Loading...
3239 Black Oak Dr         ð ð  ÿ þýý  ðûüüûü     úýý ðð öéòéþ ñý íó  ñ   þýö  þýüûúùø ÷  ò  ýûúù  ûúùø ÷  öø÷õùô   ùóý  ò ý òñíýùú ð  þïý î ôù ìô ëëô ïý  ô ü ô ê é  øøù ÿé é ô   ý  ùêòé é ùé  ê ò üôè   ïý üúø  éôúëô ê  îæñåæêê õú  þý ë  çýæñåæêäêä çýñÿê  ôó ö òñ ùù õø   õú äòýúõò ññäí õ ìãöñ ãö áàßà ë üúø ë ëì ë ùù ëëé ô   ôùúøëùùüþ éã þý òúé í  ê ùù÷  ôþ ý  ýúþ ý  I Ir i F't A v 1 Rf#9RbK , o W P1 k1P I F:-i° SIt11 I i'1 HE; Yh,n1I Qbs R enrfi #fiatdar . € e k 14 mex i i ""On 0416, -haw A j? -Av slaw 7*1 7 t no = CNISL Met" FO-01 Deck Final well P . VINAl owe ?? .?:.Lr d r ? f i z N, 77777777 i Hon FMWng Rough Plbg. law. Repbo FUW P Final Plbg. lout Mew Engr.JPian Biog. Final Deck Pig. Deck Final WON Pr. Dlsp. QTY OF EAGAN PER rvpe _ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: a ! 2 t J ' (612) 681-4675 SITE ADDRESS: t' .. t N . ; r' e a APPLICANT ;t 2 '{ H t t: K O AC 1.? R WIR PERMIT SUBTYPE: TYPE OF WORK: for';CIttPYION TH441LL$DES GAS rRPLC FR AN 1.NO 1 N'S ti t. A T 1 ON RtttifIW I N t't H f '1 NA1 Penult No., - Permit HWder Date Telephone #. PLAXAM y D FOUNDFRAMING. ?l ROOFING r - Wes' GAS 6VC TP$Y . Stan- t BOAAD POMPLAM FINAL H G TESTT BLDG FINAL BSMT R.i. BSMT FINAL DECK FTG DECK FINAL w"ertificate of ccc"auc4 wft? of Wagon Meps"acent of 13UMUg Z n pectis* 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 onlinances of the City regulating building construction or use. For the following: Use Classification: SF DWG Bldg. Permit No. 20657 R3/M1 R1 VN Occupancy Type U SID' ing Disaicc = STST NW, Ai+ MM Owner of Building Address LY,-RTT-,BM OM 2M B Address Locality 06/29/93 Date: Building O cial POST IN A CONSPICUOUS PLACE Address 3239 BLACK OAK DRIVE Zip 5512 1 Lot' , • 3. Blk I I Sub BUR OAK HILLS 20 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 06/29/93 Yes No Inspector: Final grade (6" from siding) _ , ,?N t1 Ct, / C L 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 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy L /9 X hX' ? 6f379 f (9J Request Date Fire No. a?.?? r Z Rough-in Inspection Re wired? ,,,./ J Ready Now plLWill Notify Inspector I When Read ? Q -10 Yes C No y _ -er 'If 1 licensed contractor J owner hereby request inspection o ove electrical wor Job Address (Street. Box or Route No.) , 3 Gt" City r Section No Township Name or No. Range No Coun Loa Ko tl? Occupan lPRINTI 1 Phone No. 7?'7-g 1 Power Suppler Address V15(a ?letyport F}rec [? ?rcc? 3crr? may L d( t9 ve- n ? Gewpcivt SSOSS Electrical Contr Company Namei Q? r Contractor'., License No. /01 Mailing Address (Contractor or Owner Makirg Installation) Autho n Signature lContracior-Owner Making Installation) 04? ? Phone Number jam] a 4d IN OTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT eggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. -51 L /93 REQUEST FOR ELECTRICAL INSPECTION ? See nstrucl ons for co 1pleting this form on back of yellow copy. 2 217 6 "X" Below Work Covered by This Request E5-00001.08 ew 'Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (speatyl 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 Irrigation Booms Inspector's Use Only. TOTAL f ) -?) Special inspection .._ (. tP0 8r Q AlarmiCommunication Other Fee I, the Electrical Inspector, hereby THIS INSTALLATION MAY BE ORD DISC ECTED IF NOT COMPLETED WITHIN 18 MONTHS. Fough•in Date certify that the above inspection has been made. Final 1 C' Date Z OFFICE USE ONLY This request void 18 months from OFFICE USE ONLY This request void 18 months from validation date printed in this box. I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII(III)IIIU"? ???v - ,<41, ?,, ' G7 * 0 4 1 6 1 8 1 6 PLEASE PRINT OR TYPE Re9uest w ' J CJ Rough-in inspection required? Yes ? No Y ll h h d Inspection Other Than Rough-In: ? Ready No Will Call R d ( ou must ca t e inspector w y) ( en rea Date ea y: I, ? licensed contractor caner hereby request inspection of the above electrical work at: Job Address (Street Box, to N 4 ( 339 1< b City Tip Code l c c r. Section No. Township Name or No. Range No. Fire No. County Occ t Phone No. Power Supplier Address Eledr tal Contr (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only) l° ?iV /'l PX Mailing AZIdress (( or Owner Performing installafion) A OVlei 1 zed Sign re (Contractor or (2jygLPerforming Installation) Phone Na. EB-00001 A-1 18/96 STATE BOARD COPY - SEE INSTRU BACK OF YELLOW COPY /c2i1i 7 416-181 REQUEST FOR ELECTRICAL INSPECTION Wi 61 Minne'wta Stat$ Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bldg. Othe New Addn Commercial Industrial Farm r w'Is Remod Repair Air Cond. Hig. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY 1TOT Sign/Outline Ltg. Xfmr. ,?.± 0 Alarm/Remote Control ?? c Swimming Pool =am ?C . al i Ilotion described herein on the dates st ted tri h t I i th l th Irrigation Boom e a e e ec c a ns Ro Date rt ?' ecial Ins ection S p p Investigative Fee Final Dafa THIS INSTALLATION MAY BE ORDEF1 C 1011W 60197161 18 MONTHS. -----------------, For Office Use Permit #: Permit Fee: e$R Date Re ' ed: 2008 RESIDENTIAL BUILDING PERMIT Staff: I APPLICATION ?- 7 , Date: 21-17 Site Address: _ dG 7' /'- P/z1 ? Tenant: Suite #: RESIDENT I OWNER Name: 'F`// 2 J` f7j G/ tz Y Phone: Address / City I Zip: 3 2- 4i_ P/z Applicant is: Owner Contractor TYPE OF WORK Description of work: £ c. / 02k_ 91- Di f4 2 - Construction Cost: Multi-Family Building: (Yes I No CONTRACTOR Name: #/ P P gj%?1Z 1` //1'6- License#: ZOO 7 /I7 Address: J'S7?ls?%? X17 /V,-- City: S'Pi2 //i/4_ G-41A ri¢fee' 1%41V State: Zip: Phone: Contact Person: 17''V 2.dZR COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category I _ Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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 conclude that the are trade secrets. 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 k9m-vr?L C, i? f?GIZ x 4- Applicant's Printed Name App cant's ignature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex [ Deck Q 40 El Le Porch (screen/gazebo/pergola) El Multi Misc. El 03-Plex 11 10-plex ?? eve Y? Lower L Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation Replacement ? Egress Window ? Water Damage Demolition (entire build ing) - give PCA handout to applicant DESCRIPTION: Valuation Occupancy 1'G- j MCES System Plan Review /1/4 Code Edition e SAC Units (25% 100% Zoning 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) Foundation Drain Tile Roof: -Ice & Water _Final Framing Fireplace:_R.I. Air Test -Final Insulation Reviewed By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Sheetrock Meter Size: Final/C.O. Final/No C.O. Building Inspector elr HVAC Other: Pool: -Footings -Air/Gas Tests Final Siding: _Stucco Lath -Stone Lath -Brick Windows Retaining Wall Page 2 of 3 2422 Enterprise Drive * * * Mendota Heights, MN 55120 * * RIQNiNR wn eleW+vet • 74 v+asm 612) 685-1914•Fmi 031-445$ Bnpneo' n ro a wocs ": 526 Highway 10 Narthaat * going. MN 55434 (612) 783-1550•FaI 753-15133 Certificate of Survey for: H dbgrc Homes. ha, House Address: 32 9 Bla ?ak Drive. Eagan. MN s-t Jib' t-h vn for BLACK OAK DRIVE 04'47120' E _? - - - I_ SI ? I 2nq 5 I. x fi 3 I q I 3I aaa - _ r ao Qy I> rl 1 O! I 6 ?= eONRSie rlevR?' 1 j N sV.Kavr g x 1 rdl.7 rand r- I I At`? 1 Pr7 2 ' ! I f= pf sEL? 3 1 9CLOO 5 04.30'57 W NOTE: CONTRACTOR MUST V£IIIFY ALL DIMENSIONS . soda Donates Existing Elevation PROPOSED HOUSE ELEYAfiON a'd Denotes Proposed Elevation Lowest Floor Elevotlonl Bg0.55 Denotes Drainage & Utility Easement Top of Biodt Elevation: 59&55 Denotes Drainage Flow Direction --a- Denotes Monument Garage Slob Eievotlon; 899.33 .-$- Denotes Offset Hub Bearings shown are assumed LOT_, BLOCK 11 BUR -QAK HILLS 2ND, ADD. DAKOTA COUNTY, >rNMNE60TA I by urtUy MR d'M wnwy. plir or nourr Win. 014W direct rupIt $iIon and RANI I u. daI . Ra,hs rod Lone srrvr?,er n user ,. t.A* Of Of *W%6 *f Mlnneaa. saga thb a dry er ,.. A.tl. t.. .. Scale: 1km-3O Raeter..sircr ??.? .?+o.i•+, 13061,00 r CITY,0F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT C? ?f "n, 11 PERMIT TYPE: Permit Number: .7 Date Issued: 3 2: 0AK, t)r I 0T 7 8LOCN PeI.N. ;i.0--IU5r. 1--x:30-11 DESCRIPTION: P rrrrr:it: Type %F iJbJG r• k T ?` ? E•I l,J n_ i 1 44 REMARKS: f : I , J I ti i L[-c ; '1 ULL PL is FEE SUMMARY: V/ LIUATIUN 13-s e I c•.. '? P J. a rl I w ". IT r•, ,, u r c h a I" i u y7 I? (, S U C 1.i r i j, l.. Zi Lie . S Ca rch F ;: Ut:cota1 3IUt:9.. 00 1 0 0 IL 2,:1.42 55 $IL4•5,000 I= e e 3 , N 8 r . 0 5 CONTRACTOR: p l.i (.--a n tt i , L T C .. OWNER: HE08 t.R'I H0iIL:U .CMf„. 1.1 ? i1 > r3 (A 1 6 9 8 HFULIEl G HOMES tr.!C 12340 I I'? i'iC IJ?a 'ST NI-,i 3!IN'0 + f,Al+:1"0 c AN00Vf i? I'?I? C=,?+30 ? AH00VC:N 04 1(96 APPLI ANTPE EE SIGNATURE ISSUED BY. IG AT REACTIVATE © CITY OF EAGAN PERMIT 1993 BUILDING PERMIT APPLICATION APR 0 9 1993 681-4675 t L f.? SINGLE & MULTI-FAMILY 7 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 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 J / Valuation of work /_ O Site Address: _32 3 13(iC: 04 STREET SUITE 0 Tenant Name: (commercial only) LOT BLOCK SUBD. ej ,??C?4k?L P.I.D. # Descri tion of work: G 'n44 t m. The applicant is:, ? Owner Contractor ? Other co.acrIb Name rv Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company Phone 7.5 _ '//5 Contractor Address It) License # , Exp. State Zip City ____ __ _ 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 approve I hereby acknowledge that I ha `read this correct and agree to comply w }th all applic Eagan Ordinances. ' Signature of Applicant:;-` lication and state that the information is e State of Minnesota Statutes and City of r OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging PT 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Addl. ? 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ? 1LB ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) v-N Basement sq. ft. MWCC System Yes (Allowable) y- r.4 1st Fl. sq. ft. - City WaterYES - UBC Occupancy ,i- M_l 2nd Fl. sq. ft. PRV Required Zoning R-1 Sq. Ft. total Booster Pump # of Stories Footprin t Sq. ft. Fire Sprinkler Length 5? On-site well Census Code 7e_7 Depth On-site sewage SAC Code v j APPROVALS _ Planning Building Assessments Engineering Variance REQUIRED IN SPECTION S ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee Vstuation: S ! L) , ??? " zMp ?to?+ Surcharge Plan Review 2 , gad 8 x 3 License MWCC SAC I2 ) 4. - I - ? City SAC Water Conn. ff3? 2 a. (73 Z g r= 1 ` Water Meter 8qg it, 50- 13,S8q L)1?Sy Acct. Deposit $/W Permit 2-0 493c S/W Surcharge 411 = 0%) Treatment Pl. Road Unit .2" Park Ded. 1,! SCI X 0 t b' = I'7,.) Trails Ded. Copies FST FLoA i ; Other Total: 5M1 - I ! ' f Zr SAC % ! Ih Zo ?. z? SAC Units I ?So 54= G ??, 40 -'I' * 2422 Enterprise Drive it Mendota Heights, MN 35120 PIONS ER LAND SURVEYORS . C M ii;ati?MEERS (612) 1381 1914 -FOX 681 9 4 8 1 3 eaer?... .- ?... ?./-?asr.?a,ar.-m91aMlTeri imf? -vuu. - - ?a•f.. ?as.J?_?a?avdrr..ra.•+erwb engineering i.ANO PLANNERS . LANDSCAPE WHITE= hway 10 Northeast 625 Hig=ft Blaine, MN 55434. * , . * (612) 763-1880'Pax 783-1883 Certificate of Survey for: Hedberg Hornes„?InC. House Address: 3239 Slack Oak Drive. Ea an, M OAK DRIVE ? 90.0 --. ? T 91 ORIyYwAY 0 0 $ x 1 , 0 X0.07 ri 11.68 is 0 X OY7.6 I & CARADE I 5 I , I Sias? OD i a ?C HOU$ BAsE?tE j ,r.tt 0 I # 0,00 ,00 1 WAEICQI I 1 30.00 r K 18.081 r' z !8'j y 3? 0447'201 Wi 90. '8?G ,s ,t 90.00. S 04.30'57" tN NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS x soap Denotes Existing Elevation PROPOSED HOUSE ELEVATION x oo. Denotes Proposed Elevation Lowest Floor Elevatlon:89O.55 Denotes Drainage & Utility Easement Top of Block Elevation; 89.68 --?- Denotes Drainage Flow Direction 66 ---o- - Denotes Monument Garage Slab Elevation: 898,33 -o-. Denotes Offset Hub Bearings shown are assumed LOT , BLOCK. 11. BUR OAK HILLS 2ND AB[ DAKOTA COUNTY, MINNESOTA I hereby certIFy that this survey, plan or report wet pared by me r under y direct eupervislon and that I am duty Ragisterad Land Surveyor under the laws of the State of Minnesota. Dated this, SW day of A-), 18. Scale• _ s p FkDtlfiRTF8,91K1 6.8,R Q.ND.10 91 M 13081,00 4 9Q? V00- D YO o o 0 ti?0 D D V D 0?0 D D 0 0 LOT DVA?ZY CIZCZLIST "it Z UZD! T1AL RIIILDZSQ p!RKI "OZERTY Z.teiLs Date Of surveys a qs Registered lend surveyor signature and ooapany Suilding Permit Applicant Legal description Address North arrow and bar scale House type (rambler, walkout, split W/o, split entry, lookout, ate.) Directional drainage arrows with slope/gradient =. Proposed/existing sewer and water services Street name Driveway 1 O?0 RUVATIONe ?,Yistina Sewer service 0?0 D Lot corners D.- D D Top of curb at the driveway D D Elevations of any existing adjacent homes B D 0 Garage floor a 0 0 First floor 0- 0 0 ?0 D Lowest exposed elevation (walkout/window) Property corners D 0 Front and rear of home at the foundation 0 0 Z21,-DING AREAS (if aptlieabl.I Easement line E D ) ,•L 00??0 Pond 1 designation D D Emergency Overflow Elevation !?0 0 hlrrxsio_NS Lot lines ' D D Right-of-way and street width (to back of di i i l i curb) d d 0 0 ng any ons nc u mens Proposed home d propose ecks,, overhangs greater than 2', porches, etc. (i.e. all ? structures requiring permanent footings) D D Show all easements of record and any City utilities within `8?0 those easements t tu d d f d t tb k f 0 ruc re an se s propose Setbacks o jacen ac a o 0 existing ham Retainin 1 sequi ements, if any • Reviewed: Z ._ me Date EXTERIOR ENVELOPE AVERAGE NUN COMPUTATION Owmi,. SITE L C CONTRACTGPie ??P t: -,ry? $ OATEN Z.. PIIOME, - 4 DETERMINE WORKING SOUARE FOOTAGE OF EACHi 1. TOTAL EXP PEP) WILL AREA, Z . sq. ft. x "U" . d l,_. ZZti7 .rte 1.. TOTAL ROOF/CEILIMO AREA, 1 Q .#3 q. ft, x "un . 30 TOTAL EXPOSED WALL AREA CALCULATIONS, lifseU? expesid wail area above 11 & 00p 'sq. ft. of focal hall window areal Ifiwlated Glass ilu.&L .7c sq. ft. x "U" Lew R Glass glared oq0 ft. x nun 31 ` b ) tool dear 40"4 7 .? . +W• t. UN ,:.,, ?? • .. O,N„+ ..S e:) total slidini glass doov aVrae , ,,,,, Insielated Oldbs gia:ed 3S cam, sq. ft. x nun . 1°o Live PE Aliss gl•:ed ft. IN mum ....a.3$ ... n d) focal Fl»piac. ?iaii .rw?i,,,. •5,,,,, sq. ft. a nu" . •) Total mail framing area (Average 10%)J o(o,se sq. ft. x "U" 01 ., • (S . IS f) Total Net Pall area above ,,. floor (iflsulated) 49.5 47sq, ft* x "U", 1 . t) Total Rim foist area Z..?? 4• Q( sq+ Tot l ft. x NUNS. a Foundation area ------• (oxposid) .'.QCD..•T... sq. Its h) Teteil F&Jfdation window aria sq. '.65". ft. it "U"__ Total Not Foundation area above grads ,1s sq, ft. ¦ "Un „?Qjti,,,. . TOTAL a) thra i i • z 19 •b I ?, If Ito" NR is the same as, or less than-item Si v the intent of 6.U.C6 Section 6006 (c) Be you have met A 4. TOTAL.EXPOSED ROOF/CEILING CALCULATIONS1 Total exposed b 4 ?' root/c.ilinj area sq It J) Total i*ylight area sq It x "U" - ¦ - - k) Total root/ceiling fro ir g area (average 10%) _ V 4 a 3 sq ft x "U" . ."f S 02 . o 5 l 1) Total net insulated --ff irauf/ceii ng area raq It x "U" 022 . . ,; TOTAL J) thru 1?S If total of 04 is the same as, or less the intent of S.a.C. Secti 6 than sa _ you have met on 006 (c) 1. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the, total envelope system method, established by the sum of items N3 and 04 than the sum of items Ni and 02. shall not 1 Z 7 +2. Z • 1 a 2 I -- +4. the values be greater C E R T I F I C A T-I-O N I hereby certify that I have values calculated the "U" !actors an herein and that the building here described meets or exceeds the d "R" State of Minnesota Energy Conservation Act. I '1 (Date) 2 X 6 YALU WITH gy/'i , ..? ur?rHias? t? WALL FNAIIING SECTION:, S. 1 I tenor alp film 2 n•Fq 3 /'Inche% sot wood • -(4 • A xtsr or r m n• A6.R• • 0.92 MALL SECyION (INSULATED) • 1 Interior air film n.Fq 2 6IFfIMM55 BAIT S c. vv • .M RIM JOIST SECTIONII . 0 .-O Interior air 'i 42 I*Vnzzw CTnrin Y « VR • •043.... / 67 ?A r m ?, .., . • ;,? Y..w VA w .041 FOUNWITION SECTION, In srior air film n.r;A ISO! xter or a r ' tR o, OTAL STYR • i" NTYjiQ?`1?N • w ? ? . SLIMoNWIN a s6 With A.?,? ?. ;. 1,06 14 to 04 to Ar Y,. . ti• ? ?1 r • 41i dal , ot .1 • /1 I 1 N 44 Ct IL. . JLATION COIISTRIICT i.ON 91 LINK SECTION (INSULATED): 1 Int rior air film 2 3 xterlor air film ct111 n•f;l TOTAL R . U • I/R ..022 CEILING FRAMING SECTION: I Interior air film n•GI 2 , 3 1 TUN a nter or a r m sti 44 nches as II II, mill I • AL R • U 1/R • .025 r :?CtILINO $ECTIAN' (INSULATED) s i' Interior air film 2 n.Fl Bu TUN F. er or a r t ?n stt U • 1/R .032 CEILING FRAMIN1;'SECTIoNs I. Interior air film 2 O.FI 3 a Exter or a r m st c a sin wood 1/R 1 . I Inside air film 2 TUTAL It dWMMft= 11 ,r VENTED PERMIT CITY OP EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: 3239 BLACK OAK DR LOT: 3 BLOCK: 11 BUR OAK HILLS 2ND P.I.N.: 10-15501-030-11 DESCRIPTION: Building Permit Type DECK Building Work Type NEW BUILDING 023585 05/17/94 REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - JOHNSON STEPHEN 3239 BLACK OAK DR EAGAN MN 55121 (612)783-2582 Ihereby acknowledge that I 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 Fagan Ordinances. kNLIT.EE SIG ISSUED BY. SIGNATURE CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 rn Hal _? - I ? -30..50 MAY t 0 1994 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy caics. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy caics. 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 MAY 14'x' Valuation of work 1 ?0 Site Address: 3 3? G OAK X12 EArFAU t'*? S'_170 STREET SUITE # Tenant Name: (commercial only) 7EPI-%' J cIC' K 1i u'E )_ LOT BLOCK _ SUBD . & 0(\K NIws P . I . D . Description of work: OoIL-Di K A O- The applicant is: Owner ? Contractor ? Other (Descr;be) R 7V-oc5? , _-? Name Phony Property LAST FIRST }SOME 671-0469 Owner Address '239 f AC . ak< ORIt,, STREET STE I city LA(;A)Q State y Zip -DS 1 Company Phone I Contractor Address License # Exp. N\ City State Zip Company Phone Architect/ Engineer Name Registration # r\ Address Nl City State Zip Sewer & water licensed plumber L . 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 11 appiic le State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OPP .48E ONLY BUILDING PERMIT TYPE O 01 Foundation 0 06 Duplex O .02 SFDwg. 0 07 4-flex O 03 SF Addition 0 08 8-Plex 0 04 Sf Porch 0 09 12-P1 O 05 SF Misc. 0 10 Multi. Add'i. WORK TYPE 31 New 0 33 Alterations 0 32 Addition O 34 Repair GENERAL INFORMATION Const. (Actual) UBC ccupancy Zoning # of Stories LLength APPROVALS O 11 Apt. /gauging 0 12 Multi. Misc. C] 13 Garage/Accessory D 14 Fireplace 10 15 Deck 0 35 Tenant Finish 036?e Basement sq. ft._ I F l ' . ft. - - ' 2nd fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well _ On-site sewage Planning Building Engineering Variance REQUIRED INSPECTIONS O Site ,9 Footiig E3 Framing. O Wallboard m Final 0 Draintile E3 insulation E3 Fireplace Permit Fee yo?ee $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit SJW Permit SJW Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: . SAC % SAC Units O 16 Bas a+nt Finish 0 17 Swim :Pool` O 18 Cow./Ind. 0 19Comm./lbd. Misc. O 20 Public Facility C1 21 Miscellaneous O 37 -l i sh NWcC System City Water - PRY Required . Booster Fire Sprinkler Census Code SAC Code Census. Bldg Census Unit Assessments 05106,94 06:45 YEDRMG IBS + 61271932525 002 2422 lExterprin Drew Mendota Freights, MN 66120 * PIOl NOR ,,pp wltve?s • WA ®rar+em (512) 6e1-1914•Fox 031-0444 d17 ReeP fng wro n+ussos • WiDWAK cite 525 ?Narss43 aU+east * * * (612) 783--1680•Fax 753-1843 Certificate of Survey for Hedberg Homes. Ing. House Address: 3239 lack Oak Drjy2. Eagan. MN At Q-1. BLACK OAK DRIVE sf t / 61 - - N 04'47'20" E F 1 9o.bo s il- ' ' 'taft6l 1 f a+FA9t qq 81 saa rm pp? ( wloroerA r, V1 I Os ' ! 0 t= rxxlRt eAeciiCyT b f 34 1 %Uxour Is, 1/.pp * x + r 7 to o! A `, I f ??z I i IVt7 ' 2 a I i ?EC] f Is C f 3 f x 2 ss: e 90.00 04'30'3r w NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS 104o Denotes Exlsting Elevation PROPOSED ti0U5E ELE_V DN Denotes Proposed Elevation Lowest Floor Elevation; 890.55 -. a Denotes Drainage & Utfllty Easement Top of Block Elevatlon:89D.d6 ---? Denotes Drainage Flow Direction op -- -- Donates Monument Garage Slab Elevatlon:898.33 -.49- Denotes Offset Hub Bearings shown are assumed LOT3 , BLOCK 11 BUR K HILLS A . DAKOTA COUN? V, 1 NNB5OTA L IgNbr rrrtlly Vii t1W r.My, pint of rwt by ear arrOq Abrr1 r !On aw l1Ml 1 #M IN" Ara*.rrrs U" Owrrlta wdrr tM law W tlw etsb of ram". Cuss MlrZrl.,,.. AA. tr4 ., Scale: liza-30-ted hOOlie'Ir.itKt e..s.p ,Mt3 1, ?7 ® 1HCel.OD RESIDENTIAL `t BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conefructbn Reaulremente • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE r - -- n,2- [ SITE ADDRESS _,525q 3 Ic K Oar, TYPE OF WOR APPLICANT MULTI-FAMILY BLDG - Y ? N STREET ADDRESS (( (I 1 iy')C?JCAn A/f:? CITY ?Ij TELEPHONE # - SELL PHONE # 11 - FIREPLACE(S) - 0 - 1 - 2 _1'e- STATE ZIP V FAX# I2?AAI PROPERTY OWNER RObErt sic TELEPHONE # I --__ ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted + Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: - Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Fee: $90.00 Ph U 6 18 ?00Z Fee: 70.00 Phone # -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. RamodedRa„alr Raaulroments 2 copies of plan + 1 set of Energy Calculations for heated additions + 1 site survey for exterior additions & decks + indicate if home served by septic system for additions VALUATION 1 B r 221-. I (D Certificates of Survey Received - Tree Preservation Plan Received - Not Required Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of - piex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-piex Plbg_Y or - N ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Sldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof - Ice & Water - Final _ Pool Ftgs _ Air/Gas Tests - Final _ Framing Siding _ Stucco - Stone Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement) _ Insulation Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total `6ITY OF EAGAN 3836. Pilot Knob Road Eagan,- Minnesota 55122-1897 (612) 681-4675 INCLUDES GAS FRPLC Buildinq Permit Type BASEMENT FINISH Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL PERMIT SITE ADDRESS: 3239 BLACK OAK DR LOT: 3 BLOCK: 11 BUR OAK HILLS 2ND PIN: 10-15501-030.-.11 DESCRIPTION: PERMIT TYPE: B U I L D I N G Permit Number: 0 2 9 6 0 9 Date Issued: 03/21/97 CONTRACTOR: I I OWNER: - Applicant -- JOHNSON STEPHEN 3239 BLACK OAK DR EAGAN MN 55121 (612)681-0968 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State ofMn. Statutes and City of Eagan Ordinances. c A L TEE SIGNATURE SSUED BY: SI ATU 0 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ??v, 115`0 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 Now Construction Reauirements Remodel/Reoair Requirements • 3 registered site surveys • 2 copies of plan • 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) • 2 site surveys (exterior additions & decks) • 1 energy calculations • 1 energy calculations for heated additions • 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: LA-,l -7 CONSTRUCTION COST: DESCRIPTION OF WORK: i 1 cwc ( z R11Z.t' P ACS' STREET ADDRESS: LOT BLOCK 1/ SUBDJP.LD. #: L U <- u (Q I 07 Ay L 6a '1T- asra I PROPERTY Name: ONl?sc?i? STI:E)?l N PhoneL #t EI?.7\??? O 1 OWNER ?.. MST Street Address: Q-4U C.rQ O City: 1= State: L zip: CS'1 I CONTRACTOR Company: Phone #: Street Address: License #: City: State: Zip: ARCHITECT! Company: i= e:? J Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information i correct and agtee to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No MAR J, 4 1997 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE a 01 Foundation ? 06 Duplex ? 02 SF Dwelling a 07 4-plex a 03 SF Addition a 08 8-plex ? 04 SF Porch a 09 12-plex ? 05 SF Misc. 0 10 _-plex WORK TYPE ? 31 New 0"33 Alterations a 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS 'L?1' At ? 11 Apt./Lodging .ems 16 Basement Finish a 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory a 20 Public Facility a 14 Fireplace a 21 Miscellaneous ? 15 Deck ? 36 Move a 37 Demolition Basement sq. ft. MC/WS System Main level sq. ft. City Water _'.. sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. 4 1?Z4 Footprint sq. ft. SAC Code -0/ Census Bldg Census Unit 0 Planning Building Y" Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units -40 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE 7 _ 9-3 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 C $3.00 EACH) ??. O ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL -3. SITE ADDRESS: OWNER NAME 42( - --- ' TELEPHONE #: 7s 7- ?y/ S" INST. ADDRESS: g/. / C CITY: r'• STATE: -. , ZIP CODE: TELEPHONE #: 17._11 _UI _ ATURE 4rw 1993 MECHANICAL PERMIT (COMMERCIAL) CTI'Y OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 FEES 1% OF CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. v PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL I SHOWER 3.00 o .- WATER CLOSET 3.00 4 r 0-c BATH TUB 3.00 LAVATORY 3.00 4' . KITCHEN SINK 3.00 3, LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 3, av FLOOR DRAIN 3.00 _ r GAS PIPING OUTLET • minimum - 3.00 f- ROUGH OPENINGS 1.50 `f s WATER SOFTENER 5.00 PRIVATE DISP. • oex.cty. tic. 15.00 U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS • to e> fisting 15.00 WATER TURN AROUND 15.00 c#i' STATE SURCHARGE .50 TOTAL: 6-3-00 SITE ADDRESS: l.-r,tc,a a.-, ? ,;,z 3 ? o` a OWNER NAME: f- B ?t 'a INSTALLER-.- ?G-_ ADDRESS: r CITY: ??t4 ?l STATE: ZIP CODE: S 3 PHONE #: (?, (-) , _ - - (_ c NATURE OF 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 5S122 (612) 681-4675 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING Ul ,N'-.T. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: S.50 FOR EACH $1,000 OF 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 CITY USE ONLY L BL RECEIPT#: 71 ,` 9 4 SUBD. ._ _. f! i i? ? RECEIPT DATE: (Oc/.? ?' 1997 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 ? backflow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet * minimum - 1 Rough Openings Water Softener * for dwellings under construction Water Softener * for existing dwelling U.G. Sprinkler * for dwelling under const. U.G. Sprinkler * for existing dwelling Alterations * to existing residence Water Turn Around Private Disposal System * Dak Cty lic. (new and refurbished systems) Private Disposal Systems * Abandonment EACH N.Q TOTAL 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 1.50 x = 5.00 x = 20.00 x = 3.00 = 20.00 = 20.00 = 20.00 = 75.00 = 20.00 = STATE SURCHARGE .50 TOTAL I hereby acknowledge that I have read this 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. %' mil- , 2 n SITE ADDRESS: L `T'c''G?4 ???.?-a`?? %?•?, OWNER NAME: INSTALLER NAME: ice,, 111;,. L TELEPHONE 6STREET ADDRESS: 3 ???c! Q L- (-L 0 BIZ CITY: i `_ ,?\G N STATE: ] Z. S a i 7 SIGNATURE OF P RMITTEE t 1 CITY USE ONLY SUBO. .(CD 1 l t s -D Lase complete for. ) single family dwellings )? townhomes and condos when permits are required for each unit > backfow preventer for underground sprinkler system IF TURES EACH Alterations to existing dwelling -- m imurn fee , Sh % Describe: ti O W e ? ^ $ 30.00 C) Bath tub $ 3.00 x Floor drain 3.00 x Gas piping outlet * rr?nimsa?s * i 3.00 x Hot tub/spa 3.00 x Kitchen sink 3.00 x Laundry tray 3.00 x Lev 3.00 x N S tem newfrefurbished uires MPC lie. 2 W 75.00 x I tic S al*ndonment 30.00 x - RPZ never instsNation! ir/4etwiW 30.00 x 1.50 x Shower 3.00 x Underground sprinkler if d+tregi is under construction 3.00 x mating dwetn Under and ' spnnMw 30.00 x - Water closet 3.00 x Water heater 3.00 x Water softener if sfwafU under construction 5• , Water softener W C#.OQ - 'X ,? . n i ?. ?. 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN O 1? L 3830 PILOT KNOB RD - 55122 651-681-4675 L4 > 3 registered site surveys showing sq. ft. of lot, sq. ft. of house and gII roofed areas (20% M=UM lot coverage allowed) > 2 copies of plans (show beam & window sizes: poured fnd. design; etc.) > 1 set of energy calculations 3 copies of tree preservation plan It lot plotted after 7/1/93 DATE: 0 DESCRIPTION OF WORK: L-Out-w" STREET ADDRESS: Zpct cczckc Oa-Le- ov,ve Foja, r q'tJ S' LOT: BLOCK: SURD./P.LD. #• PROPERTY OWNER )k CONTRACTOR ARCHITECT/ ENGINEER Name: Phone #: 51 `li`t '''L2 3 7 Lost First Street Address: 3Z-96k 6 (o```` Omv,- aa` %.re city rC?ca«?• State: MtJ zip: 'S c lz Company: ??5e `rn\ tom"' Phone #: (area code) Street Address: License # Exp. city Company:, Name: Telephone #: ( ) Street Address: Registration #: city State: Zip: Sewer/water licensed plumber (If installing sewerlwater): Phone #: ( I hereby acknowledge that 1 have read this application, date that the infornnahon Is correct, and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. C Signature of Applicant L Certificates of Survey Received OFFICE USE ONLY Yes No Tree Preservation Plan Received Yes No Not Required 2 copies of plan 1 set of energy calculations for healed additions 1 site survey for exterior additions & decks CONSTRUCTION COST: g (S 00" `Fy'u State: Zip: 24 OFFICE USE ONLY (-2- 9 0/ ? 2 d,w rJoN4 r BUILDING PERMI T SUBTY PES El 01 Foundation ? 07 05-plex 0 13 16-plex ? 21 Porch (3-sea.) 0 31 Ext. Aft - Multi ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea .) ? 33 Ext. Alt - SF ? 03 01 of_ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 04 02-plex ? 10 08-plex 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or- N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. ? ft t Census Code Const. (Actual) . Basemen sq. (Allowable) j[,(J Main level sq. ft. MCIES System UBC Occupancy iz:3 id sq. ft. City Water Zoning itz sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building rL Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Valuation: $ L ? ??''.v3 H 6 0,,,5'0,f I Total: SAC Units % SAC L SUED. { CRY USE ONLY Please complete for. > 'sing* family dings ? tawnhomes and condos when penny are required for eeund baddiow preventer for underground spr1nlder system FIXTURES EAQ1 T; Alterations to existing dwelling - minimum fee Describe: 1)R *00 Bath tub $ 3.00 x _ . . -: Floor drain 3.00 Gas piping outlet " nllrnum -1 3.00 x w Hot tubl a 3.00 x Kitchen sink 3.04 tt $ Laundry tray 3.00 -x Lavatory 3.00 'x_ . Se 'c System nsWWrs nWehed * recpriras VPC ua. 75.00 ' :,,x, System : ant - 30,00. x - . _ RPZ nerr trudawoNMP8kftbwM .00 x ! Rough opening 1.50 x Shower 3 00 Underground snkler if dwe is under caonstru?ion 3.00 x.:. { Underground sprinkler wdstkw dwedlno 30:00 X 1 ]E3 Water closet 3.UU x g Water heater 300 x Water softener If dwsNt under ccs* uctlon 5 00 x Water softener tt 30.00 Water turnaround 30.04. x _--- w State.Surcharge .50 .. .. _, Total .a? .,..? ....r, R e m i n d e r : Call for Inspection* o f alterations, Le. vwtter heatrlrsr yr lerwwown Thereby aa;oi?wt-.ge ih --- ve wad oii.......... app.i fon, dew u?id s iritorer+i?on b aocisix,'axi Swee. t ?9ot toy , - W, It is the applicant's responwblilty to nobly the property owner' that do City of Eagan assumes no tam for srgirr?amapaa 'i $ driir itt r normal operational and maiMsnance activities in the facia canes ted under this (Mn pemrrtwCity : * .. ' SITE ADDRESS: Z : t - OWNER NAME:. TELEPHONE,- INSTALLER NAME KIRmm t i n'e 1 Cw ri [} y'5,- TELE STREET ADDRESS: CITY: Y i It JUN ' i i 1?,1, L.,.,.,. -e ,....?.-..?, • VG?ATUA i' t EE      õ÷õ    ùùï þýüýû ÿþþ ý üûúüûúù     øýýþþ úì õîñîÿ ù íýõ    ÿ  ÿþõ  úù ø÷  ìù ý ê á ö ø÷ ô ó  ìù ý ê á ßù   üý ü   ý÷  Þù    ù   òý  ûúý þ  ý ÷  ûëã è  þ  å òþ ì ëï ÷ý   ç æåæåå ôø  úù  ý ü ìä çæ ãæã  óüòü õ ñð ÷÷ý Ý ñïøýù üêõ ýüý ýïøý ö ãýíý ù  þýüýòô  ëã è  øýó ü  ý ýâ  ý  ý÷÷ýý ý  ý ð ý  ýýü ÷øó ýý÷÷ý  úý  ðò ýúýù ýáøðþýüýí ý æ ÷÷ýé  úüýù  ù øúüýù Use BLUE or BLACK Ink � ForOfficeUse---------� �� � j Permit#: � J�C��l� I �� ������ � / ' I � Permit Fee: "'1 � I 3830 Pilot Knob Road ,�-;� Eagan MN 55122 � Date Received: ��� � i Phone:(651)6Z5-5675 { I I Fax:(651)675-5694 - I Staff: I �--------------_-'�. � 2014 RESIDENTIAL BUILDING PERMtT APPLICATION �-$'�� A � Date: � �J Site Address:��_[��L,/��°?�`� ��V°'� � Unit#: � � Name-.`����la� Phone:�U_33�Ci^'��}�� � � ��v��� ��I�� Address 1 City 1 Zip: � � KC� �rc' � � u Applicant is: Owner Contractor i �.����� Description of wark: zC5 yC�I d �N ^�/��� �ac�,� �. � { =: Construetion Cost:��.�� Multi-Family Building: (Yes /No�'� '` ; ;: ': Company�C�/��¢��c���� Contact:��o/.����r^ � �� Address:�'�(� �NNA��(eCJ L.�l� City�C.'�n..Q-...'T ;;�t��14���#>t' � State:�Zip:� Phon� �EmaiL K�n!'�f`jr1�j3E���1t:�/', � , License#: � "' Lead Certificate#: 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 pertnit for a similar plan based on a maste�plan? _Yes r�No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sev�r�Water Contractor: Phone: .�i �+ �i�����*�.�� ,�6� k ��y����5+�,*'�'��� � ���`�t��� .��`�Q��fd€� � � �� . ���'��r�`��r�'�� ���#��,1'��`����tf�► ' ��+�'� +��t� �r����+����:��� ,�."3 ., ^"'i.�: . : :? �. ..,. �:":. .�,�;� � �.r'.<`:f , ,., ?v`a. .... . ....: ..�.....,f: ,�C.•_�� ., 1 ,�, t ° :Se 3`..�,-:�':...�..,� �� � � � f . .... .�... ... ... r..,_.. CALL BEFORE YOU DIG. CaU Gopher State One Call at(651)454-0002 for protedion against underground utility damage. Call 48 hours be#ore you intend to dig to receive locates of underground utilities. rvww.ponherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work wilt 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. Exterior work authoraed by a building permit issued in accordance with the Minnes uilding Code must be completed within 180 days of permit issuaoce. x ������"� x ApplicanYs Printed Name Applicarrt's Signature Page 1 of 3 rV��� �� (}�� ]�r, DO NOT WRITE BELOW THIS LINE �f��QL��� SUB TYPES ` Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck Porch(ScreeNGazebo/Pergola) _ Miscelianeous _ 01 of_Plex _ lower Level �( Pool _ Accessory Building T` WORK TYPES �New _ Interior Improvement _ Siding _ Demolish Buiiding* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation � Replace _ Repair _ Egress Window _ Water Damage _ Retaining Walt �Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation �� Occupancy �� MCES System Plan Review Code Edition 1��'�/ ..c3/�f SAC Units (25%_100%� Zoning �/f� City Water Census Code Stories �� Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water �Final � Paol:�Footings ,�,.AiNGas Tests ,,,�Final Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath �Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls •� Other: RevieHred By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge ! ��� Plan Review MCES SAC �� City SAC � � { Utility Connection Charge � S8�W Permit�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 . POOL PERMIT - APPLICATFON SUBMITTAL REQU�E�ENTS Address: 323� :���L� � � Applicant Name: _��L�°G.. ��ov✓t � � � � � GENERAL INFORMATION x ¢ b o z a ,,� ❑ ❑ Applicant name and contact information �d` ❑ ❑ Property owner name � ❑ ❑ Address of property .�' ❑ ❑ North arrow, scale (1" = 30' or 40') � ❑ ❑ Site Plan, drawn to scale showing location of house,pool, and other existing or proposed structures, including retaining walls and fences. � ❑ ❑ Location and name of all streets adjacent to property � ❑ ❑ Directional drainage arrows (existing and proposed) � ❑ ❑ Lot Square Footage � ❑ ❑ Lot Coverage ELEVATIONS Existina ,Q ❑ ❑ House corners �" ❑ ❑ Property corners � ❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ ❑ Finished pool deck corners ❑ ❑ Top of proposed retaining walls (if any) and at each different elevation(if it changes) � ❑ ❑ Pool bottom(or max. depth) DIMENSIONS Existinq �1 ❑ ❑ All property/lot lines ,��` ❑ ❑ All Easements on the property Proposed �d ❑ ❑ Pool �C]' ❑ ❑ Pool plus integrated deck/patio �' ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house Reviewed: Name Date G:FORMS/Pool Permit ChecklisUl1-20-12 �� �' �`,� 1�3�� �.�� ,���.�. ��. µ�to �t.iq��tr, Ma �s2o � ����l� �• ,� ��3 ��-����;� e�at—�a � 1'1! �"l�+,� � �* ����r��� * * �,'� [bi�� 78,3--fe�G�ax 7�3--��43 ��"�i�CCf�� t�f �t'Y8�` �fl�E; ,�"��'��� �����`i .. �� . : M�ri ��ii�l� HouS� At�t�rte�8s: ,."��,�..�Bta�ic ac�fc �T`El�- E�i��� ��� ��� ��� � _ .�. -- � � � � -� .�.,� � � �-- -.�. � � � � _ ����� �� � ��� � ���� ��a ".."_',., --`—+ _ --�--..,...�r.�. _ � ��� _ _ � y►T''��'�� � �- �"'"'�' ""�...�. T r� '^'� �...� �� �� �"�R'�;•,,�"-�1��'� `-�.R.' ",,, "�`,j� �� � � � � � 1?� --_•_-�.. ..... .,,_;.,. ,o ��: " �--.�.�.. �� � DRIVEWqY I� �K �- �x� �,�, I� � � �K� ���� � � � If �,� �� � � � � .�_ r �, � � � ,� � . � � � •��,t ,� i� � ,� � +�w.�caRr� i �.�, t� � � �} I . . � � � i Wood Deck_ I_�) • � �� � � u-•''. �� I Ir�!�� � I�l��,,3 f'� � �LL�� I� A . �� '1 n p�Mr'-"�t `sn � I� � i,�a.9 f.�;�. �' �'� g N 888.97 X� � � �+�f B�W 886.86 I ! m 6 ��-xt^ t' �� �� `° �� ` I• � i tl,� �i"l i� X887.00 ,_—" 887. � �� � ;� � _ '" r' - � I [ r, ',.,. .� 6 � ProPosed Poo� � � /�'ti�� � 35 '� �..dif. " �'roposed E4� �� � .,� � �' v � ' (886.8� �on I! � r X 5 X 85.5' � 25 ,m�' S R t . � 885. 5 � ;�'� r A �...... �� a �_� . +i..r,,, �� � o � �� • , . �:e � �.,. ,�.�... , �� � � —�. � ����f�� � ..� �+i�s ��� �ri 1 a�,r�w'T �'�.1. Yt� a i�aao C�tt4�ilM €�tIl4Q Q+�v�pt�1 � .�,Ht�! fLEYA„� =4��#�at #�rvpo�sd E�ava�n Lswa�rt Fl� Eiav+c�tlon:�� -� t�e�t*�s �rot�o�s 8c #1�fltt� Eo�m+�nt �r� o# �o� ��r��+n;� '••••••�•��A1i�i! �'Q�'f� �t�Ml ����t —4� UM�O� M�QfK;�!!!!t� �0 SIO�i E�#MQ�Dtt:�.� —�-1�#!'l�t��i ��� �� ���t�� �t1Q� +0ii fl�A1i� ����� E.d���f� ...�.�.�.. � a1�Itt�T� C�i"PY. �`A t�nwAr��r t�s tf��sws1+.��►r�p�ors b�t•r nn�r► +�rwot ,�rrot�t i aiw+��t,�n�'�' wrd�r;1rr tawN�F rht�Dip►Of 14�M�q►vr�.f�ttM fl��� ,,,.d�ot A.tl.�p,�� R ���l�r. ��_��� 1MOi[ltfi�.l�Mt f�..�. . 1 l PERMIT City of Eagan Permit Type:Building Permit Number:EA153479 Date Issued:12/20/2018 Permit Category:ePermit Site Address: 3239 Black Oak Dr Lot:3 Block: 11 Addition: Bur Oak Hills 2nd PID:10-15501-11-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Patricia A Ryan 3239 Black Oak Dr Eagan MN 55121 Great Plains Windows & Doors 6866 33rd St N, Suite 100 Oakdale MN 55128 (651) 207-4571 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159097 Date Issued:11/20/2019 Permit Category:ePermit Site Address: 3239 Black Oak Dr Lot:3 Block: 11 Addition: Bur Oak Hills 2nd PID:10-15501-11-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Patricia A Ryan 3239 Black Oak Dr Eagan MN 55121 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163830 Date Issued:09/14/2020 Permit Category:ePermit Site Address: 3239 Black Oak Dr Lot:3 Block: 11 Addition: Bur Oak Hills 2nd PID:10-15501-11-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Patricia A Ryan 3239 Black Oak Dr Eagan MN 55121 Zen Windows Twin Cities Inc 32097 Hedgehog St NW Princeton MN 55337 (763) 286-6871 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167463 Date Issued:03/16/2021 Permit Category:ePermit Site Address: 3239 Black Oak Dr Lot:3 Block: 11 Addition: Bur Oak Hills 2nd PID:10-15501-11-030 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: 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. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Patricia Ann Ryan 3239 Black Oak Dr Eagan MN 55121 (651) 336-1902 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:Plumbing Permit Number:EA177521 Date Issued:07/07/2022 Permit Category:ePermit Site Address: 3239 Black Oak Dr Lot:3 Block: 11 Addition: Bur Oak Hills 2nd PID:10-15501-11-030 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Patricia Ann Ryan 3239 Black Oak Dr Eagan MN 55121 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature