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796 Trotters RidgeCity of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use "� �j Permit #: �4" `� r "–' Permit Fee: /;2c2-69 9 Date Received: — Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -3 to Tenant: Site Address: 7G iC 4cr le, y Suite #: RESIDENT / OWNER Name: 27;040 frikly Sil re i a (' Phone: 6_J'/ &P / /9 r % _ Address / City / Zip: ? of 6. 7—el '*Y5 /C( f t Applicant is: -- Owner Contractor TYPE OF WORK Description of work: en 14^ rev m rewt vc/ C, Construction Cost: �,_, ee Multi -Family Building: (Yes / No ___ __) CONTRACTOR Name: M b v id N�-,' • /'.c • License #:6'+- I'"0 s- 1 -43 cI r Address: 702 cl Olt%J (-4r-4.4 t/lJK City: 6 / State: `" Zip: 5'*; w /W Phone: 6-1-1 .L4 0 o'U1 y _ Contact: ata`1f` b t 6 Email: ivitl*LeMo #114 e 1446-.C4 COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of 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. 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 tart 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 pi x gill b i ,e t, Applicant's Printed Name FEB 0 2010 Fl J x Applteant's Signature Page 1 of 2 /67 --26 /-716_2, -MI6 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of a Plex Accessory Building WORK TYPES New Addition Alteration _ Replace Retaining Wall _ Fireplace _ Garage Deck Lower Level DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction _ Porch (3 -Season) — Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool ` nEvto,,s Interior Improvement _ Move Building Fire Repair Repair V 6 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final >c Framing Fireplace: __Rough In __Air Test _Final Insulation Meter Size: Reviewed By: -r Siding Reroof Windows _ Storm Damage _ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior Demolish Foundation Egress Window ! Water Damage *Demolition of entire building - give PCA handout to applicant 144 7-J) Sheetrock MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Final / C.O. Required Final / No C.O. Required %(, HVAC Other: Pool: Footings Air/Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings * Backfill __.._ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Q )0 2foot) Page 2 of 2 CITY QF EAGAN 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receipt # To be u5ed fOr ~ SF DNG/GAx Est. Value ;I11,000 Date "Y iT , 1991_ Site AdVess 796 TROTTZRS giDGZ LOt 14 BIOCk 1 SeGSUb. WID~ Ri~E 2~ OFFICE USE ONIY Parcel No. occupancy A 3tiA FEES te Name GM1.D DWMRS COIfrTRi1CTI0N ~~ing IPD &A ~ Address 170~ Z~OTH Y (Actual) C°nst ~ B{dg- Permit 618•00 (~O'"~) Surcharge ss• 30 City MW pRAGUE Phone `4s-3171 * ot Stores 601 PlanReview "I.00 Ldhgth o Name 8AM oepm 521' SnC. Gry 100•00 fj~ Address S.F. Total - SAC, Mcwcc 630.00 City Phone S.F. Pootprints - F On Sile Sevrage _ Water Conn 6~~~ W W Name on sue weli wacer wtecer 95.00 Address mwCCSyscem ~ 3o oo i~ City Phone Citywatar ~ • PRVRequired = SJWPertnit 30•00 1 hereby acknowlege thal I have read this applicalion and state that the Boosler Pump - g/yy Surdiarge •so information is correct and agree to comply with all a licable State of Minnesota Statutes a ity of Eagan Ordinan? Treatment PI 276.00 Signature of Pertnitee~~ ~IA . w APPROVALS Road Unit 370•00 A Building Pertnit is issued to: GM1-D BROTHIM COM Plan^ef - park Ded, on the express condition that a11 work shall be tlone in accordance with all Cw+ncii applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. gldg, pry _ Copies Building Ot(iCial VarancB - TOTAL 3, 3M• 00 PKmB No. PermB 14o1dN DoN TMpMqm IF WATER - (CDV ~i'' it-i' v SEYYER J ~~r,c ' f' S .3 / G - 8~U1 H.V.A.C. ELEcTRIc M„p,etioa orle Map. comInents Foolings I Fowdation u/,e Franw?g - 2 79~ Roofing a°o Plbg. ?6 Ro+o^ "og. ( ~ (U isui. 1V ' . Rrevime 7-1-9~ uJ_6' Final Htg. 7~ S/ Orstal Test F„" Rog. ~ ?39/ Pbg. i,spft-tx - Notify Pl,mber c«nse. AAeter EnprJPlen Bldp. Finel ~ .241 ~ Dedc FDg. Dedc Final wea Pr. Disp. ~ C ~ ~ . . ~.._.,r.~...n. ..a~~rwn•~ ~ ~ . - . . _ ._.,~_i SEWER 8 WATER PERMIT OF 1 E USE ONLY i CITY OF EAGAN METER #~q 9 2 ~ 9~ PERMIT DATE 05/22I 91 ~ 3830 Pilot Knob Rd. CHiP #~a0 8'1 ~ PERMIT # 12001 Eagan, MN 55122-1897 METER SIZE Lk -Sen 5 Uf3.p. RECEIPT # C 13 542 MAY I1, 1991 iSSUE DAtE 7 - y/ B.P. RECEIPT DATE OS% 21 /91 DATE x PRV _ BOOSTER PUMP SITE ADDRESS 796 Ti201'TEfiS RIDGE PERMfT REOUESTED LOT 14 BLOCK 1 SEC/SUB BRIDLE RIDGE 2t1D X SEWER X WATER _ TAPS APPLICANT: ' ADDRESS: - COMM/IND X RESIDENTIAL CITY, STATE ZIP X NEW _ EXISTING PHONE: PARSONS PLUMBING Lawn Sprinkier Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 300 FIRST ST CrOdit,WILL NOT be given for Deduct Meters. CITY, STATE MONTGOMERY AN ZIP 56069 ~ ti`. , PHONE: 364-8801 X ~-~'~~~1.~~ 1 AGREE TO COMPLY WITH CITY OF OWNER: GEROLD BROTHERS CONSTRUCTIOid EAGAN R AN ADDRESS: 1 0 2$0TH ST W CIN, STATE NEW PRAGUE MN ZlP 56071 P NE:. IGNATURE W METER ISSUED ~ 5/ :P^ ~r7: , ~ , PLEASE ALLOW TWWORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM # SEWER PERMITS, CONTACT ENGINEERING DEPT. T. .r ,-........,»..,,:_yws -.nnw•+V?+Ffafwh~:.;?w >....~.~....r.,_ . ..~.f....-,~'r-.-...~-r-~r.~. ~-,.n;° -rg;;. _a :--r+. SEyVER &,WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE U5124 i`•'] 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP ~ PERMIT # i~~Jl , METER SIZE B.P. RECEIPT # 1354;. DATE +Y~ ,~~G t ISSUE DATE B.P. RECEIPT DATE 0 5121;'~ 1 PRV _ BOOSTER PUMP SITE ADDRESS 796 Tn01"iE'i: R' DGE PERMIT REQUESTED LOT 14 BLOCK 1 SEC/SU6 9RIDLE [ZIDGE 2t~D I X SEWER WATER _ TAPS APPLICANT: I ADDRESS: - COMM/IND x RESIDENTIAL ~ CITY, STATE ZIP X NEW _ EXISTING PHONE: , Lawn Sprinkler Meters are to be Installed PIUMBER: PI1itSbNS PLUMBING Ahead of Domestic Meters on Water Line. ADDRESS: 300 fIRST ST CrFdit WILL NOT be given for Deduct Meters. CITY, STATE MflNTGO14ERY MN Zlp 56069 PHONE: 364-$801 I AGREE TO COMPLY WITH CITY OF OWNER: GERULD BbtCTiiERS CONSTRUCTIOIv EAGAN ORDINANCES ADDRESS: 1704 280TH $T w CITY, STATE 'iEW PRAGUE MN Zip 56071 PHONE: 445-3171 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. RESIDENTIAL ~ ~+7 23~3 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 &5 7 a 5 INw Canstrucliai RwuWmwMC RemodeVRaoair Reaulnmenh • 8 iegistered nite surveys showing sq, fl. of lot, sq. ft of house; and aY roofed areas • 2 copies of qen (20%mexirom lal coverape allawed) . 1 set of Eneigy CalcWatias for heated edd'dions • 2 copies of plan sFwwing beam & windax sizes; poured found design, etc.) . 1 site swey for exteAw addNbns 8 decks • 1 set af Erwgy Calalations . Irdkate'rf hortie served by sep6c system for addNOrs • 3 copias WTree Preservatlon Plan if lot datted after 7!1193 . RYn Jdat Detel Optlas seleciiai she& (bldgs wAh 3 or less wnAS) DATE 1 - ( VALUATION • JOB SITE ADDRESS Tro lA IF MULTI-FAMILY BUILDING, HOW MAN1Y UNITS? PROPERTY OWNER IlaIXC7- S1` LlhLt TYPE OF WORK OA'''R 4nc9' f`C314 61.~-~1~. ?lk)~'- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~ PHONE# CP ~ 71~Ira376' ADDRESS _ a10( bib'*- ~~D• ZIP CODE S1'E0No PAGER M CELL PHONE # FAX #C002A-!~?~ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RUI.ES 7670 CATEGORY (check one) - Residential Ventilation Category 1 Worksheet Subm - Energy Envelope Calculations Submitted ~'iJ MINNESOTA RULFS 7672 - New Energy Code Worksheet Submitted ~ ~3)' _ - - Plumbing Coniraetor: Phone P1umUing System Includes: _ Water Softener _ Lawn Sprinkler ree: $90.00 Water Heater No. of R.I. Baths No. of Badis Mechanical Contraetor: Phone # Mechanical System Includes: Air Conclitioning Fee: $70.00 _ Heat Recovery System SewerJWater Contractor. Phone #k All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state t~atlhaiaf mation is correct d agree to comply with all applicable State of Minnesota Statutes and City of E n Ordinances. Signature of Appll nt CeAifiCates of Survey Received _ Tree Preservation Plan Received _ ot Required _ Updated 1101 Ar:dresq: 7% pgpTIERS RIDGE Lot 14 Blk I Sec/Sub gglp/,g giDCE pNp These items were/were not complete ut the time of the final ins ection. Dace: 7/24/91 Yes No ~ Final grade (6" from siding) L/ Permanent sceps - garage L/ Permanenc steps - main entry ? Permanent driveway Permanent gas ~ Sod/seeded grass Trail/curb damage j~ ,L~ Porch ~ Basement finish 177 Deck Please varify vith the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside Lawn faucet before freeze potentSal exlsts. & vnnior.rt' White - City copy Yeliow - Resident copy Pink - Contractor copy Cnrx#ifira#t nf (O.rrupxnry (titp of Cagan ' Bepariment of Builbing inspediun ~ This Cerlificale iuued pursuan! to (he requiremeaLS ojSec6on 306 ojfhe Urtijorm Buil#ng , Code cerlijying fhat at 1he (iwne oJissuance thirsaucture kns in rnmpliance with the variour ordinanars ojthe City regulating bui(ding consnuuion or use. For the joUowing: ' I~ ~u:a.mrbeoe SFi7C/C.AR eW, n~aw. I4074 /I. • O-P-9 Tya R3/Ml ZO,;,sDivt&i PD/RI ryac. VN o»,Q,i B.1d;,j (3BOfD BRD6. ODNST. A,= 1704 28(llfi SP. W.. N[W PRPB[lE 8.1d,w ,ym,m 796 P RTIYMP: Ly;y T.14- ii- 14lTTAP. RTfYS? 2ND ~ Tu' j--O n,~ 7/1414I POST IN A CONSPIWOUS PLACE CITY OF EAGAN No .1 g074 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8100 BUILDING PERMIT Receipt u. G/ ~ SqQ To6eusedlor 'SF DWG/GAR EsCValue $111,000 Date MAY 17 ,194L SiteAdc4ess 796 TROTTERS RIDGE 14 Block 1 Sec/Sub.BRIDLE RIDGE 2ND OFFICE USE ONLv Lot Parcel No. acuPancy R-3 M=1 FEES Zoning PD (2-1 a Name GEROLD BROTHERS CONSTRUCTION (qplual) Const V-N. Bltlg. Permil 678.00 w a Addfess 1704 280TH ST W (Allowahle) V=N Surcharge 55.50 City NEW PRAGUE phone 445-3171 xoisiories - Length 60 ' Plan Review 441.00 o Name SAME oevtn 52, SnC. Cfly 7 00 _ 00 i. g¢ nddress S F. Total - SAC, MCWCC 650_ on ~ City Phone S.F. Pootprints - Im On Sne Sewage _ ~"/aier Conn 660. 00 Name On Sde Well - Water Metef 95.00 Address MWCCSystem X City Phone cirywater x Acct.Deposit 30.00 PRVReqwreG x S(W Permii 30-00 I hereby acknowlege ihal I have read this applicahon and state ihat the Boosler Pump - StW Sumharge .50 iniormation is correct and aqree to comply with a11 a licable State of Minnesota Statutes a iry ol Eagan Ordinanc Treatmant PI 276. 00 Signatwe Ot Permite, AVVROVALS qoad Unit 370.00 A Building Permit is issued to: GF.ROI.n RROTHRRS CONST Piennar - park Ded on Ihe express condition that all work shal) be tlone in accordance with all Counc,l apphcable Slaie of Mmnesota StaWtes and City,/ol Eagan Ordinances. Bldg. OfL _ Capias I1o(i/~ , ~(~_I rn11 Variance - TOTAL 3,386.00 Builtling Oflicial Ce`~~~g _1K F75 2005 RESIDEN'I'IAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVReoalr Reauiremenls Ofice Use Onlv 3 registe2d sRe surveys showing sq. k. of lot sq. ft. ol house; and all roofed areas 2 rqpies of plan Cert of Surrey Recd _ Y_ N (20°h maximum lot coverege allowed) i set of Energy Calculalions for heated additions Tree Pres Plan Recd _V _ N. 2 wpies of plan showing beam 8 wiMow sizes; poured found design, etc. i sAe survey for adtlitions 8 decks Tree P2s Required _Y _ N 1 sel of Energy Calculations AddAion - indicafe H on-stte septic sysfem On-stte SepOc System _ Y_ N 3 copies ol Tree Preservation Plan if lot platted afler 111193 Rim Joist Detail Ophons seledion sheet (bufldings with 3 or less units) Date 61 / 4SI- / Construction Cost Site Address 7~& 7 rd yy(-IS /2.,19~ UnidSte k Description of Work Si, Multi-Family Bldg _ Y X, N Fireplace(s) !X 0 _ 1 _ 2 PropertyOwner ~/O/,( q`i- jl~"r('-W Telephonek( Contractor Address~ ~70Z 's? 6~'w if q, ~ City State Zip 5-SZY,6 Telephone#(6rJ) 2G° ~°~'y Lr~s~ ~20z86s~7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy COde Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheel (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitled Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval pl A plicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti ? 03 0 1 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Ptbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Inlerior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundalion ? 45 Fire Repair j~ 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors / ' ? 34 Replacement 'Demolitlon (Entlre Bldg) - Give PCA handout to applicant Valuation 2/,(Rb9D Occupancy MCES System Census Code y 22 L Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const 116 Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) ~ Final/No C.O. ' _ Footings (addition) Plumbing _ Founda[ion ~ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _.,Y Framing _ Siding _ S[ucco _ S[one _ Brick _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows 7x Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee . C) Surcharge Plan Review / MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge D Treatment Plant License Search S, D C~ Copies Other Total ' 1991 BUZ LDING POIT-APCATION . CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 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 CALCUTATIONS 1 SET OF ENERGY GALCS # 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. NOTE: ADDRESSES FOR CORNER IATS - 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. To Be Used For: n~p,. ~~C/L~1` • Valuation: m~ Date: S A lq- ( Site Address //C: 11~~iSl,C~C~IQ OO OFFICE USE ONLY Lot IL Block ~ FEES Occupancy IZ-3 M-1 Bldg. Permit G~7 /g,0J /J Zoning Pp ?Z-1 Surcharge S5 ,SO Parcel/SuAZOI-&-_ , _ C~L G Actual Const V-AI Plan Review 4qJ.nO f1 n ~ Allowable V-N SAC, City I OOiQ~ . Owner ~uvl~ f.~Cos # of stories SAC, MWCC . OD Length (00 f Water Conn. 460,00 Address 7,~n-~k C-(--3 Depth SL' Water Meter 9S OJ S.F. Total Acct. Deposit O,~ City/Zip Code Footprint S.F. S/w Permit $O,c).,> Ll ' S/W Surcharge ,s0 Phone On site sewage_ Treatment Pl. Q7e, , 0 0 On site well Road Unit $ 9fl,01 Contractor S cLiu (2 MWCC System V Park Ded. City water ? Trail Ded. Address PRV Copies Booster Pump _ City/2ip Code SUBTOTAL APPROVALS Penalty Phone Planner _ Lot Change Council TOTAL Arch./Engr. Bldg. Off. D S/S.9/ Variance Address City/Zip Code Phone # a, agrees that all work shall be done in accordance with (S'ignature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. vAC C~~=71D tiJ °7r v GARAGE ! : Zya Z2x2z= Ll~y ~oa x ~s'= !o sou y`ox 26 = a 44 X ,26 = I ~ ~I ~X ~L4 4 3 Z o Lf~ ISr F~OJrZ 2~`~ = 12 I~C6,: ~ ~ d5~~-~s3 = `706 I 1 v ~ 5' 1 I~ cao 0 `P~RN~~IEf"S ui1dOLANUS~uRVEYORS S ' • P.NGINECfl1[VG COMPANY, INC. l IUUU EASf 146m 6TREET, BUHN6VILLE, MINNEBO7A 6683f PIi 432-30U0 Certificate ofi Survey Le g al De s c ript i o n: L.oT 14, 9Z,00lf , aR104E R/OGE 2Z/O ADO/T/ON, oAKOTA Co16IM7Y, M/N.vESOTA. • C8~ • ° ~ DENOTCS EXISTING ELEVATION (867.0 ) DENOTES PROPOSED ELEVA:fION INDICATES DIR[CTION OF SURFACE DRqINAGE 867.~3 - FINISHED GARAGE FLOOR ELEVATION 860• 96 = BASEMENT FLOOR ELEVATION 869.00 = TOP OF BLOCK ELEVAI'ION a~ 6CALE ~ 1' . 30' ~ cll~SJ .~o"F~orVr BU/L~/N6 ~0 2 SET~'fC uNE s ~ ° ati o0 ae ~ EAGAIV ]ERI EERIAIG rjEP1~ ^y oo U , -a b \ o' `v~ ` l , see~o8~\ s • ~0 6 - ~Q DR/!/~t/A6E ANo , 9'P.~-, ~ ~ •o% 417/L17Y EASEMENT ~ p9~ P W noeVe W n0EQ~J06"11 p pn ED 1 heraby certfly Iliol 1h{s la a ttue anJ aorrecl repiesenlalion o( a iracl o( IanJ as shown and deacilbed heison. As piepateJ by*me on thlsday ol N1AY ~y 91 . • EXTERIOR ENVELOPE AYERAGE "U" CONPU7'ATION n+n¢a: :ITE ADDRESS: ' 2116 ro S ~ d E 1--v~ ) LI ~QLK . ~ Bri d 'r~ w ~ . :ONTMCTOR: (.:~Qra~O f~ras_ 6~"S~ • DATE: S /3 Q / PHONE: N q S-317( 10 DETEIIMINE MORKINf SOUAiIE FOOTAGE Of EACH: 1. TOTAL EXPOSED NALL AREA, a y y( sq ft x"U" • ~ ~ ~ oZ~ TOTAL ROOF/CEILINC AREA,,,,,,,, )y U~~ sq ft x"U" ~ 36• S~ TOTAI EXPOSED NALL AREA CALCULATIONS: Total exposed wall .area above floor,,,,,,,, aa ? 6 aq ft ------t~- e) Total well Ninda+ aree: ~'DI- 9lezed...... ~q ct. 7 sq ft x"Un ~ 3 a, * y6 3 . l' glazed...... sq ft x "Ull b) Total door area 3~•d sq ft x"U" c) Total slidlng glass door area: ~L Vlazed...... S Q sq ft x"Oll <'30~. . J b . qlazed...... - sQ ft x "U" d) Total fireplace wall aree (C7o~- sq ft z'"U" ~C~ ~ ~ e) Total watl freming area (Average lof,)............ ~ sq ft x"U" _p`T - f) Total net well area ebove fioor (Inaulated)....... 6 sq ft x"U" , D cl ~ sy ~ . g) Total rim Joist area...... ~ 6 J sq ft x"U" (D 6 Total foundatlon ares (Exposed).......... eq ft h) Total foundatlon p wlndow erea Ssq ft x"U" 1) Total net toundatlon / / aroa apove grede........ ~p_b sq ft x"U" • ~ ~ , TOTAI a) thru 1) Id 6• 3 If item R3 Is the same ss, or less than Item f1, you heve met tAe Intent of 2 HCAR 1.16008 A eud O. 4 TOTAL ExPOSED ROOF/CEILING CALCULATIONS: • Total exposed u roof/celifng area........ ~ lU sy {t J) Total skylight area .......--sq ft x"U" k) Totsl roof/ce(ltnq framtng IF area (Averaqe 107t)...... ~ 39• o 0 sq ft x"U" ~ aZ ~ / I) Tota) net tnsulated roof/celllnq area....... a sq ft x"U" ~L 2`"~ b, TOTAL jy thru 1) If tota) of 04 is the same es, or less than /2, you have met the Intent of 2 HCAIt 1.16008 A ar.d 0. ALTERNAT BUILDIN4 ENVELOP IfESIGN To utllize the total envelope system thod, th values establ)shed by tAe sum of Items 03 and !!4 sM 11 not be 9reater n e sum of items and 02. 1. + . m • C E R-T 1 P 1"C"A T I Q N 1 hereby eertify that 1 have calculated the "U" faceors and "R" . values heretn and that tl?e Duildinq here descrihed meets or exceeds the State of Mfqnesota Ener,qy Conservation Act. Ttignature) sl~..~ ~ o e _ ~ - _ . . , U VALIJE CAL,CUI.ATIONS R U YkU-19 ~ insfdr ati film .68 WALL In[eriot rail (Wall) L' . ~ . 'OLI sccrtoK c,suc&tivn Iq Sheuthlnr- 132. Stding g~ ? Juc.ide ntr film .17 i R TOTAL a a~ 3 ~ . lnafde air ftlm .68 577fD intrrior vtil SEC?ION R' -ar.38 (Frua[ng) U • k • , ~9 I 4heathing ~br? i .3d ' Sidfng Ig( ~ Outside aLr film .17 ri TOTAL lo. 3 Inslde air film . 8 2ND VALL Incet~or ra SECiI'~ti ns ion (uell z sne.z , Erteria~ va11 c ting Exte~lor air flire R . R i0TA1 lnterlur atr CIIm' R_ .63 ' " flLM Insula*-toa 1 4 ~ (Rim lOIST. Iji ir.efi so[T Yuud R=1.8e V s~•~0 ~ Joist) • 5,e8thLn8 1. 3a ~ Extarlor vall coveeing ~yl , Exterioe •!r film Rs ,17 • I ~ n~,: R T'OTAL a 3. q a- ,i tnt«rtor a:: [:1"n R= .66 ~ lneula:tor. Faund.:tork `'ag (fdn.) u . .07 Exterlor air film R'- .17 ~ 1 R TOTAL I0\ I S 3 - ~ ! \'{xposed 3Luck - --_-_~T-~. r. • - . .E.LING a1TH VEYTED A7iIC S7ACE ABOVE R LUE / LUE FRAMIMG CEILING 0.61 _ Air Film 0.61 Insulation 4. 3 S' .io i s t Ceiling 1 ~ • O.E1 Air Film 0.61 L/Lt, 13 rocat a q Y, 7,? . .~a A toa a u FLAi R OF OR CATHEORAL C:ILIHG a ue R VALUE F ING CEILIt~G . 0.61 Inside r film ~•6i ~ 7+-, Ceiii I Joi (stud I lation I I ^ r space I Roof de~king I sulation Bu lt-up roof l 0.17 Out de air film 0.17 Tota1 I •J R lindow infittratic-i .5 tfm/11nea1 foot of crack testdential door infiltration 0.5 tfm/square foot or dcor and mininur code requirement son-residential daor infiltration 11.0 cfm/lineal foot of crack lp 12° concrete Dlock no lnsutation =.41 R 1.1 • lp 12" concrete block insulated cores •.26 R 3.8 15 12" liyltt.reicht b1oCk ¦.32 R 3.1 ;p 12" lightweight Dlock insulatsd cores =.12 R 3.3 . J single gtass - 1.13; with sto m wipdpx .54 1 douCle glass ¦ .55 • 1 triple glass = .41 . atl exterior walls and teilings must have a vapor 4arrier (C.10 perm ir:jx.). :apor barrier must De on the inside (heated side) of wa'i. iaDOr barriers of the polyethelene Lhin film have no R value. , ./r'/ - - - - ~ GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL ' OF TYPICALLY USED PRODUCTS AIR FILMS SMEA~ TH~ cq Interior Air Film Malls) 0.68 3/4° Mood Subfloor or Sheathing 0.94 Exterior Air F11m Malls) 0.17 1/2" P1yMOOd Sheathing 0.62 Interlor Air Film Vented teiling 0.61 1/2" Partlcle Board 0:66 t Exterlor Air F11m Vented Ce111ng~ 0.61 6ypsum or Plaster Board 3/8" 0.32 ~ Interlor Air Film tton Yented) 0.61 6ypsum or Plaster Board 1/2" 0.45 Exterior Air Film Non Vented) 0.17 Gypsum or Plaster Board 5/8" 0.56 Plyvrood 3/8° 0.47 BLOMIN Ply?eood 1/2" 0.62 Plywood 3/4" 0.93 Approx. 3" 9~ Sheathing. Reg. Density 1/2" 1.32 Approx. 4 1/2" 13 ~ Sheathing. Reg. Denslty 25/32° 2.06 • Approx. 6 1/4" 19.00 Nait-Base Sheathing 1/2° 1.14 , Apprax. 7 1/4" 24.00 Approx. 1'4" 30.00 ROOFS ApDrox. 18" 40.00 Built-up Roofs 0.33 ' All other insulatian materials must Asbestos-Cement ShingTes 0.21 be verified (R Factor) Aspha]t Rol) Roafing 0.13 Asphalt Shingles 0.44 INSU~ LpTeIpN Insulation: 2-2 3/4" FibErglass 7.00 SI~ Insulatlon: 3 1/2" Fiberglass 11.00 Aluminum Siding 0.61 Insulation: 6" fiberglass 19•00 Aluminum ?vith Backer 1.82 Insulation: 3 5/8" fiberglass 13.00 pluminwn with Backer 6 Fotled 2.96 Insulatlon: 9" Fiberglass 30.00 112 x 8 Lap Siding (Ibod) 0.81 Insulation: 12" Fiberglass 38.00 7/16 x 12 Hardboard S141ng 0.61 [nsulatlon: 8"pCellulose 29.00 ' Asbestos Sidings.1/4 Lapped 0.21 Insulation: 10 Cellulose 37.00 Stucco (BroNn and finish Coat) Insulatlon: 12" Cellulose 44.00 Insulation: 1 1/2° Thermax 12.00 Insulation: 2" Thermax 16.00 DOORS WOODS 1 3/4" Solid Core Door .46 ~ a/Storm. Mood .31 Fir. Pine 3 Similar Soft Woods a/Storm. Metal .26 1 112p 1,89 Pease Steel Door Insl/N/GL 7.45R .13 2 1/2¦ 3,12 Sliding 61ass Door, Mood .65 3 1/2° 4.35 Metal .12 5 1/2" 6.87 • :ONCRE WINDOWS W Concrete 61ock (5 8 G Reg.) 1,11 A11 Nlndows (Filled with Vermlculite) 1.93 (M/Storms 1" to 4" Space) .56 12" Concrete Block (S i 6 Reg.) . 1,28 Removal Double Glazing (RDG) .55 iF111ed with Vermicullte) 3.15 Thernp or Netded 3/16" Air Space .64 i Light Welght 2,18 1/4" Air Space .65 (Filled witb Yermlculite) 5.03 1/2" Air Space .58 2" Light Weight 2.48 (Other windaws speclfically tested (Filled wlth Vermicullte) 5.82 ca?? use better ratings) CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT RNOB ROAD EAGAN, ?IN 55122 PERMIT # /~Do2 PHONE: (612) 454-8100 RECEIPT # (11 1A 5 )1 ~C~ICAT. ~BR~C~' DATE: 15143/9/ UsSDFNTTAX.E PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ~X ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PEI2MIT OWNER NAME: I D d G r40/ d I ~7 / y- ~J /SUBTOTAL: $017. DO SITE ADDRESS: /q(O ~~O-T/ P~~ 9'~dL7~ STATE SURCHARGE: .50 LOT: « BLOCK ~ SiiSD. ~JR1G1~ ~ 1(4~9~--~yU TUTAi: $a~"SD INSTALLER: Fo 56A'5 -V' /Y/G/ ADDRESS: 7;~ O a S SI ATURE OF RMITTEE CITY:1~fr'/ L°/'Q ZIP: cirC". ~ PHONE CQMII4ERCTAL/TNDUS"tRTAT:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDTNGS WFiEN SEPARATE PERMITS ARE NOT R$QUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FCR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. FROCESSE,^ PIPI*IG $25.0C LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # e- `61 DATE: S/a3/9/ RESTUENTIAI.: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & . . TOWNNOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 /.00 REPAIR WATER CIASET 3.00 60 J_ BATH TUB 3.00 ,10 ~ LAVATORY 3.00 G,,OO OWNER NAME: L ~)Qq c) l ~ KITCHEN SINK 3.00 3uoo LAUNDRY TRAY 3.00 SITE ADDRESS: ry q!o/ liD7TC'fL5 cI~e HOT TUB/SPA 3.00 z WATER HEATER 3.00 •3,v0 LOT:/IV BiOCK „L SUnD. RX/~tq FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: ~ IeSO~t/ i ~ G~ ,3 (MINIMUM - 1) 3.00 . d6 ROUGH OPENINGS 1.50 3,0 ADDRESS: -~OC~ OTHER WATER SOFTENER 5.00 CITY: ZIp: .~GDrv PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE SUBTOTAL S yffDO ST. SURCHARGE .50 SI ATURE OF PERMITTEE J/ TOTAL: S T S J O COMMER61ALJiNDUSTRIAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 UF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. • INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: , TOTAL; $ PHONE (SIGNATURE) FOR: CITY OF EAGAN City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink F` tO f#i Use Permit #: 9 2D Permit Fee: 661� Date Received: Staff: 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:( -)3 -/t2- ( 0 Site Address: 7 & Tk O�¢- Tenant: /o S1--eohet Suite #: RESIDENT / OWNER Name: Phone: 6 /- 6g..? 1, Address / City / Zip: CONTRACTOR Name: , 1 L '1�%7i� r ~ License #: 6 114 Address: `("/7 Pe/VA/ - S 'Sup City: �' �,' ' State: /G'/ f V Zip: C5 -"`'Z3 Phone: id,12- ?o3 6, //- Contact: J(e C Email: ( /V b p (lam"h rt ,V,911-00 GOirli TYPE OF WORK_ New Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ Description of work: P2 19 5�re:1-1- -1--L__ PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) ( Main Lower Level) _ Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 5-0. 5T2 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.00pherstateonecall.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 s . without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approva f glans./ x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By Rough,, -in Under Gr Test Tess 90 775 •_ NG INSPECTIONS DIVISION hof DlmacTORS ARE REQUIRED )N EVERY LEVEL OF THE HOUSE AND IN EVERY SLEEPING ROOM AND IN EVERY HALLWAY LEADING TO A SLEEPING ROOM A CA :4BON !N,K,01(iDE ALAHM MUST BE INS LLED IN ALL NEW SINGLE FAMILY AN MULTI FAMILY DWELLING UNITS. k MLT ;4'4 r*-; KM WE OF ;)11(3 STOP SOFFITS AND ALL OTHER DEAD SPACES. 75 For Office Use Use BLUE or BLACK Ink C/ City (�fn Permit#:Ul Eall Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 buildinainsoectionst citvofeauan.com Staff: J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: Tu o4c l S 4- o ti e\ Phone: b S t- t33-1 S?b Rc nt! " � 4� Address I City/Zip: ^7 16 $r.4-4,4-i r c' e '-ct j S., ,/vl A) S 5 i Z-'S Applicant is: Owner X Contractor Type of Work Description of work: Ike- — '1 0 o C Construction Cost:S 5 O 6 Multi-Family Building:(Yes /No ) Company: !=x Ce 1 ¢X t r;a r S Contact: $41, Conti ictor Address: b 23 o I 04:b S 1U City: ©S'k c-(4l-� State:AAA/ Zip: S 5 t 2_3 Phone:(DI t-q/L`f'4)oSEmaii: M.I t 4 C) :LA.ee a Fla a�. Co•-i License#: (3G ^ 1.:7 0 o-71 Lead Certificate#: If the project is exempt from lead certification,please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor. Phone: Fire Suppression Contractor. Phone: liNOTE:i ln#and supporting doe**is that yortsubrniit are on " to tt public"In atton. ) ins of the information maybe cla i t-84'0,1P06-11‘,x0you i v speci ons t t+ p 0•ItYconclude that try are�rarie eer�ef� You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.gopherstateonecall.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. x lel k L -e x ..e Applicant's Printed Name Applica s Signature Page 1 of 3