3562 Woodland Tr
. INSPECTI4N RECORD
° 'CgY'OF EAGAN PERMIT T~PE:
3830 Pilot Knob Road Permit Number: ~ f. t.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. . DA
I ~
~ J
Permit No. Permit Holder Date Telephone N
, - ELECTRIC D~ ~QQ~ U J ~D ~
• PLUMBIN
HVAC ~ L~ o~~ ~ 0T~"0[706
inspsetion Date Insp. Com enta
FOOTINGS
tv1N
FOUND
FRAMING 5/
r~
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH ~
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FlREPIACE
i --v
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG 71
A
ORSAT
TEST T~S/ (r.Q~
BLDG FlNAL
BSMT R.I.
BSMT FlNAL
DECK FT(3
DECK FINAL
, _ M.~ . ,
~r • i' AW~
t ~ ~
~ertc~.cate af cccupanc~
mtv of cFagan
2***rt=cnt of Jo~~ ~noection
' 77eis Certificate issued pursuant io the requirements of 1he Uniform Building Code
certifying thal at the tune ojissuance this stracturr was in compliance with the various
* oidinances of the City rregulatiicg building construction or use. For the following:
i
u. so m swg. r«„iit xo. 25266
Oc.p.y 7ype R31 Taoing District R i Type Const. VN
ow.a or e,,;ksngMARK JOHN90td QW6'1RIJGM AammwP.O. SK 21327, FAGAN
saiwhn Aaamu 3562 GUOfEANID 1RAII. Locasy I5, $2. US i#DLAND 41i
Dar.
eudding oRwW -
POST IN A CONSPICIJOUS PLACE
Address•, 3562 txOoDr,ArID i$arL Zip 5512 3
L.ot' ' 5' Blk 2 Sub Tm wooMA`IDS 4nH
THESE ITEMS WERE !WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 171,5?5 9S Yes No Inspector:
Final grade (6" from siding) t1o"
Permanent steps (garage) r/
Permanent steps (main entry) V'
Petmanent driveway V~l
Permanent gas
Sod/Seeded grass t/
TraiUcurb damage
Porch ~
Basement finish
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righlof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
3 4 0~:O 2 ~ ~ OFFlC USE NLV This request void IB monPos from validation date prinied in thiz bo ~
~ ~o~sjs 5~~
PLEASE PRINT OR TYPE
R tDate Roogh-tn impeclion reqaircd2 ? Yas Inepetlion OtherThan Roogh-In: eody Now ~ Will Cali
~ ~You musl col~ ~he Inspedor wiwn ready) Dak Reody:
I, licensed contrador 0 owner hereby request inspedion of the a6ove eledriml work at:
lab Pddress (Streel, Boz, or Bou1e No.) Gry Zip Code
s W,v z5a-l,,~3
SecM1on No. Towmhip Nama or No. Range Na. Flrc No. Coanry OA6 Aw
Occv n ~ Phone No.
~V~- /VGJ/
Poxer Sopplier Pddress
EI ml Canlmnor ~Co ony Nam p 1 Contrador Liwms Na. MasM 6c. Na (Plnnt EIM. Only)
t4l Ci i`
(fi
Nwili, Aildms: (Co or Owne. P oemipg Insrolianon)
,Z s/A~ H1/ r ~S3 7
AWhonz ig re( nM1VCror or v Aorming Insmllatian) Phom No.
` ~ -00 S
1h10 6/95 STATE APDCOPY-8 INSTRUCTIONS ON BACKOF YELLOWCOPY
II II REQUEST FOR ELECTRICAL INS~P~ C ION ~p5
~ II~~'I I~~ I~ I I~I II~I I I I I II II I I I III Minnesota State Board of Electricity
Jd u l 1821 Universify Ave., Rm. S-128, St. Pdu
* 0 3 4 0 8 2 7 5* Phone (612) 642-0800
Home Duplez Apt. Bldg. Other' New Addn
Commerciol In shial Farm Remod Re air
Air Cond. 1g. Equip. Water Htr. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
"X' above the work covered by this request. Enfer remarks in this spoce and on the back of the whife mpy only.
Calculafe Inspection Fee - 7his Inspecfion Request will not be accepled withouf fhe corred fee:
Olher Fee 3 Service EMrunce Sae Fee # Cirwils/Feeders Fee
Mobile Home Park Stnll 0 to 200 Amps 0 t 100 Amps
Sfreet L}g./TraHic $ig. Above 200 mps Abo e 100 Amps
Transformer/Generator INSPECTOWS eoNLV T
Sign/Outline Lfg, Xfmr. '
Alarm/Remote Control
$wimming Pool
rcb cefi ~hal l im ecmd e e~ectnml insMllanon deecribed hereln on Ihe dob~ smted
I he M
Irrigation Boom Ro„9h.i„ oob
$peciol Inspedian ~
Finvl Dale .
Invesfigafive Fee
THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
0-- 4. -092 y0`0
y~5 0-
0/
Req si Fire No. Rou h-ln Inspection Requlre Inspectlon Olher Than Roughln
(YOU mest call.inspector~f,han reatly) ~ Reatly Now ,gWill Nofify Inspector
Z /T ( - -Ves . ~J N. DateReatly
IKlicensed wntractor ? owner hereby request inspection of above electrical work at:
Jab Atltlress (SIreBC Box or Route No.) CiM1/
35L2 10oL1,;-•~7va 4-~tc .I N
SecAOn No. Townshlp rveme or No. Range No. Counly,
U /4 K 0 Tii
OcW t~PRINT) `7` Phone No.
~ ~2K ~J ItNSLO:+i
Power pplier Atldress
~KOM L«-07Z?,1!-- Fi c, rv,,j
Elednre Conlratlor (Company Name) ConVactois License No.
pppMMM
Meiling ddress (rector or Owner Making Instellation)
G~ on 2if) 66/ P~L1: !//jue'y $$/Z
ANhoriz Slgnalure (COn c rlOwner Making Installation) Phone NumEar
•r ~ 9_5.~ l y~~
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REOVEST WILL NOT
_ Grigga-Midwey BIEg. - Noom SdPB II II I I I I I I II I I I BE ACCEPTEO BY THE STATE BOAFD
1921 Unlversity Ave., St Peul, MN 55104 l1NLESS PROPER INSPECTION FEE IS
Phone (612) 692-0B00 ENCLOSED.
' `~j ~7~REQUEST FOR ELECTRICAL INSPECTION Ee-ooaoi-os
~ ~ 5¢e instructions for compleling iM1is form on back ot yellow copy
"X" Below Work Covered by This Request
Ne Add Fep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
' Duplex Water Heater -Electric Heatin
Apt. 8uilding Dryer Load Management
Comm./Industrial Furnace Other (Speciry)
' Farm Air Conditioner Olher (spaciry) Conirattors Remarks:
Compufe Inspection Fee Below: .
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps °O 0 to 100 Amps oa
Transformers Above 200_Amps Above 100 _Am s
Si ns inspectars Use Only: ITOTAL
Irrigation Booms ~/O •m ~ ~ J~
S ecial Ins ection
AIarMCommunication THIS INSTALLATION MAY ED DISCONNECTED IF NO7
Other Fee COMPLETED WITHIN 78 MON7
I, the Electrical Inspector, here6y Rougn-in oaie ~y
certity that ihe above inspaciion has Finai oa
been made. ~
OFFICE USE ONLY
Tllis reque5t voitl 18 monlh5 from
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruclion Reguirements RemodeVRepair Reauiremenis OfFice kJSe(&dv
3 regislered site surveys showing sq. ft. of IW, sq. fl. of house; and II roofed areas 2 copies of plan Cgrlai SurvOyRecd Y Yil
(20% mazimum lot coverage aliaxed) 1 se1 of Energy Calculations for healed adcrstions Eree PresPl6o.Recd _N,2 copies of plan showing 6eam & window sizes; poured found design, elc. 1 sile survey for addilions 8 decks Tree Pres Requu¢d ~ Y";N
isetofEnergyCalculations Addifion - indicateifomsitesepticsystem D rrs(eSepticsystem ._Y_N,
3 copies of Tree Preservation Plarc if lot platfed afler 711/93
Rim Joist Detail Options seleclion sheel (buildings wilh 3 or less unils)
Date xL/, ~Construction Cost C~DQU
Site Address 7 ).~G ~ L,J000~/~n.~0 f~ Unit/Ste #
DescriptionofWork P/Y/Dr"UC(~o• - R2o/
Multi-Family Bldg _ YYI-N Fireplace(s) _ 0_ 1 _ 2
Property Owner aU ~ M/% Telephone # ( )
Contractor RU/GDG/zf'
Address c~~Of 6611fL 0 C City
State P/W ti Zip 3 7 Telephone #(°l,I~ l~lf- /900
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Mumesota Rules 7672
Energy Code Category , Residential Ventilation Category 7 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the Ciiy of Eagan iuued a permit for a similar plan based on a master planZ
_ Y _ N If yes, date and address of master plan:
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 requ'ues a review and
approval of plans.
&42 eep/?,v~,~~' _
Applicant's Printed Name App icant's Si re
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 ,4ccessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 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 ? 25 Miscellaneous
Work Types
O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demoiish Foundation O 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 48 Windows/Doors
? 34 Replacement •Demolition (EMire Bldg) - Give PCA handout lo applicant
Vatuation Occupancy MCES System
Plan Review 100% or 259'0
Census Code Zoning City Water
SAC Units Stories Booster Pump
# af Unfts Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIliED 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 _ Brick
_ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permii & Surcharge
Treatment Plant
License Search
Copies
Other
Total
. PERMIT 3~ 9~ 1
~ '~"~ITY OF EAGAN ~3~,~~j9~
3830 P i l o t K n o b R o a d PERMIT TYPE: B u L I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 2 6 6
(612) 681-4675 Date Issued: 0 3/ 2 4/ 9 S
SITE ADDRESS:
3562 WOODLAND 7R
LOT: 5 BLOCK: 2
TNE WOODLANDS 9TH
p.I.N.: 10-75879-050-02
DESCRIPTION:
6Lilding E?ermit Type SF DWG
Building Wark Type NEW
' USC OcoupancyR-3
Gonstruct3on Type V-N
Z'oning R-1
Builtling Length 70
Builtling Width 58
BuiTtling stnries 2
`5q'Oa.re Feet ° - 2,569
.
_
REMARKS:
S& W PLBR - MATTHEW DANIELS PLBG
FEE SUMMARY:
VALUATItlN $189,000
Base Fee $951.00 MTSCELLANEOUS $1,892.50
Plan Review $616.15 Total Fee $4,406.15
Surcharge $94.50
SAC $850.00
SAC % 100
5AC Units 1
Subtotal $2,513.65
CONTRACTOR: - Applicant - ST. LIC. OWNER:
JOHNSON CONST, MARK 14511676 0003288 MARK JOHNSON CONS7
P 0 BOX 21327 P 0 BOX 21327
EAGAN MN 55121-0327 EAGAN MN
~ (612) 451-1676 (612)451-1676
I hereby acknawledge that T have read this application and state tHat the
infarmatian is correct and a9re-e to comply with a11 applicable State of"Mn.
IL Statutes and City ofi Eagan Qrd'snances. ~
IG
A ICA /PERMITEE SIGNATURE ISSUED B4Y4
IffsX61995 CITY OF FAGAN 3830 PILOT KNOB RD - 55122 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Plew Conshuction Reauirements 6emodeVRepair Reouirements
? 3 regislered site surveys ? 2 copies of plan
? 2 cnpies of plans (inUutle beam & window sizes; poured tnd. design; eta) ? 2 site surveys (exterior eddRbns & decks)
? 1 energy plwlations ? 1 energy ca!wlations for heated additbns
? 1 tree preservation plan if lot platted aRer 717/93
required: _ Yes X No
~
DATE: 3 IS0 /95 CONSTRUCTION COST: ~a$1 eoo . e n
DESCRIPTION OF WORK: Cd+~~ua~',e.. of N4W
STREET ADDRESS: 6^at T~~ I
1hG
LoT 5 sLocK 12 SUBD./P.I.D. Wood
PROPER7v Name: 4e{lv Aab Q,'cL Nalce,n Phone V5-~'~2/
OWNER
StreetAddress• VS fo Qela..o.+ C'1rJ2
City: N.k State: ONOV Zip: S9676
CONTRACTOR Company: MaA Wosnu.. Gwcf Phone
Street Address: A O. 13ex o'L13vj') License 3.2 air
City: F4 e so%
ARCHITECTI Company: ksnn Morufa.U4 Doti.u. Phone 431' 169`
ENGINEER
Name: 110A.. Me..:Fafel* Registration
Street Address,
Ciry: 140 lv Uc, 14y State: MW Zip• SS/2~f
Sewer & water licensed plumber: /~'~~•w ~r.~a~ Penalty applies when address change and lot
change are requested oncepermit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RIE CIE NED
Certificates of Survey Received Yes o MAR 2 0 1995
Tree Preservation Plan Received Yes " No
• ~ ~t
OFFICE USE ONLY
BUILDING PERMIT TYPE ~
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
AL 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 Multi (additional) ? 15 Deck
WORK TYPE
CW, 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) IiZ-ly- Basement sq. ft. 747 MC/WS System Cl><
(Allowable) V~ Main level sq. ft. 422;s City Water dc-
UBC Occupancy t4anay sq. ft. Fire Sprinklered
Zoning +z-/ sq. ft. PRV
# of Stories Z/ar.,s sq. ft. Booster Pump
Length ~o sq. ft. Census Code. ~
Depth 5;1s_ Footprint sq. ft. Z, 3G 9 SAC Code 0(
p Census Bldg 1
Census Unit ~
APPROVALS 5-,,4, ;
Ptanning Building Engineering Variance
Permit Fee Valuation: $ o00
Surcharge
Plan Review
License I r ~ y: 3 y
MCNVS SAC -78 z
City SAC 61/ X 7/1?'
Water Conn.
Water Meter G"'' _ ~s
6
fxz&O, = 130
~ 7/p7x~s '
Acct. Deposit t X zo , z° ,
S/W Permit
S/W Surcharge i,7Y>3 x~' g'
_
Treatment PI.
Road Unit 6 n ~ z = 7 z
Park Ded. z'~Fa, zo x 31 : myo 40
Trails Ded. 1K 6• °l ' 7 ~3 Z
SZxle lz~
- Other tv ' Yo3 7
Copies ~°j
/ X 7
Tot3l:
Z f : ZY DteK-
% SAC r.s r~ ' k -~/,2AO
SAC Units 'S'` 3vs
IVrL 976 ysy= Sz,??j
i
LOT BIIRVEY CHECRLSST FOA RESIDENTIAL
~ BIIILDING ERMIT APPLICATION
m
_ ~ PROPERTY LE6ALt ~ - ~
y<~ Date of Surveps
~ DOCIIMENT BTANDA7LnR ' -e
$~~D 0 • Registered Lnnd Suxveyor cignature and company
~Y D 0 • Building Permit Applicant
0 ~ 13 • Leqal description
0 • Address
~D 0- • North arrow and 4mer scale
• House type (rambler, valkout, aplit w/o, split entry,
lookout, eta.) .
0 • Directional drninage arrows with slope/qradient 4.
M 0 Proposed/existing aewer and water services
D • Street name
F0 • Drivevay ,
ELEVATZOl16
Lxietinc
? • Sewer service
0 0 • Lot eorners
X • Top of eurb at the driveway
[3 • Elevations of any existing adjacent homes
BrOD09ed
• Garage floor
D 0 • First floor
Y.H' D • Lowest exposed elevation (walkout/window)
? • Property eorners
aY n 0 • Front and rear of home at the foundation
PONDIpG AREAS (if aonlicable)
D • Essement line
7 II" n • HNWL
WL
~ 0~ ~ • Pond N designation
7 D • FSnergency Overflow Elevation
D1?SEN8201i8
~ D • Lot lines
0 • Riqht-of-way and street width (to back of curb)
VD • Propose8 home dimensions including any propcsed decks,
overhangs qrenter thah 2', porches, etc. (i.e. all
strnctures requiring permanent footings)
0 D • Show all easements of record and any Ciiy utilities within
/ those easements
n D • Setbacks of proposed structure and setback of adjacent
existing homes
~ D • Retaining wall re ,irements, if any .
Reviewed: ~
Na e / Date
October 1992 .
~
TOiE C6 OF EAGAN 13014S NOTIGUARAfV r`= ~
11 1o ~ D/OR CE EVATIOfVS. THI IS D,~TOCATI ~ O O D LA -
6" - 221/20 BEND INFORIUTATION PURPOSES C~L:LV RND
PERSOiilS U.`',IIVG IT SHOULU ~,r-7;'C.r 71, ~ •
2 IiNFORMATI0{V ON THE SITE. SEE '
. ~
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~
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M 1 p~ $ ofss.~ 3 HYDRAN T
4 S s
- - - - - - -
_ A ° 77*35~46o - _ -
R = 175.00 +
. L 169.29 v!~
- - - - - - - - - - - - - - - - - -
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•
CERTZFICqTE OF SUHVEy
ForMARK JOHNSON CONST.
PROPERTy DESCRIpTlphJ; Lot 5, Block 2, TME WOODLANDSFOURTH
ADDITIOM, Dakota County, Minnespta,
We hereby certify that this is a trua and correct survey of fhe above described property and that it was
pertormed by me or under my direct supervision and that I am.a duly Licensed Surveyor under the
laws of the State of Minnesota. This survey does not purport=lo show all improvements, easements
or encroachments, ta the property except es shown thereon.E 1E1,jVE:'
Signed this 0 "day of MIPt.1A, 195!Y ! z fr James R. Hfll, (nc.,
~y ay:
RANDY MOItT , LAND SURV$yOlt
D MINNESOTALTCENSENQ.2J402
. ~ . AT FAinrwn.~i'RTA7f' TRRT,
NOteB' -
.
1. Building dimen5ions. Shown et'@ for 0 Denotes sel iron monument
horizonf8l & vertiCal IocAtian of structure only. 0 Denotes tound Iron monument
See architeCtural plans for buildin & x 927.66 Denotes exis6ng elevatlon
9 (930.00) Denotes proppsed elevation
foundation d;mensions. ---a. Denotes proposed drainage
2. No specific soils investigation has been
completed on this lot by James R. HiN, itlC. Bench Mark: qit. yG ._T.vH o~ i ~~C~ e-s
7he suitability of soils ro support the specific Proposed Garage Floor = -
house proposed is not the responsibility of Proposed House Top Block= ~9 a_,~~s
James R. Hill, InC. or the SuNeyOr. Proposed Garage Top 91ock= a9 0: 5
3, proposed grades shown were taken from ProposedLowestPloorm GI,z•
the grading &/or development pian prepared by Bearings are on assumed datum
AACNITECTURAL FOAU% INC. SC81@: I' O'
Poge 1 of 2
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o 0 James R. --lil!/ inc.
y ~ ~ oq~
o m PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY, RD. 42 9 BURNSVILLE, MN. $5337 a 812•890-6044
. . . 0?.,17.95 iS:lE 003
-
CERTIFYCATE UF SURVEY
F0R MART{ JOHNSON CONST.
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scale: 1°=30' Page 2 ot' 2 James R. Hill, Inc.
J •
/G4' . EXTERIOR ENYELOPE.AVERAfF. "U" CONPUTA710t!
OMIER,: t~ol~V o,r/ /2rc~ tie(SO~
--T
SITE AbORESS: ;5 6, q t,aocc:4 (a-~-J Tra
CONTRJILTOR: DATE.: PHONi: e/5/'/67(0
~ DETf.RHINE 4+ORKItIf SQUARE f00TAf,E OF EACH:
1. TOTAL EXPOSED llALL AREA,,,,,,,, 5B?2.40 sq ft x"U" 'll .¢ZS,ci'L ,
2. TOTAL ROOF/CEILING AREA,,;,..,, 1 Gj~07,00 sq ft x"U" •026
j. TOTAL ElfPOSED NAII AREA CALCULATIONS: ~
Total exposed Wall
area above floor,,,,,,.. 3-'7sq ft
a) Total wall wlndow area: ~
2
(ibU•{%;' qlazed...... sq ft x iiU~~ . Jz,
qlazeA...... sq ft x f.ull
.
b) Total Aoor area sq ft x"U"
c) Total slldinq qlass door area:
Qla2nd....,.. ~l/~03 73 sq,ft x iiUil
- c-~~ 4lazed...... sq ft x "Ull
d) Tofal (laeplace wall area sg ft x"U10
e) Total wall.framinq area 2 c~ q~ lI
, (Average 10.T,).......... sq ft x"Ull ~dl O ~J3
.
f) Total net wall area aEova
fioor (Insulated)....... G sq ft x"U" 114 c;4
q) Tata) rim )olst area...... ~z~•QO sq ft x"U" 42 Z-
Total foundatlon
area (Exposed).......... sq ft h) Total foundatlon
. wlnAow srea............. sq it x"U"
I} Total net founAatlon -
are• abova qrade........ eq ft x"U" ~164 . 17,0a
3• TOTAL a) thru 1) . 3Z G,
~
If Item r) is the sarne as, or less than Item pl, you have met the Intent of
S.B.C. Sectlon 6006 (c) 2.
~.,_,,....._.,..__..a_-..~_....__.....-.._...._._._.___...-.~,~.~_..._.
•4. TOTAL EXPOSED RAOf/CEILINC CALCUUTIONS:
Total exposed
roof/calling ares........ s
7(~ ~ q ft •
Total skyllaht aree....... sq ft x"U"
k) Total roof/ceillnq framing O
area (Averane /
~ J~0•~ 0 s4 ft x"U" 1
1) Total net Insulated 33
roof/cellinq area....... ~~f D~30 sq ft x"U" .8
4. TOTAL I) thru 1) ~7• (2-
If tota) af 04 (s the same as, or less than N2, yau have met the Intent of
S.B.C. Seetlon 6006 (t) 1. „
. ALTERtIATE HUILDItIf, ENVELOPE OESICN
To utlllze the total envelope system methoA, the velues established by the sum
of items 03 and 04 shall not be greater than the sum of Fteins A') and 02.
' 1. + ~ 1. + 4. ~ . .
C E R T I F 1 C. A T I 0 N
I hereby certlfy that 1 have calculated the "U" factors and "R"
values herein snd that the bullAlnq here rfescrlhed meets or exceeAS the State
of Mlnnesota Enerqy f.onservatton Aet.
SI nature
(Date)
I
~ 8402
L~ BL oZ CITY USE ONLY RECEIPT
SUBD, i// rKZ- ~eO-O(" h` ' DATE: aZ2~g
1995 MECHANICAL PERMIT (RE5IDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
~ New construction Add-on furnace
Add-on air conditioning Fireplace conversion (to existing fireplace)
Date: ~-\a•~~
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00)
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each) 19> w
? State Surcharge .50
TOTAL
SITE ADDRESS: ~Jltioq-
OWNER NAME:MwA PHONE ,Ab`' ~~1(0
i INSTALLER NAME:
STREET ADDRESS:`SL~NL 2LCAL
CITY: r STATE: ~K\ ZIP:
PHONE
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are not required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.00 minimum fee Q 1% of contract price, whichever is greater.
~ Processed piping - $25.00
State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
' L 5 BL oL CITY USE ONLY RECEIPT 39Ja7
SUBDJ/,,~,L~e L(~ AjjjL 171& DATE: ~
~/7 9s
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.UO x =
Water Closet 3.00 x Gb
Bath Tu6 3.00 x 3 Ub
Lavatory 3.00 x / .Oo
Kitchen Sink 3.00 x - 3()p
Laundry Tray 3.00 x = 300
Hot Tub/5pa 3.00 x vo
Water Heater 3.00 x I
Floor Drain 3.00 x t = 3. (X)
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 20.00 =
vG.G. Sprinkler ' home under const. 3.00 = ~
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE 5URCHARGE .50
TOTAL
SITE ADDRESS: 35(,2
OWNER NAME: ~AP-'K- Ubl4^' SO k) O-o N S i0u-C7"IoaJ
INSTALLER NAME• A4 A, T1-14 c w D&ak N+ E (-S S~uC .
STREET ADDRESS: IS23 p 6)A e+-°-v U SE~L (,u A`I
CITY: VoSGVVtauau-r STATE: ZIP:
PHONE I Z ) 4L -3-736 LLO
STGRATQFFEoF PERMI-ri
I
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industriai buildings.
? multi-family buildings when separate permits are agA required
for each dwelling unit.
QATE: CnHTRqCT ooirG:
WORK TYPE: _ NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of ggmji fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OVVNEF2 NAIViE:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
APPLICANT CITY OF EAGAN
HAMMARGREN ATfORYEYS AT LmV
7301 Oxas LnNe, SmrF. 360
~ Nw>sArous, MN 5%39
~ MEYER,P.A. TeierxoNe(952)844-9033
. Fncsimu.c (952) 8440114
DAVID D. HAMMAftGRGN Writer's direct dial
PAUL T. M[YER* (952) 844-9033
TIMOTHV C. COOK !q I~I
JfNNIFER A. THOMPSOY , 25 Writer's e-mail
AM'HONY W. THOMPSON reception@hammar(aw.com
' Lme.s.u Pxn.e.a.n...lnei.~vcv VIA U.S. MAIL
January 24, 2005
City of Eagan
Building Inspectors
3830 Pilot Knob Road
Eagan MN,55123
RE: Mohmed Ela£andi
3562 Woodland Trail
Eagan, MN 55123
Dear Ms. Severson:
Enclosed please find a check in the amount of $8.00 for copying expenses. Thank you
for your prompt attention.
Sincerely,
Jaime McGarvey
JM
Enclosures:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130227
Date Issued:04/13/2015
Permit Category:ePermit
Site Address: 3562 Woodland Tr
Lot:5 Block: 2 Addition: The Woodlands 4th
PID:10-75879-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Applicant: Jeffrey Norblom
1465 Selby Avenue
St. Paul, MN 55104
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mohamed R Elafandi
3562 Woodland Tr
Eagan MN 55123
(651) 355-6000
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136969
Date Issued:06/08/2016
Permit Category:ePermit
Site Address: 3562 Woodland Tr
Lot:5 Block: 2 Addition: The Woodlands 4th
PID:10-75879-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mohamed R Elafandi
3562 Woodland Tr
Eagan MN 55123
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142968
Date Issued:05/25/2017
Permit Category:ePermit
Site Address: 3562 Woodland Tr
Lot:5 Block: 2 Addition: The Woodlands 4th
PID:10-75879-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mohamed R Elafandi
3562 Woodland Tr
Eagan MN 55123
Storm Group Roofing LLC
7308 Aspen Lane N, Suite 118
Brooklyn Park MN 55428
(612) 559-2449
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148875
Date Issued:04/25/2018
Permit Category:ePermit
Site Address: 3562 Woodland Tr
Lot:5 Block: 2 Addition: The Woodlands 4th
PID:10-75879-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mohamed R Elafandi
3562 Woodland Tr
Eagan MN 55123
(651) 497-4172
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature