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3238 Black Oak Dr 71 OFEAGAN qwT. Mob ROW K4 tvM ( n, Konnescrta t2 Daft Igo ~2~~681-4675 J t. Wt - 4, fit Oct 47 3?3 8. t3 I.A~:b U,AK'.;ftR Ak.-ii i [W att. Wts .t !!C 4 8410 00%V HI[ I S t~l:t {f>1 ~#h1 x4E36 P WORK.' SUBT'IfPE: Typiko Nf- f ool IN(y URAM INiti firs . 77 INSMiAI TON I IHAt AIL d PU MAK.f'.; I ~ ~a (IN FRA -f OR A-1- Pt t4 RINr,, 1. j Pond ft T Niels Td*hom# rww a ~ -VF ~C WIN USIL ceneeee" Fra~ C wL Motor bwjpbn Final T- De* P~. DO& final %wl Pr. Nw. W~ M*ff cafe of eccupancV 49of warm This Certificate issued pursrmnt 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 Clanificnioo SF DWG Bldg- Permit No. 20925 y 9MMT Owner of Building Address , BUR MW M11S 20 I" Address ~ DRIVE Locality ' Dam r gndd-mG Off eW POST IN A CONSPICUOUS PLACE Address 3238 BLA„ K OAK DRIVE Zip 5512 1 Ldt 4' Blk 8 Sub BUR oAK HmLS 2m THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: 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 nUVJC ntF.111 ti ItbI KtWKD _A0DRESS j APT. FLOOR CITY UBURS OCCUPANT Z%r7)irt~ /!)[./t -OWNER HEAT LOSS DATE HTG. INST. _ SOLD BY - fa;01),T/3 JL- 66M / -INSTALLED BY Electrical Wark By _Gas Lino By •~M TYPE OF MEAT GA FAAI~,_Hw STEAM SPACE HTR. UNIT HTR. OTHER CAS DESIGN CONVERSION MAKE r~ MAKE OF BURNER Model -A)(2(r'-JeY3 13 ty-0- ;;I- Model Serial 4-7'-_°a / 392) Max. BTU Rating INPUT L42a MAKE OF FURNACE Abdul CONTROLS THERMOSTAT Heat Plug Vent Size Volvo KIND OF LINER SIZE NONE Limit Draft Hood Regulator Limit Setting Filters Size Numb+r Fen Setting Chimney Location Inside Outside Pilot Type Chimney Consrryction Pilot Make Spillage Pilot Model Smoke Bomb Wiring Pily Timing Draft Test Tog L.W. Cut Off Door Pressure Lighting Inst. . r~ Pressure Percent CO Date Tested 9' Input CFH~0 o Percent 02-- ~ ; Company Testing 49=1. Stuck Temp. Percent CO ©7a Nome of Tester --l . .la~i2l © Certificate of Compentency_ R uest Dal Fire No. Rough-in Inspection 11 11 _ Required? ❑ Ready Now I? W ll Notify Inspector J l 1 1 DiYes No When Ready? I Xicensed contractor ] owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City Seclon No.I Township Name or No. Range No. County 0 ' C y Pr Occupant (PRINT) Phone No. Z t 1i an C 4" S"P Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. r r l- L. 04~f L L 1 f" C f Mailing Address (Contractor or Owner Making Irstallation) Authorized Slgnatu Contractor caner qak ng Insta labors) Phone Number ( 1 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST 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) 642-0800 ENCLOSED. 17/N/9 REQUEST FOR ELECTRICAL INSPECTION /EB-ooc,01-08 10- See instructions for completing this form on back of yellow copy._ L J a aC" 8e/ow Work Covered by This Request , ew'Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./] ndustrial Furnace Farm Air Conditioner Other (spec,fyl Contractor's Remarks: Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fae Swimming Pool j 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL ) t Irrigation Booms 7 Special Inspection Alarm/Communication THIS INSTALLATION MAY 13t OFID ONWTED IF NOT Other Fee COMPLETED WITHIN 18MO THSL.C/~r Date I, the Electrical Inspector, hereby Rough-in i Z, certify that the above inspection has Final ` ^ _ Pits been made. OFFICE USE ONLY This request void 18 months from PERMIT M74©x. -g CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Permit Number: 020926 Eagan, Minnesota 55123 (612) 681-4675 Date Issued: 06/28/93 SITE ADDRESS: 3238 BLACK OAK DR LOT: 4 BLOCK: 8 BUR OAK HILLS 2ND P.I.N.: 10-15501-040-08 DESCRIPTION: Bu ldinq;Permit Type SF DWG Building `Work Type NEW llBC Occupancy R-3 -1 Construction Type VIN Building Length 60 Building Width 56 } r x . REMARKS: S&W CONTRACTOR - A.J. PLUMBING FEE SUMMARY: VALUATION $167,000 Base Fee $874.00 MISC FEES $1,744.60 Plan Review $568.10 Total Fee $4,025.10 Surcharge $83.50 SAC $750.00 SAC % 100 SAC Units 1 Lic. Search Fee $5.00 Subtotal $2,280.60 CONTRACTOR: - Applicant - ST. LIC. OWNER: AL'S FINISHING INC 14512486 0004432 AL'S FINISHING INC 1225 BOTH ST E 1225 BOTH ST E INVER GROVE HITS MN 55077 INVER GROVE HTS MN 55077 (612) 451-2486 (612)451-2486 I hereby acknowledge that I have read.this application and state that the information is correct and agree to c mply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLI T/PERMITEE SIGNATURE ISSUED BY: NATURE REACTIVATE CITY OF EAGAN PERMIT RECENED 1993 BUILDING PERMIT APPLICAT ON MAY 0 7 1993 681-4675 f ; / `tom 5 FPen & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. OMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. pplies: 1) when permit is typed, but not picked up by last working day of month. request is made, 2) address is changedor 3) lot change is requested once permit d. 5 / -7 Valuation of work invur z o r oe,0. ress:3'~"3$ bR C&~j}?„v '.QkW s-51 STREET SUITE N Tenant Name: (commercial only) LOT L.~ BLOCK SUBD. , L4R 061 t}! tol S"S0/c`) 0U~ 9vvr') d)~)IT/en/ Description of work: C AIS u d T_Z ,c,/-,/ tf c%n1 The applicant is: ❑ Owner ® Contractor ❑ Other (Describe) Name P- S rl/VIS I~iN~ i ^!C Phone Property LAST FIRST Owner Address "'A,~ S" k6'14 c STREET STE City /AIUE,C l'r~c~~ Nis State /P /y Zip 7 Company 6L),5 FIIVLSHl,,V~,~ /.Vo Phone 3! Contractor Address ) ~a~S- ~ LLL S~T , E . License # L7c~~~ IN Exp. City lhly' =n ~I?ciJ~ t}C. rs State Zip S_5o7 7 nri~~PC ry c~~ qtr 5 - Oq 7 7 Company Phone 1 Architect) Engineer Name -16n/L/ R c. Registration # Address 1 ai 3 1 (y,'~Pcj Al, City /7) C- State t_l7/L Zip Sewer & water licensed plumber ff J 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 ❑ 1 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish Jest v2 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. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 9( 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) N Basement sq. ft. MWCC System YES (Allowable) \ - T- 1st F1. sq. ft. City Water 'Y E15 UBC Occupancy R-3 M_I 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length 6'e-3" On-site well Census Code /6t Depth 5~r On-site sewage SAC Code 0_ APPROVALS a~5 u5 u~ ~ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee valuation: S Surcharge bF 0 J GARAGE ; 30 4 Plan Review X Lie L, (JU 2 MWCCnSAC X / I L~ City SAC g~ry~T: 639X 16 w /0 Zvy Water Conn. 30x28, Water Meter ~~ox ISM 12i Epp Acct. Deposit Lowc~2 L~,E~, ~ 26 X y S /W Permit 3y a8~ x S/W Surcharge Treatment Pl. Ppe 2-z~; Road Unit ' Park Ded. Trails Ded. Copies Other 1'~2Xl~~z I~ Total: SAC % SAC Units 2 ~6, 2.3 MAY- 7-93 1,RI 13:38 WW BRIGHTON LAB FAX NO. 6126313515 P.02 r 1 ' EXTERIOR ENVELOPE AVERAGE "Wl C014PUTATION ' t C"F '7 ' tj &A/< DATE vwarEa D6ve. SITE ADDRESS 3 c C o ,err`✓~ ~T /~1 /'I!V 51 V72.l CONTRACTOR A(.~ ~_l i 3 PHONE q5 -R ly f4 Determine Working Squats Pootage of Each. 1. Total Exposed Wall Area . . 2.3,VLCJ Sq. Vt. X .11 2. Total Roof/Ceiling Area . . 1 O Sq. Ft. X .02 Total Ploot/Cant. Araa Sq. l't. Y. Total Exposed Wall Area Above Floor 0.30 a. Total Wall Window Arrea. . . . . . . . . . b. Total Door Area . . . . a . . . . . . . . 1 a. `total Sliding Class Door Area . . . d. Total Fireplace Wall Area . . . . . . . . e. Total Wall Framing Area (average 10%) f. Total. Net Wall Area Above Floor . g. Total Rite Joist Area. . . . . . . . . . . Total Exposed Foundations Area h. Total Foundation Window Area . . . . . . i. Total Net Foundation Area Above-Grade Determine "U'" Value of Each Wall Segment. a. 41(d x Bull C _ I X 'lUn 0. X 611111 X Bull _ Oy - r 1 9. X Bull h. X Bull tl SUBTOTAL TOTAL If item is the same as, or' less than item #1, you have met the intent of SBC 6006 (c) 2. R~96% 6126313515 05-07-93 02:41PM P002 #27 MAY- 7-93 FRI 13:39 NEW BRIGHTON LAB FAX NO, 6126313515 P,03 Total exposed roof/ceiling area ,~---d Total skylight area.... k. Total roof/ceiling framing area (average lox}.•._ 1. Total not insulsted roof/ceiling area........... Of 9.9 Determine V value for eadh roof/ceiling segment. J.- X UUd --ft If total of 04 is the same as, or less than 12, you-have met the intent of SBC 6006(c)). Alternate Suilding Envelope Design To utilize the total envelope system withed, the values established by the sum of items 13 and 14 small not be greater than the sum of items fl and !2. f 2.... `e'er - • 3. 2X1+, t 1 t as , R-96% 6126313515 05-07-93 02:41PM P003 #27 MAY- 7-93-FRI'13:39 NEW BRIGHTON LAB FAX NO. 6126313515 P.04 PI AL WALL 5 CTI: i 1. interior Air 1:iim x. Interior Wallboard Insulation . 4. Exterior Sheathing a V 5. Exterior Siding ' b. Exterior Air Film 1 Total rM/U._._r.r I..~: T No. STUD H knk i focal &eea Nov 1 a's.~ Less Insulatibri "Rn i U Flue Sk" soEtvood TO to 1 A-lu 'G I~ ~~yypp+.~~ ,1 .JUI.fO~ i'o. 2 BPI, role AREA SILL SGAL " ! 1 Pariphnrl~s Interior ALr film rim= " : I. Insulation 6oEtvood Pr~,~.-rr 4. Exterior Sheathing Exterior Siding o 1 ti 6. Exterior Air Film r.._ R nick 14m rGt~<<i?r1a'i0N , • Total ti ..L t~P~•1+ '1 al d•nto] L.4UtdDATION wALL AREA I I 4-y 1 ~ 1. Interior Air Film Z. Insulation 3. Insulation (Block) I " U 4. Exterior Air Film R ~oo~/CEILING ~ , d 77 r1i4wi► no. it Total. i t- u IRO OT CEILING AREA y . Interior Air I`! im l.Y~t ` Z. interior Wallboard • . 1 Lxl.erior Air Film 7 R a U i ►r' (still) tiTotoL -al.'fr.U _ a l~a,n t C 1.~+t+ it L l t3) R-963o 5126313515 05-07-93 02:41PM P004 #27 CERTIFICATE OF SURVEY FOR: AL'S FINISHING INC OP2.6ro wve>wIl.Ir=,z a F9- S, `I X 9o/, 3 p Drainap and utility essewnt Q Scale. . 1" , 30, LOT 4 o Denotes Iraq ftn• W a .o _ - ,l 6,3 t0 -T ~ ~ _ X~~ Dew k - - X 10 1/ .GS d~ ..~4 00 , ff~ NN 4L,3 /~GP~~ n( J A Wi\6vt FB 0 71 ill R111 aC►57iK, 1 - - - 4 - ~96.2x Ga. syc. 84 a A Q ~ X97, 8 n s~ 40 s i° 67 N ie.33 4op- 00 E U q 9' 6, 6 + g 5271 89? x 89s 6 - - fitt /.46 d tv 7aA o $Coc►~ o x s9s~ a -__I 194-7 X o s a'4-° 4 7' 20"~ 3 G, 81+ 47 34.7 r - - S~Ju E - 1W 1 du n ,C' ~ aZ~~, ~ BLACK OAK D yJAQXN I GIN TRTNG D EP Q Denotes Proposed Elevation s Denotes. Existing Elevation LEGAL DESCRIPTION eyA -1 Rbp of Foundation Lot 4- . Block 8 eg7,J lbp of Basement Floor OUR OAK HILLS 2ND ADDITIO Dakota County. Minnesota We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and of the location of all buildings, fm ERILA & ASSOCIATES, INC. If any, thereon` and all visible encroachments, if any, from or on said land. ENGINEERS, SURVEYORS, SITE PLANNERS As surveythis day of , l9 8401 73rd Avenue North • Suite E 63 Z Minn. Rp. No. Brooklyn Park, Minnesota 55428 Land Surw Telephone: (612) 533-7595 Job No. Q~ _ Book - Pa LOT SURVEY CHECKLIST FOR RESIDENTIAL B BUILDING PERMIT APPLICATION m m J m PROPERTY LEGAL: a OXe44 H a. W _ W < N Date of Survey: DOCUMENT STANDARDS 00071 D 0 Registered Land Surveyor signature and company [ 0 ❑ Building Permit Applicant C 0 0 Legal description ❑ Ir 0 Address e D ❑ North arrow and bar scale Ey 0 0 + House type (rambler, walkout, split w/o, split entry, lookout, etc.) ❑ ❑ Directional drainage arrows with slope/gradient 0 0 Proposed/existing sewer and water services 90*~❑ 0 Street name 0~0 ❑ . Driveway ELEVATIONS Existing 0 e 0 Sewer service Boo'[] 0 Lot corners [r 0 0 Top of curb at the driveway E' 0 ❑ Elevations of any existing adjacent homes Propose8 ff"D 0 Garage floor 8' 0 0 First floor 0 ❑ Lowest exposed elevation (walkout/window) [3' 0 0 Property corners 0 ❑ Front and rear of home at the foundation PONDING AREAS (if aRplicable) 0 0' 0 Easement line 0 Or 0 NWL D E' ❑ HWL D 0- 0 Pond # designation 0 D'~ 0 Emergency Overflow Elevation DIMENSIONS Be' D 0 Lot lines C~' ❑ 0 Right-of-way and street width (to back of curb) 12' D 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 )0' 0 0 -Setbacks of proposed s ructure and setback of adjacent existing home 0 0 Retainin ements, if any Reviewed: vC /Q' Na e / ate October 1992 I lp CITY OF FAGAN L_Z_ B g ~OIAN CAL PERMIT RECEIPT # qgo SURD. (612) 6514675 DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: 2-1 el ADD--ON A/C ADD-ON FURNACE SITE ADDRESS: 3~r ADD ONJREI4IODEL (EXISTING $ 15.00 0 L A C O A ~C 'D CONSTRUCTION ONLY) INSTALLER-'Eatk)JAA HVAC: 0.100 M BTU 24.00 PHONE : 4,S - 9 -7 $ ( ADDITIONAL 50 M BTU 6.00 ADDRESS: OAPDMA)u GAS OUTLE'T'S - bEUM IUM 1 C& $3 Eel. .66 CITY.. . A L ZIP:.CSQ 75 SURCHARGE: $ .50 SIGNATURE: TOTAL: $ g, !~o NO PERMIT REQUIRED FOR DUCTWORK ONLY! COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIALMiDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES lib OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING • $25.00 $ MINIMUM FEE - $25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE CITY SIGNATURE: SIGNATURE: ...::,,...r..::.....n.........:... ,...a?$: .Fl a:},..: .:....C ::..«.Y}:yT...,:x:..v;.2•?3.. ..t•J -•:.?5::.:Nhc?.. . v: ..a R.....+ v..a..... .'j..'•$S:r•T . •::.3y;:~ .{vn..:........:. }T: :::.:QY'F5'k~. :L{•?. r......:.:.\. r .n. ,?5.. r.. ..h.. .v: •.5:':.v.w:. • .:a:{•: r.:.$:{??: {a... .n h: nv .h nv?.J?C.. :a••Y. . :.::::.v:::.. :.....s: :k: i.?:}.{•...J J..... ..:xy•.:a+w.i /x. :x: .,v: f:'' v,{•: :Sf•Y$?, h. }..v... .n, .~q+...?G...t....{..%.Pi..... :h,4..{........: : .v,. ik,'~. .:5.; ::l•..i::.:i:ti.r $i: :.r:o:G: +rY'.:.:: . ~ ~ • : hv: } v.x:.}: r:.?::..~{..{v •,3 t+::::: a:::: n n:: ^7.. Q} vY?,,.:?,{{., { : .;;.,.v.Y,Trh.{.tivv,}}ihli.:59,t:: ~.•:5{.: Sin.. ii:~}:. {{.iv: ..i:•i$ritti{. ~.v~~.` • :;..:::..~;«h::~~~~Yf ~~~~5,.p:...~...~...:5.h::ai:,Yi,.:r.~~: A:hX:..'}:+D:`K.:Z~:•.i•.L,42n } ~ . : 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. O. FIXTURES EACH TOTAL Z SHOWER 3.00 WATER CLOSET 3.00 ' BATH TUB 3.00 tr- LAVATORY 3.00 / KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 - _ WATER HEATER 3.00 - I FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum - i 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Uak.cty. tic. 15.00 U.G. SPRINKLER • home under omt. 3.00 ALTERATIONS • to existing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: ` f SITE ADDRESS: 7~ Z 9( ~r OWNER NAME:/ el /,.I tr Olt A INSTALLER: 4 - 4- /('(wx_ ADDRESS: S", l~G1w ,v, w L- / CITY: ~ v, (-L I_ f ~1 STATE: "v ZIP CODE: Yll Y l PHONE /z) 22-2-7c-12-2 SIGNATURE OF PERMITTEE ..:,v... r: :::::v>}w.::..., nv.n.w;n::.:: r::.::v :a:{{v{{:... :.::v x;:., '4- i,v%{;•:}:., .rY.•iO:n: AI:: .y6:{xn: {•:QS-}:LT>:?? i•.'tJ}'•y::•i'~ :!l;~F,tft,: 5' ;'{'•'4,~' x:a%: •:Ch3:.3.. r-':2v}.'nia%{::K {..Y:ri>.,. }y~c:, ~ v.':~ . :n?{.•};?;r.}>: :Y'{: -:S''. }i::::4; ,y:{.. !.h.{.:n •.v:}}::::Y:}r::#::~.. .•:`Fv.•.,~.C. R::$,.... .1•i%::::5...:;.;{:.; !w - ~ ~ a a. a..?'• {L.. sFk } .'?3•...: 3'~.: ..i:: {2 ;,:~y:}~ c;:p:,;;: r;:,:.td } a.:2:: •.•x~t::}:•;.-<i 'J 3r.. :Y :q. }}F;~^\' ;r::: raa~:t~: ''t#Y'; kr,. .,.yn.: n, EF :..k:. ..}r. ~ ~ ,a' 3:~.!.~. ::W„ : •T:s..F:tY:r:>,•r,~::>}••>••Y: i.:3.',•: <; x•-: ,y ~ . ; ..a~r, nnaa:0nt~ • .,v..v::: nvnv.:..:.: SF;.:::.^.~:~, ta:.a:x:...... .GF~.: n.:: ..5:... , :.:..:.::.:::,>.•t:u ::.}F::..+F.n:..:vvx..:..}}y:.:ris.{ }%:.$}<{;c..,-:~b 'k....:.`•~a::..q;. }%•»y:Y;.v.'?h~:F.'•'i~:::L~~R~.: i. ,n,... n-:::: :.,.::,.,,::..v:, R::..:,fi. ::..~.,:7:#:.:..,:...::4:....... .3,2;. ;;•.,~r::';>'*F:;.•:a:•,c %.#::..{.;.:.,:.yl::.: ...t...x....:, r..........: $ :.K:{. }:'a.. rA.}.: ra ..t!.'•~ b.•Fa+P}.:%.Q:. ,%:~:}"{{fi:;?:^,... n....: x ........................>"r.::.::~....:•Y;.v. }:•,1•.w.r r...:.{}'-:.. ~.v: w:; , , n;•:..,...., 'S+a.:x xvTiri.:ov,~::t?a:S2•}}}};:v Y1 - is .n. v}:}. v.{i..:. h.: ppe.~.:..:.....•. .:vY} / .::r.•fJi xxa.4. A .i...::. ri•}: }:'•}}:a}4 .v::r.~:;}.: }>:{iy:;: :.::..x \ ~C$t Y• ::a:{o}i0:a}:v>:{•:+k a:}>•{.r.:{:~{; ...:........:.....}..,.Y,:.......J.-, ....4,.{. a•3. .b..:a•::,r,{:...>..,a: ..?~.::YCS' •ryoiry;r..,....'::#{a.•..:.{,.::,: r.::: C;i:i . ....,~.A,v,Svmr::}.•Sri}r...~•w•%vr..it!~•IAt•6n:n:.ti.t:\.::}:.~v.:::,{,~::.::::.v.,:•.•rv'.' :.ny:.>%dk::.:Y{Ti .v:::...:::.q.nv::n•:}:.v,w.w.vx: n•n•.: n:}.::•:•}:{•Y}:2-:Gi:i 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMAERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP _7INGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U'.`-,"',T. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE. 1% OF CONTRACT FEE. STATE SURCHARGE. "0 FOR EACH $1,000 OF ""tT FEE MINIMUM FEE. $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT Use BLUE or BLACK Ink :<.r : I FOF Office Ussee---- Permit City of Ea a~ 2 2 I Permit Fee: 130 = q I 3830 Pilot Knob Road 0K 2 - Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ,;Z Site Address: 3,93e 13&*6/' 041.5- Ybe Tenant: 7) P'V! A V l~a)3/s2/ Suite to Si- a(f SS6 D (off/ - f RESIDENT /OWNER Name: -pV; 66 1 3 PO 3/ ~Z / ~'i?/~'t ~c' Phone: Address/ City /Zip: 323L R& 601C Off'/C be .yS/ a` Applicant is: _ Owner Contractor TYPE OF WORK Description of work: /~G/C~ JJ fjff '/~y~~ L Construction Cost: O e) Multi-Family Building: (Yes / Not CONTRACTOR Name: - License Address: City: State: Zip: Phone: Contact Person: 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 9 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 conclude that the 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 plans: x PhVr0 Z~/7/41 f~ /7 14- IV x ~f Applicant's Printed Name Applica s Signature Page 1 of 3 Diz, DO NOT WRITE BELOW THIS LINE V~;2 ~I SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement Siding _ Demolish Building* Addition _ Move Building Reroof Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 'Map Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% 1!) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction L/ Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL ES Base Fee Surcharge Plan Review Z~' 7 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies - a TOTAL f Page 2 of 3 Use BLUE or BLACK Ink r For Office Use City of Ea~uPermit DEC ° 2 2009 I Permit Fee: ' 3830 Pilot Knob Road ~~-~'I I Eagan MN 55122 I Date Recei Phone: (651) 675-5675 Staff: l Fax: (651) 675-5694 L --_--------------I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:./ 2 - Z 2 ` )-o® I Site Address: -3 2 3 8 13b~C`C 0,, X DR Iti6 Al/V Tenant: PA i// D Suite RESIDENT / OWNER Name: P,41110 5 13 0 8/ y✓ Z l /'7 biz M `9i ✓ Phone: ~S 6 8 g 3Y Address/ City/Zip: 3 2 35 B1tick D,c/ C dr. -4 -1q/v, s/-aK3- S6 &IV CONTRACTOR Name: ®Gc~N~ t~ License Notiz Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK _ New Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater _ Water Softener Lawn Irrigation A-Add Plumbing Fixtures % RPZ / _ PVB) ( Main - Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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..qopherstateonecall.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 0 A v/ 0 Z r /11 MJ!~r2 /7 14 x /1 L Applicant's Printed Name Applicant' gnature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA164096 Date Issued:09/18/2020 Permit Category:ePermit Site Address: 3238 Black Oak Dr Lot:4 Block: 8 Addition: Bur Oak Hills 2nd PID:10-15501-08-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Steven Mino 3238 Black Oak Dr Eagan MN 55121 (612) 756-2509 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175090 Date Issued:03/11/2022 Permit Category:ePermit Site Address: 3238 Black Oak Dr Lot:4 Block: 8 Addition: Bur Oak Hills 2nd PID:10-15501-08-040 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Steven & Samantha Mino 3238 Black Oak Dr Eagan MN 55121 Gv Heating & Air Inc 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature