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3270 Black Oak Dr IN C OF EAGAN 44f t At,#4 . ilot Knob Road Frr,it 1 11 , Minnesota 55123 Do* I I Ott (612) 681-4675 z SITE ADDRESS: 1 01 ti 1. t1 C: K APPLICAN I l10 BUAC.K I1Ak OR MC titaftl~lYi.[l ~6rst' 'Two ~f L iq 'H11R. CsAb it i I i ti (k+ I 1 kiHg- J'NA1. PMVW SUBTYPE: TYPE OF 1rAitE.° 5F liWii WEW' 1 ooI mt rVAN):Mifi a 77 IWit.1 . A7 I ON l ~ 4 FTNAt _ F s V IRFPt At;t b l~F. l9~Rk t! W PLO t' 1 Vt `A fAR Pt Bli * ;mot 1 0 '3 VA!"C*tt(IN AtJUl'rF 1) TO ~ t4f . NNb . Ni . ~ A''~ T PWEB ft lMmlyilt ii1mom 0g! Td*bons # M AJIL. r 4 POO 3 VIV f fk9R~ r Fft mwuw - ra'.q PJ1' {ro WL MAW EE%rA-a^ Bay. Final Deck Fnal Wei Pr. DID. a C~► ei~~icate ~cru~anc~ ~ j of WaRmt 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: SF DWG 20300 Use anwi5cafi Btdg. Permit No. YType zming DbWa Type ConSL of M CNAID FfulG'I +T 1212 F L BAY RD, B VME ownerB . AddrM naa OAK D1;IVE aY , B1, RR OAKK~ HILTS f=- Die: BUBS;gOffim . POST IN A CONSPICUOUS PLACE Address 3270 BLAB OAK DRIVE Zip 5512 1 Lot ' ' 3 Blk 1 Sub BUR OAK HELLs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: C7 a,~ 3 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) t/ Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb 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 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy K 6 5 8 / --e~ ~i Request Date Fire No. Rough-in Inspection Required? ❑ Ready Now ❑ Will Notify Inspector i Ves No When Ready? Icensed contractor A owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.l city n A 4,#,Z 04K Section No, Township Name or No. Range No. County Occupant rPRINT~ Phone No. MQ .if-/p Power Supplier Address tv 's "-0 Electrical Contractor !Company Nam 1 Contractor's License No. ALE FRANKE ELEC, ING CA 00682 Mailing Address (Contractor or Own Making Instaltabon) FLORIDA LANK APPLE VALLEY MN 55124 Authonzetl ignature IContn - , 72 racto,Owner Making Insiallalonl Phone Number Q~ 431-8364 MINNES F iCTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 Iii see instructions for completing this form on back of yellow copy- K 0 X" Below Work Covered by This Request e d Re 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) Contractors 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: TOTAL 7a Irrigation Booms Special Inspection ,G Alarm/Communication THIS INSTALLATION M CBE F:RONNECTED IF NOT Other Fee COMPLETED WITHIN 18 NI, the Electrical Inspector, hereby Rough-in r Date 16-0-'1,-7 certify that the above inspection has Final to been made.. 11, / OFFICE USE ONLY This request void 18 months from I.L PERMIT Cam- 1 a -7 CITY OF EAGAN 16~ 9.3 ~ 3830 Pilot Knob Road PERMIT TYPE: BUILDING Permit Number: 0 2 0 3 0 0 Eagan, Minnesota 55123 (612) 681-4675 Date Issued: 02/18/93 SITE ADDRESS: 3270 BLACK OAK DR LOT: 3 BLOCK: 1 BUR OAK HILLS P.I.N.: 10-15500-030-01 DESCRIPTION: Building Permit Type SF OWG Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning R-1 Building Length 52 Building Width 36 REMARKS: S & W PLBR - FIVE STAR PLBG 7/93 - VALUATION ADJUSTED TO $146.00 0 00 la FEE SUMMARY: VALUATION $146,000 Base Fee $713.00 MISCELLANEOUS $1,744.50 Plan Review $463.45 ADD ON FEES 7/93 $.00 Surcharge $60.50 BASE FEE $87.50 SAC $750.00 SURCHARGE $12.50 SAC % 100 PLAN REVIEW $279.50 SAC Units 1 Total Fee $4,110.95 Subtotal $1,986.95 CONTRACTOR: Applicant - ST. LIC. OWNER: MCDONALD CONST INC 16887061 0002376 MCDONALD CONST INC 1212 BLUEBILL BAY RD 1212 BLUEBILL BAY RD BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 688-7061 (612)688-7061 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. L APPLICANTJPERMITEE SIGNATURE ISSUED W. SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 020300 Eagan, Minnesota 55123 Date Issued: 02/18/93 (612) 681-4675 SITE ADDRESS: LOT: 3 B L O C K : 1 APPLICANT: 3270 BLACK OAK OR MCDONALD CONST INC BUR OAK HILLS (612) 688-7061 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S & W PLBR - FIVE STAR PLBG 7/93 - VALUATION ADJUSTED TO $146,000.00. REACTIVATE EC E NE D CITY OF EAGAN PERMIT # 3 ~ ~ D 7 1993 1993 BUILDING PERMIT APPLICATION ~ 681-4675 - _3 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by la;t 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 j 4 o c~ Site Address: 3,;Z A L\t A STREET SUITE # Tenant Name: (commercial only) LOT 3 BLOCK SUBD. U R R S P.I.D. M Description of work: ~Jew c- The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company A& C Phone Contractor Address tats 4,,E U3 Rc~ License #0006a376, Exp. City Evkmsul 0A State . h.►1 Zip 5S 61,E Company Phone Architect) Name Registration # Engineer Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this 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: ~r PxLk~ -9- A OFFICE USE ONLY BUILDING PERMIT TYPE ' ❑ 01 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 ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 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) V- N Basement sq. ft. MWCC System Y (Allowable) v_ N 1st F1. sq. ft. City Water UBC Occupancy lk•3 M_1 2nd F1. sq. ft. PRV Required Zoning K-t Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length 6Z On-site well Census Code Depth ~c On-site sewage SAC Code APPROVALS I Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee v.tu.c;on: g ) y61 000 Surcharge Plan Review ~AQ~bc 3z x 24. g 3 2 License Z Y IZ = ( 2u> MWCC SAC 4 K 4 = Gr6~ City SAC GS Water Conn. ~J52 ~l6 " 12c32 Water Meter 3ox26~::7 `?8n ' Acct. Deposit Z N iq . 39 S/W Permit ~y X a S/W Surcharge z bZ Treatment P1 . 10 x I,Sr /boo S~ Road Unit Park Ded. IsT F~~d,~ Trails Ded. Copies Other i"zrq`~ ~y Total: >12i~ g . l~ J 096 X31" SAC % 00 Ni.o~2 SAC Units 1? 2,t~ xI 1X13 c +3 Sy~~ _1 ~5169 * I 242: Enterprlad Drive Mvndole He~ghls, 1AIJ L5S20 PIONEER _ (612) 6131-1s14•Fax 681--J1t-88 LA-'4) SIiRVEYORS 4 CKIL Eta(.NEER^a Ertl lt7 elP`11"1 L.AP40 PLAratCRS : k-AhUSCAPE ARCHITECTS - - - 625 Highway 10 Nortlicast - - Sla!nt,, MNI 55434 11(612) 783-1580-Fox 783-1863 certificate of survey for: McDonald Construction, Inc. House Address: Black Oak Drive, Eaaan, MN I 71 OD t'' rh B r~' p1 f X,, .i y a U A. `-0 p't f t U l r { -r l , { 1 t~%~~• ~"g~a' y l I t] & (J} rJ 1. i ~ t IY V Q I rri t E wi UD S r~X •-1 - 4 54-e1 KAGA N IiiGT NOTE; CONTRACTOR MOST `1ER; Y ALL DIMENSIONS AND DRIVEWAY CE$ICN ~r ~j THIS CERTIFIGATF DOES N07 PURPORT TU SHOW EASEMENTS p'06 OT14ER THAN THOSE SHOWN ON THE RZ:e0liDFD PLAT. 900-0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION =CSaao: Denotes Proposed Elevation Lowest Floor Elevation: SDS.817 Denotes Drainage & Utility Easement -Denotes Drainage Flog Direction TOR of Block Elevation:~~. ---o- Denotes Monument Garage Slab Elevation. x06 .06 M- j Denotes Offset Hub Bearings shown care assumed LOT 3 BLOCK 1 BUR OAK HILLS DAKOTA COUNTY, MINNESOTA I hyrtby certify that this survey, plan rr repart w; s prWared by me oe unjor my direct sup rvieion anti that I am duly Registered Land Surwyor under the I6N15 of the State of 101noleso%a. D~jUd this 6'QA day t+f. . NIO C`i' A.D. 19. . GCJ~f;. tech= 3 0fdBtJ r ROR'RTIa.Sl1 tp tL. .REG. NO, 14521 T'S'T7f1 l1 I f)') 1 - r. LOT SURVEY CHECKLIST FOR RESIDL"::.~LL BUILDING IT APPL CATION 3 W St PROPERTY LEGAL: M f r -71 40 :3 Date of Survey: r DOCUMENT STANDARDS 0 0 Registered Land Surveyor signature and company 0 0 Building Permit Applicant 6~ 0 D Legal description 0 Q' D Address ❑ D North arrow and bar scale 0',L) 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) 8-'D 0 - Directional drainage arrows with slope/gradient D ❑ Proposed/existing sewer and water services Er 0 Street name -8' 0 D Driveway ELEVATIONS Existing 0 0""0 Sewer service 001"13 ❑ Lot corners ❑r ❑ D Top of curb at the driveway 0 D Elevations of any existing adjacent homes Proposed C 0 Garage floor O ❑ 0 First floor 0~ D ❑ Lowest exposed elevation (walkout/window) 0 D Property corners 0~ D D Front and rear of home at the foundation PONDING AREAS of applicable) 0 ❑ Easement line ❑ D NWL 0 Q~ D HWL 0 D . Pond # designation 0 Q~❑ Emergency Overflow Elevation DIMENSIONS ❑ 0 Lot lines O 0 Right-of-way and street width (to back of curb) tr 0 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e.. all structures requiring permanent footings) 0~ 0 0 Show all easements of record and any city utilities within those easements 0/ ❑ ❑ Setbacks of proposed structure and setback of adjacent existing hom 0 ❑ Retainin r nts, if any. Reviewed: Zz z Na / a e October 1992 t MibiIESOTA STATE ENERGY CME CATICU .AMM BASED ON CHAPTER 5 OF THE =tom- ' 4 Q ER +Y CODE - 1983 E IT?OK Adoption Effective Owner A Phone Date Site Address L O T 3 S l..oGK CJ Contractor G LQ '1, LIV G phone Building Classifications Type Al (Single Family & Duplex) Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other) NOTE: ComDiets gea ~ and 4 first. GENEI;AL INFORMAT7nN L~U 1. Building Perimeter ~ ft. 2. Wall height (ground to save) ft. 3. 1. X 2. (above) gross wall area sq.ft. 4. Building dimensions (L) X (W) f g( sq.ft.roof & floor area . _ 5. Sq. foot area of rim joist - Floor joist ize (2 X -10 X (Perimeter) t 6. Doors - Area (3 12 t J~_ Thickness in U. factor Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter f,~tt. .8. Windows: Manufacturer jNcub -C-<,1 1 State approved U factor TYPE a SIZE AREA (Sq.Ft.) NUMBER OF TOTAL EACH UNITS SQ FEET 9. Total sq.ft. Glass 10. Fireplace area: Width X Height ~ X sq.ft. 11. Exposed foundation: .!!eight X Perimeter , L7 X _sq.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. 12. Pruning area 10# of gross wall area. 13. Gross wall area sq.ft. Window area sq. ft. U windows UxA_ Rim joist area A sq.ft. U rim joist= UNA -n Door'%. area A ,_,._sq.ft, U door area= UxA = .Other doors area A sq. f t. U other doors-_ UNA _ Exposed fndn A._ sq, ft, U foundation- UNA Framing area A~ sq, ft. U framing area=~S UxA - 72 C.1 Net wall area A~ ` q, ft. U wall@ 12 UNA = (13B) TOTAL . . . . . . . . . UxA 14. Gross wall area x o.il (A-1 single family & duplex) = allowable UxA/Code (13. above) x 0.23 (A-2 other residential) x .23 (other buildings) x .28 (over 3 stories) A i I BTUH must be larger than or some x U Code E[ o aF. as 13B above 15. Ceiling framing area (Af) equals lot of ceiling area 154, Gross ceiling area - (L) r.-- X (W) sq.ft. 15B. Joist area (At) - 10% ceiling.area p de, (_-P sq.ft. 15C. Net ceiling area (Ac) (15A 15B) sq. ft. U ceiling x A c - 4 X U framing x A f - L X . (i1i~. 15D. TOTAL U x A..►• 16. Calling area (15A) x 0.026 (A-1 single fa(m y v& duplex) allowable UxA/jode x 0.033 (A-2 other residential) x 0.06 (other) /J Q, BTUII must be larger than or some A(15A) t~_X U Code (3-1(4 - C!CJ oF. as 15D above NOTE= Use U and A values obtained from pages 1l 3 and 4. CERTIET hTI Ut I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the state of Minnesota Energy Conservation Act. Date signature J l l r° `j Y c~ 49 ~ o.6;7x( 41 X 4 4+ Zq, 57t-L 5) Ago-~X(4144+ wr-t _ - `fix 54 Jill `7x4 - s z jz+ s 10 6,0 UL _ r' VALUE U VALII nside a r f llni •6B NAIL rat or ► or,ltall `t (Na l I) U t SECTION fnsulatii-n r Buts We .atr f l im .17 R TOTX Iiis ide. air film ( .68 STUD . lterlor =ua1l SECTION iFraming) U - - 11i~ stud R= A:M jp1,5 Sties thln'• 2 ,0(O L. Outside Air fllm 17 r- :i eft TOTAL a Its Iptertor:'►raII SECT1011. tnlutatlan all U I - xtarLor`watl cover n + i s ' r• filar lor.iialr. f t lm ' R ..17 R TOTAL • lnt'rlor^alr film A. :G8 RIM k insulattan OC] t JOIST I= lncli 'oft wood A-1.88 (Alm U t Joist) A.heAtli ln; Exterlor'ua~t covering .4(01 r`~ .9: tarIar; air film 17 . R• TOTAL '~nter tovh air (.11 m R- '168 - insulatl.pn 44. oundattnn Z'a (Fdn. U R . a sa .Extertoratr ftim R= ,17 ' -Ito s R TOTAi, . I • xpOsad~Htack CEiLOG WITH VENTED ATTIC SPACE ABOVE R VALUE R VALUE FRAMING CEILING 0.61 AirFilm 0.61 Insulation- 4 4.38 Joist ilia Q,56 Ceiling 0.56 ME Q.61 AirFilm 0.61 Tota1R d2 U = 1/R Window infiltration 0.5 cfm/lineal foot of crack Residential door infiltration 0.5 cfm/square foot or door and minimum code requirement Non-residential door infiltration 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation - .47 R 2.1 Ub 1211 concrete block insulated cores - .26 R 3.8 Ub 12" lightweight block - .32 R 3.1 Ub 12" lightweight block insulated cores - .12 R 8.3 u single glass a 1.131 with storm window .54 U double glass = .55 U triple glass a .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). Vapor barrier must be on the inside (heated side) of wall. Vapor barriers of the polyethelene thin film have no R value. BL CM OF EAGAN j CITY USE ONLY / PLUMBING _PERMIT" SUBD ter- ~~L p~ (612) 681-4675 RECEIPT # 5 DATE RESIDEMIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 a BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 IF -Z LAUNDRY TRAY 3.00 _ SITE ADDRESS: "Y O 1]L.u (e- C) HOT TUB/SPA 3.00 WATER HEATER 3.00 _J_ FLOOR DRAIN 3.00 _ GAS PIPING OUT. INSTALLER: ~ R JA Ijs'w (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: _ Ic /y1 /L C 1 U OTHER _ WATER SOFTENER 5.00 3w- CITY: S~ !N 6, S ZIP: PRIVATE DISP. 15.00 z , U.G. SPRINKLER 3.00 PHONE J W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: J\iiV ir\C1V ~ i t\a \iL SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR. . (SIGNATURE) CITY OF EAGAN ti fi$::; :•`.:gm?~S•'.'dY7t}3..,,:v,... , as.y bRS2..: :sY}: '':+ky`•• . n; h+.: 4:2:'i: iiin: is b` +T f-.: k .iv v •~R: rMn--: . } v .i r eAyR;{.{': `ii :}:f:r:i:i: Yr n{i}1ii}i- W\:.• .'~o .-r.Y:: ryi.Y: {4:4 •:v:}.~•,'.vi n u,(\i: :':ii.Y:i v::3:Y.b}'. L .t1}i'•{i / • Y:w ~}•'i•i~tvY• YvY,t '_W:(4 4 r:^'' •Jl;• }v,: 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) "1467S PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE 70 9' 3 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM I @ $3.00 EACH) co ADD-ON/REMODEL (EXISTING CONSTRUCrtON) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: K~ .EFHONE ~3 a~ (o I INSTALLER: ADDRESS: CITY: STATE: __.~~IP CODE:6 TELEPHONE I NATURE OF PMUTTET' E i~co-r.,y.1ti ■y_ 2:ynxC: rk trkaa~r:t:a~k:4t:a•, .'K: 4;k}. g; . 1993 MECHANICAL PERMTT (COMMERCIAL) CITY OF EAGAN 3830 PICLOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES I% OF Q ' 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: (IMPROVEMENTS ONLy). INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA101891 Date Issued: 10/31/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3270 Black Oak Dr Lot: 3 Block: I Addition: Bur Oak Hills PID: 10-15500-01-030 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. 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: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Dean F Franke 1920 County Road C West 3270 Black Oa: Dr Roseville NIN 55113 Eagan NIN 55121 (61)264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature � �:y � � a � �. --------, j Fa�tnfice Use ^ t � a � ��'�� I C�t� of��aIl �� ; P�,��: ; 3830 Pilot Knob Road �. � I Eagan MN 55122 S�P � 5 ,�i�� Date Received: � Phone:{651)675�5685 -----------------� Fax:(651j 675�694 Email:plannins�(a�citvofea�an.com ZONING PERMIT APPLICATIC.)N p Please identify improverr�ents on a scaled site plan drawing tha#shows lot lines, structures and existing conditions� f : � � r ,�< ; , �� . � � � _� . w,�� i? Pftij�`�'ty Site Address: 3 � �� fS. � c!�v�. � �(`� � � G. fn � �, �t'I�Offtilc"[trOt1 Owner Name: � � ca, v� � p� � � o., � �`' c� � Name: � e, ex. V� i' Y` �, v� V� �'- Phone: t� ��` �� e� " � � 6 � Ct?11�C� Address: � ��'� �j�tp. f:� �a� � J', City/State2ip: C Q�� c�Vt � w , ^''�� ss � � � Applicant Signature: ,� ��„`, J' ,� Da#e: � �j j �, �t Email address �r' u. v� �� 2 � a. e. 2 �5' ✓�'t c�. �i � . G D w1 ❑Retaining Wall<4 feet ❑Driveway p p�er. ❑Patio ❑Sport CourtQ�� „�S : o ,,� a � r � _L Tj(p8 Q'�1lVOF'k �Sidewalk � c.l l L9�Fence� q �..(,ti r:. �',14 i �' �;�-�.,y r� T x 3� � � � , � O K v„b` :f Description of work: ; �1 � c � +i �+ �+2 es o �t -� V' �_` Plannirtg Setbacks,hard sur€ac$caverage,shQrei�n�f zoning,bluff zone/setbadcs,etc, � Approve \ enied Date: �'l�t '�-�1� Staff: L,r��L �L�It�� • - �r,,��.�,( .�.- ��, ��,�j�-f- �� -�C�� a-f ��.�. Properiy lines to be verifisd by cx�htr�:torbwner. Revised Plans Approved: Yes/No Date: Staff: Engilleering Grading,drainage,utiiity sasements,we�ands,erasion control>i�vements in Tf�Ftighf-of-�lltay,.ete, Approved/Denied Date: Staff: Notes: Revised Plans Approved: Yes!No Date: Staff: ' Gomments CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utilityr damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.aopheratateonecall.or� G:�Building InspectionslPERMIT APPIICATIONS � �� j� i ��_ �.�Y.� � -� � s- �'Counfy Home r v �' �� ' - Properfy tn�ation Search r.�:,xTr _ . _.. . _ . _[ ---. . . , --- -----_ _ — - _._..__. . t �• � !_' �:: , �� L - 1:3%^ _�_� - � _ � - -. . _ . j V P. �...i T '� '�1 C �=-- . 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Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dean F Franke 3270 Black Oak Dr Eagan MN 55121 (651) 452-1360 Twin Cities Contracting Services 140 W 98th St, Suite 202 Bloomington MN 55420 (952) 405-6201 Applicant/Permitee: Signature Issued By: Signature