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649 Witham Lane INSPECTI4N RECORD ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ~ , i . ~ ; , ~ . (612) 681-4675 SITEADDRESS• r' ' APPLICANT: ' 1111 i. ~ r . III 111AM ! ANI ~t1I1 .,i;, .i PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • D. . ' L ~ - - PWmit No. Pwmk HoIdK DaU TNephone • EIECTRIC I PLUMBINO HVAC Inspoctlon oeM knp. oomm.Ms FOOTIN(iS FOUND FR/1AAING ROOFING ROUGFI PU1hABING PL.BO AIR TEST ROUCH HEATIN(3 GAS TESTSVC INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL FfTC3 ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG ~~aG DECK FlNAL. ~ CITY OF EAGAN t•, r ~ 3a30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~~f PHONE: 681-4675 . BUILDING PERMIT Receipt # To be used tor e s FDWG/GAR Est. Value i i 04 +000 Date NOV 2 S ~ y 9 l Site Aedress 649 WITHAM LN LOt 1 t BIoCk 2 SeGSubGOVGNTRY PASS 3ND OFFICE USE ONLY ~ ParcelA~jo. o°u'pa"cy R-3 d=1 FEES 671'00 Zoniny i 1 ~ N~g DAEiLE nR0'f![ERS I NC (nccuaq const V~N sLndwga 54. SO wAddress 9304 LYNDIILE AVE S (Alowable) V=~ PM Pavie,,, 436.00 ~cfty BL00li I NGTOti EtN ZA Leor Stories 581 LIMM ngth phone 888-6866 oWh ~ snc, cny I00000 Name SAME S.F. Tdel - snc, Mcwcc 65O.00 ~ 0 S.F. Footprints - aW.oo Mdrm On Site Sewage _ Water Conn ~cky Zp a, site weli X waler Mete? 95.00 Mwcc sy~ 30.011 - P~~ cay water X Deposit 8~# PRV Required x S/W Permit I hereby acknowlega that I have read fhis app~(calion and state that the Boosfer Pump - ~~rchwgo • SO infortnation is Correct and agree 1v-eafrlplSr With all applicabtb State of Minnesota Statutes and City ot Eagan Ordinances. Treatment PI 276.00 SignatureofPertnit9e . • •J APPROVALS qpad Unit 370•00 A Building Pertnit is issued ta: DAHLE' BRQTNEiiS INC Planw - Park Ded. on the express condition that all wwk shall be done in accordance with all Co+ncil - applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. pH. _ CoP1eS Buildirg Oflicial ' Variarsee - TOTAL 3,373.00 . . . .r , . . . . , . . " . t r 1 SEWER & WATER PERMIT . OFFICE USE ONLY ' CITY OF EAGAN METER ~444V W 93 PERMIT DATE 11/29/91 ; 3830 Pilot Knob Rd. CHIP #G/03~~ a 9 PERMIT # 12 03 ' Eagan, MN 55122-1897 --T- METER StZE B.P. RECEIPT # DATE NdV 25, 1991 ISSUEDATE B.P. RECEIPT DATE 11I26/91 ' X PRV _ BOOSTER PUMP ' • ~ SITE ADDRESS 649 WITHAM LN PERMfT REOUESTED LOT 11 BLOCK Z SEC/SU8 COVENTRY PA3S 2ND ~ X SEWER X WATER _ TAPS : APPUCANT: ADORESS: - COMM/IND RESIDENTIAL ~ CITY, STATE ZIP X NEW - EXISTING i , ' PHONE: STAR PLUMBING La Sprin er Meters re be Installed . PLUMBER: l~ ead of o sti M e on Water Line. + ADDRESS: 1018 MOUND SPRINGS TERR ,Cre 't L r edu rs. ~ CITY, STATE BLODMINGTON MN Zlp 55420 PHONE: 884--4149 j , AGREE TO OMP WITH CITY OF OWNER: DAHLE BROTHExS INC EAGAN O INA ADDRESS: 9304 LYNDAI.E AVE 3 i CITY, STATE B1.AOMINGTON AiN ZIp v PHO : 888-6866 SIGNATURE WHEN METER ISSUED €'l°c~v+~~w i - Cu . e PL LL O WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ; , 1 PMmp No. F.neu Hald.. oN,. r.kphon. N a.unOnG ~ ,A Hv,aC u~ ~-L ~ 7e~-- 1~'>-,r • ; &EcrRIc p(o EECTPJC bupwdon o.ee kkw cwnw,wft F-ti.g. 1/. -2 -ri slo~~s "~a 30 , F«,nclaowr, z 1r-/-2 1 FrarNng r- r3- Z Qs .r Rooling Rouph PIb9. Rough Htg. r [l1/ ~i1 . i 15uL , Firepfaoe ~ ! Final Hqg. - ~ ~ Orset T" It Final Plbp. PIb9. Inspeclor - NotitY Pk+rter Const. AAeter i Engr./Plan i Bldo. Firkal ~-z D 1 Deck Fq. Ueck Fvial weN P?. oisp. SEWR & VIATER PERMIT . OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 11 /29/91 3830 Pilot Knob Rd. Eagan',i MN 55122-1897 CHIP ~ PERMIT #~~~3 ~ METER SIZE B.P. RECEIPT # DATE ~ T'~ 25, 1991 ISSUE DATE B.P. RECEIPT DATE 11 /26/91 X PRV - BOOSTER PUMP t' SITE ADDRESS 649 iTITHA!! LN PERMIT REOUESTED LOT 11 BLOCK Z SEC/SUB COVENTRY PASS 2ND X SEWER X WATER - TAPS APPLICANT: ADDRESS: - COMM/IND -1-- RESIDENTIAL CITY, STATE ZIP X NEW - EXISTING PHONE: STAR PLUNBING Lawn Sprin ler Meters re be Installed /to PLUMBER: Ahead of o sti M e on Water Line. ADDRESS: 1018 IiOUNiQ SPBINGS TERR Credit L T- rDedu ers. CITY, STATE BL00!lINCTON MN Zlp 55420 ~ PHONE: 884-4149 . AGREE TO 60MPjl& WITH CITY OF OWNER: DAHLE BROTHERS INC EAGAN ORDINA ES ADDRESS: 9304 LYNDALE AVE S CITY, STATE 81.OOMINCTON !QI ZIP PHONE: 888-6866 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~ CASH RECEIPT . CITY OF EAGAM~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 + DATE -r 19 n~rv~o ~ r rnor ~ . AMOUNT 3 OOLLARS ,oo O CASH ~ CHECK i FM. 44 T~7:3.-&&~ . FUND OBJECT AMOUNT 2 - ~ t c ~ i [ ; Thank You eY wnna--.P.,m covy ' C 016338 r~~a,v ~v~r Pink--Fib capy Ag RR MQC-PWNHtLVINM 5/2=/Q2 GARY"3q%0~-882--0763 (ttx#i#irate uf (Orrupancy ~ Citp of (tagan ~ Me~vii rt of Wwmft~g jmwni nis Catrfuate issue+d pursuanl !o !lu rrquirmmts ojSecAion 306 of 1he UniJotm Building Code oatiJ'ying Aat at the &me ojiuuaaae drisrnucturr mas in rnnrpliance wilh tlre vwious ordinanars of rhe Gt}' re8ulaliiq G?dldin8 oamtrucaioa or use Fvr !he foQawir;g: weck.scmn.--og-BiTGA6AR w,,&nm:rlo. t9QCl9 o=v.-r Typ~ ii 3 M L z.obc n.eja R- 1 rmcw V-N o~.c*oterl~.c DAHLR SpAS INC Addm-93n4 [.YNnA - AVE S H,.lfiq A,ad,r„ 6L9 vTTUAnt t.N L,,rq Lll, B2. COVENTRY PASS 2ND (_.p~,, ~ FEBRUARY 25, 1992 *A;N.s obed , POST N A CONSPICIIOIS PLACE I . • - ~ .-~_.--.~nr•^,;.~_. . . - - - - ~P v/ya- COI~G~~v 42751L /r Feaues Dale,,/~ - cire No Ro n Inspectian s~- R Ei ? Ready Now~ill NoOty InSpector G yes i No wnen Reatly? I ::1 licensed contrector kowner hereby request inspection of above electncal work at .bn Aatlress ISVeet Box or aou No ) Ciry s ,(qm kn , SeGion No Townsnip Name or No. Reige No Coumy OccuOanllP I Nr PM1One No, .J F ~ J ~'L G Pawer SuOPber AOtlress Elecinca' C nvacwr ICOmOany Name) Cqntrecm.5 Lwense No. 0 /w f p(,VI) FK Madmg qotlress C vacmr or Owner MaNing Installauon) &V Autnonrea Sgnature i dori er Ma in nsalTauon) Ppone Number Co $ -5 €3 MINNESOTA STATE B OF ELECTqIdTY THIS INSPWTION FEOUEST WILL NOT Gnpgs-MlOway Bltlg. - R om 5-113 BE NCCEPTEO BY THE STATE BOARD ^ I/~ 1821 Unrvers0y Ave, St Peul. MN SStOa UNLESS PPOPER INSPECTION FEE IS Phone (612) 64241000 ENCLOSED ~ 'r REQUEST FOR ELECTRICAL INSPECTION ~ ee-oooo,-oe ~ 421 51 ? See insimctmns lar complelny Ihis lorm on pack ot yellow copy .i<: I 'o/9G~ "X" Aelow Work Covered by This Request . ew ridtl Rep TypeofBudding Apphanceswuetl EquipmeniWired Home Range Temporary Service ~ Duplex Water Heater Electric Heating ApL Bmlding Oryer Other (Specify) Comm /lntlustnal Furnace Farm Air Gondilioner Other (syacJy) Con[raclar5 R¢maMS' Compute Inspection Fee 6elow: # Other Fee # ServiceEntranceS¢e Fee # CircuitsiFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs frisoecror§ Use Only: TOTAL ~d IrrigatwnBOOms /~iP S Speciai Inspection W Alarm/Commumcaaon THIS INSTALIATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTNS. I, ihe Electrical Inspector, hereby Rough-m oate certify ihat ihe above inspection has F,nai oeie been made. OFFICE USE ONLY Tnis requesl vod 18 months Irom ~ Repuesi D7te Fre No, u9h-In Inspecuon mreA1 ? Reaey Now '~AWAI NoLty or es ?NO W ^R IKli;gnsetl coniracror ? owner hereby request inspection of above ele ncal work ~ Joa Aatlress (SVeeL Bm or Poute No ) Pry / O M /J'f Sedion No Township Neme or No. Range No Counry h ~a Occup4nIIPAINTI PbOne NO a. /I ~o s //l . ~ S6G Gower u0plier Atltlress 1tle0 r. • Sw- d '.~~B T Ar~l i EleclrKa ConVactor (COmpany Name) Conuacme5 Lcanse No. ~ ~ca r.~ Co. Nc. D 2 Idatlvg Atltlre55(COnVactOr 0l /Own¢r Makin Inslallatan) 14 0~. c5 -$-,3 Amnorae 5 awre IConUaciovOwner 1daN~ allauoni Phone Numper yYo - 7 ;z Z MINNESOTA STATE BOAPO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grigga.MiCwey BICg. - Roam Sl]] BE ACCEPTED BV THE STATE 90ARD 1821 Univenlty Ave.. 51 Paul. MN 55104 UNLESS PROPER INSPECTION FEE I$ Vhono (612) 642-0800 ENCLOSED ~'/~'./g~ HEQUEST FOR ELECTRICAL INSPECTION eeoooo,o~fe ? ~Sae msimcuons for completing this lorrn on Oack ol y¢Ilow copy J 1, 310 6 3\~~) ~i VV "X" Be/ow Work Covered by This Fequest e Ai Rep TypeofBuildmg AppliancesWired EquipmenfWiretl 4, Home fiange Temporary Service Duplex Water Heater Eleciric Heating Apt Budtling Dryer Other (Specity) Comm./lndustnal Furnace Farm Air Conditioner Omer (syecnyl Comrucmr's Femarks. Compute lnspecGOn Fee Below # Other Fee # ServiceEntrance5ize Fee q CircmWFeeders Fee Swimmmg Pool 0 to 200 Amps s, GR7 0 to 100 Amps ilrcp Transbrmers Above 200 _ Amps Abo _ Amps SignS i~spector5 Use oniy TAL Irnganon eooms '(j Special Inspection AlarmlCommunication THIS INSTALLATION MAY RDER ISJONNECTED IF NOT Other Fee COMPLE7ED WITHIN 18 WHS. I, the Electrical Inspector, hereby Rou9n-in • ie Y cernfy that the above inspection has F,,,ai ~a been matle OfFICE USE ONLY Tnis reQUesl void 18 monihs Irom y/~- a 40685y i. ~ -t- Ro -i In ron ReQUest Date Fire N. ~ qe eatly Now ? Will Nolity Inspector as ? No Wtien Reatlyi 1 licensed cont ctor ? owner hereby request inspection ot above electrical work at: JoE MEress street. Box w Rwte No ) o N1 ~4-~~ ~Q $ectwn No TownsIr~p Na o Raiga No, Coun 1 ~ vo Phane No. OcaPe^Q fl~ 1 SR GI..~ l~ ~ J/ fJ Pawer Suppb PdErass ~'oT4 Elecirwal C nvaarn (COmpany Name) ,r Convactor's Licensa No Y\ CC C- ~ Mai6ng tlress (COnVactoror prvner Makin Installation a ~ a ND a ~ Amhor¢M gna IC racmu aki tallati Plwne Number -23' ~0777 )JY MINNESOTA STATE BO/RD OF ELECTRICRY THIS INSPECTION REOUEST WILL NOT Grlpqs-NWwey BIEg. - Room S193 BE ACGEPTED BV THE STATE BOARD 1621 Unlvertlly Rve.. St. Peul, MN $5106 UNLESS PFOPER INSPECTION FEE IS P1qna (812) 642-0800 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION eeoooo,-oa ? I Sea insimctions br wmpleting Nis lorm on ba<k ol yellow mpy Co~oo /7s a40 6-85 °x" Be/ovv Work'Covered by This Request ew Atld p TypeolBUtltling AppliancesWiretl EquipmenlWired ' Home Range Temporary Service ~ Duplez Water Heater Electric Heating Apt Bwlding Dryer Olher (Specify) Comm./Intlusirial ' Fumace Farm ir Conditioner Otnar (speaty) Conv~y rE aeiyrks. fq' S!f, 5~ p+FwT1 W ~ t / . LL HDin 6i.~.fn£R /SFT TinE~Y~(e 6a~c' Compute Inspecfion Fee Be/ow- /TC,K2 OS-j,. 0 # Other Fee M ServiceEniranceSize Fee # Circwts/Feeders Fee Swimming Pool 0 to 200 Amps 0 ta 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps $19lIS Inspecbr§ Use Only. TOTAL Irnganon Booms 3Q' ~ ~ Special InspeCtion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MQ HS. 1, the Electrical Inspecror, hereby Ro,nm oe ^~~q ~i cerhfy that the above inspection has F,,,ai Dale been made. OFFICE USE ONLV • Tpis raquesl wiE 18 months Irwn CITY OF EAGAN P?o 19909 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 lBUILDING PERMIT PHONE: 681-4675 Receipt # C'O I (O3 :3 ~ 7obeusedfor . SF DWG/GAR Est Vaiue $109,000 Date NOV 25 ,~g 91 Site Address 649 WITHAM LN Lot 11 Block 2 Sec/SubCOVENTRY PASS 2ND oFFICE u5E ON~v FEES Parcel No. occuPancy R-3 M=1 671.00 Zoning R=1 Bd9. Permil nJame DAHLE BROTHERS INC (AClual)Const V=N gurcharge 54.50 w qddress 9304 LYNDALE AVE S (Allowable) V-N pla? Rev:_,,, 436.00. Z F ol Slories ~(~`jhr BLOOMINGTON MN Zp Length ~ Phone 888-6866 Depth 52 ~ snc, cay 100.00 S.F. 7olal o Nazne SAME _ snc,mcwcc 650.00 S.F. Foolprinls U Addf2S5 On Srte Sewago _ water Conn 660.00 ~ City Zip On Site Well _ Water Meter 95.00 ~z PhOne MwcC sysiem X qcct, DepoSit 30.00 O Cny Water x U V~~# PRVRequired x ~'Permit 30•~~ I hereby acknowlege t1`;~~!1 I hav re y ihi pp' tio9.2od state ihe eooster Pump - SiW Surcharga • 50 information is correct And a r e e - tFyelf apphc Sta o1 Minnesota StaWles a d Cit I a ites. Treatmenl PI 276_ nn Signalure ol Permi e APPROVALS poad Unit 370.00 A Building Permit ssued to: VAHLEUBROTRERS INC Planner - park Ded. on the express condition that all work shzl be done in accordance wrth all Councd apphcable State ot Minnesota StaWtes and City ol Eagan Ordinances. Bldg. Ofl Copies Building Oificial variance TOTAL 3.373.G0 ~ R,Ptf rn~ -Address: 649 WITHAM LN " Lot 11 Blk 2 Sec/Sub COVENTRY PASS 2ND ' These items were/were not complete at the time of the final inspection. Date; FEB 25 1992 Yes No Inspprtnr, Final grade (6" from siding) ~ - . Permanent steps - garage ( S Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass ? Trail/curb damage ~ -U/ , Porch Basement finish ? Deck Please verify vith the builder the ramoval of roof test caps from the plumbing system and the shut-off of vater supply to the outside lawn faucet before freeze potential exists. ~r xc¢mxw~ White - City copy Yellow - Resident copy Pink - Contractor copy DATE. NOV 29, 1991 RE: 649 WITIiAM LN (DAHLE BROTHERS INC) X Your Sewer 8 Water Permit for the above property has been completed. It will be held at the Publi qWOrks Garage (3501 Coachman Road) until the meter is picked up BE SURE TO CALL i'UBLIC WORKS (454-5220) FOR YOUR PERMANENT WATEft TURN ON. _ Your Sewer & Water Permit for ihe above property cannot be completed for the tollowing reasons: _ Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. _ COMMERCIAL PROJECTS ONLV: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plum6ing Inspectors - 454-8100) before issuance. WARNiNG: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARIMENT FOR WATER TURN ON POLICY. Secretary, Bwlding InspecYions Dept. Do RESIDENTIAL BUILDING PERMIT APPLICATION GITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 NewConstructionReauiraments RemodallReoairReuuiramenb . J registered sile surveys showing sq R. of'o6 sa. y. of house: and all roofea areas J• 2 copies of pian (20°6 maimum lol corerage allaxea) 1 set of Energy Calculauons lor heated adddions . 2 copies of plan showing beam 8 window saes; poured loune desgn, etc.) 1 sde survey lor exterior aCdrtions & decks • 1 set of Energy Calculations . Indiwte d home served by se0tic sysrem for a0ditions • J copies of 7ree Preservation Plan A lot ;latted afler 711193 . Rim Joist Detail Options selec6on sheet (bldgs with 3 or less units) DATE 0-Jo6r a I, ZC~Q VALUATION SITE ADDRESS (014q w4YoM 1ce i MULiI-FAMILY BLDG Y X N TYPE OF WORK fIREPIACE(S) _ 0A 1_ 2 APPLICANT JC=-~' ~-~Sc. KQ~ ~ STREET ADDRESS (OyS (~0401yl LanC CITY Ea°iG 'n STAiE /""IdZIP SL23 TELEPHONE#(,S1'01931fB ELLPHONE# ~~~-75S-o~(o3 FAX#&Q-313'9o`I(o PROPERTYOWNER ar~ / TELEPHONE# &S)-(o$7-~''I.3L(S COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ \II\:\'I•:ti0"t'.\ R['I.1:5 7670 C:1"fL•:CORl' l MI\\ESOT.\ RCLES Itii`? (d submission type) . Resitlential Ventilation Category t Worksheet Submittetl . New Energy Code `NOrksheet Submrtted • Energy Envelope Calculations Submitted Plumbing Contwctor: Phonc # Plumbing system includes: Water Sol[ener _ I.awn Sprinkler Fee: $90.00 4Vater Heater No. of R.I. Baths - Na. of s1d,5 p T R C~ 0T m n ~ ~ Mechanical Contractor: Q~ne`;NL (1 ? N[cchNuiical ;Vstcu1 includrs: :\ir CondiUOning U•cc: 570.00 - Hcat Rccovcn' Systcm By_ Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, sfate that the information' rrect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagon Ordina s. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Recerved _ Not Required _ Updated 4102 OFFICE USE ONLY ' ' ? 01 Foundation ? 07 OSplex ? 13 18-plex ? 20 Pool C3 30 Accessory Bldg O 02 SF Dwelling O 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIU ? 03 01 of _ plex O 09 07-plex ? 77 Garage A 22 Porch/Addn. (4-sea.) ? 33 Ext. PJt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 MuIG ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ~ 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'DemoliHon (EnUra Bldg only) • Giva PCA handout to applicant Valuation Occupancy MCIESSystem Census Code ~ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const v A/ Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. Footings (deck) t]C FinaVYo C.O. Footings (addirion) _ Plumbing ~ Founda[ion _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ~ Framing _ Siding _ Stucco Stone ~c Fireplace _K R.I. _&kit Test ~ Final _ Windows (new/replacement) [nsulation _ Retaining Wall Approved By Building Inspector _ ,T~,---------- Base Fee Surcharge i Plan Review V-4 MC/ES SAC Ciry SAC Water Supply & Storage f~ S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies 3 ~ ~ yv Other ~ Total Permit Number MECcheck Compliance Report Checked By/Date 2000 Minnesota Energy Code MECcheck Software Version 33 Release Ic Data filename: G:\KarelHomeMEC.cck COIJNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Pamily DATE: I 0/20/02 COMPLIANCE: Passes Maximum UA = 368 Your Home = 271 26.4% Better Than Code Gross Glazing Area or Caviry Cont. or poor Perimeter R-Value R-Value U-Factor UA Ceiling l: Flat Ceiling or Scissor Truss 138 0.0 38.0 3 Ceiling 2: Flat Ceiling or Scissor Truss 55 0.0 38.0 I Ceiling 3: Flat Ceiling or Scissor Truss 89 0.0 38.0 2 Ceiling 4: Flat Ceiling or Scissor Truss 203 0.0 38.0 5 Ceiling 5: Fla[ Ceiling or Scissor Truss 49 0.0 38.0 I Ceiling 6: Flat Ceiling or Scissor Truss 51 0.0 38.0 I Ceiling 7: Flat Ceiling or Scissor Truss 216 0.0 38.0 5 Ceiling 8: Flat Ceiling or Scissor Truss 159 0.0 38.0 4 Ceiling 9: Flat Ceiling or Scissor Truss 146 0.0 38.0 4 Ceiling 10: Flat Ceiling or Scissor Truss 195 0.0 38.0 5 Ceiling 11: Flat Ceiling or Scissor Truss 280 0.0 38.0 7 Ceiling 12: Flat Ceiling or Scissor Truss 224 0.0 38.0 6 Ceiling 13: Flat Ceiling or Scissor Truss 17 0.0 38.0 0 Skylight: Foyer: Wood Frame, Double Pane 8 0.550 4 Skylight: Master Bathroom: Wood Frame, Double Pane 8 0.550 4 WaII I: Wood Frame, 16" o.c. 89 19.0 0.0 5 Wall 2: Wood Frame, 16" o.c. 56 19.0 0.0 3 Wall 3: Wood Frame, 16" o.c. 106 19.0 0.0 6 Wall 4: Wood Frame, 16" o.c. 113 19.0 0.0 7 Wall 5: Wood Frame, 16" o.c. 97 19.0 0.0 6 Wall 6: Wood Frame, 16" o.c. 88 190 0.0 5 Wall 7: Wood Frame, 16" o.c. 131 19.0 0.0 7 Door 9: Solid 9 0.140 I Wall 8: Wood Frame, 16" o.c. 104 19.0 0.0 5 Door 7: Solid 20 0.140 3 Wall 9: Wood Frame, 16" o.c. 117 19.0 0.0 7 Wall 10: Wood Frame, 16" o.c. 96 19.0 0.0 6 Wall I l: Wood Frame, 16" o.c. 153 19.0 0.0 9 e• Wall 12: Wood Frame, 16" o.c. 162 19.0 0.0 10 Wall 13: Wood Frame, 16" o.c. 111 19.0 0.0 7 Wall 14: Wood Frame, 16" o.c. 234 19.0 0.0 13 Door 8: Glass 20 0.200 4 Wall 15: Wood Frame, 16" o.c. 133 19.0 0.0 8 Wall 16: Wood Frame, 16" o.c. 153 19.0 0.0 9 Wall 17: Wood Frame, 16" o.c. 166 19.0 OA 10 Basement 1: Masonry Block with Empty Cells, 7.8' hU7.0' bg/7.8' insul 615 11.0 0.0 37 Basement 2: Masonry Block with Emp[y Cells, 43' hU43' bg/43' insul 156 11.0 0.0 10 Basement 3: Masonry Block with Empty Cells, 3.5' hU3.0' bg/3.5' insul 287 11.0 0.0 21 Floor l: All-Wood Joist/Truss, Over Ouuide Air 252 30.0 0.0 8 Crawl I: Masonry Block with Empty Cells, 3.5' hd3.0' bg/3.5' insul 160 10.0 0.0 12 Furnace 1: Forced Hot Air, 78 AFUE Air Conditioner I: Elec[ric Central Air, 12.5 SEER Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.200 0370 Includes Foundation Windows > 5.6 ft2 Skyligh[s 0.550 0.550 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with [he permit application. The proposed building has been designed to meet [he 2000 Minnesota Ene Code requirements in MECcheck Version 33 Release I c and to comply wi[h the mandatory re 'r me I d in [he MECcheck Inspection Checklist. Builder/Designer Date AA ti MECcheck Inspection Checklist 2000 Minnesota Energy Code MECcheck Sofrware Version 33 Release 1 c DATE: 10/20/02 PLAN REVIEW AND INSPECTION ISSUES This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential dwellings. Tlie items marked with * apply only to detached one- and hvo-family residential dwellings. PLAN REVIEW ISSUES FOUNDATION INSPECTION foundation wall insulation R-5 minimum foundation insulation extends from top of wall down to top of the footing exterior foundation insulation is covered by a protective coating finish CONCRETE SLAB OR UNDER-SLAB INSPECTION slab on grade perimeter insulation R-5 minimum slab insulation extends from top of slab to design frost line or top of footing floors over unheated space R-30 minimum WINDOW5 / DOORS / SKYLIGHTS average U-value is 037 maximum for windows and glass doors (excludes foundation windows) window U-values consistent with building plan and MECcheck Report window and door areas consistent with building plan and MECcheck Report MECHANICAL VENTILATION ISSUES residential mechanical ventilation system provides adequate ventilation per code requirements* furnace efficiency is consistent with MECcheck Report or building plan protection against excessive depressurization is installed per code requirements* ENVELOPE INSULATION FOR PLAN REVIEW interior basement insulation R-5 minimum (if no exterior insulation) ceilings with attics R-38 minimum or consistent with building plan and MECcheck Report wall framing and insulation level is consistent with building design and MECcheck Report INSPECTION ISSUE5 CONCEALED INSULATION Framing and Sheathing wind wash barrier installed at attic edge exterior wall corners framed so that insulation can be installed after exterior sheathing is installed intersections of interior partition walls and exterior walls framed so that insulation can be installed between the partition and exterior sheathing after exterior sheathing is installed gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the time of assembly * all penetrations beriveen conditioned and unconditioned spaces made prior to framing inspection are sealed * brterior Air l3urrier all fire stops are air sealed pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed a sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings, walls, and floor rimjoist areas * air barrier behind tub and shower is sealed and protected recessed light fixtures are sealed Erivelope Insulation [ ] basement insulation R-5 minimum wind wash barrier on wall separating house and garage is sealed loose fill insulation is prevented from entering the eaves insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side Attic Insailntron attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel attic card attached to framing near access opening notification of attic R-value and date of installation posted near building pennit inspection card This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the Department of Public Service Information Center a[ 651-296-5175 or 1-800-6573710. CERTIFICATE, pF SURVEY , ' B71DIOUPON7~AVENUH iBL00MINGTON SOUT14 I , MINN. 6EI20 i BBO•7084 1._ LANDSURV~YpRS I i, , gdrvey' for: I I g DAfILE DROS. INC so_ : i • ~ s«s~yt + ` i ~ ~ DESCRIPTIO~;, I Lot 11, Block 2, COVENTRY ~ PASS 2ND'ADDITION ~ , 839-` 77 ~ 0(c I m a354- ~ : I lD%•F ~ . --.~lG ~ S ~q' ~ l ~ ~ ~ ~o ' 'f N I ] 1 B3 9' - I N. I~~ 3"~ 36Z ~a h m , o j~,n Scale: 1"=30' ! nk' ~ u p L &33 ~ ~ 4~ '~j ~ ` n i i ~ ~ .•.,•r ~ I .i i i.i. ~ ~ Proposed Grades~ No3z .''T6P'of1 Blocks _ B3 i 79 Iron e~ r.•\ ~ ~37 Bazq, Garage floor 6373 ! I ' . o~ y o Dasement floor 43o3 - . 'p6~ 835~~-` R I~ ~ _ i S3 o ~~'6 rJ JIV199 * B Maitho% --=x= 833~ . 83Z= 83i ~ W/ T/-/AIV7 ' L .X-71V " ~ NOTF: Circled elevations are proposed, otliers are existing. Arrows denote ciirection of cirainage. We hereby certify thit thls is a true and correct representatlon of a survey of the boundarles of the land above described and of tlie location of all buildings, if any, thereon and all vislble encroachments, if.any, fro or on said•land. Dated this 20tti day of November ,19 91 . ~ ~ ;by <innesota Llcense No: ~018 i I ~ • ; . , ~ : . . 1991 BDI G I APPLICATION CITY OP EAGAN SINGLE FAMILY DWELLINGS lSITLTIPLE DiIELLINGS C024fERCIAL 2 SETS OF PI,ANS 2 SETS OF PI.ANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 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 IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE ~ r~I --t1A5' BEEN OM TED. PERMIT MUST SHOW A LICENSED PLUMBER. ~ NOV 2 I 1991 To Be Used For: ~thValuation: Da Site Address OFFICE U, 1b9, o0o^' Lot Block Z FEES Occupancy 9-3 M'1 Bldg. Permit I Zoning R- I Surcharge 54$O Parcel/Sub ~ovw.~ c~SS ti Actual Const V-N Plan Review 4 (m,00 Allowable V-N SAC, City 100,00 Owner # of stories SAC, MWCC (o O'Op Length ~ Water Conn. 66Z~,0-1 Address Depth 5 2' Water Meter °J$i(lJ S.F. Total Acct. Deposit a.0 0 City/Zip Code Footprint S.F. S/w Permit 30,00 S/W Surcharge $D Phone On site sewage_ Treatment P1. 6,OU On site well Road Unit r70.oo Contractor MWCC System ? Park Ded. City water ? Trail Ded. Address C~; OA PRV ? Copies Booster Pump _ City/Zip Code SOBTOTAL APPROVALS Penalty Phone ~ `~t`8(n (p Planner _ Lot Change Council TOTAL ~q_3.rv) Arch./Engr. Bldg. Off. 2 9/ Q$ Variance Address City/Zip Code Phon S wer/W er n L agrees that all woik sh 1 be done in accordance with Signature f Cont actor) all applicable Stat of Minnesota Statutes and City of Eagan Ordinances. ~ ~ V A~t,~~Tl 2(~ X32 = g,3Z (r7~ 2XI2 = (Zy~ - '136 X 15= I 1 b y o - J'~ 6 ri•oo+ ~SMT, 54• 50 1- 435•o0t = S~~I ~,z~t•50~' ~ 33'15•JJ'' ~ = 3 3 Z3xG~/2_ ~50 ~•ii•~o` •JJ~ ~ 54• s V ~3~~j~( ly= I%p 43"5 1,2I1'S0t ~I FL. 3,~TSJJ"` I I34~mT = 1317 X'7 = In I~zXZ2= 33 1- `I 3 53, r? y, 685 SGtez!~.l {~a2c.H 14x1/= )Sy X 7_o= 3e> /08189 °R 109,000, ' CERTIFICATE OF SURVEY OIL:= , 871~ DUPONT AVENUE SOVTH BLOOMINOTON, MINN. 884t0 888-7084 LANDSURVEYORS Survey for: DAHLE BROS., INC. /.o 8so _ ~ - B6- ~8 .45- 'Bjn ~roN 4e~/f~~~s~~•~ 1 I 'T I 1 ~ 1 ~ DESCRIPTION: . o~ lot 11, Block 2, COVENTRY Q ` PASS 2ND ADDITION I 839 ~ i I ~ I \ y ~ ~ ~ (e o a~ ~ "y SI as". ON 8~9 y' Z/. B" QG~, n 83c?~\g /S t; 833 = . ~ I ~ \ I ' h3~m 6' ~ N m ml"' ~ ,~.o~tv Scale: 1"=30' y~ u$ L(J/ /r/ 3 a33 ~ m 6 m ~ Proposed Grades: Top of Blocks 8,379 . /rori ~•8 ~J ` ~ _ _ _ 83 N /ron 0~ zo /rov~ -?37 I8~ 8az8 Garage floor 8373 s,o~ j0 \ ~ y ~ p Basement floor. 830~ y ~rorl g.JGYU! ~ ~ ,6 ~ Q 6 3 83~ 111i~f IV-6-9 ° a',3i'By _ Nlanhole 8~x ~ , s3~s 8~i! ~ Date W/ 77,4-/A/V7 ' G ANE EA~ 2MG r{ • ~E I~G DEPT NOTE: Circled elevations are proposed, others are existing. Arrows denote direction of drainage. ~~~~~~E113)) We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above des'cribed and of the location of all buildings, if any, thereon and all visible.encroachments, if,any, fro or on said land. Dated this 20thday of November ,1991 . • by inneso a cense o. 9018 Z74 - 60 ' , ' . . . EXTERZOR ENVEIAPE 11VERAGE 'U"CpripUTATION ~ •.OwNeR' Pr> H L E Se.os • _ • SI1'E ADDRESS NNTR4CfOA pATE l~--LO =el,PHOt~ 9)'52) -1vpC.o~ - Determine vorking aquare footaqe of each. 1. Total expoaed vall area _ L I 8Z aq, ft. X•11 ' 2¢O ,O Z 2. Total zoof/ceiling azea 13(.9 •q, ft, X•0 2 f• - 3 S, S A. Total vall vindow area.......................... 44- ~ . H. Total dooz area (o p C. Total aliding glass door area................... D. Total fireplace vall area ' E. Total wall framing azea (average 10%)........... I 8 3 F. Total Rim joist eree...:........••••••••........ I 4(o ' G. Total Net vall area abpve floor................. I~ 4 9 . Total enposed ioundation area - 2~ B 2 H. Total foundation window area.................... • ' 1. Total net.foundatiori area above qrade........... Determine "U" value of each vall seqment. . d. I 4 4- X"U" b.- ~o O X"tl" . 2=j ~ 1 3. a D • C. R oII. ~ d.--} x •Uw ft . e. 183 X"U^. O ~ ~8.3~ x"v° . 04 ~ 5•54' g. 1~49 g«p- o¢ ~ c,5,9G . h. g •U. ~ . i• X U. 3 ...................................Total n 1a~,42 If item 43 is the same as, or less than item SBC 6006(c)2. e met the intent of yls ~ Total expoaed roof/eeiliny asea ~ 1 3~ 9 j. Total skyliqht aree k. 'ibtal zoof/ceilinq framinq area (average lOl)...... 1 31 1. Total net insulated zoof/ceilinq area 1 2 3 2 Detezmine •U" valoe for each roof/ceiling segment. ' j, • X wU• a , . . k. ~ 3-j X wUw . 02-1 6 IN 1. • ~ Z 3Z x wuw .02.5 .00 3~.Cic ' . 4 7bta1 3 Q'.5 8 If total of #4 is the same as, oz leas than S2, you have met Lhe intent of SBC 6006(c)1. • . Alternate Suilding Envelope Desiqn To utilize the total envelope system method,.the values established by the sum of items B3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. ' ~ . 3. + 4. ~ . - . . S ~ yL nNS =Yvjtp 15f• 01 npcquo vall,azea tor • ~ •fremcOeonatruetion ` Conetructlon , R-Velve . 1. Interior air film 0.68 Z. '/i" fl2yWOlL .g~j - . , . 3. SI/Z inches soft ..ood . Ca ,1 C . . 1. '-5, FiEPTN1?.1G i.OL SIC S. ..5 IC11.1G .G7 ALL 6. £xterioz aiz iilm s 0.17 ` Tatal ~e.15 . ' #J:.lo ric. #1 TOPVIEI9 OF . • „ FRAriE WALL l. Interior air film 0.68 • . 2. .ti/~*' PLYWOL-L .45 , ' . . . 3• 51!z' kusuL. 19.00 . . ` ~ . 4. SNEATM ING 2.OG S. .g%v1..i4 .G7 : b. Exterioz air filtq 0.17 FIG. !2. Total Z3,03 V =.04 • ' ^ ~ , . . _ 1. Interior aiz film 0.68 ~ •''~J b___~~~~G~ . 2. 1 W ~uL. ti9,oo 3. 1 '/z" woev 1.88 ScALzx~ 4. SHEQTHIISG oG e.-al 5. SIDI?.iG .G7 t~~~ F ~ ^ . 6. Exterior air film 0.17 ~X.~1•,•, Total 24.46 .F~' ~•U•. V _ Oa' • 1. Znterior air film 0.68 sION 1~. tp•• 2. IW3uL. Auc> eeywsU- . B,oL C' d'• • 3• J2" b~oot ~ ' d' • 'p. ~ 1 .28 . .r • ~ !`.177 Irl,) C 5. ~r - •k 1.~ ;~f/.•• 6. Exterioz air film 0.17 • . . . , Total ~ o. 19 . i. SI.nB ON GRADE ' . ~ ~ . . ~ , .r • • ~ • r'~' • fC~9R~ 1~ k , • • ~ ~ ~ ' u . ' . . • ; ` ~ •r• ~ • ' I 1 f , v , • ' • • ' I 1 ~ ~ y . . ^ . 6 . . _ - ~ 1rl FIG. 44 ' 11 k ` • ~1~. . ;3 . o _ - \ • . , i/! ~ • • e- . (!f / ~c 7C . ? ~ _ !I( _ li~ ~ o ~ . 11(1TC. Tr.ii..~a~ _ n.n _ • . ~ • ' • id - . -'::.r`'+c.`_s.v' . . Y . • f-r'OF/CEILING ' . . . . ~ , • . : . . . . - • . , . ' Conatruetion (Use for Ztem L) ~'Velue 1. Intezior air lilm 0.61 • l:- .,i, A 3 ~ . . _2. ' S SHEETQact -SG 3. -I NSU~. 38.00 -.4. £xtczior air film (stillj D•7,I • Total 39.18 . • ~ • . CLG. FRAMING(USe for Stem K) .'en[ed Seat flow - yp 1..Interior A!r film 0.61 . , :-.2. SHE.F-'iKocV- SG 3. Inches soft voed 511Z'# FIG. $5 4. Inches insul above framina 30 00 . • S. Air F11m 0.61 . ' • _ TOt2I 'SG .1 L , 1. Interior air film ' 0.61 t E/111 2, - ' 4. Extezior air film stil . ( 1) 0.61 Total , . . , . ~ Heat flov up ~ . vented ' . .FIG. 46 . ' u 1. Insfde aiz film ' 0.61 ~~,.1~•«~~~ 2. • ~ ~ "1 3. ' r.~ •.~"'.C~t~.~-~?'1'•f.•:..:,. ro•.1'>.~-~S:1:J...: .i: 4. " J' 5. Outside nir film 0.17 So ta l r ? Z. / NO.V-VF.N7'p.~ , NoCc: Usc n3ditional shccts if more spacc is ' , , • rOedec] for drtails and calculatione. Hcat ' ' ' . . - . . , flov yP . • . DT.r..-07 . • . • . . 19 PERMIT u,001 CITY OF EAGAN ~/~2(~fljj 3830 Pilot Knob Road PERMIT TYPE: e u r Lo f N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 6 7 5 (612) 681-4675 Date Issued: 0 5/ 2 5/ 9 5 SITE ADDRESS: 649 WITHAM LNNE LOT: 11 BLOCK: 2 COVEN7RY PASS 2N0 P.T.N.: 10-16401-110-02 DESCRIPTION: B,uilding Permit Type DECK Building Work.Type NEW . REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - ppplicant - KflREL JEFF 649 WITHAM LN ' EAGAN MN 55123 (612)687-9348 2 hereby acknowledge that I have read•this application and state that the information is correct and agree to comply with all applicable State oP Mn. Statutes and City of Eagan Ordinances. ~ 10 h.(k1A PLICANT/PE MITEE SIGNATURE ' ISSUEO BN SIG UFiE INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLozNG 3830 Pilot Knob Road Permit Number: 025675 Eagan, Minnesota 55122-1897 Date Issued: 0 5/ 2 5/ 95 (612) 681-4675 SITEADDRESS:P•I•N.: 1e-18 4 e1-11e-e2 APPLICANT: LOT: 11 BLOCK: 2 649 WITHAM LANE KAREL JEFF COVENTRY PRSS 2ND (612) 687-9348 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION D. . FOOTINGS FINAL F L ~ ~ CITY OF EAGAN ~3D,JD 4 3830 PILOT KNOB RD - 55122 145,995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 New Conshuction Reauirements Remodel/Reoair Reauircments ? 3 registered aRe surveys ? 2 copies M plan ? 2 copbs of plans (include beam 8 window saes; pouretl MO. tlealgn; etc.) ? 2 sRe surveys (exterior additions 8 dedcs) ? 1 energy ealculations ? 7 energy calculationa Mr heated add8iona ? 3 copies ot tree preservation Dian H lot platted after 7/1/93 roquirod: _ Yes _ No DATE: S-1 13 " c1S CONSTRUCTION COST: DESCRIPTION OF WORK: DecK STREETADDRESS: ' 6Yq W,Aum 4ay,1e -LOT BLOCK a SUBD./P.I.D. Co~?I ~r~ PaSS da-AdILn PROPERTY Name: KAREL Jefr Phone#: &g7 -q3y8 OWNER StreetAddress* ~ar?e City: kan G C-A State: m1,4 Z;p: SS )a 3 coN7tuc7oR Company: Phone Street Address: License City: State: Zip• ARCHITECT/ Company: Phone ENGINEER Name: Registration M Street Address• City: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the infortnation i correct and agree to Comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY I'`~ ~ Certificates of Survey Received _ Yes _ No MAY 1 B 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY 'f4~4k ~ r! ~ ~ 0, BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 _ plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition o 34 Repair ? 37 Demolition GENERAL :NFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) 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. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permft Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit . S/W Pertnft S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °h SAC SAC Units I i i , CERTIFICATE OF SURVEY .e713'nuvoNr"nveNUe soUrH iBLOOMINOTON, MINN. 66420 BBB.2091 LAND SURV~YpRS i ~ . I ' I~•.< ' ~ ' „y? • . ' ' ' ~ ~ - Sdrvey'for: .I ' I l I'°~ DAHLE BROS., INC~ _ 8So_ •~8 i . , . . . . ~ f . DESCRIPTION; 8 8'- Lot 11, Block 2, COVENTRY PASS 2ND'ADD'ITION j I ~ ~ . I . ~ ~ 0 ~ 1` •r ta,~ 8399 . - ~ 1 1'21.8;.-! nGr,.tN1 R3G?l 354. /S.~ ~Bj~Z . . I h3/m 36~ N. m. . /o , I ; / M ° Scale: 1"=30' m . . IJ ^ N I N L 8~3 :Proposed Grades4..:,;,.,~.: 8311 N03Z _1 I , . -i ~3 r5, Z Top 'of~Bl'ocks 8,37 B 9~17 ~ 8aze Garage floor 8373 . a . . . 10 8asement floor B3o ~ . .0 ~ 83'f.`~. ~ • ~ f w _ _ Iror,l\ ~Sciu/ ~ ~ ' c~ J:o i813Z o Man{ro% B331. 83z° B3/-L W/ 7-1z-1AA4 ~ L. /-?N,~~ ~ NOTF: Circled elevations are proposed, others are existing. Arrows denote direction of drainage. We hereby certify that this is a true and correct representation of a survey of the boundarles of the land above described and of the location of all buildings, if any, thereon and all vislble encroachments, if.any, fro or on said land. Dated thls 20th day of November ,1.9 91 bY ~ ,_-r~;7 ~ nnesota cense o. 0 8 ~ I CITY OF EAGAN FOR CITY USE ONLY 3830 PZIAT KNOB ROAD EAGAN, MN 55122 PERMIT # y PHONE: (612) 454-8100 RECEIPT PI:lt1!$INfii:.P~YtlC~~ DATE: R~SIDL+NT`IhX,~~ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERlSITS ARE REQIIIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ~ ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 3 av REPAIR WATER CIASET 3.00 .~u UJ -2- BATH TUB 3.00 OWNER NAME: /64~S .3 LAVATORY 3.00 9-0O ~ KITCHEN SINK 3.00 LVv L ~ LAUNDRY TRAY 3.00 SITE ADDRESS: I/~j7/1/hov/~ zq'!9 HOT TUR/SPA 3.00 LOT WATER HEATER 3.00 , dJ BLOCK ~ SUBD. ~tfs'b~ Z FLOOR DRAIN 3.00 ~J INSTALLER: GAS PIPING OUT. ~ (MINIMUM - 1) 3.00 3, ROUGH OPENINGS 1.50 U ADDRESS : _?/75U xl-e,'ex ~/Uy~ OTHER WATER SOFTENER 5.00 CITY: 2IP: PRIVATE DISP. 15.00 PHONE G Cj G C~ O - U.G. SPRINKLER 3.00 SUBTOTAL $ y3~70 ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: $ t/! av COMMERdIALIiNDTISTE'jAL:. PLEASE COMPLETE THZS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINCS AND MULTZ-FAMZLY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ° CONTRACT PRICE: FEES OWNER NAME: 16 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: SIACK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE ( S IGNAT[JRE) FOR: CITY OF EAGAN CZTY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT 771' ilECH6NICAI>: PBRMTT DATE: ~/9.;L RE3TDE?dfAL:~ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ~ ADD-ON MINIMUM $15.00 ADD ON _ HVAC 0-100 M BTU 4.0 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 CL OF 1 PER PERMIT OWNER NAME: SUBTOTAL: . 00 SITE ADDRESS:_~ STATE SURCHARGE: .50 LOT: BLOCK ~ SUBD. l /OVQ,GDrcad- ~fi~- TOTAL: $-xrl t:u INSTALLER: ADDRESS: SIGNATURE OF PERMITT -0110 CITY: ZIP: PHONE COt44ERC14T.JINDU$TRTAT.'t' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL BUILDINGS, , . . . . APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINCS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 • LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN PERMIT City of Eagan Permit Type:Building Permit Number:EA148822 Date Issued:04/24/2018 Permit Category:ePermit Site Address: 649 Witham Lane Lot:11 Block: 2 Addition: Coventry Pass 2nd PID:10-18401-02-110 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. 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 - Jeffrey A Karel 649 Witham Lane Eagan MN 55123 (952) 888-4889 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature