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3246 Black Oak Dr
Use BLUE or BLACK Ink For Office Use Cat of tna a ; Permit 0: 1 Y n Permit Fee; 3830 Pilot Knob Road I I Eagan MN 55122 1 Date Received: 1 I I Phone: (651) 6765675 l staff: 1 Fax: (651) 675-5694 I 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date, . d~ b Site Address: Tenant: Suite R~SIbIF:N'1' 10 N Name: and rC n ~~tf~1a U► Phone; (O 5I -Li 81 SS W 6R: Address/City/Zip: 3aN~c Q\ack OCA S 9 r Name: License S J I ~7 - COW1'R ► 'f a' Address: 5b AVQ A) Ga '*cLQQ City: _&a -W State:_ Zip; Phone: 5 ° b3 g " `'l Q O Contact Finail: &Ac e~ eL~ S C 'LO M New z Replacement _Repair Rebuild Modify Space Work In R.O.W. Description of work: RESIDENTIAL X- Water Heater Lawn Irrigation Water Softener RPZ PVB) PERMIT 'HPE,,;. Add Plumbing Fixtures (-Main / - Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (Includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) 'Water Turnaround (add $189.00 if a 5/8" meter Is required) $105.00 Septic S tern N w ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 60 ' or) CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.goopherst<ajeonecall.ora 1 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 applicatlon 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 a t"~ k'! t CAC- X Applicant's Printed Name App cant's Signature Fok OFFICE WSJ ~Cbvit we gy bet : , • Ftegrrtdrdd lns~6dtlbnsh tinder ~trttand Rwh-~atr Test Oes ttt _,~,Fina1 \e~se \ CCU (O51-(0 ~~r 19 go ex~ , INS ; Ab~OFEAGAN *90 Pilot Knob Road ~ I , u, mwmsot a 55123 ;q 4 $ (W) 6814875 SITE ADDRESS: r ' '3 ; 8 R,. ttlTo Fit O( . AIANT: :?4ti ti,t ACk OAK OR TlleNFRWORK5 PLOPS 1f4c H i R OAK t111.1" s N 11 (t i. ti li 6 Ki S d~ e#j PORMT SUBTYPE: TYPE OP WtFIKa `a SF aawa sx, F~ 3 030t, A r 10 N F i N A t , 6 ii N Al (K s-& k4 4 0 N T R b TO R V A i.'}'. Y 1 " [l Pi 13 1 N to " F+erslR i'~D. 07~glt Hsil~' ~ # MOM -zoom 1ehn Oaf 1>ia~. ii•nlm~b R -12 Fib Ff. P - pWllfy F11*11 Oldo. Final Deck Final ft. [fsp. INSPECTION, RECORD ~ rrr: T _aTY OF EAGAN P ER T-TYpE 3W Pilot Knob Road f eM* Number Ern, Minnesota 55122-1597 I? *Of 1.7 /91 SITE ADDRESS: , APPLICANT:- t. RERMff SUBTYPE: TYFW OF WORK: PORCH BC f.C ) (IN !?€1T YNt£ FRAV41..14G f MA . m_M 77f' T J _'a } F r F {jl =k# i^f}~?:'Y}ttf; p m tt N& leer flag t aph a F. F+~?IJJd11Qk b C J Oft T FI ~ .r p PNPf PIS. FITO O!R TEOT SLOG FWAL tz,l BBMT R.I. RSMT FINAL VK FT& DECK FINAL e ` ~ 9 > ~e~ti~icate n~ ~canc~ lot W"" 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: SK DWG 21188 Use classification: Bldg. Pmnit No. R31M1 Fa OC-p2DcY Type ZoninF`Dishict W Qe Consc. TIMMWM BUYERS Bzq MR li`d- M Owner of Building Address s s RK Off F= 2ND J 4 ` naa ` y ) r aral«y / 1 - Z: Date: Building Official POST IN A CONSPICUOUS PLACE Address 3246 BLACK OAK DRIVE Zip 5512 1 Lot s? Blk 8 Sub BUR OAK KrUS 2ND 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 / 8P 4 9~- r ~r.o o~ ~p cN Requital Date FireNo. Rough-in Inspection .NtY ` Requi ? Ready Now dloti Inspector ~ Ves C No When Ready? I licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street Box or Route No.) 4 City Section No. Township Name or No. (Range No. Coun Occupant (PRINT) hone No. Dower Supp Address &actncal oniract ompany Name) Contract License No. Mailing /Address ((Contract or Ow~nerr7Maaing installatio ; Authorzec gnatwe tContractoa ner Making Installabor Phone N bar .3, 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. REQUEST FOR ELECTRICAL INSPECTION Ee-00001-08 See instructions for completing this form on back of yellow copy.'.' "X" Below Work Covered by This Request e Add' Rep. ~TypeofBuildiag Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm. /industrial Furnace Farm Air Conditioner I Other (specify) Contractor's Remarks. Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pooi 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only! - TOTAL Irrigation Booms Special inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH, i, the Electrical Inspector, hereby Rough-in y/f Oat, certify that the above inspection has Final Date been made. r OFFICE USE'JNLY ';;,r.!• Gar This request wid 18 months from r j PERMIT CITY OF EAGAN ~ PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 0 2118 8 (612) 681-4675 Date Issued: 06/14/93 SITE ADDRESS: 3246 BLACK OAK DR LOT: 2 BLOCK: 8 BUR OAK HILLS 2ND P.I.N.: 10-15501-020-08 DESCRIPTION: B,uildin`g Permit Type SF DWG Building Work Type NEW 'UBC Occupancy R-3 M-1 Construction Type VN Zoning R-1 Building Length 60 Building Width 51 REMARKS: S&W CONTRACTOR - VALLEY PLUMBING FEE SUMMARY: VALUATION $131,000 Base Fee $748.00 MISC FEES $1,744.50 Plan Review $486.20 COPY .50 Surcharge $65.50 Total Fee $3,794.70 SAC $750.00 SAC % 100 SAC Units 1 Subtotal $2,049.70 CONTRACTOR: - Applicant - ST. LIC. OWNER: TIMBERWORKS BLDRS INC 16860911 0006352 TIMBERWORKS BLDRS INC 829 TROTTERS RIDGE RD 829 TROTTERS RIDGE RD EAGAN MN 55123 EAGAN MN 55123 (612) 686-0911 (612)686-0911 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. L- - APPLICANT/PERMITEE NA E I SUED B SI S NATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 921188 Eagan, Minnesota 55123 Date Issued: 96 /14 /93 (612) 681-4675 SITE ADDRESS: LOT: 2 BLOCK: B APPLICANT: 3246 BLACK OAK DR TIMBERWORKS BLDRS INC BUR OAK HILLS 2ND (612) 686-9911 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION DATE INSPTR. INSPECTION TYPE DATE iNSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S&W CONTRACTOR - VALLEY PLUMBING REACTIVATE 1993 UILD BUILDING PERMIT APPLICATION PERMIT JUN Q 8 1993 681-4675 20 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date l f93 Valuation of work 5_-~?'~ Site Address: 3.2 1_4cak- ©•41A-- _ioir/~ ~4G I~i✓ 3~/, 9~ STREET SUITE S Tenant Name: (commercial only) LOT o _ BLOCK SUBD. J~.L O h4 LS P.I.D. 0 Description of work: rr» ~,~-~G The applicant is: ❑ Owner Oontractor ❑ Other (Describe) Name /iBEs Phone Property LAST FIRST Owner Address B29 ~r,es STREET STE 0 City g!F1461¢1L--1 State Zip Company ~.yrdE o.a,4cs Z5C4i ~E,es ._-_ZZc-.Phone Contractor Address &92 9 '%~o77L25 yc~ License .3s? Exp. 3 9S City State /i✓ Zip SS/Z~ . Company Phoneme -96''70 Architect/ Engineer Name Registration # Address 313~~.✓~.~ City f4~V-- 007-t/ State 1114A✓ Zip Sewer & water licensed plumber YAG1''l ~~'iei~ Processing time for sewer & water permits is two days once a ea 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. ~,n,~,~uk,,sJ«~ Signature of Applicant: - OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish 02 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. Addl. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE PL 31 New ❑ 33 Alterations i❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) V- ~J Basement sq. ft. MWCC System Ytt5 (Allowable) y_N 1st F1. sq. ft. City Water - UBC Occupancy R_3 M -1 2nd Fl. sq. ft. PRV Required Zoning {_R Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code 10/ Depth On-site sewage SAC Code/ APPROVALS r Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑,Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace 1 Permit Fee Wtuatia: $ 10061- Surcharge Plan Review 6- gt9 Abt , 32 X 6yo license MWCC SAC r City SAC Water Conn. 4 r g 8 a Water Meter 135MT- Acct. Deposit S/W Permit 4 X Z6 6.2y S/W Surcharge y Treatment Pl. Road Unit (o Og X IS= Park Ded. (sT Trails Ded. Copies 0 Other Total: 1'f~ro- Is ~5 x~y= ~qG SAC % )Q) I I X I ► t 2 Z 5 2 SAC Units I Z ~ 4 Fl. .0A 133 S Y- r9 ~~x ~ ~ ►'Z 'Z 2 ~~23~ a ` . Certificate for: Bk: 165/60 'Timberworks Builders Inc. 829 Trotters'Ridge Road Eagan, MN 55123 Is- DELMAR He SCHWANZ LAND SURVEYORS, INC. Registered Under Leas of The State of Minnesota 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55066 6121423-1789 SURVEYOR'S CERTIFICATE ~a°i•~ So9o.ogsz E Z l r- I f1 ,l~ I LDT Z, f3LOGK g Scale: 1 inch- 30 feet 1 h \ p Denotes iron monument p Denotes set wood hub rr~ Denotes existing elevation ' Denotes proposed elevation 19 1 ~gqb J7, 8 ~~9g. I PA`'yo Is- H 6 I nre poled I S ~ 8q g, fo Proposed garage floor elev. ~I g I W i Ind 4 - , _ _ _ _ I • 3 Proposed lowest floor elev. ~ ( I ,~~p IZ ~ ~ p 2 slvb I I N Gera ~~0 Proposed top of block elev. I3 - - _ 2L r lip w I ~b g 69P 546 17.f~ 894,8 . ~ O) ~ "TvoHug o _ wa'f° Description: _ o Lot 2, Block 8, BUR OAK HILLS 2ND ADDITION, according to the recorded S~b•N plat thereof, Dakota County, Minnesota. ?ooCURa 96.42 8"11.1 N04-¢ 7 -20 E `o ----~y'6 -rppC,~X& Also showing the location of a 814.2 proposed house as staked thereon. 'ToPCvi2g A It hereby certify that this survey, plan. or report was •1' prepared by me or under my direct supervision and that 1 am a duly Registered Land Surveyor under the laws of the State of Minnesota. - ` Delmar H. Schwant may 28 1993 Dated ' Minnesota Registration No. 81825 . `Jrr•~'i.,, . pP~ r y LOT SURVEY CHECKLIST FOR RESIDENTIAL ~i BUILDING ERMIT A PLICATION PROPERTY LEGAL: Date of Survey: DOCOMENT STANDARDS B~ 0 0 Registered Land Surveyor signature and company V ~ 0 Building Permit Applicant 0 D Legal description ❑ go" 0 Address W ❑ 0 North arrow and bar scale [aD'*- El 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0 0 Directional drainage arrows with slope/gradient Proposed/existing sewer and water services 0 Street name 0 0 ❑ Driveway ELEVATIONS Existing 0 K 0 Sewer service D'' 0 ❑ Lot corners T--0 0 Top of curb at the driveway 0~ ❑ ❑ Elevations of any existing adjacent homes Proposed f3o 0 ❑ Garage floor Gr ❑ ❑ First floor H' 0 0 Lowest exposed elevation (walkout/window) Er 0 0 Property corners 0'~❑ 0 Front and rear of home at the foundation PONDING AREAS (if applicable) D (ro, ❑ Easement line D 0 NWL D 0 HWL 0 0 Pond # designation 0 0 Emergency Overflow Elevation DIMENSIONS ge'D 0 Lot lines Do"[] D Right-of-way and street width (to back of curb) D' 0 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e.. all structures requiring permanent footings) D' 0 0 Show all easements of record and any City utilities within those easements 13" 0 0 Setbacks of pro osed structure and setback of adjacent existing ho 0 CY ❑ Retainin ements, if any Reviewed: 6 /0*17/ 9-'r % / ate Na October 1992 . E':.XTEF''tIOR FNVEt..C:)f::'E E-lVl:::a'rit E "u" ( timF't..ttFlr':f.m Pl. <:an tt H , „T...; DU P E„ Lot Blk 8. B r a Hills Ad! Contractor Site address ?-ht:: t ial. exposed wall area 2) Total exposed ronf /cei.:l. i nq 1'`till ----`°q» ft,» 0t:l:?Q!! Q4&- Wall. calculation Total window area Total door area Total glass door- area lC)tal fireplace area DA..:ue: I't.» _lf ! Total wall framing Area 191 -"»!I=..:F.1::."- Met: insulated wall area Tot.al rim joist area Total foundation area >rl. G: a» f t:.„ 1.~1- lt.)» ■1 Total foundation window n /p _.__``•q-.:¢_tr..c.._.e..:: ~5""'._ If item _ is the same as, or less ;_h an i t:mm 1, you have met_ the intent of 7 t?t::(tRI 1 M% A and I) Roof/ceiling calculation Total skylight arer:a ---rti,!g__ '00-097--Z iTtrh al roof/ceiling framing -___~U'_°sOn f l a_Ar_-'.0_ 05 Net insulated roof area M e:1, t:. < Q":..n.ntpnt. 4.? 1 ot.al If item 4 i. s same <as, or less than 2, you met of 2 MCAR 1.16008 A and F) Alternate building envelope c:les i qri to utilize the t:oh:.& K_n vel!-npp system method the sum Al: items 1. and 2 shall he greater than the sum of items and 4 T. hereby r..erti. tfy t:hr<:at the h,t_t:i l di r• g her-t-.., descri bt- d meets or exceeds the state o mi nne.:'!"if:)1: a energy conservation act. Si !aClfi`cl / WALL I:lhJc~ 1.F,L.1C T I Cara L' F..:: r L_ I IdCry C..:l ll~l~a l r uC: r :C.1)t.! 211 w! Si 1. cir i. t:e R- 42.0 blown ins. ErOLtli.. U MPr•:t::i. Pr-1 F r"ami 1. U g c: t :i. on 1.. Interior air- film .6B 1.. I n t pr- i or_ Ar film ml 1/7" gyp. bd. 4`'? 7.. ,/8" c]Vp k~ri . 6 is 1/2" of soft wt_>od 6.87 112" wood V _ 1*7 4. 5/32 hi. 1. cir•i t e 7.08 4., 10" ins. 33..24 5. Siding H 1. Total F F''• is 6. exterior air f i l m .17 t_I J/ R Total. C 1.1,.~~f~ 1rl~u:Lat:rla eFar. Lion 1 . Interior a i r f i l m . b R 14" insulation 4 1. 7:n<~L.t], at+ 1 ~,~:~c:t_i r_In 'Iot:.al R 43,Q.. 1. Interior air film .60 I1 1.:/'Fi 24 1/2" t3YF?. loci. .45; 5 5/8 brat ins. 19.0 A P001 c r-1rlcli. t. :i.c,r1 4. 25/32 bil.rlri.te .f:R /-.A 5. siding „AJ h. exterior- air film :1. Total R 1('r U 1/R t1.t14::'i Rim loi.St MUcUO 1. Interior- air- film .,60 2. 5 1/2" batt ins.. 19..0 1 1/2" wood 1 99 4. 25/32 b i. 1. d ri -t. h' 5. 1. rj 7. rl f~ 5:31. 6. exterior air film . 1_ Total R WHOM nyptlpr~ 1. interior air film „69 2" (w) ) styro ins. 12" c onr.. h 1. k:. L . t:3 4. exterior a i r f i l m .17 Total R f . 0--l!'.. U = I / R . ~1. PERMIT - `CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B.U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 7 9 2 (612) 681-4675 Date Issued: 0 9 / 17 / 9 7 SITE ADDRESS: 3246 BLACK OAK DR LOT: 2 BLOCK: 8 BUR OAK HILLS 2ND P.I.N.: 10-15501-020-08 DESCRIPTION: (INCL DECK) Building Permit Type SF PORCH Building Work Type ADDITION Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: VALUATION $15,000 Base Fee $224.75 Plan Review $146.09 Surcharge $7.50 Total Fee $378.34 CONTRACTOR: - A p p l i c a n t - ST. L I c OWNER: FIMBERWORKS BLDRS INC 16860911 0006352 MATUSZAK DENNIS '829 TROTTERS RIDGE RD 3246 BLACK OAK DR ►EAGAN MN 55123 EAGAN MN 55123 x(612) 686-0911 (612)683-9915 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. APPLICANT/PERMITEE SIGNATU E ED B : SIG T R 5 ..0 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) *Vo- S4 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-675 New Construction Reouirements RemodellReoair Reauirements • 3 registered site surveys ♦ 2 copies of plan • 2 copies of plans (include beam 3 window saes; pound Ind. design; etc.) ♦ 2 sits surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan I W platted after 711193 y required:_ Yes _ No ao DATE: - 2 - 97 CONSTRUCTION COST: 31, ~ DESCRIPTION OF WORK: 16 X 1161 77 01J 2.2._ fj fGl--- STREET ADDRESS: 3 2 LOT BLOCK SUBD.IP.I.D. * - 11h t r PROPERTY Name: IVA az-4-1-- Phone l 3 OWNER LW OW? Street Address: 3` City: 4,,) Stater Zip: CONTRACTOR Company:/DS Phone ~6 Street Address: ~z9 7~S License DD63.~Z City: ZA &A-✓ State: ,11~~/ Zip: -5-5-/2g ARCHITECT/ Company: .0e,4,rN4,-0 Tom, Phone 5/32 _ D'7 ENGINEER Name: Registration Street Address: `{3 S ,-6 Zv^) /D2 City: f7~ 4-j State: Zip: Ss/Z2 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 mad 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 V V Certificates of Survey Received Yes No D AR SMVP W7 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY , BUILDING PERMIT TYPE .n~F:.. ❑ 01 Foundation ❑ 06 Duplex o 11 Apt./Lodging ❑ 16 Basement Finish o 02 SF Dwelling a 07 4-plex o 12 Multi Repair/Rem. o 17 Swim Pool o 03 SF Addition o 08 8-plex 13 13 Garage/Accessory a 20 Public Facility 04 SF Porch ❑ 09 12-plex o 14 Fireplace fl 21 Miscellaneous o 05 SF Misc. ❑ 10 _ plex a 15 Deck WORK TYPE sc~l R*" 4 a 31 New ❑ 33 Alterations a 36 Move X 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION L C jNe-, ups Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. BoosterPump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg APPROVALS Census Unit Planning Building Engineering Variance Permit Fee Valuation: $ 5' Surcharge Plan Review License MC/WS SAC I City SAC ZS-(a x S4 : 15 z z-4 Water Conn. Water Meter Acct. Deposit S/W Permits S/W Surcharge 1160.00 Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies ) Total: %SAC SAC Units l 3-ficate for: Bk: 165/60 Timberworks Builders Inc. 829 Trotters Ridge Road Eagan, MN 55123 a- DELMAR He SCHWANZ LAND SURVEYORS. INC. Registered Under Lew$ of The Slate of Minnesota 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55066 612/423-1769 SURVEYOR'S CERTIFICATE U3 • g S 00 - .owl s z E X15 b A, o ~ ~ s Lo 7 Z, F3LOG/~ $ j Scale: 1 inch- 30 feet i p Denotes iron monument p Denotes set wood hub rat Denotes existing elevation ~9 r e Denotes proposed elevation ,pup '0. /7119 b 906 9 T0 FS4 `.'ko w I m 'C ff. I N P'b posed J N p y~ i y 'e o • a Proposed garage floor elev. N ` I I~b `4 J71 0.3 Proposed lowest floor elev. rn P d p T0~~U6 N ( r 76 f 33 Proposed top of block elev. 1 C I kl - h tb I _ 8g68 f'9P Fib, /7.~1-41 MIS i. O I ~ 'ruP „g o I odrb Description: ,6,0 Io Lot 2, Block 8, BUR OAK HILLS 2ND ___lll ADDITION, according to the recorded 8~6'y plat thereof, Dakota County, Minnesota. 7oPCulLB 90.42 f11.I N04-47-2DE M ToF C jX& Also showing the location of a Toac 8 894.2- Proposed house as staked thereon. '95. q fi it nor 1XI ~X 1•;, . EA AN ENGTNURING ~EP1' I hereby certify that this survey, plan. or report was % prepared by me or under my direct supervision and 71a-'c ' ELMAR H. that I am a duly Registered Land Surveyor under = SCHWANZ the laws of the State of Minnesota. Ic Try c May 28, 1993 8625 - Delmer H. Schwartz Dated Minnesota Registration No. 6625 iinatnt; r;;;n` ENERGY CODE WORKSUEET FOR 1 & 2 FAMILY DWELLINGS r [BUILDING B ADDRESS r AT u-,4_ A CITY PLETED BY t (Z La?IIONE DATE CLASSIFICATION: O cat1 (standard) or catego2 (snuat include ventilation) IMUM CRITERIA ndation Insulation-R10 Walla G Windows Roof Attic Insulations table on reverse side b on Grade Insulation-R10 foreallowable percentages) R44-With Attic No Heel Floor over unheated spaces-R24 R38-With Attic Raised Heel Foundation Windows 1/211 R38 & R5-Solid Rafters insulated Glass. -Wood or Vinyl Frame STEP 1 Window & Door Area STEP 2 Calculate area as a percent of wall A. Total Window & Door Area in Sq. Feet WINDOWS (Including Foundation Windows)! WINDOW MANUFACTURE NAMEr C. From Step 1 divide box A (Window & Door GA`M~(~T Area) by box B (total wall area) times 100 WINDOW MANUFACTURE TYPEsequals the window and door area as a WINDOW MANUFACTURE U FACTOR: ~3C0 percent of wall area (box C). R. O. Quantity sq.fL.Atea X 100 e Dimensions fiox B C /Y Q 1{ 77IJ ~ Z!GOt' X4 ~is STEP 3 Design} Featurea Z -O X'S ASSEMBLY X F)tAMiliG TYFEs ~i X STANDARD FRAMING " studs 16" o.c. X ADVANCED FRAMING studs 24" o.c. X CAVITY INSULATION R ' r X 911HAT){ING TYPE: X LESS THAN < R- 5 X R-5 > OR MORE X U-FACTOR U DOORS: From the table, (reverse side) determine the maximum percent window & door area for the X doaign options selected and enter the t value in Box D below based on the window mfg. U- factori COQ ~ d ( 1 I w l D Total Area of A= a q.ft. 1 ~ W 1 Windows & Doors B. Total Wall Area in Sq. Ft.. The t value from the table in Box D shall be equal to or greater than the t in Box C Wall Total Height Area Perimeter Z 72_ Total Area of Walls U= uq.[t &'I Wu-11AMILY It -MUIN I JAL UUILIANU 1,iLL:s juj1"1 tYL (CUUK-UVOt;) AVilt(JACl t MAXIMUM IV11,4wty AND DuOlt AIWA AS A 111±11,C4N1' Ul' ovII-1tALL AREA A WALL • . 1uL167U.UA~S .Lt;., , • - Cavity _ Ex t; n r d r cior ` - ._27- q 1) U.-3--ti- 0,31 V 5 i AI~iinitu :3~;: _S 1 nNUnfiU i9.lr% 2i'S o S'tANUni'tu It-ie-i9 < .ii:5 134 -RU _i8•d16 11 23.35 51%1tJl7Alti> jt-iu ..1 g ~ I2.V3s ' ADv7%TjCEu- i' . t~g.._ ~i~:vsb _29.39: nu'vni~ - . 1 'C1t19- -11 .9:: :i35 120..1% ; 23.43. .3Tt j9 210 _1-2-3.7 SlAt~l~htU It-xi t it4g~ i Til.U1e 19.9: x3' I"l. 3 22.9p. 135 ANC: ~ -=-•-._-..~g.._._. 16,~~: r21.23's 14.6^l. Il-2I It - q 13.01: ~IMF% A IJY l;V .Zs 2G.9'le ~o~lSlltlU~wl._cnlratl~a~~><4 ~51 nN[ ATII Ell 5tntDARia- nuvnNClh __~no 1.9 3: xi ~yo - U- tJ 1Vlndow ~teA equals lough nhel1l1tg mItlue Ills Ili INHUI% cledtaticee. lYl~~~lv~y U-Ndor tnus) bt ddetifilmd by 011tt Ilse Nal a Carmel) elatidaid WO-91, er /1511111111 1993 Iluidbbok a( rundAtt~et~iala,~C1>spleg 21, 'fable 5. f ro.11-l• f R~ Ituu tell " law Diem I=W W t e. 3 rui R R 7 f J 1 v;a:h w,m:;r':. v.:d.• )2•.3.:• 4:•h~;.?: utii3:.,'w:4 +ffn.• '.<'::<•::::•S+•.Y,;: .iv. n`Y,:v#: .::4n •::R.:,'•- s ,.:a~#.:,.;,.:):•r:i::gt.... ..3...... ..,.3:.. t2i"""'},'.;'`:•`.±#'. .~h~`.:• r ~j ~ Y~:~r,':> is 4r.... . • ..#;w:..,... .,.:::;.x• h ........r..>?..... •4•'. ;..r•h,.criY. .'~4~ica;:v¢riio r. :O: Y.... - v: r~:try?:4: Y??N:,:r•:}4J...::4. ~M1,•,~.,.• :4}?C. t. ...r?i.. ..v'{-. a .ln,. •r .Y., .i.,: +-ti Qa hi••' :,:r.:•r;•,rr. , 'tr. i,-0'':... '`Y•' k•. vfi.,•.2 :'tY:GC r??A:t" ?:i4i;•i?::.>^::... x4.t•::a 't-:: K• . . ...Y•..$:?~k.....t}u.:,+,. . A9?;:; :3rSh•:;5~:+r~~:.~r.,..r{.;.°2:32>::} ..fi . ..a....Yw.v£.. :.:~.:}nnn,.: :n.;t. }:.R' ',kn '.'•Y$flb:M k :..Z, .:h:... ...i:.. ~ -.,'i'n:*i??:}::}:-:.::::-•;iir: pii'iJ:::::::': 'i:4, ....n::Y?:v...... v. ;ri,'.j,,. .h:•. .n`:}4:. .:a~:+,.~v.vw,,. - nnZ.n?: r:.v.• r... :.i-. ......n....... a4 , a:'.: .}„x:'' y,q'.t .h :i.{ n:4. ' ?:.t:•.w{•%;A:::r v.:}. "m• },'{fiP :,+Sr.•:: ism':'•:i:Yy:::.?}.~:•.:.:::::i::i.: , a. • ?.o: tRk.o:: - • . , t; r...aa; g5.<3:'r+?' :}4:;w:}~::RYS;:}.;;.}:?:::::, `a•': aR: ;ti . -riy >.:t;:Y <•.:u; . ~ r S:}•,:r4 . r:~"•;•'M12;;'.V..c.~.:~k" .3' : ::;:?:3'6x;:•. : + • ~#``t#^:^v?f~ ..xd~~'3dt~'• .:.'•8:':s ...~~$tYt:,rdd?.Re'k•:32:iii,:22:: 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PELOT KNOB RD EAGAN MN SS122 (612) 681467S PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH SAL 1 SHOWER 3.00 -5- WATER CLOSET 3.00 (3" '~L BATH TUB 3.00 V - LAVATORY 3.00 ° e KITCHEN SINK 3.00 r LAUNDRY TRAY 3.00 HOT TUBISPA 3.00 1 WATER HEATER 3.00 1 FLOOR DRAIN 3.00 3. GAS PIPING OUTLET • minimum - t 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • DaLCty. >ia 15.00 U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS • to casting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE •50 TOTAL: 3 q _ ; L SITE ADDRESS: ~a y 6 yi I A c t C) X Q n OWNER NAME: T.11 ~ i X..,,.~ ~l PIS 1 d INSTALLER: U z O t Ill P 1 C-, .17- ADDRESS: J 0 18,-. STATE: fl-IN - ZIP CODE: 's-l-' CITY: PHONE ( ) ~(Al- SIGNATURE OF PERMITTEE • ,:::>,r;•,..?>:r..';:{• vya•~ .;f:::: '..k:::;?~E::...:.::.:.~a:Y:".: ,.t^is... ;}•?3::> . {`2;,~jt;, . ca~~ n (4•ua«.t.:d:x,,.;x ..FR...'.w..v}}:: '{ice'........ pp }:.:}.:t:•.:v4.$::.:.v'Y ''.:r:.. :,ax# a9.?:. , t::,, ;F:•.,{.} +::>.,3'i? R?..::':'": ♦:•:.b...,.,.,,;,:. a+b+ •'.fln`.+b•rii - fi.: ,:"~.a:. ,:b:.a.t: x.,..,3,, . ..,a •.-"t S., '•\"'~#2: e~:-'. •c• v: :~:.......h ~G:+~:b•,-,.~O ;{;aa: ' ::a• ";F.,.. ht?Q::R:';r.:v:•:.::...:.2 •.,•.n • n x h , ,f a3n,;v......:::.:. Q../::.:... : } : .:.hv,:: n +h {v,v. 3hk•. ~ ..:...{::ry:.: ;~t{;.:-: ii:ib:.:'.:.. : ::.:i'.:..::{•. N,:•;if::,'(:.a:-. ~ N ~ { ...................x.?r.'...•..:2.:.,.....:.::._:::.:•..:.:::::.:.,::.,..;..:.::.:•-:-:.0~nn,#,s,:s~:~~6.:..: ,hT..b., : )i<k~>:'~..'!i+-:, b :.a.%:•:. ;A~9~:.3h:•ra:.. ' .ykY•?:...3.. ''t . ~i'::'~.....'~~ i;:3•i+v:{i:::i»: hii:4:v; .C{n}+:{.yY.n}+:rih:.:{.v'4:.a,2}..{..•]D:{. n.r..,. :•37: ~b . v};{b. S :,yq,'vT.':$'}3: 43:~:.3' .A}::o::;;:3xc•:b:.r:aa•:ab}.;:v:;.:>::C:::::: ::},,..h3` { :.kb . 3>..,: ,h-: -;.oa,:.,3a3• {~.;.:.•..~r: h, . ;;x; ,a2'~ '.::~C: :•'7•:•. Y~''s}$~•.p~e.::Y:.#q...{.b, '3:t{o~t..,.3 Y '.h::::;`t,,3?:::>~'i}x_,Y•':,..,},3:;;.,w~,.x.;C}}4ua:,,c; ..N , ..-~~r-+, +4• ~.:N' v';f;`.S.. .':3.E>.SY.,N,.•t,:;3} , {,S'63}~5...~CJ.a.s ..~n h.»w.~'a~• •'w~.wwa.~ •.o. 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR ALL CONUVIERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUPLDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING Ullll_~T. NEW CONSTRUCTION r„ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE. 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF F FEE MINIMUM FEE. S 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: S i`E. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT r ► y ! 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. .....---..._---_---.-.....----~~.____.._~..........w.._._ - NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE Z FEES HVAC: 0-100 M BTU ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) a o ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL 7 SITE ADDRESS: 3aqj-1('q OWNER NAME., e'&,t Kcs TELEPHONE d INSTALLER:. C:,~ Cedar Valley Heatipg_L Air 4770 Nieds Road ADDRESS: Ea an MN 55122 454-8666 CITY: STATE: ZIP CODE: TELEPHONE SIGNA ME OF PERMITfEE • k.., t'Y!"{vr'n,-:ir.::M1:j};f::i:Mi4vviv>.2tiJ:: vrri^f4.. ~ v'iiv'•je}•.$LVV4'•'fr.'.i2v:•:v:i:•v.•Y.Or 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN. 3830 PE= KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL /INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMELY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF MTR67 FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. a h :aae.:: TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PER{ IITTEE CITY INSPECTOR. j Use BLUE or BLACK Ink For Office Use j Permit City of Eap Per e ~Z- mit Fee. 3830 Pilot Knob Road , Eagan MN 55122 j Date Received: _ j Phone: (651) 675-5675 Fax: (651) 675-5694 Staff:? 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name:G%`/ Phone: RESIDENT / / OWNER Address / City / Zip: U i Applicant is: Owner Contractor Description of work: ` Z d C% ze_ TYPE OF WORK i I ! Construction Cost: Multi-Family Building: (Yes / No Company: ;~f6y G: j IVY r1 `i 4Z (~L Contact: kl/(~ Address: t~CCity: CONTRACTOR State: y l Zip. Phone: l - 5~ { f License r_ Lead Certificate If the project is exempt from lead certification, lease explain why: see Pa e 3 for additional information) ~ lE~ ~wf GIGUSC JSu ~~~7` c ~j COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of ? the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.oro 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of ermit issua ce. x x Applicant's Printed Name Ap is is Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Building Permit Number: EA106808 Date Issued: 09/12/2012 of 3 a R Permit Category: ePermit Site Address: 3246 Black Oak Dr Lot: 2 Block: 8 Addition: Bur Oak Hills 2nd PID: 10-15501-08-020 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Renewal Andersen John T Soshnik 1920 County Road C West 3246 Black Oak Dr Roseville MN 55113 Eagan MN 55121 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature