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
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? 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
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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
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09
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W ?{f v ?? ? a
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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
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\I?
V
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co
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?
hf ?i
• CIvLL
a
,??--
/ /
m ?
co.0
D
, m ? b85.98
a S
3 h/ ??4
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NnR7N
h
?
00
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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