4387 Woodgate Lane N
cmr or -aaAN 1
R~ . WATER SERVICE PERMIT i
P.O. Box 21199 PEHMIT NO.:
Epsn, MN 56121 DATE: 11 _4_8f; ~
2onin9; RI No. ot Unita:
Owner: Michael Tinhen ~
Addreaa: '
" SjteAddgBS; 4JS7 NOrt}1 WAA[IgAtP T.nnP T.5 Ttl Mal,l,Ard Rlc 3 ~
i
Plumber I
Meter No.: S~s Ho h rge: 500 OO~d '
CVY
Slxx ~ • 1 S OQpd '
Reader No.: B Of2 ~ j
i I agne lo co w n Su~~g : a
, o~,.~
~ BY Date Paid:
D Insp.: Insp.: ~
~
L= - 1 F7.
CITY OF EAGAN WATER SERVICE PERMIT
3890 PNoI Knob Ro!sd P.O. 8ox 21199 PERMIT NO.:
Eagsn, MN 55121 DATE:
Zoning: r1 No. of Units: ~
Owner. f'`icha T h _n ;
Address: ,
SlteAddess: 4307 "arth WeadgatP i,ane L5 -^,1 '!a72,ord pk z
Plumher: Wanrp-l "`pchea;cal ;
Meter No.: Connection Charge: 500 _ nt1piJ
glZe: Account Deposit: 15 QOTd
Reader No.: Permit Fee: I n n.npd
I ayne to Compy? with fhe City of Eagsn Surcharge: S.-Apd ~
prdinances. Mtsc. Charges: 156 il0.pd TP
Total: f+'t _ 50.,d MprA.r
gy Dete Pald: Date of Insp.: Insp.:
CITY OF EAGAN
3830 Pilot Knob Rwd SERVICE PER%W
' P. O. Box n 199
E+igan. MN 55121 PERMIT NO.: 1 `"29c'.
Zanlnp: DATE.
~
Owmr. `?ictiar, No. of Unib:
l Ti::},ea
Addrass:
S!h Addnsss; S31 11 . t.. ; t.e i.t1:1e L=~ 't ~t
P1: ~ -
Plw++bor. . +~Jc-nzeT ani . 1
-U~ ";7134
h40110116 wM /V Clep gf yMO I011. Ov~
0, dk".w. Coen»ett°" (]'°'p'c
Acaxw+t Depodt;
Prnnit FN: T ~1
BY SuneFwrpo:
DoM of Irap.; Misc. Cho~s;
Totol; I
~~Doh Ao1d.
~ CASH RECEIPT ~
(!TY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
• DATIE 19
~
i
weeoR~ ~ . rs,
AMOUNT $
e ooLu?ws
i.o
C]CASH ~ CHECK
. i
.ce
, ~?,r,,. /J t ' ; -~G ~
FYNO CODL AMOYNT
Thank You
BY ~
6738 Whita-Payen Capy
Yellow-Postinp Copy
, Pink-File Copy
BLDG. cRMIT tiQ.
~-~.~f- i~~ ~lf~ • .7t/
01-32 I Bldg. Permit :::~G
01-34 Plan Check
01,P3445 Svrch./hdm.
01-3446 SAC/Adm.
01-2155 SurchargE
17-3860 Road Unit ~c-) J
20-2275 SAC
20-3865 Water Conn. ~ ~ ~ ~
24-3868 Water Trmt.
24-3716 Water Meter ~ El, ~
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
cinr oF EAGaN No
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12756
PHONE: 454-8100 l '7 j BUILDING PERMIT ReceiPt #
To be used tor SF DWG/GAR Est value $77,000 oate OCTOBER 10 19 86
.
SlteAddress + 4387 NO WOODGATE Lt7 Erect IN Occupancy R3
Lot a Block 1-Sec/Sub. MALLARD PI{ 3R17 Remodel ? ZoNng R
Parcel No. Repair ? Type of Const y
Addition ? No. Staries
Name r1ICHAEL TIEBEN Move O Length
~
= 2107 CLILaFHILL LN Demolish ? Depth 32
o Address Int Impr. ? Sq. Ft
ciry ~G~ Phone 452-6645 Instau O
i o Name SAME Approrab Fees
Address Assessment Permit ~00 I
City Phone Water 8 Sew. Surcharge • SU
00
Police Plan Review~U
O
~i~Name Fire SAC 00
= n Address En$. Water Conn. '
i W City Phone Planner Water Meter po
Council Road Unit '
1 hereby acknowledge that I have read this application and state thatthe B~d aff. 1 f3 6 Tr. Pl 0 O
information is correct and agree to comply with all aP~licable State of g
Minnesota Statutes and City of Eagan Ordirtarices.APC P8rk3
11 ~iVar_ Oate Cqpi
Signature of Permittee- ~:t~c , . 00
Total
A Building Permit is issued to: 4iICHAEL TIEBEN on the express condition that
all work shall be done in accordance with all applicable Stete of Minnesota Statutes and Ciyr of Eagan Ordinances.
~
Building Official
PormM Na PomW Floldw Dab TMophom A
Plumtiln9 ! ~ a-
H.Y.A.C.
Ehictrlc 5 5'.5,941 a~ i 8& o
~
Insp.cuon ow ln.n. comn«?a
Footings I ro~8 u>.tQ
FoolMps 11
Foundilion
FnnNnp
Rooliny
Rouqh Plbq. .
Rwqh Mq.
Inwl.
FlnPhc~
FInM Hfp. FFnng . ~p~ l
.
.
MIOII
Pr. DNp.
.~6,~,~•~~„~~,;; . .
PERMIT # '
. • -
' PLUMBING PERMIT RECEIPT # qTY OF EJIQAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE 454-e100
Site Add ) t'~'~ BLDGS. TYPE WORK DESCRIPTION
~
Lot L; Block Sec/Sub 1 ~
; i; E: I 1r-p r 3 r Res. New
m Name ~il f N zC I._ 1 ll C' QNI---Mutt Add-on
~g Address 3' (P t) U ~ lU IVC V` Comm. Repair
c Ciy _9 A Phone -`a `IS(c 5 Other
FIXTIJRES TOTAL
Name / J ~ water Closet - $3.00
s o . ~ ~ ^
3
~ Address .'H I-rv' VKthen h Tubs - 3 00
p Ciy tr Iq Phone vatory
a ower - $3.FEES Sink - $3.00
Urinal/Bldet - $3.00
COMM/IND FEE -196 OF CONTRACT FEE TLaundry Tray -$3.00 ~
MINIMUM - RESIDEWTIAL FEE - $10.00 -7 Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20•00 yyater Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 ~yh~~~~
(ADD a.50 S!C IF PERMIT PRICE GOES -~G~ piPing Oudeb -$1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
-t-- Private Disp. - $10.00
=Rough Openings - $1.50 ` 7 77
SIGWATURE OF PERMITTEE FEE; STATE S/C: ~
FOFt CITY OF EAGAN GRAND TOTAL•
;I CITY OF EAGAN Remarks
Addition Mallard Park Tliird Addition Lot 5 eik 1 Parcel #10 47252 050 01
owr,er street 4387 North 'Noodgate Lane stete Eagan, MN 55122
Improvement Date Amaunt Annual Years Payment Receipt Date
STREETSUFiF. ~p-7C
STREET RESTOR.
GRADING ~r .
SAN SEW TRUNK a~
,t SEWER LATERAL (c q. R ~
WATERMAIN
* WATER LATERAL
WATER AREA
STORM SEW TRK 1
* STOFiM SEW LAT 1981
CURB 8i GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
~ T ^ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 PilOt Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: I ' r4 APPLICANT:
i4inn(111tF I FihIF N ~ ~ : ~ , ~ • ~
PERMIT SUBTYPE: TYPE OF WORK:
~ • ~ ~ a~ . ; ~r~r~
i f, , .
INSPECTION • .
t fJ(:1
~ ~
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
I PKmn No. PormR Hokfer Deft Telephon• a
ELECTRIC
PLUMBING
HVAC
ImP+ctlan DoM M"p. Commmnb
FoonHCs
FOUND
FRAMINC3
ROOFING
ROUCiH
PLUIuBINCi
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FlREPLACE
AIR TEST
FINAL PLBG
FlNAL IiTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
B$M7 FINAL
DEpC FTG
DECK FINAL ~
CASH RECEIPT •
CITY OF EAGAN
3830 PILOT KNOB ROAD
, EAGAN, M NN /`TA'55122
DA E vY _9 ~
NEC6IVEO 1
FPOM l'/rt ~ ~ 7T T ~
J~
AMOUNT S ~~S U
& DOLLARS
~ CASH ~ CMECK
G~
POp \ ~ / f
?
cu o e amoil r
/ OU
9
U V
7~~ lU `~Ll
Thank You
a~
N° 68062
White-PaYers CoPV
Vellow-POSting Copy
Pink-File Copy
~p rS'7(Y~
Thns rnCUest voitl /-213/8~f~
IB rtwnNs fwm
59534
Nxpuest Date " Fire No. PooPh-in Insoection ~
R ired7 RoatlV Now ill Nouty, Inspec-
~ ~es ?NO ~or When Reedy
Lice.setl Eleclncal ConVactor I herebY repuest insDaction ol abova
Own¢r eleclricel work instelled aP
$veet Atldress, Boz or oute No. f CnV
/ YV
ecti n o. Township Name or No. Fango No. Covnry
Occupant (PflINTI Phone No.
~ F-
ower SupDller Address
o _r-
4gkj i
Electncal ontractor ICOmoany Nnme) Contractor's Licanse No.
~Flc,~ G k eGrrz
MailinB /~dJress I o nvaciar or Ownar Ma inp Ins ilatmnl
i~S~ 'VRSrK ~?E~0
Avthor e Sienalore I ractdr wnokMaWnp Installabonl ~hona Number
u ~
MINNESOIA STATE BOAND OF ELECTPICITY THIS INSPECTION flEQUEST WILI NOT
(y BE ACCEPTEO 6Y THE SiATE 80AflD
Gripps-Midwey Bidu. - Xoom N•191 ENCLOSEDOPEP INSPECTION FEE IS UNLESS 1811 Universitv Ave.. St. Peul. MN 66104
on.... (912$ aaa-oaoo
NEQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os illi i
~ See instroctions tor comoletinp this lorm on back ol yellow copn
~c S78S
"'X" Be/ow Wak Covered by 7his Request
AAtl Neo. TYOe of Bmltlmp ApGlinncea Wired Equtumanl Wired
Home Range Temporary Service
Duplex Wa[er Heater Lightiny Fixtures
Apt. BuilAing Dryer Electrie Heatui
Commercial Bldy. Y)k furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm vec~ v Oinrrlsnnc~ivl
le ucci y iher Oihi;r
ompute lnspection Fee Below
p Fee ServiceEnhanca iz M Fee Fexders/5u1alaeders N Fnu Cucuits
U to 200 qm 0 to 30 Am s 151 J, 00 0 tn 30 Am 5
Above 2 00 9py~ 37 t22' 00 Amps 31 to 100 qm y
Swinvning Pool Above 100_Am s Above 100_Am s
Transiormer5 Irrigation Booms Pdrtial.'Other Fee
ew,ks $igns SpeCiallnsUeC[ion 5 / l
TOTAL FEE
flouph-in D:, lye the E aeer I
O~~ ~ oectoq horeby
cerlilv thet Ihe above
Final = ~ r ~pection hes Ceen
da.
Tle rspueal volE 16 manllm Irom
CITY OF EAGAN AI
3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 551 I V2 O 12756
BUILDING PERMIT PHONE: 454-8100 Receipt u ~7 3 d'
7o be used lor SF DWG/GAR Est. value $77,000 oate OCTOBER 10 79 86
Sitenddress 4387 NO WOODGATE LIV Erect Occupancy R3
Lot 5 Biock 1 Sec/Sub MATLARD PK 3RD Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const V
Addition ? No. Slories
~ Name MICHAEL TIEBEN Move ? Length 68
W Demoiish ? Depth 32
o Address 2107 CLIFFHILL LN Int. Impr. ? Sq. Ft.
Ciry EAGAN phone 452-6645 Install ?
o Name SAME APProvals Fcea
• 00
nddress Assessment Permit 374
~ Ciry anone Water 8 Sew. Surcharge 3 S. 50
~Q Police PlanReview 182.00
F W Name Fire SAC 575. 0 0
nddress Eng. WaterConn. 500.00
aw Ciry Pnone Planner WaterMeter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gld .Off. 10 7 86 Tr.PI. 156.00
information is correct and agree to comply with all a hcable State ol 9
Minnesota Statutes and City ot Eaqan O a ces. APC Parks
Si9natureofPerminee Var.Date Copies~~00
Total
A Building Permit is issuetl to: MICHAEL TI • BEN on the express contlition that
all work shall be done in accordance with all appli le o Min esota St tu a d City of Eagan Ordinances.
Building ONicial
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122 \
Telephone # 651-675-5675
Please complete for. single famdy dwelhngs & townhomeslcondos when permrts are reqmred for each umt
Date S / t I / 0 ~f
SiteAddress C(,~ 71c. ! (A Op~~(Zf{i ~?'l Unit#
G
Property Owner liq S'Q,i 7, --;e-Telephone tF (~~„jk
Contractor
81AIlDARO MEATING 8 AIA CONDI
Street Address 410 WEST LAKE BTREET City
MINNEAP(x.18, MN 5lS408-~
State 8ajP.p2¢2Mp Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor Other
Add-oo or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
'X air conditioner _New _XReplacement
other
_ /0_0r9_Lz_8-W
state surcharge IN MAY 13 so
s
To
tal $
I hereby apply for a Residential Mechanical Pernut and acknowledge that the information is complete and accurate; that [he work will
be in confoanance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemut, bu[ only an applicatron foi a permit, and work is not [o start without a pernuy [hat the work will be in accordance with the
appr ed plan in the case of w ch requires a re w and approval of plan
~
Applicant's Printed Name ApplicanPs Si
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete Por. commercial/industrial buildings
multi-family buddfngs when separate pertnits are not required for cach dwclling unit
Date 1 /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owoer Telephone # ( )
Contractor
..i .
.
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ O[her
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement _ Install Piping _Processed _Gas
Nature ofWork:
"When insta/ling/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspecior
Perm1t Fees: $70.50 Undergound tank installation/removal
$50.50 Afrnimum (includcs State Sumhargc)
or
Contrac[ Vatue $ x 1% Pernut Fee
• If ep rmit fee is $1,000 or less, add $.50 ~ $ S[a[e Surcharge
If permit fee is over $1,000, add $.50 for
every $ 1,000 peCml[ fee $ To[al Fee
I hereby apply for a Commercial Mechanical Pemvt and acknowledge tha[ the information is complete and accurate; that the work
will be in conformance wi[h [he ordinances and codes of [he City of Eagan and with the Mechanical Codes; that I understand [his is
no[ a pernut, but only an application for a permit, and work is not to start without a pernur, Iha[ [he work will be in accordance wuh
[he approved plan in the case of work which requires a review and approval of plans.
ApplicanPs Printed Name Applicant's Signature
Approved By: , Inspector Date:
RESIDENTIAL
BUILDING PERMIT APPLICATION
~[900 3830 PILOT KNOB RDE EAGAN MN 55122
65'I •681 •4675
New Construction Reouiremenb RemodeVReoair ReauiremenM
• 3 regotered sde surveys showing sq ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20%maximumiotcovemgeallowed) • isetolEner9yCalcula6onsforheatedaddllions
• 2 copies of plan showing beam & window sizes; poured found desgn, etc ) • 1 site survey for extenor addtlions 8 decks
. 1 sel of Eneryy Caiculations • Indicate if home served by sephc system for addtlions
• 3 copies of Tree Preserva6on Plan rf lot platted aNer 711193
. Rim Joist Oetail Options selechon sheet (bldgs with 3 or less units)
DATE VALUATION
SI7E ADDRESS 4130-7 ~?GC~~I~ ~ G~" e ° MULTI-FAMILY BLDG _ Y
TYPE OF WORK PIREPLACE(S) _ 0_ 1_ 2
APPIICANT Lc.eS`fil,llr (2cy:)y0,9~i
STREET ADDRESS ~ ~DO Clfl ~ ~ STATE ~ZIP
TELEPHONE # 7c3-5%( -OELL PHONE # FAX #
PROPERTYOWNER AiClr'e f Tc&-;', TELEPHONE# C/-)~
COMPLETE THtS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNCSOTA RULL S 7670 C:1"1'liGORY I b1IVNESOTA RULES 7672
(J submission [ype) . Residenhal Ventilahon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calcula4ons Submitted
Plumbing Contractor: Phonc #
Plumbing sys•[em includes: Water Sottener I-1wn Sprinl:lcr Fee: $90.00
4Vater Heater No. of R.I. Baths
No. oF Batlts
Mechanical Contracfor: Phone #
Nlechaniccil s'ys[em includes: _ Afr Condiuoning Pee: S70.00
Hcal Rccovery Sys[cm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read thls applicatlon, state that ihe information is corre , ~g~erYo[(~of~
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. _ ~~n II ~~1 15 ~ i
I I
Slgnature ofAppllcant - --JUN 1 1
- L -
OFFICE USE ONLY vY _ -
Certificates of Survey Received , Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ezt. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 17 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 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 'Demolition (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
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) Plumbmg
_ Foundation HVpC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
_ Framing Siding Stucca Stane
_ Fireplace _ R.L _ Air Test _ Final _ Windows (neNa~/rep[acement)
_ [nsulation _ Retaining Wall
APProved BY 8uilding Inspector
-
,
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Capies
Other
Total
~ 7 fS 7";~' f
1986 BOILDING PERMIT APPLIC9TIOH - CITY OF EAG9N
HOTS: ALL CONTRAC'fORS MOST BE LICfiNSED WITEi T9E CITY OF EAGAN
SIPGLE FANQLY DilELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLE DiiEI.LIIQGS - RFSIDENTIAL RENTAL D9ITS FOR SALS IINITS
INCLUDE 2 SETS OF PLANS, CEBTIFIC9TE OF SDRYSY - CHECg WITH BLDG. DEPT.,
t SET OF ENERGY CALCQLATIONS
COMMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Jr--~Dw(1 I ~Af Valuation: 1110C)a Date:
Site Address 413 f 2 /U - wbOJ c~dc OFFICE IISE ONLY
LA/ _
Lot ~ Block Erect ? Occupancy (Z 3
Remodel Zoning 2•1
Parcel/Sub MqjjwRD QvaRk 3'Aooi~on Repair Type of Const SL
Addition # of Stories
Owner +m',~1„~e_~ Move _ Length S
Demolish Depth 3 Z
Address Znt.Impr. _ Sq Ft
Install _
City/Zip Code rny S$'/a,l
Phone APPROVALS FEFS
Contractor Assessments Permit
Water/Sewer Surcharge 38 so
Address Sw»-e ,,.s wb110 Police Plan Review I QD2 •
Fire SAC 5 51
City/Zip Code sr.w,~ ,,,s y~~,oe Engr Water Conn 50o.
Planner Water Meter (og, so
Phone ~153-G6~IS Council Road Unit 2°IO.
Bldg Off Treatment Pl { SCD.
Arch./Engr. ~eHP J, 4rr6 APC Parks
Varianee Copies
Address 1YYf9I.
C1ty/Zip Code
Phone ~ -96;/- (,7RR4
, NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEA lfOST DESIGNA?E WHICH ADDRESS
IS DESIRED. NO CH&NGFS NILL HE ALLOiiED ONCE BIIILDING PERMIY IS ISSQED.
,
° ~ 7 44
= 144 x zo = za~o
I z x 12--
- 5280
Z2~2o = 4 ~ x ( Z ~
?1~~3Z
l
W
t
~ wl;clAae~ ~ Oww~N Teloevl /a~
ToP oF ~i~` cow.sr
1MiFl~~H'RD Pp0.T 3RO VaDD.I-~.,ph ~ Foo~ihc, El~uo..~~o~is ~ GNKNtiC Fl~..,~
ii'~ c.<,uase
¦ - '7' %i~ (3clo~.., 11
Gc..uc
Felo~ I~'~ Cou'c:E (c,•,.V)
il`~ Gou~.:E ~v.M„•.,)
Ti---.,--- - -
- -
i 85' 3 -
94, G"
I •
~
I
I
I
I I
I I
i
~
i
~ I
1 ~
~
145~
I
~ N
i
SteP 'SreP ~
Sap I
;
i
m~
i i
I
~ I I ~13~
i 98•91,
~ - - - - - ~ - - -
i
I ~
13~
CuKb
4
...J~ ~ . .
. EXTERIOR ENVELOPE llVfkAGE °U" COMI'UTA'fiON
" ' . . . . 4,y~.
. .
OWNER'
•_~'11 L. _-i-~E-- Pn 1 f:
- _ ;:sz,~r
SITE ADDRESS:""] r~G.~Ar~E110NE: ',-~I
CONTRACTOR:
. 4.
Determine working square foota9e of each
1. Total exposed wall area..... sq, ft. x.11=
2. Total roof/ceiling area..... sy. ft, x_.026
Total exposed wall area abnve floor= •'1','~~~
r- •P
a. Total wall wlndow area
b. Total door area
c. Total sliding 91ass door area
d. Total fireplace wall area "
e. Total wall framing area (average 10S)
f. Total rim ,joist area
g. net wali area above floor -
h. wall area above floor.......................................
i. wall area above floor
j. frame wall area at founctation
Total exposed foundation area=.
k. Total foundation window area •
1. Total net foundation area above grade
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a. `~11 x IV, _4e
b. ~ x „V
.
c. 11o X itul.
d. - X llut,
e. X " U"
' ,~z~tf1~'yre
. X nuu
f
g. /°/•~'~l x 11 U.,
h. X „U„
1. X uUn
~ r
X U° ' - ''.~,•ntE'io;
I f i tem q3 1 s the';sam~e
k, X"U" = as, or less than item~
fll, you have met„tRe°'';
X tiuil intent of SBC 600.. C
-T . L_~a
3. .................................Total = ,~.~'~,~I~, I'r
. ,
~
' Lxterior Envelope Average "U" Computation Page 2 of 4
Y•
T'` • -~°';}~4'.~
Total exposed roof/ceiling area
m. Sotal skylight area
n. Total roof/ceiling framing.area (averagc lOB)...
o. Total net insulated roof/ceiling urea...........
~
rz;..
Determine "U" value for each roof/ceiling segment
M. g flull
n. x ~~U"
l • ;n
0. ~p X uU~, c G1Ir ~_J
f i lJ~ ~•'r`7p~,~
4 4bta1 = ~ };~>{4
If total of #4 is the same as, or less than #2, you have met the intent of
SBr 6006 (c) 1.
Alternate Building Envel.ope Design
2b utilize the total envelope'system method, the values established by the s:un of
items N3 and #4 shall not be greater than the sum of itesns fll and #2.
+ 2. ~'O,
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9f1-:. A387 ~lO;7LGAiE .:iG
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.,,_p;~.` ^rco~~',`e ~19 ~
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: auzLosNs
Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 9 0 5
(612) 681-4675 Date Issued: 10 / 0 3/ 9 7
SITE ADDRESS:
4387 WOODGATE LANE N
LOT: 5 BLOCK: 1
MALLARD PARK 3RD
P.I.N.: 10-47252-050-01
DESCRIPTION:
- - CONVERT TO 4-SEASON
Building'-Permit Type SF (MISC.)
8uilding Wo,r_k Type ALTERATION
' Census Code ~ 434 ALT. RESIDENTIAL
~ F
rf
._~~~r
REMARKS:
FEE SUMMARY:
VALUATION $4,000
Base Fee $87.25
Surcharge $2.00
Total Fee $89.25 ~
~
CONTRACTOR: OWNER: - Applicant -
TIEBEN MICHAEL
4387 WOODGATE LANE N
EAGAN MN
(612)452-6645
I hereby acknowledge that I hava read this application and state that the
information is correct and agree to oomply with ell applica6le State of Mn.
~ Statutes and City ot Eagan Ordinances.
-
APPLICANTlPERMITEE SIGNATURE ISSUE : SIGNATURE
1997 BUILDING PERMITAPPUCATION (RESIDENTIALAl;X0
~ CITY OP EAGAN
3830 PILOT KNOB RD - 55122
681rt675
New Construction Reauirements Rsmodel/Reoair Reaui2ments
• 3 registered sfte surveys ? Z copies of plan
? 2 eopies ol 01ans (inUutle beam 8 window s¢es; poured fid. dasign; etc.) ? 2 sRe surveys (exterior additions 8 decks)
? 1 energy calculations ? 1 energy wleulations for heated atltlitions
• 3 copies of trea preservation pfan M lot platte0 after 7/1l93
required: _ Yes _ No DATE: 10 9, " "I / CONSTRUCTION COST:
DESCRIPTION OF WORK: M 616-fN(-;~ 3 sews, o ,A POeG1-{ -}p SL-SOI'J
STREET ADDRESS: y 3$ 1j , C,0 (7 po C9 l-h 1-t~7 ~-rj
L T ~ BLOCK / SUBD./P.I.D. F4 ~
PROPERTY Name: S1 EQ~ Wl i C-1}vt-e-~ Phone
OWNER usr me+
Street Address: 33-7 N- e,0 o on aii C[-1V •
City: State: 01 N_ Zip: 57Sl a~
CONTRACTOR Company: Phone
Street Address: License
City: State: Zip:
ARCHITECTI Company: Phone
ENGINEER -
Name: Registratron
Street Address:
City: State: Zip:
Sewer & water licer.ned plumber (new construction only): Penaity applies when address change
and lot change are ~equested once permit is issued.
I here6y 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.
Signature of Applicant:
OFFICE USE ONLY ~
Certificates of Survey Received Yes _ No
Tree Preservation Plan Receivetl _ Yes _ No _ Not Required
OFFICE USE ONLY ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt.iLodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
jQ 04 SF Porch ? 09 12-plex g 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
? 31 New 33 Aiterations ? 36 Move
0 32 Addition o 34 Repair a 37 Demolition
GENERAL INFORMATION 41SfAtseoi.1 Pp-jotj
Const. (Actual) Basement sq. ft. MC/W5 System
(Allowable) Main level sq. fl. 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. k. SAC Code
Census Bldg /
Census Unit D
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $ , Op
Surcharge
Plan Review
License
MCNVS SAC
city sa,c /~{~x 7f~= 3~SG•ao
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
r IZ ~Q•_1~ , 1 aa1
~t.
% SAC
'SAC Units
. . ~'****k*********~*t*#;tYii-#*k}*}!##
CITY OF EAGAf~1 °A``'"~rr o` ~ ax;'~.°F
. ~ r.rP~caTTOrr m~s rz7r
. . . APPROVAL OF PERMff'r. m . .
APPLICATION FOR PERMIT *
' . ~ INSPECl20N OF SEYlEFt ADD/G2'WA'EF
r[1S L~rONS WII.L Il(7r IDPSCCHElD-
SEWER AND/OR WATER CONNECTION ~ULID UISPI_. PE2MIT RAS BEEN .
* APPROVID.
r
* .
• F1"k'k'k*Yr *'k1F Yr! * :F 4'k Y* f * * #>'k3*Y'f'!t t1t1
P ease Print
1) PROP£RTY ADDRESS:
LEGAS, DESCRIPTION: 40 r d/~ IPn hd PArK 31rl lqdd-
Lot Block Sub ivision or Tax Parcel ID
Zc -'L~'TSTING S'?'RC`CiLTF2E. DATE OF ORIGINAL E[1ILDIIJGPERh1?T ISSCFIX---: ' . .
n J
PRF~-~~i7I' ZOVI~i;,/PRO?OSID C~SE: (Nnr.r -
F17 CQ~2-1ERCLAL/REI'AIL/OFFICE R-1 SINGLE FAtilILY ' . .
~ Iiv'DC'SiR7AL ~ R-2 DUPLEX (T,p Units)
r-i I\STI'?i=0NPS,/C-0VERnMENT ~ R-3 ZCJWNHOLSE (Three + Or.its) ~ LInyts)
~ R-4 \APARTMENP/CONOMINI[.M ( Units)
2) NP24E: 8I,'/Ce T e be~rl -
aooxESS:_ a /0 7 An/
CITY. S'!'ATE, ZIP: L A ~'A " , . . :
PHOLNE:
3) u . ~ :l
NIAME`___S~ ~'~~Fn17Fl MFC:HANICAL pl FLm~bers ~7,~~~se
. ADDRFSS: 3600 KEfQNEuEC DR14E, EAGAN, hfINN.55722 Active:.-,-_ , i CITY, STATE, ZIP: Expired.
Not `zecorc3ec
PHOiNE: MASTII2 LICENSE# 0014451X2 , ' .
Staz'~"tial
4) ~..u• • ~ ~ i~•
tvAAE: /((f T F' /JP/I~ `-'r'V
. rwox~s: 7 0 4,'44-- X /l/ .
CITY. SPATE, ZIP: A ~ A A) .
PHONE: ,
5) i'~ .~•v~'• r.• • x• : a • o~ x~
~ CONNECfION TO CITY SEWII2 M' CONNFX,`I`ION TU CITY WATF~2 Qo= !.•.r,:.l .
6) ~ PLEASE HOLD APPROVID PERMLT FOR PICK-UP BY ONE OF AgpVE -
PLEASE MAIL APPROVED PERMIT M 1, 2, 4, ~
~ (Circ e
7) one)
7tr. ~ . [~i.Ti~ ~41 E'~r--+-C~~ ~ ' ~ ~ " ~ I` • ~ ' ~ ' 'iJ IU'
4l~' ~7~1 11 e i w r na• ~Ti'~r-^ I~ A 4D(' JI9 41.-' p' °1: : 1' • ~ 1
/i
FOR CITY USE ONLY . - :ss~:_D
rr:Es : $ ~D•SC~ SL•'S4ER PEBmT_T (=.`iCL~_D=
$ WATLR PERMIT (_TP2CLCD=
JU $ WATER h]E=ER/CO??ER vOR:.;~r.--~_~_
$ WATER TAP (ILICLI?-~ ~V~=~::.-_J.'• ..._V~,
j .S SCWER TA?
~S•Qa ACCGiiNT1 D-EPCST?
S IS-Q~ ACCOC'VT DE?GS_T -
wFc
" !75. O v s s Ac . .
> t'itu v?< <.,.:^Ez =ss-
. S T!zU N r: =~7:z
; $ • LATE3?,L
S $ LATERF.L BEN°_°-T/Tr.`-'
I~~o.~iD $ WATER TREP.ThiEiC'?
$ OTH°_R:
/ ~ISv $ ~G~~ TOTP.L
CO\i~:CT 0\ FEC>UIRE E:{CAVATIO-N II4 PUBLT-C C'= ,
SF YES, THL'N' A"PERf4ZT POR S•;OR:C P:::r--`
- .O?.Dti•:\v" A10ST UE ISSOED BY THE
~ 0. D=\%ISION. LIST t15 CONDZTIO-N.
c----~- _D =..c 73:.~C'riS:~G CONDITIO'S:
Gity of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /< " [ Site Address: 3 C� / / V WOOD6(`' 7E f 911 -14A)
Tenant:
x !-\ \ cN.0. 1 S ' T i 9 e_v\
Applicant's Printed Name
Applicant's Signature
Use BLUE or BLACK Ink
r
ct r„Pffce tts
Permit #: J2
Permit Fee: Op
Date Received: // 9-1-)
Staff:
Suite #:
RESIDENT / OWNER
TYPE OF WORK
CONTRACTOR
Name:
Address / City / Zip:
Applicant is:
Owner Contractor
/v WdoO CI - - 14-TE
Phone: (Oil- gS'c7y gi
�vJ VvIN
Description of work: IN/5T ( (\ V W000 umr tv t'\1 ( S ) V e
Construction Cost:
Multi- Family Building: (Yes / No )
Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions
the information may be classified as non - public if, you provide specific reasons that would permit the City to
conclude that they are trade secrets
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.qopherstateonecall.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 wi s • t that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans. . r
Page 1 of 3
Use BLUE or BLACK Ink
�-- ---- ---,
� For Office Use
� I
��� ���� �� j Permit#: � �
� � � �� I
3830 Pilot Knob Road � Permit Fee: � �
Eagan MN 55122 ' I �
Phone:(651)675-5675
� Date Received: �
��,E� f�;:,,� � I
Fax:(651)675-5694 _ � �. .`e��� I
� Staff: �
___��_�______����J
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 1/21/2015 Site Address: 4387 N Woodgate Lane
Tenant: Suite#:
�i� � �-
���� � ��� � Name: Mike Tieben Phone: 612-385-6481
��r�e������a��+� �
� �'���_��",� °��� ,k Address I Cit /Zi 4387 N Wood ate Lane. EaQan. MN 55122
� Y p� 9
� � r� � _
� � �
e ��i�� � �,����"� ` ���;�� , Name: Air Masters Heating &Cooling License#: MB003371 �
�� � � �������_
�� � �
Address: 112 Concord Exchange South City: South St Paul
��p � �'"tti�I k;
�'� � a ��_ ��s,3 ��� State: MN Zip: 55075 Phone: FS1-4,5-F��4
i�� ���
-� � � � �
�3,n ; ��� �� �a�� �` Contact: Kim C-�eAne Email:
�a�i, ���' �����
� �� ` � ����i New �Replacement Additional Alteration Demolition
9 ���� �
"�r
'� �� �� � Descr�ption of work Remove old furnace&install Amana high efficient furnace(60,000 BTU)
��,sr� �
� iN � ����� ��i��IN ii �i � � F�_ A� _, �` E: � 1
� � � n[t��� o��r� �_. � � ���� �� � �� �
� � �� �.'�.i ,.��s4 i- � w a ��.�R .,�3��su� �r..r�+
�ai!71ii�-�r, �`{ :,5� r�a�� �-�` � rv �. �,.!�" ��;� , �
�2 : � � -��., .� _ _. ...__ - . ..n -
��`�� d ���,� ��� ��� RESIDENTIAL COMMERC/AL �
� �_
°��� ����W"� "��' �Fumace New Construction Interior Improvement
��t �v�i��7rF z �i4��_��a — . _
�- � Air Conditioner Install Piping Processed
�'#3f� a 1���,a � — — —
� � § �� `
' ��� �i��°��„ _Air Exchanger
�� �� r � _Gas _Exterior HVAC Unit
rkf"A��,� � ����� � � Heat Pum Under/Above ground Tank �Install/_Remove)
���i �!� �ti'�a - p -
� ����k �'���r�`ry�j; �tll@f
°- i�,=— a_�,�i
RES/DENT/AL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
`If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge*
""`If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
'"'If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
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 Kim Greene X ' �/��.
Applicant's Printed Name Applic nYs Signature
����it.�T -��4��� �"g`-��.�„� �� '��- c„yN 5 _�� � 1�9�. N � ��m �'�� q. . �°e T � _ - � .
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