3203 Red Oak Dr
A - . ,4r.
W-ertcficate vf CccupancV
Cfitv o? ???
?I cut of !Sx"bk3 3a??ect;pn
This Certificate issued pnrsuaRt to the requinements oJ the Unifarm Building Code
cenifying ihat at the time of issuance this structure was in co?npliance with the various
ordinances of the City regulttting building constnsclron or use. For the folfowing:
use cimawauon- SF DWIG awg. eeffnit Na. 2426Q
ocmvmcy Typ, R3/M I zm;ng D4b;a R 1 ryW con5t. kVN
o.erorsa;tffi%a KYI" 1?M?S wadesi 17021 IrrqR Pn1NT Rl] W. PKICx2 i.AKf?
&rilding Addiess 3203 RM (L1K ilRTw Lmca;ty
? ? ??? ?' ?
-- ti- ?
eaaaing OffiCOL/
POST IN A CONSPICUOUS PLACE
.,
. ` CITY OF EAGAN
3830 Piiot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
?;tlh ??hk Ft 1 I 1 ,
PERMIT SUBTYPE: '
,1 10111
TYPE OF WORK:
,.af : i-i
???, ? i ?? ? ri?.?
?r.•?? .??:.•a
Htl l011 1()4
INSPECTION .• . ..
i ,.N I N?,
,;???tt I t? !•i 1:?? .???i?,?r ?;? ;? ! ?,
? ? fi, . ?•i 1??? ? c?i?+
MaRr, ;: ?. h LJ r I es?t 0 0' MECH
v
INSPECTION RECOIZD
PERM17 TYPE:
Permit Number:
Date Issued:
t., lif Ily t. APPLICANT:
1 ? . !,,O, ji.;i,
l b1.' i 4.10 91100
Permk No. Permit Holder Date Telephone #
S/W
PLUMBING 9 / eJ e9o^F.2r
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commenta
Footin9s I
Foundation
9/1 7)?q
Framing
[
Roofing
. Rl
Rough Plbg.
?
ROUgh Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Gr _?57
D .? J?;l Plbg. Inspector - Notiry Plumher
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
Address 3203 RID oeut 1xt Zip 5512?
I.ot , 12 Blk 3 Sub B1R oax [IDis
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: a(? ? Yes No Inspector:
Final grade (6" rom siding)
Permanent steps (gazage)
Permanent steps (main entry) ?
Pe[manent driveway V
Pennanentgas ?
Sod/Seeded grass ?
TraiUwrb damage
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the pWmbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exisis.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Residenl Copy Pink - Contracror Copy ?
(OL/71REOUEST FOR ELECTRICAL INSPECTION
O o. Sae insimctians tor completing ihis lorm on back al yellaw copy.
"X" Below Work Covered by This Request
EB•00001- 9
?
e 'Add Rep. Type of BuilBing Appliances Wired Equipment Wired
Home Range Temporery Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm.llndustrial Fumace Other (Specify)
Fartn Air Conditioner
Other(speciy) ConVacrofs Remarks:
Compute Inspection Fee Below:
# Other Fes # Service Entrence Size Fee M CircuitslFeeders Fee
Swimmin Pool 0 to 200 Amps ' 0 to 100 Am s S?
Transformers Above 200_Amps Above 100 -Am s
Si ns insPmiors use oniy: ? TOTAI
Irtigation Booms ?
?r
S ecial Ins ection
Alarm/Communication
?ISCONNECTED IF NOT
THIS INSTALLATION MAY BE O D
Other Fee COMPLETED WITHIN 78NT
I, ihe Elecirical Inspactor, hereby RouBn-in ? oai „
certiry ihat ihe above inspection has
been made.
F'nai ^?
oaoe r,
OFFICE USE ONLV
This requesl voPo tB rtwnihs irom
,. -iS4z
0027871 /.2 a,k
Requesl Date Fire No. Roughdn Inspectlon Requiretl
(Vo u ca
ll inspecta wtren reetly) Ins ecibn Ol?er Then ugh-In
? Reatl
Now Will Notlt
Iria
ector
y
p
y
es ?
V No Data Reatl
Ixiicensetl contractor ?owner hereby request inspection of above elecirical work at:
Job Adtlreu (Straet Box or Roul
e .) City
ao3
Setllon No. Township Name or No. Range No. Counry
Occupan (P iNn Phone No.
Powe S lier Adtlress ?
EI Viwl C treclor (COmpany Name ? Co ofs License No.
?_ Q
Mailing Atltlress ( Vacbr or Ovmer Making Instella?io )
i3
,
AN2ignaWre (COnlracto0 wner Making Inslellalion)
---- f1 .?
? Phone Num
6 ?e2-(' 3& Z/
MINNESOTA STATE BOAFD OF EIECTqICITY
GrlggsMitlway &tlg. - fioom 5428
1821 Univenity Aw., SL Paul, MN 55100
Phone(612)69&0800
THIS INSPECTION REOUEST WIIL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSE .
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Num6er:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo r: 12 B L 0 C K: 3 APPLICANT:
3203 RED OAK DR KEY LAND HOMES
BUR OAK HILLS (612) 440-9400
PERMIT SUBTYPE:
SF pWG
TYPE OF WORK:
NEW
BUILDING
024269
@SJ02/94
INSPECTION
FOOTIN6S i. .
FOUNDATION D.
FRAMING ROOFING
INSULATION FIREPLACE
RDUC,H IN PLBG ROUGH IN HTG
FINAL PLBB FINAL
REMARKS: S& W PLBR - D C MECH
?
-1
? „ ?
I? CITIf OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
??
zo
B U z/ ? ? V
024269
@8/02/94
SITE ADDRESS:
3203 RED OAK DR
LOT: 12 BLOCK: 3
BUR OAK WILL3
P.I.N.: 10-15500-120-03
DESCRIPTION:
BGilding'-,Permit 7ype
Building Wd.rk Type
! UBC Occupancy\•-,
? Gonstruction Typ.e
Zoning ?
; Building Length
? Bu3lding Width j
Building storzes
\ f'
_-
?
SF DWG
NEW
R-3 M-1
V-N
R-1
66
34
2
F? ?
ci \..?. \ ``...... ,
?'? `.. . ...
REMARKS:
S& W PLBR - D C MECH
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$720.00
$468.00
$61.50
$800.00
100
1
$2.049.50
$123,000
MISCELLANEOUS $1,828.50
Total Fee $3,878.00
CONTRACTOR: - Applicant - ST. LIC. OWNER:
KEY LAND HOMES 14499400 0001553 KEYLAND HOMES
17021 FISH POINT RD 17021 FI5H POINT RD SE
PRIOR LAKE MN 55372 PRIOR LRKE MN 55372
(612) 440-9400 (612)440-9400
I hereby acknowledge that Z have read thi
informetion is correct and agree to comply
3tatutes and Ci.ty of Eagan Ordinances.
_ y/PERMITEE SIGNA7URE
s application and state that the
with all applicable State of Mn.
/a5 c
ISSUE BY: SI ATURE
-j
1410
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
$33*N - QO
(?Pfid _? -I
SINGLE MULTI-FAMILY 2 sets of plans, 3 registered ????IfE? of energy
calcs.
COMMERCIAL 2 sets of architectural & stru tur?l??pl?an7s,?195et of
specifications, 1 copy of ener y_S?1G.?L___
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) lot change is requested once permit
is issued.
Date JoL.. /94- Valuation of work Gxx'? '-
Site Address:
STREET SUITE #
Tenant Name: (commercial only)
IAT I ?Z- BLOCK -51 SUBD.g017` CA4- ?iL'LiS P.I.D. #
Descri tion of work: F ?It4 L.E f7ArVYllL 4OYYIE
The applicant is: ? Owner ? Contractor ? Other (Deseribe)
Name Phone
Property LRST fIRST
Owner
pddress
57REET STE #
City State Zip
Company 1'lEg L..A"l> "F-S Phone '140"9400
COntYaCtOr
-R?
Address I-70Zl f?is#4 (pa AY RD. ?•License #??ai Exp.3'31
City 'FRID?. State MIl• Zip G505"12
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber ?. ?• ME440U11C•AL . . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree ta camply wit all app ic ble State af Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ?'?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 foundation 0 06 Ouplex ? 11 Apt./Lodging
El' 02 5F Dwg. ? 07 4-Plex 0 12 Multi. Misc.
? 03 Sf Addition ? 08 8-Plex O 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex 0 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'l. p 15 Ueck
WORK TYPE
p 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
0
y?**
w
? 16 Basement Finish
? 11 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) JIN Basement sq. ft. S Zo MWCC System ?
(Allowable) v i lst F1. sq. ft. d? yd City Water
UBC Occupancy 2nd F1. sq. ft. >S?i PRV Required
Zoning Sq. Ft. total Boaster Pump
# of Stories a
- Footprint 3q. ft. Fire Sprinkler
Length mT On-site well Census Code /a ?
Depth 3,33 On-site sewage SAC Code or
Census Bldg /
APPROVALS Census unit
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTION S
?.Site Ef Faoting fxl Framing 0' Insulation
0 Wallboard El Final ? Draintile O Fireplace
Permit Fee veiu.s;p,: $ )z
Surcharge '
Plan Review
License - . 2? ; s2,9C-?s, u1
MWCC SAC
City SAC
Water Conn. -r.-
Water Meter - P?z 72 ?
Acct. Deposit -
S/W Permit 7 ? jo
?
'
SJW Surcharge -
/c
j?„=
? z
Treatment Pl.
Road Unit
Park Ded. ?------
Trails Ded. ??' `
"
L
Cooies ,k5? _ ??YxS'i?_ Ja,:;? .
other
Total:
SAC %
SAC Units
?
* PIOAII
?e
wro wowvta- Lu+oswe .nanccia
625 Highway 70 N.E.
Blainc. AN 55434
(612) 783-1880 FAX:783-1883
Certificate of Survey for: KEY LAND HOMES
3203 RE D A
102.59 N89°5148 E ^- x896.9
? a o ?
RAINAGE Q UTiLIN ?7
I
EAS£MENf PER PLAT w
I (G I Ln .
y .
? I 89S ?2 O
687,3
1 ? 95.9 W
895.N . t6D2- 8969 5 1 ? 868.22 ? I 3
?? I ? r o 46A ?,i ?
N
? +I 892.4 pROPOSEO M o '"• ? `'
2QO HOl1SE N 'n M N Z
? N OAR. N 20.0
W
rt? AN 20 ? 26.0 ?QS`f918B7.2;? 1, t
0
BENCH MARK / ?72 (888.a) x887.3 ? . _.. ......??:•?19.3
p 8 87.3
-BENK
7? E 9
ELV 88784??
TOPCOF HUR
?? DRVEON'?A ? __ ?5 N ??E ELEV: 886.TI
ELEC. PED.? ro 5 r-- SEhVICE o PEA
o lNV.= '? - ; 8?
34.11?-'lit 52.70 -- o.-rv
865.5 Q_07° j4 C}?J N89°28?Q???E 883.5 PER .
eea.?R'-2`ae? a
EAGAN
REVIEWED Ep _ OAK ADRIVE
BY
DATE
PROPOSEO GftADES SHOWN 7ER GRADING PUN 6Y; MERILA A QSSOC_
NO7E: BVIIOMG OINEHSIONS SHONN PAE FON HOPoZONTAL /WO VERTCAL
LOCA71aN OF STRUC'NRES ONLY. SfE FRCHITECNAL PLANS FOR BUILDING
NJO FOl1NDA710N D1M6l90NS
N07C: CONTRACT0.R MUST VEWiY OMVEWAY DFSIGN.
NOTE: NO SPEQFIC SpLS WvESnGAliON HAS BEEN CWdPLETED ON 7NI5
l07 BY THE SUR`rEYOR, THE SUITA8IL1T' OF SplS TO SUPPORT THE
SPECIFlC HOUSf vapvoSFn IS NOT THE RESPONSBltl1Y OF THE SURVE'TCR
x ooo.m Oenotes Existing Elevotion .
( coo.oo ) Denotes Proposed Elevatian
-- Oenotes Drainage dc Utility Easemenl
- Oenotes Orainage Flow Dfraction
-? Denotes Monument '
-19 - Oenotes Offset Hub
2422 Enterprise Orive 2
Mendoto Haights, MN 55120
(812) 881-1914 FAX:E
7H15 CERUFICA7E DOES NOT PURPORT i0 SHOW EASFiAENTS
OlMER iNAN THDSE SHOYM ON THE RECOROEO PUT.
BEAWNGS SMOWN ARE ASSUMEO
-PROPOSED HOUSf EI FYATION
Lowest Floor Elevatlon: Sg2. 4'
Top of Block Elevolion: 090.5
Gorage Stob Etevotion: $5 8'
LOT 2 , BLOCK 3 BUR oAK HILLS
DAK07A COUNtY, IAINNESO7A
We neeDy cerlify thcl this curvay, plan ar •cqort wat preparsd by ma ar unda my 04oct saDarn A tnot i am aWy reqistvwd lla? r+eyo•
un,tsr thC ja?+y 0r Ue Skarc'ol Minnesoto. Oated tnia 12TH aQy ar_ dULY _n.o. t?. , /
i• 4PInNFFR FNGW?ERINd P.A.
Scale: 1 inch .= 3o feet
11
1 1 942,4.00
? , . LOT BURVEY CHECRLIST FOR RESIDENTIAL
w ? BIIILDING PERMIT APPLICATZON
w ?
PROPERTY LEGAL: =?
<
Date of Survey: Z//Z1
-T
? DOCUMENT BTANDARDS
0? ? 0 • Registered Land Surveyor signature and company
p? 0 0 • Building Permit Applicant
Cd?O 0 • Legal description
C-1?0 0 • Address
B-D (3 • North arrow and-bar scale
13--0 0 • House type (rambler, walkout, split w/o, split entry,
lcokout, etc.)
I?0 0 • Directional drainage arrows with slope/gradient %.
0?'D 0 - Proposed/existing sewer and water services
3?1i 0 • Street name
&' 0 0 • Driveway
BLEVATIONB
Esistina
0'- 13 0 • Sewer service
yJ'iCJ 0 • Lot corners
`:'J?,/ ? • Top of curb at the driveway
t'? ? D • Elevations of any existing adjacent homes
Prooosed
0--0 0 • Garage floor
lY 0 0 • First floor
[Y ?
? ? • Lowest exposed elevation (walkout/window)
?
9 0 • property corners
?
0' ? ? • Front and rear of home at the foundation
PONDINC3 AREAS (if aprlicaLle3
? 13 • Easement line
D 9? ? • HwL
D T-Z) • Pond # designation
0 ? ? • Emergency Overflow Elevation
DIMENSIONS
@'13 d • Lot lines
?
? 0 • Riqht-of-way and street width (to back of curb)
?
C7' 0 p • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring germanent footings)
,3 b • Show all easements of record and any City utilities within
l? those easements
Er
o 0 • Setbacks of proposed structure and setback of adjacent
existing homes
n Y6 • Retaining wall requ ents, if any
Reviewed:
Nam / e
October 1992
BLOCI
22 I/20 8" 8ZND
"?ATE VA VE -
/
/
?UC R
10
o
p FT , ??
? e,p
221/2° 6"BENO
? 3 NYD AR NT W!
? 8"x 6" TEE
I I
S Ot66.5
51.8'
877.0
\
- - - - ?-??i
8" x 8" CROSS
8 " GATEI VALVE ?
? 12 I 13
I S 0+29.8 I S 1+2?.1
46.4 45.1
' 877.0 875.5
313 .9.Lt44.9__
<
T? x-?d5.5
/ U
41.9.., _-51.4' - .11-- "98.7\u
8is D.I.F
g? S 0}33.9 l
aa.i'
a 7zo BL K?. ?
?a
2 4 6` G ATE VALVE
? v. -?--
`Q I ??COPPER W ER ,'
SERVICE (TY
\ 4°P.V.C. SAN ARY ?.'
SERVICE (T F) Ce
a [?
a 3 J' .31.1,
z I 4; S 0+59.5
? 40.2' MM-I
, 877;0 - -? DoEs
..OCATIO? .., ?
. ? ?.,G?CY OF (?ATA t? ?
- ?: IONS. 7NIS ? .i A0 cB
POSES
MATCH LINE SHEET 12
/j
5
SE
PL
SEE RECORD l? D LJAK
PLAN 1387 U 1\
V? ??+D-GE
u7 +N
4o 00
00 I co
(O
?
FOR FUFtTHER INFI
OD
M
?
W
tU
P R D.P.Q S.E Q!i-.
, 0+60 END
i PNASE I
?
?
i
_f t _ ....._..........
,.?8°-/dI IIlOPVC ' 0 0.9-4921o
_.t .`. .__ .. ... . _ _
?
0
}Z.:.
w
m:
M'
?
+
g ~
IC) CD
+ Z:
?
}
?
?
N
1
12..RGP.... TQRM. .SEN!ER ? _ ; ....._._ ._.
0.3:6%
g" P.v.c. (M e-4e% _ f
GRADE ' .
' PIPE
C.
$?? ?J.G...g1F5 1 ?
12" RCP : STORM SEW£R
J ! ,.t ?.6"...QI.P BLOIE' WM LOWERED
# SAN SEWER
_
?
?
.
? : ?
.. W
.. . .... ... _ ..
. . _ . . .
.....
?
. ... ... .
... _ .. . . , ?
i LLJ
?p (t?,?G/..
5iV1 QF UT11_?1Y
...._PUR?.iC1:LS m p
X
a : :USING IT Si10ULG w
?w
w:
,.._ ?.. --
C'ON OiVTFf`:ciTE.
m?
?
2 + '- ?.
?
.
..._ . ......................... ...... . _ .._. ... .
.. .
._...... _
? . . ? ..
. . _ . _ . . . .....: ...
..4t,.. .?. .
.
(.
. >
i?. ..._ .......
? . , N ?
.O
fn
ap Lei M ti Lr) .
QJ W . m
?, > N ui :
t; z
. T.0 AIQ. ..
CONFLICT
?
'
'
'
'
'
'
'
'
a 5 4 3 ?
nnir:_ 7-2b-f14
?owriE?t'; ----..._?_...-----?---
5?T: ADDRESS: Ph:ONE: 440???6c)
COYTRAC?OR: Vj,;; lf?e_r.-? PLSPI # ?k :54v5'po
Determine working square foota9e of each
1?>o sq. ft. x .11 :?'
1. Totzl exposed wall area.....
:?7 1 sq. ft. x.D26 =
(Z 3 f Z?
2. Total ,
roof/ceiling area.....
Total exposed wall area above,floor=_I'-:> Sf?
101
a.
' Total wzll window area ...................... :....................
................ 39
b. Total door area ..................................
......
? 40,
c. Total .................
sliding glass door area ............. -
d. Total sireplace wall area ........................................ .
...................
e 10%) !5
Total .........
wall framing arez (averag
.................... 1 t.0 .
f. Total rim joist area ....................... ..
'
' 7 31 -
g. net .....................
.
wall area a6ove floor ............... 1
h. wall area above floor .....................................
....................
:
l
b
i. . .
oor ...............
ove f
wall area a
'•
? frame wall area at zo?:ndation .... ' ..............................
•
Total exposed foundation area= '1Z
k. Total fourtdation window area ....................... ?
1. Total net.'foundation area abcve grade ..............
??
Determine „u value of each wall segment ?
(e,g, window, door, each separate wail section)
„V„ A-?
d. I?I x
, b. 3cl X„-d?, I = 12
X „U" • = I"l?U
,
c .
.
?
d X ..U11 _ -
.
,
e. 1?3 x?1V 0 17 = I???II
f. X ?.V
g. 1?731 g 1. ut,
X "U" _
h.
i x liull _
.
i •
r..
z °u°
If item i3 is tn
as, or less thzr.
zl, you have re`_
intent oT SBC ou
x tiuil
X U..
3. .................................Total
• '.' Total expnsed
' roof/ceiling area........ 17,91 sq ft
Total skyliah[ area........ ? sq fC x"U" - ` -
- k) Total roof/ceilinq framing d
area (Averaae 10?)...... ?7?17 sq ft x"U" ,677?j
1) Total ne[ insulated ?
s
f[
x"U"
JZ?i
? ri?.v?
q
roor/ceilinq area....... ,,
70TAL j) thru 1)
L
If total o` '4 is [he szme as, or less than P2, you have met the,intent or
2 MC?Z 1.16008 :4 ar_d 0.
ALTERtIATE BUILDIhIG ENVELOPE DESIGN
To utilize che total envelope system method, the values established 'oy the sum
or icens =3 =nd i"'+ shall not be oreater than the sum of items fl and =2.
+ z. ?S"73 = 73v. 03
?. ISL.,? ?3 +
PLEASE COMPLETE FOR SINGL,E FAM?ILX DWELLINGS. pI.SO, FOR, TOWNT=iQMES AND
CONDOS WHENPERMITS ARE -REQUIRED FOR EACH UNIT: `
NO. FIR1'URES EACH TiOTAL
? SHOWER
? WATER CLOSE'T
? BATH TUB
? LAVATORY
KTTCIIEN SINK
? LAUNDRY TRAY
HOT TiJS/SPA
WATBR HEA'PER
? FLOOR DRAIN
/ GAS PII'ING OUT
_ minimum: a
3.00
3:OU: -
3:00
3:00
3:00
3.00
3:00
3.00 .
3.00
100
1:SQ
. S':00.
20;00
100
2U:00.
26.00
• natcxy. uc.
;R • lamrwea oamat.
'-toaosting. . ..
AROUND
STATE SURCHARG;E .50
TOTAL:
SITE ADDRESS: 3a03 ? a-?_ ?
OWNER NAME:, .:. 1Ev/'Kla:v '
INSTALLER:
ADDBESS: l r.2b
C1TT': Cl?? . _ -- - STA'fE:_
PHONE #: 4 P`) D LID :-- M.
ZiP CODE:
? ?.
?1?--
SIGNA'I'C7R'E OFp RMITI'EE
1994 PT.UIVIBINCr PERMIT .(RESIDENTIAI) , .
CI1'Y UF EAGAN
3830° PILOT KNOB: RD
EAGAN NIN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIp?LlINDUSTRL4L BUILDKd'S: ,ATSO E'QR MLJI;TI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE N.OT REQITIRED FOR•: EACH
DWELLING UNTT. `
_ NB'R' CONSTRUCfION
ADD ON
_ REPAIR' - ' '
,
WORK DESCRIPTION:
4
. .. ' . -- .j -. .
CONTRAGT PRICE;,
FEE: 196 OF CONTItAGT FF,E. I `
STATE. SURCHARGZ- $:SO FqR EACH S1;000 OF FEE. " ;MINIhIUM FE& $ 25:00 ` "?,"•' ? r
CONTRACT PRICE X 1% $: . .
STATE SURCHARGE $
TUTAL $ •
SITE ADDRESS:
TENANT NAMEc 3TE;-'#,?
FOR•
• _•
CITY OF EAGAN
1994 `PLUMBING PIIt1VIIT (COM1ZERCIAL) CITY OF ;EAGAN
3830 PILUT `KNOB RD
EAGAN MFNa65122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNIT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNAC'F.
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.0o EACH) .DO
ADD-ON/REMODEL (ExtsTuNG coxsTxucTtoN) $ 20.00
STATE SURCHARGE .50
TOTAL 5?33__Jyo
SITE ADDRESS:jo?03
OWNER NAME: J? TELEPHONE #: ?S?T- da
INSTALLER: •
a,DnxESS:1?/g,44 /C._-?-o-ri? ? . ?,/ 4?7-
CITY: STATE: // z?• ZIP CODE:
,
TELEPHONE #: 114
7 - YId Z ?
SIGNATURE OF PYRMIT;EE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
CONTRACT PRICE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF P(? FEE $_
. x,r..,> ::.:..:...:.:.:
PROCESSED PIPING: $25.00
MINIMUM FEE: $25,00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
,......:..TOTAL $ '
Sl l E ADURESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMErvTs oxLY)
INSTALLER:
CITY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 P1LOT KNOB RD
EAGAN MN 55122
(612) 681-0675
C!ty of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JAN 28 2010
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: \ 125 %0 Site Address: '6203 V___tct00a-
Tenant:
Suite #:
RESIDENT / OWNER
Name: QC ` e 0 \ Phone: �j ^ IYD-51 O1
Address / City / Zip: 32Q3 �Qci WV—Dr h, tSSRI
CONTRACTOR
5 1Ot\/41C lrn ' •! �!1 At- ' ce
Name: •
!� 4_ ,�
Address: j Wt L *N A City: SiliitAX,
State: \` _ Zip: ss ten— Ph ne: (0 -V56 .4M t
c
Contact �
ai
' M_
t V\
TYPE OF WORK
New 'j Replacement Additional
Alteration Demolition
Description of work:
NOTE: Roof mounted,and ground mountedlmechanical equipment j1 required to be, screened byCity
odePlease contact the. MechanicalInspector for information on permitted screening methods :; s, ,
PERMIT TYPE
RESIDENTIAL
'� Furnace
COMMERCIAL
_ New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
_ Under / Above
ground Tank ( Install / Remove)
tank(s), call for inspection by Fire
Inspector
Other
** When installing/removing
Marshal and Plumbing
RESIDENTIAL FEES:
$50.50 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$.50 State Surcharge)
$.50 State Surcharge) $ 5C:)•0 TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation/removal OR Contract
State Surcharge)
surcharge is $.50.
increases by $.50 for each
Permit Fee requires a $1.00 surcharge).
Value $ x 1%
= $ Permit Fee
- If Permit Fee is less than $1,000,
= $ Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000
= $ TOTAL FEE
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.00pherstateonecaliorq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with tt approved plan in the case of work which require review and approval of plans.
x
Applicant's Printed Name
x
Applican s Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3203 Red Oak Dr
Lot: 12 Block: 3 Addition: Bur Oaks Hills
PID:10- 15500- 120 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Brad's Roofing
12310 Crown Hill Ct
Burnsville MN 55337
(612) 839 -7533
PERMIT
City of Eaan
Surcharge - Based on Valuation $2K
BL - Base Fee $2K
Total:
Applicant/Hermitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
$1.00
$69.00
$70.00
Brent Benson
3203 Red Oak Dr
Eagan MN 55121 -2337
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Pictures are not acceptable in lieu of inspections. Brad Johnson 1 2310 Crown Hill Ct Burnsville, Mn 55337 612 - 839 -75
bradsroofing@mindspr ing.com
9001.2195
0801.4085
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA075764
11/03/2006
ePermit
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173293
Date Issued:11/05/2021
Permit Category:ePermit
Site Address: 3203 Red Oak Dr
Lot:12 Block: 3 Addition: Bur Oak Hills
PID:10-15500-03-120
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Brent & Rebecca Benson
3203 Red Oak Dr
Eagan MN 55121--233
(612) 309-2705
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature