4760 Burr Oak Stf CITY OF EAGAN
; 3830 Pilot K4;ob Road
P. O. @ox 21199
Eagan, MN 55121
Zontn9:
Owner: :;?::no:z?.,., ••y.s!' -
Addreas:
Sttr Addrcss: 47,50 PlumbEr: s T
Matar No..
Stze:
Reodar No.:
1-or" ta oomoly wW fiw Cilr of lpsn
OVARenam
By
Darte of Insp..
WATER SERVICE PERMIT
PERMfT NO.:
DATE:
No. of Units:
Connection CharLye: J00.00,: .
Nccount Deposlt:
Permit Fee: -
SurrFwrge:
Misc. Charyes:
Total:
Date Paid: ;
CITY OF EAGAN SEWpt SERVICE PERMR
3830 Pilot Knob Road P. O. Qox 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
ZaninO: No. of Unih:
Owner.
Address:
srte A?resc _ ?+76Q Bur r Oak St. t3 B1 9,ak Cxiff ?
Plumber. Star _Plu zuhin^
`?-i4 ':.Si... i.l:. . , ...
1 Nm to eewph wNb tM Ci1v rf !op¦ Connectton ChaMe: -' 2' -Q:!n-d.
O?Ji.ewoM. llooount Deposit: i ,' ?s--
Permit Fm:
By
Date of Irup.:
Surclwrpr. _
Misc. Chorpes:
Totol:
Dmft Pald: _
?
?830
?
` BUILDING PERMIT
Site Addres:
Lot 3
Parcel No. _
W Name
[1- Addre
Block i Sec/Sub.
CITY OF EAGAN
nob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
Receipt #
st. value $149000 pate N
Phone gW+- %
t? Name t%US'1UL'7 YwLS
V q Address
? city HDPICINS Phone 933-2235
?
W W Name
u ; Address
< W CitY Phone
I hereby acknowlege that I have read this application and state ihat the
inlormation is correcl arxJ ag%ep romply witr a11 appliCable State of
Signature of Permitee
A Building Permit is is
on the express condib
dpplicable State of Mii
Building Ofticial _--o#O
ti ?
41608
?
OFFICE
USE ONLY ?
?
Occupancy _ FEES ?
Zoning _
153
00
(naual) const _ sa9. Pem,it .?
0
(Allowable) - 7.00
Surcharge ?
+Y of Stories
36
Plen Review 99. nn
Lgngth ?
Depth 1?. SAG City ?
S.F. Total - SAC, MCWCC ?
S.F. Footprints -
On Sita Sewage _ Water Conn ?
On Site Well - Water Meter ?
MWCC System -
Ciry Water
_
Acd. Deposit ?
PRV Required _ S,NV Permit
?
Boostar Pump - S'W Surchar
e
?
APPROVALS
Planner
Council
Bldg. Ofl.
Variance
9 1
Treatment PI ?
1
Road Unit +
a
- Park Ded. ?
_ Copiss
? "l3(?OD
- TOTAL
1
Permit No. Pemiit Hoider Date Telephone k
WATER
SEWER
PLUkS81NG
H.V.0.C.
ELECTRIC B34& g 9i 9 v
? ?? ?nsp_ comments
?wt
ootings I
? . '4
?
Foundation
Framing
Roofing
Rough Plbg.
Rough Hlg.
15u1.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspeclor - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Dedc Final
Well
Pr. Disp.
`f7 ?1 ? ??-?J ? ?? ?
194 "U , t / 4
CITY OF EAGAN °"? '( 10Z3
BUILDING PERMIT
Te La uMd fl?.. :7 i' .
Site Address _
Lot I
Parcel No. _
Name _
' ; Address
b City -
Zo Name _
?? Address
t 1- City -
P ?&
rW Name _
?? Address
4'r W Clty _
Receipt # `, °) ,
79.000
I
Phone 4--
Phone
I hereby acknowledge thnt 1 have read this opplication ond stote thot
the informotion is tarrect and agree to comply with oll applicable
State of Minnesota Statutes ond City of Eagan Ordinances.
Sipnoture of Permittee
/? Building Permit Is issued to: ` olt work sholl be done in occordorxe with qll opplicable Stete of Mir
Buildinq Officiol '
; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Erect LJ;? Occupancy a
Remodel ? Zoning A
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int Impr. ? Sq, Ft.
Install ?
Approvuls Fees
Nssessment Permit S 3 7 0. O 01
Woter & Sew. Surcharge
Police Plan Review ???' • G? i
Firo SAC C'25.001
Eny. Water Conn. 500• 00 j
Plonnsr
?
water Meter 63.00
Countil Road Unit 280.00
1
1 3 ?
0 0 ;
BId9. Off. .
Tr. PL
APC Parks ?
Var. Date
('C
Copies
Total ? `! • ? ? ? . y ?
on the express condition thot
ond Ciry of Eogon Ordinances.
I
Pe?mit No. Psrmit Holder Dste Telephone #
Plumbinp d V 2,3 /2 r,)J
H.v.n.c.
rc> n?,
?a? 1-
q3 ua-js
elecmc ? i o ?8 ?s s°
sonw..
Inapection Date Insp. Other
Footings 1 j
Footinga II
Foundation
Framing O .?
Roofing o
Rouph Plbp. -
Rough Hty. ?v?3 P
Insul.
Fireplace -
Flnal Htg.
Finsl Plbg.
Final ?
C?rt/Occ.
/
-(
71-11
Water au?ibe Location:
1Afe11
Sewer
Pr. DIaP.
MECHANICAL PERMIT
CITY OF EAGAN
FiII in numbered spaces
Type or Prrnt legibly
Date f-1": 2. Installation Cost
Permit No.
Fee
S/C •
Tot.
3. Job Address Lot Blkf Tract /. ?
4. Owner _l Ci?t.l SN/V'?- tO.U? i
5. Contractor zmd/?E /C' -? //'u Phone ? f y-
6. Address
7. City State //?J/v Zip
8. Building Type: Residential In
9. Work Description: New 6
10. Describe
11.
Alter O Repair O
_Fuel Type "qI 61I S
No.
? Eauioment 8TU - M. Ea.
Forced Air No. Equipment CFM
dli
Ai
H
Mfg, r
an
ng:
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 wrrect, and I agree to
comply with all ordinartces and codes governing this type of work.
11 1
Signed : M - . ,r-{l for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Commercial ? Institutional ?
Add ?
Rsceipt J? PLUMBING PERMIT Permit No.
. CITY OF EAGAN Fee
Fill in numbered;paces S/C Type or Prinf /egib/y Tat,
1. Date , 2. Installation Cost
3. Job Address ?.;. Lot Bik. Tract 4. Owner '
5. Contractor Phone
6. Address , i .
7. City State Zip
8. Building Type: Residential ?
9. Work Description: New EJ
10. Describe
11.
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
iSigned :
. for
Rough Final
InspeCtions: Date Insp. Date Insp.
? This is your permit when numbered and approved.
' Approved CITY OF EAGAN 454-8100
Commercial ? Institutional O
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
8ath tubs Septic Tank
Lavatary Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
Receipt PLUMBING PERMIT Parmit No. - "
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prin[ legrbly Tot.
?
1. Date ,--f -? i- 2. Installation Cost
^ ???l
3. Job Address " Lot Blk. t Tract
4. Owner ` ? . 5. Contractor Phone
6. Address
7. City ' • State , i' Zip
8. Building Type: Residential EJ Commercial ? Institutional ?
9. Work Description: New ? Add ?
10. Describe
11.
Alter E) Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ' Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the a6ove information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Si gned
Inspections: Date
for
Rough Final
_ Insp. _ Date _
Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
awner
Street
3 Blk 1 ParcdJO 53551 030 01 -k`
rr Oak Street State Eagan+ MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 312.7 31.27 1 Jc/,11/
IP r ?/ Cr ?'?5
STREET RESTpR.
GRADING
SAN SEW TRUNK ? 1973 118-79 7.92 15 1.51 _?
SEWER LATERAL
WATERMAIN
WATER LATERAL .
WATER AREA 3, O f 4- 7 cf- - S
STORM SEW TRK O 1979 399-97 • oZ rDf- ?q OI
STOfIM SEW LAT
CURB & GUTTER
' SIDEWALK
STREET LIGHT
Road Unit 280.00 55756 9/23/85
WATER CONN, 500.00 to It
BUILDING PER. 11023
sac 525.00
PARK
''' `• `?"'a"' WATER SERVICE PERMIT
,'ilot Knob Road .
P. O. 13ox 21199 PERMIT NO.:
,
Eagan, MN 55121 9-2
D11TE:
Zoninp: _ ?-?- No. of Units:
Owner:
AddRRS3:
Site AddreSa. `?7?'Q
. $Ltr -TE?;??a? I k? irf
Plumber
?t??r ? ?• -,-,?.C I;'" AJ EtC.
AAeter No.:
Size: " ?-_
r.
Reader No.: 10 g J'M'? 917 ?' g Permit Fee:
I ?l?w !o eowply wi1h Mw Cifp af Eoysn Surcharge:
Ong ? Mfsc. Charpes:
Total:
BY Dote Poid:
Uate of Insp.: vp,;
!!- /-
GO
I
? CITY OF EAGAN Np 19418
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
BUILD
G PHONE:454-6100
IN
PERMIT Receipl # ?•?
To be used for P%%`vL Est. Vaiue w 14 ,000 Date JULY 12 19 91
SiteAddress 4760 BURR OAK ST
L
t 3 Bl
k 1 OAK CLIFF OFFICE USE ONLY
o
oc Sec/Sub.
PefCBI N0. Occupancy - FEES
W TIM DENMAN
Name zoning
(Adual) Const -
_ Bldg. Permit 153.00
o Address SAME . (Allowahle) - 7.00
City Phone 994_9955 xof srories Surcharge 99
00
Pi R .
.o Name CUSTOM POOLS
?a Address 601 EXCELSIOR AVE E
? City HOPKTNS Phone 933-2255
NaM me
Address
City Phone
I hereby acknowlege ihatl bave read this application and state lhatthe
inlormation is correcl and aqr o_:ompty wyth9a11?d' F?'applicable?State of
Minnesota StaWtes antl Ci /gan rtlmap' " ,f/?
Signature of Permitee - /?//??" ?
n Buading Permit is issued to: CUSTOM POOLS ?J
on the ezpress condition hal all work shall be one in accordance itp,all
applicable State ol Min s ta tatutes and C of Eaga Ordinances.
Builtling ONicial J
Length an ew ew
Depth iR_ SAC, City
S.F.Total -
SAC,MCWCC
S.F. Footprints -
On Site Sewage - Water Cortn
On Site Well - Waler Meler
MWCCSystem - .
Ciry Water _ Accl. Depwit
PRV RBquireA - S/W Permit
Booster Pump - 5/W Surcharge
Trealment PI
APPROVALS qpgd Unit
Planner - Park Ded.
Council
BIdg.Ofl. _ Copias
? Z 5 ? ? V
Variance - 36
70TAL
CITY OF EAGAN N° 1102 3
, 3830 Pilot Krrob Road, P.O. Box 21-189, Eagan, MN 55121
BUILDING PERMIT PHONE: 4548100 Re?ipt #
T. bs wed fo, SF DWG/GAR Est. Value $79. 000 pate SEPTEMBER 23 1985
SiteAddreas 4760 BURR OAK ST
Lot 3 slock 1 Sec/Suh. OAK CLIFF 2
Parcel No.
W IN... SUNSHINE CONSTRIICTION CO
; Address 5985 125TH ST W
b Ciry A.V. Phone 431-2200
} Name _
?
u? Addrets
Phone
p W IN,,, JAMES R. HILL
?? qddresg 8200 HUMSOLDT AV . n
.W city BLMTN pnone 884-3029
1 hereby ockrwwledge thot I hove read this
thE Informoti0n is COrreCt opd p e fo c
Stote of Minrxwro $tatutey' a City of
Sipnofure of Pertnittea 74 UA
A Buildiny Permit Is issued to: _
ull work shall be done in occordonce
Bulldinp Olficial
and stote tFwf
all oDPlicable
Erect Q{ Occupancy R3
RBmodel ? Zoning ' R1
Repflir ? Type of Cr,nst, V
AddHion ? No. Stories
Move ? Length rj4
Demolish ? pepth% 48
Int Impr. ? gq„pt,
Install ?
AvPrevals ? Faes
AssessmenT - f Permit $ 370, 0 0
?
Woter 8 Sew.
Surcharge 39. S0
Palice Plen Review 185.00
Fire -,? SAC 525.00
Enp. waterConn. 500.00
Plan r WaterMeter 63.00
Co il RoadUnit 280.?0
8i g.Off. 9/23/8 Tr.PI. 132.00
PC Parks
? ar. Date CoOiea
raei $2,094. 50
?NSTR ION CO on the ezpress caditlon thor
Stote lAinne t t tes ond Ciry of Eoqan Ordinoncea.
? /oaa??
p
03468
- `I
Requesi Date Fire No. Ro ' Inspection
Re uired?
? Ready Now ,'i Will Notily Inspector
es ? N. When Ready?
IX licensed conirecror 7 owner hereby request inspection of above elec[rical work at:
Job Atltlress ISheeL 8or or Rowe No.j Qry
`t7 u..vr ? -V\ _S5i?2
Seclion No Townshi0 Name or No. Range No. Coun
Occupam (PRINTI Phane No.
;n ?n?.
. g<y-?B7?
Power
Suppnei Aedress
Eleclricai Contranor (COmoany Namei Connaclm3 License No.
K
u, -L GC+YY rtC, ny -ES?'3
ling Atlpress IGonlraGtor or Owner Meking Installalion)
.?9- fz? CA- V(,YVG ?
Avlhorizea S9naWre IGOntracton0 nar Making Instellelion? none Numbar
MINNESOTA STATE BOARp O ELECTRIQTV THIS INSPEGTION REQUEST WILL NOT
Griggs-Mlawey Bltlg. - Room 5-170 - BE ACGEPTEO BV THE STATE BOARD
1831 Univerzity Ave., St. PauL MN 55104 ' UNLE55 PROPER INSPECTION FEE IS
Phane (612) 6C2-O800 ENClOSED.
?q/,p/?/ REQUEST FOR ELECTRICAL lNSPECTION
? 0 ? See lostmoi?s tor completing Ihis lorm on back ni yellow copy.
II n?(1 F'j R "X" Below Work Covered by This Requesf
EB00001-OBy
g?,?? ?Qa2oZO?.
?•?i.+..?
ew d Re . TypeotBUilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt Building Dryer Other (Specify)
Comm./IndusVial Fumace
Farm Air Conditioner
I IOfier (syeciyj ConVeclor's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiwEnirance Size ? Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps D ta 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspeaors Use Only: \ TOTAL
Irrigation Booms [fO .C?JI
-[ ?n
Speclal Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S.
I, the Electrical Inspector, hereby Rough-in ? e ?
certify that the above inspec?ion has
been made. F;,,ai
f o
. z
OFFICE USE ONLV ?
Tms redues; voio 18 mon0:s kom ?"??
TSimont?hslrom ?
1tl V/?? g I85
?- 07.5 869 t- 3, di lQ? ? a? y9.5-D
Ren??esl Date
/
?
" ? fire No. Huugh-in la. e on
Re ired?
q
?
?Aeatly Now ill Nmif Inspeo-
'
v
h
Q
?y
j es ?No or W
en a
eaey
NLicensetl Elec[rical ConVacmr 1 hereby request inspection of above
? Owner elecVical work installed at:
Street ?Atldress, eum or Route No.
7 Citq
ecLnn o. Township Name or No. Rnnqe No. Cowity
O nt (PRINT) .
qVTpyU.r.>S'h<iN ?' Phune No.
?/3/ - aaQ o
Po r SupVlier Address .
?
EI ?vical Conlracmr (Company Name) ConVactor'S License o.
"
ov???.
-?
Mail/' iB /+d,ress (Contr? c-to/r or Owner MakinO Instaila
Auth - 5'gnature IConuac[or/O er MakinN I nst la ion) P e Number
?
MINNESOTq STATE BOAAD OF ELECTPICITY . THIS INSPECTION HEQUEST WILL NOT
Griggs•Midwey Bldg. - Room N-191 aE qCCEPTED BY TME STATE BOAHD
7821 UniversitV Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 297-2111 . ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi.oa
' See inshuMpns for Cnmpletivig this twm on Eeek of yellow cooy. ?.. 1 A Ir /
94)t5
? ff T? ?? C, "'k" eelow Work Covered by 7his Request l ?? AAd ReO. Typa of Buiiding APptiancas Wirad Equipment Wired
Home Range Teinporary Scrvice
Duplez Water Heater Lightiny Fixtures
Apt. Building Dryer Bectric Heatin
Commercial Bldy. Fumace Siiu Unloader
InduStrial BIAy. Air Conditioner Bulk Milk Tdnk
Farm Othe, oneitv O?he.e Isoecify; .
i ar uer,ify Ot er Oth¢r
omnute /nspection Fee Below
# Fea Service EntreneeSiie k Fee Feaders/SVbieeders Fe,e Circuits
? 0 tp 200 qm s 13 ?-- 0 to 30 Am 5 Wto 30 Am pS
bove 200 Amps 31 to 100 Amps 31 to 100 Am s
?A
wimminp Pool Above 100Am s Above 100_Amps
ansiormers Irrigation Boortis . Partia6'Other Fee
Siyns Speciallnspection - ? I
TOTAL
Remarks
FEE.
flough-in I, the Electricnl
Inspectnq hereby
c ify thet xhe above
Final 'D j? * ? aection hes 4een
/ O (iPl?O
This reQUest voitl 18 montRS trom
????1?
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?0s.sd
Gk_, .i6 2 3
Date __9L_1 -1--7 I
Site Street Address ?-/22 Unit #
? 99'/?
P Y p ?
Pro ertOwner ?2 2.E? n Tele hone # ?
Contractor C.14/t/V) 42 Telephone # (95;k) -
Address A fLi Citv r- d.2n2Sd/2,1P State Zip
The Applicant is: _ Owner / Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fuctures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment ??;? 2
_ Water Turnaround (add $125.00 if a 5/8" meter is required) 8-.
Other:
Water Heater
4Water Softener $ 15.00
_
_
_ new replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ r S . s
I hereby apply for a Residential Plumbing 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 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's Printee'Name ` AolicanYs Sigr4ture
CITY OI•' EAG11N z/a4
APPLZCATIODI FOR PERMIT
" SEWER AND/OR WATER CONNECTIODl;
(PlEASE P4IHT)
1) P°OPADDP.ESS: - -
Trr'-.L DE.."'RI°TZC.`]: - ??
(Lot/E k/S ision o Tax Parcel I.D. NLuNber}
D?= GF ORIG1i:AL BiiILCI:`1G P:.r_•ST ISS???;?:
_
_
? F ??? . _.??Tl:!":r':/v:'C."j? 1??: ? LZ'1 SL1GL.L. LkAY1T.Y ' . . . ..._
.. -
?, . .
? R-2 CUPLE.Y (Th0 UNITS)
? R-3 TG[vTIIIGf?SE (TH2F" + UNITS) ( L'`iT'"=)
? R-4 ApAR'I3'm:P/CO,,zanLNILti1 ( n:I=i
? CQ-1ME.4CIAL/REPAII?0FFICE
? I?i'DUSTRi.?I.
? INSTI'IUTIONAL/G04MNIM43v'P
(PL ASE PRI
Z? tIT) ?
Y= ?T_,T`'_.'T c
. . Ni*IE. . .
_i . ..
?DRESS' 2 - 14
CP?iv, .5'rATEi 7.IP: -
PH=-:
ASE PRllii)
3) PLL.:,P...r? FOH LITY USE CNLY
NF4ME:
id-
PlU°BER$ UCEtiSE:
ADCRESS: aceive
CIT?', STATE. ZIP:
4? ?-?'y20 ? Expire6
??
P?;O?. ILn
PLUHBER LILENSE q?j Not or Record
:;rr initia
4) OCCC??_•T/CSvi1m (PLEASEPR1NI)
NAi'lE:
ADDRFSS: - . : . .. _ ,
CITY, STATE, ZIP: ' `.
Pfid:IG:
5) IiIDiG,"?_"..' ['7HIC:3 PEP.%1IT IS BEIiZ REQUFS'IM;
El CO,TIECTION 'Ib CITY SEir]ER
12 CC^,'NFX'I'ICN 'IC) CITY ATATER
El CYI'11EI2 (PLL•11SE DESCFtIBE)
G1
? PI, 7-1SG E:OID r1PPROVGp PERtiIIT FOR PICI+-U$ HY QIVE 4F Wd
?
'
?LE+S? :??aIL IaPP
EED PEEZ%IIT Zt7 1, ( 2 d?3.,d 4?
.
(Circle one)
.
7) DATE:
?
7985 BUILDING PERHIT APPLICATIaN - CITY OF £AGAN
NOTE: ALL CONTRACT(IRS MUST BE LICENSED NITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: e/Y ?S^ „Valuation: E>00 Date:
Site Address: ?)7?? ??KYI)? 4- OFFICE USE ONLY
Lat: (1- Block ? Sect/Sub?? Erect X
Remodel
Parcel # Repair
` Enlarge
Owner Move
Demolish
Address ? , J 2 Grade
City/2ip
Phone J
Contractor
?
Address
Cityl2ip Code
Phone
(
Arch./Engr. AT
Address -9-12
City/Zip Code
Phone # lqi
APPROVALS
Occupancy R-3
Zoning (Z-i
Type of Const Q'
# of Stories
Length S4
Depth 4t)
Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police ? Plan Review 1g5.
Fire SAC 5Z5,
Engr Water Conn r
Planner Water Meter to3,
Council Unit q,gp,
Bldg Off 17Y7t;7, Parks
APC Treatment Pl 13Z.
Variance
J -
TOTAL
? ?.
bic
???
Zco?4? = I i?? x sES ?5
c
2?x22 ? S2£?x 12
??SZU
>- : ry ;
39•so+
i8? •co+
ti•.-0 +
+
?_- _.0+
73?_•'?0+
?)0p4°SUy
'S.IJR?/EYOR'S . CERTIFICATE 'SUNSHINE COMSTRUCTION COMPAhY
..
.' _ . -- - --. ._ .. _. . . . . .
AI:r,
go
700 U[?1 9?,v.
?y4N !
ra
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? 9/ "? r./_`T [f
,:..
ocLS?334.?
' • - >` ' " ?a qt?•T' 3.'Z2
qccn
-30 1 , L,`l '
-i--- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENI' SET
• DEPIOTES IRON MONUMENT FOUND
X000.0 DEPlOTES EXISTING ELEVATIOPI
(000.0), DEPlOTES PROPOSED ELEVATION
?
??.
Z '
?o
?
O
0-
51?
-SCALE: 1 INCH = FEE7
-PROPOSED GARAGE FLOOR = FEET
PROPOSED LOWEST FLOOR = q6 b,4 FEE7
PROPOSED TOP OF BLOCK =. (o4,L FEET
I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COMPANY THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 3, Block 1, CAKCLiFF 2ND i+D[?:TIGN, according to the recorded olat thereof,
Dakota County, Minnesota
AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE'ENCROACHME'NTS,
IF ANY, FROM OR ON SATD LAND. AS SURVEYED 8Y ME THIS 18TH DAY DF SEPTEf96EP. 1985,
SIGNED: JAhJ€jrlk?. VILL, INC. n
PROJECT NO.
85859
FILE NO.
FOLDER
w?-
B Y : I'f
HA OLD C. PETERSON, LAND SURUEYOR
MINNESOTA LICENSE PdO. 12294
sooK i PacE JAMES R. HILL, INC.146/4 .,
Planners / Engineers / Surveyors
8200 Humboldt Avenue South:
Bbomington, Mn. 55431 812-884-3029 I
^ . ? • 9 . . ' ' . r . i n ? . ? . ?i??
?-.
.. .?..
,
One or Two Family
All Other
contractor ?c91??-?+r>>l?: 00y,),:Z
Date
Phone
LINEAL FEET OF
EXPOSED FiALL '?[?..'?pi?_? rllft* above grade = z?SGY?.'=;'?7?'L"?
TOTAL EXPOSED 4YALL AREA SQ. FT.
OPAQUE tNALL COPdSTRUCTION: "U" Value x Area
Detail 7'ILL&I'L12 "U" 'C43 x Sq. FT.1939.40. f33,99 (U)(A)
reference ???^ 9CY. i $fUll , 09A x SR. FT. IG92.v= 14.(oZ(U) (A)
from 11'1 "U" 'a?O x SQ. FT. 13-Zig - 5, I1 (U) (A)
attached 'lU" x SQ. FT. _ (U) (A)
sheets "U" x SQ. FT. _ (U)(A)
"U" x Sq. FT. _ (U)(A)
WITdDOWS: "Ull Value x Area
Piake & Type I iJ?vv C: r
n - tt
Un
x
SQ.
FT. 145.W ( U) (A)
"U" x SQ. FT. - (U)(A)
nUn x SQ. FT. - (U)(A)
n n npn x SQ. FT. _ (U)(A)
DOORS: "Ull Value x Area
t•iz:e & Tyne _`?? /.?V:.t_?! , nUn
x SQ.
??Tin ????? -47 X SQ.
u n nUu x Sq.
n n nUn
_ x SQ.
TOTALS 2500,Op gq,
AVERAaE "Ull
TOTAL (U)(A) VALUES
DIVIDED BY TOTAL 1,?ALL AREA ZSp0 ? O87
AVERAGE; IIU" C? or less for 1&2 family dtivellings
ROOF/CEILING:
TOTAL AREA: IZ(00 ?
FT. 47,oo = 40, (n(U)(A)
FT.??-.91,15-t,(U)(A)
FT. _ (U)(A)
F'T._ ZI9. 5!50 (U) (A)
Detail reference liUlt .OZZ_? x SQ. FT. ?1 ?bP _ 29,9Q (U) (A)
from
attached sheets. iiUn . x
flUff SQ. FT. =(U)(A)
Describe onen=ngs x
ifIIll x SQ. FT.
S9. FT. _ (U)(A)
- (U)(A)
in roof. 'lUtt x SQ. FT. - (U)(p)
TOTAL (U)(A) VALUES DIVIDED BY ?g?q? TrrAtL12
z??
?.? ZS9 CUy',>
TOTAL ROOF/C AREA /Z100
AVERA(3E .025 r ventilAted roofe.
CITY OF BUILDING DEPARTt•IENT
EXTERIOR ENVELOPE AVEF2AGE IIU II COIdPUTATION
(To be submitted with building permit application)
Dwelling Owner 1 z&>D t?" Cf?-.Y• ^' '
Site Address
Gex s 6???.?a
14• 5 X C34-i-34+ 4?) _
l7. s X 4 ?O =
3, ° X (7 t7) -
dode-,
39't39-t9?vt¢',o? _
?m To?s7
Wkowr
Z°X 3Co =
?Xoo _
z?x ?co =
Z4x48=
J'r r 0 X 0 -
8-4x4=
0 X ?o =
5f??,T rl
IloIS 3, op
8os, o0
4Z.oo
Z?Soo.oo -?
l07 zo
4z,oo
147. zo ?
IF,Z.go -)?
40.00
33• (oo
z4, o0
48,oo
145. (ao - ?-
Dov1z i
3' Stcv?/s,?, `
Z 8 5?L• ?--Y=?'? ?
(v"'- FA7Ta @ Z =
zg,oo
LJ.00
89; ao
1?3,ov ?--
AIP-T rv? 64>vw-j?
Lo' e4ti w*.z, 2, 500, ao
LEys Co.)e., 14-1
,2o
el /n j3Z , go
ll wDw> 14s loo ? 5(00. (vo
1/ ?;' j 133,op
P1049
Z6P x
8x8 =
119l?.0
(ag: O
iz?o.oa ?
--wn z. sECTio --
Determining "IIll values at RooY$ Wall, Rim, and Conc. Block
ROOF/CEILIN(i
t.) Interior Air r'ilm
2.) 5/81, ayp. sa.
3.) Insulstion
4.J
50 Exterior Air Film
(STILL)
(R) VALUE
0,61
.55
61
nIIn = 1/R= .O?> iOTAL (R) = ?f,7g
, ._..--
WALL
6.) Interior Air Film
7.1 }n GYp. Sd.
8.) Insulation
9.) 10.) Masonite Siding
11.) Exterior Air Film
R VALUE
o, 68
.45
13,00
2, of
.67
.t7
nUn = 1/R= •G?"3 TOTAL (R)=zz..Dr
_-
RIM
12.) Inte Mor Air Nilm
13.) Insulation
14.) 2't Fir Rim Joiat
15.) F=.0IG.7- IZ)T6
16.) Maeonite Siding
170 Exterior Air Film
R VALUE
0.68
Iq,ao
1.88
2, o¢
.67
.17
nUn = 1/R= sC71'? TOTAL (R)= Z-f.+q
18.) Interior Air Film
19.)
20. )
210 12" Concrete Block
22. )
23.) Exterior Air Film
R VALU
0.68
1. 28
g,0 O
.17
irUn OqB T02AL (R)= 10•13
. 1991 BUILDING PERMZT APPLICATION /If
CITY OF EAGAN
?D
§INGb& FAMILY DWELLINGS MULTIPLE DWELLINGS COPRIERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL /
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED IIP BY LAST WORKING DAY
OF MONTH IN WHICN REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLDWED ONCE BUIIDING PERMIT IS ISSUED
PROCESSING TZME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMYLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
' ' ???J '/
. To'Be U s e d For???f?>`/???"GJ ??aluation:/?lL?C?C? Date: ?
L/
Site Address CTTI1 S 7-
Lot 3 Block i
Paxcel/Sub DAK Cc.ifF 2nr.? ? 1
Owner 2111J
Addtess4//,?j%C?
City/Zip Code///'A?L' `3-s
Phone ?6? ?J --')-
Contractor c-/'<5
Address /"Z / C .'?C JC lJ /"?
_
City/Zip, Code ??"',?1' //'%?"//??" ?• ? ,??`>
Y?
Phone
Arch./Engr.
Address
City/Zip Code
OFFICE USE ONLY
FEES t
00
3
1
Occupancy Bldg. Permit J.
.
Zoning Surcharge '7.Oo
Actual Const Plan Review 49.00
Allowable SAC, City
# of stories SAC, MWCC
Length Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System ? Park Ded.
City water Ttail Ded.
PRV _ Copies
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. ?-IZ 9i%S
Variance
SQBTOTAL
Penalty
Lot Change
TOTAL
Phone #
Sewer te Licens Contr.
????"~??? agrees that all work shall be done in accordance with
"(Signature of Contractor) /
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
;
A-5
4
?o
_ i;
I?
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?-
- . ' .? . . ; ='?.
,VEYOR'S CERTIFICATE sUNSHINE COPlSTRUCTION COMPAM1Y
---- ---- -- ---
I
I
30
?p v (!; qte?i
i io
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,- ,
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O
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1 / a,14i8
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543340
' 41b? 46.17
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an N
yt^ 1
wo , 0-T
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? 1 26.00 6 ? y 'po
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?- ?0 ROPOSE o m 0
( . 1 TA PHpUSE \o eo?
0.00 c
1
?%? ? pp9EQ 6 N GPR• 2. S' Zp' -?.1 I
o ?ao x bce.lq ?30
o
r ?
Q6b•? 1
> 1
qwb?? ??? 22
-r- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DEPIOTES IRON MONUPiENT FOUND
X000.0 DEPIOTES EXISTING ELEVATIOM
(000.0). DEtlOTES PROPOSED ELEVATION
a?a-c? „E 1
N-t4pQ6'4a
n.. 1 . .
•SCALE: 1 INCH FEET
-PROPOSED GARAGE FLOOR fEET
PROPOSED LOWEST FLOOR = o b.4 FEET
PROPOSED TOP OF BLOCK =? b 9,(, FEET
I HEREBY CERTIFY TO SUNSHINE CONSTRUCTIOW COMPANY THAT THIS IS A TRUE.AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: '
Lot 3, BlocK 1, CAKCLiFF 2ND HDD:TIGN, according Co the recorded olat thereof,
Dakota County, Fiinnesota AND OF TIIE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE'ENCROACHh1ENTS,
IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 18TH DAY OF SEr"TEh16ER 1955,
SIGNED: JAU&$-K VILL, INC. n '.
BY:
PROJECT N0.
85859
FILE NO.
FOLDER
• MINNESOTA LICENSE N0. 12294
BOOK / PAGE . JAMES R. HILL, INC. .
146/4 "
Planners / Engineers / Surveyors
8200 Numboldt Avenus South:
Bbomington, Mn. 55431 812-884-3029 :I
• 4
lo SS _)--
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 Please complete for modifications to existing residential dwellings.
Date 0 7 " 1O ?
$IZE Stf2@t Addi BERG, RICHARD UOIt #
. 4760 BURR OAK STREET
' EAGAN, MN 55122 .
Property Owne! (651) 895-9916 Telephone # { )
contractor NORBLOM PLUMBING CO. Telephone #( )
Address City State Zip
TheApplicantMIs: INNEAoOe?$s ?N??Pon?tkq or _other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heate r--complete next
section if installing these appliances).
_Septic System Abandonment
_WaterTurnaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener X Water Heater $ 15.00
_ new ? replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total g 15.5,0
I hereby apply for a Residential Plumbing 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 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.
_J?P4 NOy_bIam
Applicant's Printed Name Applica s 5ignature
2007RESIDENTIAL BUILDING rIIavuarriicauxv s
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouiremenls RemodeUFteoairReauiremenfs OffceUse.OnN
3 registered site surveys showing sq. fl. of lot, sq. ft of house; and all roofe s 211001 ies of plan showing footings, beams, joisfs Cert of Survey Rea.i Y_ N
(20%maximumlotwverageallowed) ?0??y?9III??? tionsforheatedaddNOns SoilsReporl > Y N
1 Soils RepoA it proposed buikling is to be placed on disturbed soil ?se?su y f?ad?illdns 8 decks T2e Pres PIan-Reocl _ l' _ N.
2 copies of plan showing beam & window sizes; poured found design, etc. Add"rtion -indicate site septic sysfem Tree Pies Required _ Y_ N
lsetofEnergyCabulations D $EP 2 1 2007 V On-siteSepticSystem _Y _N
3 copies of Tree Preservation Plan if lot platled aNer 7M193
Rim Joist Deqil Options selection sheet (buildings with 3 or less unAs)
Minnegasco mechanical ventilation form
Plans are considered public information unless vou state thev are trade secret and the reason.
Date _'Z / a
1 l 0 ? struction Cos[ '? ? ? U `
Con
?
SiteAddress / /7(a Q &,rr UG /
?Ci c? T' Unit/Ste #
Description of Work r??f/Lr? ? ?'Gc,,.? ?y 7?/d /?d ? r'
Multi-Family Bldg _ YL"\ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner / C,je:;? Telephone #(?
Contractor
Address ?? <?-? ? 1117 City /'7` 4 ? / niv
State /v ? /v ? Zip Telephone # ( ?j/?) v2G ?sOd ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted . Submitted
• Energy Envelope CalculaNons 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 Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #( )
apply for a Residential Buildiniz Permit and acknowled¢e that the information is complete and accurat?
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 f plans. ?
G`?l 461 1
pplicant's Printed Name pplicanYs gnature
DO NOT WRITE BELOW THIS LINE !? . t
Sub Tvqes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex x 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvues
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building 0 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement w
`Demolitfon (Entire 81dg) - Give PCA handout to applicant '
DesCflptlOn: WaterDamage_Yes
cc D stem
? MCES S
Valuation ; Occupancy y
Plan Review eK 100% or 25% Code Edition
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const VL_ Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Sheetrock
? Footings (deck) FinaUC.O.
_ Footings (addition) ?G FinallNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace R.I. Air Test Final Windows
Insulation Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
06(4c 5j p v-i?
?of'?>-o jo o a
? ? D-r,-
,1/EYOR'S CERTiFICATE sUNSHINE COPISTRUCTION COMPANY
--- - - --- ?? :,..
?
30 I
?d W
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w pb
OD
m? ?
1? 1
1 ? C
i
,d3-3.40
-*-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DEPIOTES IRON MONUP1ENT FOUND
X000.0 DEPlOTES EXISTING ELEVATIOPa
(000.0), DEtlOTES PROPOSED ELEVATION
-...?.?- „
N7???61?8 E
1 .
,
-SCALE: 1 INCH = 3? FEET
PROPOSED GARAGE FLOOR rEET
PROPOSED LOIJEST FLOOR = q66,4 FEET
PROPOSED TOP OF BLOCK =?7b4,L FEET
I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COMPAIvY THAT THIS IS A TRUE.AND CORRECT
REPRESENTATION OF A SURVEY OF THE BQUNDARIES Of:
Lot 3, Block 1, L'AKCLiFF 2ND ADD?TIGN, according to t!:e recorded olat thereof,
Dakota County, Minnesota
AND GF THE IOCATION OF ALL 6UILDINGS, IF ANY, THEREOh, RfVD ALL VISIBLE'EPICROACHMlENTS,
IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 18TH DAY OF SEFTEPIBER 1985,
SIGNED: JAMExy^R?. ViLL, INC. n
PROJEC7 NO.
85859
FILE NO.
FOLDER
.
.?_
8Y: ?iv.,? TERSO ? ?N? -
VEYOR
HA OLD C. PE, LAND SURVEYOR
MINPIESOTA LICENSE PJO. 12294
BOOK / PAGE JAMES R. HILL, .INC.146/4 "
Planners / Engineers / Surveyors
Bbomington, Ma 55431 872-884-3029 •z
8200 Humboldt Avenua South:
La
?
O
()D
?
;
?
30
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117479
Date Issued:10/18/2013
Permit Category:ePermit
Site Address: 4760 Burr Oak St
Lot:3 Block: 1 Addition: Oak Cliff 2nd
PID:10-53551-01-030
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 .
Matt Czech
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 -
Richard W Berg
4760 Burr Oak St
Eagan MN 55122
Pineview Builders Inc
2201 Lexington Avenue N, Suite 100
Roseville MN 55113
(651) 489-3696
Applicant/Permitee: Signature Issued By: Signature