3222 Red Oak Drs a
i! -
? L • ?
?_ .
(Itr#if iratr o# (Orrupanry
titp ot Cagari
t?ar?t# of ?mg 3wrr#ion
T 9ris CeN1J'care issia+d pursrrant to rlre mgwmnmn of Section 306 ojthe Unijonre Buidding
Code Qertifying Aat at the time of icsuance this structure was iR conipliance with the Yarious
ordinanm ojde City regirla*g buildiag coxsrrucxion or use For tJie foUowing.?
umcbmisoLdw SF DwG Sk kmiii Nm 939
O-W-q TMC R-3 M-1 ZowidtDwict R-1 T,a c«w V-N
o,,,,,w of WA&M PEDERSON HOMES INCAdk. 3511 143RD ST W
3222 RED OAK DR _.. t.E,_ R4_ RtIR nAK HILLS
?nr'U I I,? ? SEP 11, 1992
e? • , o •
POST IN A
- INSPECTION RECORD Control No.
' CITY OF EAGAN PERMIT TYPE: u r 1 n tmu
3830 Pilot Knob Road Permit Number: *6*q39
•4/as/9a
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LoT t 6
32:2 RFU OAK aR
BUk pAk HIl.LS
PERMIT $,?RTYPE:
TYPE OF WORK: NEu
INSPECTION
f00 ? a Nc1 .
a"WRMI Ne
LW.111 A i It1M fYNAt.
FiPEPt.AI:f' ?
RF'MARt+: S & 14 COM?'RACTEIR - PEINE PlOO
APPLICANT:
Pt"fltRSqM HONES INC
(622) 423-3r06
PermN No. PermH HoMK Deb TeMphons 0
SJ1N
PLUMBING 3 r
HVAC 7-
ELEC7RIC
ELEC7RIC
Inspection Qeb hisp. CommMU
Foofings I
Foundation
Freming ?
Fioofu?g
P-* P"19• ?
Rough M9•
ISIA. P.?,,?z Ds
Freplace
Final Hlg. c ?
orse T-t ?O? Z
Flnal Ptbg. Pbg. I„spector - ? ?umber
Const. MeW
Eng?.lPlan
Bldp. Fhial
7
DedcFtg.
Oeck Fina1
Well
Pr. Diep.
ar• ?? N O , -
-Addreas: 3222 RED OAK DR Lot 6$lk 4 Sec/Sub BUR OAK HILLS
These items were/were not completa at the time of the final lnspectlon.
Date: SEP 11 1992 Yes No
Final grade (6" from siding) ?
Permanent staps - garage j'
Permanent stapa - main antry c/
Permanent driveway ?
Permanent gas ?
Sod/seaded grass ?
Trail/curb damage
Porch
Basement finiah ?
Deck ?
Pleasa verify vith the builder the removal of rooP test caps from the plnmbing
system and the shut-off of vatar supply to the outaide laren faucet bePoxe
freeze potentLal exists. m
17V
?s.amoie
White - City capy Yellow - Resident copy Pink.- Contractoi copy
REQUEST FOR ELECTRICAL INSPECTION EB-00001 08
Sae instmclmns for compeling this brm on back oi yellow copY.
50 03463 "X° Be/ow Work Covered by This Request
e Atld Rep. 7ypeofBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Api. Building Dryer Other (Specify)
Comm./Industrial Fumace
farm Air Conditioner
Olner(sVecity) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service EntranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps .bd 0 to 100 Amps Q'p
Transformers Above 200 _ Amps Abov 100 _ Amps
Signs insoector's Use Oniy: T
L
Irrigation Booms ?
Special Inspeclion T
Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS
I, the Electrical Inspector, hereby
tit
h
h Rouyn;n / oala
cer
y t
at t
e above inspection has
been made. F;,,ai oeta -
OFFICE USE ONLY
This repuest voitl 18 monihs tmm ,
KP03463
.B
Request oa?e Fi o.
^? Q ?J Rougn-in Insoection
Pequi.etl?
C] Ready Now?ll Notdy Inspector
hen Reatly4
L Yes G No
I licensed contractor O owner hereby request inspection of above electrical work at:
Job Atltlress ISVeet 9oa or floWe No.l
22? ,Q? oa K U.2. City
f;46-
Sec6on No. Township Name or No. Range No. Counry
r4/Co?`9.
Occupam RINT?
cc?¢.eS aAL Phone
2
Power Supplier ? Atltlress ? / ? ?
GP Ci
Elecincal Gontraclor ICOmpany Namel
?- c d Gomractor5 Gceanse No.
ca? ?
Meamg A eress iC nt2Gor or OwnBr Maklnq Inslallalyi n) ?
J.2 5?2r
Fulborize Ign re IOon cron ner ?lalla bn? - Phone Numyer ?? j? ?
Y?
MINNESOTA STATE BOARD OF ELEC7RICITV THIS INSPEGTION FEOUEST WILL NOT
Gtlggs-MlEway Bltlp. - Room S473 BE ACGEPTED BYTHE STNTE BOARD
1821 Univeralty Ave.. SI. Paul. MN 55106 UNLE55 PFOPER INSPEGTION FEE IS
Phone(612)fid2-0B00 ENCLOSED.
C;-_"-6 -) a
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction RaauiremenU
• 3 regislereC sife surveys slwwing sq. ft. of lal sq. A. ol nouse; and all roofed areas
(20% macimum lol coverage alloweE)
• 2 copies of qan showing 6eam & windax sizes; paured found design, etc.)
• t set of Energy Calculatbns
• 3 copies of Trea Preservation Plan if lol platted aRer 711193
. Rim Joist DetaJ Opfions sHtttion sheet (bldgs with 3 or less unils)
DATE r- I- O 2
RemodellReoair Reouiremen[s
• 2 :opies of pian
. t sel of Energy Calculalions lor heated adCiticns
• 1 sAe survey lorezterior additions & decks
. Indiwte if home served by septic system ior aCaitions
as
VALUATION _?2FD6 0_?i_
SITE ADDRESS KP_d d'g-/C d," MULTI-FAMILY BLDG _ Y _ N
TYPE Of WORK / 1;?ot,r ??P?c e_ eoo'Ic- FIREPLACE(5) _ 0_ 1_ 2
APPLICANT C"t?r?S`frr.?c.fioh ?rUtt-c? e3C
STREET ADDRESS *U ,-- CITY wro ATATEA-73 ZIP 27o
TELEPHONE #?l2 S?o21• ??71z CELL PHONE #r,_57'aS18- 3S/s FAX #tl? /??- 5--?/- F-2 J-a
PROPERTY OWNER :T 11 h /8 e??l6r ? TELEPHONE #
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ MINNL50"1':l RliI.ES 7670 C:1'CEGORti' I NIIVNESO'1':1 12L LLS ifii`?
(d submission type) . Residential Venlilation Category 1 Worksheet Submitted • New Energy Code'Norksheet Submitted
• Energy Envelope Calwlatlons Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor.
Vlecliariical system includes:
Sewer/Water Contractor:
?
Phone #
reel ?7o.oo
-------°°------------------------------°----------._...-°-----------------------•-------°------•---------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree ta comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicant 44 ? ??7
----- ---_._---- ----------- ---_------- _..____-'__'-_ ..------...___--'-------......... --...... ..--------°------..
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated J102
Wa[er Softener Lawn ?
_ Water Heater _ No. of
_ No. of Baths
Air Conditioning
Heat Rccoven' Sqstcm
aths '? ? ? : ?90.00
?
AU6 t? 1 200Z D
e #
OFFICE USE ONLY
? Ot Foundation ? 07 OS-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. 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 ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_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 (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolltion (Entire Bldg only) - Give PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) Final .Mo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AiriGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Re[aining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
INSPECTION RECORD Control No. 0 729
CITYOFEAGAN PERMITTYPE: euiLozwe
3830 Pilot Knob Road Permit Number: 008939
Eagan, Minnesota 55123 Date Issued: 06/30/92
(612) 681-4675
SITEADDRESS: Lor: e
3222 RED OAK OR
BUR OAK HILLS
PER47 ??gTYPE:
TYPE OF WORK: NEw
INSPECTION
FOOTIN6 .. .
FRAPIIN6 ..
INSULATION FINAL ?
FIREPLACE
--
T
REMARKS: S S W CONTRACTOR - PEINE PLBG
?
eLoCK: a APPLICANT:
PEDERSON HOMES INC
(612) 423-3086
?
, PERMIT '
CItY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
Control No. 0729
BUILDING
000939
06/30/92
SITE ADDRESS:
3222 RED OAK DR
LOT: 6. BLOCK: 4..
8UR OAK HILLS
DESCRIPTION:
REMARKS:
r8ui1ding Permit Type SF DWC,
8u31ding,,Work Type NEW
UBE Oaaupsrf,py R-3..M-1
Canstruction'Type V-N
! Zo?li•rtq ?I . R-1
? Building Length 1\j 67
? BukildSng ;Width ? _ . 54
,
- ? .
;y r ...
?
L
C 0 ' q C,?
S& W CONTRACTOR - PEINE PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC $
SAC Units
Subtotal
COATOPAUKoMES xnc
3511 143R0 ST W
ROSEMOUNT MN
(612) 423-3086
VALUATION
$797.00
$518.05
;72.5@
$700.00
100
$2-, @87.55. __
$146,000
p1ISCELLANEOUS $1,610.50
Total Fee $3,698.05
nppiicanc - ?i • ?i??WNER'
14233086_0.00146 PEDERSON HOMES INC
3511 193RD ST W
55066 RQSEMQUNT MN 55068
(612)423-3086
' T herehy ac:knawledge that I'haue read this appkication and state that the
iafarmatian Ss oorrect and ag-ree ta comply with all applicable State of Mn.
Statutee attQ City of Easgan 0•rdinances.
? - J
?1?
APPLICANT/PERMITEE SIGNATURE SSUED 1?': SGNATURE
PERMIT # CITY OF EAGAN ? 4.31 ?? b • ? ?
REi1GT1'VAfiE _?? 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILV 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & 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 6 / 24 / 92 Yaluation of work 125,000
Site Address:_ 3222 Red Oak Drive
STREET , SU17E k
Tenant Name: (commercial only)
IAT 6
1 1 BLOCR 4
SUBD. Bur Oak Hills
F.I.D. #
lst Addition
Descri tion of work: sFR
The applicant is: I] Owner 4] Contractor 0 Other (Describe)
Name Peaerson Homes. Inc. Phone
Property IAST FIRST
Owner
pddress
STREET STE A'
City State Zip
COmpdny Pederson Hom s. In Phone 421-3086
COMfaCtOY Address _ 3511 143ra st West License #ooo1466 Exp. 3-3i-94
City State MN Zip 55n.6g
COIIIFJanY PRfIPTRf111 Hnmt+a
T.,v_ Phone
Architect/ ,
Engtneer Name Registration #
Address
City 5tate Zip
Sewer 8 water licensed plumber Peine Ylumbing . 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 al appl le State o 'nnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
W
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
,W02 SF Dwg. ? 07 4-Plex 11 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
11 04 SF Porch O 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft.
(Allowable) V -N lst F1. sq. ft.
UBC Occupancy -R 3 M_i 2nd F1. sq. ft.
Zoning R-1 Sq. Ft. total
0 of Stories Footprint Sq. ft.
Length On-site well
Depth ? On-site sewage
APPROVALS
Planning Building
Engineering Variance
REGIUIRED INSPECTIONS
O Site
0 Wallboard
? Footing
? Final
? Insulation
? Fireplace
Permit Fee
Surcharge .
Plan Review
License
MWCC SAC
City SAC .
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ued.
Trails Ued.
Copies
Other
Total:
sAC % 100
SAC Units !
vetm:lm: 8 I y5{ O 6a'°
32 x zZc
zKlt= (zy)
?-
?ac? x rL =
ID?MT ;
18 %HB t
7 1c Z o =
13;5 y 2 ?
2-A Iz:
? framing
? Draintile
1344
yo
-7 o
Z4
?y?g x i5-
Z
a.---^-?-?----?
??x3o ? Yo3
16, 86 0 17Z k{'1 _Zr_ .y
?o?xs3=
J12171
Z 2' NN $?
13r F?oarz f
6SMTf ?a?8
Z,,,?T 12
1%zx ?j ??=
. I?o2?s3. 74,6o6
..
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Mise.
? 20 Public Facility
? 21 Miscellaneous
? 37 6emolish
MWCC System YEs
City Water YeS,
PRY Required
Booster Pump
Fire Sprinkler
Census Code /O L
SAC Code 01
Assessments.
/63 - 3z
CERTIFICATE OF SURVEY FOR:
PEDERSON HOMES INC. '
22
DELMAR H. SCHWANZ
LAND 6UHVEYOR9,INC.
- ' Raplatned Undar Laws of Tne Sbts ot MlnnnMa
14750 30U1H ROBERT THAIL ROSEMOUNT, MINNESOTA 55088
SURVEYOR'S CERTIFICATE
oi- zI-327
+? ??9.3
8 ioo.3&
0
- ---- -- =?
?ll
W ? I
}
F 4?•
14?._
1
a I ? m P?oPas«/
W ? N
YJ n?
iil i? o? ?°m ? i eg^ 0 a??
? m\
a W ?
2 I
Q g?u S ??
? Be
(? - g90g 14+
r p.?
g15.e
n I
n
e 9
M
„, 1H
By ?
04
4 ?
BSB' 811u?
of
Z !?
SCALE: 10 = 30'
812/423-1789
o = Iron Monument
o = Set waod Hub
= Existing Spot Elevation
0 ;= Proposed Elevation
4)
0
? . PROPOSED GARAGS FI,OOR ELEV. B?Z,S
n PROPOSED TOP OF 6IACK ELEV_ -021 3
PROPOSED IAWEST LsVEL Er.Ev. BP .33
N
m ?--
891.8 45.??_Z? ?
-8e( zp
o RE
__.--
B -?
$4227 ? Pr-
OAK---------_-- .e _
T7 E, D EAGAN
--f?
. LF.GAL U%SCRIPTION
IAT 6, SIACK 4, BtlRR OAR HILLS, accor ?
to the recorded plat thereof, Dako
. County, Minnesota. , --
1 hereby certify thet thle aurvey, plen, or repoA wsa * fl
prepered Dy ma or under my dlrect auDervislon and thet 1 am e duly peglatered Land 3urveyor under
the lewa of the Stete of Minnesota. '
:belmef H.
'•;MinnliMa No.
Dated 6- a-a9 - . !? . _.:.:°N ?•r '. - .. $?
II •'?,. .
I
DEPT
?
?Energy Conservation Supplement to 8uilding Permit Application
BUILDIHG AHD SAFETY DEPARTKEHT
Thie supple.ent le provided to awist the sppliant Ln??npntinq the f=TfAIOA FJI4ElDPE APQiAGE 'U• FACTOR
IAflIRMAiION. Thie fnfonation 1s required so the BUIIAING OFFICIiL an detenlee that the subdited plana eomply
rith the ENFJtGT COMSfRqA7I0N DFSIfdi Cf1IiFRI6 af the ST1TE BUIDING CODE (Secti°° 6001)• It le the AP4LICAIR'S
reapaneibility to aa,vretely and covpleie'- cwpuke the data; retlect the 4roper D6IG11 CRITERIA in the plsns;
su6mit produat specifiptloa, aa needed to eupport the 'B' aad 'U• faetora ueed; and to eeenre tAat eonatruetlon
ie accompliehed per the approved plans.
108 LOCATIOA ? Z 2 Z 1 L A « '9 12 1 V E
{'?
7p E1'L..?` 6/? fT Ci Nt ES ??L P60AE
OttNFR(S) r=
CONTRACTOR ?L^s ) R--? ? :•?! 7 j 7 ` ??Ikf? %IONf ?" % -?.' ?' `? ;o
r ?
6. Detervine the Total Eryoaed Yall Area ae follota:
1. iotal nll rindov area
2. Total door area
3. fotal sliding glaea doar area
ti. Total Sireplace wall area
5. Total rall fraiting area Iacerage 1011
6. Total aet rall area above floor
7. Total rfm jolet area
SuEtotal: Tatal e:posed rall atea above floor
8. Total faundatian rindor area
9. Total net ioundation area above grade
Su6total: fotal expoeed foundation ares
GRAN6 TQTAL E%POSO YALL dREA
E. llultiply the GRAAD '[OTAL EXPOSED YALL AREA A.I1
C. Determine the 7ata1 Expoeed RooflLeiliag Area as fallore:
10. Total akrligAt area
11. Total roof/ceiling framing area laverage 5i1
12. iotal net ineulated raaf/ceiling area
GRAND TDTAL EXP05ED ROOF/LEILING AREA --------°•
?r
- 0 -
-?i-
? E '? -'w
Z j.?i 1 i'
,'?„? S p
------------------------- -Z
- d -
1 ?-
------------------------- I 0 6, ??
+?^/ h
"""""""'_""""""' r-
^ ...1 /
- ISQI I r s
-v -
13c'. --z-c
I.1 7 1, 90
---------------°
D. Multiply the GRARD TOTAL E%POSEO ADOFlCEILING AREA X.026
ITElI I I ? . ?i ?
uetenine the 'U' value of each eegwnt f1-91 and sultiplr bT the are ae fallors:
I Z ? z.U.
?s
? x•u•
q¢ .:.
'-
. Z 1 l ? .. ,?
, i?
z, p ? ?
0
7 5 I •U•
172
3. D
!S
? ,
x 'u'
4.
'
? Z7
- '+?3I'U'
l
? l??r Z1?`TS
5. AZN// .
e
i
N? vl?/-h I Z i, 6-1'.?•
Z-
( q I? Z3
a. j
.
?
-
• 14-'55?
u
-
,
x •u•
, ?...?
x'u•
+ 34 -
rr
o.
ADD 1-9 FUR TO7AI. YALL SEG1fEATS
= IT61I III S'g95 6 71
Detecsine the 'U' value af each eeg+ent f10-121 aed multiply bT the erea as follo*e:
?o. S ic.y a•u•
i?. ? rrC.ifirllrly? 30.?.u.
12. ??1 c,/ ,e? l171,80 x•u•
ADD 10-12 FO& TOTAL ROOFlCEILING SFLIffATS - ITEM IP ? S
G.
H.
I.
J.
F:.
If item Ha. III is the same as, or lesa than Item No. I, }rou have met the inten! 01 State
Building Cade 6006(c)2.
If item No. IV is the same as, or leas than 11
Building Code 6006fc11.
Add Item No. I Item Ho.
Add Item Ho. III 2'U 9, S? • Item Ho.
If the sum of Itema III and IV are less than
the code for total envelope system.
em Ho. II, yov have met the intent of State
I, 33,8
IV Z9,? jl
Items I and IZ, you have met the intent af
In addition to the above iteme you may have to add for eucA iteme ae Eloors aver
unheated epaces, such ae cantilevered areee, etc.
Ta arrive at 'U• value divide the total of the R veluee for eech eegment (ee a6ove)
into 1,000. Anerer yau heve le the 'U' velue Sor thet aegment.
Example: A total "R• of 35.08 divided into 1.000 =.028 `U'
CITY OF EAGAN
L? B MECHANICAL PERl?M RECEIPT #
SUBD. ?- ? (612) 681-4675 DATE -15 -
RESIDENTIAL
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMQ.Y DWEI.LINGS. AISO, COMPLEl'E FOR
TOR'NHOMFS/CONDOS R'HEN SEPARATE PIItMTfS ARE REQUIRED FOR EACH DWF.LI.IlVG UNIT.
ORNER: F EFS
STPE ADDJtES S. •v ADD ON(REMODEL (FJIISTING
CONSfAUCTION ONLI) $ 15.00
INSTALLER: ,_???yto' f? HVAC: 6-100 M BTU 24.00
PHONE #: ADDTI'IONAL 50 M BTU 6.00
ADDRESS: ` GAS OUTI.EfS - MIIVIMUM 1@ $3 EA. 0 C)
CITY: ZIP: 2j O? SURCHARGE $ .50
SIGNATURE: „iC?t?.?s TOTAL: $
COMMERCIAL
PLEASE COMPLEI'E TfIIS PORTION FOR ALL COMhIEItCWJiNDUS1'RIAL BUII.DINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS R+HEN SEPARATE PERhIITS ARE NOT REQUIRID FOR
EACH DR'ELLING UNIT.
WORK DFSCRIPTION:
FI."
SITE ADDRESS:
1'ENAN1':
5UT1'E #:
INSTALLER:
ADDRESS:
CI1'P:
PHONE #:
SIGNATURE:
CONTRACT PRIC& I FEFS
196 OF CON'I'RAGT FE&
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE $
PROCFSSED PIPING - $25.00
a
MNUWuM FEE - $25.00
TOTAL:
s
C11'Y SIGNATURE:
ZIP.
_ L? BL Ll CI1T OF EAGAN
n-j p %????.,?'? ? PLUMBING PERMIT
?B. cX-,-u (612) 681-4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMZTS ARE REQUIRED FOR EACH UNIT.
WQRK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
sITE ADDREss: 3
r
r 9
INSTALLER:
ADDRESS :
CITY: ZIP:
7 _
rxorrE ?: 1r 37-
J 5? 3?-
SIGNATURE OF
CITY USE ONLY
xEOEiPr # 0 o j
DATE -7 - / ?- 02
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE TNE FtILIAWING:
N0. FIXTURES EA. TOTAL
xEPAIR/ADD ON 15.00
1 SHOWER 3.00
??
? WATER CIASET 3.00
F BATH TUB 3.00 r?
? LAVATORY 3.00 ?
L KITCHEN SINK 3.00 3
? LAUNDRY TRAY 3.00 3.?
- HOT TUB/SYA 3.00
7 WATER HEATER 3.00 &C
? FLOOR DRAIN 3.00 ?J
GAS PIPING OUT.
3 (MINIMOM - 1) 3.00 ?
--;g ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
?
STATE SURCHARGE .50
TOTAL s
:
PLBASE COMPLETE THIS POR'fION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
04lNER NAME :
SITE ADDRESS:
TENANT NAME: _
SIIITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHAR6E
TOTAL:
$
$
(SIGNATURE)
CITY OF EAGAN
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA121396
Date Issued:03/28/2014
Permit Category:ePermit
Site Address: 3222 Red Oak Dr
Lot:6 Block: 4 Addition: Bur Oak Hills
PID:10-15500-04-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Charles Kes
7401 Central Ave. Ne
Fridley, MN 55432
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Renee J Harberts
3222 Red Oak Dr
Eagan MN 55121
Northern Plumbing & Softening
7401 Central Avenue North
Fridley MN 55432
(763) 502-8228
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan . Permit Type: Plumbing
3830 Pilot Knob Rd ,�• ,� ►;,•'t Permit Number: EA147286
Eagan,MN 55122 Date Issued: 12/22/2017
(651)675-5675 Permit Category:ePermit
www.ci.eagan.mn.us
Site Address: 3222 Red Oak Dr
Lot: 6 Block: 4 Addition: Bur Oak Hills
PID: 10-15500-04-060
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Softener
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.
Allow an 18"minimum radius clearance to the water meter from all appliances(i.e.furnace,water heater,water softener).
Fee Summary: PL-Permit Fee(WS&/or WH) $59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Tri County Water Conditioning Inc Liu Chaowei
325 Third Ave NW 3222 Red Oak Dr
P O Box 65 Eagan MN 55121
Huchinson MN 55350
(320)587-2950
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151646
Date Issued:09/05/2018
Permit Category:ePermit
Site Address: 3222 Red Oak Dr
Lot:6 Block: 4 Addition: Bur Oak Hills
PID:10-15500-04-060
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: 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 -
Liu Chaowei
3222 Red Oak Dr
Eagan MN 55121
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(952) 895-8100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153640
Date Issued:01/08/2019
Permit Category:ePermit
Site Address: 3222 Red Oak Dr
Lot:6 Block: 4 Addition: Bur Oak Hills
PID:10-15500-04-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Liu Chaowei
3222 Red Oak Dr
Eagan MN 55121
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature