The URL can be used to link to this page

3605 Birchpond Rd Use BLUE or BLACK Ink - Foi Office Use - - - - - - - - 1 'Permit City 1 I Q I of ~ I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: P f v 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: T 3 U 05 &f 44 aoJ l\ ao. I" 6A ~S tl Tenant: Suite RESIDENT / OWNER Name: drr Phone: of s-)__ i"--It Address / City / Zip: 6 o,5 r t /;1 /f Y.5-1-Z Applicant is: Owner Contractor TYPE OF WORK Description of work: r✓ '/`dry Construction Cost: o r q 0o Multi-Family Building: (Yes / No ) CONTRACTOR Name: License -7~J Address: q 7o -L kle_ City: It p (C U-/ Uvlf. State: A.L11 ~ Zip: 5,56 Phone: -7q7 y Contact Person: ✓ ds~ s COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www..g~qpherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance _17401/V with the approved plan in /the case of work which requires a review and approval of plans. x V-e3J _c x Applicant's Printed Name Applicant' ignature Page 1 of 3 PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA087996 Eagan, MN 55122 . Date Issued: 01/16/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3605 Birchpond Rd Lot: 1 Block: 1 Addition: Blackhawk Hills 2nd PID 10-14381-010-01 Use Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Permit expired without required inspections. 9-1-2009 CE JEN HUBER 640 GRAND AVE ST PAUL, MN 55105 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: St Paul Plumbing & Heating Barry Divine 640 Grand Ave 3605 Birchpond Rd St. Paul MN 55105 Eagan MN 55122 (651) 228-9200 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. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 17 41 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SP DWG/GAR Est. Value $122,000 Date OCT 5 19 89 Site Address 3605 SIRCi3POND Lot Block 1 Sec/Sub. B'LACKHAWK HILLS OFFICE USE ONLY Parcel No. 2ND Occupancy R--3 M-1 FEES, Zonings 1~t. w ` Name CONSTRWT"10i (Actual) Const Bldg. Permit 3 Address t960 CHARLTON ST (Allowable) V"N 61.00 p` City W OT PAUL Phone of Stories Surcharge 71 Plan Review 338.00 863 Length j 100.00 ;i2 Name SAME Depth SAC, City 00 1 Address S.F. Total snc, Mcwcc 57 5.00 City Phone S.F. Footprints On Site Sewage Water Conn 380.00 r LOU W Name On Site Well Qw Water Meter 90.00 Address MWCC System 30.00 a z City Phone City Water XX Acct. Deposit 20*00 y PRV Required SCR S/W Permit hereby atcknowlege that I have read this application and state that the Booster Pump - S/W Surcharge 1.00 informatioh is correct and agree to comply with all applicable State of 228+00 Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 360.00 A Building Permit is issued to: MCALL,IS?ER CONST 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 3,099.00 1 Permit No. Permit Holder Date Telephone # WATER G'%, "f l° r iL e v. , SEWER PLUMBING f ta; • k;,, 't H.V.A.C. ELECTRICC 1'~'~ ✓ .,,iFE ! < { , J/~;f~ t r t. Inspection Date Insp. Comments J Footings I ! Q, lp ~ Foundation Framing Roofing Rough Plbg. _~~Ca l y AX, )Te Rough Htg. ]Sul. Fireplace - / n A+,/./ Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. r DATE: 1016149 RE: 36El9 BIRMPOBD MUD* Ll,, B1. BLACKUM BILLS 2114 Your Sewer & Water Permit for the above property has been completed. It will be held at the Public orks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL IC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your er, & Water Permit for the above property cannot be completed for the following reatsg, f t Your Se*Ar & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. ` REQUIRED BYLAW. { CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. secretary, Building Inspections Dept. 1~Itbigs DATE: y RE: X645 DIBCUFt'kDD ROAD, L11 D1, DLACIMA iflh R11" land Your Sewer & Water Permit for the above property has been completed. It will be held at the Public V~(orks Garage (3501 Coachman Road) until the meter is picked tsp. BE SURE TO CALL BLIC WORKS (454-52220) FOR YOUR PERMANENT WATER TURN ON. Your wer & Water Permit for the above property cannot be completed for the following reaso . . Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors 454-8100) before issuance. WARNING. BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. -REQUIRED BY LAW. t CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. cretary, Building Inspections Dept. a . rye r«• ..r; z:r*,spr±+z'C►a?~c sFK a,. { - r ei±F~ CITY OF EAGAN 171 41 ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100„ f ~suiLbfNG PERMIT Receipt # X To be used for SIB M /GAR Est. Value $122 *000 Date OCT: S 19 89 Site Address $605 DIRCHP I7► RD Lot Block 1 Sec/Sub. &LACKNAWK HILLS OFFICE USE ONLY Parcel No. Occupancy R-3 M.•1 FEES Zoning" _R-1 a Name ) L ISM CMTRI IQN (Actual) Const -N Bldg. Permit: 716000 Address, 1%0 C 1"l~tt ST (Allowable) V-N 61.00 li*91~~070 # of Stories -77777 Surcharge ST__ = Phone Length 71 Plan Review 956.00 Zp Name SLAM Depth SAC, City 100.00 OU~ Address S.F. Total SAC, MCWCC 575.00 city Phone S.F. Footprints On Site Sewage Water Conn' . Q W Name On Site Well - Water Meter 90.00 s z Address MWCC System 00 a City Phone City Water XX Acct. Deposit X.00 2000 PRV Required XX S/W Permit ' I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge 1000 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 296.00 Signature of Permitee APPROVALS Road Unit 30.00 A Building Permit is issued to: "CAMISTER C$T 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. Oft. Copies Variance 9,099.00 Building Official i_ 'K TOTAL Permit No. Permit Holder Date Telephone # WATER CP~ :EWER PLUMBING lk~e f f 9 i H.V.A.C. ELECTRIC t~j9 rI i~~y S 1~ Inspection Date Insp. Comments Footings 1 to ie2 ~ 47 Foundation Framing Roofing Rough Plbg.~/, Z' ~S Rough Htg. Isul. Pp. P®ls2 - ~wL Fireplace 4► Final Htg. r n S/~ -l - -5~0 Q Final Plbg. _ Q Const. Meter Plbg. Inspector- Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. 9 1111 (Intl fir~rttof rr ~~ttur 'tit? of tagan orparbumt Of Certiftcate issued pursuant to the requirements of Section 306 of, the Uniform Building Code certifying that at the time of issuance this structure mw in coni}phance with Ow various ordinances of the City regulating bua*ng construction or use. For the friRomhg. Use. IW MIGAR Bldg. Permit No 1 O nw TM V MAO ZDBiRg 1) Vid RI Type C-o. vs OWM 1960 5 ST. P AML E Owo" of BUiDg MA WSM 1WMM Add,. Ll, Hi, iS,d4[1it MUS 2D8) 3605 BUCWMJM ty l.u7aing Date: PER= Me 1991 Building vial POST N*1 A CONSPICUPUS PLACE • PERMIT # MECHANICAL PERMIT RECEIPT #i CITY OF EAGAN DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block_ Sec/Stjb Res. "New - ~ , r Name Mult, Add-on Address Comm._ Repair Other c City Phone µ FEES Name RES. HVAC 0-100 M BTU -$24.00 3 Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CQNSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES Forced Air M BTU 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 MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # s $ BEYOND $1,000) Other $ FEE: SIGNATURE OF PERMITTEE S/C: TOTAL: FOR: CITY OF EAGAN PLUMBING 'PERMIT For Office Use Only pfd • CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE PHONE 454-8100 DATE: F Site Address` BLDG. TYPE WORK DESCRIPTION ` Lot k ec/Sub Res. New Mutt. Add-on 'k, 16 Name t!' j f Comm. Repair m Other Address City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet $ M-$3.00 Name 14 74 E, Z7P Bath Tubs - $3.00 3c Address Lavatory - $3.00 / O City Phone Shower - $3.00 3 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 r , r TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00 j` MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 E 5~ MINIMUM - COMM.IND.IFEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 / Softener - $5.00 (ADD $ C P ACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. - $10.00 t Rough Openings - $1.50 U F RMITTEE U. G. Sprinkler System - $12-00 PERMIT FEE!Vo STATES SIC: FOR: CITY OF EAG GRAND TOTAL: -MP77 -.-F711 SEWER & WATER PERMIT OFFICE t3SE'- LY CITY OF EAGAN METER # PERMIT DATE 10/6199 3830 Pilot Knob Rd. 10983 Ern, MN 55122-1897 CHIP # PELT # METER SIZE B.P. RECEIPT # C 4111 DALE d ISSUE DATE B.P. RECEIPT DATE X39 _ PRV _ BETE PUMP -SITE ADDRESS 5 ' S '05-4"' PERMIT REQUE LO;T. LOCK SEC/SUB EWER - lef WATT` TAPS APFOkANT: C L 11111 lD~tIC + ADDRESS: 1,76 C1 C mtJ C IND - RESfiDENTfiAL CITY, STATE ZIPS NEW -EXISTING RHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters are Water Line. ADDRESS: ✓ L~ '~r Credit WILL NOT be _*en for'06040 Meters. CITY, STATE' ZIP PHONE: # 1 41 Z--' 2'-/ f'- , 1 AGREE COMPLY -V A7" CITY OF OWNER: 4 i` . ..L '?P, EAGAN ORDINANCES . Il ADDRESS: 715v CITY, STATE ZIP PHONE: ` SIGNATURE WHEN WATER UIED PLEASE ALLOW T" WORKING DAYS FOR PROCESSING. CALL 4 -5220 FOR INSPECTION& POR STOWSEWER PERMTS, CONTACT ENGINEERING DEPT. CASH f ECEOT CITY -_0F EAGAN 3830 PILOT KNO QAQ EAGAN, MINNESOTA 55122 DATE / i✓ w/ 19 L,J f mimeo r' FROM AMOUNT $ ~ & DOLLARS 100 ❑ CASH CHECK • c~ ~3~ 1 irk FUND OBJECT AMOUNT Thank You BY C 41 12 mit - pay- Coy,; Yello%~ Copy r - . 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN P 2 9X9 9 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - A STRUCTURAL PLANS I SET 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 ~ FOR SALE UN~ # OF UNITS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/BOMEOWNER 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 THE BUILDING PERMIT FEE. PROCESSING TIME FOR SETTER AND WATER PERMITS IS TWO DAIS 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. To Be Used For: f Valuation: 477,906- Date: '"•ate Address OFFICE USE ONLY Lot Block Occupancy (Z-3 M"t FEES Zoning Parcel/Sub ~c~.~ Actual Const Y- Bldg. Permit Allowable Surcharge /•CKS Owner # of stories Plan Review 00 Length -,'711 SAC, City 100 0 00 Address c c> Depth y_ q SAC, MWCC s S.F. Total Water Conn a E-C City/Zip Code c Footprint S.F. _ Water Meter 0, Acct. Deposit 0,toO Phone On site sewage S/W Permit Z_ ` On site well S/W Surcharge 1_0 0 Contractor G~ = MWCC System Treatment Pl. Zz9,0~ City water Road unit 43~ AL Address PRV required Park Ded. Booster Pump Copies City/Zip Codes SUBTOTAL APPROVALS Penalty Pine/- 7c~ .3 Player TOTAL Council Arch./Engr. ids. Orr. Variance Address City/Zip Code Phone 0 1 A V4 ~e 1 SZo x 14 . zE ~.~a two rzr,,,k1 1 Fow 0 4 I Z I- r SEWER A WATER PERK T 0MCE ONLY is Y OF EAt IW METER, PERfi1AIT t3DATE _ 1216/89 , Eag ,M Knob Rd. CHIP # zd 7 :2,6 P~ # 10983 Ems, MN 55122-197 METER SIZE H&CA B.P. RECEIPT # C 4112 r 'ISSM DATE Q. B.P. RECI IrT DATE 10I 5 / b9 DATE PRV BOOSTER PUW .--SITE ADDRESS PERMIT REQUE 'XD LOT BL~K SEC/SUB a ~KtEVVER WATER TAPS f DAJE APiCANT: t- il A) ADDRESS: !NEW" C D _ REEDEN'CIAL Ci7 f, STATE ZIP 5> ~ OWING r , PHONE: G~ K; Lawn Spri==r s are: its b:'Inata~ed PLUMBER: Ahead: of on wader !jm..+ ADDRESS: .1 Credit WILL NOT be given for Dod wtMWs. 9 3C C21'ti`. STATE ` Zip I AGIWE PLV W ' CTTY O OWNER: ADDRESS: Cf y, STATE Zip . Pli+DidE: SCAT 71 RRAW WORK MR PRt?CE CALL =454-€t Nt$AECT, i>M29r'! G ME" CITY OF EAGAN Remarks Addition BLACKHAWK HILLS 2nd Addi i on Lot _-1 Blk 1 Parcel j() 14381 010 01 - Owner street 3605 8}-ehpon Road- State Eagan, MN 55122 Improvement Date Amount Annual Years ?°j Payment Receipt Date STREET SURF. - 6 STREET RESTOR, 1979 2485.45 248.55 10 -7 6 GRADING SAN SEW TRUNK f * SEWER LATERAL 187 1972 IS90-73 79,54 _A7 L3 WATERMAIN r * WATER LATERAL 1972 Z"L`7,7 WATER AREA 339 1977 569.24 37.95 STORM SEW TRK 1979 * STORM SEW LAT 1972 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK 120.00 6325 6-13-77 L - - Request to Fire No. Rough-in Inspection ~k~Required? ❑ Ready Now 4411 Notify Inspector V es ❑ No When Ready? I ❑ licensed contractor 0 owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 3L Section No. Township Name o No. Range No. County Occupant (PRINT) Phone No. Power Supplier Address Electr caI C ntractor ompany Name) / Contractor's License No. Mailing Address (Contractor or Owner Making Installation) f Authorized ign ture (Contractor/Owner Making Installatio Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. Ile REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 00- See instructions fo! competing this form on back of yellow copy. G 01977 X" Below Work Covered by This Request New Ate, .ep. - TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits%Feeders Fee Swimming Pool 0 to 200 Amps / 0 to 100 Amps BLS Transformers Above 200 Amps Above 0 Amps 7 Signs Inspector's Use Only: . TOTAL 5-0 Irrigation Booms S 30 - Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final 1e been made. OFFICE USE ONLY This request void 18 months from Request Date Fire No. Rough-in Inspection Required? ❑ Ready Now Will Notify Inspector yYes G No When Ready? I licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No. City 36GS E,46,4^ Section No. Township Name or No. Range No. Count rL eesl A Occupant(PRINT) Phone No. Power Supplier Address C;7 A Electrical Co or (Company Name) Contractor's License No. HAS ~L€c~-G i Y S Mailing Address (Contractor ~Uwner Making Installation) 1 ~ Ta Zoi E.ae,An ~n 5Slzz Authonzed S ature (CDntractor/0 r Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ea-ooool-os Do- See instructions for completing this form on back of yellow copy. ~ `J(" Below Work Covered by This Request ~ r ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service I 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 to 100 Amps ' Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: T L Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby ROUg"'n ^ Date certify that the above inspection has Final ogee been made. OFFICE USE ONLY r This request void 18 months from CITY OF EAGAN N0- 17141 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 tI J. BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $122,000 Date OCT 5 1989 Site Address 3605 BIRCHPOND RD Lot 1 Block 1 Sec/Sub. BLACKHAWK HILLS OFFICE USE ONLY Parcel No. 2ND Occupancy R-3 M-1 FEES Zoning R-1 W Name MCALLISTER CONSTRUCTION (Actual) Const V-N Bldg. Permit 716.00 3 Address 1960 CHARLTON ST (Allowable) V-N 61.00 p Surcharge City W ST PAUL Phone 451-8070 # of stories 358.00 865 2636 Length 711 Plan Review Zo Name SAME Depth 49 r SAC, City 100.00 Address S.F, Total ~I SAC, MCWCC 575.00 City Phone S.F. Footprints On Site Sewage Water Conn 580.00 W W' Name On Site Well 90.00 t w Water Meter X- Address MWCC System aW City Phone City water }fig Acct. Deposit 30.00 PRV Required -XL S/W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: MCALLISTER CONST 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 tY Building Official Variance TOTAL 3,099. QO r-- * * 2422 Enterprise Drive PIONEER LAND SURVEYORS •CIVIL ENGINEERS Mendota Heights, MN 55120 engineering- LAND PLANNERS • LANDSCAPE ARCHITECTS 1612' 681-1914 - Certificate of Survey for:! ! C H LL /,5 TEf~ CoNs7" ~0. -J Goo J aI P 1-4 [,)0n/0 PON) N89°37'aq"W NORTH 8 4S 0 1 0 1 l i ►r I 1 0 rl.,.o s ~ 'A, 14` - Q 1\ 3 33 ( .o 11 w s. N 8¢z. N s o r I 97 C1~ `cA 2N \ ~ N Q 255.9! > 000.0 DMOW eKWin fteMlivn _o N v5E t~E A7„~N - _ s r 900, 0 Det?ole5 rn ded -levc hor1 -ER p P Bowes Floor f eva rot? 1, lJl?n o l es Ur,tr►na n hisemeof r f) o,' ' /ock E/evcri ot~ 94o. 0 benoles Drat tiow Orraw.y GdPq e 5/ab CleVation benofes monument d Deno es Of rsel Nub f3ectrirlr s shown are assumed Subjecl- to Faserner)fs of 'gecorld LOT_1 8L C~Cu 1 BL,4C,~,~,/AWK 2W ,4,DD tmkoTA COUNTY I hereby certify that this survey, plan or report was pre ared by e or under my direct su~~rvi3ion°anllfbatQulI~e l n Surveyor Under the laws of the State of Minnesota. Dated this day of A.D. 19~_, ► RRR~ . r inch _ e~ ~ ~ Sca/e.1 401?,)~L ROBERT B. SWIM] 1_.S. REG. NO. 14891 I ~Y e CITY OF EAGAN ; EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: { •jLV 10 SITE ADDRESS: 776 ezd CONTRACTOR: ` C ~1~1c'Z I' DATE: PHONE: .~r Determine working square foo age of each: 1. Total exposed wall area ' sq. ft, x .11 = 2411. 91 2. Total roof/ceiling area sq. ft. X .026 Total exposed wall area above floor = a. Total wall window area b. Total door area c. Total sliding glass area d. Total fireplace wall area e. Total wall framing area (average 10%) . -2j 0. 16 f. Total net wall area above f loor 7=621 o g. Total rim joist area t C.d-61 Total exposed foundation area h. Total foundation window area i. Total net foundation area above grade Determine 'U' value of each wall segment: a. x 'U' ~d - b. -A- - x 1U, C. x 'U1 _ d. x 'U' e. -2-10 I!>% x 1U1 I 0,f 1-7 f . ''L.0 Z ! . to x ' U' ~ q (o _ 7 h. tel o x ' U' 1110 3 . Total If item J3 is the same as or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ ceiling area j. Total skylight area k. Total roof/ceiling framing area (average 100) 1y-1- 1. Total"net insulated roof/ceiling area...........,.. '2 2-4 OVER ' Determine 'U' value for each roof/ceiling segment: J. - x 'U' _ k. W7 2 x U' _'00 2 ..S C> x 'U' t = ZSr~ i Q 4. • . Total If total of #4 is the same as or less than #2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values dstablished by the sum of Items ,'_3 and #4 shall not be greater than the sum of Items #1 and #2. 3. 2-1 L) 123 + 4. OX-7 2 'i':ovide insulation baffles in every' rhfzez s?ace. RODF FWA 'ST ~l o c i L L~.~ bay ~U Py .lob '12.11 Dy ~~►!~~r~IY~ Stmt " { ~ 4 ~",~,~vtt , off{ 7, F i IE tis 105 • ° tt 11 - If 0 20r • ► j~ 1E~7{.n~►~ to-~,~iC F liZ~ ~~if l2 4 00 ~ _ .n ?J It ~ )iX Cb►'IC,, ~=-1+ 2,$ AIR `FILM C ~t It u Floors are: untie- _ ted space; must have nininu~ R-factor of R-20 (tuck-under gaxaoes), y Floors ovc.r outdoor air (overhangs), must Have a mini-mum P.--factor of R-33. j -DISTRIBUTED BY- TM INDEPENDENT MILLWORK, INC CAfm 13420 83rd Ave. No. • Mpls., MN 55445 • (612) 425-6600 qualmy BILL ENRIGHT, Jr. "Service Is Our Key Word" dersen ARCHITECTURAL REPRESENTATIVE DATE JOB ~ . ~ ~ " ~1 ~ ~C7 ~ J rv> is w>'C` f ~ ! ~1_4 LA 0 -7 40 L4 3 _ ,try - IC-01~E #llS, 154m. tj# .-,7-0 2_4 44-1 4 20. 3 0`e~tl~ x t z eA Z), a l r L c-,?.Ath It t,` tf t~ k qio t z e ~ s Pigs a e ANDERSEN@ PERMA-SHIELD° WINDOWS & PATIO DOORS FOR COMMERCIAL INSTITUTIONAL USE PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA112015 Date Issued:07/23/2013 Permit Category:ePermit Site Address: 3605 Birchpond Rd Lot:1 Block: 1 Addition: Blackhawk Hills 2nd PID:10-14381-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Robin Johnson 6650 Winfield Circle N Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Barry Divine 3605 Birchpond Rd Eagan MN 55122 High Road Heating & Cooling 6650 Winfield Circle Rockford MN 55373 (763) 477-3331 Applicant/Permitee: Signature Issued By: Signature ' Use BLUE or BLACK Ink 3�`�`�� ------- �� • . � For Oftics Use j • � Permit�: t� tT� � . . �. � � ..�:��lt .:0�� Il .� � I Pertnft Fee: (� I . 3830 Pilot Kn'ob Road � � Eag'an MN 55122 . I Date Received: � � Phone:.(651)675=5675 � � � Stafl: � � fax•'{651).675-869�4 � i � . . Y% �,, ��J . . 2p1�4 RESIDENTIAL PLUMBING PERMIT APPI.ICATION ' Date: -Site Addreaa: Tenant: ' . . s��: �,� �,a��r H .�;� �� ., � =�w��s�i��`�°;� Y /j � � � �� J ,�,.��'�'' t� Name: v�. � ResidenUOw�.er � Phone: � . ��'��s:z��.�,.. � {�' Address�'City/Zip:•��o� �IYL� P�� (� I�Fa �J/�� ,��`�"�� `Mifbert .,ompany Inc dba Cullign Water� � WC643176 �, S� ��s�'�� {��r;�' � '' N8IT1E: . . LICCfl3@#: ��tii°x+� ��,'� 1'� � . �� • � Address: 180150t. Street East� �;ry. Inver Grove Hgts. �� "Cor�trac`to ��a,,� ��,�,, � #; � � 651-4 . . �>�`��x� ,�� .State,. ,MN. Zip: S5O77 Phone• 51-2•241 � � . �� , , < . � . �� :�°s�� .�.��, t,;�'�� .co��c:. Williarn�.R�M�lbert Eme��. ��, �€'�r�� ` r ' ,� �sw s: � � �' �#'� � New �Replacement _Repair _Rebuild _Modify Space Work in R.O.W. r T,ype�of�, l�or.`�` — . — ��y� ,�� . `�, ._x.:��..��,,�a�':;�. . ,� Deseriptton'of work: �� '� �� RESIDENTIAL x��,� � � � � . #75'F ��'�, �iT�c d J . . . �'w{_ �y ;�.�J F :}��1�� . ��:=h�� Water Heater p t,a� z�+;� '�„�,� ; . �Water Softener� �`�''�Per `�i��T' e� ' � Lawnlrrigation(_RPZ/_PVB) �� Add Piumbing Fixtures�Main/�Lower Level) '� ��`� �ep:;c System �tw't'�y ��'�'�, �� f � 3�� , New Water Tumaround ��'�.��. �'�'w� . � +�'k.a,�''y�:�'r�'�xm �� rt`� ' c��s. �„��;�;��: "��"'`" ; �* Abandonment , .. ::RESI D ENT:IA�'�hFEES:� • ;:�60"ib0`1lllat�r�Fleafer;.:lNater Softener,or Water Heater and Softener(includes$5.00 State Surcharge) ` :'$60:00 E:awt1°�Irrigation;(includes$5.00 minimum State Surcharge) -$6�Oc00�dd;F�;u�bjng`Fixtures, Septic Svstem-Abandonment,Water Tumaround*(includes$5.00 State Surcharge) : �,• .;.�:'VNat�r'furiiaround(add$200.00 if a 5/8"meter is required) ,� �11S:D0_.�eptiC.SV§fem�New.($10;00 per as'tiuilt)�ncludes County fee and$5.00 State Sutcharge) /'�1.��, � �� • . ' •'' • TOTAL FEES 3 �•� ►' , :`CALL`BEF.�RE�:a(OU�DIG. Call Gopher State One Call at(651)454-0002 for protection against undenground utility damage. � � �Call 48 hours'bYfa[e-you irstend to dig to receive locates of undergrourtd utilitie3. www.aopherstateonecali.om � ' .1�11sreby ackhbwledge'ltiat_this infcrma:ion Ta complete and�accurate;that the work will be in confortnance with the ordfnances and codes of the City of < Ea�ari;'thati-1'understa�id:fhis is n��a,perml�but ony an application for a.permft, and work is not to atart without e permit;that the worlc will be in ��accordance;witkC.' b.app'royed plan in the caso of workwhlch requirea a roview and approval of pl . „., ,.,; ..� .•. -,•�,. r . .,. ;=J � �:. .,.• :. . .. . " • . t ... �' ,: : L: A .. .. ''i:��.;, ✓: � :� . ... . . .:.x"': : � � , y-� X , >✓ .� , /" � � ,d�'� Applican s,Phnted;Name App icant's Signatu „ �, n� �'' ; ,, .. :� ' ;�r'. ' R��,�h7 . + a �' .� . �..�� ::�i ..., • � � �� . � � 3� .. , , � c.� $wa d a � .�"� R O I� S� �o � ,,, , n � � � �. �_ w . ::._ �u �" �,� g - ..A��PUIi��. F y� u• � c{ T �y �� Y t .}��"�,'� �! �R J�,S' � � i'�' t � � mRequired�lns ec,�i; ns! ��.��f� � i o4�u: x ; _ ., _ , � ;�, �, , � :� ��, �' � u . ,�a r. ��er`'F�,ela e:°sr •��M1et �i .; . ' }�d =,' .q °d � � � . . . F..x�..�:.�,, <��.,.�.., . ��.�. .�s� � . ... d _.. . .. . . ,... PERMIT City of Eagan Permit Type:Building Permit Number:EA132731 Date Issued:09/01/2015 Permit Category:ePermit Site Address: 3605 Birchpond Rd Lot:1 Block: 1 Addition: Blackhawk Hills 2nd PID:10-14381-01-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Barry Divine 3605 Birchpond Rd Eagan MN 55122 Barnhouse Exteriors LLC 7308 Aspen Lane Suite 154 Brooklyn Park MN 55428 (763) 670-8729 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA135720 Date Issued:03/31/2016 Permit Category:ePermit Site Address: 3605 Birchpond Rd Lot:1 Block: 1 Addition: Blackhawk Hills 2nd PID:10-14381-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Bath Fan Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Barry Divine 3605 Birchpond Rd Eagan MN 55122 General Heating & Cooling 13788 Kensington Ave NE Prior Lake MN 55372 (952) 452-0140 Applicant/Permitee: Signature Issued By: Signature Date: City of Evan RECEIVER MAR 15 2016 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: /39 Lok 3-/c- (co /l() Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION —1 5lc, Site Address: (D 05 .o i Resident/ Owner Contractor Name: Address / City / Zip: 3 5 iJ\ r ()LTV', Applicant is: Owner Contractor Description of work: Unit #: Phone: G?5`7- 68 .3 —03 Construction Cost: 2-2- ,SOU Company: Multi -Family Building: (Yes / No Contact: ^ • `e"" City: S� \..-c7 LS k3e4-,Y�L. Address: .31.p-6 2- l -,_k �,--� 5 � DRS cit-› t c pm Phone:1P� � � 3--)w� Email: State: rlYk-' Zip: 55.4 (O License #: 1; Y-- % D C 5 91 Lead Certificate #: If the project is exempt from lead certification, please explain why: Ilr— f� 1 3 2-3 -/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Phone: Fire Suppression Contractor: NOTE: Plans and supporting documents that you submit are considered to be public information Portons o_f the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota te Building Code must be completed within 180 days of pit issuance. x c'\ t4.. (13% Applicayrf's Printed Name x Applicayd Signa re Page 1 of 3 34,c) ikzct,t,,90,4d DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck )1- Lower Level Interior Improvement Move Building Fire Repair Repair / 5c v) 1 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Final ALFraming Fireplace: Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 3Z'i Siding Reroof Windows Egress Window (_35Qc-/ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation ) Water Damage *Demolition of entire building — give PCA handout to applicant nG-MCES System 20/1 /—/ SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / G.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests Final Drain Tile Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector 9 to 0 Q n a/t� Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA145760 Date Issued:09/25/2017 Permit Category:ePermit Site Address: 3605 Birchpond Rd Lot:1 Block: 1 Addition: Blackhawk Hills 2nd PID:10-14381-01-010 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 - Barry Divine 3605 Birchpond Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature For Office Us�e�f //Permit#: /`7 7 11-..,'`6 E AGAN Permit Fee: '6' G, Date Received: .,a 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 ( FAX: (651)675-5694 Staff: buildinginspections(a�citvofeagan.com JAN U Y[Old L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: I Phone: Resident/ Owner Address/City/Zip: c () Sp t I c \ pbt,j62,0 Applicant is: Owner )Contractor Type of Work Description of work: I/ e✓P Construction Cost: t J b0 Multi-Family Building:(Yes /No ) Company: 11 eContact: l k� Address: (6t� � - p1/4,\D City: A..:� 04.0 Contractor /� }Q / State:)i 1)V Zip:SSDY Z,Phone: (�.S/4'' 3:3n1Email: ~ A ) 01 , (DV/ 1'(63)56` /21g1tJ/k)4'-Z License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: • Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: OTE Plans and**porting documents that you submit are considered **fil �� P . lion may be 4 t ; : . 'Classified as pon pu4/ic if you provide specific reasons that 4e��tt a�tyxt`a p� �pig, .... � You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without permit; that the work will be in accordanc with the approved pl n i he case of work which requires a review and approval of pla . x 1 //2Q.#17- Applicant's x `. A licant's Pri ted Name ' pp Appl cant s Si nature DO NOT WRITE BELOW THIS LINE 6.C'.--; Kfzcitytei k'd. /(--/7 e.{._. 7 SUB TYPES Foundation Fireplace Porch (3-Season) _ Exterior Alteration(Single Family) / `Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding — Demolish Building* — Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace Repairlit `� _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant — DESCRIPTION Valuation 9/("0*° 1Occupancy _fir MCES System Plan Review Code Edition <., (, SAC Units (25%_100%' ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ___ Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) X Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: Footings _Air/Gas Tests _Final lc Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath Brick_EFIS X Insulation Windows / _ Sheathing Retaining Wall: _Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 17. , Building Inspector RESIDENTIAL FEES Base Fee ft '1" SurchargeJ/j/7ih' Plan Review , MCES SAC 2 0 l City SAC l Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA147358 Date Issued:01/02/2018 Permit Category:ePermit Site Address: 3605 Birchpond Rd Lot:1 Block: 1 Addition: Blackhawk Hills 2nd PID:10-14381-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 - Barry Divine 3605 Birchpond Rd Eagan MN 55122 Allstar Construction Commercial Llc 5145 Industrial Street, Suite 103 Maple Plain MN 55359 (763) 479-8700 Applicant/Permitee: Signature Issued By: Signature