3656 Woodland TrDate:
Tenant:
CityofEaaR
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
51
Use BLUE or BLACK Ink
Ott
Permit#: � 1 J 0 (17�
Permit Fee. 8:-/f /
Date Received: 8�
Staff.
2011 MECHANICAL PERMIT APPLICATION
Site Address: 5& (( 0.10 , /7(J 7/'if
d � tet-- PP L///` c (' L QJ- 2C/1
Suite #:
RESIDENT / OWNER
Name: I) '4 Ph I ' f 'j .. /) Phone:(p57 - y05 "(CS
Address / City / Zip: 3(o 0. ktZii k( 4/ 'iii:(_,( 1r cagicm 551a-3
CONTRACTOR
Name: SURNSVILLE HEATING & A/C, INC. License #: Li /a (Z ? 7/ 3
34b1 W. Burnsville Parkway
Address: Suite 120 City:
State: )urnsville, MN 55337 Phone: cS2 — 'C1 Ck C S
Contact: C 1, Email:
TYPE OF WORK
New Replacement Additional Alteration Demolition
//►j
Description of work: LL./�0., ,t,(/1, AQ , /1-6,0 (L: ` /-&-1, tori /7
,c
NO E: # F r rt d end grain r ou d rn icai r is c uil r d f pity
Code. l�le contact the Mechanical :Inspector rr;i orrrr on oft p i1 t� prtkio s.
PERMIT TYPE
RESIDENTIAL
XFurnace
COMMERCIAL
_ New Construction Interior Improvement
Air Conditioner
Install Piping Processed
_ Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
_
Under / Above ground Tank ( Install / Remove)
_
Otherj�(� i I
_
..When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge) �/� /�
$5.00 State Surcharge) $ ?. 5, V V TOTAL FEE
$95.00 Fire repair (replace
_ COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
.$ TOTAL FEE
CALL BEFORE YOU DIG. Cali 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
wit he approved plan in the case of work which requires a review and approval of plans.
x 1 IT f)T s -y16 lOJ') x t 8/20
Applicant's Printed Name
Applicant's Signature
. . .aw•ra!+~?~e~. .
~ CITY OF EAGAN 18265
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. walue =176 ,000 oate AUG 13 , 19 90
Site Address 3656 ii00p'.ANQ TR
LOt 24 BIoC~J 4 SeC/Sub. T~ ~DIAMW OFFICE USE ONLY
Parcel No. occupar,cy ~3 ~i ~ FEES
zoning
W Name ~STRUCTIOt1, INC (~t„ai)co„sc BIdg.Permit 9W•00
~Address- 1212 SLUEBII.L 8/1Y RD (aulowable) _ 88.00
° Cit ~~gVI~ Phone 431-~7Sbb *oisiorie5 s~"~'a`~
y Plan Revievr 589.00 '
Length
100.00_
o Name ~ Dec~ ~ sac. City
~,Q AddfBSS S.F. Total - SAC. MCWCC W0
~ City Phone S.F. Footprints - 625•00
On Site Sewage _ Water Conn
~
~ W Name on site weu ~ water rv?eter
~ ; Address Mwcc sysierr,
i W City Phone City water ~ ~t. Deposit
PFV Required _ SNV Permit ~.oo
I hereby acknowlege that 1 have read Ihis application and state that the Boostar Pump - S/yy Surcharge •50
information is correct and agree to comply witiL all applicable State of 252*00
Minnesota Statutet and City of Eagan Ordinances.\ Treatment PI
't •
Signature af Permitee APPROVALS ppad Unit 355,00
A Building Permil is issued to: ~ COKSTM=TION, NC Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City ol Ea9an Ordmances. gldy. pff. _ Copres
Building OHiCial ~ Variance - TOTAL 3,665.50
' Permk No. PamR Holdlr ome Tekphone #
V*tTER r; ~/l! SD
SEWER
PLUMBING
H.V.AC.
ELECTRIC
, Inapectfon DaU M . Comrtwnfs
FooWW 1 P21-9 e., Ds ~ ~ °
ww,dau«, /o
Framing
Roo"
R,* P". J 0 AlH - -2s 6 C/
R.0 HV. ~oz~. 9a ij/: 4 / o )Qlfi' ff .
FaeWace ~ ~~v cc~ ~l / p~(
FwW ?+ig. - y(
Final Plbg. c
Const. Meler Ptb9- lnsPeclo? - NoUfy Plumber
Ergr.lPlan
ews. F.W S
Dedc Flg. ~~i LtJ
Deck Fnal
Well
Pr. Drop-
.
N e F~ ~
•Y Cirp of Cagatt
~
Erpwrbund Lr# Nuiww JWPrtinn
TlrLs CaUftcate tssrcc+d pwsuan! so the rrqutnarurrtr ojSaai= 306 of the Uidform BuIlding
Code ceWf3'inS tha! at tJre time of Lrrrrance this s7ruclune xas In cbmplianae witli r!u wrious
. anfnanm ojrlu Ciry rrgulaft buitding cnns7ucdon or rrse. For llie jouowing: !
~~..d. SF DWG/GAR 18265
Ctca-7TW R3/MI zoniat Mkics R1 T~Cam VN
owow aceaiaos MMQKAID OONSIROGTIW Ada.~. 1212 ffiIIEBIII., &1Y RD., B[llwlII7E
Buadiq 3656 S,~.APID IRAII, L-Blity . , 'LHE 4lClCDLAPID6
JFMOIARY 4, 1991
&Imq omcw
POST IN A CONSPoCUOUS PLACE
. . ¦nY f'~...?.,(,.±w..J~.••-r.'.'{i~w~7'_ .a:wx'r:^t.:.~'T.. 'i,~°w.E~:~4m~.
For Office ~e nly
~ . CITY OF EAQAN pERMIT #
: CONTRACT ~3830 PILOT KNOB ROAD, EAGAN, MN 35122 RECEIPT it ~ e'Y7 4-7
PRICE PHONE 454-8100 DATE: S
Site ~re,ss 96od/optit 6LDa• TY~E/ WORK Y C PTION
Lot y B ec/Sub ~8- =~Sr- "o", "
Muk. Add-0n
~ Name 0C C°mm. Repair
~ Add f~e pS?'x) n P n S0. Other
~ City F Phone RES. PLBG. ONLY - COYPLETE THE FOLLOWING:
FIXTUREB TOTAL
Waler Cioset - $3.00
s I U 0
Name Q O n(A, v, th Tuba - i3.00
O.a
~ Addre Lavatory - s3.00 Qo
~ City nS?/ F Phone Shower - S3.00 FGOcfien Sink - $3.00
UrinaVBidet - $3.00
FEE3 ~ Laundry Trey -;3.00 ~
. COMMAND. FEE -1X aF CONTRACT FEE Floor Drains -;1.50
APT. BLDGS. - COMM. RATE APPUES Watar Heater - $1.50
II ~
TOWNHOUSE 8 CONDO - RES. RATE APLUES Whirlpool -$3.00 3 bs)
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (Ii11N11AUM -1 PER PERYIT)
STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD $.50 PER EACH $ 1,000 OF PERMIT FEE) Well - $10.00
Privabe Disp. - $10.00
G( Rough Openings - $1.50
SIt3NATURE OF PERMf1TEE U. G. Sprinkler System - $12•00
PERMIT FEE: ~
STATES
FOR: CITY OF EAGAN S/C: C)
,
GRAND TOTAL: p._
~ • _ _ _ _ _
. . , .
~ MECHANICAL PERMIT For City Usa Only
' . CITY OF EAGAN PERMIT # /--2 49 f .f
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEiPT #t ~
DATE PHONE 4548100 DATE:
' Site Add ss BLDG. TYPE WORK DESCRIPTION
. Lot B. SeclSub . Res• New Eonst.
- , AAu~. Add-0n
~
Name Comm. Repair
1 Other
~ Address
c City - Phon FEES
' RES. HVAC 0-100 M BTU - $24.00
Name Mc% ADOITIONAL 50 M BTU - 6.00
~ AddressI`-) 1°d ~i~ (RES. HVAC INCLUDES AIC ON NEW
CONSTRUCTION)
~ City Phon ,Z TOWNHOUSE & CONDOS - RES. RATE APPLIES
IAINIWIUTA RESIDENTIAL FEE - ALL ADD-ON b
. TYPE OF WORK REMODELS (INCLUDES GAS PIPING) - 12.00
Forced Afr BTU CAS OUTtETS(MINIMUY -:1 PF~i PERI~A17-
NEW CONST.) 1.50 EA.
Boiler M BTU S CWAYAND FEE -1x, OF CONTRACT FEE ; Unit Heater T M BTU $ APT. BLDGS. - COMM. RATE APPLIES
• Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
Vent CFM a STATE SURCHARGE PER PERYIT - .50
_ (ADD $-50 S/C PER EACH $1000.00 OF PERMIT FEE)
Gas Piping Outlets # $
j
Other $ 1 J, /
CommJlnd. Contract Price x 1% $
PERMT FEE:?
S/C: ' : CI EAGAN
TOTAL: ~ ~
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER ~YJ~ 0364 PERMIT DATE QS/ 16I90
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHip #D1.ff1 7pERMIT # 11588
METER SIZE ~ 0 c B.P. RECEIPT # ~r
DATE AUG 15, 1990 ISSUE DATE B.P. RECEIPT DATE OQ f 15/9U
- PRV - BOOSTER PUMP
~
SITE ADDRESS 3656 1,:00I>LAI1B TR PERMIT REQUESTED ;
LOT 2 BLOCK 4 SEC/SUB T6E WOOllLANDS ;
X SEWER ~L WATER _ TAPS APPLICANT: s i
ADDRESS: ' - COMM/IND --k- RESIDENTIAL
CITY, STATE ZIP Y. NEW _ EXISTING
PHONE:
STAR PLUMBIhG Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: 1,018 MOUND SPRINGSTcRR ~redit WILL~OT b given for Deduct Meters.
CITY, STATE BLOOMINGTUP;, MN Zip 55420 '
~ ~.r---
PHONE: 884-4149
~ 1 AGREE O GOMPLY WI . CITY OF
OWNER: ~CDONALU CUNSTRUCTIUN, I.NC ~ EAGAN O OINA CES -
ADDRESS: 1212 BL'u'EBILL BAY RU ~
CITY, STATE BURfiSVILi,r;, MN ZIP 55337 VA~
PHONE: 431-7566 GNA URE WHEN MET ISSUED
, ' ; _
~ PLEASE'ALLOW TWO WORKING~ DA1fS FOR OI~dCESSING. G~ALL 5220 FOR INSPECTIONS. FOR STORM
~ SEWER PERMtTS, CONTACT ENGINEERING DEPT.
I
, _ . . , . w . , ,
SEWER-& WATER PERMIt OFFICE USE ONLY
CITY OF F.AbiAN METER # PERMIT DATE CE/ l b A•'u
3830 Pilot Knob Rd. i i 588
Eagan, MN 55122-1897 CHIP ~ PERMIT t
i L
, METER SIZE B.P_ RECEIPT
DATE AUr 15, 1990 ISSUE DATE B.P. RECEIPT DATE 1 5! U
' • ' - PRV _ BOOSTER PUMP
~
SITE ADDFIVSS ~ 3656 jJ00Dl.1?ND TR PERMIT REQUESTED
LOT 34 IfLOCK 4 SEC/SUB THL; WOaDLANDS
X SEWER x WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND X RESIDENTIAL
CITY, STATE ZIP X NEW _ EXISTING
PHONE:
STA6i PLUt~ING Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: 1018 HOUND SPRIM($ TERP Credit WILL NOT begiven for Deduct Meters.
CITY, STATE BU"YHGTON• 19; ZIP 55420
PHONE: 884-4144
1 AGREE T0 COMPLY WIT+i CITY OF
OWNER: M=DONALD CONSLRt'C7I0:V, ItIC EAGAN ORDINANCES
ADDRESS: 1212 BLUEBI LL B/1Y RD
CITY, STATE BUi:NSVILI.E. NN ZIP 55117
PHONE: 411-7566 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
' DATE_ AUG 16, 1990
~ J.
RE: 3654 W'OODI.!?ND Tx (MCDONALD CONSTRUCTION. INC) ,
'x Your Sewer & Water Permit for the above property has been completed. It wil) be held at the Public Works Garage (3501 Coachman Road) unti{ the meter is picked up. BE SURE TO I
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. j
Your Srer & Water Permit for the above property cannot be completed for the following ,
re/sans: I
/ I
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
,
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHdNE, ELECTRIC, GAS, ETC.
- RE(aUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
, r
~ CASH RECEIPT
.
CITY OF EAGAN 3830 PILOT KNOB ROAD '
EAGAN, MINNESOTA 55122
DATE 19
i
~ ~~~C~.~r~~? ~ ~.r,~, u
AMOUNT 1$
& DOILARS
,oo
p CASH WH ECK
~
wn •
j FUND OBJECT AMOUNT
C
`
;
~
4
~
Thank You
~
' BY
, C ~
9479
! wr-Fw, copy
/"/rr /s 0 YYOY~
a 10672 ~Z&
FeQU t D ///yyy - ve N. Pough-in Inspection
. ReQwred'+ ? Ready Now WAYA~NOtify Inspector
W.~ I C No When Reatly'+
I icensed coniractor ? owner hereby request inspection oi above eledrical work at dae nae. ss isvc eq~ or Raute o) ~ ci~y
W J
Secbon N. Townsnip Name or No Fange No Counry
r/
p-Mt(P INTI' ~ Q1. P~ r75YJ
~
Pawer Su ie Atltlress
I Con[ractor ( mpany ryame C cmr' Li ense
a ng Atltlress (Gonlr 1o1o1r Making Inslallabon)
Amnonz SignaW (Conv to ner king Installalion Pro e N a 3
r I
MINNESOTA STATE BOAND OF LECTRICITY THI$ INSPEGTION REOUEST WILL NOT
Gtlgge"MlEway BIEg - Poom S179 BE ACCEPTED BV THE STATE BOARO
1821 Univerelry Ave., SL Paul, MN 55100 UNLESS PFOPER INSPECTION FEE IS
Ghan0(61Y) 642-0800 ENCLOSEO
v REQUEST FOR ELECTRICAL INSPECTION ;y;°i.=••"*q eeooooroe
p~ See instmcnans lor completing tM1is torm an beck ot yellow copY 99,29JL
M uest
W 10672 -(X" Below Work Covered by This Req
ew Ad0 Rep Typeof Bwltling App6ancasWiretl EquipmenlWued
Home Range Temporary Service
Duplex Water Heater Elednc Heating
ApL Building Dryer Other (Specity)
Comm./Industnal rnace
Farm Air Condnioner
Olher(specilY) ConVactor5 Femarks
Compute Inspechon Fee Below:
8 Other Fee 8 ServiceEMranceS¢e e R Circuits/Feedars Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
7 Above 10trnps
Transformers Above 200 _ Amps
SignS Inspecmr§ Use Only M L
Irngauon BoomS 5
Special Inspecnon
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M THS.
I, the Electrical Inspecror, hereby Rou9h in • oa~e _14_W
certify that the above inspection has F,~ai . oai ~f
been made. ~
OFFICE USE ONLY
TIIiS RQu85t WW 18 TOOIhS L0111
Address: 3656 Ix70DLAND TRAIL Lot Zq Blk q Sec/Sub IIZ WpppLANpg
These items were/were not complete nt the time of the final inspection.
DATE: FEBRIIARY 4, 1991 Yes No INSPECTOR:
Final grade (6" from siding) ?
Permanent.steps - garage
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas ?
Sod/seeded grass LI-I
Trail/curb damage
Porch
Basement finish V
Deck z
Please verify vith the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside laum faucet before
fzeeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
. • CITY OF EAGAN NO 18265
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 Q
BUILDING PERMIT Receipt
To be used lor SF DWG/GAR Est Value $176,000 Date AUG 15 , 199jQ_
Site Address 3656 WOODLAND TR
Lot 24 Block4 Sec/Sub. THE WOODLANDS oFFICE uSE ONLv
Parcel No. occuPancy R-3 M=1 FEFS
2oninq R=1
s Name ~ MCDONAID CON TRi TON INC (ACtual) Consl V=N BIdg.Permit 906.00
w
3 Address -1212 RT.IiER7i.1. RAY RD
o (Allowa6le) =VN Surcharge RR_OQ
City RURNSVTI.i.R Phone 431-7566 x of Stones
len9Ih 78 ' Plan Review SRQ _ OQ
~o Name SAME Dapth 53' snc, ciiy 100.00
gF Address S.F. Total - SAC, MCWCC 600.00
City Phone S F. Foolpnnts _
~ On Sne Sewage _ Waler Conn 625, 00
~ Name
ww On Site well water Meter 90. 00
Address MWCCSyslem 7U{
<W CitY Phone ciiywater XX Acct.Deposit 30.00
PRV Fequiretl _ S/W Permrl 30.00
I hereby acknowlgge that I have re d Ihis apphcation and s~ate that Ihe Booster Pump SrW Surcharge - 50
inlormation is correc antl agree lo~comply wp i all applicable State ot
Mmnesota Statut an City of Eaqan Ordinances. Trealmem PI 252.00
Signalure of PermRe( APPROVALS Road Unit 355- 00
A Bmldmg Permn is 15su lo: M ONALD CONSTR TION C Planner - park Dad.
on the ezpress conditicpAhat all work shall be done in accortlance wrth all Council
applicable State of Minnesota StaNtes and City of Eagan Ortlinances. Copies
Bltlg Ofl.
Bwltling Official ~ ~I i 1 ~~l ~ f LJ 1~ Variance - TOTAL 3,665. 50
i ~
ABBOTT GLASS & 1VIIRROR, INC.
1151 E. Cliff Road • Burnsville, MN 55337
Phone (612) 890-2309
G~..~ . ~
~
1990 SUILDING PERHIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTZPLE DWELLINCS COMMERCIAL
2 SETS OF PLANS i1 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERCY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY.
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
' P70TE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. ~
AUF !3 RECD
~taclud~~ /ot~
To Be Used For: Valuation: HQre!&i~y-_ Date: 5-13-9D
Siee Address 3G5(~ t-'mdWjd -j`yr;I 176/ooOr.OFFICE USE ONLY
Lot 2q Block L4 FEES ?y
occupancy R-3 N1-I
Zoning
Parcel/Sub (~~q.,~~S 1'r Actual Const V-PI Bldg. Permit • 3
Allowable V -N Surcharge ~p
Owner Tec # of stories Plan Review Sf3 O0
Length 7 8 SAC, City /pn,Op .
Address ~212 -ek4Qint It Depth SAC, MWCC /QpeQO
S.F. Total Water Conn 62 ,pu
City/Zip Code &4t,usvit I e . MA0 5533~ Footprint S.F. Water Meter ,Uo
Acct. Deposit 00
Phone ~f31-75~b On site sewage_ S/W Permit 30,00
On site well S/W Surcharge 0 O
Contractor "N-pr+.lc AS MWCC System ~ Treatment Pl. ySZ,W
City water ~ Road Unit 3 S,biP
Address PRV Park Ded.
Booster Pump Copies
City/2ip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL J.;.~.6.FD
Council ,
Arch./Engr. Bldg. Off.
Variance
Address ~
V
City/Zip Code
Phone #
1
V~ t u A~*~ ~i.1 t
. ~ .
GA2AC'S
I~+x zo~ zgo
~~x2~ Zz
8zz x ~y: IISos
Bsvr~T,
3 x ~ ~'/2 r 35
33 x 32'~~2
2'~I y- C/ _ (.2o)
Zs'1Z x 7 _ a~o
12.~,c I'Lx~~= '7Z
~'S !oo X 1 S' ?~PS ~I o'~
Ii~cbx~~= 33 . . .
N Xl2 X~ 5~ Z4 . .
~-~`6 X uo= ~1 Z~ .
~r Foon-
. - .
B5ri17. I36 °
~ ~SI ~ 70?~ 6 ~ '
G?~D _
4o X LL3 ioyo .
6' %4 8 = y s
-14 10 _ bo)
/ZX12x,s = 7Z
f b'F I'z = 1012
(~~c 2 = 1~5I=
'1 ~LY'.C.~ GOU~GI L MINNESOTA STATE ENERGY CODE CALCULATIONS k121/4
BASED ON CHAPTER 5 OF THE ~ 9O ~ Z I~
MODEL ENERGY CODE - 1983 EDITION
Adoption Effective I/I/ '
Owner Phone Date'
^rSite Address L „T 2y, gLOLr q Lsr A1jVsU
Inn ,
Contractor Phone
Building Classification: Type A1 (Single Family 6 Duplex)Type A2(Residential)
(3 storles or less
NOTE: Complete pages 3 and 4 first. (Other '
) (Over 3 stories)
GENERAL INFORMATION
1. Building Perime[er,~eeN~ < -bf-)q- 0 ft.
2. Wall height (ground to eave) ~ ft.
3. l. x 2. above •
Z
( ) gross wall area ft. ~
4. Building dimensions (L) X(W) ft.Z roof 5 floor area
5• Square foot area of rim joist - Floor joist size 2 x
t X Perfineter ` Rim oi~st area' J~7'~ ft2
00, 12. 190
6. Doors - Area 7i''10 17 -7
Thickness in. U factor r~
Type of Construction Perlmeter ft.
Manufacturer
7. Total door's perimeter ft. .
8. Windows: Manufacturer State approved
U factor
TYPE SIZE AREA (F[.2) NUMBER OF TOTAL FEET Z
N EACH UNITS
9. Total f[.Z Glass_ i fj'S
10. Fireplace area; Width X height = X Ft.Z
II. Exposed foundation: Helght X Pertmeter Io = I L~I ~ Ft.2
COMPLETION OF THIS FORM IS REQUIRED FOR ALL CO TRUCTION, MAJOR REMODELING AND BUILDINGS BEINC
MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANLE, IS USED.
!2. 4raming area = 10% of gross wall area. ~ 9D 215
.
13. Gross"wall area ft.2
Window area A qCF-f ~~s ft.2 U windows = ,~JCO U x A=
Rim joist area A ft.2 U rim joist = U x A=
D,Qor.area A~(P~~i S ft. U door area = U x A= ZTJ~~
E-'~~~ 2
-Wwolarea A~ ft.z U fireplace = U x A= i
Exposed foundation A ft.Z U foundation = d J U x A= 51
Framing area A~~JP ( 14 ~7,-7~ft.2 U framing area ~U x A= 1 1 IL
Net wall area A Z I Z5, ft. U wall U x A= ( z5•dL
~ (138) TOTAI . . . . . . . . . . U x Af.=•:'r5,. •D~
~
14. Gross wall area x 0.11 (A-1 single family 3 duplex = allowable U x A/Code
(13. ahove) .
x 0.23 (A-2 other residential)
x .23 (Other buildings)
x .23 (Over• 3 stories)
A x U Code ,5 1 B1F. 136tabovearger than
15. Ceiling framing area (Ap) equals 10% of ceiling area or the, same as}
ISA. Gross ceiling area =(L) x(W) ft.2
156 Joist areA (Af) = lOro ceiling area = I~7 ft.2
15C. Net ceiling area (Ac) (15A - 15B) = I~JSa ft.2
U cei 1 i ng x A C= 102-z x ~?jSC> Z 1 I-70
U f rami ng x A p= , 02-3 x
ISD. TOTAL'U x A
,
16. Ceiling area (15A) x 0.02~ single family & duplex - code allowable U x A
x 0.033 (9-2 other residential) .
x 0.06 (other)
,OZ(,p 2 BaUH Must be larger than 15D (above)
A(15A) x U(code)= J~,~ F (or the same as)
NOTE: Use U and A values obtained from pages 1, 3 and 4.
CERTIFICATION: I hereby certify that I'have calculated the "U" factors and "R" values
herein and that the building here descrfbed meets or exceeds the State of Minnesota
Energy Conservation Act. Date Signa[ure
2.
. - zis
~ Uvo(zk ~~T N .
ox C 1Z~s~- Iz,,--- 14+-1~1~= Zoo, o
ze a.
IS(Z, (0.
~,~u i,1'S = CvDo,
fi
t~~2t~~,~ = I?~~ X Pf= Z37,5~
I 3~zo ~ 1,wN 1.5X ti ~~1
fl(I~(. 20~ - lr~, o X~= qo, v
I??I ~oT,ozJN)N. = b,aX4-= 3zto
I ~~v = Ii,zSx1= II,z~
4z , o
Il 2~.~ = I ~,Sx Z~ 3~ ~ o
_
~s
3° s~~ 4bP. W 2~5 ~ 3:5~ o
Z g S~ ~ SESz~ ~ D F 1 = ~S~-y T~.~ V h t~~ =103,5
3° 2t to s'
C¢ tl ~1,~,?~ ~(2 , = Z -
D
~~V~ ~nLVVLhIIVI\d
, VALUE U VALUE
• ~ ~ Inaide atr film .68 '
WALL Interior vall (Wall) U~ 1
I p a
SECTION Insula[lon R
Sheathing
Slding
OuteLde alr film .17
R TOTAL Z• 0~J
il Inslde.air fLlm ~ .68
STIJD Interior r+all . "1"r.l"
SECTION 4" stud R= -4;38(r, 5'0 (Framing) tl. R .
~ Shea[hing
G
1 Slding
Outslde•alr film ' .17
, f J
R TOTAL I D, J~
Inelde air film R= .68
2ND'pAL-b---_. lntetlot vall
_ Z R
SECTION. Lnsulatlon --(Wall ) U . 1 .
~"'~•~Shea[htng
~^I _.ExteElor-val], covering
- Exterlor alr film I(--~.,17
R ?OTAL !
Intecior alr film R= .68
RIM
Y~
~ ~ [nsulation I~iCY~
JOIST lnch soEt wood R=1.88 (Rim U=~_ '
• Joist) Sheathing
1 Exterior r+all coverin
s ~ CO 1
,
Exterlor air Ellm ,17
,
~ R TOiAL Z4I
\ .
intertor air film R= .68
(I nsula:lon) FIremiU):/, I`~~pep
\ ~ .~aL~JP,EAoa ~
GrDq' (Fdn.) U = ~ =
. E:cterlor aIr flim R= .11
C \ F T01'AL Z~ I cqj
'-Exposed BLock
-
•\,~....~~.`,rade "s.
. CEILINf WITH VEPITED ATiIC SPACE ABOVE .
R YALUE R V LUE
• • - FRAMIPIG CEILIWG
~ 0.61 Air Film 0.61 '
~c) Insulation 0
Jo;st ' .
,
.CJ~p Ceiling tJ(O
0.61 Air Film 0.61
I CO Total R ~'(p7Q
p 1
. Z3 u = R •oZl
V'VVVVV FLAT ROOF OR CATHEDR/1L CEILING
q - R Va ue R YALUE
FRAIdING CEILR~G
0.61 Inside air film 0•61
. ~ . Ceiling
Joist (stu
Insulation
Air space
Roof decking
Insulation
auilt-up roof
0.17 Otitside air film 0.17
Total R
l =U
R
Jindow.infiltration .5 cfm/lineal foot of crack '
Zesidential door infiltration 0.5 cfm/square foot or door and minimum code requirement .
ion-residential door infiltration 11.0 cfm/lineal foot of crack
Jb 12" concr•ete block no insulation =.47 R 2.1 Jb 12" concrete block insulated cores =.26 R 3.8 '
15 12" ligitt'.ceight block =.32 R 3.1 ,
Jb 12" lightweight block insulated'cores =.12 R 8.3 J single glass = 1.13; with storm window .54
J double glass = .55
J triple glass = .41
all exterior walls and ceilings must have a vapor barrier (0.10 perm max.).
;apor barrier must be on the inside (heated side) of riall.
iapor barriers of the polyethelene thin film have no R value.
; .
: I
4. .
SURVEYOR'S CERTIFICATE MCDONALD CONSTRUCTION Irvc.
REVISED 8-23-90 TO SHOW
NEW HOUSE LOGATION
pRBOR COURT
905.9 S
Q~;^ ~ N
~ ~T, 00 a
/4 2a 9~.: S4834007~ E .-60.8g~80.p~ 4650~`y
. •~2i.o4-' o; a;28°2a' ~'43e36' , D0
~0 i
:BENCH MORK 06.8
30 10 I ~ MP OF PIPE 0 /
ELEV.'906.i9
G ' I ( M p I \ O 908.9
9069 , e 9019 M I ~~~q
N NI0 WI ~ I ,g o ~
Q Mv N
~ d p N I a.o 3
L cr Q v . ID~mr- N
r~ soo~ I ^ rn ~i _ I N
o } o,:
N C a0 30 ~
Z
- I a~ 905- ~ ¢ o~00 ~eoe.z
~ .1 p a p
~ o. ~
a o N ~ N~. . I V>
Q 30 _ \
Q 12.5
DECK I V l_~I i
0 Nw r I
~ 3 r-a I C_ ~
~jI oN
I I 2.5 aD JJ
0 I ~ \a= ~o I > ~g
I ~ 3~54 0 8 md O
~ em ka o
O ~ ~ o B3, 901.0 W
I ~ a o s. e~ ~ 23.5
~ i~ N
-
~ I ~90o.~~oil ow
~ 10 5
~ -~N - vil - JL
I I BENCM MARN r~I T 0 J
~'TOPOFPIPE NI /
901.7 901.7 ~902.3 EIEV.•802.78 901.2.IL 893.7
30 a'- 30.00 82.50
u ~ 108.96
~ EXISTING u
~I HOUSE
I y
llEPT
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR a aos•'+ FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR =°kok o FEET
' (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK ° 408. l FEET
WE HEREBY CERTIFY TO MCDONALD CONSTRUCTION INC THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lat 24, Block 4, THE WOODLANDS, according to ihe recorded plat ihereof, Dakota
Caunty, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 7TH DAY OF AUGUST , 1990.
SIGNED ES R. HILL, INC.
~l BY: ~ -
JOHN C. LARSON, LAND SURVEYOR ~
MINNESOTA LICENSE NUMBER 19828
~
cu
Fl ~ T~ ow 0 James R. Hill, inc.
p m~ m~ O D >
m o W~ p D ° o mW PLANNERS ENGINEERS SURVEYORS
m ~ <
~7 ~ o
9
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
^o
m
rv
,
Bi . .
~ nswanger
lL4irror f'roducr's
An qC: America Compa,^~
r';. .
SftDCBID}J@1 1, I989 i . Netta Sonnson ' .
Abuott Gl.ass & Mirror
- 1151 East Ciiff Soad Burasriile; MN 55337
'
• To c;hom it may concern: Flease use tnis letter 1s acUiori.ratio: that Einswanger Mirror's
laninated p;lass L%0300 ful.iy i:eets CPSC 16CPR 1201 - CAT H.
If we may he2p with anyth:ing else; p7.ease .1eC cie lcnow.
' V //TrJy~' Lrs,
1
1 'Ku lcen6ail
Sales Service Representative
' I-800-221-8=:06
v
LC: BO
BS
~a4,~
,Yighway 8 Ea^f . G'awe., N . Grannd2, ,bfS .^8001-0°75 . 601-226-5551 . FAX 601-225-:353
. 4,
4416
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR202014
Use BLUE or BLACK Ink
For Office Use
/I335
Permit #:
Permit Fee: .10(2.09-
Date
10(2.09-
Date Received: -3 - 2U -SL/
Staff:/96
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 M% 14- Site Address: 3 s (P W t Unit #:
Resident/
Owner
Name:lel t 12e kVA. 4-- ��-` iz r 6 et-45vti�., Phone: 7a 5 ( qoS tvb'�' S
I Co t,
Address / City / Zip: -6 (E, 5(2 t,ti. O1.4 (u vt-& T.V-u,
Applicant is: Owner X Contractor
Type of Work
Description of work: ic l }'L-iin-v�
t. . Pt
e .vw atA
Construction Cost: rte., )..S t000').---- Multi -Family Building: (Yes / No )
Contractor
Company: v chin. -v- R e4A Irk -1L - _ Contact: t'vi-L btJ
Address: � , 4 LTD` w Ira �(. City: �u- cw�..
State: VIA V\. Zip: SS t 2 3 Phone: (a j Z -'C 7 S 3 g 73
License #: ` C` .0 3 55 is j Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
' Phone:
NOTE_ Plans ands . • . • .. •• - . ...
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 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 State Building Code must be completed within 180
days of permit issuance.
, iJ lVlfAv'"
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
26-5( tui&d1C f
DO NOT WRITE BELOW THIS LINE
/0/3375
SUB TYPES
Foundation Fireplace
A_ Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% 14 -
Garage )
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
Census Code 4134
#of Units /
# of Buildings l
Type of Construction 1_,,51
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water Final
it Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls �--
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
R —/ City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service T
Pool: _Footings _Air
Drain Tile
t t Gas Line Air Test
as Tests F
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
2 I'll pig go IVO
I wlieo•si)
soir
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152975
Date Issued:11/13/2018
Permit Category:ePermit
Site Address: 3656 Woodland Tr
Lot:24 Block: 4 Addition: The Woodlands
PID:10-75875-04-240
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ronald E Erickson
3656 Woodland Tr
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(952) 895-8100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155010
Date Issued:04/23/2019
Permit Category:ePermit
Site Address: 3656 Woodland Tr
Lot:24 Block: 4 Addition: The Woodlands
PID:10-75875-04-240
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Ronald E Erickson
3656 Woodland Tr
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(952) 895-8100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168433
Date Issued:04/21/2021
Permit Category:ePermit
Site Address: 3656 Woodland Tr
Lot:24 Block: 4 Addition: The Woodlands
PID:10-75875-04-240
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Ronald E Erickson
3656 Woodland Trl
Eagan MN 55123--240
(651) 405-6885
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature