3215 Black Oak DrAddress 3 2 t 5 B 1 a c k 0 a k D r ZIP $512 1
IAt 4 Blk 1 SUb Orchard Heights
THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (b" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
DEC-17-2001 MON 04;32 PM
P. 01
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On Apri 16. 2000 te Wmob &ew code, com I BtAft ftQdW"* ?or ? w?cll?a. &
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Joel Smfth Hesting & qIC, 1nc.
74034 Lexingron avg. NE
Ham !_atce, MN 55304
affice: 763-792-1066
Cel+: 612-3M5797
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CyERTIFICYA TE OF OUR VEY
GONYEA HOME'S
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Bohlen
Surveying & Engineering
31462 Foliaga Avenue 4$19 123rd Strest W.
Northiield, AN 33057 Swcge, taN 55578
a+,a,? (so7) s4s-ns8 B E R,on« (s12) 895-9212
Fmc (507) 845--7799 fas (612) 893-9259
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LOT 4, BLOCK 1, ORCHARD HE7GtiTS ADOI110N.
GTY OF EAGAN, DAKOTA COUNTY, WNNESOTA.
ADORESS: 3215 BLACK OAK COURT
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.. PROPOSED GARAGE FLOOR ELEV.= 900.0
PROPOSED TOP Of CONC WALL ELEV.- 900.9
PROPOSED SASEMENT FLOOR ELEV.= 891.9
PROPERTY DESCRIPTION
lOT 4 AREA = 12005 SQ. FT.
HOUSE/GARAGE AREA = 1929 SQ. FT.
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OQOX? DENOTES PROPOSED ELEVATIQN
OOOXO DENOTES EXISTWG ELEVATION
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O pENOTES iRON PfPE MONUMENT
I HEREHY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER
MY OIRECT SUPERVISION AND THAT I AM A DULY REGISITERED LAND
SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA.
DATE' 6-21-01
LER6Y //BOHLEN, LAND SURVEYOR
MINNESOTA LICENSE N0. 10795
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C'ERTIFICIA TE OF
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GoN?EA HoMES
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Bohlen
Surveping & Eagineering
31462 Fdiage Avenue 4819 323rd Slreet W.
Northfield, AAN =7 Savaga, t?N 5.5378
Rn?: (sa? eas-nsa H ? ? (612) 895-9212
Fmc {5oJ) 6as-n98 F= (612) 885--9259
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PROPERTY DESCftIPTlOW
LOT 4, B,OCK 1, ORCHARD H£1GHTS AQDM4tV.
GTY OF EAGAN, DAKOTA COLAVTY, W0IESQTA.
MDRE55: 3215 BLACtf OAK COilRT
LOT 4 AREA - 12005 SQ. FT.
HOUSE,/GARAGE AF2EA - 1929 SQ. FT.
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Scrt lrn4 pa• Pt 44 =R8.s 9
PROPOSED GARAGEFLOOR ELEV.= 900•0
PROPOSED TOP 4F CONC WALL ELEV.= 900.9
PROPOSE1] 9ASEMEM" FLOOR ELEV: 891.9
¢ DENOTES SERVICE LQCATION
-?- QEN07ES PFtQP05ED DRAIAIAGE
oaoxa DENOTES PROPOSED ELEVanoN
QOOXE3 DENOTES EXISTWG EL.EVATif)t+l
? DENOTES W40D HU8
O DENOTES IRQN PIPE MQNUMENT
I HERE6Y CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER
MY DIRECT SuPERVISION ANp THAT I,4M A DULY REGISfTERED LAND
SURVEYQR UNDER THE LAWS OF THE STATE QF MINN'ESOTA.
DAT'E- 6-21-01
LER6Y { B4HLEN, LANp SURVEYOR
MINNESaTA LICENSE Np. 10795
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G''ERTIF'lCIA TE OF SUR VEY
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3211 BLACK OAK COURT
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LOT AREA = 20025 SQ FT /y
Fi4USE AREA = 2755 S4 FT
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aoaxa DENarEs ExisTINc ELEvArIoN
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? O DENOTES IRON PRPE MONUIuENT
P10TE: ALL DIMENSOAIS ARE
?xr tn 70 OUTSIDE OF Bl„QCK
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PROPosED rap OF sLacK = 902.0 rM ? x R?w?K ?n? rwat,c. s?uisNr
PROP4SED BASEMEhIT FLR m $93.0
I HEREBY CERTIF"Y THAT THlS SURVEY WAS PREPARED BY ME QR UNOER 8E 14effaca,
MY DIRECT SUPERVISION ANQ THAT I AM A DULY REGiSITERED LANQ
StJRVEYpR UNDER TWE LAWS OF THE STATE OF MINNESOTA,
DATE• 2-s-ai
?Y -4-L 507
.' BOHLEN, LAND SURVEYOR
MINNE50TA LICENSE NQ. 10795
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Date 07/23/2003
Page
Permit Inspections Entry Cornments
Identi#3cati4n: EA645964 - 3215 Black Oak Dr
Comments:
1 sqash blocks 2 seal fans 3 add suppor# far stairs at LL
4 BLOCK OVERH4NGS 5 CIiECK DRAIIVAGE AT FINAL
FOR BACK YARD
12/17/01 JTW Final CO
- Final grade to be apgroved by Engineering dept
- Check self closing hinge on garage service door
- appliance balance sheet
01-29-03 JTVJ
- spoke to Tim from Gonyea Homes - Jael went over and shot grades
at this address 2 weeks ago they srill do not meet the min requitYnents
for drainage. I faxed Tim a copy of t13e survey that ]oel had marked
his grades on.
CyERTIFICYA TE OF OUR VE
GON Y.E'A HOMES
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Bohlen
Surveping & Engineering
? 31462 Fdiage Avenue 4819 123rd Street W.
Narthfidd, Ml 35057 Swage. AIN 55378
a?wm: (so7 ? s+s-ns8 B E an?: (612) 895-9212
Fmc (507) 845-7799 Fmc (612) 895-9259
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... PROPOSED GARAGE FLOOR ELEV.= 900.0
PROPOSED TOP OF CONC WALL ELEV.= 900.9
PROPERTY DESCRIPTIQN PROPOSED BASEMENT FLOOR ELEV. 891.9
LOT 4, BLOCK 1, ORCHARO HEIGHTS ADDITION,
GTY OF EAGAN, DAKOTA COUNN, I664NESOTA.
ADDRESS: 3215 BLAqC OAK COURT
LOT 4 AREA = 12005 SQ. FT.
HOUSE/GARAGE AREA = 1929 SQ. FT.
0 DENOTES SERVICE LOCATION
--? DENOTES PROPOSED DRAINAGE
OO?XO DENOTES PROPOSED ELEVATION
OOOXO DEMOTES EXIST4VG ELEVATION
? DENOTES WOOD HUB
O 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 STATE OF MINNESOTA.
DATE• 6-21-01
L R Y //BOHLEN, LAND SURVEYOR
MINNESOTA LICENSE N0. 10795
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' BUILDING PERMIT APPtiCATlOH ?A
?. CITY AF IRAGAN
?I 61 Oreh ard He` ? h fs
3830 PILOT ItN08 RQ -5s122 q
e51-e81-4e75 ft?
ew ' n R
• 3 registered site sunrW sharving sq. fl. of K sq. ik of house; ard ?,I roaM arew
{20°k ma)dmum lot carera9e ailowed)
. 2 oopies of plan shawin9 baam 8 window aixes; Paured famd deWgn, °tc.)
. 1 set of EneigY CalaAtions v 4
. 3 copies of Tree PreaeNoion Plan f bt plattad erfbr 711193
. Rim Joisl DetaR Optiona aebction sheet {bld9s wGh 3 ar less unils}
Qare ` ?"5 -p
JOB SiTE ADDR
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1? 3 4? C?II? 7- 3-01
PH I . } ?
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TION (EXCUlDING LAMD,
IF MULTI-FAMILY BU?DING, HOW MANY UNITS? PR4PER'rY OWNER
T1fPE OF WORK
APPLlGANT
PAGER #
CELL PNONE #
F1R1EPLACE(S) & 1FES 140
PHoaE# l,?/?,,.I?'?'?
- ?V00 -- FAX# _6jZ-37 w .: < .
i?! RESIDENTIAL BUILDING NLY -- FILi. OUT COMP1:
Energy Code Categary _ MINNFSOTA RULES 7670 CA''FC'*ORY 1
(check one) - Residen6ial Ventilatlon Ca6egory i WorksheOt Su
- Enargy €nvelope Calcutations Submilled B ?
Y
MINNESOTA RIJLF.S 7672
- E cg ZwTl;'? Worksheet Sc?bmiiUed
R?7 ?? Pho? #: ???
Plumbing Cor?tractor. ?
Plumbing System Ineludes: ` Water 5oftener Lawn Spfinkler Fee: $'901,00
VVater Heater ? Na. of R.I. Saths
? No. of Baths
?j?/ ??????? ??
Mechanlcal Cantractor ?/Yl/ I'? Ph?one # ?z - ` `
Mechanic a l Systein Ine lu des: ? A i r C o n d i tio n g Fee' $70'00
Heat Recovery 5ystem --
? Phorw# 7&3-71?7?y_?g Z_
Sewer/Water Contractor.
All above information must be subrttittetl priar to Processkn9 of appiication.
I hereby acknowledge tha# I have read this cspplicatSon, state that the infarrnotion is correc#, and dgree t0 Com;*wlfh
all appiicable State of MinneSOta Stotutes and City of Eagan Ordinances.
W.- Slgnalure of Appllcant
Certifcates of Survey Received X Tree Preserva#ion Pfan Received Not Rered `V
updated 1101
4fFIG? USE ONLY
? A
0(?'1 'Foundation O 07 05-plex 0 13 16-plex q 20 Pool
=. (? 3Q 1k?'Y??
? 02 SF Dwellirt
9 O 08 06-plex ? 96 Fireplace ? 21 Porr.ti (3sea.) C] 31 Ek Ati - Multi
? 03 01 of_ plex E3 09 07-plex ? 17 Garaqe CI 22 PordVAddn. (4-wa.) ? 33 Ext: Adt = SF
0 04 03-plex ? 10 08-plex ? 18 DeCk E] 23 Patch (screened) C] 38 MuM
? 45 03-plex C] 11 10•plex 0 79 Lriweri,aviel U 24 Storm qamag+a
[1 06 04-plex 17 12 12-plex ARV,,,`Y orN C) 25 MisceNanwus
to 31 Nerv 0 35 Int tnprovetrtant E3 3$ Demolish (Inte?eior) CI 44 giding
? 32 Addition ? 38 Move BId9• C] 42 Demoish (Foundatlon) B 45 Fire Repeir
? 33 Afteration • ? 37 Demollsh (Bltlg)* p 43 Reracaf 0' 46 FMrtdowalDoor3 .
? 34 Replacement "Demodttlan (Endr+e Btdg on1y);- Qtrrv PCA handuut ta apoften#
VaJuation Occupwcy ' ..: r MC/E:3 SY.stem
Census Code. Zaning Gity w?ker -
SAC Untts
swes ?: . Booater,pc?np
Nbr, oF;Units
--?,_
Sq. Ft. PRV- .
Nbr. of lNdgs.
Fire Spritiklered
.-?-?
ty? af Const ?? --
Width
REQU
?D IN$pECTI41HS
Footings (new bldg) ,
Fi
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_ Footings (dcck)
Footings (addition) Fi,?a!/Nn C.O.
-'.
Faundation p?
? Drain Tile HVA!C
Roof Ice & Water Fiaal Other
Fireplace _ R.T. Air Test Final Paol F#gs AitfGts Ttsts Finaj
Sidiug
Stucco? Stone
?J Insulation _
_ Windows (new/rop#aCpmmt)
Appaved 6Y , Quild*V f+ispoctor
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Base Fe6
Surdharge
P 1 4f 770
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lan Revlew
MCIES SAC
Cit
SA .
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er Supply 8 Storage
S&W F'ermit & Surcharge
Treatment Plant
Plumbing PermiE
Mschanical Permit
License Search
c
opies
Qther 'C
Totat
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d
1ob Site Address:
ENERGY CODE W4RKSHEET FOR
ONE & TWO FAMILY DWELLINGS
INSTRUCTIOiVS: Complete Parts I, 11 and lll. Clearly mark pians with: insulation R-values; window and skylight U-values; size and
rype of equipment; equipment controls; and location of interior air barrier, vapor retarder and windwash barriers. More detailed
information can be found in the Minnesota Energy Code Summary Sheets available from tilinn. Dept. of Public Service. 1-800-657-3710
Part I. BUILDING ENVELOPE
Check option used: I& "Cookbook" Method (complete worksheet betow) ? MnCheck method (attach report)
? Building Component method (attach calculations) ? Systems Analysis methad (attach analysis)
"Cookbook" Worksheet
1NSTRUCTIONS
Step l. Check item(s) that design meets on Minimum Requirements
list to the right. Must meet all items to use Cookbook option.
Step 2. Indicate proposed wap type on tab(e below.
Step 3. Indicate Window U-value and source.
Step 4. Verify total window (including area of all foundation win-
docvs) & d6or atea is equal or less than allowable percentage
MINIMUM REQUiREMENTS
for "Cookbook" O tion
? Heatin s stem efficienc : Minimum 90% AFUE
? Entry Doors: 1'/." solid wood or maximum U-value of 0.40
C] Sk ti ts: Included with windows
0 Ceilin Insulation: Minimum R-38 '
? Rim Joist [nsulation: Minimum R-10
? Floors over unconditioned s aces: Minimum R-30
O Foundation windows: '/z" insulated glass in wood or vinyl
frame or maximum U-value of 0.51
TABLE FOR DETE RMINING MAXINIUM WiNDOW AND DOOR AREA
Maximum AlloWable Total Window and Door
Area as a Percenta e ofEx osed Wall -3
10% '
12%
14%
16%
18%
0%
22%
24%
26%
28%
Wall ? e R-5 u to R-10 Foundation Insu(. : Maximum Avera e Window L1-value exce t foundation windows p 5.6 s. ft.):
? 2x4, R-13 insulation, < R-5 sheathin 037 0.36 0.30 0.26 023 0.20 0.18 0.16 0.15 0.14
? 2x4, R-13 insulation, b R-5 sheathin 0.37 0.37 0.37 0.37 035 0.31 0.28 OZS 0.23 0.22
O 2x4, R-13 insulation, .0 R-7 sheathin 0.37 0.37 0.37 0.37 0.37 0.34 0.31 0Z8 026 0.24
O 2x6, R-I9 insulation, < R-5 sheathin 037 0.37 0.37 037 0.34 0.31 0.28 0.25 0.23 0.21
? 2x6, R-19 insulation, b R-5 sheathin 037 0.37 0.37 037 037 0.37 0.33 0.30 0.28 0.26
? 2x6, R-21 insulation, < R-5 sheathin 0.37 0.37 0.37 0.37 037 0.33 0.30 0.27 0.25 0.23
? 2x6, R-21 insulation, b R-5 sheathin 0.37 0.37 0.37 0.37 0.37 037 0.35 0.31 0.29 0.27
Wall T e with R-l0 Foundation Insulation : Maximum Avera e Window U-va lue exce t foundetion windows p 5.6 s. ft. :
? 2x4, R-13 insulation, <R-5 sheathino 037 0.37 0.33 0.28 0.25 0.22 0.20 0.18 0.17 0.15
? 2x4, R-13 insulation, b R-5 sheathin 0.37 0.37 0.37 0.37 037 0.33 0.30 0.27 0.25 0Z3
? 2x4, R-13 insulation, tl R-7 sheathin 0.37 0.37 0.37 0.37 0.37 0.36 0.33 0.30 0.27 0.25
2x6, R-19 insulation, < R-5 sheathin 0.37 037 0.37 0.37 0.37 .32 0.29 0.27 0.24 0.23
0 2x6, R-19 insulation, b R-5 sheathin 0.37 0.37 0.37 0.37 037 0.37 0.35 0.32 0.29 0.27
0' 2x6, R-21 insutation, < R-5 sheathin 0.37 0.37 037 0.37 037 0.35 0.31 0.29 0.26 0.24
? 2x6, R-21 insulation, a R-5 sheathin 0.37 0.37 0.37 0.37 0.37 0.37 0.36 0.33 0.30 0.28
Watl T e with Rtl 19 Foundation Insulation : Maximum Avera e Window U-va lue exce t foundation windows p 5.6 s. R :
O 2x4, R-l3 insulation, < R-5 sheathin 0.37 0.37 0.34 029 0.26 0.23 0.21 0.19 0.17 0.16
? 2x4, R-13 insulation, b R-5 sheathin 0.37 0.37 0.37 0.37 0.37 0.34 0.31 0.28 0.26 0.24
? 2x4, R-13 insulation, b R-7 sheathin 0.37 037 0.37 0.37 0.37 0.37 0.34 0.31 0.28 0.24
O 2x6, R-19 insulation, < R-5 sheathin 0.37 0.37 0.37 037 0.37 0.34 0.30 0.28 0.25 0.23
? 2x6, R-l9 insulation, a R-5 sheathin 0.37 0.37 0.37 0.37 0.37 0.37 0.36 0.33 0.30 0.28
? 2x6, R-21 insulation, < R-5 sheathin 0.37 0.37 0.37 0.37 0.37 036 0.32 0.29 017 0.25
? 2x6, R-21 insalation, a R-5 sheathin 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.34 0.31 0.29
Window U-value: '?aZ Sowce: NPRC ? Code Default Table see Part 7670.0700)
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100X ?`?L3 ?
4-15-2000 window & door area gross e:cposed wall area DESiGN ALLOWABLE (from table abvve)
Gross Wall Area
Lengrth x Height = Sq. tt.
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Sub total 2 j •?,-?
Rim joist 3 f,, 4
Exposed found. 2 C. j
TOTAL GROSS
WALL AREA
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Window / Door Area
Windows Manuf. U Value
Manuf, code Quantitty Sash area
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Size Quantitty Door area
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-zo. 0 DDOR ARFA
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LOT SURVEY CHECKLIST FOR RESIDENTtAL
BUILDING PERMIT APPLICATION
?
PROPERTYLEGAL: L/,--?" =? `s'/,;.? /? ? ?t ;?,c;•?;? f?c'.??-?i; ??'
DATE OF SURVEY: iJ
LATEST REVISION:
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V DOCUMENT STANDARDS
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? ? • Registered Land Surveyor signature and company
C9? ? ? • Building Permit Applkant
C3?/ ? ? • Legal descriptwn
? ? • Address
o 0 • North arrow and scale
[a? ? ? • House type (rambler, walkout, split w/o, split entry, bokout, etc.)
? ? • Directional drainage arrows with slope/gradient %
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[? ? ? • Street name
0/0 ? • Driveway
[( ? ? • Lot Square Footage
d ? ? • Lot Coverage
q/ ? ? • Benchmark
ELEVATIONS
Ex' in
?/ ? ? • Sewer service (or Proposed)
a 0 • Property comers
?? o • Top of curb at the driveway and property ine extensions
1? ?/ ? • Elevations of any existing adjacent homes
?[?" ? • Adequate footing depth of structures due to adjacent utility trenches
? Ci 0 • Waterways (pond, stream, etc.)
Pronosed
0/0 ? • Garage floor
o o • First floor
? o • Lowest exposed elevatian (walkoufhnrindaw)
? ? • Property comers
Q` ? 0 • Front and rear of home at the foundation
PONDING AREA Cdapplicabie
? d/ o • Easement tine
? Q,? • NWL
? [3? ? • HWL
? ?/ o • Pond # designation
0 GY ? • Emergency Overflow Elewation
DIMENStONS
10 ? • Lot Ifnes/Bearings & dimensions
p' ,? ? • Right-0f-way and street width (to badc of curb)
[,7/ ?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all structures requiring permanent fooUngs)
?a"/? 0 • Show all easements of record and any City utilities wkhin those easements
?? • Setbacks of proposed structure and sideyarcl seiback of adjacent exissting structures
?? • Retaining wall requirements, if any
Reviewed:
Name / ` / Date
Lity fie Of Eaian
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
? For affice Use I
I
j Permit #:
? Permit Fee:
? Date Receiv -
1 Staff: I
I ?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress: ??QVST DLAC4 094- ble)JL ,, /AW 4776W Mtl?, SSIa/
Tenant:
Suite #:
RESIDENT / OWNER Name: U,y CI?3 Phone:
Address 1 City / Zip:
Applicant is: Oumer Contractor
TYPE OF WORK Oescription of work: 16 >C 1co bCGt_
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Construction Cost:
CONTRACTOR
nbtJ License #: ?o6c;t7S_7 2
Name: W N 1 C)iq IL C.e,tvS--a
s1CA
Address: 7q06 eWov-60-WO PaAD
City: If ?C-w State: IM_ Z.?p: S:571 D-
Phone: 6 SJ ?S'8'6 Contact Person: olt-k- B6R6_ee9pA3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cate-gorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submisslon type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan Issued a permft for a simlfar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Ltcensed Plumber: Phone:
Mechanlcal Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documertts ihat you submit are consldered to be petblic infomaation. Portlons of
the Information may be classifled as non-pub/fc If you provlde specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this infoRnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eapan; that I understand this is not a pertnit, but onty 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.
x
Appllcant's Prlnted Name ApplicanYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
' SUB TYPES
0 Foundation ? 05-piex ? 16-plex ? Acxessory Building ? Pool
0 Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex O 07-plex 0 Garage ? Porch (4season) ? Ext. Alt - SF
? 02-Piex ? 08-plex 5'' Deck ? Porch (screen/gazebo/pergola) ? Multl Misc.
? OS-Plex ? 10-plex ? Lower Levei ? Storm Damage
? 04-Plex ? 12-piex ? Mlsceilaneous
WORK TYPES
? New ? Interlor Improvement ? Siding ? Demolish Bullding*
TS Addition ? Move Building ? Reroof ? Demolish Interior
C] Alteration ? Flre Repair ? Windows ? Demolish Foundatlon
? Replacement ? Egress Window 11 Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION: ? r , , •
Valuation ' Occupancy MCES System
Plan Review Code Edition
-?- SAC Units
(259/6100% ? 2oMng City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Fpundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace:_R.I. _Air Test _Final
Insulation
Sheetrock
FinaI1C.0.
?i Final/No C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Reviewed By: '1 i r . Building Inspector
RES/DENTIAL FEES:
Base Fee
?
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
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CXER TIFICIA TE OF VEY
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GoNYEA Ho.MEs
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Bohlen
S.
? Surveying & Engineering
Q1 31462 Fdiage Avenue 4819 123re saeec w.
NorthfielQ MN 33037 Swoge. MN 55378
? Phone: (507) 845-7768 B F Phone: (612) 895-9212
? fax: (507) 645-7799 Fo= (612) 895-9259
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49al?..Te R-15.00
...........:.. d=55°09' 00"
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? PROPOSED GARAGE fL04R ELEV.= 900.0
PROPOSED TOP OF CQNC WALL ELEV m 900:9
PROPOSED BASEMENT FLOOR ELEV.= 891.9
$09x7 N 89052' 5?" E?1x09A0 IOWA
1
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?
PROPERTY DESCRtPT10N
LOT 4, BLOCK 1, ORCNARD HEiGH7S AODITION.
arY oF EncnN. DaKOra couHrr, IANNEsoTa
ADDRESS: 3215 BLACK OAK COURT
lOT 4 AREA = 12005 SQ. F'T.
HOIISE/GARAG£ AREA a 1929 SQ. FT.
a DENOTES SERVICE LOCATION
--~?-- DENOTES PROPOSED DRAINAGE OIRECTION
OOXO DENOTES PROPOSED ELEVATION
OOOXO DENOTES EXISTAVG ELEVATI4N
? OENOTES WOOD HUB
O DENOTES IRON PIPE MONUMEN7
I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER
MY DIRECT SUPERVISiON AND THAT I AM A DULY REGISITERED LANO
SURVEYOR UNOER THE LAWS OF THE STATE OF MINNESOTA.
DaTE_ 5-21-o 1 : ..
LER6Y ' BOHLEN, LAND SURVEYOR
iniv-nnri 1^rAll,? ?s^ +n-rnr
1" - 30`
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167225
Date Issued:03/02/2021
Permit Category:ePermit
Site Address: 3215 Black Oak Dr
Lot:4 Block: 1 Addition: Orchard Heights
PID:10-54500-01-040
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.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Tao Cong Nguyen
3215 Black Oak Dr
Eagan MN 55121--233
(612) 860-3398
Cv Contracting Llc
6987 Collingwood Lane #2
Woodbury MN 55125
(651) 797-8621
Applicant/Permitee: Signature Issued By: Signature