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3235 Black Oak Dr IN PE ON"WCO S 'M b ,A OF EAGAN ICA f ry Hot Knob Road PermN Number 4 3 ail, Minnesota 551223 - Date law*ct t"y 1-4675 , ►,ADDRESS: t. 0 T 1 1.11' V : . i i APPLICANT: t ` ~1111 t7 O A M M 1: 1_ I ;'i ! FI C1 i B t 1 ~i : ? ~ i► tti !!'t C VIRI P BTYPE: TYRE OF WC'NIC` ~ r~>< :K 0 ia F f1~INIlR1' t ON Ir It~al~kM .1 C3 ROW: I No F1*tltAI 101 F'IRV P1,At"f i itUl.i(j1y. I" Pt Hfi tdl' 4614 IN 100 ~ s t,INAt. P1 At FINAL 5 Rf;MAWt W PLE11t j; r_ 0-ow Oft ow "Ilk - a fsruaMliiR - Rmohf ,OIL P Fft ftne.Is ar alb. Rnm Daa& ft Qadc Real i VNI R. DW. INS CTION OF EAGAN Y°tg tfW 3030 Pilot Knob F6~rd .~e~enR~~r: s, Eagan; Minnesota 55123-#1$7 ($12) 681-4675 j1 :ADDRESS: i~ • V N 10 1 10,0 1 4) "0 1:i it t t{: r►r K i A AW.- 4 I 1A vf°~~ ' y~~1~ ~f T9 t~ ~.l ~ 5.i•~d'.~ Fi f1 J •~~P ~F Ft~f v ~ r + 9 4 i r~R.•+%r 7 e PE*AIT SUBTYPE: Type lH J~' y, z f Ml i' I M i r' 1' t N AI ~ cur • t ~~R 7 •"mot t A ~ X'~ ~5 i " if~ d 3 a' Ago sr~~ t an , , - , m-, PS Wtilo. pan %O N Dale woftom! conga aolee' FRA~ !TAOOFM 1 FIErR'fN~9 - QA~ AMC ii3BT • Nam ° owsoom FlOWUM FK& 1M FN~IJILHi~ QRBAT im BLDG FINAL BSMT RI.I. BBMT FINAL DECK FTCi s//r'~ 1+~ 1+esf cb¢ .9s: ~~d DECK FINAL ~JV. ANSMCTIONARCOR ITY OF EAGAN PERW VpE-- 3830 Pilot Knob Road Permit Num, ber: 6 yJ g Eagan',Minnasota 55122.1897 Date toued: (612).6-i-4675 -r-.W -77 --Tw 70 11 SITE ADDRESS: L O T % 13 1."o c t ~ 11. APPLICANT,- '4235 81 ACC( OAK OR HAYfrs RARY HUR OAK i~ ~ t: 2ND PERMIT SUBTYPE: TYPE OF WORK** t3l~~trakNl~ rr~tt~;i'# +~t.~'~Rt~1~~t~M t't7ANtIMta a~ a _ Q~ T t4! 44 1,A (T0P1. y y A" t" 1-11 PA, FINAI j ` OFNARtS.t . `+f PARATF PfR14YT Rt_Q11fRFV FOR ANY PCtJORI G 14ORK- CONTACY' STATE 110400 Of' Ftt-(:TR't :ITY AT 446--0040 FOR ftt'r:TR1f At.. NE1041T AND Ai1SPKGT16*j,. tit AN REV:irIJEo MY HIVE HARCK. ~ 5 l"Ma. Pbnao Mo mats # i iol2m FRAME i FAMOM WVC mw-q FNW4t.HTd - ORSAT TEST BLG FINAL BSMT R.I. BWT FINAL DECK FTG DECK FW& Address 546 ATLAMC r DRIE Zip 5512 3 Ldt - - -32 Blk 2 Sub LAKESIDE ESTATES THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FI AL INSPECTION. Date: 02/18/94 Yes No Inspector: /0-1 ~ rte' Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb 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 WeM j Kate of CccupancC WitV of Wagan Mcpartmcut of Vuithh% aaisocction This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: use Classification: SF DW Bidg. Permit No. 22627 o-P y Type R-3 /M I Zoning District R1 Type Con-A. VN ownerof Buitcting MMOVAID SST IWC Addn.;641 145TH ST W, APPLE VAL7 EY Building Adams 3235 HL AcloBAK DRIVE lroc wity 12. BI 1. BUIR OAK HILLS 2ND Building 6 ficiai POST IN A CONSPICUOUS PLACE ' 10 9007 j 6t41A_ a ~y r / 715W115' M~"-g i C~6'. 0_1r,,D Request Dat ire No. Rough-in Inspection NOTICE: You Must Call c}AcaI Inspector t R;rd? It A Rough- p(~on es E: No Is Require I Icensed contractor ❑ owner hereby request inspection of above electri I work . / Job S , 8 r Rout ) City A fo G Section No. Township Name or go. range No. Co Occu n P Ph Power Su li Address Electricall o ap~,N~n7p,) ELrCTRIC - ract 's 1)nrq Mailing re r a/ltir or i 9riM . /i Z A r u n e M fella' Ph n :Hn0ato M[_&3(0 MINNESOTA STATE BOARD O L T ICI f THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 842-0800 ENCLOSED. / ea-oaool-os REQUEST FOR ELECTRICAL INSPECTION' -7~ See instructions for completing this form on back of yellow copy. l2~~ 11 5 X" Below Work Covered by This Request 3 7y ew d Rep. TypeofBuildiffg Appliances Wired Equipment Wired pr Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building ryer Load Management Comm./Industrial Furnace - [.other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: AL Irrigation Booms 1-" 76 Special Inspection 3 (P - uJ Alarm/Communication THIS INSTALLATION MAY BE 1( ONNtCTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date r_ certify that the above inspection has Final d~ o been made. f OFFICE USE ONLY This request void 18 months from OTY OF EAGAN PERMIT ok ~o 79 3830 Pilot Knob Road PERMIT TYPE: Permit Number: B U I L D I N G Eagan, Minnesota 55122-1897 0 2 5 5 7 4 (612) 681-4675 Date Issued: 05/12/95 SITE ADDRESS: 3235 BLACK OAK DR LOT: 2 BLOCK: 11 BUR OAK MILLS 2ND P.I.N.: 10-15501-020-11 DESCRIPTION: Building" Permit Type DECK builrinq Work Type NEW REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.5o Total Fee $30.50 CONTRACTOR: OWNER: _ A p p l i c a n t HAYES GAMY 3235 BLACK OAK DR EAGAN MN 65121 (612)681--5466 I hereby acknowledge that i have read this appliczition and state that _ th€, information is correct and agree to comply with all applicable State at Mo. Statutes and City of Eagan Ordinano-es. PPLIC T/PERMITEE SIGN E ISSUED SIG URE s ti CITY OF EAGAN 3830 PILOT KNOB RD - 55422 ~•Q 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ♦ 3 registered site surveys ♦ 2 copies of plan * 2 copies of plans (include bescn & window sires; poured fnd. design: eta) * 2 site surveys (exllwW oddihans & decks) ♦ 1 energy ab stlons ♦ 1 energy si bns for healled s091ons 0 3 dies of tree pmewdon plan If lot pl8tksd after 711193 required: _Yes _ No DATE: CONSTRUCTION COST: i DESCRIPTION OF WORK: STREET ADDRESS: 3Z'. G trr LOT :Z_ BLOCK SUBD./P.I.D. #:1~.~ (sue PROPERTY Name: Ph+ne A OWNER CAP t Street Address' 3Z3„ 921r'r lraC7 fC ^~Y l I<(' . City: State: zip. 1 , CONTRACTOR Company: "Yl yy?1z. _ Phone Street Address: License City: Suite: zip, ARCHITECT/ Company: m - Phone ENGINEER Name: Registration Street Address- City: State: Zip` Sewer & water licensed plumber. Pertafty applies when address ring and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the info is owfect artd agree to comply with all appiftble State of Minnesota Stlatute.s and City of Eagan Ordinances. Sof Applicant: ' OFFICE USE ONLY -RECENED Certificates of Survey Received Yes No MAY 0 8 1994 Tree Preservation Plan Received. Yes No _ rww+rwws..wwr~ww OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging o 15 Basement Finish ❑ 02 SF Dwelling © 07 4-plex ❑ 12 Mufti Repair/Rem. 0 17 Swim Pool © 03 SF Addition o 08 8-plex © 13 Garage/Accessory ❑ 20 Public Facility 0 04 SF Porch o 09 12-plex a 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 ---.:plex 15 Deck WORK TYPE 31 New o 33 Alterations u 35 Move 0 32 Addition © 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNYS System (Allowable) Main level sq. ft. ;City Water UBC Occupancy sq. fl._ Fire Sprinklerred Zoning sq. ft.PRV # of Stories sq, ft. Booster Pump Length sq. ft. Census Code. y 3 y Depth Footprint sq. ft. SAC Code o~ Census Bldg Census Unit o APPROVALS Planning Building Engineering _.W..w.._ Variances Permit Fee. Valuation: $ Surcharge Plan Review License MCANS SAC City SAC Water Conn. Water Meter Acct. Deposit' S1W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units SCALE: 1 in,, 1 5 fto -Al N k n W y M. LOT DIMENSIONS:. 90'X 145' r • r• . k~1 1 2422 Entcrpri$e Orlvc . Melidoto Iteigltit!;. MW 55120 (ti12) 6131-1914•Fax 681--9488 LAND $URVE YURS • I:INI. ENCINECRS _ ~ax~-~ as+-.s~~a'+L+-~''s~'"'~'~'_' ~"s~~~= P1QNEEF1 r:.r•••.s: •n -r •t rasa ..n -s= . ~s •res:-a.n~.• r:..s. ~'tA 6k APE engineering SAND PW~HEHS ~AR(7RifCT -r~ra+ - ~j2~J HI(~HWOy 10 Nor 01003k 1325 h MN 55434 * (612) 7133-1880•Fox 7133-1gaJ NBC 1bl~Lt~ Coi.~S'T•t~VGTIa rJ Certificate of Survey 10(:, NORT f r311w~~~ 1i~O~ Vl{ ~G ~jCVO Sas d~ r °Q 14 5.33 IkA x 3 M OD 10 Lu CO OCO M I ozo.3To g to x f N N 00 4J 0 13.67 t L N W ~ f mx W • . 0 _ la.b~ m N 0 00 l ~(U l N l N I ~(N -1 (0 t o 8g~,ox 00 Q I l _ f I Ito _t via 10 C) ` x to V r :t do V wig RE EAGAN ENG ERING DEPT. ''•~~'~°•°w--_. --2 14UIL. CONIRACIL* MUST VERIFY ALL 016tt STO SF{t7W EASEMEENTS O1riER 11115 GERTIFICAIE: OOES No'f PURPORT 10AN 1110SE StIOWN ON RECORDED PLAT. d I 9000 Denotes Existing Elevation pROPOSED tiQUSE f~IEVATInN I Denotes Proposed Elevation Lowest Floor Elcvution: 80. : Denotes Drainage be Utility Easement Top of Block Elevation: rf39 ---~-Denotes Drainage flow Direction Garagc Slab Elevollon:.8~i Denotes Monument j Qcnoles Offset Hub Bearings shown are assumed 1 1 EUI- OAK H I LL5 2 NAD A DID I -noo LOT-.-2,, BLOCK - .VA i4oTA COUNTY. MINNESOTA di~eCt tupervlti~~~ end that 1 a» July Ftepllleud Land Surveyor I helaby cerllly ttiat this turvey. Plan or report viat propmetl by me or wrdar nrr ~N L a/t ink day of tis; ~'d/ n.fl~.19~-'-~-• ~~IV.~- E.G 1^<r'~c:'N• under Ilea Wit of the Stile of Minnesota. Gated lhlt !C: ,fIIL / . vNN r A~.sa~' 4 ~ SCgl~t.~1 ~~11,~0 ls$t PERMIT CIW-OF EAGAN 3838 Pilot Knob Road PERMIT TYPE: BUIL° T G Permit 9 3 Eagan, Minnesota 55123 Number: 0220 17 (612) 681-4675 Date Issued: SITE ADDRESS: 3235 BLACK OAK DR LOT: 2 BLOCK: 11 BUR OAK HILLS 2Nd i P . Y . N 10--1.5501-020-11 DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC 'Occupancy! R-3 M-1 Construct ion Type V-N Zoning R--1 Ruildinq Length 62 9uildinq Width 36 REMARKS: S & W PLBR FEE SUMMARY. VALUATION $145,000 Base Fee $797.00 MISCELLANEOUS 1 744.50 Plan Review $518.05 Total Fee $3,882.05 Surcharge $72.50 SAC $750.00 SAC % le0 SAC Units 1 Subtotal $2,137.55 9'RWAA9T9NST I N C - 14327601 0002376 M9V*RLa CONST INC 7601 145TH ST W 7691 145TH ST W APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 432--7601 (612)432-7601 I hereby acknowledge that. T have read this application and state that the information is correct; and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. (k a I , t AVjp- I A APPLICANT! ERMI SIGNATURE ISSUED B SIG E. REACTIVATE nECEWED CITY OF EAGAN z, PERMIT 0 1993 BUILDING PERMIT APPLICATION 1 2 1993 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications. I copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date valuation of work [101000 Site Address: '12 .35 Q[Ac-k (DAL DA E AoAr,_ STREET SUITE # Tenant Name: (commercial only) LOT BLOCK ~L SUBD. Q v 4 Rd A \5, s Y . I . D . N I G o,,_1 A -Description of work: 5 ` `e ZA►~` The applicant is: ❑ Owner X Contractor ❑ Other (Pucriex). - Name Phone Property LAST FIRST Owner Address STREET $TE M City State Zip Company AA c (~Q vv A c~ Phone 43 - ?G l Contractor Address 7 60 l '(S ~N' S~ License # boo,23)G Exp. City A DA(e C1 A 1 (0 X_ State ryl Zip SS 12~f Company Phone Architect! Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved'. 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. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basemen!-Finish 002 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ .19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add:l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE X31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) V-4 Basement sq. ft. MWCC System YES Allowable) -V-77- Ist Fl. sq. ft. City Water UBC Sccupancy -k 2nd Fl. sq. ft. PRY Required Zoning R-1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth _3`T On-site sewage SAC Code of APPROVALS 1 Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee valuation: S j y S~,dOi~ ' Surcharge Plan Review GA,e 3Z y 7_3: 1730 License 3 Am= 36MWCC SAC City SAC xt6 1/ 2 oo Water Conn. ~►~IT'► Water Meter Acct. Deposit Zo X 2~ _ 9~o S/W Permit S/W Surcharge ~Cty Treatment Pl. /o6 o X 1 S = °100 Road Unit Park Ded. Trails Ded. S3S~'►~ T = 06 a Copies Other ZX7 << Total: ~7~qG 54= i SAC % loo 107(4 Y. SAC Units I N N, )l x P.01 2422 Enterprise Drive 7 Mertdoto Heights. MN 55120 (B12} 8B1-i914•T'ax b81r94$B * PIONEER LANG $uRVE1~5- GIML ENGINEERS :.s•c_•-.- s•r:_..•- r-."~ANDSCAPE625 Highway 10 Norttlaost E:T1~itlI3erin LAND MANNERS + LANDSCAPE ARGtit7£l:(S 134aine. MN 55434 * * (612) 783-1880+Fox 783-.1883 Certitlcate of Survey tar.. NORM 7, _ OD 55 ~I 1 " 4 1' I q di} (p as tit k 1 S ~ 33 +J` kA N+ 0- F34 Z~73 x -6.74 ors --'y 4 ~ ~ ' ~ o ?c3~ O ~J •----a,~~ t 0 ii UO K J 13.67 t T . o' [ W to # t~ ELI 8105) .J OD i i Vt ~ X Z6.33 I ~ ~ ~ • to ► o 0 ~Q r~~~' ~j r 3C~pp ~ QQ m to 144 NU1L: COWHACIOR MUST VERIFY ALL DIMENSIONS AND ORiVEWAY DESIGN. 11115 LERTIfICA1E DUES NOT PURPORT TO SHOW EASEMENTS OTHER IIIAN 111050 StIOWN ON RECORDED PLAT. . 1000 Denotes Existing Elevation P30POSED HOUSE ~LEVATi0~1 ' ..9oog) Denotes Proposed Elevation Lowest Floor Elevalion: 5')0,9. Denotes Drainage & Utility Easement Top of Black Denotes Drainage Flow Direction Garage Slab Elevation: 897 $ ._-o- Denotes Monument • rj Denotes Offset Hub Bearings shown are assumed LOT BLOCK _1 ! _8= Orr, Hit-L5 ''ZWD ApP!T"100 17A AI14o TA COUNTY. MINNESOTA I hereby t:aittly that this survey, plan of (eport was prepared by rte or under my direct tupervIston and that t wt%duly Healsmad Land Surveyor !a! `L crl AID ,is lr~e~- .sue 1< 'Nf./A,/G~lzrn~ under tt+r Ism or the u131e of AAlnfIESOtA. Dated this day .571 I L c: •t ,4,p..o~' ~ ~ ~~G An l98Z LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING ERMIT A CATION S~ PROPERTY LEGAL: W < m Date of Survey: ~fT LZ Cz DOCUMENT STANDARDS 8~0 D Registered Land Surveyor signature and company fo 0 0 Building Permit Applicant 0` 0 ❑ Legal description 0 C' 0 Address all ❑ 0 • North arrow and bar scale D° 0 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) -Er 0 ❑ Directional drainage arrows with slope/gradient ;r 0 0 Proposed/existing sewer and water services FE3 ❑ Street name D Driveway ELEVATIONS Existing 0 9-10 Sewer service 9~ 0 11 Lot corners C1 0 ❑ Top of curb at the driveway 0 IK 0 Elevations of any existing adjacent homes Proposed 0 0 Garage floor 0" 0 0 First floor a- 0 0 • Lowest exposed elevation (walkout/window) Pf- 0 0 Property corners C~ ❑ 0 Front and rear of home at the foundation PONDING AREAS (if applicable) ❑ E~ ❑ Easement line ❑ El~* 0 NWL ❑ r- 0 HWL 0 E" 0 Pond # designation 0 0~ 0 Emergency overflow Elevation DIMENSIONS 9~0 0 Lot lines DIV ❑ Right-of-way and street width (to back of curb) ❑ 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) 0 ❑ Show all easements of record and any City utilities within those easements @~ D 0 Setbacks of proposed structure and setback of adjacent existing h D ,~0 Retaini 1 e rements, if any Reviewed: Z' z ame / ate October 1992 '611.•~i: •T. '~..p1~~!t.••{•. . • i i 111 i•.~•.a.• .i. 1 % • Ulllll>~11F,i~nY..S.QQFi?,1,~4li,bTi~l19 11ASED Oil CHAPTER S OF THE • U_Qi E14-101);H"'NusIti MI llaintl Adopk on RtEeakive • owner Phone Data Hite Address zrU ',Q bb,jV Contractor o e Building Clannitiontionl Type Al (Single Family i. Duplex) Type Al (Residential, 9 staries or lean) (Over a stories) (Other) ilOT131 Om late pagan I and 4-fir e fiEUEgAL 1<IIFORFI&TIIi , N 1. Building Perimeter !t. I. Hall height (ground to save) tt. a. 1. X (above) gross wall area 4. i3Ull4lng dl enstone G '~~X W • sq • !k. roof i f loor area 5. eq. toot area of rim joint floor join size ((I X • ) X 0 (P e r i meter) --~-~nq. t t. 12 . 6. foots Area Is 5- 'Thickness in U. tactor +'T Type of Construction Perimeter tt• 1lanutackurer 7.•: Total doorln perimeter •6. Wlndows'l Itanutaat rer ~N~~ G~7 1• •stake approved U fookor .TYPE SIZE AREA (8q.Fk.) 11UHHER OF TOTAL M EAC11 UIIITS SQ FEET 9. Total sq.tt. Glass ' 10. Fireplace arenl Width X Height p_______^X 4 -eq. f to 11. 'Exposed toundakionl Ileighh X Perimeter I x ~U'r eq.tt. COIiPLETIOII OF THIS FORiI 18 REQUIRED FOR ALL IIE11 C0119TRUCTIO11, HAJOR REHODEL1110 A110 SUILDIIIQS HEY110 ROVED IMERQ E1IERGY, OTHER TIMI _/TIIE IIIIIJItAL CODE ALLOHA11CEj in USED. , ~ ~a ••1+ Pi X11 t • I. •1. ; •t,~ , ; r~; • • . • 1•. ••~/...,1.';•.1• • 1 t• M ri~••.• Iw. ..r.•1 .'1 Ptw; } (F}Ip1i w11~%V 4•.~. t:!t, IIr i~: _~~t{T[:,• ~,~......~u.Y.l i 11. Franling ~~~a lot of groap Nall area 17. Orono wall area aq. ft. , . Nlndow area A aq. t~... t1 tllndo~~a p - ~V UK1. 4 - Rim Joint area ..l-sq. th.•~• 111 rltq ~olskp 1 tlxA p r-. area A eq, fk U door `area Ux?. a •',other doora area h. aq. f k, U other doors-AI: _ [lxl. a Exposed tndlt A eq ! k U f ounda k l on4~cJL'r tv INN Framing area A. 91911 aq. Ito U framing area- UxJL . Ilet wall area A I1-%q.fl:o- U wall. UxA a 13 U.) TOTXL..,. tjxh 11. Groan wall pray x (1.11 (A-1 alncgle tamlly i duplex) all 113. above) owable UxA/Coda M^ U 0131 A-a other realdantlal) x .73 other bulldinga) x .~s over ~ utorlee j~4T1111 must ba larger khan or snore • x U Code °F, as 13n above 14. Calling framing area•(At~ equals 101 Of aallinq area 15Ao groeq aailing area a ~G) x (11 (A t) M jpq. -JO-13-sq. 16p. Jolak area lot calling area ft, e tt. q• 150• link; calling area (Ac) (its&.•- 19s) 2 q U cal 11 ng x A a M U trautng x.A t 441~7 x 4 TOTAL U 14, Calling area (loA) x a.n;s 1A-1 aingle tamlly t c1~l~lex) M Allowable UxA/cpdo x 4.013 (h-3 other xoaldenL-ial) • x 0,46 outer) ?►~16A) ID 13 x U Code QT1111 m~,a~ be larger than or acme ae 1511 above 11OT~1 Use ll Anil A values obtained trox hagen 1, a and UEtiT MCM0111 I hereby c3arhlry that I have calculated Lila ~~U~+ cactore and 11 R" values herein and Lhak Lhe building here daeorllad maaL9 skate of Illnnaanka Fnargy conuarvaklon Aat. or exceeds klia Data signature TIHE; Asyrn MARY gpir pow 305 !J, if 11 , 1_ _ 1 r. h p o ON, 3p 1" Soo! ACK 0M, gnoi PERMIT CITY OF EAGAN \ X 3830°Piibt Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031375 (612) 681-4675 Date Issued: 01/27/98 SITE ADDRESS: 3235 BLACK OAK OR LOT: 2 BLOCK: 11 BUR OAK HILLS 2ND P.I.N.: 10-15501-020-11 DESCRIPTION: Building Permit Type BASEMENT FINISH Buildinq Work Type ALTERATION Census Code 434 A`LT. RESIDENTIAL REMARKS: SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK. CONTACT STATE BOARD OF ELECTRICITY AT 445-2840 FOR ELECTRICAL PERMIT AND INSPECTIONS. PLAN REVIEWED P MIKE SARGK. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - HAYES GARY 3235 BLACK OAK OR EAGAN MN (612)686-6955 I hereby acknowledge that Ihave, rend this application and state that the information is correct and agree to comply with Ali applicable' State of Mn Statutes and City of Eagan Ordinances, S x4 AP lCAN /PERMITEE SIGNAT SSUE BY. SI ATURE Sl r7 199$ "UILD M - APPLI mmrr . , - aff (w ""N { # $ Fp d site swv%s ♦ 2 lapin' of phi 0 2 aopla of pbm (Indude brn g v W w+ VmW . W4 ♦ 2me e i i' apAm ON . DATE: E 4 S MEET ADC RESS: Ltd'.. BLOCK:.;,., SURD ID. i I "A Naale: PROMT Y Lei. Fist .fty- Alf . r7trM h chy L 1 ~x Ccmpwy: AMR LACOM4 Stred Adams: City Vie: ARCmnwTI WORGER Gtetprrn;►: ~P~ Name: ~ t Ate: City m* &Aft bt mango Is ro*wsbd mm ftkfts p+mt to 4 Minnmta rui of Ea ftNahn of AppkWt 7 Yes Catkafts of No SCE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation D 06 Duplex 3 11 Apfi.A p 16 f~rri~ l ~ [3 02 SF Dwelling 0 07 4 ex C2 " 12 MtO R -13 17 S 0 03 SF Addition 0 08 8 x 0 13 Genes y 0 20 , Pubkfaol* 0 04 SF Porn D OR 12•piex 0 14 Fin laos © 21 Mire 0 05 SF Mme. 0 10 -Plex 015. Dock WORK TYPE fl 31 New J30"33 AlWaftm _ 0 36 Mope Q 32 Addition 034 i tr 0 37 Dernaltion GENERAL INFORMATION Coast. (Actual) eq. ft. MCI" sysh" (ANovmb49) Mah *vej sq. ft. i Occupancy ~ eq„ ft. ~ Fkc Zoning sq. ft. PRVI p of Stories ....,y._.,._ _ e4• ft. Boos tor Purr Length q. ft.Carla _ Depth Fob, it W ~ Code Cows Unit A PfWVALS PJanning Buillft ErVring Varies Permit Fee valuWan: Surcharge Plan I view License MCANS SAC City SAC Water Cate. Water Motor Ash. Deposit S1W Permit S/W She Treatrnort Ph Park Dad. Trails Ded. F Other C T L BL CITY USE ONLY RECEIPT F57 / /J5 r~ SUB RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT ]KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 x = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE ZO te TOTAL !r acknowledge hereb that l have read this - - and agree to c-- --of--Eagan rdinan - y application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: ; -7 S 3-11Ve d 1fK AR OWNER NAME: 4,-q!k ~z t /~-[1 -5 INSTALLER NAME: T TELEPHONE lp - SS STREET ADDRESS: X35 L DrQ/A /S2 • / CITY: STATE: ZIP: _SSJ~Z I SIGNATU OF PERMITTEE JS>FORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998 PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA103268 Date Issued: 03/12/2012 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3235 Black Oak Dr Lot: 2 Block: I I Addition: Bur Oak Hills 2nd PID: 10-15501-11-020 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &or WH) $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Champion Plumbing Gard 1\1 Hades 3670 Dodd Rd., =100 323 Black oa: Dr Eagan NIN 55123 Eagan MN 55121 (651) 365-1340 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink I For Office Use 11 j Permit Cy Ol ~P a I of ~~~j 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 I I Phone: (651) 675-5675 I Date Received: Fax: (651) 675-5694 I Staff: I ~ AUG U 1 2012 ! 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applicatio s. Date: *7 13 1) 2, Site Address: ~ /V Q, y Tenant: Suite M RESIDENT /OWNER E Name: Phone: 4! S1 A lJ~ 'LP "i+ s~ Address / City / Zip: 235 CL V IV, - Name: DH I-,~YQ 01 License 001-20-2051 CONTRACTOR Address: l I d I f~1~1 City: State: Zip: Phone: 2 i Contact: Email: 1~_C. Y 1 6 00►~ C hhoo New Replacement Additional Alteration Demolition TYPE OF WORK Description of work: g NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL ' `Furnace New Construction Interior Improvement PERMIT TYPE X Air Conditioner Install Piping Processed - Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank L Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) r 0 06 $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) y TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE 1 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.gouherstateonecall.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 plans. x t r Phfrs,a~- x plz:~ c Applicant's Pr' ted Name Applicant's Signa e FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA120803 Date Issued:03/03/2014 Permit Category:ePermit Site Address: 3235 Black Oak Dr Lot:2 Block: 11 Addition: Bur Oak Hills 2nd PID:10-15501-11-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. 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 - Gary M Hayes 3235 Black Oak Dr Eagan MN 55121 Polar Builders Inc 49 Riverwoods Ln Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166053 Date Issued:12/08/2020 Permit Category:ePermit Site Address: 3235 Black Oak Dr Lot:2 Block: 11 Addition: Bur Oak Hills 2nd PID:10-15501-11-020 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 - Gary M & Mary K Hayes 3235 Black Oak Dr Saint Paul MN 55121--233 Minnesota Exteriors Inc 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature