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3250 Black Oak DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3250 Black Oak Dr Lot: 1 Block: 8 Addition: Bur Oak Hills 2nd PID:10- 15501- 010 -08 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Construction Type: Occupancy: Owner: Kevin L Boettcher 3250 Black Oak Dr Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA079127 08/03/2007 ePermit /USG ?W_Z_ J 01281 00 Requ Date Fire No. Rough-in Inspection Required? 0 Ready Now 0 Will Notify Inspector Yes U No When Ready? I censed contractor I] owner hereby request inspection of above electrical work at: Job ess Streator Route o. City Section N Townsh Name or N Range County Oc t (P INT) J)VTk Pha e r ?-/?? Power Sup ?r Addre Z-V /T A Electr a1 ontractor (Company Name) Cont orl Lkeri,86 No. v r Mailing Address (Conttraccttor or/rr/)rPr Making Inslallauo Authonzed Signature IContractoriOwner Making Installation) PiKonp Number MINN OT STATE BOARD OF ELECT•?,/ THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.173 ` BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EBL-0?0 1-08 ? See,nstruct,ons for com;teting this form on back of yellow copy. ?? J O 1 8 0 `X" Below Work Covered by This Request qw Add Rep. Type of Building Appliances Wired Equipment Wired • Home Range vary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specity) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTALy Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final Date OFFICE USE ONLY This request void 18 months from a //7 L1, 13 /D ?z "7S'9 j (/Vu Requ_e?y/?)Date `/?/} r Fire No. Rough-in Inspection R 11?? Ready Now tYVVirh N Inspector °S / es C No When en Ready? I LC1ltbensed contractor J owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route 7 061 ?c V /Iye. City Section No. Township Name or No. Range No. County Occupant (PRINT) _0 c (?o /1) Ph ne N o. W Power Supplier -- Al _S - Address El ct cal Contr ctor (Comp y Name) Contract 5 License ,11o M il'iin-$1{Ad s IContraC r or owner Making Inst IIaLOnj JA', Aut onzed Signature ITCJc/y//7ta to;Owner Makmg Iss1 I1 t^on17 /r?l yyrr??\ I^? ,?jl + Poe e= r (/?? MINNESOTA STATE BOARD OF EL C ICITY 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) 642-0000 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See instructions4pr completing this form on back of yellow copy. "X" Below Work Covered by This Request EB-00007-08 New Add Rep. Type of Building Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dr er Other (Specify) Comm. /Industrial urnace Farm Air Conditioner f Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps ( Abo Amps Signs Inspector's Use Only TO S-? Irrigation Booms 57 Special Inspection Alarm/Communication Other Fee THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby f Rough-in Date 'I- AN certi y that the above inspection has been made. Final ate OFFICE USE ONLY This request void 18 months from CITY: 3830 OW, 1029 , q II 92 t . I t Al E DATE ilk a s . I?l,?. r a SITE ADDRESS 00* LOT -BL, -- - Y , ]yrI y e f ;4 x?i( E*R wrFil _.. TAPS ..F+:_?- APPT : r RI SIDENTIA . _ CI: a ADDRESS: _?_ CITY ST TE ' EXISTING , PHONE: 4 ; '. n S inl?ler Ab be Installed., PLUMBER: on Water. aline. ADDRESS: lift , . INA Meters. . ? be 04im CITY, STAT E PHONE: CITY OF P H OWNER: , NA ADDRESS: r r o! CITY, STATE ' tP j, A P H E: ' SIGNATURE WHE j ? ? ? P ALLOW , , ? O O KING DAYS FOR PROCESSING. CA LL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. z9 n l1 fl6ATER P RMIT OFFIC'E'USE ONLY CITY Fri!?G 3830 PIIot IiobR IVFETER # PERMIT, DATE ©1 /23/9:2 Eagan, .MN.55122-1897 CHIP PERMIT # METER SIZE 8 C 0.1692 B.P. RECEIPT # ISSUE DATE B 7 DATE PRV -:BOOSTER PUMP SITE ADDRESS! 3250 Black Oak Dries PERMIT REQUESTED LOT 01 BLOCK 0 SEC/SUB B12P Oak Hi 1'1 g 7 4 -AL - TAPS.:: APPLICANT: -COMM/ND _ RESIDENTIAL ' ADDRESS: CITY, STATE Bur1JS4t1 ?e , M ZIP 55337 EW _ EXISTING PHONE: 1061 Lawn Sprinkler' Meters are to be''Installed PLUMBER: M& A Ahead of Do stic Meters on Water Line. ADDRESS: 101 Mfx,kA%_ nr?.. crf wli a ? Cred' WI T be given for Deduct Meters.:'. CITY, STATE ??t??, Mf? ZiP PHONE: SPA -14 I 14 9 CITY OF H O 'OMP OWNER: u A A INA ADDRESS: CI STATE Y ZIP T , , PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT! CASH RECEIPT CITY OF EAGAN : 3830 PILOT KNOB 8OAD ry MINNESOTA §5122 EAGAN , DATE x- +s fi AMOUNT S ^?` YV R ' DOLLARS too O CASH CHECK - SF bilk r.`: :ACT rY r` ti A3 .L ?,iq 6attl?' .J tf . ft- Pow 3830 Pilot Ktiob Road, P.0. ? .1 9, a"n,1045011- PHONE: 8R# TS BUILDING PERMIT Receipt To be used for __ By MVIAW 'Est. Value $183,00 0 Date ress 3250 BLACK OAK DR Site Ad d BI of= E t ONLY.. Lot Block 8ec/Sub. n FEES Parcel No. Occupa cy I i Bldg. Permit NAM )MM INC. Name Zoning (Acluat)'Con%t Y~N +? Stnhatge Ate 1212 1K)Il L DAY 20 (Allowable) . V e Plan Review City BURNMUS l 55337 ZP ?+'? # of Stories h 626 License 7 Lengt Phone I?ss-7061 Depth SAC, City -- :! Name SAM S.F. Total SAC. MCWCC .1C. µ?•. 0 AWrm S.F. Footprints On Site Sewage °: Water Conn Cited Zip On Site Well Water Meter .?._ - MWCC System s Phone City Water Z Acct. it Depos . ..._...?.v ., .O003376 PRV Required SIW Permit ._0 .4 I hereby acknoplage that I have read this application and state that the ' booster Pump S!W Surcharge Comply with all applicable State of information is oprrect and agree to Minnesota Statutes arid. City of Eagan Ordinances. Treatment PI Signature of Perm ite? APPROVALS Road Unit A Building Permit issued to: 1knomw CftT I Planner Park Dad. on the express condition that all work shall be done in accordance with all Council ?._ Co ses applicable to of Mi ota Statutes and City of Eagan Ordinances. ? Bldg. off. n VON" -.r... ? p 0T Al t t r , Building Offw^lal ,,,,?c - -- 1 . e L-?...- _, .'.e.t.`J? I...f... a.i. a..,, 3. .. .-.mot.,.nt... .... el ._. ,. ^L.U w.. e, .,. •_.. .,J. ._. .. ,.. ._ ,.a. .nE._: .S..LLr?..dJ.S4t11 inifd+:e6.t?:s.CM`..av".?C?. • Penui Na PWnIt HWder Oafs Telephone # aq IUMB1NG HVAC B ECTFI is oa *Alp Inepselon Dale Comments Foolinge I C•et - 2 2 - Z Foundation Framing - $-g Rougtt ft. -/ led. Firoplaoe ,1. Find Htg. _ Qtsat Teat z -T Final Plbg. - Z ' ! Z Plbg. Ir edor - Notify Plumber Const. Meter EngrJPW 81dg. Final neck Fig. neck Fnal 3 fa wea . Pr. Disp. Z-/3-92 /n 2? .+...: ^:.??.,?r ;,.c,..?:w?- *+c'w:;r,wac.::.:a {.,,.,...a.-rr..::r...ia'. ?t?e'R?19Ka!?i?+.,i+:?-tr??.? s`f-3?NS:.?'? - - AW - t ftrrtiftratr of (!rrupaur Qtitp of Cagan lurpartund of &it hig Janprrttmt This Certificate issued pursuant to the requirements of Section 306 of the Unifonn Building Code certifying that at the time of issuance this structure was in compliance with the iwlous ordinances of the City regulating building construction or use For the following. usc amm,6, SE DWGPGAR SQ. nnnit No. 20033 p-,ay Tw R3/Ml zoo DWu;a R l Type conat VN o of AtD ai sr INC Aeare? 1212 BtDEBEL BAY R B'VIILE 3250 El" OAK DRIVE LoftLl, B6, BUR OAK HHIS 2ND 7/1x/92 > i POST IN A CONSPICUOUS PLACE 1 4ddress: 3250 BLA OAK DRIVE Lot I Blk 8 Sec/Subs OAK HILLS 2ND These items were/were not complete at the time of the final inspection. 12at : 7/15/92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway f Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish 1 Deck " ,r 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. RECYCLED PAPER White - City copy Yellow - Resident copy Pink.- Contractor copy _jI CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?Q0033 PHONE: 681-4675 o / ( BUILDING PERMIT Receipt # l-0 To be used for SF DWG/GAR Est. Value $185, 000 Date JAN 15 , 19 92 Site Address 3 550 BLACK OAK DR Lot 1 Block 8 Sec/Sub.BUR OAK HILLS 2N OFFICE USE ONLY FEES Parcel No. Occupancy R-3-A-1 R-1 Bldg. Permit ()37-00 Zoning Name MCDONALD CONST INC (Actual) Const V-N Surcharge 97.50 Address 1212 BLUEBILL BAY RD (Allowable) V-N Plan Review 609.0.0 0 City BURNSVILLE MN Zp 55337 th of Stories # L _i2' License -----5--00 Phone 688-7061 eng Depth 501 SAC, City 100-00 Name SAME S.F. Total SAC, MCWCC 700.00 U Address S.F. Footprints On Site Sewage _ Water Conn 675.00 City Zip On Site Well - Water Meier 95.00 Phone MWCC System X Acct. Deposit 30.00 8 City Water License # 0002376 PRV Required S/W Permit 30.00 I hereby ackn a that I have read this application and state that the Booster Pump S/W Surcharge .50 information is rr and agree to comply with all applicable State of Minnesota Statut an City of Eagan Ordi ces. Treatment PI 300.00 Signature of Permits APPROVALS Road Unit 380-00 M ONALD FV- ST INC A Building Permit is i ued o: Planner Park Ded. on the express condi n th t all work shall be done in accordance with all Council applicable State of Mi n to Statutes and City of Eagan Ordinances. Bldg. Off. Copies n 1! ' Building Official 914 4. / ,17 Variance TOTAL 1,954.00 !z' Knob 55 ? P?ryL{e,,?As?e? r147A??r for, 11316 ra.IFLF.Iy - .. ?.' ?:: ?.' ,.,.'; - - i• i ?? yy f J ' ? t 4 t ( r Dak ima i?/? - • • 'We r'i r ? Qtr '?' 4awa FA? 12481 Rhode ts1 ti Ave.' St eeL Ad CR : state •. zip ddia C ? t 1, ?^ air exchan air conditr other Y ? lid State charge zz;r} Total AUG 1 9 2003 -w N AS- I Eby apply for a Rasidentia Mechiral: Pitt ACAMWWOO, i d16 _..: t be in conform with `fhe orb adcodw th City of %M. d t it t ` _ paimtt n abd vfltk I r it a k t , but omly an '` for aa irk f _ ? ?+ r plan in The c4mof 'wlX@pl.?i "of. r . . t plicmt's Printed Nan . 1 s 1? ra ? ??, >r t r JL' r.. 39M AW 00 M ;Y?{F'1VL?? TO" y'1Y `a?h.,h _ .J:. Plum comp .fo - (y ??qq } t{ pF yq,} y `; f s h S Site Addrm .4 tJ lit # Tenant libme (if a ?? jl?r b # e ' . Property' wneP # Contactor _" Street Address State T ( h` The Applicant is wolt Type Ne c str K r`? T#FFPl ? In l1 F } - .r..c {t+ + t ty ;' f -M- I Interior Improvement rak t I lk P Plpirg Mature of Work: Parent Fee sm.5Q > l C€?ntract Value x 1ala " ;? $ emit 3siia e • if p rmit free is $1,000 or less, add er If permit fee is over 1,t ; atld'$; $1,000 Permit Fee Tti 1 F*e TE -1 d {E I b me by a y for a 1 da nV , ? E t Wow i'? W-er in= nf?ce. it• of C*iny L - `}}bde p y It?e1RWe1 ?: ?$` n-s perm; in .`t, tl1ld;a e; I?: _ y ,?.,? 1$ n iwoved Olm in the cam of i? and a pr i µ r Y li nfs Printed Nam a pli nt' ire ApprQved By. Date Lot I Block Parcel/Sub Owner Address City/Zip Code Phone `Contractor Mr`____ _____ rt+0.1 zi.. Address City/Zip Code Phone &*Arch./Engr. Address City/Zip Code all applicable State of Minnesota Statutes and City of Eagan 'fr`din a. Phone # 1ST 1?7g ksy 2-3j3-. M s?.y1, ?.s.r g 1 ?8.s ZI ?. ,y - 36y i 2,S 3 If 3e,-3 liyo k s s ?o?aa Owl 4e 0.0 ?.? Z 3 33e 1g?i, F i 'D rx t r- E r-i a i tl ._• e r 1 r-r a G rr 1 9 4 I_ c xt ? G? fr I 2422 Enterprise Dr,ve PIONEER LANGSIJH•:L,YOAS•C:tVIL,E;NGINFErxs Mendota Heights, MN 55120 ilk L ANC MLANNC Yv •_ A NOSC ANC A RCHr•r ELY7 * Ong * ?r;:ring . (612) 681-1914 Certificate of Survey for: McDonald Constru.ction1n_ .. House Address: 3250Block Oak Drive} a_n. MN Model Name: 91-485 Lij 0 U < -J I m sC I N 89°51 r48r" E Vol 161.53 1 .k 'k CLqvA 29.44 S _24 `_ ... ? ? ?? )'a 04 ? IIli °° aCC3 r1 :, L I A---'_ Vl 70 IA pl. 0 u °l I' r f I oil 7, 1 23 4 wa 9< --. rBY 166.35yy S 89°51'48" W '90'V; Denotes Existing E!.evatlon qn Denotes Proposed Elevation ---? Denotes Droiroge & Uti;ity Easement Denotes Drainage Flow Direction ---o-- Denotes Monument P . E1 21 W N 0 LO oz - o l)d PROPOSED HOUSE ELEVATION Lowest Floor Elevation:9f3 3 Top of a lock Elevation: Bj ?t. Garage Slab Elevation-- --- o- Denotes Offset MUD Bearngs shown are assumed LOT-1 , BLOCK 8_ [3U -R OAK .--- ILLS "_ N D _.-ADD. DAKOTA COUNT'", MINNESOTA I hereby certify rhat this suvay, pie.- or report vas prepared b; me or r.nde- mr d rkct wilerdisic) that I alt) duty Revistered Land Surveyor under the taws of the Stace .Si M.nnesota• Dated thl. ciay of A.G 19?_/. a l 1 inch = 3 O3OL-6at 026 AT Q. 1K CH L.S. HEC, Pao 144191 U3 9' 113.09 MINNES-QT S vmriorw LCU oC BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE 1983 EDITIQN Adoption Effective Owner Phone Date Site Address Contractor,,,', :-.? e Phone Building Classification: Type Al (Single Family & Duplex) Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other) NOTE: Comn1ete pages 3 and 4 first. 1. Building Perimeter' ,.:ft, 2. Wall height (ground to eave) ft. 3. 1. X 2. (above) gross wall area_1"7 sq.ft. 4. Building dimensions (L) .--» X (W) _ sq.ft.roof & floor area 5. Sq. foot area of rim joist - F o Joist size (2 X i.. ?j (Perimeter) _ 9 q.ft. 12 6. Doors - Area?_L/? + ''""?? 1 Thickness in U. factor Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft. -tW 8. Windows: Ma u acturer !-C 0' 1 State approved U factor _t o TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL 0 EACH UNITS SQ FEET .9 . Total sq.ft. Glass 10. Fireplace area: Width X Height X sq.ft. 11. Exposed foundation : Height X Perimeter ?X?=O j tOt 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. -I- naming area = 10t of gross wall area. Gross wall area sq.ft. Window area At(!:3ssq. ft. U windows = (S60 4 At Rim joist area A I q.ft. U rim joist= t 041 UxA = UxA = "1 ,47 Door area A sq. ft. Other doors area A 7'Isq. ft. U door area= U other doors= A-1- UxA = UxA 46 Exposed fndn Ai 02. sq. ft. Framing area A - - 5 Net wall area A O q.ft. U foundation=1045' U framing area=l0QS; U wall= UxA UxA UXA = t = F L•!„ _ =too, (13B) TOTAL . . . . . . . . . UxA = 14. Gross wall area x 0.11 (A-i single family & duplex) - allowable UxA/Code (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) x .28 (Over 3 w A a U Code t stories) M.???BTUH must be larger than or same OF. as 13B above 15. Ceiling framing area (Af) equals 10% of ceiling area 15A. Gross ceiling area = (L) x (W) sq. ft. 15B. Joist area.(Af) = 10% ceiling area = .L? ! sq.ft. 15C. Net ceiling area (Ac) '(15A - 15B) U ceiling x A c U framing x A f - 1° x 00 15D. TOTAL U x A ............................. 16. Ceiling area (15A) x 0.026 (A-i single family & duplex) = allowable UxA/Code x 0.033 (A-2 other residential) x 0.06 (other) ?9- 02- 4 x U Code _ A A °°TUH must be larger than or same A(15A)1 l F. as 15D above NOTE: Use U and 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 -2- 2O2 I S9 IO?Io? X (lo?L-4.41 -t-(o2tC kw ?? 2 k?Co?Co?a'?1 ?f 13 46 Z14d,O4 342??? ry 21Q c O L l ? 2??- ?ZCo??2 ? p 5 . %WOO aNgs 00-0 TL \ A. a 4-op WALL SECTION STUD SECTION - ••v.•V V!\1 •VIIJ VALUE U VALUE Inside air film .68 .4 Interior wall (Wall) U = R Insulation '?,p Sheathing 7iIDco ' Siding l(5I ..----- Outside air film .17 R TOTAL Z• ', o Inside.atr film .68 Interior wall . '15 4" stud R= -4.38(p,50 (Framing) U Sheathing E, ,C(0 Siding Outside air film .l7 R TOTAL O13 Inside air film R° .68 Interior wall SECTION. Insulation (Wall) U = R. `Sheathing _Exter is i wal covering Exterior air film P i .17 R TOTAL RIM JOIST ,4wW- Interior air film Insulation t Inch soft wood eathing Z?p(p :terior wall covering ,'t l ;ter for air film R= .17 R TOTAL Z ' ! JAL { ter for air film R= .68 isulatton) PiVct c!),?? '??LD siic(dg.tii o z',o+ (Fdn.) U cterior air film R= .17 A TOTAL posed Bluck R= .68 cc R=1.88 (Rim U Joist) ' `,rade 3. CEILING WITH VENTED ATTIC SPACE ABOVE R VALUE UE FRAMING CEILING 0.61 Air Film 0.61 Insulation • [7 Joist (ti Ceiling • (O • 0.61 K M R VALUE CEILING. 0.61 Inside air film 0.61 Ceilin Joist ?stud) Insulation Air space Roof decking Insulation Built-up roof 0.17 Outside air film 0.17 FLAT ROOF OR CATHEDRAL CEILING R Value F RAM I NG Total R R 4indow infiltration .5 cfm/lineal foot of crack residential door infiltration 0.5 cfm/square foot or door and minimum code requirement 'ion-residential door infiltration 11.0 cfm/lineal 'foot of crack Jb 12" concrete block no insulation = .47 R 2.1 Jb 12" concrete block insdl1a ted cores = .26 R 3.8 Jb 12" lightweight block - .32 R 3.1 Jb 12" lightweight block insulated cores - .12 R 8.3 J single glass = 1.13; with storm window .54 J double glass = .55 J triple glass = .41 All exterior walls and ceilings must have a vapor.barrier (0.10 perm max.). vapor barrier must be on the inside (heated side) of wall. iapor barriers of the polyethelene thin film have no R value. Air Film 0.61 •f Total R U oz. 4. f 'um CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # 7 DATE: Et Sg :` PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -----WORK DESCRIPTION------------------------------------FEES --------- NEW CONST __ ADD ON REPAIR OWNER NAME:,.\ PHONE #: DWELLINGS & SITE ADDRESS : )'- T >L' I j LOT: BLOCK SUBD. A-) INSTALLER: ADDRESS: 7CITY: ZIP: ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU ,-24.00 ADDITIONAL 50 M BTU _6.00 GAS OUTLETS - MINIMUM, 3.00 OF 1 PER PERMIT SUBTOTAL : STATE SURCHARGE: .50 TOTAL : SIGNATURE OF PERMITTEE 1 Ct AL/ 3O T A.? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FEES 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 ----------------------------------- COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 ?3. nc2 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 3 Q0 HOT TUB/SPA 3.00 T WATER HEATER 3.00 00 FLOOR DRAIN 3.00 00 GAS PIPING OUT. (MINIMUM - 1) 3.00 . C)0 ROUGH OPENINGS 1.50 y,' D OTHER WATER SOFTENER 5.00 ..d0 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------------------- WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: SITE 'ADDRESS: ?a?O N?Gt[i l JQ (? N?, LOT : v I BLOCK, SUBD. ?Q P 1 i - INSTALLER: PImv ,Thc ADDRESS : ", P`13 6-ca we?) /\i e CITY: /e A A C G ro?? h, ZIP: SUBTOTAL ST. SURCHARGE .50 TOTAL: HHER A C!IlEl A PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR CITY USE ONLY PERMIT # RECEIPT # DATE : FEES 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: (SIGNATURE) FOR: CITY OF EAGAN SIGNATURE OF PERMITTEE PERMIT REACTIVA E CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SEP 2 1 RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is requested once ,permit is issued. Date 4-21 / ' t-_ / Valuation of work 3 Z? * Site Address:3Z.So ?I?clc QA1&. ???? STREET SUITE S Tenant Name: (commercial only) LOT I BLOCK SUBD.l rz OAK P.I.D. # Description of work: ec.14. The applicant is: ? Owner Contractor ? Other (Describe) Name 'j'ibe E_V 'r /cfk v` L Phone Property LAST FIRST Owner Address ?2-5o 131/ -c k d?N(- -bl- STREET STE I City s-/L) State11 Zip Company C'ccc%..r CkrA-c-r Phone Y83-9c Contractor Address 1?.o ewao License # 6397 Exp. 3 City 1c? State ft__ Zip 3.S/o7 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this a plication and state that the information is correct and agree to comply with al applic le State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ? 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy R -3 Zoning 0 of Stories Length o Depth APPROVALS ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 15 Deck ? 35 Tenant Finish ? 36 Move Basement sq. ft. 1st F1. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard Footing Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee N 1?? Surcharge Plan Review license MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units Valuation: $ ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments 2422 Enterprise Dr,ve * PIOME-12R LANOSUAVEYORS•CIVIL, 1:144 iNLERS Mendota Heights, MN 55120 * engineering LAND YLANNGr9. LAMr 'L:. - AR1?HI rE.L r - - - 1 (6121681-1914 T * Certificate of Survey for: McDonald Construction, Inc.. House Address: 3250 Black Oak Drive., gon. MN Model Name: 91-485 Li NN_> Q 0 Q a3 it i ggip i\ qb,°I 1,? 29.44 Li - - w•- ;tp1 N? . .Qrd' •r 4.., N 89°51'48" E 161.531 ."Z.24 v: 7.1 $17$ rr I ' - . ? •-- licit ! - _ _ fr -- c= X.•.?r N c ?' ff c aG o , V ! 1 ; 1 . 8 7 11 - ?' . _ -__?- ----'O? ----- - -- ------i 29.44 •' ' 5224 166.35y S 89°51'48" W t7 N 11E By W Cu, Q 03 d V) EAGAN ENGINEEI?IN • soy.:; Denotes Existing E'evation PROPOSED HOUSE ELEVATION G DEPT • E Denotes Proposed Elevation Lowest Floor Elevation: R - - Denotes Drainage & Utility Easement . 91 3 Derotes Drainage Flow Direction Top of Block Elevation: $q 7. ----- Denotes Monument Garage Slab Elevation: $9$ r $3 c Denotes Offset Hub Bearings shown are assurred LOT 1 , BLOCK 8 BUR OAK HILLS 2ND ADD. DAKOTA COUNTY, MINNESOTA 1 hereby cert!fy that this survay, pray. or report was prepared by m e or I.nde- my dlrrct suparvis;un 5r.d tnit I arts duty Resistered Ladd Surveyor under the laws of the State ni Minnesota. Doted thli '4t'_ clay of -1 ° A.P. 19L _ . Q 1 inch _ 3 Ofleet U6ERT S. ! Etc CH L.S. RAC, NO. 148i1 _i 1 I3 91113.05 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 S `7 v.oU New Construction Requirements Remodel/Repair Requirements Office Use. Only 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan C rt cf Swvey Real - Y - Ni (20% 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 Pres Required .-Y - N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septlc System Y - N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units 162 / D ? 5y 70 ate .J / r Construction Cost Site Address jO E 6'k 0. 1,-/ f Unit/Ste # Description of Work { fO l ' t pc-a0± Multi-Family Bldg _ Y N Fireplace(s) _ 0 - 1 - 2 Pro ert Owner (e V 0Lt"I -Ll^Or T V a I l J -G ?a l h # p y ) one ( e ep Contractor Address Z1to5fin City CAc in State J V ' " U Zip "35? lb Telephone # (713 ) 1 lh -q e COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Category 1 (? submission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Y - N If so, 25% plan review Telephone # ( Telephone # Telephone # I hereby apply for a Residential Building Permit and acknowledge that the informatidWig ur ??ate; 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. Applicant's Printed ame A cant's Signat OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 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 Bld g) - Give PCA handout to applicant Valuation Occupancy MCES System 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) _ 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 -Brick - Fireplace _ R.I. - Air Test -Final _ Windows - Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector øíø þÿù ýüü ÿ ûîû ÿ úüüþ ù øìôìý æÿïõ ä æ ýüø ÿþýüû ÿ øýüû÷ö ÿ Üÿ ûíðÿí îÿþâ û ü åäóóäæó ôî âÿ ää ã âí àúûí ßè ë æ ëó ææ ÷ú ÿî êèë å ëäå öùùõ øôó ûû ôçãî ää ãòä ï íâ÷ äóâ÷ä àßó ää×äò îþüöîîãî ûû îîùí íûüöîûûþ ùâ ÿ ôüùï ë ûûìí ÿ ÿü ÿ PERMIT City of Eagan Permit Type:Building Permit Number:EA122490 Date Issued:05/08/2014 Permit Category:ePermit Site Address: 3250 Black Oak Dr Lot:1 Block: 8 Addition: Bur Oak Hills 2nd PID:10-15501-08-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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 by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kevin L Boettcher 3250 Black Oak Dr Eagan MN 55121 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132857 Date Issued:09/09/2015 Permit Category:ePermit Site Address: 3250 Black Oak Dr Lot:1 Block: 8 Addition: Bur Oak Hills 2nd PID:10-15501-08-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 - Cheryl J Boettcher Tste 3250 Black Oak Dr Eagan MN 55121 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165515 Date Issued:11/04/2020 Permit Category:ePermit Site Address: 3250 Black Oak Dr Lot:1 Block: 8 Addition: Bur Oak Hills 2nd PID:10-15501-08-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Cheryl J Tste Boettcher 3250 Black Oak Dr Eagan MN 55121 Guardian Services Contracting 1042 20th Ave N South St Paul MN 55075 (800) 617-8450 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177453 Date Issued:07/01/2022 Permit Category:ePermit Site Address: 3250 Black Oak Dr Lot:1 Block: 8 Addition: Bur Oak Hills 2nd PID:10-15501-08-010 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Cheryl J Tste Boettcher 3250 Black Oak Dr Eagan MN 55121 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature