3229 Red Oak DrINSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE: III I Nii
3830 Pilot Knob Road Permit Number: •' •?> "; +
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: i «y `. I, t „4 t? , APPLICANT:
., i't fi IIAh 014 M 1 i t
1:111• i1r41 11 i 1 I'• . ( r, 1. i 1'.•I i?•l ;.{ r t:.
PERMIT SUBTYPE:
: I .'i ; 11ol .ii
TYPE OF WORK:
1 :,i rt ri,ii tnN
INSPECTION .. . ..
(?t M& t ', f 3EF3AkA1l P 1 IzMI l ftF.UU11tkl? f 01: t 1 E t: IFtII:A! &!'t tlMt+iNH 1-40iil
I I Partnk No. I Permit Holder I Date I Telephons #
ELECTRIC
C2&d,
PLUMBING
HVAC
InipscUon
FOO77NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DEGK FTG
DECK FINAL
t
R .?
Wertificate of Ccc"anc?
? ? "gm
?w ?? 1 oi SuM618 a«ometim
Thu Certificate issaed pwsuant to tlre rrquirements of the Unlform Building Code
certifying that et the time of jssiance tliis strWCnere was en campliance wiih the various
ondinareces of the City rrgxlming buildiieg construction or use. Far the following:
20333
use clasafficukmL ?DWG aaa. ea , xo.
R3/M 1 Zen-mg Diaria R l ivm VlJ
o,?« ar ? 9?IArimQt SUIItSINC ? 3200 MARI ST, ?JOON
B. Addmss 322c) itFD QAiC IRIVE
06/16/Q3
.? _ Dow.
tudding OfficW
POST M A CONSPICUOUS PLACE
• INSPECTIUN RECORD
• CITY OF EAGAN REaCrzvATED Fvx DEcK 07/19/93 PERMIT TYPE:
3830 Pilot Knob Road ?flCHAEL KARLEN 435-4274 Permit Number:
Eagan Minnesota 55123 Date Issued:
,
(612) 681-4675
SITE ADDRESS:
I:l t? ???it !?f!
PERMIT SUBTYPE:
APPLICANT:
,. ?•i! ??. ? I: I('! ', i N4
TYPE OF WORK:
INSPECTION .. . ..
r ra .111 :, t 1?,f, ,,
lJ VIFi k- ?7 F`( pl c 1 U 1 N•? f f i? v
F
L
PermR No. PermN Hoide? Oste TslspFwne #
Sl1N
PLUMBING
HVAC ' 401 j1l - wv
ELECTRIC
ELECTRIC
Inspectbn Daee Inop. Comments
r-oa+ngs 1 &4
Foundation
Fram;? y- 6-93
Roofing
Rough Plbg.
Rough Htg.
l5ul.
Fireplace
Finel Htg.
Orsal Test
Final Plbg. Plbg. inspector - Notify Plumber
Const. Meter 77? cs-
EngrJPlan
Bldg. Final 6//O/Q?
r ?
Dedc Ftg.
Deck Fnal ?2 q D
/
Well
Pr. Disp.
z ,7
,
IN SYEC'1'IUN 1ZECUKD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675
SITEADDRESS: APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
L- -I
Permit Holder Dffie Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspection Dos Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING _ f ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCTrom
TEsr
HYDROSTATIC
TEST
BSMT R.I.
BSMf FINAL
DECK FTG
DECK FINAL
,Addxss 3229 gEp pAK DRIVE Zip 5512 1
Lot 2 Blk 2 Sub Eux oax tIIUs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: 06/ 16/93 Yes No Inspector:
Final grade (6" ftom siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
Sod/Seeded gass
TraiUcurb damage
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing systcm and the shut-off of water supply to
the outside lawn faucet befote freeze potenlial exisu.
Contaa engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
O-) (y(?r. /???.REQUEST FOR ELECTRICAL INSPECTION
O 'a/°r? d ? See insbmctions br completinq [his brm on beck ol yellow copy.
?Work Covered by This Request
?Yn E85?,s?
Ne% Add Rep. Type of Building ' r ,....?es Wired Equipment Wired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other Specify)
Farm Air Conditioner
Olher (specify) Contracror's FemaBS:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Paol 0 to 200 Amps - 0 to 100 Amps
40-
Transformers Above 200_Amps Above 100 -Amps
SI ns Inspecror's Use Only: TOTAI
Irrigation Booms ??' S?
40
5 ecial Ins ection .
AlarmlCommunication THIS INSTALLATION MAV BE ED DISCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 MONTH
I, the Electrical Inspector, hereby Rough-in
-
.?i,
Date ?U
certity that the above inspection has
been made. Final / o??
OFFICE USE ONLY
Thls repuesl voiC 18 months fmm
Feque t Det Fire No. Roug In Inspeclion FleQUiretl Inspe on Other Than Roughln
2
??
? (YOU ?u call inspeclor when ready)
? eatly Now ? Will No[iiy Inspector
.,J
- ?es ? No ?ateReetl
I2ficensed contractor ? owner hereby request inspection ot above electrical work at:
Jab Aetlress (Streel, Box or Roule No,) City
aq c? ? n
Seclion Na.
Township Name or No.
Range No.
Comity
I DaLjDfQ
Dc
cup
ant(PRINT) Phone No.
N
^
IIN 6- LLrIar)
Power $upplier Atltlress
bc.LoFA E1O.C--kl[y
Eleancal Contraclor (COmpany Name) Coniracrols License No.
S.x,risa. Eia.c4.LIc, o l1 v
Maling Adtlress (Contracmr or Ownar Making Instailanon)
- d c,\-- rJo kl
Authonzed SignaWre (COntrector/Owner Making Installation) Phone Number
?
MINNESOTF STATE AFO OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bltlg. - Room 5428
1
11111
1111 BE ACCEPTED BY THE STATE BOARp
1821 Univerolty Ave., St. Paul, MN 55100 UNLESS PftOPER INSPECTION FEE IS
on- 1e111 r,eInam . c.?r? ncrn
d ? ?
? ,VZ
Request De e - Fire No. Fough-in Inspection
Requiretl?
? Ready Now FdtNill Nality Inspector
q 'Sfdes ? N. When Feady9
(
I,?Afcensed contractor 0 owner hereby request inspection of above electrical work aC
Job Atltlress (Streat. Box or Route No.) Ciry
3oto?G 01.8 k. Dr
n
Eapa
Seclion No. Township Name ar Na. qenge No. County
I I bo.k.ota
OttuOant (PFINT) Phone No.
Gtmroc-k 1d
Pawer suPOiiar' naeress
SP
Elenncal Gonvacta COmpeny Name) Convador's License No.
rt5sz, (B,c?i 39'1'1?-4
Mailing Atltlress JCOnlmctor or Owner Mekin9 In5t911ati0n)
4090 -`33? PiX ti,)o mPUs ("1 55443
Autho/i2eE Sign9luR ICOnVaCtOljOwnpr Mdki091nslalidtion) Phone Numpee
3
MINNESOTA STATE BOAPO OF ELECTPICITY TNIS INSPECTION REOUEST WILL NOT
Gtlggs-Mitlwey'01dg. - Haom 5-173 BE ACGEPTED BY THE STATE BOARD
1831 UnlverNty Ave., SL Gaul, MN S5104 UNLESS PROPER INSPECTION FEE IS
Plrona (812) 842-0800 ENCLOSED.
? REQUEST FOR ELECTRICAL INSPECTION
1
?? SEB m3tructions br completing this form on beck ol yellow copy,
16 7 6 4 'X" 8e/ow Work Covered by This Request
l_.,.. E8-00001-011
?.,wy??l:.lQ 3a T?-
ew Adtl Rep. Typeof6ullding AppliancesWiretl EquipmentWired
? Home Ran9e Temporery Service
? Duplex Water Heater Electric Heating
' Apt. Builtling Dryer Other-(Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Olhe? (syBCity) CqnVaCtor9 RemaMS:
Compute (nspection Fee Below:
"Other Fae # SarviceEntranceSize Fee # Circuits/Feeders Fee
wimmingPool • 0 to 200 Amps $- 1U
0 to 100 Amps
-
I Transfarmers Above 200 _ Amps Above 100 _ Amps
igns s '
S inspecmr5 Use Only:
d
? TOTAL
Irrigation-Booms J?'
'
Special Inspection
Alarm/Communication TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S. ?
I, the Electrical Inspactor, hereby
certify thatthe above inspection has
been made. Aough-in
.
Final ?-.?
oa?a ?/
OFFICE USE 3NLY
This requesl voitl 18 months Irom
cr.rv oF FaraN
CASHIER" JS TE.RPS.T.NFlI.. NOr 007
DA7Ee 07/1.5/99 TIMF: 10e51.:42
ID^
NAMF.: MICHAE:L. S. I:ARLFN
3210 9001 3229 fiED OAY, Ufi 97.25
3430 9001 3223 ItEIi OfaN; DF+ 0.25
I
205 3001 3229 FF_A OAY. Uf1 2.00
r
Tnt,al Receip+. Amoun+.: 99-50
CR1.134A•4
4.ISER TDr. JAN
?Fk??X*:k?K??%kCXc?k????X?X?*# *?C?C k? xY?C?%#?X #Y!• * ?K?k*?k %?A?#%c
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? r?U? ?/?J CITY OF EAGAN
0? 3830 PILOT KNOB RD - 55122
651-681-4675
New Conshucilon Reoulrements Remodel/Reoalr Reauirementa
D 9 registered sRe suneys ahowing sq. k. of IoT, aq. ft. of house
and all roofed areas (2046 maximum loT coveraae allowed)
? 2 copfes o1 plans (show beam 6 window sizes; poured tnd. design; efc.)
? t set of energy calculafions
? 3 copies of hee preaervaTlon pian N bf piatted affer 7/1/93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS: -jz z
LOT: ? BLOCK: SUBD.iP.1.D. #:
Gr7
Name: Phone #: lo-?l ??Sy- C7 y?
PROPERTY last Firsf
OWNER
streetAddress: .6ZO?--
CHy ? ?i? State: Zlp:
CONTRACTOR
ARCHITECT/
ENGINEER
Street
City
Telephone #: area code (
Sheel
Cffy
?/ •??
2 copies ol plan
1 sef of energy calcula}lons for heafed atldBlona
1 sMe survey lor extedor addiNOna d(decW
CONSTRUCTION COST: o?5 -6 d
State:
Sewer 8 water Ucensed plumber (reauired for new constructlon onlvl:
Penalty applies when address change and lot change Is requested once permN is issued.
Zlp:
I Nereby acknowledge that I have read lhts appltcatton, stafe fhat the Information Is correcf, and agree to comply with all applicabl
State of Minnesola Statutes and Ct1y of Eagan Ordinances.
' Signature M App11CaM:
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
Phone #:
(area code)
Litense # Exp.
State: Zip:
Name:
)
Registration
OFFICE l1SE QNLY I
_ No
_ No _ Not Required
._ ,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex Cl 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage 22
9 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ^ 23 Parch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/SoffitslFascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alferation ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demoiish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
J 2O
Building Engineering
Variance
Permit Fee 9 7,2?
Surcharge 2??XJ
Plan Review
License
MC/ES SAC ,
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PL
Park Ded.
Trails Ded.
Other
Copies ,2S
7'otal: 9,
Valuation: $ e?,iqoU
?oX'iZ= 12-0 x30 =36ce
i
Census Code ? 341
SAC Code
No. of Units
No. of Bldgs O I
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
SAC Units
°/a SAC
P`
FA7i 8124416865
43 ,.
;ertiflcate of Survey
fOt':
SHAMROCK
DEVELOPMENT, INC.
JOHN OLR'F.R ASSC
?
PO't
Job No, : 45(oO Book/Page: vbs / -r j
Scale: I "-eo Date: 2 / e /95
O Denotea iron pipe aet +rith e pleetic
plug atemped RLS 8194 or 13057.
N • Denotes iron pipe fourd.
Oralnaqs and UlYfty Easemenls ar•
shown Ihet,
s s
10----1 ?---.L.
?
.
N
,
? ?.
ue.a
6P4, 7
PqOp.
PROP.
'DEUdra}
DBhiccee
DEUOTry6
OAR. FLOeR 6LEV. • dbl. 1 ?/_
Top OF roVnl0e.T10N ?LEV.?IB9.4•/.
PRVP. L0Weg7 IrLaat
LAT'A 6sr A pLoa.
6L4V,a de).4*/.
coR"HBS
Banth Mar le. Iµ7
Top t?i Srqn P"os
6L6Y. ? OTO.4(e
0 &µ.%e fib
N
-,? - _
II) BB1+?4i
?° Bz- W
? Q
'o
m
?
e
0
c
a
0
r
?
J
i
? yy
; ll
Y
0
j) I
?
L•+ Z, Bleck 21 DUR OAK Hlt,l.b 'Daka+4 Coun+y, N;..ns6ord.
I hereby certify thet this survey wae preparad by me or under my direct aupervision, is
torrect to the beat of my knovledge and helief, vas executed in accordance with the
eurrent Recommended Proceduren For 'fne Prectice Of Land Surveying edopted by the
Minnesota Land Surveyors Associetion, and that I em a duly licenaed Land Surveyor under
Che lawa of the State of Minnesote. T'his certificate shnva the location of e propoeed
building, as ateked by um, on said land, elevetione, end tbe locetion of all visiAle
encreachmenCa, if any, trom or on sai.d land. No liability is eenumed except to the
Client for whom Chis aurvey was prepared, his heirs, and assigns, and said 1ie6111ty is
eSSeumed only for Lhe ectual cos[ of this survey.
JOHN OLIVQR & ASSOCIATES, INC.
P.
ISy: y P. Caevell, Land Surve or
M1nn a License No. 13057
Date: z'l6/a3
IOHN OLIVER & ASSOCIATES, 1NC
( eLI4eo owp n.m..
1lhn. M?na?pu .yAlr
161904I 9u72 (f.46# b3ms
ClniCn?m?nn?
I..i.14?.n•??n?
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
W45?1?S
BUILDING
@26033
07/17/95
SITE ADDRESS:
P.I.N.: 10-15500-020-02
3229 RED OAK OR
LOT: 2 BLQCK: 2
BUR OAK NILLS
DESCRIPTION:
BASEMENT FINISH
ALTERATION
REMARKS:
SEPARATE PERMIT REQUIRED FOR ELECTRICAL & PLUMBING WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - Applicant -
KARLEN MIKE
3229 RED OAK OR
EAGAN MN
(612)454-0434
I hereby acknowledqe that I have read this application and state that the
information is correct and agree to comply with all applica'ble State ofi Mn.
Statutes and City of Eagan Ordinances.
L .
?M?1 1\wvW ?
? APPLIC T/PERMITEE SIGNATURE
ISSUED BY: SIGNATURE
J
CITY OF EAGAN
7995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
B
681-4675
New ConshuCion Reauirements RemodeUReoair RequlrcmeMs
? 3 regisMied site wrveys ? 2 wpies of vlan
? 2 wpioa ot pbm (uidude beam 8 window str.es; poured fid. desipn; etcJ ? 2 sita surveys (euterior additions & decka)
? 7 errerpy ealeulationa ? 1 onergy calalationa for heated addRlons
? 3 eopfes W hee pressrva6on plen H bt platted eRer 7/1193
requfied: _ Yes _ No
DATE: ?? /94S CONSTRUCTION COST:
DESC?IPTION OF WORK:
STREET ADDRESS: 3Lt 9ee-0 DAK ae• y EAp.ayv
LOT ? BLOCK ? SUBD./P.I.D. #: 0160e 04&' Al(r
PROPERTY Name: /1/'9121"N R, ?C Phone #: ysyD?l3?/
OYYNER ?* swer
Street Address• 32,Z9 16o O,rr1e- .9,12
City: State: "A-,? Zip: SSI L/
CONTRACTOR Company: Phone #:
Street Address:
City: State:
ARCHITECTI Company:
ENGINEER
Name:
License #-
Phone #•
Registration #•
7/,1X/95- "Y M"44:?,-
Zip:
Street Address
City:
State:
Zip: _
SeweF & water iicensed plumber: . Penalty appiies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is corceG and agree to comply with all
applicable State of Minnesota Statutes and Cily of Eagan Ordinances.
Signature of Applirant: A -?
OFFICE USE ONLY RECEPVEC)
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
- - -•.?,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex o 11 Apt./Lodging o- 16 Basement Finish
n 02 5F Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
0 31 New o 33 Alterations o 36 Move
0 32 Addition ' 0 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowabie) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 7 '7
Depth Footprint sq. ft. SAC Code
Census Bidg
Census Unit T
APPROVALS
Planning Building Engineering Variance
PermR Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
fi
°h SAC
SAC Units
CITY USE ONLY ? 3r5
L BL ? RECEIPT
SUBD. ?, al / DATE: ? S
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
EACH NO.
TOTAL
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet * minimum - 1
Rough Openings
Water Softener
Private Disposal ` Dakota Cty. license
U.G. Sprinkler * home under const.
Alterations ' to existing
Water Turn Around
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
x
x
x
x
x
x
x
x
x
x
x
x
STATE SURCHARGE
TOTAL
O,C? o
.50
Q0 . S'()
SITE ADDRESS:?? ?ql-? C'pa1C 'CJ C
OWNER
2
INSTALLER NAME: I(o- 6a?I, v-,
STREET ADDRESS: 00L ?c C? Y
CITY: ?C?e,o,V'\- STATE: M ti ZIP: SS ta 1
PHONE#:(??'a ) 454- 0Lt31Y
OFFICE USE ONLY
L BL
SUBD.
RECEIPT #:
DATE-
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: * all commerciaVindustrial buildings.
? multi-family buildings when separate permits are aM required for each dwelling
unft.
DATE: -. CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTIQN OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTP,LLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1'Yo of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pffpjs fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
METER SIZE: DATE
STE. #
SIGNATURE:
OFFICE USE ONLY
STATE: ZIP:
APPLICANT
_ INSPECTOR:
REACTIVATE _ ???????? CITY OF EAGAN
vERfMIT ? 1993 BUILDING PERMIT APPUCATION
i 3 1993 681-4675
SINGLE 8 MULTI-FAMILY 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 capy 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 ;ssued.
Date 7- / l3 /93 Yaluation of work
Site Address: ,3ZZ? ?iO 4fI.? /??' •
57REET SUITE N
Tenant Name: (commercial only)
IAT ? B7ACR ? SUBD. y? OA TA) 7
.J p. I.D. N
Descri tion of work: EG .
The applicant is: Owner ? Contrdctor O Other (Describe)
Name ? Phone- 7'?T'q YE
Property LASt FIasT r,J ?3s-ya
Owner qddress 61) OAz-
STREET STE R
City State I"^' Zip f-5_1?!_l
Company Phone
COntl'BCtOf Address License # Exp.
City State Zip
Company Phone
ArchitecU
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with all applicable State of Minnesota 5tatutes and City of
Eagan Ordinances. •
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
0 03 SF Addition
? 04 SF Porch
[3 05 SF Misc.
O 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
0 10 Multi. Add'1
WORK TYPE
? 31 New
32 Addition
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
?3;15 Deck
? 35 Tenant Finish
O 36 Move
,,. . ?
0 16 Basement;Finish
? 11 Swim Pool
O 18 Cortm./Ind.
? 19 Cortm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy ? 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pum p
# of Stories Footprint Sq. ft. Fire.Sprink ler
Length ? On-site well Census Code ?
Depth ?s On-site sewage SAC Code
__
-
T
APPROVALS
d
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
? Site ?Footing ? Framing O Insulation
? Wallboard ?Final ? Draintile ? Fireplace
Permit fee Z5r oJ wiuec;m:
Surcharge , ?--o
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
S
SAC %
SAC Units
FAa 8124416885
•'
;ertificate of Survey
#Or:
SHAMROCK
DEVELOPMENT, INC.
;
'`1- L. -9a9'-51 '4T"W
GL
4
ue.a
604.7
PpOp.
PAOP.
PROP.
t_P.T+{
? -•-
?O
? 6A6?
?
Nlti \
m 10
'? ..o
JOHN OLI1'ER .45SC
•
P02
Jbb No• :loOf.o EooK/Yege: E,3 / ?'?
Scale: i "? '?o Date: 2/ B/ 9 3
O Derwtes ixon pipe aet rith a plastic
plug stamped RLS 8194 or 13057.
x • Derwtes iron pipe fourd.
Dralnaqs and UlHily Eacements ar•
shown lAci'
s s
10
0a..s 14o.oorr&* tD
iS alh4 O 2 .O eoi
?r
? BC'I ) N
jC
yENbr6} 'fir6l7RFP.?E DRlLI?.1. $Cm '
aauores /pROp, ELEV.
DE1.loM6 gXlsT. E?.EV. .,
dAR. FIPSR eLe-v. : ees. 1
ToP OF wauwpATkeN IE LEV. ?l89.4•/-
L0WiftST PLOO! 6LGV.a
$ET dO 16L64. CoRUFEIgS
4
• ?
J
0
?
V?40 ?-_-_e.a 887.rs ?
op?y
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EL6V. 2 678.4,4o
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9
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a
D;
W
po ?
Lot 2, Bleck 2, buR aqK 1ilLl.S 'I • D4A1Co+4 Ceun+y , ht;....n6o+d.
I hereby tertify that this survey was prepared by me or under my direct supervision, is
correc[ to Che beat of my knawledge and helief, vas executed in uccordance vith the
current Recommended ProcedureA For Tne Prectice Of Land Surveying adopted by the
Minnesota Lend Surv9yore Asaociation, and thet I am 3 duly licensed Land_SurveyoN under
Che laws nf the Stete of Minneaote. 1"nis cer[ificate showa the location of a proposed
building, as ateked by us, on seid land, elevetions, and the locetion oE all visible
ancroachmenta, if any, Erom or on said land. No 1iaL111ty is esAUmed exeept Eo the
client for wham this suivey was prepared, fiis heirs, ond assigns, and said lieaility is
assaumed only for the actuel cost of this survey.
JOHN OLIYFR & AS50CTATES, INC.
P,
fiy: y P. Caswell, Land Surve or
Mlnn .Vfta License No. 13057
Date: LL 8! q3
JOHN OLI V ER & ASSOCIATES, !NC
seo coan A....
CIARI.v.M?nn?cu.qJW
(51]I441 9u)91Fu144I.311e4
Qr11 Enpnaenry
IAM PIU11Yq
.
X CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
F.1eN.: 10-155GJ0--020-012
PERMIT
PERMIT TYPE:
Permit Number:
Datelssued:
:3229 fiEO Or1K OR
LOl'- Z BL.C.iCKe 2
LUR OAF; HILLS
el? ?9 9 r
?/-o
01,3 c,1Ne
020 33'
G92J22/9:3
DESCRIPTION:
tli'no Pern'iit l"ynea
r RuiI.dinq",Work Ty?e
USC 4cQuP'antY
r S:orrstructiuri "T,ypc
Zon,ir+g
Build,inq terrgth
Buil.eFzng 4Ji.dth
S F fJ1;.1G
P!EW
R-3 M--1
V--R!
R-1
5?
40
&MMARKS:
S & W PL6R - {>LYMDUTH PL[(;
FEE SUMMARY:
Vfi 4.13 (-17I0 hl
FI 2. s.. Fr'.? F.
Plan Ne\/i.ew
I
ourr.'riarge
5fiC
SAC a'
SAC Units
Subiotai.
'y: 7 t> B. G5 49
10 0
L
TI>„sV?.6-3
$178,0@0
IhT'S(;ELI.A P!EOUS
ToYa,l. Pt.e
:t1? 74 11.5 0
4 , GJ'rl ° . 13
CONTRACTOR: -
sHaMHOe? BUfzS zNr
31100 Nw mAzid sr
C(JON RAPTuS MN
(E:7.2) 935-4 "' 7 4
Appa ; canr - sT'. i_xOWNER:
ias54 2/ 4 0001425 ;HnriRocK eLoRs zn!c
s200 11atN S,-
5544? COON RAPIDS MN 551,13
(612)435-4274
>?a
7. hereby ackradwl4dge that I hav2 read Y.his app2icatibn and state tha k the
infint^matiori i.s ccrrrcct and agrec to c>ornply wEY,h al} "3 rYt.c () F Mn_
Statt.ttes and City of Eagan Ordznance,.
L
?? ? . .
f APPLICANTlPER ITEE SIGNATURE
Im?? ?.1,1,
'ISSUED e : S GNA E
REACTIVATE _
RERMIT'!i
tt0m-A
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
A
FE B 1 RECo
c?l-d z-i?
SINGLE & MULTI-FAMILY 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: 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 Val uati on of work
Site Address:3?°?
STREET SUITE R
Tenant Name: (commercial only)
IAT BIACK ? SIIBD.v-c Q? Z)e-- Nz? P.I.D. M?O?rJSOOQ???a
Descri tion of work:
The applicant is: ? Owner ,'&Contractor ? Other (Deseribe)
Name Phone
Property LAST FIRST
Owner
Address
SiREET STE N
Lity State Zip
CompanyS`c?zrc?.?o?bv??\v-?cS ?Z+?L Phone
Contractor Address3az? AN\:??N4 . License Exp.--?A-?:Al?
City State ??\ ZipS`??F33-D
Company Phone
Architect/
Engineer
Name Registration #
Address??5? ?r-
City StateZip
Sewer 8 water licensed plumber-?>Vac`c`w\? Processing time for
sewer & water permits is two days, on area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
?
?Jz
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
k02 SF Dwg.
? 03 SF Addition
? 04 Sf Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
WORK TYPE
? 11 AntJLodaina Finish
? 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
,K31 New ? 33 Alterations ? 35 Tenant Finish ? 31 Demolish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) Basement sq. ft. MWCC System GS
(Allowable) V- N lst F1. sq. ft. City Water YQ-S
UBC Occupancy R•3 M-? 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 67.0o On-s9te well Code
n
sus
Ce
Depth 40,D0 On-site sewage p
?
?
APPROVALS - ? -
Planning Building 43 Assessments
Engineering Yariance
REGIUIRED IN SPECTIONS ?
0 Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % 100
SAC Units _L
"
veirc;a,: g I18,000
GARAGE: ??Ox Z???. ! V2) K I& = Ie(/ (o / /.
18k3-0= 900
?'3 X?6= 33$
1 Z3`aX?s= 10, 5'7O
IST ??oDf2 :
---- . .
?
l3sMT= 123P? .
I%ZX 7 = J_
-
1 Z?! $ X 53=
213r> Fi.oon ;
sa ?C a2 = I (0oo
? 7% x 2i?/,. = 32 )
iyx ?3= (ISz)
1,/z x 19
a./z?? 2 38 ?s1 ? ?53?
6 61 l 4 y
ct a !
t '
Certificate of Survey
for:
SHAMROCK
DEVELOPMENT, INC.
-
Job No. - 655"o Rook/Page: a37 1
Scale: ?"= 3 o Date: Z? e
o Denotea iron plpe set vrith a plastic
plug y{emped RLS 6194 or 13057.
• Denotes iron pipe found.
N Drainoge and Ulflily Eassments are
shown ihus'
5 5
? i
10 10
1
I ? .
I? 1 . oc
?? W eev. e
_ S B9 ° 2 i'4T 40
? ?- ? - - 40.o I "1I1
99?nz --• --i9 aslnL 0 22.99
88'7.3 N
c1.[eT
l4 ?? 886?? 1 ? Q 1
?aa o w n?
L{' O%
3 "
? aLL
10 3?.5
? B84z7 gg xa
?? B8P.4
f _S?¢°47• 9
1?-
2
5 f?VRF4-CE ?RP. S
flEt30TE
BB6.4 DEhlorES IPRoP. E?-EV.
7
8e4> DENaT?S EKI5T.
??
?
PRoP. GAR. FLOO R ELEV= 808. t"'I-
pp?pp, ToP OF F oJT10?.T\01.L ELEV.'889.4'/-
pROP. l-oJVEST F?.ooR. EL-EV.= 8814fI-
I.ATi-1 SET 66?) BA-OG. GOR1.lE2.s
?
;a+ _
3?-?.01 '
e o
-' I
?
I I
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i
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SoP vr ?Sr ?P.?P?
AT8.4(n
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I
6.Z9 0(?
0
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'6.? O ?O
k-?
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?(79848? ??1
? a
A
5
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0
e
U Y
? O
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0
s
` J W I
I I3?0
? II
c
2, Block 2? BuR oaK H??.?-S ' - . Ddk?kd oon+y ? M:?••eSoi-d.
was re ared by me or under my direct supervision, is
?,ot
knowledge and helief, Was executed in accordance with the
I herehy certify that thiofs my survey P p ado ted by the
correct to the best
current Recommended Procedures For Tne Practice Of Land Surveying ro osed
Minnesota Land Surveyors Association, and that I am ? duandlthenlocation
che laws of the State ofuslnonssaid land certif shows thislSSSUmed except to the
building, a ofTallovisible
s staked by
encroachments, if any, from or on sai, seheirso alia ndbassigns, and said liability is
client for whom this survey was prepared, hi
e$ssumed only for che actual cost of this survey•
JOHN OLIVER & ASSOCIATES, INC.
p, Caswell, Land Surve or
ay: Y
inn s ta License No. 13057
M
XddGA.l? ENGI?ERIATG DEPT
Date:
JOHN OL(VER & ASSOCIATES. INC
380 Dodg<Avenue
Elk Ri•«. Mj^^"ou 55330
(612)441 -ROl1 IF.dH I 5665
. Civil Engineering
I.xndtiiuvnyiny .
I.:md I'lannin?;
t
r
LOT iQRaEY CSLCICLIBT !OS AtBIDZIiTI11L
SOILDSIiG PERIS2T APPI.IC7ITION
? Y80PERTY LE6I? •t?
?
nate o! turvop s .2
40CQl?NT BTAN+Mma
ff"?[] 0
D •
• Registered Land Surveyor signaturt and company
Buildin
Pe
it
FIS
Q
• q
rm
]?pplicant
•
Legal description
0 ? ? • ]lddress
Dr 0
Q`n 0
0 •
• North arrow and bar scale •
8
ouse Lype (rambler, valkout, split w/o, split antry,
? lookout, etc.) '
D
0 0
V • Directional drainaqe arrows vith slope/gradient 4.
D
p 0
0 •
• Proposed/axisting sewer and rater services
Street aame
0 • Driveway
ELEVATIONB
?xistina
fl E( ? • Sewer service
P? D
? D ?
0 •
• Lot corners
Top of curb at the driveway
0 C) • Elevations of any existing adjacent homes
4roDOSed
?
n D • Garage floor
r ?0 D • First floor
G D • Lowest exposed elevation (walkout/vindow)
0
? 0 • Property corners
I
D D • Pront and rear of home at the loundation
PONDING AREAB (if applicabl•)
D [? 0 • Easement line
n d.??
O t7//O •
• NWL
HWL
0 0 • Pond # designation
D YI 0 • Emerqency Overllov Eltvation
trl 0 D •
D' 0 0 •
g D D •
r( o o •
ndo •
Lot lines
Riqht-of-vay and street width (to back ot' curb)
Propose9 Aome dimensions including any proposed decks,
overhangs qreater thnn 210 pozches, etc. (i.e. all
structures requiring permanent footinqs)
Show all easements of racord and any City utilities within
those easements
Setbacks ot proposed structure and sQtback of adjacent
axisting homes
Ret
Reviewed
OCtoDer 2992
lLlNil EStio''A STA'rE ENE]RGY COpE CAI,CULBTIoPlgj ?y (? ? _t "? /
BASED ON CIIAPTER 5 OF T11E
HO EL ENERGY COp[? - j48_j_EgITIOj,1
Aduption Effective
31te Addrese (-^a7 Zi BLOGK Z, 'BUQ QA
contraotor t2H,ANIK044- -6U>R-•5. IN (- • phone
auilding Classification: Type Ai (Single Family & Duplex) I
Type A2 (Resldentiale 3 stories or lass) (OVer 3 stories) (Other)
HOT6s CQmRlete rjm9 3 and 4 Piret.
SENEi2AL INEORMATION ?r !L
1. Bulldinq
2.
Wall height (ground to eave
3. 1. X 2. (above) gross wall a rea eq.ft.
4.
Building dimenaiona (L) ^
X(W) ?
sq.ft.roof & floor area
5. 9q. foot area oP rim joist - Floor joist size (2 X
l1, X 2 (Perimeter) _ ?sq.ft.
6. Doors - Area I?
Tfiicknese lZ
in U. factor A4,41-
Type of Construction Per?meter ft.
. Manutacturer
7. Total door's perimetier ft.
B. Windows: Manufa turer?aubIe N?IJL? State approved
U factor ??
,TYPB SI2B AREA (Sq.Ft.) NUMBER OF TOTAL
? EACII UNITS 3Q FBET
9. Totsl sq, ft. Glass
lo. Fireplace area: Width X fieight = X = sq.Ft.
1 ?
11. Exposed foundation: tieiqht X Perimeter. ?0 X -
1?? ? CJ`J sq.ft.
CoMPLETION OF TIIIS FORM I9 REQUIRED FOR ALI, NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDINGS BEING MOVED Wf1ERE ENERGY$ OT}lER TI{AN TFIE MINIMaI,
COpE ALLOWANCE, IS USED.
Perimeters? ? U??r`? gt.
tt
i
12.
13.
Framing area = log of grose wall srea.
GroBe wall area b &I c? sq.ft.
Window area A?sq.Pt. U windows =_A(&
Rim joist area A?3(10 sq, ft. U rim joist= IMI
Door area 2, ?I"L/ sq,ft. U door area= 'A
Other doore area A_(P_0_eq.ft. U other doore=
?? /
Exposed fndn A LD%`7 eq.pt. U ioundation='(__
Framing area A-12-0 sq,pt. U Framing area='0
Net well area A_,'usq.pt. U wall= ?
(13B ) TOTaL . . . . . . . . .
UxA = n ?
UxA =
UxA = I t V
uXA = ILI51V
UxA = 57
UxA ° l6
UxA
UxA
14. Gross wall area x 0.11 (A-1 eingle Pamily 6 duplex) = allowable UxA/Code
(13, above)
x 0.23 (a-a other residential)
x .23 (other buildinga)
x .28 (OVer 3 etories)
6TUf1 must be larger than or same
I?_3 v x U Code r? OF. as 138 above
15. Ceiling frataing area (Af) equale lOt of ceiling area
15a. Grose ceilinq area =(L) `x(W) _sq.ft.
158. Joiat area (Af) - 10$ ceiling area ?V5 t 0 sq.ft.
18C: NBt aeiliRg area (Ac) (15A - 15B) sQ.ft.
U ceiling x a? = Ur J6•b x ,(/(iv
U framing x A f a,169,U x?D?i =
15D. TOTAL U X 1? ........................... . 451
16: Ceiling area (15A) x 0.026 (A-1 single family & duplex)
= allowable UxA/ 9ode
x 0.033 (A-2 other reeidential)
X 0.06 (ather)
q j BTUH must be larger than or same
A(15A)11;1x U Code ?19? m 1?? oF, as 15D above
NoTEt Use U and A values obtained from peges 1, 3 and 4.
CEBTIFICbTI41ij I hereby certiPy that I have calculated the "Ull factors and
"R'I values here:ln and that the building here described meets or exceede the
stata of Minnesota Enerqy Conservation Aat.
Date 9lqnature
q;? - (75
? ????k?N??T'?
(s ?,p ,?v? - _
- ---- _-
8,0 t6s - 140
?
Ib?C???C ?Sa?-Sa 4 3Z,5 t3Z,5) = p I ?
?2107 0
I?l?c Dv S -
_ -
_ _ _.
III ?ZZ?- _ _ = (0,7 X ? -- s ?Z
II ? Z?3 ? = ? p k
2 20
?
l ?2c? e?. = _._ ? "7
1? 3? l 4-
I ?? _
2 ? I x 4 _ : ??
?
? _
? 2
CI ?24 = IZ
Z - 9
=
?nrTO Ljjtw 2- - - " Z4, z
???, 'S
T??
(oo ? rRa .TD?.. _
b
3° 2rL p wlZSL
Z g SrL -26-R-,D (L
40_
-=-- Z,?
= Z
?
EITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
P.Z.N.: 10-15500-020-02
DESCRIPTION:
STORM DAMAGE
REPAIR
434 ALT. RESIDENTIAL
?
;
??? A ? ,• ? ? ?°"F
PERMIT
PERMIT TYPE: g u I LDz NG
Permit Number: 0 3 3 7 S 3
Date Issued: 10 / 2 6 J 9 8
3229 RED OAK DR
LOT: 2 BLOCKa Z
BUR ORK NILLS
,--. REROOF
Bu,i:lding"Permit Type
B?ilding W8r?k Type
,G'ensus Cbde
?
r
j ,
l
? -A??>; .
, ?? •? .L? ? .,
t
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. Lzc.
CUSTQM CONCEP7S CONST 1$987290 20142417
16540 KENRICK LOpP/STE B
LAKEVILLE MN 5504G (.612) 898-7290
?
OWNER:
KARLEN MIKE
3229 RED QAK DR
EAGAN MN 55129
(651)
I hersby acknowledge that I have read this applieatian and state that the
information is correct and agree to eomply w9th all applieatrle 5tate of Mn.
StaCUtes and Gity of Eagan Qrdinances.
APPLICANT/PERMITEE SIGNA7URE
,185UED BV: SIGNATUR
' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
2 3830 PILOT KNOB RD - 55122
-_? J- ? ?? 681.4675 1C? - ? ? ?&
New Construction Reauirements
? 3 registered si[e surveys
• 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.)
? 1 energy calwlations - ? 3 copies of trea preservation plan H bt platted after 711/93
required: _ Yes _ No
DATE: 1 I? -I0?-0? SC
DESCRIPTION OF WORK:
STREET ADDRESS: ? Z-z-
RamodeVReoair Reauirements
? 2 copies of plan ? 2 sita surveys (exterior add'Rions $ decks)
• 7 energy calculations for tieated_additipns::
CONSTRUCTION COST; / 0 0 ? C 1
r
?
?
LOT: D- RL4CK: -a-- SUBD.IP.!.D. it: U a v- 0 c'kk, - 41 L l? -
Name: I40, (I e?' V?? ? p Phone #:
PROPERTY ?t Fst `
OWNER
Street Address: S (it (V---.o
Ciry Stare: Zip:
ComPanY -- CUSt0111Ci"+t}CPr'?:? 1x??Phone#: "
CONTRACTOR 16450
Sveet Address: License #
City (612) ?? ??u' • i`L $l) State: Zip:
ARCHII'ECT/
£NGINEER Company: Phone t!:
Rcgisuat?3n #:
Sveet
City State:
Sewer 8 water licen5ed plumber (new construction oniy):
and lot change is requested once permit is issued.
-_ Zip:
Penalty applies when address chang
I hereby adcnowledge that I have read this application and state that the infortnation is correct and agree ro compiy with aq applicabl
Sfate of Minnesota Statutes and City of Eagan Ordinancea
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling O 07 4-plex
? 03 SF Addition 0 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 5F Misc. ? 10 _-piex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
O 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi RepaidRem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace O 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
Basement sq. ft.
Main level sq. ft.
sq, ft.
sq. ft.
sq. ft.
sq. ft.
Footprini sq. ft.
MGWS System
City Water
Fire Sprinklered
PRV
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Use BLUE or BLACK Ink
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• � Permit#:/ � �/�� �
Clt� of �a��� ; . /� ;
Permit Fee: /C�'�-��
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ^� ���� Site Address:�_� �� �� �%�Q� �,� Unit#•
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: Name: +� i�n. T� G��� Phone: �D �� 7 5 r O 3��
�����' a� � p �3 2�Q )2ed ��� �i2
� ����� � Address/Ci /Zi :
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`�� ,����� ;' Applicant is: Owner ��ntractor
` £��`�' Description of work: � �n�avf KJtf,l IG1C�r�� �� U+���
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_ ��� , Construction Cost: �p��� Multi-Family Building: (Yes /No_�
, �� `�"� Company:__�il�'b�1�� FY�JyIJ`Q'��S LL �. Contact: /'���KC' �C�oe lxu�
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�� �� `� � �� Address:_��7�3 ��'Pr�;� � ��('L' City: �GJ'vv��tiSTa�1
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� ������ ` State: V1�..� Zip: 7�� Phone: ���� �3�-�7 Email:
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��, License#: �b2��7 � Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X " c��I .l ������- X
Appli nt's Printed Name Applicant's ' ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165513
Date Issued:11/04/2020
Permit Category:ePermit
Site Address: 3229 Red Oak Dr
Lot:2 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-020
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 -
Michael S & Cynthia A Karlen
3229 Red Oak Dr
Eagan MN 55121
(612) 442-3717
Guardian Services Contracting
1042 20th Ave N
South St Paul MN 55075
(800) 617-8450
Applicant/Permitee: Signature Issued By: Signature