1664 Woodgate Lane
CITY OF EAGAN WATER SERVICE PERMff
3830 Pilot Knob Road
P. O. Bax 21199 PERMIT NO.: .
Eagan, MN 55121 DATE:
n~
Zonirq: _ No. of Units: ~ -
Ownsr;
^ddrosa:
Site Addrcss: 1664 waod.ste ?..ine 71:' T' {~:_17yFi'!':' Pk. II
Plumber: `'?,''i='IrI.: 21
AAeter No.: Connection Charge: 50G.00pd
Size: Acoount Oeposit: '7c1
Reader No.:
Permit Fee:
1 nM to eomoy wNh elw Gh of !qpn Surcharge:
O.diM.a~. Misc. Gwr9es: _ 132.. '?Otid TP
Total: zer
By Dote Paid:
Date of Ir?sp.: irap.:
CITY OF EAGAN SEWER SERVICE PERMR
3830 Pilot Knob Road , , .
P. O. Box 211399 - PERMIT NO.: '
Eagan, MN 55121 DI~TE. ; ~
~ Zonirp: No. of Units:
Owner: 7~c!~tan:~-~-Pc•~YF:I~'>;~~ 4AddIe55: _r
Site Addmss: ? P!~ ~ ~=r•r;v;:~t~ Ga r~ I,13
Plumber. (q82,
1 piw to 000* wMr NN Cilp ef lqem Connsction Charge:
OeJINSa~. Accmxnt Deposit:
Pormit Fft: ' i • ~
SuKharpe:
By Misc. Chorqac Dote of Insp.: TotoL•
Irnp.: Da" Pafd:
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.
' T FrCiTY OF EAGAN
r• ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 , i
~ PHONE: 454-8100 ~ ; i ~ ~ ~
BUILDING PERMIT ReceiPt #
To be used br 5F DivG/GAR Est. va~ue $82 r 000 Date NOVFMBER 25 , ~g 85
SiteAddress ~ 1664 WQODGA~'~ LN Erect ~ Occupancy R3
Lot~_ Block 1 Sec/Sub. ~•~~D pK 2ND Remodel ? Zoning R~
Parcel No. Repair ? Type of Const St
Addition ? No. Stories
W Name QZMLTN-PEDF,RSON INC Move ? ~ength
15136 GALP~XZE AVE Demolish ? Depth 50
o Address Int. Impc ? s Sq. Fr
City A•V•Phone ~31-5000 ~nstau ?
o Name ~~~E Approvals Fees
i Address Assessment Permit . 00
~ City Phone Water 8 Sew. ` Surcharge • 00
r Police Plan Review~ ~O
F W Name Fire SAC O.00
_ ~ Address ` Eng. Water Conn.
< W City Phone Planner Water Meter 63 .00
Council ~s7~,~ Road Unit ~00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe ,~ff--1~~ ~vi ~ Tr. PI. 132.Q0
information is correct and agree to complyy~ th all applicabie State of
Minnesota Statutes and City ot Eagan Ord'uSances. APC Parks
- ; J{ Var. Date Copies ~
Signature of Permittee f/^ ~ Total ~ ~
02MtlN-PEDERSCIN INC
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applic ~e State of Minnesota Statu~es~d City of Eagan Ordinances.
Building Official ~ ~ ~ ~
PWmR No. Wrmlt Holder Date TNophone N
Plumbiny
ff.~A.C: 9 y lt 6
/0h, "W' /Ua J ~
-U
Impeellon Dob Insp. Comrmnb
Footlnys I 1°~ zz~e
Fooqnys II
Foundatlon - ~
Frsminy
n°°""y
Rouqh Plby. 134
Rouyh Mtg.
Imul.
FkWace ~
FInN Ntp. / ~y ),g •
FInN Plbp.
&dy. Final 1
c«+. occ.
Deck Fty.
Dxk Frmy.
DMCMbe LoCatlon:
Well
Pr. Dlsp.
PERMIT CITY OF EAGAN FEE
MECHANICAL PERMIT S/C
RECEIPT # 454-8100
MINIMUM RESIDENTIAL FEE • $10.00 + $.50 TOTAL
DATE ~ MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res Comm Inst 2. New Add Alter Repair
~ i C.~ ~ I ,~?~4~.1
3. Total Bic~ Price • 4. Job Address
r,L
Lot Block ~ Sec 5. Owner
.~'~s/' ~j~?~IJ L~ r.C •y: ` ~ v s.~..
6. Contractor (Name) • ~ (Street) (CitY) RiP)
' ~~•~13,~93"~~
7. Contractor Phone # :
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00: Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
~HEATING VENTILATING HOT WATER STEAM AIR COND.
_AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND. R/4TE - 1% OF TOTAL. BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
'-z-n.:: ; ~ . - . ; ~ . for
Signed:
Approved Inspections: Date Rough Insp. Date Final Insp.
-r»AN Remarks
Addition Mallard Park Second Addi ti nn Lot ~.1; Blk I Parcel #1 n 47251 130 p],
Owner Street 1664 Woodaate i,ane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1 ~O• 2 150-29 STREET RESTOR. 3 4 1977 34.52 10 3-!_ /
GRADING
SAN SEW TRUNK 19 4 194.05 1 15 9& Co 11
*SEWER LATERAL 11 1981 c~
WATERMAIN
*WATER LATERAL 198
WATER AREA SSIA
STORM SEW TRK j9$j 445.37
*STORM SEW LAT 19H1
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, 500.00 n n
BUILDING PER. n n
SAC
PARK
Th~ request void r~
18.months from O )
~ O~ 76 L i~ 4- i o . o o ~
Rc cst ~Fire No. Rough-in Inspection
~ Required? ~Ready Now ? Will Notify, Inspe
3 c-
- & ' ~l ? Yes ? No [or When Ready
~ l.icensed Electrical Contractor I hereby request inspection of above
Owner electrical work installed at:
Stre.etAddreSS~ox or Route N . •City,
l/iql>/
ection o. Township Name No. Ranye No. Co nty
Oc Gant (PRINT) } Phone No.
- 93 03
P S pplie A J
Electrical Contractor IComUany Name) C ractoi's License No.
Mailing d ress (Con ctor or Owner Makin Instailation)
Authorized :S1 nature (Contr or/O er Making Insta ation) P~ e Number
~
MINNESOTA STATE BOARD OF ELECTRICITY THIS I SPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BV THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297_2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-00001 _04
v ~
n • . ' See instructions for completing this form on back of yellow copy. ~
.
""X"" Below Work Covered,by~ r'.his Rzquest
l~: 6 3Add Rep. Type of Building Appliances Wired quiUmen Wired
Home Fange emporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unluader
Industnal Bldg. Air Conditioner Bulk Milk Tank
Farm Other Specify Other (SUerify)
ther SUecify Other Other
ompute lnspection Fee Below ~
# Fee ServiceEntranceSize # Fee Feaders/Subfeeders ~ Fee Circuits
U to 200 Am s 0 to 30 Am s 0 to 30 Am )s
Above 200 Arpp5i 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms Partial-'Other Fee
Signs Sinspection S / ~l
Remarks ' TOTAL FE'E
f f~
`
Rough-in Date I, the Elec~tr=c~1/ •
~ Inspector, hereby
ce ify that the above
Final te ~ nspection has been
8' made.
This request void 18 months from "
7/9 a Y~~~-
~r 5 0 5 6,(
Request Date • ire No. ough•In Inpsection Required Inspection Other Than Rough•In
TVOU must call inspector when ready) Q qeady Now ? Will Notily Inspector
? Ves Q NO DateReady
I°* licensed contractor I] owner hereby request inspection of above electrical work at:
c
Job Address (S1reeL Box or Route No.) City
1 b c~4 kz oc:k9 j0j_ d..a"NQ
Section No. ]Township Name or N Range No. County
Z)
Occupant (PRINT) Phone No.
&SV VA0
Power Supplier Address
VK)"L A
Eledrical Contractor (Company Name) Contractor's License No.
(~Q12Yt.,16 N eer~~C_
Mading Address (Coniractor or Owner Making Installation) .
V • pJ/4 ~~`Z~C.?Ji r "
Auth i Signature IConiracto iOwner ing Installation) ~ Phone Number
, ~1 ~-c131
MINNESOTA STATE BOAR L CTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - R S- 3. BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
r5~ REQUEST FOR ELECTRICAL INSPECTION TF~ es-ooooi-os
? See instruclions for completing this form on back of yellow copy. ~~A 9 ~
6 6 ..,X" Below Work Covered by This Request
ew.A,dd Flep Type of Building AppliancesWired EquipmentWired
~ Home Range Temporary Service
Duplex Water Heater EleCtriC Heating
~ Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks
Compute Inspection Fee Below: 0- ~ ~ PE, A- V- -
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: ~ TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee " COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough•in ~ Date
certify that the above inspection has Final ate7_~
been made. e ,
OfFICE USE ONLY
This request void 18 months from
This request void
18 months Trom
~ 0904 3
Request Date ~ Fire No. Rou h -in Inspection E]'
~ - C Re ired? Ready No Will Notify. Inspec-
Yes ?No [or When Ready
Licensed Electrical ontractor I hereby request inspection of above
Owner electrical work installed at:
Street A dress, Box or Route No. Cit
~ ~f1tJ~r?t~''T
ection o. Township Na e or No. Range No. Qunty
~ ae
OccuGant (PRINT) ~j Phqn rN~
Po PPlier qd~r '
Electncal Contractor (Company Name) tractor's License No,
} t L_A • f
Ma li g Address m~pntractor or Owner a Ing 'nstailation)
Auihoriz Si nature ontr or/ er Making Ins all tion) Phone mber
MINNESOTA STATE BOARD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
Aw., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
~j REQUEST FOR ELECT.RICAL INSPECTtON • Es-00001_04
. C
' See instructions for completing this_form on back of yellow copy. ~
r~ 0 ~ 'r'` 43 '"X'" Below Work Covered by This Request 14 , (o r~j ~
evy Add Rep. Type of Building Appliances Wired,.pO' Equipment Wired
Home Range ` Temporary Service
Duplex Water Heater - Liyhtiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
InduStrial Bldg. ' Air Conditioner Bulk Milk Tank
Farm Other Speci Y Other (Sper.rfy)
ther Suecify Other Other
ompute lnspecrion Fee Below
if ~ Fee Service Entrance Size # Fee Feeders/Subfeeders .i! Fee Circuits
~ •3- 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 qmlJSj 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Boorr~s ab Partial,'Other_Fee
Signs Special Inspection S TO
Rerr~rks ~ .JV i
Rough-in D))974f I, the IectTriTal /
~ Inspector, 'ereby
certify that the above
Final ~ Dale
ection has been
CJ
- ? oY insmadpe.
fi
This request void 18 months from
. ' CITY OF EAGAN o 113 5 8
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551
PHONE: 454-8100 Receipt#~
BUILDING PERMIT 1
To be used for SF DWG/GAR Est. Value $82. 000 Date NOVEMBER 25 , 1'9 85
~i 1664 WOODGATE 'LN R3 Site Address Erect ~ Occupancy
Lot 13, Block 1 Sec/Sub. MALLARD PK 2ND Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const. V '
Addition ? No. Stories
¢ OZMUN-PEDERSON INC Move ? Length 54
Name
W 15136 GALAXIE AVE Demolish ? Depth Sn
o Address Int. Impr. ? Sq. Ft.
city A-V• Phone 431-5000 Install ?
o Name SAME Approvals Fees
o¢ Address ' Assessment Permit $ 3 7 9. 0 0
~ City Phone Water & Sew. Surcharge 41 . 00
~ Police Plan Review 189. 50
F W Name Fire SAC 525 . 00
Z Address 500.00
Eng. Water Conn.
< W city Pnone Planner Water Meter 63. 00
Council Road Unit 280.00
I hereby acknowledge that I have read this application and state thatthe gldg. Off.11/ 2 0/8 Tr. PI. 132.00
information is correct and agree to comply ith all applicable State of
Minnesota Statutes and City3f Ea afl-Or a s. APC Parks
~ Var. Date Copies '
Si nature of Permittee ~
10 9. 5 0
9 Total ' `
A Building Permit is issued to: OZMUN-P ERSON INC on the express condition that
all work shall be done in accordance with all ppli State of Minne ta Stat d City of Eagan Ordinances.
Building Official
~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
~ Foic>Office:l3se ~
~...V..,_~~.,~~,....
I
~ Permit
City of EaRan I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: ~
I I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: e- C-A
Tenant: in..c,~'\ A ? Suite
RESIDENT / OWNER Name: ~ ~~~b,,,J'j A e4~JMAn/1 Phone: C3> rl ~
/ ,1 A
Address / City / Zip: ~pVG-~rc; ::tfz ~e1 j u
Applicant is: Owner ~ Contractor
TYPE OF WORK Description of work: 7-
Construction Cost: /1? 67&0 3 9 Multi-Family Building: (Yes / No A2,21
CONTRACTOR Name: License#: zoZ I~P lls~
Address: )12( 3d' ~c~aa v i'r,~ C,•,^JL
city: LclkeU,- llV__ State: j'OIU Zip:
Phone: ~/Z 79/ 7110 9 Contact Person: J~.. aC_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • 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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and-supporting documents that yoursubm`it are considered to be public information: Portions of..3;
the information may be classified as non-public if you provide,specific reasons~that ~ would permit the City to
~ I- ~conclude that~the are trade secrets. , ~
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to~ i out 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 plan~,
X
X
Applicant's Printed Name ~ApplicanYs Signature
Page 1 of 3
RESIDENTIAL BUILDING
Permit Application
/ City Of Eagan ~v U
l~ 0~° 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodeURepair Reouirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. oi house; and all roofed areas 2 copies of plan CeR of Survey Recd Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y_ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd Y_ N
1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date Construction Cost
Site Address (:574TE. Unit/Ste #
Description of Work RQ~)" o(,1N 1/lie,*4.1__ jA1 ot4G_ lV gto
Multi-Family Bldg _ Y4 N Fireplace(s) _ 0 K 1 _ 2
Property Owner m (Z, ~ ~ Q(Z y11 !t-N-, L k/k /QA / Telephone # 46V• )
Contractor cy au
Address 16 G~kp 170tl !ja (,v _ ((,kp Uu t,/ City
State Zip s Telephone # ( Q0~__ `
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission rype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
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 only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
1~) V ltj, !'dI.CNk G
Applicant's Printed Name App ic s Signature
OFFICE USE ONLY
Sub Types
44
O 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
Work Types
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
J ,
. ~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS M[1ST BE LICENSED MITH THE CITY OF EAGAN
C0MMERCIAL SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS; 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS' '
$2,000 LANDSCAPE BOND
To Be Used For : ~SFn Valuation : &2- 000, Date . 11-19-85
Site Address 1664 Woodaate Lane OFFICE USE ONLY
Lot 13 Block 1 Erect )C Occupancy
Remodel ~ Zoning
Parcel/Sub Mallard Park Second Add. Repair ~ Type of Const
Addition # of Stories
Owner Nor.1~prt Ad],pman Move Length S
Demolish Depth ~
Address Int.Impr. ~ Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
Contractor 0717,~;-pcdeggQa, Assessments ~ Permit
Water/Sewer Surcharge
Address 15136 Galaxie Ave Police ~ Plan Review g'
Fire SAC 52.5,
City/Zip Code Ap.ple Valle.y, MN 55124 Engr ~ Water Conn 5 00,
PlannerWater Meter 3,
Phone 411-500Q Council~ Road Unit 280.
Bldg Offt-M-
Treatment Pl ~ 2.
Arch./Engr. APC Parks
Variance Copies
Address TOTAL a1
City/Zip Code
Phone #
NK6 r-. l~,as
2,
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~ 1 . . ~ ~ . . . ~
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p 6 - o . • r
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• ~ +
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~
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- ~
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r i
IiX7'ERI()R ENVELOPE AVERACE "U" COMYUTATION
ner _A(c~J4!5P7 ~ ~aoYAW Address64~4. IPOD D 11 E NEPhone
ga.1 Description of Froperty: Lotj 5 Block_L_Addition 2"~O#4 D17 /T/0)J Date
te Address__/~ ¢ LU ~rTD ~ LA-vV,-=__~~.~.~~
AVERAGE LINEAL FEET OF
E?CPOSED WALL AREA ABOVE GRADE
iir Ylevel /
Lineal rt. of framed wall above grade /b ,(-x height of wall
im jcist area
Lineal ft. of rim ~Gg x height of rim ~
,wer level G, 8~ = 3 09. .5~
Lineal ft. of framed wall above grade I/ x height of wall ~•S~ 4'
L i nedl f t. of masonry wall above gr.ade //p4 'x height above grade LL -
TOTAL wall area above grade including windows and doors = Z.f~ 7, S_
1NDOk'S : Area x "U" value X (U) (A)
ake S type GASE.N'1E3Y~sq• ft. X,~U~~ _ ~U) ~A)
if of sq. ft.
„ i, p o 4:111 Sq. ft. 4 7. D X~~U,~ (A)
S, sq. ft. 34.2 XISU,1 = I 4•a z(U) (A)
If
l0 2¢?L~'e X flUf, . _ (t*) (A)
~.5 s9• ft. IO
_r
X u (u) (a)
¢ Z O~ o 9 sq. ft. . L XflU~i (IT) (A)
sq. ft. X 1.1Ull _=~(U) (A)
sq. ft. - (U) (A)
r~ is X loUll sq. ft. X (U) (A)
sq. ft. (U) ~A)
sq. ft. X (U) (~A)
~~Un =
sq. ft. X X (U) (A)
sq. ft. X (Lt) (A)
sq. ft.
sq. ft. X stUil (L') (A)
~lUt$ _ (U)(A)
sq. ft. X (t') ~A)
of sq. ft. X IvUll (U) (A)
it sq. ft. x
/So. 6 6 .73
)110RS: Area x "U" value _
lake & type CELL6 p6T/0 sq. ft. ~.v. ~ x ~~Un .3J, ~U)~A)
f6A64ptere 6_° Paq~o ,_-Sq. f t. 40, j XfoUll .066 = Z, 6 7 (t1) (A)
(U)(A)
sq. ft. Z o. ZSX U . oG6 ° 1,33
vss.,..s~ Z sq. ft. I f~• 5l~ XVIUVI , c(, I ZZ (U) (A)
~ ~ .
110,11
i~ •i~
)I?AOUE WALL CONSTRUCTION; Area x"U" value c~ (1') (A)
Sq. ft. / 6 Z. 87 XofU,o .088 = ! 6, p
Z= G9• I Z (U) (A)
Z x"L'" .0
~Q„ W C~L sq. ft._~.~.
~~Etail refer sq. ft. x"U" D = 6• 5'6 (U) (A)
ance from s9• ft. ro X::Ulf Z.g, (U)(A)
attached X Itull - (TT) (A)
sq. ft. X (ii) (A)
sheets - sq. ft. X (U) (A)
sq. ft.
5 3
TOTAL Wall Area Including '7 •
Windows & Doors TvTF+i (A)
I~4'~~ _ AVG. n(J~~
'f(i'I'AL (il) (A) VALUF.S ~f'~ • 7 -
I;l V I DED EY 1'(1TAL WALL AREA
r",VGRAGE "l'" Minimum .17 or less for 1& 2 family dwellings.
Alinimum .22 or less for all other buildings
NO)TF.: Tf averaRe "U" values as calculated above do not meet the Energv Code requirements, the
"A]E-rnate Envelope Design" as indicated on Page 5 may be used.
, . _ . . _ . . . • .'`+:~:'F`.';~`.,`., .
R-Value
F}tAMING MEMBERS IN _WALLS
Top View ~ - -
_Exterior air.__film
I\lj`i':. : u6e 1 U%o TE~-- ~/F:w !'YJ d~
ci opa4ue ~Siding--• 5 -
K& 1 1 aT@a it
for fran,in I Sheathing O
mec..bers 87 ~
~ 9 . 3rr soft wood
~ -g dr.y wall 45
-
Interior air film '68- . •
........».r.. - . ,
~ I l. ZBS~
TOTAL R =
U - 1/R U - . 088
FRAMED WALL
~
Exterior air film .17
Siding 04, D
Sheathing v7/~ 2 Z. D
5Y-&,batt insulation
.45
!s" dry wall - - - - -
Interior air film .68
.
. ~ TnTar _ R - Z-3'
u = i/R u = . 0¢Z
RIM_ JOIST AREA;
~ Ex t e r i o r a i r f i lm 17- _
Siding D4,
/3Z z, d~
Sheathing
,
l~" soft woQd - ~
C„ ~ l . lT D
In
.68
Interior air
~ ~ TOTAL R
- . ' ~ o¢
U = 1/R U
MASOPIRY WALL
Exterior air film .17 _
- 12" concrete 'ulocic
Insulation v/ A9
Interior'`air film ---'68 -
~ ' ~
( 2 TUTAL R
• ~
,
,
u=1/R 'u=
r'
. _
~ ~ r., ~ . ~ . k
ROOF CEILING
-
_ Outside air film .61
~ ~ - - - - -
Insulation f L ~
~
~ ,F-7 ,~s= - 1 - ( - - - -
i
31" Drywall .45
~
Interior air film .61
TOTAL R_ _ 4-
U = 1/R U = -
,
~ - '
_ =_--_i-_ - Outside air film
Insulation
/ - - 1511 Dr},G,all .45
;
_ ~ - - .61
Interior air f ilm
- . - -
TOTAL R =
. U= 1/R U=.
Outside air film •17
fluilt,-ug.rnof3.nQ
J~l~_ Insulation
.
Wood decking . _ - - .
` Interior air film .61
• ~ • TOTAL R =
U 1/R U .
ROOF/CLILING: -
TGTAL AREA: ~ sq. ft.
netail reference -x sq. f~: (U)(A)
irom above. x sq. _ (L)(A)
Describe openings x sq. ft. _ (U)(A)
i n roof ~ . • ~~U~~ _ x sq. ft. _(iJ) (A)
x sq. ft. _ 09 (A)
. liulo x sq. ft. _ ( L~) (A)
loUll x sq. ft. _ ~L) ~A)
TOTALS sa. ft. ~ll~ «
'1'OTAL (U) (A) VALUES
AV C. . "U"
nIVIDED BY TO't'AL P.UOF/ -
CLILIt:C ARF.A
AVERAGE .!JS for ventilated roofs
.10 for all other construction
~~?'1'E: !f averaYe "I'" val.ues .as calculated above do not meet the En~erry Code requirements, the
"Altcrnate rnvelope Design" as Indicated on Page 5 may be used.
~ l3)
. , :
• ~,3 • r, - - - _ . . . . . - . . - - -
°'UA
~~E•s;~i~',~
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ~`s
3830 PILOT KNOB RD - 55122
851-881-4875
New Conatrucflon Reauirementa Remodel/Reoair Reauirements
> 3 registered site surveys ahowing sq. B. ot lof, aq. ft. of houae 2 copies oi plan
and gLi rooted areas (2096 maxlmum lot coveraae allowed) 1 set of energy calculailons for heated addltlons
~ 2 coples of plans (show beam & window sizes; poured ind. design; etc.) 1 slte survey tor extedor addillons & decks
> 1 set of eneryy calculallons
? 3 coples of free preaervatlon plan if lof platted after 7/1/93
DATE: I C) CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: \VA O
1 I I/r/-
LOT: BLOCK: l SUBD./P.I.D. Mxarej a r K ~
Name: Phone
PROPERTY Last First
OWNER
Sheet Address:
City State: Zip:
Phone 7~_ 17 ~ Oo 3.~
Company: ~ (area codS)~
CONTRACTOR
Street Address: 1~~~ Q 5~ 1•~ 5~ ucense #`a.o2,`3a~~~ Exp. _3(3V D!
Cliy rA_1DN>1):=-v_ State: Nn Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Sheet Address: Regishation
C ffy State: Zip:
Sewer/water licensed plumber (if installirxa sewer/waterPhone (
I hereby acknowledfle lhat I have read this applicatbn, state thaF the informatlon is correct, and agree to compty wilh all applicable State
of Minnesota Statutea and City of Eagan Ordinances.
Signature of ApplicanY.
OFFICE USE ONLY Certificates of Survey Received Yes No '
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
0 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) O 31 Ext. Att - Mufti
O 02 SF Dwelling ? OS 06-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF
? 03 01 of _ plex ? 09 07-plex 0 18 Deck ? 23 Porch (screened) ? 36 Mufti
0 04 02-plex 0 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
O 05 03-plex O 11 10-plex Plbg _Y or _ N O 25 Miscellaneous
O 06 04-plex ? 12 12-plex ? 20 Pool O 30 Accessory Bldg.
WORK TYPE
? 31 New O 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) O 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
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:
SAC Units
% SAC
, 1999 BUILDING PERMiT APPLICATION (RESIDENTIAL)
CITY OF EACAN
~ 3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements Remodel/Renair Reauirements
? 3 regisfered sRe surveys showing sq. ff. of lot, sq. ff. of house 2 copies o( plan
and oll roofed areas (20% maximum lot coveraae allowed) 1 set of energy calculations for heaied addffions
> 2 copies of plans (show beam L window sizes; poured fnd. design; etc.) 1 sffe survey for exterior addffions 8 decks
> 1 set of energy calculations
~ 3 copies of tree preservation plan if lot plaHed affer 7/1/93
DATE: 7
CONSTRUCTION COST:
DESCRIPTION OF WORK: Vv"-
STREET ADDRESS: 7 ' 4 / E ~ IV'
LOT: BLOCK: ~ SUBD./P.I.D.
Name: dD FL/f A dL/ A) /CJ 0 1'~'e7 Phone#:
PROPERTY Last First
OWNER
Street Address: ~ A ,
City State: Zip:
~
Company: Phone
(area code)
CONTRACTOR
- Street Address: License # Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name: " Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer 8. vvater licensed plumber (reauired for new construction onlv):
Penalty applfes when address change and lot change is requested once permit is issued.
I hereby ack'nowledge that I have read this applfcation, state that the informat(on is correct, and agree to comply with all appllcable
State of Minnesota Statutes and City of Eagan Ord(nances. l
Signature of Applfcant:
OFFICE USE ONLY
~
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 4-plex 0 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex O 09 7-plex ? 14 Apartments ? 19 Lower Level 0 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool 0 25 Miscellaneous
WORK TYPE
0 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert 13 44 Windows/Doors
? 33 Alteration 0 37 Demolish Bidg. O 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
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 Bldgs
# 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:
SAC Units
% SAC
s t I • '5 10 • i a61 T • 154 • • simn, r• 04• ~
. s • a• i • • ~ ~ • r• • • • n~U, ~ ~ o •
~ ~ a
~ CITY OF EAGAN
APPLICATION FOR PERMIT SEWER ANID/OR WATER CONNECTION
(
PROPIIZTY ADDRFSS : Pleaf~e Pr nt ) (
1)
T,FGAT, DESCEZIPTION:
(Lot Block Subdivision or Tax Parcel I.D. Number)
IF EXISTING STRL'CT[?RE, DATE OF ORIGINAL BUILDING PFRMIT ISSL'ANCE:
(Nlonth Year)
PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY
R-2 DL'PLEX ('I4ao L'nits )
R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APAR'I'MENT/CONDOMINIL'M ( Units )
CONIMEF2C IAL/RETAI L/OFF I CE
INIDL'STRIAL
INSTI'Iq,'TI ONAL/GOVERNNIENT
rArE: /4~ L~ l Z,e /'i
ADDxEss: 'l~ S
CITY, STATE, ZIP:
PHONE :
3) • i: For City C~se
N~' plurnbers LicensE
ADDRESS :
t '~ve
cz~, STATE, zzP: 71 ~1r 5 S"~2 3 ired
PHOI~: '7~~ MASTEFt LICENSE # g t ReCOr(
~ 1-
St f Initial
•
4)
NAME= 11~ -WW ~ _F /Y t--- L ll14- A'A/
ADDRESS:
CITY, STATE, ZIP:
PHONE:
i~ a • a~° •
5)
~ CONNECTION TO CITY SEWII2 C~ CONNF.CTION TO CITY VATER
? OTHER (Please Describe)
6) DQNZi : P•?i
PLEASE HOLD APPROVED PERMIT FOR PICK-C'P BY ONE OF ABOVE
C~ PLEASE MAIL APPROVED PERMZT TO l, 2, 3, 4, ABOVE
(Circle one)
7)
~ ~
. - _ :.s .
f F 0 R C I T Y U S E O N L Y
PEpMIT 4 ISSUED FL'ES- $ /Gi5 v SEWcR PEqMTi (I_`ICL.;DZ SURC::nR.~ r'G)
$ iG S C~ WATER PERt?T (INCLuDE SLRCHaRGE)
$ ccWATER METER/COPPERHORN/OUTSIDE REo,DER
$ WAT='.°, TAP (INCLUDE CORPORATION STOP)
$ 5:.WL,p TAD '
$ /S LC~_.C..Cl._:T ==0= - _R
$ ACCOliNT DEPOSIT - WATER
$ S2•~_ wAc
$ Sac:c, spc
$ TRliNK WATER ASSLSS:?E::T
$ TRli:1K SE:•IER ASS?SSMENT
, $ LATE?,r,L BENEFIT/TRUNK SE::ER
S LaTr.RAL BENr,FIT/TRUNK WATL'R
$ WATER TREATMENT PL.ANT SURCHARGE
$ OTHER:
$ TOTAL $ S v AMOL'NT PAID;'REC°IPT tt Scf oS~z
DOES UTILITY CONVECTZON REQUIRE EXCaVATION IN PUSLIC RIGHT OF iJAY?
~ YES IF YES, THEU N"PERh1IT FOR WORK WITHIV
PUBLIC ROtIDWAY" MUST BE ISSUED BY THE
~ NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOWING CONDITIONS: •
APPROVED BY:
. ~ ~ TITLE:
DAT° :
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1664 Woodgate Lane
Lot: 13 Block: 1 Addition: Mallard Park 2nd
PID:10- 47251- 130 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Getz Construction
16138 Goodview Cir
Lakeville MN 55044
(952) 891 -4208
PERMIT
City of Eaan
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Norbert A Adelmann Tste
1664 Woodgate Lane
Eagan MN 55122- -242
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA089188
05/15/2009
ePermit