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3672 Birchpond Pl CITY OF EAGAN Remarks Addition BLACKHAWK HILLS 2ND ADDITION 3 2 10 14381.030 02 3672 Birchpon Placelk Eagan, MN 55122 Owner street State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1976 1120,76 112,06 10 a3 STREET RESTOR. GRADING SAN SEW TRUNK 1970 462.77 18.51 25 SEWER LATERAL 7 1979 ;7z5, F-e WATERMAIN WATER LATERAL WATER AREA -3-a9 I Q' , 77 rlr~cl ?11 '47_01; 60 f . y9 STORM SEW TRK ,tllh_q 1()7g * STORM SEW LAT 1979 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK 120.00 6325 6-13-77 0295/,j A a Request Date Fire No. Rough•in Inspection 1f Required? O Ready Now ❑ Will Notify Inspector Z3 o" ❑ Yes O No When Ready? I licensed contractor 0 owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) city Section No. Township Name or No. Range No. County OdKaTe-- Occupant(PRINT) Phone No. ran Power Supplier Address CJ a- 6:16-Iil c Electrical Contractor (Company Name) Contractor, License No. P vieul Elegy lr:c G D ~2 Mailing Address (Contractor or Owner Makin Installation) r~ 's190 Authorized Signa ' (ContractortO ner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 instructions for completing this form on back of yellow copy. 9 F 3 0 2 9r5X" Below Work Covered by This Request ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: p # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to Amps a7 Transformers Above 200 Amps Abov 1 W Amps Lets) Signs Inspector'; Use Only: OTAL Irrigation Booms i j Special Inspection ✓ Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in ' Date f _G P~-rl certify that the above inspection has Final Date 41e - been made. OFFICE USE ONLY This request void 18 months from This request void / t IS months from ~ ~ j ~ / R/e/q~uest Da Fi e No. R°^gired?Ins~ction Ready Now$Will Notify. Inspec- (/0 Yes No for When Ready "Licensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City 3 4 7.2 8/RicVP0Nv P"crE ~E-.QIc QAj Section No. Township Name or No. Range No. County DAK0-rf Occupant (PRINT) Phone No. j a' r- P /,I V V ~ Power Supplier Address "DQkaTW ~LFC Cou e.4 JC17-0 A) 0 Electrical Contractor (Company Name) Contractor's License No. G ,-VA:n ' r//,Fw FZ_.eCTVt c Cio ©y~►~ o Z Mailing Address (Contractor or Owner Making Installation) ell-4 piL tS l$ u. R A0&. fa. 8(, a o,., l~JGq'°>.? Z Authorized Signature (Contrac r/Owner Making Installation) Phone Numb/er~'~ ~7 b L 6- MINNESOTA ST E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1621 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION r. ee-ooool-os ILj~ AN See instructions for completing this form on back of yellow copy. &,,3 8 6 3 "X" Below Work Covered by This Request Now Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water gHeater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. FurnaSilo Unloader Industrial Bldg. Air Cr Bulk Milk Tank Farm Other Other (spo ify) Other S pecify Other Other ompute Inspection Fee Below N Fee Service Entrance Size » Fee Feeders/Subfeeders # Fee Circuits /SW 0to200Am s 0to30Amps_. Oto30An s Above 200 Amps 31 to 100 Amps B 31 to 100 'Am s Swimming Pool Above 100-Amps Above 100_Amps Transformers irrigation Booms . O Partial-Other Remarks Signs Special Inspection $ sj -l'O TOTAL F Rough-in D;Me1, the Electrical f/ Inspector, hereby tify that the above Final spection has been d made. L this request void 18 months from CITY OF EAGAN N0 11 8 0 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ---14 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Valuer $233,000 Date JUNE 22 19 87 Site Address 3672 BIRCHPOND PL OFFICE USE ONLY R3 Lot 3 Block 2 Sec/Sub. BLACKHAWK HILLS On Site Sewage Occupancy 2ND ADD MWCC System Zoning Parcel No, On Site Well Type of Const V City Water X (Actual) -V-_ ac Name GEOFFREY W & MARY HUNT (Allowable) W # of Stories 3 Address 6828 MORGAN AVE Length 72 O City RICHFIELD Phone 866-0922 Depth 46 S.F. Total o Name SAME 722-1347 FootprintS.F. 0 a Address APPROVALS FEES ~M- City Phone Assessments Permit 902.50 ¢ Water/Sewer Surcharge 1 1 6. 50 yUj WW Name Police Plan Review 451-95 Address Fire SAC, City 100 n0 v Engr. SAC, MWCC 525 n0 a W City Phone Planner Water Conn. 525~0 Council Water Meter -67-x90 1 hereby acknowledge that I have read this application and state Bldg. Off. Road Unit 305 90 that the information iscorrectand a mpl5F. llapplicable APC _ Treatment P1 1 stn n0 State of Minnesota Statutes y g n 1 -Variance Parks Copies Signature of Permittee TOTAL $3,172, 5 A Building Permit is issued to: G REY & MARY HUNT on the express condition that all work shall be done in acco an ith all appli ' le State of Min ota S atutes and City of Eagan Ordinances. Building Official T r 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, n $2,000 LANDSCAPE BOND f To Be Used For: (des% Ki; ai Valuation: 2-33 0bo Date: Site Address 7&72 Nic OFFICE USE ONLY Lot Block On Site Sewage Occupancy /MWCC System ✓ Zoning rZ f Parcel/Sub On Site Well Type of Const _ /In r/7 City Water ✓ (Actual) Owner #v~ ~ T K (Allowable) # of Stories Address ~ p pt 'd t L, Ave. Length 12_ Depth q LA City/Zip Code jjCh # *U S.F. Total Footprint S.F. Phone Z27. APPROVALS FEES Contractor S d wte Assessments Permit Water/Sewer Surcharge 1C~ s° Address Police Plan Review 51 Fire SAC, City 1001 City/Zip Code Engr SAC, MWCC 5 Z S. Planner Water Conn _sZ.S Phone Council Water Meter o7_ Bldg Off Road Unit _ Arch./Engr. SaNt~ APC Treatment P1 Is>a~ Variance Parks Address Copies TOTAL City/Zip Code Phone # Proposed Grading g g' g34 grb ~ tw \ \ ~ ~ ~ 8'12 ~ V'~\ Ufa e4 ~ l dy ~ g Bi rah pond Place, 1 Pe-scription Lot 3, Block 2 8lackhawk Hills 2a4d. 6 i~ Dakota County, Minnesota Scale I M~ 4o' Contours SkOW" are appro-.imate 5istin Core°ur - Not verified by survey Proposed Con6ir - - - - - - - - - - CERTIFICATE OF SURVEY for Built E*,t sa.ao to s~ S 6S V y'' ~10 d L7~ Il k ~v ~ `O 4r v. q~ \ Erciat sP' Drains?e and Utility Easement l F;„ lol~ !cq ~ 6 \ry ~"n ~ Ago q8o ~ / ~°t% fin 101.3 ~M1 'Pe C~ f,„ 101.3 DESCRIPTION Lot 3, Block 2 a~ 2s Blackhawk Hills E,"tS~ 10 2nd Addition, t` Dakota C{.ounty, M nn esofa ID0.10 Birch pond All bearings assumed 7° b 40.00 Car 00.01. 7l'Z0 t7 r o denotes iron monument N B.M. Scale 1" = 40' /00.00 jap 5an N. N. As surveyed by me this day of J ~i111 ~___`~19 2 7. ~/p 0 CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION /*171 fl~ k/ OWNER: y~ . SITE ADDRESS: ° r^ s CONTRACTOR: DATE: 'PHONE: ~~rJ S7- Determine working square footage of each: 1. Total exposed wall area sq. ft. x .11 2. Total roof/ceiling area sq. ft. x .026 Total exposed wall area above floor 7760 a. Total wall window area b. Total door area Y c. Total sliding glass area d. Total fireplace wall area 002 e. Total wall framing area (average 10%) f. Total net wall area above floor g. Total rim joist area Total exposed foundation area = h. Total foundation window area i. Total net foundation area above grade Determine ' U' value of each wall segment: b. x lUl _ a. x Sul c• - d x l U f _ e. x l Ul g• x 'U' _ h. X l U l X Out 3 . Total = If item #3 is the same as or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area . J. Total skylight area k. Total roof/ceiling framing area (average 10%) 1. Total net insulated roof/ceiling area.............. ++►A4(~~~ ~.a OVER Determine 'U' value for each roof/ceiling segment: x ' U' - k. x gut -31 "ito 1. x ' U t fir 4. Total If total of #4 is the same as or less than #2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items #3 and #4 shall not be greater than the sum of Items #1 and #2. 1. 1 34. 1~9 + 2. J 7 = 4 ~ ~O 3. 34G?& +4. 4g?,y3 2 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U = 0.025 Average 2. Exterior walls & rim joists - R-20 U = 0,.11 Average 3. Floors over unheated spaces - R-20 U = 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets' this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. GUIDELINE TO (R) FACTORS rROM ASIIRAC MANUAL OF TYPICALLY USED PRODUCTS (R) (R) Interior Air Film (Wails) 0.68 Gypsum or plaster board 3/8" 0.32 Exterior Air Film (Walls) 0.17 Gypsum or plaster board 1/2" 0.45 Interior Air Film (Vented Ceiling) 0.61 Gypsum or plaster board 5/8" 0.56 Exterk-r Air Film (Vented Ceiling) 0.61 Plywood 3/8" 0.47 Interior Air Film (hcn Vented) 0.61 Plywood 1/2" 0.62 Exterior Air Film (Hon Vented) 0.17 Plywood 3/4" 0.93 Sheathing, reg. density 1/2" 1.32 Aluminium Sidinq 0.61 Sheathing, reg. density 25/32" 2.06 Aluminum with Backer 1.82 Hail-base sheathing 1/2" 1.14 Aluminum with Backer 6 Foiled 2.96 1/2 x 8 Lap Siding (Wood) 0.81 Built-up Roofs 0.3; 7/16 x 12 hardboard Sidinq 0.67 Asbestos-cement shingles 0.21 Asbestos Sidings 1/4 Lapped 0.21 Asphalt roll roofing 0.15 Stucco (Oro:m and Finish Coat) Aspaalt Shingles 0.44 3/4"%load Subfloor or Sheathing 0.94 Insulation: 2-2 3/4" Fiberglass 7.00 1/2" Plywood :heathinq 0.62 Insulation: 3 1/2" Fiberglass IF.OO 1/2" Particle eo:.rd 0.66 Insulation: 6" Fiberglass 19.00 WOODS: BLOWilIG WOOLS Fir, pine L similar soft floods 1 1/2" 1.89 Approx. 3"' 9.00 2 1/2" 3.12 Approx. 4 1/2" 13.00 3 1/2" 4.35 Approx. 6 1/4" 19.00 5 1/2" 6.87 Approx. 7 1/4" 24.00 Approx. 14" 30.00 Approx. 18" 40.00 All other insulation materials must be Filled verified (R Factor) (R) Vermiculite B" Concrete Block (S G G Reg.) 1.11 1.93 12" Concrete Block (S t G Reg.) 1.28 3.15 B" Light Weight 2.18 5.03 12" Light t:elght 2.48 5.82 _ ~ aaeaeaee,taaa,~aeaeaanrantanas NOTE: (U) x Area Square Feet All Windows (w/Scorns I" to 4" Space) .56 Removal Double Glazing (ROG) .55 Thermo or welded 3/16" air space .69 1/4" air space .65 1/2" air space .58 (Other windows specifically tested can use better ratings) 1 3/4 Solid core door .46 w/Storm, wood .31 w/storm, metal .26 Pease StcelDoor Ins1/I./GL 7.458 .13 Sliding Glass Door, Wood .65 Natal .715 CITY OF F,AGAN / a~ MINIMUM "U" VALUE AND R-FACTOR AT ROOF, WALL, RIM AND CONCRETE BLOCK Provide insulation baffles in every' RODF ~N(~ -rafter space. r (g) VAL Q ►ttiSULA jloN tl~z -..ozs TOTAL CRS= " Q WALL _1c) VA LC 8 . • Q [NTit=-tot= AIR FILM 9 Q I j2 GYP.' FAD. . WSULATION 511)1 • - 0 ZS~~1~ $u1L7 t~lxc . . ~ ~ •rtA roNlT~ StDtrC~ to Il EXici krR FILM • I I t, u.~ TOTAL R) _ 1 • elf 1 - • VAW: 1L 111TEV-1ore 'AT, FIU-1 tl 2 FICA Rl!''i ~UIST , ' . 15 i5 ~f ~zn. v, ->jln G" t 1h -orlITE Star% p ~xT~ I~t~ 'AIF- FILM • 11 Ulf OQ VALU` • 13 tN TEt7►~~ AIM Fi&l • . • . ~ A n ?J It 1'l~r.Y C1~I.1G. ~~1,{, A- 5 01 ~LO o EX j EP,tO2 AIR FILM Del U11 • ~ CZ - ~ To1A~ (Cc~ r~ Floors over unheated spaces must have mininu..1•R-factor -of R-20 (tuck-under garages). Floors Over outdoor air (overhangs) must 2iave a minimum P.-factor of R-33. GOLD COPY PERMIT RELEASE. FORM PERMIT 3` ADDRESS cJ old PICKED UP B k 1-3- V~i } . - - _ ~ _ _ 1 ~~."7flSe"r,.".«'_~...g,~' _ tse-xv-.-.~,--..-+F•€w•-4~R+^'er•nt •~atl~,rs- - .'is" "'24 9-10-87 3830 Pilot Knob Road Meter No:,~ r Size:" tt P.O. Box 21199 Reader No: {T Data. f I Eager MN 55121 Owner: ,Taff Htnzt. Site Address:- 3672 Birchpond-Place L3 H2 B1ackhawk Hills II Plumber- Aqua City Pitmbing Conn. Chg: 525. 002d -WA N1 ~ g 13.1 Accttep: 15, Permit Fee: 10TRIC -GAS E3C, r Sur~' Marge: I t w the y of Eagan-', Pl- t ao- C 1IRr- Br n _ Meter. ;i i Msgt: { CITY OF EAGAN Permit No: 9024 Date: 9-10-87 3830 Pilot'Knob Road Meter No: - Size: P.O. F-)x 21199 Reader No: Date. Eagan, MN 55121 Owner: Jef f -14un.t Site Address: 'C7`' ir'ch and Place L3 B,) p.1.aekhawk -tt#11s Z~ Plumber.- Aqua City Plumlr3:tig Conn. Chg: `3'. ~Pd Zoning: R1 z Acct. DeP: 1-' • No. of Units: Permit Fee: { • Surcharge: • sxlpct I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter r , Misc.: By WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT j 3830 PiloPKnob Road 10 ; 74 P.O. Box 21199 F " P9RMIT NO.: Eagan`, MN 55121 DATE: Zonings r1 No. of Units: 1 Owner: Jeff~ITurt I Address: 3~7.2..nizcx oTiu Place 141 222 " c~Lir?t~t 111411.-, Site Address: P TT Plumber: q -City "'trMj)jTj.-, 6--2;*87 7 f. l . ` t ;>tI I I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: 15.3d Permit Fee: 1#t3Pd-- Surcharge:_ By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF E A G A N * rte: PAwfD`T- OF' FEE AT TIME of APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. APPLICATION FOR PERMIT * INSPDCTION OF SEMR AND/CR VP= *f * INSTALLATIONS WILL NOT BE SCH D-- SEWER AND/OR WATER CONNECTION ULEO UNTIL PERMIT HAS BEEN * APPROVED. * * * (Please Print) . 1) PROPERTY-ADDRESS: C/,4 Pa Al 74 C LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUC'T'URE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: ' PRESENT ZONING/PROPOSED USE: (Month/Year) CONzmaALAIETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL R: DUPLEX (Two Units) INSTITLTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: © N ,4 /7 S J 14.. ADDRESS : C r CITY, STATE, ZIP: S?~ , 4- Y ALI 14 J, S t 0 PHONE: 3) I::I• NAME. For City Use Plumbers License: ADDRESS: 0 Active ETired CITY, STATE, -ZIP: ~n 1f / Nat recorded PHONE: /E-=r MASTER LICENSE# Staff Initial 4) •o • i~l• NAME: ADDRESS: CITY, STATE, ZIP: PHONE: , • CONNECTION TO CITY SEWER rj CONNECTION TO CITY WATER OTHER 6) • I~ PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ❑ PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) r $I Oak III .fOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP - $ $ fSC'~1 ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ z S $ WAC $ 2 dZ1 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ Me) -o C-) $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ _ J. 3 ~ 7 , Q $ ~ d e) TOTAL ' i RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES 'IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: r~~o-u1T~ TITLE: DATE : ` / 0 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date 05 Site Address .3(0--72- 819-W 2ND PLACE Unit # Property Owner JEFF R T Telephone # ( (~S)) Contractor IDEAL L'Q VF0KF Street Address W WWOU AV E , U . 100 City NEW H State W Zip -J22 Telephone # (1(03 Wit, Bond Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit 30.00 furnace 'Additional -Replacement _ air exchanger air conditioner New Replacement other State Surcharge $ •50 30, an Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that T understand this is not it 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 approvedd plan in the case of work which requires a review and approval of plans. Applicant's Printed Name A licant's Signature D (Uj AUG 15 2005 ,~y 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan .3830 Pilot Knob Road, Eagan MN 55122 Telephone N 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address city ( ) state Zip Telephone # Bond Expires: The Applicant is Owner Contractor Other I Work Type New Construction - Underground Tank _ Install Remove **see below Interior Improvement _ Install Piping -Processed -Gas Nature of Work: **Men installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 M i um (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 =:I $ State Surcharge if pe rmit fee is over $1,000, add $.50 for every $1,000 p rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be. in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: GASH RECEIPT CITY OF EAGAN -3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? DATr 1 19 RECEIVED t-4FROM AMOUNT r j DOLLARS 100 ❑ CASH [CHECK nn 1 FOR i -K...... FUND CODE AMOUNT "'[Y I I i i Thank You Y By White-Payers Copy Yellow-Posting Copy Pink-File Copy l i BLDG. PERMIT N,O. 'c E CITY OF EAGAN 01=3216 Iridg.~ Permit a ,z.. 3830 PILOT KNOB ROAD 01-3422 Plan Check EAGAN, MINNESOTA 55122 01-3445 Surch./Adm. DATE I F 19 01-3446 SAC/Adm. iRECEIVED 3 4 i 01-2155 yt•_ 1., i_ -i Surcharge FROM AMOUNT _ - , 17-3860 Road Unit r 20-2275 SAC 20-3865 Water Conn. t ac DOLLARS loo E ]CASH CHECK 20-3868 Water Trmt. 20-3716 Water Meter FOR 20 -2252 Acct. Dep. # - i 20-3713 Water Permit 1 20-3743 Sewer Permit 3 79-3866 Sewer Conn.' FUND CODE r AMOUNT 11-3855 Park Ded. i 'J'A TOTAL Thank You BY 77156 White-Payers Copy Yellow-Posting Copy Pink-File Copy I PLUMBING PERMIT For Office Use Only, CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT PRICE PHONE 454.8100 DATE: L / 9 s Site Address i r , n d P1, BLDG. TYPE WORK DESCRIPTION Lot B1 ub Res. New Mult. Add-on m Name r % CIefln -r Comm. Repair Address 5t`,. - Other City a s I a Phone-7-4--Z611 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name t Water Closet - $3.00 $ Bath Tubs - $3.00 2 Address ~ ~ ' ' ^ rI of P f t Lavatory - $3.00 City. Phone 40t $ ^"3507 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 FEES Laundry Tray - $3.00 COMMAND. FEE -1% OF CONTRACT FEE Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APLLES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD SIC PER EACH $1,000 OF PERMIT FEE) Well - $10.00 r Private Disp. - $10.00 Rough Openings - $1.50 X U. G. Sprinkler System - $12.00 0 I NATURE OF PERMITTE PERMIT FEE: STATES SIC:' FOR: CITY OF EAGAN 10-26- VO GRAND TOTAL: t3~/ s CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 I Site Address OFFICE USE ONLY Lot Block See/Sub. On Site Sewage 41'6upancy MWCC System Zoning Parcel No. On Site Well Typ'of Const 3 City Water (Rctuat)~ . (Allowable) a Name w # of Stories 3 Address Length City Phone Depth S.F. Total p Name Footprint S.F. Q I- Address APPROVALS FEES P City Phone Assessments Permit ~"rc Water/Sewer Surcharge Q w Name Police Plan Review x Fire SAC, City 4 - Address - v z Engr. SAC, MWCC a w City Phone Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information is correct and agree to comply with all applicable APC Treatment Pt State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutea.and City of Eagan Ordinances. Building Official I Permit No. Permit Holder Date Telephone # Plumbing J' H.V.A.C./~"~Ca 1127 Electric Softener Inspection Date Insp. Comments Footings I Footings It Foundation y S ~Q Framing Roofing 1~g Rough Plbg. ~y Rough Htg. ~~8 sous o~ Gt4 ;Z g r~ a, Fireplace /4 1 od/ Rr Final Htg. Final Plbg. . Bldg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr.Disp. r7c~ rSr~ ~co%~?r Q v „ Pp o- 3d- S ~ ~ s (11er#tftratt of COrrupaur Citp of Cagan JkPartat w of %&M" jnwtrtwu This Cerafiicate issued pursuant to the requirements of Section 306 of the VniArm &ilding Code certifying that at the time of issuance this structure was in compliance with the various ~ordinances of the City regulating building construction or use. For the following: . S' M G/GAR Mg. Fern it 17441 use awafkabon -y TAX R3 Zoning DMict RI Tme Co- V Owner of'&ilding GOMM W. & MAR III Address 60 WOMME ARMS. 0 RItW Hm7di Address 3672JQP I LDM[ityl3lp I21 X"" INU 2ND Date: IY 29y 1990 Budding Official POST IN A CONSPICUOUS PLACE t p~ .Q+ ~t,' ".%p"w u ~t yr;...y,.. ♦ r c r ^+.L" -++c-vrT fir, Zk zs _r,- a ~...i,. ` PERMIT # ' - PLUMBING PERMIT CITY OF EAGAN RECEIPT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: +444100 Site Address BLDG. TYPE - WORK DESCRIPTION Lot Block Sec/SCI Res. y'r New Mult. Arid-on Name t c ~(ifr Comm. Repair Address , to cry. Other c city Phone' 2Z RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name' Water Closet - $3.00 L Bath Tubs - $3.00 - C Address Lavatory - $3.00 1 ' 3 O City Phone /Shower - $3.00 Kitchen Sink - $3.00 FEES -Urinal/Bidet - $3.00 COMMJIND FEE - 1% OF CONTRACT FEE _ Z Laundry Tray - $3.00 Floor Drains - $1.50 ART. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES _L _Water Heater - $1.50 / c MINIMUM - RESIDENTIAL FEE -$12.00 _/Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 _Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S1:E IF PERMIT PRICE GOES Softener - $5.00 BEYOND ${,000.00) -Well - $1-0.00 Private Disp. - $10.00 , Rough Openings - $1.50 FEE: $IdNATURE OF . RMITTEE STATE SIC: FOR: CITY OF EAGAN GRAND TOTAL f W_ . f=.. ,4 - ~ ley .t \ < u+r+~w» N . t i y.,i.'.r^~.+ `.pT'1 t ; ? A6 MECHANICAL PERMIT RECEIPT CITY OF EAGAN Q~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Lot Address BLDG. TYKE WORK DESCRIPTION t Lot Bloc Sec/Sub Res. _ z -New Name Mult Add-on Ad reW.%%%'\A, `Q Othem. Repair c City a ~ L Phone - FEES £ Name RES. HVAC 0-100 M BTU"' $24.00 3 Adoss F ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW ' CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) 4 - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air Z M BTU APT. BLDG. - COMM. RATE APPLIES TOWNHOUSE & CONDOS -RES. RATEAPP_LIES moiler M #3TU _ _ jF~tlNfMtlfvF ES1DENTIAL FEE=_Att ADD-E)N Unit Heater M BTU REMODELS - 12.00 Air Cond. k4 ~ .%BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM STATE SURCHARGE PER PERMIT .50 (ADD $.50 SfC IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ FEE: = 4 r S/C: SIG TURE OF PERMI TOTAL:: FOR: CITY OF EAGAN Use BLUE or BLACK Ink 1-----------------, For Office Use I j Permit* 1 I City of Eajan 3830 Pilot Knob Road Permit Fee: ,50 j Eagan MN 55122 I 1 Phone: (651) 675-5675 1 Date Received: Fax: (651) 675-5694 RECEI1E D I I Staff: MAI 2 91012 ~ ~ 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial application's. Date: `ou't Site Address: 1 f ChGQ ~t a Tenant: Suite M RESIDENT / OWNER ? Name: rn Phone: ' (D,B1O Address / City / Zip: -l Name: (V4-a djh(! License #:~cSdQ CONTRACTOR g Address: 4i~~ (a` naklIca- 1(L 1~l City: ~e~ 3P I State: ' Zip: ~5~701 Phone: LKI::1 [ _ 4 I Contact: t Email: f QL! rn 1 -Coe" i ~ ation Demolition New Replacement Additional Alter TYPE OF WORK Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City P Code. Please contact the Mechanical Inspector for information on permitted screening methods. i - RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement PERMIT TYPE Air Conditioner _ Install Piping _ Processed Air Exchanger _ Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: /j C) $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) KJ $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 1 l GL(.' Applicant's Printe Name Appli Sign FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA113197 Date Issued:08/30/2013 Permit Category:ePermit Site Address: 3672 Birchpond Pl Lot:3 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Jeff Greenlun Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Geoffrey W Hunt Tste 3672 Birchpond Pl Eagan MN 55122--120 Perfect Exteriors Of Mn Inc 321 1/2 Walnut St, POB 297 Monticello MN 55362 (763) 271-8700 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139851 Date Issued:11/14/2016 Permit Category:ePermit Site Address: 3672 Birchpond Pl Lot:3 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Geoffrey W Hunt Tste 3672 Birchpond Pl Eagan MN 55122--120 Roof Time, Inc. 6190 White Drive Prior Lake MN 55372 (952) 447-7663 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I-- RECTA FEC y°, , For Office Use 44!!ill MAY 7U2017 :::t:e:' City of Eaall �J 3830 Pilot Knob Road Eagan MN 55122 Date Received: J '/7 Phone: (651)675-5675 Fax: (651)675-5694 Staff:_ 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5 /) /7 Site Address: 31.a7 A/Pi'c. 1Po,RED ?I Unit#: . 7 ',' 3 `I Name: &-I&I lk t-y Har Phone: 6.( 1P bg-75--0 7 't, - =4r Address I City I Zip: 3k 7. teIR.C-liPe94i2> 'Tt!AL& _ 6;14&A/(/' 537 r- Applicant is: Owner A Contractor ' Description of work: Re �.e >J : '4 )r' P Construction Cost: A /3 30,&E.) Multi-Family Building: (Yes I No X( ) 'U l�l Company: it4/4) 600-617`C �il�a+i Contact:S 1. E' $�4#4.-0. e." ',1::y��rr � = � � Address: ,52°C), &� �e!�`f ve /0 city: � S COontrac • 2 , Stater Zip:5-5-1:2G/ Phone 9C,2" mail: ' License#: `Lo C.3 5°6 Lead Certificate#: //47- 7 - 373--/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes ,No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: ,fit• xPhone:e: 0 al > TT ; :(I �� t ! -- -'.1 4k"-d. Fy ; °1 yI 1 ®IAiM °', if1; .' $ JNifigi0 1:7M1 :, ,'nydi !4.0Iti' pyli:' ,1y34'lF .yI1A ,l{p°fi 11 ink il/(m 1 S `�'yvi. .v.y�..,_ c:s.�,.s_ax..,k. 3.,.,.. � ilr ..F l. iliR1E.: A•/.��3w4.e* Tr t-i:d: Y .' erg.._.t ..,._ u,�.:t_..._...,._.�:;�� _�. .. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. '` / x 5i-eve .S'---ti/e) t2,,• . - x , • L_., — Applicant's Printed Name Applicant's Signature / Page 1 of 3