1749 Woodgate Lane
CITY OF EAGAN WATER SERVICE PERMR ;
3830 Pilot Knob Rosd I.
p. o. Box 21199 ' PERMIT NO.:
Esysn, MIC 551 ?11 DATE:
Z~~: Na of Units: ~
FTo.ZCler Wn8
OweNr:
Addnar 11"4v ..oo ga e alie , eron
51h /lddreu: 3
P1un*o?: Star A fr,E:l,: t~ ~
Mst.r No.
Tti 18,7, ~,-,,i1~Obo~irMh~~' ,I 5.0(} pd ~
10.00 d i
R~od~r No.: ;~nrdt F~e: ~
; 5 0 J
' ~
Mm fo ~wPh w 17n ~
'Orge'' s . nc m.< r ~ • ,
~ Total:
~ BY Dote Pold:
5 l- P a! ~1 Irnp.:
~ pate
CITY OF EAGAN WATEit SERVICE PERlWT
3630 Pilo' Knob Road
P. O. Box 21198 PERMIT NO.:
Eayan, MN 55121 DATE: P,=-
~ontnp: '`L No, of Untts:
OwrNr:
llddnm:
Sft Addi •lundgaLr IIe T31 ;cCC¦!2 PlUmbff:
Water NO.: C.ORfMCt10RCF10rgeI •00
$12fI A00011Rf DDP*dt:
1Tnlt FN:
RoOdK N0.: Pe~ r'
I Nm !o own* wa !M G!p of M"a Su?charpn 5U i+c
13
pcl
_
Or+iw«ri. Mlu. Choron:
Toral: o meter
gy Doft Pbid:
Dofe of Imp.: Irap.:
1
I CITY OF EACiAN SEWO sRVKX FLVR ~
3830 Pilot Krwb Raad
P. O. Box 27198 PERMIT NO.: 7 501 ~
Eaw, MN 55121 pATE; 6` 1 8-$ 5 ~
~
Zon+np: Rl IVo. oi U.ats: 1 pwner. Frontier MidWeet ,
/lddrou: ~
Sft Add,ess; 1745 woodqate Lstxte L3 B1 7iberon 1
~ qunt.r. Star Plbg / Wenael Msch
6--13-85 52710 100.0{:
nd ;
; 1"M f. -ewPy wllr !r. phr•f i.ow Ca„nectbn Ciwtp: 425.00
Aoo,w,R p,podt; 15,00 pd ,
10.00 pd ~
Prndt Fse: -
,
; surd,oro.: .50 pd , t
~ BY MisC. Qwrym
Date of IrrR: To/ai:
` I?sP.: DaM Pbid:
~ ~
~ • CASH RECEIPT ~
CITY Of EAGAN
P. O, BOX 21-199
EAGAN, MINNESOTA 56121
DATE 19
rwor v i . ' . `
-
AMOUNT~
I
& DOLL/1RS
! , ~os
? CASN _~.6MECK
i
~ ; i", , ~
FUND COD[ AMOUNT I
. r ~ _ • ~ II
r ,
. . ' t. ]
~ ~ ?
r J =3
~
Thank You
7/ J:
W„te-P.Yem Co;„
Yellow-Postir?p Copy
Pink-File Copy
CITY OF EAGAN r~ r~ ~
3830 Pilot Knob Road. P.O. Box 21-199, Eapn, MN 55127 ~
~ PHONE: 454-8100
euILciNG PERMn Rec.+pt -
TO M wa fM Est. Val ue ?~.r00 Dote
sit. nddrm 1749 j erecc Q oc«,p.ncy
Lpt Block ~ s.r,rcub. Remodel ? Zoning -
PareN No. Repair ? Type of Const.
Addkion ? No. Storia
Move ? Lfngth
~ No'he l r , Demolish ? Depth
Address lMENl f:WY Int ImPr. ? 4
A 5 4- C 4 3:s sv. Ft.
City Phone Instell O
Nams APpeev.M FMs
~ .l ` ` •E
A~~ Asssssment Permit ~
~ City Phona Wote? 3 Sew. Surcharye ' 5~`
Poliu Plan Raview ' a • ~ ~
~ Name C:;t~,RL~IE:R Fin SAC .5 OU
IZ Addross ! cl 1 C~ ~.11 i1: P' \i T EW Water Conrt 5 U 0 f}
~ W City ",i,'~i, Phons ~ 3 2- ~ 4'~ Plonr~r Water Meter f3..a 00
Cowncll Road Unit 280,110
I hereby acknowledye thot 1 haw nod this opplication ond stote thot Bldp. Off. 6I K,/~. r~ Tr. PL 13-,.(? 0
A~
fht information !s torrect ond ogree to comply with all app)ICObIe
Srob of Mirxwaota Stotutet ond Gt~/' ~ Eoyon 01Jinonus. " Pa~
Var.Om COPIM
Sipnotun of PemwttM
.?~t tiT7i,.~rc j. ~_3v:~r5T ~±~;~•i~..~ Totai
A 8uilding Permit Is Isswd to: on fhe *xpneas Condition thot
dl worlc sl+oll be dorn in acoordonu with oil oppliooWe Sto1e of Minnesoto Stotutra ond Gty ot Eaqan Ordlnorces.
Buildinp Offidol
Ponnit No. PonnFt HoldK Dwb ToNphone a
rlu^'b"N I S~ S~
H.VA.C.' O Y 0 W Z ( -
El.etrso b
Softmw
I~ap- etian Oate Insp. OthN
Footinps 1
FoOtlepsll
Foundatlon
Fnminy
RooAnp
nouan s - 3 -~SPo,C
Rouyh Flt~.
InwL ~
Finplaom
Final Htp.
Fleal Plbp.
Fleal
CWf/Occ. Co -3 -
Wat*r Dherib Loeation:
WNI
SnuN
Pr. Disp.
Receipt.' PWMBING PERMIT Permit No.
CITY OF EAGAN
• _ ~ ~ Fee
' Fill in numbered spaces S/C
Type or Print legiWy Tot
1. Date 2. Installation Cost 'a
3. JobAddress/git?L;~,4 LotBlk,' Tract
4. OWfI@r
. j
d
5. Contractar i- ~ ,Yt: •i_ Phone
~
i
6. Address
~
7. City State Zip
. ~
8. Building Type: Residential Commercial ? Institutional ? ~
9. Work Description: New U Add ? Alter ? Repair ? ~
I
10. Describe ~
11. No. Fixtures No. Fixtures ~
Water Closet Cesspool/Drainfield
I Bath tubs Septic Tank
l.avatory Softner
' ShOwef Well
~ Kitchen Sink
Urinal/Bidet Other; /A
Laundry Tray %)t,_; %1 e r'
i Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Roaipt MECHANICAL PERMIT Pormit No.
CITY OF EAOAN FN J,
~ y ' flll in numbt,rod;pacer SJC .50
7Y0r ar PrInt / piWY Tot. 72T U-
1. Dm 1~~`~ 2. Installation Cost 1. s i 5. C+ 0
1749 [voud a :li~ii~> > ± ' ' • ~ ~
3. Job Atklnp g t.j* Blk. Tract'
4, p,,,,rw Frontipr Companie;.: 6. Contractor Wenzel tlechariica1 phone 452-1565
g, qddrm 3600 Kenncbec llr. i,.r!.
7. qty Eagan Stato .:,Y, Zip 5 '31 8. Buildiny Type: Residentisl Mi Commercial ? Institutional O
~ 9. Work Description: New ERX Add ? Alter ? Repair ?
, 10. Desaibe iieat. in; sys. Fuel Type natu. rll
11. No, Enuepnwni 8TU - M. Ea. No, Eauioment CFM
Forced Air Air Handlinq:
~
Mfg.
Boilsn Mech. Exhaust
Mfg.
'
Unit Heater bath i-anz;
~
Mfg. Other
Air Cond.
Mfg.
Gas. Piping Outlets
12. I hereby certify that the above information is true and correct, and I apree to
aomply with all ordinances and codes governing this type of work.
Signed : _ - M , P' . y : , r ' , , ; -for
Rouph F inal
~ -
k Inspections: Date Inap. Date Insp.
F Thia is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
•
; = . .i•~ ~ , PERnnir #
,J~ MECHANICAL PERA4IT
v!gg CITY OF EAGAN RECEIPT # /
~ 3830 PILOT KN4B ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address Q BLDG. TYPE/ WORK DESCRIPTION
Lot~-~,., , Block Stec/Sub Res. New
Muit Add-on
Name ?
' 4 ~
Comm. Repair
Address :Si c City /?1 D/ C Phone ~ Other
FEES
(D Name ;1"'- RES. HVAC 0-100 M BTU -$24.00
c Address cr ADDITIONAL 50 M BTU - 6.00
p City LPhone L-Y (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CANTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RA7E APPLIES
70WNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. i~~ ~}J ~ M BTU MiNIMUM COMMERCIAL FEE " - 20.00
Vent CFM -~STATE SURCHARGE PER PERMIT - .50
-(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Oudets # BEYOND $1,000)
. Other
FEE: -
S/C: ? R
TOTAL•
FOR: CITY OF EAGAN
_ - - - - _ _
CITY OF EAGAN Remarks L± l"
Addition TIBERON ADDITION Lot 3 pik 1 Parcel 10-76400-030-01
owner street 1749 WOODGATE LANE state FAG" MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
1 -g
STREET SURF. 'p 1977 253-40 25.34 10 25.42
STREET RESTOR.
GRADING
SAN SEW TRUNK 1974 127.96 8.53 15 2 p C0102 0 9-3 -8
L sEWER
11 f 1984 6 24.73 S
WATERMAIN 140,
-%Z WATERLASEflAt $BIl f 1984 22534.00 Jr 1 20. 0 C0102 0 9-3-85
WATER AREA g
STORM SEW TRK 1984 587.00 117.40 -352.20 C0102 0
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDIN R.
SAC
PARK
~ 2 ir 5 0 . ~ v
~
ReQues~ Dete Pve o RougRln Inspeclion qeqwratl Ins cibn O~her Than Rough-ln
(vou must wllinspecmr,~w,h~~ tly) eaCy N w wlll oUry nspector
? Yes ~"FJO Oale Raetl
I Il?licensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (Street, Box or Routa Nro I City
d Ic .L 11-7 1" /JAf
Secimn No Township Name or o Renge No Counry
Occupanl(PRINT) Phone No.
.eK ~!t>1
Power Supplier AOtlress ~ /
~A rd Ri f1~'.s~li T ,V •
IacVrzl Coniractor (COmpany Name) Oonlrectors License No.
aa7
Meiling Atltlress (COnVactor or Ownar Making Insta
,P,l' llolion
~
Authonze alure (Coniractor wn Makmg Installalion) Phone Number
^ ~ -40
ESOTA STATE ARD OF ELE ICRY THIS INSPECTION REOUEST WILL NOT
Grigga-Mltlway Bltl Room S-128 BE ACCEPTED BV THE STATE BOARO
1821 Unlverslty Ave., St. Peul, MN 55100 UNLES$ PROPER INSPECTION FEE IS
Vhana(61R) 6C2-0800 ENCIOSED.
WCl1~/ REOUEST FOR ELECTRICAL INSPECTION °`=~=e`' ~B
022565 E. 00.09
, SBB NSWL~ W 10f C~pletlig Ihis lortn on back of yellow copy.
{„i , X" Below Work Covered by This Request '''u~~•~ °
No% Add R,~ Typa of Building Appliances Wired Equipment Wired
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt. Building Dryer oad Management
Comm./Indusirial Fumace Other (Specity)
Farm ir Conditioner
Olher (spenty) Contractor'e Remarks:
Compute Inspechon Fee Be/ow:
# Other Fee # Service Enirance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Am s 0 to 100 Am s
Transfortners Above 200-Am s Above 700 -Am s
Si ns Inspecmr's Use OnN: ~ TOTAL Jr
Irngation Booms
5 ecial Inspection V
AIarMCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, heraby aougn-in ~ oaie
cerhty that the above inspection has
been made. Finai
OFFICE USE ONLY
Tpis reQUest vatl 18 monlhs irom
This repuest void ~//S/QQ' ~~~~f
16 nwnths from ~V v
E 426 22-
Fequesi D.I. Fve No. RouPh-in Insuer.twn
Req vetl~ Featly Nuw E) Wfll Nnuty Inspec-
5 ?ves ?NO 11, tor k'hen Ready
Alt ~censed Eleclncal Convactor
I hereby repuest inspaction oi above
? Owner electrical work insielled at
Sveec AAdress, Bon or Rovte No. Cny
l G
e,uon o Township Name or NQJ Rangc No. Coumy
Occuya t IPflI TI Phor'g Nn.~ ~y
,t 5 .o
.
Power uPPLer Address
ecrn I Co1ltr.ctor ~p~y Na el C n r r.mr's Lins No.
I , ~ 1 \/~TI 1 U
Man AdJress IContractor or Owne akfnp Instailauol ~
1
A No izetl i0na e ICoMractorger M. Ins Ilationl Ppp¢~[J er
Yf_I
(V
MINNESOTA STATE BOAND OF ELECTqICITV THISINSPECTION NEQUEST WILL NOT
Griggs-Midwey BItlB. - Room N-191 BE ACCEPTED BV THE STATE BOAPD
1821 Univarsitv Ave.. SL Peul, MN 55104 UNLESS PPOVEH INSPECTION FEE IS
Phone 19121 649-OHOO ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION M. ee/-ooGoo-/i~-o`s
See instrucvons lor completin9 this (orm on bxck of
]`L+-~ ~ Vallow coPV.
E 4 2 Cj -G "X" Below Wark Covered by This Request
d ReO. Type ol BmICin9 ApPlmncea WveC Equqimeul Wired
. hlome Range Temporary Service
Duplex Water Heater Liyhtiny Fiztwes
Apt. 6wlding Dryei Eleclric Hea[in
Commercial Bldy. umace Silo Unlo.+der
Industnal Bldg. Air Conditioner Bulk Milk Tank
Parm Oin, o11,-fy ine, lSuc~~(H
IFIr SucuFy Oihei Othur
ompute Inspection Fee Belaw
p Fee Service ENrenceSize tr Fee Faeders/Subteeders a Fee Circuits U ro 200 Amps 0 to 30 Am ps 0 tn 30 Am. ps
Aove 200 qmps31 to 100 Amps 31 to 100 Am s
imming Pool Atwve 100-Amps AbOve 100_AmPs
Transiormers Irrigation Booms Parual."Other Fee
Signs Special Inspection S
TO AL FEE5C1
Rertwrks ~
/0 ~
Nough-in 1, tha Elecv,cal
Inspector, herebv
cerIllv that the . e
Final _ D^ I pection he aen
!Y de.
fbis 'epuest voW 1B months Irom P•
This requesl wid 5 V ~
18 mpn~s=wn 1 33 g)~ I g~
~-061 0 1- ~bher.l .u v
flepues~Dale Fire No. liough-n Inspec~ion / •
~wu1NT ~NeatlvNow0Wf11NOlifv.lnspec-
~ `7 QYes ?No lor WF~en ReatlY
i/
O L~censed Electrical ConVacmi 1 hereby reques, inspection of ehove
? Owner elecLit,al work imtalled ai:
Svee Address, Box w qou[e Ctr
C r~
ecUOn Townshio Name or No. Mnge No. J Coumy
y~
Occupam IPRINT; . Pho No.
1/,3
Po7{? ~ver~,u~ier, Address ~
~
Electrical Convacmr lConpaM Name) C acm~'s License No.
NDRICK ELECTRIC q
Mafline AtlJressUMU
Awhonzed Si t r ~ Phone Nunb¢r
MINNESOTA STpTE BOAM OF EIECTI11CfiT THIS INSPECTION BE4UE5T qILL NOT
Griggs-Midway 91dg. - Nopn N-191 Br ACCEPYED BY i/1E STATE 80ARD
1621 Universiry Ave., Si Peul, YN 55104 UNLESS PROPER INSFECTION FEE IS
PM.w 16121 297-2111 ENCLOSED.
5~(33~' REQUESi FOR ELECiRICAL II~SPECTION E~,~
, " :.s,~:~,a~~b.:m ; ,mm w ~ . ~
1546610 "X"' Be/ow Work Covered by This Request
A d'46> TvoeofBuiWinp ApplioxeaAirW EquipmentpirM
f Home Rvnge T ary Service
Duplex Water Heater ightiny Fiztures
Apl. Building ¢r Hectric Heatin
ComnerCial 81dg. Fur~ce Silo Unloader
Irdustrial Bldg. Air Cmditiwer Bulk Milk Tunk
Farm tne, spec1 r 1nc, ISUeufy1
t .r SVecily OIM, O~hc.
ompute lnspection Fee Below
M Fee ServiceEntrexe5ize p Fea Faetleus/5ubloetle.s C Fee Ci.cuils
0 to 200 AffkpS O to 30 Amps ~Q 'S-eo O tn 30 Am
~ J Above 200 qAm"P~s 31 to 700 Amps 31 ta lOQ q mps
Swimmrg PoAbove 700_Amps A6ove 100_Art4A
Transtormers rtigalion Boons Partiai•'Other Fce
~ Signs Special Inspection $ OTA FEE
flertorks :5Q
i
Rouph-in ~ Da1e ~
rical
~ ;r. he Elect
spectnr.
Neroby
rtih that~he aCOVe
Final Date
~o«co., m. e»n
de.
ttri.maues~.aa ~emon~Ralmm ~
~C7cC
CITY OF EAGAN nJ2 10 3 91
~ 3830 Pilot Kmb Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
~ BUILDING PERMIT Receipr AF 71)
Te M mrd 1ar SF DWG/GAR Est. Value $61,000 Dote JUNE 13 , lq 85
SiteAddran- 17 49 WOODGATE LN Erect ~ Occupencv R3
Lott/Bbck 1 sec/sub. TIBERON 1$T Remodel ? 2oning R1
Percel No. Repair ? Type of Contt. V
Addition ? No. Stories
5 Neme FRONTIER-MIDWEST HOMES Move ? Leng[h 40
i 3908 SIBLEY MEM HWY Demolish ? Depth 48
Address Int.ImPr. ? S4. Ft.
~ Ciiy EAGAN Phone 454-0433 Instell ?
$~E Approrab Fnt
e
o Name
u A~~ Atussment Permfl -4c
Water 6$ew. Surcharge 30.5C
1- City Phone _
Polica Plan Review 1 S H. O C
~W Name RICHARD CHARLIER Fin SnC 525.012
q~ q~ms 14103 GARDEN VIEW CT WeterConn. ~O~OC
'City APPLE VAL phone 432-5492 Vlonner waterMeter 6.3,OC
Council RoadUnit 280.0 C
1 hemby acknowledpe thof 1 hava reod lhis apDlicohon und storo thaf Bldg. Off. 6/5/85 Tr. PI. 1 32 _ OC
tha inlormotion is correct and ree fo comply wif il op oble
Smra of Mim,ewm Smrutp end Ci APC Perka
? /~T Var. Date Capies
Siprwturo of Perminae 7otal $ 2,004.5C
A Buildinq Perm+t Is lssumd ro: FRONTIER-M DWEST HOMES cond.~~~ tha
oll work sFqll bs dorq in aCCOrdarKa wifh oll npplycqble St~ nnew ord Ciry ot Eapan Ordlnances.
Bundinp Offlciol
2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~
• City Of Eagan O
~ 3830 Pilot Knob Road, Eagan MN 55122 ~
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruclion Reauirements RemodellReoair Reuuirements Office Use Oniv
3 registered site surveys showing sq. ft ot lot sq. ft. ot house; and all mofed areas 2 wpies of ptan Ced of Survey Recd Y _N
(20% maximum lot wverage allaxed) 1 set of Energy Calculations far heated additions Tree Pres Plan ReW Y _N
2 copies ot plan showing beam & window saes; poured found design, etc. 1 sAe survey lor addAions 8 decks Tree Pres Required Y _N
7 set of Energy CalcuWtions Addftion - indicate Aon-sde septk system On-sBe Sep6c System _ Y_ N
3 copies of Tree Preservatbn Plan if lot platted afler711193
Rim Joat Detail Oplions selection sheet (buddings with 3 or less uniLS)
Da[e -S Construction Cost tAg
i
Site Address ~~~t /n.'~-( UniUSte #
d,
Descriptian of Work
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner JP ~ ~ Telephone # c6-.v
Contractor Window Concepts of Minnesotq InC. ,
Address 990 lone Oak Rd City
Sta[e 5uite 114 Zip Telephone
ftM, MN 55121 ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Calegory . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/WaterContractor 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 approve plan in the case o ork which requires a review and
ap qval of plans.
~lrnml~,
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types •
? 01 Foundalion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 16 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc.
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 36 Demolish Interiar ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacemenl 'Demolition (Entire Bidg) • Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tesu Final
_ Framing _ Siding _ Smcco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ 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
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,~f,rr xs•~ r ' ~i* ~ ~II.
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n
~
i ~ F11 1~ ~i l~'~ '~~'y ~~I il• h t.r~x ~m., ~a~ ~s ~
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r? i:_ ) ~ `u °~ps h ,i I•' ;i ~'s~ r ~!t { a '4,~ r i~r ~ x . ~ '
I9 ~ i;* ' y~F}k t7 ,y~ f~A : W 1 Tt^~ f{; lE4~~ I
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ir~ ~~n z A ~P n 4y r. r {
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~
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• ;
. RESIDENTIAL
63y-73 BUILDING PERMITAPPLICATION
3830 PILOT K OB RD, EAGAN MN 55122
657-681-4675
New Conatructlon Heaulremente RemodeVFieoair Reauiremente
• 3 reglstereA site surveys showing sq. fl. ol bt, sq. tt. of house; antl pp rooted areas • 2 copies of plan
(20%maximum bt coverage allowed) . 7 setof Energy Calculatbns for heated addllions
• 2 copies oi plan showng beam 8 Wubow s¢es; poured found desgn, etc.) • 7 site survey br ex1erior ad4AUns & decks
• 1 set of Energy Calculetions • Indkate H home served by septic system for additbns
• 3 copies ot Tree Preserratbn Plan tl bt planeA alter 71t193
• Rim Jo4st Detail Options seleclbn sheet (bWgs wIN 3 or leu untts)
OQ
DATE VALUATION
SIT ADD S_~ t.?voclg,r; ~ .Ca MULTI-FAMILYBLDG _Y ~
~PE O~RK S,r~ 9/, FIREPLACE(S) - 0 O - 2
ISaS. bf~/ ~ G.'~y~Gc i? .A.~N'~'
0
APPLICANT
~
STREET ADDRESS /ZZ Y 7 Q/ ion //e,-/--, ue- S CIN /3Lrns...'//¢ STATE/t7m_ZIPSS/e Z
TELEPHONE #952-7o-7 -69s9 CELL PHONE # FAX # 9sz- $08- $8416
PROPERTYOWNER--~) Pg TELEPHONE#loS/- 68/-910z/
- ° ° °
COMPLETE THIS SECTION FOR ^NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 dot 1 71'~ kUI:~ES6I
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted D 8 nercyy Code Works~IdIeIl' Submitted
• Energy Envelope Calculations Submitted ~U~ 2 3 Z~~Z L'
Plumbing Contracfor. Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: Phone #
Mechanica] system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Wafer Conhactor: Phone #
I hereby acknowledge ThaT I have read This application, state that the Information is correct, and agree to comply
with all applicable State of Minnesota Statutes and CiTy of Eagan O OZ-1&01
s. SlgnatureofApplicant OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4f02
OFFICE USE ONLY .
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) 0 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-piex O 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitfon (Entire Bldg only) - 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
_ Footinys (new bldg) _ FinaVC.O.
_ Foating.s (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundacion HVAC
Drain Tile O[her
Roof _ Icc & Watcr _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Freming _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3630 PILOT KNOB RD, EAGAN MN 55122
~ 651-681-4675 C~ 44. ~ New Construction Reaulremente HemodeVReoair Heauiremente vf
• 3 reglstered sAe surveys showing sq, tt. of lot, sq. N. of house; anU L11 rooled areas • 2 copies ol Dlan
(20% me)dmum bt wverage elbwetl) . 7 set of Energy Cakulations for heated add0bns
• 2 coplesol plan Showing beam 8 win0ow sizes; poure0lound Oesign, etc.) • 7 sAe survey lor eoAerpr adtleions 8 decks
• 1 set of Energy Calculatbns • Intlkale d home servetl by septic system lor add'Abns
• 3 coples of Tree Preservatbn Plan il bt platlee alter 7/1/93
• Rvn Jaisl Detail Optbns seleclion slieet (bbgs wiN 3 or less units)
DATE 7- z s o z VALUATION
SITEADDRESS I7 9 MULTI-FAMILYBLDG _Y c--M
NPE OF WORK / v.,, 2 FIREPLACE(S) _ 02
APPLICANT ~ Q~ ~ • 4
STREET ADDRESS Z z~/ iCITY '.~TATE n ZIP ss 33 ~
TELEPHONE #9S7-7v7- 6959 CELL PHONE # FAX N 9S~? - S6'6 - FS'g 9 6
PROPERN OWNER ~06~ S~G..?4 i-~ TELEPHONE #,45-1 - G~/- 90Z/
°
COMPLETE THIS SECTION FOR °NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY I LEnergy ~3'{~7
- ~'1 LS ~
(4 submission type) • Residential Ventilation Cate gory 1 Worksheet Submitted Workshe IIII bmitted
• Energy Envelope Calculations Submitled 2002 ~J
Plumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: Phone a
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Wafer Contractor. Phone ri
I hereby acknowledge ihat I have read this application, state that the Information is correct, and agree to comply
with all applicable State of Mlnnesota StaTutes and City of Eagan Ordinances.
Signature of Applicant OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY _
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Alt - Multi
? 03 01 ot _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) O 33 Ext. Alt - SF
? 04 02-ptex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
0 OS 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement O 38 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (FOUndalion) ? 45 Fire Repair
? 33 Alleration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applfcaM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tilc 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
Water Suppty 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
A
o.~
1985 BUII.DING PERMIT APPLICATION - CZTY OF EAGAN
316• +
NOTE: ALL CONTRACTORS MUST BE LICENSED NITH THE CITY 0 30•5+
158• +
INCLUDE 2 525•+
3 CERTIFIC
1 SET OF ENERG 5D0•+
C ` ~I,pO 63°+
To Be Used For: ?~h ~e 6tyl Valuation: ~ Date: 280• +
132 • +
Site Address/ OFFICE USE ONL' 29004•5*
6
Lot: .Q Block Sect/Sub Erect X Occupancy
St Remodel Zoning
Parcel n T-.I~or~~, Repair _ Type of Const Sj.
Enlarge # of Stories
OWner Move _ Length ~v
Demolish Depth 4 -0>
Address gopC Grade _ Sq Ft
City/Zip Code ?))0QMA'AA mh.~-~
Contractor ~ M~r~AOw c~Ll~tplQ~ YY~yy~p~ APPROVALS
Address39()5Z ~-chlPV ffiomn. ~41,\I ~ Assessments _ Permit
Water/Sewer Surcharge 3D.'~
City/Zip Code CAtIlk-N ~ a Police Plan Review IS B.OD
Fire SAC 525°-°
Phone Engr Water Conn Spo.
Planner Water Meter (o'~,pO
' Arch./Engr -Rjcj)Q ~hOA'`lie r Council Road Unit 2go.~°
Bldg Off~ Parks
Address APC Treatment Pl 132pO
Variance
Phone I/ 'fol'AL ~ 0
~~'S ~
io4o x 54-
~
Zn ~c22 - 44o x I
co t o00
~wR.ln~ ~,A-PJLQ QJ~-
S 1 C3 M A House
S U FIVEYI iV G Certificate For :
SEFtVICES
S Frontier Midwest
3908 ibley Memorial Highway
Eagan; Minnesota 55122
lOn
q Phane. (612) 452-3077 COrporat
Model -CONCORD-.
d'
ca
~a
S402p2O~~W~ ~c~ PROPOSED TOP Of BLOCK ELEV. = 942.5
- 4.00, /PROPOSEL? GARAGE FLOOR F.LF.V.
-
PROPOSEP BASEMENT FLOOR ELEV.= 939.1
wal ok ut
Ati"~ m~ s _ 'Porcel Qs . ,
p O y
~ f-• 3 ~
~ i~ O _
n Oi l' r l
< 0 ?
O
m m °
°=o••a =,3'' ` sO'•
6_ ' o
.9 5 ° ~
. ~w 'kpn'rar
~ O 1 ~ 00• / ~qA30
i\ ' i f4
tl~7U.5.~ T.C.
yq ~ y 94I.1
0,
/
~I
v«o.s r.c.
`a9
~z-4T"!d!K
SCALE: 1 inch = 50 feet ~Pol~,r~+.i
o Denotes Iron Monument Set ~ 0
~c~`0 ~
i ~
a Denotes [aood Iiub Set.~~
x936.s Denotes Existing Spot Elev. 4
Denotes Drainage Direction
I hereby certify that this is a true and correct representation of the
boundaries of:
PARCEL 'C'
All that part of Lots 3 and 4, B1ock 1, TIBERON 1ST ADDITION, accord-
ing to the recorded plat thereof, Dakota County, Minnesota described
as follows:
IIeginning at the northeast corner of said Lot 3; thence 54°20'20'Vd
on an assumed bearing along the east line pf said Lot 3, a distance
of 24.00 feet to the northeast corner of said Lot 4; thence S45°30'
29"w, a distance of 202.31 feet to a point on the southwesterly
line of said Lot 4, di.stant 7.94 feet northwesterly (as measured
along the southwesterly line of said Lot 4) of the mosE southerly
corner of said Lot 4; thence Northwesterly along the southwesterly
line of said Lots 3 and 4, a distance of 92.19 feet to the inter-
section with a line drawn S64°41'21"W from the point of beginning;
thence N64041121"E, a distance of 231.90 feet to the point of
beginning. It also show the location oE«t,aunpr,oposed house thereon. As surveyed by
me this 29th day of Decemk~e~Ttl;~TF3'4~"~%q.
WAYNE D.'•.~k`. ~i~..
CORDES : Wayne D. Cordes
ji.egistered Land Surveyor
94675 ~linnesota Reg. No. 14675
Revised: 5/72/85 House Plan
Paye 1 of 4
[X'fERIOR ENVLLOPL AVCkAG[' "II" COMPU~~TfON CGIJC.V~~
. ,
owNEa: nnrr;
-
- - s_as
SITE ADDRESS: PIIONE:
CONTRkCTOR:
Determine working square f00Ya9e of each
~
~1. Total exposed wall area.....sq. fC. r. _11=
2. Total roof/ceiliny area..... ~PIC) sq. ft. x.026 = Z 7. O9
Total exposed wall area abovc floor
a. Total wall wlndow area,,,,,,,,,,,, I
b. ToCal door area...........
c. Total sliding gtass door area.......
d, Total fireplace wail area , ~
e. Total wall framin9 area (avera e 10%
9 )
f. Total rim joist area
9. net wall area above floor..
Z.X•'Q _~~~`1'~~ -
h. wall area above floor.
1• wall area above floor . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . .
J. frame wall area at r"oundation -
Total exposed foundaCion area= ~.G6
k, Total foundation windotiv area
l. Total net foundation area above graJe
.--'~-6
Determine °u" value of each wall segmenL
(e•9• window, door, (*ach sr.paraLe liall section)
a.f 37 • x ?
b._ x
c._ A Z X
---~-'--L ~
d,_ 4'U _ y, ',ull__
e. X 'lull
f.Izx „u,l
-
, 9._13l 4.~~_ x,~u" p ~ _ 3 1•~~
n. x ,lull
1. x
j. X 11 u 1.
k,__ X„u„ If item !!3 is the'sam
- - - as, or less than;item
X kl. You have-'metth'e~
~ intent of S6C,.~600fi ~
3 . . , . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . To ta 1 = 11~ • ~ 4!'C 1'k',~~'~~~~!~~
~~i Yli.x j,rior linvolopo Avmrnpo "U" CompuCaCion ' Pago 2 of q
Y '
ToCal exuosed roof/cciling nrca = (U 4e)
M. 7btu1 skyli.yht uren
n. 7'otal rooP/cciling f:-a;iin9 arca (avcrarJc lOP,) . . .
o. Total net insulated roof/ccil.ing (y
arc.a...........
uetermine "U" va1ue tor each roof/cr_iling segment
1
m x U..
n. a "o., .o 7.- - -~'5 o. 3r.-_ , .,U„ ,0
n .iht,i ~ ~ Z Z
If total of ';,9 is the same as, or less t:nan i'r2, you have meL- tlie intent of
S1iC 6006 (c) 1.
i;
Alter.nate_13uilding S3nve).ope Desiyn ; •
'ib ut:ilize Lhe total envelope'system method, Che values esCablished by the stun of ' items 03 zuld i;q shall not be 9reater than the sLUn of iCems 01 and 02.' ~ i. 2.n9 •LI q~ 2.' 27-0~ = 23~.qc`~ 3. + 4. zz
;
r . .1. i111.
F. U:•.r ~~~ti uf i~~~.~nin~ w,11l nrcn fOr
rk,ci Iun c'~.~~~.i ~ n~ i~~;~, i: v.~in.• .
y...... . .
A1E A4M - - . ~.~l~
~
F.>:lorit,r ,It fil~n ~ .
U, r
dI.I.' . -.i•.>i ~i 1_ _ 9..L 1
LA-
'F1G. tll TOl'VIFSJ OF
FIWSE lJA(.i. . 7nCrrlnr ,iit .ilin q.Gll
i . 3' ~---.{S'~i~!!1.~. _ ~ ~i.'~'?!8 .
. ~ ~ • ~ tl°i~i9t~V..._.... . . _ ~•_V V
~ ~ s • ~tnrm._ scrv4~±g. _ ~ . . _.~.~,1
FIC. 112
dif tilm p.(,R
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tir_ral
t:xtcrlor nir (i Im.__-..'.
.l. t i • --1~ i Z~• 3-1
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y ~ - . ~s.-.42. -
'
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, . . ~
i y n . • r _
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~ SLnU OCI ~;INUI:
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h:nt,: rtnd
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• r.por%ceiLZ~c , . .
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• r~f~ y. Construc U on R-Valuc
Interor air filin
~ . 0.61' .
~ ~ 2. ~P- , . SR
3. 1Aj 5U L. 44~6
I ~l I l~ 4. Exte:i.or air filr.; (stall) 0.
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~~~~l~,l~ Total (Z L~SU~
'LJ ~ \ Y.~ • • • . . . . ~ ~ , p Z ,
. ~J
- ~ FM+rt a
Heat f.lov 1. Interlor nir filin 0.61
:nted
up 2. -
3.
~ ~ ' • 4. Iixh.rc'ior air Pi lra (stiT
~ - . ------------rotal.
FZG. 95~ .
. ~ ~ _ . oz~.. .
~ - - - ~ coA- srr/f vcri ~r.1 •
0.61
_ - - - -~r In:;idc air filin
2_ .
3.
4,
- -
putsidc iir filin 0.17
1'otal
Snsidc ai.r filin . 0:61
2.
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~ j 4.
Outsidc iir filtn ' 0.17
. , _FSC_ 46.~ . . . . : Total ,
- ~ I _
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~uLL'.I l -s -z-- X g _ lGSGm
46
To -rA L. = 19 5 Z, :
I.i ~
F-1CPaSE-D GEI LIIJq I040 1,1
WDvAJS
Zv/~v•= 5 ~ Z5
?ATl D D?z.5
3
i
~ wcr;LEL MECHANICAL
~t ? oi 3604 Kenne6ec Drive
' 4ddroea: Eagan, MN 55122 .
~ rIE„T LOSS CALCULATIOtiS DEP,4F.TME;<i OF I\'SPECTIDN
Wcathcrstrips . A'S'H'V' Conatruction ivo. Insulation
Guide I
UL'indows I Doon Referente Out. Wall Int. Wall Ceiling Roof Floor I I:ind How Applied
Ye.-Nu { ~ 19_ i -
FL1 Room Length 1 Width l2 Heieht 8° FL1 Room Lenet6 Width F&iaht
Wmdows and Doon-Crackage and Area Windows end Door?-Cnckage and Area
\4141? Xfp~~I~ht No of Unul ft. An, ~ WIGIh HeIgCI No. af Lloul tt. ArY
No af p~w oe~ ?f~~• of crack ~0. [L o[ p~n• at p~n~ Ilibu of craek W. tt.
2 4 1 12.8 9'S ii~
124
Coef. Btu CoeF. Btu
infiltratioo ?SLi,, ' 0 10 a-7 Infiltntion
Glau 9 5 O Gla»
Ezp. wall EcP. wall
Net e:p. wall 1~ 9 1 n'7 4 Net e:p. wall '
Int. wall Int. wall
Ceilme /J ~ ~o Jr Ceiling
Floor Floor
Total Btu. Total Btu. ~
Requircd sq. ft. E.D.R. or sq. ins. W.A. Leader srea Required sq. Et. E.D.R. or sq. ins. W.A. I.eader area
E, Fl.1 C=a:~ ir Room ~ Length ::L~ Width =d a Heiqht Fry.l Room I Length Width Heiqht
Windows and Doorm--Crackage and Area Windows end Doon-Crtekage and Atea
w~ain x.fsnl Ho. of Li~..i n. w... wiatn x.iffni t+o. ee ti...i wr..
No. at D~n• of p~n~ Il~~u al craelc p tt No, ot Dane of pan. 11[ht. ot er.ek Q. tt.
5.O 7~ . 2b
L-I ~o ~<a I o• !o -8
Coef. Btu Coef. tu
1n61tration 117 U L} 7$ Infiltration
Glas~ ~j. "0 ~'l (o 6 Glau
Ezp. wall i0 5ti Ecp. wall
Net exP. wall ~r $rr. 5 (0 Net exp. wall
Int. wall 1n1. wall
Ccilmg Ceiling
Floor Floor
Total Btu. i Total Btu.
Rcquired aq. ft. E.D.R. or aq. ins. W.A. Leader area 119, 3 34- Requimd sq. ft. ED.R. or aq. im. W.A. Leader arca
FI. Room `1.ength Width Heieht p,1 Room I Length Width Height
Windows and DoorF-Crackage and Area Windows and Doon-Crackage and Area
wia~n x.~~n~ ao. of un.a n wn. wm~n x.irni N. at un•.i n. w...
Na. ot9~n• a(e~n• ?tnl• o(crFCk sa t4 No a[9~~~ o[oan~ ?1hb o[cr.ck ~a.It
Cocf. BW Coef. Btu
In6ltration lnfiltration
Glau Clau
Esp. well Ezp. wall
Net e:p. wall Net exp. wall
Int. wall Int. wall
CnLng Ceiling
Floor Floor Total Btu. Totsl Biu.
Required iq. ft. E.D.R. or aq. ins. W.A. Leader area Required sq. ft. E.D.R. or sQ. ins. W.A. Leader area
- . i: -
~ ~ ~ 'WEN'LEL MECHMICAL
3600 Kennebec D'riare
~ddreee: • - Eagan, MN 55122 - ~
LCFS CALCUL4TIONS DEPARTMENT OF INSPECTION
Weathcrstripi ~ A.S.H. . Comtruction No. lamlation
Guide
W'indows Doon I ReEercnce I Out. Wall lnt. Vlall Ceiling Roof Floor I Kind Now Applied
}'<s-No Ycs- 0 19_
F FI.( D,j ~ Room L.enath lGj 1D Width 14 Height8 ` I F1.1 (ooI r/ Room LenQth /L( "Width
Windows and Doors-Crackage and Area ~ t 4 Windows sad Doom-Crackage and Area
11'101n H~qnc No of Lln..l ft. Ana WIEth H~I(El Ho. et Lle.. l ft. Aru ~
\o. o( yen• ?i ~1• af vock ~Q, f[ ' No. of D.n• af Illhu of cr.cY I0. ft. ,
! N
Coef. Btu Coef. Btu
Infiltration 1 p) 0 02. ~ Inbltwtion 1 1I L-
CJus I '70 ° 5 O
Gl••• = z,9 ~a I I c
E.=p. wall 'f E:p. wa0 : 32
Net czp. wall . I Q 1 1 qNet e:p. wall Q
lnt. wall Int. wall
CeihnH / S $ ~ a 5. CtilinB ZIO n- I 0S.0
Floor Floor
Total Btu. = Total Btu.
ReQuircd sq. ft.°E.D.R. or sq. ins. W.A. Leader area 09 3 Required sq. ft. E.D.R. or sq. ins. W.A. lsader nrea 7(,
I f1.1 i:, Room Lengih I 1 1' Width Height y" FI.I fi,~? Room I L.ength t p° Widih 8° Height
Windows and Doon--Crackage and Area Windows and Doon-Craeluge and Area
wm~n H.iin~ Ho. or un.a n wn. wialn HsItht re. ot nm..I n. wn&
No at o•~. or p.n• ?~n~. ot c.ack M. R. po. ot o•n. ot wn0 Ilrht. ot critc)& a. ri.
G ~-N y4 i lL.~ 1 Zb l~•~.:. ~£•1 1718
LO
~e
COlf. Btu Cocf. [17
Inhltratiou 40 ~ p a •I- Infilcwiion 3 5 Yn 0
GlAu ~ o SZ1 qE; Glasi L) <-D o
Exp. wall 7(o Fsp. wall
Net e:p. wall 7 Net exp. wall le
{nt, wall Int. wall
Ceiling Calmg
Floor Floor
Tot,l Blu. ~ Tolal Btu.
Required sq. ft: E.D.R. or sq. ins. W.A. L.eader area j(D (o Required sq. ft. ED.R. or sq. ids. W.A. Leader area j 1
FI.Llq'L)irJ Room I Lenath ~1 0 Width 17~ Heig6t'C? 1 Fl•I1 AT1i FtaomlLength (c7` Width = L kieieh,
Windowe and Doora-Crackage nnd Area Windows and Doors-Cnakage and Arca
wia'n N."n' ro or wmtn x.irni ao. of I "m•.i n w...
N. of p.n. ot p.n• I.rnl. of cnak .a. t[. ~ No, ar vitle ot oan% I~rnt. at aracY ~a. tt. -
` 3(a
t
" uc
:
Coef. Btu Coef. Btu
Infiltution In6ltration
GJass =Ju._, : .itJ=!~i Clau .
Fsp. well FzP. wall
Nd ezp. wall ~ s o 1 cl.. C P7el exP. wall ~
Int. wall Int. wall
Ceilmg LO*~ I C a ~ Ceilin6
noof Floor
Totnl Stu. Tout Btu.
Required sa. h. E.D.R. or sq. ins. W.A. Leader area L w 0 p Required sq. ft. E.D.R. or sq. ins. Rf.A. Leader area ~ ~ G
L ~ gL ~ 5 ~ CITY USE ONLY RECEIPT#: Ia'I 53k
f~ j `
SUBD. IlJ
! I eYOn - RECEIPTDATE: Z?~O~'O~
PERMIT # f OD
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, MIII 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe: 9
Bath tub - - $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbished • requires MPC lic 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepaidrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under wnstruc[ion 3.00 x = $
Underground sprinkler rfexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under constructlon 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Waterturnaround 30.00 x $
State Surcharge 50 $
TOtal
Reminder. Cali for inspections of alterations, i.e. water heaters, water softeners, etc.
•
I hereby adcnowledge that 1 have read this application, state that the infortnation is correct, and agree to compty with all applicable Ciry of Eagan ordinanoea
k is the applicanl's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City dunng +Is
nortnal operational and maintenance activities lo the facilities constructed under this parmit within Ciry propertylrightof-wayleasement.
SITEADDRESS: ~-7 4/';~ cT<c,
OWNER NAME: S o~ s TELEPHONE#:
(AREA CODE)
INSTALLER NAME: TELEPHONE
(AREA CODE)
STREETADDRESS: X,~iL-,~'-~'~ ~v- ~
CITY: 96'll'7r-- ` STATE: - ZIP: J7I
~
SIGNA URE OF PERMITTEE
~ _ .
'
2/84
~
, CI:Y OF EAGAN
APPLICATION FOR PERyIT
SEWER AND/OR WATER CONNECTIO:d
(PLEASE PRINT)
1) PPOPEFI'!' ApDRESS: I WO a Q,
T Fr ,L DcSCRI°TIC.`7: 3
(Lot/ iocl:/Subdivision or Tax Parcel I.D. Nu;nt~-r)
i Z;557= .G STRL'CP':tEr DATE ^v_° Ci2TG^:AL BiilL:L:G F.=:.iT Tc~~?\C-:
~ FP_°`": R-1 SINGLE rP:•Ll:.Y -
? R-2 DUPT.~r..i (~%b LNITS)
? P.-3 TCNIIHCtJSE (T.F?x2c:c, + L~?ITS) ( iNI?'j)
? ?t_d APART=,T/=MC':=I[.'~'I ~ GilliJj
? CCMME.4CL-,L/R..I'AII,/OFFICE
? PiTJL'STRL=~L
? R:STI'IL'PIC^:AL/CL`vE-~Lr.IEN'P
2) F,PPL_TC7~N'P ` ---IPLEASE PR 4T) -
\
ADDRESS: - ~ - D `VL1~ ~n .
CI'I'Y. STATE, ZIP: ~ '
PHONE: - - -
.
P/I
3) PLZ:,ffi=
LEASE PRltii) FOR CITY USE OH! Y
NPt%SE:
PL1JX9ERS LICEYSE:
ADDRF.SS: (J
CITY, STATE, ZIP: Expire
PhpNE: of Record
~ PLl1MBER LICENSE t/ 3g~G~
P
ar inttia
q) =Ma,NT/Cr,y~TER f (PLEASE Pf7INt)
ruu•E:
aDOREss: g7 ~5 ~c5s-Hri n ~kP . S *k ao
CzT`t, sTaTc, arP: ~Ibnrni fln ~-rtn I 1~1h 551aa.
PHO:E: 8~1- ~ s9 7
5) INDIGATE WFIICH PE.°%LIT IS BEIP:G RDWES'I'ED:
g CYJ.uIECI'ION 'IO CITY SEJ,9E.R
M CG`:VFCPIG:I 'M CITY WATEI2
? OTf...F'2 (PL;_ASE DESC?,IIIE)
6) L'lDIC:j.-I: C`.c.:
? FL :'~SE f:OLD i,PPR(7V'IJ pERMIT FOR PICi:-UP BY ONE GF AB=-
?='S- :•AIL t1PPROVID. PEEP-~IIT ':b-1. 2. 3, 4'1B(J~,/E Plf4SE y0~d CO y'{D
L - (Circle onel ' Wei1zel (hecha~~icat
3(~poD ILennelvC ~2c .
7) SZCZ_-,'_[.R;: - (~cg5cLn, (Yln. SSi2Z
- D.^-.'I r.:
! Oliil~:fvi~ i 1~l~.a-~~ ~ s I't~ssaa ~ O s ~:s~:~:~ ~ ! /~l~:~1~31~ ~ ! i ~l~sai•
F O R C I T Y U S E O N L Y ~
PE?_%tIT H ISSUED
°°T~S: $
-
$ ~OSU IdATE:? P^cR`lIm (ZiICLliDE Sli:2CY.F,RGc)
$ waTER MET°.°./COPPERHORN/OUTSIDE_ REACER
$ L9ATE3 ?n? (1NCLJDE COP,PORyT1C\ STC?)
S SL:7L~ ~ZL '
$ ACCOUNT DEPOSIT - "SEi•IER
$ ACCOUNT DEPOSIT - WATE3
$ wac
$ sac
$ TRliiviC ?'laT°D AS: °_SSi•SE..7T
$ TRu::K S?SdER AS5E552~tENT
$ LATE°yL BE:;r.FIT/TRlitK Sr.i•:ER
$ LAT?RAL SENEFIT/TRUVn WATER
$ OTHER ' .
$ TOTAL
$ An A`iOUtiT Pn_T?/REC°1?T
DOES UTILITY CONN;CTION REQUIRE EXC:iVATION IN PUBLZC RIGriT Oc WAY?
YES IE YES, THEN A'"PE2i1IT FOR WORK WITHZN
PUBLIC ROADL4AY" MUST BE ISSUED BY THE
0 ENGINEERID]G DIVISION. LIST AS A CONDI-
TION.
SliBJECT TO Tf1E FOLL047I?'G CONDZTIONS:
~i
APPROVED BY:
T'_T* E:
D aT° :
mc m an E.f+
Use BLUE or BLACK Ink
r----------------i
I For Office Use
� I
, /a��ac�� i
ClbO1 �� �11 i Permit#: ! (U(l� �'S� I
y � � Permit Fee: �
3830 Pilot Knob Road j I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff: i
I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /v/W�� Site Address: �C�� Gi�e- �Ct✓�� Unit#:
Name: f" '��GN� �l� � �,1�lCt�'1 r � �t.e� _Phone: C9�Z- 2!�'��/�S
��$����� : �'1�9
� '�� �(;�Vi[�Bi` �.; Address/City/Zip: 1✓l���QGr �� r�l�l��� ��IGav► /"!
�" 7 `� �"��. Applicant is: Owner Contractor �����'
-) . -I�
i '�: ' Description of work: �`' dt� ��OI L��)G7/�� �E����'q'i/�e''�� T��'
�'�:T�pe �if Wc�rk l ��, � ���5
Construction Cost: ` �t `�� Multi-Family Building: (Yes /No_�
Company: (� U
� ���D✓ t D dLL'- Contact: Sfe�� Q�✓�
' Address: � !�i i�� l v'� City: �B/�td'Z DjGt ���Pl�'` ��
Gontractar �� �7 �
State:�Zip: ��yLj Phone: �'/ ��9�: a�l � C t��1°�P��oY°Cl�G�'17l� o C.p�
i� � � �/ �
` � � ���'' ''��' License#: ���7�`7/ 7 Lead Certificate#: ���'23 3 ���
'�. ,�� �
�,� .
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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:
WNQ ME.:;Pta�#s ar�d s�p�r�rtir����ds��urr��n�f�aat y�u�,sub��t ar�e�c�rr°sr�d�real�c����e;��r�►1rcµ�►���rmat�a�i. Ao�fi�rns o�
th��#r�#orm��i�rt r"liay be cCas��fie'tl���r�c�nfi�u�l�C if j�'r�u p'r��rtd�`�,����ifi���ea.sohs�i�t wc��ul,at p�r"m�t fM�C��`y`i�a
' , ; <�,� �oncf7uct��f��t��fhey ar.�t'ra�`�;���r'et�
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
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 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota S e Building Code t b ompleted within 180
days of ermit issuance.
X ��e /'e� �t r�1�/ X
ApplicanYs Prin ed Name Ap lican Signatu e
Page 1 of 3
Use BLUE or BLACK Ink
r----------------�
i For Office Use
� � `-� I
C7� O� �� n n j Permit#: � ���� / I
� y �a�� � �
� Permit Fee:��` �� �
I �
3830 Pilot Knob Road �
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 I Staff: �
�-----------------�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /�� Site Address: � ��� K/(�C���G�"I� �-°"�
Tenant: Suite#:
�t�esider��l�'i��i�er :�� Name: ��.L°�c.N��.�— ��� ��/�. Pnone: 6�a.'' 02�e��-�`�J'I��
Address/City/Zip: � 7� / y19��C�� �$T�. �� ��✓i
Name: �4-�� ! LG �Y 1�`�,�'jT�itS�( License#: �G- � `�� �/ �
COtt#raCtflC Address: �/ �S l��- N` C�ty: ,�. ��-4-cyC.�
State:�Zip: ,.��j 6"�'✓ Phone: ,G.�'!'���j�,��� �
Contact: EmaiL•
���e'����r� Y� —New �,Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work: /��P,�, �� �'��
RESIDENTIAL
� Water Heater
` Water Softener '
Lawn Irrigation(_RPZ/_PVB)
�����#���� ` Add Plumbing Fixtures�Main/_Lower Level) '
Septic System
_New Water Tumaround I�
Abandonment I
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Seqtic Svstem Abandonment,Water Turnaround'`(includes State Surcharge)
''Water Turnaround(add$210.00 if a 5/8"meter is required)
$115.00 Septic Svstem New(includes County fee and State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateoneca�l.org
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 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.
X ��-iJ ( ,�J" /��'�y'�'C,��/t( X
• v�
ApplicanYs Printed Name App icant's Signature
fOR:t�FFICE USE Review�d 8y: Date: .
Required lnspections: Under Gro�nd ` Rough-!n ' Air Test Gas Test ` Fina�
Meter Related ltems: Meter Size Radio Read 'Manorneter Staff: `