3207 Black Oak Dr2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan v ?
3830 Pilot Knob Road, Eagan MN 55122 ?
Telephone # 651-675-5675 FAX # 651-675-5694
1- ?,A.c** -?s
New Construction Reauirements RemodellReoair Reauirements Office Use Only
3 registered site surveys showing sq. ft. oF lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy CalculaGons 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-sRe septlc system On-site Septic System _ Y_ N
3 copies of Tree Preservatlon Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date A /-'-3(9 / 0-'/ Construction Cost
Site Address 7,2;4 ,0 `'7 dl"k Cyj(? DR- Unit/Ste #
cti<n. M,A-D ? Jl -Q-
Description of Work ?B w-???^ l`C'Jvc_v-
Multi-Family Bldg _ Y 1-__N Fireplace(s) !?0 2
Property Owner Telephone # (6?? ?) ??L ?.? ?
2- -
Contractor
Address CitY
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate?orv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone # (
Telephone # ( D
Telephone # ( [
I hereby apply for a Residential Building Permit and acknowledge that the informa ate;
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 which requires a review and
approval of plans.
C?v1C1?c1Q_ Ko
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex
? 02 SF Dweiling ? 08 06-plex
0 03 01 of _ plex ? 09 07-plex
? 04 02-plex O 10 08-plex
? 05 03-plex O 11 10-plex
0 06 04-plex 0 12 12-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 13 16-plex 0 20 Pool
0 16 Fireplace ? 21 Porch (3-sea.)
? 17 Garage 0 22 Porch/Addn. (4-sea.)
0 18 Deck ? 23 Porch (screen/gazebo)
10 19 Lower Level ? 24 Storm Damage
Plbg_Y or _ N ? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
)1? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entlre Bldg) - Give PCA handout to appllcant
Valuation
Census Code z
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy `3 MCES System
Zoning [2, City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Faotings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
10 Framing
Fireplace _ R.I. _ Air Test _ Final
_yd Insulation
REQUIRED INSPECTIONS
FinaUC.O.
?o FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ W indows
_ Retaining Wall
Approved By:6' kl , 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
?- I 47 ?? ?
(o -7er -7 3
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 F
Please complete for modifications to existing residential dwellings.
«
JAN 1 0 2005 I
Date 1Q, I Os
Site Street Address 3,?-?7 ?N0.-C-k- ? a-k- DK Unit #
Property Owner Ko NIGV? Telephone #
Contractor Telephone # ( )
Address City State Zip
The Applicant is: Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
_LZ 'Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
-Septic System Abandonment
Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ -C::Z • ?
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 and approved.
,9' ? o,}b
Applicant's Printed Name Applicant's Signature
o v?.?,?? BUILDING PERMIT APPLICATION
CITY OF EAGAN 0 ?-
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstruction Reauiremants
• 3 registered sfte surveys showing sq. ft. of lot, sq. ft. af house; and all roofed areas
(20°k maximum lot coverage allowed)
• 2 copies of plan showirg beam & window sizes; poured found design, etc.)
. 1 set o( Energy Calculations
• 3 copies of Tree PreservaNon Pian if lol platted after 711193
• Rim Joist Oetafl Options selection sheef (bldgs with 3 or less units)
DATE ?_'- e?-02-.
SITE ADDRESS
TYPE OF WORK
APPLICANT
j
-FAMILY BLDG _ Y k1V
FIREPIACE(S) _ 0 k1 _ 2
STREEi ADDRES? ZjI??? CITY ? ?STATE??_ZIPS
TELEPHONE # D CELL PHONE #/oI? 76( FAX #?17 2'1g7
PROPERTYOWNER , S TELEPHONE Q?
................ / --------------------- m -------------------- m ........................
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor. ?Iuwo- k _ Phone # Ll 2 0 f l j d/O
Plumbing system includes• I Water Softener Lawn Sprinkler Fee: $90.00
X Water Heater I No. of R.I. Baths
z No. of Baths '
Mechanical Coritractor: 51vA Y&t-?tyLel Phone # 2r
Mechanical system includes: _ Air Conditioni g Fee: $70.00
X_ Heat Recovery System
Sewer/Water Corvtroctor: 0_1c? Phone #
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicabfe State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USEONLY
Certificates of Survey Received , vO
Tree Preservation Plan Received ? 1v Not
? D -,)- a- _?>3
Al U - SO
RemodeURaoair Reauinmenls
• 2 copies of ptan ?
. 1 set of Energy CalculaUons for heated addidons
3 I (? `-? `-{
VALUATION ? 00 C"ed
• 1 sOe survey tor exterior additions & decks
. Indicate if hame served by septic system for additions
_?::o
Updated 4l02
OFFICE USE ONLY
? 01 Foundation
19 02 SF Dweiling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-piex
O 07 05-plex ? 13 16-plex
? 08 06-plex O 16 Fireplace
0 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-piex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
0 22 Porch/Addn. (4-sea.)
0 23 Porch (screened)
? 24 Storm Damage
O 25 Miscelianeous
ffi 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
0 33 Afteration ? 37 Demolish (Bldg)" D 43 Reroof 0 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy ?-3 MClES System
Census Code /Gl Zoning A _! City Water
SAC Units Stories 19- Booster Pump -'`
Nbr. of Units -6/ Sq. Ft. _L ?,h L PRV --?-
Nbr. of Bldgs U Length 11-t`U Fire Sprinklered ?-
Type of Const Width
REQUIRED INSPECTIONS
? Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
Footings (addition) plunibing
? Foundarian HVAC
? Drain Tile _ Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Aic/Gas Tests _ Final
Framing Siding Stucco Stone
Fireplace _X R.I. kAir Test k/ Final Windows (new/replacement)
Insulation )r Retaining Wall
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
SSW Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
?/3 v
Approved By
. IA46
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
Building Inspector
()N f?i.v 13S'irt r
/ pr ?' l A
)_ & '° /'/_ x
6,9 A h J,z
? 5o C? /? ? ? / l? ?ra =
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/?6 71-1o
.
?W?/ru-c cov?
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(SEE ATTACHMENTS)
Development 09 ff,2.P
Lot Number 16 Block Number l
Address
Buiider kQN Fi6--
SO i
Tree Protection Re uicements:
11-1- Tree f=encing
a/ Oak Tree F'runing (lmrnediately seat wounds during April i to ,fuly 31)
1'herapeutic Pruning
Retaining Walt
Other:
Replacement "Cress:
? Nat Required
As Follows: EA{"aAN ?ORFS?Y QiV1S??N
Attachrnents: REVIEWED
? Yes ??
No
??,?`E ?
Additionai Nates:
H:tghova12004fileltreepresl7ree Preservatlon Plan Summary-2000
b1e Jff V17-4
JUt-1',q-2002 FRI 11:03 AM GONYEA COMPANY FAX N0. 612 377 0194
• 07/10f2002 11:57 EAGRM MA1MT FAG •> 96123770194
.?..--------
f `
TREE PRESrRVATIOn" F`I,AN
Lat 8, 18lock 1, orehtt'd Heig,bix Addtfiloa
P. apesty
]3uiEder:
Contsd;
Telcghvi
Sipaau
.4--
Tr izdsomi
3 9„ red bak 38vC
4 g" Led OBk Savc
G (2) T' bi=h aave
7 6" bassruaod "ve
g 7., buclz se?ve
9 1,V? oak save
10 14" red oak save
11 25" rad oak save
12 6'• red oak save
15 8" xod oak save
24 14'r re? oak SaVC
25 +ia? wW?.` oc4M1
! 6ave
26 14" retl o& salc
31 lT" red aalc save
32 i 5" rod aalc savc
44 (2) S" birch temvve
45 7>• red oak savc
46 151, hackberry sava
48 16" rca oak rernove
49 1 Q*' md 08k FO!'R4VC
55 1V red oak rcmave
134 12" white oak savc
135 14" rtd oak save
'(` aarvat[on'???? ?t1m #rg
Nwnbcr af si0fiew trees on site = 25
Number aFtrces pxapased ta bc remved = 5(201/4 4ftotal)
A1lcwablG rcmo..Bl = za% - s trtes
P. 01
ri.I0 =:p Wtl3
No mitigation required by Eagan Cyrdinmica
Existin -1 recS
JUL-11-2002 THU 08:50 AM GONYEA COMPANY FAX N0. 612 377 0194 P. 03
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ORGHARD HEIGHTS LOT 6 BLOCK 1 TREE PQESERVA ION - 7-18-02
Development Type = Single lot, single family residential
Existing Allowable Actual Actual Required Cash
Trees Removal geIlQYaI Preserved Mitigation Equivalent
25 Trees 20% 5 Trees 20 Trees 0 B trees $0
5 Trees 20.0% 80.0°l0
h".ITIGATION GALGULAT
(Applicant to mitgate: IONS
0 Trees)
Category of Tree
To Be Removed Number of
Trees Removed Mitigation Total
Per Tree (B) Mitigati
on (B)
Specimen Trees 0 6 0
Hdwd Deciduous 21-30" 0 4 0
Soft Deciduos >24" 0 4 0
Conifer > 24" (12" dbh) 0 4 0
Hdwd Deciduos 6-20" 0 2 0
Soft Deciduous 12-24" 0 2 0
Conifer 12-24' (<12" dbh) 0 2 Q
total = 0 TOTAL MITIGATION = 0 Catego B Trees
MITIGATtON SUMMARY
Number of Mitigation Number of "B" Tree Requirement Cash Equivalent
Trees (B) Required Trees Provided Balance (B Trees) Balance
p 0 0 $0
?
N4TES:
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
Permit #
Checked by Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 7-1-2002
DATE OF PLANS: 6/24/02
PROJECT INFORMATION:
Kanwal and Beena Kumar
Lot 6 Blk. 1 Orchard Heights lst Addition
COMPANY INFORMATION:
Gonyea Homes
COMPLIANCE: PASSES
Required UA = 417
Your Home = 392
5.9o Better Than Code
Area or
Perimeter
Cavity Cont. Glazing/Door
R-Value R-Value U-Value
---------------------------------------
CEILINGS: Raised Truss ------------
1268 44.0 -----------
0.0 -------------
WALLS: Wood Frame, 16" O.C. 318 19.0 2.0
WALLS: Wood Frame, 16" O.C. 1106 19.0 2.0
WALLS: Wood Frame, 16" O.C. 1077 19.0 2.0
BSMT: Conc. 8.8' ht/8.2' bg/8.8' insul 967 11.0 0.0
GLAZING: Windows or poors, Above Grade 66 0.350
GLAZING: Windows or poors, Above Grade 230 0.350
GLAZING: Windows or poors, Above Grade 147 0.350
DOORS 41
----- 0.350
--------------
---------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design -----
described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The propose d building has been
designed to meet the requirements of the Minnesota Energy Code.
Builder/Designer / /v-V?
Date ??O(?-
JUL-03-2002 WED 08:23 AM
.
tSoace' r,onsai.d ?'ua)
, egt rf? _.enlit141?ie1
Spact heatirtg ? nensol
.
Watar beactng -- RptWOli
part,B. ??PREssURrzAxroN FROTECTION
Chcck cpcioa uaed: d Fuai bumtng equipmeat (comptete =cheduies betow) O No tLel bumtni equiprrtient
i`tTRu?7io?s ..EKHA ?5T! J?tAiC?-Up Atlt SCHEdUL£
Strp !. Complete ehe Cvinburtion Eq?rip,rrgntScheduld bebw. 0n(y Cq,aiprrrent • gxhatrst dtvtres over300 ottn
With a Y(Yes) rtto,y be salecced under the''Catepory ;" Altemata, Flow
Step 2. Compltta ?Yhutt.tl/i?lakvup AI?Schedule on thr right If direct o,* power
venud or soiid tUe! acmo9pherle vent space haocinS equipment is Selactcd. cr?
af}
•• o•fi=??aL0==cfjcaj4y vencea 50114 tvei or direct or powtr
Plow Is roqulred for each Individuat exltaust devtae whic;
nr
$ealed combustion
Direcc or power vrnttd
ivc,c ?. ?. . •
U
or owar vecited :Y
be?veat? , .=11
O AtmosphertCelly vented ?Y
O AtmOipheric?all vettied ! Y
?9tafied, then mae-up sir p t?
-aoeio evwi I
inspltc nte; 4paC4
300 subic feet pe,
P. 01
Part C1. VEN'xILATION
VEHTILA IOM QUANTlTY
(Mechanical ventiIaclort mu:t be provIdad par zhe fu-Ze:- quaattet kiIcutated betow) . tubta teet x 100383 /minuta a? elm ( x 19 etm/bidtoem) + 15 orm 0 Ct?
votuma o he iti61a tooc?8 ? Rueqber of 4,rY- .. • .
?? • .. r. ,
? . . . ' YE ILA IOiY FAN S H DUGE :,?' •' . .,.,:
Check method(s) pcoposed 4 ??xhausc on) Salsnced eat reCOVery trerltil!tor, nir oxcha er. etc.) • Fon descei lon or lacdtion a
YENTI Ar jntak! TAL : ?.
AS DE5[GNED Ex ausr ,?,?„ I E efees ?? ???
Stetemeqt of Compti2nce: The proposed buiidictg desian reprosanied tn thesr @oeumenis is con:istent ulth the building plans.
speciFications, und other cafeulation: aubmitced wit e parmit application. 7'hs proposed buiidi.ig has bcrn deslgned tq triett ti.e
requirements of the Minnesow £nergy Code.
?
l? ? • r? c?! '? '; le)C'? 6
Applicant (princ name) fltun e Ttlephone aumbar
Part Cz. VENTILAxION (Submit Part C: upcn comFlecion ofati•stem verltfcatEont)
?C-.___--____"---- - - - - - - - - - - - - - - - - - - - - --•------- ----______-------------
lob $ite Address: Permit tv'umber
Fan dascrfption or ocetion
hil
PE
c
T venlilation rate must bo measured and ver3tltd whrn dte per rmMCe optiDn 19 use in tlau o the preseripcive opttvn or tht stst g
_ of jolnts in ehe 6utldlne canditianed enyetope (ftom Part A)
rs? nnrr.r?w????
CoR,plinnce Siatement; Insta lled ventilaciun systam is in cunzplitsnce %vith ti!N Energy Code and ts sizad to provide thr dayign nir fta??'•
(print n.li11C)
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMiT APPLICATION ?
PROPERTY LEGAL: :c.<_?
DATE OFSURVEY: ? • --1 -n ?.
LATEST REVISION: -
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/exis6ng sewer and water senrices & invert elevation
• Street name
• Driveway
• Lot Square Footage
• Lot Coverage
• Benchmark
ELEVATIONS
Existin4
• Sewer service (or Proposed)
• Property corners
• Top of cwb at the driveway and property Iine exbensions
• Elevations of any existing adjacent homes
• Adequate footing depth of structures due to adjacent util'rty trenches
• Waterways (pond, stream, etc.)
Prooosed
U/ ? u • Garage floor
? ? ? • First floor
Ea? ? n • Lowest exposed elevation (walkout/window)
n ? • Property corners
I/ ? U • Front and rear of home at the foundation
PONDtNG AREA (ff aq,plicabie)
? It)/ ? • Easement line
U G? ? • NWL
[I V ? • HWL
Li f?f? • Pond # designation
t7 C? o • Emergency Overftow Elevation
DIMENSIONS
t7 ? • Lot lineslBearings & dimensions
v t_1 • Right-of-way and street width (to back of curb)
? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. a!I structures requiring permanent footings)
Ra?r 1? • Show all easements of record and any City utilities within those easements
rV,!] ? • Setbacks of proposed structune and sideyarcl setback of adjacent existing structures
i'I/ ?? • Retaining wall requirements, 'rf any
?- --,
Reviewed:
Name / Date
• \ ... .............
?
nlVFaTt Mrf0l A "nM nET cvr r n rr .rv
t1,rj In 1 11' 1 t0 tl 1 Li vr Ju vn rF5 1
GoNYEA HojVES rNc
0
Bohlen
Surveying & Engineering
F? 4819 127rd Svasi w.
? ?wiMdSSW7 Savaq?, w SS176
o Wwr? 7) 813-77 B E Pha(st2) 843-Q212
F SOn Fmc (Bt) 893-8234 ,
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PRoPOSm caRacE FLooa ELEv.= 900.0 PROPOSED TOP OF BLOCIC ELEV = 900.3 tc
FRi3POSED BASEMENT FLOOR ELEV s 691.3 / B L A C K 0 A K
LOT AREA = 18570 SQ. FT. ? D R I V E
HOUSE AREA = 2000 SQ. FT. ' (PLATTED AS BLACK OAK COURT)
ADDRESS: 3207 BLACK OAK DRj?(,F? M?YI ?g`
;?
s? Hv.ees.se ?ot ?w
? o?b?3'06' 13'"
??.-5a.4s
?, ??,tain`ng W? 0 DElVOTES SERVICE LOCATION
PROPERTY DESCRIPTION Be Required X DENOTES PROPOSEd ELEVATION
LOT 6. BLOqC 1. ORCHARD HE]MiTS ADDIT10N, OOOXO DENOTES EXISTNG ELEVATiOPt
qTY OF EAGAN, DAKOTA COUNTY, IYN4+E50TA ? pENOTES WOOD HUB
0 DENOTES IRON PIPE MONUMENT
I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER
MY DIRECT SUPERVISION AND THAT i AM A DULY REGISITERED LAND
SURVEYOR UNDER THE LAWS OF THE SfATE OF MINNESOTA.
DATE' 6-26-02
LEROY . BOHLEN, LAND SURVEYOR
MINNESOTA LICENSE N0. 10795
FILENAME: G47-11-02gonyea
.. - 17??fL - "r?,'???' ?' 4 CER TIFICA TE OF S UR VE Y
GONYEA HOMES, INC.
4A
Bohlen • `-
?? ?UtYt SW" Surveying & Engineering
SeWnWWSAV" 31462 Folicge Avenue 4819 127rd SVeet W.
?
u,md North}iNd, MN 55057 aD E Savage, AM 55378 !....
VQ Phax: (507) 645-7768 P,on« (812) 895-9212
99
.?? Fina: (507) 645-7799 Fax: (812) 895-92
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PRDPCi5ED '"GAR"ACiE ?f'r.dD6' ?V.= 900.0
PROPOSED TOP OF BLOqC ELEV = 900.3
PROPOSED BASEMENT FLOOR ELEV. 891.3
LOT AREA = 18570 SQ. FT.
HOUSE AREA = 2000 SQ. FT.
ADDRESS: 3207 BLACK OAK DRIVE
---e-53006' »"
VL=&-`d
4 DENOTES SERVICE LOCATION
-??- DENOTES PROPOSED DRAINAGE
PROPERTY DESCRIPTION OXO DENOTES PROPOSED ELEVATION
LOT 6, BLOdC 1. ORCHARD FEK:HTS ADDITION. OOOXO DENOTES EXISTING ELEVATION
GTY OF EAGAN, DAKOTA COUfJTY, MNNESOTA. ? DENOTES W000 HUB
o DENOTES IRON PPE MOIJl1MENT
I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER
MY DIRECT SUPERVISION AND THAT I AM A DUIY REGISITERED LAND
SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA.
DATE• 6-26-02 Z5?° 'swl-
(REVISED 8-20-02) LEROY H. BOHLEN. LAND SURVEYOR
MINNESOTA LICENSE N0. 10795
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107172
Date Issued:09/28/2012
Permit Category:ePermit
Site Address: 3207 Black Oak Dr
Lot:6 Block: 1 Addition: Orchard Heights
PID:10-54500-01-060
Use:
Description:
Sub Type:e-Reroof
Work Type:Replace
Description:House & Garage
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Kanwal Kumar
3207 Black Oak Dr
Eagan MN 55121
Smart Builders Inc
7001 Garland Ln N
Maple Grove MN 55311
(763) 691-5021
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166021
Date Issued:12/07/2020
Permit Category:ePermit
Site Address: 3207 Black Oak Dr
Lot:6 Block: 1 Addition: Orchard Heights
PID:10-54500-01-060
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 -
Yuri & Rachel Bates
3207 Black Oak Dr
Eagan MN 55121
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168700
Date Issued:04/29/2021
Permit Category:ePermit
Site Address: 3207 Black Oak Dr
Lot:6 Block: 1 Addition: Orchard Heights
PID:10-54500-01-060
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Yuri & Rachel Bates
3207 Black Oak Dr
Eagan MN 55121
(651) 307-6217
Built Strong Exteriors Llc
2215 Quebec Ave S
Lakeland MN 55043
(651) 702-1300
Applicant/Permitee: Signature Issued By: Signature