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3980 Stonebridge Dr NCity ef 8agau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: - \c) Permit Fee:, Date Received: Staff: (t�J 2010 MECHANICAL PERMIT APPLICATION Date: IC Site Address:'57jD 57 e frig_ Dr- /% Tenant: 3 t Suite #: RESIDENT / OWNER Name: i t►'h ,.-402. . Phone: ‘5/.*,- gg 6S Address / City / Zip: z,1717 S-6—, CONTRACTOR Name: ,FtJ✓a 412St License #: Address: c2Sc1 ee- 6IV . City:tys�'�� 4 / State � Zip:ZiJ5:0.076 Phone: [; — t5 a' 2 Y > Contact: r4``? -0 "�'', Email: TYPE OF WORK Neweplacement Additional Alteration Demolition Description of work: v®®7r s A[a e7 a is �_ ¢�, a �o a - e c a --• a i® 0 X E 6 R m :.. f COMMERCIAL _ New Construction _ Interior Improvement PERMIT TYPE �� RESIDENTIAL dC Furnace Air Conditioner Install Piping Processed Air Exchanger _ _ Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank ( Install / _ Remove) _ Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is Tess than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit _ $ TOTAL FEE CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 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 not to sta out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Applican s Printed Name pplicant's Signature . ~ . . y_ JUL 17, 11 i.. 1 , DATE: oe~ p?-~ 3980 STOitEBBIDGE DR N (LIBERTY CONS'fbtUCT ON II'IC) ' RE: X , Your Sewer 8 Water Permit for the above property has been completed. It will be held at the Public Wor(~s Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following ' reasons: I Your Sewer & Water Permit for the above properry has been completed, but the meter cannot be issued or occupancy allowed until further notice. ; COMMERCIAL PROJECTS ONLY: Please pay ior meter at Ciry HaIL Meter size must be - confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTME~T FOR WATER TURN ON POLICY. Secretary, 8uilding Inspections Dept. ~ CASH RECEIPT CITY OF EAGAN ~ . . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE 19 ~ F&CEnEa snow l1MOUNT $ , _ t 8 ~ DOLURS ~m ? CASH Ul CHECK ~ • , 1.~ . I - ^ fUND OBJECT AMOUNT II f ~ Thank You BY ~ C 14089 Y*N-ft""m ~ ftk_.F..cop,, ~ • , • . CITY OF EAGAN 9 2.73 ` • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 ~ , Receipt # To be used tor C-AN Est. Value i yp ~Q Date- J(JTIj =0 , 19-21_ Site Address ~osojQ(,'E DR x OFFICE USE ONLY Lot 3 5_ Block 6_ SeGSub. Nit.1.S Ap Parcel No. ST~MBRiDGE occuPancy lt-j 416•1 FEES zoning tD -2r1 W Name - LIBdA?Y CiKM=I[li! i lVC (ncmaq const _1f=N BkJg. Permit 11115.00 o Address 45$ $~1Lg1L (^i~ab+e) Surcharge 73,oo City R,T D~tt~. Phone +e oi st°"es Ak3 - ~e~,n I Plan Review S24.00 ~ Name SAN_: - Depa, -32-1 Snc, Gry IAA,AA Addf@SS S.F. Total - gqC, Mcwcc 630, Q4 City Ph0n2 S.F. Fovtprints _ F On Site Sewage _ Water Conn 0, Name on site weu _ ~ W water Meter 95, s= Address MwCCSystem L u Gy water j_ Acc1. Deposit ~ i W City Phone PRV Required _ SNV Permit lo.m I hereby acknowlege that I have read this application and state Ihat the Booster Pump - S/yy Surcharge .~O infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances, Treatment PI 476.00 Signature of Permitee APPqOVALS Road unit A Building Pertnft is issued to: Z.?lPklPRTY (bNSTItUCT10~1 Ple""gr - Park Ded. on the express condition that all work shall be done in accordance with aIl COUncii applicaWe State of Minnesola Statutes and City oi Eagan Ordinances. gldg. pff. _ Copies Building Olficial Vanance - TOTAL i~. g6. 30 . _ _ _ _ _ - - - - - - - _ . _ _ , ' vermit Nw. PKmit Hower o.a Td.pwr» r wA,ER SEYJEFi PLUMBING ?+.v.n.c. 7 / • ELECTRIc InapwBon Date hisp. Canmwnts Footings I Z -,9/ ~ Foundation 4% Fremlr?g • 9/ O,S' Rodft Rouph P1bg. Rough Htg. Isul. ~ ~ 7• S Firq)lace S D Final Hig- Orstat Test Final Plbg. pbg. Inspeclpr - PlumAer Const. Meler EnprJPlan Bldp. F-a1 COirlCl,a, s 4-3C Deck Fop. Dec* Final Weq Pr. Di6p. ~ . . . w . »'tr....r~.n..,.... wu...~~..::., . _ .f.,. l~.? ' ~ - , . ~ (gtx#i#iraft uf (Oxr~~aury ' Citp of (tagan lkrmtund nf Ndibiag JW,ertintc T1i1s C"Jkate tssued pursuarrl ro the ragrdrematts of Serlion 306 ojlhe Unrfarm BuildiRg Cade wtiijying dat eu rhe dine ojissuairae lhis &truwmrr mcs fn cnmpl'cance wuh tlie Narrous ordbmnars of !he Qi11' rre8'ulatfuW bu7d'ia8 oonsducrion or rtsa For 1he following. uKakmrcmd. s' WWCM ~P, it N,, 19293 O-,q„q, ty,a R-3 M- i 7Aa*DiwW PD R-1 Tnc.,", V-N ~asumm LIBERTY CONST INC A&,. 458 BURLINGTON RD gwUM Addhd 3W Sl'RIDfW DR N E.~.;4 .15• Bb. AT l SOF S7L1iFWtT(YF L)11iln 1~ rjra ' DM SEPTEMBER 30, 1991 ~om(w P06T IN A OONSPICUOUS plAtE Address: 3980 S1CNMRIDGE D[t N Lot 15 Blk 6 Sec/Sub HQJIS ()F SIUJMRIp(E Thesa items were/were not complete at the time of the final inspection. Yes No - 3 - / Final grade (6" from siding) ? f.~;ti; t Permanent steps - garage Permanant ateps - main entry L/ Permanent driveway ? Permanent gas ? Sod/seeded grass Trail/curb damage ? Porch Basement finish Deck Please vsrify with the builder the zemoval of roof test caps from the plumbing system and the shut-off of vater supply to the outside lawn faucet before freeze potential exists. 4 N[nuconvtS White - City copy Yellow - Resident copy Pink - Contractor copy ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ''III IIINh 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ' ` . I limF ItP t li~.! W• M I I I 1 tH ~I i 1 1 . ; . , ~ i ~ . ~ i. ~ , ~ , :~;i .,.,~i•. PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • I I ~ ~ ~ Parmn No. Permn Holdw DaM Telephone X S/VH PLUMBING HVAC ELECTRIC ELECTRIC Inapoctim DaW Insp. Commmft Footinga I I I Foundatlon I Framing Rod9 Rau9h PIb9• Aough FMg Isul. ~v ~lfrGnQ'1J ~ Fwepi- FnW Htg. 0'a Oreat Test Final Pbg. P1by. Inepec1or - NotifY Plwriber Const. Meter EngrJPlBn Bldg. Final I Deck Ftg. I I DeCk Final I VYell I I Pr. Diep. I I I . - , -~-~.--~-~,-,.r__.. -v-~--•~~., SEWER 8 WATER:PERMIT , ; . OFFlCE USE ONLY I, C17Y OF EAGAN MErEa #6~~'410g90 PERMIT DATE fl 7I 17 / t' l 3830 Pilot Knob Rd. • Eagan, MN 55122-1897 CHIP ~6i(01 A a 87 PERMIT # 12151 METER SIZE u B.P. RECEIPT # C 14089 DATE JIlN 20, 1991 ISSUE DATE ~ B.P. RECEIPT DATE 061241 9; ` f PRV _ BOOSTER PUMP ISITE ADDRESS 3980 ST01'1Ei3RIDGE DK N PERMIT REQUESTED ! LOT 15 BLOCK 6 SEC/SUB hYLLS OF STONEBRIDGE . X SEWER X WATER _ TAPS APPUCANT: ADDRESS: - COMM/IND X RESIDENTIAL` , CITY, STATE ZIP ~ NEW _ EXISTWG i PHONE: ~ Lawn Sprinkler Meters are to be Installed PLUMBER: ' OLBERG CONSTRLCTION Ahead of Domestic Meters on Water Line. ~ADDRESS: 6410 1315'F ST CT Credit WILL NOT be given for Deduct Meters. jy CITY, STATE APPLE VALI.EY MN Zlp 55124 { PHONE: 432-9079 ! I AGREE O CO ~ RH C1TY OF f OWNER: LIBERTY CONSTRUCTION INC t EAG DI ADDRESS: 458 FURLiNGTQN RD r ~ CITY, STATE ST PAUL MN ZIp 55119 PHONE: 73R--0458 ATU E EN METER ISSUED . ;;,~i1, k~_/: _ P!~ • w PLEIISE `~LLOWI'1 .iW0 WORKING DIIYS ~OR PF~OCESSING. CAL~OR IN~ECTIONS. FOR STORM ~ SEWEA PERMITS, CONTACT ENGINEERING DEPT. . . . ' _ _ . . . . . . . . e . . . . . . . . . . , . . SEVJEF~ *WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 3830 Pilot Knob Rd AAEfER # PERMIT DATE fl 7/17/~ 1 . Eagan, MN 55122-1897 CHIP # PERMIT # 12151 METER SIZE B.P. RECEIPT # C].4G89 DATE JL'ti '~0~ 1991 ISSUE DATE B.P. RECEIPT DATE •06120191 ~ ~ - PRV _ BOOSTER PUMP SITE ADDRESS 3980 STONEBRIDGE llR N PERMIT REQUESTED LOT 15 BLOCK o SEC/SUB HILLS Oi' $TONEBRIDGH x SEWER % WATER - TAPS APPLICANT: ADDRESS: - COMM/IND X RESIDENTIAL , CITY, STATE ZIP ' AL NEW _ EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: i OLIiERG CONSTRUCTIUN Ahead of Domestic Meters on Water Line. ADDRESS: 6410 131ST ST CT Credit WILL NOT be given for Deduct Meters. ' CITY, STATE APpLE VALLEY MN Zip 55124 r PHONE: 432-9079 I AGREE TO COMPO WITH CITY OF OWNER: I-IBEFTY C%.)fi;;TkUCTICN INC EAGAN ORDINANCES ADDRESS: 458 BURLING'TdN RD CITY, STATE ST PAIFI. MN ZIp 55119 PHONE: 738-o158 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM , SEWER PERMITS, CONTACT ENGINEERING DEPT. a56~8 27 9 ~ ~ ~ ° Requesl Oate Fre No, Rough InspecUOn ui ? ReaEy Now SRN,II NoOfy Inspector Yes No ~ '~en ReaEY? ? I'glicensed contractor ? owner hereby request inspection of above electrical work at Job Atlaren Street Box w Roule No.) Ciry 3 p Sro.~ /-&6F- & ~i3 A ~$¢ttqn NO TOwnsM1ip NBma Or N0. Range N0. COP Occupant (PRINT) Phone No Power+~ ber Atltlr ss ~ /,J J 04 Ui4 ~'73 ~~.EC71?a T- 0'AJ - EIecV¢al Conlraclor (Company Name) Conlraclor's censo No. Standard Electric Co., Inc. 40837 Mailing Mtlreu (Conlra r or pwnar Making Installation) 26 plewood Dr., Maplewood, MN 55109 Au1horrzBE JdDa~fe ICantractor/Own9~ Maki In II on Phone Number auz ~Fu 484-8044 MI R STATE BOAHD OF ELEC IQTY " THIS INSPECTION REOUEST WILL NOT Grlgps-MlOwey Bbg. - Hoom &173 BE nCCEPiED BV THE STnTE BOARD 1821 Universlty 11ve., 5t. Veul. MN 55104 UNLESS PROPER INSPECTION FEE IS Flane(612) 602-0800 ENCLOSED n,...n REOUEST FOR ELECT'riICAL INSPECTION Ee.ooooi-o See mshummns lor complelmp 1~Rn on oack ol yellow copy ? M~ 9l w q~ ~ 6 8 2 7 9 "X" Below Worered by This Request ~•~m e Add Rep. TypeofBwldmg AppliancesWired EqmpmenlWired Home Pange Temporary Service Duplex Water Heater Electric Heating Apl. Buiiding Dryer Other (Specdy) Comm/Industrial 'Furnace Farm Air Condihoner ' Otnar(specity) Conlrador's Remarks' Compute Inspection Fee Be/ow: x Other Fee d ServiceEntrenceSize Fee # Qmuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 0 Amps Transformers Above 200 _ Amps / AlM 100 _ Amps Signs lnsoeciorg Use Onry 70TAL o Irrigation Booms ~ ~ , Special Inspection 7 J Alarm/Communicauon TMIS INSTALLATION M= OR EV"aCONNECTED IF NOT Other Fee COMPLETED WITHIN NTH I, the Electrical Inspector, hereby Rouyn-m _70.7-02 -CL/ certify that the above inspection has F,nai oal been made. 13 OFFICE USE ONLY " This repuest miE 18 monlns Irom CITY OF EAGAN Np 19293 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PHONE:454-8100 ~ /,/9~RL' BUILDING PERMIT Receipt # V u/ Tobeusedfor SF DWG/GAR Est.Value $150,000 Date .iUN 20 1991 Site Address 3980 STONEBRIDGE DR N HILLS OF OFFICE USE ONLY Lot 15 Block 6 SeGSub. ParCel No. STONEBR D pccupancy R-3 _M-1 FEFS zoning PD R-1 w Name LIBERTY CONSTRUCTION INC (ACluaqConst V-N Bidg Permit 815.00 3 Address 458 BURLINGTON RD (Allowa6le) -Y--N 75.00 ~ City ST PAUL PhOne 738-0458 N ol Stories Sumharge lengtn 65' PlanRevlew 529.00 ~F NBme S~E Deplh SA4Ci1y 100-00 Address S.F. rotai U~ City Phone S.F. Foolprints _ SAC, MCWCC 650.00 Sewage WaterConn 6b0.00 IN OnSile Name on sneweu 95.00 Watar Meter Address MWCC System X qcct peposii 30.00 City Phone cirywater ~L PRV Requiretl - S/N! Permtl 30 • 00 I hereby acknowlege that I have read this application and state Ihat Ihe Booster Pump - SM/ Surcharge - 5~ inlormalwn is correct and agree lo comply with all applicable State of Mmnesota StaWtes and City of Eagan Ordinances. Treatment PI 9 7 b-(1(1 Signalure0iP9rmitee APPROVALS RoadUmt 47f1 nn A Bwlding Permil is issued to' LIBERTY CONSTRUCTION Planner - park Ded. on the express condnion thal all work shall be done in accordance with all Cwncil applicable State of Minnesota~S~tat (u~tes and Cny of Eagan Ordinances. Biag. OII. _ Copies BuiltlingOfhcialpA1UJI-~~(i,i ry_I~~1~ Va"a^~ - TOTAL ~j,630.$0 7 ~ 1991 BUI LDIN 1T IATION CITY OF EAGAN ~r 0- SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PI.ANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTIJRAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET DF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWD DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: 3 1, Valuation: Date: Site Address 1)va OFFICE USE ONLY Lot ~C Block A~ FEES Occupancy M-l $ldg. Permit 8iSr00 ` 2oning U -1 Surcharge r/5,Q v Parcel/Sub jj,)s drT _sm., .4Y'1 ~ o C Actual Const V,N Plan Review S ,00 y. Allowable V_N SAC, City 75100 Owner c/iy,n d~s~Y Z_< # of stories SAC, MWCC 5'al00 Length 95-7 Water Conn. C060,00 Address 13)ye Depth Water Meter OO S.F. Total Acct. Deposit 00 City/Zip Code Footprint S.F. S/w Permit 3aOJ S/W Surcharge ,SZJ Phone 9 - b' g,~- On site sewage_ Treatment Pl. 2%4 o On site well Road Unit 3 o,a o Contractor e r~i pO r~S* ~ C~ MWCC System ? Park Ded. ~ \ City water ? Trail Ded. Address ~/Sj 13 e! r/i n q7"o h ~ C) ; PRV _ Copies Booster Pump City/Zip Code m/i SIIBTOTAL APPROVALS Penalty Phone 06L$ Planner _ Lot Change ~ Council TOTAL Arch./Engr. Bldg. Off. bT7~7--/~Ji Variance Address City/Zip Code Phone # 4:~~agrees that all work shall be done in accordance with (Signature of Cont actor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~rAR~y 30= '7~f0 l 2~ ~ o-0 z.,) G6o x~s =q9oo (3SN, r 12 = 1053 `/'Z O, LA~- - r5r ~~mn 55 rn T= ~ ox~-z - 1 2J ~t~i~r53= 63o~v ZNn f.~ t~SmT: Ia53 II~~XS3 - , oao~ ~ 4~89 I~rL IS-0 ~ * 2A~7 Fnirt~nivn htive ~ PIONEER --I~ ~1rn~ioln ilrightc, MN 55120 ~ LrtNDSURVEYOR$. CIVILENGINEERS 1.ANOPLANNGRS.lI1Np<f.MEAnrIqTK_i5 II (fi12) fi81 1914 J T J T ~ CertificTte ot Survey (or:_ L IHFk'T Y C(>A17 1 ~ NoRt11 ~yb 00 0~ S qD 7, 3 ~.~pT~ o , ~ / 7,1, ~ • . r ~~iJ Bo GAN~ ERII-G DEPT .i~~o ~ ~j~•~ L ~ ~ \ ~ ~ ~ / ~ ~ 0 ~ O pW ~ 0 100 ~ o e~ . 's \ y4 y ~ 900.0 Denoles Pxisliq Elevolian PQUPUSfU NUU56 ELEVq71UNS . soo.o f.)ertoles proPn. ~Elevolion - - -UenolesOramae( Ufili~ Ensemenf Lowesl Flra, E/eva/ion - 9o?.z_-- Uenofes Drnrria eFlow Arrows Top or'Bloe!<EYevalioil : 70 7. 33 o OPftOlPS rnon(Imenf G'v,•o4e slob Elevaft'a1) 409,0 Bearin~s sh~wnar'Q assurrted LOT 1~-, BLOCK (Z ~ NILtS OF STONEBRIDGE Dnkorn CouNTyp MIN~vESnT/1 SveiECr -rv EnsEMr-Nrs oratcaav 1 hrrn~rV r.n~tlly fii.~l IM1ia anvrV. plan pr rrpprt was pon.d hV mc oi nn. lnr ~~ry dirncl mpnivisim. nn. l Iha, I an~ didV f2rqi^.I~irr1 I_nnd S nr veyrn ~u~Arr 1hr I~wo ol thr $latr ol R7innrvota Dalyd lhis ~3' 7/~ I1nV nf _JC~I? C__ . / J CQ~I e ~ 1 inch : 40 _el - - ~ - = - - - ' ~ ~ 9~zs 7 I xi . . ! ' ENfRGY CONSEAYA7IO14 EYALUATION s;ce aearezs L-dT I~ 1~i o~~ F-t i(.C5 Owner ~JIM ~ C1-~IS-s Contrattar '~$I Oate Phone Cjq4 M G Calculations done by 14pVT~,--QC~. Tyoe of building S rea Assembl .(Show calculations on '4 orksheets (S Ft) U-Value U x A ( % o ota ei ing iea, ess :y i9 Insulated Area: Area See Fi , 1) Os(::, `o2Z 23'Z3 Framin Area:(10% of ToWI Ceilin Area See Fi . 2) ~cl~tcll ~ Sk li hts (From Pa e 7) 0 ~ Other:(Descri6e) ~j 1 Totals /173 5-7 2 Avera e U-Value, (UxAI/(A) from Line 1 ***ftk 3 Required U-Value (For ane and two family dwellings only) y*'""^y'k .026 *****k (907, o ota Wa rea, ess in ow an A~ Insulated Area: Door Area See Fi . 3) 'C'i~ Framin Area (10% of Total Wall Area See Fi . 4) 23b 1212, i io 23' ~2 indows: (From Pa e 1) 0157 i ~ Ooors (From Pa e 7) 27- 711 _ R im Jois[ Area: (See Fi 5) G 0'96 104- 10' M; j Fireplace Wall: ! 3 e° ' c w N 2 Foundation Wall:(Above Grade Less Window Area See Fi . 6) ~ 2d 1115 e, I d x W Foundation Windows: (From Pa e 1) [her. (Descrihe) ther: (Descri6e) 4 Totals 3(~ f8 *x*x'~* 23~',~0 S Avera e U-Value, (UxA)/(A) from L.me 4 ***y^t'"' i0 ~ 6 Re uired U-Value For one and two family dwellings onlyl \.11/ !f line 2 is ]ess than line 3, and line S is less than line 6, proposed ass7, blies meet code requirements. If tine 2 is greater than line 3, or line 5 greater than lincomplete the followtng to determtne alternata U-Value for total exterior envelope. v 0 ~ 7 UxA (Line 1) + UxA (Line 4), + _ o 8 Area (Line ll x U-Value (Line 3) x = u 9 Area (Line 4) x U-Valuc (Line 6) x - w - o "Bud et", Line 9 t Line 9 ~ If Line 7 is greater than Line 10, al[er assemblies as required so Line 7 does not exceed Line 14. ~ . ff Line 7 is less Lhan Line 10, proposed assemDlies meet code requirements. 1 FiQUre 1 Ceiling/Roof Insulated Area: ~ S rp Sq. Ft. (with attic area) R-Value Interior Air Film .61 Insulation Continuous Vapor Sarrier 0.00 1 Interior Finish ` (7&q ~ Interior Air Film .61 Total Assembly R-Value Assembly U-Value (1/R) ~n22 Enter on Page 1 Figure 2 Ceiling/Roof Framing Area: Sq. Ft. (with attic area) i ~ R-Value Interior Air Film ' .61 ' Insulation 44• o Wood Member "r ~ 3S Continuous Vapor Barrier 0.00 Interior Finish Interiar Air Film .61 Total Assembly R-Value ~?01 13 Assembly U-Value (1/R) 'O20 Enter on Page 1 For additional roof assemblies, see pages 3 and 8. 2 r , Figure 3 Exposed Wall Insulated Area: 21 i() Sq. Ft. R-Value Interior Air Film .68 Interior Finish Continuous Vapor Barrier 0.00 1~1•o I I Insulation I~I Sheathing 32 41 i Exterior Finish Exterior Air Film •17 Total Assembly R-Value 22'23 Assembly U-Value (1/R) lo 7 Enter on Page 1 ' Figure 4 Exposed Wall Framing Area: Z3$'23 S4• FC• A-Value Interior Air Film •68 Interior Finish \ \ Continuous Vapor Barrier 0•0~ I1\\\ Wood Member ~'~g ~3 \ Sheathing 2 ~ I Exterior Finish ~ ~ Exterior Air Film •17 Total Assembly R-Value Assembly U-Value (1/R) '10 Enger on Page L ' For additional wall assemblies, see page S. 4 Figure 5 Exposed Wall Rim Joist Area: Z S^ ,94Sq. Ft. R-Value Interior Air Film •68 Vapor Barrier 0.00 Insulation 101,0 ~II I~ Wood Member Sheathing u Exterior Finish Exterior Air Film •17 ~ Total Assembly R-Value Iz 4 692 Assembly U-Value (1/R) lo Enter on Page 1. , I Notes: 1) Floors over unheated spaces. For floors of heated or mechanically cooled spaces over unheated spaces, the overall U-Valve for the floor shall not exceed 0.05.. For floors over outdoor air, such as overhangs, the overall U-Value for the floor shall meet the same requirement as for roofs, U-Value of 0.04. 2) Slab-on-grade floors. For slab-on-grade, the inaulation around the perimeter of the expoaed floor shall have a minimum R-Value of 6.4. The insulation must extend downward from the top of the slab a minimum o£ 3'6" or downward to the bottom of the slab then horizontally beneath the slab for an eqvivalent distance. 3) Vapor barriers. The maximum perm rating for the vapor barrier is 0.1. A minimum of 4 mil polyetheline, or equal, is required to achieve this. The vapor barrier must be continuous with all joints overlapped and made over framing members or blocking. 4) For notes on foundation wall see page 6. , 5) For additional assemblies not illustrated use worksheet on paqe 8. 5 Fiqvre 6 Exposed Foundation Wall Area Concrete Block or Poured Wood Foundation Insulated Concrete Foundation Area: Sq. Ft. Area: { Sg. Ft. R-Value Interior Air Film •68 II i 00 Continuous Vapor Barrier 0• Foundation Wall ~ I Insulation ~ i~ - Ex[erior Air Film _ •17 I Total Assembly R-Value (0' Assembly U-Value (1/R) i~5 I Enter on Page 1 Notes: 1) On1y the above grade area af the foundation wa11 is co ba included in the enargy calculations. ~Z;R ]lop U/ J 2) ihe Energy Code requires chat, if the Eloar a6ove the ~ o~~ hasement or craul space is not insulated, the founda- ~ c ~ ion wall must be insulated. Either the foundaiion must have a minimum R•10 insulation applied cram the top of the foundation to ch'S frost Line or a minimum 0 • R-S insulacion applied over the entire foundatton p v wall. The R-Value specified is for the insulation O macerial only. 7 O O 0~ u S) IE ridgid Eoam insulacion is co be appliad co the 70v O o O O1~ V~ exterior of the Eoundacion wall, the a6ove grade J ~ portion must be protected Erom che sun, che weather ) p pOOCbOp O O and physical ahuse. JOpO~ D~~d O 1) [f rtdqid foam insulation is co be aoplied ca tha J7 vpiy~0 0~p~ C~~~ interiar, it musc be protected by minimum 1/2" gYp• OOv board or equal (as speciEied in section 1'12 oF the Ilniform Building Code). 5) Foundacion wall insula[ion For wood Eoundatians musc be inscalled as speciEied by the Nacional Forest Ptodutts .>ssociation's Design 4anual. idood Foundation Framed • Area: Sq. Ft. R-Value " Interior Air Film .68 Continuous Vapor Barrier 0.00 Foundation Wall (Plywood) Wood Member Exterior Air Film •17 ~I U Total Assembly R-Value Assembly U-Value (1/R) _ Enter on Page 1 ' 6 SKYLIGHT, WINOOW ANO OOOR ASSEMBLIES - a ue ik~li ht ManuFaeture Manufacture No. No. Used TaWI Sish Area(A1 R-Value U=1/R U x A Totals Enter Paqe 1 - a ua yy~ndowS Manufacture Manufacturo Na. No. Uead Total Sash Area G41 R-Vslue U=1/R U x A 101 L~2~'i I$~ ~ SZ GfZls 2 `I ~to ~PO~v Gt~ 23S G135 2 . ' C, 151 2 , ota s rrcc Pa e 1 - a ue oun atian Wail Windaw Manufacture ManuFacture No. No, Uaed Tatal Saeh Aroa (4) R-Value U=1/R U x ata s ntc age - aue - aue R-Valw Stam Ooa Doar U-Value Ooon Manufacture Size No, Used Tatal Ooa Arem (N Door (If Used) Assanbl U=1/R UxA SGN IP5& 2 &i'. O ?J r' - ~ 33 2),.2i~7 c&2 51 5~ ~ VI , IZ 4~2? '~P ~a2 2$ ~ U I< < 12 1¢ otasr-r~~-~Z a , •-)9 ~ ssemo rea ar 3 asen eea ar i ie cnesst - a w tvia e.sc~ lewiess - a ue ~ai asrn (Dbe) -4" " 'II ~ ~vz~r.,E Incenw v r m - a ut ee e ~ .(o nrtvia? Air t m - a ue ee aae 14 erior ir rt m R-Valuo K e a~ . 1 or ir ri m - a w n Pwm ota S3l1~h MtlaIYA Z~(ol o Sswro mrtt eliat7Ka 1AAsmmbiv -aw eO+ ~a a a lksseftiv RS QIGPO 3 C1' AISZWM tlQi ICw1tl2 - Y! 111 ~ d W lirtena v Fi m - a ue ee a ~ ntmQ Air i m - a ua e~ a eria ir i m - a w n e 5 eiar ir i m - a ue ae • z saemb i a+na nietanee o taeno er+na esitnnca tnta o a -aw van e ' ssan NS ar asane rd or uv+a esrn ms - a ue as ickmn - a w I rrcena ir , m - a w et aae 7 nteNv ir Fi m - a w c+ aae ~ G-M enar ir Fi m- a ue ee a e ~ v+n ir ~ m - a ue ee a ~saemor nerma i es~saMe Total ssano i ertna aiaonee Ass - a u~ an s v- a ue Enter an a !3lln I!n Or 3l1110 ' rtl Ot azen (Descritm) w m~as - a w a nm e i mc nnal - a um Wnar Air r+ m-Va ue ee a e ; Irrca+or Air ri m- aiue ee aae 2 i ~ enOr ir i m - alua ( e! aae enar Air ri m -Value ee a e 71 I I 0231 SStl110 CR~{ lSISMIIC! a01 SSBIIIO Cf~a G313OIR! I LAssemaly - a an a s emo -~ame ~ i> emv an a e i 8 PERMIT NI- ~ CITY O~ EAGAN Y /,-~G'yJ 3830 Pilot Knob Road PERMIT TYPE: e u z Lo i N~I / Eagan, Minnesota 55123 Fermit Number: 0 2 3 4 0 8 (612) 681-4675 Date Issued: 0 4/ 2 2/ 9 4 SITE ADDRESS: 3980 STONEBRIDGE DR N LOT: 15 BLOCK: 6 HILLS OF STONEBRIDGE P.I.N.: 10-32990-150-06 DESCRIPTION: - Building'Permit Type DECK Building Wo.rk Type NEW r' ~ ~ / ~ ` cD ;t_ uVJLf V_,~_~~~ C REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Totel Fee $30.50 CONTRACTOR: OWNER: - Flpplicant - GATES JIM 3980 STONEBRIDGE DR N EAGAN MN 55123 (612)688-8895 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. Statutes and City of Eagan Ordinances. I- J APPLICANT/PERMITEE IGNATURE 'I5SUEBYISIG ATUR CITY OF EAGAN oi 1994 BUILDING PERMIT APPLICATION 134 681-4675 ~a s30.a 0 SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & 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 ZD / 55t Valuation of work Site Address: 3980 Sto-e6r,Sac- aiUc_ WD, STREET SUITE A` Tenant Name: (commercial only) M-i 1/s a r,oT ~ BLOCK ~n susn. S~Onebf,~y~ P I D #/p" 32991' _/SU-D(p Descri tion of work: 6e /r0? nGc The applicant is: ff-Owner ? Contractor ? Other (oescr;be) Name _ 64f'e.5 Prcpe; ;y LA,z F:P.Si Owner pddress Stoncb4ae- S7REET S7E # City State ~n Zip Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # 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 read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 1/ OFFICE USE ONLY ~ ~ BUILDING PERMIT TYPE f ~ ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O~ Basement P rni"sh ? OZ SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool 1:1 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. J7 15 Deck 0 20 Public Facility O 21 Miscellaneous WORK TYPE 13 31 New ? 33 Alterations 0 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) Ist F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required 2oning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler length On-site well Census Code Depth On-site sewage SAC Code o/ Census Bldg / APPROVALS Census Un9t ~ Planning Building Assessments Engineering variance REQUIRED INSPECTIONS El Site El Footing ? Framing ? Insulation ? Wallboard ~ Final ? Draintile ? Fireplace Permit Fee vaimc;m: g Surcharge 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 Ded. Copies Other Total: SAC % SAC Units , . ~ 2422 En1rr rise Diive * PIONEER Il nlendota Hc qhts, MN 5512D LANDSVRVEYORS -QVIL ENGINEERS y - T englneering IANpPV1NNER5•LANOSfnPEAfiCHIlECTS II (612) 681-1914 Certificate of Survey for:_ _ L I BEK T-Y" CUAUIFUC7I0N ~ Noanl 0 i 00 ~ 907.3 y ~ o S 0 Ga, oP Q! 0.°e e "o 'ose ~ 0 o~ 0.° ~ z ' ~ \ \ J ~ ~ ~ab•'' yc°~ ~i \ \ / ~ 0 \ 00 .7 0~ yg 5• r goo.o Denpfes exishn flPVOffon Y PQOpUSEO NouSE E[EUqT1oN67 R yop,o Dmo{es propo d Elevot%on lowest Fl~or Elevafion 90 ~.z Denofes Ora~na~e (utr(!}y Easement - - benofes Drqnra eFlaw /lrrows Top ot'Bloc%FlevpliD/) = 709.33 _ o Deno{es monumChf C~iarc+1 5/ofi Elevafion = 309,0 8e4rinI57 shawnore assumed LOT L , BLOCK (Z, NILLS oF STONEBRlaGE DAKOT/1 CouNTyO MINNESOTA $UBlECT 7U EASEMENTS OFQECORD I hrrrhy cerlify Ihat this survvy, plan or repor[ was prCpmmd ryy me or undrr my flirprt suprrvition and Ihot I am Auly fiegiqnirr~ Land Svrvryor under Ihc laws M Hie S[a1e of Minnesota. OTIM ihis /3 dqY .I T<in-o A.D. 1g-ql-_; ~nch _ e£t Sca/e =1=- - 40 91Z5 ] CTTY OF EAGFlN CASH.T.FR: :IS TERMSNAt. NUe OUi 4FlTE: 07/1.5/99 TIME: 11e02:20 IL1: NAME~ RALFH FIAN5IJN CONThUC:TTON 3210 9001 3980 STONEBFIIIG 111.25 2155 9001 3380 SiTf]NE'F+h'tLiG 2.50 3210 9001. 3995 DFNMARK AV 37.25 2S55 3001 3335 IiENMfARK AV 2.00 • ~ Tota7. Recei.pt Amount: 213.00 Cfi 11344 i USFF TDe JAN 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Conshucffon Reaulrements Remodel/Reoalr Reaulremenis ? 3 registered sNe surveys showing sq. R. of 101, sq. R. of house 2 coples of plan and all roofed areas (207, mazimum l01 coveraae allowed) 1 set of energy calculaffons for heafed addRions ? 2 coples ol ptans (show 6eam 6 window sizes; poured ind. design; etc.) 1 fMe survey tor exterlor addRions A. decks ? 1 set ol energy calculatlont ? 3 coples of hee preservaflon plan M lot platted aFter 7/1/93 DATE: 7~~ /9 .7 CONSTRUCTION COST: DESCRIPTION OF WORK: ,lr'4 ~ r~ 4~ rP vuo/ caU J94Vnn STREET ADDRESS: 79,?o S LOT: ~ BLOCK: SUBD./P.I.D. ' Name: YI-3 Phone PROPERTY tast Flrst OWNER Street Address: 3'~0 S9 4 Y?v. IV. wn ~n City cCSGN State: Zip: Compaoy: G~n l{y~ ~e f o k C-sH ~J`. Phone ~ Wo -"zL~ 7 (area code) CONTRACTOR Street Address: 3 39.~ License 7"2 U Exp. ctty ~fdd~g stote: Ioti, zip: 57h0 3/ ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) StreeT Address: RegistraHon City State: Zip: Sewer 3 waTer Ilcensed plumber (reauired for new construcflon onlvl: Penaly applies when address change and lo} change Is requested once permM is issued. ect, and agree to omply with all applicabl I he~reby ocknowledge that I have read fhfs appllcation, stafe that the Intormatton is c State of Mlnnesofa Statutes and Ctty of Eagan Ordinances. ~ ~ i Signature of Applicanf: i' .c „ OFFICE USE ONLY iCertificates 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 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ piex ? 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 ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration 0 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) 0 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. 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 Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 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 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 .J L 651-681-4675 C? New Construefion Reauiremenh Remodel/Reoair Reaulrements ? 3 regisiered sMe surveys showing sq. fl. of lot, sq. M, of house 2 copies of plan and QII roofed areas (20% mazimum lot coveraae allowed) 7 sef of energy calculaHone for heated addMlons ? 2 copies of plons (show beam 8 window sizes; poured fnd. deslgn; etc.) 1 sHe survey for exferior addMions E decks ? 7 set of energy calculatlons D 3 coples of hee preservWion plan tl lot platted after 7/1/93 DATE: ~~/'r~?. CONST UCTION COST: DESCRIPTION OF WORK: `a,t STREET ADDRESS: 4` LOT: ~ BLOCK: ~ SUBD./P.I.D. cS-C J~+L y Name: PeS, Phone PROPERTY last Fint OW N ER Street Address: Lo Ci1y ~Coau State: Zip: Company:,4,~" .,S~ Phone 6<7 ~"6o ~ f`67 (area code) CONTRACTOR ~I 1 Street Address: ~ License # Exp. ~I °vo City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration It: City State: Zip: Sewer 8 water licensed plumber (reauired for new consfrucfion onlv Penaity applies when address change and lot change is requesied once permR Is Issued. I hereby acknowledge that I have read this applicaflon, state that fhe fnformatlon Is conect, and agree to comply wNh all appilcabl Sfafe of Minnesota Statufes and Cfty of Eagan Ordinances. Slgnature of Applicant: - ~ 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 0 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 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 ? OS 3-plex 0 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas lnsert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair O 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No, of Bidgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Faotprint sq. ft. Baoster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 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 f~ CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # XI.'UZIBTNG PtRMIT DATE: 9.3~ 9 RES'TD$NTIALi, PLEASE COMPLETE llPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & _ TOWNNOMES/CONDOS WFIEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ~ ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 3-0 a REPAIR WATER CLOSET 3.00 g°° ~ BATH TUB 3.00 3.0 0 LAVATORY 3.00 /a•oo OWNER NAME: KITCHEN SINK 3.00 3.00 7 ~ LAUNDRY TRAY 3.00 3.0 0 SITE ADDRESS: 390 HOT TUB/SPA 3.00 ~ WATER HEATER 3.00 5•00 LOT:I'L BLOCK SUBD./ ~ FLOOR DRAIN 3.00 3.0 0 GAS PIPING OUT. INSTALLER: (/~,b~114P_C. U (MINIMUM - 1) 3.00 3. Oo ROUGH OPENINGS 1.50 ~1. So ADDRESS: ~ ~7- 3 57 OTHER r J WATER SOFTENER 5.00 CITY: /%rr~ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 77-7 PHONE - ~ 4 / SUBTOTAL $ i (4 ST. SURCHARGE .50 SIGNATURE OF PERMITTEE Q ~ TOTAL: $ bOMMERG2ALJiNDUSTRIALi PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 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 , - CITY OF EAGAN FOR CITY IISE ONLY 3830 PILOT KNOB &OAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT #--Z~ M.#~•C}1At+TTL"A1.:°~'LIiMTT DATE: oZ R:ESIDENTxAL:; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ? ADD-ON MINIMUM $15.00 ADD ON _ HVAC 0-100 M BTU 24.00? REPAIR _ ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 V OWNER NAME: L»~~~I ~NS'C1ZV C,'T~0~1 OF 1 PER PERMIT ~q~D S'CONEV3R~~E.E D~'. , SUBTOTAL: $Z~ • ~ SITE ADDRESS: STATE SURCHARGE: .50 LOT:15 BLOCK G SUBD. lld~VOYA4_G_w~ TOTAL: $ 21 . S-D INSTALLER: , • K • ~~~T\~~o ~ ' 12`bt~ Nvoso~ ~o . ,-<k m Qt~ro~a,J - YY~ . WE Fc;\tS6 ADDRESS: SIGNATURE OF PERMITTEE S' CITY: C. mN • zzP: PHONE # : J1 ~1 ~ ~11 `~i \o COMMERCIAL/INDUSTRTAL:, PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCZAL/INDIISTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $,50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PP.OCESSED ?IPING = $25.00 LOT: SLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN !" #$%&'()'*+*, -./$%'"&0-1N3$2>$,+ -./$%'53/4-.167879CA <*%-'!==3->1?9@?Q@:?7A -./$%'#*%-+(.&1--./$% B$%-'6>>.-==1''9OQ?''B%(,-4.$>+-'<.'5'' 8;"#$% &&K)**++, &&3+##1&ZH&>,2@E+*42 567 8'9(W<<'9'K98;'& =12 <-=D.$0%$(,1 >?@&-AB2 C2EHN,1E?$+,&-AB2 DE%&-AB2 C2B#0$2 721$E+B+, 721&,&+,$#?*2&1%A#+4.J1L N2,1?1&N*2 V(V&9&Z$$?B0,$A _,+,4 >P?0E2&R22 ' 5#2012&BE+,&B+$?E21&H&+$2&0,*&Q02E&BE2$+,&0,*&#20X2&,&1+2M #(//-,%=1 N0E@,&/,O+*2&*22$E1&0E2&E2P?+E2*&Q+.+,&8'&H22&H&0##&1#22B+,4&E/&B2,+,41&+,&E21+*2,+0#&./21&JF+,,210&>02& "?+#*+,4&N*2LM "&9&"012&R22&UVaU8'(MW;&'!'8MV'!; E--'B3//*.&1 >?E$.0E42&9&"012*&,&`0#?0+,&UVaUWM''&<''8MW8<; `0#?0+, &&V^'''M'' "(%*21F7?CG:C' #(,%.*D%(.1HI,-.1 9&&)BB#+$0,&&9 +,*?1&N,1E?$+,c+//+2&"&\\021 !:<&3QA&K((<!'&>,2@E+*42&7E&I "0#*Q+,&D6&&;V''WY040,&FI&&;;8W( J:8;L&K!V9VKV: 6&.2E2@A&0$%,Q#2*42&.0&6&.0X2&E20*&.+1&0BB#+$0+,&0,*&102&.0&.2&+,HE/0+,&+1&$EE2$&0,*&04E22&&$/B#A&Q+.&0##&0BB#+$0@#2&>02& H&F+,,210&>0?21&0,*&N+A&H&Y040,&ZE*+,0,$21M )BB#+$0,T52E/+22 &>+4,0?E2611?2*&"A &>+4,0?E2