838 Ventnor Ave41,6'
CityofEaali,,.
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2 0 2011
Use BLUE or BLACK Ink
Fbr Office e 976Q
Permit #: /J P�
Permit Fee: 55, 0 0
2011 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: 6111111 (� ��-Qn Site Address: /5.7o L�TODdk P�
Tenant: O� r l
Suite #:
PROPERTY
OWNER
Name: D (�-1�— U' n n - / / 6 —I—VI 1 6.10
j'� Phone: (PCONTRACTOR
Name: iLicense #: 06 $ c tog 'I'NL
hdbi1uLtnij\lYwc4?
Address: 446 ( (JI),+I6 `moi" . City: State: Nif,-1 Zip: 654-s P�
Phone:06DS6 -1)110 Email:
TYPE OF_
WORK
New Replacement Repair X Rebuild Modify Space Work in R.O.W.
_ _ _
�Q_ Z
Description of work: 6--y , rFCE' iya e,K 5sALLP±
PERMIT TYPE
COMMERCIAL
New Construction Modify Space
_
Irrigation System ( yes / no) (. RPZ / PVB)
_
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes _No Flushometers Yes _No
COMMERCIAL FEES:
$55.00 Minimum (includes
State Surcharge) OR Contract Value $ 'Cis: x 1%
Required
- If the Permit Fee is Tess
= $ G, 54, 00 Permit Fee
on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read
than $10,010, the surcharge is $5.00 r-1 Meter(s)
- If the Permit Fee is > $10,010,
the surcharge increases by $.50 for each $1,000 Permit Fee
Permit Fee requires a $5.50 surcharge) _:$;. State Surcharge
(Le. a $10,010-$11,000
Following fees apply
Call the City's Engineering
when installing a new lawn irrigation system. $ Water Permit
Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
.0 O
TOTAL FEES $ 66.0o
CALL BEFORE YOU DIG. CaII 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
1 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 wit be in accordance with the approved
plan in the case of work which requires a review and approval of plans.
x iSntA42;W:LA Of2sY141 xQ/lh
Applicant's Printed Name Applicant' Signature tr.
Required Inspections: _Under Ground Rough In Air Test _Gas Test
Page 1 of 3
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
915F -
Permit Fee: 5S- 00
Date Receiv ,1
Staff:
2011 MECHANICAL PERMIT APPLICATION
Date: -S 1 .. /( Site Address: e.? !/ en. 1 n O AN-'
Tenant: Suite #:
RESIDENT / OWNER
Name: ,py Air_ `r C G r Phone: ar -iT / 4f579
7
Address / City / Zip: p-3 V en.'t-h 0 r Arra �c< / a `A-. SJ%.? Z.
CONTRACTOR
Name: L a tea r/ 4' `l,r f/�� ! r �,g (A - License #:
/
Address: % / 5( j e, `, //' �/� w� 4 City: . f ®i^ IQ /( <
State: A kr Zip: 67S 3? Phone: ...5.---0)- ' 9440 A- 4/3 il.. a
Contact: Email:
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of ork:
`NOTE: Roof mounted,and ground mounted mechanical equipment is required to be screened by City ,
Code. Please contact the Mechanical Inspector for information; on permitted screening"methods .:'
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
it 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) $ TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I her 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; t at I under this is nota permit, but only an application for a permit, and work is not to start witho a permit; that th� ill be in accordance
wi the . pproved a cap of wor which equires a review and approval of plans. /
ko,
x
Ap•
Applicant's Printed Name
cant's Si • ature
FOR OFFICE USE
Required Inspections:
eriorH`
Reviewed,`By
Test GasService Tes
creening Inspection
SEWER & 1NATER PERMIT 'IOPFICE USE ONLY '
CITY OF EAGAN F METER "1'4~1,Q PERMIT DATE 07/24/91
3830 Pilot Krrob Rd.
Eagan, MN 55122-1897 cNiP #~~8~ PERMIT # 12169
METER SIZE ^ s~°A k B.P. RECEIPT # C 14605
DATE - JUI. 23, 1.991 ISSUE DATE I" 71 B.P. RECEIPT DATE 07 % 2 3! 9 7.
_ PRV , BOOSTER PUMP
.
SITE ADDRESS '838 VENTN()p AVE
PERMIT REQUESTED
LOT Z BLOCK t2 SEC/SUB STAFFOkD PIIACE
x SEWER X WATER _ TAPS
APPLICANT_
ADDRESS: ^ COMM/IND X RE5IDENTIAL
CITY, STATE ZIP - X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: WLItiZEL PLUMBING Ahe Domesiic Meters on Water Line.
ADDRESS: 1959 SItAtdNEE RD C it WIL "-tor Deductters.
CITY, STATE EAGAI3 MN ZIP 5_
452-1.565
PhONE: Id
I AGREE TO PLY WITH CITY OF
OWNER: C R PARTRIDGE HOMES EAGAN O)RMITANCRS
13809 SUNSET LAF:L; DR
ADDRESS:
CITY, SIATE BURNSVILLE MN ZIP • 55337 % /t
PHONE: 882--9122 SIGNATURE WHEN METER ISSUED
PCEdSE ALLOW TWO`WORkING DAYS FOR FfR~CESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
, . ,
3~~ a~
CITY OF EAGAN A..,3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 "
PHONE: 454-8100
BUILDING PERMIT - ~ Receipt
To be used for SF DWG/CAR Est. value :81.000 Date -NZ. 23 ,1991
_
Site Aciorest 83$ VENTM& AVE Lot ~ BloCk Z SeC/Sub. SZAZFOBD PI,,E OFFICE USE ONLY
Parcel No. occuPancy 2-3 ~H-l FEES
Zoning JL-l
W Name (Actuaq Const Bldg. Permit
o Address 13809 S1AiISE'P t.~L~ pQ (aU)wable} surcnarge _ k0.30
City M~wl -i~ Phone ~Z-4122 8 of Stories _ 2160,
Length Plan Review
~p Name $AME Depth SAC, City 100.00
~ Addfe55 S.F.7otal
- SAC, MCWCC 64l1-KS
City Phone S.F. Footprints, _
'Uci r On Site Sewage _ Water Conn 660.00
tZ Name On Site Well ~ water nnecer 95.0~
~Address Mwcc system
city watar X Acct. oeEws;c 30.00
i W City Phone
PRV Required _ SMI Permil - 30.00
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge - _ St1
in(ortnation is correct and agree to comply with all applicable State of
Minnesota Statutes and CrtK ce
TreatmeM PI _ 276,
00
Signature Of Permitee ~ APPROVALS 370.00
Road Unit A Building Pennit is issued to: Cit PAMRIDGd HONU Planner - park Ded.
on the express condition that all work shall be done in accordance with all Co+ncil ~
applicable State of Minnesota Stalutes and City of Eagan Ordinances. ' g~, pH_ _ Copies ,
~
BuildingOfficial , Variance - TO7AL 3.1"•~
PerenN No. PamR Holdsr Date TeM~ #
WATER ry I
. %
SEWER
PLLIMBING
Ad.
H.VAC.
ELEcTaIc
rap.ct+«,. o.es kup. commaoes
Footings 1
Founcfation -
Framing z~sr ps
Roofing
Rouyh Plbg.
Rough Htg.
2Ael
/
Isul.
Freplace
Final Htg.
Orstat Test
Fnal Plbg. O Tr! `7 PIb9• lnupedor - Notity Plumber
Const. Metar
EngrJPlan
Bldg. Finel ~
peck Ftg.
Dedt Fmal
Well
Pr. Disp.
H752510 -
Rapuest Date ro No ugh in Inspection
q eQwretl7 /ReaEy Now ? Will Noufy Inspector
? Ves ? No Wnen Reatly7
IZ licensed comracror O owner hereby request inspection of above electrical work at:
Job Atltlre% (Slreel. Bax or Route No.) Ciiy
838 c Ave.
Settian N. iownsNp Name or No. R. nge No COUn ^ ~ l u LLT
~TAl~T~
OccupantlPFINT) Phone No,
~.R. k e et-Ats Sg} -qi~z
Powof S(y\ppLer/~ `n~ Atltlreu
. Wy,~• • (~Cq,(„
Elecmc i GQ Vaciv (Compeny Namel GonVactor5 License No
ve-- • a
Maihng Atltlress ICOnttaclor or Owner Maiing Iretallalwn)
numonze0 5i9nawre (Gonlrac r r Making In allalion) Pnone Number
4~3-3s~a
MINNESOTA STATE BO/ HO OF ELECTHICITY THIS INSPECTION REOUEST WILL NOT
Gtlggs-MlEway BIEg. - Hoom 5-113 BE ACCEPTEO 9V THE STATE BOARD
1811 Unlverelty Ave., SI Peul, MN 55106 UNLES$ PROPER INSPECTION FEE IS
Plpne (611) 602-0800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION x°,=- es-ooom-oe
~ ? See in~trvctrons In~ completing this torm on back of yellow copy ~
H 52510 "X" Below Work Covered by This Request
ewAdd REp.i• TypeofBuildmg AppliancesWired EquipmentWired
Home Range Temporary Serwce -LX Duplez Water Heater Electric Heating
Apt. Bwlding Dryer Other (Specity)
Comm./Indusirial 'FUmace
Farm Au Conduioner
Otner (sOecifY) ConVacmrS qemarks'
Compute InspecLOn Fee Below
# Other Fee # ServiceEntrance 5ize Fae # QrcuilsiFeeders Fae
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above200-Amps ve100_Amps
SignS Inspecmr5 Use Only: ~ TOTAL
IrrigahonBooms if
Special Inspectwn
AlarmlCommunication THIS INSTALLATION MAV BE ORDE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby Rough-in Dale
certiry thauhe above inspection has Final oai
been made. ~
OFFICE USE'JNLY '
This request witl 18 months imm
y/o /s~ io~~~-s~
m 52514 a,&, 0 8 pO
Aeaues Date Fre No, Rough-in Inspection
8^~ I Reqmretl? ? Reatly Now r.]HMill Novly Inspactor
~j Ves ? N. When Reatly7
I_r2'licensed contractor ? owner hereby request inspection of above electrical work at
JOE AEEre55 ISIrpBt. BO or Route No ) C~ry
S S ~aizE;.~
SecUOn No Township Nama or No Range No. Couw,
~
OcmpanllPRINT~ Phone No
~ ~
Power,$ ier Adtlress
Elecmcal mracmrlCOmpany Namel Conlraaor5 License No
Mailing Aaeress (Conlraclor or Owner Makmg Installa0on)
AutMnEM Signalure IConVacror/ wner kmg InsaallaL PM1One Number
- - -3g16
MINNESOTA STATE BO/.HD OF EL CTHICITY THIS INSPECTION REOUEST WILL NOT
GrlpgsMlOway BIEg. - Room S-173 BE ACCEPTEO 9Y THE SiATE BOARD
1821 UNVerslty Ave., SI. Peul. MN 55100 UNLE55 PROPER INSPECTION FEE I$'
Phona (611) 602-0800 ENCLOSEO
~ REOUEST FOR ELECTRICAL INSPECTION EB-00001-08
M9 AI ~ See insj+.~ions fo~'vrom0leting Ihis form on back of yellaw copy. ~,,~,ry Fy-
w JC" Below Work Covered by This Request ~111 .
52511
ew Atld Rep. 7ypeoBmiding ApphancesWVetl Equipmen[Wired
Home Range Temporary Service
Duplez Water Hea[er Electnc Heating
Apt. Builtling Dryer Other (Specify)
Comm.llntlustrial Fumace
Farm Air Contlitioner
Offiar (speaty) Conlrador's fiameBs
Compute Inspechon Fee Below:
# Other Fee # Service Entrance Size Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps p 0 to 700 Amps
Yransformers Above 200 _ AmpS Ab Amps
SIgOS Inspecmr5 Use Only. ~ TOTAL
Irrigation Booms SgSD
peciallnspechon
Alarm/Gommunication THIS INSTALLATION MAV BE1]RDER ISCONN CTED IF NOT
Other Fee COMPLETED WITHIN 1_449IONTI-159-
1, the Elechical Inspector, hereby Rough-in Oata ~ 7~J
~ l G
certdy that the above inspection has Feai 'a /
been made
OFFICE USE ONLY
This request voi0 1B monlhs Imm
U q
eci^
(g.er#i#irafr of Or.rupxnry ;
~
' Citp of (tagan
iorpartmrttt of Buildittg jnswrrtinn
This Certifuate issued pursuant folhe requirementr oJSeclion 306 ojthe Unijorm Building
Code certijying f/wat Ju time ojissuartce lhis urucmre x+as in rnmpliance wilh [he variaus
ordinancet oJlhe LFry regula6ag buiWing ron.unrc[iart or use For theJollowing. usca,.r~ CF nwr./r.sv Bwg,p..kpq, 1q457
. oa~pL.y rya u-1 ra_ t 74.ing uwAa fiL- 3 rra c,,,r Y.AI
q~dp.7y. C R PARTRTf1GF H(1MR9 Adym 14A(1Q RIfNRFT I.AKE DR
B.Uy6Add. AIA VRNTNf1R 6VF L,,wq 1.7, A9~ RTAFF(1R0 ?I.ACE
pw OCT 29, 1991
~
P0.ST W A CANSPIWOUS PIACE
1
CITY OF EAGAN N2 19457
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8700 Receipt a G
Tobeusedfor SF DWG/GAR Est.VaWe $81,000 Date .TUL 23 ,1991
Site Address 838 VENTNOR AVE
Lot •2 Block 2 SeGSubSTAFFORD PLACE OFFICE USE ONLY
.
PdfC81 NO Occupancy R-3 M-1 FEFS
Zoning R-1
(1
s Name C R PARTRTDGF. HOMF.S (ACtual) Const -V--N Bldg Permn 556_0
w
o AddreSS 13809 SIfNSET LAKF. DR (Allowable) Sumharge 40.50
City BIIRNSVIi.I.E Phone 882-9122 x ol stones -
Length 46L' Plan Review 360.00
0
~o Name SAME Oepth 46 ~ snG City 100.0
00 Addfess S.F.7otal
V~ City PhOne S.F.GOOtprints _ SAC,MCWCC 65f1-(1f1
0
On Srte Sewaga _ Water Conn 660.0
~
W w Name On Site Well Water Metar 9 5- 00
AddreSS MWCC System X
a W City Phone City watar X Acct. Deposit 30_ nn
PRV Required _ S/W Permit 30_ nn
I hereby acknowlege Ihat I have reatl this application and state that the Booster Pump - SNJ Surcharge - Sn
inlormation is correcl and agree to comply with all applicable State ot
Minnesota StatNes and C~ g d e Treatmem PI 276.0
0
Signature ol Permitee APPROVALS qoad Unit 370.00
A Building Permit is issued to: C R PARTRIDGE t{OMES Planner - Park Ded,
on ihe ezpress condrtion that all work shall be done in accordance with all Council
applicable State ol Mnmnesota Statutes andp C,it,yJ of Eagan Ordmances Bltlg. Oft Copies
BmldmgOlhcial ' 1~1 e,f~y~ IIILI Vanance - 70TAL J.1bb.Uu
Address:g38 VENTNOR AVE Lot 2 Blk Z Sec/Sub STAFFORD PLACE
These items were/were not complete at the time of the final inspection.
Yes No (i!J
Final'grade (6" from siding) ~
Rermanent steps - garage ~
Permanent steps - main entry
Permanent driveway
Permanent gas ~
Sod/seeded grass
Trail/curb damage f~
Porch j~
Basement finish
Deck
Please verify vith the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. r¢~
e~
R[IKl[~MRP
White - City copy Yellow - Resident copy Pink - Contractor copy
, 1991 BUI D14GIT 7tPPLICATION .
` 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 PIANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST VORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER HUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED 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.
'~4 i- ' ~'L
To Be Used For~~'l.q~` Valuation: Date:
Site AddressB3s y~tk-21'~ OFFICE USE ONLY
~3/ Ovp~
Lot ~ Block ~ FEES
Occupancy R-3 M-t Bldg. Permit .'r~,5N,D0
Zoning ~ Surcharge 410,50
Parcel/Sub~~~° ~prQ~f b~f~~ Actual Const V-N Plan Review ~60,p0
Allowable V-N SAC, City /OO, OLi
Owner<fA~p/fis # of stories SAC, MWCC 650,00
Length 4(0~ Water Conn. 000.~
Address(`~`l (t/~~cL`bT-, Depth Water Meter $100
S.F. Total Acct. Deposit 30.co
City/Zip Cod2~-r~U1I~V---, {M?l Footprint S.F. S/w Permit 3Z),00
S/W Surcharge .SD
Phone On site sewage_ Treatment Pl. 276,00
On site well Road Unit 3rf0,00
MWCC System ? Park Ded.
City water 1 Trail Ded.
Address ~ g4si~tQ_ el-4`~ c9{,Ot~ts2_.b~ PRV Copies
Booster Pump _
City/2ip Code SIIBTOTAL
APPROVALS _ Penalty
Phone Planner _ Lot Change
Council TOTAL
Arch./Engr~~}-~~v~~6~51 Bldg. Off. I',S '~-/•~9/
Variance
Address City/Zip Code~~2v-~ ~e-kqr ~VVl
Phone # _21SO`1~{2I
S ater Licensed Contr.
agrees that all woik shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
- VALUAY
G ARAGE
Z2kZa= y~
yox26z7 loc~o
Gxro- (po
110o x Iy= l540a
1 sT F,~
~
'S3Srr1Tc 1( ~J
~li~~ xs3- 5~`~~3
~1b3S3 ~Tz. g~,JaJ ~
~ Sur~ve~or~s G'ert«cate
SURVEY FOR: C.R. Partridge Homes Tnc.
DESCRIBED AS: I,ot 2, Block 2, S'1'AFORD PLAC1;, Ci ty of liagan, Ilakota
County, Minnesota and reserving easements of record.
q07.8~ VE1VTJ1/012 A VE -
N
90~ oe 6,00,00W ~ 907.9 40~.4
23, NB5 0'00'H 6 00
A
R~Za, 56 .u , ; , 9oa.~
N/ e - - _ ,
' -7; zy
'
463 3,; 33
T,B.•9i~J
(Z)
v~oS" 0 22 67
~ 7.25 9i1.3 v 10.0~
ie. ~ I ~ n~o• cna. 8°9. 6 aD~ N 16 g~ ^
13.67 1O ~o
v°
/ 4p 10.00
SPflteeU
5cs. ~try N ~
N 10 .OO
440
0
46.00 / i?
~ h
If
1 ~J
sIf If tl~~
f2,00,F e~ r3 JS
qtHB
LOT SQ. FOOTAG
EAGAN E iR?EERZNC~~--_
PROPOSED ELEVATIONS BENCHMARK.T
Top ol roundallons e 912.0 y
~ £y,,,, = ol qi
Garega Floor e ali.e
Basamenl Fbor e 9oe.6
Approx. Sewar Service Elav. > gie,qt
Proposed Elavations MIN. SETBACK HEQUIREMENTS
e O
Exislirq Elevxibns
Dralnage Diiaclions Fronl - 30 Hause Side - io ~
Danolee oflse151ake = O Rear - 1s Garaga Side -s c
SCALE, I Inch = 30 Feet i
JOB NO.:
IIIEREBYCF.IlI1FV TIIATTIIISISATqUEANUCOARECTAEPRF.SENTAIION ~
/iIEDLUND OF 7HE BOUNOMIES Of TIIE IIBOVE DFSCniBEO PIIOPFRIY AS SUR-
VEVEDBY MF OR UNbE fl MV DIfiFCT SUPF RVISIONAND DOES NOT 1'UfIPOI1T
70 SIIOW IMPf10VEMENIS Ofl ENCf10AC11MENi9, E%CEPT AS SIIOWN. gOOK: PAGE:
Planning Engineering Surveying Q
)tD~ Ertl BbanMplrn frerw,r Eloomlrqlon. Mlnmwb SlQO ~9IB I 1~• v'Y"v,__.
le~epnm~ ~etT!!! 0]ev
44W D~ LI D6REN,~ANO UFlVEYOR CADDfILE: OWO.CHK.
MINNFSOTA IICFNFF NI1tOpFR 1 4378
nUyc91-2
<
, . i;,:,.n,~.,_, ~
_ c,.~
._:i .;i~:;,.~,a,~._ N., .
!•ii:.:-cee.m•,,.. . s. h1A! 55132
6: 'Z- %90_ ] 92, i
Minne_ota c;tarte Ener~, -~•j . C~ i nt'JB ~',c._i-l.l.C-.j:l J["Is
.-,...s;ad cun ";Fia;pt.E.r. 5 :s:= ihr !"fnc:e]. [=rser.gy i:c:ce . .
loS.' Edition Ada;lted 1'1/84
Ch~n•ar: C!"lt'IM. hJO:
5i't2 AddreEs:
Cnr-itractnr: C. R. F':-lfi"fR]Dt;E'HCVMrF, T.nd(',. Phonaa . :
"7;;n, Class: AS A1 for Si;:n1:_ Fasiil.yiPup7.e.,
A:?, res;acntiaZ . =tories
fJvc° e±erie=,
• Other
LEI'Jck;AL Th.FpF;;;*!F,T:irJD1 . . .
NotE?: TI':E sec',:ion c:esigr:ations r"Sect.'="n A", °ceCL1Gi'i B" e-tc.,i are for
c:.~nVnriinnc^ in c<alcul.aticns only, :.inr_I ;;rc nci' rcd.i.at.sad 'r-orri or;e 3et'of
_alculaciens bele•r1 to t.he ne;:t_.
1. E:ldg. l•Jal1= f'erimEter t+tn?i heights. _ ;?rea
,raunc9 to eavc,
, Section A . 144 14...-,E? _ :'Oay.l=,^
Section R : „
_ t ,
nect: i cn C. r-)
:iNCLiCi:"1 D B r) I'i = :1
Lit"GSS Wcll l' Ai'c^a - 2099.5:'
2. Uuilding.dzmer,=.icns "rloor cr-
• Ce:i :i i ng
Ler.gth !=!idth = Arez
Section r-"! 1,0 6 6p
3pccion Lt . 40 ?'r, = 1040
3ct_:.i.cn C: rr cl = r,-,
' ;_(°Ct'i O:? L? ry
Tuia? r2aor or ceiling area = 1100
Rim Jnist rer-irneter = 144
,-3c,,=:r .ioic.t !ay (8°s 10", 12 u. 16")1: 1~>
F;Iffl JoiS'L 1=91'JL3 = i:'ri
4. DC:t]i 5
are=.: 47.8 Thici::ness ,_nchas): .
Pc-rimeter (feet): 0
Jpc OS corisFri.tc:tion: TO{:c.l dit!'li 'c: pE?Y'S1T)°tCI": . O
b• b=1ildOWS
i_! : .
t"c<.=
'7yp:i- Heiqht L.=ngt.n 1•hir;iber = Total
Onch;_s) (Ln:=1-;c-,s) qF qlass "q1=+
t.tnits
il: I'!"fi;. 06, . > _ 15
-
JA 20 _ 22.5
43 iq 4 12
36 .'cJ 8 :'GS
C) f_) fl fl
0
O 0
. r) I) (i .
0
' r~ r 1 f:) ft
(J
' ' - . . .(1 . ' . U . tl ,
7. Wi ndow yl Lss area ! Sql= t 7 125.5
T,p~ i-f2ig!-i± Ler.g{:!-h Nu:rber = Total
, (feet) (?eet) u:7its SqFt
S. P:a1: i o L?oDr :
6.3 _ ? 40.3
, 9. Atrit.tr,,: S:t. Fireplace area
Width: ::t Heic;t:t: 0
TcL'al Sy F''t = i>
11. F;:pne.eci Fei.indati.on
Height area A: :i.S? F'erimcter area A: 144
Sq FT area A= ?6„ q9
E>;posed Fousid:z.icr
He;ght area B: r; Perir,ie±er area °p 0
=3q Ft area R
12.. SqF=t =_1 ?actor U F;
Gro<.s ::all area 2014.52
mi r,us: l,lindoaa area 125.5 0.52 65.26
Fatio dnor area 40,8 0,47 i9, 18
A{=riu:a prez, r') C> i>
Rim .joist area 120 0.041 4.92
"11oor surtari 0.14 6.,17,
Firealacc area . ~i p r,> ._::pc:=.ed F:.:tnd.. 96.43 0.14 13.51
i=rs mi.;;r ~ir t3c9 209.952 c
~ U.-nJ~J 19.95
B.{iA21 s - '
Tota? s fc;; net wal 1: 1A6: .9P8 ' 0.047 62.51
; I'e.m:i1-:t; E. ea .S ^.iP'l. ...4 gros=_, w=:i:k e:i'T=,
13. 3ro55 .,Wl. area far_t.or beIc:w -U ra per- code
rari.-or- .11 for r'?-1 =incle f:=,m3?Y' tiuplM •
.23 TJ.'- :-1-: ,3ild otho:=r re=_.idential
.23 fer ot.t;er bui ] eing=.
.28 far over 3 etorie=
Faci,=r :is: .12
P'iUH = 230.9472 I°tLlST Li4_ C)t't
{Cc.lC:;lc,"CE?(] clh0`Je
14. Bross cei A i ng c-r.ca z- 1
15. ^eiting fre.:ri:inr ::u-..=a !10S! of ceil;.nc arF•e:! = 11c>
ih. 'oist Ara=a (10'I, r.,f ceiTsng <area) = tir)
17. hdet cei 1 i na ar e= !Gros= cei 1. ar=•s - Jni st area; = 990
1s. IJ cr=i-1ir,_7. 0.021 i'Jet c:ei7.. area _ 20.7•?
14. iJ frarni,^:g: 0.024 „ ,?ois*_ area = 2.04
20. Tntal ot i±e;r 1S item 19 = 2.?.43
2 1. :=;~-os_. vei?ing =,ree, ft:ctor t~.=].o;,~ = i~~ 'r', per cade
-
FcZC'tOi" .026 'FC31'- A-1 "..iiy^1e famii'y c'up'!e::
.05:: for A-2 anci ethe-r,;esidenlial
.06 for ather huilding=_
, Factor is. k-).G26
ET'Lii-', = 29.6 MIIST ~'tE : OP, = 7'
(calculat.ed al)ove? .
. , ' O.~VALUE CALC-iJLATIONS ,
2, X 6./. BUILTRSTE ~ - .
" R ArALM U VALUE
. ' . inside air film_ .68 -
- WALL::Interior vall .45 (Wall) . U = 1 = .
SEC.TION _ Insulation 19.00 R
: . . . • ' Sheathing 2.06 . . .043
Siding , . . _ .67 . "
. ' - Outside air.film • :.17 . , .
R 70TAI. 23.03
' . . , . . s . _ . , .
-};a~. - ~ ;'r _ ~r ' _
. T;a.l.. Y, ~ - - . _ : . o . _ `n°';''•:: ~ , '~c~ . ' , , ' .
_ ,.t:~. ~Inside'air'~film`' _ ,r• .68+~ . . ,
-~ws. .~~,k:t~'J~,k~ ' . . , 't". . . . . ' : Y•y~ ' .,i ~ . , .
Intecior wall :45
5,EC7rION~,_Y• . . ' ~ ~ . _ StUd.- 6 6.50 ~ (Fi'ami[lg)''; ,^U = 1 • ,
- ~ ~ sheathing . 2.06 ' R
Siding. , . , < '67
.095 '
Outside air film ~ .172='.
: -
, ' . . : ~ _ • . ` • ,
R TOTAL•
. . . : . . . , i
Interior air • film° ~ .68
• - _ - . _ ' :r.,- . ':,°i:;r.c,~ . •
- - _ . - ~ _ ' _ ~ . . ~
.
RIM Insulation -19.00: ~ ' -
. , _ n _
: ' - , . .
< ~ . . JOIST J - -
inch.soft wood (Ri.m .,oist)~ . U 1
- .,,r.. . ;
Stieattling ! R .
rc•; ;:;'c i . .t . s 2.06`_ ~ . :n...,;'. . ,
. , .
" :
: ~i~.. .q~- . . . . - "t x._ ' •''i' l. , ' ~
i ,
.
~ . . c. • ~ . t^.~, _
_ F~cterior vall covering" ~ 67' `
:,ri n:' d~' " . . - . ~ ~ . ;•y`~ ,
,
: .
`Exterior air film' .17 - - :
. . . , , . . •
. . . R 7nTAG 24.46 - . .
_ '~^r. Y ~ . i. ~ ' ' • ~ ' - ' !i. 4' C rY:.;•c:'; ' , .
interior airi film 68. - .
I'M
Insulation
. ~ ` - ' 5.00
Foundation (12 ".`Block);`1.28 (Foundation) U = 1 = + '
; t' ; : . , . . . : .
Fxterior air' film - ',17 R
4
; . ' R TOTAG. ;'~7_13 " .14
Y . _ -
.r•;~:~ . i . _ _ . ,`'i~ : .
.
~ , n4~' . . ' . . . . ~ . • . c :•If . ~F: ' .
" CEZLING WITO YFNrED ATTIC SPACE ABOVE
R VALUE R YALCE
FRAMING Cr.ILI14G
~ . 0:61 . ' Air Film 0.61
36.00 ' Insulation 44.00
4.38 ' Joist'
~ ~
.56 - Ceiling .56 "
~ i•' 3l r~Y4 y' C/ Hl~ ~~:~f• et tj~ ~JS r ii,' ° .
_ Ai[ Film"~ ~ 0.61
M,~ . . : . ~t`` : 'Y ~ _ ~ . -.t - . . _ +T'J ~ y.-~ . • ' .
41:55 7.bEa1"R, _ 45.78 ; . ,
.024 . " U = R: _021
" " ' •
' - ; , -
. x.= _ CAT9EDRAL'CEILING'
. .
';a~ _ _ R-YALUE- ~.i =~-`4R'YALUE'
FRAMIIIG: CEILING
_ f^i~~, _ '.5
061 ~ Inside 'air film ~ 0.61
~ r .56 Ceiling - .56
14.375 Joist(Spacee) -
' - Insulation . 33.85
- Air Space .50
, : ~ . , - . . . • . -
-67 ~ROOf'decking_` . .67
.06 - Felt'.
- - _ L , - . -44 ' Shingle': ~ - .44 . .
. • • _ , 0:17 Outside~air film'7: 0.17 '
; ' . . . . .
. - ; ' • " • 16.88 1bta1. R `36.86
~;<~_.';:.:•c: r.' :.,.,_f . _ , . •.059
027
- W'indw" infiltration .5~ cfm/lineal -foot' oE orack. . . : . . - . . .
' Residential door infiltration 0.5 cfm/square foot'or door and mininwn'oode req,;rement
Non-residential door infiltration 11.0 cfin/lineal foot of crack ~
Ub .12" concrete block no insulation =.781 R 1.28'
• double glass = .52 ' • , .
triple glass = .31 . , " ' .
-All'exterior ualls and ceilings must have a vapor barrier,(0.10) perm max.)_
Vapoc batrier must be on the inside (heated side) of vall.
Vapor bariers af the polyethelene thin film have no R value.'
Gl1'T UY l:AliA1V !U!( Gl'PT UJY. UNLY
3830 PIIAT &tiOB ROAD
EAGAN, !fN 55122 PERMIT N
• PflONE: (612) 454-8100 RECEIPT 1E Do?,00
$INC::~BMT. DATE:
.
~,IDENTIAIiw PLEASE COMPLETE IIPPER PORTION ONLY FOR SINCLE FAHILY DS7ELLINGS 6
TOWNH02fES/CONDOS YHEN PERlfITS ARE AEQIIIRED FOR EACH IINIT.
- -
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST _ ADD-ON MINIMUM 15.00
ADD ON _ SHOWER 3.00
REPAIR _ -7 WATER CLOSET 3.00 3-00
BATH TUB 3.00 v°•00
OWNER NAME: LAVATORY 3.00 3,OD
KITCHEN SINK 3.00 -00
p ~y v LAUNDRY TRAY 3.00 3.00
SITE ADDRESS: o.3d HOT TUB/SPA 3.00
WATER HEATER 3.00 3r,00
LOT:-i2g` BLOCK -og SUBD. ~ FLOOR DRAIN 3.00 3.0O
G G OUT.
(MINIMUM-1) 3.00 3'dO
ROUGH OPENINGS 1.50
S~ s!~
ADDRESS: OTHER
WATER SOFfENER 5.00
CITY: l0 G~ ZIP: pRIVATE DISP. 15.00
PHONE 7~7G~ '~S105 - U.G. SPRINKLER 3.00
SUBTOTAL $
oZ 0 • ~
ST. SURCHARGE .50
~ SIG TURE OF PERMITTEE
TOTAL: $ &~9.OD
i:0?IMEItCIALJINDl7STRIAI::: PLEASE COMPLETE THIS PORTION FOR ALL CO?4fERCIAL/INDUSTRIAL BUILDINCS AND
.
HULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUTAED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
IAT: BIACK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE tf :
(SIGNATURE)
FOR:
CITY OF EAGAN
~ a3 CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT a /Oa
M£C131iNICAT~,; P~1tMTfi. DATE:
RESrDEN2TAL;PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
' TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ~ ADD-ON MINIMUM $15.00
ADD ON _ HVAC 0-100 M BTU 24.00
REPAIR _ ADDITIONAL SO M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME:~ ~ 1 TY~ C~GQ SUBTOTAL: $
SITE ADDRESS2 z)s VQn~ 'n0`P ~VQ, STATE SURCHARGE: .50
LOT:~ BLOCK ~ SUBD. TOTAL: $c~-~•5 0
INSTALLER:
ADDRESS: SIGNATURE OF PERMITTEE
ciTY: 9303 Pivmouth Ave. No. •ZIp:
PHONE Golden Valley, MN. 554'll 5LA a~~~v
COMMERCIAI:/TNDIISTRIAT.:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS,
r. . .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
°
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: Zip:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675 ~
New Construction Reauiremenb RemadeVRenav Recuirements
• 7 regatereA site surveys showing sa. R of lot, sq. R. of house, and all roofed areas . 2:opies of plan
(20% manimum lot coverage allowed) . t set ol Energy Calculations fcr heatetl aGaitions
• 2 copies of plan showirg beam 8 window sizes; poured founG desgn. etc ) . 1 sne survey for exrenor addilions & decks
• t set of Energy CaIMaUOns . Intlicale rf home sened by sepnc system for additions
. 3 copies of Tree Prnservatron Plan if bt platted aRer 711,87
• Rim Joist Detad OpUOns selec6on sheet (bldgs with 3 or less uni45)
DAiE VALUATION
SITE ADDRESS ~3 g V 2v~,~ V~o r~Je-- MULTI-FAMILY BLDG Y ?N
TYPE OF WORK r ~f- l at ~c~ FIREPLACE(S) _ 0_ 1_ 2
'A_
APPLICANT
STREETADDRESS 5~3C) k^"uC,_ STATEU^V\ ZIP 63
TELEPHONE #b210 CELL PHONE #6J t-Z(D~-OQs"Z FAX # 1~3 ~12`I
PROPERTY OWNER 5(SCA~j ~P_rc"_ E)tSov'~ TELEPHONE #(0S I -`iS2 I I ro
COMPLETE THIS SECTION FOR "NEW^ RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ I\Nti50T:\ RCLES 7670 C:ITECORI' I \-fI\\'LSO'!':\ RULL•'S 7672
(d submi55ion type) . Residential VentilaGon Category 1 Worksheet Submittetl . New Energy CoCe Worksheet Submittetl
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone ?i
Plumbing system includes: _ Water Sottener _ Iatini Sprinl:ler Fee: $90.00
lVa[er Hea[er _ No. of R.I. Baths r4uG ~~I~
\o. of Baths O 1 2002
Mechanical Contractor: Phone #
:b[cc}i<mic.il scstcm includcs: :\ir Condiduning B Fcc: 570.00
F[rat Rccovcn Svstcm y
Sewer/Water Contractor: Phone #
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
with oll applicoble State of Minnesota Stotutes and City of Eaqan Ordinon~
Signafure of Applfcant
OFFICG USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received Not Required
Updated a/02
OFFICE USE ONLY
? 07 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 - Atulti
? 03 0 1 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (a-sea.) ? 33 Ext. Alt - SF
? Oa 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lowerlevel ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundalion) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings(deck) _ FinaVNo C.O.
_ Foocings (addition) _ Ptumbing
Founda[ion HVAC
Drain Tile Other
Roof _ Ice S Water _ Final _ Paol _ Ftgs _ AidGas Tes[s _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (nea•/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage '
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
FEg � � X01'1
Use BLUE or BLACK Ink
Permit e:
Permit Fes:
Date Received: 1- IS-- / 2
Staff:
^^�� 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: c� `l''�a• Site Address: $�3g {,y�3p,r Ai, -e- • 1437' ^7
Tenant
Suite 0:
RESIDENT / OWNER
•
CONTRACTOR
Name:
Address / City /Zip:
1
J
Phone: tdd �'4 7-6617
Nanta; MILBERT COMPANY INC.dba CULLIGAN TATER
Address: 1801 50TM ST EAST City,: INVER GROVE'B.BGTS.
State:' MN Zip: 55.077' Phone: 65.1 .;.45]:-2241
Contact BILL.MILBE 1 ,
Email:
TYPE OF WORK
PERMIT TYPE
• New eptacement _ Repair Rebuild _ Modify Space Work In.R.O.W.
Description of work: ,
RESIDENTIAL
Water Heater
' Lawn irrigation L RPZ /PVB)
--- Septic System
_New
_Abandonment •
,Water Softener
Md Plumbing Fixtures (rMain / _ Lower Level)
Water Tumaround
RESIDENT/AL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
'Water Tumaround (add $166.00 Ira 5/8" meter is required)
$105.00 Septic System Liei ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes $5.00 State Surcharge)
TOTAL FEES $(. V ' t/U
CALL BEFORE YOU DIG. Call Gopher Stats 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.000herstateonecail.orr
I hereby acknowledge that this hhfbrmation Is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that 1 understand this Is riot 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 approved pia /In the case of work
�which
requires a review and approval of a
x / L L/O�D (rQ;� x
APPlicafIrs rioted Name A Iid' i
pp na g
re