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3221 Red Oak Dr? FWJQzva3E EM MM-MM =IBM s/ 1i/a2 ? - 706i (gtrtt#ira#e uf (Orrupanry Citp of Cagan ?r?rtm?t# af munutg 3wrrtimt This CerV*ate issued pursuaril do the mquiremenls of Seclion 306 of the Umfarm Brdlding Code certifying tJlat at tlie rime of rssuance this structure w+as in compliance wrlk die vrrriaus ordinances of tlre CuY re8Wadn8 burlding ronstruclion or use. For the fo!lowing.ux abmffimem SP nac,/caR Bwg. Pmnk Nm i 4s21 o,,,,wmT rw R31M I z,oo;ng a+ma 1rR d rya czas VN p,,,,m or?T'tM(IVAT.T) aNt'C TNC' Aftm 1212 IUI1RR7TT. ApY Fd7,; A_11RHLSVR7R L-ality L 1, B3. B[]R QAK IIILSL 6.15192 -- - - ' Bu&Wq Qffic-.W POS7 IN A CONSPICUOUS PLACE r'?`JAlC EOR DECt PIAN REVMM 8/ 1 I/92 ' ???CN-G88^7061 CITY OF EAGAN , ?,te? ? ??•?3 .,3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-81 QO BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value S226,000 Date OC't' 23 . 1941 Site Address 3221 titED UK Djt Lot I Block ?- SeGSub. MM ? gILi.S Parcel No. W Name _ o Address Clty I Name _ Address Name _ Address City - Phone Phone Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State ot Minnesota St4tute5 and City of EagaG Ordinances. Signature of Permitee.- . ?-- A Building Permit is issued to: ??W CONST IlIC on the express condiiion that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ! • . OFFIC E USE ONLY Occupancy R^3 M-1 FEES Zoning R-t (Actuaq Const ?p Bldg. Permit 1•061•? (Allowable) V'? 113.00 ie oi storiAs Surcharge Lengih 730 PlanReview 702* Oepth 5411 SAC. City 100•? S.F. Total - SAC, MCWCC 650'00 S.F. Footprints - 660.00 On Site Sewage _ Water Conn On Site we11 water Meter 93.00 MWCC System X 90•? Cily Water Acct. Deposit PRV Required _ SNV Permit 30• oo Booster Pump - gM/ Surcharge • 50 276.00 Treatment PI APPROVALS RoadUnit 370•00 Planner tl C - Park Ded. ourx ? Off. -- _ Copies +s 1?? ? ? Variance - TOTAL ? Permit No. Permit Holder Date Telephone * WATER SEWEIR- PLUMBING {, ? 7 9/ ??9 - ?f o H.v.a.c. ?? 95' 9 6G GG2:?- ELECTRIC hupactiat Oate Insp. Comments Footings I Foundation Framing Roof ing Rough Pibg. Z?/?'? -? Rough Htg. h e Isu1. Fireplace ij/2G 9 2-2AsZ S Final Htg. AV Orstat Tast ,t 0, Final Plbg. ?- & Plbg. Inspector - Notily Plum6er Const. Meter EngrJPlan 81dg. Final Dedc Ftg- /tip Dedc Final Well Pr. Disp. ? , ,)s ? ? i t r ?? •? ,, .? ?? - SEWER & WATER PERMIT CITIf OF EAGAN 3830 Pilo( Knob Rd. Eagan, MN 55122-1897 DATE OCT 23. 1991 OFFICE USE ONLY METER # ? "al PERMIT DATE 10/28/91 CHIP # 01 gD 831 PERMIT # 12361 METER SIZE ,l B.P. RECEIPT #C' ISSUE DATE a'a tO -9 22? B.p. RECEIPT DATE 1025 91 --L- PRV - BOOSTER PUMP SITE ADDRESS -3211 d LOT I BLOCK 3 SEC/SUB APPLICANT: > ADDRESS: ^ CITY, STATE ZIP PHONE: PERMIT REQUESTED X SEWER x WATER _ TAPS - COMM/IND X RESIDENTIAL X NEW - EXISTING STAR PLUMBING Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 1018 rlOtrND SPRINGS TFF1' ,Credit WILL NOT be given for Deduct Meters. CITY, STATE BLDOHINGTOPa MN Zip 551+20 PHONE: ,84-4149 : i AGREE r6 C0fliF10LY WITH CITY OF OWNER: MCDONALD CONST INC EAGiAN ADDRESS: 1212 BLUEBILL BAY RD CITY, STATE BURNSVILLE MR] Zlp 55337 PHON? 688-7061 SIGNATURE WHEN METER ISSUED ,„; .7._ //_; - ._ ' ! ?i , (1, " . PLEASiyAL4.aVY TWO WORKING 6AYS FOR-PpO6ESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEVYER &IIfATER PERMIT CIT;If OF-EAMAN 3830 Pi181'knob Rd. Eagan, MN 55122-1897 DATE 0Cr` 23. 1991 . METER # CHIP # METER SIZE ISSUE DATE - PRV - BOOSTER PUMP SITE ADDRESS 3221 ZEV OAK 09 LOT 1 BLOCK 3 SEC/SUB BUR nAK HILLS APPLICANT: ADDRESS: _ CITY, STATE PHONE: - Z1P ADDRESS: luia nwmu srKxm;s Taxec CITY, STATE BLOOMINGWH PIN ZIP $5420 PHOr,E: 884-41a9 OWNER: MCQONALI3 CDNST INC ADDRESS: 1212 BLt1EBI Ll, RAY RD CITY, STATE BUgNSVILLE Mi, Zip 55337 PHONE: 688-7061 USE ONLY PERMIT DATE lv/28/9 t PERMIT # LZsv e B.P. RECEIPT # ? ,• -??` ( ??"(: O? B.P. RECEIPT DATE 20 2 S 91 PERMIT REQUESTED X SEWER X WATER TAPS - COMM/IND _-X. RESIDENTIAL X NEW EkISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I A( EAs CITY OF SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . r.- CASH RECEIPT CITY OF EAGAN , w 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ?- ( ` DATE 6 - 4 19 ..J .? AL , AMoUNT 1$4 10 7 150 , Il ?tt?' ?r d C%)'yI, Iv?? ? ?y'" ? DOLLARs ,w O CASH ?CHECK Thank You e G 015962 cwy ? YeMo-postltg t,ppy ?I Pink--Fie Gopy ?.?? .? ?- CITY OF EAGAN No .1 g833 . . 3830 Pilot Knab Road, P.O. Box 21•199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt # n Olt?;?? ?"? Tobeusedfor SF DWG/GAR Est.vaWe $226,000 Date OCT 23 ,1991 Site Address 3221 RED OAK DR Lot 1 Block 3 SeGSub. BUR OAK HILLS Parcel No. w Name MCDONALD CONST INC a Address 1212 BLUEBILL BAY RD City BURNSVILLE phone 688-7061 o Name ??6 ?U a Address ? City Phone I Name Address Ciry Phone I hereby a wlege ihatl have read this application and state that the information 's rect and agree to comply with all applicable State of Minnesota S 1 and Cit Qt Ea Ordinances. SignaWre of Permit ? A Building Perm' is i sued w: MCDONA D CONST INC on the express c ' ion that all work shall be done in accortlance with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Building Oificial OFFICE USE ONLY Ottupancy R-3 M=1 FEES Zoning R=1 (Aquaq Const V=N Bldg. Permit 1, 081 . 00 (Allowable) V-N Su¢harge 113.00 # of swries 73 ' Plan Review 702 . 00 Length Oeplh 54' SAQ City 100.00 S.F. Total - SAC, MCWCC 650.0 0 S.F. FaotOrints - 660 00 On Site Sewage _ Water Conn . On Si1e Well - Waler Mater 95.00 MwCC System x_ 30 00 Ciry Water X Acct. Deposil . PRV Required _ S/W Permit 30.00 Boo5ler Pump _ SM Surcharge • 50 7reatmenlPl 276.00 APPHOVALS qoadUnil 370.00 Planner - park Ded. Countil &dg.OM. _ Copies Variance - TOTAL 4,107.50 Address: 3221 gEp pAK Dg1VE Lot I Blk 3 Sec/Sub gUR OAK Ha,Lg These items were/were not complete at the time of the final inspection. pate: 6/5/92 Yes No Final grade (6" from siding) Permanent steps - garage f Permanent steps - main entry Permanent driveway ? Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify vith the buildar the removal of roof tast caps from tha plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. ? aanmruEa White - City copy Yellow - Resident copy Pink. - Contractor copy y DATE: OCT 28+ 1991 €{ . r tz RE: 3221 RED OAR DR (LiCDONALD CONST INC) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until 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 notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, EIECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept 1-311219,;L... REQUEST FOR ELECTRICAL INSPECTION J49330 Sea instmclions for compietinq this form on back of yelbw copy "X" Be/ow Work Covered by This Request ? ee-ooom-os ?g! e A2d Rep. TypeofBUilding ` ApplianceSWired EquipmeniWired }{ Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Builtling Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner DIDgr (syecify) CoMracror5 Remarks: Corripute Inspection Fee Below: # . Olher Fee # Service Entrance Size Fee # Circuils/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps SiJnS Inspector's Use Only: TOTAL Irrigation Booms 6. p? $ 1$. S 0 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, Ihe Elecirical Inspector, hereby certiry that ihe above inspection has been made. Rough-in ...,.. F?„ai - ? Date oaig ? J OPfICE USE ONLY This request void 18 monms Imm ? „ "s/7 /ya- ?os8? e' J 49330 3 ? °° Requesi Date Fire No. Rough-in Inspedion 05% C5/92 Re uired9 °,ves }{? eady Naw ? Will Notity Inapectw WhenReaJy? Ik licensed conlrector ? owner hereby request inspection of a6ove electrical work aC Job AOtlreu s1reeL Box or Route No.) City 3221 .^,ed Oak Drive Eagail Section,NO. Township Name or No. Ranqe No. Counry Occupam (PRINT) Phore No. Power Supplier Atltlress Elecincal Conlractor(Cwnpany Name) Contraclor5 License No. Alpha & Omega Electric CAo1243 Mai6ng Atltlress (COnlractor or Ownar Ma%ing Installalion, 509 East Old Shako ee Road Bloomin ton, MN 55420 Aut?onzetl SignaWre tGOnir cto?/Owner Makinq Installalionj Phone Nomber ? 881-11 34 MINNESOT TATE BOAqD OF .CTRICITY . THIS INSPECTION REOUEST WILL NOT Grlggs-Midway Bldg. - Paom 5113 BE AGCEPTEO BY THE STATE BOARD 1821 Univarsity Ave., 51. Paul. MN 55104 UNLESS PROPEfl INSPECTION FEE IS Vhorie (611) 642-0800 ENGLOSED . J?56?33 ? /J& ?54-12011 Reques? Date Fire No. Rough-in Inspection Req 'retl? ?/es ? No ? Reatly N. P44. Nolily Inspector n Reatly7 I re ucensed contractor O owner hereby reQuest inspection of above electriral work at: Ja? AOtlreu ( SUeeI. Box Rome No.) Cily S SeciTon No. Townshlp Name or No. Rarg No. Caunly Occupant(PRINT) ?? ? Phone No. 3156a Power SuOWter AISP Adare ss EIecV a ontreclor ICOmpany me? . Contractor License N? Mailinp A?]dr!ss (C ntracror or w er Making Installalion) AwM1 etl SignaWre ICOntracroNOwner Making Installalion) 5sia. orre Nomber ? - 5? 3 MINNE T TATE BOAHD OF ELEGTPICI THIS INSPECTION REOUEST WILI NOT Griggs- tCwey BIEg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 Universiry Ave., SL Peul, MN 55100 UNLES$ PROPER INSPECTION FEE IS Plwne(61P) 602-0B00 ENCLOSED. ' .JEffi REQUEST FOR ELECTRICAL INSPECTION ? See inslmctions hor comdeting ihis lorm on back ol yellow copy. X" Be/ow Work Covered by This Request EB-00001-0e / 6 ?`?1 /fJ %s?oaT ree• Ne dtl Rep. Type of Building AppliancasWireU EquipmentWired Home Range Temporary Service - Duplez Water Heater Eleciric Heating Apt. Building Dryer Other (Speciy) F Comm./InduStrial umace Farm Air Conditioner Olher (sVecity) CoMractor's Remarks: Compute Inspection Fee Belaw: # . Other Fee # ServiCeEniranceSize Fee # Circuits/Feedere Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transbrmers Above 200 _ Amps Above 100 _ Amps Signs Inspactor5 Use Omy: TOT L Irrigation Booms • Q 5 Special Inspection AlarmlCommunication THIS INSTALLATION MAV BE DE SCONNECTED IF NOT Other Fee COMPIETED WITHIN ONT ( I, the Electrical Inspeclor, hereby Rough-in ?a? certify that the above inspection has been made. Finai • .? OFFICE USE ONLY This reQUest witl 18 months Irom MECI3ANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 .651-675-5674 Please complete foc Single Fanuly Dwellings Townhomes and Condos when pcrmits are required for each unit Date \? / / Site Address Cb Unit # Property Owner `.`?Gv Telenhone # ( ) A " O` 2 Contractor Street Address City State Y)NA Zip Telephone # ? TNe Applicant is _ Owner Contractor _ Other Add-on modifica[ion or alteration to existing dweiling unit / ? ' S 30.00 fumace replacement 1?, air exchanger trJAANf 2 3 ZD03 air conditioner other State Surcharge $ 'S0 I l $ ? Tota I hereby apply for a Residenfial Mechanical Pemut and acknowledge that the information is comple[e and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand tlus is not a pemut, but oniy an application for a pennit, and work is not m start without a at the work will be in accordance; with the approved plan in the case of work which requires a review and approval of pl ? ` Applican s Print Name ApplicanYs Sign ture MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: commercial/industrial buildings muiti-fsmily buildings when separate permits are not required for each dwelling unit Date Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Tetephone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Applicant is _ Owner Contractor _ Other Work Type Newconstruction UndergroundTank _Install ^Remove Interior Improvement Call for inspection during installation/removai of tank Processed Piping Nature of Work: Permit Fee $SOSO M n m Fee (inNUdes 3tace Surcharge) ContractValue $ x Al% _ $ PermitFee • If permit fee is $1,000 ar less, add $.50 => $ Shte Surcharge If permit fee is over $1,000, add $.50 per $1,000 Pemut Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclmowledge that the inforntation is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understaud flus is not a pemut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILDT KNOB RD, EAGAN MN 55122 651-681•4675 New Canatruction RecuiromeMs • 3 registered site surveys showing sq. R. of lat, sa. fl. of house; and all roofed areas (20qa mazimum lot coverage alloweC) • 2 copies of pWn showing beam 8 window sizes; paured found design, ztc) • 1 set of Emyy Calculatians • 3 co0ies of Trea PreServaUOn Plan if bt platted alter 717193 . Rim Joist Delail Op6wis selection sheet (bldgs with 3 or less unit5) DATE t (0 -O2- SITE ADC TYPE OF APPLICANT PIREPLACE(S) _ 0 _ 1 _ 2 STREETADDRESS Cponps.,ids nnN 55433 CITY STATE_ZIP Q TELEPHONE CELL PHONE # FAX #:I/lr?5 =?JS1' 5(59 0 PROPERTYOWNER RQ-Vl't- Rd? TELEPHONE# t O'N - t-INO'C?TIIJ COMPLETE THiS SECiION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLS01':1 RCI.F.S 7670 GA"fEGORF I -%IIN\ESO"C:1 RC;LlS 7672 (d submission type) • Residentlal Ven6lation Category 1 Worksheet Su6mitted . New Energy Code Worksheet Su6mi[ted • Energy Envelope Calculations Submitted Plumbing Confractor: Plumbing system includes: Mechanical Contractor. Mcctiviical svstem includcs: Sewer/Water Contractor: Water Softener _ Water Heater NU. OF Bafh5 .kir Condidonitig Hcat Recovery Systcm 14 Fee: $90.00 Phone # Phone # Fee: S i O.Ot) i ? - ---°--°--- ° -- °--------------- ----------------------------- °--- °----------... _..---------------- ° -------°-°_-=--- I hereby acknowledge that I have read this application, state that t e information is rect, and agree To compiy with all applicable STate of Minnesota Statufes and City of Eaga O dinances. Signature of Applicant OFFICE USE ONLY ,ULTI-fAMILY BLDG _ Y _ N RemodeilRaoair Reauirements • 2 copie5 of plan • t set of Energy Calculauons for heated atlditions . 1 site survey brextenor addi6ons & decks . Indicate i( home served by septk system for adaitions VALUAiION _ Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg ? 42 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex 0 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-piex ? 10 09-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bidg oniy) - Give PCA handaut to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of 81dgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) PinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Founda[ion HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ A'u/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insula6on _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply 8 Storage 5&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681 •4675 Naw Construcfion Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. k of house; and all roofed areas (20 % maximum lot cove2ge allowed) . 2 copies of plan showing beam & window sizes; poured found design, etc.) . 7 set ot Energy Calculations . 3 copies of Tree Preservalion Plan if lot platted after 711193 . Rim Joist Datail Options selection sheet (bldgs with 3 ar less units) DATE <-- I ` SITE ADDRESS 322- l TYPE OF WORK Q-9-4<? MULTI-FAMILYBLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 APPUCANT CDt-kj 0?_74-4-- STREETADDRESS C<-? rcK'-. '6? • _ CITY (?gt?=> STATErn-' ZIP 5??'3 TELEPHONE CELL PHONE # 6?2 3b°I-35b`i ppX # PROPERTYOWNER Ft2-+,TA- ¢ U"w TELEPHONE# ?SI-?S? 6'T17 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA1'N:GORY 1 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted D • Energy Envelope Calculatioas Su6mitted 1 Plumbing Contractor: ___________---- Phone # Plumbing system includes: _ Water Softener Lawn Sprinkle B' _ WaCer Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Mechanical system includes: Air Conditioning Heat Recovery Syslem Phone # Sewer/Water Contractor: Phone # MAY 0 12002 Submitted Tee: $70.00 -°--------------°------------------------------------------------------------------------------------°--°-----°------ I hereby acknowledge that I have read this application, state that th &ifions correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or Signature of Applicant 1 --'?-' --------------- --------------------- ----------- ------ ----___. __-"------------------------- --°----------------- --_-- -------------------- _ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 't --? ?.C) Z) RemodelfReoaitReouirements ??1J • 2 copies of plan • 7 set W Energy Calculations for heated addNOns U-;I-- • 1 site survey for euterior additions & decks . Indicate'rf iwme semed by septic system foradditions VALUATION +51?? OFFICE USE ONLY " a ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF D 04 02-plex ? 10 08-plex TK18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding )( 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation /.61 1.Z( m? 7 Occupancy 23 71011 MC/E5 System Census Code q3,y Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type ot Const viu Width REQUIRED INSPECTIONS Footings (new bldg) FinaVC.O. Footings(deck) FinaUNo C.O. _ Footings (addirion) _ Plumhing Foundarion 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) _ Insulation _ _ Retaining Wall Approved By J7- , 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 1,00 0 V4- o2?vv 70 - I Total 'ur : o EEq ?L A1,,,s n?gr'n IANOiVAYLYON7rCIVIL[N61N[[AS i ? g.• I?MO?LwNb[ND?LANpW Al[AIICNIi[Ci1 --?r w * * N Certificate of 5urvey tor: r,?GC)0*i Ai-.0 ? ? ?0?, o . 0 Q ? ? 0 ? ? 1•d I?C. Dp Ay9, r j _.,. R} I ys ? , Zo I W?I 1 , N bg• s/ q7"E ? , 4B•SI ? Su.?I ?t -- - F L?ad.? a ? 7• ?Y ? .A ?L - c =A a N C f1 < 4 CNa j-. m °ug?,? V ? I ?pl &f,y ?s'i.t u °? LK 2422 Enterpri,e paYy Mendota Heights, MfJ 55120 Ih 17! 681 •19- 4•-_ Nor?rN er • I ?--ti• 4.s ? ?r? ? A 8 II b?S ?•.n n89}o ,u 0 ? ? ? y . 1.40 ? ? A R O Q Q N ? 0 I ? •N m ro v aX ? m 6Z ' ,''+£7? 48.s, &S? jo, i r-, Bq? ,y ) ?enol se?nft? jevaflon ..... ?P?c7p4sE NovsE EZEUq t?oNs f . p E'levohbn ..,;y,: , : . :fJenofes Ora1i1q3fe uf Eil?/?y ,Easemenf ' ' -Coiuesf'F/oor Elevajion • Uenofes Drqin?ge Flow /ai•rows _ 8 4• 5? Top or B/ock E7eva fir : 39 .25 Denales monufnehf Ca'ara?? S/ob E'/evafror? ?. ?7?a. 92 eearin,?s shownarQ t?ssurneu' ,r_ / ?UR OAI-? ,r-?ILLS oTF? COUNTY+ MiNnFSrorA y'UOJECI 70 6qsFME,,,7-s -I qcrtifY I^.y Ihi; •r?r;sy. fl:? J' l9PG1 nas ri „f ?tr. Sr P Pa?c? br me,??y{( 9 r mv Airon ;up' .vi•i?ie an ' ?te,ii h'?n??e,ntr O?ICd ?hi; 3F/1 -y pf ('!,}. / L p?/ d thn: I301 iiuly Rcpi:taraq Li??n ?urrryar ?y n ,( ? G.D.1'zi--L_. CCJI /L . Ilnch ? /1 0 t Qe? ?A/? ?[s.vPr?J // //• ? ?Y?_ _ ?7?i2 2 cowsC} /p,? (?, ? C .?aEnre.SiniCr+(..4.ng: pp.lapy•? ? ;I < K. I .?,......?....?:.'..:_-_--_.c.. ... . ..--_. ,.. _ . _ ? ` . . 1991 BII ,lt MPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF YLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCiTI.ATIONS M[TLTIPLE DWELLINGS -W , COMMERCIAL 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTtJRAL PLANS (CHECK WITH BLDG. DEPT ) 1 SET ,OF SPEGiFICATI0N5 1 SET OF ENERGY CALCUTATIONS 1 SET OF-ENERGY CALCS # OF RENTAL UNITS # OF FOR SAI.E UNITS PENALTY APPLIES iTHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED"UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED, NOTE: ADDRESSES FOR CORNER IATS - CONTRACTORJHOMEOWNER MUST IIESIGNATE WHICH ADDRE55 IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO AAYS ONCE A PERMIT HAS BEEN COMPI:ETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Site Address "rJ Valuation: Date: R221 (Zecl 04 ;ve Loc I slock 2) Parcel/Sub BW'Qqk gill5 Owner Address City/Zip Code Phone Contractor Mc T_)?%Arld (?naS 6 T.. t Address 12 12- 1?1 Urki 11 RAu RCf City/Zip Code &rNSViliP0 55337 Phone (oQ?Q?''7Q(or Arch./Engr. Address City/Zip Code Phone # Sewer/Watev/L z26 OFFICE IISE Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well MWCC System City water PRV Booster Pump R-3 M=J k- lr- V-N V- N ? FEES Bldg. Permit ?EYgI;00 Surcharge 143100 Plan Review` 1702,DD SAC, City 100.1J'Q SAC, MWGE So, OA Water Conn; "D,oO Water Merer 95,A=1V Acct. Deposit 38,8D S/w PermiC D,OG 5/W Sureharge r3G Treatment Pl. 294,ad Road llnit hC>>o Park Ded_ Trai1 Ded. Copies SIIBTUTAL Penalfy Lot Change TOTAL .?? APYROVALS Planner Council Bldg. Off. - Variance agrees that all Yrork shall be done in accordance with (S ignvapGr all apDlicabl tate of Minnesota Statutes and City of Eagan Ordinances. ? w? PI VA l.U A'Tf? GARAbE 3yx 30; -l020 41 x M = (56) Sx 6 = (30) 934 x I5- 11400I0 B M ' 36 k39 = /qBZ a x 7 ? (,;z )) 1 ZK('= 7Z 3t,oq K 18? ?Z= Z) N 5?(?= 3,, I969 xt4; 2y752 I sT SSMT = 1? 2 N t r-L.Ori, -3?b XS%.= 7 x I _ kly: ?x2yYz? ? X6= 6g xs3 = 93?7o?r Cz ?) (16e? 0 6 Ir1Wq X53= 9Z69? 2.2 S? 16 3 uR Z2G,ouo" , ? ang n * P * * ?. * P i oriaar En " ngee' i n.a • 68194E?8,. P. 1212?~_' _ Certificate of 5urvey tor. MG r->C*JA,L-0 I l?-L?a0 /•! 89' sl :?7 "E w s 0 I ?? p x F I IC Y 1 L K- -..? ?rF? 1 kA ? 0 ? N nl -j b 4.0 i :p e p.I-uc ? 2 Y] o ?do.ro 'bR, 48.s? Hgb 3o?,i ? r'4-7.,? •?y :r • 3oa,o Denp'es exisf(n flevaflan L ?sQO.o Derro}es prnpd flevatiorr ?.? penofes (Jra??rA?e ? uti/i ly Easemen? ------w- Denofe5 Drqina?e Flow IJr•rows a Denoles monumenf 8earirlr shawn ara assumed 2422 Enicrprise Dr.ve Mendota Hcights, MN 65120 "?-- (s1a.) 6e1.1914 Noaru 0?? 0 .?D 4 N Q ? ' N o- m n v a ? v 70 m -Y=v ENG'YNEERIFIowes?f?F?oor E7eva!'ian •_ 8 d t Top ar BlockElevafjr 3'31-,J? ,C'iaraP Siab E7evafrot) ' --;-I6• 92 LC7r gLQck s q ??? ??k .4-114-Ls DAKOt'.p Ctl?/NTY? M?NNsrorq yU45JL'Cl To efISfMENTs 1 herety certity tlat [hl; ,,;rv.y, plen o:' iBpGit • prip,;rr,d by p'iv"y? r.d r mY tlirect supervis1411 and [ha1 I am [fu IY' Feqistx(eA L.d?,rt jo?v¢yar undar :he I3Va: u. !h? StjtE oi Daled thl;(i, y uf A.D. 79_!? . Pl/? ?RU rf? /. ?? SCC?'lE : j ??h ; ?a ee? ?A? ; ? . - ?? G?.(?8 ! pf ?ZERT R. S1NICf+ L.S. REG. tCO. ]iBS: ll ! ?P 00T-1,8-91 _F,R.I _ 1_4_C08 _jF.LANCO.'INSLJRANC_E OFFICE? p . 0 . . MINNESO?'A Sm,a?? - ?} ~ _ E ENERGY CODF. rAr.r i_amTONS ? BASED ON CHA$TER 5 OF THE + MODEL ENF.tiG1' ,CODE - 1983 EniTrON Adoption Effective Owner Phone Date Site Address_Lo-T BLac/C ?&R QqK NOUS n.,.,?......?...« 'M e. -- $uildinq Classification: Type AA (Sinqle Family & Duplex) Type A2 (Residential, 3 stories or less) (ovec 3 storias) (Other) NOT£,i GS?1a6?l? pages 3 and 4 irat. GFNERAL INFORMA rON N VA 1. Buil.di.ng Perimeter? 0'Z -!9?f?ft, 2. Wall hei ht h g (ground to eave) ft. 3. 1. x 2. (above) qross wall area4l?0 49 sq.ft. 4. Building dimensJ.ons (L) ^^'_X (W) - 195_9Psq.ft.roof & floor area 5. Sq, foot area of rim joist ' F oor joi t size (2 X j? . 10 , X (Perimeter) n D116sq.ft, a. a 6. Doors - Area l ??? + o Thiakness in U. Factor 7 Type of Construction PerimeteY ft. Manufacturer,_ _? 7, Total door's perimeter ft. 1 S. Windows: Manufacturer state approved U factor TYPE SIZE AREA (Sq.Fk.) NUMBER OF TOTAL ??? N tA,? ??r p (Lk EACH UNTTS SQ FEET --- 9. Total Sq.ft. G1a5s D Z 15 10. Fireplace area: Width X Heiqht = X - sq,ft. 11. Exposed foundation: Hel.ght X Pezimater_ oW"411 X??_? COMPLETION OF THIS FOR13 iS REQUIRED POR ALL NEW CONSTRUCTION, MAJqR REMODELING AND BUILDING3 HEING MOVED WHERE ENERGYt OTHER THA.N THE MxNTMAL CODE ALLOWANCE, IS U5ED. -1- ? r rv r4 a1? R ri rv?.c ur? ? t. ? E2 12. Framing area'= 10% of gross wall area. 13. Gross wall azea 04 sq.ft. Window area A Z? z6 sq, ft. U windows - a 37? UxA = 0.7?- Rim joist area A U0 Ag sq.£t. U rim joist= UxA = 10 Doo1: area A f-L ^sq, ft. U door area= I ? UxA = Q t Other doorc area A sq.ft. U other doors= 0-41- UxA = ?i37 Exposed fndn A ??iOZ-^ sq\.ft. U foundation-. ,?UXA = ?D17/l Fram9.ng area 10( ?0?'sqJft. U framinq area=!?s UxA = 7 ?q 5" Net wall area A 4 it0 lsq.ft. U wall= UxA = (13B) TOTAL . . . . . . . . . UxA = 'JU i'd ia. cross wa1l area x 0.11 (A-i single family & duplex) = ailnwable UxA/Code (13, above) x 0.23 (A-2 Dthex 1Cesidelltia1) x .23 (Other buil.dings) x .28 (over 3 s ories) than or same 1t I? BoFH mu as 138 above AU Code • f ? _ ? 15. Ceili.ng £rami.ng area (Af) equals 10$ oE ceilf.ng area 15A. Gross ceiling area =(L) r x(w) ? = 1050-3$ sq.ft. 15B. Joist area (Af) = 10% ceiling area sq.ft. 15c. Net ceilinq area (Ac) (15A - 15H) _sq.ft. U celYing x U framl.ng x Ac _ A f - i?xZ• I a- Ij X x??? 15D. TUTAL U x A ............................. is. Ceiling area (15A) x 0.025 (A-1 single family & duplex) = allowable LIxA/Code x 0.033 (A-2 othes residential) x 0.06 (ather p BTUH must be larger than or same A(15A)/ 95 U Cods ?? OF. az 15D above NOTE: Use u and A values obtained from pages 1, 3 and 4. C'ERTIFTCATTON: x hereby certify that I have calculated the "U" factors and "R"' values herein snd that the building here described fieets or exceeds the State of biinnesota Energy Conservation Act. pate Signature -2- D C T- 1 9- 9 1 F R I 1 4 : 1 0 P L A N C O i I N S U R A N C E OF F I C E P 0 3 N1^?o i? ? ?"c?[" N , j0,5`?nC ZIII,z`4" , . . . ?4 I od °I ?- ?? l 05? ? ? . ? ?-? , ?,? . I ???? ? .1 co? 5 x 1 = ? tat 5 13,75X2 ,? . I1 ?.e«G?TpP = Io,aX? = li ?,oX3b = ???X? = (Z,o 11?2-5 x %ox z = Il , 2?X?z = IZ,o XZ ' =a 111.. I?X.'xo ..= 5,z5X 3= ? ??-15? X6? r ? 7?Orp . 502.2? _??..sn• P? q ?. 1?TRl? rr+ X Z B s?c.. ?? ?(z- , "?' ?'J• D r? O G T- 1 fi- 5 1 F R 1 4 c 1 9 ? P LAN C O? I N S UR,A N C E O F F I C E P_ 0 4 . R VRLUE U VALUE • wnLL SECTION Ineide air fiLm :68 ' xateriot walt •4y ?Wall) U . R ? Inaulatlon 1q'0 ' Sheaehing staing .?al ' b4'? 1 Qutelde ai.r film .17 R 70TAL STUD SEC7ZON 2ND WA1,L SECTIQN. InsLde.aie Etlm ? .68 Iotetlor Wai[ ?? sCUd Ry 4'y3$ (P ?-?Q(FrAming) t! r R ? ShenChing t z.OC4 Slding . .1P7 pc?s . 4utelde air film ' . 17 ? R TOTAL Inslde eir Ellm Ra .68 LnCeriot vatl Ioaulatlon Sheathing Bxterior wall cavering Extetlor ¦!r film' R . ,11 R TOFAL Interior air fi,lm R= .68 0. • Ineulation lh lnch eoEC wood R=1.9$ RtM JOI5T ? (WBal )U ? + R . (Rim ' U =J ? Jaist) ' ' Sheathing 2,p(p Extet4oi' wa?l evvering •(07 Exterlvr air film Rc ,17 R TOTAL Z4. 4(O LnCertnr nlr film a' .68 (Insttlstlon) rjL5sg(q4Jk5? 19•o0 , ' Z, E%CtTLOC fliC film R' .17 R totnt, z I, 01 ?Exposed B1uck ... Grade 3. , 041 --7-- (Fdn.) U = A = ?. ^fiY TNG WrmH V NT D ATTLC-APA F p,gM R VALUE FRA.MING R VALUE CEILING AirFiln? 0.61 ? 60,0 Tnsulation 45' o 4.38 JOisY, Q??6 ceiling _ q,?6 0•6], AirFilm 12"[(P Tota1R 4(o.70 , 02_2j U- 1/Ft • OZ.I Window ihfiltration 0.5 cfm/lineal Residential door in£i2trstion 0.5 requirement Nun-residential door infiltration fooE of crack cfm/square foot oz door and minimum code 11.0 cfm/lineal foot of cr8ck Ub 12" concrete block no insul.ation =.47 Ft 2.1 Ub 12" aonorete bloc)c insuletad Cores - .26 R 3.8 Ub 12" lightweiglit block =.32 It 3.1 Ub 12" lightweight block insulated cores =.12 R 8.3 U singie gLass = 1.13; with storm window .54 U doub].e glass = .55 U tripie glass = ,41 Ali exterior walls and ceilings must have a vapor barrier (0.10 pez•m max.). vapor barrier must be on the inaide (heated side) oP wal]., Vapor barziezs vE the polyethelene thin film have no R vslue. I It PERMIT #I Q g33 CITY OF EAGAN REACTIVATE .? 1992 BUILDING PERMIT APPLICATION 681-4675 At1G 10 RECo SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy .. . calcs. CUMMERCIpL 2 sets af architectural & structural plans, 1 set af specifications, 1 copy of energy calcs. Penalty applies when typincl of permit is requested, but not picked up by last working day of month in which re uest is made r lot chan e is re uested once ermit is issued. Date Yaluation of work Site Address: 3 a.a\ Re? Qqk ? R i.j e SlREEi SUITE M Tenant Name: (commerrial only) 1AT ? HIACK 3 SUBD. ? J R R. OA(G # Descri tion of work: FczoT1N4-S bNLI-( The applicant is: ? Owner 0 Contractor ? Other (Desoribe) ' NameQ?eR M^,2'•+Mq&y PhoneG?077 Property LAST F,RST Owner Address _?Daa k? c c? (0 ,a STREET STE M City E.Aa a?1, State mZip Company ? Phone G g g- 7 O 6( Contractor Address 1:21 2 ? ??e R;?? License #cmM(, Exp. q3 _ City !J v&.., s UMe State kk ?-' Zip 5533 -? Campany Phone Architect/ Engineer Name Registration # Address City State Zip Sewer 8 water licensed plumber Processing time for sewer 3 water permits is two days once area as 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 ate of Minnesota 5tatutes and City of Eagan Ordinances. 5ignature of Applicant: "?.. ? OFFICE USE ONLY BUILDING PERMIT TYPE 13;01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch G 05 SF Misc. WORK 'fYPE ? 06 Duplex ? 07 4-Plex O 08 8-Plex O 09 12-Plex O 10 Multi. Add'1 ? 11 Apt./Lodging O 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace g 15 Deck 31 New 11 33 Alterations 32 Additlon O 34 Repalr GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning ?l of Stories Length Depth APPROVALS ? 35 Tenant Finish 0-'36 Move Basement sq: ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft.. total -' Footprint Sq. ft. On-site well On-site sewage ,- F? ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. , ? 19 Comm./Ind. Misc. ? 20 Vublic Facility ? 21 Miscellaneous ? 37 Uemolish MWCC System City Water PRV Required Booster Pump fire Sprinkler Census Code SAC Code Building Assessments Yar3ance . T` _ ?'FD?1'fMC>S 0 /'l 4 ? Planning Engineering REGIUIRED INSPECTIONS El Si te ? Nallboard ? Footing . ? Framing ? Insulation ? Final JO Dralnt,ile ? Fireplace Permi t Fee Surcharge , Plan Review License MWCC SAC City SAC Mater Conn. Nater Meter . Acct. Deposit S/N Permit S/W Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Cop ies Other Total: SAC % SAC Units * * * 4C 'f PIONEE& ? ang* eerin?.. * ?C * Pjnneer EneinEerin3 581Q4 .1. ?• ti PLeNNEM • ARCMITECTS • ? Certificate of Survey for. jY `G ??A L-0 .v 94l o . - _ 3 _ -48•SI ? 3o,it ?° ? ? V\ ? N 111 ___fflr a as.a; I \\ aLs7(- ?2C.61 ?I_ ? x?ys r/ ? ?o? 89ny s5/,L ? L"-- _X-1n ? L .e r . .I 'y @9He? 4.0 a W L xaq3,o ? 2 R) ? c--I ? R% R, r o 1? I P 8po 38.? : 0 I ?' '1 '*^ ?o -? ? - - _$!, ? P. 92 2422 Enterpri5t Unve Mendote Heights, MtJ 55720 (612) 681-1914 N?]i77N ? G ?$3 N 0 4. N m ? l?t0.?0 . /.t 8q°sf'47r? ?y ?y V900.0 Denaies exisli-no flevafiorr ? 900.0 Denotes propa!¢d E'levotiwr "---`-DenofesOr?ii?aej Utilif? ,fasemenf penoies Drqtna t Flow Arrows . o Denoles inonumenf 8earrls shownare assumed m Q D IK F ? m ERNP45EQ NOUSE £LfvATlOIYS Lowesf Floor ?'?eva??on ? _ A_ 9d.45 = Top ot Block Eleva,' 89¢,25 <7arofe SJob E'/evafr a6.92 LoT aLock / SuR oAK N1?L45 DqKO7.a , CodNTY, M&ivrs074q . 5'v5)ECI To 44SFMENr.s I hereby Gdrtify ihat lhli Survey, plan Of YapDn wae prEparpd bY ms u., r my r?racc supe,?v7i.?'ion and tha: I em duly Re4istered 45ntl Surveyar undar the law: o( the Siete of A1innesnta. Dated this?4daJy Vf .` A.D. 79 SCO?? ?nc = f ?Q ¢tF 9t? pl.O? BERT 6. SIKICh+ 1.5. REG. NO. 14897 U i? !? ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-5100 90SI?G?,;:?i ?:<?:? COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ? ADD-ON MINIM[7M 15.00 SHOWER 3.00 WATER CLOSET 3.00 40a.l'16 o? BATH TUB 3.00 6_j?a ? LAVATORY 3.00 KITCHEN SINK 3.00 06 LAUNDRY TRAY 3.00 I 00 HOT TUB/SPA 3.00 3 OG WATER HEATER 3.00 _3 dn FLOOR DRAIN 3.00 P,Od GAS PIPING OUT. ? (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 y. ?b OTHER PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR OWNER NAME: SITE ADDRESS: ??a cY l kzlOGtk 0( LOT:? BIACK y? SUBD. ?U('Oa1C Ij?!IS INSTALLER: G P ?Isd wi ADDRESS: n /3 ?7?1NG I A Ul`? . ?. CITY:CJapdaP, &lyd?B ZIP; PHONE #: SIGNATURE OF P FOR CITY IISE ONLY PERMIT # RECEIPT # '` ' DT/T DATE : // / SUSTOTAL ST. SURCHARGE WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 TOTAL: /. S6 .50 sS? COMMEYtGTAj.?'?II??TR?7?'?w PLEASE COMPLETE THZS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUZRED FOR EACH DWELLING UNIT. _______________________________________°__---°------°___---_______-________--- CONTRACT PRICE: OWNER NAME: _ SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIM[JM FEE. CONTRACT PRICE x 18 $_ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN 3830 PZLOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 4544100 mG1mAL, imm FOR CITY USE ONLY PERMIT # RECEIPT # 9 D DATE: ?- PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ FEES OWNER NAME: SITE ADDRESS: {- LOT : ? BIACK Si7BD. ?\NX INSTALLER: ADDRESSA\ • ?? . I ;a ? .`?C?? .? ?J ` CITY: ZIP: PHONE #: ?q a ADD-ON MINIMUM $15.00 HVAC 0-100 M 8TU 24.0A ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM ?. 3.00 OF 1 PER PERMIT SUBTOTAL: 2 STATE SURCHARGE: .50 TOTAL: S?GNATURE OF PERMITTEE ? ?`ty?d$[t?'TAT.?TNbUSTRIAI.Si PLEASE COMPLETE THIS PORTION FDR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE OWi3ER NAME: SITE ADDRESS; LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: CITY OF EAGAN FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25,00 tnINItn'UM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) PERMIT City of Eagan Permit Type:Building Permit Number:EA121273 Date Issued:03/24/2014 Permit Category:ePermit Site Address: 3221 Red Oak Dr Lot:1 Block: 3 Addition: Bur Oak Hills PID:10-15500-03-010 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 - Frank M Fuller 3221 Red Oak Dr Eagan MN 55121 Polar Builders Inc 49 Riverwoods Ln Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164154 Date Issued:09/21/2020 Permit Category:ePermit Site Address: 3221 Red Oak Dr Lot:1 Block: 3 Addition: Bur Oak Hills PID:10-15500-03-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Frank M Fuller 3221 Red Oak Dr Eagan MN 55121 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature