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4774 Burr Oak StCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4774 Burr Oak St Lot: 5 Block: 1 Addition: Oak Cliff 2nd PID:10- 53551- 050 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 4/30/08 Notification letter sent regarding expired permit pf Questions regarding electrical permit requirements should be d 952- 445 -2840. ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Rueben A Johnson 4774 Burr Oak St Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA080535 10/17/2007 ePermit ected to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Issued By: Signature BLDG. P PE.RMIT N0. rJ.?? ? : .? . ? ? X 01-3210 Bl'd? ermit - ? i . 01-3422 . Plan Check _. '7 ' ; - 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 ? Road Unit v ? .. ? 20-2275 SAC 1 ? 20-3865 ? Water Conn. 20-3$6$ Water Trmt. D O ?U ? 20-3716 Water Meter ? 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. • ; TOTAL CITY OF EAGAN WATER SERVICE PERMIT 3830 Rilot Knob Rosd I P. O. 8o4 21199 PERMIT NO.: , Esasn, MN 55121 DATE: I Zoninp: - : No. of Units: " Owror, ' •_u e i's etr Addross: SN. /lddrrax _ ,? 4 "urr Gcl : r _ "? ?3' • _.?d i Plumbar. 'in r, -"1;1r,;t Metor No.: f*S ' . I Size: O G ? ? Reader No.: Q OTQ P cK' 0199 , 1opm te oeaolp wNh tw CihrU14 u'rrcharge: , o..?...a.. REQUtR? Yta Totol: - BY Dote Paid: Dote of I rup.: ? I rop.: CiTY OF EAGAN 3830 Pilot 14-wob Road P. O. BQx 21199 Eagan;'MN 55121 Zoni ?: . I Owner_ WATER SERVICE PERMR PERMIT NO.: DATE: No. of Units: /lddress: Sita /lddress: • . Plunbar. Mater No.. Siv¦• Reader No.: , 1 proe te omylyr wilb 11w CNp oi bpo Ordiwaecsa. By Dote of I nsp.: Connection Owrge: Aooount Deposit: Permit Fee: Surthnrye: j Mtsc. CFw?s: Total: Dar. Pard: Irap.: CITY OF EAGAN 3$30 Pilot ktiob Road P. O. Box 21199 Eagan; MN 55121 zoni;ry: Ownsr: SEWER SERVKE PERMIT PERMIT NO.: DATE: No. of Units: - /lddress: Sits llddross: "urr Qa= Plumber. ;,L n'tur:;,?r.? I"'N ee eNPiy wNh !M G1y of to"n Connettion Chwme: -'' OWIt..ne... Acrou„t peposit; - PermFt Fee: Surdwrps: Bv Dote ot Irqp.: AAiac. ChorQm Total: DoM Poid: CITY OF EAGAN ?14?0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 °-- ? PHONE:454-8100 $UILDING PERMIT Receipt # To be used for SF I3WG/(;P, Est. Value $109 , OOUDate .:10JJARY 24 , ig Site Addr ss g 4774 BURR Or?K ::T Erect ?' Occupancy tt3 Lot Block OAX Cj?IFF Sec/Sub 2ND Remodel ? Zoning ?1 Parcel No . Repair ? Type of Const 31 . Addition ? No. Stories W Name ozniun-pederson lAC Move ? Length 4 _ ?? 13 6 GAL?UCI f; AVE Demolish O Depth d R ; Address ° Int Impr. ? Sq. Ft City &•VPhone 4 31-- 5t10 0 Install ? ? Z o Name_ 00 -K Address a W yWj Name ? ? Address ? W City Phone I he?eby acknowledge that I have read this application and state that the information is correct and agree tq comp!rwith all applicable State of Minnesota Statutes and Citv oi EAcian Ordiuances Signature of Permittee--- ` 7'1 '/ i`""`- OZMUrI-PiDERSON IIJC A Building Permit is issued to: all work shall be done in accordance with all applicable State of Minneso Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 1• ? APC Var. Date- Surcharge 59.50 Plan Review 227.75 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 2 g 0. U 0 Tr. PI. 156.00 Parks Copie $2' 32 7 .25 Total , on the express condition that City ofEagan Ordinances. Building PsrmN No. PormN Holder DNe ToNphons N PlumbMy ry / ?.Z9 O b ?? H.V.A.C. % E?c 17 ?? z: Softener Impsetlon Date Imp. Commenb FooNr?ps I Footinps II Foun,? Framfoy Rooffny Rouph Plby. I • ,? Rouph Htp. mul. t{J,? Flnplses .Ffnal Htg. FInN PWp• &s Bldy. Final ? Cwt.Oce. ? Deck Ftq. Dsek F?my Wsll Pr. Obp. PERMIT'# RECEIPT # DATE ? CITY OF EAGAN MECHANICAL PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $•50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res Comm Inst 2. 3. Total ?id'Price 4. Job Address S /; , G /# / _ " ? ?, -6 X?C Lot Block Secw?'" 5. Owner 1 6. Contractor (Name) (Street) 7. Contrector Phone # - ? FEE sic TOTAL Repair RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee T HEATING VENTILATING HOT WATER STEAM AIR COND. ?AIR PIPING PROCESSED PIPING AIR HAND. EaUIP. RtFRIG. ? RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for Approved Inspections; Date Rough Insp. Date Final Insp. ? - ?. :..a__!1.24•?.il._syCl..?.cs:.?.Y:_..e..1ia..\.?Ir_KL1X..?...t?Y?:?.iiLL'£::,L?a'?r?'- •?t?Si?.'? PERMIT'# CITY OF EAGAN FEE , ? PLUMBING PERMIT , RECEIPT # I ? 454-8100 S/C - S? MINIMUM RESIDENTIAL FEE - $10.00 + $•50 TOTAL DATE MINIMUM COMMERCIAI FEE - $20.00 +$.50 1. Bidg. Type: Res Comm Inst 2. New ./?It?e_r ? Repair 3. Total?Nd Price 4. Job Address 4-4 Z - Lot ? Block ? Sec S. Owner ??-4'' - 6. COf1tl'BCtOf _4 (Name) (StreeU (Ciry) (ziP) 7. Contractor Phone # _ NO. FIXTURES _LWater Closet - $3.00 _Bath Tubs - $3.00 -Lavatory - $3.00 -Shower - $3.00 _Kitchen Sink - $3.00 -Urinal/Bidet - $3.00 NO. FIXTURES -Laundry Tray - $3.00 -Floor Drains - $1.50 -Water Heater - $1.50 _Whirlpool - $3.00 -Gas Piping Outlets - $1.50 -Softener - $5.00 NO. FIXTURES -Well - $10.00 -Private Disp Syst - $10.00 _Rough Openings w/o Fixtures - $1.50 COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. t ._L CITY OF EAGAN Remarks Addi*.ion nnx ('?I,jEF 2ND Lot 5 Blk ? ParCIlQ 53551 050 01 ? Owner Street 4774 BL7r'r Oak StT'e?-'t State Eagan+ MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1$1 12. 31,27 1 STREET RESTOR. GRADING SAN SEW TRUNK 99 197 118.79 7•92 15 SEWER LATERAL WATERMAIN WATER LATERAL 1981 191.16 1.11 1 WATER AREA 1982 184.07 12.2 1 STORM SEW TRK , 7 1979 399-97 20.00 20 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT Rnad Unit 59305 1 24 86 WATER CONN. 500.00 9UILDING PER. 11470 SAC 75-00 PARK CITY OF EAGAN N2 11470 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M ? N 55121 ?j PHONE: 454-8100 / ?7 S !? BUILDING P ERMIT ReceiPC u ' 7obeusedtor SF DWG/GAR EstValue $109,000 Date JANUARY 24 19$6 Site Ad ess % 4774 BURR OAK ST Erect ? R3 Occupancy Lot Block Sec/Sub. OAK CLIFF 2ND Remodel ? Zoning Rl Percel No Repalr ? Type of Const 17 . Additlon ? No.Stories W Name ozmun-pederson 1riC Move ? Length 4 . z p Address 15136 GALAXIE AVE Demolish [] I t I ? Depth aR S Ft ciry n . mpr. A•VPhone 431-5000 Insts?l 11 q. . o Name SAME Approvals Feea $< Address Assessment Permit 455.50 ` Ciry pnone Water&Sew . Surcharge 59.50 22 t Police Plan Review 7.75 Fi Name Fire SAC 575.00 ?a nddress Eng. WaterConn. 500.00 a W Ciry phone Pianner Water Meter 63. 50 I hereby acknowledge thet I have reatl this applicatlon and state that the information is correct and ree to compl with all applica6le State of Minnesote Statutes and i?of - an ces. Signature of Permitte I?C A Building Permit ia issued to: OZMUN- ERSON I all work shall be done in accordance with allap lica e Stete of Minnesc Building Official ? <- ? Council eidg. ott.l/23/86 Var. Hoad Unit 290.00 Tr.PI. 156.00 Parks Copies-,,- ,. ? 5 Total on the express condition that City of Eagan Ordinances. i nts request voitl 18 monihs from ,? - ) (G ?? ?? N 084107 s r 667 HequesoDaly t Fire No. Rough-in Insuection Heqwretlt ? RCatly NowXWill NnGfy Insuec- ? XYes ? No lor When Ready ? licensed EI¢cVical ConV.uctor I hereby request insoec[ion of above Owner elecVical work installad at Sireet AAdress, eox or Roure No. Citv ection a Township Name or Nn. Ranye No. County OccuOent (PRINT) Phone No. Pow Supplier Address Electrical Contractor 1 o pany N;?me) CunVacior's License No. Mailing AA ess l ontracmr or Owner Makinp Insiailanonl Authorized SiBnature IConvactor/O ner Makine Ins[allatiunl Phone Number 3J; 'r` MINNESOTA STATE BOAND OF ELECTNICWY THIS INSPECTION HEQUEST WILL NOT Grie9s-Mitlwey BIdO. - Aoom N-191 BE ACCEPTED 9Y TME STp1E BOAflD 1821 University Ave., S[. Paul, MN 55104 UNLE55 PflOPEN INSPECTION FEE IS Phone (612) 297-2111 ENClOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ? , See instructions lor completing this twm on back of yallow copy. ,?• ll84.1 07 X" Belaw Work Covered by lhis Request 2 - 7 4?`?? ? Nw4 AdcFl 0.ep. TyOe of Buiidinp Apoliancas WireJ Equipman! WireA Home ko 'Range Temporary Service Duplex Water Heater Lightiny Fiztures Apt. 8uildinq Dryer Electric Heatin Commercial Bldg. Furnac.e Si!o Unioader industrial Bldg. Air Conditioner Bulk Milk T&nk Farm ornai p.*c11v o+nu, 1Sn,>,tryi t e .pecify ONer Othi!r ompute Inspectron Fee Below # Fee ServiceEntrenceSiza k Feo Feedars/Sabfextlers H Fex Circui[s 0 to 200 Am ?s 0 to 30 Am>s IA4 P? 0 to 30 Am s Above 200 qmps 31 to 100 Amps A% 31 to 100 qm s Swimming Pool Above 100_Amps Above 100_AinPs TransPormers Irrigation F3ooms O PartiaL'Other Fee Signs Speciailnspection S S r4 TOT Remarks i ?? f r / 2 i AL F ' 44 flough-in Final -Ww ? le ?, ?he Ele Vicnl IpSpBCfOq O Y cartity that the abova inspection has bean made. This reQUest void 18 montM1a Irom .. rp?nths fr?m a 7 ??y, ? !A' N A A P\ 11 ?? I P Ko" -? 1- rLe ? ?I 'da ;h -ipInSP¢Cti0?1 rtedt ? fleahy Now Q Will Nulity Inspec. - Yes a " tor When ReaAY ,Zj Licensetl Elec[rical ConVactor I hereby request inspection of above ? Owner elacvical work instelled ac Street Address, Boz or Route No. Gity ? •'? f o. Townshio Neima or No. Ranee No. CountY Occupam IPqINTJ Ph nne No. Powerf; nuli¢r Atldress ElocVical Convactor ny Na o) n actor's License No. o ZD6 O Mailing AAdr s ICOmncmr or Owner MakinA lastail;ationl iZ? /S' Authorized ature Conha cor/Own Mkine Instaliationl Phone Nw er y MINNESOTA STATE BOAPD OF ELECTPICITY THIS INSPECTION 0.EQUEST WIIL NOT Griggs-Midway Blde• - floom N-191 BE ACCEPTED BY THE STATE BOAND 7821 University Ava., Sc. Vaul, MN 55109 UNLE55 PROPER INSPECTION FEE IS Phane (6121297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 9-li EB-00007-OA See instmctions for completing this form on beck of yellow caoY. L1?1 - ??? 1 n? X" Below Work Covered by This Request ? l?lo T Adtl ReD. Type of Building pppliegte8 Wired EquiUmenl Wired Home Range Ternporary Service Duplex Water Heater Liqhtiny Fixtures Apt. BuilAing Dryer Eleciric Heatin Commercial Bldg Furnace Silu Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank Farm Other veci y Olhei ISUCr,ifyl I P.( IS{1CCI y OLM1L`I 011,(?f omuute Inspection Fee Below p Fee ServireEnheneeSize k Fee Fexders/Subfenders k Fee Clrcults 0 l0 200 qm s 0 to 30 qmps 0 to 30 Am Above 200 qm ps] 37 to 100 qmps 31 to 100 qm s Swimming Pool Above 100_Amps Above 100_Amps Transiormers Irngation Booms D Partial-'Other Fee Signs SUecial Inspection S cff? Femarks IO• l TOTAL I- IY' Rough-in D"te I. tha E cvic Inspaclor, reby Final D'nte cartity thet ehe above inspeclion hes been ? f y? ,i? made. Thisrepuestvoitll8monthstrom • ?- / .5 G 9a-- /OS?? J 5 0 3?5 flaquest Date ? ? G Fire No. Ro ? Inspeclion Required? Neatly Now XWill Notity Inepecror t ? ? ,_ yeS When Reatly Iki"censed contractor O owner hereby request inspection of above electrical work at: Job Address (SireaL Box w Route No.) Ciry /s d.ck Sr-.c t f- jt7 ? Seciion No. Townshi0 Name or No. Range No. Courity Occupant(PRINT) Plqne No. G466,os.. Power Supplienr ` A vi G i•f• Htltl(ess ?? Eleclrical ConVactor COmDany Name) ConhacloYS License No. 4-9,-3 4? ..? -4%,- Mailing Adtlress ICOnvador o, Owner Making Installation) - Authorizetl - n tere (COniradoripwner Making In Ilation) ' Phone Number MINNhOTq STATE BOANp OF ELECTHICITV THIS INSPECTION REOUEST WRL NOT Grigga-MlEway Bbg. - Room S173 BE AGCEPTED BY THE STATE BOARp 1831 Univemity Ava., SL Paul. MN SSIOd UNLESS GROPER INSPECTION FEE IS Phane (612) 642-OBOD ENCLOSED. s/?/?a-- J 25303 REOUEST FOR ELECTRICAL INSPECTION lp See insVUCtions iw completing this brm on back W yellow copy. X" Below Work Covered by This Aequest EH-00001-00 e Ad9, diep,- ? Typeot8uilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater EleGric Heafing Apt. Building Dryer Other (Specify) CommJlndustrial Fumace Farm Air Conditioner OtM1er(specAy) Contrac[or5 Remarks. Compufe lnspection Fee Bebw: ' # .. Olher Fee # ServiceEntrence5ize Fee # Circuils/Feeders Fee Swimming Pool 0to 200 Amps 07o WO Amps Transiormers Above 200 _ Amps Above 100 _ Amps Signs Inspecmrs usc oniy. TOTAL Irrigation Booms Special Inspection J Alarm/Communicalion ONNECTED IF NOT THIS INSTALLATION MAY BE ORDE ED Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby ti th h R°°9n-"n Da`e cer ty att eaboveinspectionhas been made. Final oare ?.G t OFFlCE USE ONLY This requesf wld 18 moMbs hom •F . 0`- il ? 2007RESIDENTIAL BUILDING rERvtrT nrrLrcnTioN Ciry OfEaga? 3830 Pilot Knob Road, Eagau MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cons[ruciion Reouiremenls 3 registered site surveys showiig sq. ft of IoC sq. ft. ol house; and ail roofed areas- (20°h mapmum lot coverage allowetl) 1 Soils Report d proposed 6uilding is to 6e placed on disturbed soil 2 copies of plan showing 6eam & window sizes; poured fountl design, etc. 1 set of Energy Calwlafions 3 copies of Tree Preservafion Plan if lot platted after 71753 Rim Joist Detail Options selection sheet (buildings with 3 or less unhs) Minnegasco mechanical ventiladon form g (3Q 4 0 0 Cca w ' a Ss RemodellReoair Reauirements Offce Use ONv 2 wpies of pian showing footings, beams,jasLs Cert of Survey Recd _Y _ N 7 set ot Energy Calculations for heated add'Aions Soils RepoR _ Y_ N 1 site survey for adtlitions & decks 7ree Pres Plan Recd _Y _ N. Addifion - indicaferlon-silesepficsystem Tree Pres Required _Y _N On-siteSepticSyslem _ Y _N Date 6 7 Construction Cost ? SiteAddress 7?7 //n0 liy'/ 61i ?s?- Unit/SEe N a u w 55 Description of Work Jf/ -/ee c .$-' Lt C Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephoiie # Z) Con[roctor 01A.) lnsit??? Address City S[ate Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A WEW 176727 Minneso[a Rules 7670 Cateeorv 1 Minneso1 Energy Code Category . Residential Ventilation Category 1 Worksheet New Ede hAetG 2007 (4 submissiontype) Submitted Submitted - . Energy Envelope Calculations Submitted In fhe last 12 months, has The City of Eagan issued a permit for a similar plan based on a master pian? _ Y _ N if yes, dafe and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Confractor Telephone #( Telephone #( Telephone #( ./7' y,. I hereby apply for a Residential Building Permit and acluiowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pennit, but on(y 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 ofwork which requires a review and approval of plans. RUelen) (?6sa,/ CLL41ne Applicant's Printed Name Applicant's S' ature . DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-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 6ct. Att - SF ? 04 02-plex ? 10 08-plex )", 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvaes ? 31 New ? 35 int Improvement ? 38 Demolish Interior ? 44 . Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors p? 34 Replacement 'Demolition (EnGre Bidg) -Give PCA handautto appliwnt / D05CrIp110f1: Water Damage _ Yes Valuation tf U Occupancy MCES System Plan Review ? 100% or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Insulation REQiJIRED INSPECTION5 Foundation Drain Tile Roof Ice & Water Final 4- Framing _ Fireplace _ R.I. _ Air Test _ Final _ Sheetrock FinaUC.O. ? Final/No C.O. HVAC Other Pool Ftgs AidGas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick W indows _ Retaining Wall i Approved By: ? -7 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ( ? t t i \ 1 ? v,s?ll? Io1 ? /?, ? ? r Jl HOfiSr _ s,:S f 0 i ? ?TAfV l4, ! 9? fc `?G?i'L?a° ??= 2.?\ ?'> Z DZMVit!- P??1-? E'F S?N ING, L 0 T 5, r?Lo?.r zN`'A'Pp i 7 icY:r rol 4 ARA ? I ? EL 2.C ? I??_5?• ? '.?28? ?' li i J ! 3 ?}•'?4 ? 1 `,S ? v?tZ C]AK ST7 OZNMUrv-P?P?1?sc?!y, INC. ?'l?op?r,._ L o"?' S, 5L OG K.1 ,. Q AK C. l- i F F ZN? AD CJ 17-! [YQ VAN 14, 1956. ?Gf1'LEo l aI' G?O, .-.... r.?., ! ? g ?\sZ ? ? 1985 BUILDING PERMIT APPLICATION - CIrY OF EAGAN NOTE: ALL CONTRACTORS BUST BE LICENSED WITH THE CITY OF EAGAN COHMERCZAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND SZHGLE FAMZLY DIiELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIEICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: SFD Valuation: j0?' t.w Date: Jan. 14, 1986 , Site Address 4774 Burr Oak Street Lot 5 Block 1 Parcel/Sub Oak Cliff 2nd Addition Owner Ozmun-Pederson. Inc. Address 15136 Galaxie Ave. City/Zip Code Apple Vallev, MN 55124 Phone 431-5QQQ Contractor Ozmun-Pederson, Inc. Address 15136 GAlaxie Ave City/Zip Code Apple VAllev, MN 55124 Phone 431_SQOQ+ Arch./Engr. Address City/Zip Code ` Phone !I OFFICE USE ONLY Erect x ? Occupancy K•3 Remodel Zoning {2,1 Repair ? Type of Const TL Addition It of Stories Move ' Length g Demolish ? Depth Int.Impr, Sq Ft Install ------------- ---------------- ----- APPROVALS FEES Assessments Permit • SS.r Water/Sewer Surcharge 59,10 Police ? Plan Review ZZ"I 's Fire SAC Engr Water Conn 5po, Planner Water Meter G,35° Council Road Unit Z9 Bldg Offl-2 Treatment P1 APC Parks Variance Copies TOTAL oZ , ?a ? Q S 2Cp x 4?! = '`•10 4o x s8 =? p3 zo , I 9-x s? ? 1o x ? ' qa?o Zg x 22. ^ G I to X 12 - ? 3'1 Z lbx4o " (' 40 x 4¢° La?- «0 : I a 2 x - ( ca ?c( 2 ?c&38-u o• * 4 :•:0+ - 9°>0+ ??_'°75+ :75°J0+ 5 ,: 0 + 53°=0+ 2?G+ 156- C0+ i 23:t7°25+ R^ ? j • . 2/84 CITY Ot EAGAN APPLICATZON FOR PERiMIT SEI•lER AND/OR WATER CONNECTIODi (PLEASE PRIHi) 1) PROPIIYII' ACDRESS: y 7 7 IUCC rr ? T IF'raI. D:;..'T2.I°TIC:?: ?j O?f? y- o 4.71u Ou lf- C°/" 2 m Irl (Lot/Block/S?isicn or Ta--i Parcel I.D. NLZ:,Ser) - ? Y r?Iu??'.ll J1RLI.I?TiCr , CHlE OCC1tiGL4']L BUZLwIL.J ?r-':Sl IS.7U!'vV=. porS:.m -=7rr,/'paOPCS7:) IIS: FPy+SLY aarI . ? R-2 DUPL..`"Y U:IITS) Q R-3 ':C'f.vW-r'{.'cE i L':lITS} / UNI'^c) ? F?4 ViVITj) ? CO'?nIE.:CI.?L./F2F.^.'AIL,/CF'PIC Q ZNMliST_LLU ? LVSTI'i'[,'I'IONAL/GGVEPM.E:?:T 2) AP?I+IC=-?v'T (PLEAJc PRftil) NAi•IE: t / J C'i ?/h .( e ti ?.f'c_?• -,X-" h ACD.RESS: ? Z• ?rl.i` ???. c? ?!z I/Y v ??L. P CITYr STtyTE, 7.IP: PHoNE: 3) PLL??EER (PLEKSE PR1Ni) ' FOA CITY USE 04LY P.DD=ccSS: PLUMB IICEASE•. - Attive CZTY, ST?TE. ZIP: Ex i d PHOVE: ?6.3 -y?3J PLU40Ef7 LICEYSE b p 0 Z 4,1/1 2_ f Recard - ' di.' tnltl3 '?l ?Jl..l..'vYtL'V1/l?'.YI?iY.kt ??ICHJC Ytllfi11 NAi-IE: _ 0Z/1'jiGil ?.=.? --tr/ G ADDREsS- 1'f/3? k,'r cz:^r, sTaTc, ziP: sy Pxo*rE: 5) INDIG=iE bIHICH PERi•LLT IS BEI\C REC`[]EST'I7D; 0 CtiDIDIEC:ION 'IC7 CITY SE*ro'ER Q/CCi.".?.'EY'1'IG;7 'IC] CITY F7ATER ? OTfER (PI.F.ASE DFSCRZEE) • ? P=`SE I?OLD c1PPPDVID PERtiLIT FOR PICiC-L?'i BY OI`IE OF ABGUE °=+St :•? LL APP?OVm PEF:lIT TYJ 1, 2? 4 ABOVE (Cicle one) ? DATE: /-..2/- ! ?!?a r+t a? sa?a +s +.? r sss:a :a a a[ ??ka?r.?rsa? a? ?s ?s as4ctaa . FOR C I T Y US E ON;.Y P-?"•I'" u ISSUED Fc%S: $ f _ G7 -IU o r7? SL.?G.. n 1Tm (Inc:.J?..?.L 0L:7? :l.LS',L? S IU Sc/ WATER PEi2"lZT (Ii:CiUDE SuRC?:ARGE) $ ?3. )" WATER METER/COPPEBHORN/CL'TSZDE RET,DER $ WATBR TnP (INCLUDE COR?ORnTIQN STOP) $ SE'riER TA? $ $ ACCOuNT D':PpSIT - WA':?3 $ 5_oU.UJ W, AC $ .S-7S-.oJ SAC +S TRliVK S4,-'?Tz'R ASjESS::':;T $ TRli:J?C 5T?:- :ER PSSESS::°_`i^' +5 L`nT :,-?,.>L BG'.VGl IT/TRIIVK $ L?.TERaL BEVEFIT/TRU:7iC :1 A^-.? $ WATER TREATMENT PLAI`TT SURCHIRGE $ OTHER: $ TOTAL $ aMoLST DalD,'?ECEIa: n?5.3?5 D0:5 UTI:,ITY CO?:NECTION REQUIP.E EXCaVaTZON I:7 PUBLIC RIGriT OF S4AY? L YES IF YES, THE.: n"PE3MZT FOR P]ORS SdITc?Z:I PUBLIC ROA DWAY" ilUST BE ISStiED gy mug F-I NO ENGI:]EERIN G DIVISION_ LIST AS A CONDI- TION_ Sli2JEC: TO TEfE FOLLOWI,7G COVDITIO'?IS: • APPROVED BY: 41 TI:Lc: DAT°_' 04 I , I? ?IiX7'F.h1UR ENVfLOPE AVERAGE "LI" COMYUTATION ier ? Z_.!/l Address ;al Description of Property: Lot J Block ? Addition C" t< /=(% !'?Date ?! F 431- ?D :e Address 47 -74- rlt-/lj /1. L?? lL 57 /1 eLE AVERAGE LINEAL FEET OF EXPOSED WALL AREA ABOVE f,RADE ? ?ineal e Yt. of framed wall above grade x height of wall ? ? OU -Z^'C f= t.n?)yL. -/c?=. -- --.. __.?.L?• n joist area ? Z¢¢,pTj Lineal ft, af rim L- Z Q!} x height of rim / wer level I 1 Lineal ft, of framed wall above grade i/ x height of wall Z,? Lineal ft. of masonry wall above grade L¢ z x height above grade #_ - TOTAL wall area above grade including windows and doors ?? 6Z•?? IvDOWS: Area x"ll" value „ Xu,f ? (U)( ke & type ?FLL/? .?OU1?i..t9 lLi?7_.?ti sq. ft. n n sq. ft.X nUn 11 11 ?.C?d 7OJV HiI Sq. p lC. X IItY1t1?a 7, / 00) ? - S". Z442 G-l sq. ft. x::u,:::_?1. = 13,74 (u) `Lc?A-Z ^ SS aq. ft. X Un`?m l31 L(U) „ zo? ?, 1 sq. fc. .z- x ??U ?L1 s 3 (>( ?? n a , li 11 l3 a sy. fc. 1', ca X? U„-?-?-- (u) ? sq. ft._?_ ' (U) ( u u sq. ft. X??Un = X nUn _ (U)l n u - sq. ft. X uUn (U)l u n 9q. f[.`?? an 'a - (U)l 91 to sq. ft. x ?._ ::U:: - (U) l It 1. sq. ft.x U x 11U11 a Is 11 sq. ft.i?X Ilu , I 11 1, sq. ft. X llUll ? (U) ( n u - SQ. ft.. -x aUn s?P)? -' aq. f[.? - "U" (U) ( x '_._•____-_'- „ sq. ft.?____ ? )oRS: Area x"u" value ? _ ?p 7$ (U) ake & type }'FL! /} NA?lO sq. ft. ?•C?,. xU'?? 3 (U)! 11 11 f.HGHTitE?`' ' sq. ft. l0 L` x U .dGG ? ? s9ft. 1 9•5-6 X ??U?? Gy? 1_ZZ (U) 11 1. -!?l%CF:..?: Z • x iiUii (l%) 1. if - aq. ft._______-__-- ? ? fc?t.?l PAOUE WALL CONSTRUCTION; Area x"U" value •? „ G.61 ???? i„ I wj . i sq. f[. '?z : „ .0 = 7/, 38 ?U) L. sy. fc. 6 „,, 9J6 (u) -etail refer '? rm ,ya? 5 f- sq. ft. V, OD x U nce from ? X ??p" ?U) t?irtSau.Ei,{ s.?lA,,? sq. ft. xloUll (e) ittached sq, f[.?,?_ ?? ll :heets sq. ft.? xx U„ - (U) sq. ft._?____ 0.53 L?L 7 ,39 TOTAL Wall Area Including i?2,? Windows & Doors ?? ?'? ? • M TOTAL (U) U+) n?, /.72? qi' nlln ? O4? P01'AL (U) (A) VALUF.S AVG. "?- UIVIDEO BY 7'OTAL WALL AREA AVERAfE "U" Minimum .17 or less for 1 6 2 family dwellings *5inimum .22 or less for all other buildings N()TF.: lf average "U" values as calculated above do not meet the Energv Code requirements, the "Alernate Envelope Desi$n" as indicated on Page 5 may be used. R-Value FRAMING MhT1BERS IN WALLS - - To? Vi ew • NKLL 6r:CPIi?t?o Exterior air, IvUTE: uae 1u* t1? of opaque -siainx..?S?L-u???'n -- - -- --?' 0¢ wall L-rea f'or 1'ramin Sheathing 'Z, 4V 7 - members , - ? ?;, 87 .j ? ,_? ?? 1n soft wood (2) dzy wall • ^ .45 ...?..._----- Interior air film 'ba TOTAL R = ?e-5 o=i/R u= .a88 _ FRAMED WALL Exterior air film Y' dr wall Slding ?j u.??yy( ^ 1 i ?¢ Sheathing '7 7/ yi L ??- batt insulation .45 Interior air fil U = 1/R 1.88 1"sof ?- /? JUSUlat'inn ,68 Interlor air fi m TOTAL K = Z ? U? ll - 1/R U ? --- ? a 68 Uz .0¢Z. _ RIM_ JOI_ST AR.EA_ $xterior air film siaing S TL Sheathin L - "" MASONRY WALL^ Exterior air film _ -- 12" concrete blocie _-- Insulation ?j2G rp Interior air film u = i/R .17 ? -- - (/ R ? `? .68 TOTAL R= ? D• I O `I ti ?? ,?... c h d?----- .-- _- ROOF CF.ILING Outside air film .61 Insulation ------?--?? Is" Dryw811 Interior air film U m 1/R .45 .61 TOTAL R U ? f.---^ f1 ? ? Sf?AGE ? ?__ _- - - -= ----- Outside air film 61 y i- v Fa?r? A uv -....--"Insulation ?,Da )- - nr,,W811 _ .45 Interior sir film U = 1/R Outside air film Buili _+ip, rnnfinP- -- Insulation .17 --- - - ---..??3 - Wood decking Interior air film .61 ? • ,? ? _.? ? - -- ----- TOTAL R U - 1/R U -- --- - - ROOF/CEILING: TGTAL AREA: sq. ft. = (U)(A) Detail reference u u U x sqp ft: _ (L')(A) x sq. ft. from above, _ Describe openings "U" x sq. ft. ? ?U??A? in roof _ ??Oa x sq. ft. (n)(A) lp^ x sq. ft. ll') (A) ,Ulf x aq. fC. ?U)?A) 1ll1C x sq. ft. TOTALS sa. ft. (U) 'fOTAL (U) (A) vALUES DLVIDED BY T01'AL RGOF/ ? AVG. CtiILINC AREA ' AVE1tAttE ^l:" .OS for ventilated roofs I,IU'fE• .10 for all other construction 1f average °L'" val.ues as calculated above do not meet the Engerp,y Code requirements, Ch "Altcrnate Rnvelope Design" as indicated on Page 5 may be used. .61 _ TOTAL_R = L? 7 6 7 „ v- (3) PERMIT City of Eagan Permit Type:Building Permit Number:EA122743 Date Issued:05/19/2014 Permit Category:ePermit Site Address: 4774 Burr Oak St Lot:5 Block: 1 Addition: Oak Cliff 2nd PID:10-53551-01-050 Use: Description: Sub Type:Reroof & Siding & 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 house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 12,000.00 Fee Summary:BL - Base Fee $12K $221.25 0801.4085 Surcharge - Based on Valuation $12K $6.00 9001.2195 $227.25 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 - Rueben A Johnson 4774 Burr Oak St Eagan MN 55122 (651) 882-9999 Johnson Exteriors Llc 9625 42nd St NE St Michael MN 55376 (763) 310-7714 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156130 Date Issued:06/17/2019 Permit Category:ePermit Site Address: 4774 Burr Oak St Lot:5 Block: 1 Addition: Oak Cliff 2nd PID:10-53551-01-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Neil Stansky 4774 Burr Oak St Eagan MN 55122 (651) 786-9402 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature • For Office Uses 1 % 4 4 ;0° Permit#: /o/ 7 Permit Fee: ! • -3 4 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 A' j (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675 94JUN 10 2020 Staff: L�uv`� buildinginspections(Wcityofeagan.com 8Y: 2020 RESIDENTIAL BUILDING IT APPLICATION Date: 6/10/2020 Site Address: 4774 Burr Oak Street Unit#: Name: Neil & Kaitlyn Stransky Phone: Restdenti 4774 Burr Oak Street Eagan, MN 55122 owner Address/City/Zip: Applicant is: Owner 1 Contractor CD Cu. ( F{ /✓,`r{�( Type of Work Description of work: Bathroom remodel - please see drawing for details Construction Cost: 8,800.00 Multi-Family Building: (Yes /No ✓ ) Company: Minnesota Rusco Contact: Julee Massie Contractor Address: 5010 Hwy 169 N City: New Hope State: MN Zip: 55428 Phone: 952-935-9669 Email: julee@minnesotarusco.com License#: CR002173 Lead Certificate#: NAT21315-3 If the project is exempt from lead certification, please explain why: 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 maybe classified as non • !blit if •u . ,vide s.ecific reasons that would®=ring the Ci to conclude that the arse trade secrets.., ' You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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. XJulee Massie X �r Applicant's Printed Name App ant's Signature q---7—7 V leae_ 64,x_ c-i----, . 9 7 DO NOT WRITE BELOW THIS LINE iu SUBTYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex — Lower Level — Pool — Accessory Building WORK TYPES -/ New a Interior Improvement Siding _ Demolish Building* Addition _ Move BuildingReroof _ 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 Occupancy 72—/ MCES System Plan Review Code Edition /izt tole, SAC Units (25%_100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet 5 0 PRV #of Buildings Length Fire Suppression Required Type of Construction 5 6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) Final I No C.O. Required — Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood 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 O 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: V yp , Building Inspector RESIDENTIAL FEES Base Fee �.2, OC O V ,ill, Surcharge W`Ad Plan Review ± I S MCES SAC City SAC i Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 1 -' For Office Use � + , Permit#: /(i/ e 7.cf/ E AGA N Permit Fee: 4C2 a:7 Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinainspections( citvofeaaan.com 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6/10/2020 Site Address: 4774 Burr Oak Street Tenant: Suite#: Name: Neil & Kaitlyn Stransky Phone: Resident/Owner - Address/City/Zip: 4774 Burr Oak Street Eagan, MN 55122 Name: Minnesota Rusco License#: PC749301 Contractor Address: 5010 Hwy 169 N City: New Hope State: MN Zip: 55428 Phone: 952-935-9669 Contact: Julee Massie Email: julee@minnesotarusco.com Type Work _New 1 Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. ofDescription of work: Bathroom remodel - shower/vanity faucet, toilet Tankless Water Heater Lawn Irrigation(_RPZ/_PVB) Standard Water Heater Add Plumbing Fixtures( Main/_Lower Level) Description'. Water Softener Description: Septic System New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* +$290 for Meter and $200 for Radio Read =$550 *Sewer&Water Permit also required for connection charges TOTAL FEES$ 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.aopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. 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. xJulee Massie 7//42444:2,Applicant's Printed Name Ap ant's Signature Page 1 of 2