3214 Red Oak DrCity of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 7
Tenant:
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
D
2011 MECHANICAL PERMIT APP (CATION
_
Site
Suite #:
J
RESIDENT / OWNER
6
r���
��E Phone:
Name:
Address /``City / Zip: (' F—''i
aA6P_.�
CONTRACTOR
b
Name: j j Vo', ., A t€ License #:
Address: \ 5,5 d \ \4u A' City: f f2 tev—
State t` Zip: S5 72� Phone: (' -t 't% (3?.-,
i
Contact: (IV ` tQ—Q Email: `PW S'! S P 1 . CQ
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
--Furnace
COMMERCIAL
New Construction Interior Improvement
\CAir Conditioner
Install Piping Processed
Air Exchanger.
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank (_ Install / Remove)
Other
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)
$5.00 State Surcharge) $ TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utilit damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www..o.herstateonecall.or
I hereby acknowi-dge that this information is complete and accurate; that the work wil
Eagan; th I un erstand thi not a permit, but only an application for a permit,
with th p rove. plan in t e cOe of *ork which requires a review and approval of
x
Applicant's Printed Name
FOR OFFICE USE
Required Inspections: Under Ground _ Rough In _Air Test Gas Service Test_In-floor Heat Final
Exterior HVAC Screening Inspection
codes of the City of
ork will be in accordance
x.
Ap I icant's Signatu
?r 1 • H ,,,. n , .. ?
W-tL'ttftCQte df CCClipQ1iC?
WitTg of Wagan
ZO artateat of 8xiiburg anoertion
This Certificate issued pursuant to the requirements of the Uniform Building Code
ceKtfying that at the tio issciartce this sttttcture was in compliance with the various
ondiRances af the City rrgulating building coRStruction or use. For the following:
Use ClusificatiaL ?'_' DWG Bldg. Permic No. 21587
o-P-y rya R31MI zon;ng Dir? R1 Type conu. V1V
owm ara,;kh" PAUiA PRRA.SKA Aaa= 1105 TAQB1ClOD II2AIL, FWjAN
s,daing Aeeren 3* M) QAIC DRiV?B Lw„yI?+, B4, BUR QAK EIlLLS
! , r Daw
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
..
.
TYPE OF WORK:
? 1 1,..1
fi1.l ) I 1_+1 No
H, I !:?t r
N/f.'tii4"
INSPECTION .. ..
? ' . . . 1 ]
kf MA ra? `• ° , b w PI Bk 1 r, 11 I>I I+1
F
L
INSP-ECTION RECaRD
PERMIT TYPE:
Permit Number:
Date Issued:
q I.+ L U C V . :, APPLICANT:
( rj t . ) ?,'?'? '?!•.? I
7
- J
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
7
Foundation
Framing
Roofing
/
Rough Plbg.
Rough Htg.
ISUl.
7J
Fireplace 142
J
Final Htg.
?
t?
Orsat Test
J
6l/
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
81dg. Final
rvx1,
Deck Ftg.
Deck Final
Well
Pr. Oisp.
Q?? O i
t-q INSPECTION RECORD
ITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. ,0040
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
j ? 1! I F! .', i 6 i I.'-? .." ?-. ,•
SITE ADDRESS: APPUCANT:
.,., 0 OaK O::
r-itirrk IlAK oi ILt. S f b I e ? ?rsc;
PERMIT SUBTYPE: TYPE OF WORK:
? .. .; .? : - . .?. . ,.
? ? . _.
?
?
s t
. . _. ' ..?. . ?. ,?
Permit No. Parmit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inepection Date Insp. Commen4s
FOO7INGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVG
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLQG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
RESIDEN7'IAL
. ? BUILDING PERMIT QPPLICATION
CITY OP EAGAN
? u?b? 7 3830 PILOT KNOB RD - 55122 i+al I?d
? ? 657-881-46'15 ? b-9-ol
NewConstruefionRecuiremeMS RemodellReoairReaviremeMS - ?
• 3 registered site surveys showing sq. fL of lot sq. ft of house; arW all roofed areas • 2 wpias of plan
(20°h maeimum bt average allowed) . 1 sal of Eneigy CalcuWtions for heated additions
. 2 wpies of plari shavug beam 8 window sizes; poured (ound design, etc.) . i site survey for eMerior addi6ons d decks
• lselofEnergyCaku;ations
• 3 copies of Tree Preservation Plan'rf bt plaGed aRer 711193
. Rim Joisl DetalOptbns selection sheet (61dgs wilh 3 a lass unils)
DATE _._(0 4140(
jJB SITE ADDRESS 3 g eal oAk j
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER AC1rV PrASk4
VALUdTIt)N(EXCLUDINGi.ANr) ?'-9 C) o 0
TYPE OF WORK !SGir?,enPd nOfGh Or1 L°xi $)YAq dL'a]C FIREPLACE(S) C? __1 _2 _3
APPLICANT A_ rV Q('pSKQ PHONE # 6gb -L5-359
ADDRESS 3 2'' L"F (?ecI pa kDr?oe E4G ct/1 /1'1/v ZIP CODE .53-12-1
PAGER # I CELL PHONE # (n f 2'??{1c1-0?//S FAX #
NEW RESIDENTIAL BUILDING OIdLY - FILL OUT COMPLETELY
Energy Code Category _ NIINNEJOlt1 kUi.ES 7670 I.ATEGE'iRz 1
(check one) - ResidenGal Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RUL•:S 7672
New Energy Code VUorksheet Submitted
Plumbing Contractor: _
Plumbing System Indudes:
Mechanical Controctor:
blechanical System Includes:
Sewer/Water Conhactor.
_ Water Softener ?
_ Wa[er Hea[er
No. of Baths
Air Conditionin;
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application. I? I?ln??, ?
uu ? u
I hereby acknowledge that I have reod this application, state thoi the information is correct and agre?ply wi h
all applicable State of Minnesota Statutes and City of Eagan Ordinances. IBY
Slgnature ol Applicant Q,164 ?;4?
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Phone
Lawn 5prinkler
No. of R.I. Baths
Updated 1101
OFFICE USE ONLY
? 01 Foundation
0 02 SF Dwelling
O 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? 08 06•plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 71 10-piex ? 19 Lower Level
? 72 12-plex Plbg_Yor._N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
e 23 Porch (screened)
? 24 Stortn Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
E3 36 Multi
tv 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Founda6on) ? 45 Fire Repair
? 33 Alteration [3 37 Demolish (Bldg)' 0 43 Reroof ? 46 WindowslDoors
O 34 Replacemer.t `Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation ?Q f Occupancy lti" .) MC/ES System
Census Code ? Zoning Q?( Ciry Watei
SAC Units _ ?/
-?- Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
Footings (deck)
? Footings (addition)
Pounuztisn
Drain Tile
? Roof _ Ice R Wacer _ Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIRED iNSPECTIONS
FinaUC.O.
? FinallNo C.O.
? Phtmbing
'H VAG
_ Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
Windows (new/replacement)
Approved Byof_, 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
SGlQ,5e 6V&,b /'Di`r?
lT
Address 3214 RID OAK DRIVE Zip 5512 I
,
I.ot, . 4 Blk 4 Sub Bu!t ontc t?as
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector: 1.4is
Final grade (6" from siding) VI"
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plum6ing system and the shut-off of water supply to
the outside lawn fauce[ before freeze potential exists. Contact engineering division at 681-4645 before working in righ[of-way or installing underground sp[inkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Conlractor Copy
o,6
Reques Det
lY
( Fira No. Rou9h-in Inspection
uiretll
kPBaOy Now L? Will Nolify InspBCtor
n R
? WO
tl
7
Ves ? No e
ea
y
I?--licensed contractor p owner hereby request inspection of above electrical work at:
Job Adtlress ISVeet
3?t Box Rome No.? p
M
Seclion No, Township Name or No. Range No. CAUn/t,
OcouPan' IPRINT,
l9/7in" ? . • ?
f ? Phone No.
Power Supplier
? Sf
? Atltlress
Eleclrical Connacmr ?COmoany Nemel
. t? °rsdrc ComractorS Licensa No.
?t3cs3
Mailing Aotlress IComracror or Owner Making Installationl
-7 drfla46P l&?
?r
Aulnorized Siqn vact /r Making Inslallation)
_LC Phone NumDer ?/n=y??yy-. (q?
MINNESOT ATE BOARO Of ELECTFICRV TMIS INSPECTION REOUEST WILL NOT
Grigpa-MlOwey Bltlg. - Roam 5173 BE ACCEPTED BV THE STATE BOARD
18Y1 Univenfy Ave.. SL Paul. MN 55104 UNLESS PROPER MSPECTION FEE IS
Plrone(61Y) 662-0800 ENGLOSED.
9? . REQUEST FOR ELECTRICAL INSP
See instmdions fo, completirg this brm on Cack of yallow cOpy.
985 -'x" Below Work Covered 6y This Request
ew Aild Rep: . TypeofBuilding AppliancesWired EquipmentWiretl
Homa Ranga Temporary Service
Duplex Water Heater Elactric HeaGng
Apt.Buildinq Dryer Other_(Specify)
CommJlndustrial Fumaca
Farm Air Conditioner
Other (specily) Comracror§ Remarks:
Compute Inspection Fee Below:
# Other Fee # ServicaEntrance Size Fee # Circuits/Feeders Pee
Swimming Pool 0 to 200 Amps eo4
0 to i00 Amps
Transtoimers Above 200 _ Amps A6ove 100 _ Amps
Signs Inspector§ Usa oniy: TOTAV S?R'
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 MONTHS.
I, the Electrical Inspector, hereby R0°9h-m oare
certify that the above inspection has
been made. F;nei osta Y3
OFFICE USE ONLV
This raquast void 18 months Imm
? ?i
?
io 0
Requ st Da Fire No.
Jo ? Q? Rough-in Inspeciion
Required?
?Reedy Ww W?lh
tly??,or
'q
? ( es ?No en
ee
?licensed contractor ? owner here6y request inspection of above electrical work at:
I i?
Job Atldres5 (SVeet Bax or Route No.I City
;?l cl 2t57 0,41C K i?d9C^/V
Sedion No.
` Township Name or No. Range No. County
74
01 (PA1NT)
aiii Y r'1??7s1r? Phone No,
Power Sup?Dli/er [f
/V • 7' Pt AtlGress
Elei Conlraclor (Company Name) Conhac[or§ Licenae No.
G= C' =[.cC74rc.9L .4041305'
Meiling qtltlress IConVactor or Owner Making InstallaTion)
'?31,i ?ie?c?a ?g uc
5'r
Huthoriie0 Signal raMOriOwner nstallatmn?
- Phone Number
esY-? v??
-
MINNESOTA STATE B FAO OF ELECTqICITY THIS INSPECTION iiEOUEST WILL NOT
Griggs-Mitlwey eltlg. - Room 5173 6E ACCEPTEO BY7HE STATE BOARD
1821 pniversfly Ave.. 51. Paul. MN 551W UNLESS PFOPER INSPECTION FEE IS
Phone(61II) 6<2-0800 ENCLOSED.
? 63414
REQUEST FOR ELECTRICAL INSPECTION
? See inslrudions Ipr completing this lorm on Dack of yellow copy.
? "X" Be/ow Work Covered by This Request
^tEB-00001-OB
??Itll??`
ew Ae;1 Ftep. TypeofBuiltling AppliancesWired EquipmentWired
?me qange Temporary Service
Duplex Water Heater Electric Heating
Apt. Builtlinq Dryer Other-.(Specity)'
CommJlndustriat Furnace
Farm Air Gonditioner
Other(speciy) CoMractor's Remarks:
wirtErYVw tFA/&I
Compute lnspection Fee Selow:
# Other Fee # ServiceEntranceSize Fee 8 Circuits/Feeders Fee
Swimming Pool 0[0 200 Amps 0 ta 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs Inspeaor's Use Only: ^
? TOTAI,n
Irrigation BoomS ?
y?0
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee j-O COMPLETED WITHIN 76 MONRI.
I, ihe Electrical Inspector, hereby
if
h R°ugn-in oete
Y
cert
y that t
e above inspection has
been made. Final oa?e ?
OFFICE I15E ONLY
This request void 16 montns from
'191 G5'
2006 RESIDENTIAL PLUMBING PERMirAPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweilings.
3`•5?7
Date?70-0 l
?"?
Site Street Address Sa/? ?E'? OGi? FJi?VP Unit#
Property Owner ?(?45kl/ Telephone #((o}?? ) " 5
Telephone # (C7"/ ) 6? "53?5
Contrector Scl7
n
Address 3d%?f i44 (7F,& D- City State MZip S"Y72_/
The Applicant is: XOwner _ Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans acens e ncues ouny e
$ 100.00
s-built $ 10.00
Alterations.to existing dwelling $ 50.00
? Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the ,
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 518" meter is required)
Other:
Water 5oftener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ ?'?
I hereby apply for a Residential Piumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required t be review and approved.
-
ApplicdnYs Printed Name Applicanrie'5ig
CI7Y OF FAGAh
CASHIEf.: 75 TERMINAL NOa 65
DATE: 05/22/37 TIME: 15e39oi.2
I[i:
NAME: F:AfiA-ANE C ROUGIE
3210 9001 321.4 RED OAF; DR 50.00
2155 3001 321.4 REA OAM Dk 0.50
3490 3001 8214 RED OAY. DR 1.04
To+.al Receipt Amaant; 51,.50
Cfi0i4218
lJ5[:R ID: JAN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUTLDING
030040
+A5J22J97
SITE ADDRESS:
F".I.N.: 16-15600-040-04
3214 ftED OAK C7R
LOT: A BLOCK: 4
BURR OAK HILLS
DESCRIPTION:
ermit Type
IQrk Type
py
f f
pECK
NEW
434 ALT. ftESIDENTIAL
Y? }?
g` ?l e Tke? F7 u ?.
u
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Subtvtal
CONTRACTOR:
OWNER: - Applicant -
PRASKR GAh'Y
3214 RED OAK DR
EAGAiV MN
(612)686-5389
I I he rehy ?eXrrc???edg411that_T 1aaiva,xs#4 tNi$
a.r?fc?rpcataon, ie 0.K#Y"t caiijItq'rg?-3e?? oum#IA
8:ta?uto,s Areid_.?.t,?? ta ?0?h 'o r4S,r?orr6 o:4.,:`
I,_ ` . _ . _ _ ? .. s.. . .... _ e _
izi
PE II
A?f/ EF-SIGNAfURE ?I-
$50.00 cnprES $1.00
$.50 Total Fee $51.50
$50,50
- 4` 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?s/ 0
,2O p CITY OF EAGAN
5830 PILOT KNOB RD - 55122
581-t675 ?-
ion
? 3 registered afle surveys ? 2 copies of plan
? 2 copfes of plana (indude beam 8 window slzes; poured fid. design; etc.) ? 2 sRe surveys (exterior etldttions & dedcs)
? 1 energy calalations ? 1 energy celwlaUona for heated atltlttiona
• 3 wpies oPtree preservation plan ff bt platted after 7/1l93
roqufred: _ Yes _ No '
DATE: CONSTRUCTION COST:
DESCRIP710N OF WdRK: ?e,-k
STREETADDRESS: 3a/q (2tj d''k
OT BLOCK L/_ SUBD./P.I.D. #: u Jur? ?4 ? N'?? -S
PROPER7Y Name: pr9Sr-y Phone#: 6oc&53Sj
OWNER StreetAddress• 32-I`I
City: re,,ra4 State: Zip:
coN7'R4c'rOR Company: ct s AAovt Phone#:
Street Address: License #:
City: 5tate: Zip:
ARCHITECT! Company: s`we- q5 Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction oniy): N44 . Penally applies when address change
and bt change are requested once permit is issued.
I hereby acknowledge that I have read this appliqtion and state that the infarmation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature ot Appticant:
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No MAY 1 6 . 97
Tree Preservation Plan Received - Yes _ No _ Not Require Y'
OFFICE USE ONLY
BUILDING PERMlT TYPE
. * .. .
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
? 03 SF Addition ? OS &plex ? 13 Garage/Acxessory o 20 Public Facility
n 04 SF Porch o 09 12-plex ? 14 Fireplace n 21 Miscellaneous
? 05 SF Misc. ? 10 ^ plex p' 15 Deck
WORK TYPE
? 31 New o 33 Alterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/W5 System ?
(Allowable) Main level sq. ft. City Water ?
UBC Occupancy sq. ft. Fire 5prinklered
Zoning sq. ff. PRV
# of Stories sq. ft. Booster Pump
Length sq, ft. Census Code. v 3U
Depth Footprint sq. ft. SAC Code /?j_
Census Bldg _L
Census Unit
APPROVALS
Planning Building W21 Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Parlc Ded.
Trails Ded.
Other •
Copies
TotaL• :
% SAC
SAC UnRs
Y.b!
• ? ?
4 T *
* PIONEER
*englnee-r?ng ?uN^??NVZ5.
****
N
?
ia
O
Certificate of Survey for: Gtll`,x,_PI'qSI(a
House Address:, Eaaan MN
• W/V /1?d d tik Ar-
.,
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up
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A N
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T ; a
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m i $
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I
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8q
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N 8138'06"
u.,, 171,¢q W
io
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2422 F.(ItGfGr160 DlNO
Mendota Moignts, 11N 55720
612) 881-1914•FOx 681-9488
623 Nlghwny 10 Noriheaat -
9loine. MN 65434
612) 763-1880•Fo. 783-7883
3
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uas ?+Stz? s.H
r99J..^9 g94.57 ?rJ9.2g
S 87'06'29 w 5
?
1
N07E; CONTRAC70R MUST VERIFY ALL DIMENSIONS
THIS CERiiFICATE DOES NOT PURPORT TO SHOW EASEMENTS
.OTHER THAN THOSE 5HOWh1 ON RECORDED PLhT.
. 900.a Denates Ezlsting Elevatlon PROPOSEO HOUSE ELEVATION
.cigip Denotea Proposed Elevatlon Loweat Floor Elevation, 886.22
_----Denotea Drainoge & t1#ility Easement 7op of Block Elevatlon:894_33
-?-Denotes Orainage Flow Direction
--o- Denotes Monument Garage Slab Elewtion: 844.00
-r3- Denotes Offset Hub 8earings shawn ore oasumad
LOT 4, BLOCK 4 BUR OAK HILLS
?
h n
f0 r4
ao g
N
DAKOTA COUNTY. MiNNESOTA
1 Aneby olrtily Mat Wh Iurvry, pbn or n0ar< uui preparetl bY me a, undN my diroc? woarvi?ion and tM1at I cm Euly Rapinncd Lcnd Surwyar
undor IM lamj1,M. Stw uf Minnnau. OnM thb L dry ol r111 1C A.ZORERT -•
` ?r , R6 . N . 10G91
c• ao?
( q
am 93152.00
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: Lar:
3214 RED OAK DR
BUR OAK HIILS
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
BUILDING
021587
07/26/93
INSPECTiON
F007ING ., .
FRAMING .•
INSULATIQN FINAL
FIREPLRCE
REMARKS: S& W PLBR - T G H PLBG
?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
4 BLOCK: q APPLICANT:
PRASKA pAULA
(612) 595-5521
7
L -1
CITY OF E1o?GAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(672) 681-4675
PERMIT . C??
PERMITTYPE: suiLoitic
Permit Number: 021587
Date Issued: 0 7/ 2 6 J 9 3
SITE ADDRE$S:
P.S.N.: 10-15500-040-04
DESCRIPTION:
3214 RED OAK DR
LOT: 4 BLOCK: 4
6UR OAK WILLS
Permit 7ype
ng "Work 7ype
GOnStYU,ction Tg:pe
Zanirrg
Building Length
@u3.ltlfRg Width
y y( i
-"\_ ? `IF . ±% ?
? ? ? ? •j
..
REMARKS:
S& W PLBR - T G H PLBCa
SF DWG
NEW
R-3 M-1
V-N
R-1
70
44
FEE SUMMARY:
Base Fee
plan Review
Suroharge
SAC
SAC %
SAC Units
Su6tptal
VALUATION
$863.50
$561.28
$82.00
$750.00
100
$2,256.78
$164.000
MISCELLANEpUS $1,744.50
Total Fee $4,001.28
CONTRACTOR:
OWNER: - Applicant -
PRASKA PAULA
1105 pUGKWQOD TR
EAGAN MN 55123
(612)595-5521
80$
E I hereb;y acknowladge tfiat T have read this application and state tket the
infctrrruaCian is enrreot and; agree xo camply, with all aQplica6le State nf MR.-
Stateates and,Gixy-of Eagan Ordinanees.
L
?
APPLI?lT'ERMITEE SIGNATURE
nr, n&oaJf
-ISS UED Y: 5 NATuno
J
REACTIYATE _ CITY OF EAGAN
PERMIT G?i IECC???AED 1993 BUILDING PERMIT APPLICATION t4, ii0{. ,3
VA oiU L 2 0 1993 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
CdlCS.
COMMERCIAL 2 sets af architectural 6 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made., 2) address is changed or 3) lot change is requested once permit
is issued.
Date '" t/ 73 Valuation of work 7_ 000
--?
??
5ite Address: XllV Recl &,K LrV'Q 45? 9ef i1
STREET ? SUITE Y
Tenant Name: (commerciai only) "-
IAT ?"?, SLOCK ? SUBD. 6?r d?KEf?l?S • P.I.D. N s
Descri tion of work: o {Nc+u
The applicant is: Owner Ep-contractor ? Other (Destribe)
Name rliS Phone 62K __G99
Property «ST FlR T wo?? srs-ssz???q,?lq)
.Owner Address IQ? L)L) c?(Ilj `rr 363
STREE7 S7E t
City State M'U i;p SS-1 2-3
Company ? ? ?- ?S Gyo?e Phane
? •da v; f
Contractor Address License # ° Exp.
City State Zip
Gompany ?P?¢ f{orne5 Phone S37 --3- L 2.
Architect/
Engineer Mame Vrr-d TdG?nson Registration ? T`OGb3693
Address Al L? Ir,c Dr
City ?linnea?al%s State /11/U Zip
Sewer & water licensed plumber?_ T?-y 1{ ??U+MGI?JG Processing time for
sewer & water permits is two days once area has-beefi approved.
I herehy acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature f App ' ant:
? \
OFFICE USE ONLY
BUILQlNG PERMIT TYPE 0?., 1?
? 01 Foundation ? 06 Duplex ? 11 Apt./Codging ? 16 &?`sefieRt Fin_,.i.sfi
19,02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. 0 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Flreplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
13 21 Miscellaneous
WORK TYPE
Jid 31.New ' 0 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ' O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actaal) ? ?
ble
ll
- Basement sq. ft.
1
f MWCC System
W
t
Cit ?3
owa
)
(A
V-/? ist F
. sq.
t. a
y
er
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning "R-I Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkl er
lOngth 2TO? On-site well Census Code /61
Depth On-site sewage SAC Code <>/_
APPROVALS -'
/
Planning ; . Building Assessments
Engineering? Yariance
REOUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee v.iuac;on: S 16y,oa>?
Surcharge
Plan Review 4qRAGfic; Z
ZK31.r '704
License --
a?T'
City SAC bllox(6 = 10
8ga
Water Conn. 1
3gk3o? J)A
?
Water Meter
Acct. Deposit ??x y y°-
5 W Permit
%
W Surcharge
5
Treatment Pl. I5'r FLoore;
Road Unit
Park Ded
.
155?7= (!$O
Trails Ded. /(90_
Capies 13YQX5y= 72360
Other
Total: ZN O Fl..?
°n-
114u
SAC Units ? Z)kl°' Zn 62?y0
pXSy=
I?G
?
,
1L
SENT BY.DATA CEN7ER ; 7-20-93 ; 11:09 : G&1( SEnV1CE5? 612 681 46124 2/ 2
=aE9 Fnearpr4e Wi+s
{5 ? ? MaWa[o Natynka 1A4 6540
(812) 581-1811•v0%
*evi nSOW °?""LUm??. trHmr+rc ?nw?a.n 625 H1ghYUY 10 NaAMat
9loina YN 85434
. * 4t * * . (61? 78Jo1880•Fb+? 787-180
Certificutd of Survey for: rnw?17.
House Address'
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159.20
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NOTEt CONTRAC70N IJU6T VEHIFY ALL OIMF]JSIONS ?
TFIIS CER-OFlCAIE OOES NOT PURPORT TU SI10W F.nsENENiS 1p
.FYI?IER THAN fMOSE 916WN DN RECWDEM PLAT. +,1AC7AN XN1
. aaao 6onetm Exletlnq E16unttar+ Pptmo5F0 klOl_19E F.I.EVSnt?
.cQW Denofae p+r+aomd Elawetlon Luwa&t flaw Flevntwn:8,0.Q.ZZ
_- Denotee Orqinaqe & UtRity F.nmmAcnt 7op af Skmk FJe?UoMt?.1
-w-ponates Orolnege flow D6ncpon Cmmg gQy ElBYO{tam&94.OD
---cs- Denoles Menament
_..?-Aenntas OTfeot Nu6 0aarings ehorsi are Oa+mad
LOT 4 , BLOCK -4- ?,1,}?,_??K Hll?
oMarA Mtx+rY.
i n.?v anNV dm da aawv, WN tlf f?00k WI MPe? bY fM M Md1/ mYtl(Ra wp?riuw?•J ?bt 1 sndu?v EbY^MA I+nd Burv?w?
mdrt144ra la?yy??o1M?iumcGWptl•^'•'sPJ?_myo -X&J&Ll4 .._-.tAN
nP 'l.?? IYJ? .
EN 8515tOC
$.o.w, N ??4'?' W
44
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DEPT
Rm94% 6125539676125955510 67-20-93 11:20AM P002 #21
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LOT BURVEY CHECRLI6T FOR RESIDE
SOI LDINC3
PAOPERTY LEOAL:
;. AL
m Date of Survey:
E ? BTANDARDB 7/`
'OCUMENT
3'?0 0 • Registered Land Surveyor signature and company
r? p • Building Permit Applicant
3-?p p + Legal description
p p0 p • Address
p-' ? p
9^ 0 0 • North arrow and bar scale
House type (rambler, walkout, split w/o, split entry,
ep p • lookovt, etc.)
Directional drainage arrows with slope/gradient $.
Q^ 0 0 • Proposed/existing sewer and water services
p? p ? Street name
Q?-- p ? • Driveway
ELEVATIONB
Exiatinq
0 Er 0 • Sewer service
C?" D 0 • Lot corners
p? p p • Top of curb at the driveway
p pr p • Elevations of any existing adjacent homes
Proooaed
W'p ? • Garage floor
-p- ? p •
0" 0 0 • First floor
Lowest exposed elevation (walkottt/window)
D--p 0 •
Q/p p • Property corners
Front and rear of home at the foundation
gONDINO AREAB (if aaolicnble)
?p •
? Easement line
GK 0 •
0 NWL
D 8" 0 • HWL
p 0^ p • Pond A designation
p g?? • Emergency Overflow Elevation
DIMENBIONB
2? p ? Lot 11nes
Q- p? • Right-of-way and street width (to back of curb)
? p p • proposed home dimensions including
rhesny tec?pos(i deckr,
overhangs greater than 21, po
structures requiring permanent footings)
?p ? • Show all easements.of record and any City utilities within
those easements
..8? 0 0 • 5etbacks of proposed structure and setback of adjacent
existing hom s
? p[3 • Retaini a e irements, if any ?
Reviewed: ? ate O
ame
October 1992
?a;,,_, - w•?. ? 3?? ? ? ? ? ?
? ' • ' CI'fY OF EAGAN
ERTERIOR ENVELOPE AVERAGE 'U' COMPUTATION
? ONNER: ?n lJf i A ??llW
a ???
SITE ADDRESS:
CONTRACTOR: DATE: PHONE:
Determine vorking square footage of each:.
1. Total exposed wall area .. 3p °1 8 sq, ft. x.11 =
34?. -, 8
2. Total roof/ceiling area sq, ft. x.026 = -.?> S, 3ce
Totzl exposed wall area above fl^or = 3d cts-
a. Total wall windou area ............................ 'bb
b. Total door area .................................. *3'1•18 o
c. Total sliding glass area .......................... •??
d. Total fireplace Wall area ......................... ?-
e. Total aall framing area (average 10%) ............. ?,? p,
f. Total net c+all area above floor ................... ? SoTB'i
g. Total rim joist area .............................. 11'5
i
Total exposed foundation area = I1z-
h. Total foundation window area ....................... ?
i. Total net foundation area above grade ..............
Determine '0' value of each wall segment:
a. 4t X , ur ?2-g,39
b. 8c x 'U' 'Z-?
C X ' U' `?? ?-,' - l?"i • 'z-e)
d x ' U' - - "^
e. c'e x 'll' -?U Cv - 'zS• ?03
f. z to B,2. co x 'U'
g. u?• ?o x 'U'
h . `-- x ' U' -
i. 1.l't__oo x 'U'
3 . ................................................... Total = 302_0c3
If item 43 is the same as or less than item 61, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area = C`3 (? d
J. Total skylight area' ............................... -'
k. Total roof/ceiling framing area (average 10%) ..... ' k''S:o
1. Total net insulated roof/ceiling area .............. 1 27- y
OVER
Determine 'U' value for each roof/ceiling segment:
J- ` x 'U' -
k. ?`3y x I U+ <uz3_ _ ?.i3
1. 12;5-74 xIuT - i=z S - 3ca.. ? u
4 . ...................................................... Total = ?'?i-"'1L3
If total of 64 is the same as or less than 82, you have met the intent of SBC
6o06(c)t.
Alternate Bullding Envelope Design
To utilize tYe total enveiope system method, the values established by the sum
of Items 43 and 44 shall not be greater than the sum of Items fl1 and 02.
2. 35.-z?? _ z,--t4, <
3. + 4. 73
2
r'
V
. .,1_1 \.. iJwn..
PiINIPNM "U" l'ALUE !u\'D F-FACTOR AT ROOF, IdALL, RItt !u\D CO::CP,ETE BLOCI:
J .. ' •
, ROOF ? aILINC,
?
(Y) VA
AttZ- F1Ul . ?, t
O f?- UYP PD. ?. 4.ly
? 1NSULA??oN ??'"•?
O EX?E?{?i RlF FILrI ` ?
(5-CiLL? . :.
ID-('AL (R)= 4g...16-1
' s U=.tl2?
kAt? '`
/AL
(R?
Q
?
IN
l?('-IOi= AIR FILM
G) 112!' UYP.' BD.'
lNSULATIoN siz'' t'`` "t'
o-i o`, 'Z.. 4 c
'
C S4??
j,
si
u EX;_; l0- kl?? FILP'1 ?'-``7
11 Ut= llfz =
,
? 1R1M
IL
13
G1)
15
u'
0
(0 Vr1ll
11?7?1'lor? f??r• FIu?
2 nIR R1111 .?Dls
T t`.j';,?
l
,wL
u?>Z ?G s4?tc .
.
. Z? to 4
?
r,F;sor?fTE stotr? . ? ?.
t:XTEn»P- AiF- FtLM . L -7' -
nVl?=
. . '?
?$
?
C
:?
(D
0
.foJN'DATtoc-I
iNTe17lz Am nu1
Ctz) v?w:
acj, IG.
9.5 - U. ]OS, vc
EX?E(?1o2 AlR FILM -, k -7
u Uu
floor, ove; unhea[ed spaces must have mininua R-fac[or of R-20 (tuc.l•-under
Floors oc,t oucdoor air (ovcrhangs) nust liave a nininum P.-fac[or of R-33.
'foYAL (R) =z???
ToTP.L (R)_ zs,??
U = - i'zs?
garages)?.
SINGLE & DOUBLE FAMZLY HOMES
1984 ENERGY CODE REQUIREMENTS
On or about March 1, 1984, the following energy code requirements
should be calculated and included with a building permit application.
1. Roof - ceiling assemblies - R-38 U= 0.025 Average
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. Exterior overhangs will be considered as exterior wall.
5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. All insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
tmo[Liut ta (n) rr,uuas rcon nsnn;,t )Ir,:ianL
ot Trritr,ur us[u rr.ooucis
Interiai Air Fi1m (1lalls) (R)
O.GB
Cypsum or Olaster boar0 318^ (A)
0
32
1+1er101 Air iflm (tlalls)
Int
l 0.17 Cypsum or Plasac. Loa.a 1/2" 1
0.45
cr
or 6ir Iiim(Vrnted C<ili
..i
Eit
ni
I nq) 0.61 Crpsom or plas[er board 5/8" 0.56
,..
,
r F
lm (vi•nted Ccili
I nq) 0.61 PlyvooA 3/8" 67
0
ntcrlor Alr Filn (Ilcn VcnpeA) 0.61 Plywood I/7" .
62
0
Eatcrior Air flin luou Ventetl) 0.17 Ply..ood 3/4" .
0.93
Rl?nin??n SidinQ Shrat?fnp, re9. denslty 1/2" 1.32
AIumfnum .,ipn Backer 0.61
1
8 5neatnlnn, rec, eersity 25/32" 2-06
Alu-inun .,i[n Backcr L Foiled .
3
3.96 N:il-hos! She+thinq 1/2" 1.14
1/1 z B Lco Sidinn (IIOOO) 0.81 Built-up RoofS 0
33
7/16 • Iz uyrdpoara Sidinq
"sbe
t
Sf
f 0.67 Asbestos-<emm[ shinel, s .
0.21
s
os
d
nos I/4 LopDetl
Stocco (01
d fi 0.21 Asphalt roll rooling 0.15
1.,n an
nlsn [oet) AsPahlt Shinglcs 0.44
Yl" k'ood SuEfloor o. Sheatning
1/1" Pl 0.94 Insulation! I-2 j/L" Fiberolass ).OD
y.,poa iira[ninq
1/2" Pa10
7
tl 0.62 Insvlation! ) I/2" fiberglsss 11.00
c
c„re
c 0.66 Insalation: 6" Plberglas3 19.00
v00DS:
BL04itif, 400L5
FIr, pinc t simller se(t Voods 1 1/7" 1.89 Fpproz. )" • 9.oD
7 1/7" 3.12 qooroa. 4 1/1" 13.00
3 1/2" 4.35 Appron. 6 I/4•' 19.00
5 I/2" 6.87 Apprea. ) 1/4" 74.00
Approa. 14" 30.00
Aooroz. IB" 40.00
A11 otner insvlatien materials nyft 6e
illled verified (R iacmr)
8" C (R) Vermiculi[c
oncrete 61ock (S L G Rea.) I.11 1.93 .
12° Cencre[e Claek (5 L C Reg.) 1.711 ).15 '
•
8" Lfsbc ucignt 1.18 5.03
11^ Liget I:e19n[ 2.48 5.87 /l..f?nff.f:`? p C ?t.0i: }?
NOTE: (V) a Area SQUare ieet
AII vllAO.+s
(w/sto ms i° t0 4" Soacc)
.SL
Removal oouele el,:inq (aDG) .55
ihermo or welCed 3/16" air space .69
I/4" air ;pacc .65
1/2'• air soace .58
(Diner wlnao,+s soecl(ically testra wn ose better ratings)
1 7/4 soiIe colc eoor .46
v/srorm, wa0 .)I
w/stnrm, r,etal ,=6
Prsse StcelUOOr Insl/1:/GL 7.45n ,1j
Slieinq cl„s ooor, uooa .65
Metal .)15 '
i
PLEASE COMPLETE FOR SWGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- - - - ---------------------------------------- - - - -
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0.100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GA5 OLTTLETS (MINIMUM 1 C S3.00 EACH) ?
ADD-ON/REMODEL (ExIST[NG coNSTxxucrloN) $ 15.00
STATE SURCHARGE .50
TOTAL
SITE
OWI3ER NAME: 6::?
ae?,L- 'or'rtuC'
INSTALLER: ?rhS1? ?_/ e" ?,?+q d- rea
TELEPHONE #: I,?? ?30-5
ADDRESS: (/oS- Ltic/ ?'4v T?''
CTTY: 6?2 9:1 STATE: ZIP CODE: S??Z3
TELEPHONE #: 4
A? ??
SIGNATLyRE OF PERMITrEE
1993 MECHANICAL PERMIT (RESIDEIVT7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN 1VIN 55122
(612) 681-4675
1993 MECHANICAL PERMIT (COMMERCIAL)
CI'IY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAI.JINDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS VVfEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf.
DATE:
CONTRACT PRICE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CUNTRAZ.T FEE $_
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
STTE ADDRESS: '
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMEN7'S ONLl)
INSTALLER:
ADDRESS:
CITY:
STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMTIT'EE CIT'Y INSPECTOR
PLEASE COMPLETE FOR SINGLE FAMILY DWELLII3GS. ALSCl, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT•
NO. FIX1'[JRES
L SHOWER
WATER CLOSET
BATH TUB
LAVATORY
KTTCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET • minimm • t
? ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • Dex.cty. iic.
U.G. SPRINKLER • nome uneer const.
ALTERATIONS • to austing
WATER TURN AROUND
STTE
OWN
WSL
F-ACH TOTAL
3.00 6 C?d
3.00 ?
3.00 _C51-6
3.00
3.00
3.00 ?
3.00
3.00
3.00 3 ?
3.00
1.50
5.00
15.00
3.00
15.00
15.00
ADDRESS: Y9
CITY: STATE: ZIP CODE:???
PHONE #: ( ) 7 34??
.:?
SIGNATURE OF VERMITTEE
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN '
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
STATE SURCHARGE •50 ?? ?
TnTar ? *?c?-?
1993 PLUMBING PIItMTf (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122 "
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMIERCIALJINDUSTRIAL BUII.DINGS. AISO FOR MULTI-
FAMILY BUII_DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U::: T.
_ NES'V CONSTRUCfION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE '$.$0 FOR FACH $1,000 OF PERMII' FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE a
TOTAL $
SITE ADDRESS:
TENANT NAATE: STE. #
OWNER NARSE:
INSTALLER:
ADDRESS:
CITY:
PHOT'E #:
STATE: ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
2422.Enterprise Drive
Menddto Heights, MN 55120
* PIONEEA LANO SURVEYIXtS • GNL ENGWEERS ?612J ?B??91a•FO% 6B19488_
? -----?-- UND PLANNEPS • LM7?SCME ARCMITECIS 625 Highway 70 Northeast
* eng?neering Blaine, MN 55434
* 'k ?612) 783-1880•Fax 783-1883
* * „
Certificate of survey for: Gary Praska
. House Address: 321? Red Oak-Ariy2 Eqgan, MN
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NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS
THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS
pTHER THAN THOSE SHOWN ON RECORDED PLaT.
. 900.0 Denotes Existing Elevation PROPOSED__HOUSE ELEVATION
10'nl
2005 RE5IDENTIAL BLTILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Comhuction Reouirements
3 registe2d site surveys showing sq. ft. oi lot, sq. it ot house; and all roofed areas
(20% maximum lot coverage allaved)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy CalculaUons
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Jast Detail Options selection sheet (buildings wBh 3 or less unils)
RemodeUReoair Reauirements
2 copies oF plan
1 set of Energy Cakulations for heated addAions
1 site survey for addiGons 8 decks
Addition - indicale if onsife sepGc system
S4o ,0?
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Office Use Oniv
CeRofSurveyRecd _Y _N
Tree Pres Plan Rerd _ Y_ N,
Tree Pres Required _Y _N
On-site Septic System _ Y_ N
Date O-P /DS Constructiou Cost 3cp , O CD U
Site Address 32 I? R -c GA Oak ?r . UniUSte #
r? 55i?1
Description of Work p l1S Q
C ?? L1 ?C ?.
?C,Cr1-? t C)Vl , ?}.U-C(
Multi-Faroily Bldg _ Y X N Fireplace(s) X 0 _ I _ 2
Property Owner ?- { Q?C F'C\ u, C, PY G51(_Gi_ Telephone #( Ca51) Co S Ca 'S3b' ?
Ce 1 525
Contractor ?,--
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 76"ID Cateeorv 1 Minnesota Rules 7672
Ene?gy CAde Category , Residen6al VenUlation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer(Water Contractor
Telephone # (
Telephone # (
Tefephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ?
c,???`"?_?' _"
Applicant's Printed Name App icl ant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
Q 03 Ot of _ plex ? 09 07-plex ?d 17 Garage )1 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_v or _ N ? 25 Miscellaneous
Work Types -eelpfipel fflv >Zpt,ry1
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCCment •Demolition (Entire Bldg) - Give PCA handaut to appliwnt
Valuation nUC? . D c Occupancy 2 3 d- c) MCES System
Plan Review 100% or 25%
Census Code 3 y Zoning ?-? City Water
SAC Units Stories 1 Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Z- 1 Fire Sprinklered
Type of Const ? Width / 2'
REQUIRED INSPECTIONS
Footings (new Uldg) _ FinaUC.O.
,12 Footings (deck) ?j FinaUNo C.O.
?o Footings (addirion) Plumbing
p Foundation 20 HVAC
Drain Tile Other
Roof ? Ice & Water W Final _ Pool _ Ftgs _ Au/Gas Tests Final
[?i Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
? Insulation/ I h Retaining Wall
WAJ
Approved By: /
,?Building lnspector
--------- -------- I - ------------------- ----------------- ---------------- ----------- ------- ----- ---------- -------------------------- -------------------------
Base Fee
Surcharge
Plan Review
MC/ES SAC
Clty SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
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(26 wi S('HC %e 1a'X-?a`X6-?C=' =
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Permit #
PermR Date
Report Date:12/06105
Energy Code:
Location:
Construction Type:
Glazing Area Percentaga:
Construclion Site:
REScheck Software Version 3.7 Release 1a
Compliance Certificate
2000 Minnesota Energy Code
Dakota County, Minnesota
Single Family
4%
Owner/Agent:
DesignerlContractor:
Ceilirg 1: Flat Ceiling or Scissor Truss: 200 40.0 40.0 3
Wa111: Wood Frame, 16" o.c.: 240 21.0 0.0 12
Window 1: A6ove-Grade:Wood Frame:Double Pane with Low-E: 10 0.058 1
Ooor 1: Sdid: 18 0.046 1
Basement Wall 1: Solid Concrete w Masonry: 240 10.0 10.0 10
Compliance SYatement Statement of Compliance: The proposed building design dexribed here is consistent with Me buildfng
plans, speafications, and Wher calwlatlores su6mitted with the pertnit application. The proposed building has been designed to meet
the 2000 Minnesata Energy Code requirements in REScheck Version 3.7 Releasa 1a and ta ownply witli the mandatory
requirements lis the REScAeck Inspectian Checklist.
BuildeADesigner Company Name Date
* PIONEER LAND SURVEYORS .
? angineeA 9 LAND PLANNERS • LAN
,* * *
2422 Enterprise Drive
Menddta Heighis, MN 55120
612) t87 _1914•Fax 681-9488
??ITECT`' ' 625 Highway 10 Northeast
Blaine, MN 55434
(612) 783-1880•fax 783-1883
Certificate of survey for: Gary Praska
House Address: V* Pr. . Eagan. MN
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NOTE:
pTHER THAN THOSE SHOWN ON RECORDED PLaT.
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. 900.0 Denotes Existing Elevation pROPOSED HOUSE ELEVATION
= soo. Denotes Proposed Elevation Lowest Floor Elevation:886.22
-- Denotes Drainage & Utility Easement
? Denotes Drainage Flow Direction Top of Block Elevation:894.33
-o- Oenotes Monument Garage 51ob Eievation:894.00
-a- Denotes Offset Hub Bearings shown are assumed
LOT 4, BLOCK 4 BUR OAK HILLS
OAKOTA COl1NTY, MINNESOTA
I hereby cenify that this survey, plan ar report was prepared 6y me or under my direct supervision and thet I am duly Reyistered Land Surveyor
under the laws of the S[ate of Minnesow. Dated thisL day of Y -`, ??1 L A.D. 19 ?
RFrIJ. 1 1 1°J J? ?j i? . fJ /J
Scale: ?-?h=3 fesr- ?OBERTB lil„ .R .N .1a891
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