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3266 Black Oak Dr
. . . s . ,. . . , . . , ., . : IN ?i E TION ?. '??RD ; - CITY OF EAG?41d ?4 3834 Pilot Knob Road Poirmit N4*ftr-.. . ? , Eagan, Minnescrta 55122-1887 Dafo 1m?rsd. ?4y (612) 681-4675 ? . " . i .. F SITE AQDRESS. . ?,. {? ? ' . ? ? ? ?? t. r? c: r ? ?. APP'LICANT: '3,??.ri ` fitA f;F: 06tJ( t) 14 13 lo 1..It ? HIiR PERMIT SUBTYRE: TYPE OF WORK: tlt c;IK ?.; Pemalt HQ.,? P4miY Holder tYaie Tetephane ?€ + EtLKO7'RiG - PI.UMBMS InSP??, , . . ?sta las?. • ??er? Ft31IN[3 FRAMNO FiO.#Gkf JY . . 'Y. - . - . ?? PIRIEST {??y? ' • I"iE?11k!?l M . . 6AAu7 M .. . . . . 1EST 1NSUL GYP BOAFb INEPIFA?CE FilOPLACE AIk TM . ?lP?flL ? flhl{44 Hl?('a ORSAT . "1'EST BL?"i FiNAt BSMT R.I. BSINT FIFJAL C?EOK FEG ` , DECK FINAL M A4le x , . E14SPECTION Crry oF EaciAa SS;iO Pilbt Knob Road . 'Eagan, Minneeota 55123 (612) 681-4675 0,611 ? SiTE ADDRESS: t*Tv 2? st oc9e_t iAPP1.1CAN7?'r ; 5266 Bi,ACi( AAIf OA DtfR ORK HIR48 M1!J PERMIT SUBTYPE: -? TYPE t3F 11YOM t?OOTI'M8 l?RI1M?IaM = ? ? . r?? . . . . . . i.' " ', " , . . z f. . . :; qC',... ' . . . j? -'?.f??+ . 111w+RMtK.S: REcEIPt` ! $iW PLOR. 3TAR i?tOi,i??. ? . . . ... . ?. . ? . _ .. .? ?:[; ._ ?.. ,. . ?. '?.-..ji F"erndt 1!m. Pun* iromw mM 71N.phom s S? . ? RnO?W, #6dTsm . Flna1 Plbg. ; /Z? ? ?p?'-?i?? Con6t. MAew EngrA%n Blft. Flnel D.Ck Pop. Oedk Fktel YVeN Pr. Olep. ??? ? -D2 ?? Req est Da Fire No. Rough•in Inspeciion , A Required4 ? Ready Now 7 Will Notity Inspeclor G Yes r No When Ready7 I I?fi/censed contractor p owner hereby request inspection of above electrical work at: J d ss tre . Box or te ?o&, City + Section No. TName or No. Range Na. Co OccupantlP INT) . phone No. PowerSuppher Adtlress Ele n Contracror ICompany Namej i • '1? Contr dor' 'cense N _- Madin A tl ss ( nf or Ow Makmg InstallaUOn) n -0 ?.k-nn, " 1"t, hi-?` V ? Authon ed S?gna!ure iContra tor' wner Making InstaUa4oni 1 Ph b MINNESO'LAJSUE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mldway Bldg. - Room 5773 BE ACCEPTED BY THE STATE BOARD 1827 Univeralty Ave., 51. Paul, MN 55104 UNLESS PROPER INSPECTiON FEE IS Phone (612) 642-0800 ENCLOSED. L G30R2 REQUEST FOR EL.EGTRICAL FNSPECTION ? See insiractions tar compieting this form on back ot yellow cropy X" Below Work Covered by This Request EB-0000 j6t; -?? tdv f*- p. TypeofBuilding App(iancesWirad EquipmentWired we ' I Home Range Temporary Sarvice Duplex Water Heater Electrfc Heating Apt. Building Dryer Other (Specify) Comm./industrial ! Furnace Farm AVr Conditionsr Other (syecify) Contr ?o?s Rernarks ? Compute Inspection Fee Below: # - Other Fee # ServiceEntranceSixe ? Fee # f Circuits,'Feeders Fee Swimming Pool D to 200 Amps 0 ta 190 Amps Transformers Above 200 Amps ` IAbove 100 Amps S19115 lnspector5 Use Only: ! ??TQ N d Irrigation Booms ? ?C? Special Inspection AlarmJCommunication THIS INSTALLATION MAY BE QRDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MOIdTHS. I, the Electrical Inspector, hereby Rough•in r Date Y certify that ths above irrospection has been made. Final ? - oFFOCe use aNLv This request void 18 manths from Wertificat¢ of Ccc"atc? ?iii) of Cfagan Mepart"Itut of lemming 34#0eethm . T7ais Certificate issued pursuant to the requirements of ihe Uniforrrt Buildin,g Code cernifying that at the time of issuance [his structure was in compliance with the various ordinances of the City reguIating buiiding constnecaion or use. For the followirig: SF DWG 740 Use Classificabon: Bbg_ Pennit Nu. Occupancy'lype 7,amin YD?isUiq T CoBst. Owuer of Building ?.D ?C1V INC Address 1212 ? BAY RD,' B V= . a m Build/'u+g Address 'I'm Locality 4/23/R2 } - nate• Bui ' g Official POST lld A GQNSPICUOUS PLACE - Addrets : 3266 M" OAK DRIVE Lot Z Blk I Sec/Sub gUR pAK jMTS These items were/were not complete at the time of the final inspection. Date: g 23 g2 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch . Sasement finish Deck Pleasa verify with the builder tha 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. ? IIECIIiFOPMER White - City copy Yellow - Resident copy Pink.- Contractor capy 0 2-- RESIDENTIAL BUILUING Pertrut Applieation City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephane # 651-675-5675 FAX # 651-575-5694 New Constuctian Reaufremenfs RemodeURenair Reauiremenls OHi? Use Qnlw 3 reg isTered site surveys showririg sq. T4 of 1ot, sq. ft of house; and all roated areas 2 copies of plan CeR of Surrey Recd _ Y _ N (20% maximum bt coverage aNowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y ,_ N 2 copies of plan showing beam 8 window sizes; poured found design, ete, 1 site survey for additiarrs & decks Tree Pres Reqd ,_ Y _N 1 set of Eneigy Calaulatfons Addfion - indicate if orhsile septic system On-site Septic 5ystem _Y _ N 3 copies oi Tree Preservation Plan 'rf lol platted aRer 711/93 Rim Joist Oetaii Qptions selection sheet (bldgs with 3 or less units Date ? / ? / ? Construction Cast S- s-'a" &V 2?-- 2 a) ` '? P' ?6 Site Address ?-? b ? ? ( ? f/? ?r /? ?YJ?? UniUSte # Description of Work ?4? o e / t /4 h ? H S?! 4 ?..? w' 4a?c ? c?I l? ? r 1VIulEi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property awner 74k ?_(? uK Te[ephone #(??'? / 1 Z/ Contractor c 1r Q Address b City State z Zip Tefephone # (?fo COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesata Rules 7670 Cate?rv 1 Minnesota Rules 7672 Energy Code CategOry • Residential Verrtilatfon Category 1 Warksheet • New Energy Code Worksheet (4 submissian type) Submitted Swbmifted • Energy Envelope Calcukations Submitted Have you previously constructed a building in Eagan with a similar plan? - Y- N If so, 259'o plan review fee applies. Licensed Plumber Mechanical Contractar Sewer/Water Contractor Telephone # ( Telephone #[ Telephone # ( I hereby apply far a Residential Bui3ding Permit and acknowledge that the information is cornplete and accurate; that the work will be in canforrnance with the ardinances and codes of the City of Eagan and the State af MN Statutes; I understand this is nat a permit, but anly an application for a permit, and vvork is not to start without a permit; that the work wi11 be in accordance with the appraved plan in the case of work which requires a review and approval of plans. Apglicant's Printed Name . Applicant's Signature OFFICE USE ONLY Sub Types 0 01 Foundation O 02 SF Dwelling O 03 01 of _ plex ? 04 02-plex ? 05 03-plex 0 06 04-plex IfVork Types 0 07 05-plex C] 08 06-plex ? 09 dl-plex 0 10 OB-plex ? 11 10-plex 0 12 12-plex ? 13 16-plex 0 16 Fireplace ? 17 Garage ? 18 Declc ? 19 Lower Level Pi6g_Y ar _„ N 0 20 Pool ? 29 Porch (3-sea.) 0 22 PorchJAddn. (4-sea.) C] 23 Pbrch (screenlgazebo) ? 24 Storrn Qamage ? 25 Nscellaneous 0 30 Rccessory Bidg 0 39 Eatt. AEt - Mufti ? 33 Ext. Alt - SF ? 38 Multi Misc. ? 31 New 0 35 Int Improvement ? 38 Demo1'ist? (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 OemoWsh (Foundafion) O 45 Fire Repair CI 33 Alteration ? 37 Demolish (Bldg)' 0 43 RerooF 0 46 Windows/Doars ? 34 Replacement *flemo[ition (Entire Bldg) - Give PCA handouE ta applicant Valuation Occupancy MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. af Units Sq. Ft. PRV Nbr, of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) FiaaUC.O. _ Footings (deck) FinaUNo C.Q. _ Footings (adciiti.on) _ Plumbing _ Founclation HVAC _ Drain Tile Other Roof _ Ice & Water ? Final Pool Ftgs .AirlGas Tests Final ? FmminS ? _ _ Siding Stncco Stane _ ? Fireplace _ R.I. _ A,ir _ Test - Final _ Windows (new/replacernent) _ Insulation _ Retaining WaII Approved By Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connectiop Charge S&W Permit & Surcharge Treatment Plant License Search Copies OtMer Total 1 ? 1 ?U ? RESIDENTIAL BUILQING PERIIAIT APPLICATION ? CITY Of EAGAN 3830 PILOT KNOB RD, EAGAN MPI 55122 851-681-4875 New Constructlon ReuuiremsMs + 3 reglstered sfte sunreys shawing sq. tt. of bi, sq. ft. oi houae; and ?il roofed areas (20°k maximum bt ooverage allawed) • 2 capfes of plan showing beam & window sizes; poured tound design, etc.) • t sgi o1 Energy CalculatiDns • 3 capies of Tree Preservation Plan if lot plattfld afler 711193 • Rlm Joist Detail Options selectbn Sh99t (bldgs witli 3 or less unils) DATE C0 1-I 1_QZ RemodallRah ,guiremerHs • 2 copies o1 plan • 1 set of Energy C&Iculations far heated additbm • 1 stte survey for eAsrbr additi0ns & deft • Indicate If hane Served by septfc system tor additlpns VALUATION (OCOC) SITE ADDRESS 3-2C04o?(atY) CC 0- MULTI-FAMILY BLDG _ Y TYPE OF WORK TI ('--? 0W.) rui hU,lSe. +dlCla0.Q c, FfREPLACE(S) _ U_,_. 1 APPLICANTTC06 N -2 STREET ADDRESS _1(0? TELEPHONE # (dD1-(o& 'aWD CELL PHONE # CIT1f &PaW S'fATE IJ&J ZIP ?SID F,ax # 651-o?q D - bg 05 PROPERTY OWNER ? qoclc? TELEPHONE #L6I`EOSS 'WZ2 ----------------- ------------------- ---------------------------------------------------------..- COMPLETE THIS SECTION FOR "NEW" RESIaENTIAI BUIlQINGS ON4Y Energy Cade Categary _ MINNESOTA RLILES 7670 CATEGORY I MINNESQTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheat Submitted •• Energy Envelope Calculatians Submitted 1 19, JUN 1 1 Z002 Plumbing Contractor Phone # Plumbing system includes: _ Water Saftener Y Y I.awn Spriiikler E ? Water Heater _„_ N4. of R.I. Bath: _ No. of Baths Mechanical Canhactor. Rhone # Mechanical systern includes: Ai.r Conditioning ? Heat Recovery Systcrn Sewer/Water Conhactor: P'hone # Fee: $70.00 --------------------------------------------------------..------..._.......------------------------------------------------ 1 hereby acknowledge that I have read this app6ication, 5tate that the fnformation is correet, d agree to comply with all appllcable State of Minnesota Statutes and City of Eagan rdinances. Signature af Applican OFFICE USE UNLY Certificates of Survey Received _ Tree Preservatian Plan Received _, Not Required _ Updated 4102 oFFIcE usE oNLY 0 01 Foundation 0 07 05-ptex ? 13 16-piex [3 20 Pool C] 30 Accessory 8#dg ? 02 SF bwelling ? 08 06-plex 0 16 Fireplace [3 21 Porch (3-see.) 0 31 Ext. AR - Muiti O 03 01 of,_ plex 0 09 47-plex 0 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - 5F O 04 02-plex O 10 Q&plex 0 18 Deck 0 23 Porch (screened) ? 36 Muiti 0 05 03-plex ? 11 10-plex 0 19 L4wer Level ? 24 Starm Damage 0 06 04-p#ex 0 12 12-plex Plbg Y or - N ? 25 Miscellaneous 0 31 New O 35 Inf Improvement ? 38 Demalish (Irrterior) ? 4€ Siding ? 32 Additian 0 36 Move Bldg. 0 42 Demolish (FOUndatlon) ?45 Fire Ftepair 0 33 Afteration ? 37 Demolish (Bldg)* ? 43 Reroof 0 48 Windows/Doors 0 34 Replacernent 'DemoEition (Eritire Bidg only) - Giva PCA handout ta applicant Valuatlon Occupancy MC/ES System Census Code Zvning City Water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire 5prinktered Type of Const W idth REQUIRED INSPECTIONS - Footings (new b1dg) _ Fins.2/C.0. - Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plurnbing ? Foundation ? HVAC Drain Tile ? Qther Roof _ Ice & Water _ Final Paol _ Ftgs _ Air/Cras Tests u Final ? Fram.ing _ ? Siding 5tucco Sione ? Fireplace - R.I. _ Air Test _ Final _ Windows (new/replacement) ? Insulation ? Reta.ining Wall Appraved By , Buitding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water 5upply & Storage S8W Permit & SurCharge Treatment Plant Plumbing Permit Mechanical Permit License 5earch Copies Other Total 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4b75 Date: ? f Description of Work: Construct new fireplace l` as Masonry _ Install gas insert onlv _ _ Other /'/liS?er (j/ 1471;? ?6U,?? r Alterateons to existing Install gns line onlv ? '_" ? i3??Iv?/ Job address: _&z4dt!? ??i?f6C Ae-i Lot: 2 Block: ? Subdivision/P.I.D. #: N(Ar N? k 61,S Applicant (circle one only): Owner C ntractor Permit Fee: S60.50 -7v2- Phane #: Name: ?&O_t IJ PROPERTY Lasti First OWNER • ?/ Street Address: 014k- City C A??Gf/ __ State: Zip: ?•?/ G! Company: W o& ?? . FIREPLACE,V?C ?7 - ? INSTALLER ? treet Address: L-2 City C L? State: _ Company: GAS LINE INSTALLER Street Address: City zip: a' Phone #: (area code) State: Zip: _ P h o n e #: 6 /c)_ O6 /_60?? (area code) I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiicable State of MinnesotaStata"d City of Eagan Ordinances. OFFICE USE ONLY BUILDING PERMIT TYPE 0 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations O 32 Addition ? 34 Repair GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS ? 39 Gas Line ? 40 Gas Insert ? 41 Wood Stove Chimney/flue must be inspected before concealing. iw s . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Numher: Date Issued: suR aaK HzLLs BuILDZNG 3266 BLacrc QaK pR L4T: Z BLOCK: 1 000748 06/ss/9z DESCRIPTION: B:uildi.ngPermit Type S F DWG NEW R-3 M-1 VN R-1 57 _ 45 . . . C REIUTARKS: REcEzPr # dC; (q3q,3 S&W PLBR. - STAR PLB6. FEE SUNIIWIARY: VRLElATIUN Base Fee P1an Review SurGharge 5RC SAC % SAG Units Subtotal $Tf>2. 0fb $495.38 $67.50 $709.90 S ?18 1 $2,02A,8$ $a.36s ??0 HISG FEES 1 610.50 Total Fee $3,535.30 CONTRACTOR; - Applicant - sT. LI OWNER: i1GQDNALD CONST INC 16887061 000237S MC[IQNALCI COMST IMC 1212 BLUEBILL BpY RD 1212 BLUEBILL BAY RL! BURNSVILLE 19N 55337 BURFESVILLE f4N 55337 (612) 688-7061 (612)688-7061 Control Na. 0 6 1 , PERMIT 4 : 7 4b . . ? crnr oF EacaaN • 1992 BUILDING PERMIT APPLICATION ss1-467s f U 3S.3a _j U N p 2 RECD L*t" 4 11 SINGLE & MULTI-F14MILY 2 sets of plans, 3 registered site surveys, 1 topy of energy . calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. . Penalty appiies when typing of permit is rec?u!ested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. ate Z- Valuation of Nork ? 8 SC TiCFkS ) Site Address: t A. C_ t< OR-K 1D12, ' STREET 8TE t Tenant Name• LOT BLOCK ? SUBD. ? u ?2 Op-u G+t LLS P.I.D. ? Descri tion of work: The appl i cant i s: C"jOwner, gContractor I? Other (cescr+be) Name Phone Property LAST FIRST : Owner qddress STREET STE # City State Zip Company Mc-75oNpCn COA)sT-Rucraon)'F-xlc, Phone (o kF-7061 GAr-itl'BCtoe' Address ( 2 l2 6 Lu ????L /3" 2D . License #DDoZ3?(,-, Exp. City Ru.r_+v.S Vi ?LF_ State MA) ip SS337 Company Phone Architect/ Engineer Name Registration # Address - City State Zip Sewer & water licensed plumber p15 . Processing time for sewer & water permits is two days once area 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: • S ? v -. . .?? qwv? rr?vam¦ BUILDING PERMtT TYPE 0 ? 01 Foundation ? 05 Apt. Bldg JM?02 SF Dwg. O Ob Garage/Accessory ? 03 Two family ? 07 Fireplace ? 04 Multi-fam. T.H. ? 08 Deck WORK TYPE . A 31 New O 32 Addition ? 33 Alterations ? 34 Repair 0 35 Tenant Finish E3 36 Move GENERAL INFORMATION r L_J ? 09 Basement Finish ? 10 Swim Pool ? 11 Res. Add./Porch O 12 Conm.JInd. ? 37 Demolish ? 99 Undefined Const. (Actual) V- N ' Basement sq. ft. (Allowable) UtC v _N 1st F1. sq. ft. Occupancy 4 2nd F1. sq. ft. Zoning ? Sq. Ft, total # of Stories _ Footprint Sq. ft. Length 57 On-site well Depth __47,-%f? On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? cite ? Wallboard O Footing ? Final O Framing O Draintile ? Insulation O Fireplace Permit Fee Surcharge Plan Review License !!WCC SAC City SAC Mfater Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: sac x lo0 SAC Units _I 9(> z.00 V.Imtkn: : 135, 000- . 7 . t?b 4 9r7, ?? ? AQAG?•? a9 x 2.3 `70, O? I K # 4;+ = L )e 7 - ? / y) /oo,o? 677?J' , 0 1) 't, k ? ~ ?2 ?--- 95, 00 .G55 x16= loct?,? 50. oa ,!50 a.? r0?7 a - ? ???, ? ? I s r Fw??2 ' ..-----" I o?i? K +fb = 5'?q2? 2NC, FL.aK. • ?`?1 x53 = yq,6?3 - 13 L4, 5g-7 . , I , ? 13 Public Fac. ? 14 Agricultural ? i3 Miscellaneous MWCC System YES City Water ? PRV Required Booster Pump Fire Sprinkler Census Code SAC Code ? Assessments r. ? CITY C3F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: , PERIVIIT PERMIT TYPE: _ Permit Number: Date Issued: DESCRIPTION: REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: ' 7 ? ?- , , .• `},:z ?.: r f i i:3 '*1;;± q 1'%:? t? 1_ .? 7: ?, v t.? ?J J.? !, t:: ?.L i?, i i`H il d :=; ti- c3 t E 4, I' i c a f ?» 1 i L`5 , , i I I I re-i L:. z:i i i d ti3 cL fC! ply W I. th t:, I I u _ppl-i#:' alb1e Sts:t t<3 i* F mi'I. G I L 1 t PPLICAN /PERMITEE SIGNATURE ISSUED B : AT ,?.?.?.: ?:a,•.,• .L.. ?;.i:•.:.o.,. ,4?V-.0.. .p,y.,i?. C "! Y' : ' 1l - !- ,:1G.r.,<.,t TA-H±:f=:P, tdC:;,, „?, OA':l: ., 05f ;.?0;,, r;, '; ; ME, 14105 1 f,:-? Try, r. : ?. 3266 , ?., ; ..:('t,• .!,, : '.. 1. "? ?_.i.1 `..!, ..,?1(.,ii. : ?i.. i l .. i•! .. ?:: ,r.? ,..,;i=t ,.? 4,. 0155 900i ..:26E BL; iCK r?"N ?'S .. `ii ` -r.. .i._::?•; 1;;?;..,:•???.-.s?.I.r?.?-;..?,? ' ...1, eY,t"-,? , `???,r! ?.. _ ._ _ 1. .?. :.,?.. ?...,., ..R074407 1.GEt.' .I_o!! NAi`t3...'.,?? .,.. ., a !•'?"A? ? i'i'?:k .1? ., -?. d :?.?.r?l.? ? ., ?`- A „ s i Y ,y. 'f, \_ 1997 BUILDtNG PERMIT APPLICATION (RESIDENTIAL) SC? . SZ? ?01 Cj 4? CITY OF EAGAN 3830 PILOT KNOB RD - 86122 681-4BT5 New Construction Reauiromerrts 7)4 ? 3 rogisterod sib atmeys ? 2 oopies of plan ? 2 copies of pians (Include b•am 8 windaw afzes: poured fid. deaign; sta) ? 2 site surveys (exterior addiduns & dodcs). ? 1 enerpy calalstlons ? 1 energy calculetions for fieated addiNons ? 3 copies of tros preaervatfon plan if lot platted afber 7/1/93 roquirod: _ Yes _ No " DATE: 5-?"3 CONSTRUCTION COST: DESCRIPTION OF WORK: Pe-G'f4, STREET ADDRESS: / LOT °Z BLOCK 32-ce(p oa,.V- DV. a4ju ? SUBD.IP.I.D. #: PROPERTY Name: 5f-ebwl ?? ? '9- Phone #: OWNER LAW A•* Street Address: Ciiy: State: AA tU Zip. 56 L?--? CONTRACTOR Company: Phone Street Address: License #: City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information is comect and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. e Signature of Applicant OFFICE USE ONLY V - RECEIVED Certificates of Survey Received Yes No MAY 1997 Tree Preservation Plan Received Yes No Not Required BY: OFFICE USEONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 02 SF Dweiling o 07 4-plex 0 03 SF Addition o 08 8-plex 0 04 SF Porch o 09 12-plex 0 05 SF Misc. 0 10 = plex WORK TYPE ? 31 New ? 33 Aiterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Aatual) (Ailowable) UBC Occupancy _ Zoning # of Stories Length Depth APPROVALS 0 11 AptJLodging ? 0 12 Mulfi Repair/Rem. ? 0 13 Garage/Accessory ? a 14 Fireplace n x 15 Deck 0 36 Move 0 37 Demolition A 96 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq: ft. MC/WS System Main levei sq, ft. City Water sq• ft• . Fire Sprinklered sq• ft• PRV sq. ft. sq. ft. Booster Pump Census Code. Footprint sq. ft. SAC Code Census Bldg Census Unit D Planning Building ? Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit S/W Surcharge Treatment PI. Road Unit Parlc Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: $ ? "MINNESOTA STATE ENERGY CODE CALCULATIONS ' BASED ON CHAPTER 5 OF TN8 ?/109- ? MOUE•v ENERGY CODE - 1983 EDITION G(? Adoption Effective Owner 'T_.?i?.•+?"? Phone Date Site Address Contractor Phone guilding classification: Type A1 (3ingle F'emily 6 Duplex) -4K Type A2 (Residential, 3 stories or less) (over 3 stories) (Other) NOTE; Complete pages 3 and 4 first. GENERAL INFORMATION o? ? 1. Building Perimeter ?l . 2., Wall heiqht (ground to eave) ft. . 3. 1. X 2. ( above ) gross wall area`$?A???? s.sf t. ? & 4. Building dimensions (L) X(W) JI??- Q.ft.roof f loor area 5. Sq. foot area of rim joist - FIODiF j i size (2 X Xge?(Perimeter) ?q.ft. e4??. 12 \ A"T 6. Doors - Area ? ?? d Thickness in U. factorl Type of Construction Perimeter ft. ' Manufacturer 7. Total door'a perimeter ft. .? . 8 . Windows : M turer't???L ??T ?? ? `?:1? • ? ? ? 3tate approved U f actor ???u ac . TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL tk EACN UNIT3 5Q FEET 9. Total sq.ft. Glass 10. F'ireplace area: Width X Neight X ? sq.ft. il. Exposed foundation: Height X Perlmeter,? ! X??s ? Q•ft• COMPLETION OF TIiI9 FORM IS REQUIRED FOR ALL NEW MN9TRUCTION, trUJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTNER THAN THE MINIMAL CODE ALLOWANCE, IS USED. -1- , 12. F,raming area = io% of gross wall area. • ]:3 . Gross wall area ? l?69 1sq. ft. • Window area A?? ?IVq.ft. U windowe = UxA ? I Ri.m joist area A? ft. V rim joiet= 1 UxA a` Door area A 49 sq.ft. . U door area-• t? UxA a. other doors area AA001vq.ft. U other doors=-,"'r 7 UxA = Ain Ex osed fndn & l p sq. ft. U foundatlon=? ??(a UxA = Framing area AVII?' I ? sq,ft. U framing ares=1095P UxA - ? Net wall area A?` q.ft. U aalld UxA = (13H) TOTAL . . . . . . . . . UxA co), po--211 1 fV 14. Grvss wall area x 0.11 (A-1 ginqle family & duplex) a allowable UxA/Code (13. above) x 0.23 (A-2 other residential) x .23 (vther buildinqs) x .2e (over 3 atorieB) A? ?? U ?ode 1 ? L-&t eTUH must be larqer than c?r Bame Ld?- - °F. en 138 above 15. Ceiling framing area (Af) equals iot of ceiling area 15A. Grvss ceiling area =(L) -?- x (W) m ? gq.fE. 158. Joist area (Af) a 10$ ceilinq area ? 170*% ( eq.ft. 15C. Net ceiling area (AC) '(15A - 158) ? 1• sq.ft. U ceiling 7t AC U f raming x A f ?_Lc?'L x ? •.. _. ?- - . ° . 1 15D. TOTAL U x A ............................. . . , 16. Ceilinq area (15A) x 0.026 (A-1 single family 6 duplex) = allowable UxA/Code , x 0.033 (A-2 other residential) x 0.06 (ather) . BTUH must be 'larger than or aame A(15A) x V Code °F. ae 15D above NoTE: Use U and A values obtained from pagee 1, 3 and 4. CERTIFI.CATION: I hereby certify that I have calculated the "U" factozs and "R'I values herein and that the building here described meets or exceede the 5tate of Minnesota Energy conservation Act. Date . signature ' -2- -,?-,-°-- V??. ???? ?'A;?? 1"'=, ? ? ?•?•?',C..+?. ' ?t 1 ? c c, ? ..... ?? ?? ww 6?0?01? \ tz(e ? A'Z p , r? ?to ? i/ ....,. `?- ., 4q.49 vol(pb ? '? ?a e4 , -.;? t ? ,.,. ?? ** * Pit7NEER * engineeri * 4 * * LAND SURVEYORS • CINL' ENGINEEHS LAND PLANNERS • LANDSCAPE ARCHITECTS 2422 Enterprise Drive Mendota Neights, MN 55120 612) 681-1914•Fax 681-9488 625 Highway 10 Northeast Bloine, MN 55434 (612) 783-1880•Fax 783-1883 Certificate of Survey for: M cDan al d Con stru ction, In C. House Address: 3266 Black Oak Drive Eagan, MN Model Name: 92-231 I 41 1 1 ? '' I I I I ? ? S 88'06951" W I I I \ 142.45 ag?. ?fr aa, ; m 62 98 44.00 -- -- _ -- - -? l x . ? ^ - ?? 1 CA ?? ?N N? I ,O ` )> \ ? ? ? g 17 , P? _ , ?n . I ?. I ? n v <1 z _ 24.00 9' c) 14 00 ?% % \ ? N o D . o ?w I ? ?? ? OQ V' ?°1r ` D ? m ?p o I O tD . f` a° - J ° ° ? o "' I 30 ?25 b1.0 r y? "' ,3 I 8 I I 5.0 T_ o ? tt ? . I ? U? N O O m m Z i N4.0 ? I g ,O ? O 8? 1 q? 10 / 24.00 ? 1 y ? ? `49? s `?'o ? \ ? ; ? RN ?. ? + I s09? N? I 7 3s8'? ??? J F K?;-f -,'I ? L cn W? o /y/ ? -Z W r ^ ? N a m 4 q't. f ? . •- !,/ ?.?a??_.??.. _? ._.??. ?. ...??. .__?-: _._... W _..r i ? x 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION X sao.o Denotes Proposed Elevation Lowest Floor Elevation:888.22 Denotes Drainage & Utility Easement jop of Black Elevotion:896.33 - Denates Drainage F1ow Direction Garage Slab Elevation:895.33 --a- Denotes Monument -- e- Denotes Offset Hub Bearings shown are assumed LOT 2 BLOCK 1 BUR OAK HILLS , DAKOTA COUNTY. MINNESOTA I herebVi certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws oF the State of Minnesota. Dated this 17-43" day of tA a u A.D. 19.C?Z . J IZ ov. S-tS4' • n?r? FY? c? f? ri? . S/? /'y le. '? inch = 3 O feet \.r lJ T y, , ` , r v ROgEW ?,G'}-y .5. REG. NO. 14891 ?/ 079 91081.17 ?5?-g? 2006 RESIDENTIAL BUILDING rExMIT ArPLicATioN *:'Lo. " City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 'i'elephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Requirements 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot piatted after 7/1193 Rim Joist Detail Options Wlection sheet (buildings with 3 or less units) Minnegasco mechaniql Ventilation form RemodeVReoair Re4uirements Office Use Oniy 2 copies of pian showing footings, beams, joists Cert of Survey Recd _ Y_ N 1 set of Energy CaiculaGons for heated addi6ons Soils Report _ Y_ N 1 site survey for addiGons & decks Tree Pres Plan Recd _ Y_ N, Addrfion - indicate if on-site septic system Tree Pres Requfred _ Y_ N On-site Septc System _ Y_ N Date Construction Cost Site Address ? ? ? ? ( •'tcl f ?? i Unit/Ste # tion of Work Descri `?? ?a, C; ot ?E-4 l ? p 1 . ? ? t d i 5 ? < . ae ? ? Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner ?6 ic- / Telephone # f/ Contractor ?t ? - I ?? G r( e 0 `" r Address "4 7 ? ?" 6 City -?- ?r:tisY zi -a State = l=?'? • _ Zip , ? i? Telephone # (01) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minriesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submiried • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a moster plana l? _ Y _ N If yes, date and address of master plan: , Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City bf 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. 1-5 /Li" 4X?,, 7/ ?J _? ? ? r fa /? ? .?- Applicant's Printed N e Applicant's Signature ? DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF 0 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. 0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex 0 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 5iding ? 32 Addition ' ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 0 33 Alteration ? 37 Demolish Building'` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant DeSCPIptlOtl: Water Damage Yes Valuation Ptan Review Census Code SAC Units # of Units # of Bfdgs Type of Const _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile ' Roof Ice & Water Final _ FramingT _ Fireplace _ RI. _ Air Test _ Final _ Insulation 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 100% or 25% Occupancy Zoning Stories Sq. Ft. Length W idth MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Siucco Lath _ Stone Lath _Brick Windows _ Retainiug Wall Building Inspector ? , ? ? ?----------------- ? Q" Us? , - t I , APermit #: City 0f Eadn 3830 Pilot Knob Road ? Permit Fee: Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 i staff: i Fax: (651) 675-5694 I i L? ---------------- J 200$ RESIDENTIAL BUILDING PERnniT APPUCaTioN L.?;??{-,? Date: .,i Site Address: e Tenant: c :; : Suite #- RESIDENT / OWNER Name: Phone: Address / City / Zip: 1= t; i: ;??e+, .'?: ?,?-? i't ?`` ??tf? ti Applicant is: Owner %t Contractor TYPE OF WORK Description ofwork: 1"? C NXli%,7-, ? Construction Cost: Multi-Family Building: (Yes CONTRACTOR Name: /?=` % ? ?'!` i?`'? "`''f ?f • ? --? ?. c License #: Address: . 'S City: State:, Zip: y-' ? Phone: -??+? Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worfcsheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supparting documents that you submlt are cansiderred to be pu,blic infarmation. Portions of the information may be classified as non public if yvu provide specific reasons #haf would permit the City to conc/ude #fiat the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permft, and work is not to start withoA 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 pFans. x ApplicanYs Printed Name Appllcant's Signature DL9(9t9j? ?fJ {'a? Page 1 of 3 u U L5 DO n c r 15 2oa8 w- ? DO NOT WRITE BELOW THIS LINE ? SUB TYPES ? Foundation ? 05-plex ? 16-piex ? Accessory Building ? Pool ? 5ingle Family ? 06-plex ? Fireplace 0 Porch (3-season) ? Ext. Alt. - Multl ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Ait. - SF ? 02-Plex ? 0$-plex ? Deck 991 Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level El Storm Damage ? 04-Plex ? 12-plex ? Miscelianeous WORK TYPES IN New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Intertor ? Alteration O Fire Repair • ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION• • Valuation lbj vt70 • " Occupancy _TV C" ? MCES System Pian Review Code Edition OU1 Zon'1 SAC Units (25% 100% _J Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length ?4 1 Fire Sprinklers Type of Const. Width . REQUIRED INSPECTIONS . Footings (new bldg) Sheetrock Footings (deck) Final/C.O. tp Footings (addition) ? Final/No C.O. Foundation HVAC Drain Tile Other: Roof: _Ice & Water _Final Pool: _Footings _AidGas Tests _Final 14 Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _Air Test _Finai Windows Insulatfon ? Retaining Wall Reviewed By: Building Inspector -T RESIDENTIAL FEES; Base Fee ?X rc Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant -j"o v00 Z Copies Total 7r S-v gepIAcr'tg W 1 ?tDd W Page 2 of 3 * * * 4 * PIOIVEER * engineeri * * * * LAND SURVEYORS • CIVIL ENGINEERS ry LAND PLANNERS • LANDSCAPE ARCFIITECTS J 0 2422 Enterprise Drive • . Mendota Heights, MN 55120 ` (612) 681-1914•Fox 681-9488 625 Highway 10 Northeast Blaine, MN 55434 612) 783-1880•Fax 783-1883 Certificate of Survey for: M cDon al d Con stru ction, ICl C. House Address: 3266 Black Oak Drive Eagan, MN Model Name: 92-231 I 1 I I I 1 ( ? ? f,LI "a`1 ? 4?_ ? n \ ? v -P I ? I I ? ? s 8s•os'5i" w 142.45 ,r?q l,,rl T 62.98 44.00 ,? N I to ? 1-`- 24.00 ? ° ? U' C) r 14 oo 10 \\ ?. ? ? ? r, -a Q ? tS? o °o ? 7z'_ \ ? o ? r D 0 m N o p - L v?? { U n ° , .•, . 30 A o 0 0 r? b 1.0 ? m l ge I2' ? o ? 1 ° cn ? 5.0 N g ti9 • i Q'' _• o ?11 Q I ? I p m m w 4.0 ? z ofN?'° o° _j o ? 00 24 ]p r --., -h . ` I?' - I 8q 1, 43 D. m i- 1 ?- - ?- ..-- ;-, ? -? ? o c? = ? 4 z 7?. L? A;" A.W ?LERING D?? I I x 900.0 Denates Existing Elevation PROPOSED HOUSE ELEVATION x o.7 Denotes Proposed Elevation Lowest Floor Elevation: 888.22 Denotes Drainage & Utility Easement Top of Block Elevation:896.33 - Denotes Drainage Flow Direction - -o-- Denotes Monument Garage Slab Elevation:895_33 -B- Denotes Offset Hub Bearings shown are assumed LOT 2, BLOCK 1 BU R OAK H I LLS DAKOTA COUNTY, MINNESOTA I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that 1 am duly Repistered Land Surveyor under the taws of the State oi Minnesote. Dated this dey of M a u A.D. 19 ? 7 . J ??,.aJ. 5'?S' `?' • A?r( ;:. , , S C aI I e. 1 inch = 3 O feet Ro.eEa, REG. NO. 14891 . - - - - t? ? S •E- ? ? ? `, \ ?'? o I 9? ` NI I A ? V (079f??081.17 PERMIT City of Eagan Permit Type:Building Permit Number:EA121606 Date Issued:04/09/2014 Permit Category:ePermit Site Address: 3266 Black Oak Dr Lot:2 Block: 1 Addition: Bur Oak Hills PID:10-15500-01-020 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Windows/Doors: If altering the opening size, a framing inspection is required. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - John P Vogel 3266 Black Oak Dr St Paul MN 55121 Elite Home Services of Minnesota 217 Old Hwy 8 St. Paul MN 55112 (651) 631-2000 Applicant/Permitee: Signature Issued By: Signature `• Use BLUE or BLACK Ink r t° \)C1 For Office Use4* ' Eaaau Permit#: � /CltO� Permit Fee: /111-56 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/10/2016 Site Address: Unit#: Name: John and Jennifer Vogel Phone: Resident/ 3266 Black Oaks Dr Owner Address/City/Zip: Applicant is: Owner X Contractor Type of Work Description of work: Build new deck, landing and stairs Construction Cost: 6,000.00 Multi-Family Building: (Yes /No X ) Company: DNL Builders LLC Contact: Jim Jerikovsky Contractor Address: 8080 Dana Path City: Inver Grove Heights State: Mn Zip: 55076 Phone: 6122903243 Email: dnlbuilders mn a©yahoo.com License#: BC639496 Lead Certificate#: If the project is exempt from lead certification, please explain why: Built after 1978 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State : ilding Co•,,must completed within 180 days of permit issuance. p ilpx._h41t.\c s 4 Y x Applicant's Printed Name Applicant's igna Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES 9„Z. lk t3(GLL LC ()cat*, ��( Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage — Porch(4-Season) _ Exterior Alteration(Multi) _ Multi 7 Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level Pool — Accessory Building WORK TYPES -16 New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant — DESCRIPTION Valuation - 'Z 3,-/0,— Occupancy ,... 12C-l MCES System Plan Review Code Edition y11/1 20 fc SAC Units (25%_ 100%'?° ) Zoning 12•-1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) 20 Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:—Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: —TVVIA 1/1)', 0`14.4- , Building Inspector RESIDENTIAL FEES ► Base Fee 1/ X/l / P e&`", - Surcharge Plan Review 3 ` C,' // X )0 / „E'(k--- L4,-10, %,41 MCES SAC 5 7/9 1 r City SAC Utility Connection Charge S&W Permit&Surcharge j, 0 _Treatment Plant Copies TOTAL Page 2 of 3 . ' ,Certificate of Survey for: MCUOflald L Of1SirUCtlorl, if ic;. House Address: 3266 ?lack Oct( Drive. Eagan. MN /i �/O Model Name: 92-231 vli � 1 1 t 1 1 1 1 I 1 I 4 1 1 1 t 1 1 1 1 I /11 S 88'O6'51" W ,`b 1 (0:‘ 142.45) X51. '4'^ ;417..1 1 ti Virr n 44.00 1 eioe_ _ — ._ f.. _ - — 1 CO � IN I31I A 0 0:1, 1 r \ n. — — --iv -----..... Ov 14`00 1s ^7n,.+ ,t 1 0 s�, at30 0 oleo lr O Oo i ---elz, 1 'o il ,�+ rn � ' l 1 's.o ' ^ kT G1 p t Ot i g g,b :::=Opt .gi en �D CO� tp 24.00 ";,........z... (il 3 , r 0 Q k •.. 1 N F./.G. De-,,• I(' 7-t CK F', CS D+ /61/ 41,i' -, Ig i$"t.t0 7- ,74 = C �/ I© 2'x,51=i `� ' (Ti p I t , 1 ITS' �� s i R' �, �3s84 CA ---4-- r 4.,.•4 ......... a I I g e ca‘.......--aid A ; iN ,k NG NEER G DES;' i , _o Denotes Existing Elevation PROPOSED HOUSE. ELEVATION =x900 Denotes Proposed Elevation Lowest Floor Elevation:888.22 Denotes Drainage & Utility Easement Top of Block Elevation:896.33 Denotes Drainage Flow Direction --o— Denotes Monument Garage Slab Elevation:895.33 I ---e— Denotes Offset Hub Bearings shown are assumed I LOT2;; BLOCK 1 BUR OAK HILLS PERMIT City of Eagan Permit Type:Building Permit Number:EA170114 Date Issued:06/21/2021 Permit Category:ePermit Site Address: 3266 Black Oak Dr Lot:2 Block: 1 Addition: Bur Oak Hills PID:10-15500-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew & Erin R Ayers 3266 Black Oak Dr Eagan MN 55121 (252) 412-6113 Twin City Garage Door Co 5601 Boone Avenue North Minneapolis MN 55428 (763) 533-3838 Applicant/Permitee: Signature Issued By: Signature