1915 Timber Wolf Tr N ,e
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print legib/y
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner ' y ~ 5. Contractor Phone 6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New 0 Add 11 Alter ? Repair ?
10. Describe Fuel Type I '
11. No, Equipment BTU - M. Ea. No. EQUiament CFM
Forced Air Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Pinal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt l1 PLUMBING PERMIT Permit Na.9
CITY OF EAGAN
kj Fee
Fill in numbered spaces S/C
Type or Print legibly ~ ~ U
Tot. _
1. Date 2. Installation Cost
-t 1. .'.1/ i:L.'_ ~
r
3. Job Address 1' %Lq Lot Blk. 1 Tract TF
4. Owner
5. Contractor,'' ` • Phone
6. Address
7. Gity State Zip
8. Building Type: Residential ? Commercial Cl Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
I Bath tubs $eptic Tank
~ Lavatory Softner
Shower Well
~ KitChen Sink
Urinal/Bidet Other
~ Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this tYpe of work.
Signed : ' . for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN Remarks Df~•~~'S~/-~- 'Vfv
Rddition SUN CLIFP 1ST Lot 14 gik 1 _Parcel 10-72975-140-01
Owner Street Scate EAG/W 1rN 55122
'I 4 tv' I ; ; • i , ~ ~ I Tr?veb¢r-wo1~
0 ~ -
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR. c~ 1981 2030.40 203.04 lO
GRADING
SAN SEW TRUNK 7 76.54 3.06 25 30.64 C008755 -16-84
SEWER LATERAL Z,
• 5 1981 4419.66 441.97 10
WATEAMAIN
t WATER LATERAL 1981 1
WATER AREA
STORM SEW TRK 1971 322.29 16.11 20 96.75 C008755 4-16-84
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT $260.00 42417 4-9-84
WATER CONN. 470.00
BUILDING PER. $953
sAe 525.00
PARK
CITY OF EAGAN WATER SERVICE PERIVIIT
3830 Pilot Knot, Road
P. O. Box 21799 , PERMIT NO.:
Esgan, MN 55121 DATE:
Ioninp: - No. of Units: !
41~lddress:
`Sita Addrcsa: R6Pint`~ilrmrt~n n~~ i~-,"; ••C,. BI ~~u1 1~ FF 1sL
''Plumber: :1 =
Meter No.: , , ~ -
Size: r? Connection Chcrye: 470,10 f pc+
Reode No.: 37 8 r pa~it~ Fee: ~s(t: 1 n•~'~
1sgrN to eaaPlp wflr !hm Cltq of Eaya• Surcharge:
Ordinonas. Misc. Chorpes: f? 3.` ' mete
Totol:
By DoM Paid:
Dote Ir Insp.: Insp : i
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Rosd
P. O. Box 2111 PERMIT NO.: '
Eagan, MN 55121 DATE: " - - "
ZO^i^g: 1, 1 No. of Units:
pwner. :1cK1yn Conat
Addross:
5ite Addrem; 1915 Timber Wolt Tr 1,14 Fsl SuUCli.ff lAt
plumber• reine Plbp & I?ty,
Meter No.: ~~i~ pa~: 470.00 pd _
Stze: /~ccount Deposit: • ~
Reader No.: Pertnit Fee: Pc
1 pme h omply whh lie C*y oi Empn Surclwrge: ' P~-
O''fi""'om M1ac. Cho rpes: 63.00 pd
' Totcl:
g1' Dote Paid:
Dote of Insp.: Irup.:
CITY OF EAGAN SEWpt SERVICE PERMR
3630 Pilot Knob Road
P. O. Box.21198 PERMIT NO.:
Eagan, MN 551~1 ~ pA~; '
ZO^d''b: 1 No. of Units:
pwnar: ~'iCKlpn C;;itst
1lddress:
Stte Address: 1915 Timber 3,1o1f Tr L14 B1 Suncliff lst
plumber Peir.e P16 & I?t
G--•)- ;l. 42417 . , v;.
1 pne to oemply wkh tM Citi ef yps Conrwction Charpa: 425 , 00 pd
Ordinaeau. Acoount Depoait: 1 5..0
i„
Pom11t FN: 00 j?::
Surchwrge: . Q pc9
BY Misc. Choryex
Dote of Inap.: Totol:
Insp.: Dote PaM:
This request void If~S ~ ~ ~d'1 -S(i
16 moniAS from
A ~ su~d 1-sr 3 s. 0- c)
Request Date Fire No. Rouph-in Insuer.tion
Reyuiretl7 ~Ready Now ? Will NotifV Inspeo-
H~~S Ies ?NO tor When Ready
?
Licensed ElecUical Contractor I hereby request insoection of abova
Owner elecvical work instelletl at
Street Atldress, Box or Route No. Cirv
19~ TI rmg 4 F rr.
ecLOn 140. 1 ownshi0 Name or No. Range No. Counry
i
OccuDan11PAINTI Phone No.
Power Supplier ACdress
IJ KT ecc,
Eiectrical Contractor (COmponY Name) Comracmr's Licensa No.
'ro
~ G/ i G 0 -O
Mailin0 D.tldress ICOntractor or Owner MakinB Instailationl
Au[horized Si ture ICon ctor D er Makin nstalla onl Phone Number
ss9-o y3
MINNESOTq STATE 00AflD OF ELECTRICITY THIS INSPECTION HEQUEST WILL NOT
Grigge•Midwey Bldg. - Roam N•191 BE ACCEPTEO BY THE STATE BOAND
1821 University Ava., SL Paul, MN 55704 UNLESS PHOPEN INSPECTION FEE IS
Phnnw (612) 297-2111 ENCLOSED.
CITY OF EAGAN 7~7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 N? 8953
PHONE:454-8100
t111LDING PERMIT RecerPt
Te M wed /or SF DWG/GAR Est. Value $ 61.000 Dare APp=L 9 , I9-a4
Sitenddress 1915 TIMBERWOLF TR. Er«t pX Occuponcy R3
Lot 14 Block 1 SeclSub. SUNCLIFF 1ST qlter ? Zonirg Rl
Percel No. 10-72975-140-01 Repoir p Fire Zone N/A
Enlarge ? Type of Const. V
~ Neme GREG & CYNTHIA WOHLFORTH µave ? # Stories
Z Address 7514 WASHBURN AVE. SO. Demolish p Length_
9 Citv RICHFIELD Phone $61-6199 Gmde ? Depth Sq. Ft.-
MCKLYN CONST. INC. Avvrorob Fses
o Name
ou Address 7340 130TH ST. W. Assessment Permit $ 316.00
r City APPLE VAL. phone 432-4298 Water & Sew. Surcharge 30.50
F Police Plon check 1 58 _ ~0
uw Name Fire SAC S2 ci - 0 0
f
Address Erp. Water Conn. 470-00
.Z City Phone Plonner WaterMeter-61-00
Coun[il Road Unit 76n n0
I hereby ackrwwledge that I hove reod this opplication and state that Bldg. Off.
the inlormotion is correct and ogree to wmply with all aOPlicable APC Total +S1 ~ 822. 5~
State of Minnewta Stotutes and City of Eagon Ordirwnces.
Signofure of PermiMee
A Building Pertnit is iuued to: i.VN ('ONST _ TN(' _ on ffie express Corditlon thnt
oll work shall be done in ac rdo e it~h, ulkupppli tofy(/~pE.A~A~anesota Starutes ond City of Eagon Ordinoncea.
Buildirq Official r"~ ~
CITY OF EAGAN Include 2 sets of plans,
1 Certificate of Suroey
` BUILDING PERNffT APPLICATION 1 set c£ energy calculations.
Zb Be used Forvaluation Date •Ar~_ e-t'_I Sc`3q-'
sire paaress 1mngcp V~ ic_ oFFzcE vsE orus
Lot 1~, slocx sec./sub. S~~wFC-t~ Frect x occunancX
Parcel # a ~Q - 1,;~ 9~ 5°~'1 0` 01 Alter Zonin9 /
Repair Fire Zone
Owrter: ~UG ~Jaufa,EtN Enlarcje _ TYie of Const.
Nbve # Stories
Address: " jje v,~A~bu,~r•{ A•a. s, pemolish Front ft.
City/Zip Code: !554-Z5 Grade Depth a( , ft.
Phone 841- FEEs
APPROVALS
Contractor: kN,g_~1..~1~ Assessrents Pesmit 3/
?aater/Se,aer Surcharge 30 i~-
Address: 7b4o 130~51 ~ police Plan Chec)C/,57s ~
City/Zip Code: LQ&E_ 1(4c~a4 S,lZ4 Eire SP.C 6-:z6-- aa-
glg, Water Conn. y>p
Phone 4-32 Z i2) planner Meter b 3 ~
Council Road Unit Arch./ExJ.: -4-rt- Bld9• Of *:Water
Address: APC
City/Zip Code: _
Phone 717I'AL 1 50
~I vi&o 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 1 z9~
Site Street Address Unit #
Property Owner ~H/,~i iY A-rv/? z2ti~f 2m%/H-/I/ Telephone
Contractor ~~k) 142Z2 &/ir T71'e~ Telephone #(95'0`') -1/3s_- 7151~
Address j- 24~ F~ L7f77 4i/ qzp City Y~n)sr/iZZ~ State Zip <f-;~337
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. li vou are lnstallino onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
~y Water Softener _ Water Heater $ 15.00
_ new ~ replacemenY
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
~c~
n ~oM~D
App icanYs Printed Name Aopgcant's Signatu MHK 0 2 7006
I x . g
i 1I~i Ewi~,Sy",~ x+ '~Y nq a l~..~ ro xrv i 9 -r ra s i r r a 1 t ~ . .
~E . e tk J aP` '~f,e*, sS~x Ii Y» ~`i4 -r2' t~ fi'~i a rf. ~~a4n ci d~'~ ai b' yi 2
i isid'~i
~P+r
~
~ a F N ° a ~5f'~di $~aij f 1 t G~[ ° v.
. .
4'°•~ "~I~~y~l~~la~me'T ~ YY IV~. ~Y~Vy~r~ xm~ x~ a r«~~, a p . ~t
y Ad~IB6&r~~ ~9b x h d r~ i .~rty ~ s- vr,~,x'~ 4, ° 1 r k§r,~,.,.'~' ^n$ }
g e x
Licens~ IdeYltiil ati0' mBeY ix >~'j.,~ ~ OJ g* a,`.11ua~i t1 i
'v~.{ 4 x~3 a 4 '
[ L J T e .y d
~ Y1 [~hof7 Da~e . ~ ~ v~'-Cod~IliU~ng ~+dU~~tiol~ g~Hf$'G~
\
~
-1 Oga-l~
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
- ' City Of Eagan
• 3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenfs RemodeVReoairReauiremenGS Oifice Use Onlv
3 registe2d site suneys showing sq. R. of lot, sq. fG of house; and ~II roofed areas 2 copies of plan CeA of Survey Recd _ Y_ N
(20% maxunum lot coverege allowed) 1 set of Eneyy CalculaGons for healed addNions Tree Pres Plan Recd _ Y_ N.
2 copies of plan showiig beam & windovr sizes; poured found design, etc. 1 sfle survey for additions & decks Tree Pres Requlred Y_ N
isetafEnergyCalwlaUons Addmon-indkateAonsitesepticsystem On-site5eptic5ystem _Y _N
3 coples of Trea Preservalion Plan'rf lot platted aRer 711193
Rim Joist Detsil Optiore selection sheet (buOdings with 3 or less uniLS)
~J /n /
Date 9 / !Y Canstruction Cost 000',00
?
Site Address / ~ ZJ 1Y". ~ Unit/Ste #
~ q
Description of Work
Multi-Family Bldg _ Y.~ N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner ~/7 hlti, Y~ ~IP /17L14,I~ Telephone#(6~~) jlii~J
Contractor VAndow Concc~na e~}„ e;
vi
Address ~ (nnn I1nL Rrl Minnmoto ~ City
State S~, I I A Zip Telephone #en
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catecorv 1 Minnesota Rules 7692
Energy Code Category . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• 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?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/WaterContractor Telephone#( J
I hereby apply for a Residen6al 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
permi • that the work will be in accordance with the approved an in the case of work whi requires a review and
app al of plans. ~
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types `
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Oi of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 16 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? OB 04-plex ? 12 12-plex P16g_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcllon Reauire meMS RemodeVReoair Reauiremenls Office Use OnN
3 registe2d sile surreys showing sq. ft. of lot, sq. 8. of house; and all roofed areas 2 copies ot plan Ced of Survey Recd _ Y_ N
(20% ma)(Inum lot coverage allaved) 1 set of Energy Calculatqns for heated addBbns Tree Pres Plan Recd _ Y_ N.
2 copies of plan showing beam & windovr s¢es; poured fomd design, etc. 1 site survey for addBbns & decks Tree Pres Requi2d _ Y_ N
7 set of Energy Celculations Addftbn - indicate rf on-site sep5c system On-site Septlc System _ Y_ N
3 copies of Tree P2servation Plan H lot plaHed after 7l1193
Rim Joist Dehal Oplions selection sheet (buildim7s with 3 or less unifs)
Date Const ction Cost
SiteAddress~- //M~`.~~/~ ~n:L~l~• Unit/Ste#
ii
Description of Work 17
Multi-Family Bidg _ Y~ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Z( r\~ Telephone tl
Contractor ZildhAl' k
Address l6 y CiTy
State ~ / ~ //V Zip Telephone # (~j~) yDJ '~~DS
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheef • New Energy Code Worksheel
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submiqed ,
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of moster plan:
Licensed Plumber Telephone )
Mechanical Controctor Telephone )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved lan in the case of work which requires a review and
approv~ of plans. ~
r
ApplicanYs Printed Name ApplicanYs Signature
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 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 DS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 38 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building 0 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration O 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuatfon Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings(deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumhing
Foundation HVAC
Drain Tile Other
Roof _ Ice & 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
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total ~
i
~ C. R. WINDEN i ASSOCIATES' INC.
LANO sultveroes T.? 945• asas
i gpr; 1381 EUS11S fT., ST. MUI, MINN, ag1po
j McKLYN CONSTRUCTION INC.
I NOTE: ~
Q o Denotes Wooden Stake
Q Proposed Garage Floor E1.898.03 .
(8977) Denates Propoaed ,
06 Finished Ground E1.
1----- nenotea Direction
Of Surface Drainage
~ Vertical Datum - N.G.V.D. 1929
I O 9
i ~ M• Scale: 1" = 30'
O Denotes Zron
V
^ Monument
o~
I ~ ~3 p~x
~ Z
P
3ti 's. S8 s ati ~9~ oFP~ 1
Gj
e
\ ~ ~ ` y~ • ~
~
2-
. so ~ i / O
-4q r
>1
Lot 14, Block 1, SUN CLIFF FIRST
ADDITION, Dakota County, Minnesota.
WE MERElY CERTtfY TNAT TMIS IS A TRUE ANO CORREC1 RE?RESENTATION OF A SURYEI' OF TME
IOUNDARIES OF iME UNO ASOVE DfSCRIlEO AND OF TME IOCATION Of Alt SUIIDINGS, If ANY,
TMfREON, _AND ALl VIS1OlE ENCtQACMMENTS. IF ANY, FROM Olt OPI SAID IAND. '
Det*d tAis 5t~' der Of MRCcA A.D. 198Q C. R. WINDEN 8 ASSOCIATES, INC.
Sur.~r, Minnewra RNiantisn Ne.7 7z G
,
wsasro
w .
.
EXTERIOR ENVELOPE AVER,'1GE."U° COi4PUTRTIOM
_ 041NER C94c, C C2NaNtA
• . . : , , . ~
_ . SITE AODRESS
CON7RAC70R Yr~_I CCLL~(>IolI DATE L~, / LAw- PHOYE 4~JZ-- 4Z~ic`j
Uetermine tvorking square footage of each. .
1. 7ota1 exposed wall area )gi:a 0_ sq. Ft. x."17 ~Z6 ,
2. Total roof/ceiling erea / o Z8 _ sq. ft. x.05
Total exposed wall area above floor =!¢3 -
a. Total wa11 windaw area lZ4.52
b. Total door area
4o.S1 .
c. Total sliding glass door area 4"/~ .
d. Total fireplace tvall area .
• e. Total wail framing area (average
f. Tota7 net wall area a6ove floor /0 5-tk .31 g. Total rim joist area 14-ZJ -
: 'fotal exposed foundation area
h. Total foundation window area...................
--i. Toal net foundation area above grade
. peternine "U" valnz cf each wali segment. "
• a. IZ9<s 2 g;ouit .~s f Zd-
b. • 40:51 X„u„ : o,7 _ z~
C= S,.S ~ 'X liull 55' = Z~. ~ ~g
d_ x .%lull
e, l 43. c'3 x ?lull /2.Z-Z
f. !'Y' 1 g "Ull .o4-5 = 53 ~ .
s- ~ (42, g „U" h X ~~LP
.
---f-'---
e z9 x~1W ~ z.3 = 15~7~I-
3 . .•-••--••--•Total
If item 13 is the same as, dr less than item?fl, yo« have rtr°t the intent '
af SBC 6006(c)2_
• . ,y~
, , . . .
. Tota'4:expased roof/ceilinq area =
_
_ - O
• 3.' Total skylight area.:.
k. 7ota1 roof/ceiling frzming area.(average
, 1, Total net insulated roofJceiling area._:._..:...
Determine "U" value for each roofJceilirtg segment:
X nU~,
j. _ .
k. /oz.4 g ~~V,, o0 31
I-" Z- X ~U" . . o Z.z Zo. 35 . . .
4. ................7o-La1 = 2 ~ :
If total of #R is the same as, or less tPran z2, you have met tha intent nf
56C 6005(c)1. . _ . . ~ ~ .
Alternate Building Envelope Design'
To utilize the totai envzTope systen m=thod, the values esta6llshed Uy tRe
sum of items #3 and #4 shall not be,greater than.the sum of items ;1 and z?_.
+ 2. ° - _
3_ + 4.
_ .
~ v r ' . . . . .
' r - . . . - , . ' - . cxr-=...._~~...,. . . . : . . . . . - . . ~ '
~ 1 inLera.uL `ai~` +
' • - I `%~O - z.
a.lsxc . .
~i~ . 4.
~ ..%9Atx.'Ft4 WP. ~ ' . • 5• ,jAA2i1 &A D ^ 5lDitir, ab h
t.. .63 =~---v . 0.17 .
. 6. Exterior air filra
TOtaI
5:~7• ~__,~05, ' ~
1. Ynterior air filn.............. 0.68
2. ~2` E~arr FIr 62&er,"5:a
3. uy o 0
~rLL
rip~araZ ~ . 4. d" '`DA S ti.d~[ S~ o
5. L'r+a0~ S n~,.~! aa9
• j ~<`C~: I ~ ~ 'f ~ .
6. Exterior air film.............. 0.17
- . . 4)
Total. 21.8 - ar•~4~
r\ ~ ~ ~ ~ . . . . . . . . . C ~ ~ . . . . . ,
?1
.t P~ 0.68 ~
.of
~~i ?~i0`. ~ ~ 2. Znterioz air filta..... .
~ : • 1" l d ~a ~c~J
~
~73T.T_. . 3.
c~, ,t.• r ~ ~
~ •n . 4. Exterior air iilm.......... --.0.17
. . • - . Total
. •~ROOFICEIZI\G . . • . . U=1/Y
Construction R-VAi.tiE. .
2. I terior air film.............. 0.61
~ • ~~(~SJ 4 i
~i ~ Q~w LL d.J j .
. ~~y
, " , ,
3, J a.4-.a~
.~'`~t ~I''~•.s;,~~(~~;.,~~~'~~'E~ 4• Eeterior air film (still) 0_61 .
y . . . . Total ' ¢,577 Qt~ZZ
U-1/R
. . , • : ' ~ . -
, Ventea Eeat flocr
r--•- - . _ , . up ~ , • . ~ ' ' " . ~ .
, ROOFICEILLCC 'i ' ~ .
9 .
Construction . R-VALUE
: . ~ ~ ~ t.. ' .
'Insida air film........ .....0.61
.a-
- • `r=.=•''~ : r ; 2•
3. Znsulltion
- ~....,r'- . . j
.
Outside air. £il m 0.17 .
Total. '
~ ' • . . II
. 2;O:i-9F'3T=17 ~ . - . .
_ ,r . •
> •
Eeac • . ~ -
• GUIDELINE TO (R) FACTGRS FP.OM (ASHFtAE M.SPIUAL) OP TXPICALLY USED PP.ODUCTS ~ - ~ .
(R) - . .
. , .
Interior Air Film (Sdalls) U.68
'Exterior Air. Film (4Jalls). 0.27 °
; Interior.: Air Film (Veated` Ceiling) SI` ° • `
' Exterior Air Film (Vented`Ceiling) 0.61
Interior Air Film (tdon Vented) U.61•
Exterior Air Film (Non Vented) , 0.17 3/4" Plywood Panel . 0.31 3/8" Plywood Pane1 0.1.7
1/2" Fiberboard Sheathing 1.32 . •
25/32" Fiberboard Built Rite Shg. 2.06
,
Aluminum Siding ' 0.51 .
• . w/Sacker 1.82 . .
w/BacYer E -Foiled . . . 2.96
1/2.x 8 Lap Siding (G]ood) 0.81 . 7/16 x 12 Hardboard_Siding . 0.67 '
Asbestos Sidings 1/4 Lappzd 0.21
Stucco (Brown E Finish Coat),
Built-up Roofs 0.33
Plus Tnsl ' - -
' '3/8° GYPsum Boards 0.32 • . -
1/2" Gypsum Boards . • 0.45 ;
. 5/8" GYPsum Boards - 0.56
3/4"Wood Subfloor or Sheathing 0_91E
1/2" Plywood Sheathing 0.62 .
. . 1/2" Particle $oard . 0.66. • Filled . . '.Vermiculita I
g" Concrete Bloc;c (S E G Reg. ) 1.11
' i
1.93
.12" Concrete Block .(S E G Reg.) • - 2.28 .3:15.:`
8° Light Weight . 2.18 S. 03 .
• 12" Light Gleight 2.48 5.82 '
Insulation - 3 1/2" Fiberglass. _ 11.00`;
su Fiberglass
All other ihsulation naterials must be verified (R factor)
x ~ •
Note: (U) x area sq. ft. -
All.taindows, (w/.sto.rms 1" to 4" space) .56
Removal double glazing (P.DG) Thermo or welded 3/16" air 'space - _
1!4" air space _ .F`~ -
1/2° air sPace .5>
(Other windows•specifically tested can use better ratings)
.1.3/4 Soli,d core door .1p6
w/storm, taooc2 • .31 • ' '
w/storm, meta] _ . . .26
_
Sliding Glass`'Door, wooa . • ' .SS
metal . .715 '
Pease Door Steel Insl(Nio/G1) F 7.5 . .13
~ L BL CITY USE ONLY
/ RECEIPT#: 7~T7~
SUBD. RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3630 PILOT KNOH RD
EAGAN, hIN 55122
(612) 681-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unft
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
+Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum -1 3.00 x =
Rough Openings 1.50 x =
WaterSoftener 'fordwellingsunderwnstruction 5.00 X =
Water SoRener ' for existing dwelling 20.00 x =
U.G.Spfinkl@r `fordwellingunderconst. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Bf8 IOnS o exlstlna residenCe 20 0> _
Water Turn Around s 20.00 =
Private Disposal System " MPC iic. 75.00 =
(new and refur6ished systems)
Private Disposal Systems * abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL ~J
- - --ad t---- - -
- -ication, state that the infortnation is correct, and agree to comply wifh all applicabie Ciry of Eagan ordinances.
I hereby acknowled-ge that I have rehi-s appl-
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes na liability for any damages caused 6y the City during its
normal operetional and maintenance activities to the facilities wnstructed under this permit within City propertyinght-of-wayleasement.
SITE ADDRESS:
OWNER NAME: V r/~ /~`~~rSdrtJ
INSTALLERNAME: TELEPHONE#: 7S~I~ Y
STREETADDRESS: aa q Co' G? d'1`~i ~CI-4 '
CITY: s'f L de STATE: ZIP: ~5Y L G
i
ra~
SIGNATURE O ERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
L A/ BL CITY USE ONLY RECEIPT#: 9'7`C~
~ . ~
SUBD. ~lX ~ RECEIPT DATE:
1998 PLiJNIDING PERMIT (RESIDENTIAL)
CITY OF EA6AN
3830 PILOT PINOB RD
EAGAN, ta1 55122
(612) 681-4675
Please complete for: D single family dwellings
D townhomes and condos when permits are required for each unft
? backflow preventer for underground sprinkler system
- - - - - - - - - - - - - - - - - - - -
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
8ath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot IubISiDa 3.00 x =
ater Heater 3.00 x =
rain 3.00 x
Gas Piping Outlet " minimum - 1 3.00 x =
Rough Openings 1.50 x =
Watef SOftenef ' for dwellings under wnstrudion 5.00 X =
Water Softener ' for existing dwelling 20.00 X =
U.G.Sprinkler "fordwellingunderconst. 3.00 =
U.G. Sprinkler • for existing dwelling 20.00 =
Alt2rdti0n5 ' to exiating residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System " MPC ijc. 75.00 =
(new and refurbishetl systems) Private Disposal Systems ' Abandonmant 20.00 =
STATE SURCHARGE s o
TOTAL
- -
I hereby adcnavAedge that I have read- tl~is application, state that -the in-fortnation - is cortect, and agree to comply with all appliwble City of Eagan ordinances.
It is the applicanYs responsibility ta notify the property uwner that the Ciry of Eagan essumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilRies construc[ed under this permit wdhin City property/right-of-way/easement.
SITEADDRESS: ,ol Oo+J /~'L'/ «"S~w
OWNER NAME: 27/ -s- GV, I 1,11 6 -c,' W ~ I F / Y' ,
INSTALLERNAME: Y'Z4 (e"i'~ TELEPHONE#:
STREETADDRESS: IL3 y (~GUJ~co ~v-• .S~
CITY: I~/11~ G S, STATE: Z P:
SIGNATURE OF PERMI EE
JSIFORMS BLDCa/PLBG PERMIT (RESIDENTIAL) 1998
- w
2/84
CITY OF EAGAN
~ APPLICATIGN FOR-PERMIT
" SEWER AND/OR WATER CONNECTION ~
' (PLEASE PRINi) . . .~.t-..~.
11 PROPER'PY ADDRESS: 'a i L .
LDsAL DFSCF2IPTION: ~-o r 1`/ [~foc~~" / cfwn cA' ~%e ~'ctid[~Yi iUn i
(Int/Block/Subdivision ar Tax Parcel I.D. Nwnber)
1F E..^{IJ ^G SI1tUCP.7RE, DATE O_° ORIGINAL 6[JILDINC' PC-,%ffT. ISSU'1biG°,:
(N!on =h/Year J ;
PP,ESE.'"Tr 7_0`1rY:/PRDPOSFJ LTSE: ~ R-1 SINQE FAMII,Y : f.
? R-2 DUPIEC ('IWO [7NITS) i
1'y R-3 ,'~.'?751 ! .er,r~;
0 R-4 APA17RgSTP/CaIDaIINIU2I UNZTS)
Q OU*1E1tCIAL/RE7AIIf0FFICE
p IIUJ5TRTAL • .
0 Q INSTT2VTICNA,L./G0JE1*fi= .
2) APPLICANP. - PlEASEPRIMT) . . • -
NAM: lNUi7i7_S?7 /~XC-ccVa f ,A5 . . . .
. . . - - . J:~
nWRess:
crrr, srATE, zxP: 4p p 7c.
YFIONE: /6'7f~
3~ P~~ - ~j PLEASE/ PPIBT - - y-- . FOR CITY U§E OMLY Y?.~
NAM: -.PIUMBERS LICEASE
fi~ ~Fli.~V y~ N ~14YM r p 9 ro vt M) ' Active
CITY, SfATE. ZIP: 11~rlnlh~1C.. M•hrl .$-5`GeCy 0 Expired
~ Q Not/of Record
-PHONE: J16 _Q-doxgL> PLIIMBEF LICENSE N pS ~O ,
aS~FF niT'FtaT-
(SE PR Mf) . . . ' . .
4) CCC.'CPlu'dT/C7.^7iJEFt {J~ ~ PIEA
NFMF:
AGDI2fSS: ! 75~n~/ zn7~ ~ ul
CZTY, STA1'G, ZIP:
w~
PFiONE: ,
5) INDICATE WHICH PEESMIT IS BEIK; REQ[TESPID:
Ca
NNEC.TION TO CITY SE.YIET1
' [4 CCk1NEX.TIcN 'IC) CZTSC WATFR .
E] 01'fiER (PLEASE DES(.TtIf3E) _ 6) ^.)IC>;.?: G?:i::
F-1 E'I:T:%SE i?Om APPR(JVED PFM~LTT FOR PIC.K-Ur,'BY ONE OF A.9CTJE:
~ P:.I11SE ^1F1IL A}?PRfh'L1) PFS~'~LL'P 'n7 1, 2, 3,, 4 nBCNE .
- (Circle one)
.
- ~
- . . . .,.;i5~
~
,
z/a4
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRIHT)
1) PROPEEYrY ApDRE55:
rFrar DE5C7I°TIC:I:
(LOt/Block/Subdivision or TaY Parcei I.D. NLU[~ber)
lc EZIS^_'= :G ST: L'CP'i2E, DATE G_' ORIGiidAL 'rUILCL;G P=ST ISSLLANC^.:
~ PRESu^ --,!`II`:l:/p.-w{).'^SEJ' U-5:: ? R-1 SINGI,. FPm.Z:,Y
? R-2 GUPLE{ ('IwO fJD1ZTS)
O R-3 TCVa1VHCtISE (PfII2F',c, + [INZTS) ( UNITS)
? R-4 ApAR'R`AE~T/CJNIDa%lI~iTIU:~,l ( Wi ITS)
? CCMMRCIAL/TtETAII,/OFFICE
? LML'STRIAL
? INSTITUTIONAL/GCVE:RNNIEN'P
2) APPLIC-z~N'P (PLEASE PRi4i)
NANE:
ADDRESS:
CITY, STATE, ZI?: -
PH6LNE:
3) p~~mEn NP~`~: PlEASE PRINi) FOR CITY USE ONLY
PLUMBERS LICENSE:
ADDRESS: Q Active
CITY, STATE, ZIP: Q Expired
MA61t.q Q Not of Record
- PHODIE: PLUMBER LPCENSE N
arr nitia
4) 0=pNp/a'7NER TIANIE_ (PLEASE- PPINT)
ACDRESS:
CITY, STATE, ZIP:
PEK)PIE:
5) INDICATE WHICH PEPhLIT IS BEP;G REQUESTID:
? CO.u"VECi'ION 'Io CITY SF7r7ER
? CON[VECPION TO CITY WATL•Tt
? d1'I1ER (PLFASE DFSCF2IBE)
6) D.DI= C`E:
? PLP.`,SE f?OID APPF20VID Pg2,tiLiT FOR PICi:-UP BY OLVE OF ABWE
? PI.&'1SE 1%1AiL APPRQVID PER•lIT 'In 1, 2, 3, 4 AEWE
(Circle one)
7) SIGNA'I[.'RE: DATE:
' F`OR C I T Y U S E ONLY
PEiLT1IT ISSUED
PEL'S : $ SE;.,. t n-~~_, nz-?a+:r.,, i7~1,.r
Sli°CH?R(" E)
$ i c S o WATER PERD4IT (INCLliDE SURCHARGE)
$
WATER METER/CDPPERHORN/OUTSIDE REAuER
$ WATEP. TAp (INCiUDE CORPORATICN STCP)
$ SE;VE4 Tao
$ f'4~7 ACCOUNT DEPOSIT - SE'sVER
$ A-5-)"-~ ACCOUNT DEPOSIT - WATER
$ WAC
$ SAC
$ TRUNK ?VAT°R ASSz'SSi4EDIT
$ TRliVK SEWER ASSESS.IENT
$ LATERAL BENEFIT/TRUNK SES9ER
$ LATERAL BENEFIT/TRUNF: WATER
$ ' OTHER
$ TOTAL
$ AiMOUNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGcIT OF WAY?
~ YES IF YES, THEN A"'PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
~ NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUSJECT TO TFIE FOLLOL4ING CONDITIONS:
APPROVED SY;
TITLE:
DATE: ,r,l_- ~ o
~lsl~~li~t~l~4f~l~~k~FJ~R~14~Rfil~lf~~l.~~k~f~~~ll11R~~E~il~d~wal~R~J\~~
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construc[ion Reauiremenis RemodeUReoalr Reauirements Office Use OnN
3 registered site surveys showing sq. H. of lot, sq. ft. of house; and all rookd areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% maximum (ot coverage allowed) 1 5el of Energy Calculations for heated additbns Tree Pres Plan Recd _ Y_ N,
2 cropies of plan showing 6eam & windovr s¢es; poured fouM desgn, etc. 7 site survey for addttions & decks T2e P2s Requi2d _ Y_ N
1 sel of Energy Calculetions Addifion • indicate if onsife sepNc system On-site Septic System _ Y_ N
3 copies of Tree P2servation PWn if lot platted after 7l1)93
Rim Joist Defail Optlons selection sheet (buildings with 3 orless uniGs)
Date 2 l o~'f l-bS , /Con~st)rucdonCost
Site Address f~'1 /.s T,+"j?e. Wol 'f' 1VG,r f lV UniUSte #
Description of Work Tmr d ff ebdo6
Multi-Family Bldg _ Y k N Fireplace(s) _ 0_ 1 _ 2
PropertyOwnerlV1jL4pM `4i/ Telephone#(GS/ ) ~/-"719S
Contractor -3-V W QU~.? CuK S h c ~ (4 a
Address 40-1b7 7e "~"4vc- City )6~"y.~
State MI-) Zip SSR yd Tetephone #(5d7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residenlial Venfilation Category 1 Workshee! • New Energy Code Worksheel
(Jsubmissiontype) Submitled Submitted
. Energy Envelope Calculations Submitled .
In the last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone ~
I hereby apply for a Residential Building Permit and acknowledge that the informadon 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 ttte case of work which requires a review and
approval of plans.
-0-~L
Applicant's Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mu1G
? 03 01 of _ plex ? 09 07-plex ? 17 Garage D 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgaze6o) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Repl2Cement •Uemolitian (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framing _ Siding _ Stucw _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Fina] _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
o. raga b or y 2013-08-23 '16:'1'1:59 (GMT) 1!344680105 From: -.-.y P..K
Use BLUE ®r.BLACK Ink
For Office Use Y - i
Rf~ Ea fill 1 Pttt Oi I 1~
Permit Fee l0-
3630 Pilot Knob Road
Eagan MN 55122 j i:)ate Received: ~
Phone: (65'1} 675-567 1 i
Fax (659) 676-5694 . 1 Staff:
- - - - - - - - - -
X 13 BESIDE (TI L' UIL IN p` IT APPLICATION........-
Date : Site Address: Unit#:
[Nam,-Nii xN i 4dt^~aJ ~ ~ Phone 76cc X 155
ResidentJ
Owner i Address lGit
i Applicant is Owner Contra :
i4\Description of work. 3u"~ c X14 9 Nclz w, I i
Type of Word F
Construction Cost: Multi Family Ruitding (Yes / No l r
Company:. Contact r.1 C PI-V
Contractor
State; l~ l ; Z t ! Phone
~'p=
y License
s~ Lead Certificate #
If the project is exempt from Tad certification, please explain why: (see page 3 for additional Inform tiQri)_
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING. ;
I
I In the last 92 months, has the City of Eagan issued a Permit fora similar plan based on a master plan? 3
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor. Phone:
Severer & Water Contractor Phone
NOTE: Planes and supporting elacume~ s tEr2t yo&' submit are considered to be public in formation, Portions of c
the Informatlon may be classified as non-public if you provide specific reasons that would perm k the City to
I cr~r~cla~r~e tt€ai tFae~ are trade socrets
CALL BEFORE YOU DIG. Gall Gopher State One Call at (w) 484-oo02 for protection against underground utility damage. Call 48 hours
beforeyou inteno to dig to receNe, Locates of underground utilities. Hn r,ci ph~rstatperiecai{: ar;l
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
Fagan; that I'understand this is not a permit, taut only an application fora 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 wook w idI requires a eview and appl:oyal of plans.:
gxterlor work authorized by .a building permit issued in accordance With the. Minnesota State Building Code anust be completed within 980
...mays: of:permit issuance. App icants Punt Nanle ApplicarEt's pgnature
Page 1 .of 3
To: Page II of 13 2013-10-15 15:33:'18 (GMT) 17344680105 From: Harvey Pack
BLUE or:BLACK.Irik
t For Office Use
Permd#. II
.
G of ; s as
. I Kermit Fee:.
3830 Pilot Knob Road t Mate Rep~)(od..-..
l ..Date Received.. j
Eagan MN! 55122
Phone: (651).675,5675 t
1 Staff:
Fax:(651)675.-5694 1 !
2013. RESIDENTIAL. BUILDING PERMIT APPLICATION
~ is "F/ m6f i.J{ 6~C e9 ° i" J Y- Unit#
Date: Site Address:
Name. Pohl ftdlAn~`povavPhone 6 ~~3 3i3
Resident/ 7
t`
Owner Address l City i zip, bC r 1, P htir°° I`'
Applicant is: Owner Contractor _ _j
Desc iption of work.Y' 1\&Aft0 r°S V)1
Type of Work i
, MultiFamily Building (Yes_ _
Construction Cost! f No
„ Company:} Roan ~ GQntaCt 4,%r y~k ~
-T,
Address Q City; t`/
Contractor x
u ~s s
Stater Lip: Phone: ~ 1 -t -t
License tt 2C C Lead Certificate # i
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) r
{
COMPLETE:THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
In the fast 12 months, has the City of Eagan issued a, permit fora similar plan based .on a master plan?
f
Yes No. If yes, date and address of master plan:
Phone: _ i
Licensed.Plumber:
I
Mechanical Contractor: f'Itone; s
Sewer:& Water Contractor: Phone
a,
NOTE; Plan and sltpportin~ documents that you submit are considered tote 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
, w
CALL BEFORE YOU DIG. Call Gopher State.Qne Call at (651) 454.-0002 for protection agair*t underground utility damage: C049 hours
before youintendto dig to receive locates of underground.utilities, www. oct pherstateoriecalC~rq
I hereby acknowledge that this information is complete. and accurate; thatahe work will be in. cvnfomlancewith .the ordinances and. codesof the City of
Eagan; that understand.this is not a permit, but only an application' for a permit, and worlds not to start wtthout a permit that the work will be. in
accordance with the approved plan in the case of work whir:h requires a review and approval of plans.
Exteriorwork'.authorized by a building permit issued in accordance.with the Minnesata. state Building G.ode must be completed within 180
days of permit issuance.
x
Applicant's P.rinte Name Applicant`s Signature
rage l of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146675
Date Issued:11/07/2017
Permit Category:ePermit
Site Address: 1915 Timber Wolf Tr N
Lot:14 Block: 1 Addition: Sun Cliff 1st
PID:10-72975-01-140
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 -
Chindana P Nikhomvan
1915 Timber Wolf Tr N
Eagan MN 55122
(952) 769-3135
Ron's Mechanical
2026 Colburn Dr
Shakopee MN 55379
(952) 445-8585
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172447
Date Issued:09/30/2021
Permit Category:ePermit
Site Address: 1915 Timber Wolf Tr N
Lot:14 Block: 1 Addition: Sun Cliff 1st
PID:10-72975-01-140
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 -
Chindana P Nikhomvan
1915 Timberwolf Trl
Eagan MN 55122
(952) 769-3135
Ron's Mechanical
2026 Colburn Dr
Shakopee MN 55379
(952) 445-8585
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