3251 Black Oak Dr
Use BLUE or BLACK Ink
r
1 For otfice Use
00 Clt of Ea j Permit ~,J L 9~9~ ~ j
Y Ra~ 1
I Permit Fee:
3830 Pilot Knob Road I 1
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: )1.9- 10 Site Address: SZ Lnc_ IC GA le- S 01Z ~ EpGAA/
Tenant: Suite
RESIDENT / OWNER Name: Epp C- d- LAURL£ GA(,CASV E Y Phone: C/Z. 262. 41- 6-z
Address/ City/ Zip: 3ZS) &ACIL- CA kS Dr.
Applicant is: Owner X Contractor
TYPE OF WORK Description of work: W:ropcow [ZfPtA(_~Vv\FPvfi
k )
Construction Cost: 16 .663 Multi-Family Building: (Yes /No
CONTRACTOR Name: Kl2fC1 I License ZGSS 32 761
Address: 5_1566 13L,ack..s Aj7 2c PA-r(4 City: Trv vEkZ 6AQVC N £ t 647 S
State: rl\ 'ti Zip: 5-S0 76 Phone: 6S-1 . 6~i4- G Sr
Contact: To,--, S01\f Email:
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 the 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.goi)herstateonecall.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 I understand thi 's 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
accord ce with the approved Ian in the case of work which requires a review and approval of pl s.
X Jc~n~fhcv~ SC x
Ap ant's Printed Name Appl' is Signature
Page 1 of 3
INSPECTION RF CORD
CITY OF -AGAN' PERMIT TYPE:
$830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: f 6 / / q
(612) 681-4675 {
SITE ADDRESS: r f, r r APPLICANT:
a fl 1, h I A0, 0 AK_ 0F? [::HF RMAN rtARV
POW ()AK. HI I I_ S :-,Nib
PERMIT SUBTYPE: TYPE OF WORK:
MCI- NEW
f
lara~lt ale. l~rmlt ! ~ 9F
PURLOW
JIM
ELECT=
ELAGM
Daft kup-coommift
F~iir~s t
fouk
t
t >
Orsd TOO
Final € %g. Plbg. 'asp r - ld 1ify phumbw
Cpl. Mew
EngrA%n
Bldg. F1r91
Deck Fig. Q
Deck Fined
Wes
fir. Disp.
n6TM`~,(. . ,.w - - , y-A'• - ,r,
~n~en=, ^8,+c'*~ T IN
ilk
OR
EAGANk"
WW, ot Khob Road
.
Minnesota 561 . , 1► 4 JA J
J
R `J 681-4575 1
S ADDRESS: 1. t 7 a b i; r< . t s APPLE OTI rb
.$C 1 fit. Ai:K OAK OR r. .INNL`kW~itt~5: Hl. RS 1M61r
ttkJ: s iigt #t 1 t ! AND
t 6~ Z) Mt3Ei; ~ 1 t -
61~t f
WORK:
KSUBTYPE: TYPE OF
w L -z' °i
New
f
1 ON f .r N A r-
r
~ it~ t A is # s
R MANtES3_, S & W P1 ktq 'Iii i_t Y PL H6
tuft
..6
I owl, lam ftwp~
IAM
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AL
Oft,
IFF
qp-
rLM. kAeler
EWAlWn
Bkcg. Final
Deck PG.
Deck Final
wad
Ft Dlep.
INSPECTION RECORD
CITY OF EAGAN PERNNT TYPE:
3830 Pilot Knob Road Permit Number: 0 "7 49 ' N
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: r t, ► tit „r. I r . APPLICANT:
A NI Ar f- (IAA,- file A it kMAN W)kY
Itltti +,r~f ri r l I •'rtlt ; i a +:,;tits~ eer>is .
PERMIT„WBTYPE: II TYPE OF WORK:. L .
'ftk"IN+; rN~,iir Af f+,
_P11014 IN I'll'(, f-INAI
R 14AVbt it I'AVA I'1 1't ItM I I Akt t«c,rf I I;r 1441? ANY VI OMf3.1"N0 flk t-t 1-t tl4 f("At. WO Ii:
Permit ND. Famm NOWN Dee uspbowt
SNV
Pr
HOW.
Wpolft Dom Mme. Gnnroxle
pato FGrROiA
flOB~i P~. •
f
(~1ie171te1
Final Pft. MO. tr> mew- NOW nlwmw
C,orim. malm
EngrJPlan
9ldg. Fktal
Do& pig.
Deck Fined
Wbu
Pr. Diap.
' cafe ~ ~c~anc~
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: SF DWG Bldg. Pewit No. 21458
Occupancy Type Zoning District R Type Coast VN
Owner of Bart in TDROUFRO B[DC Address 82q WrIERS RIDE RD, EMM
Bwa;a Address 51 BUCK OAK DRIVE ry L6, B 11, BUR OAK MIS IS 2ND
4~ Dates
Building Officiar
POST IN A CONSPICUOUS PLACE
Address 3251 BLACK OAK DRIVE Zip 5512 1
Lot. (i Blk 11 Sub BllR oAx gnT.s 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 0~7 Yes No Inspector:
Final grade (6" from siding) i/
Permanent steps (garage) y~
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass L/
Trail/cuib damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
o
M6460 d D°~
Request Date Fire No. Rough-In Inpsection Required Inspection Other Tha Rough-In
(You mu call inspector when ready) [I Ready Now Will Notify Inspector
as ❑ No Dale Read
I n licensed contractor Z(owner hereby request inspection of above electrical work at:
Job Address (Street. B 7"1 te No.) City
15076/ CL,-- r<
Section No Township Name or No. Range No County
Oc nt(PRINT) Phone No.
a.~ S ke-t-man
Power Supplier Address
Electrical Contractor (Company Name) Contractor's License No.
0owteo win ea-
Mailing Atltlress ICo ctor or Owner Making In I on)
tJ
Authorized ~gn fCo~traclo•%O er Ma g ion) Phone Number
1
1111114 EF EL I THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - 13E ACCEPTED BY THE STATE BOARD
1821 University Ave., . Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-08 ENCLOSED.
G/ REQUEST FOR ELECTRICAL INSPECTION ' " ' 4
0.
" See instructions for completing this form on back of yellow copy.
64640 -
"X" Below Work Covered by This Request
ew Add ep. ~ Type of Building Appliances Wired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other tspecrfyl Contractor's Remgrks.
I L e7 I
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOT
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O'RpER SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in
certify that the above inspection has Final
been made.
OFFICE USE ONLY
This request void 18 months from
i
L 7
~(J13~4 +Ab, e ! r, ut &-4-& Wto 2' 41 t~
Reque t Date R. No. Rough-in Inspection
Required? C7 Ready No I Notify Inspector
When Ready?
licensed contractor owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.)Ci
s
Sect on No. Township Name or No. Range No. Co
Occ pant IP UTl Phone No.
r
Power Supplier J Address
Elects ntractor (Company Name) Contractors License No.
Y
Mailing Address litortractor or Owner Making InslallaUOn)
~J -7 R
Authonzed 9g ure Contractor%Owner eking Installations r- - Phone Number
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 Era-00001-08,
"
See instructions for completing this form on beck of yellow copy.
► A 1141141-
w °X" Below Work Covered by This Request ilw
New Ado Rep. TypeofBuilding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (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 Above 100 Amps
Signs Inspector's Use Only: i TOTAL `
Irrigation Booms /,D • 00J
Special Inspection
ORDER ~SCONNECTED IF NOT
Alarm/Communication THIS INSTALLATION MAY BE
Other Fee COMPLETED WITHIN 18 NTHS. r
I, the Electrical Inspector, hereby Rough-m N ; , tiff✓ ate
certify that the above inspection has Final
been made. Z
OFFICE USE ONLY
This request void 18 months from
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 66122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date-/-21 / !
Site Street Address 5 ® lit a
Property Owner Ca~ Teleoone #
Contractor Telephone # ..g2-C-)
Address -j/ city State IL-- zip a
The Applicant is: _ Owner _ ontractor -Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures.
If you are only installing a water softener and/or water heater, the fee is $15.00 plus the
state surcharge - see next section.
-Septic System Abandonment
-Water Turnaround (add $121.00 if a 5/9' meter is required)
Other:
Water Softener 'Water Heater 15.00
_ replacement _ additional
Lawn Irrigation System _RPZ ~PVB new rebuild $ 30.00
State Surcharge SEP $ 7 2004 .50,
Total 113Y $
I hereby apply for a Residential Plumbing Permit and acknowledge that the inf6rmartion^ replete
and accurate; that the work will be in conformance with the ordinances and codes of to City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an apploation 'For a
permit, work is not to start without a permit and work will be in accordance with the appm d plan in
the eve a plan is required to be reviewed and approved.
I I/ C, Qj-- 4z~~ '~VN
Applic is Printed Name Applican s Signa
PERMIT x 9OF EAGAN PERMIT TYPE: B a i Ae
30 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: 021458
(612) 681-4675 Date Issued: 07/14/93
SITE ADDRESS:
3251 BLACK OAK DR
LOT: 6 BLOCK: 11
BUR OAK HILLS 2ND
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 67
Building Width 54
REMARKS:
S & W PLBR - VALLEY PLBG
FEE SUMMARY
VALUATION $149,000
Base Fee $811.00 MISCELLANEOUS $1,744._50
Plan Review $527.15 Total Fee $3,907.15
Surcharge $74.50
SAC $750.00
SAC 100
SAC Units 1
Subtotal $2,162.65
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 agate of Mn.
Statutes and City of Eagan Ordinances.
nNIA 6,01'A
APPLICANT/PERMITEE IGN URE IS UED Y: SIGNATURE
HACTIVATE i ~ CITY OF EAGAN - °
kWr # 1993 BUILDING PERMIT APPLICATION
0 7 1993 681-4675
i-i
SINGLE & MULTI-FAMILY Z sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I 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 / - '?_2 / Valuation of work
Site Address: JL. l 6 /~cackl/
STREET SUITE 0
Tenant Name: (commercial only)
LOT Blocx J/ susD . d, /74 P . I . D . 0
Description of work:
The applicant is: ❑ Owner Contractor ❑ Other (Describe)
Name Phone L2,86 --09//
Property LAST FIRST
Owner Address X2`7 ~,'f,07725E,-_AQ 100,
STREET STE
City G State ,A) Zip ~T123
Company `7-,!y -~o~ s % cJt.~o S 5QPhone 6& -0-5911
Contractor Address e2-9 License # e6635--_;' Exp.
City ,f4GA,nJ, State Zip
Architect/ Company 701k) /ma r' Phone !?6 .7-6)
Engineer Name 6,2,4~O Registration #
Address 31,31
City 112f{r ocl State j~r✓ Zip s
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once rea has been approved.
I hereby acknowledge that I have read this application and state that the information is.
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 6-, Is ern Fi`Aish
14 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. 1T`
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ l9 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
jr 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. {Actual) \j-N Basement sq. ft. MWCC System
(Allowable) y_ Q 1st F1. sq. ft. City Water
UBC Occupancy R-3 M I 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length I On-site well Census Code ~bf
Depth_ On-site sewage SAC Code 121
APPROVALS i
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site ❑ Footing ❑ Framing ❑ Insulation
❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace
Permit Fee valu.tion: 5 600
Surcharge
Plan Review Zlf = 769
License r'Z 2 C SAC
City SAC ` 74Y x 14 = 11~9py
Water Conn. X3,7 ~7,0
Water Meter
Acct. Deposit
S/W Permit l6 = I
S/W Surcharge -
Treatment P1 . 77 B x !S b D
Road Unit AiN« '
Park Ded. A9 Ko ! ~2~
Trails Ded.
Copies " h
Other
Total:
I'la.►s jo!~ r
SAC % 15 Z-5 X5Ll
SAC Units I LtY~P~ ~e 1) If
14f ~ du
i
T ~o~e~e S Jae- .
It:: --!573-_
-A t- :2 el 1,
_ j
-Z
i
_ _
• -11 1 i--? t-~: '=:.1 ~f t r : r , ~ a ! ' ~ : < . a 1 r~ _.1 : - _ -
r
a
ins,
,
L/7' gym id _ ,
ter ?r 7. T . 1M F' .
TWO R
. I 1 ;..t Ac `i-1 i'
2. 1/7" gyp. bd'
-
4. W/12 WidrKe ~.08
t I
, _.s _:ASi..
2
0, 1 1/2" Nood
__..ci_ s;
, F. I'- I ; 7 i" air film 17
C PuUquatiDn
1. WKWur air fiim 31
A" -tvru ln~. Q.1
12 F;,c rnOr film
Total R 1
'Certificate of House Location For:
'Timber wotks BUilders, Inc.
829 Trotters Ridge Road
Eagan, MN 55123
DELMAR H. SCHWANZ
` LAND SURVEYORS, INC.
R.gl.la.d Untw Le" of The at@* or Nnn"als
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55066 612/423-1769
SURVEYOR'S CERTIFICATE
BLgG K
oAK DRt -g - Scale: 1 inch = 30 feet
p~6rPCur/L O = Iron pipe monument
T 1' O = Set wood hub
4.4 N 3'47-Zoe M _430.00 fl0 = Existing spot elevation
~'S4 L f500 $q~,2 4• a_ 7 1 1 -4 3 ~Q9.4 O= Proposed elevation
t~
M _ IK; Proposed garage floor elev. 9
M
I q /z 99B 5q~,8 Proposed top of block elev. PF 3
'pS ggg.1 ,z ro _ - Bqy~ Proposed lowest level elev. 110,5
~ p ~nYQ q,G N i I 7
tlq 4 U 6@P p
~A I C0Posed V\
$ I ► F~4sc a 1 I gq¢,L
1' I
46
J
Lo -r Lot 6, Block FIT $ND
ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
o RO~pI'D
9~S ptl~ Also showing the location of a proposed
house as staked thereon.
N04- 30-
~ "
tip.
1 hereby certify that this survey. plan, or report was
prepared by me or under my direct supervision and a'
that I am a duly Registered Land Surveyor under ? ~Lh H.
the taws of the Stste of Minnesota. - s SCH NANZ'
s
? 86 5 rag Delmar H. Schwenz \
Dated 06-15-93 - Minnesota Reglstration No. $625
LOT SURVEY CHECKLIST FOR REBIDE:aAL
SUILDIN APP ATION
RMIT IC
299PERTY LEGAL:
Z~_ Z&Z' '02
Date of Survey:
DOCUMENT STANDARDS
CCd~'❑ ❑ Registered Land Surveyor signature and company
0 ❑ Building Permit.Applicant
2`13 ❑ Legal description
❑ 0_ ❑ Address
D_ 0 ❑ North arrow and bar scale
tY"D ❑ House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
~0 ❑ Directional drainage arrows with slope/gradient
❑ 0' ❑ Proposed/existing sewer and water services
P13 ❑ Street name
❑ Driveway
ELEVATIONS
Existing
a 0~D Sewer service
D ❑ Lot corners
Top of cyrb at the driveway
,P13 ❑ Elevations of any existing adjacent homes
Proposes!
fl ❑ Garage floor
❑ ❑ First floor
6"'D D Lowest exposed elevation (walkout/window)
2""D ❑ Property corners
l7_0 ❑ Front and rear of home at the foundation
PONDING AREAS fig applicable)
Q Easement line
❑ 0~ D NWL
❑ Er ❑ HWL
❑ 0' ❑ Pond # designation
E f ❑ Emergency Overflow Elevation
DIiiENSIONS
El""' ❑ ❑ Lot lines
.0''D ❑ Right-of-way and street width (to back of curb)
0" D D Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e.. all
structures requiring permanent footings)
D ❑ Show all easements of record and any City utilities within
those easements
C3 Setbacks of proposed structure and setback of adjacent
/ existing homes
D Z ❑ Retaining w requirements, if any
Reviewed: - 7
Nam / ate
October 1992
PERMIT rR.34jjo
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 4 9 2 5
(612) 681-4675 Date Issued: 12/05194
SITE ADDRESS:
3251 BLACK OAK OR
LOT: 6 BLOCK: 11
BUR OAK HILLS 2ND
DESCRIPTION:
Building Permit Type BASEMENT FINISH
Building Work Type ALTERATION
REMARKS:
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - A p p l i c a n t -
SHERMAN GARY
3251 BLACK OAK DR
EAGAN MN 55121
(612)688-0068
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.
APPLIC T/PERMITEE SIGNATURE ISSUED B SIG TURE
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SINGL & MULTI-FAMILY 2 sets of plans, 3 registered site suLDEC , gy
talcs. 0 2 1994
COMMERCIAL 2 sets of architectural & structural 1 set of
specifications, 1 copy of energy calc
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 'Ah
Site Address: '051 Rt44oV affi _.jV_1 Vf~
STREET W1TE #
Tenant Name: (commercial only)
LOT BLOCK SUBD:~~ B.I.D. o
Description of work: ~•ViY i~(,v
The applicant is: Owner ❑ Contractor ❑ Other (Deseribe)
Name F. OMA J Phone
Property LAST FIRST
Owner Address/ 814ck n4ne_ bkhlrn,
STREET Stf
City a! State /AAJ zip
Company Phone
Contractor Address License 0 Exp
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approve a.
I hereby acknowledge that I have ad this a plic o tate that the information is
correct and agree to comply wi all appli 1 t of nnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OMCE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation 13.06 Duplex 13 11 Apt../Lodging Y6. nt Finish
0 02 SF Dwg. ❑ 07 4-Plex - ❑ 12 Multt. Misc. ❑ 19 Swim Pool
13 03 SF Addition 08.841 ex . 0 13 Garage/Accessary. 0 16' Cam./Ind:
04 SF Porch E3 00 I2-Plax 0 14 Fireplace ❑ 10 ./Ind. flisc.
❑ 05 SF Misc. ❑--°14 Multi. Addl. E3 1S Deck t3 20"Public Facility
21 Miscellaneous
-WORK TYPE
❑ 31 New 033 Alterations ❑ 3S Tenant Finish C"! 37 t i sh
❑ 32 Addition 0 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual) Bas sq. ft. system
(Allowable) ~ 1-st Fl.: ~7.~!ft. i~ty'Water
UBC occupancy 2nd n . . ff. PRV .
Zoning Required `
of asq: Ft. total Boetter P
Stories Footprint Sq. ft. Fire Sprink eon
Length On-site well Census Code
CAP.
Depth On site sewage
e_
f sea~ Oldg i
APPROVALS C sus Unit to
PI ann i ng Building As~tesent~t
Engineering Variance
REGtUIRED INSPECTIONS
❑ .Site 17 Footing E3 F'ratinq A InsatUtion
❑ Wallboard (R Final ❑ Draintile L3.Fif"Ino
Permit Fee
Surcharge
Plan Review
License _
MWCC SAC
City SAC
dater Conn.
Hater Meter
Acct. Deposit
S/M Permit
5/8 Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
'Otr
Total
SAC 7K
SAC Units
PERMIT r-R L6-5 Gq
CITY OF EAGAN ,510144
3 8 , 1 0 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 3 6 7 5
(612) 681-4675 Date Issued: 05/23/94
SITE ADDRESS:
3251 BLACK OAK DR
LOT: 6 BLOCK: 11
BUR OAK HILLS 2ND
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $38.50
DO
CONTRACTOR: OWNER: _ Applicant -
SHERMAN GARY
3251 BLACK OAK DR
EAGAN MN 55121
(612)688-0068
I hereby acknowledge that I have read this application and state that the
informat is e re tr and agree ta> comply with all applicable State cafi, Nn
Statute a it f agan Ordinances.
/PERMITEE SIGNATURE ISS B NATURE
S0 •7~
CITY GF-EAGAN
C3~ 3. -7 S 1994 BUILDING PERMIT APPLICATION, RECEIVIED
681-4675 1444 18 1994
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 oU
specifications, 1 copy of energy calcs.
Penalty applies: 1) when ppemit is typed, but not picked up by last working du of aoonth
in which request is made, 2) address is changed or 3) lot change is requas ice permit
is issued.
Imam
Date Valuation of work
Site Address:
STREET sun 8
Tenant Name: (commercial only)_ _
LOT BLACK SUED P.I.D. M
'Description of work:
The applicant is: 0 Owner ❑ Contractor ❑ Other (Dwriba)
Name Phone- r, Z
Property LAST FIRST
Owner Address
STREET STE #
city State _11:_.....~...` zips
Company Phone
Contractor Address License f p..r...~r....
City State Zip
Architect/ Company Phone
Engineer Name Registration 0
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 h e read this appl atio nd stave that the information is
correct and agree to comply th all licabl to o Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: •
OFFICE USE ONLY y,
BUILDING PERMIT TYPE
❑ 'O1 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 D 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Com./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add'l. x-15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
) 31 New ❑ 33 Alterations ❑ 35 Tenant finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair- ❑ 36 Move
GENERAL INFORMATION
Const.,(Actual) Basement sq. ft. MWCC System
UBC SAllowable)
- 1st fI ft. . City Water
ccupancy 2nd F1. s sq. ft. PRY Required
Zoning Sq. ft. total Booster Pump
f of Stories Footprint Sq. ft. fire Sprinkler
Length On-site well Census Code cif Y
Depth On-site sewage SAC Code
APPROVALS Census Unidt o
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ .Site Iff Footing ❑ framing ❑ Insulation
❑ Wallboard a Final ❑ Draintile ❑ Fireplace
Permit Fee vetrtioa: 4
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 /,00
Other
Total :
SAC %
SAC Units
of House Location For:
iks Builders, Inc.
ratters Ridge Road
i MN' 55123
Al- I
DELMAR H. SCHWANZ
' LAND SURVEYORS. INC.
Registered Under laws of tM stale of Minnesota
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 612/423-1789
SURVEYOR'S CERTIFICATE
f3LgG K
Scale: 1 inch = 30 feet
1-oP O = Iron pipe monument
= B96•~ ~G..L 890 'Cui(i
O =Set wood hub
'yam-47-Zor rZ =430,00 C f~j0 = Existing spot elevation
C) = Proposed elevation
011 Im Proposed garage floor elev.
M
89B Proposed top of block elev- .3
ill (off X91 ,z - t zo' _ . bg9.7!5 Proposed lowest level elev. 890, 3
i I lot A9
ILi I a ~C1YQ4G a r W s
0 0I
iN
1 N , ;
~ I I No4sc c l I g94.t
I
I 89~ 9¢ I P R.'
I
o T D~~n:j-1 ~Jr
, HND
~t oGl~ I1 ,~f Lot 6, Bloc -HUA
L ~`LI+j % ADDITION, according to the recorded
_ ~PAAV '!6 plat thereof, Dakota County, Minnesota.
1~ O Ao `o
Also showing the location of a proposed
8s~' 6 Z . n~p ti house as staked thereon.
N04- 30-S-7
S J,
1 hereby certify that this survey. plan. or report was ate.
prepared by me or under my direct supervision and'. DELMAR H. q '
that 1 am a duly Registered Land Surveyor under # SCHWANZ jri"
the laws of the Slats of Minnesota. {
-8625- I Delmar H. Schwan:
06-15-93%y-i'..•.. • a Minnesota Registration No. 6825
Dated
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1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
N-0 - FIXTURES EACH TOTAL
SHOWER 3.00 -3-
WATER CLOSET 3.00 (1-
BATH TUB 3.00 3 -
a LAVATORY 3.00 U
KITCHEN SINK 3.00 1,
LAUNDRY TRAY 3.00 s
HOT TUB/SPA 3.00
WATER HEATER 3.00
T- FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum -1 3.00 3 -
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Daixty. bc. 15.00
U.G. SPRINKLER • home under cont. 3.00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: _615 1 V~\ A LYc 0
OWNER NAME: Tt v*A ~ rQW V_')
INSTALLER: via 1\ ~ u cc 1-1 s
ADDRESS: L 1 ~C
CITY• 7c) c c~ A STATE: 101- ZIP CODE: 5 35D
PHONE ( ) y~ 1
CD
~A~----°
SIGNATURE O ERMITTEE
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1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAI.JINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUI? DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING U" ,T.
NEW CONSTRUCTION
ADD OIL
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF PUM
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NA 1E: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3834 PILOT KNOB RD
EAGAN MN 55122
(612) 681-6675
PI..ESE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE 7
HVAC: 0-140 M BTU 24 .00
ADDITIONAL 50 M BTU
GAS OUTLETS (mmiMUM 1 s3.oo EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
OWNER NAME• - 1 F n /3 L AtAoo a +e.4c-is TELEPHONE „O
INSTALLER: Cedar Valley Pleating 8 Air
'+1770 Nrcofs Rod Air Eapfl, MN 55122
ADDRESS:
'11' wo - 16191456"
CITY: (6112)454-9666 STATE: ZIP CODE:
TELEPHONE
IGNATURE OF PERMITTEE
::1:7--.`2::::{i:;:: Y>:ttSiai'L. -4:~:':S•'tV..SYi-. 7C a :"•i••,• ;:4y
1993 MECHANICAL PERMrr (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 5$122
(612) 481-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AISO 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 G" FEE $
PROCESSED PIPING: $25,00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ` < FEE,
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMEMS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA096202
Date Issued: 09/30/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 3251 Black Oak Dr
Lot: 6 Block: 11 Addition: Bur Oak Hills 2nd
PID:10-15501-060-11
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector Nva ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
hrech Exteriors Inc Eric Barcaskev
5866 Blackshire Path 3251 Black Oa: Dr
Inver Grove Heights NIN 55076 Eagan NIN 55121
(61)688-6368
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature