eneray Envelope Calculations Submitted
In the lasi 12 months, has ihe City of Eogan issued a permi} for a similar plan based on a master planZ
_ Y _ N If yes. date and address of masier plan:
Licensed Plumber Telephone ~
Mechanical Contractoi Telephone #J )
Sewer/Water Contracior Telephone # ( )
1 herzby apply for a Residential Buildijig Pennit aiid acknowledge that the information is complete and acctu•ate;
tllat the worl. Nvill be in cunY'ormaiue with the ordinances and codes of the Ciry of Eaaan and tlie State of MN
Statutes; I understand this is not aperiuit but on1}• an application for a permit. and work is not to stait witliout a
permit: that the work will he in accordance with the approv lan in the c of wo nd
a oval of plan ~
~~..~m ~ FN! ~ zoo~
Applicant's Printed Name Applicant's Signahire ym~' IQ~ I~
B
• - w
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
O 03 01 of _ plex ? 09 07•plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ?18 Oeck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex O 11 10-plex ~X 19 Lower Level ? 24 Storm Damage
O 06 04-plex ?12 12-plex ? 25 Miscellaneous
Work Tvpes eV k
? 31 New ? 35 Int Improvement ? 38 Demohsh Interior ? 44 Siding
? 32 Adon O 36 Move Butlding ? 42 Demolish Foundation ? 45 Fire Repair
7c) 33 Alteration ? 37 Demolish Builtling" ? 43 Reroof ? 46 Windows/DOOrs
? 34 ReplacRnlOnt 'Damolition (Entire Bldg) - Give PCA handout to applicant
D85Cflpt1011: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code ~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# af Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footin-s (ne«bldg) _ Sheetrock
Footings (deck) Pinal/C.O.
_ Pootings (ndditinn) -C. FinalNo C.O
Powidation ~ HVAC
Drain Tile Other
Roof Ice & \Nater Final Pool Ptgs AirlGas Tests Final
X Framing _ Siding _ Stucco L2[h _ Stone Latli _61ic1<
Fireplace _ R.I. _ AirTest _ Final _ lVindows
Insulaticn _ Retainin lVall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review v
MClES SAC
I"l / l7
City SAC ~
Utiliry Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total .
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4736 White Oak Ct
Lot: 2 Block: 1 Addition: Oak Cliff 4th
PID:10- 53553- 020 -01
Use:
Description:
Sub Type: e - Fixtures
Work Type: Replacement
Description: Main Floor
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Home Depot Home Services
40805 Forest Blvd.
North Branch MN 55056
(651) 645 -5040
Jason LaBelle
700 Prior Ave N
St Paul, Mn 55104
Total:
Manufacturer
PL - Permit Fee (miscellaneous)
Surcharge -Fixed
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Ali Amsal
4736 White Oak Ct
Eagan MN 55122
$50.00 0801.4087
$0.50 9001.2195
$50.50
Plumbing
EA080046
09/26/2007
ePermit
Line Size
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4736 White Oak Ct
Lot: 2 Block: 1 Addition: Oak Cliff 4th
PID:10- 53553- 020 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Expired Permit - Closed w/o Required Inspections. Letter sent to homeowner & contractor. 1 -16 -09 pf
A framing inspection is required when installing a Bay or Bow window or if the opening is altered
required in all sleeping rooms prior to final
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Ali Amsal
4736 White Oak Ct
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA083582
06/16/2008
ePermit
Smoke detectors are
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4736 White Oak Ct
Lot: 2 Block: 1 Addition: Oak Cliff 4th
PID:10- 53553- 020 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Custom Creations Remodeling Inc
1321 Andover Blvd NE
Suite 112
Andover MN 55304
(763) 441 -5907
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Ali Amsal
4736 White Oak Ct
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA090837
08/24/2009
ePermit
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
c!tyofa,aii.�
3830 Pilot Knob Road
V3Phone: (651) 675-5675
Fax: (651) 675-5694
Eagan MN 55122
Use BLUE or BLACK Ink
Permit #:
Pennk Fee:
t210
Date Received: —7 . 5- (2 --
Pernik
Z
Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: 7--,Z"/2- Site Address: , ,73%
Tenant \.I,l3Ci/
Suite #:
J
RESIDENT/ OWNER
Name: ig-X SQ•
Address / City / Zip:
7
Phone: 4(57- 3'/-3/22-
/22
CONTRACTOR
Name: 14 6)14 Ayr 57 -tJ
Address: /2 /J eft 3122'
State:
Conta
.5"5033
TYPE OF WORK
PERMIT TYPE
License #:
•
City: t s7�s'
Phone: 6a s/'— f37dY3`1�'
Email: ,�G �', __ 1 2f
New A- Replacement Additional Alteration Demolition
Description of work:
RESIDENTIAL
4 France
Air Conditioner
AirExchBnger
Heat Pump
Other
COMMERCIAL
New Construction �Interior Improvement
Install Piping , Processed
Gas .._ t xteriortiVACUnit
_ Under 1 Above ground Tank ( Install/ _ Remove)
"When installing/removing tank(s), call for inspection by Fire
Marshal and Ptumbunj Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, duc tworlc, etc.) (includes $5.00 State Surcharge) $ .40
COMMERCIAL FEES:
$75.00 Underground tank installationlremoval OR Contract Value $
555.00 Minimum (includes State Surcharge)
- If the Permit as is loss then $10.0114 surcharge is $ 5.00
- If the Pernik f is > 510,010, surcharge increases by 5.50 for each $1.000 Permit Fee
(ie. a $1.0.010-$11,010 Permit Fee requires a S 5.50 surcharge)
= $
$
TOTAL FEE
x 1%
Permit Fee
Surcharge
$ TOTAL FEE
CALLPEFORE Y,014 DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cart 48 hours
before you intend t0 dig to receive locales of underground utilities. www.aopherstateonecaliorq
I tiny 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 the approved plan in the case of work which regulars a review and approval of plans.
x;P
Applicant's Printed Name Applicant
FOR OFFICE USE
Required Inspections: _Under Ground Rough In _Air Test . Gas Service Te
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178720
Date Issued:08/31/2022
Permit Category:ePermit
Site Address: 4736 White Oak Ct
Lot:2 Block: 1 Addition: Oak Cliff 4th
PID:10-53553-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Ali & Iffat Amsal
4736 White Oak Ct
Saint Paul MN 55122--333
Neighborly Property Group Llc
7401 Metro Boulevard Suite 350
Minneapolis MN 55439
(952) 797-6545
Applicant/Permitee: Signature Issued By: Signature