3713 Wescott Hills DrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128683
Date Issued:11/26/2014
Permit Category:ePermit
Site Address: 3713 Wescott Hills Dr
Lot:4 Block: 3 Addition: Sunrise Hills
PID:10-72982-03-040
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James A Bertelsen Tste
3713 Wescott Hills Dr
Eagan MN 55122--229
(612) 860-6627
Glowing Hearth and Home LLC
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
CfTY OR•EAGAN Permit No: 10006 10-13-8$
3834 Pilot Knob Road Metar No: Date: /
Sixe: /QxI~'
P.0. Bqx 21194
Eagan, MN 55121 Reader No: Date; J-Z -S(~ ~
~
i Owner. AicDoiiaici Cozlstruction i
, SiteAddress: 3713 Tdescott IIills I?rive L4 1? Sun ise ':il.ls ~
; Plumber Star Pluwbin
' Conn. Ch • 550 , Ol~pd
9' ~ Zoning:
r Acct Dep: , Pd No. ot lJrtits: ~
~ Permft Fee: t- • ~~Pd
~
' Surcharge: I sgrae to comply with the City o( Eagan
Tr. Piant P
Meter. Ord(nances.
Misc,: B
Y '3~A
WATER $ERVICE PERMIT
. - _ _ .
CITY OF EAGAN Permit No:
Date:
3630 Pilot Knelb Rpad B/P No:
P.O. 6~x 21199 Date:
Eagan, MN 55121 '
Owner. "=-Vi+- Ld
Site Address: i! TM-Tiye I.4 33 Sua-iRe FM? s
Plumber. "tir fn^
MWCC: p,, Zoning•
Ciry Chg: • j
No. of Units: ~
Acct. Dep:
Permit Fee: I agree to comply wifh the Gny o1 Eayan
•
Surcharge: Ordinances. ~
~
Misc.: By j
SEWER SERVICE PERMIT ;
i
~ ` , . , ~x., . . r •~""~ese~'„!-'~s' • ^.~.r~ : ~v,.. `f^ . . :.+w , , . . _ r.ar . . . . . . , .
CITY OF EAGAN yr 4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # - - i
~
7o be use&lor •DZCK Est. value $1,000 Date MU?Y 4 , t 990
Site Addoss 3713 1IESC0?T HILLS DR
Lot 4 Block 3 Sec/Sub. SUNRISH HILLS OFFICE USE ONLY
Parcel No. Occupancr - Fees
JIM BERTEL88N zoning
W Name ~S~ ~I~ Da (Actual) Const _ BIdg.Permit 2S•~
~ AddreSS (alO'"~1e) - surcharge • ~
City EAGAN Phone 688-8922 # of stories
Length 14' Plan Review
Name sAME oeptn -L42 snc, ciiy
Address S.F. Total - SAC, MCWCC
~ City Phone S F. Foptprints _
On Site Sewage _ Water Conn
~ W Name on site weli - water eneter
0 ; Address Mwcc system _
<W City Phone City Wa1er _ Accl• deposil
PRV Hequired _ S/W Permit
i hereby acknowlege tha! I have read this application and state that the Booster Pump - SNY Surcharge
information is correct and agree to comply with all applicabie State of
Minnesota Statules and City of EagaR Ordinances. Treatmenl PI
1 ,
Signature of Permitee APOROVALS Road Unlt
A Building Permit is issued to: `liM BEMBLSEN Plenner - Park Ded.
on the express condition that all work shall be done in accordance with all Council '50
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy, pK. _ Capies
Building Official Variance - TOTAL 26•00
.
~ -
PwmB No. Permit Holder Date TeNphons N
WATER ~
SEWER
PIUMBING
H.V.A.C.
ELECTRIC
Yapwtion Dste insp. Commsnts
footings I
FoixWalion
Framirg
ROOfi^9
R-0 Pb9•
Ragh FiOB_
W.
Freplace
Fnal H[g.
Final PN)g.
COnst Meter PIb9. Inspecta - Nobiy Plumber
EngrlPlan
Bldg. Final
DedcFtg.
~
Detk Fnal
Well
Pr. Disp.
. . . s;~`- . , , . . . o., r+)~- ct:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Bax 21 •199, Eagan, MN 55121 - PHONE: 454-8100
EIUILDING PERMIT Receipt ~
To be us d or SV DW/GAR Est. Value $1 k3 ,0ti Date t)C?'C1s$..1Z 4
SiteAdd~gss ~'~13 fdE$CM iiIL'"' ':r: OFFICE USE ONLY
n ~ I ~n Stte Sewage Occupancy F3 'd1
Lot ` Block j Sec/Sub. y~'"~~~~'E ~ ~
MWCC 5ystem Zoning
Parcel No. On Site well
(Actu81) Const
c Name "CLOAALD WINST INC City Water X (Allowable) Vn
W 1~ i.~ $l,i,'F L~ .aL BAX R~' PRV Required * of Stories
= Address ` 7~
° City ~IyT"~'F Phone A31"'~66 ga~terPump Length ~5
Depth
°C0 Name S.F. Tota1
~ ~ Address Footprint S.F.
I' City Phone APPROVALS FEES
~ 714.
yVj W Name Engr./Assess. Permit
~ = Planner Surcharge 71.1
_ - Address
{ W City PhOne Council Plan Review 357.
61dg. Off. SAC, City ioo•'
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.1
information is correct and agree to comply with all applicable State of Water Conn. 550' `
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee Road Unit 325 • •
A Building Permit is issued to:-,{~~~~A~ Treatment P1
on the express condition that all work shall be done in accordance with alI
appficable State o( Minnesota Statutes and City at Eagan Ordinances. Parks
TOTAL ~ ~
Builtling Official-
. Permit No. Permit Holder DaW TsIophona *
Plumbing g9 8
H.V.AC.
SoRener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation yr'.y''
Framing /
Roofing
' Rough P1bg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg. Bldg. Flnel
Cert Occ. ~y
' Temp.4P
Deck Ftg.
Deck Final
Wel I
Pr. Disp.
~
.
- (Irr#tfiratr at (Orrupanry
s.
titp of (tagan
lorarrnirtti uf lwldbtg ittwrttvtt
Thir CerNftcate issued pursuant !o the requirements of Sectton 306 of the Unijorm Building
Code cerrifying that at the time ojrssuance this structure wns in conipliance with the varroWs
ordinances of the City regulaAing building construction or use For the foJlowing.•
ux CISM&Mliou " i.Ut, 71S`., eft. Ftrwit No.
oa„p-y rype R3lt`` i yoins DbW TyPe roo.
Oww o[ Buildin IMMCNALD ORM TNC A&I,ew j! 1,41 Y+i.tk.t1 ud., P2Y HDl RhMT
Bmldmg A~ 3713 WE= Ftril.S Mr4:: L-afity I,4, B3, SUI+tRI:~[. iiIILS
Ikulding OffieW
POST IN A CONSPICUOUS PLACE
fY
• , • PERMIT #
PLUMBING PERMIT -
. CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EA<3AN, MN 55122 DATE:
CONTRACT PRICE PHONE: 451-8100
Site Address ~ BLDG. TYPEI_~ WORK DESCNPTION
Lot " Block Sec/Sub Res• New
Mult. Add-on
m Name Comm. Repair
~ Address Other
c City Phone RES. PLBG. ONLY COMPLETE 7HE FOLLOWING:
FIXTURES ; TOTAL
Name ' H/ater Closet - $3.00 ~
m Bath Tubs - $3.00
~ Address - Lavatory - $3.00
p Ciiy Phbne - ' Shower - $100
I_Ki?chen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE ' Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 /
TOWNHOUSE & CQNDO - RES. RATE APPUES Water Heater -$1.50 r
MINIMUM - RESIDENTIAL FEE - $12.00 ' Whirlpool - $3.00 ~
MINIMUM - COMM/IND FEE - $20.00 J_Gas Piping Outlets - $1.50 ;
STATE SURCHARGE PER PERMIT - .50 (MINIMUM . 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Soltener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TQTAL•
PERMIT # 7'~~-1 . • , MECHANICAL PERMIT RECEIPT ~i
• CITY OF EAGAN
• 3830 PILOT KNOB RDAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: PHONE: 454-8100
Site Adc~ress ~ t • BLDG. TYPE/ WORK DESCI~TION
Lot l-~ Block Sec/Sub Res. New
, 115 Mult Add-on
m Name 1. '~jrl' ,f
Address Comm. Repair
C, ~ ~ r. Other
~ City F`'' 1 n• Phone ~
FEES
~ Name RES. HVAC 0-100 M BTU - a24.00
c Addre o' 1k ADDITIONAL 50 M BTU - 6,00
0 City ~ f c~5v I. Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEfiMIT) - 1.50 E.A.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIE5
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. ~ M BTU C,. MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # ~ 60 BEYOND $1,000)
Other
~
FEE:
S/C: ~ J6 R SIGNATURE OF PERMITTEE
~ .
TOTAL• ~
FOR: CITY OF EAGAN
PERMIT # i ~ PLUMBIN(iPERMIT
CITY OF EA(iAN RECEIPT #
3830 PILOT KN08 ROAD, EA(iAN, MN 55122 DATE: CONTRACT PRICE PHONE:154-a100
Site Address BLDG. TYPE WORK DESCHIPTION
Lot BloCk Sec/Sub Res. New
; - Mult. Add-on
m Name WA ' Comm. Repair
~ Address 702 Exce s o ~
, rc'2 Other
c City Hopk ns. ~hone RES. PLBG. ONLY - COMPLETE THE FOLLOWINO:
- NO. FIXTURES TOTAL
Name ~ L-j ~ Water Closet - $3.00 S
~ Bath Tubs - $3.00
c AddreSs Lavatory - $3.00
3
p City ? - Phone - Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1 % OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.5Q
TOWNHOUSE & CONDO - RES. FIATE APPUES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) _
(ADD $.50 S/C IF PERMIT PRICE GOES v Softener -$5.00
BEYOND .0 ) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNAT E OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
_ INSPECTIUN RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. ~
Eagan, Minnesota 55123 Date Issued: ~
(612) 681-4675
SITE ADDRESS: i o, i: 000n t4( ljt. K: ff ig c) APPLICANT:
37 13 1: Clf?
I r.
J
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA • D.
I , ~ii • f';~~I
~ J
PWmR No. PKmR Holdw Dob TiNphm!
S/VN I
PLUMBING
HVAC
EIECTRIC
ELECTRIC
Impwtlon DoM Mup. CommMts
Foo&psI
Foundation
Fraffikw 2-1~93 S
Aoo"
Rough PIb9. I
Rough HEp•
Isul. -2
Rrepla°° - S dsa 30 / ir ,~'j f,
Flrrel F1Ep. !
Orsat Test
Fir,ed abq. pbaA Apfficla - NonN rw,mee.
Conet. 6Aeter
E"grlPlen 040~7 /024/
Bldg. Final
°o'` Ftg.
Deck FinM
wea
Pr. Disp.
CITY OF EAGAN PERMIT TYPE: ~ ' ~ ' ~ " ~ • ~
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
, ci i .•<I:i.,
SITE ADDRESS: ~ „
, I , q N1 k , APPLICANT: ,
I riii i_s nR
t di• i . , tW ~ I
I
PERMIT SUBTYPE: TYPE OF WORK: ;
~ • i , , , . ~ ~ ~ i
INSPECTION .
I
I
I
17 ~
PsrmN Holder Date Telephone N
PLUMBING
HVAC
Inspectlon Uate Insp. CommeMs
FOOTINGS
FOUND
FRAMING
ROOFING rl-7,g NO ~
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST I N SUL
GYPBOAHD ~
~ FIREPLACE
FIREPLACE
aiR TEST
FINAL PLBG
FINAL HTG
ORSAT
~TEST
I BLDG FINAL
~ DOMESTIC
METER
~ IRRIGATION
METER '
FLUSH
MAINS
cONOUCnvirr
ITEST
1- Y DROSTATIC
TFST
t3SMT R.I.
BSMT FINAL I
i DECK FTG
oECK FwaL
CITY OF EAGAN NO 1780 4
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt # 0
-75-V
To be used for • DECK Est. Value $1 , 000 Date MAY 4 ,199-Q--
Site AdtVess 3713 WESCOTT HILLS DR
Lot 4 Block 3 Sec/Sub. SUNRISE HILLS OFFICE USE ONLV
PefC21 N0. Ocwpancy - FEFS
Zaning
w Name JIM BERTELSEN (ACtual)Const _ Bldg Pcrmit 25.00
; Address 3713 WESCOTT HILLS DR (Allowable) -
0 City PhOne 688-8922 k ol Slones Surcharge - 50
Y Length 14' Plan Revmw
a SAME
o Name Deplh 14' sn4 City
0,Q Address S.F Total - SAC, MCWCC
~ City Phone S.F. Foolprints _
On Site Sewage Water Conn
UQ
ww NamO On Sila Well - Water Meler
~z AddreSS MWCC System _
a W City Phone City Waler _ Acct. Depostl
PRV ReQmred - S/W Permil
I hereby acknowlege thai I have read ihis application and state that ihe Boover Pump - SiW Surcharge
informahon is correct antl agree lo comply with all applicable State ol
Minnesota Stalutes and City ol Eagan Ordinances. rreaiment PI
SignOture of Permitee Qa~}'~ APPpOVALs Road Uml
A Building Permii is issued to: .1IM RFRTFI SFN Planner - Park Dea.
on Ihe express condihon ihat all work shall be done in accordance wtlh all Council 50
applicable State of Minnesola Statutes and Cyityy~ o'f1Eagan Ordinances. Bidg. OfL - Copies .
Bwlding ONicial ~~~n~l{~ ~ I I1,11 Variance - TOTAL 26.00
~ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 NO 15676
BUILDING 'PERMIT PHONE:454-8100 Aeceipt u'3 '~i'l ID ~
robeusedfor SF DWG/GAR EstValue $143,0~1) Date OCTOBER 4 ',1g_$$_
Site Address 3713 WESCOTT HILLS DR OFFICE USE ONLY
Lot elock 3 Sec/Sub. SUNRISE HILLS OnSiteSewage _ Occupancy R3 Ml
MWCC System X Zoning Rl
Parcel No.
On Site Well (Actual) Const vn
a Name MCDONALD CONST INC Cirywater X (Allowabie) Vn
z Address 1212 BLUEBILL BAY RD PRV Required _ n of Smries
° City B' VILLE Phone 431-7566 Booster Pump _ Length
Depth 36
¢0 Name SAME S.F.iotal
z1-
~ a Address Footprint S.F.
~ City Phone APPROYALS FEES
ww Name Engr./nssess. Permit $ 714.0(
t z Planner Surcharge 71.5(
i~ Address 357.0(
uCounal Plan Review
a w City Phone
BIdg.Off. SAQ City 0(
I hereby acknowledge ihat I have reatl this appliwtion and state ihal the Vanance SAC, MWCC _$5Q. O(
inlormation is correct and a9ree to comply with all ap licable Sta[e ol WaterConn. 550.0(
Minnesota Statutes and City of Ea an r' ance • Water Meter 67.0(
Signature ot Permrttee Road Unit 325,OC
A Bmlding Permit is issued to:_C1g±~i~l ALD CONST_ Treatment Pt _204-OC
onthee%pieSSCOntlihOnthatallw f SI( hallbedonemaccordancewtlhall
apphcable State of Minnesota S utes and City o gan Ordinances. Parks
BuddingOtliaal TOTAL $Z>938.5(
53~db7 RESIDENTIAL a ~S ~5
BUILDING PERMIT APPLICATION
cIrr oF eacnN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Constructian Reauiramenq RemodeUReoair Reauiremenh
• 3 registered site surveys showirg sq. R. of lot. sq. fl. ol house; and all iaofed areas • 2 wpies of plan
(20°h maximum lo(coverage allowed) . i sel of Eneryy CalcWations for heated addNOns
. 2 cropies of plan showiig beam 8 window s¢es; poured found desgn, eh.) . 7 site survey for extenar addi6ons 8 decks
. 1 set of Enerqy Calculations . Indicate'rf home served by septlc system for adddions
• 3 copes of Tree Preservatbn Poan if lol Dlatted aNer 711193
• Rim Joist Detail Options selection sheet (Eltlqs with 3 or less unils)
DATE :2- r~9- U~. VALUATION J~y SS
w st,5 Cv~
SITE ADDRESS 11 MULTI-FAMILY BLDG Y L~N
TYPE OF WORK PIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREETADDRE CI STATE1l ZIP~9_
TELEPHONE # 2T2. ~'/.S-/YSqQ CELL PHONE # FAX # ~'J~Sa -ST9S_ `~1G Z
PROPERTYOWNER @~ . TELEPHONE#L2~/-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'fA RULIS 7670 GvTI:GORY t MINNL•'S07'A Ri: LI;S 7672
(v submission type) • Residential Ventilation Category 1 Worksheet Submittetl • New Energy Code Worksheet Submitted
• Energy Envelope Calcuiations Submitted
Plumbing Contractor: Plionc #
Plutnbing systctn includcs: _ Watcr Softencr _ Lawn Sprinklcr ['cc: $90.00
Watcr Heater No. of R.I. 13alhs
No. of Baths
Mechanical Contractor: Phone #
Mcchanic:tl systcm includcs: _ Air Conditioning Pcr. $70.00
Heat Rccovcry Systcm
Sewer/Water Contractor: Phone #
° ° ° _ °
I hereby acknowledge that I have read this application, siate ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance .
f 2 n nn
Signature of Applicant ~ P ~ r' I I Iryl
1 ~ q }.iggz ~ ~ -
OFFICI? USI: ONLY ~u_~ U
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ --J
Uptlated 4l02
OFFICE USE ONLY 1oaoy -01sa5
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 EM. Alt - Multi
? 03 01 of _ piex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? Oa 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Impravement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'DemoliGon (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. af Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ F[gs _ AidGas Tests _ Final
_ Framing _ Siding S[ucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
. 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN C~
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCUC,ATIONS ~
NOTE: ADDRESSES FOR CORNER LQTS - CONTRACTORIHOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONA7ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
SEP 3 0 1988
To Be Used For: valuation: ~43~~nv Date:
5-~-
Site Address j-] L3 (,pe5[ott. WIL OFFICE USE ONLY
Lot L4 Block 3 ~ On site sewage_ Occupancy 1Z-3 N1-1
M4ICC system ? Zoning R-I
Parcel/Sub S"Nrise I-~Ms On site well Actual Const V-N
City water J~ Allowable \f- N
Owner Mrl1c~nlRjcj Co.,Acf,. Tivc. PRV required Ik of stories
Booster Pump Length 170'
Address 1212 131uebill (2c-J Depth 3~eS.F. Total
City/Zip Code F3L4rrJSViIle,Mnj 5533'7 Footprint S.F.
Phone t-f 31 --7 5 b~ APPROVALS FEES
Contractor Sf+Me R5 46ove Engr/Assess Permit 7~~l.Qa
Planner Surcharge 71,50
Address . Council Plan Review 357.00
Bldg. Off. SAC, City 100,00
City/Zip Code Variance SAC, MWCC 550. 00
Water Conn 5S~ . 00
Phone Water Meter [~7, 00
Road Unit 23 S, 00
Arch./Engr. Treatment P1 20 iDU
Parks
Address Copies ~
I ~
City/Zip Code TOTAL
Phone !I
VALUATION
6ARAGC '
16 x q= ( c~
sax?,q = qz~
Z Xzo - yo
SZy XJy= 1I 53~
BA~~Mr--nI-,-
5 x Ic, _141t
A. x 3~6 ~ 988
zxi8= 36
Z X ly = za
i-
I X 13= 1554 f3
~ST F'Lvdp
bsm-r= 1i9~
zxY - Ib
i
I ZSZ. x 4-14 13448
Sc'2t~N ~a2~u
12Xt2~ tUV K 20 = Z88v
znrD F~ooR
9 ~j r
J ~ x z = 36
~
,0n
loyo Xu9 = 5c;Ig(
14 ZZ7Z
~ ' ( BanK iib, ~SE~ i
s ROBE McooNa~ ;
ENCiNECRING `°"SU`T"'° EN6iHff85, ~~JS-r- ~
pLAHHERS ond LAHD SURYEyOf15
l79L.O1
COMnANY1 INC. ~
~ 1CC0 L1S7 (Sbri SAE_T, 6l]ANnfILL, YIHHE•_6T.1 5S'_'r'7 pH 432-SOQf}
Cer~Z~'Z crz~e o~ S`z~~Ye c~ '
ci ~escr~~c~cr • LpT 4, BLGYJS 3, SuNRisE NrL! g a,pDrr;oni. -
' D/aKOTA COV/vTy , MiNNESOTA
~ 9oZ, z ~ DCVOTEZ ex)srn,'G Ef EVATiON
~ 9p 3, Cx-r N OTcS PP.OFCL-_ E.D c!..! .=+/.4-17Oh:'
iND1GA7E.` DIRE:7701.f D,C 5UFrALE_ 0RA1NAS:
903.83 = F,N~sx~t:;• G~+r,A~E ~LOn,a ~/.~'77.,~J
~
SErEACk UI.IE • °
10 n0
~
~
~ 2~0'00
i ~~y'o_'a~%' "a.o
m I-
/ ~ L90,0) ~NO° ~
f ~ \ m ~Li
*LE0
`n 3O ;
(ses, 3) _
gas.3~ ~ o. = p \
~ 7% o ~
w
Nm ~
2\ ' o ~ mO z,Ob ~p /~10 :
~ Z ~ v[ C~~~!?/~o/ a ?
~ a
Uc
.
DR.4tNAGE fW0 Unu7Y
o ' 36
~ , ~ ~a ~ N 69 h1 ~ ~ ~ ,
~~~ED
,`L ~ 00 8y.(_- (f
Dcai:) 74~~ r
EAGAIV' ENGIEEiIlVG AEPT:
I•;her=by cartify ,that thia ia ;,a tr~ie and ccrrect ~z~,apreaentat3oii, af a i 0f .
as sh .
' ae:= . ihed LB7+ .'i!a eg,,
• lirid " , . ~ .
ovn and "de heTion.- Aa ~prap"azed '~bq me on'' ;thii n;
. . ~ . - . ".t...' ~
~i. ~i.~ ` ~ : . . . . .:~;FU:,`y ' ~ : , ` ~ • t
, ; > ~ - , ~ . ' c..~' s u y S1fA. ,.~eg . ~4r
...a..~S,.~Ta. r'...i: . . .t.-'v.. " . .`.f.. 7^r77.f' 7777t. ..t,Z,.4.i~vr'+
- BUILDIN4 llj'"t'PI•Ili1JT
, EXTE~ 't E[iV" OPE AVE12A(3li IIUII COf7P. 'ION
('Pa be su'omitted witli building parmit application) &K~ejs'~
Ono or Two FAmily Dwelling Ownor
Al'1 OCher Site naarae4 rG
ContrACtor llute q-29~g pliotia
LIIIEAL FEET OF p~
)s'Xl'OSLll YlALL :r c~7*-rF-.i-~ ft, aUove grade iJ I3^L
'1'OTAL NXYOSED IYALL AItL;A SQ. FT,
OPAQUL WALL COPJSTRUCTIO17. "Ut' Value x Area
Dotail npii , p 9 x 5Q.-FT. ZZ?J,f ` i (U)(A)
referouce U' x 8 FT. (Y (U)(A)
from ilull ~~~D g S~. F'T. U n
rz
ttnclted "U', x SQ, FT, S,( ,
cheeto ii0n - x 8Q. FT. _ (U)(A)
nun ' (
~)~A)
x SQ. FT. _ (U)(A)
PIIIJDOWSs "Uti Value x Area
19alce & Typo LfzC, u (~/b1tW(r npn_ x S. FT.
n u ~ (U) (A ) .
11 „ ~ x sR. F~r. - (U)(A)
n Ii ~~pn X `~Q. F"1'. (U)(A)
upn X SQ. F'T. _ ~U)( A)
WORSt "U" VAlue x Area
hlalco & TYPo n n
if o-- 114 X SQ. F-r.~; Cv, ~ cU>(A)
--~~{~f-I~~c'1~i~_ ,e~7 7t sQ. FT._ ZI = ( u)en)
n n nUu X 8a. FT. (U)(A)- •
- x SQ. FT. - ( U)( A)
TOTALg Z f' sQ, Fr._ ~}Z I(u) (n)
Tornt, (U)(A) vnr,uES 19cp nvEenGE "u
UIVIDLD flY TOTAL }yAI,L AI2EA'2 8z , ~2i / C~
AVERAaE pr lees Tor 1&2 I0.lilj.ly d1V8].1iIlgs
~
ROOF/CEILINat ~
`1'0`P/LL AREA:
lletail reference iiUii ~ I
from iipu S~. FP. ~ .(U)(A)
attRchad sheete. x
upn (U)(A)
Deecribe openinge iluii X SQ, FT. _ (U) (n)
in roof. n x 3R. FT. _ (n)
pn
x R , (U)(A)
LU)~A)
(U)(A) VALUES DIVIDLD Y T
U -T~,4L~j
~z.,~ >
'1'OTAL ROOF/CEILINQ p[ZEp
AVERA4E IIUIIQ,025__for ventilated roofe.
D~1
If g'/ -14
. , .
. ,
' 0\40PG
'.:~-f XCSz+sz~- C7-Z,
~7
~ ~ d3x ILo~ ! 3~,~.G)
W ~ N~ws
~
(0, -u~
'1 X z = l~-~v
~ La o = 4 11 u~X I = 2(5
Il 2-~X'{vL,).= ?-2,r) Xz , n ,
I I Z,,( V rn o= u
F -I~GVI6
t~_p, W) S L, 0
F( lM i Z-~
-70, v wAW)=
=70
= I Zo4~o f'Iz~~l
orl
~
~
i
--f71WL SliC'1'lOtl-- .
, , . Uetermiiiing llUll ~ aee at Roof, Wall, Riio, ana ic. Bloclc
~ ~555 ROOF/CCILII4(1 12 VnLUL
1.) Iutarior Air N14 1m 0.61
. ~i 2.) 5/81, ayn. na. .56
3.) Ineulptiou oO
5.) LxLerior Air Film ,61
> 3 f ' ( S'PILL )
~J \J I
_ . O uU" c 1/R= '1'OTAL (R)= ~f-~~,`~j
O ` r
YlALL R VALUE
O 6.) Interier Air Filin 0,68
7.) I" GY!>. Sd. .45
8.) Insulation
- - 9.) 711H 204-
10.) 1•lasonite Siding ,67
10 11.) Exl:erior Air Film .17
liuli +3 TO'1'llL (R)=Z'~~O I
} - n
~ Iz RIit a vni,u~
L 12.) Intorior Air Filin 0,68
13.) Ineulption 0,oo
0----- ~'f lh.) 211 Fir Rim Joiet 1,88
- t 5. )13V1L-r F-i-ju zaF-
J 16.> hlaoonito Siaing .67
17.) Extorior Air Film ,17
n
. ~o • . I'Ull = t/a= , o~o rornL ta>= 2zf l`4`~
o
' Q° , I
Q FoucIDn~rion vni.oe
la.) Intcrior Air Film 0,68
21 . 19.)
p° R' _O Z0. Cjl_h(~ 1qi D~
22 ~1" 2021.
) 'i`-"nCfie#e
73 e•'T~ t~~ 231.) E terior Air Film 17~
L>° 'lull Z 1, 81
- -
. 4--
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
fagan, Minnesota 55122-1897 Permit Number: 033177
(612) 681-4675 Date Issued: 0 9/ 0 4/ 9 8
SITE ADDRESS:
3713 WESCOTT HILLS DR
LOT: 4 BLOCK: 3
SUNRI3E HILL5 ADD
P.I.N.: 10-72982-040-03
DESCRIPTION:
REROOF/STORM DAMAGE
B,uilding'Permit Type S70RM DAMA6E
Building Work Type REPAIR
Census Code 434 ALT. RESIDENTIAL
f ~
~
.
J ~ ( •
• v . .
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Rpplicant - sT. Lzc. OWNER:
AZTEC ROOFING 18950040 20139140 BERTELSON JAMES
11583 RUPP RD 3713 WESCOTT HILLS DR
BURNSVILLE MN 55337 EAGAN MN 55122
(612) 895-0040 (651)688-8922
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 Mn.
$tatutes and City ot Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE 'PSSUED BV: SIGNATU E
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ~
3830 PII. 6 KN ~O; RD - 55122 D
New Construction Reauirements RemodaUReoau Reawrements
~
• 3 rogistercd ske surveys • 2 eopies of plan
• 2 copiea of plans (inGude beam d window sizes; poureO fnd. design; etc.) ? 2 site surveys (exterior addkions 6 decks)
? 1 energy wlculations ? 1 energy calculatione for heated addRions
• 3 copies af tree preservation plan rf lot platted after 7/1l93
required: _ Yes _ No
DATE: CONSTRUCTION COST; 9y~ ? .50
DESCRIPTION OF WORK:
STR€ET ADDRESS: ~7I ~J I,( )LJ° Y'e26H l`I / II.g Ll
LOT: 1 BLOCK: ~ SUBD./P.I.D. V\ V\ S--P ~s ~,CuJ
Name: 6 rd-,oon J n.,mes Phone [y (J ~ ~ 4 "I 2Z
PROPERTI' Lazt First
OWNER Street Address: 3 7 I 3 111116 ~Jk-
Ciry State: U Zip:
Company: Pm~1 / IQ Phone
CoNTR„CTOR Cl.~''
Street Address: License #
City ~_[1 C l ~,Gl ~I State: .611]) Zip: 1~~"
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested ance permit is issued.
I hereby acknowledge that I have read this applicadon and state that the iniortnatio is cortect and agree to wmply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: lilrzi
OFFICE USE ONLY '
Certificates of Survey Received _ Yes _ No ~
Tree Preservation Plan Received _ Yes _ No _ Not Required ~
s
OFFICE USE ONLY ,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwelling O 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-piex ? 15 Deck
WORK TYPE
? 31 New ? 33 ARerations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Aliowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bidg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acd. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: % SAC
SAC Units
PERMIT J-J~'~
~ 3830 Pilot EAGAN PERMIT TYPE: e/~ B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 020202
(612) 681-4675 Date Issued: 0 2/ 0 2/ 9 3
SITE ADDRESS:
3713 WtSCOTT HILLS DR
LOT: 0009 BI.OCK: 0003
SUNRISE HILLS
P.T..N.: 10-7:982-4140-03
DESCRIPTION:
; Buildi'rig Permi.t Type BASEMENT FINTSH
Duildinq Work Type AITERATION
' UdC Clccupincy R-3
i"
REMARKS:
RECEiPT i#
FEE SUMMARY:
Base Fee $36.00
SurcFiarqc $.50
lic. SeareFi Fee $5.00
lotal Fee $40.50
CONTRACTOR: - Applicant - sT. LzcOWNER:
130NCOR CONSI" CU 18885578 0002337 BERI'ELSEN JIhI
9029 DUPONT AVE S 3713 WESCOTT HILLS DR
BLUOMTNGTON MN 55920 EFIGAN MN
(612) 888-5578 (612)688-8922
T herohy o ckriowlcJqe ihot I F.avr re, o d i_hi, ;pp lic" tion inJ
intorin,- ti n.i i, corri•Lt ~nd oyrve io r,onipI y w!t.h i't opp~ ?1) I , i. I ,•fii
St.atutos and t.i ty ot E,igan prdinanct:-,.
L J
APPLICANTlPERMITEE SIGNATURE ISSUED B.
SIGNA
REACTIVATE _ CITY OF EAGAN ,
PERMIT k 1993 BUILDING PERMIT APPLICATION
010201 681-4675
PRO~.~. I'5
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1} when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 1 2 c7~ Yaluation of work
Site Address: 31 1~ ~I~~C~C~
STREET SUITE 0
Tenant Name: (commercial only)
IAT SLOCK a_ SUSD. ~ P.I.D. k
n~l
Descri tion of work: Sr\S"'v~
The applicant is: ? Owner Contractor ? Other coegcr;no>
Name EE~T~C~ J1 vv\~ Phone b E)~% Z Z
Property LAST FIRST
Owner Address 13 ~T ~Z----
STREET STE /
City State Zip
Company '~CwO'r L o Phone
Contractor Address rjoZ 5~71 r'UFVA_T A"`,, 5u License #(007-337 Exp. 3-31-%
City ~~cc~ ' State VLVKJ Zip 55-.4-20
Archftect/ Company Phone
Engineer Name Registration !1
Address
City State 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 re,ad this ap ' ation and state that the information is
correct and agree to comply with -871 applic b e, aGe of Min~sota Statutes and City of
Eagan Ordinances.
O
Signature of Applicant:
I
OFFICE USE ONLY
BUILDING PERMIT TYPE
? Ol Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. El 07 4-Plex ? 12 Multi. Nisc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex 0 13 GarageJAccessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex 0 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE _
~1 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWLC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 'V, - 3 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
M of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 4 3
Depth On-site sewage SAC Code
C9_ieah4s
APPROVALS uw,
Planning Building Q~ 1.'93 Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site . D Footing P4raming ? Insulation
? Wallboard ~ Final ? Draintile ? fireplace
Permit Fee 35.0I vatmc;m:
Surcharge 13a
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
SAC % -
SAL Units ~
~
1999 BUILDINC PERMIT APPLICATION (RESIdENTIAL)
C1TY OF EAGAN
~~C~ 3830 PILOT KNOB RD - 55122 U
651•681-4675 C nA .a
~l XXAs2) /
New ConeWCtion ReauiremeMs RemodellRenair Reaufremenls
? 3 rsgistared ske aurveys ahowing eq. (L of lot, sq. R of house 2 copiec of plan
aM all roofad areas (20% mazimum iot covereae allowed) 1 setof energy ukulatione tor heated addflbns
? 4 eoptee o(plans (ahow beam &wintlowskes; poureA Ind. design; ete.) 1 ske curvey tor exterbr addltiona 6 deeks
? lselofanergywleulations
? 3 eopies o( tree preservallon plan N bt pWUed afler 711193
DATE: / ' v!~ CONSTRUCTION COST:
DESCRIPTION OP WORK: / f) C G A/L/r/ V061,)-j
STREETADDRESS: 371~
LOT: L4 BLOCK: J SUBDJP.I.D. Sl A v\ Jv Se
Namel/frl~"Z~w Jih11 t .JCr ~ Phone
PROPERTY Last Frnt
OWNER
StreetAddress:--~~-70
City Eel 41A 1 State: Zip:
Company: / ~/~G'!/IGkMAJ 6C44-ld!!. Phone#: 6'Sl ~W- D5-d 7
(area code)
CONTRACTOR '
Street Address: ~70 l!r ~ License # 6 0-50 Exp,
City G~Ctc,O/v State: zip: S.J/c1-3
ARCHRECTI
ENGINEER Company: Name:
Telephone ( )
Street Address: Registretion
City State: Zip:
Sewer 8 water Iicensed plumber fnewconatruction onlvl: Telephone
Penaky applies when address change and lot change Is requested once permk Is issued.
I hereby acknowledge that I have read this applicaUon, sfate that tlie InTormatlan Is wrrect, a a ree W wmp wBh aIl applka6le Sfate of Minnesota Statutes and Ci[
~ of Eegan Ordinances.
v
SignatureotApplicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.)
$ 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr O 39 Gas Line Only ? 43 Siding/Soffits/Fascia
A 32 Addition ? 36 Move Bldg. ? 40 Gas Insert 0 44 Windows/Doors
? 33 Alteration 0 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) / V Basement sq. ft. Census Code y~y
(Allowable) Vn) Main level sq. ft. -1-l~ SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq, ft. MC/ES System
Length ` sq. ft. City Water
Width ~ Footprint sq. ft. Booster Pump
PRV
Fire Sprinkiered
APPROVALS
Planning Building T~ / Engineering Variance
Permit Fee Valuation: $ S 0~/
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge _
Treatment PI.
Park Ded.
. ;
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
rEENGINCECRING O 8 E NSPLRNHERS and LAliD SUOQS
OMPANY, INC.
~ lCO0 [.AS7 146n SAE:7, BUAH:YIL=°-, YtNHE=CT11 !=237 pH 4=2-SOQrj
CerZ ZA crize o~ S~rYe y
c1 ~e.?cJ~~~c~cr • LOT 4, BLOCJ< 3, SUNFiSE N/LLc ADLrTON.
' D/aKOTA C0U/y`1/ . N/1iNNESOTA
.
i ~ 9aZ, z~ DG~'O ExiSTnlG
~
~7~3.5 ~ .~•EVO?c.~ PF.OF.^ti~~.:i c.:.~V.q~~h
,rvGICa ; E: GrRIEC%0r,; or 5v.~.=,4C-
I 903.83 = F1IVi ~u~• ~,a~..4GE :a~,.~ ~_.~'..Y~TL^.,~
SE~.O~,k L.N~i6 ` ~ g'~
I~~ O \
190
N 6~0'00 ~ (y as=' i° m \ z, T- ~
0
o
sCal~ : I =?o i ~ s•° ,~;s; ° ~ rm`
C 3.0 ~
v
g Ooo~
~V a' V~"o 2. o .7
0 2~ ° o o~pO-' ~ is
Z
ORA1NAGf fWD U17U7Y
.~.,1-~.......~
so :ItiG DEPT
I heriby eartity that thia ia a t:ue and czr:ect raprtaeatatiofl 'aP a 8s`aef cf ;
lind a: shovs':nd deacribed .hereon.- Aa preparad bq me on thij `-~~`daY,~Qf.?;,::_ _ I
_ . , . . ' : • 'd ~',F~:.rc~,{:
~,:5.~`~N, i."~ : ~ . , r.l,:. ~Ab n ^ ~4j•~~'i':~•, iif~. ~ei~~r:'...
A
-"~$~~~9f,'.iJ~'!'~~. :~;`.;Sii;^;:,ti.i;.. . . , . ~''rci~.~q , 4}~%P/ ~ '~\i:~YY"~~2•,~~~~i;7~~.~.v~`~~:r vQe&~._,
CITY OF EACAN FOR CITY USE ONLY
3830 PZLOT KNOB ROAD
EAGAN, MN 55122 PERMIT
PHONE: (612) 454-8100 RECEIPT #
PLUtCBING P~Rk~T DATE:
YLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES F.A. TOTAL
NEW CONST _ n V. ~ ~ ADD-ON MINIMUM 15.00
ADD ON `~~j SHOWER 3.00
REPAIR " = WATER CLOSET 3.00
'S BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: i~.QJ1-`~~CX--S~?~. _ KITCHEN SINK 3.00
SITE ADDRESS: ~ W~(~t - ~+UNDRY TRAY 3.00
HOT T[JB/SPA 3.00
WATER HEATER 3.00
LOT: ~ BLOCK J' SUBD. ts~~a.e- _ FLOOR DRAIN 3.00
~J a GAS PIPING OUT.
INSTALLER: ~ (MINIMUM - 1) 3.00
ADDRESS I! J~ ~I v`' S ROUGH OPENINGS 1.50
~ OTHERW2}ba(
CITY: ~ W` ,iQ[/\ ZIp: WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE tt: U I ~ /
a SUBTOTAL $ P)'~
~ ~
~ ~ ST. SURCHARGE .50
SIGNATURE OF PE ITTEE
TOTAL: ~
GOMMERbIALfINDUSTRIAL'i. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
: . -
MULTI-FAMZLY 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.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
y
1990 BUILDING PERMIT APPLICATION
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 CALCULATIONS 1 SET OF ENERGI CALCS
# 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.
P:OTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICN ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING 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: Valuation: J C 00 Date: Mc.., 4\~lQ~
Site Address 'Ob3 b.i- OFFICE USE ONLY
Lot L-1 Block 3 FEES
Occupancy
~ Zoning
Parcel/Sub 5itn112i5E NJLLS ~a /J • Actual Const Bldg. Permit aS D
Allowable Surcharge ,S~
Owner # of stories Plan Review
Length 1 ~ SAC, Gity
Address Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code Lwv§.,~Mti3 Footprint S.F. Water Meter
Acct. Deposit
Phone ~o~Lf~ Yf?2 On site sewage_ S/W Permit
On site well S/W Surcharge
Gontractor MWCC System _ Treatment Pl.
City water _ Road Unit
Address PRV Park Ded.
Booster Pump _ Copies ,•50
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL 26, o0
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ~ 3O
Telephone # 651-675-5675
Please complete for. single family dwellings & rownhomes/condos when permits are rcquired for each unit
Date oq_
Site Address I 13-~ `_:S lN, QS~.Q~-1T Lc/J D C• Unit #
Property Owner ~1 1~S ~_X jy~ J"~'(' ("T-CJ-O1 Telephone #(`QS1 ) I p'n "1;~-I Q.za
Contractor
Burnsw e ea i , LLe
Street Address 12481 Rhode Island Ave. So. City
savage ,
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner !X Contractor _ Otller
Add-on ar alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
~ airconditioner _New -zReplacement
other 0
- ~
<1
50
State Surcharge
.
~
Total $ ~0 , ~J/~~
I hereby apply for a Residen[ial Mechanical 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 with the Mechanical Codes; 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 [he work will be in accordance with the
approved plan in the case of work which requires a review and approval of pl s.
cu )
Applicant's Printed Name Applicant's Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Plcasc complctc for. commcrcial/indusirial buildings
multi-family buildings when separate permits arc not required for each dwclling unii
Date
Site Street Address Unit #
Tenan[ Yame (if applicable) Previous Tenant name
Property Owner Telephone # ( )
Con[rac[or
Sireet Address Cih•
State Zip Telephone # ( )
Bond Expires:
The Applican[ is _ Owner _ ConVactor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see be7ow
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
•'When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permlt FCes: $70.50 Undcrground mnk installation/rcmoval
SSO.SU dlini:uwn (in-.ludcs Sta:c $urcharge)
of
Contract Value $ x 1% _ $ Permit Fee
• If ep rnvt fee is $1,000 or less, add S.50 ~ $ State Surcharge
If ep rniit fee is over $1,000, add $.50 for
every 51,000 permit fee S Total Fee
I hereby apply for a Commercia] Mechanical Permit and acl:nowledge dia[ [he in(ortnation is complete and accura[e; tha[ the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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 Ihe work will be in accordance wrth
the approved plan in [he case of work which requires a review and approval of plans.
Applicant's Printed Name ApplicanPs Signature
Approved Dy: , Inspector Date:
4
APFLICATION FOR PERMIT ~NME: PAYT4zlIf OF FEE pT TIME OF
" APPLICATIpN ppFS ppT (,bP}-
. •
SCINIE APPR(3V71[. OF PEPFIIT. SEW ER AND/OR WATER CONNECTION IN~~~ oe s~e r,rn/oR c,w~ irasruuxxoris wu.t, caor se scmUt.m [!NI'IL PEFthIIT HFS BFI~2~ APPRWID.
DocitVoFeagan
(PLEA.SE PRINT
1) PROPERTY ADDRFSS: ' 1,
7.FY:AT DFSQ2IPTIONI. h 6ri C I
Lot B ock S ivision or Tax arcel ID )
IF EXISTING STRL'CTORE, DATE OF ORIGINAL BUILDING PF.RMIT ISSUANCE:
Mont Year
PRESENT 20NIIvG/PROPOSID USE:
Q CONA9ERCIAL/RETAIL/OFFICE -1 SINGLE FAMILY
Q INDUSTRIAL E=1 R-2 DOPLEX (3t•,o Onits)
Q INSTITCITIONAL/GOVERNMENT Q R-3 TOWDIHOLSE (Three + Units) ( Cnits)
Q R-4 APARTMENI'/CODIDOMINIUM ( L'nits)
Z) ~ NAME= 61 C O 4 0
ADDRESS: L i
CITY, STATE, ZIP: y ` JS 2
PHONE: L},~I rI S^G ~
For City Ose
3) • i ~ r~• NAME: V14 Pl rume s L,.icense:
ADDRESS: ~bl ~ ~ A y I GtN ~c Active
Expired
CITY, STATE, ZIP: Oo Not recordec
PHONE: gs~ l~ ~ y Q [ypSTER LICENSE # ~ St Initia
4) re Nk~Lf71Fai7•
cvAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ~ ~ ~ d•~~ : •3q
CONHECTION TO CITY SEWER ONNECPION TO CITY WATER a O'I7-III2
: -2
6) ~~2 IL~ -
~ )6 _0
k,******~~~~.*****~~
.
F TfE GOID COPY OF THE PERMIT WILL BE SENP DIRFCI'LY TO PLBLIC ADRKS 1U FACILITATE MEPER PIQt-L~P. ;
t PLEASE ALIAW TWO WpRKING DAYS FDR PROCFSSING. SOP7EDNE FROM TfM CITY WILL NNPACI` YOD IF 1iiERE ;
~ ARE ANY PROSL,ENIS. ~
~
***********Yr******#*********+***!r*************F*********t##***************t********#**************;
.-FOR CITY USE ONLY PERMIT # ISSUED
a l' G-
Pd w/Bldg. Permit FEES:
$ $ /O ' SZ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ SZWATER PERMIT (INCLUDE SURCHARGE)
$ L 7~0 U $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCO[JNT DEPOSIT - WATER
$ Sso n L~ $ wAc
$ ~ ~U • Gr d $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BEN°FIT/TR[)NK WATER
$ U $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ f~ II ' G6 $ LP U TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUZRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDZTION.
SUBJECT TO THE FOLLOWING CONDITIONS:
~
APPROVED BY:
TITLE:
DATE :
RES[DENTIAL BUILD[NG
' Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan IVIn 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Construction Reuuirements RemodeVReoair Reouirements OKce Use Onlv
3 registered srte surveys showing sq tl of lot sq. M. of house; and all roofed areas 2 copies of plan Cert ol Survey Rectl
(20% mauimum lot coverage allor.ed) 1 set of Energy Calculallons for heated additions Tree Pres Plan Reod
2 mpies of plan showing beam 8 window sizw; poured found design, etc. 1 sde survey for addi0ons 8 decks Tree Pres Not Reqd
1 set of Energy Calculatlons Addition -indicate i(onsde sepfic system _ On-srte Sepoc System
3 copies of Tree PreservaUOn Plan if bt platted atter 7l1793
Rim Joist Dehil OpGons selection sheet (bidgs with 3 or less units
Date l 1~ l~ L/ Cons[ruction Cost f-
Site Address 371~ Gvt°,SC ~ /J/ //5 d/f^ UniUSte #
Description of Wark CD/1/[/?!i1screPak'c{~l rG 0~4 SPI SmhI i .0e<'CN
Dlulti-Family Bldg _ Y ! N Fireplace(s) ~ 0 _ 1 _ 2
Property Owner fi SOGUej APg42/ S PetJ Telephone #(65/ 57a f:~
Contractor
City
Address 570
State /l~J,(/ Zip Telephone#((l/)
I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Rules 7670 Categorv 1 Mmnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#( ~
a..
I hereby appty 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 NIN
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 of plans.
DZ j e -HaNJ~~~~~ AL
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types '
.
? 01 Foundation ? 07 OS-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06•plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 77 Garage x 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02•plex ? 70 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
WorkTypes L' L~n1ll iGNl,~7 CJGlZ.irjA) /"Orl (J(y -t't>
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
'K 33 Alteratio ? 37 Demolish (81dg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MGES 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 _v- /V_ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) C FinaVNo C.O.
_ Footinp (addition) _ Plumbing
Foundation H VAC
Drain Tile Other
Roof _ Ice & W"acer _ Final _ Pool _ Ftgs _ Air/Gas Tes[s _ Final
~ Frartung _ Siding Stucco _ Srone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Y Insulation _ Retaining Wall
Approved By Building Inspector
-
Base Fee
Surcharge C
PlanReview
MClES SAC /JOn~I/ / ~ S( x ~ - 3r~
~J
City SAC
Utility Connection Charge ~jy~/ ?~?~-5~11.7
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
r
~ T .
.
lu0 Si[c
"CATEGORY 1" ALTERNATE FOR c;ty oF ec7gc 41
ONE & TNti'O FAMILY DWELLINGS
BSTRCCTlO:VS: This aicernarive may be used for onn and twafamily dwellines built m meet the Cate-lory I requiremenn of
>(innesota Rules, Chapter 7670. Compfece Pans A, B. and C. C(carfy muk plans with mbclar.un R•values; uindow und skylight U_
~alues: s¢e an1 rypa of zqu:eman[. equipment controls; and locanon of vspor rewrder and wind«ash barricrs. N[ore deeuled
infurmation tsn oe focnd in the .Llinrtesora £nergv Cadr summary sht:a avylabit from the Mmnesoea Deputmenc oFCommerce,
Part A. BUILDING ENVELOPE
Check pmposed :nveiopejoin[ ualing opHon + ? Prescripave (cauliang, gssktcs, e[c.) ? peRbrmanr_ (:esc pa 7670.0470 subp. 7.C)
Check thermal rnergy calailarion optiou used ~ V""CookSook" (comple:; worksheet 6elow) p %(nCheck me•.: od (attach Rport) O Perfo'mmce (auach ti•value cafculauoas) ? Svsmms Aaalysis merhad (anach aaalysis)
"Cookbook" `Vorksheet ZNl[INLNnrNtREQUIRLMEN7s ~
(for °Caokbook" o doo od )
O Ceilmg Insulation: N(utimun R-39 wi[h 7h" rnergy heel; or
LNsZuCnouS NG1llII111R1 R-1 WI[A IpW TJ55 IIi.I; OC
Sct? I. Chzck item(;) dia[ Cesigr. meees on.Nrnun:un Rrquiremenu fis[ NGnimum R-33 with R•: shea[hict¢ •Nheo na aaic.
:o ;he :ig.hc Mise ^r_: all ;tems :o ux "Cookbook" opfien. '7 Enev Doors: Mac. U-value ut 030 or I'.:" wiid wood with storm
S::p InCicvr pmposed •+alt c.pe on mbla be!ow. ? Rim fois: [niulanan: SL:.inc^i R-!9 S:av 3. L2di:a:a Wir.Cow C'-, aLe and sourc:. 2 Flaots oeer wtrndittor.td soaces: N6ni-u:n R-21
Sc-o 3. Vm?: :onl wtridow, iinc!uding uca ot31l tounCa:ion windows) '7 FounGadan [nsclaacn: llinini.m R-IO
' and deor arn is equl ur !ess chan allowable pesentag:. O FounCanon winCows: i-_' ins~jlateC cass, wood or vinvf i5rame
TABLE FOR DETERr(I`ZiG hLAXWLTI wLYDOW kN-D DOOR aREA -
N[ivmum AIlowabte Tocil WinCow and Door Am az
a?emericl¢e of Esoosed `Fall I:% ld°/a 16`,1e 18% 20% 24% 16% 28% .
WaII T•.va (Sur:Lard Fnmin¢): Maximvm .avera¢e Window L'-vil::e (ezc:vt founda:ion wicdows): 7_'xl, cZ•13 msulauon. R•? s: enctun 0.55 0.47 0.11 036 I 0.33 I 0.110 0.27 015 013
ZI. ?sl. R-U :r.sutar.en. R-i shaathin 0.52 0.3 0.39 0.33 0.31 1 0.23 1 0.26 014 022
-a 7?x6. R•f9 insulauoa <R-i ;nra[fvn 0.48 0.36 . I 0.32 0.?9 ~ 0.?6 0.?1 0.2? 0.21
r? 2z6. R-19 msulauon. RS shracfiln 0.56 0.12 037 0.34 03l 0.?8 0.?6 0.24
?t6. R-? I insutaaoa < R•i sheactvn 0.51 0.43 l 033i 0.34 0.30 018 0.25 0.23 012 .
7r6. R-2I waladoa R-5 shnthin 0.58 0.50 O:sS- 039 0.35 0.32 0.?9 027 025 '
Wall T Advanced Fcaauna : Maximt~ Avm Wiudow U-value ezc t foundation wiadowsl:
O 2x6. R•l9 insulauon, <R-5 shearhin 0.32 0.45 039 033 031 0.28 016 0.24 012 't
2x6. 1-19 insularioa R-5 shea~hin 038 030 0.4~t 039 0.33 032 029 017 025 :
2z6. R-2l insulauon, <R•3 sheatlsin 0.55 0.47 0.41 0.36 0.37 030 017 025 013 .
0 2x6. R•2I insulation, R•5 sheadiin 0.60 032 0.46 0.41 0.36 033 030 018 026 '
W'uldow U•value: ~ Sotace: ? YFRC ? ASFDLAE 1997 Handhook •100 x1 -11-7 -9_~= 3 0<!-'T'rki I
L41J
window & door area gtass aposed wall ue3 DES[ a ALLOV/A.8LE (from rable above)
MINNESOTA ENERGY CODE - WHrcH RucES Ma y! UsE ?
TYPE OF RESIDE.YTi>L BUILD[NG APPLICABLE RULES
De[aehed RJ oceupaaty 1- and 2-!amlly dwe0lnp Chapter 7672; or
Esun las: sin le funil , ewin hames, du lezet Cha 7670 "Cate o I" with statutorv deoressucizarion and veneiladoa r uircmrntt
Attached RJ occupaney dweltlnef Chaptet 7674; or '
Ecam Irs: trilex tawnhouses and row houus Chapter 7670 with either "Cate¢orv f" or "Caee orv rovisions
R-l xcupaoey buildlnp of 3 uorld or lat Chapmr 7674; or .
Examples: eondortuniwns or umtenn C ta 7670 with eiiher "Gte orv I" or "Caee on 2" rovisions
R•1 oeeupaucy bulldinw over 3 storla Neh Clupra 7676 .
f~ Ex Les: hi rix condos or a aranmu
!
7'~ 1 6~7
Summary of April 15, 2000 Cnergy Code Requirements I'or Detached 1&2 Family Residential [3uildings
Code requirement Opfloa A -CAspur 7670 Cuegory t as amenJeJ by Laws o( MN 2000, Ch. 407 Option [S - Minnesota Rules Chaplcr 7672
1. Mater als & e ui meut
Plans and Plans and specificetions musl show design crileria, exieriur envelupe Same except with addi(ional requiroJ items: loeatiun uf inirriur air baRicr,
:pecifications componrnt materials, U-values of the envelopc systems, R-values of insnlaiiug vapor rctarder, and winJ w•rsli Aarrier, idenliiicalion ul air sraling requireJ;
malerials, size and rype of apparatus and equipmenl, and equipmeni auJ U-values of windows, doors anJ skylights anJ oiher informalion needcd io
s slems controls. detemiine com liance (such as re 111fC1I VGI111I8UU11 5 srcni & malce-u air).
2. FOUOdBIIOO WBII
Insulation Cookbook rcquires R-10. Trade off pennitted with MNcheck. Cuokbook Iias options fur R-5, R-10, or R-19. "1'iadrofl permitteJ with
MNcheck but not lesx Uwn R-5.
Proteclion o( Exlerior iitsulalion (rom tap of foundation wall l0 6" below graJc must he Sama
exterior insulation roteclcd a ainst UV and h sical ebuse.
Pmtection o( imerior Moislurc bartier required between insulation and foundaiiuu wall Gom (loor lo Sanu.
insulation rade.
3. 'm/band oists
R-value PRRimioistrequi kbook o tion re uires R-19. Trade o(C emiitteJ wiih MNcheck. Cookbook o lion re uices R-10. Trade off enniued wiih A1Ncheck.
Va r rctarder uired on rim oists susce tible to wndensation Gom moisluro diCfusion Warm side va r raarJer re uired.
Imerior air bartier red tobe sealed to revrnt air leakap. Same.
.
Exlerior wind wash Not eddressed. Exterior wind wesh bartier required.
bartier ~
4. Framio
General Framing oplious include 2 a 4 or 2 x 6 walls, onJ other framing optious such Same.
as lo walls anelized walls insulaled mason walls and olliers.
Attic ceilin Ramin Not addressed. Note: wind wesh roteGion re uircd at auic ed ge. Minimum 6" heel Iruss from ouIside ed •e of tu i latc io roo(sheathin .
Walt framing: Exterior wall corners and inlersec[ians of imerior parliliun walfs wirti Lxterior wall comers anJ intersections of interior pariition walls wiih
Ezterior and inlerior exlerior walls are not eddressed. Exteriorjoinls in Ilie building that may he exterior walls are framed so thal insulation can be inslalled afler the
sources olair leakage musl be sealed. cxterior shealhing is inslalled. Wlienever interior framing meets an
insulated ceiling or exterior wnll, a coniinuous iuterior air banier musi be
instal led.
5. Thermal er ormaace m n mums
Vaulted ceiling Cookbook option requires R-38 between Gaming plus IL-5 sheaihing. Cookbook option requires R-38 between Gamiug, no insulated sheathing
re uirod.
Adic eccess panels Not adJressed. It-38 for ceiling panels and R-19 for wall panels, anJ must be weather-
stri ed.
•Floora over Recommend R-30. Maximimi U-0.033 or minimum R-30 sprcifieJ (uaJa-oll may noi be le"
unhcated s eces strin enl Uiat Ihese values . '
Window themiel Raiing musl6e Nationel Fenestralion Reting Council (NfRC) or ASIIItAL Rating musl be NFRC or Jafauh table iu dm code. Windows musibe .
rfomunce Handbook of Fundamentals. No meximum U elue. labeled. Maximum evera e U-value for windows is 0.37. ~
Rage I af 4-- SourCe of sumntary: Minnesota Depanmrnt of Conunerce Encrgy Infounatioo Ccaierl51-296-5175 or 800-657-3710, www.commerce.slule.mn.us.
4/00
i ~
I For O~ce Use ~
~ Permit
~
City of Eap
I Permit Fee~
3830 Pilot Knob Road ~
MN 55122 ~ Date Received:
Eagan j
• Phone: (651) 675-5675 '
~ Staff: ~
Fax: (651) 675-5694 i
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -'10-6C SiteAddress: 3~1-3 "V eSCv" #1l~S 1&'
Tenant: Suite
RESIDENT / OWNER Name: Phone:
37/3 k4e560-# //s ?~r.
Address I Ciry / Zip:
Applicant is: _ Owner 4- Contractor
TYPE OF WORK Description of work: AQl+'oZ°/
Construction Cost: c~0, Mul6-Family Building: (Yes No ~
CONTRACTOR Name: G ! / v License avS`~ 59.~
Address: ~7~ ~NG il~/P (rl?' E
City: oii/ State: ~r/iU Zip: Ss~~ 3
,~r!~~
Phone. 6 V- ~ 7 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residenlial Ventilation Calegory 1 Worksheel • New Energy Code Worksheet
CBtegOry Submitted Submitted
(4 5ubmission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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 to be public information. Portions of
fhe information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this infortnation 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 pertnit; that the work will be in
accordance with the approved plan in the wse of work which requires a review and approv I of pl ns
x attJ+e x
Applicant's Printed Name App icanYs Signature
Page t of 3
e S c e4-~ I-J irs LOr
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch (3Season) Storm Damage
Z~Single Family _ Garage _ Porch (4Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
07 of Plex LowerLevel Pool Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building'
ddition Move Building Reroof Demolish Interior
Alte2tion _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
'Demolition of entire building -give PCA handout to applicant
DESCRIPTION
Valuation ZO , O Drj Occupancy ~R,L ~ MCES System
Plan Review Code Edition ~hZoo~SAC Units
(25%_ 100%_) Zoning City Water
Census Code ~ Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction ~ Width
REQUIRED INSPECTIONS /
_ Footings (New Building) 7 Sheetrock
Footings (Deck) Final / C.O. Required
_ Footings (Addition) ~ Final J No C.O. Required
Foundation HVAC
Drain Tile Other:
_ Roof: _Ice & Water _Final _ Pool: _Footings _Air/Gas Tests _Final
_ Framing _ Siding: _Stucco Lath _Stone Lath _Brick
Fireplace: _Rough In _Air Test _Final Windows
\7 Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies
TOTAL
~ For Office Use i
I Permit
I C~
-
City of EaiaIl
4111~ -A
I Pertnit Fee: 0 '
3830 Pilot Knob Road I I
Eegen MN 55122 I Date Receiv~ev n 1 2009 ~
Phone: (651) 675-5675 ~ 5~~. i
Fax: (651) 6755694
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
oate: `1- StteAddress: J 1 I3 1ves cc, a~ I~ 1 I s 6 r~Iv~
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
y, c
CONTRACTOR Name: 4eJ'J'1,cn P~HnS;,.~ ,4et~~~~eP License#: C75S S/S ~/4
Address: 9'' v UoX
City: 5-i G+~ State :41,A/ Zip: S S/~ 2
Phone: lo S)- (o PG? 5 aContact Person: Y~^ iKA-
TYPE OF WORK _ New -kffiTeplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tlon of woAc: I^n a J Y a~ - N'e w I y L, Y e J
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fiutures
RPZ PVB) Main _ Lower Level)
Septic System _ Water Tumaround
New
Abandonmerrt
RES IAL FEES:
$50.50 MI mum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment. Water Turnaround' (includes $.50 State Surcharge)
'Water Tumaround (add $165.00 if a 518" meter is required)
$100.50 Septic SyStem New ($10.00 per as built) (inGudes Counry fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $•50 State Surcharge)
TOTAL FEES $
I hereby ecknowledge that this infamation is completa entl accurate; Ihat tne xrork will De in contortnance wiN the ordinances and codes oi the City ot
Eagan; Ihat I underetand this is not e permit, but only en application for a peimit arW work is rrot to start without a permit; that the work will be in
~
accordance with the approved pian in the case of work which requires a review and epproval of plans. 1
x 1•`'1 1 Yl~ J ~ i ) I Z x~l;~.., a ~
ApplicanYa Printed Name A IlcanYs Signature O'
FOR OFFICE USE Reviewed By: Date:
Required Inspectlons: _Under Ground _Rough-In _Air Test _Gas Test _Final
I For Office Use
L l
Permit#:
City of Ea V I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Staff:
Fax: (651) 675-5694
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
f S
Date: Site Address: 3 7/ t iJ C ` r/
Tenant: Suite
Name: wt Phone:
RESIDENT / OWNER 3i
Address /City /Zip: 3 7 ~3 C ' " //S
Applicant is: Owner Contractor
TYPE OF WORK Description of work: «i ~~~fe ' ~n ~ ' /rte'
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: License #:.~1
Address:. T';' ~f`
City: V State: Zip:
Phone: C ' f ! Contact Person: / %/~~rl •Sllr r X 611 r/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
Category Submitted Submitted
('I submission type) • Energy Envelope Calculations Submitted
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 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.
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 approv I of pl s.
X S~tt~ Y _ ' ~ + App icant's Signature
Applicant's Printed Name Page 1 of 3
ell=s 2.)1 '
LINE ell', ~ h ~
DO NOT WRITE BELOW THIS
SUB TYPES
oundation Fireplace Porch (3-Season) Storm Damage
single Family Garage Porch (4-Season) Exterior Alteration (Single Family)
Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation C , Occupancy L ( MCES System
Plan Review Code Edition W1 VN l - ~ SAC Units
(25%100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS /
Footings (New Building) d Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: _Rough In _Air Test -Final Windows
`f Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Date:1'?
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or.BLACK.Ink
For Office Use /`�
Permit#: ( () 52-1
Permit Fee: / V
Date Received: I, 3-1 Z—
Staff:
2012 RESIDENTIAL BUILDING'PERMIT APPLICATION
3(0/1a, Site Address: 37/) ( e5c0` X 7/5 Unit #:
Name: Jim. B e ke/L'
Address / City / Zip: 37/3 (ve c_
Applicant is: Owner Contractor
Phone:
11(1
Description of work: ru!/ 7 /i f obtelao ir-E'tllP -em �l boD S
Construction Cost: / 1 l'l /Multi -Family Building: (Yes / No 2( )
Company:e4iSSVEC-(5060(,(_ 40/ &/(%thContact: %Cie
Address: 570 fito1 tr fClic City: ' �.2 aiu
// cJ
State: /40, Zip: 53/9?3 Phone: 60 &70 CP "7/
License #: Sc 5-(74 >� Lead Certificate #: N T- PDc-146--
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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
concludethat 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. 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 (4.0 e -ek)C%(iCk560(0
Applicant's Printed Name
x
Ap7 icant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159027
Date Issued:11/18/2019
Permit Category:ePermit
Site Address: 3713 Wescott Hills Dr
Lot:4 Block: 3 Addition: Sunrise Hills
PID:10-72982-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
James A Bertelsen Tste
3713 Wescott Hills Dr
Eagan MN 55122--229
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167125
Date Issued:02/24/2021
Permit Category:ePermit
Site Address: 3713 Wescott Hills Dr
Lot:4 Block: 3 Addition: Sunrise Hills
PID:10-72982-03-040
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Jack D Tste Goin
3713 Wescott Hills Dr
Eagan MN 55123
(612) 718-1228
Rji Professionals Inc
6063 Main St Suite F
North Branch MN 55056
(651) 674-5158
Applicant/Permitee: Signature Issued By: Signature