4744 Burr Oak StCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4744 Burr Oak St
Lot: 1 Block: 1 Addition: Oak Cliff 2nd
PID:10- 53551- 010 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Apex Energy Solutions
1509 Southcross Drive West
Burnsville MN 55306
(651) 688 -2739
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Paul J Plitzuweit
4744 Burr Oak St
Eagan MN 55122- -332
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA092041
11/16/2009
ePermit
CtTY OF EAGAN
3830 R:loT Knob Road
P. b. aoX 21199
Eegan, MN 55121
Zoninp:
Owner• ?)zmiir-,--2'edeiSQi2
Add?asS:
Slh /lddross: 4744 ?urt Oak. S
Plumber. ^-:LnBC!r '?xCav8C
Meter No..
Size:
Raoder No.:
1?om ft aamePip wilh !IM Ciryr ef bwn
Oedingoom
ay
Dote of Irisp.:
WATER SERVICE PERMR
PERMIT NO.:
DATE:
No. of Units:
SI Oak Cliff Ii
Connactian Chargo:
/lcoount Deposit:
Par?nit Fee:
Surchorge:
Mlsc. Chorpss:
TOfCI:
oot. Poid:
I rup.:
CITY OF EAGAN
390 Filo't Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoninp: 'i
SEWER SERVECE PERMR
PERMIT NO.: DATE: '
No. of Units:
OMrner: •'L^:.t1•.t--.'?i.:?Pl`or.??
Address: _
Sita Address: 4744 _l3a•rr (la3c 5,r-rPer Ti L1 O=+t liff `ii ,
Plumber. '=-I 51-LI • 1>':1 ,_e:?.• -; nr? .s• '- r•?;
I y1M *O O01M* Wuh tin Cky Of loQO• COf11'fwtO/l C}IOMl:
Ordim1}ON. ACCOUr11 DlpOSit:
Permit Fas:
Surcharpe:
BY Mise. CharOes:
Date of Insp.: Totad:
I nsp.: Daft Poid: _
CITY OF EAGAN
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
"PHONE:454-8100 i
BUILDIN?'a PERMIT Receipt # -
To be used f or se DWG/GAR Est Value $117 , a U'Q Date MAY Z , 19 6b
Site Address 4744 BURR OAK ST Erect E]X Occupancy A j
Op?K CLI
Lot 1 Block 1 Sec/Sub FF 2NU Remodel ? Zoning ;,;.?
Parcel No . Repair ? Type of ConstYn
. Addition ? No. Stories
W Name OuMUN-PEi)Ec2SON INC ?v?ove ? Length 66
; 1-5136 (;AI,AXjE AVE Demolish ? Depth
° Address Int. Impr. ? Sq. Ft
City A. V. 431-5000
Phone Install ?
= o Name S?+E Approvals
0 ¢ Address Assessment
~ CiN Phone Water & Sew.
U?
W W
?_
U?
¢ W
<
Name -
Address
to
t)4rauc
A Building Permit is issued to:
all work shall be done in accordance with all
Police _
Fire -
Eng.-
Planner
application and state that the gld
y wjsh all applicable State o( 9"
i"ances. APC_
Var. [
ti-t EllERSON I:vC
applicab}e State ol Minnesota Statut
Permit $ 475.50
Surcharge 58.50
Plan Review 237.75
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copi
Total 2,356.25
on the express condition that
and City of Eagan Ordinances.
Building
_ PormN Na PemQt HWdM Do" Tslephone k
PlumWqp
H.Y.A.C..
E.e,ric
. ? b Bb
son.n.r
Inspectlon Date Insp. CommN?tf
Foodnya I
Footinys II
Foundaiton ?,4
Framing
R°°tln
y V
Rouyh PItW.
Rouqh Hty. ?• l?
Imul. b' V !
Flroplace
FinN Nty.
Flnal Plby.
81dy. Final
Grt.Oee.
Deck Ftq.
Oeek Frmy.
Well
Pr. Dbp.
*?:-F7-•---". -.?,s.. . ? . . . . . . . ._ . .e,r. ...q. ?,s_? . _ . _ .
PERMIT # -7O
" PLUMBING PERMIT REGEIPT #
CITY OF EAGAN c-
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: J -) C?
ONTRACT PRI[_P I oWnuc• eGe_aInn
Site Address G' /
??
Lot Block
y rvame _
? Address
c City _
? Name .,
c Address
p CitY -
BLDG. TYPE
WORK DESCRIPTION
? Res.
Mult
Comm. _
?L ' Other
FEE5
COMM/IND FEE - 1°rb OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STA7E SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
10,?{?, „i I I
OF
FOR CITY OF EAGAN
New
Add-on
Repair
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00 _
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3Q0
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50 ?
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
??? ? ` '
GRAND TOTAL•
PERMIT # ?
, . , MECHANICAL PERMIT RECEIPT # ? 3
CITY OF EAGAN rn
? w
• 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PR E: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
LotBlock ? Sec/Su -?---??
l c . i
Res. New •
m Name
Mult Add-on
-a Address . ? ? 4 -7
Comm
air
Re
7
' .
p
c City Phone--
Other
Name'??
FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p City Phone -?% - `? ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
= TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
? GAS OUTLEfS - 1.50 EA.
Forced Air
. M BTU COMM/IND FEE - 19% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIdENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMMlIND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM ?, 6EYOND $1,000.00)
Gas Piping Outlets #
` Other
,
r FEE .
?-
.
SIGNATURE OF PERMITTEE
S/C:
, - roTaL
?
FOR: CITY OF EAGAN
CITY OF EAGAN Remarks
Addir.ion t OAK CLIFF 2ND Lot 1 Blk 1 Par53551 010 Ol xr,_
Owner Street 4744 Burr Oak Street State.?' gr3I1, MN 55122
JI)n " .s
' Improvement Date Amount Annual Years Payment Receipt Oate
STREET SURF. 312-76
,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 118.79 7•92 5
SEWER LATERAL
WATERn...._.j?,,t- 1981 191.1 19.11 1
WATER LATERAL
WATER AREA 19 2 184-07 12.2 ].
STORM SEW TRK 1979 399•97 20.00 20
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
I
CtTY OF EAGAN
3830 Pilot Knob Road
, P. O. Bq)t 21199
EsW, MN 55121
i Zonirg: _
Ownsr.
Addross:
Slta Mdross:
Plwnber.
Mtftr N .. 4/eq 7
Stu: '.?fR'? Rxlt
&e°*`
? ?o/fM t0 00? M? l? +w.1??11 p SYf?- .?U?tQ
a'+IMACM. NIUEC. G10rQl5: r • . ?t
' Taai:
BY Dote Paid:
Oa?e of insp.: Irqp.:
eaerso
WATER SERVICE PERMIT
PERMIT NO.:
D/\TE:
No. of Units:
Th,srequeslvoid/lf?_G(?- ??54?°{'/'_?//(!? fy.1„l,
18 nwnths (rom U ?X vJ O`c- lL' % vJ ?ss9"
__C-1?198 ?-??????? ??, ??? ?? ? a"? ? ?`1•???
Hequest ale
/-
'? Fire No, RouPh-in Insper.tion
Raa rtetl?
cady No?ll Nntity, InsPec-
or Wh
n P
d
?J es ?NO e
ea
v
? Licensed ElecVical Conlractor 1 hereby repuest ins0ection ot ebove
? Owner electricel work installad at:
Sireet Address, Boa or R ute No.
? uiY Q C City
ectmn o: Townshio Name or No. flan8e No. County
I /
Occuuent IPpINT?
dP..7xc. Phone No.
Pow Suppl'er Atl ress
E ectiical Convactor lCOmDanv Name) Conirnclor's License No.
Mailine AdJress (Contractor or Owner Mekine Installationl
Authorize ign e( roctor/Owner Ma -ny InstAllation) Ph ? one ?? iy. ??
L
V?? ?
MINNESOiA STATE e0A F GTNICITY TMIS INSPECTION REQUEST WILL NOT
Griges-Midwey 9 . o •'191 BE qCCEPTEO BV THE STATE 80AND
1621 Univerai e., St. aul, MN 55704 ?/]? ? UNLESS PNOPEF INSPECTION FEE IS
Phone(6121 2 -27t1 -r--? ENCLOSED.
REQUEST FOR ELEC7RICAL INSPECTION
Q? / See insfiuctlons for completing this foim on back o/ Yellow copy. ?
? 1 ?j ? ? R "X" Below Work Covered bv 7his Reauest
Fdd
ReD.
Ty : nf Builaing
Apoliuncea Wired CG 7 11
Equiomant Wired
6iome Range. Service
Duplex Water Heater xtures
Api. Builtling
; Dryer aUn
Commercial Bldy.
Fumace
P?
X
Industrial BIAg. Air Conditioner enk
Farm
o?ne, oeci v
,fy?
r ISVe
t ci Y
ompute lnspection Fee Below
M fntr,nce$ix. tt Fea Faeders/Subleeders Pa¢
00 Am s 0 to 30 qm s
Z 200 q?n??y 31 to 100 mps
ing Pool Above 700_Am s
ormers Irrigation Boorr,s
$pecialinspection
Rema.ks - TO7AL FEE k-',, ?C
na
I, the Electrical
Iosoectoq hereby
certity thet the abova
insoection nes neen
- . _ \?
BUILDING PERMIT
Receipt S l
To be used for SF DWG/GAR Est. vawe $117 , 0 0 0 oate MAY Z ig $ 6
SiteAddress 4744 BURR OAK ST Erect LQ Occupancy R3
Lot 1 elock 1 SeGSub. OAK CLI FF 2ND Remodel ? Zoning RI
Parcei No. Repair ? Type of Const Vn
Addition ? No. Stories
a
Name OZMUN-PEDERSON INC Move ? Length ti F
i
3
Address
15136 GALAXIE AVE Demolish ? De th ??
P?8
° A.
City V. 431-5000
Phone Int.lmpr.
I
t
ll ?
? Sq.Ft
ns
a
.= o Name SAME Approvals Feea
? ¢ Address
? City Phone
QW w Name
x ? Address
o
z
i w City Phone
I hereby acknowledge that I have reatl this appiication and state thatthe
intormation is correct and?oF?PIY . ith all applicable State of
Minnesota Statutes and Ct? Ea n O
Signature of Permitte
A Building Permit is issued to: _ OZNfUA7-P RSON INC
c
all work shall be done in accordance with ail p li le State of inneso
Building Ofticial
CITY OF EAGAN p
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N/- 11881
PHONE: 454-8100
Assessment
Water & Sew.
Police
Fire _
Eng.
Planner
Council
Bldg. Off. 512 / 8 6
Var.
Permit $ 475.50
Surcharge DB.JV
Plan Review 237.75
SAC 575.00
Water Conn. 500.00
WaterMeter 63.50
Road Unit 290.00
Tr. Pi. 156.00
Copies
Total 25
on the express condition that
and City of Eagan Ordinances.
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3 L 3830 PILOT 1
-6846 5- 55122
b ?
651
New Construction Reaulremenfs
? 3 registered ske surveys showing sq. R. of 101, sq. M. of house
and ail roofed areas (20% maximum lot coveraae ailowed)
;o 2 eopies of plans (show beam 8 window sizes; poured fnd, design; etc.)
7 set ol energy calculaTions
: 3 coples of free presenation plan fl IM platfed affer 7/1/93
DATE: Lcr"1-qq
DESCRIPTION OF WORK:
STREET ADDRESS:
w
LOT: I_ BLOCK: I ._ SUBD./P.I.D. #:
Remodel/Reoalr Reaufrements
2 copies ot pian
1 sef ol energy colculaHOns for heated addRions
1 zHe zuney for exierior addMions 8 decks
CONSiRUCTION COST:
Name: ?% CiA ? Phone #: Uf ?I " ct?? -
PROPERTY Ftrst
OWNER
StreetAddress:
City State: Zip:
Company: Phone #:
' ' (area code)
CONTRACTOR
ARCHITECT/
ENGINEER
9180 W.123'/a ST.
Street Address: SAVAGE, MN 55378
6
City LiC. #6863 State:
Company: Name:
Telephone #: area code ( )
Street Address: Registratlon #:
City State:
Sewer 8 water Ilcensed plumber (reaulred for new consFruction oniv):
Penalty applies when address change and lot change is requested once permif is issued.
I hereby acknowledge }hat i have read fhis appllcation, state thaf the information Is cortecf,
Sfafe of Minnesoto Statutes and City ot E6gan Ordinances. ?
Zip:
Zip:
to comply wRh all applicable
Signature of Applicant: "? w?? ?- ---
?uvcR
OFFICE USE ONLY D. `
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No - Not Required `- ?-?
License #
1986 BQILDING PElHiLT APPLICAITON - CITY OF SAG9N
60TE: ALL CONTR9CfORS MOST HE LICEAS6D iiITH THE CITY OF EAGAN
SINGLfi FAFQLY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCULATIONS
1y[TI.YZPI.E DSifiI.LINGS - AESIDSNTIAL RENTII, QNITS FOR SALS DNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SDRVEY - CHECg iIITH HLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
COHMRCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: SFD
1
t. :?:
Valuation: //7eZ?0. Date: April 28, 1986
Site Address 4744 Burr Oak St. OFFICE DSE ONLY
Lot 1 Block 1 Erect ? Oceupancy ?
Remodel Zoning /
Parcel/Sub Oak Cliff 2nd Addition Repair , Type oP Const ?
Additlon # of Stories Owner Ozmun-Pederson, Snc. Move Length ?
Demolish Depth
Address 15136 Galaxie Ave Int.Impr. _ Sq Ft
Inetall
City/Zip Code Aople Valley, MN -
Phone 431-5000 i 9PPROVAI.S FEES
Contractor Ozmiin-Pederson, 7nc.
Address 15136 Galaxie Ave.
City/Zip Code Anple Vallev, MN 5512
Phone 431-5000
Arch./Engr.
Address
City/2ip Code
Phone #
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off qtl Treatment P1
APC ?? Parks
Variance Copies
20TAL
?S
AOTE: ADDHESSBS FOR CORNER LOTS - CONTRACTOR/HOHfiOfiNER MOST DESIGNAiE iiHICH 9DDRfiSS
IS DESIRED. NO CHANGES iiILL BE 9LLOHED ONCE BQILDING PSRMIT IS ISSIIED.
1
750 . ,
cc S ? -? ?o
?? - 50
//66 3? A
ti
tKii].'11IY•D:x'.?LvYmw.nd.'ir,;.S?."SY'C+L'l:iF?,6>C:.-,?Eift?aY'??'s'!"bd?l`Y=S7d?r7w3?illi:'?'i.'`.?.".?Ji?"?'?:Sf?Y{'?K„iffeXxeT ?'.,:„.bt.f < ,?.,::,i is.?".'Y?,y?e`Ft`lu. . .:.ri'? ..•.
u_.. ??{.n .d ....
?
oAi? cL.iFF
?PP-1L 17,I78jlo?
SGA'LE$ I "= ZD,
zH4V
1?XT6RlOR tiNVf1APE AVERACE "U° COMPUTATION
ner 6 Zh1 G!N -}1CI.?GdZ..JQJ?, lAddress Phone L-
gal Descrip[ion of Property: Lot__j _Block_I_Addition 04IGGWFT- Z./1147 Pate
te Addreae 4- „7 1¢ mg/G ? Ti? PE T
AV6RAGE LINEAL FEET OF
E%POSED WALL ARBA ABOVE GRADE in level i
ll g
??
Z j
Lineal ft. of framed vall above grade x height of wa
.
' -'f, r` G F?WY'1L
m ,yoiet area
L1nea1 ft. of
rim 7,78
x height of r1m ? Z78
,wer level
Lineal ft.
Ltneal ft. of framed wall above grade x height of wall --- ?-
of ryeaonry wall above grade Z.x height above grade
TOTAL wall area above grade in cluding windowe and doora j ?.
[NDOM'S: Aiea x"U" value j7v-_?,j r-ASEYNj?:?VT
n0,.
77G (U)l
?1 _ I 3
6
ake & CYPe
I. Q--' 'ba+ Z 8,4' sq.
- x
f[. 3.
f
x .
•
????? 19,?3 ?(u) f
if 7. ?(, aq.
!s- 2 o b n a '? t0(
It
7_-b0 9,
s9.
4
ft. 38.4 x
U
?..
]
z-?36 5,7 aq. fc. x ,
69G(l`)(
??
°
?-Z44?R 7.6 eq. ft. ,6ox ° 1 •
U
LSB
7 7.25 x
ft °U° ?/.zZ2(U)?
G.
.
I-OcTI14M . n ? (ll)(
s ft
q. .
%
sq. ft.
s x
ft
q. . (?)t
uU.,
aq. ft. x ??
a
(U)?
u u eq. f[. x ?
=
n n s x
ft u0p N)i
q. .
x (U)'
n u eq. Et. (U) ?
sq. ft. x
n u' sq.
' ft. X .(L)?
uUn (U).
n n aq. ft. x
n ?? • aq. ft. x
u n
sq. X
ft. IO ??? (u) ,
r ?z, fs 79?°q
,OORS: Area x "U" value
ORri o$? sq.
?
?
Ft. A'Z. 8 X ?7
U
--- 7? //? ?U)
lake 6 type
.1 Ft r.
-
g• VcliT2, 2 tt, aq.
!^ ft. z x
x .
o
U , 31sz6 (U)
??u?
2,78z (U)
u •? ?_ ZHf?, aq. fC. Z ?
n?? (u•)
X
"
" '71,55-
c.?z
7
1PAOUE WALL value
U
CONSTRUCTION; Area x
eq .
X
? I 9S 97
fc. „
„ pBZn / 0,069 (l:)
U
.
?2a ?c'77 WiF L45 eq.
)etailrefer - eQ.
7?!m ?D[5T
ft.. / G3.. . x
ft, ??, Oo x U
??
_
"
0 3
?(U)
"
from
nce ' Z O x
f "
U
a
eq.
-V A,S!s?s? "`?/ WbLL
b "
u1
(l!)
9ttached
- aq. .ft. X
?_
IOUn ? (D)
aheeta eq. ft. . . .
. X
ft:'
. 1.UIr--e (u)
aq
.
Z379.92
TOTAL Well Area Includin
6 D g
? OD 2? Qs?
TOTAL (U) (A) ?i
oore
Windows
Z , a5f "U"
TUTAL (U) (A) VALUBS 2 ? AVG.
UIVID6D BY 1'OTAL WALL AREA ?'V
AVERAC,B "U" Hinimum .tI or lese for 1 b 2 family dwellings
rilnimum .22 or less for all other buildinga
NOTE: 7f nveraRe "ll" valuea aa calculated above do not meet the Energv Code requirements, thr
"Alernnte Bnvelope Design" as indica[ed on Page 5 may be uaed.
FItM1INC,HF?tBERS IN WALLS
1'ap Vt.ew
IIALL SECTIUNS - 6xcari i
or .P???}ID?...... _... ....._ _._ ... _ .
HOTBs Uae 10y6 . al apaqLLg ?,.t . . . 'Siding ST6V.- WlfOH
pall areu
forSramin I I ? Sheathing
mambere
soft voua
30 ar, Well
'Interior air f11m
?
(2).
R-Value
_ . . . .17----...
- -,?'• 8.Z
_ Z, 0 6
6.?88? S
.as
TOTAL R e / Z_D
U- 1/& U-
FRATtED WALLExteslor ais film .ll
' SidinB' STE1a-.&'6'rrAK1 I• d Z
Sheathing 2511 2? . 2. O G
. . (? ?, ? 9. Ol7
baCt iqeulatSon .
drv wa11 .45
Interior air film - '68
u . 1/x U
ExCeriorair Film- .17
siaine Std-Ec. w1Fc?1•K /, 8Z
Sheathing Z?
_
.2•04
. . . . 1.88
'h" eoft wood - -
G •,
?
" / 9 , a'o
n
. . . . . , . .68
Intarior air film - M.
. . . . TOTAL N ? ZS ?I
u.°1/n u- .039
MASONRY,I?h_ . ' .
Exterior air f11m - .?__ - '17 -••
"
_coaeiate bloex
12
_...?..._ -_.
Inaulatloa 0' r4 I OGI D :1
Intarior sir film
? TOTAL R ? 9, 3p 3'
_
u - 1/R . u. ' • / ? 7
r- •
ROOF CFILING
Ta
Oucsi?e eiE,fiyt&_____' _.61
i
Insulation
Is" Drywell
45
Interior air film .61
TOTAL A
_...._.? ??.?.F .
U ° 11E V
Outeida a1s film r__ 61_,
Inaulatioa _-.._._ ... ...
Is" Drywall __45
Interior air Eilm_ .61
TOTAL R =
U.= 1/R
U a
Outaide air f11m •17
. Y? Iaeulation
Wood decking
Interior air £ilm .61
-'TOTAL R = .
U - 1/R
ROOP/CEILING:
U °
TOTAL AREA: sq.
'
" ft.
(U)(A)
U
Deta11 reference x sq. ft: (U)(A)
from above. "U"
'
" x sq. ft. (U)(A)
U
Describe openinga x sq. ft. (U)(A)
1n roof . "U" x sq. ft. _
(n)(A)
. . upn x sq. ft. (U)(A)
. uUn x sq. ft. (L)(A)
nUn x sq. ft.
TQTALS eq. £t. W)
?
TOTAL (l)) (A) VALUES
? •
"G"
AVC
'
IIIVIDED BY TOTAL ROOF/ .
CEILING ARFA
AV6RA<:E "U" .OS for ven[ilnted roofs
.10 Forall other conatruction
,4<1'CF.: lf avurnKe "t"' vnluex ne calculated eDove do not mee[ the EnRerny Code requ iremente, tl
"Altcrnate finvelope pesign" as indicated ow.Paga 5 may be uaed.
(3)
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CITY OF EAGAN
APPLICATION FOR PERMIT SE[+iER ADID/OR W1TER CONNECTION
1) PROPERTY ADDRFSS:
T•FY;AT• DFS(RIPTION:
(lAL/tllOCK/bUDQ1V1S10R OT '1'aSC YdrC21 l.U. NU
IF EXISTING STRL'C7URE, DATE OF ORIGINAL BLILDING PEE2NffT ISSCANCE:
Fbn Year )
PRESENP ZONIN3/PROPOSID USE: R-1 SINGLE FAMLLY
R-2 DL'PLEX (7Gro [?nits)
R-3 TOWDIIHO[.'SE (Three + Lnits) ( Units)
R-4 APARTMENT/COAIDOMINILM ( Units)
CObMERCIAL/RETAIL/OFFICE
INIIJL'STRIAL
INSTI7[7TI ONAL/GOVII2NNENT
NAME: ?vf7 n.I'a n L XLc??ce?/ ?n y
ADDRESS: Z 0p65'?
CITY, STATE, ZIP: v.e
PHONE: Y D
3) • r.?•
ADDRESS:
CITY, STATE, ZIP:
PHONE:
(/"i i n ¢ .
f4 LJ
O
V63--,P-F??a MASTER LICENSE # f1 oz -60 -
For City L'se
Plumbers LicensE
C:V Active
C7 EScpired
O Not Recor(
Sta?f?Initial
4) • ? ?• -- -
NAME: 62r ir/un ULd/??J"o? C
ADDRFSS: J S1 3 b 6?ro.?d,X. c J? r.t
CITY, STATE, ZIP: ?Ss'-
PHONE: S^D a a
5) ?? '?• •a? ??
YL CONNECTION TO CITY SEWEE2 O?CONNECTION TO CITY WATER
(] OTHER (Please Describe)
6) u • •
? PLEASE HOLD APPROVED PERNffT FOR PICK-CP BY ONE OF P.HpVE
? PLEASE MAIL APPROVFD PERNIIT ? 1, 2,p3 4, ABOVE
(Circle one)
??
F O R C I T Y U S E O N L Y
PERMIT '-' ISSUED
77 ?/0
FEES: $ S_Z,
S /7J?SU
S
5
$
$
3`Ori.ot3
S
S
$
$ ?.S ?? • CJ'?
$
$
SE:?GR PER`1rT (I?]CL'?D.:' " ?Uori? )
--..?`.?..GE
WAT£c2 PERPtIT (INCL'JDE SliRCHARGE)
WATER METER/COPPERHORN/OUTSZDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE:vER TAP
ACCOUNT D.F,POSIT - 41ATER
WAC
SP.C
TRliNK WATER ASSESS?1E;1T
TRliNK S£WER ASSLSSiIE:IT
LATEIRAL BE:IEFIT/TRUNK SE?:ER
LATERAL BENEFIT/TRUNK SJATER
WATER TREATMENT PLANT SURCEIARGE
OTHER:
TOTAL
$ /Z ,? ?/- S-d Ar10UNT PAID/RECEZ?T # 4- Z /,? 7
,3'z, 0z) 6 22- ?; /
DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR W0RK WITHIi1
PUBLIC ROADWAY" MUST BE ISSUED BY THE
C] NO ENGINEERING DIVSSION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOI•LOWING CONDITIONS:
APPROVED BY:
ti
TITLE:
DATE: _ ? J/? ?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125896
Date Issued:08/06/2014
Permit Category:ePermit
Site Address: 4744 Burr Oak St
Lot:1 Block: 1 Addition: Oak Cliff 2nd
PID:10-53551-01-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
Paul J Plitzuweit
4744 Burr Oak St
Eagan MN 55122--332
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature