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3690 Birchpond Pl CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date- ,19 ``7 Site Address OFFICE USE ONLY Lot -Block Sec/Sub. IsI'"' On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well Type of Const City Water' " (Actual)___--- oc Name (Allowable). # of Stories 3 Address Lengths O City Phone ` Depth S.F. Total Footprint S.F. rc Name ,c 0 < Address APPROVALS. FEES P City Phone Assessments Permit Water/Sewer Surcharge w m Name Police Plan Review ~Z Address Fire - SAC, City ' 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 P1 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 ' T r Permit No. Permit Holder Date Telephone # Plumbing Lt ~c Qi~J s~~~ 8 HN.A.C. 5 &J-P7 Electric Softener Inspection Date Insp. Comments Footings 1 Footings II Foundation Framing Roofing Rough Pibg. : ` l Rough Htg. _/a Isul. y~ ! on -rt X1'$7 L . v-i' • N eca{s .~a c u. .L s,/t G rfi- Fireplace Final Htg. Final Plbg. Bldg. Final ' Cert.Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. ~sGhtt/` s.' PERMIT # PLUMBING PERMIT RECEIPT # 71 Z~ CITY OF EAGAN d !!7 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: t CONTRACT PRICE: HONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lots 1 ck Sic/Sub Res. New Mult. Add-on Name f Comm. Repair m Address/{/~/ Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name - Water Closet - $3.00 $ Bath Tubs - $3.00 Address - 4L a AK.4 62 F Lavatory - $3.00 O City Phone _,,=Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE TLaundry Tray - $3.00 •=3 APT. BLDGS - COMM RATE APPLIES _ Floor Drains - $1.50 1 TOWNHOUSE & CONDO - RES. RATE APPLIES ___,_Water Heater - $1.50 1 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20-00 Gas Piping Outlets - $1.50 44 - ~ ' STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 _i Rough Openings - $1.50 SIGNATURE OF PERMffTEE FEE: b STATE S/C: FOR: CITY OF EAGAN GRAND:TOTAL: ' 1P*~"~ "~'i "~p"~'"`''~, #y T.: a ,:,•'~'"-~Ti+ rn, 11: ~";;1~~ P~RM`f~''~l~ ' ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ` X 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res.. News'' Name' f Mult. Add-on 4, 4t Address a` as4 Comm. Repair S City _ Phone t s` I Other FEES Name RES. HVAC 0-100 M BTU -$24.00 C Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1:50 EA. TYPE OF WORK COMM/WD FEE - 1% OF CONTRACT FEE Forced Airr M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES F Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 A•Air C M B $ STATE SURCHARGE PER PERMIT - .50 Gas Piping ~ (ADD $.50 SIC IF PERMIT PRICE GOES g Outlets# $ •C~C~ BEYOND $1,000) Other $ FEE: S/C: SIGNATURE OF P RMITTEE TOTAL: FOR: CITY OF EAGAN et true trf Crctr tit? d Ca, t Of wdtbhT ,ply This Certificate issues pursuant to the requirements of Section 306 of the Ilnifnrmuiidin Code cerdfying that at the time of issuance this structure was in cor Rance wig the vary ous or *nances of the City regulating building construction or use. For.the fol&~wing.• i y~ GAR Mg. Permit No. ~ 2 Use C t ion r ODC!tPpOCY T* R3 ?tmi* Mtrict R1 Type Coast. paA~ awMDICK RUD , 631 1M WAD, PAGAN Hatd&4 Aftm 3M , a Locality LL, P22, XAMM HMU ZO nay: AD= 14, 1987 POST INA C6NSPICUOUS PLACE 7.7 $ Date' 73 -S7 Cl'tY OP-EAGAN Permit No: 3830 Pilot Knob Road Meter No: Size: Date: P.O.i~2't14 Reader No-. Ern, +t 55121 RAgb& U&4 Owner- d Site Address: E Plumber, 55=11d Zoning:- Conn. Chg: Acct. Dep: 15.E No. of Units: Permit Fee: Surcharge eT • 1 agree to comply with the City of Eagan ? Tr. Plant I$E=- Ordinances. Meter. 106.40nd Misc. By va"In Own"= Maw K cmr Of EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 140362 F. .ate ; PE$MIT NO.: P.O. Sox 211p 7-23-87 ge Eagan,WIN 5121 „BATE: 1 k Zoning: R - No. of Units. Richard 'Reid Owner: 1 Address: 36$4 B irchuond place Ll B2 13 k3aavk ~ j t R TI Site Address: ` Plumber: Pe check Plumb 4- f: 72688 1E30 .t?43pd agree to comply with the jClW of Eagan Connection Charge: sM Ordinances. - Account Deposit: ~t}pd Permit Fee: Surcharge: 5(t_-_- 1 i Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CASH RECEIPT CITY OF .EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DAT,~^~.,ys~. 3a = c 19 t ~ RECEIVED FROM AM uNT r is r 8e DOLLARS too CASH } ,r 'i J~✓~.,',' r` ,mil T f„r,"~ `FUND CODE AMOUNT Thank You `s Y ;4 White-Payers Copy Yellow-Posting Copy 1 Pink-File Copy 7,: x r r- ~c ter, r,--.re ±sr +^egr*a±~,_'v9PvQPP CAi RECEIPT ZLD(;.171T No CITY OF EAGAN ~ 44 3830 PILOT KNOB ROAD { 01-3210 Bldg. Perm ft t 1 EAGAN, MINNESOTA 55122 01-3422 Plan Check DATE 19 01-3445 Surch./Adm. f RECEIVED 01-3446 SAC/Adm. FROM f , - I. 01-2155 Surcharge AMOUNT 1 I 17-3860 Road Unit DOLLARS 20-2275 SAC ' °O 120-3865 Water Conn. c-t-J ❑ CASH Q CHECK IC 20-3868 Water Trmt. E v a FOR 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit F FUND i CODE AMOUNT 79-3866 Sewer Conn. 11-3855 Park Ded.~ M TOTAL I Thank You I BY E - White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAAI Remarks ` Addition BLACIaMK HILLS 2ND ADDITION Lot 7 Sik 7 Parcel 10 14381070 02 Owner~lS~C~G/sife-F1d-tlYi1jd4 St., 3690 Birch pond Place State B an.. 5514 . Improvement Date Amount Annual Years 'g9. Payment Receipt STREET SURF. Ali 1976 1120.76 112.06 10 -20 STREET RESTOR. GRADING SAN SEW TRUNK Lj~ 1970 462.77 18.51 25 SEWER LATERAL 1972 .1590 73 79.54 2 9S WATERMAIN * WATER LATERAL 1972 - WATER AREA 1977 569.24 37.95 15 8 0 ear at LatS 1978 STORM SEW TRK StU S 1978 k *STORM SEW LAT 1972 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. - SAC PARK 6325 6-13~77 17 T _ . . T_a This rttQuel$t void h(~~r 7 18 months from 701407 Request to Fire No. 1!rnspection eady Naw W04 Nolity inspec- R tor When Ready v3 0No Q Licensed Electrical Contractor. I hereby request inspection ofabove - " ❑ Owner electrical;woric installed at: Street Address, Box or Route No..r Cizy Section o. Township Name or No. Range No. county ; Occupa i Ti Phone No. Power Sei<Z~ Address Electrical Contract r Company Name) r Contractor's License Mailing ddress (Contractor or Owner Making installation dd / 3 D ' Authorize S' tore (Contra Owner Making I tatiation) Phan Nu barcXW . 3 MINNESOTA STATE "BOARD OF ELECTRICITY -THIS INSPECTION REQUEST" !LL NOT A Griggs-Midway Bldg.,- Room N-781. BE ACCEPTED BY"TFlE S;AE. BOAR61 1821 University Ave.: St. Paul, MN 58104 UNtESS PROPER.tN&PECTJON FEE`!S" Phone (61211342-0800 ENCLOSeD. REQUEST FOR ELECTRICAL INSPECTION « EB-00001-05 See instructions for completing this form on back of yellow copy. C '70-1-40 "X" 8elow Work Covered by This Request e)N 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 Unioader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify} Other Specify Other Other Compute Inspection Fee Below M Fee Service Entrance Size # Fee Feeders /Subfeeders # Fee Circuits 0to200Amps 0to30Amps 0to30Amos Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Poo{ Above 100 _Amps Above 100_Am s Transformers Irrigation Booms Partial-Other Fee Signs Special Inspection S Remarks TOTAL FE Rough-in - Date 1, the Electri 79„~ Inspector, hereby ••r`Or certify that the above: Final r'S to ,~/J inspection has been 1 f r~ 1 made. This request void 18 months from 5 017 9%„~, sso Request Date Fre No. Rough-in Inspection q Required? [;;.ad y Now 0 Will Notify Inspector L Yes No When Ready? I ) *4icensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street,-Box or Rou No.) City :Vaa a a Section No. Township Name or No. t Range No. County Occ (PRI T~) ( Phone No. ~ 6 cL Pow Sup ier Addres 04 )CCA~ & \tc _~c 1) C Elec aI Conir for (Company Na e) ntractor's License No. Mailing Address (Contractor or wner Making Installation) f _ C zoenckle- 4fi c n YL Authorized Signatu (Co tractor/O M ng 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. REOUEST FOR ELECTRICAL INSPECTION sF 0, See instructions for completin this form on back of ellow copy. EB-00001-08 5017 ~ g y J X" Below Work Covered by This Request^ ewAdd Rep: TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommAndustrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # . Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 tp,tOO Amps-, Transformers Above 200 Amps A66ve 100 Amps Signs Inspector's Use Only: - OTAL Irrigation Booms' J Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDDtS"DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has f "Al been made. Final D e OFFICE USE ONLY This request void 18 months from ~~r*~cztticicic~rieytit•k•katitir~ckitiririr~tdrie•*#it~kic*ir~r# CITY OF. E A G NOTE: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE * APPROVAL OF PELT. >f APPLICATION FOR PERMIT >t INSPECTION OF SEWER Ali?/CR INSTALLATIONS WILL NOT ME scmm}- SEWER AND/OR WATER CONNECTION MW UNTIL PENT HAS BEEN ~ APPROVED. * >F (Please Print 1 } PROPERTY ADDRESS : X j G-27 /r l -rte. LEGAL DESCRIPTION: " Lot Block Subdivision or Tax Parcel ID IF EXISTING STRLMLME, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Nbn Year) C0NM1ERCIAL/RETAIL/OFFICE 0--R-1 SINGLE FAMILY [7 INDUSTRIAL R-2 DUPLEX (Two Units) INSTITUTIONAL/GMMMm R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) WARMFINT1 NAME: ~~,l~~.~i ADDRESS:r CITY, STATE, ZIP: Y- PHONE: ~ 3) al• / For City Use . . _A(~~~'l~ Plumbers License: ADDRESS: Active Expired i CITY, STATE, ZIP: Not recorded PHONE: S7~y^ MASTER LICENSE# ~ y - -,L- Staff I tial 4) • • NAME: ADDRESS :~j~ 7 G 7 Lei ,~C ,L`' CITY, STATE, ZIP: PHONE: 1~ • ~l• : a • ^ gat • .CONNECTION TO CITY SEWER 'CONNECTION TO CITY WATER OTHER 6) • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 3, 4, ABOVE (Circle one) • `t' • Y' 1. • t • I'. I~ l• IM ILI • _FOR CITY USE ONLY., PERMIT # ISSUED i Pd w/Bldg. Permit FEES: $ $ ~C~f 5~ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ / 5- ACCOUNT DEPOSIT - WATER $ Z ` C $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ 6Z) TOTAL PY S_ RECEIPT RECEIPT 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 E3 NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS; APPROVED BY: TITLE: DATE: Z,23ZL / ' 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~6 7co 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 Cert 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 Construction Cost IX l 0 ✓a 05 Site Address l~ (Ch (1[~ ~1Q ~Q Unit/Ste # Description of Work ' 0C\_"-0 &0(_ w/ C" JUT\ •5 l V\QA Multi-Family Bldg - Y - N Fireplace(s) - 0 - 1 - 2 Property Owner Telephone # ('(,LU~) ~~Jt"1 p[19~ P Renewal By Andersen Contractor 1920 County Rd. "C" West Address Roseville, MN 55113 State 651-264-4777 e # ( ) License #20130983 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 # ( ) 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 Ian in the case of work which requires a review and appr vaI of plans. C>"F-'~~ C' o Applicant's Printed Name pplicant's Signature 9 2Q~5 { r OFFICE USE ONLY Sub Types ❑ 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 ❑ 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 ..vr ve. sv•. c :tcv $s. ~v rti4 too O U 1 J,400 "i'i~tCi~t, Ef['i11l~~jy Im uU re l . acme X007 - - - - - Of Empn. 3836 Pilot Knvb;Road Eagan, MN 55122 To Whom it may Concern: Elder Jones is authorized to Pall buiIdiu Elder ]ones to provide this g permits for Renewal by Aadazsez~ Qicase allow date beyaud 6/6/01; until a pc new for us in Fin. ' ti9 entharizadOn is valid for any to the CitY- et by Andersen man eWeWy revokes it In turning I request this authotiotz be a our building pemmits arty fuxth P~~ ~ c ~nc~co &4 to not a rc nndelay in the prMessing of t croutactad at 763-502-4t6. y Quesdpas.. 1-can be Your Imml~,diatc attention to ft matter is $ et ated. - Slncxii~ely, ymvnd-k vstallation Manager Renewal by And=en Carporaao,3 ('c: Ks~ra-Ficier Tnnee . - - . ~z MME Received Ti'me Jun. 1:O1P 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan L?;4 ) 'j 3830 Pilot Knob Road, Eagan MN 55122 6, ti~ Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address 9 J,N~1 QyJ f'/dC cc- unit # Property Owner Telephone # s/,3~ yr 7 G Contractor Aaell f'{ C Street Address City State Zip Ss1.37 Telephone# ( c 7V%l S&OO Bond j f y 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 ~i Replacement .other State Surcharge $ -.50 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; than 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 se of work which requires a review and approval of plans. _ 0011:~~ Applicant's Printed Name Applic is Signature APR 0 7 2005 By 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 6,#1-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are pgl 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 Work Type New Construction Underground Tank Install Remove **see below Interior Improvement , Install Piping Processed -_,_Gas Nature of Work: **Men instaltingftmoving underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70:$0 Underground tank installation/removal $50.50 (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If hermit fee is $1,000 or less, add $.50 $ State Surcharge If erm fee is over $1,000, add $.50 for every $1,000 permit 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: CITY OF EAGAN NO 13 4 8 2 3830 Pilot Knob Road, P.O. Box 21,199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 2 / Receipt # b To be used for SF DWG/GAR Est. Value $117,000 Date APRIL 21 ~g 87 Site Address 3690 BIRCHPOND PLACE OFFICE USE ONLY Lot 7 Block 2 Sec/Sub. BLACKHAWK HILLS 2 On Site Sewage Occupancy R3 MWCC System X Zoning R1 Parcel No. On Site Well Type of Const s__9 City Water X (Actual) s Name DICK REID (Allowable) V W # of Stories = Address 3631 PILOT KNOB RD Length o City EAGAN Phone 454-2676 Depth 56 S.F. Total s WILLIAM KROPELNICKI Footprint S.F. o Name o< Address 7637 LAWTON AVE SO APPROVALS FEES City COTTAGE GRVphone 459-4550 Assessments Permit $ 554.50 Water/Sewer Surcharge 50 w W Name Police Plan Review ?77-95 Address Fire SAC, City 100- 0 Engr. SAC, MWCC 525 n0 4 m City Phone Planner Water Conn. _ 52x0 Council Water Meter 111---1_06.00 I hereby acknowledge that 1 have read this application and state Bldg. Off. Road Unit 305v0 that the information is correct and agree to comply with all applicable APC Treatment P1 i80. vO State of Minnesota Statute nd Cit o1 E an Ordi ces. Variance Parks Copies Signature of Permittee ' (J 4 TOTAL 2 631.25 A Building Permit is issued to: WILLIAM KR PELNICKI on the express condition that all work shall be done in accordance with all appticabl tate of Minne"a Statutes and City of Eagan Ordinances. Building Official t 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:.< /j/-® Valuation: Date: 31-16' -7 Site Address 3~ 9b s ;ryh.Ol~ OFFICE USE ONLY Lot 7 Block - On Site Sewage Occupancy - MWCC System ✓ Zoning R- i Parcel/Sub On Site Well Type of Const City Water (Actual) Owner (Allowable) of Stories Address Length Depth Ga City/Zip Code 6-'rl;z !~Z- S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor Assessments Permit Water/Sewer Surcharge 5F3.-- Address 7~ ,3 Z Police Plan Review 2--1 7 zY Fire SAC, City D 0• City/Zip Code Engr SAC, MWCC S ZS Planner Water Conn S2 S . Phone 6'D Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment Pl LLO Variance Parks Address Copies TOTAL Z~3 f . City/Zip Code Phone # i i i LAND SURVEYOR •I i L) r-, I Registered Under Laws,of The State of Minnesota r 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56066 PHONE 612 4231768 SURVEYOR'S CERTIFICATE ~D - xfo"W\e oZ- /rE 30.0 f is ~ . ~ a4 Ic"~' ~ f ~/1 / 1 • N 6 « to yti pry. gcq• ix $,P. $ \ Drainage & HOUSE Ec ` I utility brti a b~°` l l \ easement 10 e ~ D r N N SCALE: 1 inch ~ 50 Peet ~ Elevations shown are existing o Denotes found iron pipe Q Proposed gara e floor elevation 4 IL I hereby certify that this is a true and correct representation of Lot 7, Block 2, BLACKHAWK HILLS SW OND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon. Dated: April 15, 1985 MINNESOTA REGISTRATION NO. 8625 CITY of BUILD1110 DEPART1•IE11T EXTEIIIOR El1VLtOpn AVERAGE ttUtt COHPUTATIOH (To be submitted with building permit application) One or Two Family Dwelling lie- nn owner -,r 1oKS,q- K E1D All Outer . site Address Cotttrae for , Date phone ' LIt1EAL FEC'1` OF 11 . EXPOSED VIALL f t. above grade M p 4Z __L TOTAL EXPOSED WALL AREA S Q. FT. OPAQUE WALL 0011STRUCTIU11 t "Ulf Value x Area Detail R flu of • 21, z x SQ. FT. Qo-_L5 `L- M(A) reference In nUtt .0710 x sq. FT. 87.1 D- Z(U) (A) . from ttUtt_`____-~4- I x SQ. FT.- U) A) attached x SQ. FT. _ U) (4) sheets ttUtt x SQ. FT.. nUu - (U) (A}. SQ. FT. ---(U) (A) WII1DOW$I tlUtt Value x Area Mahe & Type ,►)t>L.i'1 Ott►1 ttUtt t~(p to to - x SQ. FT. .o0 (U)(A tt tt tt~ tt x SQ. FT. - (U) (A) tt lun x SQ. FT. - (U) (A) x SQ. FT. (U) (A) D001181 t!Utt Value x Area 1•laht' & Type .~~,~lr u~ • ttUn ~ tt tvc~t ttUtt x SQ. FT. -r- 00 o. 73F~ (U) (A) u tt ttU n` -x SQ. FT. .DD - •7 - (U) (A) n nUn x SQ. FT. (U)(A) x sq. FT. _ (U)(A) TOTALS Z~~,$. S f'T. ZZI. 3~ (U) (A) TOTAL (U) (A) VALUES AVEIi11tlE "Ulf ZZt . 3 ~ ~ . 08~ DIVIDED BY TOTAL WALL AREA ~SIPL 11VENA(1L ttU t . 41141 15 r less for 1&2 family dwellings ROOF/CElLIIla TOTAL AVEAs s ,c j.~ a LO Detail eference n n OZ./ FT. tluit r: x S ~JL - (u)(A) attached Sheets. --"""uUtt x SQ• FT• (U)(A) Describe openingo ----'-"ttUtt x SQ• FT• (U)(A) in roof. ` "nun x SQ. FT. - (U)(A) TOTAL TTOTAL (U) (A) VALUES DIVIllED x SQ- 1.7. (U) (A) Br 711, Le, Imo ~,,rf 15 (LAI • ''1OTAL ROOF/CEILI 1d AREA AVE11AclE tlUtt .025 or ventilated roofs. r 8.83 ~c I ~8 ~-s8 t- +•4`}~ I gol. ~ X 43 +4+3z~to~ = 73Co.95 •~7 X ~t1~+ 4~ ~ ~o. es Z5%pg. q-Z - ~~XC + 39-vz9-+z,n) 81.1o-,- e, Z4tAV ~•o X (40 = 3~ ao z8X%q 7.o I = 7.oo ~4X9v 9'0 X 7 = S(o.oo o la ►oo,oo gq.oo~- VI 4 51, 's CIO Z~ ~TL, a 1 z.~ = 92,op I ATP,) h r r ~ co x S = I4oq ~ ~l~ 1~q•~z_ r Ito = ~ tv I klywrS- !9q-cam ~74. ~z- x Zg = ~!v S ~I age!, {1R,oo X 1l0 5(v I81~•O4 --WALL SECTION- Determining "U" values at Roof, Wall, Rim, and Conc. Block ROOF CEILING R VALUE i S '1.) Interior Air Film 0.61 2.) 5/8" Gyp. Bd. -56 3.) Insulation -46,op 4.) 5.) Exterior Air Film .61 2 3 (STILL) "U" = 1/R= .QZr 'TOTAL (R)= 46o7p WALL (R VALUE 6.) Interior Air Film 0.68 7•) 1" Gyp. Bd. .45 8. Insulation ) 19.00 9.) 9:vtc.TT-PlT6 2•r,4 10.) Masonite Siding .67 l0 1 1 Exterior Air Film .17 I I "U" = 1/R= .01-z, TOTAL (R)= Z3.0' 1`L RIA4 R VALUE I~ _ 13 12.) Interior Air Film 0.68 130 Insulation 19.00 14 140 2" Fir Rim Joist 1.88 15 15. j oL. r' ET6 Z-09 16.) Masonite Siding .67 170 Exterior Air Film .17 o "U" = 1/R= / TOTAL (R)=QQ ....1s U 00 r- FOUNDATION R VALUE 18.) Interior Air Film 0.68 21 Ig 19.) ob 20•) l1 ~►b.f~c~s4 ~~•va O b° 21 12" Concrete Block 1.28 A ?n 22.) 23 23.) Exterior Air Film .17 e .o Lib • ~o • iiUn = 1/R= •VJ~O TOTAL (R)= j~•,?7 RESIDENTIAL Z BUILDING PERMIT APPLICATION CITY OF EAGAN L 3830 PILOT KNOB RD, EAGAN MN 55122 7~- ` l 651-681-4675 ✓I New Construction Reauiremente Remodel/Reoair Real irei manta • 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 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 I lot platted after 711!93 Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE 6-6--02-- VALUATION 3 / SITE ADDRESS 56'61C) 61rC~ eo n Cf 10 L MULTI-FAMILY BLDG _ Y XN TYPE OF WORK fee'roo FIREPLACE(S) _ 0 _ 1 - 2 APPLICANT St.1- L wr 6 L- k f ocr S STREET ADDRESS 7y(~, Co S CITY fn dray//,e STATE /I t'y ZIP X53 `f TELEPHONE # ?:';Z CELL PHONE # FAX # PROPERTY OWNER C d lee ! j TELEPHONE # 5r~ ysy Z67i- COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ 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: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: - Air Conditioning Fee: $70.00 Heat Recovery System n-f - Sewer/Water Contractor: Phone # ij ~ JUN 0 _-44--------------------- I hereby acknowledge that I have read this application, state that the information is orrect, and agre co, ply with all applicable State of Minnesota Statutes and City of Eagan nces ` y Signature of Applican OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex Z3 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 (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg Yor_N ❑ 25 Miscellaneous ❑ 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 Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. 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 Fireplace _ R.I. -Air Test -Final Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA144521 Date Issued:07/31/2017 Permit Category:ePermit Site Address: 3690 Birchpond Pl Lot:7 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-070 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 - Richard W Reid Tste 3690 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:EA148531 Date Issued:04/05/2018 Permit Category:ePermit Site Address: 3690 Birchpond Pl Lot:7 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-070 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: 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 - Richard W Reid Tste 3690 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159524 Date Issued:12/26/2019 Permit Category:ePermit Site Address: 3690 Birchpond Pl Lot:7 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner (2 furnances) Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Richard W Reid Tste 3690 Birchpond Pl Eagan MN 55122--120 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature