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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 ' 6631Z p?iatn ?l?o/L 1Z2 kS`l.on anr? ? S`5752 ?DQ?1? I 9 Z q°' x ? 2 c1L .?. f" 1'Yi ? J= e E: Z, c o v 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 L1 ? _ -7 r ., . 4) X/- - v?92p _.. . _ . .__ ? ` .= I . , "z2. ? . _... ? ? I 1 zcs w o ?? , ?e 5 FRONT c ?` L/O 3 XXXXXXXXXXXXXXX X k J 928 ?` 24. J 23. i . I ( ?? , 2c3 w/o % • , • ?,?. '_? / ? , 31 er?v1 ce FRONT ? ? ? ? o?S • /} . '? ttub=914. ? } I L/0 /931.5 G' 25 c .0 I ? ?. L7 • rop. -, ervica ? r Inv' 0 property 11 = 13. Ex. Ser ifn v 0F v qP : Ex. MH \ \'4\nv=912.8 ?Curb Stop A4. -- ?-- ? ? -- ?? 5 ? S5A49 52. , \?I ti ? .1. 6. . 4. ? 47 5. 6. /? 031. , / .4'. 9. ?. .l /4? i i 5 3 , ?. rd 45. ? 2 ?4. ? 83. F241 ? 3? n .... ..,__.;.?. ? I I ? I l ., , , ? 4. ?l?j3 ? .-- s. ? 72. ?7. x?;x.cx>ocxxxxxxx x/.. • 4 I ? -4y 6. ; 2. f?---- ??'k? . ?5. 9. ? ? X -- ? .? --- - ?-__- ? ? ? .- 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 ? . 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 I 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 ? I 30. 27" BUR OAK 94. 6" RED OAK I 31. 17" BUR OAK 95. 23" BUR OAK ? ) 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 • / N I I SI 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 ? ^ircled elevaCions are propwsed, oN others are esisting. _ 1 I Arrovs denote d3reciSon of drainage. I ? I ? ? r g?Ze i 9t3' $QO?L I 21.15 ? \ R[ Scale: 1"=20' It H? I ? uHO suevEYM 5 8949'74" W --80.00-- -_ 1 I IS ' f'1 I a J ? I 9 ? ? i I ? I J I ? N I NO rn? P o o , I mm I im ? I I ? T_- 4?.? 922.8 ? 12.P0 926.9 9228 I ?cw ?? +••.v? 25.61 5 912.0 1 ______-- P I I mI ? MI N? L=27.06 ? szs.a? R=118.31 -----? 0=13'O6' 7 8' N? v ) s as•µa'3s' w /?/EfrDo yy ' 926.3 6'Q/yl ?!/? l ? n ? e /1 4 af m o 1200 ? ? 1 A21f 1 '-? 92].4 93J.6 ,e?a'-9.a ? LOT SURVEY CHECKLIST FOR RESIDENTIAL " BUILDING PERMR APPLICATION PROPERTY LEGAL: ? Z3 /cg??Sef 1314 lqGCGL'/ DATE OF SURVEY: 9- 1s- 03 L4TEST REVISION: m ? c ro t U ?C a a O z Q DOCUMENT STANDARDS 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 I I 9•?Z s 89•49'14° w -=ao.oo-- _ . 1 ? - I I sl I ?N . ? i I ?V r? ':, s_ ?r ? x. br?J 'rr' ?9'" ii_,.;• I I 0 S, o v ? . I \ V I I / - - ? Is I' ? ? I J I . 31 Aqaxtm?mSlo?pes a or Fiefa(ning Wall Wil? ? ? 6e Requlred ? 21.15 ` ? I C Scale: 1"=20' ?y 9 ZZs &'ARLSON INC. ? I IAND SURVF'IORS ? I 25.62 -'?-=%-? " 922.0 ------ -1-------- f I ? ? 0 L=27.06 ,-?-9? R=118.31 A=13'O6' 18" 19 N? lp 016..N 3v2 71 ? I N 1 O? ? K ?r ? 922.8 ? G =D 12.00 ?22.2 p N O O1 0 2.00 / 14inft22.9 ? 3 . ? ??•? ?'?-- ? S 89'144'36" W . ? N6+ I , .__?c. .,,, . 926.3 .q2?O•o . . I ?f I ? I ? LI) 4 S' I?,?? / N v co / 1`° 12.00 I m 925. (( I g"' J f I .4 .s 0 ? \ 924.3 10 N Q o) - t0 p O .A: rno) 926.9 ---1 927.4 927.8 ?o N ? ? A r,r.?? ? ?',sCr, . N o, 1 ? ? I I / I z7?