Loading...
3210 Red Oak DrCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 4UU wn Permit Fee: g6, da Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 8161 1 D Site Address: 3 L-1 UesaiOat. Tenant: Suite #: RESIDENT / OWNER Name: EaW 12.id r/4 e Phone: 10 Address / City / Zip: 52/ 0 i iv/ Applicant is: Owner A, Contractor TYPE OF WORK Description of work: `.!,' l (i.. !, & a l -1244 G Z .S Construction Cost: 0 3�i N Multi -Family Building: (Yes / No ) CONTRACTOR :...tr�h'i -4%kAS Co . license #: „-ZStiqc.q0 + Address: L51 illaikdc La iO ~�^ Z City: 'e J r hti? - i k-/iL State: Zip: JS1— 3 Phone: ' 3" —I ZI'Z-- Contact Person: COMPLETE Energy Code Category (I submission type) In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 _ • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit ite City to conclude that they are trade secrets. 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 it; that the work will be in ' Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a accordan with the approved plan in the case of work which requires a review and approvns. Applicant's Printe Name Page 1 of 3 CASH REGEIPT ? CITY OF EAGAN . ' . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ' DATE 19 ? necerveo ^ 1 I cr+o?+ i f t• ! JCJ?'? o d S t?l C.?"7 AMOUNT a ;., --) ; ? C-L) , & DOLLARS 100 O CASH 19,,.6WE6K ' '-;r'Ci??;' i? • ? ' " ? ? ? ?a, -- ? 3-2 / 0 6 /c? f? FUND 08.lECT AMOUNT Thank You BY -'L J ) ' C 1,' 5 8 6 whita-Payars Copy ? Ya???tkg Copy Pink-FUe Copy SEWER, & V1(ATER PERMIT CITri)F EAf AN?, y 3830 Pilot Knoka?R?. Eagan, MN 55122-1897 DATE METER # - CHIP # - METER SIZE ISSUE DATE - PRV - BOOSTER PUMP SITE ADDRESS }ak Dr. LOT - BLOCK '' SEC/SUB Rur nak H i 1 1 a I ? APPLICANT ' ADDRESS: CITY, STATE S L/ 112 ZIP PHONE: ' F- ' - I PLUMBER: `--4f?f ??,-,•??'r-L ? ADDRESS: 1O Ey_ CITY, STATE t'?_•. . • , ,?_ ? : • ?_ ; ?., . ZIP 0 PHONE: OWNER: _ ADDRESS:_ CITY, STATE ZIP PERMIT REQUESTED - SEWER - SNATER - TAPS - COMMr'IND !r'"NEW ` RESIDENTIAL EkISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ? I AGREE TO COMPLY WITH CITY OF -EAGAN ORDINANCES PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STURM SEWER PERMITS, CONTACT ENGINEERING DEPT. OFFICE USE ONLY PERMITDATE 07124191 PERMIT # 12165 B.P. RECEIPT # % 145$6 B.P. RECEIPTDATE U7 2?. 91 SEWER & WATER PERMIT CITY OF EAGAN, 3830 Pilot 4(nob-Rd. Eagan, MN 55122-1897 DATE -jk4q•T15, 1-991 ' ?. ?Q?,?I??USE ONLY METER#?qG?j` PERMITDATE 0/24/91 CHIP # $? 3 PERMIT # 12165 METER SIZE B.P. RECEIPT # 14506 ISSUE DATE B.P. RECEIPT DATE 07 22 91 _ PRV - BOOSTER PUMP SITEADDRESS -'210 P?:d Oak Dt'. LOT ' BLOCK 'ISEC/SUB 212r• rl.;, 1r H i 1 1 s T APPLfCANT: LIC ,_iA1cI Cu,.:t{ivr ?>,? T.jC. - ADDRESS: ! 2 ? ?_ E ( .P ?!! R A - Pc; CITY, STATE ?;•?s v e 11 ZIP >-; ? ?Y? PHONE: 7Ir L, I PLUMBER: ADDRESS: /C)1 ?,-'+ r..•,rx.r?cs ?f)?•?,-JG TF f1 Rlt? CITY. STATE F-6n,,-. _?c: 4j"_1 t-11V ZIP `'- `''2'1 PHONE: c?•?,y `= cJ l?r"49 OWNER: - ADDRESS:_ CITY, STATE PHONE: ? ZIP PERMIT REQUESTED -SEWER WV'ATER - TAPS COMMlIND !-'NEW Lawn Sprinkler Meters Ahead of Domestic M Cre.dit W1LL NOT,?Se-giv ? J ,? .?`. ,• / `???RESIDENTIAL - EXISTING are to be Installed eters on Water Line. en for Deduct Meters. WITH CI7Y?QF PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMtTS, CONTACT ENGfNEERING DEPT. EtBALTZVATE FOR DSCK-PUM R6VIBW$D-5/22/92. C eL??1*1S9-86T(1iM?-1031 , . ; . (l.trfifiratr of (Orrupttury titp of (Eagan E1'pwrbnPtd Df S11Hbtrig JWPtYilTit T7iis Cerlrfcale usued pursuarrl to the requirements of Seclion 306 of tlte Unifornt Buefding Code cerlijyeng tlrat ar the time of rssrrance thr's structure was in compriance wirh tke various _ ordiiiances of the City regulating building construction or use For lhe jolloweng: [3eo Clas3i6nuon $;_E61G,4nAn 'Bldg. Pbmit No. 10444 - 0cn'W-7' TYM _,441 Zonin6 District R-- TYPe Const. vA oworr ot Buildin.At'_n!ueT 71 C7JL"Mir_1TCN TR :,wdrms 12 12 W 71F.R7T 7. RAV Rao, AlVT17F Hw7diogAddrras 1916 RM MW MTVE ?yomlKy L3- j,?}l - H]R ?AIC EIIIlS r : Dok: ` Building? POST IN A CONSPICUOUS PLACE " AW q3 ?n- 1-503 CITY OF EAGAN . • , ?K) ?S W 1 ' "'-'7 1 3830 ilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 ;G Receipt # To be used for SIP D'fiG/GAR Est. value =i4j+000 Date JU•t 19 - 1 g41 Site Address 3210 UO OeA[ DR1VE Lot -3 Block 4- Sec/Sub. UM 0AK R1LLB Parcel No, W Name _ WA)Ol1/?LD COltSVIUCZ10li 1NC t Address 1212 3[.U8f1L1. YY RB 0 .... ?....,.r -- .y Address 0 4 Clty Phone u¢ yW Name Address i W City Phone I hereby acknowlec informalion is corri Minnesota Statutes Signature of Permit A Building Permit is on the express com that I have read this application and state that the and agree to comply with all applicable State of id City of Eagan Qrdinances. shatl be done in ; and Citv of Eac 8uilding OfficidJ OFFlCE USE ONLY Occupancy ln3s FEES Zoning IL-1 (Actual) Const Y? Bldg. Permit ? ?p? Z•?+- 00 (Allowable) vs- Surcharge 71 • 30 # of Stories Length Plan Review g14.?0 Depth 33_ SAC. City 100900 S.F. Total _ 6SL}?? S.F. Footprints - SAC, MCWCC On Site Sewage _ Water Conn b0•00 On 5ite well - Water Meter 95.00 MWCC System xx ? .? Cfty Water ?t. Deposit ??? PRVRequired T S/WPermit Booster Pump - S/yy $urcharge • 30 TreatmentPl z76a00 APPROVALS Road Unit 370,00 Pfanner - Park DeA. Council BIdg.OH. _ CoPies ' ?3? ?T.? Variance - TOTAL ,, Permft No. Permit Holder Date Telephone k WA7fR ?I?Q ?o? 91 SEWER PLUb181NG H.VA.C. ELECTRIC y Inspection Date Insp. Cummenis Footings I Foundation r) ?l fr• J S' Framing Roofing Rough Plbg. Rough Htg. lsul. ?'• z/?9r ? S Fireplace Yx 3" ?? • Final Htg. orstat Test -?3 / . Final Pfbg. Pibg. Inspector- Notity Plumber Cwtst. Meter Engr./Plan 81dg. Final - 2& • ? Dedc Ftg. Dedc Final Well Pr. Disp. ?-I" REs DATE: JUL 24, 1991 ;,='IO RED OAR DR (MCDONALD CONSTRUCTION INC) x Your Sewer & Water Permit for the above property has been completed. it will be heid at the Pubiic Works Garage (3501 Coachman Road) untii the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further natice. CQMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. lVleter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. K 5 121 /0 9 s?i7 ii 5 91p---I3 ? Rap st 0 Me Fire No. ' Rou h-in Inspection Required? Ready Now ? Wili Noliy InspecMOr ? Yes o When ReatlYP ??licensed conhactor O owner hereby request inspection of above electrical work aY. Jobwtlress ISheeC or Route No.) ? 1 ed C?.1,L P Section No. Township Name or No. Renga No. tY T? ( Phone No. n i ` M71 Pawer SupDlier AWress EI mractor ? mpeny ?? ? C Ira r5 Li ien? No i a ? 4 c? Maiii g Atlp s IConVactor or er Makln?alle?yn) ? ? IL P-T H t D i;Q Aut on e0 SignaW I nVacbdO?wner Maklnq Inslallatio ?nl Pho Number MINNESOTA STAT BO ND F ECTHIGITY iH151NSPECTION REQUEST WILL NOT GrIggs-Mitlway BI .- S-1 9 BE ACCEPTED BY THE STATE BOAFD 1851 Univenity Ave. Peu. 55100 UNLESS PROPER INSPECTION iEE IS Phone (61I) W 2-0800 ENCIOSEd. REME-ST FOR ELECTRICAL INSPECTION ee-ooo""m?,-o?'a M r w?^ A //S e in Vudions for completing Ihls fortn on ?ack o1 yHlow copy, N3 J?E ?.i Below Work CQvered 6y This Request ?v' l / ?B? /0MOther 7 AppliancesWiretl EquipmeniWired Renge Temporary Service Water Heater Electric Heating M Dryer Other (Specify) Fumace Air Conditioner (specity) ConVacrorS Remarks'. Compute InspecGOn Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Apove 100 _ Amps 51905 Inspectork Use Only: ?` T TAL Irri ation Booms 9 C:) 7, ' s Special Inspection T Alarm/Communication THI5 INSTALLATION MAY BE ORDERE CONNECTEO IF NOT Other Fee COMPLETED WITHIN 19 MONTHS. ' I, the Electrical Inspector, hereby certiythattheaboveinspectionhas b made. . R°u9n-'" Final 09 oate °a p oI0 '??" SE ONLY r.q..Th,Sst Poid 18 TOlIOfb IlORI 10.711 p 4 .805 fieqi Fre No. Roug? -inlnspection R quiretl? ? ReaOy Now AililiVill" o?ity Inspector ? ?[ No When Reetly? Q ensed contractor D owner hereby request inspection of above electrical work aC I JaC Adtlress ISVeet Box ar Rom o City ? Sec ion o. Tow sM1ip or No. Range No. ? ? Counly Oc[u n IPR T? ? Phane o. _ ? ? Power pplier Aatlress Electnca r,vacror IGompany Name? ConV tor5 icense No. Mailmg Atl re s IGonVec r r wner Nmq InstallnM1Ont Aulhon2etl SlgnaWre IGanVap O ner Making Installalion) "i ? . . thone N er ? MINNE50 E BOAflD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT Griggs-MiOway Blpg. - Poom S173 BE ACCEPTED BV THE STATE BOARp 1821 Universily Ave., SL Vaul. MNS5/0a UNLESS PROPER INSFEGTION FEE IS Phone (612) 64241800 ENCLOSED. (a /. //9' ;EQUESTo FORoEP E CTRI?CA?L bINSPECTItlON ?H 14,'4 CS l 1:) "X" Below Work Covered by This Request 0 EB-0ODOL08 :=-L.?? oc 3? ?. ew Add ep Typeof8ullding ApplienoasWiretl EqulpmentWlretl Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. 6uilding Dryer Other (Specify) Comm./Indushial rnace Farm Air Conditioner Other (specity) Conlractor's Remarks: Compufe lnspectian Fee Below: # Other Fee # SarviceEn(ranceSize e # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps O to WO Amps Transformers Above 200 _ Amps 100 _ Amps Signs i?specmr§ use Only. T AL Irrigation Booms ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Othe? Fee COMPLETED WITHIN 18 YK)lffff HS. I, the Elecirical Inspector, hereby Rou9n-m certiFy that the above ins........... been made. Finei e OPFlCE USE ONLY Thrs requesl void 18 months Irom Address: 3210 REQ OAK DRIVE Lot 3 Blk 4 Sec/Sub gUR p[K Nn7.g These items were/were not complete at tha time of the final inspection. q q Yes No Final grade (6" from siding) PermanenC staps - garage Permanent steps - main entry Permanent driveway ? Permanent gas Sod/seeded grass Trail/curb damage 41-11 Porch 1111 Sasement finish Ll_,? Deck Ll? Please verify with the builder the removal of roof test caps from the plvmbing system andthe shut-off of water supply to the outside lawn faucet be£ore freeze potentiai exists. ? p[CKIfOMRP White - City copy Yellow - Resident copy Pink.- Contractor copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PNONE: 454-8100 BUILDING PERMIT Tobeusedfor SF DWG/GAR Est.Value $143,000 Site Address 3210 RED OAK DRIVE Lot 3 Block 4 SeGSub. BUR OAK HILLS Parcel No. w Name MCDONALD CONSTRUCTION INC t Address 1212 SLUEBILL BAY RD ° City B' VILLE Phone oName? SAM6 688-7061 ? Address ? Ri1v Phone ? W Name EAddress i W City Phone I hereby acknowle inlormalion is wr Minnesota Statutes SignaWre ot Permiti that I have read this application and state that Ihe i,,and agree to eomply with all applicable Slate of ABUildinqPermitisisu to: \ ?V1YJ1RU?11VlY on [he express condi n at a Hork shall 6e pne in accordance with all applicable State of Min splat dutes and Cpof Eaga Ordinances. Building OHicial V OFFICE USE ONLY R-3, M-1 R-1 Receipt # C j 75 A;° Occupancy Zoning (Aduap Consl (Allowable) k olStones Lengih Depth S.F. Tolal S.F. Footprints On Sile Sewage On Site Well MWCC System Ciry Water PFV Required Baoster Pump APPROVALS Planner Council Bldg. Ofl. Variance N°_ 19444 FEES $ 790.00 71.50 514.00 100.00 650.00 660.00 95.00 30.00 30.00 .50 276.00 376.00 yIL Bldg. Permil M? 70 33 XX 7?R op TOTAL ? $3'587.00 Surcharge Plan Reviaw SA0. Cily SAC,MCWCC Water Conn Water Maler ACCt. Depasit S!W Permit SM' Surcharge Treatment PI Road Unil Park Ded. C ies r City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (657) 675-5675 Fax: (651) 675-5694 ?----------------- i ? Permil#: ?!??? f I ? Permit Fee: I , I ? Date Received: ? I I I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: r r5- 0 K Site Address: 3z l v ?,q ? va&c- ?/ - Tenant: Suite #: RESIDENT 1 OWNER Name: 3) n nc?-,_ Phone: Address I City /Zip: J Z-[C7 Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: ? *- Construction Cost: lU Sdo - C) Mutti-Family Building: (Yes N0,2C CONTRACTOR Name: License#: n2UOl(n'7?? Address: q 0 -? tni'?7?(Ln?? ? t{??1-?1 I ?_ r t Cily: TV"WW ?Tlctv-?Gizi ? State: lA dl Zip: 5,?? Z ka Phone: IQ(Z-' ?b .l - l `?W Contact Person: twa c t ?M . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Mfnnesota Rutes 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Wodcsheet Category Submitted Submitted (4 submi55ion type) • Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical ContracWr: Phone: Sewer & Water Contractor: Phone: IyOTE: Plans antl supporting,:afocuments that y,ousubmit are consider+ed ta be puklic infpnnation. Po'rtions ot , the mformatiori ma?be c%assified as ntln puhfic:7f you provide spec%i}c reasons fhat wo}i/aF permit the Ctty tfl ?? conclude fhat the aretrade secrets. ..L? . >>. x. " _. I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance wdh 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 staR withou a permit; that the work will be in accordance wi[h the approved plan in the case of vrork which requires a review and app val plans. <- ??uc W L1' X . Applican' Printed Name ? App' a Ys Signature Page 1 of 3 04-04-2008 11:44 WILLENBRING COMPRNIES 651 702 4344 PAGE3 _ MINNES07A DEP7_ OF LASOR & 1NDUSTRY ?' • Canstrucfion Codes and Licensing bivision 4t3 lafayette Rnad N. St Paul, MN 551534344 - " WILLENBRING COMPANIES INC ? _ 9790 INVER GROVE TRL INVER GROVE HEIGHTS, MN 55076-3820 State of Minnesota Construction Codes and Ucensing Divis? ? • ?' i?' Depadment of La`bor and Irtdustry Telephone: (651) 2845065 ??• 443 Lafayette Road N. - E-mail address: d6.con¢xtor@state.mn.us ?• ` 5t. Paui, MP! 551554344 Websne address: www.dofi.stale.mn.us -` ' ? 1 Resideniiaf Building Contracior Licerese Legaf Name: %ryLLEN6RlNG COMPANlFS INC pfiA: Address: 9790 INVER GFOVE TRL lNVER GROVE HEIGI-fTS. MN 55476-3e20 Bueiness Structure: GORPaRATION License Identification Number: 20016780 License Expiration Date: 313112008 Qualifying Person_ IEROY T W1L4.ENBRING Continuing Edveabon: 7 hasrs due 6y 3/31/2008 _, ? N W C9 ¢ R v M V n? m ti ? w U) w .a z ¢ a r ? U (7 Z N , (Y m Z W J J H 3 d' V ti .ti OD m 0 N m 0 ? 2008 BuilJrra Licrnse Fee - reoewal DEPi 6F LABQR & INDl15SRY CDMSTRUCTION CUDE & tICENSING DIVISION 443 Lafayette Road North St. Paul, HN 55155 (851) 284-5005 or 1-800-342-5354 Dd1E 03j10J200B MON iIRE 14:36 Coni L0089 $310.00 T91Ai 0310.00 CHELtc $310.00 pimm fb,02C525 00001 *s PEPRIHT y# Buildery C,iceaxe Fee - remeauol 11876 ;nnoos 310.00 3IO.i70 , r 4APLIC41N 1991 BUILDING? IT CITY OF EAGAN ? SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECT[JRAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCIILATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. L 1 ?? REcD ?To Be Used For: Site Address Ex?i?d•s !et Valuation: -F*wt-Qt=- Date 32io P-.Cd ohk t??r- Lot Block 4_ Parcel/Sub 'g„r- Q& J},(J&T Owtter Address City/Zip Code Phone Contractor ?CZ:?WqJ J Gp15-bi.c'La-r-t1C, AddYess &a.. ? City/Zip Code e ? S533 ? Phone &M-"70(oi Arch./Engr. Address City/Zip Code Phone # Dao / 93, - OFFICE US: Occupancy R-3 1A- ( Zoning R-I Actual Const V- N Allowable V-hl # of stories Length Depth 33? S.F. Total Footprint S.F. On site sewage_ On site well MWCC System t/ City water ? PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. S 7_P?g? Variance 5- FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL that all work shall be done in accordance with of Minnesota SCatutes and City of Eagan Ordinances. ? _ . v Lu . ???? ??. ? -? G Az?AC,? . ;I'LX2? (2..y ?X1 Z? ( 8y ) 49S 15= l03?0 F>SIT>Irt , 316 X2.4? qae 12K12- 1Ny ?13Zx (4= 15??6?8 IST F't.OOp. Z x 7 = iL1 ??1T: II32 x53= 6C'73?, z+r.+b FLO?yZ IK6= ? I? b = ` ?05? ?s3= ss?s? ? Jy27?'L 143,ouo? 11 P1C3?`YVEER • • I 2422 Enterprise Drive .lr L?INDSURVEYOQ??CIVILENG?NEffY3 1 Mendoza Heights, A1N 55120 r ?,engineering,.. LANOpLqNNE@5?4ANDSCAPEARCHITECTS fQ - , .***0r ? 1672ysst-t914 ` Certlficate of Survey for: L L/' c„?OA/ST. 1? IF .?? ?k Q'4`AA 09 h /. Q ? 04 m n `? ui ? u ? ? . ., j 0 e,o 9?3 bo ?.• ? ° \ ? ?. ' NQ RTN 'o . ?+ ( 7 a / / r r.aZi W ?{f v ?? ? a / ?? - eway .? s ^'? A 10p?I ? W ? 25,13 dJ 'arnP e .€sACIAN ? 900,0 Denates exrsfrn EleVafion t yoQ,o Denafes propd Elevpfion -?`---Denafes pra!qaej utilrig Easemenf --..--? Denafes Drqrnn e Flow Prrows 4 m s \ R". i? ??\ ? 4 tC VIEF T \ N () ! ?Y ? --•? ? ? 1 N/5'°¢i'5] & ? Z. 3z ? Lowest Flcnr E7evation • 8$A,s Tup ot 8lock flevafion =_ 8s38, s o penoles monumenf C?'ara?a 5lob Efevafior) =_6BB.z, geQrfn?s shown dra assurned L OT .? , BLOCk_ 4__, ?3Lln 4Ak 1-1I LL S 04KpTH cauNrr, M1Nrvssorq ,svgJECr ro 5ASj7,jE1Vr5 I herehv csrtity thai thia survey, plen or report was prepared 6V mc or unuer my direct suparviston and that I am quly fiepisteretl Lurld Surveyor under [bn laws of the 5tite pl Minnr,sr>ta. Dated thi5'StL Uay of -ttL..?4? A.D. yyIt ? ? Inc a ?0 1? eef OpFRT B.5IKIGH L,5. REC•.IVU. 14691 7? ` ytn(/J2t O4 ! N ?u ? '1 ;-51 1'. f'1 0 N _ 10_ .0 _T__:_ F L A N C 0? I N S U R A N C E O F F C E - P. 0 1 MINNESOTA smA`'E ENE GY ODE ALCULA ToNS ?? HASED ON CHAPTER 5 OP THE pjQDNERgY CODE 1983 EDTTTOi? Adoptian Effeative rl.) 4,)P.Ne DG Site AddYess L>i CJAK E'1?L1.C ContraCtor?'? ?? A1?i ? fNG? PhonE Building Classifi.cation: Typa A1 (Single Family & Duplex) ? Type A2 (Residential, 3 storiss or less) (Qver 3 stories)_ _(Other) Nft-B: Camolete gages 2 and 4 flrst. ," ERAL• TNFO MA ION ? 1. Building Perimeter?Q.R-? St - ft. 2. Wall height (ground to eave) N ft. 3. 1. X 2. (above) gross wall area ;?g sq.ft. 4. Suilding dimensions (L) - X(W)'O"" = I1 sq.ft.roof & floor area 5. Sq. faat area of rim joist - F1 or jo st size (2 X?? ? X ?.(Perimeter) p 12 ??? 4L?-- 6. Doors - Area q ?lo Thickness i.n U. factor Type o£ Construction - Perimeter _ fY. Manufacturer 7. motal doar's perimeter ft. I 8. Windows: Manufactulrez IL=)t?21)? State approved U factox TXPE SIZE AREA (Scj.Ft.) NUMSER dF TOTAL EACH UNITS SQ fiEET r g. Tota1 sq. ft. Glass ,Z! (04&% 10. Fizeplace area: width x Height = x = Sq•??il. Exposed foundation: Height X Perimeter °(dI X I5' =1a3•lC7SCj.£t. CODSPLETIQN OF THZS FaRM IS REQUIRED FOR ALL NEW CON5TRUCTION, MAJOR REMODEL,TNG AND BUILDING3 BEING MOVED WHERE ENERGY, 4THER TI=fAN THE MINIMAL COCE ALLOWAI3CE, SS USEO. - _1_ .SUL -1 S-5 Y.... M4N F'LANCO= I NSLJRANGE OF ???E .. . .. .. .. 27P9 2 12?. F'rqming area = 10% of gross wall area. 13. Gross wall area Sq.ft. Window area A ViZ5? sq.ft. U windows =_ 0 Rim )olst area AiIJ9-Lsq.ft. U rim joist= o Door area A_5,.,,,sq, pt, U door area= other doors area ??' sq,ft. U other doors= ?-T? , Exposed fndn AP 31(12 'sq.ft. U Poundation= +p?? Framing area Aldd9ol'spft- u£ram:ing area= iVet wa11 area A17AZ'111,sq.Pt. U wa11= UXA = { ? r ?J UxA = ? Z tJxA = UXA = UxA = UxA = 2 JI ?? UXA - 191. (13B) TOTAL . . . . . . . . . UxA =? U-? I + 14, Gross wall area x 0.11 (A-1 single famlly & duplex) = allowable (13. above) x 0.23 (A-2 other residential) x •23 (Other buiZdinqs) x .28 (Over 3 stories) ?(?j{? Z??3?7 ?y BTUH must be larger thari oY sa,m2 A ? x tt Code__ ?1? = G• I1 lO °F. as 13B above 15. Ceiling framing area (A£) equal5 10,% of ceiling area 15A. Gross ae3.ling area =(L) ?"?-. x(w) = l? `(0 sq.ft. 15B. Joist azea (Af) = 10% ceiling area = (fts sq.ft. 15C. Net cei].ing area (Ac) (15A - 158) sq.ft. U reii ing x A C x. /058 = Z? I Z.?L U framing x A f - _ ? ?7,-J x 150. TOT'AL II x A ...... ...................?... 16. Ceiling aYea (15A) x 0.026 (A-1 single family & duplex) = allowable UxA/Code , x 0.033 (A-2 other residential) x 0.06 (ot h •. A(15AU Coc1e iO7...?' _ ? oTUH must be lazger than ox same x F. as 15D above N.OTE: Use U and A values obtained frorn paqes 1, 3 and 4. QERTIFICATION: I her.eby certify that I have c«lculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesata Energy Conservation Aot. Date Signature 13 tA `?`??f" ?.... ......---...._._._. -?-?• - Sd??p + -................_..._.._ ZCP7 zr - , I1I 2o?c3tv? TOX? ? zl,o II ?aXlk'dX??=_.22,p .. W 1 75) _,_ . -- ......_ . ?? . ..._ _ ?? _._ .. .,.... ? - C-;? ? Z~ ? J U L- 1 S- 9 1' . r L • ?'e wALL ' secrtow M1 E+ _ O5 PL ANr_O: I N:3uRwNr_.E . ._ . . . ? ??? r . . . ..??"L O F F I C E U Tf1LUG P . 04 Inaida att film ,58 1 Interior watl ' , 4.ep ?°C?o (uall) U . R ? tngutation • Sheathing 7itD{0 , Sidtng outetde a[r film .37 R TOTAL Z• D?i ' ,5TUD SECTiON 2NQ'WhL-6- secrioy., ? Azlt JOIS? I^,1j ?.? ?v VV ?? Inslde.atr film 1 .68 interlor aall . 41r 4" stud R1 ..k; 38(p,5'o (Framing) U- R . Sheething 17, iC(r? ' Stding I . ? butsl4e alr ffln ' ,17 R 70TAL Ine(da air film Ry ,68 Int er 4 o t w a l L Insu1&tlon ' , .•?"'~ (wall ) U . 1 . 5heuthtng ..-?•""' ? ? --?., .....• Fxtet Lo'r"' wa LLcover 1ng ? Exterior a!r film R`? ,11 . _......,,.? it TOI'AL '^tex(or atr film suintton tnch soEt wood R= .68 H ,88 (R1m ' G Joist) ' ? ? ? tathing ?10(p ??'? tertor wall covering ,r1j1 t j"'?'= tertat eft film R-- ,17 R TOTA4 Z'7! ?La tertot air Iltm sulattvn? F????' ? U t???. ?A m Lerioc air fLtn R rornu posed 8lvck ? ??'' : •'--t r ..?., a° ,68 (fdn. ) U R= .17 '-.? , 7? I MSUfiFtNCE OFF I CE F_ E+15 •EIL.rNG w'?mH VENTEDTjC aaArE ABDV£ R VALUE FRAMING R VALUE CEiLTNG 0,61 AiYFilm??i.61 ? (O,O Insulation 45,0 _-4.38 „ Joist ------ 0.56 Ceiling 0.56 0.61 • kirFilm _0.,61 47.,ILp rotaiR 2rCo,78 ;a2.3 u=1/R , azl - Window infiltration 0.5 cfm/].inea2 foot of crack Residential door infiltxatlon 0.5 cfm/square foot er door and minimum co8e requirement Non-residential doar i.nfiltration 11.0 cfm/lineal foot of crack Ub 12" concrete bloqk no insulation =.47 R 2.1 Ub 12" concrete block insulated corea ?.26 R 3.8 ?b 12" lightweight b].oCk =.32 R 3.1 Ub 12" 1lghtweiqht block insu3.ated aozea =.12 R 8.3 0 single glass = 1.13; with storm window .54 U doubl.e glass = .55 U triple glass = .41 Al1 exterior walls and ceilfngs must have a vapor barrier (0.10 perm max.). Vapox' barrier must ba on the inside (heated side) oP wall. Vapor barriers of the polyethelene tlxl.n Pi7.m hava no R value. 1* ? oo ? RESIDENTIAL BUILDING PERMIT APPLICATION o, o ? CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 `651-681-4675 y`?? rY' New Construclion ReouiremeiAs RemodellReuair Reaulrements 3 • 3 registered sile surveys shmving sq. ft. of lot sq. ft, of house; and all roofed areaa • 2 copies of plan (20% maximum lot covera9e allowed) • i set M Eneryy Calculalions tor heated additions • 2 copies of plan showing 6eam & window sizes; poured fourid design, etc.) • i site survey for exterior additians & decks • 1 set of Energy Calculalions . Indicate'rf home served by septic system for addiUons . 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joisl DetalOptions selection sheet (bidgs with 3 or less uniGa) DATE /' (o ^ ZU) 3 oL' S i-broik SITE ADDRESS 32(0 l2d (:N Ic- ?rs?t MULTI-FAMILY BLDG _Y O&N TYPE OF WORK i`1,1 61-? FIREPLACE(S) _ 0X. 1 _ 2 APPLICANT STREETADDRESS 3-1 (v I'LJ 04- Dr)UL CITY E? 4? STATENI!? ZIPS-2Z( TELEPHONE # 6Sl-`/c9-3 y0 CEIL PHONE # FAX # PROPERTYOWNER Jav? ???C'S'rJtuc? TELEPHONE# 6 s-3q1 / COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category (J submission type) Plumbing Contractor: __ Plumbing system includes: MINNESOTA RULES 7670 CATEGO 1 R MINNE30TA RULES 7672 • Residential Ventilation Category lWorksheeSubmitted • NeW'E-riergyCodeWOrksheetSubmitted • Energy Envelope Calcula6ons Submitted I „ E..,, ?. r . V J ( .'? 1 I I ? I Phane.#J_` Mechanical Contractor: Mechanical system includes: Sewer/Water Contrnctor: _ Air Conditioning _ Heat Recovery System Phone # Phone # ree: $90.00 I+ee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, anAagree to comply with ali applicable State of Minnesota Statutes and City of Eagan Ordin +ices_ ', Signature of Applicant OFFICE USE ONLY Water 5oftener _ Watcr Heatcr No. of Batlu VALUATION _ Lawn Spruikler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex 0 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex 019 Lower Level ? 24 Storm Damage ? DB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New gf 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof 0 46 WindowslDoors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy 1Z `? MC/ES System Census Code '-(-3 q Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const 1/ yl W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) f(? ? Fina]/No C.O. _ Footings (addirion) r Plumbing _ Foundation ? HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ? Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ?J Insulation _ Retaining Wall Approved By :]z , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Z_O w e,Z I??? / -? D ° a PERMIT # Z> RECEIPT DATE: '=20082-$SIDEPTUL PLUM$INfi PFIiMiT APPL1CATION crrY oF EAsAx 8$30 PII.OT I{ROB RD f.FifiN1V, EiA 851 EE 657-6$1-4675 Please complete for. single famiiy dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: 32(0 ?2 4 Qak ?re'J-e- OWNER NAME: :?J I'oTELEPHONE #' (AREA CODE) INSTALLERNAME: v0o• wrSo3rpc.IL STREETADDRESS: SC(a GRk Dr'%Ue- TELEPHONE #: 6S( qb-S '3I 1/ (AREA CODE) CITY: 6ayaVI STATE: M`f ZIP: ? 5 12-I _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $' 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ? Adding fixtures to lower levels or room additions, excluding water softeners a water heate $ 50.00 Abandonment of septic system. r W ater turnaround - existing dwelling unit (+ 5/S" meter if needed -$118) 3 20'53 ? Other: _ RPZ: new installation/repair/rebuild 30.00 _ lawn irrigation system ReplacemenUadditional: water softener water heater $ 15.00 State Surcharge $ :50 TOtal $.SQ .:?b I hereby acknowledge that I have read this applicatioq shate fhat the information is correct, andagree to.complywith all applicable City oi Eagan ordinances. It is the applicanYs responsi6ility to notlfy the property owner that the City of Eagan assumes no lia tliTy for any damagLes?USe y the City dunng its normal operational and maintenance activities fo the facilities constructed under this permit within Ci ro?rty/rigfiyof w y?ea ? t i SIGNATURE OF PERMITTEE .1/02 PERMIT # I/ ? J /??. ?.I?``i4qq ? cirY oF EacaaN ? s??y 1992 BUILDING PERMIT APPLICATION ? 681-4675 Rub ?-. SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural.6 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date S /13 /q Valuation of work Site Address: '3z0 10,4 QCx iUr, STREET STE ? Jenant Name: (cortnnercial only) Lor _F I FBLOCK sueo. (14r?. l/ ?? //_ •d'?? P.I.C. R Descri tion of work: cQ,e c The applicant is: V Owner ? Contractor ? Other (Deseribe) Name Di Jer5or1 ,Q {12.d- UAYK1'1 Phone 0g?-?805 Property c131_sp?/ LAST FIRST cb Owner y Address 3z1 O Oa?i oi- STREET STE N tity f 0.GIQI'1 state N/1 zip SS/a/ Company IVPhone COntfeCtOr Address License # Exp. City State Zip Company ' Phone Architect/ Engineer Name Registration A Address City State Zip Sewer 3 water licensed plumber . 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 to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. f Signature o Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? O1 Foundation ? 05 Apt. Bldg O 09 Basement Finish ? 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 Fireplace ? 11 Res. Add. ? 04 Multi-fam. T.H. U 08 Deck ? 12 Res. Porch WORK TYPE )( 31 New O 33 Alterations ? 35llove O 32 Addition ? 34 Tenant Finish ? 36 Demolish GENERAL INFORMATION ' Lonst. (Actual) (Allowable) UBC Occupancy Zoning i of Stories Length lRrz Yvu Depth ?t xi3 APPROVALS Basement sq. ft. Ist F1. sq, ft. ? 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well. On-site sewage Planning Building Engineering Yariance REQUIRED INSPECTIONS ? Site P Footing ? Waltboard ?ff Final O Framing ? Draintile ? Insulation ? Fireplace Permit Fee ? Yaluatim: f Surcharge Plan Re•riew License MWCC SAC ? City SAC ' Mater Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: IL . w+1? .r •.w,. . . . . ; _ ? 13 Comn/Ind New O 14 Comm/Ind Add ? 15 Comm/Ind Rem ? 16 Pub7ic fac. ? 17 Agricultural MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code 14 .3q SAC Code Assessments SAC % I SAC Units 'F PION * engin F i nnear Eria i i ns F_.S1?4?? P. ??2 % 9. ARCHITECTS 2422 EnterprIse pnve M1fienclota Fieighu, A7P! 55120 (612) 601-191'; Certificate of Survey for: Pe?AIA L ? ?otNI57. ? O 0 \ (vC \I? V n? k %. co ?i ? hf ?i • CIvLL a ,??-- / / m ? co.0 D , m ? b85.98 a S 3 h/ ??4 ? . Q. NnR7N h ? 00 ? M u b ! ?Q`? r.? / , ? i ?)O N/5°43'$)'? 2 Z. 32 A 2S.TP o ? ?`?` ?'•r 1714¢ yss /S. ??o ? 8la 38 0j;'•E- Z"'W r soo.n DenoFes exr'str'n¢ Elevmlion . 900.o Denotes propaHd Elevat%on - -" -- ?enoles Orarn?a?e ? Ufili f? Easement -- Denofe, Drqrna e Flow Arrows o Denafes monumenf Bearrn15 shown vre assumed Lowtst Flcor E7evaff'an • 88a.s ? Tup ot Block Elevafron :_ 8?8, s G'ar?t?z s/ob E/evafiat? = 888. Z i L 0T 3,SLoCI,? 4, 8U1,7 D,4k wLL S DqKOTA CauWY, MiNrvrso7R $U6JECf To EqsFf?4?NTS 1 I herepy Cy: Ufy that [his survay. plsn or reppr; was prepacey hy mc or under my tlhett iupermsion and [hat I ad1 tluly Faqisteretl luiltl Sivveyoi under tbx laws ui rhe S::+te ol M1lfnnesota. Datatl chis day of=`'Gr A.D. ty J C. C/! I? • 1?RC a?? f?2C]? r 4it, ? T6.S:KICNL.S.REC-.NO.199?` 71 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 tomwom FOR CITY USE ONLY PERMIT # RECEIPT # D O DATE: 7 / PLEASE COMPLETE OPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -- --- ------------------------ WDRK DESC IPTION --------------°--- ------------ -------------°----- COMPLETE THE FOLLOWING: - N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 ?T,Q6 REPAIR WATER CIASET 3.00 J,00 _ BATH TUB 3.00 ?.DO / LAVATORY 3.00 LO,pb OWNER NAME: G 4 DYI1e`t KITCHEN SINK 3.00 ?2ns ?3 LAUNDRY TRAY 3.00 -906 SITE ADDRESS: ? ? HOT TUB/SPA 3.00 T, 66 LOT:? BLOCK ? ? fJ ? ? •?n SUBD. ?i?? /eK??d? ? WATER HEATER FLOOR DRAIN 3.00 3.00 k aa SO6 t C ? GAS YIPZNG 6UT. ? INSTALLER: ilC ? (MINIMUM - 1) 3.00 UO - OPENINGS UGH ? 1.50 4-ZO ADDRESS: : //r;, V0. TH ER O WATER SOFTENER 5.00 ?; CITYf?4d ?j rV?AI)F?/YI?_ ZIP: V v Q?? _ PRIVATE DISP. 15.00 k /.c_Cl, ?l r ri.. _ U.G. SPRINKLER 3.00 PHONE # SUBTOTAL ST. SURGHARGE TOTAL: s? .50 '.so, 00 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BSIILDINCS AND MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: _ PHONE FOR: _ FEES 18 OF CONTRACT FEE. STATc SiJRCiiARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) CITY OF EAGAN SIGNATURE OF PERMITTEE CITY OF EAGAN " 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454 8100 NECmCA7.,mGRm FOR CITY USE ONLY PERMIT # RECEIPT # Oo? 33 DATE: 73 Y 1?$It1?lT`1'It?S,. ; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & $ATOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST T ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: IAT:BLOCK? SUBD.7?ISC lC N?IIS INSTALLER: ADDRESS : b. c1 CITY: lv ZIP: PHONE #: 0 -4 69 G - IU epj, ci 2- FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ 36,00 STATE SURCHARGE: .50 ? TOTAL: S?U , I_NATURE OF PERMITTEE r? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT SUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: ( S IGNAT[TRE ) CITY OF EAGAN PERMIT City of Eagan Permit Type:Building Permit Number:EA121640 Date Issued:04/10/2014 Permit Category:ePermit Site Address: 3210 Red Oak Dr Lot:3 Block: 4 Addition: Bur Oak Hills PID:10-15500-04-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . 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 - Antonio Rodriguez 3210 Red Oak Dr Eagan MN 55121 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature *City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: l Circ Permit Fee: /;; :2 0 Date Received: Staff: 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Vi 321)RAJ00.)' � Tenant: / C5v' R0 J, rtite z_ ►� UL.)A Suite #: Resident/Owner.` Contractor Type of Work Name: Phone: Address / City / Zip: Name: C't (.`• piL,,m), `" License #: P - 6 72)) 3 Address: )7 a,20 Jv�ujL State: /`i Zip: c5-37 Contact: S40—fe o - X, City: 13,-o, Phone: '5 -oz ~ 3UL Lok,_ —5623 Email: S-Eev,/G _ New J4 Replacement _ Repair Rebuild ill\ 1) 4&V— Description of work: RESIDENTIAL Water Heater 1,,`z Modify Space _ Work in R.O.W. Lawn Irrigation ( RPZ / PVB) Septic System New Water Softener Pi Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans x Applicant's Printed Name x Applicant's Signature FOR OFFICE USE Required Inspections Meter Related Items. eter Size : ; Radio Manomete PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA164782 Date Issued:10/08/2020 Permit Category:ePermit Site Address: 3210 Red Oak Dr Lot:3 Block: 4 Addition: Bur Oak Hills PID:10-15500-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - Antonio Rodriguez 3210 Red Oak Dr Saint Paul MN 55121--233 (651) 280-5121 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA179590 Date Issued:10/12/2022 Permit Category:ePermit Site Address: 3210 Red Oak Dr Lot:3 Block: 4 Addition: Bur Oak Hills PID:10-15500-04-030 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Multiple 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Antonio Rodriguez 3210 Red Oak Dr Saint Paul MN 55121--233 (651) 280-5122 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature