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3243 Black Oak Dr For Office Use 2( I IS, c' ~tti Permit City of Eapn 1 Permit Fee: 4` ~ a C t..a~ 3830 Pilot Knob Road "u, , 2 td00*~ Eagan MN 55122 I Date Received: I I Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: - - - - - - - - - - - - - - - - - J 2009 MECHANICAL PERMIT APPLICATION Date: 1 Site Address: 3LL5~kA U`- / - OcuK DY i y e> Tenant: vp~mmj Suite RESIDENT / OWNER Name: Phone: W?I?`T' / 703 Address / City / Zip: 10I t//el r License HfAliVI J) AIL, CONTRACTOR Name: Address: eld~ ' ' I City: v~/ VIPC~MJ S ate: Zip: Phone:? 0 1 - I / Contact Person: TYPE OF WORK New -K Replacement Additional Alteration 'Demolition Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / Remove) When installing/removing tank(s), call for inspection by Fire L Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 accordancewith the approved pla the case of work which requires a review and approval of plans. d -171 yo, tr X J2 Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground ^ Rough In Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection      ÷ì÷    øø þ  ý þýý  üû û ú     ùýý  ü ÷ðóðþ ðûôì    ð ÿ  þý÷  üûúùø ôñ ô ÷ôùø ó ö  ôñ ô áû  ô  ô  ô ø ô ô îûô   ûú ô  ã ô ô ýü  þ ô  ø ôýÝ Ü  ý ððäð å ùô û  ô ë ó ãþ ô í Ýò ø  æêäêðää öù  üûô ô íè æê ê   õøôø ÷ óò øø   ô  ëâò ù   ô ë ð ì ô üûü ûãóþ  ãó ÝßÜðää  ô úù ö    ë ô   øø       éô  ôô   ô  øùö  øø ú ü   éã  ü û  ñùéþ  ìô  ê øø õ ô  ü ûô  û ùü ûô REC orvv OF EAGJ1'e PE TYPE: cet I.1 r N ?s 021 Pilot Knob Road Permit Number 2 :3 4 q Eagan, Minnesota•56123 Do* leads!: • 4 /08 /94 (612) 681-4675 sr'- SITE ADDRESS: 1 01 'J N' 1.1l C tc 111 ACV kiA1% UIt t:(tiv C)Ak H I I. I. `; ;?hil PERMIT SUBTYPE: APPLICANT: 14t:tfot4AI it CON"; I I NC: tfr1?') `t;3 ? I6N1. TYPE OF WORK: Nfw 'oo I t4as 1` i??INt1A t' I i'1N kAM[MCi iti}t?I 1N[4 ?.»«r 1, .N',iJI A I I+3N t" till t'I ACt'. i 0 1 ) h i 114 t' t f U 10)(1141 I N I11 G S 'INAI Pt 116 NA I. tr s N A fr k s:, . 4J t' 1_ ti k- t-' I Vi t A k 111 H O } No.. t srnft Notdur Dft bona 0 47? PURAWNG E MIPRWon tDaft kiep. t aataNrb F©dk sl d/ FbumWon plooft rf "!W!h P14 Rough Mg. ;+?1r Ud. Fwspla°a -9 Anal hlfa. ?, Craet aw Firms Pibg Plbg. illapenCar- No0 P9 t ar const Meter EngrJP$an Mg. FUn Deck Fig. Deck Final well Pr. Disp. ?S= ? 9 Ai -a C?,ertificate of cccupanc? Wit4 of "an Imeodrbaent of losable andpecdon 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: U. Classification: S):' DWIG Bldg. Permit No. 23244 Occupancy Type R3/MI Zoning District RI a Type Cone. VN Owner of Building MMWJD CWIRIJOTIQd Adam 7601 145TH ST W, M161?1KMfl' Building Address 3243 MAaWIW DRIVE amity L4, B 11, BUR MR HILLS 2ND - '' Date. Building Official POST IN A CONSPICUOUS PLACE Address 3243 BLACX OAK DRIVE Zip 5512 Lot. . .4 Blk 11 Sub BUR OAK HIl S 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. . 11 Date: Yes No Inspector: Final grade (6" /from siding) ff Permanent steps (garage) Permanent steps (main entry) Permanent driveway V 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 a. 903,0 1/1L'f -;? Requ r4 ate 2 11 F re o. Rough- ection Required (You m1 inspector when ready) Inspeon Other TRough•In 13 Ready Now Will Notify Inspector , tyQ Yes ? No Date Ready I licensed contractor ? owner hereby request inspection of above electrical work at: J ddr as (St ee Box or R Eli City Section No. Township Name or No. Range No. Coun Occ t <RR 1 '?1 PhoPe.N? 1` p Power Sup iAddress A El pc cal Contractor (Company Name) Q C? C5 Co tractor's License No. i din Address (ContrOwner11Making Installation ``++ _ tt1?) l ?l ? ( V j A oozed Signatur (Contractor/Owner Making Installation) Pho ber MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GrIggs-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. ?/9o3 REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy. 'X" Below Work Covered by This Request EB• OP001-08 gw d qep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dr er Load Management Comm./Industrial urnace Other (Specify) Farm Air Conditioner Other (spe0y) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee ' Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above tOO Amps Signs . Inspector's Use Only: TO Irrigation Booms 1. Special Inspection Alarm/Communication THIS INSTALLATION MAY B DE 5CbNNE ED IF NOT Other Fee COMPLETED WITHIN 18 VQWS. 1 I, the Electrical Inspector, hereby Rough-in Date 7 certify that the above inspection has been made. Final at 2 ,/tr 7'?"' OFFICE USE ONLY VQ, This request void 18 months from 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-6814675 l+tew C onalructlon IRea iremerrt? 33q. ? b 3 registered site surveys "wing sq. ft. of lot, sq. ft. of house 2 copies of plan ('Q??{ 10.12-'{30 and SCI roofed areas maximum lot coveraare allowed) 1 set of energy calculations for hs?riad 2 copies of plans (show beam & window sixes: poured Ind. design; etc.) 1 alts survey for exterior adcillons & decks 1 ! I r 1 1 set of energy calculations * 3 copies of tree preservation plan N lot planed after 7/1/93 DATE: //7oc) DESCRIPTION OF WORK: &/ l I De CONSTRUCTION COST: W ;2,,?,, 000.CJO YJ? i i r« STREET ADDRESS: X43 16 14 6c O- AK LOT: BLOCK:.,,_ I 1 SUBD./P.I.D. #: ti PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER ??ay Name: 41A Avg- , ,D`t 1 I Phone #: (05/-1-54 - / 7 Last Rif street Address: 32 4-3 l aG k Oa City eaAl State: 41 Zip: 5157/ Z 2 4-01 Company: MG OW4/d Pe, 04 Odd 1 Phone #: a 65-4-12 (area code) Street Address: (O 15- cahi `l City r/eli, C- Q4J2 & h -5 _ state: MIV Zip: SS07b Company: I c o m'a pi 00;4" _ Name: 4 ?J - S / 42 Telephone #: (6v) Sheet Address: l (cc?i // +e • -71 Re irallon #: 0 C7 / 'I City l 1( -e t - rrt. / f4 4 , , hh Slate: /V= Zip: 5-,4 74?1 Sewer/water licensed plumber (if Installing seweflwater): Phone #: I hereby acknowledge that I have read this application, slate that the information Is correct, and agree to comply with 01 applIcabte State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant T' - OFFICE USE ONLY Certificates of Survey Received Yes No OCT 2000 Tree Preservation Plan Received Yes No Not Required License f2020 . 2 Exp. 3'31-01 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plea ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE 31 New (] 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 ? 17 Garage U 22 W 18 Deck ? 23 ? 19 Lower Level ? 24 P1bg - Y or _ N ? 25 ? 20 Pool ? 30 Porch (3-sea.) Porch/Addn. (4-sea.) Porch (screened) Storm Damage Miscellaneous Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings l Const. (Actual) (Allowable) - ,/ UBC Occupancy Zoning -1 # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building 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 Total: ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Valuation: SAC Units % SAC 9. . MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 10-9-2000 DATE OF PLANS: 10-03-2000 TITLE: PORCH/ DECK ADDITION PROJECT INFORMATION: Dave & Jill Raymond 3243 Back Oak Drive Eagan, MN 55121 COMPANY INFORMATION: McDonald Remodeling Collaborative 6015 Cahill Avenue Inver Grove Heights, MN 55076 NOTES: Designer: Max E. Norton COMPLIANCE: PASSES Required UA = 420 Your Home = 418 0.5% Better Than Code Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS: Raised Truss 1300 44.0 0.0 29 WALLS: Wood Frame, 16" O.C. 2410 19.0 2.0 135 BSMT: Conc. 8.0' ht/7.5' bg/8.0' insul 888 11.0 0.0 53 GLAZING: Windows or Doors, Above Grade 488 0.350 171 DOORS 68 0.350 24 FLOORS: Over Outside Air 248 45.0 0.0 6 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minneso Ener Code. Builder/Designer Date a ??? 2422` .tArt7rl$9 Drive ¦....ri...?...ra....? Mendota heights, MN 55120 PIONEER LAND GrJAK'r'0!7 C141L C (612) 681-1914 FAX; 681-9488 NC11r7P5 ? 000 ?Q ? --- LAND PLANNERS. LANDSCAPE AACHITECTS 625 Highway 11) N.E. Blaine, MN 55434 (612) 783-1880 FAX: 783-1883 Certificr}' of S11rr.yr " for: MC DONALD CONST., INC 3243 BLACK, OAK DRIVE BLACK OAK DRIVE ?.1 0 - 0 LIGHT---'egs.l0U00 N04°47120' E TV. PIED. I a> ' x SERVICE c7 u t?} 1 tb?`i• o INV.=886.5 `'jn i o 5 5 0 "-'TELF_.PI:D. M I PROPOSED I'll BENCH MARK' DRIVEWAY TOP OF HUB 8982 ??IQ `'? r'. ELEV.=898.11 t - - 895,1 898.3 i W W 0 U 89444 891.2 x89y.J Z7 159.,3Y Ii.? v 37.67 S Iri GARAGE n f o I.. Ll/ 0 Atho j[ 220 0, ' o X69-4.0 ?.??r? 89 7 895 1 ,. x809.9 A9.4 r? N t,J t IO f i rT[PJ ue: - 4 '`DRAINAGE Ea UTILITY SI EASEMENT PER PLAt x _ ©8G.3 v PROPOSED GRADES SHOWN PER GRADING PLAN NOTE: GOLDING DIMENSIONS SHOWN ARE FOR HORIZONTA.. AND VERTICAL LOCATION OF STRUCTURES ONLY. SEE ARCHITECTUAI. PLANS FOR SUILOINQ AND FOUNDATION DIMENSIONS. NOTE: CONTRACtOR MUST VERIFY DRIVEWAY VESICN. NOTE, NO SPECIFIC SOILS INVESTIGATION HAS BEFN COMPLFIED GV THIS LOT LRY THE SURVEYOR. THE SUITAUIUr( OF SOILS TO SUPPORT THE SPECInC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. N 04°30 M a' C\I r 0 W (Ir) BENCH MARK TOP OF HUB t:LE V.: 89773 O T I- \5 94.8 EA G.MN I- REVIr.WEIl 1386.8 - l3rd?o c3) ED BY EAGAN MGINEERIN'G DEPT. THIS CERTIFICATE DOES NOT PURPORT Ta SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. BEARINGS SHOWN ARE ASSUMED PIzc31'Q r HOUsr Ft VAT10W x 000.06 Denotes Existing Elevation 9 I7 Z _ Z. ooo.oo ) benoles Proposed Elevation Lowest Floor Elevation: Denotes Droinoge & Utility Easement -=r Denotes Drainage Flow Direction Top of Flock Elevation: s Denotes Monument Iq r .-o- Denotes Offset Hub Garogo Slab Elevation' ?? LOT 4 , BLOCK ii _ BUR OAK HILLS 2ND ADDITION DAKOTA COUNTY. MINNESOTA We hereby Certify Thal this SJr'My, plarl Jr rec rt Was orP,:a'ed by me a' lnde' r^y direct 34er i uc'r:-0'1d-,!no! f orm duly reyleter d Lrn10 vur1?r tAARC H undte the lows of the Stole of WnAssela. Gotod th-e H doi o' A.D. is l / 1GNEDy" PIONEER ENGI'dEERING., 19828 Scale: 1 inch 30 feet John C. Larson, S. Rey No. PERMIT C- c -' CITY OF EAGAN / 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 3 2 4 4 (612) 681-4675 Date Issued: 04/08/94 SITE ADDRESS: 3243 BLACK OAK DR LOT: 4 BLOCK: 11 BUR OAK HILLS 2ND P.T.N.: 10-15501-040-11 DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 Construction Type V-N Zoning R-1 Building Length 68 Building Width 33 Building stories 2 REMARKS: S & W PLBR - FIVE STAR PLBG FEE SUMMARY VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $772.50 $502.13 $69.00 $800.00 100 1 $2,143.63 $138,000 MISCELLANEOUS $1,828.50 Total Fee $3,972.13 CONTRACTOR: - Applicant - ST. L I C . OWNER: MCDONALD CONST INC 14327601 0002376 CDONALD CONST 7601 145TH ST W 7601 145TH ST W APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 432-7601 (612)432-7601 L 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 Mn. Statutes and City of Eagan Ordinances. APPLICAN ERMITEE SIGNATURE ISSUED : SIGNATURE' REACTIVATE CITY OF EAGAN PEI !-IT #" t 1 BUILDING PERMIT APPL1 T10N4 681-4675 APR 0 5 1994 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy itenergy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy talcs. 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 3 Site Address: STREET Tenant Name: (commercial only) SUITE B I IAT BLOCK SUED . V R A 't-1 12 I P. I . D . M I Description of work: The applicant is: ? Owner ? Contractor ? Other (a.ccr1 ). Name Phone Property LAST FIRST Owner Address STREET STE 0 City State Zip Company Phone 7 O Contractor Address _7(, .O f i ( A ,U License #OOO L ?4 Exp. City A pal e ! (e State Zip Company Phone Architect/ Registration 9 Engineer Name - Address City State Zip Sewer & water licensed plumber F" 7 - . 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 D 01 Foundation ? 06 Duplex 02 SF Dwg. 0 07 4-Plex ? 03 SF Addition ? 08 8-Plex 0 04 SF Porch ? 09 12-Flex ? 05 SF Misc. ? 10 Multi. Addl. WORK TYPE 31 New ? 33. Alterations 11 32 Addition ? 34 Repair GENERAL INFORMATION Const. Actual) Al (Allowable) UBC Occupancy 'Zoning # of Stories K. a Length Depth APPROVALS 0 11 Apt./Lodging 6nsept?i?inish 0 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory ? 18 Comm./Ind. ? 14 Fireplace 0 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous O 35 Tenant Finish ? 36 Move ? 37 Demolish Basement sq. ft. 1oGJ 1st Fl. sq. ft. 2nd Fl. sq. ft. t__v Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building Engineering Variance REQUIRED INSPECTIONS 0 Site 12 Footing IJ Wallboard M Final MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments a Framing 0 Draintile Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units VaLi tion: 4 1:? 1 U q ,, / !? t3? 72 a ???o acs yf a x , f ?.- G? 3ti d 4 j 7 f, JB Insulation Fireplace t 2422 Enterprise Drive Mendota Heights, MN 55120 PIIGINUUR LAND sURVemRS • CIVIL ENGIN[EPS (61) 681-1914 FAX:681-9488 engineering LAND PLANNERS. LANDSCAPE AACNITECTS 625 Highway 11) N.E. Alpine, MN 55434 * ?` * (612) 783-1880 FAX:783-1883 Certificc l- of i??„P„ for: Mc DONALD CONST. s INC. 3243 BLACK OAK DRIVE BLACK OAK DRIVE a 8961 ` 896 5 -?- TV. PEA. LIGHT -- '` 90.00 N04°4720, E 0 7 V. 5.9 SERVICE t_? q i ?cl ' x 2 IN V.s 88.6.5 ! 5 5 0 ? -TE & PED. +I PROPOSED BENCH MARK BENCH MARK "' DRIVEWAY +? I _r TOP OF HUB TOP OF HUB 1 $9$2 ?^?Iq 5?89Qg f 8 E3EV.=897 73 ELEV.= B9 B. I 1 - - T^ `- -r 33 .M x897.9(--9roo-7- 0 9. tl.O W -00 37.67 GARAGE o, Wo x -CJ In p o PROPOSED 220 W -In q (6 HOUSE ~ $o i 38.0 893.7 69 X894.0 894.44 889.4 X88 ?II;Ov10'+C.SEt11rr1Cjtx- 4 V 4f g? T\ o M d' 0 94.8 ? 'DRAINAGE a UTILITY 5 EASEMENT PER PLAT-z, 886.3 ( „3) 90.00 NO Z-=====e- Iwo nls-? A `? PROPOSED GRADES SHOWN PER GRADING PLAN BY.,, NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR SUILOINO AND FOUNDATION DIMENSIONS. NOTE: CONTRACTOR MUST VERIFY DRIVEWA'f DESIGN. NOTE, NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOfLS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. x ooo.oo Denotes Existing Elevotion ( ooo.oo ) Denotes Proposed Elevation =.? Denotes Drainage & Utility Easement Denotes Drainage Flow Direction _,?--- Denotes Monument .--D Denotes Offset Hub EAGAN DEPT. THIS CERTIFICATE GOES NOT PURPORT 10 SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. BEARINGS SHOWN ARE ASSUMED PROPO$FD HOUSE ELEVATION Lowest Floor Elevation: Top of Block Elevotion: 17 Garage Slob Elevation: f? tTl LOT 4 BLOCKL BUR OAK HILLS 2ND ADDITION DAKOTA COUNTY, MINNESOTA de^ m my dlreGt super nsror. od~tnot I am duty reglsterd LoAd..5??v r We rereb) Certify that -.h:-. AJrVey, PIvn pr report was orep Bed GY me a- trNnIde C A.D. 19 urtEer the saws of lha ;tote of M?r.nesCta. toted WS ?- day 0 GNED IONEER ENGI EERING. f?? Scale: 1 inch -- 30 feet tJ John C. Larson, .S.Reg. No. 19828 k- y ?.- '` fx " 886.8 4 Cp hOT SVRVZY CZLCZLIST FOR ZZSIDZNTI#L $LIILDtwa PZP IT 1PPLZCIT1ON ZROPZRTY L!GkL$ Date of Surveys o • ReVistnred land Surveyor signature and Company e- pplicant t P B D Legal descrip ion D • Address D D • North arrow and bar scale House type (rambler, walkout, split r/o, split entry ll?D 0 , lookout, ate.) Directional drainage arrows with slope/gradient t. u D 0 Proposed/existing sewer and Water services Street name r t) D • Driveway PLZV?TSOI?A D Sewer service ?P 0 D' O O Lot corners Top of curb at the driveway D? D D Elevations of any existing adjacent homes D ? O pre= - Garage floor 0 0 D D O First floor Lowest exposed elevation (walkout/window) Property corners 8' D D Front and rear of home at the foundation PONDSIga RRZ!?B f i f enpl i cabl.1 D S?0 Zasement line ? n • Un D Pond g designation DD DD Esergancy Overflow Elevation DD D • D2lstN6=Olts Lot lines V D Right•of-way and street width (to back of curb) 133 D Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) 0 D • Show all easements of record and any City utilities within those easements D D D Setbacks of proposed structure and setback of adjacent existing homes , D D Retain in w requirements, It any Reviewed: . 1+85 W 8 96.6 S 887 1" COPPER WATER I SERVICE-TYPE K(TYP) 6 5 4" PVC SAN.SEWER SERVICE - SDR 26 (TY .; S ELEC 0 f . 4 0.9 TELL 458' ------ I I I E w ! r 2 W 896.1 S 887.0 3+65 W 895.0 S 886.5 4 ?I in' i GAr1 DRANT WJ 67x 6" TEE 3 2+6? W 394.5 1 S 88,•6.0 .109.2 , r 45.4 43.2 r3 251 43.3. TE 1 (i -L,?I 3`TYP 477_ '' , r . r• l?? II I MH i 5 It / !i 102. CONNECT TO E K13TING 6" 01 P AT S74 7+35 r94 S i(375 - I -- 9 32.6' T L 45.7_' 2+86 c39 .1 S a 7.G I 6" GATE I_+7 9 W 894.5 S 885.5 I r SEE 45.OrErL. 447 45.8' .r ' ELEC 6" o.1.p 44.7 45.3 54 8 ELIE C .-OR TIONS- THIS G i=. 1:J EVA Q N PURPOSES ON " AtN'D SG IT SHOULD V^., t THE IN 4m N THE SITE,. I i 3+5.6 2+65 ?. i 1+56 i S 8 3 0. _ d 6-, $ 41 3 is N EXISTING PROFILE r" -- of°a? O > + iZ II 6'' DIP CLASS 52 WATERMAIN --- ?& -8 PVC o 0.4 aS R 356 12" RCP STORM SEWER iw co - > + z _ UTdf TI-- vii? s i. SHO -iTE -j'! of L • P 123 w C) L V/ Icp ?Im O +Z MINNESOTA STATES RGY CODE CALCULATIONS BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE x,983 EDITION Adoption Effective owner r Phone Date Site Address Contractor A?. Ph e Building Classification: Type Al (Single Family & Duplex) Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other) NOTE: Complete pages 3 and 4 first. GENERAL INFORMATION ? ti 1. Building Perimeter JI4F'?` ft. 2. Wall height (ground to save) ft. 3. 1. X 2. (above) gross wall area ?• sq.ft. 4. Building dimensions (L) X (W) '? =,.?U72 sq.ft.roof & floor area 5. Sq. foot area of rim joist - Floor jo t size (2 X lD ) X (Perimeter) >sq.ft. 1 6. Doors - Area 12 Thickness in U. factor' Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft. a. Windows : Manuf acturer_/. V SLR b 42t44 'T, State approved U factor TYPE SIZE . ??ffor AREA (Sq.Ft.) NUMBER OF TOTAL EACH UNITS SQ FEET 9. Total sq.ft. Glass 1/0 10. Fireplace area: Width X Height = X = sq.ft. 11. Exposed foundation: Height X Perimeter,?,?X_I?=A_sq. ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. -1- , 12. 13. Framing area = lot of gross wall area. Gross wall area sq.ft. Window area sq.ft. U windows • 776 Rim joist area A _1?5 sq.ft. U rim joist= SAT Door area A sq. f t . U door area= lit Other doors area A sq.ft. U other doors= Exposed fndn A sq.ft. U foundation= Framing area A sq.ft, U framing area=!.----- Net wall area A i sq. f t. U wall- (13B) TOTAL . . . . . . . . X44-22ti UxA - (I/ UxA - UxA = I UxA = UxA = UxA - UXA = O UxA = 14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code (13. above) x 0.23 (A-2 other residential) x .23 (other buildings) x .28 (over 3 stories) BTUH must be larger than or same A x U Code a 3 OF. as 13B above 15. Ceiling framing area (A1) equals lot of ceiling area 15A. Gross ceiling area = (L) -- x (W) - - I o-7 Z sq.ft. 15B. Joist area (A f) a 10$ ceiling area oll,sq. ft. 15C. Net ceiling area (Ac) (15A - 15B) b-sqaft, U ceiling x A c - Z U framing x A f x_1 15D. TOTAL U x A..* ... .......................__ 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex) = allowable UxA/ Code x 0.033 (A-2 other residential) x 0.06 (other) A(15A)???? x U Code, P-8 °HFUH must be larger than or same as 150 above NOTE: Use U anti A values obtained from pages 1, 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and ""R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. Date Signature ti -2-• 1994 PLUMBING 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. NO. FIXTURES EACH TOTAL SHOWER 3.00 00 WATER CLOSET 3.00 BATH TUB 3.00 ?. ns LAVATORY 3.00 0. (a KITCHEN SINK 3.00 3. Co LAUNDRY TRAY 3.00 o?) 1 HOT TUB/SPA 3.00 -7.00 WATER HEATER 3.00 Qx)Q FLOOR DRAIN 3.00 .3 d- GAS PIPING OUTLET • minimum -1 3.00 C.00 ROUGH OPENINGS 1.50 V, Irlo WATER SOFTENER 5.00 "S 6 6 PRIVATE DISP. • Dak.tty. u?. 20.00 U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS • to existing 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE TOTAL: ,,,33 SITE ADDRESS: % .50 it Ou'r OWNER Uc T/O/7 INST. ADDRESS: \J KWC' I V L? - CITY:jfjl ga a p , L `rd V C-/ STATE:_ PHONE #: ( ) Y / - `t l PO ZIP CODE: SIGNATURE OF PERMITTEE 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN S5122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE, STATE SURCHARGE: $.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: PHONE #: STATE: ZIP CODE. FOR• CITY OF EAGAN APPLICANT 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 FIREPLACE INSERT DATE HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU tt 6.00 GAS OUTLETS (MINIMUM 1 @ $3.0o EACH) 6 •Lo ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: V V \? s???? c?-r? _ TELEPHONE #: INST ADDRESS: ?> > O Y c) ^I t J cl L))j CITY: STATE: t n f \) ZIP CODE. d TELEPHONE #: - (cc ._(nC) ii 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL,/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT CONTRACT PRICE: $ WORK DESCRIPTION: 1% OF ictot.':oi :?".;::''1,:' FEE t?R2'd:z?:?tco?.C+i?;,s:'ttt? PROCESSED PIPING: MINIMUM FEE: STATE SURCHARGE TOTAL FEES $25.00 $25.00 $.50 FOR EACH $1,000 OF FEE. SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-467S 2 g g PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date // /? Site Address Unit # " D/7 G J Telephone # ((p S/) y?? /d l0 7 Property Owner j)e wj Contractor % 1 ZJA A 10 PJ't(Y!'4J1 7 Address V l y 1 /d/ q L/! f-w U? . City State zip SS o Telephone # (9$ y!o - l/ l The Applicant is Owner Contractor Other Septic System - New - Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system Water turnaround (+ 5/8" meter if needed - $121.00) _ Other: RPZ new installation repair rebw 30.00 - Lawn irrigation system Water softener Water heater - $ 15.00 replacement _ additional $ .50 State Surcharge Total _ ? .L_ aL.. «I. :I I I hereby apply for a Residential Plumbing Permit and acknowledge that the information is compicuu and a'cwauc, u11L L,I? v.w• ... be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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. Applicant's Printed Name App ' is Signature City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 F For ---- e-Us-e - Offit: ----------I ?2& 9 Permit#: Permit Fee: 175-,76' Date Received : ` Staff: C ------ ---------- 2009 RESIDENTIAL BUILDING PERMIT APPLICATION L"" Date: Site Address: 324 3 & P 4 9 - OAY, RA(Qft. - 7A (A J 12 Tenant: Suite #: RESIDENT / OWNER Name: y% 3 ?1tU_ ?f 4pr1.t Phone: &6(--T,5' ((47 Address / City / Zip: 3243 3=&4 1nit - !5/Zl Applicant is: Owner Contractor TYPE OF WORK Description of work: LDIO€9 jE_j kt l? Construction Cost: 0yQ Buildin Multi-Famil : (Yes / No g y _ 4 CONTRACTOR Name: Mt. 1.1P L-0 fYla?Q?l?ki License #: Address: 1 , 0 0 g CA}(U, AU G & _ 1 1 2 0 City: J-.4u - 12t):1? f ?Eit? State: M14 Zip: 7(p Phone: (6 6S;4 _ 12`3 - Contact Person: C.: t(R(S \U e- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J 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 maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge Eagan; t understt accor nce ith theca Applicant's Printed : this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of 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 ved plan ' the case of work which requires a review and approval lans. Ir x me IF L ' U , 5i A icant's Signature MAY 0 6 ?000 L-= Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction Fireplace _ Porch (3-Season) _ Storm Damage Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 4 Lower Level _ Pool _ Miscellaneous _j /7 A Interior Improvement _ Siding _ Demolish Building* Move Building _ Reroof _ Demolish Interior _ Fire Repair Windows _ Demolish Foundation Repair _ Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy Code Edition Zoning Stories Square Feet Length Width L'7( -I IM j) 2ce) 7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers - T3--CT-REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: -Rough In Air Test Insulation Meter Size: Reviewed By: Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Sheetrock Final / C.O. Required > Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath -Brick 2 Windows Retaining Wall Erosion Control ilding Inspector . i 1-i u l T ..72>& / 5 i} /r7 e2 ? n 3 S ?r tia !fit`-CrZ ???? & 0 ,e% Page 2 of 3 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. moo. so NAY S 12009 Date 1 ® / Site Street Address 9 '13 O! C% UA 1 Unit # Property Owner Telephone # ( ) Al Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. Septic System Abandonment Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 new replacement Lawn Irrigation RPZ PVB new -repair rebuild $ 30.00 State Surcharge $ .50 Total $v`?.1v I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan'is require to_bbe?rev' iew d and pproved. 04,1 e? I'll f + fA/V"W?? a 1 IJJUA Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153037 Date Issued:11/15/2018 Permit Category:ePermit Site Address: 3243 Black Oak Dr Lot:4 Block: 11 Addition: Bur Oak Hills 2nd PID:10-15501-11-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - David Tste J Raymond 3243 Black Oak Dr Eagan MN 55121 (612) 275-5969 River Valley Rpz Llc 1623 210th St E Farmington MN 55204 (515) 210-2094 Applicant/Permitee: Signature Issued By: Signature