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3675 Birchpond Rd         ñ ñ þ  ý þýý  üû û ú     ùýý îñø ÷ì  ß  ö   ðäß ÿ  þý÷  üûúùø ò ñ ôûùø  ÷ôùø ò ø    ñ  û ñ ððìûø ù ï üîû ô í  é ô   øô  ø øôôé ý ô ô û    ø ôöõ   ô é ú ôê  ý ûô  ô   ø ú  ûé ø  ê ñ ôú è   ô  ô ô îûô úù ö  é ù ê  í æääêäêðä öù  üûô ô  æê ê  ç û ýê  õô ÷ óò øø  ÷  â ô Ûô ûø ô ðñ øøòßôøò ü ûãóðþ  ãó ÝßÜ   ô úù ö    ë ô   øø       éô  ôô   ô  øùö  øø ú ü   éã  ü û  ñùéþ  ìô  ê øø õ ô  ü ûô  û ùü ûô CITY OF EAGAN ,: 1 MEMO ' 96! 8 3830 Pilot Knob Road, P.O. Box 21-190, Eagan, MN 4 55121 PHONE: 454-8100 ! 1 BUILDING PERMIT Receipt # Value 155,000 Date To be used for SF DWG/GAR Est OCTOBER 31 19 84 . Site Address 3675 BIRCHPOND ROAD Erect $l Occupancy,, R--3 Lot 6 Block 1 Sec/Sub. BLACKHAWK HILLS Remodel ? Zoning 'R-1 Parcel No. 2ND Repair ? Type of Const. V Enlarge ? No. Stories Name PLANESMAN CONSTRUCTION Move ? Length S(l AAA 1367 STAGECOACH TR S Demolish ? Depth --;32 Cityress AFTON Phone 436-8136 SAME Address City Phone Name MCGUIRE, ENGLER, DAVIS 'it 69 Address 423 S MAIN ST °ZL. City ,STILL.WATERPhone 439-3710 Grade ? Sq. Ft. Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Permit 570.50 Surcharge 77-50 Plan check 285,25, SAC 525.00 Water Conn. 470, 0 Water Meter _ 63.00 Council Road Unit AJ4U,,.Uu I hereby acknowledge that I hove read this application and state that g , Off. 10/25/8 Parks the iMormation is correct and agree to comply' with all applicable APC Total State of Minnesota Statutes o City of Eagan; Ordinances a/ ; Var. Date Signoture of Permittee `f r - A Building Permit Is issued to: PLANESMAN CONSTRUCTION on the express ewoftboor Mint bit work shall be done in occordance with all applicable State of Minnesota Statutes and City of Eagan Ord snc*i Building Offid- eti permit No. Permit Holder Date Plumbing ! 1 y ",/, t1 j& -)(13 Y H.VA.C. ? D((o 4± 21&16 'fib-64 Electric ?5 ??? a 3 (? (o U o t 5-n! WNW B? 8 CSC ?,e_ Lo P- 0 Inspection Date Insp. Other Footings 7- Foundation Framing Rough Plbg. Rough HVAC Insulation Final Plbg. !/ (v? Final HVAC Final Cent/Occ. IA. Water Describe Locatio . Well Sewer • Pr. Disp. PERMIT # Lam/ 7J PLUMBING PERMIT RECEIPT # 5 9 CITY. OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Addres' l f BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub r Res. New Name d '" y Mult Add-on Address Comm. Repair _ -r City Phone Other ! - FIXTURES TOTAL Name r r Water Closet - $3 00 $ C Address Z? ? ft t ,?7r ? tc i . Bath Tubs - $3.00 C) City Phone(5-3 -'1_12'3 /Lavatory - $3.00 ?_Shower - $3.00 I Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20.00 Water Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 ough Openin s $1.50 SIGNATURE OF PERMITTEE Aw. E: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legibly T t o . 1. Date 2. Installation Cost 3. Job Address _:: Lot 81k. Tract 4. Owner 5. Contractor Phone <'< ? 6. Address 7. City State Zip 8. Building Type: Residential C? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair, ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with„ all ordinances and codes governing this type of work. Signed: .?''j. for Rough Final Inspections: Date Insp. __. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 f ?D C( PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Y5 Date 160 / t Site Address 3o1 P?QC.k-ti. ,'Q Q c'? Unit # Property Owner © zx-x, Telephone # c-A03 (n a g - kas(cs Contractor C A? ?VMCt t- .c Address P Q SK?lx `,`0710 City State M`-k Zip S Telephone # $6= v$ & 4`Z -7 The Applicant is Owner Contractor Other Septic System _ New - Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 - Adding fixtures to lower levels or room additions, excluding water softener and water heater - Abandonment of septic system - Water turnaround (+ 5/8" meter if needed - $121.00) Other: - RPZ _ new installation _ repair _ rebuild $ 30.00 - Lawn irrigation system - Water softener X Water heater $ 15.00 _ replacement _ additional JUN I S ,)Q03 State Surcharge $ .50 Total By $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name App1i CITY OF EAGAN Remarks Addition BLACKHAWK HILLS 2ND ADDITION Lot 6 Blk 1 Parcel 10 14381 060 01 Owner Street 3675 Birchpond Road state Eagan, MN 55122 Improvement Date Amount Annual Years c, .Payment Receipt Date STREET SURF, 1976 1120.65 112.06 10 STREET RESTOR. 1979 2485 45 248.55 10 2 GRADING SAN SEW TRUNK 1970 462.77 18.51 25 * SEWER LATERAL 1972 1590.73 79.54 20 WATERMAIN * WATER LATERAL 1972 WATER AREA JV 1977 569.24 37.95 15 - 48 41 49 3,2 = , o s * STORM SEW TRK _I,b_, 1978 * STORM SEW LAT 1972 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit gAn-no #47177 10-11 -19 4 WATER CONN. 470.00 it BUILDING PER. it SAC if PARK CITY OF EAGAN N° 9658 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454=8100 Receipt # q7 37 To be used for SF DWG/GAR Est. Value 155,000 Date OCTOBER 31 , 19 8 4 Site Address 3675 BIRCHPOND ROAD Erect X1 Occupancy R-3 Lot 6 Block 1 Sec/Sub. BLACKHAWK HILLS Remodel ? Zoning R-1 Parcel No. 2ND Repair ? Type of Const. V W Name PLANESMAN CONSTRUCTION Z Address 1367 STAGECOACH TR S City AFTON Phone 436-8136 Zo Name SAME uU Address I-- City Phone Name MCG[UTRE, F.NGL.F.R, DAVIS Address 423 S MATN ST City STTT.T.WATRRPhone 41q-1210 Enlarge ? Move ? Demolish ? Grade ? No. Stories Length 50 Depth 3 2 Sq. Ft. Approvals Fees Assessment - Water & Sew Police Fire Eng. Planner Council Permit 570 _ 50 Surcharge 77- 5 0 Plan check 2 R 5- 2 5 SAC 5?5-D0 Water Conn. 4 7 fl 0 0 Water Meter 63-.x0 0 Road Unit 260.x00 I hereby acknowledge that I have read this application and state that BI Off. 10/25/8 Parks the information is correct and agree to comply with all applicable Total State of Minnesota Statute City of Eagan rdi r. Date Signature of Permittee A Building Permit Is issued to: PI.ANESMAN CONSTRITGTTON on the express condition that all work shall be don,& in accordant{ with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official • ALT, CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN * INCLUDE © SETS OF PLANS, CERTIFICATES OF SURVEY Q SET OF ENERGY CALCULATIONS To Be Used For: 1?_. _W?,_r Afz. Valuation:,-, Site Address:,36176 e. T ir 1s Lot: Block: j Sect/Sub 2 Parcel #: Owner: _?,1.5[??-y? Address: City/Zip Code: Phone #:_& Contractor: Address: City/Zip Code Phone #: Arch. /Eng : Address: Lt City/Zip Code: 1 J LC-kr ,) + 3 ' Phone#: Erect: Remodel: Repair: Enlarge: Move: Demolish: Grade: APPROVALS -j Assessments: Water/Sewer: Police: Fire: Engr.: Planner: Council: Bldg. Off.: APC: Variance: Date:_ A Occupancy: Zoning: R-I Type Of Const: # Stories: Length: ? SO Depth: --_'Z - Sq. Ft.: Permit: tj?0. Surcharge: _ Plan Rev.: Z_e? 15, _ *7--5 SAC: 52??•= Water Conn: 4-70 Water Meter (03. Road Unit: C) .!2 Parks: '-7 f 71 27- (0 11 DATE: 09/25/84 ENyhRGY BODE CALICULATIONS COMM NO: 84? ------------------------------------ ----------------------------------- - --- - ------ -------- CHASNEY ASSOCIATES, INC. PROJECT: SUSAN DIRKS HOUSE 4979 OLSON MEMORIAL HWY. LOCATION -------------- -------- MINNEAPOLIS, MN 55422 BLDG TYPE: A PHONE: 612/546-3355 DEGREE DAYS - 8362 -------------- -------- ------------------------------------- INDOOR DESIGN TEMP +72 DEGREES ----------------- ENGINEER: DPQ OUTDOOR DESIGN TEMP -10 DEGREES FILE: E84372 11 CEILING - ROOF ASSEMBLY AREA-SQ FT U VALUE U x A. INSULATED AREA ROOF 1 1073.00 .0216638 23.25 FRAMING AREA ROOF 1 119.00 .0507099 6.03 SKYLIGHTS ______ -------- C, OTHER (DESCRIBE) ROOF 2 227.00 .0314663 7.14 OTHER (DESCRIBE) ROOF 2 FRAMING 25.00 ------- - .0685871 -------------- 1.71 -------- ------------------------------------- 1 TOTALS - --------- 1444.00 38.14 2 AVERAGE U VALUE (UxA)/(A) LINE 1 ***** .026410847 X 3 REQUIRED U VALUE .026 X EXPOSED WALL ASSEMBLY AREA-SO FT U VALUE U x A INSULATED AREA WALL 1 1117.00 .0481464 53.76 FRAMING AREA WALL 1 136.00 .1156069 15.72 WINDOWS DBL. GL. LOW E 306.00 .29 88.74 DOORS 131.00 .36 47.16 RIM JOIST AREA 146.00 .0297974 4.35 FIREPLACE WALL -------- -------- FOUNDATION WALL - -------- 0 0- OTHER (DESCRIB EW ALL 2 ------- 190.00 .0968054 C 1 6 .39 OTHER (DESCRIBE) DEL_ GL. LOW E WITH 236.00 .085 20.06 THERMAX STORM -- -- -------------- -------- ------------------------------------- 4 TOTALS -- ------------ 2262.0= 248.21 5 AVERAGE U VALUE (UxA)/(A) LINE 4 **** .109728344/ * '?} / 6 REQUIRED U VALUE Al TOTAL ENV ELOPE METHOD 7 AREA (LINE 1) + AREA (LINE 4) 1444.00 2262.00 3706.:: 8 UxA (LINE 1) + UxA (LINE 4) 38.14 246.21 266.3L 9 AREA (LINE 1) x U (LINE 3) 1444.00 0.03 37.5:x= 10 AREA (LINE 4) x U (LINE 6) 2262.00 0.11 245._- 11 BUDGET (LINE 10) + (LINE 9) 248.82 37.54 286.36 12 U VALUE (LINE 11) / (LINE 7) 286.36 3706.00 0.06 SU MMARY U VA - LUES REQUIRED ACTUAL -------------- DI== -------- -------- ---------------------------- CEILING/ROOF ASSEMBLY U VALUE ------------------ 0,03 0 03 _r `0 EXPOSED WALL ASSEMBLY U VALUE '.11 0.11 ?•?? TOTAL ENVELOPE BUDGETS 286.36 - 286.34 -------------- 0.= -------- ------------------------------------- IF EACH ACTUAL U VALUE OR IF BUDGET I ----------------- S LESS THAN REQUIR ED BUILDING MEETS CO__ E COMPUTER CALCULATES U TO ACCURACY OF .000000001 BUT .01 IS SHOWN FOR CLARITY This request void bn,onths from 06824... Request Date Fire No. Rough-in Inspection Required? 0Ready Now [] Will Notify. Inspec- QYes ?No [or When Ready 0 Licensed Electrical Contractor I hereby request inspection of above liner electrical work installed at: Street Address, Box or Route No. p 5 : f ?4 City rc t, ry v 7 7 Section N o. Township Name or No. Range No. County Occupant (PRINT) Phone No. P r Su plier Address ?4 Electrical Co ractor (Company Name) Contractor's License No. Mailing Addr ss (Contractor or Owner Making Installation) Authori ed Signature (Contracto /O na r king Installation) Phone Number MI ESOTA STATE BOARD QF ELECTRICITY THIS INSPECTION REQUEST WILL NOT G ggs-Midway Bldg. - Roo N-191 BE ACCEPTED BY THE STATE BOARD 7821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS, Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ER-00001_c ?v2G& Se M e instructions for completing this form on back of yellow copy. ??? P R 2 -""X"" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) t er (Specify) Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Ams 0 to 30 Ams 0to30Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms .3-0 Partial/Other Fee Signs Special Inspection 3t ?? TOTAL FEE Remarks --- Rough-in 64_71> DaA ((,, ?,( I p V/ I, the Electrical inspector, hereby certify that the above Final 1/7 J, Date inspection has een This request void 18 months from t / ?//? •9 (4 This request void 18 ?• t j { t . G i_f 1months ths from c? G A ') 95776 Request Date Fire No. Rough-in Inspection Required? Ready Now ® Will Notify, Inspec 11/28/84 ?Yes No for When Ready ILA Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 3675 Birch Pond Road Eagan Section No. Township Name or No. Range No, County Dakota Occupant (PRINT) Phone No. Susan Dirks (Mc Guire Engler) Power Supplier Address Dakota Electric 4300 - 220th St. W. Farmington 55024 Electrical Contractor (Company Name) Contractor's License No. Standard Electric Co. Inc. 40837 Mailing Address (Contractor or Owner Making Installation) 1424 Whit,- 'R,--nr Ave St. Paul. 55106 Authorized g ture (Contractor/Owner Making Installation) Phone Number 774-8681 - - MIN$tSOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001 D4 See instructions for completing this form on back of yellow copy. 1-?-Y -x Below Work Covered by This Request A095776 Add RepE Type of Building Appliances Wired Equipment Wired x Home Range X Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (specify) Other (Specify) t er (Specify) Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps. 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100LAmps Transformers Irrigation Booms 0 Partial,'Other Fee Signs Special Inspection $ TOTAL EE Remarks 10.50 ,) r` U Rough-in Date I, the El ctrl 1 inspector, ereby Final c i that the above Date ction has been e. This request void 18 months from This request void b / f a?{r 18 months from A 095770 L? j Alit k 4,1 Request Date Fire No. Rough-in Inspection Required? Ready Now Will Notify Inspec- Yes ? No for When Ready 12 Licensed Electrical Co rntractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 3W_-3,)5 Birchpond Rd. Eagan Section Nat Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. A Susan Dirks (McGuire Engler Power Supplier Address Dakota Electric 4300 220th St. W Farmington 55024 Electrical Contractor (Company Name) Contractor's License No. Standard Electric Co. Inc. 40837 Mailing Address (Contractor or Owner Making Instailation) 1424 White Bear Avenue, St. Paul, MN 55106 Making Installation) Authorized , gnature )Contractor/Owppr Phone Number 774-8681 f 4 THIS INSPECTION REQUEST WILL NOT MINN+SOTA STATE BOARD OF E CTRICITY BE ACCEPTED By THE STATE BOARD Griggs-Midway Bldg. - Room N-191 UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Phone 1612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB•00001M4 See instructions ipieting this form on back of yellow copy. l?l y A 0 9 5 7 (0 "X'" Below Work Covered by This Request NOW Add Rdp. Type of Building Appliances Wired Equipment Wired g Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) EE? Other Specify Other Other - Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 1 12.00 Oto200AMPS 0to30Amps 20 50.E 0to30Am Above 200 Amps 31 to 100 Arnps 31 to 100 Amps Swimming Pool Above 100____Amps Above 100_,__Am s Transformers Irrigation Booms Partial/Other Fee Signs Special Inspection $ TOTA 1 Remarks 62.50 L F 5 -7 f-ji, C/ _?:•/ t-'G? 1/i?p the r pectoror, he her b nseby Final / Date ? ceitrfy that the above inspection has been made. This request void 18 months from 2 5 9 - 9 2 0 71 OFFICE SE O LY This request void 18 months from validation date printed in this box. / COO PLEASE PRINT OR TYPE LAP I I O Request Date Rough-in inspection required? 0 Yes Ai'"° inspection Other Than Rough-In: Ready Now 0 Will Call (You must call the inspector when ready) Date Ready: I, licensed contractor ? owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Route No.) 3 C 7? (ldc 4' City Zip Code !d;? , Section No. Township Name or No. Range No. Fire No. County A lz<A Occupant Phone Pow r Suppl' r e'er /?" Address s•7 TTY" r Electrical Contractor (Company Name) Contractor License No Master Ltc. No. (Plant ;)ect Only) Mailing Address (Contractor or Owner rming Installation) VjV ?t% ?2. c -7 5 /rte' i 1 'r "J Autho ' tractor or Owner rr in stallat' l Phone No. EB-00001A-10 6/95 STATE BOARD COPY -SEE INSTRUCTIONS ON BACK OF YELLOW COPY III il? mil Ulf ll? uV' nA llll i? li? REQUEST FOR ELECTRICAL INSPECTION[ 7001550 Minnesota State Board of Electricity Jl 1821 University Ave., Rm. S-1 8, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bldg. Cithe New P?j Addn Commercial Industrial Farm Remod a air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Ran a Elec. Heat Tem .Service 'X above the work overed by this request. Entey re arks in this spa and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps Above-100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool certi that 'ns eded the s a Z. 1-n described herein on the dates stafed I hereb Irrigation Boom y Rough-In Date Special Ins ection p Investigative Fee Final Da Zl THIS INSTALLATION MAY BE OR DERED DISC F ED WITHIN 18 MONTHS. CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 6079 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 4-16-85 Zoning: R1 No. of Units: 1 Owner: Susan Dirks Address: Site Address: 3675 Birchpond Road L6 BI Blackhawk Hills 2nd Plumber: T & S Exc Inc Meter No.: 3 5' : Size: V' R I& Reader No.: _ 43 d)I 5-01 `I i agree to comply with the ' of Eagan Ordinance. .., > By Dote of Insp.: Connection Charge: 470.00 pd Account Deposit: 15.00 pd Permit Fee: 10.00 Pd Surcharge: .50 pd Misc. Charges: 63.00 pd meter Total: Dote Paid: Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: R1 WATER PERMIT DATE: - No. of Units: Owner: Susan Dirks Address: Site Address: 3675 Birchpond Road L6 B1 Blackhawk Hills find Plumber: T & S Exc Inc Meter No.: Connection Charge: 470.00 pd Size: Account Deposit: 15.00 pd Reader No.: Permit Fee: 10.00 pd i even to comply with the City of Eagan Surcharge: .50 pd Ordinances. Misc. Charges: 63.00 p d meter Total: SERVICE PERMIT NO.: 6079 4-16-55 By Date Paid: Date of Insp.: Insp.: CITY OP EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 7 26S P. O. Box 21199 PERMIT NO.: Eagan, MN, 55121, DATE: 4-16-85 Zoning: Ri No. of Units: 1 Owner: Susan Dirks Address: Site Address: 3675 Birchpond Road L6 B1 Blackhawk Hills 2nd Plumber & S I"x? Inc 10--31--84 47377 100.00 pd I agree to soh wuh the City of Logan Connection Charge: 425.00 pd Ordieioaase. Account Deposit: 15.00 Ed Permit Fee: 10.00 pd Surcharge: 50 pd By Dote of Insp.: Insp.: Misc. Charges: Total: Date Paid: 2/84 ?,- CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS : } '`°7 y ?- ! LEGAL DESCRIPTION: kioz/tslocx/Subdivision or Tax Parcel I.D. Number) IF EXIST :G STRUCTURE, DATE OF ORIGINAL BUILDING IT ISSUANCE: PRESENT Z•C`TItr:/PROPOSED USE• ®P,-1 SINGLE- FA.YILY ? R-2 DUPLE-7 ('I O UNITS) ? R-3 TG:,.NHCUSE (fl S 1 UNITS) ? R-4 APAR?`V'T/COi1'LI?1IL. p CaSEP.CIAL/RE^AII,/OFFICE ? I?i'DUSTRIAL ? INSTITLTIONAL/GGV T UNITS ) UNITS) 2) APPLIC.a1ti'T (PLEASE PRINT) NAME: xr ,? 7, I. `, ADDRESS: CITY, STATE, ZIP: PHONE : 3) PLL,TBER NAME: j T) / r Jeh,r (PLEASE PRINT) Z C cc?rxn/ ??? FOR CITY USE ONLY , • ADDRESS: PLERS LICENSE: CITY, STATE, ZIP: ?C V Active Expired PHONE: FTA? i to PLUMBER LICENSE # 22 r 7 (?] Not of Record arr initia 4) OCCUPANT/CLATTER NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDIa'%TE WHICH PERK IS BEING REQUESTED: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER ? MI ER (PLEASE DESCRIBE) b) MIDICATE 0. .: ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE :FAIL APPROVED PERMIT TO 1, 2, ( 4 ABOVE ?. (Circle one) 7) SIG: NUKE • DATE: ?! olaEiwstss s: .Q ?•? ?.t .a r+r: s as a? a as s - ?ssa? :a. a .t s? a.t ?.r r?y.ir rs ?s a? a.GSar c F O R C I T Y U S E O N L Y PERMIT u ISSUED F __ _7 FEES: $ d7.,57- d7 $ $ ?- $ a- $ .? d . d•--d $ .? -'--? r SEWER PERMIT (INCL;D SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP :?_CCoU:7T ::PGS IT ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL $ AMOUNT PAID/RECEIPT n fl 9/ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C] YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: k," TITLE :?/,& DATE : nes.oll 11ILs¦!mma stou _ - oRm14w-. --611-110 glum "owing s-All w.#--s!Wine ¦!a¦tml!s-v. all CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECEIVED FROM AMOUNT $ & DOLLARS 100 ? CASH ? CHECK FOR CITY USE ONLY L _ ___ _ BL RECEIPT #:..• SUED. DATE '' 40$ 0 ` 5 9- 9 1996 MECHANICAL PERMIT (RESIDENTIAL) 4 . 00 CITY OF EAGAN W1619 3830 PILOT KNOB RD EAGAN, MN 65122 (612) 681-4675 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit New construction ____ Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES' 20.00 ? Minimum Fee: Add-on/Remodel (existing residence only) ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 80. Gas Outlets (minimum of I required @ $3.00 each) State Surcharge .50 TOTAL SITE ADDRESS' OWNER NAME: S r,, k PHONE INSTALLER STREET ADDRESS- CITY: S?4L ! STATE: ZIP.- PHONE #: (Gh1-), ?' ,? SIGNATUKF- 01`' CITY USE ONLY L BL RECEIPT*. SUED. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? all commercial industrial buildings. ? multi-family buildings when separate permits are nQt required for each dwelling unit, DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ? $25.00 minimum fee Ix 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of gom3ft fee due on all perms, CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: ._.,.._.. PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR Reduce, CA W Reuse Bwu[ 'ter, Recycle ` r L% ?"-?L f e ms' e, /2 / cc 4-0 Vtic? _ ?oU f { Made from Recycled Paper Provided by the City of Burnsville and Dakota County Recycling RESIDEN? AL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD.- 55122 )-{ Q 9 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 3 1,2--"16 _?,- JOB SITE ADDRESS 3 -' 8 do IF MULTI-FAMILY BUILDING, HOW MA Y UNITS? PROPERTY OWNER TYPE OF WORK a4 -- 4 APPLICANT AA FIREPLACE(S) - 0 _ 1 )( 2 ,L PiQ €F_ 7 f tom- . DD ESS ZIP CODE Sl- ??S -!? 3 FAX # 123/ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing System Includes: Water Softener Water Heater No. of Baths Remodel/Repair Requirements 2 copies of plan • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION ?. / i 6 Phone #: Lawn Sprinkler No. of R.I. Baths Mechanical Contractor: Mechanical System Includes: Air Conditioning Heat Recovery System Sewer/Water Contractor: All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Qrt Signature of Applicant Certificates of Survey Received - Tree Preservation Plan A Phone # Fee: $90.00 Fee: $70.00 free to comply Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext'Alt- Multi ? 03 01 of_ plex ? 09 07-plex 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck X 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 1 0-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 ?[ 32 Addition / ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 3 Zoning City Water SAC Units U[ Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs I Length Fire Sprinklered Type of Const __ y l Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) Final/No C.O. Footings (addition) _ Plumbing -W Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final Pool Fla Air/Gas Tests _ Final Framing _ _ Siding Stucco _ Stone Fireplace _ R.I. -Air Test -Final _ Windows ( 1 U ement) Insulation _ Retaining Wall Approved By T 1.. , Building Inspector Base Fee 3 a( Surcharge - °' ' Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant (?• Plumbing Permit Mechanical Permit License Search Copies Other Total C) ( 'co ?4 FRI 01:11 AM -22-2004 TUB 11:11 PM f ?N ? W To Whom It May Conoornt Troyoo Concrete and Masonry ino oonetruoted tho concrete wall per the eaiinoered design. We used 244 rebar in the care fills located at 4' oenters as speolfled. T OYCO Concrete and Masonry Inc 9657 Credit River Blvd, Prior 55372 P. 002/002 P. 002/002 MAY-26-2004 WED 05:42 AM t N1AY- 14 i UE 4':51 Ali', y ,t..NEsay R'.4 U4 t) a Cw'?p • r" MICIIAEL MCvUiL'' ARCH1TE6 R,?,11 a 40, I'/'f .. c r.?'iZ'4' • f' . u' y., r•rllra, a CIO ofVE NAY1 to y t;'a t: (Jl ?? r: J•, .t IL.1 IYY''. FAY NO, 612 439 37x'1. P. 1 C,ai-r,?f3-ti14i? f'y '? fog .. - ' ~' aW f 1.• .7? t• ti. /Art fly < Z,LiS" 0.9, /k /A C7. P. 002/002 41 ., ?Z(o,85 - - ------------------ Nnrur,AL 6.A L4NE. -I -- Zo' U+[L[+T IASF Ai E Nt FaC(,f. FILL 20 }? ?D TEt-ep9uAC FIN HYPIANr mil[ _-? Cfl - ?? CIiUhNEp Lf1hS ?44.Y DRIYLWAY ENTRY ELEYAr[ON REMOY6 15TIM4 :fXCE55 \ ?,? ! S' FILL) I xi_ eV FRI 01:11 AM 2004 TU3 11:11 FM To Whom It May Conoern? Troyco Concrete and Masonry Ito constructed the concrete well per dw anuinwred deaf . We used 2-#4 reber in the core fills located at 4' oentera as spamnea. Prior P. 002/002 T WYCO Concrete and Masonry Inn 9657 ?Czzee&tt River Blvd. P. 002/Q02 Data MAY-26-2004 WED 05:42 AM Y,,nY• J4 TOE 51 Al Mlt:}IAEI ARCHITEB PAY NO, 6i2 439 37.'x. A cA ` lr4Vr s {fib ?? IAIA 4-4--4 As/. r1w)"A~ARS 41 Al -dr -H2Y.11 7-7 40 A4..C_ . +1?"An M5 ??` Y, ••y r." Z ?•. ?• '? J2. . s ir,r ' Al g Ao' Agr 7" X 7 ., ?.s• It Y, Sc . 4. P. 002/002 P. 1 f'\• 1 11 A?rCa?. fr z to it --o - I ' A/at.A 1"4 I . • . ' A RAftWov,-,t 44q 4`I tLr?... " or" /SwIl r 3830 Pilot Knob Road, Eaton 5OZZ T phut # 651-675-5675 VAS # 651-675404, MOW amVicte fc is ustrial t std n s m i- i1y build when sepwaa p? r srtach d*gH 1d§tt fb a-PtMl% aWy aMucatso t tot a pun t„ an. work is not to start wit c+ttt a pent; flat the w Wt;tl t' * muWam" wtrn 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN $5122 651-675.8675 Please complete for modifications to existing residential dwellings. Date -7 / Z- / Site Street Address &75- 13' 4t if'PoW16 )e& no :Unit # Property Owner j -t L Telephone # 47(3) CaS"?. Contractor e"XIAMW LGl 1I1ia? Telephone# fz-) c io7 A -6'e 1 r/' (1 S Sate ___ Zip Address ?'GaC 1( G"7 city The Applicant is: Owner `!Contractor Other Alteratl s to existing dwelling $ 50.00 Add fixtures to rooms, excluding water softener and water heater L. 4u" d/0' 7U5 Septic System Abandonment ,61 Water Turnaround (add $121.00 if a 5/8" meter is required) ......_.Other: Water Softener Waiter Heater UU $ 15.00 replacement additional By I - Lawn Irrigation System RPZ / new repair _rebuild State Surcharge $ .50 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed a prove , L i 3LA CaM Applicant's Printed Name 4 g a re htb 105,309 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date -7 i Site Street Address , ZS '6i Unit # Property Owner .,, 4 - -i t? Prr Telephone # "V6 5) 9 4 5 Contractor 3YdtfAr4A Pt-g Anf3i Gl Telephone #4/?-j sr:y e'7 Q7 Address Pa /l 010 City 1?I /?°s?rr'?A14 fS State Zip GI The Applicant is: „ Owner ? 1contractor -Other Alterations to existing dwelling $ 50.00 Add fixtures to rooms, excluding water softener and water heater Septic System Abandonment Water Turnaround (add $121.00 if a 518" meter is required) Other: Water Softener Water Heater $ 15.00 replacement additional Lawn Irrigation System RPZ - new repair rebuild $ 30.00 State Surcharge .50 JUL 0 9 2004 Total $ I hereby apply for a Residen644 t nd acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and CoOft of the Lity oT Eagan and the plumbing codes; that I understand this is not a permit, but only yin' application for a work is not }'Fstart ithout a permit and work will be in accordance with the approved plan in the ev t pan . re red e wed and approved. plic nt's r' ted Name Applicant's Signature IAL CAM OEM" { CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECEIVED FROM as+- AMOUNT $ f & DOLLARS loo CASH ?_OH-ECK FOR FUND CODE AMOUNT a7 f?lJ ev I ter! d j_ y Thank You BY n j ?f r. White-Payers Copy Yellow-Posting Copy Pink-File Copy i :. i.;: .. r ,. 1_\ a 4 ? i> t, : \\ , I ,o;' L. f4 l g 4 . / • ' . «+rac::? ai- i ps i 4 f r i Jr ? i ¢ f II r 'J F 0 \ l N PERMIT City of Eagan Permit Type:Building Permit Number:EA130290 Date Issued:04/15/2015 Permit Category:ePermit Site Address: 3675 Birchpond Rd Lot:6 Block: 1 Addition: Blackhawk Hills 2nd PID:10-14381-01-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Description:tear off & re-roof garage only 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 - Jared P Greupner 3675 Birchpond Rd Eagan MN 55122 (651) 675-0339 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature