4259 Dodd RdCITY OF EAGAN NO 18390
k 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 J-7 ?
BUILDING PERMIT Receipt # ^
/ a
Tobeusedfor GARAGE ADDITION Est.Value $6,000 Oate SEP 20 g90
Site Address 4259 DODD RD
Lot 2 Block 1 Sec/Sub. SADDLE HORN OFFICE USE ONLY
Parcel No. Occupancy M_1 FEES
Zoning -
w Name JAMES & TRACEY OXBOROUGH lAclual)Const Bldg. Permit 81.00
Address 4259 DODD RD (Allowable) 3.00
° surcharge
City EAGAN Phone 456-9145 # of Stones
zz! Plan Review
Length -
? Name SAME Depth 161 City
SAC
i
Q,¢ Address S.F. Total ,
SAC. MCWCC
City Phone S.F. Footprints -
Water Conn
On Site Sewage
w Name On Site Well Water Meter
?
x? Address MWCC System -
H Acct. Deposit
MW City Phone City Water
rmit
S/W P
PRV Required e
I hereby acknowlege that 1 have read this application and state that the Booster Pump S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City At Eagan OrdinancgS. / Treatment PI
Signature of Permitee ' ?• iy'?'?'-""'7/iU APPROVAL$ Road Unit
JAM OR TRAM 0XBONDUCH
A Building Permit is issued to:
Planner
Park Ded.
on the express condition that at) work shall be done in accordance with all Council -- 1
50
applicable State of Minnesota Statutes and Cittyj of Eagan Ordinances. Bldg. Off. Copies .
Building Official ?, 1 1 ??.? 111,11 Variance TOTAL 85.50
CITY OF EAGAN
- 3795 Pilot Knob Read Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt #
To be used for GARAGE Est. Value 4,500 Date
N2 6248
10-2 1980-
Site Address 4259 Dodd Rd.
Erect - ® R3
Occupancy
Lot 2 Block 1 Sec/Sub. Saddle Horn Alter ? Zoning R1
Parcel # Repair ? Fire Zone 3
Enlarge ? Type of Const. V
W Name Pdm- Oxhorongh Move ? # Stories
3 Address 4259 Dodd Rd. Demolish ? Front 22 _ ft,
city Eagan, Mn phone 452-3623 Grade [3 Depth 24 ff.
o Name same as owner Approvals Fees
oU Address Assessment _ Permit 18.00
V? Water & Sew. Surcharge 2-50
CI Phone
Police Plan check
Fw
oW Name
Fire
SAC
z-
U Address Eng. Water Conn.
aw city Phone Plonner
Council _
I hereby acknowledge that I have read this application and state that Bldg. Off. .
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinc APC
Signature of Permittee -
A Building Permit is issued to: Wm. 0x' bLb OL1Ls)_7
all work shall be done in accordance th all appli ble ate of
Building Official di L
Water Meter
Road Unit
Total 2n 5n
on the express condition that
Statutes and City of Eagan Ordinances.
CITY OF EAGAN N°_ 14206
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PNONE 454 8100
BUILDING PERMIT
To be used for WOOD STOVE Est. Value $1,200
Site Address 4259 DODD ROAD
Lot 2 Block 1 Sec/Sub. SADDLE HORN
Parcel No.
Name JIM & TRACEY OXBOROUGH
3 Address SAME
O City Phone 456-9145
o Name SAME
Z?
0a
Address
P City Phone
tia
W
W ?y
Name
z? Address
a W City Phone
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 Ci of Eagan Or 'fiances.
Signature of Permittee 0
A Building Permit is issued to: JJI _& OXRORf111(_H
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciity?bf Eagan Ordinances.
Building Official
Receipt # LOI
Date SEPTEMBER 23 19 87
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
$23.90
Engr./Assess. Permit
Planner Surcharge 1.00
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL $24.90
CITY OF EAGAN Include 2 sets of plans,
l site plan w/elevations &
BUILDING PEF3,1ITAPPLICATION 1 set of energy calculations.
To Be Used For - r Valuation y? s(r6 Date /,?,l -
Site Address 2/,-
OFFICE USE ONLY
Loto,.ZD Block C) / sec./sun. Erect Occupancy
Parcel #: 6690c) Alter
Repair _
Owner: W i U_-i L;(? _X bO Ra 1 -4 H Enlarge
Address: 4,' 6'1 [ ndd K/
City/Zip Code: k,4EJ n5la°,
Phone #: 4"55 - 3L?5
Contractor: A) i I L<A ?c Y I n r c? l
Address: L4 a nod c? I° GL
City/Zip Code: (fY1 n
Phone #: I/S'l - 3 (o 4 3
Arch./Eng.
Address-
City/Zip Code:
_ Zoning "r/
Fire Zone 3
Type of Const.
Move # Stories
Demolish _ Front i ft.
Grade Depth ?y ft.
APPROVALS FEES
Assessments Permit $
Water/Sever Surcharge
Police Plan Check .
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
Phone #: TOTAL v 96
EAGAN TOWNSHIP
BUILDING PERMIT
Owner .......................................::.......-------.------- ...---------.._..---
?is9?-u r
Address (present) ........................Y-..... 7 1 . .
Builder ...... ................. ................................................ ....... ....
Address .... .................................................................. ........................
DESCRIPTION
N° 2750
Eagan Township
Town Hall
6
Date ... gam".. -
Stories To Be Used For Front Depth Height Est. Cost Permit Fes Remarks
2A /0 1
V v LOCATION
Street, Road or other Description of Location I Lot I Block I Addition or Tract
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BEPT-ION THE PREMISE WHILE THE WORK IS IN PROGRESS. _
This is to certify, that ...... ....... . --....... .-.has permission to erect a_. .a::.`.^:- ..?.yy......... upon
the above described pre ise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11.
1955.
............................... . ?-..-. ..... Per .................. ............ A K ---...f ..
Chairman of Tnwn Board Building Inspector
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ............ .......... °-?- .....................................................
Address (present) ....J:`.'ey...N 7.._Jsc ......................
Builder ....................... .......°°..............................................................
Address
N? 2531
Eagan Township
Town Hall
Date ..... F .AI .-----.............
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
or
TION
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE?iK'EPT O THE?PREMISE WHILE THE WORK IS IN PROGRE S.
This is to certify, that ...,,;u . ...................................................has permission to erect a...... ........._\.................... ..........._upon
the above described premise subject to the provisions of the Building Ordinance for Eagan ownship dopted April 11,
1955.
........................ ......... . . ..• Per Qj
Chatrm of nwn Soard Building Inspector
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO. 88
The Board.of Supervisors hereby grants to Bisson Well Drilling
of 1955 Shawnee Roadg Eagan 55122
a WELL Permit for: (Owner) Harvey Kirchner
at 4259 Dodd Road. Eagan 55120 , pursuant to application dated
10/28/71
Fee Paid: 10.00
.50 s/c
Dated this _28 day of October _, 1971.
Building Inspector
d--/
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO. 86
The Board of Supervisors hereby grants to Roland Kisling
of South Robert Trail,
a cesspool Permit for: (owner) Harvey Kirchner
at 4259 Dodd Road , pursuant to application dated
Oot. P0, 1971
Fee Paid: 11.50 Dated this 20 day of October , 1971
Building Inspector
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO. 165
The Board of Supervisors hereby grants to Complete AirHeatiig d Cooling,
Inc, of 15267 Forest Blvd., Hugo, MN 55038
a PLUMBING Permit for: (Owner) Harvey Kirchner
at 4259 Dodd Road, Eagan 55123 , pursuant to application dated
10/5/11
Fee Paid: $20.00 Dated this 8th day of Octoberf
.56 s c
, 1971 .
Building Inspector
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO. W
The Board of Supervisors hereby grants to Wenzel Plumbing & Heating
of _ 1955 Shawnee Road
a Plumbing Permit for: (Owner) Harvey Kirchner
at 42259 Dodd Road pursuant to application dated
October 5. 1971
Fee Paid: 20.50 Dated this 20 day of October 1971
Building Inspector
/o/tea/5?0
0 69468??2
Request Date Fire No. Rough-in Inspection
Required?
? Ready Now
IPyill Notify Inspector
-Vic) ? Yes ? No When Readl
licensed contractor F3 owner hereby request inspection of above electrical work at :
Job Address (Street. Box or Route No.)
is city
Sec[idn No. Township
or No. Range No. County
Occupant (PRINT) Phone No.
IM
lL
Power Supplier Address
Electr Contractor (Company Namel Contractor's License No.
Mailing Address (Contractor or Owner Making Installation)
Au[hora ignature (Contractor( wner Making Installation) Phone Nu
mb
er
?
?
/
41_ LJ'-
MINNESOTA STATE BOARD VLV ICRy THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD
1821 Unlvenity Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE is
Phone (612)BS2-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ,: Ee-00001-07
G/// ry
See instructions for completing this form on hack of yellow copy 1 %1, 9 / 1 ! r?
ssy
694B8 ? "X" Below Work Covered by This Request ?
New Add Rep. ; Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contbactorb Remarks
Compute Inspection Fee Below.: r ""- rye " ?i w?
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps 0 Amps
Signs Inspector's Use Only: TOTAL
Irrigation Booms J
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN IS MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final 9
OFFICE USE ONLY
This request void 18 months from
CASH RECEIPT
-CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
& _DOLLARS
'a 0
? CASH ? CHECK
RECEIVED
FROM
AMOUNT
FOR
FUND CODE AMOUNT
o d
? ?p D d O
J
1a
a do
o
4510
/ 1110
1 .0.6
Thank You
?? .
19
/ Sa-e
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN A
`? .
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 18394
PHONE: 454-8100
BUILDING PERMIT Receipt # i J
Tobeusedfor GARAGE ADDITION Est.Value $6,000 Date SEP 20 _ 1990
Site Address 42 59 DODD AD
Lot 2 Block 1 Sec/Sub. SADDLE. HORN
Parcel No.
W Name JAMES & TRACEY OX80ROUGH
o Address S ?D
City EAGAN Phone 456-9145
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 of
Minnesota Statutes and Citypf Eagan Ordinances. //
v r
Signature of Permitee ,[Y r
A Building Permit is issued to: J*= CR 7RNM G i
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy M"1 FEES
Zoning
81.00
(Actual) Const Bldg. Permit
(Allowable) - Surcharge 3.00
# of Stories
Length 22' Plan Review
,
Depth SAC, City
S.F. Total SAC. MCWCC
S.F. Footprints
On Site Sewage Water Conn
On Site Well Water Meter
MWCC System _
Acct. Deposit
City Water
PRV Required SSW Permit
Booster Pump S/W Surcharge
Treatment PI
APPROVALS Road Unit
Planner Park Ded.
Council -_ 1
Bldg. Oft. Copies
85.50
Variance TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I ?- 7 ` ze% S
Foundation
Framing 2/. s
Roofing
Rough Plbg.
Rough Hig.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Ptan
Bldg. Final Jl', !5 _ ^ } ,,-. ?r7
Deck Ftg. :• f , ., c'? uE?? 3 - ? f; ' ??
Deck Final
we 11
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P. 0. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for , '.)V@
Est. Value y i • ;"; m Date
Site Address ' Oi !p.'
Lot Block f Sec/Sub. Cl
No.
ac Name
W
z Address
3 4;
° City Phone
a Name-
0
c, < Address
city-
WW Name
FW
Address
`W City Phone
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 Permittee _
A Building Permit is issued to: f 07OgO M7Gtt
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Receipt
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
?r&.' 06
19
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
`µ?'?"
TOTAL
Permit No. Permit Holder Date Telephone
Plumbing
MAC.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing ry
.rYi ? ? / f? G-
Rough Plbg
Rough Htg.
Isul. /?c v L i9
Fireplace 7
7ZO l 15
Final Htg. r
Final Plbg. -
Bldg. Final
dDeckFinal
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122 N? 6248
PHONE: 454-6100
BUILDING PERMIT Receipt #
To be nod for Est. Value Date 19
Site Address Erect p Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Repair ? Fire Zone
Parcel #
E
l f Const
T
n
arge ? .
ype o
Name Move p # Stories
W
Z Address Demolish Q Front ft.
Grade rl Death ft.
p Nome
~
ou Address Assessment .
~ city Phone Water & Sew.
Police
F W Name Fire
Address Eng.
<W City Phone Planner
Council
I hereby acknowledge that I have read this application and state that Bldg. Off. -
the information is correct and agree to comply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
all work shall be done in accordance with all of
J
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
on the express condition that
of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Penult # DoW loved Perod"as
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rough-In Final
Footings Date Insp. Date Irmp.
Foundation _ Plumbing
Frame/ins. Mechanical
Final
Remarks: ( r Ad
For Office Use Only:
MECHANICAL PERMIT PERMIT #
$? ov CITY OF EAGAN RECEIPT #
' 3830 PILOT KNOB ROAD, EAGAN, MN 55122
DATE:
CONTRACT PRICE ,
. :c PHONE: 454-8100
Site Address i - D c,.:';_:•
TYPE WORK DESCRIPTIO
BLDG
N
Lot Block Sec/Sub .
Res ? New
'
m , i'17
Name Mutt Add-on
Address ,,.;-•'- i. ' Comm. Repair
c
City L Phone { Other
FEES
Name RES. HVAC 0-100 M BTU - $24.00
3 Address -' ADDITIONAL 50 M BTU - 6.00
p City Phone G (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT) 1.50 EA.
TYPE OF WORK COMMAND FEE -1 % OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. -COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON A
Air Cond.
M BTU REMODELS -
MINIMUM COMMERCIAL FEE - 12.00
20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Piping Outlets # (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other
PERMIT FEE:
SIC:
SIGNATURE O1J)ERMI EE
TOTAL: " ' t' FOR: CITY OF EAGAN
Receipt '-? C' Z PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly _
Tot.
1. Date 2. Installation Cost
3. Job Address - - Lot -? Blk. Tract kin 'r i-)
4. Owner
J
5. Contractor / y >? % Phone -
? r
6. Address /
7. City State Zip
8. Building Type: Residential
9. Work Description: New ?
Commercial ? Institutional ?
Add ? Alter ? Repair ?
10. Describe - ' - `-
11
No. Fixtures
Water Closet 1 No. Fixtures
Cesspool/Drainfield
Bath tubs {,1 Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink L }
Urinal/Bidet Otheril? -? - "
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date -e/7-0J nsp. w Il
This is your permit,trhen numbered and approved.
Approved
,= Cllr OF EAGAN 454-6100
CITY OF EAGAN
+ 8795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
Date: november 15 , 1977
Site Address: 159 Old Dodd Roa ?
Lot Block Sub/Sec.
Name Janice Tarvestad
C Address 4259 Old Dodd Raod
City "aan Phone:
` Name i'van Well Co.
g Address L•=7_ South Robert Trail
0
V
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances.
&" e
No.
Receipt No.:
Single
Residential
Multi Res., Comm./Ind.
New/Alter./Repair `
Cost of Installation
`1 ?r l
Permit Fee -
Surcharge
Total 1 '
done in accordance with all applicable State of
V Building Official
r--
CITY OF EAGAN Remarks
Addition Saddlehorn Lot 2 Rlk 1 Parcel iffit 65800 020 01
Owner-A's r Street 4259 Dodd Rd. State Eagan, MN 55123
Improvement Date Amount Annual Years 14 Payment Receipt Date
STREET SURF, jtpp. j
981 1944.00 97.20 20 1555.20 0008847 4-9-84
STREET RESTOR. -'70 981 1210.00 60.50 20 968.00 0008847 4-9-84
GRADING
C 4-9=84
SAN SEW TRUNK .?, 1981 280.00 14.00 20 224.00 000884 4-9-84
.SEWER LATERAL 1981 3 59.51 167.98 20 2687.59 •0 0 4-9-84
WATERMAIN
*WATER LATERAL 1981
WATER AREA S 1 280.00 14.00 20 Q //570
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 420.00 31852 9-15-82
BUILDING PER.
SAC ti of
PARK
CITY OF EAGAN
3795 Pilot Kntb Road
Eagan, MN 55122
Zoning: -
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan
Ordinances,
By
Date of Insp.:
Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Dote Paid:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651.681.4675
New Construction Reaulrements
• 3 registered site surveys showing sq. ff. of lot, sq. h. Of house; and At roofed areas
(200% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan it lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 2 /Z /0 2--
RemadelfReaair Reaulrements
• 2 copies of plan
• l set of Energy Calculations for heated additions
• 1 site survey for exterior addrions & decks
• Indicate r home served by septic system for additions
VALUATION
3 av
SITE ADDRESS 4/ °'-q Q0 p 20¢ 1 MULTI-FAMILY BLDG _ Y
TYPE OF WORK DeE - ?DOr OA/ (r t Ott' y FIREPLACE(S) -Zd _ I _ 2
APPLICANT S C'X X e 20 a t1-11-
STREET ADDRESS q2- S--? (9a d 4 CITy, STATE/V ZIP S-5-/d3
TELEPHONE # ?Sr - ysb-9?y CELL PHONE # 4?1-2 - S l 7 - 6-26 J? FAX #
PROPERTY OWNER ??5 yX ??ouU.S? TELEPHONE# 6r1- /-rL9i57.5'-
COMPLETE THIS SECTION FOR 11NEWff RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor.
Water Softener _
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone if
Fee: $90.00
I hereby acknowledge that I have read this application, state that the Information is correct, and agree t comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' ances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF FAGAN
r
Q/v ? 3830 PILOT KNOB RD - SS122 / V
CJ 9? (651) 681-4675 b V
New Construction Requirements Remodel/Repair Requirements 10 , 1 - (? 1
? 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
• t energy calculations
? 3 copies of tree preservation plan if lot platted after 7/1193
required: _ Yes _ No
DATE: ?d / P?- /i?
? 2 copies of plan
? 1 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST: 24,60 : o ?'000
DESCRIPTION OF WORK:
STREET ADDRESS: i? -r" Df,, f7 f E6A5 ' /*-'
A .?1 41-o4d
. - ' ll' Y\
LOT: _ BLOCK: SUBD./P.I.D. "D e? 2P 60 not o rn
W
8.2 q `o?3?a
?/
Name: tWft 6U v? f :; ? ?" e; ZW ,,
?t
Phone#: (6 e'TG,'
PROPERTY Last t
OWNER
Street Address: y?"a 9 0,360 J?66? 6
City F?,41 State: Am ?j Zip: S.J
Company: -50""r A-5 / 100 ff&15" Phone #:
CONTRACTOR
Street Address: License # Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: .5714/?& i``r`:S '
Phone #:
Name: Registration #:
Street Address:
City State: Zip
Sewer & water licensed plumber (new construction only): Penalty applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, 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:
e
OFFICE USE ONLY
Certificates of Survey Received Yes No 5t'? z
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
? 11 Apt./Lodging
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
WORK TYPE
? 31 New P 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
? 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft. Census Code y?
(Allowable) Main level sq. ft. SAC Code (l /
UBC Occupancy sq. ft. Census Units
Zoning sq. ft. Census Bldg
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building t Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
21 .7,d
U
% SAC
SAC Units
':-r...;:``?}:i';:
C; F: P f 6}ri
r y
L BL CITY USE ONLY
SUED.
RECEIPT #: S(L&L,.
RECEIPT DATE: 0r6
PERMIT #
1999 PLUM$INfi PERMIT (RESIDENTIAL)
cn'Yof E1kGAN
5830 PILOT KNOB RD
SARAN, MN 5512E
(651) 681-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $ "
Floor drain 3.00 x = $
Gas i in outlet " minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00
- x = $
Laundry tra 3T O = $
3.00 x = $ -
Minimum fee alterations to existing dwelling 30.00 x = $
'RQxate Dispil5sal System new/refurbished ` requires MPC Iic. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x ----
State Surcharge .50 > > > $ 50
Total --> > > ' S
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
1 hereby acknowledge that I have read this application, state that the information is cortect, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: % S9 o j ieo f
OWNER NAME:: JAlt? dSC?Se/LOG(S TELEPHONE #: -511
(AREA CODE)
INSTALLER NAME: TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
CITY:
_ STATE: ZIP:
0
S NATURE OF PERMI EE
i
R340
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
-S
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
'P'a S
d .gyp
To Be Used For: !i 1)1)1 ooli a at ion: T Date: P//?/pb
Site Address ygS$ 4o44 /L 6
Lot ,2 Block
Parcel/Sub //
Owner ?AMiS.( KAccs OX60 .P0 ?t
Address q'?S? 0C)"0 0 ? 6
City/Zip Code l fl j r1N SS/ .2 2
Phone ( & /Z) C/ ?!c ?j/ yS
Contractor S/ Z
Address
City/Zip Code
Phone
Arch./Engr. 4;ko S t G r
Address
City/Zip Code
Phone #
60pbrj' OFFICE USE ONLY
FEES
Occupancy M'1
Zoning
Actual Const Bldg. Permit J,0 O
Allowable Surcharge 3100
# of stories Plan Review
Length SAC, City
Depth & SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage - S/W Permit
On site well S/W Surcharge
MWCC System Treatment P1.
City water Road Unit
PRV Park Ded.
Booster Pump Copies /.SU
SUBTOTAL
APPROVALS Penalty
Planner TOTAL R FF
Council
Bldg. Off.
Variance
r` . (/?4 ua A-77 o
------------
c3 Ix
•e
n
? .QO
I
c? 81 -00+
f A
e
?r
3.00
7
,
1-50+
i
I 85.50x+
ti
? l
z z-- 6.- S?'? d'6' .y.y.gr, ?......•? x 3^TW?"f?"'?°;? Ktn°
PROPERTY DESCRIPTION SEC TOWi RA
DAKOTA-COUNTY ASSESSOR LOT BLK NOE
T GOVERN 1ENi CENTER
a, i3sDHwYSS SADpLE 1iD?CP7 AL?DI?d
HASTINGS yA71NNESOTA;55033
£STIi1AkLAZ' Z ?$a{ MARKETVALUE V 59154 t 1
} f e
MARKET VALUE:
NAME AND ADDRESS OF OWNER
JAifES` rX13CRCIUGH `
z, RACE S?AHL tsr
429 DC1'D RD
EAGAN- filly SD123
F a
NOTIFICATION OF VALUE CHANGEFOR
(TAXES:PAYABLEIN
(PROPERTY CLASSIFICATION I r
?tE?3D? IAL HGME STEAD
a.
II
i
v
1\i
0
v
- --
1,?1 p?DAO?,: ?
I ?
z ly
liz
I? v
x ?
"5v 1
.M
s
?t
-, PROPERTY.IDENTIFICATICN
'DBT PLAT_ PARCEL
10 b?S?u X20 01
lV
O
D
C /?3-
1987 BUILDING PERMIT APPLICATION - CITY OF EAG v
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
S'NSTi4GG/n1 fo vo
To Be Used For: Q) oo D SifJtJG Valuation: /o'00
Site Address `/a S9 06,06 ?tl OFFI
Lot 2, Block On Site Sewage
C z MWCC System _
Parcel/Sub Qx Q_el?E V / On Site Well _
Owner TIM City Slater
? 7',eH c['i OX 402OC((? N
Address rfas 9 b0 k 6 2 lb
City/Zip Code LFA(04N 3
Phone tF APPROVALS
Contractor
Addre b W
City/Zip
Phone _ f
Arch./Engr.
Address
City/Zip Code
Phone #
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Date: 9//7177
USE
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
S of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit a31 9v
Surcharge /'00
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL n
.. d
C
`R s ;E
:15 v --
S 'A Q
6
_
'SL u
o
?x?
y- o
vJ ?
r
P ? D
SL ? -t
N o ?
? - o
0
3
6
0
J
p
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Q
tJ?'
(d
9`17
x
9>
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10
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E e?,St
NOV. -26' 96 (TUE) 1034 DAKOTA CO ENV 4GT
TEL;612-891-7588
Municipal Notice of Well Permit Application
Dakota County Environmental Management Department
Water and Land Management Section
14955 Galaxie Avenue West
Apple Valley, MN 55124
Tel (612) 891-7011 Fax (612) 891-7031
DATE: November 26,1996
TO: Tom Colbert/Wayne Schwan
FROM: Water and Land Management
RE: Well Permit*: 96-141 10463
Municipality: Eagan
Fax #: (612) 681-4612
Well Type: Sealed
Environmental Specialist: Rutten
P. 001.
The Water and Land Management Section of the Dakota County Environmental Management
Department has received the following permit application for the well described. If you require further
review of the application or if you have any questions or concerns about it contact the Environmental
Specialist listed above or our office at (612) 891-7011. if there is no response from your office within 24
HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of
the permit. Please note that permit issuance is always conditioned on the permit applicant's observance of
and compliance with all applicable state, county, and municipal laws and codes.
Well Contractor: Kimmes-Bauer Well Drilling
Date application received: November 20, 1996
Anticipated Drilling Date: Time.
Anticipated Grouting Date: Time:
Property Owner Tracy Oxborough
Well Owner: Tracy Oxborough
WELL LOCATION:
PLS Coordinates: 1/4, se 114, ne 114, nw 1/4, Sec 25, Town 027, Range 23
Street address: 4259 Dodd Rd
PIN Number: 10-65800-020-01
WELL INFORMATION:
Diameter. 4
Casing depth: 393
Total depth: 397
Static Water Level: 127
Aquifer. unconsolidated sediments
COMMENTS:
R=96% 612 891 7588 1i-26-96 10:38AM P001 #08
RV,5 x A?YCA nor,
1, o ]" 2 BLo
S 9' too dW u
? d ?d ?/ C r n 14 dd; 7`ic?
ro&!. C
Z
L or
13G.?k l
o ,
e y?
y.9 39
o dcl fa cry
MASTER CARD
LOCATION
• ?tr
STRUCTURE ANDS drMT A/t/r fa? GAIL
LAND USED AS
Permit
BUILDING
PLUMBING
No.
27.rrZ
Issued
7_ Issued To
Contractor Owner
z -s'???
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
•
G
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING •,>u TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
74, 24
--
Violations Noted
on Back
COMMENTS:
MASTER CARD
0
STRUCTURE AND
LAND USED AS
Permit
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
No.
rl/
-
/& 9,
S?
Issued
r., •'
J Issued To
Contractor Owner
WELL
ELECTRICAL
HEATING ,br
GAS INSTALLING _
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date Remarks
Distance From Well
FOOTING -00 4.0.00 SEPTIC
FOUNDATION CESSPOOL
FRAMING
FINAL I
ELECTRICAL TILE FIELD • FT.
4 ?
HEATING
/V EPTH
F WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING T-
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
OWNED iy - 04ft `
NOV, -26AOTUE) 10:34 DAKOTA CO ENV MGT
TEL:612-891-758B
II
P, 001?? , r
Municipal Notice of Well Permit Application
Dakota County Environmental Management Department
Water and Land Management Section
14955 Galaxie Avenue West
Apple Valley, MN 55124
Tel(612)891-7011 Fax (612) 891-7031
DATE: November26,1996
TO: Tom Colbert/Wayne Schwan
Fax #: (612) 681-4612
FROM: Water and Land Management
RE. Well Permit #: 96-14110463
Municipality: Eagan
Well Type: Sealed
Environmental Specialist: Rutten
The Water and Land Management Section of the Dakota County Environmental Management
Department has received the following permit application for the well described. If you require further
review of the application or if you have any questions or concerns about it, contact the Environmental
Specialist listed above or our office at (612) 891.7011. If there is no response from your office within 24
HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of
the permit. Please note that permit issuance is always conditioned on the permit applicant's observance of
and compliance with all applicable state, county, and municipal laws and codes.
We]1 Contractor: Kimmes-Bauer Well Drilling
Date application receivers: November 20, 1996
Anticipated Drilling Date: _/ / Time:
Anticipated Grouting Date: J / Time:
Property Owner: Tracy Oxborough
Well Owner: Tracy Oxborough
WELL LOCATION.
PLS Coordinates: 1/4, se 114, ne 114, nw 1/4, Sec 25, Town 027, Range 23
Street address: 4259 Dodd Rd
PIN Number: 10-65800-020-01
WELL INFORMATION:
Diameter: 4
Casing depth: 393
Total depth: 397
Static Water Level: 127
Aquifer unconsolidated sediments
COMMENTS:
R-96% 612 891 7588 11-26-96 10:38AM F001 #08
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651)675-5675
Fax: (651) 6755694
--- -----------
I For Office Us2Qy/ / I
Permit M V / ?!
Permit Fee:
Date Receiveed/:o(?o .26-
Staff: r I
---------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:vW'ZS 0B Site Address: l a 59 ???D?
Tenant:
Suite M
RESIDENT IOWNER Name: --li Ica C* -T J? tj ?Ybd'noo ,IL Phone: ?o51- SSG-%/`I `j'
Address / City / Zip: y3 5C( 'Odd, eQ rg , _
Applicant is: - Owner ontractor
Q I
rn? pp - pk?iS°
y
t ??
t
P
'ge
TYPE OF WORK C)
i
r
i-} ? . ld?^
Description of work: tt J u /4 X as
f
Construction Cost: y, y O Multi-Family Building: (Yes Not::::?
CONTRACTOR ? w 51 License #: ?c kl y a f? S
Name: Ro 01 5(
o'
t
/
Address: '13 7d- /? A t IM w w i 5 tdJ ?t 7
City:-41 C tG State:w Zip: / Z 3
Phone: Y 1? Contact Person: 6 -3 1- ?Sa- --1B 7.11
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateooly 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 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 s Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
- conclude that the are trade secrets.j'-
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 I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in t`he/case of work which requires a review and approval of plans.
x a,Q 1 ?A2K re x ), Lt `
Applicant's Printed Name Applic nt's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of - Plex ? 07-plex ? Garage 'k Porch (4-season) ? Ext Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building"
,K Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
* Demolition (entire building) - give PGA handout to applicant
DESCRIPTION:
Valuation 5&V Occupancy MCES System -
Plan Review k-11, Code Edition SAC Units
(25%_ 100%? Zoning City Water
Census Code y3?r Stories I Booster Pump
# of Units Square Feet 3?1 PRV -
# of Buildings Length .u Fire Sprinklers
Type of Const. Width /11
REQUIRED INSPECTIONS
Footings (new bldg) SheeUock Meter Size:
Footings (deck) Final/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other:
_ Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Stone Lath -Brick
Stucco Lath
Siding:
``,,
Fireplace:,R.l. Y/-Air Test Final -
-
Windows
Insulation Retaining Wall
Reviewed By: , Building Inspector
- - - - - - - -i3 ------ ---------------- ----------------- -----------------------
RESIDENTI L FEES: y Play v ocf I' /V 35? 7/ ;,
Base Fee a 99A
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
I
f
a
'3 i
-a* , 0
', S 80 9104 E
1 ?
------- -- 30.9..
30 9"-
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L
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-------------------
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?ASSL
r4 Generated by REScheck-Web Software
Compliance Certificate
Project Title: Jim and Tracy Oxborough
Report Date: 07/15/08
Energy Code: 2000 Minnesota Energy Code
Location: Dakota County, Minnesota
Construction Type: Sing le Family
Glazing Area Percentage: 17%
Climate Zone: 2
Construction Site:
4259 Dodd Road
Eagan, Minnesota 55123
Owner/Agent:
Jim and Tracy Oxborough
4259 Dodd Road
Eagan, Minnesota 55123
Designer/Contractor:
Mel Raeker
Pro Vision Construction
4372 Kaufmanis Way
Eagan, Minnesota 55123
651-452-5878
melmeker@mmcast.net
Compliance: 0.0% Better Than Code Maximum UA: 71 Your UA: 71
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building hag been designed to meet the 2000 Minnesota Energy Code
requirements in RESchecck-Web and to comply with the mandatory requi(?rt'ants listed' he RESc eck Inspe on Checklist.
L
Name - Title Signature Date
Project Notes:
We will be installing 1"Thermax under floor joists.
Project Title: Jim and Tracy Oxborough
Data filename:
Report date: 07/15108
Page 1 of 3
Wall 1: Wood Frame, 16in. o.c. 480 19.0 0.0 22
Window 1: Above-Grade, Vinyl, 2 Pane wl Low-E 84 0.310 26
Door 1: Solid 18 0.310 6
Floorl: All-Wood Joist/Truss Over Outside Air 352 38.0 6.5 8
Ceiling 1: Flat or Scissor Truss 352 50.0 0.0 9
RESIDENTIAL BUILDINGn
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone !# 651-675-5675 FAX # 651-675-5694
New Conslrudion Reauirements
3 regisfered sfle surveys showing sq. fl of lot, sq. R. of house; and all roofetl areas
(20% manimum lot coverage allowed)
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Trce Preservation Plan H lot platted aker 711/93
Rim Joist Detail Options selecGon sheet (buildings wAh 3 or less unAS)
Minnegasco mechanipl ventilalion fortn
RemodellReoair Requirements
2 copies of plan showing foolirgs, beams, joisis
1 set W Energy Calculations for heated addi6ons
1 site survey for additions 8 decks
Add'rtion - iMicate if onsRe septk sysfem
V"10 .`94?2
Office Use OnN
Cert ofSunieyReoi N
Tree Pres Plan Rerd ? -_ Y_N.
TreePresRequired Y _N
On-srte.SeptlcSystem . "_Y _N
/
Date S oz
Construction Cost 4-?)06 -
Site Address y? S/ !JC p? /e G/'¢ ? UniUSte #
Description of Work ?
?' -
?
Multi-Family Bldg _ Y X N Fireplace(s) ? 0 _ 1 _ 2
PropertyOwner TA?n/„S? ?-/f Telephone#(16S/)
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiantype) Su6mitted Submitted
. Energy Envelope Calculations Submitted
In The last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
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.
1?1I.?
ApplicanYs Printed Name A.Micant's Signature