4741 Burr Oak StINSPECTION RECORD Control No. 0346
CITY OF EAGAN PERMIT TYPE: u? E r? i w?
3830 Pilot Knob Road Permit Number: 600 A .? ?
Eagan, Minnesota 55123 Date Issued: ?? /30f97
(612) 681-4675
SITE ADDRESS: ?.ar a !
4741 BUIrN UpK S'f
OAiC CL 1rF ?flD
PERMIT SUBTYPE:
r I r<Ff), tnt ?
Rf M A H 1c %; lt E. f: k l P T 0
eLocK t 2 APPLICANT:
HubT-N--9lt! PZREFRACES
(622) 89N-0768
TYPE OF WORK:
MEu
- ? .?
PM'rnit No. Permft Holder DetY Tsiephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Map. CommvrHa
FotAings 1
Foundatlon
Framing
Roo"
Rough Plbg.
?
Rouyh Htg.
l C+d tJ? p ? ?
Isul.
Freplace
Fnal Htg.
Ors8t Test
Ffnel Pibp. Plbg. Inspector - NWily Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Fxtal
weli
Pr. Disp-
-592
CITY OF EAGAN WATER SERVICE PERIWT
3830 Pilot Krmb Road
P. O. Box 21199 PERMIT NO.:
Eegan, MN 55121 DATE:
zonirg: - No. of units:
Owner: - --
1lddreas:
Site /lddross: - - ' .
Plumbar:
MeW No.: Conredion Chorfle:
Size: Acoount Deposit:
Reodsr Nv.: Parmit Fee:
1 Nm te aaeply wNb 1M Qry ef Emp¦ Surchorge:
Ordiwwna& Misc. Chorpes:
TotoL•
BY Dcte Patd:
Dote of I nsp.: I nso.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Bo-x 21199
Eagan!%N 55121
Zoninp:
OwrNr. ? c .
Addrcss:
51te 11dd
Plumber
oas[.
I pm h esmpllr +ril6 !iM Cily ef bwn
Or/i"nas.
By
Doce of Insp.:
SEMIER SERVICE PERMR
PERMIT NO.:
DATE:
No. of Unih:
ConreCtlon Chorpe:
Atoount Deposit:
Permit Fis:
Surcharpr
Misc. Charpes:
Total:
DoM Paid:
? eU1LDING PERMIT
CITY OF EAGAN
3830 Pilot Knoh Road, P.O. Box 21-199, Eagae, MN 55121
PN ON E: 454-8100
Receipr #
?
?. ??.
23.000
Site Address
Lot Block Sec/Sub.
Parcel No.
W Nane
? Address
City Phone
Z? Name
?u
Addri
u
F? Cftv .
Phone
/lssessment _
Water 8 Sew.
Police
Fire
Enp.
Plonner _
Countil
( hereby ocknowladge thct I hove reod this opplication and stote that gld9, pff.
,$
fhe inlormofion is oorrect ond ogree to comply with atl opplicoble APC
State of Minrxwto Stotutes ond City of Eogan Ordirances.
V Dt
Permit ?
Suroharye
Plan Revlew
SAC
Water Conn ,
Water Meter
Road Unit
Tr. Pl
Parks
ar. a e Coples
Sipntlture of Permittes - ° - I ? -
Total
't?,
'^ 11164
5i:e-, ? ?
Erect 0 Occupancy
Remodel ? Zoning
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int Impc ? Sq. Ft.
Install ?
Approval@ Fess
Phone
h Bullding Permit is Issued to: on the exp?ess tonditlon Ihat
otl work sholl be done in accordonce wifh all oppliooble Stote of Minnesoto Statutes ond Ciry of Ea9on Ordimnces.
Buildinp pffiNal
? Pwmk No. Permit Holdw Dab ToIophono it
i?w
" ' ,?f'" ' • I • ? _ !-i 7 -
A.Z.
[Elec
Otri
e
erwr
Iraaction Dste Insp. Other
Footings 1
Foodngstl
Foundstion
Framing f ?o
Roofiny
Rouph Plbp.
Rouph Hty. ?
Insul. %;?? • ?,?
Finplau
Final Htg.
Finel Plby -
Final
Csr!/Occ. 9 8 !v
Wstsr ??ibe Loestion:
Well
Sew?r
Pr. Olsp.
, Roaipt MECHANICAL PERMIT Pannit No.
; CITY OF EAGAN
? FM
r , f!Il In numbemd aFecas S/C
Type ar Prfnr legib/Y Tot _
1. Dats 2. Instellation Cost
3. Job Address Lot Blk. Tract •
4.Owner , - 5. Contractor Phone
s. adarew
7. City State Zip
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Desaription: New ? Add 0 Alter ? Repair ?
10. Describe Fuel Type
11.
No, Eqyipment 8 TU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. , g
Boilers
Mfg. , Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply witfi all ordinances and codes governing this tYpe of work.
qinnprl •
fnr
6615
PERMIT•#
RECE(PT # 591Q4
1-15-86
DATE
CITY OF EIKGAN
PLUMBING PERMIT
454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.50
MIMIMUM COMMERCIAL FEE - $20.00 + $.50
FEE /4
S/C
? r.
TOTAL
1. Bldg. Type: Res v Comm Inst 2. New Add Alter Repair
3. Total Bid Price 4. JobAddress
Lot Block Sec 5.Owner
6. Contractor
! (Cityy IZ?P)
(Name) (Sheet)
7. Contractor Phone #
NO. FIXTURES
-Water Closet - $3.00
TBath Tubs - $3.00
• Lavatory - $3.00
TShower - $3.00
?Kitchen Sink - $3.00
_Urinal/Bidet - $3.00
NO. FIXTURES
___LLaundry Tray - $3.00
1 Floor Drains - $1.50
TWater Heater - $1.50
?Whiripooi - $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 $1,000 OF FEE.
Signed: for
Approved Inspections: Oate Rough Insp. Date Final Insp.
CITY OF EAGAN Remarks K
Addirion OAK CLIFF 2ND Lot 1 Blk 2 ParclO 53.551 01CLn2
owner street 4741 Bur'r Oak Street 5tate Eagan. NN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1981 12. ?j 31.27 1 ? , ! O/ al o2 -
STR EET RESTOR.
GRADING
SAN SEW TRUPVK 192 197 11$•79 7•92 15 0/ --u3
SEWER LATERAL
WATERMAIN
WATER LATERAL 19 ]. ].gl..]_ 1.l - - 5
WATER AREA 1 82 184.07 12.27 15 ? - -
SToRM SEW TRK 1979 399•97 20.00 20 o,Qy A- D/ a
13
-a -
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit 280.00 5689 10/24/85
WATER CONN. 500.00
BUILDING PER. 11164
SAC 525
00
PARK .
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot itnob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: Zoninp: - 1 No. of Units:
Ow+wr• =?eloP-r::. r'o?zst.
Addross: _
Site Addrom
PIunber. _.
Mehf NO.. ti
RlOd(!? NO.. 0 ---
I .,me to oewpl, wilt, Z- D
OrrtMnor.
B Y
Date of I nsp.:
F6
i ?, . 77[( 11,11' -
1 7 .
QRTIt
s6r*0*94
Misc. Charyes: 32
? p
.
Total: 63. 0p.-. meter
Date Paid:
Insp.:
ThiS request void ?
16 rrionlhs fmm ?
0 0 8 8 8 0 4 cA-i?c LL? 4 ? D- ?'Ltl a'v
R2quest Gete Fire No. PouBh-in Inspeciion'
Re uireA? ?Reedy Now ill Notify Inspec-
5
Z s ? No or When Reatly
Licensed Eleclrical Contractor I hereby requast insoection ot ebove
AROwner elecVical work instelled at:
Sveet Address, Boz or Route No. ? Citv
ecuon o.
4.,? Townshi0 Name or No. "
y??
a " ene? N Com
??
? a-
OccupantlPRINTI / Pahone No. /
•
Fower 5 D?lie?r
'i{?7 G ??J4-LG Add ess
T -1LV11-CiKC -
Elecvical Contraclor ICOmpan Nam ?
?- Cuntracior's License No.
ji%:.
Ma A'?ii ress (Comracmr or Owner Mo/king Instailatcion)? ? y?
'
5
? ' "WC JL•?!/"r-W
Autho zed 5lgnamre ( ntractnd0 ner aki g Installationl Phone Number
? ?qD 35SS
?
MINNESOTp STqTE B?0.D OF ELECTNICITY / THIS INSPECTION PEQUEST WILL NOT
Griges-Midway Bld9• - poom N•181 BE ACCEPTED eY THE STqTE BOARD
1821 University Ava., SL Peul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phane (612) 297_2117 ENCLOSED.
d aa? REQUEST FOR ELECTRICAL INSPECTION EB-00007-W
' Sea instructians for completing this form om6eck dffyellow capy.
nmn -.X" Be,oW Work Covered by 7his Request r
lfJeA lMd I Reo.I Tvne of BuilEino I Aooliancaa Wirwd I Equiuman[ Wired I
I I I I Duolex I I WaYer Heater I I Liahtino Fxtures I
Commercial 81Ag. Furnace ? ?Silo Unloader?
Industrial BIAo. Air Conditioner Bulk Milk Tdnk
N Fee ? ServicaEnfranceSize 4 Fee Feaders/Subfaedere # Fee Circuits
0 to 200 qm s i 0 to 30 qm s ?J 0 to 30 Am
Above 200 qmps? 31 ta 100 Amps J ?A -C 31 to 702A
Swimming Pool
Above 100_Amps -A
Above 100mVs
Transiormers frrigation Eiooms r?,- Partial!Olher Fee
?
TOTAL F?E
/ ?-
? i, me
Inspecmr, hereby
certify thei the above
6 insceac;uo nas naa?
made.
request
CITY OF EAGAN.
3830 Pilot Knob Road, P.O. Box 27-799, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT
Receipt #
N_ 11164
S??
Te M wed Mr 4 SF DWG/GAR Est. Val.e $123,000 pote OCTOBER 24 ?q85
SlteAddreu 4741 BURR OAK ST Erect g1 occuPancy R3
l.ot 1 Block 2 cec/Sub. OAK CLIFF 2ND Ramodel ? 2oning Rl
Parcel No Repair ? Type of Const. V
. AddRion ? No. Staries
Name DE\7ELOPERS CONST Move ? Lenytn 58
W
Z
1101 CLIFF RD Demolish ? Depth j$
? Addres s
int Imvr• ? Sq. Ft.
City BURNSVILLEphone $90-6194 mstall ?
o SAME Approralf Fees
, Name
Zu
uS?
f
Name _
Address
City
Phone
Assessment -
Water 8 $ew.
Police -
Fire
Erp.
Plonner _
Council _
I hereby ocknowledge thof I have reod this applicofion ond sfate fhot gld9. Off. ].?
the informotion is correcf apd)ogree to m?,ply with all opplicable APC
Stofe of Minnemro Stctutef bd C co
iry of ¢gan Ordirwnces.
Var. Date
Sipnoturc of PertniM ? ? ?
A euilding Permit Is i sued ta: DEVELOPERS CONST
all work shcll be done' in otcordance with oll aD?haPSe Stote of Minrlesote $f tutes
Phone
Permit
Sureharee 61.50
Plan Review 245, S
SAC 525, 0
Water Conn. 9nQ-Q 0
water rnete. 63 _ n o
RoadUnit zan_np
rr. Pi. 132.00
Parks
Coples
rotai $2.297.25
on tha expreu condition that
ond City of Eapon Ordinances.
Buildirp Offlc{al
CITY OF E`AGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
Control No. 0346
auzLoiwe
000427
@4/30/92
SITE ADDRESS:
DESCRIPTION:
4741 BURR OAK
LOT: 1 BIOCK: 2
OAK CLTFF 2ND
Buildirtg_Permit Type
Bu3ldi.ng 41ork Type
r
..-
+
/..
ST
FIREPLACE
,NEW
?
,`>t"
? ?.. .
?
, ? - ... .? '... '.F l:_.
REMARKS:
RECEZPT #
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR:' - Applicant - ST. Lic. OWNER:
HEAT-N-GLO FIREPLACE3 18900758 0002960 PAULSON SANDI
3850 W HWY 19 4741 BURR OAK S7
BURNSVILLE MN 55337 EAGAN MN
(612) 890-0758 (612)690-1835
Z hereby acknowledge that I have read this application and state that the
informatian i& corract mnd agree to comply with all applicable Stctte of plrt.
5tatutes and Gity of Eagan Grd'inances.
L ?
APPLICANT/PERMITEE SIGNATl1RE ISSUED BY: SIGNATURE
INSPECTION RECORD C°ntr°' "°.- 0346
-
CITY OF EAGAN PERMIT TYPE: suiLoiNc
3830 Pilot Knob Road Permit Numher: 000427
Eagan, Minnesota 55123 Date Issued: 04/ 3 0/ 9 2
(612) 681-4675
SITEADDRESS: LoT: i BLocK: z APPLICANT:
4741 BURR OAK ST HEAT-N-GLO FIREPLACE3
OAK CLIFF 2N0 (612) 890-8758
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE NEW
REMARKS: RECEIPT M
F-
L
?
PERMIT #
-!
CITY OF EAGAN
' 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, 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.
Date /Z7 /? Yaluation of work /7& 0D
Site Location: 'M// l1212 (I.k ?'L •
STREET SiE M
Tenant Name•
LOT ? BIOCK SUBD?? /
Descri tion of work: ?--?t
The applicant is: ? Owner ? Contractor O Other co?«;be>
Name Phone ?9? '??,??`?
Property LaST fIRST
Owner qddress
STREET STE N
City State 10 Zip
Company A9Z_/f/_/M e-i Rhone
Contractor Address sd ?lA ? License # ZqGO Exp.
City ,State ?y Z i p
Company Phone
Architect/
Engineer Name Registration #
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 af Minnesota Statutes and City of
Eagan Ordinances. ?
Signature of Applicant:
.
2/84
CZTY OF EAGAN
APPLICATIpN FOR PERLAZT
SEWER AND/OR WATER CONNECTION
1) PROP= - pppR,r,SS:
t.FraI. D: SC4T_PTIa1:
(PCEASE PRINT)
kL-+?iolocx/zzi=ncivisicn or TaY Parcel I.D. NL:.Zex)
Sl'=Drli:. 0_° C?tIGZAL u;II.DI:`:G : ?_•S'? ISa: \G•
P°_°Sr-. ?^_
,••T:Ty=?GPC??^J L'S': R-1 SZ,GL: FPMSLY '-•-_• -
? R-2 (T,•? L^?I':S)
- -- O R-3 TC?•.-,?FCL,cr (mc._c,^ ; i'S) ( UNI':S)
? iZ-4 AcAR?_"=T/C:)::DCi.tr;m-,M ( UNI_5)
? CC:?n1?CLU/F2ET1?I?C;
? I1%DC5T-.L3L
p LtSTITTU TIOnLAi../G:,v=,?:.rF-;r`
2) APPISG,T (PLEasE ?RiNr)
••F
7?
crr?, sr-?, zip: .4- 3° 7
P H=:
3) PLL: :BER
lV['1'?. /H/ti/I
, FCCRESs:
CITY, ST". ?m, ZIP _
'/cI ?
J7,5
' PF:ONE:
PLUMBER
LILENSE N
f
4) OCCUPANi/Q:1•'&R NA+^E:
A^DRESS:
CIT"l, STATE, ZIP:
PH(?NE:
PRINI
FOR CITY USE O4LY
PLUN9EIiS L ?'SE:
?????
Expir d
Q ,lJ,"o of Record
5} INpI??TE ;,hIICH PEpu-lIT IS BEIt(; RF.QUE=:
ias '10 czTY sDiER
cc;mmcmcu TO czTr cZATER -
? 011E2 (PLi11.,?' DFSCRZSE)
6) L".DC:.c:
PI= a.SE F?OiD r1PPk(JVID pER?'!IT FOR PICF:-UP BY GWE OF }1H(7SIE .
? PIEASE ?'AZL APPROVm PER`uT TrJ 1, 2, 3. 4 A£0VE
(Circle one)
7) SIG,-A1L,'RE-
OATE:
?! R OI:?IMfi? i? i!i !lJiffJ? !? A?a ir? ? Yf ?f Fi?i:? a?!?FJfJ?Il?? f? r! Qe iii?a
FOR C I T Y U S E ON;,Y
PE'R.`'IIT " ISStTED
Fr..en ..S: $ ZG- S^L '
SEY:LD Dr.R-MT'j' (PIC=LL .]UP.Cf:ARGL)
$ /G•SG WATER pF'R:4TT (INCLLiDE SliRCHARGL)
$ WATER METER/COPP°RHORN/OUTSID° READER
$ WATER TAP (INCLUDE CORPORATION STOP)
S S ;:•aER TAP
?^^,C_i'r
ACCOlivT DFPOSIT - 47AT°R
WAC
$ 525:?? SPC
$ TRU_7iC WATER ASSESS.`?E:7T
$ TRlii:?{ SES'iER ASSZSS?i=:IT
$ LA.E37,L BEivEFIT/TRUDIK SE:",-4
$ L?.T?RP.L BEiQEFIT/TRU:IK WATER
$ ??C-`?; •
WA-TER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
' $ I
Ah
Oli::T PAID/REC°I?T
DOES UTILITY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGHT OF WAY?
0 YES IF YES, THEN n"PERb1IT FOR WORK WITHIN
PUSLIC ROr1DWAY" MUST BE ISSUED BY THE
0 NO ENGZNEERING DIVISION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOS4ING CONDITIONS:
APPROVED BY:
TI:LE:
OAT°_ : _ J / ? oa/
.. ??i'?-=•....:.=:?:i?.-..
G?aMON! w =fM UMWM !W ! !M 0tiWP! MMW-J! RM Rm M4 Wf! Wi@ N1+0 RW/iF sM
1? ?
O
an
r
M
cFea
_
-
V
g
3830 PILOT KNOB ROAD. P.O. BOX 21199 . BEA BLOM9UIST
EAGAN. MINNESOTA 55127 Ma?
PHONE: (612) 454-8100 THOMAS EGnN
JAME$ A. $MITH
JERRV THOMAS '
DATE: 1HEODORE wACHiER
Sept 27, 1985 cou?ii Memcers
iHCMAS HED6E5
City Atlmnuaratw
. EUGENE VAN OVERBEKE
°nECIAL ASSESSMENT SEARCH o?vc?en
l RE: Oak Cliff 2nd
? DAKO'PA COUNTY ABSTRACT CO '
l
I 1250 HWY 55, P O BOX 456 Lot 1 Block 2
HASTINGS MN 55033 i
Enclosed herein is the search which you requested made on the above described property.
Kind of Imorovement yPa.- Beginning Original Amount Balance Due
Street Surf 10 1981 $312.76 $156.00
San Sew Trunk 15 1993 118.79 15.83
Water Lateral 10 1981 191.16 95.61
Water Area 15 1982 184.07 134.99
Storm Sew Trk 20 1979 399.97 259.97
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after having been approved and are now in the process
of planning or completion.
Kind of Improvement Approximate Date of Completion Aoproximate Cost
NONE
WAIVER•
Neither the City of Eagan nor i*.s employees guarantees the accuracy of the above infor-
mation which was requested by the nerson or persons indicated. Nor does the City or its
employees assume any liability for the correctness thereof. In cons ideration for the
supplying of the indicated information in the above form and for all other consideratio
of any nature whatsoever, any claim against the City or its employee s rising therefrom
is hereby expressly waived. Levied assessments to be paid to the CI TY OF EAGAN,
3830 Pilot Knob Road, P. 0. Box 21199, Eagan, MN 55121. '
Very truly yours,
SPECIAL ASSESSMENT DIVISION
THE LONE OAK TREE...THE SYMBOL OF STRENGTN AND GROWfH IN OUR COMMUNIIY
..
1985 BUILDING PERMIT APPLICAiION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
.:
INCLUDE 2 SETS OE PLANS
? CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For:
Site Address;
ion:ifZDate: 60 l%
? S7" OFFICE USE ONLY
Lot: ? Block ? Sect Subl?? Erect Y\ OccuPanc
Y
Remodel Zoning
Parcel II Repair
- Type of Const
Addition " ll of Stories
Owner ?? ??, e Move _ Length
Demolish Depth
Address O Int.Impr. ' Sq Ft
Install
City/Zip Co de 42 - ___-------- ---------------
Phone APPROVALS FEES
Contractor ? Assessments Permit
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council _Road Unit
Bldg Offl . eatment P1
APC Parks
Variance Copies
TOTAL
<'3
?
5:6
38
`)D. So
lo (, So
24 S . 25
52 5.
500.
I 3Z.
=97.--? s--
24 K 2-4' ? 5-i Co K 12
y (o?l 12
34 K26 -9 52 x 44-
- 4188g
I23Sv4
o +
..
ERTERI011 EPIVEI.OPE AVGRl1GE "U" CDI1PUTnriora
OWNfiR:
S I T E /1 D D R E S S: ?
CONTRAC70R: DATE: PFIONE:
-?
DE7 ERMIFIE WORY,ItIG SOUARE FOOTAGE OF EACH:
I . . TOTAL EXPOSED bIALL AREA , , , , . . . , o? sq f t x
2. 70TAL ROOF/CEI LING AREA
........ _ 33 65q ft x
ltu,l
3. TOTAI EXPOSED IJALL AREA CALCUlATIONS:
Total exposed wall ' area above floor........ sq ft
a) Total wall window area:
? 4lazed,..... .lL?_sq fC x ''U''
glazed,,,,,,
sq ft x "U"
6) Total door area ,,,,,,... sq ft x"U"
c) Total sliding glass door area:'
9lazed.:.... ?d sq ft xliull y!Y
glazed....,, sq, ft xlfull . yy
d) Total flreplace wall area &/:?, a
e) Total wall framing area
(/lverage 109;)........ ... sq ft x l'U"
,
5? fc x "ull
a?
f) Total net wall area above
floor (Insulated) ,,,,,,, sq ft x"U"
g) Total rim Joist area...... _ sq ft x"U" , Q4/
Total foundatlon
area (Exposed) ,,,,,,,,, sq ft
h) Total foundatlon
window area,.....,.,,,, sq ft x"U" _
1) Total net foundatlon
area ahove.qradeti.....,, pZ/a sq ft x"U"
3' , TOTAL a) thru () = p7?-jl
If'Ttem 113 fs the same as, or less than Item 111, you have met [he lntent of
S.B.C. Sec[fon f,00(, (c) 2.
11. 70TAL EXPOSED ROOF/CEILING CAI.CULAT10115:
?r .
,. ?
Total exposed "
,
roof/celllng area........ _1Z3 sq ft .';
J) ToEal skyllaht.area....... ` sq ft x''U"
k) Total roof/celilnq framing
area {Average 109)...., sq ft x liUli
1) Total ne[ insulated
roof/ceilinq area....... d? sq ft x"U" °'?Ze'
TOTAL J) th ru 1)
If total-of uli is the same as, or less than R1, you have met the intent of .
S.D.C. Section G606 (c) 1.
.. . +, .
;"
. . .
, .
ALTERhlATE [3UILDIFIG ENVELOPE bE51GN
To utilize the total envelope system method,.the values established by the sum .
of ltems /13 and #h shall not be 9reater than [he sum of items //1 and u2.
3.
+ 2.
+ 4,
't
C E R T I F,I f, A T I 0
1 hereby certi(y that I have caiculated [he "U" factors and "R"
values herein and that thc huildinn here descrihed meets or exceeds the State
of Minnesota Energy ('onservation Act.
Slqnature
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Certificate For: .
Developers Construction
; 1191 Cliff Road
Burnaville, MN 55337
DELMAR H. SCHWANZ
IANDSUPVEVpR$ INC
AM,SIPleO UMM Law% 11 ThP CIa11 ?l Min113111A
. 14750 SOUTM ROBERT TillAll ROSEMOUNT, MINME80TA 55068
99 '--
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SURVEVOR'S CENTIFICATE
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EaS,nEN rs ?9
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96/15-16
PHONE 812 423-1789
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Proposed garage floor olev. 0
30
? I
? Scale 30'
O = Property iron
c,
? - Set wood hub
' Elevations ahown
are exiating.
I t?ereby cergify that thia is a true and correct repreeentation
of the folloping described tract oP land:
Lot 1, Block 2, OAK CLIFF 2ND ADDITION, according to the
recorded plat thareoP, ae on file and of record in the office
oP the County Aecorder, Dakota County, Minneaota.
Aiso ahowing the location of a propoeed house as ataked thereon.
October 9, 1985
.<
MINNESOTA REGISTRATION NO. 8625 ?j
:
PERMIT # qb? D? RECEIPT DATE: y-0 1
RMDMUL PLUM$INfi PHiiM1T AMIICATIOft
CITYOF E46M
3830 fILOT KAOB $D
F-46AN, E1A 5518E
651-6$I-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
? single family tlwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
PAULSON,RONALD '
4741 BURR OAK STREET
EAGAN, MN 55122
(651) 890-1835 TELEPHONE #:
. (AREA CODE)
INSTALLER NAME: NORBLOM PLUMBING CO. TELEPHONE #:
(AREA CODE)
STREET ADDRESS: 29 GMF'ELD w\L cA
ciTV: MINNEAPOLIS. MN 55408 STATE: ZIP:
Place a check mark next to the permit work tVpe
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: r? uc& waw heafen Cdo
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspedor fees
• requires MPC license
State Surcharge $ .50
Total $ 5?•?
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I herebyacknowledge that I have read this application, state that the information is cortect, and agree to complywith all applicable Cityof Eagan ordinances. It
is the applicant's responsibiliry to notify the property owner that the City of Eagan assumes no liability For any damages caused by the City during its normal
operational and maintenance ac[ivitles to the facilities wnstructed under this permit within City propertylright-of-wayleasement.
Q
SI NA URE OF PERMITTEE
Updated 1101
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
0,-V,--?Oj 6'0
g. ?
New Consimdion Rewiremenh RemodeVReoair Reouiremenis Oduie'tJSe?lv
3 registered site surveys showing sq. ft of lot, sq. fl. of house; and all roofed areas 2 copies of plan ??$?!ey RCrd
11 _ Y T N.
(20%mazimumlotcoverageallowe? isetofEnergyCalculationsforheatedaddifions FteePres4lai?fEectl _Y _N
2 copies of plan showing beam 8 window sizes; poured found desfgn, etc. 1 site survey for additions & decks iree Ares F2eqUrced „4 ?' „_„F3
lselofEnergyCalculations Addifion - ind'KakAon-sifesepticsystem 9o81te3Ep?icSyslett? 3 copies of Tree Preservalion Plan if lot platled after 7/1193
Rim Joisi Defail Options selection sheet (buildings wifh 3 w less units)
p
Date [ / 7
/ O? ? ?i
Construction Cost ?SaO -
Site Address /+
Y7 Z? l0 C? i'r UniUSte #
?escription of Work T??fv4Ce lhSrl-T
Multi-Family Bldg _ Y4 N Fireplace(s) _ 0 2
Property Owner ?a ci (/ Telephone # (GSl )
Contractor C,fS z.,,8 as -
Address ? v?lS SfcV n•:c /AiL.. City Zct b[/! <!y/e
State ? /'ti+ve Zip S-SO W Telephone # (QS,L ) y6F- .2736
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mvmesota Rules 7670 Cate,? 1 ??esota Rules 7672
Energy Code Category . Residentiat Ventifatlon Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• 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?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Conhactor
Sewer/Water Conhactor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowtedge 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 NIN
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 workrwhich-requires a_ review and
approval of plans. , a ?Applicant's Printed Name Applicant' Xignature ?
Use BLUE or BLACK Ink
r-----------------
I For Office Use
Permit
#IF City of Ea
Ed~ I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 'I W 1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: _ I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~ 2 ~ Site Address: ~T/ / J?Ukk Unit
Name: lcl~ Phone:
Resident/
Owner Address / City / Zip: fir/ ~f~j~
Applicant is: Owner It- Contractor
Type of Work Description of work: F kMA_ C_f1kf1Vr
Construction Cost: Multi-Family Building: (Yes No )
Company: U~f Contact: G~~12(Q
!1
Contractor CLG(fT-
Address: ~l 7 Tit 5 City:
State: AA1 Zip: Phone: 6462 27 I License Lead Certificate 41,41 - f1 fz~ 77
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
N
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that 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.oro
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 Building Code must be completed within 180
days of permit issuance. ~7 / ~j
x ~ CLUr / ~i~l__- x Aj,b la
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151513
Date Issued:08/28/2018
Permit Category:ePermit
Site Address: 4741 Burr Oak St
Lot:1 Block: 2 Addition: Oak Cliff 2nd
PID:10-53551-02-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 or installing Bay or Bow
windows, 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: 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 -
Michael Anderson
4741 Burr Oak St
Eagan MN 55122
(651) 895-1171
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151756
Date Issued:09/11/2018
Permit Category:ePermit
Site Address: 4741 Burr Oak St
Lot:1 Block: 2 Addition: Oak Cliff 2nd
PID:10-53551-02-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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 -
Michael Anderson
4741 Burr Oak St
Eagan MN 55122
(651) 895-1171
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165610
Date Issued:11/10/2020
Permit Category:ePermit
Site Address: 4741 Burr Oak St
Lot:1 Block: 2 Addition: Oak Cliff 2nd
PID:10-53551-02-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 or installing Bay or Bow
windows, 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 -
Michael & Judith Anderson
4741 Burr Oak St
Eagan MN 55122
(651) 895-1171
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature