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3655 Birchpond RdAF`.,?"y?a?;5.,'? 1t1?.?Y'3•c , +'? `,a..?`egx,fi?l' «, r?,.:?^'«n:r??. n . *`d?` xu? °^ ;4ic•' . ? . . .. ? .. ,?SiF` . ? . :. _ ... ., . - : CITY OF EAGAN ??? 1700? 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 PHONE: 454-$100 ' BUILpiNG Pt "IM6" PoRcit To be used for °CA1'tA GE Est. VaIl,P Site Address ???? ??RCMND RD II Lot 4 Block I Sec/Sub.3tAC?? ?tus lzwv Parcel No. W Name O??NIS ?t?+1?IpL? X. Address 36?5 DIRCIMM RD 0 City RAPAN Phone 454-4561 ? -NBfYI@ SA14E ?cc Address OV ? City Phone Name _ Address City - F'hone 1 hereby acknowlege that 1 have read this application and state that the info[mation is correct and ag,ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinar'ices. Signature of P.ermitee A Buiiding Permit is issued to: ??IIS '??????IDE on the express condition that all work shall be done in accordance with all applicable State of,iMinnesota Statutes and City of Eagan Ordinances. Building Official Receipt # OFFICE USE ONLY Occupancy U"'1 R-3 FEFS ' Zoning _ (Actual) Const - Bidg. Permit ' (Allowabie) - 51100 Surcharge # of St orie s ? ,, ,,,,,,,,? thy"O1?'? ?W Len Plan Review g th ? D ep SAC, City S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Site Weii ? Water Meter MWCC System - _ Ciry Water Acct. Deposit PRV Required - S/W Permit Booster Pump - S/W Surcharge Treatment PI APPROVALS Road Unit Pianner - park Ded. Councii .? y BIdg.Oft. _ Copies Variance ? TOTAI 123.00``, Permit No. Permit Holder Date Telephone # WATER SEWER PIUMBING H.V.A.C. EIECTRIC ?? . Inspection Date Insp. Comments Footings 1 Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Pibg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY Qf EAOAN 3795 Pilot Knob Rard Lagaa, MN 55122 8214 PHONE• 454-8100 BVILDING PERMIT Receipt To bs wed for SF DWr,/GAR Est. Value $1Z5+0Q0 Date `Tu1y 8 , 19 L3 Site Address 3655 Birchpoud Raad Erecr Occuponcy R~3 `. Lot 4 Block 1 Sec/Sub.Ba.8Ck18W1C H1l18 2rid Alter [] Zoning R-1 Porcel # 10 14381040 01 Repoir ? Fire Zone NA Q Enlar9e ? Type of Const. " cc Deny138 & E21en Bruw'8lheide Name 1 Move p # Stories * ` ? z Address '- _ ?)11 I?`P Af, ' # I zz I Demolish Q Length62 - Ci -'E0.qrq,\- Ssizl Phone qsq" ?S?k_t- 6rode ? Depth-A2- Sq. Ft. w A Name 2iYlY1@s HOn@$.It1C . Approvais Fees o? Addreu _ 330£3 SkyvieFy L?rive u? ?:... Burn.sville eL--- 890-7222 Nome - Address i hereby acknowledge thot I have read this npplicotion ond state that the information is correct and ogree to wmply with all applicable , Sfnte of Minnesoto Statutes und City of Eogan Ordinances. Assessment _ Water & Sew Police Fire Eng. Plonner - Council _ Bldg. Off. _ APC Permit I V•.Ju Surchorge 57.50 Plon check SAG -525 . Ufl Woter Conn. 450ra.,00 Woter Meter, 60. QO Road Unit 250.00 Tora1 $2048.25 Signcture of Permittee ? /l Building Permit is issued to: ?inne$ Homes' InC . on the exprcss condition thai k; p!t wark sholi be done in accordance with oll opplicable Stote of MinnesoYo Statutes ond City of Eagon Ordinances. ,,; Bulldmg Officiol I Permit No. Permit Holder Misc. Permit No. Holder Plumbing 3 0 F'ao4b'P) H.v.a.c. :3R 4-( P -? wau Water o'igp. Sswer ' Electric w q o wv?.s?r 4-t -'? 3 inspection Date Insp. Other Footings ? Foundation Framing I' 1 ` ` Rough Pibg. Rough HVAC ? Insulation ? Final Pibg. 43 Final HVAC Firtal ,e Water Describe Locatiori: 'a Well Sewer ' Pr. D'nP. ? x ?- WIrdi#xr?tr of Orrupanry Citp of (Eagan Drpttr#mpn# rrf Builaing 3ns.prrtitm Tbis Cati f icau usuccl pur.ruant to the requirrmc»tt o f Section 306 o f the Uni form BuiJding Codc urtif ying thut at the tirnt o f issuanca thit rtrusture waf in com p&ancc with the variou.c ardinanns o f the City regukating buitding canstruction or u.ce. For the foltowing: Use CL2eficsoim SF DWGfGAR Btdg. Penrex No 8217 . 0-p-cr Tree R3 rrw comuuceim v Fin NA zorygg nscdct R1 Owea of &Wdft Dennis Bruwelheide Ada 368 High Site Dr., Eagan 8iMin`Addma 3655 Birchpond RaadLa,fi'Y Lot 4,Block l,Blackhawk pxtu? By: Hills 2nd November 14 1983 f s,? osruw u.?e: BUILDER: TINNES HOMES, INC. u.s.a. Receipt 3? SO'i PLUMBING PERMIT Permit No. -3 CITY OF EAGAN 20, Fee Fill in numbered spaces S1C Type or Print legibly Tot. 0 1. Date 2. Installation Cost 3. Job Address ?'ee?°E.???s•-? &Lot?Blk. ? Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential"? Commerciai ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? P 10. Describe 11. No. ? ' Fixtures Water Cioset No. Fixtures Cesspool/DrBinfield ? Bath tubs Septic Tank ? Lavatory Softner Shower Well ? Kitchen Sink Urinal/Bidet Other ? Laundry Tray Z- Floor Drains Drinking Ftn. ?-- Stop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and carrect, and 1 agree to comply with)aU ordinapce? odes?erning this type of work. ?? Signed AL - - '? for Rough F inal Inspec4tions: Date Insp. Date Insp. This is your ermi? whe ?m?ered and apprvved. Approve CITY OF EAGAN 454-$100 ??-- Receipt MECHANICAL PERM17 Parmit No. CITY OF EAGAN F? 20.00 Fili in numbered spaces S/C •? CType or Prini legibly Tot. 20. 50 . 1. Date 9"2"1'13 2. Installation Cost6000.00 f? 3. Job Address 3E55 i31rCh?ond ot `'7 Blk. l Tract -- __, 4. Owner 'yT:wr" ,. G,;::C?'Z:'II `" -- - 5. Contractor :i,Y _?,i::: 's• Phone 825'6867 6. Address /+637 Chi-C x[-ro ve. . c; . 7. City 1'??As• State %21 • zip 55407 8. Building Type: Residential M Commercial ? Institutional ? 9. Work Description: New M Add ? Alter 0 Repair ? ? 10. Describeinstrll he?.tix1F- i?? ?.?ir cort? fuel Type ';?=t ;,.s $E .al.ec. 11. No. Equjpmgnt STU - M. Ea. Forced Air 100j0010 No. Eguipfient CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg, Other i Air Cond. 30j,0(}0 -_leC. Mfg, dr cocsled Gas, Piping Outlets ,1,xiana system with he,?,ter. 12. I hereby certify 't the above information is tr and correct, and I agree to comply w' af? din? and odes qoGerni this type of work. Signect": ?- / ? , for Rough Finai Inspections: Date insp. Date Insp. This is your permit when numbered and approved. Appraved \...CITY OF EAGAN 45"100 ? ? CA" agowlT CITY OE EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? DATE fg ? RQCEIVfiD FROM AMOUNT - . & DOLLARS ioo ? CqSH E] CHECFC ? ..... F t ? F'UND., CODE ? AMOUNT ...,..: .... .. , ? ? _ ,'? ??'•• .-y .' af? LrA ¢Y £ ? i ._. ;! ...." { j f ? ? ? -CITY OF EAGAN Remarks ' adaicion BLACKHAWK HIL;7,S 2?p ADDTTION Lot 4 Bik I Parcel 10 14481 040 Ol OwnerD(''6la.6 k%t--zl?ki?A?treet 3655 Biz'chnond Road State EaaanT.MN .SS122 improvement Date Amount Annuai Years Payment Receipt Date STREETSURF. 2, ,19 A013003 10-14-53 STREET RESTOR. 1242.7S eo ts GRADING SAN SEW TRUNK ? 1 462.77 18.51 25 203,63 ,Al013003 10-14-83 * SEWER LATERAL -; 972 1590.73 79.54 20 636,r37 it i} WATERMAIN * WATER LATERAL 972 WATER AREA 977 569.24 37.95 I5 303.66 A023003 10-14-93 * -zl 107R 5344.77 q56Y3? 3206.91 • STORM SEW TRK ? STORM SEW LAT 1972 CURB & GUTTER SIDEWALK STREET UGHT RQAD IT 25fl.00 36925 7-8-83 WATER CONN. 450.00 ss tr BUILDWG PER. 8717 sac 525.00 " '? , pARK 120.Q0 6325 6-13-77 CITY OF EAGAN Remarks Add+tion BLACKMWK HILw,S 2ND ADDITION Lot ' eik 1 Parcel 10 14,381 03,0 01 Owner r ,??u ? r,;- street 3645 Birehpond Road state Eagan, MN 55122 fmprovement Date Amount Annual Years Payment Receipt Date STREETSURF, ,3 1976 1120.65 112.06 10 STREE7 RES70R. Co 1979 2485.45 248.55 10 GRADING SAN SEW TRUNK 1970 462.77 I8.51 25 ` * SEWER LATERAL 137, 1972 1590.73 79.54 20 77--11 it +t WATERMAIN * WATER LATERAL 1972 WATER AREA 1977 37.95 - -- -- IS 11 if * Sew Wat Lats :3 1978 "3S4?53 15 " " * STORM SEW TRK 1978 * SYORM SEW LAT 1972 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 500.00 'f 11 BUILDING PER. It of SAC 52 .OO " PARK 120.00 6325 6-13-77 't - s request void "7...Z`?, L.u t S'j11 18 months from { 1 ? gi" t t5 w 0 8 ?:.?5 Request Oate Fire No. Rough-in inspertion Requfred? * oReady Now?Wiil Notity, Inspec- "' ?Yes No tor When Ready licensed Electrical Contractor i hereby request inspectfon of above ' ? ? Owner eiectrical work instalIed at: ., Sireet Address, Box or Route No. ? Citv ? "' 1 ?.?=x1 ?C?? 7`?Fa! • ? !?"t?,S ?'? ecuon o. Township Name or No. Ra Count Occupant (PRINT) ? Phone No. Powej?Supplier Address 1?l Electr cal Contractor ICompany Namel . " d Contractor's License No. t e t e ?=-?- esLCC:? ? ..? Mailing Address (Contractor or Owner Maki ins2ailati A ri d gP ture (Contractor/Owner Making Installation) Phone Number ?` G' -??! ? V N1INNESOTA STATeARd OF EIECTRICITY TNIS INSPECTION REQUEST WIIL NOT Griggs-Midway BI Room N-191 BE ACCEPTEO BY THE STATE BOARD 1821 University Ave., St. Paui, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELEC7RIGAL INSPECTION Ea-ooooi-oa , See instructions for complating this torm on back of yellow copy. W16M ?o?eYed by This Request ? 7 S S Cp Now Arid Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Servic,e Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. Furnace Silo Unloader Industriai Bidg. Air Conditioner Bulk Milk Tani< F+ + Farm Other peci y iher ISpe (-ify) iher Specify Other Oth?r - -------- ompute lnspection Fee Below # fee Service Entrance Size # Pee Fee.ders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Am s 2 80 0 to 30 Am s Above 200 qmpS, 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100-Amps Transformers frrigation Booms &V Partial-` h ee Signs Special Inspection $ T Remarks l??Q O L'?E? Rough-in Date 1, tha Efeccrical Inspectar, hereby th t th tif b Final ?e Jy_? ?? cer y a e a ove inspection has been t ? made. This request void 18 months from 7his request void Lq w ?. . ? Oq ? 78 months from ? A ?->A.?L Request Date. f y) 6 Fire No. Rough-in Inspection Required? []Ready Now; ?II Notify. Inspec- Wh ?o r R g ? V ?Yes ?No r r e eady . - iti- Licensed Electrical Coniractor I ryereby request inspection of above Owner electrical wwk irutalled at: Street Address,Box or Rout Nyo.. City - j e ion o. Township Name or No. Range No. Co n1y ?lwc -Ip? Occupant IPRINT) Phone No. ? ?twjtzs Power Su?plier Address ,?...?^ Elec cal Contractor (Company Name} A"-'.. -?-a?? ? s 'L• t--- ? L Contracior"s License No. ??'? a?'f ' L^". Mailing Address (Contractor or Owner Making Instailation) lL ? t f--• ("41f POAP ractorJOwner Making Installation) Authorized SignatZI Phone Number r JLA- MIN NESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grig9s-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 7827 University Ave., St. Paul, MN 55104 UNLESS PRUPER 1NSPECTION FEE IS Pbone (612) 297_2177 ENCLOSED. REQUEST FOR ELEC7RICAL INSPECTION Ee-00001 -oa ' See instructions for completi?g this form on back of yallow copy. a A "X'* Be/ow Work Covered by This Request q0q' iNtim H d Rep: --,&pe of Building Appiiances Wired Equipment Wired - Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Bui Iding Dryer Electrvc Heatin Commercial Bldg. Furnace S+!o Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Ozher Speceh> Other (Specify) iher Specity Dther Oiher Compute lnspeciion Fee Below tf Fee ServiceEntranceSize # Fee Feeders/Subfeeders # Fes Circuits 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 260 Amps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100 Amps Above 100-Amps TransiormerS Irrigation Booms =?+ Partial,'Other Fee Signs Specia! Inspeciion ?n TOTA Remarks I FE ??"? ?i Rough-in Date ` 1, the Electrical Inspector, hereby ' certify that the above Final - ? } D/ate ??" ? inspection has been ?..r` _ ? I made. ' TAis request void 18 months from This request vIt, oirt{? `?? ? 8 monihs frosn ? 7649 ? ?: . Z7-ry !`00 Request Date Fire No. Rough-in Inspection Required? []Ready Naw Will NotifY Inspec- Q^ ''g?? ?N , tor tNhen Ready es o ? ? censed Electricai Contrac#or , wreer I hereby request inspection of above electricai work instailed at: i ? ? (J? . r ;s-'L `? ? ! ? 1:1i `tJ. . . ?.+' ection a. Township Name or No. Range No. County Ow?v ,Pan iPRINT) Phone No. l ower SUpplier A i Address Electricai Contractor (Company Namel ? ujA _"_T- ntractor"s license No. Mailing Addrass (Contractor or Owner Makine Instailation) Author' Signature (C Mr c or Owner Ma ' nstai ' n) ?..?.?.? Phon Number c??? Sireet Addres Box or Route o. C itv s MlNNESOTA STATE BOARD OF ELECTRtCiTY TNlS INSPECTION REQUEST WiLl NOT Griggs.Midwav Bldg: - Room N-191 BE ACCEP7ED BY i'HE STATE BOARD 1821 University Ave., St. PaW; MN 56904 UNI.ESS PROPER INSPECTION FEE !S Phone (612) 297.2111 ;? ENCLOSED. WX" ? ? 2,rk REQUEST FOR ELECTRICAL lNSPECTION ? See instruciionsfor compieting this torm on back of yetlpw copy ': t?e, G*,ered ay Thrs Request E8-00001-03 id;.. New Add Rep. Type of Suilding Appliances Wired Equipment Wired Home Range 7emporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric HeaUn Commercial Bidg. Furnace Silo Unioader Industriai Bidg. Air Conditioner Bulk Milk Tank Farm Other pecify ther iSpecifyl ther Specify t er OthQr Compute lnspeetron Fee Below # Fee ServiceEntranagSire # Fee FeederslSubfeedera # Fee Circuits 0to100 Am s 0to30Am s 6!5"100 0to30Am s vp 101 20 200 Amps 31 to 140 Amps 31 te 100 A s Above 200 Amps Above 100-Am s Above 100-Am s Transformers Remote Control Circ. , C? Partial `Other Fee j Signs Speciai inspection rOt`? $ TO P' __ .ew Remarks g a $ E ??, ? Rough-in She InSRector, herehy' ' certify that the a6ove Final q ? '.Z. i ection has been s+?a Ihis repuest votd 18 months from , F 6 6 4 2 7,?-? ? ??? ` Request Date /45 ??C? ? Rough-in inspection red? ' ? Ready NowiIl Notiry Inspector R ? s 0 N o XY . en eady t El licensed contractor Xowner hereby request inspection of above e(ectricai work at: Job Address (Street, Box or Route No:} d ? City ? Section No. , Township Name or No. Range No. County ??l /?4 nccupa t(PRINT) ?t.lVN?? 6, Phone No. 4?5-4 ?'VS Power Sup fier ?f?/c-{' Address Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making lnstallation) Authorized Si ture (ContractodOw941Making lnstattation) ;/ ?.. Phone Number ( J . MtNNESOTA STATE BOARD OF ELECTRICFTY THIS INSPECTION REQUEST WILL NOT GriggaMidway Bidg. - Room S-173 BE ACCEPTED BY tHE STRTE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER iNSPECTtON FEE IS Phone (612) 642-OSW ENCLOSED. .,7 ?. REQUEST FOR ELECTRICAL INSPECTION w'• EB-0OOQi-07 '-x/ ? 5ee instructions for completing this form on back of yeliow copy. T? ? r' I '" '`X" Below Work Covered by This Request ew Add reep. TypeofBuitding AppliancesWired EquipmentWired Home Range Temporary Service Dupiex Water Heater Electric Heating Apt. Buiiding Dryer Other (Specify) ? Comm./lndustrial Furnace Farm Air Conditioner Other (speciry) Contractor's Remarks? A64-1'" R Gompute Inspection Fee 8elow: # pther Fee # Service Entrance Siae Fee # Circuits/Feeders Fee Swimming Poo) 0 to 200 Amps 0 to 100 Rmps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use ONy: . ? TO Irrigation Booms LC/ ? • CL?? Special inspection Alarm/Communication Other Fee i, the Electricai inspector, hereby if Rough-in i-- Date 16 cert y that the above inspection has been made. Final . Date OFFICE USE ONLY This request void 18 months from cirv OF eaGaN ; WATER SERVICE PERMIT I 3830 PiFot Knob Road P. O. Box 21199 ' PERMIT NO.: ' Eagan, MN 55127 DATE: ` ` "' Zoning: No. of Units: Z Owner. TAntries iiomes_ SriC Address: Site Address: 365L5 _ Birehpo ? e'Rd 1,4 B1 Blael.h arak Hil_Zs ZT ''Itu:Ibix+€. Plumber• ''[?itt? Meter No.: Connection Charge: 450•00 12d Size: Account Deposit; Reader No.: Permit Fee: 10 .?'? Pi: 1 ogree to aompir wilh tM City of Eogen Surchorge: Ordinonea. Misc. Chorges: 60-00 F>d meter Total: By Date Paid: Date of Insp.: Insp.: CITY pF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 6900 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 7/22 ?-? Zoning: RE g No, of Units: 1 Owner: Ti*.lA@S FOm4'9 IriC Address: Site Address: 3055 T`afY'chportd Rd L4 31 Blackhawk fTi11s II Plumber: SOUthtO-m I'.lu'ubing 7/9/83 36925 100.010 pci 1 egrea to compiy wtth the Citr af Eogon Connedlon Cha?ye: 42 S - Ol) Rd Ordinsnces. Account Deposit: Permit Fee: 10.00 Dd Surcharge: 50 'Pd By Misc. Charges: Dete of Insp.: Totoi: Insp.: Dote Paid: V9106f RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeUReoair Reauirements Office Use OnN 3 registered site surveys showing sq. ft of lot, sq. fL 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 Calcula6ons for heated additions Tree Pres Phan Recd Y N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd Y_, N 1 set of Energy Calculations Addition - indicate iion-site septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Pian 'rf lot platted after 7/1/93 Rim Joist Detail Options seleation sheet (bldgs with 3 or less units Date 10 Site Address Construction Cost /* Unit/Ste # Description of Work '?.c- - r-- A Multi-Family Bldg _ Y Q N Fireplace(s) _ 0 )4 2 _ 2 Property Owner Telephone # Contractor Address 12- -YD State /'o tj Zip 5506!?S City Telephane # (1,s 1 33 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Caiculations Submitted ? IS`7. Have you previously constructed a building in Eagan with a similar pfan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephane # ( Mechanical Contr Sewer/Water Con- Telephone # ( 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 NIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. r ?;A Applicant's Printed Name Appli t's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool 0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 03 01 of _„_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) 0 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Darnage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 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) - Give PCA handout #o applicant Valuation Occupancy MCiES 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) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. - Footings (addition) _ Plumbing Foundarion ? 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) _ Insularion _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ?S Telephone # 651-675-5675 FAX # 651-675-5694 New Conshuction Reauirements RemodeVRepair Reauire,menGs Office Use Oniv 3 registered site suroeys showing sq. ft of lot, sq. ft, of house; and ail roofed areas 2 copies of pian CeR of Survey Recd Y N (20°a maximum lot coverage allowed) 1 set of Energy Calculatiais ior heated additions Tree Pres Plan Recd ^ Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. t site survey for additiom & decks Tree Pres Not Reqd Y N 1 set of Energy Calculations Addition - indicate if on-sde septic system On-site Septlc System _ Y_ N 3 copies of Tree PreservaGon Plan if lot platted after 7l1/93 Rim Joist Detail Op6ons selection sheet (bldgs with 3 or less units L Date ? l I S Construction Cost ? 2- , 00 fl Site Address - UnitiSte # o---? . 10 w ? Q ?.1 S 0 Description of Work ! rL. - S j Multi-Family Bldg _ Y? N Firepiace(s) ^ 0)( 1 _ 2 Property Owner ol de-c, LrY' e.t., Telephone # (( rs/ Contractor 5? 7 ^,?L U?-?- Address 1-2- 3 Z-o City State M/" Zip 5 -? v Telephone # ( (?s J ) '?] Z3 - J 9 ?-3 COMPLETE THIS AREA ONLY IF CONSTRUCTtNG A NEW BUILDING - Minnesota Rules 7670 Cateizorv 1 Minnesota Rules 7672 Energy Code Category • Resident+ai Ventllation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previousiy constructed a buifding in Eagan with a simifar plan? _ Y _ N if so, 25% plan review fee applies. Licensed Piumber Mechanical Contractor Sewer/Wpter Contractor Telephone # ( Telephone Tefephone I hereby apply for a Residential Building Permit and acknowledge that the info that the work will be in conformance with the ordinances and codes af the City Statutes; I understand this is not a permit, but only an application for a permit, ai permit; that the work will be in accordance with the approved plan in the case of m approval of plans. A _V ? U jtion is co lete and accurate; ?.... .h_ an3tFie St e of MN is not to start without a ;h requires a review and cJ c, h.,_ CT e.??'IG J? Applicant's Printed Name Appli a t's S OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Poof ? 30 Accessory 81dg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-piex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) 0 36 Multi Misc. C] 05 03-pfex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" C] 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demolition (Entire 8ldg) - Give PCA handout to applicant Valuation Occupancy MCIES 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) , FinaUC.O. i Footings (deck) FinaUNo 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 Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector CITY QF EAGAN 3795 Pilot Knob Roud Eogce, MN S3122 PHOPIE: 454-8100 BUfLDiNG PERMIT Receipt # N° 8217 To be wed for SF DWG/GAR Est. Voiue $115,000 aate July 8 19 83 Site Address 3655 Birchpond Road Erect M Occupancy R-3 Lot 4 Block I Sec/Sub. Blackhawk Hills 2nd Alter p Zonin9 R-1 Parce! # 10 143$I 040 Dl Repnir p Fira Zone NA V Enlorge Q Type of Const. w Name Dennis & Ellen Bruwelheide Move p # Stories _ ; Address 3205 SkyV1eW I7riV2 Demolish ? Length 62 b c; Burnsville phone 890-2984 Grnde p Depth 42 Sq. Ft. a Nnme Tinnes Hames IriC Approvols Fees o? Address 3308 Skyview Drive u? r:.., Burnsville 890-7222 Nome Address Assessment _ Woter & Sew. Police Fire Eng. Pionner Councii 1 hereby acknowtedge thot I huve read this opplication and state that gldg. Off. the iniormotion is corrett ond ogree to comply with oii oppiicuble APC ? State of Minnesoto Stotutes ond City of Eo9on Ordinances.. Signature of Permittee Tinnes Homes, Inc. A Buiiding Permit is issued to: ali work shntl be done in accordonce with eli epplicoble Stpft of Mir Permit `?iv..Jv Surcharge 57 . 50 Plan check a3S• 25 sAC 525.00 Water Conn. 450.00 Water Meter 60.00 Rood Unit 250.00 Total $2048.25 on the axpress condition tFuii ond City of Eogan Ordinances. Buiiding Official ?-'J CI'I'Y OF' FAGAbT Tr?lude 2 slans, :0: Ta ?. / 1 site plan ta.ons & ? ? BUTI;UING I?ERMIT APPLZCATICI 1 set of ercul.ations .? `ib Be Used For ? Valuation o O Date % Site Adclress: OFFTCE USE ONLY y 41_ 1 r,r•tr / Co.- lSi,h _ ?'? ,??.-'.? ?.".,.... ??a?T- ?-IrECCt Ck;C?aI1Cy Parcel # : ? 0 Q gp o( Alter Zaninq ? Repair Fire Zone Enlarge Type of ConSt. OHmer: ?J.y,"x . Nbve # 8torie5 Address: 0 d?? Demolish Front ft-' City/Zip Code: V?;,7 Grade Depth fQ- f_t" Phone # : vU APPROVAI.S ...?L ? _. Contractor: 'T N,z ?, s f??r? ?, Assessments Pernit Address : Water/Sewer Surcharge --T 2olice Plan Check ,Z ? .?.r J ? City/Zip Code: Fire SAC Phone # : 1?' 0 ~ 7L2?.? ?g • ?Jater Conn. , ',?'? -- Planner Water Meter ?62? ?--`? Arch. fEng. .Council Road Unit ? SD ?r . Off. Address : S1027 i?j, APC City/Zip Code: Phore # : L3 I " / e 7.? 41/f?,? ? .r f7a W.D. 240-82-A 59/64 Survey For: MR. DENNIS BRUWELHEIDE 4 SUNDE tAND SURVEYING 1NC. EDWARD H. SUNDE ? REGtSTERED LAND SURVEVOR 9001 EAST BLOOMINGTON FREEWAY (36W) . BLOOMlNGTON, MINNESOTA 55420 . 612-881-2455 pROPERTY DESCRIPTION Surveyor's Certi icate Lot 4, Block 1, BLACKHAWK HILLS SECOND ADDI- TION, according to the recorded plat thereof, ?, _kJ ? j Dakota County, Prli nnesota . I 170.00 - - 852.9 h h ? 10 S I) o v T o _ /? - 38.0- _ 854.0 8537 9 ? TOP OF IRON ELEV. = 852.4 0 24.0 W e5qi+ 3810 J o Q ? ip GAR. f PROP. sy \I 3 Q{ }IOUSE * \ X ( N 13.67 24.33 852 .I • i 9? TOP OF IRON D W ELEV.= 851.1 V sss? es2-a azoo - -?- t/? Q W ? NOTES & LEGEND \ I i o * Proposed garage floor o elevation = 853.6 y O ? ? M * Proposed front house N , M , c\I entry elevation = N * Proposed top of block elevation = $54.0 * Proposed basement f 1 oor el evati on = ? . i 846.0 - ? r- * The proposed elevations _?==_DRAINAGE & UTIL?TY and proposed house lOCc3- EASEMENTS J t10t1 d?"2 subject to revie4 and change by the City ? 10` ;S ? Engineer, Building Dept., n , 8?f.3 developer and owner. Pro- ?? - 105. 48 850.6 posed grades and house location which are appro- 2 ved bY the City are , ??? final We herebY certifY that this is a true and correct representation of a survey of the AV/ QQ boundaries of the land above described and 3 o of the location of all buildings, if any, O from or on said land. /o: h jo.o0 Dated this 27th day of June 1983. SUNDE LAND SURVEYING, INC. BY : 14AO Edward H. Sunde, R.L.S. Re9. No. 8612 , ; ;.. ?z I"/ EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER ?2hhis V Cl/e0 1?kuwP-1heide- SITE ADDRESS -36 SY &t'C 6,(JOh d ..jPoad GONT`RACTOR i/?n2s ff6n?2S DATE 6-a7-??3 PHONE k90-79 ? ? ` Nerb Tinnes Determine working square footage of each. ,1S 1. Total exposed wall area ..... 2&:32_ sq. ft. x_? ? 2. Total roof/ceiling area ..... 13-11, sq. ft. x?.? =?, 6 N? Total exposed wall area above floor f a. Total wall window area ........................... 214 b. Total door area ................................. 56 c. Total sliding glass door area ................... 40 d. Total fireplace wall area................. ....... 30 e. Total wall framing area (average 10%)............ z0 5 f. Total net wall area above floor ................. 19 45- g. Total rim joist area ......... .................... ;_z g? . Total exposed foundation area = 1;2?. h. Total foundation win dow area ... .................. i. Toal net foundation area abo ve grade ...... ...... Retermine "U" value o f e ach wall segment. a. X #lull b. S6 X liuli 128 = 7,17 5/ ??so?r wvm? 6,88 19D4 19,M c._ ? X liull ,sS - z2,a0 d. 30 X "U„ D = ?D•fil US 2 lf ll e - x u wMIr? a P ,8/ •Z1 srp>N? . ?l f. ?8?5 X „u„ , 04? = 8/,! ??? ?17 ,?7 , 17 X lfull ? R -- ?1 ? C5 2,3. r'7 - h 641 ?9i ?. ? 4? / X ltuil , 0 , „ „ .- X u ? 47 3 , . . . . . . . . . . . • . . . . . . ? : . a . . . . . . . . . . . . . . 1 obC7 l ? If item #3 is the same as, or less th an item #1, you have met the intent ' of SBC ? 6006(c)2. % ?+r? ?$ W w . i _ r.?•. r a 'fotal exposed roof/ceiting area j, Total skylight area............... ..... .... k. Total roof/ceiling framing area(averaqe 10%)... 13 ? 1: Tota1 net insulated roof/ceiling area........... 12 Determine "U" value for each rooflceiling segment. .?._.X toull ?--- k, ?3 ly Xfluit 3"?5 XIV? 1022 4. ........ ........................Tata1 t? If total of #4 is the same`°as, or less t,han #2, you have met the intent of SBC 6006(c)1. ' Alternate Building Envelope O+esign Ta utilize the tvtal envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum af items #1 and #2. ? l. Scl,) 9. 7,,I> # 2. 5 -3. 7G = 563, 5-.2 3. 3 e!O, 19 + 4, 29. 9? ? 39.?, /6 ? AiR 45 -r wo= sA t?? •? v% 141R R 457,67 = o-22- , `? •t ? ,. 1 ? ? , GIRV ,s •, FW,V6LA' 3AKKB O't RGC"Ci'vpi6 I]MMLATMO= uae q.+R aOWiNV19?ALLEMN.l? ORV BAKKE PiES: 920-3552 ; 89O~0188 CiYvSwscTaas • AvPt.CAtawB I ti1M.KET 6 f WwN Aw1.+CMM7w8 • aosM eo4wD , 1< CITY OF EAGAN N2 17 0 5 7 3830 Pilot Knob Road, P.QoZox 21-199, Eagan, MN 55121 BUILQING PERMIT PHONE: 454-8100 Receipt # ?? ??? 3-SEASON PORCH To be used for GARAGE Est. Value $10, 000 Date SEP 13 Site Address 3655 BIRCHPOND RD lot 4 Black 1 SeclSub. BLACKHAIWK HILLS Parcel No. 2ND ? IName DENNIS BRUWELHEIDE 3 Address 3655 BIRCHPOND RD ° City EAGAN Phone 454--4581 ZF Name SAMR 00 ¢ Address ? City Phone U¢ WW Name ? ; Address a W City Phone I hereby acknowlege that I have read this appfication and te that the in(ormation is correct and agree to comply with all appli ?e State of Minnesota Statutes and City Eagan Ordi es. Signature of Permitee ? A euilding Permit is issued to: DENNIS BRIJWELHEIDE on the express condition that all work shall be done in accorciance with ail applicable State of Minnesota Statutes and City of Eagan Orciinances. Building Officiai OFFICE USE ONLY Occupancy M-1 R=3 FEFS Zoning ? (Actual) Const - Bldg. Permit 117•00 (Allowable) - Surcharge 5•00 # of Stories - LengihCarage 9X20 Plan Review Depth POrr-h 1642 SAG City S.F. 7otal - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System - Acct. Deposit _ City Water PRV Required - S/W Permit Booster Pump - S!W Surcharge Treatment PI APPROVALS Road Unit Planner - park Ded. Council BIdg.Off. ? Copies 1.00 Variance - TOTAL 123.00 . , ,,. F 2 3ETS OF PLdNS 3 flEGISTERED SITE 1 SET OF ENERGT C, MULTIPLE DiiELLINGS NOTE s 1DDRFSSFS 1 IS DFSIRED. 1989 BUILDIl1'G PERMTT iPPLICATION CIT2 OF EAGAN el 0 !5 #1 WLTIPLE DWELLINfiiS 2 SETS OF PLANS BEGISTERED SITE SOR9EY3 - (CHECH WITH BLDG DI9.) 1 SET OF EAERGT C1LCS. GOMMERCIAL 2 3ETS OF 1RCHI3ECTURAL & STaUCTORAL PLANS 4 38T OF SPECIFICATIONS 1 3ET OF MAGI CALCS. NTIL ONITS ?!'QR SIILE DNITS # OF OHITS CORNER LO?3 - CORTR?CTORBOMEOiiNER MQST DESIGNATE iiSICH iDDRESS CHANGFS i1ILL BE iLLOiTED ONCE BUILDIHG PERMIT I3 ISSIIED.. SEKER & WATER P£RMiT FEES 1HD 1CCOONT DEPOSIT nES itILL BE TNCLODED iTTT$ THE BOILDINt# PERMIT FEE. PROCESSING TIME FOR SEWER lAD WATER PERKITS IS Tiia DiYS ONCE i pERMIT flAS $EEN CDMPLETED INDICATING A LIGENSED PLUlBER. PENALTY 1PPLIFS N: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CAANGE IS RE4UESTED ONCE PERMIT IS ISSUED. ?P i 1 ?sa9 ,??1_ ?r To Be Used For: ?G?rr?Taluation: Aate: 9 Site Address l&,, ? d,,,l Lot 41 Block ( Pareel/5ub I?DLAC4C,H WK, N i LL5 A Owner ; )) C?A/:v'c5 P4c , Address .36f.?see City/Zip Code ? Phone Contractor Address City/Zip Code Phone Arch./Engr. Address CitqJ2ip Code Phone # ? 2Z- OFFICE OSB ONLY Oceupaney M-{ TZ-3 FEF.•S o ing ual Const Bldg. Permit Allowable Sureharge # of stories Plan Review LengthGRRA&E SAC, City Depth Poac'A I(,;')( SAC, MWCC S.F. Total ? Water Conn Footprint S.F. Water Meter Aeet. Deposit On site aewage S/ii Perm.it On site well S/W 5urcharge MWCC System Treatment Pl. + Citq vater Road Unit ?- PRV required Park Ded. Booster Pump Copies StTBTOTJLI. 1PPR091IS Penaltq Pla- ner ? . TOTAL ?? j Council Bldg. Off. Variance °? X`2? ?` 1$O x I 5= 1?' ?`???t V? LLA,A M V I _ F. ? ; ?? ` ? °-. ? . - , ., 40-82-A ' 59/64 Survey For: MR. DENNIS BRUWELHEIDE SUNDE I.AND SURVEYtNG, tNC. fDWARD H. SUNDE REGIfTCRED LI?ND lURVCVOR 9001 EAST BLOaIMINGTON FREEWAY (36W) ? BLOOMiNGTON, MINNESOTA 55420 . 612-881-2455 PROPERTY DESCRIPTION SZllVeyOT'S CeTtl TICQte Lot 4, Block 1, BLACKHAWK HILLS SECOND ADDI- . I?,? TION, according to the recorded plat thereof, L Dakota County, Mi nnesata . 1 170.00 -- - 852.9 n h 1 IOF ? 01 ?15 ,r q? 'TOP OF IRON - 38-0__ 854.0 :;. _ ELEV.= 8524 Q. 24.0 ?.0(577 QPI 3 ? J 0?x a Q SAi7. , PkOP. ? \I NDUSE r ? ?fy 13.5 T,.,,.__ ? 85i! 24.33 ??.. ? ? • , 9? TOP OF IRON W ?4.00 ? ELEV.= 851.1 V y f- ` 85P.4 4Z.00 -? ! Q : ? 851-6 I W NOTES & LEGEND * Proposed garage floor o O . elevation = esa.s M M * Proposed front house N N entry elevation N = N 835.0 * Proposed top of block I ? elevation = 854.0 * Proposed basement fl oor el evati on = I _ 846,0 The proposed elevations pRAINAGE 6k UTILITY and proposed house loca- EASEMENTS ? `?I ti0n are Subject to revieY -"' and change by the City ?I 10 I ? Engineer, Building Dept., L s? develoPer and owner. Pro- n e?T.3 s- - 105. 48 850.6 h? ?' posed grades and house location which are appro- ved by the Ci ty are i ? ' final. ? I . O We hereby certi fy that thi s i s a true and correct representation of a survey of the boundaries of the land above described and ' b Q.<)ao of the location Of all buildings, if any, ?? .. .. ,?.? from or on said land. ?. ' 'o '' Dated this 27th day of June 1983. SUNDE tAND SURVEYING, INC. e?4 BY: /4AO / Edward H. Sumde, R.L.S. Reg. No. 8612 0 ', ?