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3247 Black Oak Dr I Use BLUE or BLACK Ink F----------------- I For Office Use I ~Zl j Permit j City of Eap Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675~,~ 11 1o I Staff: I Fax: (651) 675-5694 1 1 L 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5// / li f '7 / L C~ Site Address: 3LN'_1 Un it /S Name:." Phone: (D~ 410 - i RESIDENT / i OWNER ' Address / City / Zip: _132q7 fJLf' of Jqc 1,1Z I t Applicant is: Owner Contractor Description of work: ` TYPE OF WORK Q ) i Construction Cost: ! -~JIJ • Multi-Family Building: (Yes /No Company: IAJC, Contact: i r- n CONTRACTOR Address: 0 City: State: Zip: SS Phone: 24 '54/y- (611Z i License #W-W5 ( I 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 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: s NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of i the information may be classified as non-public if you provide specific reasons that would permit the City to s 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that l 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 thorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 d r sua x Appfl ant's Printed Name Appli ant's Signature Page 1 of 3 INSPECTION RECORD CITY OF EAGAN PERM TYPE: ~e► ~ ~ ~f ~ 3830 Pilot Knob Road Permit Number: ~ ~ Eagan, Minnesota 55123 Date Issuers: • 6 1 10 X 9 4 (612) 681-4675 SITE ADDRESS: 1 o t ti it 1. i1 c F : t l APRUCANT: 1147 fli ACG nAt.' OR 1 ti~ft~'Et1Jc)Rit:`a kMMS -TNU• DUN 00, It .1 1. i '11i1 (h 1 (iklh- ~<a1 t. PST SUBTYPE: TYPE OF WORK: !1 Ch Ot:W rats r t wt; ~ rni F 1§ t~ i x1w.... w `f P11 "IW ilftlder Dab T*%Pi wi PLi11IDW boo-out 08% h"IL FoaftpB I F©undodim i floolliv fto P14: ftHO HID. FdWb= l4ullo H~, Oiw lbm Fintl#~ Pft lnwoow-w* Iftwilm CormR. m8w Bldg. Fined DO& dig V`17-ff k4 Deck Rnsl CJ2,(jk -P Weil Pr. Disp. 3 iC1~F'iklt.Krift Prermit Mirka 5;123 -0* willidow (612) 881-4875 ATE ADDRESS: t. n rt : b ti t n~ 1,( 1 t ~►PPLK~: ~ ~ r ):-'4t NLAt.K i)AK OR I,.ONLtW coNrt c(! tstlk i)At. III I I `.i mn. (612) 177 -04 1, i3 ~~flt' ;a , PE~K TYPE VMW: F it 0T 104 fi f ft A N I N t I ;.R IN.`allt.AI ittN FINAL ' `f 1Rr-Pt.Acf w . - :3 n RE MARJ,:5 `s !Y !.d !'I Rk- 1400I)K.III0 MI f'; 14 # #a. l~eest WON ame s 8r'W MAN" ~av Mft .,A kw Founft ian ISO_ w P RRM fto -1 ter Comm bWWr EfWA4m 8pfs. t~l Dew Ftg. Dei* Final Wei Pr. Dtp. ALM Wertif irate of Cccupa=4 W10) of agatt , .1 This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification: A`¢ UE Bldg. Pemdt No. 20940 Occupancy Type Zoning District Owner of Building Address -M ON HHIS 2M H6A[;<HW DR1W U) B11 B Address Locali Date: Building Official POST IN A CONSPICUOUS PLACE Address 3247 )g,AC;K OAK DRIVE Zip 5512 1 Lot ' .5 ' Blk 11 Sub BUR OAK H S 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Dat . Yes No Inspector: Final jade ( from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch j~ 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 yai 50 Req est Date re No. Rough-in Inspection L17 ired? ❑ Ready Now ~ ill Notify Inspector [t /-IS_ Yes E No When Ready? I licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City Sect on No. t ownship Name or No Range No. County Occupant(PAINT) Phone No. ~Af\ ~y-\ Power Supp ar Address Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner MaKmg Installation) Authon ed Signature I Contractor, Owner M king Installation; Phone Number MINNESOTA STATE BOARD OF EOECTRICITY THIS INSPECTION REQUEST WILL NOT Grigge-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Pau(. MN 55104 UNLESS PROPER INSPECTION FEE IS `=hone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ,7,4%, See instructions for completing this form on back of yellow copy 9T' r No, ~~o } o X"•8e/ow Work Covered by This Request h\\~ .11 - Add Rep' Type of Building Appliances Wired Equipment Wired Home ~c Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm v, Air Conditioner Q!her (specify( Cbntractors Remarks. Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps l • se 0 to 100 Amps , pD Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only l i TOTAL .510 Irrigation Booms ? r Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final been made. OFFICE USE ONLY • This request void 18 months from OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 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) - 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 Bldgs 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 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Y RESIDENTIAL BUILDING Permit Application City Of Eagan © C~ O 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surreys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost ~Od~ or Address ZIkelo k &z •y a Unit/Ste # Description of Work rns ~ G a (,l aS% r1('Yec ~ !/Pyr ~ ! O S Y r t m rJ ows ~xt sfr~ Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 1 _ ~2 5 676-1 P roperty Owner u_t- k Telephone # ,2 ) 0/7 Contractor f 0 /Zo ea)~~ 4 Yom e AddressS L V (1 City E11 f// 10 _42 rp State /Yl /l1 Zip 3,3 Telephone # ~2Z-5-g COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 (,l submission type) • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor / r C'- S /(Wp ~ i g4/Oe Telephone # Pia) 0 Sewer/Water Contractor Telephone # yI ; I hereby aPP1Y for a Residential Building 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 ,8agan and the State 41WN Statutes; 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 appro of plans. r Ap licant's Printed e Applicant's Signature /)CA 611 Ko -Y r AZJ OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04•plex ❑ 12 12-plea Ptbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 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) - 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 Bldgs 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 _ lee & 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 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodel/Repair Re4uirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and g_tl roofed areas 2 copies of plan Cart of Survey Recd _Y _N (2D% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pros Reqd _Y _N 1 set of Energy Calculations MOM - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan V lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date_ ~ Construction Cost Site Address p Lo 6(acKamk ~~07 ~ Unit/Ste # Description of Work 70. 4 ,~daQ ~ ~CaZdSQ Multi-Family Bldg - Y N Fireplace(s) - 0 - 1 _ 2 Property Owner s w[J lau Telephone # W Contractor ? 4 t~ kCYdQ_,j,-) Address ~3 I - l LO' !~z t~ City I f)L)~ • ~~2 State (lam Zip Ssu?5 Telephone # ([,,Sr) qa 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( } Mechanical Contractor NOV 0 3 2003 L Telephone J Sewer/Water Contractor Telephone } I hereby apply for a Residential Building 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 State of MN Statutes; 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. c a Applic is Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessaryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 1B Deck ❑ 23 Porch (sereen/gazebolpergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) _ Final/C.O. Footings (addition) _ Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Tota! 2007 RESIDENTIAL BUILDING PERMIT APPLICATION ~ s City Of Eagan lJ 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellRepab Requirements Office Use Only 3 registered site surveys showing sq. It. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cart of Survey Recd -Y _ N (20% maximum lot coverage allowed) i set of Energy calculations for heated additions Soils Report Y - N I Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan. Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition • indicate if on-site septic system Tree Pres Required _ Y _ N 1 set of Energy Calculations On-site Septic System _Y - N 3 copies of Tree Presentation Plan if lot platted after VIM Rim Joist Detail options selection sheet (buildings Mth 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date 12- / ~ 4 / 0-1 Construction Cost Site Address Q J e- Unit/Ste # Description of work Z Multi-Family Bldg - Y N Fireplace(s) - 0 1 2 Property Owner 11A kq 5c d~•'r~t t ~3t kl C~ c e- Telephonic # ((pf t) ~ ~ - 7 31 Contractor e c-V- C ?c ~-e r < S Address 5-1) s$ `9~c_, Cam. P ~ City State Zip Telephone # (,pS-() 6 `15 16 - ro 2, COMPLETE THIS AREA ONLY 11= CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category i Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • 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? Y - N If yes, date and address of master plan: Licensed Plumber Telephone # ( ] Mechanical Contractor Telephone # ( ] Sewer/Water Contractor Telephone # ( ] I hereby apply for a Residential Building 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 State of MN Statutes; I understand this is not a permit, but only an application fa a permit, and-work is not to start without a permit; that the work will be in accordance with the appr th case f work ich requires a review and approval of plans. Applicant's Printed Name Applicant's St ature PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I Eagan, Minnesota 55123 Permit Number: 020940 (612) 681-4675 Date Issued: 05/14/93 SITE ADDRESS: 3247 BLACK OAK DR LOT: 5 BLOCK: 11 BUR OAK HILLS 2ND P.I.N.: 10-15501-050--11 DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning R-1 Building Length 53 Building Width 48 REMARKS: S & W PLBR - WOODBURY MECH FEE SUMMARY:: VALUATION $123,000 Base Fee $720.00 MISCELLANEOUS $1,744.50 Plan Review $466.00 Total Fee $3,749.00 Surcharge $61.50 SAC $750.00 SAC lee SAC Units 1 Lic. Search Fee $5.00 Subtotal. $2,004.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: CONLIN CONST CO 17770418 0001955 CONLIN CONST CO 6030 BOTH ST N 6030 50TH ST N OAKDALE MN 55128 OAKDALE MN 55128 (612) 777-0418 (612)777-0418 1 hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Mgt Statutes and City of <Eagan Ordinances. nffiA A. I APPLICANT/PERMITEE SIGNATURE ISSUED B NATU E REACTIVATE ALCEWED CITY OF EAGAN h F r - PERMIT MAY '1993 BUILDING PERMIT APPLICATION 6$1-4fi?5 9, ANGLE & 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, 1 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 _ Site Address: XXY& Ic ic, i r-Ic STREET SUITE S Tenant Name: (commercial only) LOT BLOCK 1i SUBD. 0 Description of work: ~ The applicant is: ❑ Owner Eg Contractor ❑ Other (Describe) Name Y-nvc.l(_ ('1<_ Phon o- ~54)"t Property LAST FIRST V)~13 Owner Address 3 Sz'# STREET STE 9 City wk,-~t fb cam. r State fl^ +j Zip Ss 11Q Company (f AJ Phone '7 -2 - 211: C' Contractor Address l~3c~ St3 s+ License #06o j gsS Exp.aj-_ /-9 City 1~~`.1L State r-\ nJ Zip SS k2~r Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber L)JCC1CZ- 0i' + ale Processing time for sewer & water permits is two days once area fas been approved". I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all a licable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE n. 13 01 Foundation 13 06 Duplex ❑ 11 Apt./Lodging El 16 B cement Fin'11 Jff 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 W31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) v_ N Basement sq. ft. MWCC System Y's 5 (Allowable) y-N 1st F1. sq. ft. City Water YE5 UBC Occupancy R_-3 M 2nd F1. sq. ft. PRY Required Zoning .,I Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length `s On-site well Census Code We Depth On-site sewage SAC Code I APPROVALS . Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee valuation: 17,3, OOL> - _ Surcharge &AjQA Plan Review -.-1-. 3 X 2L4 - 352 -A /6 = e10 3 Licensee. Zy Z 53 - 129~t MWCC SAC City SAC 16 i X /qYZ 7= t3l Water Conn. 7'A 131/2 f 95' Water Meter Acct. Deposit IsT Fi_oaR 91f, g47r S/W Permit 85tnT- ! G33 S/W Surcharge Treatment Pl.X6 I? Road Unit- Safi- B9830 Park Ded. Trails Ded. Copies Other Total : SAC % 1 DD SAC Units 1 'MAY-05,,993 11:14 FROM E. G. RUD & 50N5 TO r' r r ~~lo r . OF~SURYW FOR; CONLIN CONSTRUCTION Il Drahyrr~~ ~ !!till#y Er~.~em~~~ x N 887 ' t7" W ro.so ► F Ifo Pn 23.50 ~ 2440 s ~ I 30,E w 8.57,2W tt low FOR BUILDING Dew DEPT PERMIT ONLY AG" ~~~'INBBRIN~ ~ Top of . Block . sty DENOTES OD NUB AT 11 FOOT OFFSET. Garage Floor Lowest Level m enA ~/o' (go DENOTES OROPOSED ELEVATION DENOTES 1)IRECION OF DRAINAGE. DIAG...75-0 X 47.5o a8X LOT 5. BLOCK 11,' BUR OAK HII I a 2ND ADDITION, DAKOTA COUNTY, MINNESOTA. gearin s shown are on an assumed cfotum. Job Na. Scale 30' t7 Denotes from Ws her ib r'49f#tfy that this to a true and aorraot representation of a s rr y,'of the boundaries of the wave described land and of the LAND $U"YORS iaoatlan of all buildings, If any, thereon, and all visible encroachments. W LEXIWON AYF-- NO, if any, from or' an cold land, . MO. GII~dG1.E PINED, r1INKEW74- 5g~j144624 TEL. TnTGi P Al 'tn) ' LOT SURVEY CHECKLIST FOR RESIDENTIAL W cc c m N BUILDI PERMIT APPLICATION m J ~ PROPERTY LEGAL: CL M U < N Date of Survey: zz DOCUMENT STANDARDS g.-Oll ❑ Registered Land Surveyor signature and company 200 ❑ ❑ Building Permit Applicant (Y ❑.10 Legal description ❑ e ® Address ❑ ❑ North arrow and bar scale L® ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) ❑ Directional drainage arrows with slope/gradient ❑ @~❑ Proposed/existing sewer and water services ❑ Street name ❑ ® ® Driveway ELEVATIONS Existing D D"❑ Sewer service td's D ❑ Lot corners fJ~ ❑ ❑ Top of curb at the driveway ❑ 0 Elevations of any existing adjacent homes Proposed 2" D D Garage floor 0~ ❑ ❑ First floor C~' D D Lowest exposed elevation (walkout/window) G/ ❑ ❑ Property corners ❑ D ❑ Front and rear of home at the foundation PONDING AREAS (if applicable) ❑ ❑ Easement line ❑ ❑ NWL ❑ D~ ❑ HWL ❑ ~ V ❑ Pond # designation ❑ ❑ Emergency Overflow Elevation DIMENSIONS ❑ Lot lines ❑ ❑ Right-of-way and street width (to back of curb) f ❑ ❑ Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) ❑ ❑ Show all easements of record and any City utilities within those easements ~D ❑ Setbacks of proposed structure and setback of adjacent existing homes Retaining w i ments, if any Reviewed: Na e / D to October 1992 ENERGY CONSERVATION EVA_t,Att~', Site Add-ess _ caner-- contractor-- A,CLiat'nrs ^Cne by ~~r Fhcne j ?roe cf 3 I n: 0, 61 5hc,n' :31 culatiur5 Jn Yorks^eets Sr;Vt) U-Va' e -"90% of -nta ei ng Yea, Less 51~yipqnt ~Insuiated Area: Arta, See Fig, 1' Pram' s Yea .L :f 19td1 --e:1* ti red, see F:g• ' b7 I Z~g f ! kyl 11h! S: 'Prom Pace ? 1 - - - IC ther 'De-scribe w yerd3P `Site- UkA! A u: `_nE i ~_3 - v ?Py~ re^. u-,,`alUe `FO'" ^ne anC C■p 'yr'1j dwt !.'g5 `-,rll' .O£6 1--- f- +r-r - _ _ - i _~~?i- ota hat, l.es,-4-v oa+. and - 1 1 1 s zf- r•:ea- u_A,e- a~5ee.- E'•`~ I ,Fra-,~ a,a•~ 10 ;a~ :a '.rca Sec P a a e , - _ - Z i 't: a ACOv acF •~s Y Cnn r,ra Sea ';c•N, ~rbn e r. L L=!'slue ! v _ re a-a 'wc o;- J ! 1 - ~P5% trar ar i 1'ne - S "e5' t'a'- r•r cr6pose' asserrLes 'PPP: .^P rr+ .r, it tie ? 's g eetrr char '!ne no c S eater than line 6. crro,ete 'tic i; uwrnq .c eeter- ne a''e'~ar- re ue f^r ote' Px;er a erve'cpe xr. !Li n o 1 l i U X L i n e 4♦ _ «•+,~,.-r' I f3 A!ea iLine i x U-V310? Line 3% Area 'L;ne 4' x L-Valud !'_ine 6~ x _ i ' Budge,,, Line 8 + Line ° •I r Lf^a C;reater than L•ne 10, alter asse•nbiies a"-- - reGUirfd sc Line does not ex_Pe. f "s 1esS. than ine ;0. Dr i-,.;~.~- - oDCSed assemGl Yes 'meet r . uCe requirements 1 . • FURNACE SIZE CALCULATION WOKKSHEET (03/13/91) SITE ADDRESS XXXlc.~C , cA(' •wt g~.," DATE HEATIf•!G COPITRACTOR A von Et. s Q PHONE GEkERAL. COU7TRACTOR OR O ti]ER c.► ro l~,osr. PHONE CALCULATIO143 PREPARED BY- P HO 1419 The basic information below, must be ascertained from the plane for the structure to be built. 1. Sq' feet of exposed arall area above grade 2_39(c.7 .1n. "U" . o54 x 90 degrees. 1 T%1SG`k 2. Sq. feet of exposed window area 2411( x "U" It x 90 degrees. - 1H 5 3. Sq. feet of exposed door area 3?•"17 x "U" Sy x 90 degrees. ~I"7 b u. Sq. feet of ceiling area t kS'g x 'lull ICSIb 90. Ali 5. Sq. feet of basement floor area 11IL(e x 2 BTU/sq. ft. 23`12 '6. Sq. feet of basement wall area below grade 991 x 3 BTU/sq. ft. 29g 1 7. Lin. ft. of infiltration for windows 3S?--?S x (.5) x (1.085) x 90 degrees. 1 rzZ 3 8. Lin, ft. of infiltration for doors 3 t%So x (1.25) x (1.085) x 90 degrees. 4 bq9 .9. Lin. ft. of infiltration for sliding glass doors Mo x (.75) x (1.085) x 90 degrees. 10. Allowance for kitchen and bath fans: # kitchen fans a 600 BTU ea. # A bath fans @ 200 BTU ea. 42ao 11. Allowance for fireplaces: # Z @ 1,300 BTU ea. t 0 0 12. Total BTU loss for all above items `1T-1~L 13. Add for combustion air (SBC 7722) (.001) x net loss above, x (12.5) x (.075) x 90 degrees. L4 (016 14. Add line 12 and line 13. 1 ZZ 15. Maximum increase allowable by SBC 6007 is line 14 x 1151P. 1-~ ?tea Output size of furnace shall fall between line 14 and line 15. Applicant Signature V t Y 'ASHINMoN CoL'NTt PUBL,TC HEALTH, DEPARTMENT ~U~'~a.CE ii=SICY I DATE: S ~IE✓.. ; . C'; sR4[ TOR A.ra :ate %~C ~ G PNON~ 5U':..]'-vu CCN"RACTOR LO-Y-, ST' PHONE: "*T're bast. r orma.lon teiow must t t asceK'3ine `ran tie cal"lativr,s ara plarws -41`7ved by the Bullding D;eo.t f r the stru-ure to be built, 1 "^i SG. feet of eXaaSec -Vail area atone grade L> x a~ arjree rn ±!"pCrdt'~rt. ZZ~~ `ee+. _t l 10,q Arta "L' ee: .alt Area cel v Grade ~ ~ a o. IL4 n ^f'',la3ttOn nor v.rdrrw5 5t 7. Lnt R. 1trdU0n rpr Slid•ng dOerS x ' x '1 , 08; x Cegreea . - 1 fob v 411,7mance for kitchen and bath +ans i • 1 krrcnen Farts 9+b4'0 6% ea, GO aatn mans' 200 - BTU ea. _14 on 9• Aiiao.ance for fireplaces I 1* 24' to 32' 4111000 8T'i ea. l o 34" to 42'' '1 300 STt1 ea. - rr _ 4Z largt ,~1,50D BTU ca. 10, T„tal BTU !oss For all above ,tams------y---- .3 a~:7 •or '.C^~b~':tv!'i air 5BC 77211-t.i30'. ■ nC; 'o!I above, . 375! x ~ r CEt~rebl , yy :S 3 ant .U a:1d .1; r .,:(ease alIQwA a `eV B h e 1i x G Q _.n ~n'~.: 7 :e cf lurrAca sr?al~ fit between: ~w'-e 12 Ar;C _ine 13, lT 'S :nt Sr2e FIarnace you SFOUld Ule ;r It ;c toce cots al aw you to use the nnxF s . e ao,e: zrovrd,ng drat apUroartate epurarrcm- ;s ".ot ciao y ava ;atie. r \i • T`p inCers.~ntd, as aCD'.Icant tar a ^eatirg per, t, hefeDy aft,rrs 'he ad^ue ,--.Dmat An `rds ee^ ~ ara 'r ter r riseif, or ur•der h',i _irec} ,on; ~ereb. aLkr^w edgtS ti+ inforsratlon co pe correct ar1C5 dt- "ertey pre5ems lhiti Lnfarr-ati:arr, rr'tr; reaurrea nta^s sr supeort ~r ;-"re r eatir:g Perrin Arplicaz:0or• r o,aocsed 'arnact: size: ^rr.nctieC trace model no., °roavsed furnace F-aket r PERMIT ~,~t za CITY OF EAGAN PERMIT TYPE: I ~ 3830 Pilot Knob Road B U I L I I N G Eagan, Minnesota 55123 Permit Number: 0 2 3 5 5 2 (612) 681-4675 Date Issued: 05/10/94 SITE ADDRESS: 3247 BLACK OAK OR LOT: 5 BLOCK: 11 BUR OAK HILLS 2ND P.I.N.: 10-15501-050-11 DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY' Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: TIMBERWORKS BLDRS INC 16860911 0006352 MUCK MARK 829 TROTTERS RIDGE RD 3247 BLACK OAK OR EAGAN MN 55123 EAGAN MN 55123 (612) 686-0511 (612)681-9968 I hergby acknowledge that I have read this application and state that the inform ationis correct and agree to comply with all applicable State of Mn_ Statutes and City of Eagan Ordinances. J ~ t I E I APB P C NT/PERMITEE SIGN I D B S UR CITY OF 4GAN ~ 1994 BUILDING PERMIT APPLICATION 681-4675 MAY 1994 I iAW 5 SINGLE & M LTI-FAMILY 2 sets of plans, 3 registered site survays, I.c df ' cafes. t COMMERCIAL 2 sets of architectural & structural plens, 1 Set..of specifications, I copy of energy calcs. Penalty applies; 1) when mit is typed, but not picked up oy last working fty k in which request is made, 2} address is changed or 3) ivt change is a if, it is issued. Date 5- ! _ ! Valuation of wort ..rr..... Ze i rri rdY ur+r.+nryrrr Site Address;32 i'!- STREET' .Tenant Name: (commerci-al only) LOT BLOCK MD. ~vr Vah y>LS' 2.de Description of work: nAt The applicant is; O owner Contractor Ci Other.{o,rilya] Name Morte Property LAST " FIRST E Owner Address Crlrdc 'a+& STREET City AO%J State Iif Company Pbone Contractor Address B2.- 9 Mms -R-zYM 14 L cehise City ~.,~Ca~JW I State , „ ._..r:e..,...... P Company 4YA Phone Architect! , Engineer Name Registration Address City State Zip & water permits is two days one area as been appFo-vi LECEaDagan & water licensed plumber Praceasir;ti fh by acknowledge that I have read this application one state t.hcat the information i~ t and agree to comply with all applicable State of Mirtnerta Statutds and City Ordinances. ure of Appli cant; OFFICE USE ONLY , BUILDING PERMITT1fPE ❑ 01 Foundation ❑ 06 Duplex E3 11 Apt./Lodging ❑ 16 Basnt Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 B-P1ex ❑ 13 Garage/Accessory ❑ 18 Coem./Ind. ❑ 04 `SF Porch ❑ 09 12-Plea CI 14 Fireplace ❑ 19 Corms./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. t2 1$ Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE (ff 31 New ❑ 33 Alterations ❑ 35 Tenant Fintsh 37 Demolish ❑ 32 Addition ❑ 34 Repair- ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System ater (Allowable) 1st Fl, sq. ft. 5ROYRequired UBC Occupancy 2nd F1, sq. ft. Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Firs Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code. Census Bldg APPROVALS Census Unit o Planning Building Assessments, Engineering Variance REQUIRED INSPECTIONS ❑ .Site Footing ❑ Framing ❑ Insulation ❑ Wallboard Final.. ❑ Draintile ❑ Fireplace Permit Fee v~otuectoeu $ 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 11:14 FFM FOR:. CONLIN CONSTRUCTION p orobtage WHY Easement ..M 85 7Z`~tO", ' ;d * <; 23.50 24,00 14 p4►,r 199 10 30, ¢0 iY E ~ FOR.. BUILDING. .1,NGI14=1CAIHG DEPT J PERMIT' ONLY Top of Dior* • a ' DENOTES )WPD HUB AT 11 FOOT OFFSET. Garage Floor Lowest Level W0406/-&- Sae. DENOTES fROAaSED ELEVATION DENOTES DENOTES DIRE011ON OF DRAINAGE. OIAG.:- 76.0 x 47.50 w 8&78 ' . LOT 5. BLOCK It, SUR OAK HII IS 2ND ADDITION. DAKOTA- COUNTY, MINNESOTA, Scale I'm 30' 0 Denotes Iron . 8ec~wln s shown are on an assumed datum. `Biala Nb. ~a~ ft harobj"**rtlfy that We io a trice oo4 oorro6t mpraaentatlon of IL Is. 14110 4 G", `w , . LAMP S1,I"YCM a awry "of tho ` baandarlma of the abdve described land and of the location ` of all bulldings, if any, thereon, and all AsIble encrowhrrienls, $l&V L#.xj C cN Ale. Np, if any, frarn ar aft cold ;land. E. odurl. V S N , CAME FnN°o, NiiAA9 TA 40) 5W4 4*24 TRL. 8 -585 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) aTY OF EAGAN 3830 PILOT KNOB RD - $5122 C l 851-561-475 c°-4, -o q - Now Construction >leautfemenls > 3 registered We surveys showing sq. ft. of lot, sq. ft. of house 2 coples of plan and Q roofed areas (20% mm*mNn tat cov=ge allowed) 1 slat of energy calculations for heated addition > 2 copies of plans (show beam & window deer, poured Ind. design, etc.) I site surrey for exterior aelr s 6 dlecb > 1 set of energy calculations > 3 copies of tree preservation plan s tot platted after 711/93 DATE: Cy CONSTRUCTION COST: s DESCRIPTION OF WORK: STREET ADDRESS: -3-~ LOT: BLOCK: SUBD./P.I,D. V• V O C kk 1 lS Name: ex- f K A Phone 0: /y PROPERTY Lad Fkd , OWNER4 a Street Address. City State: ZIP: Company: Y' Phone r f ~v Q (area code) CONTRACTOR Sheet Addren: d Y{/~ is License #17.39 Ew. - • City ,~_LL~/- State: _ Zip' A { ARCHITECT/ ENGINEER Company: Name: Telephone area c ( } Street Address: Reglshation City State: Dp: Sewer i water licensed plumber (mauired for new gondrugbd onlvl: Penalty applies when address change and lot change Is riquested once peer * Is Issued. i hereby acknowledge that I have read this appiicaNan, slate that the information Is correct, and ogre* to cornpty with ON applicabl State pf Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: U, 177 !V,\1 OFFICE USE ONLY Certificates of Survey Received Yes No E1' SEP s t ;I py, Tree Preservation Plan Received Yes No Not Requiied - ~ i 9 OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex 0 12 12-plex ;1 17 Garage .0 22 PorctVAddn. (4-sea. ❑ 03 1 of_ plea ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage 0 05, 3-plex 10 8-plex I] 15 Lodging ❑ 20 Pool © 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors 0 33 Alteration ❑ 37 Demolish Bldg.* 0 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (interior) ❑ 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code 3 (Allowable) Main level sq. ft. SAC Code 10Y UBC Occupancy sq. ft. No. of Units r Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Lengthy sq. ft. City Water Width _ Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Ci `I Valuation: Surcharge 1) -7- Plan Review !c g a D Vol 0-,r I = 3 ~ q0 10-6 License 1 MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit S/W Surcharge Treatment Pl. , Park Ded. Trails Ded. Other Copies Total: clc~ . j SAC Units °1o SAC CITY USE ONLY L SL ZZ _ REi IPT ft , ' 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3030 PILOT KN MIDI EAGAN, MIN 50122 (612) 6814167ili Please oomplete far w single family dwellings townhomes and condos who penTft are mq forte unit baluckl w preventer for underground sonkler "wWrn FUCTURES Shower 3.40 M Water Closet 3.00 x Bath Tub 3.00 Lavatory 3.00 x Kitchen S(nk 3.00 kt Laundry Tray 3.00 x . . Hot Tub/Spa 3.00 x,,.,,,,, . Water Heater 3.001 Floor Drain 3.00 ,.,;r„►. Gas Piping Outlet ` rninknu m -1 3.00 x Rough Openings 1.50 Water Softener ` for d"Mp under tcnstruction 5.00 x Water Saner • for elating dwelling 20.00 x U.G. Sprinkler * far darelling und6r coast. 3.00 Alterations to dig mwienoe Water Tum Around 20.00 a Private Disposal System * oak Cty rid. 75.00 (new and refurbished sysilem) Private Disposal SyS * Abandonment 20:1 STATE SURCHAM1i3iE TOTAL r~lrrrrr411nn - - I I~I~~~I~r4rl~~~r~IrtlWrtpiigiirrrrllAi~1r~11r~ufi~rrr~rrinr~iWY~Ylrk I hereby admw fts that I have road tide vokolim Ads that to irkorraft 1uLCaro 046 1ooiii* 1111 !ell of Eepn ordlrome. l is I* appik w to to nodfy thin pmparty that t* of m:, r tl~, ' damages caused by the Lily drntng ft namyW qwa lonel and mehftnerwo ad AUn la f fagOss City property1rVt-o#-way,8as Mat. SITE ADDRESS: GC k r OWNER NAME: r~c 1c INSTALLER NAIVIE: 0w4 i, ¢rl 10 10ITELEPHONE . 90 STREET ADDRESS; 22 / T CITY: A rl7 k STATE: 1Y/ a ' -7 fe, SIGNAT&E OF-1:11161".ME V/5 m . •2`."': n •:;+rJrA:::'.:`r}.:ci;a'c:N;:<•:5..'-~T~[~y~,,a;i$tyxt~:d•:r;:a?•\.` s :>y~EYai~,:,}..~„'C ~s ~ • , , ..'~',A',: ,..,r,•x :;:i`:ar.>::•>:..:a:rr.-'~a.~.t~"...,p..y M::..,.k2:i .u<•?>.:r~::s'•~:'K~.; sa, Wii;i ."w. •;5:~r~,;,::+z£ ,:.s:t:S•z.c:.+,ys: 7;r{:}.<.:..,, t}:?C:;' ,rr?,rt >bzv .J. :~;r; ~ . .~:..i"c~ ~ ^'i~y~; - iy.. . 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122. (612) 681-467S 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 EMS l~ t!~ $ 24.U0 HVAC: 0-100 M BTU 7 S` 0-1 ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM I @ 53.00 EACH) 9, 00 Fu t ADD-ON/REMODEL (EXISTING CONmucnON) $ 15.00 STATE SURCHARGE .50 TOTAL ' S SITE ADDRESS: 3a y ! {rye c~ t~ c OWNER NAME: TELEPHONE INSTALLER: c,' ADDRESS: 7 S a S` CITY: S STATE: 2IP COm SC11 TELEPHONE -7 I N RE OF PERMITTEE or ' K, 12 m ;..i::;:;x_E::ht•:::•.:::;;'::::;;;;.roc:;::<:~,:t~;t:;;t-.;::: :tk. .+•t'' q.,t z' w. tax s>wcx~ <......'.'M2i1i+:i:•;ii;$iN1C}iJkJ 'NiLL 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) Ul-4675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $30 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 PERMIYTEE CITY INSPECTOR :a;ao;,•:';': ;'s •:'iah: ..•.n4 .:x: ,v:}F:: •.».,::Q;#: _ . i• r+.?nr4.4'i' x•}•.:-::•t:: Y:..o, 1• y?i- { : VKV ""$q'• .:H r:. R+P nv k- ~ 5~~i(~ ■y ~ - _ 4 'S ~ti2 a '2r:k:.. : . ~.:S.:x~ ap;}yw `2rii• .0,; r • i/Y :i•,J :i^?'P_ - 4 } :R:f k ~f. ,+:v,. . M1. .;Y` .dd.' fi }y t ' O•:x. ~ - - . s x $y2!:. ~ t :n..~{,~~ n~c:e~ a\.a: k. ~ ~ • 3 r L'.• a A R ti 3 2 K'. K', t" ffY{. ' ~ }3;±ib>.; ~i. TTi,;•~t ~`rYi}}. 1. •k?t `T `•~Sh't t ~ryif.}: k ~ 5 ~tx,. } } } ~ t~4' iv b~ ~`'~1': r;r A •~Fs 1t~a, ~afi~yt .n e? ane.~ a tc'r n; o ,Y.• :o _ +R } ~~~.Y~• ~n~$~:x..• v5~o5. .'~~~.'.k..~ .~9~ 'fi: :.s '+~F~-} ~.r- ..,.:...:D!4~~~'.`~rr.,~,~,,;~y~~.a'~'. ...~s ^3?r~ Irv . ~..:3. ' w?.' 1993 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. f'= ES EACH SHOWER 3.00 _ Z WATER CLOSET 3.00 BATH TUB 3.00 _ LAVATORY 3.00 5-07-2 i KITCHEN SINK 3.00 3---0 LAUNDRY TRAY 3.00 3. HOT TUBISPA 3.00 - l WATER HEATER 3.00 3 ' a -7- FLOOR DRAIN 3.00 i_ GAS PIPING OUTLET • minimum -1 3.00 3 ROUGH OPENINGS 1.50 h -50 WATER SOFTENER 5.00 PRIVATE. DISP. - Daivcty. lic• 15.00 U.G. SPRINKLER - home under const. 3.00 ALTERATIONS - to costing 15.00 WATER TURN AROUND 15.00 A - 0 STATE SURCHARGE •50 TOTAL: e-o SITE ADDRESS: X24 7 A,46X- (-,XX OWNER NAME: Oclx~L r A 0(fL)-577 INSTALLER: Oz- ADDRESS: CITY: 7-1 L L [ A 7~~,C STATE:_ ZIP CODE: 5v(ez- PHONE (~~~Z) r SIG ATURE OF PERMITTEE .r:%: L'.;1,:'i'Y..?r: ti42:;:2?'j{::r:y ' ixs-R, ~•''\'d 'Y :•.vl -...f~~:`yy&:A:~•• .c,:: _ L~e:v S .t Ysxn;.5;c:~~,'^.`#;'.,. :~,d$$: :`~p~~~~3•~:;r.:.yr+C•.°. "..+.~•,.~~t~~}:~•.u.: ~3?::.~ .x]~'#:'.rsSican•r: ' -.:t t'. h' - ,.`.'.k•'•.;•.~{,Y'~+.$::i.. 'Y2:; :\Y{::.:. {N~Y•y p fi.. p~~~~i ,n j'Y% ~C # 1 A'. Y ,p{'N' ? h _ ~Y ''fi nx ::,ti• ~ 2•. 2~{ T s L. s. .rao s R. ~ - p~t+s?•¢~,r+. 5..~} i i.~'?~ : ~ •rkuRaY daY3.:+J`,._,# hb~`~`•.S'^ 7}.>~r,Si}~#`~.. b2 Yr R S. t; F: z: s;;{h.~, ~;,c YY..Q .Y•:Sri,v'~>., 4 ~•;t• .4 Sri ~•.ra Y.s~. a x ? b'.. • .i s'.. f 3'..Ca,Y.hysc-h Lf£L' :R,.,'3~Y'{ {T+k,.yt3o'': `,:d"5r 2{'a3.t{ " } , A! ,•~+,''+R• ~YS h.3, •a ,c.4"+ k ,C f R f { 4 }l h:'t {.'S JN~ `xt\ hA' ••1 • R-. ' k'.1' ~ { SR ?Y L } k•.# a a ~a r a ~ .k{5t ' a.tx3}:.:~ ti?.?t :{:.v ,•.5.. :r.. :C.:.. S r'.-...:::d, .r.x Y:.b.-x.{,h2 ~,#C:3c;^''.::^~'•S. S?.~<..... .a, ~ : -k .rir rib;i+E't`3::5<Y.~ss:. ~.~~i~?;; 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PELOT KNOB RD EAGAN MN 55122 (612) 681.4675 PLEASE COMPLETE FOR ALL COMN ERCW-4N•DUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUR _DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UN'-.7. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $10 FOR EACH $1,000 OF ' FEE "ERM 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 R.ENE*U BY ANDEIZS43N RESIDENTIAL 3sa730 A. NE. BUILDING PERMIT APPLICATION FMLEY, MN. CITY OF EAGAN 763/502-4777 3830 PILOT KNOB RD - 55122 LICENSE# 20130983 651.687.4875 ftwQuinammummo _ X9-0 0 t ~ • 3 n~yleFaed purveys thvrrkip fL tat, eq.1t d twuee; And rooted arm • 2 0000 of ow Ene~nr CatoWeYonp for twpted sddAbrrp • nrmolrpiism OvAV bwn &www % poured bm de9r% W.1 • 1 she eu~r~ for e~deiior ad d decks • 1 ad of EmW Caioddorr$ • home eerMpd br aspic #ynlsn kr aAd~ogp • 3 mis of Tice Preservalm Pipe i lot pl" elver VIM * Rim Joist DetaiE OAM ae wft 0" N* wb 3 or less units} DATE • D VALUATIONS JOB SITE ADDRESS ' IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Yh TYPE OF WORKvt ; FIREPLACIE(S) 0,., 1 -2 APPLICANT - Cl~ ' • PH0N o 9sa •3(15 b6Q.1- ADDRESS _ IIaO -ZIPCODE PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUfLDiNfO_ ONLY - FILL OUT COMPtETEL' Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Reskientlai Ventilation Category 1 Worksheet Subrnitted Energy Envelope C"latlons Submiftd MINNESOTA RULES 7672 Now Energy Code Worksheet Submitted Plumbing Contractor: Phone; Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00 Wafer Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: - Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # Al above Information moat be submitted prior to processing of application. 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 Ordinances. slgrtaturs of Appkartf~,d Ago-- 1 Certificates of Survey Received Tree Preservation Plan Received _ Not Required tJpdelpd.lAi OFFICE USE ONLY u 0 01 Foundation ❑ 07 05-ptex ❑ 13 16-ptex U 20 Pool ❑ 30 Accessory Sidg ❑ 02 SF Dwelling ❑ o8 w0ex O 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Fed. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-0ex 0 17 Garage 0 22 PorcWddn: {4-sea j 33 Ext.Alt 8F . ❑ 04 02-plex o 10 08plex O 18 De& Q 23 Pouch (sasened) ❑ 36 Mud,: © 05 03-plex a 11 10.0ex ❑ 18 Lower Level ❑ 24 SWn Damage ❑ 06 04-plex ❑ 12 12-plex P ,.Y or N M 25 M103V anew 0 31 New D 35 Mt l vernent ❑ 38 Demolish (Interior) 0 44 Situp O 32 Addition t3, 38 Nlovo 1- © 42 Demolleh (Foundation) 1:3 45 Fire ROW ❑ 33 Alteration v ❑ ` 37 Dernoft [Ed4I" ©h43 Rsroof 4a -'Wli 'PQ~k ~o 0 34 ReoacemeM wDe"Nod" (~e Wftonly) MS System Valuation OWUPOICY..` Census Code i s•r.{ f~ityla#ef..:.;, SAC Visits... } Nbr. of Units' ti Sq. Ft. . , , Nbr. of Btdgi Ley Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinalJr-O. Footings (deck) _ FinalWo C.#3. Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Roof Ice & Water _ Final _ O~ Framing` Pool F Airf315 Testa T Finial Fireplace R.I. _ Air Teat Final _ sidbis ucco stone Insulation _ Win&Ws (newer) Approved' Njry _ sueft 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 U4/U!/GUU1 1J1U 1L:JU rAA IUJ all 4400 KbINLWAL 151"AINIMIMIN [Q[JUUL/UUL re - al SY ANDHRSBN' June 7, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 To Whom It May Concern: Elder Jones is authorized to pull building permits for Renewal by Andersen- Please allow Elder Jones to provide this service for us in Eagan. This authorization is valid for any date beyond 616101; until a Renewal by Andersen manager expressly revokes it in writing to the City. I request this authorization be accepted expeditiously, as to not delay in the processing of our building permits any further. Plcasc call inc if there arc any questions. I can be contacted at 763-502-4706. Your immediate attention to this matter is appreciated. Sincerely, yrnond R. Rau nstallati, lv[anager Renewal by Andersen Corporation Cc- K'arn-FtdFr Tnnes GHA N M. blic L GAMAL J Nary Minn espta My cOrurntspo r EkAire9 J31, 31, ZW j Received Time Jun. 7• 1:07PM PERMIT City of Eagan Permit Type:Building Permit Number:EA128064 Date Issued:10/24/2014 Permit Category:ePermit Site Address: 3247 Black Oak Dr Lot:5 Block: 11 Addition: Bur Oak Hills 2nd PID:10-15501-11-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Nathan Corbin Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew B Wallace 3247 Black Oak Dr Eagan MN 55121 Corbin Exteriors Llc 1115 Southview Blvd South St Paul MN 55075 (651) 760-3116 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use • /W627 City of EaQau Permit b C Permit Fee: '(-)1 3830 - 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651)675-5694 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: —1.'7 Site Address: 3..:Z -7 1.5k, Tenant: Suite#: -,.. Name: 07 l c-''/% Phone: �/-�063� Reside ; ner Address/City/Zip: -3,2.417 06. Name: (.<C rpt,174:keP-F1/-eCif License#: 6:3 Contractor Address: ,f� (3' ,4c, City: ,M/LJ Zi f State: p: ; ,(;? c_:j Phone: Contact:/is (.� i< Email: ,o;a In-ec_kewd; �^ _,. ` � �,�►- of _New ( , t Replacement _Repair _Rebuild Modify Space _Work in R.O.W. TypeDescription of work: A A411-17, l� / �b 6�BC o /1"e;' RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/—PVB) Permit Type Add Plumbing Fixtures( Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x t /4/4k C x ..� Applicant's Printed Name v App'cant's ignature FOR OFFICE USIA ....... Reviewed By; � I� ,, • Required Inspeetionst nder Ground Rough-In Air Test OasiTest tal Meter Related Items: Meter Size Radio Read .:Manometer Staff Use BLUE or BLACK Ink For Office Use / Permit#: /11� 1,1 q-C City of Eaiali Permit Fee: l 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 RECEIVED Fax: (651)675-5694 Staff: JUL 2 8 2017 2017 RESIDENTIAL7BUILDING PERMIT APPLICATION Date: .jr ),/r/ 7 Site Address: J til 7 16I Gic' ( 1 k Unit#: Name: �41' t^ �I P�fJn/;I w )'),YzC''i Phone: J ' C�(� -"73-S3 Rl 004/e_ A = r � Address/City/Zip: / C. Applicant is: Owner Contractor of Description of work: 84 -ii -oil R o! 6'1. Type Construction Cost: COO Multi-Family Building: (Yes !No ) yy l(3 Company:�` L Il/Fr7so ) CoA) l�L Contact: G if(.'1/� Ptl "1Sv Con 1' Address: ) 3 24( .4h1 d 1 dile- Sk City: TAAA-frt 640vc, 1 ° State: Olt Zip: �(,7 Phone:( -22-5..1-k$Email: O,Avek./1 CJsu 4/w► 0 C'm C bat License#: 4c,1 0b J�7 G Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE: Plans srt 11* ' rtm _ that y ° subrr >�_cor�si, ter;be public at information maybecI rfl �>� no l+ li�c r y• o Ar yl letter rrld to clot ,that tti the � :<: sect CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 fora 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 permit issuance. x CIfM-18S L A)56.° ) x Applicant's Printed Name Appre‘ ignature Page 1 of 3 B 3ITE /4-6Oak-THIS LINE DO NOTW / ' ' ' / J SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation -° -- (" '� Occupancy IAA-j MCES System Plan Review Code Edition ,a/o" SAC Units (25%_100% y ) Zoning /% t City Water Census Code !�l 3k Stories Booster Pump #of Units I Square Feet PRV #of Buildings / Length — Fire Suppression Required — Type of Construction 4L78 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill ilt HVAC_Gas Service Test Gas Line Air Test Roof: Ice 8S Water _Final Pool:_Footings _Air/Gas Tests _Final Xi' Framing V 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower PanOther: Reviewed By: , Building Inspector RESIDENTIAL FEES G 7 N I 4,01::, ...-- Base Fee 73 77 6 0, Surcharge Plan Review i"? .7i-' MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA146905 Date Issued:11/21/2017 Permit Category:ePermit Site Address: 3247 Black Oak Dr Lot:5 Block: 11 Addition: Bur Oak Hills 2nd PID:10-15501-11-050 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 Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew B Wallace 3247 Black Oak Dr Eagan MN 55121 Corbin Exteriors LLC 1115 Southview Blvd South St Paul MN 55075 (651) 760-3116 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174335 Date Issued:01/18/2022 Permit Category:ePermit Site Address: 3247 Black Oak Dr Lot:5 Block: 11 Addition: Bur Oak Hills 2nd PID:10-15501-11-050 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew B Wallace 3247 Black Oak Dr Eagan MN 55121--233 Air Mechanical 16411 Aberdeen St NE Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature