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4768 White Oak Ct . . . . . Y . - . . . CITY vf EAGAN PermR Na ? 3 S'- Date: 2- 3-8 8 3830 PUot IKnob Road Meter No:.37 7 o~ d d Size: P.O. 6ani 21199 Reader No: q~ Datet Ea~n, MN 55121 , Owner. Lloyd fii ell.e i'ovses , SlteAddress: 47r-° -gbi e Oak Court I.7 B1 (`alc Gliff ; Plumber Conn. Chg: 5is 1, t~~~ i ~ : 1 I Acct Dep: 0~ Permit Fe~ 101.4HUNL - LLLU I RIC • A EtC, Surcharge: ly~g~mply with the Cit~? of Esgan Tr. Plant 18 - , drd nances. Meter. G.~T~ Misc.: Br ' WATER SERVIC PERMIT u~7 ! CIT1F -OF EA~3AN Permit Na4 105 0~ Date: 1 -^3^ 2-AS ' 383aPilo~Knob Road B/P No: Date: ~ P.O. Bo~i Z11~9 ~ : - . Esgan, MN 55121 Owner. iijell_e Homes ~ SiteAddress: 4768 White Oak Court I.7 B1 Oan C1if f Plumber St.ar UARNINU MWCC: n c^a oC~~~l~ ~its: 11 Cib Ch 9: Acct Dep: C-~AS `to comphr wRh ehe dh? ot Eapan . ~ Permit Fea 9EQWIRED Surcharge: - i Misc_ BY SEWER SERVICE OF-RMIT ~ ~ ~ . . ! . • (gerfifiratr u# (Orrupanry Citp of (Eagan mP}1gl'111TPit Of iltdbhto inapPtttDtt Tlus Certif:cate issued pursuant to tlie requirements of Section 306 oJthe Uniform Bnilding Code cern; fying that at the tlnre of fssuance lhis smrctrrne was fn compliance wrlh the various onlinances of the City regulatixg bailding construcllon or use. For the following.• ~ u.~ a.~6a~ooo ~ Ml~ BwpwoikNo. 14512 Oocupocy 7Yve R3 zoan Daetria F•) Type Comt VN Ow-m of &nun LIDYD FLME 6 ASSOC . Add.. 14530 PMNOQC AVE, AV IbildingAddim 4768 YHI1E OAK CXl[JKT Lac"ty L7, B1, QAK a.IFF 4TH , APRII, 1, 1988 VOST IN A CONSPICUOUS PLACE _ . , . . . r- CITY OF EAGAN 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 - ~ BUILDING PERMIT Receipt # - I `'f . To be used fo~•' ~K Est. Value ,1 low Date JUL i ~g 91 Site Ad4ss 4768 IiHITE OAK CI Lot Y Block _I Sec/Sub. ~ C1.I!'~ 42}1 OFFICE USE ONLY PBfC@I N0. Occupancy _ FEES Zona Name _ DiAVID i ti11t7f 1LTH IVERsON 3 Address 4768 1fiI?E O~1[ L7 CO^sl _ Bidg. Permit Z'~•~ (Allowable) 0 City ZAW PhOne 890-~ # a Sa,;es _ Surchar9e SAIIO Lerglh Plan Review ~0 Name uePw ~ sac, ciry Address S.F.Total - SAG,MCWCC City Phon S.F. Footprirns _ On Site Sewage _ Water Conn ~ W Name W W On Sile We1i _ Water Meler ~ ; Address MwCC System i W City Phone c;ti wa~r _ A"l. PRV Requ'ued _ S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump _ S/y Surchwge information is coRect and agree to oompty with all applicable State of Minnesota Statutes and City of~an Ordi Treatment PI 1 Signature of Permitee ~ ~ APPROVALS I'WYY p~~~ UnK A Building Permit is issued to: DAY2D I RL1N Planner _ Park Ded on the express condition that all work shall be done in accordance with all Couricil - applicable State of Minnesota Statutes and City oi Eagan Ordinances. gldy, pf{. _ Copies Building Official ~ Va?iance - TOTAL • ~ =S pKmlt No. Permit Holder DaM TNMplwiw +It WATER ~ SENfER PLUMBING H.VAC. ELECTRIC Impoclion Daw InsP• CoaweMMs Foo6npsl Foundation Framing Roofing Rouyh Plbg. Rough Mtg. leul. Freplace Final Htg. Orstffi Test Final PbD• Plbg. Inspecta - Plotily Plumber Const. MetBr Engr.JPlan BIdB. FmW Dedc Ftp. h. 2' 9 US c ~ oeak Final 11, wON Pr. oisp. CITY OF EAGAN ~ ' ' t 3830 Pilot Knob Road, P.O. Box 21-199, Ea9an, MN 55121 PH ON E: 454-8100 BUILDING PERMIT ReCeipt To be used for Sr uWrIVAK Est. Value $130 , C'?0 Date i;LCEX$E" 22 ,19 ~,7 Site Address 4768 W191'tE OAK CT OFFICE USE ONLY K3 Lot ~ Block ' Sec/Sub. UAhC CLI l~F 41H On Site Sewaye Occupency Parcel No. MWCC System x Zaning v~ On Site Well {qctuaq consc s Name LLA)Yn NJELLfl & AS5UC Citywater X (Anowable) vn W PRV Required ik of Storiea = Address ~1~3~ gooster Pump Length 0 City ° • Y ~ Phone 432 Depth 34 ¢ 0 Name SAt~i~ S.F. Totai I z ou Address Footprint S.F. ~ City Phone APPROVALS FEES W W Engr./ASSess._ Permit x 5y3. SU Name ~ Z Planner Surcharge 65.00 =n Address~14530 P$21KOCK. AUL 296.75 ¢ W City A• V. Phone 432-2044 Council _ Ptan Review ~ Bldg. Off. SAC, Clty 100•00 I hereby acknowledge'that I have read this applicatlon and state that the Variance SAC, MWCC 515 •U0 information is correct and agree to comply with all applicable State of Water Conn. 525 .Ol) Minnesota Statutes and City of Eagan Ordinances. Water Meter 67 .(YU Signature of Permittee - ' - ~ - Road Unit 305--00 ~ A Building Permit is issued to: E.LOYD RJEW+E 4 A3s0C _ Treatment P1 en the express condition that all work shall be done in accordance with all j appli ,able State of Minnesota Statutes and City of Eagan Ordinances. Parks 1 O'~7' 2 S Building OHiciel! . TOTAL ' ~i : . . " CITX OF EAGAN ' 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 i BUILQING PERMIT Receipt~ ~ 3~,,t:;'i• L, ~ ; To b usedfor ' Est. Value Date ` ,19 Site Add,~ss OFFICE USE ONLY On Site Sewage Occupancy ~ lot ~ Bloek 5ec/Sub. y MWCC System ~ Zoning Parcel No. On Site We11 (Actuaq Conat a Mame Ciry Water ` (Allowable) " i w . PRV Required ~t of 5tories + z Address ° City Phone Boaster Pump Length Depih ~ , p Name S.F. Total ~ 0 u Address Footprint S.F. 1 ~ City Phone APPROVALS FEE3 i ~ W Name Engr.lAssess. Permit j C. = . 4 Planner Surcharge Address ; City Phone Council Plan Review a W Bldg. Off. SAC, City , I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC ' information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee _ Road Unit A Building Permit is issued to: A Treatment P1 on the express condition thaf all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official _ TO7AL l -Parmit No. Permit Holder Dab TNephone i~ Plumbing H.V.A.C. Elect«c ( (i~, ; aF 8 Softener Inspectlon Wte Insp, Commsnts Footings I Footings il Foundation Framing A-~a-~~ EARoafing Rough Plbg. Rough Htg. / - • B~r~ ~ yvr ~ y~-,~ ~ C IsuL Fireplace Final Htg. i Final Plbg. Bldg. Final , Cert Occ. ' TempLP ~ ~ ~ I Deck Ftg. ~i Deck Final I Well Pr. Disp. ~ I 1 -17 PERMIT# MECHANILPERMIT ' CITY O EA(iAN RECEIPT # 3930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE XCONTRACT PRICE: PHONE: 454-8100 Site Address ` ~ gLDG, npE WORK DESCRIPTION Lot Block Sec/Sub Res. New x ' .1 I - , Mult Add-on m Name ~ Comm. Repair g Address r i . Othef c City r,tY ~ Phone A FEES L Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITtONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW p City ~4VE1A Phone 4-2 - -T CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA , TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air Id 5' M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ~ 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 # S U BEYOND $1/p~ pp) PERMIT PRICE GOES I ( I Other / ~ ~ FEE . S • ~ , . A ~Ga-- -x - I $/C: • s~'~ SIGNATURE OF PERMITTEE - TOTAL• , L FOR: CITY OF EAGAN _ ~ . ; ~ ~ OL ~4/ PERMIT # 6 ' QLlSMBtiNG A5RM1T CITY OF EAGAN RECEIPT # 0~} c-, ~ ~ 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE:151-8100 Site Add~.,ss BLDG. TYPE WORK DESCRIPTION 1 Lot Block iSub Res. New ' ~ ' T* Mult. Add-on m Name Comm. Repair Address Other c City Phone /'s 3J-7 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL water Closet -$3.00 ~ Name ' Bath Tubs - $3.00 , ~ Address ~Lavatory - $3.00 ' p Ciiy Phone Shower - $3.00 ~ Kitchen Sink - $3.00 ~ FEES Urinal/Bidet - $3.00 f COMM/IND FEE - 1% OF CONTRACT FEE Tlaundry Tray -$3.00 ~ APT. BLDGS - COMM RA7E APPLIES Floor Drains -$1.50 ~ TOWNHOUSE & CONDO - RES. RATE APPLIES ~ Water Heater - $1.50 C MINIMUM - RESIDENTIAL FEE -$12.00 ~ Whlripool -$3.00 'MINIMUM - COMM/IND FEE - $20.00 ~Gas Piping Outlets - $1.50 ' •J. • i 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 - $1.50 ' SIGNAtURE OF PERMITTEE FEE: ~ ~ STATE S/C: - j FOR: CITY OF EAGAN GRANQ TOTAL ~ CITY OF EAGAN N~ 19353 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 J BUILDING PERMIT Receipt # C I~/ a 5 To be used for. DECK Est. Value V-+D00- Date JUL 1 ~y 91 Sile Address 4768 WHITE OAK CT lot 7? Block 1 SeGSubOAK CLIFF 4TH OFFICE USE ONLV . PBfCel N0. Occupancy _ FEES DAVID 8~ MARY BETH IVERSON Zoning - 25.00 w NBme (ACtual) Consl - Bldg. Permil ; Address 4768 WHITE OAK CT (Allowable) - ° City EAGAN Phone 890-4346 k ol Slories _ Sumharge . SO Length 1$! Plan Review ~o Name SAP1E oepm 25' snacny Addf2SS S.F.7otal _ CI}y Phone S.F. FoolpriNS _ SAC, MCWCC On Site Sawage - Waler Conn r e= Name On Si1e Well - Watar Maler mV AddfeSS MWCCSystem _ aw City Phone Cny Waler _ Acct. Deposit PRV FeQmreO _ S/W Permn I hereby acknowlege that I have read ihis application and slata that ihe Booster Pump - SNJ Surcharge inlormation is correct and agree to comply with all applicable State ol Minnasota Slatutes and Cit an Ord'1 nc¢s _ . 7reatment PI Signature ot Permitee (.~r..~~~`~a/~~.• APPROVALS Road Unn A Building Permit is issued to: DAVTD T VFRSON Planner - park Ded, on Ihe express condition that ail work shall be done in accordance with all Council applicable State of Minnesota Stalutes andyC~.,ityol Eagan Ordinances. Bltlg. Oil. Copies Builaing Oflicial i! ~ 711LI Variance - 707AL 25.50 r CITY OF EAGAN N°_ 1 4 512 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt ~'~s onicG (4 Tobeused,for SF DWG/GAR Est.Value $130,000 Date DECEMBER 22 19 87 Site Address 4768 WHITE OAK CT OFFICE USE ONLY 7' Block 1 Sec/Sub. OAK CLIFF 4TH OnSlteSewaBe Occupancy R3 Lot MWCC System X Zoning Rl Parcel No. On Site Well (ACtual) Const Vn a Name LLOYD HJELLE & ASSOC Ciy Water X (Allowable) Vn z Address 14530 PENNOCK AVE PRVRequired _ notStones 0 City A.V. Phone 432-1737 BoosterPump _ Length 66 Depth 34 a NamO SAME S.F.TOtal .o z~ ~ a Address Footprmt S.F. m City Phone APPROVALS FEES uw w Name PROBE ENGR. Engr./ASSess. Permit $ 593.50 w ~ Planner Sumhar e 65.00 xa Address 14530 PENNOCK AVE 9 aw City A.V. PhOne 432-2044 Council PlanReview 296.75 BIdg.OH. SAC, City 100.00 I hereby acknowletlge that 1 have read this applica on and state that the Variance SAC. MWCC 525.00 inlormation is correct and agree to comply wit~l apphcable State of Water Conn. 525.00 Minnesota Statutes and City ol Eagan rdin nces. J Water Meter _67 .00 Signature ot Permittee Road Unit 305.00 A Builtling Permit is issued to0 D H.IELLE_&_ASSQC_ Treatment P1 180.00 on ihe express condition that a I work sha I be done m accordance with all applicable State of Minnes tutes and City of nArdin nces Parks TO7AL $Z~bS7.2S Bwlding Official 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan ~ yG~ d~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single farruly dwellings & townhomes/condos when permits are reqmred for each umt Date (D / l(o / oq Site Address q (OO w+A-27 ( ~PV__ Unit # PropertyOwner Telephone # &S) Contractor Aa c{- )41::YL S[reetAddress City State Zip 55~7 Telephone# (%52-) J01S_000(f Bond Gu~I ~(SI (p Expires: *6- The Applicant is _ Owner ~ Contractor _ Other Add-on or alteratioo to existing dwelling unit 5 30.00 furnace _Additional _Replacement air exchanger ~ airconditioner _New ~Replacement other. D State Surcharge $ .50 JUN 1 g 2004 Total gy I hereby apply for a Residential Mechanical Pemut 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 with the Mechanical Codes; that I understand this is not a pernut, but only an application for a pemut, 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 requires a review and approval of plans. ~ELca/ ~LT-n~(~~t ~f O~/?'lqk~l Applicant's Printed Name Applicant' Signature 2004 COMMERCIAL MECHANICAL PERAZIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for. commercial/induSMal buildings multi-[amily buildings when separate pemuts are not required for each dwelling uni[ Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( } Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: '*When installing/removing underground tank, ca!l for inspection by Fire Marshal and Plumbing Inspector P¢I'm1t Fees: $70.50 Underground tank insmllation/removal $50.50 Minimum (includes State Surchargc) or Contract Value $ x 1% Permit Fee • If nernvt fee is $1,000 or less, add $.50 =1 $ State Surcharge If Qernvt fee is over $1,000, add S.50 for every $1,000 pemvt fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is comple[e and aceurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand [his is no[ a permit, but only an application for a pernilt, and work is not to start without a permit [hat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanPs Printed Name ApplicanPs Signature Approved By: , Inspector Date: . . IvrIa 1987 BQILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLODE 2 SEfS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCQLATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES NILL BE ALLOWED ONCE BDILDING PERMIT ZS ISSOED. MULTIPLE DSiELLINGS - AFSZDENTIAL RENTAL UHITS FOR SALE pNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECK HITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COLNMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE HOND ~!EC 18 W7 To Be Used For: Valuation: Date: Site Address `1 ~0bI30,000- OFFICE USB ONLY Lot -7 Bloek On Site Sewage Occupancy R-3 MWCC System ~ Zoning R -I Parcel/Sub ~ On Site Well Type of Const City Water (Actual) V-N Owner (Allowable) li of Stories Address Length J, Depth 3T City/Zip Code S.F. Total /~-7 Footprint S.F. Phone y- 9PPROVALS FEFS Contractor ~ gk&ments Permlt 593,50 Water/Sewer Surcharge 6 a o Address ~ kJ aAVC- Police Plan Review 296•75 Fire SAC, City 100100 • City/2ip Code ~ Engr SAC, MWCC 5 Z .DO Planner Water Conn 25.00 Phone QZ' 1 `7 ~)j Council Water Meter G, DO L7jL- Bldg Off ~Z 2i Road Unit 30,,00 Arch./Engr. 12ML ELI(3I Uee?jkx'y APC Treatment Pl I B0, OD /4`s::50 C AVE~ Variance Parks Address QCo E l4t& a. Copies TOTAL City/Zip Code BLO.60(UE = -3".:0 Phone 11 43Z M-}`y 43 z' 3ccn VAL` uATIuN . " . . . . , G ARAGe ZS x Z4 = (O2 B x S = (q o) (,32 x 12 ? SB4 6A~rnEU7- 3$X -2ci = 110 Z !3 x S = 65 Sx') = 35 IsT F~oo,a 1~,5m T -a I 2 o Z. lX12= 12 I'/LXro = t S i k K ~ 8 I 23nx yy= 5y428 • Z N1~FLUOF~ 38x3o = ?iyo I 1L x ~ ~ ~ ~ i y~ Xq5== _ 1 2 22~ 1S • ii Rv5[dN ~UOlES /niG. ~ aosE , 0 ,~-Z.o, COHSlllTlH6 EH6IHEEAS g~K 4-~ ~ ENGINE~tiING PLANNEAS and IAHD ~UAVEYOflS 'PAbE 41, COMPANY, INC, i ~ ~ • IOCO EAST 1461f $7REE7, qtIAHSYILLE, YIHM£SOTA 53337 pH 4432'3000 . C!1-=Zi~i ca~e S`~?-Ye c~ ~qc1 17eacr~~o~ic~z• LoT 7, BCpCK OAK CL/F~ ¢TN ADD/T/ON, r DAKOTA COUN7Y, M11V1VESOrr•4 C999~D DEIVOT6S EXiST/NG ELEVqT/oN 096.s) GENOTES PRoPOSEO ELEV.4T/Di1/ IND/CATES D/RECT/ON OF $URFACE DR41N46E 996.83= F1N1911EO 6A996E FLOO,P ELE14770A/ 30' 30' FRoNT 94114011V6 ~ SETB4CK N g~~ io' 23E •(2g'°-3 ~ = 9g6. 7 30.00 (393-4) /40• - ~ ~ ~S ` ` N~ 10 ' 98 5S o ~ ~ O ~ J -;p,po 5.0o c~ m Q~ I ~s ~20. U~ ~wl a° I`'~ 9.0o r+j96•I` . N cz z4 00 92. ;17 C ~ .zp r~ r ~.8a~ . )p .s o g o 137. ~ 1 810 /p• 2311E p/z,q/M6E AND ~34 " UTIUTY EASEMENT ~`~y (993 o J I heriby eaMify thnt thia in a t:ue and cflrrect rapreaentitSan of a traet cf „ land as shoxn':nd deacribed her.aon» Aa prsParsd by me oa thS+, r ~ _ . . .r . '..f _~r~r^i:.•. • 'f,~eE,e , 19 87 ' ~ . I • . . 'µY • . _ . 4YtY.h"`.. . _lY.~iIII.. _ PHILLIPS PLAN SERVICE ' . - 10700 Lyndale Ave. 50. EXTERIOR ENUELOPE AVERRGE "ll" COMAUTATION Bloomington, MN $5420 Saite f106 OWNER SITE ADORESS Lo? ~~Loc,K ~ AF~ CL/~~ y~H A'DD!'T7oN CONTRACTOR ( f pY N:1 I 1 F ~,dS~~CY_ DATE PHONE Determine working square footage of each. . . . . , 1. Total exposed wall area ~~)5 sq. *ft.'x',r? Z •(o 2. Total roof/ceiling area sq. fL. x Total expased wall area above floor a. Total wall window area /U8 b. Total daor area ~ c. Total sliding glass door area d: Total fireplace wa71 area................ e. Total wall framing area (average l0~)...:........ ~ f. Total net wa17 area above floor / Sn3 g. Total rim joist area !ZZ Total exposed foundation area = 97_ h. Total foundation window area i. Toal net foundation area above grade ~ Determine "U" value of each wall segment. a. g iiuil 33 ° ~ b. ~(o X "U" 113 = 4 46 c. X "U" .33 = ZS. d. - x "U" . e._ 17 X IIUII .lo = 7- D X olulk .6143 = ~ Z X "U" 09 n. (O X "ull _33_ = 1.98 9 x liu„ , o-7 3 Tota1 If item k3 is the same as, or less than item #1, you have met the intent of 56C 6006(c)2. - Total exposed roofJceiling area Total gross roof/ceiling area . j. Total skylight area ~ k. Total roof/ceiling framing area 1. Total net insuTated roof/ceiling area....... 1 D~M - Determine "U" value for each roof/ceiling segment. ~ j. x liuil ~ - k. l20 X"U" , D~~~ ~z •3z"ru5uc, o~ 1. x"U,e , ov = •lv 7Z:so rt, "p 3.K. 4 ..................................Tota1 = [=IaM . If total af #4 is the same as, or less than #2, you have met the intent of SBC 6006(c);, To utiTized the total envelape system method, the values established 6y the sum of items #3 and !t4 shall not be greater than the sum of iter.ts N1 and #2. 1. + 2. _ 3. + 4. _ F'67Eei6e.5 Ti~aJ-i. 7~,sisT~wcF.,.~„ EkTE2-IOe. SIDr"G 0-t41C~l~L .(oS ~~1G'Cnr~. S'iiC-DiHIUCa 1us«rioAj 19 3!/z' 3+c-6-rrzocAL .qg W- )urc-Q~o2di~ j7 sTCTYt> '5s 'e I TM,. 'klN ~.s • Couc~ t~e.k.s. ~.aa-riz= i3.zs ~ . RU5[v7J LJCNIES ao BE 0 ,~.Z.o, ' CONSUl71H6 E!{diNE{RS . g~K 4-7 ` ENG1NEEfi1NG PIAHFiESS and lAHO iURYEYOIlS PA6E % , COMPANY, lNt. ~ 1000 MT 146tlf STREE7. qURNSViI,LE.4IHHESGT11 55237 pYl 432-30p13 C!rZ Zf Z Crz~`e S~r~e ` „ ~aqcl .De.scr4,o2ic7t: LOT 7, 6LOCK OAK CL/Fr 47)y AAD/T/ON, pAKOTA 6DUrV7y, MINNES67-•4 (ys63D DENOTES EXlSTIMG ELEVqT/OM 0196.5) LLNOTE'S PROPOSEp ELEVAT/oN 1N0/CATES D/RECT/ON OF ,quRFACE pR41A1,46E 996.83= F/N/S/JEO 6's1KA6E FLOD~P ELEI/~1770/V SCRtE : l"= 30' 30' FRoNT 9111LO11V6 ~ SETB4GK L/NE ~~~1 ~ l~ g~~ /oZ3 E • (2g6=3~ N ~ a- ~ g6,37 30.00 (293.4) ` / 57 ~ l' ~ I Z 9855 Q oA w~ O~~ T ~ pp ~'S.O0 v, ? . ~ =!p\~ Z Z ~ g -'~yo,5~ f ln Dp ~~96.1' I N '~~i" I(~h ' ~ • ~ : ~ '6 (y9L.s q~ ~v . x ~ ~ w W m ° y96_5~ ~ r J5 . c1 t'ho° - ~ 9a.» A tQ ~ ~5 8 (`LgB.) 137, s „ E ~ N g~o ~p• 23 DiP~4/,tL96E AND UTILljY EASEMENT 1~,y (993-0) J I hereby cartify that thia ia a t:ue and correct repraeantitSon of t trsct of Ij/n~d as ahoxn'snd deacribe3 herson» Aa prsparsd by ma on this ~sYYaf / ~/~~'~,~BE~ 2 I9 o !!~+„r/' ~ 7 O~ ! • nr. ..~v5 .~.'cF1 L`T. ~C } . ..~~i~va^.....: _ . ~ ..r . ! `f...J K.~1IE ~!S • ~0. '~fiG$f .r~;;:'cr"~•:'r- 177-1'' ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ 1 y2 •TS CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 fi n e Ire ents Remodel/Reoalr Reaulrements D 3 regiftered sXe surveys ahowing sq. M. of lot, sq. ft. of house 2 coples o( plan and all roofed areas L227 maximum lot coveraae allowed) 1 sei of energy calculafions br healed addMlons D 2 copies of plans (show beam a wlndow slzes; poured Ind. tlesign; etc.) 1 sNe funey for exterior oddlHons a decb ? 1 sei of energy calculatlons ? 3 coples oF hee preservatlon plan fl lof plafted affer 7/1/93 DATE: ~ ITIq CONSTRUCTION COST: OO ~ DESCRIPTION OF WORK: yeOD~ Y IOUSSL ~ ~->(~.~(JL~L~~ STREET ADDRESS: L~ '(1~ cl - ~ LOT: ~ BLOCK: SUBD./P.I.D. OCd C LU Name: Phone (o'rJ1 690' 44Ay l o PROPERTY Lasi First OWNER Street Address: C ~'7IDO VOV~~,OCJ~'1 l City F~CLQcQ'1 State: )mZip: ~J ~ 2 Z Compcny: Phone Ik: Horizon Exteriors I (area code) CONTRACTOR 1333 Larc Industrial Blvd. Street Address:Burnsville, MN 55337 License # a~1 Exp. l (612) 890-3900 ~ City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone lk: area code ( ) Sfreet Address: Regisfralion 1t: _ City State: Zip: Sewer 3 water Ilcensed plumber (reaulred for new conshuction onlvl: Penofty applies when address change and lot change Is requesfed once permH Is Issued. I hereby acknowledge thaf I have read fhis applicatlon, state that fhe tnformatlon Is correct, and agree fo comply wMh all applicabl Sfate of Minnesota Sfafutes and City of Eagan Ordfnances. RECEIVED Slgnature of Applicant: AUG 19 1999 OFFICE USE ONLY Cert =Suunrey_Received _ Yes _ No CEjVE +9A1[G1.2 ;~g99 ' Tree Preservation Plan Received _ Yes _ No _ Not Required C 1 ` ' OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea. ? 03 1 of _ plex O 08 6-plex ? 13 16-plex ?'18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage O 05 3-plex ? 10 8-piex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair O 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit CatIVtKAL IIVFUFiIViA I IUIV " Const (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bidgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge 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 Total: 14-1 -75 SAC Units % SAC . . 1991 BU2 ~NPI Ar$ CATION ~ CITY OF EAGAN ~ SINGLE FAMILY DWELLINGS MULTZPLE DWELLINGS COMMERCIAL ~ 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL U 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: Date: Site Address IM OFFICE USE ONLY Lot I Block ~ FEES Occupancy B1dg. Permit o2 S°~ r ~t~i Zoning Surcharge .S-D Parcel/Sub OA~/ C~-Ir"~' `ZI 11 A.Y~~, pctual Const Plan Review Allowable SAC, City Owner # of stories SAC, MWCC Length Water Conn. Address /G ~ Depth m'2S' Water Meter ~ S.F. Total Acct. Deposit City/Zip Code ~N ~~1ZZ, Footprint S.F. S/w Permit ' --v S/W Surcharge Phone ~"/o'' -134~7 On site sewage_ Treatment P1. ~-lOn site well Road Unit Contractor cJ/~4L MWCC System Park Ded. City water _ Ttail Ded. Address PRV _ Copies Booster Pump _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner _ Lat Change Council TOTAL Arch./Engr. 51e&,6 14oIt1/?') Bldg, Off. Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ . . R?SI.oN ~M1E5 ING. 0/aosE ENGiNEf~i1NG CDHSULTINO EH61HEfAS S~K 4-~ pIANHEAS and LAHD SUAVEYOflS pAbE A, , COMPANY, INC. L 1000 G5T 146ef STAE=, RUANSVILLE. YIHNE!0TJ1 51337 ptf 412-Sppp C9riFZ}Z Ccz~e S'~L7~Ye . ~a~ cl 17e4cr4Oo2icrz •[oT 7, BLOCK 04K CL/Fr 47H AoD/T/oN, DAKOTA CDViV7Y, MiNNE5aT.4 Cyy9>> DENOTES EX/ST/Na ELEVqT/O/J C996.5) GcNOTES PROPOSEQ ELEVf7T/GtN i~ INDICATES D/RECT/oA/ OF $URFACE DRA1N46E 996.83= F/N/Sf1E0 6~KA6E FI~O,F F1EV,477oN gGq~ : i"= 30' 3p' FRpNT 944/1 D/N6 ~ 5ETB4CIC L/NE N io' 30.00 (293.4) N 1 ~D• i. 3¢.00 /mn.57 J/ ~ 1 ~ (N- ~pc z~\I Z o L,qt}i ~ I ~71 30 J ° i ~ $ 1 5 $ $ a 1 ~ x 14 9z.» C )p io ,c o f37.58 23 ,E DRA1Alq6E AND llTIciTY 64SEMENT (993.0) J I Aereby eartify that this ia a t:ue and carrect rapresentitioa of a traet cf Zand aa sho+m' tnd deacribed heraon.- As prsparsd by me on .tki+ ~-a:Y. af :~IBEae , 19 $'7 : • _ _ . . , . . . .r- //~J '~.:J.. - .,X'c,::.l:::.~.'.:. o-.s.~r. r;,• APFLICATION FOR PERMIT :NM: pp'YMW OF FEE AT TIME OF : ; are[scaazaa ooFS rar coN- ; SfI1171'E 11PPAGVAL OF PIItMIT. : SEWER ANQ/OR WATER CONNECTION i INSPFZTION OF Sf3dR ADD/OR WA1ER ixsrncunais wua, Ncyr ee scmai.m ~ ~ l'Nl'IL PFItHQT WS BF32J APPAOVFD. : ~ ' 1ffHtfHf~!#fff~Hf~ti~#1ftYHff+ik4t satV oF ecegcsn NT 1) PROPERTSt ADDRFSS: I,DGAL DESCE2IPTION' Lot B cc S ivision or Tax Parcel ID IF EXISTING STRL'C'If1RE, DATE OF ORIGINAL BLILDING PERMIT ISSUANCE: Nbnt Year PRESENT ZONING/PROPOSID C!SE: Q COfM'fERCIAL/RETAIL/OFFICE I~1 SINGLE FAMILY Q INDT-ISTRIAL ~ R-2 DOPLEX (3wo Cnits) Q INSTI'IUTIONAL/GOVERNMENT Q R-3 TOWNII-IO[]SE (Three + Onits) ( Units) Q R-4 APARTMENP/CODIDOMINIOM ( Onits) n 2) NAME: ADDRESS: ~ CITY, STATE, ZIP: ~ PxorE: -S!3 2 -/~3 3 ~ For City Lse 3) 3 ~ NAyg: S ~ Pl rumbe s License: ADDRESS: Active EStpired CITY, STATE, ZIP: Not recorded Pxorre: MASTII2 LICENSE # 3~~9 sta rnar 4) ICU " • NANE: ADDRESS: CITY, STATE, ZIP: PHONE: 5) i~ a • a~- • u i a~ Q-CON~CTIO[V TO CITY SEWER P'CONNECTION 1b CITY WATER O O'ITHER 6) * * THE GOLD COPY OF 741E PERNIIT WILL BE SES7f DIRECIY,Y TO PUBLIC FARKS ZU FACILITATE NIETER PICK-UP. PLEHSE ALI.OW 'IHU WORKING DAYS FOR PRO(ESSING. SOP7EONE FROM TfiE CZTY WILL CONl'ACP YOt! IF 1HERE * * ARE ANY PROBLENLS. + ~*********+.*a**+*+*rrr+«***,t****+**,r**++~**~*r*****+r~***~*t,r,r***,t++**r,rrx~+***+*+*++~«~t*+*,et*r***y . , . .-FOR CITY USE ONLY ' PERMIT # ISSUED .z Pd w/Bldg. Permit FEES: $ IO - S--D $ SEWER PERMIT (INCLUDE SURCHARGE) $ ~D 'S-p $ WATER PERMIT (INCLUDE SORCHARGE) $ (o 7, CIZ) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER S $ WAC $ 6r-Z S sAc $ $ TRCNK WATER ASSESSMENT $ $ TRCiNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ lY-6 $ TOTAL RECEIPT RECEIPT DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK [VITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING [VO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ! . . . . . ~ . . , . . 3 9S E LL E eedbffl FVRM FRM LEF, TO FUGHT: lW (H0pD 9DTm dm Nm IOP flOi~ 2I4 iB~F-f.9E 11~1 bP-F T S- -291K B i- 23E~ Y N ~-4OB M 6- -703 NEACT =t 8 i~ te06 BOf OlOm 9~4 Ni60F-l.SE 1!%1 B-PF T 2- -R3W B~ 1740 Y Y- SOB Y 6~ fi0! NEACTLQM ! 8 6- fOGO ~5 EX~ A/SrW 9-P-F T 9' -f5B! 8 9• 1740 M} -709 Y 7- -JOl t t-158! 8 4r ZM M I- 1277 BEYIINB lEWDEKPIS T B~ $584 ._L agARIum SHOW ,RE 3.6 E)WEP ,S NOTW. , f G mwss timIm (M v wsForw u aN rar~ ~pa.o PSF ~p • ~ 0. aml To~ 1~W1 P 10.0 P5F I~igppl R, 9N H6i qp1O ^ 10.0 Pg rorw Ossa Ao - 00.0 neF c.oro nuu.nau` ~ - I. w L~pc~, ~u~i'~ ~ ~t~4v~ i~~. " SYNNETRICAL A60Ui ~u car~us uaew. oaLua Wucnrc AnAam Z im a 0 ,A" ,O EM" ,gb 11 A.,.TE F&,.,O 80 rROBLEN: TRU55 IS BROKEN Ip 3 PLACES 9E<6 REPAIR: i0P CHORD-LEMTER Zxix24" 1650f OYER THE BREIYK TD.,DNE FqCE -0F TRU55, ATfALN;:WiTH-:•- fOd NA1L5 AS q0TE0. 12' ~ " BDT. CHORO-CEWTER 2x8x72' 1650i OVERTHE BREAK 1 12 Be£h~ 1E ~ • TO ONE fACE OF TRUSS, ATTACH HTTH . tOd NAILS i,S NOTED. 5fE8-ATTALH-;~/' CDX PLYY000 GUSSET TOONE FACE ss~ sg ~cE~X 41mvwK ~ OF%3RUSS WITH 84 IIAILS AS WOiED. StZE OF 4,33• GUSSET iS TO BE AS SPECIFIED. T 40e0 32 - ~wz~.f 2445 32 THIS RF.PAIR ASSUMES THAT ALL CONNBCTOR PLATES ARE INTACT. 30'-0.0 ' OYERALI SPAN PLATE COOE ISEI, 19~/Ni D~TF. aC10.Y~OtIiD lD1M IMitOKJ pY0i~S1M1=1 ~11/11? IH~1 TK_ FClUL05 IM~C6:GMtlY'fj"$IiCb1 ~N.UII14 COOF•Ol • Ip51aPIGl ilY iFCC1Oi. ~ A=~'I1LIP IS A69d(C fOR JtMMCIUxL ~COHNY. elRiY P5U00 118C 24.00 O.C 1 BB mnwtas antm ro RIC~~IOt P~K~~~ I~ES EHJ~? a9[ `FJ]~ll ~-ed on a e~~ .s sa~s~r:co u ea - i tr ~r•1 c n ~~IQI!5 15RlG.1@I W4l C01ftY VPX lff WCR\ L I~OL NW1Y~ M IIF_~ 1F 45 T RNA'K MJ5{Q~ ~M'~4U. 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MANVIN STRZI'ZENSKI I+~ i~ss Cities Di i~l Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ~ T/~NE Res;ae.,u. Who% House Workshee L,d+iumno's Name Address 7/~~ ~ f Q~Ir~ C•PT ~~~Y Stain /'1~ Zip TeleOhonuNumbxr ~ °F-Outluae Design Tamp :PO °F ~ Heating Temp Dilfarence ~S 'F WINTEH: Insiae Design Trmp . SUMMER: Outsiae Design 7amp < °F-Inside Design Temp q Js` ~ °F CoolinB TemP Ditfersnce °'O - •F MEATING COMMON DATA SECTION COOLING COOUNO N[1~TING . . . . . . p ' flIUHOAIN UIUM\[~55 fACIOH . .'•..:.....SU~J~FCT : •a~ ~.q :If ' ~/BU~`.R/. MC10R ~ ~ ` GFiOSS WALL /SJ /3 G , DOORS & WINDOWS ITabla A or 61 3 7 NET WALL (O~ r' 7 • ~E! o~.J la~P/~ ~0 3 7 7 tf ,'a1~ CEILING Y 3S 13 3 v 400 2~ FLOORS O ~ x 10 z I V. x ww~~w va~f1 x x AT n i w m~a~uM y~1833 x avx _~/37 ~ . xo.,ea33 = 29 83a 8.7,I.1 x y0y.0 _C~ a 6 ~r~ ~ SUB-TOTAL B fUH LOSS (Per 70"F) .S~rt' 't~ _ A y 1~1; ~ f~•'~,~. i~ ~..i. ~II.brjvyYt~ij~~ ADJUSTMENTFACTOFITableCl { ~ ~ . A.~.. ~5:. 10A TOTAL BTUH LDSS ~~,`pu PEOPLE0_ x 300 OTUH GAIN l' g„~E o~l~O'U APPLIANCES BTUH 1200 SUB-TOTAL BTUH GAIN (room sensible only) ; Fm r pDUCT LASS/GAIN FACTOR (Table F) F- 7A~i~? rys SUB-TOTAL BTUH ISensible Gainl p TQ 06 a'_r ".T, , r.•. ~ -.I ~,,.~~'•}i,,, r~1.. MOISTUIiE REMOVAL (sub mtal x 1.3) 1.3 TOTAL BTUH LOSS/GAIN TadlE A-HEATING-DOONS 6 WOOD FRAME WINDOWS TABLE B- COOIING - DOOHS B WINDOWS IVEN 10°FI Faciors auumn windows huve insida shadmp by droperies or venetian Fui dbdm, ylaye Goors - uan leewn tor thn adme typn window bOnOS and shaing glau tloors aro trnaind'ee winGOws. cun>uuclon. uca cuu oouwcuas uuucuu Wmduw 6 Framns .Er1 o~r~ uwr mri nrr D.I. uwuuw DJO/ TaY W d TIM Mu~nl • Arun -Btuh lass S~u~in Pano ' o..w~ IY A• i' p• D' A• op A. !1• clee~ 9.90 lo.ab 11.55 M .8 v sYu n n u u ' y'(O --WnnSmnn 475 52S 6.50 weenw n.~ r n n n s n a OnuWeVUM 5.51 6.09 ~7.25 2j~s r9rYj ~~w v~ o«'w a r~+ 3 O Clua, Wnh Slwm 3 41 3 85 4.90 stesw r a U y n r s Tuulo Pdnn 380 4.39 5.46 s a v a n n n m>~ (p , pJ Clm~ Ja1uu>iu c..wnu ~r ~a In Iu w w Iv u uu ~ S~nHlu - - 11.0 wmaa~ u ie~ 13,4 or ~a. u~ G3 1 u>. n u 4• Sw,ylew~stuam 5.0 ew~~ a 11 .e 64 31 51.yliyln4 i hr.wmma~~w TOTALS $m~le 11.07 11.69 12.92 Uo. Wn 6.65 7.35 BJ5 UF. vairil Iluui 1Vuoa Only 460 _ - 3 ~GO TABLE D- INFILTFATION MULTIP4F.RS ( Woua w; swun 320 - - Wintnr Air Changns Per Flour Fbor Arw 900 ur lusa 500- ibUO 1500-1100 ovn 1100 UiuinnneCow Rb - - 190 WcihdneCaw bnsi 0.4 0.4 0.3 0.3 iN SI w/aWrtn ' - 1.70 Averape 1.2 1.0 O.B O] TOTAL:i ~ 7b' ADO1 i2 1 4 1.3 1.0 , FpeaChLryI WJ: tlq~ Av~ny~ Poor 0.1 0.3 06 Summer Air Changes Per Hour 7Atl, EC -AOJUSTMkNTfACTOHS -IMCATINGI FIOOo AraY JOOuiia.1, 900. iSW 15007100 ewr3100 o.x e..t 0.2 02 02 "1 Imnpuuiwe Udl. 30. I W SU W 70 tlU 90 {.~I Am~eqe 0_S _ U.h 0.4 _0 `I] ja3(0`4 ~3a.so RESIDENTIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for. Single Family Dwelhngs & Townhomes and Condos when permits are required for each umt Date l / y l a'°'v3 Site Address y76e G~iile 65~6I< &t Unit # Property Owner Telephone lv/,;~- ) 7P-0 d-- Gontrac[or Street ss City • State Zip Telephone # ( ) Bond Expires: The App]icant is ~ Ownec ^ Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger air conditioner New Replacement D~ ? other - 9 0 NOV 1 7 2003 ; State Surcharge 8y $ .50 Total $ ~ •In I hereby apply for a Residential Mechanical Pernut and acknowledge that the inforcnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, that I understand this is not a pemtit, but only an application for a permit, and work is not to start without a permih, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla C1.vlW /4, `?Gd~jrn / ) ~ . ~ , Applicant's Printed Name App icant's Signature COMMERCIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for. commerciaUindus[rial buildings multi-family buildings when separate pertnits are not required for each dwelling unit Date Site Street Address Unit # Tenaot Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( } Bond ik: Expires: The Applicant is _ Ovmer _ Contractor _ Other Work Type _ New Construction _ Underground Tank _ Install _ Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: *'When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector P¢7In1[ FC¢S: 570.50 Undergruund tank msmllation/removal 550.50 M1finimum (includes State Surcharge) or ContractValue S x PermitFee • If permit fee is $1,000 or less, add $.50 $ State Surcharge If °ermit fee is over $1,000, add $.50 for every $1,000 permit fee 5 Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is comple[e and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and wi[h the Mechamcal Codes, that I understand this is not a permit, but only an application for a permit, and work is not to start wrthout a permit; that the work will be in accordance wi[h the approved plan in the case of work which requires a review and approval of plans. ApplicanPs Pnnted A`ame ApplicanPs Signature Approved By: , [nspector Date: PERMIT City of Eagan Permit Type:Building Permit Number:EA132319 Date Issued:08/06/2015 Permit Category:ePermit Site Address: 4768 White Oak Ct Lot:7 Block: 1 Addition: Oak Cliff 4th PID:10-53553-01-070 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - David A Iverson 4768 White Oak Ct Eagan MN 55122 North Country Installers Inc 8813 Prestwick Pkwy Brooklyn Park MN 55443 (612) 412-3095 Applicant/Permitee: Signature Issued By: Signature Use BLUE o�BLACK lnk r-----------------� I For Office Use i • . � Pertnif#: ��4� I Clt of �a �Il � ... /�� Permit Fee: V� I 3830 Pilot Knob Road � I Eagan MN 55122 � Date Received: � Phone: (651)676-5675 ' � � Fax: (681)675-5684 I Staff: � � I I 2015 RESIDEN7IAL BUILDING PERMIT APPLICATION Date: l��j� Site Address:_ `�(�CV o L.�''f��- � ,� Unit#:�' Name:_ �DI.�E ,�..`1P�5C5�1 Phone:_�9�0�"'�0�°-�� Address/Ciry/Zip: �� Q /�'1� /� ��%� L-`� Appiicant is: er Contractor Description of work: �l,..p �aC-� �Q..t�-�}� ��^ Construction Cost: � da7'� Multi-Family Building: (Yes /No . � Company: � �tra L�6✓ Contact:�?�L�Y��l��0.�-/1�1�" ��A �— � Addfess:,�!_.1�` � E.i� � �' �i ,. ' City: !/�'al��S State��Zip:�7'�� Phone• 2 7� maii: Ucensa#: G,�O ��4 82.. Lead Certificate#: /��Z`= 7 2 ��—� If the project is exempt from lead certification, please explain why:(see Page 3 for additionai information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the Clty of Eagan Issued a peRnit for a similar plan based on a master plan? _Yes _No Ii yes,date and address of master plan: . �� Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer 8�Water Contractor. � • Phone: � CALL BEFORE YOU DIG. Gali Gopher State One Call at(651)454-0002 for protectlon agalnst underground utflity damage. Call 48 hours before you intend to di�to reeefve bcates of underground uti8ties. yvyyw.ao�herstateonecall.oro . .. . I hereby acknowledge that this information is complete and accurate;that the work wili be(n conformance with the ordinances and codes of the City of Ea9an; that i understand this is not a permit, but oniy an application for a permit, and work Is not to start without a permit; that the work wiil be in accordance with the approved plan in the casa of work whlch requiras a review and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Buflding Code must be ompleted withln 180 days of permlt issuance. • �, X 1� �'►-! � x�� ApplicanYs �inted Name Applicant's Signature � � � Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155996 Date Issued:06/12/2019 Permit Category:ePermit Site Address: 4768 White Oak Ct Lot:7 Block: 1 Addition: Oak Cliff 4th PID:10-53553-01-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brian T Alberto 4768 White Oak Ct Eagan MN 55122 Janecky Plumbing Service 720 Pontiac Place Mendota Heights MN 55120 (651) 454-9297 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156152 Date Issued:06/18/2019 Permit Category:ePermit Site Address: 4768 White Oak Ct Lot:7 Block: 1 Addition: Oak Cliff 4th PID:10-53553-01-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Brian T Alberto 4768 White Oak Ct Eagan MN 55122 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162746 Date Issued:07/27/2020 Permit Category:ePermit Site Address: 4768 White Oak Ct Lot:7 Block: 1 Addition: Oak Cliff 4th PID:10-53553-01-070 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brian T Alberto 4768 White Oak Ct Eagan MN 55122 North Country Installers Inc 12881 Yellowpine Street NW Coon Rapids MN 55448 (612) 412-3095 Applicant/Permitee: Signature Issued By: Signature