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4735 Burr Oak St
BLDG. PE$MIT 'NO.*-' l 01-3210 Bldg. Permit ✓ -s 01-3422 Plan Checkr 01-3445 Surch./Adm. 01-3446 SAC/Adm. S I<~ 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. } c. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit i 20-3743 Sewer Permit 79-3866 Sewer Conn. t 11-3855 Park Ded. f t i I I TOTAL ~C s CITY OF EAGAN Permit No: 3732 Date: I ? 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 "c'"t:"len -losel1 Owner. Site Address: -urr Oak Street B Oa-. C if f- Plumber. rut~io tz u,:: ing . '1 Conn. Chg: 525 004d Zoning: Acct Dep: No. of Units: Permit Fee: 50P6 Surcharge: I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. Misc.: By WATER SERVICE PERMIT " CrrY OF EAGAN SEWER SERVICE IT 3830 Pilot Knob Road ~i P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 1 DATE: 1 Zoni ft: Flo. of Units. Owner. Address: ti, ,~~ak~• ee a ;A:-9 5 OR k Cl i f Site Address: Plumber. 100 nnpd 525.QOpd I agree to comply with the City of Eagan Connection Charge: j Ordinances. Account Deposit: Permit Fee: Surcharge: ` BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: s r Tertif irate of Mrrnvttnry aCitp of (f agan This Certiftcate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Cluaification Bldg. Permit No. i i Occupancy Type R' Zoning tastrict '1 i Type Corot. IL~IIJ/ r i~ Owner of Building Addrm 4 3v BuddiogAddress 735 Mal Lucali 1 ty r C nk: tuL 3:..: Building Official POST IN A CONSPICUOUS PLACE CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PEFIMIT Receipt To be used for Est. Value LL f ' i . ` " Date 19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. I ? On Site Sewage - Occupancy MWCC System`_ Zoning Parcel No. On Site Well Type of Const City Water (Actual) a Name (Allowable) w of Stories 3 Address Length C City Phone Depth S.F. Total p Name Footprint S.F. u~ Address APPROVALS FEES City Phone Assessments Permit Water/Sewer Surcharge W W Name Police Plan Review Fire - SAC, City - Address u z Engr. SAC, MWCC i m City Phone Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information is correct and agree to comply with all applicable APC Treatment Pi State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone it Plumbing 67 H.V.A.C. S~8 6 Of 7 Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing 7 L' Roofing Rough Plbg. - Vt; 3 r. z Rough Htg. 7.7,0 Isul. 00 f Fireplace O Final Htg. 77-y7 Final Plbg. y ) _ _ Bldg. Final Cert. Occ. 747 Temp. LIP Deck Ftg. Deck Frmg. Well Pr. Disp. PERMIT # ~C MECHANICAL PERMIT RECEIPT # 7~ 12 / CITY OF EAGAN 3890 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Ti J CONTRACT PRICE PHONE 454-8100 Site Address ` ' BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. ~ New ~ ~ Name Mutt. Add-on ag Address ~ c City x.L' Comm. Repair 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 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK J GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boller M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMMAND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $50 S/C IF PERMIT PRICE GOES ' Gas Piping Outlets # BEYOND $1,000.00) Other ' FEE : L' SAC: SIGNATURE OF PERMITTEE TOTAL FOR: CITY OF EAGAN a • PERMIT # F - - PLUMBING PERMIT CITY OF EAGAN RECEIPT # ~~r f 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 51 / ~i CONTRACT PRICE: PHONE: 454-8100 Site Address r BLDG. TYPE WORK DESCRIPTION Lot BlockSec/Sub Res. New py- Mult. Add-on m Name a `i Comm. Repair ~o Address i, a, 3 Other C City Phone .-'13 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: .-NO. FIXTURES T TL Name Water Closet - $3.00 ` Bath Tubs - $3.00 LP Address I Lavatory - 53.00 f O City Phone i Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES ► Water Heater - $1 50 1 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 ~GeS Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM • 1 PER PERMIT) (ADD $.50 SIC IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. $10.00 Rough Openings - $1.50 t~J SIGNATURE OF PERMITTEE FEE: JCC ' CYJ STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: CITY OF EAGAN Remarks Addition OAK CLIFF ADDITION Lot 1 Blk 5 Parcel 10 53550 010 05 Owner Street 'gay Wall State Improvement Date Amount Annual Years Payment Receipt Date • STREETSURF. 1981 250.88 25.09 10 STREET RESTOR. GRADING SAN SEW TRUNK 1973 104.12 6.94 15 SEWER TERAL 1981 541.76 54.18 10 WATERMAIN WATER LATERAL WATER AREA 1982 161.31 10.75 15 STORM SEW TRK p 1979 350.52 17.53 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN N° 13 5 0 9 3830,Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454.8100 Receipt # 1,2 VO To be used for SF DWG/GAR Est. Value $131,000 Date APRIL 23' 1987 Site Address 4735 BURR OAK ST OFFICE USE ONLY I -Block OAK CLIFF 1ST On Site Sewage Occupancy R3 Lot Block Sec/Sub. MWCC System Zoning R1 Parcel No. On Site Well Type of Const V City Water (Actual) -v- a Name MCMULLEN/MOSELLE & assoc (Allowable) w # of Stories z Address 430 INDUSTRIAL BLVD Length 62 a City MPLS Phone 378-3981 Depth 34 S.F. Total o Name SAME Footprint S.F. < Address u APPROVALS FEES City Phone Assessments Permit $ 596.50 fz Water/Sewer Surcharge 6-5-.-50 W w Name Police Plan Review X25 ~z Fire SAC, City 100_D0 ~ 8z Address 0o Engr. _ SAC, MWCC 525.00 aw City Phone Planner Water Conn. 525.00 Council Water Meter 67.00 1 hereby acknowledge that I have read this application and state Bldg. Off. Road Unit 305.00 that the information iscorrect d agree tocomplywith allapplicable APC Treatment Pt 180.00 State of Minnesota Statu nd City f Ea Ordina es. Variance Parks Copies Signature of Permittee 4 TOTAL 5 A Building Permit is issued to: MCMULLEN/MOSELL t & ASSOC on the express condition that all work shall be done in accordance with all applicable tate of Minnesot Statutes and City of Eagan Ordinances. Building Official -r -.Ci CITY OF EAGAN Permit No: 8732 Date. 5-13-87 3830 Pilot Knob Road Meter No: Size: O. Box 21199 Reader No: - Date Eagan, MN 55121 - - g.. 7 owner. McMullen & Moselle ' Site Address: 4735 Burr Oak Street Ll B5 Oak Cliff dumber. Krumholtz Plumbing Donn. Chg: 525.00pd Zoning: R1 lcct Dep: 15.OOpd No. of Units 1 'ermit Fee: 10.00pd iurcharge: SOpd 1 agree to comply with the City of Eagan Fr. Plant 180.00pd Ordinan S. Aster.. _ 67.00PA vtisc- B WATER SERVICE PERMIT This request void Srronths from 27 Request Uate Fire No. R-OO Inspection _ Requlred7 []Ready Now BO,WiII Notify, Inspec- es ❑No for When Reatly Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Be. or Route No. -'5~ City a_ AHJ ecL n Towns ip Name of-N.. Range NO. Coun O "To I Phone No. d 14, 6A, 0 Power pplier Address el iv 0 1 © ' Y7 11 K Elec I ontrac (Conn any a Co ractor's License No. rG c Mailing Address (Contractor or r hX king Mats ilado 1 v ~ N 1 u ed Signature 1 tra for Owner aeking Installation P ne Number MINNESOTA E BOARD OF ELECTRIC THIS INSPECTION REQUEST WILL NOT ~yr Griggs-Ni Bldg- - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phorra 18121 2972111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ES-000001A4 , See instructions for completing this form on back of yellow copy- 0 B 3 5®30 'X" Below Work Covered by This Request dd Pep. Type of Building Appliances Mired Eeuipnrent Wired Hortle Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peo y Other (Specify) tlrcr Spem T Other Other ompute Inspection Fee Below K Fee Service Entrance Size k Fae Feeders/Suhteeders p Fee Circuits 0 to 200 Am .O 0 to 30 Am I 0 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool _ Above 100Amps, Above 100_A Transformers 7,,-.gat,,n Booms Partial 'Other Fee Signs Special Inspection Remarks S S6! TOTAL FE ll J~ Rough-in D to I, the Electrical • Inspector, hereby certify that the above Final inspection has been made. ~ raquael yold 18mengshom Dec-04-07 11:38A Northwest Airlines @ UAL 303-780-3358 P.02 Elastomeric Roofing Systems, Ine t. 6900 !lock Dr. Rockford. MN 55373 800.103J747 -or- 763.565.6900 tax: 763.565.6901 SYSTEMS YSTEMc-S :r1nn emeiF. sninfo®eays}ems.tom 1=I_ABTC1MErTIC lit-lq~i Nf: ER Foam 502072 Product Data Sheet TYPICAL rw_._1CALPROPERTIES wolS, floor Joist, and all wall openings In new home (Meets torrent ASTM c-1029 standards as tested by construction. The lightweight. seamless air barrier independent third party labl provides high R-value plus tremendous structural strength. Density ASTM 61622 2.0 W/c} min. Compressive Strength ASTM 61621 ppCKAGINSf! Tensile Parailal 2 p Available as 55-gallon drums of Component A and strength ASTM D-f 623 28 8 psi si Component B in a set. Closed cell Content ASTM 62856 X90% min. 11-VakHfln. ASTM C.5 IS 6.1 initial Thermal Conductivity K-Factor. Initial APPLICATION ASTM C518 0.165 Ma ratlo Is 1 Part A to I Part B. Spread of Flame ASTM E54 25 Smoke Developn'senf ASTM "Al 350 Application may be by any of the conventional plural µ.0^ sample! component processing machinery. Coll ERSystems Yscoslly. cps re+ 7D' F Technical Service for details. Typical application is with component A 175.500 pre-heaters at 120' F to 130° F and hose temperatures at Component 8 140 Wafer Vapor Transmission 1050 F to 130° F. Be sure to select the appropriate foam ASTM 696 less Than one ® 2" speed for current ambient conditions. Use Summer (S) for Dimensional Stability ASTM 62126 temperatures of $0+9F. Winter (W) for temperatures 15e°F <12%change between 65 - BWF, and Cold Weather (CW) for -20°F <1$ change temperatures between 50 - 700F. Has performed when sprayed to wood substrates down to 32 degrees. "is data reflects Me partom+anca of Mara looms by a laboratory scab burring fast, and the results on not to be SURFACE PREPARATION considered or used m a fire hazard classification and are not Surfaces must be clean, dry, secure and free of debris. intended to reflect hazards presented by this or any other material under actual fire conditions. Metal, concrete and wood are typical surfaces to which ER Foam 502072 is applied. DESCRIPTION APPLICATION Of FOAM ER Foam 502072 is a two-component polyurethane A ER Foam 502072 ION shall be applied in 3/4" to 7' passes (1 !2" Spray foam mode combining Iponent (AI minimum per the SPFD foam application guidelines). component with a p olyol based (B) ) Component. . The a Component has zero Ozone Depletion Potential Foam should be sprayed at a minimum gun pressure of (ODP) and a low Global Warming Potential (GWP). In 1000 psi while spraying. addition, it is not considered o Volatile Organic Application and analysis of a small fast patch will Compound (VOC) In the US. This low-density foam exhibits high yield, great strength, and ease of provide an indication of: amount of adhesion, quality of application. surface pfeparotion, need for a primer, temperature and dew point relationships, equipment function, etc. If USES inexperienced at foam application contact ERSystenns, ER Foam 502072 is used to insulate foundations, stud read all training information etc.. and ask for guidance DS0072-x 1 090407 PERMIT # RECEIPT DATE: MIDENTIAL PLUMING PERMIT APPLICATION CreYOF EASAN S$SO PILOT KNOB RD EABAN, MN 551 EE 651-6$1-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backilow preventer for irrigation system SITEADDRESS: nay__ JV OWNER NAME:: Qj')0A /Gcc1orp 1 1~nmhef~ TELEPHONE (AREA CODE) ~1 p INSTALLER NAME: TELEPHONE M 95a .U " C, 1110 (AREA CODE) STREET ADDRESS: 6-15 12th Avenue SO?;• Op Ins. MIN 553;3 CITY: STATE: ZIP: Place a check mark next to the permit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: ~,P ob c e V. ~2C a ~r2I _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total .570 Reminder., Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicants responsibility 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 activities to the facilities constructed under this permit within Cih~ operty/right-of-way/easement. SI N URE O PERMITTEE Updated 1101 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF KAGAN 3 I 3830 PH OT KNOB RD - 55122 (651) 681-4675 - I - New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 1 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711/93 required: -Yes _ No DATE: CONSTRUCTION COST: ~d`ZCsC~ DESCRIPTION OF WORK: S t V-V' , STREET ADDRESS: LOT: BLOCK: SUED./P.I.D. C~ C CXU Name: 6 0r Phone a PROPERTY Last First OWNER Street Address: City State: Zip: Company: YY _S ti~e~✓ [W S r J~ c Phone pr~ - I l) q b CONTRACTOR p I I Street Address: ~rL -Ire~~kr?cz~~\wJc~ License #aV1 I.ELExp. 3! City t,, ' State: ,yi n Zip: S 33 ARCHITECT/ ENGINEER Company: _ Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No i Tree Preservation Plan Received Yes No Not Required 3s~ 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS . INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: SINGLE FAMILY DWELLValuation: Date: APRIL 22, 1987 Site Address 4735 BURR OAK STREET OFFICE USE ONLY Lot 1 Block 5 On Site Sewage_ Occupancy 3 MWCC System ✓ Zoning `I Parcel/Sub OAK CLIFF DEVELOPMENT-1ST ADD. On Site Well Type of Const City Water ✓ (Actual) Owner ROBERT E. REKO (Allowable) 7- # of Stories Address Length G z. Depth 34 City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor MCMULLEN/MO E.. & A OC, Assessments Permit 59G' Water/Sewer Surcharge Address 43f1 TNDiiSTRTAT, BT,VD_ Police Plan Review ILIB. u Fire SAC, City oC~. City/Zip Code MTNNRApOj,TS MN. 95413 Engr SAC, MWCC S ?-.5 , Planner Water Conn 52-5. Phone 378-3981 Council Water Meter (o-7, Bldg Off Road Unit 30 5. Arch./Engr. APC Treatment Pl 180. Variance Parks Address Copies TOTAL Z7TZ City/Zip Code Phone # 0 X- G6 72, x (2..oC~¢ K 2 0 (20 K (2 y 14o 50 36 _ ~i~co x 4<l ~or~o 13d~s~ ReKa CERTIFICATE OF SURVEY FOR _Mc.Mouz-t`- Mo-i~r- 11- KURTH SURVEYING INC. I HEREBY CERTIFY THAT THIS SURVEY. PLAN.OR REPORT WAS PREPARED 4002 JEFFERSON STREET N.E. BY ME OR UNDER MY DIRECT SUP VISION AND THAT 1 AM A DULY COLUMBIA HEIGHTS MINK SOTA 55421 REGISTERED LAIC UR EYOR UND THE LAWS OF THE STATE OF MINNESOTA. 612-790-9769 ~I g1 FuPR<0}FJ:.`1r1~lCEfl 4-22-89 DATE PROPOSED SCALE I". 3p4 MINNESOTA R TRATION NO. )(0113 O-IRON MONUMENT GRADES BEARINGS ARE ON AN ASSUMED DATUM GARAGE SLAB • 958.5 GO 0 SPIKE SET O""C \ BLOCK- 958.8 (_)-SPOT ELEVATION TOP OF . ( PROPOSED ELEV. OAKS C.1_\~`F BASEMENT FLOOR • 9S5,o --S••DRAINAGE ARROW "DP.Y~O^CP, Lptlt.~"C~(. ~~t1<ktAk,%, -r.tA.\a,"-v (a!1 B\.K. Z Q11IX C\.\F F 47\kt'SLv.=. 9) ;y, \ O Sys .Syv Ui , 93 ~ X95' ~ o \ 3 o ,n ~ S. I S ~ (955 ,e 1 IL a/ / 958. ~i 0 1-1 s 4 / x{/`/17 gp O I /t c w 967 n LO >'7 V IP / N 'o M It A. 00 ro I W O~ 1 ,l l\ O Y S.67 Q T. ~Vol. O / RNC'•E 456.1 -~3o~b 0~ ;orr/ ~ ' V 10 - .NOys - !a0/ /d pq F 9loh~e) `P/ I /VFW/ /LLm `DP / l EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER SITE ADDRESS: CONTRACTOR: aroDATE: PHONE: DETE'.(MINE WORKING SQUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA.......? sq ft x "U" _ R~,,y 2. TOTAL ROOF/CEILING AREA / 2 -5o sq £t x "U" , 0.7) 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor . vs 9 sq,ft a) Total wall window area: glazed sq ft. x "U" glazed sq ft x "U" _ b) Total door area 21, sq ft x "U" 3 C) Total sliding glass door area: glazed _ ,n sq ft x "U" glazed sq ft.x "U" _ d) Total fireplace wall area 4/0 sq ft x "U" e) Total wall framing area (Average 10%) / J ~Csq ft x "U" ' Q = /2 In f) Total net wall area above floor (insulated) /22,.3 sq ft x "U" C) = 70• g) Total rim joist area sq ft x "U" , nqI _ Total foundation area (exposed) sq ft h) Total foundation window area In sq ft. x 'U" _ i.) Total net foundation area above grade sq ft. x "U" o g _ ~'3 TOTAL a) thru 1) / If item #3 is the same as, or less than Item #1, you have mgt the intent of S.B.C. Section 6006 (c) 2. • Y• TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceiling area..... /3S'` sq ft j) Total skylight area C~ sq ft. x "U"''' k) Total roof/ceiling framing area (Average 106) sq ft. x "U"',' L/ 1) Total net insulated roof/ceiling area ~ sq ft. x "U" "ip,'~ TOTAL j) thru 1) a2~•4 If total of 04 is the same as, or less than r2, you have met the.intent of S.E.C. Section 6606 (c) 1. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of Items r3 and €4 shall not be greater than the sum of Items kl and k2. 1. fS~ • ~f + 2. S. e .....31.. . 3. 12.2 • n + 4. C E R T I F I'C A T I'0 N I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. (Signature) (Date) C I TY OF. E A G A * tian: Pmmw OF FEE AT TIME OF + *APPLICATION DOES NOT CONSTITUTE * APPROVAL OF PERMIT. APPLICATION FOR PERMIT * INSPECTION OF SEWER AND/OR WATER * INsyu=ONS WILL NOT BE SCHED- SEWER AND/OR WATER CONNECTION ULED UNTIL PST HAS BEEN * APPROVED. • * rt (Please Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Jy-•b Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon Year - COM!MCIAL/RETAIL/OFFICE 1~ R-1 SINGLE FAMILY IPIDUSTRIAI, 0 R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVEREA]ENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMEZU/CONDOMINIOM ( Units) 2' j NAME: Lc [ nri1lln Ib 117 ADDRESS:- 3~(J Z y ndaz e 410 CITY, STATE, ZIP: ~n PHONE: 3) u =a / For City Use . NAME:~(p, . o Plumbers License: ADDRESS: ;Z LL L.! N D/a , AJ Active CITY, STATE, ZIP:~pl~. Expired rAt Not recorded PHONE:- MASTER LICENSE# Sta Initial 4) ••a • • • NAME:- fY1c ~W (~O~e Q Op ADDRESS: CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER Q OTHER 6) n • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL PROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circl one) - t LI a Jl•• s q1 l i 1 . FOR CITY USE ONLY PERMIT # ISSUED J732- Pd w/Bldg. Permit FEES: $ $ /Ci - S Z SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ % re) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ . /S2 S r--D $ WAC $ 2 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $"yU TOTAL RECEIPT RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: s~~~ 43 7 4.2-2.8 7 - - 1 - iDlo,Y3> L . ~o 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd _Y _N . (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reod _Y _14 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pros Required - _Y -ii 1 set of Energy Calculations Addition - indicate if on-site septic system Or4ds Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Date -I / / C) Construction Cost t 2i n Site Address L4 J7 J~-I[- 5 1. Unit/Ste # L v /_j Description of Work ~N7 ( kLl & I t~l ) / 1~v pus Q 1J l ow ~J! J( Multi-Family Bldg - Y (n) ,,~--N ` Fireplace(s) - 0 V" I _ 2 r Property Owner Cj-(Ls 1`353Telephone#( W-Sh `-77(,/ Contractor l1 ~'t 1. l I'J~ 1 1 1 Address 1L,~r1~ \nA~iv.J ~r ~V • City State (>i Zip `5`5 37 °J Telephone # ( 5u~) 1 ::H I y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge 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 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 approve pl i the c e work which requires a review and approval of plans. Applicant's Printed Name Applic is Signature l~~a 2006 RESIDENTIAL BUILDING PERNUT APPLICATION ~o vU City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellReoair Reauirements drfil 'Ohl 3 registered site surveys showing sq. ft. of lot, sq, ft of house; and all roofed areas 2 copies of plan showing footings, beams, joists Ceq ofsurvey Re r 'Y- '.N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Sots Report N 1 Soils Report if proposed building is to be placed on disturbed soil - 1 site survey for additions & decks Tea Pres Plan Real jy;`Y "N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition -indicate if on-site septic system Tree Pies Regmred N I set of Energy calculations On-silemSeptid,.Sy'tam ,TY:=N, 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form t> Date _ / / UU Construction Cost &,v Site Address IZ *22 1(17^( Iq l~ Sf SS/3 Z ~cirt-~. Unit/Ste # Description of Work CQ 2659 yr s w1r~, 114, Multi-Family Bldg Y N Fireplace(s) - 0 - 1 - 2 Property Owner 6~TY ~j/1 N 56 `J Telephone # ( ) Contractor I~Yti a po Jr ['_u 7T r G~ ry r w C n Address L>d 3 ~(3 R~ 5 T C-,g City h~S l/ j ~ G 4r State ful N, zip 55 33 7 Telephone # ( 612-) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 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 Telephone J Mechanical Contractor Telephone J Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge 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 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 Applicant's Signature COI LH 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION o 'So CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date f _ l y~ I Site Street Address Unit # PropertyOwner l r~LF ~d~ Telephone # (('St) gam- T K` t Contractor Telephone # ( ) Address city State Zip The Applicant is: ot- Owner 8 Occupant - Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPG license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a ies when extensive umbin re airs are made to a building- Alterations to existing dwelling $ 50.00 Add plumbing fixtures to main level lower level. This fee includes installation of a water softener andlor water heater at the same time. ff you are installing only a water softener andor water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $136.00 if a 5/8° meter is required) -Other. Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work wilt be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant' rinted Name Applic Ys nor e C~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION✓ 2 d 3 City Of Eagan if 0Q 3830 Pilot Knob Road, Eagan MN 55122 lV C, Telephone # 651-675-5675 FAX # 651-675-5694 &-Lud 1012lo l New Construction Reouiremems Remodel/Repair Requireme office Use On 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cart of Survey Recd _Y _ N (20% maximum lot coverage albwed) l setts Energy Calculations for heated additions Soils Report _Y _N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Red _ Y _ N, 2 copies of plan showing beam & window saes; poured found design, etc. Addition - indicate itonste septic system Tore Res Required _Y _ N l set of Energy Calculations on-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Mirmegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. I Date / :2"5- / .1`7 p Construction Cost Site Address Lne - O/-NC S'/ uawsfe # Description of Work Multi-Family Bldg _ Y iL N Fireplace(s) _ 0 1 _ 2 xiProperty Owner s ~W it Telephoue # 0 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 submission type) • Residential Ventilation Category 1 Worksheet New Energy Code worksheet 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 Telephone ) Mechanical Contractor Telephone # ( ) tY Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge 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 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. Applica trs rinted Name Applic i DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Mufti ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 PorchlAddn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 04 02-p1ex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebolpergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex 7 f 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 ?L_ 33 Alteration ❑ 37 Demolish Building` ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage _ Yes Valuation UL~D 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 REQUIRED INSPECTIONS - Footings (new bldg) _ Sheehock Footings (deck) _ Final/C.O. - Footings (addition) Final/No C.O. Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final Y Framing _ Siding _ Stucco Lath _ Stone Lath -Brick _ Fireplace _ R.I. _Air Test -Final _ Windows ~C. Insulation _ Retaining Wall Approved By:, Building Inspector Base Fee Surcharge Plan Review ~,z ~Y MC/ES SAC V D City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA074494 Eagan, MN 55122 . Date Issued: 07/26/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4735 Burr Oak St Lot: 1 Block: 5 Addition: Oak Cliff PID 10-53550-010-05 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 1120 Eas t 80th Street, Ste. #211 Bloomington, MN 55420 952-345-6047 kara@elderjon es.com Fee Summary: BL - Base Fee $2K $69.00 0801.4085 Surcharge - Based on Valuation $2K $1.00 9001.2195 Valuation: 2,000.00 Total: $70.00 Contractor: -Applicant - Owner: Renewal Andersen Gregory J Johnson 1920 County Road C West 4735 Burr Oak St Roseville MN 55113 Eagan MN 55122 (651) 264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA076022 Eagan, MN 55122 . Date Issued: 11/29/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4735 Burr Oak St Lot: 001 Block: 005 Addition: Oak Cliff PID 10-53550-010-05 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952-445-2840. Nancy Kadrlik 5708 Upper 147th St W #102 Apple Valley, MN 55124 952-431-5811 lofgrenhtg@fro ntiemet.net Fee Summary: Surcharge-Fixed $0.50 9001.2195 ME - Permit Fee (Replacements) $30.00 0801.4088 Total: 530.50 Contractor: -Applicant - Owner: Lofgren Heating & Air Gregory J Johnson 5708 Upper 147th St W 4735 Burr Oak St Suite 102 Eagan MN 55122 Apple Valley MN 55124 952 431-5811 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118761 Date Issued:11/07/2013 Permit Category:ePermit Site Address: 4735 Burr Oak St Lot:1 Block: 5 Addition: Oak Cliff PID:10-53550-05-010 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 - Gregory J Johnson 4735 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:Mechanical Permit Number:EA157339 Date Issued:08/14/2019 Permit Category:ePermit Site Address: 4735 Burr Oak St Lot:1 Block: 5 Addition: Oak Cliff PID:10-53550-05-010 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 - Gregory J Johnson 4735 Burr Oak St Eagan MN 55122 Lofgren Heating & Air 5708 Upper 147th St W Suite 106 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA158071 Date Issued:09/24/2019 Permit Category:ePermit Site Address: 4735 Burr Oak St Lot:1 Block: 5 Addition: Oak Cliff PID:10-53550-05-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Gregory J Johnson 4735 Burr Oak St Eagan MN 55122 (651) 747-6973 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169139 Date Issued:05/17/2021 Permit Category:ePermit Site Address: 4735 Burr Oak St Lot:1 Block: 5 Addition: Oak Cliff PID:10-53550-05-010 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: 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 - Gregory J & Lori R Johnson 4735 Burr Oak St Eagan MN 55122--332 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature