787 Golden Meadow Rd2007 RESIDENTIAL MECHANICAL rERMiT arrLicATioN ?I? r/1?
? 1City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 U
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
Date 627
Site Address U nit #
Property Owner Telephone # ( )
Contractor
Street Address CiTy
State 2yJ A,) Zip ?0, Telephone# (GS1
Bond #:?f(? a. aO(p `7 Expires:
The Applicant is _ Owner -Z Contractor Other
Fire repair (replace bumed out appliances, ducfwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or altera[ion to existing dwelling unit $ 50.00
_ furnace ?Additional _Replacement _ New
air exchanger
air conditioner
heat pump
_ other??ea?-:,?
State Surcharge $ .50
Total g
I hereby apply for a Residential Mechanical Pemvt and acknowledge that the information is complete and accurate; that the work will
be in conforcnance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work which requues a review and approval of plans.
- A! /
Applicant's Printed Name Applicant's Signature
2007 COMMERCIAL MECHANICAL PExMiT ArrLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciat/industrial buildings
multi-family buildin.4s when separate pemtits are not required for each dwelline unit
Date 5-! / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
A
'
Contractor
e
Street Address ?*- City
State Zip O 8 Y Telephone #(
Bond #: Expires:
The Applicant is _ Owner ? Conhactor _ Other
Work Type
New Conshuction VInterior Improvement _ Install Piping _ Processed _L/Gas
UnderlAbove ground Tanlc Install Remove
When ins[alling/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector
Nature of Work:
Pefmit Fees $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
ContractValue $ x 1% _ $ PemvtFee
$ State Surcharge
To calculate surcharge
If Permit Fee is less thau $1,000, surcharge is 50 cents.
If Pemtit Fee is >$1,000, surcharge increases by S.SO
for each $1,000 Permit Fee (i.e. a $ 1,00 1 -S2,000 Permit
Fee requires a $1.00 surchazge).
$ Total Fee
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 and with the Mechanical Codes; that I understand this is not a pernut, but only an application for a pernnt,
and work is not to start without a pernilt; that the work will be in accordance with the approved plan in the case of work which
requires a review and approval of plans.'
Applicant's Printed Name ApplicanYs Signature
Approved By: , Inspector Date:
Required Inspections: _ U.G. _ R.I. - Air Test - Gas Service Test - Infloor Heat - Final
-76-7 `7 -7 L??«? ??` ) 3z?b a
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 4'?
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstNCOon Reauirements
3 registered site surveys showing sq. R. of lot, sq. R. of house; and all roofed areas
(20%maimum lot coverage allowed)
1 Soils Report if propwed building is to be placed on disWrbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 setof Energy Calculalions
3 copies of Tree Preurvafion Plan rf lot plaketl afler 711193
Rim Joisl Defail Opdons selection sheet (buildiigs with 3 or less unils)
Minnegasw mechanical venfilation form
RemodellReoair ReauiremenLs
2 copies of plan showing foofings, 6eams, joists
1 set of Energy Caiwlations (or heated additions
1 site survey for addifions & decks
Addifion- indcate ilon-site sepfic system
Office Use Onlv
Cert ofSuNeyRetd', ' _Y;•?N
SoilsRepwt ...... ' 'V _NTfee P25 Rlan Recd N;
Tree'PreaRflqui[ed; 1f `_1'1
On-site5ep4c5ystam x, ._Y."_N
Date _.)- 1 d-v?J
Site A/ddress
Z,L c(/?1 ?Ij d
j'Yl/1'? ' Connstruction Cost
Unit/Ste #
Description of Work
MuUi-Family Bldg _ Y4N Fireplace(s) _ 0 2
Property Owner Telephone # ((p.?1)
:FF
Contractor
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate o?rL _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel
(d submission type) Submitted Su6mi(ted
• Energy Envelope Calculafions Submitted
In The last 12 monihs, has the City of Eagan issued a permit for a similar pian based on a master plan?
Y N If yes, date a d address of master plan:
Licensed Plumber D [E CO- E `J Yr' - Telephone # ( J _
Mechanical Contractor FEB 3 o 2007 Telephone #( J_
Sewer/Water Contractor
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.
?ai.?l Oul?d ?o
Applicant's Printed Name
Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundalion
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
?d 33 Alteration
?
? 34 Replacement
? 07 05-plex
? 08 06-plex
? 09 07-plex
? 10 OB-plex
? 11 10-plex
? 12 12-plex
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
Q., 19 LowerLevel
? 20 Pool ? 30 Accessory 81dg
? 21 Porch (3-sea.) ? 31 6ct. AIt - Multi
? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF
? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous .
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
`Demolition (Entira Bldg) • Give PCA handout to applicant
DBSCrIOfiOtt: Water Damage _ Yes
Valuation c-? ? Occupancy MCES System
Plan Review ? 100% or _ 25%
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
i
Type of Const Width
Footings (new bldg)
Foodngs (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice&Water Final
Framing
Fireplace-.4 R.I. 4Air Test V Final
Insulation 7?
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
?C Final/No C.O.
? HVAC
Other
Pool Ftgs Air/Gas Tests Final
Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Approved By: Z?2 : , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
LL f ?-r??31f 31 062 o
?6-7Q ?6 . ??L?
2007 RESIDENTIAL PLUMBING PeRmiT aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 ?-
Please complete for modifications to existinp residential dwellinps.
Date C:?- ! 020 I b
Site Street Address q ' Unit #
7? (/??1rL6Lt T
Pro
ert
ne
O
l
`h
n?
(
?
?S`??U
p
r
y
w
e
ep
o
(
?
)
Contractor Telephone # ( )
Address City State Zip
The Applicant is: 41,Owner & Occupant _ Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alteretions to existing dwelfing $ 50.00
Add plumbing fixtures to _ main level _)L lower level. This fee includes
installation of a water softener and/or water heater at the same time. !f you are
insta!ling onlv a water softener and/or wafer heater, do not complete this seqh-ep
move to the next section and place a checkmark next to the appliance(s) yo
ul,l vfl ? D
installing. EB 2 (3 2007
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Tatal $,;-z ?,o
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
?,w1 Vy_ 6 rJ v.c>([a V ?-uK Qg<rz,?
ApplicanYs Printed Name Applicant's Sign ture
Address: 787 Golden Meadow Road
Lot: 03 Block: 1 Subdivision: Sunset lith
Zip
TAE FOLLOW[NG [TEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON
55123
Yes No Comments '
Final grade - 6" from siding
Permanent ste s - arage
Permanent steps - main entry
Permanent drivewa
Permanent gas
Sod/Seeded lawn
Trail/curb dama e
Porch
Lower level finish
Deck
Fireplace
• V erify with your builder that roof test caps from the plumbing system have been removed.
• T um off water supply to the outside lawn faucets befoie freeze pQtential exists.
• C all the Ciry's Engineering Deparhnent at 651-675-5646 prior to wocking in right-of-way or installing
irrigation sys[em.
y BUILDINC 1NSPECTOR: w &4?,
CON1'RACTOR:
Paul Oxborough
787 Golden Meadow Road
Eagan MN 55123
Site address: !#??%&'w 6- Lot 05 Block 0 ? Subd. 40-1YA-Z,;(
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
? This structure: is consWcted to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This struclure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S V NTINGTYPE
water Heater LWNI?2- ?np0O
Furnace G3971 ? D3(a C _ 8 ?fp?ooo
Dryer
(
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen ?Y1V `/ a p, /?t
?,-? aao
Bathroom 1 .70
Bathroom 2 W-A? 6k D0
Bathroom 3 0
Bathroom 4
4
r
#
Other 1
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
X ? ?.? ta s
k..
?
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
N?Al
Signature
-1 Az)le?z
Date
CompanyName
This form is the responsibility of the General Contractor.
Lz?_3 -8 1 ocic I
,5+ w ?, D Be`
RESIDENTIAL BUILDING Mp_
ti ?'r?
{-lt A tJn n?vu • _ j?. Permit Application ffo
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Lo Ibus o - ? s4-az1 -1
(o?o(e l -? -?0, Sfi
City Of Eagan rvlQoz-
New ConsWdion Reouiremenfs
3 regisle2d sile surveys showing sq. ft of lot sq. k. af house; and all roofed areas
(20% mauimum lot coverage allowed)
2 copies of plan showing beam & windoui sizes; poured found design, etc.
1 set of Energy Calcula6ons
3 apies of Tree Preservation Plan if lot platted aNer 7l1193
RemodeUReoair Reaui2ments
2 copies of plan
1 set of Energy Calculations for heated additions
1 site survey for addiUons & dedcs
Addifion - indicate don-sife septic system
RimJoistDeisilOptionsseledbnsheet,(6ldgswith3orlessunits
Date Construction
Site Address 7,?,7 ?'j oLOt N Mf?ee, w R D UniUSte #
Description o[ Work NC tiJ 0- p,vsj'R u GT/ o ti/
Multi-Family Bldg _Y D< N FSreplace(s) _ 0 2
PropertyOwuer Telephone#(??)
O' u/
Contractor
'
Address City
State Zip ff/+Z ' Telephone # q?rSh
COMPLETE THIS AREA ONLY IF
Minnesota Rules 7670 Cateeorv 1
Energy Code Category
• Residential Ven6lation Category 1 Worksheet
(? submission type) ' 5ubmitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
,5508 .7?7'?
Offce Use OnN
,? Cert of Survey Recd-
Trce Pres Plan Recd?,,a
Tree Pres Not Reqd
_ On-site Septic System
gjaes kt vvfr-
cost 041)-
A NEW BUILDING
Minnesota Rules 7672
l. . New Energy Code Worksheet
Submitted
Telephone #b5h `4(031ZZ-:?
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 ttiis is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
PAllL G,Y$o,CoUG lf ?.1Q_ ?,''ea??
Applicant's Printed Name ApplicanYs Signature'
Sub Types
? 01 Foundation ? 07 05-plex
K? 02 SF Dwelling ? OS 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 70 OS-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Work Types
ew 31 New C
? 32 Additian C
? 33 Alterafion C
? 34 Replacement
Valuation ?(0-? i C O-D
Census Code
SAC Units ?
Nbr. of Units ?
Nbr. of Bidgs ?
Type of Const V h
? Footings (new bldg)
Z( Faotings (deck)
Footings (addirion)
? Foundation
Drain Tile
Roof ? Ice & Water ? Final
Frammg
Fireplace K R.I. X Au Test X Final
X Insulation
,yf1CI'oI?e.5
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
35 Int Improvement ? 38 Demolish (Interior) ? 44
36 Move Bldg. ? 42 Demolish (Foundation) ? 45
37 Demolish (Bldg)* ? 43 Reroof ? 46
`Demolition (Entire 81dg) - Give PCA handout to applicant
Occupancy Rc- 4 MC/ES System _
Zoning R_ 1 City Water _
S ' ?- B t P
tories oos er ump
Sq. Ft. 3q b g PRV
Length S?c t Fire Sprinklered
Width
e
? r
? 30 Accessory Bldg
? 37 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
?
REQUIRED INSPECTIONS
X FinaUC.O.
_ FinaUNo C.O.
_ Pluxnbing
HVAC
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
Windows (newheplacement)
Retauvng Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
OFFICE USE ONLY
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
Plbg_Y or _ N
65 ern@nfi 12 bSr Rao ? I$9"75
t7
[spn HC?e! $Oa l(
3 I(0,o D =
# 5-q 0 ° 1 2. 11,oa
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AFFIDAVIT OF EXEMPTION FROM STATE CONTRACTOR LICENSE
State of Minnesota ) ss Affidavit of Paul or Barb Oxborough
) (Building Permit Applicant)
County of Dakota )
Paul or Barb Oxborough , being first duly sworn, upon oath, deposes and states the
(Building Permit Applicant)
the following:
1. This Affidavit is submitted in connection with the building permit application made by
Paul or Barb Oxborough (Building PermitApplicant) for a proposed work project
located at 787 Golden Meadow Rd , Eagan, Minnesota.
2. I acknowledge and understand that Minnesota Statutes, s326.84, requires all residential
building contractors/remodelers to obtain a license from the Minnesota Department of
Commerce, unless otherwise exempt under the statute.
3. I am exempt from the residential building contractor license requirement pursuant to
Minnesota Statute s326.84, Subd. 3, for reason(s) indicated below (check those that apply):
? a. I am the owner of the residential real estate on which the home shall be built and I
will do the work myself or jointly with my own employees or agents that I am
building such home as my own personal residence and intend to permanently live
therein.
b. I am an azchitect or engineer engaging in professional practice as defined in
Minnesota Statutes, Chapter 326.
c. My annual gross receipts are less than $15,000.
d. My contracts on individual projects in aggregate do not exceed $2,500.
e. I am a mechanical contractor, plumber, or an electrician.
£ I am a speciality contractor, remodeler, or material supplier involved only in part
of the proposed improvement to the residential real estate.
4. I aclrnowledge and understand that the statements in flus Affidavit are made under oath and if
I make any statement in this Affidavit that I laiow to be false or incorrect, I understand that I
could b e s ubject t o c riminal p rosecution o r d enial o r r evocation o f t he building p ermit o r
both.
FURTHER O AFFIANT SAYETH NOT.
Dated: ???-?3 x , 6w
(Building Permit ApplicarO
Subscribed and sworn to before me Barb or Paul Oxhorough
this "_-"&dayof-?`..i,,?200$ 4289RosemazyCt
?t. V?1 -N _ A ?.I t, Eagan, MN 55123
Notary Public 651-452-2228
(Print/Type AppZicanPs Name and
Address & phone number)
;?ax - -? - - -
LINDA MARIE DRALLE y
? PIOTARY PUBLIC MINNESOTA
aaaaW
M y Commi55ron ExpirES Jan 31.2005
MNCheck COMPLIANCE REPORT
Minnesota Energy Code
MNCheck Software Version 2.0
Minnesota Department of Public Sexvice
1-612-296-5175 1-800-657-3710
COUNTY: Ramsey
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 7-20-2003
DATE OF PLANS:
TITLE:
Permit #
Checked by/Date
COMPLIANCE: PASSES
Required UA = 317
Your Home = 305
Area or Insul Sheath Glazing/DOOr
Perimeter R-Value R-Value
---- U-Value
------------ UA
-----
-------------------------------
CEILINGS --------------
2400 --------
38.0 -----
0.0 72
WALLS: Wood Frame, 16" O.C. 1400 19.0 2.0 72
GLAZING: Windows or poors 400 0.350 140
DOORS 60 0.350 21
HVAC EFFICIENCY: Furnace, 90.0
------------------------------- AFUE
--------------
--------
--------
-------------
-----
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed o meet the requirements of the Minnesota Energy Co e.
? c- d?
Builder/Designer Date
NEW HOME FIELD INSPECTION
ENERGY CHECKLIST
PAGE 2
(CATEGORY 2)
INSULATION:
[ ] Vapor barrier installed
[ ] Interior foundation wall:
( ) Vapor barrier installed
( ) Insulation installed: R-
( ) Moisture barrier installed
[ ] Attic insulation installed:
R-
[] Attic card posted with proof of
bags installed
[ ] Floor insulation installed:
R-
[ ] Wall insulation installed:
( )R-19 ( )R-21 ( ) R-
WIND WASH BARRIERS:
(] wind wash barrier installed at
attic edge
[ ] Overhangs (cantilevered floors
and bay windows)have wind wash
barriers
MECHANICAL:
[ ] Ducts running outside conditioned
space sealed and insulated
with minimum of R-8
[] Returns in same space as furnace
sealed
[ ] Ducts in unheated spaces
[] water heater has pipe insulation
or heat traps installed
[ ] Furnace AFUE:
[ ] CEntrdl Air SEER:
(CATEGORY 1)
[ ] All exterior joints in
building envelope sealed
[ ] Residential mechanical
ventilation system
installed (Mandatory if one
or more item in this column
is checked)
----NOTES TO FIELD (Building Department Use Only) -------------------------
NEW HOME FIELD INSPECTION
ENERGY CHECKLIST
MINIMUM REQUIREMENTS
(CATEGORY 2)
FOUNDATION:
[ ] Exterior foundation wall
insulation installed:
R-
[ ] Slab-on-grade insulation
installed: R-
[] Ducts in slab5 have R-5
insulation bottom and sides
PENETRATIONS:
[] Window and door frames sealed
[] Framed wall openings into attic
sealed
[] Other joints in wall sealed
[ ] Dropped ceiling air-blocked
(CATEGORY 1)
[ ] Foundation rim joist sealed
airtight
[ ) Upper story band joists
sealed airtight
[] Ceiling poly sealed to top
of interior partition walls
[ ] Plumbing penetrations sealed
[ ] Exterior walls behind tub
and shower sealed
[ ] Plumbing vent stack sealed
[] Chimney flues sealed at ceiling
[] Perimeters of all grills and
registers sealed to vapor
barrier
[ ] Electrical service sealed
[ ] Recessed light fixtures sealed
[ ] Wire penetrations into attic
sealed
[ ] Telephone, cable TV
penetrations sealed
[] Fans sealed where vapor barrier
penetrated
[ ] Electrical boxes sealed to
vapor barrier
[ ] Fan housings air sealed
D C--ftCf?jk (,C?,- Gcp r
. ,?
(SEE ATTACHMENTS)
Development SUNSC-T 13?? ?M
Lot Number
Address
Builder
Block Number
-1 k-? &a(.Dl?-tv M??*IZ.U CZDn9?r?
CA?)j-?z(Tt.T ', aP-Ur? ???UP,?'
'Plfptie,. 6t7. - 60R- W-l
Tree Protection Reauirements: U(3L110 iq2E* A2WN1) T(ZlTNf PCF'Ytv-(Q)
Tree Fendng TZIEa
Oak Tree Pruning (Immedi tely seal wounds during Aprfl 1 to July 31)
TherapeutlcPruning ????..?p ??? -? P2otGL?
ReWining Wall
otner: SCty-M-KG 12eeF1CzvED -1kimJ
Realacement Trees:
,y__
Attachments:
-4-
Additional Notes:
Not Required
As Follows:
(w;u- FC4l-;)
Yes
No EAGAN FORESTRV DIVf???N
I REF9DEWED
H:\ghove\2002fi1e\UeepreslTree Preservatlon Plan Summary-2002
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TREE INVENTORY LIST
/
? 1. CA VFT1
5" SPRUCE 50. 18" BUR OAK
2. 7" CRABAPPLE 51. 20" BUR OAK
3. 4" SPRUCE 52. 12" BUR OAK
4. 36" SILVER MAPLE 53. 20" BUR OAK
5. 8" BIRCH 54. 17" BUR OAK
6. 9" ASH 55. 8" SPRUCE
7. 8" ASH 56. 5" APPLE
8. 6" ASH 57. 4" APPLE
9. 7" 3COTCH PINE 60. 16" SILVER MAPLE
10. 6" ASH 62. 10" SPRUCE
11. 13" RED OAK 63. 8" ASH
12. 6" BUR OAK 65. 5" ASH
13. 18" BOXELDER 66. 8" ASH
14. 11" CHERRY 67. 8" ASH
15. 4" BUR OAK 68 4" ASH
16 13" RED OAK 69 18" ELM
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17. 9" RED OAK 70. 5" ASH
? 18. 10" KED OAK 78. 10" ELM
I 19. G" Cl-IERRY 79. 12" ELM
20. 10" CHERRY 81. 10" SPRUCE
II 21. 4" RED OAK 82. 6" CHERRX
22. 6" RED OAK 83. 9" ELM
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II 23. 6" RED OAK 84. 9" CHERRY
24 10" RGD OAK 85. 6" CHERRY
II 25 16" RED OAK 89. 16" COTTONWOOD
26. 16" RED OAK 90. 9" ELM
I II 27. 11" CHERRY 91. 10" RED OAK
28. 20" BUR OAK 92. 12" ELM
I 29. 32" BUR OAK 93. 8" CHERRY
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I 30. 27" BUR OAK 94. 6" RED OAK
I 31. 17" BUR OAK 95. 23" BUR OAK
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) 32. 17" BUR OAK
33. 14" BUR OAK NnT CAVFTI
34. 12" BUR OAK 58. 12" APPLE
35. 16" BUR OAK 59. 7" ASH
36. $" BUR OAK 61. 6" ASH
37. 19" BUR OAK 64. 6" ASH
' 38. 14" BUR OAK 71. 5" ASH
39. 23" BUR OAK 72. 4"x3 APPLE
40. 6" BUR OAK 73. 10" BOXELDER
41. 5•' BUR OAK 74. 6" ELM
/ 42. 5" BUR OAK 75. 6" BOXELDER
43. 5" BUR OAK 76. 10" ELM
- 44. 7" BUR OAK 77. 10" ELM
45. 8" RED OAK 80. 12" ELM
/ 46. 8" ASPEN 86. 12" ELM
47. 9" CHERRY 87. 10" ELM
48. 7" BOXELDER 88. 10" ELM
-- __?
? 49. 8" CHERRY 96. 8" APPLE
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Sluvey for:
PAIIL 07BpRIX7Cdi
DESCRIPfION: f .
Lot 3, BLxk 1, SONSEf '
131H ADpITION
I hereby rertify Lhat thia survey .rag I
PrePazed by me or under my dSrect I
supervision and that I am a reqislered
land surveyor under the laYS of Lhe
State of Minnesota. ' I
Datea 's 15th day of Au t, 2003.
rry R. out e. IaiW y?yy¢yor I
Minnes License No. 9018
I
NOTE: I
Lot area is 25,559 Sq. Ft.
Building area is 2,109 Sq, Fti, I
Lot coverage is 8.23%
Proposed Grades: W I ?\ ?
'IbP a[ Hlocks 931.3 . I
Garage floor 930.8 ?
Basement floor 923.5 F n I
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^ircled elevaCions are propwsed, oN
others are esisting. _ 1 I
Arrovs denote d3reciSon of drainage.
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? LOT SURVEY CHECKLIST FOR RESIDENTIAL
" BUILDING PERMR APPLICATION
PROPERTY LEGAL: ? Z3 /cg??Sef 1314 lqGCGL'/
DATE OF SURVEY: 9- 1s- 03
L4TEST REVISION:
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S( ? 0 • Registered Land Surveyor signature and company
Ar 0 0 • Building PermitApplicant
Al ? ? • Legal description
ji 0 ? • Address
g ? 0 • North arrow and scale
U, ? ? • House rype (rambler, walkout, split w/o, split entry, lookout, etc.)
IK ? ? • Directional drainage arrows with slope/gradient Yo
X ? ? • Proposedlexisting sewer and water services & inveR elevation
)K 0 ? • Sheet name
? ? * . Driveway
? ? ? • Lot Square Footage
8k ? ? • Lot Coverage
ELEVATIONS
Existin
$ ? 0 • Sewer service (or Proposed)
K cl ? • Property comers (NUl Co?e? /s m%ss?ng?
,
? ? ? • Top of curb at the driveway and property line extensions
? ? ? • Elevations of any existing adjacent homes
? C ? • Adequate footing depth of struclures due to adjacent utility trenches
0 ? ? • Waterways (pond, sVeam, etc.)
Prooosed
.? ? ? • Garage Floor
ja 0 ? • Basementfloor
? ? ? • Lowest exposed elevaGon (walkouUwindow)
? ? ? . Property comers
? ? ? • Front and rear of home at the foundatlon
PONDING AREA (if aoolicable)
0 & ? • Easement line
? zi ? • NWL
? a ? • HWL
? ,R ? • Pond # designation
? JR ? • Emergency Overflow ElevaGon
0 & ? • Pond/Wetland buffer delineation
DIMENSIONS
? 0 ? • Lot lines/Bearings & dimensions
??? • Right-of-way and t e t ' h(to back oi curb)
'@ 0 • Proposed home dimensions including any proposed d? e?cks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring pertnanent footings)
?? • Show all easements of record and any City utilities within those easements
??? • Setbacks of proposed structure and sideyard set6ack of ad'acent existing sWctures (Ferp¢?iecc?r c?i.SFanees"?
??? • Retaining wall requirements,'rfany are2s 2Kc2e?i nq 3: f 3Im?- (p-f (fne-)
Reviewed: --?w.? J F-2S-03 -
Name Date
G:/FORMS/Building Permit Applicatlon
Sucvey for:
PAUL 0xBoRoL7GH
DES(,'RIPTION:
Lot 3, Block 1, S[1N3ET
13TH ADDITION
I hereby certify that this survey r,rds
prepared by me or under my direct
supervision and that I am a registered
land surveyor under the laWS of the
State of Minnesota.
Lateci s 15th day oat,?2LOO33*
Y
rry R. ut e, Land Survep?
Minnes a License No. 9018
NOTE:
Lot area is 25,554 Sq. Ft,
Building area is 2,104 Sq, Ft,
Lot coverage is 8.23%
Proposed Grades: W
Top of Blpcks 931.3
Garage floor 930.8 N I
Basement floor 923.5 N n
Circled elevations are proposed, o N
others are existing. Z I I
Arrows denote direction of drainage:
All sloges to be a itinimum oF 2%
or naxiaun oZ 33.33 3
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