4756 White Oak Ct
CITY oF EAGAN S1NER SERVbCE PERMIT
3830 Pilot Knob Road ~ ~7 ri
P. O. Box 21199 PERMIT NO.:
0 h
Eagan, MN 55727 DATE: i
~
Zoning; No. of Units:
r.
Owrn
~ Addross: L756 n _`?a'- ourL 1.5 L.'-. Oak -
PlumbK: Y~• 1GO.Ct~`.n:'
I Mm bew/Ip vr11i fM CM7? of yMm Ca'+ewct{on Char'Or. b 24 4n.•~,
1loootw~t DePo~ih
C~IMeM. °
Paflt11t FMS
SIJKf1G1''Qt:
BY Mlrc. Choross:
Dmr of Insp.: Total:
Insp.: Doft Pold:
CITY OF EAGA R~ • WATER SERVICE PERMIT
3830 pYol Knob pERMiT NO.: _$6
p,p,'~3ox 211'99 ` DATE:
Eaysn, MN 55~1
Zoning: No. of Units:
Ozmun Pederson
Owner: '
pddreas: ~ te a ourt L B Oak Cliff th
Site Addess: e ne um 9 Ptumber. ~ Q Ar~ C 0.00 pd
Meter Na.. .OOpd
~ Size: A 0 OOpd
~
Reader No.: kM t* .50 d
- her e:
I aqne to comPly w~ th° Cfhr of ~,.~~t~? 156. OOpd TP
~ 9 me.tes
1: 63.50 nd
~ Ordlnances.
I pate paid:
BY Wsp.;
pate of InsP.:
. . . . . . . I
CITY OF EAGAN N o 12770 ~
3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt#
To be used 1or Sr' nWC''/GAR Est vaiue $111,000 pete OCTOHER 15 19 86
4756 WHITE O.~K CT R3
gite /.~dress~r Erect U Occupancy
Lot-~ Block 1 Sec/Sub. OAR CLIFF 4TH Remodel ? Zoning R1
ParceLNo. Repair ? Type ot Const V
Addition ? No. Stories
5 Name OZMUN-PEDERSON IMC Move ? Length
Demolish ? Depth 3 0
0 Address _ Int Impr. ? Sq. F!
City A ' ' Phone Install ?
o Name S~~ Approvak Foes
U i Address Assessment Permit b. 50
me CiH Phone Water 8 Sew. Surcharge • 50
~ W Police Plan 230.25
u+ Name Fire SAC
500
• 00
~ n Address Eng. Water Conn.
~M City Phone Planner WaterMeter 00
'
I hereby acknowledge that I have read this application and state thatthe Council Road Unit
gldg. Off~~ Tr_ PI.
information is correct and agree to complwwith all applicable State of
Minnesota Statutes and Ciry Df Ea n~ In~jnces. APC Parks
~ ~ Var. Date Copi
Signature of Permittee , . 7 5
OZMU EDERSON INC Total
A Building Permit is issued to: on the express conditlon that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial ' . R= •
PormM No. Pumq MeNMr DaM TMplqne 1
PkvnaMw
I M.W1.C.
~ ' _ ~ ~/~~P lp- ~ ~
saran«
Imp.ctlon o.a lmp. conwnMw.
Foo16p~ 1
FoolYq~ N FoundNlon ~
FrwMq
Roo1Mg ~
Rouph Plbp.
Rou9h Fllp.
lnwl, i I f 1 4
Fk~pl- c~ 1 ,
FMuI Nlp. Final Plbp.
Bldp. Flnal
CMf. Oce.
Oeck Flq.
D4mek Fnnp.
11Y-M
Pr. DNp.
~ ,i ~ . . . . ~ 9~~G .
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN p/
3830 PILOT KNOB ROAD, EA(3AN, MN 55722 DATE
CONTRACT PRICE: ' PNONE: 454-8100
Site Address gLpG, npE WORK DESCRIPTION
Lot 5 Block ~ Sec/Sub New ~
! Muit Add-on
m Name
Address Comm. Repair
Other
c City - - ~,i'-~-•~•- Phone ~ -
~ Name , el ~ RES. HVAC 0-100 M BTUE~
- $24.00
3 Address d 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 - 1% OF CONTRAGT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RE5IDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
~ Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
~ Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Piping Outlets # C BEYOND ~~ppp~ PERMIT PRICE GOES
: A
~ Other
FEE
_ 4,. -t
$/C: ~ SIGNATURE OF PERMITTEE
' TOTAL•
FOR: CITY OF EAGAN
~
. . f'.¢^. . . - . . . w".3" _ SY . , . . . . . . . ' ' . ' . '
• , , PERMIT N 7~3e
PLUMBING PERMIT RECEIPT k ~ y~d 9 `
3830 PILOT KNOB OAD, EAGAN, MN 55122 DATE: !1 7-~
CONTRACT PRICE ~ PHONE: 454-8100
Site Address IDG. TYPE WORK DESCRIPTION
Lot `T Block l Sec/Sub ~ New
I . Add-on
y Name ' Comm. Repair
~ Address L Other '
c Ciy Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL ~
~ Water Closet - $3.00 s
~ Name ' A --/-Bath Tubs - $3.00
c Address
4 _„~Lavatory - $3.00
p Ciry Phone Ll 3.;-~,?Y - Shower - $3.00
• Kitchen Sink - $3.00 ~
FEES Urinal/Bidet - 5100
COMM/IND FEE - 1%OF CONTRACT FEE -~Laundry Tray -$3.00 •.J
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 /<<
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$t 50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 - Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 I
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
, i
FOR: CITY OF EAGAN GRAND TOTAL•
INSPECTION RECORD
CITY OF EAGAN . PERMIT TYPE: ' + 1 1' 1
3830 Pilot Knob Road Permit Number: 1,-4 1
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
i ~ 1 , ~ . • 4
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
; i, N! l l
INSPECTION D• •
; til- { f tl', ! ;
I 14 111 1 111N I i!. ~ i•I ~1~ ~
! 1 t1 r; 1
I I I
L~,-' - - - - - - - - - - - - - - - - - - - - - - - - ~ - .-~-+J
r
i
Permit No. Perm older Date Telephone s
ELECTRIC
PLUMBING
HVAC 01InspecUan Date Insp. Commanta
FOOTINGS
I [ uCJ
FOUND
FRAMING $~A e~
ROOFING [4 G UCJ ^ -
' ROUGH
PLUMBING
~
PLBG
AIR TEST
ROUf3H
HEATING ~i(D
GAS SVC
TEST
! :,3U1 O~
f'YP BOARD
FIREPLACE 4G
I
FIREPLACE
. AIR TEST
' F1NAL PLBG
FlNAL HTG
ORSAT
TEST ~
BLDG FINAL I
BSMT R.I.
BSMT FINAL
DECK FTG
I - -j - - -
CITY OF EAGAN ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 12770
PHONE:454-8100 ~
BUILDWG PERMIT Receipi» - Lr ~
7obeusedfor SF DWG/GAR Est.value $111,000 Date OCTOBER 15 ~y 86
SiteAddress. 4756 WHITE OAK CT Erect Occupancy R3
Lot 5 elock 1 Sec/Sub. OAK CLIFF 4TH Remodel ? Zoning R1
Parce7 No. Repair U Type ot Const. V
Addition ? No. Stories
m Name OZMUN-PEDERSON INC Move ? Length 66
W 15136 GALAXIE AVE Demo~ish ? Depth ~(1
o Address Int. Impr. ? Sq. Ft
ciry A.V. Phone 431-5000 Install ?
a SAME APProvals Fees
o Name
$a nddress Assessment Permit $ 460.50
~ Ciry Phone Water & Sew. Surcharge 55 . 50
Police PlanReview 230.25
Fw Name Fire SAC 575.00
nddress Eng. WaterConn. 500.00
a w Ciry Phone Planner Water Meter 63 . 50
Council RoadUnit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off.l0/7 86 Tr.PI. 156.00
iniormation is wrrect and ree tQ com p~y with all apphcable State of
Minnesota Statutes and of E a n s. APC Parks
Var. Date Copies
Signature ot Permitt Total $ 2,3 3 0. 7 5
A Builtling Permit is issuetl ro: OZMU -PEDERSON INC on the express condition ihat
all work shall be done in accordance with 'all ~aypplicable State,otMionesota Statutes and Ciry of Eagan Ordinances.
Building Oflicial
~ CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 9 4 7
(612) 681-4675 Date Issued: 0 7/ 01 / 9 6
SITE ADDRESS:
4756 WHITE OAK CT
LOT: 5 BLOCK: 1
OAK CLIFF 4TH
P.I.N.: 10-53553-050-01
DESCRIPTION:
r--~--
Building„Permit Type SF ADDITION
~Building 47ork Type NEW
r Census Code ~ 434 ALT. RESIDENTIAL
I
~r--
REMARKS:
INCLUDES INTERIOR REMODEL & DECK
FEE SUMMARY: VALUATION $34,000
Base Fee $430.75
Plan Review $215.38
Surcharge' $17.00
Lic. Search Fee $5.00
Total Fee $666.13
CONTRACTOR: - Applicant - sT. Lzc.OWNER:
ENERJAC CONST INC 14368517 0002473 MRRTIN JIM
1688 STRAWBERRY HILL RD 4756 WHITE OAK CT
AFTON MN 55001 EAGHN P1N 55122
(612) 436-8517 (612)890-3454
I hereby acknowledge that I have read this application and state thet tha
information is correct and agree to comply with all applicable 5tate of Mn.
Statutes and City of Eagan Ordinances. I
L
~ 11!i
APPLICANT/ RM EE SI ATURE ISSUED 6V. IGN RE -
CITY OF EAGAN 1
`i 3830 PILOT KNOB RD - 55122
~ 1996 BUILDING PERMIATION (RESIDENTIAL)
6814675 4
New Construclion Reauiremenls RemodeVReoair Reauirements
? 3 registered eita surveys ? 2 copies of plan
? 2 copies o( plans (include beam 8 window sizes; poured tnd. design; ete.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy ealculations ? t energy calculalions for heated addilions
? 3 copies of tree preservationan if lot platted efter 7l1/93 required: _ Yes No
DATE: CONSTRUCTION COST~, UO . ~
DESCRIPTION OF WORK:
STREETADDRESS: 7~~6 ~~4 el"Ve C'7 ' ~/Gl~/? ~+'/N 6`5-/ZZ_
LOT ~ BLOCK SUBD./P.I.D. Orih (I.jj
PROPERTY Name: S~rn ~ 6~ ma2tik Phone 690- 3qSY
OWNER
Street Address• 425& G.ZLx 0ax
City: f~~? State: M/t)_ Zip: S,5- 12 e-
CONTRACTOR Company: f N~e~AG L'mz~~ _ Phone#: ~/36~Y5-/
Street A dress: Sti-ITN11r~.e:~ License #:/h~?-- '2V73
City:tl Y~Y ? State: f~ Zip:~o/
ARCHITECT/ Company: _ Phone
ENGIN@ER
Name: i Registration
,
,
Street Address:1 ~
~
City: Sta : Zip:
Sewer & water licensed plumber: Penalty applies when address change and tot
change are requested once permit is issued.
1 hereby acknowiedge that I have read this application and state that the information is correct an agr e to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinanc . .
. .
Signature oi Applicant'
OFFICE USE
Certificates of Survey Received ' Yes No p4Af,s.~
Tree Preservation Plan Received _ Yes o(~L~"~ ~ j
~1~l e asI?~ ~
OFFICE USE ONLY . . " .
~
~ ~ . ~ .
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
/d-03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
fl 05 SF Misc. ? 10 = pfex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
Ge-32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCIWS System
(Ailowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 467/
Depth Footprint sq. ft. SAC Code o/
Census Bldg /
Census Unit 0
APPROVALS
Planning Building ~,~i~l~ Engineering Variance
Permit Fee Valuation: $ 3 yi ~~0 s
Surcharge
Plan Review
License
MCNVS SAC .
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded. -
Other
Copies
Total:
% SAC
SAC Units
• t ' -
• ,
~
0
M ~ 7 0 ^Zw "~'c°~ IJ'
1.?-;:
~ <AR/14 i
~1 t O" ~
I 5' \
L:Foj - ~Z.o •
I NC. Wn4K
U ~U
I r~
35.00 59,'f`! /
k
fL U-~- -~LfIN
LoT 51 6L oGK ~
oqr-4~iF~r- -f r" ADV~T~vN
SGAL6o ~ = GO~ •
~ No!'- rN
~oo° Furon
Oun-14-96 10:28A P.02
~ . ~ .a-..a rv.k_. iitrJrJETT .
IUMBER C0. 6128704407 P.01/04
oo. e '
• ,
' EOMTR11CfOR: ~ _ OATE:
Mbt1E :
pLT[IIMINE MORRING SQUAI{E f00T11pE Of LACMt
10 TOTAf. [1tT03[0 4All A11[A......... s4 ft x "po .11
2. TOTl1L RWF/Cf 1 L IMO AItEA,
3MM - .0~,a re s •-v.
7•y'TOTAL EXPOSED MALL AItEA CALCIlLATIONS3
Total gxposgd wg11
flaor,,,,_.. -r y
fq ft
Tot*} wall rlndow •r~.:
' .
4i~:ea..... ~
'-1 8 _ aq fc w~v'~ I
~ M
.
S
lll~asd.
sq ft n 'V,
Y) iotiml Ooor ara• ,ff, Z-Q 54 It n "u" W o
c) Tstal sIldln
A plast door •rea: . ,
y.
-AthtL I I.s.a...... _ ~2r ¦a Ie ,c „u" .lpS 30
111ased...... sq It n uUt$
dI Total /Irep1aW MaIt area (A O ~ -+l~
aq ft x 'tt'e py . ~Y=
Total wall fr.ning eraa I~
(Avera9a 10)t)........... U7 i Q3
$4 f[ Y _ _
f) Total noc well 0r66 abovs '
ileor h nerlee.d1..... '3 7 7
sq ~ O~ y/5 C~
" f t x "U'- 4) Total rla )elst •roa ~ y 2
- •a +c R _ . 03
Total foundatlon f
arls (E=POSed)..........
~ ~ -
ea fc
h~ Total foundatlon .
uredow .r N.............. ,y fc x .v. ~ .
. ~
toa l u.e rowna.tlw, 3 S ~ ,
.~s. -
•fra Sbov* Ar , • . . . •
ode .:......sV' f t x"U" . 06 0 c7
7. • ' ~
7DTAl chru 1) . ~ ~
11 (tsw Ij t
Z s th~ 24111310 *fo er Iess th.n
MI'.AR 1.16000 4 md O. Itw o1. Y" 60re wet tAa InLent or
a1tt7+ ~~N 1.
. . . • ~N;iII.• . . 'J .
. . a . •,I~.~.i~r~~ ~~!'~U!~ii'. . . .~'i
~~4ic
~
.
.1un•- 34-96 1 O: 28A P. 05
, -.+o •a•a~ rd.C. BEl?1ETT L.UMBEA CO. ~
6i~B?0a.a07 a.02.'04
k. TOTµ E1l?OS[D I100F/[1I1,I1iG CALCUlAT1l1N5:
Tota) qxow" '
, • nef/ulllnp area J'a 0 ~4 /c
7) Toeal skylt4ht •ro........__ 4S aq fs r"U'• Ns~~ R5
k) Tot4l rosf/eallfea framing Gns (Averafro In7C) o ~ sv ft x ~•u.~ ~Oa.. ~ . (00
. .
1) 'Teta) Mt Insulaisd e ~p
res//ealllnq •na ;?-7Q sq tt x"U" ~ O3 • f
4. TO?AL 1) thru 1)
If to[a1 ot /M 1s the sam as. or
2 MCAR 1. 16000 11 aod O lats thmn /Y, rou hbve me[ the Intont of
.
' AL7EIYIATE aY1Lp1rIG ENVELOP6 bESIBN
Te ut111se the total enwtope syscNn Pnethoa, ths valut• estibllsh.d by the sw
of Iteen and fi shalt no[ ba firester tMn the swn of itsms /1 and &2.
7'4 1"- + 7 IS-
7- - 1 t b yq . a. 6~-° • l0
. ~ ~
C E R T 1 I 1 C A i 1 O N
1 kehby ce?tlfy tlwt 1 Mw eoleulated the "U', facters and "R"
.O1ws AOr.iw ana that the sulldlnq here daserll+ed wrets er exueds the Stata
of Nlwwoc• EnerSry Conpnratlon Acc.
. w..trr. . . .
• . _~~r-.. .
(ate) .
• ' hir 2
, .i. . '~.'r ' ' - ' . . • r 'Y
. . , ~ ~ ~ . ~ 1986 BOILDING PERIiIT APPLICATION - CITY OF EAGAN
HOTE: ALL CAATRACfOHS H[TST BE LICE9SID fiITH THE CITY OF EAGAN
SIAGLE F6lIILY DWELLII7GS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENEFGY CALCULATIONS
LiQLTIPLS DTiELLIflGS - RESIDENTIAL flBiT9L 09ITS FOE SALE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECg SiITH BLDG. DEPT.,
1 SET OF BNERGY CALCULATIONS
COPIlQRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENEHGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: SFD Valuation: I I 1,ocj0 Date: Oct. 3, 1986
Site Address 4756 White Oak Court_ OFFICE OSE ONLY
Lot 5_ Hlock 1_ Erect ? Occupancy ~•3
Remodel Zoning I
Pareel/Sub pak Cl;ff 4th Addition Repair _ Type o£ Const ~
Addition _ b of Stories
Owner nzmnn-PPdPrson.Tnc_ Move _ Length f0(10
Demolish Depth 30
Address 15136 GAlaxie Ave Int.Impr. _ Sq Ft
• Install
City/Zip Code Apole Vallev, MN 5512
Phone 431-5000 APPROVAIS FEFS
Contractor O.m un-P d r on, l n . 'Assessments Permit 4160 -
Water/Sewer Surcharge 515-sr
Address 15136 Galaxie Ave Police Plan Review Z-:50•'S
Fire SAC 5"15.
City/Zip Code Ap81 P Val lgy, MN 551 2 Engr Water Conn SLo•
Planner Water Meter (03.5O
Phone 431-5000 Council Road Unit Z O
Bldg Off 0 7 Treatment Pl (SCo.
Arch./Engr. APC Parks
Variance Copies ~
Address TOTAI.
City/Zip Code
Phone ll
, HOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MQST DESIGN9TE ifHICH ADDRESS
IS DBSIRED. NO CHANGES iiILL BE 9LLOiiED ONCE BQILDING PERMIY IS ISSIIED.
3¢ I 0 20 ~ S&
22X2-4-` S2£~x (2 = ~O33h
3~n 30 = Ib2o x 44 ~ 44~ao
I lo, ~7~
.
-u=ai
~
1
~
O
~
\t R
\V
~ AT wnl.KOO'r
\ CD, L{SJEI.. -
YO.I'I
-IS'91 J
1
I{OJ!.~5 / I
„ne.nM-
+i=o" f\
I /J N4411 ~
~
n I
C~~ A
O ~Z.1~i1 i„ r 1-~
Lo7 S DL uGK I
1,=: r~~ DJ 1 rlvi•.i
oq ~ ~ ,
SGA
~ NoY- rN
IiXTERTOR ENVHI,OPE AVERACE "U" COMPl1TATI0N
wner iir6l . -~1~'=1j>m•? _Address Phone
~
o.rK ~c./rT C
ogal Description of Froper[y: Lo[ S IIlock~_Add1[ion s~7lG Dote
ice Addrese 47 5~0 o'>k I c Gci Lr 27
AVBRACE LINEAL FEET OP EXPOSED WALL AREA ABOVE f,,RME
ain level
~ = Q~Z~"~~~'
Lineal ft. of framed wall above grade IZ8 x height of wall 1
! LS l, o a°
~im ,joise area
Lineal f[. af rim 2. j 6 x height of rim ~ Z~~•Q(~
.nwer level
Lineal ft, of framed wall above gxade x heighe of wall (fb
Lineal ft.'of masonry wall above grade_~Lx heighC above grade 9 7, ?-d _
TOTAL wall area above grade including windows and doore Zr~ t~~-•<~~
;INDOV,'S: Area x "U" value
leke S [ype -PCLL,1 ~d2~.l~LF J{Ur(r, sq. fC. x 'lUll (U) U
/4! l(~ri L'C~ 1) aq. ft. x(U) U
sq. ft. xu~e (U)
~ ~ 4-z ~ z4-rY Z T eq. fe. Z z, so xllo.. ¢ f ~ 9, Zz (u) U
sq. fe. 6 zo U" 4-1 = z.S arl (0
7- 71 f3LS1 T~ II sq. fe. Z, Gn x"ol~~° (u) U
LD I G/G T.O tf sq. ft. .1u.~ 4. ~ e~(p) V
Z02.02U T'Y S,Z sq. ft. x"Onq~ (ll)U
sq. ft. x ~lull(U) l;
u u sq. ft. . x~Vn (lJ) U
sq. £t. X "UiI - - _(U)
It eq. ft. x~~U" (U) G
I. sq. ft. x "ull (Il)
sq. ft. x (U)
n sq. ft. x
i sq. ft. x i~Un (U)
It sq. ft. . xU~l')
u u sq. ft. x ne - - (U)(
/ </Z, M / , 7 v
DOORS: Area x "U" value
c.
Make 6 type 2- PC-~ r ii Pirr/n ~°,Ssq. fc. (o Go x"°~l4~~ z.~Q, 9S (u)
11 It - o sq. ft: Z7. jU x~~~~~ ~ j = Z.~~/ (il) (
I' Z iN~ oTG, sq. ft. 2,1, fl0 x"Il" / 3 Z, 8~ (U) (
sq. ft. x(U)
' OPAOUE WALL CONSTRUCTION; Area x"U" value /053o __ILILL
2. ~V - E' 'C. C., sq. ft. I rI77 x~~U~~ ~OL~1 (I;) (
Detail refer--+~~~~N/ .dJH'3Jll%1E?LJeq. ft. (9'3.$3 x..U" ,h4; 7_.° Si G(U)(
ZSG, co x"o" 0 37 ° 9, 9 (u) (
i s ft.
ence from ~ S~~/k! - 9• ft•~x Ull /0 7 f 0, :'I (u) f
atcached sq. ft. x u(U) (
sheets sq. ft. x "U"
aq. fE....... ~
..Z~Zf3 io D
TOTAL Wall Aree Including o
, CM TOTAL (U) (A) f l o• ~S
Windows 6 Doora ZSUC
TO'1'AL (ll) (A) VALUES 2?'0•~~ c AVG. "Il"
UIVIDED BY 1'OTAL WALL AREA Z~S
AVERAf:E "U" Minimum ~j or lesa for 1& 2 family dwellings
:finimum .22 or less foi ell oCher buildings
NOTF.: 7f nvnraRe "il" values ea calculated above do not meet the Energv Code requiremencs, [he
"Aler.nate Envelope Design" as indicated on Page 5 may be used.
• • ' ~ ' " R-Value
' ~ „ FRAMINC MEMBERS IN WALLS ~ ' .
' ToD View
nLL SBCTIUA'S enTt?=..~K_€1.~14._......_........._.__.._. . .'..17...__._.
01'Et UBe 10,~d ' Ex ' `
ol'-oPa4ue ~.rC Sidinp~ STSL'L. !~~pnrv~ 8Z
u•all urafa.'~
for 1'rnmin I~1~II ~ Shnothing z2 Z_06
memborn ~
7
l g s
e
U It" eofc Wooa z'. -4.3
dr.y wall • ' ~ .45--
~ •Int¢rior_air if lm ~ .68 _
~
TOTAL R= I Z~O SS
. ~ U=1/R ' . . . ~ U~ ~O~}Z
PRAMED WALL , . . 6xterior aix film ~ .17
siainR ST~+- I-A `x l.
Sheething O L
~r
' ~ff" Datt insulation
k" dry wall .45 _
Interior elr film '68
Tl1TAT R v Z~•~Q_
. . U U
Exterior air film
~ ' - SSding STe-EZ- °v~PGH~YI ~ ~ ' 8*7-
+y.Q .
• ~ Sheeehing ~ Z s~'s?Z~~ ' ' 2 • O ~ _
' 14" 'soft wood 1.88
Insulation
In[erior a1r film ' •68
. ' ' . . ~ ' TOTAL N ~ Z,j 6/
u- r/n ' u- .039
rusorrnx ,w&L_
Exterior air film • 17 -
' 12' _concrete blK
- •
n
' Ineulation H I- D' R'!{!G 1 J7 ! _ ~e,~' ?o._ _
Interior air film `2 ) . ' . ' TO'fAL R ~.J.. .
~
U~1/R U~ ,/0'
. ~ . . , . . ~
. ' . ~
' • , ~r~~ J_~'' _Ou.~.eide air film_ ,61
' l•~ . s~-T Inaulation ~ Z G EG~uLoS~'_ _q-8. dZ:
Drywall ~ .45
. . . - -
InCerior air Pilm 61 _
. ~ • . ' ' . . ~ TOTAL R
U~l/R . pe,
Outaide ~eir film _61_, ,
Ineulation ~
,I . . • y~~~ Drywall :45
Interior air film_61
. ~ . . . TOTAL R ~
, , . . . , , . . ~ U' ~ 1/R . u e
. Outelde'eir f11m •17 ~
. . ' ' . ~ . . ' .i_ a,lli.,., r....fno,-"---- -~.33.
'Ineulation
i
Wood decking
Interior air film ~ ,61
TOTAL A'e
.U~1/R
ROOF/CCILING: ' ' ' • , . ~
TOTAL ~AR6At. . ~ ~ . ~eq. ft.'.
Pa'ta11 refarence U x~sq. Pt: (U)(n)
from~above. sq. ft. (L')(A)
Deecrlbe openinge x sq. ft. (U)(A)
in raof . ~ ~ "U" 'x sq. ft. (U)(A)
~ ' . . . . ~ iVn ~ x sq. ft. (11)(A)
n~a ~~^x Bq. fC. (ll)(A)
~ . ' . ~ ' . Bq.. ft. (U) (r)
. . ~ . ' ' ~ . TOTALS sq. fe. (u)
TOTAL~ (U)'. (A). VAI.UFS
I1,IVIDBD 8Y TOTAL' RUQP/ AVC. "Il"
CEILINC ARBA'"
AVE1tA(7E "U" .OS~tor~ventilnted roofe
. . .10 for~all othar conaeruction ~ . ~
~Nb'fF.: If evurnga."L"' va7.uen ne calculated ebove"do'not maee the 2nBerpy Coda zequiramencs, cP
~"Altcrnata Fnvalopn paelg"n" ea indicated,on Pege 5 mey ba ueed.
(3). , . ,
• CITY USE ONLY
. L Jr BL I RECEIPT_~'
SUBD. ak ~ DATE: ° ~ 3
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-o^ 81C ,^,Ofld!!1o11:- Add-o:l 27°XChargzr, I.e. VSiIF.E SyJ1G111, cic.
Date: , l,r/ Lc sT
7,e tc!?)K' I/IUEJ-~Erttl2nD To .4OD17-/On) FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ~G d
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) f,/~E~IaCE-
, .~D
? State Surcharge .50
TOTAL
SITE ADDRESS: G()#/TE 0,41L Oe7 Ct 2%
/
OWNER NAME: PHONE
INSTALLER NAME:
STREET ADDRESS:~A,,~ A) CITY: STATE: /'Y//ZJ ZIP: ~SD7S-
PHONE 5~579 ~,F /
~
~ U , l- PEKIVII I I~ Ek:
' .
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are p~ required
for each dwelling unit.
DATE: CGN i RAC i NKiCE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: $25.00 minimum fee QC 1% of contract price, whichever is greater.
Processed piping - $25.00
State surcharge of $.50 per $1,000 of pglmg fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TEMANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
C17y. STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
****#****i**********##i***}}}i#ff}*#
• *
. C I T Y O F E A A i~ PAYM~Tf OF FFE AT TIME pF' *
. s APPLICATION DOFS N(7r CONSTINiE *
*
APPROVAL OF PEE2AffT. *
APPLICATION FOR PERMIT ;
INSPEGTION OF Sf.Z+IIIt ANID/OR UkTFR ~
,*f 7NSTALLaTTONS WILd, NoT BE Saw)- ~
SEWER AND/OR WATER CONNECTION ~ULID umm PERMIT "As BEEN ~
AeP1zWID. *
. * »
*
. *******+#.~..**,.**.*.*:*3:*.****~***
Please Print)
::1) PROPERTY ADDRESS: "Tb 4/ i1(e-,
T,EGAL DESCRIPTION: ! y~~o~;~(/' 4 CI~}
!
Lot Block Subdivision i Tax Parcel ZD )
IF E2QSTING STRCCiL'RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSCANCE: -
, PRESIIUr 7ANING/pROPOSID C*SE: - (Mon Year) -
~ CO~~'A7EFtCIAL/RETp.IL/OFFICE ~R-1 SINGLE FAMILY
Q IAIDC'STRIAL ~ R-2 DCPLEX (Trv CTnits)
~ INSTI'IL'TIONAL/GOVIItISyE,'NT ~ R-3 TOWN[-IOOSE (Three + Units Onits )
. R-4 APARTMgNp/CONIDOMINILiM Units )
2' ~NAI`4E'-
ADnREss:1v~os- .:T7
CITY, STATE, ZIP: Z`? a'e 'r~%cv~_ f., /~/1 r2 ~-i~+ 7.s''
' PHONE: ls/ - d'Y jlo
3) NAME:~ OC,/ For City C~se .
Plumhers License:
' ADDRE$$:-u%....~ N ACt1V0 .
F~cpired
~ CITY, STATE, ZIP:~ ~ r~, c-~i r~ .~t~f rc ~%J ~:S•- NOt =eCOrdEd
PHONE: MASTER LICEPISE# Oz t- o» yis.y Z
St Initial
4) •uu• • • 10•
_ ADDRESS:
CITY. STATE, ZIP:~
PHONE: 313i ~-J'zJ oo •
•5~ - 1 1 V• 1 W: • 91' 1 •]i • D~ U' yMpi .
~ CONNECPION 7O CITSC SE4dER O.CpNNE)CTION 'IU CITY WATER Q pTFEt .
6) ~ ~ v r• r ~ PLEIISE HOLD APPROVFD PERFIIT FY)R PICK-UP BY ONE OF ABUVE -
~ PLEASE MAIL APPROVID PERMIT TO 1. 2. 0 4. AHOVE .
(Circle one) ' 7) r U. . ~ ~ a d`--f
. 7- • K~ 1:1: MY ~ I~' ~ 1~ •~I• D I:~• ,1 1• Y]I• ':'i lbF: ':a' Y' J~ 1• 1 •~7i
1~ •1;7/i.Y I/ I . rzs_ . LT
d f~ ~1 11 ~ Y Y~/ .
. FOR CITY USE ONLY - PERMIT # ISSCED tf Z 7
Pd w/Bldg. Permit FEES:
$ $ ~G 5- SEWER PERMIT (INCLUDE SL'RCHARGE)
$ $ WATER PERMIT (INCLUDE SCRCHARGE) :
$ Z-3- S~ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (ZNCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ~in ACCOUNT DEPOSIT - SEWER
$ $ ACCOL'NT DEPOSIT - WATER
$ C` • C' c-, $ WAC
$ $ SAC
$ $ TR[.'NK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ $ WATER TREATMENT PLANT SC'RCHARGE
$ $ ' OTHER:
$ I2 -1~~I 4 Y. TOTAL
C-77G- o
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK TVITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE E[VGINEERING
E2 NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWZNG CONDiTIONS:
APPROVED BY: n~!L• ,~(~r-7"-,•~
TITLE:
~t
DATE:
~ •
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephane # 651-675-5675 FAX # 651-675-5694
New ConsW ction ReouiremenLS RemadellReoair Reomremen6 Office Use OnH
S registered site surveys shavnng sq. ft. of IoC sq ft. af house; and aIl mofed areas '2 copies o( plan showing fooGngs, heams, pists CeR of Surrey Recd _ Y_ N
(20%manmumlotcwerageaqowed) isetofEnergyCalalahonsforheatedaddtions SoilsRepoR . - _Y _N
1 Soils Report J proposed building is to be placed on d~sWrbed soil 1 site surveyfor additions 8 decks Tree Pres Plan Recd ~ ~_Y _ N
2copiesofplanshowingbeam&windowsizes;Pouredfounddesign,etc. Adddion - indicateilao-sitesepficsysfem TreePresReqmred , _Y=N
1 set of Energy Calalabons Omsite SepGc System _ Y' _ N
3 copies of Tree Preservahon Plan if lot pla@ed after 711193
Pom Jaist DeFeil Opfians sNection sheet (buildings wiN 5 or less units)
Mmnegasco mechanical ventilation fofm
Plans are considered ublic information unless ou state the are trade secret and the reason. .
Da[e / s- / U -7 Construction Cost '
Si[e Address y7 01,4 .c ~f t,'- Unit/Ste #
Description of Work ~C S,
i
Multi-Family Bidg _ Y f~t N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~ T, 0"471 I,J Telephone R (('51 ) "3 yS -y
Contractor
Address /3 d / F-ri~ ~~C 7 C(n, o~s vi
State 10-71tl ziP s 533 7 Telephoue #so;--) 7 yc- 36Y6
9n-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7692
Energy Code Category , Residential Ventila6on Category 1 Worksheet • New Energy Cade Worksheel
(dsubmissiontype) Submrtled Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #
Mechanical Contractor Telephone ~
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is 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 on(y an application for a permit, 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 plans.
~~n~cv, ~°•••as /
ApplicanYs Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub TYpes
? Ot Foundation ? 07 OS-plex ? 13 16-piex ? ZQ Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ,
? 03 Ot of _ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Exi. Alt - SF
? 04 02-plex ? 10 OS-plex ? 19 Deck ? 23 Porch (saeen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demoiish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair '
? 33 Aiteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplacRment 'Demolition (Entire 81dg) • Give PCA handou[ to applican[
D0SCf1Otl0I1: 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
# of Bldgs Length Fire Sprinklered
Type of Canst Width
REQUIRED INSPECTIONS
. Foatings (new bldg) _ Sheetrock
Footings (deck) _ FinaVC.O.
Footings (addition) _ FinalMo C.O.
Foundation _ HVAC
Drain Tile Other
Roof [ce & Water Final Pool Ftgs AidGaz Tesu Final
Framing • _ Siding _ Smcco Lath _ Stone Lath _Brick
Fireplace R.I. AirTest Final _ Windows
Insula[ion _ Retaining Wall ,
Approved By: , Building Inspector
- - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry sAC
Utiiiry Connec6on Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
i
~ For Office Use ~
AOL
City of Eap I Pertnit#
777
3830 Pilot Knob Road i Permit Fee: I
Ea an MN 55122 i ~
9 ~ Date Received: ~
Phone: (651) 675-5675 ~ i
Fax: (651) 675-5694 I Statf: I
2008 MECHANICAL PERMIT APPLICATIO o T p ~ [I T ~
Date: Site Address: ,Q W! 0 L. Il T 2. 2008
Tenant: GLY Tl v1 Sulit
/ ~
RESIDENT / OWNER Name: cs I /~vi rn G(.~-Z^,.~ PhoneL: -TqE3"'
Address / City! Zip:
CONTRACTOR Name: 3URNSVILLE HEATING & AIC, INC. License
301 . umsw e a way
Address: Gi~itp 4~
ciry: Bumsviile, MN 55337
State: Zip:
Phone: 000 C Contact Person: c1 GLs Q~
TYPEOFWORK _New ~Replacement _Additional _Alterafion _Demolition
Description of work:
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on ermitted screenin methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
-rumace _ New Construction _ Interior Improvement
?Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas Erzterior HVAC Unit
' HVAC units must be screened
_ Heat Pump Under / A6ove round Tank
g I Install I Remove)
_ Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fife f8paif (replace burned out appliances, ducMrork, etc.) (includes $.50 State Surcharge)
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
_ $ Pertnit Fee
- If Pertnit Fee is less than $1,000, surcharge is $.50.
- If Perrnit Fee is >$1,000, surcharge increases by $ 50 for each State SurCharge
51,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTALFEE
I hereby acknowledqe that this infortnation is complete and accurate; that the work will be in confo ith the ordinances and cotles of Ne City of Eagan; that
I understand this is not a pertnit, but only an application for a pertnit, antl work is not to sfart with ut a permi , hat [he wo ia.a> rdance with the approvetl
plan in th~e w\se ot work whic uires a review antl approval of plans.
X ~ ) U . 'Liw LL. X !A^'i G~-G
Applicant's Printed Name ApplicanYs Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In Air Test Gas Service Test In-floor Heat Final
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143911
Date Issued:07/03/2017
Permit Category:ePermit
Site Address: 4756 White Oak Ct
Lot:5 Block: 1 Addition: Oak Cliff 4th
PID:10-53553-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
James C Martin
4756 White Oak Ct
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145946
Date Issued:10/02/2017
Permit Category:ePermit
Site Address: 4756 White Oak Ct
Lot:5 Block: 1 Addition: Oak Cliff 4th
PID:10-53553-01-050
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James C Martin
4756 White Oak Ct
Eagan MN 55122
Wright At Home Services
10676 Monticello Lane N
Maple Grove MN 55369
(763) 493-2724
Applicant/Permitee: Signature Issued By: Signature