4201 Trenton RdCityofEaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: c> qZ
Permit Fee:
Date Received:
Staff:
' l 2011 MECHANICAL PERMIT
Date: '/.� `/ Site Address: V2-0/ e74 61n(
Tenant:/// /. (,t_! S A' id i N J
Suite #:
RESIDENT / OWNER
Name:, u. I ....,4r.1/7144 n / I Phone: ('6i �f7 0�Zn~
/ /
Address / City / Zip! 7i / 7.12.6.1(0-:-4 /6)64 .-"/ . , )
CONTRACTOR
Name: t A.) alif ' A � License #:
Address: . Ar,r/I 0L. City:
State:��,.�� Zip: �! � �, Phone:
r t 6 5� Y.
" ..
Contact:Ko 4 . _. -r ,�� Email( ,�e ekiL [B/GUZ 7. -Z- C i//A-L=r�
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of work: t tom' FLt.,nim /
RY"'�
OTE - • < o n t! around mountedmechani afequipmen
Code.'':Please c• c ~ echanical Inspector for info. ', >. x.' Greening
PERMIT TYPE
RESIDENTIAL
rurnace
COMMERCIAL
New_Construction _Interior Improvement
Air Conditioner
Install Piping _ Processed
Air Exchanger
Gas _ Exterior HVAC Unit
_
Heat Pump
_
_ Under / Above ground Tank ( Install / Remove)
Other
** 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) $ X3 $ I2 2 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 Tess than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
_ $ TOTAL FEE
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.gopherstateonecaliorq
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 rpt 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.
Applicants Printed Name
x
Applicants Si§nature
FOR OFFICE USE s'
Required Inspections: _Under Ground '' Rough In Air Test Gas Service Test
Exterior HVAC Screening Inspection
CITY 6F EAQAN w~~ ~~ICE PUM
383b Pllot K nob RoW
P. O. Box 21199 PERMIT NO.: ,
Eapn, MN 65121 DATE:
ZoranD- No. of Units:
i ~r Burr Oat~ $ldrs.
Mdraa:
47!71 TTentan R.oa:'.. T,36 B? .".~t,rthview ~``eHCtnkr,
Pl ~r F s }?echanical
07 WW-
63
Meerr W.
Ssz.: 15. OQ '
Reoder No.: Cb 10. (lQn'a
• ,O~i hiw.~~'ri161V ~'R~j 1 s , 5 n
Total: „ -,,,pmc `er
gy ~t Dote Paid:
Dote of Irnp.: In4.-
~
CITY OF EAGAN SEVM Savia pEmff
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
' Epan, MN 55121 DATE:
Zoninp: Ri Na of Units: 1
Owner. B;err On,. !tldra.
/lddrosx _
Slh Addlln: 111.01 TZP•i1ZD21
Piumber Y's t4erhanicaZ
I"M ee sovn* rrM Nn Cky oF iq.¦ Conrneeton Chow: I 5. ~?i?~,d
O~llr~eM. /laoount Depait:
Prrmit FM: Z n.'10 pd
$YfChGf'Qe: - r>l~t1G~
~ By Mhc. Chorym
Dah of Irnp.: Tatd:
Inp.: D4N PoW:
I
I
-••--:;-'w++~vx~---~-~---,-- * a ~ ;r .:.-t . :i < .
a... CITY OF EAGAN t~1 3830 Pilot Knob Road, P.O. Bcx 21-199, Eagan, MN 55121 -
" PHONE: 454-8100
BUILDING PERMIT Receipt #
Tobeuasd.tor SF D4tiG/GA4Z Estvalue $62,040 Date APRIL 23 1986
Site Address 4201 TRENTON Rll Erect ~ Occupency R3
Lot 36 BJock 2 SeciSub. NORTHVISW MEADON6dei O Zonina - R1V
Parcel No. Repair ? Type of Cpns(
Addition ? No. Stoies
Name BURR OAR BLDRS INC Move ? Length 42
= 11473 GOLD~NROD ST NW Demolish ? Depth ab
W. Address Int Impr. ? Sq. Ft
ci~, COON RA~~ ~S 7 5 7-815 7 Instan ?
o Narhe sALblE Approvab FNS ,
ou Address Assessment Permit $ 319.00
City Pnone Water & Sew. Surcharge -I,-04
~ Police Plan Review 15 g• 5 0
W Name SI3BURBAN ENGR
Fire SAC 575.00
12350 RIVER RIDGE
u Address = Eng. Water Conn.___5_0-0--_40
g W ciH BURNSVI~~ t390-6510 Planner Water Meter 53 • 50
Council RoadUnit 29U.00
I hereby acknowledge that I have read this application and state that the Bldg. Off. 4/2 3f 8 Tr. PI. 15 6. U 0
information is correct and agree to cgm ply with all applicable State of
Minnesota Statutes and City of EsgaftOrd'mar)ces. APC Parks
~ Var. Date CopieQ
Signature of Permittee Total $2.094.00
BURR'UAK BLDRS INC
A Building Permit is issued to: on the express condiUon thet
all work shall be done in accordance with all applicable State of Minnesote Statutes and City of Eagan Ordinances.
Building Official
e e e
~i
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sonw«
Inspectlon DaM Imp. Conwralft
Footlfqsl _
FoofYqs II
Foundslfon
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PERIY* 713 CITY OF EAGAN FEE
MECHANICAL PERMIT
RECEIPT # 454-8100 S/C
~ MINIMUM RESIDENTIAL FEE - $10.00 + $.SO TOTAI
DATE MINIMUM COMMERCIAL FEE - $20.00 +;.SO
1. Bidg. Type: Res ~ Comm Inst 2. New ~ Add Alter Repair
3. Total Bld Price 1 L~ 4. Job Address
Lot Block._~ Sec ~ • P 5. Owner ~
,
I~r1r 4 11 i
6. COntrBCtOf ~ , ~ ~ ~~i
(
(Nama) (stree1 (CnY) RiPI
7. Contractor Phone #
RESIDENTIAL HEATiNG - Ot -100,000 BTU's - $24.00. Each additional 50,000 BTU's or fraction - $6.00
RESIDENTIAL CO ING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction - $6.00
MODIFICATIONS/~TERATIONS -$10.00 minimum fee
~ HEATING /
VENTILATING HOT WATER STEAM AIR COND.
TAIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. ~
RES. GAS PIPING OUTLETS - E1.50 TANKS: LP. UNDERGROUND OTHER
' COMM./IND. RATE -1yi OF TOTAL BID PRICE PLUS;.SO STATE SURCHAR(iE FOR EACH $1,000 OF FEE.
Signed: ~lfor / . ,
Approved InspecUons: Date Rough Insp. Date Final Insp.
SL~;" t:•''a" .~"^1+'.ir'R:".';Ya~S'~'..^~ 'r.+,_. . ,.~rr,~ l, _ : -ea ~r;-- a s
• ` j `7'
. • PERMIT # ~
PLUM8ING PERMR RECEIPT #
CITY OF EAGAN
' 3830 P1LOT KNOB ROAD, EAGAN, MN 55121 DATE ~ r!
CANTRACT PFIICE PHONE 454-d100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. New
m Name Mult Add-on
~ Addresa Comm. Repafr
z City Phone Other
NO. FlXTURES TOTAL
~ Name Water Closet - $3.00 :
c Address Bath Tubs - $3.00
p City Phone ~vatOrY ' ~.00
Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00
Laundry Tray -$3.00
MINIMUM - RESIDENTIAL FEE - $10•00 __y___Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20.00 We~ H~~ _ a~ r~
STATE SURCHARGE PER PERMIT - ~ WhiApool - $3.00
(ADD $.50 S/C IF PERMtT PRICE GOES Gas Piping Oudets -$1.50
BEYOND a1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMfTTEE FEE;
STATE S/C
FOR: CfTY OF EAGAN GRAND TOTAL:
_ . _ _ , ,
PERMIT #
PWMBiNG PERMIT RECEIPT # CITY OF EAGAN
I _ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
~ Site Address 'r -C BLDG. TYPE WORK DESCRIPTION
~ lot Block ~T Sec/Sub Res. New
Mult Add-on
~ Name Comm. Repair
m 2 ~ ~ . /i / .s •
Address Other
c City hone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name~ + ' . . r~ Water Closet - $3.00 S i
Bath Tubs - $3.00 ~
l.avatory - $3.00 ;
p City ! 4 z~ Phone ^ F r Shower -$3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPUES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outleb -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn s r,~
(ADD $50 S/C IF PERMIT PRICE GOES -L-SoRener -$5.00
BEYOND $1,000.00) WeII - $10.00
Private Disp. - $10.00
I ~ f~ ; - - - Fough Openings - $1.50
~ SIGNATURE O PERMITTEE FEE:
I STATE S/C: • ~ ' FOR: CITY OF EAGAN GHAND TOTAL• ~ y~
CASH RECEIPT
0 CITY OF EAGAN ~
~ 3795 PILDT KNOB ROAD
• EAGAN, MINNESOTA 55122
D IK TE
R6CCIV6D
---F-~r-^-- J
AMOUNT Is / I
~J t U 'J
i
6 DOLLARf
00
' ? CASH ? CHECK
~
r
r ~
~ a .
RUND CODH
AM OU NT
L. G y
~
~ • ~ V ~ U
7
J ~
Thank You
~
. eY~'<• ; '
62211
White-Payen Copy
Yellow-Pottin9 CoPY
Pink-File Copy
CITY OF EAGAN Remarks
Addition NORTHVIEW NEADOWS Lot 36 Rik 2 Parcel 10-52100-360-0
owner street 4201 TRENTON ROAD State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ( 1984 76.75 7--.~ LO
STREET RESTOR.
GRADING
EWER LAT 1981 15.89 .79 20
SAN SEW TRUNK 5-75 1981 138.48 6.92 20
SEWER LATERAL TRK 1984 275.22 18.S+18':36- IS
SEWER LAT 577 1951 22.28 14,44~ 26rs
WATERMAIN N 1984 70.67 4.71 15
WATER LATERAL -rj 11981 iS,G$ vZ4 A& z-'&!S
WATERAREA 510 19$1 13$.4$ 6.92 ZO
WATER LAT 513 1982 29.52 I.tT 4-,45-- 20
STORM SEW TRK 1984 392.32
STORM SEW LAT '
DRAINAGE 1984 33.97 33 3:4&
CURB & GUTTER
SIOEWALK
STREET LIGHT
WATER CONN.
9UILDING PER.
SAC
PARK
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. i•'
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' i 10 ~ APPLICANT:
i k, i - :36 iii i,lf.
rii(fN R[1
~ ~ ; ~ : i r,i ,'~I;,~~ t~. i ! , , ~ • i
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D• • D•
. ~
F
J
L
Parmit Holder Date Talaphone N
PLUMBING
~ HVAC
Inspocdon Date Inap. Comments
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
BLDG FINAL
DOMESTIC
METER
IRFIGATION
METER
FLUSH
MAINS
CONDUC7IVITY
TEST
1'vOROSTATIC
TF~T
~MT R.I.
BSMT FINAL
~
DFCK FTG
II DECK FINAL
- -
ihis reqoesl voitl 6
Xf/j C~~j / 13- 18 nwnths Irom
C.1~862aL3~n L3 1&,,1$ q 7-
Re.ques~ Date Fve No. R6uPh~n InsVoctmn
Requrtedi~ bNCatly NowAWill No.dy Inspec-
~ - Yes 0 Na ior When Ready
? LicenseA ElecVical Coutrac[or I hereb
y reQUest mspectlon ol ebove
? Owner electrical work instollad aC
Street Atldress. Boa or Poote No. Utv
ecuon o. Township Name qNo. Rande No. Cnmily
OccuV,mt (PRINT) Pah~o./ne No.
57
Paw¢r SuOVlier Atldress
AKl GTRI O aj,;tU--rN f5.d- Stj
EIeclriCal ConUactor (COmpany Namel ConVdf.lo~'s L~cense No.
MO /?tin EFI-ec-Moc--
Mailing AAJress (ConVactor or Owner Makmg InstailaLonl
f~
R Rl ~C~ gA(r
AoMorized SiB^a[ure ICOnvaetor~Owner Mnk~ng InstallaUl Phrne Number
MINNESOTq STATE BOAFO OF EIECTNICITY TMIS INSPECTION REQUEST WILL NOT
Gri09s-Midwey flidg. - Room N-191 BE ACCEPTED BY THE STATE BOAHD
1821 University Ave., SL Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phnnw 16121 297.2111 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION /ee-/oo,iwt.oa
~-~~-ir 1 See inshuctwns for comoletin0 this lorm on beck of vallow copy.
I
' 16 8 6 2 "x BeloW Work Covered by 7hls Reques7
AdJ fleo. TVOe oi BwlCing Appliancea WireU EnUiumeni Wiretl
Ho,,w Ranye Temporary Service
Dupir.x Water Heater Liqhtiny Fixhue5
ApL BuilAing Dryei BeclriC Heatin
Commercial Bidy. Fumace Silo UnWade.r.
Industnal Bldg. Afr Conditioner Bulk Milk Tenk
Farm 1h.u peU v 0111 ISPCrilvl
t ,r $UCU/Y Ihcr Othur
Nompute /nspectron Fee Below
M Pee ServiceEntmnce5ize b Fea Feeders/5ublexders N Pex Ciremts
0 to 200 Am s 0 to 30 qm s / O•c~ 0 in 30 Am s
Above 200 qinps 31 to 100 Ainps 31 to 100 Am s
Swinmiing Pool Above 100_AmVS Above 100_Am)s
Transrormers Irrigation &~ortis ,_~p Partial.'Other Fee
Signs Special InSUecfion S
RerrNrks y75o TOT , FEE~/D
K ~
Rough-in Dntv,
: tn wl
/ ~specbr, heraby
m.btr Ne+ tne aoovo
Final ;~tE inspection has been
mee.
tnla repuest vola 18 montlu irom
CITY OF EAGAN (v ~ 11845
3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING -PERMIT -
Receipt k
7obeuaedtor SF DWG/GAR Est.va~ue $62~000 oate ~RIL 23 1~6
Site Address 4201 TRENTON RD Erect Occupancy R3
Lot 36 elock 2 Sec/Sub. NORTHVIEW MEADO{t}Sdel ? Zoning Rl
Parcel No. Repair ? Type ot Const. V
Addition ? No. Stories
s Name BURR OAK BLDRS INC n4ove ? Length 42
z 11473 GOLDENROD ST NW Demolish ? Depth 46
o Address Int. Impr. ? Sq. Ft
CityCOON RA~pS 757- 157 Install ?
i o Name SAME APProvals Fees
Address Assessment Permit $ 319.00
. Ciry phone Water & Sew. Surcharge 31 . 00
~ Police Plan Review 159.50
W W Name SUBURBAN ENGR 575.00
lW Fire SAC
nddress 12350 RIVER RIDGE
En WaterConn. 500.00
aw ciryBURNSVI~~ 890-6510 9'
Planner Water Meter 63 . 50
' Council Road Unit 290.00
Iherebyacknowletlgethatlhavereadthisapplicationandstatethatthe gldg.Off. 4/23/$ Tr.PI. 156.00
information is corred and agree to mply wit all applicable State of
Minnesota Statutes and Ciry o ces. APC Parks
~ Var Date Copies
Signature otPermittee Total $2.094.00
A Building Permit is issued to' B OAK BLDRS INC
on the express condition that
all work shall be done in accordance with all applicable te of Minneso Statute and Ciry ol Eagan Ordinances.
guilding OHicial ,v
• x
. ' \ 1
_J
1985 BUILDZNG PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NOST BE LICENSED NITH THE CITY OF EAGAN
COMlIERCI6L SINGLE FAMILY DiIELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND ~
To Be Used For: 51,061 F Ec Valuation: b10_ocyj Date: /9Pr g(,
Site Address 4001 Tre,ylC.,,, /~c~arJ OFFICE USE ONLY
Lot ~ Block a Erect 6 Occupancy 9-3
Remodel Zoning 777
Parcel/Sub 161iR7,yU(E10 Repair ~ Type of Const ' Sz
Addition II of Stories
Owner Move Length
Demolish Depth
Address Int.Impr. ~ Sq Ft
Install ~
City/Zip Code
Phone APPROVALS FEES
Contractor PugK 04K g(Jrs,J,,. Assessments Permit
) t Water/Sewer ^ Surcharge 3/.
Address /d'C4,,ro')5~. /vtu Police ^ Plan Review 159.5c
1 Fire SAC
City/Zip Code ~~idS~ ~~SSz/3~ Engr Water Conn ;SYx2
Planner Water Meter h
Phone 6/.)1757-?157 Council Road Unit 7V0
Bldg Of~ Treatment P1
Arch./Engr. APC Parks
Variance Copies
Address 1JL351J k112 ev TOTAL o2Q
City/Zip Code O~,c,~yl~?: ~l~h SS3 3 7
~
Phone !k
~ • Uv 'CC~"'W
:
Nonn omo. • 571•e066
6875 Nighway No 65 N E
NOUatiRlNp Minnaapohs. Mums+ots 55632
~J~_ -
1~ ' South OfNCS•890-6310
~ t (1vll. Munuqpuf d Ermirn.inremal F.'ngmrrnng 12350 Rrcer Ridge BIvE
(and5urvtnng a lnttd PlannmR • SuJ 1'e+nnQ Burnsnlle. Mmnesols 55337
~L
1~.~Q~~°fi~f'~cc~te ~f Surv~y f'or MorfhtIiFw ssoc.
COUNTj~ Sr7TE iD /~i&vwAy No 30
- - +
r
~b °0 ~
h M o U~
v
"Q
~ . \D
\S
.i ~
~ ~ ^ I
$ ~ v ~ v
i ~
i
I ~
M ~
^ I ~ I I
~ I \
l~,G~.ziair.rwe ~driury E•asc,ae.vr ~•or~
I Ll - -----~lo 30
~ .sB9°5L'/i"E /Zo7¢' \D
~
AA p 6~g
~OT
:,V
09rAi"V1c4v M~ADOw~,
~~,DAAWr,a ~.~ovNTY, II~I/NNE SOT,4 ,
Inoroved for Narthview Associates as per Architectural Control Couittee by
Date
I
~ Aereby certifr that tliis :urrey, plan op roport was prepared br •e or rnder mp direet supervieioe
+nA that I na duly Neqistarod l:nd Surveyor under tAe Lan of tha Stata of p'nnasets.
~ r:ated this day of 19AI' bY~Q~'+ ~`~~.„~C~\
, Gary R. II+FFis, Paglsterad Land Survaror
Mina. qeg. No. I0943
. , •.u ~tqh~e r~eac~mll r
. •l
. •
. 379-6647 '
3ro
rnmt a .nod.uk arc.
M~ MN~I n~. w~y~. Mn. \N t!
~R1114CIyAI MgI Mm OI OUltb ~
EYTr~tIOR ENVEI,pPS AVERAG6 "D" CO2~OTASIODi
owc~t 5 pL1-F
na No. aW#? , L. SITE ADDRESS DA7 CONTRACTOR tVP.Q nQV_ $ulLv~g.5 pyppg
Determine xorldng square footage of eaoh
1. Total eucposed wall area.... aq,ft. x,L e
1-1~~1sJ
2. Total roof/ceiling area....:.. 105 aq,ft. x•?V= ~
3. Total floor/cant. area....... eq,ft, x_,,,. = 1-----_J
Total ezposed wall aren above floor Icniodbot7
8• TOC81 W8u WSIKIOW QT'98................... 0..6
1~0[FS
b. Total door area ~
C. TOt81 81id1118 g18S9 door 8I'68..* 70
d. Total fireplace wall area..........'........ -
e. Total wall 2raming area (average 10%),,,.,~.~ ,
f. Total net wall area above floor..............
g• Total rim joist SD08........................e
Total ezposed foundation area '~71 'j- ~
h. Total fourdation windocr area
i. Total nat foundation area abova grade.......
.
DeLermine "II" value of each wall segmen
b. x "U" ~
a.3X nU^
o. .o x ¦p„
d. x "II" -
a.~ x ^Q" ~
• x "Q"
x ^0"
B
h x pQ" ~
1.~ x "U^ ~ a - -
i
4. ~..r.....................00. T0t8ai ° QO
If item ff4 is the same asp or less than item fi9 you have met
the intent of SBC 6006(0)2.
f~
. .
' f
• Total exposed roof/oeiling area
j j. Total slwlight srea
k. Total roof/oeilinq 2raming aren (aver. (.10816"0/0),,.,,
( .062 Y324"o/0)
1. Total net insulated roof/oeiling area ~
Determine "U" value for eaoh roof/ceiling se'gmeat
i . 7C °U° a .
k. , x "U"
1. x "U" .0?o _
5. Total
If total of #5 is the same sa, or lesa than +2, you have met the
intent of 5BC 6006(0)1.
Total exposed floor)oaat. area
m• Total floor/CBTIL. framin 8I'08 (8V0I'9g9 •10%)
a. Total net insultsd floor~oant. area
Determine "0^'value Sor eaoh 11oor/aant. aegaent
M. x ^II" ~
no x "U" s
6. TObBl a ~
IS total of #6 is the aame as, or less than #3, you have met the
intent of SBC 6006("0)3.
xLTNMNATE BUIIDING FNVELOPE DESIGN
To utilize the total envelope eystem methal, the values established
by the sum of items $4, $5 ard }6 ehall ILot be greater than the sum
of items #1, #2 and $3.
I. U 2. 2L 17 3. = r7, 0
4. I14~°°b 5. 21,ZZ. 60
°--13S,~a
Prepsred bp ~
Date C~' ~ ta'~
' .
'~!e ~,y
: .i;={~~`.9+,1~'r• , .
9TIID Int. Air .68 SEiRO II73. Y/ALI. Int. Air .68 .
•.14 9.R. b SIDINO 1/2" 3.R. .45 W/ SR. 6 SIDLiG 1/200 S.R. 45
_ r
l stua (P,001s „ Ins. 1q,00
25/32^ H1]d. 2.06 25/32" H11d. 2.06
~ gidizig , Co7 ~ 9iding ~ ~07
Fct. Air •17 &cE. Air -17
Total "R" a Total "R" cr ZZJ ^3
1/R ="UN ° 1,A c~D+ aLodl~)
THHII RIM Int. Air .68 THRO CONC BI.OCS Int. p1r .68
JOIS? Ine. C.B. •
Opt. 9tyro.
Opt. Ins.
1 1/2" wOOd 1,89 a. % ELt.• ASI' 17
•
25/32° HS]d. 246 . Opt. S.B.
~S7d1n '
g (01 ~oFt. sia.
Ett. Air .17 , Total _
Opt. Briok l/a „U„ Q ~
~t • O
Totnl "R" _
1/R=pUu ° • ~
' ' - - - . _
_
xHRo cLO. Int. air .61 THRQ cM. Int. nsr .61
~
rsQmER S.R. 0), n+sviaTIM s.a. S(P
cig. Memb. Q~S Ins. ( 1°o
dm Zns • ~ Still dir .61
Still Air .61 11i~ Total
l~- Total "R"
` 1 /R ° "U" ° . D Z O
1/R _ uun
- ~ I
~***~***i*#f#****ff**fYi**#**#i##}**
1
CITY OF EAGAN ~ ~ ~°F~, ~ TIM oF
* APPROVAL OF PERZIIT.
L APPLICATION FOR PERMIT *
, n1sPEMorr oF sEWM Arro/ox WNTEt ;
TTS4TAT.TATTONS WIIL bX7P HE SC~H@- ;
SEWER AND/OR WATER CONNECTION ~~m uwm PERMIT HAs BEm ,
* APPF20VID. ;
r ,
w ,
r
**Yr*t *###**i *****iF** ****1r*t*f t**#**k
P ease Print)
PROPERTY ADDRESS : Y N~ O N 42 0 A-j "
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parce ID )
IF EXISTING STRL'C1T_1RE, DATE OF ORIGINAL BLiILDZNG PERMIT ISSCANCE: '
(Nbn Year
PRESEIJl' 7ANING/PROPOSID OSE: -
Q CO?%HRCIAL/ftE,TAIL/OFFICE y~ R-1 SINGLE FAMILY
r7 IPIDC'STRIAi, F-I R-2 DCPLEX (T%vo Onits)
n INSTITL'TIONAL/GOVIIwMjr ~ R-3 'IOWNE30CiSE (Three + Units) ( Units)
~ R-4 APART1i=/CODIDODIINIL'M ( •Units)
2)
NA"E=_// 5 /ht'~ f .4n, `w ~ Etcr.4
aDDxass:_3_3 S' 9 /~i 7 trf -A T/1,, w or
CITY, STATE, 2IP:- ilq iv d/! Al /Yl i? i" S 3 d 2
PHONE: ~ 4.'
3) u /For City Use .
Plumbers License:
ADDRFSS: .`j S `j 7 7`~..sc /Udti Active
~ CITY, STATE, ZIP: FScQired
_,4 a[l.,;~ M N S~ S 3a j Not recorded
PHONE:_77(-3 -~LZC G MASTER LZCENSE# S70 3.h 1 Sta£f Initial
4) • • i~-
NAhE: A u rz y2 ~4 /G t6 o~ IA.e r
. aDDREsS I I117,
~ G d/ G I s~
CITY, STATE, ZIP: d pV Q~¢P
PHONE: ,
-5) 1~ v ' t r: : o • a~ '
~j mNrEcrioN zv czxr sLWM ~ coNrrBcrroN Tv czz^r wATm ~ oTHER .
6) v•• r ~ PT.FnSE HOLD APPROVE•D PERMIT FOR PICK-L'P BY ONE OF ABOVE -
C] PLF,ASE MAIL APPROVID PERh1iT TO 1. 2. 3, 4. AHOVE
(Circle one)
. - - r • ~•r w ~ ~ • r a ia• n r ~•i iu ~ ~ • Lq
•eM
~ r. /iti •1' 1 ::r M'/. •,l1J~ 1 11+':A" • :I' • 1 1
. FOR CITY USE ONLY
PERMIT # ISSUED '
7-1712-,7
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ l~i ' S D $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ /SU ti ACCOONT DEPOSIT - WATER
$ Sa on 7, $ wAc
$ 7S'• ~ o $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ /.SZ~•d D $ WATER TREATMENT PLANT SURCHARGE
, $ $ OTHER:
S O $ 54/I Ti TOTAL
(.W Z Z Z(/
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WTTHIN PUBLIC
Q ROADWAY" MUST BE ISSC~ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
/ • /
APPROVED BY:
TITLE:
DATE: 5 /t
~~(p
I PERMIT
C!TY QF EAGAN
38'3~0 Pilot Knob Road pERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 PermitNumber: e32161
(612) 681-4675 Date Issued: 06/ 0 3/ 9 8
SITE ADDRESS:
4201 TRENTON RO
LOT: 36 BLOCK: 2
NORTHVIEW MEADOWS
P.I.N.: 10-52100-360-02
DESCRIPTION:
REROOF
Building Permit Type STORM DAMAGE
jBuilding Work Type REPAIR
~)Census Code 434 ALT. RESIDENTIAL
~
1
~l
,
. . / - . . . . . '_vh.~Y ~ _REMARKS:
FEE SUMMARY:
0
CONTRACTOR: OWNER: - Applicant -
KLEINBOEHL CARY
4201 TRENTOIV RD
EAGAN MN 55123
(612)681-9604
T hereby acknowledge that I have read this application and state that the
information is correct and eqree to comply with all applicable State ofi Mn.
Statutes and City af Eegan Ordinances.
L ec~~ I "~6/~~//
( J ISSLIED BV IGNATURE
APPLICANTlPERMITEE SIGNATURE t~
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAC3AN
3830 PII.OT KNOB RD - 65122
681-4675
New Construction Reauiremants RemodeVReoair Reauirements
? 3 rogistered afle surveys ? 2 copies of plan
? 2 copies oi plans (inGude beam d window saes; poured fnd. design, etc.) ? 2 site surveys (exterior add'Rions & decks)
• 1 energy wlalations ? 1 energy calwlations for heated addRions
? 3 coDies of tree prcsenation plan if lot platted aRer 711193
reqwred: _ Yes _ No
O~
DATE: --5 -CI9 CONSTRUCTION COST; 40Z~ - ~iifs1-~° ~
DESCRIPTION OF WORK: ~G?~pOF ~ l~E `Ta -s7-DR.eL-c ~-Ie4GE
STREET ADDRESS: ~24 / ~ N7 d~ ,DA EA-t.J
LOT: Z BLOCK: ~ SUBD./P.I.D.
Name: /A-J80i1'~ ( iA~y Phone#:
PROPERTY Lut Firsi
OWNER
Street Address:
City State: .NA-J Zip:
Company: Phone It:
CONTRACTOR
Street Address: License tk
Ciry State: Zip:
ARCHITECT/
ENGINEER Company: Phone
Natne: Regisrration
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction ony): . Penalry applies when address chang
and lot change is 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 applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
~
~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
0 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. _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) 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.
Depth Footprint sq. ft. SAC Code
Census Bldg
- ' Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/V1l Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
kL
s/ d 17 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
y
Mew Conetructbn Heaulremema HemotleUfieoeir Heoulremente 37
• 3 registered site surveys showing sq. tt. of bt, sq. N. of house; and II rooled areas • 2 copies ot Dlan
(20°kmaximumbtcoveragealbwed) • lsetofEnergyCalculatbnsforheatedadd0bns
• 2 coDies of plan showing heam 8 window sizes; poured lountl tlesign, etcJ • 1 sMe survey 1or exAerioraddttions & tlecks
• 1 set of Energy Cakulations • Indicate A nome served by septic system tor atld'
• 3 copies of 7ree Preservafwn PI&n iI lol platted atter 711193
• Rim Joist Detail Optbns seleclion sheet (bldgswAh 3 or less untts) llit ~ d•~•~
DATE ~362- VALUATION
T
SITE ADDRESS ~201 l ~26 vri-0 rJ • MULTI-FAMILY BLDG _ Y _ N
~
TYPE OF WORK %EA/Z ofP •AociF f`+b~SE 1 /11TAcNEO FIREPLACE(S) _ 0_ 1_ 2
G.9LaRoe
APPUCANT CDoK t `1o8GE Co~5T2HcTSe-J ~ C •
STREET ADDRESS 3330 /01S~2 e7: W CITY JZo56NO~.rC SiATE w~!~ ZIP L"SaCvB
TELEPHONE #6S13LZ ST/SS CELL PHONE #6 FAX #4S ~ S ZZ. V6 SB
a~ag~~FsD 3 13r
~
PROPERNOWNER / 6'r? ~7-E20_~7 -5 13 TELEPHONE# 90r,145
°
COMPLETE THIS SECTION FOR ^NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted • N fmo e itted
• Energy Envelope Calculations Submitted AY 3 12002
Plumbing Confracfor: Phone # ~ _Ry
Plumbing system includes: _ Water Softener _ Lawn Sprinkler ree: .
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhacfor. Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, sTate That ihe information is correct, and agree to comply
wiTh all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signoture of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updatad 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 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 (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Wintlows/DOOrs
? 34 Replacement `Demolition (Entire Bldg only) - Gfve PCA handout to applicant
Valuatlon Occupancy . MC/ES System
Census Code 2oning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
• REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation H VAC
Drain Tile Other
Roo£ _[ce & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/reptacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & SurCharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search .s• ~ o
Copies
Other
Total
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165921
Date Issued:12/01/2020
Permit Category:ePermit
Site Address: 4201 Trenton Rd
Lot:36 Block: 2 Addition: Northview Meadows
PID:10-52100-02-360
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 -
Luis Angel Anchondo
979 Stony Point Rd
Eagan MN 55123
(651) 303-6473
Capital Construction LLC
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature