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3191 Red Oak Dr`Z - (s Zk SEDGWICK HEATING & AIR CONDITIONING CO. TEST HEANG RECORD JOB NO. L?`33? 5 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 ADDRESS :31I' REf) OAKS .Vi` CITY C' VfI /LI OCCUPANT U SOLD BY 54- D Cj V-),C L-1i INSTALLED BY S,F 1) GL-QF C ?< MAKE L-? ? N a X MODEL l,20(2 -3 E- SERIAL NO. _:5 q 33(-{ J INPUT -15 ? 060 THERMOSTAT 51- .n C, w I C 14 VENT SIZE VALVE LIMIT _ C) LIMIT SETTING I 6C) FAN SETTING --ri OWNER 5I1A(Ylrzoc u 6V,Z,()6r? S 14 /t TYPE OF LINERW/i LINER SIZE III 41. FILTERS: SIZE NUMBER WIRING PILOT TYPE L ) F??'?C1 U 1 C 7EST TAG IGNITION MODEL PILOT TIMING -71:N S 7 fl0 1 PRESSURE PERCENT CO2 INPUT CFH ?J PERCENT OZ ? LIGHTiNG INST. DATE TESTEQ ? COMPANY TESTING ?& D ?7 V? ? V STACK TEMP._???J ? PERCENT CO ? NAME OF TESTER 'r)P D W 1 I=-LL _ 50 A ! L FORM 235 IREV. 17189) FORM DISTRIBUTION' NMITE COPV - JOB FILE VELIOW COPV - CITV . . t . . - . =Y _ 4. - • ? - F' l 1 ati*ficate of cccuvanc? (Fiti) of CFagatt ??? ? enaing 3x#0"aft ? This Certifrcate issued pursuant to the requerements of the Urtifornt Brailding Code certifying that at the time of issuance this structure was in compliance with the various . orriinances of rhe City negulating building construction or use. For the following: SF DWG 203345 use cussirxw": sm& Penuk No. vlq ? B? SHArLROCR BLDR??N??? A? 3200 S? . . suua;ng naamss Localiry 05/04/Q3 nare: su;Ming off wW POST IN A CONSPICUOUS PLACE CITIf OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• IN5PECTION RECORD PERMIT TYPE: Permit Number: Date Issued: • ? PERMIT SUBTYPE: .. ?APPLICANT: I l,t' INI TYPE OF WORK: fJf El tIlf I 1 I • 1 frr.? '? 0 '1 14 Ap' c?.? /.i,, /<?•z INSPECTION , . ? ., DA • ?a . .. D• ? i ; . ? i ? . . ; ? ? . r i 1 I f • ? . ? ! i • ? I Isf MAiib `,: `.i b 1.1 {'I IiF.' 1'l YMiI1l1 Ci I'1 Itc ? a 1Qj? Permft No. Permft Holder Date Telephons i S/1N PLUMBING ,?r.c_ ,? , ' ? [ x S /D?r1 ??,33- ?.?5• ? HVAC ELECTRIC. t ECTRI ? 4nopection Dats Insp. Comments Footings I Yl?v 61-a`3 Foundation Freming Roofing Rough Plbg. /-zi Rough Htg. /r14 Isul. Fireplace y ? ? ' % a l v Final Htg. 5-y_g3 - c?., e ev he? ?mm ? o?sat rest c A, ct ? Finel Plbg. _ ? 3-?3 inspector o i P m 4 Const. AAeter EngrJPlan 8ldg. Final Dedc Ftg. Deck Final Well Pr. Disp. ; Address 3191 RED OAK DRIVE ZiP 5512 1 IAt Z Blk 9 Sub BUR OAK HILLS 2ND THESE I1'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 05/04/c)3 Yes No Inspector: Final gtade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded grass TraiUwtb damage ? Porch ? Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of warer supply to the outside lawn faucet before freeze potential exists. ContaM engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contraclor Copy E) REQUEST FOR EVCTRlCAL INSPECTION ?.8e9 insimclions br completing ihis form on back o( yellow copy. _ X° Be/ow Work Covered by This Request ra ?? ee.oooo? ? ew Adtl Rep. Typeof8uilding AppliancesWired EquipmentWired Home :• Range Temporery Service Duplez+; Water Heater Eleciric Heating Apt. Buildirig Dryer Other-(Specity) Comm./InduStrial Furnace Farm Air Conditioner Omer (specify) Compute Inspection Fe'eBelow: Convacmr's Remarks: ' A Other Fee N ServiceEnvanceSize Fee M Circuits/Feeders Fee Swimming Pool 0 to 200 AmpS - ? 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs _ inspecto.'s usa omy: TO7AI. Irrigation Booms ? Special Inspection . ` Alarm/Communiration THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTNS. I, the Electrical Inspector, hereby Rouyn-in ? osie?` certifythattheaboveinspectionhas been made. F?„ai oa?e OFFICE USE'JNLY w This request witl 18 manths fmm L - U u ?3 r 5-: /? ?,e / ? ? Req gat Oat4 Fire No. Rough-in Inspection Requ tl9 ? ? Raatly Now ?p Will Natily Inspecl0r 3.?$LiI4 ?.?y ?, No When ReatlY? 1ZAt6ensed contractor ? owner hereby request inspection o1 above electrical work at: Job AOtlress (Street. Box or'ROUie Na.) . Ciry q eaA ?Y. n Section No. TownsqipAeme or No. Penge No. Co u nry - ? ,??/ .? OccoOantrPRINT) Phone No. ro ?-,: d Power $upplier Atltlress QI?dJ ? Eleancai Comracmr ICompanyNeme) ? ? Conveclorg Gcense No. r r ? s;?lt aY?isra 1 1 18-? 3 Mailing AoOress ICOnlractOPOt Owner Making Instellalion) 40 tJo r?otS mfl1 D5443 Aulnorizea SlgnaWre ?COntra?toriOwner MaNing Installa(on) Pnone Number v . p'_M ?Ol.? MINNESOTA STATE BOAflD:OF ELECTPICITV THIS INSPECTION REOUEST WILL NOT Grlg9a-MlEway BItl9. - Roam S173 BE AGCEPTEO BY THE STATE BOARD 1BT1 Unlvarsity Ave.. SL Peul. MN 5510G . UNLESS PROPER INSPECTION FEE IS Phone(612)602-0800 ENCLOSED, REQUEST FOR Ell.ECTRlCAL INSPECTION ?""??q ee-oocm-o ? See insimctions Ior completing Inis foirn on back of yellow copy t 8? i M35853 r X" Be/ow Work Covered by This Request ?: e ActB Rep. TypeolBwltling AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater ElecVic Heating Apt. Building Dryer load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner OtM1er (syecify) Conirector5 RemaMS: Campute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Cirwits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps ? Above'fo0 Amps $iJnS . inspector's 11se Only: TO AL ^ Irrigation eooms 0115 29 Specialinspection Alarm/Communication THIS INSTALLATION MAY BE DERE DI NECTED IF NOT Other Fee COMPLETED WITHIN 78 NTH ( I, ihe Electrical Inspector, herehy Rouqn-m oale certify that the above inspection has been made. F;,,,i OFFICE USE ONLY ? This reQUest voitl 18 montns irom 73520 85? 4 ReQUest Dat? Fire No. Roagh-In Inpsection Requiretl (VOU musl wll inspecl en reaEy) ? Vee N. I p tlon Otner Tnan Rougn-In qeedy Now ? Will Natity Inspeqor Dele ReaE $^' censed contractor F) owner hereby request inspection of above electrical work aC Jab Adtlrest/reetg ox or qoule No ^ ? 3 %:-? ?...--- Gry & Setlion No. Townsnip Name or No. Range No. Gounty O? OccuPan:IPRINTI ?l? e? ?? ?r l ? Phone NB.? 7- 9/r 6 Power Supdier tlaress Elecintal Iram' (CO??ame)???/? t? ?_+ Conttay?prSLienseNO.74? G 1 Matlmg Atldefs ComIrect r o? O ner Bking Ins Ilation?'S /? C ? l Authorixetl SlgnaWre tCo vact ?O er Making I^siallelion, 2 Phone Numpe?Q ? 0 MINNESOTA STATE BOARD OF ELECTPICITY THIS INSPECTION REOUEST WILL NOT Griggs-MlUway BIEg. - Raom S473 BE ACCEPTED 8Y THE STATE BOAFD 1821 Univenity Ave.. SI. Paul. MN 55109 UNLE55 PROPER INSPECTION FEE IS Vhone(61])89P-0800 ENCLOSEO. RESIDENTIAL BUILDING 01 _ . L(J Permit Application City Of Eagan 3830 Pilot ICnob Road, Eagan Mn 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 f 7b. oD I; (P 1LQ 103 New ConsWClian Reauirements RemodeUReoair ReauiremenGS Office Use Onlv 3 registered sile suneys showing sq. h of lot, sq. fL of house; and all roofed areas 2 mpies of plan Cert of Suney Recd (20% mazimum lot coverage allowed) 1 set of Eneyy Gakula4ons tor heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addiGons & decks Tree Pres NotReqd iselofEnergyCalculations AddPo'on-indicatei/onsdesepfksysfem _On-siteSepticSystem 3 copies of Tree Preservation Plan if bt platted after 717/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less uniffi D t 4?7 / 21 ? C i C a e - onstruct on ost SiteAddress Unit/Ste # Description of Work Multi-Family Bldg _ Y?N Fireplace(s) _ 0 _ 1 _ 2 Property Owner j Tel # ?9 7- V 2 Contractor Address Cirv State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Careeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code WoAcsheet (J su6mission type) Submitted Su6mitted • Energy Envelope Calculations Submitted Licensed Ptumber Telephone # ( ) Mechanical Contractor Telephone #( ) Sewer/Water Contractor -Telepho ° ) ?? ?i? U ??,? I hereby apply for a Residential Building Permit and acknowledge that the i??r?fa?t`io??n i?s complete and accurate; that the work wiil he in conformance with the ordinances and? es?nf-.f _?€.?iLy_a?-s?an and the State of MN 5tatutes; I understand this is not a permit, but only an application for a permit, and work is not s rt wi ut a permit; that the work will be in accordance with the approved plan in the case of ork which quire a r v and approval of plans. ? ApplicanYs Printed Name Appl' nt's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 04 02-plex ? 10 OS-plex >K 18 Deck ? 23 Parch (screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous Work Types ? 31 New ? )r- 32 Addition ? ? 33 Altera5on ? ? 34 Replacement Valuation 9- i 0G,90 Census Code N? SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ?pL Footings (new bldg) Footings (deck) , ? Footings (addition) Foundarion Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Zoning CityWater Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS FinaUC.O. ? FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Smcco Stone _ Windows (new/replacement) _ Retaining Wall ? Approved By ! Z , 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 . 1 ? 30 Accessory Bldg ? 31 E#. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 37 Demolish (Bldg)' ? 43 Reroaf ? 46 Windows/Doors 'Demolition (Entire Bldg) • Give PCA handout to applicant Occupancy A-7---a MC/ES System #Q F? ?? ?O ?_ ,7d NT INC. Scale: / " -34' Date: Z/9/93 --N89°S/'98"E - esc.? _ ... Houre Type ` Wa/Roat (S.E.? I S 4? \ P.yo. G'ar. F?oor F/er : 890 4 t/ j \(?J . - Prop. Tep of = ? ? `4 88? vr..,eetion E/ev.: 8qo.7 ? r l J i 8y4 ? e?. (owft? f/oor N ? B "28._ E/eJ. s 881,7 41- 4 .O prup. W4cKOUr L-"?ey.= 80?.0 4/- Prop .1 v Nouse olnoye and Ulilily Easemenls dre shown Ihus, 5 5 ' 1 1 % ?1 ? I s33 89e.i H.6? 9.a? 10 I \ 0 ? \ f' 561 --J -- 4? 8 l1 --SB.59-• ` I 9g9 M tl9o.; A ? o o , eas_c, N89 ° 28'OO"E ? M - T/C _..- . --- --- -40- _ ?r Job No.: 6559 Boak/Page: Sj/sf o Denotea iron pipe set rith a plastic plug stamped RLS 8194 or 13057. *Denotes iron pipe found. LBfh set 9D61o1q. Corners Bene hmor/E = 897. 08 , T. A/. H. ,Poi/i;r9 Oiive.Lo;es 1r150/ocA- S ?--b'8f.2 Dcnotu FxisEin9 E/ei/. eeb.o Deifotes ProPnted f/cv. DenetCS Sur{acc Dra.noye. 95. 00 - - ? E I 2 ?s V I i 2o.L7 YS. A ? J U ? O°P ` k"q T ? 7 4 -95.001-- " 1- ? \. ? ? ? 41 ?l \ i 44 h ? \ 0 -1 / / ? Z _ RED OAK OR. L ot 2, Blk, 9, Bur OeA' Hi//s 21rd Additiort, Dod'ota County, Minnesotci N I hereby certify that this survey was prepared by me or under my direct supervision, is correct to the best of my knowledge and helief, aas executed in accordance vith the current Recommended Procedures For The Practice Of I.and Surveying adopted by the Minnesota i.and Surveyors Association, and that I am a duly licensed Land Surveyor under Che laws of the State of Minnesota. Tnis certifica[e shows the loca[ion of a proposed building, as staked 6y us, on said land, elevations, and the Iocation of all visible encroachments, if any, from or on said land. iro lia6ility is assumed except to the client for whom this survey was prepared, his heirs, and assigns, and said liability is asssumed only for Che actual cost of this survey. JOHN OLIVER & ASSOCIATES, INC. -- „ ? _..-`._._.... r??'?;A? ?NGlN?F.htI??G Uk f3y: y n P. Caswell, I,and Surve or Minrtes ')ta License No. 13057 Date: 210193 IOHN OLIVER & ASSOCIATES, WC 560 Dodp Arenu. EIk Rl.er, Minnmu .SSl30 (611)441•2017 (Fu)1113665 cate of Survey for: MROCK DEVELOPMENT, Ci.il En6iMedy Lnd Sarvryin6 Lmd PbnninR RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 Q' 651-681-4675 New Consuuctlon Beaulrementa • 3 registered sile surveys showing sq. N. of lot sq. fl. of fwuse; antl ?II roofed areas (20% ma)umum bt Cmerage albwetl) • 2 copies o1 plan showing beam 8, window sizes; poured found design, ete.) • 1 &at of Energy Calaletlans • 3 CopiBS ol Tree Preservali0n Plan il lot plelled atter 7/7193 • Rim Joisl Detail Optbns selectan sheet (bWgs wAh 3 or less uni4¢) DATE SITE ADC NPE OF APPUCANT pemodeVHeoair Fleaulrementa • 2 copies af plan • 1 sat of Energy Calculations for heated addaions • 1 site survey for exlerar addttions 8 tlecks • IMicate il hane served by septic system for add'dbns VALUATION STREET ADDRESS 3(06 pwg-? LA a.? CINLJ'? TELEPHONE #62Y-0571 CELL PHONE #??d FAX # A?1' ZIP S??/'j PROPERTYOWNER `?6A I'F??.''.?.I Dr?1OGR TELEPHONE# 6?'74if-1-911y COMPLETE THIS SECTION FOR %%NEW^ RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) . Resitlential Ventilation Category 1 Workshea[ Submitted • New Energy Code WoAcsheet SubmiiteQ • Energy Envelope Calculations Submittad Plumbing Contracfor; Plumbing system includes Mechanlcal Contracfor: Mechanical system includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery System Fee: $90.00 ?? 111 It II' ? .It1N 0 5 'l_i:fl2 'j °-----°---------------°--°--------------------------------------------------------- -----°---°--__?-LL:-*---°-- I hereby acknowledge ihat I have read this application, state that the information ?d agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances, Signature of Applicant o?e? Y...... ............ OFFICE USE ONLY Certificates of Survey Recefved _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths ??0')o f q AULTI-FAMILY BLDG _ Y LC N FIREPLACE(S) _ 0 _ 1 _ 2 Phone M OFFICE USE ONLY ? 07 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 011-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteratbn ? 37 Demolish (Bidg)` ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicarH Valuatlon Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundetion HVAC Draiu Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stonc _ F'veplace _ R.I. , Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Suroharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT cg /,3g-) PERMIT TYPE: Permit Number: 0 ,10'i :3 q Date Issued: 0 ? / ? 2 ( y ; SITE ADDRESS: °.S4N.e 10-15501-028-09 31.911 REu oAr: oR LOl": 2 6LOCK: 9 BUR OAK HTLLS `LND DESCRIPTION: 'Euildiiag permit Type SF L1WG " du;!dingWor4 Type NLW UBC Uccwpari?cy ft-3 M-1 Construct:ion 1"Ype V--iV i'Zoning R-1 6uilding Length 61 Bcri}.d.ing W.S.dth 48 ? ? ,. , i ? '-.,? t,? ir 1? ? j,l" ? - ?' i; REMARKS S & 6J PLBR - PL.YhI0L1'I"bi PLfdp FEE SUMMARY: Base Fee P,l.an Review 3urcharge SflC SAC a 5AC Units Subtoral VALUt1TTi1N $672.00 $!!!l870 $55.50 ';750..0N 100 $1 924 .20 $11,1.,oUo MLSCELlHNEOUS 1'oliel Fee $3,668.70 CONTRACTOR: - Applicant - ST. L:t'cOWNER: ShIAf4ROCK BLDRS 1NC 143542i4 0001425 SHAMfZOCK t3Ll)R5 LN[; 3200 ?? NW MAIIV S7 300 3200 P1ATN S13Pm COON RFIPTD5 MN 55448 CC70N RAPIOS MN 65433 (61`Z) 435 -4 2%4 (6 7.:)435-4274 T hcrehy ackrrowledqe that. I have reod this application oncl sL,1re '.Fiat information is corr?c' and aqree *o comply w'.th a:' a'r) p lir..?+1 lv et•le o( Mn. SCat.utes and City oF Eacj.in prdinance5, ? ? APPLIG ITE IGNATURE ISSUED B. SI NAT E - REACTIVATE PE'RMIT` !i ? lomd CITY OF EAGAN ?-? ? L'? •'l'? 1993 BUILDING PERMIT APPLICATION FEB 1 2 RECO 681-4675 rAL DJgd,?-1I SINGLE & MULTI-FAMILY 2 sets af plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lat change is requested once permit is issued. Date Valuation of work \\SZ ?ZZES Site Address: SiREET SUITE 0 Tenant Name: (commercial only) LOT ol BLOCK SUBD7?,1<' P.I.D. Descri tion of work: The applicant is: ? Owner Ia.Contractor ? Other (Descri6e) Name Phone Property LAST FIRST Owner Address STREET STE k City State Zip Phone 43=J-IIVZS ? Contractor Address?-??O ??Nx?o License #do???ra5 Exp. City C_s?cs? ?2Q??'?-5 State rnH ZipSrJ?33 ?? Company????\? Phone ArchitecU Engineer Name Registration # , Address City State ZipZFS\?A 114 Sewer & water licensed plumber Processing time for - sewer & water permits is two days once rea has been approved. ? I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: k- ? v ?- OFFICE USE ONLY BUILDING PERMIT TYPE ? Oi Foundation -?Z 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 WORK TYPE JR 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION . , . ? . . ,; ? 11 Apt./Lodging *?1B$S,k*;F9nish ? 12 Mu1ti. Misc. ff17 Swim Pool ? 13 6arage/Accessory ? 18 Comn./Ind. 0 14 Fireplace O 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish ? 36 Move Const. (Actual) \!-N Basement sq. ft. MWCL 5ystem Yes (Allowable) V_rd lst F1. sq. ft. City Water ? UBC Occupancy 2nd F1. sq. ft. PRY Required 2oning Sq. Ft. total Booster PumP # of Stories Footprint 5q. ft. Fire Sprinkler Length On-site well Census Code /pl Depth On-site sewage SA?C? e? o/ APPROVALS Planning Building ps Assessments Engineering _ Variance REGIUIRED INSPECTIONS ? 3ite ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units Yelistim: $ 111 QaJ r GAe??, 31 X?y = '14y 2X I I= C2 2) 65n1T; 2zX !b= 11552 N 36= 10 69, 83 X 1'5= 16, 3> I?D?% I 5- 21 1.2 0 ? IsT FLooa: $SM'iT= ?r?,ESiX??S 1u6kx53 q'? ?5q I loj?.bN 0 Certificate of Survey for: SHAMROCK DEVELOPMENT, INC. 0 Job No. : 6559 Book/Page: 53174 Scale= /":30' Date: Z1919g o Denotes iron pipe set with a plastic plug stempeci RLS 8194 or 13057. • Denotes iron pipe fourd. L81h s e t@ 61dy. Corners Benchmark = 897.oB1 7-A6H. .Pw/.iry N//s Orive:Lefs Ir/g B/ac'f S ?-88f.z Denotes FwisEin? E.?v. e86.o De?fotcx /?roPased E/cv. ?-- Qeiretcs Sur{acc Drnihap? --N89°S/'48"E--95.00-- _ Houre Type : Wu/kout (S.E.) Prqo. Car. fhar E/ev. = 890. 4 t/_ Prop. Top of Fvunect?on E/ev.= 890.7 y- I'veP, (ewssE F/oor E/e.+.: 882,7 j/ Prup, WAlKOU7 ELLY.% 80'7.0{I- Drainage and UHlily Easemenls ure shown Ihus, I--J I gc-' r o Q ? 886.1 _ ? \i ? i i ? ? ? 8g54 OBy. 28. 96 - ( - 20.0 ? \ _ - _ _ _ - 46.0 94 \ M $$ i House N qy qY49 ? Lo ?? r R ?fs? a h Y1 ? ssa 99. • ? 890.1 /4.L1 9.33 10 \ qs y ti N w o p Is6 a0 ?{? ? 7.i> .m.bl m Q Lo.c7 $bqb, u y' app 840; J? 5? h 1n 890.,2 ? t m 1 M 9.2 1 O Q ?oa9. ? --n?a9°za?ao'EE-95.OOI-- " M T?c / / M RED OAk' OR. ? - - - ----?- N Lot 2, 614.9, Bur OQk Hi//s 2nd Add:tio.ti., ZaKota County, Minnesotct I hereby certify that this survey was prepared by me or under my direc[ supervision, is correct to the best of my knowledge and helief, was executed in accordance with the current Recommended Procedures For The Practice Of Land Surveying adopteA by the Minnesota i,and Surveyors Association, and that I am a duly licensed Land Surveyor under. Che laws of the State of Minnesota. Tnis certificate shnws the location of a proposed building, as staked by us, on said land, elevations, and the location of all visible encroachments, if any, from or on said land. ivo liability is assumed except to the client for whom this survey was prepared, his heirs, and assigns, and said liability is aSSSUMed only for che actual cost of this survey. JOHN OLIVER & ASSOCIATES, INC. B? 8a$C3Al1d XNGINEERIIdG? DEPT 13y: y n P. Caswell, L2nd Surve or • Min es ta License No. 13057 Date: z/6/93 JOHN OLIVER & ASSOCIATES, IN( $80 Dod6v A•.nva Elk Rirsr, Mivawu 55990 (ei2)44I-xovx (r.4u i-sess CHII En`ineerin6 L.nd Suneyin6 L.nd Pl.nning LOT •IIROLY CSECICI.IBT .lOR REBIDEIiTI]?L ? SIIILDI1iG pERtSIT ApPLIC]ITION ? PROPERTY I GllLt 'g0'4' Date o! .ur?.Ys 21 ?LQ 3 ?Q?ENT BTaND nna 0 0 [i` o ? • • Reqistered Lnnd Surveyor sigaaturt and company O?G ? • Building Permit 7lpplicant 0 ? 0 • Leqnl descriptioa Address 6? 0 0 B?n 0 • • North azrow and bar scale • House type (ramblar, walkout, split v/o, split sntry, lookout, etc.) ' 0 0[?D • • Directional drainage anows with slope/qradient =. 0, 0 0 • Proposed/existinq sewer and water services 2'0 0 • Street name Driveway LLEVATIONB Existinv D e13 • Sewer service Q? 0 0 C(? 0 • Lot corners 0 ? 0 0 • Top of curb at the driveway . • £levations of any existinq adjacent homes 4rocosea I?n 0 • Garage floor 0r D 0 • First floor v 0 0 0' D D • • Lowest exposed elevation (valkout/vindow) ? 0 D • Property corners Front and rear of home at the foundation pQNDSNG AREAS (;f awwl2.waAte) D Q? 0 • Easement line 0 0' 0 • lawL 0 0" • HwL 00 • Pond N desiqnation D 0 • Emerqency Overllov Elevation L"'0 0 • airtsxsioNe • Lot lines ? 0 0 d n • Riqht-of-vay and street vidth (Lo back of eurb) 0 • Proposed home dimensions includinq any proposed decks , overhangs qreater than 21, porches, etc. (i.*. all structures requiring permanent footings) . Show all easements of secord and any City utilities within d those easemer,ts 0 p , Setbacks of proposed structure and setback oi aajacent 0 ? existing homes 0 • Retaining wa ir ents, if any • Reviewed: 17 October 1992 Name / Date • , . ' ?IGGLL/Ly ??l//UiILIG. (ILG. 0 ; 14750 Galaxie Ave. Suile 104 Apple Valley, Minnesota 55124 (612) 432-2044 , ,• EJC?'ER_TOP. ENIEI.OPE aVER1GE "U" COYE'UTATION` rr Y.. ? r., L.sZiN" odF-.-?Idfhrotr2ocl? °rL\T NTLmER 9-Zzz ?iua ??? RS Deter.nine worki: g, square footage of each i. Total earoosed wall area...... Zg('3 sq.ft. Y, .11 - Z70, 3 2. Total roof/ceilir.g 2rea........ jqjC, sq.ft. X. .026 3g.37 Total exposed v;all area above iloor = ZZ?? a. Total *.rall wir.dow area . . . . . . . . . . . . . . . . . I q3 b. Total door zrea ........................ 3(0 c. Total sliding glass door area........... ? d. Total fireolace wa11 area ............... - e. ?'ot21 wall fra*ning area (average 10 %) ... 7?Z7 f. Total net ,,rall area above floor......... g. Total rim ,i,oist area .................... In9 Total exoosed foundation area = 73 n. Total founc'atior.z•:indow area............ - i. Total net, ±'oundation zrea above grade... Deter.nine "U" value of e2ch i•rall seF-nent a. ??13 x TlUlr .52 = 79.h b• ?i- y, liUir .139 = r?_ c. _ 7c, y "U" .52 d. X "U" .68 = -? e. 227 x liUtl .096 = Z ?, f. ? $9 X irJii .043 = -76, • 9 9• IOq x "U" oLl = q,cl h. X 'fUn . S2 = i• P63 X "tT" .032 3. `ro?',?L .......................... Z Ii itesr, #3 is the sar.;e as, or les s than item 21, you have met the intent of SHC 6006 (c) 2. _i_ i ? Total exposed :oof/ceiling area = ?r Total gxross rocx/ceiling area ,• j. Total siylight asea ................... - , k. Total roof/ceiling framing area....... I/ ,4 1. Total net insulated roof/ceilinp; area. Zg • Deteymine "U" value for each roof/ceiling sca7nent j - I x vUn - Y. _ ?I; ? • (? X "LT" .024 1. ? X "II" .022 4. 'i'OT'?S.............................. ?j Z Tf total of #4 is the sa*qe as, or less than #2, you r.ave met the 3ntent of SBC C006 (c) 1... To utilize t?e total envelope systen method, the values established by the sk^n of j.tans #3 and N4 shall not be areater than the stm: oi itens 81 and #2. 1. + 2. _ 3. +4. _ Ma,te:ials Ther,nal resistance "R" Exterior ?r......... Siding material...... SheathirL?.............. Insulation........... Sheetrock............ ` :nterior air......... Studs ............... F,im ................. Concrete blocks...... -2- 3 'oe . PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WI-IEN PERMITS ARE REQUIltED FOR EACH UNTT. NEW CONSTRUCTION Z ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE . FEF-S HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (Mnvuvtuivt i@ Ss.oo EaCH) ADD-ON/REMODEL (Eacis'rIIVG CoNSTRUCTtON) $ 20.00 STATE SURCHARGE TOTAL .50 , a? SITE ADI?RESS: 3 I F 1-R.a oa.6- `Dn • OWNER NAME: TELEPHONE #: t,8-)- `li Lt `j ? ANO AIF CONORIONING Cp, CIT'Y: STATE: ZIP CODE: TELEPHONE #: / v ? ) SIGNA URE OF ERMIT'I'EE Ar 1994 MECHAIVICAL PERMIT (RESIDEIVTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMNIERCIAL?INDUSTRIAL BUII.DINGS. AL50 COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTT-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF qtFEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF "I-.:<`.? FEE. ?. TOTAL $ STTE ADDRESS: OWNER NAME: TELEPHONE #: TENANr NAME: (IMPROVEMENI's oNL7) INSTALLER: 1 ADDRESS: CITY: STATE: ' ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMTT (COMMERC7AL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLET'E FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AIdD CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES EACH TOTAL i SHOWER 3•00 . ? ? a WATER CLASET 3,00 " - BATH TUB 3.00 ? ? ? LAVATORY 3•00 f) ? KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 9, (^D NOT TUB/3PA 3•00 WATER HEATER 3.00 I FLOOR DRAIN 3.00 g ?n I GAS PIPING OU'CLET • minimum- t 3.00 °•!'7 _ _3 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. - nekcry. iic. 15.00 U.G. SPRINKLER • nome under consi. 3•00 ALTERATIONS 0 to adsung 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: STTE ADDRESS: KcGt- 0 d-L- OWNER NAME: fA1. L2w.Y,.J A??,,Oaj75 SIGNATURE OF PER ITTEE 1993 PLUMBING PERMIT (RESIDEIVTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CITY: fl1b-(7ILQ-trrvJ PCI.JLIL STATE: ?l t 1 ZIP CODE: .? PHONE PLEASE COMPLETE FOR ALL COMMERCLALdINDUSTRIAL BUILDINGS. AISO FOR MULTI- FAMILY BUILDING3 WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. _ NEW CONSTRUC7'ION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FEE: 1% OF CONTRACT FEE. STATE SURCI3ARGE: SSO FOR EACH $1,000 OF F=Mrr FEE. MINIMUM FEE $ 25.00 CONTRACT PRICE X 1°/0 $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CIT'Y: YHONE STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1993 PLUMBING PERMIT (COMMERCIAI.) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CITY OF EAGAN FOR CITY USE ONLY 3830"PIIAT KNOB ROAD EAGAN, I1N 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # .5 DATE: 9 ?- MSIApqM PLEASE COMPLETE OPPER PORTION ONLY FOR SINCLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ------------------------------------------' WORK DESCRIPTION FEES NEW CONST d :?4`m? ADD ON _ REPAIR ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT DWELLINGS & $15.00 24.00 - 6.00 3.00 OWNER NAME: ???D/& 41/W4o '' SUBTOTAL: $ r.?c? SITE ADDRESS: J9Iei1 Pa /?JD.?.? STATE SURCHARGE: .50 LOT: r>C. BIACK 9 SUBD. TOTAL: $ oZ?•e?D INSTALLER: ADDRESS: N_;.Ti;'3 G%:`? CO''GtTIC?tI?JG C0. SIGNATURE OF PERMITTEY /yy?L c?. CITY: MINNEAeO,?onnnN IP: PNONE #: COMME#tGZAL?TNDA$Y'ltIAI.;? PLEASE COMPI:ETE TriTS .PORTIUN FOR AT.L CO?fHEnCSA;./INDUSTRIAL BIIILDINGS, . f...., ,. . . „ APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEYARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. -------------- °-________---°-------°------______-__------°--°-_______-__---- CONTRACT PRICE: FEES OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR:' '. . , CITY OF EAGAN ZIP: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 :4I.I-It:iJ:". FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: $ - (SIGNATURE) Date: City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 F :COW) Permit #: Permit Fee: Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION 1/451° 9 Site Address: 31 i ( 40/ �� '✓ Tenant: 41 dI 2-// Gl % Suite #: RESIDENT / OWNER Name: a\a-efrte-d g- - rlA 4 5-4 Address / City / Zip: 3 (9 ? ,*& d 0 i1- ,z.)2 Applicant is: Owner Contractor Phone: (,5-( 226 3 93 TYPE OF WORK Description of work: )01,-1 0/GlCt1- Construction Cost: 3605 Multi -Family Building: (Yes / No ) CONTRACTOR Name: -TwrAI C /Ty .00uJ Address: 2-1 S 0 ( fv,e5Tek" v f2 License #: City: O (CO rlx q State: eV( !" Zip: 5-.5 31( Phone: f0 (2 2 5 i ,g 2 I Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (I submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting' documents that you submit are considered to be public information. the information may be classified as non-public if you provide specific reasons that world perms conclude that they are trade secrets. '. oriions o e:City to 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 +f pia s. x e -k Applicant's Printed Name PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA148843 Date Issued:04/25/2018 Permit Category:ePermit Site Address: 3191 Red Oak Dr Lot:2 Block: 9 Addition: Bur Oak Hills 2nd PID:10-15501-09-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Mohamed A Elmasry 3191 Red Oak Dr Eagan MN 55121 Dean's Professional Plumbing 7400 Kirkwood Court N Maple Grove MN 55369 (763) 428-1321 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164812 Date Issued:10/08/2020 Permit Category:ePermit Site Address: 3191 Red Oak Dr Lot:2 Block: 9 Addition: Bur Oak Hills 2nd PID:10-15501-09-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Mohamed A Elmasry 3191 Red Oak Dr Eagan MN 55121 (612) 308-7475 Rji Professionals Inc 6063 Main St Suite F North Branch MN 55056 (651) 674-5158 Applicant/Permitee: Signature Issued By: Signature