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3684 Birchpond Pl 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 DECK Est. Value 1 x't Date MAY 2 , 19 39 Site Address 3684 Bliki;:tWND PAL Lot 6 Block 2 Sec/Sub. FLAClti.t1Aiv it ILMS OFFICE USE ONLY Parcel No. 2N T) Occupancy FEES Zoning W Name ,a'-~ -t Nc~P t.~rY (Actual) Const Bldg. Permit 3 Address 364 t,' (Allowable) Surcharge + # of Stories City Phone Length Plan Review o Name SAS Depth SAC, City ZV c00 Address S.F. Total SAC, MCWCC City Phone S.F. Footprints On Site Sewage Water Conn 0w Name On Site Well Water Meter Z MWCC System L)a Address Acct. Deposit aW City Phone City Water 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: -3 s a xk E?y 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 1 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. [Sul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. PLUMBING PERMIT For Office Use Only CITY OF ;EAGAN PERMIT # ` ` CONTRACT 3830 PILOT KNOB ROAD, EAGAN, iMN 55122 RECEIPT # LZ2 36 PRICE RHONE 454.8100 DATE: 69 Site Address 3684 BIRCHPOND PL BLDG. TYPE WORK DESCRIPTION Lot 6 Block 2 Sec/Sub Res. New BLACMIAWK HILLS 2ND Mult. Add-on SURE GREEN INC Comm. Repair L Name Address 6330 KEATS AVE N Other City STILLWATER Phone 770-802 RES. PLBG. ONLY -COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name BRAD KENMDY Water Closet - $3.00 $ 3684 BIRCHP'OND PL Bath Tubs - 00 3c Address Lavatory - $3.0.00 O City EAGAN Phone 688`626 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 APLLIES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 MINIMUM - COMM.INDJFEE $20.00 (MINIMUM - 1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 URE OF PERM U. Sprinkler System - $12.00 12. PERMIT FEE: 12. STATES SIC: .50 FOR: CITY OF EAGAN GRAND TOTAL- 12`50 2 1,6 , v CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 SUMI)ING PERMIT Receipt # To_be~used for Est. Value Date Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage - Occupancy - MWCC System Zoning Parcel No. On Site Well Type of Const V City Water (Actuaq 1 a Name (Allowable) m - # of Stories Address Length c City Phone Depth` S.F. Total p Name Footprint S.F. __:.P a Address ROYALS FEES City Phone ~ A sessmenis Permit r ¢ titer/Sewer Surcharge Mw Name ice Plan Review r E SAC, City ~5 Address , ng - SAC, MWCC City Phone Planner? Water Conn. Council Water Meter r 1 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 PI 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 Statutes and City of Eagan Ordinances. Building Official i Permit No. Permit Holder Date Telephone Plumbing /c, 7 e" HN.A.C. 6 ~`J Le- ' 97 Electric j(-4~~ yr't Gc Softener ' Inspection Date Insp. Comments Footings I ae Footings 11 Foundation Framing Roofing ` Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bldg. Final sa - Cert. Occ. Temp. LP Deck Fig. Deck Frmg. /SG 5' Gv L& Well Pr. Disp. Y a MECHANICAL PERMIT T~1 00 M CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: April ' 2987 CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Loth Blo k Sec/Sub Res. X New x Name i Mult. Add-on Kleirr Heating Conditic, Address 13075 Pioneer Trail Nmm. Repair c City Eden Prairie Phone 941-421.1 Other Name Ste h-an Homes FEES . - RES. HVAC 0-100 MBTU -$24.00 c~ Address 14340 Pilot Knob Road ADDITIONAL 50 M BTU - 6.00 p City Apple Valley Phone 423--1179 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air Lennox G G.,~2!y BTU 30.0 APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond.' M BTU 141 +At(UM COMMERCIAL, FEE- 20.00, n . STATE SIRCI{AAGE I?EW - IT: w- T Vent: -:onIy-l it C l3 Ptttl = _ AA]55t.56S/C IF PERMIT PRICE GOES Gas Piping Outlets # F'~'ti meanly dry 1.5 BEYOND $1,000) xaa Other $ FEE: 31.5 S/C: ' 5 SIGNATURE OF PE ITTEE i TOTAL: 32• FOR: CITY OF EAGAN T- PERMIT ~l PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ? 106 AZd BLDG. TYPE WORK DESCRIPTION Lot Bock Sec/Sub Res. New Name x ! L^ Mult. Add-on m " w Address 00 Comm. Repair c City ,rr'i Phone Other No, Name '/L/ 5 FIXTURES TAB L Water Closet - $3.00 ~ ro- Address IV3 = o - -ADO R th Tubs --$3.00 ' c - V _7' Phone Lavatory - $3.00 •U 4 p City omit Shower - $3.00 Kitchen Sink - $3.00 FEES ' COMMAND FEE - 1% OF CONTRACT FEE --7-Laundry Urin --7-Laundry Tr t - $3.00 -Laundry Tray - $3.00 ' MINIMUM - RESIDENTIAL FEE _$10.00 1150 ` MINIMUM - COMM/IND FEE _ 20,00 Floor Drains - $1.50 STATE SURCHARGE PER PERMIT _ 50 -r~2-Water Heater - $1.50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES -Gas Piping Outlets - $1.50 s. BEYOND $1,000.00) Softener - $5.00 Well -$10.00 u Private Disp. - $10.002 t t J i Rough Openings - $1.50 -T~ GNATURE OF PERMITTEE FEE 00 STATE SIC: S~ ZIP FOR: CITY OF EAGAN GRAND TOTAL v r i#tra# err f 11 Of In"i" iftorrum This Certificate issued pursuant. to the requirements of &vdon 3t1b of the dlnfform-Building Code certifyingthat at zhe time of issuance dAis structure ww m comppUat ce u4M the various ordinances of the City regegutaang building cgnstrucion or use. For the foHowing.- uft cua timsF DWG/GAR W ft. ft mit Na 13391 Oompawy Type &Dint District._ . Type Co- V $TEPH~-AN ROMES ` Aal,. APPLE VALLEY 3684 BTRCHPOND PL L6, ` $2, BLACKHW HILLS,.2ND 8"09 Addtm ;Y 29, 19E37 aaaai~,g ol~aat POST IN A CONSPIWOVS PLACE r I 1 SIAV \ ;)WLT ilk , 1.31 ^7~77T `t"JJ.IAV ( R.Tf~ 1 i c .tt(~(?p XA-$~i~~`;{]{'c{8 - ~l K].Ss, -S.e +.fk .~i 12 li 6Y 7./3 w. i4l i'~1 - :R'. 11. t ~j",i. j1 5. vi .A 7. 'Z I d.l G , 3830 Pilot Knob Road Meter Na Size: P.O. Box 21199 ~Reat~T,-No: Date: . Eagan, MN 5512"1.._ Owner: Ste..~_,Ap~~R Site Add " puce L6 '32 jLMkU -UHills plumt~r: - 1;1e~ua1 ~ . 525.000 Zoning: Conn. Chg Acct Dep; No. of Units: 2f0odPermit Fee: the City of Eagan Surcharge: 1 agree to comply with , Tr. Plant: ISO• Ordinances. Meter 67 Wpd Misc.: By ~ TO 8 - -F~ ~ g r~ _ ~ !F''~~ ~ ".sue chnr of EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road y?6p P.O. Box 21199, PERMIT NO.: Eagan, MN 55121 DATE: Zoning: Ri No. of Units: Owner: ph-tan Homes Address. - SiteAddress: 3684 Birchpoud Place L6 82 Blackhawk H:Ula Plumber: Wenzel echauical 3,-,V 71986 16 ,00id; I agree to comply with the City of Eagan Connection Charge: 5 -DANd Account Deposit: Ordinances. 1 " CC l 1Q_tlQ Permit Fee: F~-- Surcharge: - - 7"--- By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: , r. » . . '777,7r77 CASH RECEIPT ILL / CITY OF EAGAN 07 31. 3830 PILOT KNOB ROAD 01-3210 Bldg. Permit U E j EAGAN, MINOTA 55122 ~ 01-3422 P` n Check ba r f t 9 % 01-3445 Surch. /Adm. CJ 3446 SAC/Adm. RECEIVED Ol r ~ 01-2.155 Surcharge ~ AMOUNT $ - ;i 17-3860 Road Unit _ o v 20-2275 SAC & _DOLLARS CASH CH ECK 1 °O 20-3865 Water Conn. d v C. El 20-3868 Water Trmt./ u 20-3716 Water Meter Z~ u 20-2252 Acct. Dep. j 20-3713 Water Permit j , ~r t fr 20-3743 Sewer Permit FU6ti3 _ CODE AMOUNT Zoe 79-3866 Sewer Conn. 11-3855 Park Ded. 3 j TOTAL i 1 r ~ t f Thank Yot~ BY f { n C., ,t, 6 t '-.J White-Payers Copy Yellow-Posting Copy Pink-File Copy I CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS `v Correction Notice --7 r Located at %-117 16 I have this day inspected this structure and these premises and have found the following violations of city codes governing same: L AU,. A mr - 5- 3-7 When corrections' have been made, please call 454-8100 for inspect' . Date v~-A e7~ nspe or ty of Eagan DO NOT REMOVE S TAG PERMIT # 91*9 MECHANICAL PERMIT/,L CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE 'f CONTRACT PRICE: PHO E: 454-8100 .,Site Address BLDG. TYPE. WORK DESCRIPTION Lot CG' bock Sec Sub Res. New Mult Add-on Name L . l+t~ Comm. Repair Address Other c City Phone FEES Name RES. HVAC 0-100 M BTU $24.00 Address ADDITIONAL 50 M BTU - 6.00 O City Phone (RES. HVAC INCLUDES A/C ON NEW -CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. ',TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM`RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 MINIMUM COMMERCIAL FEE 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - 50 `Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) ,Other FEE: S/C: rSi R E TOTAL- FOR: . CITY OF EAGAN CITY OF EAGAN Remarks Addition BLACKHAWK HILLS 2ND ADDITION Lot 6 Blk 2 Parcel 10 14381 060 02 Owner Street 36, Birch and Place State Eagan, MN 55122 E ~f J ~Rp+ yr j ove Improvement Date Amount Annual Years $gf Payment Receipt Date STREET SURF. 3 1976 1120.76 112.06 10 STREET RESTOR. 1979 2485.45 248.55 10 9/. a GRADING SAN SEW TRUNK 1970 462.77 18.51 25 * SEWER LATERAL /3Z 1972 MOM 7 .5, 4, 90 WATERMAIN * WATER LATERAL 1972 WATER AREA 1Q77 srQ 24 &p i7 * & Wat Lats 1978 54Eff36 3 5 -57 . 0- 1 * STORM SEW TRK& StUbS 1978 * STORM SEW LAT 1972 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK 120.00 6325 - ' No. 05s 9 INSPECTION RECORD con" *~Knob i "123 Da* l"uoI *-AW~REi LOT* yy y♦ L~! "*4 alsto"*0 PL Z' #WTYPE. 'H'YPE OF WORK: y 4 C MI: M J ■ W P R i a N This request void j % f ' • 1 r. 18 months from %)P Request-D1 Fire No. Raugh-in Inspection Required? Ready Now Will Notify. Inspec- UdYes ❑ 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 ecuon No. Township Name or No. Range No. County Occupant (PRINT) Phone No. Power Su lier Address Electrical Contractor (Company N e) Contractors License No. Maili Andress (Contractor or Owner Making Installation) Auth ad nature (Cont z/O er =king Installation) Phone Numb Sr A MINNESOTA STATE BOARD OF ELECTRICITY THfS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. RJIM EQUEST FOR ELECTRICAL INSPECTION era-ooool-os is , . f R See instructions for completing this form on back of yellow copy. ••X" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) Other (Specify) Other Other -L L ompute Inspection Fee Below ft Fee Service Entrance Size is Fee Feeders IS ubfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps e .>C 0 to 30 Am Above 200 Amps 31 to 100 Amps. 31 to 100 Amps Swimming Pool Above 100 - Amps Above 100,Am s Transformers Irrigation Booms , Partial-'Ot Signs Special In $ spection J TOT 71F EE Remarks e y~~• ~ Alf Rough-in Da e G] ~c~J I, the lectrica ♦ VI Inspect eby certify that the above Final D%rte inspection has been r ~+Y made. This request void 18 months from e I J CASH RECEIPT 0 CITY OF EAGAN 3830 PILOT KNOB ROAD r EAGAN, MINNESOTA 55122 DATE 19 2 RECEIVE FROD AMOUN Fs & DOLLARS 100 CASH CH FUND CODE AMOUNT 4 7 v Thank You ' BY N° 72164 White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF E A G A i~ Tom' = PAYMENT' OF FEE AT CIF APPLICATION DOES NOT axETITum APPLICATION FOR PERMIT * APPROVAL OF PEST. ; . INSPECTION OF SEWER AND/CR WA R SEWER AND/OR WATER CONNECTION ULED UNTIL PERMIT HAS EMi APPROVED. P ease Print 1) PROPERTY ADDRESS: _3 67 LEGAL DESCRIPTION: Lot' Block Sub ivision or Tax Parcel ID ) IF EXISTING STRL'C,~TRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: - (fin Year CO"~ RCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY IlZUS RIAL R-2 DUPLEX (Twn Units) INSTITUTIONAL/GO T R-3 TOWNHOUSE (Three + Units) ( its) j~ R-4 APARTMENT/CONDOMINIUM ( i" Units), 2) NAME: ADDRESS: CITY, STATE ZIP: l PHONE: 3) u is NAME r* ~,~t 7 F f 1~n For C1ty: Case E Q H A N i GAL ADDRESS: 3600 KENNEBEC DRIVE, EAGAN, MINN. 55122 PlurnberS License: AcUve-* i CITY, STATE, .ZIP: Expired`. Not-recorded PHONE: MASTER LICENSE# 001445M2 4) •a♦ S In1t1a1 ADDRESS : - CITY, STATE, ZIP: PHONE: •5) a r. - i t ai• a CONNECTION CITY SEWER C1''CONNECT'ION TO CITY WATER 6) • PLEASE HOLD APPROVED - ❑ PERMIT FOR PICK-LIP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT 1, 2, (3D,, 4, ABOVE (Circle one) r -7S FOR CITY USE ONLY PERMIT n ISSUED r Pd w/Bldg. Permit FEES: $ $ 16'' ` SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STaP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ~f $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ $ TOTAL RECEIPT n RECET~T DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: f DATE: I~ ~ PERMIT r 3j Control No. f1 56o~ CITY O EAGAN ~J 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000690 (612) 681-4675 Date Issued: 06/04/92 SITE ADDRESS: 3684 BIRCHPOND PL LOT: 6 BLOCK: 2 BLACKHAWK HILLS 2ND DESCRIPTION: Building Permit Type DECK Building Work Type NEW Building Length 19 Building Width 16 REMARKS: RECEIPT * FEE SUMMARY: Base Fee $25.00 COPY $.50 Surcharge .50 Total Fee $26.00 Subtotal $25.50 CONTRACTOR: OWNER: - Applicant - KENNEDY JAMES 3684 BIRCHPOND PL EAGAN MN (612)688-6263 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. x.1;1! ~C L.L:,_ i~,-~ZC.e"GC l- ~d'r~~ ~`~~~b I ~ I✓_1 APPLICANT/P R ITEE SIGNATUR ISSUED 13Y: 61GNAT RE INSPECTION RECORD Control No r f 6 9 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000690 Eagan, Minnesota 55123 Date Issued: 06 /04 /92 (612) 681-4675 SITE ADDRESS: LOT: 6 BLOCK: 2 APPLICANT: 3684 BIRCHPOND PL KENNEDY JAMES BLACKHAWK HILLS 2ND (612) 688-6263 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FINAL -REMARKS: RECEIPT 0 PERMIT # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION REw 681-4675 - l SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re nest is made or lot change is re nested once permit is issued. Date Valuation of work Site Address: 3 68el &~cic~ STREET STE # Tenant Name:_ n C;L LOT BLOCK P.I.D. S Description of work: \i7c. The applicant is: Owner 11 Contractor O Other (Describe) ~~_3 Name __y1 U1Cc~ ~c~. wlE s Phone Al 5ff Property LAST FIRST / Owner Address ~aC C~ STREET STE S City CQt/1 State Zip Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable. StatQ f Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Urrit t: U,t UNLT BUILDING PERMIT TYPE . ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 Public Fac. ❑ 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Parch ❑ 15 Miscellaneous ❑ 04 Multi-fam. T.H. 08 Deck ❑ 12 Comm./Ind. WORK TYPE ❑ 31 New ❑ 34 Repair ❑ 37 Demolish 6132 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move i GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System ( l~ 1 -.,ab1 C lot F1: -q. ft. City muter UBC Occupancy R-~ 2nd Fl.,sq. it. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length 15, On-site well Census Code y Depth l~. On-site sewage SAC Code APPROVALS Planning Building 63 L9Z Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site Ja Footing ❑ Framing ❑ Insulation ❑ Wallboard C Final ❑ Draintile. ❑ Fireplace Permit Fee .2 o 0 vatust;on: s Surcharge Plan Review License MWCC SAC cer V 1 Vj Vr1V - Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies 5D Other Total: SAC % SAC Units wox>o to °d 4= vve 5 d- S`, o _ Dti Oa~~. ^ QLL 3EC.r ~rl(,/i ASSUMED t ,C ,y' oDEUVTCf alo" MD"OMAcdT UL I a x ~ 2- c os.5 u ~l lC / Z~.o ° ,9• ° IOC. I ~Z- 7 -15 • ~ ~ ~ ~ IN ~ 12' fi- o ~ r O I PSG ` ~G r J\ I , 015 I L Iii=~tC...OTA G. L1 NT'f I lw I t---A I hereby certify that this onsandethatsIPampardalyyRegistered under my direct supervis Land Surveyor under the laws of the State of Minnesota. .61 Date:a ~7~15c.? LeRoy }I.-Bohlen Registered Land S«r-,i4yor 11o. 1 079 i - MW CITY OF EAGAN~ 163 8 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PniiONE- 454-8100 BUILDING PERMIT Receipt # L`, l t To be used for DECK Est. Value $1,000 Date MAY 2 19 89 Site Address 3684 BIRCHPOND PL Lot 6 Block 2 Sec/Sub. BLACKHAWK HILLS OFFICE USE ONLY Parcel No. 2ND Occupancy FEES Zoning W Name JAMES B KENNEDY (Actual) Const Bldg. Permit 26.00 o Address 3684 BIRCHPOND PL (Allowable) Surcharge .50 City EAGAN Phone 9 1-8 7 # of Stories Plan Review Length Zp Name SAME Depth SAC, City 0a Address S.F. Total SAC, MCWCC City Phone S.F. Footprints On Site Sewage Water Conn r Uw Name On Site Well Water Meter _z. Address MWCC System a W City Phone City Water Acct. Deposit PRV Required S/W Permit 1 hereby acknowlege that 1 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 E Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is is d to: JAMES B KE NEDY Planner Park Ded. on the express condi on that all work shall be done in accordance with all Council applicable State of Minnesota Statutes ayndd~ Ciyt(y of Eagan Ordinances. Bldg. Off. Copies Building Official ~it~ t ' 1 1J Variance TOTAL ~6' S0 1989 BUILDING PERMIT`APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 4 3 4 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 RENTAL UNITS FOR SALE UNITS # OF 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 To Be Used For: r A,/ Valuation: . Date: Site Address 6 5f '&'yzLli bovx , ce OFFICE USE ONLY Lot Block_ Occupancy FEES Zoning Parcel/Sub l3lack~n~a~~a4~ A loo Actual Const Bldg. Permit' C' c~ Allowable Surcharge Owner # of stories Plan Review Length SAC, City Address L3;'milp( / Pla e Depth SAC, MWCC S.F. Total Water Conn City/Zip Code ~rAarL_~IJ ~6 Footprint S.F. Water Meter Acct. Deposit Phone ' ~(3 4'°'e K 9,3 f - -3!; 7'6 On site sewage S/W Permit On site well S/W Surcharge Contractor ` =A,` MWCC System Treatment P1. City water Road Unit Address PRV required Park Ded. Booster Pump Copies City/Zip Code TOTAL G APPROVALS Phone Planner Council Arch./Engr. Bldg. Off. `tzt5/1 Variance Address Council City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. 1 Q~ w~ IN \ S, Dti \~p~Sr' AL 3E irtL~i pSSUnnEt~ a 1` t " ' o DElloTfi, 12~►-1O►lllMEtilT 3~ ' t1~' ,,~.o ~ 0 e ~Lo doo r- .1 t"o 7, L~ r O P~ G h t-~' ~N y woo -7o.Zcv F.iD Al7Dl i lc'~t~al D r ~ (<-C) TY N~ l N N e- I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date: V7 r 5c;7 •~/w LeRoy H :.BBoh1en Registered Land Surveyor No. 10795 L - a0c) 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY IF EEAGNI 3830 PILOT KNOB RD - 55122 651-681-4675 NOW ConshucM Reaukemerds > 3 reghtered site surveys showing sq. ft. of tot, sq. ft. of house 2 copies of plan and lM roofed areas (M maximum lot coverage Mowed) 1 set of energy calculations, for hearted addillons > 2 copies of plans (stow beam & window skes; poured tnd. design: etc.) t site survey for exterior additlons & decks > 1 set of energy calculations > , 3 copies of free preservation plan 9 lot platted alter 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ~C- - ~'1 (1 STREET ADDRESS: LOT: ~o BLOCK: SUSD.JP.I.D. ~.ZYf C V 4~c~ '1 ~S c} VZ) Name:..~~ ~~•~.~J Phone PROPERTY Last First OWNER Street Address: n n ` City State: ("I r~ • Zip: ~f c Company: Phone (area code) CONTRACTOR Street Address: Uceme I Exp. City State: Zip: ARCHITECT) ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer & water licensed plumber (Etautred for new constructs n~ only Penally applies when address change and lot change is requested once permit is issued. I hereby acknowledge that t have read this application, state that the infoffnation is correct, and agree to comply with all.appiicabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: A, OFFICE USE ONLY 1s 0 ' ' Certificates of Survey Received Yes No t 1!999 P Tree Preservation Plan Received Yes No Not Required' OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling O 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22, Porch/Addn. (4-sea. D 03 1 of r plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) CI 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors D 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review I, License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit SM Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC CITY OF EAGAN NO- 13 3 91 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BU ~~~j ' PHONE: 454-8100 BUILDING PERMIT Receipt / To be used for SF DWG/GAR Est. Value $130,000 Date MARCH 27 119 87 Site Address 3684 BIRCHPOND PLACE OFFICE USE ONLY R3 Lot 6 Block 2 Sec/Sub. BLACKHAWK HILL SOn Site MWCC Systeme Occupancy Parcel No. 2ND ADD On Site Well Type of Const V City Water _ (Actual) V- w Name STEPH-AN HOMES (Allowable) Z # of Stories Address Length - o City A.V. Phone 423-3322 Depth 32 S.F. Total p Name SAME Footprint S.F. o a Address APPROVALS FEES P City Phone Assessments Permit $ 593.50 U ¢ Water/Sewer Surcharge ----6-5-.-0 0 w W Name Police Plan Review 7 ti- 7 5 Fire SAC, City 100. 0 x - Address - Engr. SAC, MWCC 0 a w City Phone Planner Water Conn.0 Council Water Meter 0 1 hereby acknowledge tha have read this applic n and state Bldg. Off. Road Unit that the information is orr ct and agree t co lyw th app' able APC Treatment P1 90 State of Minnesota Sta es and City ga r S. Variance Parks 0 0 Copies Signature of Permitte TOTAL $2,657, 2 5 A Building Permit is iss ed to: H-AN HOMES on the express condition that all work shall be done iaccordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official w 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, $2,000 LANDSCAPE BOND To Be Used For: ~L- / . - , Valuation: Date: r~ i rc~ ti Site Address OFFICE USE ONLY Lot 6 Block On Site Sewage Occupancy MWCC System ✓ Zoning Parcel/Sub On Site Well Type of Const City Water (Actual) Owner (Allowable) # of Stories Address Length Depth - City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor Assessments Permit_ Water/Sewer Surcharge Address Police Plan Review Fire SAC, City t~zD, City/Zip Code Engr SAC, MWCC - / Planner Water Conn S, Phone Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 lam, Variance Parks Address Copies TOTAL City/Zip Code Phone # o fb► ~ -V O.00 J ' /0 \4 O 5 DC ~•~p~g'~ At_t 13EA~ tNLS AtSSUME~J r az ~ ~ 6 ~ ~LA~-E t" = 4r~ ` r L_C 71, o 1_ Zoo ~9•~ t ° r r ' I 4 P of -l s~ Opp 6. 0 9 py tom I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date: 1!'ta,i 1-7 r , '5Z-7 LeROY H.--Bohlen Registered Land Surveyor No. 10795 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER SITE ADDRESS CONTRACTOR ~ f af-Tu .4n" DATE PHONE 4 e- 3 -r f Determine working square footage of each. ~1 ~S ~ Z g 1. Total exposed wall area . , , , , ,,^5 ? t sq. ft, x a_ 2. Total roof/ceiling area , t Q . c3 G' sq. ft, x ` Total exposed rzra l l area above floor a. Total wall window area b, Total door area C. Total sliding glass door area c%.c d. Total fireplace wall area e, Total wall framing area (average 10%)............ 2„~7-5"-7 f, Total net wall area above floor .y~_ g. Total rim joist area (.-26, Total c:,;posed foundation a -L- a = h. Total foundation e!indow area /C i i. Toal net foundation area above gre.6e Detemine "U" value of each r segment. a. X it U b,3'7 1 x nun -z x null ~J- , .tRl d X UV _ e. -7 ( x „U n C; a 9. 1 l 1 1.1 x lava r~:'1I_ _ t... h t C ,,-7- X "U" 2; 4 & X dual -7 3, Total If-item 13 is the same, as, or less than item f1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area C j. Total skylight area. k. Total roof/ceiling framing area (average 10%)... 1. Total net insulated roof/ceiling area........... I1 Crt Determine "U" value for each roof/ceiling segment. z 111' ll k. X nU,l = cl C X "u" C 5:.%'C'.... Total if total of $4 is the same as, or less than 12, you have met the intend of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items 43 and 14 shall not be greater than the sum of itev% #1 and 02. 3. 'Z C- l- C'G + 4, 1804 Melody Lane 8943063 Burnsville, Minnesota: _ WEPIA CO. PLAN SERVICE ED ANDERSON ARCHITECTURAL DESIGNING AND PLANNING Office: 1129 Cliff Road Office: Burnsville, Minnesota 8944636 PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA097610 Date Issued: 01/03/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3684 Birchpond Pi Lot: 6 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-060-02 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 5:334.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Pella Windows & Doors Turnkey Sales Frederic L Magee III 1300 25th Ave N =100 3684 Birchpond PI PIN-inouth NIN 55447 Eagan NIN 55122--120 (763) 74-1400 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116198 Date Issued:10/04/2013 Permit Category:ePermit Site Address: 3684 Birchpond Pl Lot:6 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: 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 by law in ALL single family homes . Kim Janssen 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 - Frederic L Magee Iii 3684 Birchpond Pl Eagan MN 55122--120 (612) 325-5369 Rayco Construction 211 St. Anthony Pkwy Minneapolis MN 55418 (612) 547-3011 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA138842 Date Issued:09/22/2016 Permit Category:ePermit Site Address: 3684 Birchpond Pl Lot:6 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-060 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Frederic L Magee Iii 3684 Birchpond Pl Eagan MN 55122--120 (612) 325-5369 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173394 Date Issued:11/10/2021 Permit Category:ePermit Site Address: 3684 Birchpond Pl Lot:6 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Frederic L Iii Magee 3684 Birchpond Pl Eagan MN 55122--120 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature