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3678 Birchpond Pl CITY OF EAGAN 400 17024 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 9 a_ BUILDING PERMIT Receipt # f s l - To be used for Est. Value M Date SEP S , 1949 - Site Address 3678 DIRMPOND PL Lot 4 Block 2 Sec/Sub. SI.ACUAWK HII~& OFFICE USE ONLY Parcel No. Occupancy FEES Zoning 00 Cr Name . NICULL SNAW (Actual) Const - Bldg. Permit 54. 3 Address 3679 HIS 0 PL (Allowable) - 1.50 Surcharge o City EA"M Phone 4%-77125 # of Stories Length 12' Plan Review o Name M & N Gt?Pd,S"~lU `1014 Depth 1 * SAC, City 0 Address 407f0 "V CLAIRE CIR S.F. Total SAC, Mcwcc City EAU CIAIi Phone $47-"90 S.F. Footprints On Site Sewage - water Conn w Name On Site Well - Water Meter Z z Address MWCC System Acct. Deposit am City Phone City Water PRV Required S/W Permit hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI APPROVALS Signature of Permitee Road Unit A Building Permit is issued to: N & X C4NS'1r'R=10N Planner - - Park Ded, on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official + Variance - TOTAL Permit No. Permit Molder Date Telephone # WATER i SEWER PLUMBING H.V.A.C. ELECTRIC it Inspection Date Insp. Comments Footings I 7 f~ PS Foundation Framing Roofing Rough Plbg. I j Rough Htg. V Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final -s` Deck Ftg. Deck Final Well Pr. Disp. 4 CITY dP EAGAN 37" P1W Knob Road 1 "an, MM SS 122 5700 PFWM.- 4"4100 VVILONG PERMIT Receipt # - To be eted for ~ 3 Est. Value ' r" Late E. Site Address Erect Occupancy "r Lot Block n Sec/Sub "E S After ❑ Zoning ' i Parcel # 1.4 r l Repair ❑ Fire Zone Enlarge, ❑ Type of Const. 1' a: Nome Move ❑ # Stories a Address Demolish ❑ Front 14- ft. r ' Ci Phone Grade ❑ Depth 4 ' ft. E • , , ' O?, Name T,, E, Approvals PC" Addresses _ rth `}.r tJ Assessment t 5 t? Perm ? uf.. Water & Sew. Surcharge Ci Phone Uw Na ' r'z7'' rE1"y Police Plan check w m - Fired SAC - t " u~ Address - Eng. Water Cana ~ f'e ~ ' QW City Phone ` Planner Water Meter Council i hereby acknowledge that I have read this application and state that Bldg Off. the information is correct and agree to comply with all applicable x r ,r, State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: on the wqipress iti4a, that `r xM work shall be done in accordance with all applicable State of Minnesota Statutes and City 4f Eagan Ordinances. z , iuilding Official R I j Parini! Dots boned Parmittoe Plumbing Mechanical J f So g p „ y Q !o d '7 ~6 INSPECTIONS DATE INSP. Rough-In Final Footings Dote Insp. Date Insp. Foundation Plumbing / Frame/ins. Mechanical _ Final rp" arks: q - 3 = 8d C f CITY OF EAGAN 3795 Pilot Knob Road X79%'- Eagan, Minnesota 55122 INSPECTOR NOTIFICATION NO' Phone: 454-8100 REQUIRED BY LAW E ATINGI PERMIT FOR ALL INSPECTIONS " mEy 13, igw0 189C}9 Date: Receipt No.: 367$ Birchpond Single X Site Address: Residential 14 2 ?31ackhawk Rls d Lot, Block Sub/Sec. Multi;Res., Comm./Ind. James A Sewald Name New/After./Repair new • 5679 138th 5t. Ct. Address Cost of Installation ! Apple Valley,M4 432-2658 20.00 j City Phone: Permit Fee Same . 5() Name Surcharge Address ta! City Phone: Total 20' 50 This Permit is issued on the express condition that all work shall be done in accordance with all applicable Store of Minnesota Statutes and City of Eagan Ordinances. ' Building Official j CITY OF EA"N 3795 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.. 7 , ~ Single ' " 31I`G.33L?x_. Residential Site Address3678' t Blscld.mwk 1-111f, 2n Lot " Block Sub/Sec. 'lAulti Res., Comm./Ind. Name w 3ffir; +i:rwa? C ltit?W New/Alter. /Repair 3°e Address 5() 7") 1. t' i St. Ct. C Cost of Installation City Ap :;le Valley, 21' 5Aone 432- C 53 ~ 20.00 • Permit Fee { Name S`'31ne A Surcharge .50 ii Address 0 City Phone: Total 'r. This Permit is issued on the express condition that all work sholl be done in accordance with all applicable of Minnesota Statutes and City of Eagan Ordinances. i Building Official 7, 7- 7777N-~' A CAM MUM CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED - - FROM AMOUNT & DOLLARS loo CASH CHECK FOR a .J - FUND CODE AMOUNT - r Thank You White-Payers COPY Yellow-Posting COPY Pink-File COPY l - J1 R's, of :motiw_ Vesta C 118tr ctIt3Y1 O e i9S' I?iiot Knob -Read PERMIT NQ.: 3913Q 551891 DATE: ~jat $4' Zoning.: RL No. at Units: t3wrner: Vesta Construction Address. Site Address: 3678 Birch Place L4 B2 Blackhaw Iiillrs IZ Pfumber: ifll.~ lsd 4/16/80 V570 4 agree tavom* with.tbe-aty of Eagan Cormeet'ion Chorge:41L.00 gd GrAina+ecest Account Deposit; - Permit Fee:. #Q:QE)'`pd 50 t Surcharge: pd Bv KRfst,. Charges: 1)4e o ' sp : Total 4 ti~'~r"'.'K"'X"k. ~ a_~.gtic, f.7Clte 'pCFiB:• y ` 5. This request void 18 months from ° / / ✓ to a/t A oo. d6 s 26809 Date of this Request 1, as O Licensed Electrical Contractor 0Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 2&Z? ~~17/'t Q Cit Section,' Township Range County Which is occupied by arse of Occupant) Is a roughin inspection required on "job? No 0 - Yes 00 Ready Now ❑ Will Call 0 . Power Supplier jp(L~~~ • Address Electrical Contractor Contractor's , sense No. _ Fyn (C ) Mailing Addre ompan ss ! 7 6 (Electric Contractor o w nor Making This Installation) Authorized Signature Phone No.'s 3a ectrical Contras 6r owner Waiklog This Installation) STATE T`his iospeetion request will net eamepted by the iRD LU Y State Board unless proper inspect fee is melt. ti r s ~ t y Minnesota State Board of Electricity _ 1 8 70 ~ 1954►University.Ave., St. Paul, Minn. 55104-Phone 645-7705 ` THIS REQUEST'ON S r Ci ECK BEL WORK COVERED BYICAL ype of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home 119 ❑ ❑ Range ❑ -Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures' 19 f Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Sito Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner cm Bulk Milk Tank ❑ Farm 11 0 pLList List Other , ❑ ❑ ❑ Hehers Rtheers COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. / 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 100 Am s. Transformer emoteContTol Circ. Partial or other fee Signs ial Inspection Minimum fee Remarks TOTAL F dd ` I, the Electrical Inspector, hereby certif the v inspection has been-na e. , (Rough-in) Date lI I (Final) to / This request void 18 months from cwt ~ ~ ~ i k ~ - _ _ r. } s -~:_c~ This request void 18 months from A74, a" l Date A this Request P 91498 1, as Licensed Electrical Contractor ❑ O'wv der, do hereby request inspection of the above-electri- cal wiring installed at: Street Address or Route No. 17 Section Township Range County CL Which is occupied by t.,laAl CS )9 Se wslen~ (Name of Occupant) Is a roughin inspection,, required on `this job? No 0 Yes Ready Now O _ r Will Call Power Supplier 1" 06 1 1 Q.C.. Address -6-c otN 1 Electrical Contractor e' Contractor s License No. (Company Name) Mailing Address 216 0 "Lc -f" !f42 C-4,t & ( lectncal Contract~orror owner M kinfg This Installation) Authorized Signature Q`- Phone No. 1'~f (Electrical Contractor qr Owner Making This Installation) STATE BOARD COPY This inspection request unless in not ti accepted by the State Board unless proper inspection fee is enclosed,. / . . - 1 ~ „ Minnesota State Board of Electricity I ~ 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 1Pt Le 3910VEST FOR ELECTRICAL INSPECTION p 914 CHEC ` BE`WW WORK COVERED BY THIS REQUEST i" Type of Buik}ing "New Add. Rep. Check Appliances Wired For Check Equipment Wired For Horrae ❑ ❑ Range Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Fu p Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air io Bulk Milk Tank ❑ Farm ❑ ❑ ❑ Lis List Other ❑ ❑ ❑ Her s Heiers COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # F 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Am eres 101 to 200 Amps. O. 31 to 100 Amperes 31 to 100 Am eres l -4,001 Above 200 Amps. Above 100 Amps. Above. 100 Amps. Transformers Remote Control Circ. Partial or other fee S' ns Special Inspection Minimum fe Remarks TAL EE Joj a ~rl ShL I, the Electrical-Inspector, hereby certify t at the above mspec on en S:- d ilo-&G (Rough-in) / Date 6 --/7- lip Final 2 ' 0 4. Date /0,_ 7- ( ) This request void 18 months from fl!- i r~,,'~' , a• • K ~ k, ~ _ , ~ ` ~ ~ - p;. I A, a q..~' , Sri. 'Xh f^~ ''x:44 ~ +l,"'. r `r„ .1 CITY OF EAGAN Remarks Addition BLACKHAWK H T.. ND ADDITION Lot- 4 Blk 2 Parcel .10 14381 040 02 Owner `MFG A i, Street _ 3678 Birchpond Place State Eagan, MN 55122 Improvement Date r248,5u4 nt Annual Years Payment Receipt Date STREET SURF. 1976 76 112.06 10 224.17 A012618 8-15-83 STREET RESTOR. 1979 248.55 0 GRADING SAN SEW TRUNK 1970 462.77 18.51 25 ('0 O a. _-a _ ffgj SEWER LATERAL 157 1590.73 79.54 !!J7 7-3 1 Abof f f-2- _ WATERMAIN WATER LATERAL WATER AREA * 571,_ _ .3.71„ STORM SEW TRK ,bib-q 1978 STORM SEW LAT 1972 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 5700 4 ~ 31 Q/ SAC 10 80 PARK 1 6-13- L % RESIDENTIAL F BUILDING PERMIT APPLICATION CITY OF EAGAN r1 o 6 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodeUReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions ` J • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION SITE ADDRESS RoND ff-Ce MULTI-FAMILY BLDG _Y N TYPE OF WORK kteNeiv+ D'P 06c-k-,, Por,Aw s jpv< REfLACE(S) - 0 _ 1 2 10 PtD 01 Ti o tJ 0 IT g Sp " e L ; . 6n1 ~f APPLICANT { 1 ' t PfW fDEP'rS Gi C.oNS`rI't 41 Ch ) STREET ADDRESS-./ il (Q pAD-K CITY Bu,R>~SVI -LSTATEM ZIP TELEPHONE #M62_6065 CELL PHONE # 615 377-9553 FAX PROPERTY OWNER V~ 4 ~ t CW6 RL-rkL-W TELEPHONE Jb5l) 994 - A5 COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (4 submission type) . Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Sprinkler Fee: $90.00 Water Softener Lawn S Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # _ Mechanical system includes: Air Conditioning e: Heat Recovery System a ~ ~ ?002 Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O n s. Signature of Applicant - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 OFFICE USE ONLY ❑ 01 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 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex 'IX'18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous / K 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation rf=~v Occupancy Kz MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs T Length Fire Sprinklered Type of Const_ Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.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 Fireplace _ R.I. -Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall r Approved By Buiidfng Inspector Base Fee Surcharge Plan Review ; MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit -'L - - License Search Copies Other Total WTq - MINNE90fA VALLEY TA ~4 SURVEYORS & ENGINEERS CORP. U, (A y 1001 EAST CLIFF ROAD 808 NORTHEAST FOURTH STREET W URNSVILLE, MINNESOTA 55337 GRAND RAPIDS, MINNESOTA 55744 B Irv PHONE: (612) 890-7750 PHONE: (218) 326-6528 Certificate of Survey for: LOT 4, E151-OGK 2 M 6LA6K RAW K AIL LLi 4 'SpEG O RP ASS D IT l O N QON ' DAKOTA GDU(~f~(~ Mt~lN. q~ N 2 M' c7' lot \ .0 ^ p ~ •.•36.5 ~ 0.0 00 1 ` x / y. lllz tz in t)lox Flu*g ei 10 ~07A 4 ~ \ O O 'o Pe OTE~, tf,ON MD NUMENT 1~2 86q-.b ~ DEPIOTE~i EX l~iTlnlC~ t=LE VA.TtOIJ 1 hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of all buildings, thereon, and all visible encroachments, if any, from or on said land. t R L S APR1L , As surveyed by me ;histl ,_jh___day of ~ 19 o 00 -47 Reg. No._ 127 S~S f fp, 6 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 / Date: C_ Z-1 e r -15 -0 a Description of Work: _ Construct new fireplace -Gas -Masonry Alterations to existing Install gas insert only Install gas line only Other z2z- Aw L Gt C' -P~ Job address: (r Y Lot: Block: Subdivision/P.I.D. 0 1y3~1 0 Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Name: f+af~~~~ Phone PROPERTY Last First OWNER Co Street Address: 2,9 6 ' ^ City lt~ /I rl in State:` Zip:=%J' Company: Phon#:_i.~7 (area code) FIREPLACE INSTALLER Street Address: City State: %L Zip: Company: Phone (area code) GAS LINE INSTALLER Street Address: city State: Zip: 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 Statute d City o gan Or inances. Signature DEC 1 3 2000 OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 16 Fireplace WORD TYPE ❑ 31 New ❑ 33 Alterations ❑ 39 Gas Line ❑ 41 Wood Stove ❑ 32 Addition ❑ 34 Repair ❑ 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. f 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) /7/ ? 3830 PILOT KNOB RD - 55122 01 9 °i ~s (651) 681-4695 - / Now Q2nstrydion Requirements RemodeUReoair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan # 2 copies of plans (include beam & window sizes; poured find. design; etc.) ♦ 1 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required : _Yes _ No DATE: 9-10--99 CONSTRUCTION COST: CO -7 DESCRIPTION OF WORK: -ADDRESS: AMC LOT: BLOCK: SUED./P.I.D. ` ~C Y l l S Name: t~._.taEle I?Ltd .L~ Phone ZLf /Z PROPERTY +lT5r -OWNER Street Address: Bath Qcqd, ~49~ City 10 ala State: _Ll Zip: 5 AAAmerIm BW Ire. Company: 1203 East gaff Road _ Phone CONTRACTOR rr~isvi lel MN 55337 3S4~0 Street Addrte 612 License # Exp. 707-nioo FM 612 74ruaff MN Lic #20139703 City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip T Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I h y acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable o7e of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: UU OFFICE USE ONLY © 4-1 0-0a Certificates of Survey Received Yes No I0 1473 ~ i Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. Census Units Zoning: sq. ft. Census Bldg # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprink)ered APPROVALS Planning Building Engineering -7, ,Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SMI Permit SMt Surcharge Treatment Pl. Park. Ded. Trails Ded. Other Copies Total: % SAC SAC Units UNDERGROUND SPRINKLER SYSTEM PLUMBING PERMIT Date: Receipt # / Date ~~~1 ~1/ Permit # _ Commercial:, $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. Existing residentiaf: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be determined by building inspections department. May require payment of water ermit plumbing permit, WAC, and water treatment plant fees. ~Q02, ;~La (Address to be spri/nklered) Installer Name: r- 6 Phone Street Address: ,~~i . .fir 8 lc ,u r City, State, Zip: t/ ~l" Owner Name: Street Address: Phone Irrigation Contractor: r L r v, Phone 71-20 e? d I hereby acknowledge that I have read this application and state that the information is corre d gree to co y with all applicable City of Eagan Ordinances cc: Engineering Department (commercial only) CITY OF EAGAN 37" Pilot Knob Road Eagan, MN 53122 N2 5700 PHON d#4-4100 BUILDING PERMIT APPLICATION Receipt To be used for SF Dwlg/Garage Est. Value 115,000.00 Date April 16, lq $0 Site Address 1rC woo ace R3 Erect IN Occupancy Lot _ _4 _ Block 2 Sec/SubBlackijawk Hills 2nd Alter ❑ Zoning Rl parcel 10 14381 040 02 Repair ❑ Fire Zone III James Sewald Enlarge ❑ Type of Const. V W Name Move ❑ Stories 2 Address Demolish 0 Front 54 ft. 3. Grade ❑ Depth 48 ft. City Phone a Name Vesta Construction Inc. Approvals Fees - 4/15/80 o~ Address 11220 Lewis Court Assessment Permit 230.50 8~ urnsvl e , phone Water & Sew. Surcharge 57.50- city Police Plan check 115.25 HW Name Phillips Plan Service Fire SAC 525.00 _-Z Address Eng. Water Conrt.305.00 2044 a W City Apple a ey'Phone - planner Water Meter 60.00 Council Rd .Unit 185.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. 1+ 1-5/80 the Information is correct and agree to comply with all applicable State of Minnesota Statutes an City of Ea n Ordinances. APC Total 1, 478. 25 Signature of Permittee A Building Permit is issued to: Vesta C tructi.on Inc. on the express condition that all work shall be done in accordance it aH op i_ le ate of Minnesota Statutes and City of Eagan Ordinances. Building Official U'~ Cliff OF EAGAN ~ ~nclude 2 sets. pl'aans, f 1 site plan w/elevations & BUILDING PERMIT APPLI ION 1 set of energy calculations. To Be Used For Valuation 4F I /.<'oo 6. o o Date Site Address: ~~rc~w7eo d ! ~aaa . OFFICE USE ONLY Lot Block ,Z Sec./Sub. w Erect L1 Occupancy -3 4. As Parcel Alter ng Repair Fire Zone Enlarge Type of Const. Owner: Move # Stories Z• _ Address: Demolish Front ft. City/Zip Code: Grade Depth ft. Phone APPROVAIS /Yf FEES Contractor : e At TI-t, C, •►sT. a Assessments z Permit Address : Water/Sewer Surcharge, , j Police z Plan Check -i -F S City/Zip Code: Fire SAC Phone $90 - ao y o Eng. Water Conn. 3~5 Planner Water teeter LIP Arch./Eng.: P~I/lips Council Road Unit Bldg. Off . Address : P,P~~ Y •c 1/c,~ ~ MN A City/Zip Code: TOTAL Phone ~~cpTA~q~ -MINNESOTA VALLEY TA.~9 SURVEYORS & ENGINEERS CORP.? wW 1001 EAST CLIFF ROAD 809 NORTHEAST FOURTH STREET BURNSVILLE, MINNESOTA 55337 GRAND RAPIDS, MINNESOTA 55744 ORS EN PHONE: (612) 890-7750 PHONE: (218) 326-6528 Certificate of Survey for: Mr, tM y ~ wA'~-~ LOT 4) 61.0Gk 2 M BLACKNAWK NiLLZ7 mti -5EG0ft9 AUDITION DAKOTA ~ovn~TY, MtNt~. q~ N 2 ~o M' J • • -•36.5 (0 0.0 Z .Q N O Z J ~p W 820.7 Q \3 cap-'j 10 di z o -w ~t JQ \ VV 7 tl.l + q ~p• v" 3 N 30. 0 C) o t?eKD TE,i IKON MONUMENT 6b4.&;DEN0TF_"17 EXl`iTwb tLFVATtoK I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of all buildings, thereon, and all visible encroachments, if any, from or on said land. s -day of As surveyed by me this 60 -47 Reg No._ 12759 C7 TA--MINNESOTA VALLEY TA~q - SURVEYORS & ENGINEERS CORP. ` 1001 EAST CLIFF ROAD 809 NORTHEAST FOURTH STREET S-ENG~~ BURNSVILLE, MINNESOTA 55337 GRAND RAPIDS, MINNESOTA 55744 PHONE: (612) 890-7750 PHONE: (218) 326-6528 Certificate of Survey for: M~ INl y e WAUP LOT 4, 6l~OLIL 2 BLAC K NAW K NILLLi ropy ~EGoND ADDITION DAKOTA 000( "fj MINIM. ZDc NO M' • J 'p p (00 2 tiP7 0.0 N S Q V O~ + N W I' M 6 33 O ~6 W i nn 0 O I t = `i0 ' o DENDTE,i tKON MD NUMENT z 8b 4.6 : DEN OTE,17 EX K;,TWO tLE VAT►oN I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of all buildings, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me lhis_ i{ N-day of_-, APRIL R.L.S. 80 -47 Reg. No.----- ?757 9C7 CITY OF EAGAN NO 7 0 2 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t_. P HON E :,454-8100 BUILDING PERMIT Receipt # To be used for SHED Est. Value $3,000 Date SEP 5 1989 Site Address 3678 BIRCHPOND PL Lot 4 Block 2 Sec/Sub. BLACKHAWK HILLS OFFICE USE ONLY Parcel No. 2ND Occupancy FEES Zoning W Name MICHELLE SEWAT D (Actual) Const Bldg. Permit 54.00 3 Address 3678 BIRCHPOND PT (Allowable) Surcharge 1.50 p City EAGAN Phone 454-7125 # of Stories Plan Review Length o2 Name M & M CONSTRUCTION Depth 16, SAC, City Address 4070 EAU CLAIRE CIR S.F. Total UCity EAU CLAIRE Phone 447-6490 S.F. Footprints - SAC, MCWCC On Site Sewage Water Conn WO W Name On Site Well W w - Water Meter L~ Address MWCC System a W City Phone City Water Acct. Deposit PRV Required - S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: M & M CONSTRUCTION Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. - Copies c~ r°i I .Pd f ^rr. ~7 Variance - TOTAL 55.50 Building Official _ MINNESOTA VALLEY SURVEYORS & ENGINEERS CORP. 1001 EAST CLIFF ROAD 809 NORTHEAST FOURTH STREET BURNSVILLE, MINNESOTA 55337 GRAND RAPIDS, MINNESOTA 55744 PHONE: (612) 89D-7750 PHONE: (218) 328.8528 µ M wrc%AGE cOw SU4WY FOR: MR. ✓IM SEWAL© ~kry00~ s,.s~- ~ O sa. s z53.32 I Z07-4, BLOCA 2 ; B.L,~L'A'.y9~✓X 111,U$, Aee-ONZ AOZI r ON; ,64XOrw eovwrY, ^mww.. This is a trot- and correct rt.presi-ntation of a snrvcv of t1w bonndarics of the land abovt, doscr-ilwd, and of the Iocntion o1 III hcuildinf;s, if anv, tIicroon , and aI l visil,lt• "nc•roacLmt'nts, if anv, from or on sa i d 1 and . This :urvc,v i ei:i(lo on 1 v in connect ion vi t h a mortgage loan now hi•ing placed on t1w properte :+nd uo liahitity ir, astiuvwd excc,pt to the holder of ,uch ruortl•. gi or :anv otht'rinterest acquired I,v tl- rona,on of r-uch mortipm~o. It is undo rtitood and agrood no rwraumt•nts havo bovia pl=aced for thc• pnrposr of t,str!hlishi_nlt, lot linos or bonatdarv cortivrs. Dated this 2043. la-, of Juap- A.). ~bO 1 . bv S SIinn. Rog. No. ~l'S59S _ I 1989 EOILDING PERMIT APPLICATION CITY OF EAGAN SEP 0 1 1989 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 10ETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 711ISTERED SITE SURVEYS REGISTERED SITE SURVEYS - i STRUCTURAL PLANS a OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOB SALE UNITS 0 OF UNITS NOTES ADDRESSES FOR CORNER L07S . C0IVTRACTOR/HO21£OWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH TEE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME. MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. I 1 To Be Used For: f ; Valuation: Date: I~ ite Address OFFICE USE ONLY C~ C) Lot Block z Occupancy FEES n,} Q1 Zoning Parcel /Sub ,,,e)( q, ~ (A A ia>k I,' Actual Const Bldg. Permit s yd0 Allowable Surcharge 150 Owner Q # of stories Plan Review Length tZ SAC, City Address ? G7 C 4 , ;~a~ Depth ~SAC, MWCC S.F. Total Water Conn City/Zip Code Hc, ter, e' Footprint S.F.. Water Meter Acct. Deposit Phone Iq 7,-1 On site sewage S/W Permit On site well S/W Surcharge -tractor MWCC System Treatment Pl. City wafter Road Unit _ dress ' + 1 E rata C.1 w Sze PRY required Park Ded. Booster Pip Copies City/Zip Code , o: L c._ SUBTOTAL APPROVALS Penalty Phone `1 0 Planner - TOTAL Council Arch./Engr. Bldg. Off. 1// Variance Address City/Zip Code Phone # r ~ ~ ~ i 73 1i///z 4- /7 y L: 3 4 K- TC /'V Al -5 70 Vlq-' i 'A 2-1cl 5~~- D3 L w ~ ENERGY CONSERVATION SUPPLEM IT TO HEATING PERMIT APPLICATION BUILDING & SAFETY DEPARTMENT CITY OF DATE: JOB ADDRESS S-67 ~ P HEATING CONTRACTOR PHONE BUILDING CONTRACTOR OR OWNER PHONE The basic information below must be ascertained from the calculations and plans submitted by the contractor at the time of obtaining a building permit. Al. Sq Ft. Masonary Wall Above Grade x _ J x Factor/// 1. Sq. feet of exposed wall area above ground. X nU" •1~_ x 87 degree design temp. 2. Sq. feet of ceiling area.72')~_ X 'full •058 X 87 , 3 • t 3• Sq. feet of basement floor area. LZ- Cr l X 3 - 0 4. Sq. feet of wall area below grade. 7 X 6 = 3 q 5. Lin. ft. of infiltration for Wdos.~ 5A. Sq. Ft. of Window Area _ *157' 6. Lin. ft. of infiltration for doors. X (1.25) 3 ly 5 X (1.08) X(87) ,l - c G 6 6A. ----z-- x - - <f 2 Ft f Do r, AF 7. In. t. ofin eA rattan- for sliding doors. 7A.X (.75) X (1.08) X 87 _ 7`7c/ 8 . SA! I oFiatano e Sfor coeri arn}-bath Fans. # Kitchen fans @ 600 BTU. ea. _ U f> # Bath fans @ 200 BTU. ea. -2 C 9. Allowance for Fireplaces. # 24" to 32" om loon BTU. ea. # 34" to b2'T @ 1300 BTU. ea. ` 4211 & larger. @ 1500 BTU. ea. 10. Total BTU loss for all above items. 31 X allowable increase of 15% _ 4~ To arrive at furnace input above answer X 125% 32 11. Add for combustion air. (.001) X net imput ~~'y from answer above. X (12.5) X (.075) T, (87) Answer from above X (1.25) _ 5 71 12. Add answer from above to answer @ for'.total furnace imput. ? The undersignedp as applicant for a Heating Permit] hereby affirms the above information has been prepared and submitted by himself or under his direction hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the Heating Permit Application. Signature Date I City of Eagan 3795 Pilot Knob Road Eagan, MN 55122 Date: st 7, 1979 Dakota County Abstract Co. SPECIAL ASSESSbENT SEARCH 1250 Hi .way 55 i'astini,s, 'MN. 55033 RE' Lot 4, Block 2, Blackhawk Bills 2nd addition . 55122 AWN: TIMMY 3678 Birchpond Place, Eagan, P~M Enclosed herein is the search which you requested made on81the4 above described property: Kin o Improveriient Runs Beginning Original Ar::ount Balance Due Street Surf 10 Yrs. 1976 $1120.76 $ 672.41 Street Restor 10 Yrs. 1979 2485.45 MCA San Sew trunk 25 Yrs. 1970 462.77 277.61 Sewer lateral 20 Yrs. 1972 1590.73 954.49 Water Area 15 Yrs. 1977 569.24 455.42 Sew $ Wat Lat 15 Yrs. 1978 557 47 ,4838t1 I further certify that according to the reco of said office, e following improvements are contemplated or pending after having been approved, and are now in the process of planning or completion. Kind-of Improvement Approximate date o Completion Approximate Cost NONE WAIVER: Neither the City of Eagan nor its employees guarantees the accuracy of the above information which was requested by the person or persons indicated. Nor does the City of its employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in the above form, and for all other consideration of any nature whatsoever, any claim against the City of its employees rising there from is hereby expressly waived. Levied assessments to be paid to the County Auditor at Hastings, Minnesota 55033. Very truly yours, SPECIAL ASSESSNENT DEPARTMENT I f DAKOTA COUNTY ABSTRACT CO. 1250 Highway 55 HASTINGS, MINNESOTA 55033 437-5600 Enclosed is a check for $5. 00 please send a Pending assessment search on: Lot 4 Block 2 Blackhawk Hills Second Addition. V/ Thanks Anna ef~ r X L 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Reouirem_ents Dtfice t's° I " 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan . ert of Su^:ey ReC i Y _ f (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pies Flan Recd Y H 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks , r~ Pies Required 1 set of Energy Calculations Addition - indicate if on-site septic system On sl[e Sepik Sys;em Y Id 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date ' 1 / OLU/~ q Construction Cost 101341 Site Address n n T2\(G1f1~0[A 71acQ. Unit/Ste # Description of Work ox-Q 2 ,tt ( Multi-Family Bldg _ Y )e N Fireplace(s) _ 0 - 1 - 2 Property Owner `L 1-a Telephone # (~j~ y J ! ~ 2'S RENEWAL BYANDERSEN Contractor 1920 COUNTYRD. 'rC" WEST Address ROSEVILLE, MN 55113 City 651-864-4777 State LICENSE # 20130983 elephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # Mechanical Contractor Telephone # fM7AY1 2004 Sewer/Water Contractor Telephone # BY I hereby apply for a Residential Building Permit and acknowledge that the information is comp ete an 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 the case of work which requires a review and ap oval of plans. C-1, lze~-na cyt) Applicant's Printed Name Appli is Signature I~ OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_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 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System 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) _ Final/C.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 MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total verve. Sv•it 2tiV $6..7V rna tUJ O(~ glkt}(} ~i ~fr~tt ~~y►~~u~ fey( ~~y~ ' saL +uufLii ;CUU. re. -T=et 2001 city of aw'M 3836 Pilot Knob Road Egan, MN 55122 - To Whom It 1VMay Concern: Elder Jones is authorized to , . ull b Elder Jones to provide this p ' uddiag permits for Renewal by Attdazsam_ Please stltow crWee for us in Fait. 'Min authorization is valid for any date beyond 616101; until a 1;~onewal by Andersen to the City_ Mmiam angry revokes it in wti d tg I request this authorization be a ed- - _ . v xpeditfously, ur building pcunita any fuxthcr. Please can me if th= arc nny gncsc ona..I ~ frig of t contacted at 763-502-4706_ Your imm9diatc attention to Ibis mduer is a - ated. . Sinc~eiely, . Yntond -k. Rau ntlation Manager Renewal by Andersen Corporation C'.c:: Ksm~_F.1r}er ThnPe - - "WY nneaots Received Ti-Me Jinn. 7. 1:07PM 2005 RESIDENTIAL BUILDING PERNUT APPLICATION - 7 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ceit of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd -Y N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required "_Y _N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date ` / -"Q Q ~ cr S Construction Cost ` , lL~~ t r Site Address U 0 N ( CV T8ryL - +L,, Unit/Ste # < r Description of Work - <t Y 1^A ~ o W ' ~ ` [ r" ; T G.c_z I U3 ~-l S W ' Multi-Family Bldg - Y - N Fireplace(s) _ 0 - 1 _ 2 Property Owner ~CACC0 Telephone # ~ ~ a cJ Contractor Renewal By Andersen 1920 County Rd. "C" West Address Roseville, MN 55113 City State 651-264-4777 one # ( ) License #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? - Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor 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 plan in the case of work which req ires a review and appr al of plans. - - --"77 -771 rt ~I (-A ZV A-, Applicant's Printed Name plicant's Signa re OFFICE USE ONLY Sub TYPes' I ❑ 01 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 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types I ❑ 31 New ❑ 35 Int Improvement ❑ 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 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System 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) 4 Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) 4 Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco - Stone i Brick Fireplace _ R.I. -Air Test -Final _ 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 ' vwvd+SVV1, 11iv gb.vv L'tib, !OJ S?!t g4tfn fti'.~1E;tfihL ~1~PUlSIfr`tL3PI WUU re al rune 7, 2MI City ofd 3836 Pilot Snob Road Eagan, MN 55122 To Whom it may Concern: Elder Jones is authorized to pall building puts for Renewal b Elder Jones to provide this qmr ice for us in BaM Y Atcdazsen. please allow date beyond 6/614X; Mil aanewal by Andcrsan ' 7hiR authorization is valid for any to the a ty_ ar e ty revokes ft in writing I request this ou autho~tion be accepted.expeditiously, as to not delay in the building Pcnnita any further. Please can me If thew M An P!ro~cssittg of Y Mona. I can ba contacted at 763-502-4106. Your immgdiatc attention to this matter is a predated. - Sinceialy, - . yinond"R. Rau vstIIation Manager Renewal by Andersen Corporation Ksara_F1c}Pr Tnnea MY C*" ss~zoBS _ r MI Received T*" a JUe- 7- 1:07PM PERMIT City of Eagan Permit Type:Building Permit Number:EA113368 Date Issued:09/03/2013 Permit Category:ePermit Site Address: 3678 Birchpond Pl Lot:4 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-040 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 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 - Evgueni V Tsiper 3678 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:EA126228 Date Issued:08/19/2014 Permit Category:ePermit Site Address: 3678 Birchpond Pl Lot:4 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Evgueni V Tsiper 3678 Birchpond Pl Eagan MN 55122--120 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144335 Date Issued:07/20/2017 Permit Category:ePermit Site Address: 3678 Birchpond Pl Lot:4 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-040 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 - Evgueni V Tsiper 3678 Birchpond Pl Eagan MN 55122--120 Garlock French Roofing 2301 E 25th St Minneapolis MN 55406 (612) 722-7129 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161276 Date Issued:05/15/2020 Permit Category:ePermit Site Address: 3678 Birchpond Pl Lot:4 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Evgueni V Tsiper 3678 Birchpond Pl Eagan MN 55122--120 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature