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INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: iW i; . PERMIT SUBTYPE: TYPE OF WORK: . ~ J PermR No. Permit Holder Date Telephona A S1NV PLUMBING HVAC ELECTRIC • ELECTRIC Inspection Dete Insp. Comments Footings I Foundatan FrBming Roafing Rough Plbg. Rough Htg. Isul. Rreplace Final Htg. Orsat Test Flnal Pibg. Pibg. Inspector - Notity Plum6er Const. Meter Engr./Plan Bidg. Final Deck Ftg. Deck Final Wetl Pr. Disp. . . INSPECTION RECORD ~ CfTY OF EAGAN PERMITTYPE: ~ ? s~ ~ ~j~ 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 4 j} ~ APPLICANT: I'T . . f• I , . , . 'r-t~+ i : . i i.,,.. ~ ~ PERMIT SUBTYPE: TYPE OF WORK: r.,~•~ ? - INSPECTION . .A i ~ , ~ i R? ~ , i~hv ~ L_ . ai-~i• . ^4 • Permk No. ParmR Holder Dabs TNephons # S/1N , PLUMBING Hvac / ~ELECTRIC - ~15 ELECTRIC InapeCtlon Date Insp. Commenb Footings I Foundation 2-/z 93 ~ ~.r P~ Framing p ~'3 6(' Roofing Rough Plbg. R°~?' M9_ 341,43 ls,l. 3 d Freplace Finel Htg. ~9 cr ~ /O Orsat Test o(Fnal Plbg. Plbg. Inspector - No6fy Plumber Const. Meter Engr./Plan aieg. Final y~ 3 3 ~ Dedc Ftg. Deck Final Well Pr. Disp. 3 Address 648 wErt.tsm cotm-r Zip 55123_ . . . . Lot ~s Blk 2 Sub rnvFnrrRV rASS 2rm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 04 23 q3 Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded grass ~ TraiUcurb damage ~ Porch ? Basement finish Deck Please verify with 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. Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contrnctor Copy ~.7ar=~= Dl 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW ction Reauiremenis RemotleUReoair Reouirements Office Use Onlv 3 2gistered sAe surveys showing sq. ft. oi lot, sq. ft. of house; and ~II roofed areas 2 copies of plan Cert of Survey Recd Y _N (20% mazimum lot coverege allowed) 1 set of Energy Calculallans for heatad additions Tree Pres Plan Recd _Y _ N, 2 copies of plan showing beam 8 window s¢es; poured found design, etc. t site survey for additions 8 decks Tree Pres Required _ Y_ N 1 set of Energy Calculations Add'Rion - irMicate ifon-sde sep6c system On-sile Septic System _ Y_ N 3 copies of 7ree Preservation Plan'rf lot platted afler 711193 Rim JoistDetail Options seleclion sheel (buildings with 3 or less units) Date/ ConstructionCast -5000 Site Address (141F 4611EZ_t-!?V1~ C&~T UniUSte # Description of Work ~/•'?~f 1~-$~i~y ~AU/?`(~~/ A211l . Multi-Family Bldg _ Y'? N Fireplace(s) ±/0 _ 1 _ 2 Property Owoer _'5~?~,q1?U 660-13 /'WeC~q Telephone #(d--5 Contractor ,/i+"W• t11 C41oi~61077.01" Address c,`,L'% .gj?2 1,7a:- S, City S• ~ P~UL scece /ylW, ziP Telephone il ( lcS/) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 EneFgy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Suhmitted Have you previously consirucTed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( J _ Sewer /Water Contractor Telephone#( n1 r I hereby apply for a Residential Building Permit and acknowledge that the informati uis complnd acc rate; that the work will be in conformance with the ordinances and codes of the City of U 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 7;4- Applicant's of work which requires a review and approval of plans. 12o y G~ /~'y Printed Name Applicant's ignature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03: 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) 0 33 EM.AIt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex )X 19 Lower Level ? 24 Storm Damage 0 08. 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Poundation ? 45 Fire Repair ?11- 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors ? 34~ Replacement •Demolitlon (Entire Bldg) - Give PCA handout to applicant Valuation 00 p Occupancy MCES System Census Code y 3y , Zoning City Water SAC Units Staries Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) # FinalMo C.O. _ Footings (addition) Plumbing _ Foundation ~C HVAC Drain Tile Other RooF _[ce & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ AirTest _ Final _ Windows ~ Insulation _ Retaining Wall Approved By: , Building Inspector - Base Fee Surcharge Plan Review rF MC/ES SAC r7O- ~ City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total - ~ 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION j?'j,j City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction ReQUirements RemodeUReaair Requirements 3 regisle2d site surveys showing sq. ft of bt sq. ft of house; and all moted areas 2 copies of plan (20% mmimum lol cove2ge allowed) 1 set of Energy Calculations for heated additions ~~r8s ~iari:1~ 2 copies of plan showing beam & window sizes; poured found design, eta 1 site survey for additions 8 decks ~~~s~~fedf~~ Vw 15etofEnergyCalwlations AddiUon-indicateiionsifesep6csystem 3 capies ot Tree Preservation Plan N lot platted after 711193 Rim Joist Detail Options seieclion sheet (bldgs wilh 3 or less unitc Date c2h / d/ l G%` ConstructianCost & OOO Site Address 6F/8 Gdx_tL-9ND &_F'% UniUSte fi Description of Work A~VC4B6k Ck+ST/nE5 F,r201V7_ /'O;e4f' Multl-Family Bldg _ Y iY N Fireplace(s) Z 0 _ 1 _ 2 Property Owner 57Z77j~_ f~eEPll Telephone #(!v 5'~'/7 bv~ 65 - 95 -5 r9 Contractor rRra'y ~r' ~uTh~dCT/0~? Address 159/ o2r'D RnE 5~_ City .50 ST PrVlrL State S3. 4 /j!~? Zip _55475~ Telephone #(/or7/ )0Dlo' 97Y6 ~ ~a31 a%8- r~3 2/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ M'Lnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submissian type) Submitted Submitted • Energy Envebpe Calculations Su6milted Have you previously constructed a building in Eaga similar pian? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber 9 aD4 Telephone ~ MPR~y Mechanical Contractor Telephone # ( ) U Sewer/Water Contractor e_~ 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 ofplans. Rs y GP;AJ' Applicant's Printed Name Applic 4Si ture OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage k 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ly- 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding A 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair O 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to appliwn[ Valuation 30oO ~ Occupancy R`3 MCES System ~ Census Code ~ Zoning City Water SAC Units Stories ~ Booster Pump - #.of Units - Sq. Ft. PRV r # of Bldgs Length 5_ Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. j~ Footings (deck) ~ FinallNo C.O. Foorings(addirion) _ Plumbing ~ Foundation HVAC Drain Tile Ot6er Roof Ice & Water Final Pool Ftgs Au/Gas Tests Final ~ Framing _ Siding , Stucco _ Stone _ Brick F'aeplace R.I. Au Test Final Windows ~ Insulation - - - _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Job Site Address: F PLACE YOUR CITY LOGO HERE ~ - Provided for your use - courtesy of the "CATEGORY 1" ALTERNATE FOR CiryofInver Grove Heights r7m ~ ONE & TWO FAMILY DWELLING5 L 651450_2550 INSTRUCTIONS: This alternative may be used for one- and rivo-family dwellings built to meet the Category 1 requirements of Minnesota Rules, Chupter 7670. Complete Parts A, B, and C. Cleazly mark plans with: insulation R-values; window and skylight U- values; size and type of equipment; equipment controls; and location of vapor retarder and windwuh barriers. More detailed information can be found in the Minnesota Energy Code summary sheets avaifable from the Minnesota Department of Commerce. Part A. BUILDING ENVELOPE ~ Check prpposed enve~ope~omtsealmg ophon ~ rY ~rescriptive (caulking gaskets,Letc ) ? Perfortnance (test per 7670 0470 subp 7 C.) Check thertnal energycalculation optipn used Cookbook" (complete worksheet below) ? MnCheck method (anach report) ? Performance (attach U-value calculations) ? Systems Analysis method (attach analysis) . ~ M_INIMiJM.REQUIREA'[E " NTS Cookbook" Worksheet .--for Cooktiook°o 8on:onl • Ceiling [nsulation Mmimum R-38 with 7'f~ energy heel;, or INST2UCf10NS Minimum R•44 with low truss heel; or _ Srep I. Check item(s) that design mmts on Minimum Re9«irements list Minimum R-38 with R-5 sheathin when no attic. try Doors: Max. U-value of 030 or 1'/I' solid wood with storm to the right. Must meet all items to use "Cookbook" option. ~ En Step 2. Indicate proposed wall type on table below. Rim Joist Insulation: Minimum R-19 . Step 3. Indicate Window U-value and source. ' Floors over unconditioned s ces: Minimum R-24 - Step 4. Verify total window (including azea of all foundation windows) IV/ Foundation Insulation: Minimum R-10 and door area is equal or less than allowable percrntage. Foundation windows: 'h" insulated lass, wood or vinyl frame TABLEFOR?ETER114ININGMAXIMUMWI1VbOWAIYDDOORAREA Matumum Allowable Tofal Wmdow aod Door p.rea as a ~o 0 ,1201~~' 16%.~ "2('i%` ,t . Wall T' e.~~Standard Franun . -T'Iazimum Avera e Wmdow U~-value texce t foundation:v+mdows " ~ - ? 2x4, R-13 insulation, OR-7 sheathing 047~': 041 036 ,•~.033 Q30' 0:27~ "C125i M~b33;.. : A 52. 0 45 0 39 : 0 35 0 31 '0.2$ A 2G~, 0 24 £ 4~b.22 . ? 2x4, R-15 insulation, 0 R-5 shea[hin : ? 2x6, R-t9 insulation < R-5 sheathin 0 36 d 32 0 29 =0 26 "`j 0,22" ~ 0 2l " ? 2x6, R-19 insulation, 0 R-5 sheathing 0.56- 0 48.~, 0.42 0 37 °'0 34 ~+~031 U,2$~r x i1 ~S~ 6 24 :.J$ 2x6, R-21 insulation, < R-5 sheathin 7 Q.S 1; ' 0.43 0.3& { 3~~ 0 3~ +028 ' U;25 V Q23=- i 0.22.:. ? 2x6, R-21 insulation, 0 R-5 sheathing 0;58: 0.50 0.44 . 0. 9, .0. 35 `!0 32' 61 9z 0 27 4' 0:2i `Wail T "Ad~aricadFrarnin : . Maz'imum Avera e Wiodow U-value exce -t foundationwmdows}.~~ v ~ ? 2x6, R-19 insulation, < R-5 sheathin 0.$2 0.45 ' i 0.39 . 035 1: 0 31 r- 0 2$ 026 ''0:24 0•22 ? 2x6, R-19 insulation, G R-5 sheathin r~ Q~58 0.50 0.44 0 39 0 35 ; 0 32 039 f.027 25': ? 2x6, R-21 insulation, < R•5 sheathin 0.47 0.41 0.36~ ? 2xG, R-21 insulation, 0 R-5 sheathin 0.52 ~0_46 D 41' 0 36 .~~:0 33 '_0;30 D.26 ; WmdowU:~value ~ " Source:, NFRC ? ASHRAE 1993 Handbook Q . ~g 100 x~ Y saFr ~ 1 F6o t ,a ~ ` wmdow & door area = gross exposed wzll area DESIGN ALLOWABLE~ (f[om tabfe a~oveJ ry r , ,.:.4'2.~..e,r .r....c. MINNESOTA ENERGY CODE - WHICH RuLES MAY I USE ? TYPE OF RESiDEiVTIALBTJII.DING APPLICABLE RULES a~ t' De[ached R 3 otcupa Chapter ncy 1, and 2-family dwelungs 7672; or • - 4. i`~ "Ezam -les:'sm`le':family„hvin homes, du lezes. ' e Cha ter 7670."Cate ory 1" with statuto de ressunza6on and`vrntdafionxe. uvements. Attndied R 3 occupancy dwellings .Chapter 7674; or. , Ch ravi'sions ,^M , Exam 7es 1ez'townh and ' a 7670 wnh enher Cate o 1or Cate o tn ouses rqwhouses _ . ter - ~ , ......r 2 R-1 occupancy bmldings oC~3 stones or less `Chapter 7674; or , . = k i r*-.Ezsm les:. con8oininiums ora ariments. Gha ter 7670 with either- Cate¢o I'1 or Cate o 2 roviSjons -i R-loccupancy6uildingsover3.storieshigh':- ;Chapter7676 p raaitments .r. . ~ . , • _ - Ezam les:'~h.i h,iisecondoso... Part B. DEPRESSURIZATION PROTECTION Check option used: ? Fuel buming equipment (compiete schedules below) ? No fuel buming equipment INSrRUCrtoNS EXHAUST / MAKE-UE AIR 3CHEDUI:E* Step l. Complete the Combustion Equipment Schedide below. Only equipment Exhaust devices over300'cfrn Efow with a Y(Yes) may be selected under the "Category 1" altemate. Step 2. Complete ExhausdMake-up Air Schedule on the right if direct or power vented or solid fuel atmospheric vent space heating equipment is ' cfin' selected. `COMBUSTION EQUIPMENT SCHEDULE ch`ec[c'a7Ctyes', roposed) jq~ Space heaTingr nonsohd'fuel t` O Sealed combustion Y Headh -Jnonsolid fuel ? Sealed combustion ? Direct or power vented ? Direct or power vented y,a - - =Atmos hericall ~vented~ =N ! Atmos hericall ' vented „ 3~I ' Water heatmg nonsolid fuel ? Sealed combustion Y $pace hearing solid fuel ? Atmospherically vented rn, m . # ~Y, r ? Direct or ower vented Y. Water heatin 'solid fue! Atmos hericall vented Y. 'Atrnos hericall ven`ted • N $earth - salid fuel ? Atmos herically vented Y If atmosphencally vented sol~d: fuel or direct or powei: venteinonsolid fue( Space heating is mstall_ed then make vp air fo match ' flow isseir`ed for~ach indrviduai e~iaust'device`whjch ezceedss300'cubic~feet e~-minute. Part Ci. VENTILATION I,LATIOMQOANTTTY (Mechan~cal vent~lat~op must be pravided per the largerquant~ty cal'culated ~ cubic feet x 0 00583 /mmute ~ cfm x 15 cfm/bedroom)+~ 15 efm ~ cfm r volume ofha6ifable.rooms . . ' nuinbee o£bedrooms,.!S ' ~ !VENTIJ:iATIONFANSCHEDULE, lik~ ? i , ' . FCheck method(s) proposed ? Exhaust onl ? Balanced heat recove ventilator, air exchan er, etc. ;F.an descri tion orlocation:.~ ~.aTOTA~,S VENI']I.ATION ;IRtake'; cfai" `cfai=` cfm=,: cfm`°; efrn'; ~A5 DESIGNED E7ciaust' 'cfm =cfm,.' cfrn~, cfin';" ~ cfmr; Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans, specifications, and otker calculations submitted with the perntit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Applicant (print name) Signature Date i~ Telephone number i P art C2. VENTILATION (Submit Part C2 upon completion of system verificationt) a a<--------------- Job Site Address: Permit Number Fan descii fion orlooation ;TOTALS MEASURED':' = r:Intake`` cfm 4 c&nr' cfin'. c$n`7 ,Cfrit:d PERFORMANCEfi 'Exhaust' cfrn : cfrn_ cfm' c&ri~=" cfm~ Ventilation ra'te must Wmeasured and verified when the perfoimance option is used in lieu' of the preseriphve option` for. the, ` sealin of'ointrin;the buildin' conditioned envelo'e (from Part A) Compliance Statement: Instafled ventilation system is in compfiance with MN Energy Code and is sized to provide the design air flow. Applicant (print name) Signature Date Telephone number . • ~q THU 16:35 [D:MCDONRLD CONST. TEL N0:612-688-7206 #023 P02 yd ~ ..:'t . 2424 Enlorprise Cnw Mendvto Hstqhts. MN 35120 ~ ~NeeR L,w,, SUIK,.ORG • prAL pfpMR9 (812) 881-1914-Fmt 881-9498 n8 n~er n!g WtD PUNN . ~,wou~ e utautto y 625 Htghway 10 NorlM1eosl * 13Ia4na MN 55434 ~ * x' (812) 783-1990•FOx 783-1983 °N Certiticate ot survey tor: b/ICDONAI~D CONSTRUCTION INC House Address; Q48 FAGAN_ ""ti Model Nqme; 93_11„2 J ~ ~ 64 .00 ~ s~0(i,~ i Q-O e e~` \ ~ ° p4`'!,~ ~ o0 ~ / ~ s~~•34 n9b4F1 , :D 00 ? ~i~ ~ r' 9 ~ ~ rss •e,( l W 971a~ ~`87.1,~ t 'am.G A. 1% / ~93 v`i~ "D>3. o i / \ '~6g~ •W`~~~ \ ~ is 9G$.4y i ~ 1 ~ 13 . v f 59. L4~~~^~~.~ ~ C'Y' s $o~oo ~ ~N ,r.:R.fNG 33Y3` g I « aoos Denotes Existing Elevatlan M K ~ Denotes Proposed Elevation Lowest Floor Elevotion 8 7.b - Denotea Drolnpge & Utflity Easemsnt -To of Block Elevetlon:' ' ~--Denotes Drainage Flow DTrsctton P , 7_5.77 --o- Denotes Monument Oorage Slab Elewtlon: 874.74 --ft- Denotes Offsct Hub Bearings ahown ore assumed - LOT-j 3, BLOCK2 COV NTRY PASS 2 D AD . UAKOTA CQUNTY, 611NNE90TA 1 tiore0y wrtlry that tMt suMy, DlaM1 Dr rS0a1 wyes~p,,r{G.ad 6y mp Or unOer mytliract ouparWflon eod lNl I Bm duly Flepf{NrW LAnd Wiw1Ya undOf tMe IiW1 o11h0 StOte of M1M~qU. DetM thyJ-~. dCY Of r2o~ A.D. 19 SCale. 1 xrb'40.i~ A09 ara~ "0 R124.NO.14697 RESIDENTIAL BUILDING PERMIT APPLICATION ~ CITY OF EAGAN 1 y 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Renuirements RemodellRaoalr Reaulremenls C)~ • 3 registered site surveys showing sq. 8. of lot, sq. N. of house; and all roofed areas • 2 copies of plan (ZO%macimum lot coverage allowed) • 1 set ot Energy Calculations ior heated additiore • 2 copies of plan shmving beam & wirMow sizes; poured found design, etc.) • 1 site survey for e#enor addNons & decks • 1 set oi Eirergy Calculatbns • Indicate if home served by septic system for additions • 3 copies of Tree Presenation Plan'rf lot platted alter 711193 . Rim Joist Detail Options selection aheet (Wdgs with 3 or less wub) DATE ~l.v{SI02~ VALUATION (OCo~ SITE ADDRESS MULTI-FAMILY BLDG ,Y ~ N TYPE OF WORK _T"kOFf 4- )2-6.~eOr' FIREPLACE(S) _ 0_ 1_ 2 APPLICANT Q6y STREET ADDRESS 61 ~/~RUE S0. CITY ~149'_J, 0901STATE M-4 ZIP SSQ'75 ?ELEPHONE # fa5(30619_)+~O CELL PHONE # b5~'Z4" M21 FAX # PROPERTYOWNER ~5~, tO-ZE"2111 TELEPHONE# ~OJI-yS~1 SyIS COMPLETE THIS SECTION FOR "NEW'° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 MINN1S01'A ItUI.LS 7672 (4 submission lype) • Residential Ventilation Category 1 Worksheet Submitted • Naw Enargy Code Worksheet Submdted • Energy Envelope Calculations Submitted Ptumbing Contraetor: Phone # _ Plumbing syslem includes: _ Water Soflener _ Lawn Sprinkler Fcc: $90.00 Water Healer No. of R.I. Saths No. of Ballis Mechanical Controcior. Phone # Mechanical system includes: _ Air Conditioning ree: $70.00 _ I-Icak Rccovcry System Sewer/Water Conhactor: Phone # I hereby acknowledge that I have read this lication, state that th inf rmatio s rr with ali applicable State of Minnesota tutes a d City of Eagan O din nces 7-APR n 2 5 ` OFrICE USE ONI.Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 CITY OF EAGAN PERMIT Lft 2OU ~ 3830 Pilot Knob Road PERMIT TYPE: e u z Lo i N G Eagan, MinI1BSOta 55123 Permit Number: 0 2 3 7 7 8 (612) 681-4675 Date Issued: 0 6/ 0 6/ 9 4 SITE ADDRESS: 648 WELLAND CT LOT: 19 BLpCK: 2 COVENTRV PASS 2ND P.2.N.: 10-18401-130-02 DESCRIPTION: B,crzlding..Permit Type DECK Bu3lding Wo,rk Type NEW \ ~ - \ .I } frt\, J~:.~~~~~ J)!:j REMARKS: FEE SUMMARY: Base Fee $30.00 COPIES ~1.90 Surcharge $.50 Totel Fee $31.50 Subtotal $30.50 CONTRACTOR: OWNER: - ApPiScant - KRECH STEPHEN 646 WELLAND CT EAGAN MN 55123 (612)454-5415 I hereby acknowiedge thab I have read this application and state that Ghe information is oorreet and agree to comply with ell applicable 5tate of Mn. Statutes and City of Eagan 4rdinances. ~ C L. k J rvu' " GN14 R.Qj'~_~ ~ APPLICANT/PERMI E SIGNATURE ISSUED BV: SI ATURE(k INSPECTION RECORD CITY OF EAGAN PERMITTYPE: BuiLoiNG 3830 Pilot Knob Road Permit Number: 023778 Eagan, M innesota 55123 Date Issued: 0 6 J 0 6/ 9 4 (612) 681-4675 SITE ADDRESS: Lor : 13 B L 0 C K: z APPLICANT: 648 WELLAND C7 KRECH STEPHEN COVENTRY PASS 2ND (612) 454-5415 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION . F007ING5 FINAL ~ ~ ` CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION -A5 I, zD 681-4675 ^G,~i.t L-3 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 ener calcs. rR7E ~~0~~~ COMM ERCIAL 2 sets of architectural & structural plans, i sZ 4 1q04 specifications, 1 copy of energy calcs. rPena lt y applies: 1) when permit is typed, but not picked up by last working day of month n which request is made, 2) address is changed or 3) lot change is requested once permit s issued. Date Valuation of work Site Address: Lo7 ~ LiC/1~.1 STREET SUITE # Tenant Name: (commercial only) LOT J_g BLOCK SUBD. l,p61) FP. I. D. # L r Descri tion of work: L- The applicant is: O Owner ? Contractor ? Other coescr;be> Name IZr-ec-v~ S"{P.~(,~¢-,~ Phone YSS~- Property LAST FIRST Owner qddress &Y 8 I.ve-l (CLA j STREET STE i! City State ~'AA) Zip 2,123 Company Phone Contractor Address License # Exp. City State Zip Company Kre~~ Spa-r-, , M hej~r-4 za5S Phone Architect/ ' Engineer Name Registration # Address 6115- Co ~,~1 Awe, City:Vvver C'~~, 149~S Stdte M`v Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. _ Signature of Applicant: , ~ o ° ? + ~ TM 16: 35 I D: MCDONRLD CONS7. TEL N0:612-G8B-72o6 tIO23 P02 9 O G'ok 2422 Fflsrprlse ort.ie n• N~@R Mendoeo Hetqnte. MN 35120 6 G tNO BVRKrilrre • cnLL [ndnoGty (61x) B81-1914•Fd,e 681-8488 nseP` ng wro 'Vi . u,xou t.aaunC r * 62$ Hlghway 10 Northeoat 0 Blalne. MN 55434 o ~ ~'K * (812) 783-16130•Fox 763-188J N Certiticata ot survey tor. 11/1CDONALD CON TRU TION INC. House Address; ~48 WELi AND .nt1RT £g~ MN Model Nome: 93=11,Z r ~ ~~~'4 CQG \ / ys2s.3 yB~ ~r OPa ~ / as' ~ / g67~4 eGirrl r OyPg a1W.$ "Q4</ l w i / \ 9~a~a. ~ 87.taF ~ i^' n• ~ ~ ~ ,o d •r h~~~~ 8~'la \`~~14. ~ 8~,~<. (VIP e6 . O ~ ~ ^ aB73'~7 . i , ~j .NU~f YS~wB•44 , P r ~o~~. ~ _.i~ ~ ~iV:~i'~r~;rs~l.i~?G t`~;,; x ~.o Denotes Exlsting Elevation p~ Denotes Proposed Elevation ~ Denotes Drotnpge & Utlifty Eosement LnWee! Floor FJeyotion 8&7.(.6 ---~~--Denotes Droinage Flow Directlon Top of Black Elevetlon: yZs~.7Z • -o- Denotes Menument Oorage 51ab flevatlon-87g.7¢ Denotes Offset Huh Bearings shown ore assumed LOT 13, BLOCK2 COV NT Y PASS 2ND A? . oqKOTA COUNTY, uINNESOTA 1 Mrabr nrt11Y that this sUrwY. Dlpn Dr rqppt wai prdpaled bY m0 Of under my tliracl w wYillon eM thst 18en OuIV Regiup4d I,Anct SyrvfyM unaer iIN iyws of Ihe Stese of Mlnnerote. oeted ihy~N, deV of A.D. IO • ~ ' f' 5cale: 1'aqt1=40jsd ao9 Rre. r c RCn.NO.lsem ~s3s1 so~9s.,~ ' 05i31i94 17:32 12612 451 0917 KOMW 9001 ~ KRECH9 O'$R,YENi SS, iivC. ~ MUELLEIi Zll=-NGINEERS AFiCHITECTS 8115 CAHILL AVF,NUC INVER 6ROVE FiEIGHT5. MN 55076 612-459 4805 May 31, 1984 Dale Schoeppner City of Eagan 3830 Pilot Knob Road Eagan, MN 86721 RE: Deck for Steve and 8arb KreCh, Welland Court, Eagan Dear Mr. Schoeppner, The aGove deck was spucturally reviewed the waek of April 16th. The structural {nformattan was given to Stevs by Fax. please advise me if any areas af concem exist. Sincerely, ~ James H. Krech, P.E. 972707 IC1IECH. O'BRIEN, MUELLER & WASS, INC. FAX; Dale Schoeppner 681-kSM 4?d12 R=96% 612 451 0917 05-31-94 05:29PM P001 #47 66i02i94 ` 09:36 ''0612 451 0917 KOMfl z001 S KRECH, O'BRIEN, ~ MUELLER WASS, INC. PROJECT PROJECT # 4FC:wTPr.rS rNGIrVCCRS LOCATION ~ DATE (612) 451-4605 • FAX: (612) 451-0917 8115 CAHILL AVENUE INVER GROVE HEIGHTS, MN 55076 SHEET # OF CALG. BY ~ Z hla • - 2 gy0(l°~~ a-.. = Rxs zl.s¢x/i 07 b 7 F5 F Vt "`'~p~~~~lR~3 ~kz~lr-r ~rS~/Fr - ~ _ ?zK ~3 ~ rr _ 5~~ ~8! ~~?3/rr ~ ~ 11o`T ~ M1.= 7~i r','pa~-1t1p° V'3Xb'? ye- 17.t"'°-T~ - /27(6 '-cio 1107 1(~8 )!(L - 7G. J17teKlZ r//,68 J?~ 7,~ 1 - - 1,205 I~~~ Zxloy L rq. Z° c~,c. lI•1- U ~ - . Zj • L, ~.D ~ •7s;, tM= yex -130x u= 58s}0 :~Lz x. (l.tS- - PA `V2 X 73D X 4 Z- 5 ~4GJ F1''r' Izs S- 31.(f aA 3 - q¢, q ~rJ3 . f kS ~ 114Lfl-f7q;- s- (rj 2. / t`r''/f //fiJ( 7 30 x. L=r L eS, r ~ L y2yC 1r, i'X .5.SZ~ 5pratp. 0Z K12 ¢ ad5"iNT Post-It° brand fax tranamittal memo 7671 • oeo.y... v' ~ MUELL~''.R~ L PROJECT # ARC]-qTECT.; ic~' "0x _ 2_5 _DATE (612) 451-4E ^ Q~04Z " - O 6115 CAHILL AVENUE INVER GRc - CALC. BY , , , 570 _ , ~ ~ - ~ -4~ 3 . ~ YZx ~ -E-6-~- !I8 ~c boJ x.q fp07J ~ Sr.Ep'o I 10 -t. 3-zXIZ-S S= 3~C3(•G4= ~~~1~4,N~ 612 451 0917 06-02-94 09:33AM P001 if22 PERMIT , CITY 4F EAGAN 38'30 Pilot Knob Road PERflAIT TYPE: U r 1. D i n~ G ~ Permit Eagan, Minnesota 55123 Number: 3 g~ (612) 681-4675 Date Issued: 02 / p g) 9 3 SITE ADDRESS: 6~d3 I,JFL.LA iVD CT Lor: 1.5 eLocK: z coVEn!rrtY Pnss 2ND 10--18401-1.30-02 DESCRIPTION: i'Bu13d€nU Pci°mit 'iyps, SF OWG , t3i,i ilct,ing Nlp rk iy!:;e N E W lJ$C tlCCUpareGy P,-3 M-~1. E'snstrLl6tic,M 3`y p:= V-N Ebning - R-l 8uilditig Length ; 54 ~ fiutlciing Width 3e , , i REMARKS: S& bd P LFiR - F]:11E ST"!-ii2 PLEG FR1/ FEE SUMMARY: VHL.UR'IlON :$:104,000 f-;a M;-; Fe p $6~3.s 0 I17::=;CEL1_AM1it.()US 0 . ~ _ - - f?].;ari 4e~~1~w $~}L4.i& 7oCa] f-. ~:e $3,624 a i 8 Surch,aroe $52. 0 0 SF~i C 7S 0,..0 0 . SAL , SAC Uri9.Y:s, 7. ~ S u b t' o t a 1 1 , 8 8 Vi . 2 2' l U CONTRACTOR: n p ~ o a i~ cOWNER: ilCDONfiLCI CDiVST 2P!C 168870631 0002376 MCDONALD COfdST SNt" 1212 E3l.UEBILI. t1hY F:t) SLUEE3ILl. F3F1Y f;U E;UF~ NSVIL.L.L'. 11 RI 5t333 7 HURNSVTLLE MN 55337 ~612) F 8 8_.70 61 (6 9.'?76 8 8 -70 61 ;C ftiereby awkrrouledge that ] have read th'ss applis:atY.an artd sCate that the infnwmaL£on is carrect and aGree 7:o comply with a1], eppl,iceblg-; :StaL'e of Sdne StaCutes and i:ity of Eagaii Drdiiiahces. ~ - qP I ANTlPERMITESIGN~AfURE ISSUED 8: S GNATU E INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B u z L D r iv c; 3830 Pilot Knob Road Permit Number: 020311 Eagan, Minnesota 55123 Date Issued: 02 i 09( 3 3 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 13 BLOCKc 648 W'cLLAND CT MCD01'dALD CQiVST INC fOVFIVTF.i` PASS 2N0 (612) 6E8-7061 PERMIT SUBTYPE: TYPE OF WORK: sF nwc, New INSPECTION D. . .A FnorzNr raAmir!G zNSULArr.oiv rznhL rr;>;-~~L A ce RFMARK5- S& W FL6R - FTVE STflR PLOG PftV ~ L - - - - - - PERMIT # Ictc13 CITY OF EAGAN . , J.9'9£BUILDING PERMIT APPLICATION J~ ~ ~ 681-4675 ° FEB 0 2 RECO SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 capy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typiniq of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date vZ / / 2 Valuation of work 7cl q6n Site Location: 6,,qg I,I~P~~e4~d C'i. EAr STREET STE M Tenant Name: LOT 13 BLOCK ~ SUgp_ C OV6 RY S S TP_I.D. M '~d~,. Descri tion of work: SiN(;LP_ AAM /G The applicant 1s: ? Owner ~Contractor 0 Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company C o v~c_ Phone 4 g g- 70 (o~ Contractor Address Q1.1 Q( u e bj\ A4) Pa License # gO o a37!~. Exp. City RORAsui L_ State A n Zip 5533 7' Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber ;e u . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to compl with all applicabl~State of Minnesota 5tatutes and City of Eagan Ordinances. „ 5ignature of Applicant: ` ~S2 ~ OFFICE USE ONLY BUILDING PERMIT TYPE . M M ' • ' ~ ? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural g 02 5F Dwg. O 07 Fireplace ? 12 Comm./Ind. New ? 17 Building Move ? 03 Two family ? 08 Deck ? 13 Comm./Ind. Add ? 18 Demolition ? 04 Multi-fam. T.H. O 09 Basement Finish ? 14 Comm./Ind. Rem. 0 20 Miscellaneous ? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac. WORK TYPE X31 New ? 34 Remodel ? 37 Move ? 32 Addition ? 35 Repair ? 38 Demolish ? 33 Alterations 1:1 36 Tenant Finish ? 99 Undefined GENERAL INFORMATION Occupancy 9-3 M-( Basement sq. ft. MWCC System ~r3 Zoning R-I lst F1. sq. ft. City Water ~ Const. (Actual) V• N 2nd F1. sq. ft. PRV Required ~S (A1lowable) V-N Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ~ On-site well Census Code v t Depth 3C, On-site sewage SAC Code ~ APPROVALS Planning Building z 5`r> o; Assessments Engineering Variance REQUIRED INSPECTIONS ? 5ite O Footing El Framing ? Insulation 0 Wallboard ? Final ? Draintile ? Fireplace Permit Fee veiumc;m: s 104, OOC).r Surcharge Plan Review GacraGe. 3 o u2z - License a x 11 = CZZ MWCC 5AC c;ty sac SsMT: 638x1(,= lo,zoe Water Conn. ;2y XZg= 6'72 Water Meter 11 Xty = I Sy Acct. Deposit ~ S/W Permit BZ(~ X 15= ~ 21 3go S/W Surcharge ISTFt~c~oR; ~ Treatment Pl. gsm-T= = 3~ 9178 Road Unit -526 KS3 y Park Ded. Trails Ded. zND-~i_aoR; 2'~ kZ4 ! G7z Copies Other 1'/ZX 1-3 - ~O 7ota1: 366 7G sAC % o~ 69 2 X 53 5AC Units _L 103j a5Z' " FEB-04-193 THU 16:35 [D:MCDONRLD CONST. TEL 110:612-688-7206 41023 P02 - ~ ~ * * ' ~ J r 2422 Eni¢rprlse Dnve 9}Mendvto He'phSS. I+1N 55120 PIONeeR LMND BVAVE''Oit& • CINL E1011EER9 (812) 8gs--1914•Fax 681-9488 * enAinear ng ~ PAwNERg wA t m1EC7625 Hlghwoy 10 Noriheosl ~ Bfaine, MN 554-34 * * h` (812) 78J--1980•FOx 783-1883 Certiticata ot survey for: MCDONALD CONSTRUCTION !NC House Address; Q48 WELLAND COURT~'AG N A~N ~ Model Nome: 93^,,,~117 ~ r- / / R ~a ~`~.ov~ O&~ ~ , / f G'Vw'1s,a ys~\ T a ` 2 ' 070. :a °`A° ° ~ a69g¢ ~`Br.6FJ r` ~v 665- r89d+C/ 1 ~ ` 87.t..Y4 y~ K \`87.~~z l y 'Yr~ ,r,~ ~sf ~ ' r ~/a Y$4~$.49 ~ i % X y ~ }~~GAN ~~Cv1ME~ S $Q~aa ea 19I1VG , DEP 33't5" E •~.o Ognotes Existtng Elevatian po ~~~~0. j~~ k 9m- Denotes Proposed Elevation Lowest Floor Elav4tion g 7.6 6 ~ Denotes Dra(npge & Utility Eosement Denoles Drainage Flow Direction Top of Black Eleve{ion:6'Z5.77 • --o-- Oenotes Menumcnt Qarage Slob Elevatfon- 874.7¢ Denotes Offset Hub Bearings shown Cre assumed LOT 13, BLOCK 2 COV NTRY PASS 2ND AQ . oAKOiA CQUNTY. MINNE50TA f Aeleby cBrNfy Sha[ ihis surv0y, plpn D/ +400r1 waS prQpg,gd by mp Of under iqy tlirect mperyislon 8od lh9l 1 am duiy RpBliOaW Lpnd SWweya/ wnder tMa fawe of ttW 6tats of MlnneMa, oated thq, " dny bf fttL A.D. 19 5c e: 161 aoeBpr e. ~ c aCC. uo. tsea, ~ 9019J.19 ~ R=94% MCpONALD CONST. 02-04-93 04:29PM P002 #04 ' LOT BIIRPEY C8ECICI.IBT !OR REBIDLNTI7IL ~ 2IIZLDI1iG pERlSIT 718PLIGITION ~ pROPLRTY LEG71Li ~ Dat• O! /urveyt ~~IMENT 8T11HD tt*+S 8'J0 0 • Reqistered Iand Surveyor signature anQ company 8' ~ 0 • Suilding Permit ]?pplicant - B~ 0 D Legal description 13 D • Jlddress 0 • North arrow and bar scale • B' 0 0 • House type (rambler, valkout, split v/o, split antry, lookout, etc.) ' V'D 0 • Directioaal drainage arrows vith slope/qradient D EJ~ 0 - Pzoposed/existinq sewer and vater servicec ~ ~ 0 • Street name ~0 0 • Driveway ELEVATIONB Existinv D Q" D • Sewer service 0 0 • Lot corners ? • Top of curb at the driveway P0 • Elevations of any existing adjacent homes psoDOaed Q" 0 0 • Gazage floor [~0 0 • First floor 0~ 0 D • Lowest exposed elevation (valkout/window) 0-// 0 0 • Property corners Pt 0 0 • Front and rear of home at the loundation EOND2NG AREAS (if apfllic bl.) D 0"D • Easement line 0 fY 0 • NWL D D~ 0 • HwL 0 DJ~ 0 • pond # designation D H 0 • Emergeney Ovezflow Elevation DIMEPfSSON6 ' 0 D • I,ot lines II D 0 , Right-of-vay and street width (to back of eurb) Proposed home dimencions inciuding any proposed Qecks, overhanqs qreatez thnn 21, porches, ttc. (i.e. all structures requirinq permanent footinqs) ~ 0 D • Show all easements of recozd and any City utilitisc vithin ? 0 ? • those easements ~ Setbacks of proposed tructure and setback of adjacent existing ho • DD/,D • Retaini ' ements, ii any - Reviewed: ~ me / ate October 1992 , HUNE40TA 4TT.TF FNERGY CUD~BLCUI.ATION5 BASED ON Cf1APTER 5 OF T{IE MODEL• ENERGY CQDE - 1983 DITION _ adoption Effective OwnHr. ~c, ~ Phone Date site Addrese Lo7 g~oCK Z CduE7-rRY PAS3 Zwp AD~l-nptiJ Contraator___= Mr-T?06LAL'> C;~700 S7- Phone Building Claeaifications Type A1 (Single Family & Duplex) ~ Type A2 (Resldantial, 3 storles or less) (OVer 9 stories) (Other) NoTBf Comglete uaaea 3 apd 4 first. . ~ERI1L IdFORMATION 1. Buildinq Perimete r ft. 2. Wall height (ground to eave) ft. •3. 1. X 2. (above) grosa wall area eq.ft. 4. Building dimenaione (L) ^ X(W) ft.roof 6 floor area 5. 8q. foot area of rim joist - Floor joiet eize (2 X 1 D 10 X J,3_~__(Perimeter) = Zlsq.ft. ~ ~Z . 6, poore - Area 124l _i.~ Thlckness in U. factorA"r Type ot Construction Perimetar ft. . Manufaaturer 7. Total door*s perimeter ft. 8. Windowst Manufecturer'N~UL, GSP'IT. Tb, H. State approved U factor Liv ,TYPS SIZS AREI1 (9q.Ft.) NUMBER OF TOTAL aaT EI1Ci1 UNITS SQ FEET `T d/V IL 't 9. Total eq.ft. Glass [V7~-17 lo. Firaplace areas Width X lieight = X = sq.ft. . 11. Exposed foundation: lieiqht X Perimeter•XZ4' 1 sq. ft. COMPLETION OF TilI9 FORM I8 REQUIRED FOR ALL NEW CONSTRUCTION, lIA.70R RBMODELING AND BUILpING9 BEING MOVED WEIERE ENERGY, OT}IER TfiAN TIIE HINIMAL CODE ALLOWANCE, IS USED. -1- . ' . 12. Framing area = lot of qrose wall area. 13. Gross wall area 244~`~ sq.ft. Window area A-115_sq.Pt. U windows ~7~ uxA Rim joist area A eq,ft.. U rim joist= -041 U x A = Door area 1~ X;- sq, ft. U door area= %1*.. UxA =(di~ Other doors area A&asq.pt. U other doors= 141 uxA = 7, tD Sxposed fndn A T7ti'?4 sq.ft. U Poundetion=yv uxA 4 Framing area a244 eq. Pt, U Praming area= I 01'~ UxA =~2 Net 'wall area A&I'L D~q. Pt. u wall= ap422_ uxA = (138) TOTl.L . . . . . . . . . Ux = 14, Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code (13. above) x 0.23 (A-2 other residential) x .23 (other buildinge) x .28 (Over 3 atoriea) J?L40 AV x U Code j11 o;7,1",_BTUH must be larqer than or same °F. ae 13B above 15, Ceilinq fratning area (I?f) equela 10% of ceiling area 151l. Grosa ceiling area =(L) I x(W) sq.ft. 158. Joist area (Af) ~ 10t ceiling aree ~-64 sq.ft. 15C. Net ceiliaq area (Ac) (15A - 15B) -15fo,JC5 sq.ft. U ceiling x AC o~1 57x , dL1 U framing x A f x 15Q. TOTAL U X A I 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex) a allowable UxA/ Code x 0.073 (A-2 other reaidential) ~ x 0.06 (other) BTUH must be lar er than or same A(15A , x U Code I ~ Ll: m ~F, as 15D above NOTEs Use U and A values obtained from pagea 1, 3 and 4. CEATIFICATTOHt I hereby certlPy thnt I have cslculated the IOU" factora and "R" values herein and that the building here desaribed meets or exceeda the state of Hinnesnta Bnerqy Coneervation Act. Date 9lgnature - - =b2~._ : - _ ~'ti?~C ; - ---~-~~5 ~~s-$~ - - ~cL~~ Q - - Q g ti~ - ~ ~ - ~ - - - - -p- _ ~ L'~~I - - - - ~ _ - , ~i -922~_-__ Z'n,~L~ = W~sKv'~11 M ~7ZZ~ - - I) ~?X4 - - _ °~?g Z b~b2~. : Q . . XL?b - - a u VnLu[ bMLLuLnllul33 ' . R ALUE U YALUE ~tnolde air film ,68 ' WALL 1nlerlae wall .45 (Nall) U. A a SECTION Insulatlon 19, O ' ~ Shepthing L,p(p ~ ~ Slding .0 ' ~ Outalde air fllm .17 R TOTAL Z-3 . O 3 Inaldn.air fllm ~ .68 ' , STUD . . . loteriar wall .415 SECTION " 41, stud . R= 40$ (p,lj (Framing) U- A - ~ Shesthing j 2.010 ~p Slding . r- Outslda air film ' .17 R TOTAL I C,>.'r7 aj ~ ~ Inteelor wall ' SECTIQN.. Insulatlon 7a11 ) U e R. . z x[ertor xall cover n • Exterloc air Ellm' R ..17 R TOiAL , lnterlor air film R,= .69 R1M ~ insuletlon JOIST •1ti tneh eoft r+ood R=1.88 ~R~m U Joist) ' . Sttcathing 2•~ Cc}.I . • ~ . Exterlor wa~l covertng .10-1 • Exterlor air fllm R- ,17 . R ToTAL Z.~'• 4o . Interlor air fllm R= .68 , ilt Lnsuletlon ~ Founda[lon (Fdn.) U = R = Exierlor air fllm R' .17 < F TOTAL ` ~Exposed 8luck \ Grade ~ CEIU NG WiTH VENTED A7TIC SPACE ABOYE . ' . " R VALUE R LUE ~ FHAMING, CEILItIG ~ 0.61 Air F11m 0.61 ' , 3O•0 ` Insulation `~-~7• ~ . R}.3B Joist _ (1 ~ .5fp Ce111ng .5(a 0.61 Air Film 0.61 47,1(o Total R 40.7 13 , • ,02.3 ue~ oZl - FLAT ROOF OK CATHEORAL CEILING ' R-Ga ue R 'JALUE p FRAFIING CElLIN6 - - - • 0.61 Inside air film 0•61 ~ • Ce111ng ~ Joist (stu Insulation Air space • Roaf decking ...Q~----- ' . - Insulation Built-up roof 0.17 Outslde air film 0.17 • Total R 1 s U .R JindoH 1nf11tration .5 cfm/llneal foot of crack tesidentlal door infiltratlon 0.5 cfw/square foot or doar and minimum code requlrement . ion-residential door infil6rnkion 11.0 cfw/lineal foot of crack Ib 12" concrete block no lnsulatlon =.47 R 2.1: !p 12" concrete block insulated cores =.26 R 3.8 15 12" 1 ightweiyht block d a .32 R 3.1 . lb 12" lightwef,yhL block Insulated cores - .12 R 8.3 1 single glass = 1.13; witli storm windaw ,54 • J double glass = .55 J triple glass = .41 111 exterior walls and cellings must liave a vapor barrler (0.10 perm max:). ;apor barrier must be on Uic lnside (heated side) of wall. iapor barriers of t.he polyethelene thtn film have no R value. 4. . 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWEI:LINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIl2ED FOR EACH UNTT. - - - - - - - - - - - - - - - - - - - - X NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OLJTLETS (MINIMUM 1@$3.00 EACH) 2-~ to'co ADD-ON/REMODEL (ExISTTNG CoNSTRucr[ox) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: lo OWNER NAME:~1)c"~~ TELEPHONE INSTALLER: ADDRESS: ~ • 1 c~~ ~ ~1 ~ S~ CTI'I': )V_G ~ t3 STATE: ZIP CODE: TELEPHONE #:~~C~ - ~OO Q~ ()S GNATURE OF PERMITTEE ~ t t. f . y . . 1~3b~ YM: ~ #3 ~ ,~53.~~a,..• w . ; 1~ . ~~S k $ 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS W"HEN PERMITS ARE REQUIRED FOR EACH UNTf. - - - - - - NO. FIXTURES EACII TOT~ ~ SHOWER 3.00 ~Z.00 WA'I'ER CLOSET 3•00 • 00 BATH TUB 3.00 o0 Y_ LAVATORY 3•00 ~ KITCHEN SINK 3.00 '70o LAUNDRY TRAY 3.00 b. 0 rr HOT TUB/SPA 3•00 ~ WATER NEATER 3•00 FLAOR DRAIN 3.00 ,3 0 0 GAS PIPING OUTLET • minimum - t 3.00 3. 0 0 ROUGH OPENINGS 1.50 4. s"0 WATER SOFTENER 5•00 PRIVATE DISP. • Da1cCty. lic. 15.00 U.G. SPRINKLER • nome uneer mesi. 3•00 ALTERATIONS • w oosun8 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: cl) I OWNER NAME: G o a n INSTALLER: V" S~q rn + _,7 c• ADDRESS: ~ ? ' ~ • d CITY: (.n Q 0 4' c-l STATE: L/3, ZIP CODE: PHONE l~/l SIGNATURE OF PERMITTEE RESIDENTIAL BUII.DING 7~ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstrucUon Reouiremenls RemodeUReoair Reouiremenls Qtfice Use Oalv 9 registered site surveys showing sq. ft. of bt sq. ft of house; and ail roofed areas 2 copies of plan CeR of Survey Recd (20% mauimum lol caverege allowed) t set of Energy Calcula6ons for heated additlons _ Tree Pres PWn Recd 2 copies ot plan showing beam 8 window sizes; poured found design, etc. i site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calalations Add'N'on - indicafe if on•sde septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lM platted atter 711/93 Rim Joist Defail Oplbns selection sheet (bldgs with 3 or less unifs Date L-~_j ( -L / 03, Construction Cost vO 12 SiteAddress UniUSte # r - Deseripiion uG Work ~'Lt 6 ~~10/ ~ 1 L'r/?l C c--Nn.ceo~a ~ i~~'n 9 F~ i~~ v~~'l~r ~ SA4 Multi-Family Bldg _ Y ~ N Fireplace(s) ~ 0 _ 1 _ 2 Property Owner ~~~Ve- Telephone # YSy 5-Y/S Contractor ~ "A / Address e- S N C ri.~ ~n S State elepho e( 8' - t`3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Suhmilted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and aclmowledge 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 5tate of MN Statutes; I understand this is not a permit, but only an application for a pernut, 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 re ires a review and approval of ptans. Applicant's Printed Name Applic 's Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 648 Welland Ct Lot: 13 Block: 2 Addition: Coventry Pass 2nd PID:10- 18401 - 130 -02 Use: Description: Sub Type: Work Type: Description: Meter Size Meter Type Comments: Fee Summary: Contractor: Al's Master Plumbing 1424 3rd Street North Minneapolis MN 55411 (612) 822 -5292 e - Water Heater Replace Water Heater Laura Foschiatti 1424 3rd St N Minneapolis, MN 55411 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Manufacturer I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Stephen A Krech 648 Welland Ct Eagan MN 55123 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA086432 09/26/2008 ePermit Line Size Date: City of EaQan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAR 2 7 Tali Use BLUE or BLACK Ink For Office Use Permit #: /i9:; ---- 7 ‘/, 12-7-12— Permit Fee: Date Received: Staff: IT 2012 RESIDENTIAL BUILDING PERMIT APPLICATION CR C Site Address: Unit #: RESIDENT / OWNER TYPE OF WORK CONTRACTOR'. Name: jsi."-e Qk`e..Y1 ('''tCA- Phone: Address / City / Zip: tp p Cr Applicant is: Owner X Contractor Description of work: Construction Cost: 5 000 Multi -Family Building: (Yes / No j Company: I * 6 C-10O'C1O X' \ CCNfj 1(`(\ KContact: O e✓Y1 Address: 760 I 1Ln-11- - City: A-vpte 1 � �(z-7o1, State: J1A NI Zip: 6-51 Z L-1 Phone: License #: dO 137(0 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) t4c \Q— Cc3Y1SA c. e€A Ks 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: NOTE: Plans and supporting documents that you submit are considered be publrc information Portions of the information may be classified as non-public if you provide specific reasons that would perrrrit the City fo conclude fia t the are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. 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. x Sveut �..c0\sO Applicant's Printed Name Page 1 of 3 g 1)0 MAd SUB TYPES Foundation Fireplace Single Family Garage DO NOT WRITE BELOW THIS LINE Multi Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New At Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code Porch (3 -Season) lit Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Interior Improvement Move Building Fire Repair Repair %' 39 # of Units # of Buildings Type of Construction Pool 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 31. Framing g- Fireplace: y Rough In ,*Air Test ,r- Final Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant RC - :( MCES System Ap97 SAC Units — /� City Water / Booster Pump ._ 3 R7 PRV /q :4, Fire Sprinklers ot/ Meter Size: Final / C.O. Required )L. Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath - Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final v RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL (//i1/1^4o1)s Page 2 of 3 64e I &[ C4--, ¥* * PIONEER iengineering •k et Certificate of Survey for: House Address: 648 WELLAND COURT EAGAN. MN Model Name: 93-117 • LAND SURVEYORS CIVIL ENGINEERS LAND PLANNERS • LANDSCAPE ARCHITECTS 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 Fax 681-9488 625 Highway 10 Northeast Blaine, MN 55434 (612) 783-1880•Fax 783-1883 MCDONALD CONSTRUCTION INC. is RECEIVEn MAR 2 81012 64.04 444 Are T.. C -• `2090 ,'` c1, . stn �\ it s' o2 to, 900.0 Denotes x 900.0 Denotes Denotes —Denotes —o-- Denotes —o Denotes Existing Elevation Proposed Elevation Drainage & Utility Easement - Drainage Flow Direction Monument Offset Hub Bearings ,shown LOT 13, BLOCK 2 BY: DATE: PROPOSED HOUSE ELEVATION [lowest Floor Elevation:84,7.“ Top of Block Elevation:675.77 Garage Slab Elevation: 87$.74 are assumed DAKOTA COUNTY, MINNESOTA l hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this 4-n4 day of F-SF3. A D. 1993.- / j . Scale: I inch= 40feet ,r off ROBERT B. SIK1CNi; L St REG. NO. 14891 J 11151 90193.11 r CityofEaQafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: T -11 -12- 2012 -l1 -1Z 2012 RESIDENTIAL PLUMBING /PERMIT APPLICATION Date: 7/ 7 Site Address: 6 7 e(A)4.164-0�% c T Tenant: Suite #: Name: ¶T eV-( X'& Address / City / Zip: 6 q.,2) Name: e Lk Address: i 57, t 1-14k Avg - City: ' 't $ 0 v.., Phone: (05( — 115-4— $—fI5— E474 — E ty4 ea License #: ! 3 1— State: IM t'`) Zip: S 5-01 (2) Phone: 51)7 2f03 Contact: T1315 Email: 15"43 Q. Tw Vtl%-e)—'//UAtiCjc v r New _ Replacement/IRepair _ Rebuild 2 Modify Space _ Work in R.O.W. /� Description of work: O k r ditig. f u °i- u RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main /_ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) 'Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.org 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 will be in accordance with the approved plan in the case of work which requires a review and appro of plans 144,.zr/-- Applicant's Printed Name J :fL x Ap !man 's Signature City of Eaaai 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAY 2 2 2012 i1ct r Use BLUE or BLACK Ink For Office Use (�(� Permit #: /616`/7 7 3 Permit Fee: Date Received: Staff: 60.00 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 5-16-12 Site Address: 648 WELLAND COURT Tenant: Suite #: RESIDE ®p ° NER Name: STEVE & BARBRA KRECH /MECHANICAL CONST. Phone: 952-432-7601 Address / City / Zip: 648 WELLAND COURT CONI y is Name: AIR MECHANICAL License #: Address: 16411 ABERDEEN STREET NE City: HAM LAKE State: MN Zip: 55304 Phone: 763-746-3752 Contact: BETTY Email: ncdispatch@airmechanical . com TYPE New Replacement Additional X Alteration Demolition Description of work: INSTALL HEAT & COOL WALL UNIT, GASLINE FIREPLACE, EXTEND VENT `� • 0 P te' q0 t P-'4 8' YI �'tl'i .:I L i lAi yka to sc seed b q LYv RESIDENTIAL Fumace COMMERCIAL New Construction Interior Improvement — Air Conditioner Install Piping Processed Air Exchanger 9 Gas Exterior HVAC Unit — Heat Pump Under / Above ground Tank ( Install / _ Remove) X Other PTAC WALL UNIT _ RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State burned out appliances, ductwork, etc.) (includes Surcharge) $5.00 State Surcharge) _ $ 60.00 TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank installation/removal $60.00 Minimum (includes State (includes $5.00 State Surcharge) Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $_ x 1% = $ Permit Fee - If the Permit Fee is less than = $ Surcharge - If the Permit Fee is > $10,010, Fee = $ TOTAL FEE (i.e. a $10,010-$11,010 Permit CALL BEFORE YOU DIG. Call Gopher State One Cali 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.aooherstateonecall.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 BETTY HARAPAT Applicant's Printed Name ó ÿ ÷÷ ÿ ÿþýüýüü ûÿÿ ÷îï ÿ ñ ñ ú þýüû úíú ýû ú ùû úÛ íúìöè ú ý ñâýú ß þÞýí óúó ääóó Þý ó üó æäó êøýóý ü úú æ üóã Þýü ö øó äó æ çæïæï ùû þýä çæïðæ ðï Ýýñÿæ øñö úõô úú í þúäÜä Ü îù õ÷ïï õ÷ïï ñ ìðï èðïîîåï äü ö äää úú ääøó óú öäúúüþ øõ þý ø â æ úúê óþ ý ý þ ý PERMIT City of Eagan Permit Type:Building Permit Number:EA152496 Date Issued:10/17/2018 Permit Category:ePermit Site Address: 648 Welland Ct Lot:13 Block: 2 Addition: Coventry Pass 2nd PID:10-18401-02-130 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Stephen A Krech 648 Welland Ct Eagan MN 55123 (612) 325-5972 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164589 Date Issued:10/02/2020 Permit Category:ePermit Site Address: 648 Welland Ct Lot:13 Block: 2 Addition: Coventry Pass 2nd PID:10-18401-02-130 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 - Stephen A Krech 648 Welland Ct Saint Paul MN 55123--393 (651) 450-5248 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170083 Date Issued:06/18/2021 Permit Category:ePermit Site Address: 648 Welland Ct Lot:13 Block: 2 Addition: Coventry Pass 2nd PID:10-18401-02-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Stephen A Krech 648 Welland Ct Saint Paul MN 55123--393 (651) 270-3351 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature