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3224 Black Oak DrAPPLIANCE ,. PiRIFORIIPlANCE TEST Lccate near the furnace manua! LP -Gas Natural Gas Job Address 6=tle- Heating Contractor el -T ,- Name of Tester Date Percent Oz Percent CO . Percent COz Sfacl?Temp - ?<- e Pressure ' 3• 5 C'. s White - City Copy Tag - Site Copy Address 3224 Black Oak Dr LOt Blk Zip 5512 1 THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 7• , z Yes No Inspector: /ke 6e nCe- Final gade (6" from siding) Permanent steps (gatage) t/ Permanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded grass V-1 Trail/curb damage ? Porch ? Basement finish Deck ? Please verify with the builder the cemoval of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contad eagineering division at 6814645 before working in right-of-way or installing underground sprinkler system. SUb Bur Oak Hills 4th White - City Capy Yellow - Resident Copy Pink - Contractor Copy w 2004 RESIDENTIAL BiTILDING PERNIIT APPLICATION City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 98 a? ? Near Construction Reauirements RemodellRepair Reauirements 3 registered site surveys showing sq. ft of bt sq. ft. of house; and all roofed areas 2 copies of plan (20°k rnaximum lot coverage anowed) 1 set of Energy Calwiations for heated additions 2 copies of plan showing beam & window s¢es; pcwred found design, etc. 1 site survey for addi8ons & decks 1 set ot Energy Cakxrlations Addition - indfcate if on-slte septic system ? 3 cop'ies of Tree Preservation Plan 'rf lot platted aiter 711193 Rim Joist DehO Options selection sheet (bldgs with 3 or less units Date Construction Cost Site Address nit/Ste # ?` Description of Work ,/??c?? • ? ?i? Multi-Family Bldg _ Y? N , Fireplace(s) _ 0 2 Property Owner Telephone # Contractor ? G p?^ 1? Address City _ ?,C) 1 ? State Zip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota. Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventiiation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Enveiope Calculations Submitted Have you previously constructed a building in Eagan with a similar pian2 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor _ Y _ N If so, 25% plan review D U pqoa,# . ? ?hone # ( ??O r 3is complete and accurate; I hereby apply for a Residential Building Permit and acknowledge that the inform that the work will be in conformance with the ordinances and codes of the City of agan 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. .---? > Applicant's Printed Name A cant's Signature OFFICE USE ONLY Sub Types j ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muld ? 03 01 of _ plex O 09 07-plex 0 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex >( 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc. ? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? ?? 33 Alteration ? 0 34 Replacement Valuation Census Code SAC Units # of Units # of Bldgs Type of Const Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: 35 Int Improvement ? 38 Demolish Interior 0 44 Siding 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant 44. MCES System Occupancy s °U Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS FinaUC.O. 7X FinaUNo C.O. _ Plumbi.ng HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Fina.l _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Final Building Inspector Base Fee Surcharge Plan Review ? MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies 40,. Other Total , APR-29-2064 14:24 SAM HERTOGS & ASSOCIATES P.02 ?C'A TE OF SUR VEY . C . 'RTIF ? cra OON YEA HaMES - _ .? ? . F 1- _ y:?t. J A? ?x aj ? Bohlen ?,w - - Surveying & Engineeriag °???•:.,`?° EAGAN 31462 F? `a'? ? ?g ? y. .?.?.??:... ?.__ REVlEWIE B E :?. Fom 4952 i eas-az,z -, ,..t:., (?3o s?s-rrss ?,o?+w Fa?c ( ? »645-7789 52) 883-9?S9 Bv T ? . • . r r . " ??^ Q?'if ?.??.?,'.':" . . .. • ... .?.?. . . ... • ?o??;? BUtLDENG 11VSPECIi?#'? y ro;` - p(ISTiJG WATERMAR4 PER PLAN ? ??` 1 • A Ad» E ?ZtirpO ? ??? 1 ? W ?A O ? ? I•N[ pG w iC U d ? ? '^" =- m -- ------ --------------- i t ODi 1 OD : 1 ?? 1A .? rric- ' SpROPOSE HOU5E i F8/WOj , pf?VEWAY ? 1 130.3 GARAGE i 1 _"`e""' I ' ?PJ ? i NC 70 L_ - - - - -... N ? . . . . . ... 7~ • a ---, +o i ? ? i i 1 I C o J? , ?? ?J'q\ ? ? ? r , I 1 ? 1 1 I ti ? ? ? ? _ _ I t0 a 4?a ? ? ?a lu- ? N =N - - - - - - - - - - - - - - - - - - - - 1• 48" E 1Zf= AODRESS 3224 BLACK OAK COURT AREA HOUSE AREA ?2019 0O6SSQ FT EpSTMG kIQUSE COVERAGE - 15.9% PROPER7Y DESCRtPTfON Lo-r BLOCX 4TH GYY 1OF EAGNV,1. DAS{COT ACOUNTY, Mlt??tON. PROP05ED 6ARAGE FL.oOR ELEV.- 898-5 PROPOSEO TOP OF BIOCK ELEV = 89$-8 PROP05ED BASENENT fL00R EL£V.= $89.8 ? DEN07ES PROPOSED EIEVATfON?EC p0pX0 DENOTE5 EXISTING ELEYATION p DENOTES W04Q HllB °* ?r?s SEQRNVI? LOCA ON?T i HEf2EBY CERTIFY THAT TH1S SURVEY WAS PREPAFtED BY ME OR 11N0ER DULY SURV?EYOR Ut E321 THEN? YVS OF' THE AS TE OF MSpTA?D LAND DATE: ?-tq"'a2 ?Y M1N ESOTABQKENSE?NO?. 0795 RVEYOR fILENAME: G47-9-01 1 " = 3a' y3t0c,l_ ?ESIDiHTIiL? '? P ? ?s? o?- ? a? a . 5 ? PERMIT APPLICATION cITV oF eacaN Ym 3830 PILOT KNOB RD - 55122 651-651•4675 C)? .? New Construction ReouinnMMe Roaulnmew • 3 ragistered site swveYs sNorN sq. R. of lot, sq. R of house; and d • 2 copies of plan ? (20% rnaxMum lot coverage aMowea) . 1 set of Emgy caWaeons for neaEed add%on? . 2 copies of plan shawing beam & window sizes; poured found design, etc.) . 1 site swvey for exterbr eddilbns & decks . 1 aet of Energy Calculatione • kdCate I horrre seived by septic system for addqion,s . 3 oopies of Tree Preservation Plart if lot plaiA alEer 711193 . Rim Jast DeW Opdons selection Wieet (bldgs with 3 a less unfts) DATE I I S 4? v JOB SITE ADDRESS IF MULTI-FAMILY BUILDI PROPERTY OWNER_, TYPE OF WORK_.? APPLICANT ADDRESS ? PAGER # CELL PHONE # (pIz ?D FAX # i?w RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ NIINNESOTA RULES 7670 CATEGORY 1 (check one) - Residenfial Ventilation Category 1 Woiicsheet Submitted - Energy Envelope Calculaations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Coritractor U !n Phone ik: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths _ No. of aths ? Mechanical Co?ractor ? m (G? ? x1eq) Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Gonhactor. I Phcno # / (S? ?C? ? ?U < All above information must be submitted prior to proc:essing of application. ? I hereby acknowledge that I have read this appiication, state that the information is correGt, and agree to compiy with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordinances. ? ? Stgnature of Applicant Certificates of Survey Received -? Tree Preservation Plan ived _ Not Required- `?? Updated 2002 ? VAL?IATION ? HOW MANY J! Gt ( ( FIREPLACE(S) 0 x 1_ 2 ? PNONE# - - - ?JS DP C?DE /?? g W7 -377- OFFICE USE ONLY O 01 Foundation ,g 02 SF Dwelling 13 03 01 of _ plex ? 04 02-plex 0 05 03-plex ? 06 04-piex O 07 05-plex ? 13 16-plex D 08 06-plex 0 16 Fireplace 0 09 07-plex ? 17 Garage O 10 08-plex 0 18 Qeck ? 11 10-plex ? 19 Lower Level 0 12 12-plex Plbg_Y or _ N 0 20 Pool 0 27 Porch (3-sea.) 0 22 Porch/Addn. (4sea.) 0 23 Porch (scxeened) 0 24 Storm Damage ? 25 Miscellaneous .., ? 30 Accessory Bldg ? 31 Ext. Alt - Multi O 33 Ext. AR - SF ? 36 Multi >? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 32 Addi6on O 36 Move Bldg. 0 42 Demolish (Foundation) 0 45 Fire Repair 0 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors 0 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to appUcarrt Valuation D?o ? Occupancy g -3 MC/ES System Census Code o / Zoning "/ City Water SAC Units _0/ Stories Booster Pump Nbr. of Units O/ Sq. Ft PRV • Nbr. of Bldgs Q'/ Length ?$ Fire Sprinklered Type of Const 7 Width REQUIRED ? Footings (new bldg) Z FinaUC.O. _ Footings (deck) ' FinaUNo C.O. Footings (addition) _ Plumbing ? Foundation HVAC Drain Tile Roof _ Ice & Water _ Final Other Framing _ _ Pool _ Ftgs _ Air/Gas Tests Final ? Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone ! ? Insulation _ Windows (new/replacement) Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Totai Approved By 7 1,-- ?al-?-.,?j 3"ir ± ?4../1, l? ? x ?? Gati? f,` ( y81?r x 16 ? 3 933? / fi 33(, ? Building Inspector ? 5 . /(a )0-1o gul 650z3a (v? 3 5G ? / p 3G 8' ? lb , i ? CIER TIFICA TE OF SUR VEY ?p4 . GON YEA H0MES ?? . $? T Bohlen Surveying & Engineering , EAGA' • 31 462 Fdiage Avarwe 4819 123rd St W. Ste 200 ?i "?ttekt ?, 55057 B E savoge. Mw 5537s f? 1...., ?? IE Y?! E 2 89 12 '? f „ ?-??.-- , 5-9 Fax: :((507)) 64645-7768 5-7799 ??(952}? 9 5-9259 v . _•,.._. ?? ?1r 4 A Q cj- I??iPE91i1,??,?. ?^ ? ?'• . . _ -'-".. ' i`" ? : i??? •' ? :•:._: ;: ; c E ;:'': . . ... • ... ... . . . ... . . t '??? ??? a. x EXISTM i WATERMAM PER PLAN o zy 4 q M 89° 12??.00 1*48" E `` ? B?? ^ ? ?? --- 16 4 - to ? ------- ------------- - n :? ------ ---- ; t0 ? 8ffix8 I W ? a?o I 06: ? 2: a 1.5 i ? PROPOSED i ? o ? W ' ? o HOUSE Fe/wo ? - ? ? dm d O ? e, T DRIVEWAY i 88SX9 x ? e 130.3 GARAGE i , r o x _.? 2» ? ? x ? l a {A ? N • ? . i : ? fY 1 ? 2.0 n ?- :M 1 ' N' -?? C.y I 10 I 10 1------- ? ---------- -+-__----_- _ --- n .,. N 1F ? ? Q ? X C1 ? ... ... . . ..• ? ADDRESS 3224 BLACK OAK COURT LOT AREA = 12000 SQ FT HOUSE AREA = 1908 SQ FT COVERAGE = 15.9% 1' 48" E 125.00 EXISTqVG HOUSE PROPERTY DESCRIPTION LOT 1, BLOCK 1, BUR OAK HILLS 4TH AODITION, CITY OF EA6AN, DAKOTA COUNTY, MINNESOTA. 5 4p W 887x7 : .? ? eo O N PROPOSED GARAGE FLOOR ELEV.= 898.5 PROPOSED TOP OF BLOCK ELEV.= 898.8 PROPOSED BASEMENT FLOOR ELEV.= 889.8 --i- DENOTES PROPOSED DRAINAGE DIREC' DENOTES PROPOSED ELEVATION OOOXO DENOTES EXISTING ELEVATION O DENOTES WOOD HUB O DENOTES IRON PIPE MONUMENT o DENOTES SERViCE LOCATION 1 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• 1-14-02 •-;Y:_ _ 61?aOY . BOHLEN, LAND SURVEYOR MINNESOTA LICENSE N0. 10795 FILENAME: G47-9-UZ 1 " = 30' ? REGEIVEa JAN 1 8 2002 EAuArv ENGINEERfNG DEPAKTMENT s. LC37 SURVEY GHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATiON ? PROPERTY L.EGAL: L D'?` I La C=1< I 'n /- [//' k- A,/k ?-f?. , DATE gF SURVEY: LATEST REVISIOW: m lm e m ? DOCUMENT STANL7ARDS d O `z ? 4 ?? ? o • Registered Land Surveyor sgnature and aompany q 0 ? + Building PermitApplicant ? ? ? Li • legal descrip#ion A [ ? o • ddress C?/ ? ? • North arrow and scale tV ? ? CI ? • Hause type (ramb3er, walkout, split wlo, spUt entry, Iookout, etc.) Di i h l i l di tt l % t ?? ? ? • • rrec nage arrows w ona dra t s gra ent ope P l dl i ti d k 8i t t ti ? ng sewer an eva on ropose ex s wa er serv es nver e [3 o ? • Street name ? 0 d • Driveway ?Y. o o • Lot Square Footage / ? o • Lot Coverage f? o ? • Benchmark ELEVATIONS Exisfina ?? • Sewer service (or Proposed) r? ? o • Property comers f? ? a • Tap of curb at the driveway and property fine exterrsians qA ?? • Elevalions of eny exastirtg adjacent homes ?? ? • Adequate footing depth of structures due to adjaceni utlity trenches ? W o • Watennaps (pond, stream, etc.) Prooosed y ? ? • Garage flaor t? ? ? • First fbor ? ? • Lawest exposed elevation (waqcout(window) ? V ? • Property eamers a/? o • Front arsd rear of home at the fOUndation PONnING AREA iif aopkablel E?ment rme ? ? o • NwL D W ? • HWL ? ff'/ ? + Pond # designation ? Q 0 + Emergency Oves'flow Elevation DIMENSIONS G(o D * Lot I'm$s/8eadngs & dimensions qt ? C1 • Rijht-af-way and str+W width (to back of curb) ?? ? • Pruposed home dirrrensions ancluding any proposed decks, overhangs greater than 2', parches, etc. 1 (i.e. alt strucfures requiring pe?manent foot?gs) e( ? 0 • Show all easeanents of record and any Cfty utIities wiihin thase easements GY ?] 11 • Setbacks of propased structure and sideyard setbacc of adjacent extisting structures qf o? • Retaining waH requirements, If any Reviewed: Name Date JAH- 16-2002 WED 10;20 AM GONYEA COMPANY FAX NO, 612 377 0194 P. 02/04 FRCJM .: . FOX-i _DRAFT tNG PHOhIE N0. : 551 8940016 Jan. 15 2002 02 ? p7PM P2 r?Ncheck coMPLiANcE xEPoRT Mirulesota =xergy Code MNCheCk 50ftware Versivn 3.0 COtJNTY: Waehiagto» STATB: Miruiesota ZONE: 2 CONSTRUCTiO14 xXFE: 8ingl.e Fatriiiy DATBs 1-15-2002 DATE OF pLANS; 1/8/02 PR4JEGT xNFORMATION: 3224 81ack Oak Drive COMP,ANY INFORMATION: Gcriyea Home$ corapL=ArrCR: PA53ES Required UA a 501 'Your Home = 498 0.6% BeLCer Than Cod,e Pezroit Checke by/Date Are3 or C*vity Coxrt. Glazing/Door Berimetier R-Val,ue R-Value U-Value --_-----_ _ _ _---^-__.... -sI R -..----..- CEYLINaS: XaimCd Truss --...--.. _? ? ? ? ? 1214 ?? ---_ --- 44.0 __..----- 010 -r--r..-----?.. WALL9: Wood Frame, 1611 O.C. 329 19.0 2.0 WALLS: Woed Fra,me, 161t O.C. 1458 19.4 2.0 WALLS: Wovd Frame. 16" O.C. 3.223 1910 2.0 BsMT: COriC. 8.$' bt/8.2' bg/S•8' inssul 960 3.1.0 0.0 aLA2ING: Wiitdows or DQOrs, Above Grade 106 0.350 GLAZTNG: Windowrs or Doore, Above Gradc 262 0.350 GLAxING: Wiitdowo or poor$, Above Grade 273 0.350 DOOIZa 40 0.350 FLOORS: over Outside Air 60 30.0 0.0 FLOOR9 : 4ver Uxicondit.ioned Space 172 30.0 0.0 _- `r r-w.._ _----?__..----..---.. --.. ___ r------rr -_--..--r??---.. -----? ?w......???^__... cotKpLIANCS 3TATDMqT: The propoved buildi.ng BCSign described hr-re is coasiatant with the bu3ldir,g plans, s8eaifications, and oChex calCuYatiions subcaittad with the p it appl.ication. The progosed building has been designed to meet t equir m ts of the MiXlnQaota Znergy Coc1e. Suildex/Des?gri?r Date? ?? JAN -16-2002 WED 10:20 AM GONYEA COMPANY FAX N0, 612 377 0194 P. 03/04 , FRGM : FpX-1_DRAFTING PHUIE No• s 651 8940016 Jan. 15 2002 412: 08Pf'1 P4 prior to fxaming iaapectioU are seaxed ZXTBRYOR AIR aARRISR - a].1 fire atops itrs air sealed - pipea, ducts, wires, equipment and flues and chimneys tihroagh the inte air barrier are aealed ?a sealed contfnuoua iriterioY air barriex is installed on the warm side the buil"rig envelope at aeiiings, watlls, a?ad floor xicn josst areas* - air barrier behiad tub and shower is sealed and protected - reaeRSed 13ght £ixtures are sealed ENV8L08E ZNSC7LATION - baeement inaulation R-5 minimum wind wash barrier on wall zoparatiag house and garage is ssaeled ? laose f311 insulatioa io prevente?d frpm eritera.ng the eav'es - insulation vn skylight phafts and wails exposed in attics ig supported on the unconditiioned side ATTIC iNAVVIATYON - atitic aCCe9s panel in8alated to R-3s £ox ceiling panol and tt-19 for walY panel, - attia card attaahed to frarning near acceao opariing - notif icatian of attiC R-value a?nd date of installation pogCed ncar permit inspection cara ThSp is amwmmary only. OCher requi,remente may appl.y, see the Minaseota Znergy Code. Queati,ong? Caii tho Department of pub],ic SeYVicB Infoxmat3on Center at 651-296-5175 or 1-800-657-3710. JAN-16-2002 WED 10:21 AM GONYEA COMPANY FAX N0. 612 377 0194 P. 04/04 MM : FOK-i_DRAF7ING PHONE N0. : 651 8940016 Jan. 15 20W 02:07PM P3 Mincze8otia Energy Code mNcheck 5oftwarc Versioa 3,0 DATE: 1-15-2002 PLAN REVZEW AND IN9FECTION IS3UE3 7'his list of items may be belpful £or P2an Reviewers and Suilding rnspector use as a guide for enforcing the Minnesota Energy Code. The itemO ap 1y to C3roup R, Aivis?ion 3 Occupancieo, one- anc two-family raaidez?tia1 dwel?ings. The iteMa marked with * apply only to detached one- and two-family seoidential dwell istgs . PuA,N REVIBW I99t789 FOUNDATION YNBULATION - foundatian wall insulatian R-S minimum - foundaticn invulation extende from top of wall down to top of tihe footin - extOrior foundation inaulation is cvvexcd by b protectiiva coatiag fina,sb COWCRETE SLAB OR UNDBR-SLAB x1+1SLXATION slab an grade perimeter insulatiori at-5 miriimum - elab fmaulatian extends from top af alab to desxgn trost lina or top ot faoting - floors over uaheated apaae R-30 miaimum WINDOWS / DOORS f 3YCYLJfGHTS - aVtrage V-val.ue io 0.37 msximum foundatioa windows) window v-vaLlue coaeistent with - window and doox area COri5iotenC for windows and giaes doora (excludes buildi.ng AlE?n and MNcheck Report with buxld3ng pian and MUeheck Rcport MzCFiANICAL VWTILA'I,'xON ISSL}F-l3 - residential meehanical ventilatfon aystem providep adequate ventilation per code requiroment9* - ftirnaae efficienay is consisteat with raNCheck or 1yu31aing dedign plan - protsction aqainst exveaeive depressu;rxzation is installed pex code requirementa} ExvELoaE INsULATIaN FoR PY.AN REvi$w - 3ut4rior ba4ement inaulation R-5 rninintum (xf no exteri,ox insulmtion) - ceilings with attiaa R-38 ox conaistent with buildi.ng 81an and MNchock Repvrt ? wal1 framing and insulatioa 1QVe1 is cvnsistent with buildirtg dea3gn ari$ MeheCk Report INSPEGTION TSSUEB CONCEALED INBULATTON FRAMING X1ND SHRATHING - wind waah barrier iustalled at attic edge - exterior aaii corners framed eo that insulation can ba irigtalled after extexior sheathing ie ineCalled - intersectioz?s of intezivr partitioa wa?7.s axid exterio? wa?.?a aa?e ?xa?? that iasula?tzon cart be installed between the paztition and exteriox aheathing afrer extcriox shcsthing is in8talled - gape betweea framing leen than vne-h$lf ineh are cXimiriated by seaurin framing together or are inBUlated at the ticne of assembl,y , all penetraGions between co?iditiox?ed and unconditioned epaces made - . • ' . , , . .- . . . . ... ?{?:- ? ' . ? VII AM 15f ..M ? y ?i ] YiMI?V ? iiiuu '? ' • ? ? ?"."' ?. ?? r . , `? i ft """7 "' rw `??i ? ?'??lfli ? ?. ?' ;' ??? ? ? ??? ? Cwft* ()(O=Pff'q. . . _. . . . ' ' , °y? 4 .. . ?. ? .. . ? 1 1,nY??????? mwhn*b ???EnM.,Coft IIAIW mm.?... - , " . . . . . . ? ?? . co k . . ?..; . _l ?y jib*tftm? ?awntffm Mftft 11i?Mori'.'a?'?' " .. . , . ? :; . 4 . . - APr ??E Ga . ? •? . .??+. . MW HmW Fumsoo U Anvlitb EDMT• SYSTEM UXATM • M. ? WAN' ? VOp- ?yy?' ??: . ? 9???' . - ?. n• ??` ? r"?? ?• B?arocim 1 ' ?„?+?' , - , . ` c? ? ??•? ; ; ,. .? . . , , t;l ? ? : . ?'If?101I1 2 /4 40" AiY kkyvft eaffwmm 3 Sah= 4 W'Y Si? . . " , . , ,. . _ .. 8 h ..? ?? r ve p . : ?. ? ? . . .. . ? . . . . , . .. .. .. _ ..." ,.-.`L` : P .. . . . r? . ?. : y -'. ., ' a =_ MI'YfE'WAiR ,? . ? < .. . ,. - , . - - ? . ... - - ,.y ' •?" _ - _ - ?,. ..? ? ??? ?ft Is wmd aw-ON to M"Iy`..?-?t.:.; . , . - . ? . . . . t: .. .. ? . - . '? .. . . . ? -. . ? - .. . .. . . - . ? ;ir?;. . NkNs . • . . ? . . ., ? _ . . ' ? 11119 lorm is YR7 mopwWft -o1 tm WI1Q[ig Cmhckw . Use BLUE or BLACK Ink I For Office UseI Permit#: t tk+~3 1 City of Eat ~ 1 r 95 p~ 311~11b Permit Fee: 3830 Pilot Knob Road I f Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I V - - - - - - - - - - - - - - - J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~ J L~-/ ACSU (AKA IA VF Unit Name: ITIM AM Phone: Resident/ Dk , 0~~: ner ~ Address /City /Zip: &Z`1Z p &PLL ~K_r~( I Applicant is: Owner ey- Contractor Description of work:(" Type of Work 0,0 Construction Cost:, C~JU , Multi-Family Building: (Yes / No Company: ►"I(,IV'IU-tu , J Contact: \~~cl~~ ~U(-1 Contractor Address: 19 W 0_ COSE e UT. , X/ f'City: Alb l - State: /q/,u Zip: J SAS Phone: 269 ° SL IS " tP W~ License osl I I Lead Certificate NAT - 99lp ( 2 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to de that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla Exterior work authorized by a building permit issued in accordance with the Minneso State uil Co must be completed within 180 days of permit issuance. x / Applicant's Printed Name pp i n s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA163880 Date Issued:09/15/2020 Permit Category:ePermit Site Address: 3224 Black Oak Dr Lot:1 Block: 1 Addition: Bur Oak Hills 4th PID:10-15503-01-010 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Tang Truong 3224 Black Oak Dr Eagan MN 55121 (651) 343-0038 Clear Choice Restoration 2722 Hwy. 694, Suite 100 St. Paul MN 55112 (612) 259-7177 Applicant/Permitee: Signature Issued By: Signature