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2205 Liberty Lane . F4EA7"LUSS-HEIATGAIN ANALYS3S REPORT / ! Dc: snt.es coMaanv, INC. ??S' ,?/?E,Lr`J LN ? 27DO F,AINNEHAF{A AVE MIMNFAPC!i.IS, MN ? (612)71"''00 FAX (612J728•8779 ? GUSiOME!2 NAME. 00 lf($.- &4thS.ic?[.NEA'ifNG hn;ahng Cooling PtAN N/1M e:Hl _ DiEDR!CH BUILpERS 4 PLEX ? Outside db -20 95 J06 RRJR=SS Insitle Ub 70 75 !'Ai CUi.AIr0 BY Design 7'D 90 20 Datly Ranpe - M OATL- _! _?i 17eu3moB?r-12-20?2 ____ Inside Humd - 50 33 1YaE'C1? r CON57 T?PE= HTM AREA OR ? BTUH XPOSURI" CR R VAI.UE HTG CLG LENG i Ff? aNTG CLG a--•:.-. Cc ?_'_' ?_-r..: ---• mcss. GK0. ,. i(C)hbove Grade R79? ? ?3oq@ ? tXf?OSrD (q)Retow Grade No !ns ? WFtLI.S I(E)6e{pya GtSde R-11 ? 7070 ? ? ??,..?..._.- ?_....,.__... V`i!M[JC7VYS 3AUbieCirWqnd` 49.8 ? 222'-- ~ti4M11?, d GLHSS ?2A 1 Pane storm YJocd^+ 428 ? 4 ? ?^COf2S(_Hl C;? , 5D Trple?ow?e Wootl _? 281 } --` , p. WtNpOLyS - NOttTH 19.0 ?65 1235 S GLA5:i FASTI WESi ' 56.0 57 ? 3192 DG(?R8 (Ci 6) 'SOUTH 32.0 100 ? 3200 t DOORV._,._._._..._. MEi? _....._...___._..?. - 28.8 71 42V 1210 319 - NF'? ~??? (C)Above Grade R19 "? 5.4 ? 1.4 r1084 ^ 5054 1518 EXAOSCD (D)DelowGrade Tvo Inx ! 5,7 Whi.lS I(E)BelowGr2deR-1t 46 ? 00 1076 4950 0 n ?1 ) 2.1 ? 1 A 1262 .. . 2892 .? -??-- 287_ -- °-- -•- ?--...._....._ (U)kt6 48_ 2,3 0 G d .?.». {M) BSPhT FL.OOR".?. ?-2.2 1133 -?.2A93 ? 0?? cIOORS (N)Af3qVEGARAGE 4.3 ? 0.7 143 647 ! 104 _(O) Sl.A6 ON GFL4pE 369 0 0 1 0 ?...._....._..-. _.,_.... aJ..._._..-----...._._._.--- - INFIL7Rp ..-. .+*:pN ? a- $370 13.b _-.-..,_--?.-.?:: ?:--- =;_•?--? . aR.,,?. ?_?: -_ St!H- 1 p i A!. 71!-ATL055 & IAEAT GAIN 37219 ^ 12245 '-°--------- -----`° ................. ------------------------ ---------------------- ---••-------- _.._.. --------..---° 'JEP:71I,q710NJCOMBJST;ouniR 3286 730 --- ----.._._.._.._...?_..,_......-•----- --._?.._..... ._ ._.?----------------- ?---------- ----------_._.__._... .._._----?-- - rOYaL HE.4rtGSS-s7uw 40506 ._.-s.a<...az?...,?„__-?- - ° - --?•_. PEOFL£ a' 3pG gTUH 6 1000 Af'Pi_. UGF 7, El"C @ 7200 BTUH 1 7200 ..?...._._.......__............. -----?-•-- -•-- -.-_ __._....,.,-•---------- -----°---`------------------- ............ _........ -'-------- -_._ NE"I SFNS19LE ff'TUN GAlN 15075 IYUCi B'I'UI !:PRESH AIR GAIN p ..._..._---------------------- •------- ......___.,?-- ------------- ------------------ ._-'--?----------------------------- __. _-_._----- ---?--- TO7AL SENoIBLE GAiN ?5975 1 OTFL GGQLiPlG GAiN-87UH (SEAE3I81.E+ LATENT) -----?----?--J' ? ?986s . HEATLQSS-HEATG141N ANAL.YSIS FtEPORT W hl S e rC cv?iCA TING L'tCDKICH SIJILU ER$ 4 ALEX WAL!_S VJIND4W5 DUaRS CEILING FLOOR INFIlJVENT 70TAL5 5AScMCNf 5508 2232 D 0 2493 3128 13359 k'ain Flonr 5237 0779 1210 2692 641 6527 27148 ROOM ;A 0 0 0 D 0 0 0 ROOM 4 0 p p p C G 0 ROOM 6 Q 0 0 0 D D Q kOOM, 8 0 G 0 0 0 D 0 ROOhl 7 0 0 0 0 0 0 0 ROOM 9 0 0 0 0 0 0 p ROOM 9 0 0 0 0 0 D C ROOM tp C G 0 0 0 p Q RLDoM 11 o o a o 0 o a ROOM 12 0 0 0 b 0 0 0 ROOM 13 0 0 U 0 D 0 p ROOM/{ 14 0 0 0 D v 0 0 7OTALS 10803 11011 1210 2892 3133 15856 40505 14FA7IsA1N WALLS WIN()(77W5 DOORS CElIING FLQpR INPlLNENT TO7ALS f3ASttJE1d" 144 1410 0 0 p 607 2161 l.M3„•tFf00r 1373 6217 318 1282 104 1548 10814 RUO(H 3 0 0 0 0 0 0 0 ROOM d 0 0 0 0 0 0 p ROOM ^ G G D 0 0 0 C fii70M ° G 1) 0 0 D 0 0 ROOM 7 0 0 0 0 0 0 0 p'JOtiI 8 4 0 0 0 G f! 0 ?!7CW 9 0 0 0 0 0 0 0 ROOM 10 G 0 0 0 0 0 0 HOON! 11 0 0 p p o G 0 ROOM 12 0 0 p 0 1) 0 C RQOM 13 0 0 0 0 0 D D ROOM 14 e 0 0 4 6 0 0 '107P•I.S 1548 7827 319 1282 104 2125 75975 SMOLE +lAi EN7 =TOTA: (SENSIBLE & LATEN7) SEN51E3LE P.D.S[MEW 21$1 540 2702 Main F;an 10914 2f03 73517 P,VOM .3 0 0 0 fi001A f G 0 9 ROOM 5 0 U 9 ROOM 6 0 o p ,°.UOY / G 0 0 M ROOiA 8 0 0 q k::OM 3 0 Q 0 ROOM +0 0 0 0 ROOM 11 0 0 0 Rounn ;s o n o ROOM 13 0 U 0 P,UOM ia 0 0 0 70TAE.5 15975 3994 19909 HEATLOBS-fiIEATGAiN AtdALYSlS REPQRT _.:.>_- ???-x ?,:.=.???w?v _.?: ? •_-?,. ?--.- --- ?., _?.?.?.?--_?:? . .._ 1170 h )Pr"S -SbG49d.i IEH7l,'JG S;lEDRtCH 301.DERS 4 FLEJ[ RU0A4 NA14E EXP WALI. BG WAI_L SG WL INS CEIL Ii7 Eli45EM[W 785 00 134,5 8.0 i.9ain Flw, 1t)0.D 00 0_0 80 ROOM ' 00 00 00 00 HOOtv14 0.0 0.0 0.0 p.0 ROOM 5 b.O 0.0 0.0 00 ROOM 6 UA 0,0 0.0 0.0 FtOUM r (1,0 0.0 0.0 0,0 ROOM 3 0,0 0.0 0.0 0.0 ROOM B 00 0.0 0.0 0,0 ROOM +') 0.0 0.0 0,0 00 ROOfvI 11 00 0.0 0.0 00 RCOM 12 fto 0.0 0.0 0.0 ;=''A 1' 0.0 0.0 0.0 0.0 ROOM 14 0,0 0.0 0.0 0.0 ROOM hAM: N VJINp E WIND W WIND S WiiVp DuOk5 i;4GFMEM 300 150 0.0 0.0 0 A,f,ain Ffnot 350 00 42.0 300,0 42 fiOdN '', 0_0 0.0 0.0 0 0 0 ROOtut 4 11,0 00 0.0 0.9 0 ROOM .1; 0.0 00 0.0 0.0 Q ROOM 8 C 0 00 0.0 0,0 O ROOM ' 00 o.o 00 0.0 0 hOOM 5 O,J 0,0 00 00 0 k?X>fv1 N 00 00 0.0 00 0 ftt.)OM t:, G.p 0.0 0.0 OA 0 R{7G7v1 11 00 00 0.0 00 0 ROOM 12 00 0.0 0.0 C D 0 ROOM " 0.0 0.0 0.0 0,0 P rY?CM 14 00 00 0.0 0.0 0 ROOM NAMF CEIL 5F BSMT FL PSSMTfGA SLABIGRD INFtC SF BAfiEMLNI 0 1133 0 0 300 Im7ain FICa 1282 0 149 0 1282 ROOM 3 0 C 6 F20(?M d 0 0 0 6 RJOtA b 0 0 0 0 ROOM 6 J O O 0 ROOM1A 7 1) 0 0 0 Rai]Pd A 0 0 0 0 ROOM S D 0 a U ROOM 1o p D 0 U ROOM ! ? ?J D 0 G ftOOld ?2 D 0 0 4 r,oou 13 o 0 o C ROOnA 1,4 r) 0 0 0 PEOpLE 2 4 0 0 0 h11,lcherk COMPLIANCE P.EPOF.T hiinnesota Eneryr; Cade MNcheck Software Varsion 3.0 cauriTy: Dakota STATE: Minnesr,ta ZONE 2 CONSTRUCTION TYPE: Multifamily DATE: 1-3-2003 TITLE: EAGAN HEIGHTS PROJECT INFORh1ATION: PLAN tJ02-0801Y2 COMPANY Ir1FORh7ATIODI: DIEDP.ICH E+UILDERS NOTES LOTS (.2- COh1FLIA.NCE. FASSES F.equired UA = 993 Your Horne = E71 12.3% Ea_tter Than Code i I Perrnit tt ? I' I Checked by/Date ? I 6- /ep'er y ZW Area or Cavity Cont. Glazing/Door Perimeter P.-Value P,-Value 1J-ValuF UA - ----------- C:EILIN3S Raised ------ Tzuss -------- ---------- 9942 ------- 99.0 ------ D.il ----------- ---- 109 UJA.LLS. 4dood Frame, 16" O. C. 3913 19.0 2.0 219 Tois'- Ae-EFr : 642 10.0 2.0 52 BSMT Conc. 8.3' hti7,8' bqi8.3' insul 1909 10.0 0.0 111 B:;h1T'. Conc. 3.5' hti3.0' bg/3.5' insul 491 10.0 0.0 39 GLAZI[IG: Windows or poors , Abave GrarSe 841 0.350 299 DOOFS 198 0.350 52 ---- - ---------------------------------------------------------- COh1FLIA.NCE STATEMENT: The pruposed building desiln described here is consistent with the building plans, specifications, and other calculations submitter{ wir,h rhe parmit apFlication. The proposed builr(ing has been dFSigned to meet the raq_uirernents of the Minnesrta Eneryy Cr,de. Builder/DesignerT??..= ?e f?? Date ?-25 a? Minna?jDta Energy MNcheck Software EAGAN HEIGHTS DA.TE: 1-3-2003 Code b'ersion 3.0 FLAN REVIEW AND INSFECTION ISSUES This list of items may bF helpful far use as a guide for enforcing the pqinn Group r, Division 3 Occupancies, one- The iterns rnar4:ed caith * apply only ta residential dwellinls. FLAN REVIEW ISSUES Plan F.eviewers and Buildiny Inspectars n-sota Energy Code. The items apply to and two-family residential dwellings. detached une- and two-family FOUNDAT I OhI I td SULAT ION - foundation wall insulation R-5 minimum - foundation insulation extends from top of wall down to top of the footin7 - exterior faundation insulation is covered by a protective coating finish COtdCRETE SLAB OR UNDER-SLAB INSULATION - slab on grade perimeter insulation R-5 minimum - slab insulation extends from top of slab to design frost line or toF of footing - flours over unheated space R-30 minimum WINIXJ4JS / DOORS / SKYLIGHTS - av?raga U-value is 0.37 maximun foundation windows) - window U-value consistant with - window and door area consistent for windows and glass doors (excludes building plan and MNcheck Report with building plan and hiNcheck Report h1ECHANICAL VEPITILATION ISSUES - residential mechanical vantilation sy:=tem provides adequate ventilation per cnde requiremente* - furnace efficiency is ccrosistent with MNcheck or buildinl desiyn plan - protection against excassive deprzssurization is installed per code requirements" EidVELOFE INSULA.TIOtd FOR PLA,DI REVIErJ - interior basement insulation k-5 minimum (if ne exterior insulation) - ceilings with attics P.-38 or consistent with building plan and MDlcheck Feport -wall framing and insulation level is consistent with building design and MNcheck Report INSFECTION ISSUES CrJNCEA.LED IDISULATION FRAMIt1.; A.ND SHEATHING - wind wash barrier installed at attic edge - exterior wall corners framed so that insulation can be installed after e;cr,erior sheathing is installed - intersections of interior partition walls and exterior, walls are framed : that insulatiun can be installed between the partition anri exterior sheathing after erterior sheathiny is installed - qaps between framinq less than one-half inch are eliminated by securing frarning together or are insulat_ad at the tirna of assambiy - all penetrations between conditioned and unconditioned spaces made prior to frarninl inspection are sealed INTEP.IOR AIR BARF.IER - all fire stops are air sealed - FiPP?-, ducts, wires, equipment and flues and chimneys through the interic air barrier are sealed - a sealed continuous interior air barrier is installed on the warm side oi the building envelupe at ceilings, walls, and floor rim joist areas* - air barrier behind tub and shower is sealed and prutected - recessed liyht fixt,ures are sealed EN'JELOFE INSULATIt7N - basement insulation F.-5 minimum - wind wash barrier on wall seFarating house and yarage is sealed - loose fill insulation is prevented from enteriny the eaves - insulation on skyliyht shafts and walls exposed in attics is supported on the unconditionec] side ATTIC INSULATIOtd - attic accESS panEl insulated to R-38 for ceiling panel and R-19 for wall panel - attic card attached to frarning near access openiny - nut,ification of attic F.-value and date of installation posted near bui permit inspection card This is a summa n1 only. Dther requirements may appiy, See the Minnesota Energy Code. Questions? Call the Department of Fublic Service Inforrnation Center at 651-296-5175 or 1-800-657-3710. ?+ w c, I sas? RESIDENTIAL BUILDING ? Permit Application ? City Of Eagan (p 150 7 D 1s aq a -7 0•S(9 3830 Pilot Knob Road, Eagan MN 55122 Pr q ?SZ Telephone # 651-675-5675 FAX # 651-675-5694 ,-,,e??e NewGonsWCUonRenui2menis RemodeVReoairReauiremenis ? a3 OtficeUseonlv 3 registered site surveys showing sq ft. of IoL sq. ft. ot house; and all roofed areas 2 copies of plan CeR of Survey Recd Y N (20% maximum tot coverage allowed) 1 set of Energy Cakulatlons for heated additions Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam 8 window sizes; poured found design, etc. 7 sile survey for addi6ons & decks Tree Pres Nol Reqd _ Y_ N 1 set of Energy Calculatlons AddNOn - irMkafe i/on-sde sep6c sysfem Oo-si[e Sep6c Syslem _ Y_ N 3 copies of Tree Preservation Plan if lot platted aRer 7/7193 Rim Joist Detail Op6ons selection sheet (bldgs wiN 3 or less units Date --Z-/ 71 / 0?7 Site Address L,b e,a y Lan-c Construction Cost ? ?? ,oaZi F4gQn rnh Unit/Ste # Description of Work J\lo „-3 C l'MSk-ru tAi o n blulti-Family Bldg ? Y_ N Fireplace(s) _ 0-Z 1 _ 2 Property Owner Telephone # ( ) Contractor 1,' 2[lr%ch T-'1 l0l-e.^4 e /? Address I58'f7 c' State MY) , Gron?, -?n-4-h City o mot n4 Zip JN50(og Telep6one #(jo$y )??a [a 930 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy COde CategOry . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelopa Calculations Submitted ?i? I ?? Have you previously constructed a building in Eagan with a sil?m I r pl'an? N If so, 25% plan review fee applies. ?? ?.?8 ?m?n T?umb;?n I ?one #?(,?ta,) 29D• ?174?. Licensed Plumber u L,- ---- .? MechanicalContractorL,.?chl?.xs 27, " Telephone#QSa) 41-61-'7099 Sewer/WaterContractor Telephone#(9s2) "V`y1y9 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; [ 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. i/it L/?• E,?ir?ll?usl _ ' Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling X 03 Ot of#plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ]? ' 31 New / ? 32 Addition O 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level Pibg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) 0 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bidg)•' ? 43 Reroof ? 46 Windows/Doors •Demolition (Entire Bidg) - Give PCA handout to appliwnt Valuation I 'L9? o (2 L) Census Code c) 2 SAC Units Nbr. of Units ? Nbr. of Bldgs / Type of Const V/Aj Occupancy nJ " 144- MC/ES System Zoning CityWater Stories 0 Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS ? Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Foorings (addition) _ Plumbing X Foundation _ HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tesu Final ?C Framing Fireplace )[ R.I. ? Air Test _ Siding Stucco Stone K Final Windows (new/replacement) ? Insulation Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC city sac Utility Connection Charge S&W Pertnit 8 Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 OS-plex ? 11 10-plex ? 12 12-plex -7? Approved By I-z_ , Building Inspector ?/o? X 1S?' M40V dzSG ? ??= .s --?,04 I ? yl 30 ??:''dI't; ? M? rL 8-ov 3? /7b _ y" 7A 1n --?-- 1 Address: 2205 Liberty Lane Zip: 55123 Lot: 12 Block: 02 Subdivision: Eagan Heights Townhomes 3rd THE FOI,LOWING ITEMS WERF./WERE NOT COMPLETE AT FINAI. INSPF,(TION ON a?- Yes No Comments Final grade - 6" from siding PerTnanent ste s- ara e Permanent ste s- main ent Permanent drivewa Permanent gas Sod/Seeded lawn TraiUcurb damage Porch Lower level finish Deck Fireplace . V erify with your builder that roof test caps from the plumbing sys[em have been removed. • T urn off water supply to the outside lawn faucets before freeze potential exists. • Call the Crty's Engineering Department at 651-675-5646 prior to working m right-of-way or installing urigation system. V BIDLDING INSYFCTOR: t lZ CONTRACTOR: Diedrich Builders 13224 Grand Oak Ct Apple Valley MN 55124 Site address: [4?-r. Lot j-):- Block ? Subd. j?y? 4/5 On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. j? This stnicture: is consWcted to meet minimum requirements of the Mn Energy Code, Chapter 7670 ? OR _ This structure: will be consUucted to meet more restrictive requiremenGs of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTII'S VENTINGTYPE Water Heater Fumace Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED veS r+o Kitchen kitchen ,Q,M ?MAP`rv ? Bathroom 1 1?1 ? Bathroom 2 G v ? ? (177 v Bathroom 3 o,? 1+ ' )p Bathroom 4 Other FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DiRECT ATMOS _ ( t? -??-G1..- 0,1? I hereby acknowledge that the above information is correct and agree to compiy with the Minnesota Energy Code and City of Eagan 6 -A -OS Date CompanyName • This form is tlhe responsibility of the General Contractor. G q b 9 0 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. 4ls.so Date ?_ Il ll S Site Street Address ? Z C7 rJ G/ S??{y L? Unit # Property Owner Teiephone #( Z- 1-vnlda??r`UI14- W%f Telephone # ( yS2) / Contractor /s State .?'J4Y Zip > S/a V ? ? dl "'? Cit %S ? {S 11 '? y i ? 7 Address 1 Contractor _Other The Applicant is: _ Owner / Alteretions to existing dwelling $ 50.00 Add plumbing fixtures (exciudes water softener and/or water heater--complete next _ section if installing these appliances). _Septic System Abandonment Water Turnaround (add $125.00 if a 5/8" meter is required) Other: ?Water Softener _ Water Heater $ 15.00 _ new _ repiacement ELaw:Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 $ /-!;-- S o Totai 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. ApplicanYs Printed Name Applicant's Signature ii n 0 5 2005 alcAl .ao1, asoma City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 676-6675 Fax: (651) 675-6694 Use BLUE or BLACK Ink For Office Use Permit #: t L /^1 "✓ "'L tP Permit Fee: _S S ' 0 0 Date Received: __u / 4 1 V27 Staff: W 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Unit #: r �✓•'300' gi77J Date: 1/ // / /,'7 Site Address: Name:„� Address / City / Zip: 2 7 L -Lt th LOIAC Applicant is: Owner `\ Contractor Q\CC5CL Description of work �-(1eikr Construction Cost `1 600 Multi -Family Building: (Yes Company: / No ) Contact: 40161/1 City: Y Y I61/1 Address: tNS EAS-(01:4V— State: ASZ(_fl/U E 0 State: T n City: 5' Pau( Phone: License #: (A Lead Certificate #: f A r'9 d—) l L ^ 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 penult 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: !Idltt ': n0,1$,$$ n tlofl ma 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. aopherstateonecalLQr9, I nereby acknowledge that this information is complete and accurate; that the work will ba in conformance with the ordinances and codes of the City of Eagan: that I understand this is not a permit, but only art application for a permit, and work is not 10 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 Minneso = B-'Iding Code mpt be completed within 180 days of pe it issuancee- x ,,[ fhb Applicant's rated Name x Applicants Signature G7� Page 1 of 3 Date: C!ty of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 675-6676 Fax: (651) 676.5694 Use BLUE or BLACK Ink For Office Use Permit*: I V ,Qgg,a5 Permit Fee: Date Received: 5111 1 f Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION 0,9.0 3...19.LAi__ Site Address: \°'r \\ -x \oe / Unit#: :.;; ; ;' �'I::;:!;` . `;''ii:i :Th tiki ier','I;;:..: .;crlc: ?i. .... !:_ Name: �� t r` �� , � 1. 1 � � %* t Phone: � (lla � J p (9� - QQ// ' 8 Address / City /Zip: (-lei r �► tdJc ta-u_._,,,,,,r,-, n� J51,QC&` Applicant is: Owner Contractor ja a iII .,. ,' "'''' "" ;. ` Description of work: J' \ (KL— Construction Cost: • 1 as 0 Multi -Family Building: (Yes )O / No _) !iii si . ';:,!:!'!:,;x:,:, ,-,•:,1:;''::"'' , a; : ;•:;,. ;;: ,i::,;,>:,.:: .............. .:': _ Company: 5 to 1\64S5 Contact: Address: W..-6‘.. .-6 .. (.6"\-\.<3.1/4' • City: ')k 1'a J ` State' _ Zip: 1 1 Phone: (951- l�' cc ~ V . l� Licensel Q #: /5� 1 Lead Certificate #: _O� �[\ — 1oa\- i If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes _No If COMPLETE THIS has the City of Eagan yes, date and address of AREA ONLY IF CONSTRUCTING A NEW BUILDING Issued a permit for a similar plan based on a master plan? master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE:0ans:ind:s400t169: 0..4o%l)'►tents.;that.y_oy subiliiraje consider d :‘be,'Aubl c r►iorir ation. ;'Portions :of n: • e n fom tton.,.., .,,......Y..be.::ctissifeds n n-purcrf ycu;pd�{ eaP,.te;cresonsawdpetrrnt;;t e: ,.,,,,,.,.........,.,.,.6Nidethattbe.' ;ePeria..g.e�" , CALL BEFORE YOU DIG. CaII Gopher State One Call at (661) 464.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecalLorg 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 Std Building Code must be completed within 180 day permit Issuanc x Applicant's Printed Name x App nt's ignaturo Page 1 of 3