4768 Burr Oak StCITY OF EAGAN
3830 Pilot Knob Rosd
P. O. Box 21199
Esgan, MN 55121
ienik,-
WATER SERVICE PERMfT
PERMIT NO.:
D/1TE:
. No. of Units:
ownar. z,.scoTt qomeG
/Idd?ess:
Sih Addfl:f: ^1 ? ?.i R p 1.1 L ? ?. ?tC C
Plumbee - •r - _ ;'t; ? ?C
Meftr No..
Size:
Reader No.:
1 Mrre te ee?/ly wili !1e Ckp ef bWN
OfJIMAOM.
By
Dote of Insp.:
Conneaion Cho?9e:
Acootmt Deposlt: -
Peemit Fee: 111• :?? ; ?
Surcho?ge:
Mlsc. Chaross: ;
Total:
DaM Poaid:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
torJr,;;
Ownsr:
Addroas:
Sita Addi
Piumber.
I Mm te sempIy wili tV phr oi agos Conrnction C,i+oMe: '- r
OrrlMSeN. Ihooount Depo.ft: '
PennM FM:
Surdwrpc
By
SEINER SERVlCE PERMR
PERMIT NO.:
DATE:
No. of Units:
DaRe of leup.:
MFsc. Chorpm
Total:
Doft Pold: -
` . . „ .? .? . - . . _
•''- \\ 3830 Pilot Knob R a? P.O. Box2G?
-i 9, Eagan, MN 55121 12167
? PHONE:45A-8100 ? BUILDING PERM16 Receipt # -
To be wed tor . SF DWr/GAR Est. Value $103, 000 pate JUNE 24 19 86
SiteAddress 476$ BURR OAK ST Erect C? occupancy R 3
Lot 4 Block 1 Sec/Sub. OAlC CLIFF 2 Remodel ? Zoning HI
Parcel No. Repair ? Type oi ConstVn -
Addition ? No. Stories
a Name RUSCOId HOlAES Move ? Length 60
W ?molish O Depm
; Address 14530 PENNOCK AVE Int Impr. ? Sq. Ft
0 Ciry A•V- Phone 4 3 2-14 3 3 Install ?
= o Name SAi?1L wpprovaa
o Q Address Assessment Permit
11- Citv _ Phnna
F W Name ?'ROBE BNGR/M. NA?GEL
?? Address ?-4530 PEI?INUCK AVE
?W Citv A•V. phone 432-2044
Water & Sew.
Police
Fire
Eng.
Council
I hereby acknowledge ihat I have read this application and state that the gldg. Off. 6/19/81
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City pt Eag?n r APC
- ' Var. Date
SignaWre of Permittee A Building Permit is issued to:
all work shall be done in accc
Building Official
Surcharge 51. 50
Plan Review 2 2 0. 2 S
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
Total • • 5
- on the express condition that
Eagan Ordinances.
PNmN No. PNmit Ho1dK Dne Telephone N
Pluinbinq 9
H.KA.C.
oi-I
Electrlc --
SOIIMM
Inspection Daie Imp. Commenta
Footlnqsl i 6
Foollnps II
Foundatlon
Framinp ?6 6 [?
RoofMy J
Rouyb Plby.
Roupb Htq. s '4b Gt?/
Insul.
FN'pl'co ?d l!?
FInN Nly.
FMaI Plby.
A
Bldy. FMeI
c«e. o?. l?' ? ? •
Dock Fty.
Dsck Frmy.
Wep Dsscrlbe LoCaUon:
, Pr. Dlsp.
I
----------- _ . ,
? •'?? ? PERMIT #
PLUMBING PERMIT RECEIPT #
GTY OF EAGAN ,
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - ,50
(ADD $.50 S/C IF PERMIT PRiCE GOES
BEYOND $1,000.00)
FOR CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00 ?
? Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
' Laundry Tray - $3.00
Floor Drains - $1.50 ?
Water Heater - $1.50 '
Whirlpool - $3.00
- y% Gas Piping OuUets - $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 # `L?;O
' GTY OF EAGAN
73 ti
3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE:. p400U. uu PHONE 454-8100
Site Address '`" urr ak bt.
Lot ?t Block Sec/Sub'
?
, BLDG. TYPE WORK OESCRIPTION
? .
m
Name Res. New
n
Add
M
t
? Address 3600 ?:tii:,ebec i.?ri???: -o
ul
mm
Re
alr
C
c City ??'?,an Phone 452-1565 .
p
o
O
thef
Name 'tuscon Hthnes FEES
c Address i4530 Perinock Avc. RES. HVAC 0-100 M BTU -$24.00
? C? rlpplc Valley phone " 3j-1`i33 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK
ZU
JUU 24
tlU ?S OUTLETS - 1.50 EA.
,
Forced Alr M BTU , COMM/IND FEE - 146 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM
1
5u BEYOND $1
,000.00)
as Piping Outlets #
C
.
Other
25.50
FEE:
S/C: • 50 SIGNATURE OF PERMITTEE
TOTAL• o • `'`'
FOR: CITY OF EAGAN
CITY OF EAGAN Remarks
Owner
Street
Lot 4 Blk 1 ParX 53551 040 Ol ; 4!6
Burr Oak Street State ??, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 19 1 312•7' 31•27 1
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 118.79 7•92 15
SEWERLATERAL
WATERMAIN
WATER LATERAL 1981 1C?.11 1
WATER AREA 182 E 12.2'T 15
STO
RM SEW TRK
1979 )7
20•?
20
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road
P,O.Box21199
Eagen, MN 55121
Zonirg:
Owner:
Addresa:
51te Addrrss: • ; s
Plumber.
Mettr No.:3 70 f r4'3 4 Y
Size: " 1Qa c
Reade. No.: '"p c<< ? e ore
I Nm to mm*
oedi?.nor.
? R G
a
By
owe of I r?sp.:
WATER SERVICE PEitIMR
PERMIT NO.:
D11TE:
No. of Units:
Oak Street L4 81 Oak Cliff II
10`1116nnectton Charoe: " "'1"`
?qca#s"letfepostt: I5 . (?Opd
B1G
? ? - -
+
?:
Totol: Poid
$'/???
, .? a 3 ? ? ?8?9
??
A
N2 12167
!
G
3830 Pilot Knob R d
P.O. B x 2
-
1 9, Eagan, M N 55121
PHONE: 454-8100
BUILDING PERMIT Receipt N v4??
$103,000
'SF DWG/GAR JUNE 24
86
7obeusedfor
Est.value Date 19
SiteAddress 4768 BURR OAK ST Erect C? Occupancy R3
Lot 4 elock 1 Sec/Sub. OAK CLIFF 2 Remodel ? Zoning RI
Parcel No Repair ? Type of Const. Irn
. Addition ? No. S[ories
RUSCON HOMES Move ? Length 60
Q
W Name
14530 PENNOCK AVE Demolish ? Depth 96
a Address Int.lmpr. ? Sq.F}
A.V. 432-1433
City Phone Install ?
a
o SAME
Name APProvals Fees
?°,¢ Address ASSBSS?11Cnt PBrrtlit $ 440.50
? City Pnone Water & Sew. Surcharge 51. 50
Police Plan Review 220.25
? W PROBE ENGR/M. NAGEL
_w Name Fire SAC 575.00
?? Address 14530 PENNOCK AVE
u'?
Eng. 500.00
Water Conn.
<w ?ity A.V. phone 432-2044
Planner 63.50
Water Meter
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off . 6/19/$ 7r.Pl. 156.00
information is correct and agree to comply with all applicable State ol
Minnesota Statutes and ' i di i es. APC ParkS
: SignamreofPermitt ee Var.Date Copies
296
Z
75
,
,.
Total
A.BuildinqPermit is issued to: RU CON HOMES on the express condition that
all work shall be done in accordance with all appli I S e of Minnesota St tutes an i ol Eagan Ordinances.
Buildinq Official
This re9uest vaitl
18 Op0t115 ffOrt1 ?
C 1-2-768 L- y ta, I r?n ;- r op?..?
I Renuest Date
/,/
?
- Fire No. RenBbitl?ln?y iinn C]qoady Nuw ill Nn?ity InsPec-
lor Wh
A
?
es [] N. en
eadY
&cicensad Electrical Contractor I haraby repuest inspeetion ot ebave
? Owner electrical work instelletl ac
Stree[ Address, Bot or oute No.
61-`742? Q? ^ ^
? V?l %! 1RJ City
ecuon o. Township Name or No. Range No. County
Occuoem IP INTI Phone No.
s Cd - / 3
Pow SupPl?er AtlOress p A
??
Elecuical Convactor ICOmpany Namel Con[rar,t s License No.
?F.Q.?,??,??
?
e . 8 s
w
ress lCOnvac[or or Owner MakinB 11nstailationl
l
oriz S"
e ontra mr O r Making Instal atio one Number
7
MINNESOTA STpTE19AND OF ELECTp1UTV THIS INSPECTION BEUUEST WIIL NOT
Grigpa•Midway Bldg. - Hoom N•191 BE ACCEPTEU BY THE STATE BOAHO
1827 Universi[y Ave., St. Peul, MN 55100 UNLESS PPOPEH INSPECTION fEE IS
Phone 16121 297.2111 ENCLOSED.
REQUEST POR ELECTRICAL INSPECTION jj% ee-oooot.oa
? See ina t'?ns r comoleting lhis form on back o/ vallow copv. C- C S?` ?
??? 2 7-?j R "'K" " Below Work Covered by 7his Request ,
jNV4AAdI Nep.1 Type ol Buildine I AvPlioneee Wired ? Equiument Wired , I
Duplex ' Water Heater LighNq Fixtures
Apt. Buildinc? Dryer Electric He2tin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldo. Air Conditinner 8ulk Milk Tank
N Fee ServiceEnlrancaSize B iee Faxtlars/5abfaederx # Fne Gircoits
? Oto200qms 0 to30Ams Z. 0 t0 30Am
A6ove 200 qm ?y 37 to 100 Amps 31 to 100 Amps
Swinming Pool Above 100-Amps Above 100_AmNs
Transtormers Irrigation Booms S'Q Partial"Other Fee
signs Speciai inspection SL Q Cy
TOTA EE
xemarks CJ ?G Gd \
"• ? _ J
FinBl
certify thxt the abpve
inapection has bean
mede.
tltle repuest vola
1999 BUILDING PERMIT APPLICATION (REBIDENTIAL)
CITY OF EAGAN
'3(4 ? -( ? ? j 3830 PII,OT KNOB RD - 55122
(651) 681-4676
New Construction Reauirements RemodeURepair Ranuirements
? 3 registered site surveys ? 2 wpies of plan
? 2 copies of plans (include beam & windaw sizes; poured fnd. design; etc.) ? 7 sde surveys (exterior addkions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies cf tree preservation plan if IM platted after 7N/93 .
required: _ Yes _ No -
DATE: CONSTRUCTION COST: 5r190
DESCRIPTION OF WORK:
STREET ADDRESS: 4 los 6 [,{m ifll ? •
LOT: 'A BLOCK: I SUBD./P.I.D. #: CX"A
Name:Cz a?A ?S Phone #: 6 l?J
PROPERTI' L t First
OWNER
StreetAddress:
City State: Zip:
Company: Phone #: U?J ^ Uok
CONTRACTOR
ARCHITECT/
ENGINEER
SELA ROOFING 8c REMODEI+ING, INC•
Street Address: 4100 EX('FT RIbR BLVD.
sT. Louts raxK aaN s"is
CiLY m sM01080 State:
Company:.
Street
City
Sewer & water licensed plumber (new construction oniy): _
change and lot change is requested once permit is issued.
Penalty applies when address
I hereby acknowledge that I have read this application, state that the information,is corcect, and agree to comply with ail applicabie
State of Minnesota Statutes and City of Eagan Ordinances. ?/_? i ?.
/ ?l /
Signature of Applicartt: L?-"J ?? -? ,-(?
?C
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Zip:
Phone #:
Registration #: _
State: Zip:
License # /056 Exp.
ree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
?
02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Por.ch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
?' 32 Addition ?34? Repai ? 37 Demolition
feV?'?r?7JV'a', ?p?,-
GENERAL INFORMATION `'"/ "eOr` r6:t)
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES 5AC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% 5AC
SAC Units
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
__.-
?
*IOT?': PAYMF:NP OF FEE AT TIlM pF *
APPT.TcxTzoN DoFS NOr COrb-riTr.rTE *
APPxovAr, oF PEP141T. ?
?
IIC?PECiZON OF SE.FII32 PSID/OR itATER
rramrONS WIIS, NOT BE SCCHED- *
*
?I,ID i7N1'B. PFS1Nff'P AAS BFM ,*t
APPROVID. *
.
xxxxxxxxxxx,.xx,.?,.,??xx?xx==,.xxf,. R.. _ .
P ease Print)
-1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF E7QSTING STRCClL'RE, DATE OF ORIGINAL BL'ILDING pERMiT ISSL'ANCE: '
(Mon Year)
PRFSENP ZONING/PROPOSID CSE:
Q CCM'IIMERC71iI./FF,TP.ILi ngc°Z 'C.c
Q ITIDL'STRIAL
n INSTZ'I[,"PIONAL/GOVFRNMEV'p
? R-1 SINGLE FAMILY
Q R-2 DL'PLEX (ZWo L?nits)
? R-3 7UWNHOL?SE (Three + qnits) ( Pnits)
R-4 APARTMEN'P/CONIDOMIDIIL'M ( Units )
2) ?
NAME= Ruscon Homes, Inc.
ADDRF,SS: 14530 Pennock Ave. ,
CITY, STATE, ZIP: Apple Valley, Mn. 55124
PHONE: 432-1433
3) • i: ?• Ci 4z? PLI- For C1ty Use ..
?`?' J Plimbers License:
ADDRESS: ActiVe
CITY, STATE, ZIP: E7cpired
D Not recorded
PxoNE: - Y rAsTEt LIcENss# S?int?ai
41 ...u•_.? ..,?:
NnrE:
ADDRFSS:
CITY. STATE, ZIP:
PHONE:
5) n r • ?• : ? a ?s •
,B-00CONNECTION TO` CITY SEWFM [n--`6ON[gX.`TION 1O CZTY WATf12 OTHER '.
6) u • u • r ? PLEASE HOLD ApPROVID PEEtbffT EC)R PICK-UP BY ONE OF ABOVE --- `- -- --
(;;,1?"?? ? PLFASE MUL APPROVID PERMIT TU 1, 2, 3, 4, ABOVE .
WTr- l' (Circle one)
7)
_ r..r_ ?u: • ?
.-FOR -CITY USE ONLY .
PERMIT # ISSUED ?
?62 z 7
Pd w/Bldg. Permit FEES:
$ S JP -S SEWER PERMIT (INCLDDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SC'RCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
C
$ $ G- Z7 ACCODNT DEPOSIT - WATER
$ $ • WAC
$ o o $ sAc
$ $ TRL'NK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ nr, $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ?,?j ? y • S2 $ TOTAL
t.i ?
(y? O A el-o
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR NIORK WITHIN PUBLIC
ROADWAY" MOST BE ISSUED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpND2TIONS:
` (/al
APPROVED BY:
TITLE:
,
DATE.
LIZ? ?/3 ? ?
' Please send copy for water meter to: Genz-Ryan
14745 S. Robert Trail
Rosemount, M1V 55068
Copy for sewer and water connection goes to Star Plumbing
Thank You
Ruscon Homes, Inc.
?
.
. ' 4 '
12 / -a
I
1986 BQILDING PERMTf APPLI TIOP - CITY OF EAGAN
HOTE: gLI. CONTRACfORS M[JST HE LICENSED WITH '1'HE CITY OF
SIAGLE F9MIILY DWELLINGS
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DiiSI.LINGS - RESIDENTIAL SENTAL D6ITS FOE SALE t1NITS
INCLUDE 2 SETS OF PLANS, CfiHTIFZCATE OF SORVEY - CHECB fITPH HLDG. DEPT.,
1 SET OF SNERGY CALCOLATIONS
COA4lERC7'AL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For •Elkir7qL &? I (4
Site Address
& STRUCTURAL PLANS,
SET OF
Valuation'041a?.
Lot 4 Block
,. Parcel/Sub OALl
Owner k' ? ??T( yAOY
Address
r/Z/? -
City/Zip Code /fm/
Phone
Contractor???( ?
Address
City/Zip Code z4wa VA.EY =4:
Phon,
Mch
Addr,
City
Phone # 43z-2044 A3z 3aoo
Date: ?;?/ U
Erect ? Occupaney l03
Remodel Zoning
Repair _ Type of Const
Addition # of Stories
Move Length ?
Demolish Depth
_
Int.Impr. _ Sq Ft
Install
APPAOVAIS FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off l?.iq.asTreatment Pl
APC Parks
Parianee Copies
TOT9L
?---
5
gOTE: ADDHESSES FOR CORNER L01S - CONTRACTOR/HOMEOiiNEA IiIIST DESIGNATEfiHICH ADDRESS
IS DESIRED. NO CHANGFS WILL BE ALLOTiED ONCE BDILDING PERMIT IS ISSIIED.
440•50 +
51•50 +
22D•25 + '+
575•00 +
500•00 +
63•50 +
290•00 +
156•00 +
? 2296.75 *
?
1
J
-
c? 1n
?ef? ?? /?
y ,'
. j
- aosE
?NGtNEEtiING
COMPANY, INC,
< 1000 tAST 146tA 57RE°_7,
COHSULTIH6 EHdiHfEllS
PIANHE$S ond LAHD illRVEYO!!S
BUANSVILL£, 41NHE:0TA 5S237 PH 432-5000
Ce rZ ??Ac aze CIA.c.T"Ye y
LOT 4, BLOC6( /, OAK CLlFF ZND ADDITIOtii,
x pAKOTA COVAlTY, M/NNESDTA
rDE+VOTES EXIST?til6 ELEi/•4TI0/J
( Y69. -) DENOTES VROPOSED ELEVA7/OM
-.a-- IAlDICRTES DlRECT/DA/ OF $URFACE DRAIAlA6E
t69.33 _ F/Al/SHFO GAR.46E FLOOR ELEVATION
NORTH
SCAI.E : I" = 30'
30' FRONT BUIGD/NG
SETBACK L/NE
?p.0 v?l r
% e
tP' `
1? <
v5? Z
C
A - `
g ? oa
o w
?
m
o'
. ?\6S\ \ ,?p ??j ? ?\
I her:by cartify ihat thia ia a true
land as ¦hown'and descr?bed hereon.-
3UUE 1 19 8(i • ..
_i =% • ??1 c,
pb ??5
?-
o Z
?- 1
S lw?
N
0 0 ? ? 1 h T
? bp O
T m ? ? , m
s
v o ?
o ?
i
C ? s:
26•0? (-?1 / .
r m ? /
?3E-33?? E
75° 4c
r! r'
i
L?
?
J
ORAlNA6E ANv
UTILITY EqSEMEAIT
and corract repraaentttion of a traet cf
Aa prepared by mn on this /G_f_ day o[
Ninn. 1tes. No. ik?gr
v
?- --- - .. -.
EXTERIOR ENVELOPE RVERAGE "U" COMPUTATFON
OWNER
.'? ?SITE'ADORESS ' -
s ?
, _ .. .
,. _ _.. . ._ -. ..
CONTRACTDR - j OATE PHDNE`
• Determine working square footage of each.
1. Total exposed well area ..... ? 851. Sa s9• ft• x•11 .?
2, Total roof/ceiling area .... qP)O sq. ft. x•OZ6
Total exposed wall area above fToor
a. Total wa11 window area ............... ...:........ la
b. Total door area ................................. 3 P?
c. Total sliding glass door area .................... . Nq
? d: Total fireplace wall area........... .. '....•.
e. Total wall framing area (averagel0,"0)............ ??
f. Total net wall area above floar ................. 17- lolo.t z
g. Total rim jcist area ........................... 1 Z 8
Total exposed foundation area = 9?`???I
h. Total foundation window area ...................
t. Toal net foundation area above arade ............ 4?4
Det=rrsine "U" value af ea_n wail s=e-_nt.
a. It-19, 10 ? "U" ? 55 = 2.Za
? 3 8 X„u„ .13a = 5•?8
c. 4y X'lull s = zz
d. X „ull ? _ --_
= I 3•
e. I?O ?ts$ x,lull , 0910
f. IZl.oio,iZ x"u" , 0,43 ° y-q
9. ?28 X „u„ , oyt = S.Zq
h, - X "U.,
-_----
;. 84.ya x „u„
3 ......... ............ 5 Jt.?$..... Total
If it=m n3 is tfie same as, or less than item '1, you have met the int_nt
of S3C 60.25(c)2.
. ,
?
Total exposed roofJceiling area = Q Ao
10 .
Total gross roof/ceiling area = qp
... j. 7ota7 skylight area ........................
. k. Total roof/ceiling framinq area .
1. Total net insulated roof/ceiling area.......
Determine "U" value for each roof/ceiling segment.
... . _ . ?.?- .. V 11y
1111 p A
k. 9 8 x„u„
i. 8BZ x°uii ; ozZ = I,
' a . . . .. . . ... . .. . . . . . . 980 . . . . . . . . .-rota, ° ? .
If totaT of #4 is the same as, or less than #2, you have met the intettt of
SBC G006(01. ' . ' .
To utilized the total envelope system method, the values.established 6y the
sum of items #3 and p4 shall not be greater than the sum of itens 01 and l2.
2. _
3. + 4. _
MATERIALS Therm. Resistance
Exterior Air I I,ri
Siding flaterial ?L45
Sheathing 2_.e)IQ
InBUlation - ig
SheatroCk ,4 5
Intexiox Air I lo $
Studs Io , 517
Rim I, gb
Conc. Blks. I,t &
? _
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
,47 6 o. '5 D
Date: ?S"' E- Q 0
Description of Work: _ Construct new 5replace XGas _Masonry _ Alterations to existing
' Install eas inser[ onlv Install gas line onlv
Other
ik 1 ? A
Job address: `-f
I
Lot: Block: Subdivision/P.I.D. #:
Applicant (circle one only): Own Contract
Perneit Fee: 560.50
PROPERTY
OWNER
Name: lD C.& (- ?z /< I G3 Phone #:
Last "First
Street Address: q Z? Zti 0 U f f (1{ k- S+- ,
CnY o/I L:U/- State: ? Zip:
Compatty:_T / ?Q-' ??T L -_J ?f 11•?-?'S l p2L? Phone #:
?1 (area wde)
INSTALLER StrcetAddress: (G/`7 3 F <_'-''?a r.,.., Lk ?Jr?
-, c;ry L; ?a Lg kQ-s scau:l/A4A _ zip: .. r? ?
Company:
GAS LINE
INSTALLER Sueet
City
State:
Zip:
I hereby acknowledge that I have read this application and state that the information is conect and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan s.
Alf, ?
Signature
Phone #:
(area code)
iiiAR 1 4
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119218
Date Issued:11/19/2013
Permit Category:ePermit
Site Address: 4768 Burr Oak St
Lot:4 Block: 1 Addition: Oak Cliff 2nd
PID:10-53551-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
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 -
Scott J Burton
4768 Burr Oak St
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651).675-5694
RECEIVED
APR 0 7 2014
Use BLUE or BLACK Ink
For Office Use
Permit #: 7/1
-1
Permit Fee:
``"
Date Received:
Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLI ATION
Date: 3 Site Address:
e
1
Tenant:
Address +City / Zip:
Phone: 2,„,) „ — �u
ineiLssi
Milbert Company nc dba Cullign Wat
Name: ucer
ense #.
1801 50th Street East
Address:
C643176
eplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description
work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 518" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
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.ciopherstateonecall.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.
Applicant's' Printed Name
x
Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124790
Date Issued:07/10/2014
Permit Category:ePermit
Site Address: 4768 Burr Oak St
Lot:4 Block: 1 Addition: Oak Cliff 2nd
PID:10-53551-01-040
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 -
Scott J Burton
4768 Burr Oak St
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127671
Date Issued:10/10/2014
Permit Category:ePermit
Site Address: 4768 Burr Oak St
Lot:4 Block: 1 Addition: Oak Cliff 2nd
PID:10-53551-01-040
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 -
Scott J Burton
4768 Burr Oak St
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161896
Date Issued:06/17/2020
Permit Category:ePermit
Site Address: 4768 Burr Oak St
Lot:4 Block: 1 Addition: Oak Cliff 2nd
PID:10-53551-01-040
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew T Moser
4768 Burr Oak St
Eagan MN 55122
Your Home Improvement Company
23823 67th Ave
St Cloud MN 56301
(320) 230-9182
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161896
Date Issued:06/17/2020
Permit Category:ePermit
Site Address: 4768 Burr Oak St
Lot:4 Block: 1 Addition: Oak Cliff 2nd
PID:10-53551-01-040
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew T Moser
4768 Burr Oak St
Eagan MN 55122
Your Home Improvement Company
23823 67th Ave
St Cloud MN 56301
(320) 230-9182
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166725
Date Issued:01/29/2021
Permit Category:ePermit
Site Address: 4768 Burr Oak St
Lot:4 Block: 1 Addition: Oak Cliff 2nd
PID:10-53551-01-040
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Matthew T And Jill H Olson Moser
4768 Burr Oak St
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature