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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 ' 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 V'zj; S U Ft vfwr.,nlatnt+~~ . .M..Y..:::hw:. w: w. Y '{Y.;.t L;+r vv :;:y;:'i"': .vti,,, . , ...:..:::?i...,~::: +,aJt:.n.• .;y.;t:>... '~.a.~~.:+Sat.~`.`'•: J{:3t;k:.,~:'+,.?::~2i+sr.'2z~Y.~:e•yot•„w.irf; , •%:i%c ,x?,.,::.1;>z.y.;E;; . . y:.:t;3;wz:;,,;;;k;o;~t: t:::::':;; ,.s5. :3:.y.:.,.:.:,: :,ti•:w.d :2~ii•'•. ri;•~S.:S'?s;;:j +':+:t<f--:::. xvy{7aL;'{4„yr : } + .,k)<... .Y.... ' ..M• <gas::tz:.v?:.::. ..a ~::.<,:•:2'...:•...:..:...• .R ~ v':,,ty.~'3;:y.}+:7~:t?:. ,:a : ~?2~...:. .y:r+:ty r;,}.y. NIX .::a•!c:...,. :~~,~,G'r• .:+!z:.^'t.:.{2,<. .h.z 'i+.3•..:.3:..•';:~ a w.... ; a.ry:,>. ;.:o+. h4•a w:.,>. ~ w • ' d x+, :&r.y. .t. r: s:t;;.:FSs;^}: v r.;:~ty • • •y.,,:: xazzz::? o..,`,;,.r:32; ~ , ~ _ .3}.+. : z . ..N?n..;°F; ,ir,.•h+jr~'z.,,,..:.:,.+C^.•.,t,.. : 'f::A. ••»r.'+•br,,`v!;:T; r '=SCS, ~`tif:5~<,•::ix.;•;zz;;,;LS': fi.: . .h, vy.Jh,•¢2;, , i'x:4.+~Svv: % . v ••,yy~•;rn A....;v .;}..v: • T n,.:.:::ti; ....v.• ;n};\;:,a,' :Q ,b .yr + : : T.~:,. ~ yZ. ~;r ~ ~~:,:...v . v.:x v~:: : • :v: vnv T.{~:h.: , : h~{.' •}]•C•.':•,}v'.} v. L•: .:.v~~. tiv: ;J.j$Y?,:^:::; r..: rr....:... w•:'s: : '.v. r .tj%^.r :a:Y;:,: "-'.a. . .T...... a:.. r:.... ,teat; ~ RRFZy_.`•y.: 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 • .e»rar... • w.,,w{ :a?.>xa;:b»: t ~uv,::}::}:;•X;:;#.`",?'.• :n#',,`..: ;x: yYR'.: '£:.`'r5..;cS3K: •RN....: .a'.5t,k:':'.•'•,t,$;3:;:....:.: :R...:::,:: kS~:?~::•::'i55`ti ~ , .:Yf ...'{,',•.•.`&H.~, 'y1Y• .;h::.~.,r,<•,.:::: ?'c,:£,,, .•b .:.{}.:':'~::~a~':~.':~•. ° , :may x~:,y.., •~a. , t'+~^c~. t;;+' „{:R':,.:.S••yy~~ : -:r?: "a:::::>:;~~.....a..:.,:a v . .......:::::::::.:::.:,:n,}.v: t: :v......::v4~.~~~{~~vwv.• ? ~.a. +atii}~.},,. .t. t . u?•:b.?: .3.•,,::} , . , ..a . ~ )xa:~' ;}•r+.+vr• • .a3:• :a:M}, : ;'X+;r: rn•:.vw:::::.?:• ;,::i' .............,....?:.,.r....... .......:::.v::::: •:n....~r.. n.... ..;.¢1 t3•.. 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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