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3625 Birchpond Rd CITY OF EAGAN y 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. .On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well Type of Const City Water (Actual) V a Name (Allowable) j I # of Stories Address Length City Phone Depth S.F. Total p Name Footprint S.F. u Address APPROVALS FEES P City Phone Assessments Permit Water/Sewer Surcharge F m Name Police Plan Review E Fire _ SAC, City E _ Address 00 Engr. _ SAC, MWCC I. KE m City Phone Planner _ Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit thatthe information iscorrectand agree to comply with all applicable APC Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TQTAL 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 Permit No. Permit Holder Date Telephone # PWmbing 3S2 H.V.A.C. t? Electric Softener Inspection Date Insp. Comments Footings I Footings II ,5`°j Foundations 6J. L'i . /^ra~ .~on to v> ~t Framing mac- , s, - wn e r s 7~w e~ Roofing roi c • Jjo ~l 6 s~ ? . J~ Rough Plbg. Rough Htg, g4 die 97 _ Isul. G C G- L e ~c G 69-Z- rt Fireplace Final Htg. Final Plbg. ` _ _ r j' Bldg. Final Cert. Occ. AJ s s~ fe, CSC l~, C , a.,.~ Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. Cctp of Stan M CetWficate issued pursuant io the regttiremena of Section 30 of Me'Odform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating bull ft construcdon or use. For the following: use`c t" Sr ?C,(+R T M4 Permit No. 13550 Y Type R3 i3i3tricC ` R1 T~pe Const. V 0vvw of Bnfldiag DWUJ 1~ A*U, 3685 BMMM M. EAGM &ddfng Address . 2,625 MWEM [D ty I:2, Bit NimK91-5 Z 36, 1987 Bulldog Official - POST IN A CONSPICUOUS PLACE .:,Fy , ~ .P„ :4...,.,~+`ww.. •y,. -'i.*". . ',vbr : +Y' h'.' dt -':~,>ti?' -.=i^.a;'S""r"'_°""~x`^'""-"..+..--.~ t PERMIT #L► PLUMBING PERMIT RECEIPT# 73 qf`1 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: / '7 CONTRACT PRICE: PHONE: 454-8100 Site Address rv " _ BLDG. TYPE WORK DESCPPTION Lot Block f Sec/Sub Res. New Mutt. Add-on Name igl Comm. Repair m Address Other c city ~g lAt' 4 Phone -!4 4,4- J RES. PLBG. ONLY - COMPLETE THE FOLLOWING: J NO FIXTURES TOE Aj- Name `Water Closet - $3.00 $ ` Bath Tubs - $3.00. ° 3 Address s Lavatory - $3.00 p City Phone_LShower - $3.00 Kitchen Sink - $3.00 3, G 0 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 TI G' APT. BLDGS - COMM RATE APPLIES ~_Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES -L Water Heater - $1.50 w- MINIMUM - RESIDENTIAL FEE -$12.00 -_/--Whirlpool - $3.00 MINIMUM COMM/IND FEE -$20.00 4 Gas Piping Outlets - $1.50 f „x"C 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 Rough Openings - $1.50 4- SIGNA OF PE EEC j FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL. ~ t' ~L~ ' PERMIT # r` MECHANICAL PERMIT - CITY OF EAGAN RECEIPT # 3830 PILOT KNOB RbAD, EAGAN, MN 55122 DATE: CONTRACT PRICE:. E: 454-8100 Site Address 64 DG. TYPE WORK gESCRIPTION Lot Block Sec/Sub' Res. ' New Mult. Add-on Name Address Comm. Repair c Cityz z Phone Other FEES Name`' RES. HVAC 0-100 MBTU -$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/IND FEE - 1% OF CONTRACT FEE Forced Airy M BTU 1~r 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_ MINIMUM COMMERCIAL FEE 20:00 Vent. CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ FEE- S/C: ~ SIGNATURE OF PERM117EE _ TOTAL: FOR: CITY OF EAGAN RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Coraingtion Rsauirerr►eMs PAmod • 3 registered site surveys showing sq. it. of lot, sq. fL of house; arKM rooted areas . 2 copies of plan (20% maximum lot coverage albwed) • 1 set of Energy Calculations for heated adMons • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior addilians & decks 1 set of Energy calculations • Indicate I home served by septic system for additions • 3 copies of Tree Preservation Plan If lot platted after 7/1193 I • Rim Joist Detati soiecfion street s with 3 or less units oP~ (bldg s DATE VALUAIOI 400 JOB SITE ADDRESS 3 602 t sr c~, e~ c~ read If MULTIFAMILY BUILDING. HOW MANY UNITS? PROPERTY OWNER 8A.L_+ TYPE OF WORK-_-9?erne dt W 'n dam j=f0Q1*Z e^1,fKf_ FIREPLACE(S) 0 1 -2 APPLICANT CaKkiu11 e7'0 t 'l-KC~tmh. &I r_ '~QC~~DS35'~ PHONE*561 bbl c'O'j ADDRESS 215 DayL'.js S , Ly, (fig ZIPCOIX. S~c37~ Z X03-~"~?p PAGER 6 -01WPHONE # 5D7- 2 L3- 00 72 FAX # NIEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor Phone Plumbing System Includes: Y 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 Sewer/Water Contractor Phone # All above information must be submitted prior to processing of application. i hereby acknowiedge that I have read this application, state that the information is correct, and agree to Comply with all applicable State of Minnesota Statutes and City of Eagan Or inances. Signature of Applicant Certificates of Survey Received s Tree Preservation Plan Received _ Not Required Updated 1/01 L OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex O 20 Pool ❑ 30, Accessory ❑ 02 SF Dwelling O 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.) O 33 Ext. Alt - SF O 04 02-plex ❑ 10 08-plex C3 18 Deck O 23 Porch (screened) © 36- Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ '44 Siding O 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) O 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bidg)* ❑ 43 Reroof ❑ 46 Wiridows/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 Nbt. 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) - FinaWo C.O. Footings (addition) - Plumbing _ Foundation _ HVAC _ Drain Tile Roof Ice & Water Final Other - Framing - Pool - Ftgs - Air/Gas Tests -Final - Fireplace - R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation Windows (now/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage i S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY USE ONLY L BL RECEIPT SUBD. 1 J RECEIPT DATE: PERMIT# o 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, 14N 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished * requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x _ $ State Surcharge .50 $ .50 Total $ c30.50 Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: _ SCHMIDT, BARBARA 3625 BIRCH POND ROAD OWNER NAME:: _ TELEPHONE EAGAr, MN 55122 _ (651) 454-6448 (AREA CODE) INSTALLER NAME: TELEPHONE ~(i~ litlPf.p~ l>'s®. (AREA CODE) STREET ADDRESS: CITY: n R" P, b STATE: ZIP: h;iq 444446- 10, SIGNATURE O MITTEE CITY OF EAGAN Remarks Addition BL.AGKHAWK HILLS 2nd ADDTTTON Lot 2 Blk 1 Parcel 10 14381 020 01 Owner (`2 2"r Street 3625 Birchnond Road State Eagan$ MN 55122 Improvement Date Amount Annual Years 5i<3 Payment Receipt Date STREET SURF. -4 1976 1120.65 112.06 10 Alp / ' STREET RESTOR. #t& 1979 248 - 55 1 1 7d GRADING SAN SEW TRUNK 1970 462.77 18.51 25 63 * SEWER LATERAL 137 1972 1590.73 79.54 20 o WATERMAIN * WATER LATERAL 1972 WATER AREA 1977 569.24 37.95 15 -339 * 549, 4 36 7/ * STORM SEW TRK stubs 1979 * STORM SEW LAT 1972 CURB & GUTTER SIDEWALK STREET LIGHT I WATER CONN. BUILDING PER. SAC PARK 120.00 0325 6-13-77 47 uest void 1111111118 months from Request Date Fire No. Roug -in Inspection q red? 10Ready Now Will Notify. Inspec- Yes ❑ No for When Ready Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address. Box or Ro City ectio No. Township Name or No. Range No. C un y Occupant RINT) Phone No. o er ppli r Address ectri 1 Contr for Cbli~ e) Contractor's License No. aai~ CJ Mailing dress (Contra cto OIAr n Auth Signa (Contractor/0 Mak'ng f tatta ion) Phone Number MI ES A STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gr -Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave., St. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION » ^E7~~~~ 1 See instructions for completing this form on back of yellow copy. / r` 5 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 sped y Other (specify). Omer peel y Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders ISubfeeders # Fee Circuits IS, 0 to 200 Amps 0 to 30 Amps 0 to 30 Am Above 200_Amps' 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_.-Amps Transformers Irrigation Booms 23-6) Partial,`Other Fee Signs Special Inspection g p TOTAL A;& Remarks Rough-in e 1, the Electrical Inspector, hereby 9- .qhWLAr certify that the above Final ~r inspection has been made. C This request void 18 months from l-° CITY OF EAGAN NO 13 5 5 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # :7 -3 0 ``7 f To be used for SF DWG/GAR Est.Value' $138,000 Date MAY 1 19 $7 Site Address 3625 BIRCHPOND RD OFFICE USE ONLY 2 1 BLACKHAWK HILLS NSA Site Sewage Occupancy R3 Lot Block Sec/Sub. MWCC System Zoning R,I Parcel No. On Site Well Type of Const City Water X (Actuan y cc Name DONALD LERCHE (Allowable) W # of Stories z Address 36$5 BIRCHPOND RD --Tr- Length o City EAGAN Phone 455-0222, EXT 380 Depth 5R S.F. Total SAME 454-1763 Footprint S.F. o Name o~ Address APPROVALS FEES $ v City Phone Assessments Permit 617.50 Water/Sewer Surcharge F- - m W Name Police Plan Review 308-75 W E Address Fire SAC, City tin nn UZ Engr. SAC, MWCC -52-5-00 W City Phone Planner Water Conn. S5 n0 Council Water Meter 7 nn0 1 hereby acknowledge that I have read this application and state Bldg. Off. Road Unit ~gF,,g0 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 .25 Signature of Permittee / TOTAL $1,07 A Building Permit is issued to: D L ERCHE on the express condition that all work shall be done in accordance with all n li le Stag nesota Statutes and City of Eagan Ordinances. Building Official y 13 O<S 0 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: Valuation: (E7C~ Date: Site Address b a OFFICE USE ONLY Lot 2- B On Site Sewage Occupancy 2 CC System ✓ Zoning Parcel/Sub (Z l On Site Well Type of Const (n~ City Water 7 (Actual) Owner ,N~,~o K T sftt: (Allowable) # of Stories Address ~S 6,e~t~~'o. ear Length 1 l Depth City/Zip Code ~5 5 iZZ S.F. Total Footprint S.F. Phone APPROVALS FEES Y aA 0 So (1 _ Contractor t-~-ec*je Assessments Permit (0 Water/Sewer Surcharge` Address See er3 p6ai:: Police Plan Review 08 -~s Fire SAC, City 100. City/Zip Code Engr SAC, MWCC Planner Water Conn 52 S Phone Council Water Meter _ 67, Bldg Off Road Unit Arch. /Engr. 5 ,-r,7 Nev¢-:M R-3 APC Treatment P1 ( SD . Variance Parks Address +~8,~ cnQ Ems Copies TOTAL ZCv~I , ? S City/Zip Code ^AesQLr" M SS~t~ 8i - 435 Phone # 2- 1 t ZD 12 2 _ `Z' ~f r. t PLOT PLAN WITH ELEVATIONS OUTLINE SPECIFICATIONS FOR DONALD AND NANCY LERCHE 25 FEET 25 FEET 170 FEET CONTRACTOR - S AB IN BRO. CONST. INC. E 64.0 ` ` ` ` 71 _0 J 42 FEET 71 FEET 57 FEET 1 ! r r ~ r ~ ti 53 FEET - 860 52.0 309 FEET ~ 265 FEET J r f ~ 1 ° 850 .r- r 1 140AET - - 840 184 FEES _ 27.3 8 ')v _ 24.7 178 FE 42 feet - l r 01 ti', lip ! ' ^ • ~ ''.11 'r ~ _A r 1 ~ 1' ILL 4-1 ` .r , QI dV' ' 1 ` v i ~ ~ iii ~ ~ ~ i 1 t '•i~• ' y ' . , - ,1~ • ' , , _ a 01 /Jw~/r t / ~ N 1 _ 8150 Barbara Ave. INVER GROVE HEIGHTS, MINNESOTA 55.075 (612) 457-2211 EXTERIOR ENVELOPE AVERAC U COMPUTATION OWNER tk) 'i A") C Clef fl SITE ADDRESS LO 1 Z L 0tJ CONTRACTOR 'rJ DATE -Z PHONE 7►SY-/7~, Determine working square footage of each. 1. Total exposed wall area 3p-0 Sq. Ft. x .17 = s 2. Total roof/ceiling area 3p-~ Sq. Ft. x .05 =17s.o; Total exposed wall area above floor a. Total wall window area Jdj b. Tota door area X34,00 c. Total Sliding glass door area...... d. Total fireplace wall area e. Total wall framing area (average 10%) 3 _Q f-- Total net wall area above floor Z-S .7Z~- g. Total rim joist area........ _ Total exosed foundation area= ho Total foundation window area _ 3Q i. Total net foundation area above grade......... Determine U to value of each wall segment. b. S~/.cgo Xt. U to V rD~ = 6 l8 0~ X„ a I = 7 '4/ U to X to U of a e. 32010 X to U to (J lI E50 -7 2- X 00 U to 9- X It U of 0104 X It U It i _ 4c30-oo X it U 0-04- 3. TOTAL If item # 3 is the same as, or less than item i/ 1, you have met the intent Sec. 606 (c) 2. Total exposed roof] ceiling area- Total exposed roof] ceiling area- j. Total skylight area k. Total roof / ceiling framing area........ 10.% 5a= 1. Total net insulated roof / ceiling area 3/3.5.j. I Determine U " value for each roof/ ceiling seqment M o~ X o - s9 z k 350 0 o X „ U . ►4 = 49.E 1 313s 9~ X U 0.07- 4. i- 11q -y9 Total If total of 4 is the same as, or less then # 2, you have met.the intent of SBC 6006 (c) 1. To utilized the Coal envelope system method, the values established by the sum of times # 3 and # 4 shall not be greater than the sum of items tl 1 s r. I. 174 + 2.__ 1 ?s-&X) _ ~~rf'PI-0 3. Z~ 3 = 4. F G= COPP T XI N , v JLmil ADDPICnD U BY f ~ Date: 5-14-87 . CITY OF EAGAN Permit No: 8340 3830 Pilo! KoRb Road Meter No. ti . 3 . 9 si,, P.O. Box-2.A-M ~ 4i 55121 Reader fro.. Date - 3.0 Owner. Donald Lel:che ' Site Address 3625 Biro L2 B1 B1aFkhawk Hi a Plumber. &i 11ti 25, 0 t3" Conn. Chg: 525.0-1 Acct. Dep: 1 f . Permit Fee: 1a saw Surcharge: t agree t0 0mply with of Tr.. Plant - Or( s. 180.4 Meter. Fi7 , fl( Misc.: B WATER SERVICE PERMIT CITY CAF IL CAN Permit No. 8740 Date: 5-14-87 k 3830 PlId Rnob Road Meter No. Size: P.Cr. Box 21199 Reader No-- Date Eagan, MN 55121 Donald Lerae Owner, res Birc pan road B Blackhawk% TTU1 Site Ad Plumber. g Conn. Chg: 525.00gd Zoning: Acct. Dep: 15 . 00 PC No. of Units: Permit Fee: P Surcharge: f p" I agree to comply with the City of Eagan Tr. Plant: ` " Ordinances. Meter. 67 2Q pd Misc.: By WATER SERVICE PERMIT CITY OF AN S tT EWER SERVICE Pte . . - - 383Q.Pilot-Knob Road -l~7 P.O. Box 21199 PERMIT NO.. Eagan, MN 55121 pft DATE: 1 Zoning: rt~alc; T.fare°h,a ~ No. of Units: Owner: ' Address: 3775 B t chpgnd Road I.2 Bl B1ackhaw& H s Site Address: g Plumbing Plumber: -_s 73071 1€3 . 52 S . 0)( p 1 agree to comply with the City of Eagan Connection Charge: - 15.00pd Ordinances. Account Deposit: _ 10-- pd Permit Fee: - . St1T~d Surcharge: BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: A CITY OF EAGAN ~AP EEC AT TIM OF CONSTITUTE APPROVAL OF PERMIT. APPLICATION FOR PERMIT • INSPECTION OF SEWER AND/OR NAM Il+ISTAT?•A't'7.ONS WILL NOT BE SCHED- SEWER AND/OR WATER CONNECTION Ulm UNTIL PERMIT HAS BEEN >F APPROVED. (Please Pr nt) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Non Year} . PRESENT ZONING/PROPOSID USE: - COMMERCIAL/ =AIL/OFFICE ~R-l SINGLE FAMILY (2 INDUSTRIAL R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTNEIT/CONDON mum ( units) 2) F-num vl_ NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) 1::1• For City Use - NAME: ~~1 z Plumbers License: ADDRESS: Active Expired CITY, STATE, ZIP: Not recorded PHONE: _yd MASTER LICENSE# ~a 7 al 4) •a • ia• NAME: ' ADDRESS : CITY, STATE, ZIP: ~rC¢ PHONE: J W--CONNECTION TO CITY SEWER CONNECTION TO CITY WATER a OTHER 6) • r ❑ PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE r' Y PLEASE MAIL APPROVED PERMIT TO 1. 2, 3, 4, ABOVE 4, (Circle one) 7) r. r• u• - i FOR CITY USE ONLY- PERMIT # ISSUED J, Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ r( h WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ -t' ACCOUNT DEPOSIT - WATER $ 1 5 o $ WAC $ 6'.1 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ 1fs~C' f~~ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: 2 TOTAL t/ `73 . 7 1/ 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 EJ NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : r C~~ - O 2005 RESIDENTIAL BUILDING PERMIT APPLICATION r City Of Eagan OZ4,117- P`c,~ 1120, AtJ 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 Celt of Survey Recd --y -W (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 Sy lem Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date / /c2 ! a 005 Construction Cost Site Address 96 5 el12C&Iqo"V0 '05 Unit/Ste # Description of Work Multi-Family Bldg _ Y !i N Fireplace(s) 0 1 _ 2 Property Owner A&e;V V /74 Telephone # ( e .5/) Contractor Address 33 o as S%. rr s % ity h/ ''V/ /Y ~ State Zip S03 / Telephon W 7 _ ev- 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catem 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet r New Energy Code Worksheet (~1 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work whi w and approval of plans. 71 .01 fr a j Applicant's Printed Name Applicant's Signature I OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool x 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 x 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 U MCES System Plan Review 100% or 25% Census Code 3 Zoning City Water SAC Units Stories l 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 _ 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 , Z t. PLOT PLAN WITH ELEVATIONS OUTLINE SPECIFICATIONS FOR DONALD AND NANCY LERCHE 25 FEET 25 FEET 170 FEET CONTRACTOR - SABIN BRO. CONST. INC. 64 .U k 1 870 42 FEET 71 FEET 57 FEET _ 5 e--(- )Poe -slab ~ r~ a a - ~ 5 05 53 FEET - 860 52.E 309 FEET 255 FEET ~ r •ti 1 ~ 850 ,f ,r r .1 - 140 ET _ - - 840 r' I 184 FEET, - 27.3 - - - - 830 J .-f 24.7 178 FE 42 feet CASH RECEIPT CITY OF, E4GAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED - - FROM F AMOUNT & DOLLARS goo ❑ CASH J CHECK T' FOR a' - ~ p , FUND CODE AMOUNT Thank You BY r~ tt' fyWhite-Payers Copy YellOW-Posting Copy Pink-File Copy CASH RECEIPT ILD C. FI&X T Noo , Of PAGAN CITY * 3830 PILOT KNOB ROAD 01-321 a B ~'dg. erm t EAGAN, MINNESOTA 55122 01-3422 Plan Check DATE 19 01-3445 Surch. /Adm. /j 01-3446 SAC/Adm. RECEIVED FROM /J TT 01-2155 Surcharge AMOUNT $ 17-3860 Road Unit _3ca 20-2275 SAC & DOLLARS 20-3865 Water Conn. t CASH CHECK ~ (j 20-3868 Water Trmt. o _ ¢f 20-3716 Water Meter (o ~ FOR &L' - - V ! V 20-2252 Acct. Dep. 20-3713 Water Permit ! 20-3743 Sewer Permit FUND CODE AMOUNT, 79-3866 Sewer Conn. el ~2 11-3855 Park Ded. i f C / TOTALS -7 C Thank You iox, BY <e~ 7 3 4 White-Payers Copy Yellow-Posting COPY Pink-File Copy IJ00 BLUE or BLACK Ink I For(t,lee ====g==== ~ ffnit~ I _~S 0 NY 11f Eagn I Pe I ~D I PWR F 3030 Pilot Knob Road ! \1 E ice; Eagan MN 55132 I Do% Reserved; Phone, (551) $754575 Sta#: I Pax: (651) 0754004 !AN'~~ N1~ 2010 MECHANICAL PERMIT APPLICATION ai~ trek PoY,C~ Pd Date: \ W 1 Site Address: Tenant: Suite RESIDENT I OWNER Name: V+ G r C3C~v ~1lmi~~ Phone: &61 ~SY ~Yy$ Address / City / Zip: l vc in ~~~C' SS 1 CONTRACTOR Name:- h - eca-tr ~ License t Address: City: S~- PC, State: yylr-~ Zip: -GS(09 Phone: G9 L/ 1 `1 ~ Contact: Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: trf MOL10- 4 UPetQGe-(~A 11Ve U-i+t-A IV)e-W I-QYCii W LAC 3a NOTE Root mounted and ground mounted meehenical equipment is required to be screened by City Code, Please contact the Meehonloal Inspector for information on pmmiftd screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace _ New Construction _ Interior Improvement Air Conditioner _ Install Piping Processed Air Exchanger _ Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install / r Remove) ~ iniltall laving tank fa), call for in#pecli®n by Fire Other yjf%hll IN RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $_50 State Surcharge) TOTAL FEE $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ COMMERCIAL FEES: $70.50 Underground tank installationlremoval OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. Surcharge - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE SALL 0,199111 IOU . call Gopher SUM One OWI ad (NI) 404 for preftaNon ageftat underemnd trtllhy dwmilc Call 48 hour% beftre YOU Rtln to all t® reeehre loeeltes Of tlndergr®eM Nf<NVAI0, www aopherstateonecall.om I hereby ackn"e 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. Applicants Printed Name Applicants Sign FOR OFFICit use Reviewed By. Date: Requlmd Inspections, _Under Gmund Rough In fir T@%t _On Service Test _In floor Heat _Final Error HVAC Itcrw In ctlon I PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA102119 Date Issued: 11/16/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3625 Birchpond Rd Lot: 2 Block: I Addition: Blackhawk Hills 2nd PID: 10-14381-01-020 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector Nva ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Reroof America Barton H Scluindt Tste 10740 Lj-ndale Ave S 362 Birchpond Rd Suite 20E Eagan MN 55122 Bloomington MN 55420 952 888-8440 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:Plumbing Permit Number:EA163912 Date Issued:09/15/2020 Permit Category:ePermit Site Address: 3625 Birchpond Rd Lot:2 Block: 1 Addition: Blackhawk Hills 2nd PID:10-14381-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Kai Xu 3625 Birchpond Rd Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173331 Date Issued:11/08/2021 Permit Category:ePermit Site Address: 3625 Birchpond Rd Lot:2 Block: 1 Addition: Blackhawk Hills 2nd PID:10-14381-01-020 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kai Xu 3625 Birchpond Rd Eagan MN 55122 (952) 373-1889 Black Ladder Restoration Llc 150 32nd Ave NW St. Paul MN 55112 (612) 743-3082 Applicant/Permitee: Signature Issued By: Signature