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3600 Woodland Tr : INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Piiot Knob Road Permit Number: `4' Eagan, Minnesota 55122-1897 Date Issued: ~ (612) 681-4675 SITE ADDRESS: APPLICANT: . {i~~.il; . i~~tiii .~tl i ii~Y I''I~~~-f PERMIT SUBTYPE: TYPE OF WORK: l f y INSPECTION . . + 111i~1 t l I:~~ ! I Ml+r t'tf MiR9'k t?pWi i• ~t!'~ I f il: tl f~r,~! i'. e~; . . ~ ~ ~ , Permlt No. Permit Holder Date Talephone # ELECTRIC Q CP° ' PLUM G HvAC inspection Date Insp. Comments FDOTINGS ja ~or ~ ~ ,1 ~I'J FOUND FRAMING ( RQOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST Q ~ . ,4 ~ INSUL 6 GYP BOARD FIREPLACE FIREPLACE rJ AIA TEST ~ - - FINAL PLBG d "T 7 FINAL HTG . ORSAT TEST BLDG FINAL !d u~~ GU~/ L~L BSMT R.I. ` ~~q2~~<~ ~Z~ EGCJ BSMT FfiYAL ( 4 DECK FTG - - - --`.__y`- - DECK FINAL - INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: , 10;00t Aar? rR t, . .~i•t , , , PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • ''~~i..~~ . ~~.I.l~f. . _ 7~li• i•~i~~ ~ t:.~,! G`S. .I~NGt~li •I.Si ~ .14['~. ~ ~ Permtt No. Pem?k Holdar Deb Telephone # ELECTRIC PLUMBING HVAC Inspectlon Date Insp. CommerKs FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 00 'y-~ 3 ;y~, ~ t , . ~u ~ \ / \ ~ . ,N ~ - _ - _ f~ . ' , ' 1 _ . . ~ 'Ia..~• Wertificate af Cccu.panc~ f %U4 of Oaean zc0artn"t ~ SMai" , Thes Cerrificatc issued pursuant to the nquirements of the Uniform Building Code certi}ying thnt at tlee tiine of issuance lhis stevctyne was in compliance with rhe various orrtmances ojtlte City regulating buelding construelion or use. For the following: , Ure Classifcuia4 SF DWG/GAR Blds. F'emit Na. 28242 OCCW-CyT~lx R-3 U-i ~~Dulzid R-1 .~~Con51 V-N Ownw of eui1ding JOHNSON "IONSTRUCTIONAdd,,:. P 0 BOX 21327, EAGAN, MN Buiming Ad&= 3600 WOODI.AND TR Locam, L15, B1, THE WOODLANDS 4TH POST IN A CXkVSPICUOUS PLACE . . . ~ Addres9 3600 WDODLAN? TR Zlp $512 3 LAt 15 $lk 1 Sub THE WOODLANDS 4TH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FTNAL INSPECI'ION. Date: Yes No Inspector: mz Final grade (6" from siding) Pertttanent steps (garage) Permanent steps (main entry) ~ Pecmanent driveway ~ Permanent gas ? Sod/Seeded grass TraiUcurb damage t/ Porch ~ Basement finish Deck ~ Please verify with the builder the removal of mof test caps fwm the plumbing system and the shutroff of water supply to the outside lawn faucet befo[e freeze potential exists. Contact engineering division at 6814645 befoce working in righbo6way or installing underground sprinkler system. White - City Copy Yeliow - Resident Copy Pink - Contractor Copy ~ I''f REQUEST FOR ELECTRICAL INSPECTION ~oS I II~I NI" I~I I III II I I I I II I II I II Minnesota State Board of Electriciry ~ 1821 University Ave., Rm. S42 , S. Paul, MN 55104 s 0 3 3 7 5 6 0 7~ Phone (6.12) 842-0800 Home Duplez Apt. Bldg. Other:" New Addn Commercial Industrial Farm Remod Re air Air Cond. Hig. Equip. Water Hfr. Load Mgmt. Othec D er Ran e Elec. Heat Tem . Service "X" above the work covered by Ihis request. Enter remarks in this space ond on the bock of the white copy only. - 2- 3 p~~n?' L D -,-e~i_, A7 111501 Calwlate Inspection Fee - This Inspection Request will nol 6e accepfed wifhout fhe <orrect fee: Olher Fee ;F $ervice Enhance Size Fee j/ Circuils/Feeders Fee Mobile Home Park Stall 0 to 200 Amps Z o iKr 0 to 100 Amps Q Sheet Lig./TraHic $ig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTON'SUSEONLY TO AL Sign/Outline Lig. Ximr. Alarm/Remote Control $wimming Pool I hereb cerfi thor I ina cribed here on Ihe dotes abkd Irtiga}ion Boam px,9h.in pak Special Inspection ~ Finai o~re~ ~ • Invesfigafiva Fee ,p THIS INSTALLATION MAY BE ORDERED nISCO NECTED IP NOT COMPLEIIED WRHIN 18 MONT S. 3 3 7- 560 ~ OFFl ~o ~CE SE NLY This reqoesr roid I B manths from validation date pnnkd in this bo~ O~ ' " ` 8~a5~47 ~oi o 7 ~ PLEASE PRINT OR TYPE Al, ~ ~ Reqwt Doh Rovgh-In InspMton required2 ~es ? N. Inspection Olher Than Rough-In: 0 Reody New. ~V1'ilColl / q(o no~ m~,~ rou tne m.,..n«~,eoad oak Y: p~~ I,glicensed wnhador ? owner hereby request inspedion of the a ove electri wo 0'0 Job Mdres (Skeet, Bae, or Roufe No.) ode ~ J 3 Seclion No. Townahip Name or No. Rang<No. Fira No. Cou p~~~,~1 Phorro Noc. /~If~72K OftNIuN ONJ n2ucT7aN Yd ~~16 76 PowsyJpplier Pddrcu UhKorr9 EI I Conhacmr (CompoM Name) Contmtlor Lianu No. Masxr Lic. No. (Glvnt Elect Only) c 1-a-cneic .Zivc Z Moill B~dresa (ConHacbr or Owner PeA711 InsMllofio ~y0/ /~mLzS ~O L-0omin6rD.u ~d~" Aullioria igrwNro~Cnrcacror erPedormilglnaialialion) PhpNo. ~/-Z/!00 EB-OODOlA10 6195 STATEBOARDCOM•SEEINSTPUCTIONSONBACKOFYELLOWCOVY . ~ CITY USE ONLY , L BL _L RECEIPT ~ SUBO. ~D1. b(~," DATE:L?'Et 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 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 Hdd-on air exchanger, i.e. Vanee system, etc. Date: AGlxif f/Z o73 /99(~ FFFC ? 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) ,OD ? State Surcharge .50 TvTAL 3 . S~ . SITE ADDRESS: OWNER NAME: Mfj2-e T~f/1SORJ PHONE L51-7(P INSTALLER NAME: -gueqSIJ%A, STREET ADDRESS:_ 1,?yY1 ' x~'laille CITY: >~(/Ai STATE:ZIP: ~ ~ 37B PHONE ( ) jpJV_41903 ao~ /f~~ L. , ~ CITY USE ONLY L BL RECEIPT ` SUBD. DATE: 1996 MECHANICAL 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 II4S required for each dwelling unft. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee 4i 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 , r ~ CITY USE ONLY L BL RECEIPT SUBD. I~ A. ~ DATE 4/k~ 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for. ? single family dwellings ? townhomes and condos whcsn permits are required for each unit FIXTURES EACH N4, TOTAL Shower 3.00 x = G.ao wa#e• rlr,gei 3.00 x -00 Bath Tub 3.00 x a.. = G. DO Lavatory 3.00 x .S ea Kitchen Sink 3.00 :c 3` Laundry Tray 3.00 x .3.00 Hot Tub/Spa 3.00 ;c = Water Heater 3.00 :c / = 3•00 Floor Drain 3.00 :c 3 = 900 Gas Piping Outlet " minimum -1 3.00 x 3•104 Rough Openings 1.50 x Water 5oftener 5.00 x = Private Disposal ` Dakota Cty. iicense 65.00 = (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Aiterations ' ta exdsting 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 ?O?A! G~•ad SITE ADDRESS: 3600 wooalaria Trai1 OWNER NAME: Mark Johnson Cavstruction INSTALLER NAME: Matthew DarLiels. Inc. STREET ADDRESS: 15230 cazrousel way CITY: Roseniomt STATE: m ZIP: 55088 PHONE ( 612 ) 423-3730 l~ OFFICE USE ONLY L _ BL _ RECEIPT SUBD. DATE' 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 - Please complete for. * aii commercial/industrial buildings. ~ multi-family buildings when separate permits are IIQt required for each dweiling unit DATE: CONTRACT PRICE: W( ;R t{ ri rEs: :JFW CONSTRIiI";'i IUN ADD (??J F'.E?AIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM, ARE FLUSHOMETER:3 TO BE INSTALLED7 _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # ° 04VNER NAME: INS7ALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLtCANT OFFICE USE ONLY METER SIZE: " L1ATE: INSPECTOR: PERMIT ---~CIT•Y OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Peimit Number: 031725 (612) 681-4675 Date Issued: g 4/g 7/g g SITE ADDRESS: 3600 WOODIAND TR LOT: 15 BLOCK: 1 THE WOODLANOS 4TH P.I.N.: 10-75879-150-01 DESCRIPTION: Building-,Permit Type SWIM PDOL ~Building Work Type NEW "Cerf9ws Code 329 NONBLDG STRUCT. ~ r= ;r ' ~ v`- . . - - 1 r Jh ( ~ ~ $ 6 ..Jl..h. ti l~f t=1 ~,x_~.,~~~•l REMARKS: PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: VALUATION $12,000 Base Fee $187.25 Surcharge $6.80 Total Fee $193.25 CONTRACTOR: - Flpplicant - OWNER: 1PERFORMANCE P00! & SPA 17313440 KEMBER DAVE 1890 WOODDALE DR 3600 WOOpLAND TR WOODBURY MN 55125 EAC,AN MN 55123 '(612) 731-3440 (612)452-6664 I hereby acknowledqe fihat I.have read this application antl state that the infoN,matian, is carr¢atand agree tjo samply with allappl3.oable fir,tate,stf Mn.Stetutes and City of Eagan Ordinances. " L . ~ PUCANT/PERMITEE SIGNATURE ISSUE BY:51 NATURE ( i".~JVl~li':i~ 'F~n) I i • ! . . 'LI-.'kpj c: p: G. n , Oli"`i i:1t7G 11:T00h1 t]0`:i8 FC.iilr'; S<1 ~;i; `.c. (i.NV...U:10GN CIIJ'JEi; Tl'ri.J(G Om . :)i`.:[ U,:i2:; ".3 1Oud ::i!JNVbidiJ_id3:i ~ . . =iv~ iN 9 !1:1: f1U=E#i^SF 03:J.I..I 4i$b/i.L)/'4U QAlliy~ ~ L, ; . ~ ~ . , _ .1W: -'U. .N ivh ~ c l ~ ,,lV.`]V3 iIi A1:[3 :umMAtu~ma?k:7Fi;:~::;tit~n%~ ri%I:~kT I . . '•i ' ~ ~ . ~ ` „ I ~ ~d '.v ~ )0, ,'I. r ~ i!'. ~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN A104 3830 PII.OT KtiOS RD - 58122 fi81-4fi75 New Construction Reauirements RemodeVReoeir Reauiremerrts ? 3 registered site surveYs ? 2 copies ot plan ? 2 copies of plans (inGUde beam 8 window saes; poured fna. design; etc) ? 2 site surveys (exterior additions 8 dedcs) ? t energy calalations ? 7 energy calculatbns Por heatetl additions • 3 copies of tree preservetion plan N bt plaked after 7H/93 required: _ Yes _ No DATE: 3 r3i I 9 CONSTRUCTION COST; DESCRIPTION OF WORK: 'Voo L Cou STR UGT\a tJ STREETADDRESS: EA C-A yjNy LOT: ~ BLOCK: SUBD./P.I.D.#: _1II1AM1fWI~, Name: t~~QE~ Q7~V~ Phone#: ~ISZ-(~66~I PROPERTY 1-%4t First OWNER 3(0~o woo0~.~4ND SueetAddress: _ TZ-. City GA Gv40 State: mll,~ zip: SSlZ3 Company: ~~PC~6~MQdJC6- (PaoL- wsP4:} Phone#: '-131 40 CONTRACTOR Street Address: IV~0 (J660001417 Q(Z License # City W o 6 0Ou State: N1Pj Zip: 55 i Z~ ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer 8 water Iicensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all applicabl State of Minnesob Statutes and City of Eagan Ordinances. ~ Signatu2 of Applirant . ~ Q V LS OFFICE USE ONLY J I I99t3 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Re ired•• ,iy t OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 15'-17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility ? 04 SF Porch 0 09 12-piex ? 14 Firepiace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ~X 31 New 0 33 Alterations ? 36 Move O 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System ~ (Allowa6le) Main level sq. ft. City Water / UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq, ft. Booster Pump Length sq. ft. Census Code. 3?q Depth Footprint sq. ft. SAC Code a! Census Bldg _L Census Unit a APPROVALS Planning Building AS Engineering Variance Permit Fee Valuation: $ t 2, o oa. Surcharge Plan Review License MCNUS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PL Park Ded. Trails Ded. Other Copies Total: °k SAC ' SAC Units J ' 1 . . . ' SWIMMINGPOOL NAME OF HOMEOWNER: pqviL kt.u'SYe. INSTALLATION } YtjQDoL9No I R .ADDRESS: 3&UO wuor~An/p T2 ` <yW6Alv, ss1z3 PHONE: o~iJlv `4 Iz- QD p _ SEPARkVE PEAMTfS AfiE HOUSE REOUIRED FOR ANY ELEGTF?iCAt- OR i".UMSit+1G WOFtK. ~onrTa,4c-rrlG To ~Urcr -PfNP //~l ¢u W C f i(~ FTY ~t. ~i G7 _ 70 L¢i.cr raM • (pWaout,4-t IFoN ~yis~~vL S'eLF AT4 . 5a' PL ~ Z6, xL(o' , ~ G, w, k~Mi N C~ I ~~s.~o f i-vlCv a/ L ~,a~ ~iJpo?'~ I I _ ` - - - - - - ~ - ~yk''lgjj w~ ~.~.'_-1 IAO-1- CONTRACTOR: PERFORMANCE POOL & SPA ~ 1890 WOODDALE DRIVE ~L BY WOODBURY, MN 55125 DATE y- 2-`49 e (612) 731-3440 (JExxY T.) BUILDIiVG INSPECTICNS DEPT. PERMIT ~CITY'OF EAGAN ~ 3830 PilotKnobRoad , PERMITTYPE: euiLozNs Eagan, Minnesota 55122-1897 Permit Number: 92$242 (612) 681-4675 Date Issued: 0 7/ 17 / 9 6 SITE ADDRESS: 3600 WOODLAND TR LOT: 15 BLOCK: 1 THE WOODLANDS 4TH P.I.N.: 10-75879-150-01 DESCRIPTION: Bu'ild ng.,Permit Type SF DWG /Bttilding 'Ork Type NEW UBC Oecupancyti R-3 U-1 Construction Fy.pe VN • 2onirtg R-1 Buildzng Length l 72 Btiilding Width 47 Square- Feet ~ 3,052 .,Cie,nsus Ca4b 161 ] - FF1M. DETACH REMARKS: 5&W PLUMBER = MATTHEW DANIELS FEE SUMMARY: VALUATION $253,000 Base Fee $1,652.25 MISC FEES $1,923.50 Plan Review $826.13 COPIES $5.00 Surcharge $126.50 Total Fee $5,433.38 SAC $900.00 SAC % 100 SAC Units 1 Subtotal $3,504.88 CONTRACTOR: - Applicant - ST. LIC.OWNER: JOHNSON CONST, MARK 14511676 0003288 JOHNSON CONSTRUCTION, MARK P 0 BOX 21327 P 0 BOX 21327 EAGAN MN 55121-0327 EA6AN MN 55121 (612) 451-1676 (612)451-1676 I hereby acknowkedge that I have read this application and state that the information is correct and agree to comply with alY appl3cable 'State of Mn. 5tatutes and City of Eagan Ordinances. L ~ APPLICANT/PERMITEE SIGNATURE ISSUED BY: IGNAT CITY OF EAGAN 3830 PILOT KNOB RD - 55122 J , I 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' 681-4675 t New Construdion Reauirements RemedeUReoair Reauirements -7jL ~j3 regislered site suneys ? 2 cropies of plan ~ 2 copies of plans (inelude beam 8 window sizes; poured Md. design; etc.) ? 2 site surveys (exteriar addRions & decks) ? 1 energy calwletions ? 7 energy calculations ta heated additions ? 3 copres of tree preservation plan i! lat platlad after 7/7/93 requirad: _ Ves _ No ol DATE: lo CONSTRUCTION COST: aHS, 000 DESCRIPTION OF WORK: L~~ STREET ADDRESS: ~cpd O W0001 f(L,..d T.c.o_j _ LOT BLOCK l SUBD./P.I.D. L-Urnd 1o'~ PROPER7Y Name: -n%, 6ftet /;'1a~A _ Phone 1-161-I676, OWNER Street Address- P o 09 ca)( a( 3 aO City: State: M~ Zip; Ss~o2 l Co1V7RAC7oR Company: lso.-wsL. 0-kl Phone Street Address: License City: State: Zip: ARCHlS'ECTI Company: C~sn~~ ex~esi Phone 553 -96'7D ENGINEER Name: Registration Street Address• S u-.~ (a 0 City: P(4 rVwj-0-„ State: nn n.. Zip: S 5c(q I Sewer 8 water licensed plumber: MOA~ Penalty applies when address change and lot change are requested once permit 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: (I^"'""I~ OFFICE USE ONLY / RECEWEDD Certificates of Survey Received Yes o J ui~. ~K Tree Preservation Plan Received _ Yes ~ . OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish X--02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-piex o 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _ ptex ? 15 Deck WORK TYPE ,d--31 New o 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) ~N Basement sq. ft. Z, ~yZ MC/WS System (Allowable) h Main level sq. ft. z, isj City Water UBC Occupancy sq. ft. l, Sz& Fire Sprinklered Zoning (2-1 sq. ft. PRV # of Stories ~05.~- sq. ft. Booster Pump Length 72- sq. ft. Census Code. Depth •1-7 Footprint sq. ft. '71 Q5-2-_ SAC Code Census Bldg / Census Unit Y APPROVALS Planning Buiiding Engineering Variance 2s3, o~o ~'6ljl~= zsz, Y~`G Permit Fee Valuation: $ Surcharge ~y/AiN Z af,nT Plan Review License 3x i3 MC/WS SAC City SAC m x Yz.s = Z~ I`f Z~ Water Conn. ~C~ /3 sZ /zsxs6 = 70~ Water Meter X ij,~ryq °~GZ y`/f/y =Givz~s= /S,Y°° Acct. Deposit <s,~ 3.zfK 2t9 I1 Zl'L/a : B° a•S ' z,~Yz-mi6:i sz~,~r= S/W Pertnit /y f 22,~f° S/W Surcharge Z'"r rxis•f = y s.r ys'x ys r R ad Unit Pi. ~yx yo =/,1~o J~x~y °~Z s~ .r 77 Park Ded. ? x 7.5- y` T Z Trails Ded. 13) = C ~ ,rXY~sx yf 1 X /1.s Other sz6x~' ,r~ p.:rXiz: z° Copies s x 3 bK iY TOtaL• 2 i l SS~x Yh' ,syr7,c ~ = 5~l % SAC 2 z xZ-7-57~ laos SAC Units G/G ~ i, z0° iy aZy / . ' Fortn for use with Minnesota Rules part 7670.0475, Subp.2 1& 2 Family Residential "Cookbook" Method SITE ADDRESS CITY x.-:.•.:.... _ KEMBER RESIDENCE;. BUILDER DATE MARK JOHNSON CONSTRUCTION 5/8/96 Minimum Criteria: Rim Joist: R-19 inwlation FourWation Windaws: Insulatetl glass, 1!2" air space, wood w Nnyi frame Entry doors: t-Zl4 inch solid wood wdh storm or better STEP 1 Window 8 Door Area STEP 2 Calculate area as a ercent of wall Total Window & DoorArea Sq. Feet Box A(window & door area)divided by Box B(total WINDOWS (including foundation windows): wall area) times 100 equals the window and Dimensions Qty Area door a2a as a percent of wall area (BoxC) 1.000 5.330 8.000 42.640 Box A 588.820 x100= 71.720 1.000 6.050 8.000 48.400 Box B 5024.000 Box C 1.000 17.000 6.000 102.000 1.000 8.070 6.000 48.420 STEP 3 Desi n Features 1.000 6.120 2.000 12.240 ASSEMBLY OPTION 1.000 7.030 3.000 21.090 1.000 9.250 10.000 92.500 FRAME WALL: 1.000 30.000 1.000 30.000 STANDARD FRAMING ~ 1.000 7.880 7.000 53.760 ADVANCED FRAMING 1.000 4.200 2.000 8.400 1.000 76.010 1.000 76.010 CAVITY INSULATION R- 19.000 Total WindowArea 535.460 SHEATHING: DOORS: LESS THAN R-5 ~ 3.000 6.870 1.000 20.010 R-5 OR MORE 5.000 6.670 1.000 33.350 0.000 WINDOWS(EXCEPT FOUNDATION WINDOWS): Total Doors Area 53.360 U-FACTOR U- 0.320 Total Area of Windows & Doors 588.820 From the table, determine the maximum percent BOX A window & door area for the design options selected Total Wall Area in Sq. Ft. and enter the value in box D below: Wall Total Perimeter Hei ht Area 90.000 1.000 9.000 810.000 19.900 48.000 1.000 5.000 240.000 BOX D 246.000 1.000 9.000 2214.000 220.000 1.000 8.000 1760.000 5024.000 BOX B Box C must be less than or equal to Box D ~ • r ' . 'Exterior Envelope Thermal Transmittance Worksheet SITE ADDRESS Crry KEMBER RESIDENCE NAME OF PERSON COM PLETING FORM DATE 5/8/96 ASSEMBLY FLOOR AREA U-Factor U-Factor AREA . Ft. x Area ,r Insulated Area 2162 1945.800 .019 37.849 o Framin Area 216.200 .023 4.995 o Sk li ht .000 ~ Other .000 .000 ~ .000 ~ .000 .000 - .000 _ Totals A 2182.000 B 42.844 d Avera e U-Factor B 42.8440465 /A 2162 C .020 o R uired U-Factor from Ene Code : D .026 Insulated Area 2 3752.690 .043 161.963 Framin Area Z 502.400 .091 45.507 Windows ' 535.460 .320 171.347 _ Doors 53.360 .170 9.071 _ Rim Joist 246.000 .041 9.996 ,c Fireplace Wall .000 3: Above Grade Foundation Wall 164.820 .051 8.461 Foundation Windows .000 .0 Pffiio Doors 180.090 .360 64.832 m Other .000 y .000 0 .000 a .000 x .000 W .000 Totals E 5434.820 F 471.178 Avera e U-Factor F 471.1782832 /E 5434.82 G .087 R uired U-Factor from Energy Code : H .110 If C is greater than D, or G is greater than H, revise the design as necessary to meet the envelope criteria of the Energy Code. 7) U-hador for skyligM and window must be detertnined by the National FenecUation Rating Council Standard 100-01 a ASHRAE 1993 HarMbook of Fundamenfals, Chapter 27, fable S. 2) Thermal Transmittance af opaque components (including irHegralty insulated masonry and metal stud freming)- use part 7670.0450, subpart 4. ' Assembly R and U-Factor Forms ASSEMBLY ROOF AT FRAMING ASSEMBLY ROOF AT INSULATION Material (Describe Thickness R-Value Material Descaibe Thickness R-Value Interior Film Coefficient .610 Interior Film Ccefficient .680 Sheet Rock .560 Sheet Rock .560 Ceiling Member 4.350 Insulation 50.000 Insulation 37.150 Exterior Film Coefficient .610 Exterior Film Coefficient .170 Totai Assembi Thermal Resistance 43.280 Total Assembi Thertnal Resistance 51.410 Assembl U-Factor 1lTotal R .023 Assembt U-Factor 1rTOtal R .019 ASSEMBLY WALL AT FRAMING ASSEMBIY WALL AT INSUTATION Material escribe Thickness R-Value Material escribe Thickness R-Value Interior Fiim Coefficient .880 Interior Film Coefficient .680 Sheet Rock .450 Sheet Rock .450 Stud 6.870 Insulation 19.000 Sheathin 2.060 Sheathin 2.060 Sidin .810 Sidin .810 Exterior Film Ccefficient .170 Exterior Film Coefficient .170 Total Assembl Thertnal Resistance 11.040 Total Assembl Thertnal Resistance 23.170 Assembl U-Fador 1lTotal R .091 Assembf U-Fador 1/Tota1 R .043 ASSEMBLY RIM ASSEMBLY BLOCK Material escribe Thickness R-Value Material Describe Thickness R-Value Interior Film Coefficient .880 Interior Film Coefficient .680 Insulation 19.000 Concrete Block 1280 Rim 7.890 O ionallnsulation 13.000 Sheathin 2.080 Stud 4.350 Sidin ,g1p Exterior Film Coefficient .170 6cterior Film Coefficient .170 Total Assembl Thermal Resistance 24.610 Total Assembl Thertnal Resistance 19.480 Assembl U-Factor lrfotal R .041 Assembl U-Factor 1/TOtal R .051 ' ~ ' ~ • ~ LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMITAPPLICATION , PROPERTY LEGAL: ~ DATE OF SURVEY: 9 G LATEST REVISION: !e'-13 DOCUMENTSTANDARDS ? • Registered Land Surveyor signature and company u+' 13 13 • Building PermR Applicant P" ? ? • Legal description 6-'0 ? • Address ? • North arrow and scale ? • House type (rambler, walkout, split w/o, split entry, laokout, etc.) ? ? • Directional drainage arrows with siape/gradient % B--'? ? • Proposed/exdsling sewer and water services & invert elevation ~ ? • Street name ? • priveway ELEVATIONS Exasstina 011`~13 ? • Sewer service (or Proposed) Oe-'13/ ? • Property comers ? • Top of curb at Me driveway M~'D ? • Elevations of arry exlstlng adJacent homes Proposed ~ ? • Garage or allpo ? • First floor a ? • Lowest exposed elevation (walkoWwindow) ? ? • Property comers ? • Front and rear of home at the foundation / PONDING AREA Qf aoolicable) ? t7,/~ • Easement line ? t~ ? • NWL ? 0"'O • HWL ? 2-'~/ ? • Pond # designation ? CS 0 • Emergency Overflow ElevaUon DIMENSIONS ? • Lot IinesBearings & dimensions ? • Right-of-way and street widlh (to back of curb) ? • Proposed home dimensions inciuding any proposed decks, overhangs greater than 2', porches, etc. Q.e. all structurea requiring permanent footings) ? ? • Show all easemeMs of record and any Cily utilitles within those easemenfs 11, ? ? • Setbacks of proposed structure and sideyard setback of adjacent exassting structures ? 0" ? • Retaining wall requiremeMs, 'rf any Rehewed: Ij N me Dafel- Jarnrery 1996 CRA01 BBBIBLOCiGRMi'. FM • ~~ir. \ \ p~0fA ^ti i /3 i S. 94 In p,1 2 6 / ~5 - - 42.95 ~ i \~~SJ9- .2¢. / N N 52'1YOW W ',~~5 ~ . r1 \ 6'S$ to"+ I ; r ~ ~ S \ 'q'tt. I ( ~ ~ \ 1 JOS~J. \ I I -y0-~.__ Lu O ~`~i Vu i 4~ 54Sk4'06' E/ R~O~Sj.fq' ' W 00 53.61 \ o,, ! 202 3 --t Y^ t ' ~ ~ ,v s s tio9P a k+~ ~ I ~ 'cp G~O,p ~ a F n i5 ~ S h ~ i kryi I ~ • 1 I LOT 15 f 1 i I/ I ~ `~$J ~ $ I NI ~ sy -N~ 17 F- rees.o) rass.o~ e'`e~ o C~ a?~. ~.e xa 4' ~ , - ~6 4 el4.5 • 8 Cue aF /HaUSE ~ i i~Eb X 1 c'i a - II / N ~ i \ (90~.7 p~ CENTERLiNE OF , gEN~µN~~E nl MI~Y os .f3c1CNPIPELiNE ` y,.,o9o4.7 °sss R$ LOCATED `(Jj, ~~.eo R e 4~c.• ~ i 0~~ . N, 1 ° 902.~ . ~-PIPETlINES AS Locni["o --52. 09 63. 23 - ' n ao2.2) ~p--05, 31' 26"y~p=06 18' 46" ' ~,z.s R R=540.27 R=574.06 ~ R WOODLAND TRAIL mA g CERTIFICATE OF : m ~ -4 m T ~ O Z0 ~ O O D . ' ~w~ ~ I~ TTl TIITT1TfYA1l AA1T[ WOODL.AND TRAIL NOTES: z 1. SEwER SERNCES TO BE FVC SOR 26. ~ 22 7/2 BEND ~ 0 SEE SHT. f. 2439 U 2. N'ATER SERVICES TO BE 1' ME K COPPER. • CURB BO%ES TO BE PUCF.D ON PRL`PERTY UME. o< 2' ~O 4. EXIEND SERNCES 15' INTO PROPERTY. I 4 ~.0 S S I 7 ' I 67~111 0 5. HYDRANTS TO BE INSTALLED t!T. BEHi4p o 6 3 , ~ 60' POw y] 0 y,p ~ ~ Q BACK OF WRB. p i o' Tm. Q q ~ 1 eZ 6. SENER SERNCE INVERTS FPE AS STAKEO i0R 6' - 11 1 4• BEND ~ mo CONSTRVC1tUN - NOT Wft61E0 AS-BWLT ELEVATON / v.ov°~as~eo~~ 73 s 6' - 22 1/2' B E N D o .au ~ ~ 2 L 31 0 i 31.0~ ~ ~tt. . ^ ..oo 71 o.-~ 14 Z. _ ~ - ~ , _ . ~ i ~ to rn ' . mo~c 15 ~ mo ~ _ ^ ~ ~ ? ~ 1 ~ i' ~ ~ ~ ~J v' ao 6" - 45 BEND } ~ ~1 ia / i a M1 I m i ~ Sn? i35 SJr' ~ Sw? \ ~ ~ 1 ~ ~ ~ au S~WU.o i~ ~jW a~.o 1 . ~ ~ i>zo z f 137.0 PfAI s P{1L ~ ~ TtQJ I Jr/S u.s O+ZJ fi~ \ \ Pr ~ / ~5 ~ ? \ PF..[4 1/ R2S Mv.RaS/O b /N I /NVB97.317 Y 1J0 TtA? ~ ~ \ Po ~~N'' .T ¥ AV ..8 ~ ~i~vve~sai~% ~vTess/Qf:ae 1 6'Iz 6' TEE _no x 6' 7EE c! ~.e 3 8'-6' DIP CLS 6' - tl t 4' BEND ~a.d II e.M. nIN / ~ ~S ~ ~NY~K?I fi- RSV 4 5 6 I 7 a 9 ~Q M~]S. 7- / ELEV. 903.91 BL. 7NNJ . 6' RSV i 6~ x 6 TEE " SEE SH7 BIRCM STREET HVDRANT ~'.a~~~'._ • ¢yFy.9127e 8'-6' OIP CL52 8" x 6' REDUCER fr 21~45! NVA:Y.rR~ H7DRANT .y a y \1 ~ o . Hl z 6' iEE t~ANYB95~ ~ ~ ' _ 12'-6 D P 1.52 6' - 4p- I_-- . . r. ' 'i . ST'ao l_ 6" x 6' TEE ~'DRANT 11 1/4• 12 It' ~ u - ~ q i ."CY QF UIi`li'ir ,=xs='~,- ~ ~r I~~N I! 1 a • vj ~ ~P A~\o\p • r¢so`:P ~;w 31p IGKI ip I Ni ~ . . ~ °o~:~ ! r ^ REMOVE EX15T. 6' PWG ' , ~ Z. C • i~W / AND SAIVAGE. CONNECT ( . ~+tq~~ +P~l~.50~.'vJ yl ~N 4' T TO EXIST. 6' WATEftMNN. UylIVl7 IT il I :7f1 rV.sL J 1 ~r~ WARNING 6' - 45' BEND- APPRO%IMATE LOCAi10N OF ~ E E 3 3~ zzs'._.':''~ i~..'vC~.:.e..S 7 1~~vONTH~SI~~. MALLIAMSDROS.GASPIPELIFE ' - B.M. 1NN E%IST WAIERMAIN ANO S/J1ITARY CONTRRCTOR STIALL VERIFY ~ SALVACE E%IST. PLUG ~ ' ELEV. 909.21 SERMCE UNES TO LOT t, BLK 3 ~ AND CONNECT TO LOCATION ANO DEP7H. . EXISi. B" WATERMAIN f 1 I f N..M ' ~ E1EV 4 51835 .1 _ I~ I [ . 18~- B' DIP CL52 H I.'N: STA - 2191 K ~v ~cro.tJ GYJVAP~IG7C7P3'AO(FC: BRJMNIOFYS: 82~J 925 : ' s,. _ -0.»M ( N F;4 : PN E1SV ~ itOA: ~ . EO,- B1 PVC ° SDR 35 O 0.40%: " 3.4: . . ~ a 920 920 .g,~ . p. ~ . r }5;- e" PyC. - ~ . d s SDR 15 O O.iOx . ~ I ~ 975 . . . ' .A e4 . , Y~ . 915 `4~x i.~~ h ~'i . rANGENT . iXv,j.. . . ` . k TOP PIP E i GRA,DE o : ~ ~ . ' 'q' " I: / ' :.i~..S• v4 ~ a y~ 1. c ~y ' ~ / : . ~ . . ~ I . . " .h ] z . ` . "i w ~ d I 077. / ( 910 910 . ~ b . . ~ : . . 1 ~ 6 \Nf" _ . o _ ` .....1 P . ..In ~ . .......m / ~ T ..>y-8"PHC ~ ~ 2. ,.4% < ~ , . sortzseo.sox ~Q~z ~ ~ t.~ Z ~ . ....~'~zsx..:...:.'~...\ ...:.........f.::. 905 F ~ i .........i-......._............J.I.II _ 7.5~'MIN. I . . . 2gp'- 8~ PK: SUR 26 O 0.407G i ~~J~ i 12 e . . . ~ . . : s Ey, I~ i j,.------_J_~__.__ z R `z 9~ L~, .J..!I. . . : : : : MH { ir . . ' _ . ..900 Q~ 1<- ~ c..J . ~ . . . ` ' 1 ' ' . . . . _ ~S.,.. ~ . . . . . . . . . . . . . . . . . . c- ,A I MH .2. . . . . . , . . _ . . . . . . . . ~ ~CAST ~R-16~2-8 : . . . . [ . . . . . . SDR 35 ~6 0.107G : 0 O : -EX::uH : CAST R-1642 B e:~ov 9/SL1J 208' B STRUCT IXtOP B3 - 9/ .A7 . . a-~ ~ PVC : 150"- 6' P4C . ~ ~ . . . .;Z R~ W RE~ 9t1.a8 AE94 . . . . . ••,•o. ' 9[2I . . ~ : NEW ~N~ IE 901.04 : . SEC7fON {EgqF;s3_ .S! o o.soz Ex !~:89144... soe as o o.ia.c E%. 895 i 88g..: .:......1 Po . .d.!...........SDR 35.:.....,...; _ =7.... O ~ ~ 3 . NH 8 : : : . . . . lL Z ' CAST q-1542-8; CAST R-7642-B . : - 2-8 = H 7 MH e Ex. B':SnN W ~ - - a s,_~_j -RE-9fRtA 9~PT1 ~ 917~ ' . ~ ' ~CAS~ "ZF ~CAST R-1642-8 ; CAST R-1842-8 MH 5 ~ ; 2 p(~O :RE N ~ 890 iE-0Bid3-Stl7.At : ^ . - . .~.tz eRZQi_ f~-9¢i-5r ;a?~ t aE-96~? . . . . } ez CAST R_194 _ . ° ~ . . c9 _ . .'~-IE991-!}.. . . . . G~ ~ vJ••~' w . Z ~ . . . . . . . IE 895.07 1E896,81 ~ E... n'-avi.a7 .A - ^ . . : 691I ~ A9I - 07.~... a~ ~ . . ~ . . • : l -8BdN4- dtA~ ~ : . . . NM R ~ :~~,a: g ; . ~ . $ ~I iE . . .s . 885 J~ . . ~ . . . . . . . . . 5 88 . . I . : . . . : e . . . . . . ~ . . ' ~ ~ > 7 ~ . ~ , ~ . • o O " 4 - O O V O' V . - . . . . ~ p [ O ~ . . . . . .......i RP_ 2438 U .~j~KJV . . ~ . . ~ . 0 1 1 2 3..... 4 5 7 8 10 L . ~Y~...vx.._. . . . /~~Y'-... A0~~1.\R~I~~ _..l~w_ CITY USE ONLY PERMIT#: ~bj7~ RECEIPTDATE: RMIDFPTIAL MECHANIC!!I. MM1T APPLICATIOft crrYoF KAsAx S$SO PQ.OT KNOB RD r.asnx buv ss 1 as 651-681-4678 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: *31 SITEADDRESS: 3(Qop Li~~((Q-(1r~`~f . OWNER NAME: ToYYI. TELEPHONE Csl 9W-7010~ (AREA CODE) INSTALLERNAME: R11YAS1(1~I.Q- 'A P.(ttLt'1G Q~'4(C TELEPHONE#: 95.2- 89'~/-OOOS (AREA CODE) STREET ADDRESS: I oZ ~l~'l PGIOC(p tS! Q,/)CIL l7V S. CITY: JQ,JQq(1, STATE: MlL) ZIP: msS 329 Place a check mark next to the ermit work t e New residential dweliing unit under constructionand not owner/occupied $ 70.00 1 ~ Add-on, modification or alteration to existinp dwelling unit $ 50.00 • furnace replacement • air exc ange • air conditioner • other Nature of work: exr-A State Surchar e $ .50 Total $ 5b. ~ Reminder: Call for inspections. _-As'ejor; SIGN U OF PERMITTEE Updatcd !/O] CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR COMMEEtCIlkL MECIIi4N1CAI. PEiiMTf APPI1CATlOA C1TY OF EA6AN S$SO PILOT KNOB fiD EA8,4N, biN 55 ] EE 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwetling unit DATE: SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE#: - (AREA CODE) ~ CITY: STATE: ZIP: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of W ork: When instal[ing/removing underground tank, ca[L 651-681-4675 far inspection by Fire Marshal and Plambing linspector. Fees: 1% of contract price OR $50.00 minimum fee, wMchever is greater. Underground tank removaUinstallarion = minimum fee Contractprice: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1lOl RESIDENTIAL BUII,DING 4-io- oc) Permit Applicatiou City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWCtion Reauiremenls RemodeVReoair Reauiremenis O(fice Use Onlv 3 registered site surveys showirg sq. ft of lot sq. fl. o( house; and ~II roofed areas 2 copies of plan _ CeR of Survey Recd (20% mazimum lot coveiage albwed) 1 set of Energy Calculations for heated addNons T2e Pres Plan ReW 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd lsetofEnergyCalculations AddNon-irMicateilaisilesep6csystem _On-siteSep6cSystem 3 mpies of Trce Preservatlon Plan'rf lot platted after 111193 Rim Joist Detail Oplions selectlon sheet (bldgs with 3 or less units Date _L /c>247 / C)3 Construction Cost !~Zev 0 ~7 ' Site Address C(/Q17244d7,Q ~~%/Z_ UniUSte # A ~ Description ot Work Z,~,$7"R,G~, ~~tQQ )(,L,~ y~/ "e-~,A3 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 rj--,_ 2 Property Owner Telephone # ( ) Contractor ~T//~~ Address ~~~A 16;:- City State Zip Telephone ~1_43a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy CodB Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone ) ~ r~ ~r, ~ ~ ~ ~s ~ Sewer/WaterContractor Telephone#( ) 3 By - I hereby apply for a Residential Building Permit and acknowledge that the informarion is comp ete 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 star[ without a permit; that the work will be in accordance with the approved pl in ftre-ggse 94ork which requires a review and approval of plans. ApplicanYs Printed Name ~ Appli t's Signature OFFICE USE ONLY Su6 Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement •Demolition (Entire Bldg) - Giva 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) Final/No C.O. _ Footings(addirion) p~umbing _ Foundation HVpC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing _ Siding Stucw Stone _ Fueplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insularion _ 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 _ _ _ _ _ _ . _ .a,a . . . .p- , . p~!,. . a „r~,.~.~~, ..-.~c,.,~: , .~~~,v...~.:. m : .A . _ , . . . ~..,m.,..awca~x,: . . . . z :xav.~s. ::2me' xna m ~r , _ . . . _ . o~m..a i . , , N . ..a~ m a ~ ~ 1 S 6tiZ9 068 x~~ tib09-068/Z~9 ~o osauu~ uno ~ o o ~ ~ ~ . } .W ~ ~ ~ ~1 0 N0~_IIdU`d H1~(10~ SONd1000M ~~-Il ~ ~1~Q18 ~ l ~ol • , , W 0 L~~~~ NW '3iiihSN~nB OZl 3iinS ~h 'aa Al~ 'M 005~ N ~ I m c~ t~ Z 1 d~l aNd1000M 009~ Z 4 C~ ZCT) ~ . t • a ~ Q d. w f- NIN Na ~ ~ ~ ~Z (~jQ Z0 ~ ~ ~ z N ~ z U 3 cn o W 4 o Yz ~ ~ ~ ~ ~C S wrn ~ W ~ O ~ c~ ~ ~ ~ 0 ~ cr- i~ m ~ ~ a m ~ I a. 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Pictures are not acceptable in lieu of inspections. Windows/Doors: If altering the opening size, a framing inspection is required. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Beverly A Hansen 3600 Woodland Tr Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature